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皮肤针法(1)Check (2)Sterilization (3)Disinfection (4)Must be light,flexible(5)The head of the needle be perpendicular (6)Accurate with a even speed (7)distance适应症状：1、skin disorders such as alopecia, neurodermatitis,etc2、general disorders--headache,insomnia1、皮内针法1、do not select too many points2、fixed relatively easily3、if pain is experienced4、keep the local area clean and dry。
In summer5、if local infections was occurred6、no embedding needling method for ulcer，inflammation5、dense wave密波（＞30Hz,or 50~100pulse/sec）sparse wave疏波（＜30Hz,or 2~5pulse/sec）Irregular wave疏密波alternately 1.5seconds intermittent wave断续波Serrated wave锯齿波16~20times or20~25times a minuteAmplitude of the wave （0~20V，or1~2mA）7、电注意（1）Check the electric stimulator to make sure that its output is normal before each treatment.Turn the output to 0 before treatment.（2）Adjust the flow of the electric current from small to large gradually, so as not to cause a sudden strong muscular contraction or pain to the patient（3）In treating patient with serious heart disease,take care to prevent the current going through the heart.Do not apply electric needling to patient with an artificial pace-maker（4）No EA on the lower abdomen or lower back,and sacrum regions of pregnant women.The elderly,people with weak constitution,drunk,over-eating or over strain are not suitable for using EA（5）A filiform needle which has been burned during the process of moxibustion and has lost the capability of conduction due to the oxidation of its handle,is not suitable for electric needling use8注射注意、procedure:select proper points (with thick muscles),injectors and needles--local skin disinfection--insert the needle into the skin quickly--gently thrust or lift the needle to induce needling sensation--extract the fluid by gently lifting the piston of the injector--if there is no blood reflux,inject the drug into the point slowly9、区别Vinegar--relieving toxincity,removing blood stasis,and promoting healing of ulcer or abscessAlcohol--promoting the circulation of qi,clearing the channels and collaterals,relieving swelling and sedating painOil--moistening the skin,promoting tissue regeneration10、红外注意precautions: avoid radiating the eyes,avoid burning the skin,no infrared radiation for the patient with malignant cancer,attacking stage of lung TB,serve arteriosclerotic,arteritis obliterans,obliterating phlebitis,hemorrhagic tendency,or high fever.11、clean filed : the area in which clean technique is applied for acupuncture.This includes: Areas of skin to be needledAny instruments that will touch these areasThe practitioner`s handsCotton used to apply antiseptic to the skinCotton or gauze used to assist needlingThe needle tray/containerAreas of the clinic where sterile needle trays and equipment are to be laid12、basic principles of CNTAlways wash hands between patientsAlways use sterile needlesAlways establish a clean filedAlways wash hands just prior to inserting needles if hands have been contaminated Always immediately isolate used needles。
针灸方案英语作文Acupuncture: A Traditional Approach to Modern HealthIn the realm of alternative medicine, acupuncture stands as a practice that has transcended the test of time, originating from ancient China and finding its way into the contemporary healthcare systems of the world. The art of acupuncture involves the insertion of fine needles into specific points on the body, known as acupuncture points, to stimulate the body's natural healing processes and restore balance.The concept behind acupuncture is rooted in thetraditional Chinese medicine theory of Qi, or life energy, which flows through channels called meridians. When Qi is blocked or unbalanced, it is believed to cause illness or disease. Acupuncture aims to correct this imbalance, promoting a smoother flow of Qi and, in turn, better health.In recent years, acupuncture has gained significant recognition in the United States, with many people turning to it for a variety of health issues. It is often used to alleviate chronic pain, such as back and neck pain, as well as to manage conditions like fibromyalgia and osteoarthritis. Additionally, acupuncture has been utilized to help with stress reduction, anxiety, and depression.The process of receiving acupuncture is generallypainless, with most patients reporting a feeling of deep relaxation during and after the treatment. The needles usedare sterile and only penetrate the skin to a shallow depth. A session can last anywhere from 15 minutes to an hour, depending on the individual's needs and the practitioner's assessment.While acupuncture is not a cure-all and its efficacy can vary from person to person, it is recognized by the World Health Organization for treating over 40 conditions,including addiction, headaches, and menstrual cramps. It is also considered a complementary therapy, often used in conjunction with Western medicine to enhance overall wellness.Despite its ancient origins, acupuncture continues to bea subject of scientific study and debate. Some clinicaltrials have shown positive results, while others have foundno significant difference between acupuncture and placebo treatments. However, the growing number of acupuncture practitioners and the increasing number of people seeking out this form of therapy suggest that it holds a significantplace in the spectrum of health care options.In conclusion, acupuncture represents a unique blend of ancient wisdom and modern health care. As an integrative approach to wellness, it offers an alternative for those seeking relief from various ailments or simply looking to maintain a balanced state of well-being. Whether it's through the restoration of Qi or the power of the mind-body connection, acupuncture remains an intriguing and valuabletool in the quest for health and healing.。
