CN205054848U - A acupuncture needle and needle needling instrument for main and collateral channels lie prostrate and sting - Google Patents
A acupuncture needle and needle needling instrument for main and collateral channels lie prostrate and sting Download PDFInfo
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- CN205054848U CN205054848U CN201520703082.6U CN201520703082U CN205054848U CN 205054848 U CN205054848 U CN 205054848U CN 201520703082 U CN201520703082 U CN 201520703082U CN 205054848 U CN205054848 U CN 205054848U
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Abstract
The utility model relates to an acupuncture needle and needle needling instrument for main and collateral channels lie prostrate and sting. The utility model discloses an acupuncture needle and needle needling instrument for main and collateral channels lie prostrate and sting, the structure includes the single needle, the single needle is by the needle point, the needle body, the crown, five parts of needle handle and backshank connect gradually the constitution, and two or more single needles are fixed through binding, the sticky tape is fixed, welded fastening or the fixed mode of buckle are together parallelly connected. The buckle be two buckle planking looks locks, one end sets up the pivot, the other end sets up the checkpost, sets up and the faller in the buckle planking to the faller middle part sets up the pinhole. The utility model discloses an acupuncture needle and needle needling instrument for main and collateral channels lie prostrate and sting compares with prior art, and it is big to have intensity, easily operates when the inserting needle and the hand -manipulating of needle, and safe let the acupuncture needle remain at a certain point that the time is longer, can satisfy the needs that lie prostrate thorn inserting needle, tiling let the acupuncture needle remain at a certain point the method, have the security by force, easy service advantages.
Description
Technical field
This utility model relates to Acupuncture therapeutic appliance, especially a kind of for meridians volt thorn acupuncture needle and pin needle set.
Background technology
Ancient Chinese doctor establishes theory of channels and collaterals gradually by a large amount of clinical practice, observation, in the treatment means that three kinds, China is traditional, and moxibustion therapy, stone acupuncture needle art and guiding art are all used by meridians; Stone acupuncture needle art is wherein the predecessor of Chinese acupuncture and moxibustion therapy.China's acupuncture therapy can trace back to Ancient people, utilizes the stone needle of sharp work made of stones to stimulate some specific position point of health with the simple therapy means eased the pain.
Relevant acupuncture research shows, its effect is mainly:
1) dredging the meridian: namely, makes the meridians of retardance unobstructed and plays its normal physiological action, and the traditional Chinese medical science thinks meridians " inside belong to internal organs, outer network is in podomere ", and running QI and blood is one of its main physiological function.Blockage of main and collateral channels, QI-blood circulation is obstructed, and clinical manifestation is the symptoms such as pain, numbness, swelling, ecchymosis;
2) YIN and YANG balance regulating: namely, makes body transform to poised state from the state of yin and yang imbalance, reaches the object for the treatment of.The traditional Chinese medical science think disease generation its at all be unable to do without yin and yang imbalance, acupuncture and moxibustion treatment is by utilizing meridians yin-yang attribute, playing the effect of YIN and YANG balance regulating through cave compatibility and the manipulation of acupuncture;
3) strengthening vital QI to eliminate pathogenic factors: namely, can help body healthy energy and drive away pathogenic factor.The traditional Chinese medical science thinks the generation development of disease and the process that lapses to, and be in fact the process of struggle between vital QI and pathogen, why acupuncture can cure the disease, and is the effect that can play its strengthening vital QI to eliminate pathogenic factors exactly.
Puncture needle, along with the continuous progress of the productivity, is developed so far from stone-needle, spicule, bronze pin, ferrum pin, acupuncture needle, acupuncture needle the austenite stainless draw point generally used.The present age, the technology such as electric wave, electromagnetism, laser, ion, microwave were also widely used in the acupuncture needle skill of handling needles by doctor, made traditional acupuncture have more the flavor of the day.But, up to now, existing acupuncture stimulates each acupuncture point on meridians mainly through (difference), i.e. point effect, play the object causing meridianal reflection to reach therapeutic effect, still can not directly act on the effect that whole section of meridians excite meridians W-response along the line more energetically.
Acupuncture-moxibustion therapy method continues to use the not too large improvement of traditional skill of handling needles clinically substantially for many years
,there is following defect in traditional skill of handling needles: based on the vertical pricking method of repeatedly inserting needle, needs many acupuncture points time, frequently treats in clinical treatment; Also have to select and do single needle between two of certain angle acupuncture points (as dicang Tou Clip car) and thoroughly sting.
Time of retaining needle is general shorter, generally all at 20-30 minutes/times/day.
To sum up finding traditional acupuncture treatment often needs patient's every day or accept treatment every other day within longer a period of time, and the course for the treatment of is long, causes inconvenience to patient; Add the time cost of doctor and the financial burden of patient simultaneously.Stimulate often very limited to the vertical acupuncture in multiple single acupuncture points to the startup that meridians conduct respectively, can not fully excite meridians passage to the overall regulating and controlling effect of body, obviously thoroughly can not block patient's condition in time, improve symptom, symptom management develops, offer limited effectiveness.
At present, conventional needle set has acupuncture needle, ear acupuncture, acusector, three edged needle, dermal needle etc., and wherein the most frequently used is acupuncture needle, and its structure comprises needle point, needle body, the crown, needle handle and backshank five part, and wherein, needle point: the sharp part in tip being the needle body, also known as pin awns; Needle body is also known as the needle body: be the main part between needle point and needle handle, and the length of acupuncture needle, the different size of thickness mainly refer to this; The crown: the part that the needle body is connected with needle handle is the crown; Needle handle: holding the part that pin puts forth effort after needle body and the crown is needle handle; Backshank: needle handle and the multiplex copper wire of backshank or filamentary silver are wound around, in the shape of a spiral or cylindric, the shape of needle handle has circle handle, anthocaulus, flat handle, Guan Bing etc. multiple.Conventional acupuncture needle specification is: No. 28 ~ 30, thickness (0.32 ~ 0.38mm); Length: 1 ~ 3 cun (25 ~ 75mm).Traditional acupuncture needle needle body is thin, and material is soft.The acupuncture needle of this structure, when doctor take to lie prostrate lunge pin, the method that let the acupuncture needle remain at a certain point of tiling time, when needing be smaller angle inserting needle with patient skin surface, there is resistance greatly, not easily thrust with controlling party to, and have the defects such as the danger of looper.
