[Bloodletting acupuncture at jing-well points along three-yang meridians of foot combined with acupuncture on migraine:a randomized controlled trial].

OBJECTIVE: To compare the analgesic effect of bloodletting acupuncture at jing-well points along three-yang meridians of foot combined with routine acupuncture and simple routine acupuncture on migraine. METHODS: A total of 60 patients with migraine were randomized into an observation group and a control group, 30 cases in each one, of which, 4 cases were dropped out in the observation group, 1 case was dropped out in the control group. In the observation group, bloodletting acupuncture at jing-well points combined with routine acupuncture were applied. The bloodletting acupuncture was applied at corresponding jing-well points of three-yang meridians of foot [Lidui (ST 45), Zhiyin (BL 67), Zuqiaoyin (GB 44)] according to pain location. And routine acupuncture was adopted at Sizhukong (TE 23), Shuaigu (GB 8), Taiyang (EX-HN 5), Fengchi (GB 20), Hegu (LI 4), Taichong (LR 3), Zulinqi (GB 41), Yanglingquan (GB 34) and Waiguan (TE 5). In the control group, routine acupuncture was applied, acupoint selection and operation were the same as the observation group. The treatment was given once a day, 30 min a time, 5 days as one course with 2 days interval, and 2 courses were required. Before treatment, immediately after needle withdrawal, 4 h after needle withdrawal and after 2 courses of treatment, the visual analogue scale (VAS) score was compared in the two groups. Before and after treatment, the migraine comprehensive score was observed in the two groups, and the therapeutic effect was evaluated. RESULTS: Immediately after needle withdrawal, 4 h after needle withdrawal and after 2 courses of treatment, the VAS scores in the two groups were decreased (P<0.05), the VAS scores immediately after needle withdrawal, 4 h after needle withdrawal and after 2 courses of treatment in the observation group were lower than those in the same time of the control group (P<0.05). After treatment, the migraine comprehensive scores in the two groups were decreased (P<0.05), the reducing degree in the observation group was greater than the control group (P<0.05). The total effective rate in the observation group was 92.3% (24/26), which was higher than 89.7% (26/29) in the control group, there was no significant difference (P>0.05). CONCLUSION: Bloodletting acupuncture at jing-well points along three-yang meridians of foot combined with routine acupuncture and simple routine acupuncture have analgesic effect, and the combined therapy is superior to simple routine acupuncture.

[Effect of stiletto needle intervention combined with massage on dysfunction and pain of knee-joints in patients with knee osteoarthrosis].

OBJECTIVE: To observe the effectiveness of stiletto needle stimulation combined with massage in the treatment of dysfunction and pain of knee joints in knee osteoarthrosis (KOA) patients. METHODS: One hundred KOA outpatients and inpatients were randomly and equally divided into treatment and control groups. Patients of the treatment group were treated by using stiletto needle stimulation of 5-10 tender-points (at the medial collateral ligament, internal condyle of femur, medial condyle of femur, etc.) in combination with massage on the bilateral sides of the patella ligament, digital pressing of Liangqiu (ST 34), Xuehai (SP 10), Neixiyan (EX-LE 4), Weizhong (BL 40), etc. Patients of the control group were treated by using massage therapy alone (the same to those mentioned above). Elasticity of the soft tissue[displacement value under 500 g pressure exerted on the tender-point surface; the banana area, i. e. , the absorbed energy of the soft tissue] was measured by using Soft-tissue Tension Detector. Dysfunction scores of the knee-joint (cure:91 -99 points; marked improvement: 75-90 points; improvement: 60- 74 points; invalid: no improvement) were assessed according to Jiang's method, and the therapeutic effect was evaluated in the light of "Criteria for Diagnosis and Therapeutic Effect Assessment of Illnesses or Clinical Conditions of Chinese Medicine" issued in 1994 in China. RESULTS: Comparison between pre- and post-treatment in the same one group showed that the displacement values and scores of pain, joint-movement and malformation, and total scores were increased significantly and the banana area reduced considerably in these two groups after the treatment (P < 0. 05), and the effects of the treatment group were apparently superior to those of the control group (P < 0. 05). Of the two 50 cases in the control and treatment groups, 10 (20%) and 33 (66%) had marked improvement, 33 (66%) and 14 (28%) were improved, and 7 (14%) and 3 (6%) invalid, with the effective rates being 86% and 94% , respectively. The markedly effective rate of the treatment group was apparently higher than that of the control group (P< 0. 05). No significant differences were found between the two groups in the scores of initiative extension range, walking abi-lity and daily life activities (P>0.05). CONCLUSION: Stiletto needle intervention in combination with massage can effectively relieve dysfunction and pain of the knee joint in KOA patients.