Observation on Therapeutic Effect of Lotus Needle Cupping Therapy for Removing Blood Stasis in Zhuang Medicine on PHN and Its Influ-ence on Inflammatory Mediators

[Objectives]To observe the clinical effect of the lotus needle cupping therapy for removing blood stasis in Zhuang medicine in treating PHNand its influence on inflammatory factors.[Methods]96 patients with PHN were randomly divided into three groups:lotus nee-dle cupping therapy group,TCM surrounding acupuncture group and gabapentin group.Venous blood and acupoint blood were collected at 0,21 and 42 d of treatment,and the expression levels of 5-HT,SP and CGRPinflammatory mediators were detected before and after treatment.The changes of VAS scores before,during and after treatment and the clinical efficacy were observed.[Results]The total effective rate of the lotus needle cupping group was 87.50%,which was better than that of the TCM acupuncture group(81.25%)and the gabapentin group(62.50%);after treatment,the VAS scores and the expression of inflammatory mediators in the three groups of patients were lower than those before treatment,and the decrease was more significant in the treatment group(P<0.05).[Conclusions]The lotus needle cupping therapy for removing blood stasis in Zhuang medicine is effective in treating PHN,and its mechanism is to reduce the release of inflammatory media-tors,reduce hyperalgesia,relieve pain and improve the quality of life of patients.

CHINESE HUAI TANG NINE ACUPUNCTURE NEEDLES: RESEARCH ON THE NEW NINE ACUPUNCTURE NEEDLES THERAPY AND THE NEEDLING INSTRUMENTS (CONTINUED)

PART TWOThe Research on Chinese Huai TangNine Acupuncture Needles TherapyI The theoretical basis of ChineseHuai Tang Nine Needles Therapy.1) The kernel of the theoretical basis ofChinese Huai Tang Nine Needles Therapy.Chinese Huai Tang Nine Needles Therapyis to give full play to the treatment action of thespecifity and entirety of each needle. The speci-fity means that each needle has its own

Effect of Wei’s triple nine needling therapy on flash visual evoked potentials in rats with traumatic optic neuropathy

Objective:To investigate the effect of Wei’s triple nine needling therapy on the N2-P2 wave of the flash visual evoked potential(FVEP)in rats of the of the transverse directional pulling model.Methods:Thirty-six Wistar rats were randomly grouped,nine were in normal control group without any treatment,and the remaining 27 were surgically modelled in the right eyes.Eighteen of these rats were randomly divided into a Wei’s triple nine needling therapy group and a model group of nine rats each after the TON model was made using the transverse quantitative retraction method.The other 9 rats were sham-operated,and only the optic nerve was exposed without retraction.On the next day of modelling,the Wei’s triple nine needling therapy group was treated with Wei’s triple nine needling therapy for 20 minutes/1 time/1 day for 14 days.The model group,sham-operated group and normal control group were not intervened.Wei's triple nine acupoints were represented as follows:1st link:"Jingming"(BL1)and"Chengqi"(ST1);2nd link:"Sizhukong"(SJ23)penetrating"Taiyang"(EX-HN5);and the third:"Fengchi"(GB 20)and"Taichong"(LV3).The FVEP of each group was observed on 1d,7d and 14d.The FVEP of each group was observed on 1d,7d and 14d.Results:Compared with the model group,the N2 wave latency and P2 wave latency were shortened in the Wei’s triple nine needling therapy on 1d(P<0.05,P<0.01);on 7d,their N2 wave latency was shortened(P<0.01)and the N2-P2 wave amplitude was increased compared with the model group(P<0.05);on 14d,their P2 wave latency was shortened(P<0.05)and the N2-P2 wave amplitude was increased.There was no statistical difference in N2 wave latency,P2 wave latency and N2-P2 wave amplitude in the sham-operated group on 1d,7d and 14d(P>0.05).The delayed N2 and P2 wave latencies in the model group did not improve from 1d to 14d(P>0.05)and the amplitude decreased throughout,showing a significant difference on 14d compared to 1d(P<0.05).In contrast,the N2 wave latency in Wei’s triple nine needling therapy group was not significantly different until 7d to 14d(P<0.05);its P2 wave latency,although significantly delayed from 1d to 7d(P<0.05),recovered on 14d and reached a level that was not statistically different from 1d and 7d(P>0.05).There was also no significant decrease in N2-P2 wave amplitude between 1d and 14d in Wei’s triple nine needling therapy group(P>0.05).Conclusion:In this experiment,the TON rat model was successfully established by the transverse quantitative retraction method,and the treatment of TON rats with Wei’s triple nine needling therapy reduced the P2 wave delay of the FVEP electrophysiological signal and increased the N2-P2 amplitude,which had a certain positive effect on the repair of optic nerve injury,probably related to its effect of improving the conduction function of the optic nerve and protecting the retinal ganglion cells that had not been degenerated and necrosed.

