围针疗法治疗带状疱疹55例

目的 :观察围针治疗带状疱疹的疗效。方法 :根据病变部位疱疹面积大小 ,选 8～ 1 2个点 ,进行围刺。体针选双侧合谷、曲池、血海、足三里穴。结果 :5 5例全部治愈。提示 :围针疗法治疗带状疱疹 ,诸穴合用 ,可疏风解毒 ,凉血止痛 ,扶正祛邪。

温针围刺治疗膝关节髌下脂肪垫损害60例

目的 :观察温针围刺治疗膝关节髌骨下脂肪垫损害的疗效。方法 :取穴双侧膝眼 ,阿是穴。并以艾条加温。结果 :60例总疗效为 1 0 0 %。提示 :本方法疗效好 ,无任何毒副作用 ,简便易行 ,有推广应用价值。

局部围针治疗带状疱疹验案二则

带状疱疹是指在皮肤上出现成簇水泡,排列成带状,疼痛剧烈如火燎。每多缠腰而发,故中医称缠腰火丹、蛇丹等。《外科启火玄》中说:“此疮生于皮肤间,与水窠相似,淡红且痛,五七个成攒,亦能荫开。其发病机理由于肝经郁火或脾经湿热,复感火热毒邪,引动肝火或湿热蕴蒸,侵淫肌肤经络,营卫阻滞不能而发为疱疹。我们采用局部病灶围针治疗二例,效果满意,现介绍于下: 病例一:李××,女,34岁,初诊。1989年6月29日。主诉:三天前突然右侧胸部皮肤灼热疼痛,发现疼痛部位出现小水疱。

局部围针埋线疗法联合推拿治疗富贵包临床观察

研究局部围针埋线疗法联合推拿治疗富贵包的效果。方法 在我院治疗富贵包的患者中,随机选择40例患者作为研究对象,治疗时间段是2022年2月至2023年3月,使用奇偶法分成研究组与参照组,各20例。参照组实行推拿治疗,研究组在此基础上增加围针穴位埋线治疗,不间断治疗一个疗程,一个疗程共四周,对比两组治疗效果。结果 研究组治疗总有效率(95.00%)明显较参照组(70.00%)高,有意义(P<0.05);中医症候积分方面,研究组治疗后显著低于参照组和治疗前(P<0.05)。结论 富贵包采取局部围针埋线疗法联合推拿治疗,可以获得更加理想的效果,值得在临床实践中加大推广与应用力度。

OBSERVATION ON THE THERAPEUTIC EFFECT OF ACUPUNCTURE TREATMENT OF 123 CASES OF SCAPULOHUMERAL PERIARTHRITIS

Objective: To observe the therapeutic effect of Qinglong Bai Wei Zhen Fa (Green Dragon Shaking Tail Needling) in the treatment of scapulohumeral periarthritis. Methods: A total of 231 cases of scapulohumeral periarthritis patients were randomized into treatment group (n=123) and control group (n=108). In treatment and control groups, Jianyu (LI 15), Jianqian and Jianhou were used as the main acupoints and stimulated with Green Dragon Shaking Tail Needling and conventional needling separately. Additionally, in control group, Waiguan (TE 5) and Binao (LI 14) were supplemented. The treatment was given once daily, with 10 days being a therapeutic course, 2 courses altogether. Results: After the first course of treatment, in treatment and control groups, the cured, the markedly improved, the effective and ineffective cases were 49 and 12, 61 and 33, 11 and 40, 2 and 23, with the total effective rates being 98.4% and 78.7% respectively. There was a marked difference between two groups in the therapeutic effect (P<0.05). Following 2 courses of treatment, the cured, the markedly improved, the effective and ineffective cases were 66 and 21, 47 and 41, 10 and 39, 0 and 7, with the total effective rates being 100% and 93.5% separately. No significant difference between two groups in the total effective rates, but the cure rate of treatment group was strikingly higher than that of control group. Conclusion: Green Dragon Shaking Tail Needling is significantly superior to that of conventional needling in the treatment of scapulohumeral periarthritis.

