Meta-analysis of the acupoint application therapy for stable chronic obstructive pulmonary disease

Objective:To systematically evaluate the clinical efficacy and safety of acupoint application in the treatment of stable chronic obstructive pulmonary disease.Methods:A comprehensive search of domestic and international databases,the search time is limited to nearly ten years,collecting traditional Chinese medicine acupoint application in the treatment of chronic obstructive pulmonary disease in stable phase of randomized controlled trials.Literature screening,information extraction and literature quality evaluation were carried out independently by two researchers,and Meta analysis was carried out by Revman software.Results:A total of 42 RCTs with a total of 4192 patients were included.The results of Meta analysis showed that:Compared with the routine treatment of western medicine,the addition of acupoint application therapy can significantly increase the effective rate[RR=1.23,95%CI(1.19,1.27),P<0.00001]and FEV1/FVC[MD=4.46,95%CI(3.17,5.76),P<0.00001].Significantly improved BODE index[MD=-0.63,95%CI(-0.87,-0.40),P<0.00001],SGRQ score[MD=-6.77,95%CI(-9.81,-3.72),P<0.00001],CAT score[MD=-3.33,95%CI(-3.87,-2.79),P<0.00001]and TCM syndrome integral[MD=-3.51,95%CI(-3.96,-3.06),P<0.00001].The differences is statistically significant and the safety profile is good.Conclusion:On the basis of routine treatment of COPD western medicine,acupoint application therapy can significantly improve the clinical symptoms of patients with less adverse reactions.However,due to the limitations of the research,high-quality research is still needed to provide further evidence.

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.

Clinical observation on warm needling moxibustion plus acupoint sticking therapy for cervical radiculopathy

Objective: To observe the clinical effect of warm needling moxibustion plus acupoint sticking therapy for cervical radiculopathy. Methods: A total of 120 cases were allocated into an observation group, a warm needling group and an acupoint sticking group according to the random number table, with 40 cases in each group. Cases in the observation group received warm needling moxibustion plus acupoint sticking therapy;cases in the warm needling group received the same warm needling moxibustion in the observation group;cases in the acupoint sticking group received the same acupoint sticking therapy in the observation group. The scores of Japanese Orthopaedic Association (JOA) and visual analog scale (VAS) were recorded before and after treatment. Results: The total effective rate was 95.0% in the observation group, versus 77.5% in the warm needling group and 75.0% in the acupoint sticking group (both P<0.05). Inter-group differences in JOA and VAS between the observation group and the other two groups were statistically significant (all P<0.05). Conclusion: Warm needling moxibustion plus acupoint sticking therapy is effective in treating cervical radiculopathy, and it can significantly alleviate pain and enhance clinical efficacy, and thus is worth clinical popularization.

Effectiveness of Bufei Yishen Granule(补肺益肾颗粒)Combined with Acupoint Sticking Therapy on Quality of Life in Patients with Stable Chronic Obstructive Pulmonary Disease

