Objective To observe the effects of acupoint sticking therapy of different dosages and durations on the subjective and objective sleep indicators in insomnia patients.Methods Ninety-six patients with insomnia due to l...Objective To observe the effects of acupoint sticking therapy of different dosages and durations on the subjective and objective sleep indicators in insomnia patients.Methods Ninety-six patients with insomnia due to liver-Qi stagnation and spleen deficiency were divided into a high-dosage 7 d group(25 cases),a high-dosage 14 d group(22 cases),a low-dosage 7 d group(21 cases),and a low-dosage 14 d group(28 cases)using the random numbers generated in a stratified and stage-by-stage manner in combination with the visiting sequence.The four groups all received the same acupuncture treatment,but acupoint sticking therapy varied in dosage and duration.Before and after treatment,the actigraphic readings(total time in bed,total sleep time,sleep efficiency,number of wake bouts,length of wakes after asleep,and sleep latency),Pittsburgh sleep quality index(PSQI)score,and symptoms score of traditional Chinese medicine(TCM)were observed.A correlation analysis was conducted among the subjective and objective indicators.Results The PSQI score was positively correlated with the total time in bed and total sleep time(P<0.05).After treatment,the sleep latency,PSQI scores,and TCM symptoms scores changed significantly in the four groups(P<0.05).The total sleep time and sleep efficiency gained improvements after treatment in the high-dosage 14 d and low-dosage 14 d groups(P<0.05).The high-dosage acupoint sticking groups had longer total sleep time compared with the low-dosage groups of the same treatment duration(P<0.05).After treatment,the length of wakes after asleep,PSQI scores,and TCM symptoms scores were better in the 14 d groups than in the 7 d groups of the same acupoint sticking dosage(P<0.05).Conclusion Given the same acupuncture treatment,acupoint sticking therapy of different treatment durations produces different effects on the length of wakes after asleep,PSQI score,and TCM symptoms score in insomnia patients,and the 14-day acupoint sticking treatment is superior to the 7-day treatment.展开更多
Objective:To evaluate the clinical efficacy of the Governor Vessel-unblocking and mind-regulating acupuncture method plus repetitive transcranial magnetic stimulation(rTMS)in the treatment of post-stroke insomnia.Meth...Objective:To evaluate the clinical efficacy of the Governor Vessel-unblocking and mind-regulating acupuncture method plus repetitive transcranial magnetic stimulation(rTMS)in the treatment of post-stroke insomnia.Methods:A total of 72 patients with post-stroke insomnia were randomly divided into 2 groups,with 36 cases in each group.The control group received rTMS treatment with a frequency of 1 Hz and a motion threshold value of 90%.The observation group received acupuncture with Governor Vessel-unblocking and mind-regulating method based on the rTMS treatment of the control group.The points were Baihui(GV 20),Shenting(GV 24),Yintang(GV 29),Fengfu(GV 16),Sishencong(EX-HN I),Shenmen(HT I),Sanyinjiao(SP 6);Shenmai(BL 62)and Zhaohai(Kl 6).The treatment was performed once a day for 5 d a week followed by 2 d of rest for 4 weeks.The improvements of Pittsburgh sleep quality index(PSQI),self-rating anxiety scale(SAS)and self-rating depression scale(SDS)scores were observed after treatment,and the clinical efficacy was compared between the two groups.Results:After 4 weeks of treatment,the PSQI,SAS,and SDS scores of the two groups were all reduced,and the intra-group differences were statistically significant(all P<0.001).After treatment,the three scores in the observation group were all lower than those in the control group,and the differences between the two groups were statistically significant(P<0.05,P<0.05,P<0.001).There was a statistically significant difference between the observation group and the control group comparing the clinical efficacy(P<0.05).Conclusion:The therapeutic effect of the Governor Vessel-unblocking and mind-regulating acupuncture method plus rTMS in treating post-stroke insomnia is better than rTMS alone,and it can better improve the anxiety and depression of patients.展开更多
Objective: To observe the clinical efficacy of balance-impact tuina therapy for lumbar intervertebral disc herniation (LIDH). Methods: A total of 118 eligible LIDH patients were randomized into an observation group an...Objective: To observe the clinical efficacy of balance-impact tuina therapy for lumbar intervertebral disc herniation (LIDH). Methods: A total of 118 eligible LIDH patients were randomized into an observation group and a control group by the random number table method, with 59 cases in each group. The observation group was intervened by balance-impact tuina therapy, while the control group was intervened by conventional tuina therapy, both for consecutive two weeks. The scores of visual analog scale (VAS), Oswestry disability index (ODI)Z quality of life questionnaire-core 30 (QOL-C30) were observed before and after treatment;the relapse rate was estimated at the sixth month and twelfth month following the treatment. The data were statistically an a lyzed. Results: After intervention, the total effective rate was 96.6% in the observation group versus 91.5% in the control group, and the between-group differenee was statistically significant (P<0.05). The VAS and ODI scores declined significantly after treatment in both groups (all Pv0.05), and the observation group was markedly lower than the control group (P<0.05, P<0.01). The QOL-C30 score in creased significantly after treatme nt in both groups (both P<0.05), and the observatio n group was markedly higher than the control group (P<0.05). The relapse rates at the post-treatment sixth month and twelfth month in the observation group were lower than those in the control group (P<0.05, P<0.01). Conclusion: Compared with the conventional tuina therapy, the balance-impact tuina therapy shows advantage in lessening pain, improving the function and enhancing the quality of life in the treatment of LIDH, and it has a lower relapse rate. Thus, this therapy is worth promoting in clinic.展开更多
