COMBINED TREATMENT OF 54 CASES OF APOPLECTIC SEQUELAE WITH ACUPUNCTURE AND CHINESE MEDICINAL HERBS

In the present paper, 54 cases of apoplectic sequelae were treated with acupuncture plus Chinese medicinal herbs. Acupoints used were scalp point Motor Area (MS 6), points of body acupuncture: Jianyu(LI 15) and Shousanli(LI 10) for paralysis of the upper limb; Zusanli (ST 36)and Xuanzhong (GB 39) for paralysis of the lower limb, combined with other points based on syndromes. Chinese medicinal herbs for reinforcing qi, promoting blood circulation, relieving muscular spasm and dredging meridians were used. Patients of the control group were treated with Troxerutinum, enteric Aspirin, etc.. Findings showed that out of the 54 cases of the treatment group, 28 were cured basically, 16 had marked improvement, 8 had improvement and 2 were ineffective, with the total effective rate of 96. 3%; of the 28 cases in the control group, 3 were cured basically, 7 had striking improvement, 13 had improvement and 5 were ineffective, with the total effective rate of 82.2%.Both the total effective rate and the basic-cure rate of the treatment group were significantly higher than those of the control group (P<0. 01). Results of the present paper display that manipulating the needle to cause "qi reaching the affected area" and applying Chinese medicinal herbs can act on the locus by way of meridians which is the key point for achieving better therapeutic effect.

Forty-seven Cases of Gonitis Treated by A Combined Therapy of Chinese Drugs and Acupuncture

Osteoarthritis, a nonspecific inflammatory lesion, is a commonly seen joint disease. Clinically, it is mainly characterized by arthralgia, swelling, and motor impairment. Since the knee joint is the load-bearing joint of the human body, and is susceptible to trauma, gonitis tends to have the highest morbidity in the four limbs, which manifests itself arthritis of patella and femur at the early stage; narrowness or disappearance of the medial joint space at the mid stage; and damage of the cartilage accompanied with flexion deformity at the late stage. In recent years, based on the experience of Prof. Cao Yiming, the author has treated 47 cases of gonitis by combined use of Chinese drugs and acupuncture, and obtained satisfactory therapeutic results as reported in the following.

COMBINED TREATMENT OF 200 CASES OF PERIPHERY FACIAL PARALYSIS WITH ACUPUNCTURE AND CHINESE MEDICINAL HERBS

In the present study, 200 cases of periphery facial paralysis were treated with combined therapies of handle needle, electroacupuncture (EA), electronic moxibustion and oral administration of Supplemented Qianzheng San. After treatment, of the 200 cases, 176 were cured, 15 had marked improvement and 9 had improvement. Two groups of acupoints were chosen and used alternately for keeping the excitement of acupoints, preventing acupoint fatigue and raising the therapeutic effect. In the acute stage of periphery facial palsy, acupuncture treatment was performed using shallow needling, mild manipulation and no needling penetration. In the convalescence stage and sequela stage, penetration needling was adopted and stronger stimulation given. During acute period and when facial muscular spasm appeared, EA stimulation was not suitable for facial acupoints. Over use of vision should be avoided.

Clinical Observation on Treatment of Acquired Paralytic Strabismus by Acupuncture Plus Oral Administration of Chinese Herbs

From June 1996 to June 2002, the author treated 38 cases of acquired paralytic strabismus by acupuncture plus oral administration of Zheng Rong Tang (正容汤), with another 38 cases of acquired paralytic strabismus treated only with oral administration of Chinese herbs as the controls. The results are reported as follows.

Chinese Herbal Medicine and Acupuncture Used for Rehabilitation of the Impaired Urinary System in Patients with Paraplegia—A Report of 52 Cases

Infection of the urinary system is frequently seen in the paraplegic patients with urinary complications,which is one of the main reasons for the late death in such cases. The effects of the therapeutic method adopted for the urinary rehabilitation are directly related to the life quality and survival time of the paraplegic patients. Since 1999-2002, the authors had applied Chinese herbal medicine combined with acupuncture for the urinary rehabilitation in 52 paraplegic patients, with quite good therapeuticresults as reported in the following.

