World Federation of Acupuncture-Moxibustion Societies(WFAS)Clinical Practice Guideline on Acupuncture and Moxibustion:Migraine recommendation summaries

Clinical Practice Guideline on Acupuncture and Moxibustion:Migraine(WFAS 007.9-2023)is a clinical practice guideline officially released by the World Federation of Acupuncture-Moxibustion Societies(WFAS)on October 9,2023,and is the first international guideline on the treatment of migraine with acupuncture.This international standard was developed under the guidance of rigorous evidence-based methodology,and it contains guideline purpose,scope,applicable population,applicable settings,overview of acupuncture for migraine,guideline development process and recommendations.For promoting the understanding and application of this guideline,this article summarizes a total of 18 recommendations in order to assist clinical decisions for migraine with acupuncture.

Acupuncture-moxibustion therapy of "banking up original qi and consolidating the foundation" for prevention and treatment of seasonal allergic rhinitis:A randomized controlled trial

Objective： To observe the clinical efficacy of acupuncture-moxibustion therapy of ＂banking up original qi and consolidating the foundation＂ for prevention and treatment of seasonal allergic rhinitis.Methods： Sixty included patients were divided into two groups according to the random number table method with 30 patients in each group. In acupuncture group, warming-needle moxibustion was carried out at Zúsānlǐ（足三里ST 36）, and cone moxibustion on Fùzǐ（附子Radix Aconiti Lateralis Praeparata） cake was conducted at Guānyuán（关元CV 4）, Qìhǎi（气海CV 6） and Dàzhuī（大椎GV 14）. The treatment was conducted in May or June（2 months before the onset of rhinitis in this area）. The treatment was carried out for once every other day and three times per week. Treatment for 24 times was considered as 1 course of treatment. No intervention treatment was conducted in control group. The score of rhinitis symptom, the visual analogue scale（VAS） score changes of total nasal symptom score（TNSS） and total non-nasal symptom score（TNNSS） of patients in 2015 and in 2016 were observed, and the clinical efficacy of the two groups was compared.Results：（1） The score of rhinitis symptom, the VAS score changes of TNSS and TNNSS in acupuncture group in 2016 declined when compared with the results in 2015, which were 4.57 ±0.82 vs 9.40 ± 1.89,13.37 ± 4.01 vs 30.80 ±4.77 and 15.93 ±6.30 vs 46.13 ± 9.79（P〈 0.001）, the results in acupuncture group after treatment were lower than that in control group at same time, which were 4.57 ±0.82 vs 7.53 ±2.06,13.37±4.01 vs 27.17±6.84,15.93±6.30 vs 35.53±11.69（all P〈0.001）. According to comparison, there was no obvious difference in the results in control group at the two time points, which were 8.60 ±2.39 vs7.53 ± 2.06, 29.63 ± 6.30 vs 27.17 ± 6.84 and 40.90 ±12.31 vs 35.53± 11.69（all P〉 0.05）.（2） The total effective rate was 96.7%（29/30） in acupuncture group and 10%（3/30） in control group, and the difference was statistically significant（P〈 0.001）.Conclusion： Acupuncture-moxibustion therapy of ＂banking up original qi and consolidating the foundation＂ was effective on prevention and treatment of seasonal allergic rhinitis.

Rules of acupoint and meridian selection in acupuncture-moxibustion for stable angina pectoris

To summarize and analyze the acupoint selection rules in acupuncture-moxibustion for stable angina pectoris. Clinical studies and literature on acupuncture-moxibustion for stable angina pectoris with definite acupoint selection were included through retrieving China National Knowledge Infrastructure（CNKI）,Wanfang Database and VIP in order to analyze the characteristics and rules of acupoint selection in acupuncture-moxibustion treatment for stable angina pectoris. It has been found that the acupoint selection of acupuncture-moxibustion prescriptions for stable angina pectoris focused on specific acupoints.The top 5 acupoints with the highest using frequency included Neiguan（内关PC 6）,Danzhdng（膻中CV17）,Xinshu（心俞BL 15）,Ziusanli（足三里ST 36） and Sanyinjiao（三阴交SP 6）. Acupuncture-moxibustion treatment of stable angina pectoris involved 12 meridians, mainly including the hand-jueyin pericardium meridian, the foot-taiyang bladder meridian, conception vessel, the foot-yangming stomach meridian, the foot-taiyin spleen meridian, and the hand-shaoyin heart meridian, etc., embodying the characteristics and rules of acupoint selection such as ＂highlighting the special treatment effect of acupoints＂ ＂selecting acupoints along the pericardium meridian, bladder meridian and conception vessel, combining the anterior and the posterior acupoints＂, ＂selecting the distal acupoints of spleen and stomach meridians, and focusing on specific acupoints＂, etc.

