A CLINICAL OBSERVATION ON THE ACUPUNCTURE TREATMENT
OF 85 CASES WITH APOPLEXY SEQUELA

Yueh-Hsien CHEU
143 Hsin Yih Road, Section 4, 4th Floor, Taipei City 106, Chinese Taipei.

Aim: Apoplexy Sequely is quite common with aged person, the rates of occurrence and crippling are very high. Most of such persons could not manage their own living, which jeopardize human health. For such disease, there is no treatment with a significant effect. Since 1990, the author has adopted through acupuncture in the treatment of apoplexy sequela on 85 cases and has obtained a satisfactory effect.
Methods: Upper Limb Paralysis: Jiquan through Jianyu, Quchi through Shaohai, Hegu through Laogong. Lower Limb Paralysis: Huantiao, Sanyinjiao through Juegu, Taichong through Yongquan, Yanglingquan through Yinglingquan. Strabismus and Aslant Mouth-Yingxian through Sibai, Dicang througs Jiache. Lalopathy: Lianquan through Segen, Tongli. The treatment was once a day, 10 times of the treatment were a course. Between the courses, there is a 3-days rest. In general it took 3 to 4 courses.
Results: From the 85 cases of this group, the treatment achieved 38 cases (44.7%) of basically cured (the function of the paralysis limbs basically resumed, or the muscle strength reached IV-V grade, the patient was able to manage his/her own life, aslant mouth restored, fluent in speaking), 23 cases (27.1%) with significant effects (apparent recovery of the paralysis limbs, or muscle strength recovered to IV grade, obvious improvement in aslant mouth and speaking difficulty, basic living could be managed independently), 19 cases (22.3%) with certain effect (improvement in the function of the paralysis limbs, or muscle strength obtained one grade improvement, mouth was still aslant, speaking was difficult), 5 cases 95.9%) ineffective (the symptom or the situation of body shows no change). The total effective rate is 94.1%.

Experimental Research
Immunity & Neuroendocrine Effect

EFFECTS OF MOXIBUSTION ON CELLULAR IMMUNOCOMPETENCE
IN ¥ã-RAY-IRRADIATED MICE

Dou-Mong HAU
Institute of Radiation Biology, National Tsing-Hua University. Hsinchu, Chinese Taipei.

Methods: The effect of two types of moxibustion (MT) on cellular immunocompetence of ¥ã-ray-irradiated mice were studied. In this research, ICR strain of 6-week-old male mice were chosen and divided into 4 groups. Group A was the normal control, and Group B was the experimental control which was treated with 4 Gy whole body r-irradiation (RT). Groups C and D, the experimental groups, were treated with moxastick (MMS) and incense-stick (MIS) respectively, at a 24 hours interval for 10 times after being exposed to r-irradiation. Six to eight mice from each group were sacrificed on days 1, 5, 12, 19, 26 and 33 post-irradiation, and the total leukocytes and its differential counts were detected. The cellular immunocompetence were measured by 3H-thymidine uptake in each experimental mouse.
Results: 3 Gy of whole body ¥ã-ray-irradiation had an evident inhibitory effects on counts of total leukocyte and lymphocyte of mice. MT could help the ¥ã-ray-irradiated mice to recover the decreased counts of total leukocyte and lymphocyte, MMS seemed to give a more pormotive help than that of RT or MIS. The r-irradiation also exerted a pronounced inhibitory effect on the incorporative rate of 3H-thymidine after being stimulated by mitogen, such as PHA, LPS and Con A in splenic cells. MT seemed to help the increase of the cellular immunocompetence in the ¥ã-ray-irradiated mice.

Experimental Research
Others

THE EFFECT OF ACUPUNCTURE ON SYMPATHETIC SKIN RESPONSE

Ching-Liang HSIEH, Jung-Chou CHEN, Kuang-Yuan CHANG, Jaung-Geng LIN
Institute of Chinese Medical Science, China Medical College. 91, Hseuh-Shin Road, Taichung, Chinese Taipei.

Aim: To study the effect of acupuncture on sympathetic nerve activity in human.
Methods: 14 normal health adults (13 males and 1 female) between the age of 21 to 31 years old (mean 25¡­4) were studied when the median nerve conduction velocity was within the normal limit. The electrical stimulation of 15 mA was applied to the right median nerve at the wrist region with more than one minute's stimulation interval. Recording electrodes were placed on the center of both palms and reference electrodes were placed on the dorsal part of both hands. Sympathetic skin response (SSR) potentials were obtained, and their initial latency and peak to peak amplitudes were measured. We averaged latencies and amplitudes of ten times SSR potentials as the baseline. A 5-minute rest was taken, then acupuncture was performed on both Zusanli acupoints. The acupuncture SSR potentials were obtained as same as above-mentioned method after 5 minutes of Deqi. In the following 5 minutes rest, 2 Hz electro-acupuncture (EA) stimulation added to acupuncture. The 2 Hz EA SSR potentials were obtained as same as above-mentioned method after EA stimulation for 5 minutes. Significant differences among those SSR potentials were calculated by Friedman test Wilcoxon test.
Results: Both acupuncture and 2 Hz EA prolong latencies, and decrease amplitudes of ipsilateral and contralateral SSR potentials. In addition, 2 Hz EA was larger effect to SSR than acupuncture only.
Conclusion: Acupuncture, or 2 Hz EA stimulation on both Zusanli acupoints in human can inhibit SN activity, suggesting that effect occurred in central nervous system possibly in cerebral cortex because SSR potentials were produced by skin sensory afferent into cerebral cortex, through hypothalamus, brain stem, spinal cord and the final pathway is by peripheral sympathetic nerve supply to sweat gland.

