Effect of Combining Acupuncture and Functional Training on Post-stroke Functional Impairment of Hand

Objective:To observe the clinical effect of combining acupuncture and functional training on post-stroke functional impairment of hand.Methods:A total of 165 cases who met the inclusion criteria were randomized into a treatment group(85 cases)and a control group(80cases).Cases in the treatment group were treated with routine acupuncture points plus Shixuan(EX-UE 11)and Xiaohai(SI 8),whereas cases in the control group were treated with routine acupuncture points alone.After acupuncture,cases in both groups conducted functional training in upper limbs.The finger grip strength and hand function were assessed before and after 3-course treatment.Results:Cases in the treatment group obtained better finger grip strength and hand function than those in the control group(both P<0.05).Conclusion:In addition to functional training,adding Shixuan(EX-UE 11)and Xiaohai(SI 8)to traditional acupuncture formulae works better for post-stroke functional impairment of hand.

Therapeutic Efficacy Observation on Combining Intermittent Traction with Warm Needling for Cervical Radiculopathy

Objective:To observe the clinical effect of combined intermittent traction with warm needling for cervical radiculopathy.Methods:A total of 100 cases with cervical radiculopathy were randomly allocated into an observation group and a control group.Cases in the observation group were treated with intermittent traction coupled with warm needling,whereas cases in the control group were treated with warm needling alone.The therapeutic efficacy was observed after 20-day treatment.Results:The markedly effective rate in total was 90.0%in the observation group,versus 78.0%in the control group,showing a statistically significant difference(P<0.05).Conclusion:Combining intermittent traction with warm needling is safe,convenient and significantly effective for cervical radiculopathy.It is worth further popularization in clinical practice.

Immediate Effects of Hegu Needling on Adhesive Scapulohumeral Periarthritis

Objective： To observe the immediate effects of Hegu needling at Ash points in patients with adhesive scapulohumeral periarthritis （SP）. Methods： A total of 60 SP cases were randomized into a treatment group and a control group, 30 in each group. Cases in the treatment group were treated with Hegu needling at Ashi points and normal needling at other local points. Cases in the control group were treated with normal needling at local points alone. The therapeutic efficacy was then evaluated and analyzed using short-form of McGill pain questionnaire （SF-MPO.） and Japanese Orthopaedic Association （JOA） shoulder scoring system. Results： Hegu needling at Ashi points can substantially alleviate pain in patients with adhesive SP, showing a statistically significant difference when compared with the control group （P〈0.01 or P〈0.05）. In addition, cases in the treatment group obtained better effects in abductor muscle strength, endurance, arm raising, internal rotation, external rotation, activities of daily living （ADL） and joint stability than those in the control group （P〈0.01 or P〈0.05）. Conclusion： Hegu needling at Ashi points is effective for adhesive SP

Therapeutic Efficacy Observation on Combining Acupuncture and Chinese Herbal Fumigation for Cervical Radiculopathy

Objective： To observe the clinical effect of needling eight neck points and Chinese herbal fumigation for cervical radiculopathy. Methods： A total of 85 cases who met the inclusion criteria of cervical radiculopathy were allocated into a Jiaji （EX-B 2） points group, an eight neck points group and a comprehensive therapy group according to single-blind randomized controlled trial design. The 27 cases in the Jiaji （EX-B 2） points group were treated with needling cervical Jiaji （EX-B 2） points. The 28 cases in the eight neck points group were treated with needling the eight neck points. The 30 cases in the comprehensive therapy group were treated with needling the eight neck points coupled with Chinese herbal fumigation over the affected area. Before and after treatment, the symptoms of traditional Chinese medicine （TCM） were graded and the short-form McGill pain questionnaire （SF-MQP） was employed to test pain rating index （PRI）, visual analogue scale （VAS） and present pain intensity （PPI）. In addition, therapeutic efficacies were compared among three groups. Results： After treatment, all SF-MPO, scores in three groups were significantly reduced, and there were inter-group statistical significant in comparison of scores differences between before and after treatment （P〈O.01）; there were inter-group statistical differences in the total effective rate （P〈O.05）. Conclusion： Needling the cervical Jiaji （EX-B 2） points and eight neck points can both alleviate pain in cervical radiculopathy patient. However, combining needling the eight neck points and Chinese herbal fumigation can obtain the better effect.

