压耳针奇穴配合药枕治疗顽固性高血压32例

一般资料３２例均系门诊病人，其中男性２０例，女性１２例；年龄１５～７９岁；病程１～２２年。全部病例均符合１９７８年ＷＨＯ制定的标准，即收缩压≥２１．３ｋｐａ和／或舒张压≥１２．６ｋｐａ。治疗方法取上肢奇穴“手心”，施行透天凉手法，留针２０分钟，每隔５...

耳针压丸联合枸杞子治疗血液透析患者口渴症的临床研究

目的:观察耳针压丸联合口嚼枸杞子治疗血液透析患者口渴症的临床疗效。方法:选取维持性血液透析且伴口渴症患者50例,给予耳针压丸联合口嚼枸杞子治疗8周。以口干渴强度评分量表评定口渴程度,平均透析间期体重增加相对值评定透析间期体重增长,并探讨口渴强度评分与透析间期体重增加相对值、透析前平均动脉压、透析前血钠浓度的相关性。在治疗前、治疗后4周、8周分别采集透析患者口渴、透析间期体重、透前血压及透前血钠的变化。结果:50例患者治疗2个疗程后,口干渴强度评分较治疗前均有显著下降(P<0.01),且疗效随疗程增加而增加(P<0.01),平均透析间期体重增加相对值明显下降(P<0.01),且疗效随疗程增加而增大(P<0.01),口渴强度评分与透析间期体重增加相对值呈正相关(P<0.01)。结论:耳针压丸联合口嚼枸杞子能改善维持性血液透析患者的口渴症状,控制透析间期体重增加,且疗效随疗程增加而增大,而且口渴强度评分与透析间期体重增加相对值呈正相关,这为减少心脑血管并发症、改善患者生活质量提供了一种安全、简便、有效的治疗方法,值得临床推广与应用。

体针结合耳针贴压治疗慢性疲劳综合征64例

1临床资料 1.1一般资料 本组64例,均为2000年1月以来门诊患者,其中男28例,女36例;年龄30～55岁,平均43岁;病程7个月～2年,平均15.5个月.

耳针(磁珠压穴)法治疗心胸外科术后疼痛的临床观察

目的：探讨耳针（磁珠压穴）法对心胸外科术后疼痛的影响。旨在为临床寻求更方便、更有效的治疗方法。方法：筛选病例70例,随机分为对照组35例,治疗组35例。对照组予哌替啶镇痛泵维持止痛6小时。治疗组基础用药同对照组,加用耳针（磁珠压穴）法按压耳穴止痛,每天按压3~5次,15天为1疗程。统计学方法：使用统计学软件SPSS 16.0非参数检验,mann-whipney u检验。结果：治疗组疼痛天数及疼痛程度的总有效率为80.00%及77.14%,对照组为71.42%及65.71%。治疗组在术后疼痛天数及疼痛程度改善方面优于对照组（P〈0.05）。结论：耳针（磁珠压穴）法是心胸外科术后疼痛安全、有效的治疗方法。

耳针(耳穴压豆)对缓解淋巴结结核术前焦虑的应用评价

探讨耳针(耳穴压豆)对淋巴结结核病灶清除术前焦虑的缓解效果。方法 选择2020年2月-2022年9月收治的需行淋巴结结核病灶清除术的219例患者,分别采取常规护理(对照组,109例)、加用耳穴压豆干预(干预组,110例),对比两组的心理状态、康复情况及健康知识了解情况。结果 ①接受对应干预后,干预组的SAS评分及SDS评分分别为(30.85±4.51)分、(32.75±4.82)分,与对照组相比均相对更低,t=13.261,11.091,P<0.05;②干预组的结核病知识知晓满意率、服药依从率、护理满意度分别为91.82%(101/110)、89.09%(98/110)、95.45%(105/110),均相对高于对照组水平,X=4.926,8.010,5.604,P<0.05;③干预组的创口愈合时间、住院时间分别为(24.91±4.18)d、(13.75±5.40)d,均低于对照组,且干预后干预组的心率较对照组更低,t=9.508,5.150,9.099,P<0.05。结论 对淋巴结结核术患者在常规护理基础上采取耳穴压豆干预,有利于缓解术前焦虑等负面情绪,对于提高健康知识水平、促进康复有积极意义。

