针灸分期治疗贝尔面瘫的效果观察

目的:探讨针灸分期治疗贝尔面瘫的临床效果。方法:选择我院2014年1月—2015年12月收治的63例贝尔面瘫患者作为本次研究对象,根据发病时间分为发展期(I组)、稳定期(II组)及恢复期(III组),每组21例;均实施中医针灸治疗,对比分析三组临床效果。结果:在治疗后,I组临床总有效率达到85.7%(17例),高于II组、III组,存在差异(P<0.05),后两组无明显差异(P>0.05)。结论:在贝尔面瘫临床治疗中,应根据病情,抓住时机,根据分期尽早治疗,临床效果显著,可有效改善患者症状,促进面部功能恢复,比常规针灸更具优势,值得临床实践。

用针灸分阶段疗法治疗腰椎间盘突出症的疗效观察

目的:探讨用针灸分阶段疗法治疗腰椎间盘突出症的临床效果。方法:对2012年9月~2013年9月期间我院收治的280例腰椎间盘突出症患者的临床资料进行回顾性研究。我们将这280例患者随机分为观察组和对照组,每组各有140例患者。为观察组患者使用针灸分阶段疗法进行治疗,为对照组患者使用常规的针刺疗法进行治疗。治疗结束后,比较两组患者的治疗效果。结果:治疗结束后,观察组患者治疗的总有效率、病情的复发率均明显好于对照组患者,二者相比差异具有显著性(P<0.05)。结论:用针灸分阶段疗法治疗腰椎间盘突出症的效果显著,可有效降低患者病情的复发率。此治疗方法值得在临床上推广应用。

基于“养肾和血”构建体外受精-胚胎移植针灸分期辅治方案的临床应用探析

辅助生殖技术是治疗不孕症的现代主流诊疗手段之一,但其成功率较低,在取卵、移植过程中也伴随有多种并发症。多学科整合是现今医学发展的趋势,本文从针灸辅助治疗方案的角度着手,根据体外受精-胚胎移植在不同时间节点的生殖生理特点,将其分为体外受精术前调理期、垂体降调节期、控制性超排卵期、取卵期、胚胎移植前期、移植后期6个阶段。本文采用中西医分期辨证治疗,从针灸辅助治疗方案的角度着手,构建了一套独特的“养肾和血”针灸辅治方案,以期提供一种较为安全、有效的治疗方法来提高临床体外受精-胚胎移植患者的受精率、胚胎种植率、妊娠率,同时减少药物的用量及毒副作用。

运用针灸刀分型治疗拇指扳机指的体会

拇指狭窄性腱鞘炎（又称弹响指或扳机指）临床常见，尤以掌指关节处发病率高。１９９６年４月以来，我们门诊收治该病３６例，收到了满意的效果。现报告如下。临床资料本组３６例，男１２例，女２４例；年龄最大５７岁，最小２４岁。左拇指７例，右拇指２９例。病程最长６...

分经针灸治疗神经根型颈椎病的随机对比分析

目的:观察分经针灸治疗神经根型颈椎病的临床效果。方法:2016年5月-2017年5月收治老年卧床患者70例,分为两组各35例。对照组采用常规针刺治疗,试验组采用分经针灸治疗,对比两组患者治疗前后神经根型颈椎病量表评分与VAS评分情况。结果:治疗前,两组患者各项指标评分差异无统计学意义(P>0.05);而治疗后,试验组患者神经根型量表评分与疼痛VAS评分均比对照组好,差异有统计学意义(P<0.05)。结论:分经针灸在治疗神经根型颈椎病中具有良好的临床效果,能够有效改善患者的临床症状,值得推广。

周围性面瘫采用针灸分期治疗的临床效果及可行性分析

周围性面瘫采用针灸分期治疗的临床效果及可行性分析。方法:在2020年9月至2021年9月中选取到院进行治疗的患者共148例,随机分组,分别提供不分期针灸治疗(对照组)、针灸分期治疗(观察组):①急性期:使用多针刺手法,手法需轻,毫针浅刺,留针30min。②稳定期:需通经活血,运用斜刺法对面部进行针刺,捻转平补平泻,若患者病情严重需结合电瓶电流治疗,留针30min;③恢复期:以扶助正气为目标使用捻转补法及斜刺手法;④后遗症期:针刺时使用捻转补法;n=74。对比分析临床效果。结果:干预后,观察组有效率和生活质量等评分均高于对照组(P<0.05);观察组中医证候积分低于对照组、神经麻痹程度及FD高于对照组(P<0.05)。结论: 使用针灸分期治疗周围性面瘫患者具有极为显著的治疗效果,能大幅提升患者康复效果,值得推广。