Clinical efficacy observation on pediatric massage for chronic cough in children

Objective To observe the clinical efficacy of pediatric massage(tuina)for chronic cough in children.Methods A total of 96 cases were randomized into a control group and an observation group,with 48 cases in each group.Cases in the control group received routine pediatric massage manipulations.Cases in the observation group received additional Mo-rubbing abdomen manipulation.The treatment was done 3 times a week and 12 times made up a treatment session.The cough symptom scores were evaluated before treatment and after 3,6,9 and 12 treatments respectively.Results There were 8 dropouts in the observation group and 5 dropouts in the control group.Before treatment,there was no statistical difference in coughing score between the two groups(P>0.05).After 9 times of treatment,the total coughing scores were significantly reduced in both groups(both P<0.05);however,there were no statistical differences between the two groups in the score differences between before treatment and after 3,6 and 9 times of treatment(all P>0.05).After 12 times of treatment,the total coughing scores were significantly reduced in both groups(both P<0.05),along with a statistical difference between the two groups in the score difference between before treatment and after 12 times of treatment(P<0.05).There was a statistical difference between the two groups in overall response(P<0.05).The total effective rate in the observation group was 92.5%,versus 86.0%in the control group,showing a statistical difference(P<0.05).Conclusion The routine pediatric massage manipulations alone or in combination with Mo-rubbing abdomen manipulation both can significantly improve chronic cough in children;however,the combination obtains a better effect.

Effect of Chinese Herbal Fumigation Combined with Tuina on Vertigo and Concentrations of Endothelin and Calcitonin Gene-related Peptide in Patients with Vertebral Artery Cervical Spondylosis

Objective： To observe the effect of Chinese herbal fumisation combined with three-step tuina manipulation on concentration of endothelin （ET） and calcitonin gene-related peptide （CGRP） and vertigo in patients with vertebral artery cervical spondylosis （VACS）. Methods： A total of 120 eligible cases were randomly allocated into an observation group and a control group, 60 in each group. Cases in the observation group were treated with Chinese herbal fumigation combined with three-step tuina manipulation, whereas cases in the control group were treated with oral Flunarizine Hydrochloride Capsules. Results： After treatment, vertigo in both groups was alleviated; there were intra-group significant differences in ET decrease and CGRP increase （P〈0.01, P〈0.05）; and there were also inter-group significant differences （both P〈0.05）. Conclusion： Chinese herbal fumigation combined with three-step tuina manipulation can regulate the levels of ET and CGRP and improve vertigo in patients with VACS. Its therapeutic efficacy is superior to oral Flunarizine Hydrochloride Capsules.

Clinical Study on Moxibustion at Shenque(CV 8)for Chronic Urticaria

Objective:To observe the safety and efficacy of moxibustion at Shenque(CV 8)for chronic urticaria.Methods:A total of 80 cases who met the inclusion criteria were randomly allocated into a treatment group and a control group,40 in each.Cases in the treatment group were treated with thunder-fire moxibustion at Shenque(CV 8),whereas cases in the control group were treated with Mizolastine.Changes in clinical symptoms such as itching and skin lesion were observed before and after treatment and the therapeutic efficacies were assessed.Results:After treatment,the total scores of clinical symptoms in both groups were markedly reduced(P<0.05),and the reduction was more significant in the treatment group than that in the control group(P<0.05).The total effective rate in the treatment group was 77.5%,versus 65.0%in the control group,showing no significant difference(P>0.05).The Ridit analysis showed a between-group significant difference in therapeutic efficacy grades(P<0.05).There were no reports of adverse reactions in the treatment group and 2 cases experienced mild somnolence in the control group.Conclusion:With an exact effect for chronic urticaria,moxibustion at Shenque(CV 8)obtained better results in overall efficacy and improving symptoms than oral administration of Mizolastine.

Warm Needling at Back-Shu Acupoints for Melasma in Women

Objective:To observe the clinical effect of warm needling at the BackShu acupoints for melasma in women.Methods:A total of 100 cases who met the inclusion criteria were randomly allocated into a treatment group of 52 cases and a control group of 48 cases.Cases in the treatment group were treated with warm needling at the Back-Shu acupoints,whereas cases in the control group were treated with conventional acupuncture therapy.The therapeutic efficacies were then evaluated after three courses of treatment.Results:The total effective rate in the treatment group was 96.2%,versus 85.4%in the control group,showing a statistical difference(P<0.05).Conclusion:Warm needling at the Back-Shu acupoints works well for melasma in women.

