健脾利湿针推法对痰湿体质量化积分及肥胖指标的影响

目的:探讨健脾利湿针推法对痰湿体质肥胖患者量化积分及肥胖指标的影响。方法:采用健脾利湿针推法治疗痰湿体质肥胖患者2个月。观察各组痰湿体质患者特征计量化积分、减肥疗效及肥胖指标的变化。结果:针推组减肥疗效、痰湿量化积分及减肥指标改善明显优于针刺组、推拿组(P<0.05)和中药组(P<0.01)。结论:健脾利湿针推法使内脏脂肪和皮下脂肪的积累同时得到改善。

针推法治疗肩周炎83例比较分析

目的比较针刺、推拿方法治疗肩周炎的疗效差异。方法用针刺、推拿方法分组治疗肩周炎83例。结果针刺组临床治愈率是67.31%(35/52),推拿组临床治愈率是41.94%(13/31)。结论针刺组疗效明显优于推拿组。

四至针推法治疗继发性阳痿76例

目的:观察运用《玉房秘诀》阳痿"四至理论",采用针刺、推拿相结合的方法治疗继发性阳痿的临床效果。方法:在对夫妻双方进行性知识教育,性技巧培训的基础上,以五脏腧穴为主辩证加减取穴针刺结合自创推拿法进行治疗,每周四次,四周为一疗程。结果:疗效在两个疗程后特别显著,三个疗程后治疗结束。治愈后随访半年无复发,四至针推法是治疗继发性阳痿的有效方法。

谈针推法中的手下感

穷经皓首而不悔,嗜学不倦以示人.在同根共祖的针灸按摩中,做为继往是可以的.做为开来就必需给继补以新的内涵,是历史前进中所必然的.在这股洪流中,是单以病人的感觉进行针刺按摩,还是靠医生手下感觉而变换手法和力度呢?

疏肝健脾针推法对单纯性肥胖症并发亚健康状态疗效观察

目的:观察疏肝健脾针推法治疗肝郁脾虚型单纯性肥胖症并发亚健康状态的临床疗效。方法:选择肝郁脾虚型单纯性肥胖症及肝郁脾虚型单纯性肥胖症并发亚健康状态患者61例,分为单纯性肥胖症组32例和并发肥胖症组29例。两组均采用采用手法(腹推与躯体穴位相结合推拿手法)与针灸(针刺穴位、拔罐、ATP照射)治疗61例,观察治疗2个疗程后两组患者的症状、体征、肥胖指标的变化和疗效。结果:治疗2个疗程后,单纯性肥胖症组及并发亚健康状态组患者治疗后均显著低于治疗前(P<0.01)。结论:针推疗法对肝郁脾虚型单纯性肥胖症及肝郁脾虚型肥胖症并发亚健康状态患者均具有良好的干预效果,具有减肥和治疗亚健康状态的双重功效。

远针近推法临床应用举隅

远针近推法是指在患者病变部位及其远端（主要是头针和手针）进行针刺,并且在病变远端留针的情况下,在其病变局部进行推拿的一种治疗方法。

J型针刀推切法治疗屈指肌腱狭窄性腱鞘炎的疗效观察

目的研究J型针刀推切法治疗屈指肌腱狭窄性腱鞘炎的临床疗效。方法选取2019年1月至2020年3月本院康复科门诊收治的92例屈指肌腱狭窄性腱鞘炎患者作为研究对象,随机分为3组,甲组(n=32)采用J型针刀推切法治疗,乙组(n=30)采用小针刀治疗,丙组(n=30)采用局部封闭注射治疗。比较3组视觉模拟评分法(VAS)评分、关节活动度、临床疗效及复发率情况。结果治疗后,3组VAS评分均低于治疗前,关节活动度均大于治疗前,且甲组VAS评分低于乙组及丙组,关节活动度大于乙组及丙组,差异有统计学意义(P<0.05)。甲组治疗总有效率(93.75%)显著高于乙组(80.00%)与丙组(73.33%),差异有统计学意义(P<0.05)。治疗6个月后及1年后随访,甲组复发率(6.25%)均低于乙组(23.33%)及丙组(26.67%),差异有统计学意义(P<0.05)。结论采用J型针刀推切法治疗屈指肌腱狭窄性腱鞘炎疗效显著,能减轻患者疼痛,提高关节活动度,复发率低,值得临床推广应用。

