Research Group of Acupuncture, Fujian College of Traditional Chinese Medicine.
Department of Acupuncture and Moxibustion, People's Hospital of Fujian
In this article were presented with discussions results of clinical observation. Observations were made on two groups by using similar points and same procedures but varied with different drugs and their dosages.
A. Acupuncture
(1) Points selected:
Ventral type -- Biguan, Maibu, Siqiang, Zusanli, Naoqing, Jiexi.
Dorsal type -- Zhili, Yinmen, Weizhong, Chengshan, Genping, Luodi.
Paralysis of upper extremity -- Cervical 6,7 Jiaji-points, Tianzong, Jianyu, Quchi, Waiguan, Hegu.
(2) Procedure:
Most of the cases of this disease belong to the "Xu" type ("Xu" means weakness) so "Bu" procedure is applied ("Bu" means tonic in essence on needling). The needle is so inserted by slight puncture and twist on the way in continuous mild stimulation without retaining the needle. Pull the needle out quickly and press the point with the forefinger tip immediately.
B. Injection of the "points"
(1) Selection of drugs:
First group:
(A): ATP 10-20 mg. thiamine tetrahydrofurfuryl disulfide (TTFD) 20mg., vitamin B[12] 100-500 µg, galanthamine 1-2.5 mg.
(B): Sebcurinine nitrate 4mg.
(A) and (B) are efficacious for acute cases and in early convalescence.
(C): Tissue fluid 2cc, vitamin B[12] 100-500µg, efficacious for late convalescence.
Second group: ACTH 25 units, effective for any type of paralysis.
(2) Points for injection:
Besides the "jiaji-points" considered to be the essential points, the following two groups of points may be selected in case of:
Ventral type
Group I: Huantiao, Yanglingquan, Jiexi.
Group II: Huantiao, Zusanli, Shangqiu.
Dorsal type
Group I: Chengfu, Yinmen, Chengshan.
Group II: Chengfu, Weizhong, Heyang.
Paralysis of upper extremity
Group I: Jianyu, Quchi, Waiguan
Group II: Jianyu, Shousanli, Hegu
(3) Dosage:
Group I: For each "jiaji point" 0.5-1.0cc, each point of buttock 1.5-0.2cc, each point of extremity 1 cc. Twelve injections for a course.
Group II: Under 1 year of age 2-3 units, 2-3 years of age 3-4 units, above 3 years of age 4-5 units or more, one injection per day with a total dose of 50 units as a course. Four courses of treatment are considered as an interval.
C. Analysis of the therapeutic effect
Group I (137 cases)
(1) Comparison between the acute and convalecent cases: Among 87 of the acute cases showed an essentially cure rate of 51.72%. Among 50 of the convalescent cases, had an essentially cure rate of 36.00%. The difference was statistically significant, P<0.001.
(2) Comparison of the therapeutic effect according to clinical classification:
44 of the mild cases, an essentially cure rate of 68.00%; 42 of the serious cases, an essentially cure rate of 2.78%. The difference was statistically significant, P<0.001.
Group II (223 cases)
(1) Comparison of the therapeutic effect according to the stage of the disease.
Within one month, an essentially cure rate of 47.54%; 100 cases of 1-6 month duration, an essentially cure rate of 31.00%; 62 cases over 6 month duration, an essentially cure rate of 17.74%. The difference was statistically significant, P<0.001.
(2) Comparison of the therapeutic effect according to the classification of symptoms:
60 of the non-complete paralysis an essentially cure rate of 63.33%; 124 cases of atrophy of extremity, an essentially cure rate of 20.16%; 39 cases of complete paralysis, an essentially cure rate of 20.51%. The difference was statistically significant, P<0.001.
Department of Acupuncture and Moxibustion, People's Hospital of Fujian
In this article were presented with discussions results of clinical observation. Observations were made on two groups by using similar points and same procedures but varied with different drugs and their dosages.
A. Acupuncture
(1) Points selected:
Ventral type -- Biguan, Maibu, Siqiang, Zusanli, Naoqing, Jiexi.
Dorsal type -- Zhili, Yinmen, Weizhong, Chengshan, Genping, Luodi.
Paralysis of upper extremity -- Cervical 6,7 Jiaji-points, Tianzong, Jianyu, Quchi, Waiguan, Hegu.
(2) Procedure:
Most of the cases of this disease belong to the "Xu" type ("Xu" means weakness) so "Bu" procedure is applied ("Bu" means tonic in essence on needling). The needle is so inserted by slight puncture and twist on the way in continuous mild stimulation without retaining the needle. Pull the needle out quickly and press the point with the forefinger tip immediately.
B. Injection of the "points"
(1) Selection of drugs:
First group:
(A): ATP 10-20 mg. thiamine tetrahydrofurfuryl disulfide (TTFD) 20mg., vitamin B[12] 100-500 µg, galanthamine 1-2.5 mg.
(B): Sebcurinine nitrate 4mg.
(A) and (B) are efficacious for acute cases and in early convalescence.
(C): Tissue fluid 2cc, vitamin B[12] 100-500µg, efficacious for late convalescence.
Second group: ACTH 25 units, effective for any type of paralysis.
(2) Points for injection:
Besides the "jiaji-points" considered to be the essential points, the following two groups of points may be selected in case of:
Ventral type
Group I: Huantiao, Yanglingquan, Jiexi.
Group II: Huantiao, Zusanli, Shangqiu.
Dorsal type
Group I: Chengfu, Yinmen, Chengshan.
Group II: Chengfu, Weizhong, Heyang.
Paralysis of upper extremity
Group I: Jianyu, Quchi, Waiguan
Group II: Jianyu, Shousanli, Hegu
(3) Dosage:
Group I: For each "jiaji point" 0.5-1.0cc, each point of buttock 1.5-0.2cc, each point of extremity 1 cc. Twelve injections for a course.
Group II: Under 1 year of age 2-3 units, 2-3 years of age 3-4 units, above 3 years of age 4-5 units or more, one injection per day with a total dose of 50 units as a course. Four courses of treatment are considered as an interval.
C. Analysis of the therapeutic effect
Group I (137 cases)
(1) Comparison between the acute and convalecent cases: Among 87 of the acute cases showed an essentially cure rate of 51.72%. Among 50 of the convalescent cases, had an essentially cure rate of 36.00%. The difference was statistically significant, P<0.001.
(2) Comparison of the therapeutic effect according to clinical classification:
44 of the mild cases, an essentially cure rate of 68.00%; 42 of the serious cases, an essentially cure rate of 2.78%. The difference was statistically significant, P<0.001.
Group II (223 cases)
(1) Comparison of the therapeutic effect according to the stage of the disease.
Within one month, an essentially cure rate of 47.54%; 100 cases of 1-6 month duration, an essentially cure rate of 31.00%; 62 cases over 6 month duration, an essentially cure rate of 17.74%. The difference was statistically significant, P<0.001.
(2) Comparison of the therapeutic effect according to the classification of symptoms:
60 of the non-complete paralysis an essentially cure rate of 63.33%; 124 cases of atrophy of extremity, an essentially cure rate of 20.16%; 39 cases of complete paralysis, an essentially cure rate of 20.51%. The difference was statistically significant, P<0.001.
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