Tian Cong-huo’s Academic Thoughts About "Regulating Qi" And Study On Xiao Zhang Fang Acupoint Sticking Therapy In The Treatment Of Functional Dyspepsia

This paper is a systematic summary of what I have learned in the past four years from Dr.Tian Cong-huo’s academic thoughts and clinical experience.This paper mainly focuses on three aspects:Academic origin of Tian Cong-huo’s "regulating Qi",summary of academic thoughts and experience of Tian Cong-huo’s "regulating Qi",clinical study on the Treatment of Functional Dyspepsia With Prescription of Dr.Tian’s relieving distension pill.Overview1 Academic origin of Tian Cong-huo’s "regulating Qi"Professor Tian followed Zhu Lian and Gao Fengtong two well-known practitioners to study acupuncture.Professor Zhu Lian is a combination of Chinese and Western medicine with acupuncture and moxibustion.She was the author of "new acupuncture".She created a research organization,dedicated to the promotion of acupuncture and moxibustion therapy and scientific research.Tian helped Professor Zhu do a large number of scientific research work.Professor Gao Fengtong is a famous doctor in Beijing City.He was expert in acupuncture and medicine.Professor Tian inherited many of Professor Gao’s academic thoughts.In addition to follow two teachers learning,Professor Tian learned a lot through visiting doctors in the south of the country in 1950’s,and formed his own experience.In addition,he insisted on reading the classics and writing the study notes.Days and months multiplying,he formed his own academic thought.2 The experience and clinical application of Tian Conghuo ’s "Regulating Qi machine" on the treatment of spleen and stomach disease2.1 Tian Cong Huo "dialectical characteristics of regulating qi" academic thought of treatment of stomach diseasesThe spleen and stomach is the hub of Qi Folw.Professor Tian believes that the movement of Qi is the vertical circular movement.Professor Tian pays attention to regulating Qi of liver in the treatment of stomach diseases.He often use Qimen points.He also pays attention to Yang Qi and likes moxibustion.2.2 Tian Cong Huo "regulate qi" academic thought in treating spleen and stomach disease characteristics of acupointsFirst he determines the knot of Qi,then selects points around it.He was good at using the Mu-front acupoints.2.3 Mnipulation of acupuncture features of Tian’s "regulating Qi" academic thought in the treatment of spleen and stomach diseaseProfessor Tian believes that needling sensation is the premise of the effect of acupuncture.He likes reinforcing-reducing method by twirling needles.2.4 Poits Group of Tian’s "regulating Qi" academic thought in the treatment of spleen and stomach disease2.5 Acupoint sticking therapy of "Regulating Qi" in the treatment of spleen and stomach diseasesDrugs should be selectively flavored.It is also a product with strong flavor and strong toxic properties.In addition,due to the requirements of the preparation process,the medicine should be easy to powder and powder.Excipients should choose sticky or medicinal herbs,while avoiding skin irritation.Acupoints should be chosen where it is easy to operate and not easy to fall off.Point Shenque(RN3)plays an important role in the application of sticking therapy.Acupoints can be changed according to the condition of the skin.2.6 Tian Cong Huo "regulating Qi" academic thought in the treatment of spleen and stomach disease treatment experience3 Clinical study on Xiao Zhang Fang acupoint sticking therapy in the treatment of functional dyspepsial.Objectives1.1 To assess the security and effectiveness of using the Relieving distension pill sticking therapy to treat Functional Dyspepsia(FD).1.2 Selected dominant symptom group of Relieving distension pill sticking therapy on FD.Based on the symptom improvement index and upper gastrointestinal radiography to conjecture possible mechanism of Relieving distension pill sticking therapy on FD.1.3 Inherit from experience of famous doctors of TCM.Standardize the therapeutic plan of sticking therapy to treat FD.Provide a new treatment method for FD.Provide a clinical basis for range of application of acupoint sticking therapy.2.MethodsThe trial design was randomized,controlled,and double blind.135 patients with standard cases were divided into two groups,90 cases in the treatment group,45 cases in the control group.Patients in treatment group were treated with pills pasted in Zhongwan(RN12)point,and control group is used the same color and shape placebo pill pasted in Zhongwan(RN12)point.Once on alternate days,6 hours each time,the treatment course is 14days.The comprehensive efficacy,including Nepean Dyspepsia Index,Quality of life score(SF-36),were evaluated before treatment,7 days,14 days and 2 weeks after treatment.Some patients of the treatment group were treated with upper gastrointestinal radiography after treatment.Explore the effect of the sticking therapy on the motility of gastric peristalsis.3.Results3.1 126 patients in the study completed the experiment.3.2 therapeutic evaluation3.2.1 primary therapeutic evaluationComparison of the 7 day treatment and baseline,in treatment group,the score of indigestion index and 5 main symptom scores,including upper abdominal pain,abdominal discomfort,epigastric burning sensation,postprandial fullness,upper abdominal flatulence,decreased.The difference has significant statistical significance(P＜0.01).In control group,the score of indigestion index and the scores of abdominal discomfort and postprandial fullness decreased.The difference has significant statistical significance(P＜ 0.01).In control group,the score of abdominal pain,epigastric burning sensation,abdominal flatulence,was not statistically significant(P＞0.05).Compared with the control group,there was a statistically significant difference in postprandial fullness and upper abdominal flatulence score between the treatment group and the control group(P ＜ 0.05).The score of abdominal pain,abdominal discomfort,epigastric burning sensation,was not statistically significant(P＞0.05).Comparison of the 14 day treatment and baseline,in treatment group,the score of indigestion index and 5 main symptom