Peripheral facial paralysis treated with acupuncture-moxibustion by stages: a multi-central large-sample randomized controlled trial

Objective To explore the best intervention time of peripheral facial paralysis （Bell＇ s palsy） treated with acupuncture-moxibustion and the clinical superiority of acupuncture-moxibustion by stages. Methods Multi- central large-sample randomized controlled trial was carried out. Nine hundred cases of Bell＇ s palsy were randomly divided into 5 treatment groups, named as acupuncture by stages group, acupuncture by stages with moxibustion group, acupuncture by stages with electroacupuncture group, acupuncture by stages with line-puncture on muscle region of meridian group and acupuncture without stages group. Four sessions of treatment were required in each group. The clinical curative effects of groups were assessed by House-Brackmann Scale, Facial Disability Index Scale and Degree of Facial Nerve Paralysis Scale during the enrollment, after 4 sessions of treatment, and during 1 and 3 months of follow-up after treatment. The systematic analysis of curative effects was provided in view of the intervention time and nerve localization of disease separately. Results The cure rates of intervention treatment were 50.1% （223/445） in acute stage and 52.1% （162/311） in resting stage, superior to that of 25.9% （35/135） in recovery stage （both P〈0.001）. There was no statistically significant differences in comparison of curative effect in 5 solutions at the same stage （all P〉0.05）. The effect of treatment intervened at acute stage was superior to that at recovery stage in acupuncture by stages group and acupuncture without stages group （both P〈0.01）. There were statistically significant differences in curative effect of the localization above and below chorda tympani nerve in acupuncture by stages with line-puncture on muscle region of meridian group （P〈0.01）. The curative effect of the localization below chorda tympani nerve was superior to that above the nerve. Conclusion The best intervention time for Bell＇ s palsy is at acute stage and resting stage, meaning 1 to 3 weeks after occurrence. All 5 solutions are clinical superiorities to Bell＇s palsy. Under the condition of limited medical sources, the simple filiform needle puncture is recommended at acute stage. For the patients with the disorder above chorda tympani nerve, line-puncture on muscle region of meridian is not recommended.

Treatment of peripheral facial paralysis with acupuncture at Rényíng (人迎 ST 9) combined with stellate ganglion block:a randomized controlled trial

Objective To explore the best therapeutic method in the treatment of peripheral facial paralysis. Methods One hundred and twenty cases were randomized into a conventional acupuncture group [Yangbai （阳白 GB 24）, Sibai （四白 ST 2）, Yingxiang （迎香 LI 20）, etc.], a Renying （人迎ST 9） acupuncture group and an operation ＋ acupuncture group [acupuncture at ST 9 as the main acupoint and the stellate ganglion block （SGB）], 40 cases in each one. The treatment was given once a day, 7 treatments made one session. After 3 sessions of treatment, the latency and the amplitude of the direct stimulation evoked potential of the facial nerve （ENoG） were compared before and after treatment in three groups, as well as R2 and R2 values of blink reflex （BR）. The total clinical efficacy was assessed. Results The latency of ENoG was shortened and the amplitude was increased significantly in three groups. After treatment, ENoG latency was lower significantly in the operation ＋ acupuncture group as compared with that in the conventional acupuncture group （P〈0.05）. In the Renying （人迎 ST 9） acupuncture group, the amplitude of ENoG was increased as compared with P〈0.05）. After treatment in three groups, those in the other two groups （all R2 and R2 values were decreased significantly. The differences in R1 and R2 values in the Renying （人迎 ST 9） acupuncture group and the operation ＋ acupuncture group before and after treatment were bigger than those in the conventional acupuncture group （all P〈0.05）, and the difference in R2 value in the operation ＋ acupuncture group was bigger than that in the Renying （人迎 ST 9） acupuncture group （P〈O.05）. The clinical markedly effective and curative rate was 87.5% （35/40） in the operation ＋ acupuncture group, which was superior to 77.5% （32/40） in the Renying （）人迎 ST 9）acupuncture group and higher significantly than 65.0% （26/40） in the conventional acupuncture group （P〈0.05）. Conclusion Compared with the conventional acupuncture, the efficacy on peripheral facial paralysis is much better in the Renying （人迎 ST 9） acupuncture group and the operation ＋ acupuncture group. Moreover, the early reflex function of the damaged facial nerve is much better recovered in the operation ＋ acupuncture group as compared with that in the Renying （人迎 ST 9） acupuncture group.

