APOPLEXY BY ACUPUNCTURE WITH ACTIVATE BRAIN AND THERAPY FOR WAKING UP A PATIENT FROM UNCONSCIOUSNESS

Shi Xuemin, Song Guansheng, Wu Lianzhong, Han Jingxian, Stu Yuguang, Zhang Daqian Zhao Jianguo, Zhou lizeng, Wang Chongxiu, Yan Li, Yang Zhaogang, Zhang )ie, Bian Jin-ling, Li Yan, Li Jun

(Department of Acpuncture, The Firsf Hospital, Tianjin College of TCM., Tianjin)

Over the past ten years we have advanced a new viewpoint of " unconsciousness caused by blurring of heart and mind " as the key pathological change of apoplexy. We have also made a therapeutic principle which gives the first place to activate brain and regain consciousness, while makes dredging meridians and collaterals, nourishing liver and kidneys as subsidiary. It is termed as "acupuncture method of activating brain and regaining consciousness ". Meanwhile we have performed the reforms in selecting acupuncture points prescription, locating points, direction and depth of inserting the needle, manipulation etc. According to the statistics of 422 cases treated in our hospital, those who reached normal thinking, spoke clearly, the functions of extremities were recovered basically and could take part in light work, were thought to be clinically cured, accounting for 58.13% of the total cases. The marked effective rate was 19.14%; the total effective rate was 99.14%

Prescription

Main points: Neiguan, Renzhong, Sanyinjiao,

Auxiliary points: Jiquan, Weizhong, Chize,

Subordinate points: Fenchi, Yifeng and Wangu for patient with swelling obstruction, Hegu for patient with fingers instretched. The other points can be selected according to symptoms and signs.

Manipulation

Main points:

At first, puncture Neigan point on both sides perpendicularly with the depth of 1-1.5 cun and with reducing method by rotating, lifting and thrusting of the needle. After manipulating for 1 minute, Renzhong was inserted 5 fen downward the nasal septum obliquely, with bird-peeking method (reducing method) until tears coming or eye balls moistened. When needle 3 cun directly above the tip of media, malleolus, on the posterior border or the tibia, obliquely backward 1-1.5 cun, the needle's angle was 45° to the skin. Reinforcing method by lifting and thrusting the needle were used until the patient's lower extremities twitched for 3 times.

Auxiliary points:

When point Jiquan was punctured the needle was inserted 1-1.5 cun perpendicularly, with reducing method by lifting and thrusting the needle until the patient's upper extremities twitched for 3 times continuously. The manipulation to point Chize was the same as point Jiquan, When Weizhong was punctured, the point in prone position was located or with flexed knee, and was inserted 1-1.5 cun, with reducing method by lifting and thrusting the needle until the patient's lower extremities twitched for 3 times. When point Fengchi was punctured, the needle was inserted for 2-2.5 cun toward the Adam's apple, with twisting and rotating method rapidly for half a minute. The manipulation of Yifeng and Wangu is the same as point Fengchi. When puncture point Hegu, the needle was inserted below the border of the 2nd metacarpal bone with reducing method by lifting and thrusting the needle.

Time

Acupuncture should be given 1-2 times daily, 10 times being as one course of treatment. In order to go further into the principles, we carried on the electrophysiological test in 250 cases of cerebral infarct at random and the anoxic test to the 200 rats after using the method of "activating brain and regaining consciousness". It was verified preliminarily that using the method of "activating brain and regaining consciousness" had the functions of sedation, spasmolysis, resuscitation and improving the bloodsupply. Through the comparative observations from CT to the cases of cerebral hemorrhage before using the acupuncture treatment and after, it was verified that this method had the results of improving the absorption of cerebral hemorrhage and decreasing or extinction the hematoma,