Jiaji Points Research Articles

Clinical observation on acupuncture at Jiaji (EX-B 2) points plus tuina in treating thoracic facet joint disorder

Objective To observe the clinical effects of acupuncture at Jiaji (EX-B 2) points plus tuina manipulation for thoracic facet joint disorder, and get new clinical evidence for treatment of thoracic facet joint disorder.

Effect of bloodletting therapy at local myofascial trigger points and acupuncture at Jiaji (EX-B 2) points on upper back myofascial pain syndrome: a randomized controlled trial

ObjectiveTo observe the clinical efficacy of bloodletting therapy and acupuncture at Jiaji points for treating upper back myofascial pain syndrome (MPS), and compare this with lidocaine block therapy. MethodsA total of 66 upper back MPS patients were randomly assigned to either the treatment group or the control group in a 1:1 ratio. The treatment group (n = 33) were treated with bloodletting therapy at local myofascial trigger points and acupuncture at Jiaji (EX-B 2) points; one treatment course consisted of five, single 20-min-treatments with a 2-day break between each treatment. The control group (n = 33) were treated with a lidocaine block at trigger points; one treatment course consisted of five sessions of lidocaine block therapy with a 2-day break between each session. The simplified McGill Scale (SF-MPQ) and tenderness threshold determination were used to assess pain before and after a course of treatment. ResultsAfter the third and fifth treatment, the SF-MPQ values were significantly decreased (P < 0.01) and the tenderness thresholds were significantly increased (P < 0.01) in both groups compared with before treatment. There were no significant differences in pain assessments between the two groups after three and five treatments (P > 0.05). There were five cases with minor adverse reactions reported in the control patients, while no adverse reactions were reported in the treatment group. ConclusionBloodletting therapy at local myofascial trigger points and acupuncture at Jiaji points was effective in treating upper back MPS. Clinically, bloodletting and acupuncture therapy had the same efficacy as the lidocaine block therapy, with fewer adverse reactions.

Acupuncture-moxibustion at Jiaji (EX-B 2) points for intervertebral disc herniation: A systematic review

By organizing and classifying the literatures related to acupuncture-moxibustion at Jiaji (EX-B 2) points in treating intervertebral disc herniation (IDH) published before December 31, 2013, to summarize the application status and features of Jiaji (EX-B 2) points. It’s found that its most favorable indication is IDH. It also further analyzed the action mechanism of acupuncture-moxibustion at Jiaji (EX-B 2) points in treating IDH, and brought up some ideas to highlight the further study.

Therapeutic efficacy observation on bloodletting and cupping for cervical radiculopathy

To observe the efficacy and safety of bloodletting and cupping for cervical radiculopathy. The randomized controlled clinical trial was conducted in five centers. A total of 183 eligible subjects were randomly allocated into a bloodletting group (n=68), an acupuncture group (n=56) and a combined group (n=59). Patients in the bloodletting group were treated with bloodletting at Dazhui (GV 14) and Jianjing (GB 21) on the affected side, coupled with 5–10 min of cupping, 5 mL blood for each cup, 2–3 cups for one treatment. Patients in the acupuncture group were treated with needling cervical Jiaji (EX-B 2) points and Jianjing (GB 21) on the affected side. The needles were retained for 30 min. Patients in the combined group were treated with both methods. The treatment in all three groups were done once every three days, twice a week, 4 weeks for a course of treatment, for a total of 1–3 courses. Then the therapeutic efficacy was evaluated using scores of visual analogue scale (VAS), neck disability index (NDL) and clinical assessment scale (CAS) before treatment and after 1, 2 and 3 courses of treatment. The scores of VAS, NDI and CAS in all three groups were significantly decreased after 1, 2 and 3 courses of treatment (all P 0.05). Bloodletting and cupping share the similar effect with acupuncture in pain relief and improvement of quality of life in patients with cervical radiculopathy.

