2000—2006年《中国针灸》杂志中RCT报告质量的评价

评价《中国针灸》杂志中随机临床试验(RCT)报告的质量。手工检索2000—2006年《中国针灸》,筛选RCT文章,并对其采用《针灸随机临床试验报告资料提取表》进行质量评估。共纳入686篇RCT文章,其方法学质量和国际标准相比有较大差距。仅有1篇RCT对试验流程进行描述;对其他影响RCT报告质量的内容报告也较少,如医师资历(3.06%)、不良反应(4.23%)、盲法(5.98%)、随访(14.43%)。结果表明针灸RCT在试验设计、实施过程和报告方面有待改进。

2000--2006年《中国针灸》论文质量分析

目的：了解《中国针灸》7年论文质量，为该刊的发展提供帮助。方法：以该刊2000—2006年刊载的论著类文献作为调查对象，分析论文信息质量。结果：①作者来源以医药院校及其附属医院（含科研单位）为主，占61．0％。②篇作者数量以2～3人为主，占40．0％。③7年基金项405项，占总论文数的26．2％，其中以省部级为主。④出版时滞逐年缩短，2006年平均为210．5天，7年平均出版时滞为255．3天。⑤临床研究类论文RCT比率为30．4％，且呈逐年上升趋势。结论：该刊在前4项中均具有相当的优势，凸显了其“核心期刊”的高质量内涵，但RCT的比例有待进一步提高。

追本溯源,内外兼修——评张树剑《中国针灸思想史论》

针灸既是传统技术,又是现代学科,如何认识其历史真实以及如何面对现代挑战,都是当前的重要课题。张树剑的新作《中国针灸思想史论》一方面对针灸的基本概念的起源及其演变进行了详细的探讨,理清了针灸理论传统与现代之间的关系,同时回答了针灸科学化面临的问题。同时,本书有勇气打破惯性的理论框架,指出了理论与实践之间的矛盾。另外,学术史和理论史的研究,会受到社会文化思潮、政治变革以及各种外在因素的影响,本书内史与外史相结合的写作也是正是当前学界所关注的重要视角。

80 CASES OF PERIPHERAL FACIAL PARALYSIS TREATED BY ACUPUNCTURE WITH VIBRATING SHALLOW INSERTION

Eighty cases of peripheral facial paralysis were treated by acupuncture with vibrating shallow insertion. The total effective rate was 98.75% and cure rate 88.75%. There was no significant difference in therapeutic effect as compared with the conventional electroacupuncture method (P > 0.5), suggesting that shallow puncture by vibratings can also yield satisfactory therapeutic results.

RECIPROCAL ACTIONS OF ACUPOINTS ON GASTROINTESTINAL PERISTALSIS DURING ELECTROACUPUNCTURE IN MICE

Orthogonal design was used to observe the gastrointestinal peristalsis in normal andatropine-treated mice after electroacupuncture was applied,singly or in combination,atNeiguan(P 6),Pishu(UB 20)and Zusanli(St 36).The results showed that:1)electroacupuncture has no significant effect on the gastrointestinal peristalsis in normalmice;2)Pishu(UB 20)was significantly antagonistic to Zusanli(St 36)in normal mice;3)the decreased gastrointestinal peristalsis in atropine-treated mice was markedly promotedby electroacupuncture at Zusanli(St 36);and 4)Neiguan(P 6)was significantlyantagonistic to Pishu(UB 20)in atropine-treated mice.The results indicated that thereciprocal actions among acupoints should be taken into consideration for pointprescription.

