Clinical Application of Trigeminal Needle Blood Pricking Therapy in Difficult and Miscellaneous Diseases
Throughout the ages, from the ancient “acupuncture stone” to one of the nine needles of the Neolithic era – sharp needles, and then to the modern three-pronged needles, blood pricking therapy is a strange flower in the garden of acupuncture medicine, more and more beautiful, the method is very characteristic, effective as the beam.
The blood pricking method of the trigeminal needle is different from the pricking of the large luo, the pricking of the acupuncture point, and the pricking of the sun luo, and should be divided into the diarrhea method, the point pricking method, and the scattering pricking method [1, 2]. The blood laxation method is to prick the large luo (vein) to a depth of 0.2 to 1 cm depending on the depth of the vein, causing it to bleed, and then add fire cupping, with a large bleeding volume, mostly 5 to 50 ml or even up to 100 ml at a single site, but the total bleeding volume does not exceed 200 ml each time [3], and is used for those with hot evidence of fiery toxicity or stagnant blood stasis; the puncture method is used for those with lighter evidence of actual heat and more evidence of hostages, with more acupuncture points selected. The point acupuncture method is used for those with lighter evidence of actual heat and more evidence of blood stasis, and the acupuncture points are selected at a depth of about 0.2-0.3 cm, and the acupuncture points are punctured to bleed, and cupping is added after allowing natural bleeding. The method can also be used with plum blossom needle, but control the depth and strength of the three-pronged needle is still better.
1 Stabbing the large luo – like a cauldron
(1) Synovitis of the knee joint with effusion (5 cases)
Typical case: Xiang xx, female, 49 years old, cadre, the patient’s right knee synovitis with effusion for one year, had joint cavity injection and a variety of methods of treatment is ineffective. Physical examination: painful face, dull complexion, limp, enlarged right knee joint, slightly hot, painful and non-touchable, extremely difficult to flex and extend, dull tongue with petechiae, white greasy coating, smooth pulse. There are obvious cyanotic-purple slightly thick veins near Guizhong, Guiyang, Sansili and Fenglong. Operation: The patient was lying prone to expose the lower leg below the N fossa, and the vein near the point of the middle of the committee was routinely disinfected with iodine and deiodized with alcohol. The left hand of the doctor held the upper part of the patient’s N fossa fixed, and the right hand quickly stabbed directly into the vein for 0.3-0.4 cm, and then the dark black blood gushed out rapidly, causing the patient to move to the side of the bed with the lower leg slightly drooping so that the stagnant blood flowed smoothly into the dirt tray. The bleeding continued and then clotted into a blood clot for about 30 ml and stopped, the cupping was removed and disinfected with iodine again. The cupping was removed and disinfected with iodine again. The same operation was performed for Guiyang, Sansili and Fenglong. The total bleeding was about 100 ml, and the pain stopped immediately and the patient walked normally. The patient was instructed to follow up in a week and go home to take Angelica blood cream orally. One week later, the swelling and pain in the knee joint had completely disappeared and the knee was slightly weak.
(2) Coronary heart disease with angina pectoris and arrhythmia (4 cases)
Typical case: Si XX, female, 54 years old, cadre, coronary heart disease for many years, in recent years due to the aggravation of menopausal symptoms, frequent angina pectoris, chest tightness, palpitations, inpatient and outpatient treatment of various methods failed. Physical examination: white face, short breath, panic, varicose veins under the tongue, and knotted pulse. The pressure pain was obvious at the Tanzhong point, Xin Yu, and Yu of the sympathetic yin, and a vein was exposed at the Tanzhong point. The blood was pricked from the veins of Danzhong, Zheyin Yu and Quze, and the bleeding from the Danzhong point was like a gush, and after cupping, about 40 ml of bruised blood was seen (1/3 of the bruised blood in the can), and the bleeding from the rest of the points was about 10 ml, and the chest pain subsided immediately after starting the can, and the energy was refreshed. One week later, the bleeding was reduced and the condition improved significantly, and then acupuncture was performed on both sides of Neiguan and Sanyinjiao, and moxibustion was performed on Baihui six times.
(3) Cold clotting and blood stasis type sciatica (11 cases)
Typical case: Chang XX, female, 60 years old, retired worker, suffering from lumbar disc herniation for many years, with alternating episodes of bilateral sciatica, mainly distension and pain, slightly evil wind and cold, and extensive dilatation of veins in both lower limbs, more so on the right side. The veins near Zhizhong, Chengshan, Tarsus Yang, and Yanglingquan were selected, and the vein at Zhizhong was first stabbed. The total amount of bleeding was about 120 ml, and the right lower limb was immediately comfortable.
2 Stabbing acupuncture points – the analogy is as quick as a knife to cut a mess.
(1) Refractory hypertension (5 cases)
Typical case: Liu XX, female, 61 years old, hypertensive for more than 10 years, in recent years uncontrolled blood pressure, fluctuating between 180-160/100-120 mmHg. headache and dizziness, chest distension, red face, red tongue with yellow coating and dryness, pulse string count. Operation: The trigeminal needle punctured Baihui, squeezed to help eliminate blood stasis, then punctured Dazhi, bleeding like gushing, after the blood naturally stopped, plus fire cupping, bleeding about 30 ml, after the piercing head and eyes refreshing, every other day once, a total of 8 times treatment, blood pressure dropped steadily to normal, antihypertensive drugs gradually reduced to the maintenance amount, the symptoms disappeared.
