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Acupuncture for chronic toxic hepatitis
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"Overview"
Chronic viral hepatitis, also known as chronic hepatitis. Based on histological changes, can be divided into chronic persistent hepatitis, chronic active hepatitis, chronic hepatitis and liver cirrhosis. This section focuses on the second type, chronic hepatitis, clinical primary fatigue, anorexia, abdominal distention and pain and other symptoms of liver, the liver is greater than the normal, medium texture, or takes the form of particles or nodule formation.
Modern acupuncture treatment of chronic hepatitis reports that began in the 50 's of the century [1]. From the 70 's, the relevant information is gradually increasing. Includes various types of chronic hepatitis, and assembling of asymptomatic carriers of hepatitis b virus surface antigen of the acupuncture treatment. Domestic early method of multi point injection, found the drugs and you choose effects have a certain relationship. If confirmed, at the same point selection, inject different kinds of drugs, results of inosinic acid sodium effect is better than vitamin B1 and vitamin B12 [2]. Since the 80 's, in addition to continuing applications outside the acupuncture point injection, moxibustion, Auricular points buried needles, catgut and other acupoint stimulation, there are different degrees of efficacy. In order to prove the exact effect of acupuncture on the disease, and constant observation in recent years. To acupuncture to Yang points and taking Sedum sarmentosum preparation for comparison, results found. Acupuncture Medical Group and group in the same therapeutic effect of liver function recovery and treatment are similar. HBsAg negative conversion rates before and after treatment with acupuncture is quite high, shows that acupuncture group is better than drugs in improving the signs of hepatitis b virus control group [3].
Acupuncture diagnosis and treatment of chronic hepatitis with more emphasis in foreign countries. The acupuncture diagnosis and found that patients with chronic hepatitis, some points will have a special change. 272 chronic hepatitis patients have been observed, tortuous spring cave on the right side of the results of these patients can appear pinched tenderness to varying degrees. Tortuous spring, connected valleys, song pool, skin temperature and Pocket pH values, left and right sides vary [4]. Work also shows that acupuncture and medicine and can be improved in patients with signs and symptoms [5].
On the mechanism of acupuncture and moxibustion treatment of chronic hepatitis, abroad to do more. Animal experiment has been observed that acupuncture can prevent carbon tetrachloride-induced liver injury in mice, can reduce the stress condition (bundling, hot and cold stimuli, and so on) on the adverse effects of citric acid and glucose metabolism in the liver, restored early cirrhosis of the liver caused by artificial cell degeneration, and so on.
In short, regardless of principles of clinical and research, has already confirmed that is sure of the efficacy of acupuncture treatment of chronic hepatitis. Combined with its simple style has no side-effects is more worthy of further research and extension.
"Treatment"
Point injection
(A) point selection
Main point: zusanli, spleen, liver, three yin, Yu Yu yin and inexpensive.
Points: stage door,, Wei Shu, real machines.
(B) governing law
Solution: Dan-injection, HBsAg-iRNA, vitamin B1 and vitamin B12, Vitamin K1, take one.
To the main point, the effect will not show discretion when service or use the distribution points. Among HBsAg~iRNA only take Yin cheap things, and each time you get 2 points. Each Pocket shot weight: Salvia miltiorrhiza 1 ml, HBsAg~iRNA 2 mg, Vitamin K1 is 5 mg, vitamin B12 ml (levels 100 mg) and vitamin B121 ml (content of 100 µg) after mixing, note to 4 points. A shot, Chief, 5th gear, needles, point after disinfection, rapid Pierce, slowly sending pin, to be more visible when acids heaving, medium-speed push drugs. The first course day 1, the second treatment, such as symptoms improve, you can change every other day 1, the normal liver function, after the symptoms disappeared should halve the dose, then upgrading one or two treatments. 15 for one course of treatment.
(Iii) efficacy evaluation
Clinical standards: the cure: after treatment, the symptoms disappear, the various indicators of liver function properly, liver replies; Excellent: symptoms, most markedly reduced or the symptoms disappear, near normal liver function index or index most normal liver function, major improvements effective: symptoms and signs a certain improvement; void: signs and symptoms have not improved, or anti-tends to deteriorate.
Condominium, 205 cases, according to the criteria above, most of the effects of different levels. 65 cases, treated and HBsAg negative change rate of 61.5%, anti--HBe Yang 42.9%,HBV-DNA negative change rate transfer rate to 53.2%[6~9,14].
Moxibustion
(A) point selection
Main point: divided into 2 sections. 1, liver, spleen, large vertebral, Yu Yu Yang, zusanli to; in stage 2, gate, bright door, epigastric, tanzhong, gravel head.
Stone location: Taiyuan on point 3 inches. For ancient treatment of Dan Xiao Huang inspection points.
