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Effect of Different Needle-retaining time on Post-stroke Hypermyotonia in Acupuncture Treatment

Chuan YU ; Bin SHEN ; Shiwen XU ; Yingwei WANG

Shanghai Journal of Acupuncture and Moxibustion.2015;(5):403-405. doi:10.13460/j.issn.1005-0957.2015.05.0403

Objective To compare the effect of different needle-retaining time on post-stroke hypermyotonia in acupuncture treatment.Method Ninety patients with post-stoke hypermyotonia were randomized into group A, group B, and group C, 30 in each group. The three groups were all treated by the twelve hand-foot needling method from the thirteen therapies invented by acupuncture master WANG Le-ting, once a day, 5 times a week, 20 times in total. For group A, needles were removed right after needling qi arrived; for group B, needles were retained for 30 min after needling qi arrived; for group C, needles were retained for 60 min after needling qi arrived. The modified Ashworth Scale (MAS), Clinical Spasticity Index (CSI), and Fugl-Meyer assessment scale (FAS) were adopted for observation before and after intervention.Result After treatment, the MAS was significantly changed in all three groups (P<0.05). The CSI score and FAS score of the affected limb were significantly changed in all three groups after intervention (P<0.05). Both group A and B were significantly different from group C in comparing the CSI and FAS scores (P<0.05).Conclusion Compared to retaining needles for 60 min, acupuncture without retaining needles or retaining needles for 30 min can produce better effect in improving post-stroke hypermyotonia, spasticity, and motions of limbs.

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Effect of Acupuncture at Jiaji (EX-B 2) plus Botulinum Toxin Injection on Seated Function of Patients with Spastic Cerebral Palsy

Wenjie FU ; Yong ZHAO ; Zhenhuan LIU

Shanghai Journal of Acupuncture and Moxibustion.2015;(5):400-402. doi:10.13460/j.issn.1005-0957.2015.05.0400

Objective To observe the effect of acupuncture at lumbar Jiaji (EX-B 2) points plus botulinum toxin injection on the seated function of patients with spastic cerebral palsy.Method Sixty patients aged 1-4 years old with spastic cerebral palsy were randomized into a treatment group and a control group, 30 in each group. The treatment group was intervened by acupuncture at lumbar Jiaji (EX-B 2) points plus botulinum toxin injection, while the control group was by conventional acupuncture plus botulinum toxin injection. After 3 treatment courses, the seated function zone (zone B) of Gross Motor Function Measure (GMFM) was used for evaluation, and the clinical efficacies were compared.Result Respectively after 1, 2, and 3 treatment courses, the total effective rates were 46.7%, 73.3% and 83.3% in the treatment group, versus 33.3%, 46.7% and 60.0%. There were significant differences in comparing the total effective rate between the two groups after 2 and 3 courses (P<0.05). After the first treatment course, the seated function score of GMFM was significantly changed in both groups (P<0.01). After the second course, the seated function score was significantly different from that after the first course in both groups (P<0.01). After the third course, the seated function score was significantly different from that after the second course in both groups (P<0.01). There was a significant between-group difference in comparing the changes of the seated function score during the second treatment course (P<0.01). There was a significant between-group difference in comparing the changes of the seated function score during the second treatment course (P<0.05). Conclusion Acupuncture at lumbar Jiaji (EX-B 2) points plus botulinum toxin injection can produce a more significant efficacy in improving the seated function of patients with spastic cerebral palsy.

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Research Progress of Acupuncture-moxibustion in Treating Toothache

Li CHEN ; Ying ZHANG

Shanghai Journal of Acupuncture and Moxibustion.2015;(5):483-486. doi:10.13460/j.issn.1005-0957.2015.05.0483

Objective To discuss the clinical efficacy and mechanism research progress of acupuncture-moxibustion in treating toothache, for providing better treatment methods and clinical evidence.Method Taking “toothache”, “acupuncture”, “moxibustion”, “acupoint” as the key terms, clinical research literatures about acupuncture-moxibustion in treating toothache during the recent 10 years were retrieved by using computer, and were then arranged and analyzed.Result There is a variety of acupuncture-moxibustion methods in treating toothache, and the methods are effective.Conclusion Acupuncture-moxibustion therapy is effective in treating toothache, and deserves a large-sample multi-centered randomized research.

