于海波运用“健脾益肾三针组穴”治疗小儿脑瘫经验探析

介绍名老中医于海波教授运用“健脾益肾三针组穴”治疗小儿脑瘫的临证思路与针法特色。以“脏腑-经络-脑”生长发育理论为指导,于海波教授认为“脾肾不足”是小儿脑瘫的核心病机,提出“从脾、肾论治”的治疗理念。传承与创新三针组穴疗法,建立“健脾益肾三针组穴”体系。常规针刺前点刺腹背,畅调中焦,临证时选上肢组穴“合谷、外关、曲池(手三针)+内关”;下肢组穴“足三里、三阴交、太冲(足三针)”;“申脉、照海、涌泉”,脾肾同调,头部穴位包括四神聪、智三针、脑三针、颞三针、定神针、风府和双侧风池。以调神益智,配穴因病因证加减。同时辅以音乐疗法、耳穴压豆。强调“患儿-家长-医者”之神同调和“治人”重于“治病”。

三针组穴和醋调吴茱萸敷贴涌泉穴治疗阴虚火旺型不寐临床观察

目的 :探讨三针组穴和醋调吴茱萸敷贴涌泉穴治疗阴虚火旺型不寐的临床疗效。方法 :75例阴虚火旺型不寐患者,随机分为针刺组、外敷组和对照组,每组25例。针刺组予三针组穴针刺治疗,外敷组予醋调吴茱萸敷贴涌泉穴,对照组予外敷夜交藤。观察3组患者治疗前后睡眠质量改善情况和临床综合疗效。结果 :针刺组总有效率为92%,外敷组为88%,对照组为32%;针刺组和外敷组与对照组疗效差异有统计学意义(P<0.05),针刺组与外敷组疗效无统计学意义(P>0.05)。针刺组和外敷组与对照组PSQI总分差异有统计学意义(P<0.05),针刺组与外敷组PSQI总分差异无统计学意义(P>0.05)。结论 :三针组穴可有效地治疗阴虚火旺型不寐,而醋调吴茱萸敷贴涌泉穴则是一种有效治疗阴虚火旺型不寐的外治法。

三针组穴针刺法配合温灸法治疗中风偏瘫的临床观察

目的:探讨三针组穴针刺法配合温灸法治疗中风偏瘫的临床疗效。方法:研究符合标准的85例患者,针刺以三针组穴针刺法为主,每日1次,12次为一疗程,疗程间休息3天,共治疗3个疗程。同时,每日行温灸关元、气海法治疗。结果:治愈9例,显效38例,有效31例,总有效率91.76%。结论:三针组穴针刺法结合温灸法能有效地改善中风患者的偏瘫肢体功能。

Effect of electroacupuncture on hepatic blood flow and lipid peroxidation in rats with sepsis

Objective To investigate protective effects of electroacupuncture on injury of lipid peroxidation-induced by liver ischemia in rats with sepsis.Methods Forty-eight male SD rats were subjected to sepsis by cecal ligation and puncture （CLP）,and were randomly divided into a sham operation group （group A）,a CLP model group （group B）,a CLP model plus electroacupuncture （EA） at Zúsānlǐ （足三里 ST 36） group （group C）,a CLP model plus electroacupuncture at a sham acupoint group （group D）,a CLP model with vagotomy group （group E） and a CLP model plus electroacupuncture group after vagotomy （group F）,with 8 rats in each group.CLP was performed after abdominal vagotomy in group E and group F.EA （2 mA,2/100 Hz） was applied at bilateral ＂Zúsānlǐ＂ （足三里 ST 36） in group C and group F,and at sham acupoints in group D,respectively,for 1 hour.The hepatic blood flow （HBF） was detected by a laser-doppler flowmetry at 6 hours after CLP.The activity of plasma alanine transarninase （ALT） was determined;contents of hepatic malondialdehyde （MDA）,activity of xanthine oxidase （XOD） and the rate of water content in the hepati tissue were assessed,respectively.Results Hepatic blood flow was （56.97±11.95） U in group C,which was significantly lower than （80.12± 19.57） U shown in group A,but higher than （42.61±10.97） U in group B,（44.53±9.23） U in group D,（30.05 ±4.46） U in group E and （30.46±6.38） U in group F （all P0.05） at 6 hours after CLP.Meanwhile,the levels of MDA,XOD,ALT and hepatic water content in group C were all significantly higher than those in group A,but lower than those in the other four groups （all P0.05）.The levels of MDA,XOD,ALT and hepatic water content in group E and group F were all significantly higher than those in group D （all P0.05）,while their hepatic blood flow were lower than that in group D （both P0.05）,and no significant differences were found in all the indices mentioned above between group E and group F （all P0.05）.Conclusion Electroacupuncture at ＂Zúsānlǐ＂ （足三里 ST 36） can improve hepatic ischemia,inhibit lipid peroxidation and alleviate hepatic edema and dysfunction in septic rats,which might be related with the completeness of vagus nerves.