《千金要方》治疗癫狂针灸选穴规律

[背景]针灸治疗癫狂疗效确切。[目的]《千金要方》治疗癫狂针灸选穴规律。[检索策略]主题词与自由词结合手工检索《千金要方》。[纳入标准]1涉及癫狂穴位。2单穴。3多穴配伍。[数据收集与分析]两名研究者独立阅读原始文献,对可能符合标准文献阅读全文,确定是否符合纳入标准,遇分歧通过讨论或由第三者裁定。最终纳入文献独立数据提取用穴频次、穴位经络、用穴部位、特定穴。[主要结果]最终纳入条文70条。治疗癫狂针灸腧穴总共86个。用穴频次最高经脉主要集中在督脉、足太阳膀胱经、手厥阴心包经、足少阳胆经和足阳明胃经。主要选取上肢部和头项部腧穴。特定穴:五输穴、原穴、络穴。[结论]《千金要方》中针灸治疗癫狂腧穴频次、经络、穴位分部及特定穴属性,可为针灸临床决策提供借鉴。

Observation on clinical effects of acupuncture plus external medicine application for cervical radiculopathy

Objective： To observe the clinical effects of acupuncture plus external medicine application for cervical radiculopathy. Methods： A total of 98 patients with cervical radiculopathy were randomly divided into an observation group and a control group based on the random digital table. The observation group （50 cases） was treated by acupuncture plus external medicine application and the control group （48 cases） was treated by acupuncture alone. The patients received the treatment every day. Ten sessions made a course. Cervical spondylosis symptom scale was used to assess the cases before and after the treatment. The clinical efficacy was compared between the two groups after the treatment. Results： The total effective rate was 98.1% in the observation group versus 87.6% in the control group with a statistically significant difference between the two groups （P〈0.05）. The cure rate was 52.0% in the observation group versus 18.8% in the control group with a significant difference between the two groups （P〈0.05）. There was no significant difference in the score of cervical spondylosis symptom scale between the two groups before the treatment （P〉0.05）. It increased with a significant difference in both groups after the treatment （both P〈0.05）, while a significant difference was found in the results between the two groups after the treatment （P〈0.05）. Conclusion： Acupuncture plus external medicine application is more effective than acupuncture alone for treating cervical radiculopathy. The method also effectively improves the clinical symptoms.

Therapeutic effect observation on acupuncture plus medication for post-stroke depression

Objective: To observe the clinical efficacy of acupuncture with medication for post-stroke depression. Methods: A total of 96 patients with post-stroke depression were randomized into an observation group and a control group, with 48 cases in each group. The control group was treated with oral fluoxetine hydrochloride capsules, and the observati on group was treated with acup un cture on the basis of the treatme nt of the con trol group. After 6 mon ths of treatment, the traditional Chinese medicine (TCM) symptom scores, and Hamilton depression scale (HAMD) component scores and total scores of the two groups before and after treatment were observed, and the clinical efficacy and adverse reaction rate were compared between the two groups. Results: The total effective rate was 95.8% in the observation group and 83.3% in the control group, and the differenee between the two groups was statistically significant (Pv0.05). After treatment, the intra-group differences in TCM symptom scores and HAMD score of both groups were statistically significant (all P<0.01). In the observation group, the scores of in differe nt expressi on, emoti onal restlessness, and sen time ntality in the TCM symptoms were statistically differe nt from those in the control group (all P<0.01). The scores of desperate factor and sleep disorder factor and total score in HAMD in the observation group were significantly different from those in the control group (all P<0.01). The incidenee of adverse reactions was 6.3% in the observation group and 4.2% in the control group, and the differenee was not significant between the two groups (P>0.05). Conclusion: Acupuncture plus medication is an effective method for post-stroke depression, and it can further improve the patient's bad mood.

Therapeutic observation of cranial suture acupuncture in treating depression

Objective： To observe the clinical efficacy and safety of cranial suture acupuncture plus paroxetine in treating depression, and to discuss the action mechanism of this acupuncture method. Methods： One hundred depression patients were allocated to an observation group and a control group according to the random number table, with 50 cases in each group. The control group was intervened by oral administration of paroxetine tablets, 20 mg each time, once a day for successive 6 weeks; the observation group was additionally given cranial suture acupuncture, once a day for 6 weeks. They were scored by Hamilton depression scale-17 （HAMD-27） before the treatment and respectively after 1-week, 2-week, 4-week and 6-week treatment. The clinical efficacy and safety were also observed. Results： After 6-week treatment, the total effective rate was 94.0% in the observation group versus 78.0% in the control group, and the between-group difference was statistically significant （P〈0.01）. The HAMD-17 scores respectively after 1-week, 2-week, 4-week and 6-week treatment were significantly lower than the score before the treatment in the observation group （all P〈0.05）; the HAMD-17 scores respectively after 2-week, 4-week and 6-week treatment were significantly different from the score before the treatment in the control group （all P〈0.05）. There were significant differences in the HAMD-17 score between the two groups respectively after 4-week and 6-week treatment （both P〈0.05）. Conclusion： Cranial suture acupuncture plus paroxetine can ease the symptoms of depression, with faster onset and more significant therapeutic efficacy compared with paroxetine alone.