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1.
Article in Chinese | WPRIM | ID: wpr-887488

ABSTRACT

The relevant provisions of bloodletting for expelling pathogens are collected from the works of the medical representative scholars in Jin-Yuan Dynasties and Ming-Qing Dynasties respectively to construct the databases of bloodletting for expelling pathogens of Jin-Yuan Dynasties and Ming-Qing Dynasties. Using frequency analysis, the bloodletting device, bloodletting location, bloodletting volume, the related pathogens and indications are compared between these two times so that the evidences could be provided for the inheritance and development of the academic thought of bloodletting for expelling pathogens. It is found that the three-edge needle is the most commonly used device for bloodletting in Jin-Yuan Dynasties and Ming-Qing Dynasties and


Subject(s)
Acupuncture Points , Bloodletting , China , Medicine, Chinese Traditional , Meridians , Needles
3.
Article in Chinese | WPRIM | ID: wpr-826713

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)
Bloodletting , Humans , Medicine, Chinese Traditional
4.
Chinese Acupuncture & Moxibustion ; (12): 1369-1373, 2020.
Article in Chinese | WPRIM | ID: wpr-877539

ABSTRACT

To sort out and summarize the evaluationmethods on the efficacy by acupuncture and moxibustion in ancient literature. The evaluation methods by ancient medical experts could be divided into two categories: one is according to the change of patient's conditions before and after treatment, including the subjective symptoms, the information getting from the four examination methods in TCM; the other is according to the characteristics of different interventions. For example, evaluating acupuncture by the "arrival of


Subject(s)
Acupuncture , Acupuncture Points , Acupuncture Therapy/history , Bloodletting , History, Ancient , Humans , Medicine, Chinese Traditional , Moxibustion
5.
Article in Chinese | WPRIM | ID: wpr-781773

ABSTRACT

OBJECTIVE@#To compare the analgesic effect of bloodletting acupuncture at -well points along three- meridians of foot combined with routine acupuncture and simple routine acupuncture on migraine.@*METHODS@#A total of 60 patients with migraine were randomized into an observation group and a control group, 30 cases in each one, of which, 4 cases were dropped out in the observation group, 1 case was dropped out in the control group. In the observation group, bloodletting acupuncture at -well points combined with routine acupuncture were applied. The bloodletting acupuncture was applied at corresponding -well points of three- meridians of foot [Lidui (ST 45), Zhiyin (BL 67), Zuqiaoyin (GB 44)] according to pain location. And routine acupuncture was adopted at Sizhukong (TE 23), Shuaigu (GB 8), Taiyang (EX-HN 5), Fengchi (GB 20), Hegu (LI 4), Taichong (LR 3), Zulinqi (GB 41), Yanglingquan (GB 34) and Waiguan (TE 5). In the control group, routine acupuncture was applied, acupoint selection and operation were the same as the observation group. The treatment was given once a day, 30 min a time, 5 days as one course with 2 days interval, and 2 courses were required. Before treatment, immediately after needle withdrawal, 4 h after needle withdrawal and after 2 courses of treatment, the visual analogue scale (VAS) score was compared in the two groups. Before and after treatment, the migraine comprehensive score was observed in the two groups, and the therapeutic effect was evaluated.@*RESULTS@#Immediately after needle withdrawal, 4 h after needle withdrawal and after 2 courses of treatment, the VAS scores in the two groups were decreased (0.05).@*CONCLUSION@#Bloodletting acupuncture at -well points along three- meridians of foot combined with routine acupuncture and simple routine acupuncture have analgesic effect, and the combined therapy is superior to simple routine acupuncture.


Subject(s)
Acupuncture Points , Bloodletting , Humans , Meridians , Migraine Disorders , Therapeutics , Treatment Outcome
6.
Semina cienc. biol. saude ; 40(1): 15-24, jan./jul. 2019. ilus
Article in Portuguese | LILACS | ID: biblio-1050288

