Effect of acupuncture anesthesia on acne vulgaris of pricking-blood- letting cupping： a single-blind randomized clinical trail

OBJECTIVE： To evaluate the effect on acne vul- garis of pricking-bloodletting cupping at Dazhui （GV 14） under acupuncture anesthesia, and estab- lish whether providing anesthesia to the treat- ment area by manipulating Hegu （LI 4） and Quchi （LI 11） might have an additional therapeutic bene- fit. METHODS： Thirty-eight patients were recruited and randomized into a control group and an inter- vention group with a single-blind （observer-blind） method. The control group was treated by prick- ing-bloodletting cupping at Dazhui （GV 14） and the studied group by pricking-bloodletting cupping at Dazhui （GV 14） under acupuncture anesthesia at Hegu （LI 4） and Quchi （LI 11）. Both groups were treated twice weekly for 6 weeks. The analgesic and therapeutic effects of acupuncture were evaluated on a visual analog scale （VAS） and global acne grad- ing system （GAGS）, respectively.RESULTS： There were differences in the VAS scores of pain on pricking and in the pricked area, and the duration of pain between the groups. After 12 treat- ments, there was a significant reduction in GAGS scores from baseline in both groups, but there was no significant difference between the groups. CONCLUSION： Acupuncture anesthesia at Hegu （LI 4） and Quchi （LI 11） is an effective means of alleviat- ing the pain of pricking-bloodletting cupping and reducing the duration of pain in the treatment ar- ea. Pricking-bloodletting cupping at Dazhui （GV 14） improves the skin lesions of patients with moder- ate acne vulgaris, but acupuncture anesthesia does not appear to have an additional therapeutic effect.     

Clinical Application of Movement-needling Technique： Elbow and Wrist Sprains

Elbow Strain 1. Acupoints Primary acupoints: Quchi(LI 11), Zhouliao(LI 12), Shousanli(LI 10) and Ashi point.     

Analysis of similarities and differences of the twelve Jing-Well acupoints for emergency

The twelve Jing-Well acupoints are located at the tips of the limbs, with strong stimulation andintense needling sensation, and play important roles in the treatment of various critical diseases. The twelve Jing-Well acupoints share similarities and have specificities in the treatment of critical and severe diseases. The similarities of the twelve Jing-Well acupoints are supposed to open the orifices and remove blockage, clear away heat, resolve swelling, dissolve toxin and remove blood stasis. The Jing-Well acupoints locate at the different positions also have their specific effects for emergencies. Shaoshang （LU 11） is supposed to clean and benefit the throat. Shangyang （LI 1） is supposed to clear away heat and purge Fu organs. Lidui （ST 45） is supposed to expel fire and stop fear. Yinbai （SP 1） is supposed to stop bleeding and correct collapse. Shaochong （HT 9） is supposed to clear away heat from the heart and get rid of vexation. Shaoze （SI 1） is supposed to dredge the breast collateral. Zhiyin （BL 67） is supposed to promote birth and smoothen delivery. Yongquan （KI 1） is supposed to nourish yin and suppress yang. Zhongchong （PC 9） is supposed to benefit the orifice and brighten the eyes. Guanchong （TE 1） is supposed to clean and promote the triple energizer. Zuqiaoyin （GB 44） is supposed to induce menstruation and stop pain. Dadun （LR 1） is supposed to clear away the liver fire and relieve hernia. It is advisable to identify the similarities and differences and apply different stimulating modes in order to guide the clinical practice and enhance the emergency effect.     

Exploration of Clinical Regularity in Acupuncture for Apoplexy Sequelae Based upon ‘Traditional Chinese Medical Acupuncture-moxibustion Information Databank'

In review of acupuncture literature from 1949 to 2010, in accordance with the data in ‘Traditional Chinese Medical Acupuncture-moxibustion Information Databank', the accounting analysis was used for comprehensive analysis and regularity summery of acupuncture therapy for apoplexy sequelae. The results showed that Hegu(LI 4), Zusanli(ST 36), Quchi(LI 11), Jianyu(LI 15), Sanyinjiao(SP 6), Yanglingquan(GB 34), Lianquan(CV 23), and Waiguan(TE 5) were used at the highest frequency. In the therapeutic methods, acupuncture was used at the highest frequency, followed by scalp acupuncture, and simultaneous application of acupuncture and herbal medicine.     