Summary of the invention
Technical assignment of the present utility model is the weak point for above present situation, provides a kind of that act on multiple acupuncture point, that time of retaining needle the is long acupuncture needle for meridians volt thorn pin needle set of simultaneously connecting.
This utility model solve its technical problem adopt technical scheme to be: the acupuncture needle for meridians volt thorn of the present utility model pin needle set, structure comprises single needle, single needle is by needle point, needle body, the crown, needle handle and backshank five part connect to form successively, and two or more single needle is by binding is fixing, adhesive tape is fixed, be welded and fixed or buckle fixed form is connected in parallel.
Two described single needles link together abreast.
Described multiple single needles are three single needles, link together coplanarly.
Described multiple single needles are four single needles, link together coplanarly.
To be that three single needles are parallel be connected described multiple single needles, and cross section is triangle disposition.
To be that four single needles are parallel be connected described multiple single needles, and cross section is sphere of movements for the elephants shape.
Described buckle is that two pieces of buckle outside plates are interlocked, and one end arranges rotating shaft, and the other end arranges clamp, buckle outside plate internal fixtion needle plate, and arranges pin hole in the middle part of needle plate.
Described needle handle can be single cylindrical, rectangle or flat.
Described needle point and/or needle body arrange thin sliding sleeve.
Compared to the prior art, have following characteristics: this utility model is by arranging the combination type needle set of two pins or many pins, and its needle handle is connected in parallel, needle body is flat loose for acupuncture needle for meridians volt thorn of the present utility model pin needle set.One, needled conventionally executes pin operational approach based on pricking method is changed, this utility model can adopt long to---lunge pin along meridians Duan Ping, Therapeutic Method that linear acupuncture needle that let the acupuncture needle remain at a certain point treats treats, the length making each pin long relates to scope adjoins acupuncture point along multiple on straight line, namely the flat thorn of shallow muscle layer moves towards straight along muscle and moves ahead, handling safety, simple; Two, gentle meridians section is executed pin and is executed pin and stays volt, minute hand length to long-time on add curative effect under effect, highlight general point pin and treat the curative effect being difficult to see; Three, this utility model is applicable to the operational approach directly stimulating whole section of meridians along meridians section, thus is together in series at acupuncture point, and height is line, acts on whole piece meridians section; Carry out the optimum pressing stimulation of acupuncture needle needle body simultaneously along many meridians, the contact between meridians can be made through, form the stimulation acted on through network diagram, excite the energy contained in meridians to a greater extent; Four, along meridians section trend with needle set of the present utility model flat lunge pin and pin lied prostrate stay in meridians section, what in a region, meridians press by several pins moves towards series connection, also can parallel connection, as bladder meridian or with other equidirectional traveling meridians.Coordinate and execute pin, apply to start to meridians major trunk roads and dredge and keep the dry induction of meridians, several pins form a line or double ends network volt thorn parallel/serial, keep here on meridians backbone is along the line, keep meridian qi and blood unimpeded operation, after inserting needle, patient can experience and weak acid Chu swollen by the extensive optimum fiber crops in line and face and feels, completely different from vertical inserting needle pin sense of attacking a vital point, the scope conduction sense in flow routes of the meridians and face, recuperates under medical treatment the respond well of disease.Five, the single acupuncture needle of prior art is changed due to thinner, volt lunges the flat thorn of pin and keeps straight on difficult and be very easy to bent needle, and use commercially available thick minute hand volt thorn can increase the pain of inserting needle and let the acupuncture needle remain at a certain point period because of pin elastic deformation degree low, patient can increase unsafe factor, and the defect of position limitation of activity, this utility model is safer when treating.Six, this utility model is owing to having added thin sliding sleeve, and the operation of the uniformity volt thorn and inserting needle hands of being convenient to several pin inserting needle holds.
Accompanying drawing explanation
Below in conjunction with accompanying drawing, this utility model is further illustrated.
Accompanying drawing 1 be welding manner make the parallel connected a kind of acupuncture needles for meridians volt thorn of two single needles and pin needle set face structural representation.
Accompanying drawing 2 is that welding manner makes two parallel connected a kind of acupuncture needles for meridians volt thorn of single needle and the left TV structure schematic diagram of pin needle set.
Accompanying drawing 3 is that welding manner makes two parallel connected a kind of acupuncture needles for meridians volt thorn of single needle and the plan structure schematic diagram of pin needle set.
Accompanying drawing 4 be welding manner make the parallel connected a kind of acupuncture needles for meridians volt thorn of two single needles and pin needle set look up structural representation.
Accompanying drawing 5 be welding manner make the parallel connected a kind of acupuncture needles for meridians volt thorn of three single needles and pin needle set face structural representation.
Accompanying drawing 6 is that welding manner makes three parallel connected a kind of acupuncture needles for meridians volt thorn of single needle and the left TV structure schematic diagram of pin needle set.
Accompanying drawing 7 is that welding manner makes three parallel connected a kind of acupuncture needles for meridians volt thorn of single needle and the plan structure schematic diagram of pin needle set.
Accompanying drawing 8 be welding manner make the parallel connected a kind of acupuncture needles for meridians volt thorn of three single needles and pin needle set look up structural representation.
Accompanying drawing 9 be welding manner make the parallel connected a kind of acupuncture needles for meridians volt thorn of four single needles and pin needle set face structural representation.
Accompanying drawing 10 is that welding manner makes four parallel connected a kind of acupuncture needles for meridians volt thorn of single needle and the left TV structure schematic diagram of pin needle set.
Accompanying drawing 11 is that welding manner makes four parallel connected a kind of acupuncture needles for meridians volt thorn of single needle and the plan structure schematic diagram of pin needle set.
Accompanying drawing 12 be welding manner make the parallel connected a kind of acupuncture needles for meridians volt thorn of four single needles and pin needle set look up structural representation.
Accompanying drawing 13 be welding manner a kind of acupuncture needle for meridians volt thorn of making four single needles connect into sphere of movements for the elephants shape and pin needle set face structural representation.
Accompanying drawing 14 is welding manner a kind of acupuncture needle for meridians volt thorn of making four single needles connect into sphere of movements for the elephants shape and the left TV structure schematic diagram of pin needle set.
Accompanying drawing 15 is welding manner a kind of acupuncture needle for meridians volt thorn of making four single needles connect into sphere of movements for the elephants shape and the plan structure schematic diagram of pin needle set.
