摩腹捏脊推背治疗婴幼儿腹泻40例临床观察

针对婴幼儿惧怕针药治疗的特点,采用摩腹捏脊推背等传统手法治疗为主,部分病例配合口服补液及内服中药,治疗婴幼儿腹泻40例,治愈32例,好转6例,无效2例,总有效率为95％。

介绍一种按摩工具——按摩棒

按摩棒是一种可以自制的简易按摩工具,一般规格是,长37公分,粗端周长17公分,细端周长13公分,两端均为半圆球形,整个棒面要光滑滚圆。 按摩棒一定要和手按摩结合使用,并且要先用手按摩数分钟后再使用按摩捧,效果最好的按摩部位是大肌肉群和脚跟底部。

Transported into the Bosom of the Empire？ Rethinking How Arthur Conan Doyle Persuades His Readers of British Imperialism in ＂The Speckled Band＂

Melanie C. Green and Timothy C. Brock have proposed their transportation-imagery model of narrative persuasion. They argue that a narrative can evoke imagery in readers＇ mind and then transport readers into the narrative world the author has created, in the course of which the author can persuade readers of the beliefs he＇s put into the narrative. This paper employs this model to rethink how Arthur Conan Doyle persuades his readers of British imperialism in his ＂The Speckled Band＂. First, this model considers the vividness of the narrative and readers＇ participatory response as key factors in readers＇ transportation. The narratives of ＂The Speckled Band＂ are picturesque, and Sherlock Holmes＇ inferential process has reinforced readers＇ participatory response. On the other hand, detective fiction usually has the theme of how the detective/law and order beats the criminal/chaos. That is, Doyle persuades his readers that the British Empire will prevail in ＂The Speckled Band＂ when Holmes, representing the British imperialism, solves the case and kills Dr. Roylott, who represents the evil and savagery in the British colony. According to Green and Brock＇s model, it simply means that there are two narratives （i.e., one is about how the law of the British Empire is challenged, and the other is about how the British Empire＇s stability is restored）, and two complementary transportations before Doyle can successfully persuades his readers. However, if we closely read ＂＇The Speckled Band＂, we can learn that Holmes, who should have represented British law, is guilty of trespassing or taking the law into his own hands. In other words, the complementarity of the two transportations is compromised. Thus, we can conclude that it is highly questionable whether or not Doyle can transport his readers into the bosom of the British Empire.

Modulation effects of pressing manipulation on local inflammatory responses and ERK/NF-κB pathway in trigger point model rats

Objective:To investigate the mechanism of trigger point deactivation induced by pressing manipulation in a rat model and to explore its potential regulation of the inflammatory response through the extracellular signal-regulated kinase(ERK)/nuclear factor-κB(NF-κB)pathway.Methods:Fifty male Sprague-Dawley rats were randomly divided into a blank group,a model group,a pressing manipulation group,an ERK agonist group,and a pressing manipulation+ERK agonist group,with 10 rats in each group.Except for the blank group,rats in other groups were used to establish the trigger point rat model using the blunt blow combined with the eccentric exercise method.The pressing manipulation group underwent pressing manipulation intervention at the trigger points.The ERK agonist group received an injection of recombinant human epidermal growth factor via the tail vein.The pressing manipulation+ERK agonist group received interventions from both the pressing manipulation and ERK agonist groups.The pressure pain threshold(PPT)was measured by a mechanical pain threshold detector before and after the intervention.The histological changes were evaluated by hematoxylin-eosin staining after the intervention;the expression levels of ERK,phosphorylated ERK(p-ERK),NF-κB p65(p65),phosphorylated NF-κB p65(p-p65),and phosphorylated NF-κB inhibitor(p-IκB)were detected by Western blotting;the levels of interleukin(IL)-1β,IL-6,and tumor necrosis factor(TNF)-αwere detected by enzyme-linked immunosorbent assay.Results:The PPT increased(P<0.05);the inflammatory cells disappeared;the ratios of p-ERK/ERK,p-p65/p65,and p-IκB/β-actin,also the levels of IL-1β,IL-6,and TNF-αall decreased in the pressing manipulation group after the intervention compared with the model group(P<0.05).The PPT decreased significantly(P<0.05),the inflammatory cell presence increased,and the ratios of p-ERK/ERK and p-p65/p65 were elevated(P<0.05);additionally,the levels of IL-6 and TNF-αwere significantly higher in the pressing manipulation+ERK agonist group compared with the pressing manipulation group(P<0.05).The PPT was significantly lower(P<0.05),the inflammatory cell count was higher,the ratios of p-ERK/ERK and p-IκB/β-actin and the levels of IL-1βand TNF-αwere significantly higher in the ERK agonist group compared with the pressing manipulation+ERK agonist group(P<0.05).Conclusion:Pressing manipulation can effectively alleviate inflammation and pain in trigger point model rats,potentially by inhibiting the ERK/NF-κB signaling pathway.

