I. Concept
Under the guidance of the holistic concept of traditional Chinese medicine and the theory of “nourishing Yang in spring and summer, nourishing Yin in autumn and winter; opening acupuncture points at the right time for the meridian flow column, during the remission period of some diseases in summer, using a combination of internal and external treatments such as Chinese medicine, acupuncture and moxibustion, and compressing, the treatment of winter-prone diseases can regulate the balance of yin and yang of the human body and improve the immunity of the human body. This can regulate the balance of yin and yang of the body, improve the immunity of the human body, so that some chronic diseases can be restored, and achieve the purpose of preventing the onset of winter-prone diseases and treating symptoms.
Chronic respiratory diseases with coughing, phlegm and wheezing as the main clinical manifestations are induced by wind and cold evil, more incidence in autumn and winter, also known as ‘winter diseases’, the body’s Yang Qi deficiency in winter, the deficiency of cold within the “evil, its gas must be deficient” summer using the warmth of the patch method, is an effective way to strengthen the respiratory tract in winter to resist the invasion of external evil It is also one of the basic methods of nourishing Yang in spring and summer. The application of acupuncture points on the three volt days of summer is a traditional external treatment method that takes advantage of the high temperature of the three volt days of summer, when Yang energy is generated and the human skin is relaxed and open to facilitate the absorption of drugs, and uses prepared traditional Chinese medicine for the relevant acupuncture points of different diseases in the human body. By applying the medicine and stimulating the acupuncture points and meridians, it invigorates the Yang energy of the body, removes the cold evil in the body and helps the positive energy to achieve the purpose of disease prevention and treatment.
It is often used for chronic diseases, such as bronchial asthma, chronic branch, emphysema, chronic cough, chronic pharyngitis, etc. It can also be used for rheumatic arthritis, back and leg pain, and other chronic diseases.
II. History
Acupuncture point application therapy has a long history of more than 3,000 years, firstly from the “52 Disease Formula” of the Han Dynasty, which recorded the earliest external treatment method. It was first documented in the “52 Disease Formula” of the Han Dynasty, which recorded the earliest external treatment method of using mustard seed paste on the Baihui point to treat poisonous snake bites.
Ø After Jin and Tang, with the development of acupuncture, the combination of external application method and meridian acupuncture points has made great progress in acupuncture point application therapy. Jin & iexcl;¤ Ge Hong’s “Elbow after the preparation of the urgent formula”, the appearance of the acupuncture point patch therapy prescription: & iexcl;° treatment of malaria cold more heat less, or but cold not hot, before the onset of the vinegar and sophora powder coated on the back & iexcl;±; treatment of facial nerve palsy & iexcl;° Wu Tau research powder, to the turtle blood transfer to disperse, to be positive, then that is uncovered. In the Ming Dynasty, “Pu Ji Fang” has the method of treating nasal abyss by applying medicine to Yong Quan; “Compendium of Materia Medica” has the method of treating edema by applying medicine to Shen Que; in the Qing Dynasty, Wu Shi Ji summarized this treatment systematically, and his book “Li Bo Era” systematically elaborated the external treatment theory of acupuncture and moxibustion and prescription medicine in one, with the main method of acupuncture point application.
Since the founding of New China, acupressure has been more comprehensively developed in terms of theoretical research and clinical application, such as the monographs of “Acupressure Jufangjing”, “Drug Compressing Therapy” and “Navel Therapy”, which systematically compiled and elaborated the theory and clinical application of acupressure and further improved the therapy.
Third, the theoretical basis of Chinese medicine
The theoretical basis of acupoint application therapy is mainly derived from four aspects.
Ø (i). The temporal therapeutics of the harmony between heaven and man
The Yellow Emperor’s Classic of Internal Medicine states that “the wise man’s health must be adapted to the four seasons and the cold and heat”, and that the four seasons of heaven and earth (the seasons of day and night, the seasons of the moon and the regions) have a direct impact on the life activities of the human body and the operation of qi and blood. It is also said that “the sage nourishes the yang in spring and summer, and the yin in autumn and winter”. It is believed that man and nature are a closely linked organic whole. All living things in nature are affected by the four seasons of spring temperature, summer heat, autumn cool, winter cold climate change, and the organism’s organs and six bowels also respond to the four seasons of change, too much or not enough, will hurt the human body. So the treatment should be appropriate to the time. The three volcanoes day yang is the peak of the release, the yin begins to be born, the coup open diarrhea, qi and blood drive in the body surface, meridians and collaterals smooth, at this time with warm yang medicine for compress can assist the body’s yang dispel the body’s yin and cold, adjust the balance of yin and yang, and the function of the internal organs to increase the body’s ability to resist disease to achieve the purpose of preventing winter illness. The basic condition for disease prevention is to remedy the deficiencies, regulate yin and yang, and correct the deficiencies in the physique. For example.
