腹部盘刺法治疗腹型肥胖多囊卵巢综合征疗效观察

目的:观察腹部盘针刺法为主治疗腹型肥胖多囊卵巢综合征(PCOS)的临床疗效。方法:将33例腹型肥胖PCOS患者予以腹部盘针刺法,中脘、气海、关元、中极予盘刺补法,滑肉门、天枢、水分、卵巢穴、肓俞、带脉予盘刺泻法;滑肉门和天枢、双侧带脉穴予电针刺激,隔日1次,每周3次,经期休息,10次为一疗程,共治疗6个疗程。观察治疗前后患者体质量指数(BMI)、卵巢体积,并检测治疗前后血清空腹胰岛素(FINS)、空腹血糖(FBG)、血清促卵泡刺激素(FSH)、促黄体生成素(LH)、睾酮(T)、泌乳素(PRL)水平。结果:治疗后与治疗前比较,BMI明显下降(P<0.01),卵巢体积明显缩小(P<0.01);血清FINS、LH、T水平下降明显(P<0.05,P<0.01);血清PRL和FSH治疗前后差异无统计学意义(均P>0.05)。结论:腹部盘针刺法为主治疗腹型肥胖PCOS患者,能减轻体质量、缩小卵巢体积,其作用机制与降低空腹胰岛素、促黄体生成素和睾酮水平有关。

ELECTROACUPUNCTURE TREATMENT OF 176 CASES OF LUMBAR INTERVERTEBRAL DISC PROTRUSION

In the present paper, 176 cases of lumbar intervertebral disc protrusion are treated with electroacupuncture (EA) and topical heat irradiation. Local tender-point is used as the main acupoint, combined with Tunzhong, Tiaoyue, Weizhong (BL 40) and Yanglingquan (GB 34). The treatment is conducted once daily, with 15 sessions being a therapeutic course. Following treatment, of 176 cases, 46 (26. 1%) are cured, 90 (51. 1%) have prominent improvement, 35 (19.8%) have amelioration and 5 (2.8%) have no apparent changes, with a total effective rate of 97.0%.

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.

Therapeutic observation on heat-sensitive acupoint for treatment of Irishmen with discogenic low back pain

Objective To observe the therapeutic difference in treatment of Irishmen with discogenic low back pain （arthritis of cold-damp syndrome type） between heat-sensitive acupoint and acupuncture. Methods Eighty-two patients were randomly assigned to the heat-sensitive group （43 cases） and the acupuncture group （39 cases）. Corresponding heat-sensitive points in the lumbosacral area were selected in the heat-sensitive group. Then moxibustion was performed at the heat-sensitive acupoint, thus conducting the moxibustion sensation. The treatment was ended when the sensation conduction was finished. If there appeared no moxibustion sensation, moxibustion at the corresponding painful point was lasted for 30 min. Needling was performed in the acupuncture group at corresponding Jiájǐ（夹 脊 EX-B 2）, Back-shu point, Wěizhōng （委中 BL 40）; matching points included Huántiào （环跳 GB 30）, Fēngshì（风市 GB 31）, Yánglíngquán （阳陵泉 GB 34）, Zhìbiān （秩边 BL 54）, etc. The waste was irradiated with TDP after needling, with the maintaining time of 30 min. The treatment was carried out twice weekly, four weeks as one therapeutic course. The therapeutic effect was statistically calculated after 8-week treatment. Results Nineteen cases were clinically cured, 20 improved, 4 failed, and the effective rate 90.7%（39/43） in the heat-sensitive group, while 9 clinically cured, 25 improved, 5 failed, and the effective rate 87.2%（34/39） in the acupuncture group. Signif icant difference was shown in the clinically cured case by 2 test （P0.05）. Conclusion Heat-sensitive acupoint was superior to traditional acupuncture in treatment Irishmen with discogenic low back pain.

