加减温经汤结合针刺治疗痛经76例

目的:观察传统经方结合针刺治疗痛经的临床疗效。方法:治疗组76例,以口服加减温经汤(当归、吴茱萸、桂枝、炮姜、川芎、白芍、半夏、党参、甘草),同时针刺三阴交穴及承山穴,连续3个月经周期为1个疗程;对照组30例,口服颅痛定等,疗程同治疗组。结果:治疗组总有效率97.37%,对照组总有效率73.33%,有显著性差异,P<0.01。结论:加减温经汤结合针刺治疗痛经,两者有协同作用,可以提高疗效。

ACUPUNCTURE TREATMENT OF OCCIPITAL NEURALGIA WITH DAZHUI AND FENGCHI ACUPOINTS

Objective: To explore therapeutic method for occipital neuralgia. Methods: A total of 90 occipital neuralgia patients were randomly divided into treatment group (n=60 cases) and control group (n=30). In treatment group, Dazhui (GV 14) was punctured and stimulated with reinforcing method, and Fengchi (GB 20) punctured and stimulated with reducing needling method. In control group, the tender point was punctured and stimulated with reducing needling method. The acupuncture needles were retained for 30 min and the treatment was conducted once daily, with 10 times being a therapeutic course. Results: After one session of treatment, the markedly effective rates of treatment and control groups were 98% and 57% respectively. Comparison between two groups showed a considerable difference in the therapeutic effect (P<0.05). Conclusion: Acupuncture of Dazhui (GV 14) and Fengchi (GB 20) are effective in the treatment of occipital neuralgia.

Instant effect of acupuncture at Sùliáo (素髎 GV 25) mainly for primary dysmenorrhea

Objective To compare the difference of therapeutic effect for needling mainly at Saliao （素髎 GV 25） and oral administration of anodyne on the treatment of primary dysmenorrhea. Methods Sixty patients were randomly divided into an acupuncture group and a medication group, each group with 30 patients. Sulliao （素髎 GV 25） was taken as main point in acupuncture group, anodyne was applied orally in medication group. Results The total effective rate in acupuncture group was 100.0% （30/30）, which was equivalent to 93.3% （28/30） in medication group （P〉0.05）. However in acupuncture group 25 patients with pain relieved within 20 min, while in medication group only 4 patients with pain relieved within 20min, therefore acupuncture group was superior to medication group （P〈0.05）. Conclusion There was no distinct difference between the therapeutic effect in acupuncture group and medication group except the initial time which showing effects in acupuncture group is much shorter than medication group.

Clinical efficacy observation of primary dysmenorrhea treated with the embedding catgut therapy

Objective To explore the therapeutic effect on primary dysmenorrhea treated with the embedding catgut therapy so as to discover a better therapeutic method for the treatment of this disease. Methods One hundred and fifty cases were randomized into 3 groups, 50 cases in each one. In the embedding catgut group, the embedding catgut therapy was applied to Sānyīnjiāo （三阴交 SP 6）, Cìliáo （次髎 BL 32） and Guānyuán （关元 CV 4）. In the acupuncture group, the conventional acupuncture therapy was applied to Guānyuán （关元 CV 4）, Sānyīnjiāo （三阴交 SP 6）, Dìjī （地机 SP 8） and Shíqīzhuī （十七椎 EX-B 8）. In the western medicine group, indometacin was prescribed for oral administration, 25 mg, three times a day and fenbid was supplemented for the aggravated pain, 300 mg, twice a day. One session of treatment was one month in each group and 3 sessions were required totally. Before and after treatment, the symptom scores of dysmenorrhea were observed. Results The symptom scores of dysmenorrhea were all reduced obviously in three groups after treatment （all P0.05）. The result in the embedding catgut group was much more apparent as compared with that in the western medicine group （P0.01） and the acupuncture group （P0.05） separately. Of 49 cases in the embedding catgut group, 32 cases （65.3%） were cured clinically, 10 cases （20.4%） effective remarkably, 6 cases （12.2%） effective and 1 case （2.0%） failed. The total effective rate was 98.0%. Conclusion The embedding catgut therapy achieves the significant efficacy for primary dysmenorrhea. This therapy is simple in practice and deserves to be promoted in clinic.

