TREATMENT
WormJ.Acup-Mox.Vo1.11,No.4,December,2001?23?
;TREATMENToFSoFTTISSUEINJURYBY
;PUNCTURINGCLEFT-PoINTS
;XuYunxiang(许云祥)ChenGuizhen(陈贵珍)
;Acup-moxiandMassageCollegeofGuangzhouUniversityofTCM,Guangzhou510405,China
;FujianCollegeofTCM,Fuzhou350003,China
;Toobservethetherapeuticeffectofacupunctureof”Xi”(Cleft).pointsintreatmentofsoft
;casesofsofttissueinjurypatientsweredividedintoCleft-pointgroup(264cases)andAshi-
;pointgroup(controlgroup,71cases)randomly.InCleft-pointgroup,the16Cleft-pointswereusedincombination
;withAhshipoints.Incontrolgroup,onlylocalAhshi?pointswerepunctured.Thetreatmentwasconductedonceevery
;day,with5sessionsbein_gatherapeuticcourse.After2coursesoftreatment,thetherapeuticeffectwasanalyzed.
;Results:Resultsshowedthatthetherapeuticeffectofcleft-pointgroupwassignificantlybefferthanthatofcontrolgroup
;(P<0.05),particularlyintreatment ;effectintreatmentofsofttissueinjury ;ofacutesofttissue.Conclusion:
;ncomparisonwithAshi-point
;KEYWORDSAcupunctureCleft-pointSofttissueinjury ;S0fttissueinjury.acommonlyseendisease ;inthedepartmentoftraumatology,whichbe—
;longstotendoninjuryinTCMcanbedividedin—
;toacuteandchronicones.Acupunctureand ;moxibustionhaveadefiniteeffectonsofttissue ;injurywhiledifferentacupointaffecttherapeutic ;effectdirectlyinclinic.Itisrecordedinancient ;classicthatcleft—pointhasauniquepainrelieving
;effectwhileuptonowthereisnotasystematic ;reportonusingcleft—pointinclinic.Thereforein
;ordertoinvestigatethetherapeuticeffectofcleft ;ofcleft—-pointincliniccleft—.pointforsofttissue
;injuryhasbeenobservedasfollows.
;Cleft?pointacupuncturehasabettertherapeutic ;1GENERALDATA
;Atotalof335casesofsofttissueinjurypa—
;tientsweredividedintocleft—pointgroup,n=
;264)andAshi—pointgroup(n=71)atrandom.
;Basedontheinjurydurationtheywereclassified ;intoacutesofttissueinjury(n=206),whichoc—
;curredwithintwoweeksandchronicsofttissue ;injury(n=129),whichlastedformorethantwo ;weeks.Ofthe335cases,278casesweremale ;and57female.Theyoungestwas9yearsand ;theoldest70years.Theshortestdurationofdis—
;easewas3hoursandthelongest10years. ;Table1?ThelnjuredDurationandtheAff~tedPositionsofSoftTissueInjuryin
TwoGroups
;Theabovetableshowsthatsofttissueinjuryfrequentlyinvolvesthewaistanda
nklejoints
;
;?
;24?WorldJ.Acup-Mox.Vo1.11,No.4,December,2001 ;2THERAPEUTICMETHODS
;Cleft--pointgroup:Cleft—.pointscorrespond..
;ingtotheinjuredmeridianwereusedincombi—
;nationwithAshi—point.Thesixteencleft—points
;areKongzui(LU6),Ximen(PC4),Yinxi(HT ;6),Wenliu(LI7),Huizong(TE7),Yanglao
;(SI6),Liangqiu(ST3),Waiqiu(GB36),Jin—
;men(BL3),Diji(SP8),Zhongdu(LR6),
;Shuiquan(KI5),Fuyang(BL59),Jiaoxin(KI ;5),YanKjiao(GB35)andZhubin(KI9).For ;instance,Yangjiao(GB35),Fuyang(BL59), ;Waiqiu(GB36),Yangjiao(GB35),etc.were ;selectedforsprainofexternalmalleolusaccording ;totheconcreteconditionofthedisease.Incase ;ofinvolvementofthejoint,thetender—pointwas
;usedasthecenter.superficialinsertionandan—
;circlingneedlingwereapplied.Incaseofappear—
;anceofobviousswelling,theaffectedregionwas ;tapped(tillbleeding)withaplumblossomnee—
;die,followedbyapplyingcupping.Thedepthof ;insertionoftheneedledependsonthepainloca—
;tionitself.DeepinsertionWaSappliedfordeep ;painandshallowinsertionappliedforpainoccur—
;ringinthesuperficialpartofthebody.Reducing ;needlingmethodwasmainlyapplied.The ;acupunctureneedlewasretainedfor30minafter ;arrivalofqithatmanifestedchieflyassour,dis—
;tentionandnumbness.Meanwhile,theneedle
;wasmanipulatedonceagainevery10minfor ;strengtheningthetherapeuticeffect
points ;Controlgroup:OnlylocalAhshi—
;wereused.
;Inthesetwogroups,thetreatmentwas ;givenoncedaily,with5timesbeingatherapeu—
;ticcourse.Aftertwocoursesoftreatment,the ;therapeuticeffectwasanalyzed.
;3STANDARDSFORASSESSINGTHE
;THERAPEUTICEFFECT[2]
;Cured:After3？5timestreatment.pain
;andthetopicalpressingpaindisappeared, ;swellingabatedandthefunctionalactivityre—
;turnedtonorrna1.
