Font Size: a A A

Clinical Research On Therapy For Stroke Sequela By Sibin Bian-stone Needling

Posted on:2012-12-10Degree:DoctorType:Dissertation
Country:ChinaCandidate:P L LaoFull Text:PDF
GTID:1114330368975689Subject:Integrative Medicine
Abstract/Summary:PDF Full Text Request
Back groundStroke is a clinically kind of common disease, frequently-occurring disease. For thousands of years, Chinese medicine on the prevention and treatment in stroke play an important role of mortality, ease morbidity have outstanding contribution. Acupuncture is an important part in traditional Chinese medicine, as effective non-drug treatment, due to its efficacy precise and easy operation, small, safety features side effects, so, the rapid development of modern medicine, acupuncture today still has strong vitality. In TCM books recorded about stroke prevention and plenty of effective treatment experience.Stroke is a kind of heart head blood-vessel, is harmful to human as the first killer more than the cancer. Chinese medicine named the disease as "stroke" and "stroke". Due to the imbalance of Yin and Yang, qi and xue committed to the inverse disorderly to brain. With a faint servant and unconscious, half-paralyzed, mouth eye skewed; Or not only by the faint servants, with half-paralyzed, mouth and eye skewed, words adverse, partial body numb as the main manifestation of a disease. Modern medicine called cerebral vascular accident (C.V.A.), is the brain blood circulation barrier acute cerebral function caused by a group of diseases. Damage Clinical characteristics, is characterized by rapid appear neurologic deficits symptoms. Survivors there exists different degree to lose labor ability, severely disabled person can reach to 40%, and stroke is the main cause of cerebral sex dementia. Hemorrhagic mainly include cerebral hemorrhage and subarachnoid hemorrhage, ischemic including transient ischemic attack, cerebral thrombosis and cerebral embolism. Apoplexy Sequela patients after acute period in, should undertake rehabilitation therapy. Sibin Bian-stone can obviously improve local micro-circulation, accelerate the blood flow velocity, channels, so the author put Sibin Bian-stone Needling therapy the treatment of Stroke Sequela, application and satisfactory curative effect.Chinese medicine for thousands of Chinese culture as a crystallization of Chinese civilization in the process of upper and lower transmission plays an important role in Chinese science and technology to prevent and cure diseases, especially of the time developed an indispensable process of preventive health care, are confirmed in practice scholars of the ancient Chinese medicine experience lofty ideals, for which won the admiration of the public. In recent years, with the development of technology, cultural exchanges and people to accelerate the treatment of Green's request, in theory under the guidance of traditional Chinese medicine treatments not only in the Chinese residential area but also in Europe and the United States developed regions such as the United Kingdom, Germany, France, Belgium, the Netherlands, the United States, Canada extensively as a supplement or alternative treatment which is carried out. In recent years, with the development of technology, cultural exchanges and people to accelerate the treatment of Green's request, treatments under the guidance of traditional Chinese medicine are carried out not only in the Chinese residential area but also in Europe and the United States developed regions such as the United Kingdom, Germany, France, Belgium, the Netherlands, the United States, Canada extensively as a supplement or alternative treatment. As the one of core of traditional Chinese medicine, the meridian theory, or the needle, moxibustion practice under the guidance of the meridian theory attract vast numbers of scholars to study it. Recalling the history of acupuncture meridians study, there has two climax periods in abroad from fifties to sixties of twentieth century and from the end of the twentieth century to now. Japan (Ryukyu countries) and Korea (Korea country) exchange culture with ancient china closely, but the "Golden Wind Han," Case stop the enthusiasm and led to the climax to End. Because of economy, technology, talented scholars, the United States far away in the western hemisphere had paid much attention to Acupuncture and Meridian Research and now they have a number of research papers published in SCI and had raised several hypothesis. As Chinese, we have the duty to clarify the mechanism of acupuncture and meridians. Therefore, our country has invested substantial funds and a large number of scholars to study it, and has established "eight-five" and "nine-five" meridian climb research projects. Clinical, laboratory research confirmed the objective existence of meridians, and further found that Meridian has a cross-section of conductive body through by a two-way transmission, and low resistance, high conductivity, high temperature luminescence, and calcium ion concentration of characteristics of the population. Summed up decades researching, there had difficulties to unify the various theories. The biggest rift existed between "functional" and "structure", "overall" and "partial". Since the HM Langevin proposed the standpoint