Accompanying drawing 16 be welding manner a kind of acupuncture needle for meridians volt thorn of making four single needles connect into sphere of movements for the elephants shape and pin needle set look up structural representation.
Accompanying drawing 17 be welding manner a kind of acupuncture needle for meridians volt thorn of making three single needles connect into triangle disposition and pin needle set face structural representation.
Accompanying drawing 18 is welding manner a kind of acupuncture needle for meridians volt thorn of making three single needles connect into triangle disposition and the left TV structure schematic diagram of pin needle set.
Accompanying drawing 19 is welding manner a kind of acupuncture needle for meridians volt thorn of making three single needles connect into triangle disposition and the plan structure schematic diagram of pin needle set.
Accompanying drawing 20 be welding manner a kind of acupuncture needle for meridians volt thorn of making three single needles connect into triangle disposition and pin needle set look up structural representation.
Accompanying drawing 21 be adhesive tape mode make the parallel connected a kind of acupuncture needles for meridians volt thorn of two single needles and pin needle set face structural representation.
Accompanying drawing 22 is that adhesive tape mode makes two parallel connected a kind of acupuncture needles for meridians volt thorn of single needle and the left TV structure schematic diagram of pin needle set.
Accompanying drawing 23 is that adhesive tape mode makes two parallel connected a kind of acupuncture needles for meridians volt thorn of single needle and the plan structure schematic diagram of pin needle set.
Accompanying drawing 24 be adhesive tape mode make the parallel connected a kind of acupuncture needles for meridians volt thorn of two single needles and pin needle set look up structural representation.
Accompanying drawing 25 be buckle a kind of acupuncture needle for meridians volt thorn of fixing two single needles and pin needle set face structural representation.
Accompanying drawing 26 is buckle a kind of acupuncture needle for meridians volt thorn of fixing two single needles and the left TV structure schematic diagram of pin needle set.
Accompanying drawing 27 be buckle look up structural representation.
In figure: 1, needle point, 2, needle body, 3, the crown, 4, needle handle, 5, backshank, 6, pin hole, 7 and needle plate, 8, buckle outside plate, 9, clamp, 10, rotating shaft.
Detailed description of the invention
With reference to Figure of description to for meridians volt thorn acupuncture needle and pin needle set be described in detail below.
Of the present utility model for meridians volt thorn acupuncture needle and pin needle set, structure comprises single needle, single needle is by needle point 1, needle body 2, the crown 3, needle handle 4 and backshank 5 five part connect to form successively, and two or more single needle is by binding is fixing, adhesive tape is fixed, be welded and fixed or buckle fixed form is connected in parallel.
Two described single needles link together abreast.
Described multiple single needles are three single needles, link together coplanarly.
Described multiple single needles are four single needles, link together coplanarly.
The single needle of described more than four links together coplanarly.
To be that three single needles are parallel be connected described multiple single needles, and cross section is triangle disposition.
To be that four single needles are parallel be connected described multiple single needles, and cross section is sphere of movements for the elephants shape or parallelogram.
Described buckle is that two pieces of buckle outside plates 8 are interlocked, and one end arranges rotating shaft 10, and the other end arranges clamp 9, buckle outside plate 8 internal fixtion needle plate 7, and arranges pin hole 6 in the middle part of needle plate 7.Described and needle plate 7 has different elasticity, and when buckle fastens, pin hole 6 can fix each single needle, can single needle pull slip forward and back when user imposes more energetically, can reach the effect alleviating and treat process skin pain like this.Described and needle plate 7 can be designed to repeatedly sterilize use and single use two kinds also needle plate, therefore and needle plate 7 material can be rubber or other material.In use, can inserting needle simultaneously two pins or many pins, bundle pin entirety can be exited, or buckle is taken off respectively single needle be exited afterwards.
Described needle handle 4 can be single cylindrical, rectangle or flat.
Described needle point 1 and/or needle body 2 arrange thin sliding sleeve.Described thin sliding sleeve is the cover of cylindrical shape or hollow cuboid, and material can be plastic cement or other materials.Be convenient to the holding with hands during pin.
The described preferred soldering of the mode that is welded and fixed or electric resistance welding mode.During making, 2,3 or multiple single needle are carried out being welded and fixed and pin at needle handle place, with two or more welding spot welding knot needle handle,
This utility model can make length, middle length, middle bundle and short bundle needle set respectively; Short bundle needle set length is 1-10cm and 0.5-3 cun, and middle bundle needle set length is 10-20cm and 3-6 cun, and middle long bundle needle set length is 20-30cm and 6-9 cun, and length restraints needle set length >30cm and >9 cun.
Needle set of the present utility model is mainly used in " meridians volt thorn ", and method is implemented.Described " meridians volt thorn " method, different from the method that traditional acupuncture executes pin perpendicular to skin, for one by acupuncture needle being about that 25 ° of Fructus Gleditsia acupuncture enter with skin, again acupuncture needle is moved ahead along subcutaneous shallow muscle layer flow routes of the meridians is straight, to submerge skin to the needle body, by the method treated by acupuncture and moxibustion along meridians section series connection stimulating acupoint.
Often overlap needle set only for a patient during this utility model treatment, can not use with, inserting needle multiselect muscle is more plentiful and have the position of channel course, the most conventional to carry on the back waist, abdominal part and extremity near-end.Can select bladder meridian (spinal column is other opens 1.5 cun) Hsinshu (acupoint) → dazhu section, shen shu → pang kuang shu section as treated Ankylosing Spondylitis during Active Phase, treatment chronic gastritis can select bladder meridian (spinal column is other opens 3 cun) Weicang → Geguan section etc.Selected meridians section must be simplified.General single inserting needle 4 ~ 12 position, can treat once at interval for 1 ~ 4 week.
During treatment, standby skin degerming appliance, tweezers, needle set of the present utility model etc.First guarantee the treatment interior space and the regular sterilizing and purifying of article, maintain the circulation of air, environmental health is clean and tidy.Secondly operator should first with suds by hand brush wash clean, after dry, with 75% ethanol cotton balls cleaning disinfection.Select meridians section according to conditions of patients before inserting needle, to patient, time of retaining needle be described, advise the position that patient selection is suitable, as seriously ill weak or psychentonia person, general recommendations its get clinostatism, in case patient feels tired or has a fainting spell during acupuncture treatment.Determine with 75% ethanol cotton balls cleaning disinfection behind inserting needle position, or first embrocate with 2% iodine tincture, after slightly dry, take off iodine with 75% ethanol cotton balls wiping again, should follow from top to bottom during wiping, order from the inside to the outside, when after the sterilization of inserting needle area skin, need keep clean, prevent recontamination.