Objective： To evaluate the efficacy of Bufei Yishen Granule （补肺益肾颗粒, BFYSG） combined with Shufei Tie （舒肺贴） acupoint sticking therapy on quality of life of patients with stable chronic obstructive pulmonary disease （COPD）. Methods： A multi-center, double-blinded, double-dummy and randomized controlled method was adopted in this trial. A total of 244 patients were randomly assigned to a trial group and a control group according to the random number, each with 122 patients; treatment allocation occurred when the participants met the inclusion criteria and signed the informed consent form. In the trial group, patients were treated with BFYSG combined with ＂Shufei Tie＂ acupoint sticking therapy and sustained-release theophylline dummy, and in the control group patients were treated with oral sustained-release theophylline and BFYSG dummy combined with ＂Shufei Tie＂ acupoint sticking therapy dummy. The therapeutic course for two groups was 4 months and the follow-up was 6 months. The frequency and duration of acute exacerbation calculated by adding up each frequency and duration of acute exacerbation in treatment and follow-up time respectively, the quality of life measured by the World Health Organization Quality of Life （WHOQOL）-BREF scale and adult COPD quality of life （COPD-QOL） scale were observed. Results： Among the 244 enrolled patients, 234 were screened for full analysis set （FAS）; 221 were screened for per-protocol analysis set （PPS）. After 4-month treatment and 6-month follow-up there were differences between the trial group and the control group in frequency of acute exacerbation （FAS： P=0.013; PPS： P=0.046）; duration of acute exacerbation （FAS： P=0.005; PPS： P=0.006）; scores of physiological, psychological and environment aspects of the WHOQOL-BREF questionnaire （FAS： P=0.002, P=0.006, P=0.000; PPS： P=0.00, P=0.001, P=0.000）; scores of daily living ability, social activity, depression symptoms aspects of the COPD-QOL questionnaire （FAS： P=0.000, P=0.000, P=0.006; PPS： P=0.002, P=0.001, P=0.001）. Conclusion： BFYSG combinedwith acupoint sticking therapy could improve the quality of life of patients with stable COPD.

Clinical Observation on Acupoint Sticking Therapy for Lumbar Intervertebral Disc Hernination

Objective： To observe the clinical effects of acupoint sticking therapy for umbar intervertebral disc herniation. Methods： Seventy patients with lumbar intervertebral disc herniation were randomly divided into two groups by the visit order, 35 cases in each group. The treatment group was treated with acupoint sticking therapy and the control group was treated with tuina. After treatment, the clinical effects, pain integral and Japanese Orthopedic Association （JOA） scores were compared between the two groups. Results： The total effective rate, pain integral and improvement of JOA scores were better in the treatment group than in the control group （P〈O.O5）. Conclusion： Acupoint sticking therapy is affirmative in the therapeutic effects and better than tuina treatment for lumbar intervertebral disc herniation.

Prevention and Treatment for Chronic Pharyngitis by Acupoint Sticking Therapy:A Report of 100 Cases

Chronic pharyngitis is a clinically common and frequent-occurring disease, termed as ＂chronic throat Bi-Impediment syndrome＂ in Chinese medicine, and mostly occurs in winter and spring[1-2]. Based upon the theory of traditional Chinese medicine to support the anti-pathogenic ability and expel pathogen, chronic pharyngitis was prevented and treated by acupoint sticking therapy from 2007 in our clinic. Now, the report is given as follows.

Treatment of acne vulgaris with auricular acupoint pricking-bloodletting plus auricular point sticking therapy: a randomized controlled study

Objective: To observe the clinical efficacy of auricular point pricking-bloodletting plus auricular point sticking therapy for acne vulgaris. Methods: A total of 66 patients with acne vulgaris were randomized into an observation group and a control group by the random number table, with 33 cases in each group. The observation group was treated with auricular point pricking-bloodletting plus auricular point sticking therapy, and the control group was treated only with auricular point sticking therapy. The treatments of both groups were performed twice a week, 4 weeks as a course of treatment, for 3 courses in total. The scores of skin lesions and dermatology life quality index (DLQI) scores were recorded before and after treatment to assess the clinical efficacy. Results: During the trial, there were 3 cases of drop-out both in the observation group and the control group. After 3 courses of treatment, the total effective rate of the observation group was 96.7%, while that of the control group was 76.7%. The difference between the two groups was statistically significant (P<0.05). The intra-group comparison showed that the scores of skin lesion and DLQI were both decreased with the increase of treatment times, that was, the scores were lower than those at the previous time point (allP<0.05). After 1, 2, and 3 courses of treatment, the scores of skin lesion and DLQI of both groups were statistically different from those of the same group before treatment (allP<0.05). At every time point during the treatment, the scores of skin lesion and DLQI of the observation group were lower than those of the control group, and the differences between the two groups were statistically significant (all P<0.05). Conclusion: Auricular point pricking-bloodletting plus auricular point sticking has a better curative effect than auricular point sticking therapy alone in the treatment of acne vulgaris, and has a time-effect correlation.

