Hu J
Institute of Acupuncture and Moxibustion, China Academy of Traditional Chinese Medicine, Beijing.
J Tradit Chin Med. 1998 Mar;18(1):27-30.
The clinical observation revealed that the asthmatic symptoms in most of the patients began to be improved after several acupuncture treatments with the dosage of the drug gradually reduced. Generally, the dose of cortisone per os was decreased by 2 mg every 10 days, while that of aerosol was controlled by the patients themselves according to the condition of the disease. The symptoms in most of the patients were markedly improved after 15 treatments, but the treatment should be continued for another 10 times to consolidate the curative effect. Thus, each asthmatic patient needs to receive approximately 30 sessions of acupuncture treatment, lasting about 3 months. Thereafter, in order to prevent its relapse, the treatment should be administered 10 times each year in the summer season. It is worthy to be mentioned that, in this series, there was a female patient who suffered from anaphylactic asthma induced by dog's hair. She received 10 sessions of acupuncture treatment with no any improvement. In this case, the acupuncture treatment should not be given any longer. There were another two children patients aged 5 and 7 years respectively, for them the above method of acupuncture treatment was difficult to be used. Therefore, the auricular pressing method combined with cupping was adopted instead. The auricular points selected were Shenmen, Lung, Large Intestine, sensitive point, Pingchuan, Subcortex, and Kidney. 5 points were used each time, and pressed with the seeds of Vaccaria which were changed every 3 days. The patients were asked to press each of the points themselves 3 times a day (each time by 20 pressings). And Dazhui (Du 14), Feishu (UB 13), Pishu (UB 20) and Shenshu (UB 23) were cupped for 5 min. each time. The auricular pressing and cupping therapies may also be added for adult patients to strengthen the curative effect. The 25 cases of hormone dependent bronchial asthma were treated by acupuncture, yielding a markedly effective rate of 56% with a total effective rate of 96%, indicating that good therapeutic results can also be expected in the western countries for those cases who have already been treated with hormones.
临床观察发现,多数患者经几次针刺治疗后哮喘症状开始改善,同时药物用量逐渐减少。一般来说,口服可的松剂量每10天减少2毫克,而气雾剂用量则由患者根据病情自行控制。多数患者经15次治疗后症状明显改善,但仍应继续治疗10次以巩固疗效。因此,每位哮喘患者大约需要接受30次针刺治疗,持续约3个月。此后,为防止复发,应于夏季每年治疗10次。值得一提的是,在本系列病例中,有一名女性患者因狗毛诱发过敏性哮喘。她接受了10次针刺治疗,未见任何改善。此种情况下,不应再给予针刺治疗。另外还有两名儿童患者,年龄分别为5岁和7岁,难以采用上述针刺治疗方法。因此,改为采用耳压法结合拔罐治疗。所选耳穴为神门、肺、大肠、敏感点、平喘、皮质下和肾。每次选用5个穴位,用王不留行籽按压,每3天更换一次。要求患者每天自行按压每个穴位3次(每次按压20下)。并于大椎(督脉14)、肺俞(膀胱经13)、脾俞(膀胱经20)和肾俞(膀胱经23)拔罐,每次5分钟。成人患者也可加用耳压和拔罐疗法以增强疗效。25例激素依赖型支气管哮喘患者接受针刺治疗,显效率为56%,总有效率为96%,表明对于那些已经接受过激素治疗的病例,在西方国家也可预期取得良好的治疗效果。