择时选经取穴与督脉点刺治疗偏瘫740例临床观察

择时选经取穴针法是根据子午流注学说的纳甲法,以十二经络气血盛衰与穴位开阖的规律而施治的。督脉点刺疗法是根据督脉循行于脊里,入络于脑,其经气活动与脑有密切关系。

基于“通督强脊”理论运用点按督脉法结合补肾壮筋汤治疗肝肾亏虚型腰椎间盘突出症的临床效果

目的探讨“通督强脊”理论指导下运用点按督脉法结合补肾壮筋汤对肝肾亏虚型腰椎间盘突出症(LDH)的治疗作用及指导意义,为临床工作提供思路。方法选取2021年1月至12月就诊于福建中医药大学附属第三人民医院骨伤科的60例肝肾亏虚型LDH患者作为研究对象,采用随机数字表法将其分为试验组和对照组,每组各30例。试验组患者采用点按督脉法结合补肾壮筋汤治疗,对照组患者采用单纯口服补肾壮筋汤治疗。比较两组患者治疗前后的疼痛分级指数(PRI)、视觉模拟评分法(VAS)、腰椎活动度、直腿抬高角度和治疗效果。结果两组患者治疗前的PRI评分、VAS评分、腰椎活动度及直腿抬高角度比较,差异无统计学意义(P>0.05)。两组患者治疗后的PRI评分、VAS评分均低于两组治疗前,腰椎活动度、直腿抬高角度高于治疗前,差异有统计学意义(P<0.05)。试验组患者治疗后的PRI评分、VAS低于对照组,腰椎活动度、直腿抬高角度高于对照组,差异有统计学意义(P<0.05)。试验组患者治疗后的总有效率为83.3%,高于对照组的56.7%,差异有统计学意义(P<0.05)。结论在“通督强脊”理论指导下,运用点按督脉法联合补肾壮筋汤内服治疗肝肾亏虚型LDH,能显著缓解患者腰腿痛的症状和痛苦,促进腰部功能的恢复,改善患者的生活、工作质量,对于临床工作具有重要的指导意义。

调脊通督针法治疗腰椎间盘突出症的疗效观察

目的:观察调脊通督针法治疗腰椎间盘突出症的临床疗效。方法:将符合纳入标准的腰椎间盘突出症患者随机分为调脊通督针法组和常规针法组,治疗3个疗程后评定临床疗效,并采用简化Mcgill疼痛量表(SF-MPQ)比较治疗前、治疗1周后、3周后的疼痛改善程度。结果:治疗1周、3周后,两组疼痛均较前缓解,但调脊通督针法组较常规针法组更为明显(P<0.05);其愈显率81.32%(74/91),总有效率94.51%(86/91)均高于常规针法组的55.32%(52/94)、82.98%(78/94),均P<0.05。结论:调脊通督针法是一种治疗腰椎间盘突出症的有效方法。

Clinical observation on acupoint pressure plus long-snake moxibustion for upper-limb spastic hemiplegia after cerebral infarction

Objective To observe the clinical efficacy of acupoint pressure plus long-snake moxibustion for upper-limb spastic hemiplegia after cerebral infarction.Methods A total of 100 patients were randomized into a control group and an observation group,with 50 cases in each group.Both groups were treated with the same conventional internal medicine and rehabilitation training.The control group was treated with additional acupoint pressure therapy,and the observation group was treated with long-snake moxibustion on the basis of the treatment given to the control group.The Ashworth grade,Fugl-Meyer assessment upper limb scale(FMA-UL)and Barthel index(BI)were evaluated,and the root mean square(RMS)values of biceps brachii and flexor carpi radialis on the affected side were measured before and after treatment.The efficacy was evaluated after treatment.Results After treatment,the total effective rate of the observation group was significantly higher than that of the control group(P<0.05).After treatment,the Ashworth grade of the observation group was superior to that of the control group(P<0.05).The scores of FMA-UL and BI in both groups increased compared with those before treatment(all P<0.05),and the scores of FMA-UL and BI in the observation group were higher than those in the control group(both P<0.05).The RMS values of biceps brachii and flexor carpi radialis in both groups decreased compared with those before treatment(all P<0.05),and the RMS values of biceps brachii and flexor carpi radialis in the observation group were lower than those in the control group(both P<0.05).Conclusion Based on conventional internal medicine and rehabilitation training,acupoint pressure plus long-snake moxibustion has great therapeutic efficacy for upper-limb spastic hemiplegia after cerebral infarction.It can improve the degree of spasticity of the affected upper limb,reduce the muscle tone of biceps brachii and flexor carpi radialis on the affected side,and enhance the mobility of the affected limb and the activities of daily living.