Treatment of Phlegm-and Heat-induced Insomnia by Acupuncture in 120 Cases

Clinical DataThe 120 cases in this series were outpatients suffering from insomnia due to interior-stirring by phlegm-heat, ranging in age from 28 to 67 years. They were randomly divided into a treatment group and a control group.

Acupuncture, Moxibustion, and Combination Therapies for Insomnia

Insomnia, a common sleep disorder, affects general well-being, hastens the onset of other diseases, and impairs work performance. Hypnotic medications are efficacious in the short term but have obvious side effects. Acupuncture, often used to treat insomnia in traditional Chinese medicine (TCM), is considered to be beneficial in restoring the normal sleep-wake cycle by regulating and restoring the natural flow of qi (energy power). The three main TCM theories for treating insomnia by acupuncture are the tranquilization disturbance, zangfu disturbance (disequilibrium of internal organs), and imbalance of yin and yang theories. Moxibustion, another treatment for insomnia, is usually combined with acupuncture. Acupuncture and moxibustion with tuina (exercise massage), acupuncture with Chinese herbal injection, electroacupuncture, and acupuncture with medication or psychotherapy are other interventions. Some acupuncture-based methods such as needle-rolling acupuncture, auricular acupoint plaster therapy, phlebotomy, and acupoint catgut-embedding therapy are used as well. Although most clinical trials have shown that acupuncture and its combination therapies are significantly effective in insomnia, the beneficial effects may have been overvalued, because of small sample size, nonstrict inclusion and exclusion criteria, flawed methodology, short follow-up, or nonstandardized evaluation. Therefore, clinical studies of high methodological quality are needed to verify the efficacy of acupuncture, moxibustion, and other combination therapies in insomnia.

An Approach to the Integration of Acupuncture and Drug

Integration of acupuncture and drug is a therapeutic method in which acupuncture treatment and pharmacotherapy are synchronously performed in the same patient to prevent and treat the disease. Its importance can be traced back to Sun Simiao (581-682 A.D.), a prominent physician of China's Tang Dynasty. He pointed out that: A physician who masters only acupuncture treatment in clinical practice but not moxibustion, or masters only moxibustion treatment but not acupuncture is not a skillful doctor; and a physician who is only aware of the application of acupuncture and moxibustion but ignorant of pharmacotherapy, or is only aware of pharmacotherapy but ignorant of the application of acupuncture and moxibustion also should not be a skillful one. Not only should a skillful doctor have the knack of applying acupuncture and moxibustion, but he should have the knack at pharmacotherapy in treating diseases. Each of acupuncture and moxibustion, and drug has its strong points. Therefore, both of them should be used simultaneously, thus bringing the strong points of both individuals into full play and offsetting their weaknesses so as to obtain a satisfactory therapeutic effect. With the development of modern medicine and introduction of advanced technology, there have been brilliant developments in the method and applied range of integration of acupuncture and drug, particularly in the studies on combined anesthesia induced by using acupuncture and drug, and administering drug by acupoint. All these have provided us a ground to further probe into the mechanism underlying the integration of acupuncture and drug.

TREATMENT OF 50 CASES OF SENILE DEMENTIA BY ACUPUNCTURE COMBINED WITH INHALATION OF HERBAL DRUGS AND OXYGEN

Clinical DataCase selection: 100 cases who met thediagnostic criteria of senile dementiaformulated by American Association ofPsychiatry in Handbook of Diagnosis andStatistics (DSM-Ⅲ-R, 3rd revised edition)

Twenty-eight Cases of Neuritis of Lateral Cutaneous Nerve of Thigh Treated by Acupuncture and Point-Injection

Neuritis of lateral cutaneous nerve of thigh, also called meralgia paresthetica, is a commonly encountered disease in clinical practice. The author has treated 28 cases of meralgia paresthetica since 1996 by acupuncture plus point-injection with satisfactory results. A report follows.Clinical Data Among the 28 cases, 13 were male and 15 female. Their age ranged from 24 to 72 years, most of the patients being 35 to 50 years; the duration of illness varied from one month to ten years and 6 cases were affected on left side, 8 cases on right side and 14 cases on both sides.

