Clinical research of Chinese medicine acupoint sticking at Shenque and Yongquan in adjuvant treatment of pregnancy resistance

See related article, pages 1973–1979. The lack of effective and widely applicable pharmacological treatments for ischemic stroke patients may explain a growing interest in traditional medicines, for which extensive observational and anecdotal experience has accumulated over the past thousand years. The World Health Organization (WHO) defines traditional medicine as “health practices, approaches, knowledge and beliefs incorporating plant, animal and mineral based medicines, spiritual therapies, manual techniques and exercises, applied singularly or in combination to treat, diagnose and prevent illnesses or maintain well-being”.1 Unlike Western medicine, which focuses on disease, traditional medicine takes the approach that the body provides external clues to an internal imbalance that can be addressed by interventions such as herbs and acupuncture (holistic treatment approach).2 According to a 2003 WHO report,1 traditional medicine is very popular in all developing countries, and its use is rapidly increasing in industrialized countries. For example, traditional herbal preparations account for 30% to 50% of the total medicinal consumption in China. In Europe, North America and other industrialized regions, over 50% of the population have used traditional medicine at least once. The global market for herbal medicines currently stands at over US $60 billion annually and is growing steadily.1 In recent years, several reviews have been published on the effect and potential benefits of traditional Eastern medicine in stroke.3–7 It has been suggested that some herbal medicines, or their products, may improve microcirculation in the brain,4,8 protect against ischemic reperfusion injury,8,9 possess neuroprotective properties3,4 and inhibit apoptosis,10 thus justifying their use in ischemic stroke patients. However, unlike industrially manufactured pharmacological drugs used in Western medicine, the active (potent) components of herbal medicines often have not been specified and measured precisely, although there have been recent attempts to regulate dosages and use of …

Objective To explore the effects of traditional Chinese medicine (TCM) nutrition nursing plan based on TCM constitutional type in patients with liver cirrhosis and ascites. Methods From September 2017 to February 2018, we selected 120 patients with liver cirrhosis and ascites at Shanghai Shuguang Hospital. All of the patients were randomly divided into observation group and control group, 60 cases in each group. Patients of control group received western medicine nutrition nursing. On that basis of nursing in control group, patients of observation group were treated with individualized TCM nutrition nursing plan combined with TCM constitutional type. We compared the extinction time of ascites between two groups and the improvement of TCM constitutional type and serum albumin. Results Two weeks after intervention, a total of 8 patients changed to gentleness type with 33.33% for the improvement rate in observation group and 16.67% for the improvement rate in control group with a significant difference (χ2=4.444, P<0.05) . The extinction time of ascites of observation group and control group was (9.88±2.94) d and (11.04±3.00) d respectively with a significant difference (t=2.139, P<0.05) . The serum albumin of observation group was (35.65±3.21) g/L significantly higher than that of control group (t=3.841, P<0.05) . Conclusions The TCM nutrition nursing plan based on TCM constitutional type can improve constitutional type, promote ascites to fade away and provide nutritional support for patients. It is worth to be popularized and applied. Key words: Ascites; Liver Cirrhosis; Nutrition risk; Chinese traditional medicine constitutional type; Traditional Chinese medicine nutrition nursing plan

Objective To evaluate the clinical efficacy and adverse effect of Traditional Chinese Medicine and acupuncture in treatment of ankylosing spondylitis. Methods 46 patients of ankylosing spondylitis with informed consent were randomly divided into observation group and control group by number table,each of 23 cases.The control group received traditional Chinese medicine,the observation group was treated with acupuncture and traditional Chinese medicine,the two groups were treated for 1 month,the clinical effect were observed. Results In the observation group,excellent in 18 cases(78.3%),effective in 3 cases(13.0%),ineffective in 2 cases(8.7%),the total effective rate was 91.3%,it was significantly higher than that of control group the 11 cases(47.8%),8(34.8%),4 cases (17.4%)and 82.6%,the difference between the groups was statistically significant(x2=4.572,P＜0.05).The patients of observation group had a rash in 1 case,1 case of pain;in the control group,1 case of rash,1 case of itching;all of the symptoms were relatively minor,did not affect the treatment.There were no significant adverse reactions in the patients of two groups. Conclusion Traditional Chinese medicine and acupuncture in treatment of ankylosing spondylitis had satisfactory effects and no significant adverse reactions,it was worthy to be recommended in the clinical application. Key words: Spondylitis ankylosing; Acupuncture therapy; Drugs,Chiness herbal

