Preliminary Observations On Time-Effect Rule Of Chronic Cholecystitis Patient's Gallbladder Movement On Acupuncture In Yanglingquan Acu-point

Objective:To explore the time-effect rule of chronic cholecystitis patient's gallbladder movement on acupuncture in yanglingquan acu-point under different conditions,and provides the clinical reference on best needle retaining time and acupuncture frequency through observation on effect of patient's gallbladder movement and compare the differences at different time points with ultrasonic scanning.Methods: The research consist of 18 chronic cholecystitis patients, randomly divide the patients who meet the inclusion criteria into 2 groups in the term of doctor order, group A(needle retaining 60')and group B(needle retaining 30'),record the gallbladder volume at different time points in both groups with ultrasonic scanning,and carries on the statistical analysis. Results:1.There are significant differences on the impact on gallbladder volume at different time points of before and after acupuncture between two groups(P<0.05), and there are differences between after acupuncture immediately,10',30'and before treatment(P<0.05); 2.There are no remarkable difference in retaining the needle for 60' or 30'(P>0.05);3.There are significant differences after acupuncture 10'-20',20'-30'between group A and B(P<0.05);4.There are remarkable differences in both groups between before acupuncture and after acupuncture 30mins,when the gallbladder volume reaches its least(P<0.05);5.Group B reaches its half-life at 50mins while group A doesn't reach its in the full 60mins;6.In the period of acupuncture 30mins-60mins, the gallbladder has no fast and intense diastole movement and contractive motion in Group A,but is maintains at one kind of stable high tensity condition.In treatment 20mins for the group B,the gallbladder volume curve rapid raises largely, after has the needle, there has no fast and intense diastole movement and contractive motion, but maintains at one kind of stable low tension condition.Conclusion:1.Needling had a bidirectional,benignity control action,which depended on the functional situation of the body;2.Acupuncture in yanglingquan acu-point has promotive effect and time-effect rule to gallbladder movement;3.We may preliminary view that the best induction periods of both groups are 30 mins;4.Retain needles for 30mins and 60mins has no significant differences on effect of gallbladder contraction degree,the half-life of needle retaining 30' group is 20mins and of needle retaining 60'is over an hour;5. In a word the best needling time to cure chronic cholecystitis is 30mins.