耳针压丸联合生脉胶囊改善血液透析患者口渴及低血压的多中心随机对照研究

目的:评价耳针压丸联合生脉胶囊治疗维持性血液透析(MHD)患者口渴及透析中低血压(IDH)的疗效。方法:本研究采用前瞻性、多中心、随机对照、交叉设计的研究方法。运用随机数字表法将来自北京中医药大学东直门医院、北京中医药大学东方医院和中国中医科学院望京医院、北京市第一中西医结合医院4家医院血液透析中心符合纳入标准的144例MHD患者随机分两组,在规律血液透析的基础上,两组均采用西医常规治疗方法,试验组加用耳针压丸联合生脉胶囊治疗,对照组只采用西医常规治疗方法。第一阶段治疗8周,结束后随访8周(含洗脱期),随访期间两组仅采用西医常规治疗方法。基于交叉试验原则,第一阶段随访结束后进行第二阶段的观察。评价两组间口渴程度和IDH的发生及对血液透析的影响。结果:试验组改善MHD患者口渴程度优于对照组(P<0.05);试验组在IDH的发生率、西医干预率、因低血压中断透析发生率和未完成超滤脱水量发生率方面优于对照组(P<0.05)。两组在sp KT/V和URR方面差异无统计学意义。结论:耳针压丸联合生脉胶囊方案可缓解MHD患者口渴症状,降低IDH的发生率,有助于减少因IDH导致的西医干预和中断血液透析次数,有利于完成目标超滤脱水量,治疗方法具有简便、安全的特点。

温针灸联合耳针埋压治疗痰湿内阻型肥胖并发高脂血症临床观察

目的观察温针灸联合耳针埋压治疗痰湿内阻型肥胖并发高脂血症临床疗效。方法 126例痰湿内阻型肥胖并发高脂血症患者随机分为治疗组(温针灸联合耳针埋压)和对照组(温针灸),每组63例。依据中医辩证施治的基本原则,两组均采用针刺加温针灸,另外治疗组联合耳针治疗,持续3个月。观察两组治疗前后患者的肥胖度(A)、体质指数(BMI)、体脂百分率(F%)、总胆固醇(TC)、甘油三酯(TG)、低密度脂蛋白胆固醇(LDL-c)、高密度脂蛋白胆固醇(HDL-c)水平。结果两组患者减肥疗效有效率比较治疗组优于对照组,且两者减肥疗效比较差异有统计学差异(P<0.05)。两组患者降脂疗效有效率比较治疗组高于对照组,且两组降脂疗效比较差异有统计学差异(P<0.05)。两组患者治疗后TC、TG、LDL-c较治疗前明显回降(P<0.01),HDL-c明显回升(P<0.01),治疗后治疗组TC、LDL-c、HDL-c的改善优于对照组(P<0.05)。治疗组的总有效率为93.65%,对照组总有效率为80.95%,两组比较差异有统计学意义(P<0.05)。结论温针灸联合耳针埋压和单纯温针灸对痰湿内阻型肥胖并发高脂血症都具有良性治疗作用,且温针灸联合耳针疗法在减肥效应及改善异常的脂质代谢优于单纯温针灸疗法。

OBSERVATION OF THERAPEUTIC EFFECTS OF Zhìyīn(至阴BL 67) ON 110 CASES OF PRIMARY DYSMENORRHEA WITH ACU-MOXIBUSTION

Objective To observe the clinical efficacy of primary dysmenorrhea treated with acu-moxibus- tion. Methods 220 cases of primary dysmenorrhea were randomized into control group and treatment group, 110 cases in each one. In control group, fenbid was administered. In treatment group, ZhiyTn （至阴 BL 67） was selected in combination of auricular-point pressing therapy. Results The total effective rate was 94.5% in treatment group and was 76. 4 % in control group, indicating very significant difference （P〈0. 01） in com- parison. Conclusion Acu-moxibustion on BL 67 in combination of auricular-point pressing therapy presents definite therapeutic effect on primary dysmenorrhea, thus, this therapy is worth to be promoted entirely in practice.