Clinical Study on Warming Needle Moxibustion plus Tuina for Shoulder Periarthritis

Objective： In order to compare the therapeutic effects between warming needle moxibustion plus Tuina therapy and single Tuina therapy for shoulder periarthritis. Methods： By random single blind control method, 80 cases were divided randomly into Group A （single Tuina group） and Group B （warming needle method plus Tuina group）, 40 cases in each group. Results： The effective rate was 95.0% in Group B and 85.0% in Group A, without significant difference （P〉0.05） in comparison between two groups. In assessment of Visual Analogue Scale, there was obvious decrease in both groups before and after the treatments （P〈0.01）. In comparison of VAS score differences between the two groups after the treatments, there was remarkable significant difference （P〈0.01）. Conclusion： Warming needle moxibustion plus Tuina is better than single Tuina therapy in stopping pain.

Therapeutic observation of thin-cotton moxibustion plus surround needling for herpes zoster

Objective： To compare the clinical efficacies between thin-cotton moxibustion plus surround needling and Western medication in treating herpes zoster （HZ）. Methods： Eighty-three HZ patients were divided into two groups according to their admission sequence, 41 cases in the thin-cotton moxibustion group and 42 cases in the Western medication group. The thin-cotton moxibustion group received thin-cotton moxibustion on the surface of lesions plus surround needling around the lesions, once a day. The Western medication group was intervened by Acyclovir intravenous injection, 0.25 g per dose, once a day, along with external application of Acyclovir cream 3-5 times a day. After 10-day treatment, the blister-healing time, crusting time, pain-reducing time, onset time of action, lesion-healed time, and occurrence of post-herpetic neuralgia （PHN） were compared. Results： During the study, a case dropped out in the thin-cotton moxibustion group, and 2 cases dropped out in the Western medication group. The recovery and markedly-effective rate was 92.5% and total effective rate was 97.5% in the thin-cotton moxibustion group, versus 72.5% and 87.5% in the Western medication group, and the between-group differences were statistically significant （P^0.05）. The blister-healing time, crusting time, pain-reducing time, onset time of action and lesion-healed time in the thin-cotton moxibustion group were significantly shorter than those in the Western medication group （P〈0.05）. The occurrence rate of PHN was 2.07% in the thin-cotton moxibustion group, significantly lower than 9.19% in the Western medication group （P〈0.01）. Conclusion： Thin-cotton moxibustion plus surround needling can produce a more significant efficacy than Acyclovir in treating HZ, and it can markedly reduce the occurrence of PHN.

Review of acupuncture treatment for perimenopausal syndrome

Objective：To summarize the mechanism of acupuncture in treating perimenopausal syndrome （PMS） from the aspects of reproductive endocrinology, immune system, neuroendocrine, the metabolism of free radicals and bone, and the effect of lipid. Methods： The databases including MEDLINE, EMBASE, CNKI, Wanfang, and CQVIP were searched from the launch of each database to June 2014 for relevant papers involving clinical and laboratory researches about PMS treated with acupuncture. Results： Acupuncture is a safe, effective, and scientific method in treating PMS, and the efficacy is significant. Conclusion： Considering the limits of previous studies, future research should use high technologies such as molecular biology and genetic testing, and adopt multicenter randomized controlled study method to evaluate the efficacy of acupuncture in treating female PMS, and to further explore the mechanism of acupuncture in treating PMS.