Therapeutic observation of point-towards-point electroacupuncture for cervical spondylotic radiculopathy

To compare the therapeutic efficacies of point-towards-point electroacupuncture (EA), EA with Jiaji points (EX-B 2), and Jing Fu Kang in treating cervical spondylotic radiculopathy (CSR), and to explore the optimal treatment protocol. Totally 160 patients with CSR were randomized into three groups: a point-towards-point group (n=60) treated with EA with point-towards-point method; a Jiaji group (n=60) treated with EA at cervical Jiaji (EX-B 2) points; a medicine group (n=40) treated with oral administration of Jing Fu Kang alone. The clinical efficacies were compared afterwards. After treatment, the recovery rate and total effective rate of the point-towards-point group were significantly better than that of the Jiaji group and medicine group (both P<0.01). After 1-week treatment, the symptom and function score of the point-towards-point group was significantly better than that of the Jiaji group and medicine group (both P<0.01); the point-towards-point group and Jiaji group both achieved significant improvements in the symptom and function score (P<0.01, P<0.05). After 2-week treatment, the three groups all achieved marked improvements in the symptom and function score (P<0.01). At the end of treatment, in comparing the symptom and function score, the point-towards-point group was significantly different from the medicine group (P<0.01) and Jiaji group (P<0.05); the difference between the Jiaji group and medicine group was also statistically significant (P<0.05). Point-towards-point EA can rapidly improve the symptoms and function of CSR patients, and it’s superior to EA at Jiaji (EX-B 2) and oral administration of Jing Fu Kang in comparing the clinical efficacy.

Electroacupuncture treatment for pancreatic cancer pain: A randomized controlled trial

BackgroundPancreatic cancer is often accompanied by severe abdominal or back pain. It's the first study to evaluate the analgesic effect of electroacupuncture on pancreatic cancer pain. A randomized controlled trial compared electroacupuncture with control acupuncture using the placebo needle. MethodsSixty patients with pancreatic cancer pain were randomly assigned to the electroacupuncture group (n = 30) and the placebo control group (n = 30). Patients were treated on Jiaji (Ex-B2) points T8–T12 bilaterally for 30 min once a day for 3 days. Pain intensity was assessed with numerical rated scales (NRS) before the treatment (Baseline), after 3 treatments, and 2 days follow-up. ResultsBaseline characteristics were similar in the two groups. After 3 treatment, pain intensity on NRS decreased compared with Baseline (−1.67, 95% confidence interval [CI] −1.46 to −1.87) in the electroacupuncture group; there was little change (−0.13, 95% CI 0.08 to −0.35) in control group; the difference between two groups was statistically significant (P < 0.001). Follow-up also found a significant reduction in pain intensity in the electroacupuncture group compared with the control group (P < 0.001). ConclusionsElectroacupuncture was an effective treatment for relieving pancreatic cancer pain.

A clinical observation of irritable bowel syndrome treated by traditional Chinese spinal orthopedic manipulation

To evaluate the clinical effect of Traditional Chinese Spinal Orthopedic Manipulation (TCSOM) in treating Irritable Bowel Syndrome (IBS) in comparison with Pinaverium Bromide Dicetel (PBD), and to assess a possible cause for IBS. 60 cases of IBS patients were randomly divided into two groups: TCSOM and PBD. All patients in the TCSOM group were treated with a 5-time spinal manipulations. The symptoms of pre-treatment and post-treatment were evaluated based on bowel symptom scale (BSS) scores. A symptom improvement rating (SIR) and patient subjective assessment (PSA) were implemented in order to evaluate the effects of the treatments, and to statistically compare the two groups. The symptoms of 23 patients of the TCSOM group disappeared soon after spinal manipulation and 6 cases were significantly improved. The BSS scores in the TCSOM group were significantly lower than those in the PBD group post-treatment. According to the SIR which was based on the BSS, the TCSOM research group included 14 cases with excellent results, 13 cases with good, and 3 cases with poor. Adverse side effects to the treatment were not reported. Based on the BSS, the PBD research group reported 7 cases with excellent results, 8 cases with good and 15 cases with poor. All cases were statistically analyzed, revealing a significant difference (P<0.001) between the two groups. The displacement of inter-vertebral disks and/or vertebra in the thoracic or lumbar region seems to be a contributing factor in the symptoms of irritable bowel syndrome. Thumb pressing manipulation on jiaji points in the thoracic and/or lumbar region can correct the displacement of inter-vertebral disks and/or vertebra, resolving the stimuli caused by pressure exerted on the nerves and vessels around the spine. So it is an effective treatment for IBS.

Effect of electroacupuncture on anxiety and craving in heroin addicts during detoxification

Objective To observe the effect of electroacupuncture at Jiaji (EX-B 2) points for anxiety and craving in heroin addicts during detoxification.

