驱虫乐、丙硫咪唑、噻嘧啶治疗肠道线虫近期效果比较

1992年10月至12月,作者在夹江县对驱虫乐、丙硫咪唑、噻嘧啶治疗肠道线虫的近期效果进行比较。三组治疗对象分别用驱虫乐、丙硫咪唑、噻嘧啶治疗两周后,按治前同一方法复检,以虫卵转阴率和虫卵减少率考核疗效。结果:三种药物对钩虫卵阴转率分别为90.00％、83.33％、56.96％,钩虫卵减少率分别为98.21％、97.74％、90.84％;蛔虫卵阴转率分别为94.37％、93.79％、94.41％;鞭虫卵阴转率分别为43.65％、

CLINICAL OBSERVATION ON THE TREATMENT OF 58 CASES OF NEUROSISM BY ACUPUNCTURE COMBINED WITH MASSAGE

Objective： To observe the therapeutic effect of acupuncture combined with massage for neurasthenia Methods：A total of 88 cases of neurcaism outpatients were randomly divided into acu（puncture）-massage group （n =58） and medication group （n=30）. In acu-massage group, scalp-points as Dingzhongxian （顶中线 MS 5）, Ezhongxian （额中线 MS 1）, Zhensheng Zhengzhongxian （枕中正中线 MS 12）, etc, and body acupoints Taiyang （太阳 EX-HN 5）, Yintang （印堂 EX-HN 3）,Shanzhong （膻中 CV 17）, etc. acupoints were punctured, followed by performing massage frorn Yintang （EX-HN 3） to Shenting （神庭 GV 24） and to the superciliary arch and Taiyang （EX-HN 5）, etc. for 6-9 times. The treatment was conducted once daily with 10 times being a therapeutic course. In medication group, the patients were asked to take Alprazolam （0.4 mg, t. i.d. in the 1st 10 days; 0.8 rng, t. i.d. thereafter）, etc. Results： Following 3 courses of treatment, of the 58 and 30 cases in acu-massage and medication groups, 22 （37.93%） and 8 （26.67%） were cured, 18 （31.63%） and 11 （36.37%） had marked improvement in clinical symptoms, 16 （27.59%） and 4 （ 13.33% ） had improvement, 2 （3.45%） and 7 （23.33%） failed, with the total effective rates being 96.55% and 76.67% respectively. Three months after treatment, follow-up showed that of the 40 and 19 cases in acu-massage and medication groups, 2 （5.0%） and 4 （21. 1%） relapsed separately conclusion：The therapeutic effect of acupuncture combined with massage is markedly superior to that of medication in relieving neurosism.

OBSERVATION ON THE THERAPEUTIC EFFECT OF AURICULAR PLASTER FOR TREATMENT OF 135 CASES OF MOTION SICKNESS

In the present paper, the therapeutic effects of auricular plaster (otopoint-pellet pressing therapy)and Western medicine (Dramamine) were compared in the treatment of 200 cases of motion sickness who were randomly divided into auricular plaster group (n = 135) and Western medicine (control) group (n = 65). Results indicated that the markedly effective rates and total effective rates of auricular plaster group and control group were 51. 1% and 23. 1 %, 94.1% and 81.6% respectively, and the therapeutic effect of the former group was significantly superior to that of the control group (P＜0.01).

MULTI-CENTER RANDOMIZED CONTROLLED TRIALS OF COMBINED TREATMENT OF VERTEBRAL ARTERY TYPE CERVICAL SPONDYLOSIS WITH ACUPUNCTURE AND MASSAGE