体针结合耳针贴压治疗自愿戒毒者阴虚火旺型失眠的疗效观察

目的:观察体针结合耳针贴压治疗自愿戒毒者阴虚火旺型失眠的临床疗效。方法:采用自身前后对照的方法,对60例自愿戒毒者进行体针结合耳针贴压治疗,并与40例药物组治疗失眠对照,动态观察14d的疗效。结果:体针结合耳针贴压组(治疗组)、药物组(对照组)自身前后比较P<0.05,显示均能治疗患者的失眠症,但治疗组的效果优于对照组。结论:体针结合耳针贴压对于自愿戒毒者的阴虚火旺型失眠具有明显的治疗作用,通过与对照组的比较其疗效优于对照组的疗效。

Clinical Observation in 30 Cases of Chloasma Treated by Auricular Point Pressing and Pricking

Methods of Treatment1. Auricular point pricking: Ear Apex, Subcortex,Endocrine and Spleen or Stomach were selected as the pricking points.

THERMOLYTIC EFFECT OF MOXIBUSTION AND ITS RELATION TO ACUPOINT RECEPTORS

In the present paper, the effect of moxibustion stimulation (by using a computer automaticallycontrolled condensed light) of Dazhui (GV 14) etc. on auricular temperature changes was observed in the rabbit after intravenous injection of endotoxin. Changes of rabbit’s auricular temperature were sampled and recorded by using a thermistorthermometer (connected with a computer) before and after moxibustion stimulation. Results indicated that moxibustion making the skin temperature reach to 48℃ could inhibit the endotoxininduced lowering reaction of auricular temperature, while moxibustion making the skin temperature of 40℃ had no this effect. It revealed that higherskintemperature moxibustion had a thermolytic effect on bodyfever, which had a close relation mainly with polymodal receptors rather than with temperature receptor. It also demonstrated that endotoxininduced changes of auricular temperature could be used as an index for evaluating the thermolytic effect of moxibustion.

CLINICAL OBSERVATION ON TREATMENT OF PSEUDOBULBAR PARALYSIS-INDUCED DYSPHAGIA WITH OTOPOINT-PELLET-PRESSING PLUS ACUPUNCTURE

In the present paper, the therapeutic effects of otopoint pellet pressing plus body acupuncture and simple body acupuncture for dysphagia and water drinking induced coughing are compared in 126 cases of pseudobulbar paralysis who are randomly divided into treatment group (n=63) and control group (n=63). Main acupoints used are Shuigou (GV 26), Fengchi (GB 20), Lianquan (CV 23) and Sanyinjiao (SP 6), while otopoints used are Xin (MA IC), Gan (MA SC 5), Pi (MA IC), Shen (MA SC), Yanhou (MA T 3) and She (MA L). Following one course of treatment (12 sessions), in treatment group, of the 63 cases, 34 (54.0%) are cured, 18 (28.5%) have remarkable improvement, 5 (8.0%) have improvement, and 6 ( 9.0%) have no apparent changes, with the tottal effective rate being 90.5%; while in control group, of the 63 cases, 18 (28.5%) are cured, 11 (17.5%) have marked amelioration, 15 ( 24.0%) experience apparent amelioration and 19 (30.0%) have no obvious changes, with a total effective rate of 70.0%. The therapeutic effect of otopoint pellet pressing plus body acupuncture is significantly superior to that of simple body acupuncture in the treatment of dysphagia and water drinking induced coughing.

Influence of muscle regions of meridians needling method combined with auricular point sticking on pain and range of motion in patients with chronic nonspecific low back pain

Objective:To observe the effects of muscle regions of meridians needling method combined with auricular point sticking on pain and lumbar range of motion in patients with chronic nonspecific low back pain.Methods:A total of 100 patients with chronic nonspecific low back pain were randomly divided into a control group and an observation group,with 50 patients in each group.Both groups received auricular point sticking treatment,while the control group received additional conventional acupuncture treatment,and the observation group received additional muscle regions of meridians needling method.The total effective rate of the two groups was compared after 4 weeks of treatment.Before treatment and after 1 week and 4 weeks of treatment,the visual analog scale(VAS)score was used to assess the degree of low back pain,and the modified-modified Schober(MMS)score was used to evaluate the lumbar range of motion.Results:There was statistical significance in comparing the total effective rate between the two groups(P<0.01).During the treatment process,as the number of treatments increased,the VAS score gradually decreased,and the MMS score gradually increased in both groups.After 1 week and 4 weeks of treatment,the VAS score in the observation group was lower than that in the control group(P<0.01),and the MMS score in the observation group was higher than that in the control group(P<0.01).During the treatment period,no serious adverse reactions occurred in either group.Conclusion:Based on auricular point sticking treatment,muscle regions of meridians needling method is more effective than conventional acupuncture in treating chronic nonspecific low back pain since it is able to significantly reduce the pain and improve the lumbar range of motion.

