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Acupuncture treatment of thrombocytopenic purpura

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Thrombocytopenic purpura is a common bleeding disease in clinic.The main manifestations were spontaneous skin ecchymosis, ecchymosis, mucosal and visceral bleeding, thrombocytopenia and prolonged bleeding.It is divided into two categories: primary and secondary.Idiopathic thrombocytopenic purpura is divided into acute and chronic types.Acupuncture is mainly used in the treatment of chronic type.The chronic type is more common, and the female is 3~4 times that of the male.The etiology and pathogenesis of primary thrombocytopenic purpura have not yet been elucidated.It is considered to be a disease related to immunity.

Modern first report of acupuncture and moxibustion for thrombocytopenic purpura, seen in 1958[1]。After that, there were not many clinical articles.Since the beginning of the 80s, more than 10 years have passed since the beginning of the year. The number of units carrying out this work has been increasing. Not only the sample size has been observed, but also the treatment methods have been greatly improved. For example, emphasizing the application of acupuncture manipulation, various acupoint stimulation methods, such as moxibustion, auricular acupoint seed sticking and so on, have made the curative effect improved.

Despite the fact that acupuncture and moxibustion as a therapy for this disease is not yet fully developed, its exact mechanism remains to be revealed, but the therapeutic effect is relatively positive.

[therapy]

   body acupuncture

(1) acupoint selection

Main points: divided into 2 groups.1, Ganyu, spleen Shu, blood sea, Sanyinjiao; 2, big vertebra, Zusanli and Sanyinjiao.

Acupoints: Yongquan, Jiaji chest 11, Jiaji chest 7; Yin deficiency plus Shenshu, Qi deficiency type plus spleen Shu, blood stasis type plus diaphragm Shu.

(two) treatment

There are two kinds of acupoint selection methods. The first groups usually only take the main points for treatment, such as the effect does not obviously change or use first groups of matching points; second groups of main points can be allocated according to the physical and mental condition of the patients second groups of acupoints.Take 3~4 acupoints at a time.First, acupuncture at the diaphragm and the spleen Shu, at the point 2~3 points into the needle, 45 degree angle to the spine direction of oblique stabbing, after the gas, the use of twisting and twisting and reinforcing method, retaining the needle for 5 minutes.Following the needle blood sea and Sanyinjiao, direct stab, get the gas after the twirling lift interpolation method, retaining the needle for 30 minutes.During the retaining needle, 3 times.You can also first clip the spine 11, 7 of the spine, and get the gas for 5~8 minutes.Yongquan point, fast into the needle, strong stimulation after twisting and lifting, without leaving needle.The above points were also supplementation.10~12 times a day or 1 times a day.

(three) efficacy evaluation

Efficacy criteria: effective: bleeding symptoms disappear, platelet count > 100 thousand / mm 3, and can maintain March or above; effective: to achieve the above criteria, but can not maintain March; ineffective: before and after treatment, symptoms and signs have not improved.

234 cases were treated with body acupuncture, of which 197 cases were evaluated according to this or similar standard, 86 cases (43.7%) were markedly effective, 71 cases (36%) were effective, 40 cases (20.3%) were invalid, and the total effective rate was 79.7%.[2~ 7]

   moxibustion

(1) acupoint selection

Main point: eight Liao, waist Yang pass.

(two) treatment

The main points were taken by ginger moxibustion.Make the patient prone to bed, fully expose the acupoints.First, the surface of the acupoint is coated with wax oil or vaseline to prevent scalding and enhance adhesion.Put 0.25 centimeters thick ginger slices on 7 x 7 centimeters of hard paper, then put 4 cm tall moxa cone with a base of 6 cm 6 cm on top of ginger slices.Ai Zhucheng cones.After lighting, put it on the acupoint.Keep the moxibustion Department warm and sensible. If the patient feels too hot, it can move slightly.Each time, 3 moxa sticks, namely, eight, 1, 2, 2, and 1 sticks of waist Yang pass, were moxibustion for 45 minutes.1 times a day, 10 times for a course of treatment, interval 5~7 days.

(three) efficacy evaluation

Efficacy criteria: effective: after moxibustion, the number of platelets increased by 70 thousand / cubic millimeter compared with that before treatment; effective: the number of platelets increased more than 30 thousand / cubic millimeter before treatment; ineffective: before and after treatment, no improvement or platelet count was still below 50 thousand / cubic millimeter.