(B) governing law
Effect of moxibustion or cake moxibustion. Can choose, can also be used interchangeably. Each time you select a set of points, alternately in the two groups. Effect of moxibustion, take effect sizes made from pure AI AI HIT-CE@OfficeCE, before the effect of moxibustion parts painted a little Vaseline or garlic sauce, when it did this, people living with HIT-CE@OfficeCE is positioned over it, lit. When the AI HIT-CE@OfficeCE fueled to a half or so, when the skin scalding or burning pain in patients with, that is, use tweezers to AI HIT-CE@OfficeCE clip to the left of, a new AI HIT-CE@OfficeCE effects of moxibustion, with local dusky skin. Moxibustion 5~7 at a time. Cake separated moxibustion, aconite pie moxibustion isolation. Free slice of aconite, monkshood pulverization, wine blending cake, about 0.3~0.6 cm thick. When the effects of moxibustion, with 2 grams of AI HIT-CE@OfficeCE, lined with child under cakes and cotton wool, moxibustion to patients when burning is not available, move aconite pie, or some other new HIT-CE@OfficeCE. Each point moxibustion 3~5, dusky skin appear. Every other day 1 time, 3 months for a course of treatment. General therapy treatments, such as failed to act, after next week, continued moxibustion.
(Iii) efficacy evaluation
More than by observation of 24 cases, after 3 months treatment, the main symptoms in patients with improved digestive improving the most visible of all, signs with hepatic pain reduction. Hepatosplenomegaly of more than 2 cm under the ribs, no obvious after moxibustion recoil. After moxibustion, also on the serum alanine aminotransferase (S-GPT), serum prealbumin (PA) and serum Alpha 1-acid glycoprotein (Alpha-1-AG), serum gamma-gt and other indicators of liver function have varying degrees of influence [10].
Body acupuncture
(A) point selection
Main point: divided into 2 sections. 1, to liver-Shu Yang, and Yang Ling Spring; 2, vertebral, air-sea.
Points: zusanli, Hill market.
(B) governing law
Take the first set of chronic hepatitis, asymptomatic carriers of hepatitis b virus surface antigen preparation of the second set of points. The discretion of distribution points. First set point operation, stabbed 1 inch to Yang points upward slant, Yu Xiang hepatic spine slant Thorn, yanglingquan three straight spines in 1.5 inch and foot, Qi, needle-10 minutes. The second group, after dazhui the acupuncture Qi, small twist turn for 1-2 minutes down conduction is better without needle. Sea point straight thrust to topical acids heaving, needle for 30 minutes, such as the distribution of zusanli, needle for 30 minutes, twist-1 time every 10 minutes. Moxa stick mild moxibustion 5-10 minutes after needle. Hill-town point, Thorn, Qi Shi Ping ping Xie-nourishing after. Two groups of points, each pin 3 times a week, 3 weeks of treatment, treatment stop pin 3-5 days.
(Iii) efficacy evaluation
A total of 21 cases of chronic hepatitis, acupuncture effect the same as taking Sedum sarmentosum granules, and lower on the titer of HBsAg and HBeAg negative conversion, the effect is more visible [5].
Asymptomatic carriers of hepatitis b virus Antigen, observation of a total of 32 cases. Total effective rate of 75% in the near future. HBsAg efficient 71.9% (25% negative conversion rate), HBeAg negative change rate 33.3%, transfer rate of anti--HBe Yang 25%; anti--HBc negative change rate of 25.0%;HBV-DNA negative change rate of 28.6%. Long term total efficiency (one-year follow-up) 72.7%[11]. It is worth mentioning that, through to the 4,069 investigated, found previous history of acupuncture and moxibustion of HBsAg-positive rate of 2.5%, more positive rate with no previous history of acupuncture and moxibustion 8% is low, there were significant statistically (P<0.01). Acupuncture may reduce the rate of positive, which turned up on the basis of the balance of yin and Yang acupuncture complete resistance to relevant. Of course, also called acupuncture to pay attention to the strict disinfection in order to prevent the spread by needle and syringe [12].
Auricular acupuncture
(A) point selection
Main point: the liver, spleen, kidney, hepatitis, sanjiao.
Points: insomnia dream plus shenmen, subcortical; stomach is satisfied that the poor and the stomach; constipation abdominal distension increase intestinal; dry mouth bitter taste in the mouth and pancreas and bile, and guts.
(B) governing law
Each time you get the main points 3~4 points, according to the discretion of distribution points. Ear sensitive point, thumbtack intradermal needles into used, secured with tape fixed. Or using beads method, method is sold in small beads around 380 Gauss strength, placed in 0.7x0.7 cm on the square of the tape, posted on the sensitive points. Themselves apply pressure to the ear in patients with 3~4 times a day, every 3-5 minutes. Buried needles or pill 2 times a week, 7~10 is a course of treatment. Course of every 5-7 days.
