醒脑开窍针刺法加减治疗卒中后足内翻的疗效评价

目的 观察醒脑开窍针刺加减治疗卒中后足内翻对其下肢步行功能、日常生活能力及胫前肌、腓肠肌表面肌电均方根振幅(RMS)的疗效评价。方法 对符合条件的40例脑卒中足内翻病例行醒脑开窍针刺加减治疗3个月,比较治疗前后,Fugl(下肢)、MBI,胫前肌、腓肠肌表面肌电RMS的变化。结果 针刺前后对照,Fugl(下肢)、MBI较针刺治疗前均有显著改善。腓肠肌:被动活动3个月前后有显著性差异,其他均无显著性差异。胫前肌:被动活动时,治疗后肌张力较前显著增加(Z=3.428,P=0.001<0.05),与健侧比较无显著性差异(Z=0.497,P=0.619>0.05);主动活动时,治疗后较前显著增加(Z=3.508,P=0.000<0.05),但仍显著低于健侧(Z=3.79,P=0.000<0.05)。结论 醒脑开窍针刺加减治疗卒中后足内翻,可有效增加患足肌力、肌张力,肌张力增加明显与健侧无显著性差异,肌力较前增加但仍明显低于健侧,提示该针刺法对于改善卒中后足内翻患者肌张力改善优于肌力,对于提高胫前肌肌力更显著,对腓肠肌肌力影响不显。醒脑开窍针刺法加减治疗卒中后足内翻可有效改善患足运动功能、日常活动能力,可能与其较好地协调患足背屈时主动肌、拮抗肌肌张力/肌力相关。但由于病例采集地点局限,病例数较少,建议后期加大样本量,进一步行多中心、大样本、随机对照研究,降低实验误差以更好的指导临床。另外,醒脑开窍针刺法加减治疗卒中后足内翻的相关机制尚待进一步研究。

冰麝液加氧鼻吸针刺法对缺血性中风中医症候影响的研究

目的:观察冰麝液加氧鼻吸针刺法对缺血性中风患者主要中医症候的影响。方法:治疗期间两组均予中风常规治疗(包括脱水、降颅压、控制血压、抗血小板聚集、及纠正水、电解质代谢失衡,预防并发症及康复锻炼等),试验组加予冰麝液加氧鼻吸针刺法进行治疗。每天1次,14天1个疗程,观察比较两组治疗前后主要中医症候的变化。结果:试验组在半身不遂、偏身麻木、吞咽困难、舌强语蹇等主要中医症候积分显著低于对照组(P<0.05),总有效率高于对照组(P<0.05)。结论:冰麝液加氧鼻吸针刺法对缺血性中风患者主要中医症候的改善具有良好的效果。

休止编织与羊毛衫的设计

休止编织是通过对手动横机的成圈三角和导向三角的改造,在编织时将织针推上至针床的最高处,使同一行中的局部针处于不成圈或集圈的状态,从而编织出设定的形状和图案。文中在介绍手动横机休止编织成圈装置的构造及织针的运动的基础上,说明了减针法、加针法和集圈的具体操作过程,并列举了休止编织在设计中的大量应用实例。

中西结合治疗脑梗塞62例疗效观察

目的:观察中药辨证论治加跳动针法结合西医药治疗治疗脑梗死的疗效。方法:治疗组69例中药辨证论治加跳动针法结合西医药治疗,对照组68例只用西药治疗,30天后观察疗效。结果:总有效率:治疗组:98.4%、对照组88.5%,两组比较有显著性差异(P<0.05)。结论:中药辨证论治加跳动针法结合西医药治疗脑梗死优于单用西医治疗。

STANDARDIZATION OF ACU-MOXIBUSTION IS VERY IMPORTANT FOR THE INTERNATIONALIZATION AND MODERNIZATION OF ACUPUNCTUROLOGY

In the present paper, the authors present their viewpoints about the standardization of acu-moxibustion from ① orderliness of pattern-identification and acupoint prescription, ② unification of acupoint location, ③ systematization of acupoint needling, and ④ standardization of needling manipulations. The standardization is very important for the development of acupuncturology and for its popularization in the world.

INFLUENCE OF THE FIVE ELEMENT THEORY ON ACUPUNCTUROLOGY

In the present paper, the authors make a simple comment on the influence of the theory of five elements of TCM on the acupuncturology from ① its influence on the meridian-collateral theory and acupoint system; ② its influence on acu-moxibustion therapeutics including the application of mother and son points for reinforcing and reducing, the application of the five element theory to the midnight-noon ebb-flow needling, and guiding point selection in different seasons; and ③ its influence on acupuncture techniques.

Study on the Sequence in Formulating Standards for Acupuncture and Moxibustion

Objective： To study which items need the formulation of national standards and which standards should be first formulated. Methods： Apply the method of the questionnaire survey to collect data, and the statistical analysis adopt the frequency and weighted average method. Results： Propose the items of acupuncture and moxibustion which need the urgent formulation of standards and the sequence in the formulation of standard items. Conclusion： Provid important bases for the follow-up report of national standard items and avoid temporary formulation of standards without plan .