刮痧联合火疗综合顺序疗法治疗肩周炎的疗效观察

探讨刮痧联合火疗综合顺序疗法治疗肩周炎的临床疗效。方法:选取在我院接受治疗的120例肩周炎患者,根据相应的标准对患者进行筛选,入选患者均采用刮痧联合火疗综合顺序疗法进行治疗,观察患者的治疗效果;回顾性调查按传统方法治疗的对照组120例患者。结果:120例患者连续治疗后,100例患者痊愈,占83.3%;12例患者显效,占10.0%;8例患者好转,占6.67%,总有效率100%。经随访半年,无复发及不良反应。对照组总有效率78.3%。结论:采用刮痧联合火疗综合顺序疗法治疗肩周炎的疗效明显,值得临床推广。

火疗配合针灸推拿治疗神经根型颈椎病临床研究

目的研究火疗配合针灸推拿治疗神经根型颈椎病的临床效果.方法神经根型颈椎病患者82例按入院时间分为观察组和对照组,各41例.对照组采用针灸推拿治疗,观察组采用火疗配合针灸推拿治疗.比较两组疗效、症状改善情况及治疗前后疼痛程度(PRI情绪、PRI感觉、PRI总分、VAS评分、PPI评分)、生活质量(SF-36评分).结果观察组治疗总有效率高于对照组(P<0.05);SF-36评分高于对照组,症状评分低于对照组(P<0.05);PRI情绪、PRI感觉、PRI总分、VAS评分、PPI评分低于对照组(P<0.05).结论火疗配合针灸推拿治疗神经根型颈椎病疗效显著,能有效改善患者症状,降低疼痛程度,提高生活质量.

CLINICAL OBSERVATION ON STAGE-AIDED TREATMENT OF 62 CASES OF PERIPHERAL FACIAL PARALYSIS WITH ACUPUNCTURE,MOXIBUSTION AND CUPPING

Objective: To probe the best therapy for peripheral facial paralysis. Methods: A total of 122 cases of facial paralysis patients were randomized into treatment group (n=62, treating the disease by stages) and control group (n=60). For patients at the acute stage in treatment group, main point Yifeng (TE 17) was pricked first, followed by performing cupping and moxibustion, for patients at the resting stage, main point Hegu (LI 4) was punctured with reducing needling method, combined with other acupoints in the light of the concrete situations. For patients at the restoration stage, main point Zusanli (ST 36) was punctured with reinforcing method in combination with seven-star-needle tapping at the local affected region. Patients of control group were treated with routine method by puncturing Fengchi (GB 20), Yifeng (TE 17), Jiache (ST 6), Hegu (LI 4), Taichong (LR 3), etc.. The treatment was conducted once daily, with 10 days being a therapeutic course. Results: Following 3 courses of treatment, of the 62 cases in treatment group, 44 (70.9%) were cured, 12 (19.4%) had remarkable improvement in their symptoms and signs, 6 (9.7%) had amelioration, with the cure plus markedly effective rate being 90.3%; of the 60 cases in control group, 30 (50.0%) were cured, 12 (20.0%) had apparent improvement, 16 (26.7%) had amelioration, and the rest 2 (3.3%) failed in the treatment, with the cure plus markedly effective rate being 70.0%. Ridit analysis showed that the cure rate and cure plus markedly effective rate of treatment group were significantly higher than those of control group (P<0.05). Conclusion: Stage-aided acupuncture treatment is superior to routine treatment for facial palsy.

Professor LIU Huilin’s experience in treating cluster headache with acupuncture-moxibustion

This paper introduces chief physician LIU Huilin’s empirical characteristics in treating cluster headache based on holism and pattern-identification-based treatment,with spirit-regulating filiform needling,filiform fire needle pricking,and collateral-pricking for bloodletting sequential therapy,which inherits the academic thoughts of“acupuncture-moxibustion for treating spirit”from Professor ZHOU De’an and“three-unblocking acupuncture therapy”from HE Puren,thus providing a reference for treating cluster headache with acupuncture-moxibustion therapy.

Clinical observation on wheat grain-sized cone moxibustion combined with fire needle for dorsal wrist ganglion

Objective：To observe the clinical effect of wheat grain-sized cone moxibustion combined with fire needle therapy in the treatment of dorsal wrist ganglion （DWG）. Methods：A total of 63 patients with DWG were randomized into a treatment group （n=32） and a control group （n=31）. Cases in the control group were treated with fire needle therapy. Based on the therapy given to the control group, cases in the treatment group were additionally given wheat grain-sized cone moxibustion therapy. Then the therapeutic efficacies and recurrence rate were evaluated. Results：After treatment, the overall effective rate was 93.8% in the treatment group, versus 77.4% in the control group, and the between-group comparison showed a statistical significance （P〈0.05）; 6 months after the treatment, the recurrence rate in the treatment group was obviously lower than that in the control group （P〈0.05）. Conclusion：The long-term and short-term effects of wheat grain-sized cone moxibustion combined with fire needle therapy in the treatment of DWG are better than those of fire needle therapy alone, and therefore, worth popularizing.

