Study of Mongolian Warming Needle Acupuncture Therapy

The Mongolian warming needle acupuncture therapy is a Mongolian traditional external treatment method that uses special silver needles to insert specific acupoints on the human body,and then stimulates them with warm acupuncture to achieve the purpose of disease prevention and treatment.This paper reviewed the theoretical basis,acupuncture methods,acupuncture classification,acupuncture tools,acupuncture points,indications,and contraindications of Mongolian acupuncture.Besides,it also summarized the clinical application of the Mongolian warming needle acupuncture therapy.In addition,it elaborated the its principle of regulating cold and heat in the body,leading the disease out,dialectically coordinating the whole,and changing the local part,highlighting its important position in medicine,so as to better promote clinical practice.

AN OBSERVATION OF THE THERAPEUTIC EFFECT OF WARMING NEEDLING TECHNIQUE ON JIAJI POINTS FOR THE TREATMENT OF DEPRESSION AND ITS INFLUENCE ON EEG-α WAVE IN PATIENTS

Objective To discuss the therapeutic effect and mechanism of warming needling technique for the treatment of depression. Methods A total of 60 patients with depression were randomly divided into treatment group and control group with 30 cases each. The treatment group was treated with warming needle technique on the Jiaji points of the heart, lung, liver, spleen and kidney, control group with Amitriptyline, HAMD scale and the qualitative change of EEG-α wave were observed before and after the treatment. Results The total effective rate of treatment group was 100%, much better than that of the control group with 80% (P<0.05); the HAMD scale of treatment group was better than that of control group (P<0.05); the comparison of the improvement of somatic symptoms between treatment group and control group was significant (P<0.05); the comparison of frequency and amplitude of EEG-α wave was significant (P<0.05), there was no toxic and side effect in the treatment group. Conclusion Warming needling technique for depression has better effect than Amitriptyline, and there was no toxic and side effect in the treatment group. Warming needle technique can effectively regulate the frequency and amplitude EEG-α wave, and acts to improve depressive condition.

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.

Effect of warm needling therapy and acupuncture in the treatment of peripheral facial paralysis:A systematic review and meta-analysis

Objective: The goal of this study is to explore effective treatments for peripheral facial paralysis and to evaluate the clinical efficacies of warm needling therapy and acupuncture in peripheral facial paralysis.Methods: PubMed(1979-2017), the Chinese National Knowledge Infrastructure database(CNKI, 1979-2017), Wanfang databases(1990-2017), and the Chongqing VIP full-text periodical database(VIP, 1989-2017) were searched by computer. Randomized controlled trials of warm needling therapy and acupuncture in the treatment of peripheral facial paralysis were collected. The clinical trials that met the inclusion criteria were selected for quality assessment using the Cochrane 5.0 Handbook for systematic evaluation.RevMan5.3 was used for statistical analysis.Results: A total of 23 articles with 1756 patients met the inclusion criteria.(1) The meta-analysis of 11 articles showed that the total effective rate of warm needling therapy for peripheral facial paralysis was higher than that of acupuncture [RR = 1.18, 95% Cl(1.11,1.25), P< 0.00001].(2) The meta-analysis of 7 articles showed that the total effective rate of warm needling therapy combined with electroacupuncture in the treatment of peripheral facial paralysis was higher than that of acupuncture combined with electroacupuncture [RR= 1.15, 95% Cl(1.09, 1.21), P< 0.00001].(3) The meta-analysis of 5 articles showed that the total effective rate of warm needling therapy combined with other therapies in the treatment of peripheral facial paralysis was higher than that of acupuncture combined with other therapies [RR= 1.08,95% Cl(1.03, 1.14), P=0.002].(4) The meta-analysis of 5 articles showed that warm needling therapy could improve the House-Brackmann(H-B) scores of patients with peripheral facial paralysis more than acupuncture [mean difference(MD)=-2.85, 95% Cl(-5.08,-0.62), Z = 2.51, P = 0.01], indicating that warm needling therapy provides superior improvement in the function of facial nerve innervation in the patients. No adverse events were reported in the included studies. The methodological quality of the included studies was generally low.Conclusion: The results of this meta-analysis showed that warm needling therapy is superior to acupuncture in treating peripheral facial paralysis, providing a therapeutic option for the treatment of peripheral facial paralysis. However, due to the small sample size and the low quality of the included studies, the above conclusion still needs to be validated with high-quality, large-scale, randomized, blinded controlled trials.

