ABSTRACT
In view of the limitations of the high operational difficulty, safety hazards and adverse reactions of traditional fire needle, and unclear treatment parameters of existing electric fire needles, a new digital electric fire needle instrument was designed and developed in this study. This instrument is a gun type structure, consisting of a gun body, a power supply interface on the gun body, a display unit and a drive unit, a heating unit, a cooling unit, a positioning unit, and a needle inserting unit in the gun body. This instrument can digitally realize the regulation of parameters such as fire needle inserting temperature, depth and speed, and it has the advantageous features of intelligent needle burning, precise positioning, and safe and easy operation. This instrument meets the needs of more patients, medical professionals and scientific researchers, and is conducive to promoting the development of fire needle acupuncture therapy.
Subject(s)
Humans , Needles , Heating , Research Personnel , TemperatureABSTRACT
OBJECTIVE@#To assess the effect and safety of bloodletting puncture at hand twelve Jing-Well points (HTWPs) in acute stroke patients with conscious disturbance.@*METHODS@#In this multi-center and randomized controlled trial, 360 patients suffered from ischemic or hemorrhagic stroke with conscious disturbance within 48 h from the onset of symptom were divided into bloodletting (180 cases) and control (180 cases) groups using a block randomization. Patients in both groups received routine Western medicine, and patients in the bloodletting group received additional bloodletting puncture at HTWPs on admission immediately before conventional treatment. The primary outcome measure was Glasgow Coma Scale (GCS) score and the secondary outcomes included blood pressure, respiratory rate and pulse rate. All variables were evaluated at baseline (before bloodletting), 0 (after bloodletting immediately), 15, 30, 50 and 80 min post bloodletting.@*RESULTS@#At 80 min post bloodletting, the proportion of patients with improved consciousness in the bloodletting group was greater than the control group (P0.05).@*CONCLUSION@#The bloodletting puncture at HTWPs was safe and could improve conscious levels of ischemic stroke patients, highlighting a first-aid intervention for acute stroke. (Registration No. ChiCTR-INR-16009530).
ABSTRACT
Due to its own internal laws of development, Chinese medicine (CM) seems more inclined to empirical medicine in a relatively long historical period. It is considered to be lacking objective and unified clinical practice guidelines (CPGs), and the difficulties in diagnosis and therapeutic effect evaluation comes with it, have restricted its further inheritance, development and international communication. Over the years, our research group has been committed to improving the standardization theory and methodology of CM, also perfecting relative techniques for further application, which are all based on the stratified evidence scoring method. We have already applied this method to 45 issued guidelines, including 5 national guidelines, 3 industrial guidelines, and 37 formulation/revision social organization guidelines. The stratified evidence scoring method has been recognized and used widely. It helps scholars and applicators to study, formulate, publish and popularize the acupuncture therapy clinical practice guidelines better, thus further promotes the development of acupuncture therapy.
ABSTRACT
The indication of bloodletting therapy was determined based on the multi-dimensional evidence assessment, which could provide guidance for the clinical application of bloodletting therapy. The literature of bloodletting therapy was comprehensively collected by retrieval in CNKI, Wanfang and VIP databases (until February 23, 2019), modern books in Library of Tianjing University of TCM and the (Fifth Edition). The disease spectrum of bloodletting therapy was determined by self-designed questionnaire survey e-mailed to relevant experts. The indication of bloodletting therapy was determined by Delphi expert meeting. As a result, 746 pieces of ancient literature and 32 775 modern literature were included. The indications of bloodletting therapy based on the multi-dimensional evidence assessment include herpes zoster, acne, acute tonsillitis, vascular headache, varicose veins of lower extremities, acute lumbar sprain, early erysipelas, wheat swelling, exogenous fever of children, stroke, which are mainly the syndromes of blood stasis, toxin, excess and heat.
Subject(s)
Humans , Bloodletting , Medicine, Chinese TraditionalABSTRACT
The diseases recommended to be treated by acupuncture and the recommendation in the National Guideline Clearinghouse (NGC) and the National Institute for Health and Care Excellence (NICE) were summarized, and the diseases recommended were analyzed. The guidelines which mentioned acupuncture in NICE and NGC were searched and classified according to the types of diseases and intensity of recommendations. As a result, 45 guidelines in NGC were included, involving 59 recommendations; 29 guidelines in the NICE, involving 29 recommendations. The diseases recommended by NICE and NGC were mainly pain-related diseases, and the diseases recommended by NGC were wider. However, both needed to further describe the specific operation methods of acupuncture.
