损伤痹的证治

收集研究历代医家论治损伤痹的经验,结合临床实践,总结出损伤痹的病因病机(虚、邪、瘀)和证治方案,辨证分为3候6型:正虚候(气血亏虚证、肝肾亏虚证),邪实候(外邪痹阻证),痰瘀候(瘀血痹组证、血瘀寒凝证、瘀热互结证)等。临床应用,取得良好的效果。

损伤痹的源流及临床意义

损伤痹为特殊痹之一,是按症状特征分类的风湿病三级痹病。损伤痹为现代娄多峰所提出,在历史上也有损伤痹相关论述,但不系统。通过对损伤痹有关历代文献的整理和研究,包括损伤痹的病名、病因病机、主要表现及治疗等,补充了中医风湿病学的内容,解决了临床实际问题。因此,损伤痹有着重要的临床意义,是对中医风湿病学的丰富和发展。

针灸推拿治疗臀上皮神经损伤临床观察

臀上皮神经损伤是临床骨科常见病之一,表现为急、慢性的一侧或双侧腰、臀及腿部疼痛。大部分病人发病较急,在弯腰或旋扭腰部活动时发病,严重影响人们的工作和生活质量。十余年来我医院运用针灸配合推拿治疗臀上皮神经损伤126例，取得了满意的疗效。现报告如下。

CHARACTERISTIC OF FACIAL MUSCLE AND EFFERENT NERVE ON PHYSIOLOGY AND ANATOMY

Objective.To study the speciality of orbicularis oculi muscles, nerves and oris muscles, nerves and mechanism of difference of faclal muscular injury in facial paralysis deeply.Methods. The conductive velocity of the efferent nerves of orbicularis oculi and oris muscles of the health human beings and guinea pigs is measured with electromyogram (EMG) apparatus.Results. The conductive velocity of orbicularis oculi nerve is quicker and oris muscles are controlled by facial nerves on both sides. Measuring the threshold of Strength-Duration (S-D) curves of the motor point of orbicularis oculi and oris muscles shows the threshold of the former is lower. Measuring the diameter of orbicularis oculi and oris nerve fibers on the guinea pigs and rabbits shows the diameter of orbicularis oculi nerve fiber is bigger. The area of secondary synapse space of orbicularis oculi motor end plate is larger than that of oris under scanning electromicroscope.Conclusions. Orbicularis oculi muscles,orbicularis oculi nerves and oris muscles,oris nerves all have their own characteristic on physiology and anatomy. It elucidated the mechanism that orbicularis oculi muscle is easy to be injuried.