Wednesday, May 28, 2008

Clinical Observation On Fifty-One Cases Of Tertian Malaria Treated By Ear-Acupuncture Therapy

Chen Gongsun, Lu Zhenchu, Cai Gengqiu, Hu Aifang, Zhu liankui, Ding Yude (Nanjing Medical College)

This paper deals with the clinical observations on 51 cases of tertian malaria treated solely by auricular acupuncture therapy (bilateral auricular subcortex, endocrine and adrenal gland points being selected).

All the cases were selected according to the following criteria, i.e. typical attacks, course of disease within 96 hours, malaria parasites found in peripheral blood and no anti-malaria drugs, antibiotics and sulfa-drugs used after this attack. All the cases were admitted for study. Blood smears were taken once before therapy and successively day by day following acupuncture treatment until two successive negative findings were obtained. All the cases were traced on the 7th, 14th, and 28th day respectively after it has turned to negative. Each time two blood smears, both thin and thick, were taken with the thin one for qualitative study and the thick one for quantitative study. The microscopic examinations were performed by one specially appointed technician.


Results: 25 convalescent cases (symptoms controlled within 46 hours, two successive negative smears within 7 days and no recurrence within one month in follow up examinations) corresponded to 49.02%; 11 non-effective cases (symptoms not controlled following more than three trials of acupuncture treatment, blood pictures do not turned to neagtive within 7 days following the start of acupuncture treatment or shifted to drug therapy eventually), being 21.57% of the total. The total effective rate was 78.43%. It is thus confirmed that the ear-acupuncture exerts a definite therapeutic effect on tertian malaria, the effectiveness of which is related to the course and severity of disease, the time of acupuncture. It seems that needling in 2-6 hours before the expected attack and retained till 1-2 hours after the attack will yield better result.


A preliminary discussion in regard with the antimalaria mechnism of acupuncture is suggested. It is assumed that ear-acupuncture may activate and enhance the immunologic function of the organism which plays an important role in the anti-malaria therapy by ear-acupuncture.

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