Observation of efficacy on prolapse of lumbar intervertebral disc treated with body acupuncture and wrist-ankle acupuncture

Objective To observe the clinical effects of body acupuncture and wrist-ankle acupuncture on prolapse of lumbar intervertebral disc, Methods One hundred and eighty cases of prolapse of lumbar intervertebral disc were randomly divided into body acupuncture and wrist-ankle acupuncture group （observation group） and simple body acupuncture group （control group）, 90 cases in each one. In observation group, body acupuncture was applied on Ahshi points of lumbar region, lumbar Jiájǐ （夹脊EX-B 2）, Dàchángshú（大肠俞 BL 25）, etc. and wrist-ankle acupuncture was applied on lower No. 4, 5 and 6 regions. In control group, simple body acupuncture was applied on the same points as observation group. Results The lumbar vertebral function and pain scale were improved in either group in comparison before and after treatment （P〈0.05）. Concerning pain improvement, the total effective rate was 95.6% in observation group, which was superior to that （86.7%） in control group （P〈0.05）. Concerning the improvement of lumbar vertebral function, the total effective rate was 90.0% in observation group and 93.3% in control group, without significant difference between two groups （P〉0.05）. Conclusion Combined therapy of body acupuncture and wrist-ankle acupuncture demonstrates apparent analgesia in prolapse of lumbar intervertebral disc.

One hundred and twenty-four cases of lumbar disc herniation treated with acupuncture and massage manipulation

Objective To discuss the clinical efficacy on lumbar disc herniation （LDH） treated with acupuncture and massage manipulations. Methods One hundred and twenty-four cases of LDH were treated with acupuncture at Taichong （太冲LR 3）, Neiting （内庭 ST 44）, Zulinqi （足临泣 GB 41）, Yaotongdian （腰痛点 lumbar pain point）, Tuntangdian （臀痛点 buttock pain point） and Zuogushenjingdian （坐骨神经点 sciatic point） and massage manipulations [including gunfa （rolling technique）, yizhichan tuifa （one-finger pushing technique）, qianyin doudong fa （shaking technique under traction）, anyofa （pressing technique） and zuoyou cebanfa （bilateral pulling technique）], once a day, for 3 weeks totally. The lower back pain scoring system of the Japanese Orthopedic Association （JOA） was adopted for the scoring before and after treatment to assess the efficacy. Results At the end of treatment, JOA score was reduced to （0.95±0.32） points as compared with （6.14±0.97） points before treatment （P〈0.01）. Concerning to the efficacy improvement rate, 96 cases were excellent, 12 cases good, 5 cases fair and 3 cases poor. 116 cases received the follow-up visit for 6 months averagely and no case of recurrence was reported. Conclusion Acupuncture combined with massage manipulate can relieve rapidly acute pain in the lumbar region and legs and acts directly on the foci. This therapy is safe and effective, achieves the high clinical curative rate and brings less pain to the patients.

Observation of the Therapeutic Effect of Treating Lumbar Intervertebral Disc Protrusion by Acupuncture Therapy

Objective： To observe the clinical effect of treating lumbar intervertebral disc protrusion by needling the points on both sides of the impaired lumbar vertebrae. Methods： One hundred and eighty cases of lumbar intervertebral disc protrusion were randomly divided into three groups, treatment group, control group of acupuncture and control group of western medicine, with 60 cases in each group. The therapeutic effects were compared after 20-day treatments. Result： The effective rate was 96.7% in the treatment group, 80.0% in the acupuncture group, and 81.7% in the Western medicine group. There was a statistically significant difference between the treatment group and two control groups （P〈0.05）. Conclusion： It is an effective therapy to treat lumbar intervertebral disc protrusion by puncturing the acupuncture points on both sides of the impaired lumbar vertebrae.

Comparison of Therapeutic Effects Between Acupuncture plus Sacral Injection and Simple Acupuncture for Lumbar Intervertebral Disc Herniation

Purpose： To compare the therapeutic injection and simple acupuncture for intervertebral effects between acupuncture plus sacral disc hernia. Methods： The patients with lumbar intervertebral disc hernia at the age of 30-45 years old were divided into No. 1 - 80 upon their visiting order, with odd number as Group A and even number as Group B. Group A was treated by acupuncture plus sacral injection, and Group B was treated by simple acupuncture. Results： The clinical effective rate was higher in Group A than in Group B, with significant difference （P〈0.05）. Conclusion： Acupuncture plus sacral injection had the better therapeutic effect than simple acupuncture in treating lumbar intervertebral disc hernia.

