灸治法治疗瘰疬16例

瘰疬是好发于颈部淋巴结的慢性感染性疾患，其核小而多，累累如葡萄者称之为瘰；其核小而大者谓之疬，合称为瘰疬。俗称“老鼠疮”或“疬子颈”。本病多见于儿童或青中年人，好发于颈部及耳后，起病缓慢，初起时结核如豆，皮色不变，不觉疼痛，以后逐渐增大，并可窜生，成脓时皮色转为暗红，溃后脓水清稀，每挟有败絮样物质，往往此愈彼溃，形成窦道。

浅谈痹证及针灸治法

痹证，痹即闭阻不通之意。其证或痛或肿，或麻木不仁，或筋屈而不伸，或引而不缩，或寒或热，或燥或湿，或游走不定，或留着不移。故有行痹（包括众痹、周痹）、痛痹、着痹、热痹；以及骨、筋、脉、肌、皮痹、和五藏的痹证。

霹雳火球灸治法的临床应用

霹雳火球灸治法的临床应用熊光明，李吉敏，熊文俊（江西省峡江县普济医院３３１４００）关键词霹雳火球，灸治法，临床应用我院２０年来，独创研制了一种霹雳火球，用于灸治内外种、骨伤科等多种疾病，经大量临床应用，表明有较好的治疗或辅助治疗及康复作用。报道如下：...

《黄帝内经》灸治特点浅析

《黄帝内经》灸治特点浅析任晓湘代述明胡蓉徐涛（四川渠县人民医院渠县６３５２００）关键词《黄帝内经》灸治法特点灸法是中医经典医籍《黄帝内经》的重要组成部份，它是一种特殊的外治方法，在临床上既可单独疗疾，亦可配合使用。《灵枢·官能》篇云“针所不为，灸之所...

浅谈灸法在疮疡治疗中的运用

阐述了灸法在疮疡治疗中的运用。灸法为疮疡常用外治法之一，既可用于阴疮寒证，也可用于阳疮热证。以辨证论治为前提，采用经穴灸与非经穴灸，对施灸壮数、艾炷大小提出规范要求，明确其禁忌，探讨了艾灸治疗疮疡的机理。

CURRENT SITUATION OF CHINESE REHABILITATION TREATMENT OF CEREBRAL PALSY

Analyze present situation of treatment of cerebral palsy at home and abroad, review in detail concrete methods and studies of mechanisms of acupuncture and moxibustion as main therapeutic way adopted at home, probe characteristics and models of Chinese rehabilitation treatment for cerebral palsy. Results indicate that acupuncture and moxibustion treatment of cerebral palsy has very great potential social and economic results. Therefore, it is appropriate to approach establishment of a comprehensive rehabilitation system of cerebral palsy with Chinese characteristics, and with acupuncture and moxibustion used as main way.

民间外治四法

在长期的医疗实践中,土族民间医生以羊皮祛风治痹、活血疗伤;香火代灸治疗小儿疳积;墨筷点按治疗病痛;瓷刀割治除痹.这四种方法疗效显著,被称为"外治四绝".现分别介绍如下. …… 作者单位:李永德()

Ultrasonically activated scalpel versus monopolar electrocautery shovel in laparoscopic total mesorectal excision for rectal cancer

AIM： To investigate the feasibility and safety of monopolar electrocautery shovel （ES） in laparoscopic total mesorectal excision （TME） with anal sphincter preservation for rectal cancer in order to reduce the cost of the laparoscopic operation, and to compare ES with the ultrasonically activated scalpel （US）. METHODS： Forty patients with rectal cancer, who underwent laparoscopic TME with anal sphincter preservation from June 2005 to June 2007, were randomly divided into ultrasonic scalpel group and monopolar ES group, prospectively. White blood cells （WBC） were measured before and after operation, operative time, blood loss, pelvic volume of drainage, time of anal exhaust, visual analogue scales （VAS） and surgery-related complications were recorded. RESULTS： All the operations were successful; no one was converted to open procedure. No significant differences were observed in terms of preoperative and postoperative d I and d 3 WBC counts （P = 0.493, P = 0.375, P = 0.559）, operation time （P = 0.235）, blood loss （P = 0.296）, anal exhaust time （P = 0.431）, pelvic drainage volume and VAS in postoperative d 1 （P = 0.431, P = 0.426） and d 3 （P = 0.844, P = 0.617） between ES group and US group. The occurrence of surgery-related complications such as anastomotic leakage and wound infection was the same in the two groups.CONCLUSION： ES is a safe and feasible tool as same as US used in laparoscopic TME with anal sphincter preservation for rectal cancer on the basis of the skillful laparoscopic technique and the complete understanding of laparoscopic pelvic anatomy. Application of ES can not only reduce the operation costs but also benefit the popularization of laparoscopic operation for rectal cancer patients.

