| Background and ObjectivesHong Kong is a busy city, in the daily life fills the pressure, thus middle many each kind of metropolises get sick the occurrence, diseases like headache and so on, make many people to complain incessantly, even cannot work in the nornmal life, headache also is normally the first disease metropolis sickness. The causes the nervous headache is due to the reason mainly the arduous study and the working pressure that creates mental strain, the mood exceptionally as well as the sleep serious insufficiency and so on, discovers patient's tense mood and the headache direct relations. The headache is one kind of old common and acute disease, the chronic headache patient is easily found among the sub-healthy group of the population, which commonly affects the productive forces directly. The tense headache (tension-type headache, TTH), we all knows that headache influenced the individual work productive forces. Hong Kong is very busy in daily live, many patients hope to have a fast and an effective treatment plan which achieved effective way to treat this disease. Looked from the economical point of view that, the long-term absence, produces the strength will drop because of disease. Because of the intense competition of the economic society, the rhythm of life speeds up, the life pressure enlarged, the nervous headache disease incidence rate has been risen-up in the tendency in our country. With other correlation psychological factors, for examples, mood reasons and causes, like anxious, despondent, depression and so on that have great influence. People need to pay more and more attention and takes some actions to treat the disease.Observes the effectiveness of treating each kind of nervous type headache by Jinsanzhan (Dizzy pain needle point) that stab the law to treat each kind of nervous type headache of the patient, including the appraisal of the degree headache. The acupuncture and moxibustion treatment also is quick, also have few side effects, the great characteristic is to achieve the strength and special effect as to take as little as three acupoints, the Chinese medicine acupuncture and moxibustion branch has this kind of superiority, also may widely apply in the field. The hope by the minority goal acupuncture number achieved the biggest curative effect, causes sickness patient to exempt acupuncture of pain not the necessity, enables the Jinsanzhan's special effect great characteristic to display,(four spirit points) and add the dialectical matching acupoint union enhanced curative effect through the Jinsanzhan according to the degree of the headache after the acupoint treatment. Four spirit points has the function which calms the nerves, regarding mental nervous, the anxious initiation paroxysmic tense headache has the definited function of treatment, also eliminates the causes headache to solvable mental strain, anxious sickness, the utilization adjusts the god pain-relieving law treatment paroxysmic tense headache,"adjusts its spirit, the command of Qi easy in line", to lead "passes by Yi passes through" to have the analgesic effect.MethodsIn line with the International Headache Society diagnostic criteria for headache classification standards of attack in tension-type headache established by the year of1988; divides into two groups stochastically60examples tense headache patients, the treatment group and the control group, each group of each30examples. Use single use gem free acupuncture needle standard:1inch(Φ0.30mm x25mm),1.5inches(Φ0.35mm x40mm)and2inches(Φ0.35mm x50mm) acupuncture needle, after the conventional disinfection, enters the acupuncture the acupuncture point, causes it bring about the desired sensation, acupuncture true symptoms with flow swiftly the law, if is accompanied by diseases of general debility, available tonic method. Every ten minutes turning needles1time, compared with multipurpose make up evenly flow swiftly, keep the needle for30minutes, also adds with the TDP local partial illumination treatment, it represents one single treatment. Altogether5times are one whole complete treatment course in every other day, two groups through use in the Jinsanzhan (Dizzy pain needle point) acupuncture treatments to add the matching acupoint (treatment group) and union with the Jinsanzhan acupuncture law in four spirit points acupuncture treatment and ordinary selection points (control group) for comparison, observes analyzes its clinical curative effect, the curative effect observation includes: Compared with after the treatment the degree of headache,(Visual Analogue Scale, VAS) appraises its ache degree and McGill pain questionnaire,(MPQ), the concomitance symptom by the visual simulation grading law changes, and the length of the recurrent time of the headache patients. Curative and healing effect standard, according to ((The clinical study guides of the of Chinese Medicine and the New Medicine》:Headache each symptom vanishes completely, in half year does not have the recrudescence. Effective:The headache reduces obviously, symptom basic vanishing, does not affect the worker. Change for the better:The headache frequency reduces, the recrudescence time reduces, basically may carry on the routine work. Invalid:Before the headache and the concomitance symptom and the treatment compare, various aspects do not have the progress.By Jinsanzhan(corona pain points) point selection:Halo pain needle for basic plus points. Syndrome differentiation point, supplemented by distal acupoints of extremities,(Meridian passes and attending)(1) Of deficiency of qi and blood Qihai,Xuchai, Zusanli.