| Objective:To collect and summarize Professor Guo Yaokang’s academic origins, academic ideas and clinical experience. To keep records of all his unique academic ideas and techniques, in this way we can further inherit and improve his unique academic ideas, clinical experience and Acu.&Mox. techniques. To popularize and apply them to medical practice.Methods:Collected all of the Professor Guo Yaokang’s medical trainings, occupational history and achievements, typical cases, and added our learning records and understandings during the three year apprenticeship study. Studied the Professor Guo Yaokang’s papers and publications. Even some academic talks with him were included in our collection. So we collected a lot of the Professors Guo’s materials in diagnosis and treatment. We still studied many classics and related medical works including Neijing (Canon of Internal Medicine) and other Acu.&Mox. literatures at his advice. Of course, the work was also under the instruction from the Professor Guo. Now we are so confident that we had collected and summarized the Professor Guo’s academic origins, academic ideas and clinical experience on facial paralysis, stroke, cervical spondylosis, flaccidity and white mange more extensively and thoroughly.Results:1Professor Guo’s academical origins:1.1Trained to be a medical professional. Professor Guo has accomplished his apprenticeship study in TCM Research Institute, and program study at College of Shanxi TCM and National Acupuncture and Moxibustion Training Program of MOH. He works very hard and always hungers for knowledge of all kinds, especially great classics. He trained himself toughly for acupuncture manipulations. Therefore he establishes his fame by a brilliant beginning and fundamental theoretic knowledge and hard practice. What he now practiced was the early year’s hard work and taking in achievements of all.1.2Acupuncture and moxibustion classics from Neijing. Professor Guo kept on reading classics and medical practice for more that50years. His academic ideas originates from Neijing (Canon of Internal Medicine), Nanjing (Cannon of Questioning), Zhenjiu Jiayi Jing (A and B Classics of Acupuncture and Moxibustion) and his therapeutic methods are from Shanghan Zabing Lun (Treatise on Cold Damage and Various Diseases), Piwei Lun (Treatise on Spleen and Stomach), Qijing Bamai Kao (On Extraordinary Meridians and Eight Extraordinary Channels) and Biaoyou Fu (Explanation of Profound Principles). At the same time, he combined the achievements different Acu.&Mox. schools.1.3Inherited from masters. Professor Guo has followed two famous experts in this field doctor Li Shumin and Feng Shangwu for many years to learn medical practice, therefore inherited their academic ideas and clinical experience.2Professor Guo’s academic ideas:2.1Combination of Chinese and western medicine, combination of disease diagnosis and syndrome differentiation. Professor Guo focuses on the combination of Chinese and western medicine for they will supplement each other. When dealing with disease, he prefers combination of disease diagnosis and syndrome differentiation will be a better way from the point of holism. Only by combine both can one know the nature of a disease and treat it more effectively from so many confused symptoms and individualities.2.2Based on yin and yang, communicate Ren (conception) meridian with Du (governor) meridian. Disease and its development result from imbalance of yin and yang. Ren and Du meridians are conjunction of yin and yang of the body, that’s why they serve as the base if one wants to regulate yin and yang flow. Professor Guo advocates to treat disease by the means of communicating Ren and Du meridians to restore the balance and harmony of yin, yang, qi and blood, dredge the meridians.2.3Treating the nature of a disease and don’t neglect the importance of spleen and stomach qi. Pathogenic factors have no way to invade the body when healthy qi is sufficient. Spleen and stomach is the base after birth, and the origin for qi and blood transformation. During acupuncture and moxibustion practice, Professor Guo always pays more attention to spleen and stomach. He holds that seeks the key point of a disease at different stage of a disease and tries to protect spleen and stomach from being hurt. Acupoints Zhongwan (RN12), Qihai (RN6) and Zusanli (ST36) are often chosen to needles just to protect healthy qi. It is proved to be effective.2.4Accurate in points taking, preferring conjunction of Eight Extraordinary Meridians. Professor Guo stresses the importance of accurately taking the key acupoints and he is excellent in accurate points taking. The key points are those very important points for treatment and correct selection of the key points plays an important role in achieving satisfactory results. He prefers the conjunction of Eight Extraordinary Meridians and he believes those conjunctions might focus one’s treatment to certain area and usually even one conjunction point selected will be effective.2.5Notice the importance of shen and advocate bimanual needling painless manipulation. Professor Guo has noticed the importance of shen and he believes that to treat shen triggers needling sensation, a key solution to clinical effect. He holds that treating shen is to be always considered during acupuncture process. Bimanual slow needling manipulation causes less pains but more needling sensation. Pressing hand is also important.2.6Preferring large sizes needles deep needling in points of Du meridiano treat complex diseases. Large size needle are no.21stainless steel needles of3-4.5cun in length. Professor Guo is skilled at manipulating large size needles. Clinically it is proved to be effective when he applies large size needles to points of Du meridian to sthenia syndrome such as Hysterical aphasia, psychosis, mental disorders, epilepsy and white mange and other refractory problems.2.7Apply acupuncture, moxibustion and