Observation on warm needling therapy for third lumbar vertebra transverse process syndrome

Objective： To observe the effect of warm needling therapy plus acupuncture on third lumbar vertebra transverse process syndrome. Methods： Sixty cases of third lumbar vertebra transverseprocess syndrome were randomly divided into a warm needling groupor an acupuncture group, 30 cases in each group. Cases in the acupuncture group were treated by routine points and needle sticking manipulation, while those in the warm needling group were treated by moxibustion plus needling as same as the acupuncture group. Japanese orthopedic association scores （JOA） in the two groups were observed and compared after 2 treatment courses. Results： After treatment, the JOA score in the warm needling group was higher than that in the acupuncture group （P〈0.01）; subjective symptom, clinical syndromes, activity of daily living （ADL） in the warm needling group were all higher than those in the acupuncture group （allP〈0.05）; the score of pain in the warm needling group was significantly lower than that in the acupuncture group （P〈0.01）; the total effective rate in the warm needling group was 76.7%, versus 70.0% in the acupuncture group, showing a statistically significant difference （P〈0.05）. Conclusion： Warm needling therapy is more effective thannormal acupuncture in treating third lumbar vertebra transverseprocess syndrome.     

Clinical study on surrounding acupuncture for herpes zoster

Objective： To observe the clinical effects of the surrounding acupuncture for herpes zoster. Methods： Sixty patients with herpes zoster were randomly divided into two groups, a treatment group and a control group, 30 cases in each. The cases in the treatment group were treated with surrounding acupuncture, intravenous infusion of Acyclovir and Ne-Ne laser radiation on the macular areas. While, those in the control group were treated with intravenous infusion of Acyclovir and topical application of Acyclovir ointment. The therapeutic effects were assessed in both groups after two courses of treatment. Results： The treatment group was obviously better than the control group in the effective rate, relief of blister, drying up of blister, relief of pain and time of complete relief of pain （P〈0.05）. Conclusion： Surrounding acupuncture, combined with intravenous infusion of Acyclovir and He-Ne laser radiation, is remarkable in the therapeutic effects for herpes zoster and worthy of clinical application.     

Immediate effects of Hegu needling on adhesive scapulohumeral periarthritis

Objective:To observe the immediate effects of Hegu needling at Ashi points in patients with adhesive scapulohumeral periarthritis (SP). Methods:A total of 60 SP cases were randomized into a treatment group and a control group, 30 in each group. Cases in the treatment group were treated with Hegu needling at Ashi points and normal needling at other local points. Cases in the control group were treated with normal needling at local points alone. The therapeutic efficacy was then evaluated and analyzed using short-form of McGill pain questionnaire (SF-MPQ) and Japanese Orthopaedic Association (JOA) shoulder scoring system. Results:Hegu needling at Ashi points can substantially alleviate pain in patients with adhesive SP, showing a statistically significant difference when compared with the control group (P<0.01 or P<0.05). In addition, cases in the treatment group obtained better effects in abductor muscle strength, endurance, arm raising, internal rotation, external rotation, activities of daily living (ADL) and joint stability than those in the control group (P<0.01 or P<0.05). Conclusion:Hegu needling at Ashi points is effective for adhesive SP.     

Treatment of herpes zoster with electroacupuncture plus collateral-pricking and cupping therapy

Objective： To observe the clinical effect of electroacupuncture （EA） plus collateral-pricking and cupping therapy for herpes zoster. Methods： Fifty-three cases with herpes zoster were randomly divided into two groups. Thirty-one cases in the treatment group were treated with EA at Jiaji （EX-B 2） points plus local collateral-pricking and cupping therapy. Twenty-two cases in the control group were treated with oral administration of VaLacido~;ir Hvdrochloride and Indomethaci~. Results： The curative and remarkable effective rate was 93.5% in the treatment group and 72.7% in the control group. The difference between the two groups was statistically significant （P〈0.01）, indicating that EA plus collateral-pricking and cupping therapy is better than Western medications in the clinical effects for herpes zoster. Conclusion： The EA plus collateral-pricking and cupping method is an effective therapy for herpes zoster.     

