Diabetic Neuropathies ; therapy ; Medicine, Chinese Traditional

OBJECTIVETo observe therapeutic effect of acupuncture on diabetic peripheral neuropathy (DPN) and explore the mechanism.

METHODSSixty-eight cases of DPN were treated with acupuncture at Jianyu (LI 15), Quchi (LI 11), Waiguan (TE 5) etc. and their blood sugar, blood lipids and hemorrheologic indexes and nerve conductive velocity before and after treatment were determined.

RESULTSAfter treatment, 43 cases were markedly effective, 20 cases were effective and 5 cases were ineffective, with a total effective rate of 92.6%; the nerve conductive velocity, plasma insulin, C-peptide, opioid peptides increased significantly (P<0.01) and blood viscosity significantly decreased (P<0.01).

CONCLUSIONAcupuncture has a definite therapeutic effect on DPN and the increase of nerve conductive velocity is possibly related with the increase of plasma opioid peptides.

Diabetic Neuropathies ; drug therapy ; Drugs, Chinese Herbal ; therapeutic use ; Humans

OBJECTIVETo observe therapeutic effect of acupuncture on peripheral diabetic neuropathies in the African area.

METHODSFive Shiu points on the four limbs were selected. Jing (well-point) was needled by pricking method for blood letting, and acupuncture was given at points Xing (spring-point), Shu (stream-point), Jing (river-point) and He (sea-point), and after arrival of qi, the needles were retained for 30 min, once every other day, for 2 therapeutic courses.

RESULTSForty-five cases were markedly effective and 68 cases were effective, the total effective rate being 89.68%.

CONCLUSIONAcupuncture has obvious therapeutic effect on diabetic neuropathies in the African area.

OBJECTIVE: To observe the effect of acupuncture at METHODS: Sixty patients with type-2 diabetic peripheral neuropathy were randomly divided into an observation group and a control group, 30 cases in each one. Both groups were treated with basic treatment, and the observation group was additionally treated with acupuncture at Neiting (ST 44), Xiangu (ST 43), Dadu (SP 2), Taibai (SP 3), Zusanli (ST 36), etc. once every other day, 3 times a week for 4 weeks. The changes of TCM symptom score, Toronto clinical assessment (TCSS) score, visual analogue scale (VAS) score of pain and serum tumor necrosis factor α(TNF-α) level were observed before and after treatment in the two groups, and the clinical effects of the two groups were evaluated. RESULTS: Compared before treatment, the TCM syndrome score and the TCSS score in the two groups were reduced after treatment ( CONCLUSION Acupuncture at
Acupuncture Points ; Acupuncture Therapy ; Diabetes Mellitus, Type 2/therapy* ; Diabetic Neuropathies/therapy* ; Humans ; Rivers ; Treatment Outcome

OBJECTIVETo compare therapeutic effects of acupuncture and mosapride in relieving diabetic gastroparesis.

METHODSForty cases were randomly divided into a treatment group and a control group, 20 cases in each group. The treatment group were treated by acupuncture at Zhongwan (CV 12) and Zusanli (ST 36), and the control group by oral administration of mosapride 5 mg, t. i. d. Their therapeutic effects were evaluated by indexes of therapeutic effect.

RESULTSThe total effective rate was 95.0% in the treatment group and 83.3% in the control group with a significant difference between the two groups (P<0.05), and the adverse effect in the treatment group was less than that in the control group (P<0.05).

CONCLUSIONAcupuncture can significantly relieve diabetic gastroparesis, the therapeutic effect being better than mosapride, with a less adverse effects.

OBJECTIVETo compare the clinical efficacy differences between warming acupuncture and conventional acupuncture for diabetic peripheral neuropathy (DPN) with syndrome of deficiency and cold coagulation, obstruction of collaterals and blood stasis.

METHODSA total of 64 patients were randomly divided into a warming acupuncture group and a conventional acupuncture group, 32 cases in each one. Based on basic treatment of blood glucose regulation, warming acupuncture was applied at Pishu (BL 20), Shenshu (BL 23), Guanyuanshu (BL 26), Zusanli (ST 36), Chongyang (ST 42), Quchi (LI 11) and Hegu (LI 4) in the warming acupuncture group, while acupuncture was applied at the identical acupoints in the conventional acupuncture group. Both the treatments were given once a day with an interval of one day every six days; totally the treatment was given for 4 weeks. The TCM symptom score, Toronto clinical scoring system (TCSS) and nerve conduction velocity (NCV) before and after treatment were compared in the two groups.

RESULTSAfter treatment, the TCM symptom scores in the two groups were significantly reduced (both <0.01); the improvement of TCM symptom in the warming acupuncture group was superior to that in the conventional acupuncture group (<0.05). After treatment, the TCSS scores in the two groups were significantly reduced (both <0.01); the TCSS score in the warming acupuncture group was significantly lower than that in the conventional acupuncture group (<0.05). After treatment, the NCV of motor nerve of tibial nerve and nervus peroneus communis, as well as sensory nerve of tibial nerve and sural nerve was improved in the warming acupuncture group (all <0.05), while only the NCV of motor nerve and sensory nerve of tibial nerve was improved in the conventional acupuncture group (both <0.05); there were no significant difference between the two groups (all >0.05).

CONCLUSIONWarming acupuncture and conventional acupuncture could both increase TCM symptom score, improve NCV in patients of DPN with syndrome of deficiency and cold coagulation, obstruction of collaterals and blood stasis; warming acupuncture has advantage in symptom improvement.

Diabetic Neuropathies ; drug therapy ; Drugs, Chinese Herbal ; therapeutic use ; Humans ; Nerve Regeneration ; drug effects

Diabetes Mellitus ; Diabetic Neuropathies ; drug therapy ; physiopathology ; Drugs, Chinese Herbal ; pharmacology ; therapeutic use ; Humans ; Inventions

Diabetic Neuropathies ; blood ; drug therapy ; Drugs, Chinese Herbal ; therapeutic use ; Humans ; Nitric Oxide ; blood ; Phytotherapy