拇指推针法对急诊输液患儿的临床应用价值

目的探讨拇指推针法对急诊输液患儿的临床应用价值。方法选择2014年4月-6月的296例急诊输液患儿为研究对象,按数字表法将患儿随机分为观察组144例和对照组152例。观察组采用拇指推针法,对照组采用两种传统静脉穿刺推针法,比较两组患儿穿刺成功率、家长满意度、患儿疼痛反应、穿刺时间、舒适度以及患儿并发症发生率和复诊率。结果观察组成功率与满意度均高于对照组（均P〈0.05）;观察组疼痛较轻,剧痛例数少于对照组（P〈0.05）;观察组穿刺时间短于对照组,舒适度评分高于对照组（P〈0.05）;观察组患儿并发症发生率及复诊率均少于对照组,差异均有统计学意义（均P〈0.05）。结论拇指推针法在临床中与其他两种常用进针方法相比,穿刺时间长短、成功率、穿刺舒适度和疼痛程度均明显优越于传统进针方法,且家长满意度高,可在临床推广应用。

J型针刀推切法在指屈肌腱狭窄性腱鞘炎中的应用效果及对甲襞微循环的影响观察

目的:探究及观察J型针刀推切法在指屈肌腱狭窄性腱鞘炎中的应用效果及对甲襞微循环的影响。方法:将2019年1月-2022年1月南昌市洪都中医院的120例指屈肌腱狭窄性腱鞘炎患者根据随机数字表法分为A组、B组和C组,每组40例。A组进行封闭治疗,B组进行小针刀治疗,C组则进行J型针刀推切法治疗。比较三组的临床疗效、治疗前后的疼痛情况[视觉模拟评分法(VAS)]、手指关节活动度及甲襞微循环指标(甲襞微循环加权积分、白微栓率、管襻畸形率)。结果:C组总有效率显著高于A组及B组,差异均有统计学意义(P<0.05);治疗前三组的VAS评分、手指关节活动度及甲襞微循环各指标比较,差异均无统计学意义(P>0.05),治疗后8周,C组的VAS评分、手指关节活动度及甲襞微循环各指标均优于A组及B组,B组则均优于A组,差异均有统计学意义(P<0.05)。结论:J型针刀推切法在指屈肌腱狭窄性腱鞘炎中的应用效果较好,可缓解患者局部疼痛及关节活动受限等不适,改善甲襞微循环状态。

远针近推法治疗颈椎病的临床观察

远针近推法治疗颈椎病的临床观察（２５６２１２）山东省邹平县第二人民医院孙国栋主题词：颈椎病针灸疗法推拿疗法颈椎病是中老年人的常见病，近年来，其发病率有所上升，发病年龄亦日趋年轻化，一般药物治疗欠佳。笔者运用此法治疗了本病４８例，并设对照组比较，取得了...

老年骨折患者留置针两种推针法的比较性研究

目的提高留置针穿刺的成功率，减轻患者痛苦，延长留置针使用时间。方法通过两种方法的对比，一种是常规法，一边退内置钢针，一边进外套针。观察法是：穿刺回血后即退出内置钢针，再将外套针全部送人。结果观察法推针方法，留置针穿刺的成功率在98％以上，而且留置针使用时间明显较常规穿刺针留置的时间延长。结论新的方法有利于提高留置针的穿刺成功率，操作较常规法易行，而且留置针不易脱出，值得临床推广应用。

INDIGESTION OF FOOD RETENTION IN CHILDREN TREATED BY ACUPUNCTURE AND MASSAGE

Objective By acupuncture plus massage to treat poor appetite induced by indigestion of food retention in children to restore their normal appetite. Methods 476 cases of indigestion of food retention in children were treated by acupuncture plus massage. Results 385 of the 476 cases were cured, and 91 cases were improved by one treatment with a total effective rate of 100%. Conclusion Acupuncture plus massage provided remarkable therapeutic effects on indigestion of food retention in children.