ABSTRACT

A hipertensão arterial sistêmica (HAS) se caracteriza por níveis elevados de pressão arterial (PA) de maneira contínua. É uma doença de causas multifatoriais, difícil diagnóstico e com altas taxas de mortalidade. Um método com efeito hipotensor rápido é a terapia auricular por sangria, proveniente da Medicina Tradicional Chinesa (MTC). O objetivo deste estudo foi analisar os efeitos imediatos da terapia auricular em indivíduos hipertensos de uma unidade de pronto atendimento da cidade de Cascavel-PR. Para tanto, foi verificada a PA antes do procedimento (PA inicial), e se estivesse ≥ 140/90 mmHg, era realizada a técnica de sangria no ponto Erjian auricular. Dez minutos após, aferia-se novamente a PA (PA final). Os resultados demonstraram redução significativa tanto na PA sistólica (PAS) inicial (157,27 ± 14,49) quando comparada à PAS final (142,97 ± 14,01), quanto na PA diastólica (PAD) inicial (99,83 ± 11,26) em comparação com a PAD final (90,66 ± 8,82). Conclui-se que a sangria no ápice da orelha foi capaz de reduzir significativamente a PA nos indivíduos investigados. Entretanto, tornam-se necessários novos estudos neste sentido, a fim de comprovar os reais benefícios da acupuntura sobre a HAS (AU)


Systemic arterial hypertension (SAH) is characterized by continuously elevated blood pressure (BP) levels. It is a multifactorial disease, difficult to be diagnosed and presents high mortality rates. One method with a rapid hypotensive effect is an auricular bloodletting therapy from Traditional Chinese Medicine. The aim of this study was to analyze the immediate effects of auricular therapy in hypertensive individuals at an Emergency Medical Unit in the city of Cascavel-PR. To do so, the BP was verified before the procedure (initial BP), and if it was within the required criteria, the bloodletting technique was performed at the Erjian auricular point. Ten minutes later, BP was measured (end BP). A significant decrease in the results for initial systolic BP (SBP) (157,27 ± 14,49) compared to end SBP (142,97 ± 14,01), as well as for initial diastolic BP (DBP) (99,83 ±BP11,26) compared to end DBP (90,66 ± 8,82) has been shown. Therefore, it is concluded that the bleeding of ear apex has been able to cut down significantly the BP of the examined individuals. Nevertheless, in order to prove the real benefits of acupuncture on SAH further studies in this respect are necessary (AU)


Subject(s)
Humans , Male , Female , Adult , Middle Aged , Aged , Bloodletting , Acupuncture, Ear/methods , Hypertension , Medicine, Chinese Traditional
7.
Article in Chinese | WPRIM | ID: wpr-777249

ABSTRACT

OBJECTIVE@#To observe the difference in the therapeutic effects on rheumatoid arthritis (RA) between the combined -deep needling and bloodletting technique and the regular needling technique.@*METHODS@#A total of 70 patients were randomized into an observation group (35 cases) and a control group (35 cases, 4 cases dropped-out). Dazhui (GV 14), Shenzhu (GV 12), Zhiyang (GV 9), Jinsuo (GV 8), Ganshu (BL 18), Shenshu (BL 23), Zhibian (BL 54), Weizhong (BL 40), Taixi (KI 3) and Tianzong (SI 11), etc. were selected in the two groups. Additionally, in the observation group the -deep needling technique was adopted at Tianzong (SI 11) and Zhibian (BL 54), the bloodletting technique at the local swollen area and the even-needling technique at the rest acupoints. In the control group, the even-needling technique was applied to all of the acupoints. Acupuncture treatment was given once every two days, 3 times a week and for 12 weeks totally. The numbers of tender points at the knee joint, the numbers of swollen sites at the knee joint, the visual analogue scale (VAS) score and the American health assessment questionnaire (HAQ) score were observed in the two groups before and after treatment, as well as the changes in erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP). The American College of Rheumatology (ACR) criteria was adopted to evaluate the therapeutic effects of the two groups.@*RESULTS@#After treatment, the numbers of tender points, the numbers of swollen sites, VAS score and HAQ score were all improved as compared with those before treatment in the two groups (all 0.05). The standard-reaching rates of ACR 20 and ACR 50 in the observation group were 94.3% (33/35) and 31.4% (11/35) respectively, which were better than 67.7% (21/31) and 6.5% (2/31) in the control group (<0.01, <0.05).@*CONCLUSION@#The acupuncture with the -deep and bloodletting techniques and the acupuncture with regular needling technique are all effective on RA. The therapeutic effects of the acupuncture treatment with the -deep and bloodletting techniques are better than that with regular needling technique.


