English Abstract
Journal Article
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
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[Clinical Trial of Acupuncture Treatment of Gastro-esophageal Reflex Disease by Needling Dorsal Segment of the Governor Vessel].

OBJECTIVE: To observe the curative effect of needling stimulation of the dorsal segment (7 spots below the spinous processes from T3 to T9) of the Governor Vessel for gastro-esophageal reflux disease (GERD).

METHODS: A total of 60 cases of GERD patients were randomly divided into acupuncture group and medication group (n = 30 in each group). For patients of the acupuncture group, the depression spots below the spinous processes from T3 to T9, including both acupoints [Shenzhu (GV 12), Shendao (GV 11), Lingtai (GV 10), Zhiyang (GV 9), Jinsuo (GV 8)] and non-acupoints (T4, T8) were punctured with filiform needles, once every other day for 8 weeks. Patients of the medication group were asked to take Omeprazole capsules (20 mg/time) twice a day for 8 weeks. The curative effects were assessed by "Reflux Disease Questionnaire" score (RDQ score of heartburn, retrosternal pain, acid regurgitation and food regurgitation, 0-40 points, the "Guidelines for Clinical Research on Chinese New Herbal Drugs" (GRED symptom scale scores about the 38 symptoms of the digestive system, respiratory system, five-sense organs, cardiovascular system, back-pain, sleep, headache, daily life activity, etc. 0-114 points, 0-3 scales), and "the Consensus about Diagnosis and Treatment of GERD of Traditional Chinese Medicine", respectively.

RESULTS: Following the treatment, both RDQ score and GERD symptom scale score were significantly decreased in patients of the acupuncture and medication groups (P<0.05), and the effect of acupuncture was markedly superior to that of the medication in lowering RDQ and GERD scale scores (P<0.05). The cured plus markedly effective rate for RDQ score and the effective rate for GERD scale score were 70.0% (21/30) and 93.3% (28/30) respectively in the acupuncture group, being significantly higher than those [43.3% (13/30) and 66.7% (20/30)] in the medication group (P<0.05).

CONCLUSION: Acupuncture stimulation of the dorsal segment

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