Curative Effect Observation on Tuina Therapy for Spleen-deficiency Infantile Diarrhea

Objective： To observe the clinical effect of tuina for spleen deficiency infantile diarrhea. Methods： A total of 60 cases were randomized into a treatment group and a control group （30 in each group）. Tuina manipulations were employed in the treatment group, whereas medication was administered in the control group. The between-group clinical effects were compared after one course of treatment. Results： The recovery rate was 20.0% in the treatment group, versus 3.3% in the control group, showing a statistical significance （P〈0.05）. After treatment, there were between-group statistical differences （P〈0.05） in infants＇ main accompanying symptoms such as complexion, spirit, vomiting, and abdominal pain. Conclusion： Tuina is effective for infantile diarrhea due to spleen dficiencv.

Effect of Individualized Needling on Gross Motor Function in Cerebral Palsy Infants

Objective: To observe the effect of individualized needling protocol (on the basis of functional brain mapping and standardized syndrome differentiation in Chinese medicine) on gross motor functions of infants with cerebral palsy (CP) and thus study the innovative means of combining acupuncture with rehabilitation management technique. Methods: A total of 74 CP infants were randomized into a treatment group and a control group, 37 in each group. Combined individualized needling and rehabilitation training were used in the treatment group, versus combined Jin's needling (16 brain-benefiting points) and rehabilitation training in the control group. For both groups, acupuncture treatment was conducted once every other day and rehabilitation training every day. The dynamic changes of gross motor functions before treatment and after every 1-month treatment were measured and assessed using the Gross Motor Function Measure (GMFM)-66. Results: After treatment, the GMFM scores were significantly increased in both groups (P<0.01); there were no between-group statistical differences in increase range of the GMFM scores (P>0.05); the treatment protocol was not interacted with the treatment time; and the GMFM scores for spastic CP infants were better in the treatment group than that in the control group (P<0.05). Conclusion: Combined scalp acupuncture and rehabilitation training can produce positive effects on gross motor functions of CP infants. Individualized needling can obtain better effects than 16 brain-benefiting points in improving the gross motor functions of spastic CP infants.

Moxibustion on Shenque(CV 8) Improves Effect of Acupuncture for Diarrhea-predominant Irritable Bowel Syndrome

Objective: To observe the clinical effect of acupuncture and moxibustion on diarrhea-predominant irritable bowel syndrome(IBS-D). Methods: A total of 60 IBS-D patients were randomly allocated into a treatment group and a control group, 30 in each group. Patients in the treatment group were treated with acupuncture combined with ginger and salt-partitioned moxibustion on Shenque(CV 8), whereas patients in the control group only received acupuncture treatment. Six days made up a course of treatment, and the clinical effects were statistically analyzed after 4 courses. Results: The overall response rate in the treatment group was 96.7%, versus 76.7% in the control group, showing a statistical significance(P<0.05). In the intra-group comparison of the symptom scores after treatment, there were statistical differences in both groups(both P<0.01), and in the inter-group comparison, the difference was statistically significant(P<0.05). Conclusion: Acupuncture combined with ginger and salt-partitioned moxibustion on Shenque(CV 8) can obtain better effect for ISB-D than acupuncture alone.

Therapeutic Efficacy Observation on Combining Herbal Cake-partitioned Moxibustion with Plum- blossom Needle Therapy for Cervical Radiculopathy

Objective:To observe the clinical effect of combining Herbal cakepartitioned moxibustion with plum-blossom needle therapy for cervical radiculopathy.Methods:A total of 150 cases with cervical radiculopathy were randomly allocated into a treatment group(n=90)and a control group(n=60)at ratio of 3:2.Cases in the treatment group were treated with combining herbal cake-partitioned moxibustion with plum-blossom needle therapy,whereas cases in the control group were treated with combining Dan Shen(Radix Salviae Miltiorrhizae)injection with traction.The therapeutic efficacies were evaluated by the third party after three courses of treatments.Results:The recovery and total effective rates in the treatment group were 51.1%and 97.8%respectively,versus 18.3%and 78.3%in the control group,showing statistically significant differences(both P<0.05).And there was a between-group statistical difference in the number of recovery cases in different courses of treatments(P<0.05).Conclusion:Combining herbal cake-partitioned moxibustion with plum-blossom needle therapy was more effective than combining Dan Shen(Radix Salviae Miltiorrhizae)injection with traction for cervical radiculopathy,and it took effect more quickly.It is worth further popularization in clinic.

