General Clinical Evaluation Of Repeated Shallow Needling With Fire Needle On Herpes Zoster

Objective: Generally evaluate the clinical curative effect and security to human body by performing the clinical study of repeated shallow needling with fire needle on Herpes zoster. Normalize the correlated criteria and manipulation standard further, promote the clinical spread of this therapy.Method : 1. Divide the patients who are suffering from the acute Herpes zoster and consistent with the ingression standard into two groups randomly. The Chinese herbs and Western medicine or other therapies with similar effect are forbidden during the study. 2. The treatment group (Fire needle group)is consisted of 32 cases. The main points the group choosed is living acupuncture point (localized around the zoster). Appliance:ShiShi-Fire needle made by ShanXi Academy of Acupuncture. Manipulation: Choose the living acupuncture points in the middle and the terminals of the zoster line. Sterilize the local skin with the normal method first and puncture the zoster by cluster with a pattern of Chinese word "品". Hold a pair of hemostatic forceps with lit cotton ball in the left hand and close to the acupoints selected , prick the fire needle into the points swiftly after burned to red or bright in the flame and withdraw the fire needle swiftly. Manipulate the needle vertically to the skin , and top of the fire needle penetrating the skin and approaching the basilar part of the zoster is the appreciated depth. Pierce the agria or blood blister with thicker fire needle, cupping at the local skin lesion and retain the cup for 5~10 minutes after squeezing all the pus out with a piece of sterilized cotton. Fire needling the local lesion again if there showed up some new blood blister after remove the cup. Puncture FengLong(ST40)and ZhiGou(SJ6) with normal acupuncture needle to the patients who accompany the symptom of dry stool and yellow thick greasy tongue coating; Puncture and moxibustion QiHai(Ren 6), Zusanli(ST36)to the patients with clear zoster fluid retain uncured for morethan ten days. Wipe out the bloodiness on the local area with a piece of sterilized cotton and apply the Methylrosanilinium Chloride onto it after each treatment finished. Treat the patient once a day from the visit to the third day and after that treat the patient every other day. The course of the treatment is not more than 6 times. The control group includes 32 cases, taking Lizhuwei (Valaciclovir) 0. 3 gram twice a day starting from the visit to the ninth day. Applying gentian violet to the skin lesion after sterilization and changeing dressings ever other 2 or 3 days is the external treatment. 3. Obsering indicatrix: the change of symptom and the physical sign (current degree of neuralgia, local itching, burning sensation , fever , swollen of regional lymph node, area of the skin lesion, number of blister, cluster number of blister, characteristic of the blister, ulcer, erythema and eruption),VAS(the time of consistent relief of the pain, the incidence of the Postherpetic neuralgia ).The time of ceasing new blister, the time of incrustation and decrustation. Criterion for the curative effect: Overall accumulated points of quantized symptom and physical sign, monomial symptom (area of skin lesion,pian), criterion for chronergy, criterion for security.Result: 1. Overall accumulated points of quantized symptom and physical sign: There are quite obvious diversity of the figures between the prior and posterior to the treatment in both the treatment group and the control group ( P <0. 001) .which indicates that the two methods both have obvious therapeutical effect on herpes zoster in acute stage. There is no significant difference between the figures of the two groups prior to the treatment (P>0.05) manifest there is no significant difference of the severity of condition between the two groups. The posterior treatment difference is quite significant between the two groups (P <0. 01), and the figure of treatment group is lower than that of the control group. The effect of lower the overall accumulated points of the treatment group is obvious higher than that of th...