Research progress on acupuncture-moxibustion in treatment of refractory infertility

Refractory infertility is a relatively intractable issue regarding its treatment at present.In recent years,acupuncture-moxibustion therapy participate increasingly in treatment of refractory infertility and has achieved a certain therapeutic effect.It is discovered that acupuncture-moxibustion effectively improves ovarian function,promotes ovulation and improves ovum quality and endomentrial receptivity.Hence,this therapy has been widely applied to the treatment of infertility induced by primary ovarian insufficiency(POI),polycystic ovarian syndrome(PCOS),endometriosis(EM),intrauterine adhesion(IUA),etc..In the paper,the research status of this disease treated with acupuncture-moxibustion is reviewed.It is anticipated to determine the direction and lay the foundation for further research.

Treatment of Herpes Zoster with Electroacupuncture plus Collateral-pricking and Cupping Therapy

Objective： To observe the clinical effect of electroacupuncture （EA） plus collateral-pricking and cupping therapy for herpes zoster. Methods： Fifty-three cases with herpes zoster were randomly divided into two groups. Thirty-one cases in the treatment group were treated with EA at Jiaji （EX-B 2） points plus local collateral-pricking and cupping therapy. Twenty-two cases in the control group were treated with oral administration of VaLacido~;ir Hvdrochloride and Indomethaci~. Results： The curative and remarkable effective rate was 93.5% in the treatment group and 72.7% in the control group. The difference between the two groups was statistically significant （P〈0.01）, indicating that EA plus collateral-pricking and cupping therapy is better than Western medications in the clinical effects for herpes zoster. Conclusion： The EA plus collateral-pricking and cupping method is an effective therapy for herpes zoster.

Effect of Shaolin internal qigong exercise on the surface electromyography signals of shoulder muscle groups in patients with capsulitis of the shoulder

Objective:To unveil the efficacy of Shaolin internal qigong exercise in treating capsulitis of the shoulder(CS)and explore objective outcome measures by observing the changes in the surface electromyography(sEMG)signals of shoulder muscle groups after regular practice of Shaolin internal qigong exercise in CS patients.Methods:Sixty CS patients were randomized into two groups by the random number table method,with 30 cases in each group.Patients in the qigong group practiced Shaolin internal qigong exercise on a regular basis,while patients in the electroacupuncture(EA)group received EA treatment.Before and after treatment,the sEMG signals of six muscles,i.e.biceps brachii,triceps brachii,deltoid,pectoralis major,latissimus dorsi and trapezius muscles,of the affected side were recorded at 45°abduction of the shoulder,60°forward flexion and 90°internal rotation with the elbow flexed during maximal isometric contraction,and the integrated electromyography(iEMG)of each muscle was calculated.Results:The total effective rate was 93.3%in the qigong group,higher than 83.3%in the EA group(P<0.05).Intra-group comparison showed that the iEMG of biceps brachii,triceps brachii,pectoralis major and deltoid muscles in the qigong group increased significantly after intervention at 45°abduction of the shoulder,60°forward flexion and 90°internal rotation with the elbow flexed(all P<0.05),and the iEMG of trapezius and latissimus dorsi muscles decreased(both P<0.05);in the EA group,the iEMG of biceps brachii,pectoralis major and deltoid muscles increased significantly during contraction(all P<0.05),while the iEMG of triceps brachii,trapezius and latissimus dorsi muscles had no significant changes(all P>0.05).After intervention,there were significant differences in the iEMG of most of muscles between the two groups(all P<0.05),except for the iEMG of deltoid muscle at 45°of abduction of the shoulder joint during isometric contraction(P>0.05).Conclusion:Shaolin internal qigong exercise can effectively increase the motion intensity of the biceps brachii,triceps brachii,pectoralis major and deltoid muscles and reduce the compensation of the latissimus dorsi and trapezius muscles in CS patients;compared with EA,it produces a better result in improving the coordination and stability in shoulder joint movements.

