CLINICAL OBSERVATION ON THE TREATMENT OF CHRONIC FATIGUE SYNDROME WITH DEEPLY PUNCTURED ELONGATED NEEDLE COMBINED WITH COMPREHENSIVE NURSING

Objective： To observe the therapeutic effect of deep puncture of Zusanli （足三里 ST 36） and Qihai （气海 CV 6） with elongated needle combined with comprehensive nursing in the treatment of chronic fatigue syndrome （CFS） so as to provide new way and effective method for CFS. Methods： A total of 100 cases of CFS patients were evenly randomized into treatment group and control group which were treated with elongated needle puncture of ST 36 and CV 6 plus nursing and oral ackninistration of Shiquan Dobu Tong （十全大补汤 Decoction of Ten Powerful Tonics） separately. Acupuncture and medication were given once daily, with 7 sessions being a therapeutic course, 4 courses altogether. Results： After 4 courses of treatment, of the two 50 cases in treatment and control groups, 4 （8.0%） and 2 （4.0%） were cured, 37 （74.0%） and 16 （32.0%） experienced marked im- provernent, 6 （ 12.0 % ） and 19 （38.0 % ） had improvement, 3 （6.0 % ） and 13 （26.0 % ） tailed, with the total effective rates being 94.0% （47/50） and 74.0% （37/50） respectively. The total effective rate and markedly effective rate of treatment group were significantly higher than those of control group （P〈0.05, 0.01）. Conclusion; Deep puncture of Zusenli （ST 36） and Qihai （CV 6） with elongated needle combined with comprehensive nursing has a definite therapeutic effect in the treatment of chronic fatigue syndrome.

TREATMENT OF 18 CASES OF TRIGEMINAL NEURALGIA WITH ELONGATED NEEDLE

In this paper, a total of 18 cases of primary trigeminal neuralgia were treated with elongated needle. Of the 18 cases, 5 were male and 15 female, ranging in age from 27 to 58 years and in disease duration from 3 days to 8 years. Main acupoints used were Taiyang (EX-HN 5) to Xiaguan (ST 7, for penetration needling), Xiajiache, Fengchi (GB 20), Yanglingquan (GB 34) and Taichong (LR 3). The treatment was given once daily, with 12 sessions being a therapeutic course. After 2 courses of treatment, of the 18 cases, 10 cases were cured, 7 experienced improvement in pain and one failed in the treatment, with an effective rate of 94.4%. The key point for treating trigeminal neuralgia is applying penetrative needling from EX-HN 5 to ST 7 to achieve ideal needling sensations.

EXAMPLES OF CLINICAL APPLICATION OF ACUPUNCTURE OF ZHONGWAN(CV12) WITH ELONGATED NEEDLE

In the present paper, the authors in troduce Professor YAN Li’s experie nce on clinical application of elongated needle for the treatment of gastralgia, migraine and hysteria by acupuncture of Zhongwan (中脘 CV 12). In addition, the y also introduce its operation methods and some points for attention. During ope ration of the elongated needle, the operator should manipulate it gently, avoidi ng rude insertion and rash withdrawal; rather, utilize the elasticity of the steel wire to press the needle downward slowly, and cause the favorable needlin g sensations to spread slowly downward to the affected region along with the mov ement of the needle body.

Acupuncture for chronic nonspecific low back pain in middle-aged and older patients:A randomized controlled trial

Objective:To observe the specific effects of acupuncture in middle-aged and older patients with chronic nonspecific low back pain(CNSLBP).Methods:Sixty-six patients with CNSLBP were randomized into the acupuncture or sham acupuncture groups(n=33).In the acupuncture group,penetrating acupuncture with a long needle was delivered at Ashi points(painful/sensitive points),and the needles were manipulated by rotating technique after deqi till patients felt distending pain.The needles were retained in place for 30 min.Acupuncture was given three times per week for 4 weeks.In the sham acupuncture group,shallow needling was performed at non-meridian,non-acupoint,non-painful,and non-sensitive points.The needle retention and duration of treatment were the same as those of the acupuncture group before treatment,after the first intervention,after the whole treatment,and in follow-up visit(4 weeks after the whole treatment).The scores of the visual analog scale(VAS)for pain,range of movement(ROM)of the spine,and simplified Oswestry Dysfunction Index(ODI)were observed separately.Results:Compared to the outcomes before treatment,the VAS score,spinal ROM,and simplified ODI score were lower after the first intervention,after treatment,and in follow-up visits in the acupuncture group,indicating the statistical significance(P<0.05).When compared with the sham acupuncture group,the VAS score,spinal ROM,and simplified ODI score were significantly lower in the acupuncture group after the first intervention,after treatment,and in follow-up visit(P<0.05).The total effective rate was 90.9%in the acupuncture group,which was significantly higher than that(75.76%)in the sham acupuncturegroup(P<0.05).Conclusion:Acupuncture has a specific effect on CNSLBP in middle-aged and older patients and a superior effect on immediate analgesia.

Treatment of 41 Cases of Prostate Hyperplasia by Elongated Needle

Summary ： To observe the therapeutic effect of acupuncture plus medicament in the treatment of prostatic hyperplasia, Zhibian （BL 54） and Zhongji （CV 3） were deeply punctured with elongated needles and enema was applied with self-prepared medicinal herbs. Then Qugu （CV2）, Zhongliao（BL 33） and Xialiao（BL 34） were selected and connected with a herbal Ion Introduction Apparatus. The total effective rate was 92.4% in 41 cases. Elongated needle and herbal ion introduction can relieve the clinical symptoms of prostatic hyperplasia and improve the patients＇ life quality.

Professor Tian Cong-huo's commonly used acupuncture methods and their clinical application

To introduce Prof. T ian Cong-huo’s commonly used acupuncture methods and their clinical application, in order to summarize the famous doctor’s experience, promote the experience inheritance of Chinese acupuncture, and enhance the therapeutic effect of acupuncture.