Objective To explore the clinical effect and prognosis of composite skin flap transplantation combined with traditional Chinese medicine for the skin repair and bone defects of extremities. Methods A total of 80 patients with extremities' bone defect were selected in our hospital between March 2016 and March 2015. The patients were randomly divided into two groups according to the orders of the alternaive medical treatment. The observation group (n=40) was treated with compound skin flap transplantation combined with Chinese traditional medicine steaming and washing. The control group (n=40) was treated with a single compound flap transplantation. The skin flaps, transplant survival rate, flap swelling, treatment effect and complications were observed. Results The survival rate of the observation group was 95% (38/40), and the survival rate of the control group was 75% (30/40). The survival rate between two groups was statitically significant difference (χ2=6.274, P<0.05). The proportion of degree Ⅰ of the skin flap in the observation group significantly higher than that in the control group (χ2=8.584, P=0.003), while the proportion of degree Ⅳ of the skin flap in the observation group significantly lower than that in the control group (χ2=4.210, P=0.040). The total effective rate in the observation group was 97.5% (39/40), the control group was 77.5% (31/40), and the difference between two group was significant (χ2=7.314, P<0.05). The incidence of complications in the observation group was 2.5% (1/40). The incidence of complications in the control group was 17.5% (7/40). The incidence of complications in the observation group was significantly lower than that in the control group (χ2=5.000, P<0.05). Conclusions The combination of skin flap transplantation and Chinese medicine could repair bone defect of the extremities, lower swelling degree of the skin flap after transplantation and improve curative effect, and the incidence of complications after treatment is low and the clinical value is high. Key words: Surgical flaps; Transplantation; Reconstructive; Steaming washing therapy; Extremities; Bone defect

Objective To observe the curative effect of acupuncture by syndrome differentiation of channels combined with hot compress with traditional Chinese medicine on cervical spondylotic radiculopathy. Methods Ninety patients with cervical spondylotic radiculopathy from January 2016 to December 2017 were randomly divided into three groups: acupuncture group, hot compress group and observation group, 30 cases in each group. Acupuncture group was treated with simple acupuncture, hot compress group was treated with simple traditional Chinese medicine hot compress, and observation group was treated with the combination of acupuncture by syndrome differentiation of channels and hot compress with traditional Chinese medicine. Acupuncture and hot compress of traditional Chinese medicine were applied once a day, with 6 times as a course of treatment, and rest for 3 days. Then the other course of treatment was followed, and the efficacy was evaluated after 2 courses. Fisher Exact test was used to compare the total effective rate and healing rate of three groups. Variance analysis was used to compare the visual analogue scale score (VAS) of three groups. Results The results showed that 23 cases in the observation group were cured, 5 cases were markedly effective, 2 cases were effective and 0 cases were ineffective. The total effective rate was 100% (30/30). In the acupuncture group, 15 cases were cured, 8 cases were markedly effective, 3 cases were effective and 4 cases were ineffective. The total effective rate was 86.7% (26/30). In the hot compress group, 4 cases were cured, 5 cases were markedly effective, 8 cases were effective and 13 cases were ineffective. The total effective rate was 56.7% (17/30). The total effective rate and the marked recovery rate of the three groups were significantly different (χ2=29.205, 19.290, all P<0.01). The difference of VAS before and after treatment in the observation group was higher by 1.83 (95% CI: 1.02~2.66) and 3.40 (95% CI: 2.58~4.22) than that in the acupuncture group (2.88±2.02) and the hot compress group (1.31±1.29), respectively, and the difference was statistically significant (t=2.70, 5.74, all P<0.01). The average VAS in the acupuncture group was higher by 1.57 (95% CI: 0.75~2.38) than that in the hot compress group, and the difference had statistical significance (t=3.04, P<0.01). Conclusion The curative effect of acupuncture by syndrome differentiation of channels combined with hot compress with traditional Chinese medicine on cervical spondylotic radiculopathy is obviously better than that of simple acupuncture group and traditional Chinese medicine hot compress group. Key words: Cervical vertebrae; Acupuncture therapy; Syndrome differentiation meridian; Application therapy; Neck pain