Observation on clinical efficacy of warm needling therapy for chronic lumbar strain

Objective： To observe the clinical efficacy of warm needling therapy for chronic lumbar strain. Methods： A total of 60 patients with chronic lumbar strain who met the inclusion criteria were randomized into a treatment group and a control group by the random number table, with 30 cases in each group. The treatment group was treated with warm needling therapy, while the control group was treated with ordinary acupuncture treatment. The treatments were both performed once every other day, and 7 times constituted a course of treatment. Visual analog scale （VAS） score was used to assess the degree of pain and the clinical efficacy was compared between the two groups. Results： The total effective rate of the treatment group was higher than that of the control group （P〈0.05）. There was no significant difference in VAS score between the two groups before treatment （P〉0.05）. After treatment, the VAS scores of both groups decreased significantly, and the intra-group differences were statistically significant （both P〈0.05）. The VAS score of the treatment group after treatment was statistically different from that in the control group （P〈0.05）. Conclusion： Warm needling therapy has a better curative effect than ordinary acupuncture in the treatment of chronic lumbar strain.

Clinical observation on warm needling therapy for scapulohumeral periarthritis: a randomized controlled trial

Objective： To evaluate the clinical effects of warm needling for scapulohumeral periarthritis （SP）. Methods： Eighty-six patients with SP due to wind, cold and dampness in conformity with the research criteria were randomly divided into an observation group and a control group. The control group was given the routine acupuncture treatment and the observation group was treated by warm needling. The treatment was given once every day and ten sessions made one course. After two courses, the therapeutic effects and the changes in the scores of visual analogue scale （VAS） were observed. Results： After treatment, VAS scores were statistically different from those before treatment in the two groups （P〈0.05）, and VAS score was lower in the observation group than that in the control group, with a statistical difference between the two groups （P〈0.05）. The curative and remarkable effective rate was 74.4% in the observation group and 44.2% in the control group. The difference in the curative and remarkable effective rate was statistically significant between the two groups （P〈0.01）. But, the difference in the total effective rate was not statistically significant between the two groups （P〉0.05）. Conclusion： The warm needling has the dual effect of acupuncture and moxibustion in the treatment of SP due to wind, cold and damoness, and its clinical effect is better than routine acupuncture treatment.

Therapeutic Effect of Warm Needling Therapy Combined with Rehabilitation Therapy for Brachial Plexus Injury after Surgery

Objective： To observe the therapeutic effect of warm needling therapy plus rehabilitation in treating brachial plexus injury after surgery. Methods： Thirty patients suffered from brachial plexus injury after surgery were divided into two groups randomly, 16 in each group. The treatment group was intervened by warm needling therapy together with physical rehabilitation therapy. The control group was intervened by physical rehabilitation therapy only. The warm needling was given once every other day, 3 times a week, 2 weeks as a treatment course, and 2 consecutive courses in total. The physical rehabilitation therapy was given once every day, 5 times a week, 2 weeks as a treatment course, and 2 consecutive courses in total. The Short-form McGill Pain Questionnaire and Disabilities of the Arm, Shoulder and Hand （DASH） Questionnaire were respectively used to assess pain and Ability of Daily Living （ADL）. The therapeutic effects were compared and analyzed. Results： In the treatment group, 14 patients finished 2-course treatment but 2 dropped out; in the control group, 15 finished but 1 dropped out. After treatment, there were significant differences between the two groups in comparing Sensory Pain Rating Index （S-PRI）, Affective Pain Rating Index （A-PRI）, Total Pain Rating Index （T-PRI）, Visual Analogue Scale （VAS）, Present Pain Index （PPI）, and DASH scores （P〈O.01）. The scores of all items in the treatment group had marked changes after 2 treatment courses in comparing the scores before treatment （P〈0.01）. Conclusion： The therapeutic effect of warm needling therapy combined with rehabilitation therapy is more effective than that of physical rehabilitation therapy only.

Warm Needling Therapy for Sciatica: A Randomized Controlled Trial

Objective： To assess the clinical effect of warm needling therapy in managing sciatica. Methods： Fifty patients with sciatica were randomized into a treatment group and a control group, 25 in each. The treatment group received warm needling therapy, and the control received ordinary acupuncture therapy. The treatment effects were assessed after three treatment sessions. Results： The cured rate and total effective rate were 68.0% and 88.0% respectively in the treatment group, versus 36.0% and 66.0% in the control, and the differences were statistically significant （P〈0.05）. Conclusion： Warm needling therapy can effectively improve the clinical symptoms in managing sciatica, with better effects compared with ordinary acupuncture therapy.

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.

