推拿并超声波结合中药离子导入治疗髌下脂肪垫劳损临床研究

目的:观察推拿并超声波结合中药离子导入治疗髌下脂肪垫劳损的疗效,探讨治疗该病的较佳方法。方法:2000年12月至2008年12月,采用推拿并超声波结合中药离子导入的方法治疗80例原发性髌下脂肪垫劳损患者,随机分为治疗组和对照组各40例。其中治疗组男22例,女18例;平均年龄(63.15±8.10)岁,平均病程(6.84±3.50)年。对照组男23例,女17例;平均年龄(62.63±8.20)岁,平均病程(6.59±3.70)年。治疗组采用推拿并超声波结合中药离子导入治疗,对照组采用推拿并超声波方法进行治疗,分别于治疗前后采用活动痛(VAS评级法)和压痛记分法进行指标评估,观察比较两组疗效并进行统计学处理。结果:治疗组显效12例,有效17例,好转9例,无效2例;对照组显效8例,有效15例,好转8例,无效9例。治疗组的综合疗效优于对照组(P<0.05)。治疗组治疗前后VAS评分分别为(7.92±2.21)、(2.16±1.87)分,治疗前后压痛评分分别为(3.01±0.63)、(0.86±0.46)分;对照组治疗前后VAS评分分别为(7.71±2.65)、(3.83±2.45)分,治疗前后压痛评分分别为(2.98±0.61)、(1.32±0.52)分。两组治疗前后VAS评分和压痛评分比较差异有统计学意义(P<0.01),以治疗组更好(P<0.01)。结论:推拿并超声波治疗髌下脂肪垫劳损效果良好,同时进行中药离子导入可以显著提高疗效,三种方法联合应用可以相互促进补益,发挥综合治疗作用,是治疗髌下脂肪垫劳损的一种简便易行、经济实用的有效方法。

颈椎保健操配合推拿治疗颈型颈椎病效果观察

目的探讨颈椎保健操配合推拿治疗颈型颈椎病的效果。方法选取2011年3月至2014年3月该院推拿科收治的68例颈型颈椎病患者,按照入院先后顺序将患者分为对照组和观察组各34例。对照组给予推拿治疗,观察组在其基础上联合颈椎保健操。比较两组疗效、治疗前后颈椎功能障碍指数(NDI)评分及视觉模拟评分法(VAS)值。结果观察组的治愈率及总有效率均明显高于对照组,治疗后NDI评分与VAS值均明显低于对照组,差异有统计学意义。结论颈椎保健操配合推拿治疗颈型颈椎病效果良好,有助于改善患者颈部运动功能,一定程度上缓解疼痛。

郑氏推拿在膝关节置换术后康复治疗中的应用效果观察

目的:研究接受膝关节置换术治疗的患者在术后采用中医推拿方式实施康复治疗的临床效果。方法:抽取以往我院收治的接受膝关节置换术治疗的患者30例,将其随机分为对照组和治疗组,平均每组15例。对照组统一安排业界常规的术后康复治疗;治疗组除了实行常规方案,还外加中医推拿方式治疗。结果:治疗组患者在康复治疗前后疼痛程度VAS评分和D-二聚体水平的改善幅度优于对照组;膝关节置换术后康复治疗总有效率高达93.3%,远高于对照组的73.4%;术后住院治疗和膝关节功能所需恢复时间比对照组少;治疗组术后无不良反应,少于对照组的3例。结论:接受膝关节置换术治疗的患者在术后采用中医推拿方式实施康复治疗,能够减少术后不良反应,加快术后恢复速度,在最大程度上控制疼痛,使患者的预后更加理想。

群体心理、情感与认知图景——毕飞宇《推拿》的认知叙述学解读

“群体心理”是英国认知叙述学家艾伦·帕尔默提出的概念。他认为,研究小说人物的传统方法多关注个人视角,而忽略群体视角,因此大力提倡“群体心理”。毕飞宇的小说《推拿》聚焦于盲人这一群体,以全知视角分别进入不同人物的内心,塑造了多位个性鲜明的人物形象。其作品中每个人物的内心呈现,大多是以健全人为参照的盲人群体的心理习惯为背景,个人心理成为盲人群体心理的体现。写到盲人的心理侧面时,也会以其他的群体心理作为参照。《推拿》塑造的盲人群像并非千人一面,又由不同的境况和不同性格体现了盲人的不同类型,呈现了较为全面的盲人的谱系。盲人间的情感纠葛与特定群体心理有关,也与生理缺陷及认知错位有关。

INDIGESTION OF FOOD RETENTION IN CHILDREN TREATED BY ACUPUNCTURE AND MASSAGE

Objective By acupuncture plus massage to treat poor appetite induced by indigestion of food retention in children to restore their normal appetite. Methods 476 cases of indigestion of food retention in children were treated by acupuncture plus massage. Results 385 of the 476 cases were cured, and 91 cases were improved by one treatment with a total effective rate of 100%. Conclusion Acupuncture plus massage provided remarkable therapeutic effects on indigestion of food retention in children.

