| 中府 zhōng fǔ | Milieu des entrailles (Chamfrault 1954, Castro 1981) Atelier central (Soulié de Morant 1957, AGMA 2003) Palais central (Nguyen Van Nghi 1971, Laurent 2000, Maciocia 2005) Demeure centrale (Rubin 1977, Darras 1979) Regroupement du Qi du Foyer moyen (Pan 1993) Lieu de rencontre avec le Qi du Foyer moyen (Pan 1993) Palais du centre (¤Li Shi Zhen 2000 1)) Résidence centrale (Deadman 2003) Trésorier du palais central (Despeux 2012) | Central Hall ( Lu HC 1979) Central residence (O'Connor 1981) Middle palace (Worsley 1982) Central Mansion (Zhang Chengxing 1983) Middle mansion (Luying 1985, Tin Yau So 1985) Center of the prefecture (Stux 1987) Central Palace (Tai 1987) Central Treasury (Ellis 1989) Central Mansion (Li Ding 1992) Middle place (WHO 1993) Hall of Public Functions of the Centre (Despeux 2000) | En medio de las visceras (Sussmann 1974) |
|---|
Traduction littérale
| yingzhongshu (1) | 膺中腧 | Breast Center Shu (Ellis 1989), Jia Yi (Deng 1993) |
| feimu (2) | 肺募 | Lung Mu (Ellis 1989), Qian Jin Yao Fang (Guillaume 1995) |
| fuzhongshu (3) | 府中腧 | Treasury Center Shu (Ellis 1989), Zhen Jiu Da Quan (Guillaume 1995) |
| Ying Iu yingshu (4) | 膺腧 | Assentiment de la poitrine (Chamfrault 1954) Breast Shu (Ellis 1989), Su Wen (Guillaume 1995) |
(1) Appelé ”Yingzhongshu“ dans Su Wen (utilisé comme autre nom de Zhongfu dans Jia Yi) (Deng 1993, Guillaume 1995 et Laurent 2000) : ying (Ricci 5816 : poitrine) zhong (Ricci 1266 : milieu) shu (Ricci 4462 : transporter) 膺中输 (膺中輸) : point du milieu de la poitrine (Laurent 2000)
(2) Feimu : fei (Ricci 1555 : poumon); mu (Ricci 3561 : pt mu) 肺募 (肺募), point Mu du Poumon (Laurent 2000)
(3) Fuzhongshu : fu (Ricci 1618 : palais) zhong (Ricci 1266 : milieu) shu (Ricci 4462 : transporter) 府中输 (府中輸), point central de la résidence (Laurent 2000)
(4) Yingshu : ying (Ricci 5816 : poitrine) shu (Ricci 4462 : transporter) 膺输 (膺輸), point de la poitrine (Laurent 2000)
Articles relatifs à la dénomination
Cette étude dégage la signification de l'expression Zhongfu, nom du premier point du Taiyin de main, méridien du poumon, dans les textes chinois classiques, médicaux et littéraires. Elle indique brièvement les corrélations principales avec les points avoisinants ainsi que les noms secondaires de P.1. Elle se termine par la présentation des symptômes et pathologies traditionnellement associés à P.1. , en tâchant de montrer la signification de l'ensemble des données et d'expliquer les grandes fonctions du point.
L'étude de zhong, « le centre », à partir du Yi jing, aboutit à l'étude de l'hexogramme 61, zhong fu, « centre-sincérité ». A partir de là sont étudiés les caractères, leur étymologie et leur signification, puis la notion de « sincérité » en chinois et en français. Enfin l'hexogramme 61 est replacé dans la dynamique de la 1Oe aile.
| WHO 2009 : On the anterior thoracic region, at the same level as the first intercostal space, lateral to the infraclavicular fossa, 6 B-cun lateral to the anterior median line. Note 1: After locating LU2, LU1 is located 1 B-cun inferior to LU2. Note 2: ST14, KI26, CV20 and LU1 are located on the transverse line along the first intercostal space. |
Remarque: Yunmen (P.2) est localisé dans la fosse sous-claviculaire. Ici, “1 cun” ou “1,6 cun” représente la hauteur de l'espace intercostal. Sur la partie supérieure de la poitrine, celui-ci est plus étroit et équivaut à 1 cun. Le mamelon se situe dans le quatrième espace intercostal, et “trois espaces intercostaux au-dessus du mamelon” désigne en fait le premier espace intercostal. La localisation donnée par Qian Jin (le deuxième espace intercostal) n'est pas correcte. Aussi localise-t-on ce point d'après Jia Yi.(Deng 1993)
| 2P | 13E | |
| | ↑ ← 1P → ↓ | 14E |
|---|---|---|
| 20Rte | 15E | |
| latéral | côté droit | médial |
| Synthèse de la classe ponctuelle | ||
|---|---|---|
| Point Mu (alarme, recruteur) du Poumon | ||
| Point de jonction (réunion, croisement) des méridiens P et Rte | ||
| Passage de l'énergie du Réchauffeur supérieur | ||
| Point d'entrée du méridien | Point d'entrée (jinshu) du méridien | Laurent 2000 |
| Acupuncture | Moxibustion | Source |
|---|---|---|
| Puncturer 3/10° de distance de profondeur, garder l'aiguille pendant cinq respirations. | Moxas cinq fois. | Chamfrault 1954 |
| 3 à 5 « fen » de profondeur. | Cautérisations : 5 à 10. | Wu Wei-Ping 1959 |
