Tuesday, May 27, 2008

The Clinical Observation On The Acupuncture Treatment Of Acute Bacillary Dysentery

Cheng Zicheng, Shi Peifeng, Ji Suhua (Longhua Hospital, Shanghai College of Traditional Chinese Medicine)

Yu Zhiding (Shuguang Hospital, Shanghai College of Traditional Chinese Medicine)

In recent years we have applied acupuncture to treat acute bacillary dysentery. Of 134 patients treated, 120 (94%) were cured with acupuncture alone.

In order to make the comparison between the effects of acupuncture and drug, another 105 patients were studied, among whom, 55 patients received acupuncture while the rest 50 patients drug treatment.


These cases were under similar conditions as far as the time, locality and others were concerned, and were designated at random to either group. Patients who suffered from symptoms five days or longer, or had received antibiotics were excluded. Seventy patients (34 in acupuncture group, 36 in drug guoup) had dysentery bacilli recovered in their stools. Patients, whose stool cultures were negative, were included if they showed: 1) acute diarrhea with number of stools more than three times daily; 2) mucosanguineous stools, or numerous white or/and red cells in stools; 3) negative stool culture for Salmonella; 4) fever 37.5ÂșC or higher but without other intestinal diseases.


Treatment:

1) acupuncture group: patients of Tianshu and Shangjuxu were punctured once every day for 5 to 7 days.

2) drug group: Furazolidone was given, 100 mg qid, for 5 to 7 days. Antispasmodic may be added as needed.

Result: Within ten days, there were 45 cases (81.8%) cured in acupuncture group, and 36 cases (76%) cured in drug group. Within fourteen days there were 52 cases (94.5%) and 39 cases (78%) cured respectively; the difference was significant (X{2}=4.33 P<0.05) The criteria of cure included that: all symptoms and signs had disappered, the stools were normal with no white or red cells found twice in succession in microscopical examination and negative cultures in five successive days.


Some patients were followed up, their stool cultures were taken in three, six months and one year after discharge. 30 cases were discovered to have negative and one have positive stool culture in acupuncture group, whereas 42 cases to have negative and three cases positive stool culture in drug treatment group at the end of three months. 48 cases were found to have negative and two positive stool cultures in acupuncture group whereas 44 cases to have negative and one positive stool culture in drug treatment group at the end of six months. After one year, 45 cases had negative and one had positive stool culture in acupuncture treatment; 41 cases had negative, three had positive stool cultures in drug treatment.

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