目的探讨祛湿清热针刺疗法对急性湿疹患者AhR、IFN-γ、EOS、IL-17水平的影响。方法选取2021年11月—2023年7月期间于马鞍山中医院收治的78例急性湿疹患者,采用随机数字表法分为对照组和治疗组,每组各39例。对照组给予常规治疗,治疗组...目的探讨祛湿清热针刺疗法对急性湿疹患者AhR、IFN-γ、EOS、IL-17水平的影响。方法选取2021年11月—2023年7月期间于马鞍山中医院收治的78例急性湿疹患者,采用随机数字表法分为对照组和治疗组,每组各39例。对照组给予常规治疗,治疗组给予祛湿清热针刺疗法治疗。治疗2周后,观察比较两组患者临床疗效、不良反应情况,治疗前后中医证候评分、湿疹面积及严重度指数(Eczema area and severity index,EASI)评分、视觉模拟评分法(Visual pain scale,VAS)评分、实验室检查指标[嗜酸性粒细胞(Eosinophil,EOS)、白细胞介素-17(Interleukin-17,IL-17)、干扰素-γ(Interferon,IFN-γ)、芳香烃受体(Aromatic hydrocarbon receptor,AhR)]、皮肤生理功能指标。结果治疗后治疗组临床总有效率97.44%(38/39)明显高于对照组82.05%(32/39),差异有统计学意义(P<0.05)。治疗后两组患者发病急、病程短、渗出明显、皮损潮红、伴红疹、灼热瘙痒、自觉发热、口渴欲饮、心烦评分均较治疗前降低,差异有统计学意义(P<0.05);且治疗组患者发病急、病程短、渗出明显、皮损潮红、伴红疹、灼热瘙痒、自觉发热、口渴欲饮、心烦评分均明显低于对照组,差异有统计学意义(P<0.05)。治疗后两组患者EASI、VAS评分均较治疗前降低,差异有统计学意义(P<0.05);且治疗组EASI、VAS评分均较对照组明显降低,差异有统计学意义(P<0.05)。治疗后两组患者AhR、IL-17、IFN-γ、EOS水平均较治疗前降低,差异有统计学意义(P<0.05);且治疗组AhR、IL-17、IFN-γ、EOS水平均较对照组明显降低,差异有统计学意义(P<0.05)。治疗后两组患者皮肤生理功能指标较治疗前升高,差异有统计学意义(P<0.05);且治疗组皮肤生理功能指标较对照组明显升高,差异有统计学意义(P<0.05)。治疗期间,治疗组不良反应发生率7.69%(3/39)与对照组17.95%(7/39)比较,差异无统计学意义(P>0.05)。结论祛湿清热针刺疗法能够有效降低急性湿疹患者AhR、IFN-γ、EOS、IL-17水平,降低炎症反应,疗效明显。展开更多
Clinical DataThe 120 cases in this series were outpatients suffering from insomnia due to interior-stirring by phlegm-heat, ranging in age from 28 to 67 years. They were randomly divided into a treatment group and a c...Clinical DataThe 120 cases in this series were outpatients suffering from insomnia due to interior-stirring by phlegm-heat, ranging in age from 28 to 67 years. They were randomly divided into a treatment group and a control group.展开更多
Objective： To observe the clinical efficacy of warm needling moxibustion at points on the back in treating rheumatoid arthritis （RA）. Methods： Sixty RA patients were randomized into two groups by the random number...Objective： To observe the clinical efficacy of warm needling moxibustion at points on the back in treating rheumatoid arthritis （RA）. Methods： Sixty RA patients were randomized into two groups by the random number table, 30 in each group. The observation group was intervened by warm needling moxibustion at the points from the Governor Vessel on the back and Jiaji （EX-B 2） points, while the control group was by regular acupuncture. Results： After intervention, the morning stiffness, joint pain index, joint swelling index and erythrocyte sedimentation rate （ESR） were significantly improved in both groups （P〈0.01）; the inter-group difference was also statistically significant （P〈0.05）. The total effective rate was 93.3% in the observation group versus 76.6% in the control group, and the difference was statistically significant （P〈0.01）. Conclusion： Warm needling moxibustion at points from the Governor Vessel on the back and Jiaji （EX-B 2） points can produce a higher efficacy than regular acupuncture in treating RA.展开更多
Objective： To evaluate the therapeutic effect of combining use of acupuncture and drugs on rheumatoid arthritis（RA） in the early and the active stages of by the imaging of bone and joint with ^99m TC-methlene dipho...Objective： To evaluate the therapeutic effect of combining use of acupuncture and drugs on rheumatoid arthritis（RA） in the early and the active stages of by the imaging of bone and joint with ^99m TC-methlene diphosphate（MDP）. Methods： 102 cases of RA in the early and the active stages were randomly allocated into the compound Fengshining group （Group A）, acupuncture group（Group B）, and compound Fengshining plus acupuncture group（Group C）. They were treated for 30 days. All patients were examined before treatment and after treatment by ^99m TC-MDP imaging of the whole body, hands and feet, and analyzing method of random interested region was used to count the ratio of radioactivity in the affected area of RA to radioactivity in adjacent normal bone（T/TN）. Meanwhile, joint swelling index, joint tenderness index, morning stiffness, gripping force, and erythrocyte sedimentation rate （ESR） were also observed. Results： T/TN of the Group A after treatments had no significant difference comparing with that before treatment（t = 1.35, P〉0.05）, while the Group B and C had significant differences（t = 5.31, t=8.97, P〈0.01）. The changes of clinical and experimental examination in the Group C had more significant differences than those in the Group A and B（P〈0.05）. Conclusion： Acupuncture therapy could promote RA recovery, and combining use of acupuncture and compound Fengshining had better effect.展开更多
It is considered that local points or points along meridians plus Ashi points are selected to treat diseases by acupuncture. For examples： Jianyu（LI 15）, Jianneiling （Ex-UE）, Jianzhen（SI 9） are selected to trea...It is considered that local points or points along meridians plus Ashi points are selected to treat diseases by acupuncture. For examples： Jianyu（LI 15）, Jianneiling （Ex-UE）, Jianzhen（SI 9） are selected to treat shoulder joint diseases; Kunlun（BL 60）, Zhaohai（KI 6）, Qiuxu（GB 40）, Bafeng（Ex-LE 10） and Ashi points are selected to treat anklebone and phalange diseases, plus electroacupuncture and microwave radiation. We treated 118 cases of rheumatoid arthritis. The results showed cure in 12 cases, remarkable effect in 38 cases, improvement in 62 cases and failure in 6 cases. The total effective rate was 97.9%.展开更多
Objective： To assess the clinical effects of acupuncture in treating rheumatoid arthritis. Methods： Seventy patients fulfilled at least 4 items of the diagnostic criteria for rheumatoid arthritis of the American Col...Objective： To assess the clinical effects of acupuncture in treating rheumatoid arthritis. Methods： Seventy patients fulfilled at least 4 items of the diagnostic criteria for rheumatoid arthritis of the American College of Rheumatology （ACR）. All patients were instructed not to receive other relevant therapies during research. Patients were randomized into a treatment group and a control group by computer generated assigned codes to receive real acupuncture and sham acupuncture respectively. The codes of randomization were hidden from doctors and patients. Patients were studied before and after the whole acupuncture treatment sessions （36 treatments）.The results were assessed according to changes of ESR mm/h, CRP mg/L, rheumatoid factor （RF）, the radiological changes （the erosion and osteoporosis of hand or wrist joint）, the intensity of pain by visual analogue scale （VAS）, the modified questionnaire according to Laitinen and Zytkowski （the intensity of pain, frequency of pain, medicines, limitation of motive activity）. Results： No significant differences in comparison of any parameters were shown before treatment. After treatment, the results of VAS and modified questionnaire were far better in the treatment group than in the control. Conclusion： Acupuncture can achieve a positive result compared with the sham, and it is effective in treating rheumatoid arthritis.展开更多