Objective:To observe the clinical efficacy of different media in pediatric tuina treatment for children with muscular torticollis.Methods:A total of 80 children with muscular torticollis were randomized into an observ...Objective:To observe the clinical efficacy of different media in pediatric tuina treatment for children with muscular torticollis.Methods:A total of 80 children with muscular torticollis were randomized into an observation group and a control group,40 cases in each group.Both groups received conventional pediatric tuina therapy.The observation group was treated with Bai Mai ointment as the massage medium,while the common lubrication oil was used as medium in the control group.Both groups were treated five times a week,20 min for each time,20 times constituted a course of treatment.The traditional Chinese medicine(TCM)syndrome scores were evaluated before and after treatment,and the curative effect was observed after 3 courses and 6 courses of treatment respectively.Results:The TCM syndrome scores improved in both groups after treatment,and the intra-group differences were statistically significant(both P〈0.01).The score of the observation group was statistically different from that in the control group(P〈0.05).In the observation group,the total effective rates after 3 courses and 6 courses of treatment were 95.0%and 100.0%,respectively,versus 87.5%and 95.0%in the control group.The total effective rates of the two groups were statistically different(both P〈0.05).Conclusion:Bai Mai ointment has a better curative effect than the common lubricating oil as a massage medium in the treatment of children with muscular torticollis.展开更多
Objective： To observe the effect of acupuncture at points selected from different regions on the positive expression of interstitial cells of Cajal （ICC） and the stem cell factor （SCF） in gastric antrum tissues i...Objective： To observe the effect of acupuncture at points selected from different regions on the positive expression of interstitial cells of Cajal （ICC） and the stem cell factor （SCF） in gastric antrum tissues in diabetic gastroparesis （DGP） rats, and to explore the influence of region-based point selection on the acupoint combination efficacy. Methods： Sixty Sprague-Dawley （SD） rats were randomly divided into a normal group （group A）, a model group （group B）, a group of Zusanli （ST 36） plus Zhongwan （CV 12） （group C）, a group of Zusanli （ST 36） plus Neiguan （PC 6） （group D）, and a group of Zusanli （ST 36） plus non-meridian non-acupoint points （group E）, based on the random number table （n=12）. DGP rat model was established by single intraperitoneal injection of 2% streptozotocin and common diet. After successful modeling, the rats were treated once a day for 4 weeks. Positive ICC and SCF expressions were measured by immunohistochemistry. Results： Compared with group A, the gastrointestinal propulsion rate of group B showed a statistically significant decrease （P〈0.05）. Compared with group B, the gastrointestinal propulsion rate and the expression of ICC in the gastric antrum were significantly higher in group C, group D and group E, and the between-group differences were statistically significant （P〈0.05）; the expression of C-kit protein in group C was statistically significantly higher than that in group D and group E （P〈0.05）. The expression of SCF protein was significantly increased in group C than in group B, and the difference was statistically significant （P〈0.05）. Conclusion： Acupuncture can improve the symptoms of delayed gastric emptying in DGP model rats, and regulate the expression of ICC and SCF in gastric antrum tissues. The effect of Zusanli （ST 36） plus Zhongwan （CV 12） in the gastric region is superior to that of the Zusanli （ST 36） plus distal Neiguan （PC 6） or non-meridian non-acupoint point, indicating that region-based point selection is the key factor affecting the effect of acupoint combination.展开更多
Objective： To observe the effect of electroacupuncture（EA） at Zusanli（ST 36） on the gastrointestinal motility and the ultrastructures of pacemaker cells [the interstitial cells of Cajal（ICC）] in diabetic gastro...Objective： To observe the effect of electroacupuncture（EA） at Zusanli（ST 36） on the gastrointestinal motility and the ultrastructures of pacemaker cells [the interstitial cells of Cajal（ICC）] in diabetic gastroparesis（DGP） rats and explore the mechanism of EA for DGP.Methods： A total of 50 Sprague-Dawley（SD） rats were randomly divided into group A, group B, group C, group D and group E, with 10 rats in each group. Group A was the blank control; a single intraperitoneal injection of 2% streptozotocin（STZ） was performed in rats of group B, group C, group D and group E, with high glucose and high fat diet for 8 weeks to establish the DGP rat models. Group B was the model group and the rats did not receive any treatment; group C was EA at acupoint group and the rats received EA at Zusanli（ST 36）, Liangmen（ST 21） and Sanyinjiao（SP 6）; group D was EA at non-acupoint group and the rats received EA at the control points of Zusanli（ST 36）, Liangmen（ST 21） and Sanyinjiao（SP 6）; group E was metoclopramide group and the rats were treated by intragastric administration of metoclopramide. Blood glucose was detected using ONE TOUCH blood glucose meter; gastric emptying rate and small intestine migration rate were measured using intragastric phenol red; ultrastructures of gastric antrum ICC were detected by transmission electron microscopy. Results： The differences of blood glucose between group B, group C, group D, group E versus that of group A were statistically significant after modeling（P〈0.01）; after treatment, the differences of blood glucose between group D, group E versus that of group C were statistically significant（P〈0.05, P〈0.01）; the gastric emptying rate of rats in group B was statistically significant different from that in group A（P〈0.01）; the gastric emptying rate of rats in group C was statistically significant different from that in group B（P〈0.01）. The migration rates of rats＇ small intestines in group B, group C, group D and group E were all statistically significant different from that in group A（P〈0.01）; the migration rate of rats＇ small intestines in group C was statistically significant different from that in group B（P〈0.01）. The ultrastructure of rat＇s ICC in group B showed apoptosis compared with that in group A; rat‘s ICC in group C had complete basement membrane, more cytoplasm mitochondria, Golgi and rough endoplasmic reticulum, showing clear structure, occasional mitochondria swelling and gap junctions with adjacent smooth muscle cells; there were no significant differences between group D, group E versus group B. Conclusion： EA at Zusanli（ST 36） plus other acupoints can regulate the blood glucose and promote gastrointestinal motility in DGP rats, and the mechanism may be related to repairing the damaged ICC structure.展开更多
