1.Clinical Observation of Mild Moxibustion at Fengchi (GB20) for Cervical Spondylosis of Vertebral Artery Type
Di ZHANG ; Zhen HUANG ; lin Shuang SONG
Shanghai Journal of Acupuncture and Moxibustion 2017;36(10):1239-1242
Objective To observe the clinical efficacy of mild moxibustion at bilateral Fengchi (GB20) in treating vertigo due to cervical spondylosis of vertebral artery type, and its effect on the blood flow of vertebral artery.Method A total of 103 eligible patients with cervical spondylosis of vertebral artery type were randomized into two groups. Patients in the observation group were intervened by mild moxibustion at bilateral Fengchi; the control group was given oral administration of Nimodipine. The blood flow velocity was compared before and after the treatment, and the clinical efficacies of the two groups were compared.Result After the treatment, the systolic velocity (Vs) (left vertebral artery, LVA; right vertebral artery, RVA), mean velocity (Vm) (LVA, RVA) and diastolic velocity (LVA, RVA) of the observation group were better than those of the control group, and the differences were statistically significant (P<0.05); at the end of the intervention and 3 months after, the Dizziness Assessment Rating Scale (DARS) scores of the observation group were significantly lower than those of the control group (P<0.05); at the end of the intervention, the markedly effective rate was 80.0% in the observation group versus 62.3% in the control group, and the difference was statistically significant (P<0.05).Conclusion Mild moxibustion at bilateral Fengchi can improve the blood flow of vertebral artery in patients with cervical spondylosis of vertebral artery type, and produce a significant efficacy.
2.Observations on the Efficacy of Sheng's Six-meridian Diagnosis and Treatment-based Acupuncture in Treating Cervical Spondylotic Arteriopathy
Yi WANG ; Wen WANG ; Jing HE ; hai Zhi HU ; jia Ai ZHANG ; jing Jing ZHANG ; yu Zheng SONG ; xiao Xiao JIN ; Zheng WU
Shanghai Journal of Acupuncture and Moxibustion 2017;36(10):1236-1238
Objective To investigate the clinical efficacy of Sheng's six-meridian diagnosis and treatment-based acupuncture in treating cervical spondylotic arteriopathy.Method Seventy patients with cervical spondylotic arteriopathy were randomly allocated to treatment and control groups, 35 cases each. The treatment group received Sheng's six-meridian diagnosis and treatment-based acupuncture and the control group, conventional acupuncture. Doppler-detected vertebral artery blood flow velocity was measured, and the clinical symptom and sign score and the cervical vertigo symptom and functional assessment scale score were recorded in the two groups before and after treatment. The clinical therapeutic effects were compared between the two groups.Result The total efficacy rate was 85.7% in the treatment group and 62.9% in the control group; there was a statistically significant difference between the two groups (P<0.05). There were statistically significant pre-/post-treatment differences in Doppler-detected vertebral artery blood flow velocity, the clinical symptom and sign score and the cervical vertigo symptom and functional assessment scale score in the two groups (P<0.01,P<0.05).Conclusion Sheng's six-meridian diagnosis and treatment-based acupuncture is an effective way to treat cervical spondylotic arteriopathy.
3.Clinical Observations on Cupping Treatment for Recurrent Mycotic Vaginitis
Wei YE ; li Xiao CHEN ; li Zhang QIU
Shanghai Journal of Acupuncture and Moxibustion 2017;36(10):1233-1235
Objective To investigate the clinical efficacy of cupping treatment for recurrent mycotic vaginitis. Method Three hundred and eighty-three patients with recurrent mycotic vaginitis were randomly allocated, including 188 cases to a control group and 195 cases to an observation group. The control group received vaginal administration of clotrimazole and oral administration of sporanox and the observation group, cupping treatment in addition. Re-examination was made after two weeks of treatment. The clinical therapeutic effects and the clinical scores were compared between the two groups. Result In the observation group, clinical cure occurred in 96 patients, accounting for 49.2%; marked effectiveness, in 45 patients, accounting for 23.1%; effectiveness, in 34 patients, accounting for 17.4%; ineffectiveness, in 20 patients, accounting for 10.3%, with a total efficacy rate of 89.7%. In the control group, clinical cure occurred in 78 patients, accounting for 41.5%; marked effectiveness, in 34 patients, accounting for 18.1%; effectiveness, in 33 patients, accounting for 17.6%; ineffectiveness, in 43 patients, accounting for 22.9%, with a total efficacy rate of 77.1%.The clinical therapeutic effect was significantly better in the observation group than in the control group (P<0.05). There was a statistically significant pre-/post-treatment difference in the clinical score in the two groups (P<0.05) and a statistically significant post-treatment difference in the clinical score between the two groups (P<0.05).Conclusion Cupping can improve the clinical therapeutic effect on recurrent mycotic vaginitis and relieve its clinical symptoms.