Objective： to observe the clinical effects of warm needling on rheumatoid arthritis. Methods： Patients with rheumatoid were treated with warming needling on the major acupoints of Guanyuan（CV 4）, Qihai（CV 6）, Zu...Objective： to observe the clinical effects of warm needling on rheumatoid arthritis. Methods： Patients with rheumatoid were treated with warming needling on the major acupoints of Guanyuan（CV 4）, Qihai（CV 6）, Zusanli（ST 36）, Ganshu（BL 18）, Shenshu（BL 23） and Pishu（BL 20）, in combination with local acupoints and acupoints on the related meridians, meanwhile, other patients were treated with single needling as control. The patients＇ joint pain, tenderness, swelling, dysfunction index, gripping force, morning stiffness, walking time of 20 meters, rheumatoid factor, erythrocyte sedimentation rate, C response protein, IgG, IgA, and IgM were measured before and after treatments. Results： Warm needling could improve the rheumatoid arthritis patients＇ symptoms, and had an effective rate of 86.2%, while the single needling had an effective rate of 57.1%（P〈0.01）. And the therapeutic effects were related to the disease duration and condition. Conclusion： Warm needling has a better clinical effects on rheumatoid arthritis than the single needling, with obvious functions of anti-inflammation, relieving pain and regulating immunity.展开更多
Objective： To observe the clinical efficacy of acupuncture plus medication for rheumatic arthritis （RA）. Methods： A total of 80 RA cases were randomized into an observation group and a control group, 40 in each gr...Objective： To observe the clinical efficacy of acupuncture plus medication for rheumatic arthritis （RA）. Methods： A total of 80 RA cases were randomized into an observation group and a control group, 40 in each group. Cases in the observation group received antirheumatic agents and acupuncture therapy, whereas cases in the control group received antirheumatic agents alone. The therapeutic efficacies were observed after 3 sessions of treatment. Results： After the treatment, patients in the observation group had significant improvement in their morning stiffness time, average grip of both hands, joint tenderness and joint swelling, showing statistical significances （P〈0.01）; symptoms of patients in the control group were also remarkably improved （P〈0.01, P〈0.05）. Compared with the control group, the improvements in joint tenderness and average grip of both hands in the observation group were more significant （P〈0.05）. After treatment, the Health Assessment Questionnaire （HAQ） points were significantly improved in both groups, erythrocyte sedimentation rate （ESR） and C-reactive protein （CRP） in both groups were remarkably reduced （P〈0.01, P〈0.05）; however, compared with the control group, the CRP decrease in the observation group was more significant （P〈0.05）. Conclusion： Acupuncture plus antirheumatic agents can effectively increase the RA patients＇ activities of daily living （ADL） and thus improve their quality of life.展开更多
1 Eczema A21/2 girl received treatment due to itching on her entire body for 8 months. History of present illness： The girl had experienced red rashes on the left cheek causing itching, later diagnosed as eczema. W...1 Eczema A21/2 girl received treatment due to itching on her entire body for 8 months. History of present illness： The girl had experienced red rashes on the left cheek causing itching, later diagnosed as eczema. When she was 14 months, the condition was stable without any treatment. When she moved back to Canada from the United States 8 months ago, she suffered from fever twice,展开更多