Objective To explore the clinical effect of nursing care by traditional Chinese medicine and western medicine for chronic pulmonary heart disease. Methods A total of 120 patients with chronic pulmonary heart disease treated at our hospital from October, 2014 to October, 2016 were randomly divided into an observation group (60 cases) and a control group (60 cases). The control group were given traditional western care and the observation group nursing care by traditional Chinese medicine and western medicine. The nursing effects of the two groups were compared. Results After nursing care by traditional Chinese medicine and western medicine, the nursing efficacy was 95.0% in the observation group and was 76.6% in the control group, with a statistical difference (P < 0.05). Conclusions Through nursing care by traditional Chinese medicine and western medicine for patients with chronic pulmonary heart disease, we can recognize the nursing key points, closely observe the disease changes, deal with the complications in time, and give the patients psychological nursing care and improve the patients' quality of life, so it is worth for reference. Key words: Chronic pulmonary heart disease; Integrated traditional Chinese and western medicine; Nursing care

Objective To study the clinical effect of combination therapy of acupuncture and medicine in the treatment of knee osteoarthritis. Methods 500 cases of knee osteoarthritis were studied.250 patients from January to June 2015 were selected as the control group with using moxibustion and Chinese medicine for oral treatment; 150 patients from July to December 2015 were selected as observation group with using acupuncture and Chinese herbal medicine for oral treatment.The clinical effect of the two groups of patients were compared. Results The total effective rate of clinical treatment in the observation group was 93.60%, which was significantly higher than 76.80% the control group, the difference between the two groups was statistically significant (χ2=27.98, P<0.05). At the same time, the total score of Lequesne and the individual score of the observation group were significantly better than those of the control group (P<0.05). Conclusion Acupuncture combined with traditional Chinese medicine for oral osteoarthritis in patients with clinical treatment has a significant clinical effect, can effectively improve the patient's knee function, ease the clinical symptoms of patients, and it has the exact effect, it is worthy of clinical promotion. Key words: Osteoarthritis, knee; Chinese medicine oral; Acupuncture treatment

Objective To observe the clinical curative effect of traditional Chinese medicine hot compress combined with moxibustion in the treatment of urinary retention after orthopedic surgery. Methods 56 patients with postoperative uroschesis who underwent orthopedic surgerywere randomly divided into observation group and control group, and 28 cases in each group. All patients underwent pelvic muscle training, psychological counseling before surgery, and physical therapy with conventional methods such as induction of urination after surgery. The control group was treated with moxibustion Ququan acupoint, and the observation group was treated with Chinese herbal medicine hot compress on the basis of the above treatment. The patients in both two groups were treated for 28 days. At the end of the treatment, the clinical efficacy of the two groups was evaluated, also the time of first voiding after operation, the average effective time, urinary tract infection and urinary catheter replacement rate were compared. Results The total effective rate was 92.86% in the observation group and 78.57% in the control group.The effective rate in the observation group was higher than that in the control group (χ2=46.86, P 0.05). The urinary catheter replacement rate in the observation group was 7.14%, which was lower than 21.43% in the control group, the difference was statistical significance (χ2=2.33, P<0.05). Conclusion The clinical curative effect of traditional Chinese medicine hot compress combined with moxibustion in the treatment of urinary retention after orthopedic surgery is better than moxibustion alone. The time of first urination and the average time of effect are shortened, and the rate of urinary catheter replacement is reduced. It is effective, simply and conductively to clinical use. Key words: Drugs, Chinese herbal; Moxibustion; Urinary Retention