| 3 (Zhu Lian) à 7 fen (Chen Dan'an) | 5-20 mn, 3-7 zhuangs | Heroldova 1968 |
| Slanting insertion: 5 fen — 1 tsun deep | Newest Illustrations 1974 | |
| Needle perpendicu1ary 0.2 à 0.3 in., or obliquely upward 1,0 in. | Moxa stick 3-5 min. 1・3 moxa cones | Li Su Huai 1976 |
| Obliq. Vers le dehors du thorax, 0,5-0,7 pouce. | Académie de MTC 1977 | |
| Piqûre oblique vers l'extérieur à 0,5-1 distance; | Cautériser 3-5 fois, chauffer 5-10 minutes. | Roustan 1979 |
| Puncture perpendicularly 0.3-0.5 inch towards the lateral aspect of the chest. | Moxibustion is applicable. | Beijing College of TCM 1980 |
| Slanted insertion, pointed upward, 0.5-1 unit. | O'Connor 1981 | |
| perpendicular, from chest toward back. 3-5 fens | 3-5 cones; 5-15 minutes | Lu HC 1983 |
| Obliquement vers le côté postéro-externe du thorax 0.5 - 1.5 cun ou perpendiculairement 0.5 - 1 cun | Institut de MTC du Shandong 1984 | |
| 3-5 fen, (1 tsun = 10 fen), straight | 5-10 minutes. | Luying 1985 |
| oblique insertion 0.3-0.5 cun | 3 - 5 cones, or 5 - 10 minutes with moxa roll. | Zhang Rui-Fu 1985 |
| Puncture obliquely 0.5-0.8 inch towards the lateral aspect of the chest. | Moxibustion is applicable | Cheng Xinnong 1987 |
| 0.3-0.5 ” perpendicular insertion. | Moxa: 3-5 cones; pole 5-15 min. | Ellis 1988 |
| Puncture obliquely or subcutaneously 0.5- 0.8 cun towards the lateral aspect of the chest. | Moxibustion is applicable, | Lu Jianping 1990 |
| 0.3 cun pendant cinq respirations | 5 moxas | Gaurier 1990 3) |
| Puncture obliquely and superior-laterally for about 1-15 cun | Moxibustion is applicable. | Geng Junying 1991 |
| 0.5-1 cun deep obliquely or horizontally towards the lateral aspect of the chest | Moxibustion is applicable | Li Ding 1992 |
| oblique en dehors ; profondeur : 0,5-0,8 pouce | Zhang Rui-Fu 1992 | |
| Puncture obliquely or transversely 0.5-0.8 cun towards the lateral aspect of the chest. | Qiu Mao-liang 1993 | |
| Puncturer obliquement vers le bord latéral du thorax, entre 0,5 et 1 distance de profondeur | Cautérisation avec 3 à 5 cônes de moxa, moxibustion pendant 5 à 10 minutes. | Guillaume 1995 |
| Lateral superior oblique insertion 0.5-1.0 inch | 3-5 cones; stick 5-10 minutes | Chen 1995 |
| Piquer obliquement vers l'extérieur de 0,5 à 0,8 cun | 3 à 5, chauffer 15 à 20 mn | Laurent 2000 |
| Puncturing obliquely 0.5-1 cun exterior to the chest wall or performing | moxibustion with 3-5 moxa cones or 5-10 minutes with warming moxibustion. | Yang Xinrong 2003 |
| Point considéré comme points à risque |
La pose d’un cathéter veineux central est un geste fréquent dans un service de médecine interne. En suivant la formation des médecins-assistants, nous nous sommes aperçus que certaines questions, doutes ou craintes concernant cette procédure nous sont régulièrement adressées : «Est-ce qu’un cathéter sous-clavier peut être posé avec une thrombocytopénie modérée ?» ; «Quel site de ponction présente le moins de risques pour le patient ?» ; «Après combien de jours un cathéter doit-il être changé ?». Cet article se propose de répondre à ces questions et à d’autres, en partant d’une mini-revue de la littérature actuelle. [N.B. l'apex pulmonaire monte plus haut à gauche, ce qui est susceptible d'augmenter le risque de pneumothorax lors de la puncture du 1P gauche]
| Classes d'usage | - | point secondaire |
|---|
limbs, pain of the thoracic muscles, Nasal polyp. (Heroldova 1968)
| Bronchite chronique | 1P + 13V + 6P | Roustan 1979, Lu Jianping 1990, Shanghai zhen jiu xue (Guillaume 1995) |
| Bronchite asthmatiforme | 1P + Dingchuan + 6MC + 17VC | Roustan 1979, Shanghai zhen jiu xue (Guillaume 1995) |
| Tuberculose pulmonaire | 1P + 13V + Feirexue | Roustan 1979, Shanghai zhen jiu xue (Guillaume 1995) |
| 1P + 13V + Feirexue + JieHexue | Shanghai zhen jiu xue (O'Connor 1981) | |
| cough caused by pulmonary tuberculosis; | 1P + 3Rn + 9P + 36E + 13V | Geng Jianying 1991 |
| Fullness of chest | 1P + 45V | Luying 1985 |
| 1P + 44V | Bai Zheng Fu (O'Connor 1981) | |
| Chest pain | 1P + 9C | Lu HC 1983, Luying 1985, Lu Jianping 1990, Li Ding 1992, Zhen Jiu Zi Sheng Jing (O'Connor 1981) |
| Douleur de la poitrine | 1P + 2P + 13V + 14F + 1Rte +47V + 7MC | Formules valant mille ducats [ Qian jin yao fang ](Deadman 2003) |
| fullness, distension and pain of the chest | 1P + 6MC + 16E | Geng Jianying 1991 |
| Pneumonia | 1P + 14VG | Lu HC 1983, Luying 1985 |
| Sore throat and fever | 1P + 35VB | Luying 1985 |
