Objective To observe the efficacy of scalp acupuncture combined with oral administration of ènì Tāng（呃逆汤, Hiccup Decoction） for treatment of intractable hiccup. Methods One hundred patients with intrac...Objective To observe the efficacy of scalp acupuncture combined with oral administration of ènì Tāng（呃逆汤, Hiccup Decoction） for treatment of intractable hiccup. Methods One hundred patients with intractable hiccup were divided into treatment group（acupuncture combined with herb decoction group） and control group（western medicine group） according to the random number table method with 50 patients in each group. In treatment group, scalp acupuncture was conducted in the gastric area and thoracic area of patients, and Hiccup Decoction was taken orally. In control group, anisodamine（654-2） was injected intramuscularly in the dosage of l0 mg. The treatment was conducted for once a day in each group, and treatment for three consecutive times was needed. The number of times and the frequency of hiccup were observed after each treatment, and the results were compared. The standard of therapeutic effectiveness was evaluated by the number of hiccups decreased. Results In treatment group, the total cure rate was 54%, and the total effective rate was 84%, in control group, the total cure rate was 32%, and the total effective rate was 66%. According to the comparison between the two groups in the cure rate and total effective rate, the differences were statistically significant（both P〈0.05）. After the first treatment, there was no statistical difference according to the comparison between the two groups in the cure rate and total effective rate（both P〈0.05）, after the second treatment, the differences were statistically significant according to the comparison between the two groups in the cure rate and total effective rate（both P〈0.05）, and the efficacy in treatment group was obviously superior to that in control group, after the third treatment, there was no statistical difference according to the comparison between the two groups in the cure rate and total effective rate（both P〈0.05）. Conclusion In the one course of treatment, the efficacy of acupuncture combined with herb decoction for treatment of intractable hiccup was obviously superior to that of intramuscular injection with anisodamine. The therapeutic effect of intramuscular injection with anisodamine for treatment of intractable hiccup was the best at the first treatment, and the therapeutic effect of acupuncture combined with herb decoction was the best at the second treatment.展开更多
Hiccups are involuntary spasms of the diaphragm with closure of the glottis. This involves a complex neural pathway which includes the phrenic, vagus and the sympathetic pathways, it is usually self-limiting and resol...Hiccups are involuntary spasms of the diaphragm with closure of the glottis. This involves a complex neural pathway which includes the phrenic, vagus and the sympathetic pathways, it is usually self-limiting and resolves within a few minutes after onset. Hiccups are described as chronic when it lasts more than 48 hours and intractable when it persists for more than a month. Intractable hiccups are said to have an organic cause in 80% of cases and the remaining 20% psychogenic in origin, Some of the organic causes of intractable hiccups include: liver cancer, adrenal tumours, and kidney tumours. We present a case of right renal cell carcinoma which presented as intractable hiccups and was successfully managed by performing a radical right nephrectomy.展开更多
AIM:To investigate whether the incidence of hiccups in patients undergoing esophagogastroduodenoscopy (EGD) or same-day bidirectional endoscopy (EGD and colonoscopy;BDE) with sedation is different from those without s...AIM:To investigate whether the incidence of hiccups in patients undergoing esophagogastroduodenoscopy (EGD) or same-day bidirectional endoscopy (EGD and colonoscopy;BDE) with sedation is different from those without sedation in terms of quantity,duration and typical onset time.METHODS:Consecutive patients scheduled for elective EGD or same-day BDE at the gastrointestinal endoscopy unit or the health examination center were allocated to two groups:EGD without sedation (Group A) and BDE with sedation (Group B).The use of sedation was based on the patients' request.Anesthesiologists participated in this study by administrating sedative drugs as usual.A single experienced gastroenterologist performed both the EGD and the colonoscopic examinations for all the patients.The incidence,duration and onset time of hiccups were measured in both groups.In addition,the association between clinical variables and hiccups were analyzed.RESULTS:A total of 435 patients were enrolled in the study.The incidences of hiccups in the patients with and without sedation were significantly different (20.5% and 5.1%,respectively).The use of sedation for patients undergoing endoscopy was still significantly associated with an increased risk of hiccups (adjusted odds ratio:8.79,P < 0.001) after adjustment.The incidence of hiccups in males under sedation was high (67.4%).The sedated patients who received 2 mg midazolam developed hiccups more frequently compared to those receiving 1 mg midazolam (P = 0.0028).The patients with the diagnosis of gastroesophageal reflux disease (GERD) were prone to develop hiccups (P = 0.018).CONCLUSION:Male patients undergoing EGD or BDE with sedation are significantly more likely to suffer from hiccups compared to those without sedation.Midazolam was significantly associated with an increased risk of hiccups.Furthermore,patients with GERD are prone to develop hiccups.展开更多