Because this utility model needle set length used is longer, the general both hands that adopt clamp method of needle insertion.Namely refer to hold pinch sterilization dry cotton ball with right hand thumb, food two, clamp needle body lower end, as used this utility model needle set with thin sliding sleeve or buckle, fixation clamp, then need thin sliding sleeve or buckle, fixation clamp are fixed on apart from needle point about 2 ~ 3cm place and clamp), needle point is made to expose about 1 ~ 2cm, needle point is fixed on inserting needle area skin surface location, left hand holds needle handle, after this utility model needle set as used welding or adhesive tape to connect then clamps welding or with the needle handle that adhesive tape is fixing), make this utility model needle set and skin surface be 10 ~ 30 ° of angles and with this angle inserting needle.During inserting needle, both hands are firmly collaborative, needle point is thrust skin and is about 1cm, specifically should according to after the fat or thin decision of patient's bodily form, observe inserting needle direction and angle, as find inserting needle direction depart from meridians trend or needle angle excessive/too small, can according to concrete deviation by tip portion slightly toward taking out outward, then finely tune subcutaneous, after adjustment is correct, left hand is with the angle making needle body parallel with skin surface for enforcing needle handle in direction, and the right hand helps to keep needle body not because patient skin muscular tissue resistance or left hand overexert and bend or fracture.As used the meridians volt pin pin bundle with thin sliding sleeve or buckle, fixation clamp, then thin sliding sleeve, buckle or fixation clamp slide to needle handle direction by the right hand while needle body submerges skin, keep the inserting needle track of each several part in needle set consistent.Treat that the subcutaneous inserting needle operation of the whole patient of submerging of needle body terminates.
This utility model needle set connected as used adhesive tape, can remove adhesive tape binding when let the acupuncture needle remain at a certain point, application is put forward the maneuver such as slotting, twisted and carried out the hand-manipulating of needle to single acupuncture needle, to strengthen quantity of stimulus, improves curative effect.
Patient should be observed after inserting needle whether bring about the desired sensation, namely needle body subcutaneously whether causing that patient's class acidoid is swollen, fiber crops are heavy, hot, cool, itch, bitterly, tic or the sensation such as ant row.As do not brought about the desired sensation, then should by the hand-manipulating of needle or again the method such as inserting needle wait gas.
For preventing needle body from skidding off after inserting needle and hand-manipulating of needle end of operation, the medical adhesive tape after sterilization can be used to fix needle handle, advise patient to avoid activity to avoid looper, the sticking of needle or bent needle accident as far as possible.
Time of retaining needle is generally 1 ~ 6 hour, answers close observation patient to change in the process, as having a fainting spell during acupuncture treatment, finds early and process in time.
First the adhesive tape being used for fixing needle handle is removed before going out pin, as this utility model needle set using welding fixing, refer to that holding sterilization dry cotton ball presses on acupuncture position gently with left hand thumb, forefinger two, the right hand is held needle handle and is slowly carried by pin to subcutaneous, and then quiet staying go out pin for a moment.This utility model needle set connected as used adhesive tape, can make single acupuncture needle propose respectively after the binding of releasing adhesive tape.
After pin exits, carefully check that whether pin hole is hemorrhage, whether inquiry acupuncture position, with or without sense of discomfort, is checked pin number and is omitted, and notes with or without delayed response phenomenon of having a fainting spell during acupuncture treatment.
This utility model can be used for the Fu Ciliu minute hand treatment of meridians section, and owing to complying with meridians and muscle trend, let the acupuncture needle remain at a certain point, and a part of limbs do not affect stand walking and light work after let the acupuncture needle remain at a certain point, so time of retaining needle can several hours even tens hours.Minute hand length is to long meridians section and let the acupuncture needle remain at a certain point for a long time, can make the optimum amplification of acupuncture curative effect, greatly improves and treats scope and patient compliance, convenient effective clinical symptoms and palliating the agonizing sufferings improved, and greatly reduces patient and accept acupuncture treatment spent time.
When this utility model uses, vertical, the diagonal stabbing in needled conventionally therapy and the flat pin maneuver that lunges can be played the therapeutic modality of improvement for " volt lunges pin " " let the acupuncture needle remain at a certain point in tiling ", for long to the treatment of the long duration acupuncture needle that let the acupuncture needle remain at a certain point volt thorn along meridians section volt thorn.
This utility model service condition one:
Cervical spondylosis
(1) diagnostic criteria
The diagnostic classification standard of cervical spondylotic radiculopathy: with reference to Second Committee cervical spondylosis symposium summary in 1992,
(1) there is symptom (numb, pain) and the sign of root distribution;
(2) intervertebral foramina squeeze test is or/and brachial plexus distraction test is positive;
(3) iconography finding is consistent substantially with clinical manifestation;
(4) the outer pain caused by pathological changes (thoracic outlet syndrome, tennis elbow, carpal tunnel syndrome, cubital tunnel syndrome, scapulohumeral periarthritis, brachial biceps vaginitis etc.) of cervical vertebra is got rid of.
(2) case selection standard is tested
1. include case standard in
Allly meet diagnostic criteria person, all can include observation case in.
2. Excluded cases standard
(1) severe primary disease, the psychotics such as cardiovascular, liver, kidney and hemopoietic system is merged;
(2) tumor colli, tubercular;
(3) patient of gestation or age of sucking;
(4) patient of acupuncture treatment is feared especially.
(5) allergic constitution and to multi-medicament allergy sufferers.
3. reject case standard
(1) come off: because of a variety of causes, before treatment not yet terminates, interrupting in medical and viewing duration cannot the person of following up a case by regular visits to;
(2) be infected with: take during Ureteral Calculus analgesic and other relevant with primary disease in, Western medicine drug person;
(3) do not comply with: further consultation is not on time treated and taken medicine, and cannot judge the not congruent judgement person that affects the treatment of curative effect or data; Patient exits experimenter voluntarily;
(4) disturb: treatments period, because suffering from Other diseases, accepts other therapist; Or accept other associated therapy, the effect index observer of this research may have been affected.
(3) divide into groups: all include case totally 60 examples in, come from Hospital Attached to Shandong Chinese Medical Univ.'s rheumatism immunity section's outpatient service and old medical expert's consultation.
