Effect of breathing and Daoyin exercises on the quality of life in patients with chronic obstructive pulmonary disease

Objective： To observe the effect of breathing and Daoyin exercises on the quality of life in patients with stable chronic obstructive pulmonary disease（COPD） due to deficiency of the lung and kidney（grade II-III）.Methods： A total of 60 eligible cases were randomly allocated into a treatment group（n=30） and a control group（n=30） by random number table. Cases in the control group received routine Western medical treatment, whereas cases in the treatment group conducted breathing and Daoyin exercises in addition to routine Western medical treatment. Patients in both groups were treated for a total of 3 months. Then the observation was made on changes in pulmonary ventilation function, major clinical symptoms, modified Medical Research Council scale（m MRC）, distance in 6-minute walk test（6-MWT）, COPD assessment test（CAT） and efficacy satisfaction questionnaire for COPD（ESQ-COPD） before and after treatment. Results： After treatment, the total effective rate was 80.0% in the treatment group, versus 66.7% in the control group, showing a statistical difference（P〈0.05）. Patients in the treatment group obtained more significant improvement in coughing, sputum production, dyspnea and shortness of breath than those in the control group（P〈0.05）. Patients in the treatment group obtained more significant elevation in the forced expiratory volume in 1 second percentage of predicted value（FEV1%） and peak expiratory flow rate（PEF%） than those in the control group（P〈0.05）. Patients in the treatment group obtained lower m MRC score than those in the control group（P〈0.05）. Patients in the treatment group obtained longer 6-MWT distance than those in the control group（P〈0.05）. Patients in the treatment group obtained lower CAT score（P〈0.01） and higher ESQ-COPD score（P〈0.05） than those in the control group. Conclusion： Breathing and Daoyin exercises combined with routine Western medical treatment are effective for stable COPD（grade II-III） due to deficiency of the lung and kidney and can improve the patients＇ quality of life.

Yi Jin Jing （Sinew-transforming Qigong Exercises） for primary osteoporosis in the elderly： a clinical trial

Objective：To observe the clinical efficacy of Yi Jin Jing （Sinew-transforming Qigong Exercises） for primary osteoporosis in the elderly.Methods：Eighty old patients with primary osteoporosis were randomized into a Yi Jin Jing group and a medication group,40 cases in each group.The Yi Jin Jing group was intervened by Yi Jin Jing （Sinew-transforming Qigong Exercises） training,while the medication group was intervened by oral administration of alendronate sodium tablet.Prior to and after 6-month intervention,the bone mineral density （BMD） of the proximal femur,visual analog scale （VAS） and activities of daily living （ADL） were estimated.Results：There were no significant differences in the BMD of the proximal femur,and VAS and ADL scores between the two groups before the intervention （P〉0.05）.After 6-month intervention,the above items all improved significantly in both groups （both P〈0.01）;the improvements in VAS and ADL scores in Yi Jin Jing group were more significant than those in the medication group （P〈0.01）,while the between-group difference in the BMD of the proximal femur was statistically insignificant （P〉0.05）.Conclusion：Practice of Yi Jin Jing （Sinew-transforming Qigong Exercises） can effectively ameliorate the BMD in the elderly with primary osteoporosis,and it can reduce the pain and improve ADL,with a better general effect compared to oral administration of alendronate sodium tablet.

Effect of Yi Jin Jing(Sinew-transforming Qigong Exercises) on skeletal muscle strength in the elderly

Objective： To observe the effect of Yi Jin Jing（Sinew-transforming Qigong Exercises） on the muscle strength in senile sarcopenia. Methods： Sixty-five old people with sarcopenia were randomized into Yi Jin Jing group and a blank control group. Thirty-three patients in Yi Jin Jing group practiced Yi Jin Jing（Sinew-transforming Qigong Exercises）, while 32 patients in the blank control group didn＇t receive any interventions. The muscle strength was measured before and after 12-week training. Results： During the study, each group had 1 dropout. The muscle strength was improved after 12-week training in Yi Jin Jing group, and the difference was statistically significant（P〈0.05）; there was no significant difference in the blank control group（P〈0.05）. After the intervention, there was a significant difference between Yi Jin Jing group and the blank control group in comparing the muscle strength（P〈0.05）. Conclusion： Constant Yi Jin Jing（Sinew-transforming Qigong Exercises） training can notably improve skeletal muscle strength in senile sarcopenia.