Objective.To evaluate the clinical value of synthetical therapy of acupuncture and massage for treating vertebral artery type cervical spondylosis （VACS）. Methods： In the present study, triple-center, single-blind, randomized and control methods were adopted. Qualified subjects were randomly assigned to three groups： acupuncture-massage （acu-mas） group, acupuncture group, and massage group （60 subjects in each group）. Bilateral Fengchi （风池 GB 20）, Jiaji （夹脊 EX-B 2, C4-7） and Baihui （百会 GV 20） ware punctured in combination with massage at the neck-shoulder and back region. The treatment was conducted once daily, 14 times altogether. Results. After treatment, of the 60 cases in each of acu-mas, acupuncture and massage groups, 28, 11 and 13 were cured, 13, 20 and 17 markedly effective, 12, 14 and 16 effective, and 7, 15 and 14 ineffective, with the total effective rates being 88.3%, 75.0% and 76.7% respectively. The therapeutic effect of acu-mas group was significantly superior to that of simple acupuncture and massage groups （P〈 0.05）. The scores of clinical symptoms and signs in 3 groups all declined significantly after treatment （ P〈 0.01 ）, and the score of symptoms of acu-mas was markedly lower than those of acupuncture and massage groups （P〈 0.05）. No significant differences were found among 3 groups in the score of clinical signs and between acupuncture and massage groups in the score of clinical symptoms （P〉0.05）. The time for producing therapeutic effects in acu-mas group was significantly shorter than those of acupuncture and massage groups （P〈0.01, 0.05）, meanng a faster of aou-mas group in producing clinical effect. No adverse events ware found in all the 3 groups. Conclusion： Acupuncture and massage are effective and safe in the treatment of VACS, and the therapeutic effect of acupuncture combined with massage is superior to that of simple acupuncture and simple massage therapy.

PROGRESS IN THE TREATMENT OF NERVE-ROOT-TYPE CERVICAL SPONDYLOSIS WITH CHINESE HERBAL DRUGS

With the highest morbidity rate, cervicalspondylosis of the nerve root type is mostcommon among various other types. It is fromthis type of cervical spondylosis that peoplebegan to know the disease. In recent years,conservative treatment for this type of cervicalspondylosis has been adopted by modernmedicine for most patients, while surgicaltreatment has also been used for a smallnumber of patients who were

OBSERVATIONS ON THE THERAPEUTIC EFFECT OF THE TREATMENT OF 100 SCAPULOHUMERAL PERIARTHRITIS CASES BY "HEGUCI" (MUSCLE NEEDLING) COMBINED WITH MASSAGE

Objective： To explore an effective method for managing middle and late stages of scapulohumeral periarthritis. Methods： A total of 182 cases of scapulohumeral periarthritis were randomized into treatment group （100 cases） and control group （ 82 cases）; those in treatment group were managed by “Heguci” （合谷刺 muscle needling） at the reactionary spot of focus （found out via palpation around the shoulder region） in combination with reinforcing needling manipulation of “Setting the Mountain on Fire” and topical massage; whereas, those in control group treated by conventional method of “selecting aoupoints E Jianqian （肩前 extra point）, Jianyu （肩髃 LI 15）, Jianliao （肩髎 TE 14）, etc] along the course of the affected meridians in combination with massage”. The treatment was given once daily, with 10 sessions being a therapeutic course, 20 sessions altogether. Results： Of the 100 cases and 82 cases in control and treatment groups, 36 （43.90%） and 69 （69.00%） were cured, 42 （51.21% ） and 26 （26.00%） improved, 4 （4.87%） and 5 （5.00%） failed, with the total effective rates being 95.13% and 95.00% respectively. The average treatment sessions of control and treatment groups were 16.32±4.24 and 9.66±8.44 separately. The curative rate of treatment group was significantly higher than that of control group and the rumber of the therapeutic sessions required of the former group was evidently fewer than that of the later group （ P 〈 0.01 ）. Conclusion： The therapeutic effect of “Heguci” combined with massage is significantly superior to that of conventional acupuncture plus massage in the treatment of middle and late stages of scapulohumeral periarthritis.

CLINICAL OBSERVATION ON ACUPOINT DIGITAL PRESSING FOR TREATING IRRITABLE SYMPTOMS AND SIGNS OF POSTOPERATION OF MYOPORTHOSIS

