Treatment of 30 patients with intractable facial paralysis by warming-needle moxibustion at B?ihuì(百会 GV 20)combined with penetration needling

Objective To observe the clinical efficacy of moxibustion at B ihuì（百会 GV 20） combined with penetration needling in treatment of intractable facial paralysis. Methods Sixty patients with intractable facial paralysis included in the study were divided into two groups according to the random number table, with 30 patients in observation group（group A）, and 30 patients in control group（group B）. Moxibustion at GV 20 combined with penetration needling were adopted in group A, and simple penetration needling was applied in group B. Once daily, thirty days of treatment were required. The House Brackmann（H-B） facial nerve function grading and improvement of clinical symptoms were observed. Results The H-B function grading and improvement of clinical symptoms in group A were superior to group B, and the difference was statistically significant（P〈0.05）. Conclusion The clinical efficacy of moxibustion at GV 20 combined with penetration needling in treatment of intractable facial paralysis is definite, and the treatment method is deserving of clinical promotion.

Experience of professor JIA Chun-sheng in rapid analgesia by subcutaneous penetration needling of auricular acupuncture

To introduce the experience of professor JIA Chun-sheng in rapid analgesia and motor function rehabilitation by subcutaneous penetration needling of auricular acupuncture.Subcutaneous penetration needling of auricular acupuncture plays a role in rapid analgesia and motor function rehabilitation in treatment of pain in limbs and trunk and/or limb dysfunction caused by migraine,cervical spondylosis,acute lumbar sprain,soft tissue injury,scapulohumeral periarthritis,lumbar disc herniation,sciatica,stroke or cerebral trauma,and it is worthy of being widely promoted and applied clinically.

Penetration needling on complementary acupoints for insomnia

Objective To observe the comparison of the clinical efficacy between penetration needling from Neiguan （内关 PC 6） to Waiguan （外关 TE 5） and western medicine estazolam for insomnia. Methods Sixty insomnia patients were divided into 2 groups according to the random number table, 30 cases in each group. Penetration needling from PC 6 to TE 5 was mainly adopted in acupuncture group for once a day, 5timesa week, and treatment for 4 weeks was 1 course of treatment. Estazolam was orally given in medicine group before sleep every night in a dosage of 1 mg per time, and treatment for 4 weeks was 2 course of treatment. After 4 weeks, the clinical efficacy and the Pittsburgh Sleep Quality Index （PSQI） score were compared respectively between the two groups. Results The total effective rate was 90.00% in acupuncture group and 63.33% in medicine group, and the difference was statistically significant （P〈0.05）. PSQI score in acupuncture group was （7.93＋3.77）, which was superior to that in medicine group （10.60＋4.20）, and the difference between the two groups was statistically significant （P〈0.05）. Conclusion The penetration needling of complementary acupoints from PC 6 to TE 5 was simple and convenient which can significantly improve the patients＇ sleep quality.

Ninety cases of simple obesity treated with the combined therapy of penetration needling, flash-fire cupping method and auricular acupuncture

Objective: To observe the clinical effects on simple obesity treated with the combined therapy of penetration needling, flash-fire cupping method and auricular acupuncture.Methods: In 90 patients of simple obesity, the Bo’s abdominal acupuncture therapy was adopted. Taking Shénquè(神阙 CV 8), the points 2 cun directly below CV 8 and 2 cun directly above CV 8 as the landmarks, 3 cun bilateral to each of the above three points, and penetrated through to the conception vessel. Then the electroacupuncture apparatus was connected, with the disperse-dense wave for 30 min.After acupuncture, the glass cup of the middle size was used to stimulate the selected points with the flash-fire cupping method. The cupping stimulation stopped when the skin turned to be slightly red. One treatment was given each day and every other day after 5 days. The 10 treatments made one course. In the auricular acupuncture therapy, Jīdiǎn(饥点), Shénm6 n(神门TF4), NèiFēnmì(内分泌CO18) and S5 njiāo(三焦 CO17) were selected. The auricular acupuncture therapy was given once every two days and 10 treatments made one course. After 3 courses of treatment, the waist circumference, hip circumference,body weight and body mass index(BMI) were observed.Results: Compared to before treatment, after 3 courses of treatment, the waist circumference of patients was(92.3 ±2.4 vs 80.4 ±2.3) cm, hip circumference(110.6 士 2.3 vs 99.2 ±2.5) cm, body weight(74.2 ±3.1 vs 68.2 ±2.4) kg and BMI(29.8 士 3.1 vs 25.2 士 2.1), they were all reduced obviously, indicating the significant differences(all P<0.05). Seventy-nine patients lost three to five kilograms, accounting for 87.8%.Conclusion: The combined therapy of penetration needling at abdomen, flash-fire cupping method and auricular acupuncture achieves the significant therapeutic effects on simple obesity.

