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Data Mining and Analysis of Acupuncture Treatment for Diabetes

Hangfei ZHANG ; Hongyong DENG ; Ling ZHAO ; Ke CHENG ; Haimeng ZHANG ; Haiping DENG

Shanghai Journal of Acupuncture and Moxibustion.2014;(12):1173-1177. doi:10.13460/j.issn.1005-0957.2014.12.1173

ObjectiveTo explore the characteristics of and regularities in the application of points for acupuncture treatment of diabetes in clinical literature.MethodOne hundred and two pieces of clinical literature on acupuncture treatment for diabetes published from 1998 to 2013 were sorted out, sifted, entered and statistically analyzed using modern computer and data mining technology to summarize the characteristics of and regularities in the application of acupoints in the literature.ResultSanyinjiao was the most frequently used point for acupuncture treatment of diabetes (68). Two points[Pishu(BL20)and Shenshu(BL23)], three points[Pishu, Shenshu andSanyinjiao(SP6); Weiwanxiashu(Ex-B3), Pishu and Shenshu], four points[Zusanli(ST36),Pishu, Shenshu and Sanyinjiao]and five points[Zusanli, Pishu, Shenshu, Weiwanxiashu and Sanyinjiao]were the most frequently used point combinations. The most frequently used meridian was the Bladder Meridian of Foot-Taiyang (260). The selected points were distributed on the back and the lower limb. The proportion of used specific points reached 74.5%. Five Shu points and Back-Shu points were used most frequently. The proportion of using manual acupuncture was 57.6%. Treatments with the cooperation of Dietary control and exercise conditioning accounted for 64.4%.ConclusionAcupuncture treatment of diabetes is mainly based on regulating the middle Jiao, with the upper Jiao and the lower Jiao taken into account. Specific points are the main part of point combinations. Manual acupuncture is the main treatment and meanwhile, attention is paid to adjusting life style.

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Protecting Effects of Different Time-course Electroacupuncture Pretreatments on Blood-brain Barrier Function in Cerebral Ischemia Rats

Jianxun LIU ; Xianming LIN

Shanghai Journal of Acupuncture and Moxibustion.2014;(12):1169-1172. doi:10.13460/j.issn.1005-0957.2014.12.1169

ObjectiveTo investigate the impactsof different time-course electroacupuncture pretreatments on brain water content and blood-brain barrier permeability and assess their protecting effects on blood-brain barrier functionin cerebral ischemia rats. MethodClean-grade healthy male SD rats were randomly allocated to five groups (n=48): model control group, and one-day, three-day, seven-day and fifteen-day electroacupuncture pretreatment groups. A rat model of unilateral middle cerebral artery occlusion (MCAO) was made after electroacupuncture pretreatment was finished in various electroacupuncture groups. The water content of the brain and the amount of EB through blood brain barrier were measured at 12, 24 and 48 hrs after cerebral ischemia. ResultBoth brain water content and EB permeation amount were lower at 12 and 48 hrs than at 24 hrs after cerebral ischemia (P<0.05). There was a significant reducing effect on brain water content and EB permeation amount in the fifteen-day electroacupuncture pretreatment group at various time points after cerebral ischemia (P<0.05,P<0.01,P<0.001).Conclusion The blood-brain barrier is impaired most severely at 24 hrs of the three time points 12, 24 and 48 hrs after cerebral ischemia. Electroacupuncture pretreatment can produce a protecting effect on blood-brain barrier function in cerebral ischemia rats by markedly reducing cerebral edema and blood-brain barrier permeability.

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Clinical Observations on Coiling-dragon Warm Needling at Huatuo Jiaji Points as Main Treatment for Ankylosing Spondylitis

Yifeng CHAI ; Tao MA ; Wenxue HUANG ; Xiangyun LIU ; Maoliang ZHANG

Shanghai Journal of Acupuncture and Moxibustion.2014;(12):1147-1149. doi:10.13460/j.issn.1005-0957.2014.12.1147

ObjectiveTo investigate the clinical efficacy of coiling-dragon warm needling atHuatuo jiaji points plus Chinese herbal fumigation in treating ankylosing spondylitis (AS).MethodEighty AS patients were randomly allocated to treatment and control groups, 40 cases each. The treatment group received coiling-dragon warm needling at Huatuo jiaji points plus Chinese herbal fumigation and the control group, oral administration of salicylazosulfapyridine (SASP). An investigation was made of the Bath Ankylosing Spondylitis Disease Activity Index (BASDAI), the patients’ overall assessment, the Bath Ankylosing Spondylitis Functional Index (BASFI), the total number of swollen joints, the Bath Ankylosing Spondylitis Measurement Index (BASMI) and laboratory inflammatory indices: erythrocyte sedimentation rate (ESR), platelet (PLT) and C reactive protein (CRP).ResultThere was a statistically significant difference in the marked efficacy rate between the two groups (P<0.05). Clinical indices: disease activity index and functional index and laboratory indices: ESR, PLT and CRP improved somewhat inboth groups of patients after treatment (P<0.05). After two courses of treatment, the therapeutic effect was better in the treatment group and there was a statistically significant difference compared with the control group (P<0.05).ConclusionCoiling-dragon warm needling at Huatuo jiaji points plus Chinese herbal fumigation can effectively relieve the clinical symptoms and reduce inflammatory reactions in the active stage in AS patients. It is an effective way to treat AS.

