CT引导下夹脊穴臭氧注射治疗腰椎间盘突出症临床观察

目的:观察在CT引导下夹脊穴臭氧注射治疗腰椎间盘突出症的临床疗效,探讨臭氧治疗的作用机制。方法:选取2014年1月-2016年1月期间在我科住院治疗的该病患者150例,随机分为治疗组75例、对照组75例。治疗组在对照组的治疗基础上行夹脊穴臭氧注射5～10mL,每周治疗2次为一个疗程,共治疗2个疗程。治疗结束后,对所有完成的患者进行跟踪随访1年。结果:治疗组患者的视觉模拟评分(VSA)与临床痊愈率均优于对照组(P <0.05);1年内复发率也明显低于对照组(P <0.05)。结论:夹脊穴臭氧注射治疗腰椎间盘突出症能明显解除患者的疼痛症状,改善体征,疗效显著,值得推广应用。

CLINICAL RESEARCH OF JIAJI(夹脊EX-B2) IN TREATMENT OF SPASTIC CEREBRAL PALSY WITH ACUPUNCTURE

Objective To observe the clinical therapeutic effects of Jiájǐ（夹脊EX-B2） on spastic cerebral palsy （SOP） with acupuncture.Methods 62 cases of SOP were randomized into two groups,named treat- ment group with acupuncture on Jiájǐ（夹脊EX-B2）,and control group with sham-acupuncture.The treatment was applied once a day,10 times made a course,totally 6 courses were required.Modified Ashworth scale and FIM grade were used to observe and assess the results of treatment.Results The total effective rate was 84.4 % in treatment group and was 63.3 % in control group,indicating significant difference （P〈0.01）. Conclusion Acupuncture on Jiájǐ（夹脊EX-B2） achieves good clinical therapeutic effects on SCP.

针挑治疗强直性脊柱炎21例疗效观察

笔者根据中医辨证分型，取膀胱经穴、华佗夹脊、督脉等穴位，对２１例强直性脊柱炎患者进行针挑治疗，取得较好疗效。其中，显著好转８例，好转１１例，无效２例，有效率为９０．５％。本文提出了强直性脊柱炎辨证分型与传统痹证分型不同，并讨论了针挑方法的特点，作用和原理。

Spinal stenosis treated with acupuncture on Huátuó Jiájǐ(夹脊EX-B 2) and vertebral curvature adjustment:report of therapeutic effect on 189 cases

Objective To observe the clinical effects on spinal stenosis treated with acupuncture on Huatuo Jiaji （夹脊EX-B 2） and vertebral curvature adjustment. Methods Comprehensive therapy was applied to all of 189 cases of any type of spinal stenosis, in which gukong needling technique was applied to Huatuo Jiaji （夹脊EX-B 2） at C4 - T5 and T12 - L5, associated with vertebral curvature adjustment with traction. The therapeutic effects were observed. Results Total effective rate was 96.8%, in which, clinical cured rate was 31.7% and excellent and good rate was 89.9% in average 28-month fol- low-up visit. Conclusion Spinal stenosis is segmental dynamic stenosis. It can be cured by acupuncture on Huatuo Jiaji （夹脊EX-B 2） and vertebral curvature adjustment and satisfactory result is achieved.

Intractable post-herpetic neuralgia in the trunk treated with point injection at Jiájǐ(夹脊 EX-B 2)

ABSTRACT Objective To compare the efficacy difference between point injection at Jiiaji （夹脊 EX-B 2） and oral medication in the treatment of intractable post-herpetic neuralgia （PHN） in the trunk. Methods One hundred and thirty cases were randomly divided into an point injection group and an medication group, 65 cases in each one. In point injection group, according to the invasion site of herpes zoster, Jiiaji （夹脊 EX-B 2） of corresponding segments and the meridian points on skin lesion areas, such as Fengchi （风池GB 20）, Tianzhu （天柱 BL 10）, Feishu （肺俞 BL 13） and Geguan （膈关 BL 46） were selected and injected with the mixed solution of compound Betamethasone （administered only in the first injection）, Vitamin B12 and Lidoeaine Carbonate, 2 mL on each point, once per day. In medication group, Diclofenac Sodium sustained release tablets, 75 mg were administered, twice per day. The clinical efficacy was compared 10 days later between two groups. Results The total effective rate in point injection group was 100.0% （65/65）, which was better than 66.1% （43/65） in medication group （P〈0.01）. Conclusion Point injection mainly at Jiiaji （夹脊 EX-B 2） is effective significantly on intractable PHN in the trunk, which is superior to Diclofenac Sodium sustained release tablets.