Objective：To observe the therapeutic effect of electroacupuncture （EA） at local points plus point injection on House-Brackmann facial nerve function classification grade （H-B） and facial disability index （FDI） ...Objective：To observe the therapeutic effect of electroacupuncture （EA） at local points plus point injection on House-Brackmann facial nerve function classification grade （H-B） and facial disability index （FDI） in pregnant women with Bell palsy （BP）. Methods：A total of 40 eligible BP patients during pregnancy were randomized into a treatment group （n=20） and a control group （n=20）. The treatment group was intervened by EA at Sizhukong （TE 23）, Tongziliao （GB 1）, Sibai （ST 2）, Quanliao （SI 18）, Yifeng （TE 17）, Dicang （ST 4）, Jiache （ST 6） and point injection at Zusanli （ST 36） and Yanglingquan （GB 34） on the affected side, 30 min every time, 10 sessions as a course, for 2 courses in total while control group by EA with the same points, manipulation and courses as the treatment group. Results：After the treatment, the H-B classification in the treatment group was better than that in the control group, with a significant inter-group difference （P〈0.05）; after the treatment, the change of FDI score in the treatment group was significantly different from that in the control group （P〈0.05）. Conclusion：EA at local points plus point injection can produce a more significant efficacy than EA in the treatment of BP during pregnancy.展开更多
Objective： To observe the clinical effect of moxibustion on Governor Vessel for ankylosing spondylitis（AS） due to kidney yang deficiency.Methods： A total of 60 patients of AS due to kidney yang deficiency were ran...Objective： To observe the clinical effect of moxibustion on Governor Vessel for ankylosing spondylitis（AS） due to kidney yang deficiency.Methods： A total of 60 patients of AS due to kidney yang deficiency were randomly divided into a treatment group and a control group by random digital table, 30 cases in each group. Both of the two groups were treated by oral administration of Sulfasalazine tablets. Additionally, the treatment group was given moxibustion on Governor Vessel, and the control group was given sham moxibustion. The treatment was given once every other day, 4 weeks constituted one course, 2 courses in total. Before treatment, after 1-course and 2-course treatments, the quantified scores of traditional Chinese medicine（TCM） syndromes and the symptoms scores recommended by AS International Society [including Bath ankylosing spondylitis disease activity index（BASDAI）, visual analogue scale（VAS）, Bath ankylosing spondylitis functional index（BASFI） and Bath ankylosing spondylitis metrology index（BASMI）] were respectively observed and recorded, and the change of safety item was monitored. Results： After 1-course and 2-course treatments, the quantified scores of TCM syndromes were obviously improved than those before treatment in the two groups（P〈0.05）, and the score was improved better in the treatment group than that in the control group（P〈0.05）. In comparison within the group, there were no statistical differences between the scores after 1-course treatment and 2-course treatment in the two groups（P〈0.05）. After 1-course treatment, the items of the symptoms scores were improved than those before treatment in the two groups（P〉0.05）. After 2-course treatment, the therapeutic effect was more remarkable in the treatment group, with a statistical difference between the two groups（P〈0.05）. During treatment, no obvious abnormality in all safety items was noticed in the two groups. Conclusion： Moxibustion on Governor Vessel can effectively relieve the clinical symptoms of AS patients, without obvious adverse reaction.展开更多
Objective：To observe the effect of complex reinforcing [Shao Shan Huo （Mountain-burning Fire）] and reducing [Tou Tian Liang （Heaven-penetrating Cooling）] manipulations on motion and balance of the lower limbs in ...Objective：To observe the effect of complex reinforcing [Shao Shan Huo （Mountain-burning Fire）] and reducing [Tou Tian Liang （Heaven-penetrating Cooling）] manipulations on motion and balance of the lower limbs in patients with subacute combined degeneration of the spinal cord （SCD）. Methods：A total of 100 SCD cases were randomly allocated into an observation group and a control group by their visit sequence, 50 cases in each group. On the basis of Western medical treatment, cases in the observation group were also treated with acupuncture therapy plus complex reinforcing-reducing manipulation; whereas cases in the control group were only treated with the same Western medical treatment as those in the observation group. Before and 2 months after treatment, kinematic parameters including muscle force, muscle tone and range of motion of the hip and knee joints were measured. In addition, balancing parameters including the path length of center of pressure （COP）, peripheral area, COP path length per unit area and rectangular area were also measured before and after treatment. Results：After treatment, there were statistical intra-group differences in COP path length, peripheral area, COP path length per unit area, left-right offset, rectangular area, coefficient of stability and coefficient of weight distribution （P〈0.01）. There were statistical inter-group differences in muscle force, muscle tone and range of motion of hip and knee joints （P〈0.01）. The total effective rate was 83.3% in the observation group, versus 60.0% in the control group, showing a statistical difference （P〈0.05）. Conclusion：Complex reinforcing-reducing manipulations can improve the lower limb motion and balance in SCD patients.展开更多
Objective： To observe the clinical effect of combining acupuncture, Chinese medicine and rehabilitation training for subacute stroke. Methods： A total of 120 subacute stroke cases were randomly allocated into a trea...Objective： To observe the clinical effect of combining acupuncture, Chinese medicine and rehabilitation training for subacute stroke. Methods： A total of 120 subacute stroke cases were randomly allocated into a treatment group （n=60） and a control group （n=60）. Patients in the control group received standard rehabilitation therapy alone, whereas patients in the observation group received additional acupuncture and Chinese medicine. Before treatment, after 30-day and 60-day treatments, and 3 months after treatment, the neurologic deficit severity was evaluated using the National Institute of Health stroke scale （NIHSS）; the motor function was evaluated using the FugI-Meyer assessment scale （FMA）; the activities of daily living {ADL） was evaluated using the Barthel index （BI）; and the changes of traditional Chinese medicine （TCM） symptoms were evaluated according to TCM symptom scores. Results： After 30-day, 60-day treatments, and 3 months after treatment, the NIHSS, FMA, BI and TCM symptoms scores were statistically different from those before treatment in both groups （all P〈0.05）; and there were between-group statistical differences at same time points （all P〈0.05）. Conclusion： Combining acupuncture, Chinese medicine and rehabilitation training can improve neurologic deficit, motor function and ADL in subacute stroke patients and its efficacy is better than rehabilitation therapy alone.展开更多
