体针结合耳针贴压治疗慢性疲劳综合征64例

1临床资料 1.1一般资料 本组64例,均为2000年1月以来门诊患者,其中男28例,女36例;年龄30～55岁,平均43岁;病程7个月～2年,平均15.5个月.

体针结合耳针贴压治疗自愿戒毒者阴虚火旺型失眠的疗效观察

目的:观察体针结合耳针贴压治疗自愿戒毒者阴虚火旺型失眠的临床疗效。方法:采用自身前后对照的方法,对60例自愿戒毒者进行体针结合耳针贴压治疗,并与40例药物组治疗失眠对照,动态观察14d的疗效。结果:体针结合耳针贴压组(治疗组)、药物组(对照组)自身前后比较P<0.05,显示均能治疗患者的失眠症,但治疗组的效果优于对照组。结论:体针结合耳针贴压对于自愿戒毒者的阴虚火旺型失眠具有明显的治疗作用,通过与对照组的比较其疗效优于对照组的疗效。

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.

Effects of electroacupuncture combined with auricular plaster on F% and waist-hip ratio in simple obesity patients

Objective To observe and compare the difference of clinical therapeutic effect of electroacupuncture combined with auricular plaster therapy and electroacupuncture therapy on simple obesity. Methods sixty female patients of simple obesity were randomly divided into two groups： an electroacupuncture group and a combined group. Each group had 30 patients treated respectively with electroacupuncture and electroacupuncture therapy combined with auricular point pressing therapy. The changes of the body mass index （BMI）, body fat percentage （F%）, and waist-hip ratio （WHR） were observed to evaluate the effect of loosing weight. Results Compared with the scores before treatment, the BMI, F%, WHR level in two groups dropped （ all P〈0.01 ） in all 60 patients. And compared with the electroacupuncture group, the combined group dropped more obviously （ P〈0.05, P〈0.01 ） . Conclusion The effects of electroacupuncture therapy and electroacupuncture combined with auricular plaster therapy on simple obesity were both remarkable, but more in the combined group, so it indicates that the combined therapy is better than single therapy.

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.

Current situation and analysis of clinical application of auricular acupoint sticking therapy

Objective： By the bibliometrical analysis and evaluation of acupuncture theses on auricular acupoint sticking from 2005 to 2014, the analysis was processed from multiple aspects including the types and numbers of diseases and effective rates of various diseases, in order to objectively reflect the general situation of clinical application of ear point embedding method in the recent years. Methods： By the bibliometrical analysis, the literature on auricular acupoint sticking in the recent ten years was counted up, analyzed and categorized. Results and Conclusion： Auricular acupoint sticking is used clinically for diseases of 26 systems, including 130 diseases. 74 diseases were singularly treated with auricular acupoint sticking, including the advantageous disease category like insomnia, constipation and obesity, and secondary advantageous disease category like dysmenorrhea, myopia, allergic rhinitis, post-operative pain and acne vulgaris.

Treatment of 56 Cases of Women with Post-adolescent Acne by Auricular Point Sticking Method

Acne is a common disorder in adolescence. However, more and more patients are over 25 years old. This type of acne is recurrent, so it is called post-adolescence acne. The author treated 56 cases of women with post-adolescence ache by auricular point sticking method, and obtained excellent results. It is reported as follows.

Introduction to HUA Xue-gui's Experience in Acupuncture Treatment of Tinnitus and Deafness

Doctor HUA Xue-gui, an associate chief physician in Shanghai Research Institute of Acupuncture and Meridian, has been engaged in clinical practice and scientific research of acupuncture for over 30 years. She has created a set of unique and complete acupuncture modalities for neurotic tinnitus and deafness. The authors are honored to have studied with Doctor HUA and have achieved a lot. Now, Doctor HUA＇s experience is summarized as follows.

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.

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.

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 Observation on Treatment of Primary Trigeminal Neuralgia by Point Penetrating Injection plus Ear Pressing

Objective： To investigate the therapeutic effect of primary refractory trigeminal neuralgia. Methods： Twenty-eight cases of primary trigeminal neuralgia were treated by point penetrating injection plus ear pressing, controlled by 28 cases treated only by acupuncture, Results： The total effective rate was 96,43% in observation group and 78.57% in control group. There wasa significant difference in the total effective rate between the two groups （P〈0.05）. Results： Point penetrating injection plus ear pressing is the effective method in treating primary trigeminal neuralgia.

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 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 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

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.

耳穴疗法治疗原发性失眠的现代文献研究

Objective By sorting and analyzing pertinent modern studies targeting auricular point therapy treating primary insomnia(PI),to summarize the point selection rules and clinical efficacy of using auricular points alone or combining it with other therapies in treating PI.Methods A search on China National Knowledge Infrastructure(CNKI),Wanfang Academic Journal Full-text Database(Wanfang),Chongqing VIP Database(CQVIP),PubMed,Springer and Ovid were conducted from January 1,1998 till January 31,2020.Point selection,diagnostic criteria and Pittsburgh sleep quality index(PSQI)in the eligible studies were analyzed and summarized.Results The difference in PSQI before and after using auricular point therapy alone was more significant than that of using Chinese medication alone(P<0.05),but less significant than that of combining auricular point therapy and acupuncture-moxibustion and Chinese therapeutic massage(tuina)(P<0.05).In the included studies,Shenmen(TF_(4))was the most commonly used(370 times),followed by Heart(CO_(15)),which was 344 times,and Subcortex(AT_(4)),which was 325 times.In terms of auricular points distribution,points in the auricular concha were the most commonly used(1500 times),followed by those in the antitragus(474 times)and triangular fossa(387 times).Correlation analysis showed that Shenmen(TF_(4))and Liver(CO_(12)),Sympathetic(AH6a)and Heart(CO_(15))were used together more often,followed by Shenmen(TF_(4)),Liver(CO_(12)),Spleen(CO_(13)),Kidney(CO_(10))and Subcortex(AT_(4)),and then Shenmen(TF_(4)),Liver(CO_(12)),Sympathetic(AH6a),Subcortex(AT_(4))and Heart(CO_(15)).Cluster analysis showed that the auricular points used for PI can be divided into 6 clusters in 2 major groups.One group was Heart(CO_(15)),Subcortex(AT_(4)),Shenmen(TF_(4)),Sympathetic(AH6a),Spleen(CO_(13)),Kidney(CO_(10)),Liver(CO_(12))and Endocrine(CO_(18));the other was Occiput(AT3),Stomach(CO_(4)),Pancrease-gallbladder(CO_(11)),Chuiqian(LO_(4)),Small Intestine(CO_(6)),Central Rim(AT_(2,3,4i))and Sanjiao(CO_(17)).In terms of patterns in traditional Chinese medicine,the pattern of dual deficiency of heart and spleen accounted for the largest proportion in the studies of using auricular points alone or combining it with other treatments to treatment PI,and then it was the pattern of liver depression transforming into fire.Conclusion In treatment of PI with auricular points alone or combo therapy involving auricular points,Shenmen(TF_(4))was commonly used,and the commonly used point group consisted of Shenmen(TF_(4)),Liver(CO_(12)),Sympathetic(AH_(6a))and Heart(CO_(15)).Auricular point therapy can be taken as a complementary therapy in treating PI.