Objective： To observe the clinical efficacy of acupuncture combined with cupping therapy for intractable hiccup.Methods： Thirty patients with intractable hiccup were treated by adopting acupuncture combined with cup...Objective： To observe the clinical efficacy of acupuncture combined with cupping therapy for intractable hiccup.Methods： Thirty patients with intractable hiccup were treated by adopting acupuncture combined with cupping therapy. Acupuncture was performed at Cuánzhú（攒竹BL 2）. Nèiguān（内关PC 6）. Zhōngwǎn（中脘CV 12） and Zúsānlǐ（足三里ST 36）, with the time of needle retention for 30 min. Flash cupping was carried out on Fèishū（肺俞BL 13）, Géshū（膈俞BL 17） and Wèishū（胃俞BL 21）, with the time of cup retention for 8-10 min. The treatment was conducted once a day. and 10 treatments were considered as one course of treatment. Clinical efficacy was observed after one course treatment.Results： Among the 30 patients, 22 cases were cured, accounting for 73.33%（22/30）, effective relief was found in 5 cases, accounting for 16.67%（5/30）, and 3 cases had no improvement, accounting for 10.00%（3/30）. The total effective rate was 90.00%（27/30）.Conclusion： The clinical efficacy of acupuncture combined with cupping therapy for intractable hiccup is satisfactory, which is worthy of clinical promotion and application.展开更多
Background: Hiccups are common somatic side effects of medication. Our previous analysis of the clinical risk factors for hiccups identified chemotherapy as a factor related to hiccup risk. Therefore, in the present s...Background: Hiccups are common somatic side effects of medication. Our previous analysis of the clinical risk factors for hiccups identified chemotherapy as a factor related to hiccup risk. Therefore, in the present study, we investigated the risk factors for hiccups associated with chemotherapy. Methods: We included all patients who received cancer chemotherapy and were hospitalized at the Musashino Red Cross Hospital between April 2014 and December 2014. We investigated patient demographics, physical characteristics, and other clinical factors to identify the risk factors for chemotherapy-induced hiccups (CIH). We conducted univariate and multivariable analysis to compare the CIH group and the non-CIH and determined risk factors of CIH. Results: Hiccups were identified in 48 of 292 patients with an incidence rate of 16.4%. Univariate analysis revealed that the male gender, pain, and nausea and vomiting were related to CIH. It also showed that cisplatin, pemetrexed, gemcitabine, etoposide, dexamethasone, and metoclopramide were related to CIH.A correlation which was found with doses of cisplatin, pemetrexed, gemcitabine, and etoposide. Multivariable analysis identified male gender (OR, 72.69;95% CI, 6.95 - 757.64), nausea and vomiting (OR, 52.01;95% CI, 3.93 - 447.13), dexamethasone (OR, 4.55;95% CI, 1.12 - 16.91), cisplatin (OR, 3.84;95% CI, 1.52 - 9.70), and etoposide (OR, 3.72;95% CI, 1.14 - 12.11) as independent risk factors for hiccups. Conclusions: The present study is the first one to report risk factors for the development of CIH. Our results suggest that male gender, having nausea, and the drugs dexamethasone, cisplatin, and etoposide are important risk factors for CIH. These results may assist in elucidation of the underlying mechanisms and guide therapy to reduce hiccup risk.展开更多
A 54 years old male patient, 5 months ago, cough and expectoration were induced by lung cancer and hiccups were triggered and lasted for 1 day after radiochemotherapy. Firstly, the sensitized points were detected in t...A 54 years old male patient, 5 months ago, cough and expectoration were induced by lung cancer and hiccups were triggered and lasted for 1 day after radiochemotherapy. Firstly, the sensitized points were detected in the region of BL 17. The disposable subcutaneous trocar acupuncture needle was inserted transversely. Afterward, the Zúsānlǐ(足三里 ST 36) was injected by metoclopramide injection, one mL each point, then catgut embedding was carried at ST36. Comprehensive therapy was used, satisfactory effects can be achieved in the treatment of Hiccup after chemotherapy.展开更多
The author of this article has treated 38 cases of obstinate hiccup from different countries by using the auriculo-acupuncture therapy, and obtained satisfactory therapeutic results as reported in the following.