Observation on therapeutic effect of chronic fatigue syndrome treated with Panlongci (coiling dragon needling) and moving cupping on back

ObjectiveTo compare the differences of therapeutic effect of chronic fatigue syndrome (CFS) treated with the combined therapy of Panlongci (coiling dragon needling) and cupping on back and the western medicine therapy with prednisone. MethodsSeventy-two cases were randomly divided into 2 groups of acupuncture-cupping group (37 cases) and prednisone group (35 cases). In acupuncture-cupping group, Jiaji points (▪ EX-B 2) of the level of T1–L5 were applied with coiling dragon needling once a day, combining with moving cupping on back once every two days. In prednisone group, prednisone tablets of 10 mg were orally taken at 8:00 am everyday. Seven days were counted as one treatment course, and 2 courses were carried on totally. FS-14 scale and BELL's CFS integral table were applied to evaluate the fatigue degree of patients before and after the treatment, and the therapeutic effects of both groups were compared. ResultsAfter one course of treatment, the BELL's scores of both groups were obviously improved (both P<0.01), but there was no significant difference between the 2 groups (P>0.05); after 2 courses of treatment, the BELL's score in acupuncture-cupping group improved more obviously than that of the prednisone group (P<0.05), and the total effective rate of 91.9% (34/37) in acupuncture-cupping group was superior to that of 71.4% (25/35) in prednisone group (P<0.05). ConclusionThe therapeutic effect of chronic fatigue syndrome treated with coiling dragon needling and moving cupping on back is positive, which is superior to that of prednisone with oral administration.

Clinical observation on treatment of lumbar intervertebral disc herniation with electroacupuncture on Jiaji (Ex-B 2) points plus traction: A clinical report of 30 cases

Objective To investigate the clinical efficacy of treating herniation of lumbar intervertebral disc with electroacupuncture on Jiaji(Ex-B 2) points plus 3-D traction.

Treatment of 98 cases of cervical spondylopathy in teenagers by acupuncture plus manual manipulations

In the treatment of 98 cases of teenage cervical spondylopathy by puncturing Tianzhu (BL 10), Fengchi (GB 20), Wangu (GB 12) and Jiaji points (Ex-B 2) and by massaging the muscles of the shoulder and kneading and pressing Fengchi (GB 20), Quepen (ST 12) and Jianjing (GB 21) in particular, plus oblique stretching method, the symptoms were relieved in 89 cases, and disappeared in 94 cases after two courses of the treatments.

Acupuncture plus oral herbal decoction and low back pain: A report of 162 cases

One hundred and sixty-two low back pain cases due to intervertebral disc problem were treated by puncturing 30 mm in depth with even reinforcing and reducing manipulation on Jiaji points (Ex-B 2) in the lumbar area plus patterned oral herbal decoction, Tao Hong Siwu Decoction. The result showed that 65 cases got marked effect, 53 cases got good effect, 37 cases got certain effect, 6 cases got no effect and the total effective rate was 96.3%.

Treatment of 50 cases of sciatica with acupuncture plus mild moxibustion

Fifty cases of sciatica were treated by needling Dachangshu (BL 25), Guanyuanshu (BL 26), L3–5 Jiaji points (Ex-B 2), Huantiao (GB 30), Weizhong (BL 40) and Yanglingquan (GB 34) and applying mild moxibustion at Dachangshu (BL 25) and Guanyuanshu (BL 26) after withdrawing needles. After 3 courses of treatment, 31 cases got cure, 16 cases marked effective-ness, 3 cases effectiveness, and the total effective rate was 100%.

Hemodynamic influence of arteria vertebralis type cervical spondylosis treated by needling Yuzhen (BL 9) and Fengchi (GB 20)

To observe the curative effect and the hemodynamic change of cervical vertigo treated by acupuncture, 66 patients were randomly divided into two groups: group A in which acupoints Yuzhen (BL 9) and Fengchi (GB 20) were used and Group B in which Cervical Jiaji points (C4–6) were used. Before and after treatment, the symptom of the cervical vertigo and the grade variety of function and the change of Color Doppler Flow Imaging (CDFI) of vertebral artery were observed. After treatment, the grade in two groups increased, there was a remarkable difference between two groups (P<0.05); after treatment, the grade of vertigo degree increased, there was a remarkable difference between two groups (P<0.05); needling Yuzhen (BL 9) and Fengchi (GB 20) can remarkably improve the symptom of cervical vertigo and vertebral artery blood flow rate, and the curative effect was superior to needling Jiaji points.

