芒针透刺法对中风后偏瘫肌张力及运动功能的影响

目的:探讨芒针透刺法对中风后偏瘫肌张力及运动功能的影响。方法:通过对芒针透刺组(治疗组)和常规针刺组(对照组)肌张力Ashworth量表和Fugl-Meyer运动功能进行评分。结果:经治疗后,治疗组疗效优于对照组,两组统计学比较差异有统计学意义(P<0.05)。结论:芒针透刺法能显著改善中风后偏瘫肌张力及运动功能。

透刺法治疗膝骨性关节炎60例

目的:观察透刺法治疗膝骨关节炎的临床疗效。方法:治疗组60例取外膝眼透内膝眼,阳陵泉透阴陵泉,膝阳关透血海穴。对照组60例在膝关节局部取穴,内外膝眼,阳陵泉,阴陵泉,血海等穴。结果:治疗组有效率为96.6%,对照组为83.39%。治疗组疗效明显优于对照组。结论:治疗组与常规针刺相比更能加强表里两经及邻近经脉的沟通,增强刺激量和刺激面,使针感易于传导,经络易于畅通,气血易于调和,筋骨得到濡养,从而提高疗效,扩大主治范围。

透刺经筋法联合穴位注射对周围性面瘫面部生物电信号的影响

目的:研究透刺经筋法联合穴位注射对周围性面瘫面部生物电信号的影响。方法:将周围性面瘫患者随机分为治疗组和对照组,每组各49例。治疗组给予透刺经筋法结合穴位注射甲钴胺注射液,对照组仅给予透刺经筋法治疗,两组均以连续治疗6d,休息1d,持续4周为1疗程。比较两组治疗前后总有效率、治愈率、面部残疾指数、面部生物电信号等指标的变化。结果:治疗组总有效率和治愈率分别是95.7%和79.8%,对照组的总有效率和治愈率分别是89.8%和63.3%。治疗组HB评分显著低于对照组。面部残疾指数FDIP治疗组和对照组均比治疗前显著升高;FDIS两组均比治疗前显著降低,但治疗组优于对照组。治疗组和对照组咬肌、提唇上肌和额肌健患侧生物电差距均在治疗2周和4周后显著降低,治疗组这几组肌群的生物电信号健患侧差距改善程度均显著优于对照组。结论:透刺经筋法联合穴位注射对周围性面瘫疗效显著,可显著改善面部残疾指数和健患侧面部生物电信号差距。

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.

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.

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 Study on 28 Cases of Acute Cerebral Hemorrhage Treated by Scalp Acupuncture plus Rehabilitation Therapy

Objective： To evaluate the clinical efficacy of scalp penetrating technique plus rehabilitation therapy in treating acute cerebral hemorrhage. Methods： The patients were allocated randomly by computer into scalp acupuncture plus rehabilitation group （A）, rehabilitation group （B） and Western medication control group （C）. Results： The total effective rate and the curative and remarkable effective rate were 92.9% and 75.0% respectively in Group A, and 84.6% and 69.2% respectively in Group B and 75.9% and 37.9% respectively in Group C. There was a very significant difference in comparison of Group A and Group B with Group C （P〈0.01, P〈0.05）. There was no significant difference between Group A and Group B （P〉0.05）. But the total effective rate was significantly higher in Group A than in Group B. Conclusion： Scalp acupuncture plus rehabilitation therapy can obviously enhance the clinical effect in cerebral hemorrhage, reduce the neural deficit due to acute cerebral hemorrhage and improve the ability in daily life.

Observation on clinical effect of acupuncture for peripheral facial paralysis in acute period and facial nerve F-wave

Objective： To observe the clinical effect of acupuncture on peripheral facial paralysis in acute period and changes in facial nerve F-wave.Methods： A total of 148 eligible cases were randomly allocated into an observation group（n=74） and a control group（n=74） by their visiting sequence. In addition to oral Prednisone and Aciclovir tablets, patients in the observation group received point-towards-point acupuncture therapy, whereas patients in the control group received routine acupuncture therapy. The treatment was done once a day and 6 times made up a course of treatment. The efficacy evaluation was made after 2 courses. The electromyography（EMG） F-wave was monitored before and after treatment. Results： After 2 courses of treatment, the recovery rate and total effective rate were 47.3% and 94.6% respectively in the observation group, versus 20.3% and 82.4% in the control group, showing statistical differences（P〈0.01）. Before treatment, the facial nerve F-wave latency on the affected side was prolonged and its frequency of occurrence was decreased in both groups. After treatment, the F-wave latency and frequency of occurrence were significantly improved in both groups（P〈0.05） and there were significant between-group differences（P〈0.05）. Conclusion： In addition to Western medication, point-towards-point acupuncture therapy can obtain more accurate and better effect than routine acupuncture therapy for acute peripheral facial paralysis.