INFLUENCE OF DIFFERENT NEEDLE-RETAINING TIME ON THE THERAPEUTIC EFFECT OF ACUPUNCTURE IN THE TREATMENT OF ISCHEMIC STROKE

Objective: To explore the relationship between the needle-retaining time and the therapeutic effect of acupuncture in the treatment of ischemic stroke patients. Methods: Based on the level of the severity of the patient's disease and the duration of acupuncture needle-retaining, 245 ischemic stroke inpatients were divided into 20 min, 40 min and 60 min groups according to the stratified random method. Acupoints used were Jianyu (肩髃 LI 15), Quchi (曲池 LI 11), Waiguan (外关 TE 5), Hegu (合谷 LI 4), etc. and stimulated electrically (2 Hz, sparse waves, an endurable strength) for 20 min, 40 min and 60 min respectively by using an electroacupuncture therapeutic apparatus. The treatment was given once daily, with 10 sessions being a therapeutic course. The severity of clinical neurological deficit was scored before and after the treatment. Results: The results showed that acupuncture could improve the neurological deficit severity of ischemic stroke patients. The therapeutic effect of acupuncture in improving myodynamia of the upper limbs and hands, and the total score of 60 min group was the best, followed by 40 min group and 20 min group respectively, indicating that longer duration of acupuncture needle retention has a better therapeutic effect in the treatment of stroke. Conclusion: There is a positive relationship between the needle-retaining time and the curative effect in improving ischemic stroke patients' clinical symptoms and signs by acupuncture.     

Effects of electronically stimulating Tianshu(ST 25) and Dachangshu(BL 25), Quchi(LI 11) and Shangjuxu(ST 37) on the expressions of jejunum c-kit protein and c-kit m RNA in rats with functional diarrhea

OBJECTIVE: To investigate the effects of electronically stimulating Tianshu(ST 25) and Dachangshu(BL 25), Quchi(LI 11) and Shangjuxu(ST 37) on the jejunum c-kit protein and c-kit m RNA in rats with functional diarrhea(FD).METHODS: FD models were established through intragastric administration with folium sennae. Experimental rats were then divided into 4 groups:blank group, model group, electroacupuncture group Ⅰ [Tianshu(ST 25) and Dachangshu(BL 25)of both sides] and electroacupuncture group Ⅱ [Quchi(Li 11) and Shangjuxu(ST 37) ofboth sides], 10 in each. After treatment with electroacupuncture for 10 days, The expressions of jejunum c-kit protein and c-kit m RNA in each group were detected with Western blot and Real-Time quantitative real-time polymerase chain reaction(PCR).RESULTS: The expressions of c-kit protein and c-kit m RNA in the model group increased significantly compared to those in the blank group(P 0.01);the expressions in electroacupuncture group Ⅰsignificantly decreased compared to those in the model group(P 0.01).CONCLUSION: Our findings suggest that electronically stimulating both Tianshu(ST 25) and Dachangshu(BL 25) significantly increased the expressions of jejunum c-kit protein and c-kit m RNA in FD rats, which means the treatment might have better therapeutic effects on FD.     

Clinical Application of Sanjian（LI 3） Acupoint

Sanjian （LI 3） is one of the classical acupoint in the author＇s 40-year acupuncture-moxibustion practice. On the 3rd Academic Conference on Magnetism Medicine in 2000, the author reported ＂initial recognition of Sanjian （LI 3）＂, and got favorable comments. Now the clinical application of Sanjian （LI 3） was discussed again as follows.     

Nasal Airway Resistance Measured by Rhinomanometry： a Novel Tool to Measure Acupuncture Effects

Objective： Side effects of decongestants and antihistamines are frequently seen in patients with chronic nasal congestion. This leads to an increasing demand of alternative treatments like acupuncture. Future studies on acupuncture should aim at objectifying possible effects by both physical measuring and double-blind method. Methods： The author were therefore interested whether these effects can potentially be measured as decrease in NAR in ventus （wind） disease of TCM along with VAS and under the Heidelberg Acupuncture double blinding array. Patients were diagnosed according to the Heidelberg model of TCM; one group obtained treatment with specific verum acupuncture points Yingxiang （LI 20）, Hegu （LI 4） and Yintang （Ex-HN3）, while the other group obtained acupuncture at non-specific control points Baihui （GV 20）, Shaohai （HT 3）, and Xiguan （LR 7） that had no relation to the Chinese diagnosis of the patient. Results： First results show that NAR （rhinomanometry） is a routine lab parameter able to show acupuncture effects in vivo.     

