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TREATMENT_3

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TREATMENT_3

    TREATMENT

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    ;16?WorldJ.Acup-Mox.Vo1.O,No.4,December,2000

    ;TREATMENToFPRIMARYPALPEBRALRETRACTIoNWITH

    ;ACUPoINT.INJECTIoNANDCHINESEMEDICINALHERBS

    ;Zhuxinmin(朱新民)LiPeifan(李佩芳)

    ;A{

    liatedAcupMoxibustionHospitalofAnhuiCollegeofTCM,Hefei230061,China

    ;ABSTRACTInthepresentpaper,thetherapeuticeffectofcombinedtherapyofacupointinjection

    ;andChinesemedicinalherbswasobservedin59casesofprimarypalpebralretractionpatients.These

    ;59patientsweredividedintotreatmentgroup(n=38,treatedwithacupointi

    njectionandChinese

    ;medicinalherbs)andcontrolgroup(n:21,treatedwithChinesemedicinalherbsalone).After3

    ;coursesoftreatment,ofthe38casesintreatmentgroup,25(65.8%)werecured,8(21.1%)had

    ;markedimprovementand5(13.2%)hadimprovement;ofthe21casesincontr

olgroup,8(38.1%)

    ;werecured,9(42.9%)hadmarkedimprovement,2(9.5%)hadimprovementa

    nd2(9.5%)were

    ;ineffective.Statisticalanalysisshowedasignificantdifferencebetweenthet

    wogroupsinthetherapeu

    ;ticeffect.Thecurerateofexperimentalgroupwasapparentlyhigherthanthato

    fthecontrolgroup,i.

    ;e.thetherapeuticeffectofthecombinedtherapyofacupointinjectionandChinesemedicinalherbswas

    ;superiortothatofChinesemedicinalherbsalone. ;KEYWORDSPrimarypalpebralretractionAcupointinjectionChinesemedicinalherbs

    ;Primarypalpebralretractionisseldomseen ;inclinicandhasnoespeciallyeffectivemethodto ;treatatthemoment.Inrecentyears,theau

    ;thorsadoptcombinedtreatmentmethodofinte

    ;gratedtraditionalChineseandWesternmedicine ;andhaveachievedabettertherapeuticeffect. ;Hereisthereport.

    ;CLINICALDATA

    ;Treatment(integratedtraditionalChinese ;andWesternmedicine)group:Thisgroupwas

;madeupof38casesofpalpebralretraction,in

    ;eluding12malesand26females.Theyoungest ;was25yearsandtheoldest50years.Theshort

    ;estdurationofdiseasewas3monthsandthe ;longest5years.

    ;Control(Chinesemedicinalherbs)group: ;Thisgroupwasmadeupof21casesincluding7 ;malesand14females.Theyoungestwas25 ;yearsandtheoldest52years.Theshortestdura

    ;tionofdiseasewas3monthsandthelongest6 ;years.Aofthepatientsinbothgroupshadsin

    ;gleeyeaffection.

    ;TREATMENTMETHoDS

    ;1.TreatmentGroup

    ;(1)Acupointinjection:Shangming(EX

    ;HN13)wasselected.Tooka5mlgaugesy

    ;ringewithagauge5needletodraw0.51ml

    ;of2%Lidocaine.0.5mlofHydroprednisone ;and0.2mlofVitaminBlzandtomixthem ;evenly,then,insertedthesyringeneedle ;

    ;WorldJ.Acu:p-Mox.Vo1.10,No.4,December,2000

;straightintotheacupointarea(infraorbitalmar

    ;gininferiortoYuyao(EXHN3)themiddle

    1.5cm ;pointofthesuperciliaryarch)about1

    ;deepandpushedthemixturesolutionintothelo

    ;caltissuesslowly.