1.basic principles of CNT(1)always wash hands between patients.(2)Always use sterile needles(3)Always establish a clean field(4)Always wash hands just prior to inserting needles if hands have beencontaminated.(5)Always immediately isolate used needles.2.(三棱针)three-edged needle :manipulation and procedure(点刺法)spot-pricking methodconcept: prick a certain acupoint or superficial vessels with three-edged needle to discharge a small amount of blood, so as to treat diseases.(1)needle sterilization: high temperature, or soak the needle in 75% alcohol for30min; or use single used blood-taking needle(recommended).(2)Point/skin disinfection: wipe the point with a 75% alcohol cotton ball(3)Hold the middle part of the three-edged needle by the thumb on the side close tothe acupuncturist, and index and middle fingers on the other side, and the tip of the needle is exposed for 2-3mm.(4)Pinch the area or the point with pressing hand, prick the point quickly andwithdraw it immediately.(5)Let the blood(or fluid) out for several drops by pressing the punctured area.(6)Wipe off the blood(or fluid) with dry cotton ball(or slight wet alcohol cotton ball),and finally press the punctured point for a few seconds to stop bleeding.how much blood(quantities)from several drops to 15ml,or more; the color of blood changed from dark red to bright red. Depends on: punctured area(point, small vessel, deep vein). Needling methods. Condition of disease. Patient’s age. Constitution.（散刺法）Scattered pricking method--Pricking 10-20 times continuously around the local lesion.--Always combined with cupping.（泻血法）Blood-letting method---at deep and big veins, tie up the limb above the punctured area with rubber tube and prick.（挑刺法）Fiber-tissue-broken pricking method—break the white subcutaneous fibrous tissue at acupoints or A shi points.（适应范围）Effects: 1. moving qi and activating the blood. 2.dispersing swelling to alleviate pain. 3clearing heat to cause resuscitation.Indications: syndromes such as qi stagnation, blood stagnation, excessive syndromes, etc.(1)acute heat syndromes especially fever.(2)Emergency condition such as coma, heat-stroke, convulsion, etc.(3)Blood stasis due to local injury or bruise.(4)Chronic conditions due to blood stasis such as numbness, paralysis, etc.(5)Chronic internal disorders(with fiber-tissue-broken prick method)3.dermal needle therapy (皮肤针)强度intensity of tapping(1)light needling: tapping is applied with less force, and shorter time of contact of theneedles with the skin. The signs indicating appropriate light tapping include slightly red skin engorged with blood after tapping, and without bleeding spots under the skin nor pain.—reinforcing, for elderly, infants, patient for first visit, or for areas on the head and face with thin muscles.(2)Medium needling: degree is between light needling and heavy needling, the signsindicating appropriate medium tapping include red skin engorged with blood but without bleeding after tapping, associated with slight pain,--for most areas and the majority of the patients.(3)Heavy needling: tapping is applied with more force than medium needling, andlonger time of contact of the needles with the skin. The signs indicating appropriate heavy tapping include red skin with bloody spots, associated with sever pain.—reducing, for patients with strong constitution, or for areas with thick muscles.部位areas of tapping(1)tapping along the meridian course—Du Mai, BL meridian, for general conditions.(2)Tapping the corresponding points—for general or local disorders.(3)Tapping the affect areas—for local diseases, such as arthritis, sprain, skin diseases,etc.适应范围indications(1)skin disorders such as alopecia, neurodermatitis, etc.(2)general disorders—headache, insomnia, paralysis, hypertension, pain of joints,abdominal pain, stomachache, eye disorders, ect.注意事项precautions(1)check the needles carefully before needling(2)do serious sterilization of the needle and skin.(3)When tapping the skin, the tip of the needle should be keep perpendicular to theskin.(4)During the tapping, if some blood comes out, the local part of skin should becleaned and sterilized;(5)Tapping should be avoided if there is an ulcer or injury on the local skin.4.皮内针intradermal needle therapyRetain the needles for 2-7 days.注意事项precautions(1)do not select too many points for embedding for each treatment, 2-3 pointsselection is recommended(2)the points selected for embedding should be located in an area of the body wherethe needle can be fixed relatively easily, points around the joints are not suitable for this kind of treatment.