董氏奇穴配合牵引针法、耳尖放血治疗肝胆火盛型耳鸣耳聋的临床疗效及安全性研究

目的探究董氏奇穴配合牵引针法、耳尖放血在肝胆火盛型耳鸣耳聋患者中的临床疗效及安全性。方法选取该院2021年1月—2022年10月收治的60例肝胆火盛型耳鸣耳聋患者为研究对象,根据随机数字表法分为两组。对照组(n=30)采用常规取穴方法治疗,观察组(n=30)采用董氏奇穴配合牵引针法、耳尖放血治疗,均治疗1个疗程。比较两组治疗前、治疗后的证候积分、临床疗效、异常情况及不良反应发生率。结果治疗后,观察组耳鸣及耳聋、耳胀及耳痛、头痛面赤、口苦咽干、心烦易怒评分分别为(0.86±0.17)分、(0.91±0.21)分、(0.89±0.19)分、(0.74±0.14)分、(0.78±0.18)分,均低于对照组的(1.94±0.26)分、(1.86±0.35)分、(1.56±0.21)分、(1.99±0.28)分、(2.14±0.32)分,组间差异有统计学意义(P<0.05);观察组治疗总有效率为93.33%,高于对照组的66.67%,组间差异有统计学意义(P<0.05);两组治疗过程中的异常情况及不良反应发生率比较,差异无统计学意义(P>0.05)。结论董氏奇穴配合牵引针法、耳尖放血用于肝胆火盛型耳鸣耳聋患者中,能降低证候积分,提高患者临床疗效,未增加异常情况及不良反应发生率,值得推广应用。

牵引针法配合理筋治疗梨状肌综合征50例

目的通过牵引针法配合理筋治疗梨状肌综合征50例的总结,在临床上推广应用此方法。方法在辨证的基础上选用肩贞穴与合阳穴、肩髎穴与环跳穴进行针刺牵引,再配合局部拨筋、抻筋的理筋手法,7天为一个疗程,连续治疗2个疗程。结果痊愈48例,好转2例,未愈0例,治愈率96%,总有效率100%。结论牵引针法配合理筋治疗梨状肌综合征远治与近治相结合,针刺与理筋相结合,疗效显著,优势明显,值得临床研究和推广。

张力牵引针刺法治疗贝尔面瘫34例

目的:观察张力牵引针刺法治疗贝尔面瘫的临床疗效。方法:34例用特殊的张力牵引针刺法,治疗3疗程。结果:痊愈22例(64.7%),显效6例(17.6%),有效4例(11.8%),无效2例(5.9%),总有效率94.1%。结论:张力牵引针刺法治疗贝尔面瘫效果较好。

近10年关于针刺董氏奇穴的临床研究进展

董氏奇穴在国内外针灸治疗领域异军突起,针刺董氏奇穴是针灸医学新派系中流行、安全并备受临床医师们青睐的一种针法,在东西方国家均有广泛传播和应用。本文对近10年关于针刺董氏奇穴临床应用的多篇研究文献进行整理,做一综述,以期为董氏奇穴的临床应用及相关疾病的治疗提供依据。

针刺运动疗法配合康复训练治疗脑卒中偏瘫的疗效观察

观察针刺运动疗法在偏瘫康复患者中的应用。方法 结合临床并举例说明针刺运动疗法在临床中运用。结果 选取2年内已确诊并符合选择标准的脑梗死偏瘫患者 75例,研究实验组和对照组病人相比,干预后的患者运动功能和日常生活能力均有所提高。结论 目前该临床证据表明,使用针刺运动疗法的病人,其整体治疗有效率提高,缩短了患者康复周期,值得推荐了。

针刺灵骨、大白穴治疗坐骨神经痛疗效观察

目的:观察针刺灵骨、大白穴治疗坐骨神经痛的临床疗效。方法:将72例坐骨神经痛患者随机分为两组,每组36例。治疗组采用针刺灵骨、大白等穴位治疗,对照组针刺穴取秩边、环跳、殷门、委中、承山、昆仑等,采用常规针刺。观察两组患者治疗1个疗程后VAS疼痛评分及JOA下腰痛评分变化。结果:治疗组的治愈率(61.1%)优于对照组(33.3%),P<0.01;治疗组的有效率(97.2%)亦优于对照组(83.3%),P<0.01;两组患者治疗后VAS疼痛评分及JOA评分均较治疗前明显改善(均P<0.01),治疗后治疗组的以上评分较对照组改善更明显(均P<0.01)。结论:针刺灵骨、大白穴为主治疗坐骨神经痛患者的疗效优于常规针刺治疗方法。