CLINICAL REPORT ON IMPROVEMENT OF MOBILITY OF AFFECTED SHOULDER JOINT CAUSED BY ACUTE CEREBRAL INFARCTION TREAT-ED WITH ACUPUNCTURE AND MASSAGE

Objective To observe the effects of acupuncture and massage to improve the mobility of affected shoulder joint caused by acute cerebral infarction. Methods 120 cases of acute cerebral infarction were randomized into two groups, named treatment group with acupuncture and massage and control group with western medicine. Acupoint selection of treatment group with acupuncture and massage： Yōngquán （涌泉 KI1）, Láogōng （劳宫 PC8）, Hòuxī （后溪SI3）, Gōngsūn （公孙 SP4）, Fēngchī （风池 GB20）, Jiānyú （肩髃 LI15）, Qūchí （曲池 LI11）, Hégǔ （合谷 LI4）, Huántiào （环跳 GB30）, Zúsānlǐ （足三里 ST36）, Tàichōng （太冲 LR3）, Anterior Oblique Line of Vertex-Temporal and Posterior Oblique Line of Vertex-Temporal. Massage techniques： roll for relax, hold and press, flick and fiddle, and shake. Control group with western medicine was treated with mannitol ＋ low molecular weight dextran ＋ CDP-choline. Results Compared with control group, treatment group could apparently improve the mobility of shoulder joint and lower the injury percentage （P〈0. 01） ; and the therapeutic effect of treatment group is better than that of control group （P〈0. 05） for treating acute cerebral infarction. Conclusion The therapy of acupuncture combined with massage could improve the function of the affected shoulder joint caused by acute cerebral infarction, and enhance therapeutic effect.

Insomnia Due to Deficiency of Both the Heart and Spleen Treated by Acupuncture-Moxibustion and Chinese Tuina

Objective： To observe therapeutic effects of the comprehensive therapy of acupuncture-moxibustion and Chinese Tuina for treatment of insomnia due to deficiency of both the heart and spleen. Methods： 92 cases were divided randomly into the treatment group （treated by acupuncture-moxibustion and Chinese Tuina） and the control group （treated,by acupuncture-moxibustion）. Results： The therapeutic effect of the treatment group was obviously Superior to that of the control group （the x^2 test showed P〈0.01）. Conclusions： The comprehensive therapy of acupuncture-moxibustion and Chinese Tuina can give marked therapeutic effects for,treatment of insomnia due to deficiency of both the heart and spleen.

The clinical progress and potential mechanism of massage therapy on knee osteoarthritis

Knee osteoarthritis （KOA） is a disease due to the degenerative pathological change of knee joint, which commonly occurs in the elderly. The main clinical characters of KOA are the pain, stiffness, and dysfunction of knee joint. Western medicine regarding to the treatment of KOA aims to relieve the pain and delay the progress of disease such as intra-articular injection and functional exercise. Traditional Chinese medicine （TCM） therapy includes massage, herb, acupuncture, microwave, etc. Among them, the massage technique has the advantages of simpleness, effectiveness and non-invasive manipulation. The present study compared the curative effects of different therapies on KOA including Western medicine therapeutic method, single massage, complementary TCM therapeutic method containing massage and integrated TCM and western medicine therapeutic method containing massage. We found that the effectiveness of single massage method is better than that of joint cavity injection. The effectiveness of massage in combination with herb and acupuncture is better than that of massage alone. The effectiveness of joint cavity injection or functional exercise combined with massage and acupuncture is better than that of the single articular cavity injection or functional exercise. However, more research and clinical trials are still needed to determine the exact mechanism of massage.

Acupuncture Combined with Spinal Tui Na for Treatment of Primary Dysmenorrhea in 30 Cases

Objective: To observe the therapeutic effects in acupunture treatment of primary dysmenorrhea combined with spinal Tui Na, and study its mechanism. Methods: Thirty cases of the treatment group were treated by acupuncture combined with spinal Tui Na, and thirty cases in the control group were treated by routine acupuncture. Results: The total effective rate was 93.3% in the treatment group, and 73.3% in the control group, with a significant difference between the two groups (P<0.05). Conclusions: Acupuncture combined with spinal Tui Na has good prospects for treatment of primary dysmenorrhea.