Ø Yang deficiency physique, easy to feel the cold evil in autumn and winter, resulting in the onset of chronic diseases, then you can help Yang Qi rise in the spring and summer, give Yang nourishing products, the Yang of drugs with the Yang of the organism’s growth, play the function of suppressing Yin and replenishing Yang, so that Yang deficiency physique is corrected;.
Ø Yin deficiency body is easy to feel the evil of warmth in spring and summer, then can be administered in the autumn and winter season to nourish the yin products, with the nature of yin collection, so that the yin of the drug into the yin of the body, so as to correct the yin deficiency body.
(2) Holistic concept
Chinese medicine believes that the human body is centered on the five organs, through the whole body meridian system, the six internal organs, five bodies, five organs and nine orifices, limbs and bones and other body tissues into an organic whole, and through the role of essence, qi, blood, fluid, to complete the functional activities of the body. The human body is an inseparable whole, not only in physiology and pathology, but also in its intrinsic connection to guide the treatment of diseases. Acupuncture point application therapy is to stimulate the acupuncture points on the body surface through Chinese medicine to play the overall regulating role of the meridian system, invigorate the body’s yang energy, support the righteousness and eliminate the evil, regulate the qi and blood, dredge the meridians, and achieve the purpose of treating diseases.
Theoretical basis of Chinese medicine
(3) Doctrine of meridians
The meridians are an important part of the human tissue structure, is the body’s qi and blood flow pathways, meridians belong to the internal organs, external contacts in the limbs and joints is a unique system to communicate with the human body surface and inside. The organs and tissues of the internal organs of the body are closely connected through the twelve meridians and the eight channels, making the human body a complete organic unity. It is also used to move qi, blood and yin and yang, so that the various functions of the human body are kept in harmony and balance.
It is through the drug action and stimulation of the meridian points that the acupuncture postings achieve the purpose of regulating the balance of yin and yang.
Theoretical Basis of Chinese Medicine
(D), the special role of acupuncture points
Acupuncture points, as parts of the internal organs and meridians infused on the surface of the body, are where qi and blood converge and have close internal ties with the internal organs and unique physiological functions.
The treatment of chronic respiratory diseases often takes points on the Ren and Du veins, which are ¡° the sea of Yang veins ¡± the general supervision of the yang, can regulate the Yang meridian pulse gas, communicate with yin and yang, the general intake of the meridians. The main body of the body is the Yang position, the Yang of the Yang, the main body of the table, with the role of hiding fluids, the Division of Qi, water channels, the passage of Yang, each acupuncture point has its own specificity and two-way regulation.
The acupuncture points have considerable sensitivity to the physical and chemical effects of drugs, and a longer stay of drugs can produce the effects of meridian stimulation and drug superposition to play an overall regulatory role.
(E) Five elements (wood, fire, earth, gold and water)
Spring, summer, autumn and winter, all living things in nature are affected by the four seasons of spring temperature, summer heat, autumn cool, winter cold climate change, so the formation of spring, summer growth, autumn harvest, winter storage of the law of physical evolution. Winter is yin and summer is yang, spleen is earth and lung is gold, earth can produce gold, so summer compresses can prevent winter diseases, cultivate earth and produce gold to regulate the spleen and lung.
Modern medical research has shown that
nChinese medicine acupressure can regulate the level of T cells subpopulation, reduce the level of some inflammatory cytokines, such as interleukin 4, 5, endothelin IgE, Ecp, inhibit eosinophil infiltration, inhibit airway inflammation and airway hyperreactivity diastolic bronchial smooth muscle to improve lung function.
Fourth, the mechanism of action of the patch
Ø modern research understanding: modern transdermal drug delivery system research and acupuncture mechanism of action and other research for the scientific interpretation of the mechanism of action of acupuncture point method provides an objective basis.
(A), direct action: Chinese medicine components can be absorbed by the skin under certain conditions into the body fluids to play a direct role. The main absorption pathways are.
(1) through the microcirculatory channels: Chinese medicine released from the medium, through the surface sebaceous layer, and then through the stratum corneum and active epidermis into the dermis by capillary suction into the body circulation.
(2) Surfactant effect: there is a surfactant in the cream which can increase the epidermal activity and increase the permeability of the herbal ingredients to promote drug absorption.
