Saturday, June 7, 2008

The Manipulation Methods Of Warm Re-Enforcing And Cold Reducing During Acupuncture -- A Summary Of Preliminary Clinical Observation

Department of Acupuncture and Moxibustion, Guanganmen Hospital, Academy of Traditional Chinese Medicine

According to the theories recorded in the classical works of Traditional Chinese Medicine (Lingshu and Suwen ) and the experience of scholars of different schools in traditional medicine through the descending dynasties, modifying the manipulation of the needle during acupuncture produce the sensation of warmness and coldness giving rise to the therapeutic effect of reenforcing the hypofunction and reducing the hyperfunction. We in this paper summed up our own experience in clinical use of this method and the skin surface temperature and vasomotor changes during the treatment procedure were monitored by means of electrodermothermometer and Messe's plethysmograph.


Description of the needling procedure

The warmness producing method of reenforcing:

The acupuncture point is pressed with the index finger of the left hand and the needle is inserted with a swifty twist by the right hand. The puncture is deepened gradually, combined with the manipulation of gentle lift and heavy thrust until the needling sensation appears. When the patient experiences distension over the needling site, 3-5 rotations of the needle will produce the warm sensation. This is successful in most of the cases, though repeated trials are sometimes required for failures in the primary attempts. Pressure is applied on the point following withdrawal of the needle. The coldness producing method of reducing is similar to the above details, only they are carried out in the reverse order.


Results:

Case of traumatic arthritis, stomachache, optic nerve atrophy, amenorrhea etc. were treated with this method of reenforcing and reducing and the effective rate was found to be 85.2%.

Effect on the temperature of skin surface:

Marked elevation of the skin surface temperature occurred during needling with the warmness producing reenforcing manipulation, whilst a significant lowering was observed by the coldness producing reducing procedure. Comparison of the results with that in the control group treated with the plain reenforcing and the plain-reducing method, gave figures of remarkable statistical significance (P<0.001).


Vasomotor reaction:

Vasodilatation is caused by the warmness producing reenforcing method applied on the point Hegu, and coldness-producing reducing method on the same point resulted in vasoconstriction. Comparing the vasomotor effect following the plain reenforcing and reducing with that produced by the above mentioned two methods, the differences are remarkably significant statistically (P<0.001).

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