Orthopedic Hospital of Wendeng County, Shandong
607 patients, including 77 cases of osteoarthritis, 107 cases of open fracture after debridement and internal fixation, and 413 cases after aseptic operation, were treated by means of acupuncture in our hospital from Oct. 1976 to Sep. 1978. The efficacy was 97%.
1. Materials and Methods:
(1) Selection of cases:
Cases of osteoarthritis with fever, leucocytosis, local swelling and pain, 29 cases of which showed lesions of suppurative arthritis on X-ray examination, cases of open fracture with wounds of more than 10 cm. in length and severe contamination, delayed for more than four hours before hospitalization, cases of complicated operation with the operating time more than two hours.
(2) Acupuncture points:
Upper limbs: Hegu, Quchi, Shousanli, Neiguan.
Lower limbs: Sanyinjiao, Zusanli, Xingjian, Yanglingquan, Xuehai, Biguan, Xuanzhong, Chongmen, Weizhong.
Trunk: Huantiao, Zhibian, Dazhui.
The majority of acupuncture points were selected on the same side of lesions. If there were external fixations on the side of lesions, took the points on the opposite side. The points Dazhui and Quchi were added in case of fever. The point Zusanli was added in case of anorexia.
(3) Manipulation of needling:
"Reducing" method was recommended for robust patients or patients with fever and pain. "Moderate" manipulation was recommended for patients with chronic inflammation.
(4) Maintenance of needling:
As the patient felt soreness, numbness, distension and heaviness around the needling points, the needles were left in the points for 20 minutes and the same manipulation repeated once again during this period. Acupuncture was carried out once a day, and twice a day for severe cases.
2. Clinical observation:
All of 77 cases with osteoarthritis were cured, except one patient who died of acute yellow atrophy of liver. Among 107 cases of open fracture after debridement and internal fixation, 93 cases were healed by first intention, 13 cases were healed by second intention, and four cases resulted in infection of wound. Among 413 cases after aseptic operation, 412 cases were healed by first intention and one case was healed by second intention.
Within two days after acupuncture, patients' mental state, appetite and sleeping condition were markedly improved, and the pain relieved.
During the course of acupuncture, 26 patients had examinations on blood picture. Eosinophil counts were found to be elevated one day after acupuncture, reached their peaks three days later, and returned to the original levels one week later.
All the patients in this group received neither antibiotics nor other anti-inflammatory drugs.
607 patients, including 77 cases of osteoarthritis, 107 cases of open fracture after debridement and internal fixation, and 413 cases after aseptic operation, were treated by means of acupuncture in our hospital from Oct. 1976 to Sep. 1978. The efficacy was 97%.
1. Materials and Methods:
(1) Selection of cases:
Cases of osteoarthritis with fever, leucocytosis, local swelling and pain, 29 cases of which showed lesions of suppurative arthritis on X-ray examination, cases of open fracture with wounds of more than 10 cm. in length and severe contamination, delayed for more than four hours before hospitalization, cases of complicated operation with the operating time more than two hours.
(2) Acupuncture points:
Upper limbs: Hegu, Quchi, Shousanli, Neiguan.
Lower limbs: Sanyinjiao, Zusanli, Xingjian, Yanglingquan, Xuehai, Biguan, Xuanzhong, Chongmen, Weizhong.
Trunk: Huantiao, Zhibian, Dazhui.
The majority of acupuncture points were selected on the same side of lesions. If there were external fixations on the side of lesions, took the points on the opposite side. The points Dazhui and Quchi were added in case of fever. The point Zusanli was added in case of anorexia.
(3) Manipulation of needling:
"Reducing" method was recommended for robust patients or patients with fever and pain. "Moderate" manipulation was recommended for patients with chronic inflammation.
(4) Maintenance of needling:
As the patient felt soreness, numbness, distension and heaviness around the needling points, the needles were left in the points for 20 minutes and the same manipulation repeated once again during this period. Acupuncture was carried out once a day, and twice a day for severe cases.
2. Clinical observation:
All of 77 cases with osteoarthritis were cured, except one patient who died of acute yellow atrophy of liver. Among 107 cases of open fracture after debridement and internal fixation, 93 cases were healed by first intention, 13 cases were healed by second intention, and four cases resulted in infection of wound. Among 413 cases after aseptic operation, 412 cases were healed by first intention and one case was healed by second intention.
Within two days after acupuncture, patients' mental state, appetite and sleeping condition were markedly improved, and the pain relieved.
During the course of acupuncture, 26 patients had examinations on blood picture. Eosinophil counts were found to be elevated one day after acupuncture, reached their peaks three days later, and returned to the original levels one week later.
All the patients in this group received neither antibiotics nor other anti-inflammatory drugs.
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