Observation on therapeutic effect of combined therapy mainly based on acupuncture for postherpetic neuralgia

Objective To compare the difference in therapeutic effect between the combined therapy mainly based on acupuncture and western medicine in treating postherpetic neuralgia. Methods Eighty patients were randomly divided into a treatment group and a control group by ballot, and 40 patients were included in each group. The patients in the treatment group were treated by using the combined therapy mainly based on acupuncture, in other words, electroacupuncture at Jiáj （夹脊 EX-B2） and acupoint injection, and He-Ne laser therapy was also carried out. The patients in the control group were orally administered with 10 mg oxycodone controlled release tablets, twice a day; 0.5 mg mecobalamin tablets, three times a day. Scores for pain, sleep disorders and anxiety degree of the patients were recorded respectively, and the therapeutic effect in the two groups was counted. Results The total effective rate in the treatment group was 100.0% （40/40）, which was higher than 87.5% （35/40） in the control group; the markedly effective rate in the treatment group was 85.0% （34/40）, which was better than 65.0% （26/40） in the control group （both P0.05）. The therapeutic effects in reliefing pain, sleep disorders and anxiety of the patients in the treatment group were better than that in the control group （all P0.01）. Conclusion The combined therapy mainly based on acupuncture can effectively treat postherpetic neuralgia and the therapeutic effect is better than that in the western medicine group

Clinical Observation of Nerve-near Needling for Occipital Neuralgia

Objective： To observe the clinical efficacy of nerve-near needling for occipital neuralgia. Methods： Eighty-two subjects were randomly allocated into two groups： treatment group in which 46 cases was treated by nerve-near needling [points Tianzhu （BL 10） and Tianyou （TE 16） were selected], and control group in which 36 cases were treated by conventional acupuncture [points Tianzhu（BL 10）, Fengchi（GB 20）, Baihui（GV 20）, Shimian II （Extra）, Wangu （GB 12） and Hegu（LI 4） were selected]. One course of treatment consisted of 3-5 times, and three courses of treatment were given at most before calculating efficacy. Results： The short-term total effective rate was 93.5% in the treatment group and 69.4% in the control group, with a statistically significant difference between the two groups （P〈0.01）; the long-term total effective rate was 64.1% in the treatment group and 43.3% in the control group, with a statistically significant difference between the two groups （P〈0.05）. Conclusion： Nerve-near needling is better than conventional acupuncture in treating occipital neuralgia.

Treatment of 32 Cases of Primary Trigeminal Neuralgia by Acupuncture plus Moxibustion with Warming Needle on Xiaguan （ST 7）

The main acupoints of Acupuncture therapy were Xiaguan （ST 7）, Sanjian （LI 3）, Xiangu （ST 43）, Zulinqi （GB 41）, Sanyinjiao （SP 6） and Taixi （KI 3）. Moxibustion with warming needle on Xiaguan （ST 7）, reduction method on Sanjian （LI 3） on the unaffected side and Xiangu （ST 43） and Zulinqi （GB 41） on the affected side, reinforcement method on Sanyinjiao （SP 6） and Taixi （KI 3） on the affected side were given. Moreover, according to the affected area, the local acupoints were added, Yangbai （GB 14） for the opthalmic branch, Quanliao （SI 18） for the maxillary branch and Jiache （ST 6） for the mandibular branch. Among 32 cases, after 24 acupuncture treatments, 4 cases were cured, 19 cases got marked effectiveness, 7 cases was improved and 2 cases had no effectiveness.

Observation on Therapeutic Effects of Acupuncture and Moxibustion for Primary Dysmenorrhea

Objective： To assess the clinical effects of acupuncture treatment for primary dysmenorrhea. Methods： 80 cases of the patients were randomly divided into two groups by single blind to 40 cases in the acupuncture group were treated with acupuncture plus ginger-partitioned moxibustion. 40 cases in the medication group were treated with oral administration of Ibuprofen sustained release capsules. The therapeutic effects were observed after continuous treatment for 3 months. Results： The total effective rate was 85.0% in the acupuncture group and 70.0% in the medication group, with statistical significance in comparison of differences between the two groups （P〈0.05） Conclusion： Acupuncture plus ginger-partitioned moxibustion is better than Ibuprofen sustained release capsules in treating dysmenorrhea.

