Treatment of pseudobulbar paraly by acupuncture plus functional training

Sixty cases of pseudobulbar palsy were treated by puncturing Shuigou (GV 26), Lianquan (GV 23), Fengchi (GB 20), Wangu (GB 12), Yifeng (TE 17), Tongli (HT 5), Neiguan (PC 6) and Fenglong (ST 40) with the needling technique to refresh mind and open orifice, and by puncturing the retropharyngeal wall and palatine arch, plus training of swallowing function, the total effective rate reached 95.0%. Author: WANG Li-qun (1966-), male, attending physician Translator: HUANG Guo-qi     

Treatment of hemiplegia and joint contracture after apoplexy by acupuncture plus cupping therapy: A report of 52 cases

Objective: To study the treatment method of apoplectic joint contracture.Method: Fifty-two cases were treated with acupuncture plus cupping and thirty cases were treated with acupuncture alone as the control group.Result and conclusion: The effective rate of the former and later were 100% and 93.3% respectively, combined treatment of acupuncture and cupping was superior to acupuncture alone (P<0.05). Author: DING Bang-you (1966-), male, attending physician     

Clinical observation on 48 cases of peripheral facial paralysis treated by acupoint-penetrating acupuncture

针刺患侧阳白透鱼腰、地仓透颊车、下关透颊车、四白透颧髎、百会透太阳、印堂透山根、攒竹透晴明、合谷透劳宫，并根据症状增加穴位，治疗了48例周围性面瘫患者，痊愈39例，显效7例，无效2例，治愈率为81．2％，有效率95．8％。     

Treatment of 30 cases of apopletic language disorders by electroacupuncture

Objective: To discuss the therapeutic method of apoplectic patients with language disorders.Methods: Sixty cases of apoplexy were classified into electroacupuncture group of 30 cases and acupuncture group of 30 cases. In electroacupuncture group, acupoints Lianquan (CV 23), Tongli (HT 5) and lower 2/5 part of motor area and sensory area were selected. In acupuncture group, acupoints Lianquan (CV 23) and Tongli (HT 5) were selected.Results and conclusions: After 2 courses of treatment, the total effective rate in electroacupuncture group was 93.3% and that in acupuncture group was 76.6%. There was a significant difference in the therapeutic effect between the two groups (P<0.05). Author: KUAI Le (1974-), female, attending physician     

Observations on the efficacy of combined acupuncture and medicine in Treating 50 cases of pseudobulbar paralysis

目的：观察针药结合治疗假性延髓麻痹的疗效。方法：采用完全随机抽样法分为针刺组50例，对照组48例。针刺组在西医治疗的同时，应用针刺进行综合治疗；对照组单纯接受西医药物治疗。结果：针刺组有效率为92．0％，对照组为62．5％。两组疗效差异具有非常显著性意义（P〈0．01）。结论：针药结合治疗假性延髓麻痹效果明显优于单纯西药治疗。     

Treatment of Diabetic Retinopathy with Acupuncture plus Herbal Decoction： Clinical Observation of 40 Cases

观察针刺结合口服中药汤剂治疗糖尿病视网膜病变临床疗效.将80例患者按单双号随机分成治疗组40例,予针刺太阳、阳白透鱼腰、攒竹等穴和服用中药"明目五子汤";对照组40例子静脉滴注维脑路通及口服双密达莫、维生素E,进行对照观察.治疗组总有效率为92.5%,对照组总有效率为55.0%,疗效相比差异有显著性意义(P＜0.01).针刺结合中药汤剂有较好疗效,且优于单纯西药治疗.     

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     

Clinical observation on insomnia treated by Wei-defensive qi-regulating and brain-strengthening needling technique

In order to make a report on 90 cases of insomnia treated by the Wei-defensive qi-regulating and brain-strengthening needling technique,as a clinical subject of the multiple center,for assessing the preliminary standardized indications and operating methods and making an initial summary for writing the draft of the technique operation.MethodsBy ratio of 11,the patients in conformity with the criteria were randomly divided into the experimental group and control group.In the experimental group,45 cases were treated with the Wei-defensive qi-regulating and brain-strengthening needling technique on Baihui (GV 20),Dazhui(GV 14),Shenmai(BL 62),Zhaohai(KI 6),plus ear points.In the control group,45 cases were treated with routine acupuncture on Sishencong(Ex-HN 1),Shenmen (HT 7),Sanyinjiao(SP 6),etc.The therapeutic effects in the two groups were observed and assessed in comparison.ResultsThe results showed cure in 15 cases.remarkable effect in 27 cases,effect in 42 cases,failure in 6 cases,and the total eriective rate in 94.4% in 90 cases of insomnia.In the three centers,the statistic management was performed based upon PSQI integral and showed significant difference(P＜0.01),and no significant difference among various groups(P＞0.01).ConclusionThe therapeutic effect in the treatment of insomnia by Wei-defensive qi-regulating and brain-strengthening needling technique is better than the control group and the therapeutic effect and methods in various centers are stable.without any deviation.     

