整体经络针刺法理论依据探讨

文章介绍了整体经络针刺法的取穴操作方法、适应症和立论依据。整体经络针刺法是在中医整体观念和经络学说指导下，根据十二经脉流注次序，每次针刺一条经脉相关腧穴，十二次针刺完所有十二经脉相关腧穴作为一疗程的针刺治疗方法。主要作用是整体上疏通十二经脉，全面调整各经脉、脏腑、系统的功能，临床上主要适用于辨证涉及多经脉、多脏腑、多系统，甚至十二经脉的病证。其立论依据主要是中医整体观、经络学说和经络整体性。

整体经络针刺法治疗单纯性肥胖病的临床观察

目的:观察整体经络针刺法治疗单纯性肥胖病的临床疗效。方法:将60例患者随机分成2组各30例。治疗组采用整体经络针刺法治疗,对照组采用常规针刺法治疗,治疗2疗程评价疗效。观察治疗前后的体重、体重指数、脂肪百分率的变化及近期临床疗效。结果:2组治疗前后体重、体重指数、脂肪百分率比较,差异有非常显著性或显著性意义(P<0.01,P<0.05);治疗后2组比较,体重、体重指数、脂肪百分率变化治疗组优于对照组,差异有非常显著性或显著性意义(P<0.01,P<0.05)。近期临床疗效总有效率治疗组为96.7%,对照组为86.7%,2组治疗后临床疗效比较,差异有非常显著性意义(P<0.01)。结论:整体经络针刺法治疗单纯性肥胖,操作简单易行,疗效明显,患者依从性好,有其合理性、科学性,不失为一种有效的治疗方法。

醒脑开窍、疏通经络针刺法对脑梗死急性期患者血液循环、运动功能及日常生活能力的影响

目的探究醒脑开窍、疏通经络针刺法对脑梗死急性期患者血液循环、运动功能及日常生活能力的影响。方法将240例脑梗死急性期患者随机分为观察组和对照组各120例,2组均给予脑梗死急性期常规治疗,观察组辅以醒脑开窍、疏通经络针刺法治疗,2组疗程均为3周,观察2组治疗前后神经功能缺损情况、运动功能、日常生活能力和血液循环指标,统计2组临床疗效。结果治疗后2组NIHSS评分及全血还原黏度高切、血浆黏度、血细胞比容均明显降低(P均<0. 05),且观察组明显低于对照组(P均<0. 05); 2组Fugl-Meyer评分、ALD评分均明显高于治疗前(P均<0. 05),且观察组明显高于对照组(P均<0. 05)。观察组总有效率明显高于对照组(P <0. 05)。结论脑梗死急性期辅以醒脑开窍、疏通经络针刺法治疗效果更好,有助于改善患者的血液循环指标,提升患肢的运动功能及日常生活能力。

采用整体经络针刺法治疗单纯性肥胖的有效性研究分析

目的对采用整体经络针刺法治疗单纯性肥胖的有效性研究分析。方法将时间范围锁定在2020年3月—2021年3月之间,选取此时间段本市某医院收治单纯性肥胖患者94例。采用随机信封分组法将94例单纯性肥胖患者随机分成两个单独小组,每组47例患者。采用普通针刺方法进行治疗的单纯性肥胖患者作为参比组,采用整体经络针刺法进行治疗的单纯性肥胖患者作为试验组。对比两组单纯性肥胖患者治疗后的肥胖指标、血脂情况、炎性指标水平和治疗总有效性。结果在对单纯性肥胖患者进行治疗后,试验组单纯性肥胖患者的肥胖指标优于参比组,差异有统计学意义(P<0.05);试验组单纯性肥胖患者的血脂情况好于参比组,差异有统计学意义(P<0.05);试验组单纯性肥胖患者的炎性指标水平优于参比组,差异有统计学意义(P<0.05);试验组单纯性肥胖患者的治疗总有效性高于参比组,差异有统计学意义(P<0.05)。结论在对单纯性肥胖患者进行治疗时,使用整体经络针刺法治疗能够改善患者的肥胖情况,优化炎性指标水平,提高治疗总有效性,建议在治疗单纯性肥胖时使用。