(2) Sudden deafness (4 cases)
Typical case: Bi XX, male, 33 years old, driver, had sudden deafness on the right side for two months, had done hyperbaric oxygen, tube dilation, dehydration, and nerve-nourishing drugs, and the treatment was ineffective, examination: red face and ears, irritability, red lips and tongue, yellow dry moss, and string pulse. The patient was treated with quick puncture of 0.2-0.4 cm on the affected side of the palate, Shimonoseki, Sun, Cataract, Ranggu, Yanglingquan, Foot Linobu and Waiguan, plus cupping to remove blood stasis twice a week, and was cured in 6 times.
(3) Recurrent oral ulcers (3 cases)
Typical case: Wang XX, female, 34 years old, suffering from recurrent oral ulcers for many years, accompanied by abdominal fullness, irritability, dry mouth and stool, angry sublingual veins, and stasis of the buccal mucosa. Operation: Select Jinjin, Yuyi, bilateral buccal mucosa bed occlusal line, iodine disinfection, trigeminal needle point in turn, so that the patient’s oral mucosa natural bleeding, spit out the blood, again iodine disinfection of the wound, told the patient to go home warm salt water rinse mouth after eating. Once a week, the patient was cured 4 times.
3 Stabbing Sun Luo – like peeling a cocoon and drawing silk
(1) Intractable facial palsy (multiple cases)
Typical case: Li XX, male, 54 years old, police officer, with facial palsy for 4 months. Western medicine and acupuncture treatment were basically ineffective, still showing moderate to severe facial palsy, with a history of hyperlipidemia and high blood viscosity. His face was sallow, with a marked increase in age spots and dull color. Yin Tang, Yang Bai, Sun, Zygomatic s, and Di Cang were selected as centers. The puncture sites were seen to bleed naturally, and the alcohol cotton ball was wiped without pressing the needle holes, and after natural hemostasis, cupping was added, with bleeding up to 10-20 ml per cupping, twice a week.
(2) Yang Ming fire type trigeminal neuropathy (4 cases)
Yin XX, female, 65 years old, had sudden onset of trigeminal neuralgia on the right side for several months, with dark redness and burning on the right cheek, small veins faintly visible, accompanied by lacrimation, unable to brush teeth and chew. She took carbamazepine 6 capsules daily and had dizziness and headache as side effects. The skin around the sun, Zanzhu, Sibai, zygomatic s, Shimonoseki, and Dicang and the tiny ligament were pricked by Sanliang needle scattering. The blood was dark red and thick, 3 times a week, and later changed to 2 times a week. Healed in total 9 times.
(3) Cold clotting and blood stasis type arthritis (3 cases)
Typical case: Lu XX, male, 54 years old, fisherman, engaged in pond fish farming for many years, working in the water before the Spring Festival every year, cold pain in the lumbosacral and sacroiliac joints caused by strain and cold, unable to flex and extend, year after year, difficult to be cured. Once every other day, healed three times. The next year, the treatment was continued for two years, and the patient was finally cured without recurrence.
4 Experiences
(1) “Ling Shu? (1) “The Nine Needles and Twelve Principles” says: “If you are full, you can get rid of it. Su Wen? Blood, Qi, Form, and Chi said: “All treatment must first remove its blood.” In the author’s opinion: treating actual heat evidence is the key to choosing blood pricking therapy. In addition to the treatment of acute diseases, such as the closed evidence of stroke, there are more clinical applications of persistent solid heat. For example, trigeminal neuralgia of Yangming meridian, sudden deafness of liver and gallbladder fire, stubborn hypertension of liver-yang hyperactivity, coronary artery stasis of coronary heart disease and other miscellaneous diseases in internal medicine, and various painful diseases of qi stagnation and blood stasis, cold clotting and blood stasis, cold and dampness with stasis are more common, and pricking blood with the triple-pronged needle does have the effect of clearing heat and dispelling fire, pacifying liver and submerging yang, dispersing cold and eliminating stasis, dispelling stasis and relieving pain, which is irreplaceable by other methods.
(2) “Ling Shu? Miscellaneous diseases” chapter said: needling bleeding, “see the blood immediately has”, that is: acupuncture treatment after the bleeding, the disease will immediately alleviate. The author applied the characteristics of blood stabbing therapy, whether stabbing large luo, stabbing acupuncture points, or stabbing Sun luo, bleeding are allowed to flow naturally, plus cupping, more conducive to the elimination of blood stasis. The use of trigeminal needles to prick the blood, fast and direct, compared with the needles to apply the diarrhea method, the patient more easily accepted, because “see the blood immediately has been”, the curative effect is also more prominent, indeed have immediate effect.