[Acupuncture-moxibustion combined with chiropractic therapy for adolescent psychogenic vomiting with Mallory-Weiss syndrome: a case report].

This paper reports 1 case of adolescent with psychogenic vomiting accompanied by Mallory-Weiss syndrome and antral gastritis treated with acupuncture-moxibustion combined with chiropractic therapy. The case was differentiated as disharmony of liver and stomach, and treated according to the therapeutic principle for unblocking the governor vessel, directing qi, smoothing the liver and harmonizing the stomach. The treatment was composed of acupuncture for "unblocking the governor vessel and conducting qi" and chiropractic therapy. Acupoints in acupuncture included the positive reaction points along the governor vessel, Shendao (GV11), Lingtai (GV10) and Zhiyang (GV9), corresponding to the spinous processes from T5 to T7, Dazhui (GV14) and Baihui (GV20), as well as bilateral Taichong (LR3), Zusanli (ST36) and Neiguan (PC6). The needling technique for qi conduction was operated to promote the arrival of qi at each acupoint, and the needles were retained for 20 min. Chiropractic manipulation was employed with the lifting and knee-pushing reduction to correct deviated spinous processes from T5 to T7. The treatment was administered once every two days, 3 sessions a week. After one week of treatment, hematemesis ceased, the frequency of vomiting significantly decreased, and the symptoms of liver qi stagnation were alleviated. Subsequently, the acupuncture prescription was modified, including the positive reaction points along the governor vessel, Shendao (GV11), Lingtai (GV10) and Zhiyang (GV9), corresponding to the spinous processes from T5 to T7, Dazhui (GV14) and Baihui (GV20), as well as bilateral Zusanli (ST36) and Gongsun (SP4); and moxibustion was added at Zhongwan (CV12) and Qihai (CV6). The modified regimen was administered once every two days, 3 sessions a week. After two weeks of treatment, vomiting was resolved completely, and normal dietary intake restored. The follow-up visit after 11 months reported no recurrence of symptoms.