Clinical study on the treatment of functional constipation in infants and younger children with pediatric Tuina based on Baliao points

Objective:To observe the clinical efficacy of Tuina(Chinese therapeutic massage),basically Yi Zhi Chan pushing at Baliao points in the treatment of functional constipation in infants and children aged 1-3 years old.Methods:Seventy kids were randomly divided into an observation group and a control group,with 35 cases in each group.The control group was treated with conventional Tuina manipulation,while the observation group was treated with Tuina manipulation based on Yi Zhi Chan pushing at Baliao points.Both groups were treated once every other day,with 10 times as 1 course of treatment.The score on the self-developed constipation rating scale and clinical efficacy were compared after 1 course of treatment.Results:The total effective rate was 90.6%in the observation group and 76.7%in the control group,and the difference between the two groups was statistically significant(P<0.05).The degree of defecation difficulty in the children in the observation group was milder than that in the control group(P<0.01).Conclusion:Tuina manipulation based on Yi Zhi Chan pushing at Baliao points can significantly improve the degree of defecation difficulty in children,and the total effective rate is better than that of conventional Tuina manipulation.

青少年田径选手的恢复手段——按摩

能否对青少年田径运动员做按摩?按摩是否会对青少年运动员的赛前准备产生影响?不少运动员和他们的家长都提出了这样的问题,而且,一些教练员也时常提出这样的问题,其中有许多教练员还认为,按摩会对青少年运动员的机体造成损害。对此。

Traditional Chinese medicine treatment selection for straightened cervical curvature and therapeutic observation

Objective：To observe the clinical efficacy of different therapies in treating straightened cervical curvature. Methods：A hundred patients with straightened cervical curvature were randomized into 5 groups to receive corresponding treatment. The clinical efficacies and the changes of cervical curvature in the five groups were compared. Results：Different therapies all produced certain effectiveness in treating cervical spondylosis patients. The total effective rates in the acupuncture group and tuina group were both 100%, and the rates in the traction group, oral medication group and Chinese medicinal application group were all lower than the rates in the acupuncture group and tuina group （P〈0.05）. It was shown that the more significant the change of cervical curvature, the more significant the clinical efficacy. Conclusion：Correcting the straightened cervical curvature is a way to swiftly release pain brought by cervical spondylosis; the optimization of different therapies ensures the achievement of long-term effectiveness; acupuncture and tuina are both effective in restoring the cervical curvature.