CLINICAL OBSERVATION ON LUMBAR INTERVERTEBRAL DISC HERNIATION TREATED BY TRACTION COMBINED WITH ACUPUNCTURE

Objective: To observe the therapeutic effect of traction combined with acupuncture on lumbar intervertebral disc herniation (LIDH). Methods:Eighty-three patients diagnosed as LIDH were randomly divided into treatment group (n=42)and control group (n=41). In the treatment group, besides lumbar traction, electroacupuncture at Jiaji (EX-B 2, L 3～5), Shenshu (BL 23), Qihai (CV 6), Mingmen (GV 4), Huantiao (GB 30), Chengshan (BL 57) and Yanglingquan (GB 34) was added. In the control group, only lumbar traction was applied. Results: In treatment group, the cure plus markedly effective rate was 80.95% with a total effective rate of 92.86%, while in control group, it was 39.02% with a total effective rate of 80.48%. The therapeutic effect in the treatment group was obviously better than that in the control group (P<0.001). Conclusion: Lumbar traction plus EA can effectively alleviate or even eliminate clinical symptoms and signs of lumbar intervertebral disc herniation.

CLINICAL OBSERVATION ON TREATMENT OF NERVE-ROOT TYPE CERVICAL SPONDYLOSIS WITH ACUPUNCTURE, TRACTION PLUS SELF-EXERCISE OF QIGONG

Purpose: To observe the therapeutic effect of acupuncture combined with traction and Qigong exercise for treatment of nerve root type cervical spondylosis. Methods: A total of 130 nerve root type cervical spondylosis patients were randomly divided into acupuncture + traction + Qigong exercise (ATQE) group (n=59), acupuncture + Qigong exercise (AQE) group (n=40) and traction + Qigong exercise (TQE) group (n=31). Main acupoints used were Fengchi (GB 20) and cervical Jiaji (EX B 2) on the affected side. Results: After one month’s treatment, in ATQE, AQE and TQE groups, 43 (72.88%), 18 (45.00%) and 12 (45.16%) had remarkable amelioration, 14 (23.72%), 14 (35.00%) and 10 (32.26%) were effective, and 2 (3.39%), 8 (20.00%) and 7 (22.58%) had no apparent changes with the total effective rates being 96.61%, 80.00% and 77.41% respectively. The therapeutic effect of ATQE group was significantly superior to that of AQE and TQE groups (P<0.01).

COMBINED TREATMENT OF 43 CASES OF CERVICAL SPONDYLOPATHY

From February of 1994 to February of 1996, the author of the present paper adopted combined therapies of potent traction, massage, acupuncture and Chinese medicinal herbs to treat 43 cases of cervical spondylopathy. Results showed that after 1-3 months’ treatment, of the 43 cases, 30 (69.8%) were cured, 10 (23.3%) had marked improvement, 2 (4.6%) had improvement and 1 (2.3%) failed, with an effective rate of 97.7%.

Spinal stenosis treated with acupuncture on Huátuó Jiájǐ(夹脊EX-B 2) and vertebral curvature adjustment:report of therapeutic effect on 189 cases

Objective To observe the clinical effects on spinal stenosis treated with acupuncture on Huatuo Jiaji （夹脊EX-B 2） and vertebral curvature adjustment. Methods Comprehensive therapy was applied to all of 189 cases of any type of spinal stenosis, in which gukong needling technique was applied to Huatuo Jiaji （夹脊EX-B 2） at C4 - T5 and T12 - L5, associated with vertebral curvature adjustment with traction. The therapeutic effects were observed. Results Total effective rate was 96.8%, in which, clinical cured rate was 31.7% and excellent and good rate was 89.9% in average 28-month fol- low-up visit. Conclusion Spinal stenosis is segmental dynamic stenosis. It can be cured by acupuncture on Huatuo Jiaji （夹脊EX-B 2） and vertebral curvature adjustment and satisfactory result is achieved.

Electroacupuncture combined with traction and tuina for lumber intervertebral disc herniation

Objective： To observe the effect of electroacupuncture （EA） combined with traction and modified oblique Ban-pulling manipulation on lumber intervertebral disc herniation （LIDH）. 〈br〉 Methods：A total of 90 eligible cases were randomly allocated into three groups, 30 in each group. Cases in group A were treated with EA, traction and tuina of modified oblique Ban-pulling manipulation; cases in group B were treated with traction and tuina （same as group A）;and cases in group C were treated with traction alone （same as the other two groups）. Then the therapeutic efficacies in the three groups were evaluated using the Japanese Orthopedic Association （JOA） score rating system. 〈br〉 Results：The results after treatment and 1-month follow up showed that JOA scores in all three groups were improved （P〈0.01）; the total effective rate in Group A was 96.7%, versus 90.0% in group B and 70.0% in group C, showing a significantly better effect than the other two groups （P〈0.01）. 〈br〉 Conclusion： EA combined with traction and modified oblique Ban-pulling manipulation can obtain better effect than traction alone and traction combined with modified oblique Ban-pulling manipulation for LIDH.