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.

CLINICAL OBSERVATION ON TREATMENT OF 60 CASES OF ASTHMA WITH RED-HOT NEEDLE IN THE DOG DAYS

In the present paper, a total of 109 asthma patients were randomly divided into treatment group (red hot needle, n=62) and control group (conventional acupuncture, n=47). The treatment was conducted beginning from the first day of the first 10 day period of the Dog Days. After successive two years’ treatment, results showed that of the 62 and 47 cases in treatment and control groups, 16 and 7 were cured basically, 37 and 16 had remarkable improvement, 8 and 12 were ameliorated, 1 and 10 failed in the treatment, with the effective rate being 98.4% and 78.7% respectively, displaying that the therapeutic effect of treatment group was significantly superior to that of control group (P<0.01).

OBSERVATION ON THE EFFECT OF SHALLOW NEEDLING FOR TREATMENT OF PERIPHERAL FACIAL PARALYSIS IN 80 AFRICANS

This paper is a summary of 150 cases of facial paralysis in African black people treated with shallow needling and mild needling manipulation. After 3 courses of treatment, of the 80 cases in the shallow-needling group, 71 (88. 8% ) were cured, 5 (6. 3% ) had marked improvement, 3 (3. 7% ) had improvement and 1 (1. 2% ) failed; Of the 70 cases in traditional-needling group, 61 (87. 1 % ) were cured, 6 (8. 6% ) had evident improvement, 2 (2. 9% ) had improvement and 1 (1. 4 % ) had no striking change. Statistical analysis showed no significant difference between the two groups in the therapeutic effect (P >0. 5 ), indicating both the traditional needling method and shallow needling were effective in treatment of facial paralysis in black people. In addition, earlier treatment was very important in healing facial palsy; and the cure rate was higher in younger patients ard those with light severity.

CLINICAL OBSERVATION ON TREATMENT OF 198 CEREBRAL INFARCTION PATIENTS WITH OPPOSING AND NON-OPPOSING NEEDLING METHODS

198 cases of cerebral infarction diagnosed clinically.by means of CT scan wereselected, and the therapeutic effects obtained with the methods of opposing and non-opposing needlingwere compared, The primary points included Head-Linqi(GB 15) and Zhengying(GB 17) (penetra-tion needling), Fengchi(GB 20), Neiguan (PC 6), qnd Yinlingquan (SP 9). While the supplemen-tary points were Jiquan (HT 1 ), Xiaohai (SI 8), Huantiao (GB 30), Yinmen (BL 37), Sanyinjiao(SP 6), and Taixi (KI 3). It was found that the radical cure rate in the group treated with opposingneedling was 57%, while that in the group with non-opposipg needling was 34%. The difference oftherapeutic effects between the two groups was of statistical significance (P【0.01 ). It indicates thatopposing needling is superior to non-opposing needling in elevating cure rates and reducing sequelae.

TREATMENT OF SCAPULOHUMERAL PERIARTHRITIS WITH WARM NEEDLING AND ACUPOINT INJECTION

The warm needling and acupoint injection of medicine are combined to treat scapulo-humeral periarthritis with marked analgesic effect because they have the efficacies of reinforcing defi-ciency and supporting the healthy energy,and eliminating the pathogens ans dredging the meridiansand collaterals.The quick and fair therapeutical effect will be obtained when the needling sensation ispropagated to the focus of disease.

CLINICAL OBSERVATION ON PENETRATION NEEDLING TREATMENT OF 65 CASES OF HYPERTENSION

The present paper reports the results of 65 hypertension patients treated with pene-tration needling（point through point method in acupuncture）.For comparison,other ps cases ofhypertension were treated with routine needling method.Changes of blood pressure were ob-served before,during and after treatment.Results showed that the hypotensive effect of the pen-etration needling was significantly superior to that of the routine acupuncture（P【0.05）.Thefollowing-up survey 3 months after treatment showed significant differences between two groupsand between post-treatment and pre-treatment in each group in the mean vahes of systolic and di-astolic pressure（P【0.05）.It reveals that acupuncture has a good hypotensive action,and thepenetration needling is of a certain long-term therapeutic effect.