| Sore throat | 1P + 11P | Lu Jianping 1990 |
| cough and asthma | 1P + 13V + 7P | Geng Junying 1991 |
| Asthma (treating) | 1P + 6MC + 17VC + 22VC | Li Ding 1992 |
| Asthma (relieving) | 1P + 13V + 6P | Li Ding 1992 |
| syndrome superficiel avec vent froid et toux | 1P + 12V | Zhang Rui-Fu 1992 |
| syndrome superficiel avec vent chaud et toux | 1P + 12V + 5P en disp. | Zhang Rui-Fu 1992 |
| toux avec mucosités | 1P + 12VC + 22VC + 40E en disp. | Zhang Rui-Fu 1992 |
| Pharyngite et laryngite | 1P + 4GI + 11P en disp. | Zhang Rui-Fu 1992 |
| oedème du visage | 1P + 40E en disp. + 9Rte en ton. | Zhang Rui-Fu 1992 |
| OEdème du visage et de l'abdomen | 1P + 5MC + 4GI | Formules valant mille ducats [ Qian jin yao fang ] (Deadman 2003) |
| Bi de la gorge, sensation de plénitude et d'obstruction du thorax, froid et chaleur | 1P + 35VB | Zi sheng jing (Guillaume 1995) |
| Dyspnée avec reflux | 1P + 42V +Xietang | Zi sheng jing (Guillaume 1995) |
| Algie thoracique | 1P + 9C | Zi sheng jing (Roustan 1979) |
| Hoquet | 1P + 49V | Bai zheng fu (Roustan 1979) |
| Ballonnement abdominal avec hypopnée et troubles de déglutition | Nguyen Van Nghi 1984 | |
| Plénitude thoracique avec éructations | Zhen jiu ju ying (Guillaume 1995) | |
| Thoracic fullness with upper esophageal blockage, | Ode of a Hundred Patterns [ Bai Zheng Fu ] (Ellis 1988) | |
| Plénitude de la poitrine avec constriction de l'oesophage | Les cent symptômes [ Bai Zheng Fu ] Deadman 2003 | |
| toux et dyspnée avec sensation d'encombrement bronchique | 1P + 49V en disp. | Zhang Rui-Fu 1992 |
| Plénitude abdominale, essoufflement avec bruit rauque | 1P + 17VC + 8VC en Moxas | Formules valant mille ducats [ Qian jin yao fang ] (Deadman 2003) |
| Constriction de l'cesophage avec ingestion difficile et vomissements | 1P + 16VC | Formules valant mille ducats [Qian jin yao fang] (Deadman 2003) |
| Ingestion difficile | 1P + 60V + 20E + 10P + 20Rte | Prolonger la vie [ Zi Sheng Jing ] (Deadman 2003) |
| Enuresie | 1P + 22E + 7C | Lu HC 1983, Formules valant mille ducats [ Qian jin yao fang ](Deadman 2003) |
| Galactophorite, abcès du sein | 1P + 17VC + 1IG + 1F | Nguyen Van Nghi 1984 |
| costal chondritis. | 1P + 15E + 25Rn + 18VC | Geng Jianying 1991 |
Description classique du point Zhongfu avec trois descriptions particulières : tonification et dispersion des aiguilles en fonction de l'effet recherché, indications déclinées en différenciation des syndromes et présentation de cas.
Cette étude dégage la signification de l'expression Zhongfu, nom du premier point du Taiyin de main, méridien du poumon, dans les textes chinois classiques, médicaux et littéraires. Elle indique brièvement les corrélations principales avec les points avoisinants ainsi que les noms secondaires de P.1. Elle se termine par la présentation des symptômes et pathologies traditionnellement associés à P.1. , en tâchant de montrer la signification de l'ensemble des données et d'expliquer les grandes fonctions du point.
Résumé : L'auteur essaye de démontrer la nécessité de l'étude des textes médicaux anciens, et plus particulièrement du Jiayijing, pour une compréhension fine et précise de l'action de chaque point d'acupuncture. Il justifie son avis à partir de l'étude de Zhongfu premier point du méridien shoutaiyin.
Traduction du Développement Clinique des Points d'Acupuncture Usuels.
Deux particularités : associations de points en fonction des syndromes et comparaison avec d'autres points.
Zhongfu (1 P) est un point de shou taiyin. Il a pour fonction de rendre florissant le qi bloqué dans la poitrine. Ce point se retrouve chez des patients au visage figé, avec des troubles pulmonaires et gastriques.
[…]Valeur diagnostic : Quand le Poumon-organe est malade, ce point est douloureux à la pression ou manifeste des réactions anormales. Perturbations de la diffusion et de la descente du Qi du Poumon (mécanisme du qi qiji [气机]) : 1) agression du Poumon par le froid pathogène; 2) obstruction du Poumon par la mucosité; 3) obstruction du Poumon par la mucosité-chaleur; 4) blessure du Poumon par chaleur pathogène.[…]Très souvent utilisé dans les maladies du Poumon et également les affections du thorax : toux, dyspnée, asthme, douleur thoracique, douleur du quadrant supéro-externe du thorax ou du sein, douleur de l'épaule et de l'omoplate, angine de poitrine, infarctus du myocarde, obstruction thoracique.

