The Conception Of Intergrated Diagnostic And Therapeutic System For Neuromyelitis Optica With The "Arouse The Brain And Open The Orifice" Acupuncture Therapy As Its Focus

The paper aims at discussing on synthetic model of diagnosis and treatment for neuromyelitis optica(NMO)with the "Arouse the Brain and Open the Orifice"Acupuncture Therapy (Xin Nao Kai Qiao Acupuncture Therapy, also called XNKQ Acupuncture Therapy for short as follows) as its focus and its innovations. By realizing the onset,course,pathology,therapy and prognosis of NMO, we draw conclusions as follows after consulting the advances of therapeutic mechanisms and methods on myelitis,optic neuritis,multiple sclerosis,spinal cord injury etc, and combined with the typical case analysis of NMO diagnosed and treated mainly by XNKQ Acupuncture Therapy by stages:1 XNKQ Acupuncture Therapy grasps the soul of Canon of medicine, that is "Be the monarch normal, the followers are safe; while the monarch be abnormal, the twelves followers are dangerous and the channels are obstructed", believes that the main pathological mechanism of NMO be "The vitality can't direct the qi which making the medulla injuried and the optical passage closed". Absorbing the spirit of "The acupuncture therapy must be based on the vitality", XNKQ Acupuncture Therapy also establishes the main rule of "regulating the vitality to direct the qi, replenishing the medulla and brightening the eyes". Its diagnosis and treatment are based on an overall analysis of signs and symptoms by stages with an old theoretical origin and an innovative inspirt.2 Compared with traditional acupuncture therapy, XNKQ acupuncture therapy has four advantages, namely, pathological mechanism understood profoundly, points selected originally, manipulated normatively, clinical curative effect obviously. From the level of "The poor doctor treats the body only " up to the one of "The wise doctor treats the vitality", XNKQ Acupuncture Therapy treats and regulates the vitality at first, makes up for the limitations and side effects of medicine therapy represented by methylprednisolone and the defects of poor curative effect on myospasm with the traditional acupuncture therapy of "Selecting the Yang-ming Channel only for the flaccidity".3 Based on the traditional theories of acupoints and acupuncture methods, XNKQ Acupuncture Therapy puts forword creatively that sparrow-pricking being the third basic manipulation technique and the new conception of perpendicular puncture, consummates the definitions of reinforcing and reducing method by twirling-rotating and lifting-thrusting the needle. XNKQ acupuncture technique manipulation accords with the standard of quantitative measurement, pursues the manipulation goals of "tender, skilful, quick, elastic and resorting". It applys mainly with quick needle and lifting-thrusting puncture method to look for and stimulate ten kinds of needling sensation of sore, numb, heavy, distending, painful, cool, warm, radiating, springing and spasm.