of loose connective tissue in the human body constitutes a "flaky network support" and "signal network", the researchers come to realize the importance of structure in our bodies. It is worth mentioning that the Professor Yuan Lin Research Group think that fascia in the human body from the shallow into the deep structure has five kinds of components:1, dermal dense connective tissue; 2, subcutaneous loose connective tissue; 3, muscle surface of loose connective tissue; 4, muscle and muscle clearance interval connective tissue; 5, door internal organs, connective tissue envelope and internal partitions.Group by studying the human body 14 GB 361 meridian acupuncture points needling sites and methods and found that parts of the body acupuncture points are located at different levels of the fascia, which is located in muscle connective tissue gap spacing and muscle up, followed by dense dermal connective tissue layer and the subcutaneous loose connective tissue layer, a small number of loose connective tissue at the muscle surface (deep fascia) and the internal organs door, envelope and internal partitions of connective tissue. By combination the above-mentioned studies and the developmental biology, Professor Yuan Lin research group pointed out:in multi-cellular organisms, mesenchyme is derived from jelly-like Extra-cellular Fluid (ECF) and further differentiates into many cell types, tissues, even organs. In higher creatures like human beings, mesenchyme gives rise to all the fascia tissue throughout the body. The fascia form support the framework of connective tissues to growth of cells of all except for framework the central nerve system, can be regarded as one functional organs and therefore this of the essential elements of the internal environment for all kinds of living cells. Functionally, the connective tissue framework not only provides a soft support of the body but also maintains the systemic balance by regulating the neural reflexes, neuroendocrine activity, neuroimmunity, and by repairing the cell and tissue injuries. Therefore, they put forward a hypothesis that an auto-surveillance system may exist in the human body, which differs essentially from the nine established functional systems. The auto-surveillance system has two main functions. One is to regulate the functional state (metabolic activity and excitation), such as neural reflex regulation and neuroendocrine regulation. The other is to regulate the state of life activity (cell division, growth and apoptosis), including cell division and growth regulation through the sympathetic nerves and cell apoptosis regulation through lymphocyte-mediated immunity. In human, the auto-surveillance system is composed of the connective tissue network which monitors and regulates living and functional conditions of tissue cells. The group's study by using ultrasound, CT, MRI and other medical imaging tools consider:In the course of acupuncture,by interpolation or twist, you can drive or affect a large scope of the connective tissue; When the acupuncture needle generally arrive outside the sarcolemma, a sense "de qi" occurs, when the needle arrival the muscles, the sense "de qi" weaken, if the needle stays on outer sarcolemma to increase the excitement, this sense will enhance; By using CT images, we have built strip structure which run along the meridian. But group also acknowledged the existence of inconsistent line structure. Contrast to the record in Chinese medicine books:group think that:records related to acupuncture points:Systemic connective tissue scaffold may be the material basis of the meridian; the acupuncture point is the site which can generate strong biological information in the connective tissue scaffold; the difference between acupuncture point and non-acupuncture point is only the amount of information and not the t qualitative difference. From a broad perspective, all parts of the body are acupuncture points, because connective tissue exist almost all the body's tissue gap.On the other hand, acupuncture points were located mainly at certain connective tissue sites, such as the muscular septa of limbs, sensory nerve endings, internal organs with rich sensory nerve distribution, and mesenteries of viscera. Basing on the results of our research and the literature on meridians and acupuncture points, as well as their diversities and clinical applications, we have put forward the following opinions:The basis of the meridian is the connective tissue framework. Manipulation on connective tissue sites of the body can generate strong biological information, such as sensory information, stretch and injury stimuli of the local tissue. 