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Observations on the Efficacies of Acupuncture plus Moxibustion Versus Acupuncture plus TDP Lamp in Treating Rheumatoid Arthritis

Shiguang WANG ; Xuewen MAO ; Xiaoping ZHOU ; Jie ZHAO ; Qiuyang HONG

Shanghai Journal of Acupuncture and Moxibustion.2014;(12):1144-1146. doi:10.13460/j.issn.1005-0957.2014.12.1144

ObjectiveTo compare the clinical efficacies of acupuncture plus TDP lamp versus acupuncture plus moxibustion in treating rheumatoid arthritis.MethodOne hundred and fifty patients were randomly allocated to treatmentand control groups, 75 cases each. The treatment group received acupuncture plus moxibustion and the control group, acupuncture plus TDP radiation.Both groups were treated for two courses. The VAS scores and the clinical sign grades and scores were compared between the two groups before and after treatment.ResultThe VAS score and the clinical sign score improved in both groups after treatment compared with before (P<0.05). The total efficacy rate was 93.3% in the treatment group and 78.7% in the control group; there was a statistically significant difference between the two groups (P<0.05). The effect was better in the treatment group than in the control group.ConclusionAcupuncture plus moxibustion is more effective than acupuncture plus TDP lamp in treating rheumatoid arthritis.

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Clinical Observations on Heat-sensitivePoint Yaoyangguan Moxibustion for Treatment of Sciatica

Guowei CAI ; Jing LI ; Pengfei LI ; Man WU

Shanghai Journal of Acupuncture and Moxibustion.2014;(12):1141-1143. doi:10.13460/j.issn.1005-0957.2014.12.1141

ObjectiveTo investigate the clinical efficacy of heat-sensitivepoint Yaoyangguan(GV3)moxibustion for sciatica and preliminarily explore the mechanism of its action.MethodOne hundred and twelve sciatica patients were randomly allocated to heat-sensitive point Yaoyangguan moxibustion (observation), non-heat-sensitive point Yaoyangguan suspended moxibustion (control) and medication groups. The observation group received heat-sensitive point Yaoyangguan moxibustion; the control group, non-heat-sensitive point Yaoyangguan suspended moxibustion; the medication group, oral administration of Yaobitong capsules. The clinical symptoms were scored, the Pain Rating Index (PRI), the Visual Analogue Scale (VAS) and the Present Pain Intensity (PPI) scores were counted and serum IL-8 content was measured in the three groups beforeand after 15 days of treatment.ResultAfter 15 days of treatment, all the three treatments had a certain therapeutic effect on sciatica. The therapeutic effect was bestin the observation group (P<0.05). The PRI, VAS and PPI scores and serum IL-8 contentdecreased in all the three groups compared with before treatment (P<0.05) and were lower in the observation group than in the control and medication groups (P<0.05). There was no statistically significant difference between the control and medication groups (P>0.05).ConclusionHeat-sensitive point Yaoyangguan moxibustion has a better therapeutic effect than non-heat-sensitive point Yaoyangguan suspended moxibustion and oral administration of Yaobitong capsules. This method is an ideal treatment for sciatica. The mechanism may be related to a posttreatment decrease in inflammatory factors in the diseased region.

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Clinical Study of Qi-guiding Acupuncture at Points Selected According to Meridian Differentiation for Treatment of Lumbar Intervertebral Disc Herniation

Yaochi WU ; Yijun SUN ; Junfeng ZHANG ; Yan LI ; Yiyi ZHANG ; Chongmiao WANG

Shanghai Journal of Acupuncture and Moxibustion.2014;(12):1138-1140. doi:10.13460/j.issn.1005-0957.2014.12.1138

ObjectiveTo investigate the efficacy of meridian differentiation-based point selection plus qi-guiding acupuncture in treating lumbar intervertebral disc herniation.MethodFive hundred and forty-nine patients with lumbar intervertebral disc herniation were randomly allocated, using a random number table, to two groups. The treatment group of 280 patients received qi-guiding acupuncture at points selected according to meridian differentiation and the control group, electroacupuncture at points selected according to meridian differentiation.ResultThe total efficacy rate was 87.5% in the treatment group and 86.6% in the control group; there was no statistically significantdifference between the two groups (P>0.05). The cure rate was 51.8% in the treatment group and41.6% in the control group; there was a statistically significant difference between the two groups (P<0.05). ConclusionThe total efficacy rate of qi-guiding acupuncture at points selected according to meridian differentiation for lumbar intervertebral disc herniation is similar to that of electroacupuncture at points selected according to meridian differentiation, but the cure rate of the former is higher thanthat of the latter.