Warm Needling Therapy for Plantalgia in 64 Cases

Sixty-four cases of plantalgia were treated by warm needling at Yongquan (KI 1). Lineiting (Ex-LE) and an empirical point. Thirty cases were cured, 28 cases improved and 6 cases failed. Key Words Foot Diseases - Pain - Needle Warming Therapy Author: Xi Hai-hong, male, attending physicianTranslator: Xiao Yuan-chun

Efficacy observation on cervical spondylosis of nerve root type treated by the warm needling at Jiájǐ(夹脊EX-B 2) and tapping with plum-blossom needle

Objective To observe the clinical effect on cervical spondylosis of nerve root type treated by warm needling therapy at Jiáj （夹脊 EX-B 2） and plum-blossom needle therapy. Methods According to the random number table, 150 cases of cervical spondylosis of nerve root type were randomized into an acupuncture-moxibustion group （75 cases） and a control group （75 cases）. In the acupuncture-moxibustion group, the warm needling at EX-B 2 and tapping with plum-blossom needle were applied. EX-B 2 on the affected segments were selected and stimulated with warm needling technique for 20– 30 min. Afterward, the plum-blossom needle was used to tap the skin around the acupoints, for 3 min on each site. The treatment was given once every day. Seven treatments made one session. The interval between two sessions was 1 day. In the control group, the medication was used in combination with traction therapy. The intravenous drip with 5% glucose 250 mL and compound salvia miltiorrhiza injection 40 mL was used, once a day. In traction treatment, the patient was in a sitting position, neck anteflexion at 15°–30°, traction force at 10%–20% of the body mass, for 20–30 min in each time. The treatment was given once every day. The appointed person evaluated therapeutic effects after the three sessions of treatment in the two groups. Results The clinical curative rate was 49.3% （37/75） and the total effective rate was 94.7% （71/75） in the acupuncture-moxibustion group and those were 24.0% （18/75） and 81.3% （61/75） respectively in the control group. The total effective rate and clinical curative rate in the acupuncture-moxibustion group were superior to the control group （both P0.05）. In the comparison of the duration of treatment and effect in the cured patients between the two groups, the curative rate in the 1st session of treatment in the acupuncture-moxibustion group was higher than that in the control group （P0.05）. In the comparison of the 6-month follow-up visit in the cured patients between the two groups, the effect in the acupuncture-moxibustion group was much more stable （P0.05）. Conclusion The warm needling therapy at EX-B 2 and tapping therapy with plum-blossom needle achieve the significant effect on cervical spondylosis of nerve root type.

Observation of therapeutic effect on chronic non-bacterial prostatitis treated with warm needling moxibustion

Objective To observe the clinical effects of chronic non-bacterial prostatitis treated with warm needling moxibustion. Methods One hundred and twenty-five cases were randomly divided into warm needling moxibustion group （42 cases）, acupuncture group （41 cases） and western medicine group （42 cases）. Of which, in warm needling moxibustion group, acupuncture combined with warming acupuncture were provided①puncture on Shènshū（肾俞 BL 23）, Gānshū （肝俞BL 18） and Zhìbiān （秩边BL 54） without retention of needles,②Guānyuán （关元CV 4）, Zhō ngjí （ 中极CV 3）, Yīnlíngquán （ 阴陵 GB 34） and Sānyīnjiāo （三阴交 SP 6） ,with warming acupuncture, once a day; in acupuncture group, the prescriptions and needling technique were the same as those in warm needling moxibustion group, without moxibustion; in western medicine group, Cernilton was applied twice a day, one pill for each time. After one course treatment, the therapeutic effects and NIH-Chronic Prostatitis Symptom Index （NIH-CPSI） of 3 groups were compared. Results The total effective rate was 88. 10% in warm needling moxibustion group, 63.41% in acupuncture group, and 66.67% in western medicine group. The clinical effect in warm needling moxibustion group was superior to that in either acupuncture group or western medicine group （both P〈0.05）. The score of NIH-CPSI was 11.92 ±7.11 in warm needling moxibustion group, 16.08±6.83 in acupuncture group, and 15.66±5.88 in western medicine group. The score of each group was obviously reduced （both P〈0.01 ） after treatments, in which, the reduction in warm needling moxibustion group was most obvious （both P〈0.0t）. Conclusion A good therapeutic effect of chronic non-bacterial prostatitis was received by warm needling moxibustion.