1 Introduction A hiccup is a sudden involuntary contraction of the diaphragm with a sharp gulp-like sound,often recurring at short intervals[1].Traditional Chinese medicine（TCM）states there is a wide range of reason...1 Introduction A hiccup is a sudden involuntary contraction of the diaphragm with a sharp gulp-like sound,often recurring at short intervals[1].Traditional Chinese medicine（TCM）states there is a wide range of reasons for why hiccups occur.From the view of TCM,the requirement of stomach qi or the vital energy of body is thought to fade when it comes to the patients who are severely weak,and when the illness展开更多
In the present study, the authors selected points according to differentiation of symptoms and signs and applied filiform needles to treating 40 cases of hiccup who had tried treatment with Western and Chinese drugs b...In the present study, the authors selected points according to differentiation of symptoms and signs and applied filiform needles to treating 40 cases of hiccup who had tried treatment with Western and Chinese drugs but without any effect and achieved satisfactory results. After acupuncture treatment, 34 cases (85 %) were cured, 4 (10 %) improved markedly and 2(5 %) improved, with total effective rate of 100 %.展开更多
Severe hiccup was treated by auriculo-acupuncture plus moxa cone moxibustion,with hydro-acupuncture when the patient was very feeble. The second group was treated by auriculo-acupuncture with gentle moxibustion and th...Severe hiccup was treated by auriculo-acupuncture plus moxa cone moxibustion,with hydro-acupuncture when the patient was very feeble. The second group was treated by auriculo-acupuncture with gentle moxibustion and the third one, with warm-needling moxibustion. Compari-son made in 138 cases revealed that the first group was very satisfactory, the cured rate being 100%,that of the 2nd and 3rd groups were 91. 3% and 82. 35% respectively. Statistical treatment revealedP【0.05 with significant difference between the first and second groups, P value between the firstand third groups was P【0.01, with very significant difference. There was no significant differencebetween the 2nd and 3rd groups, P】0.05.展开更多
76 cases of refractory hiccup were treated with acupuncture at Neiguan(PC 6) andGongsun(SP 4) P0ints. Left-right crossing point prescription, i. e. left Neiguan(PC 6 ) combined withright Gongsun(SP 4 ), or right Neigu...76 cases of refractory hiccup were treated with acupuncture at Neiguan(PC 6) andGongsun(SP 4) P0ints. Left-right crossing point prescription, i. e. left Neiguan(PC 6 ) combined withright Gongsun(SP 4 ), or right Neiguan(PC 6 ) with left Gongsun(SP 4 ), was adopted, During theacupuncture treatment any Chinese and Western medicines were suspended. The patient took a supinePosition. A 40 mm-length filiform needle was perpendicularly inserted into a depth of 0. 5 - 1. 0 cunand twirled at a large amplitude for 3 minutes. It was retained for 20 minutes with once manipulationeach five minutes. The treatment was given once daily, 7 days constituting one therapeutic course. As aresult, 72 cases (94 - 7 % ) were cured within 3 days and the total effective rate was 100 %.展开更多
The treatment effect of vibration acupuncture manipulation on hiccup caused by cerebraloperation was investigated. One hundred and twenty-one cases of hiccup caused by cerebral operationwere mainly treated by needling...The treatment effect of vibration acupuncture manipulation on hiccup caused by cerebraloperation was investigated. One hundred and twenty-one cases of hiccup caused by cerebral operationwere mainly treated by needling the anterior oblique line of parieto temPOral region, according to thecondition of operation, the two 1ines lateral to the forehead were used as the supplementary lines. Resu1ts: 30 cases of 121 patients were cured after 1 - 2 treatments; 66 cases after 3 - 4 treatments; 16cases 5 - 10 treatments; 7 cases were ineffective. The t0tal effective rate was 94. 2 %. Hiccup occursdue to deficiency of qi after cerebral operation. Vibration acupuncture can stimu1ate channels and collateral and enforce qi and peng. So the method is effect.展开更多