Subject(s)
Acupuncture Points , Acupuncture Therapy , Arthritis, Rheumatoid , Therapeutics , Bloodletting , Humans , Treatment Outcome
8.
Article in English | WPRIM | ID: wpr-776635

ABSTRACT

OBJECTIVE@#To evaluate the efficacy and safety of blood-letting therapy (BLT) in treatment of hypertension.@*METHODS@#A comprehensive electronic and manual bibliographic searches were performed in Cochrane Central Register of Controlled Trials, Excerpt Medica Database (EMBASE), PubMed, China National Knowledge Infrastructure, Chinese Scientific Journal Database, Chinese Biomedical Literature Database, and Wanfang Database to identify randomized controlled trials (RCTs) in which hypertensive patients were treated with BLT or BLT plus antihypertensive drugs (BPAD) against placebo, no treatment or antihypertensive drugs. The Cochrane Risk Assessment Tool was used to assess the methodological quality of trials. The Review Manager 5.3 software was used for meta-analysis.@*RESULTS@#A total of 7 RCTs with 637 hypertensive patients from 1989 to 2017 were identified. Compared with antihypertensive drugs, blood pressure was significantly reduced by BLT (RR=1.21, 95% CI: 1.01 to 1.44, P=0.03; heterogeneity: P=0.06, I=60%) and BPAD (RR=1.25, 95% CI, 1.02 to 1.53, P=0.03; heterogeneity: P= 0.01, I=71%). Moreover, a significant improvement in Chinese medicine syndrome by BLT (RR=1.32; 95% CI: 1.14 to 1.53, P=0.0002; heterogeneity: P=0.53, I=0%) and BPAD (RR=1.47; 95% CI: 1.06 to 2.04, P=0.02; heterogeneity: P=0.13, I=56%) was identified. The reported adverse effects were well tolerated.@*CONCLUSION@#Although some positive findings were identified, no definite conclusions regarding the efficacy and safety of BLT as complementary and alternative approach for treatment of hypertension could be drew due to the generally poor methodological design, significant heterogeneity, and insufficient clinical data. Further rigorously designed trials are warranted to confirm the results.


Subject(s)
Adult , Aged , Aged, 80 and over , Antihypertensive Agents , Therapeutic Uses , Blood Pressure , Bloodletting , Combined Modality Therapy , Humans , Hypertension , Drug Therapy , Therapeutics , Medicine, Chinese Traditional , Middle Aged , Randomized Controlled Trials as Topic , Syndrome , Treatment Outcome
9.
Chinese Acupuncture & Moxibustion ; (12): 1075-1080, 2019.
Article in Chinese | WPRIM | ID: wpr-776210

ABSTRACT

OBJECTIVE@#To observe the effect of bloodletting acupuncture at twelve -well points of hand on microcirculatory disturbance in mice with traumatic brain injury (TBI), and to explore the protective effect of bloodletting therapy on TBI.@*METHODS@#Sixty clean adult male C57BL/6J mice were randomly divided into a sham-operation group, a model group and a treatment group, 20 mice in each group. The TBI model was established by using electronic controlled cerebral cortex impact instrument in the model group and the treatment group. The mice in the treatment group were treated with bloodletting acupuncture at bilateral "Shaoshang" (LU 11), "Shangyang" (LI 1), "Zhongchong" (PC 9), "Guanchong" (TE 1), "Shaochong" (HT 9) and "Shaoze" (SI 1) immediately after trauma. The mice in the sham-operation group only opened the bone window but did not receive the strike. The regional cerebral blood flow (rCBF) was monitored by laser speckle contrast analysis (LASCA) using a PeriCam PSI System before trauma, immediately after trauma and 1, 2, 12, 24, 48, 72 h after trauma. The brain water content was measured by wet-dry weight method 24 h after trauma. The severity of functional impairment at 2, 12, 24, 48 and 72 h after trauma was evaluated by modified neurological scale scores (mNSS).@*RESULTS@#① 2 h after trauma, the mNSS in the model group and treatment group were >7 points, suggesting the successful establishment of model; compared with the sham-operation group, the mNSS was increased significantly from 12 to 72 h after trauma in the model group ( all <0.01), but the mNSS in the treatment group was significantly lower than that in the model group from 2 to 24 h after trauma (<0.01, <0.05). ② Compared with the sham-operation group, rCBF in the model group was decreased significantly immediately after trauma (<0.01), and the rCBF in the model group was lower than that in the sham-operation group from 1 to 72 h after trauma ( all <0.01); rCBF in the treatment group began to rise and was significantly higher than that in the model group 1-2 h after trauma (<0.01); 12-48 h after trauma, the increasing of rCBF in the two groups tended to be gentle until 72 h after injury, and rCBF in the model group was decreased while that in the treatment group continued to rise and was higher than that in the model group (<0.01). ③ 24 h after trauma, the brain water content in the model group was significantly higher than that in the sham-operation group (<0.01), and brain water content in the treatment group was significantly lower than that in the model group (<0.01).@*CONCLUSION@#The bloodletting acupuncture at twelve -well points of hand could improve microcirculation disturbance, increase microcirculation perfusion, alleviate secondary brain edema and promote the recovery of nerve function in mice with TBI.


