TREATMENT

    WorldJ.Acup-Mox.Vo1.11,No.3,September,2001?53? ;TREATMENTOF30CASESOFINFANTILEHIGHFEVER ;WITHERJIAN.PoINTBLOOD—LETTINGMETHOD

    ;LiSailing(李赛玲)ZhuJun(朱军)

    ;BeijingCapitalIronPlantHospital,Beijing100041,China ;Highfeverisreferredtothatthebodytern—

    ;peratureexceeds39?.Duetoaplasiaofthe

    ;cerebralnervesystemduringinfantilestage, ;continuoushighfevermayinducetemporary ;functionaldisturbanceofthebrain,manifesting ;assuddenandtransientlossofc0nsciousnessand ;localorgeneralmuscularspasmthatistermedas ;infantileconvulsion.Theauthorsfindinclinical ;practicethatsometimes,administrationofan—

    ;tipyretiesascompoundaspirin(APC),corn—

    ;poundaminopyrine,etc.hasnoeffectoninfan—

    ;tilehighfever,iftreatedwithErjian(MA—H6)

    ;bleedingmethod,thebodytemperaturemaybe ;decreasedby0.5，1.0?.Hereisthereport.

;1GENERALDATA

    ;Inthispaper,allthe30casesofhighfever ;childrenwerefromtheemergencydepartmentof ;ourhospitalandhadsufferedfromhighfever ;continuouslyfor24hours.Theyweretreated ;withoraladministrationofAPC,etc.andmus—

    ;cularinjectionofcompoundaminopyrinebuthad ;noapparenteffect.Ofthe30cases,17were ;boysand13girls.Amongthem,theoldestwas ;9yearsandtheyoungest7months.11casessuf—

    ;feredfromepidemicinfluenza,5fromacuteton—

    ;sillitis,5frombronchopneumonia,5fromacute ;enteritis.

    ;and4hadunknownpathogeniccauses.

    ;2TREATMENTMETHoDS

    ;OtopointErjian(MA—H6)wasusedfor

    ;bloodletting.

    ;Operationmethods:Afterroutinesteriliza—

    ;tionofthelocalotopointarea.fixedthe ;patient’sheadfirst,heldasterilizedinjection

    ;needle(forsingleuse)toprickbilateralErjian ;(MA—H6)toletabout5，10dropsofblood

;out.Thenusedadrycotton—balltoclearthe

    ;prickedarea.20minutesaftertreatment,the ;bodytemperaturewasdetectedagain,ifithad ;noapparentchanges,theotopointprickingpro—

    ;cedurewasrepeatedonceagain.Ifthebody ;temperatureloweredtemporarilyandthenrose ;again,theprickingbloodtreatmentwasalsogiv—

    ;enonceagainfollowinganintervalof5hours.If ;twotreatmentsdidnotwork,othermethods ;wereusedinstead.Duringtreatment,thepa—

    ;tientwasaskedtoavoidtakinganymedicines. ;Criteriaforevaluatingthetherapeuticef—

    ;fect:20minaftertreatment,ifthebodytern—

    ;peratureloweredabove0.5”Cfollowingone

    ;treatment,itwasconsideredasexcellence.If ;thetemperatureloweredabove0.5?aftertwo

    ;treatments,itwasconsideredasbeinggood.If ;thebodytemperatureloweredbelow0.5”Cafter

    ;twiceoftreatment,itwasconsideredasbeing ;poor.

    ;3RESULTS

    ;Afteronetreatment,thebodytemperature

    ;loweredabove0.5?in24cases(thetherapeutic ;effectbeingexcellent).Amongthem,thetam—

    ;peratureroseagain2hoursaftertreatment.5

     ;hourslater.thebloodlettingmethodwasper—

    ;formedonceagain.20minuteslater,thebody ;temperatureofthe3casesdecreasedbelow ;

    ;?