Twenty-four hours multichannel intraesophageal impedance and pH monitoring in a patient who suffered from recurrent hiccups for more than a year revealed frequent supragastric belching and pathological oesophageal aci...Twenty-four hours multichannel intraesophageal impedance and pH monitoring in a patient who suffered from recurrent hiccups for more than a year revealed frequent supragastric belching and pathological oesophageal acid exposure. Furthermore, a temporal relationship between the start of a hiccup episode and gastric belching was observed. The data support the hypothesis that there is an association between supragastric belching, persistent recurrent hiccups and gastro-oesophageal reflux disease, and that gastric belching may evoke hiccup attacks.展开更多
Hiccup is a commonly encountered disease clinically, but difficult to control. The attack is often accidental. If it is mild, the patient can recover without receiving any treatment. But, in case the attack lasts long...Hiccup is a commonly encountered disease clinically, but difficult to control. The attack is often accidental. If it is mild, the patient can recover without receiving any treatment. But, in case the attack lasts long, the patient suffers a lot, and needs to be treated in time. In recent years, the author has treated 60 cases of hiccup by puncturing points lateral to Haiquan (EX-HN11) with satisfactory results, which is reported as follows.展开更多
From 1997 to 2000, the author treated 25 cases of obstinate hiccup by injecting chlorpromazine and 654-2 injection at Tianding (LI 17), with satisfactory therapeutic results as reported in the following.
Case History Mr. Wang, a 40-year old administrative director from an official unit in Beijing, paid his first visit on March 5, 2001, with the chief complaint of frequent hiccup for 20 days. ……
Stubborn hiccup refers to the involuntary spasm of the diaphragm, which cannot be relieved by medication of both Chinese and western drugs. Since 1993, the authors of this article have adopted auricular needle-embeddi...Stubborn hiccup refers to the involuntary spasm of the diaphragm, which cannot be relieved by medication of both Chinese and western drugs. Since 1993, the authors of this article have adopted auricular needle-embedding therapy for treatment of this disease, and obtained quite satisfactory therapeutic results. A report follows.展开更多
The aim of the study was to present two cases that illustrate the beneficial effects of acupuncture on chemotherapy-induced refractory hiccup in cancer patients. This report described two patients with diffuse large B...The aim of the study was to present two cases that illustrate the beneficial effects of acupuncture on chemotherapy-induced refractory hiccup in cancer patients. This report described two patients with diffuse large B cell lymphoma(DLBCL) and right upper pulmonary lobe moderate-differentiation adenocarcinoma(p T1 N0 M0) who experienced chemotherapy-induced refractory hiccup. Alternative treatment was administered to relieve the symptoms of refractory hiccup. The patients were treated with acupuncture 30 min prior to chemotherapy. The selected acupoints included Zusanli(ST36), Taichong(LR3), Zhongwan(CV12), Jiuwei(RN15), and Neiguan(PC6). The symptoms related to chemotherapy-induced refractory hiccup were completely relieved after treatment with 2 to 3 cycles of acupuncture. Based on our experience, we conclude that these two cancer patients benefited from acupuncture treatment, suggesting that acupuncture not only plays a role in pain control, but is also effective in relieving chemotherapy-induced refractory hiccup in cancer patients. The beneficial outcomes need large-scale studies to examine the effectiveness of acupuncture treatment for relieving chemotherapy-induced refractory hiccup in cancer patients.展开更多
In recent years, the author has treated 57 cases of hiccup due to radiotherapy, chemotherapy or introducing therapy by acupuncture with satisfactory results as reported in the following.
