A REPORT OF 300 CASES OF MIGRAINE TREATED WITH ACUPUNCTURE PLUS BLOOD-LETTING PUNCTURING AND CUPPING

Acupuncture combined with blood-letting puncturing and cupping Is quite effectivein treatment of migraine.The total effective rate of 300 cases is 95.7％.Combined treatment ofacupuncture and cupping can supplement each other in strengthening the therapeutic effect and is agood way for relieving headache.

BLOOD-LETTING PUNCTURING AND CUPPING FOR TREATMENT OF 56 CASES OF RHEUMATIC ARTHRITIS

Presented is a summary of 56 cases of rheumatic arthritis treated with blood-letting puncturing and cupping. Patients acupoints selected were pricked first with a three-edged needle and then cupped for 15 min. The treatment was conducted once every other day and six times constituted a therapeutic course. After treatment, out of the 56 cases, 45 cases were cured, 4 markedly effective,3 effective and 4 ineffective, with the total effective rate of 92%.

Effect of kinetic needling combined with blood-letting puncturing and cupping on functions of upper limbs of patients with shoulder-hand syndrome after apoplexy

Objective To observe influence of kinetic needling on functional restoration of upper limbs of patients with apoplexy-induced shoulder-hand syndrome. Methods Ninety patients were randomly divided into an observation group （45 cases） and a control group （45 cases）. Basic treatments selected according to corresponding stroke units were applied to both groups. Besides, scalp acupuncture at Dingnie Qianxiexian （MS 6, 顶颞前斜线）, Dingnie Houxiexian （MS 6, 顶颞前斜线） and Dingzhongxian （NS 5, 顶中线）, was applied in the treatment group. In the observation group, active and passive movement was carried out during the process of scalp acupuncture, and then needling plus bloodletting puncturing and cupping was applied. In the control group, only needling plus blood-letting puncturing and cupping was given. Therapeutic effects, pain scoring obtained by visual analogue scales （VAS）, FugI-Meyer and FugI-Meyer＇s scoring reflecting moving functions of upper limbs were made after 4 courses of treatments in both groups. Results The total effective rate was 95.5% and 91.1% in the observation group and control group, respectively, showing superiority of the former to the latter （P〈0.05）. After treatment, VAS scores were all obviously reduced in both groups （P〈0.01）, and the reduction in the former was significantly more than that in the latter （P〈0.01）. Moving functions of upper limbs shown by Fugl-Meyer＇s scoring were improved after 2 courses of treatment in both groups （P〈0.01）. The improvement was more obvious after 4 courses of treatment than that after 2 courses of treatment in both groups （P〈0.05）. After 4 courses of treatment, moving functions shown by FugI-Meyer＇s scoring were more remarkably improved in the observation group than those in the control group（t=3.9, P〈0.01）. Conclusion Both kinetic needling combined with needling plus blood-letting puncturing and cupping and simple needling plus blood-letting puncturing and cupping are effective in treating shoulder-hand syndrome after apoplexy, and the former is better than the latter.

Efficacy of blood-letting puncture and cupping in the treatment of periarthritis of shoulder:a systematic review

Objective:To systematically evaluate the clinical efficacy and safety of blood-letting puncture and cupping in the treatment of periarthritis of shoulder.Methods:We electronically searched databases including CNKI,VIP,PubMed,WanFang Data,EMbase Cochrane Library and to collect randomized controlled trials(RCTs)and quasi-randomized controlled trials about blood-letting puncture and cupping for periarthritis of shoulder and evaluated the quality of the documents collected by the Cochrane collaboration,provided by Review Manager 5 software for statistical analysis.Then the quality of the included trials was assessed using the Jadad scale and GRADE system was used to score the quality and grade recommendation.Results:Thirty RCTs involving 2556 patients were included.The results of meta-analysis showed that:Total effective rate OR=6.21[OR=6.21,95%CI(4.69,8.21),P<0.001].The results of GRADE system evaluation showed that the level of evidence was B,and the recommendation level was weak recommendation.Conclusion:Blood-letting puncture and cupping shows better effects than other treatments and preferably security in the treatment of periarthritis of shoulder.We do not find any serious adverse reaction reports.Due to limited quality of the included studies,more high quality studies are needed to verify the above conclusion.