4.Therapeutic Observation of Acupoint Thread Embedding in Preventing Urinary Retention After Cervical Cancer Surgery
Mei HONG ; lin Shuang SONG ; yi Jin TONG ; juan Cai LU
Shanghai Journal of Acupuncture and Moxibustion 2017;36(10):1229-1232
Objective To observe the clinical efficacy of acupoint thread embedding in preventing urinary retention after cervical cancer surgery.Method Fifty eligible patients were randomized into a treatment group and a control group, 25 cases each. The control group was given catheterization after gynecological surgery; the treatment group was intervened by thread embedding at Zusanli (ST36), Sanyinjiao (SP6), Yinlingquan (SP9), Guanyuan (CV4), and Shenshu (BL23) on the 7th day after the surgery in addition to the basic intervention given to the control group. The indwelling catheter was removed on the 14th day after the surgery, and the bladder function, urination, and residual urine volume were compared between the two groups.Result After the treatment, the bladder function in the treatment group was significantly better than that in the control group (P<0.05); the markedly effective rate of spontaneous micturition was 92.0% in the treatment group versus 72.0% in the control group, and the difference was statistically significant (P<0.05).Conclusion Early intervention with acupoint thread embedding after cervical cancer surgery can effectively decrease the incidence of post-surgery urinary retention, and it's easy-to-operation and worth application in clinic.
5.Therapeutic Observation of Scalp Cluster Needling in Treating Essential Tremor
Shanghai Journal of Acupuncture and Moxibustion 2017;36(10):1216-1219
Objective To observe the clinical efficacy of scalp cluster needling in treating essential tremor.Method Sixty patients with essential tremor were randomized into two groups, 30 cases each. The treatment group was intervened by scalp cluster needling plus acupuncture at the bilateral dancing tremor control zone; the control group was intervened by acupuncture at the dancing tremor control zone alone. The total effective rate and tremor score were observed after 30-day treatment, and the relapse rate was investigated 3 months after the intervention via telephone. Result The total effective rate was 96.7% in the treatment group, significantly higher than 73.3% in the control group (P<0.05); the tremor score of the treatment group was significantly lower than that of the control group at the end of the intervention (P<0.01); the 3-month telephone follow-up study showed that the relapse rate of the treatment group was significantly lower than that of the control group (P<0.05).Conclusion Scalp cluster needling plus acupuncture at bilateral dancing tremor control zone can produce a more notable efficacy in treating essential tremor compared to acupuncture at the dancing tremor control zone alone.
6.Comparative Study on Selecting Points Along and not Along Meridian in Treating Migraine
hong Zeng JIANG ; ju Min ZHOU ; jun Shang JIANG
Shanghai Journal of Acupuncture and Moxibustion 2017;36(10):1211-1215
Objective To investigate the different analgesic effects of acupuncture by selecting points along and not along the meridian in treating migraine, analyze the necessity of selecting points along the meridian in the treatment of migraine with acupuncture, and to provide evidence for the acupuncture treatment for migraine.Method Sixty-nine migraine patients were selected as the study subjects and randomized into Shaoyang meridian group, Yangming meridian group and a non-meridian point group by adopting a complete randomized design, 23 cases in each group, to respectively receive acupuncture at the Yuan-primary point of Foot Shaoyang Meridian Qiuxu (GB40), the Yuan-primary point of Foot Yangming Meridian Chongyang (ST42), and a non-meridian point at the midpoint between Qiuxu and Chongyang. Of the three groups, only Shaoyang meridian group selected point along the meridian. The improvements of pain intensity in the three groups were compared, and the pain intensity was measured by using Visual Analogue Scale (VAS). Nonparametric test was used to analyze whether there were significant differences in comparing the improvements of pain in the three groups.Result According to the statistical analyses, the pain intensities were improved significantly in each group (P<0.001), while there were no significant between-group differences in comparing the improvement of pain intensity (P>0.05).Conclusion In the treatment of migraine with acupuncture, selecting points along the meridian and not along the meridian (including non-meridian point) produces equivalent analgesic effect.