(2) Phlegm and blood-stasis migraine an Ashi point, Neiguan, Xuchai,Fenglong, Yin Ling Quan, hegu.(3) Headache liver-Yang joined was Taichong, Taixi, Xiaxi, sanyinjiao.(4) Headache due to kidney deficiency use Shenshu, Xuanchong.①Treatment group:This group by using Jinsanzhan (Dizzy pain needle point) To select the main points and syndrome differentiation of syndrome to cater for the distal extremities selection point to observe its curative effect.②Control Group (ordinary selection for acupuncture treatment): Specification for mainly local acupoints and under the headache part combined with distal acupoints of extremities along meridians and combined with different of syndrome acupuncture methodsPoint handling manual:Point handling manual for treatment according to sydromes, such as purging method for empirical, Qi and blood deficiency syndrome with tonifying method or method of tonifying and purging, and more use is supplement reducing methodo Due to head guided points mostly, dang using to plug twist go supplement Xie thorn method to lesions Shi, pay attention to superficial facial skin more easy to bleed, puncture Hou does not to plug twist the other alternative is available by using scraping needle method, first vertical thorn into skin Xia, used single hand fast puncture method puncture, up Cap shaped key film Xia Hou, to15°angle of direction along skin fast thorn into0.5-1.0inches, was gas Hou needle. Point handling manual, such as liver-Yang headache by Xie, Qi and blood deficiency syndrome with tonifying method or method of tonifying and purging.The result1. Control and treatment group therapy before and after Visual analog score (Visual Analogue Scale, VAS) to evaluate their degree of pain, VAS Score there are significant differences (P<0.01), Bill McGill questionnaire (McGill pain questionnaire, MPQ) prompt treatment of treatment group can significantly reduce the tension-type headache (tension-type headache,TTH) in patients with pain. After the treatment, show the treatment group has a higher pain reducing effect, also with the remarkable effect, compares the control group in treating the tense headache pain-relieving effect to surpass the control group. Also explains two groups of therapies the analgesic effects and the treatment time present correlation.With the comparison of this study of these two groups after treatment, compare the length of cure time required of two groups of patients, the Dizzy pain needle point acupuncture treatment group cases is better than ordinary selection of needle of treatment-control group, healing time is short, and on the treatment of relapse time is longer. The VAS scores were significantly different (P<0.05).2. Before treatment, the productivity of the two groups there are significant differences (P<0.05). Also in an effective, efficient, secure and low-cost treatment programmes, prompt reduction in patients with tension-type headache, society has a great link and impact productivity, because of the decrease of symptoms of the headache so that the productivity increase significantly.,3. Observation of Dizzy pain needle point puncture method in the treatment of various types of treatment in patients with tension-type headache. Treatment group or the control group, clear description of acupuncture and moxibustion in the treatment is faster, less side effects, the treatment group with three points in a system to reach points of characteristic features of efficient macro, acupuncture has the advantage also can widely applied and is worth more to flourish4. From the different studies, acupuncture treatment effectiveness has gradually been pushing and was praised by professional, hoping in taking this opportunity to wish stronger effectiveness of acupuncture and moxibustion on pain. The study also found that using dizzy pain needle point puncture acupuncture combined with and syndrome differentiation typing to tie in with the distal limbs selected treatment are more evidently success.Conclusion:1. Dizzy pain needle point treatment of tension-type headache (tension-type headache, TTH) with an simple operation,practical,high security,good clinical curative effect, against the acute,chronic, recurrent characteristics of refractory tension-type headache made some enlightenment. It is worth for the clinical studies further thorough research and the ponder.2. Treatment results of the treatment group are better than control group.3. Treatment group clinical significance of treatment of tension-type headache is great, special used by Jinsanzhan dizzy pain needle point to achieve the macro features effect, with a simple operation and systematic and practical,high security,good clinical treatment effect. Its main indicators, such as degree of headache, two groups of patients with headache scale (VAS), and McGill pain questionnaire (MPQ), have improved significantly before and after treatment; With symptoms such as nausea, vomiting, blood pressure and dizziness have improvement, or even disappear altogether; blood pressure back to normal level; productivity increased gradually; length of the recurrence period, as the main indicator for analysis and evaluation. |
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