Chai Yu-Hua, Zhang Rui-Xia, Xue Cheng-Ai, Liu Yong-Qin, Wang Xiang-Xiang
Zhongguo Zhen Jiu. 2014 Jun;34(6):534-8.
To observe the impacts on the muscle strength in the patients of stroke-induced acroparalysis treated with Xunjingcuiqi needling technique.
One hundred patients were randomized into a Xunjingcuiqi group and a routine acupuncture group, 50 cases in each group. In the routine acupuncture group, the routine acupuncture technique was adopted at the main acupoints, such as Shangxing (GV 23), Baihui (GV 20), Dicang (ST 4), Quchi (LI 11), Huantiao (GB 30) and Zusanli (ST 36), etc. In Xunjingcuiqi group, on the basis of the routine acupuncture technique, Xunjingcuiqi needling technique (pricking technique was quickly applied with the filiform needle along the running course of meridian to promote the conduction of meridian qi) was added. For the patients being hard to feel the needling sensation and with the muscle strength of 0 to 1 degree, Dongzhencuiqi technique was supplemented at shu-stream points of yang meridians (after qi arrival, the needling manipulation with limb movement was given to promote the conduction of meridian qi). The treatment was given once every day in the two groups. Ten treatments made one session. Three sessions of treatment were required. At the end of each session treatment, the muscle strength and clinical efficacy were assessed.
In the 1st, 2nd and 3rd sessions of treatment, 20, 24 and 36 cases achieved the 3 to 5 degrees muscle strength in Xunjingcuiqi group, respectively; and 6, 10 and 15 cases achieved the 3 to 5 degrees muscle strength in the routine acupuncture group. The differences were significant statistically in comparison of the two groups (P < 0.01, P < 0.05). The markably effective rates were 60.0% (30/50), 64.0% (32/50) and 70.0% (35/50) after the 1st, 2nd and 3rd sessions of treatment in Xunjingcuiqi group, respectively; and those were 38.0% (19/50), 44.0% (22/50) and 46.0% (23/50) in the routine acupuncture group, respectively. The differences were significant in the 1st and 3rd sessions of treatment between the two groups (both P < 0.05).
Xunjingcuiqi needling technique combined with routine acupuncture achieves the apparent superior efficacy on acroparalysis induced by ischemic stroke as compared with the simple routine acupuncture. Xunjingcuiqi needling technique obviously improves muscle strength and shortens the duration of sickness.
观察循经催气针法治疗中风后肢体瘫痪患者对肌力的影响。
将100例患者随机分为循经催气组和常规针刺组，每组50例。常规针刺组在百会（GV20）、上星（GV23）、地仓（ST4）、曲池（LI11）、环跳（GB30）、足三里（ST36）等主穴采用常规针刺手法。循经催气组在常规针刺基础上，加用循经催气针法（用毫针沿经络循行路线快速点刺以促进经气传导）。对针感迟钝、肌力0～1级患者，在阳经输穴加用动针催气法（气至后配合肢体运动行针以促进经气传导）。两组均每日治疗1次，10次为1个疗程，共治疗3个疗程。每次疗程结束后，评定肌力及临床疗效。
循经催气组第1、2、3疗程分别有20、24、36例患者肌力达3～5级；常规针刺组分别有6、10、15例患者肌力达3～5级。两组比较差异有统计学意义（P<0.01，P<0.05）。循经催气组第1、2、3疗程显效率分别为60.0%（30/50）、64.0%（32/50）、70.0%（35/50）；常规针刺组分别为38.0%（19/50）、44.0%（22/50）、46.0%（23/50）。两组第1、3疗程比较差异有统计学意义（P均<0.05）。
循经催气针法结合常规针刺治疗缺血性中风所致肢体瘫痪疗效明显优于单纯常规针刺，能明显提高肌力，缩短病程。