A new exploration of spleen and stomach theory to guide children's massage treatment of pediatric diseases

Under the guidance of the theory of spleen and stomach,the author uses the rule of"holding the central,transporting the four sides,regulating emotions,taking spleen and stomach as the center,conditioning the five internal organs",applying pediatric massage to treat pediatric spleen and stomach diseases,various acute and chronic diseases and difficult diseases.In the process,the organs are treated,the symptoms are treated,and the curative effect is achieved.

Clinical study on the treatment of functional constipation in infants and younger children with pediatric Tuina based on Baliao points

Objective:To observe the clinical efficacy of Tuina(Chinese therapeutic massage),basically Yi Zhi Chan pushing at Baliao points in the treatment of functional constipation in infants and children aged 1-3 years old.Methods:Seventy kids were randomly divided into an observation group and a control group,with 35 cases in each group.The control group was treated with conventional Tuina manipulation,while the observation group was treated with Tuina manipulation based on Yi Zhi Chan pushing at Baliao points.Both groups were treated once every other day,with 10 times as 1 course of treatment.The score on the self-developed constipation rating scale and clinical efficacy were compared after 1 course of treatment.Results:The total effective rate was 90.6%in the observation group and 76.7%in the control group,and the difference between the two groups was statistically significant(P<0.05).The degree of defecation difficulty in the children in the observation group was milder than that in the control group(P<0.01).Conclusion:Tuina manipulation based on Yi Zhi Chan pushing at Baliao points can significantly improve the degree of defecation difficulty in children,and the total effective rate is better than that of conventional Tuina manipulation.

Clinical observation of Tuina plus Chinese medication hot compress for lumbar muscle strain

Objective:To discuss the clinical efficacy of treating lumbar muscle strain(LMS)with Tuina(Chinese therapeutic massage)plus Chinese medication hot compress.Methods:A total of 147 LMS patients were randomized into a Tuina group,a Chinese medication hot compress group,and a combined group,each consisting of 49 cases.The Tuina group received Tuina treatment;the Chinese medication hot compress group received Chinese medication hot compress treatment;and the combined group received the forementioned two therapies alternately.The three groups of patients were assessed using the visual analog scale(VAS)and Oswestry disability index(ODI)before treatment and after 2 weeks of treatment.A 2-month follow-up was also conducted to observe the relapse rate.Results:The VAS and ODI scores dropped significantly after treatment in all three groups compared with their baseline(P<0.05),and the combined group surpassed the other two groups in comparing the ODI score(P<0.05).The 2-month follow-up showed that the combined group had the lowest relapse rate among the three groups(P<0.05).Conclusion:Compared to each therapy used alone,Tuina plus Chinese medication hot compress can relieve pain,improve daily living function,and reduce the short-term relapse rate better in treating LMS patients.

Modulation effects of pressing manipulation on local inflammatory responses and ERK/NF-κB pathway in trigger point model rats

Objective:To investigate the mechanism of trigger point deactivation induced by pressing manipulation in a rat model and to explore its potential regulation of the inflammatory response through the extracellular signal-regulated kinase(ERK)/nuclear factor-κB(NF-κB)pathway.Methods:Fifty male Sprague-Dawley rats were randomly divided into a blank group,a model group,a pressing manipulation group,an ERK agonist group,and a pressing manipulation+ERK agonist group,with 10 rats in each group.Except for the blank group,rats in other groups were used to establish the trigger point rat model using the blunt blow combined with the eccentric exercise method.The pressing manipulation group underwent pressing manipulation intervention at the trigger points.The ERK agonist group received an injection of recombinant human epidermal growth factor via the tail vein.The pressing manipulation+ERK agonist group received interventions from both the pressing manipulation and ERK agonist groups.The pressure pain threshold(PPT)was measured by a mechanical pain threshold detector before and after the intervention.The histological changes were evaluated by hematoxylin-eosin staining after the intervention;the expression levels of ERK,phosphorylated ERK(p-ERK),NF-κB p65(p65),phosphorylated NF-κB p65(p-p65),and phosphorylated NF-κB inhibitor(p-IκB)were detected by Western blotting;the levels of interleukin(IL)-1β,IL-6,and tumor necrosis factor(TNF)-αwere detected by enzyme-linked immunosorbent assay.Results:The PPT increased(P<0.05);the inflammatory cells disappeared;the ratios of p-ERK/ERK,p-p65/p65,and p-IκB/β-actin,also the levels of IL-1β,IL-6,and TNF-αall decreased in the pressing manipulation group after the intervention compared with the model group(P<0.05).The PPT decreased significantly(P<0.05),the inflammatory cell presence increased,and the ratios of p-ERK/ERK and p-p65/p65 were elevated(P<0.05);additionally,the levels of IL-6 and TNF-αwere significantly higher in the pressing manipulation+ERK agonist group compared with the pressing manipulation group(P<0.05).The PPT was significantly lower(P<0.05),the inflammatory cell count was higher,the ratios of p-ERK/ERK and p-IκB/β-actin and the levels of IL-1βand TNF-αwere significantly higher in the ERK agonist group compared with the pressing manipulation+ERK agonist group(P<0.05).Conclusion:Pressing manipulation can effectively alleviate inflammation and pain in trigger point model rats,potentially by inhibiting the ERK/NF-κB signaling pathway.