Electroacupuncture combined with auricular acupressure in the treatment of nervous tinnitus

Objective To observe the clinical efficacy of electroacupuncture combined with auricular acupressure in treatment of nervous tinnitus. Methods One hundred and four patients with nervous tinnitus were randomly divided into a group A and a group B according to the method of random number table, with 52 patients in each group. In the group A, acupuncture at Yìfēng（翳风 TE 17）, Tīnggōng（听宫 SI 19）, Tīnghuì（听会 GB 2）, ěrmén（耳门 TE 21） and Fēngchí（风池 GB 20） combined with auricular acupressure, such as Shènshàngxiàn（肾上腺 TG 2p）, Jiāog？n（交感 AH6a）, Nèifēnmì（内分泌 CO18）, Nèi？r（内耳 LO 6）, Wài？r（外耳 TG1u）, Shèn（肾 CO10） and Gān（肝 CO12） were applied; in the group B, intravenous injection with compound Dānshēn（丹参 Radix et Rhizoma Salviae Miltiorrhizae） dissolved in 250 m L of 0.9% Na Cl injection were applied, combined with oral administration of 10 mg of Vitamin B1 and 0.5 mg of mecobalamin tablets. After treatment for three courses in the two groups, efficacy was evaluated based on Reference Standards of Severity, Assessment and Efficacy Evaluation of Tinnitus. Results In the group A（75 ears with nervous tinnitus）, 30 ears were cured, markedly effective was seen in 21 ears, and effective in 22, and the total effective rate was 97.4%; in the group B（76 ears with nervous tinnitus）, 17 ears were cured, markedly effective was seen in 20 ears, and effective in 23, and the total effective rate was 79.0%. The total effective rate in the group A was obviously superior to that in the group B, and the difference between the two groups was statistically significant（P〈0.05）. Compared before the treatment, the score of tinnitus severity both reduced in two groups（both P〈0.05）, and the reducing amplitude of score in the group A was greater than that in the group B（P〈0.05）. Conclusion Electroacupuncture combined with auricular acupressure in treatment of nervous tinnitus is worthy of clinical promotion and application since it has significant efficacy, which is obviously superior to drug therapy, and without adverse effect.

Effects of electroacupuncture combined with auricular plaster on F% and waist-hip ratio in simple obesity patients

Objective To observe and compare the difference of clinical therapeutic effect of electroacupuncture combined with auricular plaster therapy and electroacupuncture therapy on simple obesity. Methods sixty female patients of simple obesity were randomly divided into two groups： an electroacupuncture group and a combined group. Each group had 30 patients treated respectively with electroacupuncture and electroacupuncture therapy combined with auricular point pressing therapy. The changes of the body mass index （BMI）, body fat percentage （F%）, and waist-hip ratio （WHR） were observed to evaluate the effect of loosing weight. Results Compared with the scores before treatment, the BMI, F%, WHR level in two groups dropped （ all P〈0.01 ） in all 60 patients. And compared with the electroacupuncture group, the combined group dropped more obviously （ P〈0.05, P〈0.01 ） . Conclusion The effects of electroacupuncture therapy and electroacupuncture combined with auricular plaster therapy on simple obesity were both remarkable, but more in the combined group, so it indicates that the combined therapy is better than single therapy.