Test group 30 example: man 8 example, female 22 example, the ratio of men and women is 0.36:1; Minimum 30 years old of age of onset, maximum 65 years old, average age of onset 43.70 ± 9.54 years old; The shortest two weeks of the course of disease, the longest 20 years, average 59.48 ± 65.09 months.Matched group 30 example: man 10 example, female 20 example, the ratio of men and women is 0.5:1; Minimum 35 years old of age of onset, maximum 66 years old, average age of onset 49.30 ± 9.14 years old; The course of disease is the shortest 8 months, the longest 12 years, average 58.90 ± 48.69 months.Treat front two groups of cases difference (P > 0.05) (see table 1 ~ 3) that compares from aspects such as sex, age of onset, the courses of disease that there are no significant; Treat front two groups of case state of an illness data more also there was no significant difference (P > 0.05) (see table 5 ~ 6).Two groups of cases have comparability.
Experimental group adopts channel collateral therapy, and it is oral that matched group gives neck soup of healing.
1, channels and collaterals therapeutic method
Choose bilateral air door → sky shell of column (the 2nd spinous process of thoracic vertebra opens 1.5 cun down to rear hair line center is other) meridians section.Patient lies prostrate back to doctor towards the chair back and is sitting on chair and exposes the position needing acupuncture, and doctor is routine disinfection skin from top to bottom.Prepare needle handle to be welded and fixed with triangle disposition, every pin needle body thickness diameter is 0.33mm, is about 75mm acupuncture needle needle set.Enter skin with 25 ° of Fructus Gleditsia acupuncture and be about 1cm, after allowing patient be with pin to have a rest 2 minutes, then minute hand to be submerged skin along the straight needle body that proceeds to of subcutaneous shallow muscle layer flow routes of the meridians, let the acupuncture needle remain at a certain point altogether 4 bundles, let the acupuncture needle remain at a certain point completed treatment after 1 to 2 hour.1 time weekly 4 weeks was 1 course for the treatment of.
2, neck is healed soup side medicine composition and dosage:
Radix Puerariae 30g, Ramulus Cinnamomi 10g, Radix Paeoniae Rubra 20g, Flos Carthami 10g, Rhizoma Et Radix Notopterygii 20g, Semen Persicae 10g, Caulis Sargentodoxae 20g, Radix Clematidis 15g, Rhizoma Anemones Raddeanae 12g, Radix Glycyrrhizae 6g
Decoction method: medicine-feeding first soaks 1 ~ 2h, decocting twice extracting juice 400ml, every day sooner or later each once, after meal half an hour decoction being taken warmly, each 200m1.Day potion, often takes six days, withdraws one day.
(4) health giving quality observation
(1) treatment of cervical spondylopathy integration, improve index
According to the symptom for the treatment of front and back and the improvement situation of sign comprehensive grading: formulate clinical efficacy grade form, respectively record patient neck, shoulder, back pain, brachialgia and/or numbness, movable pain, headache, dizziness, tenderness, to bear down on one and/or the symptom such as intervertebral foramina squeeze test, brachial plexus distraction test, the test of neck hyperextension and General Symptoms are treated front and back and changed, and be converted into respective integration.
(2) scoring of VAS ruler method is pressed to pain
(5) result
Test group total effective rate is 100.00%, wherein clinic control 17 example (56.67%), effective 9 examples (30.00%), effective 4 examples (13.33%), invalid 0 example (0.00%).(see table 4) matched group total effective rate is 73.33%, wherein clinic control 3 example (30.00%), effective 6 examples (20.00%), effective 13 examples (43.33%), invalid 8 examples (26.67%).
This utility model service condition two:
Ankylosing spondylitis
One, diagnostic criteria
Diagnostic criteria (the New York standard of Americanism damp disease association revision in 1984) the ankylosing spondylitis active stage diagnostic criteria of ankylosing spondylitis is with reference to " guideline of clinical investigations of new Chinese medicine guideline of clinical investigations new Chinese medicine treatment ankylosing spondylitis "
Two, case source
All cases are all from the patients with ankylosing spondylitis in Hospital Attached to Shandong Chinese Medical Univ.'s Rheumatism Dept. outpatient service and ward.According to including case standard and Excluded cases standard in, collect 70 routine patients altogether as observation case.42 is inpatient, and 28 is clinic case.70 routine patients are divided into treatment group and matched group at random, often organize 35 examples.
Two groups of cases from sex, age, the course of disease, traditional Chinese medical science primary symptom, secondary disease, body of the tongue, tongue fur, pulse condition, allomeric function, main physical signs, the aspects such as ESR, CRP, IgA compare, treatment group and the equal no significant difference of matched group (P > 0.05).
Treatment group imposes channel collateral therapy, and matched group is oral gives the decoction of ridge numbness soup, every day 1 dose.
Three, Therapeutic Method
1, channel collateral therapy chooses bilateral san chiao shu → hsiao chang shu section (under the 1st lumbar vertebra to the 1st sacral spinous process, side opens 1.5 cun), bilateral Huangmen → bl section (the 1st spinous process of lumbar vertebra opens 3 cun down to the 2nd posterior sacral foramina is other) meridians section.Patient lies prostrate back to doctor towards the chair back and is sitting on chair and exposes the position needing acupuncture, and doctor is routine disinfection skin from top to bottom.Prepare needle handle to be welded and fixed with triangle disposition, every pin needle body thickness diameter is 0.33mm, is about 75mm acupuncture needle needle set.Enter skin with 25 ° of Fructus Gleditsia acupuncture and be about 1cm, after allowing patient be with pin to have a rest 2 minutes, then minute hand to be submerged skin along the straight needle body that proceeds to of subcutaneous shallow muscle layer flow routes of the meridians, let the acupuncture needle remain at a certain point altogether 8 bundles, let the acupuncture needle remain at a certain point completed treatment after 1 to 2 hour.1 time weekly.Every was for four times 1 course for the treatment of, treated 3 courses for the treatment of depending on curative effect situation.
