Electroacupuncture at the Wangu (GB 12) acupoint suppresses expression of inflammatory factors in the hippocampus and frontal lobe of rats with post-stroke depression

Electroacupuncture was performed at the Wangu （GB 12） acupoint, whose position is similar to the cerebellar fastigial nucleus in rats with post-stroke depression. Results showed that the expression of nuclear factor-κB and the levels of tumor necrosis factor-α and interleukin-1β decreased. Simultaneously, the extent of edema in the hippocampus and frontal lobe decreased, and the morphology of the nerve cells recovered to near normal. In addition, fluoxetine treatment displayed a similar effect on post-stroke depression as electroacupuncture at GB 12 acupoint. The results indicate that electroacupuncture at GB 12 acupoint can reduce the levels of cytokines in the hippocampus and frontal lobe of rats with post-stroke depression, and thus provide a neuroprotective effect on post-stroke depression.

Clinical Experience in Application of the Point Wangu

Wangu (GB 12) is a point of the Gallbladder Channel of Foot Shaoyang, located in the depression posteroinferior to the temporal process. And it is a hui point of Foot Taiyang and Shaoyang Channels, with the effects of eliminating pathogenic wind and heat, and tranquilizing the mind. This point is located superior to the attachment point of the sternocleidomastoid muscle, in which there distribute the stem of the lesser occipital nerve, and branches of the posterior auricular artery and vein. It can be needled perpendicularly 0.5-1 cun deep. In clinical practice, the author has applied the point for treatment of various diseases, and obtained quite satisfactory therapeutic results. The following is a report of some illustrative cases. ……

针刺治疗椎-基底动脉供血不足疗效观察

目的观察针刺项后9穴为主治疗椎-基底动脉供血不足的临床疗效。方法将100例椎-基底动脉供血不足患者随机分为治疗组和对照组,每组50例。治疗组采用针刺风府、风池、完骨、天柱、C3夹脊穴治疗,对照组采用口服尼莫地平片治疗。观察两组治疗前后TCD各项指标及眩晕评定量表的评分系统(DARS)平均评分,并比较两组临床疗效。结果治疗组治疗后TCD各项指标与同组治疗前比较,差异均具有统计学意义(P<0.05)。对照组治疗后TCD相关指标[Vs(RVA)、Vd(BA、LVA)、Vm(BA、RVA)、PI(BA)]与同组治疗前比较,差异均具有统计学意义(P<0.05)。治疗组治疗后TCD相关指标[Vs(BA、LVA、RVA)、Vd(BA、RVA)、Vm(BA、LVA)、PI(BA)]与对照组比较,差异均具有统计学意义(P<0.05)。两组治疗7 d后DARS平均评分与同组治疗前比较,差异均具有统计学意义(P<0.01)。两组治疗后DARS平均评分与同组治疗7 d后比较,差异均具有统计学意义(P<0.01)。治疗组治疗7 d后及治疗后DARS平均评分与对照组比较,差异均具有统计学意义(P<0.01)。治疗组愈显率和总有效率分别为76.0%和98.0%,对照组分别为44.0%和96.0%。两组愈显率比较,差异具有统计学意义(P<0.05)。结论针刺项后9穴是一种治疗椎-基底动脉供血不足的有效方法。

地塞米松注射完骨穴治疗周围性面神经麻痹50例

目的探讨地塞米松注射完骨穴治疗周围性面神经麻痹的疗效。方法将100例周围性面神经麻痹患者随机分为试验组和对照组各50例;对照组采用常规针罐治疗,试验组在对照组基础上采用地塞米松完骨穴注射治疗。结果试验组痊愈率为98%,平均治愈时间为(21.72±11.78)d;对照组痊愈率为88%,平均治愈时间为(33.88±26.06)d。试验组的痊愈率和平均治愈时间均明显优于对照组(P<0.01)。结论地塞米松完骨穴注射可提高周围性面神经麻痹的痊愈率,并缩短恢复时间。

耳鸣患者压敏穴分布规律的临床研究

目的:探讨耳鸣患者压敏穴在体表的分布规律,为针灸临床诊治耳鸣提供辨证选穴、局部远端配穴治疗依据。方法:运用经络循诊法,在63例耳鸣患者头顶及颈项部、侧头及耳周部、背腰部和四肢肘/膝关节以下体表经脉进行循经按压,记录出现压敏穴位,对出现频次在10次以上的穴位采用Excel 2010进行排序。结果:63例耳鸣患者体表经脉出现压敏穴共131穴,其中频次在10次以上41穴的分布规律如下:⑴出现压敏穴较多的经脉排名前三依次为:足少阳胆经、手少阳三焦经和足太阴脾经;⑵出现压敏穴较多的区域依次为:膝关节以下、侧头及耳周部、肘关节以下、背腰部;⑶压敏穴数排名前十的穴位依次为:完骨、翳风、外关、曲池、三阴交、阳陵泉、风池、太冲、手三里、足临泣。结论:耳鸣患者压敏穴分布最多的经脉是足少阳胆经,分布最多的区域在膝关节以下,最敏感的穴位是完骨、翳风,客观反应了古典经络理论中与耳相关经脉、穴位的科学性和正确性。