Clinical observation on Yi Jin Jing(Sinew-transforming Qigong Exercises)plus tuina on the neck for stiff neck

Objective:To observe the effect of Yi Jin Jing(Sinew-transforming Qigong Exercises)plus tuina on the neck for stiff neck.Methods:A total of 60 patients with stiff neck who met the screening criteria were selected and randomly divided into two groups,with 30 cases in each group.Patients in the control group received tuina on the neck,30 min every time,once a day,while patients in the observation group practiced Yi Jin Jing(Sinew-transforming Qigong Exercises)plus the same tuina therapy as the control group,and Yi Jin Jing(Sinew-transforming Qigong Exercises)was conducted for more than 30 min every time,once a day.Visual analog scale(VAS)scores were observed before treatment,and after 1 time,3 times and 5 times of treatment to evaluate the degree of neck pain.Results:During the treatment,each group had 2 dropouts.After treatment,the total effective rate was 92.9%in the observation group versus 82.1%in the control group,showing a statistical significance(P<0.05).The VAS scores in the observation group at the three time points were significantly lower than those in the control group(all P<0.05).Conclusion:Yi Jin Jing(Sinew-transforming Qigong Exercises)plus tuina on the neck can effectively relieve neck pain and improve cervical range of motion in patients with stiff neck,and can achieve a better effect than tuina alone.

Clinical observation on electroacupuncture plus Yi Jin Jing(Sinew-transforming Qigong Exercises)for knee osteoarthritis

Objective:To observe the efficacy of electroacupuncture(EA)plus Yi Jin Jing(Sinew-transforming Qigong Exercises)for knee osteoarthritis(KOA).Methods:A total of 60 patients with KOA were divided into an observation group and a control group according to the random number table method,with 30 cases in each group.Patients in the observation group received the treatment of EA plus Yi Jin Jing(Sinew-transforming Qigong Exercises),while patients in the control group only received EA treatment.Both groups were treated for 5 weeks.The changes of Western Ontario and McMaster Universities Osteoarthritis Index(WOMAC)and visual analog scale(VAS)scores in the two groups were observed after treatment.Results:After treatment,the total effective rate in the observation group(92.3%)was significantly higher than that in the control group(70.0%),(P<0.05);the WOMAC and VAS scores in both groups were significantly lower than those before treatment,showing statistical significance(all P<0.01);there were significant differences in the post-treatment changes in the WOMAC and VAS scores between the two groups(P<0.05,P<0.01).Conclusion:EA plus Yi Jin Jing(Sinew-transforming Qigong Exercises)is clinically effective for KOA.This combined treatment can alleviate clinical symptoms.

Efficacy evaluation of different forms of traditional Chinese health-preservation exercises for osteoporosis:a network meta-analysis

Objective To systematically evaluate the effects of different forms of traditional Chinese health-preservation exercises on osteoporosis(OP)using network meta-analysis.Methods A systematic search on Excerpta Medica Database(EMBASE),Springer Link,Allied and Complementary Medicine Database(AMED),PubMed,Cochrane Library,China National Knowledge Infrastructure(CNKI),Wanfang Academic Journal Full-text Database(Wanfang)and Chongqing VIP Database(CQVIP)targeted the randomized controlled trials(RCTs)studying traditional Chinese exercises for OP published up to January 2020.Cochrane handbook was adopted to estimate the publication bias in the included studies,and statistical analysis was performed using Stata 14.0 and GeMTC 0.14.3 when data were extracted.Results Fifty RCTs were included in the network meta-analysis,comprising a total of 4505 OP patients.The network meta-analysis showed that in terms of visual analog scale(VAS)for pain,Tai Ji Quan(Tai Chi)was the most efficacious,followed by Yi Jin Jing(Sinew-transforming Qigong Exercises),Ba Duan Jin(Eight-sectioned Exercise),Wu Qin Xi(Five-animal Exercises),sports training,drug and blank control;in terms of bone mineral density(BMD)of femoral neck,Yi Jin Jing was the most efficacious,followed by Wu Qin Xi,Ba Duan Jin,Tai Ji Quan,sports training,blank control and drug;regarding the lumbar BMD,it was Yi Jin Jing,Tai Ji Quan,Ba Duan Jin,Wu Qin Xi,sports training,blank control and drug in the descending order of efficacy;in terms of serum alkaline phosphatase,it was Yi Jin Jing,Tai Ji Quan,sports training,Wu Qin Xi,Ba Duan Jin,drug and blank control in the descending order of efficacy.Conclusion The evidence to date suggests that the first choice for OP amongst the traditional Chinese exercises should be Yi Jin Jing,which can not only reduce the subjective pain,but also promote bone formation and increase BMD,though this conclusion requires more high-quality large-scale RCTs for further proof.

