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.

Effect of warming needle moxibustion on pulmonary function of elderly patients with stable chronic obstructive pulmonary disease

Objective To observe the therapeutic effects of warming needle moxibustion on pulmonary function of elderly patients with stable chronic obstructive pulmonary disease. Method Eighty elderly patients with stable chronic obstructive pulmonary disease were divided randomly into an acupuncture group and a drug group, with forty cases in each group. The patients in the acupuncture group were treated with warming needle moxibustion on specific acupoints. Main acupoints include Zusanli （足三里 ST 36）, Feishu （肺俞 BL 13） and Dingchuan （定喘 EX-B 1）. Matching acupoints include Gaohuang （膏肓 BL 43）, Xinshu （心俞 BL 15）, Dazhui （大椎 GV 14） and Fangmen （风门 BE 12）. The acupoints were punctured with even reinforcing and reducing method. Meanwhile, two moxa stick of warming needle moxibustion were applied separately at the acupoints at back and ST 36. The needles were retained for approximately 0.5 h each time. The treatment was given every other day, 3 times a week and the course of treatment was 8 weeks. Patients in the drug group were treated by seretide inhalation （50 μg salmeterol and 250 μg fluticasone propionate）, twice a day for 8 weeks. The improvement in pulmonary function and the symptom of chills and fever were compared between the two groups. Results After treatment, pulmonary function indices [forced expiratory volume in one second （FEV1）, forced expiratory volume in one second to forced vital capacity （FEVl/FVC）, forced expiratory volume in one second to predicted value ratio （FEV1%） and peak expiratory flow （PEF）] of the patients in both groups were improved significantly compared with that before treatment （P〈0.05）. There was no statistically significant difference between the two groups （all P〉0.05）. Improvement in comprehensive scores of the symptom of chill and fever in the acupuncture group was significantly superior to that in the drug group after 4 and 8 weeks of the treatment, respectively （P〈0.05）. Conclusion Warming needle moxibustion was obviously effective on the improvement in pulmonary function of elderly patients with stable chronic obstructive pulmonary disease.

Clinical Study on Warming Needle Moxibustion plus Tuina for Shoulder Periarthritis

Objective： In order to compare the therapeutic effects between warming needle moxibustion plus Tuina therapy and single Tuina therapy for shoulder periarthritis. Methods： By random single blind control method, 80 cases were divided randomly into Group A （single Tuina group） and Group B （warming needle method plus Tuina group）, 40 cases in each group. Results： The effective rate was 95.0% in Group B and 85.0% in Group A, without significant difference （P〉0.05） in comparison between two groups. In assessment of Visual Analogue Scale, there was obvious decrease in both groups before and after the treatments （P〈0.01）. In comparison of VAS score differences between the two groups after the treatments, there was remarkable significant difference （P〈0.01）. Conclusion： Warming needle moxibustion plus Tuina is better than single Tuina therapy in stopping pain.

Forty-six cases of postoperative pain in the waist and leg of lumbar disc herniation treated by warming needle moxibustion and electroacupuncture

Objective To explore therapeutic efficacy of warming needle moxibustion and electroacupuncture for postoperative pain in the waist and leg of lumbar disc herniation. Methods Forty-six cases were treated with warming needle moxibustion at Yaotu （腰突, extra point, the same segment of injured disc herniation）, regular acupuncture at Yaoyan （腰眼 EX-B 7）, Zhibian （秩边BL 54）, Huantiao （环跳 GB 30）, Weizhong （委中BL 40）, Yanglingquan （阳陵泉 GB 34） and electroacupuncture at Yaoto （腰突）, Zhibian （秩边 BL 54）, Yanglingquan （阳陵泉 GB 34）. The treatment was given once a day, 10 treatments made up one session, and the therapeutic effect was assessed after 2 sessions of treatment. Results After the treatment, 31 cases （67.4%） were cured, 14 cases （30.4%） were effective and i case （2.2%） was failed. The total effective rate was 97.8%. Conclusion The warming needle moxibustion combined with electroacupuncture has obvious therapeutic effect on postoperative pain in the waist and leg of lumbar disc herniation.