Background: Acupuncture therapy for obstructive respiratory diseases has been effectively used in clinical practice and the acupuncture points or acupoints of Zhongfu [1P] and Tiantu [22VC] are commonlyused acupoints to treat patients with the diseases. Since the impaired mucociliary clearance is among the most important features of airway inflammation in most obstructive respiratory diseases, the effect of needle puncture and electro-acupuncture at the specific acupoints on tracheal mucociliary clearance was investigated in anesthetized quails. Methods: Mucociliary transport velocity on tracheal mucosa was measured through observing the optimal pathway, and fucose and protein contents in tracheal lavages were determined with biochemical methods. In the therapeutic group, needle puncture or electro-acupuncture stimulation to the acupoints was applied without or with constant current output in 2 mA and at frequency of 100 Hz for 60 minutes. In the sham group, electro-acupuncture stimulation to Liangmen [21E] was applied. Results: Our present experiments demonstrated that the electro-acupuncture stimulation to Zhongfu and Tiantu significantly increased tracheal mucociliary transport velocity and decreased the content of protein in the tracheal lavage, compared with the control group. Moreover, either needle puncture or electro-acupuncture stimulation to Zhongfu and Tiantu significantly reverted the human neutrophil elastase-induced decrease in tracheal mucociliary transport velocity and human neutrophil elastase -induced increase in the contents of fucose and protein in the tracheal lavage, compared with the control group. Conclusion: These results suggest that either needle puncture or electro-acupuncture stimulation to the effective acupoints significantly improves both airway mucociliary clearance and the airway surface liquid and that the improvements maybe ascribed to both the special function of the points and the substantial stimulation of electricity.Traduction automatique
ABSTRACT Objective To investigate synergetic and antagonistic effects of shu-points and mu-points. Methods Effects of acupuncture at the 3 acupoint groups, Feishu (BL 13), Zhongfu (LU 1), Feishu (BL 13) plus Zhongfu (LU 1) on the pulmonary functjon were respectively investigated in 30 cases of chronic bronchitis and bronchial asthma. Results Improvement of the pulmonary function in the Feishu (BL 13) plus Zhongfu (LU 1) group was the most obvious, and in the Feishu (BL 13) group was the next, and the pulmonary functjon in the Zhongfu (LU 1) group did not change before and after treatment. Conclusion Feishu (BL 13) combined with Zhongfu (LU 1) has synergetic effect on the pulmonary function.
BACKGROUND: Although the use of acupuncture anesthesia for open heart surgery, which was introduced in China four decades ago, has declined in recent years, there is a renewed interest in it in contemporary China due to the escalating medical costs associated with open heart surgery. This study was aimed to determine whether a combined acupuncture-medicine anesthesia (CAMA) strategy reduces early postoperative morbidity and medical costs in patients undergoing open heart operation under cardiopulmonary bypass. METHODS: From July 2006 to October 2010, CAMA was applied in 100 patients undergoing open heart surgery in comparison with another 100 patients under the conventional general anesthesia (GA). For all the CAMA patients, an abdominal breathing training program was practiced for the 3 consecutive days prior to operation. About 15 to 20min prior to surgical incision, acupuncture needles were inserted into the bilateral points ZhongFu [1P], LieQue [7P], and XiMen [4MC]. During operation, patients were kept on spontaneous breathing. Endotracheal intubation was not employed but only prepared as a standby. The narcotic drugs, fentanyl and midazolam, were intravenously injected but in very low doses as compared to GA. Open heart procedures were performed routinely in both groups. RESULTS: Compared with the GA patients, the CAMA patients had a less usage of narcotic drugs (p<0.001), less postoperative pulmonary infection (p<0.05), shorter stay in intensive care unit (p<0.05), and a lower medical cost (P<0.05). CONCLUSIONS: A combined acupuncture-medicine anesthesia strategy reduces the postoperative morbidity and medical costs in patients undergoing open heart surgery under cardiopulmonary bypass.
The authors have discovered that cupping around the area of Zhongfu (LU 1) can diagnose, prevent and treat early external invasion of pathogen. This finding is supported by a preliminary study of 50 cases. Cured within 3 days was 78.0%o, significantly improved 18.0%, total effective rate was 96.0%. Application of cupping around the area of Zhongfu (LU 1) seems to be able to diagnose, prevent and treat early stage of external pathogenic invasion. This modality has significant clinical value, and further research is warranted.
OBJECTIVE: To evaluate the effect of Dexmedetomidine and Midazolam on respiratory and circulation in patients experiencing open heart surgery under acupuncture-assisted general anesthesia. METHODS: Sixty patients undergoing open heart surgery (cardiac valve replacement surgery and aortic valve replacement surgery) were randomly and equally divided into Dexmedetomidine (D) and Midazolam (M) groups. Electroacupuncture (EA) was applied to bilateral Yunmen (LU 2), Zhongfu (LU1), Lieque (LU7) and Neiguan (PC6). For patients of group D, Dexmedetomidine (i.v., loading dose: 1 microg/kg, and succedent dose: 0.2-1 microg x kg(-1) x h(-1)) was given. For patients of group M, Midazolam (i.v., loading dose: 0.05 mg/kg, succedent dose: 0.01-0.03 mg x kg(-1) x h(-1)) was given. Arterial oxygen pressure (PaO2), arterial carbondioxide tension (PaCO2), O2 saturation (SPO2), mean arterial pressure (MAP), heart rate (HR), anesthetic effect, time of spontaneous breathing recovery, and time of resuscitation were recorded before operation (T0), immediately after skin incision (T1), immediately after sternotomy (T2), before suspension of cardiopulmonary bypass (CPB, T3), immediately after cardiac re-beating (T4), immediately after CPB cessation (T5), and at the end of surgery (T6). RESULTS: Before operation, no significant differences were found between the group D and M in the levels of PaO2, PaCO2 and SPO2 (P > 0.05). The PaO2 and SPO2 levels after skin incision, sternotomy, before suspension of CPB and at the end of surgery were significantly lower in group M than in group D (P < 0.05), while the le- vels of PaCO2 after skin incision, sternotomy, before suspension of CPB and at the end of surgery, and HR after skin incision, sternotomy, before suspension of CPB, after heart re-beating,after CPB cessation and at the end of surgery in group M were considerably higher than those in group D (P < 0.05). In addition, the time of spontaneous breathing recovery of group M was significantly later than that of group D (P < 0.05). No significant differences were found between the two groups in MAP levels at the 6 time-points during surgery, in the PaO2, PaCO2 and SPO2 levels at the time-points of post-cardiac re-beating, and after CPB cessation (P > 0.05). It suggested that the respiration and circulation states in group D were more smoothly than those in group M. There was no significant difference between the two groups in the time of resuscitation (P > 0.05). CONCLUSION: Dexmedetomidine is superior to Midazolam in analgesia, and improving respiration and circulation functions for open heart surgery patients under acupuncture-assisted general anesthesia.