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Comparative Study on Heat-sensitive Moxibustion Versus Warm Needling for Cervical Spondylosis of Vertebroarterial Type

Kaitao LUO ; Feng GAO ; Daowei ZHAN ; Xibing YANG ; Laihua SHEN

Shanghai Journal of Acupuncture and Moxibustion.2014;(12):1135-1137. doi:10.13460/j.issn.1005-0957.2014.12.1135

ObjectiveTo compare the efficacies between heat-sensitive moxibustion and warm needling in treating cervical spondylosis of vertebroarterial type.MethodTotally 120 patients with cervical spondylosis of vertebroarterial type were randomized into a heat-sensitive moxibustion group and a warm needling group, 60 in each group. In addition to acupuncture at bilateral Fengchi (GB20), Wangu (GB12), Tianzhu (BL10), Dazhui (GV14) and Baihui (GV20), the heat-sensitive moxibustion group was given mild moxibustion to the heat-sensitive points in cervical and scapular regions, while the warm needling group was given regular moxibustion.ResultGenerally, after 20 treatment sessions, efficacy wasfound in both groups, and there were significant differences in both groups after intervention (P<0.05), while the improvements of integral score, dizziness, cervical and shoulder pain, and the recovery and markedly-effective rate in the heat-sensitive moxibustion group were significantlysuperiorto that in the warm needling group (P<0.05).ConclusionCompared to warm needling treatment, heat-sensitive moxibustion can more significantly improve dizziness and pain in patients with cervical spondylosis of vertebroarterial type, and thus enhance the therapeutic efficacy.

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Clinical Observation of Warm Needling for Tinnitus

Yi CAO ; Na JIANG ; Haiyan DONG

Shanghai Journal of Acupuncture and Moxibustion.2014;(12):1124-1126. doi:10.13460/j.issn.1005-0957.2014.12.1124

ObjectiveTo observe the clinical efficacy of acupuncture-moxibustion in treating tinnitus.MethodNinety-eight patients with tinnitus were divided into a warm-needling group (n=32), an acupuncture group (n=34), and a medication group (n=32), to observe thetherapeuticefficacies.ResultThe total effective rate was 83.3% in the warm-needling group, versus 78.8% in the acupuncture group and 60.0% in the medication group.ConclusionWarm needling and acupuncture plus TDP are both superior to the medication treatment in comparing the therapeutic efficacy.

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Effect of Muscle-region Alignment Needling plus Dermal Needle Therapy on the Long-term Therapeutic Efficacy for Post-stroke Upper-limb Spasticity

Baochang ZHANG ; Shukai HAN ; Weina GAO ; Yuna XU ; Hongqiang JIN ; Xinwei YANG ; Weihong YANG

Shanghai Journal of Acupuncture and Moxibustion.2014;(12):1120-1123. doi:10.13460/j.issn.1005-0957.2014.12.1120

ObjectiveTo evaluate the long-term therapeutic efficacy of muscle-region alignment needling plus dermalneedle therapy in treating post-stroke upper-limb spasticity.MethodTotally 488 patients with post-stroke upper-limb spasticity were randomized into a treatment group and a control group, 244 in each group. Besides theessentialrehabilitation treatment, the treatment group was intervened by muscle-region alignment needling plus dermal needle therapy, while the control group was given regular Western medication.Thetwo groups were intervened for 3 weeks and were followed up for 6 months. The neurologic function, Functional Comprehensive Assessment (FCA), and Stroke Speciality-Quality of Life (SS-QOL) were observed for the follow-up study.ResultThe total effective rate was 93.4% in the treatment group versus 61.5% in the control group, and the difference was statistically significant (P<0.05); the neurologic function, FCA score, and SS-QOL score in the treatment group were significantly superior to that in the control group at the end of the follow-up study (P<0.05).ConclusionMuscle-region alignment needling plus dermal needle therapycan produce a content long-term therapeutic efficacy in treating post-stroke upper-limb spasticity.

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Effect of Nine Points for Hemiplegia plus Exercise Training on the Lower-extremity Function in Hemiplegia Patients

Xing WANG ; Wenming MA ; Huiling FANG ; Pengfei ZHAO ; Lei HUANG ; Xun WANG

Shanghai Journal of Acupuncture and Moxibustion.2014;(12):1117-1119. doi:10.13460/j.issn.1005-0957.2014.12.1117

ObjectiveTo observe the effect of the nine points for hemiplegia plus MOTOmed exercise training system on the lower-extremity function of the patients with post-stroke hemiplegia.MethodForty-five patients with post-stroke hemiplegia were randomized into 3 groups, 15 each.Group A was intervened by regular acupuncture treatment, group B was by the MOTOmed training system, and group C was by the nine points for hemiplegia during the exercise training by the MOTOmed system in addition to the regular acupuncture treatment. The National Institute of Health Stroke Scale (NIHSS) and Fugl-Meyer (FMA) scale were adopted for evaluation and comparison before intervention and after 4-week intervention.ResultBefore intervention, there were no significant differences in comparing the function of lower extremity among the three groups (P>0.05);after 4-week intervention, the observation indexes were improved in the three groups, and the improvement in group C was the most significant (P<0.05), and it was significantly different from that of group A and B at the corresponding time point (P<0.05). ConclusionThe nine points for hemiplegia plus MOTOmed exercise training can effectively improve the lower-extremity function in the patients with post-stroke hemiplegia.

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