To learn the current research status of acupuncture-moxibustion in treating chronic urticaria, the relevant clinical reports indexed by CNKI and VlP databases during 2000 and 2012 were retrieved, and then summarized a...To learn the current research status of acupuncture-moxibustion in treating chronic urticaria, the relevant clinical reports indexed by CNKI and VlP databases during 2000 and 2012 were retrieved, and then summarized and analyzed from the aspects of treatment method, acupoint selection, medicine, treatment frequency, and criteria of therapeutic efficacy, for guiding the treatment of chronic urticaria with acupuncture-moxibustion. The results show that acupuncture-moxibustion therapy has stable therapeutic efficacy in treating chronic urticaria with low adverse reaction rate, but the current evaluation criteria are too subiective to cluantifv.展开更多
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 gr...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.展开更多
Objective： To observe the clinical effects of electroacupuncture （EA） at Jiaji （Ex-B 2） points plus herbal medicine for herpes zoster （HZ）. Methods： Sixty-two cases were randomly divided into a treatment group...Objective： To observe the clinical effects of electroacupuncture （EA） at Jiaji （Ex-B 2） points plus herbal medicine for herpes zoster （HZ）. Methods： Sixty-two cases were randomly divided into a treatment group and a control group. The treatment group was treated with EA at Jiaji （Ex-B 2） points plus herbal medicine based upon the pattern differentiation. The control group was treated with oral administration of Aciclovir tablets for resisting virus, and Mecobalamin tablets for nourishing the nerves and Aciclovir cream for skin rash. The therapeutic effects were compared between the two groups, after two-week treatment Results： After 7 d of the treatment, the therapeutic effect was remarkably better in the treatment group than that in the control group （P〈0.01）. After two-week treatment, the therapeutic effects were still different between the two groups （P〈0.05）. Conclusion： The therapeutic effect of EA at Jiaji （Ex-B 2） points plus herbal medicine for HZ is better than that of Western medications in resisting virus and nourishing nerves.展开更多
Objective： To assess the clinical effects of acupuncture treatment for primary dysmenorrhea. Methods： 80 cases of the patients were randomly divided into two groups by single blind to 40 cases in the acupuncture gro...Objective： To assess the clinical effects of acupuncture treatment for primary dysmenorrhea. Methods： 80 cases of the patients were randomly divided into two groups by single blind to 40 cases in the acupuncture group were treated with acupuncture plus ginger-partitioned moxibustion. 40 cases in the medication group were treated with oral administration of Ibuprofen sustained release capsules. The therapeutic effects were observed after continuous treatment for 3 months. Results： The total effective rate was 85.0% in the acupuncture group and 70.0% in the medication group, with statistical significance in comparison of differences between the two groups （P〈0.05） Conclusion： Acupuncture plus ginger-partitioned moxibustion is better than Ibuprofen sustained release capsules in treating dysmenorrhea.展开更多
Objective： To observe the influence of electroacupuncture on depression and defects of neurological functions in the patients with post-stroke depression. Methods： 90 cases of the apoplectic patients confirmed clini...Objective： To observe the influence of electroacupuncture on depression and defects of neurological functions in the patients with post-stroke depression. Methods： 90 cases of the apoplectic patients confirmed clinically by CT or MRI were selected and divided randomly into three groups by digital table, 30 cases in each group. All three groups of the patients were treated for wind stroke, with electric stimulation added for the acupuncture group, Fluoxetine added for medication group, and placebo added for control group, continuously for 60 d. Results： Compared to the control group, the scores in Hamilton Depression Rating Scale （HAMD） and Modified Edinburgh-Scandinavia Stroke Scale （MESSS） decreased in the electroacupuncture group and medication group, and the scores in Barthel index increased （P〈0.05）. The general therapeutic effects were better in the electroacupuncture group and medication group than in the control group, and the general therapeutic effects were similar in the electroacupuncture group and medication group. Conclusion： Electroacupuncture can improve depressive behavior and promote rehabilitation of the nervous functions.展开更多
Objective： To observe the influence of acupoint application therapy on serum eosinophilic granulocyte cationic protein （ECP）, 6 keto prostaglandin F 1 （6-keto-PGF 1） and thromboxane B2 （TXB2）. Methods： 300 cas...Objective： To observe the influence of acupoint application therapy on serum eosinophilic granulocyte cationic protein （ECP）, 6 keto prostaglandin F 1 （6-keto-PGF 1） and thromboxane B2 （TXB2）. Methods： 300 cases of asthma out-patients in a remission period were divided into a treatment group （150 cases） and a control group （150 cases）. The control group was given the basic treatment, and the treatment group was given external application on the acupoints in July and December every year, as well as the basic treatment of the control group, with continuous treatment for 2 years as one course. ECP, 6-keto-PGF 1, and TXB2 were checked every year in the patients of the two groups, and an Asthma Control Test Table was filled in for comparative analysis. Results： After the external application on the acupoints, the frequency of seizures, dyspnea and frequency of medication administration of the patients had been more reduced than those in the control group, indicating that the levels of ECP in inflammation of air passage and of 6-eto-GF 1 and TXB2 were obviously improved （P〈0.05）. Conclusion： The herbal application on the acupoints is effective and positively influential to the improvement of the symptoms in the asthma patients and to ECP, 6-keto-PGF 1, and TXB2 remarkably.展开更多