A SURVEY ON ACUPUNCTURE TREATMENT OF PERIPHERAL NERVE INJURY

By peripheral nerve injury, we mean theloss of neurosensory and neuromotor functionsinduced by various causative factors,manifesting paralysis of the limbs andmuscular atrophy. It falls into the category ofinjury of the muscle and tendon, and flacciditysyndrome in TCM. The following is asummary of documents in the recent 20

OBSERVATION ON FREQUENCY SPECTRUM OF ELECTROGASTROGRAM (EGG) IN ACUPUNCTURE TREATMENT OF FUNCTIONAL DYSPEPSIA

Functional dyspepsia is a frequently-encountered clinical syndrome, characterized by fullness and pain in the upper abdomen, belching, sour regurgitation, anorexia, nausea, vomiting, without organic pathologic change, metabolic or psychic diseases. It is closely related with disturbance of gastric motility. Our previous study has indicated that acupuncture has marked therapeutic effects on disturbance of gastric motility. In the present paper, analysis of time-frequency spectrum of EGG was used as indexes, and the clinical therapeutic effects of acupuncture treatment on functional dyspepsia were assessed objectively. The results are reported in the following.

Comparative literature study between investigations in foreign Science Citation Index journals and Chinese core domestic journals in the treatment of low back pain with acupuncture

OBJECTIVE： To investigate the quality and meth- ods of clinical research literature published in for- eign Science Citation Index （SCI） journals studying the treatment of low back pain with acupuncture. To conduct a comparative study with clinical re- search literature published in Chinese core domes- tic journals, and to understand the prospects of cur- rent research trends of acupuncture clinical studies in Western countries and China. METHODS： Studies on clinical acupuncture treat- ment of low back pain in English SCI journals and four Chinese core domestic journals dated from 2002 to 2012 were sourced and summarized for this study. Objective analysis and evaluation on the differences in subject and scope of study on low back pain by foreign and Chinese researchers were conducted. RESULTS： Forty-seven English studies and 115 Chi- nese studies met our inclusion criteria. A keyword search revealed different kinds of low back pain re- lated conditions in English and Chinese studies. The English studies were broad in scope, while the Chinese studies were more focused. There were al-so differences in the understanding and definition of concepts and study orientation. CONCI.IJSION： More study should be undertaken to understand the contradictions that acupuncture faces in view of modern research to further ad- vance the field.

Comparison of clinical effectiveness of acupuncture and a Western drug on allergic rhinitis:study protocol for a randomized controlled trial

OBJECTIVE： To compare the efficacy of an acu- puncture regimen for persistent allergic rhinitis （PER）, aimed at improving a patient＇s mind or Shen in Traditional Chinese Medicine, to that of a sec- ond-generation H-receptor antagonist, cetirizine hydrochloride. METHODS： This multicenter, randomized, con- trolled clinical trial on PER will be conducted at three institutions in China. The total study period will be 9 weeks. After a 1-week preparatory screen- ing period, 240 eligible participants with PER willbe randomized to receive acupuncture or pharma- cotherapy （1： 1） for 4 weeks with a 4-week fol- low-up. The primary outcome will be changes in 7-day average total nasal symptom score. Second- ary outcome measures include rhinoconjunctivitis quality of life questionnaire score and total non-na- sal symptom score. RESULTS： The presence and seriousness of psycho- logical and emotional impairments should be con- sidered in therapeutic programs for allergic rhinitis. No clinical trial for treating allergic rhinitis via acu- puncture regulation of psychological and emotion- al activities has been reported. CONCLUSION： The findings of the trial will allow us to determine the effects of the mind （Shen）-regula- tion treatment approach. We will also be able to confirm if the effects of acupuncture are equivalent to those of the conventional drug cetirizine hydro- chloride.

Research Advance and Prospects of Evidence-Based Acupuncture Science in China

Acupuncture is a traditional empirical medicine, and evidence-based medicine（EBM） is a new medical method and development of the empirical medicine. Since 1990s, Chinese acupuncture workers began to absorb and use the methods and principles of EBM to guide acupuncture clinical research and practice. Now more and more domestic acupuncture clinicians use and follow the methods and principles of EBM. On the systemic review of acupuncture-associated articles in Cochrane library, previously effective acupuncture therapy lacks adequate evidences, which may be related to the low quality of randomized controlled trials（RCTs）. In the future, only developing specialized team of acupuncture clinical research and clinical research center can radically elevate the levels of acupuncture clinical research and evaluation. Meanwhile, developing China＇s evidence-based acupuncture should base itself on the characteristics of acupuncture, such as emphasis on original research in ancient books, high-quality single RCTs and systemic review of non-randomized researches.