Subject(s)
Acupuncture Points , Acupuncture Therapy , Animals , Bloodletting , Brain Injuries, Traumatic , Therapeutics , Male , Mice , Mice, Inbred C57BL , Microcirculation , Random Allocation
10.
Chinese Acupuncture & Moxibustion ; (12): 1145-1149, 2018.
Article in Chinese | WPRIM | ID: wpr-777312

ABSTRACT

OBJECTIVE@#To observe the effect difference between blood-letting and cupping therapy combined with basic treatment and simple basic treatment for upper limb spasticity in the recovery phase of stroke.@*METHODS@#Sixty patients of upper limb spasticity in the recovery phase of stroke were randomly assigned into an observation group and a control group, 30 cases in each group. In the control group, the basic treatment, including the internal treatment, acupuncture and rehabilitation, was used for 2 weeks, 6 times a week, once a day. Based on the basic treatment, blood-letting, at 3 -well points each time, and cupping therapy were used at the most obvious spasm point in the belly of biceps muscle in the observation group for 2 weeks, 3 time a week, once every other day. The spasm score, passive traction value, and moter function score of upper limb were assessed in the two groups before and after treatment. The effects were compared between the two groups.@*RESULTS@#After treatment, the spasm scores and passive traction values were lower than those before treatment in the two groups (all <0.01), with better score and value as well as different values before and after treatment in the observation group (<0.05, <0.01). After treatment, the motor function scores were higher than those before treatment in the two groups (both <0.01), with better score and different value before and after treatment in the observation group (both <0.05). The total effective rate was 90.0% (27/30) in the observation group, which was better than 76.7% (23/30) in the control group (<0.05).@*CONCLUSION@#Based on the basic treatment, blood-letting combined with cupping therapy are effective for upper limb spasticity in the recovery phase of stroke.


Subject(s)
Acupuncture Therapy , Bloodletting , Humans , Muscle Spasticity , Stroke , Stroke Rehabilitation , Treatment Outcome , Upper Extremity
11.
National Journal of Andrology ; (12): 152-155, 2018.
Article in Chinese | WPRIM | ID: wpr-775203

ABSTRACT

Objective@#To explore the treatment of penile incarceration with a metal ring.@*METHODS@#Based on our experience in the successful management of a case of penile incarceration with a metal ring by coiling and bloodletting from the corpus cavernosum, we reviewed the relevant literature and analyzed the indications, advantages and disadvantages of different methods for the treatment of penile incarceration with a circular foreign body.@*RESULTS@#The clamping and cutting methods were non-invasive, fast, effective, and with few complications, which could be applied to the treatment of penile strangulation at all levels. However, clamping was not desirable enough for a hard metal ring and the cutting method took a longer time and might increase the risk of unnecessary damage to the penile skin, urethra and cavernous body. Prepuce edema decompression and the thin tube-coiling method, with the advantages of minimal invasiveness, simple operation and no need of special tools, were suitable for penile strangulation injury under level 3, but might cause penile skin injury and potential postoperative erectile dysfunction. Surgical resection, as an invasive procedure, could be applied to severe penile strangulation at level 4 or 5.@*CONCLUSIONS@#The principle for the treatment of penile incarceration with a circular foreign body is to remove the foreign object as soon as possible and not to add secondary damage.


Subject(s)
Bloodletting , Methods , Constriction, Pathologic , Therapeutics , Erectile Dysfunction , Foreign Bodies , Therapeutics , Humans , Jewelry , Male , Penis , Wounds and Injuries , Pathology , Postoperative Complications , Urethra
12.
Article in English | WPRIM | ID: wpr-160333

ABSTRACT

BACKGROUND: The use of leeches can effectively increase the salvage rate of flap congestion. However, the first reaction from patients and carers in using leeches in clinical fields is strong aversion. This can be due to the fact that development of our culture from agriculture to industrial society, coming across leeches became fairly rare. Also because of the biological traits that leeches carry; staying attached to a leg or other body parts of the host, sucking blood, and leaving wounds. METHODS: This study was conducted through questionnaires, divided into many subgroups. We scaled the compliance of the two therapies, with or without leech. Maximum scale of 10 showing no rejective response to the therapy and minimum scale of 0 showing the greatest rejective response. RESULTS: Overall subjects' compliance was improved after explaining the benefits of hirudotherapy. Irrelevant to the explanation, there was no significant difference in general compliance between male and female. Young-aged group and medical personnel or people studying medicine showed higher compliance over older-aged group and the general public. CONCLUSION: In the terms of general social cognition, recognizing leech as a therapeutic material may not be welcomed at first, but provided with proper information and explanations, overall compliance of patients and carers can be improved and consequently result in superior outcomes in flap salvage.