(3) Hydration: after the external application of Chinese medicine, the local skin forms a relatively airtight state, so that the water content of the skin stratum corneum increases. Swelling into a porous state, easy penetration of Chinese medicine components.
(4) Promotional effect of pungent and scurrying drugs: acupuncture point patching Chinese medicine preparations often add musk, ice chips, pepper, cinnamon, white mustard seeds and other pungent and scurrying products to stimulate local skin congestion, microcirculation and blood flow to improve the transdermal ability of Chinese medicine.
(5) Promoting effect of local warmth stimulation: In some cases, plasters often need to be applied with baking heat, and dispensers, ironing agents, cakes, etc. are often applied with moxibustion or other heat sources to give warmth stimulation, thus promoting local blood circulation and enhancing the transdermal ability of drugs.
(ii). Indirect action.
It mainly refers to the stimulating effect (including physical stimulation and chemical stimulation) of the herbal components of acupuncture points, which activates the overall regulatory function of the meridian and acupuncture point system on the body, so that the functional activities of the body systems in pathological state are transformed to normal state. The pathway of action may be the same as the stimulation of meridian acupoints, through the meridian-vessel-related pathway, neuroreflex pathway, neurohumoral pathway, etc., acting on all systems of the body to play an overall regulatory role.
V. Indications
Acupuncture point application therapy treats a wide range of diseases, including respiratory, circulatory, digestive, urinary, neurological, endocrine and other systems, as well as gynecological and pediatric diseases.
Over the years, it has been mainly used for respiratory diseases, such as bronchial asthma, chronic bronchitis, COPD, emphysema, recurrent upper respiratory tract infections, chronic rhinitis, and chronic pharyngitis. It is also used in osteoarthrosis, rheumatoid arthritis, ankylosing spondylitis, sciatica, joint pain of the extremities, etc. It has also been used for hypertension, coronary heart disease, pediatric anorexia, peptic ulcer, diabetes, etc.
VI. Selection of acupuncture points
The selection of acupuncture points is made according to the different diseases by the diagnosis and treatment.
Respiratory system diseases.
The main points selected are the dorsal points and the meridian points of the Ren and Du channels. The main points are: the lung points, followed by the Anointing Yu, Tanzhong, Tiantu, Dazhi, Dinggyu, Kidney Yu, Fengmen, Spleen Yu, and Diaphragm Yu. All the dorsal points are located in the back next to the thoracic vertebrae, near the sympathetic nerve chain, they are pathological reflex zones for respiratory diseases and are the main acupuncture points for treating thoracic and pulmonary diseases.
VII. Selection of drugs
For the treatment of croup, asthma and chronic cough, all drugs that warm the Yang and dispel wind, resolve phlegm and calm asthma, and promote lung and qi are used, such as: white mustard seed, ephedra, gansui, hosanna, yuanhu, cinnamon, etc., and most of them are blended with ginger juice, with a little musk or artificial musk, ice chips and other blood-activating and acupoint-stimulating drugs. There are also reports on the use of compound zebrawood cream with zebrawood as the main medicine to prevent and treat chronic bronchitis, asthma and allergic rhinitis. Its active ingredient is zebularin, which has pharmacological effects such as anti-tumor, anti-virus, fungal inhibition and affecting the immune function of the body.
Treatment of bone and joint diseases, back and leg pain is based on drugs that promote blood circulation and relieve pain, such as raw strychnine, raw Chuanwu, raw herbaceous wool, raw frankincense, pseudostellaria, musk, toadstool, yanhusuo, and epiphyllum, etc., which are blended with ginger juice and applied externally.
Cardiovascular diseases: drugs to invigorate blood circulation and eliminate blood stasis, nourish blood and regulate qi, such as Dan Shen, Angelica sinensis, Chuan Xiong, Tao Ren, Hong Hua, etc.
VIII. Treatment course
The treatment of respiratory diseases is mainly chosen in the three volt days in summer, the so-called “winter disease summer treatment”, in the beginning, middle and end of each summer for 3 consecutive days, that is, 3 days for a course of treatment, a total of three courses of treatment, the continuous application of 3 years of better results. The duration of each application is 2 to 6 hours, or the degree of local redness and blistering, and flexible adjustment according to the patient’s skin sensitivity; for some treatment of cardiovascular disease, liver cirrhosis portal hypertension or some navel therapy, the duration of each application can be between 24 and 72 hours.
IX. Treatment of common respiratory system by acupressure
1. Chronic cough.
Selected acupuncture points: select Dazhi, Lung Yu, Ting Wheeze, Fengmen, Plastered Heart, Fenglong, etc.
