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Acupuncture at Acupoint Yintang for Treating 37 Cases of Refractory Epista
Li Jilan($#2) Liu neru(ghtete)
Gannan Chunty HOsPital, Heilongiiang Province 162100, China
CLIN1CAL DATA
This series of treatment was made up of 37
ases of epistaxis altogether including 2l males
ul 16 females. The yOungest was 18 years and
le Oldest 62 years. Amng them, 15 cases had
,ncomitant hypertention, 6 cases rhinitis, 7
ou febrile disease, 6 cases hematopathy and 3
1ses cirrhosis.
TREATMENT METHODS
AcuPOints selected was Yintang (EX -- HN
).
Operation: A acupuncture needle was in-
irted into Yintang (Extra ) and pushed forward
>rizontally to a depth Of about 0. 5 -- 0. 7 cun,
ld then manipulated with uniform reducing and
iinforcing method moderately to cause the
3edling sensations to sPread to the nose tip. It
as advisable if the patient experienced sore and
lsal discharging sensations in the nose. The
redle was retained for 20 min. Acupuncture
eatment was conducted once daily and l0 ses-
,ns were made up one therapeutic course.
OBSERVAT1ON ON THE
THERAPEUTIC EFFECT
1. Criteria for Evaluating the Therapeutic
Effect
Cured: After one course of treatment, nasal
hemorrhnge disappeared;
Effective: Aner one course of treatment,
the hemorrhage lightened clearly;
' Ineffective: After one course of treatment,
nasal hemorrhage had no any change.
2. Results
After one course of treatment, of the 37
casesl 3l were cured, 2 effective and 4 ineffec-
tive. The 31 cured patients contained 15 cases of
concomitant hypertention and 6 cases of con-
comitant rhinitis and 6 cases Of concomitant
febrile disease (the rest one cases was effective)
and 4 cases of concomitant hematopathy (the
Other 2 cases were ineffective) * Of the 3 cases of
epistaxis with concomitant cirrhosis, one was ef-
fective and the rest two had no any change. Re-
sults displayed that acupuncture worked well in
treatment of hypertention tyPe, rhinitis type and
febrile-disease type epistakis but did not work so
well in treatment of hematopathy (including
aplastic anemia and primary thrombocytopenic
purpura) type epistaxis.
A TYPICAL CASE
Mr Han, aged 40 years, visited our hospital
on March l7, l999 for emergency treatment due
to severe epistaxis. In the past 5 days, his blood
. 58. WhrMJ. AiupMQx' Vo' 9, No. 4, lerler, 1999
loss amount was up to about l200 rnl. Bleeding of the liverfire type nasal hemorrhage.
was mainly from the left nostril, but, when the Acupuncture of Yintang (EX -- HN 3) and B,i-
left nostril was obstructed by using a sterilized hui (GV 20) was given to him. Five minutes
cotton-ball, the bleeding came out from the right later, his nasal hemorrhage stOpped immediate-
nostril. Examination showed his blood pressure ly. When the needle in Baihui (GV 20) was
being 28/l6 Kpa. Cerebral CT examination and withdrawn, the bleeding did not occur again.
blood routine examination had not any abnormal The needle in Yintang (EX -- HN 3 ) was re-
findings. It was diagnosed as hypertentinn type tained for 30 min. In order to consolidate the
epistaxis and treated with intravenous drip of therapeutic effect, a 5-fen gauge fili form needle
Mannitol, Qngkailing (Chinese drug), etc. fol- was implanted in Yintang (EX -- HN 3) for 12
lowed by lowering of bford presgure to 10/8 hours (fixed with adhesive plaster), manipulated
Kpa. Two hours after stopping using hyPOten- once again every 2 hrs by using unifOrm reinfOrc-
sors, his bford pressure went up to 28/l6 Kpa a-- ing and reducing methOd. At the sarn tAne, he..
g8in, accompanied by headache, vertigo, vomit- was asked to administrate Angong Niuhuang Pill
ing and massive hemorrhage from the nose. Five (Bezoar Bolus for Resurrectim), one pill every
days' continuous treatment did not work basical- time, twice a d8y. After 3 days' trearment, his
ly. Examination shOwed red cyes, taunt, rapid blood pressure was 16/10 Kpa, his nosebleed,
and forceful pulse, red tOngue with yellow thick headache and vertigO disaPpeared and has not re-
coating. Differentiation of syndrome: flaming-up lapsed all along up to now.
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