文摘目的探讨祛湿清热针刺疗法对急性湿疹患者AhR、IFN-γ、EOS、IL-17水平的影响。方法选取2021年11月—2023年7月期间于马鞍山中医院收治的78例急性湿疹患者,采用随机数字表法分为对照组和治疗组,每组各39例。对照组给予常规治疗,治疗组给予祛湿清热针刺疗法治疗。治疗2周后,观察比较两组患者临床疗效、不良反应情况,治疗前后中医证候评分、湿疹面积及严重度指数(Eczema area and severity index,EASI)评分、视觉模拟评分法(Visual pain scale,VAS)评分、实验室检查指标[嗜酸性粒细胞(Eosinophil,EOS)、白细胞介素-17(Interleukin-17,IL-17)、干扰素-γ(Interferon,IFN-γ)、芳香烃受体(Aromatic hydrocarbon receptor,AhR)]、皮肤生理功能指标。结果治疗后治疗组临床总有效率97.44%(38/39)明显高于对照组82.05%(32/39),差异有统计学意义(P<0.05)。治疗后两组患者发病急、病程短、渗出明显、皮损潮红、伴红疹、灼热瘙痒、自觉发热、口渴欲饮、心烦评分均较治疗前降低,差异有统计学意义(P<0.05);且治疗组患者发病急、病程短、渗出明显、皮损潮红、伴红疹、灼热瘙痒、自觉发热、口渴欲饮、心烦评分均明显低于对照组,差异有统计学意义(P<0.05)。治疗后两组患者EASI、VAS评分均较治疗前降低,差异有统计学意义(P<0.05);且治疗组EASI、VAS评分均较对照组明显降低,差异有统计学意义(P<0.05)。治疗后两组患者AhR、IL-17、IFN-γ、EOS水平均较治疗前降低,差异有统计学意义(P<0.05);且治疗组AhR、IL-17、IFN-γ、EOS水平均较对照组明显降低,差异有统计学意义(P<0.05)。治疗后两组患者皮肤生理功能指标较治疗前升高,差异有统计学意义(P<0.05);且治疗组皮肤生理功能指标较对照组明显升高,差异有统计学意义(P<0.05)。治疗期间,治疗组不良反应发生率7.69%(3/39)与对照组17.95%(7/39)比较,差异无统计学意义(P>0.05)。结论祛湿清热针刺疗法能够有效降低急性湿疹患者AhR、IFN-γ、EOS、IL-17水平,降低炎症反应,疗效明显。
文摘Clinical DataThe 120 cases in this series were outpatients suffering from insomnia due to interior-stirring by phlegm-heat, ranging in age from 28 to 67 years. They were randomly divided into a treatment group and a control group.
文摘We have treated 30 cases of rheumatic gonitis by using acupuncture and the pricking method, with satisfactory therapeutic results reported as follows.
文摘Objective： To observe the clinical efficacy of warm needling moxibustion at points on the back in treating rheumatoid arthritis （RA）. Methods： Sixty RA patients were randomized into two groups by the random number table, 30 in each group. The observation group was intervened by warm needling moxibustion at the points from the Governor Vessel on the back and Jiaji （EX-B 2） points, while the control group was by regular acupuncture. Results： After intervention, the morning stiffness, joint pain index, joint swelling index and erythrocyte sedimentation rate （ESR） were significantly improved in both groups （P〈0.01）; the inter-group difference was also statistically significant （P〈0.05）. The total effective rate was 93.3% in the observation group versus 76.6% in the control group, and the difference was statistically significant （P〈0.01）. Conclusion： Warm needling moxibustion at points from the Governor Vessel on the back and Jiaji （EX-B 2） points can produce a higher efficacy than regular acupuncture in treating RA.
文摘Objective： To evaluate the therapeutic effect of combining use of acupuncture and drugs on rheumatoid arthritis（RA） in the early and the active stages of by the imaging of bone and joint with ^99m TC-methlene diphosphate（MDP）. Methods： 102 cases of RA in the early and the active stages were randomly allocated into the compound Fengshining group （Group A）, acupuncture group（Group B）, and compound Fengshining plus acupuncture group（Group C）. They were treated for 30 days. All patients were examined before treatment and after treatment by ^99m TC-MDP imaging of the whole body, hands and feet, and analyzing method of random interested region was used to count the ratio of radioactivity in the affected area of RA to radioactivity in adjacent normal bone（T/TN）. Meanwhile, joint swelling index, joint tenderness index, morning stiffness, gripping force, and erythrocyte sedimentation rate （ESR） were also observed. Results： T/TN of the Group A after treatments had no significant difference comparing with that before treatment（t = 1.35, P〉0.05）, while the Group B and C had significant differences（t = 5.31, t=8.97, P〈0.01）. The changes of clinical and experimental examination in the Group C had more significant differences than those in the Group A and B（P〈0.05）. Conclusion： Acupuncture therapy could promote RA recovery, and combining use of acupuncture and compound Fengshining had better effect.
