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Wide View Of Acupuncture Point Baihui And Its Interfering In Clinical Mechanism Of Cervical Spondylosis Of Vertebral Artery Type

Posted on:2007-01-18Degree:DoctorType:Dissertation
Country:ChinaCandidate:F P ZhuFull Text:PDF
GTID:1104360185952465Subject:Acupuncture and Massage
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Heritage and development of acupuncture and moxibustion literature only directly was combined with clinical application, guided and elevated therapeutic effect, then it could become successive dynasties acupuncture literature into basis of modern scientific development. Baihui is an important clinical therapeutic point. The topic included mainly two Baihui correlated matters, one was taking a wide view of Baihui, the other was the clinical mechanism research of interfering cervical spondylosis of vertebral artery type with compressive moxibustion on Baihui. 1. Wide View of Acupuncture Point Baihui1.1 AimsBaihui is an important clinical commonly used point, and its therapeutic realm is very widespread. The topic aims were to offer accurate and full-scale literature documents for scientific and clinical research workers, to make academic thought, theory essence and clinical experience of ancient and modern acupuncture scholar hand in hand, to widen application deck, to enlarge therapeutic range, to offer theoretic basis for elevating the clinical effect.1.2 MethodsThe data source of literature reorganization of Baihui included more than 670 ancient books of TCM and the recent 50 years overtly enunciable literatures (1955-2004). We adopted computer literature retrieval and manual collection to consult the medical literature relating to Baihui. We have done all round literature reorganization of Baihui, analyses and summary before building up a state, including reorganization and digging of source of origin, another name, paraphrase of acupoint name, physiological feature, position and getting acupucture's method, meridian distribution and acupoint nature, therapeutic realm,therapeutic method, reinforcing and reducing method, main and coordination of acupoints, medical record, contraindication, partly layer dissection about Baihui, and so on. We have done systemic counting yet, including statistics and analysis Baihui literature after building up a state, for example, quantity and time distribution, geographic distribution, institution distribution, periodical distribution, research type, disease subject distribution, concrete entity distribution, type of syndrome of TCM, concrete therapeutic method, coordination of acupoints, characteristic words, experimental index, function and indication, and so on. 1.3 ResultsThere were 628 articles of Baihui literature that have been retrieved before building up a state. The Jin and Tang Dynasty were the basic stage. The Song, Jin and Yuan Dynasty were the advanced stage. The Ming Dynasty was a period of great prosperity stage on the study and application of Baihui. The Qing Dynasty stayed in the predecessor experiential basis of heritage and reorganization for a time. There was less application and literature amount about Baihui in the Republic Period because of turbulant and unsafe situation. Baihui stems from A-B Classic of Acupuncture and Moxibustion. There were 16 synonyms about Baihui. It locates on the median line of the head, 5 cun to the anterior hairline and on the middle connecting line between both auricular tips. It belongs to DU meridian. It is a convergent acupoint of the three Yang Meridians of the hand, the three Yang Meridians of the foot and DU meridian. It could treat 143 diseases and syndromes. There were 25 therapeutic methods. There were 292 articles of operating reinforcing method, 98 articles of operating reducing method, and 14 articles of operating reinforcing and reducing method. There were 362 articles about Baihui as main acupoints, 219 articles about Baihui as coordination of acupoints. There were 52 medical records. It was not suitable to deeply puncture Baihui. It ought to be punctured about 2 fen, and be reduced in acupuncture after getting Needling Sentation. But it ought to change according to clinical condition and ought not to stick to the method. Regional anatomy: "skin" to "subcutaneous tissue" to "epicranialaponeurosis" to "subaponeurotic loose tissue". There were 4182 articles of Baihui literature in recent 50 years that have been retrieved after building up a state. They mainly were centralized inl 984-2005, remaining about 98.49%. The geographic distribution of Baihui literature was comparatively widespread. They were all reported in 21 provinces, 4 autonomous regions, 3 municipalities directly under the Central Government, Taiwan province, Hong Kong Special Administrative Region, liberation army troops, abroad. Baihui was most used in medical treatment constructions, for example in hospital, remaining 70.13%. Baihui literatures were published in 213 periodicals. The Clinical Acupuncture, China Acupuncture and Shanghai