Efficacy of acupoint injection in the treatment of chronic eczema and its influence on peripheral blood T cells

BACKGROUND Chronic eczema significantly impacts daily life,social interactions,and quality of life;however,no curative treatment has been identified.AIM To determine the clinical efficacy of acupoint injection for chronic eczema and its influence on peripheral blood T cells.METHODS Eighty patients with chronic eczema treated at our hospital between June 2022 and March 2023 were randomly assigned to a control group(n=40),which received conventional Western medicine treatment,or an observation group(n=40),which received routine Western medicine treatment plus acupoint injection of triamcinolone acetonide.Response and adverse reaction rates,as well as differences in the levels of serum cytokines IFN-γ,IL-2,IL-4,and IL-10 before and after treatment were investigated.RESULTS No difference in overall response rates were found between the observation and control groups(100%vs 90%,respectively;P>0.05);however,the observation group had a higher marked response rate than the control group(87.5%vs 52.5%;P<0.05).Both groups had decreased Eczema Area and Severity Index scores and increased pruritus after treatment(P<0.05),particularly in the observation group(P<0.05).The observation group had an adverse reaction rate of 2.5%(1/40),which did not differ significantly from that of the control group(P>0.05).The observation group exhibited higher post-treatment INF-γand IL-2 but lower IL-4 levels than the control group(P<0.05);however,no significant inter-group difference was observed in post-treatment IL-10 levels(P>0.05).CONCLUSION Acupoint injection of triamcinolone acetonide is safe and effective in treating chronic eczema.Its therapeutic mechanism is related to the regulation of peripheral blood T cell levels,inhibition of inflammatory reactions,and mitigation of immune imbalance.

Clinical Study on the Therapeutic Effect of Combined Traditional Chinese Medicine with Acupoint Injection and Herbal Paste Application in Treating Ovulatory Dysfunction in Polycystic Ovary Syndrome (PCOS)

Objective: To observe the therapeutic effect of combined traditional Chinese medicine (TCM) therapy with acupoint injection and herbal patch application on patients with ovulatory dysfunction associated with polycystic ovary syndrome (PCOS). Methods: A total of 80 PCOS patients who received treatment at the First Affiliated Hospital of Guangxi University of Chinese Medicine between October 2022 and March 2024 were enrolled in this study. They were randomly divided into a control group (n = 40) and an observation group (n = 40). The control group received conventional Western medical treatments, while the observation group was administered TCM combined with acupoint injection and herbal patch application. Pre- and post-treatment conditions were compared between the two groups. Results: After treatment, the overall effective rate was significantly higher in the observation group compared to the control group (P 0.05). Following treatment, both ovulation and pregnancy rates increased in both groups, but the increase was more evident in the observation group, showing a statistically significant difference (P < 0.01). Conclusion: For patients with oligoovulation or anovulation due to PCOS, the combined use of TCM, acupoint injection, and herbal patch application appears to be effective in improving systemic symptoms and achieving notable clinical outcomes.

Clinical observation of acupoint injection combined with nerve electrical stimulation in the treatment of post-stroke dysphagia

