耳灸联合“六字诀”呼吸法在COPD稳定期患者中的应用观察

目的:观察耳灸联合“六字诀”呼吸法在慢性阻塞性肺疾病(COPD)稳定期患者中的应用效果,并进一步分析患者肺功能指标及运动耐力、生活质量、呼吸困难程度。方法:选取2020年4月~2022年4月我院诊治的60例COPD稳定期患者,依据双色球法随机分为对照组(30例)和观察组(30例)。对照组进行常规治疗,联合组则加用耳灸联合“六字诀”呼吸法治疗,均治疗40 d。比较两组治疗后的临床疗效和临床症状改善情况,治疗前及治疗后1个月的肺功能指标及运动耐力、生活质量、呼吸困难程度。结果:对照组总有效率70.00%,明显低于观察组的96.67%(P<0.05)。对照组胸闷气短改善、肺部啰音消失及住院时间显著比观察组长(P<0.05)。治疗后1个月两组用力肺活量(FVC)、第1秒用力呼气容积(FEV1)、FEV1/FVC均显著升高,且观察组优于对照组(P<0.05)。治疗后1个月两组6 min行走距离(6MWT)均显著升高,且观察组高于对照组;生活质量(CAT)评分、呼吸困难(mMRC)评分均显著下降,且观察组优于对照组(P<0.05)。结论:在COPD稳定期患者中应用耳灸联合“六字诀”呼吸法效果明显,显著改善患者临床症状、肺功能和呼吸困难程度,提高运动耐力、生活质量。

耳灸联合腕踝针防治肺癌患者化疗相关恶心呕吐的疗效观察

目的:观察耳灸联合腕踝针对肺癌患者化疗相关恶心呕吐的防治效果。方法:将82例肺癌化疗患者随机分为对照组和观察组,每组41例。对照组遵医嘱予以昂丹司琼止吐方案治疗并配合常规护理,观察组在对照组基础上给予耳灸联合腕踝针治疗,干预时间为5 d。比较两组患者恶心呕吐发生率、恶心呕吐次数、恶心呕吐严重程度、生活质量得分与不良反应发生率。结果:在首日化疗结束后24 h(急性期)及化疗结束后第4天(延迟期),观察组患者恶心呕吐发生率均低于对照组(P<0.05),恶心严重程度得分低于对照组,但差异无统计学意义(P>0.05);在延迟期,观察组患者呕吐次数低于对照组,差异有统计学意义(P<0.05);两组患者干预后生活质量总分,以及生理状况、功能状况、情感状况、家庭/社会状况及肺癌相关症状得分方面比较,差异均有统计学意义(P<0.05);不良反应发生率观察组为17.1%(7/41),低于对照组的34.1%(14/41),但两组比较,差异无统计学意义(P>0.05)。结论:耳灸联合腕踝针防治肺癌患者化疗相关恶心呕吐疗效显著,能提高患者生活质量,减轻止吐药物不良反应的发生率。

耳灸联合耳穴贴压治疗脾肾阳虚型2型糖尿病合并失眠症临床观察

目的探讨耳灸联合耳穴贴压对脾肾阳虚型2型糖尿病(T2DM)伴失眠症患者睡眠质量的影响。方法选取2020年8月—2021年3月收治的60例脾肾阳虚型T2DM合并失眠症患者,按随机数字表法分为2组,各30例。2组均接受常规护理,对照组予以耳穴贴压干预,观察组加用耳灸干预。比较2组临床疗效、血糖水平、睡眠质量及中医症状积分。结果观察组干预总有效率为较对照组高,差异有统计学意义(P<0.05);观察组干预后FBG、2hPG为(5.89±1.05)mmol/L、(9.05±1.23)mmol/L,低于对照组的(6.68±1.13)mmol/L、(10.58±1.36)mmol/L,差异有统计学意义(P<0.05);观察组干预后PSQI评分、中医症状积分为(8.04±1.12)分、(12.33±2.01)分,低于对照组的(10.59±1.34)分、(15.34±2.13)分,差异有统计学意义(P<0.05)。结论耳灸联合耳穴贴压可稳定脾肾阳虚型T2DM合并失眠症患者血糖水平,降低PSQI评分及中医症状积分,促进睡眠恢复正常。

OBSERVATION OF THERAPEUTIC EFFECTS OF Zhìyīn(至阴BL 67) ON 110 CASES OF PRIMARY DYSMENORRHEA WITH ACU-MOXIBUSTION

Objective To observe the clinical efficacy of primary dysmenorrhea treated with acu-moxibus- tion. Methods 220 cases of primary dysmenorrhea were randomized into control group and treatment group, 110 cases in each one. In control group, fenbid was administered. In treatment group, ZhiyTn （至阴 BL 67） was selected in combination of auricular-point pressing therapy. Results The total effective rate was 94.5% in treatment group and was 76. 4 % in control group, indicating very significant difference （P〈0. 01） in com- parison. Conclusion Acu-moxibustion on BL 67 in combination of auricular-point pressing therapy presents definite therapeutic effect on primary dysmenorrhea, thus, this therapy is worth to be promoted entirely in practice.