Therapeutic observation of thin-cotton moxibustion plus surround needling for herpes zoster

Objective

To compare the clinical efficacies between thin-cotton moxibustion plus surround needling and Western medication in treating herpes zoster (HZ).

Methods

Eighty-three HZ patients were divided into two groups according to their admission sequence, 41 cases in the thin-cotton moxibustion group and 42 cases in the Western medication group. The thin-cotton moxibustion group received thin-cotton moxibustion on the surface of lesions plus surround needling around the lesions, once a day. The Western medication group was intervened by Acyclovir intravenous injection, 0.25 g per dose, once a day, along with external application of Acyclovir cream 3-5 times a day. After 10-day treatment, the blister-healing time, crusting time, pain-reducing time, onset time of action, lesion-healed time, and occurrence of post-herpetic neuralgia (PHN) were compared.

Results

During the study, a case dropped out in the thin-cotton moxibustion group, and 2 cases dropped out in the Western medication group. The recovery and markedly-effective rate was 92.5% and total effective rate was 97.5% in the thin-cotton moxibustion group, versus 72.5% and 87.5% in the Western medication group, and the between-group differences were statistically significant (P<0.05). The blister-healing time, crusting time, pain-reducing time, onset time of action and lesion-healed time in the thin-cotton moxibustion group were significantly shorter than those in the Western medication group (P<0.05). The occurrence rate of PHN was 2.07% in the thin-cotton moxibustion group, significantly lower than 9.19% in the Western medication group (P<0.01).

Conclusion

Thin-cotton moxibustion plus surround needling can produce a more significant efficacy than Acyclovir in treating HZ, and it can markedly reduce the occurrence of PHN.

     

Effect of relaxing needling plus rehabilitation training on post-stroke upper limb dysfunction

Objective： To observe the effect of relaxing needling plus rehabilitation training on post-stroke upper limb dysfunction. Methods： Sixty-eight eligible subjects with post-stoke upper limb dysfunction were randomized into 2 groups by the random number table, 34 in each group, to respectively receive relaxing needling method or ordinary needling method in addition to rehabilitation training for 2 months. FugI-Meyer assessment of upper limb motor function, neurological defect score, and clinical efficacies were observed and compared. Results： The two groups both showed effects. The total effective rate in the relaxing needling group was 93.8% versus 84.9% in the ordinary needling group, and the difference was statistically significant （P〈0.05）. The relaxing needling group was better than the ordinary needling group in improving the motor function of upper limb and neurological defect （P〈0.05）. Conclusion： Relaxing needling plus rehabilitation training can significantly improve the post-stroke motor dysfunction of upper limb, better than ordinary needling plus rehabilitation training.     

Therapeutic evaluation on needling method of regulating the conception vessel and calming the mind for perimenopausal sleep disorder

Objective： To observe the clinical efficacy of needling method of regulating the Conception Vessel and calming the mind in treating sleep disorder in perimenopausal women, and to provide clinical evidence for future treatment of the disease, Methods： Sixty eligible subjects with perimenopausal sleep disorder were enrolled and randomized into an observation group and a control group, 30 cases in each group. The observation group was intervened by needling method of regulating the Conception Vessel and calming the mind, and the control group was treated by taking Yi Kun Yin orally. Two-week treatment was considered as a treatment course. Major symptoms of traditional Chinese medicine and Pittsburgh Sleep Quality Index （PSQI） were observed, and clinical efficacies were compared. Results： After treatment, the difference in total effective rate between the two groups was statistically significant （P〈0.05）; except for flaccidity of lumbar and knees, both groups achieved significant improvements in the other 5 symptoms of traditional Chinese medicine （P〈0.05 or P〈0.01）; PSQI global score and component scores dropped in both groups, and the improvements in the observation group were markedly superior to that in the control group （P〈0.05 or P〈0.01）. Conclusion： The needling method of regulating the Conception Vessel and calming the mind is better than Yi Kun Yin in improving traditional Chinese medicine symptoms and sleep quality in patients with perimenopausal sleep disorders.     