herbal materials properly. Professor Guo thinks that each is good at certain diseases and all is indispensable. They should be applied properly according to the actual condition so that they can supplement to each other for an ideal result.3Clinical experience of Professor Guo on facial paralysis, stroke; cervical spondylosis, flaccidity and white mange:3.1Professor Guo combines syndrome and meridian differentiation with different advancing stage of on facial paralysis and applies acupuncture and herbs for the acute onset and selects more local points. Needling is mainly used for a later recovering stage and sequela. The regional points and remote ones can all be selected. Needling for the acute onset of paralysis could obviously enhance the effect and short the treatment course.3.2Professor Guo holds that the basic pathogenesis of stroke is the imbalance of yin and yang, disturbance of qi and blood. A combination of the whole and parts is used for stroke. Good effect can be achieved if yin-yang and qi-blood are regulated, the meridians are dredged and the healthy qi is reinforced. Renzhong (GV26), Chengjiang (RN24), Baihui (GV20), Zhongwan (RN12) on Ren Meridan and Du Meridian are the main acupoints selected with regional points on Foot and Hand Yangming Meridian.3.3Professor Guo pays more attention to both Chinese and western medical diagnosis of cervical spondylosis. He believes that if the problem is at the neck, it is closely related to Foot Taiyang Meridian and Du Meridian. Therefore therapeutic principle is to dredge the meridians and nourish tendons and meridians. The main acupoints selected are Fengfu(DU16), Tianzhu(BL1O), Jing Jiaji points, Houxi(SI3) and Xuanzhong(GB39). Related acupoints according to western disease types are also selected and finally needling and therapeutic methods settled according to TCM syndrome differentiation. Again it is effective.3.4Professor Guo believes that flaccidity is result from deficiency healthy qi and excessive pathogenic factors. His new idea is "to deal with flaccidity through combination of treating Ren, Du and Yangming Meridians" after a thorough understanding of Zangfu and Meridian Theories. Zhongwan (RN12), Baihui (DU20), Zusanli (ST36), Shousanli (LI10), Quchi (LI11) and Sanyinjiao (SP6) are mainly selected with combination of others after a syndrome differentiation. Still, effective.3.5Professor Guo has something special for white mange. He treats it as a whole, such as regulating yin and yang; harmonize qi and blood, dredging meridians. The larges size needling manipulation is applied to Shenzhu(DU12),Lingtai(DU10),and then tiny size needling manipulation is used on Dazhui(DU14), bilateral Quchi(LI11), Waiguan (SJ5), Hegu(LI4),Zusanli(ST36),Xuehai(SP10).This is also effective.Conclusion:Professor Guo Yaokang is a famous expert in the field of Acu.&Mox.in our country, outstanding expert of Shanxi province with abundant theoretical knowledge and rich medical experience. He always puts his patients and works first. He reads a lot, especially classical works and he follows ancient wisdoms in a reasonable way. Applying what he has learned and concluded to practice, he is able to innovate with his perfect Acu.&Mox.techniques as well as his other clinical experience. He is good at treating facial paralysis and stroke etc. His unique techniques, academic ideas and Clinical experience are valuable for science of Acu.&Mox. They are also important to guide followers in medical practice and deserve to be collected, popularized and put into medical practice for serve the people better. Objective:To observe and study the clinical curative effect of the Professor Guo yaokang’s acupuncture treatment on intractable facial paralysis, and provide the new clinical treatment ideas and acupoints selection methods.Methods:90cases that met the inclusion criteria of intractable facial paralysis were randomly divided into treatment group and control group with a single blind randomized control study methods. And there were45cases in each group. The cases in treatment group were treated with Professor Guo’s acupuncture prescription, and the cases in control group were treated with the routine acupuncture prescription. All the cases were treated once every other day and a course was ten times. There was no rest between the courses, and the treatment was not more than3treatment courses. Using House-Brackmann (H-B) facial paralysis main symptoms and signs score and facial nerve function grading evaluation system, all the cases were observed and compared about their facial paralysis symptoms and signs and facial nerve function before and after treatment and the curative effect of two groups after the treatment.Results:Comparing the two groups before and after the treatment, the facial paralysis symptoms and signs and facial nerve function points classification are significantly different (P<0.05), It shows both treatments can obviously improve facial paralysis symptoms and signs, and the treatment group is much better than the control group (P<0.05).After treatment, the curative effect of the two groups is significantly different (P<0.05), It means that the curative effect of treatment group is much better than that of control group. The total effective rate of the treatment group is93.33%and that of control group is86.67%. The total effective rate of treatment group is higher than that of control group.Conclusion:Professor Guo yaokang’s acupuncture treatment is effective on intractable facial paralysis. It can not only improve significantly the facial paralysis symptoms, signs and the curative effect, but also can improve the quality of the patients’life. It is safe and has no side effect. Professor Guo yaokang has unique experience in curing intractable facial paralysis and the clinical curative effect is outstanding. It is worth further clinical popularization and application. |
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