Orthogonal test on local temperature influenced by different parameters and manipulation types of An-pressing Xinshu (BL 15)

Objective:To explore the optimal thermal effect parameter combination of An-pressing manipulation based on the pressing force, time and frequency, and to compare the thermal effect differences between the rhythmic and the continuous An-pressing manipulations. Methods:Three levels of light, moderate and heavy pressing forces were determined according to the An-pressing forces of the clinical tuina physicians;the pressing time and frequency parameters were determined according to the literatures about An-pressing manipulation. The volunteers were stimulated by the homemade An-pressing manipulation stimulator on the right Xinshu (BL 15), and then the three-factor and three-level orthogonal tests were carried out according to the test sequence specified by the L9(34) orthogonal table, and the temperature before and after pressing was recorded by an infrared thermal imaging system to screen the best parameters for the thermal effect of the An-pressing manipulation, thus to determine the optimal pressing parameters. The optimal parameters were then used for both continuous and rhythmic An-pressing manipulations to stimulate the bilateral Xinshu (BL 15). The temperature changes after pressing and the duration of the thermal effect (temperature difference ≤0.5℃ on both sides) were recorded by the infrared thermal imaging system, to explore the differences in the thermal effects of different An-pressing manipulations. Results:Among the three factors of pressing force, time and frequency, the influences of different pressing forces on temperature were significantly different (F=32.843,P=0.030), and the influence of 2.5 kg pressing force was the most significant;the effects of different pressing time on temperature were significantly different (F=54.102,P=0.018), and the pressing time of 7.5 min was the most significant;the influences of different pressing frequencies on temperature were not statistically significant (F=2.181,P=0.314), though the influence of 10 times/min pressing frequency was the largest. The influences on temperature difference of the rhythmic and the continuous An-pressing manipulations were significantly different (P=0.031 on the left side andP=0.045 on the right side), but there was no statistical difference in the duration of the thermal effect (P=0.690). Conclusion:The An-pressing manipulation parameters that significantly affect the temperature difference are pressing force and time. The optimal combination of thermal effect parameters is pressing force of 2.5 kg, time of 7.5 min, and frequency of 10 times/min. The local thermal effect of the rhythmic An-pressing manipulation is significantly greater than of the continuous An-pressing manipulation.

Experimental study on the influence of pressing force and time on thermal effect of An-pressing manipulation

Objective:To observe the influence of pressing force and time on the thermal effect of An-pressing manipulation.Methods:Eight healthy volunteers were recruited to receive An-pressing manipulation at Xinshu (BL 15) on the right side.The pressing force and time were both divided into five levels:the force described as extremely mild,mild,moderate,strong and extremely strong and time given by 2.5 min,5.0 min,7.5 min,10.0 min and 15.0 min.The real-time change in local acupoint temperature as well as the change during 1.0-15.0 min after the manipulation were observed.Results:Compared with the baseline data,the real-time changes in the temperature after An-pressing Xinshu (BL 15) on the right side with different levels of force (from mild to strong) were respectively (1.88t0.64) ℃,(2.05±0.68) ℃,(2.25±0.59) ℃,(2.35±0.61) ℃ and (2.32±0.69) ℃;the changes in 15.0 min after the manipulation were respectively (-0.11±0.11) ℃,(0.03±0.14) ℃,(0.59±0.58) ℃,(1.38±0.70) ℃ and (2.09±0.98) ℃.The real-time temperature changes after the manipulation for different durations (from short to long) were respectively (1.94±0.37) ℃,(2.33±0.29) ℃,(2.49±0.31) ℃,(2.51±0.39) ℃ and (2.41±0.55) ℃;the changes in 15.0 min after the manipulation were respectively (0.53±0.49) ℃,(0.33±0.30) ℃,(0.52±0.33) ℃,(0.55±0.38) ℃ and (0.76±0.36) ℃.Conclusion:The thermal effect presented an increasing tendency with the extension of pressing time,and the temperature reached the top at 7.5 min;the thermal effect showed an increasing tendency with the rise of pressing force,and the temperature reached the top upon a moderate level of force.The pressing time can produce a greater influence on the real-time temperature than the pressing force;the pressing force can produce a greater influence on maintaining the temperature than the pressing time.