    ;54?WormJ.Acup-Mox.Vo1.11,No.3,September,2001 ;38.5?.Intherest6cases.theirbodytempera—

    ;tureloweredabove0.5?after2treatments(the

    ;therapeuticeffectbeinggood).Inallthese30 ;highfeverchildren,theirbodytemperaturekept ;about37?12hoursafterbloodlettingofErjian ;(MA—H6).

    ;4TYPICALCASE

    ;WenXX,girl,aged6years.Herfirstvisit ;wasonJanuary6,1999.Thisgirlhadgota ;commoncoldwithhighfever(beingabove39?

    ;continuously)andsorethroatfor3days.OraI ;administrationofAPCandintramuscularinjec—

    ;tionofcompoundAminopyrinehadnoapparent

;effectonherbodvtemperature.Physicalexami—

    ;nationshowedthatthebodytemperaturewas ;39.3”C,respiratoryratewasslightlyrapid,

    ;heartrate100beats/min,respiratorysoundof ;thebilaterallungnormal,bilateraltonsilswere ;swellingII.buthadnopusspots,whiteblood ;cellswere14×10/L.andneutrophilicgranulo—

    ;cytesaccountedfor78%.Itwasdiagnosedasa—

    ;cutetonsillitisandtreatedwithbloodlettingof ;Erjian(MA—H6).20minafterprickingErjian ;(MA—H6),herbodytemperatureloweredto ;38.4?.Onthefollowingdaymorning.thepa—

    ;tient’smotherreportedthathergirl’sbody

    ;temperaturereturnedtonorma1.Shewastreated ;continuouslywithoraladministrationofAmoxi—

    ;cillin,”Shuanghuanglian”(RhizomaCoptidis

    ;andRadixScutellariae)oralliquid.Threedays ;later,shewascured.

    ;5CoMMENTS

    ;Infantilehighfeverisacommonsymptom ;thatmayresultsfrommultiplediseasesincluding ;bacteriaorvirusinflammationinducedcommon

    ;cold.Inpartialpatientchildren,Western ;medicinedidnotworkwellforreducingfever. ;therefore,sometimes,reducingfeverisarather ;troublesomeprobleminclinic.Theauthorso{ ;thepresentpaperadoptedErjian(MA—H6)oto—

    ;pointbloodlettingmethodandachievedsatisfied ;results.

    ;AccordingtothetheoryoftraditionalChi—

    ;nesemedicine,theinfantenjoyspure—yangcon—

    ;stitution,andtheyang-qiisoftensurplus. ;Whenattackingtheinfant’sbody,the”six

    ;pathogenicfactors”aresusceptibletoinvadethe

    ;interiorandtotransfoFnlintoheat,beingfaster ;inchangesandmoreinsyndromepatterns. ;Therefore,inclinicalpractice,thepathogenic ;factorsshouldbedrivenoutasfasteraspossible ;forsuppressingthestateoffeverandpreserving ;thevitalenergy,weoftenadoptedErjian(MA—

    ;H6)pointbloodlettingmethodinclinicalprac—

    ;tice.Modernresearchhasdemonstratedthatthis ;therapyhasobviousantiinflammatoryandan—

    ;tipyreticeffect,particularlyinreducingfever

    ;causedbyupperrespiratorytractinfection, ;whichhasfewer”reboundphenomena”.Thean—

    ;tipyreticeffectofblood—lettingmayberelatedto

    ;itsresultantneurohumoralcomprehensiveregula—

    ;tioninduceddilationofcapillariesandenhance—

    ;mentofthesecretionofthesweatglands. ;Prickingbloodtherapyoriginatesfromthe ;recordintheliteratureoftraditionalChinese ;medicinethat”forreducingfever,blood—letting