(Iii) efficacy evaluation
Ear buried needles to treat 100 patients with chronic hepatitis patients, resulting in recovery of 50 cases (50%), Excellent 12 cases (12%), effective 25 cases (25%), is not valid in 13 cases (13%) [13].
Ankle and wrist pin
(A) point selection
Main point: up 1, down 1.
(B) governing law
Cave on a two-sided were taken, with 1.5 inch or 30, filiform needle, and the skin at a 30 degree angle thrust into, into leather needles flat, puncturing a 1.5-inch, acid-free linen, needle, needle for 30 minutes, do not perform insert-twist-turn, 1-2, 10 times as a course of treatment.
(Iii) efficacy evaluation
Condominium in 77 cases, results cured 15 cases, improved 46 cases, is not valid in 16 cases, total effective rate of 79.2%. 61 cases of HBsAg-positive, negative conversion in 13 cases [14].
Point injection Kallang moxibustion
(A) point selection
Main point: foot three, yanglingquan, sanyinjiao.
Points: vertebral, liver, spleen, Yu-Shu, and cloudy.
(B) governing law
Solution: 2ml of water for injection.
One side of the main points are taken at a time, point injection. Thrust into air, after returning to no blood, each point into 0.5~1ml. 2 times a week, two side alternately.
Cold moxibustion for points. Treated and preparation: cantharidin and Dan, and 20G, Radix paeoniae Rubra, white mustard, ground beetle bug 10G, Radix scrophulariae, Forsythia in all 12g, pulverization and the amount of Vaseline tune into a paste alternate. Each time you get 2 points, each point application of drug 1g, disinfection and dressing on a fixed, 6-12-hour natural bubbling, need not be liquid so that its own absorption, 1 times a week.
(Iii) efficacy evaluation
Condominium in 66 cases, resulting in Excellent 33 cases, effective 17 cases, is not valid in 16 cases, total effective rate of 76%[16].
"Bibliography"
[1] Xu Shaowei. Experience of acupuncture and moxibustion treatment of acute and chronic hepatitis. Heilongjiang published in 1959, (7): 47.
[2] the Guangzhou hospital clinics. Point injection of vitamin B1, B12, recent observations on the recovery of liver function in chronic hepatitis. New pharmaceutical distribution 1973; and (2): 19.
[3] Xu Qian, and so on. Acupuncture in the treatment of chronic persistent hepatitis 213 curative. New Chinese medicine 1989; (2): 30.
[4] Li Fufeng, and so on. Acupuncture in foreign countries. Beijing: Chinese medicine books press, 1986:17.
[5] pig hunt in winter you know, et al (Song Weibing translation). Discussion on the efficacy of acupuncture when chronic liver disease. International Medicine: TCM section 1983, and (5): 57.
[6] Zhou Futian, and so on. Hydro-acupuncture point injection on observation of persistent and chronic hepatitis. Sichuan 1983;1 of traditional Chinese medicine (3): 53.
[7] Tong Shaohong. Dan observation report of 39 cases moving injection in the treatment of chronic hepatitis. Fujian medical journal 1980; (1): 50.
[8] Kuang Xiaofang: inosinic acid sodium in patients with chronic hepatitis b serological observation point injection HBsAg-iRNA: a follow-up report of Shanghai medical 1990;13 1-2 of 65 cases (9), 537.
[9] Jiao Guorui. Acupuncture clinical experience. Beijing, people's medical publishing house, 1981:95.
[10] Xia Weijiang, and so on. Moxibustion treatment of chronic viral hepatitis b clinical research. Shanghai 1988;7 acupuncture magazine (1): 3.
[11] Tao Mingzhong, and so on. Acupuncture and moxibustion treatment of asymptomatic carriers of hepatitis b virus surface antigen of the clinical studies and experimental studies. Chinese Acupuncture and moxibustion 1988;8 (1): 28.
[12] Zhang Xiaobin, and so on. Acupuncture reduces investigation of HBsAg-positive rate. Selected abstracts of acupuncture and moxibustion 1987:110, Beijing.
[13] the Guangzhou Army General Hospital, Department of physiotherapy. Auricular acupuncture for buried needles 100 cases of treatment of chronic hepatitis. Zhejiang medicine 1978; (3): 11.
[14] Xu Qian, and so on. Acupuncture point injection VK1, curative effect of the treatment of chronic active hepatitis. Jiangsu medicine 1988; (9): 3.
[15] xiaoyunhua. Wrist and ankle acupuncture in the treatment of chronic active hepatitis hepatitis b 77 cases of acupuncture and moxibustion, La 1990;6 (2): 8.
[16] Gu Huiping, and so on. Point needle injection foaming water treatment of chronic hepatitis b clinical observation of 66 cases. Zhejiang Chinese medical journal 1996;31 (6): 274.
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