耳压针刺配合中药治疗慢性咽炎85例

目的 :观察耳压针刺配合中药治疗慢性咽炎的疗效。方法 :用王不留行籽贴压耳穴咽喉、肺、肾、内鼻、肾上腺。针刺双侧足三里。中药用自拟利咽汤。结果 :治疗慢性咽炎 85例 ,总有效率 95 .33%。提示 :本疗法 ,内外兼治 ,上下并用 ,有升有降 ,直趋病所 ,使气血调和 ,阴阳平衡 ,清利咽喉 ,消瘀散滞而取效。

针刺结合耳压对肺癌患者疼痛持续时间及生存质量影响

目的:观察针刺结合耳压对肺癌患者疼痛持续时间及生存质量影响。方法:选取2015年10月至2017年10月在本院治疗的118例肺癌患者,根据数字表法随机分为研究组组和对照组各59例。对照组行常规护理,研究组在常规护理基础上行针刺结合耳压治疗;对比两组患者的疼痛持续时间、癌症患者生活质量核心(QLQ-C30)问卷得分、疼痛强度及满意度。结果:本次研究发现对比对照组,研究组患者护理后QLQ-C30的QL、PF、RF、EF、CF、SF得分均比对照组得分增高,症状维度中FA、NV、DY、SL、AP、CO、DI、FI得分均比对照组得分少,差异有统计学意义(P<0.05);研究组与对照组治疗后疼痛强度对比,疼痛强度明显减轻,差异有统计学意义(P<0.05);研究组与对照组治疗后疼痛持续时间对比,研究组疼痛时间明显缩短,差异有统计学意义(P<0.05);研究组患者治疗后LN、CA242、sE-SLT、HA各指标含量为(192.07±22.61、10.92±122.83、45.89±0.86、175.11±1.67),对照组治疗后含量为(203.02±21.54、18.26±119.91、55.21±0.83、190.98±1.61),研究组各指标含量对比显著减少,差异有统计学意义(P<0.05),研究组和对照组满意率对比差异有统计学意义(P<0.05),其中研究组显著高于对照组。结论:针刺结合耳压对减轻肺癌患者疼痛强度,缩短疼痛时间,改善患者的生活质量,提高患者治疗满意度有显著效果,值得在临床上推广应用。

CLINICAL OBSERVATION ON TREATMENT OF PSEUDOBULBAR PARALYSIS-INDUCED DYSPHAGIA WITH OTOPOINT-PELLET-PRESSING PLUS ACUPUNCTURE

In the present paper, the therapeutic effects of otopoint pellet pressing plus body acupuncture and simple body acupuncture for dysphagia and water drinking induced coughing are compared in 126 cases of pseudobulbar paralysis who are randomly divided into treatment group (n=63) and control group (n=63). Main acupoints used are Shuigou (GV 26), Fengchi (GB 20), Lianquan (CV 23) and Sanyinjiao (SP 6), while otopoints used are Xin (MA IC), Gan (MA SC 5), Pi (MA IC), Shen (MA SC), Yanhou (MA T 3) and She (MA L). Following one course of treatment (12 sessions), in treatment group, of the 63 cases, 34 (54.0%) are cured, 18 (28.5%) have remarkable improvement, 5 (8.0%) have improvement, and 6 ( 9.0%) have no apparent changes, with the tottal effective rate being 90.5%; while in control group, of the 63 cases, 18 (28.5%) are cured, 11 (17.5%) have marked amelioration, 15 ( 24.0%) experience apparent amelioration and 19 (30.0%) have no obvious changes, with a total effective rate of 70.0%. The therapeutic effect of otopoint pellet pressing plus body acupuncture is significantly superior to that of simple body acupuncture in the treatment of dysphagia and water drinking induced coughing.

Influence of muscle regions of meridians needling method combined with auricular point sticking on pain and range of motion in patients with chronic nonspecific low back pain

Objective:To observe the effects of muscle regions of meridians needling method combined with auricular point sticking on pain and lumbar range of motion in patients with chronic nonspecific low back pain.Methods:A total of 100 patients with chronic nonspecific low back pain were randomly divided into a control group and an observation group,with 50 patients in each group.Both groups received auricular point sticking treatment,while the control group received additional conventional acupuncture treatment,and the observation group received additional muscle regions of meridians needling method.The total effective rate of the two groups was compared after 4 weeks of treatment.Before treatment and after 1 week and 4 weeks of treatment,the visual analog scale(VAS)score was used to assess the degree of low back pain,and the modified-modified Schober(MMS)score was used to evaluate the lumbar range of motion.Results:There was statistical significance in comparing the total effective rate between the two groups(P<0.01).During the treatment process,as the number of treatments increased,the VAS score gradually decreased,and the MMS score gradually increased in both groups.After 1 week and 4 weeks of treatment,the VAS score in the observation group was lower than that in the control group(P<0.01),and the MMS score in the observation group was higher than that in the control group(P<0.01).During the treatment period,no serious adverse reactions occurred in either group.Conclusion:Based on auricular point sticking treatment,muscle regions of meridians needling method is more effective than conventional acupuncture in treating chronic nonspecific low back pain since it is able to significantly reduce the pain and improve the lumbar range of motion.

