Abstracts: Eye-acupuncture is a new and more unique micro--needling therapy in acupuncture and moxibustion. In the present paper, 180 cases of hypertension were treated respectively with eye-acupuncture, body-acupuncture and oral administration of hypotensor, and determination of heart function, including ultrasound cardiogram(UCG) and systolic interval(STI) and other objective indexes were used to observe the effect of eye-acupuncture on left-ventricular function (LVF) and blood pressure at hypertension state, and their therapeutic effects were compared, so as to show characteristics and advantages of eye-acupuncture.

Key words: Eye-acupuncture Hypertension Heart function
Hypertension in modern sciences is included in the category of dizziness in traditional Chinese medicine and it is an independent disease, mainly manifesting an increase of arterial blood pressure, and easily injuring the heart, kidney, brain and other organs. In the present study, 180 cases of hypertension were treated respectively with eye-acupuncture, body-acupuncture and oral administration of hypotensor, and heart function, including UCG and STI and other objective indexes were used to observe effects of eye-acupuncture on LVF and blood pressure at hypertension state, and its therapeutic effect was compared with other therapies.

Clinical dada:
1. Source Of cases: 180 cases of hypertension are all staffs of Shenyang Aircraft Manufacture Company and were diagnosed as hypertension of stage I and II by examinations of blood pressure, electro-cardiogram (ECG ), eyeground and routine urine before the observation. The l80 cases were randomly divided into 3 groups: eye-acupuncture group, body-acupuncture group and medicine group. Among them, 125 cases were male (44 cases in the eye-acupuncture group, 42 cases in the body-acupuncture group, 39 cases in the medicine group), and 55 female (16 cases in the eye-acupuncture group, 18 cases in the body-acupuncture group, 21 cases in the medicine group); 3 cases were under 30 years old (one case in each group), 32 cases were between 31 -- 40 years (10 cases in the eye-acupuncture group, l1 cases in the body-acupuncture group, 11 cases in the medicine group), 50 cases were between 41 -- 50 years (21 cases in the eye-acupuncture group, 13 cases in the body-acupuncture group, l6 cases in the medicine group), 95 cases between 51 -- 60 years(28 cases in the eye-acupuncture group, 35 cases in the body-acupuncture group, 32 cases in the medicine group).

2. Criteria of diagnosis: According to the Diagnostic Criteria and Classification established by World Health Organization Conference of Hypertension Specialists in 1978, systolic pressure > 160 mmHg (2l.33 kpa) and/or diastolic pressure > 95 mmHg(l2.67 kpa) for adults were diagnosed as hypertension; Stage I: There was no sign of obvious patho1ogical changes of organs; Stage II: There was the sign of no less than one organ injuried, such as various manifestions of left-ventricular hypertrophy, or common or localized narrow of retinal artery, or protein-uria and slight increase of plasma creatinine.

3. Methods of treatment: Bilateral eye-acupuncture points Gan area, Xin area, Shen area were selected and 32# 0. 5 cun stainless steel needles were used for eye-acupuncture treatment. Left finger pressed the eyeball, making the skin of the orbit tension, and the right hand held the needle and it was inserted into 0. 2 cun from lateral margin of the orbit along the skin, with no manipulation of needle and it was retained for 15 minutes. Fengchi (GB 20), Quchi (LI 11), Taiyuan(LU 9 ), Taichong(LR 3 ), and Taixi(KI 3) were selected for body-acupuncture treatment. Reinforcing-reducing method was selected according to patient's condition and it was retained for 20 minutes. Two tablets of compound Jiang Ya tablet were administrated orally with warm boiled water.

4. Determination of indexes: Arterial pressure and various indexes of heart function were determined after resting for 30 minutes in the l80 cases, and then they were treated respectively with fore-mentioned therapeutic methods. After the needle was retained respectively for 15, 20 minutes and 30 minutes after oral administration of the medicine, the above-mentioned indexes were determined once again, in order to observe and compare their trasient changes before and after treatment.

(1) Arterial pressure: In order to reduce auditory error, an electric blood pressure meter with digital display made in Japan was used to routine1y detect blood pressure of brachial artery of left arm, and at the time, the heart rate was displayed.

(2) Mechanical graph of heart function determination: HB -- 3COG -- 1 Admittance Type Cardial Output Instrument produced by Shijia zhuang City Medical Electric Equipment was used to record synchronously electro-cardiogram (ECG ), electro-cardiophonogram (ECP ) and impedance cardiogram, and then all required indexes of UCG and cardiac mechanical graph were calculated by means of the formula.

Results:
1. Changes of Blood Pressure
After treatment, systolic pressure (SYP ), diastolic pressure(DIP) and mean arterial pressure(MAP) decreased in 86.7 %, 78.3 % and 98. 3% of the patients respectively in the eye-acupuncture group, with very significant differences(P 0. 05

(4) Follow-up survey: In this paper, follow up survey of 20 cases was carried out for two years. Fluoroscopy showed that the average levels of the inferior poles of the stomachs of 20 cases were 7. 45 cm and 3. 28 cm below the connected line of the iliac crests before and after treatment respectively. After one year, the average value was 4. 22 cm, and after two years, it was 4. 95 cm. Two years later the average level was still 2.5 cm higher than that of pretreatment.