What is the Role of Chinese Medical Theory in Modern Scientific Research

Defining the classical Chinese diagnosis such as by the Heidelberg model of TCM has shown that outcome of studies is largely dependent on classical diagnostic criteria. The quality of future studies in TCM will largely depend on a variety of factors, such as （1） the classical Chinese diagnosis as an inclusion criterion, （2） objectively measurable parameters as the main criterion of outcome, （3） double blinding of controls. A common understanding of the diagnosis and functional criteria of TCM is therefore necessary, as well as a common understanding of the functional terminology and rationally accessible theory. This underlines the necessity of classical Chinese medical theory for modem scientific research, its proper definition and application in studies.

Different manual manipulations and electrical parameters exert different therapeutic effects of acupuncture

Acupuncture is an important component part of Traditional Chinese Medicine(TCM). The therapeutic effects may be influenced by a variety of factors.Stimulation quantity is one of the factors for achieving good therapeutic effects in acupuncture practice. With the development of science and technology, besides the influence of manual manipulations, the parameters adopted for electroacupuncture have become the benchmark of stimulation quantity. This study, by referring to the related literatures, is designed to explore the influence of manual manipulations and electrical parameters on therapeutic effects of acupuncture. The results from the present study show that different manualmanipulations and electrical parameters may exert different therapeutic effects of acupuncture, which are closely related to the characteristics of diseases.Different manual manipulations and electrical parameters should be adopted according to syndrome differentiation of TCM. This is very important in acupuncture treatment.

WFAS-CACMS-CAAM-ETCMA acupuncture experts forum was held

The WFAS-CACMS-CAAM-ETCMA acupuncture experts forum was held in China Academy of Chinese Medical Sciences on 7 September,2017.Gerd Ohmstede,Taina Alakulppi,Yves Giarmon,Guy Polak,Philip Rose-Neil,Judy James,Paddy McBride, David Miller from the European Traditional Chinese Medicine Association （ETCMA）, LIU Bao-yan, YANG Jin-sheng, YU Xiao-chun, LIU Wei-hong, HE Li- yun, ZHAO Hong, SONG Li, YANG Yu-yang, TAN Yuan-sheng, LIU Jiafrom The World Federation of Acupuncture-Moxibustion societies （WFAS）, China Academy of Chinese Medical Sciences （CACMS） and China Association ofAcupuncture-Moxibustion （CAAM） attended the meeting.

Selected Study on Zhao Cui-ying’s Moxibustion Methods

Zhao Cui-ying, researcher, female, born in 1940, doctoral supervisor, is an instructor at the research studio of Shanghai famous and senior Chinese medical practitioners＇ academic experience, used to enjoy the special allowance of State Council. She graduated in 1964 from the Department of Medicine, Shanghai Second Medical University, and at the same year came to work in Shanghai Research Institute of Acupuncture and Meridian up to today, used to be a director of the Immunology Research Room of Shanghai Research Institute of Acupuncture and Meridian, and a consultant of Grade 3 Laboratory of Acupuncture Immunology of State Administration of Traditional Chinese Medicine, and is a vice chairwoman and deputy secretary general of Shanghai Professional Committee for the Respiratory Diseases of Integrated Chinese and Western Medicine. Zhao Cui-ying has been engaged in the clinical, research and teaching work in the field of immune-related diseases treated by acupuncture and moxibustion for over 40 years, with abundant and distinguished experience, has undertaken over 10 state and provincial subjects and offered many important viewpoints in the research of acupuncture treatment of immune-related diseases, and has obtained several scientific and technological achievements, and published totally 80 academic papers, and has been honored with 10 awards, including 6 provincial awards. As a tutor or instructor, she has trained 7 doctoral students and 16 master students.