骶后孔解剖学测量及临床意义

目的：通过对骶后孔位置的研究，进一步解决在针炙临床中对八穴定位不准的问题。方法：用游标卡尺对骶后孔的纵、横径及骶后孔间径进行测量，并作统计学处理。结果：测算出100例骶骨（男性54例，女性46例）骶后孔纵、横径和骶后孔中心距后正中线间横径及骶后孔中心间纵径的数值。并结合这些数值，提出比较准确的八穴的定位方法。结论：骶后孔中心距后正中线间横径及骶后孔中心间纵径对八穴的准确定位具有重要指导作用。此外，骶尾椎和腰椎骶化变异对八穴取穴也有一定影响。

基于析因设计观察针刺及生物反馈治疗功能性肛门直肠痛的临床疗效

目的:观察针刺及生物反馈治疗功能性肛门直肠痛的临床疗效。方法:选取48例功能性肛门直肠痛患者为研究对象,按随机数字表法随机分为A组、B组、C组、D组,每组12例。A组患者予常规治疗,B组患者予常规治疗+生物反馈治疗,C组患者予常规治疗+针刺治疗,D组患者予常规治疗+生物反馈治疗+针刺治疗。基于析因设计比较4组患者视觉模拟评分(VAS评分)、生存质量及肛管直肠动力学。结果:通过析因设计分析治疗后各组VAS评分情况,在α=0.05水准上,模型Corrected Model检验F=6.81,P=0.00<0.05,模型有统计学意义。在针刺与生物反馈的交互作用统计分析结果中,F=3.26,P=0.08,P>0.05,提示针刺、生物反馈之间的交互作用无统计学意义。同时在分析生物反馈的单独效应结果中显示,F=10.21,P=0.00<0.05,差异有统计学意义,而且就针刺的单独效应结果来看,F=6.97,P=0.01<0.05,可见生物反馈和针刺均对肛门直肠痛有改善效果。4组患者治疗后PAC-QOL评分均低于同组治疗前(P<0.01);治疗后PAC-QOL评分A组最高、B组及C组居中、D组最低,B组与C组比较,差异无统计学意义(P>0.05),A组与D组比较,差异有统计学意义(P<0.01),A组、D组分别与B组及C组比较,差异均有统计学意义(P<0.01)。4组治疗后肛管静息压、肛管最大收缩压、肛管高压区长度均低于治疗前(P<0.01);治疗后4组患者肛管直肠动力学变化中D组最高、B组及C组居中、A组最低,B组与C组比较,差异无统计学意义(P>0.05),A组与D组比较,差异有统计学意义(P<0.01),A组、D组分别与B组及C组比较,差异均有统计学意义(P<0.01)。结论:针刺、生物反馈可改善功能性肛门直肠痛患者的疼痛,且针刺、生物反馈联合使用可有效提高患者生存质量,其机制可能与改善患者肛管直肠动力学相关。

CLINICAL STUDY ON THE TREATMENT OF POST-STROKE DEPRESSION WITH ELECTROACUPUNCTURE OF “NIWAN BAZHEN” POINTS

Objective To observe the therapeutic effect of electroacupuncture （EA） of ＂Niwan Bazhen＂ points in the treatment of post-stroke depression. Methods A total of 66 post-stroke depression patients were randomized into treatment group （EA＋oral administration of Prozac-20, n =31 ） and control group （o- ral administration of Prozac-20, 20 mg/d, 28 days altogether, n =30）. For patients of treatment group, EA （2/100 Hz, a tolerable stimulation strength） was applied to ＂Niwan Bazhen＂ points [Baihui （百会 GV20）, etc. ] for 30 min, once daily, （except weekends） continuously for one month. Halmiton Rating Scale （HAMD） for Depression and Chinese Scale for Stroke （CSS） were used to evaluate the therapeutic effect. Results After the treatment, of the 30 and 31 cases in control and treatment groups, 4 and 6 were cured, 10 and 14 experienced marked improvement.in their symptoms, 6 and 7 had an improvement, 6 and 4 failed, with the cure＋ markedly effective rates being 46.7% and 64.5% respectively. The therapeutic effect of treatment group was significantly superior to that of control group （ P〈0.05）. The decreased values of both HAMD and C,,SS of treatment group were remarkably lower than those of control group （P〈0.01,0.05） . Conclusion EA of ＂Niwan Bazhen＂ points is an effective remedy for post-stroke depression.

