分层浅刺埋线法治疗带状疱疹后遗神经痛随机对照研究

目的 观察分层浅刺埋线法治疗带状疱疹后遗神经痛的临床疗效。方法 选取2017年1月-2020年12月在宕昌县临江铺镇卫生院门诊和住院的60例带状疱疹后遗神经痛患者,随机分为分层浅刺埋线组和针刺治疗组,各30例。分层浅刺埋线组采用分层浅刺埋线法治疗,针灸组采用传统针刺手法治疗。2组患者均治疗2个疗程后评定疗效。结果 治疗后VAS评分、PSQI评分低于治疗前,且分层浅刺埋线组低于针刺组,差异均有统计学意义(P<0.05);分层浅刺埋线组的总有效率明显高于针刺组,差异有显著统计学意义(P<0.01)。结论 分层浅刺埋线法治疗可改善带状疱疹后遗神经痛患者的临床症状,提高患者生活质量,体现了“针刺”“松解”和“埋线”协同治疗作用和多方面调解效应。

透刺埋线法配合渐进式功能锻炼治疗肩关节周围炎70例

目的:观察透刺埋线法配合"渐进式功能锻炼"治疗肩关节周围炎的临床疗效。方法:选择肩关节周围炎患者140例,按照随机数字表法分为试验组和对照组,每组70例。试验组给予透刺埋线法配合渐进式功能锻炼治疗,对照组给予关节松动手法配合渐进式功能锻炼治疗。结果:试验组有效率为97.14%,对照组有效率为85.74%,试验组优于对照组(P<0.05);试验组治疗后PF、RP、BP、GH、SF、RE评分优于对照组(P<0.05)。结论:透刺埋线法配合渐进式功能锻炼治疗肩关节周围炎临床疗效满意。

穴位埋线配合以痛为腧针刺法治疗癌性疼痛的效果分析

目的:探讨穴位埋线配合以痛为腧针刺法治疗癌性疼痛的效果。方法:选择2015年6月-2016年11月癌性疼痛患者90例根据治疗方法分组。对照组给予单一三阶梯镇痛治疗,观察组则给予三阶梯镇痛联合穴位埋线配合以痛为腧针刺法治疗。比较两组癌性疼痛控制率;疼痛缓解时间;治疗前后患者癌性疼痛评分、生活质量指数QLI、卡氏评分。结果:观察组癌性疼痛控制率高于对照组,P <0. 05;观察组疼痛缓解时间短于对照组,P <0. 05;治疗前两组癌性疼痛评分、生活质量指数QLI、卡氏评分相近,P> 0. 05;治疗后观察组癌性疼痛评分、生活质量指数QLI、卡氏评分优于对照组,P <0. 05。结论:三阶梯镇痛联合穴位埋线配合以痛为腧针刺法治疗癌性疼痛的应用效果确切,可有效减轻癌性疼痛,改善患者健康水平和生活质量,值得推广应用。

周围性面神经麻痹针灸治疗概况

周围性面神经麻痹是常见病、多发病,引起该病的原因是多方面的,但临床上以病毒所引发的面神经炎为多见,它由于茎乳孔内的面神经经急性病毒感染和水肿致面神经受压或局部血液循环障碍所致。周围性面瘫是针灸治疗的适应症,治疗效果好,痊愈快。但是,由于影响面瘫的疗效有多方因素,针灸治疗本病的系统研究工作还不够深入,

INFLUENCE OF THE FIVE ELEMENT THEORY ON ACUPUNCTUROLOGY

In the present paper, the authors make a simple comment on the influence of the theory of five elements of TCM on the acupuncturology from ① its influence on the meridian-collateral theory and acupoint system; ② its influence on acu-moxibustion therapeutics including the application of mother and son points for reinforcing and reducing, the application of the five element theory to the midnight-noon ebb-flow needling, and guiding point selection in different seasons; and ③ its influence on acupuncture techniques.

Effect of acupuncture on hippocampal mitochondrial proteome expression in SAMP8 mouse model with Alzheimer disease