The effect of acupuncture at “Jǐng Jiājǐ”(颈夹脊) on auditory brainstem response threshold of guinea pigs with sensorineural hearing loss

Objective To explore the effect of acupuncture at ＂Jing Jiaji＂ （颈夹背） on sudden hearing loss by observing the changes of the threshold of auditory brainstem response （ABR） of deaf guinea pigs. Methods Sixty healthy guinea pigs were selected, with computer randomization, 20 were randomly divided into a normal control group （group A）, while the rest were randomly and equally divided into a model group （group B） and an acupuncture group （group C） when turned deaf after gentamycin sulfate and furosemide were administered. No treatment was administered for either the group A or the group B, while acupuncture at ＂Jing Jiaji＂ was given for the group C for 30 days. The ABR thresholds of each group were observed and recorded separately after the treatment for 15 days and 30 days. Results The ABR threshold in the group C was lower than that in the group B after the treatment of 15 days （P〈O.05）. After the treatment of 30 days, the ABR threshold in the group C was obviously lower than that in the group B （P〈0.01）, and was obviously lower than that before acupuncture （P〈0.01）. Conclusion Acupuncture at ＂Jing Jiaji＂ has definite effect on improving the hearing of deaf guinea pigs.

AN OBSERVATION OF THE THERAPEUTIC EFFECT OF WARMING NEEDLING TECHNIQUE ON JIAJI POINTS FOR THE TREATMENT OF DEPRESSION AND ITS INFLUENCE ON EEG-α WAVE IN PATIENTS

Objective To discuss the therapeutic effect and mechanism of warming needling technique for the treatment of depression. Methods A total of 60 patients with depression were randomly divided into treatment group and control group with 30 cases each. The treatment group was treated with warming needle technique on the Jiaji points of the heart, lung, liver, spleen and kidney, control group with Amitriptyline, HAMD scale and the qualitative change of EEG-α wave were observed before and after the treatment. Results The total effective rate of treatment group was 100%, much better than that of the control group with 80% (P<0.05); the HAMD scale of treatment group was better than that of control group (P<0.05); the comparison of the improvement of somatic symptoms between treatment group and control group was significant (P<0.05); the comparison of frequency and amplitude of EEG-α wave was significant (P<0.05), there was no toxic and side effect in the treatment group. Conclusion Warming needling technique for depression has better effect than Amitriptyline, and there was no toxic and side effect in the treatment group. Warming needle technique can effectively regulate the frequency and amplitude EEG-α wave, and acts to improve depressive condition.

Observation on efficacy of treating vascular dementia gait disorder with electro-acupuncture(EA) on Jiājǐ(夹脊 EX-B2) along lumbar vertebra combined with scalp acupuncture

Objective To observe the efficacy of treating vascular dementia gait disorder with electroacupuncture （EA） on Jiaji （夹脊EX-B2） along the lumbar vertebra combined with scalp acupuncture, in order to explore a more effective therapeutic method. Methods Forty-two patients were divided into an acupuncture group and a drug group according to the method of random number table, with 21 cases in each group. EA on EX-B2 from L2 to L5 （bilateral） and scalp acupuncture on Baihui （百会 CV 20） and Sishencong （四神聪EX-HN 1） were applied in the acupuncture group, once a day the course of treatment was 30 days; Duxil was taken orally by the drug group, one pill twice a day for 30 days as a course of treatment. After treatment was completed, the efficacy was evaluated and activities of daily living （ADL） were compared between the two groups. Results The total effectiveness rate for the acupuncture group was 90.5%, which was significantly better than that of the drug group （61.9%）, and the differences were statistically significant （P〈0.05）; ADL was compared before and after treatment, and the differences were statistically significant （the acupuncture group： 24.52±9.34 vs 32.85±13.56; the drug group： 25.47±10.04 vs 29.99±13.87, both P〈0.01）; after treatment, ADL, including gait disorders, in the acupuncture group was more significantly improved than that of the drug group, and the differences were statistically significant （32.85±13.56 vs 29.99± 13.87, P〈0.01）. Conclusion The efficacy of treating vascular dementia gait disorder with electro-acupuncture （EA） on EX-B2 along lumbar vertebra combined with scalp acupuncture was superior to orally administered Duxil.