CLINICAL OBSERVATION ON TREATMENT OF PERIPHERAL FACIAL PARALYSIS WITH DIFFERENT NEEDLING METHODS

Purpose: To observe the clinical therapeutic effect of different needling methods in the treatment of peripheral facial paralysis. Methods: A total of 158 cases of peripheral facial palsy patients are randomly divided into treatment group (n=116 cases, who are treated by penetration needling method) and control group (n=42 cases, who are treated with traditional acupuncture method). In treatment group, main acupoint pairs for penetration needling are Yangbai (GB 14) -Yuyao (EX-HN 4), Tongziliao (GB 1) -Taiyang (EX-HN 5), Jiache (ST 6) -Dicang (ST 4) and Chengjiang (CV 24) -Jiachengjiang (EX-HN) on the affected side, and in control group, the main acupoints used are Yifeng (TE 17), Yangbai (GB 14), Sibai (ST 2), Dicang (ST 4), Jiache (ST 6), Jingming (BL 1) and Chengjiang (CV 24). The treatment is given once daily with 10 sessions being a therapeutic course. Results: After 3 courses of treatment, the cure rates of treatment group and control group are 81.8% and 66.7% separately, showing a significant difference between two groups (P<0.05). The total effective rates of treatment and control groups are 96.5% and 88.1% separately, presenting a significant difference between two groups (P<0.01). Conclusion: The therapeutic effect of penetration needling method is better than that of traditional acupuncture method.

ACUPOINT TO ACUPOINT PENETRATIVE NEEDLING AND ITS CLINICAL APPLICATION

Acupoint to acupoint penetrative needling method has a long history in traditional Chinese medicine. Chinese physicians in various dynasties hold that this type of needling method can strengthen the needling sensations and raise the therapeutic effect in clinical practice. This needling method can be divided into straight penetration, oblique penetration and transverse penetration. In clinical application, it can also be divided into external medial meridian penetration, a single meridian penetration, neighboring meridians penetration, and neighboring acupoints penetration, etc. in accordance with the involved acupoints and meridians. Clinical practice demonstrates that penetrative needling possesses advantages of stronger needling sensations, better therapeutic effect and fewer acupoints selection. For this reason, it is extensively applied in clinic.

Risk Factors of Complications after CT-guided Percutaneous Needle Biopsy of Lumps Near Pulmonary Hilum

The factors influencing the incidence of common complications（pneumothorax and pulmonary hemorrhage） of CT-guided percutaneous needle biopsy of lumps near pulmonary hilum were investigated. CT-guided percutaneous needle biopsy of lumps near pulmonary hilum was performed on 48 patients. The complications of pneumothorax and pneumorrhagia as well as the contributing factors were analyzed statistically. The major complications associated with CT-guided needle biopsy included pneumothorax（13 cases, 27.1%） and pulmonary hemorrhage（14 cases, 20.24%）. ？2 test revealed that pneumothorax was associated with the lesion size and depth of needle penetration, and pulmonary hemorrhage with the depth of needle penetration and needle retention time with a significant P value. Pneumothorax was observed in 7 cases（17.5%） out of 40 cases with diameter of mass greater than 3 cm, and in 6 cases（60%） out of 10 cases with depth of needle penetration greater than 4 cm. Additionally, pulmonary hemorrhage was identified in 12 cases（41.4%） out of 29 cases with needle retention time longer than 15 min, and pulmonary hemorrhage in 7 cases（70%） out of 10 cases with depth of needle penetration greater than 4 cm. CT-guided percutaneous needle biopsy of lumps near pulmonary hilum is safe and effective. The key factors to prevent the complications include correct evaluation of lesion size, depth of needle penetration and the needle retention time before the operation. Key words： biopsy, CT-guided; hilum; pneumothorax; pulmonary hemorrhage

Ischemic Apoplexy-Induced Sequelae Treated by Penetrating Puncture with Long Needles

In recent years, the author have treated 47 cases of ischemic apoplexy-induced sequelae with long needles to perform penetrating puncture, and achieved satisfactory results as reported in the following.