Electroacupuncture combined with auricular acupressure in the treatment of nervous tinnitus

Objective To observe the clinical efficacy of electroacupuncture combined with auricular acupressure in treatment of nervous tinnitus. Methods One hundred and four patients with nervous tinnitus were randomly divided into a group A and a group B according to the method of random number table, with 52 patients in each group. In the group A, acupuncture at Yìfēng（翳风 TE 17）, Tīnggōng（听宫 SI 19）, Tīnghuì（听会 GB 2）, ěrmén（耳门 TE 21） and Fēngchí（风池 GB 20） combined with auricular acupressure, such as Shènshàngxiàn（肾上腺 TG 2p）, Jiāog？n（交感 AH6a）, Nèifēnmì（内分泌 CO18）, Nèi？r（内耳 LO 6）, Wài？r（外耳 TG1u）, Shèn（肾 CO10） and Gān（肝 CO12） were applied; in the group B, intravenous injection with compound Dānshēn（丹参 Radix et Rhizoma Salviae Miltiorrhizae） dissolved in 250 m L of 0.9% Na Cl injection were applied, combined with oral administration of 10 mg of Vitamin B1 and 0.5 mg of mecobalamin tablets. After treatment for three courses in the two groups, efficacy was evaluated based on Reference Standards of Severity, Assessment and Efficacy Evaluation of Tinnitus. Results In the group A（75 ears with nervous tinnitus）, 30 ears were cured, markedly effective was seen in 21 ears, and effective in 22, and the total effective rate was 97.4%; in the group B（76 ears with nervous tinnitus）, 17 ears were cured, markedly effective was seen in 20 ears, and effective in 23, and the total effective rate was 79.0%. The total effective rate in the group A was obviously superior to that in the group B, and the difference between the two groups was statistically significant（P〈0.05）. Compared before the treatment, the score of tinnitus severity both reduced in two groups（both P〈0.05）, and the reducing amplitude of score in the group A was greater than that in the group B（P〈0.05）. Conclusion Electroacupuncture combined with auricular acupressure in treatment of nervous tinnitus is worthy of clinical promotion and application since it has significant efficacy, which is obviously superior to drug therapy, and without adverse effect.

Acupuncture combined with ear point embedding for sleep disorder in depression

Objective To investigate clinical therapeutic effects of acupuncture combined with ear point embedding for treating sleep disorder in depression. Methods Seventy-six patients suffering from sleep disorder in depression were randomly divided into an observation group （39 cases） and a control group （37 cases）. In observation group, acupuncture at Baihui （百会 GV 20）, Shangxing （上星 GV 23）, Shenting （神庭 GV 24）, Fengchi （风池 GB 20） and Shenmen （神门 HT 7）, etc., which was combined with ear point embedding, and in control group, Fluoxetine Hydrochloride Dispersible tablet （Prozac） was orally given. Four weeks of treatments were given as a therapeutic course in both groups. Comparison of changes in scores of HAMD and PSQI was made between the two groups. Results After treatment, HAMD scores were obviously lowered in both groups （both P〈0.01）, and the reduction in HAMD score was more obvious in observation group than that in control group （P〈0.05）. After treatment, the reduction in PSQI score was more obvious in observation group （P〈0.01）, it was more significantly decreased than that in control group. Conclusion Acupuncture combined with ear point embedding provids remarkable therapeutic effects in treating sleep disorder in depression, which is superior to those provided by Fluoxetine Hydrochloride Dispersible Fablet orally given.

