Fire Needle Acupuncture Combined with Normal Acupuncture for 3 Cases Suffering from Parkinson's Disease-associated Pain

doi:10.12114/j.issn.1007-9572.2018.00.162

Abstract

Abstract: Parkinson's disease （PD） is a common neurodegenerative disorder of the central nervous system.PD patients frequently complain about Parkinson's disease-associated pain（PDAP），a non-motor symptom，which has not received enough attention.Moreover，those in the moderate and advanced stages of PD are more likely to suffer from impaired quality of life by chronic PDAP，a manifestation with complex pathogenesis.For the control and treatment of PDAP，increasing the dose of levodopa increases the risk of dyskinesia and risks to health can be brought by the use of analgesics.We used fire needle acupuncture combined with the normal acupuncture to treat 3 cases suffering from different types of PDAP，and good results have been achieved，indicating that the combination therapy is effective.

Key words: Parkinson disease, Pain, Fire-needle therapy

摘要： 帕金森病是常见的中枢神经系统退行性疾病，帕金森病伴发疼痛是困扰患者的非运动症状之一，一直未受到足够的重视。慢性帕金森病伴发疼痛常见于帕金森病患者中晚期，发病机制复杂，影响患者生活质量，增加左旋多巴剂量会增加“异动症”风险，使用镇痛药物存在一定用药风险。本文报道火针疗法配合普通针刺治疗不同类型帕金森病伴发疼痛患者3例，均取得良好疗效。提示火针疗法配合普通针刺可有效缓解帕金森病伴发疼痛，有助于探索有效的治疗手段。

关键词: 帕金森病, 疼痛, 火针疗法

LI Xiaoyuan,WANG Hongjuan,YIN Aibing. Fire Needle Acupuncture Combined with Normal Acupuncture for 3 Cases Suffering from Parkinson's Disease-associated Pain　[J]. Chinese General Practice, 2019, 22(3): 329-331. DOI: 10.12114/j.issn.1007-9572.2018.00.162.
李筱媛,王洪娟,尹爱兵. 火针疗法配合普通针刺治疗帕金森病伴发疼痛患者三例的效果研究[J]. 中国全科医学, 2019, 22(3): 329-331. DOI: 10.12114/j.issn.1007-9572.2018.00.162.

References

［1］CALABRESE V P.Projected number of people with Parkinson disease in the most populous nations［J］．Neurology，2007，69（2）：223-224.
［2］刘疏影，陈彪.帕金森病流行现状［J］．中国现代神经疾病杂志，2016，16（2）：98-101．DOI：10.3969/j.issn.1672-6731.2016.02.007.
LIU S Y，CHEN B.Epidemiology of Parkinson's disease ［J］．Chinese Journal of Contemporary Neurology and Neurosurgery，2016，16（2）：98-101．DOI：10.3969/j.issn.1672-6731.2016.02.007.
［3］孟莉.帕金森病非运动症状分析［D］．石家庄：河北医科大学，2012.
［4］QUITTENBAUM B H，GRAHN B.Quality of life and pain in Parkinson's disease：a controlled cross-sectional study［J］．Parkinsonism Relat disord，2004，10（3）：129-136.
［5］林晓光，刘卫国，林兴建.帕金森病疼痛的临床特点及影响因素［J］．临床神经病学杂志，2014，27（4）：244-247.
LIN X G，LIU W G，LIN X J.Clinical features and influencing factors of the pain in Parkinson's disease［J］．Journal of Clinical Neurology，2014，27（4）：244-247.
［6］吴朝霞.布洛芬不良反应回顾性分析［J］．中国执业药师，2014，11（4）：11-13．DOI：10.3969/j.issn.1672-5433.2014.04.003.
WU Z X.Retrospective analysis of adverse drug reaction of ibuprofen［J］．China Licensed Pharmacist，2014，11（4）：11-13.DOI：10.3969/j.issn.1672-5433.2014.04.003.
［7］李俊.临床药理学［M］．北京：人民卫生出版社，2008：115-130.
［8］张晓玲，翟丽萍，官俏兵，等．老年帕金森病伴疼痛患者的临床特征［J］．中华老年医学杂志，2016，35（2）：159-161．DOI：10.3760/cma.j.issn.0254-9026.2016.02.012.
ZHANG X L，ZHAI L P，GUAN Q B，et al．Clinical features of Parkinson's disease combined with pain in the elderly［J］．Chinese Journal of Geriatrics，2016，35（2）：159-161．DOI：10.3760/cma.j.issn.0254-9026.2016.02.012.
［9］贺普仁.针灸治痛［M］．北京：人民卫生出版社，2014：14.
［10］贺普仁.贺普仁针灸传心录［M］．北京：人民卫生出版社，2015：212-213.
［11］VALKOVIC P，MINAR M，SINGLIAROVA H，et al．Pain in parkinson's disease：a cross-sectional study of its prevalence，types，and relationship to depression and quality of life［J］．PLoS One，2015，10（8）：e0136541．DOI：10.1371/journal.pone.0136541.
［12］宋玉，张亮，暴杰，等．上海地区帕金森病患者慢性疼痛及其有关影响因素的临床研究［J］．中国临床神经科学，2014，22（6）：619-625.
［13］张栋，付卫星，王淑友，等．不同针灸方法诱发循经高温线现象的比较［J］．中国针灸，2000，20（6）：349-353.
［14］黄石玺，毛湄，浦晶晶，等．毫火针配合温和灸治疗带状疱疹后神经痛临床研究［J］．中国针灸，2014，34（3）：225-229.
［15］刘百生.针刺治疗帕金森病步态慌张1例［J］.疑难病杂志，2002，1（3）：157.

