Clinical study on acupuncture in treating perimenopausal insomnia

Objective： To observe the clinical efficacy of acupuncture for insomnia in perimenopausal women. Methods： According to simple randomized controlled principle, sixty female patients with perimenopausal insomnia were randomized into two groups： 30 in the treatment group were intervened by acupuncture and the other 30 in the control group were intervened by taking sleeping pills. Therapeutic efficacies were compared between the two groups at the end of treatment. Results： The total effective rate was 100.0% in the treatment group versus 83.3% in the control group, and the difference was statistically significant （P〈0.05）. Conclusion： Acupuncture has better therapeutic efficacy than taking sleeping pills in treating perimenopausal insomnia.     

Clinical study on acupoint injection plus acupuncture for insomnia due to heart-kidney disharmony

Objective： To observe the clinical efficacy of acupoint injection at Neiguan （PC 6） plus acupuncture in treating insomnia due to heart-kidney disharmony. Methods： A hundred patients with insomnia due to heart-kidney disharmony were randomized into an observation group and a control group. Fifty-three cases in the observation group were intervened by acupoint injection at Neiguan （PC 6） plus acupuncture; while 54 cases in the control group were intervened by acupuncture alone. The Pittsburgh sleep quality index （PSQI） was evaluated before and after intervention, and the therapeutic efficacies of the two groups were compared. Results： Acupoint injection at Neiguan （PC 6） plus acupuncture produced significantly higher efficacies in improving sleep quality, shortening sleep latency, and enhancing sleep efficiency than acupuncture alone （P〈0.05）. Conclusion： The two groups both can improve the condition of insomnia; acupoint injection at Neiguan （PC 6） has significant advantages, manifested by a higher therapeutic efficacy for insomnia due to heart-kidney disharmony, higher safety evaluation, efficiency, and less adverse events, thus proper for clinical application.     

Clinical study on electroacupuncture plus interferential current therapy for chronic fatigue syndrome

Objective： To observe the clinical efficacy of electroacupuncture plus interferential current therapy （ICT） in treating chronic fatigue syndrome （CFS）, and to explore the mechanism. Methods： Sixty eligible CFS patients were randomized into a treatment group and a control group, 30 in each group. The treatment group was intervened by electroacupuncture plus ICT, while the control group was by electroacupuncture alone. The therapeutic efficacies were evaluated after 2 treatment courses and compared between the two groups. Results： The recovery rate and total effective rate were respectively 43.3% and 93.3% in the treatment group, versus 20.0% and 80.0% in the control group. There were significant differences in comparing the recovery rate and total effective rate between the two groups （P〈0.05）, showing that the recovery rate and total effective rate in the treatment group were higher than those in the control group. Conclusion： Electroacupuncture plus ICT can produce a remarkable efficacy in treating CFS.     

Therapeutic evaluation on needling method of regulating the conception vessel and calming the mind for perimenopausal sleep disorder

Objective： To observe the clinical efficacy of needling method of regulating the Conception Vessel and calming the mind in treating sleep disorder in perimenopausal women, and to provide clinical evidence for future treatment of the disease, Methods： Sixty eligible subjects with perimenopausal sleep disorder were enrolled and randomized into an observation group and a control group, 30 cases in each group. The observation group was intervened by needling method of regulating the Conception Vessel and calming the mind, and the control group was treated by taking Yi Kun Yin orally. Two-week treatment was considered as a treatment course. Major symptoms of traditional Chinese medicine and Pittsburgh Sleep Quality Index （PSQI） were observed, and clinical efficacies were compared. Results： After treatment, the difference in total effective rate between the two groups was statistically significant （P〈0.05）; except for flaccidity of lumbar and knees, both groups achieved significant improvements in the other 5 symptoms of traditional Chinese medicine （P〈0.05 or P〈0.01）; PSQI global score and component scores dropped in both groups, and the improvements in the observation group were markedly superior to that in the control group （P〈0.05 or P〈0.01）. Conclusion： The needling method of regulating the Conception Vessel and calming the mind is better than Yi Kun Yin in improving traditional Chinese medicine symptoms and sleep quality in patients with perimenopausal sleep disorders.     

Clinical study on acupoint injection for primary osteoporosis

Objective:To observe the therapeutic efficacy of acupoint injection in treating primary osteoporosis. Methods:A hundred and fourteen eligible subjects were randomized at 2:1 into two groups. Seventy-six subjects in the observation group were intervened by acupoint injection, and 38 subjects in the control group were intervened by oral medication. Symptom and signs scores were observed before and after treatment. A two-year follow-up study was conducted to compare the long-term therapeutic efficacy between the two groups. Results:The recovery and markedly effective rate was 68.4% in the observation group versus 47.4% in the control group, and the difference was statistically significant (P<0.05). During the 2-year follow up study, 5 subjects in the observation group and 8 in the control group had new fracture, occupying 6.6% and 21.1% respectively, and the difference was statistically significant (P<0.05). Conclusion:In treating primary osteoporosis, acupoint injection has better short and long term therapeutic efficacies compared to oral medication, and it’s convenient with high security evaluation.     