Effect of warm joint needling plus rehabilitation on the balance function and quality of life of patients with spastic hemiplegia after ischemic cerebral stroke

Objective： To observe the effect of warm joint needling plus rehabilitation techniques on the balance function and quality of life （QOL） of patients with spastic hemiplegia after ischemic cerebral stroke. Methods： Ninety patients with spastic hemiplegia after ischemic cerebral stroke were randomized into a rehabilitation group, a warm joint needling group and an observation group, with 30 cases in each group. The rehabilitation group was intervened by Bobath therapy, the warm joint needling group was treated with joint needling on the affected side plus warm needling, and the observation group was given the same rehabilitation treatment as the rehabilitation group together with the same warm joint needling as the warm joint needling group. The three groups were treated once another day, 1 month as a treatment course for 6 months. Before the treatment, and respectively after 2-week, 1-month, 3-month, and 6-month treatment, the modified Ashworth scale （MAS） was used to measure the anti-spasm ability of the lower limb, the Berg balance scale （BBS） was adopted to evaluate the balance function, and the stroke-specific quality of life scale （SS-QOL） was employed to estimate the QOL. Results： After 3-month and 6-month treatment, the lower-limb MAS scores in the observation group were significantly better than those in the rehabilitation group and the warm joint needling group （all P〈0.05）. After 1-month, B-month and 6-month treatment, the BBS scores in the observation group were significantly better than those in the rehabilitation group and the warm joint needling group （all P〈0.05）. After 2-week, 1-month, 3-month and 6-month treatment, the SS-QOL scores in the observation group were markedly better than those in the rehabilitation group and the warm joint needling group （all P〈0.05）. Conclusion： Warm joint needling plus rehabilitation can effectively improve the lower-limb spasticity state, balance function and QOL in patients with spastic hemiplegia after ischemic cerebral stroke.

Clinical observation of warm needling moxibustion plus flash cupping for remission-stage peripheral facial paralysis due to wind-cold

Objective： To observe the clinical efficacy of warm needling moxibustion plus flash cupping for remission-stage peripheral facial paralysis （FP） due to wind-cold. Methods： Fifty eligible patients were randomized into a warm needling moxibustion group and an acupuncture-cupping group, 25 cases in each group. The warm needling moxibustion group was intervened by acupuncture at Fengchi （GB 20）, Yangbai （GB 14） towards Yuyao （EX-HN 4）, Xiaguan （ST 7）, Dicang （ST 4） towards Jiache （ST 6）, Quanliao （SI 18）, and Hegu （LI 4）, plus warm needling moxibustion at Quanliao （SI 18）; the acupuncture-cupping group received flash cupping on the affected side in addition to the intervention given to the warm needling moxibustion group. The two groups were both treated once a day, 10 times as a treatment course, for 3 courses in total. The House-Brackmann （H-B） facial nerve grading system was observed before and after the intervention to evaluate the facial nerve function in the two groups, and the therapeutic efficacies were also compared between the two groups. Results： The two treatment protocols both can promote the recovery of facial nerve function. The total effective rate was 92.0% in the acupuncture-cupping group versus 72.0% in the warm needling moxibustion group, and the between-group difference was statistically significant （P〈O.05）. Conclusion： Warm needling moxibustion plus flash cupping can produce a more significant efficacy than dry warm needling moxibustion in treating remission-stage peripheral FP due to wind-cold.

Therapeutic Efficacy Observation on Combining Intermittent Traction with Warm Needling for Cervical Radiculopathy

Objective:To observe the clinical effect of combined intermittent traction with warm needling for cervical radiculopathy.Methods:A total of 100 cases with cervical radiculopathy were randomly allocated into an observation group and a control group.Cases in the observation group were treated with intermittent traction coupled with warm needling,whereas cases in the control group were treated with warm needling alone.The therapeutic efficacy was observed after 20-day treatment.Results:The markedly effective rate in total was 90.0%in the observation group,versus 78.0%in the control group,showing a statistically significant difference(P<0.05).Conclusion:Combining intermittent traction with warm needling is safe,convenient and significantly effective for cervical radiculopathy.It is worth further popularization in clinical practice.

Therapeutic observation of warm needling moxibustion plus tuina for knee osteoarthritis due to cold-dampness blocking collaterals

Objective： To observe the clinical efficacy of warm needling moxibustion plus tuina in treating knee osteoarthritis （KOA） due to cold-dampness blocking collaterals. Methods： Forty-eight KOA patients were randomized into 2 groups by their visiting sequence, 24 cases in each group. The treatment group was intervened by warm needling moxibustion plus tuina, while the control group was treated with acupuncture plus tuina. The two groups were both treated once a day, 30 min for each session, 10 d as a treatment course, totally for 3 treatment courses. The visual analogue scale （VAS） and Lysholm knee scoring scale （LKSS） were observed before and after the treatment to evaluate the clinical efficacy. Results： After 3 treatment courses, the VAS and LKSS scores were significantly changed in the two groups （P〈0.01）, and the between-group differences were also statistically significant （P〈0.01）. The markedly-effective rate was 83.3% in the treatment group versus 66.7% in the control group, and the difference was statistically significant （P〈0.05）. Conclusion： Warm needling moxibustion plus tuina can produce a more significant efficacy than acupuncture plus tuina in treating KOA due to cold-dampness blocking collaterals.