Clinical Observation on Combined Warming Needle and Patented Chinese Medicine for Irritable Bowel Syndrome

Objective： To evaluate the clinical efficacy and quality of life of combined warming needle and patented Chinese medicine for patients with irritable bowel syndrome （IBS） due to liver-qi stagnation with spleen deficiency. Method： Sixty IBS cases were randomized into a treatment or control group by single-blind method. Warming needles on Tianshu （ST 25） and Dachangshu （BL 25） combined with patented Chinese medicine were adopted for cases in the treatment group, whereas the patented Chinese medicine alone was adopted in the control group. Results： The therapeutic efficacies in the two groups did not show substantial differences. The main symptoms were significantly improved after the treatment （P〈0.01）. After 2 weeks of treatment, the cases in the treatment group obtained a better improvement than the control group （P〈0.01, P〈0.05） in the severity or frequency of abdominal pain, abdominal distension, restlessness, insomnia, anxiety, suspiciousness, and loose stools with a sense of incomplete emptying. The patient＇s quality of life was improved in both groups （P〈0.01）. Conclusion： Both treatment methods could improve the clinical symptoms and increase the patient＇s quality of life. The total effective rate in the treatment group was slightly higher than the control group. Also, the combined warming needle and Chinese herbs could improve the main symptoms in a faster way.

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.

Clinical Observation on Treatment of Degenerative Knee Osteoarthritis with Warming Needle plus Tuina

Objective： To study the therapeutic effect of wanning needle plus tuina for degenerative knee osteoarthritis. Method： Randomize 120 cases into a treatment group and a control group, 60 cases in each group by the visiting sequence, and then apply warming needle plus tuina for the cases in the treatment group and articular cavity injection of Sodium Hyaluronate for the cases in the control group. Results： The total effective rates in the treatment group and control group were 93.3% and 83.3% respectively, showing a significant difference （P〈0.05）. Conclusion： Wanning needle plus tuina works well on degenerative knee osteoarthritis.

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.

Mechanism Research on the Function of Electric Warmed Needle

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Meta-analysis of Clinical Efficacy of Warm Needling Acupuncture in the Treatment of Lumbar Disc Herniation

[Objectives]To evaluate the efficacy of warm needling acupuncture in the treatment of lumbar disc herniation(LDH)by Meta-analysis.[Methods]Randomized controlled trial of warm needling acupuncture in the treatment of lumbar disc herniation published from January 2000 to December 2021 was searched by Cochrane Library,PubMed,VIP,CNKI and Wanfang.After the quality evaluation of the literature,the Meta-analysis of the literature was carried out by using Review Manager 5.3.[Results]A total of 10 studies were included,involving a total of 980 patients.The results of Meta-analysis showed that warm needling acupuncture in the treatment of lumbar disc herniation could improve the total clinical effective rate,OR=5.38,95%CI(3.40,8.49),P<0.00001;decrease the VAS score,MD=-3.33,95%CI[-4.53,-2.12],z=5.42(P<0.00001);increase the JOA score,MD=-5.63,95%CI[-8.12,-3.14];improve the dysfunction,MD=-5.63,95%CI[-8.12,-3.14],z=4.43(P<0.00001);decrease inflammatory factors,MD=-11.09,95%CI[-13.60,-8.58],z=8.65(P<0.00001).And the recurrence rate was low,OR=0.33,95%CI[0.15,0.70],z=2.86(P=0.004).[Conclusions]Warm needling acupuncture could effectively treat lumbar disc herniation and relieve pain symptoms.However,due to the general poorness of literature quality and the low quality of evidence,high-quality randomized controlled trials are still needed.

Clinical Observation of Warm Needling Acupuncture of Mongolian Medicine in the Treatment of Lumbar Disc Herniation