Therapeutic observation on heat-sensitive moxibustion plus acupoint injection for ankylosing spondylitis

Objective: To observe the clinical efficacy of heat-sensitive moxibustion plus acupoint injection in treating ankylosing spondylitis (AS). Methods: Totally 116 subjects with AS were randomized into a treatment group and a control group, 58 each. The treatment group was intervened by heat-sensitive moxibustion plus acupoint injection, and the control was by oral medication. Therapeutic efficacy was evaluated after 3 treatment courses. Results: The markedly effective rate was 38.9% and the total effective rate was 96.6% in the treatment group versus 11.9% and 67.8% in the control group. The markedly effective rate and total effective rate in the treatment group were significantly higher than those in the control group (P<0.05). Conclusion: Heat-sensitive moxibustion combining with acupoint injection has better therapeutic efficacy than oral medication in treating AS, and it’s easy-to-operate without adverse reactions.     

Clinical observation on electroacupuncture for post-stroke flaccid paralysis

Objective:To observe the clinical efficacy of electroacupuncture (EA) in treating post-stroke flaccid paralysis. Methods:Forty patients with post-stroke flaccid paralysis were randomized by the random number table into a treatment group and a control group, 20 cases in each. The treatment group was intervened by acupuncture at Jiquan (HT 1), Tianquan (PC 2), Ququan (LR 8), Yinlingquan (SP 9), and Yongquan (KI 1), and the control group was treated by acupuncture with conventional acupoint selection. Barthel index (BI) was adopted for evaluating the activities of daily living (ADL), and therapeutic efficacy was analyzed. Results:The two groups both had marked increases of BI score after treatment. Compared to the control group after 1 treatment course and 2 treatment courses respectively, the treatment group had significant differences in BI score (P<0.01). The total effective rate was 100.0% in the treatment group versus 90.0% in the control group, and the difference was statistically significant (P<0.01). Conclusion:EA at Jiquan (HT 1), Tianquan (PC 2), Ququan (LR 8), Yinlingquan (SP 9), Yongquan (KI 1) is an effective approach in treating post-stroke flaccid paralysis.     

Therapeutic observation of warm needling plus tuina for senile functional constipation

Objective： To observe the clinical efficacy of warm needling plus tuina in treating senile functional constipation. Methods： Ninety elderly patients with functional constipation were randomized into two groups. Forty-six patients in the treatment group were intervened by warm needling plus tuina; the other forty-four patients in the control group were intervened by San Huang tablet. Results： In the treatment group, 19 patients were cured, 24 cases showed improvement, 3 cases failed, and the total effective rate was 93.5%; in the control group, 16 patients were cured, 18 cases showed improvement, 10 cases failed, and the total effective rate was 77.3%. There was a significant difference in comparing the therapeutic efficacy（P〈0.05）, and the therapeutic efficacy of the treatment group was higher than that of the control group. Conclusion： Warm needling plus tuina can produce a higher therapeutic efficacy than taking San Huang tablet in treating senile functional constipation.     

Electroacupuncture in treating depression: A randomized controlled study

Objective: To observe the clinical efficacy of electroacupuncture in treating depression. Methods: By a randomized controlled study method, sixty patients with depression were randomized into an electroacupuncture group and a medication group, 30 in each. The electroacupuncture group was treated with electroacupuncture, and the medication group was orally administrated Paroxetine tablets. They were evaluated by using Hamilton Depression Scale (HAMD) before and after treatments and the safety was also assessed. Results: The total effective rate was 83.3% in the electroacupuncture group versus 60.0% in the medication group, and the difference was statistically significant (P<0.05). The electroacupuncture group was superior to the medication group in comparing the improvement of HAMD scores after treatment (P<0.05). Conclusion: Electroacupuncture is an effective approach in treating depression.     

穴位按摩配合艾灸治疗顽固性失眠疗效观察

目的：观察穴位按摩配合艾灸治疗顽固性失眠的临床疗效。方法：将60例顽固性失眠患者随机分为两组,每组30例。治疗组予头面部穴位按摩及艾灸涌泉穴治疗,对照组予与治疗组相同的头面部穴位按摩治疗。两组均每日治疗1次,治疗4星期后进行疗效观察。结果：治疗组总有效率为93.3%,对照组总有效率为80.0%,两组总有效率差异有统计学意义(P＜0.05)。结论：穴位按摩配合艾灸治疗顽固性失眠优于单纯穴位按摩治疗。     

Therapeutic efficacy observation on combined taijiquan and auricular point sticking for perimenopausal insomnia

Objective： To observe the clinical effect of combined taijiquan exercise and auricular point sticking for perimenopausal insomnia. Methods： A total of 170 cases who met the inclusion criteria were randomized into two groups, 85 in each group. Patients in the observation group practiced simplified taijiquan besides receiving auricular point sticking, while patients in the control group only received auricular point sticking. The therapeutic efficacies were evaluated after 8 weeks. Results： The total effective rate in the observation group was 96.5%, versus 67.1% in the control group, showing a statistically significant difference （P〈0.01）. Conclusion： Combined simplified taijiquan and auricular point sticking works accurately for perimenopausal insomnia, and the total effective rate is better than that of auricular point sticking alone.     