Subject(s)
Agriculture , Bloodletting , Caregivers , Cognition , Compliance , Estrogens, Conjugated (USP) , Female , Human Body , Humans , Leeches , Leg , Male , Patient Compliance , Surgical Flaps , Surveys and Questionnaires , Wounds and Injuries
13.
Fisioter. Bras ; 18(4): f:489-I:496, 2017.
Article in Portuguese | LILACS | ID: biblio-907024

ABSTRACT

As estrias são cicatrizes indesejáveis que surgem na pele devido ao rompimento das fibras de colágeno e elastina presentes na derme, causando uma atrofia no tecido provocando o aparecimento de estrias, onde no início têm aspecto avermelhado, e quando se tornam "velhas" apresentam um aspecto esbranquiçado e abrilhantado (estrias nacaradas). O presente estudo contou com a participação de 16 mulheres iniciais, e ao final 3, com idades entre 18 e 35 anos que apresentavam estrias nacaradas na região abdominal pós-gravidez. Elas foram divididas em dois grupos: no Grupo A foi aplicada a eletrogalvanopuntura e, no Grupo B aplicada a acupuntura na técnica de pica-pau (sangria), no intuito de melhorar o aspecto do tecido estriado. Os resultados foram satisfatórios mostrando a eficácia das duas técnicas no tratamento das estrias nacaradas pós-gestacionais.(AU)


Stretch marks are unwanted scars that develop on the skin caused by the breakdown of collagen fibers and elastin found in the dermis, leading to tissue atrophy, forming the stretch marks, which are often red at the beginning, before gradually fading to a silvery white color. This study consisted initially of 16 women, and 3 at the end, aged 18 to 35, suffering of silvery white stretch marks on abdominal area after pregnancy. A sample of women was divided into two comparison groups: Group A used galvanic puncture, and Group B used the aloodletting acupuncture technique, to heal the stretch marks. The results were satisfactory and showed the significant efficacy of both treatments for improving pregnancy stretch marks.(AU)


Subject(s)
Humans , Female , Adult , Striae Distensae , Acupuncture , Bloodletting , Punctures
14.
Diagn. tratamento ; 21(4): 162-165, Out.-Dez. 2016. tab, graf, fig
Article in Portuguese | LILACS | ID: biblio-2495

ABSTRACT

Contexto: Flebotomia terapêutica é um recurso antigo, porém ainda muito utilizado em determinadas circunstâncias clínicas. A flebotomia terapêutica é isovolêmica quando se repõe igual volume ao retirado. Descrição do caso: Paciente com poliglobulia secundária a hipóxia crônica por hipertensão pulmonar, admitida em pronto-socorro dispneica. Foram descartados trombose venosa profunda (TVP) e trombo-embolismo pulmonar (TEP), tratada a celulite de membro inferior, otimizadas as drogas para insuficiência cardíaca e indicada flebotomia terapêutica isovolêmica para tratamento adjuvante da poliglobulia. Considerando o insucesso nas tentativas com sistema de bolsa coletora, padronizado no Hospital das Clínicas da Universidade Estadual Paulista (HC-UNESP), obteve-se sucesso realizando método alternativo de flebotomia terapêutica, relatado neste artigo. Discussão: A indicação da flebotomia se deu por hemoconcentração em paciente policitêmica, com piora do quadro basal. Todavia, ainda não estava em uso de oxigenioterapia domiciliar, previamente indicado. Ainda que pouco disseminado, o método demonstrado consta no protocolo de algumas instituições. Neste caso, foi a forma possível de se operacionalizar a flebotomia. Conclusões: Com este relato, demonstra-se que, muitas vezes, as soluções para os desafios clínicos cotidianos podem ser encontradas nos recursos já existentes, reduzindo tempo de internação, custos e tornando o sistema público mais eficaz.


