China 
Keynote Lecture
Friday, September 20, 1996

THE CONTRIBUTION OF ACUPUNCTURE-MOXIBUSTION
TO THE HEAL TH OF THE MANKIND

Xuetai WANG
China Academy of Traditional Chinese Medicine. No. 18 Beixincang Dongzhimennei, Beijing 100700, China.

Three stages of the acupuncture and moxibustion development: (1) Since several thousand years ago, when Chinese invented acupuncture and moxibustion, they have been an important measurement for the medical treatment. (2) Since the sixth century, acupuncture-moxibustion has propagated to other parts of Asia. (3) Since the twentieth century, it has gone over the whole and has becomes the medical treasure of the whole mankind.
At present, it has been already propagated over 140 countries and regions, in total, 39 countries in Asia, 30 in Europe, 36 in Africa, 2 in America, 22 in Latin-America, and 11 in Oceanic, etc.
The contributions are in the following aspects: (1) Acupunctural Treatment: All the diseases in various subjects, such as infection, internal medicine, surgery, carcinoma, orthopedics and traumatology, neuropsychiatry, gynecology, pediatrics, dermatology, ophtamology, otorhinolaryngology, stomatology, etc. There are about half of them that the acupunctural treatment has demonstrated significant therapeutic effects. (2) Acupuncture for Health Care: Elevation of the immunity and anti-senility. (3) Acupuncture Anesthesia: Adopted for more than 100 kinds of surgical operations and nearly about 10 kinds of operation with acupuncture anesthesia presented extraordinary excellence. (4) Diagnosis with Meridians: It is a kind of functionally diagnostic method in the whole body with very great prospects.


Symposium A
Friday, September 20, 1996

ACUPUNCTURE BALANCED ANESTHESIA IN CHINA

Xiaoding CAO, Shaofen XU, Gencheng WU, Chongbin ZHU
Institute of Acupuncture Research, Shanghai Medical University (WHO Collaborating Center for Traditional Medicine ). Shanghai 200032. China.

Acupuncture anesthesia has been successfully used in thyroidectomy, pneumonectomy, brain surgery, etc. since 1958. Drugs with potentiating effect on acupuncture analgesia (AA) and drugs with reducing effect on AA were sieved out by scientists and physicians of Shanghai Medical University in 1980s. Since then, a combination and drugs with potentiating effect is commonly used as an anesthetic method in clinics, which is called Acupuncture Balanced Anesthesia.
Now, not only thyroidectomy, pneumonectomy, subtotal gastrectomy, etc. but also renal transplantation, neolarynx reconstruction were operated under acupuncture balanced anesthesia. It is found that the blood pressure and heart rate are stable, the starting time of urination of newly transplanted kidney is shortened, and the reconstruction of vocal, respiratory and swallowing function of the neolarynx can be carried out with more assurance.
HPLC with electrochemical detection, receptor autoradiographic technique and in situ hybridization histochemical technique were used to study the mechanism of drugs with potentiating effect on AA. The results indicated that drugs with potentiating effect mainly activate the function of brain opioid peptidergic system, lower the function of brain dopaminergic system, and then AA is further enhanced.


Symposium A
Friday, September 20, 1996

RECENT ADVANCES IN MERIDIAN RESEARCH IN CHINA

Xianglong HU
Fujian Institute of Traditional Chinese Medicine. 282, Wu-Si Road, Fushou 350003, China.

Meridian is one of the important theoretical core of the traditional Chinese medicine. In comparison with the western medicine and modern biology, the theory of meridian elucidates the vital process and the regulation of the functional activities of human body in a totally different way and involves many brilliant theoretical expositions. Therefore, it has been deeply concerned by many researchers in China and abroad. Lately, some important advances in the meridian research have been made in China.
1. On the mechanisms underlying the formations of propagated sensation along the meridian(PSM): A series of results of observation demonstrated that there may be a substantial process proceeding along the meridian in the "periphery" of the body, and also a corresponding functional organization in the central nervous system in the formation of PSM. These facts provide a reliable basis for further elucidation of the mechanisms underlying the formation of PSM.
2. On the displaying and plotting of the traveling course of meridian: Various methods in this respect were steadily improved. So far the results accumulated demonstrate that under proper conditions the meridian course could already be plotted out or displayed figuratively at present in various degrees.
On the correlation between meridian and viscus as well as its connected pathway: A series of experimental results suggest that besides the well-known neuro-humoral mechanism, there may be another way taking part in the realization of the correlation between the meridian and corresponding viscus.
4. On the substantial basis in relation in relation to the traveling course of meridian: The preliminary results showed that in comparison with the non-meridian area a certain peculiarity, such as the incidence of gap junction, character of intercellular communication, concentration of Ca2+,pO2, etc. may possibly exist along the meridian course.
The above facts reveal that a remarkable progress in the meridian research has been made in China in recent years. These works lay a favorable ground for further elucidation of the essence of meridian and open a up a path for in-depth study in the near future.


Symposium B
Saturday, September 21, 1996

ADVANCE IN THE CLINICAL STUDY ON ACUPUNCTURE AND MOXIBUSTION
IN THE PAST FIVE YEARS IN CHINA

Xian-Ming HUANG
Shanghai University of Traditional Chinese Medicine. 530 Lingling Road, Shanghai 200032, China.

Aim: Due to increasing amount of acupuncture literature in China since 1990, with 70% of them on the topics of the clinical study, the author reviewed the articles published in the past five years and indicated the new advances.
Methods: The author reviewed the articles on the application of acupuncture and moxibustion in treating various diseases in following twelve aspects: acute infectious diseases, diseases of circulatory system, diseases of respiratory system, diseases of digestive system, diseases of urinary and reproductive system, diseases of nervous system, autoimmune diseases, surgical diseases, pediatric diseases, ENT and eye diseases, dermatology diseases and acupuncture anesthesia.
Results: The author sums up the three distinctive characters present in the clinical study of acupuncture and moxibustion in the past five years in China: (1) The indications of acupuncture and moxibustion have been expanded from the functional disorders, muscle-skeletal diseases and pain management to the refractory diseases, and the diseases of various systems, such as epidemic hemorrhage, hepatitis B, coronary artery diseases, chronic atrophic gastritis, volvulus of stomach, chronic non-specific ulcerative colitis, heptic cirrhosis, chronic renal failure, female urethra syndrome, chronic prostatitis, Parkinson's diseases, Gilles De La Tourepte's syndrome, central angiospastic retinitis, optical fundus hemorrhage and hey frver. (2) The moxibustion therapy was paid more attention in the research and its mechanism was indicated by means of immunology. (3) The balanced acupuncture anesthesia was applied to enhance the effect of acupuncture anesthesia and to increase the successful rate of difficult operation under the acupuncture anesthesia, for example, renal transplantation and laryngenal restoration.
Conclusion: The article demonstrated that remarkable advances have been made in the clinical acupuncture and moxibustion research in the past five years in China. However, there still exists some aspects to improve especially in the research methodology.


Symposium C
Saturday, September 21, 1996

THE CLINICAL EFFECT OF ELECTRO-ACUPUNCTURE THERAPY(EAT)
APPLIED IN TREATING TUMOR

Yu-ling XIN
Department of Thoracic Surgery, China-Japan Friendship Hospital. Beijing 100029, China.

Aim: Fire needing has been used in TCM clinic to treat masses in abdomen and scrofulae effectively. Based on this and the bioelectric technique from Europe, we developed the method (Electro-acupuncture Therapy, EAT) after research work for several years. This method is good for those patients with late stage tumor that are not operable, no response to or could not be treated with radio-or chemotherapy, or with recurrent tumor after surgical operation.
Methods: Electric needles are made of platinum with good conductivity and anti-corrosive property. The length and diameter of needles are 100-150 mm and 0.6 mm respectively. The therapeutic instrument is an instrument output direct electric current and controlled by computer. The voltage, amount of current and electricity and temperature can be adjusted automatically. There are also safety alarm, digital display and data recording and storing systems. Appropriate amount of tranquilizing agent analgesics are given before operation. Needles are inserted under aseptic condition. Sizes of needles are chosen according to the size of tumor. Two needles, one cathode and one anode, at least, should be inserted in the tumor to build up an electric field. The needles are connected to the instrument and electricity is applied. The voltage used is 4¡­8 V, current 40¡­80 mA and electric quantity is usually 80 Coulomb per 1 cm diameter of tumor tissue.
Results: 957 cases of various kinds of tumors from 1987¡­1995 were treated with EAT. Among them, 871 cases were of malignant tumors (lung cancer 386, liver cancer 165, esophageal cancer 100, breast cancer 105 and 115 cases of skin cancer and cancers of oral cavity etc.), 86 cases were of benign tumors (thyroid tumor 52 and cavernous hemangioma 34). There were 685 male cases and 272 female cases. The diameters of tumor 3.0 to 21.0 cm. Most of the malignant tumors were at late stage. According to the standard of UICC set up in 1988: Short term effectiveness (one year): Among the 871 cases of malignant tumors, 240 cases were CR(27.6%);387 cases PR(44.4%); 135 cases NC (15.5%) and 109 cases PD (12.5%). The total effective rate, CR plus PR, was 72.0%. Among the 86 cases of benign tumors, 65 cases were CR, 16 PR and 5 NC. The total effective rate was 94.2%. Long term effectiveness(1, 3, and 5 years): For cases with malignant tumors, the survival rates of 1, 3, 5 years were 74.4%(648/871), 48.1%(419/871) and 26.0%(234/871), respectively. For cases with benign tumors, expect 2 cases died of cardiovascular diseases, the other 84 cases all lived over 5 years.
Conclusion: This is a method easily to learn and manage. It is safe, effective, less traumatic and with quick recovery. It is with good results especially for those patients with late stage tumors that are not operable and with recurrent tumors after surgical operation. This is a method well accepted by patients.


Clinical Research & Application
Pain Management & Osteotraumology

APPLICATION OF ACUPUNCTURE ANESTHESIA COMBINING WITH DRUGS
DURING NEOLARNYX RECONSTRUCTION

He Nian HUANG
Institute of Otorhinolaryngology, Shanghai Medical University. 83, Fen Yang Road, Shanghai 200031, China.

Aim: Acupunctural and medicinal anesthesia were combined for patients undergoing neolarnyx reconstruction due to larynx carcinoma. Neoglottis was easily readjusted to an optimal level while the patients were conscious.
Methods: Ear points - Lung, Shenmen, Jiao-gan and body points - Hegu (L14), Zhigou(TE6), Futu(LI18) were chosen. 1 mg/kg of Pethidine, 60 mg of Rotendine, 10 mg of Metoclopramide were injected intramuscularly 15 to 20 minutes before the operation. The incision line on the skin was infiltrated with 10 to 15 ml, 0.5% procaine.
Improvements of surgical procedures: (1) The posterior 1/3 including superior and inferior conus was preserved for rebuilding the skeleton of neolarnyx. (2) The sternohyoid muscles were inserted to the resected cords for rebuilding the neoglottis.
Results: Cases including TNoMo29 and TNoMo21 were proved to have squamous cell carcinoma. The success rate for acupuncture anesthesia was 98%. Neoglottis was readjusted to an optimal degree. The success rate of phonation was 100%.
Conclusion: From 1992 to 1995, 50 cases were operated under combined acupunctural and medicinal anesthesia. The success rate of acupuncture anesthesia was 98%.


Clinical Research & Application
Pain Management & Osteotraumology

THE APPLICATION OF ACUPUNCTURAL ANESTHESIA ON THYROID OPERATION

Sin BAO
China Harbin No. 5 Hospital. No. 27, Jiankang Road, Dongli District, Harbin, Heilongjiang 150040, China.

Aim: This thesis discusses that pain of patients may be relieved by acupunctural anesthesia within the state of sober sense through manual acupuncture, the principles of acupunctural analgesia and regulating physiological function.
Methods: Acupunctural Anesthesia Instrument "G6805" Therapeutic Apparatus (Made in China) was used. Thyroid operation may adopt 4 groups of acupoints: (1) body acupuncture: Hoku, Neikuan; (2)otoneedle Shenman, sympathetic part, endocrine, cervical part; (3) otoneedle and body acupuncture; (4) Futu (double sides). Twirling the acupuncture needle in the required depth with 45°and switching in acupunctural anesthesia instrument that the strength of the needle will be increased steadily from weakness so as to be accepted by patients.
Results: We have made a remarkable progress in thyroid operation with acupunctural anesthesia for ten years, which is up to 85% of average excellent rate and 95% of successful rate. However, different kinds of diseases, different ways of operation and long term operation and short term operation also have influenced on anesthesia. An operation prolonges over two hours may add analgesic ¡ª 50 mg of morphine injected into vein with less local anesthesia.
Conclusion: Thyroid operation with acupunctural anesthesia is an effective method and it has considerable advantages. In the course of the operation, patients can keep awake and they can coordinate with operators to avoid accidentally injuring recurrent nerve without using local anesthetic, this may reduce accidents and long time of stabbing pain so as to eliminate the pain during the operation and take food as soon as possible in order to facilitate the patients' recovery. Thyroid operation with acupunctural anesthesia is a simple, effective and safe method in physiological treatment, which should be popularized.


Clinical Research & Application
Pain Management & Osteotraumology

A SPECIAL ACUPUNCTURE TREATMENT FOR HEADACHE(383 CASES)

Yuanfang HUANG, Meifang HUANG, Jingxing HUANG
Wenchang People's Hospital, Hainan Province 571300, China.

Among these 383 cases, 182 cases were male, 201 cases were female. The average age of them was 33 years old, (15 to 71 years old); the course of disease was from 1 month to 15 years, with an average of 7.6 years.
Methods: The beginning is to use acupuncture on the painful areas and close to or faraway from the interrelated channel points. 2 to 4 points are stimulated 20 to 30 minutes at a time. Then, every point is injected with 0.5 to 1 ml of the rhizoma-ligustici and radix-angelicae, 1 to 2 points at a time. Generally, the treatment is done once a week, and for some serious cases, the treatment is done once every day or once every two days.
Results: (1) The standards of curative effect: Fully recovered ¡ª the symptom of headache fully disappears. Effective ¡ªthe symptom of headache disappears. Ineffective ¡ªthe symptom of headache could be relieved for many hours after the treatment, but would recur, and have no distinct improvement. (2) The statistics: Using the above therapeutic methods to treat headache(the average is 4 times), there are 372 cases fully recovered (97.1%); 9 cases effective (2.3%); 2 cases ineffective (0.5%), those two patients died from the operation on brain tumor and the bone cancer of cervical vertebra at last. The rate of total effects is 99.5%.
Conclusion: The above therapeutic methods have shown a distinct effect on 383 cases. They are safe and reliable; the course of treatment is short; anyone can receive it easily. The methods have no limitation as of condition and equipment, and it does supply a new method for treating headache.


Clinical Research & Application
Pain Management & Osteotraumology

A CLINICAL OBSERVATION OF HEADACHE TREATED BY BLEEDING
AT ACUPOINT SISHENCHONG(EX)

Xinque YU
Acupuncture Department Guangwai Hospital. Beijing, China.

Two groups of 130 headache cases were observed during 1982¡­1992. One group was treated by bleeding at acupoint Sishonchong(Extra) as major point plus Hegu (L14) and Taichong (LR3) as subordenate points, the other was only treated by acupuncture at acupoint, Sishenchong(Extra), Hegu (L14) and Taichong (LR3). The effects between two groups were obtained.
Ten times of the treatment constituted a course. The patient was a case of observation after a course finished. Basic cure: headache disappeared and there was no recurrence after following up in six months. Improvement: headache was alleviated and symptoms improved. No effect: headache was not relieved.
The results of treatment: In the treatment group, 79 cases were basically cured, 5 cases were improved, and 1 case was not effective. In control group. they were 20, 15 and 10 cases respectively. Statistical results: the results between two groups were obviously different (p<0.05). The bleeding therapy was better than acupuncture therapy. The bleeding at acupoint Sishonchong (Extra) to treat headache had the special effect.
Typical case: Li X X, male, 33, worker, came to see a doctor in June 1983. Chief complaint: The patient had got headache in the vertex 8 years ago. It had been cured but recurred again and again at that time with these symptoms, groaning and restless, retching, saliva, white and greasy but on the tongue, fast and slippery pulse. Diagnosis: headache in the vertex. The therapeutic method mentioned above was used. The patient felt a sensation of relieving headache immediately after bleeding at acupoint Sishenchong (Extra), and then puncture Hegu (L14), Taichong(LR3). He felt relaxed while needles were removed. The patient received a course of treatment for strengthening effects. There was no recurrence ofter following up for a year.


Clinical Research & Application
Pain Management & Osteotraumology

A CLINICAL OBSERVATION OF OXYGEN-MEDICINE ACUPUNCTURE THERAPY
FOR MIGRAINE

Yongjie NIU, Tao YANG
Beijing Zhongzi Hospital of China Academy of Science. Beijing, China.

It's considered that there is no specially effective treatment for migraine in these days. However, the authors have treated migraine of 68 cases basing on the theory of Oxygen-medicine (O.M.) Acupuncture, which brought good therapeutic effect on strokes, and attained the better result, comparing to the other 20 cases of the same disease who did not receive O,M,
The authors acupunctured on the improved headpoint, cervical and occipital areas, while the patients were taking in the mixture of oxygen and the particular Chinese medicine once a day, with a course of 20 days. The control group was treated conventionally.
The statistic result showed that there were 64 effective cases (94.2%) in the treatment group, and 11 effective cases (55%) in the control group. Hence, the effectiveness of the treatment group is much higher than the control group(p<0.01).


Clinical Research & Application
Pain Management & Osteotraumology

THE PRELIMINARY EXPLORATION OF APPLYING THE BIOTIC HOLOGRAPHIC
ACUPUNCTURE TREATMENT TO CURE SCAPULOHUMERAL PERIARTHRITIS

Jun LU
P.O. Box 1456, Beijing 102400, China.

The biotic holographic acupuncture treatment is a therapy that acupuncture on the corresponding acupoint of the article side on the body.
Since 1980, the writer have applied the shoulder-point of the fibular article to treat 60 patients suffering from scapulohumoral periarthritis. Among them, pure scapulohumeral periarthritis patents are 29 cases. Secondary ones are 31 cases. And cure 56 cases, the cure rate is 93.3%, Four cases worked effectively, comprising 6.67% of the total.
Expensive clinical findings have shown that acupuncture on the shoulder-point of the tibiofibular article can mobilize the biotic and chemical things which produce by the holographic corresponding point of the parts on the body. And it also can make the biotic and chemical things reach the shoulder rapidly to improve the blood circulation, and promote to absorb the inflammation. In this way, the patient can be analgosiaed recovered rapidly.


Clinical Research & Application
Pain Management & Osteotraumology

AN ACUPUNCTURE TREATMENT FOR 268 PATIENTS
WITH SHOULDER JOINT DISEASE

YueLi CONG
Traditional Chinese Medicine Hospital. Baishan City, Jilin Province 134300, China.

Aim: Frozen shoulder is a common ailment in elderly patients. The author treated 268 cases of frozen shoulder with acupuncture and studied its effects.
Methods: Patients were treated with "dredging the channels", "expelling wind and cold", "regulating the vital energy and blood", "relaxing and activating the tendons" methods by selecting Jianwaishu (SI14) and Jianzhongshu (SI15), Jianyu (LI15), Jianjing (GB21), Tianzong (SI11). Electric needles were added on Jianwaishu (SI14) and Jianzhongshu (SI15) and Tianzong (SI11), using medium stimulation for 20 minutes. After that, cupping was applied for 5 to 7 minutes and massage was used.
Results: 224 cases (83.6%) achieved complete recovery, 18 cases (6.7%) were remarkably effective, 22 cases (8.2%) were effective and 4 cases (1.5%) were ineffective. The total effective rate was 98.5%.
Conclusion: The disease was due to wind, cold and wet. It involved three yang channels of hand. To treat the disease one should use the methods of "supporting the healthy energy" and "expelling wind and cold". Selecting the points and adding electricity needles could potentiate the effect. The method was easy, the curative effect was obvious, and it has no side effects.


Clinical Research & Application
Pain Management & Osteotraumology

NEEDLE-EDGE AND CUPPING THERAPY IN THE TREATMENT OF
PERIARTHRITIIS OF SHOULDER JOINT

Jingyi HAO
Acupuncture Section, Beijing Orthopedics Hospital. 4 Pingyuan li, Xuanwu District, Beijing, China.

Periarthritiis of shoulder joint is a symptom of inflammation, with congestion, edema, thickening tissue, muscle compulsion, etc. at the early stage. While in a late period it can cause slow blood circulation, muscular regression and atrophies in local bursa. Limited activities and painful actions ¡ª due to a long-time unuse of the joints may be resulted. Methods of treatment vary with the pathological changes of each individual. The author applied this synthetic method during 1989¡­1990. Closed, needle-edge and/or cupping etc. in the treatment of such illness of 100 shoulder joints cases: 15 for unknown causes; 23 for rheumatism; 62 for injuries. The shortest was 3 months, the longest 5 years. Among which 3 to 6 months: 40 cases; up to 12 months: 34 cases; 2 years: 17 cases; over 2years: 9 cases. Left shoulder: 54 cased; Right: 43; Bilateral: 3; and 24 with cervical vertebra condition, 27 with shoulder muscle atrophy, all had pains and restraints, while some had very clear painful lump, yet the joints were normal when X-rayed. After 1 to 9 times of treatment: 81 full recovered, 12 effective, 7 good ¡ª all had no infection.


Clinical Research & Application
Pain Management & Osteotraumology

PROLIFERATIVE ARTHRITIS OF KNEE JOINT TREATED SENSATION
PROPAGATED ALONG CHANNELS (SPAC) INDUCED BY TRANQUILIZATION:
A REPORT OF 95 CASES

Shixin CAI, Yanfan SONG
China Association of Zhenjiu. No. 1.8, Beixincang, Dongzhimen, Beijing 100700, China.

Being one of the frequently and commonly encountered diseased, proliferative osteoarthritis is a kind of degenerative disease in the elderly. The author present here a kind of natural therapy in which the practitioner presses and pushes the Sanyinjiao point of the affected limb under the condition of the patient's tranquility, thus producing SPAC which arrives the affected site for its treatment. Featuring good effects and free of adverse reactions, the rate of cure and marked amelioration was 75.7%. This result showed that: (1) It is feasible to treat this ailment throug the Foot Three-yin Channel, which not only cures its manifestations, but also cures it radically. (2) The ratio of SPAC and its arrival to the affected site can be elevated by repeated tranquilization. Furthermore, the more the appearance of SPAC, the better is the efficacy. (3) SPAC and its arrival site definitely improves blood circulation microcirculation, and oxygen supply as well. All these yield the actions of flowing the Qi, expelling the dampness, activating the blood, removing the stasis, and arresting the pain.


Clinical Research & Application
Pain Management & Osteotraumology

A CLINICAL SURVEY OF THE TREATMENT FOR RHEMATOID ARTHRITIS
BY ACUPUNCTURE AND MOXIBUSTION

Ai-Qin YU
Xiangshan Hospital of Shanghai. 28, Xingshan Road, Shanghai, China.

Aim: Rhematoid Arthritis (RA) is a chronic immune disease which affects the joints. So far the modern Western medicine has not been able to identify the cause of this disease. However, this condition has been described in the Chinese medical classics under the category of "Bi-zheng" or "Bi-syndrome". The combination of acupuncture and moxibustion was proven to be effective in treating RA after the clinical laboratory results verified its efficacy.
Methods: 42 patients (32 females and 10 males ranging from 12 to 78 years old) suffering from RA for 3 months up to 35 years were treated at T.C.M. Health Center in Colorado Springs. Blood work was first done for E.S.R., R.F., IgG, IgM, IgA, and was done at the end of the study. Acupuncture points were chosen from 24 of the 48 Hua Tou Jia Ji points during each treatment. In addition, points treated on the limbs included: Hegu (L14), Quchi (LI11), Binao(LI14), Jianyu (LI15), Zusanli(ST36), Sanyinjiao (SP6), Yinlingquan (SP9), Xiehai (SP10), Weizhong (UB40), Kunlun(UB60), and Nei Wai Xi Yan (ST35 and the opposite recess). The points of the limbs were needled first with even supplementation and even drainage (Ping Bu Ping Xie Fa) for 5 minutes and then moxaed for 15 minutes. The Hua Tuo Jia Ji points were needled for 20 minutes without moxibustion. One course consisted of ten treatments, and patients were given 3 such courses.
Results: 20% were cured (pain and swelling of joints were gone and symptoms did not relapse for 3 months after the treatment), 42.5% were effective (pain and swelling of joints were relieved), 25% were improved (joints were less painful and swollen after the treatment but the blood work remained unchanged), and 12.5% were ineffective (no change in symptoms or the blood work after at least 10 treatments).
Conclusion: According to the above clinical experience and laboratory result, we have seen that the combination of acupuncture and moxibustion had a good result not only in improving the syndrome of RA but also affecting the immune system for the better. It also suggested that acupuncture may be effective for treating a wide range of immune disease.

Clinical Research & Application
Pain Management & Osteotraumology

THE TREATMENT OF 125 ACUTE LUMBAR MUSCLE SPRAIN CASES
BY EYE NEEDLING

Xufen XIA
The Affiliated Hospital of Liaoning College of Traditional Chinese Medicine. No. 33 Beiling Street, Huanggu District, Shengyang, Liaoning 110032, China.

Aim: Acute lumbar muscle sprain is a common disease. The author has obtained a satisfactory therapeutic effect in treating 125 cases of acute lumbar muscle sprain by eye needle.
Methods: The patient sat naturally. XiaJiao area (No. 8 area) was needled directly along the inside edge of the orbit or using double needles. Kidney area (No. 3 area) was needled either directly inside the orbit or horizontally out of the orbit. Then the needles were retained for 5 to 10 minutes. The patient was instructed to perform free lumbar exercises when needles were manipulated.
Results: Among the 125 cases, 84 cases were cured (all symptoms disappeared and the function of lumbar muscles was normal) after the first treatment. 25 cases were cured after the second treatment and 13 cases were cured after the third treatment. Only 3 cases showed no improvement (only part of the symptoms disappeared and there was still pain after the third treatment). The cure rate was 97.6%.
Conclusion: Treatment of acute lumbar muscle sprain by eye needling needs only few points (areas) and short time. It is so simple, safe and effective that patients readily accept it. Furthermore, it has been demonstrated through the practice that the earlier the treatment is given the better the effect can be obtained. The three unimproved cases were protrusion of lumbar intervertebral discs as diagnosed by CT. So the lumbar pain resulted from protrusion of lumbar intervertebral discs is unaffected by this method.


Clinical Research & Application
Pain Management & Osteotraumology

AN OBSERVATION ON THERAPEUTIC EFFECT OF SCIATICA
TREATED BY ACU-MOXIBUSTION

Ying JIN, Juan WANG
Department of Acu-moxibustion, Antu County Hospital of TCM, Jilin 133600, China.

Being one of the common clinical manifestations, sciatica falls under the category of "painful-bi" syndrome in TCM. 38 cases were treated by the author with acu-moxibustion. All the cases were divided into 2 groups, excessive and deficient types, and treated by reducing and invigorating manipulations, respectively. The selected acupoints include Shenshu, Huantiao, Weizhong, Yanglingquan. Qiuxu, Kunlun, Juegu, Fenglong and Fengshi. Through 2 courses of therapy, 25 cases (65.8%) were cured, 12 cases (31.6%), markedly ameliorated, 1 case (2.6%) was ineffective. The therapeutic effect for primary sciatica is better than that for the secondary one; and for those with shorter course than for longer ones. By differential diagnosis of syndromes, acu-moxibustion, a naturo-therapy, is non-toxic with good effect. The mechanism is to regulate and improve the Qi-blood flowing of 3 Yang channels, hence the analgesic effect is obtained.

Clinical Research & Application
Pain Management & Osteotraumology

THE EXPERIENCE OF THERAPEUTIC TREATMENTS
USING ACUPUNCTURE AND MASSAGE ON ISCHIALGIA

Yu-zhen ZHANG
Yongling Clinic of TCM. Xin-bin County, Liaoning Province 113206, China.

Aim: Ischialgia belongs to the category of "lumbago and scelalgia" in TCM. 50 patients have been treated by the author, with the combination of acupuncture, massage and Qigong and achieved prominent therapeutic effects, here is the report:
Methods: The acupoints selected were: Shenshu (BL23), Zhibian (BL54), Yanglingquan(GB34), Weizhong (BL40), Kunlun(BL6), Huangtiao(GB30). Four points were used every time, on both sides, combined with massage and Qigong. After Deqi, Qigong digital acupoints pressure was applied, then the patients received heat sensation without pain.
Results: Out of 50 cases here were 45 cured with significant effectiveness(90% pain disappeared, with normal activity and walking); 5 cases (10%) with significant improvement in symptoms and signs.
Conclusions: Acupuncture, massage and Qigong digital acupoints pressure is a kind of therapy for activating Qi and Blood and dredging the meridian, especially the Qigong can warm up the meridians and dissipate the cold, rapidly and effectively. It is a great treasure in TCM.

Clinical Research & Application
Pain Management & Osteotraumology

A CLINICAL ANALYSIS OF 53 CASES OF ACUTE LUMBAR MUSCLE SPRAIN
TREATED WITH ACUPUNCTURE SHOUSHANLI(LI10)

JiYong WU
Hui Yang Hospital. No. 1 Hui Yang City, GuangDong Province 51621, China.

Aim: Acute lumbar muscle sprain is a common disease. The author applied acupuncture at Shoushanli (LI10) in treating the acute lumbar muscle sprain for 53 cases and analyzed its effects.
Methods: All patients who were suffered form acute lumbar muscle sprain were gathered from July, 1992 to May, 1995 and treated with needing at Shoushanli(LI10).
Results: 34 cases (64.1%) were healed by acupuncture at Shoushanli (LI10) only one time; 8 cases (15.1%) were healed by needling at Shoushanli(LI10) two times; 9 cases (17%) were healed with acupuncture at Shoushani (LI10) 3 to 5 times. The total effective rate was 96.2%. During the treating, a new needling sensory conduction is discovered where it conducts along the Large Intestine Channel of Hand-Yangming from Shoushanli (LI10) to Shoulder and then conducts along the medial border of Shoulder blade to waist which had not been recorded in the system of the channels and collaterals. The author calls it as Shoushanli (LI10)-Waist recessive Conduction. Among the 53 cases, 7 cases (13.2%) showed that the Shoushanli(LI10)-Waist recessive conduction was existing (among the 7 cases, 4 cases were too hurt to walk alone who were carried into the hospital and healed with acupuncture Shoushanli (LI10) only one time.
Conclusion: Shoushanli (LI10) is an effective point to heal the acute lumbar muscle sprain and its fine curative effect results from the appearance of Shoushanli (LI10)-Waist recessive conduction.

Clinical Research & Application
Pain Management & Osteotraumology

THROUGH NEEDLING OF THE EAR POINT "BUTTOCK"
IN TREATING ACUTE LOW BACK PAIN

Songrong WANG, Bing WANG
TCM Hospital of Hainan Province. Haikou, China.

Methods: 210 cases consisted of 125 males and 85 females ranging from 16 to 78 years old were treated.
Results: 148 cases were cured, of whom 112 had 1 treatment, 21 had 2 treatments and 15 had three. The rate for cure was 70.48%; 41 cases (19.52%) reached excellent grade after 3 treatments, 9 cases (4.3%) were improved after 4 treatments, and 12 cases (5.7%) were ineffective. The overall effective rate was 94.3%.


Clinical Research & Application
Pain Management & Osteotraumology

OBSERVATIONS ON 108 CASES OF LUMBAR DISC HERNIATION
TREATED WITH TRADITIONAL CHINESE MEDICINE

Hong YANG
Department of Chinese Medicine, Shanghai Seamen's Hospital. Shanghai, China.

Lower back pain due to lumbar disc herniation is common, and remains as the society's most costly disease. It has risen 2500% over the past 20 years. Multi-disciplinary treatments are usually required. We present our experiences of treating 108 cases of lumbar disc herniation with combined traditional Chinese medicine.
Patients and methods: 108 patients, male 89, female 19, aged from 19 to 73. Seventy-five were laborers (70.4%), and 33 were office workers(29.6%). All had CT scan evidence of lumbar disc herniation: L3-4, L4-5 107, L5-S1, 107. Among those, 101 cases were nucleus pulposus protrusion(51%), whereas 97 cases were extrusion (49%). Duration of the pain: the longest was 5 years and the shortest was 1 week. Treatments: (1) Acupuncture: Needles were inserted into trigger points and meridian points such as Huantiao, Yanglingquan, Yinmen, Chengshan, Mingmen, etc. (2) Manual manipulation: Paravertebral massage, myofascial maneuver, trigger point digital pressure, spine retraction, passive movement of knee joints, hip joints and lumbar spinal facet joints. (3) Physical therapy: Electric transdermal heating machine (seamen's Hospital HY-1) with topical herb medicine; lumbar support plus topical herb medicine (Seamen's Hospital Ls). (4) Herbal decoction taken orally according to the theory of Bianzhenglunzhi.
Results: Sixty-one (56.5%) patients were cured(pain completely subsided, returned to daily work). Forty-four (40.7%) had significant improvement (back pain with radiation to the leg disappeared, mild pain at gluteal region lateral calf remained, straight leg raising > 60, back to work). Three (2.8%) had no improvement. The duration of treatments was from 11 to 152 days with an average of 67 days.
Comments: Non-operative, combined traditional Chinese medical treatments for lumbar disc herniation resulted in significant improvement of the disease symptomatically and roentgenologically. However, single regimen is usually not sufficient, and multiple methods are required to treat the patients. In addition, all patients with pulposus protrusion experienced good pain relief, whereas those who reported less satisfaction had pulposus extrusion. All 3 failed cases had severe pulposus extrusion in which fibrous ring of the nucleus pulposus might have ruptured.

Clinical Research & Application
Pain Management & Osteotraumology

THE CLINICAL TREATMENT BY ACUPUNCTURE AND QIGONG

Kazuyoshi MAKIYAMA, Bingyu WU
Clinic of Inst. of Traditional Chinese Medicine Kyushu Japan. 14-10 Murasakidai Ohonojou City Fukuoka-ken 816, Japan.
Jinzhou Medical College. China.

Aim: The authors treated 100 cases of lower back pain with acupuncture and Qigong, and achieved fairly good results. Visual analogue scale was used to measure the effect of pain relief.
Methods: Group A: 100 cases among 146 patients were selected randomly. They had all been given acupuncture for their lower back pain more than ten times between June 1992 and September 1995. Group B: 100 patients were selected randomly among 361 cases who had been under the authors' medical treatment by acupuncture and Qigong. In these groups the authors compared the degree of pain at the time of the first medical examination with the completion of the 10th medical treatment, and then analyzed the results. Group A: In conformity with the traditional Chinese medical method of diagnosis, we diagnosed each patients individually and the used of the appropriate medicine necessary. (therapy of Acupuncture with low frequency). Group B: In the beginning, the authors applied acupoints ST36, SP6 and GV20. After experience of "Deqi (needling sensation by acupuncture)" the patients practiced Shadow Qigong. Afterwards, the authors again individually applied Chinese method of diagnosis. The authors once applied it to the acupoint which was related to each symptom. After acupuncture the authors taught the patients Wudang-Huanghai Qigong, and directed them to practice five times per day, ten minutes each time.
Results: In Group A, 43 cases (43%) were clinically cured, 30 cases (30%) were effective in reducing pain, and 27 cases (27%) were invalid. The total effective rate was 73%. In Group B 70 cases (70%) were clinically cured, 26 cases (26%) were effective in reducing pain, and 4 cases (4%) were invalid. The total effective rate was 96%.
Discussion: This disease belongs to the categories of "Bi zheng. (arthralgia-syndrome)" in traditional Chinese medicine. It resulted from "damage of the Governor and Urinary Bladder Meridians" and "stagnancy of Qi and Blood". The patients practiced Shadow Qigong and Wudang-Huanghai Qigong during acupuncture treatment. The patients felt "Deqi (needling sensation by acupuncture)" and "Qi gan ( Qi sensation of Qigong)". The function of Qigong is to improve circulation of Qi and Blood and promote health.
Conclusion: As stated above "the clinical treatment by Acupuncture and Qigong" had better effects than treatment by acupuncture alone.


Clinical Research & Application
Pain Management & Osteotraumology

A CLINICAL STUDY ON THE STRONG STIMULATION OF ACUPUNCTURE THERAPY FOR PAIN RELIEF

Fuming WANG, Xu LI, Guanghui BAI
Luohe First People's Hospital. Henan Province, China.

Aim: This paper is to discuss the therapeutic effects and clinical studies of the strong stimulating acupuncture therapy for relieving pain.
Methods: The characteristics of this acupuncture therapy is described as follows: fast inserting, lifting, trusting and twirling in the large scope, getting needle sensation early, the evident aching, tingling, heavy, distending sensation, the hot sensation in the local and the whole body, even sweating slightly.
Clinical Data: 696 cases of different pain patients have been treated by this acupuncture therapy since 1970 in-patient. 32 cases of acute anguishes. 59 cases of headache, 92 cases of pain due to the stiff neck and the cervical sponddylosis, 158 cases of acute lumbar sprain and foot sprain. 80 cases pain due to prolapse of lumbar intervertebral disc, 51 cases of acute or chronic sciatic arthalgia, 14 cases of prosopalgia, 82 cases of the acute or chronic stomach and abdomen pain, the other pain patients were 10 cases.
Results; In the 696 cases, 473 cases (68%) were cured (pain, distention and swelling, disappears in the pain, swelling and distention, necrostic limbs and parts after acupuncture; all of functions and activities are normal, detrustation, normal skin, taking care of himself), 195 cases (28%) improved (not to reach the criterion of cure), 28 cases (4%) were ineffective (the pain, swelling and distention isn't relieving, the skin color of nerostic part is abnormal even severe after 3¡­5 times acupuncture).
Conclusion: For the Qi stagnation and the bloodstasis syndrome, we must treat with the strong stimulating acupuncture therapy in order to facilitate the circulation of Qi and blood.


Clinical Research & Application
Pain Management & Osteotraumology

AN EXPLORATION ON THE CURATIVE EFFECT AND THE MECHANISM IN THE TREATMENT OF 70 CASES OF BI-SYNDROME BY CONTRALATERAL INSERTION

Wenxian LI
Acupuncture and Moxibustion Department, Guangzhou College of TCM. China.

This group included 70 cases, among which there were 36 cases of males and 34 cases of females. The ages were from 18 to 80 years old; the courses of disease were 5 days to 20 years. The number of treatment was from one to 12 times; the average was 6 times.
It was mainly differentiated as syndromes of jingluo. The treatment adopted the contralateral insertion. The method of the selection of points is to select the points contralateral to the side of the body with the obvious pressing pain according to the principle of "selecting the right-sided point for left-sided illness and vice versa".
The manipulation method: Insert the needle after routine sterilization. Firstly to hasten the normal reaction. When deqi (normal sensation felt by the patient) is obtained, the manipulation may take place. Generally speaking, the needle is retained for 30 minutes. Meanwhile, for those patients who are suffering from pain of the joints in four extremities, instruct them to activate their joints to match the treatment. Clinically, we have found that those who have strong sensation of needle have had a better curative effect. Among the 70 cases, 38 cases (54.3%) were cured, 15 cases (21.4%) were significantly effective, 2 cases (2.9%) were ineffective.


Clinical Research & Application
Pain Management & Osteotraumology

THE TREATMENT OF CERVICAL SPONDYLOSIS BY
THREE DIMENSIONAL ACUPUNCTURE KNIFE METHOD

Hui-Sheng JIN
Great Wall Hospital of China Academy of TCM. Beijing 102200, China.

The treatment of cervical spondylosis with an acupuncture knife is effective. The author applied the three dimensional acupuncture knife method according to clinical medical practice and studied its effects in treating osteohyperplasia. First, palpation by three dimensional hand examination: patho-node in subcutaneous tissues; tender point and hard node in muscle regions; bone domain point, then perform three dimensional acupuncture knife treatment: the patho-node with incision cutting method; the tender point and muscle hard node with vertical and horizontal-separation method; the bone domain point with puncture-rubbing method (vertical-rowing, transverse-stripping, sparrow-pecking, incision-cutting, push-shovelling, draw-scraping, grind-rubbing, and punching-hors).
Since the limbs are consisted of the skin, the muscle, the bone, and the twelve regular channels are consisted of twelve cutaneous regions and twelve muscle regions, they must have twelve bone domains. As a result the author has advanced "The Theory of the Bone Domain". This provided the theoretical basis for treating osteohyperplasia with an acupuncture knife. The needle-knife (acupotome) has the feature of a needle, a knife and a shovel. It can achieve an overall stimulation with one puncture, which will promote a self-functional movement. It makes an axis from the nervous regulative system and the neuro-humoral regulative system. It makes a network-base from proper connective tissues, which run crisscrossly over the body. It is probably the carrier of the meridian and substance of the meridian theory. It is the reactive and regulative systems of the dynamic self-adjust-balancing system, i.e. biocybernative system. Therefore it has the curative effects on both external and internal symptoms and diseases, i.e. acupuncture knife push-rubbing the bone domain can treat not only surgical disease, but also the disease in the viscera. "The Theory of the Bone Domain" has filled a blank in the Meridian system.


Clinical Research & Application
Pain Management & Osteotraumology

A CLINICAL OBSERVATION ON ACUPUNCTURE TREATMENTS
FOR CERVICAL VERTEBRA DISEASE

Yue-Ping YU
The Third Hospital. Ningbo, Zhejiang Province, China.

Aim: Cervical vertebra disease is a common disease among old and middle-age people. It directly affects the patient's health. At the present time, the method for the clinical treatment is unsatisfactory. The author cured the disease by acupuncture and electric stimulation, and the curative effect was remarkable.
Methods: 116 patients (52 men and 64 women ranging from 24 to 72 years old) suffering from this disease from 5 days to 30 years were treated with the electro-acupuncture therapy. Main acupoints Fengchishuang, 6.7 vertebra, Dazhui and Houxi were selected along with various subpoints such as Tianzhu and Kunlun, Hegu and Jianjing, Baihui and Taichong, Fengfu, Quchi and Sanyinjiao, Baihui and Neiting. No. 28 needles were inserted 1 to 2 cun in the chosen main and subpoints, combined with a G6805 electro-acupuncture stimulator in moderate current intensity for 30 minutes. One course consisted ten treatments once every two days. Three days of rest were given between courses.
Results: 61 patients (52.59%) were fully recovered (symptoms disappeared and had no relapses within half a year), 34 patients (29.31%) were effective (symptoms mostly disappeared but patients still felt a bit discomfort in the neck and shoulders when overworked), 19 patients (16.38%) were improved (symptoms partly disappeared but patients still needed supplementary treatments), and 2 patients (1.72%) were ineffective (no improvement after two courses of treatment).
Conclusion: Acupuncture treatment is an effective method for treating cervical vertebra disease.
Clinical Research & Application
Pain Management & Osteotraumology

THE THERAPEUTIC EFFECT OF ACUPUNCTURE ON THE PAINFUL HEEL

Jing-bi MENG
Institute of Acupuncture, China Academy of TCM. Beijing 100700, China.

Aim: Painful heel is a kind of disease frequently occured among people above 40 years old. The X-ray examination shows the proliferation of the calcaneom but without the abnormality of the bone substance. 21 cases have been observed and treated in our clinic. Most of them were affected at one side and seldom at both sides.
Methods: The Jiaoxin (KI8) acupoint of the Zushaoyin Meridian was selected (2 cun above the superior margin of madial mallenlus and 5 mm posterior to tibia). A 1.5 cun stainless steel needle was inserted and inclined downward about 45 degrees to allow the needling sensation propagate to the heel only. The reinforcing manupulation of old Yang Number was applied, with heat sensation after fast pressing and slow lifting. At the meantime, the left finger pressing at the painful heel was used to reduce the pain slowly. After retaining the needle for 3 to 5 minutes or until the pain was relieved, the needle was withdrawn. The patient would put the painful heel on the ground forcefully. If there was still pain sensation, the patient was treated again with the same procedure.
Results: Cured; the pain sensation is completely disappeared after the treatment. Marked effective; there is only a slight pain in walking or standing for a long time.
Conclusion: There was a satisfactory therapeutic effect with this kind of acupuncture manipulation and without any side effect. In addition, Liu Wei Dihuang Wan (Six Drugs including Rehmanis) administration can also strengthen the effect of the treatment.


Clinical Research & Application
Pain Management & Osteotraumology

THE CLINICAL AND RESEARCH PRINCIPLE ON ALLEVIATING UPPER ABDOMINAL PAIN OF 160 PATIENTS BY NEEDLING BILATERAL ZUSANLI

You Ming YU
The Department of Internal of the Traditional Chinese Hospital in ZhuHai City. JingLe Way of JiDa Region, ZhuHai City, GuanDong Province, China.

Aim: It is very harmful to alleviate upper abdominal pain by injecting morphine. The author applied the needling method of "Bilateral Zusanli" in treating acute and chronic upper abdominal pains and studied its effect as well as modern medicinal principle.
Methods: Patients were divided into a treatment group and a control group. There were 160 patients in the treatment group for alleviating upper abdominal pain by needling bilateral Zusanli. There were 40 patients in the control group for alleviating upper abdominal pain by injecting Dilatin of fordanodynum combined with atropin sulfas. Meanwhile, the difference in the prolaglandin content before and after the needling was measured among 30 patients randomly selected from the treatment group.
Results: The overall effective rates of both groups are similar at about 95%. Statistics showed p>0.05 and that was not so different. But the treatment group needles less time to take the pain-alleviating effect (15 minutes) than control group (20 minutes). Statistics showed p<0.05 and that was remarkably different. Besides, the prostaglandin content represented by PGE2 & PGF before the needing was higher than that of after needling.
Conclusion: The same pain-alleviating effect was observed in both groups. But needing needed less time to take effect and did not bring about drug addition, and it was easy and convenient.


Clinical Research & Application
Pain Management & Osteotraumology

AN ANALYSIS OF 120 CASES WITH DYSMENORRHEA AFTER ACUPUNCTURE
AT THE SANYINJIAO POINT

Xiaomei DAI
The Affiliated Hospital of Liaoning College of T.C.M. China.

Clinical Data & Methods: 164 patients were all students from a middle school between the age of 15 and years old. Their pain often appeared before menstruation or the first and second day of menstruation. 160 cases were divided into two groups at random ¡ª a treatment group consisted of 144 cases with acupuncture treatment at Sanyinjiao (SP6) and a control group consisted of 20 cases who took piminodineesylate.
Therapeutic Criteria: The therapeutic criterion effectiveness ¡ª Half to one hour after puncturing or taking medicine, the pain and symptoms disappeared completely. Improvement ¡ª Half to one hour after puncturing or taking medicine, the pain reduced significantly and the symptoms disappeared completely. Ineffectiveness ¡ª Half to one hour after puncturing or taking medicine, the pain and the symptoms reduced slightly.
Result: The comparison between the acupuncture group and the medicine group.

Cases Effective Improved Ineffective Total effective
Acupuncture group 120 105(87.5%) 11(9.2%) 4(3.3%) 96.7%
Medicine group 44 14(31.8%) 19(43.2%) 11(25%) 75%

Conclusion: A statistical analysis shows that the effects of acupuncture at Sanyinjiao (SP6) point is much better than that of taking medicine(p<0.005).


Clinical Research & Application
Paralysis & Nervous System Diseases

THE SPECIAL EFFECT OF "XING-NAO-KAI-QIAO" ACUPUNCTURE METHOD
IN THE TREATMENT OF ACUTE CARDIO-CEREBROVASCULAR DISEASES:
A REVIEW OF CLINICAL EXPERIENCE AND EXPERIMENTAL RESEARCH
IN THE PAST TWENTY YEARS

Andrew T. PAGON, Na ZHAI, Hongzhuan CHEN, Jun LI, Li LI, Chunshen ZHANG,
Shaoqiang LU, Xuemin SHI
The First Teaching Hospital Affiliated to Tianjin College of Traditional Chinese Medicine.
Tianjin, China.

Aim: "Xing-Nao-Kai-Qiao" (XNKQ, regaining consciousness and opening the orifices) has saved a lot of patients suffering from acute cardio-cerebrovascular diseases in the past twenty years. Prof. Xuemin Shi discovered that "XNKQ plus tonifying liver and kidneys" can improve the patient's condition as well as the traditional method of "Solely working on Yang-Ming".
Methods: Neiguan (PC6), Renzong (GV26) and Sanyinjuao (SP6) were selected as the main points. Jiquan (HT1), Chize (LU5) and Weizhong (BL40) were selected as the secondary points. Fengchi (GB20) and Yifeng (TE17) were added for difficult swallowing. Hegu (LI4) was added for slurred speech. Other points could be added or subtracted according to differential diagnosis. Different depths and different methods of manipulation were used for different points. The treatment was given twice a day. One course consisted of ten sessions. Three to five courses were needed for a continuous treatment. Seven to ten courses were needed for patients in the sequelae stage.
Results: Three were 5798 cause with apoplexy, the curative effect was 60.81% and the total effective rate was 98.60%. Three were 284 cases with heart disease, the effective rate was 71.51% and the total effective rate was 90.86%.
Conclusion: A great deal of research work also confirmed that XNKQ method can improve the cerebral circulation, decrease the blood viscosity, change the pathological metabolism of lipids, benignly regulate the intracranial blood flow, improve cardiac function, decrease the content of Ca2+ in the ischemic area, decrease the consumption of RNA and DNA inside the cerebral cells, decrease the level of free radical in the ischemic area, increase the activity of SOD, decrease the content of LPO, etc. The effect of protecting the cerebral cells and narrowing its diseased area is thus achieved. It can be concluded that XNKQ method has the physiological effect of "benign" regulation on multiple organs and systems of a human body.


Clinical Research & Application
Paralysis & Nervous System Diseases

A CLINICAL STUDY ON TREATING ACUTE HYPERTENSIVE CEREBRAL
HEMORRHAGE WITH COMBINATION OF ACUPUNCTURE AND MEDICATION

Hou WANG
No. 6 Chongshun Shong Road, Shenyang 110032, China.

Aim: The aim of this study was to assess the therapeutic effects of acupuncture on acute cerebral hemorrhage caused by hypertension.
Methods: 62 patients, who suffered recent cerebral hemorrhage, were divided into two groups ¡ª acupuncture plus medication group (30 cases) and pure medication group (32 cases). The author observed the changes in computed tomography (CT), neurological scores and residential images.
Results: The absorption of congealed blood was noticeable (p<0.05) in the patients of acupuncture group. The neurological scores were evident (p<0.01). The effects of acupuncture group were better than those of medication group in both absorption of congealed blood (p<0.05) and neurological scores (p<0.01). The total effective rate of acupuncture plus medication group was 90%, while medication group 68.75%.
Conclusion: The study suggested that acupuncture could be applied to the treatment for acute cerebral hemorrhage, because it could accelerate the resolution and absorb the congealed blood, reduce the intracranial pressure and modify the cerebral blood circulation. Blood congestion was the pathological basis of hypertensive cerebral hemorrhage.


Clinical Research & Application
Paralysis & Nervous System Diseases

TREATING WIND STROKE WITH MANG NEEDLE

Chengshan WANG
Hospital of Gold Headquarters Under the Ministry of Metallurgical Industry. A-1 Gaojing, Chaoyangmenwai. Beijing 100025, China.