Effect of modified Qing Long Bai Wei needling on the levels of IL-1β, IL-6 and INF-α in synovial fluid of knee osteoarthritis patients

Objective:To compare the modified Qjng Long Bai Wei needling method and ordinary acupuncture method in the effects of improving the levels of interleukin (IL)-1β,IL-6 and tumor necrosis factor (TNF)-α in the treatment of knee osteoarthritis (KOA),and to determine the advantage of the modified Qing Long Bai Wei needling method for KOA.Methods:One hundred KOA patients were randomized into a treatment group and a control group by using the random number table,with 50 cases in each group.The treatment group was intervened by the modified Qing Long Bai Wei needling method,and the control group was given ordinary acupuncture.The two groups were observed before and after the treatment to determine the changes in the levels of IL-1β,IL-6 and TNF-α in synovial fluid,and the clinical efficacies were compared between the two groups.Results:The total effective rate and clinical recovery rate were 97.9％ and 52.1％ respectively in the treatment group,versus 85.1％ and 25.5％ in the control group,and the between-group differences were statistically significant (both P＜0.01).After the treatment,the levels of Ib1β,IL-6 and TNF-cα in synovial fluid changed significantly in both groups (all P＜0.01);there were significant differences in the levels of IL-1β,IL-6 and TNF-α in synovial fluid between the two groups (all P＜0.01).Conclusion:The modified Qjng Long Bai Wei needling is an effective method for KOA and it can significantly improve the levels of IL-1β,IL-6 and TNF-α in synovial fluid.

Clinical Observation on Treatment of Insomnia with Puncturing Back-Shu Acupoints

Objective： To evaluate the clinical efficacy of puncturing Back-Shu acupoints for insomnia. Methods： Sixty patients were randomly divided into two groups, 30 cases in each. Back-Shu acupoints acupuncture was employed in the treatment group, whereas conventional acupoints acupuncture was administered in the control group. And the efficacy was assessed by the efficiency rate of relief of sleep disorders and the global Pittsburgh Sleep Quality Index （PSOJ） score. Results： The total effective rate was 93.3% in the treatment group, versus 80.0% in the control group, showing that the two groups were significantly different （P〈0.01）. After treatment, the global PSO, I scores in the two groups decreased compared with those before treatment （P〈0.01）, and the global PSO, I scores of the two groups after treatment were also statistically different （P〈0.05）. Conclusion： Puncturing Back-Shu acupoints can effectively reduce the global PSQI score, improve the patient＇s quality of life, has a good effect on insomnia.

Clinical Observations on Electroacupuncture Treatment of Unstable Bladder

Objective： To assess the clinical efficacy of electroacupuncture for treatment of unstable bladder. Methods： Patients were randomly divided into electroacupuncture and control groups and the curative effects were evaluated according to improvement in clinical symptom and quality of life scores after treatment. Results： The observation indices were significantly lower after than before treatment in both groups （P〈0.05）. There was no significant difference in clinical symptom score between the two groups （P〉0.05）. Quality of life score was significantly decreased in the electroacupuncture group as compared with that in the manipulation group （P〈0.05）. Conclusion： Both treatments improve voiding difficulty. The degree of satisfaction to quality of life is larger in the electroacupuncture group than in the manipulation group. Clinical symptom score tends to be lower in the electroacupuncture group than in the manipulation group.

