推拿腹部穴位治疗内科腹痛38例效果观察

目的:探讨推拿腹部穴位治疗内科腹痛的疗效。方法:将96例内科腹痛患者随机分为穴位推拿组38例及山莨菪碱注射组58例,分别行推拿腹部穴位及肌内注射山莨菪碱治疗,并观察其疗效。结果:两组疗效比较无显著性差异(P>0.05),穴位推拿组在实施措施后2m in、5m in疗效优于山莨菪碱注射组(P<0.01)。结论:推拿大横穴治疗内科腹痛,方法简便易行,值得临床推广应用。

针灸腹部穴治疗原发性痛经65例

痛经是妇科临床常见病症之一，是指妇女在经期及其前后，出现小腹或腰部疼痛，甚至痛及腰骶。每随月经周期而发，严重者可伴恶心呕吐、冷汗淋漓、手足厥冷，甚至昏厥，给工作及生活带来影响。目前临床常将其分为原发性和继发性两种，原发性痛经多指生殖器官无明显病变者，故又称功能性痛经，多见于青春期少女、未婚及已婚未育者。近年来我科采用针灸腹部穴的治疗方法，取得了满意的疗效，现报道如下。

耳穴贴压联合腹部经穴推拿干预1例肾病综合征虚实夹杂型便秘的护理体会

本文总结1例肾病综合征虚实夹杂型便秘患者进行耳穴贴压联合腹部经穴推拿的护理经验,包括耳穴贴压、腹部经穴推拿的操作方法、注意事项以及饮食、生活起居等常规护理。在中医辨证施治的理论指导下,采取针对性护理措施,使患者在排便形态及排便次数、肠鸣音等方面有了明显的改善。

耳穴三部曲联合腹部经穴推拿对结肠镜检查患者肠道清洁情况及腹痛腹胀程度的作用观察

目的观察耳穴三部曲联合腹部经穴推拿对结肠镜检查患者肠道清洁情况及腹痛、腹胀程度的改善作用。方法选择2022年3月—2023年1月于北京中医药大学东方医院住院行结肠镜检查的患者60例,采用随机数字表法将患者分为耳穴组、推拿组、耳穴+推拿(观察)组3组,各20例。患者均口服聚乙二醇电解质散。耳穴组检查前1天晨起,患者取坐位,应用耳穴三部曲进行干预;推拿组分别于检查前1、2、3天进行腹部经穴推拿;观察组给予耳穴三部曲联合腹部经穴推拿进行干预。比较3组肠道准备情况[肠道准备量表(BBPS)评分、肠道准备清洁合格率、肠道气泡评分、肠道气泡易于观察率]及腹痛(VAS)评分、腹胀程度评分。结果观察组BBPS评分、肠道准备清洁合格率、肠道气泡易于观察率均高于耳穴组、推拿组(P<0.05),肠道气泡评分低于耳穴组、推拿组(P<0.05)。观察组腹痛VAS、腹胀程度评分均低于耳穴组、推拿组(P<0.05)。结论耳穴三部曲联合腹部经穴推拿能够提高结肠镜检查患者的肠道清洁程度,改善其肠镜检查后腹痛、腹胀。

电针腹部经穴治疗单纯性肥胖症疗效观察

单纯性肥胖症是体内贮积的脂肪量大于等于理想体质量20％的一种临床症候群，其肥胖的病因未明，不伴有器质性疾病（肥胖所致的并发症除外）。肥胖症是2型糖尿病、冠心病、高血压等的重要危险因素，成为医学界普遍关注的问题。2010年6月-2011年7月，笔者采用电针腹部经穴治疗单纯性肥胖症35例取得了较好的临床疗效，现报道如下。

腹部选穴治疗月经愆期疗效观察

目的:探讨腹部选穴治疗月经愆期的临床疗效。方法:腹部选穴取天枢(双)、中脘、气海、关元、血海(右),通过典型病例的分析,观察腹部选穴治疗月经愆期临床效果。结果:3例均用腹部选穴治愈。结论:腹部选穴治疗月经愆期的疗效显著。

针灸治疗子宫肌瘤在腹部取穴的理论初探

目前有各式各样的针刺疗法治疗子宫肌瘤,无论是传统中医针灸还是腹针疗法,都离不开在腹部取穴,本文综述了针灸治疗子宫肌瘤研究的相关成果,并探讨在腹部取穴的缘由和优势,提出针灸治疗子宫肌瘤的独特见解,旨在在传承基础上,挖掘整理出更简、便、验、廉的方法以治疗子宫肌瘤,为针灸事业添砖加瓦。

腰腹部取穴为主针刺治疗中心型肥胖51例疗效观察

目的:观察腰腹部取穴为主针刺治疗中心型肥胖的临床疗效。方法:选取中心型肥胖患者51例,观察BM I与腰围。结论:本法治疗肥胖症可有效减轻体重,减少腰围效果尤其显著。

腹部经穴治疗腰痛-120例临床报告

目的：临床分析元氏位按压法治疗腰痛病的疗效。方法：元氏位按压法选取腹部任脉、肾经、胃经穴位治疗腰痛。结果：采用本法治疗腰痛患者120例。对病程短于1年者，病情为轻或中型者，疗效更为显著。结论：元氏位法是安全、简便、有效、无任何副作用。

