吕布的兵器不是方天画戟

前文提到,吕布用的是矛而非方天画戟。新版《三国》中吕布用的戟实际也是到宋代才出现的"戟刀"。三国时,戟是军队中的标准武器,从战国开始常用"持戟"一词作为士兵的同义词。吕布为刘备解袁术大将纪灵之围时,在营门树戟一只,约定双方,如射中小支,则袁、刘解斗。吕布举弓射戟,正中小支。戟的小支原是横枝,整个戟呈"卜"字形。到了三国时,横支逐渐弯曲上翘。

ANALYSIS ON THE THERAPEUTIC EFFECT OF ACUPUNCTURE TREATMENT OF 2656 CASES OF PRIMARY TRIGEMINAL NEURALGIA

In the present paper, the clinical therapeutic effect of acupuncture therapy for treatment of primary prosopalgia was observed and its influencing factors were analyzed in 2656 patients. Yuyao (EX HN 4), Touwei (ST 8), Sibai (ST 2), Quanliao (SI 18), Xiaguan (ST 7) and Jiachengjiang were punctured selectively according to the involvement of different branches of the trigeminal nerve. After treatment, of the 2656 cases, the trigeminal neuralgia disappeared in 1469 (55.31%), 727 (27.37%) had marked improvement, 430 (16.19%) had improvement and 30 (1.13%) had no any significant effect. The three years’ follow up visit in 245 cases showed a relapse in 187 cases (76.3%). We think that the therapeutic effect is closely related to the needling manipulations. Only when an electric shock like needling sensation appeared (i.e. “qi reaching the affected area") after inserting the acupuncture needle into the chief acupoints, a better therapeutic effect would be achieved.

CLINICAL STUDY ON TREATMENT OF TRIGEMINAL NEURALGIA BY NEEDLING MENTAL AND MANDIBULAR FORAMINA

In the present paper, 126 patients with neuralgia involving the mandibular branch of trigeminal nerve were treated mainly by puncturing the mental foramen and the mandibular foramen. The two foramina are both located in the focus through which the Stomach Channel of Foot Yangming passes. Among the 126 patients, 42 were attributed to the light type, 61 to the moderate type one and the other 23 to serious type. Acupuncture treatment was given once daily, 30 min every time, with 10 days being a therapeutic course. After 3 courses of treatment, results showed that 29 (69.1%) light type cases, 35(57.4%) moderate type cases and 6 (26.1%) serious type cases were cured. It displays that the less serious the symptom, the higher is the cure rate, and the shorter the duration of disease, the better is the therapeutic effect.

Observation of therapeutic effect on primary trigeminal neuralgia treated with contralateral needling technique (Ju Ci)

Objective To observe the differences in therapeutic effects on primary trigeminat neuralgia between contralateral needling technique and routine acupuncture. Methods One hundred and thirty cases were randomly divided into contralateral needling group and routine acupuncture group, 65 cases in each one. In contralateral needling group, contralateral needling technique was adopted on the acupoints on the opposite side corresponding to the affected face in neuralgia. According to the localization of trigeminal neuralgia, the points were selected. For example, for ophthalmologic branch, Yuyao （鱼腰 EX- HN 4） and Touwei （头维 ST 8） were selected as the main point. In routine acupuncture group, the corresponding acupoints were selected on the affected side of the face. The points were same as that in contralateral needling group, Three courses of treatment were required in two groups. The clinical efficacy was evaluated 4 weeks after the end of treatment. Results The total effective rate was 95.4% （62/65） in contralateral needling group, which was superior to that in routine acupuncture group E86.2% （56/65）1 （P〈0. 001）. Conclusion Contralateral needling technique achieves apparently superior effects on primary trigeminal neuralgia compared with routine acupuncture.

独具慧眼

独具慧眼陈勋超人物：县令、崔谋，哑汉，张阿九，衙差甲、乙。［古代。［幕启：县衙正堂。挂有“明镜高悬”大匾。［衙差乙站在一边。县令戴茶色眼镜上。县令（唱）自幼攻书焚膏继晷，居职县令自信有为。但求青史名标传后世，上忠国君下泽庶黎。本官自进仕途，志在海晏河...