2, ridge numbness soup side medicine composition
Flos Lonicerae 30g, Caulis Sargentodoxae 20g, Rhizoma Smilacis Glabrae 20g, Radix Angelicae Pubescentis 20g, Radix Cyathulae 20g, Radix Dipsaci 20g, Cortex Eucommiae 12g, Radix Paeoniae Rubra 20g, Radix Paeoniae Alba 20g, Hirudo 6g, Flos Carthami 10g, eupolyphaga 10g, Semen Vaccariae 15g, Fructus Litseae 12g.Medicine-feeding decocting twice extracting juice, every day sooner or later each once, after meal half an hour decoction being taken warmly.March is a course for the treatment of.
Four, comprehensive therapeutic effect criterion
With reference to " guideline of clinical investigations of new Chinese medicine guideline of clinical investigations ankylosing spondylitis ", draft the standard of curative effect evaluation as follows: 1. control in the recent period: treat primary symptom, secondary disease in 3 months and substantially disappear, main physical signs, main laboratory indexes numerical value (ESR, CRP, IgA) recover normal, BAS-G, BASDAI, BASFI numerical value reduces >=95%, and bilateral sacroiliac joint x-ray P-A Cephalomatrics display sclerotin change gets nowhere.Continuous treatment can keep alleviating.2. effective: treat symptom total mark value decline >=2/3 former total mark value in 3 months, main physical signs, main laboratory indexes numerical value improve >=2/3, BAS-G, BASDAI, BASFI numerical value minimizing >=75%.Continuous treatment stable disease.3. effective: to treat the former total mark value of symptom total mark value decline >=1/3, < 2/3 in 3 months, main physical signs, main laboratory indexes numerical value improve >=1/3, < 2/3.BAS-G, BASDAI, BASFI numerical value reduces >=50%.4. invalid: though treatment within 3 months primary and secondary disease to make moderate progress instability, the former total mark value of total mark value decline < 1/3.Main physical signs, main laboratory indexes numerical value improve < 1/3.BAS-G, BASDAI, BASFI numerical value reduces < 50%.
Five, result
Treatment group total effective rate 100.00%, the aobvious rate 62.50% of control; Matched group total effective rate 83.33%, the aobvious rate 22.22% of control.
This utility model service condition three:
Lumbago
Patient marquis so-and-so, man, 32 years old, bank clerk, address: No. 150, Luo Yuan street, Lixia District, Jinan City, cell-phone number: 185****6389.
First visit on May 6 in 2014: without obvious inducement, patient occurred that waist continued swelling and pain before half a year, the stiff tight sense of companion, position is fixed, after sitting obviously, within nearly 1 week, lumbago discomfort comparatively before increases the weight of, lost article found difficulty of bending over, change one's position unfavorable, external " lumbago plaster " afterwards pain without alleviation, with " flank pain limitation of activity half a year more than, increase the weight of 1 week " in outpatient clinic.Have a medical check-up: it is obvious that both sides tenderness is opened between waist 4/5 ridge and waist 2 to waist 5 spinal column side, prostrate dorsiflexion negative, bilateral Negative straight-leg raising test, two lower-limb muscular strength 5 grades, saddle district and two skin of lower extremity are felt to show no obvious abnormalities, and bilateral heel string, knee jerk are normally drawn, and pathology is levied and do not drawn.Waist imaging examination prompting lumbar vertebrae bone shows no obvious abnormalities, and physiological camber slightly straightens.Diagnosis: chronic lumbar muscle strain.Treatment: choose bilateral bl → bl 26 section (under the 9th thoracic vertebra to the 5th spinous process of lumbar vertebra, side opens 1.5 cun), bilateral hun men → bl section (the 9th spinous process of thoracic vertebra opens 3 cun down to the 2nd posterior sacral foramina is other) meridians section.Patient lies prostrate back to doctor towards the chair back and is sitting on chair and exposes the position needing acupuncture, and doctor is routine disinfection skin from top to bottom.Prepare needle handle to be welded and fixed with triangle disposition, every pin needle body thickness diameter is 0.33mm, is about 75mm acupuncture needle and pin needle set.Enter skin with 25 ° of Fructus Gleditsia acupuncture and be about 1cm, after allowing patient be with pin to have a rest 2 minutes, then minute hand to be submerged skin along the straight needle body that proceeds to of subcutaneous shallow muscle layer flow routes of the meridians, let the acupuncture needle remain at a certain point altogether 6 bundles, let the acupuncture needle remain at a certain point completed treatment after 1 to 2 hour.Advise patient to take a good rest, avoid participating in heavy physical labour, further consultation after a week as far as possible.
13 days two May in 2014 examines: patient tell treatment back lumbar part continue swelling and pain comparatively before obviously alleviate, there is not stiff tight sense again, lost article found of can bending over.Have a medical check-up: the slight tenderness in both sides is opened between waist 4/5 ridge and waist 2 to waist 5 spinal column side.Therapeutic Method is the same, and let the acupuncture needle remain at a certain point 2 hours.
December in 2014 Effect of follow-up visit by telephone on the 9th, patient tells after two diagnosis and treatment are treated and does not occur lumbago pain symptom again therefore not further consultation again, existing waist without discomfort, change one's position and activity of bending over without limited.
This utility model service condition four:
Scapulohumeral periarthritis
Patient king so-and-so, female, 57 years old, housewife, address: No. 381, east wind East Street, city of Weifang City of Shandong Province, home telephone: 0536-68***707.
Because " right shoulder pain is afraid of cold recurrent exerbation 2 years; increase the weight of 1 week " was in first visit on February 28 in 2014: the housework of patient's long campaigns, occur that right shoulder joint continues dull pain after 2 years prerequisite weights, aversion to wind is afraid of cold, the action such as to comb one's hair, wear the clothes has been difficult to, shoulder pain is heavy for light night in daytime, and external " SHANGSHI ZHITONG GAO " also can be alleviated after hot compress.Nearly 2 years shoulder pain recurrent exerbation, increase the weight of in Progressive symmetric erythrokeratodermia, and 1 week cause is accidentally drenched with rain and occurred that shoulder arthralgia increases the weight of suddenly, pain to neck and right upper extremity diffusion, hot compress and from clothes " relieve the pain sheet " (specifically not quite clear) afterwards symptom without alleviation.Have a medical check-up: tendon of long head of biceps brachii ditch place, the obvious shoulder abduction of supraspinatus attachment point place tenderness, upper act, inward turning, outward turning limitation of activity.Shoulder joint X-ray film shows: the light and calcification fleck of inequality of place's visible density such as joint capsule, synovial capsule, tendon of supraspinatus muscle, tendon of long head of biceps brachii.Diagnosis: scapulohumeral periarthritis.Treatment: choose right side tu shu → si 15 (under side opens 1.5 cun to the 7th cervical spine under the 6th spinous process of thoracic vertebra, side opens 2 cun), meaning happiness → si 14 (the 6th spinous process of thoracic vertebra under the 1st spinous process of thoracic vertebra other opens 3 cun), shoulder Liao → te 11 (shoulder when shoulder abduction acromion back lower place recess to right arm outward lateroflexion elbow time Zhoujian directly go up 2 cun) meridians section.Patient is lied prostrate back to doctor towards the chair back and is sitting on chair and exposes shoulder back, right side, doctor is routine disinfection skin from top to bottom.Prepare needle handle to be welded and fixed with triangle disposition, every pin needle body thickness diameter is 0.33mm, is about 75mm acupuncture needle needle set.Enter skin with 25 ° of Fructus Gleditsia acupuncture and be about 1cm, after allowing patient be with pin to have a rest 2 minutes, then minute hand to be submerged skin along the straight needle body that proceeds to of subcutaneous shallow muscle layer flow routes of the meridians, let the acupuncture needle remain at a certain point altogether 5 bundles, let the acupuncture needle remain at a certain point completed treatment after 2 hours.Advise patient to take a good rest, avoid right upper extremity aggravating activities, further consultation after 1 week.
