Summary Of He Tianyon’s Academic Experience And Clinical Study Of The "Sanweiyiti" Acupuncture Method For Poststroke Hemiplegia

Part1Summary of He Tian You’s academic experienceObjective:To summarize the academic experience of the types of diseases that Professor He Tian You excels at treating.Methods:Through collecting material concerning He Tian You’s academic thinking, clinical experience, clinical and research papers published by He Tian You and his students and by collecting120of He’s clinical cases and thoroughly analyzing them, we intend to excavate their academic meaning and explore their clinical pattern.Results and Conclusions:1. Chronic prostatitis1.1Acupuncture treatment:(1) Acupoint selection-a fusion of traditional Chinese and Western medicine, developing a new style. Mainly choosing Three-Yin point:Jia Yin1, Jia Yin2and ChongYin.(2) Acupuncture aspect-emphasizing the obtaining of Qi and exceling at using acupuncture manipulation techniques.1.2Chinese herbal medicine treatment:(1) Strictly working out the main formula based on the pathogenesis:Professor He Tian You consider blockage of the Liver Meridian to be the basic pathogenesis of this disease and therefore he often uses soothing the liver and expelling stasis and invigorating blood and relieving pain as main methods, composing this basic herbal formula:chai hu, yu jln, yan hu suo, chuan lian zi, li zhi he, bai hua she she cao, zao jiao ci.(2) Variations based on syndrome differentiation and symptoms:Professor He feels that the main syndrome does not change hence the main formula does not change,but is slightly varied based on the symptoms.2. Lumbar intervertebral disc herniation2.1Experience summary:(1) Exploring pathogeny and probing into the pathogenesis;(2) Comprehensive traditional Chinese and Western medicine diagnosis, basing the procedure on the disease;(3) Syndrome differentiation in stages and carefully examining the syndrome before giving treatment.2.2Personal insight:(1) Emphasizing wholism, treating manifestation and root cause at the same time;(2) Advantageous to treat in stages;(3) Advantageous to use needling methods and to purge and tonify at the same time;(4) Combining convalescence and treatment to avoid relapse.3. Peripheral facial palsy3.1Experience summary:(1) Early diagnosis, early treatment;(2) Locating the area of the disease and treating it with a combination of traditional Chinese and Western medicine; Through many years of clinical practice Professor He Tian You has summarized and made the "three stages and five periods" treatment method.(3) Treatment in stages and using a treatment combination of acupuncture and herbal medicine.3.2Personal insight:(1) selecting traditional Chinese or Western medicine according to need;(2) Considering the whole and combining acupuncture and herbal medicine;(3) Exceling at using acupuncture, seldom using electro-acupuncture;(4) Comprehensively considerating on causes and predicting the outcome.4. Cerebral apoplexy4.1Experience summary:(1) Through exploring the pathogeny. he has discovered that the real cause is deficiency in the viscera;(2) One should examine the disease in stages and differentiate between manifestation and root cause, chronic and acute:(3) Combining acupuncture with herbal medicine and finding the evidence to support differentiation of disease and syndrome.4.2Clinical insight:(1) Time is of essence, the sooner one starts with the treatment the better the result will be;(2) Put emphasis on the whole and always go for a comprehensive treatment:(3) Being flexible in your treatment and remembering that there will always be differences between people and difference in time.5. He Tian You’s moxibustion ideology and clinical characteristics5.1Moxibustion ideology:(1) Encouraging the use of moxibustion;(2) Combining acupuncture and moxibustion:(3) Moxibustion can be used for heat syndrome;(4) Combining moxibustion and herbal medicine.5.2Clinical characteristics:(1) Exceling at using moxibustion for treating a number of diseases;(2) Using moxibustion after differentiating the disease and the syndrome;(3) Offen treating stubborn disease with enough fire of moxibustion.Part two Clinical study of the "Sanweiyiti" acupuncture method for poststroke hemiplegiaObjective:To evaluate the "Sanweiyiti" acupuncture method on its clinical efficacy and superiority for poststroke hemiplegia.Method:126patients of poststroke hemiplegia were randomly divided into two groups, the study group which were given the "Sanweiyiti" treatment (63cases) and the control group which were given convalescence treatment (63cases). The study group was given one acupuncture treatment every day, with30minutes of needle retention. They were treated for6days in a row which counts as one treatment period, before they had one day of rest and started with a new treatment period. The control group was given convalescence training once a day; each session would last45minutes. They had6sessions in a row, which counted as a treatment period, and then they rested for one day before they started with the next treatment period. On the7th,14th,21st and28th day statistical notes of the clinical efficacy was taken. We used the NDS score, Fugl-Meyer score (FMA score), ADL score (Barthel index) and the FCA score to indicate the recovery of the limbs functions.Results:1."NDS:After7.14,21and28days the NDS score in the study group was clearly lower than before treatment (P<0.05).while for the control group the NDS score was clearly lower after21and28days then before treatment (P<0.05),but without any significant difference after7and14days (P>0.05). After7and14days of treatment the NDS score for the study group was clearly lower than that of the control group (P<0.05), however after21and28days of treatment there were no significant difference in the NDS score of the two groups (P>0.05), And after28days of treatment the difference in degree of neural damage between the two groups were insignificant (P>0.05)2. FMA:After14,21and28days of treatment FMA score of both groups was clearly higher than before treatment (P<0.05), but after7days of treatment the difference with FMA score before treatment were of no significance (P>0.05). After7,14,21and28days of treatment there were no significant differences in the FMA score between the two groups (P>0.05)3. ADL:After14,21and28days of treatment the AQL score for both groups were clearly higher than the ADL score before the treatment (P<0.05).however after7days of treatment there were no significant difference in the AQL score (P>0.05). After7,14,21and28days of treatment the difference in ADL score of the two groups were of no significance (P>0.05).After28days of treatment there were no significant difference in the daily life ability of the subjects in both groups (P>0.05)4. FCA:After21and28days of treatment the FCA score was clearly higher than that before treatment for both groups (P<0.05),while after7and14days of treatment there were no significant difference in the FCA score (P>0.05). And after7,14,21and28days of treatment there were no significant differences in the FCA score between the two groups (P>0.05)Conclusions:(1) The "Sanweiyiti" acupuncture method has a certain clinical efficacy for poststroke hemiplegia and has no difference in clinical efficacy from modern convalescence treatment.(2) The "Sanweiyiti" acupuncture method has works faster than modern convalescence treatment when it comes to treat poststroke hemiplegia.(3) The "Sanweiyiti" acupuncture method has the ability to build up efficacy with the extension of time when used for poststroke hemiplegia.