In this study,61 cases of ischemic stroke patients are randomly divided into surrounding needling group (n=31) and scalp-acupuncture group(n=30).The ischemic focus of the brain is determined by CT examinatiom.For patients of the surrounding needling group,Gauge-29-30 stainless steel filiform needles are inserted into the surrounding scalp of the focal projection region one by one,with the needle-tipe toward the center of the focal projection area,and combined with other body acupoints according to syndrome differentiation.For patients of scalpacupuncture group,Motor Area(MS 6) and Sensory Area(MS 7)of the contralateral mside of the focus are used.The treatment is performed once daily groups.with 30 sessions being a therapeutic course.After one course of treatment,in surrounding needling and scalp-acupuncture groups,20 and 11 cases are cured basically,10 and 15 have a marked improvement,1 and 4 are effective,the therapeutic effect of the former group is significantly superior to that of scalp-acupuncture group.After treatment,plasma epinephrine(E) and norepinephrine(NE) levels of the two groups decrease considerably compared with pre-treatment of each group(P<0.01),and the effects of surroundig needling on E and NE are more evidently than those of scalp-acupuncture(P<0.05).Results suggest that the therapeutic effect of acupuncture may be related to the decline of plasma E and NE levels.

完成机构：[1]GuangdongProvincialPeople‘sHospital,Guangzhou510120,China [2]ChinaTheFirstAffiliatedHospitalofGuangzhouUniversityofTCM

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