Evaluation of the Effect and Efficiency of Ear Tip Bloodletting Combined with Xianfang Huoming Yin in the Treatment of Early-Stage Wheals

Objective:To evaluate the effect and efficiency of ear tip bloodletting combined with Xianfang Huoming Yin(XFH)in the treatment of early-stage wheals.Methods:70 patients with early-stage wheals admitted from September 2020 to September 2022 were divided into two groups by randomized numerical table method,with 35 cases/group.Both groups received conventional treatment,the control group combined with XFH,and the observation group combined with ear tip bloodletting therapy and XFH.Conscious symptom scores,ocular indexes,therapeutic effects,and sleep quality between the two groups were compared.Results:After the treatment,the patients in the observation group had lower self-awareness symptom scores and sleep quality scores as compared to those in the control group;the diameter of the mass in the observation group was smaller than that of the control group after treatment;the average tear film rupture time and the time taken for the first non-contact tear film to rupture were longer in the observation group than those in the control group;the total effective rate of the treatment in the observation group was higher than that of the control group(P<0.05).Conclusion:Ear tip bloodletting combined with XFH was ideal for the treatment of early-stage wheals and has a high effective rate.

Practicability Evaluation and Improvement of Bloodletting Model Mold in Mongolian Medicine Teaching

According to the problems such as low level and depth of experimental teaching research of Mongolian medicine in higher vocational colleges, lack of applicable teaching model mold, lack of students practical operation in time, and single teaching, the development direction and ideas of bloodletting model mold in Mongolian medicine in vocational Mongolian medicine teaching were proposed to provide valuable reference for the experimental teaching reform of traditional therapy of Mongolian medicine and the teaching reform and development ideas of Mongolian medicine and other traditional medicine.

DISCUSSION OF MECHANISM ON LUMBAR DISC HERNIATION TREATED WITH BLOODLETTING ON W■IZH■NG(委中BL40)

Objective To observe the changes of sciatic nerve conduction velocity （SNCV） and interleukin-1α （IL-1α）, phospholipase A2 （PLA2） and prostaglandin E2 （PGE2） in neucleus pulposus tissue in experimental rabbits with lumbar disc herniation （LDH） ; and discuss the mechanism of LDH treated with bloodletting on Wěizhōng （委中 BL40）. Methods 40 normal named control group, LDH model group, BL40 group New Zealand rabbits were randomized into 4 groups, and comparative point group. The experimental LDH model was prepared by the self-made LDH animal pathological modeling device. Bloodletting on BL40 or on comparative point was applied for 7 days. BL-410 physiological signal recorder was used to record SNCV. Enzyme-linked immunosorbent assay （ELISA） and radioimmunology methods were used to determine the contents of IL-1α and PLA2 in neucleus pulposus tissue and PGE2 in serum. Results In BL40 group, SNCV was significantly increased after treatment comparing with that before treatment （P〈0. 01 ）, and the difference in SNCV value before and after treatment was significantly bigger than that in model group and comparative point group （P〈0.05）. Bloodletting on BL40 reduced the contents of IL-1α and PLA2 in neucleus pulposus tissue and serum PGE2 in LDH rabbits, which indicated significant difference or very significant results in the comparison with model and comparative point groups （P〈0.01 or 0. 05）. Conclusion Bloodletting speeded up rapidly SNCV and reduced the contents of inflammatory factors, i.e. IL-1α, PLA2 and serum PGE2 in LDH rabbits, which indicated that alleviation of local inflammatory reaction is probably one of the mechanisms on LDH treated by bloodletting on BL40.

Treatment of Hordeolum by Bloodletting at Ear Apex

Hordeolum, the acute pyogenic infection of staphylococci in the palpebral glands, is one of the most commonly seen disorders of the external eye diseases. According to the location of the lesion, it can be divided into internal and external hordeolum. The early symptoms are redness, swelling, and pain in the eyelid. In severe cases, the condition can be accompanied with ipsilateral headache and swelling of the pre-auricular lymph node. Since TCM bloodletting has remarkable effect for treating hordeolum at the early stage, we would like to recommend this simple, easy and effective treatment to doctors who are interested in physiocracy.

