原络俞募配穴结合龙虎交战针法治疗2型糖尿病后胃轻瘫综合征的临床研究

目的:探讨原络俞募配穴结合龙虎交战针法治疗2型糖尿病后胃轻瘫综合征的临床疗效。方法:60例入组受试者随机分为针刺组和药物组,针刺组给予原络俞募配穴结合龙虎交战针法治疗,药物组给予伊托必利治疗,治疗28 d后应用胃轻瘫主要症状指数量表、4 h胃排空率、血糖指标、胃动素与胃泌素评价疗效。结果:针刺组治疗后胃轻瘫主要症状指数量表、4 h胃排空率、血糖指标与胃动素指标均高于药物组,差异具有统计学意义(P<0.05),针刺组治疗后胃泌素水平低于药物组,差异具有统计学意义(P<0.05)。结论:原络俞募配穴结合龙虎交战针法可明显减轻2型糖尿病伴胃轻瘫的症状。

龙虎交战镇痛针法研究进展

龙虎交战针刺法历史悠长,是古代复式手法之一,通过手法操作能起到一补一泻的作用,以调和阴阳、疏通人体经络。此手法最早见于徐凤的《针灸大全·梓岐风谷飞经撮要金针赋》,后经历代医家不断总结和发展,取得了较好的治疗效果,涉及病种范围广泛,临床上尤善镇痛。梳理各代医家的见解、现代研究、选穴特点、个人经验等,综合分析龙虎交战法的历史进展及其研究现状,以窥金针一二,为临床应用和研究提供理论借鉴。

Study on the efficacy and mechanism of dragon-tiger fight needling method in treating lumbar disc herniation

Objective:To observe the analgesic effect and therapeutic mechanism of the dragon-tiger fight needling method in treating lumbar disc herniation(LDH).Methods:A total of 100 patients with LDH were selected and randomly divided into an observation group and a control group,with 50 patients in each group.Both groups received the same basic treatment of Western medicine.The observation group received additional acupuncture treatment using the dragon-tiger fight needling method,administered once every other day for a consecutive month.Before and after treatment,the serum levels of bradykinin(BK),soluble tumor necrosis factor type 1 receptor(sTNF-R1),α1-acid glycoprotein(α1-AGP),phospholipase A2(PLA2),methionine enkephalin(M-ENK),β-endorphin(β-EP),and 6-keto prostaglandin E1α(6-keto-PGE1α)were measured in both groups.Additionally,the sensory conduction velocities(SCV)of the sural nerve and superficial peroneal nerve,as well as the biomechanical indicators of lumbar muscles(including the lumbar flexion-extension ratio and peak torque and average power in the lumbar extension position)were assessed.The Oswestry disability index(ODI)was evaluated,and traditional Chinese medicine(TCM)symptoms were scored for patients in both groups.After treatment,the clinical efficacy of the two groups was compared.Results:After treatment,the serum levels ofα1-AGP and PLA2 in both groups decreased compared to their respective pre-treatment levels(P<0.05),and the levels in the observation group were lower than those in the control group(P<0.05).The serum levels of sTNF-R1 in both groups increased compared to their respective pre-treatment levels(P<0.05),and the levels in the observation group were higher than those in the control group(P<0.05).The serum levels of 6-keto-PGE1αand BK in both groups decreased significantly compared to their respective pre-treatment levels(P<0.05),and the levels in the observation group were lower than those in the control group(P<0.05).The serum levels of M-ENK andβ-EP in both groups increased compared to their respective pre-treatment levels(P<0.05),and the levels in the observation group were higher than those in the control group(P<0.05).The lumbar flexion-extension ratio in both groups decreased compared to their respective pre-treatment level(P<0.05),and the ratio in the observation group was lower than that in the control group(P<0.05).The peak torque and average power in the lumbar extension position increased in both groups compared to their respective pre-treatment levels(P<0.05),and both values in the observation group were higher than those in the control group(P<0.05).The SCV of the superficial peroneal nerve and sural nerve in both groups increased compared to their respective pre-treatment levels(P<0.05),and the values in the observation group were higher than those in the control group(P<0.05).The ODI and TCM symptom scores in both groups decreased(P<0.05),and the scores in the observation group were lower than those in the control group(P<0.05).Conclusion:Based on Western medicine treatment,acupuncture treatment using the dragon-tiger fight needling method for LDH patients can inhibit inflammatory markers,regulate pain mediator levels,alleviate pain,improve the biomechanical and electromyographic indicators of lumbar extensor muscles,and thus enhance lumbar function and clinical efficacy.