电颈针干预对急性脑出血大鼠脑组织水通道蛋白4表达及脑含水量的影响

目的研究电颈针干预对急性脑出血大鼠脑组织水通道蛋白4(AQP4)表达、脑含水量等的影响,探讨电颈针对急性期脑出血后脑水肿的治疗作用。方法研究将84只成年SD大鼠随机分为假手术组,模型组,电颈针组;模型组和电颈针组依据干预时间分别设1、3、5 d 3个亚组,对相应组进行脑组织含水量、AQP4含量和m RNA含量检测。结果模型组与电颈针各组AQP4蛋白含量均高于假手术组,且电颈针组较模型组减低。电颈针3 d组AQP4 m RNA表达低于模型3 d组,且均高于假手术组。模型与电颈针各组大鼠脑组织含水量均高于假手术组(P<0.01),电颈针组各亚组脑组织含水量均低于模型组(P<0.05)。结论电颈针能显著降低脑出血大鼠AQP4蛋白和基因表达、脑组织含水量,可以抑制脑出血后脑水肿,起到神经保护作用。

Treatment by Electro-Acupuncture and Massage in 172 Cases of Cervical Spondylopathy

The authors have treated 172 cases of cervical spondylopathy by electro-acupuncture and massage in recent 6 years. The results were satisfactory as reported in the following.

A CLINICAL OBSERVATION ON THE THERAPEUTIC EFFECT OF CERVICAL SPONDYLOPATHY OF NERVE ROOT TYPE TREATED BY COMBINED CERVICAL TRACTION AND ELECTROACUPUNCTURE

Objective: To observe the therapeutic effect of combined cervical traction and electroacupuncture (EA) on Cervical Spondylopathy of Nerve Root Type (CSNRT). Methods: 145 patients diagnosed as CSNRT were randomized into 3 groups: combined treatment group, EA group, and cervical traction (CT) group. The combined group was treated with traction followed by EA of Dazhui (大椎 GV 14), Fengchi (风池 GB 20), cervical Jiaji (夹脊 EX-B 2), etc.. Patients of two control groups were only treated by either CT or EA. Results: The markedly-effective rate and total effective rate were 76.0% and 94.0% respectively in the combined treatment group, 62.5% and 81.25% respectively in CT group, and 63.82% and 82.97% respectively in EA group. The therapeutic effect of the combined treatment group was significantly superior to that of two control groups (P<0.05). At 6-month follow-up, the above two markedly-effective and total effective rates in the combined treatment group remained 74.0% and 92.0%, still significantly higher than that in two control groups. Conclusion: Combining cervicle traction with EA treatment can effectively eliminate or relieve the symptoms and signs in patients with nerve root type cervical spondylopathy.

A case of amyotrophic cervical spondylosis

A case of amyotrophic cervical spondylosis was healed by using acupuncture in combination with electroacupuncture, needling was carried out on fengchi（风池 GB 20）, Tianzhu （天柱 BE 10）, Dazhui （大椎 GV 14）, Jianjing （肩井GB 21）, Zhiyang （至阳 GV 9）, Jianzhen （肩贞SI 9）, Jianyu （肩髃 El 15）, Shousanli （手三里LI 10）, Houxi （后溪SI 3）, Kunlun （昆仑 BE 60） and Shugu （束骨 BL 65）. BL 10 on the left side and LI 10 on the right side, GB 20 on the right side and GV 9 were connected for electroacupuncture, once a day, 12 treatments as one treatment course, a interval of 5 days was set between two treatment courses, and totally 6 treatment courses were carried out. The patient was clinically healed after the treatment and the disease did not recur during the follow-up for six months.

