《伤寒论》针、灸、药物综合运用的规律研究

通过对《伤寒论》中针药并用条文的分析,进一步确立针灸在临床中的地位,明确仲景在治疗疾病时,药物与针灸并用的方法。通过对《伤寒论》版本的梳理与考证,将所收录原文的条目按一定的顺序归纳为:单用针灸治愈疾病、针药并用治愈疾病、针灸导致坏病用药治愈、针灸导致坏病四类条文,根据历代注解以及《内经》中的观点进行阐述分析。通过分析,得出以下结论:针刺法主要应用于三阳经、灸法主要应用于三阴经、三阳经禁用一切温热的物理疗法。

张仲景针药并举思想探析

对张仲景针(灸)药并用思想从多个方面进行分析,旨在分析这种思想的精髓实质,倡导针(灸)药合施思想,以有利于提高临床疗效。

Analysis of therapeutic effect on hand-foot-mouth disease treated with pricking moxibustion combined with medicine

Objective To observe the therapeutic effect of hand-foot-mouth disease treated with pricking moxibustion and analyze the mechanism of action. Methods Seventy-five cases were randomized into 3 groups. Of which, in the combined therapy group of moxibustion and medicine （22 cases）, the pricking moxibustion and routine western medicine treatment were provided in combination; in the Chinese herbal medicine group （29 cases）, oral administration of Chinese herbal medicine and routine western medicine treatment were provided; in the western medicine group （24 cases）, routine western medicine treatment was provided. After 7 days treatment, the therapeutic effects of 3 groups were judged by comparisons of skin rush, oral mucosa herpes, constipation （or loose stools）, indigestion and anorexia, and sore throat. Results The total effective rate was 95.5% in combined therapy group of moxibustion and medicine, 86.2% in Chinese herbal medicine group, 83.3% in western medicine group. The total effective rate in combined therapy group was superior to that in either Chinese herbal medicine group or western medicine group （both P〈0.05）. Comparing the fading durations of skin rush, oral mucosa herpes, constipation （or loose stools）, indigestion and anorexia between combined therapy group and other two groups, significant differences were presented statistically （both P〈0. 05）. Conclusion In the combined therapy group of moxibustion and medicine, the symptoms of alimentary canal were relieved, the disease courses were shortened and the pains were reduced in hand-foot-mouth disease patients.

薛己学术思想探析

薛己是明代易水学派医家,其学术思想具有鲜明的个人特色,同时也具有广泛的适应性。脾肾兼顾治用温补之法的理念在调治内科虚损性疾病时疗效显著;外科疡证以托为贵的原则在指导处理脓肿疮毒时起效迅捷;而系统论治针(灸)药并用的方法则广泛适用于病性复杂的各科疑难杂症,指导临证呈现出高度包容性与实用性。这些思想被后世医家广泛继承,应用于现代临床而造福人类。

Reflection and prospect on acupuncture-moxibustion in treating Hashimoto's thyroiditis

Objective： To categorize and summarize the clinical and mechanism studies of the past 30 years on the treatment of Hashimoto＇s thyroiditis（HT） with moxibustion, moxibustion plus medication, and acupuncture plus medication, etc., and to analyze the current problems. Methods： The clinical and laboratory studies related to the treatment of HT with acupuncture-moxibustion therapies published before June 2015 were retrieved from MEDLINE, Excerpta Medica Database（EMBASE）, China National Knowledge Infrastructure（CNKI）, Wanfang Academic Journal Full-text Database（Wanfang） and Chongqing VIP Database（CQVIP）. Results： Moxibustion, moxibustion plus medication, and acupuncture plus medication can produce certain therapeutic effects in treating HT. Conclusion： The research on the treatment of HT with acupuncture-moxibustion therapies is rather limited in the amount and content. In the future, standardization should be fortified, specific moxibustion research needs deepening, and the action mechanism of moxibustion should be emphasized.

