“合谷刺”法治疗面神经麻痹

目的运用古典针法“合谷刺”治疗面神经麻痹。方法以阳白、颧髎、地仓三穴为中心刺激点,将毫针斜刺(或沿皮刺)入皮下肌层,提插行针,使之得气,少年儿童和体弱者宜将针退至皮下,再分别向左右两侧按45°左右的角度进针,行针得气后即可出针;其他病人可以再从同一进针点分别向左右呈一定夹角各刺入一针(即1穴3针),其状如同鸡足一般。治疗期间,配合面部运动。结果本文报道96例,以5个疗程为疗效统计依据。痊愈68例(70.8%),显效13例(13.5%),好转10例(10.4%),无效5例(5.2%),有效率94.8%。结论“合谷刺”法取穴少、浅刺透穴、刺激面广,对本病疗效较好。病程越短,见效越速。

“合谷刺”配合电针治疗面神经麻痹的临床观察

对患者在半年以内的 4 1例周围性面神经麻痹 ,实施以“地仓”、“颊车”、“太阳”为中心 ,运用《灵枢·官针》篇中“合谷刺”法 ,配合G6 80 5— 2型电针仪进行治疗 ,总有效率达 10 0 % ,有取穴少 ,见效快、疗程短之优点 。

Traditional Chinese acupuncture manipulations and “dry needling”

In this paper, the authors studied the manipulation of ＂dry needling＂, reviewed Chinese ancient and modern literature of acupuncture-moxibustion, and found that ＂dry needling＂ is very similar to triple needling, superficial needling, joint valley needling, surround needling, and other traditional Chinese acupuncture- moxibustion manipulations; even if in modern China, before and after the invention of ＂dry needling＂, some unique therapies, such as oblique insertion therapy at Ashi point, sliver needling, Fu＇s subcutaneous needling, and long-round needling, were also invented. It can be seen that ＂dry needling＂ therapy is actually a kind of differentiation of traditional Chinese acupuncture- moxibustion in the international communication. The spread of traditional Chinese acupuncture-moxibustion in the West is the basis for the invention of ＂dry needling＂ therapy, and ＂dry needling＂ therapy develops and enriches traditional Chinese acupuncture-moxibustion.

Treatment of Toothache by Puncturing Hegu （LI 4）

To observe the clinical effect in the treatment of toothache by puncturing Hegu（LI 4）. Methods： Two hundred and seventy-eight cases of the patients were randomly divided into the treatment group （139 cases） and the control group （139 cases）. The treatment group was treated by puncturing Hegu （LI 4） with electric stimulation and the control group, by puncturing Chenshan （BL 57） with electric stimulation, for 3 days as one course of the treatment, to grade pain and observe the anesthetic effect respectively. Results： There was no significant difference in the remarkable effective rate between the two groups before withdrawal of the needle in the treatment for one day （P〉0.05）. In the other times, the remarkable effective rate was obviously higher in the treatment group than in the control group （P〈0.05）, Conclusion： Acupuncture on Hegu （LI 4） is effective in treating toothache.

Study on metabolic intensity value changes of points on the face using thermal chromatography technology

Objective： To observe the changes of metabolic intensity value of points on the face before and after needling bilateral Hegu （LI 4） in healthy people and provide scientific basis for association between Hegu （LI 4） and face/mouth. Methods： A total of 45 healthy college students were selected in this study. Using medical thermography and Pennes bio-heat transfer model, the infrared thermograph images on the face before and after needling bilateral Hegu （LI 4） were collected to observe the distribution of metabolic intensity value on the face before acupuncture and changes in these values after needling bilateral Hegu （LI 4）. Results： Before acupuncture, Cuanzhu （BL 2） had the maximal metabolic intensity value. Its mean value was （0.71±0.23） W. Quanliao （SI 28） had the minimal metabolic intensity value. There were no left-right statistical significances in metabolic intensity values. After needling bilateral Hegu （LI 4）, the metabolic intensity values of most points on the face were increased. Kouheliao （LI 19） obtained the maximal increase： 0.35 W on average; and Yangbai （GB 24） obtained the minimal increase： 0.08 W on average. Conclusion： Points on both sides in healthy people have good symmetry in metabolic intensity value. After needling bilateral Hegu （LI 4）, the metabolic intensity values of points on the face were increased, especially points around the lips, which accords with the pathway of the Large Intestine Meridian on the head and face. This provided some scientific foundation for the association between Hegu （LI 4） and face/mouth.

Influence of Needling Point Hegu(LI4)on Colonoscopy

Purpose： To investigate the influence of needling bilateral points Hegu （LI 4） before colonoscopy on the examined patients and the time of inserting colonoscope. Methods： 185 patients to receive colonoscopy were randomly divided into an acupuncture group （93 cases） and a control group （92 cases） in order of examination. Bilateral points Hegu （LI 4） were needled before colonoscopy in the acupuncture group. No preventive measures were taken in the control group. Pain grades during the period that colonoscope passes the sigmoid and transverse colons were observed and the time of inserting colonoscope was recorded. Results.. One hundred and sixty-five patients underwent colonoscopic insertion successfully, which were taken as the effective cases. Of them, 84 cases were in the acupuncture group and 81 cases in the control group. Statistics indicated that pain grades during colonoscope＇s passing the sigmoid and transverse colons were significantly lower in the acupuncture group than in the control group （P 〈 0.01）; the time of inserting colonoscope was significantly shorter in the acupuncture group than in the control group （P〈 0.05）. Conclusion. Needling bilateral points Hegu（LI 4） before colonoscopy can effectively relieve the patients＇discomfort and shorten the colonoseopic time during the examination.

Role of fNIRS technology in observing the effect of needling Hegu(LI 4) on the functions of prefrontal cortex in healthy volunteers

Objective： To observe the effect of needling Hegu （LI 4） on functions of the prefrontal cortex using the functional near infrared spectroscopy （fNIRS）. Methods： A total of 12 healthy volunteers were randomly assigned to an acupuncture group （n=6） and a control group （n=6）. The control group received no intervention. The acupuncture group received needling Hegu （LI 4） on the right side. The real-time concentration changes of oxygenated hemoglobin （HbO2）, deoxygenated hemoglobin （d-Hb） and total hemoglobin （t-Hb） in the prefrontal cortex were recorded using the fNIRS, allowing for effect analysis of needling Hegu （LI 4） on the functions of the prefrontal cortex. Results： Compared with the control group, the HbO2 and t-Hb concentrations were increased in the acupuncture group and there were between-group statistical significances （bothP〈0.05）. There was no between-group statistical significance in d-Hb concentration （P〉0.05）. Conclusion： Needling Hegu （LI 4） can extensively activate the prefrontal cortex and therefore has significant effect on the functions of the brain＆#39;s prefrontal cortex.

Treatment of 56 Cases of Pain of Supra-orbital Bone by Puncturing Siguan Acupoints

Pain of supra-orbital bone is very common in clinic The author achieved significant effect in treating 56 cases of pain of supra-orbital bone by puncturing Siguan （four gates） points. The report is as follows.