Background:Post-stroke dysphagia is one of the common clinical symptoms in the rehabilitation department of primary hospitals,which seriously affects the quality of life of patients and their families.Majority of medical workers have comprehensively studied post-stroke dysphagia as it easily induces inhalation pneumonia,asphyxia,and many other complications.At present,many methods for post-stroke dysphagia have been proved to be effective.With regard to comprehensive treatment effect,patient compliance,technology promotion difficulty,grassroots hospital operability,and other factors,we found that acupoint injection combined with nerve electrical stimulation is a good method worthy of promotion.Methods:A total of 130 patients with dysphagia after stroke were randomly divided into nerve electrical stimulation group(n=41),acupoint injection group(n=40),and comprehensive treatment group(nerve electrical stimulation plus acupoint injection,n=49).The therapeutic effect in each group was evaluated before treatment and 20 days after treatment using the improved water swallow test,video fluoroscopic swallowing study,and standardized swallowing assessment.Results:After 20 days of treatment,significant differences were noted in each group.The scores of improved water swallow test decreased from 4.10±0.74 to 2.12±0.95 in the nerve electrical stimulation group,4.00±0.78 to 2.28±1.04 in the acupoint injection group,and 4.16±0.77 to 1.73±0.79 in the comprehensive treatment group;video fluoroscopic swallowing study scores increased from 3.71±2.16 to 5.05±2.111 in the nerve electrical stimulation group,3.80±1.94 to 5.20±1.942 in the acupoint injection group,and 3.73±2.22 to 6.24±2.21 in the comprehensive treatment group;and standardized swallowing assessment scores of the three groups also decreased from 35.13±3.38 to 28.17±3.42,34.66±3.46,and 34.48±3.26 to 26.39±3.86,respectively.The overall scores of each group after treatment were significantly different from those before treatment(P<0.05),indicating that both nerve electrical stimulation and acupoint injection were effective for post-stroke dysphagia;the scores of nerve electrical stimulation group and acupoint injection group were similar,but those of the comprehensive treatment group were significantly better than the single treatments(P<0.05).It shows that the two treatment methods have synergistic effect,and combined treatments have more benefits.Conclusion:Nerve electrical stimulation and acupoint injection have a synergistic therapeutic effect on post-stroke dysphagia.The combined treatment is more beneficial to patients with post-stroke dysphagia than the single treatments.

PROLONGED PARALYSIS OF CHILDREN TREATED WITH SCOPOLAMINE ACUPOINT INJECTION

Authors reported 209 cases of childish paralysis. Of them 104 cases were treatedwith scopolamine acupoint injection, and another 105 cases were divided into 3 groups and treatedwith scopolamine intramuscular injection, Salviae miltiorrhizae acupoint injection and acupuncture re-spectively as control. The results show that the therapeutic effect of scopolamine acupoint injection ismuch better than that of all other groups.

Application of Acupoint-Injection Anesthesia in Thyroidectomy

Acupoint-injection anesthesia has been adopted in thyroidectomy in our hospital in the past severalyears and satisfactory results have been obtained as reported in the follwing.The patients wererandomly divided into acupoint-injection anesthesia group （group AA）and cervical plexus nerve blockanesthesia group（group CA）.During the operation,blood pressure,heart rate and respiration weremonitored under a multifunctional monitor.

Clinical Study of Vitamin K_3 Acupoint Injection In Treating Pelvic Pain

Pelvic pain is one of the most common symptoms in gynecologic outpatients. Primary dysmenorrhea, acute or chronic pelvic inflammatory disease, endometriosis, post-operational pelvic adhesion, blood stagnation of pelvic vein, etc. , are mentioned as the often encountered causes of pelvic pain. It has been reported in the recent ten or more years that intramuscular injection of vitamin K3 (Vit K3) could relieve pain induced by smooth muscle spasm. In order to evaluate the effect of Vit K3 administered by acupoint injection in relieving pelvic pain, 180 patients were treated and observed from April 1997 to April 1999 in our hospital, and good therapeutic effect was obtained. It was reported as follows.

Acupoint injection for asthma:Systematic review of randomized controlled trials

Objective:To assess the effectiveness and safety of acupoint injection for the treatment of asthma.Methods:Six electronic databases were searched for randomized controlled trials(RCTs)of acupoint injection for asthma.Two authors extracted data and assessed methodological quality independently using the Cochrane Collaboration Risk of Bias tool.Data were evaluated using RevMan v5.2.Results:Eighteen RCTs involving 1913 participants with asthma were identified.Overall methodological quality of the RCTs was classified as unclear risk of bias.Western medicine(12 RCTs)was injected most frequently into acupoints,followed by Chinese herbal medicine(four RCTs),vitamins(one RCT),and Chinese herbal medicine combined with Western medicine(one RCT).Four RCTs used only one acupoint[ST36(two RCTs),BL13,CV22],whereas the other RCTs selected multiple acupoints(among which BL13 was used most frequently).One RCT reported mortality,no RCT reported quality of life,15 RCTs reported the symptom improvement rate,one RCT reported asthma control test(ACT)data,one RCT reported the duration of asthma,three RCTs reported the mean time that asthma was controlled(MTAC),and 13 RCTs reported lung-function tests(LFTs).Some RCTs showed acupoint injection may improve the attack time of asthma,MTAC,and LFTs.Five RCTs reported the outcome of adverse events and showed no significant differences between the acupoint injection group and control group.Conclusions:The findings suggest that acupoint injection may be effective for improving ACT data,duration of asthma,MTAC and LFTs.However,the evidence is insufficient owing to the poor methodological quality of the RCTs.

