ACUPUNCTURE TREATMENT OF 36 CASES OF IRRITABLE BOWEL SYNDROME

In the present study, 36 cases of irritable bowel syndrome were treated by acupuncturing some acupoints selected according to differentiation of syndromes of traditional Chinese medicine.After 10 - 30 sessions of treatment, 35 cases were cured and the rest one case had improvement, with the effective rate being 100 %.

俞募穴埋线治疗卵巢早衰疗效观察

目的:观察肝脾肾之俞募穴埋线治疗卵巢早衰的临床疗效。方法:将132例卵巢早衰患者随机分成埋线组和药物组,每组各66例。埋线组给予肝脾肾之俞募穴埋线治疗;药物组采用激素替代疗法,即口服戊酸雌二醇(补佳乐)2 mg,每日1次,连服20天,10天后加服安宫黄体酮4 mg,每日2次,连服10天,平均用药6个月。观察2组疗效及血清促卵泡激素(FSH)和雌二醇(E2)变化。结果:2组治疗后血清FSH和E2均有显著改善(P<0.01),且埋线组血清E2提高较药物组显著(P<0.01)。埋线组痊愈率为84.9%,总有效率为97.0%;药物组分别为31.8%、84.8%。埋线组痊愈率优于药物组(P<0.05)。随访10个月,埋线组疗效可维持。结论:肝脾肾之俞募穴埋线治疗卵巢早衰疗效好,无任何毒副作用,值得临床推广应用。

针刺风池、天柱对椎-基底动脉供血不足的影响

目的评价针刺风池、天柱穴对椎-基底动脉供血不足(VBI)的临床疗效。方法将116例VBI患者随机分为两组,治疗组58例采用针刺风池、天柱穴治疗,对照组58例采用口服尼莫地平治疗。观察治疗前后临床症状及经颅多普勒超声检测左椎动脉、右椎动脉、基底动脉平均血流速度的变化情况。结果治疗组的总有效率为89·66%,对照组的总有效率为86·21%。针刺治疗对改善症状及改善椎-基底动脉平均血流速度有显著的疗效,并优于尼莫地平组(P<0·05)。结论针刺风池、天柱穴治疗椎-基底动脉供血不足疗效显著。

基于数据挖掘探讨穴位埋线治疗肥胖型多囊卵巢综合征的选穴规律

目的:系统收集并整理穴位埋线治疗肥胖型多囊卵巢综合征的文献,采用数据挖掘分析穴位埋线治疗肥胖型多囊卵巢综合征的选穴规律。方法:以"穴位埋线""肥胖型多囊卵巢综合征"为主题词检索中国知网、维普、万方和pubmed数据库,检索时间均为建库至2019年9月4日,初步纳入192篇文献,经剔除后纳入48篇文献。结果:选穴频次依次为:天枢、关元、丰隆、三阴交、脾俞。经脉频次依次为:足阳明胃经、任脉、足太阳膀胱经、足少阳胆经、足太阴脾经。特定穴中以交会穴、募穴、俞穴、五输穴、八会穴居多。取穴部位多集中于胸腹部和下肢。结论:穴位埋线治疗肥胖型多囊卵巢综合征常用穴位为天枢、关元、丰隆、三阴交、脾俞,主要集中在胃经、任脉、膀胱经上,穴位位于胸腹部和下肢。

针刺治疗椎-基底动脉供血不足疗效观察

目的观察针刺项后9穴为主治疗椎-基底动脉供血不足的临床疗效。方法将100例椎-基底动脉供血不足患者随机分为治疗组和对照组,每组50例。治疗组采用针刺风府、风池、完骨、天柱、C3夹脊穴治疗,对照组采用口服尼莫地平片治疗。观察两组治疗前后TCD各项指标及眩晕评定量表的评分系统(DARS)平均评分,并比较两组临床疗效。结果治疗组治疗后TCD各项指标与同组治疗前比较,差异均具有统计学意义(P<0.05)。对照组治疗后TCD相关指标[Vs(RVA)、Vd(BA、LVA)、Vm(BA、RVA)、PI(BA)]与同组治疗前比较,差异均具有统计学意义(P<0.05)。治疗组治疗后TCD相关指标[Vs(BA、LVA、RVA)、Vd(BA、RVA)、Vm(BA、LVA)、PI(BA)]与对照组比较,差异均具有统计学意义(P<0.05)。两组治疗7 d后DARS平均评分与同组治疗前比较,差异均具有统计学意义(P<0.01)。两组治疗后DARS平均评分与同组治疗7 d后比较,差异均具有统计学意义(P<0.01)。治疗组治疗7 d后及治疗后DARS平均评分与对照组比较,差异均具有统计学意义(P<0.01)。治疗组愈显率和总有效率分别为76.0%和98.0%,对照组分别为44.0%和96.0%。两组愈显率比较,差异具有统计学意义(P<0.05)。结论针刺项后9穴是一种治疗椎-基底动脉供血不足的有效方法。