OBSERVATION ON CLINICAL EFFECTS OF WARM NEEDLING ON 200 CASES OF SCIATICA

The author selected acupoints according to the meridian that was affected bypain and the primary symptoms to treat 200 cases of sciatica. Of thern, 152 (76. 0% ) cases werecured, 28 (14.0% ) markedly improved, 12 (6.0% ) improved and 8(4.0% ) ineffective.

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.

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.

TREATMENT OF 247 CASES OF PROLAPSE OF LUMBAR INTERVERTEBRAL DISC WITH COMPREHENSIVE PLUM-BLOSSOM MAGNETIC NEEDLE THERAPY

Objective: To observe the therapeutic effect of comprehensive plum-blossom magnetic needle therapy on prolapse of lumbar intervertebral disc. Methods: 247 cases of prolapse of lumbar intervertebral disc were treated first with manual treatment and then with plum-blossom magnetic needle therapy and effect-increasing pad therapy at specified points and reactive points. Results: After treatment for 2 therapeutic courses,153 cases were cured accounting for 61.94%, 71 cases were markedly effective accounting for 28.75%, 22 cases were improved accounting for 8.91% and the rest one failed,accounting for 0.45%. Conclusion: The comprehensive plum-blossom magnetic needle therapy has a better therapeutic effect on prolapse of lumbar intervertebral disc.

PERIPHERAL FACIAL PARALYSIS TREATED BY MULTI-DIRECTIONAL NEEDLING

Objective：To search for an effective therapy in treating peripheral facial paralysis. Methods： One hundred and eight patients were randomly divided into treatment group （n = 68） and control group （n = 40）. The multi-directional needling technique was used by selecting Jiache （颊车 ST 6）, Yangbai （阳白 GB 14） and Dicang （地仓 ST 4） in the treatment group, and the traditional acupuncture technique with conventional needle selection was used in the control group. The treatment was given once daily with 10 treatments constituting a therapeutic course, and 2 courses of treatment were given in both the groups. Results： After the treatment, of the 68 and 40 cases in treatment and control groups, 56 （82.3%） and 28 （70.0%） were cured, 11 （16.2%） and 8 （20.0%） improved in clinical symptoms and signs, 1 （1.5%） and 4 （10.0%） failed, with the total effective rate being 98.5% and 90.0% respectively, and the therapeutic effect of treatment group was significantly superior to that of control group （ P 〈 0.05）. Conclusion： The multi-directional needling is an effective therapy for treating peripheral facial paralysis.

《内经》“关刺”联合“合谷刺”治疗不宁腿综合征疗效观察

目的 观察《内经》“关刺”联合“合谷刺”治疗不宁腿综合征(restless legs syndrome, RLS)的临床疗效。方法 将100例RLS患者随机分为治疗组(50例,脱落1例)和对照组(50例,脱落2例)。治疗组给予“关刺”联合“合谷刺”治疗,阳陵泉、膝关、丘墟采用关刺法,伏兔、丰隆、漏谷采用合谷刺法;对照组给予假针刺治疗。治疗前后采用国际RLS评定量表(international restless leg syndrome scale, IRLSS)评价患者不宁腿严重程度,采用RLS生活质量量表(RLS quality of Life, RLSQoL)评价患者生活质量,采用失眠严重指数量表(insomnia severity index, ISI)评价患者的睡眠情况,并比较两组临床疗效。结果 治疗组总有效率为91.8%,显著高于对照组的41.7%(P<0.01)。治疗后,治疗组IRLSS评分低于治疗前和对照组(P<0.01),治疗组RLSQoL评分高于治疗前和对照组(P<0.01),治疗组ISI评分低于治疗前和对照组(P<0.01)。对照组治疗前后各项评分比较,差异无统计学意义(P>0.05)。结论 《内经》“关刺”联合“合谷刺”可显著改善RLS患者临床症状,在中医学理论的指导下拓展了《内经》五刺法的临床应用。

TREATMENT OF VERTEBRAL－ARTERY TYPE CERVICAL SPONDYLOPATHY WITH NEEDLE－KNIFE THERAPY

In the present paper, 62 cases of vertebral artery type cervical spondylopathy were treated with needle knife therapy (acupotomy). After 2-6 sessions of treatment, 23 cases (37.1%) were cured, 19 (30.7%) showed marked improvement, 15 (24.2%) had some improvement and 5 (8.1%) failed in the treatment. The total effective rate was 91.9%. It indicates that acupotomy therapy is a highly effective remedy for treating vertebral artery type cervical spndylopathy.