AN OBSERVATION ON CURATIVE EFFECTS IN 76 CASES OF IMPOTENCE TREATED WITH ACUPUNCTURE AND ACUPOINT-INJECTION

76 patients of impotence were randomly divided into two groups.Of 28 cases inacupuncture group,18 were cured,5 effective and 5 ineffective.Of 48 cases in acupuncture plus acu-point-injection group,41 were cured,5 effective and 2 ineffective.The curative effect in the acupunc-ture plus acupoint-injeetion group was superior to that in the acupuncture group(P【0.01).

CLINICAL OBSERVATION ON ACUPOINT INJECTION ANALGESIA FOR ARTIFICIAL ABORTION

In the present study, the effect of acupoint injection analgesia for artificial abortion was observed. 40 patients were divided at random into 2 groups: Acupoint injection group(n=20) and control group (n=20). In the former group, bilateral Zusanli (ST 36) and Sanyinjiao (SP 6) were selected. 1-1.5 ml diluted analgesic solution was injected into each acupoint respectively about 5-10 minutes before operation. The blood pressure (BP) and heart rate (HR) of the patients were all monitored before and during operation. Results showed that the effective rates of analgesia for uterus aspiration and dilation of the uterine cervix were 90 percent and 85 percent respectively. Patients’ BP and HR during operation were all stable as compared with those before operation (P>0.05). It indicates that this method has a better effect in relieving abdominalgia and preventing nausea and vomiting during artificial abortion. It can be developed and used in clinic.

63 CASES OF HYPOGALACTIA DUE TO DEFICIENCY OF QI AND BLOOD TREATED BY ACUPOINT-INJECTION

Acupoint-injection of Viamine B12 was used for treatment of 63 cases of hypogalactia due to deficiency of qi and blood. As a result, 56 cases were cured, accounting for 88. 9%, 5 cases were remarkedly effective, accounting for 7. 9% and 2 cases were ineffective. The total effective rate was 96. 8 %

OBSERVATION ON THE THERAPEUTIC EFFECT OF ACUPOINT INJECTION FOR TREATMENT OF GOUTY ARTHRITIS

In the present paper, 60 cases of gouty arthritis patients were randomly divided into acupuncture group (n=30) and acupoint injection group (n=30). In these two groups, the tender point was used as the main acupoint, combined with Taichong (LR 3), Yinbai (SP 1), Sanyinjiao (SP 6), Juegu (GB 39), Xuehai (SP 10), etc. 10% Chishao (Radix Paeoniae Rubra) Injection and dexamethasone were used for acupoint injection. Results indicated that in acupoint injection and acupuncture groups, 15 (50.0%) and 9 (30.0%) cases had marked improvement, 12 (40.0%) and 10 (33.3%) were effective, and 3 (10.0%) and 11(36.7%) failed in treatment, with the total effective rats being 90.0% and 63.3% respectively. Statistical analysis shows that acupoint injection is significantly superior to simple acupuncture in the therapeutic effect (P<0.05).