Mang Needle is a very thin, sharp and long needle. It looks like the awn of wheat. The needle can be used to pass through the points.
Wind stroke is often caused by sexual indulgence, overwork, deficiency of kidney yin or upsurge of liver yang. Wing stroke includes cerebral vascular diseases, such as cerebral hemorrhage, thrombosis, etc. The disease may be divided into two types: (a) attack on the meridians and collaterals; (b) attack on the zang-fu organs.
For the indications of weakness, muscular atrophy and motor nerve impairment, the following points are selected for treatment: BL54 to GB30; ST31 to ST34; ST31 to GB31; GB33 to LR8; SP9 to GB34; ST36 to SP6; ST40 to BL57; BL56 to BL57; ST43 to KI11; ST31 to Si Qiang; LI18 to LR9; LR3 to KI11; SP3 to BL65.
For the indications of numbness in the upper limbs, motor nerve impairment, stiffness of muscles and dysfunction of the fingers, the following points are selected for treatment: TE6 to P5; LI15 to LI11; SI3 to LI3; Bizhong to TE6; LI11 to P3; LI15 to TE6; LI11 to P3; LI15 to LI14; TE14 to TE10.
For the indications of stiffness of tongue, dysphasia and slurring speech, the following points are selected for treatment: CV23 to Extra9; CV23 to Shegen; Panglianquan to Extra9; Panglianquan to Shegen; CV24 to ST6.
The main feature of Mang Needle is that one needle can be used for many points, at least 2 points and 7 at most. The needle skill promotes a broader scope of meridians and faster arriving Qi.


Clinical Research & Application
Paralysis & Nervous System Diseases

A STUDY ON THE METHODS OF USING SCALP ACUPOINTS
TO TREAT WINDSTROKE

Zhishun YU, Weiping CHENG, Yan LU, Yan ZHAO
Heilongjiang College of Traditional Chinese Medicine. 24 Heping Road, Harbin 150040, China.

Aim: Windstroke is a serious disease which threatens old people's lives. The authors applied different methods of using scalp acupoints to treat windstroke and its effects.
Methods: By the methods of clinic, electrophysics and biochemics, the authors observed the effect of different needling times every day, different speeds of twisting the needles, different periods of twisting the needles, the manipulation of lifting and thrusting the needles and twisting the needles, scalp Dian Di Zhen, a long period of retaining the needles with twisting the needles every once in a while and moxibustion on scalp acupoints.
Results: Needling three times a day was superior to needling twice a day, and needling twice a day had a better effect than needling once a day. Slow twisting of the needles was inferior to fast twisting, but superior to retaining the needles without twisting. A long period of retaining the needles with twisting the needles every once in a while had a better result than a routine scalp acupuncture. There was no obvious difference in the effects between lifting and thrusting the needles and twisting the needles in a small range. The effect of scalp Dian Di Zhen was the same as that of electric scalp acupuncture. Moxibustion could also treat windstroke.
Conclusion: From the results, the authors consider that in certain conditions, a stronger stimulation has a better effect. Combining the authors' past experiences and the research results, the methods of scalp acupuncture for windstroke emerge: Inserting several needles in certain divided areas and retaining the needles for a long period with twisting the needles every once in a while.
Clinical Research & Application
Paralysis & Nervous System Diseases

THE CLINICAL OBSERVATION OF THE MEDICINE-OXYGEN ACUPUNCTURE
TREATMENT OF CEREBRAL INFARCTION IN THE EMBOLISMIC AREA

Yongjie NIU
Beijing Zhongzi Hospital, China Academy of Science. Beijing, China.

The infarcted area and its surroundings resulted from cerebral thrombosis, cerebral embolism and hematencephalon originally caused by diseases featured with high and endangered factors such as hypertension, diabetes mellitus and hyperlipemia, are called the embolismic area. Based on modern neurosurgery and modern acupuncture, and with reference to the location diagnosis of CT and MRI, the medicine-oxygen acupuncture treatment applies atylostixis on the corresponding embolismic scalp while the patient absorbs oxygen and the mixture refined from over 20 valuable traditional Chinese herbs.
In recent two or more years, we accepted and treated 376 patients who contracted cerebral embolism. Of the two groups divided randomly, the treatment group were treated by applying medicine-oxygen acupuncture treatment in the embolismic area, i.e. while let the patients take in the oxygen out of humidifier in a flow capacity of 11.5 1/min per person, apply the improved head acupuncture on the corresponding scalp of the embolismic area each time one day, with one course of treatment for 15 days and two days between two courses. The control group were administered with Cerebrolysin of 25 ml, intravenous injection, one time each day.
According to the assessment and recovery standard of clinical neurous functional impairment of the cerebral disease contractors passed in the 2nd Academic Symposium on Vascular Disease in 1986, the result showed that the treatment group had 170 effective cases (90.4%) and the control group had 83 effective cases (44.4%). After a statistical analysis, the two groups had a very obvious difference (p<0.01).
The author holds that, with the three components of medicine, oxygen and acupuncture integrated and acted actively together, the medicine-oxygen acupuncture treatment of the cerebral infarction in the embolism area regulates the autonomic nerve and parasympathetic nerve, and contributes to improving the cerebral anoxic and ischemic situation, accelerating the recovery of the function of the neurous cells in the embolismic area.


Clinical Research & Application
Paralysis & Nervous System Diseases

SCALP ACUPUNCTURE THERAPY FOR APOPLEXY AND ITS SEQUELAE

Fan CHEN
Jianggan Red Cross Hospital. Hangzhou 310002, China.

Aim: In the treatment of patients suffering from apoplexy and sequelae, the three-in-one therapy, with the scalp acupuncture as the major treatment plus body and head acupuncture combined with passive motion or naprapathy and massage, was employed to evaluate its currative effects.
Methods: The scalp acupuncture plus body and head acupuncture combined with naprapathy and massage were used. In manipulating scalp acupuncture, an improved methods of lifting and thrusting the needle to alleviate patient's pain and reduce acupuncturist's fatigue was applied, and the so-called draw-handicap method for manipulating the needle of scalp acupuncture was followed.
Results: The results of 214 cases treated for their apoplexy and sequelae with scalp acupuncture revealed that the curative effect was far better than that of medication with an overall effectiveness reaching 90.18% and a marked effectiveness of 83.18% (p<0.01). Symptoms such as unconciousness, facial paralysis, tongue paralysis, aphasia and quadriplegia were greatly relieved after the application of the three-in-one therapy.
Conclusion: Success of the three-in-one therapy with scalp acupuncture as the main treatment in curing patients' apoplexy and sequelae reflects the dominance and potential of the traditional Chinese medicine. The improved method for manipulating the needle of scalp acupuncture help reduce the pain of patients as well as the fatigue of acupuncturists.


Clinical Research & Application
Paralysis & Nervous System Diseases

A CLINICAL OBSERVATION OF THE ACUPUNCTURE TREATMENT ON
TRAUMATIC PARAPLEGIA WITH "DREDGING CHANNEL AND
CONNECTING SPINAL MARROW"

Fei WU
Affiliated Hospital of Changchun College of Traditional Chinese Medicine. Changchun, Jilin 130021, China.

Aim; Traumatic paraplegia is complex and can hardly be resolved by any therapy. The author applied the "Dredging Channel and Connecting Spinal Marrow" in treating traumatic paraplegia and studied its effects.
Methods: The main points ¡ª below 1 or 2 spinous processed from the up or down of the injury level, the points of Du Channel ¡ª were needled. Some accessory points might be used by different symptoms. When the Qi is achieved after needling, retain the needles for 30 minutes. Puncture once a day. A course consists of twenty treatments.
Results: Recovery rate was 8.33%; significantly effective rate was 25%; effective rate was 58.33%; ineffective rate was 8.33%. The total effective rate was 91.77%. After treatment the motor function had much more improvement than before, the difference had high significance (p<0.005); the curative effect of incomplete paraplegia was more therapeutic than that of complete paraplegia(0.05>p>0.025).
Conclusion: This report revealed remarkable differences, indicating the importance of needling method of "Dredging Channel and Spinal Marrow" for patients with traumatic paraplegia. The result also showed that needling the points early is very important. It is well received because of the characteristic of having no side effect. Further cooperation to bring the principle to light is welcome.


Clinical Research & Application
Paralysis & Nervous System Diseases

A CLINICAL STUDY ON 200 CASES OF PERIPHERAL FACIAL PARALYSIS
TREATED BY ELECTRO ACUPUNCTURE COMBINED WITH INDIRECT MOXIBUSTION

Xuanyi ZHAO, Biying YANG
Fujian College of Traditional Chinese Medicine. Fuzhou, Fujian, China.

Aim: We treated 200 cases of peripheral facial paralysis by electro acupuncture combined with indirect moxibustion and studied its effects.
Methods: The main points included Dicang (ST4) through Chengjiang (CV24) and Xiaguan (ST7) on the affected side. The auxiliary points were selected on both sides of Hegu (LI4). Indirect moxibustion was performed by placing a slice of fresh ginger on the affected area for the patients who either had pain on the face and the region around ear louble on the affected side or had no muscle contraction in response to electro acupuncture. The recovery was confirmed by comparison of the electronic potential of facial expression muscles between the affected and normal side.
Results: 195 out of 200 patients were fully recovered with 5 to 30 times of treatment. The duration of treatment was found to be closely related to the age of patients: 56.3% of patients among the 9-to-18-year-old group recovered with 5 to 10 times of treatment, while 39.6% among the 19-to-50-year-old group and only 15.4% among the 51-to-71-year-old group did so. The time when patients started to receive treatment also contributed to the duration of the treatment. With 5 to 10 times of treatment, 42.6% of the patients who started the treatment within one week recovered, while only 25.0% between one and two weeks and no patients after two weeks.
Conclusion: The present treatment of peripheral facial paralysis shows advantages of few points used for acupuncture and short duration of treatment. It is an effective way for treating peripheral facial paralysis.


Clinical Research & Application
Paralysis & Nervous System Diseases

PREVENTION AND TREATMENT OF SEQUELAE OF FACIAL PARALYSIS

Ying LI
Harbin No. 8 Hospital China.

Facial paralysis occurs mainly among young and middle-age people. The author has found a highly effective way for planning for the treatment.
1. First seven days are considered as the acute stage. All acupuncture treatment should be moderate to avoid further damaging the Qi and blood. When the points are selected, it is advisable to use the side of the face which is opposite to the ill side. The purpose is to alleviate the tension on the healthy side caused by the imbalance between the two sides of the face.
2. After the first seven days, the case enters the stagnant stage. The stimulation can be stronger and the points treated will be on the ill side of the face. The "two points plus one circle" method involves: LI4 and SJ17 as two points, ST7 through ST6 and ST2 with ST4 through ST6 and ST2 as one circle. The "two points plus one circle" method can be supported by using SP6 and LR3, plus Chinese herbal powder Qian-Zheng-San.
3. Massage on the acupuncture points or acupuncture on the healthy side of the face can be used as supplementary methods.


Clinical Research & Application
Paralysis & Nervous System Diseases

DIAGNOSIS AND TREATMENT OF EPILEPSY

Shi Fang YANG
Tianjin University of Traditional Medicine. Tianjin 300193, China.

The main point of this paper is to discuss the pathogenesis of epilepsy. The Heart Channel being obstructed by phlegm as a pathogenic factor with the crus of "Qi" is the key link and it is located at "the Heart". From the brilliant doctors' exposition and famous works of various ages in early literatures and "Huangdi Nei Jing" and also from the differentiation of disease according to pathological changes of viscera and their interrelations, the author puts forward that the symptom is closely related with "Heart", "Liver", "Spleen" and Kidneys" and related the "Heart" and "Brain" with Jing luo. It shows that the Heart Channel being obstructed by phlegm is just a symptom-complex of the Heart and Brain.
The principles of the treatment, the key point of differentiation of symptoms and signs and selection of points were proposed from a great deal of clinical practice of breaking free from convention of acupuncture, it shows that the effective acupuncture point for prevention and treatment of the major epilepsy are Shenque and Yamen. Finally, the typical case is presented.


Clinical Research & Application
Paralysis & Nervous System Diseases

A STUDY ON THE EFFECT OF ACUPUNCTURE THERAPY IN PATIENT
WITH PARKINSON DISEASE

Rie NABETA, Makiko TANI, Toshiaki SUZUKI, Yoshiro YASE
Kansai College of Oriental Medicine, 2-11-1, Wakaba, Kumatori, Sennan, Osaka 590-04, Japan.

Aim: To investigate the effect of acupuncture therapy in Parkinson disease (PD), a clinical and electromyographic (EMG) study on the effect of acupuncture in a male patient of 51 years old was conducted.
Methods: The patient has had difficulties with walking since January 1994. He initiated acupuncture therapy in June 1995 with a follow-up observation by EMG. Cardinal signs were resting tremor of left arm and generalized muscle rigidity. EMG was recorded from the flexor carpi ulnaris and radials in a sitting position before, during and after acupuncture therapy. The treating position was sitting and the meridian point of Fengchi was used for acupuncture. EMG data were analyzed for the peak-to-peak amplitude, mean rectified voltage and frequency of discharge.
Results: The peak-to-peak amplitude, mean rectified voltage and frequency of discharge during and after acupuncture therapy were significantly lower than those before acupuncture.
Conclusion: From these results, it is suggested that acupuncture treatment is beneficial for the PD patient and EMG may be a useful method for an objective evaluation of the effect on acupuncture in the patients with PD.


Clinical Research & Application
Paralysis & Nervous System Diseases

THE EXPERIENCE OF CURING A CASE OF SENILE CHOREA BY ACUPUNCTURE

Dongying YU
Liaoning Academy of TCM. Shenyang 110031, China.

Senile Chorea is one of the difficult and complicated cases-common in clinic. There is no special therapy of western medicine. I mainly acupunctured Taichong (LR3), Fengchi (GB20), Xuehai (SP10), Ch' ch'ih, Hegu (LI4), Fenlong (ST40), Lianquan (CV23) for reducing syndromes and conducted needle-embedding in Fuai for catharsis with scalp acupuncture. The patient was cured after twenty days of treatment and did not relapse during a half year's follow-up survey.

Clinical Research & Application
Paralysis & Nervous System Diseases

AN ANALYSIS OF THE TREATMENT OF 70 INNER-EAR VERTIGO CASES

Ai-Zhi XUE
Yunnan College of Traditional Chinese Medicine. China.

Vertigo is a kind of balance hypesthesia caused by pathological changes occurring in some systems or organs of the human body. It is mainly caused by the pathogeny of verstibule nerves, cerebellum and others. Vertigoes caused by pathological changes of vestibule nerves and cochlia nerves are real vertigoes; others are general ones. According to traditional Chinese medical theory, the occurrence of vertigo is due to a dificiency of vital energy and blood, a weakness of kidney, a thick phlegm block and an excessive yang of the liver.
From 1988 to 1992, the author applied traditional Chinese medicine and acupuncture to treat 70 vertigo patients (32 males and 38 females)in Kunming. After a ten-day period treatment with prescriptions Vertigo 1, 2, 3, 4 and acupuncture, the efficacy rate is 92.9%. The inefficacy rate after two or more ten-day periods of treatment is 7.2%.

The Principle in treating the deficiency of energy and blood is to build up and nourish the spleen and stomach; in treating phlegm block ¡ª to reinforce the spleen and dissolve the phlegm; and in treating excessive liver yang ¡ª to nourish the liver and kidney with yin. Doses of vertigo 1, 2, 3, 4 and 5 were prescribed for different types of vertigoes. Meanwhile treatment in scalp, body and ear was given at 1 to 3 acupoints once a day or every two days, with 10 minutes of retention.


Clinical Research & Application
Paralysis & Nervous System Diseases

ACUPUNCTURE IN "DYSTONIA DISEASE": A PARE CASE REPORT

Rubin ZENG
133-36 41st Road, #14A, Flushing, New York 11355, U.S.A.
Introduction: One rare case of "Dystonia Disease" was diagnosed by a neurosurgeon in the hospital affiliated with Columbia University. The symptoms were pain, spasm, twitch, rigidity and muscles atrophic on the right arm, elbow and fingers as well as in the right knee and ankle, Several western doctors only gave medicine to relieve the pain.
Treatment (from September 25, 1991 to February 25, 1992): (A) Combined local points and far points with general stimulation once a day on points such as Jianyu, Jianliao, Chize, Quchi, Waiguan, Neiguan, Laogong, Houxi, etc. in the right arm; Huantiao, Yanglingquan, Yinlingquan, Guangming, Xuanzhong, Zusanli, Kunlun, Taixi, etc. in the right leg. (B) Combined acupuncture and acupuncture once or twice a day: Baihui and Shangxing were selected for acupressure; Taiyang, Waiguan, Taichong and Yongquan were selected for electroacupuncture. In this time of treatment you must feel Deqi by yourself.
Results: In this case, nothing can help except acupuncture. In the period of the treatment, the pain has almost controlled, and the spasm had also been improved.
Conclusion: Acupuncture, an important branch of Chinese traditional medicine, has been practiced more than 2000 years and has been proven to be an effective weapon for combating pain, the recent discovery of endogenous opioid peptidergic system in the brain, and the mechanism of acupuncture has concentrated on the involvement of an EOP mediated system that underlies the pain relieving effect of acupuncture. The case report in this paper has been demonstrated that the pain was relieved without medicine.


Clinical Research & Application
Drug, Alcohol & Smoking Abuse

IMMUNOREGULATORY EFFECT OF ACUPUNCTURE TO STOP SMOKING ON
THE IMMUNOCOMPETENCE OF HABITUAL CIGARETTE SMOKERS' ALVEOLAR
MACROPHAGES AND PERIPHERAL BLOOD MONOCYTES

Xiaomu ZHENG1, Mang YU2, Bing WANG2, Xiya MU2
1Dept. of Rehabilitation, Dalian Friendship Hospital. Dalian 116001, China.
2Dept. of Microbiology & Immunology, Dalian Medical University. Dalian 116027, China.

Aim: The immunocompetence of alveolar macrophages (AM) and peripheral blood monocytes (PBM) playes a key role in local immune surveillance function in the lung. It can be suppressed by long term cigarette smoking, which increases the risk of carcinogenesis in the lung. This research was designed to study the immunoregulatory effect on the immunocompetence of AM and PBM by acupuncture to stop smoking.
Methods: Ear points and body points were applied in the treatment. Tumoricidal activities and secretions of cytokines such as TNF¥á and IL-1¥â os AMs and PBMs from 12 habitual cigarette smokers were examined to evaluate the immunocompetence before and after the acupuncture treatment. 12 healthy non-smokers were selected as control.
Result: The tumoricidal activities and IL-1¥â/TNF¥á secretion by AMs and PBMs in smokers were greatly lower than those in non-smokers. There were significant differences in those indices as described above in smokers before and after the treatments.
Conclusion: Aside from its efficacy on smoking abstention, acupuncture to stop smoking can also enhance the immune surveillance function against mutated lung cells induced by cigarette smoke through increasing the immunocompetence of AM and PBM.


Clinical Research & Application
Drug, Alcohol & Smoking Abuse

A CLINICAL OBSERVATION OF EAR ACUPUNCTURE'S THERAPEUTIC EFFECTS
ON 127 CASES OF SMOKING CESSATION

Wei-Mei XU
Acupuncture Department, Shun-Chang Health School. Shun-Chang County, Fujian, China.

Aim: To observe the effects of ear acupuncture therapy on quitting smoking.
Methods: 127 patients were needled at 4 main points on ears: CO14, TG2p, TF4 and CO1. These points were given electro-acupuncture stimulation for 30 minutes in each session. The course of treatment included 5 sessions in 10 days. 4 to 6 additional points might be supplemented by syndrome differentiation.
Results: 82 smokers (64.6%) stopped smoking after receiving 5 sessions of treatment, and 36 smokers(28.3%) smoked much less than before. The total effective rate was 92.9%.
Conclusion: Ear acupuncture is an effective, simple and inexpensive therapy for quitting smoking. It is acceptable to smokers and highly recommended by doctors.


Clinical Research & Application
Internal Organ Disorders

AN OBSERVATION OF THE CURATIVE EFFECT ON CORONARY HEART DISEASE BY ACUPUNCTURING NEIGUAN

Xianyang YIO, Wei ZHANG, Zhenquan YIO
Acupuncture Department, People's Hospital, Fujian College of TCM. Fuzhou, Fujian, China.

Aim: Neiguan point (P6) is one of the major points in acupuncture treatment of coronary heart disease (CHD). However, the mechanism underlying this therapy, especially that of acupuncturing Neiguan point is not yet known. In this paper, we studied the therapeutic effects of acupuncturing a single Neiguan point on CHD and the relationship between this therapy as well as the functional activity of the heart.
Methods: 30 CHD patients were treated with acupuncturing Neiguan point only. Among them, 14 were male and 16 female, aging between 37 to 65 years old. Acupuncture was performed once a day or every other day for two weeks to one month. As control, 15 CHD patients were treated with acupuncturing Zusanli (ST36) of the Stomach Meridian alone. For all patient, clinical symptoms and 4 objective functional indexes of the heart, ECG (ST segment and T wave), cardiac output (CO) and stroke volume (SV), were recorded and the results were compared.
Results: In patients treated with acupuncturing Neiguan point, the following observations were made. 1)The main clinical symptoms, such as chest distress, palpitation, shortness of breath, and angina pectoris, were decreased notably, with effective rates of 65.4%, 63.6%, 66.7%, 77.8%, respectively (p<0.05¡­0.01). 2)ECG improvements were significant after treatment (x2=10.2, p<0.02). There were 5 cases whose ECG resumed normal. 3) The grade of stroke volume (SV) increased significantly after treatment (x2=6.6, p<0.05). 4)Among 4 indexes measured, 3 indexes (SV, CO, T wave) were improved significantly (p<0.005, p<0.02, p<0.05, respectively). In the 15 cases of control acupunctured at Zusanli for 15 minutes, these 3 indexes remained unaltered. Whereas after acupuncturing Neiguan for 15 minutes in the same 15 cases, all of the 4 indexes (SV, CO, ST segment and T wave) were improved significantly (p<0.05¡­0.01), suggesting a relative specificity for influencing cardiac function by acupuncturing Neiguan.


Clinical Research & Application
Internal Organ Disorders

A LONG-STANDING ATRIAL FIBRILLATION REVERSED BY ACUPUNCTURE: A CASE REPORT

Xiao Ping ZHOU
Neuro-Rehibiliation Healthcare. 142-10 Roosevelt Avenue, #217, Flushing, New York 11354, U.S.A.

Aim: Atrial fibrillation is a type of very severe and stubborn arrhythmia in which the atria beat irregularly and very rapidly. The author reports that a long-standing atrial fibrillation was reversed by acupuncture after a prolonged unsuccessful trial of conventional medical treatment.
Methods: Selected points were Xinshu (BL15), Shenshu (BL23), Taixi (KI3), Sanyinjiao (SP6) (for nourishing yin), Neiguan (PC6), Shenmen (HT7) and Jueyinshu (BL14) (for subduing heart fire). The needle size was No. 32 - 1 cun (0.26×25 mm). The method of inserting the needles was reinforcing combined with reducing.
Case Report: A 58-year-old female patient had had atrial fibrillation for four months, after June, 1991 valvotomy for her seven-year history mitral stenosis. After giving digoxin, verapamil, beta-blockers and defibrillation, her atrial fibrillation is still long standing. She had palpitations, angina pectoris, restlessness, insomnia, dizziness, blurring-vision, tinnitus, lassitude, red tongue with little yellow fur and thready rapid pulse. ECG indicated atrial fibrillation. Due to persistent atrial fibrillation, she came for acupuncture. Points were above four nourishing yin points(by lifting and thrusting the needle for reinforcing) and three subduing fire point (reducing by lifting and thrusting). The needles were retained for 25 minutes. After 4 hours, at first the patient had a short time acute reaction (for 10 minutes more palpitation), then her atrial fibrillation was reversed, ECG returned to the normal state. All symptoms disappeared. There was no more onset of atrial fibrillation after a follow-up for eight months.
Discussion: In traditional Chinese medicine pathology, atrial fibrillation is conceivably classified as "Hyperactivity of the Fire due to Yin Deficiency" in palpitation. Neiguan and Xinshu (seven points) can regulate the disorder of Yin-Yang in heart. When the Yin-Yang in heart was balanced by acupuncture, the long-standing atrial fibrillation atrial fibrillation was reversed. In another view, Neiguan and Xinshu (seven points) may be able to affect sinoatrial node and the heart's electrical conducting system, and regulate cardiac arrhythmia.


Clinical Research & Application
Internal Organ Disorders

TREATING ARRHYTHMIA WITH EAR-ACUPUNCTURE

Zun-Xin GUAN
Yunnan Institute of Auricular Acupuncture. 8 Dong Li Xiang, Remin Dong Lu, Kunming, China.

31 arrhythmic cases were treated with ear-acupuncture or pressure seed on ear-points. There were 26 cases of extrasystole and 5 cases of paroxysmal tachycardia among them. Ear acupuncture was used for patients in the period of attack, ruhereas pressure seeds on ear-points was used those in the period of lysis. Main ear-points, Heart, Sympathesis, Shenmen, and Occiput were selected. If the arrhythmia is caused by organic disease, add Small Intestine, Root of Ear Vagus. If it is complicated by neurasthenia, add Kidney and Subcortex. If it is complicated by endocrinosis, add endocrine and Subcortex. If it is complicated by hypertension add Groove of Posterior Surface. After one year, curative effect was assessed with 26 cases of extrasystole, 12 cases (46.2%) were cured, 11 cases (42.3%) were effective, and 3 cases (11.5%) were ineffective; with 5 cases of paroxysmal tachycardia, 3 cases were cured, 1 case was effective, and 1 case ineffective.


Clinical Research & Application
Internal Organ Disorders

COMBINING ACUPUNCTURE AND ZHEN-WU SOUP
FOR TREATING HEART FAILURE

Ye L. ZHENG
Shanghai T.C.M. Hospital. Shanghai 200434, China.
Heart failure involves symptoms such as palpitation, dyspnea, excessive phlegm, dropsy and cardiac bisyndrome in Chinese medicine. The combination of acupuncture and Zhen-Wu soup has proved to be every effective.
The principle of treatment is to warm up the kidneys and to tonify the Qi, i.e. to warm up Yang. To support the treatment principle, methods should include: subduing swelling, facilitating diuresis, purging the lungs and dissolving phlegm, activating blood circulation and removing stasis, tonifying spleen and expelling dampness.
Acupuncture treatment involves Zhongji, Guanyuan, Sanyinjiao, Zusanli, Shuifen, Shuidao, Yanglingquan, Xinshu, Shenshu, Feiyang, and Fuliu.
Herbal treatment involves Zhen-Wu soup combined with modified Dushen soup. Herbs prescrived are: 6¡­15 g of Renshen, 6¡­15 g of Shufupian (boiled 1/2 hour before other ingredients), 9¡­12 g of Baishao, 1¡­15 g of Fuling, 6¡­9 g of Shengjiang, 6¡­15 g of Zhigancao. In addition to above ingredients, Huangqi and Dangshen added for Qi deficiency; Cheqianze and Baimaogen added for edema and insufficient urine; Tinglizi and Sangbaipi added for pressure in the chest and tenacious cough; Taoren and Danshen added for notable cyanosis; Xiangfu in large dosage used for the exhaustion of Yang Qi; the formula of Shengmai Powder used for deficiency of Qi and Yin.


Clinical Research & Application
Internal Organ Disorders

THE OBSERVATION ON THE INSTANTANEOUS CURATIVE EFFECT OF
THE SEMI-CONDUCT LASER NEEDLE ON 138 HYPERTENSION PATIENTS

Guoqing CHEN
Shanghai Pudong Laoshan Hospital. Shanghai, China.

Aim: Hypertension is a common disease in the adult and aged people. We observed and analyzed the instantaneous depressive effect of the semi-conduct laser needle therapy on the hypertension patients, and selected the best effective acupoints.
Methods: 138 patients were randomly divided into three groups: 40 cases in the Zusanli (ST36) group, 52 cases in the Neiguan (PC6) group, and 46 cases in the Ear Heart group. Patients were advised to stop taking the depressive tables for 3 to 7 days. After having a rest (lie supine) for 3 to 5 minutes, patients were examined for blood pressure, parameters of heart function and hemodynamics such as Stroke Volume (SV), Cardiac Output Per Minute (CO), Cardiac Index (CI), Blood Volume (BV), Total Peripheral Resistance(TPR), Blood Viscosity (¥ç), Left Ventricular Ejection Resistance (VR). The acupoints were irradiated for 5 minutes individually. After the treatment, patients were advised to have a rest for about 2 to 3 minutes then the above indexes were checked again. The change of their symptoms were also observed.
Results: The total effective rate of clinical symptom improvement was 83.3%. The significant difference was shown in the blood pressure including systolic and diastolic pressure, (p<0.05) and also in the different parameters of the heart function and hemodynamics especially in CO, CI and BV. The effect compared in the three groups showed that the Neiguan (PC6) group was superior to the other groups.
Conclusion: All the three groups demonstrated a good effect in decreasing blood pressure but Neiguan (PC6) can be selected as first choice to treat hypertension and to improve the cardiovascular function.


Clinical Research & Application
Internal Organ Disorders

TREATING 84 CASES OF HYPERTENSION BY ACUPUNCTURING NASAL POINTS WITH MAGNETIC-POLE NEEDLES

Yancheng ZHAO
Internal-combustion Engine Fittings Factory. Gucheng, Heilongjian 161641, China.

Aim: Modern medicine holds that hypertension is a common disorder which mostly occurs as functional disturbance of high nervous center. Meanwhile, humoral, endocrinal and renal dysfunctions are also involved during the pathogenic processes. Through years of personal experiences, the author have applied filiform, magnetic-pole needles for treating this disorder with marked clinical effects.
Methods: Using Suliao (GV25) points at the nasal tip as a center, needling points are located 3 fen from the center, up and down, left and light. Needle insertion leads to the center and causes local soreness and distention. Patients usually claim tearing, followed by clearer vision and mind. Symptoms are mitigated in the meantime.
Results: The results showed that 69 cases (82.2%) were markedly effective, 12 cases (14.3%) effective, with only 3 cases (3.5%) inffective. Of all the cases, 46 cases were effective by only one session of acupuncture treatment, 23 cases by two to five sessions, 12 cases by six to ten sessions.
Conclusion: Since Ren and Du channels are connected at nose and stemmed from the gonad, acupuncture at these points can usher the blood to descend, resurrect the brain, tranquilize and lower the blood pressure. Encompassing both magnetic and needling actions, this special needle can act directly on the points with magnetic field, balancing and improving the visceral function. In comparison with conventional filiform needles, the magnetic-pole needles are superior in many aspects, such as few needling, stronger sensation, rapid deqi and shorter treatment course. Hence, it is worthy of popularization.


Clinical Research & Application
Internal Organ Disorders

OBSERVATION OF CURATIVE EFFECTS: 100 CASES OF PRIMARY HYPERTENSION (PERIOD II) TREATMENT BY GAS INSTRUMENT ON JING (WELL) POINTS

Chengxiao GUAN
Sanhe Hospital. Jinan, Shandong 250001, China.

Aim: Gas instrument on Jing (well) points uses the principles of fluid mechanics to inject a pressurized gas to stimulate Jing (well) points. The selected points are located on the tips of patient's fingers and toes. 100 cases of primary hypertension (period II) were treated. The standard of diagnoses and effects was according to the national conference of cardiovascular disease, epidemics and prophylactic therapeutics(April 1979).
Methods: Before and after the treatment the blood pressure was taken according to the rule. The 10th part (Zulinqi, GB41) and the 12th part (Zhaohai, KI6) were selected. The treatment lasted 2 1/2 minutes, once per day. One course included 10 treatments. There were 3 days of rest between two courses. Those who were counted in the statistics underwent at least 1 course.
Results: 68 cases were effective, 35 cases were moderately effective, and 7 cases were ineffective. The total effective rate was 93%. The average value of the systolic pressure reduction was 4.19±1.86 kPa (p<0.01) while the average value of the diastolic pressure reduction was 2.04±1.12 kPa (p<0.01). 39 cases (16 cases - 1 month, 15 cases - 2 months, 7 cases - 3 months, 1 case - 6 months) were followed-up. All cases remained at the post-treatment level.
Conclusion: Gas instrument on Jing (well) points plays an effectual role in treating primary hypertension. It absorbs the advantages of many traditional therapies, such as acupuncture, warming moxibustion, cupping and massage, yet it causes no pains, no wounds and no side effects. It is used now in treating other diseases in addition to primary hypertension. Many diseases have been cured by the instrument. The price of the instrument is reasonable and simple to operate. It is possible to operate at home and is worth further development.


Clinical Research & Application
Internal Organ Disorders

THE OBSERVATION OF THE EFFECT ON ACUPOINT PLASTER THERAPY APPLIED TREATING BRONCHIAL ASTHMA AND CHRONIC BRONCHITIS

Shifeng SHEN
Lane 271, Building 49, No. 1302, Shangxi Nan Lu, Luwan, Shanghai 200020, China.

Aim: Bronchial Asthma and Chronic Bronchitis are common diseases. In order to find an effective therapy, the author applied the therapy of acupoint plaster and studied its effects.
Methods: Patients were divided into two groups, a treatment group and a control group. The treatment group was administered plaster, laid on Huagai, Tanzhong, Feishu, Gaohuang for two hours per week. Patients were treated for every winter and summer for a duration of three years. The control group was treated by internal medication.
Results: 90.8% of the treatment group and 66.7% of the control group were cured. 9.2% of the treatment group and 33.3% of the control group regained the same clinic manifestation after the treatment(p<0.01).
Conclusion: The results of the two groups revealed a remarkable difference. They showed that the therapy on acupoint plaster for patients with Bronchial Asthma and Chronic Bronchitis is better than that of the internal medication with no adverse reaction for the patients. Therefore, Acupoint Plaster Therapy is one of the most effective therapies to cure Bronchial Asthma and Chronic Bronchitis.


Clinical Research & Application
Internal Organ Disorders

A CLINICAL OBSERVATION ON THE EFFECTS OF AURICULAR ACUPUNCTURE ON THE CASES WITH STOMACH AND DUODENUM DISEASES

Chang-Biao LU
Acupuncture Department, Shun-Chang Health School. Shun-Chang County, Fujian, China.

Aim: The author observed the therapeutic effects on the therapy of ear-point acupuncture combined with traditional medicine in treating stomach and duodenum diseases. The effective rate compared with that of the cases treated with medicine only.
Methods: Patients were divided into a treatment group and a control group. For the treatment group, the 4 points on the ears ¡ª CO4, CO5, TF4 and CO18 ¡ª were needled every other day for 4 weeks. These needles were retained at these points for 48 hours until the next session of the treatment. All patients of the treatment group also accepted a traditional medicine therapy. The patients of the control group only accepted the traditional medicine.
Results: 46.2% of the treatment group were cured (49/106), and the curative rate was 15.7% in the control group. The total effective rate was 93.4% in the treatment group. It was much higher than that in the control group (62.7%, p<0.01).
Conclusion: The clinical research proved that, as a part of the combination therapy, auricular acupuncture is an effective therapy for treating the stomach and duodenum diseases. It is valuable for recommendation because of its therapeutic effects.


Clinical Research & Application
Internal Organ Disorders

A CLINICAL OBSERVATION OF THE USE OF BOTH ACUPUNCTURE AND TRADITIONAL CHINESE MEDICINE IN THE TREATMENT OF DIGESTIVE ULCER IN EIGHTY CASES

Ze Jie LIN
Shantou Center Hospital. Kuang Dong 515031, China.

Eighty patients were under clinical observation. They all suffered from digestive ulcer. Most of them complained that the pain was under the Xiphoid process. The therapeutic methods used were: (1) Acupuncture. The points of the acupuncture were: Zhongwan, Zusanli, Weishu, Pishu, Jingmen and Yanglinquan. Acupuncture treatment was performed once a day, and the inserted needles were kept at the points for 40 minutes. One course consisted of twelve treatments. (2) Traditional Chinese medicine. The prescription of the Four Gentlemen soup (si jun zi soup) plus goldthread root and eagle wood formed the basis of the recipe. The result was inspiring. Gastroscopy and X-ray checks proved that the symptoms of ulcer have disappeared in thirty patients (38%), and that the niche is lessened by more than a half, and the ulcer is on its way of healing. The observation revealed a fact that the use of both acupuncture and traditional Chinese medicine in the treatment of patients suffering from digestive ulcer is of great prospect.


Clinical Research & Application
Internal Organ Disorders

A CLINICAL INVESTIGATION ON ATROPHIC GASTRITIS
TREATED BY ACUPOINT INJECTION

Jiang KEZHI
Kezhi Clinic. Tianning District, Changzhou city, Jiangsu 213003, China.

Clinical data: All 418 cases were confirmed as chronic atrophic atrophic gastritis by fibroptic gastroscopy and pathological biopsy in hospitals above the country level. Among them, 284 cases had a history of illness less than 10 years; 134 cases, above 10 years. 16 cases were complicated with a typical hypertrophy, 87 cases were complicated with intestinal hyperplasia; 51 cases with erosion, 26 cases with polyps. For location of lesions, 327 cases (78%) were located at the pylorus, with the remaining eases located at the body part or with multiple lesions.
Methods: The cases were divided into 2 types and treated accordingly. Qi-stagnant type: treated mainly by regulation of liver energy; Qi-asthenic type, treated mainly by strengthening the spleen and harmonizing the stomach. For cases with Yin-deficiency, points for nourishing Yin were added. Medication: injection of Radix Astragali seu Hedysari, injection of riboflavin, injection of Radix Angelica Sinensis, tissue injection from human placenta. For Qi-stagnant type, Vit B12 injection was also given. Points selected: Weishu, Zhongwan, Zusanli. For Qi-stagnant type, Ganshu was added; for Yin-deficiency, Sanyinjiao was also added. All points were injected with 2 ml except for Zhongwan which was only injected with 1 ml. One injection was given every other day, with 30 injections constituted a therapeutic course.
Results: In addition to symptom changes, all cases were examined by fibroptic gastroscopy, biopsy of gastric mucosa plus gastric secretion function. The criteria forjudging the effect were differentiated into markedly effective. effective, and non-effective based on "Standards for Clinical Diagnosis of Cure and Mitigation of Diseases (1987 edition)" stipulated by Ministry of Health, Logistic Headquarter of PLA. All gastric medications were suspended during the therapy. In general, all cases were referred to the original hospitals for check-up of gastroscopic exam, and followed up for 3¡­5 years. In 177 cases of Qi-stagnant type, 104 were markedly effective, 61 cases effective, 12 cases non-effective; for 241 cases of Qi-asthenic type, 139 were markedly effective, 92 effective, 10 cases non-effective.


Clinical Research & Application
Internal Organ Disorders

GINGER-PARTITION MOXIBUSTION WITH ACUPUNCTURE POINT INJECTION CURING IRRITABLE BOWEL SYNDROME

Aiwen LU
Guangzhou Hospital of Chinese Traditional Medicine. 16 Zhuji Road, Guangzhou 510130, China.

Aim: Irritable Bowel Syndrome (IBS) is an illness of special pathologically and biologically basis, independent intestine functional disorder. It not only has a high percentage of attacking rate, but also brings great pain to the uncured patients. In order to find a good way to cure IBS, this research work has been done.
Methods: In the treatment group, 39 cases of Irritable Bowel Syndrome patients have been treated with Ginger-Partition Moxibustion on ST25 (Tianshu), CV4 (Guanyuan) and injection of vitamin B1 on ST36 (Zusanli) and ST37 (Shangjuxu). The comparative group with 20 patients have also received acupuncture on ST25 (Tianshu) and ST36 (Zusanli).
Results: After treatments, in a total of 39 cases of the treatment group, 25 (46%) have received distinct improvement, effective on 12 (31%0 cases, and only 2 (5%) were with no effect. The overall success rate was 95%. After treatments, in a total of 20 cases of the comparative group, 7 (35%) demonstrated distinct improvement, 8 (40%) showed the treatment effect, and on 5 cases (25%) revealed no effect. The overall success rate was 75%.
Conclusion: Ginger partition moxibustion injection is a treatment of combining Chinese and western medicine in a way that both acupuncture and drug are used. It is scientific and effective.


Clinical Research & Application
Internal Organ Disorders

ONE CASE OF IRRITABLE BOWEL SYNDROME (IBS)
TREATED WITH ACUPUNCTURE

Junhong ZHANG
Affiliated Hospital of Nanjing University of Traditional Chinese Medicine. 155 Hanzhong Road, Nanjing, China.

Aim: To observe the effectiveness of Acupuncture in treating Irritable Bowel Syndrome(IBS).
Methods: Ms. H. is a 35-year-old registered nurse. She reported a cramplike lower abdominal pain leading to loose stools and relief pain with defecation. The symptoms occurred two to three times a week and were worse with large meal, menses and stress. She feels anxious. stress, tired and pain in the neck. There was no positive finding in stool culture, guaiac testing and X-ray. Treatment: needling acupuncture points: Dashu Ganshu (BL18), Pishu (BL20), Zusanli (ST36), Sanyinjiao (SP6) and Danzhui (GV14). The needles are remained for 20 minutes. Treatment performed twice a week.
Results: After the fifth treatment, all the symptoms got better. She reported that the cramplike lower abdominal pain leading diarrhea had decrease to once in the past two weeks. Then she continued three more treatments. She stated: her abdominal pain, diarrhea and neck pain disappeared; stress and anxiety got relief; and she felt more energy and easygoing. Follow up: eight months after treatment, she keeps good condition.
Conclusions: The irritable bowel syndrome (IBS) is one of the most frequent gastrointestinal disorders and no pharmacological treatments have being shown to be consistently effective for this condition. Although there is no enough caseload, it suggests that acupuncture may be beneficial to IBS. Further study is needed.


Clinical Research & Application
Internal Organ Disorders

A CLINICAL STUDY ON THE LIVER & GALL STONE TREATED BY
NEEDLING METHOD WITH THE MASSOTHERAPY OF THE EAR POINTS

Jiafu SU
Quanzhou Hospital of Chinese Medicine. Quanzhou, Fujian 362000, China.

Aim: To find a good method to treated patients with the liver and gall stone, the author applied the needling method, together with the massage of the ear points, in treating the liver and gall stone and studied its effects as well.
Method: Patients were divided into two groups. For the first group, there were 300 cases. They were treated by needling method together with the massage of the ear points. The second group consisted of 67 cases, but the patients were treated by the massage of the ear points only.
Results: The discharging rate of the first group is 91.61%(17.33% of the patients discharged the stones completely, 74.33% of them took the favorable turn). While the discharging rate of the second group is 80.60% (14.92% of the patients discharged the stones completely and 65.68% of them took the favorable turn).
Conclusion: The comparison between the two groups revealed remarkable differences, indicating the importance of needling method together with the massotherapy of the ear points for patients with liver or gall stones. It presents a new method. The author also sets forth his position on the details during the treating process. He believes that "the vigor's reaching the focus" is the key to the curative effect.


Clinical Research & Application
Internal Organ Disorders

A CLINICAL SURVEY OF ER YA AND CHINESE HERB FOR TREATMENT OF OBESITY

Fu Fang XIAL

Using Er Ya to treat obesity with hyperlipemia is very effective. The course is as follows:
Clinical data and method: Object: Judge the standard body weight according to Broca method. 10% more than standard weight is thought as obesity. Choose 58 patients. Their average obese degree is 37.2±17.2%. Among them, 54 patients serum TC, TG is higher than normal.
Ear vital points: (1) thirsty, fatigued-feeling: wei, dei, jiaogan, shenmen; (2) hungry feeling and constipation: pi, wei, jidian, jiaogan;(3)poor appetite, constipation and older in age: neifen, jidian, zhichang, shen
Method: Put seeds of Wangbuliuxing on 0.5×0.5§² self-made adhensive plaster. Stick the plaster on ear viral point of one side. Press 5 min before meals every day. After 3 days, take down the adhensive plaster and put it on the other side. One month is one course of the treatment. All above were based on different diagnosis and treatment with Chinese herb.
Result: After one course of the treatment, 58 patients weight dropped 6.0¡­2.5 kg, average obese degree fell to 30.2±12.2%. After 4 courses of treatment, 54 patients weight dropped 34¡­12 kg, average obese degree fell to 20.8±6.8%. 36 patients weight restored to the normal weight. Effective rate was 95.2%. Apparent effective rate was 80.5%. 38 patients serum TC, TG fell to normal. Effective rate was 90.4%. Apparent effective rate was 81.4%. There was no relapse after one year follow-up.


Clinical Research & Application
Internal Organ Disorders

CLINICAL AND LAB STUDIES ON TIME SELECTION FOR A BETTER THERAPEUTIC EFFECTIVENESS IN THE TREATMENT OF DIABETES WITH ACUPUNCTURE

Guojie SUN, Kangsheng WANG, Xinghuo XONG
Hubei TCM College. Wuhan 430061, China.

Aim: As we know, acupuncture is an effective therapy for diabetes. But how it works and at what time the treatment should be applied to achieve a better effectiveness keep unknown. To this end, the authors made a consistent clinical and lab study.
Methods: In the clinical study, fifty cases of diabetes II patients were randomly divided into 4 groups: (1) the group having acupuncture treatment at any possible time; (2) the group receiving acupuncture treatment at the climax of insulin secretion; (3) the group taking acupuncture treatment at the anticlimax of insulin secretion; and (4) the control group with chemotherapy of D860. The authors compared the fasting blood-glucose content and the after-meal blood-glucose content, the 24h urine-glucose quantity, and the content of the saccharified hemoglobin before and after the treatment. In the lab study, 50 animal model of diabetic rats inducted with Alloxan were taken as subjects and randomly divided into 5 groups (one more group than the human subjects: the bland control group) to compare the content of fasting and after-meal serum insulin and serum C-petide, before and after treatment.
Results: In controlling the increment of the fasting and after-meal blood-glucose content as well as the 24h urine-glucose quantity in the clinical study while concerning the content of the saccharified hemoglobin, group 2 was better than groups 1 and 3(p<0.01) but almost the same as group 4 (p>0.05). Group 2 showed better results than other groups (p<0.01) in promoting the insulin synthesis and secretion of the islet cells in the lab study.
Conclusion: The studies suggest that acupuncture is an effective therapy for diabetes, which works more effectively at the climax of insulin secretion after meals, and even more effectively in some aspects than the chemotherapy with D860. The way that acupuncture works in the treatment of diabetes is probably by promoting the insulin synthesis and secretion of the islet cells, and by helping the body make a fuller use of the insulin.
Clinical Research & Application
Internal Organ Disorders

THE OBSERVATION OF EFFECT OF TREATING SIMPLE OBESITY
BY ACUPUNCTURE AND MASSAGE

Shu-guo FAN, Ying XU
Unit: TCM School of Mian Yang City, Sichuan, China.
380 Mian Zhou South Road, Mian Yang, Sichuan 621000, China.

We treated 268 cases simple obesity by acupuncture and got a curative effect. We would like to introduce as follows:
Methods:
(1) Acupuncture Guanyuan (CV4), Tianshu (ST25), Shuifen (CV9), Qihai (CV6), Liangqou (ST34), Zhigou (TE6), Fonglong (ST40) and Shanyinjiao (SP4) as two series of points. Tapping or cupping also can be used.
(2) On the main point use the pulse reducing apparatus to treat.
(3) On the fat position use Chinese drugs reducing inunctum combine with massage.
(4) Give the otopints press, choose Shermen, Wei (Stomach), Dachang (large intestine) and Neifenmi (internal secretion) as two series.
(5) Give the patient Chinese drugs peroral
Curative effect: In 30 days, the body weight reduced rates are: 24% greater than 10 kg, 54% greater than 5 kg, 22% less than 5 kg.
Discussion: The simple obesity cause are multiple systemic dysfunction. Our therapy can regulate metabolism and recover the body system function. So it has good reducing curative effect.


Clinical Research & Application
Dermatology, Surgery & Oncology

A CLINICAL STUDY ON SLIGHT BURNS AND SCALDS OF SKIN
TREATED BY NEEDLING METHODS

Kang Le JIANG
The Association Clinic of Doctors Chinese Medicine. Guanyang County, Guilin, Guangxi, China.

Aim: Skin of human body can usually be injured by sunlight, electric welding arc, flame, boiling water and hot oil. These kinds of wounds are called burns and scalds in Chinese medical science. The author applied the acupuncture treatment in treating slight burns and scalds and studied its effects.
Methods: On the basis of Chinese medical theory of which the lung controls the skin and hair, the author applied six needling methods ¡ªbody-needle, face-needle, ear-needle, nose-needle, hand-needle and the needle of the second metacarpal bone in treating 285 cases of burns and scalds. Different needles must be matched for different points. The points should be adopted far from the wounded place. These six methods should be applied lonely of together according to the clinical symptoms.
Results: From 285 cases, 90.88% of them were cured. 9.12% of them were nor cured.
Conclusion: The effectiveness and success of the needling methods in treating slight burns and scalds of skin have not only proved the science of the Chinese medical theory but also opened up the new fields of acupuncture.


Clinical Research & Application
Dermatology, Surgery & Oncology

COMBINATION OF SCALP ACUPUNCTURE WITH BODY ACUPUNCTURE
FOR TREATMENT SENILE URINARY INCONTINENCE

Hong ZHANG
Department of Acupuncture of the General Air Force Hospital. Beijing 100026, China.

Aim: Senile urinary incontinence is a clinically commonly encountered disease. In order to find an effective treatment method, the work presented in the following was undertaken.
Methods: In accordance with the theories of the Traditional Chinese Medicine and the principle of determining treatment by means of differentiation of syndromes, the scalp acupuncture was combined with body acupuncture to treat 76 patients with the target disease. Point selection: Sensory area of foot movement and urogenital area; Zhongji (CV3), Shuidao (ST28), Shenshu (BL23), Pangguangshu (BL28), Yinlingquan (SP9), Sanyinjiao(SP6) and Taixi (KI3).
Results: Among 76 cases, after 1 to 2 courses of treatment, 38 cases were cured at the clinically near stage, 20 cases had marked improvement, 17 cases reached improvement and only 1 case was still of inefficacy. The total effective rate was 97.37%.
Conclusion: Combination of scalp acupuncture with body acupuncture for treating senile urinary incontinence can provide satisfactory effect.


Clinical Research & Application
Dermatology, Surgery & Oncology

AN ANALYSIS OF THE CLINIC EFFECT ON CHRONIC PROSTATITIS
WITH ACUPUNCTURE AND MOXIBUSTION

Hua MA
Jinzhou Medical College. Jinzhou, Liaoning 121000, China.

Aim: The author treated 60 cases of chronic prostatitis with acupuncture and moxibustion and compared the effect with that by Chinese drugs. The therapeutic result suggested that the effects of acupuncture and moxibustion were significantly superior to Chinese drugs.
Methods: Acupuncture and moxibustion groups: First group points: Patients were in dorsal position, the Guanyuan (CV4) was taken. Second group points: Patients were placed in prone position 28# 2 inch needle was applied with a perpendicular insertion. The uniform reinforcing-reducing method was used and the needles retained for 20 to 30 minutes.
Results: The curative rate in the acupuncture and moxibustion group was 46.7%, and the improvement rate was 38.3%. The total effective rate was 85%. The total effective rate in the Chinese drug group was 66.7%. Total rate of the two groups was compared through a statistical analysis: x2=4.406 and p<0.05. This result suggests that the curative effects of the two groups have a significant difference.
Discussion: Acupuncture and moxibustion can treat this kind of disease. This method may mediate channel and collateral, regulate the qi and blood, and improve blood circulation of prostate. The secretion of prostatic (sinus) iumen was excreted and eliminated the symptoms of frequency of micturition, urgency of urination and dysuria.