Clinical Observation on the Treatment of Lumbar Disk Herniation with Hydro-acupuncture plus Tuina

Objective： To observe the therapeutic effect of the treatment of lumbar disk herniation with hydro-acupuncture in combination with tuina. Methods： 380 patients were randomized into two groups, 290 in the treatment group receiving hydro-acupuncture together with tuina therapy, and 60 in the control group receiving acupuncture therapy plus pharmacotherapy. The therapeutic results were evaluated at the end of the third treatment session. Results： The total effective rate of the treatment group was 95.5%, and that of the control group was 57.8%, and the difference was statistically significant （P〈0.01）. Conclusion： Lumbar disk herniation responds well to the treatment of combined hydro-acupuncture and tuina therapy.

Introduction to the Application of Sacroiliac Acupuncture

Sacroiliac acupuncture was developed by the research faculty from Shanghai Research Institute of Acupuncture and Meridian on the basis of modem and traditional Chinese medical theories combined with clinical practice. Decades of clinical observations have proved its efficacy for treating lumbosacral neuralgia, systremma, epithelial gluteal neuritis, periformis injury, strain of lumbosacral spine muscles and muscular atrophy of the lower limbs. The author is thus going to introduce this needling therapy as follows.

Clinical Observation on Treatment of Herniated Lumbar Disc by Manual Manipulations plus External Herbal Application

162 cases of the in-patients sick with herniated lumbar disc were randomly divided into three groups, including 82 cases in the observation group treated by manual manipulations plus external herbal application, 40 cases in the control group Ⅰ treated only by external application of herbal drugs, and 40 cases in the control group Ⅱ treated only by manual manipulations. The total effective rate was 90.2% in the observation group, 82.5% in the control group Ⅰ and 85.0% in the control group Ⅱ, indicating a significant difference （P〈 0.05） in comparison of the therapeutic effects between the observation group, the control group I and control group II. In the treatment of herniated lumbar disc by manual manipulations plus external herbal application, the therapeutic effect is precise and obviously higher than that in the treatment by single manual manipulations or by external aoolication of herbal drugs.

Clinical Experience on Treatment of Lumbar Intervertebral Disc Protrusion by Traditional Manual Techniques plus Electric Acupuncture

52 cases of the patients with L4-S1 intervertebral disc protrusion were first treated by traditional Tuina manual techniques, including the rolling method, pressing method, oblique-plucking method and shaking method, and then treated by electric acupuncture on Shenshu （BL 23）, Yaoyangguan （GV 3）, Dachangshu （BL 25）, Xiaochangshu （BL 27）, Mingmen （GV 4） and Shangliao （BL 31）. After 7-28 sessions of the treatments, the results showed cure in 40 cases, remarkable effect in 8 cases, effect in 3 cases, failure in 1 case, and the total effective rate in 98.1%.

Electroacupuncture combined with iontophoresis of Chinese medicine for lumbar intervertebral disc herniation

Objective：To observe the clinical efficacy of electroacupuncture （EA） combined with iontophoresis of Chinese medicine for lumbar intervertebral disc herniation （LIDH）. Methods： A total of 80 LIDH cases were randomly allocated into a treatment group and a control group by the random number table, 40 in each group. Cases in the treatment group were treated with EA combined with iontophoresis of Chinese medicine, whereas cases in the control group were treated with EA alone. Cases in both groups were treated once a day, 10 times for one course and there was a 3-day interval between two courses. The therapeutic efficacies in two groups were assessed after two courses of treatment. The short-form McGill pain questionnaire （SF-MPQ） and Japanese Orthopedic Association （JOA） low back pain evaluation questionnaire were used for the scoring system before treatment, after the first treatment and 2 courses of treatment. Results： After two courses of treatment, the total effective rate was 95.0% in the treatment group, versus 87.5% in the control group, showing a statistical difference （P〈0.05）. The therapeutic efficacy in the treatment group was significantly better than that in the control group after the first treatment and 2 courses of treatment. The score of SF-MPQ in the treatment group was more significantly decreased and the JOA score in the treatment group was more significantly increased, showing statistical differences （P〈0.01）. Conclusion： EA at Jiaji （EX-B2） points combined with iontophoresis of Chinese medicine is better than EA alone in alleviating low back and leg pain and improving functions of the low back and leg as well as the quality of life of LIDH patients .

