Observation Of After Effect Of Compound Of Angelica Injection Point Injection Clinical Response

Acupoint injection therapy is a therapy integrated the acupuncture with the drug pharmacological actions on the acupoints along the meridians. According to the different cases and the indications of the acupoints, the acupoints, ashi points or the response points are selected. With the pharmacological actions of the solutions, it performs the double functions of drugs and acupoints hence regulates the functional and pathological situations. Due to the wide ranges of indications, this therapy could be applied to most of the cases during the acupuncture treatments. The diameters of the syringes are much larger than that of the filiform needles, and the stimulations from the acupoints and the drugs are usually stronger than that of the simple needling. Hence, the response and acceptance of the patients to the amounts of stimulation affects the obedience to the acupoint injection therapy, which is of significance to the medical stuffs in the clinicalpractice.In the present study, the retention time of the local distention feeling after acupoint injection therapy, the ranges covered, whether the feeling affects the daily activities, other responses, etc, were observed, and the influence of the drug stimulation and acupoint sensitivity to the acceptance of the patients to this therapy was explored. For the patients with sensitivity to pain, the proper selection of acupoints could reduce the anxiety of the patients hence it could be better acceptable and is worthy of being further popularized and applied.Objective In the present research, the correlative reactions of acupoints and drugs, the stimulation of the drugs to the acupoints, the immediate response and the retention duration of the distention feeling after the acupoint injection, whether this therapy could affect the acceptance of the patients to this therapy, etc, were explored and discussed.Methods90 cases which were accordance with the diagnosis and inclusion criteria were enrolled. According to the different acupoints, they were randomly assigned into Quchi (LI 11) group, Shenshu (BL 23) group and Zusanli (ST 36) group, with 30 cases in each group. The drug applied was compound Danggui solution. With the patients sitting, after disinfection around the acupoint, the syringes were swiftly inserted through the skin. With the slow lifting, thrusting and rotating techniques, after the qi arrival, the solution was inserted. After the withdrawal of the syringes, the acupoints were pressed for a moment to prevent the bleeding. According to the different constitutions of the patients and the locations of acupoints, the depths of the insertion were determined. The amount of drug applied each time was 2 ml. The general situation, the ranges of the distention feeling covered when and 15 minutes after the therapy, the retention of the distention duration, whether the distention feeling affects the daily activities were tested and recorded. The pain was assessed with the MeGill answers method of pain.48 hours, the telephone questionnaires as the following-up were applied.Results1. There was significant difference of the immediate sensation of ant-moving when the therapy was applied (P<0.05). Compared with that in the Quchi (LI 11) group and the Zusanli (ST 36) group, the sensation in the Shenshu (BL 23) group was the strongest, with significant difference (P<0.05).2. There was significant difference of the other reactions 15 minutes after the therapy was applied (P<0.05). Compared with that in the Quchi (LI 11) group and the Shenshu (BL 23) group, the reactions in the Zusanli (ST 36) group was the strongest, with significant difference (P<0.05). Conclusion1. The heaviest immediate distention sensation when the therapy was applied was in the Quchi (LI 11) group; the highest rate of immediate sensation of ant-moving was in the Shenshu (BL 23) group; and the highest rate of the other reactions 15 minutes after the therapy was administered was in the Zusanli (ST 36) group. Hence, for the patients who were applied with the acupoint injection of compound Danggui solution at ST 36, it is crucial to ask the patients to have a rest after the therapy, evaluate the situation of the other reactions after 15 minutes and tackle with the problems in case. The other subjective sensation of the patients obviously appears most within 15 minutes after the administration of the therapy and reduces later.2. The present study of the different time sections such as the immediate, 15 minutes and 48 hours after the administration indicated that for most of the patients, the reactions produced by the therapy would not affect the daily activities of the patients, but also should take some sensitive patients into consideration, which is of significance in the acupoint and drug selections in clinic according to different constitutions.3. With the MCGill answers method of pain scoring assessment, the local pain caused by this therapy from the immediate to 15 minutes after the administration was reduced from 2.12±0.97 to 0.06±0.23, indicating that the pain caused by the acupoint injection therapy was acceptable among the patients.