Objective： To observe the clinical effect and infra-red thermogram changes for acute lumbar sprain. Methods： All 295 cases with acute lumbar sprain were randomly divided into an electroacupuncture group （147 cases...Objective： To observe the clinical effect and infra-red thermogram changes for acute lumbar sprain. Methods： All 295 cases with acute lumbar sprain were randomly divided into an electroacupuncture group （147 cases） and medication group （148 cases）. The cases in electroacupuncture group were treated by needling Houxi （SI 3）, whereas those in the medication group were treated with Meloxicam tablet. The infra-red thermogram was observed before and after treatment. Results： The recovery and effective rates in the electroacupuncture group were 71.4% and 93.9%, whereas the rates in the medication groups were 42.6% and 87.2% （P〈0.01）. The temperature differences via the thermogram in the electroacupuncture and medication groups were 2.52℃ and 0.80℃ （P〈0.01）, indicating a significant difference. Conclusion： Both electroacupuncture and medication could obtain significant effect for acute lumbar sprain; however, electroacupuncture obtained a better overall effect and a more substantial temperature-raising effect in the thermogram than medication.展开更多
文摘Objective To observe the effects of acupoint sticking therapy of different dosages and durations on the subjective and objective sleep indicators in insomnia patients.Methods Ninety-six patients with insomnia due to liver-Qi stagnation and spleen deficiency were divided into a high-dosage 7 d group(25 cases),a high-dosage 14 d group(22 cases),a low-dosage 7 d group(21 cases),and a low-dosage 14 d group(28 cases)using the random numbers generated in a stratified and stage-by-stage manner in combination with the visiting sequence.The four groups all received the same acupuncture treatment,but acupoint sticking therapy varied in dosage and duration.Before and after treatment,the actigraphic readings(total time in bed,total sleep time,sleep efficiency,number of wake bouts,length of wakes after asleep,and sleep latency),Pittsburgh sleep quality index(PSQI)score,and symptoms score of traditional Chinese medicine(TCM)were observed.A correlation analysis was conducted among the subjective and objective indicators.Results The PSQI score was positively correlated with the total time in bed and total sleep time(P<0.05).After treatment,the sleep latency,PSQI scores,and TCM symptoms scores changed significantly in the four groups(P<0.05).The total sleep time and sleep efficiency gained improvements after treatment in the high-dosage 14 d and low-dosage 14 d groups(P<0.05).The high-dosage acupoint sticking groups had longer total sleep time compared with the low-dosage groups of the same treatment duration(P<0.05).After treatment,the length of wakes after asleep,PSQI scores,and TCM symptoms scores were better in the 14 d groups than in the 7 d groups of the same acupoint sticking dosage(P<0.05).Conclusion Given the same acupuncture treatment,acupoint sticking therapy of different treatment durations produces different effects on the length of wakes after asleep,PSQI score,and TCM symptoms score in insomnia patients,and the 14-day acupoint sticking treatment is superior to the 7-day treatment.
文摘Objective:To evaluate the clinical efficacy of the Governor Vessel-unblocking and mind-regulating acupuncture method plus repetitive transcranial magnetic stimulation(rTMS)in the treatment of post-stroke insomnia.Methods:A total of 72 patients with post-stroke insomnia were randomly divided into 2 groups,with 36 cases in each group.The control group received rTMS treatment with a frequency of 1 Hz and a motion threshold value of 90%.The observation group received acupuncture with Governor Vessel-unblocking and mind-regulating method based on the rTMS treatment of the control group.The points were Baihui(GV 20),Shenting(GV 24),Yintang(GV 29),Fengfu(GV 16),Sishencong(EX-HN I),Shenmen(HT I),Sanyinjiao(SP 6);Shenmai(BL 62)and Zhaohai(Kl 6).The treatment was performed once a day for 5 d a week followed by 2 d of rest for 4 weeks.The improvements of Pittsburgh sleep quality index(PSQI),self-rating anxiety scale(SAS)and self-rating depression scale(SDS)scores were observed after treatment,and the clinical efficacy was compared between the two groups.Results:After 4 weeks of treatment,the PSQI,SAS,and SDS scores of the two groups were all reduced,and the intra-group differences were statistically significant(all P<0.001).After treatment,the three scores in the observation group were all lower than those in the control group,and the differences between the two groups were statistically significant(P<0.05,P<0.05,P<0.001).There was a statistically significant difference between the observation group and the control group comparing the clinical efficacy(P<0.05).Conclusion:The therapeutic effect of the Governor Vessel-unblocking and mind-regulating acupuncture method plus rTMS in treating post-stroke insomnia is better than rTMS alone,and it can better improve the anxiety and depression of patients.
文摘Objective: To observe the clinical efficacy of balance-impact tuina therapy for lumbar intervertebral disc herniation (LIDH). Methods: A total of 118 eligible LIDH patients were randomized into an observation group and a control group by the random number table method, with 59 cases in each group. The observation group was intervened by balance-impact tuina therapy, while the control group was intervened by conventional tuina therapy, both for consecutive two weeks. The scores of visual analog scale (VAS), Oswestry disability index (ODI)Z quality of life questionnaire-core 30 (QOL-C30) were observed before and after treatment;the relapse rate was estimated at the sixth month and twelfth month following the treatment. The data were statistically an a lyzed. Results: After intervention, the total effective rate was 96.6% in the observation group versus 91.5% in the control group, and the between-group differenee was statistically significant (P<0.05). The VAS and ODI scores declined significantly after treatment in both groups (all Pv0.05), and the observation group was markedly lower than the control group (P<0.05, P<0.01). The QOL-C30 score in creased significantly after treatme nt in both groups (both P<0.05), and the observatio n group was markedly higher than the control group (P<0.05). The relapse rates at the post-treatment sixth month and twelfth month in the observation group were lower than those in the control group (P<0.05, P<0.01). Conclusion: Compared with the conventional tuina therapy, the balance-impact tuina therapy shows advantage in lessening pain, improving the function and enhancing the quality of life in the treatment of LIDH, and it has a lower relapse rate. Thus, this therapy is worth promoting in clinic.