Effect of acupoint massage plus acupoint sticking therapy for the stress reaction during postoperative anesthesia recovery period in patients undergoing nasal endoscopic surgery

Objective:To observe the effect of acupoint massage plus acupoint sticking therapy for the stress reaction during postoperative anesthesia recovery period in patients undergoing nasal endoscopic surgery.Methods:A total of 120 patients undergoing nasal endoscopic surgery were included,and all patients were under trachea intubation and general anesthesia.The patients were randomized into an observation group and a control group,with 60 patients in each group.Patients in the control group received conventional anesthesia resuscitation,while patients in the observation group received acupoint massage plus acupoint sticking therapy on the basis of conventional anesthesia resuscitation.Changes in the heart rate (HR),systolic blood pressure (SBP) and diastolic blood pressure (DBP) were observed at three time points including the end of the surgery (TO),the removal of the tracheal tube (T1) and 10 min after the removal of the tracheal tube (T2).The awakening and tube removal time,choking cough and restlessness,and adverse reactions (dizziness,nausea and vomiting) in 24 h post-surgery period were compared.Results:At T1 and T2,the comparisons of HR,SBP and DBP between the two groups showed statistical significance (all P＜0.05).Intra-group comparisons showed that the HR,SBP and DBP of the control group at T1 and T2 were significant different from those at TO (all P＜0.05).There were significant differences in the awakening time and tube removal time between the two groups (both P＜0.05).The incidences of choking cough and restlessness were 8.3％ and 3.3％ respectively in the observation group,versus 53.3％ and 30.0％ in the control group,and the between-group comparisons showed statistical significance (both P＜0.05).The incidences of dizziness,nausea and vomiting in 24 h post-surgery period were 3.3％,5.0％ and 0.0％ respectively in the observation group,versus 43.3％,33.3％ and 25.0％ in the control group,and the between-group comparisons showed statistical significance (all P＜0.05).Conclusion:Acupoint massage plus acupoint sticking therapy can effectively regulate the stress reaction during postoperative anesthesia recovery period in patients undergoing nasal endoscopic surgery,and maintain a stable internal environment.

Observation on Therapeutic Effects of Pinching Spine plus Acupoint Sticking Therapy for Infantile Cerebral Palsy with Spleen Deficiency Pattern

Objective： To observe the clinical effect of pinching spine plus acupolnt StlCKlng merapy for infantile cerebral palsy （ICP） with spleen deficiency pattern. Methods： Seventy children of ICP with spleen deficiency pattern were randomly divided into a treatment group and a control group. Those in the treatment group were given the comprehensive rehabilitation therapy plus pinching spine and acupoint sticking therapy. Those in the control group were just given the comprehensive rehabilitation therapy. The treatment was given once every day, 20-day as one course, and totally for three courses. Results： The total effective rate of the clinical symptoms was 77.1% in the treatment group and 39.9% in the control groups. The total effective rate of rehabilitation effects was 74.3% in the treatment group and 48.6% in the control group. The effective rate was obviously better in the treatment group than that in the control group, with statistical differences （P〈0.05）. Conclusion： Pinching spine plus acupoint sticking therapy is remarkable in the therapeutic effects for ICP with spleen deficiency pattern, and needs to be popularized clinically.

Treatment and Prevention of 100 Cases with Allergic Rhinitis by Acupoint Sticking Therapy

Objective: To observe the clinical effects of acupoint sticking therapy in the three ten-day periods in summer and three nine-day periods in winter. Methods: Herbal medicines were prepared into crude herbal powder and made into paste with ginger juice, and were respectively applied to the corresponding acupoints in the three ten-day periods in summer and three nine-day periods in winter. Results: The results showed 45 cases were cured, 50 cases were improved, and 5 cases failed out of 100 cases, with the total effective rate of 95%. Conclusion: The acupoint sticking therapy for the treatment and prevention of allergic rhinitis is simple in method, remarkable in effects, acceptable to the patients, and is worthy of clinical popularization.