Treatment of 100 Cases of Cervical Spondylotic Radiculopathy by Electroacupuncture of Jiaji(Ex-B2)plus Oblique Needling Ashi Point

Summary： One hundred patients were diagnosed with cervicalspondylotic radiculopathy definitely by symptoms, signs and Xray examination. The therapeutic method was acupuncture of Jiaji（Ex-B 2） on the affected segment and the upper and lower vertebrae close together. After the arrival of qi, the needles were connected to acupuncture therapeutic instrument. Meanwhile, the numb, heavy and uncomfortable area on the shoulder and upper limb, where something like cord could be touched, was selected as Ashi point. The needle was inserted perpendicularly into the skin on the place that the cord was most obvious and inserted obliquely and deeply along the cord. After 3 4 courses of treatment, 90 cases got marked effectiveness and 10 cases got effectiveness.

Clinical Observation on Treatment of Cervical Spondylotic Radiculopathy with Combined Electroacupuncture Tuina and Traction

Objective： To observe the clinical effect of combined electroacupuncture, tuina. and traction treating cervical spondylotic radiculopathy. Method： Depending on the orders of the patient＇s first visit, 120 cases were randomized into a treatment group （60 cases）, receiving electroacupuncture, tuina and traction treatment, and a control group （60 cases）, receiving electroacupuncture and tuina treatment. The treatment was done once a day, and 5 times constitute one course of treatment. A 2-day interval is set between the courses. The therapeutic effect was evaluated after 6 courses of treatment. Result： The total effective rate and recovery rate in the treatment group were 93.3% and 61.7%, respectively, whereas that of the control group were 78.3% and 31.7%, respectively, showing a significant statistical difference. Conclusion： Combined acupuncture, tuina and traction worked well for cervical spondylotic radiculopathy.

Research Progress of Electroacupuncture Treatment on Cervical Spondylosis Radiculopathy in Recent Ten Years

Objective： To introduce electroacupuncture （EA） treatment on cervical spondylosis radiculopathy （CSR） at home and abroad in the prior ten years. Methods： EA, combined EA and other treatments for NCS are classified and analyzed. Results： The most commonly used acupoints are JiaJi （Ex-B2）, Fengchi （GB 20）, Waiguan （TE 5）, Quchi （LI 11）. EA is widely applied to treat CSR because of its definite therapeutic effects and safety. Conclusion： The validity of other evaluation indexes needs to be proved by more rigorously designed randomized controlled trials （RCT） with scientific methods.

Therapeutic observation of acupuncture plus navel acupuncture for urinary retention after radical hysterectomy for cervical cancer

Objective: To observe the clinical efficacy of acupuncture plus navel acupuncture for patients with urinary retention after radical hysterectomy for cervical cancer. Methods: A total of 64 patients with urinary retention after radical hysterectomy for cervical cancer was divided into a navel acupuncture group (22 cases), an acupuncture group (18 cases) and an acupuncture plus navel acupuncture group (24 cases). All three groups received bladder function training and neuromuscular electrical stimulation. In addition, navel points were combined in the navel acupuncture group. Electroacupuncture was conducted to Qihai (CV 6), Zhongji (CV 3), Dahe (KI 12), Shuidao (ST 28), Ciliao (BL 32) and Huiyang (BL 35) in the acupuncture group. The acupuncture plus navel acupuncture group received both treatments. The catheter was removed after 3 d of treatment. Spontaneous urination, residual urine volume, urinary catheter dependence and recurrence after 3 d, 6 d and 9 d of treatment in each group were observed, respectively. Results: In the acupuncture plus navel acupuncture group, the markedly effective rates after 3 d, 6 d and 9 d of treatment were significantly higher than those in the navel acupuncture group and the acupuncture group;the urinary catheter dependence was lower than that of the other two groups, and the differences were statistically significant (P<0.05, P<0.01);the spontaneous urination time was shorter than that of the navel acupuncture group and the acupuncture group, and the differences were statistically significant (P<0.05, P<0.01);the residual urine volume was significantly less than that of the navel acupuncture group and the acupuncture group, and the differences were statistically significant (both P<0.01). After the catheter was removed, recurrence was observed from the next day after spontaneous urination was resumed. There were 2 cases of recurrence in the navel acupuncture group, 2 cases in the acupuncture group and 1 case in the acupuncture plus navel acupuncture group. The recurrence rate of the acupuncture plus navel acupuncture group was significantly lower than that of the navel acupuncture group and the acupuncture group (both P<0.01). Conclusion: Acupuncture plus navel acupuncture has satisfactory efficacy for urinary retention after radical hysterectomy for cervical cancer. It can significantly shorten the urinary retention time, reduce the patient's dependence on urinary catheter, and reduce the residual urine volume.