    ;(2)Chinesemedicinalherbs:Theeyelipid ;isalsocalledasfleshorbiculusandbelongstothe ;spleenaccordingtothetheoryoftraditionalChi

    ;nesemedicine(TCM).Thuspalpebralretraction ;istreatedbytreatingthespleenandbasedonthe ;conditionofpatients’wholebody.Fortreat—

    ;mentofthetypeofdeficiencyofboththespleen ;andstomach,SupplementedLiuweiDihuang ;DecoctionmadeupofDangshen(Radix

    ;CodonopsisPilosulae)10g,Shanyao(Rhizoma ;Dioscoreae)10g,Yurou(FructusCorni)10g, ;Shoudi(RadixRehmanniaeParaeparata)10g, ;Fuling(Poria)10g,Zexie(RhizomaAlismatis) ;10g,Danpi(CortexMoutanRadicis)10g, ;Shenqu(MassaFermentataMedicinalis)10g, ;Jiaoshanzha(charredFructusCrataegi)10g, ;Jinyingzi(FructusRosaeLaevigatae)10g,Tu

;sizi(SemenCuscutae)10g,Jiangbanxia(Rhi

    ;zomaPinelliaepreparedwithginger)6g, ;Dengxincao(MedullaJunci)6gandYejiaoteng ;(CaulisPolygoniMultiflori)20gwasused.In ;treatmentofthetypeofdeficiencycoldofboth

    ;thespleenandstomach,SupplementedXiangsha ;YangweiPillmadeupofDangshen(Radix ;CodonopsisPilosulae)10g,Huangqi(RadixAs

    ;tragaliseuHedysari)10g,Huoxiang(HerbaA

    ;gastachis)10g,Fuling(Poria)10g,Shenqu ;(MassaFermentataMedicinalis)10g, ;Jiaoshanzha(charredFructusCrataegi)10g, ;Danggui(RadixAngelicaeSinensis)10g, ;Gouqizi(SemenCuscutae)10g,Baizhu(Rhi

    ;zomaAtractylodisMacrocephalae)10g,Fuzi ;(RadixAconitiPraeparata)6g,Paojiang ;(bakedginger)6g,Chuanxiong(Rhizoma ;Chuanxiong)6gandOancao(RadixOly

    ;cyrrhizae)6gwasused.Intreatmentofthe ;typeofinjuryofboththeheartandspleendueto ;overexertion,SupplemenetedGuipiDecoction ;madeupofBaizhu(RhizomaAtractylodis

    ;Macrocephalae)10g,Huangqi(RadixAstragali ;seuHedysari)10g,Fushen(PoriacumLigno ;Hospite)12g,Dangshen(RadixCodonopsisPi

    ;losulae)12g,Oancao(RadixGlycyrrhizae)6 ;g,Muxiang(RadixAucklandiae)3g,Yuanzhi ;(RadixPolygalae),Zhaoren(SemenZiziphi ;Spinosae)15g,Longyanrou(ArmusLongan) ;15gandDanggui(RadixAngelicaeSinensis)12 ;gwasused.TheseChinesemedicinalherbswere ;decoctedinwater,takenonedosedaily,bothin ;themorningandevening.10daysformeda ;therapeuticcourse.

    ;2.ControlGroup

    ;21palpebralretractionpatientsinthisgroup ;weretreatedwithoraladministrationofChinese ;medicinalherbsalone.Theingredients,treat

    ;mentmethodsandtherapeuticcoursewerethe ;sametothoseofthetreatmentgroup.

    ;OBSERVATIONONTHE

    ;THERAPEUTICEFFECT

    ;1.StandardsforEvaluatingtheTherapeutic ;Effect

;Cured:Aftertreatment,symptomsand

    ;signsofthewholebodydisappeared,theupper ;palpebralmarginwassituated2mmwithinthe ;uppermarginofthecornea;theeyelidnictitated ;freelyandthebilateralpalpebralfissureswere ;symmetry.

    ;Obviouslyeffective:Symptomsandsigns ;disappeared,theeyelidnictitatingactivitygot ;

    ;?