Clinical analysis on the treatment of nerve root sciatica by stuck needle method

Fifty-six cases of nerve root sciatica patients were treated by stuck needle method at Ashi and Jiaji points (Ex-B 2) at the waist region, Huantiao (GB 30), Zhibian (BL 54), Weizhong (BL 40), Yanglingquan (GB 34), Chengshan (BL 57) and Kunlun (BL 60) in the diseased region. 40 cases were treated as control by routine even reinforcing-reducing manipulation with above acupoints. The curative effects were 96.4% and 90.0% respectively.

Clinical observation on treatment of cervical spondylosis with acupuncture plus traction

Altogether 202 cases of cervical spondylosis were treated with traction first, followed by needling such points as Jiaji (Ex-B 2), Dazhui (GV 14), Fengfu (GV 16), Fengchi (GB 20), Baihui (GV 20), Yuzhen (BL 9), Houxi (SI 3) and Hegu (LI 4) with combination of point injection on Jiaji (Ex-B 2) points and TDP irradiation on the affected region. After three courses of treatment, the total effective rate reached 98.5%, among which those with types of cervical, nerve-root and vertebral artery took 1–2 courses, while those with types of spinal cord and sympathetic nerve took 2–3 courses.

Treatment of 48 cases of menopause syndrome by moving cupping therapy along the meridians

In the treatment of 48 cases of menopause syndrome by moving cupping therapy along the pathways of the bladder meridian, Jiaji points (Ex-B 2) and pathway of the Governor Vessel, the results showed cure in 10 cases, remarkable effect in 27 cases, effect in 8 cases and failure in 3 cases, and the total effective rate in 93.7%. In comparison with before the treatments, all the symptoms were relieved (P<0.05) after treatments, with insomnia, poor memory, depression and easy crying, warm sensation in the five body parts, aching and soft sensation in the low back and knee relieved more remarkably (P<0.01).

Treatment of lumbar intervertebral disc herniation with electroacupuncture on Jiaji points (Ex-B 2) plus TDP: A report of 68 cases

Sixty-eight lumbar intervertebral disc herniation (LDH) cases were treated with electroacupuncture on Jiaji points of the affected area with the following result after three courses of treatment: and 35 cases got recovery, 28 cases got better result, 5 cases had no effect, and the total effective rate was 92.6%.

Tuina therapy for prolapsed lumbar intervertebral disc

Recurrent low back pain and reflex sciatica of lower limbs are the two leading symptoms of prolapsed lumbar intervertebral disc, which can be confirmed in the history, symptoms, signs and imaging examination such as CT scan and MRI. It should be differentiated from those conditions characterized by lumbago and/or possible sciatica. Tuina was performed mostly on the Bladder Meridian, Gallbladder Meridian and Governor Vessel, as well as their acupoints such as Jiaji (Ex-B 2) points, Shenshu (BL 23), Dachangshu (BL 25), Yaoyangguan (GV 3), Huantiao (GB 30), Weizhong (BL 40), Chengshan (BL 57), Yanglingquan (GB 34) and Ashi points. Thumb-massaging manipulation, rolling manipulation, pulling manipulation, pressing manipulation, kneading manipulation and grasping manipulation are often performed.

Clinical research on detoxification with acupuncture

Purpose To confirm the effects of acupuncture, and Chinese medicines in controlling the withdrawal symptoms from the opium-like drugs.Method 96 hero-in-dependent subjects were divided into four groups, which were treated respectively by western medicine (A group), acupuncture (B group), Chinese herbs (C group), and acupuncture & Chinese herbs (D group). Before, during and after treatment, the concentration of serum testosterone and prolactin, and immune functions (serum CD3 +, CD4 +, CD8 + and CD4 +/CD8 +) were tested.Results After treatment, the concentration of serum testosterone in A and B group were higher than before and during treatment, and in C and D group, during treatment were higher. In the four groups, the concentration of serum prolactin before treatment was the highest. The levels of CD3 +, CD4 +, CD8 + and CD4 +/CD8 + were lowest before treatment and highest after treatment.Conclusion Acupuncture and Chinese medicines effective in relieving spasm and pain can control the opium-like drug with-drawal symptoms to different degrees, especially acupuncture. However, acupuncture cannot ease the with-drawal symptoms completely. Acupuncture does not strikingly cooperate with the Chinese medicines effective in relieving spasm and pain (including M-receptor antagonists). In detoxification, the Jiaji points are the primary ones and symptom-based points the secondary ones.