OBJECTIVE: To determine whether electroacupuncture (EA) intervention combined with general anesthesia (GA) strategy can reduce early post-operative morbidity and medical costs in patients undergoing heart valve replacement operation under cardiopulmonary bypass. METHODS: A total of 160 heart valve replacement surgery patients undergoing cardiopulmonary bypass were randomly divided into GA and EA + GA groups (n = 80 in each group). Patients of the GA group were given with intravenous injection of Fentanyl, Midazolam, Vecuronium Bromide, etc. and routine tracheal intubation. EA (3-4 Hz, 2.0-2.2 mA) was applied to bilateral Zhongfu (LU 1), Chize (LU 5) and Ximen (PC 4) beginning about 20 mm before the surgery in the EA + GA group. Endotracheal intubation was not employed but only prepared as a standby for patients of the EA + GA group. The dosage of narcotic drugs, duration of surgery, duration of aertic blockage, rate of cardiac re-beating, volumes of post-operative blood transfusion, discharge volume, cases of post-operative pulmonary infection, vocal cord injury, and the time of first bed-off, first eating and duration in intensive care unit (IOU) residence. etc. were recorded. RESULTS: The successful rates of heart valve replacement surgery were similar in both GA and EA + GA groups. Compared with the GA group, the dosages of Fentanyl, Midazolam and Vecuronium of the EA + GA group were significantly lower (P < 0.05, P < 0.01), the numbers of patients needing blood-transfusion, antibiotics treatment, and suffering from pulmonary infection were fewer, the time of first bed-off and duration of hospitalizetion and IOU residence were considerably shorter (P < 0.05, P < 0.01) and the total medical cost was obviously lower (P < 0.05) in the EA + GA group. CONCLUSION: EA combined with general anesthesia strategy for heart valve replacement surgery without endotracheal intubation is safe and can reduce post-operative morbidity and medical costs in patients undergoing heart valve replacement surgery under cardiopulmonary bypass.
OBJECTIVE: To compare the difference in the clinical efficacy on post-stroke upper limb spasmodic hemiplegia between the combined therapy of jingou diaoyu needling technique and Bobath technology and simple Bobath technology. METHODS: Sixty patients were randomized into an observation group and a control group, 30 cases in each one. The usual medication of neurological internal medicine was used in the two groups. In the control group, Bobath facilitation technology was applied to the rehabilitation training. In the observation group, on the basis of the treatment as the control group, jingou diaoyu needling technique was used to stimulate Zhongfu (LU 1), Tianfu (LU 3), Chize (LU 5), Quchi (LI 11), Jianshi (PC 5) and Daling (PC 7). The treatment was given once a day; 5 treatments made one session and totally 4-week treatment was required in the two groups. The modified Ashworth scale, the modified Fugle-Meyer assessment (FMA) and the Barthel index (BI) were adopted to evaluate the muscular tension, the upper limb motor function and the activities of daily living (ADL) before and after treatment in the two groups. The clinical efficacy was compared between the two groups. RESULTS: Compared with those before treatment, the modified Ashworth scale, Fugl-Meyer score and BI score were all improved after treatment in the two groups (all P<0.01). The results in the observation group were better than those in the control group (all P<0.01). The total clinical effective rate was 93.3% (28/30) in the observation group and was 80.0% (24/30) in the control group. The efficacy in the observation group was better than that in the control group (P<0.05). CONCLUSIONS: The jingou diaoyu needling technique combined with Bobath therapy achieve the superior efficacy on post-stroke upper limb spasmodic hemiplegia as compared with the simple application Bobath therapy. This combined treatment effectively relieve spasmodic state and improve the upper limb motor function and the activities of daily living.