Bloodletting puncture and cupping as an adjuvant therapy for breast cancer-related lymphedema in female adults: A non-randomized controlled pragmatic trial

Objective:To evaluate the effectiveness of bloodletting puncture and cupping in relieving breast cancer-related lymphedema.Methods:We conducted a non-randomized controlled study at the Galactophore Department of the 3rd Affiliated Hospital of Beijing University of Chinese Medicine from March 2013 to December 2014.Seventy-five patients undergoing treatment for breast cancer-related lymphedema were divided into two groups in accordance with the patients' treatment choices:the treatment group (n =50) underwent bloodletting puncture and cupping every 5 days for 15 min/session (one session per day) combined with exercise training once a day for 30 minutes;the control group (n =25) underwent the same exercise training alone.Evaluation indexes were measured before and after treatment;these included arm circumference (at the wrist crease,10 cm distal to the wrist crease,the elbow crease,and 10 cm distal to the elbow crease)and visual analogue scale (VAS) score for pain.The safety of the treatment was also evaluated.Results:The treatment period was 50 days for all 75 patients.At the end of the treatment period,the mean reduction in arm circumference was 1.21 (0.65) cm the treatment group,and 0.58 (0.78) cm in the control group.Compared with the control group,the treatment group had a significantly greater reduction in arm circumference (P =.03) and a significantly lower VAS score for pain (P =.01).No patient in either group experienced any adverse events.Conclusion:Bloodletting puncture and cupping effectively reduces arm circumference and relieves upper limb pain in patients with breast cancer-related lymphedema.Our results provide sufficient basis for exploring cupping as long-term therapy for managing breast cancer-related lymphedema.

TREATMENT OF 102 CASES OF ACUTE ABDOMEN BY BLOODLETTING PUNCTURE AND CUPPING THERAPY

102 cases of the acute abdominal disease were treated with the blood-lettingpuncture and cupping. 56 cases were cured, 22 markedly effective, 17 improved and 7 ineffective.Total effective rate was 93.1%.

Progress of blood-letting puncture on the treatment of psoriasis

Psoriasis is a chronic skin disease characterized by localized or wide spread squamous erythema or plaque. The pathogenesis is complicated. According to the TCM theory, psoriasis results from internal heat toxin and the deficiency of blood. And blood stasis exists throughout the disease, the treatment should focus on promoting blood circulation and removing blood stasis. Blood-letting puncture can balance Qi and blood through stimulating the meridians, forcing evil Qi to go out, so as to dispel pathogenic factors and dredge the meridians. This article briefly discusses the basic mechanisms and clinical researches of psoriasis with blood-letting puncture, in order to provide new ideas for the clinical treatment of psoriasis.

Technical operation specification for pricking-cupping therapy

Pricking-cupping therapy is a Traditional Chinese Medicine(TCM)nursing technology that can adjust the viscera of the human body,make the meridians smooth,and Yin and Yang balanced mainly by means of relieving heat and detoxification,harmonizing Qi and blood,promoting blood circulation and removing blood stasis,dredging meridians and activating collaterals,reducing swelling and pain,purging heat and calming shock,clearing heat,and opening orifices.Pricking-cupping therapy has a long history and wide application.After thousands of years of development,it has made great progress.They are widely used to treat lumbar disc herniation,herpes zoster,acute arthritis,migraine,and other diseases in China.Through the clinical practice and theoretical exploration of physicians of past dynasties,the therapeutic mechanism and application scope of pricking-cupping therapy have been greatly enriched.Modern TCM practitioners have conducted in-depth researches on the operation norms of the therapy on the basis of the ancients,hoping to grasp the essence of the disease more accurately and make the rational use of the operation technology of the therapy.