APPLICATION OF SINGLE PHOTON EMMISSION COMPUTED TOMOGRAPHY TO CLINICAL STUDY ON THE THERAPEUTIC EFFECT OF ACUPUNCTURE IN TREATMENT OF CHILD CEREBRAL PARALYSIS

Subjective: To identify the practicability and clinical values of acupuncture in the treatment of child cerebral paralysis, try to provide visualized evidence and mechanisms for acupuncture treatment of this disease. Methods: 13 cerebral palsy children including 9 cases of spasmodic type, 2 cases of ataxia type and 2 cases of mixed type, 9 males and 4 females were subjected into this study. Acupoints used were Hegu (LI 4), Quchi (LI 11 ), Zusanli (ST 36) and Sanyinjiao (SP 6) that were punctured and stimulated electrically with parameters of frequency 2/15 Hz, electric current 5 mA, and duration of stimulation 30 min. Under monitoring of Siemens ECAM/ICON SPECT System, blood flow volumes of different brain regions were observed before, during and after elctroacupuncture (EA) stimulation of the above-mentioned acupoints. Results: SPECT revealed that in these 13 infantile patients, 18 regions of the brain in-cluding 12 in the frontal lobe and 6 in the temporal lobe presented insufficiency of blood perfusion and hypofunction; during EA, these cerebral regions and parietal lobe, visual cortex, thalamus, basal ganglion and cerebellum showed improvement in blood perfusion and function in different degrees. Results of the quantitative analysis on blood flow function changing rate (BFCR)% showed a significant increase in 83.3 % of the focal regions during EA. Conclusion: Acupuncture therapy can effectively improve cerebral blood perfusion of the focus and is of clinical value in treatment of infantile cerebral paralysis.     

Treatment of hand-foot itch in old people with acupuncture

手部瘙痒取患侧肩髃、曲池、手三里、合谷和中渚,足部瘙痒取足三里、三阴交、解溪、然谷、太冲和足临泣.针刺配合TDP治疗老年人手足瘙痒患者33例.痊愈26例,好转7例.     

Treatment of myotenositis of long head of biceps brachii by acupuncture plus Tuina

针刺肩髑、肩醪、肩贞、臂臑、曲池、手三里和合谷穴,并推拿患处局部,治疗32例肱二头肌长头肌腱炎患者,痊愈8例,显效10例,有效11例,无效3例,总有效率为90.6%.     

埋线治疗网球肘疗效观察

目的：对比穴位埋线及针刺对网球肘的治疗效果。方法：将80例患者随机分为埋线组和针刺组各40例，埋线组穴取手三里及压痛点，针刺组穴取曲池、手三里、压痛点等，3周后统计疗效。结果：埋线组治愈34例，针刺组治愈25例，两组治愈率经统计学处理差异有显著性意义（P＜0．05）。结论：埋线对网球肘有良好效果，治愈率优于针刺组。     

巨刺针法治疗中风偏瘫35例疗效观察

目的比较巨刺针法与常规体针法治疗中风偏瘫的临床疗效。方法将71例中风偏瘫患者随机分为治疗组35例和对照组36例,两组均取穴肩髃、臂臑、曲池、手三里、外关、阳溪、中渚、髀关、血海、足三里、阳陵泉、阴陵泉、悬钟、三阴交,治疗组对健侧和偏瘫侧肢体的上述穴位进行电针治疗;对照组仅对偏瘫侧肢体的上述穴位进行电针治疗。治疗前后分别根据Brunnstrom分期、简化Fugl-Meyer运动功能评分、Barthel指数对两组患者肢体功能恢复阶段、运动功能、日常生活活动能力进行评价。结果两组患者治疗前后上、下肢Brunnstrom分期比较差异均有统计学意义(P<0.05);治疗后组间比较差异亦有统计学意义(P<0.05)。两组患者治疗后简化Fugl-Meyer运动功能评分、Barthel指数均较治疗前明显升高,差异有统计学意义(P<0.05);两组治疗后及两组治疗前后差值比较差异亦有统计学意义(P<0.05)。结论巨刺复合针法可有效促进中风偏瘫患者瘫痪肢体的恢复进程,改善患肢运动功能,提高患者日常生活活动能力。     

近10年电针治疗神经根型颈椎病的研究进展

目的:介绍近十年来国内外电针治疗神经根型颈椎病的情况.方法:从电针、电针结合其它疗法方面对电针治疗此病的方法进行分析.结果:电针治疗此病的常用腧穴为颈夹脊穴、风池、曲池、外关等.结论:电针治疗此病的其它评价指标的有效性,尚需更多的设计严谨、方法科学的高质量随机对照试验来证实.     