(3)During the embedding, if pain is experienced, the needle should be removed andembedded again.(4)During the embedding period, the patient should be instructed to keep the localarea clean and dry in order to avoid infection, in summer, the retaining of needle should not be for more than 2 days.(5)If local infectious was occurred, the needles should be removed.(6)No embedding needling method for ulcer, inflammation and hard masses withunclear reasons.5火针法fire needle therapymanipulation and procedure(1)selection and sterilization of needle area(2)烧针burning the needle(burning the needle shaft first then the needle tip): burning till the tip is white and bright—deep insertion;burning till the tip is transparent red(very red)—shallow insertion;burning till the tip is slight red—very shallow insertion;(3)insert the needle perpendicularly and quickly and puncture to the required depth.(4)Press the hole with dry cotton ball hard to close it to avoid pain and bleeding.(5)Apply a piece of adhesive plaster on the hole.6芒针法elongated needle therapy夹持进针insertion :the thumb and index finger of the pressing hand grip th e sharp part of the needle with a sterilized cotton ball and the tip of the needle is exposed. The thumb and index finger of the puncturing hand hold the handle of the needle. The tip of the needle points to the acupoint. When the tip of the needle gets close to the skin, both hands manipulate in cooperation and insert the needle into the skin by thrusting or swirling to the depth required.捻转法:twirling method7.电针法electric needling(1)选穴：according to syndrome differentiation, or the points with trunk of nerve beneath.(2)刺激参数stimulating parametersUndulate wave forms、amplitude of waves(波幅)、width of the pulse wave(波宽)、frequency(3)波形Undulate wave formsa. Dense wave密波: high frequency wave (>30Hz,50-100pulse)--reduce the nerve irritability, produce inhibition on sensory never and then on the motor nerve.--Applications：analgesia，sedative effects and relaxing spasm.b. Sparse wave 疏波：low frequency wave (<30Hz,or2-5pulse/sec)--It is comparatively strong and can cause contraction of the muscles and enhance the tension of muscle and ligaments.--Applications：flaccidity，atrophy and the impairment of muscle，joint，ligament and tendonsc. Irregular wave 疏密波:alternately dense and sparse wave--This is a kind of wave ，which spontaneously alternates appearance of low and high waves within time of 1.5 seconds. It has a better excitation effect during treatment, can promote metabolism and blood circulation ,improve tissue nutrition ,andeliminate inflammatory edema .--Application: sprain and contusion , periarthritis, facial paralysis ,etc .d. Intermittent wave 断续波: rhythmically-interrupted electric dense wave for 1.5 second each phase .--It can enhance the excitation of muscular tissue and produce good stimulation to the muscle and make it contract perfectly, especially for striated muscle .--Applications: Wei-syndromes (flaccidity), paralysis ,etc.e. Serrated wave---saw-tooth wave 锯齿波--This is an undulated wave in which impulse amplitude undulates automatically in a serrated form 16-20 times or 20-25 times a minute.--Applications: rescue a person with respiratory failure by making artificial electro-respiration through stimulation of the phrenic nerve.(4)amplitude of waves(波幅)：the difference between the maximum and minimum voltage or current, the intensity of EA mainly depends on the amplitude of the wave, (0-20V, or 1-2mA). In the clinic practice, the intensity can be selected according to the tolerance of the patient.(5)注意事项precautions(1)check the electric stimulator to make sure that its output is normal before eachtreatment. Turn the output to 0 before treatment.(2)Adjust the flow of the electric current from small to large gradually, so as not tocause a sudden strong muscular contraction or pain to the patient.(3)In treating patient with serious heart disease, take care to prevent the current goingthrough the heart. Do not apply electric needling to patient with an artificial pace-maker.(4)No EA on the lower abdomen or lower back, and sacrum regions of pregnantwomen. The elderly, people with weak constitution, drunk, over-hungry, over-eating or overstrain are not suitable for using EA.(5)A filiform needle, which has been burned during the process of moxibustion andhas lost the capability of conduction due to the oxidation of its handle, is not suitable for electric needling use.8腧穴注射法point injection(1)Operation1.Procedure：Select proper points(with thick muscles),injectors and needles—local skin disinfection ---insert the needle into the skin quickly ---gently thrust or lift the needle to induce needling sensation ---extract the fluid by gently lifting the pistol of the injector ---if there is no blood reflux, inject the drug into the point slowly2. Depth of insertion : It should be various according to the location of the points. Intradermal injection on tender point on the face, or deep injection in the muscles of lumber region .3.Dosage of the drug: 0.1ml-ear point: 0.3-0.5ml-face; 1-3ml-four limbs;0.5-1ml-back and chest;2-5ml-lumbar and buttock; specific drugs (anti-biotic, hormone )-1/10or 1/3 of its common dosage .4 Therapeutic course : once a day ,or every 2 days, 10 sessions as 1 course ,5-7 days break between 2 course .