Pricking and cupping at Jianbo area combined with conventional acupuncture for scapulohumeral periarthritis of frozen stage: a randomized controlled trial / 中国针灸

OBJECTIVE@#To compare the clinical effect of conventional acupuncture combined with pricking and cupping at Jianbo area and conventional acupuncture in the treatment of scapulohumeral periarthritis of frozen stage.@*METHODS@#A total of 66 patients with scapulohumeral periarthritis of frozen stage were randomly divided into a combination group (31 cases) and an acupuncture group (35 cases, 1 case dropped off). Both groups were given functional exercise. Patients in the acupuncture group were treated with acupuncture at Jianyu (LI 15), Jianliao (TE 14), Binao (LI 14) and ashi point on the affected side, once every other day, three times a week, for a total of 4 weeks. On the basis of treatment in the acupuncture group, the patients in the combination group were treated with pricking and cupping at Jianbo area (the area surrounded by the 3 acupoints of Tianzong [SI 11], Naoshu [SI 10] and Jianzhen [SI 9]), once a week for 4 weeks. The University of California-Los Angeles (UCLA) shoulder joint score, visual analogue scale (VAS) score before treatment, after treatment and after 6 months of treatment completion (follow-up) and tenderness threshold before and after treatment, and the clinical effects of the two groups after treatment and in follow-up were evaluated.@*RESULTS@#In the two groups, after treatment and in follow-up, the UCLA shoulder joint scores were higher than those before treatment (P<0.05), and the VAS scores were lower than those before treatment (P<0.05). In the combination group, after treatment and in follow-up, the UCLA shoulder joint score was higher than that of the acupuncture group (P<0.05), and the VAS score was lower than that of the acupuncture group (P<0.05). After treatment, the tenderness thresholds of the two groups were higher than those before treatment (P<0.05), and the tenderness threshold in the combination group was higher than that in the acupuncture group (P<0.05). After treatment and in follow-up, the cured and markedly effective rate of the combination group was 48.4% (15/31) and 51.6% (16/31) respectively, which was higher than 23.5% (8/34) and 23.5% (8/34) of the acupuncture group (P<0.05).@*CONCLUSION@#Pricking and cupping in Jianbo area combined with conventional acupuncture can improve shoulder joint function and relieve shoulder joint pain in patients with scapulohumeral periarthritis of frozen stage, and the curative effect is better than that of single conventional acupuncture.

Effects of pricking and cupping combined with rehabilitation training on elbow flexion spasticity of upper limb after stroke and its IEMG value / 中国针灸

<p><b>OBJECTIVE</b>Based on rehabilitation training, to observe the clinical effect difference between pricking combined with cupping and western medication for elbow flexion spasticity of upper limb of stroke patients.</p><p><b>METHODS</b>Sixty patients were randomly assigned by SPSS software random number generator into a comprehension group and a western medication group, 30 cases in each one. Rehabilitation was used in the two groups. Pricking and cupping were applied at the affected abdominal center of biceps brachii muscle on Tuesday and Friday continuously for 4 weeks in the comprehensive group. Baclofen was prescribed orally continuously for 4 weeks, once 10 mg and 3 times a day in the western medication group. The indexes were observed before and after 4-week treatment as well as at immediate treatment, immediately after the first treatment in the comprehension group and 24 h after treatment in the western medication group, including the affected elbow joint activity, modified Ashworth scale (MAS), simple Fugl-Meyer assessment (FMA), integrated electromyogram (IEMG) of the affected biceps brachii and triceps brachii. The clinical effects were evaluated.</p><p><b>RESULTS</b>After treatment, the elbow joint activity in the two groups was improved compared with that before treatment (both＜0.05), with better result in the comprehension group (＜0.05). There was no statistical significance for MAS and FMA scores at immediate treatment between the two groups (both＞0.05). After treatment, the MAS score decreased and the FMA score increased in the two groups (both＜0.05), with better results in the comprehension group (both＜0.05). At immediate treatment and after treatment, biceps brachii IEMG decreased in the two groups (all＜0.05). The biceps brachii IEMG in the comprehension group at the immediate treatment was higher and that after treatment was lower compared with those in the western medication group (both＜0.05). The triceps brachii IEMG at immediate treatment was not statistically different from that before treatment in the comprehension group (＞0.05) and that in the western medication group decreased (＜0.05). After treatment, the triceps brachii IEMG increased in the two groups (both＜0.05), with higher IEMG in the comprehension group (＜0.05). The total effective rate was 83.3% (25/30) in the comprehensive group, which was higher than 60.0% (18/30) in the western medication group (＜0.05). .</p><p><b>CONCLUSION</b>Pricking and cupping combined with rehabilitation training can reduce the IEMG of the biceps brachii muscle in patients with stroke, and improve the spasticity and motor function.</p>

Clinical Study on Back Acupoint Pricking and Cupping Combined with Intense Pulsed Light in the Treatment of Acne Vulgaris / 中国中医药信息杂志

Objective To explore the clinical efficacy of back acupoint pricking and cupping combined with intense pulsed light in the treatment of acne vulgaris.MethodsTotally 160 cases of acne vulgaris treated in our hospital from July 2014 to August 2015 were selected and randomly divided into observation group and control group, 80 cases in each group. Patients in both groups were treated with intense pulsed light, every two weeks, for 4 times. Patients in the observation group were treated with back acupoint pricking and cupping based on the treatment above, every other day, five times as a treatment session, for two sessions. The treatment efficacy was compared between the two groups.ResultsThe total effective rate in the observation group was 96.25% (77/80), which was significantly higher than 77.50% (62/80) in the control group, with statistical significance (P<0.01). Serum T of the two groups after the treatment decreased significantly when compared with those before the treatment. Serum T in the observation group in patients of the same sex decreased significantly after the treatment compared with those in the control group (P<0.01). Total scores of self-perception, emotion function and Qol-Acne score after treatment in observation group were significantly higher than those in the control group (P<0.01). After 3 months of treatment, the recurrence rate of the effective patients in the observation group was 2.60% (2/77), lower than the control group, which was 16.13% (10/62) with significant difference (P<0.01).Conclusion The clinical efficacy of back acupoints pricking and cupping combined with intense pulsed light in the treatment of acne vulgaris is confirmative, which can effectively reduce androgen levels and improve the life quality of patients, with low recurrence rate.