Study on the Effect of Acupuncture plus Methylcobalamin in Treating Diabetic Peripheral Neuropathy

Objective： To study the clinical effect of acupuncture combined with methylcobalamin in the treatment of diabetic peripheral neuropathy. Methods： Seventy-five diabetic patients complicated with peripheral neuropathies were included and randomly allocated into a treatment group （40 cases） and a control group （35 cases）. The patients in the treatment group all received acupuncture therapy plus methylcobalamin. In the control group, patients only received methylcobalamin for treatment. The therapeutic effect was evaluated 4 weeks later. Results： Both of the two groups presented improvement in nervous symptoms, signs and nerve conduction, and the improvement of the treatment group was significantly better than that of the control group （P〈0.05）. Conclusion： The therapy of acupuncture in combination with methylcobalamin is more effective than the monotherapy with methylcobalamin in the treatment of diabetic peripheral neuropathy.

Clinical Observation of Diabetic Peripheral Neuropathy Treated by Moxibustion plus Mecobalamin

Objective： To evaluate the clinical efficacy of moxibustion plus Mecobalamin in treating diabetic peripheral neuropathy. Methods： Eighty subjects were equally allocated into combination and control groups. On the basis of the same basic treatment, the combination group was treated by moxibustion plus Mecobalamin and the control group simply by Mecobalamin. Treatment lasted 3 months. Nerve conduction velocity and symptom severity were compared between pre-treatment and post-treatment. Results： Nerve conduction velocity was improved in both combination and control groups and more obviously in the combination group. The marked effective rate, effective rate and ineffective rate were respectively 52.5%, 32.5% and 15.0% in the combination group and 35.0%, 27.5% and 37.5% in the control group. There were statistically significant differences between the two groups （P〈0.01 or P〈0.05）. Conclusion： Based on a basic treatment, moxibustion plus Mecobalamin is superior to simple Mecobalamin in treating diabetic peripheral neuropathy.

Treatment of 52 Cases of Lumbar Intervertebral Disk Herniation by Acupuncture plus Herbal Medicine

Lumbar intervertebral disk herniation is a commonly and frequently encountered disease in the orthopedic department, manifested by a series of symptoms such as low back pain, numbness and pain in one or two lower limbs, due to compression to the lumbosacral nerves by protrusion of the pulpiform nucleus after rupture of the fibrous rings. The author has treated 52 cases of this disease by acupuncture plus herbal medicine. Now, the report is given as follows.

Medicine Bar Percussion Therapy and Its Clinical Application

Medicine bar percussion comprehensive therapy is based on years of clinical experience from WANG Yue-zhen, a senior doctor of Chinese medicine in Shanghai. It combines acupuncture, moxibustion, medicine bar and physical therapy. This acts to dredge meridians, circulate qi and invigorate blood. Now it is reported as follows.

Observation on Therapeutic Effect of Treating Traumatic Gonarthromeningitis by Combined Acupuncture and Chinese Herbs

Objective： To observe the therapeutic effects of treating traumatic gonarthromeningitis with acupuncture combined Chinese herbs. Methods： Seventy patients were randomly divided into two groups, with 35 cases in each group. The treatment group was treated with Chinese herbal medicine, acupuncture and cupping therapy. The control group was treated with Diclofenac Sodium Tablets, Corydalis Analgesic Tablets and Vitamin C Tablets. Results： The total effective rate of the treatment group was higher than that of the control group. There was a statistically significant difference between the two groups （P〈0.05）. Conclusion： The combined therapy with acupuncture and Chinese herbal medicine has a remarkable therapeutic effect on treating traumatic gonarthromeningitis.

Review on studies of acupuncture treatment for luteinized unruptured follicle syndrome

Luteinized unruptured follicle syndrome（LUFS）, a specific type of ovulation disorder, is for a cause of female infertility. Acupuncture therapy has a good effect for LUFS. In order to understand the clinical effects and research situation of acupuncture therapy for LUFS, the author analyzed and reviewed the relevant literature. It was indicated by the findings that acupuncture therapy and integrative therapy of acupuncture and Chinese herbs have good therapeutic effect for this disease. Acupuncture therapy has the effect to promote ovulation. By the therapeutic principle to tonify the kidney and circulate blood, acupuncture therapy mostly was adopted in the period of ovulation. The acupoints are mostly selected from the lower abdomen and lower limbs, possibly based upon syndrome differentiation at the same time. The needling techniques are of certain characteristics. But, the issues of low quality, un-standardized inclusive, exclusive criteria and effective criteria still exist in the current clinical study.