基于文献计量分析皮内针疗法适宜病症与临床应用进展

目的基于文献计量分析皮内针疗法的临床文献,探讨皮内针疗法的适宜病症与临床应用进展。方法通过计算机检索中国知网(CNKI)、万方数据库(Wanfang data)和维普中文期刊数据库中与皮内针疗法相关的临床研究文献,应用文献计量学的方法对皮内针疗法发文量、病谱和适宜病症进行分析。结果临床涉及论文共2220篇,近10年发文量显著增长。皮内针疗法临床涉及病症208种。一级适宜病症为手术后疼痛、失眠症、偏瘫、面神经麻痹;二级适宜病症为肩痛、颈椎病、癌痛、膝骨关节炎、腰椎间盘移位、便秘、头痛;三级适宜病症为带状疱疹、遗尿、放化疗后不良反应、变应性鼻炎、呃逆、面肌痉挛;四级适宜病症包括痛经、高血压、糖尿病、胃肠功能紊乱、痹证、吞咽障碍、腰扭伤、肥胖症。结论皮内针疗法是近年来的临床研究热点,其治疗疾病以痛症居多,其次为各类慢性病。不同针具中,揿针的应用受到广泛关注。

小针刀联合温针灸治疗神经根型颈椎病疗效分析

目的 探讨小针刀联合温针灸治疗神经根型颈椎病的临床疗效。方法 选取新乡医学院第三附属医院2020年1月—2022年1月收治的神经根型颈椎病患者85例,按治疗方式不同分为观察组45例和对照组40例,对照组给予常规温针灸治疗,观察组给予小针刀联合温针灸治疗。比较两组临床疗效,治疗前后简化McGill疼痛评分、颈部残障指数(NDI)评分、血清炎性指标。结果 治疗后,观察组治疗总有效率高于对照组(P<0.05)。两组患者的PRI感觉分、PRI情绪分、VAS评分、PPI均下降,观察组均低于对照组(P<0.05);两组NDI均下降,观察组低于对照组(P<0.05);两组IL-1、IL-1β、IL-6、TNF-α水平均降低(P<0.05),观察组均低于对照组患者(P<0.05)。结论 小针刀联合温针灸治疗神经根型颈椎病的疗效显著,能有效缓解疼痛,降低炎性因子。

皮内针联合子午流注五音疗法用于心脾两虚型不寐临床观察

目的探讨皮内针联合子午流注五音疗法对心脾两虚不寐症患者的临床效果。方法选择天水市中医医院脾胃病科2021年5月—2021年10月入住的心脾两虚型不寐患者100例,根据随机数字表法分为对照组、观察组,各50例。对照组给予皮内针干预,观察组在对照组基础上加用子午流注五音疗法干预,2周后比较两组总有效率、匹兹堡睡眠质量指数(PSQI)得分。结果观察组总有效率为94.00%(47/50),高于对照组的74.00%(37/50),差异有统计学意义(P<0.05);干预后,两组PSQI得分较干预前均下降,且观察组低于对照组,差异有统计学意义(P<0.01)。结论皮内针联合子午流注五音疗法能有效改善心脾两虚型不寐患者的睡眠质量,值得临床推广应用。

穴位敏感点揿针配合中药治疗多发性抽动症的疗效观察

目的 观察穴位敏感点揿针配合中药治疗多发性抽动症的临床疗效。方法 将150例多发性抽动症患者随机分为治疗组、对照1组和对照2组,每组50例。治疗组采用穴位敏感点揿针配合中药治疗,对照1组采用揿针配合中药治疗,对照2组采用口服盐酸硫必利片治疗。观察3组治疗前后耶鲁抽动程度综合量表(Yale global tic severity scale, YGTSS)各项评分及各项中医症候积分的变化情况,比较3组临床疗效及不良反应发生率。结果 治疗组总有效率为89.6%,对照1组为80.4%,对照2组为69.6%,治疗组总有效率明显高于对照1组和对照2组(P<0.05),对照1组总有效率明显高于对照2组(P<0.05)。3组治疗后中医证候积分及YGTSS各项评分均较同组治疗前显著下降,差异均具有统计学意义(P<0.05)。治疗组和对照1组治疗后中医证候积分及YGTSS各项评分均明显低于对照2组,差异均具有统计学意义(P<0.05)。治疗组治疗后运动抽动、烦躁易怒、精神倦怠、纳差积分及YGTSS各项评分均明显低于对照1组,差异均具有统计学意义(P<0.05)。治疗组治疗期间不良反应发生率为6.3%,对照1组为8.7%,对照2组为26.1%,治疗组和对照1组不良反应发生率均明显低于对照2组,差异均有统计学意义(P<0.05)。结论 穴位敏感点揿针配合中药治疗脾虚肝旺型多发性抽动症有较好的临床疗效,能够改善多发性抽动症患者的临床症状,安全性较高。