小儿推拿退热凝胶制备工艺及质量标准研究

目的建立小儿推拿退热凝胶的制备工艺及质量控制方法。方法以萃取量作为考察指标,评价萃取釜温度、萃取釜压力、萃取时间等;以凝胶剂的均匀性、涂展性、稳定性为评价指标,确定小儿推拿退热凝胶剂的最佳处方配比。结果小儿推拿退热凝胶的最佳萃取工艺参数为萃取温度35℃,萃取压力25 MPa,萃取时间1.5 h;制备工艺处方为0.1%氮酮、16%吐温-80,10%丙二醇。结论本研究初步建立了小儿推拿退热凝胶的最佳萃取工艺及凝胶制备工艺,凝胶剂在均匀性、涂展性、耐热和耐寒稳定性方面均良好,且该方法稳定、可行。

Tuina combined with moxibustion for 28 cases of lung-wei insecurity-type sweating syndrome in children

Objective To explore the clinical efficacy of tuina combined with moxibustion for treatment of lung-wei insecurity-type sweating syndrome in children.Methods Infantile tuina combined with moxibustion was conducted for 28 cases of lung-wei insecurity-type sweating syndrome in children.Tuina was carried out for once every other day,and moxibustion was conducted for once every other three days.Clinical efficacy was observed after treatment for 4 weeks.Results The total effective rate of tuina combined with moxibustion for treatment of lung-wei insecurity-type sweating syndrome in children was 92.85%.Conclusion The efficacy of tuina combined with moxibustion for treatment of lung-wei insecurity-type sweating syndrome in children is definite,which is worthy of being popularized clinically.

Effects of acupuncture and Chinese massage on the functions of knee flexors and extensors in patients with knee osteoarthritis:randomized controlled trial

Objective To observe and evaluate the clinical efficacy of acupuncture and Chinese massage on knee osteoarthritis and conduct the analysis on the functions of knee flexors and extensors in patients. Methods Eighty cases were randomly divided into an observation group and a control group, 40 cases in each one. In observation group, acupuncture combined with Chinese massage was applied. The main acupoints for acupuncture were Nèixīyǎn （内膝眼 EX-LE 4）, Hèdǐng （鹤顶 EX-LE 2）, Dúbí （犊鼻 ST 35）, etc. In Chinese massage, gun-fa （rolling）, rou-fa （kneading）, na-fa （grasping）, ca-fa （rubbing） and passive movements of joints were applied. In control group, Fenbid was administered orally. The efficacy evaluation, JOA score and the result of isokinetic testing were compared before and after treatment in two groups. Results ① The total effective rate was 90.0% （36/40） in observation group and was 87.5% （35/40） in control group, indicating equivalent efficacy between two groups （P0.05）. JOA score after treatment increased remarkably compared with that before treatment in two groups （both P0.01）. ② It was indicated in isokinetic test of two groups that peak torque （PT）, total work （TW） and average power （AP） after treatment were all improved in comparison with those before treatment （P0.05, P0.01） and the improvement after treatment in observation group was much more remarkable as compared with that in control group （all P0.05）. Conclusion Acupuncture and Chinese massage can improve significantly in the symptoms, the muscle strength of the flexors and extensors as well as motor function of the patients with knee osteoarthritis, which is superior to that achieved with Fenbid.