Efficacy observation on acupuncture-moxibustion at Ciliao(BL 32) for primary dysmenorrhea due to cold-dampness

Objective： To observe the clinical efficacy of acupuncture plus moxibustion at Ciliao （BL 32） for primary dysmenorrhea （PD） due to cold-dampness. Methods： A total of 58 cases with PD due to cold-dampness were randomly allocated into an observation group （n=29） and a control group （n=29）. Patients in the observation group were treated with acupuncture and suspended moxibustion at Ciliao （BL 32）, whereas patients in the control group were treated with routine acupuncture alone. After three courses of treatment, the clinical efficacy was evaluated and compared between the two groups. Results： After treatment, the symptom scores were significantly reduced in both groups （P〈0.05）, but there were no significant between-group differences in clinical efficacy and symptom scores （P〉0.05）. Conclusion： With fewer points and less pain, acupuncture-moxibustion at Ciliao （BL 32） can obtain similar effect as routine acupuncture therapy for PD due to cold-dampness.

Acupuncture and moxibustion combined with cupping for primary dysmenorrhea in 66 cases

Objective To observe therapeutic effects of acupuncture and moxibustion combined with cupping for treating primary dysmenorrhea. Methods Sixty-six patients suffering from dysmenorrheal were treated by acupuncture at Guānyuán （关元 CV 4）, Xuèhǎi （血海 SP 10）, Dìjī （地机 SP 8）, Sānyīnjiāo （三阴交 SP 6） and Tàixī （太溪 KI 3）, as main points. Based on differentiation of syndrome, moxibustion was added at Guānyuán （关元 CV 4） and Shuǐdào （水道 ST 28） for 10 min plus cupping for 15 min. For patients with sthenic syndrome, acupuncture and cupping, but not moxibustion, were applied. One menstrual cycle was taken as one treatment course, and three courses of treatments were given. Results Total effective rate was 100.0% （66/66）. Usually, cure was achieved by 2–6 treatments, and dysmenorrhea was alleviated or eliminated by acupuncture and moxibustion for 5–30 min. Conclusion Acupuncture- moxibustion combined with cupping is a good therapy in treating primary dysmenorrhea for its efficiency in alleviating pain.

Warm Needle Moxibustion Therapy for 41 Cases of Dysmenorrhea

Dysmenorrhea means that women feels periodical pain in the lower abdomen or lumbosacrum, before, during or after menstruation. The pain can be intolerable and affects the work and daily life. Dysmenorrhea is divided into two categories： primary and secondary, of which those without organic lesion in the genitalia are known as primary or functional ones. The author applied warm needle moxibustion in the treatment of 41 cases of primary dysmenorrhea and achieved remarkable curative results. The report is as follows.

Treatment of 23 Cases of Supraorbital Neuralgia by Acupuncture plus Semi-conductive Laser

23 cases of the patients with supraorbital neuralgia were treated by puncturing Yangbai （GB 14） toward Yuyao （Extra）, Zanzhu （BL 2）, Taiyang （Extra）, Touwei （ST 8）, Zhongzhu （TE 3） and Neiting （ST 44） on the sick side, plus laser radiation on a site about 1 cm apart from the midpoint of the eyebrow of the sick side. After 10 treatments, the results showed cure in 19 cases and remarkable effect in 4 cases.

Micro-invasive Thread-embedding Therapy in Treating Dysmenorrhea

Dysmenorrhea refers to periodic lower abdominal pain occurring during or around menstruation. It often happens before or during period, occasionally after period, and manifests lower abdominal pain, crampy or distending, which may radiate to lumbosacral region, inner thigh and perianal region. Co-occurring symptoms may include pale complexion, nausea, vomiting, diarrhea, and aversion to cold in the whole body or concentrated in lower abdomen. Severe pain can cause prostration or even fainting. Menstrual pain commonly lasts for several hours or 1-2 d, and relieves when menstrual blood flows smoothly.