Personal Experience in Acupuncture Treatment of Mental Diseases

Under the guidance of family veteran Chinese physicians, the author has been pursuing the research and treatment of mental diseases with Chinese herbal medicine supplemented by acupuncture and moxibustion with satisfactory therapeutic effects which is introduced as follows.

Thirty Cases of Acute Lumbar Sprain Treated by Acupuncture Combined with Point-Injection at Tianzhu

In recent years, the authors have treated 30 cases of acute lumbar sprain by acupuncture combined with point medicinal injection at Tianzhu (BL 10), and obtained quite good therapeutic results, as is reported in the following.

Treatment of 482 Cases of Cervical Spondylopathy by Combining Point-injection and Needle-warming via Moxibustion

From January 1993 to December 1996, we treated 482 cases of cervical spondylopathy with a combined method of point-injection and needle-warming via moxibustion. Except for the cases of sympathetic nerve type and spinal cord type, the combined method was superior to traction therapy in the control group and reported as follows.Clinical DataThe Criteria of Diagnosis and Curative Effect in TCM issued by the State Administrative Bureau of TCM and Pharmacy in 1994 was adopted for the enrollment of patients of cervical spondylopathy and the pathological typing. Only the patients who had completed the treatment and with complete records were collected for analysis.

Juvenile Myasthenia Laryngis Treated by Acupuncture and TCM Medication

Myasthenia laryngis, or laryngoparalysis, oftenoccurs in juvenile teachers, actors or actresses, andmusical school students.

Treatment of Prolapse of Rectum with Acupuncture Combined with TCM Drugs in 38 Cases

Prolapse of rectum usually occurs in the children with insufficient qi and blood, in the elders with declined qi and blood or deficiency of qi in the middle jiao (burner), in the women who made qi exhausted during labor resulting in deficiency of qi and blood, and in those with chronic diarrhea, habitual constipation and long-standing cough. All these may cause sinking of qi in middle jiao and induce the disorder. Therefore in treating the disorder, the primary causes should also be treated simultaneously.

穴位敏感点揿针配合中药治疗多发性抽动症的疗效观察

目的 观察穴位敏感点揿针配合中药治疗多发性抽动症的临床疗效。方法 将150例多发性抽动症患者随机分为治疗组、对照1组和对照2组,每组50例。治疗组采用穴位敏感点揿针配合中药治疗,对照1组采用揿针配合中药治疗,对照2组采用口服盐酸硫必利片治疗。观察3组治疗前后耶鲁抽动程度综合量表(Yale global tic severity scale, YGTSS)各项评分及各项中医症候积分的变化情况,比较3组临床疗效及不良反应发生率。结果 治疗组总有效率为89.6%,对照1组为80.4%,对照2组为69.6%,治疗组总有效率明显高于对照1组和对照2组(P<0.05),对照1组总有效率明显高于对照2组(P<0.05)。3组治疗后中医证候积分及YGTSS各项评分均较同组治疗前显著下降,差异均具有统计学意义(P<0.05)。治疗组和对照1组治疗后中医证候积分及YGTSS各项评分均明显低于对照2组,差异均具有统计学意义(P<0.05)。治疗组治疗后运动抽动、烦躁易怒、精神倦怠、纳差积分及YGTSS各项评分均明显低于对照1组,差异均具有统计学意义(P<0.05)。治疗组治疗期间不良反应发生率为6.3%,对照1组为8.7%,对照2组为26.1%,治疗组和对照1组不良反应发生率均明显低于对照2组,差异均有统计学意义(P<0.05)。结论 穴位敏感点揿针配合中药治疗脾虚肝旺型多发性抽动症有较好的临床疗效,能够改善多发性抽动症患者的临床症状,安全性较高。