The effect of acupuncture at Jǐngjiājǐ(颈夹脊) on the repair and regeneration of cochlear hair cells of rats with sensorineural deafness

Objective： To observe the effect of acupuncture at Jǐngjiājǐ（颈夹脊）on the repair and regeneration of cochlear hair cells of guinea pigs with sensorineural deafness.Methods： Sixty healthy guinea pigs were selected, 20 guinea pigs were randomly assigned to the normal control group（group A）, and other guinea pigs were randomly divided into model control group（group B） and acupuncture treatment group（group C） after injection with gentamicin sulfate in order to induce deafness. No intervention was given to the guinea pigs in group A and group B, and acupuncture at Jǐngjiājǐ was given to the guinea pigs in group C for 30 days. ABR threshold, DPOAE amplitudes and hair cells counting of guinea pigs in each group were recorded after intervention for 30 days.Results： After intervention for 30 days, ABR threshold in group C was significantly lower than that in group B（38.46 ±7.36 vs 82.94 ±6.47, P〈0.01）. and the DPOAE amplitudes in group C were obviously higher than that in group B（28.06 ±5.64 vs 25.23 ±5.38, P〈0.01）. The number of cochlear hair cells in group C increased significantly, over 50% of the hair cells survived, accounting for 66.67% of the observation cases. The number of cochlear hair cells in the 3 rd and 4 th gyri was close to the normal level, and plenty of proliferous sustentacular cells can be seen. Compared with group B, the number of cochlear outer hair cells in each gyrus in group C significantly increased（36.76 ±1.97 vs 28.59±2.24, P〈0.01）, indicating that acupuncture at Jǐngjiajǐ can promote the repair and regeneration of cochlear hair cells.Conclusion： Acupuncture at Jǐngjiajǐ can promote the repair and regeneration of cochlear hair cells, thus improving the hearing of guinea pigs with deafness.

Treatment of cervical spondylotic radiculopathy: acupuncture at neck Jiájǐ points and blood-letting puncture with the plum-blossom needle

Objective To observe the therapeutic effect of acupuncture at neck Jiájǐ （EX） points and blood-letting puncture with the plum-blossom needle on cervical spondylotic radiculopathy. Methods Sixty cases of cervical spondylotic radiculopathy were divided into a treatment group and a control group with 30 cases in each group. Acupuncture at neck Jiájǐ （EX） points （Extra） and blood-letting puncture with the plum-blossom needle were adopted for the treatment group. And acupuncture at neck Jiájǐ （EX） points was adopted for the control group. The therapeutic effect, visual analogue scale （VAS） and the numbness score were observed after 2 treatment courses. Results The total effective rate of the treatment group was 86.7% （26/30）, while the rate of the control group was 83.3% （25/30）. Comparison of the differences of the two groups was without statistic significance （P0.05）. The VAS scores of the two groups after treatment were both improved （both P0.01）, but without statistic significance between the two groups （P0.05）. The numbness scores of the two groups after treatment were both better than those before treatment （P0.01）. The therapeutic effect on numbness of the extremities of the treatment group was better than that of the control group （P0.05）. Conclusion Blood-letting puncture with the plum flower needle has a satisfactory effect on treatment of numbness of the extremities of patient with cervical spondylotic radiculopathy.

Treatment of 100 Cases of Cervical Spondylotic Radiculopathy by Electroacupuncture of Jiaji(Ex-B2)plus Oblique Needling Ashi Point

Summary： One hundred patients were diagnosed with cervicalspondylotic radiculopathy definitely by symptoms, signs and Xray examination. The therapeutic method was acupuncture of Jiaji（Ex-B 2） on the affected segment and the upper and lower vertebrae close together. After the arrival of qi, the needles were connected to acupuncture therapeutic instrument. Meanwhile, the numb, heavy and uncomfortable area on the shoulder and upper limb, where something like cord could be touched, was selected as Ashi point. The needle was inserted perpendicularly into the skin on the place that the cord was most obvious and inserted obliquely and deeply along the cord. After 3 4 courses of treatment, 90 cases got marked effectiveness and 10 cases got effectiveness.