Therapeutic effect observation on refractory facial paralysis treated with meridian sinew needling therapy

Objective:To observe the differences in the therapeutic effect on refractory facial paralysis between meridian sinew needling therapy and routine penetrating needling therapy.Methods:A total of 46 patients with refractory facial paralysis were randomly divided into a meridian sinew needling group and a routine penetrating needling group,23 cases in each one.The same acupoints were selected in the two groups.Besides using routine acupuncture technique,a part of acupoints were stimulated with the meridian sinew needling technique in the meridian sinew needling group.In the routine penetrating needling group,a part of acupoints were stimulated with the routine penetrating needling technique.In both of the groups,the needles were retained for 30 min and the treatment was given once every two days,10 treatments made one course.A total of 3 courses of treatment were required at the interval of 2 days.The score and grade of facial nerve function were recorded before and after treatment in the patients of the two groups.The clinical therapeutic effect was evaluated.Results:After treatment,the scores of facial nerve function were significantly improved compared with that before treatment in the patients of the two groups(both P<0.05).The difference value of the score of facial nerve function before and after treatment in the meridian sinew needling group was higher than that in the routine penetrating needling group,indicating a statistical significance(P<0.05).The grades of facial nerve function after treatment were different significantly as compared with those before treatment in the patients of the two groups(both P<0.05).However,the difference was not significant between the two groups after treatment(P>0.05).After treatment,the total effective rate in the meridian sinew needling group was 100%,which was higher than 91.3%in the routine penetrating needling group,while without statistical significant difference(P>0.05).Conclusion:Meridian sinew needling therapy of acupuncture greatly improves facial nerve function as compared with routine penetrating needling therapy.It would be an potential effective acupuncture technique for refractory facial paralysis.

Therapeutic Effect Observations on Individualized Treatment of Peripheral Facial Palsy

Objective： To investigate the curative effect of individualized treatment on peripheral facial paralysis. Methods： A treatment group of 121 patients was treated with acupuncture under an individualized plan based on the condition of disease. For a control study, 118 patients were treated with conventional acupuncture. The courses of treatment and the curative effects were compared. Results： The cure and marked efficacy rate was 90.9% in the treatment group and 69.5% in the control group. There was a significant difference （P〈0.01）. There was also a significant difference in the cure and marked efficacy rate in each courses of treatment between the two groups （P〈0.01）. Conclusion： Individualized acupuncture treatment is better in the effect and shorter in the courses than conventional acupuncture treatment for peripheral facial paralysis.

Effect of Fly Ash on Rheological Properties of Cement Paste

This paper is aimed to study the factors influencing rheological properties of cement paste with fly ash,including the quantity of cement replaced by fly ash,types of the fly ash,degree of cement hydration and the microstructure of cement paste. By changing the water-cement ratio,mixing different amounts of fly ash,adding different types fly ash,the rheological parameters of cement paste are measured with a rheometer,and the needle penetration are tested by Vical needle. A ultrasound velocity test was aslo employed to monitor hydration of paste at early ages. Combinations of different factors on the rheological properties of cement paste are studied. The objective is to reveal the effect mechanism of material nature and proportion of each component on the rheological properties of cement paste with fly ash.

Treatment of 60 Cases of Acute Lumbar Sprain by Puncturing Yintang(Ex-HN 3) toward Shenting(GV 24)

Sixty cases of acute lumbar sprain were treated by puncturing Yintang（Ex-HN 3） toward Shenting（GV 24）, among which, 50 cases were cured, 9 were improved and only one failed, and the total effective rate was 98.3%.