Objective To study the effect of moxibustion acupuncture and Chinese medicine external treatment for the severe knee osteoarthritis. Methods A total of 86 severe knee osteoarthritis patients were enrolled between December 2014 and December 2016, in Department of Integrated TCM & Western Medicine, Shijiazhuang first hospital. According to the enrolled sequency, patients were divided into observation group and control group, 43 in each group. The control group was treated with intra-articular injection of sodium hyaluronate of 2ml, and the observation group was treated with the combined acupuncture moxibustion and traditional Chinese medicine external treatment on the basis of the control group. Two groups were performed for 3 months of follow-up. The clinical effect, WOMAC values, VAS score and Lysholm scale, and the serum high sensitivity C reactive protein (hs-CRP), interleukin 1 (IL-1) and tumor necrosis factor a (TNF-a) changes before and after the treatment were observed and compared. Results The total effective rate of observation group was 93.0% (40/43), while control group total effective rate was 76.7% (33/43), and the differences between two groups was statistically significant (χ2=4.441, P=0.035). After treatment, the WOMAC joint stiffness scores (3.2 ± 1.2 vs. 4.8 ± 2.1, t=4.338), joint pain (4.2 ± 1.3 vs. 5.9 ± 1.7, t=4.903), daily activities (14.5 ± 2.8 vs. 18.7 ± 2.9, t=6.832) in observation group were significantly lower than those in the control group. The VAS score (2.5 ± 0.8 vs. 4.1 ± 1.2, t=7.275) in observation group was significantly lower than the control group, while the Lysholm score (74.2 ± 3.7 vs. 67.4 ± 3.9, t=8.295) was significantly higher than the control group (P<0.05). The serum hs-CRP (8.34 ± 2.24 mg/L vs. 13.67 ± 2.54 mg/L, t=10.321), IL-1 (0.85 ± 0.11 ng/L vs. 1.32 ± 0.42 ng/L, t=7.099), TNF-a (98.67 ± 15.74 ng/L vs. 178.44 ± 26.53 ng/L, t=16.955) in the observation group patients were significantly lower than those in the control group (P<0.05). Conclusions The acupuncture combined moxibustion and traditional Chinese medicine external treatment could treat severe knee osteoarthritis, improve the function of knee joint. Key words: Osteoarthritis, knee; Acupuncture; Direct moxibustion; Hot compress; Inflammatory cytokines

Objective To investigate the clinical effect of integrated traditional Chinese and western medicine in the treatment of chronic obstructive pulmonary disease (COPD) complicated with respiratory muscle fatigue, and to analyze its effects on serum levels of interleukin-6(IL-6) and interleukin-8(IL-8). Methods A total of 92 COPD patients complicated with respiratory muscle fatigue in the Traditional Chinese Medicine Hospital of Keqiao District were selected and randomly divided into observation group and control group according to the digital table, with 46 cases in each group.The control group received routine treatment, the observation group was given Liujunzi Decoction on the basis of the control group.The arterial blood pH values, blood carbon dioxide partial pressure(PaCO2), partial pressure of oxygen(PaO2) and the changes of serum IL-6 and IL-8 levels were compared between the two groups. Results Before treatment, the arterial blood pH, PaCO2, PaO2 between the two groups had no statistically significant differences(t=0.274, 0.108, 0.233, all P>0.05). After treatment, the arterial blood PaCO2 of the observation group [(37.18±3.06)mmHg] was significantly lower than that of the control group [(40.23±2.97)mmHg](t=7.004, P 0.05). Before treatment, the serum IL-6, IL-8 levels between the two groups had no statistically significant differences(t=0.506, 0.412, all P>0.05). After treatment, the levels of serum IL-6, IL-8 in the observation group were (14.27±1.05)pg/mL, (41.26±3.97)pg/mL, respectively, which were significantly lower than those in the control group [(18.38±1.76)pg/mL, (60.54±4.31)pg/mL](t=6.358, 7.138, all P<0.05). The total effective rate of the observation group was 97.8%, which was higher than 73.9% of the control group (χ2=8.617, P<0.05). Conclusion The combination of traditional Chinese medicine and western medicine in the treatment of COPD complicated with respiratory muscle fatigue has significant effect, it can effectively alleviate respiratory muscle fatigue, improve blood gas index, reduce serum IL-6 and IL-8 levels, it is worthy of application. Key words: Pulmonary disease, chronic obstructive; Respiratory muscles; Six gentlemen decoction; Interleukin-6; Interleukin-8