Treatment of 180 Cases of Adhesive Shoulder Periarthritis by Combined Therapy

One hundred and eighty patients of shoulder periarthritis were treated by combined traction, acupuncture, physiotherapy, Tuina and functional exercise. After 10 treatments, 133 cases were cured, 36 cases got marked effectiveness, 8 cases got effectiveness, 3 cases had no effectiveness and the total effective rate was 98.3%. Combined therapy can relieve adhesion of soft tissues induced by various causes to achieve the purpose of accelerating recovery.

Clinical observation of warm needling moxibustion plus lumbar traction for lumbar disc herniation

Objective To observe the clinical efficacy of warm needling moxibustion plus lumbar traction for lumbar disc herniation(LDH)and its effect on Oswestry disability index(ODI)score,present pain intensity(PPI)score,and the degree of straight leg raising.Methods A total of 146 patients with LDH were randomized into a combination group and a control group by the random number table method,with 73 cases in each group.The control group was treated with lumbar traction,and the combination group was treated with lumbar traction plus warm needling moxibustion.The curative efficacy of the two groups was compared.Also,the lumbar function,pain,straight leg raising degree,and inflammatory factor levels before and after treatment were compared.Results The total effective rate of the combination group was 93.2%,which was higher than 78.1%of the control group(P<0.05).After treatment,the lumbar ODI score,the PPI scores of lumbar pain and lower-limb pain,tumor necrosis factor(TNF)-αand interleukin(IL)-6 levels,and straight leg raising test score in both groups were significantly decreased(P<0.05).The Japanese Orthopaedic Association(JOA)score significantly increased(P<0.05).The improvements of the above items in the combination group were all superior to those in the control group(P<0.05).Conclusion Warm needling moxibustion plus lumbar traction in the treatment of LDH can improve lumbar function,relieve pain,and reduce inflammatory response of the body.

Clinical observation of acupuncture and traction plus Ba Duan Jin(Eight-brocade Exercise)for improving discogenic low back pain

Objective:To observe the short-term and long-term efficacy of acupuncture and traction plus Ba Duan Jin(Eight-brocade Exercise)in treating discogenic low back pain(DLBP).Methods:Sixty patients were divided into an observation group and a control group using the random number table method,with 30 cases in each group.The control group was intervened by acupuncture and traction,while the observation group was given additional Ba Duan Jin(Eight-brocade Exercise)practice.The intervention lasted for a total of 1 month,with a follow-up study conducted 6 months later.The visual analog scale(VAS)and Oswestry disability index(ODI)scores in the two groups were compared before and after treatment,and the efficacy was compared at the end of the treatment between the two groups;the relapse rate was compared at the 6-month follow-up between the two groups.Results:The pain VAS and ODI scores decreased after treatment in both groups,and the intra-group differences were statistically significant(all P<0.05);the pain VAS and ODI scores in the observation group were lower than those in the control group after treatment with statistical significance(both P<0.05).At the 6-month follow-up,the relapse rate was 10.3%in the observation group versus 48.0%in the control group,and the between-group difference was statistically significant(P<0.05).Conclusion:The combination of acupuncture,traction and Ba Duan Jin(Eight-brocade Exercise)is an effective method for DLBP and patients who received this method are less likely to relapse.

Treatment of 89 Cases of Lumbar Intervertebral Disc Herniation with Acupuncture

Eightynine cases of lumbar intervertebral disc herniation were mainly dealt with acupuncture method, supplementing with traction and Tuina at lumbar region. After 4 courses of treatment, 65 cases were cured, 12 cases got marked effects, 7 some effects, and 3 no effect. This integrated treatment had good effects on lumbar intervertebral disc herniation, and are worthy of being applied widely in clinic.

Treatment of Senile Intervertebral Disc Herniation with Acupuncture,Tuina and Traction

Objective： To observe the therapeutic effect of treating senile intervertebral disc Herniation with acupuncture, tuina and traction and with physiotherapy and traction. Methods： Altogether 150 cases above 65 years old were randomly allocated into treatment group and control group, each containing 75 cases. Traction, acupuncture and tuina therapy were adopted in the treatment group, while traction and physiotherapy were adopted in the control group. Results, After one-month treatment, the recovery rate of the treatment group were 70.7%, which was significantly better than 53.3% of the control group （P 〈 0.05）. Conclusion： Combination of acupuncture, tuina and traction has very good efficacy in treating senile intervertebral disc Herniation.