OBJECTIVE: To observe the effect difference between acupuncture of “five needles therapy” and conventional acupuncture for asthma of latent cold phlegm-fluid in the lung. METHODS: Two hundred and ten cases were randomly assigned into an observation group and a control group, 105 cases in each one. Finally 7 cases were dropped out in the observation group; 6 cases in the control group. Feishu (BL 13), Dazhui (GV 14), Fengmen (BL 12) were used in the observation group; conventional acupuncture was used in the control group, and the main acupoints were Feishu (BL 13), Zhongfu (LU 1), Tiantu (CV 22), Danzhong (CV 17), Kongzui (LU 6), Dingchuan (EX-B 1), Fenglong (ST 40), Fengmen (BL 12), Taiyuan (LU 9). The needles were retained for 30 min each time, once a day for continuous 12 days. The scores of the individual symptoms and signs were observed before treatment and on the 3rd, 6th, 9th, 12th days, including pant, cough, cough up phlegm, fullness and oppression in the chest and diaphragm, wheezing rale and shortness of breath. The clinical effects were compared between the two groups. RESULTS: The scores of six individual symptoms and signs on the 3rd, 6th, 9th, and 12th days in the two groups were lower than those before treatment (all P<0.05), except the score of wheezing rale in the control group on the 3rd day (P>0.05). The scores of pant, wheezing rale, cough on the 3rd, 6th, 9th, and 12th days in the observation group were lower than those in the control group (all P<0.05), except the score of wheezing rale score on the 3rd day (P>0.05). There were no significant difference between the two groups about the scores of cough up phlegm, fullness and oppression in the chest and diaphragm and shortness of breath on the 3rd, 6th, 9th, and 12th days (all P>0.05), except the score of fullness and oppression in the chest and diaphragm in the observation group was lower than that in the control group on the 12th day (P<0.05). 46 cases were clinical cured, 39 cases were markedly effective, 10 cases were effective and 3 cases were ineffective in the observation group with the total effective rate of 96.9%. 23 cases were clinical cured, 43 cases were markedly effective, 24 cases were effective and 9 cases were ineffective in the control group with the total effective rate of 90.9%. The difference was statistical (P<0.05). CONCLUSION: “Five needles therapy” has significant therapeutic effect for asthma of latent cold phlegm-fluid in the lung, which is better than conventional acupuncture.
OBJECTIVE: To compare therapeutic effects of acupoint application of Chinese medicine and routine acupuncture on bronchial asthma. METHODS: One hundred cases were randomly divided into an observation group and a control group, 50 cases in each group. The observation group was treated with application of Chinese medicine at Dazhui (GV 14), Feishu (BL 13), Gaohuang (BL 43), Danzhong (CV 17), Qihai (CV 6) in the dog days; and the control group was treated with acupuncture at Zhongfu (LU 1), Tiantu (CV 22), Danzhong (CV 17), Dingchuan (EX-B 1), Fenglong (ST 40). The long-term therapeutic effects were observed.RESULTS: The total effective rate was 94.0% in the observation group and 76.0% in the control group with a significant difference between the two groups (P < 0.05).CONCLUSION: The therapeutic effect of acupoint application of Chinese medicine in the dog days on bronchial asthma is significantly superior to that of routine acupuncture.
Abstract[Aim] Acupuncture has traditionally been used in Japan in the treatment of bronchial asthma and is being increasingly applied. However, although there are many published studies on acupuncture and asthma, few meet the scientific criteria necessary to prove the effectiveness of acupuncture. Therefore, this study presents the clinical results of acupuncture treatment for adult bronchial asthma.[Design] Single-subject research design (N-of-1 method).[Setting] Department of Internal Medicine, Acupuncture and Moxibustion Center, Meiji University of Oriental Medicine, Japan.[Participants] Six patients of both genders (mean age, 49.0 years old) with moderate-to-severe persistent bronchial asthma.[Intervention] Six patients received 10 sessions of acupuncture treatment (once per week) for 10 weeks. The basic combination of meridian points for the treatment of the patients were LU 1 (Zhongfu), LU 5 (Chize), LU 9 (Taiyan), CV4 (Guanyuan), CV 12 (Zhongwan), BL 13 (Feishu), BL20 (Pishu) and BL23 (Shenshu). [Measurements] Primary outcome was the symptom of asthma at the end of the 10 treatment sessions . Secondary outcomes were the Dyspnea Visual Analogue Scale (DVAS), respiratory function, Peak Expiratory Flow Rate (PEFR), blood, the use of asthma drugs. The effect of the intervention on eosinophils in blood was assessed.[Main results] Late effects of asthma patients showed significantly better results compared with the base line on outcome measures after the 10 weeks . In this study, symptoms of asthma and dyspnea VAS in patients with asthma were significantly improved by acupuncture.[Conclusion] This study indicated that acupuncture was effective in asthma symptoms and respiratory functions.
2125 cases of chronic cough and asthmatic disorders, such as chronic bronchitis, asthma were treated with thread-embedding in acupoints. The following points were prescribed : 1) Feishu (U.B. 13) and Tanzhong (Ren 17), 2). Dingchuan (Extra), Tiantu (Ren 22) and thoracic region of head acupuncture ; and 3). Xinshu (U.B. 15), Zhongfu (Lu 1); and Xuanji (Ren 21). One group was embedded in each treatment, once was given in every 3 or 8 weeks. The result : cured rate and the marked effect rate all together were 49% and the total effective rate was 99,5%.
