针刺和中药内服结合治疗周围性面瘫疗效观察

周围性面瘫在临床上一种常见病和多发病，任何年龄段均可发病，男女不分，以青壮年多见。本病发病急速，一般为单侧，以面部一侧面颊筋肉弛缓，口眼唱斜，额纹变浅或消失为主症。常伴有漱口、漏水，迎风流泪等症，少数病人初起有耳后、耳下及面部疼痛，严重者可出现味觉减退或听觉过敏。本病多由络脉空虚，风寒风热之邪，乘虚侵袭面部筋脉，导致气面阻滞，肌肉纵缓不收而成面瘫。近十年来，笔者采用针刺和中药内服相结合治疗周围性面瘫患者，疗效满意，现介绍如下。

针刺治疗不寐的临床研究近况

总结了针刺治疗不寐方法与疗效的关系 ,以及机理研究 。

温针灸配合针刀治疗老年性膝关节骨性关节炎的疗效分析

为了评估在中医理论指导下,临床上温针灸配合针刀治疗老年性膝关节骨性关节炎的效果。 方法:收集治疗组21例,对照组21例。 其中治疗组采取温针灸配合针刀治疗的方法。 对照组采取单纯针刺治疗方法,取穴与治疗组的穴位相同。 治疗共有 3 个疗程,每个疗程 10 天,每天 30 分钟。 结果:治疗组和对照组相比较有非常明显的差异(P<0.05),其中治疗组总有效率 95.24% ,对照组总有效率 76.5% 。 结论:在中医理论指导下,温针灸配合针刀治疗老年性膝关节骨性关节炎的临床效果优于单纯性针刺治疗,可以广泛应用。

INFLUENCE OF ACUPUNCTURE ON INSULIN RESISTANCE IN PATIENTS WITH SIMPLE OBESITY

Objective To investigate clinical therapeutic effect and regulative function of acupuncture on insulin resistance in patients with simple obesity. Methods Acupuncture was applied at the eight points surrounding the umbilicus: bilateral Tianshu (天枢ST 25), Huaroumen (滑肉门ST 24) and Wailing (外陵ST 26), Yinjiao (阴交CV 7) and Shuifen (水分CV 9), and also Guanyuan (关元CV 4) and Zusanli (足三里ST 36), and the ear embedding method was used in combination in 50 cases of simple obesity. The changes in FBG, INS, ISI, TC, TG, LDL-C and HDL-C after the treatment were observed. The changes in waistline (WL) and hip circumference (HC), their ratio (WL/HC), body weight (BW) and body mass index (BMI) after the treatment were also observed, and the therapeutic effects were compared between the patients with obesity in Grade Ⅰ and Grade Ⅱ. The aforementioned values were compared with those in the control group comprised of 30 normal subjects. Results Hyperinsulinemia (HI) appeared in the patients with simple obesity, and the value of ISI was obviously decreased, compared with that in normal subjects ( P<0.01 ). After the treatment, the values of WL, HC, WL/HC, BW and BMI were all obviously decreases ( P<0.05 ), and those of FBG, INS, TC, TG and LDL-C also reduced ( P<0.01 ), but those of ISI and HDL-C obviously increased ( P<0.05 ). Conclusion Acupuncture can not only efficiently improve the parameters in body fat in the patients with simple obesity, but also regulate their abnormal lipid metabolism and improve the situation of insulin resistance.

Observation on the therapeutic effect of electroacupuncture on simple obesity of gastrointestinal heat pattern/syndrome