Observation on clinical effects of acupuncture plus cupping therapy for cervical radiculopathy

Objective：To observe the therapeutic effects of acupuncture plus cupping therapy and Western medication alone for cervical radiculopathy.Methods：A total of 139 patients with cervical radiculopathy were randomly divided based on the random digital table into an acupuncture-cupping group（70 cases） and a Western medication group（69 cases）.In the acupuncture-cupping group,Fengchi（GB 20）（bilateral）,Dazhui（GV 14）,Jianjing（GB 21）（bilateral） and Jiaji（EX-B 2） points of the neck [bilateral,midpoint between Fengchi（GB 20） and Dazhui（GV 14）] were punctured.After the arrival of the needling sensation,bilateral Fengchi（GB 20） and Jianjing（GB 21） were linked with electric stimulation and the rest acupoints were manipulated with the moderate needling technique.In the retaining of the needles,TDP lamp radiation was used.After acupuncture,the cupping therapy was applied to the local area.The treatment was given once every other day,20 d for a course.After one course,the therapeutic effects were observed.The Western medication group was treated by oral administration of Meloxicam（Mobic）,7.5 mg,once a day,with water and liquid after meal.The therapeutic effects were observed after 20 d.Results：The total effective rate was 92.8% in the acupuncture-cupping group and 73.9% in the Western medication group,with a statistical difference between the two groups（P〈0.05）.After treatment,the scores of the clinical symptoms of the two groups were obviously declined（P〈0.01）,and the score of the clinical symptoms of the acupuncture-cupping group was better than that of the Western medication group,with a statistical difference（P〈0.05）.Conclusion：Acupuncture plus cupping therapy was more effective than administration of Meloxicam tablets alone in the treatment of cervical radiculopathy.

Application of Nape Acupuncture in Treatment of Vertebral-artery Type Cervical Spondylosis

Objective： To observe the effect of nape acupuncture on vertebral-artery type cervical spondylosis. Methods： Eighty patients with vertebral-artery type cervical spondylosis were randomly divided into nape acupuncture group and Jiaji acupuncture group, with 40 cases in each group. The patients in the nape acupuncture group were treated with the nape acupuncture plus Jiaji acupuncture, while the patients in the Jiaji group were treated with Jiaji acupuncture only, to observe the functional scale before and after treatment. Results： The total effective rate in the nape acupuncture group was 95.0%, while the total effective rate in the Jiaji acupuncture group was 82.5%. By Ridit analysis, u=5.186, P〈0.01. It indicated that the therapeutic effect in the nape acupuncture group was better than that in the Jiaji acupuncture group. Compared with Jiaji acupuncture group, the difference value of pre- and post-treatment about functional scale of vertebral-artery type cervical spondylosis and the post-treatment score have statistic differences （P〈0.01）. It indicated that the therapeutic effect of nape acupuncture group was more obvious in treating vertigo than that in the Jiaji acupuncture group. Conclusion： The treatment of vertebral-artery type cervical spondylosis by Jiaji acupuncture plus the nape acupuncture may enhance the therapeutic effect significantly.

Influence on Hemorheology of Cervical Spondylopathy with Xi(Cleft)Point Electroacupuncture

Objective：To observe the curative effect of Xi（Cleft） point electro-acupuncture on acute cervical spondylopathy of blood stasis type. Methods： 32 cases of acute spondylopathy of blood stasis type were treated with electroacupuncture on Huizong（TE 7） point, Xi （Cleft） point of Triple Energizer Meridian of Hand Shaoyang and Yanglao（SI 6） point, Xi （Cleft） point of Small Intestin Meridian of Hand Taiyang. 31 cases were randomly selected as the research subjects for control group and treated with routine treatment. At the same time changes of hemorheology were observed in the two groups before and after treatment. VAS was used for pain evaluation. Results and conclusion： The total curative effect in treatment group was 93.8%, the average duration of course 20.2±3.1d, pain accumulation points 3.47± 1.45; The total curative effect in contrast group was 83.9%, the average duration of course 26.5± 1.8 d, pain accumulation points 5.67±1.52. P〈 0.01 after t test. Ridit analysis was used for analysis of the therapeutic effect. P〈 0.05. There were some improvements in hemorheology in the two groups before and after treatment. It showed that there was a significant difference in the two groups in therapeutic results and average duration of course. The therapeutic results were improved and duration of course shortened in the treatment group.

Clinical Study on Chronic Gastritis Treated by Acupuncture

Objective： To observe the therapeutic effects of acupuncture in managing chronic gastritis. Methods： The subjects were 102 patients with chronic gastritis, receiving acupuncture at Jiaji （Ex-B 2） plus cupping for treatment. Results： Among the 102 patients, 31 were clinically recovered, 62 got improved, and the total effective rate was 91.2%. Conclusion： Acupuncture therapy is effective in treating chronic gastritis.