A REPORT ON THE TREATMENT OF STEROID RESISTANT ASTHMA WITH ACUPUNCTURE-MOXIBUSTION AND ACUPOINT INJECTION

In the present paper, the authors report their results of treatment of 5 cases of steriod resistant asthma with acupoint-injection, body acupuncture, moxibustion and cupping. Bilateral Zusanli (ST 36) are used for acupoint injection of mixture solution of placenta tissue injectio (2 mL), Danggui (Radix Angelicae Sinesis) injectio (2 mL) and Huangqi (Radix Astragli seu Hedysari) injectio (4 mL), with 4 mL for each acupoint. Acupoints used for puncturing are bilateral Yuji (LU 10), Dingchuan (EX-B 1), Feishu (BL 13), Fengmen (BL 12), Gaohuangshu (BL 43), Taiyuan (LU 9), Fenglong (ST 40), Shenshu (BL 23), Zusanli (ST 36), etc.. Dazhui (GV 14), Tanzhong (CV 17), and Zhongwan (CV 12) are moxibustioned after insertion of acupuncture needles and achieving needling sensations. Cupping is applied to bilateral Dingchuan (EX-B 1) after removing acupuncture needles with a little blood out. Following 3 days’ treatment, these 5 asthma patients who have no apparent response to conventional medication treatment are relieved strikingly in the attack frequency, till the 7th day of the treatment, they have no any asthmatic onset again. One month’s follow-up shows no recurrence. Results indicate that acupuncture with moxibustion and cupping is fairly effective in relieving steriod resistant asthma patients who have no effect in responding to glucocorticoid treatment.

TREATMENT OF PRIMARY PALPEBRAL RETRACTION WITH ACUPOINT-INJECTION AND CHINESE MEDICINAL HERBS

In the present paper, the therapeutic effect of combined therapy of acupoint injection and Chinese medicinal herbs was observed in 59 cases of primary palpebral retraction patients. These 59 patients were divided into treatment group (n=38, treated with acupoint injection and Chinese medicinal herbs) and control group (n=21, treated with Chinese medicinal herbs alone). After 3 courses of treatment, of the 38 cases in treatment group, 25 (65.8%) were cured, 8 (21.1%) had marked improvement and 5 (13.2%) had improvement; of the 21 cases in control group, 8 (38.1%) were cured, 9 (42.9%) had marked improvement, 2 (9.5%) had improvement and 2 (9.5%) were ineffective. Statistical analysis showed a significant difference between the two groups in the therapeutic effect. The cure rate of experimental group was apparently higher than that of the control group, i.e. the therapeutic effect of the combined therapy of acupoint injection and Chinese medicinal herbs was superior to that of Chinese medicinal herbs alone.

OBSERVATION ON THE THERAPEUTIC EFFECT OF ACUPUNCTURE PLUS ACUPOINT-INJECTION FOR RHINALLERGOSIS

Aims: To observe the clinical effect of acupuncture plus acupoint injection of Acidi Nucleici et Caseini Hydrolysatis Composita in the treatment of allergic rhinitis. Methods: Ninety five cases of allergic rhinitis patients were randomized into acupuncture plus acupoint injection group (treatment group, n=40), acupuncture group (control group A, n=30) and muscular injection group (control group B, n=25). Yingxiang (LI 20), Yintang (EX HN 3), Baihui (GV 20), Fengchi (GB 20), Fengmen (BL 12), Feishu (BL 13), etc. were used. Results: Following 20 days’ treatment, of the 40, 30 and 25 cases of allergic rhinitis in treatment, control A and B groups, 16 (40.0%), 8 (26.7%) and 0 were cured, 22 (55.0%), 14 (46.7%) and 4 (16.0%) experienced improvement in their symptoms and signs, and 2 (5.0%), 8 (26.7%) and 21 (84.0%) failed in the treatment, with the effective rates being 95.0%, 73.3% and 16.0% separately. The therapeutic effect of treatment group was significantly superior to those of two control groups (P<0.05, 0.01). Conclusion: The therapeutic effect of acupuncture plus acupoint injection of Injecto Acidi Nucleici et Caseini Hydrolysatis Composita is definite.