Clinical efficacy observation of thalamic pain treated with acupuncture under the guidance of evidence-based medicine

Objective To study the feasibility of the crossover trial design and the minimal imbalance index random distribution method in the clinical small-sample-size randomized controlled trial（RCT） research of thalamic pain treated with acupuncture under the guidance of evidence-based medicine（EBM）.Methods The crossover trial design was adopted.Eleven cases with the definite diagnosis were randomized into a program-I group（6 cases,treated with acupuncture before western medicine） and a program-II group（5 cases,treated with western medicine before acupuncture） according to the minimal imbalance index method.In the statistical analysis,the groups were named as an acupuncture group and a western medicine group separately,11 cases in each one.Acupuncture was applied to Xìmén（郄门 PC 4）,Yīnxì（阴郄 HT 6）,Xuèhǎi（血海 SP 10）,etc.In the control treatment,Carbamazepine was prescribed for oral administration.Either the duration of treatment or the wash-out period was 10 days.The visual analogue scale（VAS） was adopted for the efficacy assessment.Results The total effective was 100.0%（11/11） after treatment in either group.The remarkably effective rates were 63.6%（7/11） and 36.4%（4/11） in the acupuncture group and the western medicine group separately,without statistically significant difference in comparison.Conclusion The crossover trial design and the minimal imbalance index distribution method can accomplish RCT of the clinical acupuncture and moxibustion research with the small sample size involved.They can provide the high-quality evidences for clinical acupuncture research.Acupuncture therapy can achieve the same therapeutic effect as Carbamazepine,the common western medicine,and the efficacy of it is potentially superior to that of western medicine.

Treatment of 32 Cases of Primary Trigeminal Neuralgia by Acupuncture plus Moxibustion with Warming Needle on Xiaguan （ST 7）

The main acupoints of Acupuncture therapy were Xiaguan （ST 7）, Sanjian （LI 3）, Xiangu （ST 43）, Zulinqi （GB 41）, Sanyinjiao （SP 6） and Taixi （KI 3）. Moxibustion with warming needle on Xiaguan （ST 7）, reduction method on Sanjian （LI 3） on the unaffected side and Xiangu （ST 43） and Zulinqi （GB 41） on the affected side, reinforcement method on Sanyinjiao （SP 6） and Taixi （KI 3） on the affected side were given. Moreover, according to the affected area, the local acupoints were added, Yangbai （GB 14） for the opthalmic branch, Quanliao （SI 18） for the maxillary branch and Jiache （ST 6） for the mandibular branch. Among 32 cases, after 24 acupuncture treatments, 4 cases were cured, 19 cases got marked effectiveness, 7 cases was improved and 2 cases had no effectiveness.

Clinical Observation on Trigeminal Neuralgia Treated by Acupuncture plus Electrophoresis

Objective： To evaluate the clinical effect of combined acupuncture and electrophoresis in treating trigeminal neuralgia. Methods： Sixty patients were randomly allocated to two groups. The treatment group received acupuncture plus electrophoresis, and the control group took Carbamazepine and Methylcobalamin. The therapeutic effects would be evaluated after 30 d. Results： The total effective rate was 93.3% in the treatment group versus 70.0% in the control group. During the follow-up study （6 months to 1 year）, 3 cases got relapsed in the treatment group, occupying 11.1%, and 6 got relapsed in the control group, occupying 28.6%. Conclusion： Combined acupuncture and electrophoresis has a precise effect in treating trigeminal neuralgia, and it bears an advantage of simple operation and maintaining cutaneous sensation.

Evaluation of the effect of acupuncture on pain of patients with refractory trigeminal neuralgia

Objective To assess the effect of acupuncture on pain of patients with refractory trigeminal neuralgia(TN).Methods Acupuncture was accomplished for 14 patients with refractory TN,3 sessions in a week for 10 sessions.Every treatment session lasted about 30 min.The pain severity of patients was evaluated by visual analog scale(VAS)at days 0,3,7,14,21 and 1 month later as follow up.The data were analyzed by SPSS version 18.0.Results The mean age of participants was(59.4±13.2)years old.The VAS points decreased from day 0 to the follow-up.As the results showed,the amount of VAS points decreased by acupuncture has emerged more significance in comparisons between days 0,3 and days 14,21,and the one-month follow-up,the differences in VAS points on the mentioned days were significant(P<0.05).Conclusion Acupuncture can cause proper pain relief for refractory TN.Acupuncture can induce an analgesic effect after multiple repetitions of therapeutic sessions.