Clinical study of warm needling moxibustion plus intra-articular injection of sodium hyaluronate for hip involvement in ankylosing spondylitis

Objective:To observe the efficacy of warm needling moxibustion plus intra-articular injection of sodium hyaluronate for hip involvement in ankylosing spondylitis(AS).Methods:A total of 60 patients with hip involvement in AS were randomly divided into a control group and an observation group,with 30 cases in each group.The patients in the control group were given an intra-articular injection of sodium hyaluronate,once a week.The patients in the observation group were given additional warm needling moxibustion,once a day,with a 2-day interval after five consecutive days of treatment.After 5 weeks,changes in such indicators as visual analog scale(VAS)score,Harris score,Bath ankylosing spondylitis disease activity index(BASDAI),Bath ankylosing spondylitis functional index(BASFI),serum cartilage oligomeric matrix protein(COMP),interleukin(IL)-17 were observed,and the efficacy was evaluated.Six months after treatment,Bath ankylosing spondylitis radiology index-hip(BASRI-hip)was evaluated.Results:After treatment,the total effective rate in the observation group was higher than that in the control group(P<0.05).After treatment,the VAS scores in both groups were lower than those before treatment(P<0.05),and the score of the observation group was lower than that of the control group(P<0.05).After treatment,the Harris scores of both groups were higher than those before treatment(P<0.05),and the score of the observation group was higher than that of the control group(P<0.05).Six months after treatment,the BASRI-hip score of the control group was higher than that before treatment(P<0.05),while the score of the observation group was not significantly different from that before treatment(P>0.05)and was lower than that of the control group(P<0.05).After treatment,the scores of BASDAI and BASFI of both groups were lower than those before treatment(P<0.05),and the scores of the observation group were lower than those of the control group(P<0.05).After treatment,the levels of serum COMP and IL-17 of both groups were lower than those before treatment(P<0.05),and the levels of the observation group were lower than those of the control group(P<0.05).Conclusion:The efficacy of warm needling moxibustion plus intra-articular injection of sodium hyaluronate for hip involvement in AS is better than the intra-articular injection of sodium hyaluronate alone.This combined approach can alleviate hip pain,improve hip functions,delay the destruction of the hip,prevent AS development,and reduce the levels of serum COMP and IL-17.

Some Consideration on Combined Use of Acupuncture and Drug

Combined use of acupuncture and drug is extensively applied for its wide indications, simple manipulation and good results. Combined use of acupuncture and drug is not in effect the mechanic addition of acupuncture and drugs. It has been proved that acupuncture and drug are of synergism, but there may be an antagonism between acupuncture and drug. How to choose the optimum acupoint in the combination of acupuncture and drug to exert better effects is of great theoretical and practical significance for acupuncturists to make further researches.

Observation on Treatment of Depression with Acupuncture and Chinese Medicine： A Report of 52 Cases

Objective： To study the effectiveness of combined Acupuncture and Chinese medicine on depression. Methods： Ninety-eight patients were randomly divided into two groups. The treatment group of 52 cases were treated by scalp acupuncture and electroacupuncture, Baihui （GV 20）, Shenting （GV 24）, Taichong （LR 3）, Neiguan （PC 6）, Guanyuan （CV 4）, Zusanli （ST 36）, Sanyinjiao（SP 6）, plus Chinese medicine, modified Xiaoyao Powder （a decoction for soothing liver and relieving depression） and the control group of 46 cases, only with Chinese medicine, modified Xiaoyao Powder. Results： The total effective rate was 94.2% in the treatment group and 78.26% in the control group; with a significantdifference between two groups（P〈0.05） Conclusion： Acupuncture plus Chinese medicine has a marked effect on depression.

