脊源性类冠心病推拿针灸治疗及护理观察

目的:观察推拿、针灸治疗及护理脊源性类冠心病的疗效。方法:61例脊源性类冠心病患者,按就诊顺序随机分为观察组31及对照组方30例。观察组采用推拿针灸治疗及护理,对照组采用心血管药物治疗及护理。治疗10天后比较疗效。结果:观察组疗效优于对照组(P<0.001)。结论:推拿针灸治疗护理脊源性类冠心病疗效显著,大大减轻病人痛苦。

推拿治疗颈椎病的临床研究进展

当今社会人们学习、工作压力逐渐增大,随着电脑、手机等电子产品的普及,滋生了一批“低头族”,颈椎病患病人数逐年递增,且发病年龄低龄化。推拿作为治疗本病的一种绿色有效方法,疗效显著,近些年来得到较快发展,同时配合针灸、牵引、中药等多种方法疗效更为突出,也被众多医家认同。本人结合临床,就近几年推拿治疗颈椎病的临床研究进展作如下综述。

CLINICAL REPORT ON IMPROVEMENT OF MOBILITY OF AFFECTED SHOULDER JOINT CAUSED BY ACUTE CEREBRAL INFARCTION TREAT-ED WITH ACUPUNCTURE AND MASSAGE

Objective To observe the effects of acupuncture and massage to improve the mobility of affected shoulder joint caused by acute cerebral infarction. Methods 120 cases of acute cerebral infarction were randomized into two groups, named treatment group with acupuncture and massage and control group with western medicine. Acupoint selection of treatment group with acupuncture and massage： Yōngquán （涌泉 KI1）, Láogōng （劳宫 PC8）, Hòuxī （后溪SI3）, Gōngsūn （公孙 SP4）, Fēngchī （风池 GB20）, Jiānyú （肩髃 LI15）, Qūchí （曲池 LI11）, Hégǔ （合谷 LI4）, Huántiào （环跳 GB30）, Zúsānlǐ （足三里 ST36）, Tàichōng （太冲 LR3）, Anterior Oblique Line of Vertex-Temporal and Posterior Oblique Line of Vertex-Temporal. Massage techniques： roll for relax, hold and press, flick and fiddle, and shake. Control group with western medicine was treated with mannitol ＋ low molecular weight dextran ＋ CDP-choline. Results Compared with control group, treatment group could apparently improve the mobility of shoulder joint and lower the injury percentage （P〈0. 01） ; and the therapeutic effect of treatment group is better than that of control group （P〈0. 05） for treating acute cerebral infarction. Conclusion The therapy of acupuncture combined with massage could improve the function of the affected shoulder joint caused by acute cerebral infarction, and enhance therapeutic effect.

Effects of acupuncture and Chinese massage on the functions of knee flexors and extensors in patients with knee osteoarthritis:randomized controlled trial

Objective To observe and evaluate the clinical efficacy of acupuncture and Chinese massage on knee osteoarthritis and conduct the analysis on the functions of knee flexors and extensors in patients. Methods Eighty cases were randomly divided into an observation group and a control group, 40 cases in each one. In observation group, acupuncture combined with Chinese massage was applied. The main acupoints for acupuncture were Nèixīyǎn （内膝眼 EX-LE 4）, Hèdǐng （鹤顶 EX-LE 2）, Dúbí （犊鼻 ST 35）, etc. In Chinese massage, gun-fa （rolling）, rou-fa （kneading）, na-fa （grasping）, ca-fa （rubbing） and passive movements of joints were applied. In control group, Fenbid was administered orally. The efficacy evaluation, JOA score and the result of isokinetic testing were compared before and after treatment in two groups. Results ① The total effective rate was 90.0% （36/40） in observation group and was 87.5% （35/40） in control group, indicating equivalent efficacy between two groups （P0.05）. JOA score after treatment increased remarkably compared with that before treatment in two groups （both P0.01）. ② It was indicated in isokinetic test of two groups that peak torque （PT）, total work （TW） and average power （AP） after treatment were all improved in comparison with those before treatment （P0.05, P0.01） and the improvement after treatment in observation group was much more remarkable as compared with that in control group （all P0.05）. Conclusion Acupuncture and Chinese massage can improve significantly in the symptoms, the muscle strength of the flexors and extensors as well as motor function of the patients with knee osteoarthritis, which is superior to that achieved with Fenbid.

Case of infant hirschsprung

Hirschsprung is a kind of common and severer congenital digestive tract malformation in newborns. At present, the treatment methods at home and abroad mainly include surgical therapy and neural stem cell transplantation, acupuncture-moxibustion and tuina are mostly applied after operation, and there is rare report on non-surgical treatment before operation. In this paper, satisfactory effect has been obtained by adopting acupuncture-moxibustion and tuino for treatment of infant hirschsprung in the early stage, which provided a new idea for non-surgical treatment of infant hirschsprung in the early stage.