电针金津玉液穴为主治疗假性延髓麻痹临床观察

目的 观察电针金津、玉液穴为主治疗假性延髓麻痹的临床疗效.方法 将64例假性延髓麻痹患者随机分成电针组32例和针刺组32例.主穴均取金津、玉液两穴,电针组留针通电,针刺组速刺不留针.均在4个疗程后评定疗效.结果 电针组疗效优于针刺组(P＜0.05);两组治疗后各项评分均有显著下降(P＜0.05),电针组在改善吞咽困难、构音障碍、舌体运动及总分方面优于针刺组(P＜0.05).结论 电针金津、玉液为主治疗假性延髓麻痹的疗效优于普通针刺.     

针刺对中风性假性球麻痹患者血浆内皮素及一氧化氮的影响

目的:探讨针刺治疗中风性假性球麻痹的可能机理。方法:将75例中风性假性球麻痹患者随机分为针刺组、西药组、针刺加西药组。针刺选穴以脑三针、舌三针、百会、通里、三阴交为主,并配以电针。西药以脑活素静脉点滴,并口服尼莫通、阿司匹林。分别于治疗前及治疗后检测患者血浆内皮素(ET)及一氧化氮(NO)。结果:在中风性假性球麻痹患者中存在ET、NO异常增高的情况,三组患者治疗前后ET、NO的比较,经统计学处理均有非常显著性差异(P<0.01),三种疗法均可使患者血中的ET含量和NO值显著降低。治疗后三组间的比较则显示,针刺组和针刺加西药组使ET含量和NO值降低的作用均优于西药组,而以针刺加西药组的作用最为明显。结论:针刺使患者血中ET含量和NO值降低可能是其治疗中风性假性球麻痹的机理之一。     

针刺治疗脑性瘫痪儿童语言障碍临床观察

目的:观察针刺方法对脑性瘫痪儿童语言障碍的疗效,改善患儿预后.方法:将98例脑性瘫痪儿童语言障碍患儿随机分为针刺组(76例)和对照组(22例)进行临床观察,针刺组取四神针、颞三针、脑三针、智三针、舌三针、风池、哑门为主;对照组口服脑复新0.1～0.2 g,γ-氨酪酸0.25～0.5 g,每日3次;肌肉注射神经生长因子2 mL,每日1次.两组均治疗4个月.结果:针刺组总有效率86.8%,对照组总有效率59.1%,差异有极显著性意义(P<0.001);同时治疗组结果显示早期治疗效果较好.结论:针刺对脑性瘫痪儿童语言障碍有明显的改善作用.     

Clinical Observation on Effect of Clearing the Governor Vessel and Refreshing the Mind Needling on Head SPECT and CT Scanning of Kids with Cerebral Palsy

目的探讨针灸在脑瘫康复中的脑功能代偿作用.方法100例脑瘫患儿随机分为治疗组(50例)和对照组(50例),治疗组采用通督补肾组穴督脉穴13针配伍涌泉、阳陵泉、足三里、三阴交.和醒神头针(神庭透百会,百会透脑户和四神聪).配合康复训练.对照组单纯用康复训练.观察两组临床疗效以及头颅CT、SPECT病变恢复情况.结果治疗组总有效率为84%,显著高于对照组总有效率的52%.治疗后发育商(DQ)治疗显著组高于对照组(P＜0.01).头颅CT脑发育不良,脑萎缩的好转率和头颅SPECT脑神经元代谢功能恢复正常率,治疗组高于对照组(P＜0.01)结论针灸能促进脑功能的代偿作用.     

Acupuncture plus herbal medicine treated 30 cases of minor chorea

In the treatment of 30 cases of minor chorea by puncturing Baihui (GV 20), Sishencong (Ex-HN 1) and Fengchi (GB 20), in combination of oral administration of herbal medicine, the total effective rate is 96.7%. Author: ZHANG Shu-jun (1961-), female, lecturer Translator: HUANG Guo-qi     

Influence of surrounding acupuncture by cranial MRI location on blood rheology in apoplectic patients

Purpose: To study the function of surrounding acupuncture located by cranial MRI on apoplexy.Method: Forty cases of the patients diagnosed as cerebral infarction were divided into the group of surrounding acupuncture by MRI location and the group of traditional scalp acupuncture, 20 cases in each group, and were treated respectively with surrounding acupuneture by MRI location and traditional scalp acupuncture, to determine the indexes of blood rheology before and after treatments.Results: There was significant difference (P<0.01) in comparison of various indexes in blood rheology between the apoplectic patients and healthy adults of same age. In comparison before and after the treatments in the group of surrounding acupuncture by MRI location there was significant difference (P<0.01) in various indexes of blood rheology, except ESR and ESR equation K value. In comparison before and after the treatments in the group of traditional scalp acupuncture, there was significant difference (P<0.05) in various indexes of blood rheology, except ESR, sclerosis index and ESR equation K value.Conclusion: The findings indicate that blood becomes thick and flows slowly and resistance increases in blood flow in the apoplectic patients. The two kinds of the needling techniques have an improving function in various indexes of blood rheology in the apoplectic patients and surrounding acupuncture by MRI location was better than traditional scalp acupuncture in improving blood rheology. JIANG Gang-hui, associate professor, has mainly done the clinical study in treating diseases of brain and spinal cord with acupuncture. Translator: HUANG Guoqi     

