除痹通络经验方熏蒸联合针灸辨治颈肩腰腿痛疗效观察

目的研究除痹通络经验方熏蒸联合针灸辨治颈肩腰腿痛临床效果。方法将我院80例颈肩腰腿痛患者随机分为对照组40例,行单纯针灸治疗;试验组40例,行除痹通络经验方熏蒸与针灸联合辨治。比较两组患者治疗前后疼痛评分、腰椎功能评分、日常生活能力、活动功能等变化。结果治疗后两组患者疼痛感、腰椎功能、日常生活能力与活动功能均得到改善,但对照组患者VAS疼痛评分高于试验组,JOA评分、Barthel指数与Fugl-Meyer评分均低于试验组,差异有统计学意义(P<0.05)。结论采用除痹通络经验方熏蒸联合针灸辨治颈肩腰腿痛效果显著,可减轻或消除疼痛,改善患者腰椎功能与肢体活动能力,提高患者生活质量。

Clinical Study of Tuina on Tension-type Headache with Syndrome Differentiation

The 6 point behavioral rating scale and Stead＇s grading method of diagnostic scale were applied to evaluate objectively the therapeutic effects of Tuina on 150 patients with tension-type headache in the experimental and controlled groups in this study. The results indicated that abdominal Tuina method of invigorating blood circulation and regulating qi had better effect than the routine Tuina method in treating tension-type headache. Meantime, it is considered that eliminating the immoderate defensive response caused by the process of headache-muscular contraction headache is the academic basis of the marked effect.

Clinical observation on electroacupuncture plus tuina for chronic tension-type headache

Objective：To observe the clinical efficacy of electroacupuncture （EA） combined with tuina for chronic tension-type headache （CTTH）. Methods：A total of 97 CTTH cases were randomly allocated into an observation group （n=52） and a control group （n=45）. Patients in the observation group were treated with EA plus tuina based on pattern identification, whereas patients in the control group were treated with oral amitriptyline and oryzanol. Patients in both groups were treated for 8 weeks. A follow-up was conducted 3 months after the treatment. The intensity, duration, and frequency of the headache were recorded and compared before and after the treatment. Additionally, the patients＇ psychological state and quality of life （QOL） were compared between the two groups. Results：There were intra-group statistically significant differences in headache intensity score, headache duration, and headache frequency after the treatment and during the follow-up compared with those before the treatment （allP〈0.05）; and there were between-group statistically significant differences during the same time frame （allP〈0.05）. The Hamilton depression scale-17 items （HAMD-17） and Hamilton anxiety scale （HAMA） scores were significantly reduced in both groups after the treatment or during the follow-up （allP〈0.01）; and there were no between-group statistical significances during the same time frame （allP〉0.05）. The World Health Organization quality of life-BREF （WHOQOL-BREF） scores were significantly reduced in both groups after the treatment or during the follow-up （allP〈0.05）; and the scores in the observation group were significantly lower than those in the control group （allP〈0.05） during the same time frame. The total effective rate was 88.0% in the observation group, versus 71.4% in the control group, showing a significant difference （P〈0.05）. Conclusion：EA combined with tuina can significantly decrease the frequency of chronic tension-type headache, alleviate headache intensity, shorten headache duration, and improve the patients＆#39; wellness. It is better than amitriptyline plus oryzanol.

Treatment on 2 cases of pain in the heel based on syndrome differentiation by wrist-ankle acupuncture

Two patients with pain in the heel were treated by new methods based on symptom differentiation after regular wrist-ankle acupuncture were invalid. According to the manifestations in tongue diagnosis and symptoms,the 2 cases both belonged to bladder excess syndrome,the acupuncture was carried out on area 6 of low limb（external anterior border of achilles tendon at three finger wide above the lateral malleolus）,and acupuncture was also carried out on Zútōnggǔ（足通谷 BL 66）,Jīnmén（金门 BL 63） and Shēnmài（申脉 BL 62） at the le side. The results showed that the therapeu c effi cacy of treatments on the 2 pa ents was sa sfactory and thus the clinical values for new methods for using wrist-ankle acupuncture based on syndrome differentiation were verified.

Considerations on Syndrome Differentiation and Acupuncture Treatment of Diabetic Peripheral Neuropathy

To give the considerations on the syndrome differentiation and acupuncture treatment of diabetic peripheral neuropathy, generalize its pathogenesis and summarize treatment rules, this paper reviews and analyzed 52 articles on acupuncture treatment in recent years. It is believed that diabetic peripheral neuropathy is rooted from qi-yin deficiency and presented with blood stasis and collateral obstruction; many organs are affected, the liver, kidney, spleen and stomach in particular; the treatment principle concentrates on unblocking collaterals and regulating organs＇, treatment centers on limb acupoints, Back-Shu point and Front-Mu point; acupuncture treatment should be adopted early as possible and its clinical efficacy is rather good.

Two Case Reports on Headache Cured by Acupuncture

Headache is a common clinical symptom, which brings great pain to the patients. Acupuncture has a good therapeutic effect in treating headache. The author has used acupuncture in treating 2 cases of headache. The report is given as follows.

Case studies of Chinese acupuncture's comprehensive effectiveness on knee pain

Conventional Western medicine（CWM） and traditional Chinese medicine（TCM） have different approaches and lead to different practices in experimental design, research methodology, regulation, and standards. TCM emphasizes on the optimal or holistic health. In contrast, CWM is an allopathic medicine primarily based on anatomy, biology, biochemistry,molecular biology and modern technology, and rejects the concept of invisible substances and quantum entanglement.Consequently, CWM emphasizes on abnormal lab tests or obvious diseases. In the early 1970 s, TCM and acupuncture quickly emerged as an alternative to CWM as Westerners explored new TCM concepts while questioning the side effects of CWM. Many countries accept traditional acupuncture as a legal alternative medical practice. Some CWM physicians nowadays are more enthusiastic and are receptive to learning and practicing acupuncture. The common goal of CWM and TCM is to enhance human health, but problems arise over differences in approach. As a response to some Western journal papers that failed to validate the real acupuncture effect because of their incorrect methodologies and their ignorance of the holistic acupuncture approaches, the authors hereby present a group of case studies to demonstrate the real and unique effects of genuine acupuncture. The objective was to explore the clinical effects of acupuncture for knee pain.Thirty-six patients with knee pain were divided into five groups based on age. Holistic TCM diagnosis was performed at the beginning of each case and then made a personalized acupuncture treatment prescription according to the root of illness found by the diagnosis. The symptoms and signs were recorded before and after every treatment, and the treatment effects were assessed based upon the self-reported feeling and the observed changes of the patient following the numeric rating scale（NRS）. The results were summarized after the completion of the minimal 5 acupuncture treatments or the standard 10 acupuncture treatments. Among the 36 patients who participated in the cases studies, 17 patients reported a complete healing for knee pain（47.2%）. About 60 kinds of illness other than knee pain were improved（98.9%） and the complete healing rate was about 44.2%. This leads to the conclusion that TCM acupuncture is remarkably effective in treating knee pain. TCM and CWM share a common goal in promoting the health of human being. The efficacy of TCM acupuncture in treating knee pain shouldn＇t be denied or distorted.