推拿结合温针灸治疗粘连性肩关节周围炎疗效观察

目的：观察推拿手法结合温针灸治疗粘连性肩关节周围炎的临床疗效。方法：将182例粘连性肩关节周围炎患者随机分为2组,观察组93例,予推拿手法松解结合温针灸治疗;对照组 89 例,予温针灸治疗。两组均隔日治疗1次,10次为1个疗程。观察治疗前及治疗1个疗程后肩关节功能及活动度评分。结果：观察组治愈率为 65.6%,总有效率为 97.9%;对照组治愈率为11.2%,总有效率85.4%,两组治愈率和总有效率比较,差异均有统计学意义（P〈0.01）。治疗后,两组患者的肩关节功能评分和肩关节活动度评分均有明显增加（P〈0.01,P〈0.05）,且观察组各项评分高于对照组（P〈0.01）。结论：推拿结合温针灸治疗粘连性肩关节周围炎疗效优于单纯的温针灸治疗。     

Clinical study on point-toward-point needling for asthenopia

Objective

To observe the effect of point-toward-point needling on asthenopia.

Methods

A total of 60 asthenopia cases were randomized into an observation group and a control group, 30 cases in each group. Point-toward-point needling was used in the observation group; whereas point injection was used in the control group. The signs and symptoms including visual tasks and eye fatigue were observed before and after treatments. This was followed by an inter-group comparison of eye discomfort symptom score and therapeutic effects.

Results

After treatment, the symptoms and signs in both groups were significantly improved, showing a statistical significance (P<0.01) and inter-group difference (P<0.01). The total effective rate of the observation group was 96.7%, versus 69.0% in the control group, showing a statistical difference (P<0.01).

Conclusion

Both treatment protocols can help alleviate the clinical symptoms of asthenopia; point-toward-point needling can obtain better effect than point injection.     

Clinical observation on aligned needling in treating idiopathic blepharospasm

Objective

To observe the clinical effect of aligned needling method in treating idiopathic blepharospasm.

Methods

Seventy-eight patients with idiopathic blepharospasm were randomized into two groups. Forty-six cases in the treatment group were treated with aligned needling method applied to orbicularis oculi muscles; 32 cases in the control group were treated with anticonvulsants. Therapeutic effects were compared after 3 treatment courses.

Results

The total effective rate was 93.5% in the treatment group versus 75.0% in the control group, and the difference was statistically significant (P<0.05).

Conclusion

Aligned needling method applied to orbicularis oculi muscle has better therapeutic effect than anticonvulsants in treating blepharospasm.     

Electroacupuncture in treating depression: A randomized controlled study

Objective: To observe the clinical efficacy of electroacupuncture in treating depression. Methods: By a randomized controlled study method, sixty patients with depression were randomized into an electroacupuncture group and a medication group, 30 in each. The electroacupuncture group was treated with electroacupuncture, and the medication group was orally administrated Paroxetine tablets. They were evaluated by using Hamilton Depression Scale (HAMD) before and after treatments and the safety was also assessed. Results: The total effective rate was 83.3% in the electroacupuncture group versus 60.0% in the medication group, and the difference was statistically significant (P<0.05). The electroacupuncture group was superior to the medication group in comparing the improvement of HAMD scores after treatment (P<0.05). Conclusion: Electroacupuncture is an effective approach in treating depression.     

推拿结合温针治疗腰椎间盘突出症临床观察

目的:观察推拿结合温针治疗腰椎间盘突出症的疗效.方法:将90例腰椎间盘突出症患者随机分为两组,观察组45例,采用推拿结合温针治疗;对照组45例,采用单纯推拿治疗.结果:观察组的总有效率为88.9％,对照组的总有效率为75.6％,两组总有效率具有统计学差异(P＜0.01).结论:推拿结合温针治疗腰椎间盘突出症疗效优于单纯推拿手法治疗.     