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Dynamic Observation of the Effect of Acupuncture at Hegu (LI 4) and Zusanli (ST 36) on Brain Function

Shuhui QUE ; Xing GU

Shanghai Journal of Acupuncture and Moxibustion.2015;(5):475-479. doi:10.13460/j.issn.1005-0957.2015.05.0475

Objective To reveal the real-time effect of puncturing Hegu (LI 4) and Zusanli (ST 36) on the central nervous system. Method Nine healthy volunteers were observed for the dynamic change of magnetic encephalography (MEG) after receiving acupuncture at Hegu (LI 4), Zusanli (ST 36) and non-acupoint.Result Acupuncture at Hegu (LI 4), Zusanli (ST 36) and non-acupoint can produce different effects on MEG.Conclusion MEG can be a specific detection in studying the sensation transmission of Hegu (LI 4) and Zusanli (ST 36), and acupuncture at the two points can affect different regions of brain.

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Current Research Status and Analysis of Electroacupuncture Parameters for Post-operative Pain

Tianyi ZHAO ; Qiang XI ; Yi GUO

Shanghai Journal of Acupuncture and Moxibustion.2015;(5):464-467. doi:10.13460/j.issn.1005-0957.2015.05.0464

Objective To find the optimal stimulation parameters of electroacupuncture for incision pain and visceral dragging pain after surgery.Method Databases including the China National Knowledge Infrastructure (CNKI), WanFang (WF), VIP and PubMed were retrieved by using computer. The eligible literatures related to the clinical and experimental studies on electroacupuncture for post-operative pain were summarized and the frequencies of the involved electroacupuncture parameters were counted.Result For incision pain, electroacupuncture was used after surgery, with continuous wave, usually a low frequency ranged 2~15 Hz and a current of 2~5 mA; for visceral dragging pain, electroacupuncture was used before surgery, with sparse-intense wave, alternate frequencies majorly at 2/100 Hz and a medium or low current intensity within patient’s endurance. Conclusion In clinical application, the elctroacupuncture parameters should be chosen carefully according to the type of post-operative pain.

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Clinical Study on Abdominal Acupuncture plus Herbal Medicine for Chronic Pelvic Pain Due to Qi Stagnation and Blood Stasis

Yujuan SONG ; Dianquan ZHANG ; Danping SU

Shanghai Journal of Acupuncture and Moxibustion.2015;(5):442-443. doi:10.13460/j.issn.1005-0957.2015.05.0442

Objective To observe the clinical efficacy of abdominal acupuncture plus herbal medicine in treating chronic pelvic pain due to qi stagnation and blood stasis after pelvic inflammatory diseases.Method Sixty patients with chronic pelvic pain due to qi stagnation and blood stasis after pelvic inflammatory diseases were randomized into a treatment group and a control group, 30 in each group. The treatment group was intervened by abdominal acupuncture plus herbal medicine, while the control group was by herbal medicine alone. After 3 menstrual cycles, the Visual Analogue Scale (VAS) for abdominal pain and McCormack scale were observed.Result After intervention, the abdominal VAS score and McCormack score were changed significantly in both groups (P<0.01,P<0.05). After intervention, there were significant differences in comparing the VAS score and McCormack score between the two groups (P<0.01).Conclusion Abdominal acupuncture plus herbal medicine can reduce chronic pelvic pain due to qi stagnation and blood stasis after pelvic inflammatory diseases.

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Therapeutic Observation of Acupuncture plus Chinese Herbal Medicine for Nonalcoholic Fatty Liver Disease

Shuiyuan XIA

Shanghai Journal of Acupuncture and Moxibustion.2015;(5):428-430. doi:10.13460/j.issn.1005-0957.2015.05.0428

Objective To observe the clinical efficacy of acupuncture plus Chinese herbal medicine in treating nonalcoholic fatty liver disease.Method Totally 132 patients with nonalcoholic fatty liver disease were randomized into a treatment group of 67 cases and a control group of 65 cases. The treatment group was intervened by acupuncture plus Chinese herbal medicine, while the control group was by oral administration of Silibinin capsules. Liver function, blood lipid level, and type-B ultrasonic check were observed before and after intervention, and the clinical efficacies were compared.Result ALT and AST contents were changed significantly after intervention in both groups (P<0.01). There were no significant differences in comparing ALT and AST contents between the two groups after intervention (P>0.05). After intervention, TC, HDL, TG, and LDL contents were significantly changed in both groups (P<0.01,P<0.05). There were no significant differences in comparing TC, HDL, TG, and LDL contents between the two groups after intervention (P>0.05). The total effective rate was 95.5% in the treatment group versus 90.8% in the control group, and the difference was statistically insignificant (P>0.05).Conclusion Acupuncture plus herbal medication is an effective approach in treating nonalcoholic fatty liver disease, as it can improve liver function and down-regulate lipid level.