Clinical Research & Application
Dermatology, Surgery & Oncology

THE TREATMENT ON CHLOASMA WITH ACUPUNCTURE STIMULATION

Hong WANG
Institute of Acupuncture and Moxibustion of Sichuan Provincial Academy of Traditional Chinese Medicine. #37 Sidao Road, Chengdu, Sichuan 610031, China.

Chloasma is a kind of pigment skin disease usually found in women. There has not been any ideal way to cure it until now. This paper reports the treatment on 62 cases of chloasma with the therapy of facial acupoint massage, facial natural herbal plastering, ear-acupoint pressing Main points are: Tai Yang, Yin Tang, SI18, ST4, ST2, ST6, GB2, LI20, TE17, GV26, etc. Main points of ear-pressing are: Ear Shenmen, Lung, Liver, Sympathesis, Subcortex, check, Internal genitals, Endocrine. The main ingredients in the mask are: Chinese Angelica, Ginseng, Pearl, Honey. The paper also presents the operation in details. The treatment should be given once a week and 4 times makes one course. Usually two to three course are needed. The shortest treatment course is one month, and the longest one is six months. The findings show that 10 cases (16.1%) were cured, 20 cases (32.2%) came up with remarkable effects, and 32 cases (51.7%) turned better. The treatment should be given once a week and 4 times make one course.
The principle of the treatment is to coordinate the functions of the Zang-Fu organs, to Huo Xue Hua Yu (to promote blood circulation and remove blood stasis), and this kind of therapy has the function of both local treatment and the whole body regulation. Moreover, it has no side effects. It can be applied not only to treat disease, but also used as a natural way to facial skin care.


Clinical Research & Application
Dermatology, Surgery & Oncology

A CLINICAL STUDY ON CANCER TREATMENTS BY ACUPUNCTURE,
FUMIGATION AND CUTTING OVER FOURTEEN MAIN AND COLLATERAL
CHANNELS AND TREATMENT POINTS

Dao Hua HU
Shanghai 200050, China.

Aim: The author applied a clinical study on cancer treatments by acupuncture, fumigation and cutting over fourteen main and collateral channels and treatment points.
Methods: According to the traditional Chinese medical science theory and esoteric methods, cancers treatments by acupuncture, fumigation and cutting over channels and treatment points (focal point on the five sense organs position) were practiced.
Results: 85% were cured; 75% were basically cured.
Conclusion: Through dredging the channels and points by acupuncture, fumigation and cutting, the evil trend was led out, the blood circulation was antipyretically invigorated, healthy trends were encouraged and unhealthy ones were checked. And with the assistance of herb medicine, stomach and spleen were invigorated to reinforce vitality, blood and body strength were benefited and nourished, immunity was strengthened. Especially the rate of guarantee a cure on the five sense organs position is high.

Clinical Research & Application
Dermatology, Surgery & Oncology

ACUPUNCTURE AND MOXIBUSTION FOR 113 CASES OF LEUKOPENIA
CAUSES BY CHEMOTHERAPY

Yuzhu GONG, Zuozhen WANG
Department of Acupuncture, The First Hospital of Sanming. Sanming, Fujian 365000, China.

Aim: In the past five years the authors cured 113 cases of leukopenia caused by chemotherapy for cancer with acupuncture and moxibustion. The results showed a satisfactory curative effent.
Methods: The therapy was to puncture the bilateral acupoints of Zusanli and Quchi with needles in a regulated way and manipulating the needles for three minutes with tonifying method after "deqi". Then the needles remained in the points for fifteen minutes. Meanwhile, heating Qihai with burning moxa stick for fifteen minutes. Acupuncture and moxibustion were performed once a day. A treatment course consisted of six consecutive days. In the end of every course, white blood cell (WBC) count was taken.
Results: Altogether 544 courses were given to patients The results were as follows:

The changes of quantities in absolute value of WBC in each treatment course were as follows:

Conclusion: Acupuncture and moxibustion can effectively improve the function of marrow-stem cells which were damaged during the chemotherapy.


Clinical Research & Application
Infectious Diseases & Acquired Immunity Deficiency Syndrome

TREATING CHRONIC ACTIVE HEPATITIS B WITH ACUPUNCTURE

Ling-jun NING
The Clinic of the Estate Department of the Second Engineering Bureau of the Ministry of Railway. No. 43, 4-2-5 Bei Wiang Zi, Chengdu, Sichuan 610031, China.

This study compares the effectiveness of acupuncture with that of the medicinal treatment for chronic active hepatitis B (CAH B). 88 cases were involved in this study, with 44 in the acupuncture group and 44 in the control group (treat with normal medicine). The average age, symptoms, physical signs, and results of tests do not show notable differences between the two groups. The statistical result, x2=7.38 (p<0.05), shows that the therapeutical effect of acupunctural treatment is better than medicinal treatment, and demonstrates the clinical significance of acupunctural treatment for CAH B.

Clinical Research & Application
Infectious Diseases & Acquired Immunity Deficiency Syndrome

AN OBSERVATION ON THERAPEUTIC EFFECTS OF ACUPUNCTURE
IN THE TREATMENT OF CHRONIC ACTIVE HEPATITIS B

Zheng YUAN
The Naval Medical Research Institute. China.

Aim: The therapeutic effects of acupuncture in the treatment of chronic active hepatitis (CAH) were observed.
Methods: Eighty eight patients were randomly divided into an acupuncture group (44 cases) and a control group (44 cases). For the acupuncture group, the main points were Ganshu (BL18) and Zusanli (ST36). The secondary points were Danshu (BL19) and Yanglingquan (GB34) during the stage of icterus, Neiguan if vomiting occurred, and Pishu (BL20), Shenshu (BL23) and Sanyinjiao (SP6) after the stage of icterus. All points were acupunctured daily for 15 days as one treatment course with the two sides alternating. The needles were retained for 15 minutes and conveyed at 5 minutes intervals. After an intermission for 5 days, the next treatment course began. About 5 treatment courses were enough to cure the patients effectively. For the control group, all patients were given Yi Gan Ling, Nie Ao Ling, Vitamin B, Vitamin C, etc. for 3 months.
Results: After 3 months of treatment, the ALT decreasing rate and SB decreasing rate in the acupuncture group were 86.4% and 92.7%, respectively, while those in the control group were 68.2% and 74.4%, respectively. In the acupuncture group the rate of albumin/globulin increase was 78%, but only 57.1% in the control group. The HBsAg and HBeAg values turned out to be negative in 18.2% and 38.6% of the patients, respectively, in the acupuncture group; while only 4.5% and 16.3% in the control group. The differences between the two groups were of statistical significance.
Conclusion: We suggest that acupuncture is one of the promising approaches in treating CAH.


Clinical Research & Application
Gynecology, Obstetrics & Pediatries

A CLINICAL RESEARCH ON TREATMENT, AND ITS MECHANISM, OF FEMALE
URETHRAL SYNDROME BY ACUPUNCTURE AND MOXIBUSTION

Huitian ZHENG, Siyou WANG, Cheng HUANG, Guomei CHEN, Haiguo HONG,
Siming CHEN, Jingsheng SHANG
Shanghai Research Institute of Acupuncture and Meridians. China.

Aim: The urethral syndrome is a complex mainly of frequent and urgent urination, dysuria and hypogastric distention without the organic diseases and/or infection in the bladder and urethra. It occurs most frequently in young or mid-aged women and is often misdiagnosed as urinary tract infection. Conventionally antibiotics cannot solve the problem except creating side effect. TCM holds the syndromes as Qi strangnria. In the two recent years, 153 patients have been treated. Randomly they were divided into 103 cases for acupuncture and 50 cases for conventional drugs. Clinical lab. tests were done before and after treatment. Reinforcing Kidney and Warming Yang were the main theatrics for treatment planning.
Methods: Points selected for Group I was CV6 (moxa), CV4, KI12, KI11, ST28, SP6 and KI3. Points selected for Group II were GV4(moxa), BL22, BL23, BL24, BL29, BL35 and BL39. Group I and II were alternated. The drug used was urgenin.
Results: The urodynamic, biochemical and immunologic examinations all proved that the Acupuncture Group were more effective. The short-term effective rate was 88.3% for Acup. and 28% for Drug. The long-term effective rate was 79.1% for Acup.
Conclusion: Acupuncture and moxibustion can improve the syndrome by strengthening the adrenal cortex and lowering the urethral pressure. All these were accomplished after kidney was reinforced and YangQi was warmed.


Clinical Research & Application
Gynecology, Obstetrics & Pediatries

AN OBSERVATION OF USING ACUPUNCTURE AND MOXIBUSTION
ON 8 CASES OF ABNORMAL DELIVERY DUE TO UTERINE DYSTONIA

Hua Ying XIONG
Da Guan Lu #39, Kunming, Yunnam, China.

Aim: 8 cases of abnormal delivery due to uterine dystonia were treated with acupuncture and moxibustion and ear acupuncture.
Methods: (1) 6 out of 8 cases were due to qi and blood deficiency. Zusanli (ST36) and Fulia (KI7) were tonified; Sanyinjiao (SP6) was sedated. Moxa burned on ginger plate was applied to Zhiyin (BL67). If the above method was not effective enough, Vitamin B12 could be injected to ear-acupoints such as: internal genital, kidney, endocrine and parasym pathetic, excessive Vitamin B12 could be injected shallowly into Guanyuan (CV4) and Qihai (CV6). (2) 2 cases were due to Qi and Blood Stagnancy. Hegu (LI4) was tonified and Sanyinjiao (SP6) was sedated. Blood-letting by 3-edged needle was used on Zhiyin (BL67). Ear-acupoints selected were internal genital, liner, endocrine and blood-letting is applied. If the patient felt distention in chest and rib-cage areas, Neiguan (PC6) and Jianjing (GB21) were used.
Conclusion: General observation indicated that the aforesaid methods were effective.


Clinical Research & Application
Gynecology, Obstetrics & Pediatries

BODY POINT ELECTRIC IMPULSION AND POINT MANIPULATION TREATMENT FOR CHILD DIGESTIVE FUNCTIONAL DISTURBANCE

Xiao Li WU, Qiang HAN
Clinic, North Street 21, An De Li, Beijing 100011, China.
Clinic, Gao Jing Jia 32, Shi Jing Shan, Beijing 100042, China.

Aim: The main aim of our research is to treat child digestive functional disturbance with Body Point Electric Impulsion (BPEI) and point manipulation, and to evaluate the effects.
Methods: 140 child patients were treated on the related body point with a model 201 Meridian Therapeutic Instrument to the points of Zhongwan, Weishu, Guanyuan and Sanjiaoshu. After the electric impulsion of twenty to thirty minutes, traditional Chinese herbs of Rhubarb, Chinese yam, yuan hu, in the ratio of 3:1;1 were triturated into paste and put on the point of Chenchueh. The treatment was administered once every three days, and three times were regarded as one course. The control group took 4 to 8 mg of Bellaclowna and 3 to 4 tablets of yeast three times a day, and 5 to 10 mg of Admisodamine once for patients suffering unbearable abdominal pain.
Results: It produces a better result of the improvement of abdominal pain and distention, nausea, vomiting, and dyspepsia, with a total effective rate of 92.3%. Three was a statistical difference between the treatment group and the control group (p<0.01).
Conclusion: Compared with the control group, it is clear that this is a simple and convenient treatment method. It is easy to apply, and has no side effect. Moreover, the child patients are willing to accept this kind of treatment.


Clinical Research & Application
Gynecology, Obstetrics & Pediatries

POINT TREATMENT FOR CHILD RESPIRATORY TRACT INFECTION

Xiao Li WU, Qiang HAN
Clinic, North Street 21, An De Li, Beijing 100011, China.
Clinic, Gao Jing Jia 32, Shi Jing Shan, Beijing 100042, China.

Aim: Respiratory tract infection is a common disease which child patients can suffer severely from it. Here are two doctors who applied the method of point manipulation in treating the child respiratory tract infection.
Methods: Some main points such as Tachui, double Feishu, double Tingchuan and double Kauhuang were selected. Then massage was given to the points until the local skin turned red. The Chinese traditional herb cake was put on the related points. Once every five days, three times were regarded as one course.
Results: The study showed the point manipulation is an effective method, with a total effective rate of 92%.
Conclusion: The operational procedure is simple. The herb is absorbed through the skin. No side effect is detected. It also can avoid the discomfort from medicine taking and injection. Children may accept it without any rejection. We consider the method is effective for the child respiratory tract infection.


Clinical Research & Application
Gynecology, Obstetrics & Pediatries

A CLINICAL OBSERVATION ON 87 CASES OF INFANTILE CEREBRAL PARALYSIS TREATED WITH ACUPUNCTURE

Caihe YE
Department of Acu-moxibustion, First Hospital of Sanming. Sanming, Fujian 365000, China.

As a common pediatric disease, infantile cerebral paralysis cannot be effectively treated so far. The author applied conventional acupuncture, scalp acupuncture and acupoint injection to selected points such as Shuigou, Yintang, Baihui, Fengchi, Neiguan and Sanyinjiao, plus scalp areas such as Motor area, First, Second and Third Language areas, as well as remedies such as placenta extract, injections of Radix Angelica Sinesis, Vitamin B1, for treatment based on differential diagnosis of TCM syndromes. Altogether87 cases of various causes were treated.
Results showed that 31 cases were cured and 26 cases were markedly effective. The author claims that since Shuigou and Baihui points are connected to the brain, they are capable of resurrecting and strengthening the brain when stimulated, while Sanyinjiao is capable of nourishing the kidney and regenerating the marrow. Yintang and Fengchi are capable of calming down evil-wind, dredging the channel, sedating and benefiting the brain. On the other hand, scalp acupuncture regulates the brain functions, and acupoint injection with remedies dredges the vessels, improves the cerebral blood circulation and oxygen supply. Thus, the combination of these methods could make the recovery possible.


Clinical Research & Application
Gynecology, Obstetrics & Pediatries

DEEP NEEDLING TO PISHU AND SHENSHU POINTS WITH ELECTRO-NEEDLES TO TREAT INFANTILE POINTING INTESTINAL PARALYSIS

Yanshou LIU, Defu YANG
Second People's Hospital of Ningxia. Ningxia 756000, China.

Infantile poinsoning intestinal paralysis is also called functional intestinal obstruction. It is mainly caused by the unhealthy stuff jammed inside the body and led to the imbalance of body function, the disorder of electrolyte, and the malfunctioning of the intestine-related nerves and channels. And consequently the kidney is affected and weakened, the spleen is depressed, and the intestine is paralyzed. This is the commonly seen as a fatal state. In the early 80, we noticed that some relative points on the back channels have evident effect of reinforcing the peristalsis of stomach and intestine. Then we analyzed the treatment function of back points and its relation to the distribution of antonomic nerve.
We needled deeply to the Pishu (BL20) and Shenshu (BL23) with low frequent electro pulse needles. All were cured, the curative rate was 100%. We decided that the surprising effect gives credit to the deep-needling to the hub of points that adjust the stomach and intestines. Besides, the dense/spacing wave and intermittent wave of the low frequent pulse current has very good stimulating functions to the nerves and the main and collateral channels, and these help improve intestinal micro circulations. The collaboration of the two points complements each other, and the paralysis of the intestines are quickly released.


Clinical Research & Application
ENT & Ophthalmology

AN OBSERVATION OF CLINICAL CURATIVE EFFECT WITH MENIERE'S SYNDROME BY ACUPUNCTURE AND QIGONG

Bingyu WU, Hua MA
Institute of Traditional Chinese Medicine Kuyshu, Ja pan. Noma 195-1, Okagaki-machi, Onga-gun, Fukuoka 811-42, Japan.
Jinzhou Medical College. China.

Aim: Meniere's syndrome is an endolymphatic edema in the modern medicine. This condition belongs to the category known as vertigo in Traditional Chinese Medicine. The condition was divided into four types, namely: hyperactivity of the liver-yang, deficiency of Qi and blood, deficiency of the kidney-essence, and stagnation of phlegm according to the differentiation of symptoms and signs of Traditional Chinese Medicine. The authors treated 30 cases of Meniere's syndrome with acupuncture and Qigong.
Methods: All 30 cases were collected in Fukuoka and Yamaguchi of Japan during 1988 to 1995. Among them, 15 were male and 15 were female. The average age was 50.2. All the cases of Meniere's syndrome had trias symptoms of vertigo, tinnitus and dysaudia, and all were diagnosed as Meniere's by otolaryngologists. (A) Acupuncture treatment: (1) Expectant treatment: The GV20 acupoint was chosen for acupuncture or moxibustion (3-21 moxa-cone) in the vertigo; the PC6 acupoint was chosen for acupuncture in the vomitus; the SI19, GB2, TE21 and TE17 acupoints were chosen for acupuncture in tinnitus and dysaudia. (2) Causal treatment: The GB34, LR3, LR2, GB43, GB20 and LI4 acupoints were chosen in the hyperactivity of the liver-yang types, and the sedation was used. The G B20, BL17, BL23, ST36 and SP6 acupoints were chosen in the deficiency of Qi and blood, and the tonification was used. The BL23, BL17, SP10, SP9, ST36 and SP6 acupoints were chosen in the deficiency of the kidney-essence, and the tonification was used. The CV12, ST40, ST36 and SP6 acupoints were chosen in the stagnation of phlegm and the tonification or sedation was used according to the deficiency as well as excess and differentiation of symptoms and signs, 3 to 5 points were used each time. The therapy of acupuncture continued for two weeks, afterwards the symptoms were significantly improved. The interval of the treatment was changed from one course per week to one course per month, and continued for one to two years to prevent relapse. (B) Qigong treatment: After the experience of needling sensation by acupuncture applied at the ST36 acupoint, the patients practiced Shadow Qigong. After acupuncture they were taught Wudang Huanghai Qigong and told to practice five times everyday.
Results: 24 cases were cured, while 4 cases were effective, and 2 cases were invalid. The total effective rate was 93.3%. 24 cases were cured in 3 to 14 treatments.
Conclusion: Acupuncture and Qigong improve symptoms and signs of Meniere's syndrome.


Clinical Research & Application
Diagnosis Methods in Acupuncture

EAR ACUPOINTS DIAGNOSIS AND INTELLIGENCE COMPUTER

Qing-Shan LI
Shanghai Market Commercial Street, #2-1, Louyang City, Henan Province, China.

Every normal person's ears (out-line) possess the ability to reflect the diseases throughout the body. Stimulating the acupuncture points on the ears can cure or improve the diseases in the corresponding parts of the body. This is the informational function of the ears.
Li Jia-Qi Intelligent Diagnostic Computer utilizes computer technology and realizes the computerization of the diagnostic system on the ear. The instrument can automatically diagnose various ordinary illness and frequently occurring illness, including diseases of the cardiovascular, digestive, and respiratory systems; blood vessels of the brain; reproductive and urinary systems; limbs movement, neuropsychic systems, and departments of internal medicine, surgical, gynecology, pediatric and five sense organs diseases and tumors. It also has function similar to chemical examination and X-ray examination.
Li Jia-Qi Intelligent Diagnostic Computer has led the modernization of Chinese medicine. After the evaluation of experts, it is believed to have technological superiority over similar products with great breakthrough and creation.
Li's computer has randomly chosen an examined 2313 male and female Chinese and foreigners, aged from 4 months to 92 years old. The diseases were diagnosed in agreement with symptoms. The total correspondence rate is 93.9%.

Clinical Research & Application
Diagnosis Methods in Acupuncture

A CLINICAL STUDY ON MERIDIAN-HOLOGRAPHIC DIAGNOSIS AND THERAPY

Yiqun ZHU1, Xuetai WANG2, Digong CHEN3
1Tsinghua University. East Building 13-4-102, Beijing 100084, China.
2China Academy of Traditional Chinese Medicine.
3Tsinghua University, Department of Engineering Physics.

Aim: According to the biophysical characteristics of Meridian-Microacupuncture and Bio-holographic Systems, the authors applied modern physical technology, realized the noninjurious diagnosis and therapy, and studied its effects.
Methods: The subjects of study were 32 patients who suffered respectively from cardio-cerebrovascular disease, spinal cord injury, immunocompetence reduction, over-ferquency of urination, diabetes mellitus and neurasthenia, etc. The meridian-holographic diagnosis and therapy (MHDT) and some special hygienic foods were adopted, and the therapy was suited to the diseases. Patients' biochemical parameters were inspected periodically with the methods of western medicine, and the efficacy was observed.
Results: The patients' symptoms were overall alleviated, their parameters of hemorheology, cardio-cerebrovascular and immunocompetence took a favorable turn. For example, among the patients with lower immunocompetence, their CD4 rose markedly (p<0.001) and CD4/CD8 rose obviously (0.05>p>0.01) after the treatment.
Conclusion: The MHDT utilizes the comprehensive superiority of Meridian and Bio-holography, applies modern instruments to collect the pathological information, and adopts various non-injurious physical factors as the source of therapy. It is able to regulate organic functions and produce a series of disease-resistant effects. In curing manifold viscera's diseases and improving immunocompetence, the efficacy is obvious.


Clinical Research & Application
Therapeutic Methods & Acupoints

A CLINICAL STUDY ON NON-TRAUMA ELECTRO-ACUPUNCTURE THERAPY

Xiaohong YANG, Jingqing XIA
Wencheng Medical Institute. 4 Xinfeng Lane, Wencheng County, Zhejiang Province, China.

Aim: Through the comparison between the electro-acupuncture therapy and the needle acupuncture therapy, we are going to discuss the possibility of non-trauma electro-acupuncture.
Methods: Patients are divided into two groups. For one group, the electrode of XJQ88A Meridians and Collaterials Therapeutic Apparatus is pressed on the acupuncture point for 25¡­30 MS(frequency: 10¡­150 Hz, general 120 Hz; outputvoltage: 50¡­150 V; current intensity: to the point that patient feel comfortable). For the other groups, the acupuncture point is needled for 25¡­30 MS manually.
Results: Bodypoint acupuncture: In electro-acupuncture therapy group (111 cases), 101 cases shows a good result with a 90.0% effective rate. In needle acupuncture therapy (111 cases), 98 cases receive a good result with 88.9% effective rate.
Auricularpoint acupuncture: In electro-acupuncture therapy group (201 cases), 180 cases receive a good result with a 89.5% effective rate. In needle acupuncture therapy (188 cases), and 171 cases receive a good result with 92.5% effective rate.
Conclusion: We get a statistics result of p>0.05, that is to say, there is no clear difference between the two therapies. Furthermore, it is possible for the electro-acupuncture therapy to replace needle acupuncture therapy, thus to offer theoretic basis for non-trauma acupuncture therapy.

Clinical Research & Application
Therapeutic Methods & Acupoints

A NEW INVESTIGATION ON THE CLINICAL APPLICATION
OF SCALP ACUPUNCTURE IN NEUROLOGY

Xuejian LIN
Xinhai Hospital Affiliated to Shanghai Second Medical University. China.

In this article, the author introduced the experience of applying scalp acupuncture and its newly found stimulation points which improved the curative effect of treating neuropathies. During the treatment, the author used not only the functional local area of cerebral cortex, but also chose the "quiet area" according to the theory of brain function and dynamic change of blood stream.
The quiet area includes: From motor area (anterior to the motor area) and additional motor area. There were 5 needles inserted in front forehead area, 3 needles on internal temporal area and speech formation area. Also selected were vision-connecting area and sound-memory area.
The author chose 229 cases of complete clinical data of neuropathies. These cases have different causitive factors. On comparing the curative effect of newly found areas with that of simple application of scalp stimulation area, the author found the obviously effective rate is raised from 47.32% to 72.5%.
In addition, this article introduced that those cases also have the mental or psychological problems among the aforementioned cases should be accepted psychological induction, and other natural therapies such as massage of manipulation along the meridians and magnetic massage, etc. The patients who have such psychological complications should be cooperative to doctors in order to achieve the satisfactory results.


Clinical Research & Application
Therapeutic Methods & Acupoints

TREATING APOPLECTIC HEMIPLEGIA WITH HEAD ACUPUNCTURE

Ling-jun NING
The Clinic of the Estate Department of the Second Engineering Bureau of the Ministry of Railway. No. 43, 4-2-5 Bei Wiang Zi, Chengdu, Sichuan 610031, China.

One hundred and eight cases are studied for the treatment of apoplectic hemiplegia with head acupuncture. These cases are divided into two groups, one for treatment with normal head acupuncture, and the other for treatment with electric head acupuncture. Observation shows that head acupuncture is very effective for younger patients and less effective for older ones. It is more effective for patients with a short course of disease, less so for those with a longer course of disease, and has no notable effect on those with a course of disease longer than three years. The number of treatments correlates positively with therapeutic effectiveness. There is no notable difference in the total effective rate or the total "highly effective" rate between the normal head acupuncture group and the electric head acupuncture group. For the 180 cases, the therapeutical result is as follows: basically cured for 43 cases (23.9%), highly effective for 32 cases (17.8%), effective for 87% cases (48.3%), and ineffective for 18 cases (10.0%). The total effective rate is 90.0%, and the total "highly effective" rate is 41.7%. Thus, head acupuncture has highly positive therapeutic effect for apoplectic hemiplegia and should be a very good choice for practitioners treating that condition.


Clinical Research & Application
Therapeutic Methods & Acupoints

CLINICAL EXPERIENCE LASER ACUPUNCTURE RADIATION THERAPY
ON 286 CHRONIC PROSTATIC (CP) CASES

Shuhua ZHAO, So OH, Lihua ZHAO, Fei NIU
Norman Bethune University of Medical Sciences, The Third Teaching Hospital. 148 Freedom Road, Changchun, Jilin 130031, China.

Introduction: Although the reports on the treatment of CP are available, the results are still not satisfactory. From May 1987 to 1995, JG-10 Laser Acupuncture Radiation (Group L 386 cases) has been used on patients with CP. The results of this treatment on 80 Chinese cases were compared with 60 cases treated with western medicine.
Methods: In Group L, a 80 §­ light guide fiber was injected into the perineum acupoint vertically 2 cm through a special hollow laser needle, the fiber was kept there for 20 minutes and once a day. One course consisted of 10 times. Warming and invigorating the spleen and kidney method and Norloxacin (NFLX) have been used in Group C and Group W separately.
Results: In Group L, the time of tretment was 3 to 30 minutes on average. 210 (54.4%) cases were completely cured, 164 (42.5%) improved and only 12(3.1%) were ineffective. The total effective rate (TEA) was 96.9%. In Group C Chinese medicine tas taken for 60 days, and the 3 rates mentioned above were 37.5%, 43.7% and 18.6% (TEA 81.2%). In Group W, the treatment lasted for an average of 60 days and the rates were 18.3%, 56.7% and 25.0% (TEA 75.0%). The results in Group were superior than other two groups statistically.
Discussion: Traditional Chinese Medicine (TCM) treatment is useful to treat some chronic disease clinically. It takes time and is inconvenient to patients. Although NFLX has wide antibiogram and easy to be taken, there are some side effects of it. On the basic theory of channels and collaterals, we select the perineum acupoint and use the light, electricity and stimulus from laser fiber to regulate the balance of Yin and Yang, keep the Qi and blood flowing freely in order to treat this disease.
Conclusion: Laser acupuncture radiation therapy has been recognized as a new method. It has some advantages such as higher efficacy and shorter treating course, safe and easy to be used for CP and may be used for other chronic disease.


Clinical Research & Application
Therapeutic Methods & Acupoints

A STUDY ON THE APPLICATION OF THE WHOLISM
IN THE DEPTH NEEDLING IN TRADITIONAL CHINESE MEDICINE

Donglian TAN, Haruki YUTAKA
Acupuncture Division of Beijing Railway General Hospital. China.
Department of Basic Human Sciences, Waseda University.

Through the investigation of classic literature about the depth of needling in traditional Chinese medicine, the authors find that the theory of traditional Chinese medicine implies the concept of wholism, dynamics and differentiation. This concept implicates that the biological, psychological, social and natural model of medicine had guided the medical practice of ancient Chinese doctors. Not only is the depth of needling related to the location and features of the disease, but also is it influenced by the health conditions of the client, his/her temperament and the seasons. It is known that the health conditions and temperament of the client is often influenced and restricted by his/her surroundings (including his/her natural environment and social surrounding). Therefore, whenever conducting a study, we do not need to limit our mind in the factors-oriented micro-level analysis. On the other hand, we should practice a macro-level analysis which takes human beings, nature and society into an organic whole. With regard to the methodology, we should boldly use all successful experiences of others for reference. With the help of a comprehensive approach, the sine qua non of phenomena can be seen from all perspectives.


Clinical Research & Application
Therapeutic Methods & Acupoints

APPLICATION OF ACUPUNCTURE AND MOXIBUSTION IN DIFFICULT CASES

Fang HUA, Jie Yi ZHENG
Shanghai Friendship Hospital. Shanghai 200052, China.
Shangsha Road Local Area Hospital. Shanghai 200003, China.

During our long term of clinical practice, the authors healed a lot of difficult cases in the fields of internal medicine, surgery, gyneclogy and obstetrics, pediatrics and traumalogy diseases with acupuncture and moxibustion. In this paper the authors described the treatment of 7 different kinds of cases.
Case 1: Frequent hiccup. Prescription: Neiguan. Supplementary point: Zusanli, Fenglong, Xingjian, Yongquan and Geshe.
Case 2: Pain in hypochondriac region. Prescription: Zusanli. Supplementary points: Huatuojiaji. Use even movement and retain needles for 20 minutes.
Case 3: Coccyx bedsore. Moxibustion on bedsore.
Case 4: Toothache caused by cervical vertebra hyperlasia. Prescription: Dazhui, Taodao and Xiaguan. Retain needles for 30 minutes.
Case 5: Fetus in abnormal position (8 months old fetus in buttock position). Prescription: Moxibustion on 1 cm between outside of little toe and Yin point. The fetus position became normal after 6 treatments.
Case 6: Theca cyst. Prescription: Ashi points. Insert one needle into the center of the cyst and 4 needles around the border of the cyst in a equal distance.
Case 7: Baby diarrhea. Prescription: Hegu, Zusanli, Dachangshu, Sifeng, Zhongwan and Tianshu. The above cases were all healed after one to several treatments.


Clinical Research & Application
Therapeutic Methods & Acupoints

THE SKILL OF THE GOVERNOR VESSEL POINT ACUPUNCTURE
AND ITS CLINICAL APPLICATION

Xinhua ZHANG
Acupuncture Section, No. 3 the People's Hospital of Chongqing. Chongqing 630014, China.

Aim: Many diseases are difficult to cure be medicine, neither western nor simple Chinese traditional remedy. The author applied Li Yuanfu's acupuncture of unique governor vessel point and studied its effects.
Methods: Take the governor vessel as the base, and combine alternative vessel points according to specific diseases. For example, Dazhui acupunctured with Quchi and Yanglingquan can cure cold, paralysis caused by stroke, and some other strains. Shinggui acupunctured with Chize, Lieque and Kuenluen can cure pulmonary diseases. Zhiyang acupunctured with Leiguan, Zusanli, Sanyinjiao and Taichong can cure liver, gallballder and spleen diseases.
Results: Treating paralysis by stroke, asthma, gastral cavity upset, hepatitis, cholelithiasis, enteritis and gynecological diseases with those methods gained miraculous success.
Conclusion: The governor vessel point is called "sea of positive vessel" and "governing all other positive vessels". Dazhui is combined with hand-foot Shangjang through the governor vessel point to adjust networks of meridians all over the body, mainly to treat cold, sweat and hot. Shengui stimulates the circulation of the blood and benefit for lungs, relieves cough. Shendao relieves uneasiness of body and mind. Zhiyang strengthens spleen and stomach, widens chest. Jinsou gets rid of sweat and strengthens spleen. Minman adjusts kidney and intestines.

Clinical Research & Application
Therapeutic Methods & Acupoints

A NEW SCALP ACUPUNCTURE: BAIHUI SCALP ACUPUNCTURE (BSA)

Ziwei CAI, Lian LIU, Qingyu ZHANG
Dalian Medical University. 465 Zhong Shan Road, Dalian 116023, China.
Heilongjiang Provincial Academy of T.C.M., Harbin 150036, China.

Aim: It is introduced in this paper that a new scalp acupuncture (BSA) is developed on the discovery of the special lines of feeling conduction to Baihui (Baihui Feeling Conduction Lines: BFCL), and the curative effects of BSA were observed.
Methods: BFCL on the two cases were studied using capillary needles to excite the feeling conduction. The method of BSA is to needle the different areas of BFCL on the top of the head.
Results: (1) First, all of BFCL are parelled lines which travel from the four limbs to the point of Baihui in the nearly shortest distance. The distribution of BFCL on the right and left parts of the body shows symmetry, and the axis of symmetry is Du and Ren channels. Third, BFCL on the Yin parts of the four limbs travel along the Yin part of the body to Baihui, BFCL on the Yang parts of the four limbs travel along the Yang part of the body to Baihui. According to 12 Channels "Baihui Twelve Channels Areas: (BTCA)" were divided on the whole body. (2) 267 cases with pain were treated in using BSA. The total effective rate is 82%.
Conclusion: (1) The phenomenon of BFCL is worthy to be studied. (2) BSA is useful for treatment of diseases, and easy to learn.


Clinical Research & Application
Therapeutic Methods & Acupoints

THE SACRED-TORTOISE (ST) METHOD AND MIDDAY-MIDNIGHT CIRCULATION
(MMC) METHOD FOR THE TREATMENT OF 89 CASES
SUFFERED FROM 20 KINDS OF DISEASES

Huiyou ZHOU
People's Hospital. Yingshan Country, Hubei 436100, China.

As 2 kinds of TCM therapy emphasizing the chronologic factor with an extensive indications, ST and MMC methods had been applied for treating 89 cases of 20 kinds of ailment, including cerebral hemorrhage, periarthritis of shoulder joint, sprain of ankle joint: "Juchi" manipulation and "Manipulation along or against the channel" for invigorating or reducing were applied.
All cases were divided into 3 groups, i.e. ST group, MMC group and ST-MMC group; each of which was further divided into 3 subgroups, viz. open-point on time (OP), open-point on time based on differentiated syndromes (OPDS), point-recipe by open-point on time (PROP). Of the 89 cases, 59 were cured, 21 markedly effective, 4 ameliorated, 5 ineffective. The total effective rate was 94.3%.
Case example: Hu, a female of 41 years old, was diagnosed as acute attack of bronchial asthma. She received aminophyllin and ephedrine tablets to one avail, nor penicillin and hydro-cortison venous drip yielded any effect. She was given oxygen and referred to our hospital late at night in Sept. 1988, for emergent treatment. PE. short breath with sawing sound, cyanotic lips. Impression was status asthmaticus. She was treated in the OP subgroup of ST-MMC group. Zaohai associated with Lieque were punctured. Open-point by MMT therapy at Yangfu on 1:00 AM was administered with invigorating and reducing manipulated separately. Asthma was markedly relieved 10 minutes later, lips became red. Oxygen inhalation was suspended. The needle was retained for 25 minutes, 5 sessions of puncturing were given. She was thus cured with no relapse when followed-up for 1/2 year.


Clinical Research & Application
Therapeutic Methods & Acupoints

THE THREE-DIMENSIONAL LOCATIONS OF THE CHANNELS,
COLLATERALS AND HOLOGRAPHY POINTS

Minghua CAI
Acupuncture and Massage Department, Zhejiang College of Traditional Chinese Medicine.
China.

1. Professor Zhang Yingqing, who founded the theory of bioholography, suggests that the biological specific properties of biologic components are similar to that of the whole body. The components including information of the entirety are regarded as epitome of the whole. Furthermore, Zhang points out a one-dimensional point (in a line) system and his theory is not contrary to the theory of Channels and Collaterals in TCM.
2. The channels and collaterals are the stretch and longitudinal track of the internal organs on the body surface, which is composed of colony of similar cells. The channels and collaterals pertain to the Zang-Fu organs interiorly and extend to the extremities and joints exteriorly. They have a three-dimensional location connecting to the information of the whole body.
3. The points of the bioholography information (holography point) arranged by Zhang on the side of limbs according to the order of the information in the body to not express the three-dimensional characteristics of the information in the whole body. Therefore, I think the ends of channels on the section where the limbs are intersected on the basis of the one-dimensional order of information have a three-dimensional location in accordance with the distribution of channels. A better curative effect will be obtained through puncturing holography points.
4. We can find out the acupoints with specific effects according to the holography point distribution in three dimensions, for example, Neiguan (P6) for cardiac pain and palpitation, Sanyinjiao (SP6) for abdominal distention and irregular menstruation, etc. These acupoints correspond with the holography points of heart and low abdomen for treating those disease. We will know the different functions of the acupoints on the same channels and seek out the so-called "experience-point". The acupoint system of TCM is one part of the holography point system.


Clinical Research & Application
Therapeutic Methods & Acupoints

A NEW SCALP ACUPUNCTURE: BAIHUI SCALP ACUPUNCTURE

Ziwei CAI1, Lian LIU2, Qingyu ZHANG2
1Dalian Medical University. Daliam, China.
2Heilongjinag Provincial Academy of TCM.

Two cases with feeling conduction from wrists to Baihui were during the research of needle manipulation. First, the distribution of the feeling conduction lines on the right and left parts of the body shows a symmetry about Du and Ren channels. Second, on the head and neck, Yin channel conduction distributes from the nose to ear in the order of Shaoyin, Jueyin and Taiyin; Yang channel conduction distributes from the ear to Du channel in the order of Yangming, Shaoyang and Taiyang. Third, on the four limbs and truck, Yin channel conduction distributes on the front parts and Yin parts; Yang channel conduction distributes on the back and Yang parts. The order of Yin and Yang channel conduction is the same as the order on the head and neck. According to the special lines of the feeling conduction of the Twelve channels, "Baihui Twelve Channels Areas"(BTCA) were determined. Then, we tried to apply this new theory to treat diseases by acupuncture on the head part of BTCA, and got a good result. We call the new scalp acupuncture therapy "Baihui Scalp Acupuncture"(BSA). 267 cases with pain were treated with BSA. The total effective rate was about 80%. The manipulation of BSA is same as the manipulation of scalp acupuncture. The needle is inserted outwards on the head areas along the channel lines of BTCA, but the inserting direction of needle can be adjusted. BSA is useful for the treatment of a wide variety of diseases. It is easy to learn.


Clinical Research & Application
Therapeutic Methods & Acupoints

THE STUDY ON THE AGED IMMUNE FUNCTION EFFECT OF MOXIBUSTION
ON SHENQUE(CV8)

Hui LI, Fengling WANG, Zhenxiou WEI, Rong ZHAO
Institute of Acupuncture of China Academy of Traditional Chinese Medicine. Beijing 100700, China.

Aim: The study was undertaken to probe into enhancing the aged immune function, for the purpose of anti-senility and prolong life with moxibustion on Shenque(CV8).
Methods: 93 aged people were randomly divided into 2 group: an observation group(54 cases with moxibustion and taking medicine) and a control group(39 cases taking medicine). Observation group: A part of (1/4) moxa stick was put into a moxibustion device on Shenque (CV8), 30 minutes each time, once a day, 2 months in total. At the same time, took co-vitamin, 2 capsules per time, 3 times a day. Control group: took co-vitamin in the same way. Before and after the observation, both groups were tested to evaluate T-cell and subgroup (CD2, CD4, CD8, and CD4/CD8 ratio) as well as contents of serum IgG and IgA.
Results: (1) T-cell and subgroup: In the observation group, CD2, CD4, increased substantially(p<0.001, p<0.05), CD8 decreased (p>0.05); CD4/CD8 ratio rose consequently. There were no obvious changes of CD2, CD4, and CD8 in the control group (p>0.05, p>0.05) and p>0.05). A significant difference of increase of CD4/CD8 was shown between the observation group and the control group (p<0.001). (2) Contents of serum IgG and IgA: Among most cases of the observation group before moxibustion, IgG remained normal range. Only 7 cases were low; 2 cases were low in the control group. There was no statistical significance. 24 cases IgA in the observation group were low before moxibustion. 8 cases of them returned to normal. There was a significant difference between pro-treatment and post-treatment (p<0.001). No statistical diversity was shown in the control group.
Conclusion: The result of this study indicates that moxibustion on Shenque (CV8) can enhance the functions of humoral immunity and cellular immunity. Furthermore, this study suggests that the therapy might have the effect of anti-senility and prolong life.

Clinical Research & Application
Therapeutic Methods & Acupoints

A CLINICAL APPLICATION AND RESEARCH ON HEALTH CARE IN THE AGED
BY MAGNETIC OVIOD-TIP NEEDLE AND BONE-STRENGTHEN CAPSULE

Jian-Bang ZHANG, Qiu-Fang ZHOU, David P.J. HUNG
Jinye Osteotrauma Acupuncture Hospital. 113 West Shenli Street, Taiyuan, Shanxi
Province, China.

Aim: Everyone will be in the senile period after 60 years old, and his/her body organs will have retrogressive problems. The authors applied the method of magnetic ovoid-tip needle percussion and slippery massage in the meridian area combined Bone-Strengthen Capsule to treat the senile retrograde affection.
Methods: 115 cases, including 55 males and 60 females, were all over 60 years old and treated by the method of magnetic ovoid-tip needle percussion and slippery massage in the meridian area combined with oral Bone-Strengthen Capsule. The authors also established same cases control group in which the patients accepted the regular filiform needle acupuncture combined with oral calcium tablet. The points of percussion were selected as follows: (1) Scalp area: Motor Zone, Sensory Zone, Foot Motor-Sensory Zone, GV20, GV16, GV15, Slippery massage added; (2)Auricular surface: Occipital, Forehead, Brain, Shenmen; (3) Body acupoints: ST12, LI11, LI4, TE5, GB30, GB34, ST36, KI1. All the above-selected points were treated one hour each time daily for two months. The Bone Strengthen Capsule was orally administrated 200 mg each time, three times every day. The points in the control group were the same as the treatment group but by filiform needle acupuncture with same treating time and treatment course. The calcium tablet was orally administrated 0.5 gram each time, t.i.d., in the control group.
Results: The effect evaluation criteria is set as: Excellent ¡ªwalking is much better than before the treatment and the muscle-skeleton and joint pain alleviate obviously or disappears as well as the psychological situation impoves; Good¡ªwalking is better than before and the muscle-skeleton and joint pain alleviates as well as psychological situation improves; Ineffective ¡ª the symptoms and signs are the same as before. The authors found that in the treatment group, 98 cases (85.2%) indicated excellent effect, 17 cases (14.8%) being good effect and in control group, 39 cases (33.9%) indicated excellent effect, 67 cases (58.2%) being good effect and 9 cases (7.9%) were ineffective.
Conclusion: The results showed that much difference between the efficacy of the treatment group and the control group which indicated that the therapy in the treatment group has an obvious effect in the treatment and health care for the senile retrogressive syndrome principled with osteoporosis. The therapy can be popularized because of being an easy, safe and effective method without any side effect.


Clinical Research & Application
Therapeutic Methods & Acupoints

THE STUDIES ON THE AIR CONDUCTION OF ACUPUNCTURE THERAPY
IN MERIDIAN

Yuanyuan KONG
Tianjin Institute of Medical and Pharmaceutical Science. No. 96 Guizhou Road, Heping District, China.

Aim: The air conduction is one of the important acupuncture method in "Neijing". In clinical experiments, it is observed that when the sense of obtaining air by acupuncture is appeared in the focus of infection and in the deep/shallow tissue around the focus, the pain symptoms are relaxed or cleared up. We name that the directing follow regularity of acupuncture effects transferring from strong stimulated point to weak stimulated point is "Directed Scatter Conduction". On the basis of the regularity above, we set up the chain operation of air conducting by regulating the conduction of controlling air using stronger, middle and weaker acupuncture therapy.
Methods: (1) Stimulating two points, stronger and weaker stimulation simultaneously. According to the law of "Directed Scatter Conduction", the frequency of raising, pressing, twisting and turning of strong stimulating is above six times per minute, and that of weak stimulation is below six times per minute. (2) Turning on one by one, united connection. After appearing of sense conduction in meridian from A to B, B to C, and C to D, respectively, inducted by enriching and pouring out simultaneously, the A and D acupoints were stimulated to make the sense conduction in meridian from A to B, B to C, C to D and D to A circulatively. (3) The strength, speed and width of sense conduction in meridian are related to the strength, speed, location and square of the stimulation. (4) The regulating of activation and inhibition. The strong and fast sense conduction in meridian could lead to inhibition situation. The weak and slow sense conduction in meridian could decrease or clear up the inhibition situation.
Conclusion: The air conduction phenomenon inducted by acupuncture were emphasized by ancient and modern acupuncturist all along. According to the demand of prevention and treatment of different focus, the "Air Conduction" acupuncture could activate the sense conduction in meridian and transfer the air to the focus to result in rapidly special effects.

Experimental Research
Mechanisms of Acupuncture Analgesia

THE SPECIFICITY AND EXTENSIVENESS OF ANALGESIA OF
ELECTRO-ACUPUNCTURE AT ACUPOINT AND THEIR NEURAL MECHANISM

X. LIU, W.D. XU, X.L. HE, B. ZHU, S.X. ZHANG
Institute of Acupuncture and Moxibustion, China Academy of Traditional Chinese Medicine.
Beijing 100700, China.

Aim: To study the relationship between the acupoint specificity and the electro-acupuncture (EA) intensity, and their central mechanisms. A series of research work has been done.
Methods: The nociceptive responses of convergent neuron in trigeminal nucleus naudalis (TNC) and spinal (T12-L1) dorsal horn (DH) to noxious stimulation at corresponding receptive field (check or hind paw) of rats were recorded extracellurarly with glass microelectrodes. The analgesic effects of EA at Xiaguan (ST7) and Zusanli (ST36) with low (2 V) or high (18 V) intensity were observed.
Results: The low intensity (2 V) EA at Xiaguan could inhibit the nociceptive responses of convergent neurons in TNC, but not in DH, 2-V EA at Zusanli could inhibit the nociceptive responses of convergent neurons in DH, but not in TNC, exhibiting analgesic specificity of acupoint. The results showed that the analgesia of 2-V EA was produced only by needling the acupoints located at the same or near the spinal segment with the nociceptive field. The high intensity (18 V) over the threshold of C fibers EA was applied at Xiaguan or Zusanli, the nociceptive responses of neurons in either TNC or DH were obviously inhibited. It indicates the extensiveness of acupuncture analgesia. The analgesia could be also produced by high intensity (18 V) EA at the points far from the nociceptive field. After lesion of the NRM, a supraspinal nucleus with the negative feedback modulating pain function, the extensive analgesia of 18-V EA disappeared and the specific analgesia of 2-V and 18-V EA at near acupoint was still persisted.
Discussion and Conclusion: (1) The analgesic effect of low intensity EA possess the specificity of acupoints. (2) The analgesia effect of high intensity EA(noxious stimulation) possess the extensiveness of acupoints. (3) The acupoint specificity of 2-V EA analgesia may be related to the spinal mechanisms due to exciting I, II, and III afferent fivers in acupoint, and the analgesic extensiveness of 18-V EA may be realized by exciting III and IV fibers and related to supraspinal negative feedback modulating pain mechanisms.

Experimental Research
Mechanisms of Acupuncture Analgesia

THE INFLUENCE OF CUTANEOUS CUTTING THROUGH MERIDIAN
ON THE ANALGESIC EFFECT OF ACUPUNCTURE

Jing Yi ZHANG, Jing Yu FAN, Le SHEN, Xu LIU
Department of Biophysics, Beijing Medical University. Beijing 100083, China.

Acupuncture at Zusanli (ST36) of rats had an evident effect of increasing the pain threshold. Taking it as an animal model, we made a further study on the correlation between the intercellular communication of epidermis and the information transfer of acupuncture. It was discovered that the analgesic effect of acupuncture at Zusanli may be blocked by cutaneous cutting on the stomach channel, while the cutaneous cutting outside the stomach channel did not express this inhibitory action. As the cutaneous cuttings did not exceed the shallow fascia, they could not hurt or damage the deep nerve trunk and the circulatory passage of the blood vessel or the lymph vessel. Therefore, the result indicated that, on the condition of our experiment, the pathway of acupunctural information may have no relation to the structures mentioned above, but existed in the skin. The loss of its connectivity may lead to the inhibiton of the acupunctural effect. The continuation of the skin along the meridian is the premise of information transfer of acupuncture.
According to our previous results, it was suggested that the blockage of acupunctural information may come from the discontinuation of the intercellular communication compartment in epidermis due to cutaneous cutting. To test this hypothesis, we fulfilled the cut with BSS A, a solution with similar Ca2+ concentration to that of intracellular liquid, to re-establish junctional communication. In agreement with our speculation, the transmission of acupunctural information was restituted. While BSS B, a solution with similar Ca2+ concentration to that of intercellular liquid, was used as a substitute, no such effect was observed. The result presented here supports our hypothesis.


Experimental Research
Mechanisms of Acupuncture Analgesia

THE EVIDENCE OF ANGIOTENSIN II INVOLVED IN THE CENTRAL MODULATION OF ELECTROACUPUNCTURE ANALGESIA

Peijun ZENG1, Jianhong WEN2, Kamal AMEIL3, Rongjin LOU3
1Guangdong Research Institute of Sport Science. China.
2Hong Kong Auricular Acupuncture Association. Hong Kong.
3Guangzhou University of Traditional Chinese Medicine. China.

Aim: To demonstrate the central role of Angiotensin II and opiate peptide in electroacupuncture analgesia, this research work was initiated.
Methods: Captopril, a specialized inhibitor of angiotensin invertase, was injected into the subarachnoid cavity and bilateral ventricle of Wistar rats in the experiment.
Results: (1) Significant long-term analgesia was produced by the injection of Captopril. (2) Electroacupuncture with alternative frequency of 2¡­15 Hz in Zusanli and Sanyinjiao points for 30 minutes could produce analgesia. (3) The electroacupuncture analgesic effect could be strengthened by Captopril. (4) The analgesic effect produced by either Captopril or electroacupuncture or the synergistic analegia could be partially blocked by naloxone.
Conclusion: Captopril could lead to analgesia at the level of spinal cord and brain by decreasing the concentration of central anagiotensin II, and that it might be the result of releasing opiate peptide. It also suggested that the central angiotensin II modulated the antagonistic process of electroacupuncture analegesia.


Experimental Research
Mechanisms of Acupuncture Analgesia

THE INVOL VEMENT OF OPIOID PEPTIDE IN CORTICOFUGAL MODULATION OF PfNEURONS IN ACUPUNCTURE ANALGESIA

Xin ZHENG, Zhengqiu CHEN, Hong SHI, Guoji WU, Wei XU
Institute of Acupuncture and Moxibustion, China Academy of Traditional Chinese Medicine.
Beijing 100700, China.