Observations on Electroacupuncture Treatment of 60 Patients with Urine Retention Following Cervical Cancer Operation

Objective： To investigate the curative effect of electroacupuncture on urine retention following cervical cancer operation. Methods. A treatment group was treated with electroacupuncture according to classification based on syndrome differentiation and a control group, by a conventional method. One course of treatment consisted of 5 days. Results： The curative rate and cure rate were 96.67% and 76.67%, respectively, in the treatment group and 70% and 36. 67%, respectively, in the control group. There were significant differences in curative rate and cure rate between the two groups （P〈 0. 01）. Conclusion： Electroacupuncture is a good method for treating urine retention subsequent to cervical cancer operation.

Treatment of 116 Cases of Vertebral Artery Type of Cervical Spondylopathy by Electroacupuncture plus Tuina

One hundred and sixteen cases of vertebral artery type of cervical spondylopathy were treated by electroacupuncture on Fengchi （GB 20） and Jiaji （Ex-B 2, C2-5）, cupping plus manipulation of pulling the rotated neck. The result showed 89 cases were cured, 21 cases were improved and 6 cases failed with the total effective rate of 94.8%.

Clinical Observation of Acupuncture, Stone Scraping plus Cupping Therapy for Neck-type Cervical Spondylosis

Objective： To investigate the efficacy and safety of a composite treatment with stone scraping, cupping, electroacupuncture and infrared irradiation for neck-type cervical spondylosis Methods： Seventy subjects were randomly allocated into composite treatment group （35 cases） and control group （35 cases）. The composite treatment group was treated by scraping along the Governor Meridian, the Gallbladder Meridian and the Bladder Meridian with Geng＇s multifunctional stone plate, quick cupping with subsequent retention of cups, routine electroacupuncture, and infrared irradiation. The control group was treated by routine electroacupuncture and infrared irradiation. Both groups were treated once very other day, 6 times as a course. The clinical curative effects and adverse responses were evaluated immediately after each treatment and at the completion of one course of treatment in both groups. Results： The total immediate effective rate was 88.6% in the composite treatment group and 80.0% in the control group. The immediate effect was significantly better in the composite treatment group than in the control group （P〈0.05）. The total effective rate at the completion of one course of treatment was 97.1% in the composite treatment group and 94.3% in the control group. The curative effect after one course of treatment was also significantly better in the composite treatment group than in the control group （P〈0.05）. Conclusion： Composite treatment with acupuncture, stone scraping and cupping is safe and effective in treating neck-type cervical spondylosis

Clinical observation on Governor Vessel-unblocking and brain-refreshing scalp acupuncture for cerebral palsy complicated with intellectual disabilities

