Han Zhen-xiang, Liu Yue-guang, Wei Jiang-lei
Department of Wind Stroke, Shuguang Hospital Affiliated to Shanghai University of TCM, Shanghai 200021, China.
Zhongguo Zhen Jiu. 2008 Dec;28(12):865-8.
To observe effects of heavenly stem-prescription of point selection of the needling methods of midnight-noon ebb-flow on motorial and neurological functional deficit of ischemic cerebrovascular diseases.
The patients were randomly divided into a Ziwu Liuzhu group and a channel acupoint selection group. In the channel acupoint selection group, Jianyu (LI 15), Quchi (LI 11), Waiguan (TE 5), Zusanli (ST 36) were selected, combined with selected acupoints by syndrome differentiation. In the Ziwu Liuzhu group, on the basis of the channel acupoint selection group, according to the principle "the acupoints of the yang-channel were opened at yang-day-yang-hour and the acupoints of the yin-channel were opened at yin-day-yin-hour", and acupoints were selected by the day-hour acupoint-opening method of the Ziwu Liuzhu Najia method in Zhenjiu Daquan. The patients in the both groups began to be treated at the Chen hour (7:00-9:00) or Si hour (9:00-11:00) in the morning, 10 times constituting one course. They were treated for 3 courses. Improvement of the motor function symptom cumulative score, Fugl-Meyer (FMA) and improvement of neurological functional deficit were investigated.
The FMA score (36.13 +/- 21.80) after treatment was significantly lower than (73.50 +/- 21.53) before treatment (P<0.01) in the Ziwu Liuzhu group, and (54.43 +/- 20.89) after treatment was significantly lower than (62.27 +/- 22.91) before treatment (P<0.05) in the channel acupoint selection group; the neurological functional deficit score (15.40 +/- 9.34) after treatment was significantly lower than (27.17 +/- 10.81) before treatment in the Ziwu Liuzhu group, and (23.97 +/- 1.30) was lower than (27.97 +/- 7.72) before treatment in the channel acupoint selection group. After treatment, FMA and the neurological functional scores significantly improved in the Ziwu Liuzhu group as compared with those in the channel acupoint selection group (P<0.05).
Ziwu Liuzhu Najia point-selection method can effectively improve both nervous function and motor function in the patient of ischemic cerebrovascular disease.
观察子午流注针法纳甲法按时选穴的天干配穴法对缺血性脑血管病运动及神经功能缺损的影响。
将患者随机分为子午流注组和经穴选穴组。经穴选穴组选取肩髃（LI 15）、曲池（LI 11）、外关（TE 5）、足三里（ST 36），并结合辨证选穴。子午流注组在经穴选穴组基础上，根据“阳日阳时开阳经穴，阴日阴时开阴经穴”的原则，采用《针灸大全》子午流注纳甲法的日时开穴法选穴。两组患者均于上午辰时（7：00 - 9：00）或巳时（9：00 - 11：00）开始治疗，10次为1个疗程，共治疗3个疗程。观察运动功能症状累积评分、Fugl - Meyer（FMA）评分及神经功能缺损的改善情况。
子午流注组治疗后FMA评分（36.13±21.80）显著低于治疗前（73.50±21.53）（P<0.01），经穴选穴组治疗后（54.43±20.89）显著低于治疗前（62.27±22.91）（P<0.05）；子午流注组治疗后神经功能缺损评分（15.40±9.34）显著低于治疗前（27.17±10.81），经穴选穴组（23.97±1.30）低于治疗前（27.97±7.72）。治疗后，子午流注组FMA评分及神经功能评分较经穴选穴组改善更明显（P<0.05）。
子午流注纳甲选穴法能有效改善缺血性脑血管病患者的神经功能和运动功能。