文摘Objective:To observe the clinical efficacy of different media in pediatric tuina treatment for children with muscular torticollis.Methods:A total of 80 children with muscular torticollis were randomized into an observation group and a control group,40 cases in each group.Both groups received conventional pediatric tuina therapy.The observation group was treated with Bai Mai ointment as the massage medium,while the common lubrication oil was used as medium in the control group.Both groups were treated five times a week,20 min for each time,20 times constituted a course of treatment.The traditional Chinese medicine(TCM)syndrome scores were evaluated before and after treatment,and the curative effect was observed after 3 courses and 6 courses of treatment respectively.Results:The TCM syndrome scores improved in both groups after treatment,and the intra-group differences were statistically significant(both P〈0.01).The score of the observation group was statistically different from that in the control group(P〈0.05).In the observation group,the total effective rates after 3 courses and 6 courses of treatment were 95.0%and 100.0%,respectively,versus 87.5%and 95.0%in the control group.The total effective rates of the two groups were statistically different(both P〈0.05).Conclusion:Bai Mai ointment has a better curative effect than the common lubricating oil as a massage medium in the treatment of children with muscular torticollis.
基金supported by National Basic Research Program of China No.2014CB543102~~
文摘Objective： To observe the effect of acupuncture at points selected from different regions on the positive expression of interstitial cells of Cajal （ICC） and the stem cell factor （SCF） in gastric antrum tissues in diabetic gastroparesis （DGP） rats, and to explore the influence of region-based point selection on the acupoint combination efficacy. Methods： Sixty Sprague-Dawley （SD） rats were randomly divided into a normal group （group A）, a model group （group B）, a group of Zusanli （ST 36） plus Zhongwan （CV 12） （group C）, a group of Zusanli （ST 36） plus Neiguan （PC 6） （group D）, and a group of Zusanli （ST 36） plus non-meridian non-acupoint points （group E）, based on the random number table （n=12）. DGP rat model was established by single intraperitoneal injection of 2% streptozotocin and common diet. After successful modeling, the rats were treated once a day for 4 weeks. Positive ICC and SCF expressions were measured by immunohistochemistry. Results： Compared with group A, the gastrointestinal propulsion rate of group B showed a statistically significant decrease （P〈0.05）. Compared with group B, the gastrointestinal propulsion rate and the expression of ICC in the gastric antrum were significantly higher in group C, group D and group E, and the between-group differences were statistically significant （P〈0.05）; the expression of C-kit protein in group C was statistically significantly higher than that in group D and group E （P〈0.05）. The expression of SCF protein was significantly increased in group C than in group B, and the difference was statistically significant （P〈0.05）. Conclusion： Acupuncture can improve the symptoms of delayed gastric emptying in DGP model rats, and regulate the expression of ICC and SCF in gastric antrum tissues. The effect of Zusanli （ST 36） plus Zhongwan （CV 12） in the gastric region is superior to that of the Zusanli （ST 36） plus distal Neiguan （PC 6） or non-meridian non-acupoint point, indicating that region-based point selection is the key factor affecting the effect of acupoint combination.
基金supported by National Natural Science Foundation of China,No.81403487Youth Fund of Hunan Province Education Office,No.14B128~~
文摘Objective： To observe the effect of electroacupuncture（EA） at Zusanli（ST 36） on the gastrointestinal motility and the ultrastructures of pacemaker cells [the interstitial cells of Cajal（ICC）] in diabetic gastroparesis（DGP） rats and explore the mechanism of EA for DGP.Methods： A total of 50 Sprague-Dawley（SD） rats were randomly divided into group A, group B, group C, group D and group E, with 10 rats in each group. Group A was the blank control; a single intraperitoneal injection of 2% streptozotocin（STZ） was performed in rats of group B, group C, group D and group E, with high glucose and high fat diet for 8 weeks to establish the DGP rat models. Group B was the model group and the rats did not receive any treatment; group C was EA at acupoint group and the rats received EA at Zusanli（ST 36）, Liangmen（ST 21） and Sanyinjiao（SP 6）; group D was EA at non-acupoint group and the rats received EA at the control points of Zusanli（ST 36）, Liangmen（ST 21） and Sanyinjiao（SP 6）; group E was metoclopramide group and the rats were treated by intragastric administration of metoclopramide. Blood glucose was detected using ONE TOUCH blood glucose meter; gastric emptying rate and small intestine migration rate were measured using intragastric phenol red; ultrastructures of gastric antrum ICC were detected by transmission electron microscopy. Results： The differences of blood glucose between group B, group C, group D, group E versus that of group A were statistically significant after modeling（P〈0.01）; after treatment, the differences of blood glucose between group D, group E versus that of group C were statistically significant（P〈0.05, P〈0.01）; the gastric emptying rate of rats in group B was statistically significant different from that in group A（P〈0.01）; the gastric emptying rate of rats in group C was statistically significant different from that in group B（P〈0.01）. The migration rates of rats＇ small intestines in group B, group C, group D and group E were all statistically significant different from that in group A（P〈0.01）; the migration rate of rats＇ small intestines in group C was statistically significant different from that in group B（P〈0.01）. The ultrastructure of rat＇s ICC in group B showed apoptosis compared with that in group A; rat‘s ICC in group C had complete basement membrane, more cytoplasm mitochondria, Golgi and rough endoplasmic reticulum, showing clear structure, occasional mitochondria swelling and gap junctions with adjacent smooth muscle cells; there were no significant differences between group D, group E versus group B. Conclusion： EA at Zusanli（ST 36） plus other acupoints can regulate the blood glucose and promote gastrointestinal motility in DGP rats, and the mechanism may be related to repairing the damaged ICC structure.