Clinical Observation on Treating Menopause Syndrome with Acupuncture Therapy

Objective： To study the clinical effect and the endocnne mechanism ot acupuncture therapy on menopause syndrome. Method： There were 47 cases with menopause syndrome, which were divided into two groups, 32 cases in the acupuncture group, treated by acupuncture with main acupoins of Shenshu （BL 23）, Zusanli （ST 36） and Sanyinjiao （SP 6）, and 15 cases in the control group, treated by orally taking the Oryzanol. The Kupperman index of the two groups was observed before and after treatment for evaluating the therapeutic effect. The changes of blood-serum E2, T, FSH, LH of the 25 cases in the acupuncture group were tested by radioimmunoassay before and after the treatment. Results： The acupuncture therapy can relieve the clinical symptoms of menopause syndrome, and its therapeutic effect was better than Oryzanol. After being treated by acupuncture therapy, the content of blood-serum E2 obviously increased, while the contents of LH and T declined, and the FSH also had a tendency to lower, but it was not statistically significant. Conclusion： The therapeutic effect of acupuncture therapy for menopause is confirmed. The acupuncture therapy can improve the function of hypophysial-gonadal axis of the patient with menopause syndrome, which may be the main mechanism of the acupuncture therapy for treating menopause syndrome.

Effect of warm needling therapy and acupuncture in the treatment of peripheral facial paralysis:A systematic review and meta-analysis

Objective: The goal of this study is to explore effective treatments for peripheral facial paralysis and to evaluate the clinical efficacies of warm needling therapy and acupuncture in peripheral facial paralysis.Methods: PubMed(1979-2017), the Chinese National Knowledge Infrastructure database(CNKI, 1979-2017), Wanfang databases(1990-2017), and the Chongqing VIP full-text periodical database(VIP, 1989-2017) were searched by computer. Randomized controlled trials of warm needling therapy and acupuncture in the treatment of peripheral facial paralysis were collected. The clinical trials that met the inclusion criteria were selected for quality assessment using the Cochrane 5.0 Handbook for systematic evaluation.RevMan5.3 was used for statistical analysis.Results: A total of 23 articles with 1756 patients met the inclusion criteria.(1) The meta-analysis of 11 articles showed that the total effective rate of warm needling therapy for peripheral facial paralysis was higher than that of acupuncture [RR = 1.18, 95% Cl(1.11,1.25), P< 0.00001].(2) The meta-analysis of 7 articles showed that the total effective rate of warm needling therapy combined with electroacupuncture in the treatment of peripheral facial paralysis was higher than that of acupuncture combined with electroacupuncture [RR= 1.15, 95% Cl(1.09, 1.21), P< 0.00001].(3) The meta-analysis of 5 articles showed that the total effective rate of warm needling therapy combined with other therapies in the treatment of peripheral facial paralysis was higher than that of acupuncture combined with other therapies [RR= 1.08,95% Cl(1.03, 1.14), P=0.002].(4) The meta-analysis of 5 articles showed that warm needling therapy could improve the House-Brackmann(H-B) scores of patients with peripheral facial paralysis more than acupuncture [mean difference(MD)=-2.85, 95% Cl(-5.08,-0.62), Z = 2.51, P = 0.01], indicating that warm needling therapy provides superior improvement in the function of facial nerve innervation in the patients. No adverse events were reported in the included studies. The methodological quality of the included studies was generally low.Conclusion: The results of this meta-analysis showed that warm needling therapy is superior to acupuncture in treating peripheral facial paralysis, providing a therapeutic option for the treatment of peripheral facial paralysis. However, due to the small sample size and the low quality of the included studies, the above conclusion still needs to be validated with high-quality, large-scale, randomized, blinded controlled trials.

