Zhong Meiquan, Niu Yinhua (Division of "Plum-blossom" Acupuncture, Department of Acupuncture and Moxibustion Guanganmen Hospital, Academy of Traditional Chinese Medicine)
Since 1964, "plum-blossom" needle was adopted in the treatment of myopia among the adolescent. Following repeated trials in series of a large number of cases, the result of treatment were proved to be satisfactory. From 1971, electric-charged "plum-blossom" needle was introduced for clinical use, giving rise to further improvement in the therapeutic effect.
Clinical Data
This group of 1043 cases consists of 2057 eyes. Selection of the patients was based on the following criteria: (1) naked eye vision below 1.0, (2) refraction examination done before the commencement of the treatment, (3) a near eye vision examination prior to the treatment, (4) age below 20, (5) continuation of seven courses of treatment. Standards of therapeutic effect are as follows: (1) cure: vision above 1.0 or over, (2) remarkable effect: increase of vision for 3 degrees, but still below 1.0, (3) improved: increase of vision for 1-2 degrees and (4) failure: no improvement of vision.
The patients were divided into two groups: (1) Acupuncture point group, Zhengguang and Zhengguang[2], Fengchi, Neiguan, Dazhui. (2) Acupuncture applied to different regions. During the treatment the "plum-blossom" needle were on line to a weak electric current. One course of treatment consists of 15 times of acupuncture which is given in alternative days for prophylaxis of myopia and consolidation of the therapeutic effect, the patients were instructed with the two requirements and six taboos and to persist in massage over the acupuncture point Zhengguang.
Result of the treatment: cure 453 eyes, (21%); remarkable effect 1153 eyes (56.1%); improved 45 eyes (21.9%) and no effect 20 eyes (1%). Clinical practice reveals that, the result of the treatment is better for patient with low myopia than those of high myopia, though even for the latter remarkable effect is still found to be 50-60%. From the result of refraction examination in the 235 cases in whom the vision has increased for two rows after the treatment, it is clearly shown that the improvement of vision is in direct proportion to the decrease of the degree of refraction; among the 54 cases undergone reflection examination after dilatation of pupil, 72.2% showed decrease of the degree of refraction, and in 27.8% of the cases with better improvement of vision, no change in the degree of refraction was observed. These results may be attributed to the functional accommodation of the retina. To clear up the question of whether or not spontaneous recovery of myopia does occur, an uninterrupted observation was made in 147 eyes for 2-5 years. Among them 117 eyes showed continual attenuation of vision (79.6%), and only three eyes (2.1%) recovered to normal. This clearly indicates that an active attitude should be taken in the prophylaxis of myopia.
As to the relation of optic correction with the therapeutic effect, the group without wearing the glasses gave better results than those with the spectacles (P<0.001)>0.1). During the treatment period, the patients were advised putting aside the glasses, so as to attain better results and in so doing, lowering of vision was observed in none.
Therapeutic effect observed from long-term follow-up: Among the cases with remarkable effects, a total of 953 eyes were followed up for three months to five years since the conclusion of the treatment course. (1) In 248 eyes (26%) further improvement of vision were observed, (2) 368 eyes (58.6%) remained at status quod, (3) impairement of vision or retrogression to the original level in 270 eyes (28.4%), (4) a decline to the pre-treatment level or even worse in 67 eyes (7%). A continual improvement of the vision after the conclusion of the treatment is closely related to the insistence of practicing massage on the Zhengguang point by the patient himself.
Since 1964, "plum-blossom" needle was adopted in the treatment of myopia among the adolescent. Following repeated trials in series of a large number of cases, the result of treatment were proved to be satisfactory. From 1971, electric-charged "plum-blossom" needle was introduced for clinical use, giving rise to further improvement in the therapeutic effect.
Clinical Data
This group of 1043 cases consists of 2057 eyes. Selection of the patients was based on the following criteria: (1) naked eye vision below 1.0, (2) refraction examination done before the commencement of the treatment, (3) a near eye vision examination prior to the treatment, (4) age below 20, (5) continuation of seven courses of treatment. Standards of therapeutic effect are as follows: (1) cure: vision above 1.0 or over, (2) remarkable effect: increase of vision for 3 degrees, but still below 1.0, (3) improved: increase of vision for 1-2 degrees and (4) failure: no improvement of vision.
The patients were divided into two groups: (1) Acupuncture point group, Zhengguang and Zhengguang[2], Fengchi, Neiguan, Dazhui. (2) Acupuncture applied to different regions. During the treatment the "plum-blossom" needle were on line to a weak electric current. One course of treatment consists of 15 times of acupuncture which is given in alternative days for prophylaxis of myopia and consolidation of the therapeutic effect, the patients were instructed with the two requirements and six taboos and to persist in massage over the acupuncture point Zhengguang.
Result of the treatment: cure 453 eyes, (21%); remarkable effect 1153 eyes (56.1%); improved 45 eyes (21.9%) and no effect 20 eyes (1%). Clinical practice reveals that, the result of the treatment is better for patient with low myopia than those of high myopia, though even for the latter remarkable effect is still found to be 50-60%. From the result of refraction examination in the 235 cases in whom the vision has increased for two rows after the treatment, it is clearly shown that the improvement of vision is in direct proportion to the decrease of the degree of refraction; among the 54 cases undergone reflection examination after dilatation of pupil, 72.2% showed decrease of the degree of refraction, and in 27.8% of the cases with better improvement of vision, no change in the degree of refraction was observed. These results may be attributed to the functional accommodation of the retina. To clear up the question of whether or not spontaneous recovery of myopia does occur, an uninterrupted observation was made in 147 eyes for 2-5 years. Among them 117 eyes showed continual attenuation of vision (79.6%), and only three eyes (2.1%) recovered to normal. This clearly indicates that an active attitude should be taken in the prophylaxis of myopia.
As to the relation of optic correction with the therapeutic effect, the group without wearing the glasses gave better results than those with the spectacles (P<0.001)>0.1). During the treatment period, the patients were advised putting aside the glasses, so as to attain better results and in so doing, lowering of vision was observed in none.
Therapeutic effect observed from long-term follow-up: Among the cases with remarkable effects, a total of 953 eyes were followed up for three months to five years since the conclusion of the treatment course. (1) In 248 eyes (26%) further improvement of vision were observed, (2) 368 eyes (58.6%) remained at status quod, (3) impairement of vision or retrogression to the original level in 270 eyes (28.4%), (4) a decline to the pre-treatment level or even worse in 67 eyes (7%). A continual improvement of the vision after the conclusion of the treatment is closely related to the insistence of practicing massage on the Zhengguang point by the patient himself.
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