Bloodletting Cupping Therapy for postherpetic neuralgia:a systematic review and meta-analysis

Objective:To evaluate the clinical effects of bloodletting cupping therapy(BCT)for patients with postherpetic neuralgia.Methods:We comprehensively searched four Chinese databases(Wanfang,China National Knowledge Infrastructure,VIP Database for Chinese Technical Periodicals,China Biology Medicine disc)and foreign databases(Pubmed,Cochrane Library).The retrieval time was from the build-up time to May 2018.RevMan 5.3 software was used for statistical analysis.Results:We finally obtained 18 eligible studies.Compared with routine western medicine,BCT can significantly improve PHN(OR=7.45,95%CI,3.36-16.51,Z=4.95,P<0.01).BCT plus other methods of acupuncture with fire needle and filiform needle has significant therapeutic effect(OR=5.54,95%CI,3.01-10.19,P<0.01),BCT plus routine western medicine has significant therapeutic effect(OR=4.99,95%CI,2.73-9.11,P<0.00001).Conclusion:It showed that the therapeutic effects of BCT,BCT plus other acupuncture methods with fire needle and filiform needle,and BCT combined with western medicine are better than those treated with single western medicine.It is effective to treat postherpetic neuralgia with Bloodletting Cupping Therapy.

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.

The use of traditional Chinese medicine internally and externally combined with auricular acupuncture point bloodletting in the treatment of vulvar leukoplakia

Vulvar leukoplakia refers to the chronic disease of degeneration and hypopigmentation of the skin and mucous membrane of the vulva with unbearable itching in women, seriously affecting the quality of life. The main treatment of western medicine for vulvar leukoplakia is the external use of glucocorticoids or estrogen, resulting to the high recurrence rate and side effects. Traditional Chinese medicine (TCM) has the characteristics of the overall concept and dialectical treatment with a variety of ways. Literature review in recent years found that the treatment of TCM decoction combined with external therapies, such as external fumigation, acupuncture and other treatments, or the combination of TCM decoction and external western medicine hormone ointment, can obtain good effects in vulvar leukoplakia. During the clinical practice, we found that the use of TCM internally and externally combined with auricular acupuncture point bloodletting was highly effective with unique advantages in the treatment of vulvar leukoplakia, providing the ideas guidance for clinicians.

Clinical Observation on 315 Cases of Hordeolum and Chalazion Treated with Bloodletting of the Toes

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A meta-analysis of randomized controlled trials of acupuncture bloodletting for shingles

Objective:To systematically evaluate the clinical efficacy of acupuncture bloodletting therapy for herpes zoster.Methods:The computer searched the CNKI,WanFang,VIP,CBM,PubMed,and Cochrane Library databases.The time limit was from the establishment of the database to December 31,2019.Relevant literatures on randomized controlled trials of spinal bloodletting for shingles were retrieved.Data were extracted and quality evaluated based on the Cochrane bias risk assessment method.Meta analysis was performed using Rev Man5.3 and Stata15 statistical software.Results:(1)A total of 21 Chinese literatures were included,with a total of 1,533 patients;(2)Meta-analysis was performed using a fixed effect model,and the results showed that the total effective rate of the experimental group(OR=5.11,95%CI:(3.48,7.50),Z=8.33,P<0.00001)is better than the control group,the difference is statistically significant;(3)VAS score analysis using a random effects model(MD-2.23,95%CI(-2.46,-1.99),p<0.0001)(4)The incidence of sequela neuralgia was analyzed using a random effects model(OR=0.21,95%CI:(0.09,0.51),Z=3.48,P=0.0005).Conclusion:The effect of spinal bloodletting on the treatment of shingles and VAS scores,symptomatic relief,and the incidence of sequela neuralgia have advantages.