scores,including upper abdominal pain,abdominal discomfort,epigastric burning sensation,postprandial fullness,upper abdominal flatulence,decreased.The difference has significant statistical significance(P＜0.01).In control group,the score of indigestion index and the scores of abdominal discomfort and postprandial fullness decreased.The difference has significant statistical significance(P ＜ 0.01).The scores of upper abdominal flatulence has statistical significance(P<0.05).The score of abdominal pain,epigastric burning sensation,was not statistically significant(P>0.05).Compared with the control group,there was a statistically significant difference in postprandial fullness score between the treatment group and the control group(P<0.01).The score of upper abdominal pain,abdominal discomfort,epigastric burning sensation,abdominal flatulence was not statistically significant(P>0.05).The data after treatment of 2 weeks compared baseline,in treatment group,the score of indigestion index and 5 main symptom scores,including upper abdominal pain,abdominal discomfort,epigastric burning sensation,postprandial fullness,upper abdominal flatulence,decreased.The difference has significant statistical significance(P＜0.01).In control group,the score of indigestion index and the scores of abdominal discomfort and postprandial fullness decreased.The difference has significant statistical significance(P ＜ 0.01).The scores of upper abdominal flatulence has statistical significance(P ＜ 0.05).The score of abdominal pain,epigastric burning sensation,was not statistically significant(P＞0.05).Compared with the control group,there was a statistically significant difference in postprandial fullness score between the treatment group and the control group(P ＜0.01).The score of upper abdominal pain,abdominal discomfort,epigastric burning sensation,abdominal flatulence was not statistically significant(P＞0.05).3.2.2 Secondary therapeutic evaluationQuality of life score:The 7 days treatment,the 14 day treatment,after treatment of 2 weeks,compared with baseline,quality of life score was not improved compared with before treatment in treatment group and control group.The differences were not statistically significant(P＞0.05).Evaluation of upper gastrointestinal radiography:a total of 21 cases were performed upper gastrointestinal radiography before and after treatment.Gastric peristalsis was reduced from 28.91 + 8.460 to 25.71 + 9.961.The difference was not statistically significant in the group(P=0.065).3.3 Safety evaluationDuring the treatment,1 case in the treatment group had mild skin allergy after acupoint sticking therapy.The experiment was completed after the replacement of the adhesive tape.In the control group,2 cases had local red and itchy spots after the application of medicine.After that,the application time was shortened to 3 hours.There were no more discomfort in the 2 patients.The experiment was completed.4·Conclusions4.1 This study is based on the Dr.Tian’s clinical experience of treating various diseases with the acupoint sticking therapy.The study uses acupoint sticking therapy.Acupoint sticking was made on the point Zhongwan(RN12)with effect clinical experience prescription.This study used a randomized controlled study to evaluate its clinical efficacy scientifically.This study shows that the treatment of Xiao Zhang Fang can effectively improve the clinical symptoms of patients with functional dyspepsia.That treatment has the advantages of simple operation and high safety.4.2 Xiao Zhang Fang sticking therapy can improve symptoms of patients with FD(before treatment score 44.09±19.31,after treatment score 24.22±15.64).The treatment was effective for upper abdominal pain(before treatment score 3.32±3.52,after treatment score 1.58±2.40),abdominal discomfort(before treatment score 6.16±3.51,after treatment score 3.02±2.97),epigastric burning sensation(before treatment score 2.69±3.33,after treatment score 1.06± 1.93),postprandial fullness(before treatment score 6.28±3.93,after treatment score 3.69±3.14),and abdominal flatulence(before treatment score 6.02±4.10,after treatment score 3.29±2.87).It was still effective after 2 weeks of the end of treatment.The placebo sticking therapy can improve symptoms of patients with FD(before treatment score 41.29±18.69,after treatment score 26.29±14.69).The treatment was effective for abdominal discomfort(before treatment score 6.22±3.08,after treatment score 3.90±3.11),postprandial fullness(before treatment score 7.51±3.26,after treatment score 4.15±3.19).It was still effective after 2 weeks of the end of treatment.The treatment was not effective for upper abdominal pain and epigastric burning sensation.4.3 Combined with the clinical studies have demonstrated that the Zhongwan(RN12)po:int sticking therapy can significantly improve the abdominal flatulence,postprandial satiety.Zhongwan(RN12)acupoint sticking therapy can improve gastric peristaltic wave through time.It may be one of the important mechanism of the therapeutic effect.4.4 The course of the study was 2 weeks.The effect of longer duration of treatment to the effect on upper gastrointestinal tract need further studies.study is based on the Dr.Tian’s clinical experience of treating various diseases with the acupoint sticking therapy.The study uses acupoint sticking therapy.Acupoint sticking was made on the acupoint Zhong wan with effect clinical experience prescription.Use placebo as a control group.The trial design was randomized,controlled,and double blind.Evaluate its clinical efficacy scientifically.The study confirmed that the treatment of Xiao Zhang Fang application can effectively improve the clinical symptoms of patients with functional dyspepsia.Xiao Zhang Fang application therapy is better than the control group in improving satiety and upper abdominal bloating symptoms.Placebo group plays an important effect.It may be related to the specificity of point Zhongwan(RN12).Acupoint application may reduce the speed of stomach peristalsis in mechanism.The acupoint sticking therapy may help improve gastric peristalsis through time.It may be one of the important mechanism of the therapeutic effect.