OBJECTIVE: To observe the impacts on repeated common cold for the adults with different constitutions treated by acupoint application in the dog days (the three periods of the hottest days) and the three nine-day periods after the winter solstice (the three periods of the coldest days). METHODS: One hundred and fifty-two cases of repeated common cold were divided into four zones according to the body constitution. Each zone was sub-divided into a group of the dog days + the three nine-day periods of the coldest days (group A), and a simple group of the dog periods (group B). In both groups, Dazhui (GV 14), Feishu (BL 13), Tiantu (CV 22), Danzhong (CV 17), Zhongfu (LU 1) and Shenshu (BL 23) were selected. In group A, the acupoint application was given on the 1st or 2nd day of the first, second and third periods of the hottest days in 2010, as well as the 1st or 2nd day of the first, second and third periods of the coldest days in 2010 separately. In group B, the acupoint application was only given on the 1st or 2nd day of the first, second and third periods of the hottest days in 2010. The follow-up visit was conducted before the acupoint application in the three periods of the coldest days in 2010 and before the acupoint application in the three periods of the hottest days in 2011. Additionally, the frequency of disease attack and the symptom score in sickness were taken as the observation indices for the efficacy assessment in both groups. RESULTS: (1) In both groups, the attack frequency was reduced obviously in half a year after the three periods of the hottest days for the patients of qi deficiency constitution, yang deficiency constitution and qi stagnation constitution and the clinical symptom score were reduced apparently (all P<0.01), which were superior to those for the patients of phlegm damp constitution (P<0.01, P<0.05). For the patients of phlegm damp constitution, only the clinical symptom score was reduced (P<0.01). (2) In group A, the improvements were received in the attack frequency and the clinical symptom score in half a year after the three periods of the coldest days for the patients of those four constitutions as compared with those before treatment (all P<0.01). In group B, the attack frequency and the clinical symptom score were all back to the level as those before treatment. (3) In group A, in half a year after the three periods of the coldest days, the efficacy for reducing the attack frequency and the improvements in the clinical symptoms were better than those in group B (all P<0.01). CONCLUSION: The acupoint application in the dog days and the three nine-day periods after the winter solstice reduces the attack frequency and relieves the clinical symptoms of common cold for the adults of individual constitutions to different extents. The efficacy can be further improved in the treatment with the acupoint application in the three nine-day periods after the winter solstice half a year after the acupoint application in the dog days.
Objective: To observe clinical effects of external herb application in the treatment of chronic bronchitis during the periods of Sanfu and Sanjiu. Methods :244 cases were divided into Sanfu group (n = 128, treated during Sanfu period), Sanjiu group (n = 54, treated during Sanjiu period) and Fujiu group (n= 62, treated during sanfu and sanjiu periods), The three groups were all used the same adupoints Feishu (BL-13), Shenshu (BL-23), Dazhui (DU-14), Tiantu (RN-22), Danzhong (RN-17), Zhongfu (LU -i). Results:Alter the treatment, comparing the three groups of short -term curative effects,the difference was statistically significant (P <0. 05). After the treatment, comparing the decrease in frequency of acute onset during one year of the three groups, the difference was statistically significant (P < 0. 05) , and comparing the decrease in frequency of acute onset of the Fujiu group and the Sanfu and Sanjiu group, the difference was statistically significant (P <0.05).Conclusion: The short -term and long -term effects of Sanfu herb external application and Sanjiu are both curative, and by combining the two into Fujiu the curative effect can be better improved.
Pneumonia is one of major causes of cough, which sometimes resists medication and remarkably deteriorates QOL of the patient. We report a case of pneumonia in a person suffering from severe cough and pain in the general body accompanied by cough for which conventional medication did not work but was improved by acupuncture treatment. A 47-year-old woman was diagnosed by her physician with pneumonia on August 2, 200 X. Although antibiotics were administered, her symptoms were not improved. She visited Meiji University of Integrative Medicine Hospital and was hospitalized on the same day. Despite strict medication with antibiotics, antitussive agent and expectorant during hospitalization, her severe cough and body pain remained unchanged. Acupuncture treatment was then started on August 7. The basic meridian points used were LU 1 (Zhongfu), LU 5 (Chize), BL 13 (Feishu), LU 7 (Leique), LI 4 (Hegu), GB 20 (Fengchi), GB 14 (Danzhui), ST 12 (Quepen), ST 11 (Qishe), and CV22 (Tiantu). The acupuncture needles were retained for ten minutes at these points in each session. After ten acupuncture treatments for over seven days, the VAS for body pain accompanied by cough showed a remarkable improvement. Also, significant relief in cough was observed every time immediately after treatment. We suggested that acupuncture treatment might be useful for cough and/or pain in the body accompanied by cough in a patient with pneumonia.
OBJECTIVE: To systematically observe the clinical effect on chronic obstructive pulmonary disease (COPD) at the stable stage, differentiated as cold phlegm blocking the lung type, treated with acupoint sticking therapy during the dog days and the three nine-day periods after the winter solstice so as to propose the latest clinical idea and theoretic evidence for the treatment of COPD. METHODS: One hundred and fifty cases of COPD at stable stage, which were in accordance with the inclusive standard were randomly divided into three groups, named group A (treatment in dog days and the three nine-day periods after the winter solstice), group B (treatment in dog days) and group C (treatment in the three nine-day periods after the winter solstice), 50 cases in each group. The ingredients (Semen Brassicae, Euphoribia Kansui, Asarum, Rhizome Corydalis, Cinnamon, ginger juice) and doses of herbal medicine plaster were same in each group. The herbal plaster was applied to Feishu (BL 13), Shenshu (BL 23), Dazhui (GV 14), Tiantu (CV 22), Danzhong (CV 17) and Zhongfu (LU 1). In group B, the treatment was given once on the 1st day of each dog-day period, totally 3 treatments were included. In group C, the treatment was given once on the 1st day of each nine-day periods after the winter solstice, totally, 3 treatments were involved. In group A, the treatment was given once on the 1st day of each dog-day period and each nine-day periods after the winter solstice separately, totally 6 treatments were required. The therapeutic effect was evaluated in 4 aspects, named comprehensive clinical efficacy, survival quality (the scores for symptoms, activity limitation and influence on daily life), the attach frequency and pulmonary function. RESULTS: The total effective rate was 88.0% (46/50) in group A, which was superior to 76.0% (38/50) in group B and 70.0% (35/50) in group C separately (P < 0.01, P < 0.001). The results of the attack frequency, clinical symptom score and pulmonary function indices after treatment were all improved apparently as compared with those before treatment in each group (all P < 0.01). All the above indices in group A were improved much apparently as compared with the other two groups (P < 0.01, P < 0.001). Except for the level of forced vital capacity (FVC), the results of clinical symptom score and the other pulmonary function indices in group B were all improved significantly as compared with group C (P < 0.05, P < 0.001). CONCLUSION: Acupoint sticking therapy during different season of the year achieves a superior clinical efficacy for the patients with COPD at stable stage. This therapy can reduce the attack frequency and improve the survival quality and pulmonary function for the patients. It is concluded that the efficacy of the treatment in dog days and the three nine-day periods after the winter solstice is superior to simple dog-day treatment and the treatment in the three nine-day periods after the winter solstice, and the efficacy of dog days treatment is better than that in the three nine-day periods after the winter solstice.