Objective To compare the therapeutic effect on simple obesity of gastrointestinal heat type between electroacupuncture （EA） and conventional acupuncture （CA）. Methods Ninety cases of simple obesity of gastrointestinal heat type were randomized into an EA group and a CA group, 45 cases in each one. In the EA group, CA was applied at Neiting （内庭 ST 44）, Shangjuxu （上巨虚 ST 37）, Xiajuxu （下巨虚 ST 39）, Fenglong （丰隆 ST 40）, Tianshu （天枢 ST 25）, Zusanli （足三里 ST 36）, YTnlingquan （阴陵泉 SP 9） and Ouchi （曲池 LI 12）. The electric stimulation was attached at ST 37, ST 44, ST 25 and ST 40. In CA group, the simple acupuncture was applied at the same points as the EA group. The treatment was given once every two days, 22 treatments made one session and 3 sessions were required totally in the two groups. The changes in body mass, obesity degree, body mass index （BMI） and body fat percentage （F%） were observed in the patients before and after treatment. The therapeutic effects on weight loss and fat loss were compared between the two groups. Results After treatment, the weight, obesity degree, BMI and F% were all reduced apparently in the patients of the two groups （all P〈0.01）. After the 2st session of treatment, concerning to the effect on weight loss, the total effective rate in the EA group was superior to that in the CA group [95.6% （43/45） vs 77.8% （35/45）, P〈0.05]. The effects were not different apparently between the two groups in the later 2 sessions of treatment （all P〉0.05）. The effect on fat loss was not different significantly in statistics between EA and CA （all P〉0.05）. Conclusion Either EA or CA achieves the significant effect on simple obesity. The therapeutic effect of EA on weight loss in the early stage is obviously superior to that of CA.

Ninety cases of simple obesity treated with the combined therapy of penetration needling, flash-fire cupping method and auricular acupuncture

Objective: To observe the clinical effects on simple obesity treated with the combined therapy of penetration needling, flash-fire cupping method and auricular acupuncture.Methods: In 90 patients of simple obesity, the Bo’s abdominal acupuncture therapy was adopted. Taking Shénquè(神阙 CV 8), the points 2 cun directly below CV 8 and 2 cun directly above CV 8 as the landmarks, 3 cun bilateral to each of the above three points, and penetrated through to the conception vessel. Then the electroacupuncture apparatus was connected, with the disperse-dense wave for 30 min.After acupuncture, the glass cup of the middle size was used to stimulate the selected points with the flash-fire cupping method. The cupping stimulation stopped when the skin turned to be slightly red. One treatment was given each day and every other day after 5 days. The 10 treatments made one course. In the auricular acupuncture therapy, Jīdiǎn(饥点), Shénm6 n(神门TF4), NèiFēnmì(内分泌CO18) and S5 njiāo(三焦 CO17) were selected. The auricular acupuncture therapy was given once every two days and 10 treatments made one course. After 3 courses of treatment, the waist circumference, hip circumference,body weight and body mass index(BMI) were observed.Results: Compared to before treatment, after 3 courses of treatment, the waist circumference of patients was(92.3 ±2.4 vs 80.4 ±2.3) cm, hip circumference(110.6 士 2.3 vs 99.2 ±2.5) cm, body weight(74.2 ±3.1 vs 68.2 ±2.4) kg and BMI(29.8 士 3.1 vs 25.2 士 2.1), they were all reduced obviously, indicating the significant differences(all P<0.05). Seventy-nine patients lost three to five kilograms, accounting for 87.8%.Conclusion: The combined therapy of penetration needling at abdomen, flash-fire cupping method and auricular acupuncture achieves the significant therapeutic effects on simple obesity.

Professor JIA Chun-sheng's experience for pediatric enuresis

To introduce the experience of professor JIA Chun-sheng in treatment of primary and simple enuresis. Professor JIA Chun-sheng believes that most children with pediatric enuresis have the manifestation of both spleen deficiency and kidney deficiency, and it is rare that the patients have one of the two kinds of manifestation. The pathogenesis is as follows： kidney yang deficiency and depletion, steaming weakness, and caused by spleen qi deficiency qi deficiency and sinking, and the bladder failing to ensure retention results in failure of body fluids to be stored, so that enuresis is induced. On the basis of the above theory, professor JIA Chun-sheng proposed the treatment rules of ＂nourishing earth and banking up original qi, opening the orifices and awakening the spirit＂, and selected Bǎihuì（百会 GV 20）, Qìhǎi（气海 CV 6）, Guānyuán（关元 CV 4）, Zúsānlǐ（足三里 ST 36）, Sānyīnjiāo（三阴交 SP 6） and Tàixī（太溪 KI 3） as the basic acupoints. Corresponding acupoints were increased or reduced according to different patterns, and good efficacy has been obtained.