多穴快刺法治疗早期2型糖尿病

目的:观察多穴快刺法治疗早期2型糖尿病。方法:毫针快刺背俞穴、华佗夹脊穴、腹部穴位。结果:治疗早期2型糖尿病76例,临床治愈率85.6%。结论:多穴快刺法治疗早期2型糖尿病,治愈率高,疗效显著。

腹部中医特色疗法(带脉灸)在治疗原发性痛经中的应用

研究腹部中医特色疗法(带脉灸)对于治疗原发性痛经的效果。方法:运用实验对照法将我院近期的70例病历作为研究对象,并随机分为两组,进行研究。其中,对照组采用传统的布洛芬缓释胶囊进行治疗,而观察组采用腹部中医特色脉灸法进行治疗。将实验数据进行收集并及时记录,主要记录两组患者治疗前和治疗过程中的VAS的数据变化。结果:治疗后:观察组VAS平均评分(2.2±0.3)对照组VAS平均评分(2.4±0.3),二者数据表明差异明显,P>0.05。疗程结束后:观察组VAS平均评分为(2.4±0.2)对照组VAS平均评分(2.4±0.3),数据对比表明,观察组低于对照组,差异明显,P<0.05。通过实验表明两组患者治疗后的痛经症状积分差异不明显,P>0.05,但3月后的随访结果却表明观察组效果更好,P<0.05。疗程结束后的3月后,观察组总有效率为91.4%明显优于对照组的57.1%,差异显著,P<0.05。结论:在关于原发性痛经患者的临床治疗中国,采用腹部中医特色脉灸疗法的短期效果与药物治疗无差异,但长期效果更优,值得临床应用推广。

腹部与四肢经穴配伍治疗急性胰腺炎的临床比较研究

目的:比较电针腹部与四肢经穴不同配伍处方的临床疗效差异,为临床上电针治疗急性胰腺炎(AP)的选穴处方提供依据。方法:60例AP患者随机分为腹部组和四肢组,每组30例。在相同内科保守治疗方案基础上,腹部组以上脘、中脘、下脘、梁门(左)、太乙(左)、承满(左)、腹哀(左)、阴都(右)等腹部经穴配伍进行电针治疗,四肢组以合谷、内关、足三里、上巨虚、下巨虚、阴陵泉(均双侧)等肘膝关节以下特定经穴配伍进行电针治疗。两组电针干预参数相同,留针30min,每日1次,连续5d。观察两组治疗前及治疗期间患者自觉腹痛及腹胀程度评分、腹围、针刺不良事件。结果:两组治疗后腹痛、腹胀程度评分及腹围均较治疗前降低(P <0.05);电针干预第2、3、4天,腹部组较四肢组腹痛程度评分明显降低(P <0.05),腹胀程度评分及腹围两组差异无统计学意义(P>0.05)。60例AP患者治疗期间均未发生针刺不良事件。结论:电针刺激腹部与四肢经穴对AP患者腹痛、腹胀程度的改善及腹围的减小等均有良好效果,腹部经穴配伍对改善腹痛程度疗效更优,且针刺具有安全性。

太极阴阳针法的构建与临床应用

太极阴阳针法是韩铁军总结的,以神阙为中心的腹部局部取穴和以头、四肢膝肘关节下全身取穴相结合的针法,该针法建立了新的针灸临床治疗组方模式,使中医整体观念和辨证施治两大特色在临床针灸治疗中得到了充分融合,将其用于临床治疗各科疾病疗效显著。该针法辨证条理化、组方模式化、操作规范化,具有适应证广、操作方便、见效快、疗效稳定性好等优点。

针刺配合逆腹式呼吸治疗慢性失眠的疗效观察

目的:探讨针刺配合抗腹式呼吸治疗慢性失眠症的疗效。方法:选取2015年3月至2017年6月广东省深圳市南山区蛇口人民医院康复科收治的慢性失眠患者96例作为研究对象,按照随机数字表法分为观察组和对照组,每组48例。观察组采用针刺治疗和反向腹式呼吸练习,同时对照组口服艾司唑仑治疗。采用匹兹堡睡眠质量指数(PSQI)对治疗前后的评分进行评分,比较治疗前后的评分,评价疗效,观察组6个月后复发情况。结果:2种疗法改善睡眠均取得一定疗效,其中观察组优于对照组,差异有统计学意义(P<0.05),观察组的复发率低于对照组,差异有统计学意义(P<0.05)。结论:针灸加逆腹式呼吸能有效治疗慢性原发性失眠,值得推广。

The experience of professor YIN Ke-jing in the treatment of abdominal distension after abdominal surgery with warming-needle moxibustion at Gōngsūn(公孙 SP 4)

Objective To introduce the experience of professor YIN Ke-jing,a national senior and famous doctor of traditional Chinese medicine,in treatment of abdominal distension after abdominal surgery with warming-needle moxibustion at Gōngsūn（公孙 SP 4）.Methods Bilateral SP 4 were selected,and warming-needle moxibustion was adopted.The treatment was conducted for twice a day,and treatment for 3 days was considered as 1 course of treatment.The efficacy was evaluated after 2 courses.Results The total effective rate was 96.9% of the 32 patients after treatment and observation for 2 courses.Conclusion This therapeutic method was easy and simple with less acupoints selected and rapid onset of effect.With definite clinical efficacy,this method was worthy of being popularized.