;Markedlyeffective:After5？10timesof
;treatment,painwasrelievedobviously,swelling ;andtendernessdisappearedbasically,andthe ;functionalactivityrecoveredmostly. ;Effective:After10timesoftreatment, ;painandswellingwererelievedandtenderspots ;disappearedbutthefunctionalrecoverywas ;poor.
;Ineffective:After10timesoftreatment, ;symptomshadnoobviousimprovement.
;4RESULTS
;
;WorldJ.Acup-Mox.Vo1.11,No.4,December,2001?25? ;Table3.ComparisonbetweenTwoGroupsintheTherapeuticEffectofChroni
cSoftTissueInjury
;GroupsCasesCured
;T0talMean
;Mkdly
;EffectiveIneffectiveeffectivetreatment ;effective
;Cleft.point10266(64.71)20(19.61)15(1471)l(o.98)99.027.43
;Control2713(48.15)7(25.93)4(14.81)3(11.11)88.899.79 ;clft-p0i”(84
;.09,2326422284’)
;Can恻
;7148(67.60)l2
;18
;83
;99.6
;95.8
;TheresultsofRanktestshowedthat:?
;therewerenosignificantdifferencebetweentwo ;groupsintheproportionofacuteandchronicsoft ;tissueinjurycases(P>0.1);?thetherapeutic
;effectofcleftpointgroupwasbetterthanthatof ;controlgroup(P<0.05);and?thetherapeu—
;ticeffectofacupunctureintreatmentofacute ;softtissueinjurywasbetterthanthatofchronic ;softtissueinjury(P<0.01).
;4TYPICALCASE
;Afemale,aged23years.Herfirstvisitwas ;onJune19,1996.Shecomplainedofhavinggot ;awristsprainfortwoweeksduetoimproperex—
;ercise.Clinicalmanifestationswerepainand ;swellingovertheulnarsideofthewristoint ;thatwereaggravatedifshemovedthewrist, ;difficultyinbendingandextending,fatigue, ;darkcomplexion,dimandpurpletonguewith ;thinwhitecoating,threadyandunevenpulse. ;X—rayfilmshowednobonefracture.Thepatient ;wasdiagnosedassofttissueinjuryofthewrist ;joint(thetypeofqiandbloodstagnation).
;Acupuncturetreatmentwasgivenbypuncturing ;tender—point,Yanglao(SI6)andHuizong(SI7) ;withGauge一30,1.5Curlfiliformneedle.The ;acupointswerestimulatedwithreducingneedling ;method.Afterthearrivalofqitheneedleswere ;retainedfor30minandmanipulatedonceagain ;every10minutesforstrengtheningthetherapeu—
;ticeffect.Afteronesessionoftreatment,the ;patient’spainwasrelievedconsiderably,after
;twotreatments,shecouldmoveherwristina ;largerrange,andafterthreetreatments,her ;paindisappearedcompletelyandshecouldmove ;herwristfreely.
;5DISCUSSION
;Itwasdemonstratedthatacupuncture ;workswellintreatmentofsofttissueinjuryL引.
;Moreandmoreresearchesshowthatthereexists ;arelativespecificityamongdifferentacupointsor ;betweentheacupointandnon—acupointinmodu—
;latingtheorganism’sfunctionalactivity[‘引.
;TheCleft—pointislocatedatthecleftwhereqi ;andbloodcollect.Incaseofoccurrenceofacute
;
;?
;26?WorldJ.Acup-Mox.Vo1.11.No.4,December,2001 ;diseasesincludingpainofacertaininternalorgan ;oritscorrespondingmeridianrunningtrace, ;somepositivereactionsorsignmaydisplayson ;therelatedCleft—pointregion[?61.
;Thepresent
;studyshowsthatacupunctureofCleft—pointhas
;adefinitelygoodtherapeuticeffectintreatment ;ofacuteandchronicsofttissueinjury.Softtis—
;sueinjuryoftenresultsinqistagnationand ;bloodstasisandpainduetohematoma,inflam—
;matoryreactionandsprain.Modernmedicalre—
;searchshowedthatacupuncturehasthreeaspects ;ofactions[:?regulatingthefunctionsofthe
;correspondingzang-fuorgansandfivesenseor—
;gans;?strengtheningtheimmunefunctionof ;thebody;and?modulatingthefunctionsofthe
;nervesystemtorelievepain.TCMholdsthat ;acupuncturecanfunctioninrelievingpain ;throughdredgingthemeridiansandregulating
;qiandbloodcirculation.Xi—pointsarelocatedat
;thecleftswhereqiandbloodcollectdeeply. ;These16Cleft..pointsandAhshi.-pointsselected ;inthepresentstudydoworkwellintreatingsoft ;tissueinjury[.Modernexperimentalstudies ;showthatsignalsfromacupointstimulationand ;thosefromthepainorigintransmittothecentral ;nervoussystemandinhibiteachotherinthe ;barin,particularlyinthethalamus,and ;acupuncturestimulationinducedincreaseofthe ;secretionofendogenousopioidpeptidescon—
;tributetoitsDain-reliefaction[6?7].Further—
;more,acupuncturecouldalsopromotethelocal ;microcirculation,andreducetissueinflammatory ;edemabypromotingabsorptionofexudatesand ;inhibitingpermeabilityofvascularwalls.The ;earliertheacupunctureisgiven,thebetteristhe ;therapeuticeffect.Beforeappearanceofthein—
;flammation,acupuncturecanpreventthegener—
;ationofinflammation,whileaftergeneration, ;acupuncturecanrelieveitsstateanddevelop—
;ment.Atthelatestage,theeffectofacupunc—