Experimental Research
Others

STUDIES OF THE ACUPOINT DEPTH OF NEEDLING IN ACUPUNCTURE TREATMENT

Jaung-Geng LIN, Ching-Liang HSIEH, Wei-San HUANG
Institute of Chinese Medicine Science, China Medicine College. 91, Hseuh-Shin Road, Taichung, Chinese Taipei.

Aim: To study acupoint, safety and chi-acquisition depth, and their relation to therapeutic effect, and to electrical resistance.
Methods: (1) Plot graphs to compare the difference of each acupoint depth between modern and ancient acupuncture writings;(2)Use 80 cadavers and 240 subjects with computer tomography of chest to study the safety depth of the acupoint, and its correlation to the length of the second phalanx of the middle finger as the T' ang-Shen-T'sun standard; (3)Use 300 subjects who were divided according to their body height and weight into a normal-weight group, an over-weight group and a under-weight group, to study the chi-acquisition depth of acupoint; (4) Use 120 subjects who accepted acupuncture treatment due to pain symptom to study the relation between the chi-acquisition depth and the therapeutic effect; (5) Use 107 different-size subjects to study the relation between the chi-acquisition depth and the thickness of the body, and the electrical resistance.
Results: The acupoint depth was greater in modern acupuncture writings than those in ancient times. The safety depth of each acupoint in chest and in back was different, and had high correlation to the T'ang-Shen-T'sun standard in adult, but not in newborn. The safety depth in chest, but not in back, was greater in female than that in male, and it was related to the body size as well. The chi-acquisition depth was correlated with its therapeutic effect, and corresponded to its body thickness, but not related to its electrical resistance.
Conclusion: Acupoint, safety and chi-acquisition depth have something to do with the body thickness. The length of the second phalanx of the middle finger may be used as the T'ang-Shen-T'sun standard in adult, but not in newborn.

Experimental Research
Others

A STUDY ON THERAPEUTIC EFFECTS OF STICK MOXIBUSTION
ON THE EXPERIMENTAL TUMOR

Dou-Mong HAU1, Jaung-Geng LIN1,2, I-Hsin LIN1,2, Chin-Ho LIN1
1Institute of Radiation Biology, National Tsing-Hua University, Hsinchu, Chinese Taipei.
2Institute and Department of Chinese Medicine and Hospital, China Medical College, Taichung, Chinese Taipei.

The therapeutic effects of stick moxibustion (SM) on experimental tumor of mice were investigated in this study. Sarcoma-180 tumor cells (1¡¿107) were implanted into the subcutaneous tissue of the right sacral area in male mice in the first experiment, and the right breast area in female mice in the second experiment respectively. When the subcutaneous tumor (ST) in sacral or breast area grew up to 10¡¾2 mm in diameter, animals bearing ST were divided into groups. One of the groups was the tumor control. The others, the experimental groups, were treated with SM by 2, 3, and 4 times in male and female mice respectively. Regulating the temperature between the burned SM and the surface of ST to maintain the temperature in the bottom of ST about 43 to 45¡É for 10 minutes.
The result revealed that the higher the temperature and the more times used in ST, the more effective of the tumor control. The best therapeutic effect was in male groups treated with MS by 3 times. Their mean survival time (MST120) was 103.2 days and their increase life-span (ILS120) was 71.4% accordingly. However, the results showed that the best effect, in female mice was also in the group treated with SM by 3 times. Their MST120 was 87.8 days and their ILS120 was 45.8% accordingly. The mechanism of the therapeutic effects of SM was also studied by methods of histo-pathological sections and the tracer of 86Rb radioactivity.

Basic Theory of Traditional Chinese Medicine

THE STUDY OF THE RELATIONSHIP BETWEEN EASTERN MEDICINE
AND MODERN WESTERN MEDICINE

Say Fone PHOUNSAVAN
Taipei, Chinese Taipei.