Clinical observation on acupuncture plus subtle adjustment manipulation of the cervical spine for peripheral facial paralysis

Objective:To observe the clinical efficacy of acupuncture plus subtle adjustment manipulation of the cervical spine for peripheral facial paralysis.Methods:A total of 60 patients with peripheral facial paralysis who met the screening criteria were selected and divided into two groups according to the method of random number table,with 30 cases in each group.The patients in the acupuncture plus tuina group received routine treatment of acupuncture and subtle adjustment manipulation of the cervical spine,while the patients in the acupuncture group only received the same acupuncture treatment.Assessment of peripheral facial paralysis with integrated traditional Chinese and Western medicine was adopted for rehabilitation assessment.Results:The total effective rate of the acupuncture plus tuina group was 93.3%,while that of the acupuncture group was 70.0%,and there was a significant between-group difference(P<0.05).After treatment,the total scores of rehabilitation assessment in both groups were significantly higher than those before treatment(both P<0.05),and the score of the acupuncture plus tuina group was significantly higher than that of the acupuncture group(P<0.05).Conclusion:The treatment of acupuncture plus subtle adjustment manipulation of the cervical spine can improve the function of facial muscles in patients with peripheral facial paralysis,and its clinical efficacy is better than that of the acupuncture treatment alone.

Clinical Observation on Tuina plus Warm Needling Moxibustion for Lumbar Disc Herniation

Objective： To observe the therapeutic efficacy of tuina plus warm needling moxibustion for lumbar disc herniation （LDH）. Methods： A total of 90 LDH cases were randomized into an observation group and a control group, 45 in each group. Cases in the observation group received tuina and warm needling moxibustion, whereas cases in the control group received tuina manipulation alone. Results： The total effective rate in the observation group was 88.9%, versus 75.6% in the control group, showing a statistical significance （P〈0.01）. Conclusion： Tuina in combination with warm needling moxibustion works better than tuina manipulation alone for LDH.

Effect of An-pressing manipulation on the serum levels of T-AOC and CK-MM in volunteers with delayed onset muscle soreness in biceps brachii

Objective：To observe the effect of An-pressing manipulation on biceps brachii with delayed onset muscle soreness （DOMS） in healthy male volunteers.Methods：A total of 30 male college student volunteers were randomly divided into a blank group,a model group and a treatment group,10 cases in each group.Subjects in the blank group did not receive any intervention;subjects in the model group received active weight-bearing eccentric exercise on the non-favored side of the upper limb to establish the models,while not receiving any treatment;subjects in the treatment group received both the same modeling and An-pressing manipulation treatment.The subjective rating of perceived exertion （RPE）,subjective soreness sensation threshold and soreness grade were evaluated before modeling,immediately after modeling,and 24,48,72,96 and 120 h after modeling.Serum total antioxidant capacity （T-AOC） was measured before modeling,immediately after modeling,and 24,48 and 72 h after modeling.Serum creatine kinase MM isoenzyme （CK-MM） was measured before modeling and 24,48 and 72 h after modeling.Results：At 24,48,72 and 120 h after treatment,the soreness grades of the treatment group were lower than those of the model group （all P〈0.05）.The RPE scores of the treatment group were lower than those of the model group （all P〈0.05） immediately after modeling,at 24,48,72,96 and 120 h after modeling.The subjective soreness sensation threshold of the treatment group was higher than that of the model group immediately after modeling,at 24,48,72 and 96 h after modeling （all P〈0.05）.Immediately after modeling,T-AOC value in the treatment group was higher than that in the model group and blank group （both P〈0.05）.CK-MM of the treatment group was lower than that of the model group at 48 h and 72 h after modeling （P〈0.05）.Conclusion：An-pressing manipulation shows a certain therapeutic effect on biceps brachii with DOMS by strengthening the body＇s antioxidant and anti-damage abilities,which can effectively reduce the pain and accelerate the recovery from fatigue damage.

