Document Analysis On Treating Bronchus Asthma With Acupuncture And Moxibustion Treatment In Recent Twenty Years

The bronchus asthma (in short of asthma), is a chronic airway inflammatory disease which mainly caused by mast cells, eosinophil and T lymphocyte. The epidemiological studies indicate that the bronchus asthma is the most popular chronic respiratory disease in the world. The disease incidence is growing year after year in the recent20years and it has become an important factor that affects the normal life and work of people, especially the growth and development of children. In this issue, under the guidance of Prof. Zhao Jiping, we comprehensively collect and statistically analyze a large number of modern documentaries, trying to seek ways of treating, summarize clinical experiences and provide new ideas and methods of treating bronchus asthma with acupuncture and moxibustion treatment.Purpose:By collecting, summarizing and analyzing the modern documents, we aim to know the current situation of treating bronchus asthma with acupuncture and moxibustion treatment, discover the rules of selecting points and meridians together with how to use the acupuncture therapies, looking forward to provide documents and theoretical basis for applying scheme and common therapies in clinically treating bronchus asthma.Methods:The study uses the method of computer retrieval. The retrieve sources are from Chinese National Knowledge Infrastructure (CNKI) database and with time limit from1993to2012. The search requirement is "(subject=bronchus asthma AND subject=acupuncture and moxibustion) OR (subject=bronchus asthma AND subject=acupuncture) OR (subject=bronchus asthma and subject=points). Altogether, we find1478related documentaries (with440using acupuncture treatment), involved26663cases. We briefly analyze the documents and give comprehensively statistical analysis from different aspects like common points selecting, acupuncture and moxibustion therapies selecting, points selecting, depth of needling, reinforcing and reducing methods selecting, and frequency and treatment duration of treating bronchus asthma with acupuncture therapies, aiming at summarizing the regularities of treating bronchus asthma with acupuncture and moxibustion treatment.Results:1. General characteristics:the Chinese medical treatment is used more often with various therapies and good effects; the combination therapy is widely used with an even better result; the acupuncture and moxibustion therapy has great superiorities in treating bronchus asthma and the treating effect of needling therapy is definite. Acupuncture therapy is prior to consider in treating this disease. But so far there have been no effective and repeated treatments with general acknowledgement in treating bronchus asthma with Chinese medical treatment.2. Regularities of selecting points:(1) Points most used:the points of Feishu (BL13), Dingchuan (EX-B1), Tiantu (RN22), Danzhong (RN17), Dazhui (DU14), Zusanli (ST36), Shenshu (BL23) are most commonly used. Feishu point (BL13) is the Back-shu point of the lung. It has a definite effect in treating bronchus asthma and it is a vital point in treating lung diseases with general acknowledgement.(2) The regularity of common points’distribution in14meridians:most of the points are concentrated in the Taiyang Bladder Meridian of Foot and the Ren Meridian. There are also some points in the Taiyin Lung Meridian of Hand, the Yangming Stomach Meridian of Foot and the Du Meridian, etc.(3) The regularity of distribution in body:most of the points are selected from back waist and upper limb, secondly in chest and lower limb.(4) The regularity of using specific point:Back-shu points and Crossing points are most commonly used, and secondly Five-shu points and Eight Influential points. The Back-shu points have the greatest superiorities in treating bronchus asthma.(5) The regularity of using single point:the treating effects are significant by using the5points as follow:Tiantu (RN22), Dingchuan (EX-B1), Yuji (LU10), Danzhong (RN17), Yifeng (SJ17), either separately or as compatibility.3. Depth of needling:it is generally believed that the depth is closely related to the safety of needling and is not significantly related to the treating effect. The depth of needling is formulated according to the own characteristics of the points as well as in accordance of the requirements in textbooks. Most documents indicate that the depth of needling is related to different points, the deficiency and excess of disease, and the age and body type of the patients. In that way, it is not very easy to quantify uniformly and we don’t have to be too particular with the depth of needling in clinical treatment.4. Reinforcing and reducing techniques:at present, the basic rules of treating with generally acceptance is treating bronchus asthma with reducing techniques during exacerbation period and with reinforcing techniques during remission period is the main treatment. The statistical result in this issue indicates that the most commonly used technique reinforcing-reducing method is twirling, and the second is lifting thrusting and twirling. But for clinical operation, uniform reinforcing-reducing methods are used more often.5. Treatment time:(1) Needling frequency:1time per day is the most common election.(2) Needling duration:the time of manipulating needle is usually from0.5to1minute, no more time needed even without the arrival of Qi. The duration of needling is mostly between15-30minutes, with the interval of manipulating needle generally5minutes. The course of treatment is normally between5and10days for each course, and7days for one course is the most common selection.Conclusion:There are many therapies in treating bronchus asthma with acupuncture and moxibustion treatment whose effects are significant. The operations arc easy, with little side effects. There are specific regularities in point, meridian and therapy selecting which arc widely used in clinical treatment. But so far there have been no repeated acupuncture therapies with general acknowledgement in treating bronchus asthma during exacerbation period with Chinese medical treatment and the published thesis mostly focus on the clinical treating efficacy, lacking of studies on the regularities of treating standardly and systematically, which make it more difficult to promote and apply the clinical experiences. Therefore, we need to give more attention to the basic research and mechanism research of treating bronchus asthma with acupuncture and moxibustion treatment and actively study and explore the regularities of point’s effect and treatment electing.