Twenty-five Cases of Intractable Cutaneous Pruritus Treated by Auricular Acupuncture

Intractable cutaneous pruritus is a commonlyencountered symptom in clinical practice.Theauthors have treated 25 cases of intractable cutaneouspruritus mainly by auricular acupuncture in recentyears,with satisfactory results as reported in thefollowing.Clinical DataAll the 50 cases in this series were outpatientsfrom the Outpatient Department of

Personal Experience in Acupuncture Treatment of Mental Diseases

Under the guidance of family veteran Chinese physicians, the author has been pursuing the research and treatment of mental diseases with Chinese herbal medicine supplemented by acupuncture and moxibustion with satisfactory therapeutic effects which is introduced as follows.

Regulative Effects of Auricular Acupuncture,Moxibustion and Chinese Herbs on Immunologic Function in the D-Galactose-induced Aging Mouse

Objective:To observe the regulative effect of auricular acupuncture, moxibustion and Chinese herbs on immunologic function in the D-galactose-induced aging mouse and to probe the feasibility and possible mechanisms for delaying aging, so as to provide experimental basis for acupuncture, moxibustion and Chinese herbs for delaying aging. Methods: Aging mouse model was established by subcutaneous injection of D-galactose, and treated by auricular acupuncture, auricular acupuncture plus moxibustion, and auricular acupuncture plus Chinese herbs respectively for 6 weeks and then serum interleukin-2 (IL-2) and IL-6 contents and splenic lymphocyte transformation rate were compared among the groups. Results: Compared with the young group, the serum IL-2 level and the splenic lymphocyte transformation rate significantly decreased and the IL-6 level significantly increased in the aging mouse. After treatment by auricular acupuncture, auricular acupuncture plus Chinese herbs, especially auricular acupuncture plus moxibustion, the serum IL-2 level and the splenic lymphocyte transformation rate significantly increased, and the IL-6 level significantly decreased as compared with the model group. Conclusions: Combined application of auricular acupuncture, moxibustion and Chinese herbs can improve the decline or dysfunction of immunological function in the aging organism to a certain extent.

Acupuncture Treatment of Hiccup

Case History Mr. Wang, a 40-year old administrative director from an official unit in Beijing, paid his first visit on March 5, 2001, with the chief complaint of frequent hiccup for 20 days. ……

Effects of Acupuncture on Humoral Immunologic Function and Trace Elements in 20 Cases of Behcet's Disease

Acupuncture therapy could normalize both increased light chain K value of IgM and lowered trace element Zn content in patients with Behcet's disease with statistically significant differences,suggesting that acupuncture therapy can elevate humoral immunologic function and improve metabolism of the trace element in these patients.

Fifty-Six Cases of Acne Treated by Auricular Needle-Embedding

Acne is an inflammatory disease often affecting the boys and girls at the pubescent age, with a tendency of affecting the females aged 30-45 years. We have treated 56 cases of acne by auricular needle-embedding with satisfactory therapeutic results as reported in the following.……

Treatment of Hordeolum by Bloodletting at Ear Apex

Hordeolum, the acute pyogenic infection of staphylococci in the palpebral glands, is one of the most commonly seen disorders of the external eye diseases. According to the location of the lesion, it can be divided into internal and external hordeolum. The early symptoms are redness, swelling, and pain in the eyelid. In severe cases, the condition can be accompanied with ipsilateral headache and swelling of the pre-auricular lymph node. Since TCM bloodletting has remarkable effect for treating hordeolum at the early stage, we would like to recommend this simple, easy and effective treatment to doctors who are interested in physiocracy.

THERMOLYTIC EFFECT OF MOXIBUSTION AND ITS RELATION TO ACUPOINT RECEPTORS

In the present paper, the effect of moxibustion stimulation (by using a computer automaticallycontrolled condensed light) of Dazhui (GV 14) etc. on auricular temperature changes was observed in the rabbit after intravenous injection of endotoxin. Changes of rabbit’s auricular temperature were sampled and recorded by using a thermistorthermometer (connected with a computer) before and after moxibustion stimulation. Results indicated that moxibustion making the skin temperature reach to 48℃ could inhibit the endotoxininduced lowering reaction of auricular temperature, while moxibustion making the skin temperature of 40℃ had no this effect. It revealed that higherskintemperature moxibustion had a thermolytic effect on bodyfever, which had a close relation mainly with polymodal receptors rather than with temperature receptor. It also demonstrated that endotoxininduced changes of auricular temperature could be used as an index for evaluating the thermolytic effect of moxibustion.

