| BackgroundParkinson’s disease is a kind of old nervous system degenerative disease, has the characteristics of high incidence and high morbidity, mainly for static tremor. Incidence of a disease is of 500/10 population over the age of 50,60 years of age or older is obvious to double up. In Parkinson’s disease to the years of the disease can lead to significant disability of elderly patients. Along with the social the aging of population, the incidence of Parkinson’s disease is increased year by year, and has a tendency to young. Is after cerebrovascular disease, Parkinson’s disease in one of the most common disease in the elderly, the lack of proper treatment will gradually lose life self-care ability, to the society and family make a huge economic burden and mental stress. There is no way to cure Parkinson’s disease, and early diagnosis rate is low, diagnosis and detection of index is also working on a variety of objective, it is not yet mature. Main aim of the current treatment is to control the clinical symptoms, patients as much as possible to maintain independent living ability and quality of life. Despite of medical treatment with drugs, to some extent can effectively make patients control their condition, relieve symptoms and delay the course of the disease, but after long-term use, patients prone to all kinds of side effects and complications, such as the agent at the end of the phenomenon, switches, a vision of the involuntary movement disorder, nausea, vomiting, or even 15% of the patients was ineffective, lead to many patients finally unable to adhere to treatment. In order to reduce toxicity and enhance the clinical curative effect of western medicine, now people pay more and more attention to the traditional Chinese medicine and acupuncture treatment. During the 1970’s, scalp acupuncture was developed as a complete acupuncture system. Three major contributors to the development of this system, Jiao Shunfa, Fang Yunpeng, and Tang Songyan, each proposed different diagrams and groupings of scalp acupuncture points. For example, Jiao divided the scalp points into motor and sensory areas, Fang into writing (speech) and reading (memory) centers, and Tang into upper, middle, and lower burner areas. Several different methods of needling were proposed. Jiao advocated rapid twirling with penetrating and transverse needling; Fang favored the slight twirling method and oblique needling; while Tang recommended long-duration needle retention with superficial stimulation of the needles, using the lifting and thrusting method. The major differences between Scalp acupuncture and body acupuncture are:It is more convenient as the patient can receive a treatment in any position and it does not interfere with daily activities. There is less pain associated with scalp acupuncture than with body acupuncture. For most conditions results tend to be faster. The locations of the needling differ. Although the scalp has numerous traditionally identified acupuncture points along several of the major meridians, ZSA has its own unique treatment zones. Clinical data showed that acupuncture is effective in the treatment of a kind of method. Foreign research is preliminary affirmed the safety and tolerability Parkinson’s disease patients received acupuncture treatment:in terms of effectiveness, Parkinson’s disease patients received acupuncture treatment can improve the subjective symptoms. In clinical and under the guidance of the theory, this study aims to Parkinson’s disease breakthrough for acupuncture treatment, at the same time provide theoretical and clinical basis for head needle treatment of Parkinson’s disease. Chinese scalp acupuncture is a contemporary acupuncture technique integrating traditional Chinese needling methods with Western medical knowledge of the brain. Scalp acupuncture is a modern technique with just 39 years of history. Scalp acupuncture has been proven to be the most effective technique for treating acute and chronic central nervous system disorders. Scalp acupuncture often produces remarkable results with just a few needles. It usually brings about immediate improvements, sometimes taking only several minutes, calp acupuncture is a modern acupuncture method. The Chinese attribute its development to Chiao Sun-Fa, a 35-year-old physician in North China, and it has been used in China since 1971. The principle of scalp acupuncture is very straightforward; the aim is to stimulate the diseased area of the brain in order to facilitate a return of function in that area.This method is based on elementary functional neuroanatomy, and has nothing to do with traditional Chinese medicine. If part of the brain is damaged, for instance by a stroke, then the scalp is stimulated over the damaged area of the brain. All the scalp points are representations of the underlying functional areas of the brain. It therefore follows that the most common use of scalp acupuncture will be in diseases in which there is brain damage, such as strokes or severe head injuries, although this method can be used for a variety of other conditions. Scalp acupuncture is particularly useful for reducing chronic muscle spasm.ObjectiveIn system summarized the Chinese and western medicine understanding of Parkinson’s disease and research progress on the basis of through into standard randomized controlled study in patients with Parkinson’s disease observation acupuncture dance tremor control cooperate with western medicine in the treatment of Parkinson’s disease patients clinical curative effect, study acupoints dance tremor control mechanism for the treatment of Parkinson’s disease may exist.Methods:In the first affiliated hospital of guangzhou university of TCM acupuncture clinics, ward and neurology hospital outpatient and ward, diagnosed with Parkinson’s disease, randomly selected from 100 randomized controlled study. To the head acupuncture treatment group (dance tremor area) +oral dopamine beauty treatment, then according to the type and use the corresponding body acupuncture point:phlegm hot wind syndrome and wind pool, Yin ling springs, hong leong, lr3 phlegm extinguish wind; Dynamic wind and blood stasis syndrome and blood, wind pool, lr3 extinguish wind huoxue quyu; Qi deficiency syndrome and two gas, blood, foot