(2)Precautions1. Care must be taken to sterilize properly to prevent infection ;2.It is necessary to explain the possible reactions caused by point injection to the patient , such as distension and tender at local area for 4-8 hours or even longer ,but less than 1 day in general ;3. Pay attention to the expiry date of injections . Skin test must be conducted for the drugs which may induce allergic reactions ;4. The drugs should not be injected into joint capsular , blood vessels or spinal cord .5. To avoid injury the nerve trunk during injection .9腧穴敷贴法point applicationSelecting: proper herbs ,such as herbs with pungent taste (bai jie zi , gan sui ,xi xin ,etc.)10腧穴磁疗法magnetic therapy on the pointsCommon used magnetic intensity:500-2000Gs注意事项precautions(1)it is necessary to observe the reaction of the patient in 2days after magnetictreatment. Associate side effects may include palpitation, nausea, vomiting, difficult breathing, sleepy, lassitude, dizziness, low fever.(2)For the patients with sever side effects, the treatment must be stoppedimmediately.11腧穴激光照射法laser therapyPrecautions: check the laser stimulator to make sure that its output is normal before each treatment; avoid radiating the eyes directly.12腧穴红外线照射point infrared radiation therapyPrecautions: avoid radiating the eyes; avoid burning the skin; no infrared radiation for the patient with malignant cancer, attacking stage of lung TB, severe arteriosclerotic arteritis obliterans, obliterating phlebitis, hemorrhagic tendency, or high fever.[文档可能无法思考全面，请浏览后下载，另外祝您生活愉快，工作顺利，万事如意!]。
・906・Shanghai J Acu-mox, Aug 2016, V ol 35, No 8 文章编号:1005-0957(2016)08-0906-03 ·名医经验· 高维滨教授针灸学术思想简介刘双岭,王伟华,高维滨(黑龙江中医药大学附属第二医院,哈尔滨 150001)【关键词】 针灸疗法;名医经验;电针【中图分类号】 R249 【文献标志码】 ADOI:10.13460/j.issn.1005-0957.2016.08.0906高维滨教授,男,1944年出生。
1970年毕业于黑龙江中医学院,曾任黑龙江中医药大学附属第二医院神经内科(针灸科)主任、主任医师、教授、博士生导师,为全国名老中医药专家学术经验继承人指导老师。
先后荣获2004年度国家科技进步二等奖,黑龙江省科技进步二等奖3次,三等奖1次。
荣获黑龙江省优秀中青年专家、黑龙江省名中医称号,享受国务院特殊津贴,并被评为国家级名老中医药专家。
从事中西医结合治疗神经病的医疗、教学和科研工作近50年。
学术上擅长针刺、中药治疗神经病,主张运用现代科学技术方法来研究针刺方法,取穴参考腧穴解剖及神经肌肉起止点,他的针刺方法简单易学,取穴用药少而精,创立新穴位、针刺手法,掌握发病及治疗机理,尤其治疗延髓麻痹这一世界性难题,临床疗效卓越,高教授主张辨病分析,医理大道至简、举一返三,异病同治,不断地探索总结中医针刺治疗神经系统疾病的有效方法,极大地推动了中医药事业的进步。
高维滨教授为人正直,和蔼可亲,医术精湛,治学严谨,他的学生桃李满天下,学术思想及针刺技术闻名海内外。
笔者随师临证,得恩师言传身教,获益匪浅,现将高教授多年来运用电针疗法、项针疗法治疗神经科疑难症的临床经验总结如下。
1 选穴精简,近取为主高教授在多年临床实践中,探索针刺治疗神经病的方法和规律,运用电针疗法、项针疗法治疗神经疑难病疗效显著,针刺选穴原则以精简为主,极大地减轻了患者的痛苦。
中医针刺止痛的记载英文回答：Acupuncture is a traditional Chinese medicine (TCM) practice that involves inserting thin needles into the skin at specific points on the body. It is believed that these points correspond to specific meridians, which are channels of energy flow in the body. Acupuncture is often used to relieve pain, and there is some evidence to support this claim.One study found that acupuncture was effective in reducing pain in patients with chronic low back pain. The study participants received either acupuncture or sham acupuncture (needles inserted at non-specific points on the body). The acupuncture group experienced a greater reduction in pain than the sham acupuncture group.Another study found that acupuncture was effective in reducing pain in patients with osteoarthritis of the knee.The study participants received either acupuncture, sham acupuncture, or a non-treatment control. The acupuncture group experienced a greater reduction in pain than the sham acupuncture and control groups.Acupuncture is generally considered to be a safe and effective treatment for pain. However, there are some potential side effects, such as bruising, bleeding, and infection. It is important to talk to your doctor before starting acupuncture treatment to discuss the risks and benefits.中文回答：针灸是中国传统医学（TCM）的一种疗法，它涉及将细针插入身体特定穴位的皮肤上。
Liu SL, Gao WB. Brief introduction to Professor Gao Wei-bin’s needling technique of ‘Ten Acupuncture Skills’. J Acupunct Tuina Sci, 2017, 15(3): 204-208DOI: 10.1007/s11726-017-1001-3●204 ●︱© Shanghai Research Institute of Acupuncture and Meridian 2017 Famous Doctor’s ExperienceBrief introduction to Professor Gao Wei-bin’s needling technique of ‘Ten Acupuncture Skills’高维滨教授“针刺十绝”针法简介Liu Shuang-ling (刘双岭), Gao Wei-bin (高维滨)The Second Hospital Affiliated to Heilongjiang University of Chinese Medicine, Harbin 150001, ChinaAbstract‘Ten Acupuncture Skills’ refers to ten types of needling techniques for difficult and intractable neurological diseases. It has been summarized by Prof. Gao Wei-bin, a famous traditional Chinese medicine expert in China, based upon his clinical experience for years, including neck acupuncture for bulbar palsy, neck acupuncture for laryngeal muscular paralysis, stuck needling technique for ocular muscular paralysis, electric field therapy at Jiaji (EX-B 2) points for incomplete spinal paraplegia, electroacupuncture (EA) for urination disorder, electric neck acupuncture for waking up and treating various cerebral and nuchal diseases, EA at Jiaji (EX-B 2) points for intractable hiccup, EA at Jiaji (EX-B 2) points for cervical and lumbar spondylopathy, antagonistic EA for post-apoplectic hemiplegia, and EA for facial paralysis. The ten acupuncture skills are summarized in order to guide the clinical application.Keywords: Acupuncture Therapy; Electroacupuncture; Nervous System Diseases; Bulbar Palsy; Paraplegia; Poststroke Syndrome; Famous Doctor’s Experience; Gao Wei-bin【摘要】“针刺十绝”是全国名老中医药专家高维滨教授多年临床实践总结的10种治疗神经内科疑难病的针刺方法, 包括项针治疗延髓麻痹、项针治疗喉肌麻痹、滞针动法治疗眼肌麻痹、夹脊电场疗法治疗不完全性脊髓性截瘫、电针治疗排尿障碍、电项针疗法促醒及治疗多种脑颈项部疾病、夹脊电针治疗顽固性呃逆、夹脊电针治疗颈腰椎病、电针拮抗法治疗中风后偏瘫和电针治疗面神经麻痹。
