Professor 's experience of stage treatment for refractory facial paralysis / 中国针灸

To introduce professor s experience that different stages of refractory facial paralysis should be treated with different acupuncture methods.In early stage of facial paralysis,identifcation is important. Electroacupuncture is applied to connect Qianzheng (Extra) with Cuanzhu (BL 2), Sibai (ST 2) and Jiachengjiang (Extra), by observing the twitches of facial muscles, it is determined whether it is easy to develop into refractory facial paralysis, in order to actively take preventive treatment. In the recovery stage of refractory facial paralysis, comprehensive therapy including acupuncture, acupoint injection, quick cupping and auricular point pressure are adopted, and penetration needling is applied at three points of mouth, three points of cheek and three points of forehead.In the sequelae stage of refractory facial paralysis，on the basis of comprehensive therapy, targeted treatment is adopted according to different sequelae.

Clinical study on scalp acupuncture with long needle-retained duration for treatment of Tourette syndrome / 中国针灸

<p><b>OBJECTIVE</b>To observe therapeutic effects of different needle-retained durations at scalp acupoints on Tourette syndrome (TS).</p><p><b>METHODS</b>Sixty-two cases of TS were randomly divided into an observation group and a control group, 31 cases in each group. In the observation group, the needles were retained for 2 h and in the control group, they were retained for 30 min. The middle line of forehead, middle line of vertex and lateral line 1 of vertex were selected as main acupoints, and anterior oblique line of vertex-temporal and posterior temporal line were selected as adjuvant acupoints. They were treated for 2 months, once other day. Yale Global Tic Severity Scale (YGTSS) and Tourette Syndrome Global Scale (TSGS) were used for assessment of therapeutic effects and their therapeutic effects were compared.</p><p><b>RESULTS</b>After treatment, YGTSS and TSGS scores had very significant changes in the two groups as compared with those before treatment (both P < 0.01), indicating an obvious improvement in kinetic Tic and vocalizing Tic. The total effective rate was 61.3% in the observation group and 67.7% in the control group with no significant difference between the two groups (P > 0.05).</p><p><b>CONCLUSION</b>Scalp acupuncture therapy of both 2 h and 0.5 h retaining needle can significantly improve symptoms of TS patients, with a similar therapeutic effect.</p>

Effect of "Jin three-needle therapy" on cognitive function and activity of daily living in patients of hemiplegia after stroke: a multi-central randomized controlled study / 中国针灸

<p><b>OBJECTIVE</b>To provide reliable evidence of "J in three-needle therapy" for treatment of stroke.</p><p><b>METHODS</b>Multi-central randomized controlled trials were adopted, 180 hemiplegia patients of ischemic stroke were randomly divided into a fin three-needle group (90 cases) and a routine acupuncture group (90 cases). Two groups were both treated with basic neurology therapies, and J in three-needle group was treated with J in three-needle therapy, three acupoints of tempora, hand and foot etc. were selected; the routine acupuncture group was treated with traditional acupuncture, Quchi (LI 11), Huantiao (GB 30), Futu (ST 32) etc. were selected. Both groups were treated with acupuncture for 5 weeks. The cognitive function score of functional comprehensive assessment scale (FCA), the scores of mini-mental state examination scale (MMSE) and modified Barthel index (BI) were compared before and after treatment between two groups. Results After treatment, the scores of FCA, MMSE and BI in both groups were significantly improved compared to those before treatment (P < 0.01, P < 0.05); the improvement of FCA score, MMSE score and BI score in the J in three-needle group were superior to those of the routine acupuncture group after treatment (P < 0.01, P < 0.05). The total effective rate of 85.4% in the J in three-needle group was superior to tohat of 70.0% in the routine acupuncture group (P < 0.05).</p><p><b>CONCLUSION</b>J in three-needle acupuncture treatment can obviously improve the cognitive function and activity ability of daily life of hemiplegia patients after stroke, and the therapeutic effect of J in three-needle therapy is superior to that of traditional acupuncture treatment.</p>

Chief physician SHAN Yong-Hua's clinical experiences / 中国针灸

Chief physician SHAN Yong-Hua is engaged in clinical and teaching work for more than 40 years, with excellent medical techniques. He widely experiences variety of good methods and follows ancient theory, applies Jiehuo needling method in Miraculous Pivot, Cijie Zhenxie, and adopts "Kaiqiao Jiehuo " method, "Huayu Jiehuo" method, "Pingheng Jiehuo" method to treat syndromes at different stages of stroke. He is good at using scalp acupuncture for treatment of varieties of difficult and complicated diseases, and emphasize application of special acupoints in clinic practice. In process of acupuncture, he emphasizes needling manipulation methods, treating mind and keeping mind, promoting qi reaching to the affected area, hence increasing clinical therapeutic effect.