Acupuncture combined with ear point taping and pressing for sleep disturbance in 30 children with mental retardation

Objective To observe the therapeutic effect of acupuncture combined with ear point taping and pressing on sleep disturbance of the children with mental retardation. Method Thirty children of mental retardation with sleep disturbance were treated with acupuncture combined with ear point taping and pressing therapy, Sìshénzhēn （四神针）, Nǎosānzhēn （脑三针）, Zhìsānzhēn （智三针）, Nièsānzhēn （颞三针）, Shǒuzhìzhēn （手智针） were selected as main acupoints, and adjunct points were used according to symptoms and syndrome differentiation. For ear point taping and pressing, ěrshénmén （耳神门 MA-TF1）, Pízhìxià （皮质下 MA–AT1）, Jiāogǎn （交感 MA-AH7）, Xīn （心, heart）, Shèn （肾 kidney）, Pí （脾 spleen） were selected. The treatment was given two therapeutic courses, thrice each week, 36 sessions constituted one course. Child Sleep Habit Questionnaire （CSHQ） scale was used for assessment of sleep state before and after the treatment. Results After the treatment, among the 30 cases, 11 cases were markedly effective, 16 cases were effective and 3 cases were failed, the total effective rate was 90.0%; after the treatment, the children had significant improvement in the total time of sleep, the time of going to bed for sleep, sleep habit, sleep behavior, awaking state at night, getting-up state in the morning, sleep state in the daytime and the total score （P0.01, P0.001）. Conclusion Acupuncture combined with ear point taping and pressing therapy has a positive therapeutic effect on sleep disturbance and increases sleep quality in varying degrees in children with mental retardation.

Clinical Observation on Acupuncture plus Auricular Point Sticking in Treating Insomnia

Insomnia is a common sleep disorder and usually affects the patients＇ emotions and work. We applied acupuncture plus auricular point sticking to treat insomnia and reported it as follows.

Treatment of 60 Cases of Intractable Hiccups Following Craniocerebral Surgery by Acupuncture and Auricular Point Sticking

Hiccup is one of the common complications of craniocerebral surgery, and commonly called as ＂Da Ge （打嗝 ）＂. It is usually caused by ascending counterflow of stomach qi. The modem medicine holds that it is caused by hyperkinesia of diaphragm. Most hiccups are temporary; a mild condition can recover without medical treatments, but a severe one can outbreak around the clock or intermittent attack, it can last for several days, and has a strong impact on patients＇ rehabilitation. It was called intractable hiccups lasting over 24 h and didn＇t respond to treatments of tranquilization, spasmolysis and acupoint injection. The authors treated this disease with acupuncture plus auricular point sticking. Now it is summarized as follows.

Effect of combining acupuncture and auricular point sticking on heart rate variability in patients with post-stroke depression

Objective:To investigate the effect of combining acupuncture and auricular point sticking on heart rate variability(HRV)in patients with post-stroke depression(PSD).Methods:A total of 80 cases with PSD were randomized into a treatment group and a control group.The control group was intervened by oral administration of paroxetine hydrochloride,whereas the treatment group received acupuncture plus auricular point sticking base on the same oral administration.The Hamilton depression rating scale(HAMD)and HRV were measured before and after treatment in both groups.Results:The individual and global scores of HAMD significantly dropped after 8 weeks of treatment in both groups(all P〈0.05).In the treatment group,anxiety/somatization factor,sleep disturbance,hopelessness factor,cognition factor and global score were significantly different from those in the control group(all P〈0.05).The 24 h standard deviation of all normal-to-normal R-R interval(SDNN),standard deviation of 5-minute average of normal R-R intervals(SDANN),root mean square of successive differences(RMSSD),percent of differences between adjacent normal R-R intervals 50 ms(PNN50)and high frequency(HF)were increased while low frequency(LF)and LF/HF decreased significantly after 8 weeks of treatment in both groups(P〈0.05).All items in the treatment group were significantly different from those in the control group(all P〈0.05).Conclusion:Combining acupuncture and auricular point sticking can enhance the conventional medical treatment for HRV in patients with PSD.

Review of Vascular Headache Treated by Acupuncture from 1949 to 2004

Summary To review the general situation of acupuncture in treating vascular headache between 1949-2004 in an attempt to promote acupuncture practice, clinical references concerning acupuncture treatment of vascular headache were analyzed on the basis of Chinese Modern Acupuncture Database. From 1956, these references increased annually and steadily. In clini cal practice, needling is cardinally used, and the acupoints are selected adjacent to diseased oart and on syndrome differentiation.