Therapeutic effect of warm needling plus acupoint sticking therapy on primary dysmenorrhea due to cold-dampness retention

Objective： To observe the clinical efficacy of warm needling plus acupoint sticking therapy for primary dysmenorrhea. Methods： A total of 60 eligible cases were randomly allocated into a treatment group （n=30） and a control group （n=30） according to their sequence of consultation. Patients in the treatment group were treated with warm needling combined with acupoint sticking therapy, whereas patients in the control group were treated with oral Ibuprofen （Fenbid） capsules. After two menstrual cycles, the visual analogue scale （VAS） score, COX menstrual symptom scale （CMSS） and clinical efficacy were compared between the two groups. Results： After treatment, the VAS and CMSS scores were significantly reduced in both groups, indicating that both treatment protocols can remarkably alleviate pain. There was a between-group statistical difference in comparing the CMSS score （P〈0.05）, but no between-group statistical difference in the VAS score （P〉0.05）. However, the follow-up visit showed between-group statistical differences in comparing VOA and CMSS scores （both P〈0.01）. The clinical effect, relapse rate and long-term efficacy in the treatment group were better than those in the control group. Conclusion： Warm needling plus acupoint sticking therapy is a simple but effective therapy for primary dysmenorrhea. In addition, it causes fewer cases with relapse.

Clinical observation of acupuncture plus acupoint sticking therapy for insomnia and its influence on subjective and objective sleep indicators

Objective To observe the effects of acupoint sticking therapy of different dosages and durations on the subjective and objective sleep indicators in insomnia patients.Methods Ninety-six patients with insomnia due to liver-Qi stagnation and spleen deficiency were divided into a high-dosage 7 d group(25 cases),a high-dosage 14 d group(22 cases),a low-dosage 7 d group(21 cases),and a low-dosage 14 d group(28 cases)using the random numbers generated in a stratified and stage-by-stage manner in combination with the visiting sequence.The four groups all received the same acupuncture treatment,but acupoint sticking therapy varied in dosage and duration.Before and after treatment,the actigraphic readings(total time in bed,total sleep time,sleep efficiency,number of wake bouts,length of wakes after asleep,and sleep latency),Pittsburgh sleep quality index(PSQI)score,and symptoms score of traditional Chinese medicine(TCM)were observed.A correlation analysis was conducted among the subjective and objective indicators.Results The PSQI score was positively correlated with the total time in bed and total sleep time(P<0.05).After treatment,the sleep latency,PSQI scores,and TCM symptoms scores changed significantly in the four groups(P<0.05).The total sleep time and sleep efficiency gained improvements after treatment in the high-dosage 14 d and low-dosage 14 d groups(P<0.05).The high-dosage acupoint sticking groups had longer total sleep time compared with the low-dosage groups of the same treatment duration(P<0.05).After treatment,the length of wakes after asleep,PSQI scores,and TCM symptoms scores were better in the 14 d groups than in the 7 d groups of the same acupoint sticking dosage(P<0.05).Conclusion Given the same acupuncture treatment,acupoint sticking therapy of different treatment durations produces different effects on the length of wakes after asleep,PSQI score,and TCM symptoms score in insomnia patients,and the 14-day acupoint sticking treatment is superior to the 7-day treatment.