Pricking cupping bloodletting combined with slide cupping for acne:a case report

Objective:To report a patient with acne by using the combined treatment of pricking cupping bloodletting and slide cupping.Methods:Pricking cupping bloodletting was prescribed at the points of Feishu(BL13)in the bladder meridian of foot-Taiyang and Dazhui(DU14)in governor vessel and slide cupping was prescribed at the points on the back in the bladder meridian of foot-Taiyang.Results:Clinical manifestations revealed that acne and scar were significantly reduced after two courses.Conclusion:Pricking cupping bloodletting combined with slide cupping can successfully relieve acne and promote skin healing,which may provide us a new idea for the non-drug therapy of acne.

CLINICAL OBSERVATION ON 67 CASES OF VASCULAR HEADACHE TREATED BY NEEDLING FOR BLOODLETTING PLUS POINT EMBEDDING

Objective: To observe the therapeutic effect of bloodletting plus point implantation of catgut in the treatment of 67 cases of vascular headache. Methods: A total of 107 cases of vascular headache patients were divided into treatment group (n=67) and control group (n=40). Bilateral Taiyang (EX-HN 5) and Jiaosun (TE 20) were pricked with a needle to let a little blood out, once every 4 days. Bilateral Fengmen (BL 12) and Ganshu (BL 18) were used for embedding catgut, once every 16 days. Patients of control group were ordered to take Rotunding, Oryzanol and Nimodipine, 3 times daily. Results: After 16 days’ treatment, of the 67 cases in treatment group, 26 were cured, 37 responded with improvement in their symptoms and 4 failed; while of the 40 cases in control group, 10 were cured, 19 responded with improvement in their symptoms and 11 failed. The total effective rate of treatment group was significantly superior to that of control group (P<0.01). In addition, the time of headache disappearance of treatment group was strikingly shorter than that of control group; while the duration of sleep of treatment group was strikingly longer than that of control group (P<0.01). Conclusion: The therapeutic effect of acupoint bloodletting plus acupoint embedding of catgut is superior to that of Western medicine in the treatment of vascular headache.

Research progress on the effect of the combination of Jing acupoints bloodletting therapy and Sangzhi (Mori Ramulus) on shoulder-hand syndrome after stroke

Shoulder-hand syndrome(SHS)is one of the common complications of ischemic stroke.The pathogenesis is not completely clear and the therapeutic effects are not very satisfactory.As one of the Five-Shu acupoints(the general terms of acupoints that the twelve meridians are located below the elbow and knee of the body),Jing acupoints is distributed at the end of fingers and toes where the twelve meridians of the human body pass by,and has the functions of stimulating the meridians and dredging the channels and collaterals.For the effects of discharging neurons,promoting cerebral blood flow and improving the brain micro-circulation,Jing acupoints bloodletting therapy can effectively relieve the clinical symptoms of the patients with SHS after stroke.Sangzhi(Mori Ramulus),with the ability of dredging the meridian and relieving the pain,is also has certain treatment functions to the SHS.In clinical practice,the combination of Jing acupoints bloodletting and Sangzhi(Mori Ramulus)have been widely used in the treatment of various diseases,and in terms of their mechanism of action,the combined treatment has a positive effect on post-stroke SHS,but there are few reports on this.Therefore,it is worth affirming the efficacy of combined treatment of SHS after stroke.This article elaborates the theoretical basis of Jing acupoints bloodletting on SHS after stroke,and the research progress of Sangzhi(Mori Ramulus)in treating SHS after stroke,which provide the theoretical guidance for the combination.