    ;18?WorldJ.Acup-Mox.Vo1.10,No.4,December,2000 ;normalbasically,thebilateraleyelidfissures ;weresymmetryandtheupperpalpebralmargin ;wassituatedabout1mmwithintheuppermar

    ;ginofthecornea.

    ;Improvement:Theupperpalpebralmargin ;wassituatedabovetheuppermarginofthe ;cornea,theeyelidnictitatingactivityandbilater

    ;alpalpebralfissuresymmetrydegreewereim ;provedsignificantly.

    ;Ineffective:After

    ;andsignshadnoany

;treatment,thesymptoms

    ;significantchanges.The

    ;therapeuticeffectofthetwogroupswasanalyzed ;aftertreatmentfor3courses.

    ;2.Results

    ;Table.ComparisonbetweenTreatmentGroupandControlGroup

    ;Inthetreatmentgroup,ofthe38cases, ;25(65.8%)werecured,8(21.1%)hadmarked ;improvement,5(13.2%)hadimprovement.A

    ;mongthem,thecurerateswere18.4%,

    ;52.6%and65.8%respectivelyafterone.two ;andthreecoursesoftreatment.

    ;Inthecontrolgroup,ofthe21cases,8

    ;(38.1%)werecured,9(42.9%)hadmarked ;improvement,2(9.5%)hadimprovementand ;2(9.5%)wereineffective.Statisticalanalysis ;showedasignificantdifferencebetweenthetwo ;groupsinthetherapeuticeffect(P<0.05).A

    ;mongthem,thecurerateswere9.5%,23.8% ;and38.1%separatelyafterone.twoandthree ;coursesoftreatment.Thecurerateofthetreat

    ;mentgroupwasapparentlyhigherthanthatof

;thecontrolgroup.

    ;ATYPICALCASE

    ;MsSun,aged28years,visitedourhospital ;in1996duetowideningoftherightpalpebral ;fissurefor3years.Threeyearsago,thispatient ;experiencedwideningoftherightpalpebralfis

    ;surewithunknownreasons.Shehadnohistory ;oftrauma,noanysymptomsofredness, ;swelling,orotheruncomfortableness.Sheonce ;hadbeentoBeijing,Shanghai,Ningpo,etc.for ;treatment.Examinationofnervesystem,cere

    ;bralCTscanning,thyroidfunctiondetermina

    ;tion,etc.showednoanyabnormalfindings. ;Longtermtreatmenthadnoanyobviousthera

    ;peuticeffect.

    ;Ophthalmologicexamination:Thevisual ;acuitywas1.5(both),extraocularandfundus

    ;examinationshowednormal;therightpalpebral ;fissurewas12mm.A3mmwidthscleralband

    ;exposedonthecorneamargin.Nomass,ulcera

    ;tionorscarwasfoundattheuppereyelidandin ;theorbitalregion.Thepatient’seyeballmoved

    ;freelyandtheeyepositionwasnorma1.Theleft ;palpebralfissurewasabout7mmwideandthe ;uppereyelidmarginwassituatedabout2mmbe

    ;lowthecornealmargin.Thispatientalsoexperi

    ;encedlongterminsomnia,weaknessofthe ;

    ;WorldJ.Acup-Mox.Vo1.10,No.4.December,2000 ;wholebody,dizziness,tinnitus,deepthready ;pulseandpaletongue.Diagnosis:primarypalpe

    ;bralretractionoftherighteyeaccordingtomod

    ;ernmedicineanddeficiencysyndromeofboth ;thespleenandkidneybasedonthetheoryof ;TCM.Shewastreatedwithacupointinjection ;byinjectingthemixturesolutionof2%Lido

    ;caine,0.5mlofhydroprednisoneand0.2mlof ;VitaminB12intoShangming(EXHN13),once

    ;every5days,5timesaltogetherandwithoral ;administrationofChinesemedicinalherbs.Sup

    ;plementedLiuweiDihuangDecoctionfor ;strengtheningthespleenandkidney.After ;treatmentforhalfamonth,hersleepandap

    ;petitegotbetter,hergeneralsymptomsand

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