Acute jaundice hepatitis
Acute jaundice hepatitis is a type of acute viral hepatitis , is an acute gastrointestinal diseases caused by the hepatitis virus . The clinical manifestations of acute onset, loss of appetite, tired of the oil , fatigue, abdominal discomfort, liver pain , nausea , vomiting, some patients chills, fever, dark urine then , sclera , skin and other jaundice.
Modern acupuncture treatment of this disease , began in the early fifties, after 1958 , reported to have been found in a number of samples , but failed to promote. Since the late seventies, since the early eighties , acupuncture treatment of this disease has received great attention in the medical profession in Shanghai , Hubei , Jiangsu and other provinces and cities in more than 10 extensive clinical and experimental studies , has made great results. According to recent clinical data , acupuncture treatment of this disease , whether recent or long-term efficacy , adult or child , the cure rate is about 85% [ 1 ] . Not only recurrence rate, and Western medicine and Chinese medicine , or compare the recovery of appetite , jaundice subsided , improve liver function and other aspects of acupuncture are a notch above [ 2 ] .
Of course , acupuncture treatment of acute jaundice hepatitis also have some indications. One common type is generally suitable for heavy patients acupuncture only comprehensive measures . Second, even ordinary, it’s best to be simple , should not have a clip diseases. In addition, the acupuncture treatment of acute hepatitis without jaundice jaundice less effect . At present , China’s comparative accepted acupuncture indications criteria are: ( 1 ) the course in less than two weeks ; ( 2 ) having the typical clinical symptoms ; ( 3 ) see signs of liver enlargement aspects , local tenderness and percussion pain , jaundice ; ( 4 ) liver function test abnormalities have more than two [ 3 ] .
About the mechanism of acupuncture treatment of acute jaundice hepatitis is still not clear enough , it was through experimental studies that acupuncture may be one of the factors prompting the decline of jaundice by choleretic effect ; while observing tips lymphocyte transformation test , the role of acupuncture may and improving human-specific immune function [ 4-6 ] .
[Treatment]
Body acupuncture ( one )
( A ) acupoints
The main point: to the male , Zusanli Yanglingquan through yinlingquan ( or Taichong through springs ) , bile Yu .
Points : fever plus Quchi ; hypochondriac plus on the door, Taichong ; nausea and vomiting increase in customs ; jaundice and even add Yang Gang ; bloating plus Tianshu .
( B) Governing Law
Mainly to the main point , two pairs of points can be rotated through the application , each with one pair , with points selected according to disease plus . Needles with reducing method , stimulation is strong, but not beyond the level of tolerance of the patient . The needle 20 to 30 minutes , the needle during needle 2 to 3 times . Pin 1 to 2 times a day , 14 days for treatment.
( C) Evaluation
According to reports 451 cases , the clinical response rate of 80 to 100% [ 5 – 8,13 ] .
Body acupuncture (bis )
( A ) acupoints:
The main point: Ojo , inguinal lymph nodes, liver Yu , gallbladder Yu, spleen .
Points : abdominal distension , anorexia plus the full three years ; urine plus Sanyinjiao.
( B) Governing Law
Dazhui first vertical piercing and then exit to the skin, again obliquely into about 3 to 4 mm ( should be taken to avoid piercing the chest caused by pneumothorax ) , the needle flu spread around the shoulder after the law is not applied diarrhea needle . Inguinal lymph nodes needling : Touch to lymph nodes in the left thumb and index finger fixed , right hand needle , quickly penetrate the lymph nodes , slightly twisting lift and thrust , to be preaching along the lymphatic vessels acupuncture needle that is to take the right lymph node mainly , but also bilateral alternate . Liver, gall bladder , spleen acupuncture : the tip angle of 45 ° backward midline piercing , slightly upward (corresponding transverse process between ) , lift and thrust line twisting tactics , liver appears to be from the needle twitch . Above needling are stripping after each hole was plugged twisting tactics combined with a small 3 to 5 times the needle , leaving the needle . On line 1, excluding treatment .
( C) Evaluation
The above method of treatment of 400 cases , the clinical cure rate was 98.5 %, the average number of days to 32.4 days to cure [ 4,9 ] .
EA
( A ) acupoints
Main points: Zusanli Taichong through springs .
Points : Yu liver , gallbladder Yu Yanglingquan to Yang .
( B) Governing Law
Generally only take the main points. After needling with bipolar leads G6805 electro acupuncture machines were connected to the needle , using density wave , a sense of patient pain , numbness, swelling or muscle tremor and strength to be able to endure for the degree. Effect is not obvious , use with points . 1 to 2 times a day .
( C) Evaluation
EA treatment 111 cases , the clinical cure rate of about 85% [ 5,10 ] .
Ear pressure pills
( A ) acupoints
Main points: divided into two groups. 1 , liver, pancreas gall bladder, spleen, triple burner . 2, ① corner nest three things: God the door , uterus, offal end ; between ② screen notch four points : Inter- screen , front and rear notch, notch down ; ③ ear boat line : clavicle , shoulder , shoulder ; ④ foot helix edge line : mouth, esophagus, cardia , stomach, spleen ; ⑤ ears three points: the ears , under the ears , ear fans root .
Points : liver pain plus door of God , sympathetic ; nausea plus the stomach, esophagus , the door of God ; increase intestinal bloating , triple burner .
( B) Governing Law
The main point to take any of a group , with points according to disease Zhuojia . Group 1 by conventional methods Vaccaria child affixed to the point area , the second component of the “point” , ” line” sticking . “Point” paste method as above , the “line” press parts length to width of 0.6 cm long tape , string row Vaccaria child , every child away half a promise , sticking ear fixed line . Ask the patient with food, doing intermittent right thumb pressure , so there is a sense of pain ear , the way should not be too heavy to avoid crushing the skin. Each time taking only one side of the hole, for paste 2 times a week , five times as a course of treatment.
( C) Evaluation
Law is mainly used for acute jaundice hepatitis , a total of 104 cases of cure , cure 102 cases , 2 cases , the total effective rate was 100 %. Auricular therapy group in the cure rate and cure time are better than Western medicine in the control group