Objective：To observe the clinical efficacy of Governor Vessel-unblocking and brain-refreshing scalp acupuncture for cerebral palsy （CP） complicated with intellectual disabilities. Methods：A total of 300 CP cases aged between 1 and 5 years were randomly allocated into a treatment group （n=150） and a control group （n=150）. Patients in the treatment group were treated with Governor Vessel-unblocking and brain- refreshing scalp acupuncture combined with rehabilitation training, whereas patients in the control group received rehabilitation training alone. The Beijing Gesell developmental （Gesell） scale and gross motor function measure （GMFM） scale were used to assess the motor and intellectual development before and 3 months after the treatment. In addition, the head CT/MRI examination was applied to assess the brain nerve repair before and after the treatment. Results：After the treatment, the total effective rate in the treatment group was 78.0%, versus 42.7% in the control group, showing a statistical significance （P〈0.05）. As for scores of five subscales in the Gesell scale, there were significant intra-group differences in the treatment group （allP〈0.05）; and the scores in the treatment group were significantly better than those in the control group （allP〈0.05）. As for scores of five dimensions in GMFM scale, there were significant intra-group differences in the treatment group （allP〈0.05）; and the scores in the treatment group were significantly better than those in the control group （allP〈0.05）. According to the head CT/MRI findings, the total effective rate was 73.3% in the treatment group, versus 62.0% in the control group, showing a statistical significance （P〈0.05）. Conclusion：When used in combination with rehabilitative training, Governor Vessel-unblocking and brain-refreshing scalp acupuncture can significantly improve the clinical efficacy for cerebral palsy complicated with intellectual disabilities. It can also improve the patients＆#39; motor function, intelligence and language ability.

Influence on Hemorheology of Cervical Spondylopathy with Xi(Cleft)Point Electroacupuncture

Objective：To observe the curative effect of Xi（Cleft） point electro-acupuncture on acute cervical spondylopathy of blood stasis type. Methods： 32 cases of acute spondylopathy of blood stasis type were treated with electroacupuncture on Huizong（TE 7） point, Xi （Cleft） point of Triple Energizer Meridian of Hand Shaoyang and Yanglao（SI 6） point, Xi （Cleft） point of Small Intestin Meridian of Hand Taiyang. 31 cases were randomly selected as the research subjects for control group and treated with routine treatment. At the same time changes of hemorheology were observed in the two groups before and after treatment. VAS was used for pain evaluation. Results and conclusion： The total curative effect in treatment group was 93.8%, the average duration of course 20.2±3.1d, pain accumulation points 3.47± 1.45; The total curative effect in contrast group was 83.9%, the average duration of course 26.5± 1.8 d, pain accumulation points 5.67±1.52. P〈 0.01 after t test. Ridit analysis was used for analysis of the therapeutic effect. P〈 0.05. There were some improvements in hemorheology in the two groups before and after treatment. It showed that there was a significant difference in the two groups in therapeutic results and average duration of course. The therapeutic results were improved and duration of course shortened in the treatment group.

Traditional Chinese medicine treatment selection for straightened cervical curvature and therapeutic observation

Objective：To observe the clinical efficacy of different therapies in treating straightened cervical curvature. Methods：A hundred patients with straightened cervical curvature were randomized into 5 groups to receive corresponding treatment. The clinical efficacies and the changes of cervical curvature in the five groups were compared. Results：Different therapies all produced certain effectiveness in treating cervical spondylosis patients. The total effective rates in the acupuncture group and tuina group were both 100%, and the rates in the traction group, oral medication group and Chinese medicinal application group were all lower than the rates in the acupuncture group and tuina group （P〈0.05）. It was shown that the more significant the change of cervical curvature, the more significant the clinical efficacy. Conclusion：Correcting the straightened cervical curvature is a way to swiftly release pain brought by cervical spondylosis; the optimization of different therapies ensures the achievement of long-term effectiveness; acupuncture and tuina are both effective in restoring the cervical curvature.

Treatment of Cervical Type of Cervical Spondylosis with Electroacupuncture Therapy

Needling bilateral Fengchi （GB 20）, Dazhu （BL 11）, and the affected cervical vertebrae Jiaji （Ex-B 2）, after qi arrival, the needles were connected with electric acupuncture apparatus. With these methods, 52 cases of cervical type of cervical spondylosis were treated. Twenty-eight cases were cured, 17 cases improvement, 7 cases no effect, and the total effective rate was 86.5%.