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Articles

47 Acne Treated by Prick-bloodletting plus Cupping

Acne is a common disease of the adolescent, consisting of discrete papules or pustules distributed mostly over the face, neck and trunk. The lesions are consistent with the hair follicles, reddish in color from mild inflammation, and whitish oily secretion may be dispelled upon pressing with fingers, and various types result from varying seveerity of infection, such as acne papulosa, acne pustulosa, and acne tuberata. The authors report satisfactory treatment in 47 cases of the disease with prick-bloodletting by a 3-edged needle in combination with cupping.

Clinical data

A series of 47 acne patients resorted to acupuncture after other Chinese or western modalities failed to help. The group comprised 17 males and 30 females, aged between 16 to 28 years. Forty-four patients were single and 3 married. The duration of disease was of within 1 year in 18 cases, 1-3 years in 15 cases, and over 3 years in 14 cases. The disease was of the type of acne papulosa in 23 cases, the type of acne pustulosa in 16 cases and the type of acne tuberata in 8 cases.

Method of Treatment

  • selection of acupoints in 2 groups

    Group 1: Feishu (UB 13), Geshu (UB 17);
    Group 2: Xinshu (UB 15), Ganshu (UB 18).

  • The method: one group of the bilateral acupoints are used in each session of treatment every other day, in alternation with the other group of acupoints. Eight days constituted a course of treatment. During treatment, the patient is advised to refrain from pungent condiments and the use of irritating toilet soap, while warm water is recommended for face and bath.
  • Manipulation: the patient takes a prone position and the selected acupoints are routinely disinfected with 75% alcohol. The soft tissue of the acupoint site is picked up with the left hand and pricked with a 3-edged needle at 2-3 spots rapidly and steadily to a depth of 2-3 mm, from where blood is squeezed out with both hands before application of the cuction cup. The latter is retained for 15 minutes to suck out about 5-8 ml of blood.

Criteria of Therapeutic Effect

Cure: Resolution of the skin lesions except for some remnant pigmentation

Markedly effective : Resolution of over 60% of the skin lesions without new ones appearing during the treatment.

Improved: Resolution of about 50% of the skin lesions without new ones appearing during the treatment.

Ineffective : Resolution of less than 40% of the skin lesions, with new ones appearing during the treatment.

Results of Treatment

In general, therapeutic effects began to show after 1 session of treatmentm, namely, the lesions began to regress and shrink in size, with satisfactory results after 3-4 courses of treatment (See Table).

Table. Therapeutic Effect

Type of acne
N
Cured
Markedly effective
Improved
Ineffective
a. papulosa
23
10
11
2
b. pustulosa
16
5
7
4
c. tuberata
8
1
2
3
2
Total
47
16
20
9
2

Illustrative Case

Wang x x, a male worker of 20 years, single, had acne for 2 years. He came to seek help from acupuncture when other modes of treatment failed. Examination found dark red papules and pustules over the face and neck, especially over the cheeks, where the lesions were densely packed, each with a white or black tip, some with pustules. They ranged in size from 1 mm to 0.5 cm; there was slight tenderness and a burning sensation. The patient was otherwise healthy, though with a hypersecretion of skin oil. The diagnosis was acne pustulosa. The pustules began to regress after one session of acupuncture treatment. After 5 session all pustules became dry and shrunk, and the papules reduced by 50% in number without new lesions appearing. The patient was cured after 12 sessions of the treatment, and the skin was smooth and clean on follow-up one month later.

(Note: This article has been published by Journal of Traditional Chinese Medicine 13 (3): 185-186, 1993)


Study on the Effect of Point-injection Treatment of Chronic Atrophic Gastritis and Its Mechanisms

This research consists of three parts: clinical observation, animal experiments and discussion of mechanisms.

Clinical Observation:

103 cases of chronic atrophic gastritis (CAG) were divided into two groups: acupoint injection treatment group and medication group. In the acupoint injection group, points Zusanli (ST 36), Weishu (UB 21) and Ganshu (UB 18) were used. The solution consisted of Huangqi (Astragalus Root) and Danggui (Chinese Angelica Root). Patients of the control group were asked to take Weining Decoction and some western medicines. Results shoed a total effective rate of 90.3% in the acupoint injection group and 72.5% in the control group. There was a significant difference between the two groups (P < 0.01). Some indices of gastroscopy, biopsy, biochemistry, immunity, radio-immunity, and molecular biology were examined using modern methods of science and technology.