中医药治疗斑秃研究进展

斑秃是一种较为常见的非瘢痕性炎症性脱发,禀赋不足气血空虚、饮食不节湿热内蕴、情志失调瘀阻脉络、腠理不固风袭巅顶等皆可导致斑秃的发生,其病性属本虚标实。本病可从肝肾不足、气血亏虚、血虚风燥、血热动风、肝郁血瘀、湿热蕴蒸6个证型辨治。现从辨证论治、专方治疗、中成药治疗、针药并用以及中西医结合治疗角度概括中医药治疗斑秃的研究进展,以期为临床治疗斑秃提供思路。

运用朱必泉外治验方痹痛散经验

痹痛是临床常见病、多发病,也是针灸科的优势病种,杨贤海主任医师以活血化瘀、疏经通络为主要治疗原则,灵活运用朱必泉外治验方痹痛散结合针灸治疗痹痛,多有效验。针刺以疏经通络、调气行血,中药以调理脏腑、活血化瘀,针药合用,内外结合,标本兼治。此文选录杨贤海主任医师应用痹痛散治疗肩痹、腰痹、膝痹及蛇丹愈后痛验案5则,分析痹痛散组方思路,以期拓展临床治疗痹痛的经验。

Clinical Observation on Treatment of Post-operative Gastrointestinal Syndrome with Combined Acupuncture and Herbs

Objective： To observe the therapeutic effect of treating postoperative gastrointestinal syndrome with combined needles and herbs. Method： Altogether 117 in-patients were randomly allocated into the treatment group of 86 cases and control group of 31 cases. Point injection was mainly adopted in the treatment group plus Chinese herbal decoction, while Western medicine was adopted in the control group. And then the therapeutic effect of the two groups was compared. Result： The total effective rate of the treatment group and control group were 96.5% and 80.6% respectively, and the treatment course of the treatment group was significantly shorter than the control group （P 〈 0.01）. Conclusion： Combined needles and herbs have excellent effect in treating postoperative gastrointestinal syndrome and were superior to Western medicine.

Observation on therapeutic effects of acupuncture plus Chinese herbs for sudden deafness

Objective： To observe the clinical effect of wind-expelling method of acupuncture and Chinese herbs for sudden deafness. Methods： A total of 90 cases with sudden deafness were randomly divided into three groups based upon their visit order and random digital table, an acupuncture plus Chinese herbs （APCH） group, an acupuncture group, and a Western medication （WM） group, 30 cases in each group. The APCH group was treated by puncturing Fengchi （GB 20）, Fengfu （GV 16） and Fengmen （BL 12）, without retaining the needles, and then by puncturing Zhongwan （CV 12）, Guanyuan （CV 4）, Qihai （CV 6） and Tianshu （ST 25） with reinforcing technique after arrival of the needling sensation, and the needles were retained for 30 min, plus oral administration of wind-expelling Chinese herbs. The acupuncture group was treated with the acupoints selected by syndrome differentiation in reference to the textbook of Acupuncture ond Moxibustion Science. The WM group was treated by intravenous infusion of Alprostadil injection, Adenosine Disodium Triphosphate and Coenzyme A and muscular injection of Vitamin B12 and Vitamin BI. The decibel values of hearing loss before and after treatment were respectively recorded and analyzed comparatively. Results： In the intra-group comparison after treatment among the three groups, the decibel values of hearing loss all declined, with statistically significant differences （all P〈0.05）. After treatment, the decibel value of hearing loss in the APCH group was better than those in the acupuncture group （P〈0.05） and the WM group （P〈0.05）. The total effective rate was respectively 83.3% in the APCH group, 60.0% in the acupuncture group and 56.7% in the WM group. The total effective rate in the APCH group was better than those in other two groups （both P〈0.05）. Conclusion： The therapeutic effect was better for sudden deafness by wind-expelling method of acupuncture and Chinese herbs than by acupuncture alone or by Western medication.