1.Clinical study of usual acupuncture methods and cross insertion for peripheral facial paralysis.
Harumi KAMAMUTA ; Haruto KINOSHITA
Journal of the Japan Society of Acupuncture and Moxibustion 1988;38(4):437-442
We proved that acupuncture insertion at a 45 degree angle to the path of the gastrocnemius muscle tissue of animals serves to relieve muscle fatigue. This was done as preparatory research to determine whether good results could be obtained using this insertion method in the treatment of peripheral facial nerve paralysis. Acupuncture points used were GB-14, TAIYO, SI-18, ST-4, ST-6, ST-5 and TE-17 on the face and GB-20, GB-21, BL-38 and LI-11. Stationary insertion was administered for a period of 15 minutes using 50mm No. 20 stainless steel needles.
No results were obtained with acupuncture therapy in 2 cases in which the symptoms were the after-affects of surgery, however results were obtained in 80% of Bell's Palsy cases and 70% of Hunt Syndrome cases. Fewer treatments were required in Bell's Palsy cases. Moreover a comparison of results in a former acupuncture therapy methods group in which insertion was performed without considering the muscle path, and the cross-insertion group, showed cure in 5 Bell's Palsy cases or 42% in the former group and 8 cases or 62% in the cross-insertion group. From the fact that results were obtained in the cross-insertion group with significantly fewer treatments it was indicated that the direction of acupuncture insertion is extremely important.
2.Research concerning standard locations of meridian points on the regio scapularis and the hands.
Harumi KAMAMUTA ; Haruto KINOSHITA
Journal of the Japan Society of Acupuncture and Moxibustion 1989;39(3):318-325
With the internationalization of acupuncture the worid unification of meridians and points basic to acupuncture medicine has become essential. At the present studies are underway aimed at the internationalization of meridians and meridian points. To aid in this effecrt we conducted research on the standard location of points in the scapular region and on the hands. Using the classic Writings from the SOMON thru the SHINKYU SHUEI and adopting as far as possible older classics we obtained the following results. In this study there was no need for the classic standard local scale however the distance from TE13 to the inferior angle of the scapuiar converted according to height of 6.6 fcun was established as a clinical scale. In the scapular area with the exception of SI11 all points- LI16, TE15, SI12, SI13 and G21 could be determined anatomically. On the hands thanks to protrubences, bulges, joints and so on it was possible to determine all points anatomically. This included on the Yin meridians, 2 points on the Lung Meridian, 2 points on the Pericardium Meridian, 2 points on the Heart Meridian. On the Yang meridian it included 4 points on the Large Intestine Meridian, 2 points on the Triple Warmer Meridian, 4 points on the Small Intestine Meridian. Among these the well points on the tips of the fingers were determined as 1/10 middle finger fcun above the angle of the margin occultus unguis on the respective fingers.
3.Clinical Observation on Periartthite Scapulohumera.
Harumi KAMAMUTA ; Tatsuya KOBAYASHI ; Noriho KINOSHITA ; Haruto KINOSHITA
Journal of the Japan Society of Acupuncture and Moxibustion 1991;41(2):190-197
Using 69 patients afflicted with arthralgia of the shoulder joint accompanied by motor limitations as subjects we conducted research to determine to what extent the nature of the shoulder arthralgia could be assumed based upon clinical observations centered around interview and palpation tests.
Our method was to determine guide symptoms for various shoulder joint diseases and make assumptions as to the origin of the patient's condition based on the rate of occurrence of these symptoms.
Results revealed 34 (49%) cases of adherent inflammation of the articular capsule, 12 cases of inflammation of the synovial bursa of the acromion and 9 cases of tendonitis of the long head of the biceps brachii muscle. In addition cases of tendinitis of the rotator cuff tendonits of the supraspinatus muscle and inflammation of the coracoidal process were assumed. In some cases there was pain in the posterior area of the shoulder and tenderness was observed in the tendon of the triceps brachii muscle in 5 cases. It was shown that assumptioons such as these based upon clinical observation are to some extent helpful in diagnosis.
4.Clinical Observations on Cervical Brachialgia.
Noriho KINOSHITA ; Harumi KAMAMUTA ; Tatsuya KOBAYASHI ; Haruto KINOSHITA
Journal of the Japan Society of Acupuncture and Moxibustion 1991;41(3):339-345
Making external reference observations the object of our study, we attempted to assume the root disease in 60 subjects afflicted with cervical brachialgia.
Results showed 3 cases of cervical-spinal disease symptoms assumed from sensory disturbances of the upper and lower extremities or gait disturbances, etc.; 27 cases of cervical nerve root symptoms determined by the Spurling Test and pain and tenderness with backward flexion of the cervical vertebrae; 18 cases of thoracic outlet syndrome determined through the Wright Test, and Morley Test, etc. 5 cases of cervico-scapulo-brachial syndrome did not show the above mentioned disease conditions and 7 cases were undetermined.
The above was not conclusive diagnosis but it did help in assuming an outline of the disease conditions. From the point of view of therapeutic results it was observed that acupuncture therapy was not appropriate for spinal symptoms, appropriate to a degree for nerve root symptoms and appropriate for thoracic outlet syndrome.