Establishing Of "Deqi" Database For Ancient Medical Books And Clinical Reasearch Of Acupuncture Deqi For Bell's Palsy

Part 1 literature review and database establishmentObjective:To establish a database of "Deqi" after reading many ancient medical books.To Provide an overall,concentrated,convenient and reliable search for correlated researchers.Methods:All ancient books related with acupuncture are read and those sentences about "Deqi" are picked out. We understand,collect,and sum up them, distinguish them from different direction. Using modern computer technique, we take the old medicine books that have something to do with DeQi as a table, take the books that comment on the medicine books as a table, classify the attributes of DeQi and orginize them as a relationship table. The implementation of the relationship table is to classify the 26 properties as the 26 attributes of the relationship table.results:We establish the "Deqi" database using the auto-increment primary key as the books' primary key, and take the auto-increment primary key and books' primary key as the primary key of the relationship table, which makes cascade delete practical and realizable. we use SQL statement to query the different aspects of the content related with DeQi, which could relize the Data's Faintness and Combination Search. As a administrator, you can also do operation such as insert and delete tuples of the tables of the RDBMS.Conclusions:Ancient acupuncture specialists thought that acupuncture "Deqi" played an important rule in acupuncture clinic. They had a plentiful and penetrating discussion about "Deqi",It is important to establish a database of "Deqi" from ancient medical books. It is helpful to many researchers and doctors.Part 2 Clinical Reasearch of Acupuncture Deqi for Bell's PalsyObjective:Evaluating the reliability of acupuncture Deqi for Bell's palsy through clinical observation. Validating the necessity of Deqi explained in Chinese ancient medical books.Methods:36 subjects are divided randomly into two groups:manuduction group and non-manuduction group. Manuduction is absent during the first week in the two groups. All subjects in manuduction group obtain needling response through manuduction after one week. Manuduction doesnot been performed in non-muauduction group. Acupuncturist inquires qi sensation according to the design and records the date after finishing treatment.The patient lies in supine position, all acupoints are sterilized routinely. Insertion using 0.25 x 25-mm needles was performed on facial points with an angle of 45°or 90°and left hand bringing up the skin on the points. Insertion using 0.25 x 40-mm needles was performed on other points with an angle of 90 and nail-pressing method. Manuduction group:Qi response such as acid,tingling,radiation was elicited on the affected face by manually vibrating needles. Manuduction such as lifting,inserting,twirling with same frequency and strength is performed on other points. Manipulation was performed once every ten minutes to improve the patient's qi sensation. Needles were inserted and retained for 30 minutes.Needles were inserted without obtaining Deqi and retained for 30 minutes.Evaluation methods:All subjects are evaluated with the House-Brackmann facial nerve grading system (HBS), the Nottingham facial nerve grading system, and the Facial Disability Indexes (FDIP). In the HBS, nerve function is graded from I to VI, or from normal to total facial paralysis respectively. In the Nottingham system, movement is measured at four points on the face and the sides are compared with movement on the abnormal side calculated as a percentage of that on the normal side. In the FDIP indexes,100 represents complete normalityResults:Effective rate is 100% and 94.12% in manuduction and Non-manuduction acupuncture groups On the 28th day respectively; The manuduction group has better clinical effect compared with Non-manuduction group (P<0.01)The grades of HB,NOTTINGHAM and PDIP on the 28th in manudution group are significantly higher than that in non-manuduction group respectively. According to HBS,Nott and FDIP, The manuduction group has better clinical effect compared with Non-manuduction group (P<0.01 or P< 0.05)The manuduction acupuncture group has significantly higher average grade of deqi (P<0.01) than that in non-manuduction.The manuduction acupuncture group has significantly shorter treatment time (P<0.01) than that in non-manuduction group. Conclusion:1.There is an evident effect for Bell's palsy by acupuncture.2.The manuduction acupuncture group has significantly better treatment Outcome compared with non-manuduction group.3. It is obviously that manuduction for Bell's palsy shorten course and time of treatment and reduce treatment costs.