Clinical observation of Tiaoshen acpuncture for dry eye syndrome with yin deficiency of liver and kidney / 中国针灸

OBJECTIVE@#To compare the curative effect of Tiaoshen acupuncture combined with artificial tears and artificial tears alone for dry eye syndrome with yin deficiency of liver and kidney.@*METHODS@#A total of 70 patients of dry eye syndrome with yin deficiency of liver and kidney were randomized into an acupuncture combined with medication group (35 cases, 2 cases dropped off) and a medication group (35 cases, 3 cases dropped off). In the medication group, 0.1% sodium hyaluronate eye drop was applied, 3 times a day, 1 drop each time. On the basis of the treatment as the medication group, Tiaoshen acupuncture was applied at Shenting (GV 24), Shenmen (HT 7), Benshen (GB 13), Taixi (KI 3), Taichong (LR 3), Guangming (GB 37), Fengchi (GB 20), Tongziliao (GB 1), Yuyao (EX-HN 4) in the acupuncture combined with medication group, Tongziliao (GB 1) and Yuyao (EX-HN 4) were connect with electroacupuncture, the needles were retained for 30 min, once a day, 6 times a week. Both groups were treated for 2 weeks. Before and after treatment, the clinical symptom score, SchirmerⅠtest (SⅠT), break-up time (BUT), corneal fluorescein staining (FL) score and Hamilton anxiety scale (HAMA) score were observed in the two groups, and the clinical efficacy was compared in the two groups.@*RESULTS@#Compared before treatment, the clinical symptom scores, corneal FL and HAMA scores were decreased (P<0.05), the levels of SⅠT and BUT were increased after treatment in the two groups (P<0.05). After the treatment, the clinical symptom score, FL and HAMA scores in the acupuncture combined with medication group were lower than the medication group (P<0.05), the levels of SⅠT and BUT in the acupuncture combined with medication group were higher than the medication group (P<0.05). The total effective rate in the acupuncture combined with medication group was 90.9% (30/33), which was higher than 71.9% (23/32) in the medication group (P<0.05).@*CONCLUSION@#Tiaoshen acupuncture combined with artificial tears could promote the secretion of tears for patients of dry eye syndrome with yin deficiency of liver and kidney, repair corneal defect and prolong tear film break-up time, and alleviate anxiety state, its curative effect is better than simple artificial tears.

Síndrome de dissociaçäo alto/baixo e técnica de ligaçäo entre os Zang Fu (órgäos/vísceras) pela acupuntura / Superior/inferior dissociation syndrome: the technique of connection between Zang Fu (organs/viscera) by acupunture

Os autores, baseando-se na teoria do Yang e do Yin da Medicina Tradicional Chinesa, descrevem a Síndrome de Dissociaçao Alto/Baixo, caracterizada pela manifestaçao de Plenitude de Qi nas regioes altas do corpo e de Vazio de Qi, nas inferiores. Esta síndrome é ocasionada pelas desarmonias energéticas do Alto, do Mediano e do Baixo. O tratamento consiste em restabelecer a ligaçao do Alto com o Baixo, isto é, do Xin (Coraçao) com o Shen (Rins), e que pode ser obtida pela utilizaçao dos pontos de acupuntura IG-4 (Hegu) e E-36 (Zusanli), os quais fazem a uniao Céu-Terra, e por meio da ligaçao dos Zang Fu (Orgaos/Vísceras), baseada na teoria dos canais unitários, em que o Xin (Coraçao) e o Shen (Rins) estao ligados numa uniao Superficial/Profundo e Alto/Baixo, que pode ser obtida pela utilizaçao dos seguintes pontos: CS-6 (Neiguan), C-7 (Shenmen), C-8 (Shaofu), ID-2 (Qiangu), ID-3 (Houxi), B-60 (Kunlun), B-62 (Shenmai), B-64 (Jinggu) e B-65 (Shugu), R-2 (Rangu), R-3 (Taixi) e R-7 (Fuliu).