treatment of gall stones with chinese language
Acupunture for gall stones: It is unclear whether acupuncture, independently, can cause expulsion of gall stones, but acupuncture therapy is used to treat symptoms of gall stones, such as billiary colic. Both the acupuncture details mentioned qimen (LV-14) and riyue (GB-24), are the key ones pointed out in the materials. These factors lie within the liver on the right side, and are located one ribs apart and directly under the nipple. A comprehensive analysis with the value of the points was presented in an article about treatment of biliary colic (6), along with brief mention of the nearby level juque (CV-14). The theory of acupuncture and moxibustion of Zhang Zhongjing [author of Shanghan Lun] is an important component part of his academic pondering, of which the frequent make use of qimen stage is quite characteristic. The indications of qimen point include fullness of abdomen, delirium, fullness with the chest and flanks, distention of digestive, gastrointestinal region resists pressure, and fever or alternative spells of fever and chills, which are like the clinical manifestations throughout a bout of biliary colic. We located that the most delicate and young point of qimen [among each of our patients with biliary colic] with the area described by the lines connecting qimen, riyue, and juque factors, which, relating to traditional Chinese medicine, is a dividing range between the lean meats and the gallbladder, and is indicated mainly for treating diseases of the internal organs inside the vicinity. Qimen is the mu point [alarm point] with the liver, riyue is the mu point in the gallbladder, and juque is a mu stage of the cardiovascular system. The front mu points are used mainly inside the treatment of illnesses of the internal organs. Various painful lesions would be the result of inability of the heart and liver to remove stagnancy of essential energy, ultimately causing impediment for the flow of qi in the gallbladder, hence producing the pain. Basing on the principle of dealing with pain by simply needling the location where discomfort exists, the most marked young spot was detected around the three factors.
Other items frequently described in the books for dealing with gallstones are the lower leg items yanglingquan (GB-34), qiuxu (GB-40), and zusanli (ST-36), in addition , there is an extra point known as the gallbladder stage (dannangxue), just below GB-34 (about 1-2 cun lower). The nausea and pain connected with cholecystitis and with billiary blockage is definitely treated at neiguan (PC-6) and zhigou (TB-6), over a wrist. In explaining the usage of these details, the Advanced Textbook of Traditional Chinese Medicine and Pharmacology states: Qimen and riyue are the front side mu points of the hard working liver and gallbladder meridians correspondingly, zhigou and yanglingquan can easily relieve hypochondriac pain, although zusanli assists strengthen the spleen and disperse dampness-heat. Ear acupuncture developed a reputation internet marketing a method intended for expelling gallstones during the eighties 1 . It had been reported to become especially successful for the damp-heat type and less thus for the qi-stagnation types of patients, but not effective for those with qi deficit. Over 60 auricular points have been used in the treatment of gallstones, making it challenging to pick out details that might be specifically effective.
Not surprisingly, the most commonly used points were those linked to the liver, gallbladder, bile duct, pancreas, duodenum, stomach, spleen, and little intestine. A course of treatment would be thirty days with pressure used on the point employing various kinds of pellets, especially vaccaria seeds (which have a clear , crisp point and might be replaced by the small ear tacks). Pressure can be applied for over twenty minutes after meals (about 15 minutes following eating). Despite the high efficiency of the therapy in alleviating symptoms, the number of cases reported to have full elimination of stones was usually no more than 10%, at times as high as twenty percent. During treatment, stone expulsion would yield a experience of distention or discomfort in the region of the gallbladder. However, it was identified that in patients who had only a portion of the pebbles expelled, fresh stones appeared very rapidly, sometimes bringing about a worsened condition following treatment. A single researcher, Shang Cenruo with the Nanjing University of TCM, cautioned a higher efficacy of ear canal acupuncture to get stone exclusion should be achieved before recommending wide spread make use of the approach.
Other experts noted superior effects the moment ear acupuncture therapy was along with herbal therapy. In an considerable review of any potential problems and opinions expressed simply by several experts in this discipline 2, the editor concluded that: In some reports, the beneficial efficacy was overestimated or perhaps overstated. As far as I know, besides exaggeration, the main reason for this was that evaluation was not made on a technological basis. Obviously, it is not adequate to evaluate the therapeutic effects merely based on presence or absence of subjective symptoms plus the amount of gallstones expelled with the stools. At present, auriculo-point seed pressing therapy could be used to expel gall stones, but the evacuation rate is still very low. This kind of remains to get further superior.
The therapeutic efficacy [among the results through several researchers] was basically the like different prescription medications of otopoints: part of the gallstones could sooner or later be removed from every patient. Community inflammation and clinical symptoms were appropriately alleviated or perhaps disappeared having a decrease in the amount of gallstones inside the biliary system. In some people, the life long colicky problems became shorter, and the time interval between two attacks became much longer. This is the major reason why this kind of therapy has won the patients self confidence.
We suggest that in order to additional enhance the restorative efficacy of this therapy, the following measures be adopted: Scientific practice must be combined with experimental research in order that the mechanisms of evacuation of gallstones can be clarified, plus the most effective strategies and otopoints be recognized through the latter which, in return, guide clinical practice, and, Since it is very difficult to improve the therapeutic effects by merely using the auriculo-point seed pressing method for treating cholelithiasis, it could only be taken as the main approach in a mixed therapy. Fig: 1 The acupoints riyue (GB-24) and qimen (LV-14).