The effect of foot bath of Chinese medicine combined with acupoint injection for diabetic peripheral neuropathy:a meta analysis

目的:运用meta分析技术评价中药足浴联合穴位注射治疗糖尿病周围神经病变的疗效。方法:计算机检索Cochrane Library、Pubmed、Web Of Science、中国生物医学文献数据库、中国知网、中文科技期刊数据库、万方数据库等,收集中药足浴联合穴位注射治疗糖尿病周围神经病变的随机对照试验,检索时间均为建库至2016年10月。对符合条件的文献进行资料提取,用Cochrane Reviewer Handbook 5.1.0偏倚风险评估工具进行质量评价,Meta 分析采用RevMan 5.3软件。结果:共纳入11项研究,共927例。Meta分析结果显示:①中药足浴联合穴位注射可提高糖尿病周围神经病变临床总有效率(OR=5.07,95%CI:3.23-7.94, Z=7.08, P<0.00001)。②改善腓神经(SMD=1.08,95%CI:0.66-1.48, Z=5.30, P<0.00001)、胫神经(SMD=1.08,95%CI:0.58-1.58, Z=4.22, P<0.0001)和正中神经运动传导速度(SMD=0.46,95%CI:0.23-0.68,Z=3.96, P<0.0001)。③增加腓神经(SMD=0.80,95%CI:0.54-1.05, Z=6.06, P<0.00001)和正中神经(SMD=0.66,95%CI:0.38-0.93, Z=4.73, P<0.00001)的感觉运动传导速度④降低中医症候积分(WMD=-4.21,95%CI [-4.95,-3.48], Z=11.25, P<0.00001)。结论:中药足浴联合穴位注射治疗糖尿病周围神经病变临床疗效显著,但应更深入地研究,设计出高质量的随机对照实验以证实其疗效的可靠性。

CLINICAL STUDY ON THE TIME OF TREATING CHEMOTHERAPY INDUCED TOXIC AND SIDE EFFECTS IN MALIGNANT TUMOR PATIENTS BY ACUPOINT INJECTION OF ASTRAGALUS ROOT INJECTION

Objective: To investigate the suitable time of treating virulent and side effects of chemotherapy for malignant tumor by acupoint injection of Astragalus Root injection. Methods: Sixty three patients with malignant tumor were divided into three groups: prevention treatment (PT) group (n=23 cases),post chemotherapy treatment (PCT) group( n=22 cases), Western medicine (WM) group ( n=18 cases). The patients in PT, PCT and WM groups were treated respectively from the fifth day on before chemotherapy and from the first day on after chemotherapy, 18 days in all. The patients in WM group were administered Batilol and Leucogen from the first day on after chemotherapy. Changes of leukocytes and immunoglobulin before and after treatment were observed. Results: 1) Acupoint injection of Astragalus Root injectio could increase the number of leukocytes and immunoglobulin content and its effect was better than that of Western medicine (P<0.05); 2) The effect of PT group was better than that of PCT group in preventing and treating virulent and side effects of chemotherapy (P<0.05). Conclusion: It should be stressed on prevention of malignant tumor by using acupoint injection of Astragalus Root for relieving virulent and side effects of chemotherapy.

CLINICAL OBSERVATION ON 60 CASES OF BENIGN HYPERPLASIA OF PROSTATE TREATED BY INJECTION OF "CHUAN-SHEN-TONG" INJECTIOINTO HUIYIN (CV1)

Objective: To observe the therapeutic e ffect of injection of "Chuan-Shen-Tong" Injectio (川参通注射液) at Huiyin (会阴 CV 1) on benign hyperplasia of prostate . Methods: 60 cases of benign hyperplasia of prostate patients were evenly randomized into treatment group and control group. Those of treatment group were treated with injection o f "Chuan-Shen-Tong" Injectio (composed of Rhizoma Ligustici Chuanxiong, Rad ix Salviae Miltiorrhizae, etc. for relieving hyperplasis of prostate, 4 mL/acupoin t) into Huiyin (CV 1) and the other 60 cases of control group were treated by oral administration of Hytrin (1 mg/d in the 1 st week and increasing 1 mg/3 d, 4 mg at m ost). After 28 days’ treatment, their therapeutic effects were compared. Result s: After treatment, of each 60 cases in treatment and control groups, 11 (18.3%) and 11 (11.7%) were controlled in their symptoms, 25 (41.7%) and 16 (26.7%) had marked improvement, 18 (30.0%) and 17 (28.3%) had improvement, and 6 (10.0%) an d 20 (33.3%) failed, with the effective rate and the markedly effective rate bei ng 90.0% and 66.7% in the treatment group and 66.7% and 38.3% in the control gro up respectively. The therapeutic effect of treatment group was significantly sup erior to that of control group (P<0.01 and P< 0.05). Conclusion: The therapeutic effect of point-injection of "Chuan-Shen-Tong" for benign hyperplasia of p rostate is better than that of oral administration of Hytrin.