[1]	LI Hao, LI Peijin, LIU Tingting, CUI Yiyuan, LI Sicong, LIU Lixing, FENG Li, Working Group on Integrated Traditional Chinese and Western Medicine Diagnosis and Treatment Guidelines for Cancer Pain. Guidelines on the Diagnosis and Treatment of Cancer Pain by Integrated Traditional Chinese and Western Medicine [J]. Chinese General Practice, 2025, 28(30): 3729-3740.
[2]	HE Bangjing, ZHOU Mingwang, ZHANG Pengwei. Mechanism of Estrogen and Estrogen Receptors in Pathologic Pain [J]. Chinese General Practice, 2024, 27(33): 4204-4209.
[3]	GAO Yixuan, WANG Xiyou, CHEN Qianji, YANG Xiaoming, GUO Junming, ZI Yilu, WENG Zhiwen, MA Jingyi, ZHANG Naiwen, LIU Eryang, SHAO Hui, SUN Yanan, YU Changhe. Roland-Morris Disability Questionnaire Measurement Performance Evidence in Chinese Patients with Low Back Pain: a Systematic Review Based on COSMIN Guidelines [J]. Chinese General Practice, 2024, 27(29): 3672-3678.
[4]	LI Mingzhe, TIAN Yichuan, WANG Chenglong, WANG Jingjing. Study on the Independent and Joint Effects of Physical Activity and Sleep on Low Back Pain in Middle-aged and Elderly Adults [J]. Chinese General Practice, 2024, 27(23): 2869-2874.
[5]	RAN Qingzhi, LI Aoshuang, CHEN Hengwen, ZHANG Jianmei, HE Benxiang. A Randomized Controlled Trial of Myofascial Release Therapy in Patients with Chronic Nonspecific Lower Back Pain [J]. Chinese General Practice, 2024, 27(20): 2451-2457.
[6]	ZHU Xiaodan, LI Yanhua, WANG Jinghua, CHEN Fayu. Study of the Effectiveness of General Practice Clinical Pathway for Medically Unexplained Disease Manifested by Low Back Pain [J]. Chinese General Practice, 2024, 27(19): 2352-2356.
[7]	LIANG Keke, GUO Qingge, LI Xiaohuan, MA Jianjun, YANG Hongqi, SHI Xiaoxue, FAN Yongyan, YANG Dawei, GUO Dashuai, DONG Linrui, GU Qi, LI Dongsheng. Predictive Value of Machine Learning Based on Retinal Structural Changes for Early Parkinson's Disease Diagnosis [J]. Chinese General Practice, 2024, 27(09): 1102-1108.
[8]	WEI Zongbo, LONG Bingcai, WANG Xiongjiang, LIANG Yingye, TANG Hongliang, XIA Tian, LU Dongming. Effect and Mechanism of Pivot Meridian Massage on TLR8/ERK Signaling Pathway and LncRNA-GAS5 in Rats with Neuropathic Pain [J]. Chinese General Practice, 2023, 26(36): 4565-4574.
[9]	TU Jinkang, LI Fangfang, WU Xiaoqiong, XI Chong, QI Shaohua, CHEN Jun. Effectiveness of Backward Walking Based on Anti-gravity Treadmill Training System Combined with Conventional Low Back Core Training on Patients with Non-specific Low Back Pain [J]. Chinese General Practice, 2023, 26(33): 4203-4206.
[10]	LU Guangqi, ZHUANG Minghui, ZHU Liguo, GAO Jinghua, WEI Xu, LI Luguang, YU Jie. Interpretation of Best Practices for Minimally Invasive Lumbar Spinal Stenosis Treatment 2.0 (MIST) : Consensus Guidance from the American Society of Pain and Neuroscience (ASPN) in 2022 [J]. Chinese General Practice, 2023, 26(32): 3995-4000.
[11]	SUN Xiaolei, LEI Xiaolong, LIN Jiasheng, LI Keliang, GUO Ao, ZHANG Xiaohui. Effect of High Intensity Laser Combined with Physiotherapy Scoliosis Specific Exercise Therapy on Ultrasound Morphology of Multifidus Muscles in Idiopathic Scoliosis Patients with Low Back Pain [J]. Chinese General Practice, 2023, 26(27): 3456-3462.
[12]	WANG Qiuqin, ZHANG Yutong, XU Yuchen, BAI Yamei, CHEN Hua, JIANG Rongrong, YAN Shuxia, WANG Qing, XU Guihua, XIE Ying, QIAO Chun, YANG Juan. Short-term Clinical Effect of Guasha Combined with Drug Therapy on Idiopathic Parkinson's Disease [J]. Chinese General Practice, 2023, 26(17): 2155-2161.
[13]	ZHANG Yutong, WANG Qiuqin, XU Yuchen, WENG Heng, LIANG Yongqi, WANG Lulu, WANG Qing, XU Guihua. Factors Affecting Pain in Patients with Parkinson's Disease: a Systematic Review [J]. Chinese General Practice, 2023, 26(14): 1766-1774.
[14]	DONG Linrui, CHANG Qingqing, MA Jianjun, LIU Chuanze, GUO Dashuai, LI Xiaohuan, FAN Yongyan, LI Dongsheng. Correlation between Autonomic Dysfunction and Cognitive Impairment in Patients with Parkinson's Disease [J]. Chinese General Practice, 2023, 26(12): 1450-1455.
[15]	ZHANG Siya, LIU Xiaolong, HU Yanqi, HE Lei, XU Xiaojing, JIN Zikai, YIN Xunlu, WANG Xingyu, ZHANG Jianhua, LIANG Long. Chiropractic Management of Patients with Neck Pain: Interpretation of Best Practice Guidelines [J]. Chinese General Practice, 2023, 26(11): 1305-1309.