Aim: To treat the illnesses that currently baffle modern western medicine (i.e., breast cancer, etc) by using traditional Chinese medicine that follows the tenets of the "Emperor Huang's Medical Textbook".
Methodology and Results: In the past ten years (June 1986 to June 1996) we investigated cases of breast cancer that were terminal even after operation, chemotherapy, and radiation therapy. We treated 40 cases. Five of the patients died in the early to mid parts of the study. This was found to be due to hepatitis B which taxed energy. Consumption of vinegar (acetic acid) also had a negative affect. This may be related to free-radical oxidation stress. Our recent research indicates that improving the proton cycle, electron cycle, oxygen cycle, amino acids and vitamin C levels rebuilds energy and is a sound treatment strategy. These five areas are compatible with the four outlined in the Kings Text: truth energy, vital energy, food energy, and energy regulation. Patients undergoing such therapies showed a significant improvement in a short period of time.
Discussion: Three years ago in New York we submitted "The Golden Triangle Theory" of cancer treatment. At that time we were concerned with (1) the cancer itself, stagnation, and (3) deficiency. We now find that oxidation stress is the main cause of stagnation and deficiency. Proton(Proton cycle), electron (Q cycle) and oxygen (O2 cycle) insufficiency causes the energy pathway to be blocked. Free-radical, hyper-oxidative products increase. Then the Nfab easily activates nucleic acid mutation; GC becomes AT. Therefore, normal cells easily undergo apoptaois, and degeneration. Cancer or virus mutation makes prevention and treatment difficult. The National Chinese Medical Research Group has analyzed such treatment methods for viral diseases, degeneration, cancer, and other chronic diseases (allergic auto-immune disease, etc.). Recent, breakthrough developments will be presented at this conference. The emperor Huang's Medical Textbook represents a ray of hope in the darkness of modern terminal illness.

Basic Theory of Traditional Chinese Medicine

A CONCEPT OF SAN-JIAO AND SAN-JIAO MERIDIAN

Wei-San HUANG
Institute of Chinese Medical Science, China Medical College. 91, Hsueh-Shin Road, Taichung, Chinese Taipei.

Aim: According to the theory of Traditional Chinese Medicine, San-Jiao is one of Six-Fu viscera. Its meridian is called "hand Shou-Yang San-Jiao meridian", which starts from fourth finger through arm, shoulder toward lateral part of neck, around ear, and ends in external canthus. There are 23 acupoints, yet what is "San-Jiao" is still argued by Chinese medical practitioners because its physiological function cannot correspond to any organ from the perspective of modern medicine. At present, more confusions are made due to its different names in the world. Thus, further investigation and interpretation are necessary.
Methods: We discuss the "San-Jiao" in this article according to the classic TCM book "San-Jing" and "Nan-Jing":(1)In physiology, San-Jiao likes to play a role as the drain in human body, and it also can distribute Yuan-Qi through the body as a special worker; (2) In morphology, San-Jiao is similar to pericardium or urine bladder, such as thick, thin, even, shrink and tight in shape, its fiber strips have straight lines or cross lines; (3) In symptoms, disorder of San-Jiao in dysfunction of the drain, and thus water is accumulated to cause edema, the dysfunction in spreading Yuan-Qi. When the febrile infections disease attacks, it is always along San-Jiao, from its upper, middle, transmit to lower part.
Results: On the basis of aforementioned reasons, and also according to the opinion of the ancient doctors, namely, Chang Jie-Bin (1563¡­1640) and Tang Yong-Chuan(1851¡­1918), its function corresponds to the definition of Six-Fu viscera: "is passage and transmute, but none storage".
Conclusion" We suggest that the San-Jiao should be included in the internal and external mang membrances of tissue in the whole body. Finally, we hope that San-Jiao can be unitary in its name and interpretation in the world.

Basic Theory of Traditional Chinese Medicine

A STUDY ON THE TRADITIONAL CHINESE TONGUE DIAGNOSIS
BY CHROMATIC METHODS

Yung-Hsien CHANG, Chuang-Chien CHIU
China Medical College Hospital and Feng Chia University, Taichung, Chinese Taipei.

The diagnosis in traditional Chinese medicine are based on the differentiation of symptom-complexity. The inspection of the tongue is one of the most important approach. However, tongue diagnoses vary with the experience of doctor and the environmental factors. Therefore, it is necessary to develop an objective instrumentation for helping the doctor in collecting, storing, and analyzing the information collected.
Since both the substance and the coating of the tongue need to be observed for color, it is helpful to use a computer software in distinguishing primary colors and tints. In this study, the color model is represented by the functional factors of hue, saturation and luminance (HSL). The HSL model is found to be beneficial in managing the special color environment of tongue substance and coating.
The HSL color model is analogous to the human visual perception of color. It makes the chromatic diagnosis for the thickness of the tongue coating easier to be detected. The detective technique for the thickness is dependent on the color gradient between the tongue substance and the coating. A further procedure is made to manage the color of the coated tongue substance.
The variation of visual perception and clinical experience cause differentiation of color in traditional observation of tongue. In addition, the environmental factors cause difference of objective decision. Therefore, the usage of the modern digital image processing technology for studying the traditional Chinese tongue diagnosis can convert the diagnosis from a subjective approach to an objective one. Moreover, it can diminish the artificial influence and build up the standard of quality and quantity for the usage of clinical applications, medical education, and research.