抄録
I have conducted clinical research concerning sciatica over the past thirty years. This research has been mainly concerned with the selection of appropriate treatment points, proof of the effectiveness of these points and operations performed at these points. In addition from the theoretical point of view I have studied the problem of determining prognosis and the question of why acupuncture-moxibustion treatment is effective in relieving pain.
The theme I have adopted for this report is a treatment method based on the pain mechanism I call Paraneural Acupuncture. Paraneural Acupuncture refers to the insertion of acupuncture needles directly into the area where pressure is being exerted on the nerve due to muscle tension in order to relieve this tension. For this purpose the proper treatment points inclued BL-24, (Fig. 2-3) EP, TENSHI, (Fig. 4-5) and GB-34 (Fig. 6). These points are added to formerly used treatment points.
Experiments with Paraneural Acupuncture were performed on 94 patients. Results were classified into four categories;
Excellent-referring to complete alleviation of symptoms
Good-referring to partial alleviation of symptoms
No Change-referring to no marked change in symptoms
Bad-referring to an impairment or worsening of symptoms
Of the 94 cases excellent results were observed in 73% of the cases, good results in 23% and no change in 3%. There were no cases in which bad results were observed. The average number of treatments was fourteen.
Comparing these results with the results obtained in 500 cases in which Paraneural Acupuncture was not used we find that the number of cases in which excellent results were observed increased by 10% using Paraneural Acupuncture, Sciatica was classified into five basic types. As is shown in (Fig. 8), Paraneural Acupuncture produced better results in each of the types. Also examining the cases in which excellent results were obtained we find that in all five types of sciatica the number of required treatments averaged three less than that required with regular acupuncture treatment. (Fig. 9)
As explained above, using the newly developed Paraneural Acupuncture more successful and quicker results in the treatment of sciatica were obtained. We can conclude that this was due to the use of this new treatment method.