Objective: To explore a new effective approach for treatment of the local irritable symptoms and signs resulted from myoporthosis operation. Methods: 263 cases of radial keratotomy outpatients were divided into control group (n=49, 90 eyes) and treatment group (n=214, 412 eyes). Patients of control group were treated with 0.5% Chloramphenicol eye drops, 3 times daily, 1-2 drops/time, and with 0.5% Erythromycine eye ointment every night. In treatment group, patients were treated with acupoint and hand reflection area digital pressing method except with the same eye drops and eye ointment. Body acupoints used were Cuanzhu (BL 2), Yuyao (EX HN 4), Sizhukong (TE 23), Sibai (ST 2) and Taiyang (EX HN 5). The hand reflex areas used were Eye Area, Liver Area, Kidney Area, Spleen Area, Heart Area and Lung Area. Five days constituted a therapeutic course. Results: Following 3 courses (15 days) of treatment, the markedly effective rate and total effective rate of treatment group and control group were 74.51% and 38.89%, 94.17% and 66.67% respectively. There was a significant difference between two groups in the total effective rate (P<0.05), showing the therapeutic effect of treatment group being better than that of control group. Conclusion: Acupoint digital pressing is rather effective in treatment of myoporthosis post operation irritable symptoms and signs.

A SURVEY ON ACUPUNCTURE TREATMENT OF PERIPHERAL NERVE INJURY

By peripheral nerve injury, we mean theloss of neurosensory and neuromotor functionsinduced by various causative factors,manifesting paralysis of the limbs andmuscular atrophy. It falls into the category ofinjury of the muscle and tendon, and flacciditysyndrome in TCM. The following is asummary of documents in the recent 20

COMBINED TREATMENT OF 43 CASES OF CERVICAL SPONDYLOPATHY

From February of 1994 to February of 1996, the author of the present paper adopted combined therapies of potent traction, massage, acupuncture and Chinese medicinal herbs to treat 43 cases of cervical spondylopathy. Results showed that after 1-3 months’ treatment, of the 43 cases, 30 (69.8%) were cured, 10 (23.3%) had marked improvement, 2 (4.6%) had improvement and 1 (2.3%) failed, with an effective rate of 97.7%.

Seventy Cases of External Humeral Epicondylitis Treated by Local Blocking and Massotherapy

External humeral epicondylitis or tennis elbow, is a commonly encountered disease in orthopaedics and traumatology. The curative effect is not satisfactory as far as its treatment by western and traditional Chinese medicine is concerned, which has a long course of treatment and a high recurrent rate. 70 cases of external humeral epicondylitis were treated by massotherapy after local blocking from August 1995 to October 1997 at this hospital with satisfactory therapeutic effects.Clinical DataOf the 70 cases in this series treated by massotherapy after local blocking, 30 were males and 40 females, ranging in age from 19 to 65 years. 55 cases were 30 to 50 years old, 20 had the left elbow affected and 50 the right elbow. 7 cases had a history of trauma, 50 a history of chronic strain, and 13 the cause unknown. The shortest duration of disease was 15 days and the longest 24 months.Among 50 cases in the control group treated by massotherapy, 20 cases were males and 30 females, ranging in age from 16 to 58 years. 40 cases were 30 to 50 years old. 15 cases were affected on the left elbow and 35 on the right elbow. 6 cases had a history of trauma, 32 a history of chronic strain, and 12 the cause unknown. The shortest duration of diseases was 7 days and the longest 22 months.

TCM Non-medicinal Therapy for Regulation and Treatment of Chronic Fatigue Syndrome

Chronic fatigue syndrome （CFS） is a severe issue to influence the psychosomatic health of the mankind. With the social development, because of the enhancement of the medical and hygienic levels and improvement of the life quality, people pay an increasing attention to the issue of CFS. How to solve CFS, currently due to limitation in the theory of Western medicine, there is no concrete therapeutic method, in addition to the suggestion to change bad life style, regulate the psychological status and pay attention to proper balance between fatigue and physical exercise. But, TCM non-medicinal therapies have unique advantage and remarkable therapeutic effect in the elimination of CFS. Now, current-used TCM non-medicinal therapies for sub-health are summarized in the following.

