Clinical research of atlantoaxial instability treated with the combination of ulna-tibia needling therapy and“point-to-surface”tuina manipulation

Objective:To observe the clinical therapeutic effect on atlantoaxial instability treated with the combination of ulna-tibia needling therapy and"point-to-surface"tuina manipulation.Methods:A total of 64 outpatients diagnosed as atlantoaxial instability were collected and randomized into a control group and an observation group,32 cases in each one.In the control group,flunarizine hydrochloride capsules were used for oral administration.In the observation group,the combined treatment of ulna-tibia needling therapy and"point-to-surface"tuina manipulation was adopted.The ulnatibia needling therapy was exerted at the cutaneous region of hand taiyang meridian on the ulnar region(from carpal joint to elbow joint)on both sides.The"point-to-surface"tuina manipulation included"onepoint and two-surface"technique,"upper-to-lower pressing"method and"lifting-trembling"method.The treatment was provided once daily,consecutively for 5 times.The scores of neck symptoms and physical signs,atlantoaxial axle separation degree and clinical therapeutic results were taken as the observation indicators to evaluate the treatment effect.Results:After treatment,the curative rate and the total effective rate in the observation group were all higher significantly than the control group(all P<0.01).The scores of clinical symptoms and physical signs were statistically different in the self-comparison of each group before and after treatment(all P<0.05).After treatment,the scores of clinical symptoms and physical signs,the excellence rate of atlantoaxial axle separation and the effective rate in the observation group were all significantly better than those of the control group(all P<0.01).Conclusion:The combination of ulna-tibia needling therapy and"point-to-surface"tuina manipulation achieves the better clinical therapeutic effect as compared with flunarizine hydrochloride.

中国东北青年女性身高估算的新方法

目的:通过对中国东北女性群体身高进行分组(矮、中、高),设计更准确的回归方程。方法:对206例年龄在18.1～35.1岁之间成年女性的身高、尺骨长度、胫骨长度进行测量。将测量对象随机分为组1(n=103)和组2(n=103),建立一般回归方程和分组回归方程,进行身高的推算,对各身高组一般回归方程和分组回归方程估算身高进行两独立样本t检验。结果:以尺骨为自变量身高的分组回归方程能获得更准确的身高估计值,以胫骨、尺骨与胫骨为自变量的身高分组回归方程身高预测优势不明显。结论:研究结果表明,以尺骨为变量的分组回归方程对极端人群(过高或过矮)身高的估算更为准确。

张卫华运用尺胫针疗法结合“点面对应手技法”治疗寰枢关节失稳经验

总结介绍张卫华教授以自创方法治疗寰枢关节失稳的临床经验。张教授从寰枢关节自身解剖特点出发,结合大量临床实践创新性提出"四点触诊"法,即寰枢关节失稳患者在颈项部有4个明显的压痛点;张教授以皮部和标本理论为依据,提出"皮部-络脉-经脉-脏腑-相关组织系统论"和"人体尺胫部与头面躯干部上下对应相关论",创立尺胫针疗法,并创制独特的推拿手技——"点面对应手技法"(一点两面法、上下对应侧压法和上提抖动法),两者结合治疗寰枢关节失稳简便易行、准确率高。

张卫华运用尺胫针疗法结合减压松动手技治疗神经根型颈椎病经验撷要

介绍张卫华教授运用尺胫针疗法结合减压松动手技治疗神经根型颈椎病的经验。张卫华教授采用“二摸三查两阅”法对疾病的病位、分期、程度进行精确诊断,根据疾病的性质认为神经根型颈椎病当从3期论治,提出“以筋为纲,以经为要,以气血为基,筋骨并调”的学术思想,运用尺胫针疗法结合减压松动手技进行治疗。尺胫针选取太阳、少阳经尺部之区带的下1/3皮部(带状)范围进针;减压松动手技分为放松颈项、减压松动(包括定位旋转扳法、上抬后顶法、仰侧扳法)、镇痛理筋3步,并配合镇痛理筋手法加强疗效。