Typical case:

1.Miss Deng, 22 years old, a nurse. She felt abdominal distension and tenesmic sensation after meals, and whole body fatigue in l976. Examination; 172 cm in height, a weight of 55 kg, depression of the upper abdomen, but not touching the liver and spleen. In May 1978, it was found by fluoroscopy and roentgenogram of upper digestive tract that the inferior pole of stomach was 12 cm below the connected line of the iliac crests. It was diagnosed as IIIº gastroptosis. She was treated with elongated needle. After 5 treatment, abdominal distension after meal was alleviated, after l2 treatments, abdominal distension was felt occasionally, at the same time, belching and vague pain in the gastric region disappeared. After 18 treatments, the above symptoms all disappeared. And another 12 treatments were given continuously for consolidating therapeutic effect. She was treated for 30 sessions in all. Her appetite was increased after treatment, and she gained 5 kg in her body weight. Reexamination of fluoroscopy showed that the inferior pole of the stomach was 2cm below the connected line of the iliac crests. After treatment of 2,4,and 6 years, the reexamination of fluoroscopy showed that the inferior pole of the stomach maintained 1-2cm below the connected line of the iliac crests continuously.

2.Miss Lin, 20 years old, saleswoman. She felt abdominal distension and tenesmic sensation after meals, often belching, losing her appetite, weakness in whole body and usually diarrhea in 1987. She was treated with Chinese drugs for over one month, but the illness not responded to the treatment. Then she visited this hospital for acupuncture treatment on November 4 of 1988. Examination: pale complexion, deep and thready pulse, 154 cm in height, 39.5kg in body weight, leanness of body, depression of upper abdominal region, bulge of lower abdominal part, not touching the liver and spleen, but having splashing sound. Fluoroscopy on November 8,1988 showed that the inferior pole of the stomach was 9.5 cm below the connected line of the iliac crests. It was diagnosed as IIº gastroptosis. She was treated with elongated needle, once every other day. After 3 treatments, abdominal distension and tenesmic sensation after meals were alleviated, her appetite was increased. After 6 treatments, all subjective symptoms disappeared. Then another 4 treatments were given for consolidation of the therapeutic effect. Two months later her body weight was increased by 2 kg. Fluoroscopy showed that the inferior pole of the stomach was 4 cm below the connected line of the iliac crests. Reexamination of fluoroscopy after one year showed that the inferior pole of the stomach still maintained 4 cm below the connected line of the iliac crests.

Discussion:
1. The clinical symptoms of gastroptosis are similar to the syndrome of deficiencies of the spleen and stomach, and sinking of qi of middle-jiao in traditional Chinese medicine. Adopting the lifting manipulation of elongated needle penetrating point method could regulate the function of the spleen and stomach, and play a role of invigorating qi and lifting sinking, therefore, the better effect was achieved. Of 540 cases in this series, the effective rate was 90.7%, among them, the cure rate was 47.6%.

2. It is shown in table 3 that the cure rate of Iº gastroptosis is 77.6%, while the cure rate of IIIº gastroptosis is 11.8%, there is an obviously significant difference between acupuncture effects of different degree of gastroptosis(P81 %; Marked effectiveness: >56 %, l1 %, < 56 %; Ineffectiveness: < 1l %, or exacerbation of patient's condition.

RESULTS
The comparison of therapeutic effect between two groups is shown in Table 3.
　　

     Table 3. Comparison of the Therapeutic Effects between Two Groups
　　_______________________________________________________
　　 Cases    Basic cure  Marked Effect  efficiency  inefficacy         P
　　______________________________________________________
　　GroupA          31                 20                     10                1          <0.05
　　GroupB         30                  l1                       l5                 4          <0.05
　　________________________________________________________

The therapeutic effects between two groups were analysed by Riddit method. There is a significant difference (P < 0. 05 ), suggesting the effect of group A is better than that of group B.

DISCUSSION
Apoplectic hemiplegia was treated by the method of needling around the ipsilateral projective area on the scalp of focus located with NMR, which as on the basis of the principle of local and adjacent selection of acupoints combined with remote selection of acupoints along the meridians, the main acupoints were selected on the head. It is considered in traditional Chinese medicine that head is the convergence of all yang. Three yang meridians of hands and feet all converge into head. Needling is around the circumference of focus, in the light of the loca1 needling has a role of dredging qi and blood of local meridians, and strengthening local blood flow. Hegu is the source point of Yangming meridian, Yangming circu1ate qi through three yang, with lots of qi and blood, which has a role of regulating qi and blood of the whole body; Taichong is the source point of the liver meridian; it can calm and depress the liver-wind; Taixi is the source point of the kidney meridian, it can nourish the kidney-yin and suppress the liver-yang; Quchi can clear away heat; Fenglong can remove phlegm; Xuehai and Sanyinjiao can promote blood circulation to remove blood stasis; Zusanli can replenish qi. The above acupoints are used together, which can play functions of dredging qi and blood of meridians, regulating viscera and balancing yin and yang, therefore this method which is used to treat apoplectic hemiplegia could achieved a better effect than that of the common scalp acupuncture. The local lesion imaged by NMR in brain of apoplectic patient is mostly like mass or flake. The method of needling around the projective area of the focus located by NMR can be used flexibly in accordance with the position, size form and number of the focus, it has more direction against the disease as compared with the common scalp acupuncture needling along lines in the motor area or sensory area. Therefore, this method might be used as one effective method for treating apoplectic hemiplegia.

By Tian Weizhu