文摘Objective：To observe the therapeutic effect of electroacupuncture （EA） at local points plus point injection on House-Brackmann facial nerve function classification grade （H-B） and facial disability index （FDI） in pregnant women with Bell palsy （BP）. Methods：A total of 40 eligible BP patients during pregnancy were randomized into a treatment group （n=20） and a control group （n=20）. The treatment group was intervened by EA at Sizhukong （TE 23）, Tongziliao （GB 1）, Sibai （ST 2）, Quanliao （SI 18）, Yifeng （TE 17）, Dicang （ST 4）, Jiache （ST 6） and point injection at Zusanli （ST 36） and Yanglingquan （GB 34） on the affected side, 30 min every time, 10 sessions as a course, for 2 courses in total while control group by EA with the same points, manipulation and courses as the treatment group. Results：After the treatment, the H-B classification in the treatment group was better than that in the control group, with a significant inter-group difference （P〈0.05）; after the treatment, the change of FDI score in the treatment group was significantly different from that in the control group （P〈0.05）. Conclusion：EA at local points plus point injection can produce a more significant efficacy than EA in the treatment of BP during pregnancy.
基金supported by Traditional Chinese Medicine Project of Shanghai Municipal Commission of Health and Family PlanningNo.2012QL045A+4 种基金Project of Health and Family Planning of Changning DistrictShanghaiNo.20124ZY03001Shanghai Cultivation Plan of New Stars in XinglinNo.ZYSNXD011-RC-XLXX-20130042~~
文摘Objective： To observe the clinical effect of moxibustion on Governor Vessel for ankylosing spondylitis（AS） due to kidney yang deficiency.Methods： A total of 60 patients of AS due to kidney yang deficiency were randomly divided into a treatment group and a control group by random digital table, 30 cases in each group. Both of the two groups were treated by oral administration of Sulfasalazine tablets. Additionally, the treatment group was given moxibustion on Governor Vessel, and the control group was given sham moxibustion. The treatment was given once every other day, 4 weeks constituted one course, 2 courses in total. Before treatment, after 1-course and 2-course treatments, the quantified scores of traditional Chinese medicine（TCM） syndromes and the symptoms scores recommended by AS International Society [including Bath ankylosing spondylitis disease activity index（BASDAI）, visual analogue scale（VAS）, Bath ankylosing spondylitis functional index（BASFI） and Bath ankylosing spondylitis metrology index（BASMI）] were respectively observed and recorded, and the change of safety item was monitored. Results： After 1-course and 2-course treatments, the quantified scores of TCM syndromes were obviously improved than those before treatment in the two groups（P〈0.05）, and the score was improved better in the treatment group than that in the control group（P〈0.05）. In comparison within the group, there were no statistical differences between the scores after 1-course treatment and 2-course treatment in the two groups（P〈0.05）. After 1-course treatment, the items of the symptoms scores were improved than those before treatment in the two groups（P〉0.05）. After 2-course treatment, the therapeutic effect was more remarkable in the treatment group, with a statistical difference between the two groups（P〈0.05）. During treatment, no obvious abnormality in all safety items was noticed in the two groups. Conclusion： Moxibustion on Governor Vessel can effectively relieve the clinical symptoms of AS patients, without obvious adverse reaction.
基金supported by Scientific Research Project of Hebei Provincial Administration Bureau of Traditional Chinese Medicine,No.2014188Hebei Tangshan Science and Technology Project,No.121302118b~~
文摘Objective：To observe the effect of complex reinforcing [Shao Shan Huo （Mountain-burning Fire）] and reducing [Tou Tian Liang （Heaven-penetrating Cooling）] manipulations on motion and balance of the lower limbs in patients with subacute combined degeneration of the spinal cord （SCD）. Methods：A total of 100 SCD cases were randomly allocated into an observation group and a control group by their visit sequence, 50 cases in each group. On the basis of Western medical treatment, cases in the observation group were also treated with acupuncture therapy plus complex reinforcing-reducing manipulation; whereas cases in the control group were only treated with the same Western medical treatment as those in the observation group. Before and 2 months after treatment, kinematic parameters including muscle force, muscle tone and range of motion of the hip and knee joints were measured. In addition, balancing parameters including the path length of center of pressure （COP）, peripheral area, COP path length per unit area and rectangular area were also measured before and after treatment. Results：After treatment, there were statistical intra-group differences in COP path length, peripheral area, COP path length per unit area, left-right offset, rectangular area, coefficient of stability and coefficient of weight distribution （P〈0.01）. There were statistical inter-group differences in muscle force, muscle tone and range of motion of hip and knee joints （P〈0.01）. The total effective rate was 83.3% in the observation group, versus 60.0% in the control group, showing a statistical difference （P〈0.05）. Conclusion：Complex reinforcing-reducing manipulations can improve the lower limb motion and balance in SCD patients.
基金supported by Zhejiang Key Research Program of Traditional Chinese Medicine for Prevention and Treatment of Major Diseases~~
文摘Objective： To observe the clinical effect of combining acupuncture, Chinese medicine and rehabilitation training for subacute stroke. Methods： A total of 120 subacute stroke cases were randomly allocated into a treatment group （n=60） and a control group （n=60）. Patients in the control group received standard rehabilitation therapy alone, whereas patients in the observation group received additional acupuncture and Chinese medicine. Before treatment, after 30-day and 60-day treatments, and 3 months after treatment, the neurologic deficit severity was evaluated using the National Institute of Health stroke scale （NIHSS）; the motor function was evaluated using the FugI-Meyer assessment scale （FMA）; the activities of daily living {ADL） was evaluated using the Barthel index （BI）; and the changes of traditional Chinese medicine （TCM） symptoms were evaluated according to TCM symptom scores. Results： After 30-day, 60-day treatments, and 3 months after treatment, the NIHSS, FMA, BI and TCM symptoms scores were statistically different from those before treatment in both groups （all P〈0.05）; and there were between-group statistical differences at same time points （all P〈0.05）. Conclusion： Combining acupuncture, Chinese medicine and rehabilitation training can improve neurologic deficit, motor function and ADL in subacute stroke patients and its efficacy is better than rehabilitation therapy alone.