Clinical observation of abdominal acupuncture for subhealth insomnia

Objective： To assess the clinical efficacy of abdominal acupuncture for subhealth insomnia. Methods： Eighty-two cases of subhealth insomnia were randomly divided into an observation group （41 cases） and a control group （41 cases）. The control group was treated with conventional acupuncture. The observation group was treated with Bo＇s abdominal acupuncture on the basis of conventional acupuncture. Six treatments constituted one treatment course. The measuring scale of traditional Chinese medicine syndrome for subhealth state （MSSSHS） and Pittsburgh sleep quality index （PSQI） scores were compared between the two groups after two courses, to estimate the efficacy of abdominal acupuncture for subhealth insomnia. Results： One case dropped out from the observation group, while 2 cases dropped out from the control group. The MSSSHS score and PSQI score both declined after the treatment in the two groups （all P〈0.05）. The MSSSHS and PSQI scores in the observation group were significantly lower than those in the control group （both P〈0.05）. Conclusion： The abdominal acupuncture is effective for subhealth insomnia, and it can enhance the effect of conventional acupuncture.

Analysis of the prescription of auricular acupoint therapy for simple obesity based on complex network techniques

Objective： To explore the core acupoints and combination rules of auricular acupoint therapy for simple obesity, and to further analyze the characteristics of the prescription of auricular acupoint therapy for simple obesity.Methods： Relevant clinical study literature in recent 30 years in PubMed, China Biology Medicine disc（CBM）, China National Knowledge Infrastructure（CNKI）, Wan Fang Database. VIP Database and TCM Online Database was retrieved, and eligible articles were selected in order to build a prescription database of auricular acupoint therapy for simple obesity. On the basis of complex network techniques, the core acupoints and combination rules of auricular acupoint therapy for simple obesity were analyzed, and the characteristics of auricular acupoint therapy for simple obesity were analyzed comprehensively.Results： There were 46 network nodes of auricular acupoint. The top 16 core acupoints for auricular acupoint therapy for simple obesity included Nèifēnmì（内分泌CO18）, Pí（脾CO13）, Wèi（胃CO4）, Sānjiāo（三焦CO17）, Jīdiǎn（饥点）.Shénmén（神门TF4）. Dàcháng（大肠CO7）. Pízhìxià（皮质下AT4）. Fèi（肺CO14）. Shèn（肾CO10）. Jiāogǎn（交感AH6 a）, Kǒu（口CO1）,Gān（肝CO12）. Xiǎocháng（小肠CO6） and Nǎo（脑）. The combination of auricular acupoints was mainly based on the main indications of acupoints. The analysis of auricular acupoints combination indicated that the combination of CO4 with CO18 was applied most frequently, which was followed by the combinations of CO13 with CO18 and CO13 with C04. According to the analysis of auricular acupoint stimulation methods, ear point taping and pressing with Wángbùliúxíng（王不留行,Semen Vaccariae） seeds was used frequently, which was followed by magnetic beads taping and pressing and pyonex therapy. Auricular acupoint therapy combined with acupuncture for simple obesity was used most commonly, which was followed by auricular acupoint therapy combined with catgut embedment in acupoint and simple auricular acupoint therapy.Conclusion： In this study, the core acupoints and combinations of auricular acupoint therapy for simple obesity were explored effectively, and the pressing materials and major combined intervention methods were summarized and analyzed, thus providing references and treatment thoughts in terms of the point and prescription selection of auricular acupoint therapy for simple obesity.

Influence of moxibustion temperatures on blood lipids, endothelin-1, and nitric oxide in hyperlipidemia patients

OBJECTIVE： To observe the influence of moxibustion temperature on blood lipids, endothelin-1（ET-1）, nitric oxide（NO）, and ET-1/NO in hyperlipidemia patients. METHODS： Forty-two primary hyperlipidemia patients were randomly divided into two groups of 21 and treated with moxibustion at different temperatures. Moxibustion was performed with the moxa roll 2.5-3.0 cm from the skin in the treatment group and 4 cm in the control group, 10 min per point, once every other day. Skin temperature was precisely measured with a thermometer during moxibustion. After a 12-week treatment, seven measurements of blood lipids, ET-1, and NO were recorded. RESULTS： Total cholesterol and triglyceride, were lower in the treatment group than in the control group（P0.05）. Serum ET-1 and ET-1/NO was obvi-ously lowered in the treatment group（P0.001）. Moxibustion regulated NO and ET-1/NO in the treatment group much better than in the control group. CONCLUSION： Moxibustion can regulate blood lipids and clear blood vessels. Moxibustion at 45℃has a better effect than moxibustion at 38℃ on regulating blood lipids and protecting vascular endothelial function, indicating that suitable temperature influences the curative effect of moxibustion.

