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Mga Reseta sa Katutubong Gamot / Other / Acupuncture and Tuina / Acupuncture Treatment for Acute Gastric VolvulusNakaraan Tingnan Lahat Susunod

Acupuncture Treatment for Acute Gastric Volvulus

Body Acupuncture (1) Acupoints
Commonly Used Points: Zusanli (ST36), Jinsu (GV15), Pishu (BL20), Zhongwan (CV12).
Supplementary Points: Weishu (BL21), Neiguan (PC6), Guanyuan (CV4), Sanyinjiao (SP6), Tianshu (ST25), Xiaowan (CV10), Hegu (LI4).
(2) Treatment Method
Acupuncture should be performed on top of routine treatment. Prioritize commonly used points and add supplementary points as needed. Zhongwan and Weishu should be used together. For Zusanli, apply the "Qi Reaches the Affected Area" technique to guide needle sensation into the abdomen; other points should ideally elicit Qi sensation. All points use draining method via lifting and thrusting, rotating, and twisting techniques, maintaining stimulation for 20–30 minutes, with intensity increasing gradually from weak to strong. Back-shu points may also be connected to an electroacupuncture device using sparse-dense waves, with intensity set at the maximum tolerable level for the patient, applied for 30 minutes. After acupuncture, perform moxibustion with a moxa stick (sparrow-pecking method) on abdominal points and Sanyinjiao, each for about 15 minutes, until the skin becomes flushed and warmth spreads into the abdomen. Alternatively, infrared radiation can be applied to the abdomen for 15 minutes. Perform acupuncture and moxibustion once or twice daily.
(3) Efficacy Evaluation
Treatment with acupuncture alone resulted in complete recovery in all 89 cases (1–7, 9).
Electroacupuncture Plus Acupoint Injection
(1) Acupoints
Commonly Used Points: Shangwan (CV13) through Zhongwan (CV12), Chengman (CV14), Zusanli (ST36).
Supplementary Points: Add Sanyinjiao (SP6) for lower abdominal pain; add Pishu (BL20) and Weishu (BL21) for spleen and stomach deficiency; add Taiyang (EX-HN5) and Anmian (EX-HN20) for insomnia.
(2) Treatment Method
Use all commonly used points, adding supplementary points based on symptoms. First insert fine needles into the acupoints, then apply balanced reinforcing and reducing technique via lifting, thrusting, and rotating. After needling, connect to an electroacupuncture device using sparse-dense waves, frequency 14–16 times per minute, intensity adjusted to patient tolerance. After removing needles, select 1–2 points and inject Danggui injection (2 ml per point). Once daily, with 10 sessions constituting one course.
(3) Efficacy Evaluation
Using this method, 42 patients were treated, resulting in 38 cured cases and 4 non-responsive cases, yielding a total effective rate of 90.5% (10).
Main References
(1) Huang Dezhou. Treatment of two cases of gastric volvulus with acupoint stimulation. New Medical Science Journal 1976; 9: 35.
(2) Physical Therapy Department, No. 161 Hospital of the People’s Liberation Army. Electroacupuncture and infrared irradiation for four cases of gastric inversion. Chinese Journal of Physical Therapy 1980; 3(2): 98.
(3) Ma Bing. Electroacupuncture treatment of one case of gastric inversion. Liaoning Medicine 1980; 1: 3.
(4) Yan Yulin. Acupuncture treatment of gastric volvulus. New Chinese Medicine 1980; 1: 44.
(5) Luo Wei. Acupuncture treatment of gastric volvulus in one case. Shanghai Journal of Traditional Chinese Medicine 1980; 1: 32.
(6) Wan Yaoxian, et al. Acupuncture treatment of nine cases of gastric volvulus. Chinese Journal of Traditional Medicine 1980; 21(11): 49.
(7) Wei Yong. Report on successful acupuncture treatment of one case of gastric volvulus. Guangxi Journal of Traditional Chinese Medicine 1981; 3: 36.
(8) Zhang Zhizhu, et al. Ear acupuncture plus rocking therapy successfully treats gastric volvulus. Shandong Journal of Traditional Chinese Medicine 1984; 6: 43.
(9) Liu Jianmin, et al. Clinical observation of acupuncture treatment of 70 cases of gastric volvulus. China Journal of Acupuncture 1990; 10(6): 13.
(10) Zhu Min, et al. Electroacupuncture and acupoint blockade for 42 cases of gastric volvulus. Research in Traditional Chinese Medicine 1989; 2(3): 39.

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