STUDY ON THE ANTAGONISTIC EFFECT OF ACUPUNCTURE OF SHUIGOU (GV 26) UPON VENOUS ANESTHESIA

Objective：To observe the antagonistic effect of acupuncture of Shuigou （水沟 GV 26） on intravenous anesthesia for surgical operation. Methods： Forty patients received intravenous anesthesia were randomly and evenly divided into treatment group and control group. At the termination of anesthesia, Shuigou （GV 26） was needled for patients in treatment group, in control group patients aroused spontaneously. Recovery degrees of every patient were assessed by using modified Robertzon Scoring Scale. Results： Results showed that from the 6^th min on, the scores of treatment group were significantly bigger than those of control group （6 min： 5.3±0.42 vs 3.2±0.33, P〈0.05; 15 min： 13.7±0.32 vs 8.23±0.77, P〈0.01）, suggesting that the recovery of the patient＇s consciousness of treatment group was markedly quicker than that of control group, Conclusion：Puncturing Shuigou （GV 26） can hasten the patient＇s arousal from postoperative anesthesia and thus may be used as an effective remedy for resisting the aftereffects of intravenous anesthetics.

Auricular-Plaster Therapy Plus Acupuncture at Zusanli for Postoperative Recovery of Intestinal Function

In order to relieve the abdominal distension and other discomforts due to gastrointestinal dysfunction after abdominal operations, the patients were treated by auricular-plaster therapy plus acupuncture at Zusanli (ST 36). 12 (92.4%) of the 13 cases in the treatment group showed recovery of normal peristalsis within 72 hours after operations, while that in 13 cases of the control group was 46.1%, indicating that auricular-plaster therapy plus acupuncture at Zusanli (ST 36) may promote postoperative recovery of the intestinal function.

EFFICACY OF ACUPUNCTURE THERAPY ON A, B AND O BLOOD GROUPS ──Relationship between A, B, O blood groups and the acupuncture therapy

Efficacy of acupuncture therapy varies in patients with similar ailments. The present study was undertaken to search for a marker for better efficacy of acupuncture therapy. The study was made in 224 patients including osteoarthritis 141 (62.94 %), polyarthritis 23 (10.26 %), Bursitis & synovitis 15 (6.69 %) and others 45 (20.08 %). ABO blood groups were tested for each patient. It appears that patients belonging to group AB and B responded well to acupuncture therapy in proportionately more number. Good result was achieved in 47.82 % cases in group AB and 46.04 % cases in group B, whereas patients of group A and O showed good result in 27.65 % and 26.15 % cases respectively. Apparently it may be concluded that patients of AB & B blood groups would respond comparatively well to acupuncture therapy.

Localization of Auricular Projection Area of the Liver and Its Use in the Monitoring of Viral Hepatitis

Background： Pathology of an internal organ causes significant rectification of electrical currents （diode phenomenon） in related skin areas once the resistance ＇breakthrough effect＇ has been induced in the skin. Objective： Localization of auricular projection area of the liver and evaluation of its usefulness in the monitoring of viral hepatitis. Design, Patients and Setting： Comparative study of the degree of electrical rectification measured at various spots in the auricular concha region, in 19 inpatients with hepatitis B and 15 clinically healthy volunteers, at the Department of Infectious Diseases, Provincial Teaching Hospital, Tychy, Poland. Intervention： Evaluation of electrical rectification at various spots on the auricular concha using a ＂rectification ratio＂ that quantifies the degree of rectification （normal range： 0-60%）. Main outcome measure： The location of the skin area where a statistically significant difference existed between the rectification ratios was observed in patients （82±12% at the time of the ＇peak period＇） versus controls （42±8%）. Results： A location was identified on the ear auricle where the electrical rectification phenomenon demonstrated a dependence on the presence of hepatitis. Conclusions： Liver projection area exists on the ear auricle which is located within the region of cymba conchae, next to anthelix and the cavity of concha. The existence of viral hepatitis causes this skin area to show a higher degree of electrical rectification once the skin resistance ＇breakthrough effect＇ has been induced. Evaluation of the rectification phenomenon of the liver proiection area provides a method of non-invasive monitoring of viral hepatitis.

MY UNDERSTANDINGS ABOUT ACUPUNCTURE TREATMENT OF LUMBAGO ACCORDING TO SYNDROME-DIFFERENTIATION

In the present paper, the author introduces his individual experience and understandings about acupuncture treatment of lumbago from ① pathogenic causes and pathogenesis, ② syndrome differentiation and analysis, ③ therapeutic methods, ④ treatment according to differentiation of syndromes, and ⑤ key points about treatment of lumbago. The author stresses that in the treatment of lumbago, never forget reinforcing the kidney and treat both the primary and secondary aspects of the disease at the same time.

80 CASES OF PROLAPSE OF LUMBAR INTERVERTEBRAL DISC TREATED BY ROUND-SHARP NEEDLE

Objective: To observe the therapeutic effect of round-sharp needle for prolapse of lumbar intervertebral disc. Methods: A total of 80 cases of lumbar intervertebral disc prolapse were treated by puncturing Qihaishu (气海俞 BL 24), Guanyuanshu (关元俞 BL 26), etc., with round-sharp needle, once every week, continuously for 4 sessions. Results: After the treatment, of the 80 cases, 56 (70 %) were cured, 16 (20%) improved,and 8 (10)%) failed, with an effective rate of 90%. Conclusion: Round-sharp needle works well in the treatment of prolapse of lumbar intervertebral disc.

