目的:观察升阳托疮针法分步治疗女性阳虚火郁型痤疮的临床疗效。方法:对70例女性阳虚火郁型痤疮患者先采用温针灸中脘、阿是穴围刺等方法,每日1次,每周治疗5次;待患者面色红润,大部分疮色发红、疮体聚集变小、根基变浅、疮体高于周边皮...目的:观察升阳托疮针法分步治疗女性阳虚火郁型痤疮的临床疗效。方法:对70例女性阳虚火郁型痤疮患者先采用温针灸中脘、阿是穴围刺等方法,每日1次,每周治疗5次;待患者面色红润,大部分疮色发红、疮体聚集变小、根基变浅、疮体高于周边皮肤、渐发脓头,再施以大椎穴放血拔罐疗法,3 d 1次,5次为1个治疗周期,休息2周后观察疗效。结果:70例女性阳虚火郁型痤疮患者经治疗后,痊愈46例,显效15例,有效5例,无效4例,痊愈率65.71%,有效率94.29%。结论:升阳托疮针法分步治疗女性阳虚火郁型痤疮有效。展开更多
Objective: To study the clinical efficacy of electroacupuncture (EA) on treating knee osteoarthritis (KOA) of Shen (肾)-Sui ((肾) insufficiency (SSI) syndrome type. Methods: A total of 245 patients (279 ...Objective: To study the clinical efficacy of electroacupuncture (EA) on treating knee osteoarthritis (KOA) of Shen (肾)-Sui ((肾) insufficiency (SSI) syndrome type. Methods: A total of 245 patients (279 knees) of KOA-SSI were randomly assigned to two groups by lottery: 141 knees in the treatment group and 138 knees in the control group. The treatment group was managed with EA at the dominant points of Neixiyan (Ex-LE4) and Waixiyan (Ex-LE5) as well as the conjugate points of Xuanzhong (GB39) and Taixi (KI3) for 30 min, once a day, with 15 days as one course; 2 courses were applied with a 5-day interval in between. The control group was treated with intra-articular injection of 2 mL hyaluronic acid into the affected joint every 7 days for 5 times in total. The clinical effects on the patients in different stages were observed, and their symptom scores of knee and contents of cytokines, including interleukin-1 (IL-1), interleukin-6 (IL-6), tumor necrosis factor- α (TNF- α), prostaglandin E2, (PGE2α) and matrix metalloproteinases-3 (MMP-3), in the knee joint fluid were measured before and after treatment. Results: The study was completed in 235 patients (263 knees); four patients (7 knees) in the treatment group and six patients (9 knees) in the control group dropped out. Comparison of therapeutic effects (excellent and effective rates) between the two groups showed insignificant differences (P〉0.05). Symptom scores of knee and contents of cytokines in the knee fluid after treatment were lowered significantly in the patients of stage Ⅰ -Ⅲ in both groups (P〈0.05 or P〈0.01). However, the lowering of the total symptom score of knee in the patients of stage Ⅲ in the treatment group was more significant (P〈0.05). Conclusions: EA could effectively alleviate the clinical symptoms in KOA patients of stage m, showing an effect superior to that of hyaluronic acid. EA also shows action in suppressing the secretion of IL-1, IL-6, TNF-α, PGE2α and MMP-3 in the knee fluid.展开更多
文摘目的:观察升阳托疮针法分步治疗女性阳虚火郁型痤疮的临床疗效。方法:对70例女性阳虚火郁型痤疮患者先采用温针灸中脘、阿是穴围刺等方法,每日1次,每周治疗5次;待患者面色红润,大部分疮色发红、疮体聚集变小、根基变浅、疮体高于周边皮肤、渐发脓头,再施以大椎穴放血拔罐疗法,3 d 1次,5次为1个治疗周期,休息2周后观察疗效。结果:70例女性阳虚火郁型痤疮患者经治疗后,痊愈46例,显效15例,有效5例,无效4例,痊愈率65.71%,有效率94.29%。结论:升阳托疮针法分步治疗女性阳虚火郁型痤疮有效。
基金Supported by the National Natural Science Foundation of China (No.30873277)the CHEN Ke-ji Development Fund of Integrative Medicine(No.CKJ2008003)
文摘Objective: To study the clinical efficacy of electroacupuncture (EA) on treating knee osteoarthritis (KOA) of Shen (肾)-Sui ((肾) insufficiency (SSI) syndrome type. Methods: A total of 245 patients (279 knees) of KOA-SSI were randomly assigned to two groups by lottery: 141 knees in the treatment group and 138 knees in the control group. The treatment group was managed with EA at the dominant points of Neixiyan (Ex-LE4) and Waixiyan (Ex-LE5) as well as the conjugate points of Xuanzhong (GB39) and Taixi (KI3) for 30 min, once a day, with 15 days as one course; 2 courses were applied with a 5-day interval in between. The control group was treated with intra-articular injection of 2 mL hyaluronic acid into the affected joint every 7 days for 5 times in total. The clinical effects on the patients in different stages were observed, and their symptom scores of knee and contents of cytokines, including interleukin-1 (IL-1), interleukin-6 (IL-6), tumor necrosis factor- α (TNF- α), prostaglandin E2, (PGE2α) and matrix metalloproteinases-3 (MMP-3), in the knee joint fluid were measured before and after treatment. Results: The study was completed in 235 patients (263 knees); four patients (7 knees) in the treatment group and six patients (9 knees) in the control group dropped out. Comparison of therapeutic effects (excellent and effective rates) between the two groups showed insignificant differences (P〉0.05). Symptom scores of knee and contents of cytokines in the knee fluid after treatment were lowered significantly in the patients of stage Ⅰ -Ⅲ in both groups (P〈0.05 or P〈0.01). However, the lowering of the total symptom score of knee in the patients of stage Ⅲ in the treatment group was more significant (P〈0.05). Conclusions: EA could effectively alleviate the clinical symptoms in KOA patients of stage m, showing an effect superior to that of hyaluronic acid. EA also shows action in suppressing the secretion of IL-1, IL-6, TNF-α, PGE2α and MMP-3 in the knee fluid.