Acupuncture Journal wererankedahead, so they were regarded as the core magazines for studying Baihui. Most of Baihui literatures were clinical report, so it is necessary to develop commenting and sorting Baihui history literature. Baihui was widely used in many subjects realm, mainly in nervous system and sensory organ. There are more 200 treated morbid entities, mainly in pate and pars encephalica. There were fewer literature reports about determination of treatment based in pathogenesis obtained through differentiation of symptoms and signs of meridian in using Baihui, merely 3.11%. Baihui was mainly applied in asthenia syndrome clinically, less in sthenia syndrome. Traditionary acupuncture-therapy was main method of using Baihui yet. Most compatible single acupoint was Fengchi, and most compatible meridian and vessels was an extraordinary point outside meridian and vessels in head and face. The report frequency of Baihui was comparatively close to each other in male patients and female patients, but was fewer in animal experiment than in human body. There were 94 experimental index used in the Baihui literature study. Haemorheology index was most among them and most entities of empirical study were head and cerebral vessels diseases, especially in nervous and mental diseases. Function and indication of Baihui was awaking brain and waking up a patient from unconsciousness, eliminating wind and alleviating pain, calming the nerves and settling will, invigorating splenic yang, transiting DU meridian and settling epilepsy, improving eyesight and ears. 1.4ConclusionsThrough the study on ancient and modern literature reorganization of Baihui, we had made it more concise and clear. It will offer fairly fine reference value for clinical and scientific research workers. Ancient and modem of Baihui literatures lasted so long period of time and overwhelm extent of Baihui literatures was so extensive that there possibly were some semicomplete about Baihui literatures and many exploration and modification about Baihui literature had not been done by us yet. 2 Clinical Mechanism Research of Interventing Cervical Spondylosis ofVertebral Artery Type with Compressive Moxibustion on Baihui2.1 AimsThrough detecting the levels of calcitnin gene-related peptide (CGRP) and neuropeptide Y (NPY), we explored nerve-humor mechanism of CSA with compressive moxibustion on Baihui in order to offer objective evidence and clinical illustration for interfering in CSA of Baihui.2.2 MethodsA randomized contrast study was adopted for a prospective experimentation on 66 cases of CSA, which were randomly divided into three groups. Group A was given compressive moxibustion on Baihui(DU 20) point, needling both Fengchi andelectroacupuncture on clip-spine acupoint of the body of vertebra with pathological changes with 22 cases. Group B was given needling Baihui(DU 20) point, needling both Fengchi and electroacupuncture on clip-spine acupoint of the body of vertebra with pathological changes with 22 cases. Group C was given only needling both Fengchi and electroacupuncture on clip-spine acupoint of the body of vertebra with pathological changes with 22 cases. Treatment was given every day. A course included 1 week. Just before the commencement and after the completion of 4 courses of treatment, each case was drawn blood for plasm CGRP and NPY for adding up therapeutic effect. 2.3 ResultsThe results showed that the effective rate of Group A was 86.4%, which was superior to Group B and Group C, which were 68.2% and 54.6%. The clinical effect of compressive moxibustion on Baihui in treating CSA had significant difference by comparing to Group needling Baihui(DU 20) point and Group needling both Fengchi and electroacupuncture on clip-spine acupoint, so it had higher clinical value. Every group can accelerate excretion of CGRP and decrease excretion of NPY. The efficacy of compressive moxibustion on Baihui was more significantly than those of control group. 2.4ConcIusionsThe clinical research results of the study showed that the clinical effect of compressive moxibustion on Baihui in treating CSA had significant difference by comparing to Group needling Baihui(DU 20) point and Group needling both Fengchi and electroacupuncture on clip-spine acupoint (P <0.01) . The levels of CGRP after treatment were higher than before treatment (P <0.01) , and The levels of NPY after treatment were lower than before treatment (P <0.01) . The efficacy after treatment of three groups had very significant difference, which could hint that compressive moxibustion on Baihui could treat CSA patients through promoting the releasing of CGRP and inhabiting the overdose releasing of the NPY inside brain through the nerve-humour mechanisms. Compared to needling Baihui(DU 20) point and Group needling both Fengchi and electroacupuncture on clip-spine acupoint, compressive moxibustion on Baihui had very significant difference.
Keywords/Search Tags:Baihui, wide view, @compressive moxibustion, CSA
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