Scholarly article on topic 'Forty Cases of Gastrointestinal Neurosis Treated by Acupunture'

Forty Cases of Gastrointestinal Neurosis Treated by Acupunture Academic research paper on "Clinical medicine"

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Abstract of research paper on Clinical medicine, author of scientific article — Zhao Yaping, Ding Min, Wang Yanjun

Objective To compare the therapeutic effect of acupuncture for gastrointestinal neurosis with that of oral remedy. Methods Eighty cases were randomly divided into the following 2 groups. In the treatment group, acupuncture was given for one month at the main points of Zhongwan (CV 12), Zusanli (ST 36), Taichong (LR 3) and Shenmen (HT 7), with the auxiliary points selected according to TCM differentiation. In the control group, Domperidone was orally administered for one month. Results The total effective rate was 92.5% in the treatment group and 75.0% in the control group, with a significant difference between the 2 groups (*chi;2=4.423, P < 0.05). Acupuncture was superior to the oral remedy in therapeutic effects. Conclusions Acupuncture may show better results for gastrointestinal neurosis and with less toxic side effects.

Academic research paper on topic "Forty Cases of Gastrointestinal Neurosis Treated by Acupunture"

Forty Cases of Gastrointestinal Neurosis Treated by Acupunture

ZhaoYaping Ding Min TÄ &WangYanjun Iffi®

Hebei Provincial Hospital of Traditional Chinese Medicine, Shijiazhuang 050011, China

Objective: To compare the therapeutic effect of acupuncture for gastrointestinal neurosis with that of oral remedy. Methods: Eighty cases were randomly divided into the following 2 groups. In the treatment group, acupuncture was given for one month at the main points of Zhongwan (CV 12), Zusanli (ST 36), Taichong (LR 3) and Shenmen (HT 7), with the auxiliary points selected according to TCM differentiation. In the control group, Domperidone was orally administered for one month. Results: The total effective rate was 92.5% in the treatment group and 75.0% in the control group, with a significant difference between the 2 groups (^=4.423, /®<0.05). Acupuncture was superior to the oral remedy in therapeutic effects. Conclusions: Acupuncture may show better results for gastrointestinal neurosis and with less toxic side effects.

Gastrointestinal neurosis is the general term for gastrointestinal syndrome caused by high-level nervous dysfunction but without obvious organic pathological changes. The main clinical symptoms are abnormal food intake and excretion, accompanied by insomnia, anxiety, nervousness and headache. However, the pathogenesis is still unclear. The following is a clinical observation for acupuncture treatment of gastrointestinal neurosis with satisfactory therapeutic results reported.

GENERAL DATA

In this series, all the 80 cases of gastrointestinal neurosis were inpatients of Hebei Provincial TCM Hospital. They were randomly divided into a treatment group and a control group. In the treatment group of 40 cases, there were 11 males and 29 females, aged 20-62 years with the illness course ranging from 1-5 years. Among the 40 cases of the control group were 9 males and 31 females, aged 2265 years, with the illness course ranging from 1-7 years. There was no obvious difference between the 2

groups in sex, age and illness course (/^1.36, /i>0.05). The patients complicated with severe disorders of the heart, brain, kidney and the hematopoietic system as well as the mental diseases were excluded.

The TCM patterns: 1) Stagnation of the liver-qi, manifested by distending pain in the stomach, eructation, anorexia, vomiting, hiccup, thin-greasy tongue fur, and taut pulse. 2) Qi stagnation transforming into the pathogenic fire, manifested by pain in the hypochondria and stomach, acid regurgitation, dry and bitter mouth, constipation, hot temper, headache, red eyes, red tongue with yellow fur, and rapid-taut pulse. 3) Mutual blockage of the phlegm and qi, manifested by foreign body sensation in the throat, oppressed feeling in the chest with pain in the hypochondria, pale tongue with white-greasy fur, and taut-slippery pulse. 4) Weakness of the spleen and stomach, manifested by vomiting if eat little bit more, anorexia, oppressed feeling in the chest and stomach, pale complexion, lassitude, loose stool or diarrhea, pale tongue with white-thin fur, and thready-weak pulse.

