Lai Xin-sheng, Huang Yong
Acupuncture and Massage College, Guangzhou Traditional Chinese Medicine University, Guangzhou 510407, China.
Chin J Integr Med. 2005 Sep;11(3):161-6. doi: 10.1007/BF02836497.
To study the relative specialty of the acupoints of Baihui (DU20), Shuigou (DU26) and Shenmen (HT7) in treating vascular dementia (VD).
Fifty patients suffering from VD were divided into 5 groups randomly and treated by conventional acupuncture for hemiplegia, or conventional acupuncture plus needling in DU20, DU26, HT7 respectively or simultaneously. Clinical symptoms were observed, and the scales such as Hasegawa's dementia scale-recension (HDS-R), activities of daily living (ADL) and functional activities questionnaire (FAQ) were used for assessment before and after acupuncture treatment. The scores were processed statistically.
DU20 and HT7 could improve the abilities of memory, orientation, reaction and reduce adamancy and trance. Besides, DU 20 was helpful in improving the abilities of understanding, calculating and social adapting. While DU26 is helpful in treating retardation, failure in daily activities, trance and poor memory. The combination of the 3 acupoints could improve the intelligence and social adapting ability of VD patients.
DU20, DU26 and HT7 had its own effect in treating VD, but the effect of three points used in combination was the best.
探讨百会（督脉20）、水沟（督脉26）和神门（心经7）穴位治疗血管性痴呆（VD）的相对特异性。
将50例VD患者随机分为5组，分别采用传统偏瘫针刺法、传统针刺法加分别针刺督脉20、督脉26、心经7或同时针刺这三个穴位进行治疗。观察临床症状，并在针刺治疗前后使用长谷川痴呆量表修订版（HDS-R）、日常生活活动能力（ADL）和功能活动问卷（FAQ）等量表进行评估。对评分进行统计学处理。
督脉20和心经7可提高记忆、定向、反应能力，减轻僵硬和恍惚状态。此外，督脉20有助于提高理解、计算和社会适应能力。而督脉26有助于治疗迟缓、日常生活活动障碍、恍惚和记忆力差。三个穴位联合应用可提高VD患者的智力和社会适应能力。
督脉20、督脉26和心经7在治疗VD方面各有其效，但三者联合应用效果最佳。