Clinical research on insomnia treated by acupuncture at back-shu points

Objective To observe the clinical therapeutic effect on insomnia treated with acupuncture at back-shu points. Methods Sixty-four cases of insomnia were selected and divided randomly into a back-shu points group （group A） and a conventional acupoints group （group B） by a computer generated allocation list, 32 cases in each one. In the trial group, acupuncture was applied at xinshu （心俞 15）, Ganshu （刊俞 18）, Pishu （脾俞 BL 20） and Geshu （膈俞 BL 17）. In the control group, acupuncture was applied conventionally to Neiguan （内关 PC 6）, Shenmen （神门 HT 7）, Sanyinjiao （三阴交 SP 6）, Baihui （百会 GV 20） and Sishencong （四神聪 EX-HN 2）. Ten treatments made a session. The efficacy was analyzed statistically after 3 sessions of treatment. Results There were significant differences between the two groups in the relief of sleep disorders after the treatment （P〈0.O2）. The improvement in sleep efficiency was different significantly （P〈0.05）. The difference in sleep difficulty was significant in Chinese medicine （TCM） symptom score （P〈0.05）. Conclusion The clinical efficacy is achieved by either acupuncture at back-shu points or by acupuncture at conventional acupoints. The improvements of sleep efficiency and sleep disorder scores in PSO.I, and sleep difficulty in TCM as well as the long-term efficacy are superior in group A as compared with those in group B.

Clinical observation on acupoint injection for back pain in patients with primary osteoporosis

Objective:To observe the clinical efficacy of acupoint injection with salmon calcitonin for back pain in elderly patients with primary osteoporosis.Methods:A total of 76 patients were selected and randomly divided into two groups by the random number table method,with 39 cases in the treatment group and 37 cases in the control group,respectively.Patients in both groups received routine anti-osteoporosis treatment.Patients in the treatment group received additional acupoint injection with salmon calcitonin at bilateral Pishu(BL 20)and Shenshu(BL 23),while patients in the control group received additional intramuscular injection with salmon calcitonin.The treatments for both groups were given once a day and lasted for 4 weeks.Visual analog scale(VAS)and Chinese Oswestry disability index(CODI)scores were observed before treatment,after 2 weeks and 4 weeks of treatment,and the use of analgesics during the treatment were recorded.Results:After treatment,the clinical efficacy in the treatment group was more significant than that in the control group(P<0.05).After 2 weeks and 4 weeks of treatment,the VAS scores in both groups showed significant intra-group and between-group differences(all P<0.05),and the CODI scores in both groups showed significant intra-group differences(all P<0.05).After 2 weeks of treatment,the CODI score showed no significant between-group difference(P>0.05).After 4 weeks of treatment,the improvement of CODI score in the treatment group was more significant than that in the control group(P<0.05).During the treatment,2 cases in the treatment group took analgesics versus 8 cases in the control group,and the result showed a significant between-group difference(P<0.05).Conclusion:For back pain in elderly patients with primary osteoporosis,based on the routine treatment of oral medication,the clinical efficacy of acupoint injection with salmon calcitonin at bilateral Pishu(BL 20)and Shenshu(BL 23)is more significant than that of intramuscular injection.Acupoint injection treatment can improve patients'conditions and reduce the use of analgesics.

电针“胰俞”穴对2型糖尿病大鼠HPA轴相关激素的影响

目的：观察电针“胰俞”穴对2型糖尿病（T2DM）大鼠的干预效果，为针灸治疗糖尿病提供实验依据。方法：70只雄性Wistar清洁级大鼠中随机选取8只作为对照组，余制造T2DM模型，将造模成功的52只大鼠按随机区组原则分为模型组（10只）、药物组（10只）、电针肾俞组（11只）、电针脾俞组（10只）和电针胰俞组（11只）。于造模成功后第7天，模型组将大鼠固定于自制鼠袋中，不进行任何处理；药物组按大鼠体质量以格列美脲（10mL／kg）灌胃；各电针组分别取双侧“肾俞”、“脾俞”、“胰俞”穴电针治疗，选用连续波，频率15Hz，电流强度4～6mA。均20min／次，1次／日，5次／周，连续4周。于造模前及干预后连续4周，各组大鼠尾静脉采血，采用快速血糖仪法每周测量空腹血糖（FBG）；末次干预结束，处死大鼠取血，取下丘脑、垂体和肾上腺，采用比色法测定甘油三脂（TG）、胆回醇（TC）、高密度脂蛋白（HDL-C）和低密度脂蛋白（LDL-C）含量，放免法测定糖化血清蛋白（GSP）、胰岛素（FINS）、下丘脑促肾上腺皮质激素释放激素（CRH）、垂体促肾上腺皮质激素（ACTH）和肾上腺皮质激素（CORT）含量。结果：干预4周后，除正常组大鼠体质量持续上升，模型组、药物组和各电针组大鼠体质量均显著减轻（P〈0．01，P〈0．05）；与模型组相比，电针脾俞组和电针胰俞组FBG明显降低（P〈0．05，P〈0．01），电针胰俞组FBG均明显低于药物组和电针肾俞组（均P〈0．05）；电针胰俞组血清中TG、HDL-C、LDL-C水平较模型组降低（P〈0．05，P〈0．01），TG水平均明显低于药物组和电针肾俞组（均P〈0．05，P〈0．01），LDL—C水平明显低于电针肾俞组（P〈0．05）；药物组、电针脾俞组和电针胰俞组胰岛素敏感性指数（ISI）较模型组明显升高（P〈0．05，P〈0．01），药物组ISI明显低于电针胰俞组（P〈0．05）；电针胰俞组CRH水平低于药物组和电针肾俞组（P〈0．05，P〈0．01），电针胰俞组CORT水平低于药物组和电针脾俞组（均P〈0．05）。结论；电针胰俞穴可能通过降低CORT的水平而改善T2DM大鼠胰岛素抵抗、提高其胰岛素敏感指数、调节其血脂代谢水平，并缓解下丘脑-垂体-肾上腺轴（HPA轴）的亢进。