Clinical observation on wheat grain-sized cone moxibustion combined with fire needle for dorsal wrist ganglion

Objective：To observe the clinical effect of wheat grain-sized cone moxibustion combined with fire needle therapy in the treatment of dorsal wrist ganglion （DWG）. Methods：A total of 63 patients with DWG were randomized into a treatment group （n=32） and a control group （n=31）. Cases in the control group were treated with fire needle therapy. Based on the therapy given to the control group, cases in the treatment group were additionally given wheat grain-sized cone moxibustion therapy. Then the therapeutic efficacies and recurrence rate were evaluated. Results：After treatment, the overall effective rate was 93.8% in the treatment group, versus 77.4% in the control group, and the between-group comparison showed a statistical significance （P〈0.05）; 6 months after the treatment, the recurrence rate in the treatment group was obviously lower than that in the control group （P〈0.05）. Conclusion：The long-term and short-term effects of wheat grain-sized cone moxibustion combined with fire needle therapy in the treatment of DWG are better than those of fire needle therapy alone, and therefore, worth popularizing.

Clinical efficacy comparison of moxibustion with different doses for knee osteoarthritis

Objective:To compare the efficacy of moxibustion with different doses for knee osteoarthritis(KOA),and explore the correlation between moxibustion dose and clinical efficacy.Methods:Sixty-eight patients with KOA who met the inclusion criteria were randomly divided into a 20-minute moxibustion group and a 40-minute moxibustion group by the random number table method,with 34 cases in each group.Dubi(ST 35),Neixiyan(EX-LE 4)and Heding(EX-LE 2)were used for moxibustion in the two groups.Each treatment lasted 20 min or 40 min for each point in the 20-minute moxibustion group and 40-minute moxibustion group,separately;the treatment was given 3 times a week and lasted for 4 weeks.The visual analog scale(VAS),Western Ontario and McMaster University osteoarthritis index(WOMAC)and traditional Chinese medicine(TCM)symptom scores were evaluated before and after treatment to compare the efficacy between different moxibustion doses for KOA.Results:After treatment,the total effective rate was 87.5%in the 40-minute moxibustion group,versus 70.0%in the 20-minute moxibustion group,and the difference in the total effective rate between the two groups was statistically significant(P<0.05).After treatment,the VAS scores,the total WOMAC scores and the component scores of pain,stiffness and dysfunction,and the TCM symptom scores in both groups all changed significantly when compared with those before treatment(all P<0.05).After treatment,the between-group differences in the VAS score,the total WOMAC score and the component scores of pain and dysfunction,and the TCM symptom score were statistically significant(all P<0.05),while the difference in the stiffness score in WOMAC showed no statistical significance(P>0.05).Conclusion:Either 20-minute moxibustion or 40-minute moxibustion can relieve pain,improve stiffness,dysfunction,and TCM symptoms for KOA;and 40-minute moxibustion is better in relieving pain,improving dysfunction and TCM symptoms.

Acupuncture at Kǒngzuì (孔最LU 6) for 76 cases of hemorrhoids

Objective： To observe the effect of acupuncture at Kǒngzuì（孔最LU 6） for hemorrhoids.Methods： Seventy six cases of hemorrhoids patients, 19 cases were diagnosed with internal hemorrhoids,25 cases were diagnosed with external hemorrhoids, 32 cases were diagnosed with mixed hemorrhoids,they were treated with acupuncture. Kongzui（孔最LU 6） was perpendicular inserted bilaterally with a depth of 0.5-1 cun, and reducing manipulation was performed. Treatment of 24 days were given and the improvement of hemorrhage and pain, the reducement of size of hemorrhoids and the recurrence were compared before and after treatment to evaluate the clinical efficacy.Results： Sixty eight cases were cured, which accounted for 86.5%, six cases were effective, which accounted for 7.9%, two cases were ineffective, which accounted for 2.6%.Conclusion： Acupuncture at Kǒngzui（孔最LU 6） bilaterally has sound effect for treatment of internal hemorrhoids, external hemorrhoids and mixed hemorrhoid.