Observation on clinical efficacy of warm needling moxibustion plus Mulligan dynamic joint mobilization for cervical radiculopathy

Objective:To observe the clinical efficacy of warm needling moxibustion plus Mulligan dynamic joint mobilization for cervical radiculopathy.Methods:A total of 60 cases with cervical radiculopathy were randomly divided into group A,group B and group C by random digital table,20 cases in each group.The patients in three groups were treated with similar warm needling moxibustion.Group A only received warm needling moxibustion;group B was treated with warm needling moxibustion plus Mulligan dynamic joint mobilization;group C was treated with warm needling moxibustion plus cervical traction.Before the treatment and after 12 sessions of treatment,the patients in the three groups were assessed for score of pain and range of motion(ROM).Results:By 12 sessions of the treatments,the scores of pain were obviously decreased in the three groups,with statistical significances(all P〈0.05),and the pain scores of group B and group C were significantly different from the score of group A(both P〈0.05).ROM of the neck was increased than before the treatment in the three groups,with statistical significances(all P〈0.05),and the ROM of the neck of group B was significantly different from those of group A and group C(both P〈0.05).Conclusion:Warm needling moxibustion plus Mulligan dynamic joint mobilization can effectively improve the neck ROM and relieve pain in patients with cervical radiculopathy.

Warm needling moxibustion plus functional exercises for knee osteoarthritis

Objective： To observe the clinical efficacy of warm needling moxibustion plus functional exercises in treating knee osteoarthritis（KOA）. Methods： Totally 108 eligible KOA patients were intervened by warm needling moxibustion plus functional exercises. The warm needling moxibustion was given 3 times a week, successively for 4 weeks. The visual analogue scale（VAS） was adopted to evaluate the pain intensity of the knee joint. After 4-week treatment, the change of VAS score, range of motion（ROM） of knee, and Lysholm score were observed, and the clinical efficacy was also estimated. Results： After treatment, the VAS score dropped obviously, and the ROM and Lysholm score increased markedly; the total effective rate was 83.3%. Conclusion： Warm needling moxibustion plus functional exercises is effective in treating KOA, as it can relieve the knee joint pain and improve the joint motion.

Clinical observation of warm needling moxibustion for rheumatoid arthritis

Objective： To observe the clinical efficacy of warm needling moxibustion at points on the back in treating rheumatoid arthritis （RA）. Methods： Sixty RA patients were randomized into two groups by the random number table, 30 in each group. The observation group was intervened by warm needling moxibustion at the points from the Governor Vessel on the back and Jiaji （EX-B 2） points, while the control group was by regular acupuncture. Results： After intervention, the morning stiffness, joint pain index, joint swelling index and erythrocyte sedimentation rate （ESR） were significantly improved in both groups （P〈0.01）; the inter-group difference was also statistically significant （P〈0.05）. The total effective rate was 93.3% in the observation group versus 76.6% in the control group, and the difference was statistically significant （P〈0.01）. Conclusion： Warm needling moxibustion at points from the Governor Vessel on the back and Jiaji （EX-B 2） points can produce a higher efficacy than regular acupuncture in treating RA.

Treatment of 32 Cases of Primary Trigeminal Neuralgia by Acupuncture plus Moxibustion with Warming Needle on Xiaguan （ST 7）

The main acupoints of Acupuncture therapy were Xiaguan （ST 7）, Sanjian （LI 3）, Xiangu （ST 43）, Zulinqi （GB 41）, Sanyinjiao （SP 6） and Taixi （KI 3）. Moxibustion with warming needle on Xiaguan （ST 7）, reduction method on Sanjian （LI 3） on the unaffected side and Xiangu （ST 43） and Zulinqi （GB 41） on the affected side, reinforcement method on Sanyinjiao （SP 6） and Taixi （KI 3） on the affected side were given. Moreover, according to the affected area, the local acupoints were added, Yangbai （GB 14） for the opthalmic branch, Quanliao （SI 18） for the maxillary branch and Jiache （ST 6） for the mandibular branch. Among 32 cases, after 24 acupuncture treatments, 4 cases were cured, 19 cases got marked effectiveness, 7 cases was improved and 2 cases had no effectiveness.