文摘It is considered that local points or points along meridians plus Ashi points are selected to treat diseases by acupuncture. For examples： Jianyu（LI 15）, Jianneiling （Ex-UE）, Jianzhen（SI 9） are selected to treat shoulder joint diseases; Kunlun（BL 60）, Zhaohai（KI 6）, Qiuxu（GB 40）, Bafeng（Ex-LE 10） and Ashi points are selected to treat anklebone and phalange diseases, plus electroacupuncture and microwave radiation. We treated 118 cases of rheumatoid arthritis. The results showed cure in 12 cases, remarkable effect in 38 cases, improvement in 62 cases and failure in 6 cases. The total effective rate was 97.9%.
文摘Objective： To assess the clinical effects of acupuncture in treating rheumatoid arthritis. Methods： Seventy patients fulfilled at least 4 items of the diagnostic criteria for rheumatoid arthritis of the American College of Rheumatology （ACR）. All patients were instructed not to receive other relevant therapies during research. Patients were randomized into a treatment group and a control group by computer generated assigned codes to receive real acupuncture and sham acupuncture respectively. The codes of randomization were hidden from doctors and patients. Patients were studied before and after the whole acupuncture treatment sessions （36 treatments）.The results were assessed according to changes of ESR mm/h, CRP mg/L, rheumatoid factor （RF）, the radiological changes （the erosion and osteoporosis of hand or wrist joint）, the intensity of pain by visual analogue scale （VAS）, the modified questionnaire according to Laitinen and Zytkowski （the intensity of pain, frequency of pain, medicines, limitation of motive activity）. Results： No significant differences in comparison of any parameters were shown before treatment. After treatment, the results of VAS and modified questionnaire were far better in the treatment group than in the control. Conclusion： Acupuncture can achieve a positive result compared with the sham, and it is effective in treating rheumatoid arthritis.
文摘Objective： to observe the clinical effects of warm needling on rheumatoid arthritis. Methods： Patients with rheumatoid were treated with warming needling on the major acupoints of Guanyuan（CV 4）, Qihai（CV 6）, Zusanli（ST 36）, Ganshu（BL 18）, Shenshu（BL 23） and Pishu（BL 20）, in combination with local acupoints and acupoints on the related meridians, meanwhile, other patients were treated with single needling as control. The patients＇ joint pain, tenderness, swelling, dysfunction index, gripping force, morning stiffness, walking time of 20 meters, rheumatoid factor, erythrocyte sedimentation rate, C response protein, IgG, IgA, and IgM were measured before and after treatments. Results： Warm needling could improve the rheumatoid arthritis patients＇ symptoms, and had an effective rate of 86.2%, while the single needling had an effective rate of 57.1%（P〈0.01）. And the therapeutic effects were related to the disease duration and condition. Conclusion： Warm needling has a better clinical effects on rheumatoid arthritis than the single needling, with obvious functions of anti-inflammation, relieving pain and regulating immunity.
文摘Objective： To observe the clinical efficacy of acupuncture plus medication for rheumatic arthritis （RA）. Methods： A total of 80 RA cases were randomized into an observation group and a control group, 40 in each group. Cases in the observation group received antirheumatic agents and acupuncture therapy, whereas cases in the control group received antirheumatic agents alone. The therapeutic efficacies were observed after 3 sessions of treatment. Results： After the treatment, patients in the observation group had significant improvement in their morning stiffness time, average grip of both hands, joint tenderness and joint swelling, showing statistical significances （P〈0.01）; symptoms of patients in the control group were also remarkably improved （P〈0.01, P〈0.05）. Compared with the control group, the improvements in joint tenderness and average grip of both hands in the observation group were more significant （P〈0.05）. After treatment, the Health Assessment Questionnaire （HAQ） points were significantly improved in both groups, erythrocyte sedimentation rate （ESR） and C-reactive protein （CRP） in both groups were remarkably reduced （P〈0.01, P〈0.05）; however, compared with the control group, the CRP decrease in the observation group was more significant （P〈0.05）. Conclusion： Acupuncture plus antirheumatic agents can effectively increase the RA patients＇ activities of daily living （ADL） and thus improve their quality of life.
文摘1 Eczema A21/2 girl received treatment due to itching on her entire body for 8 months. History of present illness： The girl had experienced red rashes on the left cheek causing itching, later diagnosed as eczema. When she was 14 months, the condition was stable without any treatment. When she moved back to Canada from the United States 8 months ago, she suffered from fever twice,