Treatment of 36 Cases of Recurrent Aphthous Ulcer with Acupoint Sticking Therapy

Objective： To observe the therapeutical effect of using the paste of Wu Zhu Yu （Fructus Evodia） for acupoint sticking combined with tonifying kidney, to treat the recurrent aphthous ulcer. Methods： Thirty-six cases ofreccurent aphthous ulcer due to kidney dificiency were treated with Wu Zhu Yu （Fructus Evodia） paste applying to Yongquan （KI 1）, and orally taking Liu Wei Di Huang Pill. Ten treatments made up one course, 2-3 d of interval between 2 courses. Then 1-year follow-up was made. Results： Twenty cases were cured, 12 cases improved, 4 cases failed. Conclusion： The method of using Wu Zhu Yu （Fructus Evodia） paste applying to acupoint Yongquan （KI 1）, integrated with the manipulation of strengthening kidney, can effectively shorten the duration of disease, improve the symptoms, and control recurrency, which is good for this disease.

Clinical observation on acupoint sticking therapy plus electroacupuncture for treating peripheral facial paralysis

Objective:To observe the clinical effect of acupoint sticking therapy with Mian Tan Gao(facial paralysis paste)plus electroacupuncture(EA)for treating peripheral facial paralysis and its influence on patients'facial nerve functions,facial disability index and clinical symptoms and signs.Methods:A total of 96 peripheral facial paralysis patients were allocated into an observation group,a medicine group and an EA group by simple randomization,with 32 cases in each group.Patients in the medicine group were treated with oral mecobalamine and prednisone acetate;patients in the EA group were treated with EA on the basis of the medicine treatment;while patients in the observation group were treated with acupoint sticking therapy with Mian Tan Gao(facial paralysis paste)plus EA.After 4-week treatment,the clinical efficacy,the adverse events,and the scores of House-Brackmann(H-B)facial nerve function grading scale,visual analog scale(VAS),clinical symptoms and signs,and facial disability index(FDI)were compared.Results:After 4-week treatment,the total effective rate was 96.9%in the observation group,higher than 68.7%in the medicine group and 75.0%in the EA group(both P<0.05).After 4-week treatment,the scores of H-B grading scale,VAS and clinical symptoms and signs in the three groups dropped significantly compared with those before treatment,and the scores in the observation group were lower than those in the medicine group and EA group(all P<0.05).After 4-week treatment,the facial disability index-physical function(FDIP)in the FDI in the three groups increased significantly,with a higher value in the observation group compared with that in the medicine group and EA group(both P<0.05).The facial disability index-social function(FDIS)in the FDI dropped significantly,with a lower score in the observation group compared with that in the medicine group and EA group(both P<0.05).However,the comparisons of the items above between the medicine group and the EA group showed no statistical significance(all P>0.05).The between-group comparison of the adverse event across the three groups showed no statistical significance(P>0.05).Conclusion:Acupoint sticking therapy with Mian Tan Gao(facial paralysis paste)plus EA can decrease H-B grade,reduce pain severity and improve clinical symptoms and signs as well as the facial disability condition in peripheral facial paralysis patients.This method produced more significant efficacy compared with oral medicine and medicine plus EA.

Treatment of 100 Cases of Children's Nocturnal Enuresis with Acupoint Sticking Therapy

Summary： Daiwenjiu Gao plasters were stuck onto the following two groups of acupoints, group 1 including acupoints Guanyuan （CV 4）, Shenshu （BL 23） and Zusanli （ST 36） and group2 including acupoints Zhongji （CV 3）, Pangguangshu （BL 28） and Sanyinjiao （SP 6）, to treat 100 cases of infantile enuresis, the results showed that 92 cases were cured, 6 cases got remarkable effect, 2 cases got effect, with total effective rate being 100%.