Therapeutic observation on point-toward-point needling at points on the low back regions for residual back pain after percutaneous kyphoplasty

Objective: To observe the effect of point-toward-point needling at points on the low back regions on residual back pain after percutaneous kyphoplasty (PKP), thoracolumbar function and quality of life (QOL) in patients with osteoporotic vertebral compression fracture (OVCF). Methods: A total of 72 patie nts with OVCF and residual back pain after PKP were in eluded and allocated into a treatme nt group (n=36) and a control group (n=36) by the random number table. Cases in the control group received salmon calcitonin injection (miacalcic), for 1 mL each time, once a day, and oral intake of calcium carbonate D3 pill, 600 mg each time, once a day, whereas cases in the treatment group received point-toward-point needling at points on the low back regions and electroacupuneture (EA) for 30 min each time, once a day and 6 times a week on the basis of the treatment in the control group. Treatment in both groups lasted for 2 weeks. Therapeutic efficacy indicators including visual analog scale (VAS), Oswestry disability index (ODI) and Barthel index (Bl) were evaluated before and after treatment and at follow-up visit (1 month after treatment). Results: The total effective rate was 94.4% and 88.9% in the treatment group after treatment and at the follow-up visit, respectively, higher than 77.8% and 69.4% in the control group, and the between-group differences were statistically significant (both P<0.05). After treatment and at the follow-up visit, the VAS and ODI scores decreased, and Bl scores in creased in both groups, and the in tra-group differe nces were statistically sign ifica nt (all P<0.05). After treatme nt and at the follow-up visit, between-group differences of VAS, ODI and Bl scores were statistically significant (all P<0.05). Conclusion: On the basis of conventional medication treatment, point-toward-point needling at points on the low back regions has a good therapeutic effect in relieving residual back pain after PKR improving thoracolumbar function and QOL, better than conventional medication treatment alone.

Influence of Acupuncture on Biochemical Parameters in Exercise-induced Fatigue Rats

Objective： To observe the effect of acupuncture on some biochemical parameters in rats with exercise-induced fatigue and to explore the mechanism of acupuncture for exercise fatigue. Methods： The rat model of chronic exercise-induced fatigue was established by a 4-week increasing swimming training method The rats were randomly divided into a control group, a model group, a scalp acupoint group, and a body acupoint group. Preventive acupuncture methods were used. Changes of exhaustive swimming time, whole blood lactic acid （LA）, creatine kinase （CK）, blood urea nitrogen （BUN）, hemoglobin （Hb） and free tryptophan/branched chain amino acid （F-TRP/BCAA） of rats in each group before and after treatments were observed. Results： Compared with the body acupoint group, there were obvious advantages of the scalp point group in increasing Hb levels and lowering BUN and LA levels （P〈0.05）, as well as in aspects of lowering CK and F-TRP/BCAA levels （P〈0.01）. Conclusion： Scalp point acupuncture can improve the biochemical parameters in rats with exercise-induced fatigue, meanwhile, decrease the F-TRP/BCAA level, inhibit the 5-HT Droducine. and improve the rats＇ fatieue conseouentlv.

Clinical study on tube moxibustion plus point-toward-point needling method in treating refractory facial paralysis

Objective To evaluate the clinical efficacy of tube moxibustion plus point-toward-point needling method for refractory facial paralysis.Methods A total of 100 patients with refractory facial paralysis who met the inclusion criteria were randomized into an observation group and a control group,with 50 cases in each group.Both groups were treated with acupuncture by point-toward-point needling method,mainly in the affected eye,cheek and mouth areas.The observation group was given additional tube moxibustion after receiving the point-toward-point needling method,which inserted a tube moxibustion device into the external acoustic meatus 1 cm on the affected side for 20 min.Both groups were treated once a day,6 times a week,for 4 consecutive weeks.The House-Brackmann scale was scored before and after treatment,and the facial nerve electromyogram data were collected.Results The total effective rate of the observation group was 93.6%,which was higher than 64.6%of the control group,and the difference between the two groups was statistically significant(P<0.05).The proportion of new-onset facial paralysis complications(facial synkinesis,facial spasm,facial paralysis perversion,and crocodile tears)in the observation group was 6.4%,which was lower than 35.4%in the control group.The difference between the two groups was statistically significant(P<0.05).In the observation group,the numbers of cases after treatment with the ratio of action potential amplitude between the affected side and the healthy side increased by 10%–30%and over 30%were more than those in the control group.And the difference between the two groups was statistically significant(P<0.05).Conclusion Tube moxibustion plus point-toward-point needling method has a better effect in improving symptoms of refractory facial paralysis,decreasing the incidence of sequelae,and increasing clinical efficacy than the point-toward-point needling method alone.

Introduction to Prof. HUANG Xian-ming's Needling Techniques

In his over seventy-year practice of Chinese medicine, Prof. HUANG Xian-ming inherited plentiful academic experience from his father, Mr. HUANG Hong-fang and has a thorough understanding of the needling techniques described in Nei Jing （ Inner Canon ） and has developed his own school in the clinical treatment. Prof. HUANG believes that the manipulating skills of the needling techniques are the key to the therapeutic effects, and the needling techniques include the tonifying, reducing, warming, clarifying, ascending, descending, diminishing and opening skills. Among them, the tonifying technique is able to support the anti-pathogenic ability and get rid of deficiency, often used for diseases and patterns induced by insufficiency of qi and blood and low immunity. The reducing technique is used to reduce excessive symptoms and dissipate the pathogens, often used for pathogenic patterns of hyperactive pathogenic heat, qi stagnation and blood stasis, and muscular spasm and swelling.