Subject(s)
Humans , Female , Adult , Polycythemia , Bloodletting , Phlebotomy , Dyspnea , Hypoxia
15.
Article in Chinese | WPRIM | ID: wpr-269748

ABSTRACT

<p><b>OBJECTIVE</b>To observe the effects of bloodletting pricking, cupping and surrounding acupuncture on blood inflammation-related indices in patients with acute herpes zoster (HZ), and to explore the mechanism of pain control and treatment.</p><p><b>METHODS</b>A total of 60 patients were randomly divided into an observation group and a control group, 30 cases in each one. In the observation group, the patients were treated with bloodletting pricking at herpes, followed by cupping treatment; also the surrounding acupuncture was performed at injured skin. The treatment was given once a day and once every other day after the first 3 days; totally one-week treatment was given. In the control group, the patients were treated with intravenous drip of acyclovir and oral administration of vitamin B1 and B12, once a day for total one week. The visual analogue scale (VAS) and percentages of neutrophil, lymphocyte in peripheral and local blood were observed before and after treatment in the two groups.</p><p><b>RESULTS</b>After treatment, the score of VAS was significantly reduced in both groups (both P < 0.05); compared with the control group, the score of VAS and the time of pain relieve were significantly improved in the observation group (P < 0.01, P < 0.05). Compared before treatment, the percentages of lymphocyte in peripheral and local blood were reduced after treatment (both P < 0.05) and the percentages of neutrophil in local blood were increased (both P < 0.05). The lymphocyte in local blood was also reduced after treatment in the control group (P < 0.05); compared with peripheral blood in the observation group and local blood in the control group, the percentages of lymphocyte in local blood were reduced (both P < 0.05).</p><p><b>CONCLUSION</b>The efficacy of bloodletting pricking, cupping and surrounding acupuncture on acute herpes zoster is positive, and it can significantly lower the number of lymphocytes in the local blood and increase the number of neutrophil, which is likely to be one of the anti-virus mechanisms.</p>


Subject(s)
Acupuncture Therapy , Adolescent , Adult , Aged , Bloodletting , Combined Modality Therapy , Female , Herpes Zoster , Blood , Allergy and Immunology , Therapeutics , Humans , Male , Middle Aged , Neutrophils , Allergy and Immunology , Pain Management , Young Adult
16.
Article in English | WPRIM | ID: wpr-287139

ABSTRACT

<p><b>OBJECTIVE</b>To explore the therapeutical effect of ear-acupoint pressing combined with Ear Apex (HX6,7) bloodletting on haemorheology in chloasma patients with Gan (Liver) depression pattern.</p><p><b>METHODS</b>A total of 180 chloasma patients were randomly assigned to three groups, 60 cases in each. Patients in the earacupuncture (EA) group were treated with ear-acupoint pressing combined with Ear Apex (HX6,7) bloodletting; vitamins C and E were put into practice in the Western medicine (WM) group together with 0.025% tretinoin cream for local external application; patients in the placebo group were treated with urea-cream by external use, while 30 healthy volunteers were in the control group. After a treatment course of 2 months, the changes of haemorheology, injury skin area, colour score and symptom score before and after the treatment were observed.</p><p><b>RESULTS</b>There was no significant difference on whole blood reduced viscosity (high shear, medium shear, and low shear), erythrocyte aggregation index, hematocrit, plasma viscosity among the four groups (F =2.65, P>0.05). Compared with those before treatment, the whole blood viscosity (high shear) and whole blood reduced viscosity (high shear) after treatment in the EA group, the WM group and the placebo group were with no statistical significance (P>0.05). The injury skin area and colour score after treatment were significantly lower than those before treatment in the EA group and the WM group (P<0.05), while there was no significant difference in placebo group (P>0.05). Clinical symptoms of the EA group were obviously improved after the 2-month treatment, which was significantly different compared with those before treatment (P<0.05), there was significant difference compared with those of WM group and placebo group (P<0.05).</p><p><b>CONCLUSION</b>There was no significant difference on haemorheology index between healthy people and chloasma patients without angionosis, cerebrovascular disease, hematopathy, metabolic disease or any other organic disease. Ear-acupoint pressing combined with Ear Apex (HX6,7) bloodletting can effectively improve concurrent symptoms, lighten chloasma and lower chloasma area in patients accompanied by Gan depression.</p>


Subject(s)
Acupuncture Points , Acupuncture Therapy , Methods , Adult , Bloodletting , Ear , Female , Hemorheology , Humans , Melanosis , Blood , Therapeutics , Skin , Pathology , Skin Pigmentation
17.
Cambios rev. méd ; 14(25): 38-42, jun.2015. graf, tab
Article in Spanish | LILACS | ID: biblio-1008262