Observation on the therapeutic efficacy of acupuncture plus tuina for cervical vertigo

Objective： To observe the clinical efficacy and action mechanism of Jin＇s three-needle acupuncture plus Long＇s chiropractic tuina manipulations in treating cervical vertigo. Methods： By adopting a randomized controlled method, 80 eligible patients were randomized into an observation group of 41 cases and a control group of 39 cases. The control group was intervened by Jin＇s cervical three-needle acupuncture plus acupuncture at the vertigo-pain points and Fengchi （GB 20）; the observation group was by Long＇s chiropractic tuina manipulations in addition to the treatment given to the control. For both groups, the intervention was given once a day, 7 sessions as a treatment course, with a 1-day interval after a course, for 2 courses in total. The therapeutic efficacy was evaluated after the first session and the second treatment course, at the 3-month and 6-month follow-ups. Results： After the first session, the recovery plus markedly effective rate of the observation group was significantly higher than that of the control group （P〈0.01）; the rate was markedly higher in the observation group than that in the control group after 2 treatment courses （P〈0.01）; at the 3-month follow-up, the relapse rate was 2.5% in the observation group versus 23.5% in the control, and the between-group difference was statistically insignificant （P〉0.05）; the 6-month follow-up study showed that the relapse rate was 5.0% in the observation group versus 21.6% in the control group, and the between-group difference was statistically significant （P〈0.05）; at the 6-month follow-up, the total relapse rate was 7.5% in the observation group versus 35.1% in the control group, and the inter-group difference was statistically significant （P〈O.01）. Conclusion： The two treatment protocols are both effective in treating cervical vertigo. However, due to its more significant efficacy, more efficient action and lower relapse rate compared to acupuncture alone, acupuncture plus tuina can be regarded as a verified protocol for cervical vertigo.

Clinical Observation on Treatment of Knee Osteoarthritis by Acupuncture and Tuina Therapy

Objective： To observe the effect of acupuncture and Chinese tuina manipulation therapy in treating knee osteoarthritis, and analyze the alteration of musculus quadriceps femoris strength. Methods： A total of 80 patients were randomly assigned to a treatment group receiving acupuncture combined Chinese tuina manipulation therapy （n=40） and a control group receiving Fenbid treatment （n=40）, curative effective score, Lequene ＆ Mery assessment tests, and isokinetic evaluation were recorded before and after the treatment course. Results： The total effective rate was 90.0 % in the treatment group and 87.5% in the control group, without a significant difference between the two groups. Lequene ＆ Mery assessment tests had no significant change. Musculus quadriceps femoris isokinetic evaluation improved significantly after the treatment course in the two groups （/9〈0.05）, and there was a significant difference between the two groups （P〈0.05）. Conclusion： Acupuncture combined with tuina manipulation therapy and Fenbid treatment both can reduce knee pain and joint disability in the short term, though no improvement was shown in the severity of the disease. Acupuncture combined with tuina manipulation therapy is better than Fenbid in improving the strength, total work and explosive force of the musculus quadriceps femoris.

Influence of Acupuncture plus LONG＇s Manual Manipulations on Functional Improvement in Lumbar Intervertebral Disc Protrusion

Objective： To observe the effect of acupuncture plus LONG＇s manual manipulations on the functional improvement of the patients with lumbar intervertebral disc protrusion. Methods： 60 cases of the patients were randomly divided into a observation group and a control group, 30 cases in each group. The observation group was treated with acupuncture plus LONG＇s manual manipulations, and the control group was treated with single acupuncture. The functions of the lumber vertebrae were processed in accordance with the assessment system of Japanese Orthopedic Association （JOA）, and the therapeutic effects were assessed by Visual Analog Scale （VAS）. Results： After the treatments, the differences in JOA and improvement indexes were statistically significant （P〈0.05） between the two groups. VAS was decreased much remarkably in the observation group （P〈0.01） than before the treatments and decreased remarkably in the control group （P〈0.05） than before the treatments. There was a remarkable difference in VAS between the two groups after the treatments （P〈0.05）. Conclusion： Acupuncture plus LONG＇s manual manipulations are better than single acupuncture in improving the functions of the patients with lumbar intervertebral disc protrusion.

