摘要
OBJECTIVE:To explore the advantages of acupuncture treatment guided by channel palpation on stroke-sequel patients.METHODS:This 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(LI11),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.RESULTS:Totally 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).CONCLUSION:We 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.
OBJECTIVE：To explore the advantages of acupuncture treatment guided by channel palpation on stroke-sequel patients.METHODS：This 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（LI11）,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.RESULTS：Totally 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）.CONCLUSION：We 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.
基金
International Cooperation Program of Traditional Chinese Medicine of State Administration of Traditional Chinese Medicine of the People's Republic of China(No.1601500000027-4)
Independent Topics of Fundamental Researches of Institute of Acupuncture and Moxibustion of China Academy of Chinese Medical Sciences(No.ZZKF08008)
Science and Technology Project of Sichuan Province(No.15JC0246)