Insomnia Due to Deficiency of Both the Heart and Spleen Treated by Acupuncture-Moxibustion and Chinese Tuina

Objective： To observe therapeutic effects of the comprehensive therapy of acupuncture-moxibustion and Chinese Tuina for treatment of insomnia due to deficiency of both the heart and spleen. Methods： 92 cases were divided randomly into the treatment group （treated by acupuncture-moxibustion and Chinese Tuina） and the control group （treated,by acupuncture-moxibustion）. Results： The therapeutic effect of the treatment group was obviously Superior to that of the control group （the x^2 test showed P〈0.01）. Conclusions： The comprehensive therapy of acupuncture-moxibustion and Chinese Tuina can give marked therapeutic effects for,treatment of insomnia due to deficiency of both the heart and spleen.

Acupuncture Combined with Spinal Tui Na for Treatment of Primary Dysmenorrhea in 30 Cases

Objective: To observe the therapeutic effects in acupunture treatment of primary dysmenorrhea combined with spinal Tui Na, and study its mechanism. Methods: Thirty cases of the treatment group were treated by acupuncture combined with spinal Tui Na, and thirty cases in the control group were treated by routine acupuncture. Results: The total effective rate was 93.3% in the treatment group, and 73.3% in the control group, with a significant difference between the two groups (P<0.05). Conclusions: Acupuncture combined with spinal Tui Na has good prospects for treatment of primary dysmenorrhea.

World Federation of Acupuncture-Moxibustion Societies Clinical Practice Guideline on Acupuncture-Moxibustion:Non-Specific Low Back Pain recommendation summaries

Clinical Practice Guideline on Acupuncture and Moxibustion:Nonspecific low back pain was revised and released by the Standards Working Committee of World Federation of Acupuncture-Moxibustion Societies(WFAS)on October 9,2023.This is the first clinical practice guideline(CPG)on acupuncture and moxibustion for nonspecific low back pain approved by an international academic organization,which provides the evidence-based recommendations and practical therapeutic protocols for international acupuncture practitioners.This CPG was developed by following Grades of Recommendation,Assessment,Development,and Evaluation(GRADE)methodology,and the Principles of the World Health Organization Handbook for Guideline Development.The guideline development group(GDG)from different countries,with different professions,played a critical role in the formulation of clinical questions,recommendations,and therapeutic protocols.Recommendations are the key content of a CPG and the direct answers to clinical questions.Hence,this article focuses on the recommendations of this CPG.The recommendations were formulated using the modified Delphi method and the GRADE grid rules,based on the updated systematic reviews of clinical evidence.A total of seven recommendations for ten clinical questions were formulated in this CPG,including one conditional recommendation for either the intervention or the comparison based on very low quality of evidence,and six conditional recommendations for the intervention based on very low quality of evidence.