Clinical efficacy of electroacupuncture in controlling myopia in children and its influence on retinal blood flow

Objective:To observe the clinical efficacy of electroacupuncture(EA)in controlling myopia in children and its effect on retinal blood flow.Methods:Sixty-eight myopic children were randomly divided into an observation group and a control group,with 34 cases in each group.The control group was given auricular acupressure treatment alone,and the observation group was treated with EA once a week in addition to the treatment used in the control group.The spherical equivalent refraction(SER)and axial length(AL)were measured at baseline,and after 3 months and 6 months of treatment.Optical coherence tomography angiography was used to measure the vessel density(VD)and perfusion density(PD)in the surface layer of the retina.Results:After 3 months and 6 months of treatment,the changes in SER between the two groups were not statistically significant(P>0.05).After 3 months of treatment,the changes in AL between the two groups were not statistically significant(P>0.05);after 6 months of treatment,the change amount of AL in the observation group was smaller than that in the control group(P<0.05);after 3 months and 6 months of treatment,the changes in VD and PD in the surface layer of the retina in the observation group were significantly greater than those in the control group(P<0.01).Conclusion:EA treatment once a week for 6 months can delay the increase of AL and improve the retinal surface blood flow in myopic children.

Clinical Observations on the Treatment of Migraine by Acupuncture plus Auricular Plaster Therapy

Objective： To investigate the clinical efficacy of acupuncture plus auricular plaster therapy for treating migraine. Methods： One hundred and fifty migraine patients were randomly allocated to an observation group （n=90） and a control group （n=60）. The observation group were treated by acupuncture plus auricular plaster therapy based on syndrome differentiation and the control group, by oral administration of Flunarizine. The curative effects were compared between the two groups. Results： The total efficacy rate was 94.4% in the observation group and higher than in the control group （73.3%）. The recovery rate was 87.8% in the observation group and higher than in the control group （55.0%）. There were significant differences between the two groups （both P〈0.01）. The curative effect was significantly better in the observation group than in the control group. Conclusion： Clinically, acupuncture plus auricular plaster therapy based on syndrome differentiation has a good effect on migraine.

Clinical Study on Acupuncture plus Auricular Point Sticking for Insomnia

Objective： To study the clinical efficacy of acupuncture plus ear-points pressure for insomnia. Method： All 156 cases were randomized into the observation, acupuncture and Chinese herbal formula groups. Combined acupuncture and ear-points pressure, acupuncture alone and Chinese herbal formula were applied in each group respectively. Result： The total effective rates of the observation, acupuncture and herbal group were 94.2%, 75.0% and 78.8% respectively. This has indicated that combined acupuncture and Auricular Point Sticking could obtain significantly better effect than the acupuncture group （P〈0.01） and the herbal group （P〈0.05）. Conclusion： Combined acupuncture and ear-point pressure can obtain a better effect for treatment of insomnia.

Clinical Observation on Simple Obesity Treated by Acupuncture plus Ear Point-Sticking Method

Objective： In order to observe the clinical therapeutic effect of acupuncture plus ear point-sticking for simple obesity. Methods： Fifty-two cases of the patients with simple obesity were treated by acupuncture and ear point-sticking method for one course. Results： After the treatments, the results showed remarkable effect in 22 cases, effect in 25 cases and failure in 5 cases, and the total effective rate was 90.4%. There was no obvious change in various indexes of the body in the male and female patients before and after the treatment. Conclusion： Acupuncture plus ear point-sticking for simple obesity is stable in the therapeutic effect, simple and safe in application, without side effects, and cheap in cost and needs to be greatly popularized

Therapeutic efficacy observation on combining auricular and routine acupuncture for peripheral facial paralysis in acute stage

Objective： To investigate the clinical efficacy of combining auricular and routine acupuncture for peripheral facial paralysis in acute stage. Methods： A total of 60 eligible cases were randomly allocated into a treatment group （n=30） and a control group （n=30）. Cases in treatment group received auricular and routine acupuncture, whereas cases in the control group received routine acupuncture alone. Both groups were treated for 10 d. Results： The recovery rate was 73.3% in the treatment group and 53.3% in the control group, showing a statistical difference （P〈0.05）. Conclusion： Combining auricular and routine acupuncture is effective for peripheral facial paralysis in acute stage and has a better effect than routine acupuncture.

Clinical Observation on Acupuncture plus Auricular Point Sticking Therapy for Post Stroke Hiccups

Objective： To observe the clinical efficacy of acupuncture plus auricular point sticking in treating post stroke hiccups. Methods： Sixty patients with post stroke hiccups who met the inclusion criteria were randomly divided into two groups according to their visiting sequence, and 30 patients in the treatment group were treated by acupuncture plus auricular point sticking, while the other 30 in the control group were treated by Metoclopramide via intramuscular injection. The efficacy was observed after the 3-day treatment. Results： The total effective rate in the treatment group was 93.3%, while 66.7% in the control group, and the difference was statistically significant （P〈0.01）. Conclusion： Acupuncture plus auricular point sticking therapy was more effective than metoclopramide in treating post stroke hiccups.

