120 subjects were selected and divided into two groups to study resistance and intensity of 12 couples of Yuan point. Case group involved 60 subjects aged>50, suffered from duodenal ulcer (30 males, 30 females). Control group involved 60 subjects aged>50 (30 males, 30 females) without this condition. The results showed that: there were difference in resistance and intensity of Tai chong point (Iiv3) of the left and right body in both male and female (p<0.05-0.01), but not in the other ones. Resistance of 12 couples of Yuan point of duodenal-ulcer group was markedly higther whereas intensity was lower in comparing with control group, especially in Da ling TH7, Chong yang St42, Tai bai Sp3. Hegu Ll4. Yang chi HC4.
Peptic Ulcer, Acupuncture Points

OBJECTIVETo explore the acupoints selection rules on peptic ulcer treated with acupuncture and moxibustion,so as to provide references for acupoints clinical selecting.

METHODSLiterature on clinical report and clinical study for peptic ulcer treated with acupuncture and moxibustion was retrieved in CNKI, WANFANG, VIP, CBM, PubMed, Web of Science and other databases from January 1, 2003 to August 31, 2014,and acupoints selecting rules were summarized according to syndromes and symptoms.

RESULTSOne hundred and ten articles were acquired, and acupoints the first to the fifth used were Zhongwan (CV 12), Zusanli (ST 36), Weishu (BL 21), Pishu (BL 20) and Neiguan (PC 6). The main acupoints were Zhongwan (CV 12) and Zusanli (ST 36). As to acupoints mainly selected in accordance with different syndromes: (1)Weishu (BL 21), Pishu (BL 20), Neiguan (PC 6) were matched for the syndrome of deficiency cold in the spleen and the stomach. (2) Weishu (BL 21), Pishu (BL 20), Neiguan (PC 6), Geshu (BL 17) were combined for the syndrome of qi stagnation and blood stasis. (3) Weishu (BL, 21), Pishu (BL 20), Qimen (LR 14) for the syndrome of qi stagnation induced by liver depression. (4) Neiguan (PC 6) and Taichong (LR 3) for the syndrome of liver qi invading the stomach. (5) Weishu (BL 21) and Pishu (BL 20) for the syndrome of weakness of the spleen and the stomach. (6) Weishu (BL 21), Pishu (BL 20), Neiguan (PC 6), Gongsun (SP 4) for the syndrome of cold in the stomach. (7) Weishu (BL 21), Pishu (BL 20), Neiguan (PC 6), San yinjiao (SP 6) for the syndrome of yin deficiency in the stomach. (8) Weishu (BL 21), Pishu (BL 20), Neiguan (PC 6), Yinlingquan (SP 9), Ganshu (BL 18) for the syndrome of phlegm and dampness stagnation. As for acupoints majorly selected according to different symptoms, (1) Weishu (BL 21), Pishu (BL 20), Neiguan (PC 6), Taichong (LR 3) were combined for acid regurgitation. (2) Weishu (BL 21), Neiguan (PC 6), Tianshu (ST 25), Gongsun (SP 4) were selected for abdominal distension. (3) Weishu (BL 21), Neiguan (PC 6), Liangqiu (ST 34), Gongsun (SP 4) for unbearable stomach pain. (4) Weishu (BL 21), Pishu (BL 20), Neiguan (PC 6), Qihai (CV 6), Gongsun (SP 4) for lacking in strength.

CONCLUSIONWe treating peptic ulcer with acupuncture and moxibustion mainly choose Zhongwan (CV 12) and Zusanli (ST 36), and attach importance to acupoints selection based on syndrome and symptom differentiation.

Acupuncture Points ; Acupuncture Therapy ; Databases, Bibliographic ; Humans ; Moxibustion ; Peptic Ulcer ; therapy

OBJECTIVETo evaluate the efficacy and safety of acupuncture at Zhongwan (CV 12) for treatment of peptic ulcer.

METHODSTwo hundred and seventy-six cases enrolled were randomly divided into an acupuncture group and a control group, 138 cases in the acupuncture group were treated with deep needling at Zhongwan (CV 12) with a long needle, and 138 cases in the control group were treated with climetidine. The therapeutic effects were evaluated by clinical symptoms and gastroscopy. They were investigated for 6 weeks.

RESULTSThe acupuncture group was better than the control group in rapid alleviation of stomachache and improvement of appetite (P < 0.05). The total effective rate was 90.6% in the acupuncture group and 88.4% in the control group with no significant difference (P > 0.05). The symptoms improved significantly in the two groups (P < 0.01), but with no significant difference between the two groups (P > 0.05). There was no significant difference between the two groups in the therapeutic effect of gastroscopy (P > 0.05).

CONCLUSIONAcupuncture at Zhongwan (CV 12) has a reliable therapeutic effect on peptic ulcer.

Acupuncture Points ; Acupuncture Therapy ; Adolescent ; Adult ; Aged ; Female ; Humans ; Male ; Middle Aged ; Peptic Ulcer ; therapy