Clinical observation of acupuncture and traction plus Ba Duan Jin(Eight-brocade Exercise)for improving discogenic low back pain

Objective:To observe the short-term and long-term efficacy of acupuncture and traction plus Ba Duan Jin(Eight-brocade Exercise)in treating discogenic low back pain(DLBP).Methods:Sixty patients were divided into an observation group and a control group using the random number table method,with 30 cases in each group.The control group was intervened by acupuncture and traction,while the observation group was given additional Ba Duan Jin(Eight-brocade Exercise)practice.The intervention lasted for a total of 1 month,with a follow-up study conducted 6 months later.The visual analog scale(VAS)and Oswestry disability index(ODI)scores in the two groups were compared before and after treatment,and the efficacy was compared at the end of the treatment between the two groups;the relapse rate was compared at the 6-month follow-up between the two groups.Results:The pain VAS and ODI scores decreased after treatment in both groups,and the intra-group differences were statistically significant(all P<0.05);the pain VAS and ODI scores in the observation group were lower than those in the control group after treatment with statistical significance(both P<0.05).At the 6-month follow-up,the relapse rate was 10.3%in the observation group versus 48.0%in the control group,and the between-group difference was statistically significant(P<0.05).Conclusion:The combination of acupuncture,traction and Ba Duan Jin(Eight-brocade Exercise)is an effective method for DLBP and patients who received this method are less likely to relapse.

Effect of Shaolin internal qigong exercise on the surface electromyography signals of shoulder muscle groups in patients with capsulitis of the shoulder

Objective:To unveil the efficacy of Shaolin internal qigong exercise in treating capsulitis of the shoulder(CS)and explore objective outcome measures by observing the changes in the surface electromyography(sEMG)signals of shoulder muscle groups after regular practice of Shaolin internal qigong exercise in CS patients.Methods:Sixty CS patients were randomized into two groups by the random number table method,with 30 cases in each group.Patients in the qigong group practiced Shaolin internal qigong exercise on a regular basis,while patients in the electroacupuncture(EA)group received EA treatment.Before and after treatment,the sEMG signals of six muscles,i.e.biceps brachii,triceps brachii,deltoid,pectoralis major,latissimus dorsi and trapezius muscles,of the affected side were recorded at 45°abduction of the shoulder,60°forward flexion and 90°internal rotation with the elbow flexed during maximal isometric contraction,and the integrated electromyography(iEMG)of each muscle was calculated.Results:The total effective rate was 93.3%in the qigong group,higher than 83.3%in the EA group(P<0.05).Intra-group comparison showed that the iEMG of biceps brachii,triceps brachii,pectoralis major and deltoid muscles in the qigong group increased significantly after intervention at 45°abduction of the shoulder,60°forward flexion and 90°internal rotation with the elbow flexed(all P<0.05),and the iEMG of trapezius and latissimus dorsi muscles decreased(both P<0.05);in the EA group,the iEMG of biceps brachii,pectoralis major and deltoid muscles increased significantly during contraction(all P<0.05),while the iEMG of triceps brachii,trapezius and latissimus dorsi muscles had no significant changes(all P>0.05).After intervention,there were significant differences in the iEMG of most of muscles between the two groups(all P<0.05),except for the iEMG of deltoid muscle at 45°of abduction of the shoulder joint during isometric contraction(P>0.05).Conclusion:Shaolin internal qigong exercise can effectively increase the motion intensity of the biceps brachii,triceps brachii,pectoralis major and deltoid muscles and reduce the compensation of the latissimus dorsi and trapezius muscles in CS patients;compared with EA,it produces a better result in improving the coordination and stability in shoulder joint movements.

Abdomen-rubbing qigong exercise and health preservation concept of Fang Kai,a Xin'an medical physician

The abdomen-rubbing qigong exercise was first developed by Fang Kai, a Xin＇an medical practitioner. It＇s an essential part of Xin＇an health preservation works. This health preservation method integrates massage with Daoyin and integrates meridian theory with Zangxiang theory. It＇s safe, simple and has no side effects. Practice of this qigong exercise can protect the spleen and stomach, tonify qi and essence, harmonize Ying-Nutrients and Wei-Defense, unblock meridians and circulate qi. This paper aims to summarize and promote this exercise.