OBJECTIVE: To verify efficacy of moxibustion apparatus on pulmonary tuberculosis (PT) and explore adjuvant treatment method for PT. METHODS: One hundred cases of PT were randomly divided into a moxibustion group and a routine treatment group, 50 cases in each one. The regular antituberculous therapy (2HRZE/4HRE) was applied in both groups. In addition, the moxibustion apparatus was used at Bailao (EX-HN 15), Feishu (BL 13), Gaohuang (BL 43), Qihai (CV 6), Zhongfu (LU 1), Danzhong (CV 17), Guanyuan (CV 4), Zusanli (ST 36) and so on in the moxibustion group. The change of lesion area in chest radiography, degradation rate of bacte rium in the sputum, T-lymphocyte subsets and natural kill (NK) cells were observed before and after treatment in two groups. RESULTS: After the treatment for 3 months, there were 45 cases (90.0%) in the moxibustion group with more than 45% of focal absorption in chest radiography, which was obviously higher than 72.0% (36/50) in the routine treatment group (P < 0.01). The degradation rate of bacterium in the sputum in the moxibustion group was higher than that in the routine treatment group [82.0% (41/50) vs 60.0% (30/50), P < 0.01]. The CD3+, CD4+/CD8+ ratio of T-lymphocyte subsets and NK cells in the moxibustion group were significantly higher than those in the routine treatment group (P < 0.05, P < 0.01). CONCLUSION: On the basis of regular antituberculous therapy, moxibustion apparatus could significantly improve clinical effect, promote focal absorption and boost immunity, which is considered as an adjuvant treatment for PT.
OBJECTIVE: To observe the clinical therapeutic effect of Fuyang-pot warming combined with electroacupuncture (EA) in the treatment of scapulohumeral periarthritis (SPA). METHODS: A total of 90 cases of SPA patients were randomized into EA, Fuyang-pot warming and EA plus Fuyang-pot warming (combination) groups (n=30 per group). Fuyang-pot warming including pressing, mild moxibustion, scraping-pushing, cupping, tapping, etc. was applied to Fengchi (GB20), Dazhui (GV14), Jianjing (GB21), Jianyu (LI15), Zhongfu (LU1), Ashi-point, etc., and EA (2 Hz /100 Hz,1-1.5 mA) was appled to GB20, GV14, GB21, LI15, Binao (LI14), Tiaokou (ST38), Chengshan (BL57), Ashi-point, etc. The treatment was performed for 30 min every time, once every other day for 2 weeks. The visual analogue scale (VAS, 0-10 points) was used to assess the pain severity. The Constant-Murley shoulder assessment scale (100 points in total, including 15 points in pain severity and 20 points in daily living activities, 40 points in joint motion range, and 25 points in myodynamia) was used to assess the functional state of the shoulder. The rating scale of the American Shoulder and Elbow Surgeons (ASES, 4 grades) was used to evaluate the ability of daily living activities. RESULTS: Following the treatment, intra-group comparison showed that the VAS score was significantly reduced in the three groups in comparison with their own pre-treatment (P<0.01). The total scores of Constant-Murley scale, and scores of activities of daily living and active motion range, myodynamia, and ASES shoulder-joint function were all considerably increased in the three groups in comparison with their own pre-treatment (all P<0.01). The therapeutic effect of EA plus Fuyang-pot warming was significantly superior to that of simple EA and simple Fuyang-pot warming in reducing VAS score and increasing total score of Constant-Murley scale and scores of activities of daily living, active motion range, myodynamia as well as ASES shoulder joint function (P<0.01). Of the 30, 29 and 30 cases in the combination, EA and Fuyang-pot warming groups, 9, 2 and 4 were basically cured, 14, 8 and 12 experienced marked improvement, 4, 12 and 9 were improved, and 3, 7 and 5 failed in the treatment, with the cured plus effective rates being 76.67%, 34.48% and 53.33%, respectively. The cure plus effective rate was apparently higher in the combined treatment group than in the simple EA and simple Fuyang-pot warming groups (P<0.01), but had no significant difference between the simple EA and simple Fuyang-pot warming groups (P>0.05). CONCLUSION: Fuyang-pot warming combined with EA is effective in relieving pain, and enhancing the daily life quality in scapulohumeral periarthritis patients.
60 cases of omarthritis were treated reespectively by heat needle and electro-acupuncture, with which the effects were compared, the results showed that the effective rate in the heat needle group was 83.3% and 3.3% failed, but the effective rate in the electro-acupuncture group was 66.7% and 8.3% failed. The effect of the heat needle group is proved to be higher than that of the electro-acupuncture group (p<0.05). The heat needle aparatus Model G24 is applied, with the temperature of the needle body 40-45°C, and the current intensity 0.4-0.6A. Points to be selected: Jianyu [15GI], Zhongfu [IP], Tianfu [3P], Chize [5P], Taiyuan [9P] and Hegu [4GI].