筋骨疗伤膏联合补肾接骨汤对老年下肢骨折术后肿胀及Wnt/β-catenin信号通路的影响

目的探讨筋骨疗伤膏联合补肾接骨汤对老年下肢骨折患者术后肿胀及典型Wnt/β-链蛋白(Canonical Wnt/β-catenin pathway,Wnt/β-catenin)信号通路的影响。方法收集2021年1月—2022年7月在医院骨外科进行诊治的下肢骨折患者92例,随机数字法分为试验组(46例)及对照组(46例)。所有受试者予以切开复位内固定术,对照组术后接受常规康复手段和热水泡脚,试验组在对照组的基础上予以筋骨疗伤膏联合补肾接骨汤。对比两组临床恢复情况、肿胀程度、疼痛评分、血液流变学指标、Wnt/β-catenin信号通路血清蛋白水平、骨痂生长情况及不良反应。数据结果应用统计学软件SPSS 19.0加以处理。结果与对照组相比,试验组完全负重锻炼、骨折愈合时间缩短,骨折延迟愈合率较低(P<0.05)。与治疗前相比,两组治疗后肿胀程度、疼痛评分均明显降低(P<0.05),与对照组相比,试验组患者肿胀程度、疼痛评分较低(P<0.05)。与治疗前相比,两组治疗后β-catenin升高,β-Ⅰ型胶原羧基端肽(βisomer of C-terminal telopeptide of type Ⅰ collagen,β-CTX)及总Ⅰ型胶原氨基端延长肽(total type Ⅰ collagen amino terminal extender peptide,T-PINP)水平均明显降低(P<0.05),与对照组相比,试验组β-catenin水平较高,β-CTX及T-PINP水平较低(P<0.05)。与治疗前相比,两组骨痂量评分、骨痂密度评分均明显升高(P<0.05),与对照组相比,试验组治疗后骨痂量评分、骨痂密度评分较高(P<0.05)。与对照组相比,试验组并发症发生率较低(P<0.05)。结论通过筋骨疗伤膏联合补肾接骨汤可减轻老年下肢骨折患者的肿胀及疼痛程度,改善血液微循环,其治疗机制可能与调节Wnt/β-catenin信号通路具有密切相关性。

林定坤以“筋骨并重”理念干预青少年轻度特发性脊柱腰段侧弯

青少年轻度特发性脊柱腰段侧弯主要伴随脊旁肌肉的薄弱及脊椎椎体旋转,筋骨失衡。林定坤教授以"筋骨并重"理念为基础,以"筋伤-节错-骨偏"轴为纲要,干预以"疗筋-调节-稳骨"为法。"疗筋"主要运用"鱼摆手法"放松腰背部肌肉。调整"节错"需要格外注意椎体旋转偏向情况,可结合Nash-Moe椎体旋转分级法观察,采用弓步转身探手和俯卧向后伸腿方法,着重利用对侧腰大肌,通过其对椎体及横突的拉力,将旋转的椎体尽可能地拉回原位,缓解引起侧弯的关键问题,调整侧歪情况。"稳骨"主要是锻炼腰段肌肉,采用仰卧交替直蹬腿和双足并腿直抬高等锻炼方式。配合后期体态锻炼,达到"筋强骨正"的目的,以综合疗法干预青少年轻度特发性脊柱侧弯。

Influence of muscle regions of meridians needling method combined with auricular point sticking on pain and range of motion in patients with chronic nonspecific low back pain