Blood-activating and orifice-opening method with acupuncture and moxibustion in treating vertebroarterial cervical spondylopathy

目的：观察活血通窍刺灸法治疗椎动脉型颈椎病的，临床疗效。方法：将176例患者随机分为治疗组（89例）和对照组（87例。治疗组针刺膈俞、风池和百劳穴，同时灸百会和上星穴；对照组口服西比灵。结果：活血通窍刺灸法能提高临床综合疗效，显著提高主观指标积分，显著提高体征积分，明显改变血液动力学，其作用优于对照组，并发现治疗组远期疗效明显优于对照组。结论：活血通窍刺灸法治疗椎动脉型颈椎病疗效肯定。     

针刺治疗中风假性延髓性麻痹疗效观察

目的:寻找针刺对中风假性延髓性麻痹的临床有效治疗方法.方法:将75例符合标准的中风假性延髓性麻痹患者随机分为针刺组、西药组、针刺加西药组治疗1个月,对疗效进行观察.结果:针刺加西药组和针刺组患者的临床症状积分及洼田氏饮水试验的临床积分疗效比较均优于单纯西药治疗组的患者,其组间差异具有非常显著性意义(P<0.01).各组疗效与患者的发病年龄、病程、病情有关.结论:针刺治疗中风假性延髓性麻痹具有一定的优势,值得临床推广和应用.     

Clinical observation of nerve-near needling for occipital neuralgia

目的：观察神经傍刺治疗枕神经痛的疗效。方法：将82例枕神经痛患者随机分为两组。治疗组46例，采用神经傍刺法，取上天柱、天牖穴；对照组36例，采用一般针刺法，取天柱、风池、百会、失眠II、完骨、合谷等。治疗3～5次为1疗程。最多治疗3个疗程，观察疗效。结果：近期总有效率治疗组为93．5％，对照组为69．4％，两组比较差异有统计学意义（P〈0．01）。远期治愈率治疗组为64．1％，对照组为43．3％，两组比较差异有统计学意义（P〈0．05）。结论：神经傍刺法治疗枕神经痛疗效优干一般针刺法。     

Treatment of 30 cases of migraine by mind-regulating acupuncture

目的；探讨神庭、内关和三阴交穴在针刺治疗偏头痛中的作用。方法：在德国Aachen市门诊工作中，以神庭，双侧内关和三阴交为主穴，双侧合谷、太冲，患侧头维、阳白、攒竹、丝竹空、率谷、四白，耳穴交感、神门、心和内分泌为配穴（调神针刺法）治疗偏头痛患者30例，与常规针刺法治疗28例患者进行对照。观察两组疗效及即时止痛效果。结果：调神针刺法总有效率为90.0％，常规针刺法为75.0％，前者疗效好于后者（X^2=4．57，P〈0．05）。调神针刺法治疗24h后止痛效果远优于常规针刺法（X^2=10．11，P〈0．01）。结论：应用神庭、内关和三阴交穴治疗偏头痛可以取得较常规针刺方法更好的疗效。     

Acupuncture treatment of 81 patients with apoplectic paralysis

目的:观察针刺双侧穴位治疗中风后偏瘫的临床效果,浅析其作用机理.方法:取41例患者采用双侧取穴针刺为治疗组;设40例患者取患侧穴位针刺为对照组.结果:经3个疗程治疗,中风后偏瘫改善,治疗组明显优于对照组.结论:针刺双侧穴位可增强疗效.     

脑出血急性期头穴透刺的安全性研究

目的:通过对脑出血急性期患者头穴透刺的临床研究,以期证实脑出血急性期头穴透刺的安全性。方法:选择脑出血急性期患者60例,随机分为西药组与头穴组,每组30例。西药组行常规静脉点注甘露醇、硝普钠等降颅压、降血压治疗;头穴组在西药组治疗基础上加用头穴透刺治疗,其中意识障碍取太阳、本神、神庭透上星,头痛采用上星透印堂、风池透风池,尿便障碍采用百会透四神聪,失语采用风府透哑门穴等,面瘫采用地仓透颊车、下关,瘫痪采用百会透太阳穴等。观察治疗前后脑出血量的变化,检测血、尿、便常规,心、肝、肾功能及血压、呼吸、心率等生命指征变化情况以及对心电图的影响。结果:头颅CT显示头穴组血肿基本及显著吸收率为80.0%(24/30),优于西药组的56.7%(17/30,P<0.05);头穴组患者治疗前后血、尿、便常规及血压、呼吸、心率等生命指征均属于正常范围(均P>0.05),肝、肾功能无异常变化,且头穴组心电图异常率明显低于西药组[16.7%(5/30)vs 43.3%(13/30),P<0.05]。结论:在常规西医治疗基础上,脑出血急性期采用头穴透刺治疗是安全的。