Fire-needle therapy for deglutition disorders in post-stroke pseudobulbar palsy:a randomized controlled trial

Objective:To observe the clinical efficacy of fire-needle therapy in treating deglutition disorders due to pseudobulbar palsy in the remission stage of stroke.Methods:Sixty-two eligible subjects were divided into a fire-needle group and a rehabilitation group by a simple randomization method at a ratio of 1:1.The two groups received same basic intervention;in addition,the fire-needle group received fire-needle treatment,while the rehabilitation group received rehabilitation training.The two groups of subjects all received a 3-week treatment and were evaluated by the dysphagia severity rating scale (DSRS),modified Mann assessment of swallow ability (MMASA) and Kubota Toshio swallow test (KTST) before and after the intervention.The complications and adverse events occurred during the trial were recorded.The data were statistically analyzed.Results:At the third week,the DSRS,MMASA and KTST scores changed significantly compared with the baseline in both groups (P<0.05),and the changes in the fire-needle group were more significant than those in the rehabilitation group (P<0.05).The between-group comparison at the third week showed that the therapeutic efficacy in the fire-needle group was superior to that in the rehabilitation group (P<0.05).Conclusion:Fire-needle therapy can obviously change the DSRS,MMASA and KTST scores in pseudobulbar palsy in the remission stage of stroke,and significantly enhance the therapeutic efficacy of the treatment of deglutition disorders in this stage.

Professor Tian Cong-huo's commonly used acupuncture methods and their clinical application

To introduce Prof. T ian Cong-huo’s commonly used acupuncture methods and their clinical application, in order to summarize the famous doctor’s experience, promote the experience inheritance of Chinese acupuncture, and enhance the therapeutic effect of acupuncture.

Clinical observation on filiform fire-needling plus continuous passive motion therapy for frozen shoulder

Objective:To observe the clinical efficacy of filiform fire-needling plus continuous passive motion(CPM)therapy for frozen shoulder.Methods:A total of 72 patients were randomized into an observation group and a control group by the random number table method,with 36 cases in each group.Patients in the control group received celecoxib capsule plus CPM,while those in the observation group received filiform fire-needling plus CPM.The whole course of treatment lasted for 2 weeks in both groups.The visual analog scale(VAS),Constant-Murley score(CMS)and range of motion of shoulder joint were measured for therapeutic efficacy evaluation.Results:The total effective rate was 91.7%in the observation group,higher than 72.2%in the control group,and the between-group comparison showed statistical significance(P<0.05).After treatment,the VAS scores in the two groups dropped significantly,the CMS as well as the range of motion including abduction,forward flexion and extension were all increased significantly,and the intra-group comparisons showed statistical significance(all P<0.05).The betweengroup comparisons showed the improvements in these items in the observation group were more significant than those in the control group(all P<0.05).Conclusion:Filiform fire-needling plus CPM can produce more significant efficacy than celecoxib capsule plus CPM for frozen shoulder;it can alleviate pain,improve shoulder function and restore joint range of motion in such patients.

Effect of acupuncture plus thunder-fire moxibustion on MMP-3, TIMP-1 and TGF-β1 in rats with knee osteoarthritis

Objective： To observe the effect of acupuncture plus thunder-fire moxibustion on the expressions of matrix metalloproteinase-3 （MMP-3）, tissue inhibitor of metalloproteinase-1 （TIMP-1） and transforming growth factor-β1 （TGF-β1） in cartilage of knee osteoarthritis （KOA） rats, and to explore the mechanism of acupuncture plus thunder-fire moxibustion in the treatment of KOA. Methods： Thirty Sprague-Dawley （SD） rats were randomly divided into a blank control group, a model group and an acupuncture-moxibustion group by random digits table, 10 rats in each group. Rats in the model group and the acupuncture-moxibustion group were injected with papain in the right posterior knee joint to prepare the models. The levels of MMP-3 and TIMP-1 in rat synovium of each group were measured by enzyme-linked immunosorbent assay （ELBA） after 2 weeks of treatment. The level of TGF-β1 was determined by Motic B5 Micro-camera system. Results： The levels of MMP-3 and TIMP-1 in the cartilage of the model group were significantly higher than those in the blank control group （all P〈0.01）; the levels of MMP-3 and TIMP-1 in the acupuncture-moxibustion group were lower than those in the model group, and the between-group differences were statistically significant （all P〈0.05）. The levels of MMP-3 and TIMP-1 in the acupuncture-moxibustion group were higher than those in the blank control group, and the differences were statistically significant （all P〈0.05）. The level of TGF-β1 in cartilage tissues of the model group was significantly lower than that in the blank control group （P〈0.01）; the level of TGF-β1 in the acupuncture-moxibustion group was higher than that in the model group （P〈0.05）, but it was lower than that in the blank control group, and the between-group difference was statistically significant （P〈0.05）. Conclusion： Acupuncture plus thunder-fire moxibustion can effectively recover the abnormal expressions of MMP-3 and TIMP-1 in KOA model rats and somewhat up-regulate TGF-β1, which may be one of its mechanisms of acupuncture plus thunder-fire for KOA.