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, 7ou febrile disease, 6 cases hematopathy and 31ses 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 ineffective. The 31 cured patients contained 15 cases of　concomitant hypertention and 6 cases of concomitant 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 effective and the rest two had no any change. Results 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 immediatenostril. 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 refindings. 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 reinfOrcsors, 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.