Aim: Previous studies have suggested that cortical sensorymotor area I (SmI) was involved in desending modulation of the effect of electroacupuncture (EA) on Pf neurons. The objective of this study were to further determine the cortical neurotransmitters involved in the desending modulation in acupuncture analgesia.
Methods: Five-barreled glass microelectrodes were used for single cell recording and drug application in wister rats. The effects of EA applied at Zusanli (ST36) and Huantiao (GB30) points on nociceptive responses of Pf neurons before and after lesion of SmI, influences of iontophoretic morphine (26.6 mM, pH=4.7) and NaCl (0.09%, pH=4.2) on the nociceptive responses after lesion of SmI were observed.
Results: (1) The nociceptive responses of Pf neurons were obviously inhibited by EA before lesion of SmI (n=12, p<0.05). The spontaneous discharges of Pf neurons were not statistically changed (n=11, p>0.05), but the inhibitory effect of EA was markedly attenuated (n=8, p<0.05) after lesion SmI. (2) The nociceptive responses of Pf neurons were obviously suppressed during the first 8 minutes after iontophoretic morphine (n=11, p<0.05) in the rats with SmI lesion, there was a statistical difference compared with the saline control group (n=11) and it was similar to the effect of EA on the nociceptive responses of Pf neurons in the intact rats.
Conclusion: This study suggests that opioid peptides may be considered as one of the neurotransmitters involved in corticofugal modulation in acupuncture anagesia.


Experimental Research
Meridians & Acupoints

THE TOPOGRAPHICAL MAPPING OF CORTICAL SOMATOSENSORY
EVOKED POTENTIALS DURING THE ADVANCE OF
THE PROPAGATED SENSATION ALONG MERIDIANS

Baohua WU1, Xianglong HU1, Jinsen XU1, Guangyin YAN1, Baojiao LI2, Laixing LI2,
Jie CHEN2, Lin CHEN2
1Fujian Institute of Traditional Chinese Medicine. 282 Wu Si Road, Fuzhou 350003, China.
2Fujian Provincial Hospital. Fuzhou 350001, China.

Aim: In order to explore on the mechanism underlying the formation of the propagated sensation along meridian (PSM), we used the topographical technique to investigate the characteristics of the functional activity of the primary cortical samotosensory area (S1) during the advance of PSM.
Methods: SEPs were recorded simultaneously from a rectangular array of 15 electrodes, which arranged in the SI contralateral to the stimulated side. The acupoints Jiaxi (GB43), Guangming (GB37) or Hegu (LI4) were selected for stimulation. Sixteen volunteers with marked PSM were under observation and 16 subjects without PSM were taken as control.
Results: The intensive responses of C4-C5 components appeared simultaneously in both foot and face areas in most subjects with PSM during the stimulation of Jiaxi (GB43) or Guangming (GB37), while no conspicuous response could be seen in the hand area, located between the two. However, the response was confined to the foot area of S1 in subjects without marked PSM when the similar stimulation was given. The different response could also be seen when Hegu (LI4) was stimulated. The response usually limited in the hand representation of those subjects without PSM and seldom intruded into its neighboring area, while more larger areas are involved in the response of those subjects with marked PSM, which usually extended to the facial representation.
Conclusion: The feature of SEP topography in subjects with marked PSM coincided with the sequence of body regions which PSM traveled through. The particular traveling course of PSM could not be interpreted by "spreading of excitation in CNS". On the contrary, the results support the supposition that "the activation in sequence in periphery" is the determinant for the formation of PSM.

Experimental Research
Meridians & Acupoints

A PRELIMINARY OBSERVATION OF THE CORRELATIVITY OF
MICROVASCULAR BLOOD PERFUSION BETWEEN ACUPOINTS IN HUMAN BODY

Weibo ZHANG, Fengyuan ZHUANG, Yuan FENG, Xiang MU
China Academy of Traditional Chinese Medicine. Beixincang 18, Dongzhimennei, Beijing 100700, China.
Institute of Acupuncture & Moxibustion.

Aim: The meridian line on acupuncture chart means that the acupoints on the line have certain correlativity and belong to one meridian. To examine the correlativity, we measured the microvascular blood perfusion(MVBP) on and outside acupoints and calculated the correlation coefficient (CC).
Methods: The MVBP on Jianshi (PC5), Quze (PC3) and outside Quze were measured synchronically by a ALF-21 mono-channel MVBP instrument and a Periflux double-channels MVBP instrument on eleven arms of health people. The analog output from the instruments were transformed to digital form and sent to a computer to calculate the CC.
Results: The result showed that the mean CC's between Jianshi and Quze and between Jianshi and outside Quze are 0.37 (SD=0.32) and 0.16 (SD=0.21) respectively, and they have a significant difference (p<0.05).
Conclusion: It preliminarily illustrated that the MVBP on the acupoints located on the same meridian has a relatively stronger correlativity.

Experimental Research
Meridians & Acupoints

A COMPUTER SYSTEM OF THE MODEL OF HUMAN BODY
SHOWING MERIDIANS AND ACUPOINTS

Huayuan YANG
Shanghai Research Institute of Acupuncture & Meridian. 650 South Wanping Road, Shanghai, China.
This system uses a single chip computer control and driver circuit to control the LED matrix, which distributed on the model of a human body showing meridians and acupoints, to light the LED located at relative acupoint. The single chip computer can run independently to achieve some basic displaying function, as well as it has been controlled by main computer through serial communication. It can show certain courses of meridians and certain location of acupoints with arbitrarily appointed mode by program. The software can index recipes of curing common diseases, show relative acupoints on the model of human body, index some information of the acupoints, and other functions.
By means of main-computer dialogue, this system can demonstrate the distribution of acupoints and the course of the 14 of the 316 acupoints and treating ways of common diseases, and then type the prescriptions by a printer. Besides, the system has the function for inquiry and index, which can provide references for selecting acupoints by giving the exact location of acupoints and displaying in on the model of a human body.

Experimental Research
Meridians & Acupoints

A DYNAMIC OBSERVATION ON THE CHANGE OF CAPACITY OF GASTRIC ANTRUM UNDER NEEDLING DIFFERENT ACUPOINTS OF FOOT YANGMING MERIDIAN IN HUMAN BODY

Jie YAN, Xiaorong CHANG, Jingyue ZANG, Kelin LI, Huiyu XU, Yaping LIN, Shouxiang YI Hunan College of T.C.M. Changsha 410007, China.

This study is to probe into the interrelations between foot Yangming meridian and stomach.
The channel points, such as Sibai, Tienshu, Zusanli, Shangjuxu and Neiting were chosen in this work. The change of the capacity of gastric antrum was dynamically observed under the B ultrasonoscope which was caused by respectively needling the five points and the contrast points on both the right and left sides.
The results showed that needling Sibai, Zusanli and Neiting could enlarge the diameter between the upper and the lower as well as the diameter between the anterior and the posterior (p<0.01 or 0.05); needling Tienshu only could obviously change the diameter between the upper and the lower but could not change the diameter between the anterior and the posterior; and the change was not very clear when the contrast points and Shangjuxu were stimulated. The data were analyzed by the analysis of variance and the results prominently reflected that the change made by needling the channel points was much higher than that by non-channel points. The values of the diameters between the upper and the lower and between the anterior and the posterior, which were obtained before and after the five channel points and their contrast points were needled, separately added together to represent the "channel line" and its right and left contrast lines. The t-test and the analysis of variance were taken, and the results proved that the diameter between the upper and the lower and the diameter between the anterior and the posterior of gastric antrum were markedly increased only as the "channel line" was stimulated.
The modern computer techniques were used in the Zusanli group. The areas of the irregular images of gastric antrum were accurately calculated with the method of accumulated areas. It provided a reliable and objective means for the study.


Experimental Research
Meridians & Acupoints

A DYNAMIC OBSERVATION ON THE CHANGE OF THE CAPACITY OF
GASTRIC ANTRUM UNDER NEEDLING DIFFERENT ACUPOINTS OF
FOOT YANGMING MERIDIAN

Jie YAN, Xiaorong CHANG, Jingyne ZANG, Kelin LI, Huiyu XU, Yaping LIN, Shouxiang YI Hunan College of TCM. Changsha 410007, China.

Aim: This study is to probe into the interrelations between foot Yanqming meridian and stomach.
Methods: The channel points, such as Szupai, T'enshu, Tsusanti, Shangjuxu and Neit'ing were chosen in this work. The change of the capacity of gastric antrum was dynamically observed under the B ultrasonoscope which was caused by respectively needling the five points and the contrast points on both the right and left sides 1 to 2 cm away from them.
Results: Needling Szupai, Tsusanti and Neit'ing could enlarge the diameter between upper and lower and the diameter between anterior and posterior(p<0.01 or 0.05); needling T'ienshu only could obviously change the diameter between upper and lower but could not change the diameter between anterior and posterior; and the change was not very clear while the contrast points and Shangjuxu were stimulated. The data were analyzed by the analysis of variance and the results prominently reflected that the change made by needling the channel points was much higher than that by non-channel points. The values of the diameters between five channel points and their contrast points were needled, separately added together to represent the "channel line" and its right and left contrast lines. The test and analysis of variance were taken, and the results revealed that the diameter between upper and lower and the diameter between anterior and posterior of gastric antrum were markedly increased only as the "channel line" was stimulated.
Conclusion: The modern computer techniques were used in the Tsusanti group. The areas of the irregular images of gastric antrum were accurately calculated with the method of Accumulated areas. It provided reliable and objective means for the study.

Experimental Research
Meridians & Acupoints

NEUROBIOLOGICAL EVIDENCE FOR THE MERIDIAN SYSTEM

Yi-Kuan XIE, Hui-qing LI, Zheng ZHENG
Peking Union Medical College, Chinese Academy of Medical Sciences. Beijing 100005, China.

Aim: Up to now, no one knows what is a meridian system and how to explain the propagation of the needle sensation along the meridian pathway. The authors attempt to find the mechanism of the meridian phenomena with neurophysiological and histochemical techniques in both rat and cat.
Methods: Afferent and efferent activities of peripheral nerve fibers which innervated meridian points were recorded. A comparison between responses of the nerve fibers to electric stimuli of homonymous or heterodromous meridian points was made. A morphological study was carried out to trace neuro-anatomical arrangements between the labeled motor neurons supplying homonymous meridian points with CB-HRP retrograde histochemical technique. Moreover, the connection between the labeled neurons was observed.
Results: Responses of afferent and efferent fibers innervating meridian points demonstrated that most, but not all, of alpha motor neurons supplying the muscle group of a given meridian were selectively activated by afferent inputs originating not only from homonymous or heterodromous, synergistic muscle group, but also from the skin overlying the muscle group included in a given meridian. However, the afferent inputs from the heterodromous meridian had very weak or no effect. On the other hand, the labeled motor neurons supplying a given meridian muscles formed a discrete longitudinal column with a definite bound in the ventral horn of spinal cord. There were oriented dendro-dendristes projections between labeled motor neurons.
Conclusion: The characters of both selective responses of the motor neurons to afferent inputs from the homonymous meridian and their oriented neuron dendro-dendristes connections in the spinal cord offer neurobiological evidence for the meridian phenomenon. Therefore, meridian phenomena should be a functional activity occurring in the spinal neurons by a specialized input-output-input circuit.

Experimental Research
Meridians & Acupoints

STUDIES ON BIOELECTRICITY OF CHANNELS AND COLLATERALS

G. Hsi YOUNG
Guangzhou, China.

Using the first lead of electrocardiography to detect the bioelectricity of the system of channels and collaterals, we objectively confirmed the existence of the system, and found its material basis. The search also showed that electric resistance of the skin changed with the midnight-noon ebb flow. This research also involved the studies of the positive rate of channel electricity, and the specialty and commonality of channels and branches, and so on.
Using the modern equipment of electrocardiography to detect the bioelectricity of the whole system of channels and collaterals is an important breakthrough. The achievement was highly evaluated by a group of experts organized by the Guangdong provincial Bureau of Traditional Chinese Medicine.


Experimental Research
Meridians & Acupoints

RELATIONS OF CHANNELS AND COLLATERALS AND GENE CONTROL SYSTEM

Jingqing XIA
Wencheng Medical Institute. 4 Xinfeng Lane, Wencheng County, Zhejiang Province, China.

Aim: Using gene studies to discuss the phenomenon of channels and collaterals.
Topic: By means of code on molecule of DNA, the information of organism may be generated. Every cell has its special gene, but only 10% gene of differential cells express activity while others close. Among some of lower-grade organisms, leech, for example, once partial cells of it part from the body, it may differentiate into a new individual because of the close gene being activated.
The distribution of acupoints of the human body such as points of acupuncture, foot acu-therapy, nose acu-therapy is just in accordance with this orthogenetic principle. It is a recapitulation, meaning, a miniature representation of the whole body, So, the author holds that the channels and collaterals are a kind of macro-control structure of the colony of the genetic substance.
Reasons: (1) It may explain the distribution of acupoints like an epitome of the whole body, and pulse-taking, face-inspection may diagnose the diseases of the whole body too. (2) The gene is a general substance of all tissues of the body, and it may also explain existence of the channels and collaterals in function with no morphology, and some measurably physic character. (3) Many tests had been done to confirm the existence of macro-control structure of gene. The author thinks that it is in accordance with character of the channels and collaterals which is effective in treating diseases far from the affected part. (4) The history of biological evolution showed that epidermal and pararectal respiratory organ could substitute for the respiratory function of lungs in some lower-grade organisms, and this may explain why the lung is in charge of the skin, the lungs and the large intestine is exterior-interiorly related. (5) Not merely animals have gene, but plants too, and it was confirmed by the existence of meridian in plants. (6) As a result of the literature research, the ancient theory of channels an collaterals had corresponding one-pare-position gene determine hereditary character. So the author thinks that the hypothesis is a development and improvement of that ancient theory of channels and collaterals.
Results: Using gene studies can describe the channels and collaterals phenomenon comprehensively.
Conclusion: Channels and collaterals may be a kind of macro-control structure of the colony of the genetic substance.


Experimental Research
Meridians & Acupoints

FURTHER INVESTIGATION ON THE DISPLAYING OF
INFRARED RADIANT TRACK ALONG MERIDIAN

Xianglong HU, Paiqing WANG, Baohua WU, Jinsen XU
Fujian Institute of Traditional Chinese Medicine. 282, Wu-Si Road, Fushou 350003, China.

Aim: The infrared radiant track along meridian (IRRTM) over human body surface was figuratively displayed in our lab in 1993. The results were deeply concerned by the researchers in China and abroad. Lately, we further investigated the problem. Some new results are reported as follows.
Methods: A thermal tracer of high-quality was used. During the measurement, both the all-thermal displaying image and the iso-thermal displaying image were taken and compared. Video recording was also taken in a part of the subjects under observation.
Results: (1) IRRTM appeared along all the fourteen meridian courses in various degrees. (2) IRRTM could be seen on both pictures of the all-thermal image and the iso-thermal image and coincided each other. It means that the results of the observation were reliable. (3) The particular feature of the skin temperature was the basis of formation of IRRTM. Without this basis, no IRRTM could be observed. (4) The skin temperature showed a very complicated feature and it could not be simply explained from the viewpoint of thermal conduction. (5) Stimulating the acupoint elicited the dynamic changes of IRRTM along the corresponding meridian. (6) As for the displaying of the meridian course, the all-thermal displaying method and the iso-thermal displaying method have the their own advantage. The real feature of the skin temperature could be displayed on the all-thermal image. However, under the iso-thermal displaying conditions, not only the IRRTM could be displayed more prominently, its dynamic process was also shown more clearly. It stands to reason that the combination of the above two displaying methods would be more advantageous to the in-depth investigation of this problem.
Conclusion: The results of the observation on 100 volunteers further demonstrate that IRRTM is really a biological phenomenon relating to the functional regulation of human body. Under proper conditions, the classical meridian courses can be figuratively displayed with the thermal imaging system. It is significant to the investigation of the meridian.


Experimental Research
Immunity & Neuroendocrine Effect

THE EFFECT OF LONG SNAKE MOXIBUSTION ON IMMUNITY FUNCTION

Yuewei ZHU, Jiaquan SHEN, Jiakang FU, Xiaoping LIN, Ruijun YU, Jian WANG
Acupuncture Hospital. Hangzhou City, 310003, China.

In order to find out the functional mechanism of the long snake moxibustion, 82 cases of rheumatoid arthritis have been treated for the observation of dynamic changes of the immunity function before and after the treatment. The results show that this treatment can raise the hemoglobin, reduce blood sedimentation, improve the turning of rheumatoid arthritis factor to negative, improve the lymphocyte and E rosette forming rate, complement C3 and regulate the immunoglobuliin, and improve the liver function of some of the patients. This has proved that the treatment can influence the body immunity, improve the cell and fluid immunity. It indicates that the long snake moxibustion has a wide application in the treatment of immunity diseases.


Experimental Research
Immunity & Neuroendocrine Effect

THE EFFECT OF MOXIBUSTION OF THE CHANGES OF 5-HT
AND IMMUNE FUNCTION OF RAT INFECTED WITH EHFV

Xiaoge SONG, Zhaoliang TANG, Binhua LIOU, MeiYing CHANG, Huejian CHEN,
Meisheng ZHOU, Chao Yang DONG, Dashi NI
The Institute of Acupuncture and Meridians, Anhui College of TCM. China.

Aim: For exploring the mechanisms of moxibustion on treating Epidemic Hemorrhage Fever (EHF). We established a model of infected rats with the infection of EHF Virus (EHFV) into the abdomen cavity of the rats and observed the effects of moxibustion on the changes of 5-HT and immune function of rats infected by EHFV.
Methods: 33 Wistar rats of weaning about 18 days were divided into there groups at random. The normal group was not injected with EHFV and not given moxibustioon treatment. The injected group was injected with EHFV and not given moxibustion treatment. The moxibustion group was injected with EHFV and given moxibustion at Shenshu point. The fourteenth day after injection of EHFV, we obtained the blood and abdomen cavity fluid of the rats and measured the phagocytise percent of macrophages, the rose rate of red blood (RBC) cell C, b receptor and the content of 5-HT in plasma.
Results: The results show that moxibustion could enhance the phagocyesis of peritoneal macrophage of rats infected by EHFV, increase the rose rate of RBC C, b receptor, and decrease the content of 5-HT in the plasma. There was a significant difference between the infected group and moxibustion group.
Conclusion: The results above suggested that the moxibustion can enhance the immune function of the body, regulated the metabolism disturbance of 5-HT in plasma, maintain the relative balance of the inner environment of the body and enhance the resistance of body against EHFV.

Experimental Research
Immunity & Neuroendocrine Effect

A STUDY ON THE ANTI-AGING EFFECT OF MOXIBUSTION
AND MOXIBUSTION COMBINED WITH SKIN ALLOGRAFT

Lan ZHANG, Chen Han Ping
Shanghai Research Institute of Acupuncture and Meridian. China.

Aim: The study was undertaken to evaluate the effect of moxibustion, and moxibustion combined with skin allograft therapies for senescence with a mouse model, and to provide an experimental basis and a new research thinking for a clinical application of the "combining" therapy.
Methods: 14-month-old BALB/c strain mice were randomly divided into 4 groups: an old control group (Old), a moxibustion group (Moxa), a skin allograft group (Graft), and a moxibustion with skin allograft group (Moxa+Graft). 6-week-old BALB/c strain mice were used as the young control group. Moxa group: the mice were given moxibustion with 2 moxa cone each time on GV14, 3 times per week, 2 months in total. Graft group: the mice were grafted 1 §² skin from 4-to-6-week-old C57BL strain mice on their back, once a month, 2 times in total. Moxa+Graft group: the mice were given moxibustion on GV14 the next day following the skin allograft operation. Old group: the mice were neither given moxibustion nor skin allograft. The thymus and pituitary were taken out immediately following the ether anesthesia, given a series technical handling (fixing, wrapping, cutting, dying), and observed on their morphological and ultra structure under the optic and electronic microscope.
Results: The thymus in the Old group withered, the amount of lymphocyte and epithelium reticulocyte significantly decreased; trophic hormone cell in the front lobe of pituitary manifested degenerative changes such as endocrine particulate reduced; chromatin condensed, endoplasmic reticulum enlarged. Moxa group, Graft group and Moxa+Graft group showed senile degenerative changes at a lesser degree, among which, Moxa+Graft at the least degree.
Conclusion: The results of this study indicate that the moxibustion with skin allograft had the best result. Furthermore, this study suggested that the "combining" therapy could raise the therapeutic effect.


Experimental Research
Immunity & Neuroendocrine Effect

AN OBSERVATION OF THE ACTION OF ANTI-TUMOR
WITH IRRADIATING ACUPOINTS BY USING LOWER-POWER-LASER

Zeng ZHEN, Shen Xiao HENG, Fu Li PING
Rui Jing Hospital attached to Shanghai Second Medical University. China.

The thesis is a report on improving the survival rate of immature rats after irradiating experimental rat's abdomen (Guanyuan acupoint "CV4"). The growth of cancer tissue is restrained, too. Meanwhile we can find the activity of LAK, NK cells in the spleen tissue is markedly increased, the SOD-enzyme activity of cancer tissue is obviously decreased. The activity of CAT is slightly decreased, the content of LPO is slightly increased. The action of supporting the vital energy, improving the immune function by using the low-power-laser is worth intensive research.

Experimental Research
Immunity & Neuroendocrine Effect

THE EFFECT OF MOXIBUSTION ON HUMORAL FACTORS OF RATS
INFECTED WITH EPIDEMIC HEMORRAGIC FEVER VIRUS

Zhaoling TANG
Institute of Acupuncture & Meridians, Anhui College of TCM, Hefei 230038, China.

A research on the mechanism of moxibustion in treating epidemic hemorragic fever (EHF) was undertaken. We established an animal model of wealing rats infected with EHF virus (EHFV) by abdomen cavity. The fluorometry and radioimmunoassay were used to observe the content change of the neuro-transmitter and the activating substance of blood vessel (such as NA, DA, 5-HT, 5-HIAA, TXB2 6-K-PGF1a) in normal rats, rats infected with EHFV, rats infected with EHFV and moxibustion on "Shenshu".
Analysis and discussion were given for the moxibustion regulation effect on the secretion and metabolism of disturbed neuro-endocrine factors. In this complex pathophysiological process of EHF, many humoral factors involved. EHFV rats treated by moxibustion, the contents of NA, DA, 5-HT, 5-HIAA, TXB2 reduced remarkably, 6-K-PGF1a increased, the ratio of TXB2/6-K-PGF1a decreased and tended to the normal level.
Moxibustion corrected the disturbance of humoral factors to promote the stability of the inner environment. This is an active regulation effect and an improvement for a favorable turn of EHF. Moxibustion on regulating the disturbance of the neuro-endocrine system and the immune system may be an important role for preventing and treating EHF.

Experimental Research
Immunity & Neuroendocrine Effect

EFFECTS OF EAR ACUPUNCTURE ON ¥â ADRENORECEPTOR
IN LUNG TISSUES OF GUINEA-PIGS WITH EXPERIMENTAL ASTHMA

Ling CHEN, Xin-len LIU, Xing-yu WANG, Guang-tao YAN, Xiu-hue HEO, Long-huan WAN, Yi-ming MU
Department of Acupuncture and Moxibustion, PLA General Hospital. China.

The maximal binding volume (Bmax) of ¥â adrenoreceptor in the lung tissues of guinea-pigs in a health group, an experimental asthma group and an ear acupuncture treatment group was determined with radiological ligand binding analysis. The results were as follows: (1) The Bmax of ¥â adrenoreceptor in the lung tissues of guinea-pigs in the asthma group (52.4±20.1 fmol/mg protein) was significantly lower than that in the healthy group (106.8±14.0 fmol/mg protein) (p<0.01); (2) The Bmax in the lung tissues of guinea-pigs in the ear acupuncture treatment group (84.5±35.1 fmol/mg protein) was significantly higher than that in the asthma group (p<0.02), and it was similar to that of the healthy group (p>0.05). These suggested that it was one of mechanism of ear acupuncture treatment on asthma that increased the number of ¥â adrenorecepor in the lung tissues.

Experimental Research
Immunity & Neuroendocrine Effect

THE DIFFERENCE BETWEEN DOPAMINE BLOCKER AND ACUPUNCTURE:
ANALYZED THROUGH THE MICROSTRUCTURE OF A RAT'S LICKING BEHAVIOR

Wen-Chiang PAI1,2,3, Sigmund HSIAO4, Yung-Hsing CHANG2,3, Jaung-Geng LIN3
1Department of Psychiatry Acupuncture, Hospital of China Medical College.
2Department of Acupuncture, Hospital of China Medical College.
3Institute Chinese Medicine, China Medical College.
4Institute of Psychology, National Chung Cheng University.

Brain dopamine (DA) plays an important role in (a) movement control and (b) various motivated behavior. The former function is reflected in Parkinsonian symptoms of movement deficit, attributed to DA deficiency; the latter is reflected in schizophrenic symptoms, attributed to DA overactivity. Also research related to DA function in learning, memory, mood and behavior both in quality and quantity is blooming. Traditional Chinese practice of acupuncture on the contrary, has little to tell in relation to DA-related activities, especially from a behavioral-pharmacological point of view, though the analgesic mechanism of acupuncture has been intensively studied.
In this study we trained a water-deprived rat to lick different solutions: (a) flavored saccharin solution; (b) saccharin solution;(c) flavored water; (d) water. With the obtained microstructure of the licking behavior we determined the efficacy of different dosages of the dopamine blocker, pimozide, and/or acupuncture on Baihui (GV20) toward those behaviors.
The result of this study shows significant effects both for pimozide and acupuncture on Baihui(GV20). Pimozide suppressed the rat's drinking behavior and increased its movement reaction time. Those effects are proportional to the dosage given. The effect of acupuncture depends on how it was administered. If acupuncture was given to animals without other interventions, it too. suppressed drinking behavior, but the movement reaction time was decreased; the rats' licking movement became more prompt. When it was used after pimozide, a dopamine deficient condition, then acupuncture reversed the drinking suppression induced by pimozide.
Experimental Research
Immunity & Neuroendocrine Effect

MOXA ROLL MOXIBUSTION IN COMBINATION WITH CHINESE
HERBAL PREPARATION TCM-BRM ON TUMOR-BEARING MICE

Mang YU, Xiaomu ZHENG
Dept. of Microbiology & Immunology, Dalian Medical University. Dalian 116037, China.
Dept. of Rehabilitation, Dalian Friendship Hospital.

Aim: This study was designed to evaluate the antitumor effect of moxa roll moxibustion in combination with Chinese herbal preparation TCM-BRM, in order to develop the potential of traditional Chinese medicine in antitumor therapy.
Methods: Two kinds of tumor-bearing animal models were established with Kunming mice and BALB/c mice. Those mice were divided into four groups: tumor-bearing control group, moxibustion-treated group, TCM-BRM-treated group and combined therapy group. The inhibition of tumor growth(TGI) and tumoricidal activities of three tumoricidal effector cells (macrophage, natural killer cell and tumor-specific cytotoxic lymphocyte cell) were studied to evaluate the therapeutic effect.
Results: TCM-BRM treatment significantly inhibited tumor growth in the two kinds of mice and greatly enhanced the tumoricidal activities of those tumoricidal effector cells. Moxibustion treatment partly possessed these functions, due to a species variation. In comparison with TCM-BRM treatment or moxibustion treatment, the combined therapy greatly inhibited tumor growth and increased the tumoricidal activities of the tumoricidal effector cells.
Conclusion: Moxibustion in combination with traditional Chinese drugs is an ideal method to enhance antitumor immunocompetence in antitumor therapy.


Literature Review & Acupuncture Theory
International Survey

LITERATURE RETRIEVAL ON ACUPUNCTURE AND MOXIBUSTION OF CHINA

Ping LI
Institute of Information on Traditional Chinese Medicine, China Academy of Traditional
Chinese Medicine. No. 18 Beixincang Lane, Dongzhimennei, Beijing 100700, China.

Since the beginning of the 20th century, with the development of acupuncture and moxibustion research, global professional articles and reviews continue to grow with each passing day. At the present, there are more than 500 international medical journals with articles on acupuncture and moxibustion. When a doctor wants to review information on acupuncture and moxibustion from lots of articles, he must depend on retrieval tools. Researchers of the Acupuncture and Moxibustion Kingdom in China edited and compiled all the retrieval methods in order to meet the doctors' need.
Now there are four parts on retrieval methods as follows:
1. To retrieve titles of articles: There are more than 10 kinds of retrieval reference books of index of titles. Its span is from 1908 to 1989.
2. To retrieve abstract of articles: There are 2 kinds of periodicals, 4 kinds of reference books that collect the abstracts of acupuncture and moxibustion. Its span is from 1949 to the present.
3. To retrieve special summary of acupuncture and moxibustion: It is according to the yearbooks of TCM in China. Its span is from 1983 to the present.
4. To use the storehouse literature of acupuncture and moxibustion: These bibliographic database have stored 100,000 items for TCM literature.
In conclusion, literature retrieval not only gave the doctors much help, but also made a great contribution to systematize of acupuncture and moxibustion all over the world.

Literature Review & Acupuncture Theory
International Survey

REGULATION AND DISTRIBUTION OF ACUPUNCTURISTS IN THE UNITED STATES

Jing GAO
Information Institute of the China Academy of Traditional Chinese Medicine. No. 18
Beixincang, Dongzhimen Nei, Beijing 100700, China.

Aim: By analyzing the kinds of legislation (or its lack) that have been enacted to regulate acupuncturists in the United States, there emerges a clear picture of how practicing acupuncturists are distributed regionally and where there may be potential for developing the profession.
Methods: Statistical analysis of registered acupuncturists and comparison of regulating legislation in the United States.
Results: The distribution of acupuncturists in the United States is concentrated in states that have enacted legislation favorable to the profession, enabling practitioners to work independent from Western-trained doctors. The west and northeast are the two regions containing the most states permitting independent practice. The west has become the most active zone for practicing acupuncturists with California having the highest number registered and Hawaii having the highest ratio of practitioners to patients. In the midwest and south, more states require acupuncturists to work with Western-trained doctors, and consequently, there are fewer acupuncturists practicing in these regions.
Conclusion: Various regions of the United States are under-represented by the profession, especially in the south and midwest. These regions should be targeted as potentially fertile areas for education and development of the profession.


Literature Review & Acupuncture Theory
Acupuncture Theory

TO THE DISCUSSION OF THE MEANING OF MOXIBUSTION ON VITAL GATE
FOR THE HEALTH CARE FOR AGED PEOPLE

Jinrong LEI
The Second Internal Department of Fujian Provincial Hospital. 134 Dong Street, Fuzhou, Fujian 350001, China.

Old and feeble is a stage that arises with increasing age. The writer regards. from the viewpoint of traditional Chinese medicine, that the essence of an old and feeble body is the debility of vital gate's yang-qi. Vital gate is the origin for supporting normal physiological body activity. Through channels and collaterals, vital gate has the close relation with the viscera and bowel. It has the function of helping the heart dominate the whole body, it can also nourish liver-yin, warm the spleen and stomach and support the lung breathing. After receiving the vital gate's yang-qi, kidneys have the physiological functions of storing the essence of life and determining the condition of the bone and marrow. The strength of vital gate's yang-qi determines the growth the body.
As we know, moxibustion has the functions of recuperating the depleted yang, strengthening primordial yang, eliminating pathogenic factors and prolonging life. We use it on vital gate to warm and stimulate the point so that yang-qi can be produced. Through channels and collaterals, viscera and bowels, yang-qi reaches four limbs and warm skin and muscle. It can restore yang-qi for aged people, cure the patients and keep fit. Thus it can be seen that adding moxibustion on vital gate is an effective method for health care.

Literature Review & Acupuncture Theory
Acupuncture Theory

A THEORETICAL STUDY ON CURING BRAIN MARROW DISEASE
BY USING ACUPUNCTURE TO REPLENISH SEMEN AND NOURISH BRAIN

Gui Fa ZHANG
Tianjin Research Center of Chinese Medicine Brain Marrow Disease. No. 11 Zhouwei Road, Hebei District, Tianjin 300142, China.

Aim: Brain Marrow Disease is a common disease which seriously threatens to patients' health. The authors applied acupuncture to replenish semen and nourish brain in curing the brain marrow disease and studied its effect.
Method: Curing dialectically from person's "Semen, Spirit and Mentality", and carrying "Yao" to nourish the brain, which was named "Xiao Zhou Tian"(the method of replenishing the semen and nourishing the brain). The "Yao"(body's own water), composed of the congenital and postnatal semen, serves the purpose of replenishing the semen and nourishing the brain by mediating the circular flow of Du and Ren meridians.
Results: The total number of patients treated almost reached 3000. The rate of curing reached 75%.
Conclusion: The axis body of kidney's seminal marrow and brain's mental marrow is the essence of the brain marrow science. The Acupuncture for Replenishing Semen and Nourishing Brain is a good way to resume the brain marrow function and to elevate the effects.

Literature Review & Acupuncture Theory
Acupuncture Theory

THE RELATIONSHIP BETWEEN MEDITATION AND MERIDIAN THEORY:
A MEDICAL ANTHROPOLOGICAL PERSPECTIVE

Weiguo HU
Institute of Acupuncture, China Academy of TCM. Beijing, China.

Modern research on Traditional Chinese Medicine is based primarily on modern science and biomedical methods. Because these methods are unable to deal with the crosscultural issues implicit in Traditional Chinese Medicine (TCM), research on TCM is often reduced to a question of biology. The results of this research have indeed provided insights for biomedicine, but at the same time have been undermining the theoretical principles of TCM. Meridian theory is an important part of the theoretical system of TCM. Differences between Meridian theory and its biomedical counterparts, such as the nervous system and the blood circulation system, are not simply the reflection of the historical ears in which they were developed nor do they represent different levels of understanding towards the same anatomical structures. Rather, Meridian Theory was developed under specific historical conditions and shaped by ancient Chinese philosophy and culture. Not only was it influenced by the clinical practice of physicians, but it was also affected by the Daoist meditation (xingqi and daoyin) and other health-preserving technologies.
Traditional Chinese Medicine and research on Meridian theory will not be advanced by more sophisticated biomedical research methods. Instead, an approach that takes into account the historical specificities of Meridian theory, the need for clinical effectiveness, and the current conditions under which it is practiced must be developed. At this moment, only medical anthropology with its attention to the social and cultural nuances of medical practice seems to suggest any new possibilities for such a project. In this essay, the author has attempted to use an anthropologically influenced approach to examine both the historical documents and the current practice of xingqi and daovin in China. The author hopes to demonstrate that this approach can more fully explore the relationship between xingqi and daoyin to contemporary Meridian theory and lead to better clinical results than the reductionist biomedical methods that are currently in fashion.

Literature Review & Acupuncture Theory
Acupuncture Theory

FURTHER UNDERSTANDING ABOUT JINGULO (MERIDIAN AND COLLATERAL)
SYSTEM AND THE PRINCIPLE OF ACUPUNCTURE THERAPY

Shunfa JIAO, Quanzhi DU
Hongqi Xilu 38#, Yuncheng, Shanxi 044000, China.

Through collecting systemetically and studying profoundly some important records in the medical classics, the authors have compared the Jingluo system and acupuncture therapy with the nerve system described both in the traditional Chinese medicine and in the modern science of medicine, and have found that there are similarities in many aspects. Therefore, it is considered that the Jingluo system discovered by Chinese doctors refers to the nerve system described in the modern science of medicine. Actually, as early as 2,500 years ago, Chinese medical experts already discovered the nerve system and developed many scientific methods to treat various diseases of the body through puncturing nerves of the trunk and limbs by needles.


Literature Review & Acupuncture Theory
Acupuncture Theory

THE ACUPUNCTURE'S THREE REMOVING OBSTRUCTION METHOD
ON THE ELIMINATION OF PHLEGM

De-an ZHOU
Acupuncture Department, Beijing Hospital of Traditional Chinese Medicine. China.

There are a lot of publications explicating about phlegm syndrome in TCM. The concept, "Phlegm causes intractable diseases, to eliminate phlegm can cure intractable diseases", is particularly popular. However, the different therapeutic methods for phlegm syndrome such as expelling phlegm, removing phlegm, dissipating phlegm and resolving phlegm are described mostly in Chinese herb prescriptions on the whole, but few reports could be seen in acupuncture.
In recent years, the author applied "Acupuncture's Three Removing Obstruction Method" in the therapy of phlegm syndrome. The acupuncture mainpunations included: mild stimulation method with filiform needles; strong stimulation method with filiform or three edge needles; warming stimulation method with moxibustion, moxibustion with warming needles and cupping therapy.
From my own experiences, the acupuncture prescription of regulating Qi and eliminating phlegm is consisted of Neiguan (PC6), Fenglong (ST40), Zhongwan(CV12) and Gongsun(SP4). The formulas are usually used in six different diseases: mild stimulation method for stroke of meridian, vertigle and plumpits as resolving phlegm; strong stimulation method for scrofula as removing phlegm; strong stimulation method for epilepsy as expelling phlegm; for insanity and tense syndrome of stroke and strong stimulation or bleeding the points of twelve Jing were used as dissipating phlegm.
The acupuncture prescription of regulating Qi and eliminating phlegm which I have used in phlegm syndrome achieved most of the significant results.


Literature Review & Acupuncture Theory
Acupuncture Theory

LONGEVITY AND MOXIBUSTION

Yan Yao LU, Ru-Gong ZHU
Shanghai University of TCM. Shanghai, China.

Anti-longevity is always a very concerned problem in mankind. Chinese medical science has accumulated a great deal of experience about it. Using the means of moxibustion to take care of health and increase longevity is one of many practical and effective ways.
Moxitustion is able to tonify energy Yang and promote the immune system of the physical body; moxibustion can also activate blood circulation and dissolve clot, improving the efficacy of blood in the physical body, so that it can prevent or reduce occurrence of many kinds of senile diseases, and attain the aim of health care and longevity.
Since the ancient time moxibustion of health care has existed. The most frequent acupoints for longevity care are Dazhui (GV14), Mingmen(GV4), Pishu(BL20), Shenshu (BL23), Guanyuan (CV4), Qihai (CV6), Zusanli (ST36), etc. Taking moxibustion one to two course every year is able to delay aging and increase longevity.


Acupuncture Instrument Development

TONIFICATION-REDUCTION ELECTROACUPUNCTURE INSTRUMENT
(BX ELECTROACUPUNCTURE INSTRUMENT)

Zhiyu WANG
Shanghai Research Institute of Acupuncture and Meridian. China.

Electroacupuncture has been able to treat hundreds of diseases in various systems of human body, but there are few reports on the research of electroacupuncture instruments and their output parameters. The properties of electroacupuncture instruments, therefore, remain in a certain state for a long time, which is unfavorable for raising the therapeutic effect of electroacupuncture. For that reason, the output parameters of an electroacupuncture instrument were collected, classified, analyzed and studied. They can be classified into 3 broad categories: regular pulse, frequency modulation pulse and sonoelectric wave. It is urgently necessary to make sure whether these 3 categories of electroacupuncture parameters have identical effects and how they can be used. The experimental results showed that the analgesic effect of the sonoelectric wave was remarkably superior to that of a regular pulse and a random frequency modulation pulse, whereas the fatigue-relieving effect of a regular pulse and a random frequency modulation pulse was superior to that of a sonoelectric wave.
The analgesic effect of electroacupuncture is an inhibiting effect on the functions of the body, which is similar to a reducing effect in TCM terminology, whereas the fatigue-relieving effect of electroacupuncture is an excitatory effect on the functions of the body, which is similar to a tonification effect in TCM terminology. According to the aforementioned principle, an electroacupuncture instrument with tonificatin and reduction effects (BX electroacupuncture instrument) was developed.
The reason why electroacupuncture is able to treat diseases is that electroacupuncture is able to regulate the functions of the body and maintain its dynamic balance. But different electroacupuncture parameters have different effects. In order to obtain the curative effects more easily, therefore, suitable electroacupuncture parameters should be selected according to the functional state of human body. In brief, electroacupuncture therapy requires a suitable electroacupuncture instrument and a differentiation of symptoms and signs.


Acupuncture Instrument Development

A CLINICAL STUDY AND TRIAL OF THE CHANNEL
BALANCE-SURVEY AND ACUPUNCTURE BALANCE INDUCTION

Bingxin YU, Zhongchang YIN, Shuohong SHANG, Tao YU
Yin Chuan Zhonghua Channels Research Institute. China.

Aim: According to the theories of traditional Chinese channel acupuncture and the contemporary "Balance of Bioelectronic Movements", authors of this essay have studied the result of a clinical trial of 483 patients diagnosed to be abnormal by the balance-surveying and received the balance-inducing treatment.
Methods: With a channel balance-surveying diagnostic instrument the authors surveyed the value of the patient' 12 channel acupoint in their right and left hands and feet. They also diagnosed the deficiency and excess of the channels and their unbalancing degree, chose the channel acupoints and acupuncture balance-inducing treatment with the combination of channels' distinction, disease judgment. Then, they re-examined the effects of the treatment.
Results: Among the 483 patients treated, 386 were marked effective, 76 improved, and 21 were ineffective. So the total effective rate was 95.6%.
Conclusion: After studying the results of the clinical trial of 483 patients the authors consider that the accuracy of the diseased channels is rather high, and the distinction of the channels is clear, for the differentiation of symptoms of deficiency or excess whole bodies. Furthermore, this study has great significance for the observation of balance trends and the instructions of clinical distinction of channels. It is also significant for the choice of the acupoints as well as the treatment of acupuncture. It especially has a satisfactory effect on some "unknown or long-uncured diseases".


Qi, Qigong, Daoyin & Massage

ISCHEMIC NECROSIS IN HEAD OF FEMUR TREATED BY
TWO-HAND NEEDLE MANIPULATION IN A QIGONG STATE:
A REPORT OF A NEW THERAPY'S CLINICAL EFFECT

Zhen LI, Zhonglin HUANG
Institute of Medical and Pharmaceutical Science. 96 Gui Zhou Road, Tianjin 300070, China.
China Institute of Qigong Two-Hand Needle Manipulation.

Aim: Ischemic necrosis in the head of femur is one of the most severe orthopedic diseases and its treatment remains difficult. This paper only sums up the curative effects on 108 cases treated since October, 1989.
Methods: After a doctor chooses the positions of needle insertion around a focus, four acupuncture needles are inserted distantly into these positions, manipulated either by four hands of two persons or more hands of more persons to integrate the hands and the affected sphere into a whole bioenergy field so as to directly act upon the focus. In manipulating needles, different formations of hand manipulation may be used in order to change the direction of propagation, the starting process of sensing, and the propagational structure and its coordinates.
Results: Of 108 cases, 69 were repaired according to the X-ray examinations both before and after the treatment. In addition, the general presence of renewing blood supply in the necrotic part of head of femur occurred. The joint function in most of these 69 cases has improved remarkably with 56.6% of the patients being able to walk over 2.5 kilometers without using crutches and 29% walking 1.5 kilometers using a single crutch.
Conclusion: The above-mentioned therapeutic effects on 69 cases have shown that ischemic necrosis in head of femur can be cured by this new therapy of two-hand needle manipulation in a qigong state. It can eliminate the need for operations such as the replacing operation with an artificial joint. Doctors use their sequential energy to act upon the focus of the patient through acupuncture needles, which enables them to retrieve the "electromagnetic field" damaged in the affected sphere, activate necrotic bone tissue, and improve local blood supply. As a result, it repairs and regenerates patients' depressed, broken and split bone tissue.


Qi, Qigong, Daoyin & Massage

DAO-YIN VIA ACUPUNCTURE POINTS ALONG MERIDIANS
FOR PREVENTIVE HEALTH AND ITS CLINICAL APPLICATIONS

Wen-Qi MOU
XinJiang Traditional Chinese Medicine College. China.

This is a set of Dao-yin exercises which has been handed down from family ancestors. It aims for preventive health but has many clinical applications as well. It applies the techniques of Dian-ye and Dao-yin on selective acupuncture points. The goal is to induce a balanced state of blood and qi circulation within both Dumai and Renmai, and other Yin and Yang channels. The side effect of this balanced state for the practitioner is a quick recovery from illness. Continual practices free one from sickness and bring longevity.
A proper understanding of the meanings behind the ideas of Dao-yin and Dian-ye is important for reaping the most benefits out of the set of exercises introduced here. Dao-yin carries the connotations of leading and guiding. Its function is to channel one's inner energies through the bloodstreams and meridians by meditation and visualization. It could be viewed as the bridge between the physical an spiritual. Dian-ye is really an application of Dao-yin. It involves applying our fingers directly to selective acupuncture points, using the techniques of Dao-yin, with or without physical contact between the fingers and the acupuncture points. For the Dao-yin exercise introduced here, visualized link between the fingers and the acupuncture points while they are in close proximity produces comfortable sensations. These sensations might be considered as meditative stimuli.

Dao-yin Dian-ye is a series of 10 exercises:
(1) Posture of hands holding a floating ball
(2) Posture of holding a ball in front of the abdomen area in succession of expanding and shrinking
(3) Posture of patting the horse
(4) Posture of fair-lady weaving the shuttle
(5) Posture of holding a ball in front of the upper Dantien area in succession of expanding and shrinking
(6) Posture of upholding the sky and fixing the ground
(7) Posture of looking into the sky with body leaning backward
(8) Posture of Qi-collection adjusting Yin-Yang
(9) Same as (2)
(10) Same as (1)


Basic Theory of Traditional Chinese Medicine

THE STRUCTURAL BASIS OF MERIDIANS AND QI

Chen WEN, Jinlan LIU, Zhenli ZHANG
Institute of Acupuncture & Moxibustion, China Academy of TCM. Beijing 100700, China.

In medical classics "Miraculous Pivot", "Difficult Classic" and "Compendium of Acupuncture and Moxibustion", the Chinese ancient medical scholars described Jingluo (meridians) as circulating paths of Xue (blood) and Qi(energy) distributing in the whole body. In their hypotheses meridians undoubtedly involve blood vessels and blood circulation. What is the essence of meridians and what is Qi are the key to be solved. By employing the separate and consecutive methods of demonstrating catecholamine (CA) fluorescence and cholinesterase (ChE), nerve terminals distributed in peripheral tissues were observed with microscope. The properties of these terminals were analyzed by applying inhibitors, sympathectomy and certain medicine as tools. The fundamental structures of nerve terminals were nerve network which consists of varicosity terminals of multi-neurons connected with each other, distributing throughout the whole body, particularly in the connective tissues. Both adrenergic and cholinergic network around the wall of small vessels being called perivascular plexus. The function of perivascular plexus represents the physiological effect of Qi which is described as the commander of Xue and manifests the close relationship between Qi and Xue. By the arterioles, there are many ChE-positive small nervous bundles and their terminals showing various types of free nerve endings. They are receptors without effector organs. The afferent terminals are called paravascular plexus which constitute the morphological basis of acupoints. In a world, Jingluo is composed of blood vessels and nerves-neural network in particular. The various functions of Jingluo are all fulfilled in the nerve network.


Basic Theory of Traditional Chinese Medicine

NEI JING AND THE FORMING OF JING LUO DOCTRINE

Zhenhua XING, Hongwen LU
Hai Bo Wan District Hospital. Haihe South Road, Wu Hai City, Inner Mongolia 016000, China.
China Institute of Meridian.

Aim: The authors conducted a systematic study on the formation and evolution of the ancient Jing Luo theory and investigated it systematically.
Methods: The authors took Nei Jing as the chief source, emphatically discussed the exposition about Jing Luo in Ling Shu and summarized the connection between Jing Luo and Jing Luo function of anatomy, physiology and internal organs. The authors considered that the view of "Heaven and man coordinate with each other" and the Yin Yang Wu Xing theory are the foundation the naming of Jing Luo.
Results: The ancient Jing Luo theory originates from medical practices. It is closely connected with the ancient acupuncture and massage. In addition, the sense conduction is the result of Qi Xing.
Conclusion: The essay provides a theoretical basis for guiding clinical practices and enhancing the level of organizing and studying the Jing Luo theory.


Others

ACUPUNCTURE COMBINED WITH TUINA, CONDUCTION AND QIGONG
FOR THE RECOVERY OF SPINAL CORD CROSS BREAK CAUSED BY INJURY

Li Ying DU, Zhiren CHENG
Chinese Traditional Recovery Medical Research Center of Guangdong. China.

Spinal cord cross break-paraplegia is defined as an unpassable barrier in Chinese and overseas medical history. Up till now, we have used a comprehensive treatment of mainly acupuncture combined with tuina, conduction and Qigong, involving the unique human studies in Chinese traditional medicine on two patients, chosen by Japanese recovery experts. One is Japanese, course of disease being seven years, with T4-T5 spinal cord cross break, the other is Chinese, course of disease three years, with T11-T12 spinal cord cross break. Medical recovery experts from China, Japan, France and the former Soviet Union made a joint clinical examination for a period of half a year. These two patients, after treatment, are able to climb, squat on the heels, stand up and walk with the help of a stick and the disabled limbs are able to be controlled. Experts from these four countries made a clinical verification. Japanese recovery experts praised it as an unimaginable treatment method and the (father of Japanese future recovery doctors). The experts from the former Soviet Union called us (the life savior of paraplegia patients).
The treatment method is acupuncture with the assistance of tuina and conduction. The acupuncture points are mainly governing vessels together with Feng Shi, Yang Ling Quan, Zu San Li, San Yang Jiao, Tai Chong, and so on. Acupuncture is carried out with Qi reaching first followed by consciousness, the strength being deep and penetrating. Qi, consciousness and strength combine to exert movements on the patients with the result of (one part of effort, one part of effect). Hand skills of tuina, such as "five substances swimming in the water", a mysterious Gong used by the ancient Chinese doctor Hua Tuo, i.e. (tortoise) climbing, (fish) swimming, (shrimp) jumping, (crab) clamping, (clam) opening and shutting, should also be applied according to the diseases. The "five animal exercises" (also invented by Hua Tuo) imitating the bear walking, tiger running, crane standing, ape climbing and snake as waying are also applied on the patients according to their diseases. Besides all these methods, a very important factor in the treatment is the hard work and exercise of the patients together with the responsibility conscience and sympathy of the doctors, that is what we call the "human studies". The doctor must take into consideration of the economy, family, psychology, environment, behavior, education etc. during treatment so as to achieve good results.


Special Paper

PROGRESS OF ACUPUNCTURE STUDY IN THE WORLD
Shaowu CHEN
China-Japan Friendship Hospital. 2 East Yinghua Street, Hepingli, Beijing 100029, China.

Nowadays the Traditional China Medicine (TCM) is spreading itself all over the world. Close attentions to TCM are paid by both developing and developed countries. The upsurge of learning, practicing and studying TCM is growing with each passing day.
Acupuncture is the vanguard that leads the TCM towards the world. It is acupuncture anesthesia that opened the first page of TCM interst worldwide and is first recognized, praised and strongly promoted by the World Health Organization (WHO). The World Federation of Acupuncture-Moxibustion Societies (WFAS), which is the focus of the world, was formally set up in Beijing in November 1987 and it indicated that acupuncture is becoming a new medical discipline with international popularization. Until now, there are approximately 170 diseases can be treated with acupuncture including diabetes, hypertension, bronchial asthma, and depressive syndrome, etc. Recently, some American researchers made the first trial on treatment and prevention of AIDS by acupuncture. Great progress is also made in the field of fundamental theories. These leads WHO to predict that in the year of 2000, acupuncture will take a large percentage in treating such diseases as allergic reaction and congenital or acquired immunological inhibition.
From the above brief description of the international progress of acupuncture study, we can see a bright future of acupuncture which will widely spread over the world.