Effect of individualized needling on gross motor function in cerebral palsy infants

Objective: To observe the effect of individualized needling protocol (on the basis of functional brain mapping and standardized syndrome differentiation in Chinese medicine) on gross motor functions of infants with cerebral palsy (CP) and thus study the innovative means of combining acupuncture with rehabilitation management technique. Methods: A total of 74 CP infants were randomized into a treatment group and a control group, 37 in each group. Combined individualized needling and rehabilitation training were used in the treatment group, versus combined Jin’s needling (16 brain-benefiting points) and rehabilitation training in the control group. For both groups, acupuncture treatment was conducted once every other day and rehabilitation training every day. The dynamic changes of gross motor functions before treatment and after every 1-month treatment were measured and assessed using the Gross Motor Function Measure (GMFM)-66. Results: After treatment, the GMFM scores were significantly increased in both groups (P<0.01); there were no between-group statistical differences in increase range of the GMFM scores (P>0.05); the treatment protocol was not interacted with the treatment time; and the GMFM scores for spastic CP infants were better in the treatment group than that in the control group (P<0.05). Conclusion: Combined scalp acupuncture and rehabilitation training can produce positive effects on gross motor functions of CP infants. Individualized needling can obtain better effects than 16 brain-benefiting points in improving the gross motor functions of spastic CP infants.     

Warm needling at Back-Shu acupoints for melasma in women

Objective： To observe the clinical effect of warm needling at the Back- Shu acupoints for melasma in women. Methods： A total of 100 cases who met the inclusion criteria were randomly allocated into a treatment group of 52 cases and a control group of 48 cases. Cases in the treatment group were treated with warm needling at the Back-Shu acupoints, whereas cases in the control group were treated with conventional acupuncture therapy. The therapeutic efficacies were then evaluated after three courses of treatment. Results： The total effective rate in the treatment group was 96.2%, versus 85.4% in the control group, showing a statistical difference （P〈0.05）. Conclusion： Warm needling at the Back-Shu acupoints works well for melasma in women.     

Clinical observation on acupuncture treatment for cerebral infarction sequela

Objective:To observe the clinical effects of the warm-dredging needling method for cerebral infarction sequela.Methods:Sixty patients with cerebral infarction sequela in conformity with the inclusion criteria were randomly divided into a treatment group and a control group,30 cases in each group.The control group was given the basic treatment of Western medicine.The treatment group was added with acupuncture treatment based upon the treatment of Western medicine.The neurological defects of the patients were assessed before and after the treatments by National Institute of Health Stroke Scale(NIHSS).Results:The remarkable curative rate was 83.3%and the total effective rate was 93.3%in the treatment group,versus 56.7%and 70.0%in the control group,with statistical differences in the remarkable curative rate and the total effective rate between the two groups(P<0.05).After the treatment,NIHSS scores decreased in both groups(P<0.01 or P<0.05),and the difference was statistical significant between the two groups(P<0.01).Conclusion:The warm-dredging needling method was better than single treatment of Western medicine in the treatment of cerebral infarction sequela.     

针刺治疗后循环缺血性眩晕临床疗效观察(英文)

目的:观察针刺治疗后循环缺血性眩晕的临床疗效。方法:将 71 例后循环缺血性眩晕患者按就诊顺序随机分为2组,针刺组37例,采用针刺治疗;药物组34例,采用口服盐酸氟桂利嗪治疗。治疗6星期后观察疗效。结果:治疗后,针刺组椎动脉(Vertebral Artery ,VA)、基底动脉(Basilar Artery,BA)的平均血流速度(Mean Blood Flow Velocity, VM) 均明显增加,与本组治疗前比较,差异有统计学意义(P<0.05);血管搏动指数(Pulsatility Index,PI) 虽有降低,但与治疗前差异无统计学意义。治疗后,药物组VA、BA的平均血流速度有所增加,与本组治疗前比较,差异有统计学意义(P<0.05);PI与治疗前比较差异无统计学意义(P>0.05)。针刺组VM的改善程度优于药物组,两组差异有统计学意义(P<0.05);两组 PI改善程度差异无统计学意义。从临床疗效上分析,针刺组及药物组均有效,但针刺组要优于药物组,差异有统计学意义(P<0.05)。结论:针刺治疗后循环缺血性眩晕疗效优于口服盐酸氟桂利嗪。     

Aligned acupuncture at muscle regions plus cutaneous needle for upper limb spasticity after stroke: A multicenter randomized controlled trial

