Tongguan Liqiao acupuncture therapy improves dysphagia after brainstem stroke.

Tongguan Liqiao acupuncture therapy has been shown to effectively treat dysphagia after stroke-based pseudobulbar paralysis. We presumed that this therapy would be effective for dysphagia after bulbar paralysis in patients with brainstem infarction. Sixty-four patients with dysphagia following brainstem infarction were recruited and divided into a medulla oblongata infarction group (n = 22), a midbrain and pons infarction group (n = 16), and a multiple cerebral infarction group (n = 26) according to their magnetic resonance imaging results. All patients received Tongguan Liqiao acupuncture for 28 days. The main acupoints were Neiguan (PC6), Renzhong (DU26), Sanyinjiao (SP6), Fengchi (GB20), Wangu (GB12), and Yifeng (SJ17). Furthermore, the posterior pharyngeal wall was pricked. Before and after treatment, patient swallowing functions were evaluated with the Kubota Water Test, Fujishima Ichiro Rating Scale, and the Standard Swallowing Assessment. The Barthel Index was also used to evaluate their quality of life. Results showed that after 28 days of treatment, scores on the Kubota Water Test and Standard Swallowing Assessment had decreased, but scores on the Fujishima Ichiro Rating Scale and Barthel Index had increased in each group. The total efficacy rate was 92.2% after treatment, and was most obvious in patients with medulla oblongata infarction (95.9%). These findings suggest that Tongguan Liqiao acupuncture therapy can repair the connection of upper motor neurons to the medulla oblongata motor nucleus, promote the recovery of brainstem infarction, and improve patient's swallowing ability and quality of life.

[Multi-central controlled study on acupuncture for treatment of cerebral infarction in restoration stage].

OBJECTIVE: To probe into long-term therapeutic effect and safety of Xingnao Kaiqiao acupuncture for treatment of cerebral infarction in restoration stage. METHODS: Two hundred and thirty-four cases of cerebral infarction in restoration stage were randomly assigned to a Xingnao group and a routine group. The Xingnao group (n=116) were treated by Xingnao Kaiqiao acupuncture (once each day, for 4 weeks) and routine treatment of western medicine, and the routine group (n=118) were treated with routine acupuncture and the routine treatment of western medicine. They were followed-up for 6 months. The main indexes living, treatment and recurrence at the end of the following survey and the secondary indexes assessment of nervous functions at the end of the following survey, and the incidence rate of bad events in acupuncture were observed. RESULTS: The death rate was 0.86% and the continuing treatment rate was 36.21% in the Xingnao group, and 1.69% and 36.44% in the routine group, with no significant difference between the two groups (both P>0.05) at the following-up of 6 months; the Xingnao group in decreasing recurrent rate and improving nervous function was better than the routine group (P<0.01); no severe adverse response was found in the 2 groups. CONCLUSION: Xingnao Kaiqiao acupuncture is safe and it is superior to routine acupuncture in long-term therapeutic effect, decreasing recurrence rate, improving nervous function.

[Observation on therapeutic effect of activating brain function to cause resuscitation needling method on deglutition disorders after stroke].

OBJECTIVE: To observe clinical therapeutic effect of acupuncture on poststroke deglutition disorders. METHODS: Sixty-eight inpatients of moderate and severe deglutition disorders were treated by the activating brain function to cause resuscitation needling method. RESULTS: Twenty-six cases were cured, 24 were remarkedly effective, 16 were effective, with a total effective rate of 97.06%. CONCLUSION: This needling method has a markedly therapeutic effect on poststroke moderate and severe deglutition disorders.

[Clinical observation on acupuncture and moxibustion for treatment of aorto-arteritis of arterial type in the head and arm].

OBJECTIVE: To search for an effective therapy for aorto-arteritis of arterial type in the head and arm. METHODS: Eighty cases were randomly divided into an acupuncture and moxibustion group and a medication group, 40 cases in each group. Renying (ST 9), Taiyuan (LU 9), Jiquan (HT 1) and other acupoints were selected in the acupuncture group, and the medication group were treated with intravenous dripping of Fufang Danshen Liquid. Their therapeutic effects were observed. RESULTS: The clinical cured rate and the total effective rate were 15.0% and 95.0% in the acupuncture group, and 0 and 75.0% in the medication group, respectively, with a very significant difference between the two groups in the therapeutic effect (P<0.01). CONCLUSION: Acupuncture and moxibustion has a definite therapeutic effect, which is significantly superior to that of the routine medication for aorto-arteritis of arterial type in the head and arm.