Clinical Observation on Treatment of Infantile Brachia Plexus Injuries with ＂Three Therapies of Clearing the Meridians＂

目的观察采用具有通经活络作用的推拿、针刺、穴位注射三种方法综合治疗小儿臂丛神经损伤的临床效果.方法用一指禅推法、拿法、揉法等手法放松患侧颈项及上肢部,点按颈夹脊、肩井、扶突、极泉、肩髃、曲池等穴位;针刺采用毫针刺颈夹脊、天窗、扶突、极泉、曲池、外关、阳池、合谷等主穴及相应的配穴,平补平泻;穴位注射用曲力甲钴胺注射液,选取肩髃、肩髎、曲池、手三里、外关、阳池、合谷等分别注射,隔日一次.结果35例患儿中,痊愈22例,显效9例,好转4例.结论"通络三法"治疗小儿臂丛神经损伤具有临床效果好,疗程短的优点.     

火针疗法治疗中风后痉挛性偏瘫的临床疗效观察

目的:观察火针治疗中风后痉挛性偏瘫的临床疗效。方法:将80名中风后痉挛性偏瘫患者随机分为火针组和常规针刺组,每组各40例。火针组以火针点刺患侧肩髃、臂臑、曲池、手三里、外关、阳池等穴,常规针刺组常规针刺患侧肩髃、极泉、曲池、手三里、外关等穴,每日治疗1次,每2d治疗1次,共治疗30d。比较两组临床疗效及治疗前后痉挛侧上下肢肌张力、肢体运动功能。结果:治疗后,两组患者上下肢肌张力均减轻,肢体运动功能均改善,与治疗前比较,差异均有统计学意义(P0.05,P0.01);治疗后,火针组上肢肌张力低于常规针刺组,肢体运动功能优于常规针刺组(P0.05,P0.01),两组下肢肌张力及肢体运动功能之间的差异无统计学意义(P0.05);临床疗效比较,火针组总有效率为87.5%(35/40),而常规针刺组为65.0%(26/40),火针组优于常规针刺组(P0.05)。结论:火针疗法在降低中风后患者偏瘫侧肢体肌张力和改善患侧肢体运动功能方面具有较好临床疗效,尤其是改善上肢肌张力和肢体运动方面疗效优于常规针刺。     

Combined acupuncture and functional exercises for infantile cerebral palsy in 45 cases

Sishencong (Ex-HN 1), Niesanzhen, Shenting (GV 24), Benshen (GB 13), Naohu (GV 17), Naokong (GB 19), Quchi (LI 11), Hegu (LI 4), Biguan (ST 31), Zusanli (ST 36), Zuyunganqu (Foot-Motor-Sensory area), Yundongqu (Motor area), Pinghengqu (Equilibrium area), Shousanli (LI 10), Sanjian (LI 3), Huantiao (GB 30) and Yanglingquan (GB 34) were needled in combination with Vojta and Bobath methods to treat 45 children with cerebral palsy. Results showed that 12 cases got marked effectiveness, 22 cases got effectiveness and 11 cases failed. Author: MU Rong (1962-), female, junior consultant doctor Translator: XIAO Yuan-chun     

针刺"下极泉"穴对中风后手指肌力的疗效观察

目的:寻找治疗中风后手指功能恢复的最佳方法。方法:将123例手指肌力为零级的中风患者随机分为观察组63例与对照组60例。对照组针刺曲池、手三里、外关等,观察组在对照组取穴基础上加取"下极泉"穴。治疗10次后评价疗效。结果:观察组的愈显率为74.6%,对照组为40.0%。经统计学分析,观察组疗效明显优于对照组(P<0.05)。结论:"下极泉"穴对手指肌力的引出有较好的疗效。     

“调神通络”针法治疗急性脑梗塞临床研究

本文根据“各种原因导致气血逆乱于上 ,脑络痹阻或血溢于脑 ,致气滞血瘀 ,脑络瘀阻 ,神明不调 ,而致中风”之论 ,运用头体针相结合的“调神通络”针刺法治疗急性脑梗塞 ,采用神经功能缺损积分、上田氏偏瘫十二级肢体功能评定、日常生活活动的指数进行临床对比观察。结果表明治疗组疗效优于对照组。