Therapeutic Effect Observation on Combined Tuina with Warm Needling Moxibustion for Adhesive Shoulder Periarthritis

Objective： To observe the clinical effect of combined tuina manipulation and warm needling moxibustion for adhesive shoulder periarthritis （ASP）. Methods： A total of 182 cases with ASP were randomized into an observation group of 93 cases and a control group of 89 cases. The observation group employs combined tuina and warm needling moxibustion, whereas the control group employs warm needling therapy alone. For both groups, the treatment was conducted once every other day; 10 times made up one session. The function and range of motion of the shoulder joint were observed and graded prior to treatment and 1 session after treatment. Results： The recovery rate and the total effective rate in the observation group were 65.6% and 97.9% respectively, versus 11.2% and 85.4% in the control group, indicating a statistical significance （P0.01）. After treatment, the scores of the shoulder joint function and joint range of motion in both groups were significantly increased （P0.01, P0.05）, and the scores in the observation group were higher than that in the control group （P0.01）. Conclusion： Combined tuina and warm needling therapy can obtain better effect than warm needling therapy alone.

Discussion on the Best Intervention Time for Electroacupuncture in Treating Rats with Perimenopause Syndrome

Objective： To explore the best opportunity for electroacupuncture therapy to treat perimenopause syndrome. Methods： The rats were duplicated as ovariectomized model and took the electroacupuncture therapy at 5 different periods. The heat-resistance ability, physical strength and sleeping ability of the rats at different intervention time were recorded. Results： For the rats with perimenopause syndrome at all periods, the electroacupuncture could promote the beat-resistance and the physical strength, shorten the sleep latency and prolong the sleeping time. The results of the rats in the 7 d pre-modeling group, 1 d post-modeling group and 8 d post-modeling group were the best, followed by the results of 15 d post-modeling group and 22 d post-modeling group. Conclusion： The prevention and early intervention of electroacupuncture on the rats with perimenopanse syndrome were satisfied and the effect declined with a later intervention time, indicating the importance of prevention and early intervention.

Efficacy and safety of electroacupuncture for perimenopausal insomnia: a randomized controlled trial

Objective: To observe the effectiveness and safety of electroacupuncture (EA) plus Luohua Anshen oral liquid for patients with perimenopausal insomnia. Methods: A total of 66 participants who met the inclusion criteria were enrolled in the randomized controlled trial and allocated to a treatment group and a control group at a ratio of 1:1, with 33 cases in each group. Both groups were given Luohua Anshen oral liquid as a basic treatment. The treatment group was additionally given EA every other day, three times a week. Both groups were treated for four weeks and a four-week follow-up was conducted. The scores of Pittsburgh sleep quality index (PSQI), Kupperman index (KI) and traditional Chinese medicine sleep syndrome scale (TCMSSS) were recorded at pre- and post-treatment, and at the follow-up. Meanwhile, adverse effects were monitored and recorded. Results: After four-week treatment, the global scores of PSQI, KI and TCMSSS in both groups declined significantly (all P<0.05), and the decreases in the treatment group were more significant than those in the control group (allP<0.05). The global scores of PSQI, KI and TCMSSS in both groups at the follow-up visit were significantly different from the corresponding baseline (allP<0.05), while insignificantly different from those assessed at post-treatment (allP>0.05). The total effective rate was 93.9% in the treatment group, significantly higher than 72.2% in the control group (P<0.05). No significant adverse event was reported in this trial excepted one patient experienced slight dizziness in the first acupuncture treatment. Conclusion: EA plus Luohua Anshen oral liquid is safe for perimenopausal insomnia with satisfactory short- and long-term effectiveness, and it shows certain advantage compared with using Luohua Anshen oral liquid alone.

Clinical Observation on Acupuncture for Perimeno pausal Depression penmenopausal Depression

Objective： To observe the clinical effect of acupuncture for perimenopausal depression. Methods： Ninety cases were randomly allocated into treatment group （n=60） and control group （n=30） according to the visit sequence. Patients in the treatment group were treated with acupuncture, once daily, and 10 times constituted one treatment course. Patients in the control group took Premarin tablet and medroxyprogesterone acetate for 3 cycles of menses. Results： The total effective rate was 95.0% in the treatment group, and 87.7% in the control group （P〈0.05）. The HAMD scores were decreased in both groups, and it was lower in the treatment group than in the control group （P〈0.05 or P〈0.01）. Conclusion： Acupuncture has good effects on perimenopausal depression.