Prescription 1: 16% of white saposhnikovia, 48% of goldenseal, 33% of Sichuan pepper, 3% of camphor into a powder. Place a little of the powder on the acupuncture point and apply it with adhesive tape, changing it once every 3-4 days.
Prescription 2: White mustard seed, Gansui, Hossein, Clove, Atractylodes, Rhizoma Chuanxiong, etc. are grinded into fine powder, added to the substrate, mixed into a paste, made into a 1 cm diameter round cake, applied to the acupuncture point, fixed with adhesive tape, replaced once every 3 days, 5 times for a course of treatment.
2, wheezing and croup
common diseases are chronic bronchitis, emphysema, chronic obstructive pulmonary, bronchial asthma, etc.
ØSelected points: Tanzhong, Tiantu. Dazhi, lung Yu, Ting gasp, Ankylosis, Fengmen. Fenglong, Guangyuan, etc.
ØFor prolonged asthma with organ deficiency, add Kidney Yu, Spleen Yu, Liver Yu, Qi Hai, etc.
Formula 1: 30 grams of white mustard seeds, 15 grams of Gansui, 15 grams of pseudostellaria, ginger juice to mix the powder into a paste, made into a cake as big as a broad bean, put a little Ding Gui San on it, put it on the acupuncture point and fix it with adhesive tape. Patch 2-4 hours after removal, local can have redness and slight pain as degree.
Prescription 2: use white mustard seeds, Gansui, Hessian, Ephedra 20 grams each, sandalwood 6 grams for a total of fine powder, ginger juice into a paste, made of drug cake such as broad beans, put a little Ding Gui San on, put on the acupuncture point, fixed with adhesive tape. Paste 30-60 minutes to remove, local can have redness and slight pain as degree.
Medicine 3: Use 20 grams each of white mustard seeds and yanhuzo, 10 grams each of glycyrrhiza and pseudostellaria, and add 0.6 grams of musk, and mix well, and apply to the acupuncture point with ginger juice in 3 times in summer, and remove it in 1-2 hours, once every 10 days. It can be applied during the onset and remission periods, and is best used in the summer during the three volts.
Formula 4: Astragalus membranaceus, ephedra, pseudostellaria, white mustard seeds, Chuanxiong, etc. are finely powdered together with a little musk, mixed with fresh ginger juice to form a paste, applied to the acupuncture point and fixed with adhesive tape, suitable for patients with deficiency of lung and kidney in the remission period, suitable for use in the summer on the third day of the volcano.
3.Throat paralysis
Concept: mainly refers to acute and chronic laryngitis.
Selected points: select Tiantu, Dazhi, Lung acupoint, Dali, Fengmen, Renying, Futu, Tianxiu, Lianquan, etc.
Prescription 1: Use white mustard seed, hosin, gansui and yanhuosuo in the ratio of 2:2:1:1 to make fine powder, mix well with ginger juice, and make bean-sized medicinal cakes and put them on the acupuncture points once every 10 days for 5 times.
Prescription 2: Six sacred pills (composition: niu huang, pearl powder, toadstool, xiong huang, musk, ice chips) pounded and mixed on the acupuncture points, once a day.
4. Nasal asphyxia. nasal abyss . nasal congestion
Concept.
nasal suffocation refers to nasal congestion, runny nose repeatedly as the main manifestation often refers to acute and chronic rhinitis (simple rhinitis hypertrophic rhinitis).
Nasal congestion is often referred to as sinusitis, which manifests as nasal congestion. Pus flowing. Headache, etc.
congested nose refers to allergic rhinitis, often with nasal congestion and clear runny nose. Sneezing, related to allergic factors.
The main points are: Lung Yu, Ying Xiang, Da Zhi, Da Lyr, Yin Tang, Feng Men, Feng Chi, Spleen Yu, Stomach Yu, and Foot San Li.
ØPrescription 1: Use goose bupleurum (95%), camphor (5%), grind and mix well, mix the powder into a paste with ginger juice to make a medicine cake as big as a broad bean, put it on the acupuncture point, fix it with adhesive tape and put it on for 1-2 hours.
ØPrescription 2: 20 grams each of dragon bone powder and dahurian dahurica powder, 30 grams of Sinapis flower powder, 3-5 grams of ice chips, finely ground, mixed with ginger juice into a paste made of powder cake on the acupuncture points, fixed with adhesive tape, compress 1-2 hours.
5, repeated colds
Ø Most of the evidence of physical deficiency cold, weakness of the factor body, deficiency of Qi and Yin, the lung guard is not solid, so that repeatedly feel the evil or cold lingering after.
