符氏精灸不同灸量治疗颈椎病的临床疗效

目的:比较不同灸量下符氏精灸治疗颈椎病的临床疗效,观察临床症状及Northwick Park颈痛量表(NPQ)、Mc Gill疼痛量表和SF-36简明健康调查问卷。方法:将梅州市中医医院推拿科门诊接诊的120例颈椎病患者随机分为精灸A组(30例)、精灸B组(30例)、精灸C组(30例)和精灸D组(30例)。精灸A组:选择2 mm×3 mm的精小艾柱,每次灸2柱,每周治疗3次;精灸B组:选择2 mm×3 mm的精小艾柱,每次灸1柱,每周治疗3次;精灸C组:选择2 mm×3 mm的精小艾柱,每次灸2柱,每周治疗4次;精灸D组:选择2 mm×3 mm的精小艾柱,每次灸3柱,每周治疗4次。选穴:肩中俞、颈百劳、肩井、胆俞。连续治疗4周后,观察Mc Gill疼痛量表、NPQ和SF-36简明健康调查问卷。结果:(1)四组的Mc Gill疼痛量表、NPQ和SF-36评分在治疗后均降低(P<0.05)。(2)Mc Gill评分:治疗后精灸A组评分低于精灸B组(P<0.05);治疗后精灸C组评分低于精灸D组(P=0.092>0.05);治疗后精灸A组和精灸C组Mc Gill疼痛量评分差异无统计学意义(P=0.121>0.05)。(3)NPQ:治疗后精灸A组评分显低于精灸B组(P<0.05);治疗后精灸C组评分低于精灸D组(P=0.78>0.05);治疗后精灸A组和精灸C组Mc Gill评分,差异无统计学意义(P=0.97>0.05)。(4)SF-36评分:治疗后精灸A组评分低于精灸B组(P<0.05);治疗后精灸C组评分低于精灸D组(P=0.84>0.05);治疗后精灸A组和精灸C组SF-36评分差异无统计学意义(P=0.89>0.05)。结论:四个精灸组均能改善颈椎病症状,且精灸A组疗效高于精灸B组,但与精灸C组和精灸D组在Mc Gill疼痛量评分、NPQ和SF-36评分上疗效类似。

Metrological Analysis and Evaluation of Acupuncture-Moxibustion Treatment for Diarrhea in Modern Literature

Objective： To review year 1957-2005 literature on acupuncture and moxibustion and explore point selection and methods for acupuncture-moxibustion treatment of diarrhea in order to provide objective and reliable data for research on acupuncture and moxibustion standardization. Methods： A comprehensive analysis was made by a method of metrological analysis according to the data from ＂China modem acupuncture-moxibustion information database＂. Results： Points Zusanli （ST 36）, Tianshu （ST 25） and Shenque （CV 8） were the most frequently used and the optimal combination for acupuncture-moxibustion treatment of diarrhea. Chronic adult diarrhea was often treated by moxibustion. Acute childhood diarrhea was often treated by point application and injection. Conclusion： Diarrhea is often treated by needling and moxaing methods in acupuncture-moxibustion treatment. It is proposed to use Zusanli （ST 36） and Tianshu （ST 25） as a basic prescription for acupuncture-moxibustion treatment of diarrhea and to select points according to the syndrome.

Exploration of the Clinical Regularity of Acupuncture and Moxibustion Treatment for Insomnia

Objective： To review year 1956-2007 literature and explore the regularity of points selection and methods for acupuncture-moxibustion treatment of insomnia. Methods： A comprehensive analysis was made by a method of metrological review according to the data from ＂China Modem Acupuncture-moxibustion Information Databank＂. Results： It is indicated that points Sanyinjiao （SP 6） and Shenmen （HT 7） were most frequently used. Acupuncture was the main treatment. Conclusion： It is suggested that Baihui （GV 20）, Sishencong （Ex-HN 1）, Sanyinjiao （SP 6） and Shenmen （FIT 7） were used as basic points for acupuncture-moxibustion treatment of insomnia, which is combined with point selection based on syndrome differentiation.

Bibliometric Analysis of Diseases Spectrum of Moxibustion Therapy

Objective： To make a bibliometric analysis and evaluation of acupuncture-moxibustion papers on moxibustion therapy published from 1954 to 2007, thus to reflect the diseases spectrum of moxibustion therapy and proper indications of moxibustion therapy objectively. Methods： Statistics were taken by a bibliometric analysis of the data from China Modern Acupuncture-moxibustion Information Databank. Results and Conclusion： The diseases spectrum of moxibustion therapy has 364 kinds of diseases. The most proper indications of moxibustion therapy are malposition, diarrhea, and colitis. The common proper indications are urinary incontinence and dysmenorrhea. The next common proper indications are knee osteoarthritis, temporomandibular joint disturbance syndrome, soft tissue injury, heel pain, asthma, urinary retention and herpes zoster. Diseases spectrum of moxibustion therapy varies with time.

Analysis of Clinical Regularities in Acupuncture-moxibustion Treatment for Stomach Diseases in Recent 10 Years

Objective：To objectively and dynamically assess the therapeutic effects of acupuncturemoxibustion on stomach diseases by a review and statistical analysis of year 2000-2009 literature on acupuncture-moxibustion treatment for stomach diseases,facilitate the development of clinical acupuncturemoxibustion from the summarization of individual experience to the study of group experience and further exploit the advantages of acupuncture-moxibustion science.Methods：Statistical and expert analyses were made on the basis of the data from China Modem Acupuncture-moxibustion Information Databank.Results：There were 11 kinds of diseases in the acupuncture-moxibustion spectrum of stomach diseases.It was suggested that points Zusanli（ST 36）,Zhongwan（CV 12）,Weishu（BL 21）,Pishu（BL 20）,Neiguan（PC 6）and Sanyinjiao（SP 6）be used as a basic prescription for acupuncture-moxibustion treatment of stomach diseases and corresponding treatment be selected according to the character of each disease.Conclusion：acupuncturemoxibustion has a certain therapeutic effect on stomach diseases,but the clinical application and observed cases should be increased.