Clinical Experience on Treatment of Cervical Spondylosis with Combined Acupuncture, Tuina and Psychotherapy

Cervical spondylosis is common in the middle-aged or senile population and can greatly affect theirbody-mind health. The common treatmentmethods include traction, tuina, acupuncture andmedication. However, psychological factors, suchas anxiety, depression or fear are often neglectedduring the treatment. The authors investigated theeffect of combined psycho- therapy, acupunctureand tuina on the cervical spondylosis.

Clinical observation on acupuncture plus tuina for insomnia

Objective： To observe the efficacy of acupuncture plus tuina therapy for insomnia. Methods： Totally 100 eligible patients were randomized into a treatment group （n=51） and a control group （n=49） by using the random number table. The treatment group was intervened by acupuncture at Baihui （GV 20）, Fengchi （GB 20）, Wangu （GB 12）, Shenting （GV 24）, Anmian [Extra, locates at the midpoint between Yiming （EX-HN 14） and Fengchi （GB 20）], and Neiguan （PC 6） plus tuina treatment; the control group was intervened by acupuncture alone. For both groups, the treatment was given once a day, 10 sessions as a treatment course, and the efficacies were evaluated and compared after 3 treatment courses. Results： Of the 51 subjects in the treatment group, 46 cases completed 3 treatment courses, and 17 cases were cured, 18 cases showed marked efficacy, 7 cases were improved, 4 cases had invalid result, and the total effective rate was 91.3%. Of the 49 subjects in the control group, 46 cases completed 3 treatment courses, and 8 cases were cured, 12 cases showed marked efficacy, 14 cases were improved, 12 cases had invalid result, and the total effective rate was 73.9%. The total effective rate of the treatment group was significantly higher than that of the control group （P〈0.05）. Conclusion： Acupuncture plus tuina can calm the mind and activate meridian qi in treating insomnia, and it can produce a more significant efficacy than pure acupuncture treatment.

Effect of An-pressing manipulation on post-stroke muscle spasticity in rats and its mechanism study

Objective:To explore the mechanism of An-pressing manipulation in improving post-stroke muscle spasticity,by observing the changes of γ-aminobutyric acid(GABA)and glycine(GIy)in plasma and gray matter of L1-L3 spinal cord anterior horn in post-stroke rats with muscle spasticity after An-pressing manipulation intervention.Methods:Ten of 80 adult male Sprague-Dawley(SD)rats were randomly selected as the blank group,and the remaining 70 were used for modeling.The middle cerebral artery occlusion(MCAO)rat model was established by insertion suture occlusion method in the left external carotid artery.Thirty rats with a Longa neurological score of 2-3 points and a modified Ashworth spasticity scale score of 1,1+,or 2 were included in the experiment.Using the random number table method,the 30 successfully modeled rats were randomly divided into a model group,an An-pressing tendon group and an An-pressing muscle belly group.Two days after modeling,rats in the An-pressing tendon group and An-pressing muscle belly group received An-pressing manipulation on the tendon and belly of quadriceps femoris muscle respectively,with the pressure of(350±50)g and the frequency of 5 s/time,15 min per session,once a day for 5 continuous days.After the 5th treatment,the tension of the rat quadriceps femoris muscle was evaluated using the modified Ashworth spasticity scale.The Gly levels in rat plasma and L1-L3 segments of spinal cord were determined by enzyme-linked immunosorbent assay(ELISA).The GABA levels in rat plasma and L1-L3 segments of spinal cord were measured by high performance liquid chromatography(HPLC).Results:The decrease in rat muscle tension scored by the modified Ashworth spasticity scale in the An-pressing tendon group was more significant than that in the An-pressing muscle belly group(P<0.01);the increases in Gly and GABA levels in the rat plasma and L1-L3Segments of spinal cord were more significant in the An-pressing tendon group than those in the An-pressing muscle belly group(all P<0.01).