Hiccups commonly occur in patients undergoing chemotherapy for lung cancer and may diminish their motivation for treatment. Therefore, it is important to characterize the hiccups and their risk factors. We examined th...Hiccups commonly occur in patients undergoing chemotherapy for lung cancer and may diminish their motivation for treatment. Therefore, it is important to characterize the hiccups and their risk factors. We examined the medical records of 120 patients with lung cancer during their initial chemotherapy and extracted data on the patients’ profiles and the onset, duration, and severity of their hiccup episodes. We found the incidence of hiccups to be 19.2% among the patients. Hiccups appeared within 3 days of beginning the chemotherapy and disappeared within 4 days. Hiccups hindered sleep in two patients. The characteristics of the hiccups episodes in our study were not different from those of previous studies. We also investigated distinctive features of the patients who developed hiccups. The occurrence of hiccups was associated with gender, age, and the treatment with platinum agents. Antiemetic agents, dexamethasone and neurokinin-1 receptor antagonists, also showed significant effects on hiccup episodes. Although the dose-responsive effect of dexamethasone on hiccups was insignificant and the effects of two neurokinin-1 receptor antagonists, aprepitant and fosaprepitant, on hiccups appeared identical. From these results, we suggest that a high incidence of hiccups may be anticipated with a prophylactic use of antiemetic agents, dexamethasone and neurokinin-1 receptor antagonists.展开更多
基金Supported by:Shanghai Municipal Commission of Health and Family Planning:ZJ 2016008
文摘Objective To observe the efficacy of scalp acupuncture combined with oral administration of ènì Tāng（呃逆汤, Hiccup Decoction） for treatment of intractable hiccup. Methods One hundred patients with intractable hiccup were divided into treatment group（acupuncture combined with herb decoction group） and control group（western medicine group） according to the random number table method with 50 patients in each group. In treatment group, scalp acupuncture was conducted in the gastric area and thoracic area of patients, and Hiccup Decoction was taken orally. In control group, anisodamine（654-2） was injected intramuscularly in the dosage of l0 mg. The treatment was conducted for once a day in each group, and treatment for three consecutive times was needed. The number of times and the frequency of hiccup were observed after each treatment, and the results were compared. The standard of therapeutic effectiveness was evaluated by the number of hiccups decreased. Results In treatment group, the total cure rate was 54%, and the total effective rate was 84%, in control group, the total cure rate was 32%, and the total effective rate was 66%. According to the comparison between the two groups in the cure rate and total effective rate, the differences were statistically significant（both P〈0.05）. After the first treatment, there was no statistical difference according to the comparison between the two groups in the cure rate and total effective rate（both P〈0.05）, after the second treatment, the differences were statistically significant according to the comparison between the two groups in the cure rate and total effective rate（both P〈0.05）, and the efficacy in treatment group was obviously superior to that in control group, after the third treatment, there was no statistical difference according to the comparison between the two groups in the cure rate and total effective rate（both P〈0.05）. Conclusion In the one course of treatment, the efficacy of acupuncture combined with herb decoction for treatment of intractable hiccup was obviously superior to that of intramuscular injection with anisodamine. The therapeutic effect of intramuscular injection with anisodamine for treatment of intractable hiccup was the best at the first treatment, and the therapeutic effect of acupuncture combined with herb decoction was the best at the second treatment.
文摘Hiccups are involuntary spasms of the diaphragm with closure of the glottis. This involves a complex neural pathway which includes the phrenic, vagus and the sympathetic pathways, it is usually self-limiting and resolves within a few minutes after onset. Hiccups are described as chronic when it lasts more than 48 hours and intractable when it persists for more than a month. Intractable hiccups are said to have an organic cause in 80% of cases and the remaining 20% psychogenic in origin, Some of the organic causes of intractable hiccups include: liver cancer, adrenal tumours, and kidney tumours. We present a case of right renal cell carcinoma which presented as intractable hiccups and was successfully managed by performing a radical right nephrectomy.