Clinical Observation on Combined Warming Needle and Patented Chinese Medicine for Irritable Bowel Syndrome

Objective： To evaluate the clinical efficacy and quality of life of combined warming needle and patented Chinese medicine for patients with irritable bowel syndrome （IBS） due to liver-qi stagnation with spleen deficiency. Method： Sixty IBS cases were randomized into a treatment or control group by single-blind method. Warming needles on Tianshu （ST 25） and Dachangshu （BL 25） combined with patented Chinese medicine were adopted for cases in the treatment group, whereas the patented Chinese medicine alone was adopted in the control group. Results： The therapeutic efficacies in the two groups did not show substantial differences. The main symptoms were significantly improved after the treatment （P〈0.01）. After 2 weeks of treatment, the cases in the treatment group obtained a better improvement than the control group （P〈0.01, P〈0.05） in the severity or frequency of abdominal pain, abdominal distension, restlessness, insomnia, anxiety, suspiciousness, and loose stools with a sense of incomplete emptying. The patient＇s quality of life was improved in both groups （P〈0.01）. Conclusion： Both treatment methods could improve the clinical symptoms and increase the patient＇s quality of life. The total effective rate in the treatment group was slightly higher than the control group. Also, the combined warming needle and Chinese herbs could improve the main symptoms in a faster way.

Clinical study of warm needling moxibustion combined with entecavir in the treatment of compensated cirrhosis due to chronic hepatitis B

Objective:To investigate the efficacy and possible mechanism of action of warm needling moxibustion combined with entecavir in the treatment of compensated cirrhosis due to chronic hepatitis B(CHB).Methods:Ninety patients were randomly divided into a control group and an observation group,with 45 patients in each group.The control group was given oral entecavir,and the observation group was given additional warm needling moxibustion.The serum alanine transaminase(ALT),aspartate transaminase(AST),albumin(ALB)levels,portal vein internal diameter,splenic vein internal diameter,spleen thickness,and liver hardness were compared before and after treatment.The serum hyaluronic acid(HA),laminin(LN),procollagen typeⅢ(PCⅢ),typeⅣcollagen(Ⅳ-C),interleukin(IL)-21,and platelet-derived growth factor(PDGF)levels were also measured.Results:After treatment,the serum ALT and AST levels decreased(P<0.05),and the serum ALB levels increased(P<0.05)in both groups.The serum ALT and AST levels were lower in the observation group than in the control group(P<0.05),and the ALB level was higher in the observation group(P<0.05).The portal vein internal diameter,splenic vein internal diameter,spleen thickness,and liver hardness values were reduced in both groups after treatment(P<0.05),and were lower in the observation group than in the control group(P<0.05).The serum HA,LN,PCⅢ,andⅣ-C levels were reduced in both groups(P<0.05),and were lower in the observation group than in the control group(P<0.05).In the control group,the serum IL-21 level decreased(P<0.05),but the serum PDGF level did not change significantly(P>0.05);in the observation group,the serum IL-21 and PDGF levels decreased significantly(P<0.05)and were lower than those in the control group(P<0.05).Conclusion:Warm needling moxibustion combined with entecavir treatment can improve liver function,reduce the inner diameters of the portal vein and splenic vein,spleen thickness,and liver hardness,and improve liver fibrosis indicators in patients with CHB cirrhosis,which may be related to the reduction of serum IL-21 and PDGF levels.

YANG Yong-xuan's Theory on Acupuncture

1 Theory on Superficial Puncture and Cupping Dr. YANG recommended ＂superficial puncture＂. ＂Superficial puncture＂ is named so depending upon the implication of ＂superficial puncture meaning regulation＂. Namely, this technique has the effects to regulate yin and yang, regulate and dredge qi and blood in the meridians and collaterals. The needle tool corresponding to ＂superficial puncture＂ is ＂superficial needle＂. Based upon the descriptions of ＂the theory of nine needles＂ and ＂nine needles and twelve resources＂ in Ling Shu （Spiritual Pivot）. Dr.

Clinical Observation on Improvement of Heroin Withdrawal Syndrome by Acupuncture plus Methadone

Purpose： To observe therapeutic effect of acupuncture plus Methadone on improvement of heroin withdrawal syndrome. Methods： Sixty cases of heroin dependence patients were divided into the treatment group and the control group. The treatment group was given acupuncture plus Methadone, and the control group was treated with Methadone. Results： The score of the withdrawal symptoms was lower in the treatment group than in the control group （P〈 0.05）. The improvement of withdrawal symptoms was significantly better in the treatment group than in the control group （P〈 0.05）. Conclusion： Acupuncture plus Methadone can significantly improve heroin withdrawal syndrome.