Monday, June 2, 2008

Differentiation Of Bi-Symptom-Complex And Investigation Of The Rules Of Acupuncture Therapy -- With Analysis Of Therapeutic Effect Of 1,168 Cases

Chen Quanxin (Department of Acupuncture, Hospital of Traditional Chinese Medicine, Guangdong Province)

"Bi-symptom-complex", in traditional Chinese medicine, is a title given to the diseases of locomotive system as a whole. It was stated anciently in "Suwen", an Essay on 'Bi-symptom-complex': " 'Bi-symptom' is caused by wind, cold and damp"; and in "Ji Sheng Fang": " 'Bi-symptom-complex' is caused by difficiency, shallowness and scattering of skin textures as well as wind, cold and damp". This paper analysed the clinical material of 1168 cases of "Bi-symptom-complex", including the percentage of different diseases, the duration and causes of the syndrome, the age, sex and occupation of the patients, etc. Thus, it is further interpreted that this syndrome is caused by congenital insufficiency or acquired difficiency, so that, deficit of the vital energy and blood results in the decrease of body resistance (en-dogenous factor); furthermore, physical exhaustion or improper recuperation will submit to the invasion of wind, cold and damp (exogenous factors).


According to its etiology and clinical manifestation, "Bi-symptom-complex" is divided into four types. Through the differentiation between different types of the syndrome, diseases are treated accordingly. In this paper, the rules regarding the differentiation between various diseases belonging to "Bi-symptom-complex" and its acupuncture therapy are summarized (including the clinical manifestation of different type of the syndrome, examples for how to differentiate, the application of manual skill of "re-enforcing" and "reducing", the principles for selecting different points, the determination of primary and subsidiary points--eight meeting points, on the back and points according to different symptoms, etc.).


The therapeutic effect is estimated according to the degree of relief of pain and recovery from dyskinesia. A part of patients is followed up for more than one year. Of 1168 cases observed, 600 recovered (52.2%), 338 evidently effective (28.1%), 185 effective (15.8%) and 43 failed (3.9%). The total effective rate is 96.1%.

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