Keynote Lecture
Friday, September 20, 1996

THE CONTRIBUTION OF ACUPUNCTURE-MOXIBUSTION
TO THE HEAL TH OF THE MANKIND

Xuetai WANG
China Academy of Traditional Chinese Medicine. No. 18 Beixincang Dongzhimennei, Beijing 100700, China.

Three stages of the acupuncture and moxibustion development: (1) Since several thousand years ago, when Chinese invented acupuncture and moxibustion, they have been an important measurement for the medical treatment. (2) Since the sixth century, acupuncture-moxibustion has propagated to other parts of Asia. (3) Since the twentieth century, it has gone over the whole and has becomes the medical treasure of the whole mankind.
At present, it has been already propagated over 140 countries and regions, in total, 39 countries in Asia, 30 in Europe, 36 in Africa, 2 in America, 22 in Latin-America, and 11 in Oceanic, etc.
The contributions are in the following aspects: (1) Acupunctural Treatment: All the diseases in various subjects, such as infection, internal medicine, surgery, carcinoma, orthopedics and traumatology, neuropsychiatry, gynecology, pediatrics, dermatology, ophtamology, otorhinolaryngology, stomatology, etc. There are about half of them that the acupunctural treatment has demonstrated significant therapeutic effects. (2) Acupuncture for Health Care: Elevation of the immunity and anti-senility. (3) Acupuncture Anesthesia: Adopted for more than 100 kinds of surgical operations and nearly about 10 kinds of operation with acupuncture anesthesia presented extraordinary excellence. (4) Diagnosis with Meridians: It is a kind of functionally diagnostic method in the whole body with very great prospects.


Symposium A
Friday, September 20, 1996

ACUPUNCTURE BALANCED ANESTHESIA IN CHINA

Xiaoding CAO, Shaofen XU, Gencheng WU, Chongbin ZHU
Institute of Acupuncture Research, Shanghai Medical University (WHO Collaborating Center for Traditional Medicine ). Shanghai 200032. China.

Acupuncture anesthesia has been successfully used in thyroidectomy, pneumonectomy, brain surgery, etc. since 1958. Drugs with potentiating effect on acupuncture analgesia (AA) and drugs with reducing effect on AA were sieved out by scientists and physicians of Shanghai Medical University in 1980s. Since then, a combination and drugs with potentiating effect is commonly used as an anesthetic method in clinics, which is called Acupuncture Balanced Anesthesia.
Now, not only thyroidectomy, pneumonectomy, subtotal gastrectomy, etc. but also renal transplantation, neolarynx reconstruction were operated under acupuncture balanced anesthesia. It is found that the blood pressure and heart rate are stable, the starting time of urination of newly transplanted kidney is shortened, and the reconstruction of vocal, respiratory and swallowing function of the neolarynx can be carried out with more assurance.
HPLC with electrochemical detection, receptor autoradiographic technique and in situ hybridization histochemical technique were used to study the mechanism of drugs with potentiating effect on AA. The results indicated that drugs with potentiating effect mainly activate the function of brain opioid peptidergic system, lower the function of brain dopaminergic system, and then AA is further enhanced.


Symposium A
Friday, September 20, 1996
RECENT ADVANCES IN MERIDIAN RESEARCH IN CHINA

Xianglong HU
Fujian Institute of Traditional Chinese Medicine. 282, Wu-Si Road, Fushou 350003, China.

Meridian is one of the important theoretical core of the traditional Chinese medicine. In comparison with the western medicine and modern biology, the theory of meridian elucidates the vital process and the regulation of the functional activities of human body in a totally different way and involves many brilliant theoretical expositions. Therefore, it has been deeply concerned by many researchers in China and abroad. Lately, some important advances in the meridian research have been made in China.
1. On the mechanisms underlying the formations of propagated sensation along the meridian(PSM): A series of results of observation demonstrated that there may be a substantial process proceeding along the meridian in the "periphery" of the body, and also a corresponding functional organization in the central nervous system in the formation of PSM. These facts provide a reliable basis for further elucidation of the mechanisms underlying the formation of PSM.
2. On the displaying and plotting of the traveling course of meridian: Various methods in this respect were steadily improved. So far the results accumulated demonstrate that under proper conditions the meridian course could already be plotted out or displayed figuratively at present in various degrees.
On the correlation between meridian and viscus as well as its connected pathway: A series of experimental results suggest that besides the well-known neuro-humoral mechanism, there may be another way taking part in the realization of the correlation between the meridian and corresponding viscus.
4. On the substantial basis in relation in relation to the traveling course of meridian: The preliminary results showed that in comparison with the non-meridian area a certain peculiarity, such as the incidence of gap junction, character of intercellular communication, concentration of Ca2+,pO2, etc. may possibly exist along the meridian course.
The above facts reveal that a remarkable progress in the meridian research has been made in China in recent years. These works lay a favorable ground for further elucidation of the essence of meridian and open a up a path for in-depth study in the near future.


Symposium B
Saturday, September 21, 1996

ADVANCE IN THE CLINICAL STUDY ON ACUPUNCTURE AND MOXIBUSTION
IN THE PAST FIVE YEARS IN CHINA

Xian-Ming HUANG
Shanghai University of Traditional Chinese Medicine. 530 Lingling Road, Shanghai 200032, China.

Aim: Due to increasing amount of acupuncture literature in China since 1990, with 70% of them on the topics of the clinical study, the author reviewed the articles published in the past five years and indicated the new advances.
Methods: The author reviewed the articles on the application of acupuncture and moxibustion in treating various diseases in following twelve aspects: acute infectious diseases, diseases of circulatory system, diseases of respiratory system, diseases of digestive system, diseases of urinary and reproductive system, diseases of nervous system, autoimmune diseases, surgical diseases, pediatric diseases, ENT and eye diseases, dermatology diseases and acupuncture anesthesia.
Results: The author sums up the three distinctive characters present in the clinical study of acupuncture and moxibustion in the past five years in China: (1) The indications of acupuncture and moxibustion have been expanded from the functional disorders, muscle-skeletal diseases and pain management to the refractory diseases, and the diseases of various systems, such as epidemic hemorrhage, hepatitis B, coronary artery diseases, chronic atrophic gastritis, volvulus of stomach, chronic non-specific ulcerative colitis, heptic cirrhosis, chronic renal failure, female urethra syndrome, chronic prostatitis, Parkinson's diseases, Gilles De La Tourepte's syndrome, central angiospastic retinitis, optical fundus hemorrhage and hey frver. (2) The moxibustion therapy was paid more attention in the research and its mechanism was indicated by means of immunology. (3) The balanced acupuncture anesthesia was applied to enhance the effect of acupuncture anesthesia and to increase the successful rate of difficult operation under the acupuncture anesthesia, for example, renal transplantation and laryngenal restoration.
Conclusion: The article demonstrated that remarkable advances have been made in the clinical acupuncture and moxibustion research in the past five years in China. However, there still exists some aspects to improve especially in the research methodology.


Symposium C
Saturday, September 21, 1996

THE CLINICAL EFFECT OF ELECTRO-ACUPUNCTURE THERAPY(EAT)
APPLIED IN TREATING TUMOR

Yu-ling XIN
Department of Thoracic Surgery, China-Japan Friendship Hospital. Beijing 100029, China.

Aim: Fire needing has been used in TCM clinic to treat masses in abdomen and scrofulae effectively. Based on this and the bioelectric technique from Europe, we developed the method (Electro-acupuncture Therapy, EAT) after research work for several years. This method is good for those patients with late stage tumor that are not operable, no response to or could not be treated with radio-or chemotherapy, or with recurrent tumor after surgical operation.
Methods: Electric needles are made of platinum with good conductivity and anti-corrosive property. The length and diameter of needles are 100-150 mm and 0.6 mm respectively. The therapeutic instrument is an instrument output direct electric current and controlled by computer. The voltage, amount of current and electricity and temperature can be adjusted automatically. There are also safety alarm, digital display and data recording and storing systems. Appropriate amount of tranquilizing agent analgesics are given before operation. Needles are inserted under aseptic condition. Sizes of needles are chosen according to the size of tumor. Two needles, one cathode and one anode, at least, should be inserted in the tumor to build up an electric field. The needles are connected to the instrument and electricity is applied. The voltage used is 4¡­8 V, current 40¡­80 mA and electric quantity is usually 80 Coulomb per 1 cm diameter of tumor tissue.
Results: 957 cases of various kinds of tumors from 1987¡­1995 were treated with EAT. Among them, 871 cases were of malignant tumors (lung cancer 386, liver cancer 165, esophageal cancer 100, breast cancer 105 and 115 cases of skin cancer and cancers of oral cavity etc.), 86 cases were of benign tumors (thyroid tumor 52 and cavernous hemangioma 34). There were 685 male cases and 272 female cases. The diameters of tumor 3.0 to 21.0 cm. Most of the malignant tumors were at late stage. According to the standard of UICC set up in 1988: Short term effectiveness (one year): Among the 871 cases of malignant tumors, 240 cases were CR(27.6%);387 cases PR(44.4%); 135 cases NC (15.5%) and 109 cases PD (12.5%). The total effective rate, CR plus PR, was 72.0%. Among the 86 cases of benign tumors, 65 cases were CR, 16 PR and 5 NC. The total effective rate was 94.2%. Long term effectiveness(1, 3, and 5 years): For cases with malignant tumors, the survival rates of 1, 3, 5 years were 74.4%(648/871), 48.1%(419/871) and 26.0%(234/871), respectively. For cases with benign tumors, expect 2 cases died of cardiovascular diseases, the other 84 cases all lived over 5 years.
Conclusion: This is a method easily to learn and manage. It is safe, effective, less traumatic and with quick recovery. It is with good results especially for those patients with late stage tumors that are not operable and with recurrent tumors after surgical operation. This is a method well accepted by patients.


Clinical Research & Application
Pain Management & Osteotraumology

APPLICATION OF ACUPUNCTURE ANESTHESIA COMBINING WITH DRUGS
DURING NEOLARNYX RECONSTRUCTION

He Nian HUANG
Institute of Otorhinolaryngology, Shanghai Medical University. 83, Fen Yang Road, Shanghai 200031, China.

Aim: Acupunctural and medicinal anesthesia were combined for patients undergoing neolarnyx reconstruction due to larynx carcinoma. Neoglottis was easily readjusted to an optimal level while the patients were conscious.
Methods: Ear points - Lung, Shenmen, Jiao-gan and body points - Hegu (L14), Zhigou(TE6), Futu(LI18) were chosen. 1 mg/kg of Pethidine, 60 mg of Rotendine, 10 mg of Metoclopramide were injected intramuscularly 15 to 20 minutes before the operation. The incision line on the skin was infiltrated with 10 to 15 ml, 0.5% procaine.
Improvements of surgical procedures: (1) The posterior 1/3 including superior and inferior conus was preserved for rebuilding the skeleton of neolarnyx. (2) The sternohyoid muscles were inserted to the resected cords for rebuilding the neoglottis.
Results: Cases including TNoMo29 and TNoMo21 were proved to have squamous cell carcinoma. The success rate for acupuncture anesthesia was 98%. Neoglottis was readjusted to an optimal degree. The success rate of phonation was 100%.
Conclusion: From 1992 to 1995, 50 cases were operated under combined acupunctural and medicinal anesthesia. The success rate of acupuncture anesthesia was 98%.


Clinical Research & Application
Pain Management & Osteotraumology

THE APPLICATION OF ACUPUNCTURAL ANESTHESIA ON THYROID OPERATION

Sin BAO
China Harbin No. 5 Hospital. No. 27, Jiankang Road, Dongli District, Harbin, Heilongjiang 150040, China.

Aim: This thesis discusses that pain of patients may be relieved by acupunctural anesthesia within the state of sober sense through manual acupuncture, the principles of acupunctural analgesia and regulating physiological function.
Methods: Acupunctural Anesthesia Instrument "G6805" Therapeutic Apparatus (Made in China) was used. Thyroid operation may adopt 4 groups of acupoints: (1) body acupuncture: Hoku, Neikuan; (2)otoneedle Shenman, sympathetic part, endocrine, cervical part; (3) otoneedle and body acupuncture; (4) Futu (double sides). Twirling the acupuncture needle in the required depth with 45°and switching in acupunctural anesthesia instrument that the strength of the needle will be increased steadily from weakness so as to be accepted by patients.
Results: We have made a remarkable progress in thyroid operation with acupunctural anesthesia for ten years, which is up to 85% of average excellent rate and 95% of successful rate. However, different kinds of diseases, different ways of operation and long term operation and short term operation also have influenced on anesthesia. An operation prolonges over two hours may add analgesic ¡ª 50 mg of morphine injected into vein with less local anesthesia.
Conclusion: Thyroid operation with acupunctural anesthesia is an effective method and it has considerable advantages. In the course of the operation, patients can keep awake and they can coordinate with operators to avoid accidentally injuring recurrent nerve without using local anesthetic, this may reduce accidents and long time of stabbing pain so as to eliminate the pain during the operation and take food as soon as possible in order to facilitate the patients' recovery. Thyroid operation with acupunctural anesthesia is a simple, effective and safe method in physiological treatment, which should be popularized.


Clinical Research & Application
Pain Management & Osteotraumology

A SPECIAL ACUPUNCTURE TREATMENT FOR HEADACHE(383 CASES)

Yuanfang HUANG, Meifang HUANG, Jingxing HUANG
Wenchang People's Hospital, Hainan Province 571300, China.

Among these 383 cases, 182 cases were male, 201 cases were female. The average age of them was 33 years old, (15 to 71 years old); the course of disease was from 1 month to 15 years, with an average of 7.6 years.
Methods: The beginning is to use acupuncture on the painful areas and close to or faraway from the interrelated channel points. 2 to 4 points are stimulated 20 to 30 minutes at a time. Then, every point is injected with 0.5 to 1 ml of the rhizoma-ligustici and radix-angelicae, 1 to 2 points at a time. Generally, the treatment is done once a week, and for some serious cases, the treatment is done once every day or once every two days.
Results: (1) The standards of curative effect: Fully recovered ¡ª the symptom of headache fully disappears. Effective ¡ªthe symptom of headache disappears. Ineffective ¡ªthe symptom of headache could be relieved for many hours after the treatment, but would recur, and have no distinct improvement. (2) The statistics: Using the above therapeutic methods to treat headache(the average is 4 times), there are 372 cases fully recovered (97.1%); 9 cases effective (2.3%); 2 cases ineffective (0.5%), those two patients died from the operation on brain tumor and the bone cancer of cervical vertebra at last. The rate of total effects is 99.5%.
Conclusion: The above therapeutic methods have shown a distinct effect on 383 cases. They are safe and reliable; the course of treatment is short; anyone can receive it easily. The methods have no limitation as of condition and equipment, and it does supply a new method for treating headache.


Clinical Research & Application
Pain Management & Osteotraumology

A CLINICAL OBSERVATION OF HEADACHE TREATED BY BLEEDING
AT ACUPOINT SISHENCHONG(EX)

Xinque YU
Acupuncture Department Guangwai Hospital. Beijing, China.

Two groups of 130 headache cases were observed during 1982¡­1992. One group was treated by bleeding at acupoint Sishonchong(Extra) as major point plus Hegu (L14) and Taichong (LR3) as subordenate points, the other was only treated by acupuncture at acupoint, Sishenchong(Extra), Hegu (L14) and Taichong (LR3). The effects between two groups were obtained.
Ten times of the treatment constituted a course. The patient was a case of observation after a course finished. Basic cure: headache disappeared and there was no recurrence after following up in six months. Improvement: headache was alleviated and symptoms improved. No effect: headache was not relieved.
The results of treatment: In the treatment group, 79 cases were basically cured, 5 cases were improved, and 1 case was not effective. In control group. they were 20, 15 and 10 cases respectively. Statistical results: the results between two groups were obviously different (p<0.05). The bleeding therapy was better than acupuncture therapy. The bleeding at acupoint Sishonchong (Extra) to treat headache had the special effect.
Typical case: Li X X, male, 33, worker, came to see a doctor in June 1983. Chief complaint: The patient had got headache in the vertex 8 years ago. It had been cured but recurred again and again at that time with these symptoms, groaning and restless, retching, saliva, white and greasy but on the tongue, fast and slippery pulse. Diagnosis: headache in the vertex. The therapeutic method mentioned above was used. The patient felt a sensation of relieving headache immediately after bleeding at acupoint Sishenchong (Extra), and then puncture Hegu (L14), Taichong(LR3). He felt relaxed while needles were removed. The patient received a course of treatment for strengthening effects. There was no recurrence ofter following up for a year.


Clinical Research & Application
Pain Management & Osteotraumology

A CLINICAL OBSERVATION OF OXYGEN-MEDICINE ACUPUNCTURE THERAPY
FOR MIGRAINE

Yongjie NIU, Tao YANG
Beijing Zhongzi Hospital of China Academy of Science. Beijing, China.
It's considered that there is no specially effective treatment for migraine in these days. However, the authors have treated migraine of 68 cases basing on the theory of Oxygen-medicine (O.M.) Acupuncture, which brought good therapeutic effect on strokes, and attained the better result, comparing to the other 20 cases of the same disease who did not receive O,M,
The authors acupunctured on the improved headpoint, cervical and occipital areas, while the patients were taking in the mixture of oxygen and the particular Chinese medicine once a day, with a course of 20 days. The control group was treated conventionally.
The statistic result showed that there were 64 effective cases (94.2%) in the treatment group, and 11 effective cases (55%) in the control group. Hence, the effectiveness of the treatment group is much higher than the control group(p<0.01).


Clinical Research & Application
Pain Management & Osteotraumology

THE PRELIMINARY EXPLORATION OF APPLYING THE BIOTIC HOLOGRAPHIC
ACUPUNCTURE TREATMENT TO CURE SCAPULOHUMERAL PERIARTHRITIS

Jun LU
P.O. Box 1456, Beijing 102400, China.

The biotic holographic acupuncture treatment is a therapy that acupuncture on the corresponding acupoint of the article side on the body.
Since 1980, the writer have applied the shoulder-point of the fibular article to treat 60 patients suffering from scapulohumoral periarthritis. Among them, pure scapulohumeral periarthritis patents are 29 cases. Secondary ones are 31 cases. And cure 56 cases, the cure rate is 93.3%, Four cases worked effectively, comprising 6.67% of the total.
Expensive clinical findings have shown that acupuncture on the shoulder-point of the tibiofibular article can mobilize the biotic and chemical things which produce by the holographic corresponding point of the parts on the body. And it also can make the biotic and chemical things reach the shoulder rapidly to improve the blood circulation, and promote to absorb the inflammation. In this way, the patient can be analgosiaed recovered rapidly.


Clinical Research & Application
Pain Management & Osteotraumology

AN ACUPUNCTURE TREATMENT FOR 268 PATIENTS
WITH SHOULDER JOINT DISEASE

YueLi CONG
Traditional Chinese Medicine Hospital. Baishan City, Jilin Province 134300, China.

Aim: Frozen shoulder is a common ailment in elderly patients. The author treated 268 cases of frozen shoulder with acupuncture and studied its effects.
Methods: Patients were treated with "dredging the channels", "expelling wind and cold", "regulating the vital energy and blood", "relaxing and activating the tendons" methods by selecting Jianwaishu (SI14) and Jianzhongshu (SI15), Jianyu (LI15), Jianjing (GB21), Tianzong (SI11). Electric needles were added on Jianwaishu (SI14) and Jianzhongshu (SI15) and Tianzong (SI11), using medium stimulation for 20 minutes. After that, cupping was applied for 5 to 7 minutes and massage was used.
Results: 224 cases (83.6%) achieved complete recovery, 18 cases (6.7%) were remarkably effective, 22 cases (8.2%) were effective and 4 cases (1.5%) were ineffective. The total effective rate was 98.5%.
Conclusion: The disease was due to wind, cold and wet. It involved three yang channels of hand. To treat the disease one should use the methods of "supporting the healthy energy" and "expelling wind and cold". Selecting the points and adding electricity needles could potentiate the effect. The method was easy, the curative effect was obvious, and it has no side effects.


Clinical Research & Application
Pain Management & Osteotraumology

NEEDLE-EDGE AND CUPPING THERAPY IN THE TREATMENT OF
PERIARTHRITIIS OF SHOULDER JOINT

Jingyi HAO
Acupuncture Section, Beijing Orthopedics Hospital. 4 Pingyuan li, Xuanwu District, Beijing, China.

Periarthritiis of shoulder joint is a symptom of inflammation, with congestion, edema, thickening tissue, muscle compulsion, etc. at the early stage. While in a late period it can cause slow blood circulation, muscular regression and atrophies in local bursa. Limited activities and painful actions ¡ª due to a long-time unuse of the joints may be resulted. Methods of treatment vary with the pathological changes of each individual. The author applied this synthetic method during 1989¡­1990. Closed, needle-edge and/or cupping etc. in the treatment of such illness of 100 shoulder joints cases: 15 for unknown causes; 23 for rheumatism; 62 for injuries. The shortest was 3 months, the longest 5 years. Among which 3 to 6 months: 40 cases; up to 12 months: 34 cases; 2 years: 17 cases; over 2years: 9 cases. Left shoulder: 54 cased; Right: 43; Bilateral: 3; and 24 with cervical vertebra condition, 27 with shoulder muscle atrophy, all had pains and restraints, while some had very clear painful lump, yet the joints were normal when X-rayed. After 1 to 9 times of treatment: 81 full recovered, 12 effective, 7 good ¡ª all had no infection.


Clinical Research & Application
Pain Management & Osteotraumology

PROLIFERATIVE ARTHRITIS OF KNEE JOINT TREATED SENSATION
PROPAGATED ALONG CHANNELS (SPAC) INDUCED BY TRANQUILIZATION:
A REPORT OF 95 CASES

Shixin CAI, Yanfan SONG
China Association of Zhenjiu. No. 1.8, Beixincang, Dongzhimen, Beijing 100700, China.

Being one of the frequently and commonly encountered diseased, proliferative osteoarthritis is a kind of degenerative disease in the elderly. The author present here a kind of natural therapy in which the practitioner presses and pushes the Sanyinjiao point of the affected limb under the condition of the patient's tranquility, thus producing SPAC which arrives the affected site for its treatment. Featuring good effects and free of adverse reactions, the rate of cure and marked amelioration was 75.7%. This result showed that: (1) It is feasible to treat this ailment throug the Foot Three-yin Channel, which not only cures its manifestations, but also cures it radically. (2) The ratio of SPAC and its arrival to the affected site can be elevated by repeated tranquilization. Furthermore, the more the appearance of SPAC, the better is the efficacy. (3) SPAC and its arrival site definitely improves blood circulation microcirculation, and oxygen supply as well. All these yield the actions of flowing the Qi, expelling the dampness, activating the blood, removing the stasis, and arresting the pain.


Clinical Research & Application
Pain Management & Osteotraumology

A CLINICAL SURVEY OF THE TREATMENT FOR RHEMATOID ARTHRITIS
BY ACUPUNCTURE AND MOXIBUSTION

Ai-Qin YU
Xiangshan Hospital of Shanghai. 28, Xingshan Road, Shanghai, China.

Aim: Rhematoid Arthritis (RA) is a chronic immune disease which affects the joints. So far the modern Western medicine has not been able to identify the cause of this disease. However, this condition has been described in the Chinese medical classics under the category of "Bi-zheng" or "Bi-syndrome". The combination of acupuncture and moxibustion was proven to be effective in treating RA after the clinical laboratory results verified its efficacy.
Methods: 42 patients (32 females and 10 males ranging from 12 to 78 years old) suffering from RA for 3 months up to 35 years were treated at T.C.M. Health Center in Colorado Springs. Blood work was first done for E.S.R., R.F., IgG, IgM, IgA, and was done at the end of the study. Acupuncture points were chosen from 24 of the 48 Hua Tou Jia Ji points during each treatment. In addition, points treated on the limbs included: Hegu (L14), Quchi (LI11), Binao(LI14), Jianyu (LI15), Zusanli(ST36), Sanyinjiao (SP6), Yinlingquan (SP9), Xiehai (SP10), Weizhong (UB40), Kunlun(UB60), and Nei Wai Xi Yan (ST35 and the opposite recess). The points of the limbs were needled first with even supplementation and even drainage (Ping Bu Ping Xie Fa) for 5 minutes and then moxaed for 15 minutes. The Hua Tuo Jia Ji points were needled for 20 minutes without moxibustion. One course consisted of ten treatments, and patients were given 3 such courses.
Results: 20% were cured (pain and swelling of joints were gone and symptoms did not relapse for 3 months after the treatment), 42.5% were effective (pain and swelling of joints were relieved), 25% were improved (joints were less painful and swollen after the treatment but the blood work remained unchanged), and 12.5% were ineffective (no change in symptoms or the blood work after at least 10 treatments).
Conclusion: According to the above clinical experience and laboratory result, we have seen that the combination of acupuncture and moxibustion had a good result not only in improving the syndrome of RA but also affecting the immune system for the better. It also suggested that acupuncture may be effective for treating a wide range of immune disease.

Clinical Research & Application
Pain Management & Osteotraumology

THE TREATMENT OF 125 ACUTE LUMBAR MUSCLE SPRAIN CASES
BY EYE NEEDLING

Xufen XIA
The Affiliated Hospital of Liaoning College of Traditional Chinese Medicine. No. 33 Beiling Street, Huanggu District, Shengyang, Liaoning 110032, China.

Aim: Acute lumbar muscle sprain is a common disease. The author has obtained a satisfactory therapeutic effect in treating 125 cases of acute lumbar muscle sprain by eye needle.
Methods: The patient sat naturally. XiaJiao area (No. 8 area) was needled directly along the inside edge of the orbit or using double needles. Kidney area (No. 3 area) was needled either directly inside the orbit or horizontally out of the orbit. Then the needles were retained for 5 to 10 minutes. The patient was instructed to perform free lumbar exercises when needles were manipulated.
Results: Among the 125 cases, 84 cases were cured (all symptoms disappeared and the function of lumbar muscles was normal) after the first treatment. 25 cases were cured after the second treatment and 13 cases were cured after the third treatment. Only 3 cases showed no improvement (only part of the symptoms disappeared and there was still pain after the third treatment). The cure rate was 97.6%.
Conclusion: Treatment of acute lumbar muscle sprain by eye needling needs only few points (areas) and short time. It is so simple, safe and effective that patients readily accept it. Furthermore, it has been demonstrated through the practice that the earlier the treatment is given the better the effect can be obtained. The three unimproved cases were protrusion of lumbar intervertebral discs as diagnosed by CT. So the lumbar pain resulted from protrusion of lumbar intervertebral discs is unaffected by this method.


Clinical Research & Application
Pain Management & Osteotraumology

AN OBSERVATION ON THERAPEUTIC EFFECT OF SCIATICA
TREATED BY ACU-MOXIBUSTION

Ying JIN, Juan WANG
Department of Acu-moxibustion, Antu County Hospital of TCM, Jilin 133600, China.

Being one of the common clinical manifestations, sciatica falls under the category of "painful-bi" syndrome in TCM. 38 cases were treated by the author with acu-moxibustion. All the cases were divided into 2 groups, excessive and deficient types, and treated by reducing and invigorating manipulations, respectively. The selected acupoints include Shenshu, Huantiao, Weizhong, Yanglingquan. Qiuxu, Kunlun, Juegu, Fenglong and Fengshi. Through 2 courses of therapy, 25 cases (65.8%) were cured, 12 cases (31.6%), markedly ameliorated, 1 case (2.6%) was ineffective. The therapeutic effect for primary sciatica is better than that for the secondary one; and for those with shorter course than for longer ones. By differential diagnosis of syndromes, acu-moxibustion, a naturo-therapy, is non-toxic with good effect. The mechanism is to regulate and improve the Qi-blood flowing of 3 Yang channels, hence the analgesic effect is obtained.

Clinical Research & Application
Pain Management & Osteotraumology

THE EXPERIENCE OF THERAPEUTIC TREATMENTS
USING ACUPUNCTURE AND MASSAGE ON ISCHIALGIA

Yu-zhen ZHANG
Yongling Clinic of TCM. Xin-bin County, Liaoning Province 113206, China.

Aim: Ischialgia belongs to the category of "lumbago and scelalgia" in TCM. 50 patients have been treated by the author, with the combination of acupuncture, massage and Qigong and achieved prominent therapeutic effects, here is the report:
Methods: The acupoints selected were: Shenshu (BL23), Zhibian (BL54), Yanglingquan(GB34), Weizhong (BL40), Kunlun(BL6), Huangtiao(GB30). Four points were used every time, on both sides, combined with massage and Qigong. After Deqi, Qigong digital acupoints pressure was applied, then the patients received heat sensation without pain.
Results: Out of 50 cases here were 45 cured with significant effectiveness(90% pain disappeared, with normal activity and walking); 5 cases (10%) with significant improvement in symptoms and signs.
Conclusions: Acupuncture, massage and Qigong digital acupoints pressure is a kind of therapy for activating Qi and Blood and dredging the meridian, especially the Qigong can warm up the meridians and dissipate the cold, rapidly and effectively. It is a great treasure in TCM.

Clinical Research & Application
Pain Management & Osteotraumology

A CLINICAL ANALYSIS OF 53 CASES OF ACUTE LUMBAR MUSCLE SPRAIN
TREATED WITH ACUPUNCTURE SHOUSHANLI(LI10)

JiYong WU
Hui Yang Hospital. No. 1 Hui Yang City, GuangDong Province 51621, China.

Aim: Acute lumbar muscle sprain is a common disease. The author applied acupuncture at Shoushanli (LI10) in treating the acute lumbar muscle sprain for 53 cases and analyzed its effects.
Methods: All patients who were suffered form acute lumbar muscle sprain were gathered from July, 1992 to May, 1995 and treated with needing at Shoushanli(LI10).
Results: 34 cases (64.1%) were healed by acupuncture at Shoushanli (LI10) only one time; 8 cases (15.1%) were healed by needling at Shoushanli(LI10) two times; 9 cases (17%) were healed with acupuncture at Shoushani (LI10) 3 to 5 times. The total effective rate was 96.2%. During the treating, a new needling sensory conduction is discovered where it conducts along the Large Intestine Channel of Hand-Yangming from Shoushanli (LI10) to Shoulder and then conducts along the medial border of Shoulder blade to waist which had not been recorded in the system of the channels and collaterals. The author calls it as Shoushanli (LI10)-Waist recessive Conduction. Among the 53 cases, 7 cases (13.2%) showed that the Shoushanli(LI10)-Waist recessive conduction was existing (among the 7 cases, 4 cases were too hurt to walk alone who were carried into the hospital and healed with acupuncture Shoushanli (LI10) only one time.
Conclusion: Shoushanli (LI10) is an effective point to heal the acute lumbar muscle sprain and its fine curative effect results from the appearance of Shoushanli (LI10)-Waist recessive conduction.
Clinical Research & Application
Pain Management & Osteotraumology

THROUGH NEEDLING OF THE EAR POINT "BUTTOCK"
IN TREATING ACUTE LOW BACK PAIN

Songrong WANG, Bing WANG
TCM Hospital of Hainan Province. Haikou, China.

Methods: 210 cases consisted of 125 males and 85 females ranging from 16 to 78 years old were treated.
Results: 148 cases were cured, of whom 112 had 1 treatment, 21 had 2 treatments and 15 had three. The rate for cure was 70.48%; 41 cases (19.52%) reached excellent grade after 3 treatments, 9 cases (4.3%) were improved after 4 treatments, and 12 cases (5.7%) were ineffective. The overall effective rate was 94.3%.


Clinical Research & Application
Pain Management & Osteotraumology

OBSERVATIONS ON 108 CASES OF LUMBAR DISC HERNIATION
TREATED WITH TRADITIONAL CHINESE MEDICINE

Hong YANG
Department of Chinese Medicine, Shanghai Seamen's Hospital. Shanghai, China.

Lower back pain due to lumbar disc herniation is common, and remains as the society's most costly disease. It has risen 2500% over the past 20 years. Multi-disciplinary treatments are usually required. We present our experiences of treating 108 cases of lumbar disc herniation with combined traditional Chinese medicine.
Patients and methods: 108 patients, male 89, female 19, aged from 19 to 73. Seventy-five were laborers (70.4%), and 33 were office workers(29.6%). All had CT scan evidence of lumbar disc herniation: L3-4, L4-5 107, L5-S1, 107. Among those, 101 cases were nucleus pulposus protrusion(51%), whereas 97 cases were extrusion (49%). Duration of the pain: the longest was 5 years and the shortest was 1 week. Treatments: (1) Acupuncture: Needles were inserted into trigger points and meridian points such as Huantiao, Yanglingquan, Yinmen, Chengshan, Mingmen, etc. (2) Manual manipulation: Paravertebral massage, myofascial maneuver, trigger point digital pressure, spine retraction, passive movement of knee joints, hip joints and lumbar spinal facet joints. (3) Physical therapy: Electric transdermal heating machine (seamen's Hospital HY-1) with topical herb medicine; lumbar support plus topical herb medicine (Seamen's Hospital Ls). (4) Herbal decoction taken orally according to the theory of Bianzhenglunzhi.
Results: Sixty-one (56.5%) patients were cured(pain completely subsided, returned to daily work). Forty-four (40.7%) had significant improvement (back pain with radiation to the leg disappeared, mild pain at gluteal region lateral calf remained, straight leg raising > 60, back to work). Three (2.8%) had no improvement. The duration of treatments was from 11 to 152 days with an average of 67 days.
Comments: Non-operative, combined traditional Chinese medical treatments for lumbar disc herniation resulted in significant improvement of the disease symptomatically and roentgenologically. However, single regimen is usually not sufficient, and multiple methods are required to treat the patients. In addition, all patients with pulposus protrusion experienced good pain relief, whereas those who reported less satisfaction had pulposus extrusion. All 3 failed cases had severe pulposus extrusion in which fibrous ring of the nucleus pulposus might have ruptured.
Clinical Research & Application
Pain Management & Osteotraumology

THE CLINICAL TREATMENT BY ACUPUNCTURE AND QIGONG

Kazuyoshi MAKIYAMA, Bingyu WU
Clinic of Inst. of Traditional Chinese Medicine Kyushu Japan. 14-10 Murasakidai Ohonojou City Fukuoka-ken 816, Japan.
Jinzhou Medical College. China.

Aim: The authors treated 100 cases of lower back pain with acupuncture and Qigong, and achieved fairly good results. Visual analogue scale was used to measure the effect of pain relief.
Methods: Group A: 100 cases among 146 patients were selected randomly. They had all been given acupuncture for their lower back pain more than ten times between June 1992 and September 1995. Group B: 100 patients were selected randomly among 361 cases who had been under the authors' medical treatment by acupuncture and Qigong. In these groups the authors compared the degree of pain at the time of the first medical examination with the completion of the 10th medical treatment, and then analyzed the results. Group A: In conformity with the traditional Chinese medical method of diagnosis, we diagnosed each patients individually and the used of the appropriate medicine necessary. (therapy of Acupuncture with low frequency). Group B: In the beginning, the authors applied acupoints ST36, SP6 and GV20. After experience of "Deqi (needling sensation by acupuncture)" the patients practiced Shadow Qigong. Afterwards, the authors again individually applied Chinese method of diagnosis. The authors once applied it to the acupoint which was related to each symptom. After acupuncture the authors taught the patients Wudang-Huanghai Qigong, and directed them to practice five times per day, ten minutes each time.
Results: In Group A, 43 cases (43%) were clinically cured, 30 cases (30%) were effective in reducing pain, and 27 cases (27%) were invalid. The total effective rate was 73%. In Group B 70 cases (70%) were clinically cured, 26 cases (26%) were effective in reducing pain, and 4 cases (4%) were invalid. The total effective rate was 96%.
Discussion: This disease belongs to the categories of "Bi zheng. (arthralgia-syndrome)" in traditional Chinese medicine. It resulted from "damage of the Governor and Urinary Bladder Meridians" and "stagnancy of Qi and Blood". The patients practiced Shadow Qigong and Wudang-Huanghai Qigong during acupuncture treatment. The patients felt "Deqi (needling sensation by acupuncture)" and "Qi gan ( Qi sensation of Qigong)". The function of Qigong is to improve circulation of Qi and Blood and promote health.
Conclusion: As stated above "the clinical treatment by Acupuncture and Qigong" had better effects than treatment by acupuncture alone.


Clinical Research & Application
Pain Management & Osteotraumology

A CLINICAL STUDY ON THE STRONG STIMULATION OF ACUPUNCTURE THERAPY FOR PAIN RELIEF

Fuming WANG, Xu LI, Guanghui BAI
Luohe First People's Hospital. Henan Province, China.

Aim: This paper is to discuss the therapeutic effects and clinical studies of the strong stimulating acupuncture therapy for relieving pain.
Methods: The characteristics of this acupuncture therapy is described as follows: fast inserting, lifting, trusting and twirling in the large scope, getting needle sensation early, the evident aching, tingling, heavy, distending sensation, the hot sensation in the local and the whole body, even sweating slightly.
Clinical Data: 696 cases of different pain patients have been treated by this acupuncture therapy since 1970 in-patient. 32 cases of acute anguishes. 59 cases of headache, 92 cases of pain due to the stiff neck and the cervical sponddylosis, 158 cases of acute lumbar sprain and foot sprain. 80 cases pain due to prolapse of lumbar intervertebral disc, 51 cases of acute or chronic sciatic arthalgia, 14 cases of prosopalgia, 82 cases of the acute or chronic stomach and abdomen pain, the other pain patients were 10 cases.
Results; In the 696 cases, 473 cases (68%) were cured (pain, distention and swelling, disappears in the pain, swelling and distention, necrostic limbs and parts after acupuncture; all of functions and activities are normal, detrustation, normal skin, taking care of himself), 195 cases (28%) improved (not to reach the criterion of cure), 28 cases (4%) were ineffective (the pain, swelling and distention isn't relieving, the skin color of nerostic part is abnormal even severe after 3¡­5 times acupuncture).
Conclusion: For the Qi stagnation and the bloodstasis syndrome, we must treat with the strong stimulating acupuncture therapy in order to facilitate the circulation of Qi and blood.


Clinical Research & Application
Pain Management & Osteotraumology

AN EXPLORATION ON THE CURATIVE EFFECT AND THE MECHANISM IN THE TREATMENT OF 70 CASES OF BI-SYNDROME BY CONTRALATERAL INSERTION

Wenxian LI
Acupuncture and Moxibustion Department, Guangzhou College of TCM. China.

This group included 70 cases, among which there were 36 cases of males and 34 cases of females. The ages were from 18 to 80 years old; the courses of disease were 5 days to 20 years. The number of treatment was from one to 12 times; the average was 6 times.
It was mainly differentiated as syndromes of jingluo. The treatment adopted the contralateral insertion. The method of the selection of points is to select the points contralateral to the side of the body with the obvious pressing pain according to the principle of "selecting the right-sided point for left-sided illness and vice versa".
The manipulation method: Insert the needle after routine sterilization. Firstly to hasten the normal reaction. When deqi (normal sensation felt by the patient) is obtained, the manipulation may take place. Generally speaking, the needle is retained for 30 minutes. Meanwhile, for those patients who are suffering from pain of the joints in four extremities, instruct them to activate their joints to match the treatment. Clinically, we have found that those who have strong sensation of needle have had a better curative effect. Among the 70 cases, 38 cases (54.3%) were cured, 15 cases (21.4%) were significantly effective, 2 cases (2.9%) were ineffective.


Clinical Research & Application
Pain Management & Osteotraumology

THE TREATMENT OF CERVICAL SPONDYLOSIS BY
THREE DIMENSIONAL ACUPUNCTURE KNIFE METHOD

Hui-Sheng JIN
Great Wall Hospital of China Academy of TCM. Beijing 102200, China.

The treatment of cervical spondylosis with an acupuncture knife is effective. The author applied the three dimensional acupuncture knife method according to clinical medical practice and studied its effects in treating osteohyperplasia. First, palpation by three dimensional hand examination: patho-node in subcutaneous tissues; tender point and hard node in muscle regions; bone domain point, then perform three dimensional acupuncture knife treatment: the patho-node with incision cutting method; the tender point and muscle hard node with vertical and horizontal-separation method; the bone domain point with puncture-rubbing method (vertical-rowing, transverse-stripping, sparrow-pecking, incision-cutting, push-shovelling, draw-scraping, grind-rubbing, and punching-hors).
Since the limbs are consisted of the skin, the muscle, the bone, and the twelve regular channels are consisted of twelve cutaneous regions and twelve muscle regions, they must have twelve bone domains. As a result the author has advanced "The Theory of the Bone Domain". This provided the theoretical basis for treating osteohyperplasia with an acupuncture knife. The needle-knife (acupotome) has the feature of a needle, a knife and a shovel. It can achieve an overall stimulation with one puncture, which will promote a self-functional movement. It makes an axis from the nervous regulative system and the neuro-humoral regulative system. It makes a network-base from proper connective tissues, which run crisscrossly over the body. It is probably the carrier of the meridian and substance of the meridian theory. It is the reactive and regulative systems of the dynamic self-adjust-balancing system, i.e. biocybernative system. Therefore it has the curative effects on both external and internal symptoms and diseases, i.e. acupuncture knife push-rubbing the bone domain can treat not only surgical disease, but also the disease in the viscera. "The Theory of the Bone Domain" has filled a blank in the Meridian system.


Clinical Research & Application
Pain Management & Osteotraumology

A CLINICAL OBSERVATION ON ACUPUNCTURE TREATMENTS
FOR CERVICAL VERTEBRA DISEASE

Yue-Ping YU
The Third Hospital. Ningbo, Zhejiang Province, China.

Aim: Cervical vertebra disease is a common disease among old and middle-age people. It directly affects the patient's health. At the present time, the method for the clinical treatment is unsatisfactory. The author cured the disease by acupuncture and electric stimulation, and the curative effect was remarkable.
Methods: 116 patients (52 men and 64 women ranging from 24 to 72 years old) suffering from this disease from 5 days to 30 years were treated with the electro-acupuncture therapy. Main acupoints Fengchishuang, 6.7 vertebra, Dazhui and Houxi were selected along with various subpoints such as Tianzhu and Kunlun, Hegu and Jianjing, Baihui and Taichong, Fengfu, Quchi and Sanyinjiao, Baihui and Neiting. No. 28 needles were inserted 1 to 2 cun in the chosen main and subpoints, combined with a G6805 electro-acupuncture stimulator in moderate current intensity for 30 minutes. One course consisted ten treatments once every two days. Three days of rest were given between courses.
Results: 61 patients (52.59%) were fully recovered (symptoms disappeared and had no relapses within half a year), 34 patients (29.31%) were effective (symptoms mostly disappeared but patients still felt a bit discomfort in the neck and shoulders when overworked), 19 patients (16.38%) were improved (symptoms partly disappeared but patients still needed supplementary treatments), and 2 patients (1.72%) were ineffective (no improvement after two courses of treatment).
Conclusion: Acupuncture treatment is an effective method for treating cervical vertebra disease.
Clinical Research & Application
Pain Management & Osteotraumology

THE THERAPEUTIC EFFECT OF ACUPUNCTURE ON THE PAINFUL HEEL

Jing-bi MENG
Institute of Acupuncture, China Academy of TCM. Beijing 100700, China.

Aim: Painful heel is a kind of disease frequently occured among people above 40 years old. The X-ray examination shows the proliferation of the calcaneom but without the abnormality of the bone substance. 21 cases have been observed and treated in our clinic. Most of them were affected at one side and seldom at both sides.
Methods: The Jiaoxin (KI8) acupoint of the Zushaoyin Meridian was selected (2 cun above the superior margin of madial mallenlus and 5 mm posterior to tibia). A 1.5 cun stainless steel needle was inserted and inclined downward about 45 degrees to allow the needling sensation propagate to the heel only. The reinforcing manupulation of old Yang Number was applied, with heat sensation after fast pressing and slow lifting. At the meantime, the left finger pressing at the painful heel was used to reduce the pain slowly. After retaining the needle for 3 to 5 minutes or until the pain was relieved, the needle was withdrawn. The patient would put the painful heel on the ground forcefully. If there was still pain sensation, the patient was treated again with the same procedure.
Results: Cured; the pain sensation is completely disappeared after the treatment. Marked effective; there is only a slight pain in walking or standing for a long time.
Conclusion: There was a satisfactory therapeutic effect with this kind of acupuncture manipulation and without any side effect. In addition, Liu Wei Dihuang Wan (Six Drugs including Rehmanis) administration can also strengthen the effect of the treatment.


Clinical Research & Application
Pain Management & Osteotraumology

THE CLINICAL AND RESEARCH PRINCIPLE ON ALLEVIATING UPPER ABDOMINAL PAIN OF 160 PATIENTS BY NEEDLING BILATERAL ZUSANLI

You Ming YU
The Department of Internal of the Traditional Chinese Hospital in ZhuHai City. JingLe Way of JiDa Region, ZhuHai City, GuanDong Province, China.

Aim: It is very harmful to alleviate upper abdominal pain by injecting morphine. The author applied the needling method of "Bilateral Zusanli" in treating acute and chronic upper abdominal pains and studied its effect as well as modern medicinal principle.
Methods: Patients were divided into a treatment group and a control group. There were 160 patients in the treatment group for alleviating upper abdominal pain by needling bilateral Zusanli. There were 40 patients in the control group for alleviating upper abdominal pain by injecting Dilatin of fordanodynum combined with atropin sulfas. Meanwhile, the difference in the prolaglandin content before and after the needling was measured among 30 patients randomly selected from the treatment group.
Results: The overall effective rates of both groups are similar at about 95%. Statistics showed p>0.05 and that was not so different. But the treatment group needles less time to take the pain-alleviating effect (15 minutes) than control group (20 minutes). Statistics showed p<0.05 and that was remarkably different. Besides, the prostaglandin content represented by PGE2 & PGF before the needing was higher than that of after needling.
Conclusion: The same pain-alleviating effect was observed in both groups. But needing needed less time to take effect and did not bring about drug addition, and it was easy and convenient.


Clinical Research & Application
Pain Management & Osteotraumology

AN ANALYSIS OF 120 CASES WITH DYSMENORRHEA AFTER ACUPUNCTURE
AT THE SANYINJIAO POINT

Xiaomei DAI
The Affiliated Hospital of Liaoning College of T.C.M. China.

Clinical Data & Methods: 164 patients were all students from a middle school between the age of 15 and years old. Their pain often appeared before menstruation or the first and second day of menstruation. 160 cases were divided into two groups at random ¡ª a treatment group consisted of 144 cases with acupuncture treatment at Sanyinjiao (SP6) and a control group consisted of 20 cases who took piminodineesylate.
Therapeutic Criteria: The therapeutic criterion effectiveness ¡ª Half to one hour after puncturing or taking medicine, the pain and symptoms disappeared completely. Improvement ¡ª Half to one hour after puncturing or taking medicine, the pain reduced significantly and the symptoms disappeared completely. Ineffectiveness ¡ª Half to one hour after puncturing or taking medicine, the pain and the symptoms reduced slightly.
Result: The comparison between the acupuncture group and the medicine group.

Cases Effective Improved Ineffective Total effective
Acupuncture group 120 105(87.5%) 11(9.2%) 4(3.3%) 96.7%
Medicine group 44 14(31.8%) 19(43.2%) 11(25%) 75%

Conclusion: A statistical analysis shows that the effects of acupuncture at Sanyinjiao (SP6) point is much better than that of taking medicine(p<0.005).


Clinical Research & Application
Paralysis & Nervous System Diseases

THE SPECIAL EFFECT OF "XING-NAO-KAI-QIAO" ACUPUNCTURE METHOD
IN THE TREATMENT OF ACUTE CARDIO-CEREBROVASCULAR DISEASES:
A REVIEW OF CLINICAL EXPERIENCE AND EXPERIMENTAL RESEARCH
IN THE PAST TWENTY YEARS

Andrew T. PAGON, Na ZHAI, Hongzhuan CHEN, Jun LI, Li LI, Chunshen ZHANG,
Shaoqiang LU, Xuemin SHI
The First Teaching Hospital Affiliated to Tianjin College of Traditional Chinese Medicine.
Tianjin, China.

Aim: "Xing-Nao-Kai-Qiao" (XNKQ, regaining consciousness and opening the orifices) has saved a lot of patients suffering from acute cardio-cerebrovascular diseases in the past twenty years. Prof. Xuemin Shi discovered that "XNKQ plus tonifying liver and kidneys" can improve the patient's condition as well as the traditional method of "Solely working on Yang-Ming".
Methods: Neiguan (PC6), Renzong (GV26) and Sanyinjuao (SP6) were selected as the main points. Jiquan (HT1), Chize (LU5) and Weizhong (BL40) were selected as the secondary points. Fengchi (GB20) and Yifeng (TE17) were added for difficult swallowing. Hegu (LI4) was added for slurred speech. Other points could be added or subtracted according to differential diagnosis. Different depths and different methods of manipulation were used for different points. The treatment was given twice a day. One course consisted of ten sessions. Three to five courses were needed for a continuous treatment. Seven to ten courses were needed for patients in the sequelae stage.
Results: Three were 5798 cause with apoplexy, the curative effect was 60.81% and the total effective rate was 98.60%. Three were 284 cases with heart disease, the effective rate was 71.51% and the total effective rate was 90.86%.
Conclusion: A great deal of research work also confirmed that XNKQ method can improve the cerebral circulation, decrease the blood viscosity, change the pathological metabolism of lipids, benignly regulate the intracranial blood flow, improve cardiac function, decrease the content of Ca2+ in the ischemic area, decrease the consumption of RNA and DNA inside the cerebral cells, decrease the level of free radical in the ischemic area, increase the activity of SOD, decrease the content of LPO, etc. The effect of protecting the cerebral cells and narrowing its diseased area is thus achieved. It can be concluded that XNKQ method has the physiological effect of "benign" regulation on multiple organs and systems of a human body.


Clinical Research & Application
Paralysis & Nervous System Diseases

A CLINICAL STUDY ON TREATING ACUTE HYPERTENSIVE CEREBRAL
HEMORRHAGE WITH COMBINATION OF ACUPUNCTURE AND MEDICATION

Hou WANG
No. 6 Chongshun Shong Road, Shenyang 110032, China.

Aim: The aim of this study was to assess the therapeutic effects of acupuncture on acute cerebral hemorrhage caused by hypertension.
Methods: 62 patients, who suffered recent cerebral hemorrhage, were divided into two groups ¡ª acupuncture plus medication group (30 cases) and pure medication group (32 cases). The author observed the changes in computed tomography (CT), neurological scores and residential images.
Results: The absorption of congealed blood was noticeable (p<0.05) in the patients of acupuncture group. The neurological scores were evident (p<0.01). The effects of acupuncture group were better than those of medication group in both absorption of congealed blood (p<0.05) and neurological scores (p<0.01). The total effective rate of acupuncture plus medication group was 90%, while medication group 68.75%.
Conclusion: The study suggested that acupuncture could be applied to the treatment for acute cerebral hemorrhage, because it could accelerate the resolution and absorb the congealed blood, reduce the intracranial pressure and modify the cerebral blood circulation. Blood congestion was the pathological basis of hypertensive cerebral hemorrhage.


Clinical Research & Application
Paralysis & Nervous System Diseases

TREATING WIND STROKE WITH MANG NEEDLE

Chengshan WANG
Hospital of Gold Headquarters Under the Ministry of Metallurgical Industry. A-1 Gaojing, Chaoyangmenwai. Beijing 100025, China.