经络针刺配合隔物灸治疗强直性脊柱炎临床疗效观察

目的：探讨经络针刺配合隔物灸治疗对强直性脊柱炎的机理及临床疗效。方法：50例强直性脊柱炎患者均采用经络针刺配合隔物灸治疗，分析其机理和疗效。结果：痊愈2l例，显效9例，有效13例，无效7例，总有效率为86％。结论：经络针刺配合隔物灸治疗在强直性脊柱炎效果显著，能迅速改善临床症状，方法简单、易操作，值得推广。

整体经络针刺法治疗单纯性腹型肥胖临床观察

目的:评价整体经络针刺法对单纯性腹型肥胖病的减肥效果。方法:将60例单纯性腹型肥胖病患者随机分为治疗组和对照组各30例,治疗组采用整体经络针刺法治疗,对照组则采用普通针刺治疗,比较两组临床疗效。结果:治疗后,治疗组腰围、体重、BMI、肥胖度、脂肪百分率等指标改善程度均显著优于对照组(P<0.05、P<0.01);治疗组总有效率为96.67%,显著高于对照组的86.67%(P<0.05)。结论:(1)整体经络针刺法和普通针刺法对单纯性腹型肥胖病均有很好的减肥效果,但整体经络针刺法优于普通针刺法;(2)整体经络针刺法对于单纯性腹型肥胖病的减肥效果明显,是一种科学、有效的治疗方法,值得推广及进一步探索。

经络激通针刺法联合川芎嗪对老年颈性眩晕患者椎-基底动脉血流动力学的影响

目的探讨经络激通针刺法联合川芎嗪对老年颈性眩晕患者椎-基底动脉血流动力学的影响。方法选取2020年1月至12月眉县中医医院收治的90例老年颈性眩晕患者为研究对象,采用随机数字表法将其分为试验组(n=45)与对照组(n=45)。试验组予以经络激通针刺法联合川芎嗪治疗,对照组接受川芎嗪治疗。比较两组的椎-基底动脉血流动力学指标、中医证候积分、生化指标。结果治疗后,两组的基底动脉(BA)、左侧椎动脉(VA)、右侧VA的收缩期峰流速(Vs)显著快于治疗前,且试验组显著快于对照组(P<0.05)。治疗后,两组的头痛、眩晕、颈肩痛积分均显著低于治疗前,且试验组显著低于对照组(P<0.05)。治疗后,两组的血清内皮素-1(ET-1)水平显著低于治疗前,降钙素基因相关肽(CGRP)水平显著高于治疗前,且试验组优于对照组(P<0.05)。结论经络激通针刺法联合川芎嗪可有效改善老年颈性眩晕患者的椎-基底动脉血流动力学指标,明显减轻其眩晕症状,临床疗效确切,值得推广应用。

经络激通针刺法与传统针灸治疗老年颈性眩晕患者的效果比较

目的比较经络激通针刺法与传统针灸治疗老年颈性眩晕(CV)患者的效果。方法选取2018年1月至2019年6月西峡县中医院收治的74例老年CV患者作为研究对象,按照治疗方案分为A组与B组,各37例。A组接受经络激通针刺法治疗,B组接受传统针灸法治疗。比较两组疗效、治疗前后眩晕障碍(DHI)评分、椎基底动脉血流动力学[基底动脉(BA)收缩期峰流速、左侧椎动脉(VA)收缩期峰流速、右侧VA收缩期峰流速]。结果A组总有效率(95.59%)高于B组(78.38%),差异有统计学意义(P<0.05)。治疗前,两组DHI评分比较,差异无统计学意义(P>0.05);治疗1个月后,A组DHI评分低于B组,差异有统计学意义(P<0.05)。治疗前,两组BA、左侧VA、右侧VA收缩期峰流速比较,差异无统计学意义(P>0.05);治疗1个月后,A组BA、左侧VA、右侧VA收缩期峰流速高于B组,差异有统计学意义(P<0.05)。结论与传统针灸治疗比较,经络激通针刺法治疗老年CV患者,可提高疗效,降低眩晕障碍程度,改善椎基底动脉血流状态,值得临床推广。