Subject(s)
Acupuncture TherapyABSTRACT
Cupping therapy is closely related to the meridian sinew system. " (image) of meridian sinew" is the reflection of " thinking" in meridian sinew system, e.g. morphology, function, color and lustre, temperature. Taking "(image) of meridian sinew" as the diagnosis object, the exploration is conducted in the paper in terms of classical theory, clinical practice and modern research. " (image) of meridian sinew" and "meridian sinew differentiation" are the important components in the improvement of cupping therapy system and the clinical development of acupuncture and moxibustion.
Subject(s)
Acupuncture Therapy , Meridians , Moxibustion , TemperatureABSTRACT
The diagnostic evidence on clinical diseases and theoretic basis of moving cupping therapy were ex- plored in the paper. By the observation of the local reaction, such as skin appearance and color, the affected location, duration of sickness and nature of disease were judged. Different moving cupping methods were selected for different disorders. It was discovered that the property of syndromes should be recognized by the palpation on skin and muscle in the moving cupping therapy so that the pathogenesis and treating principle could be carefully determined. The moving cupping therapy is the important component of body surface therapy. Skin reaction observation and syndrome differentiation is the essential guidance of the moving cupping therapy.
Subject(s)
Humans , Acupuncture Points , Acupuncture Therapy , Meridians , SkinABSTRACT
With retrieval of articles on extraordinary acupoint that were published in domesticin recent five years, one hundred and eight articles of clinical application are screened out and one hundred and twenty-three extraordinary acupoints that are extensively recognized are collected. Of those acupoints, 23 acupoints are included in the latest national standard. Of the rest 100 extraordinary acupoints, 48 acupoints are located on the running courses of fourteen meridians, 4 acupoints are shared with the meridian points and the other 52 acupoints have not been clarified to be located on the running courses of meridians based on the literature data. It is found in the collection of these acupoints that there are many extraordinary acupoints that are extensively used in clinical practice. But the nomenclatures and locations of acupoints have not been unified. Hence, a further standardization on these aspects is anticipated.
Subject(s)
Humans , Acupuncture , History , Reference Standards , Acupuncture Points , China , History, Ancient , Medicine in Literature , Meridians , Terminology as TopicABSTRACT
According to the theory and method of standardization, based on the current situation and characteristics of acupuncture standardized research, eight important aspects are introduced in our project of acupuncture standardization. The acupuncture standard is summarized from different expert's experiences, thus it will not impede the effectiveness of a treatment by an individual doctor; the classical literature is the principle of acupuncture standard, and the scientific investigation is the basis of acupuncture standard; the acupuncture standard should emphasize the combination of application and science; the standard itself and different standards should be in consistent; the state acupuncture standard should be in agreement with the international standards; the acupuncture standardization is to establish the optimum order in order to achieve the optimum effectiveness of the treatment; the law and organizations are the instructions, and the current acupuncture standard is the recommended standard; acupuncture standardization should reflect the characteristics of traditional Chinese medicine.
Subject(s)
Humans , Acupuncture Therapy , Methods , Reference Standards , China , Medicine, Chinese Traditional , Methods , Reference Standards , Reference StandardsABSTRACT
The commonly used tools and key points of manipulations of medicinal cupping therapy were introduced systematically in this article in order to study the concerning apparatuses, therapeutic methods, detailed manipulations, indications, application locations and medicine selection. Thus, an overall comprehension of the clinical application of medicinal cupping can be acquired, which may provide train of thought and methodology for its clinical application.
Subject(s)
Humans , Acupuncture Therapy , Methods , Medicine, Chinese Traditional , MethodsABSTRACT
The outstanding experiences of Professor LI Zhi-dao in acupuncture clinic practices are stated in this paper. He believes acupoint and manipulation are the key factors which determine the clinical efficacy. He explains that the accurate acupoint location is the basis of acupuncture manipulation. He clarifies that acupoint location is located by tactile perception with hands. You should touch a wider area around the acupoint; the accurate acupoint location is mainly around or among the edges of bones, tendons and muscles; you should continually press, push and touch. The direction, angle and depth of needle insertion are the guarantee of the safety and efficacy of acupuncture clinic practices. Furthermore, the needling sensation and its transmission are crucial to the clinical efficacy.