放血疗法联合神经阻滞及臭氧注射治疗老年带状疱疹后遗神经痛患者的临床观察

目的探讨放血疗法联合神经阻滞及臭氧注射对老年带状疱疹后遗神经痛患者疼痛症状、睡眠质量的影响及安全性分析。方法选取2023年6月—2023年12月上海市浦东新区人民医院疼痛门诊收治的80例老年带状疱疹后遗神经痛患者,按照随机数字表法分为2组:观察组(n=40)和对照组(n=40)。对照组接受神经阻滞联合臭氧注射治疗,观察组则在与对照组相同治疗的基础之上加用行放血疗法,2组均连续治疗4周。分别于治疗前及治疗4周后对2组患者进行疼痛VAS评分、匹兹堡睡眠质量指数(PSQI)评分,观察2组临床疗效、治疗不良反应发生情况,对2组上述评估值进行分析与比较。结果治疗后,2组VAS评分、PSQI评分均较同组治疗前显著降低(P<0.05),且观察组VAS评分、PSQI评分显著低于对照组(P<0.05);观察组总有效率高于对照组(P<0.05);2组治疗期间不良反应总发生率差异无统计学意义(P>0.05)。结论放血疗法联合神经阻滞及臭氧注射可能显著改善老年带状疱疹后遗神经痛患者疼痛症状,提高患者的睡眠质量和临床疗效。

基于“血实宜决之”应用咽部刺营治疗慢性咽炎探析

慢性咽炎是耳鼻喉科常见疾病,临床发病率高,其病因复杂,慢性感染性因素是慢性咽炎的主要病因之一。基于《黄帝内经》“血实宜决之”理论,认为邪滞咽喉、气郁痰阻、血瘀阻络、津伤络瘀是慢性咽炎的主要病机,其中“邪滞、气郁、痰阻、血瘀”是“血实”的病理基础,刺营是“决之”的治疗手段,通过针刺咽后壁淋巴滤泡、迂曲明显的浅表血管、咽侧索,使局部少量出血,可以达到“祛邪、通阳、化滞、散瘀”的目的,改善咽部症状,具有短期疗效明显,长期疗效稳定,操作简便,安全性高的特点。其作用机制可能是通过咽部针刺放血后改善咽部局部微循环,促进炎症吸收,调节免疫功能及咽部神经生理有关。对咽部刺营作用机制的探析,以期为临床治疗慢性咽炎提供新的思路和方法。

痛点触摸下放血疗法与超声引导下穿刺减压治疗急性冈上肌钙化性肌腱炎的疗效比较

目的:比较痛点触摸下放血疗法与超声引导下穿刺减压两种方法治疗急性冈上肌钙化性肌腱炎的疗效。方法:2020年1月至2023年1月,选取我科收治的45例急性冈上肌钙化性肌腱炎患者,分成治疗组和对照组,其中治疗组22例,女16例,男6例;年龄20~64(39.31±5.80)岁;左侧11例,右侧11例;采用超声引导下穿刺减压治疗。对照组23例,女15例,男8例;年龄19~66(40.67±6.13)岁;左侧12例,右侧11例;采用痛点触摸下放血疗法治疗。分别于治疗前、治疗后1周及治疗后1、3、6个月,采用疼痛视觉模拟评分(visual analog scale,VAS),美国加州大学肩关节系统(University of California,Los Angeles,UCLA)评分,肩关节Constant-Murley评分,对治疗效果进行评估。结果:对照组1例,治疗1周后因个人原因放弃随访,其余44例完成全部随访,治疗后6个月,两组患者均未出现复发病例。治疗组和对照组治疗后各时间段的VAS、UCLA、Constant-Murley评分与治疗前比较差异均有统计学意义(P<0.05),但两组间比较差异均无统计学意义(P>0.05)。结论:痛点触摸下放血疗法与超声引导下穿刺减压两种方法治疗急性冈上肌钙化性肌腱炎均疗效明显,操作简单、费用低廉,能够有效减轻局部疼痛,有效改善肩关节功能,基层医院可根据自身情况选择性操作治疗。

从厥阴角度论治围绝经期失眠经验

从厥阴经脉、厥阴脏及六经之厥阴角度阐释了厥阴与围绝经期失眠的密切关系,并通过具体病例加以分析,提出从厥阴论治,针药结合,中药处方以清肝火、疏肝气、养肝血为基本治法,随证佐以滋肾、健脾、养心等;针刺以调肝为核心,以百会、四神聪、本神、肝俞、期门、太冲为主穴,随证配伍其他腧穴;注重选用火针温通法、放血强通法、毫针微痛法即贺氏三通法以达补虚泻实之目的,同时注重阴阳互引及子母补泻取穴法的选择运用,最终达到阴阳调和、阳气正常出入阴分则寤寐有时的正常生理状态。