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.

Observation on therapeutic effects of simple obesity treated with needling and quick cupping therapy at the selected eight points around umbilicus

Objective To observe the clinical effects of simple obesity treated with needling and quick cupping therapy at the selected eight points around umbilicus. Methods Ninety-five cases were randomly allocated into an observation group and a control group. In observation group （n=50） patients were treated with acupuncture and quick cupping therapy at the selected eight points around umbilicus, namely Huaroumen （滑肉门 ST 24）, Tianshu （天枢 ST 25）,Wailing （外陵 ST 26）,Shuifen （水分 CV 9）, and Yinjiao（阴交 CV 7）.In control group （n=45） patients were advised to take Sibutramine, an oral administration to suppress appetite. Relevant data concerning one＇s weight, body mass index （BMI）, waist hip ratio （WHR） and distribution rate of body fat （F%） before treatment and after eight weeks＇ of treatment were collected to observe the effects. Results The total effective rate was 98.0%（49/50） in the observation group and 97.8%（44/45） in the control group. There was no significant difference on body weight and BMI between the two groups （P〉0.05）, however the therapeutic effects on WHR and F% in the observation group were more satisfactory than those of the control group （P〈0.05）. Conclusion Acupuncture and quick cupping therapy at the selected eight points around umbilicus have a good therapeutic effect on simple obesity, moreover acupuncture and quick cupping therapy can greatly improve the condition of WHR and F% for obesity patients, which is also safe and without any side effect.

The influential point of bone should be Dàzhuī(大椎 GV 14) rather than Dàzhù(大杼 BL 11)

Objective The influential point of bone in acupuncture should be Dàzhuī（大椎 GV 14）, but it is wrongly believed as Dàzhù（大杼 BL 11） in the modern acupuncture literature and textbooks. This wrong academic theory has widely influenced acupuncture field domestically and abroad, and misguided acupuncture medicine theory and the treatment of acupuncture on bone diseases. This essay aims to clear up the misunderstanding and restore the academic status of ＂the influential point of bone is GV 14＂ in the acupuncture theory and the treatment on bone diseases.

Abdominal acupuncture plus the Confluent Points of the Eight Extraordinary Meridian for chronic pharyngitis

Objective：To evaluate the effectiveness of abdominal acupuncture plus the Confluent Points of the Eight Extraordinary Meridian in treating chronic pharyngitis. Methods：Thirty eligible subjects with chronic pharyngitis were given abdominal acupuncture plus needling Lieque （LU 7） and Zhaohai （KI 6）, two out of the Confluent Points of the Eight Extraordinary Meridian, once a day, 10 sessions as a course, and the therapeutic efficacy was evaluated after a treatment course. Results：After a treatment course, of the 30 subjects, 21 were recovered, 5 showed markedly effective, 2 were improved, and 2 failed,the total effective rate was 93.3%. Conclusion：Abdominal acupuncture plus the Confluent Points of the Eight Extraordinary Meridian is effective in treating chronic pharyngitis, worth promoting in clinic.