Objective:To observe the effects of muscle regions of meridians needling method combined with auricular point sticking on pain and lumbar range of motion in patients with chronic nonspecific low back pain.Methods:A total of 100 patients with chronic nonspecific low back pain were randomly divided into a control group and an observation group,with 50 patients in each group.Both groups received auricular point sticking treatment,while the control group received additional conventional acupuncture treatment,and the observation group received additional muscle regions of meridians needling method.The total effective rate of the two groups was compared after 4 weeks of treatment.Before treatment and after 1 week and 4 weeks of treatment,the visual analog scale(VAS)score was used to assess the degree of low back pain,and the modified-modified Schober(MMS)score was used to evaluate the lumbar range of motion.Results:There was statistical significance in comparing the total effective rate between the two groups(P<0.01).During the treatment process,as the number of treatments increased,the VAS score gradually decreased,and the MMS score gradually increased in both groups.After 1 week and 4 weeks of treatment,the VAS score in the observation group was lower than that in the control group(P<0.01),and the MMS score in the observation group was higher than that in the control group(P<0.01).During the treatment period,no serious adverse reactions occurred in either group.Conclusion:Based on auricular point sticking treatment,muscle regions of meridians needling method is more effective than conventional acupuncture in treating chronic nonspecific low back pain since it is able to significantly reduce the pain and improve the lumbar range of motion.

Sinew-bone three-needle therapy and myofascial power zones following the fourteen meridian-sinew

＂Sinew-bone three-needle therapy＂ was introduced in the paper. The innovation of needle instrument was micro Sinew-bone needles and big Sinew-bone needles; the Innovation of acupuncture techniques were fascia rotating separation, fascia plucked separation, fascia cutting separation, fascia fan separation, flying flicking therapy, and fascia knocking and pricking. The six myofascial power zones i.e three yang hand meridian, three yin hand meridian, three yang foot meridian, three yin foot meridian, conception vessel and governor vessel were put forward. The meridian-sinew flow and move, connecting at the peks of bones where the bones protrude, the sinews connect, movement and stillness harmoniously shift here. Bones have leaks on the sides, there are blood vessels and nerves. Joints peak and protrude, and three points meet. Fascia and muscles meet in a balanced triangle. Meridiansinew knot and form nodes, when soft tissue is damaged there is pain here. Needling manipulation can loose and break this apart, the sinew connection is the key. Treatment method was invented and the location and treatment points using the three needles were summarized.

Efficacy observation on acupuncture plus moving cupping with compound white mustard oil for lumbar myofascitis

To observe the clinical effect of acupuncture plus moving cupping with white mustard oil to treat lumbar myofascitis. Methods： A total of 90 patients with lumbar myofascitis who met the inclusion criteria were randomly divided into an observation group and a control group, 45 cases in each group. The observation group received acupuncture and moving cupping with white mustard oil; the control group received acupuncture plus warm needling treatment. The treatment was given twice a week for a total of 4 weeks. The visual analog scale （VAS） and Chinese version of Roland-Morris disability questionnaire （RMDQ） score of pain before the treatment, and respectively after 1-week and 4-week treatment were recorded for efficacy evaluation. Results： After 4 weeks of treatment, the difference in total effective rate between the two groups was not significantly （P〉0.05）. After i week of treatment, there was no significant difference in VAS score between the two groups （P〉0.05）. After 4 weeks of treatment, the VAS score of the observation group was lower than that of the control group, and there was a significant difference between the two groups （P〈0.05）. After 4 weeks of treatment, the Chinese version of RMDQ scores of both groups were significantly decreased, there were statistical differences in comparing with those before treatment （both P〈0.05）. After treatment for 1 week and 4 weeks, the Chinese version of RMDQ score in the observation group was lower than that in the control group, with significant differences between the two groups （all P〈0.05）. Conclusion： Acupuncture plus moving cupping and acupuncture plus warm needling both can relieve the pain of patients with lumbar myofascitis, improve the function of back muscles, while the curative effect of acupuncture plus moving cupping is better.

Treatment of 72 Lumbodorsal Myofascitis Cases by Muscle-region Alignment Acupuncture plus Movable Cupping

Seventy-two patients were treated by alignment acupuncture along the FootYaiyang muscle region plus movable cupping. After two courses of treatment, cure occurred in 60 cases, improvement in 8 cases and ineffectiveness in 4 cases, with a total efficacy rate of 94.4%.