Animal experiments: 53 SD rats were divided into 6 groups including. One acupoint injection therapy and 5 control groups. The control groups were physiological saline group, muscle injection group, oral medicine group, CAG model group and a normal group. The CAG model was made by giving rats with MNNG. The acupont injection group was injected with Huangqi and Danggui injection at points Zhsanli (ST 36). Every group was observed for changes in pathology of the gastric mucosa, gastric secretion (gastric acid, peprase, gastrin) and function of immunity. The results showed that the acupoint injection group had much better improvement than the control groups and was similar to the normal group.

Discussion of Mechanisms:

The mechanism of CAG treatment is discussed from a TCM and western medicine viewpoint. According to TCM Weishu (BL21) point and Huangqi injection have the functioni of invigorating qi and strengthening the spleen for treating the Ben (primary cause) of CAG (deficiency of stomach and spleen). Gangshu (BL 18) point and Danggui injection, have the function of promoting blood circulation and activating the collaterals for the Biao (manifestations) of CAG (blood stasis in collaterals). Zusanli (ST 36) point has the function of invigorating qi, moring blood, and activating channels and collaterals. Points and medicines acupoint injection affect each other in treating CAG. According to western medicine acupoint injection therapy can regulate the dysfunction of the gastrointestinal vegetative nerves, promote gastric secretion, regulate the function of immunity, promote blood circulation of gastric mucosa, clear HP and O2, control the spread of inflammatory cells, revert atrophy and intestinal metaplasia, regulate and control hyperplasia and the differentiation of cells in the gastric mucosa, so that CAG is cured and stomach carcinoma prevented.


The Clinical Observation of the Effect of Acupoints Injection on Chronic Atrophic Gastritis

Objective:

To observe the effect of acupoints injection on chronic atrophic gastritis, which is put in contrast with western medicine Weining granule preparation.

Methods:

103 patients were divided into 2 groups. One group included 52 patients for acupoints injection, the other (51 cases) for treatment with Weining granule preparation:

(1). Treatment group: The selected points were Zusanli (ST 36), Weishu (BL 21) and Ganshu (BL 18). Astragalas Root Injection and Chinese Angeliaz Root Injection was used 10ml injector and 5# syringe needle were mployed. The doctor drew 4ml of each solution mentioned above (8ml in total) into the injector and shook to mix the 2 solutions fully. Each point was injected with 2ml solution. Acupoints on the left and right sides were used alternatively. The injection was done every 2 days. 3 months constituted 1 course of treatment.

(2). Control group: each patient was given 1 envelope of Weining granule preparation each time and took the medicine 3 times per day. Motilium, maxobustion, etc were prescribed according to the symptoms. 3 months constituted 1 course of treatment.

Results:

The criterion of therapeutic effect of the combination of TCM and western medicine on chronic atrophic gastritis established by the Specialized Gastrointestinal Disease Committee of the National Association of Combination of TCM & WM was used for assessment of therapeutic effects. In the treatment group of 52 patients, the total effective rate is 98.07% in terms of symptomatic improvement. 86.53% according to gastroscopy, 82.5% according to pathological examination and the total effective rate is 90.38%. In the control group, the corresponding data are 84.31%, 64.70%, 54.90% and 72.54%. Through statistical analysis, it results in significant or very significant differences between the 2 groups, which suggest that there is a better curative effect in the treatment group than in the control group.

Conclusion:

The injection of Astraglas Root solution and Chinese Angeliaz Root Solution strengthens and prolongs the stimulation to the acupoints, at the same time enhances the absorption and metabolism of the medicine. Acupoints and medicine promote each other, therefore, a good effect is achieved.


The Clinical Observation of the Effect of Acupoints Injection on Chronic Atrophic Gastritis

Objective:

To observe the effect of using acupoints injection on chronic atrophic gastritis, which is put in contrast with western medicine Weining granule preparation.

Methods:

103 patients were divided into 2 groups. One group included 52 patients for acupoints injection, the other (51 cases) for treatment with Weining granule preparation:

(1) Treatment group: The selected points were Zusanli (ST 36), Weishu (BL 21) and Ganshu (BL 18). Astragalas Root injection and Chinese Angeliaz Root injection was used 10ml injector and 5# syringe needle were employed. The doctor drew 4ml of each solutioin mentioned above (8ml in total) into the injectior and shook to mix the 2 solutions fully. Each point was injected with 2ml solution. Acupoints on the left and right sides were used alternatively. The injection was done every 2 days, 3 months constituted 1 course of treatment.