Objective：Type 2 diabetes is becoming a pandemic disorder and its alarming increase in prevalence of either microvascular or macrovascular disease raises significant concerns. As the same in Taiwan, type 2 diabetes mellitus (DM) is one of the most prevalent and fastest growing diseases. Traditional Chinese medicine (TCM) as a unique traditional therapy for various ailments has been used in Taiwan for over hundreds of years. The consumption of Chinese herbal products (CHPs) is increasing exponentially in Taiwan. However, the scientific evidence is lacking and there is an urgent requirement for detailed pharmacoepidemiological information on CHP usage. The aim of the study is to explore the demographics and utilization patterns between Chinese herbal products (CHPs) users and non-users among people with diabetes and to determine how frequent the concurrent use of hypoglycemic drugs with CHPs on a nationwide level in real practice. We believe that this study provides evidence-based information for formulating appropriate management strategies of drug safety and integrative medicine. Methods：The usage, frequency of services, and CHP prescribed among diabetic patients using hypoglycemic drugs were evaluated, recruited from a randomly sampled cohort of 1,000,000 beneficiaries from the National Health Insurance Research Database. The logistic regression method was employed to estimate the odds ratios (ORs) for the co-prescription of a CHP and hypoglycemic drugs. In addition, to investigate the incidence rate of consuming traditional Chinese medicine among diabetic patients with newly diagnosed end-stage renal disease (ESRD) from 1998 to 2008 in Taiwan. Result: 77.9 percent (n = 31,289) of diabetic patients utilized traditional Chinese medicine (TCM) during the 11-year study period. Most type 2 diabetic patients also received western medicine (WM) treatment, and only 8.4 percent (n = 3,370 ) never used WM. Females, regular salary earners, and living in Central and Kaohsiung city were more likely to consume CHPs and hypoglycemic drugs concurrently. Among concurrent users, “symptoms, signs, and ill-defined conditions” (612,380 visits) was the most frequent major disease category for concurrent use hypoglycemic drugs and CHPs. Most type 2 diabetes diabetes patients took two hypoglycaemic agents (n = 13,609, 33.9％) in WM treatment. Metformin plus Sulfonylureas (n = 11,636, 29.0％) and Liu-Wei-Di-Huang-Wan were the most prescribed hypoglycemic drugs and Chinese formula, respectively. In comparison with control group, there was a lower incidence rate (ESRDs/ 1,000 person-years) of the traditional Chinese medicine users (TCM nonusers, n = 14.5, male, n = 15.6, female, n = 12.6; TCM users, n = 3.9, male, n = 5.0, female, n = 2.8). Discussion: the utilization of TCM among adults with type 2 diabetes in Taiwan during the study period appeared to be high compared with previous findings. TCM as a unique traditional therapy for various ailments which has been used in Taiwan for over hundreds of years may be the main contributor to the high prevalence of TCM usage among type 2 diabetic subjects. Moreover, TCM treatment has been covered by the NHI system. Unsurprisingly, the prevalence of CHP for treating type 2 diabetes among adults is comparatively higher in Taiwan than in other countries. However, we inferred that TCM for type 2 diabetes in Taiwan was generally used as adjuncts to diabetes treatment, rather than as replacements for it. Further analysis found that TCM doctors tended to use Chinese herbal medicine (CHMs) to deal with diabetes and gastrointestinal disorders which might be the uncomfortable side effects of diabetes drugs. And the present study indicated that acupuncture in Taiwan was used by this population mainly for diseases of the musculoskeletal system and connective tissue (Diseases of the musculoskeletal system and connective tissue ICD-9 code 710-739). In comparison with control group, utilization of traditional Chinese medicine had the protective effect and lowing inducing diabetic nephropathy, but the active components need to be determined accurately. Conclusions：During the 11-year study period, 77.9 percent of type 2 diabetic patients utilized traditional Chinese medicine (TCM), and only 8.4 percent never used WM in Taiwan. Hence, we inferred that TCM for type 2 diabetes in Taiwan was generally used as adjuncts to diabetes treatment, rather than as replacements for it. Liu-Wei-Di-Huang-Wan and its derivatives are the most frequent prescribed formulas by TCM doctors in Taiwan for type 2 diabetic patients. Utilization of traditional Chinese medicine had the protective effect and lowing inducing diabetic nephropathy (incidence rate: TCM nonusers, n = 14.5; TCM users, n = 3.9). Although some evidence does support the use TCM to treat diabetes, the results from the current study could have been confounded by placebo effect, emphasizing the need for well conducted, double-blind, randomized, placebo-controlled studies to further evaluate the efficacy of TCM on patients with type 2 diabetes.