Clinical study on electroacupuncture for cervical intervertebral disc herniation

Objective： To compare the therapeutic efficacies between electroacupuncture （EA） and medication for cervical intervertebral disc herniation （ClDH）. Methods： Totally 420 patients with CIDH were randomized into two groups by random number table. 210 patients in the EA group were intervened by EA at Dazhui （GV 14）, Dazhu （BL 11） and Houxi （SI 3）, 210 patients in the medication group were treated by oral administration of Meloxicam tablets. Results： The average ranks of both short and long term efficacies in the EA group were significantly lower than that in the medication group （both P〈0.01）; there were significant differences in comparing the total effective rates of both short and long terms between the two groups （both P〈0.01）. It shows that EA group has better therapeutic efficacy than the medication group. Conclusion： EA is better than medication in comparing both short-term and long-term therapeutic efficacies in treating CIDH.     

Acupuncture plus Chinese medicinal fumigation and washing for edema of the stroke-affected limb

Objective： To evaluate the therapeutic efficacy of acupuncture plus Chinese medicinal fumigation and washing in treating edema of the affected limb in post-stroke hemiplegia. Methods： Two hundred patients with edema of the stroke-affected limb from our hospital were randomized into two groups according to their visiting sequence. In the observation group, 100 subjects were intervened by acupuncture plus Chinese medicinal fumigation and washing in addition to oral administration of diuretics, while the other 100 subjects in the control group were only given diuretics. The therapeutic efficacy was evaluated after successive 2-week treatments. Results： The total effective rate was 90.0% in the observation group, significantly higher than 66.0% in the control group, indicating that there was a significant difference in comparing the overall therapeutic effect（P〈0.01）. Conclusion： Acupuncture plus Chinese medicinal fumigation and washing in addition to oral administration of diuretics is effective in treating edema of the affected limb in post-stroke hemiplegia.     

Clinical study on acupuncture plus medication for chronic atrophic gastritis due to spleen-stomach deficiency

Objective： To observe the clinical efficacy of combining acupuncture and medication in treating chronic atrophic gastritis （CAG） due to spleen-stomach deficiency.
Methods： Totally 176 patients with CAG were randomized into two groups by the random number table. The 91 subjects in the treatment group were intervened by acupuncture and oral Chinese patent medication; the other 85 subjects were by oral Chinese patent medication alone. The clinical efficacies were compared at the end of intervention.
Results： After a treatment course, the total effective rate was 87.9% in the treatment group versus 75.3% in the control group; according to the gastroscopy and pathological biopsy examinations, the total effective rate was 85.7% in the treatment group versus 74.1% in the control group. There were significant differences in comparing the clinical efficacy, gastroscopy and pathological examinations between the two groups （P〈0.05）.
Conclusion： Combining acupuncture and medication can produce a better therapeutic efficacy than medication alone in treating CAG due to spleen-stomach deficiency.     

Therapeutic Efficacy Observation on Combining Foot Bath and Massage with Auricular Point Sticking for Community Senile Insomnia简

Objective： To observe the therapeutic efficacy of combining foot bath and massage with auricular point sticking for community senile insomnia. Methods： A total of 210 cases treated in our community health center were randomized into an observation group and a control group by their visit sequence numbers, 105 cases in each group. Cases in the observation group were treated with foot bath and massage plus auricular point sticking, whereas cases in the control group were treated with auricular point sticking alone. After four courses of treatment, the therapeutic efficacies were evaluated. In addition, the sleep quality was also assessed using the Pittsburgh sleep quality index（PSQI）. Results： The total effective rate in the observation group was 95.2%, versus 68.6% in the control group, showing a statistical significance（P〈0.05）. Conclusion： Combining foot bath and massage with auricular point sticking could obtain better effect for community senile insomnia than auricular point sticking alone.     