BRIEF ANALYSIS ON THEORETIC EVIDENCE OF FOUR-GATE POINTS IN TREATMENT OF DISEASE

In the present paper, the authors expound the approaches of four-gate points on treatment of diseases and the relevant theoretic evidence. The analysis and discussion were carried on in the aspects of the origins of four-gate points and the relationships of four-gate points with primary qi, running course of meridian, qi and blood and biaoben qijie of meridian and collateral. Being the major points in clinic, four-gate points provide extensive indications and good therapeutic effects, which are supported thoroughly by the theoretic evidence.

ACUPUNCTURE FOR TRERTING 120 CASES OF HYPERPLASIA OF MAMMARY GLANDS

Objective: To observe the therapeutic effect of acupuncture therapy for 120 cases of hyperplasia of mammary glands. Methods: These patients were classified into liver-qi-stagnation type (n=53), phlegm-coagulation type (n=30) and Thoroughfare-Conception vessel maladjustment type (n=37). Acupoints used were Qimen (期门 LR 14), Wuyi (屋翳 ST 15), Weishu (胃俞 BL 21), etc.. Acupuncture treatment was conducted once daily and 30 treatments constituted one therapeutic course. Results: After 3 courses of treatment, of the 53, 30 and 37 cases of the liver-qi-stagnation, phlegm-coagulation and Thoroughfare-Conception vessel maladjustment types, 43 (81.1%), 24 (80.0%) and 29 (78.4%) were cured, 7 (13.2%), 5 (16.7%)and 5 (13.5%) markedly improved, 3 (5.7%), 1 (3.3%) and 2 (5.4%) improved respectively, and 1 (2.7%) of Thoroughfare-Conception vessel maladjustment type failed. A two-years’ follow-up showed that 3 of the cured 92 cases had a relapse, and after 2 more courses of treatment, they were cured again. Conclusion: Acupuncture therapy is effective for the treatment of hyperplasia of mammary glands.

OBSERVATION ON THE THERAPEUTIC EFFECT OF ACU-MOXIBUSTION OF DIFFERENT ACUPOINT GROUPS IN STROKE PATIENTS IN CONVALESCENCE STAGE

Objective: To observe and compare clinical therapeutic effect of acupuncture and moxibustion at different acupoint groups in stroke patients in the convalescence stage. Methods: Sixty stroke patients were evenly randomized into yin-meridian group and yang-meridian group. On the basis of the treatment with Chinese and Western medicines, these stroke patients of two groups were treated mainly by acupuncture of acupoints of yin meridians such as Jiquan (极泉HT 1), Tongli (通里HT 5), Neiguan (内关PC 6), etc., and those of yang meridians as Jianyu (NFDA1 LI 15), Quchi (曲池 LI 11), Shousanli (手三里LI 10), etc. respectively. After 30 days’ treatment, the therapeutic effect was evaluated by using American National Institutes of Health Stroke Scale (NIHSS), Hamilton Depression (HAMD) Rating Scale, Mini-Mental State Examination (MMSE), Barthel Index and Activities of Daily Living (ADL) Scale. Results: Following treatment, the therapeutic effect of yin-meridian group was significantly superior to that of yang-meridian group in improving stroke patients’ neurological deficits [Level B: 50% (15/30) vs 20% (6/30)] and ADL [Level Ⅱ: 40% (12/30) vs 13.3% (4/30)]. No significant difference was found between two groups in the neurological impairment domains. Conclusion: Acu-moxibustion of acupoints of yin meridians is superior to acupoints of yang meridians in improving stroke patients’ neurological impairment and daily living activities.

THEORETICAL ANALYSIS ON THE DEPTH OF NEEDLE-INSERTION

In the present paper, the author sums up and analyzes descriptions about needle-insertion depth in Chinese classical medical book Huang Di Nei Jing (《黄帝内经》The Yellow Emperor’s Internal Classic). In many chapters of Nei Jing, the needle-insertion depth is stressed to be various according to 1) the deficiency or excess of syndromes, 2) the patients’ constitution, 3) the severity of disease, 4) the duration of disease, 5) the location of disease, 6) the patient’s age, 7) the location of the needled acupoint, 8) the season, 9) the patient’s temperament, 10) the pulse condition, 11) the state of “Deqi”, and 12) the location of the running course of meridians. In addition, different kinds of diseases and different stages of diseases also need different depths of needle insertion, different manipulating skills and different stimulating quantity.

The clinical application of Governor moxibustion in China

Governor moxibustion is a type of external treatment in traditional Chinese medicine that remains being little understood This article briefly describes the current status, limitations, and future development of the clinical application of Governor moxibustion, to facilitate its use in treatment and health care