Electroacupuncture at facial acupoints combined with electrical stimulation on the auricular vagus nerve points for 60 cases of chloasma

Objective： To observe the clinical efficacy of electroacupuncture at facial acupoints combined with electrical stimulation on the auricular vagus nerve points for treatment of chloasma.Methods： Sixty patients with chloasma were selected. According to acupoint selection along facial nerve trunk initially created by professor Gao Wei-bin, Yifeng（翳风TE 17）, Shangguan（上关GB 3） Sizhukong（丝竹空 TE 23）,temporal branches, Xiaguan（下关 ST 7） Sibai（四白 ST 2）,zygomatic branches, Qianzheng（牵正）Quanliao（颧髎 SI 18）,zygomatic branches, Jiache（颊车 ST 6） Chengjiang（承浆 CV 24）,buccal branches, and Hegu（合谷 LI 4）. The auricular vagus nerve acupoints was added additionally（two distribution points in each cavity of auricular concha were selected）. Electroacupuncture was conducted for30 min/time, once a day, and 6 times/week. One day was free from treatment between 2 weeks. Treatment for 4 weeks was 1 course of treatment, and the effect was observed after 1 course.Results： Cured： 39 cases, markedly effective： 13 cases, effective： 6 cases, ineffective： 3 cases. The cure rate was 65%, and the total effective rate was up to 95.0%.Conclusion： The curative effect of electroacupuncture at facial acupoints combined with electrical stimulation on the auricular vagus nerve points for treatment of chloasma was satisfactory.

Effect of electroacupuncture on the expression of PGC-1α and UCP-1 in the brown adipose tissue of obese rats

Objective： To explore the effect of peroxisome proliferators-activated receptor γ coactivator-1α（PGC-1α） and uncoupling protein-1（UCP-1） in the brown adipose tissue（BAT） of obese rats in the process of acupuncture treatment for obesity.Methods： Fifty clean-grade male Wistar rats with the age of 3 months were randomly divided into highfat diet group（n = 40） and normal diet group（control group, n = 10）. Nutritional obesity animal models were established through feeding with high-fat diet. Twenty-four animal models in the high-fat diet group were established successfully, and then they were randomly divided into model group, acupuncture group and non-acupoint group,with 8 rats in each group. In acupuncture group, Zusanli（足三里ST36） and Tianshu（天枢ST 25） were selected. In non-acupoint group,the non-acupoints located on 5 mm beside ST 36 and ST 25 were selected as acupuncture points, and electroacupuncture intervention was adopted for 5 times/week for 8 weeks. The body mass of obese rats was measured, the body fat ratio in BAT of rats was calculated, and the expression levels of PGC-1α and UCP-1 in BAT of rats were detected by immunohistochemical method.Results： ① After treatment, the body mass of rats in acupuncture group reduced significantly, which increased in the other three groups. The changing value of body mass of rats in acupuncture group was higher than that in model group（P 0.05）, the changing value of body mass of rats in acupuncture group was higher than that in non-acupoint group（P 0.05） and the difference in body mass changing value of rats between non-acupoint group and model group was not statistically significant（P 0.05）,the body fat ratio in BAT of rats in non-acupoint group was lower than that in acupuncture group, and the differences were statistically significant（P0.05）. ② Compared with model group, the body fat ratio in BAT of rats in acupuncture group increased significantly（P 0.05）,and the difference in body fat ratio in BAT of rats between non-acupoint group and model group was not statistically significant（P 0.05）.③ Compared with model group, the PGC-la and UCP-1 levels in BAT of obese rats in acupuncture group increased（P 0.05）, and the difference in expression levels of PGC-la and UCP-1 in BAT of rats between non-acupoint group and model group was not statistically significant（P 0.05）, the expression levels in non-acupoint group were lower than that in acupuncture group, and the differences were statistically significant（P 0.05）.Conclusion： Electroacupuncture at ＂ST 36＂ and ＂ST 25＂ can effectively up-regulate the expression levels of PGC-la and UCP-1 of diet induced obesity rats, it indicates that ＂ST 36＂ and ＂ST 25＂ have close relationship with obesity and it is may be one of the effect mechanisms of electroacupuncture in losing weight through facilitating the ＂browning reaction＂ of white adipose tissue.