Acupuncture combined with ear point embedding for sleep disorder in depression

Objective To investigate clinical therapeutic effects of acupuncture combined with ear point embedding for treating sleep disorder in depression. Methods Seventy-six patients suffering from sleep disorder in depression were randomly divided into an observation group （39 cases） and a control group （37 cases）. In observation group, acupuncture at Baihui （百会 GV 20）, Shangxing （上星 GV 23）, Shenting （神庭 GV 24）, Fengchi （风池 GB 20） and Shenmen （神门 HT 7）, etc., which was combined with ear point embedding, and in control group, Fluoxetine Hydrochloride Dispersible tablet （Prozac） was orally given. Four weeks of treatments were given as a therapeutic course in both groups. Comparison of changes in scores of HAMD and PSQI was made between the two groups. Results After treatment, HAMD scores were obviously lowered in both groups （both P〈0.01）, and the reduction in HAMD score was more obvious in observation group than that in control group （P〈0.05）. After treatment, the reduction in PSQI score was more obvious in observation group （P〈0.01）, it was more significantly decreased than that in control group. Conclusion Acupuncture combined with ear point embedding provids remarkable therapeutic effects in treating sleep disorder in depression, which is superior to those provided by Fluoxetine Hydrochloride Dispersible Fablet orally given.

Acupuncture combined with ear point taping and pressing for sleep disturbance in 30 children with mental retardation

Objective To observe the therapeutic effect of acupuncture combined with ear point taping and pressing on sleep disturbance of the children with mental retardation. Method Thirty children of mental retardation with sleep disturbance were treated with acupuncture combined with ear point taping and pressing therapy, Sìshénzhēn （四神针）, Nǎosānzhēn （脑三针）, Zhìsānzhēn （智三针）, Nièsānzhēn （颞三针）, Shǒuzhìzhēn （手智针） were selected as main acupoints, and adjunct points were used according to symptoms and syndrome differentiation. For ear point taping and pressing, ěrshénmén （耳神门 MA-TF1）, Pízhìxià （皮质下 MA–AT1）, Jiāogǎn （交感 MA-AH7）, Xīn （心, heart）, Shèn （肾 kidney）, Pí （脾 spleen） were selected. The treatment was given two therapeutic courses, thrice each week, 36 sessions constituted one course. Child Sleep Habit Questionnaire （CSHQ） scale was used for assessment of sleep state before and after the treatment. Results After the treatment, among the 30 cases, 11 cases were markedly effective, 16 cases were effective and 3 cases were failed, the total effective rate was 90.0%; after the treatment, the children had significant improvement in the total time of sleep, the time of going to bed for sleep, sleep habit, sleep behavior, awaking state at night, getting-up state in the morning, sleep state in the daytime and the total score （P0.01, P0.001）. Conclusion Acupuncture combined with ear point taping and pressing therapy has a positive therapeutic effect on sleep disturbance and increases sleep quality in varying degrees in children with mental retardation.

Current situation and analysis of clinical application of auricular acupoint sticking therapy

Objective： By the bibliometrical analysis and evaluation of acupuncture theses on auricular acupoint sticking from 2005 to 2014, the analysis was processed from multiple aspects including the types and numbers of diseases and effective rates of various diseases, in order to objectively reflect the general situation of clinical application of ear point embedding method in the recent years. Methods： By the bibliometrical analysis, the literature on auricular acupoint sticking in the recent ten years was counted up, analyzed and categorized. Results and Conclusion： Auricular acupoint sticking is used clinically for diseases of 26 systems, including 130 diseases. 74 diseases were singularly treated with auricular acupoint sticking, including the advantageous disease category like insomnia, constipation and obesity, and secondary advantageous disease category like dysmenorrhea, myopia, allergic rhinitis, post-operative pain and acne vulgaris.

Treatment of 56 Cases of Women with Post-adolescent Acne by Auricular Point Sticking Method

Acne is a common disorder in adolescence. However, more and more patients are over 25 years old. This type of acne is recurrent, so it is called post-adolescence acne. The author treated 56 cases of women with post-adolescence ache by auricular point sticking method, and obtained excellent results. It is reported as follows.

Introduction to HUA Xue-gui's Experience in Acupuncture Treatment of Tinnitus and Deafness

Doctor HUA Xue-gui, an associate chief physician in Shanghai Research Institute of Acupuncture and Meridian, has been engaged in clinical practice and scientific research of acupuncture for over 30 years. She has created a set of unique and complete acupuncture modalities for neurotic tinnitus and deafness. The authors are honored to have studied with Doctor HUA and have achieved a lot. Now, Doctor HUA＇s experience is summarized as follows.