Effect of Tuina on Neurodevelopment in Premature Infants with Brain Injury

Objective： To investigate the effect of tuina on promoting neurodevelopment of premature infants with brain injury. Methods： A total of 82 cases who met the inclusion criteria were randomized into an intervention group and a control group. In addition to early conventional intervention （Chinese medicinal bath therapy and physical training）, specific tuina manipulations （aims to unblock the Governor Vessel, refresh the brain, benefit the kidney and strengthen the spleen） were combined in the intervention group, whereas comforting touch in the control group. The rehabilitation assessments were then made prior to treatment and three months after the treatment using Gross Motor Function Measure （GMFM）, Bayley Scales of Infant Development-II （BSID-II） and Gesell Developmental Schedules （GDS） based Developmental Quotient （DQ）. Results： The DQ in all GDS areas and scores of GMFM A and B dimensions were significantly increased in both groups after the treatment （P〈0.01）. The DQ and population mean of GMFM B dimension in the intervention group were higher than those in the control group, showing statistical differences （P〈0.05）. However, in terms of Mental Development Index （MDI） and Physical Development Index （PDI） in both groups, there were no statistical differences before and after treatments. Conclusion： Both methods combined with conventional early intervention can help to improve the mental and motor development of infants with brain injury. However, the specific tuina manipulations have been proved more effective in improving the infants＇ gross motor function, particularly the ＂sitting＂ item.

Effects of acupuncture plus spinal manipulations on physical functioning and biochemical indicators in patients with ankylosing spondylitis

Objective To observe the effects of acupuncture plus spinal manipulations on the physical functioning and levels of alkaline phosphatase(ALP),erythrocyte sedimentation rate(ESR),C-reactive protein(CRP)and osteoprotegerin(OPG)in patients with ankylosing spondylitis(AS).Methods A total of 128 AS cases were allocated into a control group and an observation group using random number table method,with 64 cases in each group.Patients in both groups took sulfasalazine and meloxicam.Patients in the observation group received additional acupuncture plus spinal manipulations.The efficacy,Bath AS functional index(BASFI),Bath AS disease activity index(BASDAI),and the levels of ALP,ESR,CRP and OPG were compared between the two groups after eight weeks of treatment.Results After treatment,the symptom scores of traditional Chinese medicine in both groups were decreased(all P<0.05),and these scores in the observation group were significantly lower than in the control group(all P<0.05);the VAS,BASFI and BASDAI scores in both groups were decreased(all P<0.05),and these scores in the observation group were significantly lower than in the control group(all P<0.05);and the ALP,ESR,CRP and OPG levels in both groups were decreased(all P<0.05),and these levels in the observation group were significantly lower than in the control group(all P<0.05).The total efficacy rate was 92.2%in the observation group,versus 78.1%in the control group,presenting a statistical significance(P<0.05).Conclusion Conventional medication combined with acupuncture and spinal manipulations can improve clinical symptoms,accelerate the recovery of physical functioning,and reduce the ALP,ESR,CRP and OPG levels.

Tuina for Leg Length Discrepancy and Lumbosacral Pain Due to Sacroiliac Joint Subluxation

Objective： To observe theclinical effect of tuina reduction manipulation on leg length discrepancy and lumbosacral pain due to sacroiliac joint subluxation. Methods： A total of 60eligible cases were randomly allocated into an observation group and a control group, 30 in each group. Cases in the observation group were treated with conventional tuina plus reduction manipulation of sacroiliac joint subluxation; whereas cases in the control group were treated with conventional tuina plus acupuncture. The clinical effects were observed after 10 times of treatment. In addition, the relapse rates were observed 2 months after treatment. Results： The total effective rate in the observation group was 80.0%, versus 50.0% in the control group, showing a statistically significant difference （P＆lt;0.05）. The relapse rate of lumbosacral pain in the observation group was 12.5%, versus 66.7% in the control group, showing a statistically significant difference （P＆lt;0.01）. The relapse rate of leg length discrepancy in the observation group was 16.7%, versus 80.0% in the control group, showing a statistically significant difference （P＆lt;0.01）. Conclusion： Tuina reduction manipulation can obtain substantial therapeutic effect for leg length discrepancy and lumbosacral pain due to sacroiliac joint subluxation, coupled with a low relapse rate.

Therapeutic Effect Observation on Combining Electroacupuncture and Tuina for Migraine

Objective: To observe the clinical effect of combining electroacupuncture and local tuina for migraine. Methods: A total of 94 migraine cases were randomly allocated into an observation group and a medication group, 48 cases in each group. Electroacupuncture and local tuina were used for cases in the observation group, whereas oral Flunarizine Hydrochloride capsules were used for cases in the medication group. Then the frequency of attacks, severity of the pain, duration of the headache, and associated symptoms of headache before and after treatment in the two groups were observed and compared. Results: The total effective rate in the observation group was 93.8%, versus 63.0% in the medication group, showing a statistical significant difference(P < 0.05). There were statistical significant differences in frequency of attacks, severity of the pain, duration of the headache and associated symptoms between the two groups(P<0.05). In addition, there were statistical significant differences in relapse rates after 4 and 8 weeks of treatment(P<0.05). Conclusion: Combining electroacupuncture and local tuina can obtain better effect and lower relapse rate than oral Flunarizine Hydrochloride capsules in migraine patients.