'Acupuncture points' and 'Non- acupuncture points' of the whole body can generate different amount of biological information but without qualitative difference. In other words, acupuncture points are located everywhere of the body. There is a multileveled anatomical relevance between acupuncture points and disease sites in local structures, spinal cord segments, nerve pathways and central nerve distributions. The mechanism of acupuncture is to mechanically stimulate connective tissues to generate biological effects, which regulates the body functions and life activities.According to the current research in Traditional Chinese Medicine (TCM), meridians and acupuncture points have commonly been related to connective tissues. When using Tomography and Visualized Human Techniques to mark connective tissue sites of the cadaver and to create the three-dimensional reconstruction, we found that the traditional meridians and acupuncture points closely matched to our reconstruction. Furthermore, when marking all the connective tissues in the body, a complete body-shaped framework appeared. Therefore, we draw the conclusion that the connective tissue framework is the anatomical basis of the meridian.To explore a theoretical support of our opinions, we looked back into developmental biology, the developmental process of an individual embryo, and the biological evolution of fascia connective tissue. We find that the connective tissue framework is derived from the leftover of the mesenchyme after it differentiates into variable organ systems. The extracellular matrix of a single germ layer organism, the mesogloea of a two germ layer organism, the mesenchyme of a three germ layer organism, and the non-specific connective tissue of the human are all homologous structures. The non-specific connective tissue framework in the human body provides cell storage and maintains the stability of internal environment by cell proliferation and differentiation, cell repair and regeneration. Therefore, we proposed a new anatomical approach to the human body from a dynamic view, which is the two-system theory. In this theory, the human body can be classified into two systems. One is the supporting-storing system consisting of undifferentiated non-specific connective tissues. The other one is the functional system consisting of various differentiated functional cells. Basing on this theory, we further propose a research area, Fasciaology.The human body is composed of the supporting-storing system formed by connective tissue framework and the functional system which consists of various functional cells surrounded by the framework. The supporting-storing system supplies various cells to renew and repair aging cells in the functional system to sustain a stable internal environment. The study on the mechanism of supporting-storing system, which is also called fascial framework, and its interaction with the functional system, which refers to various functional cells, is called Fasciaology.ObjectiveStroke is our common disease. The disease is characterized by multiple complications, high morbidity, re-current strong performance in varying degrees of paralysis, language barriers and mental deterioration. The treatment of Stroke Sequela can improve physical function of patients and improve the quality of life of patients and become the focus of our efforts. Through this program of research is to illustrate the optimal acupuncture treatment for stroke after-effects in clinical efficacy and superiority.To observe the elinieal effect of applying Sibin Bian-stone needling therapy in treating post-stroke patients of the deficient and blood stasis syndrome. MethodSixty post-stroke patients from Southern Hospital Guangzhou were chosen to participate in the study. Their diagnostic requirements were met according to the Forth National SymPosium of Cardio-vascular Disease Diagnostic Standards held in 1995 and the Chinese Medical diagnostic standards of stroke. The Patients were randomly divided into treatment and control groups. The patients were both treated with the same set of acupoints, but the treatment group used the Sibin Bian-stone Needling method, while the control group used massage. Both groups were using the basic symptomatic therapy, such as antihypertensive drugs, lipid-lowering drugs, hypoglycemic agents, etc., the first four days may be granted under the condition of mannitol infusion, and then give Salvia needle for 12 days to 12 days after citicoline choline needle. Experimental group and control group equal to the number of cases. The patients'progress was observed according to the criteria set in 1996 for stroke diagnostic standards and using the Barthel's Activity of Daily Living scale (ADL), and neurological function assessment. The data were collected and analyzed statistically.Results30 patients treated, the basic cure 6,15 cases of significant progress, progress in 8 cases, no change in 1 case, the total effective rate was 96.7%.Control group of 30 are recovered in 3 cases,6 cases of significant progress, progress in 11 cases, remained unchanged in 10 cases, the total effective rate 66.7%.The total effective rate Z=-3.244,P<0.05. However, with respect to the degree of improvement in clinical symptoms, the treatment group was more significant than the control group(p<0.05).The patients in the treatment group had a better ADL Score(Z=-3.244, P=0.001), and a very significant improvement in their neurological function (Z=-2.91, P=0.004)than the control group after treatment. The difference between the two groups was significant(Z=-3.024, P=0.002). ConclusionSibin Bian-stone needle treatment is effective for Stroke Sequela, and also is an effective treatment for Stroke treatment complications.
Keywords/Search Tags:Sibin Bian-stone Needle, Stroke Sequela, Scalp, Hemiplegia, The Bian-stone needle therapy
PDF Full Text Request
Related items