Effect of Tiaoshen Kaiqiao acupuncture in the treatment of ischemic post-stroke depression: a randomized controlled trial

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JTCM June 2017
(Archive subscribers please click on 'find out more' to see abstract. The full article is not available online and must be bought as a photocopy delivered by post).
Fifty-eight patients with post-stroke depression were randomly divided into two groups. The acupuncture group was given Tiaoshen Kaiqiao acupuncture therapy with placebo starch tablets, while the control group was treated with fluoxetine tablets and standard post-stroke body acupuncture. Tiaoshen Kaiqiao acupuncture included the following main points: Neiguan P-6 (needled with twirling, lifting and thrusting technique to a depth of 15-25 millimetres), Renzhong DU-26 (needled obliquely towards the nasal septum to a depth of 5-7 millimetres with ‘bird-pecking’ method until the patient’s eyes water), Sanyinjiao SP-6, Yintang EX-HN-3 (needled downward to a depth of 15 millimetres with bird-pecking method), Shangxing DU-23 passing through Baihui DU-20 (with reinforcing method - small amplitude and high frequency rotation), Sishencong (EX-HN-1), Fengchi GB-20 and Sibai ST-2. Yifeng SJ-17 was included for patients with swallowing disorders; Baxie EX-UE-9 and Hegu L.I.-4 were included for solidly-gripped fingers; bloodletting was performed at Lianquan REN-23, Jinjin EX-HN-12 and Yuye EX-HN-12 for inhibited speech; Fenglong ST-40 and Lianquan REN-23 were included for patients with stagnation of Liver qi; Tongli HE-5 and Xinshu BL-15 were included for ‘overtaxed nerves’; Xinshu BL-15 and Pishu BL-20 were treated for Heart-Spleen deficiency; and Shenshu BL-23 and Taixi KID-3 were included for to yin deficiency-type fever. In the control group, acupuncture was given on the affected side at Jianyu LI-15, Quchi LI-11, Shousanli LI-10, Fengshi GB-31, Xuehai SP-10, Zusanli ST-36 and Jiexi ST-41. Both groups received acupuncture three times a week for 12 weeks with their respective tablets taken daily for the same period. Based on the Hamilton Depression Scale, Anti Depression Drug Side Effects Rating Scale and the Clinical Global Impression Scale, the results showed significant improvements in both groups, but the Tiaoshen Kaiqiao acupuncture group experienced no adverse reactions or side effects. [April 2017]
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Author Li Menghan et al
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