Study of the thermal pain threshold latency of acupoints based on Fei Teng Ba Fa

Objective： By applying moxibustion to the eight confluent points in different periods of time, to observe the changes in thermal pain threshold latency of acupoints based on Fei Teng Ba Fa. Methods： A total of 468 healthy college student volunteers received moxibustion at the eight confluent points in three different periods of time, i.e. Chen （7：00-9：00）, Wu （11：00-13：00） and Xu （19：00-21：00）. The thermal pain threshold latency was adopted to measure the changes in pain threshold of the eight confluent points under different conditions （different periods of time, different genders, different acupoints and different states of the acupoints） based on Fei Teng Ba Fa. Results： Finally, thirty subjects dropped out and 438 subjects were included. The comparison of thermal pain threshold latencies of the eight confluent points in the same opening or closing state based on Fei Teng Ba Fa： latencies of the closing points and adjunct points were significantly different in different periods of time （P〈0.05）, the latencies of the males were significantly longer than those of the females （P〈0.05）; there was no significant difference in the latency between the left and right sides （P〉0.05）; in the female group, there was a significant difference in the latency between the lower-limb points and the upper-limb points （P〈0.05）. The comparison of thermal point threshold latencies of the eight confluent points in different opening or closing state： in the period of Wu （11：00-13：00）, the latencies of the opening points were significantly longer than those of the closing points and adjunct points （P〈0.05）; for men, their opening and closing points had significantly longer thermal pain threshold latencies than their adjunct points （P〈0.05）; despite the gender, the latencies of the upper limb opening and closing points were significantly longer than the latency of the adjunct points （P〈0.05）; in the female group, the latencies of the lower-limb opening points were significantly shorter than those of the lower-limb closing and adjunct points （P〈0.05）. Conclusion： Based on Fei Teng Ba Fa, the pain thresholds of the eight confluent points vary in different periods of time, gender, acupoint location and opening/closing state, which can be taken as the evidence of making time-based acu puncture-moxibustion prescriptions.

Clinical observation of deep electroacupuncture at Baliao points for female stress urinary incontinence

Objective:To observe the clinical efficacy of deep electroacupuncture(EA)at Baliao points in treating stress urinary incontinence(SUI).Methods:A total of 60 female patients with SUI were divided into two groups according to the order of consultation,with 30 cases in each group.The control group was treated with pelvic floor muscle training.The treatment group was treated with deep EA at Baliao points[Shangliao(BL 31),Ciliao(BL 32),Zhongliao(BL 33)and Xialiao(BL 34)].Results:The total effective rate was 93.3%in the treatment group,versus 33.3%in the control group,and the total effective rate of the treatment group was significantly higher than that of the control group(P<0.05).After treatment,the scores of international consultation on incontinence questionnaire-short form(ICIQ-SF)and the volume of urinary leakage in both groups were lower than those before treatment(all P<0.05),and the ICIQ-SF score and the volume of urinary leakage in the treatment group were lower than those in the control group(both P<0.05).Conclusion:Deep EA at Baliao points with long needles can improve the clinical symptoms in female patients with SUI,and it has a better curative effect than pelvic floor muscle training.

Clinical observation on herb-partitioned spreading moxibustion at Baliao points plus climen for diminished ovarian reserve

Objective:To observe the clinical efficacy of herb-partitioned spreading moxibustion at Baliao points plus climen for diminished ovarian reserve(DOR).Methods:A total of 60 patients with DOR were randomized into a spreading moxibustion group and a Western medicine group by the random number table method,with 30 cases in each group.The Western medicine group was treated with climen,starting from the 5th day of the menstrual cycle for 21 d.The spreading moxibustion group was treated with herb-partitioned spreading moxibustion at Baliao points on the basis of the medication in the Western medicine group,1 h per time,once a week.The treatment was performed for 1 month as one treatment course in both groups,for 3 courses in total.The serum follicle-stimulating hormone(FSH),luteinizing hormone(LH)and estradiol(E2)in the patients were measured before and after treatment.The peak systolic velocity(PSV)and resistance index(RI)were also detected.The traditional Chinese medicine(TCM)symptom score was evaluated.The clinical efficacy was evaluated after treatment.Results:The total effective rate in the spreading moxibustion group was 93.3%,which was significantly higher than 80.0%in the Western medicine group,and the difference between the groups was statistically significant(P<0.05).After treatment,the TCM symptom scores,the serum FSH levels,FSH/LH ratios and RI in both groups decreased,and the intra-group differences were all statistically significant(all P<0.05).The serum E2 level and PSV increased compared with those in the same group before treatment,and the intra-group differences were statistically significant(all P<0.05).After treatment,the TCM symptom score,the serum FSH level,FSH/LH ratio and RI in the spreading moxibustion group were lower than those in the Western medicine group,while the serum E2 level and PSV were higher than those in the Western medicine group,and the differences between the groups were statistically significant(all P<0.05).Conclusion:Herb-partitioned spreading moxibustion at Baliao points plus climen can produce valid therapeutic efficacy for DOR.It can improve the clinical symptoms,regulate serum hormone levels and increase ovarian blood perfusion,thus improving ovarian reserve function,producing more significant efficacy than climen alone.