METHODS For the treatment group

The main points used were Zhongwan (CV 12), bilateral Zusanli (ST 36), bilateral Taichong (LR 3), and bilateral Shenmen (HT 7). Yanglingquan (GB 34, both sides), Neiguan (PC 6, both sides) and Qihai (CV 6, both sides) were added for stagnation of the liver-qv, Sanyinjiao (SP 6, both sides), Taixi (KI 3, both sides) and Shanzhong (CV 17) added for qi stagnation transforming into the pathogenic fire; Fenglong (ST 40, both sides), Qihai (CV 6, both sides), Sanyinjiao (SP 6, both sides) and Gongsun (SP 4, both sides) added for mutual blockage of the phlegm and qv, and Pishu (BL 20, both sides), Weishu (BL 21, both sides), Yinbai (SP 1, both sides) and Zhangmen (LR 13, both sides) added for weakness of the spleen and stomach. Acupuncture was given once a day, with the needles retained for 20 minutes each time, and with 10 times as one therapeutic course. The treatment lasted 3 courses with improvement of the clinical symptoms recorded at the end of each course.

For the control group

Domperidone 10 mg was orally taken 30 minutes before meals, 3 times a day, for 4 weeks.

Criteria for therapeutic effects 1

1) Markedly effective: Disappearance of the main symptoms, such as pain or distension in the upper abdomen, pyrosis, acid regurgitation and eructation, with complete remission of the neurosis symptoms.

2) Improved: Disappearance of two or more of the main symptoms, with alleviation of the rest of the main symptoms and obvious improvement in the neurosis symptoms.

3) Failed: No obvious improvement in the main symptoms and in the neurosis symptoms.

RESULTS

In the treatment group, 16 cases were markedly effective, 21 cases improved and 3 cases failed, with a total effective rate of 92.5%. In the control group, marked effect was found in 11 cases, improvement in

19 cases, and failure in 10 cases, with a total effective rate of 75.0%. The tf test showed an obvious difference between the two groups in the total effective rate (/ = 4.423, ^<0.05), with better therapeutic results found in the treatment group.

ILLUSTRATIVE CASES

A female patient, 34 years old, was hospitalized on October 5, 2004, with the main complaint of stomachache for six months, which had been aggravated for one week. She had distension in the stomach, eructation, abdominal pain, nausea, hiccup, often weeping with vexation, and with no desire for drinking and eating, constipation, red tongue proper with yellow greasy coating, and taut pulse. Gastroscopy showed no obvious abnormality in the stomach, and no abnormality was found in the liver, gallbladder, spleen and pancreas by B-ultrasonography. The diagnosis was stomachache caused by stagnation of the liver-^/ in TCM, and it was gastrointestinal neurosis in Western medicine. Acupuncture was given at Zhongwan (CV 12), Zusanli (ST 36, both sides), Taichong (LR 3, both sides), Shenmen (HT 7, both sides), Yanglingquan (GB 34, both sides), Neiguan (PC 6, both sides), Qihai (CV 6, both sides) and Shanzhong (CV 17), with the needles retained for 20 minutes each time, 10 sessions making up one therapeutic course with a 3-day interval between courses. After 2 courses of treatment, the patient had her stomachache obviously improved with disappearance of nausea. After 3 courses, she had normal food intake with stable emotion, and defecated once every other day. Then, the patient was discharged from the hospital, with no relapse found in a one-year follow-up survey.

COMMENTS

Modern researches have proved that acupuncture at Zusanli (ST 36) can obviously reduce the irregular wave shown by electrogastrogram, and make the abnormal peristaltic frequency return to normal in the patients with gastric dysperistalsis,2 and can regulate the disordered rhythm shown by electrogastrogram in

rabbits with dysrhythmia.3 Acupuncture can inhibit the hyperactivity of bowel movement caused by parasympathetic excitation, and promote bowel movement for hypoactivity caused by sympathetic excitation;4 increase the storage of 5-hydroxy-tryptamine and gastrin in the gastric antrum tissues and decrease their release in blood to regulate the gastrointestinal movement.5 Acupuncture given at Neiguan (PC 6) and Taichong (LI 3) can relieve the depressed liver, soothe the chest oppression and regulate flow of qi\ at Qihai (CV 6) can regulate flow of qi and remove stagnancy; and at Zhongwan (CV 12) and Sanyinjiao (SP 6) can strengthen the spleen and resolve phlegm. Therefore, satisfactory results

were obtained in patients with gastrointestinal neurosis treated by acupunture.

REFERENCES

1. fèltn. Ib-M 1993; 320.

2. m^ffw&m^m. *

1996; 16 (4): 25.

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MM- 1996; 16(1): 31.

4. Iwa M., Sakita M. Effect of acupuncture and moxnal motility in mice. Am J Chin Med 1994; 22(2): 119-25.

5. m. 5m

fiJR, m%. 1997; 17 (5): 299.

(Translated by Duan Shumin SWK)