25 cases were treated by moxibustion. The short-term curative effect was 8 cases (32%), effective 12 cases (48%), ineffective 5 cases (20%), and the total effective rate was 80%.It shows that not only has a good short-term effect, but also has a long-term effect.[8]

   Auricular point pressing pill

(1) acupoint selection

Main points: spleen, liver and stomach.

Acupoints: lung, subcortical, and triple energizer.

(two) treatment

Take the main points as the main point and add the acupoints appropriately.After ear disinfection, massage for 1 minutes, with congestion.Stick the seed or magnetic beads (380 Gauss or so) on the 0.7 * 0.7 cm size adhesive tape, and detect the sensitive point, then paste the adhesive tape on the acupoint with small tweezers.The patient was asked to press 3~5 times a day for 1 minutes.1 ears each time, alternating on both sides, 3 times a week.Each course is half a month, treatment interval 5 days, when symptoms and signs disappear, and then apply one or two course of treatment, in order to consolidate.

(three) efficacy evaluation

Efficacy evaluation criteria: recovery: bleeding stopped, skin purpura disappeared, platelet count returned to normal; effective: oral mucous membrane and other bleeding stopped, skin purpura disappeared more than 90%, platelet count increased; effective: oral mucous membrane and other bleeding decreased, skin purpura disappeared most of the time, but stopped treatment after easy to relapse; ineffective: before and after treatment, signs and symptoms did not improve.

In the treatment of 30 cases, 20 cases (66.7%) were cured according to the above criteria, 7 cases (23.3%) were markedly effective, 3 cases (10%) were effective, and the total effective rate was 100%.[9]

   Acupoint laser irradiation

(1) acupoint selection

Main points: Blood Sea, Sanyinjiao, Shenshu, spleen Shu, Gan Shu, diaphragmatic Shu, Yongquan.

(two) treatment

The home-made LM-H type optical magnetic quantum therapeutic apparatus has a.He-Ne laser wavelength of 6328 angstrom and output power of 7mW.When the treatment is applied, the probe is placed on the skin of the acupoint, once a day, 6~8 minutes per hole, and 10 times as a course of treatment.Rest for three days between the two courses.The effect is not good. It can be repeated for several consecutive courses. The effective person can consolidate 1~2 courses, and the consolidation stage can be irradiated once every other day.

(three) efficacy evaluation

45 cases were treated by this method. According to the second national hematology academic conference curative effect evaluation standard, 17 cases were markedly effective, 6 cases were good, 9 cases were invalid, the total effective rate was 80%.Among the 38 effective cases, 22 cases were effective in 1 courses, 10 in 2 courses, and 6 in 3 courses.[10]

The criteria for evaluating the efficacy of these treatments are inconsistent, so their efficiency is high and low. We think the first criterion is relatively strict.

 

[main references]

[1] Lin Yun.Acupuncture and moxibustion for treatment of thrombocytopenic purpura: a case report.New Chinese medicine 1958; (5):44.

[2] Cai Lihao, wait.Short term efficacy of acupuncture in Treating 104 cases of chronic idiopathic thrombocytopenic purpura.Chinese acupuncture 1992; 12 (5):3.

[3] Yin Zhi Fang.Clinical observation on 34 cases of thrombocytopenic purpura treated by acupuncture.Jiangsu Chinese medicine 1993; 14 (10):24.

[4] Xia Renlin.Therapeutic effect of acupuncture on thrombocytopenic purpura.Acupuncture research 1983; 8 (4):250.

[5] Shen Xude.Clinical observation on 28 cases of thrombocytopenic purpura treated by acupuncture.Shaanxi Chinese medicine 1983; (acupuncture supplement):6.

[6] Xia Renlin.The effect of acupuncture on platelet count.Shaanxi Chinese medicine 1982; 3 (2):29.

[7] Guo Chengjie, wait.37 cases of thrombocytopenic purpura were treated by acupuncture.Shaanxi Chinese medicine 1989; 10 (4):177.

[8] Xu Mei Chun.Moxibustion eight, 1, and waist yang to treat 25 cases of thrombocytopenia.New Chinese medicine 1983; (1):34.

[9] Liu Changhua.Treatment of thrombocytopenic purpura with seeds of auricular seed.Shanxi Chinese medicine 1986; 2 (4):22.

[10] Ding Guoyuan, wait.45 cases of thrombocytopenic purpura were treated by synchronous input of light magnetic quantum information and biological information.Journal of Hunan University of Chinese Medicine 1993; 13 (1):49.

The article for your reference only in a sentence. Do not imitate treatment!

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