Clinical study of catgut embedding combined with Chinese herbal medicine for treatment of anemia due to blood loss after major operation of orthopaedics

Objective To observe the therapeutic effect of catgut embedding treatment on bilateral Zúsānlǐ（足三里ST 36） combined with Huangqi Ejiao decoction （黄芪阿胶汤） orally taken. Methods Patients with anemia due to blood loss after major operation were randomly divided into a control group and an observation group. There were 30 cases in the control group which were treated by blood transfusion and 32 cases in the observation group which were treated by catgut embedding on bilateral Zúsānlǐ （足三里ST 36） after local anesthesia combined with oral administration of self-made Huangqi Ejiao decoction （黄芪阿胶汤）. The herbs included Huangqi （黄芪Radix Scutellariae Milk Veteh）10 g, Ejiao （阿胶Colla Corii Asini Donkey-hide Gelatin）10 g, Danggui （当归 Radix Angelicae Sinensin Chinese Angelica）10 g, Baizhu （白术 Radix A tractyloes Macrocephalae Large-headed Atractylodes） 10 g, Dangshen （ 党参 Radix Codonopsis Dangshen）20 g, Danshen （丹参 Salvia Miltiorrhiza Root of Red Rooted Salvia） 10 g, Honghua （ 红花 Carthamus Tinctorious Safflower） 10 g, Shudi （熟地 Rehmannia Glutinosa Prepared Rhizome of Rehmannia） 20 g, etc. After 1 d, 3 d, 7 d, 15 d, 21 d, RBC, Hb, IgM, IgG were tested. Results In the control group, Hb and RBC count immediately went up in the beginning, that peaked on the 7^th day and kept gently after. While in the observation group, there was a minimal increase in Hb and RBC in the beginning, followed by a sharp increase during 15-21 d, and peaked on the 21^th day. There was a significant difference between the observation group and the control group（P〈0.05）. While, the level of IgM, IgG rose markedly in the observation group, with a significant difference between the two groups （P〈O. 01）. Conclusion Catgut embedding treatment on bilateral Zúsānlǐ （足三里 ST 36） combined with oral administration of Huangqi Ejiao decoction （黄芪阿胶汤） can improve anemia due to blood loss after operation, and likewise increase the level of IgM and IgG.

Alacrimia after child traumatic brain injury

Objective: To report the clinical effects of acupuncture on alacrimia after child traumatic brain injury.Methods: One child with the alacrimia on the right eye after traumatic injury, aged 2 years and 3 months, was treated with acupuncture. The acupoint selection: Yángbái(阳白 GB 14), Cuánzhú(攒竹 BL2), T6 ngzǐliáo(瞳子髎 GB 1), Sìbái(四白 ST 2), Yingxiāng(迎香 LI 20), Yìfēng(翳风 TE 17) and Fēngchí(风池 GB 20) on the right side, as well as bilateral Hégǔ((合谷 LI 4) and Tàichōng(太冲 LR 3). The quick needling technique was applied to GB 20, LI 4 and LR 3 and the needles were retained for 20 min in the rest acupoints. In the embedding needle therapy, one group of acupoints was selected in each treatment,(Group No.1: BL 2, Sizhúkōng(丝竹空 TE 23), ST 2 and Shàngyíngxiāng(上迎香 EX-HN 8);Group No. 2:Tàiyáng(太阳EX-HN 5), TE 17, LI 20 and GB 14)The embedding needle therapy was provided after the routine acupuncture treatment and the thumb-tack needles were embedded subcutaneously for 48 hours.The treatment with acupuncture was given once every other day. three times a week.Results: After 5 treatments, a full of tears was visible on the right eye when crying. After 10 treatments,there was a large amount of tears on the eyes and nasal discharge when crying. After 15 treatments, the lacrimal secretion and nasal secretion were normal when crying, without differences from the condition before traumatic brain injury.Conclusion: Acupuncture achieves the significant therapeutic effects on alacrimia after the child traumatic brain injury.