T pinpoint high potential treatment of vertebral - arterial insufficiency of the effect of

Hunan People"s Hospital Rehabilitation Therapy Branch (410005)

 Zhang Deyuan Tan haiqun Wu Zhihong Jiangchunhui

 

Abstract Objective: To investigate the potential of high-T acupuncture treatment on vertebral - of the effect of arterial insufficiency. Methods:300 cases of transcranial color Doppler ultrasound (TCD) checks clear unilateral or bilateral vertebral - basilar artery insufficiency were randomized into the treatment group and control group. 200 cases of the treatment group used high-potential therapeutic apparatus (GR-GDW30KV Shanghai crown Swiss births), first Zhuhuanzhe high potential for a sit-in to put the importation 9000 volts, 10 minutes after treatment with high potential of the T: 100 , Dazhui, the wind pool (double), the former Valley (double), after the river (double) points, 6-10 point Meijue thorn seconds a day, seven days for a course of treatment, and treatment 1-3 .100 cases of the control group using Effect of Fufangdanshendiwan 10, oral, three times a day. Cases were observed 7 days after the clinical efficacy and cerebral blood flow velocity changes. Results: The treatment group of 200 cases, the recovery: 106 cases, improvement: 90 cases; recovered: four cases; total efficiency of 98%.100 cases of the control group, recovered: 34 cases, 57 cases improved, invalid nine cases, and the total efficiency of 91% of the two groups showed no significant difference (P> 0.05) between cases of cerebral blood flow velocity was significantly improved.Conclusion: High potential acupuncture treatment can promote T-Meridian, Meridian balance adjustment, live Cheong blood, activating blood circulation Huayu, to cerebral blood flow and microcirculation accelerated, increasing vascular wall flexibility, ease vasospasm and restore blood supply to the brain . 湖南省人民医院康复理疗科张德元
Keywords： Potential high-T  Acupuncture treatment   vertibro-basilar artery insufficiency

Vertebral - artery insufficiency (vertibro-basilar artery insufficiency, VBI) For the most common diseases and the elderly in the multiple is due to lead to cervical vertebral lesions - intermittent compression artery, sinus vertebral nerve stimulation, and oppression, and the vestibular caused by ischemia.January 2004 - 2007 December, we treat vertebral - artery insufficiency 300 cases through clinical observation, very satisfied with the effect, special described below.

1. Clinical data

1.1 general information  of this study 300 cases of patients with typical symptoms of vertigo attack, transcranial color Doppler ultrasound (TCD) checks clear unilateral or bilateral vertebral - basilar artery insufficiency were randomized into the treatment group and control group. 200 cases of the treatment group, 116 cases of male, female 84 patients, aged 45 to 82 years old, the average age (56.65 ± 5.21) years,Cervical X-ray: Tips cervical physiological curvature disappeared 98 cases, 72 cases of narrow cage, the normal 30 cases; transcranial TCD examination, unilateral vertebral artery insufficiency 118 cases, bilateral vertebral artery insufficiency 82 cases (with the brain Atherosclerosis, 124 cases).Control group, 100 cases, of which 57 cases male, female 43 patients aged 46 to 79 years old, average (57.14 ± 5.33 years); cervical X-ray: Tips cervical physiological curvature disappeared 45 cases, 44 cases of narrow cage, the normal 21 Cases; transcranial Doppler ultrasound examination, unilateral vertebral artery insufficiency 81 cases, bilateral vertebral artery insufficiency 19 cases, (those with 81 cases of cerebral arteriosclerosis).Clinical manifestations of cervical vertigo mainly headache, common symptoms for the first time Yang and lateral rotation induced by a sudden dizziness, headache, vertigo, visual rotating, fuzzy, diplopia, or with balance disorders, unstable walking, poor sleep, and dream. Or with upper extremity Fangshetong, sensory dysfunction, numbness, abnormal sense of tinnitus, but no deafness.

All patients by cranial CT examination ruled out organic inner ear and intracranial lesions. Two groups in gender, age, symptoms and other side there was no significant difference (P> 0.05), and comparability.

1.2 diagnostic criteria  Reference to "practical neurology" vertebrobasilar insufficiency vertigo diagnostic criteria^［1］ , age older than 45 years, atherosclerosis-induced factors, such as heart disease, hypertension history;Or recurrent acute onset of severe vertigo, can be accompanied by nausea, tinnitus, hearing loss, nystagmus, ataxia, dysarthria, and the Department of the side contralateral limb pain diminish or disappear, headache, damping-off, visual symptoms(Black, flashlight, vision loss, diplopia), numbness or weakness, dizziness and closely related to the head rotation. Transcranial Doppler (TCD) show vertebrobasilar insufficiency. Rule out the possibility of acute cerebral infarction and cerebral hemorrhage, brain tumor and Otogenic vertigo.

1.3 treatment  of 200 patients with the treatment group used high-potential therapeutic apparatus (GR-GDW30KV Shanghai crown Swiss births), Zhuhuanzhe first sit-ins in high-potential treatment pad, the importation of 9,000 volts, and 10 minutes after treatment with high potential of the T Point Baihui, Dazhui, the wind pool (double), the wind House, the first dimension (double), the satellite, days sudden, business-(double),erjian (double), sanjian (double), hegu (double), Yang Xi (double), and fewer Ze (double), the former Valley (double), after the river (double), Yanggu (double), Quepen ( double) points, 6-10 point Meijue thorn seconds a day, seven days for a course of treatment. 1-3 treatment course, if tinnitus and hearing at the Palais (double), style (double), the rate Valley (double), and other point,Poor sleep and dream of more than 0.4 white (double),bring together bamboo (double), such as Yintang point. 100 cases of the control group using Effect of Fufangdanshendiwan (Tianjin days for the production of pharmaceutical companies) 10, Oral (vertigo heavier, sublingual), three times a day, 7 days after the cases were observed in clinical efficacy and the cerebral blood flow velocity changes.