ABSTRACT

Introducción: se pretende comparar las complicaciones del implante con abordaje venoso percutáneo versus uno por venodisección. Materiales y métodos: se incluyó implantes entre enero 2010 y diciembre 2012. Se excluyó los cambios de generador, implantes no exitosos, aquellos por vía yugular o femoral y los realizados fuera del laboratorio de electrofisiología. Evaluamos las complicaciones, tales como: hematoma, infección, neumotórax, desplazamiento de lead, reintervención y muerte. Resultados: se analizó 161 implantes. La infección de bolsillo se presentó en 3,7% del acceso percutáneo y 1,25% con el cefálico (p: 0,27). El hematoma de bolsillo se presentó en 2,49% con el acceso percutáneo y 1,25% con el cefálico (p: 0.57). Hubo desplazamiento de lead auricular en 2,5% del acceso cefálico vs 1,23% con el percutáneo (p: 0.56). El desplazamiento de lead ventricular se presentó en el 1,23% del grupo percutáneo vs 1,25% con el cefálico (p: 0.99). Hubo neumotórax en el 2,49% del grupo subclavio vs 0% con cefálico (p: 0.29). Se reportó una muerte en el grupo cefálico 1,25% (p: 0.49). La reintervención fue requerida en 6,1% del grupo percutáneo vs 3,75% con cefálico (p: 0.48). Conclusión: no existió diferencia en la presentación de complicaciones en el abordaje percutáneo en comparación con la venodisección cefálica.


Introduction: we intend to compare the complications related to the subclavian/axilar puncture versus cephalic vein cut down in pacemaker implantation. Materials and methods: all procedures between january 2010 and december 2013 were included. We excluded pulse generator substitution, unsuccessful implantations, jugular or femoral access and implantation performed outside the electrophysiology laboratory. We analyzed early complications such as pocket hematoma, pocket infection, pneumothorax, lead displacement, re intervention and death. Results: 161 procedures were analyzed. Pocket infection presented in 3,7% with subcalvian/axilar access and in 1,25% with cephalic access (p:0,27). Pocket hematoma presented in 2,49% with subclavian/axilar access vs 1,25% with cephalic access (0,57). There were atrial lead displacement in 2,5% with cephalic access vs 1,23% with subcalvian/axilar access (p:0,56). Ventricular lead displacement presented in1,23% with subclavian/axilar access vs 1,25% with cephalic access (p:0,99). Pneumothorax presented in 2,49% with subclavian/axilar access vs 0% with cephalic access (p:0,29). We reported one death with cephalic access (p: 0,49). Re intervention was needed in 6,1% with subclavian/axilar access vs 3,75% with cephalic access (p:0.48). Conclusion: complication rates presented no differences between subclavian/axilar access and cephalic access.


Subject(s)
Humans , Male , Female , Pacemaker, Artificial , Pneumothorax , Cardiac Pacing, Artificial , Bloodletting , Hematoma , Infections , Defibrillators, Implantable , Death , Cardiac Electrophysiology
18.
Article in English | WPRIM | ID: wpr-262617

ABSTRACT

<p><b>OBJECTIVE</b>Gua Sha and Blood-letting at the acupoints were Chinese traditional therapies for heatstroke. The purpose of present study was to assess the therapeutic effect of Gua Sha on the DU Meridian and Bladder Meridian combined with Blood-letting acupoints at Shixuan (EX-UE 11) and Weizhong (BL 40) on heatstroke.</p><p><b>METHODS</b>Anesthetized rats, immediately after the onset of heatstroke, were divided into four major groups: Gua Sha group, Blood-letting group, Gua Sha combined with Blood-letting group and model group. They were exposed to ambient temperature of 43 °C to induce heatstroke. Another group of rats were exposed to room temperature (26 °C) and used as normal control group. Their survival times were measured. In addition, their physiological and biochemical parameters were continuously monitored.</p><p><b>RESULTS</b>When rats underwent heatstroke, their survival time values were found to be 21-25 min. Treatment of Gua Sha combined with Bloodletting greatly improved the survival time (230±22 min) during heatstroke. All heatstoke animals displayed and activated coagulation evidenced by increased prothrombin time (PT), activated partial thromboplastin time (aPTT), D-dimer, and decreased platelet count, protein C. Furthermore, the animals displayed systemic inflammation evidenced by increased the serum levels of cytokines interleukin-1ß (IL-1ß), tumor necrosis factor α (TNF-α) and malondialdehyde (MDA). Biochemical markers evidenced by cellular ischemia and injury/dysfunction included increased plasma levels of blood urea nitrogen (BUN), creatinine, serum glutamic oxaloacetic transaminase (SGOT), serum glutamic pyruvic transaminase (SGPT), and alkaline phosphatase (ALP) were all elevated during heatstroke. Core temperatures (Tco) were also increased during heatstroke. In contrast, the values of mean arterial pressure were signifificantly lower during heatstroke. These heatstroke reactions were all signifificantly suppressed by treatment of Gua Sha and Blood-letting, especially the combination therapy.</p><p><b>CONCLUSION</b>Gua Sha combined with Blood-letting after heatstroke may improve survival by ameliorating systemic inflflammation, hypercoagulable state, and tissue ischemia and injury in multiple organs.</p>