文摘AIM:To investigate whether the incidence of hiccups in patients undergoing esophagogastroduodenoscopy (EGD) or same-day bidirectional endoscopy (EGD and colonoscopy;BDE) with sedation is different from those without sedation in terms of quantity,duration and typical onset time.METHODS:Consecutive patients scheduled for elective EGD or same-day BDE at the gastrointestinal endoscopy unit or the health examination center were allocated to two groups:EGD without sedation (Group A) and BDE with sedation (Group B).The use of sedation was based on the patients' request.Anesthesiologists participated in this study by administrating sedative drugs as usual.A single experienced gastroenterologist performed both the EGD and the colonoscopic examinations for all the patients.The incidence,duration and onset time of hiccups were measured in both groups.In addition,the association between clinical variables and hiccups were analyzed.RESULTS:A total of 435 patients were enrolled in the study.The incidences of hiccups in the patients with and without sedation were significantly different (20.5% and 5.1%,respectively).The use of sedation for patients undergoing endoscopy was still significantly associated with an increased risk of hiccups (adjusted odds ratio:8.79,P < 0.001) after adjustment.The incidence of hiccups in males under sedation was high (67.4%).The sedated patients who received 2 mg midazolam developed hiccups more frequently compared to those receiving 1 mg midazolam (P = 0.0028).The patients with the diagnosis of gastroesophageal reflux disease (GERD) were prone to develop hiccups (P = 0.018).CONCLUSION:Male patients undergoing EGD or BDE with sedation are significantly more likely to suffer from hiccups compared to those without sedation.Midazolam was significantly associated with an increased risk of hiccups.Furthermore,patients with GERD are prone to develop hiccups.
文摘Objective： To observe the clinical efficacy of acupuncture combined with cupping therapy for intractable hiccup.Methods： Thirty patients with intractable hiccup were treated by adopting acupuncture combined with cupping therapy. Acupuncture was performed at Cuánzhú（攒竹BL 2）. Nèiguān（内关PC 6）. Zhōngwǎn（中脘CV 12） and Zúsānlǐ（足三里ST 36）, with the time of needle retention for 30 min. Flash cupping was carried out on Fèishū（肺俞BL 13）, Géshū（膈俞BL 17） and Wèishū（胃俞BL 21）, with the time of cup retention for 8-10 min. The treatment was conducted once a day. and 10 treatments were considered as one course of treatment. Clinical efficacy was observed after one course treatment.Results： Among the 30 patients, 22 cases were cured, accounting for 73.33%（22/30）, effective relief was found in 5 cases, accounting for 16.67%（5/30）, and 3 cases had no improvement, accounting for 10.00%（3/30）. The total effective rate was 90.00%（27/30）.Conclusion： The clinical efficacy of acupuncture combined with cupping therapy for intractable hiccup is satisfactory, which is worthy of clinical promotion and application.
文摘Background: Hiccups are common somatic side effects of medication. Our previous analysis of the clinical risk factors for hiccups identified chemotherapy as a factor related to hiccup risk. Therefore, in the present study, we investigated the risk factors for hiccups associated with chemotherapy. Methods: We included all patients who received cancer chemotherapy and were hospitalized at the Musashino Red Cross Hospital between April 2014 and December 2014. We investigated patient demographics, physical characteristics, and other clinical factors to identify the risk factors for chemotherapy-induced hiccups (CIH). We conducted univariate and multivariable analysis to compare the CIH group and the non-CIH and determined risk factors of CIH. Results: Hiccups were identified in 48 of 292 patients with an incidence rate of 16.4%. Univariate analysis revealed that the male gender, pain, and nausea and vomiting were related to CIH. It also showed that cisplatin, pemetrexed, gemcitabine, etoposide, dexamethasone, and metoclopramide were related to CIH.A correlation which was found with doses of cisplatin, pemetrexed, gemcitabine, and etoposide. Multivariable analysis identified male gender (OR, 72.69;95% CI, 6.95 - 757.64), nausea and vomiting (OR, 52.01;95% CI, 3.93 - 447.13), dexamethasone (OR, 4.55;95% CI, 1.12 - 16.91), cisplatin (OR, 3.84;95% CI, 1.52 - 9.70), and etoposide (OR, 3.72;95% CI, 1.14 - 12.11) as independent risk factors for hiccups. Conclusions: The present study is the first one to report risk factors for the development of CIH. Our results suggest that male gender, having nausea, and the drugs dexamethasone, cisplatin, and etoposide are important risk factors for CIH. These results may assist in elucidation of the underlying mechanisms and guide therapy to reduce hiccup risk.