Fire needle combined with blood-letting therapy for a case of 20-year trigeminal neuralgia

Background： Trigeminal neuralgia （TN） is a neuropathic pain syndrome. It is the most frequent cranial neuralgia and defined as sudden, usually unilateral and lightning-like, knife-like or burning-like recurrent episodes of pain within the distribution area of one or more divisions of the trigeminal nerve. Here we reported that an 81-year-old woman with TN who complained of severe pain on her right face showed a complete clinical relief after comprehensive therapy containing fire needle, filiform needle and blood-letting therapy. Methods： The patient was applied fire needle combined with filiform needle therapy （3 times / week for 4 months） and three consecutive fire needle combined with blood-letting therapy （3 times / week for one week）. Fire needle was inserted into the back points of Du meridian, the first lateral line of bladder meridian, the right spreading area of the trigeminal nerve and the points around the pain radiation site. The filiform needle acupuncture was applied to the points on the right face including Yuyao （EX-HN4）, Yangbai （GB14）, Toulinqi （GB15）, et al; points on the abdomen including Xiawan （RN10）, Qihai （RN16）, Guanyuan （RN14） and the bilateral points including Tianshu （ST25）, Daheng （SP15）, Zusanli （ST36）, et al. Finally, the three-edged fire needle punctured the points of Yangbai （GB41）, Shangguan （GB3）, Jiache （ST6） on the right face accompanied by the cupping method on the bleeding points. Results： The patient reported the complete disappearance of pain and could open mouth and eat normally. The face was normal and no triggering pain recurred after one-month follow-up. Conclusions： The fire needle combined with blood-letting therapy can cure the TN and might provide an alternative non-drug therapy for those patients who still suffered from TN after other medical treatments or whom that refused surgical treatment.

Blood-letting puncture and cupping at Dong's unique extra points for 65 cases of neck type of cervical spondylosis

Objective To observe the clinical effect of blood-letting puncture and cupping at Chōngxiāo（冲霄 Extra） point of Dong＇s unique Extra-ordinary points in the treatment of neck type of cervical spondylosis.Methods Sixty-five patients of neck type of cervical spondylosis were selected and treated with blood-letting puncture and cupping at Chōngxiāo（冲霄 Extra） point once every two or three days,three times constituted one course and two successive courses were given,then the clinical effect was evaluated.Results The curative rate was 69.2%（45/65）,and the total effective rate was 92.3%（60/65）.Conclusion Blood-letting puncture and cupping at Dong＇s Chōngxiāo（冲霄 Extra） point can be used to treat neck type of cervical spondylosis with simple manipulation and obvious efficacy.

Clinical observation on 30 cases of external humeral epicondylitis treated with electroacupuncture at Zhouling and Ashi points combined with blood-letting cupping

Objective:To observe the clinical effect of electroacupuncture(EA)at Zhouling(Extra)and Ashi points in combination with blood-letting cupping for the treatment of external humeral epicondylitis(EHE).Methods:Thirty EHE patients were treated with EA at Zhouling(Extra)and Ashi points in combination with blood-letting cupping,once every 2 days,twice a week,4 times as one course of treatment,and2 successive courses of treatment were given.Before treatment,after 1 course of treatment,and after 2 courses of treatment,the visual analogue scale(VAS)score and Mayo elbow performance score(MEPS)were adopted to evaluate the curative effect.Results:Before treatment,the VAS score of patients was 7.81±1.39.After 1 course of treatment and after 2 courses of treatment,it was 4.77±1.56 and 2.95±1.23 respectively,lowered than before treatment,and the difference was statistically significant(both P<0.01).Before treatment,the Mayo score of patients was 32.17±19.31.After 1 course of treatment and after 2 courses of treatment,it was 47.39±19.85 and85.21±20.47 respectively,increased than before treatment,and the difference was statistically significant(both P<0.01).Of the 30 patients,5 were cured,accounting for 16.67%;14 cases obviously effective,accounting for 46.67%;8 cases effective,accounting for 26.67%;3 cases ineffective,accounting for 10.00%,and the total effective rate was 90.00%.Conclusion:EA at Zhouling(Extra)and Ashi points and blood-letting cupping used in combination are remarkably effective in the treatment of EHE,being worthy for popularization.

Treatment of Acute Gouty Arthritis by Blood-letting Cupping plus Herbal Medicine

Objective:To observe the therapeutic effect of blood-letting cupping plus herbal medicine for acute gouty arthritis.Methods:The 34 cases of acute gouty arthritis were treated by blood-letting cupping plus herbal medicine.Results:21 cases were cured and 13 cases improved.Conclusion:The therapeutic effect of this therapy was satisfactory for gouty arthritis.