Subject(s)
Animals , Blood Coagulation Disorders , Drug Therapy , Therapeutics , Bloodletting , Combined Modality Therapy , Complementary Therapies , Methods , Cytokines , Blood , Heat Stroke , Inflammation , Drug Therapy , Therapeutics , Ischemia , Drug Therapy , Therapeutics , Male , Malondialdehyde , Metabolism , Random Allocation , Rats , Rats, Sprague-Dawley , Survival Rate
19.
Article in Chinese | WPRIM | ID: wpr-255040

ABSTRACT

<p><b>OBJECTIVE</b>To investigate the influence of therapeutic bloodletting at Jing-well points and hypothermia on acute cerebral edema after traumatic brain injury (TBI) in rats.</p><p><b>METHODS</b>Seventy-five SD rats were randomly divided into sham-operation group (Sham), TBI group (TBI), bloodletting group (BL), mild-induced hypothermia group (MIH), and bloodletting plus MIH group (BL + MIH) (n = 15). The model of TBI was established by electric controlled cortical impactor (eCCI). The rats of BL group were bloodletting at Jing-well points immediately after injury, twice daily. While the MIH group was settled on a hypothermia blanket promptly after TBI for 6 hours, so that the temperature dropped to 32 degrees. Each of measurement was performed after 48 hours. Magnetic resonance imaging (MRI) was used to evaluate the dynamic impairment of cerebral edema after TBI (n = 3). In addition, mNSS score, measurements of wet and dry brain weight, and Evans Blue assay were performed to investigate the neurologic deficit, cerebral water content (n = 8), and blood-brain barrier permeability (BBB), (n = 4), respectively.</p><p><b>RESULTS</b>MRI analysis showed that the cerebral edema, hematoma and midline shifting of rats in TBI group was more serious than other treatment group. Meanwhile compared with TBI group, the mNSS scores of every treatment group were meaningfully lower (all P < 0.05). Furthermore, treatment with BL+ MIH group was superior to the separated BL and MIH group (all P < 0.01). In addition, brain water content of each intervention group reduced to varying degrees (all P < 0.05), especially that of MIH group and BL + MIH group (P <0.01). BBB permeability of each treatment group was also significantly improved (all P < 0.01), and the improvement in MIH group and BL + MIH group was much better than the BL alone group (P < 0.05, P < 0.01).</p><p><b>CONCLUSION</b>Our major finding is that bloodletting at Jing-well points and MIH can reduce cerebral edema and BBB dysfunction and exert neuroprotective effects after TBI. The results suggest that the combination of BL and MIH is more effective than other treatment being used alone.</p>


Subject(s)
Animals , Blood-Brain Barrier , Bloodletting , Brain , Pathology , Brain Edema , Brain Injuries , Therapeutics , Hypothermia, Induced , Rats , Rats, Sprague-Dawley
20.
Article in English | WPRIM | ID: wpr-58196

ABSTRACT

A 68-year-old woman visited the emergency department twice with symptoms of acute heart failure including shortness of breath, general weakness, and abdominal distension. Laboratory findings showed extremely low level of serum hemoglobin at 1.4 g/dL. Echocardiographic examination demonstrated dilated left ventricular cavity with systolic dysfunction and moderate amount of pericardial effusion. In this patient, acute heart failure due to severe iron deficiency anemia was caused by inappropriate habitual bloodletting.


Subject(s)
Aged , Anemia , Anemia, Iron-Deficiency , Bloodletting , Dyspnea , Echocardiography , Emergency Service, Hospital , Female , Heart Failure , Heart , Humans , Iron , Pericardial Effusion
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