Therapeutic Efficacy Observation on Combining Acupuncture,Tuina and Functional Exercise for Transverse Process Syndrome of the Third Lumbar Vertebra

Objective： To observe the clinical effect of combining acupuncture, tuina and functional exercise for transverse process syndrome of the third lumbar vertebra. Methods： A total of 90 cases were randomly allocated into an observation group and a medication group. The 48 cases in the observation group were treated with acupuncture, tuina and functional exercise, whereas the 42 cases in the medication group were treated with Ibuprofen sustained release capsules. Before and after treatment, the short-form McGill pain questionnaire （SF-MPQ） was employed to observe the changes in pain rating index （PRI）, visual analogue scale （VAS） and present pain intensity （PPI）. In addition, therapeutic efficacies were compared between two groups. Results： The total effective rate in the observation group was 97.9%, versus 61.9% in the medication group, showing a statistical difference （P〈O.05）. After treatment, there were statistical differences between the two groups in sensory PRI score, affective PRI score, total PRI score, VAS score and PPI score （P〈O.05）; and there were also statistical differences between two groups in clinical sign scoring （P〈O.05）. After 4 and 8 weeks of treatment, there was a statistical difference between the two groups in re^apse rate （P〈O.05）. Conclusion： Combining acupuncture, tuina and functional exercise can obtain better effects and has a lower relapse rate than Ibuprofen sustained release capsules for transverse process syndrome of the third lumbar vertebra.

Clinical observation on electroacupuncture plus tuina for chronic tension-type headache

Objective：To observe the clinical efficacy of electroacupuncture （EA） combined with tuina for chronic tension-type headache （CTTH）. Methods：A total of 97 CTTH cases were randomly allocated into an observation group （n=52） and a control group （n=45）. Patients in the observation group were treated with EA plus tuina based on pattern identification, whereas patients in the control group were treated with oral amitriptyline and oryzanol. Patients in both groups were treated for 8 weeks. A follow-up was conducted 3 months after the treatment. The intensity, duration, and frequency of the headache were recorded and compared before and after the treatment. Additionally, the patients＇ psychological state and quality of life （QOL） were compared between the two groups. Results：There were intra-group statistically significant differences in headache intensity score, headache duration, and headache frequency after the treatment and during the follow-up compared with those before the treatment （allP〈0.05）; and there were between-group statistically significant differences during the same time frame （allP〈0.05）. The Hamilton depression scale-17 items （HAMD-17） and Hamilton anxiety scale （HAMA） scores were significantly reduced in both groups after the treatment or during the follow-up （allP〈0.01）; and there were no between-group statistical significances during the same time frame （allP〉0.05）. The World Health Organization quality of life-BREF （WHOQOL-BREF） scores were significantly reduced in both groups after the treatment or during the follow-up （allP〈0.05）; and the scores in the observation group were significantly lower than those in the control group （allP〈0.05） during the same time frame. The total effective rate was 88.0% in the observation group, versus 71.4% in the control group, showing a significant difference （P〈0.05）. Conclusion：EA combined with tuina can significantly decrease the frequency of chronic tension-type headache, alleviate headache intensity, shorten headache duration, and improve the patients＆#39; wellness. It is better than amitriptyline plus oryzanol.

Treatment of 62 Cases of Infantile Diarrhea by Tuina

Objective： To observe the clinical efficacy oftuina on infantile diarrhea. Method： Sixty-two cases were classified into five subtypes： diarrhea due to food injury, wind-cold, damp-heat, spleen deficiency and yang deficiency of the spleen and kidney. The manipulations including separating hand yin-yang, kneading the general tendon, pushing spleen-earth, transporting external Bagua, rubbing the abdomen, pressing Zusanli （ST 36）, kneading Guiwei and pinching the spine were applied once a day. Result： After the treatments of 3 to 30, 35 cases got recovery, 21 got marked effect, and 6 got improvement. Conclusion： The infantile tuina treatment is effective for infantile diarrhea.

Tuina Is Superior to Electroacupuncture in Treating Thoracic Facet Joint Disorder