(2) Control group: each patient was given 1 envelope of Weining granule preparation each time and took the medicine 3 times per day. Motilium, maxolon, etc. were prescribed according to the symptoms, 3 months constituted 1 course of treatment.

Results:

The criterion of therapeutic effect of the combination of TCM and western medicine on chronic atrophic gastritis established by the Specialized Gastrointestinal Disease Committee of the National Association of Combination of TCM & WM was used for assessment of therapeutic effects. In the treatment group of 52 patients, the total effective rate is 98.07% in terms of symptomatic improvement, 86.53% according to gastroscopy, 82.59% according to pathological examination and the total effective rate is 90.38%. In the control group, the corresponding data are 84.31%, 64.70%,54.90% and 72.54%. Through statistical analysis, it results in significant or very significant differences between the 2 groups, which suggests that there is a better curative effect in the treatment group than in the control group.

Conclusion:

The injection of Astraglas Root solution and Chinese Angeliaz Root solution strengthens and prolongs the stimulation to the acupoints, at the same time enhances the absorption and metabolism of the medicine. Acupoints and medicine promote each other. therefore, a good effect is achieved.

(Note: This article has been published by Journal of Traditional Chinese Medicine 14 (3): 163-166, 1994)


Clinical and Experimental Studies in Treating Diabetes Mellitus by Acupuncture

Diabetes mellitus is a commonly seen endocrinal metabolic disease pertaining to the disease of consumptive thirst in traditional Chinese medicine. The prevalence of diabetes is as high as 4-5% abroad and 0.67% in China , third among disease affecting the health and life of mankind. Modern medicine has achieved much in the treatment of diabetes; however, the problems of side-effects and drug resistance leave much to be desired. The authors are attempting to search clinically and experimentally for effective means in acupuncture for the treatment of the disease.

Clinical Date

60 cases of diabetes mellitus were randomly divided into 2 groups: The acupuncture and the control groups. The acupuncture group consisted of 38 patients, 16 males and 22 females, aged 21 to 71 years, averaging 48.6 years; the duration of disease was from 1 month to 15 years, averaging 4.2 years. According to diagnosis by modern medicine, the disease was classified as of type I in 8 cases, and of type II in 30 cases. According to traditional Chinese medicine, the cases were divided into the type of deficiency of yin with excessive heat in 8 cases, the type of deficiency of both qi and yin in 21 cases, and the type of deficiency of both yin and yang in 9 cases. No case was complicated with diseases of the heart, brain or kidney, and other endocrinal disease were ruled out. The conditions of patients and laboratory findings in the control group were similar to those in the acupuncture group.

Method of Treatment

Both groups were subject to controlled carbohydrate intake.

  • The Acupuncture Group:

The main acupoints selected were Quchi (LI11), Sanyinjiao (Sp6), Zusanli (St 36) and Yishu (located at cun lateral to the lower border of the spinous process of the 8 th throracic vertebra). The adjuvant points were Yuji (Lu 10) for the type of yin deficiency with excessive heat; Guanyuan (Ren 4) for the type of deficiency for both qi and yin, and Baihui (Du20) for the type of deficiency of both yin and yang.

Manipulations: For the first session of treatment only Yishu was selected bilaterally for needling. After occurrence of the needling sensation, the needles were connected to the electrical acupuncture set for 20 minutes. The microcirculation was tested before and after the needling. For subsequent session, Yishu was first needled and the needle withdrawn immediately after inducing needling sensation without retention; the other acupoints were then needled with 30 minutes of needle retention. For the types of deficiency of both qi and yin or deficiency of both yang and yin, 30 minutes of mild moxibustion by an ignited moxa roll was added. The treatment was administered once daily, 10 days constituting one course and 3 courses completing the treatment.

  • The Control Group: For comparison, patients of this group were administered Pills of Consumptive Thirst,- pills daily, 30 days constituting one course of treatment.

Results of Treatment

Criteria for the Evaluation of Therapeutic Effect

The criteria for evaluation of therapeutic effect were in accordance with the stipulations by the Bureau of Drug Administration of the Ministry of Public Health in “Technical Guidelines for Clinical Studies of the Treatment of the Disease of Consumptive Thirst with Herbal Drugs, 1988.”

Markedly effective: Symptoms essentially vanished after treatment and fasting blood sugar concentration fell to < 130 mg / dl or < 150 mg / dl 2 hours after meals; total 24-hr urine sugar was < 10 g, or the blood sugar and total 24-hr urine sugar were reduced by 30% or more after treatment.