对10种针法进行总结, 以指导其临床应用。
【关键词】针刺疗法; 电针; 神经系统疾病; 延髓麻痹; 截瘫; 中风后遗症; 名医经验; 高维滨【中图分类号】R246.6 【文献标志码】AProf. Gao Wei-bin is a famous traditional Chinese medicine (TCM) expert in China. His ‘Ten Acupuncture Skills’ has summarized the objective rules of acupuncture treatment for neurological diseases and also reflected the new progress in academic and technical levels of acupuncture science. Now, Prof. Gao Wei-bin’s ‘Ten Acupuncture Skills’ are briefly introduced as follows.1 Neck Acupuncture for Bulbar PalsyBulbar palsy can be pseudo or true. Pseudobulbar palsy is also termed motor neuron bulbar palsy[1]. True bulbar palsy is also termed motor neuron bulbar palsy. Both conditions are manifested by choking cough in drinking water, swallowing disorder, and hoarse voice. Swallowing disorder in pseudobulbar palsy mainly occurs in the oral stage and swallowing disorder in true bulbar palsy mainly occurs in the pharyngeal stage. Author: Liu Shuang-ling, M.M., attending physician.E-mail: echolsl@Acupuncture treatment for bulbar palsy is mostly based upon the principle to select the adjacent acupoints, by selecting the acupoints at the nape. Therefore, it is termed ‘neck acupuncture therapy’. Prof. Gao found out that Fengchi (GB 20), Yiming (EX-HN 14), Lianquan (CV 23), Waijinjin (Extra) and Waiyuye (Extra) are effective in treating bulbar palsy and furthered his anatomical study and analysis on motion of the muscles at the nape, and suggested different acupoints to deal with the symptoms and causative factors of bulbar palsy[2]. The acupoints for dealing with the causative factors are Fengchi (GB 20), Gongxue (Extra, a new point) and Yiming (EX-HN 14). The acupoints for dealing with the symptoms are Lianquan (CV 23), Waijinjin (Extra), Waiyuye (Extra), Tunyan (Extra, a new point), and Tiyan (Extra, a new point). The former is able to improve blood circulation and the latter is able to improve and restore the swallowing function. Among them, Gongxue (Extra), Tunyan (Extra) and Tiyan (Extra) are the new acupoints created by Prof. Gao[3]. Gongxue (Extra) locates at 1.5 cun below Fengchi (GB 20), at the level of the lower lip, with the vertebral artery underneath. Tunyan 1 (Extra) locates between theJ. Acupunct. Tuina. Sci. 2017, 15(3): 204-208© Shanghai Research Institute of Acupuncture and Meridian 2017︱● 205 ●hyoid and Adam’s apple, 0.5 cun lateral to the midline, with the pharyngeal constrictors underneath and controlled by the superior laryngeal nerve. Tunyan 2 (Extra) is at the level of the mentolabial sulcus, in the depression of the anterior border of the third cervical vertebra, with the laryngeal constrictor inside. Tiyan (Extra) locates at the posterior border of the mandible and lower border of the mastoid process, with the stylopharyngeal muscle inside [4]. The above-mentioned new acupoints are punctured obliquely by the elongated needles in diameter of 0.35 mm and in length of 75 mm. After the needle is inserted about 0.5-1.0 cun and the needling sensation is obtained by twisting technique, the needle is taken out immediately [5]. The swallowing reflex activity is mainly to roll up the tongue muscle backward to push food to the epiglottic part, and at the same time contract the pharyngeal elevator for raising the soft palate, and making the epiglottic part to cover the throat backward, and then the pharyngeal constrictors spread downward by turns to send the food through the esophagus to the stomach. In neck acupuncture, the relevant acupoints and muscles in relation to the swallowing reflex activity are stimulated, in order to realize the goal to rebuild the swallowing reflex [6]. By the comparative study on 100 cases before and after the treatment, it is found out that the total effective rate can reach 96% in the treatment of bulbar palsy by neck acupuncture therapy.2 Neck Acupuncture for Laryngeal PalsyThe laryngeal palsy is manifested by vocal cord paralysis, and could be induced by recurrent laryngeal nerve paralysis, with clinical symptoms of hoarse voice, and unclear articulation, etc. In the treatment of bulbar palsy, Prof. Gao finds out that Fayin (Extra, a new point) has an obvious effect to treat low voice [7]. Therefore, this method is used. Fayin (Extra) locates 0.5 cun below Adam’s apple, 0.2 cun lateral to the midline, between the thyroid cartilage and cricoid cartilage, with the external branch of the superior laryngeal nerve underneath the acupoint in dominating the cricothyroid muscle and interior constrictor of the pharynx. The elongated needle in diameter of 0.35 mm and in length of 75 mm is inserted for about 0.5-1.0 cun and taken out immediately after the needling sensation is obtained by the twisting needling technique. In the needling technique, Prof. Gao notices that the slow lifting, thrusting, twisting and