Effect of tuina exercise on simple obesity in college students

Objective:To observe the effect of tuina exercise on simple obesity in college students.Methods:Fifty-seven college students with simple obesity were divided into two groups according to the stratified randomization method.Twenty-eight in the tuina exercise group were trained in tuina exercise;while 29 in the auricular acupoint sticking group were treated with acuricular acupoint sticking.The tuina exercise group was trained once every other day,and 10 times made one course.The auricular acupoint sticking was replaced once every 4 d,and 5 times made one course.After 2-course treatment,the total therapeutic effect,weight,body mass index (BMI),waist and hip circumferences,serum total cholesterol (TC),triglyceride (TG),high-density lipoprotein cholesterol (HDL-C) and low-density lipoprotein cholesterol (LDL-C) were assessed.Results:The total therapeutic effect was 86.2% in the auricular acupoint sticking group and 85.7% in the tuina exercise group.There was no significant difference between the two groups (P>0.05).After treatment,the weight,BMI,waist and hip circumferences were decreased and the differences were statistically significant (all P<0.05).The waist and hip circumferences in the tuina exercise group were lower than those in the auricular acupoint sticking group,showing statistically significant differences (all P<0.05).After treatment,there were no significant intra-group differences in TC,TG,HDL-C and LDL-C in the two groups (all P>0.05),and the between-group differences were not significant (all P>0.05).Conclusion:Tuina exercise has reliable effect in treating obesity.It can produce more significant improvements in waist and hip circumferences than auricular acupoint sticking.But no obvious effect is shown in blood lipid indicators.

Research progress on the effect and mechanism of Tai Ji Quan in the treatment of post-stroke depression

To explore the clinical efficacy and possible mechanism of Tai Ji Quan for post-stroke depression(PSD),literature related to Tai Ji Quan and PSD were retrieved from China National Knowledge Infrastructure(CNKI),Wanfang Academic Journal Full-text Database(Wanfang),Chongqing VIP Database(CQVIP),China Biology Medicine Disc(CBM),and PubMed,screened and then summarized.The results showed that Tai Ji Quan could effectively improve the depression and quality of life of stroke patients,and there were differences in the clinical efficacy among different training programs.Tai Ji Quan has the characteristics of“regulating mind”,“regulating breath”,and“regulating body”.It may achieve the effect of“combined physique-spirit treatment”by improving social psychology,increasing the level of neurotrophin,regulating neuroendocrine,reducing inflammatory factors,and regulating neural circuits.

Protocol-optimizing study of combining Tuina and horse-riding squat exercise for knee osteoarthritis

Objective To evaluate the efficacy of Tuina(Chinese therapeutic massage)manipulation plus horse-riding squat exercise in treating knee osteoarthritis(KOA)and optimize the combining protocol.Methods Based on a 2×2 factorial design,120 eligible KOA patients were randomized into a manipulation group(group A1B2),a manipulation plus horse-riding squat group(group A1B1),a sitting knee-adjustment group(group A2B2 group),and a sitting knee-adjustment plus horse-riding squat group(group A2B1),with 30 cases in each group.The intervention was conducted three times a week,lasting for four weeks.The Western Ontario and McMaster Universities osteoarthritis index(WOMAC)was taken as the major measure for efficacy evaluation(including three component scores,pain,stiffness,and daily function,and total score).Results The three component scores(pain,stiffness,and daily function)and the total score of WOMAC showed significant differences after the intervention in the four groups(P<0.05).There were significant inter-group differences in the WOMAC stiffness score amongst the four groups after the intervention(P<0.05).In group A1B1,the step length,stride,walking speed,and knee joint flexion angle changed significantly after treatment(P<0.05).After the intervention,the step length changed significantly in group A1B2(P<0.05),and the walking speed changed significantly in group A2B1(P<0.05).There were no significant differences in the step length,stride,walking speed,or knee joint flexion angle among the four groups(P>0.05).The extensor peak torque at 180°/s changed significantly in group A1B2 after treatment(P<0.05).Neither the intra-group nor the inter-group comparisons of the four groups revealed significant differences in the other isokinetic muscle strength parameters(P>0.05).The main effect of manipulation showed significant in affecting the WOMAC pain and total scores(P<0.05).The main effect of horse-riding squat exercise showed significant in affecting the WOMAC pain and stiffness scores(P<0.05).Conclusion The four treatment protocols all can improve the symptoms of KOA,for instance,relieving pain and stiffness,and enhancing daily function.Group A2B1 produces the most eminent effect in relieving joint stiffness.The main effects of both manipulation and horse-riding squat exercise are significant in reducing pain.Besides,the main effect of horse-riding squat exercise is significant in relieving joint stiffness.