Effect of Acupuncture on Serum SOD and MDA of Rats in Menopause

Objective： To investigate the effect of acupuncture on serum superoxide dismutase（SOD） and malondialdehyde（MDA） of rats in menopause. Methods： Female rats in menopause were randomly allocated into acupuncture, drugs and control groups, which were treated with acupuncture, Gengnian＇an Tablet, and nothing, respectively. In addition, some young female rats were used as control. After 17-day treatments, serum SOD and MDA were measured with biochemical methods. Results： Compared with the young rats, rats in menopause had lower contents of serum SOD（P〈0.01）, and higher contents of MDA（P〈0.01）. After acupuncture treatment, the contents of serum SOD increased（P〈0.05）, and MDA decreased（P〈0.05）. Conclusion： Acupuncture could increase the serum SOD contents and decrease the serum MDA contents of rats in menopause.

Clinical observation on warm needling therapy for scapulohumeral periarthritis: a randomized controlled trial

Objective： To evaluate the clinical effects of warm needling for scapulohumeral periarthritis （SP）. Methods： Eighty-six patients with SP due to wind, cold and dampness in conformity with the research criteria were randomly divided into an observation group and a control group. The control group was given the routine acupuncture treatment and the observation group was treated by warm needling. The treatment was given once every day and ten sessions made one course. After two courses, the therapeutic effects and the changes in the scores of visual analogue scale （VAS） were observed. Results： After treatment, VAS scores were statistically different from those before treatment in the two groups （P〈0.05）, and VAS score was lower in the observation group than that in the control group, with a statistical difference between the two groups （P〈0.05）. The curative and remarkable effective rate was 74.4% in the observation group and 44.2% in the control group. The difference in the curative and remarkable effective rate was statistically significant between the two groups （P〈0.01）. But, the difference in the total effective rate was not statistically significant between the two groups （P〉0.05）. Conclusion： The warm needling has the dual effect of acupuncture and moxibustion in the treatment of SP due to wind, cold and damoness, and its clinical effect is better than routine acupuncture treatment.

Clinical Study on Electronic Moxibustion for Shoulder Periarthritis

Objective： To observe the clinical efficacy of electronic moxibustion in treating patients with shoulder periarthritis. Methods： Sixty-four cases with shoulder periarthritis were randomly divided into two groups, 34 cases in the observation group were treated by eMoxa-VI electronic moxibustion instrument, while 30 cases in the control group were treated by warm needling therapy. The changes of patients’ symptom scores before and after treatments were observed. Results： After two treatment courses, the shoulder pain of the patients in the observation group was relieved more than that in the control group; but after three treatment courses, there was no statistically significant difference between the two groups. The patients’ shoulder joint activity in both groups was improved after treatment. There was no significant difference between the two groups after two treatment courses. However, it indicated that the observation group was more effective than the other one after 3 courses of treatment （P0.05）. The total effective rate of the observation group was 94.1%, versus 86.7% of the control group, there was no statistical difference between the two groups. Conclusion： Electronic moxibustion and warm needling therapy can relieve the clinical symptoms of shoulder periarthritis, but electronic moxibustion was safer, more environmentally friendly and easy to operate.

Shoulder Periarthritis Treated by Puncturing Acupoints of Lung Meridian:One Case Report

A 48 year-old female patient received treatment on Oct. 15, 2008. Chief complaint： Right shoulder pain lasting for a year. History of present illness： The right shoulder pain occurred after extracting cold a year ago, and it was diagnosed in the orthopedics as shoulder periarthritis. The patient did not feel any better after taking anti- inflammatory painkillers （the detailed information was unknown） plus functional exercises. Now the shape of the shoulder is normal, but the patient experienced a restricted range of motion and an inability to comb her hair. She also complained of a tenderness spot on the base of the fight palm near the thenar for years, along with slight redness and swelling. The patient＇s appetite and sleep are fine, with regular urination and bowel movements.