    ;therapyisoftenused”.Theauthorsofthepre—

    ;sentpaperobservedthatthefever—reducingeffect

    ;appearedfrequentlyabout5minafterpricking ;Erjian(MA—H6),when,thechildpatientex—

    ;periencedslightsweatinginthewholebodyand ;turnedbetterimmediatelyinspirit.Tillabout20 ;minafterbleeding,thefeveIreductioneffect ;wasevenmoreapparently.In6childrenofthe ;presentpaper,thefirstsessionoftreatmentdid ;notworkwell,probablyowingtoshallowprick—

    ;ingandlessamountofbloodout.Whenthe ;blood—lettingtreatmentwasgiventothepatients ;onceagainfollowing1hour’sinterval,their

;

    ;WorldJ.Acup-Mox.Vo!.11,No.3,September,2001?55? ;bodytemperatureloweredevidently.Therefore, ;Erjian(MA—H6)bloodlettingtherapyisofap—

    ;parentantipyreticactionandcanbeusedasone ;oftheemergencytreatmentmeasuresforinfan ;tilehigherfever.

    ;NewsReport

    ;AcademicSymposiumon”GuidanceforClinicalResearchMethods ;ofAcupunctureandMoxibustion”WasHeldinBeijing

    ;FromAugust18to19of2001,anAcademicSymposiumonGuidanceforClini

    calResearch

    ;MethodsofAcupunctureandMoxibustionwasheldintheInstituteofAcupun

    ctureandMoxibustionof

    ;ChinaAcademyofTOMinBeijing.FangShuting(房书

    亭),associatepresidentofChineseState

    ;AdministrationofTCM,Dr.ChenKen(陈

    恳),seniorofficialofWHOWestern—PacificRegion.Pro.

    ;fessorLiuBaoyan(刘保

    延),associatepresidentofChinaAcademyofTOM.ProfessorDeng ;Liangyue(邓良

    月),ChairmanofWorldFederationofAcupuncture—MoxibustionSocieties,e

tal,

    ;about100participantsattendedthismeeting.DrChenKenmadeaspeechonthe”developmentand

    ;significanceofstudiesonclinicalevaluatingmethodsofinternationaltraditionalmedicine”.Profes—

    ;sorLiuBaoyandeliveredaspeechon”basicideasanddevelopmentofclinical

    evaluatingapproach—

    ;esontraditionalChinesemedicineandMateriaMedica”.ProfessorShiXuemin(石学敏),academi-

    ;cianofChineseEngineeringAcademy,reviewedtheirclinicalresearchresultsontreatmentof

    ;apoplexywith”XingnaoKaiqiao”(醒脑开

    窍)(restoringconsciousnessandcausingresuscitation)

    ;needlingmethod.ProfessorZhangBoli(张伯

    礼,fromTianjinCollegeofTOM)narratedprogresses

    ;ofresearchonsyndromecomplexofTOM.ProfessorXieYikuan(谢益

    宽,fromInstituteofBasic

    ;MedicalSciencesofChineseAcademyofMedicalSciences)gaveaspeechon”experimentalstudy

    ;onDeqiofacupunctureandneedlinginducedsensationsspreadingalongtherunningofmeridians”.

    ;ProfessorZhuangDing(庄

    鼎,fromInstituteofAcupunctureofChinaAcademyofTOM)narratedhis ;personalunderstandingsonstudyingWHO”GuidanceforClinicalResearchMethods”.Onthesecond

    ;dayofthismeeting,participantswhoweredividedinto4groupshadanenthusiasticdiscussionon:

    ;?standardizationofacumoxiandresearchonancientmethodology;?

    experimentalandclinical

    ;researchonregularitiesofacupointfunctions,?

    researchonevaluationofthetherapeuticeffectof

    ;acupunctureandclinicalresearchmethods,and(applicationofacumoxitohealthcareinbasicu—

    ;nitsandruralareaandclinicalstudy.Specialistsputforwardmanyproposalsonpopularizingand

    ;perfectingtheaforementioned”Guidance”

    ;(ReportedbyLiuJunling刘俊岭)

    ;

    ;