Preliminary optimization of acupuncture regimen at Nèiguān(PC 6) for gastroesophageal reflux disease

Objective:To optimize preliminarily acupuncture regimen for gastroesophageal reflux disease(GERD).Methods:A total of 80 patients of GERD were taken as the subjects in observation.The reflux disease questionnaire(RDQ)was adopted to assess the relevant indicators.The orthogonal design method was used to observe the effects on GERD in acupuncture regimen with difference combinations among 5 factors and 2 levels at Nèiguān(内关 PC 6),including reinforcing-reducing technique by rotating needle(A),time of rotating needle(B),supplementary acupoint(C),time of needle retention(D)and treatment interval(E).The primary and secondary functions among 5 factors(variance analysis),advantages and disadvantages between 2 levels(multiplicity comparison)and superiority combination of 5 factors and 2 levels were determined preliminarily.Results:The reinforcing-reducing technique by rotating needle and the supplementary acupoint are the primary factors of therapeutic effects.The time of rotating needle,treatment interval and time of needle retention were the secondary factors.Conclusion:In the observation of five factors and two levels,the optimal regimen of acupuncture for GERD includes reducing technique by rotating needle at PC 6,the time of rotating needle for 60 s,Zúsānlǐ(足三里 ST 36)and Tàichōng(太冲 LR 3)as the supplementary acupoints,needle retention for 30 min and treatment interval of 24 h.

Jiāwèi Wǔbèizǐsǎn(Supplemented Galla Chinensis Powder) application on the navel for different syndromes of profuse sweating after tumor chemotherapy

Objective To observe the clinical efficacy of Jiāwèi Wǔbèizǐ sǎn（加味五倍子散,Supplemented Galla Chinensis Powder） application on the different syndromes of profuse sweating after tumor chemotherapy.Methods One hundred and sixty patients with profuse sweating after tumor chemotherapy were randomly divided into a control group（n=80） and a treatment group（n=80）.Placebo application was carried out in the control group,and traditional Chinese medicine application was conducted in the treatment group.Treatment for 7 days was considered as 1 course of treatment.Results In treatment group,48 patients were cured,improvement was found in25 cases,and ineffectiveness was seen in 7 cases.For the patients with lungwei insecurity syndrome,19 cases were cured,improvement was found in10 cases,and ineffectiveness was seen in 1 case;for the patients with deficiency of both qi and yin,27 cases were cured,improvement was found in 9 cases,and ineffectiveness was seen in 2 cases;for the patients with vigorous fire due to yin deficiency,3 cases were cured,improvement was found in5 cases,and ineffectiveness was seen in 4 cases.According to statistical analysis,the total efficacy of treatment group was superior to that of control group（P0.05）.The efficacy on lung-wei insecurity and deficiency of both qi and yin of treatment group was superior to that of control group（both P0.05）,but there was no obvious difference between treatment group and control group in the efficacy on vigorous fire due to yin deficiency（P0.05）.Conclusion Supplemented Galla Chinensis Powder application on the navel can effectively improve the profuse sweating syndrome of patients in the types of lung-wei insecurity and deficiency of both qi and yin after tumor chemotherapy,but the efficacy is not so good for the patients in the type of vigorous fire due to yin deficiency.