Objective To observe the clinical efficacy of opposing needling for the treatment of migraine with the symptom of hyperactivity of liver yang type and its effect on NO level in plasma of patients. Methods Atotal of 60 migraine patients with the symptom of hyperactivity of liver yang who met the inclusive criteria were randomly divided into a opposing needling group (group A) and a routine acupuncture group (group B) by using SPSS 15.0 software according to the registration order with 30 patients in each group. Patients in group A were treated with opposing needling. Taich6ng (太冲 LR 3), Zhongzhu (中渚 TE 3), ZOlfnqi (足临泣 GB 41) and QiOxu (丘墟 GB 40) in the uninjured side were selected. After deqi, reducing method was used. Then Taixi (太溪 KI 3) in the uninjured side was selected. After deqi, rein forcing method was used. Needles were retained for 30 rain. Patients in group B were treated with routine acupuncture. Local Ash point, Sishncong ( 四神聪EX-HN1), Yifeng (翳风 TE 17), Fengchi (风池 GB 20), Sizhukong (丝竹空 TE 23), Shuaigu (率谷GB 8), Hegu (合谷 LI 4) and LiEque (列缺 LU 7) were selected. After puncturing, reducing method was used routinely and needles were retained for 30 rain. After 2 weeks treatment, migraine specific quality of life questionnaire (MSQ), visual analogue scale (VAS) and nitric oxide (NO) level in plasma of patients in two groups were observed. Results After treatment, the MSQ, VAS and NO of two groups were significantly improved compared with those before treatment. After treatment, score of MSQ functional limitation was 73.41±10.22 in group A and 60.95 ± 10.15 in group B; the score of MSQ dysfunction was 86.11 ±8.22 in group A and 75.45±8.34 in group B; score of MSQ emotion was 80.51±10.16 in group A and 75.01± 10.20 in group B. The improvements of group A were superior to those of group B, and the differences were all statistically significant (all P〈0.05). After treatment
Objective To observe the clinical efficacy of warm needling on the four knee acupoints in the treatment of knee pain after stroke on the basis of Chinese herb. Methods Sixty patients with knee pain after stroke were divided into a group A and a group B by random allocation, with 30 patients in each group. Patients in the group B only received the treatment by Chinese herb, which called Dúhuó Jìshēng Tāng(独活寄生汤 Pubescent Angelica and Mistletoe Decoction, add or remove ingredients depending on conditions); patients in the group A additionally received warm needling on the basis of Chinese herb. Four knee acupoints were selected as master acupoints and Hèd ng(鹤顶 EXLE 2), Yánglíngquán(阳陵泉 GB 34) and Zúsānl(足三里 ST 36) as combining acupoints. Perpendicular insertion was conducted on Xuèh i(血海 SP 10) and Liángqiū(梁丘 ST 34) for approximately 1 cun, and oblique insertion on Nèixīy n(内膝眼 EX-LE 4) and Dúbí(犊鼻 ST 35) for approximately 1 cun at 45° in inner and upper direction to push needle tip into joint cavity. After deqi, moxibustion stick was cut to 1.5 cm long, ignited, and inserted into the needle handles in the four knee acupoints. 1–2 strips were applied. After the moxa cones were burned up, needles were retained for 10 min. 7 d was a course of treatment and observation lasted for consecutive four courses. Visual analogue scale(VAS) and Barthel Index(BI) were adopted as observational indices. Clinical efficacy was classified as clinical cured, markedly effective, effective and ineffective according to the standards described in Guidelines of Clinical Research on Chinese New Herbal Medicine. Results After treatment, total effective rate was 93.3% in the group A, including full recovery in 8 cases, markedly effective in 15 cases, effective in 5 cases, and ineffective in 2 cases; while the total effective rate was 73.3% in the group B. The difference between the two groups was statistically significant(P0.05). In