Effect of complex reinforcing-reducing manipulation on lower limb motion and balance disorder in patients with subacute combined degeneration of the spinal cord

Objective：To observe the effect of complex reinforcing [Shao Shan Huo （Mountain-burning Fire）] and reducing [Tou Tian Liang （Heaven-penetrating Cooling）] manipulations on motion and balance of the lower limbs in patients with subacute combined degeneration of the spinal cord （SCD）. Methods：A total of 100 SCD cases were randomly allocated into an observation group and a control group by their visit sequence, 50 cases in each group. On the basis of Western medical treatment, cases in the observation group were also treated with acupuncture therapy plus complex reinforcing-reducing manipulation; whereas cases in the control group were only treated with the same Western medical treatment as those in the observation group. Before and 2 months after treatment, kinematic parameters including muscle force, muscle tone and range of motion of the hip and knee joints were measured. In addition, balancing parameters including the path length of center of pressure （COP）, peripheral area, COP path length per unit area and rectangular area were also measured before and after treatment. Results：After treatment, there were statistical intra-group differences in COP path length, peripheral area, COP path length per unit area, left-right offset, rectangular area, coefficient of stability and coefficient of weight distribution （P〈0.01）. There were statistical inter-group differences in muscle force, muscle tone and range of motion of hip and knee joints （P〈0.01）. The total effective rate was 83.3% in the observation group, versus 60.0% in the control group, showing a statistical difference （P〈0.05）. Conclusion：Complex reinforcing-reducing manipulations can improve the lower limb motion and balance in SCD patients.

Effect Observation on Point-through-point Needling Combined with Tuina for Post-stroke Shoulder-hand Syndrome

Objective：To observe the effect of point-through-point needling combined with tuina for shoulder-hand syndrome after stroke.Methods：Eighty-six cases with post-stroke shoulder-hand syndrome were randomly divided into an observation group and a control group,43 cases in each group.Patients in the observation group were treated by point-through-point needling combined with tuina therapy on the basis of the conventional treatment;while patients in the control group were treated by tuina therapy on the basis of conventional therapy.Six treatments constitute a course,and the efficacy was evaluated after 4 courses.Results：The total effective rate was 88.4% in the observation group,and it was 69.8% in the control group.And the comparison indicated that the observation group had a more efficient result than the control group did （χ 2 =4.497,P〈0.05）.The scores of visual analogue scale （VAS） and Fugl-Meyer assessment （FMA） were significantly improved after treatments in both groups （P〈0.05 or P〈0.01）.After treatment,the scores of VAS and FMA of the observation group were significantly different from that in the control group （P〈0.05）.Conclusion：Because of the efficacy,point-through-point needling combined with tuina therapy for shoulder-hand syndrome after stroke is certainly worthy of further study,and can be used in clinical practice.

Effect of complex reinforcing-reducing manipulations on hip and knee flexion and extension angles after surgery of gluteus maximus contracture

Objective： To observe the effect of complex reinforcing-reducing manipulations of acupuncture on flexion and extension angles of hip and knee in patients after surgical treatment of gluteus maximus contracture. 〈br〉 Methods： A total of 66 cases following surgery of gluteus maximus contracture were randomly allocated into an observation group and a control group by the random digits table, 33 in each group. In addition to basic treatment, cases in the observation group were treated with reducing manipulation [Tou T ian Liang （Heaven-penetrating Cooling）] on Zhibian （BL 54）, Huantiao （GB 30） and Juliao （GB 29） on the affected side and reinforcing manipulation [Shao Shan Huo （Mountain-burning Fire）] on Biguan （ST 31）, Futu （ST 32）, Zusanli （ST 36）, Fenglong （ST 40）, Xuehai （SP 10）, Diji （SP 8） and Yanglingquan （GB 34）. Patients in the control group only received the same basic treatment as the observation group. The treatment was done once a day, 30 d for a course and a 1-week interval between two courses. Then the flexion and extension angles of hip and knee were evaluated using the Lokomat full automatic robot gait evaluation system after 3 courses of treatment. 〈br〉 Results：There were intra-group statistical differences in hip flexion angle on foot followed （HFA-FF）, the maximum of hip flexion angle （MAX-HFA）, the maximum of hip extension angle （MAX-HEA）, knee flexion angle on foot followed （KFA-FF）, the maximum of knee flexion angle on stance phase （MAX-KFA-TP） and the maximum of knee flexion angle on swing phase （MAX-KFA-WP） in the observation group and in HFA-FF, MAX-HEA and KFA-FF in the control group （P＆lt;0.05）. There were between-group statistical differences in HFA-FF, MAX-HFA, MAX-HEA, KFA-FF and MAX-KFA-TP （P＆lt;0.05）. 〈br〉 Conclusion： The complex reinforcing-reducing manipulations of acupuncture can effectively improve the hip/knee functions following surgery of gluteus maximus contracture.