[Objectives]To observe the clinical efficacy of warm needling acupuncture of Mongolian medicine in the treatment of lumbar disc herniation(LDH).[Methods]120 patients with lumbar disc herniation hospitalized in Inner Mongolia International Mongolian Hospital from June 2019 to June 2022 were randomly divided into observation group(n=60)and control group(n=60).The observation group was treated with warm needling acupuncture of Mongolian medicine,and the control group was treated with common acupuncture of Mongolian medicine,with two weeks as a course of treatment.The pain visual analogue scale(VAS)and Japanese orthopaedic association(JOA)score were observed before and after treatment,and the clinical efficacy was evaluated by the changes of clinical symptoms and signs of Mongolian medicine.[Results]The cure rate of the observation group was 71.7%,which was better than that of the control group(53.3%).The difference in the cure rate between the two groups was statistically significant,X 2=4.302,P=0.038.The total markedly effective rate(cured+markedly effective)of the observation group was 90.0%,while that of the control group was 83.3%.There was no significant difference in the total markedly effective rate between the two groups,X 2=1.154,P=0.283.The total effective rate(cured+markedly effective+effective)of the observation group was 100%,while that of the control group was 95.0%.There was no significant difference in the total effective rate between the two groups,and the continuous corrected chi-square value was 1.368 and 0.242.After treatment,the degree of low back pain,lower limb pain and dyskinesia were significantly improved in the two groups,the observation group was better than the control group,and the difference was statistically significant(P<0.05).[Conclusions]The warm needling acupuncture of Mongolian medicine was effective in the treatment of lumbar disc herniation,which is worth popularizing.

CLINICAL AND ELECTROPHYSIOLOGICAL OBSERVATIONS ON DIABETIC PERIPHERAL NEUROPATHYTREATED BY WARM NEEDLING AND MOXIBUSTION

Objective To observe clinical therapeutic effects of warm needling and moxibustion on diabetic peripheral neuropathy （DPN） and their influence on nerve conduction velocity. Methods Fifty two cases were randomly divided into a treatment group （n =26） and a control group （n =26）. In addition to basic treatment for lowering blood sugar in both groups, Pǐshū （BL 20）, Shènshū （BL 23）, Huántiào （GB 30）, Zùsānlǐ （ST 36）, Yánglíngquán （GB 34）, Sānyīnjiāo （SP 6）, Tàixī （KI 3）, Qǔchí （LI 11）, Wàiguān （TE 5） and Hégǔ （LI 4） were selected for warm needling and moxibustion in the treatment group. Methycobal was intramuscularly injected in the control group. Clinical symptoms and conduction velocities of the tibial nerve and common peroneal nerve were compared before and after treatment. Results Warm needling and moxibustion could alleviate such clinical symptoms as numbness of limbs, pain and hypoesthesia, and obviously improve the conduction velocities of both tibial and common peroneal nerves. Conclusion Warm needling and moxibustion exhibit good therapeutic effects on diabetic peripheral neuropathy.

Observation on Therapeutic Effect in Treatment of Prostate Hyperplasia by Needle-warming Moxibustion

With Shenshu （BL 23）, Ciliao （BL 32）, Pangguangshu （BL 28）, Huiyin （CV 1） and Zhibian （BL 54） as the main acupoints, and with Sanyinjiao （SP 6）, Zhongji （CV 3） and Guanyuan （CV 4） as the combined acupoints, 51 cases of the patients sick with prostatic hypertrophy were treated by acupuncture, together with 47 cases treated with oral administration of Terazosin Hydrochloride Tablets as the control group. The total effective rate was respectively 88.2% and 70.2% in the two groups, better in the former than in the latter （P〈 0.05）.

Observation of Therapeutic Effects of Needle Warming Moxibustion for Chronic Diarrhea

Objective： To observe the therapeutic effects of needle warming moxibustion for chronic diarrhea. Methods： Two-hundred cases with chronic diarrhea were divided randomly into a treatment group and a control group. 100 cases in the treatment group were treated with needle warming moxibustion on specific acupoints. 100 cases in the control group were treated by oral administration of Smecta. Results： The therapeutic results showed cure in 52 cases, remarkable effect in 34 cases, improvement in 14 cases and the total effective rate in 100.0% in the treatment group, and cure in 5 cases, remarkable effect in 23 cases, improvement in 33 cases, failure in 39 cases and the total effective rate in 61.0% in the control group. The comparison of the total effective rate between the two groups was statistically significant （P〈0.05）. Conclusion： The needle warming moxibustion on specific acupoints is better than oral administration of Smecta in the therapeutic effects.

Warm Needling and Blood Letting for Treatment of Gonitis

Gonitis is a common disorder in the middle-aged and the old people, frequently encountered in the acupuncture department. The following is a brief summary of the 37 cases treated in 1997-1999 when I was dispatched as a member of foreign aid to work in Malta.

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.