rotating techniques could be beneficial to the restoration of the motor functions of the nerves and muscles. For example, a patient sick with acute aphonia for one month, induced by cerebral infarction, showed instant effect after treatment and was cured after three sessions. Another case with aphonia for 12 years was able to pronounce and express clearly after six sessions of treatment.3 Stuck Needling Technique for Ocular Muscular PalsyThe stuck needling technique refers to a needling technique to promote the eyeball to move in coordination with the needle by lifting and thrusting technique after the needle is inserted into the acupoint around the eye. The needle tip is inserted into the attachment of the ocular muscles (termed muscular tendon in Chinese medicine), to pull its motion and induce contraction of the ocular muscle, able to promote the motion of the eyeball and reduce bleeding. In this method, the filiform needle in diameter of 0.20-0.25 mm is inserted, with an angle of 45°, into the lateral rectus of the outer canthus to treat paralysis of the abducent nerve, or inserted toward the superior oblique muscle to treat paralysis of the trochlear nerve, or inserted toward the medial rectus of the inner canthus, or inserted perpendicularly toward the lavatory muscle of the upper eyelid, or inserted perpendicularly toward the inferior oblique muscle, to treat various types of paralysis related to the ocular nerve. In accordance with the findings from the case observation in the outpatient in the recent years, it has been found out that the total effective rate reaches over 35% in the treatment of abducens paralysis, and over 65% in the treatment of paralysis of the oculomotor nerve by the stuck needling technique. Prof. Gao’s clinical practice of this method has proved that acupuncture treatment of the paralysis of ocular muscle is really advantageous [8].4 Electric Field Therapy on Jiaji (EX-B 2) Points for Incomplete Spinal ParaplegiaThe incomplete spinal paraplegia includes spinal cord injury, myelitis, myelodysplasia, etc. It has been proven by the basic research that the spinal nerves can regenerate under the functions of electric field produced when the electric current flows through [9]. Being enlightened by this knowledge, Prof. Gao uses the electric field therapy on Jiaji (EX-B 2) points, by selecting a pair of Jiaji (EX-B 2) points respectively and bilaterally on the upper and lower ends of the injured spinal segments, with the needle handle connected to the wire of electroacupuncture (EA) apparatus, and with another group of wire connected to a pair of Jiaji (EX-B 2) points on the same side, positive electrode above the negative electrode [10], by KWD-808 pulse EA apparatus, with dense wave and output intensity inducing the muscular contraction in the two paralyzed lower limbs. By this method of acupuncture plus electric field stimulation, many patients with spinal cord disorders could stand and walk independently or dependently, and could restore or improve the functions of defecation and urination.J. Acupunct. Tuina. Sci. 2017, 15(3): 204-208●206 ●︱© Shanghai Research Institute of Acupuncture and Meridian 20175 EA for Urination DisorderThe urination disorders include neurogenic urination disorder, urination disorder and sexual debility induced by prostatic hyperplasia, and urination disorder induced by spinal cord problems, manifested by the symptoms of frequent urination, incontinence of urination, frequent nocturnal urination, difficult urination, and retention of urine. The EA is given by the acupoints selected from the head, back and sacral region, and usually the therapeutic effects could be obtained after 1-3 treatments. In Sishencong (EX-HN 1), the scalp where the acupoint is located corresponds to the paracentral lobule of the brain, an advanced micturition center . Under Shenshu (BL 23), there is the sympathetic nerve, which could control the contraction of the detrusor of the bladder to contract the sphincter muscle of the urethra. Underneath Huiyang (BL 35) is the pudental nerve, which could contract the sphincter muscle of the urethra to inhibit urination [11]. Underneath Zhongliao (BL 33) and Ciliao (BL 32) are the parasympathetic nerves, which could dominate the detrusor of the bladder to discharge urine. Based upon the therapeutic mechanism of urination disorders and same therapeutic modality for different problems, Prof. Gao uses this method of acupoint combination in the treatment of urination disorders and sexual debility induced by prostatic hyperplasia, or mild paralysis of the two lower limbs and urination disorder caused by poor development of the spinal cord and obtains the satisfactory therapeutic results. In puncturing Ciliao (BL 32) and Zhongliao (BL 33), the needles are not inserted into the posterior sacral foramen and just reach the sacral bone. The therapeutic effects are more satisfactory while the electric current is transmitted by bone conduction [12].6 EA on Neck for Awakening and Treating Various Cerebral and Neck DiseasesThe EA on neck refers to the therapeutic method in which pulse current is conducted through the acupoints on the neck. In accordance with the