Evaluation of the clinical efficacy of muscle regions of meridians needling method for refractory facial paralysis based on infrared thermal imaging technology

Objective To explore the clinical efficacy of muscle regions of meridians needling method for refractory facial paralysis affecting different locations.Methods A total of 110 participants were randomized into an observation group and a control group,with 55 cases in each group.The observation group was treated with muscle regions of meridians needling method,and the control group was treated with conventional facial three-line needling method.The clinical efficacy was evaluated four weeks after the treatment.And the infrared imaging spectra of the two groups were examined.Results The total effective rate of the observation group was higher than that of the control group(P<0.05),and its curative effect for refractory facial paralysis located above the geniculate ganglion was better than that of the control group(P<0.05).The color scale distribution of different disease locations in the two groups varied significantly(P<0.05),the higher the disease location,the higher the occurrence rate of cool zone and low temperature zone.After treatment,the reductions of the facial and periotic temperature difference between the healthy side and the affected side in the observation group were statistically different from those in the control group(P<0.05).Conclusion Muscle regions of meridians needling method has a better effect than facial three-line needling method for refractory facial paralysis.It can promote the microcirculation of the affected side of the face,improve the blood and oxygen supply to local tissues,and thus promote the repair of the peripheral facial nerve.

Clinical observation on muscle regions of meridians needling method in improving upper limb function for children with cerebral palsy of spastic hemiplegia type

Objective:To observe the improving effect of muscle regions of meridians needling method on the upper limb function in children with cerebral palsy of spastic hemiplegic type.Methods:A total of 100 children with cerebral palsy of spastic hemiplegia type were divided into a treatment group and a control group according to the visiting sequence,with 50 cases in each group.The control group was treated with conventional rehabilitation plus conventional acupuncture treatment.The treatment group was treated with conventional rehabilitation plus muscle regions of meridians needling method.The electromyography(EMG)signal values of triceps brachii and pronator teres were detected before treatment,and 3 months and 6 months after treatment.The clinical efficacy was evaluated by Peabody developmental motor scale-fine motor(PDMS-FM)and fine motor function measure(FMFM).Results:Three and six months after treatment,the EMG signal values of triceps brachii and pronator teres,grasping scores and visual-motor integrated scores of PDMS-FM and the FMFM scores in both groups increased to varying degrees compared with the same group before treatment,and the intra-group differences were all statistically significant(all P<0.05).Six months after treatment,the results of the above three items in the treatment group were all better than those in the control group,and the differences between the groups were statistically significant(all P<0.05).Conclusion:Muscle regions of meridians needling method added on the basis of conventional rehabilitation can effectively reduce the muscle tone of upper limb and enhance the muscle strength,and improve the upper limb function in children with cerebral palsy of spastic hemiplegia type.The efficacy is superior to that of the conventional rehabilitation plus conventional acupuncture treatment.

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.

Acupuncture at the superficial fascia for 48 cases of cervical type of cervical spondylosis

Objective To observe the clinical efficacy of acupuncture at the superficial fascia for cervical type of cervical spondylosis. Methods Acupuncture at the superficial fascia was carried out for 48 patients with cervical type of cervical spondylosis by selecting the tender points on both sides of the cervical vertebral body and on the neck and shoulders. The treatment was conducted for once a day and treatment for 5 times was considered as 1 course of treatment. Two days were free from treatment between courses, and 3 courses were needed in total. The scores of McGill pain questionnaire [MPQ, including three indexes： Pain rating index （PRI）, Visual analogue scale （VAS） and Present pain intensity （PPI） ] of patients before and after treatment were compared, therapeutic effct of cervical type of cervical spondylosis was evaluated. Results According to the comparison before and after treatment, the scores of PRI （29.44±9.26 vs13.15±7.04）, VAS （5.63±2.73 vs 1.23±1.15）, and PPI （3.00±1.24 vs 0.38±0.49） of patients with cervical type of cervical spondylosis reduced significantly （all P〈0.05）, indicating that the differences were statistically significant. Among 48 cases, cured 40 cases （83.33%）, markedly effective 4 cases （8.34%）, effective 3 cases （6.25%）, ineffective i case （2.08%）. The total effective rate was 97.92% （47/48）. Conclusion The curative effect of acupuncture at the superficial fascia for cervical type of cervical spondylosis was satisfactory.

