The Clinical Study Of Using Blood-vessel Pricking To Bleed At The Back-shu Points For Treat Acne

Purpose:The study uses blood-vessel pricking to bleed at the Back-shu points(Fai-shu'Wei-shu),assists with needles Ge-shu and chooses relevant points according to the differentiate syndrome,to treat acne.Using the criteria of therapeutic effect of "The new guideline for Chinese medicine Clinical research" to evaluate the therapeutic effect.We applied computer to survey and undergo the various reorganizing and analyzing the literature made before the country build,which were relative to the treatment of acne. And we observed that,if the effect could be elevated and the syndrome of the disease could be approved obviously by using blood-vessel prig to bleed to treat acne or combining both needling and medical therapy.Method:1.the approaches of literature studyWe applied computer to surveyed the advanced grade of《Chinese medical dictionary》or associated with manual way to survey approximate 1000 kinds of past times of literatures made before the country build,which were relative to acne.And we did the various reorganizing,analyzing and conclusion that included the etiology and pathomechanism,the name,the principle and method of treatment of the disease and the application of internal medicine or external medicine,the unique Chinese medicine and the relative acupuncture points.2.the approaches of clinical researchUsing single blind and simply randomizational way,we divided the 90 cases of qualified tester they are matched the diagnostic criteria of "The new guideline for Chinese medicine Clinical research" for acne,to three groups. Randomly distributed 30 cases to the group of to blood-vessel pricking to bleed, which associate with Chinese medicine therapy(called therapeutic group) 30 cases to the control group of blood-vessel pricking to bleed(called control -group A)and 30 cases to the Chinese medicine control-group(called control-group B).The needling therapeutic method is twice one week,and there are 8 times in a procedure;one dose everyday for the Chinese medicine therapy,and succession of 4 weeks was a therapeutic procedure.Visit patients after 3 months.And we had the statistical the effect and the adverse reaction after the therapeutic procedure.Simultaneously,we underwent the visiting patients who were cured,for three month.And we did the statistic of the relapse for the disease.Result:1.the result of literature studyingIn the survey,we found 1629 ancient literatures about acne.According to comparing the order of the ancient literature done,we deleted the repeat and the error.We also combined the content they had the similar meaning.And then,we selected and recorded 286 literatures.2.the results of clinical researchThe result showed:We compared the therapeutic effect during the three groups,the group of to blood-vessel pricking to bleed,which associate with Chinese medicine therapy(therapeutic group) showed the total effect ratio of 93.3%,the control group of blood-vessel pricking to bleed(control-group A)showed the total effect ratio of 73.3%,the Chinese medicine control-group(called control-group B)showed the total effect ratio of 83.3%. The result demonstrated that the clinical therapeutic effect of the therapeutic group is higher than both control groups A and B.But,the comparing of effect ratio during the three groups had no marked variety.The comparing between the groups of combing needling and medicine,and blood-vessel pricking to bleed,had marked variety.The comparing between groups,of combing needling and medicine and the group of Chinese medicine,had no marked variety.The comparing between the groups of blood-vessel pricking to bleed,and the group of Chinese medicine had no marked variety.We did not see the reverse reaction during the procedure in all of three groups.And relapse was not seen in the therapeutic group;there were two cases relapsed in control-group A,the relapse ratio is 6.7%;there were two cases relapsed in control-group B,the relapse ratio is 6.7%.The therapeutic group had the lower relapse ratio than the others control-groups.Conclusion:1.The conclusion of literature studyingBy reorganizing the research of ancient literature relative to acne,the study made the literature more simple and clear,and supported the valuable literature of reference to clinical and scientific workers.Most of ancient literature generally gave the same explain of etiology and pathomechanism for acne.We concluded that,over working and respiration resulted in deficiency and then exogenous pathogens of wind,cold,dampness invaded.That made the body's surface is not firm enough to resist the evil to invade.When evil stays in Zang or Fu,the Qi and blood is unable to flow,and then stagnant heat exits in Zang and Fu.Consequently,the wind ad heat invades lung,phlegm and dampness accumulates and then transfer to fire and poison,and finally evaporates to skin to become the acne.There were mentioned in many different names in ancient literatures.It had called lung wind-fenci,fenci,jiuci,fengci,fenzhi and mian-fen-zha,which are similar to comedo,or inflammatory papule.The former mostly caused by wind and cold to stagnated to skin and fur;the later mostly caused by wind and heat teamed and evaporated to skin and muscle;which were called lung-wind chuang,cuao,chuo-fei,fenhua-chuang,mian pao,and mian chuang are similar to pustule or nodule and cyst,the former mostly caused by dampness and heat stagnated,and then decayed to pus;the later mostly caused by dampness and heat combined with blood stasis and transfer to phlegm heat and stasis of toxin. Scar is caused by Qi stagnation and blood stasis;the inflammatory erythema in the late stage of diseases is the syndrome that caused by evil heat had gone completely and Qi stagnation and blood stasis.Hypersteatosis always cased by internal dampness and heat stagnation.Most ancient medicus thought that the hurt of sore,acne,furuncle,carbuncle were not suitable for acupuncture but moxibution in the beginning that pus is not ripe.While the pus rip,the complete drainage should be done;therefore,few literature stated the treatment for acne with acupuncture.External treatment were the most popular,such as using external watching and covering the surface skin,the next is internal oral medicine.The name of ache was various in different dynasties and different medicus,that result in the literature content and academic viewpoint were incomplete,when we did the survey.It needs advanced discovery and being more perfect.2.The conclusion of clinical researchThe clinical research showed:the therapeutic effect of the group to blood-vessel pricking to bleed,which associate with Chinese medicine therapy (therapeutic group)is the best;the second is the group of Chinese medicine. The last is the group of blood-vessel pricking to bleed.The comparing of effect ratio during the three groups had no marked variety(P＞0.05).The comparing between the group,of combing needling and medicine,and blood-vessel pricking to bleed,had more marked variety(P＜0.05).The comparing between the groups of blood-vessel pricking to bleed and the group of Chinese medicine,had no marked variety(P＞0.05).The conclusion demonstrated that when we using acupuncture to treat acne,we fad better combine Chinese medicine.It had the most marked therapeutic effect Combining needling and Chinese medicine could elevated the effect ratio and improve the syndrome of the disease.The way of blood-vessel pricking to bleed had the functions of purging,clearing,relieving,delete for using to treat acne;when some syndrome happened to skin,it is a straight approach for evil to go out.The study first time to stated "blood-vessel pricking to bleed in back-shu pints" is one important therapeutic way of "purging heat and deleting toxin and clear lung for nursing Yin".The study initially to state that blood-vessel pricking to bleed in back-shu points has the obviously therapeutic effect for proving the syndrome of acne in puberty.And "blood-vessel pricking to bleed in back-shu points" should combine Chinese medicine of differentiation,the new conclusion,will exist with the clinical value of reference.It really state that combining internal and external treatment had the most significant therapeutic effect.Therefore,it is worthy to applied to clinical treatment.