中医整体观指导针灸治疗单纯性肥胖病的探讨

运用中医整体观分析单纯性肥胖病的基本病因、病理变化、病机及针灸治疗。现在认为单纯性肥胖病的基本病因为脏腑功能失调;基本病理变化为膏脂、痰浊、水湿、瘀滞,聚集体内;基本病机为经络不畅。针灸应从整体上治疗,具体可采用整体经络针刺法。

神经免疫内分泌网络学说在中医研究中的应用

目前,神经—免疫—内分泌网络(NEI网络)的研究已成为国内外学者研究的热点.国内中西医结合学者发现NEI网络是中西医理论体系相互整合的重要手段和方法.本文简要介绍了"神经—免疫—内分泌网络"学说,并以中医脏腑、中药归经理论的实验研究、经络与针刺为例综述了神经免疫内分泌网络学说在中医研究中的应用.

减法工程疗法与清理内环境

用十五年医疗实践,初步总结出“减法工程”疗法,是在针刺经络、断食辟谷后通过清除体内非实体性物质而使代谢障碍消失,以证明它和治理物质实体性毒物同样重要。

INFLUENCE OF ELECTROACUPUNCTURE ON ARTIFICIAL ABORTION- INDUCED SIDE EFFECTS

In the present study, the effect of electroacupuncture (EA) of acupoints of Ren, Spleen and Stomach Meridians on artificial abortion induced side effects was observed in 100 artificial abortion women. In comparison with 45 artificial abortion women in the control group (who had not accepted EA treatment), EA possessed significant effects in relieving abdominal pain, reducing vaginal bleeding duration, lowering infection rate and infertility rate after artificial abortion operation.

代谢组学在中医药研究中的应用进展

目的:介绍近年来代谢组学在中医药研究中的应用。方法:通过检索中国知网数据库近年来代谢组学在中医药研究中应用的文献32篇,对该领域进行总结归纳。结果:代谢组学能够揭示中医药治疗疾病过程中生物体系内所发生的代谢物的变化和代谢通路及途径的改变,强调从整体角度研究生物体的功能水平,与中医理论的"整体观"相一致,符合中医药多组分、多靶点、整体综合效应的特点。广泛应用中医证候、经络与针刺、中药药效、作用机制和物质基础以及中药安全性评价等领域。在中医药研究中应用代谢组学的方法,应进一步提高分析测定的水平、将适用的分析技术进行整合,实现多种化合物的同时检测;完善代谢组学数据库的建设;加强代谢组学研究中的数据处理与分析的整合,满足其高通量、大规模的数据处理要求。结论:代谢组学应用于中医药研究具有广阔的前景。

Sixty cases of ocular myasthenia gravis treated with acupuncture and moxibustion at extra-meridian and collateral

Objective To explore effective therapeutic method for the treatment of ocular myasthenia gravis. Methods Sixty cases of ocular myasthenia gravis were selected. The acupuncture was applied at Dàzhuī （大椎 GV 14）, Bǎihuì （百会 GV 20）, Shàngxīng （上星 GV 23） of Governor Vessel, and its crossing points with Yinqiao and Yangqiao Meridian, such as Jīngmíng （睛明 BL 1）, shēnmài （申脉 BL 62）, Dìcāng （地仓 ST 4）, Jūliáo （巨髎 ST 3）, Chéngqì （承泣 ST 1 ）, etc. Besides, ginger-partition moxibustion was applied at Yángbái （阳白 GB 14） and Sìbái （四白 ST 2）. The plum-blossom needle was applied at upper limb distribution of lung channel of hand taiyin, heart channel of hand shaoyin and pericardium channel of hand jueyin. The patients’ clinical symptoms, potential degradation percentages of repetitive nerve stimulation （RNS） in low frequency were observed. Results 8 cases were clinically cured, 20 cases were basically cured, 12 cases were remarkably effective, 15 cases were effective and 5 cases were failed. The total effective rate was 91.7%. Compared with before the treatment, the potential degradation percentages of repetitive nerve stimulation in low frequency were lowered [（19.44±6.28）% vs （8.78±3.12）%, （P0.05）]. Conclusion Acupuncture and moxibustion at extra-meridian and collateral for ocular myasthenia gravis could achieve positive efficacy.

