Acupuncture moxibustion has been recognized to be effective for treatment of cerebral ischemia. All patients who were diagnosed as having insufficient blood supply of cerebral basilar artery were randomly divided into three groups in this study, and treated separately by acupuncture at each of the following 3 acupoints: Dazhui (GV14), LIV3 and Fengchi (GB20). Transcranial Doppler Sound Spectrogram (TCDSG) was used as the objective index for diagnosis and evaluation of the therapeutic efficiency. 30 cases for GV14 group, 11 cases for Taichong (LR3) Shu-Stream, Yuan-Source Point group, and 15 cases for GB20 group in 56 cases.
Treatment method: GV14 was for blood-letting with three-edged needle plus cupping 20 minutes. Once per day, 10 sessions were one treatment course. And LR3 and GB20 were bilaterally needled. After qi arriving was obtained by twisting and twirling, the needles were retained for 20 minutes. The treatments were given once daily with 20 sessions constituting one course of treatment.
Before treatment and 30 minutes after treatment, TCDSG were performed by the detection through great occipital foramen for the three groups of patient in sitting position with their heads slightly lowered.
Result: Before acupuncture treatment, Mean velocity of blood flow (MVBF) and pulsating index (PI) of cerebral basilar artery of all the patients in the three groups were lower than the normal value. After treatment, significant increases in MVBF and PI of cerebral basilar artery were found in all the three groups of patients. (P<0.001 in GV14 group, and P<0.01 in LR3 and GB20 groups), indicating that GV14 was significantly superior in the increase range of MVBF and PI comparing to LR3 and GB20.
Key Words: Acupoint selection, Transcranial Doppler Sound Spectrogram, Insufficient Blood Supply of Cerebral Basilar Artery
Writer： Peng YU, Wenyi Wang, Zhiqi Zhang
Department of Acupuncture and Moxibustion, The First Hospital Affiliated to
Harbin University of Medical Sciences, Harbin150001, Heilongjiang Province
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