Clinical study on acupuncture plus auricular point sticking for tension-type headache

Objective:To observe the clinical efficacy of acupuncture plus auricular point sticking for tension-type headache(TTH).Methods:A total of 90 TTH patients were divided into an acupuncture group,an auricular point sticking group and an observation group by random number table method,with 30 cases in each group.Patients in the observation group received acupuncture plus auricular point sticking for treatment,while those in the acupuncture group only received acupuncture and those in the auricular point sticking group only received auricular point sticking for treatment.The headache attack frequency and the scores of visual analog scale(VAS),self-rating anxiety scale(SAS)and self-rating depression scale(SDS)were observed before treatment,after treatment and 3 months after treatment.The clinical efficacy was evaluated at the follow-up of 3 months after treatment.Results:At follow-up,there were significant differences in clinical efficacy among the three groups(P<0.01 or P<0.05),and the clinical efficacy ranking from high to low was the observation group,the acupuncture group and the auricular point sticking group.After treatment and at follow-up,the VAS score,headache attack frequency,SAS and SDS scores in the three groups were significantly lower than those before treatment(all P<0.01).The above four results in the observation group were lower than those in the acupuncture group and the auricular point sticking group at the same time point(all P<0.01);VAS score in the acupuncture group was lower than that in the auricular point sticking group(both P<0.05).At follow-up,the headache frequency in the acupuncture group was lower than that in the auricular point sticking group(P<0.05).Conclusion:Either using acupuncture and auricular point sticking together or separately can reduce the headache degree of TTH patients,reduce the number of headache attacks,and relieve anxiety and depression.The efficacy of acupuncture plus auricular point sticking is most significant.

Correlation analysis on clinical effects of acupuncture for elderly patients with sensorineural deafness and ear distending sensation

Objective： To investigate the relationship between clinical effects of acupuncture for elderly patients with sensorineural deafness and ear distending sensation. Methods： A total of 120 elderly patients with sensorineural deafness were randomly divided into a comprehensive treatment group, an acupuncture group and a Western medicine group, with 40 cases in each group. The acupuncture group received acupuncture treatment, the Western medicine group received oral mecobalamin tablets and the comprehensive treatment group received acupuncture plus acupoint injection and auricular acupoint sticking. The values of pure tone hearing threshold test of the three groups were observed before and after treatment, and the relationship between clinical effects and ear distending sensation was compared. Results： The total effective rate of the comprehensive treatment group was 82.5% versus 67.0% in the acupuncture group and 62.5% in the Western medicine group. The inter-group comparisons showed statistically significant differences in the comprehensive treatment group versus the Western medicine group （P〈0.01） and the acupuncture group （P〈0.05）. In the comprehensive treatment group, there were 23 cases （57.5%） with ear distending sensation, the clinical total effective rate was 86.9%; there were 17 cases （42.5%） without the sensation, the clinical total effective rate was 76.5%. In the acupuncture group, there were 24 cases （60.0%） with ear distending sensation, the clinical total effective rate was 71.0%; there were 16 cases （40.0%） without the sensation, the clinical total effective rate was 63.0%. In the Western medicine group, there were 21 cases （52.5%） with ear distending sensation, the clinical total effective rate was 66.7%; there were 19 cases （47.5%） without the sensation, the clinical total effective rate was 57.9%. The total effective rate of patients with ear distending sensation were higher than the rates of those without ear distending sensation in the three groups, but the differences were insignificant （all P〉0.05）. Conclusion： The comprehensive therapy is one of the effective methods to treat elderly patients with sensorineural deafness. In the three groups of elderly patients with sensorineural deafness, the relief of ear distending sensation and the hearing loss were basically simultaneous, and the hearing recovery in the patients with ear distending sensation may be slightly better than that in those without ear distending sensation. Nevertheless, further research is needed.

Auricular Stimulation and Anti-aging

Objective： To seek a simple and safe anti-aging healthcare method by analyzing the anti-aging effect in the auricular stimulation. Methods： By analyzing the literature and reports on auricular stimulation and anti-aging, the relationship between aging and ear, methods of auricular stimulation for anti-aging, clinical application and mechanism study are explored. Results and Conclusion： In auricular stimulation, usually the ear points of corresponding five Zang organs, such as Heart （MA-IC）, Liver （MA-SC 5）, Spleen （MA-IC）, Lung （MA-IC 1）, Kidney （MA-SC）, Subcortex （MA-AT l） and Endocrine （MA-IC 3） are selected. Auricular stimulation, ear point-embedding method and ear point-massaging method in particular, is a simple, effective and non-traumatic healthcare and therapeutic method and should display great effect in anti-aging.