three mile sea tomifying qi and blood; Liver and kidney deficiency syndrome and liver yu, shen shu, three vaginal intercourse tonic liver and kidney; Two of Yin and Yang deficiency syndrome and gb 34, Yin ling springs, three mile, three vaginal intercourse flat regulating Yin and Yang. Around the pin 5 consecutive days,2 days off, for a period of treatment, three consecutive period of treatment. The control group to the oral dopamine beauty treatment. Were observed before and after treatment between each card type UPDRSscale and dysfunction of TCM scoring scale differences.Results:1, baseline balanceThis study adopts the method of randomized controlled trials for clinical trials, a total of 100 cases of eligible patients. Treatment group in 30 male patients,20 female patients; The youngest 60 years old, biggest 79 years old; The shortest duration of 12 months, the longest 38 months; UPDRSscore 52.94 and 5.43; Dysfunction scoring 12.94 and 1.70; It included phlegm heat move 8 wind syndrome, blood stasis wind 8 cases, two qi syndrome 14 cases,10 cases of liver and kidney deficiency syndrome, 10 cases of both Yin and Yang deficiency syndrome. The control group included in male patients, female patients every 25; The youngest 60 years old, biggest 79 years old; The shortest duration of 13 months, the longest 38 months.UPDRSscore 54.56 and 4.56; Dysfunction scoring 11.58 and 91.92; It included dynamic wind phlegm heat syndrome in 11 cases, blood stasis dynamic wind 15 cases, qi and blood deficiency syndrome in 7 cases,12 cases kidney deficiency syndrome, Yin deficiency syndrome in 5 cases. Statistics of the two groups in gender, age, course of the disease, patients with TCM syndrome type and UPDRSscale score and dysfunction after data prove comparable (p> 0.05), two groups of good balance.2, compare before and after the treatment itselfThe results show that compared with their own points before treatment, the treatment group and control group can significantly reduce the total UPDRSscore (P< 0.05). Treatment group can significantly reduce the UPDRSparts integral, the control group in addition to the treatment of complications, can significantly improve the Parkinson’s disease spirit, behavior, and emotional integration, daily activities and motor function integral. The treatment group and control group can significantly reduce the dysfunction score (P<0.05).3, comparing the two groups after treatmentThe treatment group compared with control group, the UPDRSscores compared with movement function integral, there was no statistically significant difference (P> 0.05).Spirit, behavior, and emotional integration, daily activities and treatment of complications of integral, the treatment group was significantly lower than the control group, the difference was statistically significant (P<0.05). Prompt acupuncture dance tremor control area with western medicine can significantly improve mental and emotional state in patients with Parkinson’s disease, improve life treatment, eliminate the western medicine treatment of complications. The treatment group than the control group to reduce more score, the difference was statistically significant (P< 0.05). Prompt acupuncture dance tremor control use western medicine better than pure western medicine to improve the dysfunction in Parkinson’s disease patients.Clinical recovery treatment group 0 cases,32 cases of obvious improvement, progress in 18 cases, slightly progress 0 cases,0 no effect, the effective rate was 100%; Control group clinical recovery 0 cases, obvious progress in 1 case,36 cases, a little progress in 11 cases,2 had no effect, the effective rate was 96%.Conclusion:Scalp acupuncture is one of several specialized acupuncture techniques with a specific body location, taking its place alongside ear, nose, hand, foot, and wrist/ankle acupuncture. The more general acupuncture therapy is often called body acupuncture.Although the scalp has numerous traditionally-identified acupuncture points along several of the major meridians (notably the stomach, bladder, gallbladder, triple burner, and governing vessel), modern scalp acupuncture differs from traditional acupuncture therapy. There are three basic features of scalp acupuncture that differentiate it from body acupuncture:1. Treatment zones have been mapped onto the scalp that are associated with body functions and broad body regions. The zones include a few standard acupuncture points, but the treatment principle for point selection is usually not based on the traditional indication for the point or associated meridian. In general, within a defined zone, the forward part of the zone (nearer the face) is used to treat the upper body, while the rear portion of the zone is used to treat the lower body. Functional zones, such as sensory, memory, and motor, are usually located at the back and sides of the scalp.2. In scalp acupuncture, the needles are to be inserted within a thin layer of loose tissue beneath the scalp surface, at a low angle of about 15-30 degrees, involving an insertion distance of about 1 cun [the cun is a variable unit of measure based on body size; about one inch for an adult]. Standard acupuncture of scalp points normally involves subcutaneous insertion up to a depth 1/2 cun or less (about 0.3-0.5 inches for an adult) at a high angle of 60-90 degrees.3. For scalp acupuncture, the needles are to be subjected to rapid stimulation, which may be carried out in a variety of ways, including pulling/thrusting, twirling, and electro-stimulation. Standard acupuncture applied to scalp points usually involves less rapid stimulation or moxibustion as the main stimulation technique. When using manual manipulation in modern scalp acupuncture, it is common to stimulate the needles for 2-3 minutes at a time, with a rest period of 5-10 minutes between stimulations. Acupuncture treatment of Parkinson’s disease safe and reliable curative effect. Acupuncture dance tremor control area with western medicine treatment of Parkinson’s disease can not only improve the spirit of Parkinson’s disease, behavior and mood, daily activities and motor function, also can eliminate the complications of taking western medicine, improve patient quality of life. |
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