Ideas on Several Issues of Acupuncture-moxibustion Science

The Shanghai Journal of Acupuncture and Moxibustion and Journal of Acupuneture and Tuina Science witnessed a development of numerous authors. On the occasion of the 6th anniversary of Journal of Acupuncture and Tuina Science, I＇d like to share my ideas about several issues on acupuncturemoxibustion science.

Guiding Role of Muscle Region Theory in Acupuncture Anesthesia

As a part of acupuncture system, acupuncture anesthesia can promote the development of acupuncture theory. Muscle region is also a part of acupuncture system and plays a guiding role in clinical application of acupuncture anesthesia. The correlation between the distribution of muscle regions and nerves acts as the substantial foundation of the guiding role. At the same time, acupuncture anesthesia has been promoting the continuous development of muscle region theory. The cyclic development relation between the two （practice-theory-practice） is consistent with the dialectical development view.

Topographical Feature of Somatosensory Cortical Evoked Potential with Augmented Blocking of the Sensation Tran mission along Meridians TranSmlssion along Merldians

Objective： To investigate the distribution features of somatosensory cortical evoked potential map with augmented blocking of the sensation transmission along meridians. Method： The EEG-4400 electro-encephalogram （EEG） and ND-1 brain electrical activity mapping were adopted on 11 volunteers with remarkable sensation transmission along meridians, showing that the sensation can transmit to head and face after stimulating the points below the knee joints. Also, special observation was made on accurate location of somatosensory cortical evoked potential map in l0 people without sensation transmission. Result： Observation on 11 vohmteers with remarkable transmission along the Three Foot-yang Meridians showed that they presented with concurrent high potential reactions in somatosensory cortical lower limbs and face without blocking the augmented sensation transmission along the meridians; however, when mechanical pressure was exerted to block the sensation transmission, only one reaction in the lower limbs occurred in the somatosensory cortical evoked map and the other one in the face disappeared. Conclusion： Peripheral tissue evoking is the decisive factor for transmission along the meridians.

Prof. CHEN Han-ping： A Thinker in Principles and Practice of Acupuncture-moxibustion

CHEN Han-ping （chief physician, professor, doctoral supervisor, distinguished TCM physician and an expert entitled to the special allowance by the State Council）, was born in November 1937 in Fujian Province. He studied in the Shanghai College of Traditional Chinese Medicine from 1957-1963. After graduation, he started to work on clinical treatment and research in Longhua Hospital Affiliated to Shanghai College of Traditional Chinese Medicine and the Shanghai Research Institute of Acupuncture and Meridian. In 1979, he went to the INSERM U-25,

Research on Meridians in China

The theory of meridian （it is interpreted as channels and collaterals, or meridian in English）, is an important theoretical kernel of traditional Chinese medicine （TCM）. TCM holds that meridian is a complicated system with the fourteen meridians as the main part, which distributes over the whole human body. Each meridian belongs to a corresponding viscus interiorly, and winds around the limbs and joints exteriorly. It functions to transport the qi and blood, regulates the balance between Yin and Yang, responses to the changes in the natural world. It is the pathway for transporting qi and blood. Accordingly, it is considered to be the connective, regulative and responsive system of the body. In comparison to the Western medicine and modem biology, it elucidates the vital process and regulation of the function of human body in a totally different way and involves many brilliant theoretical expositions. Therefore, it has been deeply concerned by many researchers in China and abroad. Once the essence of meridian is elucidated, it must vigorously promote the development of TCM as well as the whole medical science and benefit the mankind.