Clinical Study on Warming Needle Moxibustion plus Tuina for Shoulder Periarthritis

Objective： In order to compare the therapeutic effects between warming needle moxibustion plus Tuina therapy and single Tuina therapy for shoulder periarthritis. Methods： By random single blind control method, 80 cases were divided randomly into Group A （single Tuina group） and Group B （warming needle method plus Tuina group）, 40 cases in each group. Results： The effective rate was 95.0% in Group B and 85.0% in Group A, without significant difference （P〉0.05） in comparison between two groups. In assessment of Visual Analogue Scale, there was obvious decrease in both groups before and after the treatments （P〈0.01）. In comparison of VAS score differences between the two groups after the treatments, there was remarkable significant difference （P〈0.01）. Conclusion： Warming needle moxibustion plus Tuina is better than single Tuina therapy in stopping pain.

Observations on the Therapeutic Effect of Acupuncture plus Tuina on Retention of Urine

One hundred and eighteen patients with retention of urine were divided randomly into two groups, viz. acupuncture plus Tuina group and injection of drug group, and were treated and observed respectively. The result showed there was a significant difference in the therapeutic effects between the two groups. The comparison and analysis of the therapeutic effects, the therapeutic times and the influence of therapeutic effects between the two groups indicated that the therapeutic effect of acupuncture plus Tuina was obviously prior to that of injection of drug and reflected acupuncture and Tuina on retention of urine was a better method of treatment.

Observation of Clinical Effect of Acupuncture by Warming Governor Vessel and Dredging Yang for 50 Cases of Cervical Spondylopathy

Acupuncture method by warming the Govemor Vessel and dredging yang can be used to improve microcirculation obviously, eliminate pain in the neck and improve the motion of the neck. In the treatment of 50 cases of cervical spondylopathy by this method, the therapeutic effect is satisfactory.

Research Advance on Enuresis with Hemirachischisis Treated by Regulating Governor Vessel

The patients with primary enuresis complicating with hemirachischisis were treated by routine manipulations as well as the acupoints and manual methods to unblock and regulate Governor Vessel. Excellent effects have been obtained.

Treatment of 120 Cases of Nuchal Ligament Strain by Acupuncture and Tuina

120 cases of nuchal ligament strain were treated with Tuina at the nape, tapping Dazhui （GV 14） with plum-blossom needle, and cupping Dazhui（GV 14）. Clinical observation was made after 14-day treatments. Eighty-seven cases got cure, 28 cases improvement and 5 cases failure; the total effective rate was 95.8%.

Therapeutic observation of warm needling moxibustion plus tuina for knee osteoarthritis due to cold-dampness blocking collaterals

Objective： To observe the clinical efficacy of warm needling moxibustion plus tuina in treating knee osteoarthritis （KOA） due to cold-dampness blocking collaterals. Methods： Forty-eight KOA patients were randomized into 2 groups by their visiting sequence, 24 cases in each group. The treatment group was intervened by warm needling moxibustion plus tuina, while the control group was treated with acupuncture plus tuina. The two groups were both treated once a day, 30 min for each session, 10 d as a treatment course, totally for 3 treatment courses. The visual analogue scale （VAS） and Lysholm knee scoring scale （LKSS） were observed before and after the treatment to evaluate the clinical efficacy. Results： After 3 treatment courses, the VAS and LKSS scores were significantly changed in the two groups （P〈0.01）, and the between-group differences were also statistically significant （P〈0.01）. The markedly-effective rate was 83.3% in the treatment group versus 66.7% in the control group, and the difference was statistically significant （P〈0.05）. Conclusion： Warm needling moxibustion plus tuina can produce a more significant efficacy than acupuncture plus tuina in treating KOA due to cold-dampness blocking collaterals.

Research Progress on Acupuncture and Tuina Therapy for Temporomandibular Joint Dysfunction Syndrome in Recent 5 Years

Temporomandibular joint dysfunction syndrome （TMD） is a commonly encountered disease in the oral and maxillofacial region and often occurs in the young and middle-aged adults. The epidemiological study on this disease by domestic scholars showed its incidence rate was 32.0%-57.3% [1-3].

Treatment of Shoulder Impingement Syndrome by Tuina and Acupuncture plus Functional Training:A Report of 40 Cases

Acupuncture and Tuina plus functional training were used to treat forty cases of shoulder impingement syndrome. Twenty-seven cases were cured clinically, accounting for 67.5%; 9 cases had marked effectiveness, accounting for 22.5%; 3 cases had effectiveness, accounting for 7.5%; 1 case obtained no effect, accounting for 2.5%; the total effective rate was 97.5%.

General Situation of Acupuncture and Tuina for Chronic Fatigue Syndrome

Chronic fatigue syndrome （CFS） refers to a poor adaptation in physiology, psychology and social activities. It is a critical status between health and sickness, also known as sub-health, and becomes a hot point in the medical study in the twenty first century, and its incidence is about 70% in the population of China.