Body acupuncture
(1) Point selection
Commonly used points: Kongzui and Chize.
Alternate point: Neiguan.
(2) Treatment method
Generally, only the main points are used. Using the "qi to the disease site" technique, the stimulation is transmitted to the throat or chest. It is best if the patient's symptoms such as dry mouth, cold throat, tightness in the chest, etc. occur. In order to easily stimulate the acupuncture sensation of "qi reaching the disease site", it is advisable to make the patient lie down for acupuncture. Use the method of flattening and flattening, continuing to move the needle for 2 minutes, leaving the needle for 20 to 30 minutes, and perform acupuncture every 5 to 10 minutes. 1 to 2 times a day, 2 to 3 times for severe hemoptysis.
(3) Efficacy evaluation
79 cases were treated with acupuncture alone, and the effective rate was about 90% (1-2).
Acupoint injection
(1) Acupoint selection
Commonly used acupoints: Taiyuan and Feishu.
(2) Treatment
Drugs: dexamethasone injection. Use a No. 7 needle to insert 0.3 to 0.5 inches into the Taiyuan point vertically, and 0.5 to 0.8 inches into the Feishu point at a 45-degree angle. Lift the needle up and down, wait until the Qi is obtained, and then inject this product if there is no blood, 2.5 mg per acupoint, once a day, 3 consecutive times as a course of treatment. With anti-tuberculosis, antibacterial and other drugs.
(3) Efficacy evaluation
***Treated 24 cases, stopped bleeding in 23 cases (all stopped bleeding within 3 times), 1 case was ineffective, and the effective rate was 95.8% (9) .
Skin acupuncture
(1) Point selection
Commonly used points: carotid artery pulsation area.
(2) Treatment method
Use the seven-star needle to tap the carotid artery in the pulsating area along one or both sides of the carotid artery regularly and rhythmically, like a sparrow pecking, and automatically From top to bottom, over and over again, pricking repeatedly. The intensity is medium, the frequency is about 180 times/min, and the stimulation time depends on the condition of the disease, usually lasting 10 to 30 minutes. If the effect is not obvious, tap and prick the last point of the hole, using the same technique as above. 1 to 2 times a day.
(3) Evaluation of efficacy
The efficacy of Qixing Needle in treating hemoptysis is quite satisfactory. 129 cases were treated with this method, and the effective rate was 96.9-100% (3-4).
Electroacupuncture
(1) Acupoint selection
Commonly used acupoints: Neiguan and Kongzui.
(2) Treatment method
Only take one acupoint at a time. After inserting a 2-inch millimeter needle to obtain Qi, the needle handle was connected to the G6805 electroacupuncture instrument. The current was set to 1.8 mA, the output voltage was 0.2 volts, a square wave was used, the frequency was 160 times/min, and continuous pulse wave stimulation was performed for 30 minutes to several seconds. Hour. Acupuncture is usually performed during an attack.
(3) Efficacy evaluation
Effect standards: (1) Markedly effective: massive hemoptysis stops within 30 minutes of electroacupuncture treatment, and there is still a small amount of blood in the sputum, and no longer occurs after 12 hours Those who have massive hemoptysis; (2) Effective: The massive hemoptysis stops within 30 minutes after electroacupuncture treatment, but there is still a small amount of blood in the sputum, and hemoptysis occurs again within 12 hours; (3) Ineffective: The massive hemoptysis continues after electroacupuncture treatment, Use other methods instead.