Effect of Combined Jin's Three-needle and Rehabilitation Care on Post-stroke Hemiplegia

Objective:To observe and compare the efficacy differences between combined Jin's three-needle and rehabilitation training and rehabilitation training alone for hemiplegia following an ischemic stroke. Methods:A total of 94 cases who met the inclusion criteria were randomized into an observation group using combined Jin's three-needle and rehabilitation training and a control group using rehabilitation training alone. The therapeutic efficacies were then assessed respectively before treatment, 14 d and 28 d after treatment using neurological deficient scale (NDS) and short-form Fugl-Meyer assessment (SFFMA) scale. Results:After treatment, the NDS and SFFMA scores in both groups were significantly improved (P<0.05); after 28-day treatment, the inter-group comparison showed a statistical significance (P<0.05). Conclusion:Combined Jin's three-needle and rehabilitation training and rehabilitation training alone can both enhance the nerve function recovery of patients with post-stroke hemiplegia and improve their motor function; however, the former could obtain better effects than the latter.

Clinical Study on Combined Acupuncture and Chinese Medicinal Fumigation for Dry Eye Syndrome

Objective:To observe the clinical effect of combined acupuncture and Chinese medicinal fumigation for dry eye syndrome(DES).Methods:A total of 90 DES cases(180 eyes)were randomized into a treatment group of 44 cases and a control group of 46 cases.Combined acupuncture and Chinese medicinal atomizer fumigation was used in the treatment group,whereas Sodium Hyaluronate eye drops was used in the control group.The subjective symptoms,Schirmer I Test(SIT)and Break-up Time(BUT)of tear film were observed before and after treatment.Results:The total effective rate in the treatment group was 78.4%,versus 12.0%in the control group,showing a statistical difference(P<0.01).After treatment,there were between-group statistical differences in SIT and subjective symptom grades(P<0.05,P<0.01).However,there was no between-group statistical difference in BUT grade(P<0.05).Conclusion:Combined acupuncture and Chinese medicinal atomizer fumigation can help alleviate DES symptoms.

Therapeutic Efficacy Observation on ‘Setting Fire on the Mountain’ Manipulation by Lu Shou-yan for Cervical Radiculopathy

Objective: To observe the clinical effect of ‘setting fire on the mountain' manipulation by Lu Shou-yan for cervical radiculopathy as well as the infrared thermographic changes of the cervical area before and after treatment. Methods: A total of 120 eligible cases with cervical radiculopathy were randomly allocated into an observation group and a control group, 60 in each group. Cases in the observation group were treated with Lu Shou-yan's ‘setting fire on the mountain' manipulation, whereas cases in the control group were treated with even reinforcing-reducing manipulation. After two courses of treatment, the infrared thermographic changes and overall therapeutic efficacies in the two groups were compared. Results: The recovery rate and total effective rate in the observation group were 68.3% and 98.3% respectively, versus 28.3% and 81.7% in the control group, showing statistical differences in recovery rate and total effective rate(both P < 0.01). There was between-group statistical significance in comparing the infrared thermography after treatment(P<0.01). Conclusion: ‘Setting fire on the mountain' manipulation by Lu Shou-yan is better than even reinforcing-reducing manipulation for cervical radiculopathy.

Effect of Electroacupuncture on Anxiety and Craving in Heroin Addicts During Detoxification

Objective:To observe the effect of electroacupuncture at Jiaji (EX-B 2) points for anxiety and craving in heroin addicts during detoxification. Methods:A total of 60 cases were randomized into an electro-acupuncture group and a control group, 30 in each group. Cases in the electroacupuncture group were treated with electroacupuncture at Jiaji (EX-B 2) points, whereas cases in the control group were treated with Methadone and Doxepin. Then scores were graded using Zung self-rating anxiety score (SAS) and self-made visual analogue scale (VAS). The assessment was conducted once a day to record the adverse reactions. Results:After treatment, the SAS and VAS scores in the electro-acupuncture group were significantly lower than that in the control group (P<0.01). Conclusion:Electroacupuncture at Jiaji (EX-B 2) points can effectively alleviate anxiety and craving intensity in heroin addicts during detoxification.