Institution: | 1. World Federation of Acupuncture-Moxibustion Societies, China Academy of Chinese Medical Sciences, Beijing 100700, China;2. Pidu Distric Hospital of Traditional Chinese Medicine, Sichuan 611730, China;3. World Federation of Acupuncture-Moxibustion Societies, China Academy of Chinese Medical Sciences, Beijing 100700, China;4. Acumox and Tuina College, Beijing University of Chinese Medicine, Beijing 100029, China;5. Acupuncture-Moxibustion Department, Huguosi Traditional Chinese Medicine Hospital, Attached Hospital of Beijing University of Chinese Medicine, Beijing 100035, China;6. Acupuncture-Moxisbution Research Institute, China Academy of Chinese Medical Sciences, Beijing 100700, China |
Abstract: | OBJECTIVETo explore the advantages of acupuncture treatment guided by channel palpation on stroke-sequel patients.METHODSThis research was randomized, traditional acupuncture controlled trial using channel palpation acupuncture to treat stroke-sequel patients. Totally 148 patients who were randomly assigned to two experimental groups. The treatment group, i.e, the channel palpation group was treated with Dr. Wang Juyi's Channel Palpation. Patients in control group received acupuncture according to New Century Acupuncture. Every patient was needled at Renzhong (GV 26), Baihui (GV 20), Neiguan (PC 6), Jiquan (HT 1), Chize (LU 5), Weizhong (BL 40), Sanyinjiao (SP 6), Zusanli (ST 36), and each acupuncture treatment was modified according different syndrome differentiations including liver yang rising Taichong (LR 3), Taixi (KI 3)], wind-phlegm blocking collaterals Fenglong (ST 40), Hegu (LI 4)], phlegm-heat occupying in the Fu-organs Quchi (LI 11), Neiting (ST 44), Fenglong (ST 40)], Qi deficiency with blood stasis Qihai (CV 6), Xuehai (SP 10)], Yin Deficiency with wind Taixi (KI 3), Fengchi (GB 20)]; for wry mouth, add Jiache (ST 6), Dicang (ST 4); for paralyzed arms, add Jianyu (LI 15), Quchi (LI 11), Shousanli (LI 10) and Hegu (LI 4), for paralyzed legs, add Huantiao (GB 30), Yinlingquan (SP 9) and Fengshi (GB 31). The duration of each treatment was 6 weeks. Then the Fugl-Meyer score, the Stroke Specific Quality of Life scale (SS-QOL), and the National Institute of Health Stroke Scale (NIHSS) were assessed before treatments, after 6 and 12 weeks of treatments to evaluate the acupuncture effect in each group. The data were collected and analyzed after the completion of treatment by SPSS 17 using paired sample t-test.RESULTSTotally 148 participants were recruited, and 136 eligible patients were included in this study. The results showed that for FMA motor function and Fugl-Meyer balance function and NIHSS, there is no statistic difference between two groups at the baseline period, after 6-week treatment and after 12-week follow-up (P > 0.05); However, for NIHSS and SS-QOL, there is no statistic difference between two groups at the baseline period and 6 weeks after treatment (P > 0.05). However, statistical difference starts to appear after 12-week (P = 0.028, 0.037 < 0.05).CONCLUSIONWe conclude that as for improving the nerve function and the quality of life, Dr. Wang Juyi's Applied Channel Theory presents a better clinical result. |