Objective:To observe the clinical efficacy of tuina in treating thoracic facet joint disorder,and compare it to the efficacy of electroacupuncture(EA).Methods:Eighty patients were randomized into a tuina group and an EA group,40 in each.The tuina group was intervened by tuina manipulations,and the EA group was by EA treatment.Visual analogue scale(VAS),symptoms and physical signs were evaluated before,and after 5 and 7treatment sessions respectively,and the clinical efficacies were compared between the two groups.Results:After treatment,the recovery and markedly effective rate was92.5%in the tuina group versus 47.5%in the EA group,and the difference was statistically significant(P<0.01).The total effective rate was 100.0%in the tuina group versus 85.0%in the EA group,and the difference was statistically significant(P<0.05).After 5 treatment sessions,the recovery and markedly effective rate was 91.9%in the tuina group versus 68.4%in the EA group,and the difference was statistically significant(P<0.05).The VAS scores,and total symptoms and physical signs scores were significantly reduced in both groups after treatment(P<0.01),and the scores in the tuina group were significantly lower than those in the EA group(P<0.01).Conclusion:Compared to EA,tuina is more efficient and effective in treating thoracic facet joint disorder and has obvious analgesic effect.

Tuina plus Ultrasonic Therapy for Infantile Muscular Torticollis

Objective: To observe the clinical efficacy of tuina plus ultrasonic therapy in treating infantile muscular torticollis. Methods: Seventy kids with muscular torticollis were intervened by tuina plus ultrasonic therapy, and the efficacy was evaluated after 8-month treatment. Results: After 8-month treatment, 41 subjects were cured, accounting for 58.6%, 27 were improved, occupying 38.6%, 2 failed, occupying 2.8%, and the total effective rate was 97.2%. Conclusion: Tuina plus ultrasonic therapy can produce a significant efficacy in treating infantile muscular torticollis, without adverse effects.

Acupuncture Combined with Tuina Treatment for Infantile Diarrhea

Objective： To observe the effect of acupuncture combined with Tuina for nfantile diarrhea. Methods： One hundred and twenty patients met the inclusion criteria were randomly divided into two groups at the ratio of 2：1, and there were 80 cases in the treatment group while 40 cases in the control group. The patients in the treatment group were treated with acupuncture combined with tuina, while those in the control group were treated with medication. The effects of two groups were compared after a 3-day treatment. Results： The total effective rate was 97.5% in the treatment group, versus 87.5% in the control group, and the difference was statistically significant （P〈0.05）. After 48-hour treatments, the antidiarrheal effect of the treatment group was better than that of the control group （P〈O.05）. Conclusion： Acupuncture combined tuina treatment is effective for nfantile diarrhea and works fast.

Treatment of 18 Cases of Chronic Prostatitis by Acupuncture plus Tuina Therapy

In the treatment of 18 cases of prostatitis by puncturing Shenshu （BL 23）,bilateral Sanyinjiao （SP 6） and Zusanli （ST 36） and by kneading the prostate via the anus after acupuncture, the results showed cure in 12 cases, improvement in 5 cases, failure in 1 case and the total effective rate in 94.4%.

Therapeutic Observation of Warm Needling plus Tuina for Senile Functional Constipation

Objective: To observe the clinical efficacy of warm needling plus tuina in treating senile functional constipation. Methods: Ninety elderly patients with functional constipation were randomized into two groups. Forty-six patients in the treatment group were intervened by warm needling plus tuina; the other forty-four patients in the control group were intervened by San Huang tablet. Results: In the treatment group, 19 patients were cured, 24 cases showed improvement, 3 cases failed, and the total effective rate was 93.5%; in the control group, 16 patients were cured, 18 cases showed improvement, 10 cases failed, and the total effective rate was 77.3%. There was a significant difference in comparing the therapeutic efficacy(P<0.05), and the therapeutic efficacy of the treatment group was higher than that of the control group. Conclusion: Warm needling plus tuina can produce a higher therapeutic efficacy than taking San Huang tablet in treating senile functional constipation.

Clinical Study on Treatment of Cervical Spondylotic Radiculopathy by Electroacupuncture plus Tuina

Objective: To observe the clinical effects of electroacupuncture(EA) plus tuina for cervical spondylotic radiculopathy. Methods: One hundred and twenty cases with cervical spondylotic radiculopathy were divided randomly by the digital table into the observation group and control group. The patients in an observation group were treated by EA plus tuina techniques. The patients in the control group were treated by simple tuina techniques. Results: The total effective rate was 91.7% in the observation group and 78.3% in the control group. The effective rates in the two groups were statistically different(P<0.05). Conclusion: EA plus tuina therapy is better than simple tuina therapy in the treatment of cervical spondylotic radiculopathy.