Effective: Symptoms definitely ameliorated and fasting blood sugar concentration reduced to < 150 mg/ dl or < 180 mg / dl 2 hours after meals; the total 24-hr urine sugar was 10-25 g, or the blood sugar and total 24-hr urine sugar were reduced by 10-28% after treatment, the blood sugar and total 24-hr urine sugar were not reduced to the stipulated standard.

Therapeutic Effects

Among the acupuncture group, 25 cases were markedly effective, 10 effective and 3 cases ineffective after treatment with acupuncture, for a total effective rate of 92.1%. Among the control group, 8 cases were markedly effective, 12 effective and 2 cases ineffective after treatment with herbal pills, the total effective rate being 90.9%. The therapeutic difference between the two groups was not statistically significant (P>0.05).

Effects on Blood Sugar and Blood Lipids (see Table 1)

Table 1 shows that blood sugar dropped significantly in both groups after treatment with insignificant differences between the two groups, and that blood lipids drop ped significantly in the acupuncture group but insignificantly in the control group.

Effects on Insulin and Trace Element Level (see Table 2).

Table 2 shows that the contents insulin and trace elements increase significantly after acupuncture treatment.

Group
Blood sugar
mmol/L
Total cholesterol
mmol/L
Triglycerides
mmol/L
ß-lipoprotein
mmol/L
Acupuncture
(38 cases)
Bef. tr.
12.48± 4.51
6.28± 1.41
1.51± 0.54
5.38± 1.33
After tr.
8.06± 2.98
5.01± 1.22?
1.17± 0.41??
4.24± 1.26
P<0.001
P<0.01
P<0.01
P<0.01
Controls
(22 cases)
Bef. tr.
11.83± 5.67
6.24± 1.89
1.60± 0.43
5.42± 1.41
Aft. tr.
7.87± 3.21
5.92± 1.93
1.57± 0.51
5.01± 1.37
P<0.01
P>0.05
P>0.05
P>0.05

Note: Compared between groups: ?P<0.05 ??P<0.01

Table 2.

Cases
Bef. Treatment
Aft. Treatment
t
P
Insulin ( )
24
6.854± 4.432
9.141± 6.341
2.583
<0.05
Zn (ppm)
24
0.794± 0.198
0.987± 0.213
2.136
<0.05
Cu (ppm)
24
0.792± 0.297
1.022± 0.304
2.243
<0.05

Effects on Nail-Fold Microcirculation

According to examinations of the nail-fold microcirculation in 28 cases of diabetes mellitus before and after acupuncture treatment, 26 cases were complicated with various degrees of microcirculatory disturbances. It was also found that acupuncture therapy ameliorated significantly vascular blurring, apical blood stasis, retarded and irregular blood flow and blood cell aggregation in the vascular loops, as well as the proportion of abnormal vascular loops. The scores were 4.2 ± 1.2 before the treatment and 2.1 ± 0.5 after the treatment, with t=2.102 and P<0.05, the differences being very significant.

Effects on the Requirement of Insulin Injections

Among the 38 diabetic patients in the acupuncture group, 8 were insulin-dependent. The administration of insulin was continued after admission too the ward, but gradually reduced when acupuncture began to show effect. After termination of acupuncture therapy, insulin was stopped in 2 cases, reduced to half dosage or less in 4 cases, and remained indispensable in the other 2 cases. Acupuncture was thus shown to replace insulin in some insulin-dependent diabetic patients.

Discussion

The evolution pattern of the symptoms and signs in diabetes mellitus:

Diabetes mellitus originates from deficiency of yin and is manifested externally as a syndrome of excessive heat. With progress of the disease, deficiency of yin produces dry-heat which in turn damages qi and yin, leading to deficiency of both yin and yang. According to observations on this series of 60 cases, the development state of the type of deficiency of yin with excessive heat (the initial stage) averaged 2.9 years, the development of the type of deficiency of both qi and yin (the intermediate stage) averaged 4.7 years, and the development of the type of deficiency of both yin and yang (the late state) averaged 8.2 years. During the developmental states, blood stasis also progressed in severity, as manifested in 26 of the 28 cases that underwent nail-fold microcirculation examination.

The guiding principle for selection of acupoints:

Based on the evolution pattern of symptoms and signs of diabetes, the main points are selected in accordance with the pathogenetic mechanism, while the adjuvant points are selected in accordance with symptom differentiation. The combination of Quchi (LI 11), Sanyinjiao (Sp 6) and Zusanli ( St. 36) results in clearing the heat from Stomach and Lung, and also replenishing the Kidney yin and yang. Yishu is a specific acupoint in the treatment of consumptive thirst disease, while it invigorates the blood circulation to reduce stasis and prevent complications.

