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.

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.

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%.

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.

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.

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.

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.

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.

Clinical observation on collateral-pricking and cupping therapy plus moxibustion for localized neurodermatitis

Objective： To observe the clinical effects of collateral-pricking and cupping therapy plus moxibustion for localized neurodermatitis. Methods： A total of 94 cases with localized neurodermatitis were randomly divided into two groups by their visit order, 47 cases in each group. The cases in the treatment group were treated by bleeding method with a plum blossom needle, cupping method and moxibustion. The cases in the control group were treated by subcutaneous injection of Triamcinolone Acetonide Acetate Injection. Results： After treatment, the curative rate and total effective rate were respectively 80.9% and 100% in the treatment group and were 48.9% and 87.2% in the control group. The differences in the curative rate and total effective rate between the two groups were statistically significant （P〈0.01, P〈0.05）. Conclusion; Bleeding method by a plum blossom needle, in combination with cupping method and moxibustion, is an effective therapy for localized neurodermatitis.

Acupuncture plus bloodletting therapy for insomnia in blood stasis constitution:a clinical study

Objective： To observe the clinical efficacy of acupuncture plus bloodletting therapy in treating insomnia in people with blood stasis constitution. Methods： Seventy-two patients were randomized into a treatment group and a control group by using the random number table, 36 cases each. The treatment group received acupuncture plus bloodletting therapy, while the control group was intervened by oral administration of estazolam. One-week treatment was taken as a course, for 3 successive courses in total. A follow-up study was conducted 3 months later. The Pittsburgh sleep quality index （PSQI） was evaluated before and after the intervention, as well as in the follow-up. The clinical efficacies were also compared. Results： The total effective rate was 88.9% in the treatment group versus 83.3% in the control group, and the between-group difference was statistically significant （P〈0.O5）. After the intervention, the PSO.I scores dropped significantly in both groups （both P〈0.05）; the between-group difference in PSQI score was statistically significant （P〈O.05）. The follow-up study showed that the between-group difference in the global score of PSO, I was statistically significant （P〈0.05）. Conclusion： Acupuncture plus bloodletting therapy can produce a more significant efficacy than oral administration of estazolam in treating insomnia in people with blood stasis constitution.

拔罐放血疗法对脑卒中后偏侧感觉障碍的临床疗效观察

目的观察拔罐放血疗法治疗卒中后偏侧感觉障碍的临床疗效。方法将60例偏瘫后感觉障碍的患者随机分为对照组和治疗组各30例。两组均给予常规的内科治疗和常规康复训练,治疗组在此基础上加用拔罐放血疗法。拔罐放血治疗每周2次,共4周。治疗前后分别采用Fugl-Meyer感觉评定法和改良Barthel指数(MBI)对患者感觉障碍及日常生活活动能力进行评定。结果治疗后,两组Fugl-Meyer感觉评分和MBI评分均明显高于治疗前(P<0.01),且治疗组明显高于对照组(P<0.01)。结论拔罐放血疗法能够改善脑卒中后偏侧感觉障碍,并提高患者日常生活活动能力。

大椎穴刺络拔罐配合刮痧治疗麦粒肿疗效观察

目的观察大椎穴刺络拔罐配合刮痧法治疗麦粒肿的临床疗效。方法将44例麦粒肿患者随机分为对照组和治疗组,每组22例。对照组采用大椎刺络拔罐法治疗,治疗组采用大椎刺络拔罐加刮痧法。观察两组患者治疗前后眼部肿块大小,统计治愈率。结果对照组总有效率为81.8%,治疗组为95.5%,治疗组总有效率高于对照组(P<0.05);两组患者治疗后眼部肿块大小较治疗前均明显缩小(P<0.05),且治疗组优于对照组(P<0.05)。结论采用大椎刺络放血联合刮痧法治疗麦粒肿,能够有效减轻临床症状,减小肿块体积,提高临床疗效。

咽喉部走罐配合放血疗法治疗急性咽炎临床观察

目的观察咽喉部走罐配合放血疗法治疗急性咽炎的临床疗效。方法将36例急性咽炎患者随机分为两组,每组18例。治疗组采用咽喉部走罐配合天突穴放血,对照组采用口服蒲地蓝消炎口服液治疗。以急性咽炎症状分级量化表评判两组疗效,并观察治疗组是否出现副反应。结果两组治疗均有效,两组总疗效比较差异无统计学意义(P>0.05)。治疗组较对照组起效快,有效改善患者咽痛、咽干灼热,改善咽部黏膜充血情况,缩短病程,且无副反应。结论咽喉部走罐配合放血疗法治疗急性咽炎疗效确切,能有效缓解患者痛苦,缩短病程,且安全无副反应。

Clinical efficacy of acupuncture in treatment ofchronic urticaria and its effects on the content of IgE and the imbalance of Th1/Th2 cell function