Objective：To observe the effect of acupuncture on the expression of mitochondrial proteome in hippocampus of senescence-accelerated mouse prone g （SAMPg） mice models with Alzheimer disease （AD）,and to explore the possible protective mechanism of acupuncture on mitochondria.Methods：Sixty 6-month-old male SAMP8 mice were randomly divided into an acupuncture at acupoint group,an acupuncture at non-acupoint group and a model group,20 mice in each group.The 20 male senescence-accelerated mouse/resistance 1 （SAMR1） mice of the same age were used as a normal control group.Shenshu （BL 23）,Baihui （GV 20）,Xuehai （SP 10） and Geshu （BL 17） were selected for acupuncture intervention in acupuncture at acupoint group.After an 8-week intervention,mitochondrial tissues were extracted from the hippocampus.Differentially expressed proteins were identified by subcellular organelle proteomics.Western blot was used to verify the expressions of some related proteins in hippocampal mitochondria.Results：Compared with the model group,there were 13 differentially expressed protein spots in the acupuncture at acupoint group,of which,9 were up-regulated,including neurofilament light polypeptide （NFL）,actin （cytoplasmic 1,database ID：ACTB）,tubulin beta-2A chain （TBB2A）,tropomodulin-2 （TMOD2）,pyruvate dehydrogenase E1 component subunit beta （PDHE1-β）,NADH-ubiquinone oxidoreductase 75 kDa subunit （database ID：NDUS1）,heat shock cognate 71 kDa protein （HSC71）,pyruvate dehydrogenase E1 component subunit alpha （PDHE1-α） and ATP synthase beta subunit （ATP-β）;4 were down-regulated,including glial fibrillary acidic protein （GFAP）,pyruvate dehydrogenase phosphatase 1 （PDP1）,mitochondrial-processing peptidase subunit alpha （MMP-α） and adenosine kinase （ADK）.According to the information provided in the protein database,most of the differentially expressed proteins involve the regulation of mitochondrial function and structure.The expression levels of NFL and TBB2A in the normal control group and the acupuncture at acupoint group were significantly higher than those in the acupuncture at non-acupoint group （P〈0.05）.ATP-β and NDUS1 expression levels were significantly higher in the acupuncture at acupoint group than those in the acupuncture at non-acupoint group （P〈0.05）;there was no significant difference between the acupuncture at non-acupoint group and the model group （P〉0.05）.Conclusion：Acupuncture may achieve the potential therapeutic effect on AD by regulating the structure and functional proteins of hippocampal mitochondria.

Clinical Study on Thread-embedding Therapy for Insomnia Due to Heart-spleen Deficiency

Objective： To observe the clinical effect of thread-embedding therapy in treating insomnia due to heart-spleen deficiency. Methods： Sixty patients were randomized into an acupuncture group and a thread-embedding group, 30 in each. The acupuncture group was managed by acupuncture therapy, and the thread-embedding group was treated by thread-embedding therapy. Pittsburgh Sleep Quality Index （PSQI） was adopted for evaluation before and after treatments. Results： The total effective rate was 86.7% in the acupuncture group versus 96.7% in the thread-embedding group. After treatment, the PSQI scores were significantly different from those before treatment in both groups （P〈0.01）; the scores in both two groups were mai＇kedly different from each other after treatment （P〈0.01）. Conclusion： Both acupuncture and thread-embedding therapies can effectively improve sleep quality of the patients, while thread-embedding therapy is comparatively less time-consuming, more convenient and with longer stimulation.

Evaluation of the clinical efficacy of muscle regions of meridians needling method for refractory facial paralysis based on infrared thermal imaging technology

Objective To explore the clinical efficacy of muscle regions of meridians needling method for refractory facial paralysis affecting different locations.Methods A total of 110 participants were randomized into an observation group and a control group,with 55 cases in each group.The observation group was treated with muscle regions of meridians needling method,and the control group was treated with conventional facial three-line needling method.The clinical efficacy was evaluated four weeks after the treatment.And the infrared imaging spectra of the two groups were examined.Results The total effective rate of the observation group was higher than that of the control group(P<0.05),and its curative effect for refractory facial paralysis located above the geniculate ganglion was better than that of the control group(P<0.05).The color scale distribution of different disease locations in the two groups varied significantly(P<0.05),the higher the disease location,the higher the occurrence rate of cool zone and low temperature zone.After treatment,the reductions of the facial and periotic temperature difference between the healthy side and the affected side in the observation group were statistically different from those in the control group(P<0.05).Conclusion Muscle regions of meridians needling method has a better effect than facial three-line needling method for refractory facial paralysis.It can promote the microcirculation of the affected side of the face,improve the blood and oxygen supply to local tissues,and thus promote the repair of the peripheral facial nerve.

Treatment of Temporomandibular Joint Dysfunction Syndrome by Acupuncture,Taiyi Moxa-cigar Plus Tuina

Summary： Fouty-five cases of temporomandibular joint dysfunction syndrome were diagnosed by Xray, excluding the organic diseases. The acupoints Xiaguan （ST 7）, Jiache （ST 6）, Yifeng （TE 17） and Hegu （LI 4） on the affected side were punctured first, after removal of needles, 5-7 layers of cotton cloth was placed on the above acupoints, then moxibustion with moxa-roll made of Chinese medicine was performed. Finally Dian-finger pressing, An-pressing and Rou stationary circular pressing with finger belly of the thumb were applied to the local region around the mandible joint for 3-5 min. After 1-2 courses of treatments, 45 cases all got effect.