Subject(s)
Humans , Acupuncture Therapy , History , Methods , China , History, 20th Century , History, 21st CenturyABSTRACT
<p><b>OBJECTIVE</b>To establish the digitized visible human with Jiuwei (CV 15) involved.</p><p><b>METHODS</b>With the virtual Chinese human (VCH) datasets and three-dimensional modeling software adopted, the knowledge on acupuncture and moxibustion as well as acupoint anatomy combined and the computer image processing software applied, the visualized browser software of Jiuwei (CV 15) was established.</p><p><b>RESULTS</b>By establishing the interactive three-dimensional visualization browser software of acupoints, the location of Jiuwei (CV 15) was enabled to be expressed directly from all the levels, as well as the main adjacent tissue structure. It was suggested that Jiuwei (CV 15) should be punctured obliquely downward to avoid injuring the vital organs such as the heart and liver, and the safe depth of insertion should be 1.0-1.5 cm.</p><p><b>CONCLUSION</b>The technology of digital visible human enables the three-dimensional expression of acupoint, which can be the platform of the digital teaching pattern. The research on the angle and depth of needling insertion at acupoint can be conducted in combination with teaching materials.</p>
Subject(s)
Humans , Acupuncture Points , Acupuncture Therapy , Human Body , Imaging, Three-Dimensional , Software , Therapy, Computer-Assisted , User-Computer InterfaceABSTRACT
Moving cup of cupping therapy is studied in the present paper systematically. According to the experiences of clinical practice, duration, speed and intensity of moving cup has been quantified. Fifteen basic manipulations have been evolved, and 10 protocols for clinical application recommended. "Moving cup according to 3 factors of duration, speed and intensity" has been advanced on the basis of acupuncture therapy. And it has been concluded that the effects of warming needling, simple cupping, scraping, massage and medication can be achieved by moving cup with different techniques and clinical protocols.
Subject(s)
Humans , Medicine, Chinese Traditional , Methods , Therapeutics , MethodsABSTRACT
Main difficulties and problems in working out the national standard Manipulation Standardization of Acupuncture and Moribustion Techniques for Three-edged Needle are discussed. The difficult points include selection of technical terms; standardization and characteristics of Chinese medicine; quantification of bleeding amount in three-edged needle therapy; basis and science of the standards stipulated. The problems that need further be studied and perfected for Manipulation Standardization of Acupuncture and Moxibustion Techniques for Three-edged Needle are put forward in the present paper.
Subject(s)
Humans , Acupuncture Therapy , Methods , Reference Standards , China , Moxibustion , Methods , Reference StandardsABSTRACT
In order to explore the suitable diseases and symptoms treated by bleeding therapy so as to guide the clinical practice. The retrospective study of periodical literature series is used and all clinical literatures about bleeding therapy were searched in the China Journal Full Text Database in CNKI, the VIP Chinese Scientific Journals Full Text Database (CSJD), Wanfang Database, and the Chinese Bio-medical Literature Database, and the frequen cy of the literature and the total cases treated with bleeding therapy were statistically analyzed, and the principles and methods of clinical epidemiology and evidence-based medicine were used to classify and grade the literatures, and the diseases were classified according to the international statistical classification about diseases and related healthy problems (ICD10) issued by World Health Organization. As a result, 1149 effective literatures including 98,526 cases were searched out, which were involved in 18 major systems and 261 kinds of diseases. It is indicated that the bleeding therapy has lots of suitable diseases and symptoms and it is worth to be popularized. Particularly, this therapy has obvious advantages for treatment of herpes zoster, acne, hordeolum, cervical spondylosis, and oral ulcer.
Subject(s)
Humans , Bibliography of Medicine , Bibliometrics , Bloodletting , Methods , Databases, Bibliographic , Meta-Analysis as Topic , Retrospective StudiesABSTRACT
The main difficulties and disputable problems on develping the national standard Standardized Manipulation of Acupuncture and Moribustion, Part 3: Auricular Acupuncture are debated in this paper from the three aspects of its meaning, scientific basis and key point. The difficult points mainly include manipulation standandization of auricular acupuncture, basis and science of the standards stipulated, selection of technical terms and definition, and why only the four kinds of manipulations are used for auricular acupuncture. Finally, the authors suggest that the Standardized Manipulation of Acupuncture and Moxibustion, Part 3: Auricular Acupuncture needs further to be studied and improved.
Subject(s)
Acupuncture , Methods , Reference Standards , Acupuncture Points , Acupuncture, Ear , Methods , Reference Standards , China , Moxibustion , Methods , Reference StandardsABSTRACT
The author introduces the background of writing the innovation teaching material Science of Acupuncture Prescription in TCM university and colleges. The characteristics of this book were: (1) It establishes the train of thought on acupuncture prescriptions mainly based on the location of the acupoints. (2) It ascertains the relationship between prescriptions and science of prescription. (3) It highlights the scientific property of Science of Acupuncture Prescription by organic combination of inheritance and creativity. The publication of Science of Acupuncture Prescription serves as a bridge between Science of Meridians and Collaterals and Acupoints and Science of Acupuncture Therapy, perfects the course system of acupuncture and moxibustion and complements knowledge structure of acupuncture and tuinaology, and it also symbolizes the development of acupuncture and moxibustion.