The mechanism of acupuncture therapy:

While in other ways, the authors are interested in its effects of raising the insulin level by stimulating secretion of the pancreatic islets. On the other hand, the zinc increased prolongs the glucose suppressive action of insulin and also activates the transformation of proinsulin into insulin, which in turn regulates the content of zinc. This synergic action produces desirable therapeutic results.

To summarize, the therapeutic effects of acupuncture on diabetes are similar to those of Pills of Consumptive Thirst, however, acupuncture excels in the prevention of complications, especially cardiovascular disease. The authors also stress the combined use of acupuncture and moxibustion in the treatment of diabetes mellitus.


Switching Hormone Replacement Therapy with Acupuncture and Chinese Herbs

Females entering menopause, between the ages 45-55, due to the ovary atrophy, hormone levels in the body will naturally decrease, commonly displaying symptoms such as excessive sweating, heart palpitates, lack of sleep, easily angered, anxiousness, numbness of skin, scabies, dizziness in head, headaches (migraine), lack of sexual urges, abnormal periods, stopped periods and other symptoms. Doctors would normally choose using hormone replacement therapy to reverse these symptoms, but the side effects after the therapy have worried many females. The International Agency for Research on Cancer has already confirmed the statement of "the therapy might be carcinogenic to humans" in to a positive statement of "the therapy will be carcinogenic to humans". Lately they have related the therapy to the cause of breast cancer. Not long ago 21 Medical scientists through careful research have found that replacing the use of estrogen with progestrogen to treat menopause symptoms is dangerous with only the use of progestrogen for a period 10 days hsa shown that progestrogen increases the risks of breast cancer and vagina cancer.

As a result, the importance of finding a natural, effective, drug free product is the society's main concern today. Dr. Decheng Chen, Ph.D, graduated from Nanjing University of Traditional Chinese Medicine in China, and was a Ph.D student under the respected acupuncturist Dr. Maoliang Qiu. He is also a licensed acupuncturist in New York, with an herbalist certificate, and was originally the vice principal of the Beijing international Acupuncture Training Center in China. The publisher of 11 Chinese acupuncture books, among are two that are crowd pleasers, titled Chinese Single Point of Acupuncture and Moxibustion and Chinese Acupuncture for Aging and Cosmetics. He also published around 70 pieces of professional articles in Acupuncture and Oriental Medicine. Dr. Chen was sent by The Chinese government to various countries to teach other medical doctors the practice of acupuncture, and he has also treated the president of Egypt Mubarak. Dr. Chen has 20 years experiences in Acupuncture and Chinese herb.

After years of experimenting with new ways of acupuncture to treat and cure menopause, Dr. Chen has achieved satisfying results. Dr. Chen points out that in order to treat menopause, treatments must begin in the liver and kidneys, mainly to cool it down and get rid of any excess heat it might have had. He has treated many cases by using acupuncture combination with a Female Menopause Formula, after a month a noticeable change in the symptoms.

A 50 year old female had experienced abnormal periods for about 2 years. During the past 2 years she was easily angered and consistently lost her temper. She then started experiencing trouble sleeping for many nights and could not find relief after taking sleeping pills. Generally after the second day she would look sleepy and this was starting to strongly affect her life and work. She was introduced to Dr. Chen's therapies and after only one week she was then able to sleep better. This woman was very surprised, she couldn't figure out how taking the same medicines at night helped her sleep so well, yet taking the same medicine during the day provided her with more energy to focus better at her job and life. This is the difference between western and eastern medicines. After about 2 months of treatments all of her symptoms have disappeared.

Some patients experience menopause symptoms due to stopping birth control pills suddenly. This can cause the following symptoms; irregular menstruation, black spots on face, acne and etc. Whatever reason these patients decided to stop taking their medications, symtoms do not disappear immedaitely. Acupuncture and herbs can help treat these symtoms withour further medications.

A 22 years old young woman had taken birth control pills for six years and had decided to stop, but her period hadn't come back for 4 months since stopping, and now acne was covering her face. After two months of therapy with Dr. Chen her period now comes regularly and the acne on her face is gradually disappearing completely.

Dr. Decheng Chen is not only for menopause, but also for pain management, irregular menstruation, dysmenorrhea, PMS, menopause, infertility. IVF/ IUI support, uterine fibroid, remove wrinkles, acne, hair loss, weight control. Fibromyagia, IBS, diabetes, fatigue, depression and etc,