Mang Needle is a very thin, sharp and long needle. It looks like the awn of wheat. The needle can be used to pass through the points.
Wind stroke is often caused by sexual indulgence, overwork, deficiency of kidney yin or upsurge of liver yang. Wing stroke includes cerebral vascular diseases, such as cerebral hemorrhage, thrombosis, etc. The disease may be divided into two types: (a) attack on the meridians and collaterals; (b) attack on the zang-fu organs.
For the indications of weakness, muscular atrophy and motor nerve impairment, the following points are selected for treatment: BL54 to GB30; ST31 to ST34; ST31 to GB31; GB33 to LR8; SP9 to GB34; ST36 to SP6; ST40 to BL57; BL56 to BL57; ST43 to KI11; ST31 to Si Qiang; LI18 to LR9; LR3 to KI11; SP3 to BL65.
For the indications of numbness in the upper limbs, motor nerve impairment, stiffness of muscles and dysfunction of the fingers, the following points are selected for treatment: TE6 to P5; LI15 to LI11; SI3 to LI3; Bizhong to TE6; LI11 to P3; LI15 to TE6; LI11 to P3; LI15 to LI14; TE14 to TE10.
For the indications of stiffness of tongue, dysphasia and slurring speech, the following points are selected for treatment: CV23 to Extra9; CV23 to Shegen; Panglianquan to Extra9; Panglianquan to Shegen; CV24 to ST6.
The main feature of Mang Needle is that one needle can be used for many points, at least 2 points and 7 at most. The needle skill promotes a broader scope of meridians and faster arriving Qi.


Clinical Research & Application
Paralysis & Nervous System Diseases

A STUDY ON THE METHODS OF USING SCALP ACUPOINTS
TO TREAT WINDSTROKE

Zhishun YU, Weiping CHENG, Yan LU, Yan ZHAO
Heilongjiang College of Traditional Chinese Medicine. 24 Heping Road, Harbin 150040, China.

Aim: Windstroke is a serious disease which threatens old people's lives. The authors applied different methods of using scalp acupoints to treat windstroke and its effects.
Methods: By the methods of clinic, electrophysics and biochemics, the authors observed the effect of different needling times every day, different speeds of twisting the needles, different periods of twisting the needles, the manipulation of lifting and thrusting the needles and twisting the needles, scalp Dian Di Zhen, a long period of retaining the needles with twisting the needles every once in a while and moxibustion on scalp acupoints.
Results: Needling three times a day was superior to needling twice a day, and needling twice a day had a better effect than needling once a day. Slow twisting of the needles was inferior to fast twisting, but superior to retaining the needles without twisting. A long period of retaining the needles with twisting the needles every once in a while had a better result than a routine scalp acupuncture. There was no obvious difference in the effects between lifting and thrusting the needles and twisting the needles in a small range. The effect of scalp Dian Di Zhen was the same as that of electric scalp acupuncture. Moxibustion could also treat windstroke.
Conclusion: From the results, the authors consider that in certain conditions, a stronger stimulation has a better effect. Combining the authors' past experiences and the research results, the methods of scalp acupuncture for windstroke emerge: Inserting several needles in certain divided areas and retaining the needles for a long period with twisting the needles every once in a while.
Clinical Research & Application
Paralysis & Nervous System Diseases

THE CLINICAL OBSERVATION OF THE MEDICINE-OXYGEN ACUPUNCTURE
TREATMENT OF CEREBRAL INFARCTION IN THE EMBOLISMIC AREA

Yongjie NIU
Beijing Zhongzi Hospital, China Academy of Science. Beijing, China.

The infarcted area and its surroundings resulted from cerebral thrombosis, cerebral embolism and hematencephalon originally caused by diseases featured with high and endangered factors such as hypertension, diabetes mellitus and hyperlipemia, are called the embolismic area. Based on modern neurosurgery and modern acupuncture, and with reference to the location diagnosis of CT and MRI, the medicine-oxygen acupuncture treatment applies atylostixis on the corresponding embolismic scalp while the patient absorbs oxygen and the mixture refined from over 20 valuable traditional Chinese herbs.
In recent two or more years, we accepted and treated 376 patients who contracted cerebral embolism. Of the two groups divided randomly, the treatment group were treated by applying medicine-oxygen acupuncture treatment in the embolismic area, i.e. while let the patients take in the oxygen out of humidifier in a flow capacity of 11.5 1/min per person, apply the improved head acupuncture on the corresponding scalp of the embolismic area each time one day, with one course of treatment for 15 days and two days between two courses. The control group were administered with Cerebrolysin of 25 ml, intravenous injection, one time each day.
According to the assessment and recovery standard of clinical neurous functional impairment of the cerebral disease contractors passed in the 2nd Academic Symposium on Vascular Disease in 1986, the result showed that the treatment group had 170 effective cases (90.4%) and the control group had 83 effective cases (44.4%). After a statistical analysis, the two groups had a very obvious difference (p<0.01).
The author holds that, with the three components of medicine, oxygen and acupuncture integrated and acted actively together, the medicine-oxygen acupuncture treatment of the cerebral infarction in the embolism area regulates the autonomic nerve and parasympathetic nerve, and contributes to improving the cerebral anoxic and ischemic situation, accelerating the recovery of the function of the neurous cells in the embolismic area.


Clinical Research & Application
Paralysis & Nervous System Diseases

SCALP ACUPUNCTURE THERAPY FOR APOPLEXY AND ITS SEQUELAE

Fan CHEN
Jianggan Red Cross Hospital. Hangzhou 310002, China.

Aim: In the treatment of patients suffering from apoplexy and sequelae, the three-in-one therapy, with the scalp acupuncture as the major treatment plus body and head acupuncture combined with passive motion or naprapathy and massage, was employed to evaluate its currative effects.
Methods: The scalp acupuncture plus body and head acupuncture combined with naprapathy and massage were used. In manipulating scalp acupuncture, an improved methods of lifting and thrusting the needle to alleviate patient's pain and reduce acupuncturist's fatigue was applied, and the so-called draw-handicap method for manipulating the needle of scalp acupuncture was followed.
Results: The results of 214 cases treated for their apoplexy and sequelae with scalp acupuncture revealed that the curative effect was far better than that of medication with an overall effectiveness reaching 90.18% and a marked effectiveness of 83.18% (p<0.01). Symptoms such as unconciousness, facial paralysis, tongue paralysis, aphasia and quadriplegia were greatly relieved after the application of the three-in-one therapy.
Conclusion: Success of the three-in-one therapy with scalp acupuncture as the main treatment in curing patients' apoplexy and sequelae reflects the dominance and potential of the traditional Chinese medicine. The improved method for manipulating the needle of scalp acupuncture help reduce the pain of patients as well as the fatigue of acupuncturists.


Clinical Research & Application
Paralysis & Nervous System Diseases

A CLINICAL OBSERVATION OF THE ACUPUNCTURE TREATMENT ON
TRAUMATIC PARAPLEGIA WITH "DREDGING CHANNEL AND
CONNECTING SPINAL MARROW"

Fei WU
Affiliated Hospital of Changchun College of Traditional Chinese Medicine. Changchun, Jilin 130021, China.

Aim; Traumatic paraplegia is complex and can hardly be resolved by any therapy. The author applied the "Dredging Channel and Connecting Spinal Marrow" in treating traumatic paraplegia and studied its effects.
Methods: The main points ¡ª below 1 or 2 spinous processed from the up or down of the injury level, the points of Du Channel ¡ª were needled. Some accessory points might be used by different symptoms. When the Qi is achieved after needling, retain the needles for 30 minutes. Puncture once a day. A course consists of twenty treatments.
Results: Recovery rate was 8.33%; significantly effective rate was 25%; effective rate was 58.33%; ineffective rate was 8.33%. The total effective rate was 91.77%. After treatment the motor function had much more improvement than before, the difference had high significance (p<0.005); the curative effect of incomplete paraplegia was more therapeutic than that of complete paraplegia(0.05>p>0.025).
Conclusion: This report revealed remarkable differences, indicating the importance of needling method of "Dredging Channel and Spinal Marrow" for patients with traumatic paraplegia. The result also showed that needling the points early is very important. It is well received because of the characteristic of having no side effect. Further cooperation to bring the principle to light is welcome.


Clinical Research & Application
Paralysis & Nervous System Diseases

A CLINICAL STUDY ON 200 CASES OF PERIPHERAL FACIAL PARALYSIS
TREATED BY ELECTRO ACUPUNCTURE COMBINED WITH INDIRECT MOXIBUSTION

Xuanyi ZHAO, Biying YANG
Fujian College of Traditional Chinese Medicine. Fuzhou, Fujian, China.

Aim: We treated 200 cases of peripheral facial paralysis by electro acupuncture combined with indirect moxibustion and studied its effects.
Methods: The main points included Dicang (ST4) through Chengjiang (CV24) and Xiaguan (ST7) on the affected side. The auxiliary points were selected on both sides of Hegu (LI4). Indirect moxibustion was performed by placing a slice of fresh ginger on the affected area for the patients who either had pain on the face and the region around ear louble on the affected side or had no muscle contraction in response to electro acupuncture. The recovery was confirmed by comparison of the electronic potential of facial expression muscles between the affected and normal side.
Results: 195 out of 200 patients were fully recovered with 5 to 30 times of treatment. The duration of treatment was found to be closely related to the age of patients: 56.3% of patients among the 9-to-18-year-old group recovered with 5 to 10 times of treatment, while 39.6% among the 19-to-50-year-old group and only 15.4% among the 51-to-71-year-old group did so. The time when patients started to receive treatment also contributed to the duration of the treatment. With 5 to 10 times of treatment, 42.6% of the patients who started the treatment within one week recovered, while only 25.0% between one and two weeks and no patients after two weeks.
Conclusion: The present treatment of peripheral facial paralysis shows advantages of few points used for acupuncture and short duration of treatment. It is an effective way for treating peripheral facial paralysis.


Clinical Research & Application
Paralysis & Nervous System Diseases

PREVENTION AND TREATMENT OF SEQUELAE OF FACIAL PARALYSIS

Ying LI
Harbin No. 8 Hospital China.

Facial paralysis occurs mainly among young and middle-age people. The author has found a highly effective way for planning for the treatment.
1. First seven days are considered as the acute stage. All acupuncture treatment should be moderate to avoid further damaging the Qi and blood. When the points are selected, it is advisable to use the side of the face which is opposite to the ill side. The purpose is to alleviate the tension on the healthy side caused by the imbalance between the two sides of the face.
2. After the first seven days, the case enters the stagnant stage. The stimulation can be stronger and the points treated will be on the ill side of the face. The "two points plus one circle" method involves: LI4 and SJ17 as two points, ST7 through ST6 and ST2 with ST4 through ST6 and ST2 as one circle. The "two points plus one circle" method can be supported by using SP6 and LR3, plus Chinese herbal powder Qian-Zheng-San.
3. Massage on the acupuncture points or acupuncture on the healthy side of the face can be used as supplementary methods.


Clinical Research & Application
Paralysis & Nervous System Diseases

DIAGNOSIS AND TREATMENT OF EPILEPSY

Shi Fang YANG
Tianjin University of Traditional Medicine. Tianjin 300193, China.

The main point of this paper is to discuss the pathogenesis of epilepsy. The Heart Channel being obstructed by phlegm as a pathogenic factor with the crus of "Qi" is the key link and it is located at "the Heart". From the brilliant doctors' exposition and famous works of various ages in early literatures and "Huangdi Nei Jing" and also from the differentiation of disease according to pathological changes of viscera and their interrelations, the author puts forward that the symptom is closely related with "Heart", "Liver", "Spleen" and Kidneys" and related the "Heart" and "Brain" with Jing luo. It shows that the Heart Channel being obstructed by phlegm is just a symptom-complex of the Heart and Brain.
The principles of the treatment, the key point of differentiation of symptoms and signs and selection of points were proposed from a great deal of clinical practice of breaking free from convention of acupuncture, it shows that the effective acupuncture point for prevention and treatment of the major epilepsy are Shenque and Yamen. Finally, the typical case is presented.


Clinical Research & Application
Paralysis & Nervous System Diseases

A STUDY ON THE EFFECT OF ACUPUNCTURE THERAPY IN PATIENT
WITH PARKINSON DISEASE

Rie NABETA, Makiko TANI, Toshiaki SUZUKI, Yoshiro YASE
Kansai College of Oriental Medicine, 2-11-1, Wakaba, Kumatori, Sennan, Osaka 590-04, Japan.

Aim: To investigate the effect of acupuncture therapy in Parkinson disease (PD), a clinical and electromyographic (EMG) study on the effect of acupuncture in a male patient of 51 years old was conducted.
Methods: The patient has had difficulties with walking since January 1994. He initiated acupuncture therapy in June 1995 with a follow-up observation by EMG. Cardinal signs were resting tremor of left arm and generalized muscle rigidity. EMG was recorded from the flexor carpi ulnaris and radials in a sitting position before, during and after acupuncture therapy. The treating position was sitting and the meridian point of Fengchi was used for acupuncture. EMG data were analyzed for the peak-to-peak amplitude, mean rectified voltage and frequency of discharge.
Results: The peak-to-peak amplitude, mean rectified voltage and frequency of discharge during and after acupuncture therapy were significantly lower than those before acupuncture.
Conclusion: From these results, it is suggested that acupuncture treatment is beneficial for the PD patient and EMG may be a useful method for an objective evaluation of the effect on acupuncture in the patients with PD.


Clinical Research & Application
Paralysis & Nervous System Diseases

THE EXPERIENCE OF CURING A CASE OF SENILE CHOREA BY ACUPUNCTURE

Dongying YU
Liaoning Academy of TCM. Shenyang 110031, China.

Senile Chorea is one of the difficult and complicated cases-common in clinic. There is no special therapy of western medicine. I mainly acupunctured Taichong (LR3), Fengchi (GB20), Xuehai (SP10), Ch' ch'ih, Hegu (LI4), Fenlong (ST40), Lianquan (CV23) for reducing syndromes and conducted needle-embedding in Fuai for catharsis with scalp acupuncture. The patient was cured after twenty days of treatment and did not relapse during a half year's follow-up survey.

Clinical Research & Application
Paralysis & Nervous System Diseases

AN ANALYSIS OF THE TREATMENT OF 70 INNER-EAR VERTIGO CASES

Ai-Zhi XUE
Yunnan College of Traditional Chinese Medicine. China.

Vertigo is a kind of balance hypesthesia caused by pathological changes occurring in some systems or organs of the human body. It is mainly caused by the pathogeny of verstibule nerves, cerebellum and others. Vertigoes caused by pathological changes of vestibule nerves and cochlia nerves are real vertigoes; others are general ones. According to traditional Chinese medical theory, the occurrence of vertigo is due to a dificiency of vital energy and blood, a weakness of kidney, a thick phlegm block and an excessive yang of the liver.
From 1988 to 1992, the author applied traditional Chinese medicine and acupuncture to treat 70 vertigo patients (32 males and 38 females)in Kunming. After a ten-day period treatment with prescriptions Vertigo 1, 2, 3, 4 and acupuncture, the efficacy rate is 92.9%. The inefficacy rate after two or more ten-day periods of treatment is 7.2%.

The Principle in treating the deficiency of energy and blood is to build up and nourish the spleen and stomach; in treating phlegm block ¡ª to reinforce the spleen and dissolve the phlegm; and in treating excessive liver yang ¡ª to nourish the liver and kidney with yin. Doses of vertigo 1, 2, 3, 4 and 5 were prescribed for different types of vertigoes. Meanwhile treatment in scalp, body and ear was given at 1 to 3 acupoints once a day or every two days, with 10 minutes of retention.


Clinical Research & Application
Paralysis & Nervous System Diseases

ACUPUNCTURE IN "DYSTONIA DISEASE": A PARE CASE REPORT

Rubin ZENG
133-36 41st Road, #14A, Flushing, New York 11355, U.S.A.
Introduction: One rare case of "Dystonia Disease" was diagnosed by a neurosurgeon in the hospital affiliated with Columbia University. The symptoms were pain, spasm, twitch, rigidity and muscles atrophic on the right arm, elbow and fingers as well as in the right knee and ankle, Several western doctors only gave medicine to relieve the pain.
Treatment (from September 25, 1991 to February 25, 1992): (A) Combined local points and far points with general stimulation once a day on points such as Jianyu, Jianliao, Chize, Quchi, Waiguan, Neiguan, Laogong, Houxi, etc. in the right arm; Huantiao, Yanglingquan, Yinlingquan, Guangming, Xuanzhong, Zusanli, Kunlun, Taixi, etc. in the right leg. (B) Combined acupuncture and acupuncture once or twice a day: Baihui and Shangxing were selected for acupressure; Taiyang, Waiguan, Taichong and Yongquan were selected for electroacupuncture. In this time of treatment you must feel Deqi by yourself.
Results: In this case, nothing can help except acupuncture. In the period of the treatment, the pain has almost controlled, and the spasm had also been improved.
Conclusion: Acupuncture, an important branch of Chinese traditional medicine, has been practiced more than 2000 years and has been proven to be an effective weapon for combating pain, the recent discovery of endogenous opioid peptidergic system in the brain, and the mechanism of acupuncture has concentrated on the involvement of an EOP mediated system that underlies the pain relieving effect of acupuncture. The case report in this paper has been demonstrated that the pain was relieved without medicine.


Clinical Research & Application
Drug, Alcohol & Smoking Abuse

IMMUNOREGULATORY EFFECT OF ACUPUNCTURE TO STOP SMOKING ON
THE IMMUNOCOMPETENCE OF HABITUAL CIGARETTE SMOKERS' ALVEOLAR
MACROPHAGES AND PERIPHERAL BLOOD MONOCYTES

Xiaomu ZHENG1, Mang YU2, Bing WANG2, Xiya MU2
1Dept. of Rehabilitation, Dalian Friendship Hospital. Dalian 116001, China.
2Dept. of Microbiology & Immunology, Dalian Medical University. Dalian 116027, China.

Aim: The immunocompetence of alveolar macrophages (AM) and peripheral blood monocytes (PBM) playes a key role in local immune surveillance function in the lung. It can be suppressed by long term cigarette smoking, which increases the risk of carcinogenesis in the lung. This research was designed to study the immunoregulatory effect on the immunocompetence of AM and PBM by acupuncture to stop smoking.
Methods: Ear points and body points were applied in the treatment. Tumoricidal activities and secretions of cytokines such as TNF¥á and IL-1¥â os AMs and PBMs from 12 habitual cigarette smokers were examined to evaluate the immunocompetence before and after the acupuncture treatment. 12 healthy non-smokers were selected as control.
Result: The tumoricidal activities and IL-1¥â/TNF¥á secretion by AMs and PBMs in smokers were greatly lower than those in non-smokers. There were significant differences in those indices as described above in smokers before and after the treatments.
Conclusion: Aside from its efficacy on smoking abstention, acupuncture to stop smoking can also enhance the immune surveillance function against mutated lung cells induced by cigarette smoke through increasing the immunocompetence of AM and PBM.


Clinical Research & Application
Drug, Alcohol & Smoking Abuse

A CLINICAL OBSERVATION OF EAR ACUPUNCTURE'S THERAPEUTIC EFFECTS
ON 127 CASES OF SMOKING CESSATION

Wei-Mei XU
Acupuncture Department, Shun-Chang Health School. Shun-Chang County, Fujian, China.

Aim: To observe the effects of ear acupuncture therapy on quitting smoking.
Methods: 127 patients were needled at 4 main points on ears: CO14, TG2p, TF4 and CO1. These points were given electro-acupuncture stimulation for 30 minutes in each session. The course of treatment included 5 sessions in 10 days. 4 to 6 additional points might be supplemented by syndrome differentiation.
Results: 82 smokers (64.6%) stopped smoking after receiving 5 sessions of treatment, and 36 smokers(28.3%) smoked much less than before. The total effective rate was 92.9%.
Conclusion: Ear acupuncture is an effective, simple and inexpensive therapy for quitting smoking. It is acceptable to smokers and highly recommended by doctors.


Clinical Research & Application
Internal Organ Disorders

AN OBSERVATION OF THE CURATIVE EFFECT ON CORONARY HEART DISEASE BY ACUPUNCTURING NEIGUAN

Xianyang YIO, Wei ZHANG, Zhenquan YIO
Acupuncture Department, People's Hospital, Fujian College of TCM. Fuzhou, Fujian, China.

Aim: Neiguan point (P6) is one of the major points in acupuncture treatment of coronary heart disease (CHD). However, the mechanism underlying this therapy, especially that of acupuncturing Neiguan point is not yet known. In this paper, we studied the therapeutic effects of acupuncturing a single Neiguan point on CHD and the relationship between this therapy as well as the functional activity of the heart.
Methods: 30 CHD patients were treated with acupuncturing Neiguan point only. Among them, 14 were male and 16 female, aging between 37 to 65 years old. Acupuncture was performed once a day or every other day for two weeks to one month. As control, 15 CHD patients were treated with acupuncturing Zusanli (ST36) of the Stomach Meridian alone. For all patient, clinical symptoms and 4 objective functional indexes of the heart, ECG (ST segment and T wave), cardiac output (CO) and stroke volume (SV), were recorded and the results were compared.
Results: In patients treated with acupuncturing Neiguan point, the following observations were made. 1)The main clinical symptoms, such as chest distress, palpitation, shortness of breath, and angina pectoris, were decreased notably, with effective rates of 65.4%, 63.6%, 66.7%, 77.8%, respectively (p<0.05¡­0.01). 2)ECG improvements were significant after treatment (x2=10.2, p<0.02). There were 5 cases whose ECG resumed normal. 3) The grade of stroke volume (SV) increased significantly after treatment (x2=6.6, p<0.05). 4)Among 4 indexes measured, 3 indexes (SV, CO, T wave) were improved significantly (p<0.005, p<0.02, p<0.05, respectively). In the 15 cases of control acupunctured at Zusanli for 15 minutes, these 3 indexes remained unaltered. Whereas after acupuncturing Neiguan for 15 minutes in the same 15 cases, all of the 4 indexes (SV, CO, ST segment and T wave) were improved significantly (p<0.05¡­0.01), suggesting a relative specificity for influencing cardiac function by acupuncturing Neiguan.


Clinical Research & Application
Internal Organ Disorders

A LONG-STANDING ATRIAL FIBRILLATION REVERSED BY ACUPUNCTURE: A CASE REPORT

Xiao Ping ZHOU
Neuro-Rehibiliation Healthcare. 142-10 Roosevelt Avenue, #217, Flushing, New York 11354, U.S.A.

Aim: Atrial fibrillation is a type of very severe and stubborn arrhythmia in which the atria beat irregularly and very rapidly. The author reports that a long-standing atrial fibrillation was reversed by acupuncture after a prolonged unsuccessful trial of conventional medical treatment.
Methods: Selected points were Xinshu (BL15), Shenshu (BL23), Taixi (KI3), Sanyinjiao (SP6) (for nourishing yin), Neiguan (PC6), Shenmen (HT7) and Jueyinshu (BL14) (for subduing heart fire). The needle size was No. 32 - 1 cun (0.26×25 mm). The method of inserting the needles was reinforcing combined with reducing.
Case Report: A 58-year-old female patient had had atrial fibrillation for four months, after June, 1991 valvotomy for her seven-year history mitral stenosis. After giving digoxin, verapamil, beta-blockers and defibrillation, her atrial fibrillation is still long standing. She had palpitations, angina pectoris, restlessness, insomnia, dizziness, blurring-vision, tinnitus, lassitude, red tongue with little yellow fur and thready rapid pulse. ECG indicated atrial fibrillation. Due to persistent atrial fibrillation, she came for acupuncture. Points were above four nourishing yin points(by lifting and thrusting the needle for reinforcing) and three subduing fire point (reducing by lifting and thrusting). The needles were retained for 25 minutes. After 4 hours, at first the patient had a short time acute reaction (for 10 minutes more palpitation), then her atrial fibrillation was reversed, ECG returned to the normal state. All symptoms disappeared. There was no more onset of atrial fibrillation after a follow-up for eight months.
Discussion: In traditional Chinese medicine pathology, atrial fibrillation is conceivably classified as "Hyperactivity of the Fire due to Yin Deficiency" in palpitation. Neiguan and Xinshu (seven points) can regulate the disorder of Yin-Yang in heart. When the Yin-Yang in heart was balanced by acupuncture, the long-standing atrial fibrillation atrial fibrillation was reversed. In another view, Neiguan and Xinshu (seven points) may be able to affect sinoatrial node and the heart's electrical conducting system, and regulate cardiac arrhythmia.


Clinical Research & Application
Internal Organ Disorders

TREATING ARRHYTHMIA WITH EAR-ACUPUNCTURE

Zun-Xin GUAN
Yunnan Institute of Auricular Acupuncture. 8 Dong Li Xiang, Remin Dong Lu, Kunming, China.

31 arrhythmic cases were treated with ear-acupuncture or pressure seed on ear-points. There were 26 cases of extrasystole and 5 cases of paroxysmal tachycardia among them. Ear acupuncture was used for patients in the period of attack, ruhereas pressure seeds on ear-points was used those in the period of lysis. Main ear-points, Heart, Sympathesis, Shenmen, and Occiput were selected. If the arrhythmia is caused by organic disease, add Small Intestine, Root of Ear Vagus. If it is complicated by neurasthenia, add Kidney and Subcortex. If it is complicated by endocrinosis, add endocrine and Subcortex. If it is complicated by hypertension add Groove of Posterior Surface. After one year, curative effect was assessed with 26 cases of extrasystole, 12 cases (46.2%) were cured, 11 cases (42.3%) were effective, and 3 cases (11.5%) were ineffective; with 5 cases of paroxysmal tachycardia, 3 cases were cured, 1 case was effective, and 1 case ineffective.


Clinical Research & Application
Internal Organ Disorders

COMBINING ACUPUNCTURE AND ZHEN-WU SOUP
FOR TREATING HEART FAILURE

Ye L. ZHENG
Shanghai T.C.M. Hospital. Shanghai 200434, China.
Heart failure involves symptoms such as palpitation, dyspnea, excessive phlegm, dropsy and cardiac bisyndrome in Chinese medicine. The combination of acupuncture and Zhen-Wu soup has proved to be every effective.
The principle of treatment is to warm up the kidneys and to tonify the Qi, i.e. to warm up Yang. To support the treatment principle, methods should include: subduing swelling, facilitating diuresis, purging the lungs and dissolving phlegm, activating blood circulation and removing stasis, tonifying spleen and expelling dampness.
Acupuncture treatment involves Zhongji, Guanyuan, Sanyinjiao, Zusanli, Shuifen, Shuidao, Yanglingquan, Xinshu, Shenshu, Feiyang, and Fuliu.
Herbal treatment involves Zhen-Wu soup combined with modified Dushen soup. Herbs prescrived are: 6¡­15 g of Renshen, 6¡­15 g of Shufupian (boiled 1/2 hour before other ingredients), 9¡­12 g of Baishao, 1¡­15 g of Fuling, 6¡­9 g of Shengjiang, 6¡­15 g of Zhigancao. In addition to above ingredients, Huangqi and Dangshen added for Qi deficiency; Cheqianze and Baimaogen added for edema and insufficient urine; Tinglizi and Sangbaipi added for pressure in the chest and tenacious cough; Taoren and Danshen added for notable cyanosis; Xiangfu in large dosage used for the exhaustion of Yang Qi; the formula of Shengmai Powder used for deficiency of Qi and Yin.


Clinical Research & Application
Internal Organ Disorders

THE OBSERVATION ON THE INSTANTANEOUS CURATIVE EFFECT OF
THE SEMI-CONDUCT LASER NEEDLE ON 138 HYPERTENSION PATIENTS

Guoqing CHEN
Shanghai Pudong Laoshan Hospital. Shanghai, China.

Aim: Hypertension is a common disease in the adult and aged people. We observed and analyzed the instantaneous depressive effect of the semi-conduct laser needle therapy on the hypertension patients, and selected the best effective acupoints.
Methods: 138 patients were randomly divided into three groups: 40 cases in the Zusanli (ST36) group, 52 cases in the Neiguan (PC6) group, and 46 cases in the Ear Heart group. Patients were advised to stop taking the depressive tables for 3 to 7 days. After having a rest (lie supine) for 3 to 5 minutes, patients were examined for blood pressure, parameters of heart function and hemodynamics such as Stroke Volume (SV), Cardiac Output Per Minute (CO), Cardiac Index (CI), Blood Volume (BV), Total Peripheral Resistance(TPR), Blood Viscosity (¥ç), Left Ventricular Ejection Resistance (VR). The acupoints were irradiated for 5 minutes individually. After the treatment, patients were advised to have a rest for about 2 to 3 minutes then the above indexes were checked again. The change of their symptoms were also observed.
Results: The total effective rate of clinical symptom improvement was 83.3%. The significant difference was shown in the blood pressure including systolic and diastolic pressure, (p<0.05) and also in the different parameters of the heart function and hemodynamics especially in CO, CI and BV. The effect compared in the three groups showed that the Neiguan (PC6) group was superior to the other groups.
Conclusion: All the three groups demonstrated a good effect in decreasing blood pressure but Neiguan (PC6) can be selected as first choice to treat hypertension and to improve the cardiovascular function.


Clinical Research & Application
Internal Organ Disorders

TREATING 84 CASES OF HYPERTENSION BY ACUPUNCTURING NASAL POINTS WITH MAGNETIC-POLE NEEDLES

Yancheng ZHAO
Internal-combustion Engine Fittings Factory. Gucheng, Heilongjian 161641, China.

Aim: Modern medicine holds that hypertension is a common disorder which mostly occurs as functional disturbance of high nervous center. Meanwhile, humoral, endocrinal and renal dysfunctions are also involved during the pathogenic processes. Through years of personal experiences, the author have applied filiform, magnetic-pole needles for treating this disorder with marked clinical effects.
Methods: Using Suliao (GV25) points at the nasal tip as a center, needling points are located 3 fen from the center, up and down, left and light. Needle insertion leads to the center and causes local soreness and distention. Patients usually claim tearing, followed by clearer vision and mind. Symptoms are mitigated in the meantime.
Results: The results showed that 69 cases (82.2%) were markedly effective, 12 cases (14.3%) effective, with only 3 cases (3.5%) inffective. Of all the cases, 46 cases were effective by only one session of acupuncture treatment, 23 cases by two to five sessions, 12 cases by six to ten sessions.
Conclusion: Since Ren and Du channels are connected at nose and stemmed from the gonad, acupuncture at these points can usher the blood to descend, resurrect the brain, tranquilize and lower the blood pressure. Encompassing both magnetic and needling actions, this special needle can act directly on the points with magnetic field, balancing and improving the visceral function. In comparison with conventional filiform needles, the magnetic-pole needles are superior in many aspects, such as few needling, stronger sensation, rapid deqi and shorter treatment course. Hence, it is worthy of popularization.


Clinical Research & Application
Internal Organ Disorders

OBSERVATION OF CURATIVE EFFECTS: 100 CASES OF PRIMARY HYPERTENSION (PERIOD II) TREATMENT BY GAS INSTRUMENT ON JING (WELL) POINTS

Chengxiao GUAN
Sanhe Hospital. Jinan, Shandong 250001, China.

Aim: Gas instrument on Jing (well) points uses the principles of fluid mechanics to inject a pressurized gas to stimulate Jing (well) points. The selected points are located on the tips of patient's fingers and toes. 100 cases of primary hypertension (period II) were treated. The standard of diagnoses and effects was according to the national conference of cardiovascular disease, epidemics and prophylactic therapeutics(April 1979).
Methods: Before and after the treatment the blood pressure was taken according to the rule. The 10th part (Zulinqi, GB41) and the 12th part (Zhaohai, KI6) were selected. The treatment lasted 2 1/2 minutes, once per day. One course included 10 treatments. There were 3 days of rest between two courses. Those who were counted in the statistics underwent at least 1 course.
Results: 68 cases were effective, 35 cases were moderately effective, and 7 cases were ineffective. The total effective rate was 93%. The average value of the systolic pressure reduction was 4.19±1.86 kPa (p<0.01) while the average value of the diastolic pressure reduction was 2.04±1.12 kPa (p<0.01). 39 cases (16 cases - 1 month, 15 cases - 2 months, 7 cases - 3 months, 1 case - 6 months) were followed-up. All cases remained at the post-treatment level.
Conclusion: Gas instrument on Jing (well) points plays an effectual role in treating primary hypertension. It absorbs the advantages of many traditional therapies, such as acupuncture, warming moxibustion, cupping and massage, yet it causes no pains, no wounds and no side effects. It is used now in treating other diseases in addition to primary hypertension. Many diseases have been cured by the instrument. The price of the instrument is reasonable and simple to operate. It is possible to operate at home and is worth further development.


Clinical Research & Application
Internal Organ Disorders

THE OBSERVATION OF THE EFFECT ON ACUPOINT PLASTER THERAPY APPLIED TREATING BRONCHIAL ASTHMA AND CHRONIC BRONCHITIS

Shifeng SHEN
Lane 271, Building 49, No. 1302, Shangxi Nan Lu, Luwan, Shanghai 200020, China.

Aim: Bronchial Asthma and Chronic Bronchitis are common diseases. In order to find an effective therapy, the author applied the therapy of acupoint plaster and studied its effects.
Methods: Patients were divided into two groups, a treatment group and a control group. The treatment group was administered plaster, laid on Huagai, Tanzhong, Feishu, Gaohuang for two hours per week. Patients were treated for every winter and summer for a duration of three years. The control group was treated by internal medication.
Results: 90.8% of the treatment group and 66.7% of the control group were cured. 9.2% of the treatment group and 33.3% of the control group regained the same clinic manifestation after the treatment(p<0.01).
Conclusion: The results of the two groups revealed a remarkable difference. They showed that the therapy on acupoint plaster for patients with Bronchial Asthma and Chronic Bronchitis is better than that of the internal medication with no adverse reaction for the patients. Therefore, Acupoint Plaster Therapy is one of the most effective therapies to cure Bronchial Asthma and Chronic Bronchitis.


Clinical Research & Application
Internal Organ Disorders

A CLINICAL OBSERVATION ON THE EFFECTS OF AURICULAR ACUPUNCTURE ON THE CASES WITH STOMACH AND DUODENUM DISEASES

Chang-Biao LU
Acupuncture Department, Shun-Chang Health School. Shun-Chang County, Fujian, China.

Aim: The author observed the therapeutic effects on the therapy of ear-point acupuncture combined with traditional medicine in treating stomach and duodenum diseases. The effective rate compared with that of the cases treated with medicine only.
Methods: Patients were divided into a treatment group and a control group. For the treatment group, the 4 points on the ears ¡ª CO4, CO5, TF4 and CO18 ¡ª were needled every other day for 4 weeks. These needles were retained at these points for 48 hours until the next session of the treatment. All patients of the treatment group also accepted a traditional medicine therapy. The patients of the control group only accepted the traditional medicine.
Results: 46.2% of the treatment group were cured (49/106), and the curative rate was 15.7% in the control group. The total effective rate was 93.4% in the treatment group. It was much higher than that in the control group (62.7%, p<0.01).
Conclusion: The clinical research proved that, as a part of the combination therapy, auricular acupuncture is an effective therapy for treating the stomach and duodenum diseases. It is valuable for recommendation because of its therapeutic effects.


Clinical Research & Application
Internal Organ Disorders

A CLINICAL OBSERVATION OF THE USE OF BOTH ACUPUNCTURE AND TRADITIONAL CHINESE MEDICINE IN THE TREATMENT OF DIGESTIVE ULCER IN EIGHTY CASES

Ze Jie LIN
Shantou Center Hospital. Kuang Dong 515031, China.

Eighty patients were under clinical observation. They all suffered from digestive ulcer. Most of them complained that the pain was under the Xiphoid process. The therapeutic methods used were: (1) Acupuncture. The points of the acupuncture were: Zhongwan, Zusanli, Weishu, Pishu, Jingmen and Yanglinquan. Acupuncture treatment was performed once a day, and the inserted needles were kept at the points for 40 minutes. One course consisted of twelve treatments. (2) Traditional Chinese medicine. The prescription of the Four Gentlemen soup (si jun zi soup) plus goldthread root and eagle wood formed the basis of the recipe. The result was inspiring. Gastroscopy and X-ray checks proved that the symptoms of ulcer have disappeared in thirty patients (38%), and that the niche is lessened by more than a half, and the ulcer is on its way of healing. The observation revealed a fact that the use of both acupuncture and traditional Chinese medicine in the treatment of patients suffering from digestive ulcer is of great prospect.


Clinical Research & Application
Internal Organ Disorders

A CLINICAL INVESTIGATION ON ATROPHIC GASTRITIS
TREATED BY ACUPOINT INJECTION

Jiang KEZHI
Kezhi Clinic. Tianning District, Changzhou city, Jiangsu 213003, China.

Clinical data: All 418 cases were confirmed as chronic atrophic atrophic gastritis by fibroptic gastroscopy and pathological biopsy in hospitals above the country level. Among them, 284 cases had a history of illness less than 10 years; 134 cases, above 10 years. 16 cases were complicated with a typical hypertrophy, 87 cases were complicated with intestinal hyperplasia; 51 cases with erosion, 26 cases with polyps. For location of lesions, 327 cases (78%) were located at the pylorus, with the remaining eases located at the body part or with multiple lesions.
Methods: The cases were divided into 2 types and treated accordingly. Qi-stagnant type: treated mainly by regulation of liver energy; Qi-asthenic type, treated mainly by strengthening the spleen and harmonizing the stomach. For cases with Yin-deficiency, points for nourishing Yin were added. Medication: injection of Radix Astragali seu Hedysari, injection of riboflavin, injection of Radix Angelica Sinensis, tissue injection from human placenta. For Qi-stagnant type, Vit B12 injection was also given. Points selected: Weishu, Zhongwan, Zusanli. For Qi-stagnant type, Ganshu was added; for Yin-deficiency, Sanyinjiao was also added. All points were injected with 2 ml except for Zhongwan which was only injected with 1 ml. One injection was given every other day, with 30 injections constituted a therapeutic course.
Results: In addition to symptom changes, all cases were examined by fibroptic gastroscopy, biopsy of gastric mucosa plus gastric secretion function. The criteria forjudging the effect were differentiated into markedly effective. effective, and non-effective based on "Standards for Clinical Diagnosis of Cure and Mitigation of Diseases (1987 edition)" stipulated by Ministry of Health, Logistic Headquarter of PLA. All gastric medications were suspended during the therapy. In general, all cases were referred to the original hospitals for check-up of gastroscopic exam, and followed up for 3¡­5 years. In 177 cases of Qi-stagnant type, 104 were markedly effective, 61 cases effective, 12 cases non-effective; for 241 cases of Qi-asthenic type, 139 were markedly effective, 92 effective, 10 cases non-effective.


Clinical Research & Application
Internal Organ Disorders

GINGER-PARTITION MOXIBUSTION WITH ACUPUNCTURE POINT INJECTION CURING IRRITABLE BOWEL SYNDROME

Aiwen LU
Guangzhou Hospital of Chinese Traditional Medicine. 16 Zhuji Road, Guangzhou 510130, China.

Aim: Irritable Bowel Syndrome (IBS) is an illness of special pathologically and biologically basis, independent intestine functional disorder. It not only has a high percentage of attacking rate, but also brings great pain to the uncured patients. In order to find a good way to cure IBS, this research work has been done.
Methods: In the treatment group, 39 cases of Irritable Bowel Syndrome patients have been treated with Ginger-Partition Moxibustion on ST25 (Tianshu), CV4 (Guanyuan) and injection of vitamin B1 on ST36 (Zusanli) and ST37 (Shangjuxu). The comparative group with 20 patients have also received acupuncture on ST25 (Tianshu) and ST36 (Zusanli).
Results: After treatments, in a total of 39 cases of the treatment group, 25 (46%) have received distinct improvement, effective on 12 (31%0 cases, and only 2 (5%) were with no effect. The overall success rate was 95%. After treatments, in a total of 20 cases of the comparative group, 7 (35%) demonstrated distinct improvement, 8 (40%) showed the treatment effect, and on 5 cases (25%) revealed no effect. The overall success rate was 75%.
Conclusion: Ginger partition moxibustion injection is a treatment of combining Chinese and western medicine in a way that both acupuncture and drug are used. It is scientific and effective.


Clinical Research & Application
Internal Organ Disorders

ONE CASE OF IRRITABLE BOWEL SYNDROME (IBS)
TREATED WITH ACUPUNCTURE

Junhong ZHANG
Affiliated Hospital of Nanjing University of Traditional Chinese Medicine. 155 Hanzhong Road, Nanjing, China.

Aim: To observe the effectiveness of Acupuncture in treating Irritable Bowel Syndrome(IBS).
Methods: Ms. H. is a 35-year-old registered nurse. She reported a cramplike lower abdominal pain leading to loose stools and relief pain with defecation. The symptoms occurred two to three times a week and were worse with large meal, menses and stress. She feels anxious. stress, tired and pain in the neck. There was no positive finding in stool culture, guaiac testing and X-ray. Treatment: needling acupuncture points: Dashu Ganshu (BL18), Pishu (BL20), Zusanli (ST36), Sanyinjiao (SP6) and Danzhui (GV14). The needles are remained for 20 minutes. Treatment performed twice a week.
Results: After the fifth treatment, all the symptoms got better. She reported that the cramplike lower abdominal pain leading diarrhea had decrease to once in the past two weeks. Then she continued three more treatments. She stated: her abdominal pain, diarrhea and neck pain disappeared; stress and anxiety got relief; and she felt more energy and easygoing. Follow up: eight months after treatment, she keeps good condition.
Conclusions: The irritable bowel syndrome (IBS) is one of the most frequent gastrointestinal disorders and no pharmacological treatments have being shown to be consistently effective for this condition. Although there is no enough caseload, it suggests that acupuncture may be beneficial to IBS. Further study is needed.


Clinical Research & Application
Internal Organ Disorders

A CLINICAL STUDY ON THE LIVER & GALL STONE TREATED BY
NEEDLING METHOD WITH THE MASSOTHERAPY OF THE EAR POINTS

Jiafu SU
Quanzhou Hospital of Chinese Medicine. Quanzhou, Fujian 362000, China.

Aim: To find a good method to treated patients with the liver and gall stone, the author applied the needling method, together with the massage of the ear points, in treating the liver and gall stone and studied its effects as well.
Method: Patients were divided into two groups. For the first group, there were 300 cases. They were treated by needling method together with the massage of the ear points. The second group consisted of 67 cases, but the patients were treated by the massage of the ear points only.
Results: The discharging rate of the first group is 91.61%(17.33% of the patients discharged the stones completely, 74.33% of them took the favorable turn). While the discharging rate of the second group is 80.60% (14.92% of the patients discharged the stones completely and 65.68% of them took the favorable turn).
Conclusion: The comparison between the two groups revealed remarkable differences, indicating the importance of needling method together with the massotherapy of the ear points for patients with liver or gall stones. It presents a new method. The author also sets forth his position on the details during the treating process. He believes that "the vigor's reaching the focus" is the key to the curative effect.


Clinical Research & Application
Internal Organ Disorders

A CLINICAL SURVEY OF ER YA AND CHINESE HERB FOR TREATMENT OF OBESITY

Fu Fang XIAL

Using Er Ya to treat obesity with hyperlipemia is very effective. The course is as follows:
Clinical data and method: Object: Judge the standard body weight according to Broca method. 10% more than standard weight is thought as obesity. Choose 58 patients. Their average obese degree is 37.2±17.2%. Among them, 54 patients serum TC, TG is higher than normal.
Ear vital points: (1) thirsty, fatigued-feeling: wei, dei, jiaogan, shenmen; (2) hungry feeling and constipation: pi, wei, jidian, jiaogan;(3)poor appetite, constipation and older in age: neifen, jidian, zhichang, shen
Method: Put seeds of Wangbuliuxing on 0.5×0.5§² self-made adhensive plaster. Stick the plaster on ear viral point of one side. Press 5 min before meals every day. After 3 days, take down the adhensive plaster and put it on the other side. One month is one course of the treatment. All above were based on different diagnosis and treatment with Chinese herb.
Result: After one course of the treatment, 58 patients weight dropped 6.0¡­2.5 kg, average obese degree fell to 30.2±12.2%. After 4 courses of treatment, 54 patients weight dropped 34¡­12 kg, average obese degree fell to 20.8±6.8%. 36 patients weight restored to the normal weight. Effective rate was 95.2%. Apparent effective rate was 80.5%. 38 patients serum TC, TG fell to normal. Effective rate was 90.4%. Apparent effective rate was 81.4%. There was no relapse after one year follow-up.


Clinical Research & Application
Internal Organ Disorders

CLINICAL AND LAB STUDIES ON TIME SELECTION FOR A BETTER THERAPEUTIC EFFECTIVENESS IN THE TREATMENT OF DIABETES WITH ACUPUNCTURE

Guojie SUN, Kangsheng WANG, Xinghuo XONG
Hubei TCM College. Wuhan 430061, China.

Aim: As we know, acupuncture is an effective therapy for diabetes. But how it works and at what time the treatment should be applied to achieve a better effectiveness keep unknown. To this end, the authors made a consistent clinical and lab study.
Methods: In the clinical study, fifty cases of diabetes II patients were randomly divided into 4 groups: (1) the group having acupuncture treatment at any possible time; (2) the group receiving acupuncture treatment at the climax of insulin secretion; (3) the group taking acupuncture treatment at the anticlimax of insulin secretion; and (4) the control group with chemotherapy of D860. The authors compared the fasting blood-glucose content and the after-meal blood-glucose content, the 24h urine-glucose quantity, and the content of the saccharified hemoglobin before and after the treatment. In the lab study, 50 animal model of diabetic rats inducted with Alloxan were taken as subjects and randomly divided into 5 groups (one more group than the human subjects: the bland control group) to compare the content of fasting and after-meal serum insulin and serum C-petide, before and after treatment.
Results: In controlling the increment of the fasting and after-meal blood-glucose content as well as the 24h urine-glucose quantity in the clinical study while concerning the content of the saccharified hemoglobin, group 2 was better than groups 1 and 3(p<0.01) but almost the same as group 4 (p>0.05). Group 2 showed better results than other groups (p<0.01) in promoting the insulin synthesis and secretion of the islet cells in the lab study.
Conclusion: The studies suggest that acupuncture is an effective therapy for diabetes, which works more effectively at the climax of insulin secretion after meals, and even more effectively in some aspects than the chemotherapy with D860. The way that acupuncture works in the treatment of diabetes is probably by promoting the insulin synthesis and secretion of the islet cells, and by helping the body make a fuller use of the insulin.
Clinical Research & Application
Internal Organ Disorders

THE OBSERVATION OF EFFECT OF TREATING SIMPLE OBESITY
BY ACUPUNCTURE AND MASSAGE

Shu-guo FAN, Ying XU
Unit: TCM School of Mian Yang City, Sichuan, China.
380 Mian Zhou South Road, Mian Yang, Sichuan 621000, China.

We treated 268 cases simple obesity by acupuncture and got a curative effect. We would like to introduce as follows:
Methods:
(1) Acupuncture Guanyuan (CV4), Tianshu (ST25), Shuifen (CV9), Qihai (CV6), Liangqou (ST34), Zhigou (TE6), Fonglong (ST40) and Shanyinjiao (SP4) as two series of points. Tapping or cupping also can be used.
(2) On the main point use the pulse reducing apparatus to treat.
(3) On the fat position use Chinese drugs reducing inunctum combine with massage.
(4) Give the otopints press, choose Shermen, Wei (Stomach), Dachang (large intestine) and Neifenmi (internal secretion) as two series.
(5) Give the patient Chinese drugs peroral
Curative effect: In 30 days, the body weight reduced rates are: 24% greater than 10 kg, 54% greater than 5 kg, 22% less than 5 kg.
Discussion: The simple obesity cause are multiple systemic dysfunction. Our therapy can regulate metabolism and recover the body system function. So it has good reducing curative effect.


Clinical Research & Application
Dermatology, Surgery & Oncology

A CLINICAL STUDY ON SLIGHT BURNS AND SCALDS OF SKIN
TREATED BY NEEDLING METHODS

Kang Le JIANG
The Association Clinic of Doctors Chinese Medicine. Guanyang County, Guilin, Guangxi, China.

Aim: Skin of human body can usually be injured by sunlight, electric welding arc, flame, boiling water and hot oil. These kinds of wounds are called burns and scalds in Chinese medical science. The author applied the acupuncture treatment in treating slight burns and scalds and studied its effects.
Methods: On the basis of Chinese medical theory of which the lung controls the skin and hair, the author applied six needling methods ¡ªbody-needle, face-needle, ear-needle, nose-needle, hand-needle and the needle of the second metacarpal bone in treating 285 cases of burns and scalds. Different needles must be matched for different points. The points should be adopted far from the wounded place. These six methods should be applied lonely of together according to the clinical symptoms.
Results: From 285 cases, 90.88% of them were cured. 9.12% of them were nor cured.
Conclusion: The effectiveness and success of the needling methods in treating slight burns and scalds of skin have not only proved the science of the Chinese medical theory but also opened up the new fields of acupuncture.


Clinical Research & Application
Dermatology, Surgery & Oncology

COMBINATION OF SCALP ACUPUNCTURE WITH BODY ACUPUNCTURE
FOR TREATMENT SENILE URINARY INCONTINENCE

Hong ZHANG
Department of Acupuncture of the General Air Force Hospital. Beijing 100026, China.

Aim: Senile urinary incontinence is a clinically commonly encountered disease. In order to find an effective treatment method, the work presented in the following was undertaken.
Methods: In accordance with the theories of the Traditional Chinese Medicine and the principle of determining treatment by means of differentiation of syndromes, the scalp acupuncture was combined with body acupuncture to treat 76 patients with the target disease. Point selection: Sensory area of foot movement and urogenital area; Zhongji (CV3), Shuidao (ST28), Shenshu (BL23), Pangguangshu (BL28), Yinlingquan (SP9), Sanyinjiao(SP6) and Taixi (KI3).
Results: Among 76 cases, after 1 to 2 courses of treatment, 38 cases were cured at the clinically near stage, 20 cases had marked improvement, 17 cases reached improvement and only 1 case was still of inefficacy. The total effective rate was 97.37%.
Conclusion: Combination of scalp acupuncture with body acupuncture for treating senile urinary incontinence can provide satisfactory effect.


Clinical Research & Application
Dermatology, Surgery & Oncology

AN ANALYSIS OF THE CLINIC EFFECT ON CHRONIC PROSTATITIS
WITH ACUPUNCTURE AND MOXIBUSTION

Hua MA
Jinzhou Medical College. Jinzhou, Liaoning 121000, China.

Aim: The author treated 60 cases of chronic prostatitis with acupuncture and moxibustion and compared the effect with that by Chinese drugs. The therapeutic result suggested that the effects of acupuncture and moxibustion were significantly superior to Chinese drugs.
Methods: Acupuncture and moxibustion groups: First group points: Patients were in dorsal position, the Guanyuan (CV4) was taken. Second group points: Patients were placed in prone position 28# 2 inch needle was applied with a perpendicular insertion. The uniform reinforcing-reducing method was used and the needles retained for 20 to 30 minutes.
Results: The curative rate in the acupuncture and moxibustion group was 46.7%, and the improvement rate was 38.3%. The total effective rate was 85%. The total effective rate in the Chinese drug group was 66.7%. Total rate of the two groups was compared through a statistical analysis: x2=4.406 and p<0.05. This result suggests that the curative effects of the two groups have a significant difference.
Discussion: Acupuncture and moxibustion can treat this kind of disease. This method may mediate channel and collateral, regulate the qi and blood, and improve blood circulation of prostate. The secretion of prostatic (sinus) iumen was excreted and eliminated the symptoms of frequency of micturition, urgency of urination and dysuria.