46 CASES OF INSOMNIA TREATED BY SEMICONDUCTOR LASER IRRADIATION ON AURICULAR POINTS

Insomnia is a commonly encounteredsymptom in clinical practice. The author hastreated it by using semiconductor laserirradiation on auricular points with satisfactorytherapeutic results. A report is presented asfollows.General DataIn this series, there were 46 cases

Research Progress of Acupuncture-moxibustion for Insomnia: An Analysis of Literature in Recent 5 Years

By searching and analyzing the literature related to acupuncture- moxibustion in treating insomnia in both Chinese and English databases from 2007 to 2012, this paper systematically elaborated the up-to-date research progress of acupuncture-moxibustion therapy in treating insomnia, i.e. acupuncture, electroacupuncture, auricular point, abdominal acupuncture, scalp acupuncture, acupoint injection, and moxibustion. It also analyzed the existing problems and highlighted the future studies.

Efficacy Observation on Acupuncture Combined with Auricular Point Sticking Treatment for Primary Dysmenorrhea

Objective： To observe the clinical efficacy of acupuncture combined with auricular point sticking treatment for primary dysmenorrhea. Methods： Sixty-eight patients with primary dysmenorrhea were randomly divided into two groups, and 35 cases in the treatment group were treated by acupuncture combined with auricular point sticking, while 33 cases in the control group were only treated by acupuncture. The treatments for the patients in both groups began from one week before their menstruation and continued tiJl the menstruation came. And the efficacy was observed after treatments of three consecutive menstrual cycles. Results： The total effective rate was 94.2% in the treatment group, versus 84.8% in the control group, and the difference was statistically significant （P〈0.05）. Conclusion： Acupuncture combined with auricular point sticking treatment for primary dysmenorrhea is more effective than simple acupuncture.

Clinical Observation on Treatment of Primary Trigeminal Neuralgia by Point Penetrating Injection plus Ear Pressing

Objective： To investigate the therapeutic effect of primary refractory trigeminal neuralgia. Methods： Twenty-eight cases of primary trigeminal neuralgia were treated by point penetrating injection plus ear pressing, controlled by 28 cases treated only by acupuncture, Results： The total effective rate was 96,43% in observation group and 78.57% in control group. There wasa significant difference in the total effective rate between the two groups （P〈0.05）. Results： Point penetrating injection plus ear pressing is the effective method in treating primary trigeminal neuralgia.

Auricular acupressure as assistant in primary insomnia management: a randomized single-blind controlled clinical trial

Objective: To observe the efficacy and safety of dexzopiclone plus auricular acupressure in intervening primary insomnia. Methods: A total of 72 participants who met the in clusi on criteria were en rolled in a ran domized con trolled trial, with 36 cases allocated to a treatment group and 36 cases allocated to a control group. Both groups were given dexzopiclone as the routine treatment. Patients in the treatment group were given auricular acupressure with Wang Bu Liu Xing (Semen Vaccariae) seeds at the auricular acupoints related to sleep and emotion based on meridian theory, whereas for patients in the control group, the medical plasters with Wang Bu Liu Xing (Semen Vaccariae) seeds were only gently stuck to acupoints unrelated to sleep without stimulation. Patients in both groups were required to visit the hospital once a week for replacing the seeds and plasters. The course of intervention lasted for 8 weeks and the patients were followed up for another 4 weeks. Pittsburgh sleep quality index (PSQI) and Karolinska sleep diary (KSD) were used to evaluate the outcomes. Meanwhile, adverse effects were monitored and recorded. Results: In the enrolled 72 cases, 4 patients (one in the treatment group and three in the control group) reported thirst and a bitter taste, and one case in the control group reported nausea and vomiting. At last, 3 cases in the control group dropped out for adverse reactions, and 69 cases completed the clinical trial. After 8 weeks of treatment, the global scores of PSQI in both treatment and control groups decreased significantly compared with the baseline (both PvO.001). Furthermore, the global score of PSQI in the treatment group was lower than that in the control group (P<0.01). The global scores of PSQI in both groups at the follow-up were significantly different from the baseline (both PvO.001), but insignificantly different compared with the post-treatment results (both P>0.05). According to KSD, both treatment protocols could prolong the total sleep time, shorten sleep-onset latency, improve sleep efficacy and sleep quality significantly, and the changes in the treatment group were more significant. The total effective rate was 88.9% in the treatment group, higher than 81.8% in the control group, though the difference was statistically insignificant (P>0.05). Con elusion: Dexzopicl one plus auricular acupressure is effective and safe for pati ents with primary in somnia both in short and long terms, and it is more effective tha n mono therapy of dexzopicl one.