经筋透刺法联合穴位注射治疗顽固性面瘫60例临床观察

目的探讨经筋透刺法联合穴位注射治疗顽固性面瘫的临床疗效。方法选取2020年5月至2021年10月在遂宁市中医院接受治疗的120例顽固性面瘫病人,采用随机数字表法随机分为单一组(60例)和联合组(60例),两组病人均给予常规西药治疗,单一组在此基础上给予穴位注射,联合组在此基础上给予经筋透刺法联合穴位注射,比较两组病人治疗前后面神经功能、神经生长因子(NGF)和胶质细胞源性神经营养因子(GDNF)水平、神经功能分级(H-B)评分、面瘫Portmann评分、Sunnybrook量表、复发率及临床疗效。结果单一组和联合组治疗后面神经功能明显改善,且联合组面神经功能改善情况明显优于单一组(P<0.05);单一组H-B评分治疗后较治疗前降低(2.63±0.54)分比(4.01±0.73)分,联合组(1.67±0.49)分比(4.03±0.71)分(P<0.05),且联合组H-B评分低于单一组(P<0.05),单一组和联合组GDNF(12.16±3.33)mg/L比(8.92±1.35)mg/L、(15.54±3.42)mg/L比(8.89±1.37)mg/L、NGF水平(12.16±3.33)mg/L比(8.92±1.35)mg/L、(15.54±3.42)mg/L比(8.89±1.37)mg/L、面瘫Portmann评分(15.31±1.03)分比(6.69±0.68)分、(17.24±1.16)分比(6.72±0.71)分、Sunnybrook量表评分(69.16±10.67)分比(36.42±10.17)分、(78.64±11.56)分比(36.17±10.13)分治疗后较治疗前升高,且联合组GDNF、NGF水平、面瘫Portmann评分、Sunnybrook量表评分高于单一组(P<0.05);联合组总复发率(3.33%)低于单一组(13.33%)(P<0.05);联合组总有效率(90.00%)明显高于单一组(75.00%)(P<0.05)。结论经筋透刺法联合穴位注射可改善顽固性面瘫病人临床症状及面神经功能,疗效较好且复发率较低。

新斯的明上巨虚穴位注射治疗老年结肠癌术后肠麻痹疗效观察

目的 探讨新斯的明上巨虚穴位注射治疗老年结肠癌术后肠麻痹(POI)的临床疗效。方法 选取河北省沧州市中心医院2020年10月至2022年10月收治的老年结肠癌术后POI患者60例,按随机数字表法分为对照组和研究组,各30例。对照组患者予新斯的明肌肉注射治疗,研究组患者予新斯的明上巨虚穴位注射治疗,两组患者均治疗3 d。结果 研究组总有效率为96.67%,显著高于对照的73.33%(P <0.05)。研究组患者的肠鸣音恢复、首次排便、首次排气、进食、住院的时间均显著低于对照组(P <0.05)。术后1 d,两组患者白细胞介素6(IL-6)及肿瘤坏死因子-α(TNF-α)的表达水平均较术前显著升高(P <0.05);术后3 d,两组患者腹痛、腹胀评分及IL-6,TNF-α的表达水平均较术前显著降低(P <0.05),且研究组均显著低于对照组(P <0.05)。两组患者均未发生不良反应。结论 新斯的明上巨虚穴位注射治疗老年结肠癌术后POI的临床疗效良好,可缓解患者的临床症状,降低炎性因子表达水平,改善肠胃道功能,且安全性好。