Clinical Research & Application
Dermatology, Surgery & Oncology

THE TREATMENT ON CHLOASMA WITH ACUPUNCTURE STIMULATION

Hong WANG
Institute of Acupuncture and Moxibustion of Sichuan Provincial Academy of Traditional Chinese Medicine. #37 Sidao Road, Chengdu, Sichuan 610031, China.

Chloasma is a kind of pigment skin disease usually found in women. There has not been any ideal way to cure it until now. This paper reports the treatment on 62 cases of chloasma with the therapy of facial acupoint massage, facial natural herbal plastering, ear-acupoint pressing Main points are: Tai Yang, Yin Tang, SI18, ST4, ST2, ST6, GB2, LI20, TE17, GV26, etc. Main points of ear-pressing are: Ear Shenmen, Lung, Liver, Sympathesis, Subcortex, check, Internal genitals, Endocrine. The main ingredients in the mask are: Chinese Angelica, Ginseng, Pearl, Honey. The paper also presents the operation in details. The treatment should be given once a week and 4 times makes one course. Usually two to three course are needed. The shortest treatment course is one month, and the longest one is six months. The findings show that 10 cases (16.1%) were cured, 20 cases (32.2%) came up with remarkable effects, and 32 cases (51.7%) turned better. The treatment should be given once a week and 4 times make one course.
The principle of the treatment is to coordinate the functions of the Zang-Fu organs, to Huo Xue Hua Yu (to promote blood circulation and remove blood stasis), and this kind of therapy has the function of both local treatment and the whole body regulation. Moreover, it has no side effects. It can be applied not only to treat disease, but also used as a natural way to facial skin care.


Clinical Research & Application
Dermatology, Surgery & Oncology

A CLINICAL STUDY ON CANCER TREATMENTS BY ACUPUNCTURE,
FUMIGATION AND CUTTING OVER FOURTEEN MAIN AND COLLATERAL
CHANNELS AND TREATMENT POINTS

Dao Hua HU
Shanghai 200050, China.

Aim: The author applied a clinical study on cancer treatments by acupuncture, fumigation and cutting over fourteen main and collateral channels and treatment points.
Methods: According to the traditional Chinese medical science theory and esoteric methods, cancers treatments by acupuncture, fumigation and cutting over channels and treatment points (focal point on the five sense organs position) were practiced.
Results: 85% were cured; 75% were basically cured.
Conclusion: Through dredging the channels and points by acupuncture, fumigation and cutting, the evil trend was led out, the blood circulation was antipyretically invigorated, healthy trends were encouraged and unhealthy ones were checked. And with the assistance of herb medicine, stomach and spleen were invigorated to reinforce vitality, blood and body strength were benefited and nourished, immunity was strengthened. Especially the rate of guarantee a cure on the five sense organs position is high.

Clinical Research & Application
Dermatology, Surgery & Oncology

ACUPUNCTURE AND MOXIBUSTION FOR 113 CASES OF LEUKOPENIA
CAUSES BY CHEMOTHERAPY

Yuzhu GONG, Zuozhen WANG
Department of Acupuncture, The First Hospital of Sanming. Sanming, Fujian 365000, China.

Aim: In the past five years the authors cured 113 cases of leukopenia caused by chemotherapy for cancer with acupuncture and moxibustion. The results showed a satisfactory curative effent.
Methods: The therapy was to puncture the bilateral acupoints of Zusanli and Quchi with needles in a regulated way and manipulating the needles for three minutes with tonifying method after "deqi". Then the needles remained in the points for fifteen minutes. Meanwhile, heating Qihai with burning moxa stick for fifteen minutes. Acupuncture and moxibustion were performed once a day. A treatment course consisted of six consecutive days. In the end of every course, white blood cell (WBC) count was taken.
Results: Altogether 544 courses were given to patients The results were as follows:

The changes of quantities in absolute value of WBC in each treatment course were as follows:

Conclusion: Acupuncture and moxibustion can effectively improve the function of marrow-stem cells which were damaged during the chemotherapy.


Clinical Research & Application
Infectious Diseases & Acquired Immunity Deficiency Syndrome

TREATING CHRONIC ACTIVE HEPATITIS B WITH ACUPUNCTURE

Ling-jun NING
The Clinic of the Estate Department of the Second Engineering Bureau of the Ministry of Railway. No. 43, 4-2-5 Bei Wiang Zi, Chengdu, Sichuan 610031, China.

This study compares the effectiveness of acupuncture with that of the medicinal treatment for chronic active hepatitis B (CAH B). 88 cases were involved in this study, with 44 in the acupuncture group and 44 in the control group (treat with normal medicine). The average age, symptoms, physical signs, and results of tests do not show notable differences between the two groups. The statistical result, x2=7.38 (p<0.05), shows that the therapeutical effect of acupunctural treatment is better than medicinal treatment, and demonstrates the clinical significance of acupunctural treatment for CAH B.

Clinical Research & Application
Infectious Diseases & Acquired Immunity Deficiency Syndrome

AN OBSERVATION ON THERAPEUTIC EFFECTS OF ACUPUNCTURE
IN THE TREATMENT OF CHRONIC ACTIVE HEPATITIS B

Zheng YUAN
The Naval Medical Research Institute. China.

Aim: The therapeutic effects of acupuncture in the treatment of chronic active hepatitis (CAH) were observed.
Methods: Eighty eight patients were randomly divided into an acupuncture group (44 cases) and a control group (44 cases). For the acupuncture group, the main points were Ganshu (BL18) and Zusanli (ST36). The secondary points were Danshu (BL19) and Yanglingquan (GB34) during the stage of icterus, Neiguan if vomiting occurred, and Pishu (BL20), Shenshu (BL23) and Sanyinjiao (SP6) after the stage of icterus. All points were acupunctured daily for 15 days as one treatment course with the two sides alternating. The needles were retained for 15 minutes and conveyed at 5 minutes intervals. After an intermission for 5 days, the next treatment course began. About 5 treatment courses were enough to cure the patients effectively. For the control group, all patients were given Yi Gan Ling, Nie Ao Ling, Vitamin B, Vitamin C, etc. for 3 months.
Results: After 3 months of treatment, the ALT decreasing rate and SB decreasing rate in the acupuncture group were 86.4% and 92.7%, respectively, while those in the control group were 68.2% and 74.4%, respectively. In the acupuncture group the rate of albumin/globulin increase was 78%, but only 57.1% in the control group. The HBsAg and HBeAg values turned out to be negative in 18.2% and 38.6% of the patients, respectively, in the acupuncture group; while only 4.5% and 16.3% in the control group. The differences between the two groups were of statistical significance.
Conclusion: We suggest that acupuncture is one of the promising approaches in treating CAH.


Clinical Research & Application
Gynecology, Obstetrics & Pediatries

A CLINICAL RESEARCH ON TREATMENT, AND ITS MECHANISM, OF FEMALE
URETHRAL SYNDROME BY ACUPUNCTURE AND MOXIBUSTION

Huitian ZHENG, Siyou WANG, Cheng HUANG, Guomei CHEN, Haiguo HONG,
Siming CHEN, Jingsheng SHANG
Shanghai Research Institute of Acupuncture and Meridians. China.

Aim: The urethral syndrome is a complex mainly of frequent and urgent urination, dysuria and hypogastric distention without the organic diseases and/or infection in the bladder and urethra. It occurs most frequently in young or mid-aged women and is often misdiagnosed as urinary tract infection. Conventionally antibiotics cannot solve the problem except creating side effect. TCM holds the syndromes as Qi strangnria. In the two recent years, 153 patients have been treated. Randomly they were divided into 103 cases for acupuncture and 50 cases for conventional drugs. Clinical lab. tests were done before and after treatment. Reinforcing Kidney and Warming Yang were the main theatrics for treatment planning.
Methods: Points selected for Group I was CV6 (moxa), CV4, KI12, KI11, ST28, SP6 and KI3. Points selected for Group II were GV4(moxa), BL22, BL23, BL24, BL29, BL35 and BL39. Group I and II were alternated. The drug used was urgenin.
Results: The urodynamic, biochemical and immunologic examinations all proved that the Acupuncture Group were more effective. The short-term effective rate was 88.3% for Acup. and 28% for Drug. The long-term effective rate was 79.1% for Acup.
Conclusion: Acupuncture and moxibustion can improve the syndrome by strengthening the adrenal cortex and lowering the urethral pressure. All these were accomplished after kidney was reinforced and YangQi was warmed.


Clinical Research & Application
Gynecology, Obstetrics & Pediatries

AN OBSERVATION OF USING ACUPUNCTURE AND MOXIBUSTION
ON 8 CASES OF ABNORMAL DELIVERY DUE TO UTERINE DYSTONIA

Hua Ying XIONG
Da Guan Lu #39, Kunming, Yunnam, China.

Aim: 8 cases of abnormal delivery due to uterine dystonia were treated with acupuncture and moxibustion and ear acupuncture.
Methods: (1) 6 out of 8 cases were due to qi and blood deficiency. Zusanli (ST36) and Fulia (KI7) were tonified; Sanyinjiao (SP6) was sedated. Moxa burned on ginger plate was applied to Zhiyin (BL67). If the above method was not effective enough, Vitamin B12 could be injected to ear-acupoints such as: internal genital, kidney, endocrine and parasym pathetic, excessive Vitamin B12 could be injected shallowly into Guanyuan (CV4) and Qihai (CV6). (2) 2 cases were due to Qi and Blood Stagnancy. Hegu (LI4) was tonified and Sanyinjiao (SP6) was sedated. Blood-letting by 3-edged needle was used on Zhiyin (BL67). Ear-acupoints selected were internal genital, liner, endocrine and blood-letting is applied. If the patient felt distention in chest and rib-cage areas, Neiguan (PC6) and Jianjing (GB21) were used.
Conclusion: General observation indicated that the aforesaid methods were effective.


Clinical Research & Application
Gynecology, Obstetrics & Pediatries

BODY POINT ELECTRIC IMPULSION AND POINT MANIPULATION TREATMENT FOR CHILD DIGESTIVE FUNCTIONAL DISTURBANCE

Xiao Li WU, Qiang HAN
Clinic, North Street 21, An De Li, Beijing 100011, China.
Clinic, Gao Jing Jia 32, Shi Jing Shan, Beijing 100042, China.

Aim: The main aim of our research is to treat child digestive functional disturbance with Body Point Electric Impulsion (BPEI) and point manipulation, and to evaluate the effects.
Methods: 140 child patients were treated on the related body point with a model 201 Meridian Therapeutic Instrument to the points of Zhongwan, Weishu, Guanyuan and Sanjiaoshu. After the electric impulsion of twenty to thirty minutes, traditional Chinese herbs of Rhubarb, Chinese yam, yuan hu, in the ratio of 3:1;1 were triturated into paste and put on the point of Chenchueh. The treatment was administered once every three days, and three times were regarded as one course. The control group took 4 to 8 mg of Bellaclowna and 3 to 4 tablets of yeast three times a day, and 5 to 10 mg of Admisodamine once for patients suffering unbearable abdominal pain.
Results: It produces a better result of the improvement of abdominal pain and distention, nausea, vomiting, and dyspepsia, with a total effective rate of 92.3%. Three was a statistical difference between the treatment group and the control group (p<0.01).
Conclusion: Compared with the control group, it is clear that this is a simple and convenient treatment method. It is easy to apply, and has no side effect. Moreover, the child patients are willing to accept this kind of treatment.


Clinical Research & Application
Gynecology, Obstetrics & Pediatries

POINT TREATMENT FOR CHILD RESPIRATORY TRACT INFECTION

Xiao Li WU, Qiang HAN
Clinic, North Street 21, An De Li, Beijing 100011, China.
Clinic, Gao Jing Jia 32, Shi Jing Shan, Beijing 100042, China.

Aim: Respiratory tract infection is a common disease which child patients can suffer severely from it. Here are two doctors who applied the method of point manipulation in treating the child respiratory tract infection.
Methods: Some main points such as Tachui, double Feishu, double Tingchuan and double Kauhuang were selected. Then massage was given to the points until the local skin turned red. The Chinese traditional herb cake was put on the related points. Once every five days, three times were regarded as one course.
Results: The study showed the point manipulation is an effective method, with a total effective rate of 92%.
Conclusion: The operational procedure is simple. The herb is absorbed through the skin. No side effect is detected. It also can avoid the discomfort from medicine taking and injection. Children may accept it without any rejection. We consider the method is effective for the child respiratory tract infection.


Clinical Research & Application
Gynecology, Obstetrics & Pediatries

A CLINICAL OBSERVATION ON 87 CASES OF INFANTILE CEREBRAL PARALYSIS TREATED WITH ACUPUNCTURE

Caihe YE
Department of Acu-moxibustion, First Hospital of Sanming. Sanming, Fujian 365000, China.

As a common pediatric disease, infantile cerebral paralysis cannot be effectively treated so far. The author applied conventional acupuncture, scalp acupuncture and acupoint injection to selected points such as Shuigou, Yintang, Baihui, Fengchi, Neiguan and Sanyinjiao, plus scalp areas such as Motor area, First, Second and Third Language areas, as well as remedies such as placenta extract, injections of Radix Angelica Sinesis, Vitamin B1, for treatment based on differential diagnosis of TCM syndromes. Altogether87 cases of various causes were treated.
Results showed that 31 cases were cured and 26 cases were markedly effective. The author claims that since Shuigou and Baihui points are connected to the brain, they are capable of resurrecting and strengthening the brain when stimulated, while Sanyinjiao is capable of nourishing the kidney and regenerating the marrow. Yintang and Fengchi are capable of calming down evil-wind, dredging the channel, sedating and benefiting the brain. On the other hand, scalp acupuncture regulates the brain functions, and acupoint injection with remedies dredges the vessels, improves the cerebral blood circulation and oxygen supply. Thus, the combination of these methods could make the recovery possible.


Clinical Research & Application
Gynecology, Obstetrics & Pediatries

DEEP NEEDLING TO PISHU AND SHENSHU POINTS WITH ELECTRO-NEEDLES TO TREAT INFANTILE POINTING INTESTINAL PARALYSIS

Yanshou LIU, Defu YANG
Second People's Hospital of Ningxia. Ningxia 756000, China.

Infantile poinsoning intestinal paralysis is also called functional intestinal obstruction. It is mainly caused by the unhealthy stuff jammed inside the body and led to the imbalance of body function, the disorder of electrolyte, and the malfunctioning of the intestine-related nerves and channels. And consequently the kidney is affected and weakened, the spleen is depressed, and the intestine is paralyzed. This is the commonly seen as a fatal state. In the early 80, we noticed that some relative points on the back channels have evident effect of reinforcing the peristalsis of stomach and intestine. Then we analyzed the treatment function of back points and its relation to the distribution of antonomic nerve.
We needled deeply to the Pishu (BL20) and Shenshu (BL23) with low frequent electro pulse needles. All were cured, the curative rate was 100%. We decided that the surprising effect gives credit to the deep-needling to the hub of points that adjust the stomach and intestines. Besides, the dense/spacing wave and intermittent wave of the low frequent pulse current has very good stimulating functions to the nerves and the main and collateral channels, and these help improve intestinal micro circulations. The collaboration of the two points complements each other, and the paralysis of the intestines are quickly released.


Clinical Research & Application
ENT & Ophthalmology

AN OBSERVATION OF CLINICAL CURATIVE EFFECT WITH MENIERE'S SYNDROME BY ACUPUNCTURE AND QIGONG

Bingyu WU, Hua MA
Institute of Traditional Chinese Medicine Kuyshu, Ja pan. Noma 195-1, Okagaki-machi, Onga-gun, Fukuoka 811-42, Japan.
Jinzhou Medical College. China.

Aim: Meniere's syndrome is an endolymphatic edema in the modern medicine. This condition belongs to the category known as vertigo in Traditional Chinese Medicine. The condition was divided into four types, namely: hyperactivity of the liver-yang, deficiency of Qi and blood, deficiency of the kidney-essence, and stagnation of phlegm according to the differentiation of symptoms and signs of Traditional Chinese Medicine. The authors treated 30 cases of Meniere's syndrome with acupuncture and Qigong.
Methods: All 30 cases were collected in Fukuoka and Yamaguchi of Japan during 1988 to 1995. Among them, 15 were male and 15 were female. The average age was 50.2. All the cases of Meniere's syndrome had trias symptoms of vertigo, tinnitus and dysaudia, and all were diagnosed as Meniere's by otolaryngologists. (A) Acupuncture treatment: (1) Expectant treatment: The GV20 acupoint was chosen for acupuncture or moxibustion (3-21 moxa-cone) in the vertigo; the PC6 acupoint was chosen for acupuncture in the vomitus; the SI19, GB2, TE21 and TE17 acupoints were chosen for acupuncture in tinnitus and dysaudia. (2) Causal treatment: The GB34, LR3, LR2, GB43, GB20 and LI4 acupoints were chosen in the hyperactivity of the liver-yang types, and the sedation was used. The G B20, BL17, BL23, ST36 and SP6 acupoints were chosen in the deficiency of Qi and blood, and the tonification was used. The BL23, BL17, SP10, SP9, ST36 and SP6 acupoints were chosen in the deficiency of the kidney-essence, and the tonification was used. The CV12, ST40, ST36 and SP6 acupoints were chosen in the stagnation of phlegm and the tonification or sedation was used according to the deficiency as well as excess and differentiation of symptoms and signs, 3 to 5 points were used each time. The therapy of acupuncture continued for two weeks, afterwards the symptoms were significantly improved. The interval of the treatment was changed from one course per week to one course per month, and continued for one to two years to prevent relapse. (B) Qigong treatment: After the experience of needling sensation by acupuncture applied at the ST36 acupoint, the patients practiced Shadow Qigong. After acupuncture they were taught Wudang Huanghai Qigong and told to practice five times everyday.
Results: 24 cases were cured, while 4 cases were effective, and 2 cases were invalid. The total effective rate was 93.3%. 24 cases were cured in 3 to 14 treatments.
Conclusion: Acupuncture and Qigong improve symptoms and signs of Meniere's syndrome.


Clinical Research & Application
Diagnosis Methods in Acupuncture

EAR ACUPOINTS DIAGNOSIS AND INTELLIGENCE COMPUTER

Qing-Shan LI
Shanghai Market Commercial Street, #2-1, Louyang City, Henan Province, China.

Every normal person's ears (out-line) possess the ability to reflect the diseases throughout the body. Stimulating the acupuncture points on the ears can cure or improve the diseases in the corresponding parts of the body. This is the informational function of the ears.
Li Jia-Qi Intelligent Diagnostic Computer utilizes computer technology and realizes the computerization of the diagnostic system on the ear. The instrument can automatically diagnose various ordinary illness and frequently occurring illness, including diseases of the cardiovascular, digestive, and respiratory systems; blood vessels of the brain; reproductive and urinary systems; limbs movement, neuropsychic systems, and departments of internal medicine, surgical, gynecology, pediatric and five sense organs diseases and tumors. It also has function similar to chemical examination and X-ray examination.
Li Jia-Qi Intelligent Diagnostic Computer has led the modernization of Chinese medicine. After the evaluation of experts, it is believed to have technological superiority over similar products with great breakthrough and creation.
Li's computer has randomly chosen an examined 2313 male and female Chinese and foreigners, aged from 4 months to 92 years old. The diseases were diagnosed in agreement with symptoms. The total correspondence rate is 93.9%.

Clinical Research & Application
Diagnosis Methods in Acupuncture

A CLINICAL STUDY ON MERIDIAN-HOLOGRAPHIC DIAGNOSIS AND THERAPY

Yiqun ZHU1, Xuetai WANG2, Digong CHEN3
1Tsinghua University. East Building 13-4-102, Beijing 100084, China.
2China Academy of Traditional Chinese Medicine.
3Tsinghua University, Department of Engineering Physics.

Aim: According to the biophysical characteristics of Meridian-Microacupuncture and Bio-holographic Systems, the authors applied modern physical technology, realized the noninjurious diagnosis and therapy, and studied its effects.
Methods: The subjects of study were 32 patients who suffered respectively from cardio-cerebrovascular disease, spinal cord injury, immunocompetence reduction, over-ferquency of urination, diabetes mellitus and neurasthenia, etc. The meridian-holographic diagnosis and therapy (MHDT) and some special hygienic foods were adopted, and the therapy was suited to the diseases. Patients' biochemical parameters were inspected periodically with the methods of western medicine, and the efficacy was observed.
Results: The patients' symptoms were overall alleviated, their parameters of hemorheology, cardio-cerebrovascular and immunocompetence took a favorable turn. For example, among the patients with lower immunocompetence, their CD4 rose markedly (p<0.001) and CD4/CD8 rose obviously (0.05>p>0.01) after the treatment.
Conclusion: The MHDT utilizes the comprehensive superiority of Meridian and Bio-holography, applies modern instruments to collect the pathological information, and adopts various non-injurious physical factors as the source of therapy. It is able to regulate organic functions and produce a series of disease-resistant effects. In curing manifold viscera's diseases and improving immunocompetence, the efficacy is obvious.


Clinical Research & Application
Therapeutic Methods & Acupoints

A CLINICAL STUDY ON NON-TRAUMA ELECTRO-ACUPUNCTURE THERAPY

Xiaohong YANG, Jingqing XIA
Wencheng Medical Institute. 4 Xinfeng Lane, Wencheng County, Zhejiang Province, China.

Aim: Through the comparison between the electro-acupuncture therapy and the needle acupuncture therapy, we are going to discuss the possibility of non-trauma electro-acupuncture.
Methods: Patients are divided into two groups. For one group, the electrode of XJQ88A Meridians and Collaterials Therapeutic Apparatus is pressed on the acupuncture point for 25¡­30 MS(frequency: 10¡­150 Hz, general 120 Hz; outputvoltage: 50¡­150 V; current intensity: to the point that patient feel comfortable). For the other groups, the acupuncture point is needled for 25¡­30 MS manually.
Results: Bodypoint acupuncture: In electro-acupuncture therapy group (111 cases), 101 cases shows a good result with a 90.0% effective rate. In needle acupuncture therapy (111 cases), 98 cases receive a good result with 88.9% effective rate.
Auricularpoint acupuncture: In electro-acupuncture therapy group (201 cases), 180 cases receive a good result with a 89.5% effective rate. In needle acupuncture therapy (188 cases), and 171 cases receive a good result with 92.5% effective rate.
Conclusion: We get a statistics result of p>0.05, that is to say, there is no clear difference between the two therapies. Furthermore, it is possible for the electro-acupuncture therapy to replace needle acupuncture therapy, thus to offer theoretic basis for non-trauma acupuncture therapy.

Clinical Research & Application
Therapeutic Methods & Acupoints

A NEW INVESTIGATION ON THE CLINICAL APPLICATION
OF SCALP ACUPUNCTURE IN NEUROLOGY

Xuejian LIN
Xinhai Hospital Affiliated to Shanghai Second Medical University. China.

In this article, the author introduced the experience of applying scalp acupuncture and its newly found stimulation points which improved the curative effect of treating neuropathies. During the treatment, the author used not only the functional local area of cerebral cortex, but also chose the "quiet area" according to the theory of brain function and dynamic change of blood stream.
The quiet area includes: From motor area (anterior to the motor area) and additional motor area. There were 5 needles inserted in front forehead area, 3 needles on internal temporal area and speech formation area. Also selected were vision-connecting area and sound-memory area.
The author chose 229 cases of complete clinical data of neuropathies. These cases have different causitive factors. On comparing the curative effect of newly found areas with that of simple application of scalp stimulation area, the author found the obviously effective rate is raised from 47.32% to 72.5%.
In addition, this article introduced that those cases also have the mental or psychological problems among the aforementioned cases should be accepted psychological induction, and other natural therapies such as massage of manipulation along the meridians and magnetic massage, etc. The patients who have such psychological complications should be cooperative to doctors in order to achieve the satisfactory results.


Clinical Research & Application
Therapeutic Methods & Acupoints

TREATING APOPLECTIC HEMIPLEGIA WITH HEAD ACUPUNCTURE

Ling-jun NING
The Clinic of the Estate Department of the Second Engineering Bureau of the Ministry of Railway. No. 43, 4-2-5 Bei Wiang Zi, Chengdu, Sichuan 610031, China.

One hundred and eight cases are studied for the treatment of apoplectic hemiplegia with head acupuncture. These cases are divided into two groups, one for treatment with normal head acupuncture, and the other for treatment with electric head acupuncture. Observation shows that head acupuncture is very effective for younger patients and less effective for older ones. It is more effective for patients with a short course of disease, less so for those with a longer course of disease, and has no notable effect on those with a course of disease longer than three years. The number of treatments correlates positively with therapeutic effectiveness. There is no notable difference in the total effective rate or the total "highly effective" rate between the normal head acupuncture group and the electric head acupuncture group. For the 180 cases, the therapeutical result is as follows: basically cured for 43 cases (23.9%), highly effective for 32 cases (17.8%), effective for 87% cases (48.3%), and ineffective for 18 cases (10.0%). The total effective rate is 90.0%, and the total "highly effective" rate is 41.7%. Thus, head acupuncture has highly positive therapeutic effect for apoplectic hemiplegia and should be a very good choice for practitioners treating that condition.


Clinical Research & Application
Therapeutic Methods & Acupoints

CLINICAL EXPERIENCE LASER ACUPUNCTURE RADIATION THERAPY
ON 286 CHRONIC PROSTATIC (CP) CASES

Shuhua ZHAO, So OH, Lihua ZHAO, Fei NIU
Norman Bethune University of Medical Sciences, The Third Teaching Hospital. 148 Freedom Road, Changchun, Jilin 130031, China.

Introduction: Although the reports on the treatment of CP are available, the results are still not satisfactory. From May 1987 to 1995, JG-10 Laser Acupuncture Radiation (Group L 386 cases) has been used on patients with CP. The results of this treatment on 80 Chinese cases were compared with 60 cases treated with western medicine.
Methods: In Group L, a 80 §­ light guide fiber was injected into the perineum acupoint vertically 2 cm through a special hollow laser needle, the fiber was kept there for 20 minutes and once a day. One course consisted of 10 times. Warming and invigorating the spleen and kidney method and Norloxacin (NFLX) have been used in Group C and Group W separately.
Results: In Group L, the time of tretment was 3 to 30 minutes on average. 210 (54.4%) cases were completely cured, 164 (42.5%) improved and only 12(3.1%) were ineffective. The total effective rate (TEA) was 96.9%. In Group C Chinese medicine tas taken for 60 days, and the 3 rates mentioned above were 37.5%, 43.7% and 18.6% (TEA 81.2%). In Group W, the treatment lasted for an average of 60 days and the rates were 18.3%, 56.7% and 25.0% (TEA 75.0%). The results in Group were superior than other two groups statistically.
Discussion: Traditional Chinese Medicine (TCM) treatment is useful to treat some chronic disease clinically. It takes time and is inconvenient to patients. Although NFLX has wide antibiogram and easy to be taken, there are some side effects of it. On the basic theory of channels and collaterals, we select the perineum acupoint and use the light, electricity and stimulus from laser fiber to regulate the balance of Yin and Yang, keep the Qi and blood flowing freely in order to treat this disease.
Conclusion: Laser acupuncture radiation therapy has been recognized as a new method. It has some advantages such as higher efficacy and shorter treating course, safe and easy to be used for CP and may be used for other chronic disease.


Clinical Research & Application
Therapeutic Methods & Acupoints

A STUDY ON THE APPLICATION OF THE WHOLISM
IN THE DEPTH NEEDLING IN TRADITIONAL CHINESE MEDICINE

Donglian TAN, Haruki YUTAKA
Acupuncture Division of Beijing Railway General Hospital. China.
Department of Basic Human Sciences, Waseda University.

Through the investigation of classic literature about the depth of needling in traditional Chinese medicine, the authors find that the theory of traditional Chinese medicine implies the concept of wholism, dynamics and differentiation. This concept implicates that the biological, psychological, social and natural model of medicine had guided the medical practice of ancient Chinese doctors. Not only is the depth of needling related to the location and features of the disease, but also is it influenced by the health conditions of the client, his/her temperament and the seasons. It is known that the health conditions and temperament of the client is often influenced and restricted by his/her surroundings (including his/her natural environment and social surrounding). Therefore, whenever conducting a study, we do not need to limit our mind in the factors-oriented micro-level analysis. On the other hand, we should practice a macro-level analysis which takes human beings, nature and society into an organic whole. With regard to the methodology, we should boldly use all successful experiences of others for reference. With the help of a comprehensive approach, the sine qua non of phenomena can be seen from all perspectives.


Clinical Research & Application
Therapeutic Methods & Acupoints

APPLICATION OF ACUPUNCTURE AND MOXIBUSTION IN DIFFICULT CASES

Fang HUA, Jie Yi ZHENG
Shanghai Friendship Hospital. Shanghai 200052, China.
Shangsha Road Local Area Hospital. Shanghai 200003, China.

During our long term of clinical practice, the authors healed a lot of difficult cases in the fields of internal medicine, surgery, gyneclogy and obstetrics, pediatrics and traumalogy diseases with acupuncture and moxibustion. In this paper the authors described the treatment of 7 different kinds of cases.
Case 1: Frequent hiccup. Prescription: Neiguan. Supplementary point: Zusanli, Fenglong, Xingjian, Yongquan and Geshe.
Case 2: Pain in hypochondriac region. Prescription: Zusanli. Supplementary points: Huatuojiaji. Use even movement and retain needles for 20 minutes.
Case 3: Coccyx bedsore. Moxibustion on bedsore.
Case 4: Toothache caused by cervical vertebra hyperlasia. Prescription: Dazhui, Taodao and Xiaguan. Retain needles for 30 minutes.
Case 5: Fetus in abnormal position (8 months old fetus in buttock position). Prescription: Moxibustion on 1 cm between outside of little toe and Yin point. The fetus position became normal after 6 treatments.
Case 6: Theca cyst. Prescription: Ashi points. Insert one needle into the center of the cyst and 4 needles around the border of the cyst in a equal distance.
Case 7: Baby diarrhea. Prescription: Hegu, Zusanli, Dachangshu, Sifeng, Zhongwan and Tianshu. The above cases were all healed after one to several treatments.


Clinical Research & Application
Therapeutic Methods & Acupoints

THE SKILL OF THE GOVERNOR VESSEL POINT ACUPUNCTURE
AND ITS CLINICAL APPLICATION

Xinhua ZHANG
Acupuncture Section, No. 3 the People's Hospital of Chongqing. Chongqing 630014, China.

Aim: Many diseases are difficult to cure be medicine, neither western nor simple Chinese traditional remedy. The author applied Li Yuanfu's acupuncture of unique governor vessel point and studied its effects.
Methods: Take the governor vessel as the base, and combine alternative vessel points according to specific diseases. For example, Dazhui acupunctured with Quchi and Yanglingquan can cure cold, paralysis caused by stroke, and some other strains. Shinggui acupunctured with Chize, Lieque and Kuenluen can cure pulmonary diseases. Zhiyang acupunctured with Leiguan, Zusanli, Sanyinjiao and Taichong can cure liver, gallballder and spleen diseases.
Results: Treating paralysis by stroke, asthma, gastral cavity upset, hepatitis, cholelithiasis, enteritis and gynecological diseases with those methods gained miraculous success.
Conclusion: The governor vessel point is called "sea of positive vessel" and "governing all other positive vessels". Dazhui is combined with hand-foot Shangjang through the governor vessel point to adjust networks of meridians all over the body, mainly to treat cold, sweat and hot. Shengui stimulates the circulation of the blood and benefit for lungs, relieves cough. Shendao relieves uneasiness of body and mind. Zhiyang strengthens spleen and stomach, widens chest. Jinsou gets rid of sweat and strengthens spleen. Minman adjusts kidney and intestines.

Clinical Research & Application
Therapeutic Methods & Acupoints

A NEW SCALP ACUPUNCTURE: BAIHUI SCALP ACUPUNCTURE (BSA)

Ziwei CAI, Lian LIU, Qingyu ZHANG
Dalian Medical University. 465 Zhong Shan Road, Dalian 116023, China.
Heilongjiang Provincial Academy of T.C.M., Harbin 150036, China.

Aim: It is introduced in this paper that a new scalp acupuncture (BSA) is developed on the discovery of the special lines of feeling conduction to Baihui (Baihui Feeling Conduction Lines: BFCL), and the curative effects of BSA were observed.
Methods: BFCL on the two cases were studied using capillary needles to excite the feeling conduction. The method of BSA is to needle the different areas of BFCL on the top of the head.
Results: (1) First, all of BFCL are parelled lines which travel from the four limbs to the point of Baihui in the nearly shortest distance. The distribution of BFCL on the right and left parts of the body shows symmetry, and the axis of symmetry is Du and Ren channels. Third, BFCL on the Yin parts of the four limbs travel along the Yin part of the body to Baihui, BFCL on the Yang parts of the four limbs travel along the Yang part of the body to Baihui. According to 12 Channels "Baihui Twelve Channels Areas: (BTCA)" were divided on the whole body. (2) 267 cases with pain were treated in using BSA. The total effective rate is 82%.
Conclusion: (1) The phenomenon of BFCL is worthy to be studied. (2) BSA is useful for treatment of diseases, and easy to learn.


Clinical Research & Application
Therapeutic Methods & Acupoints

THE SACRED-TORTOISE (ST) METHOD AND MIDDAY-MIDNIGHT CIRCULATION
(MMC) METHOD FOR THE TREATMENT OF 89 CASES
SUFFERED FROM 20 KINDS OF DISEASES

Huiyou ZHOU
People's Hospital. Yingshan Country, Hubei 436100, China.

As 2 kinds of TCM therapy emphasizing the chronologic factor with an extensive indications, ST and MMC methods had been applied for treating 89 cases of 20 kinds of ailment, including cerebral hemorrhage, periarthritis of shoulder joint, sprain of ankle joint: "Juchi" manipulation and "Manipulation along or against the channel" for invigorating or reducing were applied.
All cases were divided into 3 groups, i.e. ST group, MMC group and ST-MMC group; each of which was further divided into 3 subgroups, viz. open-point on time (OP), open-point on time based on differentiated syndromes (OPDS), point-recipe by open-point on time (PROP). Of the 89 cases, 59 were cured, 21 markedly effective, 4 ameliorated, 5 ineffective. The total effective rate was 94.3%.
Case example: Hu, a female of 41 years old, was diagnosed as acute attack of bronchial asthma. She received aminophyllin and ephedrine tablets to one avail, nor penicillin and hydro-cortison venous drip yielded any effect. She was given oxygen and referred to our hospital late at night in Sept. 1988, for emergent treatment. PE. short breath with sawing sound, cyanotic lips. Impression was status asthmaticus. She was treated in the OP subgroup of ST-MMC group. Zaohai associated with Lieque were punctured. Open-point by MMT therapy at Yangfu on 1:00 AM was administered with invigorating and reducing manipulated separately. Asthma was markedly relieved 10 minutes later, lips became red. Oxygen inhalation was suspended. The needle was retained for 25 minutes, 5 sessions of puncturing were given. She was thus cured with no relapse when followed-up for 1/2 year.


Clinical Research & Application
Therapeutic Methods & Acupoints

THE THREE-DIMENSIONAL LOCATIONS OF THE CHANNELS,
COLLATERALS AND HOLOGRAPHY POINTS

Minghua CAI
Acupuncture and Massage Department, Zhejiang College of Traditional Chinese Medicine.
China.

1. Professor Zhang Yingqing, who founded the theory of bioholography, suggests that the biological specific properties of biologic components are similar to that of the whole body. The components including information of the entirety are regarded as epitome of the whole. Furthermore, Zhang points out a one-dimensional point (in a line) system and his theory is not contrary to the theory of Channels and Collaterals in TCM.
2. The channels and collaterals are the stretch and longitudinal track of the internal organs on the body surface, which is composed of colony of similar cells. The channels and collaterals pertain to the Zang-Fu organs interiorly and extend to the extremities and joints exteriorly. They have a three-dimensional location connecting to the information of the whole body.
3. The points of the bioholography information (holography point) arranged by Zhang on the side of limbs according to the order of the information in the body to not express the three-dimensional characteristics of the information in the whole body. Therefore, I think the ends of channels on the section where the limbs are intersected on the basis of the one-dimensional order of information have a three-dimensional location in accordance with the distribution of channels. A better curative effect will be obtained through puncturing holography points.
4. We can find out the acupoints with specific effects according to the holography point distribution in three dimensions, for example, Neiguan (P6) for cardiac pain and palpitation, Sanyinjiao (SP6) for abdominal distention and irregular menstruation, etc. These acupoints correspond with the holography points of heart and low abdomen for treating those disease. We will know the different functions of the acupoints on the same channels and seek out the so-called "experience-point". The acupoint system of TCM is one part of the holography point system.


Clinical Research & Application
Therapeutic Methods & Acupoints

A NEW SCALP ACUPUNCTURE: BAIHUI SCALP ACUPUNCTURE

Ziwei CAI1, Lian LIU2, Qingyu ZHANG2
1Dalian Medical University. Daliam, China.
2Heilongjinag Provincial Academy of TCM.

Two cases with feeling conduction from wrists to Baihui were during the research of needle manipulation. First, the distribution of the feeling conduction lines on the right and left parts of the body shows a symmetry about Du and Ren channels. Second, on the head and neck, Yin channel conduction distributes from the nose to ear in the order of Shaoyin, Jueyin and Taiyin; Yang channel conduction distributes from the ear to Du channel in the order of Yangming, Shaoyang and Taiyang. Third, on the four limbs and truck, Yin channel conduction distributes on the front parts and Yin parts; Yang channel conduction distributes on the back and Yang parts. The order of Yin and Yang channel conduction is the same as the order on the head and neck. According to the special lines of the feeling conduction of the Twelve channels, "Baihui Twelve Channels Areas"(BTCA) were determined. Then, we tried to apply this new theory to treat diseases by acupuncture on the head part of BTCA, and got a good result. We call the new scalp acupuncture therapy "Baihui Scalp Acupuncture"(BSA). 267 cases with pain were treated with BSA. The total effective rate was about 80%. The manipulation of BSA is same as the manipulation of scalp acupuncture. The needle is inserted outwards on the head areas along the channel lines of BTCA, but the inserting direction of needle can be adjusted. BSA is useful for the treatment of a wide variety of diseases. It is easy to learn.


Clinical Research & Application
Therapeutic Methods & Acupoints

THE STUDY ON THE AGED IMMUNE FUNCTION EFFECT OF MOXIBUSTION
ON SHENQUE(CV8)

Hui LI, Fengling WANG, Zhenxiou WEI, Rong ZHAO
Institute of Acupuncture of China Academy of Traditional Chinese Medicine. Beijing 100700, China.

Aim: The study was undertaken to probe into enhancing the aged immune function, for the purpose of anti-senility and prolong life with moxibustion on Shenque(CV8).
Methods: 93 aged people were randomly divided into 2 group: an observation group(54 cases with moxibustion and taking medicine) and a control group(39 cases taking medicine). Observation group: A part of (1/4) moxa stick was put into a moxibustion device on Shenque (CV8), 30 minutes each time, once a day, 2 months in total. At the same time, took co-vitamin, 2 capsules per time, 3 times a day. Control group: took co-vitamin in the same way. Before and after the observation, both groups were tested to evaluate T-cell and subgroup (CD2, CD4, CD8, and CD4/CD8 ratio) as well as contents of serum IgG and IgA.
Results: (1) T-cell and subgroup: In the observation group, CD2, CD4, increased substantially(p<0.001, p<0.05), CD8 decreased (p>0.05); CD4/CD8 ratio rose consequently. There were no obvious changes of CD2, CD4, and CD8 in the control group (p>0.05, p>0.05) and p>0.05). A significant difference of increase of CD4/CD8 was shown between the observation group and the control group (p<0.001). (2) Contents of serum IgG and IgA: Among most cases of the observation group before moxibustion, IgG remained normal range. Only 7 cases were low; 2 cases were low in the control group. There was no statistical significance. 24 cases IgA in the observation group were low before moxibustion. 8 cases of them returned to normal. There was a significant difference between pro-treatment and post-treatment (p<0.001). No statistical diversity was shown in the control group.
Conclusion: The result of this study indicates that moxibustion on Shenque (CV8) can enhance the functions of humoral immunity and cellular immunity. Furthermore, this study suggests that the therapy might have the effect of anti-senility and prolong life.

Clinical Research & Application
Therapeutic Methods & Acupoints

A CLINICAL APPLICATION AND RESEARCH ON HEALTH CARE IN THE AGED
BY MAGNETIC OVIOD-TIP NEEDLE AND BONE-STRENGTHEN CAPSULE

Jian-Bang ZHANG, Qiu-Fang ZHOU, David P.J. HUNG
Jinye Osteotrauma Acupuncture Hospital. 113 West Shenli Street, Taiyuan, Shanxi
Province, China.

Aim: Everyone will be in the senile period after 60 years old, and his/her body organs will have retrogressive problems. The authors applied the method of magnetic ovoid-tip needle percussion and slippery massage in the meridian area combined Bone-Strengthen Capsule to treat the senile retrograde affection.
Methods: 115 cases, including 55 males and 60 females, were all over 60 years old and treated by the method of magnetic ovoid-tip needle percussion and slippery massage in the meridian area combined with oral Bone-Strengthen Capsule. The authors also established same cases control group in which the patients accepted the regular filiform needle acupuncture combined with oral calcium tablet. The points of percussion were selected as follows: (1) Scalp area: Motor Zone, Sensory Zone, Foot Motor-Sensory Zone, GV20, GV16, GV15, Slippery massage added; (2)Auricular surface: Occipital, Forehead, Brain, Shenmen; (3) Body acupoints: ST12, LI11, LI4, TE5, GB30, GB34, ST36, KI1. All the above-selected points were treated one hour each time daily for two months. The Bone Strengthen Capsule was orally administrated 200 mg each time, three times every day. The points in the control group were the same as the treatment group but by filiform needle acupuncture with same treating time and treatment course. The calcium tablet was orally administrated 0.5 gram each time, t.i.d., in the control group.
Results: The effect evaluation criteria is set as: Excellent ¡ªwalking is much better than before the treatment and the muscle-skeleton and joint pain alleviate obviously or disappears as well as the psychological situation impoves; Good¡ªwalking is better than before and the muscle-skeleton and joint pain alleviates as well as psychological situation improves; Ineffective ¡ª the symptoms and signs are the same as before. The authors found that in the treatment group, 98 cases (85.2%) indicated excellent effect, 17 cases (14.8%) being good effect and in control group, 39 cases (33.9%) indicated excellent effect, 67 cases (58.2%) being good effect and 9 cases (7.9%) were ineffective.
Conclusion: The results showed that much difference between the efficacy of the treatment group and the control group which indicated that the therapy in the treatment group has an obvious effect in the treatment and health care for the senile retrogressive syndrome principled with osteoporosis. The therapy can be popularized because of being an easy, safe and effective method without any side effect.


Clinical Research & Application
Therapeutic Methods & Acupoints

THE STUDIES ON THE AIR CONDUCTION OF ACUPUNCTURE THERAPY
IN MERIDIAN

Yuanyuan KONG
Tianjin Institute of Medical and Pharmaceutical Science. No. 96 Guizhou Road, Heping District, China.

Aim: The air conduction is one of the important acupuncture method in "Neijing". In clinical experiments, it is observed that when the sense of obtaining air by acupuncture is appeared in the focus of infection and in the deep/shallow tissue around the focus, the pain symptoms are relaxed or cleared up. We name that the directing follow regularity of acupuncture effects transferring from strong stimulated point to weak stimulated point is "Directed Scatter Conduction". On the basis of the regularity above, we set up the chain operation of air conducting by regulating the conduction of controlling air using stronger, middle and weaker acupuncture therapy.
Methods: (1) Stimulating two points, stronger and weaker stimulation simultaneously. According to the law of "Directed Scatter Conduction", the frequency of raising, pressing, twisting and turning of strong stimulating is above six times per minute, and that of weak stimulation is below six times per minute. (2) Turning on one by one, united connection. After appearing of sense conduction in meridian from A to B, B to C, and C to D, respectively, inducted by enriching and pouring out simultaneously, the A and D acupoints were stimulated to make the sense conduction in meridian from A to B, B to C, C to D and D to A circulatively. (3) The strength, speed and width of sense conduction in meridian are related to the strength, speed, location and square of the stimulation. (4) The regulating of activation and inhibition. The strong and fast sense conduction in meridian could lead to inhibition situation. The weak and slow sense conduction in meridian could decrease or clear up the inhibition situation.
Conclusion: The air conduction phenomenon inducted by acupuncture were emphasized by ancient and modern acupuncturist all along. According to the demand of prevention and treatment of different focus, the "Air Conduction" acupuncture could activate the sense conduction in meridian and transfer the air to the focus to result in rapidly special effects.

Experimental Research
Mechanisms of Acupuncture Analgesia

THE SPECIFICITY AND EXTENSIVENESS OF ANALGESIA OF
ELECTRO-ACUPUNCTURE AT ACUPOINT AND THEIR NEURAL MECHANISM

X. LIU, W.D. XU, X.L. HE, B. ZHU, S.X. ZHANG
Institute of Acupuncture and Moxibustion, China Academy of Traditional Chinese Medicine.
Beijing 100700, China.

Aim: To study the relationship between the acupoint specificity and the electro-acupuncture (EA) intensity, and their central mechanisms. A series of research work has been done.
Methods: The nociceptive responses of convergent neuron in trigeminal nucleus naudalis (TNC) and spinal (T12-L1) dorsal horn (DH) to noxious stimulation at corresponding receptive field (check or hind paw) of rats were recorded extracellurarly with glass microelectrodes. The analgesic effects of EA at Xiaguan (ST7) and Zusanli (ST36) with low (2 V) or high (18 V) intensity were observed.
Results: The low intensity (2 V) EA at Xiaguan could inhibit the nociceptive responses of convergent neurons in TNC, but not in DH, 2-V EA at Zusanli could inhibit the nociceptive responses of convergent neurons in DH, but not in TNC, exhibiting analgesic specificity of acupoint. The results showed that the analgesia of 2-V EA was produced only by needling the acupoints located at the same or near the spinal segment with the nociceptive field. The high intensity (18 V) over the threshold of C fibers EA was applied at Xiaguan or Zusanli, the nociceptive responses of neurons in either TNC or DH were obviously inhibited. It indicates the extensiveness of acupuncture analgesia. The analgesia could be also produced by high intensity (18 V) EA at the points far from the nociceptive field. After lesion of the NRM, a supraspinal nucleus with the negative feedback modulating pain function, the extensive analgesia of 18-V EA disappeared and the specific analgesia of 2-V and 18-V EA at near acupoint was still persisted.
Discussion and Conclusion: (1) The analgesic effect of low intensity EA possess the specificity of acupoints. (2) The analgesia effect of high intensity EA(noxious stimulation) possess the extensiveness of acupoints. (3) The acupoint specificity of 2-V EA analgesia may be related to the spinal mechanisms due to exciting I, II, and III afferent fivers in acupoint, and the analgesic extensiveness of 18-V EA may be realized by exciting III and IV fibers and related to supraspinal negative feedback modulating pain mechanisms.

Experimental Research
Mechanisms of Acupuncture Analgesia

THE INFLUENCE OF CUTANEOUS CUTTING THROUGH MERIDIAN
ON THE ANALGESIC EFFECT OF ACUPUNCTURE

Jing Yi ZHANG, Jing Yu FAN, Le SHEN, Xu LIU
Department of Biophysics, Beijing Medical University. Beijing 100083, China.

Acupuncture at Zusanli (ST36) of rats had an evident effect of increasing the pain threshold. Taking it as an animal model, we made a further study on the correlation between the intercellular communication of epidermis and the information transfer of acupuncture. It was discovered that the analgesic effect of acupuncture at Zusanli may be blocked by cutaneous cutting on the stomach channel, while the cutaneous cutting outside the stomach channel did not express this inhibitory action. As the cutaneous cuttings did not exceed the shallow fascia, they could not hurt or damage the deep nerve trunk and the circulatory passage of the blood vessel or the lymph vessel. Therefore, the result indicated that, on the condition of our experiment, the pathway of acupunctural information may have no relation to the structures mentioned above, but existed in the skin. The loss of its connectivity may lead to the inhibiton of the acupunctural effect. The continuation of the skin along the meridian is the premise of information transfer of acupuncture.
According to our previous results, it was suggested that the blockage of acupunctural information may come from the discontinuation of the intercellular communication compartment in epidermis due to cutaneous cutting. To test this hypothesis, we fulfilled the cut with BSS A, a solution with similar Ca2+ concentration to that of intracellular liquid, to re-establish junctional communication. In agreement with our speculation, the transmission of acupunctural information was restituted. While BSS B, a solution with similar Ca2+ concentration to that of intercellular liquid, was used as a substitute, no such effect was observed. The result presented here supports our hypothesis.


Experimental Research
Mechanisms of Acupuncture Analgesia

THE EVIDENCE OF ANGIOTENSIN II INVOLVED IN THE CENTRAL MODULATION OF ELECTROACUPUNCTURE ANALGESIA

Peijun ZENG1, Jianhong WEN2, Kamal AMEIL3, Rongjin LOU3
1Guangdong Research Institute of Sport Science. China.
2Hong Kong Auricular Acupuncture Association. Hong Kong.
3Guangzhou University of Traditional Chinese Medicine. China.

Aim: To demonstrate the central role of Angiotensin II and opiate peptide in electroacupuncture analgesia, this research work was initiated.
Methods: Captopril, a specialized inhibitor of angiotensin invertase, was injected into the subarachnoid cavity and bilateral ventricle of Wistar rats in the experiment.
Results: (1) Significant long-term analgesia was produced by the injection of Captopril. (2) Electroacupuncture with alternative frequency of 2¡­15 Hz in Zusanli and Sanyinjiao points for 30 minutes could produce analgesia. (3) The electroacupuncture analgesic effect could be strengthened by Captopril. (4) The analgesic effect produced by either Captopril or electroacupuncture or the synergistic analegia could be partially blocked by naloxone.
Conclusion: Captopril could lead to analgesia at the level of spinal cord and brain by decreasing the concentration of central anagiotensin II, and that it might be the result of releasing opiate peptide. It also suggested that the central angiotensin II modulated the antagonistic process of electroacupuncture analegesia.


Experimental Research
Mechanisms of Acupuncture Analgesia

THE INVOL VEMENT OF OPIOID PEPTIDE IN CORTICOFUGAL MODULATION OF PfNEURONS IN ACUPUNCTURE ANALGESIA

Xin ZHENG, Zhengqiu CHEN, Hong SHI, Guoji WU, Wei XU
Institute of Acupuncture and Moxibustion, China Academy of Traditional Chinese Medicine.
Beijing 100700, China.