Strategies of the acupuncture treatment for delayed-onset muscle soreness based on pathophysiology

Based on the pathophysiological analysis of delayed-onset muscle soreness,the key points of its treatment was summarized in this paper:promoting the repair of injury,improving the metabolic state,and effectively relieving pain.Its key objectives and order of treatment are made clear:first to promote repair,second to improve metabolism,and then to relieve pain.And through the analysis of the key points of the treatment,the law of acupuncture and moxibustion treatment is put forward as follows:puncture those acupoints with the overall regulation function to adjust the secretion of endogenous analgesic substances in the body,at the same time,the special respiratory movement is adopted to improve the metabolic state,and the proper exercises are combined to promote the tissue repair.

Effects of Shaolin Neigong on the strength and stability of the forearm Rou-Kneading manipulation

Objective To collect,compare and analyze the changes in the strength and stability of the forearm Rou-Kneading manipulation before and after the training in Shaolin Neigong(internal Qigong).Methods Ninety first-year undergraduates were randomized into three groups using the random number table method,with 30 people in each group.The Gongfa(Qigong method)group received training in both Shaolin Neigong and forearm Rou-Kneading manipulation.The manipulation group only received training in forearm Rou-Kneading manipulation.The control group only received training in forearm Rou-Kneading manipulation for one week.The ZTC-1 intelligent Tuina(Chinese therapeutic massage)manipulation parameter detection system was used to collect the wave crest,wave trough,and crest-trough difference of the strength and frequency of the forearm Rou-Kneading manipulation on the Z-axis(up and down),X-axis(left and right)and Y-axis(backward and forward)at weeks one,five and ten from the three groups.The collected data were then processed and analyzed.Results The intra-group comparisons showed statistical significance in the Gongfa group and manipulation group(P<0.05).The strength and stability shown on the axes Z,X,and Y constantly grew with the increase of training time in the Gongfa group.The wave crest on the axes Z and Y steadily rose in the manipulation group,as well as the frequency on the axes Z,X and Y.The control group failed to show statistical significance in any of the three times of intra-group comparisons(P>0.05).The between-group comparisons showed statistical significance among the three groups at weeks five and ten(P<0.05).At week five,the wave crest on the axes Z,X,and Y,and the crest-trough difference on the axes X and Y were more prominent in the Gongfa group than in the manipulation group,showing statistical significance(P<0.05).At week ten,the wave crest,wave trough,and crest-trough differences on the axes Z,X,and Y were more prominent in the Gongfa group than in the manipulation group,presenting statistical significance(P<0.05).Conclusion Practicing Shaolin Neigong can help the trainees reach the level of strength and frequency of Tuina clinicians in a shorter time in the forearm Rou-Kneading manipulation training.It can advance the efficiency in studying the forearm Rou-Kneading manipulation and promote the quality of the manipulation.

Modern research, inheritance and protection Shaolin Neigong of tuina exercise

Shaolin Neigong （internal O.igong） of tuina exercise is a distinctive part of Neigong tuina. Since the 1980s, domestic basic study on Shaoiin Neigong has mainly focused on its physiologic effects, and has preliminarily proved that Shaolin Neigong can enhance the aerobic capacity, cardio-pulmonary function, and muscle strength of human body. By summarizing the literatures studying the effects of Shaolin Neigong on respiratory, circulatory, locomotor and nervous systems, this article was to understand the modern research, inheritance and protection of Shaolin Neigong. The results indicate that the modern research on Shaolin Neigong is relatively slow. Continuous development, continuity and innovation in basic research, teaching and clinical practices are required, to enhance the general and therapeutic level of tuina exercises and tuina science of traditional Chinese medicine.

Understanding Chinese Qigong in the context of Western culture

It tries to present various perspectives on the value that Qigong brings to the Western world,responding to medical,creative and spiritual needs,and proposes a cultural approach to its dissemination that can encompass all its facets.In the current growth of China's soft power and the implementation of the Belt and Road Initiative,there is a clear opportunity for the development of traditional Chinese medicine (TCM) and Qigong abroad that shall bear fruit in the near future,gradually shifting the role of China in the world stage:from a manufactured products supplier to a major influence in culture,lifestyle and thought.