Objective:To observe the clinical efficacy of acupuncture in treatment of chronic urticaria and the change in the content of serum immunoglobulin E(IgE),and to discuss the effect of acupuncture on the imbalance of T helper(Th)1/Th2 cell function via observing the changes in the contents of interferon-y(IFN-y)and interleukin-4(IL-4).Methods:Ninety patients meeting the inclusion criteria of chronic urticaria were randomized into an acupuncture-medication group,an acupuncture group and a Western medication group by the random number table method.The acupuncture-medication group was intervened by acupuncture,cupping,collateral-pricking bloodletting and oral administration of cetirizine hydrochloride tablets;the acupuncture group was treated with acupuncture,cupping and collateral-pricking bloodletting;the Western medication group only received oral administration of cetirizine hydrochloride tablets.Before treatment and after 6-week treatment,the changes in the symptom scores and the contents of serum IgE,IFN-γ and IL-4 in the three groups were observed.Results:There were no significant differences in the total effective rate among the three groups(all P>0.05),but the cured and markedly effective rate was significantly higher in the acupuncture-medication group than that in the Western medication group(P<0.05).After treatment,the total symptom score decreased in the three groups(P<0.05),and the improvement of total symptom score in the acupuncture-medication group was more significant than that in the Western medication group(P<0.05).The component symptom scores all decreased after treatment in the three groups(all P<0.05);the improvements of the scores of itch intensity,and skin lesion size and number were more significant in the acupuncture-medication group than in the Western medication group(all P<0.05);the improvement of the skin lesion size score was more significant in the acupuncture group than in the Western medication group(P<0.01).The contents of IgE and IL-4 dropped(all P<0.05)and the content of IFN-y increased(P<0.05)after treatment in the three groups;the post-treatment changes in the serum contents of IgE and IFN-y were more significant in the acupuncture-medication group than in the Western medication group(both P<0.05).The incidence rate of adverse reactions was significantly lower in the acupuncture-medication group and acupuncture group than in the Western medication group(both P<0.05),and the relapse rate was significantly lower in the acupuncture-medication group than in the Western medication group(P<0.05).Conclusion:Combined acupuncture and medication can enhance the cured and markedly effective rate in treating chronic urticaria.Acupuncture is equivalent to cetirizine hydrochloride tablets comparing the clinical efficacy in treatment of chronic urticaria.Acupuncture plus medication and acupuncture alone both can effectively mitigate the clinical symptoms,with low incidence of adverse reactions.The relapse rate is low when using acupuncture together with medication.Acupuncture plus medication can work better in regulating the contents of IgE and IFN-y and improving the imbalance of Th1/Th2 cell function.

风池穴刺络拔罐配合针刺治疗急性期周围性面瘫疗效观察

目的观察风池穴刺络拔罐配合针刺治疗急性期周围性面瘫的临床疗效。方法将60例急性期(病程≤7 d)周围性面瘫患者随机分为治疗组和对照组,每组30例。治疗组采用风池穴刺络拔罐配合针刺治疗,对照组采用常规针刺治疗。两组均每日治疗1次,每星期治疗5次,2星期为1个疗程,共治疗3个疗程。观察两组治疗前后House-Brackmann(H-B)分级评分的变化情况,并比较两组临床疗效。结果治疗组总有效率为96.7%,对照组为93.3%,两组比较差异无统计学意义(P>0.05)。两组治疗2、3个疗程后H-B分级评分比较,差异均具有统计学意义(P<0.05)。结论风池穴刺络拔罐配合针刺是一种治疗急性期周围性面瘫的有效方法 。

针刺阳陵泉结合刺络拔罐治疗肩周炎的临床观察

目的:观察针刺阳陵泉结合刺络拔罐法治疗肩周炎的临床疗效。方法:将80例患者随机分为治疗组42例,对照组38例,治疗组采用针刺阳陵泉、痛点刺络拔罐,对照组采用针刺肩三针的方法。结果:治疗组与对照组比较具统计学意义(P<0.05)。结论:针刺阳陵泉结合刺络拔罐治疗肩周炎疗效显著。

贺氏三通法治疗脾虚湿阻型轻度单纯性肥胖症疗效观察

目的观察贺氏三通法治疗脾虚湿阻型轻度单纯性肥胖症患者的临床疗效。方法将符合纳入标准的40例脾虚湿阻型轻度单纯性肥胖症患者随机分为A组和B组,每组20例。A组采用贺氏三通法中的微通法配合强通法治疗,B组采用贺氏三通法中的微通法配合温通法治疗。观察两组治疗前后各项肥胖指标,并比较两组临床疗效。结果 A组治疗后体重及BMI与同组治疗前比较,差异均具有统计学意义(P<0.05)。B组治疗后体重与同组治疗前比较,差异具有统计学意义(P<0.05)。A组治疗后各项肥胖指标(体重、BMI、腰围、臀围、腰臀比)与B组比较,差异均无统计学意义(P>0.05)。A组总有效率为55.0%,B组为10.0%,两组比较差异具有统计学意义(P<0.01)。结论贺氏三通法是一种治疗脾虚湿阻型轻度单纯性肥胖症的有效方法,其中微通法配合强通法的疗效优于微通法配合温通法。

刺络放血治疗经行头痛疗效观察

目的观察刺络放血疗法治疗经行头痛的临床疗效。方法将98例经行头痛患者随机分为治疗组和对照组,每组49例,治疗组采用刺络放血治疗,对照组采用中药治疗,均治疗2个疗程后观察疗效。结果两组治疗后疼痛程度和疼痛时间与同组治疗前比较差异均具有统计学意义(P<0.01),治疗组改善作用优于对照组(P<0.05)。治疗组总有效率为87.8%,痊愈率为59.2%,对照组则分别为69.4%、40.8%,两组比较差异具有统计学意义(P<0.05)。结论刺络放血是一种治疗经行头痛的有效方法。

四步针药疗法治疗膝骨性关节炎疗效分析

目的 观察四步针药疗法治疗膝骨性关节炎的疗效。方法 将 2 6 0例膝骨性关节炎患者随机分为治疗组和对照组 ,治疗组采用四步针药疗法 ,对照组采用LK D型六合多功能治疗仪配合口服芬必得片。结果 治疗组 15 8例 ,愈显率 76 .5 8% ,总有效率 93.6 7% ,综合疗效显著优于对照组 (χ2 =18.5 38,P <0 .0 0 5 )。