ABSTRACT
Objective To observe the effect of bloodletting at Jing-well points on the recovery of cognitive function and prognosis in patients with post-stroke cognitive impairment. Method One hundred patients with post-stroke cognitive impairment were enrolled and divided by the random number table into two groups, with 51 cases in the observation group and 49 cases in the control group. The control group was intervened by conventional treatment, while the observation group was additionally given bloodletting at Jing-well points. The two groups were observed and compared in terms of Mini-Mental State Examination (MMSE), Montreal Cognitive Assessment (MoCA), Barthel Index (BI), and the plasma cortisol level before and after treatment. The therapeutic efficacy and occurrence rate of adverse reactions of the two groups were also compared. Result After treatment, the MMSE, MoCA and BI scores all increased in the two groups, but the scores of MMSE, MoCA and BI in the observation group were higher than those in the control group (P<0.05). The total effective rate was 94.1％ in the observation group, higher than 71.4％ in the control group (P<0.05). The plasma cortisol level dropped after treatment in both groups (P<0.05), and the level in the observation group was lower than that in the control group (P<0.05). The occurrence rate of adverse reactions was 7.8％ in the observation group, lower than 22.4％ in the control group (P<0.05). Conclusion Bloodletting at Jing-well points as assistant can effectively improve the mental state, cognitive function and activities of daily living, and to some extent reduce the happening of adverse reactions in the treatment of post-stroke cognitive impairment.
ABSTRACT
Objective To observe the clinical efficacy of pricking and bleeding the Jing-well points with three-edge needle in treating acute Bell’s palsy.Method Sixty patients with Bell’s palsy were randomized into an observation group and a control group, 30 in each group. In addition to the regular Chinese and Western medicine treatment for Bell’s palsy, the observation group also received pricking and bleeding treatment with three-edge needle at the Jing-well points. The House-Brackman (H-B) Scale and R wave in blink reflex (BR) were observed.Result The total effective rate was 93.0% in the observation group, significantly higher than 90.0% in the control group (P＜0.05). The H-B score significantly increased in both groups after intervention (P＜0.05). The observation group was significantly higher than the control group in comparing H-B score at the end of first and second treatment course (P＜0.05). The R1 and R2 waves in BR increased markedly after intervention in both groups (P＜0.05); the observation group was significantly higher than the control group in comparing R1 wave (P＜0.05), and R2 wave only at the end of the first course (P＜0.05) but not at the end of the second course (P>0.05).Conclusion Combining pricking and bleeding the Jing-well points with three-edge needle in the treatment of Bell’s palsy can enhance the therapeutic efficacy and promote the recovery of the facial nerve function.