RÉSUMÉ
OBJECTIVE: To compare the clinical effect between head acupuncture combined with exercise therapy and conventional acupuncture for nonspecific low back pain. METHODS: A total of 64 patients with nonspecific low back pain were randomized into an observation group (32 cases, 2 cases dropped off) and a control group (32 cases, 2 cases dropped off). In the control group, conventional acupuncture was applied at Jiaji (EX-B 2) of L1 to L3, ashi point, Shenshu (BL 23), Dachangshu (BL 25), Yaoyangguan (GV 3) and Weizhong (BL 40). The observation group was treated with head acupuncture combined with exercise therapy, head acupuncture was applied at foot-motor-sensory area on the healthy side and Cuanzhu (BL 2), Tongziliao (GB 1) on the affected side, and McKenzie therapy was performed during retention. The needles were retained for 40 min, once a day, continuous treatment for 6 days with the interval of 1 day, 14 days were required in the two groups. Before and after treatment, the pain visual analogue scale (VAS) score, Oswestry disability index (ODI) score and infrared thermography temperature of pain area in the low back were compared in the two groups. RESULTS: Compared before treatment, the VAS and ODI scores after treatment were decreased in the two groups (P<0.01), and those in the observation group were lower than the control group (P<0.01). Compared before treatment, the infrared thermography temperature of pain area in the low back after treatment was increased in the two groups (P<0.01), and that in the observation group was higher than the control group (P<0.01). CONCLUSION: Head acupuncture combined with exercise therapy could relieve pain, improve dysfunction and increase the local temperature of pain area in patients with nonspecific low back pain, and its curative effect is better than conventional acupuncture.
Sujet(s)
Thérapie par acupuncture , Acupuncture , Lombalgie , Points d'acupuncture , Traitement par les exercices physiques , Humains , Lombalgie/thérapie , Résultat thérapeutiqueRÉSUMÉ
To summarize SUN Shen-tian's treatment ideas and clinical features. SUN applies meridian syndrome differentiation to the diagnosis and treatment of diseases; advocates that prevention and treatment of diseases should be regulated mind firstly; applies transcranial repetitive acupuncture combined modern cerebral cortex function positioning; emphasizes the application of multiple acupuncture methods and manipulation, and includes the meridian penetrating needling method, the flat needling and penetrating needling method, and the stagnant needle lifting method, pays attention to the importance of achieving qi and manipulation for the effect.
Sujet(s)
Thérapie par acupuncture , Acupuncture , Méridiens , Moxibustion , Points d'acupunctureRÉSUMÉ
Professor SUN Shen-tian's academic thought and clinical experience of acupuncture for peripheral facial paralysis are summarized. According to the different stages of facial paralysis, professor SUN 's treatment plan has its own emphasis. In the acute stage, professor SUN emphasizes the importance of standardized western medicine treatment, and proposes early acupuncture treatment. The treatment mainly focuses on dispersing wind and cold, promoting blood circulation and dredging collaterals. In the recovery stage, professor SUN emphasizes the method of "pulling the sticking needle", and applies repeated transcranial acupuncture according to the functional orientation of cerebral cortex. In the sequelae stage, professor SUN emphasizes the value of regulating the mind. In the course of treatment, professor SUN highly values the use of flexible acupoint selection, repeated transcranial acupuncture, "pulling the sticking needle" method, acupoint pressing and giant-needle method, combined with electroacupuncture and targeted injection. In addition, based on the clinical experience, professor SUN summarizes the common methods to estimate the prognosis of peripheral facial paralysis.