Objective： To evaluate the clinical efficacy of aligned acupuncture at the muscle regions plus cutaneous needle for post-stroke upper limb spasticity. Methods： By adopting a design of multicenter randomized controlled clinical trial, 488 patients with post-stroke upper limb spasticity were randomized into a treatment group and a control group, 244 in each group. In addition to rehabilitation training, the treatment group received aligned acupuncture at the muscle regions plus cutaneous needle therapy and the control group received conventional Western medicine. After successive 3-week treatments, the clinical efficacy, spasticity degree of the upper limb, joint function, and neurological defect degree were evaluated in the two groups. Results： The total effective rate was 93.4% in the treatment group versus 61.5% in the control group, and the difference was statistically significant （P 〈 0.05）. The upper-limb spasticity degree, joint function, and neurological defect degree were improved significantly in both groups after intervention （P〈0.05）, and the improvements in the treatment group were more significant than those in the control group （P〈0.05 or P〈0.01）. Conclusion： Aligned acupuncture at the muscle regions plus cutaneous needle therapy is effective in treating post-stroke upper limb spasticity.     

Clinical observation on acupuncture treatment for post-stroke spastic hemiplegia

Objective： To observe the clinical effect of contralateral needling plus rehabilitation for post-stroke spastic hemiplegia. Methods： Thirty-six patients with post-stroke spastic hemiplegia were randomly divided into a treatment group and a control group, 18 cases in each group. The two groups were all given rehabilitation training. The contralateral needling was adopted in the treatment group on the acupoints group of brain-refreshing and orifice-opening needling method. The routine acupuncture was applied in the control group on the same acupoints. Respectively before and after the treatment, the modified Ashworth scale （MAS） and clinical spasticity index （CSi） were used to assess the therapeutic effects. Results： The total effective rate was 94.4% in the treatment group and 67.7% in the control group, with a statistical difference in comparison of the two groups （P〈0.05）. In comparison of MAS and CSI scores after the treatment between the treatment group and control group, the differences were statistically significant （P〈0.05）. Conclusion： The contralateral needling plus rehabilitation training is an effective method for the treatment of post-stroke spastic hemiplegia.     

Clinical Study on Puncturing Weizhong （BL 40） for Post-stroke Dysfunction of the Lower Limbs

Objective： To observe the clinical effects in the treatment of post-stroke dysfunction of lower limb by puncturing Weizhong （BL 40）. Methods： One hundred and twenty patients were randomly divided into two groups, 60 cases in each group. Both groups were treated by puncturing Weizhong （BL 40） plus functional rehabilitation training, once every day. Those in the observation group were treated by Shi Xue-min＇s needling technique, while others in the control group were treated with routine needling technique. The therapeutic effects were assessed by the scores of lower limb functions of Lovett scale of grading muscle strength （LSGMS） and short-form FugI-Meyer assessment （SFFMA）. Results： The instant and post-treatment effective rates in the observation group were 83.3% and 93.3%, versus 6.7% and 53.3% in the control group, indicating that the therapeutic effect was better in the observation group （P〈0.01）. The instant and post-treatment scores of Lovett muscle strength grading scale were better in the observation group than that in the control group （P〈0.05）. SFFMA score of lower limbs function was better in the observation group than that in the control group （P〈0.0s）. Conclusion： Different needling methods at Weizhong （BL 40） can produce different therapeutic effects in treating post-stroke dysfunction of lower limb, and Shi＇s needling technique has obvious instant effect and therapeutic function.     

针灸治疗强直性脊柱炎临床观察(英文)

目的:比较不同针灸疗法治疗强直性脊柱炎的临床疗效差异。方法:将60例符合诊断标准的强直性脊柱炎患者随机分为观察组(30例)和对照组(30例)。观察组予温针疗法,对照组予电针治疗。治疗结束对两组进行疗效比较。结果:观察组治愈率为40.0%,总有效率为96.7%;对照组治愈率为10.0%,总有效率为76.7%。两组疗效比较,差异有统计学意义(P<0.05)。结论:针灸治疗强直性脊柱炎时温针疗效明显优于电针。