A randomized placebo-controlled trial of Chinese medicine acupoint application on gastrointestinal dysfunction after appendectomy

Background:Gastrointestinal dysfunction is one of the common complications of appendectomy,which seriously affects the postoperative recovery and clinical prognosis.Through traditional Chinese medicine acupoint application is suggested for managing postoperative gastrointestinal dysfunction,supporting evidence is weak.Here,the prospective randomized placebo-controlled study was designed to provide high-level evidence regarding whether traditional Chinese medicine acupoint application is effective on the gastrointestinal dysfunction after appendectomy.Methods:A total of 60 patients who underwent appendectomy in Dongfang Hospital Beijing University of Chinese Medicine(Beijing,China)from November 2016 to December 2017 were selected as study objects and randomly divided into control group(n=30)and observation group(n=30).Based on routine postoperative care,the acupoints Zusanli(ST36)and Yongquan(KI1)were selected.The control group was given acupoint application of traditional Chinese medicine placebo and the observation group was given acupoint application of clinical empirical Chinese medicine called Wentongliqi prescription.The course of treatment was performed on the 1st,2nd,and 3rd days after appendectomy,once a day and 4 hours each time.The primary outcome includes the time until the recovery time of bowel sounds(h),the first postoperative flatus(h)and first bowel movement time(h)on the 1st,2nd,and 3rd days after appendectomy.The secondary outcome includes clinical symptom score,life ability score and adverse reactions were observed and recorded on the 1st,2nd,and 3rd days after appendectomy.Results:After treatment,the recovery time of intestinal sound in the observation group was earlier than that in the control group(P<0.05).However,there were no significant difference between the two groups in first anal exhaust time and first bowel movement time,clinical symptom scores and life ability scores between the two groups before and after treatment(P>0.05).Conclusion:Acupoint application therapy has limited effect on the recovery of gastrointestinal dysfunction after appendectomy.Further study with large sample size is needed to confirm its therapeutic effects.

中药穴位贴敷联合音乐疗法对宫颈癌化疗所致恶心呕吐的干预效果分析

目的观察中药穴位贴敷联合音乐疗法对宫颈癌化疗所致恶心呕吐的干预效果。方法纳入宫颈癌化疗治疗所致恶心呕吐的患者76例,采用随机数字表法分为2组。对照组37例予音乐疗法,研究组39例予中药穴位贴敷联合音乐疗法干预。2组均21天为1个疗程,治疗4个疗程。比较2组治疗前后血小板计数、白细胞计数、血红蛋白水平、恶心及呕吐指数评估量表(INVR)和生活质量评分(QOL),记录2组恶心呕吐发生情况,统计对比2组疗效。结果研究组总有效率92.31%(36/39),对照组总有效率72.97%(27/37),研究组临床疗效优于对照组(P<0.05)。2组治疗后血小板计数、白细胞计数及血红蛋白水平均较本组治疗前降低(P<0.05),且研究组治疗后均低于对照组(P<0.05)。2组治疗前后INVR评分比较2组治疗后INVR各项评分均较本组治疗前降低(P<0.05),且研究组治疗后均低于对照组(P<0.05)。2组治疗后QOL各项评分均较本组治疗前升高(P<0.05),且研究组治疗后均高于对照组(P<0.05)。2组治疗当日恶心呕吐发生情况比较差异无统计学意义(P>0.05)。治疗结束后当日研究组恶心呕吐发生率均低于对照组(P<0.05)。结论经中药穴位贴敷联合音乐疗法对宫颈癌化疗所致恶心呕吐患者进行治疗,能显著改善患者恶心呕吐症状,提高患者生活质量,临床效果显著。