Objective To evaluate the efficacy of TCM comprehensive therapy in the treatment of sleep apnea syndrome (SAS). Methods Eighty-two SAS patients who met the inclusion criteria were randomly divided into two groups, 41 in each group. The control group was treated with continuous positive airway pressure (CPAP). The observation group was treated with traditional Chinese medicine, oral Chinese medicine, acupuncture, massage, and acupuncture points. Both groups were treated for 2 weeks. Polysomnography (PSG) was used to evaluate the various stages of sleep, including total sleep time, hypopnea time, <90% oxygen saturation time. Results The total effective rate was 90.2% (37/41) of the observation group and 70.7% (29/41) of the control group. The difference between the two groups was statistically significant (χ2=4.970, P=0.026). After treatment, the sleep time (5.5 ± 0.7 h vs. 5.0 ± 0.6 h, t=3.556) of the treatment group was significantly longer than that of the control group (P<0.01). The hypoventilation time (45.1 ± 9.5 min vs. 50.2 ± 10.1 min, t=2.412), <90% oxygen saturation time (19.8 ± 9.6 min vs. 25.4 ± 10.1 min, t=2.635) was significantly lower than those of the control group (P<0.05). Conclusions Then comprehensive TCM therapy can alleviate the clinical symptoms of SAS patients, increase sleep time, and improve sleep quality. Key words: Sleep apnea syndromes; Acupuncture therapy; Tui Na therapy; Auricular plastertherapy; Continuous positive airway pressure

Objective To study the clinical efficacy of the degree of spasm and gross motor function of acupuncture therapy based on intramuscular nerve distribution combined with routine rehabilitation exercise training for treatment of tip foot deformity in children with spastic cerebral palsy (CP). Methods From July 2013 to November 2016, a total of 47 children with spastic CP tip foot deformity who were treated in the Department of Rehabilitation, Chengdu Women′s and Children′s Central Hospital, were selected as research subjects. Using random number table method, they were divided into observation group (n=24) and control group (n=23). Both groups were treated by the same routine rehabilitation exercise training and traditional Chinese medicine massage, meanwhile the observation group were taken additional acupuncture therapy based on intramuscular nerve distribution, and all the children were treated for 6 months. Before treatment, and after treatment of 1, 3, 6 months, curative effect of CP children were evaluate by the Gross Motor Function Measure Scale (GMFM) and Composite Spasticity Scale (CSS). The general clinical data between two groups of children, also the evaluation results of curative effect at different time points before and after treatment between two groups and intra group were compared by t test and chi-square test for statistical analysis. The procedure followed in this study were in lined with the ethical standards formulated by the Ethics Committee of Chengdu Women′s and Children′s Central Hospital, and has been approved by this committee [approval number: 2015 (11)]. All guardians of children signed the informed consents of clinical research. Results ①There were no significant differences between two groups of children in gender constituent ratio of male and female, age, and grade constituent ratio of grade Ⅱ and Ⅲ of gross motor function grading system (GMFCS) (P>0.05). ②Comparison results of CSS and GMFM scores between two groups: there were no significant differences between two groups in CSS and GMFM scores before treatment (P>0.05). The CSS scores at 1, 3, 6 months after treatment in observation group were (10.5±1.9) sores, (7.6±1.7) sores and (7.0±1.5) sores, respectively, which were lower than those of (11.9±1.7) sores, (8.6±1.6) sores and (8.2±1.8) sores, respectively in control group; the GMFM scores at 1, 3, 6 months after treatment in observation group were (66.7±9.5) sores, (79.6±10.1) sores and (90.2±10.9) sores, respectively, which were higher than those of (49.1±8.8) sores, (73.1±11.2) sores and (81.5±12.6) sores, respectively in control group, and the differences were all statistically significant (CSS score: t=-2.662, P=0.011; t=-2.022, P=0.049; t=-2.374, P=0.022. GMFM score: t=6.588, P 0.05). The CSS scores at 3, 6 months after treatment were lower than that of before treatment′s (12.0±1.6) scores, respectively, while the GMFM scores were higher than that of before treatment′s (48.5±8.5) scores, respectively in control group, and the differences were statistically significant (t=-18.247, -17.109; t=10.366, 11.723; all P<0.001). Conclusions Through the basis of routine rehabilitation exercise training of gross motor function and massage therapy of traditional Chinese medicine, and combined with acupuncture therapy based on intramuscular nerve distribution, those treatment strategies for spastic CP tip foot deformity took effect earlier, which can further alleviate limbs spasm, alleviate abnormal posture of lower limb toes and improve motor function of lower limbs. Key words: Cerebral palsy; Muscle spasticity; Equinus deformity; Acupuncture therapy; Peroneal nerve; Tibial nerve; Child