106 CASES OF SCIATICA TREATED BY BLOOD LETTING AND CUPPINTG

The blood letting and cupping treatment can treat sciatica. The authors treated 106cases, of whom 76 cases were cured (71. 7%), 22 were improved (20.7%) and 8 didn’t show ef-fect (7. 6% ). The total effective rate is 92. 4%. This therapy has advantages of shorter course,less suffering, simple to practise, quick effect and less expense. It is a unique therapy and easy tobe popularized.

Observation on clinical effect of electroacupuncture plus pricking-cupping bloodletting therapy for herpes zoster

Objective：To observe the clinical effect of electroacupuncture （EA） plus pricking-cupping bloodletting therapy for herpes zoster. 〈br〉 Methods：A total of 43 patients with herpes zoster were randomly divided into two groups, 23 cases in the treatment group and 20 cases in the control group. The treatment group was given EA plus pricking-cupping bloodletting therapy. The control group was given oral administration of Aciclovir Tablets, Diclofenac Sodium Dual Release Enteric-coated Capsules, Methylcobalamin Dispersible Tablets, and V itamin B12. 〈br〉 Results： The total effective rate was 87.0% in the treatment group and 70.0% in the control group, with a statistical significance in difference of the total effective rate between the two groups （P〈0.01）. 〈br〉 Conclusion：The clinical effect is better in the treatment of herpes zoster by EA plus pricking-cupping bloodletting therapy than by medications.

原络配穴联合背俞穴刺血拔罐治疗急性痛风性关节炎的临床观察

目的 观察原络配穴联合背俞穴刺血拔罐治疗急性痛风性关节炎的临床疗效。方法 将66例急性痛风性关节炎患者随机分为塞来昔布组和刺血拔罐组,每组33例。两组在进行基础治疗上,塞来昔布组口服塞来昔布胶囊,刺血拔罐组采用原络配穴联合背俞穴刺血拔罐治疗。观察两组治疗前、首次治疗后1 h、治疗3 d后、治疗5 d后和治疗后视觉模拟量表(visual analog scale, VAS)评分和关节肿胀程度评分变化,比较两组治疗前后血清C反应蛋白(c-reactine protein, CRP)和尿酸(vridacid, VA)水平,并比较两组临床疗效、不良反应发生情况及复发率。结果 刺血拔罐组的显效率(74.2%)高于塞来昔布组(66.7%),差异有统计学意义(P<0.05)。刺血拔罐组治疗后各时间点VAS评分低于治疗前(P<0.05);塞来昔布组除首次治疗后1 h外各时间点VAS评分低于治疗前(P<0.05)。刺血拔罐组治疗后不同时间点的VAS评分低于塞来昔布组(P<0.05)。两组治疗后除首次治疗后1 h外各时间点关节肿胀程度评分低于治疗前(P<0.05)。刺血拔罐组治疗后除首次治疗后1 h外各时间点关节肿胀程度评分低于塞来昔布组(P<0.05)。两组治疗后血清CRP和UA水平低于治疗前(P<0.05),且刺血拔罐组治疗后血清UA水平低于塞来昔布组(P<0.05)。两组均未有不良反应发生;刺血拔罐组的复发率低于塞来昔布组(P<0.05)。结论 在基础治疗的基础上,原络配穴联合背俞穴刺血拔罐可有效缓解急性痛风性关节炎患者疼痛,减轻关节肿胀程度,降低C反应蛋白和尿酸水平,疗效较为持久。

岭南刺络放血疗法在特应性皮炎中的应用

岭南刺络放血疗法是岭南针灸流派的重要组成部分,由陈全新教授结合多年临床经验所创,在治疗特应性皮炎方面有其独特的优势。其秉承“阴阳互济,通调和畅”的思想,将辨病、辨证、辨经络相合,以治血为主,补虚泻实,以快速旋转法进针,强调操作的无痛与无菌,在治疗特应性皮炎方面具有较好的指导借鉴意义。

刃针结合刺血拔罐治疗颈性眩晕临证经验

颈性眩晕是由颈部病理改变所导致的眩晕,是一种临床常见病、多发病。临床上治疗颈性眩晕大多疗程长且疗效不甚理想。利用刃针结合刺血拔罐治疗颈性眩晕能突破历来治疗方法的局限性,缩短疗程、提高疗效,为患者、医者提供便利,其疗效确切,值得在临床中推广。文章通过验案例举分析,简要介绍刃针以及结合刺血拔罐治疗颈性眩晕的方法和机理,以期在拓宽刃针使用面的同时为颈性眩晕的治疗提供新的思路和方法,供同道参考。