Clinical Observation on Treatment of Lumbar Intervertebral Disc Herniation with Electroacupuncture on Jiaji （Ex-B 2） Points plus Traction： A Clinical Report of 30 Cases

Objective： To investigate the clinical efficacy of treating hemiation of lumbar intervertebral disc with electroacupuncture on Jiaji（Ex-B 2） points plus 3-D traction. Methods： To allocate 90 cases randomly into three groups and adopt therapies of 3-D traction, electroacupuncture on Jiaji（Ex-B 2） points and comprehensive method （combination of electroacupuncture on Jiaji（Ex-B 2） points and 3-D traction） and then compare the pre-treatment and post-treatment result with scores of clinical symptoms and clinical efficacy. Results： After 4-week treatment, the group of comprehensive therapy showed better effect than the other two groups. Conclusions： Electroacupuncture on Jiaji（Ex-B 2） points plus 3-D traction has positive effect on herniation of lumbar intervertebral disc.

Clinical observation of warm needling moxibustion for rheumatoid arthritis

Objective： To observe the clinical efficacy of warm needling moxibustion at points on the back in treating rheumatoid arthritis （RA）. Methods： Sixty RA patients were randomized into two groups by the random number table, 30 in each group. The observation group was intervened by warm needling moxibustion at the points from the Governor Vessel on the back and Jiaji （EX-B 2） points, while the control group was by regular acupuncture. Results： After intervention, the morning stiffness, joint pain index, joint swelling index and erythrocyte sedimentation rate （ESR） were significantly improved in both groups （P〈0.01）; the inter-group difference was also statistically significant （P〈0.05）. The total effective rate was 93.3% in the observation group versus 76.6% in the control group, and the difference was statistically significant （P〈0.01）. Conclusion： Warm needling moxibustion at points from the Governor Vessel on the back and Jiaji （EX-B 2） points can produce a higher efficacy than regular acupuncture in treating RA.

Clinical observation on acupuncture at Jiaji(EX-B 2) points plus tuina in treating thoracic facet joint disorder

Objective： To observe the clinical effects of acupuncture at Jiaji （EX-B 2） points plus tuina manipulation for thoracic facet joint disorder, and get new clinical evidence for treatment of thoracic facet joint disorder. Methods： Totally 106 patients with thoracic facet joint disorder were randomly allocated into an observation group and a control group based on the random number table. Patients in the control group were treated by tuina manipulation, while those in the observation group were treated by acupuncture at Jiaji （EX-B 2） points before tuina manipulation. Patients in the two groups were treated once a day. The improvements of signs and symptoms and the efficacy were observed after 3 treatments. Results： After treatment, there were intra-group statistical differences in scores of 8 signs and symptoms in both groups （P〈0.01}; the score of each item in the observation group was lower than that in the control group, and there was statistical significance in the inter-group difference （P〈0.05）. The cure rate of the observation group was 50.9%, versus 26.4% in the control group, and there was a significant difference between the two groups （P〈0.05）. Conclusion： In treating thoracic facet joint disorder, acupuncture plus tuina manipulation can restore the biomechanical balance of thoracic vertebrae, fully maximized the combined effect, and significantly improve the clinical efficacy.

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.

Clinical observation of warm needling moxibustion plus lumbar traction for lumbar disc herniation

Objective To observe the clinical efficacy of warm needling moxibustion plus lumbar traction for lumbar disc herniation(LDH)and its effect on Oswestry disability index(ODI)score,present pain intensity(PPI)score,and the degree of straight leg raising.Methods A total of 146 patients with LDH were randomized into a combination group and a control group by the random number table method,with 73 cases in each group.The control group was treated with lumbar traction,and the combination group was treated with lumbar traction plus warm needling moxibustion.The curative efficacy of the two groups was compared.Also,the lumbar function,pain,straight leg raising degree,and inflammatory factor levels before and after treatment were compared.Results The total effective rate of the combination group was 93.2%,which was higher than 78.1%of the control group(P<0.05).After treatment,the lumbar ODI score,the PPI scores of lumbar pain and lower-limb pain,tumor necrosis factor(TNF)-αand interleukin(IL)-6 levels,and straight leg raising test score in both groups were significantly decreased(P<0.05).The Japanese Orthopaedic Association(JOA)score significantly increased(P<0.05).The improvements of the above items in the combination group were all superior to those in the control group(P<0.05).Conclusion Warm needling moxibustion plus lumbar traction in the treatment of LDH can improve lumbar function,relieve pain,and reduce inflammatory response of the body.