皮部引流法治疗腰椎间盘突出症疗效观察

目的:观察皮部引流法治疗腰椎间盘突出症(LDH)的临床疗效。方法:将2022年10月—2023年10月在安徽中医药大学第二附属医院脑病三科就诊的确诊为LDH的60例患者随机分为皮部组和针刺组,每组30例。针刺组给予普通针刺治疗,皮部组给予皮部引流法治疗,采用刮痧疗法、刺血疗法联合“工”字形针刺法,2组均5次为1个疗程,共治疗2个疗程。采用视觉模拟评分法(VAS)和日本骨科协会腰椎功能障碍指数(JOA)评估两组患者治疗前后疼痛程度及腰椎功能,比较两组的总体疗效。结果:与治疗前比较,两组患者治疗后VAS评分明显降低,JOA评分明显升高,且皮部组VAS评分降低程度和JOA评分升高程度均高于针刺组,差异具有统计学意义(P<0.05);皮部组临床疗效明显优于针刺组,差异具有统计学意义(P<0.05)。结论:皮部引流法治疗LDH疗效显著。

灸刺放血联合治疗椎动脉型颈椎病急性发作期临床观察

目的 观察灸刺放血联合治疗椎动脉型颈椎病急性发作期的临床效果。方法 将70例椎动脉型颈椎病急性发作期患者随机分成观察组(灸刺放血结合组)和对照组(灸刺结合组),各35例。观察组予电子灸、普通针刺及刺络放血拔罐疗法,对照组给予电子灸及普通针刺法联合治疗;于首次治疗前后行椎-基底动脉血流动力学[脑血管彩色多普勒超声(TCD)]测定及对眩晕程度进行评估对比。结果 治疗后,TCD显示2组患者收缩峰期血流速度(Vs)、平均血流速度(Vm)均降低(P<0.01),且2组比较,差异有统计学意义(P<0.05)。但2组血管搏动指数(PI)、血管阻力指数(RI)无改善(P>0.05)。治疗后,2组眩晕程度均好转(P<0.01),且2组比较,差异有统计学意义(P<0.05)。结论 灸刺放血结合疗法能够有效减慢椎动脉型颈椎病急性发作期患者的椎-基底动脉高血流速度、缓解眩晕程度,即时效果明显优于针刺艾灸结合组,可在各级医疗机构推广应用。

谢氏刺营微创疗法联合西药治疗小儿急性扁桃体炎

目的探讨谢氏刺营微创疗法联合西药治疗小儿急性扁桃体炎(AT)的临床效果。方法选取2021年8月至2023年8月萍乡市人民医院收治的104例AT患儿作为研究对象,采用随机数字表法分为对照组(52例)和观察组(52例)。对照组采用常规西药治疗,观察组在对照组方法的基础上加用谢氏刺营微创疗法治疗,比较两组的临床疗效、中医证候积分、实验室指标、临床症状改善情况及不良反应。结果观察组的治疗总有效率高于对照组,差异有统计学意义(P<0.05)。两组患儿治疗前的中医证候积分及C反应蛋白(CRP)、中性粒细胞百分比(N%)、白细胞(WBC)、降钙素原(PCT)水平比较,差异无统计学意义(P>0.05);观察组治疗后的中医证候积分及CRP、N%、WBC、PCT水平均低于对照组,差异有统计学意义(P<0.05)。观察组的发热、扁桃体肿大、咽痛消失时间均短于对照组,差异有统计学意义(P<0.05)。两组均未见明显不良反应。结论谢氏刺营微创疗法联合西药治疗小儿AT效果较佳,利于改善临床症状,促进症状消退,减轻炎症反应,安全性好,值得推广。