神庭 Shéntíng | Temple de Dieu) (Nguyen Van Nghi 1971) Cour d'entrée du palais du Shen (Pan 1993) Cour du Shen (Laurent 2000) | Spirit Court (Ellis 1989) Spiritual Courtyard (Li Ding 1992) |
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faji | 髮際 | Bord des cheveux (Laurent 2000) | Hairline (Ellis 1989) |
Guillaume 1995 :
X 1993 :
Shen-Ting (Wade)
Chenn-ting (EFEO)
Shintei (Japonais)
Shinjong (Coréen)
Than dinh (Vietnamien)
VG24
DM24-24DM
GV.24-GV24
Items de localisation (ensemble des items significatifs décrits dans la littérature permettant une localisation du point):
Acupuncture | Moxibustion | Source |
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Piquer obliquement à 0,5-0,8 distance. | Cautériser 3 fois, chauffer 5-10 minutes. | Roustan 1979 |
Puncture tangentielle entre 0,3 et 0,5 distance de profondeur | Cautérisation avec 3 à 5 cônes de moxa, moxibustion pendant 5 à 10 minutes | Guillaume 1995 |
Piqûre à plat de 0,5 à 0,8 cun | Moxas : 3 à 5 ; chauffer 10 à 20 mn. | Laurent 2000 |
Sensation de puncture
Sécurité
Selon le Jia yi jing, il est interdit de puncturer Shen ting, la puncture pouvant être responsable de Folie dian et de cécité. Le Tong ren interdit également la puncture de Shen ting, celle-ci pouvant engendrer un accès de folie Fa kuang. Yi xue ru men interdit la puncture de Shen ting, la puncture par erreur peut donner un Dian et un obscurcissements. Il faut faire de 27 à 100 moxas. Selon Da cheng, la puncture de Shen ting peut donner Folie kuang et cécité.
Classe d'usage | - | point secondaire |
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Indication | Association | Source |
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Maladies pernicieuses iie nue | 24VG + 20VG | Guillaume 1995 |
Frissons et fièvre avec céphalée, dyspnée, soif, impossibilité de regarder | 24VG + 26VG | Guillaume 1995 |
Rhinorrhée séreuse | 24VG + 2V + 20GI + 12V + 4GI + 67V + 66V | Guillaume 1995 |
Vertige du au vent de la tête | 24VG + 23VG + 22VG | Guillaume 1995 |
Éblouissements | 24VG + 3VB + 1Rn + 45V + 65V + 10P + 2 Rte | Guillaume 1995 |
Épilepsie de type vent feng xian | 24VG + 25VG + 1Rn | Guillaume 1995 |
Enflure, douleur et rougeur de l'oeil | 24VG + 23VG + 1V + 21VG + Tai yang | Guillaume 1995 |
Liu Fang, Yao Li-Qun, Chen Jin-Hui. [Therapeutic Efficacy of Acupuncture at Baihui (GV 20) and Shenting (GV 24) for Post-stroke Cognitive Impairment: A Systematic Review]. Shanghai Journal of Acupuncture and Moxibustion. 2018;37(1):104-111. [100878].
Objective | To evaluate the clinical efficacy of acupuncture at Baihui (GV 20) and Shenting (GV 24) in treating post-stroke cognitive impairment (PSCI) by using the systematic review method. | |
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Method | Via computer, Chinese Journal Full-text Database, Wanfang, China Biology Medicine disc (CBMdisc),Chinese Science and Technology Periodical Database, Pub Med, Foreign Evidence-Based Medicine(FEMB), the Cochrane Library were retrieved. Chinese Acupuncture and Moxibustion and Shanghai Journal of Acupuncture-moxibustion were manually retrieved. Randomized controlled trials published before Jan 31 st of 2013 on acupuncture at Baihui (GV 20) and Shenting (GV 24) in treating PSCI, both in Chinese and English, were collected. The required data were extracted, then were evaluated according to the criteria of Cochrane systematic review and underwent meta-analysis by using Rev Man 5.0. | |
Results | Twenty-two clinical trials were finally recruited, including 1 637 subjects. The meta-analysis showed that acupuncture at acupoints including Baihui (GV 20) and Shenting (GV 24) produced a more significant rehabilitation result compared to single rehabilitation training or medication. The comparison of Mini-Mental State Examination(MMSE) score showed: [WMD=3.37, 95%CI(1.70, 5.05), P<0.00001]; the comparison of P300 latency: [WMD=1.22, 95%CI(0.84, 1.59), P<0.00001]. Severe adverse reactions were not discovered. | |
Conclusion | Acupuncture at Baihui (GV 20) and Shenting (GV 24) can effectively improve the cognitive function of PSCI patients. However, the diagnostic criteria and evaluation indexes are expected to be unified and standardized, and the clinical trials on acupuncture intervening PSCI are required to be further improved methodologically. |