7.Therapeutic Observation of Scalp Cluster Needling plus Acupuncture at Conception Vessel Points for Generalized Anxiety Disorder
yan Zu ZHENG ; ying Xue YANG ; Te ZHANG
Shanghai Journal of Acupuncture and Moxibustion 2017;36(10):1207-1210
Objective To observe the clinical efficacy of scalp cluster needling plus acupuncture at Conception Vessel points in treating generalized anxiety disorder.Method Sixty eligible subjects were divided into a treatment group and a control group by the random number table, 30 cases each. The treatment group was intervened by scalp cluster needling plus acupuncture at Conception Vessel points including Tiantu (CV22), Danzhong (CV17), Zhongwan (CV12) and Xiawan (CV10); in the control group, Shenmen (HT7), Daling (PC7), Neiguan (PC6), Qimen (LR14), Xinshu (BL15), Hegu (LI4) and Taichong (LR3) were selected. The treatments were given once a day, 6 sessions followed by 1-day interval as a treatment course, for successive 8 courses in total. The Hamilton Anxiety Scale (HAMA) scores of the two groups were compared before and after the treatment and in the follow-up study; the clinical efficacies were also compared.Result The treatment protocols in the two groups were both effective in treating generalized anxiety disorder, while the markedly effective rate was significantly higher in the treatment group than in the control group (P<0.05). The HAMA scores after treatment and in the 1-month follow-up study were significantly different from the score before the treatment in both groups (P<0.01). There were significant differences in comparing the HAMA score between the two groups respectively after treatment and in the 1-month follow-up study (P<0.05). Conclusion Scalp cluster needling plus acupuncture at Conception Vessel points shows significant advantage in treating generalized anxiety disorder compared to the ordinary acupuncture method.
8.Therapeutic Observation of Abdominal Acupuncture plus Chinese Medication for Ureteral Calculus
Qiang CHEN ; Feng CHEN ; yu Jiao LEI ; ping Jian ZHANG ; nan Ya MAO
Shanghai Journal of Acupuncture and Moxibustion 2017;36(10):1186-1189
Objective To observe the clinical efficacy of abdominal acupuncture plus Chinese medication in treating ureteral calculus. MethodA total of 106 patients with ureteral calculus were randomized into an abdominal acupuncture group (53 cases) and a medication group (53 cases). The abdominal acupuncture group was intervened by abdominal acupuncture plus medication, with Shuifen (CV9), Xiawan (CV10), Jianli (CV11), Zhongji (CV3), Guanyuan (CV4) and Qihai (CV6) selected as the major points. The removal of stones and the release of pain were observed in the two groups, and the efficacies were compared between the two groups.Result The two treatment methods both effectively improved the pain and promoted the removal of stones; the Visual Analogue Scale (VAS) scores were significantly changed after the intervention in both groups (P<0.05). The time taken to mitigate and release pain was significantly shorter in the abdominal acupuncture group compared to the other group (P<0.01). The total effective rate was 88.7% (47/53) in the abdominal acupuncture group, superior to 73.6% (39/53) in the medication group (P<0.05).ConclusionAbdominal acupuncture plus medication can effectively mitigate pain, promote the removal of stones and reduce patient's sufferings in treating ureteral calculus.
9.Analysis of Application of Placebo Acupuncture in Recent 5 Years' Domestic Randomized Controlled Trials
yan Shou WANG ; Hui WANG ; Fei CAI ; jie Bao HAN
Shanghai Journal of Acupuncture and Moxibustion 2017;36(10):1269-1276
Objective To summarize the domestic design for placebo acupuncture and the placebo effect and explore an ideal design for placebo acupuncture.Method Three large Chinese databases CNKI, Wan Fang and Vip were searched to systematically review the application of placebo acupuncture in randomized controlled trials published at home in recent 5 years (2011.01—2016.11).Results and conclusions A total of 48 articles were included according the inclusion and exclusion criteria. An analysis was made of the kinds of diseases for acupuncture study, the methods of designing placebo acupuncture, the effects of placebo acupuncture and comparisons with foreign placebo acupuncture. Pain syndrome and insomnia were the main kinds of diseases for acupuncture study, accounting for 10 and 8 articles respectively. Acupuncture needles were the main kind of needles for placebo acupuncture, accounting for 66.6%. Sites beside acupoints were the main positions selected for placebo acupuncture, accounting for 58.3%. Not penetrating the skin predominated in the depth of needle insertion, accounting for 37.5%. The kinds of needles for placebo acupuncture were fewer than abroad. The effects of placebo acupuncture were not superior to those of acupuncture.
10.Preliminary Exploration of Sawada's Thought of Acupuncture Diagnosis and Treatment from "The Essence of Acupuncture"
Shanghai Journal of Acupuncture and Moxibustion 2017;36(10):1267-1268
By studying doctor Sawada's theoretical thought related to clinical experience in "The Essence of Acupuncture", it is found that the data recorded by Daita Bunji according to what he saw and heard provide many returning-to-nature treasures for mining. That plays an important guiding role in expanding the idea of acupuncture treatment and improving clinical therapeutic effects. This article outlines doctor Sawada's thought of acupuncture treatment from the theory of "one original, two opposite, three large, four spiritual and five distributed", the theory of abdominal"卍"symbol, and the development and application of tri-jiao theory. It is intended to make that well known. Posterity is lucky if it can be carried forward.