Observation on effects of moxibustion at abdominal acupoints for slow transit constipation due to yang deficiency of the spleen and kidney

Objective： To observe the clinical effects of moxibustion at abdominal acupoints for slow transit constipation（STC） due to yang deficiency of the spleen and kidney. Methods： A total of 52 cases with slow transit constipation in conformity with the inclusion criteria were selected and divided into a control group and an observation group according to their visit order and random digital table, 26 cases in each group. Patients in the control group received routine nursing guide. Besides the same routine nursing guide, patients in the observation group received moxibustion at the abdominal acupoints, once every day. The course of the treatment was 4 weeks in the two groups, and the 3-month follow-up was given after the course was finished, for comparing the clinical symptoms, results of colon transit tests, scores of depression/anxiety scale and nursing satisfaction. Results： The total effective rate was 92.3% in the observation group and 69.2% in the control group, with a significant difference between the two groups. After the treatment and during the follow-up checks, the scores of Chinese medical symptoms in the two groups were remarkably decreased than those before the treatment（all P〈0.01）; the scores of the observation group were obviously lower than those in the control group（all P〈0.01）. The discharge rates of the markers in the two groups were remarkably increased than those at the same time period before the treatment; moreover, the discharge rates of the markers at various time periods were remarkably better in the observation group than those in the control group（P〈0.01）. SDS and SAS scores were remarkably decreased after the treatment in the two groups（P〈0.01）. In comparison of SDS score between the two groups after the treatment, the difference was statistically significant（P〈0.01）. In comparison of SAS score between the two groups after the treatment, the difference was statistically significant（P〈0.05）. The nursing satisfaction was 96.2% in the observation group after the treatment, obviously better than that in the control group（73.1%）. The recurrence rate was 8.3% in the observation group, remarkably lower than that in the control group（33.3%）. Conclusion： Moxibustion at the abdominal acupoints plus routine nursing can remarkably improve the colon transit functions and anxious and depressive emotion in patients with STC, and the therapeutic effects are remarkable. Not only the clinical satisfaction is higher, but the recurrence rate is obviously lower than that of routine nursing.

Therapeutic observation on tuina at head and abdomen for headache due to phlegm turbidity

Objective:To observe the clinical efficacy of tuina at head and abdomen for headache due to phlegm turbidity.Methods:A total of 56 patients with headache due to phlegm turbidity were randomized into a tuina group and a Chinese medicine group by the random number table,with 28 cases in each group.The tuina group was treated mainly with tuina at the head and abdomen,while the Chinese medicine group was treated with oral administration of Ban Xia Bai Zhu Tian Ma Tang(Pinellio,Atractylodes Mocrocepholo and Gastrodio Decoction).The course of treatment was 30 d.The scores of headache index,traditional Chinese medicine syndrome scale,and the therapeutic efficacy were observed.Results:There were 2 dropouts in each group during treatment.The total effective rate was 92.3%in the tuina group,significantly higher than 76.9%in the Chinese medicine group(P<0.05).The scores of headache index and traditional Chinese medicine syndrome scale in both groups decreased after treatment(both P<0.05),and scores in the tuina group were lower than those in the Chinese medicine group(both P<0.05).Conclusion:Tuina mainly at head and abdomen is effective in treating headache due to phlegm turbidity,and has a better effect than Ban Xia Bai Zhu Tian Ma Tang(Pinellia,Atractylodes Macrocephalo and Gastrodio Decoction).

Observation on therapeutic effect of acupuncture at abdomen acupoints plus tuina for lumbar intervertebral disc herniation

Objective: To observe the clinical efficacy of acupuncture at abdomen acupoints plus tuina for lumbar intervertebral disc herniation (LIDH). Methods: A total of 70 patients with LIDH were randomized into an observation group and a control group, with 35 cases in each group. The observation group was treated with acupuncture at abdomen acupoints plus tuina, while the control group was treated only with tuina treatment. The clinical efficacy was observed after one course of treatment. Results: The cure rate and the total effective rate of the observation group were 83.3% and 96.7%, respectively. The cure rate and the total effective rate of the control group were 39.4% and 78.8%, respectively. There were significant differences in the cured rate and the total effective rate between the two groups (both P<0.05). There was no significant differenee in Japanese Orthopedic Association (JOA) score between the two groups before treatment (P>0.05). After treatment, the JOA scores of both groups in creased sign ifica ntly, and the in tra-group differe nces were statistically sign ifica nt (both P<0.05);the JOA score of the observation group was significantly higher than that of the control group (P<0.05). Conclusion: Acupuncture at abdomen acupoints plus tuina has a better therapeutic effect than tuina alone in the treatment of LIDH.