面穴隔姜灸加肢穴针刺治疗顽固性面瘫22例

笔者近几年来，运用面穴隔姜灸加肢穴针刺治疗，疗程在三个月以上的顽固性面瘫22例，取得了较为满意的效果。现报告如下。

Experience of professor JIA Chun-sheng in rapid analgesia by subcutaneous penetration needling of auricular acupuncture

To introduce the experience of professor JIA Chun-sheng in rapid analgesia and motor function rehabilitation by subcutaneous penetration needling of auricular acupuncture.Subcutaneous penetration needling of auricular acupuncture plays a role in rapid analgesia and motor function rehabilitation in treatment of pain in limbs and trunk and/or limb dysfunction caused by migraine,cervical spondylosis,acute lumbar sprain,soft tissue injury,scapulohumeral periarthritis,lumbar disc herniation,sciatica,stroke or cerebral trauma,and it is worthy of being widely promoted and applied clinically.

Warm needling moxibustion versus electroacupuncture for simple obesity due to yang deficiency of the spleen and kidney: a controlled clinical trial

Objective: To compare the therapeutic efficacy between warm needling moxibustion and electroacupuncture (EA) in the treatment of simple obesity due to yang deficiency of the spleen and kidney. Methods: Seventy patients with simple obesity due to yang deficiency of the spleen and kidney were randomly divided into a warm needling moxibustion group and an EA group, with 35 subjects in each group. Same major acupoints were selected for the two groups, including Shuifen (CV 9), Guanyuan (CV 4), Daheng (SP 15), Shuidao (ST 28), Shousanli (LI 10), Zusanli (ST 36), Sanyinjiao (SP 6) and Taixi (KI 3). The warm needling moxibustion group received warm needling moxibustion, while the EA group received EA treatment. The interventions were performed once every other day, with 15 treatments as one course. The therapeutic efficacy, body weight and body mass index (BMI) were then observed and compared. Results: The total effective rate in the warm needling moxibustion group was 85.7% versus 77.1% in the EA group, and the between-group difference was statistically significant (P<0.05). The warm needling moxibustion was remarkably superior to the EA in weight loss and lowering BMI, both with statistical significance (P<0.05, P<0.01). At the three-month follow-up, the body weight and BMI further decreased in the warm needling moxibustion group (both P<0.05), and the levels were lower than those in the EA group (P<0.05, P<0.01). Conclusion: Warm needling moxibustion can produce reliable and consistent efficacy in the treatment of simple obesity due to yang deficiency of the spleen and kidney. Compared with EA, warm needling moxibustion shows advantage in both short-term and long-term efficacies, and thus is worth promotion in clinical practice.

Study on the thermesthesia features of heatsensitive acupoints in patients with knee osteoarthritis

Objective： To observe the thermesthesia thresholds of the heat-sensitive acupoints in patients with knee osteoarthritis （KOA）, and to provide scientific evidence for acupoint selection based on acupoint sensitization. Methods： Forty-six patients with KOA of swelling type were recruited. By using the quantitative thermesthesia testing, the thermal sensation threshold, thermal pain threshold, and threshold of thermal pain tolerance at Xuehai （SP 10）, Neixiyan （EX-LE 4） and Yinlingquan （SP 9） were detected. The subjects were then divided into heat-sensitive groups and non-heat-sensitive groups according to whether there was a phenomenon of heat-sensitive moxibustion sensation at each acupoint, to compare the thermesthesia thresholds between the two groups. Results： The thermal sensation threshold, thermal pain threshold, and threshold of thermal pain tolerance were respectively （38.21±2.03） ℃, （44.47±1.86） ℃ and （48.59＋0.74） ℃ in the heat-sensitive group of Xuehai （SP 10）, versus （36.76±1.93） ℃, （42.91±2.05） ℃ and （46.95±1.14） ℃ in the non-heat-sensitive group of Xuehai （SP 10）; the thermal sensation threshold, thermal pain threshold, and threshold of thermal pain tolerance were respectively （37.47±1.77）℃, （44.55＋1.63） ℃, and （47.48±0.47） ℃ in the heat-sensitive group of Neixiyan （EX-LE 4）, versus （35.92±1.69） ℃, （42.72±1.94）℃ and （45.53±0.41） ℃ in the non-heat-sensitive group of Neixiyan （EX-LE 4）; the thermal sensation threshold, thermal pain threshold, and threshold of thermal pain tolerance were respectively （37.30±2.23） ℃, （44.39±1.92） ℃ and （47.76±0.58） ℃ in the heat-sensitive group of Yinlingquan （SP 9）, versus （36.06±1.86） ℃, （42.63±1.88） ℃ and （45.91±0.72） ℃ in the non-heat-sensitive group of Yinlingquan （SP 9）. The statistical analyses showed that the thermal sensation threshold, thermal pain threshold, and threshold of thermal pain tolerance of each heat-sensitive group （all the three acupoints） were significantly higher than those of each corresponding non-heat-sensitive group （P〈0.01）. Conclusion： There were differences in the thermesthesia thresholds between heat-sensitized and non-heat-sensitized acupoints in patients with KOA of swelling type; and the thermal sensation threshold, thermal pain threshold, and threshold of thermal pain tolerance of the heat-sensitized points were significantly higher than those of the non-heat-sensitized ones.

Clinical observation of auricular acupoint therapy for pain in early-stage extremity trauma

Objective： To observe the efficacy of auricular acupoint sticking based on conventional treatment in treating pain in early-stage extremity trauma. Methods： A hundred eligible patients with acute soft tissue injury or acute closed fracture were randomized into an observation group and a control group by their admission sequence, 50 cases in each group. The two groups both received routine management including routine checking, external fixing, traction, raising up the affected limb, etc., as well as cold compress with Chinese medication （Xiao Zhong Zhi Tong Powder）. In addition to the routine management, the control group was given oral administration of amidopyrine and phenacetin compound tablet, I tablet per dose, twice a day, which was then taken only when necessary or terminated after pain subsided. The observation group was given auricular acupoint sticking in addition to the routine management. The two groups were compared in terms of numerical rating scale （NRS） score, therapeutic efficacy and adverse reactions after pain was relieved. Results： After the intervention, the NRS scores dropped significantly in both groups （P〈0.01）; the NRS score in the observation group was significantly lower than that in the control group （P〈0.05）. The total effective rate in the observation group was superior to that in the control group （P〈0.05）. There were no severe adverse reactions in the two groups. Conclusion： Based on routine management, auricular acupoint sticking can produce a more significant efficacy in treating pain in early-stage extremity trauma compared to amidopyrine and phenacetin compound tablet; it can effectively reduce pain of the affected limb and prevent complications; it＇s easy-to-operate and safe; patients can learn and understand it easily; its efficacy is confirmed; it enhances the satisfaction degree of the inpatients. Therefore, this method is worth promoting in clinic.