Clinical observation on Dong’s extraordinary points for tinnitus due to cervical spondylosis

Objective： To observe the clinical efficacy of Dong＇s extraordinary points in treating tinnitus due to cervical spondylosis. Methods： Totally 140 eligible subjects diagnosed with tinnitus due to cervical spondylosis were randomized into two groups, seventy in the treatment group were intervened by acupuncture at Dong＇s extraordinary points; seventy in the control group were intervened by acupuncture at cervical Jiaji （EX-B 2） and distal points on limbs. Therapeutic efficacy was observed after a treatment course. Results： The total effective rate was 95.7% in the treatment group versus 85.7% in the control group, and the difference was statistically significant （P〈0.05）. Conclusion： Compared to traditional point selection, acupuncture at Dong＇s extraordinary points has advantages of fewer points, less pain, faster effect, and better therapeutic efficacy.     

Therapeutic observation on acupuncture plus auricular point sticking for melasma

Objective： To observe the clinical efficacy and safety of acupuncture plus auricular point sticking in treating melasma. Methods： Forty-three eligible subjects with melasma were intervened by acupuncture plus auricular point sticking, 10 times as a treatment course, with an interval of 3-5 d between each two courses. The therapeutic efficacy was analyzed after 1, 2 and 3 treatment courses respectively. Results： With the increase of treatment course, the markedly effective rate and total effective rate were also increasing. Of the 43 subjects after 3 treatment courses, the epidermal type had the highest markedly effective rate and total effective rate, then it＇s the subtype IV of the mixed type and dermal type, and the subtype III of the mixed type had the lowest markedly effective rate and total effective rate. Conclusion： Acupuncture plus auricular point sticking is effective and safe in treating melasma, but different types have different therapeutic efficacies.     

Clinical observation on acupuncture for perimenopausal syndrome

Objective： To observe the clinical efficacy of acupuncture for perimenopausal syndrome. Methods： A total of 40 perimenopausal syndrome cases who met the inclusion criteria were randomized into an observation group and a control group, 20 in each group. Acupuncture combining with ginger-partitioned moxibustion was used in the observation group, whereas acupuncture was used in the control group. Modified Kupperman Index （KI） was evaluated respectively before and after treatment. In addition, the clinical efficacies in the two groups were compared. Results： The total effective rate in the observation group was higher than that in the control group （P〈0.05）. After treatment, KI in both groups were significantly reduced （P〈0.01） and there was a statistical difference between the two groups （P〈0.01）. Conclusion： Acupuncture combining with ginger-partitioned moxibustion could obtain a higher total effective rate for perimenopausal syndrome than acupuncture alone. Furthermore, it was also superior to acupuncture alone in improving hot flushes, insomnia, melancholia and arthralgia or myalgia.     

Acupuncture plus bloodletting therapy for insomnia in blood stasis constitution: a clinical study

Objective

To observe the clinical efficacy of acupuncture plus bloodletting therapy in treating insomnia in people with blood stasis constitution.

Methods

Seventy-two patients were randomized into a treatment group and a control group by using the random number table, 36 cases each. The treatment group received acupuncture plus bloodletting therapy, while the control group was intervened by oral administration of estazolam. One-week treatment was taken as a course, for 3 successive courses in total. A follow-up study was conducted 3 months later. The Pittsburgh sleep quality index (PSQI) was evaluated before and after the intervention, as well as in the follow-up. The clinical efficacies were also compared.

Results

The total effective rate was 88.9% in the treatment group versus 83.3% in the control group, and the between-group difference was statistically significant (P<0.05). After the intervention, the PSQI scores dropped significantly in both groups (both P<0.05); the between-group difference in PSQI score was statistically significant (P<0.05). The follow-up study showed that the between-group difference in the global score of PSQI was statistically significant (P<0.05).

Conclusion

Acupuncture plus bloodletting therapy can produce a more significant efficacy than oral administration of estazolam in treating insomnia in people with blood stasis constitution.

     

Clinical observation of acupuncture plus patent Chinese medicine for post-stroke constipation

Objective： To observe the clinical efficacy of acupuncture plus patent Chinese medicine in treating post-stroke constipation. Methods： Sixty eligible patients with post-stroke constipation were randomized into a treatment group and a control group, 30 in each group. The treatment group was intervened by acupuncture plus Ma Zi Ren pill, while the control group was by Ma Zi Ren pill alone. The symptoms of constipation were observed before and after intervention. Results： After 2-week treatment, the constipation condition was improved in both groups, and the improvement in the treatment group was statistically more significant than that in the control group（P〈0.05）; respectively two weeks and a month after the intervention, the treatment group was superior to the control group in comparing the constipation score（P〈0.05）. However, acupuncture didn＇t show marked effect in improving defecation speed, initial defecation time, and spontaneous discharge frequency. The treatment group had a significantly higher short-term markedly-effective rate compared with the control group（P〈0.05）; the long-term therapeutic efficacy of the treatment group was significantly higher than that of the control group（P〈0.05）. The adverse events happened in the treatment group were significantly less than those in the control group（P〈0.05）. Conclusion： Acupuncture at specific acupoints plus patent Chinese medicine can produce a content therapeutic efficacy.