文摘A 54 years old male patient, 5 months ago, cough and expectoration were induced by lung cancer and hiccups were triggered and lasted for 1 day after radiochemotherapy. Firstly, the sensitized points were detected in the region of BL 17. The disposable subcutaneous trocar acupuncture needle was inserted transversely. Afterward, the Zúsānlǐ(足三里 ST 36) was injected by metoclopramide injection, one mL each point, then catgut embedding was carried at ST36. Comprehensive therapy was used, satisfactory effects can be achieved in the treatment of Hiccup after chemotherapy.
文摘The author of this article has treated 38 cases of obstinate hiccup from different countries by using the auriculo-acupuncture therapy, and obtained satisfactory therapeutic results as reported in the following.
基金supported by Projects for the Third Study Group of National Outstanding Talents in TCM Clinic Area (No. YY41.28.01.05)Shanghai Three Year Action Plan for Chinese Medicine (No. ZYSNXDYL-CTXK)
文摘1 Introduction A hiccup is a sudden involuntary contraction of the diaphragm with a sharp gulp-like sound,often recurring at short intervals[1].Traditional Chinese medicine（TCM）states there is a wide range of reasons for why hiccups occur.From the view of TCM,the requirement of stomach qi or the vital energy of body is thought to fade when it comes to the patients who are severely weak,and when the illness
文摘In the present study, the authors selected points according to differentiation of symptoms and signs and applied filiform needles to treating 40 cases of hiccup who had tried treatment with Western and Chinese drugs but without any effect and achieved satisfactory results. After acupuncture treatment, 34 cases (85 %) were cured, 4 (10 %) improved markedly and 2(5 %) improved, with total effective rate of 100 %.
文摘Severe hiccup was treated by auriculo-acupuncture plus moxa cone moxibustion,with hydro-acupuncture when the patient was very feeble. The second group was treated by auriculo-acupuncture with gentle moxibustion and the third one, with warm-needling moxibustion. Compari-son made in 138 cases revealed that the first group was very satisfactory, the cured rate being 100%,that of the 2nd and 3rd groups were 91. 3% and 82. 35% respectively. Statistical treatment revealedP【0.05 with significant difference between the first and second groups, P value between the firstand third groups was P【0.01, with very significant difference. There was no significant differencebetween the 2nd and 3rd groups, P】0.05.
文摘76 cases of refractory hiccup were treated with acupuncture at Neiguan(PC 6) andGongsun(SP 4) P0ints. Left-right crossing point prescription, i. e. left Neiguan(PC 6 ) combined withright Gongsun(SP 4 ), or right Neiguan(PC 6 ) with left Gongsun(SP 4 ), was adopted, During theacupuncture treatment any Chinese and Western medicines were suspended. The patient took a supinePosition. A 40 mm-length filiform needle was perpendicularly inserted into a depth of 0. 5 - 1. 0 cunand twirled at a large amplitude for 3 minutes. It was retained for 20 minutes with once manipulationeach five minutes. The treatment was given once daily, 7 days constituting one therapeutic course. As aresult, 72 cases (94 - 7 % ) were cured within 3 days and the total effective rate was 100 %.
文摘The treatment effect of vibration acupuncture manipulation on hiccup caused by cerebraloperation was investigated. One hundred and twenty-one cases of hiccup caused by cerebral operationwere mainly treated by needling the anterior oblique line of parieto temPOral region, according to thecondition of operation, the two 1ines lateral to the forehead were used as the supplementary lines. Resu1ts: 30 cases of 121 patients were cured after 1 - 2 treatments; 66 cases after 3 - 4 treatments; 16cases 5 - 10 treatments; 7 cases were ineffective. The t0tal effective rate was 94. 2 %. Hiccup occursdue to deficiency of qi after cerebral operation. Vibration acupuncture can stimu1ate channels and collateral and enforce qi and peng. So the method is effect.