1.4 observed before and after treatment  on the one hand observation of clinical efficacy, on the other hand observation before and after treatment using TCD vertebral artery (VA) and basilar artery (BA) peak systolic flow velocity, diastolic peak flow velocity and mean flow velocity (Vm) change.

1.5 statistical data to detect X ± s, with the group before and after the treatment group compared and analyzed by t-test.

2.Efficacy criterion-referenced "TCM diagnosis efficacy standards" ^［2］ : (1) cure: vertigo symptoms disappear, TCD inspection cerebral blood flow velocity in the normal range. (2) improved: to reduce symptoms, improve cerebral blood flow velocity. (3) recovered: Symptoms No change, no improvement of cerebral blood flow velocity. TCD reference checks "transcranial Doppler detection and clinical" the normal development of ^［3］ .

3.Results of the treatment by 1-2 after treatment, the treatment group of 200 cases, the cure: 106 cases, improvement: 90 cases; recovered: four cases; total efficiency of 98%. 100 cases of the control group, recovered: 34 cases, 57 cases improved, invalid nine cases, and the total efficiency of 91% of the two groups showed no significant difference (P> 0.05) between cases of cerebral blood flow velocity was significantly improved.

4. Discussion

    Villiarns VBI ^［4］  will be divided into light and heavy clothing type, the incidence of heavy soon after death, the autopsy confirmed vertebral - basilar artery stenosis or thrombosis, light, often consisting mainly of vertigo. Cerebral blood flow from the four that two carotid arteries artery and the two vertebral artery,Internal carotid artery (cycle) and supply eye and brain before 3 / 5 part (frontal, temporal lobe, parietal lobe of the basal ganglia) in the blood, vertebrobasilar system (posterior circulation) supply the brain after 2 / 5 part and thalamus, brain stem and cerebellum of the blood supply ^［5］ .Posterior vertebral artery formation of the basilar artery to the brain stem, hypothalamus, occipital lobe and temporal lobe brain, such as feeding sites. When the soft tissue neck strain or cervical vertebra, the disc degeneration of cervical spine leading to the mechanical changes, resulting in a hole Organization of vertebral compression of the many potential of the artery and nerve root stimulation, factors such as the vertebral compression - artery insufficiency in the direct factors.The medicine: kidney bone, the bone marrow, bone marrow custody. If Shenqing losses, the lack of medullary bone loss by the support, and the lesions in the neck, according to the "Classic" records "under the sea myeloid brain to tinnitus, tibia acid, Zhixuanling risk, ignoring the findings, sluggishness, the horizontal" ,That is to say, the lack of pulp would cause vertigo, tinnitus, feet Suanruan, this is cervical spondylosis Vertigo "this" and become slow blood flow, blood stagnation called TCM, blood stasis, such as cervical spondylosis Vertigo "superscript" The first six-yang, the meridian pathway neck.Because soft tissue damage could easily lead to adhesions and scar contracture, inflammation, leading to the dynamic balance of soft tissue disorders, physiological dysfunction: the stretch, slightly vertebral dislocation by squeezing blood vessels and nerves, stimulation distorted, cramps, narrow, Vertebral lead - artery insufficiency, the corresponding symptoms. Modern medicine arteriosclerosis and cervical disease is the basis of the two major pathology ^［6］  ，Vertebral artery compression, or narrow stretch, resulting vertebral - basilar artery perfusion inadequate brain posterior circulation ischemia is the main reason for vertigo attacks. Western medicine treatment by expanding blood vessels to improve blood supply to the brain and reduce blood viscosity and other comprehensive measures to enhance brain tissue hypoxia tolerance capabilities, and improved brain cell metabolism, and promote brain function ^［7］ .

Human high potential role of the magnetic field, intravascular blood flow velocity by the rapid increase in output for, and promote blood circulation, improved cell nutrition, enhance metabolism, enhance body function, and the high point in the potential thorn point pen can be cause local tissue cells material to the minor Anma cells, interface, temperature rise,Biofilm enhanced diffusion process, changed the membrane potential and enhance the permeability of the plasma gel ^［8］ . According meridian theory, the wind House, Pak such as a Point Du; days sudden, and so is Linmai Point. Du is a hands-6, is a sea-through. Regulated by the body-all of the gas,Linmai is overcast by six of the General Assembly, is overcast by the sea, is regulated by the general Zhu Yin gas role. To Yang, two, three, a point LI4 such as diarrhoea heat, Kaiqiao, analgesics function, the head tinnitus, finger numbness, syncope, analgesic; days to live,bring together bamboo, Mei Chong,Sky, the stars, such as Victoria Point is the first Tongqiao, God-Gong, the head headache, dizzying, and the strong, less-ze, the former Valley, after the river, and pension and other points of Kaiqiao, Effects of Shujin, Qualcomm Du, Indications headache, syncope, fingers numb; Dachuijue benefit neck, shoulder and back pain, etc..

Clinical observations through the use of: high potential to promote T-acupuncture meridians to regulate the balance meridians, live Cheong blood, blood flow accelerated, Huoxue Huayu, improve physical cycle. Can regulate autonomic function, cerebral vasospasm lifted to restore blood supply to the brain,To achieve a trap wind, dehumidification, and cold-dispelling, as Qualcomm, active, the analgesic effect of swelling, so good clinical efficacy (98% efficiency). This vertebral - artery insufficiency of rehabilitation work to provide a reliable basis. There with no toxic reactions, easy-to-use, it is worth clinical application.

 

 

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