改良刺络药物罐联合八段锦治疗气滞血瘀型围绝经期女性腰背肌筋膜炎疗效观察

目的探讨改良刺络药物罐联合八段锦治疗气滞血瘀型围绝经期女性腰背肌筋膜炎患者的疗效。方法选取2021年3月-2023年7月在武汉科技大学附属孝感医院治疗的气滞血瘀型围绝经期女性腰背肌筋膜炎患者122例,随机分为对照组61例(脱落6例)与观察组61例(脱落4例)。对照组采用改良刺络药物罐治疗,刺络取命门、腰阳关、双侧大肠俞、双侧委中、阿是穴,刺络后予祛瘀舒筋方煮制的竹罐进行拔罐治疗,观察组在对照组治疗基础上联合八段锦治疗。2组改良刺络药物罐治疗均每隔3 d 1次,共治疗6次。八段锦训练方案为居家训练配合定期远程集体训练,患者每天居家训练1 h,连续训练21 d(每周六参与远程集体训练1 h)。比较2组治疗前、治疗21 d后及随访3个月时疼痛视觉模拟评分(VAS)、焦虑自评量表(SAS)评分、功能性障碍评分(ODI)和治疗前后改良Kupperman评分、腹/背肌等长耐力及血清白细胞介素-1β(IL-1β)、白细胞介素-6(IL-6)水平,统计2组治疗21 d后临床疗效及随访3个月时复诊率。结果治疗21 d后及随访3个月,2组VAS评分、ODI评分、SAS评分均较治疗前明显降低(P均<0.05),且观察组上述3项评分均明显低于对照组(P均<0.05)。治疗21 d后,2组改良Kupperman评分及血清IL-1β、IL-6水平均较治疗前明显降低(P均<0.05),且观察组改良Kupperman评分及血清IL-1β、IL-6水平均明显低于对照组(P均<0.05);2组腰/背肌等长耐力均较治疗前明显改善(P均<0.05),且观察组改善情况明显优于对照组(P均<0.05)。观察组治疗21 d后总有效率明显高于对照组[92.98%(53/57)比83.63%(46/55),P<0.05];观察组随访3个月的复诊率明显低于对照组[17.54%(10/57)比34.5%(19/55),P<0.05]。结论改良刺络药物罐联合八段锦能有效缓解气滞血瘀型围绝经期女性腰背肌筋膜炎患者腰背部疼痛,恢复腰背部功能,改善围绝经期综合征状态,降低短期复发率。

中渚穴电针联合刺络拔罐治疗神经根型颈椎病临床观察

目的:观察中渚穴电针联合刺络拔罐治疗神经根型颈椎病(CRS)的疗效。方法:102例随机分为对照组和观察组各51例。对照组参照《神经根型颈椎病诊疗规范化的专家共识》进行西医常规治疗,观察组于中渚穴电针并联合刺络拔罐治疗。结果:观察组总有效率较对照组高(P<0.05)。治疗后两组PRI、NPQ评分均降低,观察组降低幅度更大(P<0.05)。治疗后两组血液流变学指标均降低,且观察组降低更明显(P<0.05)。结论:中渚穴电针联合刺络拔罐法治疗CRS有较好效果。

Clinical application and research progress of cupping therapy

Objective：This article collected,organized,and summarized the medical literatures of cupping therapy from three major Chinese databases including China National Knowledge Infrastructure（CNKI）,Chongqing VIP（VIP）,and Wan Fang,with cupping,moving cupping,flash cupping,pricking cupping,or medicinal cupping as the retrieve title or key words,and the retrieve range was from 1953 to July 15,2015.This article was to give an overall review of cupping therapy from the clinical application and mechanism research based on its application form,indications,and mechanism research progress.The results showed that there are various types of cupping methods;its indications cover multiple subjects such as internal medicine,external medicine,gynecology and pediatrics;and its major action mechanisms include negative pressure suction,increasing pain threshold,promoting dermal blood flow and improving body immunity.