Objective To observe the traditional Chinese medicine massage in breasts joint French PHENIX-USB4 neuromuscular stimulation electrical stimulation therapy treatment of postpartum milk siltation, and provide the basis for clinical. Methods 120 patients with a diagnosis of milk deposition were selected according to random number table method, who were divided into control group and observation group, with 60 cases in each group.The patients in the control group were administrated with the traditional hot compress and breast massage technique treatment, and the patients in the observation group were administrated with low frequency pulse electrical stimulation treatment based on that in the control group, the clinical efficacy of the two groups were compared. Results The therapy efficacy rate of the observation group was 100.0%, which was significantly higher than 80.0%of control group(χ2=16.51, P 0.78). The case of mild pain in the observation group was significantly more than that in the control group (χ2=40.98, P<0.05). The cases of moderate pain and severe pain in the observation group were significantly less than those in the control group (χ2=4.48, 10.21, all P<0.05); After treatment of milk deposition for 1 day, 2 days and 3 days, the milk siltation in the observation group were significantly lighter than those in the control group (χ2=31.58, 23.52, 37.33, all P<0.05). Conclusion Breast massage of traditional Chinese medicine combined with low-frequency pulse electrical stimulation of acupuncture treatment of postpartum maternal milk deposition has the very good curative effect, the treatment is relatively simple, which is easy to operate, safe, noninvasive, relatively low incidence of adverse reactions, it can enhance the confidence of breastfeeding, and is worth of clinical promotion. Key words: Low frequency pulsed electrical stimulation; Points; Analgesia; TCM massage; Milk siltation

Objectives To explore the effects of Chinese medicine integrated care treatment for tubal functional recovery after tubal pregnancy conservative surgery. Methods 57 cases of tubal pregnancy who had conservative surgery were randomly divided into two groups, 28 cases for the observation group, and 29 cases as control group, conventional anti-inflammatory hemostasis therapy were used in both groups, besides this, traditional Chinese medicine plus comprehensive treatment and care in many ways were added in observation group. That is, from the day with operation, given Danshen injection intravenous drip, the next day with ammopiptanthus enema fluid retention enema, on the first clean period day after the menses Danshen hydrotubation injection was given. Results After experiment, there were 20 cases found to have good tubal function (71.4％) in observation group with 28 cases. While only 13 cases found to have good tubal function (44.8％) in 29 cases of control group. The efficacy of the observation group was significantly more superior to that of the control group (P＜0.05). Conclusion The integrated traditional Chinese medicine treatment and care interventions can improve tubal function, providing an effective curative and nursing way for strengthening their reproductive function. Key words: Tubal pregnancy; After surgery; Traditional Chinese Medicine Treatment; Nursing care