theories of anatomy, physiology and pathology, the operating method is that in puncturing Fengchi (GB 20) and Gongxue (Extra), electric stimulation is connected after the needling sensation is obtained by twisting needling technique, with positive electrode on Fengchi (GB 20) and negative electrode on Gongxue (Extra), with sparse wave and the intensity within the patient’s tolerance. EA has the effects to excite the reticular formation of the brain stem for activating the system, activate the cortical brain cells, improve blood circulation of the brain, cerebral circulation, and loosen the cervical vertebral joint, etc [13], and is satisfactorily effective in the treatment of problems of the brain and neck, such as insomnia, tinnitus, dizziness, vertigo, hydrocephalus, increased intracranial pressure, and cognitive disorder in the early stage. This therapeutic modality used to wake up a patient in decorticated status, and clinically cure seven patients with high intracranial pressure and hydrocephalus, instead of surgery. The findings indicate that this therapeutic modality is a new and effective therapy for diseases of the brain and neck [14].7 EA at Jiaji (EX-B 2) Points for Intractable HiccupIntractable hiccup is often seen in the critical patients in the neurological clinic. The hiccup center is in the medulla and its nervous fibers come out from the vertebral foramen of C 3-C 4 and C 4-C 5, through the mediastinum downward to the diaphragm. Stimulation to any of its part would induce spasm of the diaphragm [15]. The therapeutic mechanism is to use electric stimulation on Jiaji (EX-B 2) points at C 3, C 4 and C 5, so as to interfere with the excitement of the phrenic nerve for stopping hiccup by micro electric current from sparse wave.8 EA at Jiaji (EX-B 2) Points for Cervical Spondylosis, Lumbar Spondylosis, Lumbar Disc Herniation and Relevant Neuropathy of the SpineEA at Jiaji (EX-B 2) points is supposed to use the mechanical function of the traction of EA with sparse wave. The muscle of the neck can be relaxed by external force, and to pull the vertebrae with rhythmical contraction of the muscle, so as to adjust the position of the intravertebral joints, reset the intravertebral disc and alleviate the compression on the nerve root or spinal cord [16]. The principle of EA at Jiali (EX-B 2) points can be interpreted to circulate qi first (mechanical stimulation of EA produces the rhythmical contraction of the muscles), and then circulate blood (the muscular contraction squeezes the blood vessels to increase blood supply). Therefore, EA at Jiaji (EX-B 2) points for cervical spondylosis is a concrete reflection of ‘qi circulation promoting blood circulation’ of Chinese medical philosophy in modern application [17]. By pulling the muscles and vertebrae with pulse current of EA, the intravertebral joints could be relaxed and the herniated discs could be restored. Usually, the therapeutic effects can be achieved in 1-3 treatments. As a result, many patients can be freed from surgery.J. Acupunct. Tuina. Sci. 2017, 15(3): 204-208© Shanghai Research Institute of Acupuncture and Meridian 2017︱● 207 ●9 Antagonistic EA for Hemiplegia After ApoplexyHemiplegia is a major mode of abnormal motion, caused by simultaneous decline of the muscular strength and muscular tension of the antagonistic muscle, failing to antagonize the increased muscular strength and muscular tension of the paralyzed agonistic muscle. In accordance with Brunnstrom’s theory about division of hemiplegia into six periods of three stages [18], the EA is applied to the acupoints of the antagonistic muscle, with sparse wave, in order to increase the muscular strength and muscular tension of the antagonistic muscle, and simultaneously reduce the muscular strength and muscular tension of the agonistic muscle [19]. The agonistic muscle is flexor muscle and the antagonistic muscle is extensor muscle in the upper limb. The agonistic muscle is extensor muscle and the antagonistic muscle is flexor muscle in the lower limb. The antagonistic EA can quickly accelerate the termination of the shock period of paralyzed muscles, beneficial to the restoration of the muscular strength and muscular tension of paralyzed muscles, and is a perfect combination of the traditional acupuncture and medical theory of modern rehabilitative medicine.10 EA for Facial ParalysisThe facial nerve dominates the superficial facial muscle. The acupoints are selected from the trunk of the facial nerve. In the insertion of the needle, the needle is inserted along the path of the nerve branch superficially or penetratingly. Yifeng (TE 17) locates at the stylomastoid foramen, from where the facial never comes out of the cranium. Qianzheng (Extra) locates at the nerve truck after the facial nerve comes out of the cranium. The branch along the pathway of Shangguan (GB 3) to Sizhukong (TE 23) dominates the frontal muscle and orbicularis oculi muscle. The branch along the pathway of Xiaguan (ST 7) to Sibai (ST 2) dominates the zygomatic muscle and orbicularis oculi muscle. The branch along the pathway of Dicang (ST 4) to Jiache (ST 6) dominates the cheek muscle and orbicular muscle of mouth. After