子午流注法温灸联合穴位贴敷治疗功能性便秘的疗效观察

目的观察子午流注穴位温灸联合自拟软坚散神阙穴贴敷治疗功能性便秘的临床疗效及对患者血清胃动素(motilin,MTL)和5-羟色胺4受体(5-hydroxytryptamine serotonin receptor 4,5-HT4R)水平的影响。方法选取80例功能性便秘患者,用随机数字表法等分为对照组和研究组,每组40例。对照组用子午流注穴位温灸进行治疗,研究组用子午流注穴位温灸包联合自拟软坚散神阙穴贴敷治疗。比较两组临床疗效,观察两组治疗前后症状评分、直肠压力以及血清MTL、5-HT4R、神经型一氧化氮合酶(neuronal nitric oxide synthase,nNOS)、一氧化氮(nitric oxide,NO)、血管活性肠多肽(vasoactive intestinal polypeptide,VIP)、超氧化物歧化酶(superoxide dismutase,SOD)、丙二醛(malondialdehyde,MDA)和谷胱甘肽(glutathione r-glutamyl cysteingl glycine,GSH)水平的变化。结果研究组总有效率明显高于对照组(P<0.05)。治疗后,两组血清MTL和5-HT4R水平均高于治疗前(P<0.05),且研究组均高于对照组(P<0.05)。治疗后,两组临床症状评分以及血清nNOS、NO和VIP水平均低于治疗前,且研究组均低于对照组(P<0.05)。治疗后,两组直肠肛门抑制反射阈值和首次排便感觉阈值均低于治疗前(P<0.05),最大缩榨压和直肠静息压均高于治疗前(P<0.05);且研究组上述指标均优于对照组(P<0.05)。治疗后,两组血清MDA水平均低于治疗前(P<0.05),血清SOD和GSH水平均高于治疗前(P<0.05);且研究组上述指标均优于对照组(P<0.05)。结论在常规治疗基础上,子午流注穴位温灸联合自拟软坚散神阙穴贴敷治疗功能性便秘的临床疗效优于单一温灸包治疗,可提高血清MTL和5-HT4R水平,缓解临床症状和直肠压力,改善血清肠神经递质、SOD、MDA和GSH水平。

Therapeutic Efficacy Observation on Acupoint Sticking for Edema Due to Chronic Cardiac Failure

Objective: To evaluate the therapeutic effect of acupoint sticking with Chinese herbs for edema due to chronic cardiac failure. Methods: One hundred and seventy patients in conformity with the diagnostic criteria of edema due to chronic cardiac failure were randomly divided into two groups, 85 cases in each group. The observation group was treated by oral administration of diuretics plus acupoint sticking with Chinese herbs. The control group was treated just by oral administration of diuretics same as the observation group. The therapeutic effects were evaluated after continuous intervention for 14 d. Results: The total effective rate was 90.6% in the observation group, remarkably higher than 67.1% in the control group. The difference of overall therapeutic effect between the two groups was statistically significant(P<0.01). Conclusion: The therapeutic effect of acupoint sticking with Chinese herbs plus oral administration of diuretics is better than simple oral administration of diuretics in treatment of edema due to chronic cardiac failure.

温针灸治疗稳定期慢性阻塞性肺疾病的疗效观察

目的基于冬病夏治理论,观察三伏天温针灸夹脊穴治疗稳定期慢性阻塞性肺疾病的临床疗效。方法将符合纳入标准的60例稳定期慢性阻塞性肺疾病患者随机分为对照组和治疗组,每组30例。对照组予穴位贴敷治疗,治疗组在对照组穴位贴敷治疗基础上予温针灸夹脊穴治疗。比较两组治疗后3个月和治疗后6个月的临床疗效和患者症状加重次数。观察两组治疗前、治疗后3个月和治疗后6个月慢阻肺评估测试问卷评分(chronic obstructive pulmonary disease assessment test,CAT)评分的变化。结果治疗后3个月,治疗组总有效率为93.3%,高于对照组的73.3%,差异具有统计学意义(P<0.05)。治疗后6个月,两组总有效率比较,差异无统计学意义(P>0.05)。治疗后3个月和治疗后6个月,两组CAT评分和患者症状加重次数均低于同组治疗前(P<0.05),且治疗组均低于对照组(P<0.05)。结论在穴位贴敷基础上,三伏天温针灸夹脊穴治疗稳定期慢性阻塞性肺疾病可降低患者6个月内症状加重次数,改善咳嗽、咳痰和胸闷症状,提高临床疗效。