Aim: Previous studies have suggested that cortical sensorymotor area I (SmI) was involved in desending modulation of the effect of electroacupuncture (EA) on Pf neurons. The objective of this study were to further determine the cortical neurotransmitters involved in the desending modulation in acupuncture analgesia.
Methods: Five-barreled glass microelectrodes were used for single cell recording and drug application in wister rats. The effects of EA applied at Zusanli (ST36) and Huantiao (GB30) points on nociceptive responses of Pf neurons before and after lesion of SmI, influences of iontophoretic morphine (26.6 mM, pH=4.7) and NaCl (0.09%, pH=4.2) on the nociceptive responses after lesion of SmI were observed.
Results: (1) The nociceptive responses of Pf neurons were obviously inhibited by EA before lesion of SmI (n=12, p<0.05). The spontaneous discharges of Pf neurons were not statistically changed (n=11, p>0.05), but the inhibitory effect of EA was markedly attenuated (n=8, p<0.05) after lesion SmI. (2) The nociceptive responses of Pf neurons were obviously suppressed during the first 8 minutes after iontophoretic morphine (n=11, p<0.05) in the rats with SmI lesion, there was a statistical difference compared with the saline control group (n=11) and it was similar to the effect of EA on the nociceptive responses of Pf neurons in the intact rats.
Conclusion: This study suggests that opioid peptides may be considered as one of the neurotransmitters involved in corticofugal modulation in acupuncture anagesia.


Experimental Research
Meridians & Acupoints

THE TOPOGRAPHICAL MAPPING OF CORTICAL SOMATOSENSORY
EVOKED POTENTIALS DURING THE ADVANCE OF
THE PROPAGATED SENSATION ALONG MERIDIANS

Baohua WU1, Xianglong HU1, Jinsen XU1, Guangyin YAN1, Baojiao LI2, Laixing LI2,
Jie CHEN2, Lin CHEN2
1Fujian Institute of Traditional Chinese Medicine. 282 Wu Si Road, Fuzhou 350003, China.
2Fujian Provincial Hospital. Fuzhou 350001, China.

Aim: In order to explore on the mechanism underlying the formation of the propagated sensation along meridian (PSM), we used the topographical technique to investigate the characteristics of the functional activity of the primary cortical samotosensory area (S1) during the advance of PSM.
Methods: SEPs were recorded simultaneously from a rectangular array of 15 electrodes, which arranged in the SI contralateral to the stimulated side. The acupoints Jiaxi (GB43), Guangming (GB37) or Hegu (LI4) were selected for stimulation. Sixteen volunteers with marked PSM were under observation and 16 subjects without PSM were taken as control.
Results: The intensive responses of C4-C5 components appeared simultaneously in both foot and face areas in most subjects with PSM during the stimulation of Jiaxi (GB43) or Guangming (GB37), while no conspicuous response could be seen in the hand area, located between the two. However, the response was confined to the foot area of S1 in subjects without marked PSM when the similar stimulation was given. The different response could also be seen when Hegu (LI4) was stimulated. The response usually limited in the hand representation of those subjects without PSM and seldom intruded into its neighboring area, while more larger areas are involved in the response of those subjects with marked PSM, which usually extended to the facial representation.
Conclusion: The feature of SEP topography in subjects with marked PSM coincided with the sequence of body regions which PSM traveled through. The particular traveling course of PSM could not be interpreted by "spreading of excitation in CNS". On the contrary, the results support the supposition that "the activation in sequence in periphery" is the determinant for the formation of PSM.

Experimental Research
Meridians & Acupoints

A PRELIMINARY OBSERVATION OF THE CORRELATIVITY OF
MICROVASCULAR BLOOD PERFUSION BETWEEN ACUPOINTS IN HUMAN BODY

Weibo ZHANG, Fengyuan ZHUANG, Yuan FENG, Xiang MU
China Academy of Traditional Chinese Medicine. Beixincang 18, Dongzhimennei, Beijing 100700, China.
Institute of Acupuncture & Moxibustion.

Aim: The meridian line on acupuncture chart means that the acupoints on the line have certain correlativity and belong to one meridian. To examine the correlativity, we measured the microvascular blood perfusion(MVBP) on and outside acupoints and calculated the correlation coefficient (CC).
Methods: The MVBP on Jianshi (PC5), Quze (PC3) and outside Quze were measured synchronically by a ALF-21 mono-channel MVBP instrument and a Periflux double-channels MVBP instrument on eleven arms of health people. The analog output from the instruments were transformed to digital form and sent to a computer to calculate the CC.
Results: The result showed that the mean CC's between Jianshi and Quze and between Jianshi and outside Quze are 0.37 (SD=0.32) and 0.16 (SD=0.21) respectively, and they have a significant difference (p<0.05).
Conclusion: It preliminarily illustrated that the MVBP on the acupoints located on the same meridian has a relatively stronger correlativity.

Experimental Research
Meridians & Acupoints

A COMPUTER SYSTEM OF THE MODEL OF HUMAN BODY
SHOWING MERIDIANS AND ACUPOINTS

Huayuan YANG
Shanghai Research Institute of Acupuncture & Meridian. 650 South Wanping Road, Shanghai, China.
This system uses a single chip computer control and driver circuit to control the LED matrix, which distributed on the model of a human body showing meridians and acupoints, to light the LED located at relative acupoint. The single chip computer can run independently to achieve some basic displaying function, as well as it has been controlled by main computer through serial communication. It can show certain courses of meridians and certain location of acupoints with arbitrarily appointed mode by program. The software can index recipes of curing common diseases, show relative acupoints on the model of human body, index some information of the acupoints, and other functions.
By means of main-computer dialogue, this system can demonstrate the distribution of acupoints and the course of the 14 of the 316 acupoints and treating ways of common diseases, and then type the prescriptions by a printer. Besides, the system has the function for inquiry and index, which can provide references for selecting acupoints by giving the exact location of acupoints and displaying in on the model of a human body.

Experimental Research
Meridians & Acupoints

A DYNAMIC OBSERVATION ON THE CHANGE OF CAPACITY OF GASTRIC ANTRUM UNDER NEEDLING DIFFERENT ACUPOINTS OF FOOT YANGMING MERIDIAN IN HUMAN BODY

Jie YAN, Xiaorong CHANG, Jingyue ZANG, Kelin LI, Huiyu XU, Yaping LIN, Shouxiang YI Hunan College of T.C.M. Changsha 410007, China.

This study is to probe into the interrelations between foot Yangming meridian and stomach.
The channel points, such as Sibai, Tienshu, Zusanli, Shangjuxu and Neiting were chosen in this work. The change of the capacity of gastric antrum was dynamically observed under the B ultrasonoscope which was caused by respectively needling the five points and the contrast points on both the right and left sides.
The results showed that needling Sibai, Zusanli and Neiting could enlarge the diameter between the upper and the lower as well as the diameter between the anterior and the posterior (p<0.01 or 0.05); needling Tienshu only could obviously change the diameter between the upper and the lower but could not change the diameter between the anterior and the posterior; and the change was not very clear when the contrast points and Shangjuxu were stimulated. The data were analyzed by the analysis of variance and the results prominently reflected that the change made by needling the channel points was much higher than that by non-channel points. The values of the diameters between the upper and the lower and between the anterior and the posterior, which were obtained before and after the five channel points and their contrast points were needled, separately added together to represent the "channel line" and its right and left contrast lines. The t-test and the analysis of variance were taken, and the results proved that the diameter between the upper and the lower and the diameter between the anterior and the posterior of gastric antrum were markedly increased only as the "channel line" was stimulated.
The modern computer techniques were used in the Zusanli group. The areas of the irregular images of gastric antrum were accurately calculated with the method of accumulated areas. It provided a reliable and objective means for the study.


Experimental Research
Meridians & Acupoints

A DYNAMIC OBSERVATION ON THE CHANGE OF THE CAPACITY OF
GASTRIC ANTRUM UNDER NEEDLING DIFFERENT ACUPOINTS OF
FOOT YANGMING MERIDIAN

Jie YAN, Xiaorong CHANG, Jingyne ZANG, Kelin LI, Huiyu XU, Yaping LIN, Shouxiang YI Hunan College of TCM. Changsha 410007, China.

Aim: This study is to probe into the interrelations between foot Yanqming meridian and stomach.
Methods: The channel points, such as Szupai, T'enshu, Tsusanti, Shangjuxu and Neit'ing were chosen in this work. The change of the capacity of gastric antrum was dynamically observed under the B ultrasonoscope which was caused by respectively needling the five points and the contrast points on both the right and left sides 1 to 2 cm away from them.
Results: Needling Szupai, Tsusanti and Neit'ing could enlarge the diameter between upper and lower and the diameter between anterior and posterior(p<0.01 or 0.05); needling T'ienshu only could obviously change the diameter between upper and lower but could not change the diameter between anterior and posterior; and the change was not very clear while the contrast points and Shangjuxu were stimulated. The data were analyzed by the analysis of variance and the results prominently reflected that the change made by needling the channel points was much higher than that by non-channel points. The values of the diameters between five channel points and their contrast points were needled, separately added together to represent the "channel line" and its right and left contrast lines. The test and analysis of variance were taken, and the results revealed that the diameter between upper and lower and the diameter between anterior and posterior of gastric antrum were markedly increased only as the "channel line" was stimulated.
Conclusion: The modern computer techniques were used in the Tsusanti group. The areas of the irregular images of gastric antrum were accurately calculated with the method of Accumulated areas. It provided reliable and objective means for the study.

Experimental Research
Meridians & Acupoints

NEUROBIOLOGICAL EVIDENCE FOR THE MERIDIAN SYSTEM

Yi-Kuan XIE, Hui-qing LI, Zheng ZHENG
Peking Union Medical College, Chinese Academy of Medical Sciences. Beijing 100005, China.

Aim: Up to now, no one knows what is a meridian system and how to explain the propagation of the needle sensation along the meridian pathway. The authors attempt to find the mechanism of the meridian phenomena with neurophysiological and histochemical techniques in both rat and cat.
Methods: Afferent and efferent activities of peripheral nerve fibers which innervated meridian points were recorded. A comparison between responses of the nerve fibers to electric stimuli of homonymous or heterodromous meridian points was made. A morphological study was carried out to trace neuro-anatomical arrangements between the labeled motor neurons supplying homonymous meridian points with CB-HRP retrograde histochemical technique. Moreover, the connection between the labeled neurons was observed.
Results: Responses of afferent and efferent fibers innervating meridian points demonstrated that most, but not all, of alpha motor neurons supplying the muscle group of a given meridian were selectively activated by afferent inputs originating not only from homonymous or heterodromous, synergistic muscle group, but also from the skin overlying the muscle group included in a given meridian. However, the afferent inputs from the heterodromous meridian had very weak or no effect. On the other hand, the labeled motor neurons supplying a given meridian muscles formed a discrete longitudinal column with a definite bound in the ventral horn of spinal cord. There were oriented dendro-dendristes projections between labeled motor neurons.
Conclusion: The characters of both selective responses of the motor neurons to afferent inputs from the homonymous meridian and their oriented neuron dendro-dendristes connections in the spinal cord offer neurobiological evidence for the meridian phenomenon. Therefore, meridian phenomena should be a functional activity occurring in the spinal neurons by a specialized input-output-input circuit.

Experimental Research
Meridians & Acupoints

STUDIES ON BIOELECTRICITY OF CHANNELS AND COLLATERALS

G. Hsi YOUNG
Guangzhou, China.

Using the first lead of electrocardiography to detect the bioelectricity of the system of channels and collaterals, we objectively confirmed the existence of the system, and found its material basis. The search also showed that electric resistance of the skin changed with the midnight-noon ebb flow. This research also involved the studies of the positive rate of channel electricity, and the specialty and commonality of channels and branches, and so on.
Using the modern equipment of electrocardiography to detect the bioelectricity of the whole system of channels and collaterals is an important breakthrough. The achievement was highly evaluated by a group of experts organized by the Guangdong provincial Bureau of Traditional Chinese Medicine.


Experimental Research
Meridians & Acupoints

RELATIONS OF CHANNELS AND COLLATERALS AND GENE CONTROL SYSTEM

Jingqing XIA
Wencheng Medical Institute. 4 Xinfeng Lane, Wencheng County, Zhejiang Province, China.

Aim: Using gene studies to discuss the phenomenon of channels and collaterals.
Topic: By means of code on molecule of DNA, the information of organism may be generated. Every cell has its special gene, but only 10% gene of differential cells express activity while others close. Among some of lower-grade organisms, leech, for example, once partial cells of it part from the body, it may differentiate into a new individual because of the close gene being activated.
The distribution of acupoints of the human body such as points of acupuncture, foot acu-therapy, nose acu-therapy is just in accordance with this orthogenetic principle. It is a recapitulation, meaning, a miniature representation of the whole body, So, the author holds that the channels and collaterals are a kind of macro-control structure of the colony of the genetic substance.
Reasons: (1) It may explain the distribution of acupoints like an epitome of the whole body, and pulse-taking, face-inspection may diagnose the diseases of the whole body too. (2) The gene is a general substance of all tissues of the body, and it may also explain existence of the channels and collaterals in function with no morphology, and some measurably physic character. (3) Many tests had been done to confirm the existence of macro-control structure of gene. The author thinks that it is in accordance with character of the channels and collaterals which is effective in treating diseases far from the affected part. (4) The history of biological evolution showed that epidermal and pararectal respiratory organ could substitute for the respiratory function of lungs in some lower-grade organisms, and this may explain why the lung is in charge of the skin, the lungs and the large intestine is exterior-interiorly related. (5) Not merely animals have gene, but plants too, and it was confirmed by the existence of meridian in plants. (6) As a result of the literature research, the ancient theory of channels an collaterals had corresponding one-pare-position gene determine hereditary character. So the author thinks that the hypothesis is a development and improvement of that ancient theory of channels and collaterals.
Results: Using gene studies can describe the channels and collaterals phenomenon comprehensively.
Conclusion: Channels and collaterals may be a kind of macro-control structure of the colony of the genetic substance.


Experimental Research
Meridians & Acupoints

FURTHER INVESTIGATION ON THE DISPLAYING OF
INFRARED RADIANT TRACK ALONG MERIDIAN

Xianglong HU, Paiqing WANG, Baohua WU, Jinsen XU
Fujian Institute of Traditional Chinese Medicine. 282, Wu-Si Road, Fushou 350003, China.

Aim: The infrared radiant track along meridian (IRRTM) over human body surface was figuratively displayed in our lab in 1993. The results were deeply concerned by the researchers in China and abroad. Lately, we further investigated the problem. Some new results are reported as follows.
Methods: A thermal tracer of high-quality was used. During the measurement, both the all-thermal displaying image and the iso-thermal displaying image were taken and compared. Video recording was also taken in a part of the subjects under observation.
Results: (1) IRRTM appeared along all the fourteen meridian courses in various degrees. (2) IRRTM could be seen on both pictures of the all-thermal image and the iso-thermal image and coincided each other. It means that the results of the observation were reliable. (3) The particular feature of the skin temperature was the basis of formation of IRRTM. Without this basis, no IRRTM could be observed. (4) The skin temperature showed a very complicated feature and it could not be simply explained from the viewpoint of thermal conduction. (5) Stimulating the acupoint elicited the dynamic changes of IRRTM along the corresponding meridian. (6) As for the displaying of the meridian course, the all-thermal displaying method and the iso-thermal displaying method have the their own advantage. The real feature of the skin temperature could be displayed on the all-thermal image. However, under the iso-thermal displaying conditions, not only the IRRTM could be displayed more prominently, its dynamic process was also shown more clearly. It stands to reason that the combination of the above two displaying methods would be more advantageous to the in-depth investigation of this problem.
Conclusion: The results of the observation on 100 volunteers further demonstrate that IRRTM is really a biological phenomenon relating to the functional regulation of human body. Under proper conditions, the classical meridian courses can be figuratively displayed with the thermal imaging system. It is significant to the investigation of the meridian.


Experimental Research
Immunity & Neuroendocrine Effect

THE EFFECT OF LONG SNAKE MOXIBUSTION ON IMMUNITY FUNCTION

Yuewei ZHU, Jiaquan SHEN, Jiakang FU, Xiaoping LIN, Ruijun YU, Jian WANG
Acupuncture Hospital. Hangzhou City, 310003, China.

In order to find out the functional mechanism of the long snake moxibustion, 82 cases of rheumatoid arthritis have been treated for the observation of dynamic changes of the immunity function before and after the treatment. The results show that this treatment can raise the hemoglobin, reduce blood sedimentation, improve the turning of rheumatoid arthritis factor to negative, improve the lymphocyte and E rosette forming rate, complement C3 and regulate the immunoglobuliin, and improve the liver function of some of the patients. This has proved that the treatment can influence the body immunity, improve the cell and fluid immunity. It indicates that the long snake moxibustion has a wide application in the treatment of immunity diseases.


Experimental Research
Immunity & Neuroendocrine Effect

THE EFFECT OF MOXIBUSTION OF THE CHANGES OF 5-HT
AND IMMUNE FUNCTION OF RAT INFECTED WITH EHFV

Xiaoge SONG, Zhaoliang TANG, Binhua LIOU, MeiYing CHANG, Huejian CHEN,
Meisheng ZHOU, Chao Yang DONG, Dashi NI
The Institute of Acupuncture and Meridians, Anhui College of TCM. China.

Aim: For exploring the mechanisms of moxibustion on treating Epidemic Hemorrhage Fever (EHF). We established a model of infected rats with the infection of EHF Virus (EHFV) into the abdomen cavity of the rats and observed the effects of moxibustion on the changes of 5-HT and immune function of rats infected by EHFV.
Methods: 33 Wistar rats of weaning about 18 days were divided into there groups at random. The normal group was not injected with EHFV and not given moxibustioon treatment. The injected group was injected with EHFV and not given moxibustion treatment. The moxibustion group was injected with EHFV and given moxibustion at Shenshu point. The fourteenth day after injection of EHFV, we obtained the blood and abdomen cavity fluid of the rats and measured the phagocytise percent of macrophages, the rose rate of red blood (RBC) cell C, b receptor and the content of 5-HT in plasma.
Results: The results show that moxibustion could enhance the phagocyesis of peritoneal macrophage of rats infected by EHFV, increase the rose rate of RBC C, b receptor, and decrease the content of 5-HT in the plasma. There was a significant difference between the infected group and moxibustion group.
Conclusion: The results above suggested that the moxibustion can enhance the immune function of the body, regulated the metabolism disturbance of 5-HT in plasma, maintain the relative balance of the inner environment of the body and enhance the resistance of body against EHFV.

Experimental Research
Immunity & Neuroendocrine Effect

A STUDY ON THE ANTI-AGING EFFECT OF MOXIBUSTION
AND MOXIBUSTION COMBINED WITH SKIN ALLOGRAFT

Lan ZHANG, Chen Han Ping
Shanghai Research Institute of Acupuncture and Meridian. China.

Aim: The study was undertaken to evaluate the effect of moxibustion, and moxibustion combined with skin allograft therapies for senescence with a mouse model, and to provide an experimental basis and a new research thinking for a clinical application of the "combining" therapy.
Methods: 14-month-old BALB/c strain mice were randomly divided into 4 groups: an old control group (Old), a moxibustion group (Moxa), a skin allograft group (Graft), and a moxibustion with skin allograft group (Moxa+Graft). 6-week-old BALB/c strain mice were used as the young control group. Moxa group: the mice were given moxibustion with 2 moxa cone each time on GV14, 3 times per week, 2 months in total. Graft group: the mice were grafted 1 §² skin from 4-to-6-week-old C57BL strain mice on their back, once a month, 2 times in total. Moxa+Graft group: the mice were given moxibustion on GV14 the next day following the skin allograft operation. Old group: the mice were neither given moxibustion nor skin allograft. The thymus and pituitary were taken out immediately following the ether anesthesia, given a series technical handling (fixing, wrapping, cutting, dying), and observed on their morphological and ultra structure under the optic and electronic microscope.
Results: The thymus in the Old group withered, the amount of lymphocyte and epithelium reticulocyte significantly decreased; trophic hormone cell in the front lobe of pituitary manifested degenerative changes such as endocrine particulate reduced; chromatin condensed, endoplasmic reticulum enlarged. Moxa group, Graft group and Moxa+Graft group showed senile degenerative changes at a lesser degree, among which, Moxa+Graft at the least degree.
Conclusion: The results of this study indicate that the moxibustion with skin allograft had the best result. Furthermore, this study suggested that the "combining" therapy could raise the therapeutic effect.


Experimental Research
Immunity & Neuroendocrine Effect

AN OBSERVATION OF THE ACTION OF ANTI-TUMOR
WITH IRRADIATING ACUPOINTS BY USING LOWER-POWER-LASER

Zeng ZHEN, Shen Xiao HENG, Fu Li PING
Rui Jing Hospital attached to Shanghai Second Medical University. China.

The thesis is a report on improving the survival rate of immature rats after irradiating experimental rat's abdomen (Guanyuan acupoint "CV4"). The growth of cancer tissue is restrained, too. Meanwhile we can find the activity of LAK, NK cells in the spleen tissue is markedly increased, the SOD-enzyme activity of cancer tissue is obviously decreased. The activity of CAT is slightly decreased, the content of LPO is slightly increased. The action of supporting the vital energy, improving the immune function by using the low-power-laser is worth intensive research.

Experimental Research
Immunity & Neuroendocrine Effect

THE EFFECT OF MOXIBUSTION ON HUMORAL FACTORS OF RATS
INFECTED WITH EPIDEMIC HEMORRAGIC FEVER VIRUS

Zhaoling TANG
Institute of Acupuncture & Meridians, Anhui College of TCM, Hefei 230038, China.

A research on the mechanism of moxibustion in treating epidemic hemorragic fever (EHF) was undertaken. We established an animal model of wealing rats infected with EHF virus (EHFV) by abdomen cavity. The fluorometry and radioimmunoassay were used to observe the content change of the neuro-transmitter and the activating substance of blood vessel (such as NA, DA, 5-HT, 5-HIAA, TXB2 6-K-PGF1a) in normal rats, rats infected with EHFV, rats infected with EHFV and moxibustion on "Shenshu".
Analysis and discussion were given for the moxibustion regulation effect on the secretion and metabolism of disturbed neuro-endocrine factors. In this complex pathophysiological process of EHF, many humoral factors involved. EHFV rats treated by moxibustion, the contents of NA, DA, 5-HT, 5-HIAA, TXB2 reduced remarkably, 6-K-PGF1a increased, the ratio of TXB2/6-K-PGF1a decreased and tended to the normal level.
Moxibustion corrected the disturbance of humoral factors to promote the stability of the inner environment. This is an active regulation effect and an improvement for a favorable turn of EHF. Moxibustion on regulating the disturbance of the neuro-endocrine system and the immune system may be an important role for preventing and treating EHF.

Experimental Research
Immunity & Neuroendocrine Effect

EFFECTS OF EAR ACUPUNCTURE ON ¥â ADRENORECEPTOR
IN LUNG TISSUES OF GUINEA-PIGS WITH EXPERIMENTAL ASTHMA

Ling CHEN, Xin-len LIU, Xing-yu WANG, Guang-tao YAN, Xiu-hue HEO, Long-huan WAN, Yi-ming MU
Department of Acupuncture and Moxibustion, PLA General Hospital. China.

The maximal binding volume (Bmax) of ¥â adrenoreceptor in the lung tissues of guinea-pigs in a health group, an experimental asthma group and an ear acupuncture treatment group was determined with radiological ligand binding analysis. The results were as follows: (1) The Bmax of ¥â adrenoreceptor in the lung tissues of guinea-pigs in the asthma group (52.4±20.1 fmol/mg protein) was significantly lower than that in the healthy group (106.8±14.0 fmol/mg protein) (p<0.01); (2) The Bmax in the lung tissues of guinea-pigs in the ear acupuncture treatment group (84.5±35.1 fmol/mg protein) was significantly higher than that in the asthma group (p<0.02), and it was similar to that of the healthy group (p>0.05). These suggested that it was one of mechanism of ear acupuncture treatment on asthma that increased the number of ¥â adrenorecepor in the lung tissues.

Experimental Research
Immunity & Neuroendocrine Effect

THE DIFFERENCE BETWEEN DOPAMINE BLOCKER AND ACUPUNCTURE:
ANALYZED THROUGH THE MICROSTRUCTURE OF A RAT'S LICKING BEHAVIOR

Wen-Chiang PAI1,2,3, Sigmund HSIAO4, Yung-Hsing CHANG2,3, Jaung-Geng LIN3
1Department of Psychiatry Acupuncture, Hospital of China Medical College.
2Department of Acupuncture, Hospital of China Medical College.
3Institute Chinese Medicine, China Medical College.
4Institute of Psychology, National Chung Cheng University.

Brain dopamine (DA) plays an important role in (a) movement control and (b) various motivated behavior. The former function is reflected in Parkinsonian symptoms of movement deficit, attributed to DA deficiency; the latter is reflected in schizophrenic symptoms, attributed to DA overactivity. Also research related to DA function in learning, memory, mood and behavior both in quality and quantity is blooming. Traditional Chinese practice of acupuncture on the contrary, has little to tell in relation to DA-related activities, especially from a behavioral-pharmacological point of view, though the analgesic mechanism of acupuncture has been intensively studied.
In this study we trained a water-deprived rat to lick different solutions: (a) flavored saccharin solution; (b) saccharin solution;(c) flavored water; (d) water. With the obtained microstructure of the licking behavior we determined the efficacy of different dosages of the dopamine blocker, pimozide, and/or acupuncture on Baihui (GV20) toward those behaviors.
The result of this study shows significant effects both for pimozide and acupuncture on Baihui(GV20). Pimozide suppressed the rat's drinking behavior and increased its movement reaction time. Those effects are proportional to the dosage given. The effect of acupuncture depends on how it was administered. If acupuncture was given to animals without other interventions, it too. suppressed drinking behavior, but the movement reaction time was decreased; the rats' licking movement became more prompt. When it was used after pimozide, a dopamine deficient condition, then acupuncture reversed the drinking suppression induced by pimozide.
Experimental Research
Immunity & Neuroendocrine Effect

MOXA ROLL MOXIBUSTION IN COMBINATION WITH CHINESE
HERBAL PREPARATION TCM-BRM ON TUMOR-BEARING MICE

Mang YU, Xiaomu ZHENG
Dept. of Microbiology & Immunology, Dalian Medical University. Dalian 116037, China.
Dept. of Rehabilitation, Dalian Friendship Hospital.

Aim: This study was designed to evaluate the antitumor effect of moxa roll moxibustion in combination with Chinese herbal preparation TCM-BRM, in order to develop the potential of traditional Chinese medicine in antitumor therapy.
Methods: Two kinds of tumor-bearing animal models were established with Kunming mice and BALB/c mice. Those mice were divided into four groups: tumor-bearing control group, moxibustion-treated group, TCM-BRM-treated group and combined therapy group. The inhibition of tumor growth(TGI) and tumoricidal activities of three tumoricidal effector cells (macrophage, natural killer cell and tumor-specific cytotoxic lymphocyte cell) were studied to evaluate the therapeutic effect.
Results: TCM-BRM treatment significantly inhibited tumor growth in the two kinds of mice and greatly enhanced the tumoricidal activities of those tumoricidal effector cells. Moxibustion treatment partly possessed these functions, due to a species variation. In comparison with TCM-BRM treatment or moxibustion treatment, the combined therapy greatly inhibited tumor growth and increased the tumoricidal activities of the tumoricidal effector cells.
Conclusion: Moxibustion in combination with traditional Chinese drugs is an ideal method to enhance antitumor immunocompetence in antitumor therapy.


Literature Review & Acupuncture Theory
International Survey

LITERATURE RETRIEVAL ON ACUPUNCTURE AND MOXIBUSTION OF CHINA

Ping LI
Institute of Information on Traditional Chinese Medicine, China Academy of Traditional
Chinese Medicine. No. 18 Beixincang Lane, Dongzhimennei, Beijing 100700, China.

Since the beginning of the 20th century, with the development of acupuncture and moxibustion research, global professional articles and reviews continue to grow with each passing day. At the present, there are more than 500 international medical journals with articles on acupuncture and moxibustion. When a doctor wants to review information on acupuncture and moxibustion from lots of articles, he must depend on retrieval tools. Researchers of the Acupuncture and Moxibustion Kingdom in China edited and compiled all the retrieval methods in order to meet the doctors' need.
Now there are four parts on retrieval methods as follows:
1. To retrieve titles of articles: There are more than 10 kinds of retrieval reference books of index of titles. Its span is from 1908 to 1989.
2. To retrieve abstract of articles: There are 2 kinds of periodicals, 4 kinds of reference books that collect the abstracts of acupuncture and moxibustion. Its span is from 1949 to the present.
3. To retrieve special summary of acupuncture and moxibustion: It is according to the yearbooks of TCM in China. Its span is from 1983 to the present.
4. To use the storehouse literature of acupuncture and moxibustion: These bibliographic database have stored 100,000 items for TCM literature.
In conclusion, literature retrieval not only gave the doctors much help, but also made a great contribution to systematize of acupuncture and moxibustion all over the world.

Literature Review & Acupuncture Theory
International Survey

REGULATION AND DISTRIBUTION OF ACUPUNCTURISTS IN THE UNITED STATES

Jing GAO
Information Institute of the China Academy of Traditional Chinese Medicine. No. 18
Beixincang, Dongzhimen Nei, Beijing 100700, China.

Aim: By analyzing the kinds of legislation (or its lack) that have been enacted to regulate acupuncturists in the United States, there emerges a clear picture of how practicing acupuncturists are distributed regionally and where there may be potential for developing the profession.
Methods: Statistical analysis of registered acupuncturists and comparison of regulating legislation in the United States.
Results: The distribution of acupuncturists in the United States is concentrated in states that have enacted legislation favorable to the profession, enabling practitioners to work independent from Western-trained doctors. The west and northeast are the two regions containing the most states permitting independent practice. The west has become the most active zone for practicing acupuncturists with California having the highest number registered and Hawaii having the highest ratio of practitioners to patients. In the midwest and south, more states require acupuncturists to work with Western-trained doctors, and consequently, there are fewer acupuncturists practicing in these regions.
Conclusion: Various regions of the United States are under-represented by the profession, especially in the south and midwest. These regions should be targeted as potentially fertile areas for education and development of the profession.


Literature Review & Acupuncture Theory
Acupuncture Theory

TO THE DISCUSSION OF THE MEANING OF MOXIBUSTION ON VITAL GATE
FOR THE HEALTH CARE FOR AGED PEOPLE

Jinrong LEI
The Second Internal Department of Fujian Provincial Hospital. 134 Dong Street, Fuzhou, Fujian 350001, China.

Old and feeble is a stage that arises with increasing age. The writer regards. from the viewpoint of traditional Chinese medicine, that the essence of an old and feeble body is the debility of vital gate's yang-qi. Vital gate is the origin for supporting normal physiological body activity. Through channels and collaterals, vital gate has the close relation with the viscera and bowel. It has the function of helping the heart dominate the whole body, it can also nourish liver-yin, warm the spleen and stomach and support the lung breathing. After receiving the vital gate's yang-qi, kidneys have the physiological functions of storing the essence of life and determining the condition of the bone and marrow. The strength of vital gate's yang-qi determines the growth the body.
As we know, moxibustion has the functions of recuperating the depleted yang, strengthening primordial yang, eliminating pathogenic factors and prolonging life. We use it on vital gate to warm and stimulate the point so that yang-qi can be produced. Through channels and collaterals, viscera and bowels, yang-qi reaches four limbs and warm skin and muscle. It can restore yang-qi for aged people, cure the patients and keep fit. Thus it can be seen that adding moxibustion on vital gate is an effective method for health care.

Literature Review & Acupuncture Theory
Acupuncture Theory

A THEORETICAL STUDY ON CURING BRAIN MARROW DISEASE
BY USING ACUPUNCTURE TO REPLENISH SEMEN AND NOURISH BRAIN

Gui Fa ZHANG
Tianjin Research Center of Chinese Medicine Brain Marrow Disease. No. 11 Zhouwei Road, Hebei District, Tianjin 300142, China.

Aim: Brain Marrow Disease is a common disease which seriously threatens to patients' health. The authors applied acupuncture to replenish semen and nourish brain in curing the brain marrow disease and studied its effect.
Method: Curing dialectically from person's "Semen, Spirit and Mentality", and carrying "Yao" to nourish the brain, which was named "Xiao Zhou Tian"(the method of replenishing the semen and nourishing the brain). The "Yao"(body's own water), composed of the congenital and postnatal semen, serves the purpose of replenishing the semen and nourishing the brain by mediating the circular flow of Du and Ren meridians.
Results: The total number of patients treated almost reached 3000. The rate of curing reached 75%.
Conclusion: The axis body of kidney's seminal marrow and brain's mental marrow is the essence of the brain marrow science. The Acupuncture for Replenishing Semen and Nourishing Brain is a good way to resume the brain marrow function and to elevate the effects.

Literature Review & Acupuncture Theory
Acupuncture Theory

THE RELATIONSHIP BETWEEN MEDITATION AND MERIDIAN THEORY:
A MEDICAL ANTHROPOLOGICAL PERSPECTIVE

Weiguo HU
Institute of Acupuncture, China Academy of TCM. Beijing, China.

Modern research on Traditional Chinese Medicine is based primarily on modern science and biomedical methods. Because these methods are unable to deal with the crosscultural issues implicit in Traditional Chinese Medicine (TCM), research on TCM is often reduced to a question of biology. The results of this research have indeed provided insights for biomedicine, but at the same time have been undermining the theoretical principles of TCM. Meridian theory is an important part of the theoretical system of TCM. Differences between Meridian theory and its biomedical counterparts, such as the nervous system and the blood circulation system, are not simply the reflection of the historical ears in which they were developed nor do they represent different levels of understanding towards the same anatomical structures. Rather, Meridian Theory was developed under specific historical conditions and shaped by ancient Chinese philosophy and culture. Not only was it influenced by the clinical practice of physicians, but it was also affected by the Daoist meditation (xingqi and daoyin) and other health-preserving technologies.
Traditional Chinese Medicine and research on Meridian theory will not be advanced by more sophisticated biomedical research methods. Instead, an approach that takes into account the historical specificities of Meridian theory, the need for clinical effectiveness, and the current conditions under which it is practiced must be developed. At this moment, only medical anthropology with its attention to the social and cultural nuances of medical practice seems to suggest any new possibilities for such a project. In this essay, the author has attempted to use an anthropologically influenced approach to examine both the historical documents and the current practice of xingqi and daovin in China. The author hopes to demonstrate that this approach can more fully explore the relationship between xingqi and daoyin to contemporary Meridian theory and lead to better clinical results than the reductionist biomedical methods that are currently in fashion.

Literature Review & Acupuncture Theory
Acupuncture Theory

FURTHER UNDERSTANDING ABOUT JINGULO (MERIDIAN AND COLLATERAL)
SYSTEM AND THE PRINCIPLE OF ACUPUNCTURE THERAPY

Shunfa JIAO, Quanzhi DU
Hongqi Xilu 38#, Yuncheng, Shanxi 044000, China.

Through collecting systemetically and studying profoundly some important records in the medical classics, the authors have compared the Jingluo system and acupuncture therapy with the nerve system described both in the traditional Chinese medicine and in the modern science of medicine, and have found that there are similarities in many aspects. Therefore, it is considered that the Jingluo system discovered by Chinese doctors refers to the nerve system described in the modern science of medicine. Actually, as early as 2,500 years ago, Chinese medical experts already discovered the nerve system and developed many scientific methods to treat various diseases of the body through puncturing nerves of the trunk and limbs by needles.


Literature Review & Acupuncture Theory
Acupuncture Theory

THE ACUPUNCTURE'S THREE REMOVING OBSTRUCTION METHOD
ON THE ELIMINATION OF PHLEGM

De-an ZHOU
Acupuncture Department, Beijing Hospital of Traditional Chinese Medicine. China.

There are a lot of publications explicating about phlegm syndrome in TCM. The concept, "Phlegm causes intractable diseases, to eliminate phlegm can cure intractable diseases", is particularly popular. However, the different therapeutic methods for phlegm syndrome such as expelling phlegm, removing phlegm, dissipating phlegm and resolving phlegm are described mostly in Chinese herb prescriptions on the whole, but few reports could be seen in acupuncture.
In recent years, the author applied "Acupuncture's Three Removing Obstruction Method" in the therapy of phlegm syndrome. The acupuncture mainpunations included: mild stimulation method with filiform needles; strong stimulation method with filiform or three edge needles; warming stimulation method with moxibustion, moxibustion with warming needles and cupping therapy.
From my own experiences, the acupuncture prescription of regulating Qi and eliminating phlegm is consisted of Neiguan (PC6), Fenglong (ST40), Zhongwan(CV12) and Gongsun(SP4). The formulas are usually used in six different diseases: mild stimulation method for stroke of meridian, vertigle and plumpits as resolving phlegm; strong stimulation method for scrofula as removing phlegm; strong stimulation method for epilepsy as expelling phlegm; for insanity and tense syndrome of stroke and strong stimulation or bleeding the points of twelve Jing were used as dissipating phlegm.
The acupuncture prescription of regulating Qi and eliminating phlegm which I have used in phlegm syndrome achieved most of the significant results.


Literature Review & Acupuncture Theory
Acupuncture Theory

LONGEVITY AND MOXIBUSTION

Yan Yao LU, Ru-Gong ZHU
Shanghai University of TCM. Shanghai, China.

Anti-longevity is always a very concerned problem in mankind. Chinese medical science has accumulated a great deal of experience about it. Using the means of moxibustion to take care of health and increase longevity is one of many practical and effective ways.
Moxitustion is able to tonify energy Yang and promote the immune system of the physical body; moxibustion can also activate blood circulation and dissolve clot, improving the efficacy of blood in the physical body, so that it can prevent or reduce occurrence of many kinds of senile diseases, and attain the aim of health care and longevity.
Since the ancient time moxibustion of health care has existed. The most frequent acupoints for longevity care are Dazhui (GV14), Mingmen(GV4), Pishu(BL20), Shenshu (BL23), Guanyuan (CV4), Qihai (CV6), Zusanli (ST36), etc. Taking moxibustion one to two course every year is able to delay aging and increase longevity.


Acupuncture Instrument Development

TONIFICATION-REDUCTION ELECTROACUPUNCTURE INSTRUMENT
(BX ELECTROACUPUNCTURE INSTRUMENT)

Zhiyu WANG
Shanghai Research Institute of Acupuncture and Meridian. China.

Electroacupuncture has been able to treat hundreds of diseases in various systems of human body, but there are few reports on the research of electroacupuncture instruments and their output parameters. The properties of electroacupuncture instruments, therefore, remain in a certain state for a long time, which is unfavorable for raising the therapeutic effect of electroacupuncture. For that reason, the output parameters of an electroacupuncture instrument were collected, classified, analyzed and studied. They can be classified into 3 broad categories: regular pulse, frequency modulation pulse and sonoelectric wave. It is urgently necessary to make sure whether these 3 categories of electroacupuncture parameters have identical effects and how they can be used. The experimental results showed that the analgesic effect of the sonoelectric wave was remarkably superior to that of a regular pulse and a random frequency modulation pulse, whereas the fatigue-relieving effect of a regular pulse and a random frequency modulation pulse was superior to that of a sonoelectric wave.
The analgesic effect of electroacupuncture is an inhibiting effect on the functions of the body, which is similar to a reducing effect in TCM terminology, whereas the fatigue-relieving effect of electroacupuncture is an excitatory effect on the functions of the body, which is similar to a tonification effect in TCM terminology. According to the aforementioned principle, an electroacupuncture instrument with tonificatin and reduction effects (BX electroacupuncture instrument) was developed.
The reason why electroacupuncture is able to treat diseases is that electroacupuncture is able to regulate the functions of the body and maintain its dynamic balance. But different electroacupuncture parameters have different effects. In order to obtain the curative effects more easily, therefore, suitable electroacupuncture parameters should be selected according to the functional state of human body. In brief, electroacupuncture therapy requires a suitable electroacupuncture instrument and a differentiation of symptoms and signs.


Acupuncture Instrument Development

A CLINICAL STUDY AND TRIAL OF THE CHANNEL
BALANCE-SURVEY AND ACUPUNCTURE BALANCE INDUCTION

Bingxin YU, Zhongchang YIN, Shuohong SHANG, Tao YU
Yin Chuan Zhonghua Channels Research Institute. China.

Aim: According to the theories of traditional Chinese channel acupuncture and the contemporary "Balance of Bioelectronic Movements", authors of this essay have studied the result of a clinical trial of 483 patients diagnosed to be abnormal by the balance-surveying and received the balance-inducing treatment.
Methods: With a channel balance-surveying diagnostic instrument the authors surveyed the value of the patient' 12 channel acupoint in their right and left hands and feet. They also diagnosed the deficiency and excess of the channels and their unbalancing degree, chose the channel acupoints and acupuncture balance-inducing treatment with the combination of channels' distinction, disease judgment. Then, they re-examined the effects of the treatment.
Results: Among the 483 patients treated, 386 were marked effective, 76 improved, and 21 were ineffective. So the total effective rate was 95.6%.
Conclusion: After studying the results of the clinical trial of 483 patients the authors consider that the accuracy of the diseased channels is rather high, and the distinction of the channels is clear, for the differentiation of symptoms of deficiency or excess whole bodies. Furthermore, this study has great significance for the observation of balance trends and the instructions of clinical distinction of channels. It is also significant for the choice of the acupoints as well as the treatment of acupuncture. It especially has a satisfactory effect on some "unknown or long-uncured diseases".


Qi, Qigong, Daoyin & Massage

ISCHEMIC NECROSIS IN HEAD OF FEMUR TREATED BY
TWO-HAND NEEDLE MANIPULATION IN A QIGONG STATE:
A REPORT OF A NEW THERAPY'S CLINICAL EFFECT

Zhen LI, Zhonglin HUANG
Institute of Medical and Pharmaceutical Science. 96 Gui Zhou Road, Tianjin 300070, China.
China Institute of Qigong Two-Hand Needle Manipulation.

Aim: Ischemic necrosis in the head of femur is one of the most severe orthopedic diseases and its treatment remains difficult. This paper only sums up the curative effects on 108 cases treated since October, 1989.
Methods: After a doctor chooses the positions of needle insertion around a focus, four acupuncture needles are inserted distantly into these positions, manipulated either by four hands of two persons or more hands of more persons to integrate the hands and the affected sphere into a whole bioenergy field so as to directly act upon the focus. In manipulating needles, different formations of hand manipulation may be used in order to change the direction of propagation, the starting process of sensing, and the propagational structure and its coordinates.
Results: Of 108 cases, 69 were repaired according to the X-ray examinations both before and after the treatment. In addition, the general presence of renewing blood supply in the necrotic part of head of femur occurred. The joint function in most of these 69 cases has improved remarkably with 56.6% of the patients being able to walk over 2.5 kilometers without using crutches and 29% walking 1.5 kilometers using a single crutch.
Conclusion: The above-mentioned therapeutic effects on 69 cases have shown that ischemic necrosis in head of femur can be cured by this new therapy of two-hand needle manipulation in a qigong state. It can eliminate the need for operations such as the replacing operation with an artificial joint. Doctors use their sequential energy to act upon the focus of the patient through acupuncture needles, which enables them to retrieve the "electromagnetic field" damaged in the affected sphere, activate necrotic bone tissue, and improve local blood supply. As a result, it repairs and regenerates patients' depressed, broken and split bone tissue.


Qi, Qigong, Daoyin & Massage

DAO-YIN VIA ACUPUNCTURE POINTS ALONG MERIDIANS
FOR PREVENTIVE HEALTH AND ITS CLINICAL APPLICATIONS

Wen-Qi MOU
XinJiang Traditional Chinese Medicine College. China.

This is a set of Dao-yin exercises which has been handed down from family ancestors. It aims for preventive health but has many clinical applications as well. It applies the techniques of Dian-ye and Dao-yin on selective acupuncture points. The goal is to induce a balanced state of blood and qi circulation within both Dumai and Renmai, and other Yin and Yang channels. The side effect of this balanced state for the practitioner is a quick recovery from illness. Continual practices free one from sickness and bring longevity.
A proper understanding of the meanings behind the ideas of Dao-yin and Dian-ye is important for reaping the most benefits out of the set of exercises introduced here. Dao-yin carries the connotations of leading and guiding. Its function is to channel one's inner energies through the bloodstreams and meridians by meditation and visualization. It could be viewed as the bridge between the physical an spiritual. Dian-ye is really an application of Dao-yin. It involves applying our fingers directly to selective acupuncture points, using the techniques of Dao-yin, with or without physical contact between the fingers and the acupuncture points. For the Dao-yin exercise introduced here, visualized link between the fingers and the acupuncture points while they are in close proximity produces comfortable sensations. These sensations might be considered as meditative stimuli.

Dao-yin Dian-ye is a series of 10 exercises:
(1) Posture of hands holding a floating ball
(2) Posture of holding a ball in front of the abdomen area in succession of expanding and shrinking
(3) Posture of patting the horse
(4) Posture of fair-lady weaving the shuttle
(5) Posture of holding a ball in front of the upper Dantien area in succession of expanding and shrinking
(6) Posture of upholding the sky and fixing the ground
(7) Posture of looking into the sky with body leaning backward
(8) Posture of Qi-collection adjusting Yin-Yang
(9) Same as (2)
(10) Same as (1)


Basic Theory of Traditional Chinese Medicine

THE STRUCTURAL BASIS OF MERIDIANS AND QI

Chen WEN, Jinlan LIU, Zhenli ZHANG
Institute of Acupuncture & Moxibustion, China Academy of TCM. Beijing 100700, China.

In medical classics "Miraculous Pivot", "Difficult Classic" and "Compendium of Acupuncture and Moxibustion", the Chinese ancient medical scholars described Jingluo (meridians) as circulating paths of Xue (blood) and Qi(energy) distributing in the whole body. In their hypotheses meridians undoubtedly involve blood vessels and blood circulation. What is the essence of meridians and what is Qi are the key to be solved. By employing the separate and consecutive methods of demonstrating catecholamine (CA) fluorescence and cholinesterase (ChE), nerve terminals distributed in peripheral tissues were observed with microscope. The properties of these terminals were analyzed by applying inhibitors, sympathectomy and certain medicine as tools. The fundamental structures of nerve terminals were nerve network which consists of varicosity terminals of multi-neurons connected with each other, distributing throughout the whole body, particularly in the connective tissues. Both adrenergic and cholinergic network around the wall of small vessels being called perivascular plexus. The function of perivascular plexus represents the physiological effect of Qi which is described as the commander of Xue and manifests the close relationship between Qi and Xue. By the arterioles, there are many ChE-positive small nervous bundles and their terminals showing various types of free nerve endings. They are receptors without effector organs. The afferent terminals are called paravascular plexus which constitute the morphological basis of acupoints. In a world, Jingluo is composed of blood vessels and nerves-neural network in particular. The various functions of Jingluo are all fulfilled in the nerve network.


Basic Theory of Traditional Chinese Medicine

NEI JING AND THE FORMING OF JING LUO DOCTRINE

Zhenhua XING, Hongwen LU
Hai Bo Wan District Hospital. Haihe South Road, Wu Hai City, Inner Mongolia 016000, China.
China Institute of Meridian.

Aim: The authors conducted a systematic study on the formation and evolution of the ancient Jing Luo theory and investigated it systematically.
Methods: The authors took Nei Jing as the chief source, emphatically discussed the exposition about Jing Luo in Ling Shu and summarized the connection between Jing Luo and Jing Luo function of anatomy, physiology and internal organs. The authors considered that the view of "Heaven and man coordinate with each other" and the Yin Yang Wu Xing theory are the foundation the naming of Jing Luo.
Results: The ancient Jing Luo theory originates from medical practices. It is closely connected with the ancient acupuncture and massage. In addition, the sense conduction is the result of Qi Xing.
Conclusion: The essay provides a theoretical basis for guiding clinical practices and enhancing the level of organizing and studying the Jing Luo theory.


Others

ACUPUNCTURE COMBINED WITH TUINA, CONDUCTION AND QIGONG
FOR THE RECOVERY OF SPINAL CORD CROSS BREAK CAUSED BY INJURY

Li Ying DU, Zhiren CHENG
Chinese Traditional Recovery Medical Research Center of Guangdong. China.

Spinal cord cross break-paraplegia is defined as an unpassable barrier in Chinese and overseas medical history. Up till now, we have used a comprehensive treatment of mainly acupuncture combined with tuina, conduction and Qigong, involving the unique human studies in Chinese traditional medicine on two patients, chosen by Japanese recovery experts. One is Japanese, course of disease being seven years, with T4-T5 spinal cord cross break, the other is Chinese, course of disease three years, with T11-T12 spinal cord cross break. Medical recovery experts from China, Japan, France and the former Soviet Union made a joint clinical examination for a period of half a year. These two patients, after treatment, are able to climb, squat on the heels, stand up and walk with the help of a stick and the disabled limbs are able to be controlled. Experts from these four countries made a clinical verification. Japanese recovery experts praised it as an unimaginable treatment method and the (father of Japanese future recovery doctors). The experts from the former Soviet Union called us (the life savior of paraplegia patients).
The treatment method is acupuncture with the assistance of tuina and conduction. The acupuncture points are mainly governing vessels together with Feng Shi, Yang Ling Quan, Zu San Li, San Yang Jiao, Tai Chong, and so on. Acupuncture is carried out with Qi reaching first followed by consciousness, the strength being deep and penetrating. Qi, consciousness and strength combine to exert movements on the patients with the result of (one part of effort, one part of effect). Hand skills of tuina, such as "five substances swimming in the water", a mysterious Gong used by the ancient Chinese doctor Hua Tuo, i.e. (tortoise) climbing, (fish) swimming, (shrimp) jumping, (crab) clamping, (clam) opening and shutting, should also be applied according to the diseases. The "five animal exercises" (also invented by Hua Tuo) imitating the bear walking, tiger running, crane standing, ape climbing and snake as waying are also applied on the patients according to their diseases. Besides all these methods, a very important factor in the treatment is the hard work and exercise of the patients together with the responsibility conscience and sympathy of the doctors, that is what we call the "human studies". The doctor must take into consideration of the economy, family, psychology, environment, behavior, education etc. during treatment so as to achieve good results.


Special Paper

PROGRESS OF ACUPUNCTURE STUDY IN THE WORLD

Shaowu CHEN
China-Japan Friendship Hospital. 2 East Yinghua Street, Hepingli, Beijing 100029, China.

Nowadays the Traditional China Medicine (TCM) is spreading itself all over the world. Close attentions to TCM are paid by both developing and developed countries. The upsurge of learning, practicing and studying TCM is growing with each passing day.
Acupuncture is the vanguard that leads the TCM towards the world. It is acupuncture anesthesia that opened the first page of TCM interst worldwide and is first recognized, praised and strongly promoted by the World Health Organization (WHO). The World Federation of Acupuncture-Moxibustion Societies (WFAS), which is the focus of the world, was formally set up in Beijing in November 1987 and it indicated that acupuncture is becoming a new medical discipline with international popularization. Until now, there are approximately 170 diseases can be treated with acupuncture including diabetes, hypertension, bronchial asthma, and depressive syndrome, etc. Recently, some American researchers made the first trial on treatment and prevention of AIDS by acupuncture. Great progress is also made in the field of fundamental theories. These leads WHO to predict that in the year of 2000, acupuncture will take a large percentage in treating such diseases as allergic reaction and congenital or acquired immunological inhibition.
From the above brief description of the international progress of acupuncture study, we can see a bright future of acupuncture which will widely spread over the world.

 

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