Effect of meridian sinew row needling combined with dermal needling on spasticity of post-stroke patients with upper limb hemiparalysis: a multi-center randomized controlled trial

Objective To explore the effect of meridian sinew row needling combined with dermal needling on spasticity of post-stroke patients with upper limb hemiparalysis. Methods Four hundred and eighty-eight cases of post-stroke patients with upper limb spasticity were randomly divided into two groups at the ratio of 1： 1, the group of meridian sinew row needling combined with dermal needling （group A, 244 cases） and western medication group （group B, 244 cases）. Coupled with rehabilitation, the patients in the group A were given meridian sinew row needling combined with dermal needling where five shu points were specifically selected, and three yang meridians of the hand were treated with acupuncture with muscle region, and three yin meridians of the hand were treated with dermal needles; the patients in the group B was treated with conventional western medication with piracetam injection and cerebroprotein hydrolysate included. Clinical efficacy was evaluated among patients in the two groups after three weeks of continuous treatment, and upper limb spasticity and motor functions were observed through modified Asworth Scale and FugI-Meyer Assessment Scale （FMA） before and after treatment. Results For Asworth Scale, group A was significantly superior to group B （3.04 ± 1.29 vs 3.88 ± 1.54, P〈0.05）; for FMA scale, group A was also significantly superior to group B （48.67± 15.64 vs 42.96±14.72, P〈0.05）; mitigations of motor status of upper limb joints in group A, such as remission of shoulder adduction （90.5%）, pronation of forearm （70.7%）, elbow joint flexion （73.1%）, wrist joint flexion （80.9%） and finger flexion （88.1%）, were superior to those of group B （70.0%, 60.0%, 61.9%, 57.4%, 63.2%, all P〈0.05）. Conclusion Good clinical efficacy of the treatment with combined with dermal needling on spasticity of post-stroke patients with upper limb hemiparalysis is achieved.

Clinical Study on Treatment of Myofascial Pain Syndrome with Ashi Points

Objective： To investigate the clinical efficacy of Ashi points in the treatment of myofascial pain syndrome. Method： A hundred and fifty cases were randomized into a treatment group and a control group by the order of visit. The cases in the treatment group were treated with ＂Stuck Needle＂ method in Ashi points plus tuina manipulations. The cases in the control group were treated with external local application of Votalin. The cases in both groups were treated once a day and 10 times made up one course. Results： Among 90 cases in the treatment group, 18 got clinical recovery, 34 got marked effect, 34 got certain effect, the marked effective rate was 57.8% and the total effective rate was 94.4%; while among 60 cases in the control group, 1 got clinical recovery, 18 got marked effect, 15 got certain effect, the marked effective rate was 31.7% and the total effective rate was 73.3%. Statistical management showed P〈0.01, indicating a significantly better effect in the treatment group. In addition, ＂Stuck Needle＂ method in Ashi points plus tuina manipulations can effectively improve local pain, tenderness, muscle spasm and motion range of joints, and can obtain significantly better effect for muscle spasm and motion range of joints. Conclusion： This therapy is safe, reliable and effective, and therefore worth spreading for clinical application.

Observation on the Efficacy of Acupuncture plus Tuina in Treating 102 Patients with Myofascitis

Objective： To investigate the efficacy of horizontal acupuncture with sticking needles plus plucking manual technique in treating scapular, dorsal and lumbar myofascitis. Methods： One hundred and seventy-eight patients with scapular, dorsal and lumbar myofascitis were randomly allocated to observation group treated by horizontal needling with sticking needles plus plucking manual technique and control group treated by perpendicular acupuncture at the pain point. Results and conclusion： The cure rate, and the total effective rate in the observation group were 69.6%, and 100%0 respectively and those in the control group were 13.1%, and 82.5% respectively. Statistical analysis showed a very significant difference in curative effect between the two groups （P〈0.01）, indicating that the effect was significantly better in the observation group than in the control group.