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Clinical effects of acupuncture for diabetic peripheral neuropathy

OBJECTIVE:
To observe the clinical effects of acupuncture for diabetic peripheral neuropathy.

METHODS:
Totally 65 patients were randomly divided into a treatment group of 32 cases and a control group of 33 cases. On the basis of conventional treatment of diabetes, acupuncture was used in the treatment group, and inositol was orally administered in the control group. During a 3-month treatment, changes in the symptoms were observed.

After basic treatment for both the two groups, acupuncture was used in the treatment group, and inositol was orally administered in the control group.

The Basic Treatment All the patients were conventionally treated, with FBG below 7.0 mmol/L and 2 h BG below 11.1 mmol/L. For those diabetics complicated with hypertension and hyperlipemia, their blood pressure and blood lipid were controlled to the normal range. And the diet was rationally controlled.

For the Treatment Group The main points selected were Ganshu (BL 18), Pishu (BL 20), Shenshu (BL 23), Yishu, Feishu (BL 58), Zusanli (ST 36), Sanyinjiao (SP 6), Taibai (SP 3), Zutonggu, Qihai (CV 6), Guanyuan (CV 4), Fenglong (ST 40) and Yanglingquan (GB 34). The auxiliary points used were Jianyu (LI 15), Quchi (LI 11), Shousanli (LI 10), Hegu (LI 4), Biguan (ST 31), Futu (ST 32), Liangqiu (ST 34), Xiangu (ST 43) and Neiting (ST 44). Xuehai (SP 10) and Geshu (BL 17) were added for blood stasis; Yinlingquan (SP 9) and Diji (SP 8) were added for phlegm; and Bafeng (EX-LE10) and Baxie (EX-UE9) were added for severe numbness of the hands and feet. The No.30 1–1.5 cun filiform needles were used for acupuncture with the uniform reinforcing-reducing method. After the needles had been inserted into the points, evenly lifting, thrusting and twirling was performed until the patients felt needling sensation. Then, the needles were retained for 25 minutes, and manipulated twice. The treatment was given once a day, with 14 sessions as one course of treatment, for 5 consecutive courses with a 4-day interval between courses.

For the Control Group Inositol was orally taken 2 g a day in 3 times. Three months later, the clinical effects were evaluated for both the two groups

RESULTS:
In the treatment group, 16 cases were markedly relieved, 12 cases improved, and 4 cases failed, with a total effective rate of 87.5%. In the control group, 7 cases were markedly relieved, 14 cases improved and 12 cases failed, with a total effective rate of 63.6%. There was a significant difference in the total effective rate between the 2 groups (P < 0.05).

CONCLUSION:
Acupuncture may show good effects for diabetic peripheral neuropathy.

Studienautoren: ZHANG Cheng 张诚 1 , MA Yuan-xu 马元旭 2 & Supervisor: YAN Ye 闫也 1 1 Liaoning University of Traditional Chinese Medicine, Shenyang, Liaoning 110032, China 2 Shaanxi College of Traditional Chinese Medicine, China

Journal of Traditional Chinese Medicine, March 2010, Vol. 30, No. 1

Quelle: http://www.journaltcm.com/modules/Journal/contents/stories/101/3.pdf

 

 

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