Cerebral hemorrhage
The brain is protected by the skull , for adults , acupuncture is not easy to directly hurt . Children may be damaged , ancient books written: ” If eight years old , not needles, edge fontanel is not closed , thorn , unfortunately, it is Yao” ( ” Acupuncture funded students • First” ) , indicating that the ancients had learned . Discussed here is acupuncture as an indirect injury caused by cerebral hemorrhage. In this regard, China has been reported not only in Japan but also discovered . Although , at present there are different views, but we think that they still need to pay attention to.
[ Injury ]
A pathological reasons: generally occurs in the brain arteriosclerosis and high blood pressure and unstable persons , patients with a history of stroke are common. If one case of 65 -year-old male patient , because the family bed left hemiplegia after treatment . Blood pressure usually 25 ~ 20/15 ~ 12 kpa (190 ~ 150/110 ~ 90mmHg) and large fluctuations . Hemiplegia due to late addition to the hot weather, mainly give life rehabilitation treatment. But the patient insisted acupuncture. In deep puncture the wind pool, Lian Quan two points , the night the patient spoke again unclear, appeared the next day right hemiparesis [ 1 ] .
Second, the psychological reasons : fear acupuncture, fear of pain ; nervous, easily excited , especially those who first received acupuncture .
Third, acupuncture causes: from accidents that have occurred in this area , although the head, face, neck and extremities points were again cited was too cerebral hemorrhage , but more and more intense use of certain acupuncture points , such as people, springs , etc. due to . And more to the head and neck acupuncture points, such as the 100 , the wind pool , maxillary tired , hanging skull , etc., may also be induced .
Fourth, the operation reasons: mainly due to the different circumstances of each patient , regardless of blindly emphasized strong stimulation , or because unskilled acupuncture techniques , acupuncture and pain.
Five other reasons in recent years, the use of multiple case reports buck ear pressure pills , blood pressure was significantly higher results but to make the case . Its mechanism is not clear , may be related to the vagus nerve branch to the role of the ear , such as the one case of 47 -year-old male patient , physical examination : blood pressure 29.2/13.3kpa (220/100mmHg), a diagnosis of high blood pressure, immediately behind the ears in the patient ‘s blood pressure ditch line antihypertensive therapy pressure pills , 3min later, the patient reports a burning sensation in the left ear portion , pressure pills caves tenderness, followed by chest tightness , irritability, dark complexion , lips cyanosis, headache, dizziness significantly increased, jugular vein and superficial temporal vein engorgement . Giving the measured blood pressure 33.2/17.2kpa (250/130mmHg), will speed the pressure of pills taken , 5min later, the patient is calm as ever , measuring blood pressure 28.0/13.3kpa (210/100mmHg) [2]. In this case, does not exclude the possibility of a stroke .
Clinical manifestations
More appear in the needling process, or shortly after the needle . The performance of the more typical cerebral hemorrhage syndrome: headache, dizziness discomfort , cold sweats, frequent vomiting , severe vomit chestnut shell color , then loss of consciousness into a coma , flushing or pale , breathing deep and with snoring , slow pulse strong , incontinence , occasional convulsions , high blood pressure , etc., also appear crooked nose , hemiplegia . Not timely rescue , can quickly lead to death.
[ Prevention ]
One , careful selection of patients : effects on blood pressure is too high but unstable patients with atherosclerosis , especially those with a history of stroke , it is recommended temporarily not acupuncture, be stable blood pressure after Zaishi acupuncture .
Second, pay attention to : Select points should be concise, not too heavy tactics to avoid needle pain. The initial receiving acupuncture or mood fluctuations easy , there are those who fear the needle as much as explained before , fewer needles, or shorten the needle retention time . In the needling process, pay attention closely observed .
[ Processing Method]
In the process of acupuncture , such as headache, dizziness or momentary confusion and other prodromal symptoms , they must immediately go to the needle . Keep quiet, try not to move . According to the disease , to take rescue measures of integrative medicine , including the timely application of appropriate antihypertensive drugs to control blood pressure , limiting fluid and salt intake, choose a dehydrating agent and hormones to control cerebral edema, increased intracranial pressure ; using ice cap for local cooling and proper application of hemostatic agents , anticoagulants and antibiotics .