Treat as stated above 2 times (1 time weekly, let the acupuncture needle remain at a certain point at every turn 2 to 3 hours) afterwards patient's shoulder pain to be afraid of cold transference cure, shoulder joint is lifted and abduction activity normal.Advise patient to avoid right upper extremity aggravating activities and heavy burden, do not recur again to during December in 2014 Effect of follow-up visit by telephone on the 9th.
This utility model service condition five:
Headache
Patient still certain, female, 54 years old, bank senior executive, address: No. 38, Shun Geng road, Jinan City, cell-phone number: 186****6618.
Because " in headache more than 10 years of recurrent exerbation, increase the weight of 1 day " are in December in 2012 first visit on the 12nd.Patient has a headache many because of excited or do not have enough sleep and cause, and its headache is many, and in distending pain, position is not fixed, and often occur occipitalia, forehead, two temples pain, feeling sick appears in si dol urg, vomiting.Require mental skill, exert oneself, movable punch head and change position time headache increase the weight of, often with difficulty falling asleep, dreaming often and waking easily.Sometimes can alleviate after clothes " ZHENGTIAN WAN ", " blood-nourishing and brain-refreshing granules ", there is headache in patient again after fatigue before 1 day, feel sick, the symptoms such as difficulty falling asleep, after taking Chinese patent medicine, symptom is without obvious alleviation.Patient is previously without hypertension, diabetes, history of coronary heart disease.Have a medical check-up: vital signs stable, neurologic examination, physiological reflex exists, and pathologic reflex is not drawn.Electrocardiogram, electroencephalogram, cerebral CT check finding without exception.Diagnosis: angioneurotic headache.Treatment: choose bilateral air door → sky shell of column (the 2nd spinous process of thoracic vertebra opens 1.5 cun down to rear hair line center is other) meridians section.Patient lies prostrate back to doctor towards the chair back and is sitting on chair and exposes the position needing acupuncture, and doctor is routine disinfection skin from top to bottom.Prepare: three single needles link together coplanarly, every pin needle body thickness diameter is 0.33mm, be about 75mm acupuncture needle needle set, enter skin with 25 ° of Fructus Gleditsia acupuncture and be about 1cm, after allowing patient be with pin to have a rest 2 minutes, again minute hand to be submerged skin along the straight needle body that proceeds to of subcutaneous shallow muscle layer flow routes of the meridians, let the acupuncture needle remain at a certain point altogether 4 bundles, let the acupuncture needle remain at a certain point completed treatment after 1 to 2 hour.During inserting needle, patient feels a pain relief, not obvious to discomfort of having a headache when going out pin.Advise patient to take a good rest, rule is worked and rested, harmonizing emotions, further consultation after 1 week.
As stated above treat 2 times (1 time weekly, let the acupuncture needle remain at a certain point at every turn 1 to 2 hour) afterwards patient not there are not headache, Nausea and vomiting, insomnia etc. again, then do not continue to go to a doctor.Do not recur again to during December in 2014 Effect of follow-up visit by telephone on the 9th.
This utility model service condition six:
Chronic rhinitis
Patient so-and-so, man, 32 years old, office worker, address: No. 19, Ke Yuan road, Jinan City, cell-phone number: 186****9645.
Because " intermittent nasal obstruction, watery nasal discharge more than 1 year, increase the weight of 1 month " was in first visit on May 25 in 2014.There is nasal obstruction in patient, snivel, does not give systematic treating because of on business trips after catching a cold before 1 year, nasal obstruction and after watery nasal discharge symptom delay January only, often after suffering from cold or drying, occur rhinorrhea with clear discharge afterwards, night increases the weight of.Before 1 month, patient catches a cold again, and first occur the translucent mucus nasal mucus of stream, amount is many, more easily blows out, and rear tears amount reduces, and still has a stuffy nose obstructed, and accompanies hyposmia, headache, giddy, insomnia and lethargy etc.Have a medical check-up: auditory dysesthesia, tunica mucosa nasi swelling, smooth surface, obvious with concha nasalis inferior, concha nasalis is soft, and high resilience, is gently pressed into depression with probe, can recover immediately after removing.Diagnosis: chronic rhinitis.Treatment: choose bilateral air door → sky shell of column (the 2nd spinous process of thoracic vertebra opens 1.5 cun down to rear hair line center is other) meridians section.Patient lies prostrate back to doctor towards the chair back and is sitting on chair and exposes the position needing acupuncture, and doctor is routine disinfection skin from top to bottom.Prepare: three single needles link together coplanarly, every pin needle body thickness diameter is 0.33mm, be about 75mm acupuncture needle needle set, then enter skin with 25 ° of Fructus Gleditsia acupuncture and be about 1cm, after allowing patient be with pin to have a rest 2 minutes, again minute hand to be submerged skin along the straight needle body that proceeds to of subcutaneous shallow muscle layer flow routes of the meridians, let the acupuncture needle remain at a certain point altogether 4 bundles, let the acupuncture needle remain at a certain point completed treatment after 1 to 2 hour.During inserting needle, patient feels nasal obstruction alleviation, and headache alleviates.Patient is advised to take a good rest, further consultation after 1 week.