Analysis of point-selection pattern in acupuncture-moxibustion treatment of amblyopia

Objective：To analyze and summarize the characteristics and pattern in the selection of points and meridians by searching the clinical research literature about acupuncture-moxibustion treatment of amblyopia in the recent 17 years.Methods：By searching Chinese and English databases,such as China National Knowledge Infrastructure （CNKI）,PubMed,etc.,the points in 52 articles in conformity with the requirements were analyzed by frequency statistics by the order of meridians,major points,and adjunct points to summarize the rules and characteristics of the point selection.Results：In 52 articles,there were 21 articles on ear acupuncture and 31 articles on acupuncture-moxibustion treatment.Ten meridians were involved in acupuncture-moxibustion treatment of amblyopia,and the leading 3 meridians were the Bladder,Stomach and Gallbladder Meridians.There were 34 points,10 extraordinary points and 37 ear points were used in acupuncture-moxibustion treatment of amblyopia.The top 10 major points were Jingming （BL 1）,Taiyang （EX-HN 5）,Cuanzhu （BL 2）,Fengchi （GB 20）,Baihui （GV 20）,Hegu （LI 4）,Guangming （GB 37）,Sibai （ST 2）,Chengqi （ST 1） and Sizhukong （TE 23）.The top 5 adjunct points were Zusanli （ST 36）,Shenshu （BL 23）,Ganshu （BL 18）,Sanyinjiao （SP 6） and Taixi （KI 3）.Conclusion：Acupuncture-moxibustion treatment of amblyopia is characterized by the selection of the points mainly from yang meridians,based upon syndromes differentiation plus personal experience,and the points mainly around the eyes and by stressed use of ear points.

Therapeutic Observation on Acupuncture plus Auricular Point Sticking for Melasma

Objective： To observe the clinical efficacy and safety of acupuncture plus auricular point sticking in treating melasma. Methods： Forty-three eligible subjects with melasma were intervened by acupuncture plus auricular point sticking, 10 times as a treatment course, with an interval of 3-5 d between each two courses. The therapeutic efficacy was analyzed after 1, 2 and 3 treatment courses respectively. Results： With the increase of treatment course, the markedly effective rate and total effective rate were also increasing. Of the 43 subjects after 3 treatment courses, the epidermal type had the highest markedly effective rate and total effective rate, then it＇s the subtype IV of the mixed type and dermal type, and the subtype III of the mixed type had the lowest markedly effective rate and total effective rate. Conclusion： Acupuncture plus auricular point sticking is effective and safe in treating melasma, but different types have different therapeutic efficacies.

Methods and Efficacy of Acupuncture for Regulating Body Weight in Different Populations

Objective： To investigate the proper methods of acupuncture and moxibustion for controlling body weight and their objects. Methods： 274 outpatients were allocated to 3 observation groups： obesity, overweight and normal, using standard weight as an index. The obesity group was divided, at a ratio of 1： 1 ： 3, into 3 groups： fixed prescription, local treatment and treatment based on syndrome differentiation. The syndromes were classified into five types in the syndrome differentiation group. Different protocols of acupuncture and moxibustion plus auricular-plaster therapy were drawn up for treatment. Body mass index （BMI）, body fat （F%）, body circumferences and subcutaneous fat were evaluated in the patients before and after treatments. Results： There was a difference in the controlling effect of acupuncture on body weight among different populations. The curative effect was better in the obesity and overweight groups than in the normal group; the effective rate was 72.2%, 72.5% and 44.0%, respectively. There was also a difference in curative effect among obesity patients with different types of syndromes. The curative effects on retention of damp-heat in the stomach, stagnation of liver qi and dampness retention due to splenic hypofunction were equal but all better than those on deficiency of splenonephric yang and internal heat due to yin deficiency. There was also a difference in curative effect among different protocols. The curative effects in the syndrome differentiation-based treatment and fixed prescription groups were equal （77.8%） but all better than that in the local treatment group （53.3%）. Conclusion： Acupuncture and moxibustion is an effective way to treat obesity and overweight. Treatment based on syndrome differentiation and fixed prescription on the basis of syndrome differentiation are effective methods.