透灸法成功治疗产后子宫复旧不良:两则病例报告及机制分析

This article introduced the application of penetration moxibustion in successfully treating two cases of postpartum subinvolution of uterus.The main complaint of one case was increasing volume of abnormal vaginal bleeding for five days after delivery.The bleeding stopped after the patient received 7 times treatment of warming needle and penetration moxibustion on Zhongji(CV3),Guanyuan(CV4)and Qihai(CV6).The other case complained about persistent abdominal pain for 15 days,which was worsening for the recent 2 days.The symptom of abdominal pain was relieved after the penetration moxibustion was applied on CV4,CV6 and Zigong(EX-CA1)for 5 times for the case.Penetration moxibustion can relieve abdominal pain during the postpartum period,accelerate lochia discharge,and recovery of menstrual and uterine cavity.Artemisiae Argyi Folium was proved to have antibacterial,hemostatic,and analgesic effects.The warming function and radiation features of moxibustion can help to alleviate spasm of the smooth muscle in the uterus and enhance the metabolism of the uterine tissue by expanding microvessels and improving the circulations of both blood and lymph.It can also activate cells in the uterine tissue by increased temperature in order to enhance the decomposition and elimination of pathological wastes,such as inflammation and hematoma.In addition,it can also relieve pelvic pain by inhibiting neuronal excitability.

Warm Needle Moxibustion Therapy for 41 Cases of Dysmenorrhea

Dysmenorrhea means that women feels periodical pain in the lower abdomen or lumbosacrum, before, during or after menstruation. The pain can be intolerable and affects the work and daily life. Dysmenorrhea is divided into two categories： primary and secondary, of which those without organic lesion in the genitalia are known as primary or functional ones. The author applied warm needle moxibustion in the treatment of 41 cases of primary dysmenorrhea and achieved remarkable curative results. The report is as follows.

Clinical research on treating fracture of middle and lower 1/3 of tibiofibula by electroacupuncture

Objective To observe the differences in efficacy on treatment of fractures of the middle and lower 1/3 of the tibiofibula between cribriform splints plus electroacupuncture, warming needle and moxibustion only, and external fixation with traditional splints pius the administration of an herbal formula. Clinical efficacy and the effects on serum bone morphogenic protein -7 （BMP- 7） and endothelin-l（ET-1） were both measured. Method 600 patients with fractures of the middle and lower 1/3 of the tibiofibula were randomly divided into three groups according to andome number table： splint with electroacupuncture （group A}, warm needling moxibustion group （group B） and splint with traditional Chinese medicine herb （Group C）. Cribriform splints with electroacupuncture were used in group A, warming needling therapy were adopted in group B, and traditional splints with external fixation were used along with oral administration of musk bone capsules （麝香接骨胶囊） in group C. Clinical results for the three groups were compared, and ELISA method was used to detect the serum BMP-7 and ET-1 of patients in the three groups before and after treatment. Results Group A was better than group B and group C in terms of clinical healing days and delayed healing status （P〈0.05）. After treatment, group A was also better than the other two groups in the improvement of BMP-7 and ET-1 （P〈0.05）. Conclusion Electroacupuncture treatment with cribriform splints for fractures of the middle and lower 1/3 of the tibiofibula resulted in significantly shorter clinical healing time, and lower incidence of delayed healing compared to warm needling or splints with a traditional Chinese herbal formula. Its mechanism may be associated with greater regulation of serum BMP-7 and ET-1 through electroacupuncture.

Warm needling moxibustion at Xià guān(下关 ST 7) plus shallow Puncture for Bell's palsy in pregnancy

Objective To observe the effects of a protocol consisting of warm needling with moxibustion at Xiàguān（下关 ST 7） plus shallow puncture on Bell＇s palsy（BP） in pregnancy.Methods Thirteen patients with BP received an intervention of warm needling moxibustion at ST 7 plus shallow puncture,and were evaluated using the House–Brackmann facial nerve grading system（HB） before and after intervention.Result After intervention,the HB grade improved significantly（P0.05）.Conclusion Warm needling moxibustion plus shallow puncture is a safe and effective therapy for pregnant BP patients.BP in pregnancy appears to be more frequent in the last trimester.The severity of nerve injury and the timing for the first visit to the doctor after the onset of facial paralysis are essential factors for the recovery and prognosis of pregnant with BP.