Treat 6 times (1 time weekly, let the acupuncture needle remain at a certain point at every turn 1 to 2 hour) as stated above, there is not nasal obstruction, watery nasal discharge in period patient, does not catch a cold again again.
This utility model service condition seven:
Recurrent oral ulceration
Patient so-and-so, female, 28 years old.
Because " oral ulcer recurrent exerbation pain 2 years " was in first visit on July 25 in 2012.Without obvious inducement, patient occurred that oral mucosa was dispersed in sharply marginated shallow aphtha before 2 years, have more violent burning pain after ulcer, general 10 to 20 days can spontaneous recovery, shifting, can simultaneously and see that more than 10 locate ulcer surface time maximum.Antinuclear antibody, AECA, the lab testing such as erythrocyte sedimentation rate, c reactive protein index all without exception.Diagnosis: recurrent oral ulceration.Treatment: choose bilateral air door → sky shell of column (the 2nd spinous process of thoracic vertebra opens 1.5 cun down to rear hair line center is other) meridians section.Patient lies prostrate back to doctor towards the chair back and is sitting on chair and exposes the position needing acupuncture, and doctor is routine disinfection skin from top to bottom.Prepare: three single needles link together coplanarly, every pin needle body thickness diameter is 0.33mm, be about 75mm acupuncture needle needle set, then enter skin with 25 ° of Fructus Gleditsia acupuncture and be about 1cm, after allowing patient be with pin to have a rest 2 minutes, again minute hand to be submerged skin along the straight needle body that proceeds to of subcutaneous shallow muscle layer flow routes of the meridians, let the acupuncture needle remain at a certain point altogether 4 bundles, let the acupuncture needle remain at a certain point completed treatment after 1 to 2 hour.During inserting needle, patient feels ulcer surface pain in mouth and obviously alleviates.Patient is advised to take a good rest, diet is vinegar-pepper irritable food, further consultation after 1 week.
Treat 7 times (1 time weekly, let the acupuncture needle remain at a certain point at every turn 1 to 2 hour) as stated above, period patient oral ulcer heals gradually, and to still having a new ulcer when the 3rd week, the 5th Zhou Houwei occurs oral ulcer again.
This utility model service condition eight:
Gout
Patient so-and-so, man, 45 years old, civil servant.
Because " the violent twinge recurrent exerbation of left sufficient Metatarsophalangeal joint more than 3 years, increases the weight of 1 day " was in first visit on November 2 in 2014.Patient is usually addicted to food seafood, meat, suddenly left sufficient Metatarsophalangeal joint cutting pains was there is before 3 years, local is red, swollen, hot, bitterly, medical in Shandong Prov. Hospital, be diagnosed as " gout ", take pain relief after " colchicine " and nonsteroidal antiinflammatory drug, from the development of clothes " benzbromarone " symptom management after pain relief.Afterwards because patient diet controls not good arthralgia recurrent exerbation 3 times, this left sufficient Metatarsophalangeal joint hurt like hell of falling ill, can not contact to earth, difficulty in walking, can not fall asleep, after taking " colchicine " and nonsteroidal antiinflammatory drug, pain has more than 20 years of smoking history without alleviation, history of drinking history 18 years, and every day is about drinking beer about 1L on average.Have a blood test heavy: 21mm/h, blood uric acid: 637umol/L.Diagnosis: gout acute attack.Treatment: choose left side Heyang → chengshan, gb 34 → Xuanzhong, ground machine → sp 6, tsu san li → Xiajuxu, gb 34 → bright meridians section.Patient is just being sitting on chair, and left lower extremity vertical ground also exposes the position needing acupuncture, and doctor is routine disinfection skin from top to bottom.Prepare needle handle to be welded and fixed with triangle disposition, every pin needle body thickness diameter is 0.33mm, be about 75mm acupuncture needle needle set, then enter skin with 25 ° of Fructus Gleditsia acupuncture and be about 1cm, after allowing patient be with pin to have a rest 2 minutes, again minute hand to be submerged skin along the straight needle body that proceeds to of subcutaneous shallow muscle layer flow routes of the meridians, let the acupuncture needle remain at a certain point altogether 5 bundles, let the acupuncture needle remain at a certain point completed treatment after 1 to 2 hour.During inserting needle, patient feels arthralgia and obviously alleviates, and after going out pin, patient's pain has been gone more than half, walks home voluntarily.Patient is advised to take a good rest, strict low fat low purine diet.Do not recur again to during December in 2014 Effect of follow-up visit by telephone on the 9th.
Claims (9)
1. the acupuncture needle pin needle set that sting is lied prostrate for meridians, structure comprises single needle, single needle is by needle point (1), needle body (2), the crown (3), needle handle (4) and backshank (5) five part connect to form successively, it is characterized in that: two or more single needle is by binding is fixing, adhesive tape is fixed, be welded and fixed or buckle fixed form is connected in parallel.
2. according to claim 1 for meridians volt thorn acupuncture needle and pin needle set, it is characterized in that: two described single needles link together abreast.
3. according to claim 1 for meridians volt thorn acupuncture needle and pin needle set, it is characterized in that: described multiple single needles are three single needles, link together coplanarly.
4. according to claim 1 for meridians volt thorn acupuncture needle and pin needle set, it is characterized in that: described multiple single needles are four single needles, link together coplanarly.
5. the acupuncture needle for meridians volt thorn according to claim 1 pin needle set, is characterized in that: to be that three single needles are parallel be connected described multiple single needles, and cross section is triangle disposition.
6. the acupuncture needle for meridians volt thorn according to claim 1 pin needle set, is characterized in that: to be that four single needles are parallel be connected described multiple single needles, and cross section is sphere of movements for the elephants shape.
7. according to claim 1 for meridians volt thorn acupuncture needle and pin needle set, it is characterized in that: described buckle is that two pieces of buckle outside plates (8) are interlocked, one end arranges rotating shaft (10), the other end arranges clamp (9), buckle outside plate (8) internal fixtion needle plate (7), and needle plate (7) middle part arranges pin hole (6).
8. the acupuncture needle for meridians volt thorn according to claim 1 pin needle set, is characterized in that: described needle handle (4) can for single cylindrical, rectangle or flat.
9. according to claim 1 for meridians volt thorn acupuncture needle and pin needle set, it is characterized in that: described needle point (1) and/or needle body (2) arrange thin sliding sleeve.
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