Analysis of Effect of Apoplectic Hemiplegia Treated by Needling Around the Projective Area on the Scalp of Focus Located
 
　　
 Abstract: Sixty-one patients of ischemic apoplectic hemiplegia were randomly divided into group of needling around the ipsilateral projective area on the scalp of the focus (group A) and group of scalp acupuncture (group B). After 30 treatments, there is a significant difference between the therapeutic effects of two groups 

RESULTS
 The comparison of therapeutic effect between two groups is shown in Table 3.
 　　  Table 3. Comparison of the Therapeutic Effects between Two Groups
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 　　                 Cases      Basic cure    Marked Effect    Effect    Ineffect    P
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 　　GroupA        31               20                    10              1            0     <0.05
 　　GroupB        30                l1                      l5              4            0     <0.05
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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 Li Yanhui, Lin Kailing,