文摘Twenty-four hours multichannel intraesophageal impedance and pH monitoring in a patient who suffered from recurrent hiccups for more than a year revealed frequent supragastric belching and pathological oesophageal acid exposure. Furthermore, a temporal relationship between the start of a hiccup episode and gastric belching was observed. The data support the hypothesis that there is an association between supragastric belching, persistent recurrent hiccups and gastro-oesophageal reflux disease, and that gastric belching may evoke hiccup attacks.
文摘Hiccup is a commonly encountered disease clinically, but difficult to control. The attack is often accidental. If it is mild, the patient can recover without receiving any treatment. But, in case the attack lasts long, the patient suffers a lot, and needs to be treated in time. In recent years, the author has treated 60 cases of hiccup by puncturing points lateral to Haiquan (EX-HN11) with satisfactory results, which is reported as follows.
文摘From 1997 to 2000, the author treated 25 cases of obstinate hiccup by injecting chlorpromazine and 654-2 injection at Tianding (LI 17), with satisfactory therapeutic results as reported in the following.
文摘 Case History Mr. Wang, a 40-year old administrative director from an official unit in Beijing, paid his first visit on March 5, 2001, with the chief complaint of frequent hiccup for 20 days. ……
文摘Stubborn hiccup refers to the involuntary spasm of the diaphragm, which cannot be relieved by medication of both Chinese and western drugs. Since 1993, the authors of this article have adopted auricular needle-embedding therapy for treatment of this disease, and obtained quite satisfactory therapeutic results. A report follows.
文摘The aim of the study was to present two cases that illustrate the beneficial effects of acupuncture on chemotherapy-induced refractory hiccup in cancer patients. This report described two patients with diffuse large B cell lymphoma(DLBCL) and right upper pulmonary lobe moderate-differentiation adenocarcinoma(p T1 N0 M0) who experienced chemotherapy-induced refractory hiccup. Alternative treatment was administered to relieve the symptoms of refractory hiccup. The patients were treated with acupuncture 30 min prior to chemotherapy. The selected acupoints included Zusanli(ST36), Taichong(LR3), Zhongwan(CV12), Jiuwei(RN15), and Neiguan(PC6). The symptoms related to chemotherapy-induced refractory hiccup were completely relieved after treatment with 2 to 3 cycles of acupuncture. Based on our experience, we conclude that these two cancer patients benefited from acupuncture treatment, suggesting that acupuncture not only plays a role in pain control, but is also effective in relieving chemotherapy-induced refractory hiccup in cancer patients. The beneficial outcomes need large-scale studies to examine the effectiveness of acupuncture treatment for relieving chemotherapy-induced refractory hiccup in cancer patients.
文摘In recent years, the author has treated 57 cases of hiccup due to radiotherapy, chemotherapy or introducing therapy by acupuncture with satisfactory results as reported in the following.
文摘Hiccups commonly occur in patients undergoing chemotherapy for lung cancer and may diminish their motivation for treatment. Therefore, it is important to characterize the hiccups and their risk factors. We examined the medical records of 120 patients with lung cancer during their initial chemotherapy and extracted data on the patients’ profiles and the onset, duration, and severity of their hiccup episodes. We found the incidence of hiccups to be 19.2% among the patients. Hiccups appeared within 3 days of beginning the chemotherapy and disappeared within 4 days. Hiccups hindered sleep in two patients. The characteristics of the hiccups episodes in our study were not different from those of previous studies. We also investigated distinctive features of the patients who developed hiccups. The occurrence of hiccups was associated with gender, age, and the treatment with platinum agents. Antiemetic agents, dexamethasone and neurokinin-1 receptor antagonists, also showed significant effects on hiccup episodes. Although the dose-responsive effect of dexamethasone on hiccups was insignificant and the effects of two neurokinin-1 receptor antagonists, aprepitant and fosaprepitant, on hiccups appeared identical. From these results, we suggest that a high incidence of hiccups may be anticipated with a prophylactic use of antiemetic agents, dexamethasone and neurokinin-1 receptor antagonists.