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Therapeutic Observation of Electroacupuncture plus Puncturing the Thirteen Ghost Points for Diabetic Gastroparesis

Weihua WANG ; Shi WANG

Shanghai Journal of Acupuncture and Moxibustion.2015;(5):426-427. doi:10.13460/j.issn.1005-0957.2015.05.0426

Objective To observe the clinical efficacy of electroacupuncture plus puncturing the thirteen ghost points in treating diabetic gastroparesis.Method Sixty patients with diabetic gastroparesis were randomized into a treatment group and a control group, 30 in each group. The treatment group was intervened by electroacupuncture plus puncturing the thirteen ghost points, while the control group was by electroacupuncture alone. The clinical efficacies were then compared.Result The total effective rate was 93.3% in the treatment group versus 83.3% in the control group, and the difference was statistically significant (P<0.05). Conclusion Electroacupuncture plus puncturing the thirteen ghost points is an effective approach in treating diabetic gastroparesis.

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Observations on theEfficacy of Wrist-ankle Acupuncture plus Continuous Exercise Therapy for Post-stroke ShoulderPain

Jiayong WU ; Baoye YE ; Xiehua XUE ; Saie HUANG ; Zhicheng LIN ; Jiangcong HONG

Shanghai Journal of Acupuncture and Moxibustion.2015;(5):409-411. doi:10.13460/j.issn.1005-0957.2015.05.0409

ObjectiveTo investigate the clinical efficacy of wrist-ankle acupuncture plus continuous exercise therapy for post-stroke shoulder pain.MethodsEighty patients with post-stroke shoulder pain were randomly allocated to treatment and control groups, 40 cases each. The control group received continuous exercise training with an upper limb multi-joint rehabilitation training instrument and the treatment group, wrist-ankle acupuncture in addition. The affected limb SEP N9 and N13 latency values, shoulder pain severity (the VAS score) and the upper limb motor function score were observed in the two groups before and after treatment. The clinical therapeutic effects were compared between the two groups.ResultsThe total efficacy rate was 90.0% in the treatment group and 75.0% in the control group; there was a statistically significant difference between the two groups (P<0.05). There was a statistically significant pre-/post-treatment difference in SEP N9-N13 wave interval on the affected side in the two groups (P<0.01). There was a statistically significant post-treatment difference in SEP N9-N13 wave interval on the affected side between the treatment and control groups (P<0.05). There were statistically significant pre-/post-treatment differences in the VAS score and the Fugl-Meyer score in the two groups (P<0.01). There were statistically significant post-treatment differences in the VAS score and the Fugl-Meyer score between the treatment and control groups (P<0.01).ConclusionsWrist-ankle acupuncture plus continuous exercise therapy is an effective way to treat post-stroke shoulder pain.

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Clinical Study on Ginger-partitioned Moxibustion in Improving Blood Flow Velocity in Lower Limbs of Post-stroke Patients

Xue ZHANG ; Yanqun HU ; Rui ZHAO

Shanghai Journal of Acupuncture and Moxibustion.2015;(5):406-408. doi:10.13460/j.issn.1005-0957.2015.05.0406

Objective To observe the clinical efficacy of ginger-partitioned moxibustion in improving blood flow velocity in lower limbs of post-stroke patients.Methods Ninety post-stroke patients were randomized into a treatment group and a control group, 45 in each group. The treatment group was intervened by ginger-partitioned moxibustion, while the control group was by conventional acupuncture. Before and after intervention, the blood flow velocity in lower limbs, National Institute of Health Stroke Scale (NIHSS) and modified Barthel Index (MBI) were evaluated.Results After 4-week treatment, the maximum blood flow velocity (Vmax) was significantly changed in the treatment group (P<0.05), and there was a significant difference in comparing the Vmax between the two groups after intervention (P<0.05); the NIHSS and MBI scores were significantly changed after intervention in the treatment group (P<0.05), and there was a significant difference in comparing MBI score between the two groups after intervention (P<0.05).Conclusions Ginger-partitioned moxibustion can accelerate the blood flow velocity in lower limbs of the post-stroke patients, improve blood circulation and the activities of life.

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