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TREATMENT_12

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TREATMENT_12

    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 ;classicthatcleftpointhasauniquepainrelieving

    ;effectwhileuptonowthereisnotasystematic ;reportonusingcleftpointinclinic.Thereforein

    ;ordertoinvestigatethetherapeuticeffectofcleft ;ofcleft-pointincliniccleft.pointforsofttissue

    ;injuryhasbeenobservedasfollows.

    ;Cleft?pointacupuncturehasabettertherapeutic ;1GENERALDATA

    ;Atotalof335casesofsofttissueinjurypa

    ;tientsweredividedintocleftpointgroup,n=

;264)andAshipointgroup(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

    ;nationwithAshipoint.Thesixteencleftpoints

    ;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,thetenderpointwas

    ;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:After35timestreatment.pain

    ;andthetopicalpressingpaindisappeared, ;swellingabatedandthefunctionalactivityre

    ;turnedtonorrna1.

    ;Markedlyeffective:After510timesof

    ;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

    ;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. ;Xrayfilmshowednobonefracture.Thepatient ;wasdiagnosedassofttissueinjuryofthewrist ;joint(thetypeofqiandbloodstagnation).

    ;Acupuncturetreatmentwasgivenbypuncturing ;tenderpoint,Yanglao(SI6)andHuizong(SI7) ;withGauge30,1.5Curlfiliformneedle.The ;acupointswerestimulatedwithreducingneedling ;method.Afterthearrivalofqitheneedleswere ;retainedfor30minandmanipulatedonceagain ;every10minutesforstrengtheningthetherapeu

    ;ticeffect.Afteronesessionoftreatment,the ;patient’spainwasrelievedconsiderably,after

    ;twotreatments,shecouldmoveherwristina ;largerrange,andafterthreetreatments,her ;paindisappearedcompletelyandshecouldmove ;herwristfreely.

    ;5DISCUSSION

    ;Itwasdemonstratedthatacupuncture ;workswellintreatmentofsofttissueinjuryL.

    ;Moreandmoreresearchesshowthatthereexists ;arelativespecificityamongdifferentacupointsor ;betweentheacupointandnonacupointinmodu

    ;latingtheorganism’sfunctionalactivity[‘.

    ;TheCleftpointislocatedatthecleftwhereqi ;andbloodcollect.Incaseofoccurrenceofacute

;

    ;?

    ;26?WorldJ.Acup-Mox.Vo1.11.No.4,December,2001 ;diseasesincludingpainofacertaininternalorgan ;oritscorrespondingmeridianrunningtrace, ;somepositivereactionsorsignmaydisplayson ;therelatedCleftpointregion[?61.

    ;Thepresent

    ;studyshowsthatacupunctureofCleftpointhas

    ;adefinitelygoodtherapeuticeffectintreatment ;ofacuteandchronicsofttissueinjury.Softtis

    ;sueinjuryoftenresultsinqistagnationand ;bloodstasisandpainduetohematoma,inflam

    ;matoryreactionandsprain.Modernmedicalre

    ;searchshowedthatacupuncturehasthreeaspects ;ofactions[:?regulatingthefunctionsofthe

    ;correspondingzang-fuorgansandfivesenseor

    ;gans;?strengtheningtheimmunefunctionof ;thebody;and?modulatingthefunctionsofthe

    ;nervesystemtorelievepain.TCMholdsthat ;acupuncturecanfunctioninrelievingpain ;throughdredgingthemeridiansandregulating

;qiandbloodcirculation.Xipointsarelocatedat

    ;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

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