基金supported by Scientific Research Project of Shanghai Health Bureau(20124046)
文摘To learn the current research status of acupuncture-moxibustion in treating chronic urticaria, the relevant clinical reports indexed by CNKI and VlP databases during 2000 and 2012 were retrieved, and then summarized and analyzed from the aspects of treatment method, acupoint selection, medicine, treatment frequency, and criteria of therapeutic efficacy, for guiding the treatment of chronic urticaria with acupuncture-moxibustion. The results show that acupuncture-moxibustion therapy has stable therapeutic efficacy in treating chronic urticaria with low adverse reaction rate, but the current evaluation criteria are too subiective to cluantifv.
基金supported by Acupuncture Treatment and Evaluation Research Project,‘11th 5-Year Plan’ National Scientific and Technological Supporting Plan(2006BAI12B07-2)
文摘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.
文摘Objective： To observe the clinical effects of electroacupuncture （EA） at Jiaji （Ex-B 2） points plus herbal medicine for herpes zoster （HZ）. Methods： Sixty-two cases were randomly divided into a treatment group and a control group. The treatment group was treated with EA at Jiaji （Ex-B 2） points plus herbal medicine based upon the pattern differentiation. The control group was treated with oral administration of Aciclovir tablets for resisting virus, and Mecobalamin tablets for nourishing the nerves and Aciclovir cream for skin rash. The therapeutic effects were compared between the two groups, after two-week treatment Results： After 7 d of the treatment, the therapeutic effect was remarkably better in the treatment group than that in the control group （P〈0.01）. After two-week treatment, the therapeutic effects were still different between the two groups （P〈0.05）. Conclusion： The therapeutic effect of EA at Jiaji （Ex-B 2） points plus herbal medicine for HZ is better than that of Western medications in resisting virus and nourishing nerves.
文摘Objective： To assess the clinical effects of acupuncture treatment for primary dysmenorrhea. Methods： 80 cases of the patients were randomly divided into two groups by single blind to 40 cases in the acupuncture group were treated with acupuncture plus ginger-partitioned moxibustion. 40 cases in the medication group were treated with oral administration of Ibuprofen sustained release capsules. The therapeutic effects were observed after continuous treatment for 3 months. Results： The total effective rate was 85.0% in the acupuncture group and 70.0% in the medication group, with statistical significance in comparison of differences between the two groups （P〈0.05） Conclusion： Acupuncture plus ginger-partitioned moxibustion is better than Ibuprofen sustained release capsules in treating dysmenorrhea.
文摘Objective： To observe the influence of electroacupuncture on depression and defects of neurological functions in the patients with post-stroke depression. Methods： 90 cases of the apoplectic patients confirmed clinically by CT or MRI were selected and divided randomly into three groups by digital table, 30 cases in each group. All three groups of the patients were treated for wind stroke, with electric stimulation added for the acupuncture group, Fluoxetine added for medication group, and placebo added for control group, continuously for 60 d. Results： Compared to the control group, the scores in Hamilton Depression Rating Scale （HAMD） and Modified Edinburgh-Scandinavia Stroke Scale （MESSS） decreased in the electroacupuncture group and medication group, and the scores in Barthel index increased （P〈0.05）. The general therapeutic effects were better in the electroacupuncture group and medication group than in the control group, and the general therapeutic effects were similar in the electroacupuncture group and medication group. Conclusion： Electroacupuncture can improve depressive behavior and promote rehabilitation of the nervous functions.
文摘Objective： To observe the influence of acupoint application therapy on serum eosinophilic granulocyte cationic protein （ECP）, 6 keto prostaglandin F 1 （6-keto-PGF 1） and thromboxane B2 （TXB2）. Methods： 300 cases of asthma out-patients in a remission period were divided into a treatment group （150 cases） and a control group （150 cases）. The control group was given the basic treatment, and the treatment group was given external application on the acupoints in July and December every year, as well as the basic treatment of the control group, with continuous treatment for 2 years as one course. ECP, 6-keto-PGF 1, and TXB2 were checked every year in the patients of the two groups, and an Asthma Control Test Table was filled in for comparative analysis. Results： After the external application on the acupoints, the frequency of seizures, dyspnea and frequency of medication administration of the patients had been more reduced than those in the control group, indicating that the levels of ECP in inflammation of air passage and of 6-eto-GF 1 and TXB2 were obviously improved （P〈0.05）. Conclusion： The herbal application on the acupoints is effective and positively influential to the improvement of the symptoms in the asthma patients and to ECP, 6-keto-PGF 1, and TXB2 remarkably.
文摘Objective： To observe the clinical effect and infra-red thermogram changes for acute lumbar sprain. Methods： All 295 cases with acute lumbar sprain were randomly divided into an electroacupuncture group （147 cases） and medication group （148 cases）. The cases in electroacupuncture group were treated by needling Houxi （SI 3）, whereas those in the medication group were treated with Meloxicam tablet. The infra-red thermogram was observed before and after treatment. Results： The recovery and effective rates in the electroacupuncture group were 71.4% and 93.9%, whereas the rates in the medication groups were 42.6% and 87.2% （P〈0.01）. The temperature differences via the thermogram in the electroacupuncture and medication groups were 2.52℃ and 0.80℃ （P〈0.01）, indicating a significant difference. Conclusion： Both electroacupuncture and medication could obtain significant effect for acute lumbar sprain; however, electroacupuncture obtained a better overall effect and a more substantial temperature-raising effect in the thermogram than medication.