Ø Chinese medicine identification treatment commonly used to nourish the kidneys, strengthen the spleen and benefit the qi Yu Ping San, tonic in Yi Qi Tang, etc.
ØSelected points: Ying Xiang, Lung Yu, Da Zhi, Feng Men, Da Loom, Body Pillar, Spleen Yu, Foot San Li, etc.
Ø prescription: use Astragalus membranaceus, white mustard seeds, fine spices, Gansui, and thorny mustard, finely powdered together, mixed with ginger juice, respectively made into fava bean-sized medicinal cakes, applied to the acupuncture points once every 10 days for 5 times.
X. Clinical efficacy
According to the literature: the total effective rate of acupuncture point compressing for chronic respiratory diseases is 79-91%; Fan et al. showed that the near and long term effective rates of the summer group were 89.7% and 68.2% respectively, which were better than the winter group (P<0.05); the total effective rate for chronic bronchitis was 85.76%; the average total effective rate for oropharyngeal diseases was 92.08%; the total effective rate for perennial allergic rhinitis was 93.5%. Ling's efficacy was 78%, 84% and 91% in the 1st, 2nd and 3rd years of treatment respectively, indicating that the efficacy of continuous treatment for 3 years was better than that of 1 or 2 years alone; Zhang's efficacy was 70.2% in the follow-up 5 months after 1 course of treatment. Liu et al. followed up the treatment cases for more than 2 years, and the effective rate reached 91.25%. It shows that the efficacy is related to the type of evidence and the length of treatment.
XI. Precautions
Three voltaic day acupuncture points should not be applied to the following groups.
1, patients with fever or lung infection in the acute stage
2, vomiting yellow pus sputum, hemoptysis and other heat patients
3, Yin deficiency and fire body
4. Allergic skin allergy-prone people
5. Pregnant and lactating women should use with caution
Precautions
During the treatment period, it is also necessary to take comprehensive care of diet, medicine and living according to the characteristics of summer.
1. Be careful with pungent and dry products. Pungent and dry food can easily lead to internal heat and dark depletion of yin and fluid, so be careful with chili, pepper, cinnamon, cumin, lamb, fresh cinnamon or lychee.
2, be careful to eat a lot of fatty and sweet nourishing products, such as pork, beef, lamb, fried food, etc.. Summer is prone to summer heat and dampness, and the evil of heat and dampness can easily attack the body. If you take a lot of fatty and sweet products, it is easy to lead to internal and external warmth combined with the body.
3, avoid taking a lot of cold products, such as cold drinks, chilled food, raw seafood, etc.. Summer heat, easy to drink cold, if a large number of cold food, easy to cause damage to the Yang, spleen and stomach weakness, and even loss of a Yang, resulting in diarrhea, abdominal pain, nausea, vomiting, or become a chronic disease.
4, avoid excessive exercise, so as not to sweat too much, resulting in the deficiency of blood and Qi
5. Also avoid direct blowing of low-temperature air conditioners and fans, resulting in wind evil closing the lungs .
6. Local skin burning sensation during treatment is a normal reaction. After removing the ointment, local flushing, a slight heat sensation, indicating that the drug has worked, generally do not need to deal with. If the local corn-like papule local blister, should be 75% alcohol cotton ball lightly rubbed, keep dry, generally 3-4 days can be healed.
In conclusion, acupuncture point application therapy is a characteristic therapy of Chinese medicine and an important part of traditional Chinese medicine. During the three volt days, when the body’s Yang energy and blood vessels are at their peak, the use of drugs with the ability to warm Yang to stop coughing and calm asthma can be applied to specific acupuncture points to improve the patient’s Yang deficiency, enhance the body’s immunity, and treat a variety of chronic respiratory diseases that are characterized by a deficiency of Yang energy and the presence of cold and phlegm. It can reduce and prevent disease attacks during the cold season, effectively improve the quality of life of patients and reduce medical expenses.
It is important to emphasize that, as with internal treatment, acupuncture point application therapy must be guided by TCM theory and follow the principles of evidence-based treatment. Only then can the desired purpose be achieved. As the ancients first cloud: “the external treatment of the reason is the internal treatment of the reason, the external treatment of the medicine is the internal treatment of the medicine, the difference is the law ear! There is no difference between the medical theory and the pharmacological theory, but the method is magical and changeable.
Therefore, we have to overcome some current indiscriminate physical. The type of disease. The incorrect practice of blindly applying the patch to the disease, in order to make the traditional Chinese medicine treatment to be carried forward.