the needle insertion, the three pairs of acupoints are connected with the wire, with the positive electrode close to the acupoints near the ear and negative electrode linked with the acupoints remote from the ear. In the early stage, sparse wave is used, and sparse and dense wave is used 1 week later, for mild rhythmical contraction of the muscle, 30 min for each session, suitable for early stage and middle stage of facial paralysis. The electric current flows and conducts along the facial nerve, which can produce electric field. The electric field can regenerate the facial never, so as to relieve the mutagenicity of the myelin sheath andaxon in the facial nerve. Therefore, the therapeutic effects are better [20].The above is a brief summary of Prof. Gao’s needling technique of ‘Ten Acupuncture Skills’, in a hope to guide clinical practice in a certain way. Academically, Prof. Gao suggests to study the therapeutic effects of acupuncture and Chinese herbal drugs by modern scientific and technical methods, and to select the acupoints in reference to anatomy and origins and insertions of the nerves and muscles. His needling methods are simple and easy and his selection of acupoints is fewer and precise. He also creates some new acupoints and new needling techniques. In his treatment, he emphasizes pathogenesis and therapeutic mechanism, especially in the treatment of bulbar palsy, a worldwide difficult issue. Constantly, Prof. Gao explores and sums up the effective acupuncture therapy for neurological diseases, positively significant for development of TCM.References[1] Gao WB, Liu Y , Ni JX, Zhu WZ, Li XN. Clinical study ofnape acupuncture treatment for pseudobulbar paralysis. Shanghai Zhenjiu Zazhi, 2009, 28(1): 18-20.[2] Zhang J, Liu YJ. Prof. Gao Wei-bin's experience intreatment of bulbar palsy. Zhongyiyao Xinxi, 2012, 29(1): 71-73.[3] Kang LR, Zheng S. Effective acupoints for bulbarparalysis by Professor Gao Weibin. Zhongguo Zhen Jiu, 2016, 36(4): 402-404.[4] Gao WB, Gao JL, Lü F. Treatment of NeurologicalDiseases by Modern Chinese Medicine. Beijing: People's Military Medical Press, 2011: 116-122.[5] Gao WB. Six Acupuncture Skills: Modern AcupunctureTherapy for Neurological Diseases. Beijing: China Medico-Pharmaceutical Science and Technology Publishing House, 2007: 148.[6] Gao WB, Liu Y , Ni JX, Zhu WZ, Li XN. The evaluation ofthe clinical efficacy on the neck acupuncture treatment of pseudabulbar paralysis. Zhenjiu Linchuang Zazhi, 2006, 22(9): 8-10.J. Acupunct. Tuina. Sci. 2017, 15(3): 204-208●208 ●︱© Shanghai Research Institute of Acupuncture and Meridian 2017[7] Han XY . Focusing on national prize for progress in scienceand technology an expert exploring bravely in restricted medical zone: a visit to Prof. Gao Wei-bin from Neurological Department of the Affiliated Hospital of Heilongjiang University of Traditional Chinese Medicine. Zhongguo Zhongyiyao Bao, 2005-04-28(2333).[8] Yu ZG, Kang LR, Li XY , Liu XD, Gao WB. Case analysison Prof. Gao Wei-bin's treatment of ocular paralysis. Zhongyiyao Xuebao, 2015, 43(2): 113-114.[9] Sun HL. The feasibility and significance of the Dumaielectric instrument for treating spinal cord injury. Zhongyi Linchuang Yanjiu, 2016, 8(16): 8-9.[10] Gao WB. New Acupuncture Therapy for NeurologicalDiseases. Beijing: People's Health Publishing House, 2004: 162-163.[11] Yu ZG, Kang LR, Li XY , Liu XD, Gao WB. Prof. GaoWei-bin's experience in treatment of post-apoplectic incontinence of urine. Heilongjiang Yiyao, 2015, 28(4): 902-903.[12] Wang WH, Wang Z. Selected Medical Cases of Prof. GaoWei-bin's Acupuncture Treatment. Harbin: Heilongjiang Science and Technology Publishing House, 2016: 61-62. [13] Gao WB. Three Acupuncture Skills: Neck AcupunctureTherapy, Acupuncture Therapy of Jiaji (EX-B 2) Points, Qigong Plus Acupuncture Therapy for Intractable Neurological Diseases. Beijing: China Medico- Pharmaceutical Science and Technology Publishing House, 1996: 116-122.[14] Gao WB, Chen D, Li XY . Seven Acupuncture Skills: ANew Acupuncture Therapy for Neurological Diseases. Harbin: Heilongjiang Science and Technology Publishing House, 2014: 43.[15] Jiang HX, Liu SL Treatment of 30 cases of post-apoplectichiccup by electric acupuncture on Jiaji (EX-B 2) points. Shanghai Zhenjiu Zazhi, 2010, 29(6): 393.[16] Liu SL, Chen Y , Jiang HX, Gao WB. Treatment of 30 casesof nerve-root cervical spondylosis by electroacupuncture at Jiaji (EX-B 2) points. Zhenjiu Linchuang Zazhi, 2010, 26(4): 39-40.[17] Liu SL. Clinical Study on Treatment of Nerve-rootCervical Spondylosis by Electroacupuncture at Jiaji (EX-B 2) Points. Harbin: Master Thesis of Heilongjiang University of Chinese Medicine, 2010.[18] Tian JL, Qin Z. Observation on clinical effects of treatmentof apoplectic hemiplegia by selection of acupoints based upon Brunnstrom's stage plus sports therapy. Guiyang Zhongyi Xueyuan Xuebao, 2014, 36(6): 102-103.[19] Chen D, Zhang J. Examples of Prof. Gao Wei-bin's clinicalexperienced cases. Zhongguo Zhongyi Jizheng, 2011, 20(4): 575-591.[20] Han YS, Huo W, Chen CL. Gao Wei-bin's experience oftreating Bell's palsy: a report of some cases. Jiangxi Zhongyiyao, 2008, 39(2): 21-22.Translator : Huang Guo-qi (黄国琪)。