The effect of meridian massage on BM,BMI,WC and HC in simple obesity patients:a randomized controlled trial

Objec ve To observe the eff ects of meridian massage on body weight（BW）. body mass index（BMI）,waist circumference（WC） and hip circumference（HC） in pa ents of simple obesity. Methods Fi y-four obesity pa ents were randomized into a massage group（28 patients） and a control group（26 patients） with SAS（statistical analysis software）. The patients in the control group were subjected to diet control and exercise program,while the pa ents in the massage group were subjected to diet control and massage program in combina on with meridian massage. Stomach meridian,spleen meridian,bladder meridian,Guānyuán（关元 CV 4）,Qihǎi（气海 CV 6）,Zhōngwǎn（中脘 CV 12）,Dàhéng（大横 SP 15,both sides）,Tiānshū（天枢 ST 25,both sides）,Zúsānl？（足三里 ST 36,both sides）,Fēnglóng（丰隆 ST 40,both sides） and Ashi points（at positions of fat accumulation） were selected,and the massages were mainly rolling manipulation,acupressure and pressing manipulation. The treatment was carried out 3 times a week for totally 24 times. Clinical therapeutic efficacy,BW,BMI,WC and HC of the patients in the two groups before and after treatment were evaluated. Results The difference in the comparison of therapeutic efficacy after treatment between the two groups was sta s cally significant,and the therapeu c effi cacy in the massage group was be er than that in the control group（P？？0.05）; BW,BWI,WC and HC in the massage group were significantly improved a er treatment in comparison to those before treatment and those in the control group after treatment（P？？0.05）. Conclusion Meridian massage can significantly improve body mass and other related indices of pa ents,improve their life quality,and thus may reduce the morbidity of obesity related diseases.

Treatment on 28 cases of pediatric allergic rhinitis by combining Tuina and Chinese herbal medicine

Objective To discuss the clinical efficacy of treating pediatric allergic rhinitis by combiningTuina with Chinese herbal medicines. Methods Twentyeight cases of pediatric allergic rhinitis were treated by combining pediatric Tuine and oral administration of Yupingfeng powder （玉屏风散） combined with Guizhi decoction （桂枝汤）. The clinical efficacy was observed after 6 treatments. Results The treatment of pediatric allergic rhinitis by combining Tuina and Chinese herbal medicines had an overall effectivness rate of 85.71%. Conclusion Combined treatment using pediatric Tuina and an herbal mixture of Yupingfeng powder （玉屏风散） and Guizhi decoction （桂枝汤） has positive therapeutic efficacy for treatment of pediatric allergic rhinitis, and should be considered as a treatment for this condition.

Effect of Tuina at the breasts on postpartum lactation

Objective To explore the efficacy of Tuina for postpartum lactation and work out an optimal protocol involved. Methods With a randomized, controlled and clinical method, Eighty-four full-term primiparas were divided into a Tuina group （58 cases） and a control group （26 cases）. While the patients in the control group received rooming in conventional nursing, those in the Tuina group were additionally treated with Tuina, including local manipulations at the breasts combined with acupoint manipulations. The colostrum time, lactation volume and serum prolactin were observed to make the comparisons between the two groups. Results The scores of lactation quantity after the 1st, 2nd, 3rd of the treatment were 1.660±0.785, 2.530±1.030, 2.880±1.171 in the Tuina group and 1.270±0.533, 1.460±0.811, 1.500±0.583 in the control group respectively, where there were significant differences in each time stage between the two groups （all P0.001）. The time of colostrum was （21.6±10.5） h in the Tuina group and （22.5±9.7） h in the control group, in which the difference was not statistically significant （P0.05）. The levels of prolactin were （314.35±110.37） ng/mL and （321.56±109.61） ng/mL in the Tuina group, （385.78±85.19） ng/mL and （340.12±103.10） ng/mL in the control group before and after treatment respectively, suggested that there were no significant difference （both P0.05）. Conclusion Postpartum Tuina at the breasts could increase the quantity of lactation and delay the decreasing of the levels of prolactin, which contributes primiparas to lactate more and sooner.

Case of infant hirschsprung

Hirschsprung is a kind of common and severer congenital digestive tract malformation in newborns. At present, the treatment methods at home and abroad mainly include surgical therapy and neural stem cell transplantation, acupuncture-moxibustion and tuina are mostly applied after operation, and there is rare report on non-surgical treatment before operation. In this paper, satisfactory effect has been obtained by adopting acupuncture-moxibustion and tuino for treatment of infant hirschsprung in the early stage, which provided a new idea for non-surgical treatment of infant hirschsprung in the early stage.