Acupuncture-moxibustion at Jiaji(EX-B 2) points for intervertebral disc herniation: a systematic review

By organizing and classifying the literatures related to acupuncture-moxibustion at Jiaji （EX-B 2） points in treating intervertebral disc herniation （IDH） published before December 32, 2013, to summarize the application status and features of Jiaji （EX-B 2） points. It＇s found that its most favorable indication is IDH. It also further analyzed the action mechanism of acupuncture-moxibustion at Jiaji （EX-B 2） points in treating IDH, and brought up some ideas to highlight the further study.

Intervertebral Disc Herniation Treated by Comprehensive Therapy

In the treatment of 169 cases of the patients sick with intervertebral disc herniation by integrated application of acupuncture therapy, Chinese massage therapy and herbal fumigation method, the results showed cure in 129 cases, improvement in 33 cases and failure in 7 cases, and the total effective rate was 95.9%.

Short Needling and Herniation of Lumbar Intervertebral Disc： A Report of 100 Cases

Altogether 100 cases of lumbar intervertebral disc herniation were treated by needling major points including Yaotu （Extra point）, Yinlingquan （SP 9） and Zusanli （ST 36） with heat-reinforcing manipulation, adjunct points including Weizhong （BL 40） and Sugu （BL 65） in the case of pain radiating to the Bladder Meridian or Yanglingquan （GB 34） and Zulinqi （GB 41） in the case of pain radiating to the Gallbladder Meridian with even reinforcing and reducing manipulation. The result showed that 49 cases got recovery, 37 cases got marked effect, 11 cases got certain effect, 3 cases got no effect and the total effective rate was 97.0%.

Observation on therapeutic effect of aligned acupuncture for lumbar intervertebral disc herniation

Objective： To observe the clinical effects of aligned needling therapy for lumbar intervertebral disc herniation （LIDH）. Methods： A total of 80 cases with LIDH in conformity with the inclusion criteria were randomly divided into a treatment group or a control group by their visit order, 40 cases in each group. The points from the Governor Vessel, L1-L5 Jiaji （EX-B 2） points, from the first lateral line of the Bladder Meridian, Huantiao （GB 30）, Weizhong （BL 40） and Yanglingquan （GB 34） were selected for acupuncture in the treatment group. Shenshu （BL 23）, Dachangshu （BL 25）, Ashi （Extra） points and Weizhong （BL 40） were used for routine acupuncture in the control group. The clinical effects of the two groups after 2-course treatments and recurrence rates three months later were observed. The pain severity before and after treatments was assessed by visual analog scale （VAS）. The improvement of the patient＇s pathological situation was evaluated by the performance assessment of lumbar disease treatment from Japanese Orthopedic Association （JOA）. Results： After the treatment for two courses, there was no dropped-out case in the two groups. The curative rates and total effective rates were respectively 32.5% and 92.5% in the treatment group versus respectively 12.5% and 82.5% in the control group. The differences in the curative rates and total effective rates between the two groups were statistically significant （both P〈0.01）. After the treatment, VAS and JOA scores remarkably declined in the patients of the two groups, with statistical differences in comparison with those of the same group before treatment （both P〈0.05）. In follow-up check of three months, the recurrence rate was 10.7% in the cured and remarkably effective cases in the treatment group and was 29.4% in the control group. The recurrence rates of the two groups were statistically different （P〈0.05）. Conclusion： The aligned needling technique is remarkable in the clinical effects, obvious in the analgesic effects and low in the recurrence rate in the treatment of LIDH.

Literature review and application experience of needling the Belt Vessel for low back pain

Objective:To explore the feasibility of needling the Belt Vessel(BV)for low back pain.Methods:The relevant literature was systematically reviewed;the relationship between the BV and low back pain was illustrated;the clinical features of BV-related low back pain as well as the key points of acupoint selection in treatment were summarized,and the efficacy of needling the BV for treating low back pain was observed.Results:The BV is closely related to low back pain.The main clinical manifestations of BV-related low back pain include sagging distension in the low back,enlarged abdomen,and pain radiating to the groin.The main acupoints for treating low back pain via needling the BV include Mingmen(GV4),Wushu(GB27)and Ashi points near the transverse process of the third lumbar spine.Needling the BV can swiftly and effectively relieve both the low back pain and associated symptoms.Conclusion:Needling the BV can effectively alleviate the typical BV-related low back pain.