Needle-embedding therapy combined with basic treatment for stable angina pectoris

Objective： To clarify the clinical efficacy of needle-embedding therapy for stable angina pectoris. Methods： Seventy-six patients with stable angina pectoris were divided into needle-embedding therapy group （group A） and basic treatment group （group B） according to the random number table, with 38 patients in each group. Needle-embedding therapy combined with basic treatment was adopted in group A, and needle-embedding was given once every other day, the needles were retained for 24 h each time and three times of treatment were given each week. basic treatment was applied solely in group B. Four weeks of treatment which means one course were given in two groups, efficacy observation and evaluation were carried out after 1 course of treatment. Results： After treatment, the total effective rate of clinical efficacy was 89.47% in group A and 71.05% in group B （p 〈 0.05）, and the total effective rate of electrocardiograph （ECG） efficacy was 84.21% in group A and 63.16% in group B （p〈0.05）. After treatment, the score of limitation of motion, score of the sta- ble state of angina pectoris and the score of angina pectoris attack in group A increased by 0.7%, 34,5% and 16.9% respectively when compared with the scores before treatment （t= 1.623, p 〈0.0l; t=3.867, p 〈 0.01 ; t = 1.958, p 〈 0.05）, and according to the comparison of the score of satisfaction with treatment and the score of disease perception before and after treatment, the difference was not statistically significant （t=4.972, p 〉 0.05; t=0.999, p 〉 0.05）. According to the comparison of the score of limitation of motion, score of angina pectoris attack, score of satisfaction with treatment and the score of disease per- ception in group B before and after treatment, the differences were not statistically significant （t = 1.726, p 〉 0.05; t = 1.594, p 〉 0.05; t = 4.385, p 〉 0.05; t = 0.999, p 〉 0.05）. The score of： the stable state of angina pectoris increased by 4.9% （t = 1.780, p 〈 0.05）. Conclusion： Needle-embedding in acupoint therapy can effectively improve the clinical efficacy, ECG efficacy and the score of Seattle angina questionnaire （SAQ） of stable angina pectoris.

Clinical observation on Wang Juyi＇s applied channel theory in treating stroke-sequel patients

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.

Clinical observation on Governor Vessel-regulating,liver-soothing and mind-calming needling for insomnia due to liver fire disturbing the heart

Objective： To compare the therapeutic effects between the Governor Vessel-regulating, liver-soothing and mind-calming needling and the routine acupuncture therapy for Methods： A total of 50 cases with insomnia were nsomnia due to liver fire disturbing the heart randomly divided by the random numberl table into the two groups, 25 cases in each group. The observation group was treated with the Governor Vessel-regulating, liver-soothing and mind-calming needling, while the control group was treated with the routine acupuncture therapy. The two groups were treated for five sessions per week, ten sessions as a course. After 3-course treatment, the therapeutic effects and the improvement of Pittsburgh sleep quality index （PSQI） were observed. Results： After treatment for three courses, the total effective rate was 100% in the treatment group and 92% in the control group. The difference in the therapeutic effect between the two groups was statistically significant （P〈0.05）. After the treatment, the sleep latency, sleep duration, habitual sleep efficiency, subjective sleep quality, sleeping disturbances, daytime dysfunction, and total PSQI scores in the patients of the two groups were obviously improved in comparing those before treatment, with significant differences （all P〈O.01）. After treatment, the inter-group differences in the sleep latency, sleep duration, habitual sleep efficiency, subjective sleep quality, and total PSO, I scores were statistically significant （all P〈0.02）; the differences in the scores of sleeping disturbances and daytime dysfunction is not statistical significant （all P〉0.05）. Conclusion： The therapeutic effect of Governor Vessel-regulating, liver-soothing and mind-calming needling is better for insomnia due to liver fire disturbing the heart than the routine acupuncture therapy.