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Clinical Acupuncture:
AIDS
By
Wang
Shaorong,1 Liang
Chunyu 2 Shang
Xiukui 2
(
1Tianjin
College of TCM; 2China
Academy of TCM)
The
full name of AIDS is acquired immune deficiency syndrome, until
recently, AIDS has been considered to be universally fatal.
The
main symptoms include fever, diarrhea, fatigue, night sweats, weight
loss , and enlargement of the lymph nodes, eventually succumbing to
life-threatening infections,
such as a severe pneumonia caused by the normally harmless protozoan
pneumocystis carinii, or cancers, particularly Kaposi’s
sarcoma. The virus, HIV
human immune deficiency virus has been isolated from semen, cervical
secretions, plasma, cerebrospinal fluid, tears, saliva, urine, and
breast milk.
It
is considered in TCM that the kidney stores the essence, and is in
charge of reproduction
and development, as well as water.
No matter the broad meaning of the essence ( essence, blood,
body fluid) and the narrow meaning (the reproductive essence),
both closely related to the kidney.
Kidney energy deficiency resulted from sexual intemperance is
one of the main cause of the disease.
AIDS is essentially a sexually transmitted disease and most
prevalent among homosexuals, haemophiliacs who have received
transfusions, and drug users who share the needles.
The virus are transmitted
from semen, saliva and sap.
The virus lurk in the blood collaterals, and
ying- stage, it will attack the body causing the disease
onset when the body
energy is deficient.
The
etiology and pathogenesis
1.
The deficient kidney fails to store the energy caused by
excessive sexual activity. The
most patients who suffer from AIDS between 20-50 years old, and
especially between 20-39. The
sexual intemperance of the innocence youngster injures the kidney
energy causing the kidney fails to store the essence, and manifested
as the deficient symptoms.
2.
The spleen function being injured by predilection for alcohol. Most of the AIDS patients have the history as alcoholic. The
injured spleen and stomach fails to produce energy and blood.
The pathologic factor attacks the body when the energy low.
3.
Congenital energy deficiency, the virus may be transmitted from an
infected mother to the child.
The
key points for diagnosis
During
the developing course, the disease manifests as a long standing
fever, it could belong to the epidemic febrile disease in TCM,
characterized by deficiency in origin and excess in superficiality.
The deficiency in origin indicates
both energy and blood deficiency, and exhausted essence;
the excess in superficiality indicates the superactivity of
the febrile pathological factor exhausting
the ying and blood.
1.
Deficiency of the kidney essence
Symptoms:
Fatigue, soreness and soft in the waist and the knees, cough
with shot breath, sore throat, skinniness of the body, poor
appetite, diarrhea, pale tongue with white coating, or red tongue
with less coating, thready and rapid pulse.
2.
The febrile pathological factor attacking the Ying and blood stage
Symptoms:
Long standing fever, the temperature is usually over 38°C,
associated with sore
throat, terrible fatigue, short breath, spontaneous sweating,
skinniness. The serious
case manifests as delirium, purpura, nasal hemorrhage, hematochezia,
deep red tongue, thready and rapid pulse.
Traditional
acupuncture treatment
1.
Kidney essence depletion
Prescription:
Select points of Foot-Shaoyin, Foot-Taiyang, Ren and Du
meridians as the main points: Taixi(KI 3), Sanyinjiao(SP 6), Shenshu,
Pishu(BL 20), Zusanli( ST 36), Guanyuan(CV 4).
Insert
0.5-1 cun into Taixi perpendicularly; insert
Sanyinjiao point perpendicularly 1-1.5 cun, the two of
points should be acupunctured with
twirl supplementation; insert Shenshu point obliquely to the
direction of s pinal vertebral porcess 1-1.5 cun with
twirl supplementation; insert Zusanli point perpendicularly 1-1.5 cun
with twirl supplementation and
lifting and trusting supplementation supplementation or
moxibustion after acupuncture.
2
Heat entering construction-blood
Prescription:
Select points of Huatuojiaji and
Foot-Taiyang, Foot-Taiyin, Foot-Yangming meridians as the main points:
Huatuojiaji
points, Xuehai(SP10), Geshu(BL17), Neiguan(PC 6), Shuigou(GV 26),
Zhubin(KI 9), and Zusanli(ST36). Insert Huatuojiaji points
perpendicularly 0.5-1 cun with
twisting nourishing manipulation, manipulate needle 1 min for
each point; insert 1-1.5 cun into Xuehai(SP10) perpendicularly;
insert 1 cun into Geshu(BL17) to
the direction of spinal process obliquely with twisting combined
lifting and thrusting
reducing manipulation; insert
1-1.5 cun into Neigu an
perpendicularly with twisting combined lifting and thrusting
reducing manipulation; insert
0.2-0.3 cun into Shuigou(GV26) obliquely with pecking
sparrow manipulation; insert
1-1.5 cun into Zhubin(KI 9)
perpendicularly with twisting combined lifting and thrusting
reducing manipulation; insert
1-1.5 cun into Zusanli(ST36) perpendicularly with
twist nourishing manipulation; insert 1-1.5 cun into Sanyinjiao(SP6) with
twisting reducing
manipulation.
Auricular
acupuncture
Selected
ear point: Adrenal, Endocrine, Spleen, Kidney,
Ear-Shenmen
Manipulation:
Take 0.5 cun needle to puncture, insert about
0.1 cun into points, retain the needles for 30 min, or
put vaccaria seeds on the points and change the seeds every 3-5 days
prognosis and nursing
1.
It is at the researching stage the treating ADIS with acupuncture
and moxibustion according to the related material report,
acumoxatherapy has the effect on
improving symptoms and prolong life-span.
2.
In the treatment of ADIS with acumoxatherapy, the single used
needles should be
applied in the clinic. The
strict routine sterilization should applied and
the doctor should wear rubber sterilized gloves.
3.
Prevent ADIS being propagated by sexual activity. The average
infection percentage extends to 700,000,000 or person who makes
sexual activity with person carrying
ADIS germ, however, more frequent sexual activity, more high the
infection percentage. It is the important measure to get rid of abnormal sexual
activity in order to prevent AIDS propagating.
4.
In order to prevent AIDS being infected by blood transfusion and
blood products, the suspected person must be forbidden to offer
blood and prohibit importing blood products.
5.
Prevent mother infecting ADIS germ to body directly.
Contraception should be carried out, either father or mother
carries ADIS germ, once she is pregnant, it should be ended.
6.
In the aspect of professional prevention, pay much attention to
medical care and
safeguard to person who works in laboratory.
For example, avoid damaging skin with polluted apparatus,
avoid skin wound contacting patient, put on gloves when contacting
blood specimen, polluted apparatus, body fluid, drainage and
secretion before leaving the ward. Take
off lab-coats and gloves and wash hand s seriously, put all of
polluted articles by blood into sealed bag and burn them .
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