Clinical observation of Tuina plus electroacupuncture for migraine due to liver-Yang hyperactivity

Objective: To observe the clinical efficacy of Tuina (Chinese therapeutic massage) plus electroacupuncture in treating migraine due to liver-Yang hyperactivity and the effects on the serum levels of calcitonin gene-related peptide (CGRP) and prostaglandin (PG) E_(2). Methods: A total of 122 patients with migraine due to liver-Yang hyperactivity were recruited and randomized into a control group and an observation group, each consisting of 61 cases. The control group was given Tong Nao Huo Luo acupuncture (acupuncture treatment for unblocking brain collaterals), and the observation group was Tuina treatment focusing on cervical Ashi points in addition to the intervention received by the control group. Both groups were treated once daily for 21 consecutive days. When the intervention finished, the two groups were observed for changes in the headache score, symptom and sign scores of traditional Chinese medicine (TCM), the severity of impact on life, and serum CGRP and PGE_(2) levels. The clinical efficacy was compared after 21 d of treatment. Results: The observation group had a higher total effective rate than the control group, 90.2% versus 73.8% (P<0.05);after treatment, the headache and TCM symptom and sign scores decreased in both groups (P<0.05) and were lower in the observation group than in the control group (P<0.05);the migraine’s impact on life was less severe in the observation group than in the control group (P<0.05);the levels of serum CGRP and PGE_(2) dropped in the two groups (P<0.05) and were lower in the observation group (P<0.05). Conclusion: Tong Nao Huo Luo acupuncture can produce more significant efficacy in treating migraine due to liver-Yang hyperactivity when combined with cervical Tuina at Ashi points, better alleviating the headache, improving TCM symptoms and body signs, and reducing the impact of headache on life. The mechanism may be associated with inhibiting the expression of serum pain factors CGRP and PGE_(2).

Effects of acupuncture and Chinese massage on the functions of knee flexors and extensors in patients with knee osteoarthritis:randomized controlled trial

Objective To observe and evaluate the clinical efficacy of acupuncture and Chinese massage on knee osteoarthritis and conduct the analysis on the functions of knee flexors and extensors in patients. Methods Eighty cases were randomly divided into an observation group and a control group, 40 cases in each one. In observation group, acupuncture combined with Chinese massage was applied. The main acupoints for acupuncture were Nèixīyǎn （内膝眼 EX-LE 4）, Hèdǐng （鹤顶 EX-LE 2）, Dúbí （犊鼻 ST 35）, etc. In Chinese massage, gun-fa （rolling）, rou-fa （kneading）, na-fa （grasping）, ca-fa （rubbing） and passive movements of joints were applied. In control group, Fenbid was administered orally. The efficacy evaluation, JOA score and the result of isokinetic testing were compared before and after treatment in two groups. Results ① The total effective rate was 90.0% （36/40） in observation group and was 87.5% （35/40） in control group, indicating equivalent efficacy between two groups （P0.05）. JOA score after treatment increased remarkably compared with that before treatment in two groups （both P0.01）. ② It was indicated in isokinetic test of two groups that peak torque （PT）, total work （TW） and average power （AP） after treatment were all improved in comparison with those before treatment （P0.05, P0.01） and the improvement after treatment in observation group was much more remarkable as compared with that in control group （all P0.05）. Conclusion Acupuncture and Chinese massage can improve significantly in the symptoms, the muscle strength of the flexors and extensors as well as motor function of the patients with knee osteoarthritis, which is superior to that achieved with Fenbid.

Traditional Chinese medicine treatment selection for straightened cervical curvature and therapeutic observation

Objective：To observe the clinical efficacy of different therapies in treating straightened cervical curvature. Methods：A hundred patients with straightened cervical curvature were randomized into 5 groups to receive corresponding treatment. The clinical efficacies and the changes of cervical curvature in the five groups were compared. Results：Different therapies all produced certain effectiveness in treating cervical spondylosis patients. The total effective rates in the acupuncture group and tuina group were both 100%, and the rates in the traction group, oral medication group and Chinese medicinal application group were all lower than the rates in the acupuncture group and tuina group （P〈0.05）. It was shown that the more significant the change of cervical curvature, the more significant the clinical efficacy. Conclusion：Correcting the straightened cervical curvature is a way to swiftly release pain brought by cervical spondylosis; the optimization of different therapies ensures the achievement of long-term effectiveness; acupuncture and tuina are both effective in restoring the cervical curvature.