分经辨证针灸治疗神经根型颈椎病患者45例的临床效果分析

目的:探讨采用分经辨证针灸治疗神经根型颈椎病患者的临床疗效。方法:收治神经根型颈椎病患者90例,分为试验组与对照组,每组45例。试验组给予分经辨证针灸治疗,对照组实施常规取穴方案治疗。结果:试验组疗效优于对照组,差异有统计学意义(P<0.05);两组神经根型颈椎病20分量表评分和VAS评分均有所改善,且试验组改善更显著(P<0.05)。结论:神经根型颈椎病行分经辨证针灸方案治疗,疗效显著。

脾胃学说指导针灸辨治急性期青年贝尔氏面瘫的临床研究

目的观察脾胃学说指导针灸分期辨治急性青年急性贝尔氏面瘫临床效果。方法将急性贝尔氏面瘫患者100例随机分为两组,对照组予以局部取穴和循经远取穴治疗,观察组以"脾胃学说"为指导,局部取穴及分期选穴,观察治疗后临床效果情况。结果对照组的治愈率18.00%,总有效率为80.00%;观察组治愈率58.00%,总有效率为94.00%,两组差异有统计学意义(P<0.05)。两组治疗后在Sunnybrook面神经评定各个等级,残废躯体功能指数评分、残废社会功能指数评分各时期上比较差异有统计学意义(P<0.05)。结论脾胃学说指导针灸分期辨治急性青年急性贝尔氏面瘫临床效果确切。

An Analysis of Therapeutic Effect of Drug Acupoint Application in 209 Cases of Allergic Asthma

Both therapies of traditional crude herb moxibustion and drug acupoint application were used in 209 cases of allergic asthma to compare their long-term and short-term therapeutic effects and to analyze the relationship between clinic therapeutic effects of both therapies and differential types of the disease. The results showed that the short-term total effective rate in the group of drug acupoint application was higher than that in the group of traditional crude herb moxibustion, the therapeutic effects of drug acupoint application being closely related to differential types. Analysis also shows the best short-term therapeutic effect was in the type of heat in the lung while the poorest effect in the type of deficiency of the kidney-yang.

Acupuncture Ameliorates AIDS Symptoms in 36 Cases

Acquired immunodeficiency syndrome(AIDS)is caused by the human immunodeficiency virus(HIV).At present,there is no specific treatmentavailable.To explore a method of treatment,weapplied acupuncture in 36 HIV infected cases in amilitary hospital in Zambia,from May 1995 to May1996.The results are reported as follows.

Acupuncture Treatment of Common Cold

Case HistoryMs.Li,a 58-year-old retired cadre,paid herfirst visit on Dec.7,1998,with the chief complaintsof headache,fever,nasal obstruction,cough,andgeneral pain with anhidrosis for two days.Whenplaying with her grandson in the yard in the

ACUPUNCTURE AND GLAUCOMA

It is to recognize glaucoma in view of Chinese medicine and synthesize the treatments and mechanisms of acupuncture on glaucoma in the paper. It is indicated in the results that acupuncture plays the importance in lowering ocular tension, improving ocular circulation and protecting optic nerve. Additionally, acupuncture inhibits probably the cellular apoptosis of optic ganglion and provides definite actions on psychological factors of glaucoma. Acupuncture cannot replace operation and medicinal therapy in lowing ocular tension, but their coordinated and auxiliary effects are quite clear and definite.

Acupuncture and Related Therapies for Hyperlipidemia:A Network Meta-Analysis

Objective To compare and rank the clinical effects of different acupuncture and related therapies on hyperlipidemia patients.Methods We used network meta-analysis(NMA)to evaluate direct and indirect effects in studies of acupuncture and related therapies for hyperlipidemia.Databases PubMed,EMBASE,Cochrane Library,the China Biology Medicine(CBM),the China National Knowledge Infrastructure(CNKI),Wanfang Data and the Chinese Scientific Journal Database(VIP)were searched to collect randomized controlled trials(RCTs)of acupuncture and related therapies in the treatment of hyperlipidemia.The data were analyzed using Stata 15.0 and WinBUGS 1.4.3 software after two researchers independently screened the literature,extracted the data,and assessed the risk of bias in the included studies.Results We analyzed a total of 36 eligible studies that included 3124 patients,involving 12 types of acupuncture and related therapies and comprehensive therapies.The results of the NMA showed that:for the total cholesterol(TC),acupoint catgut embedding(ACE),simple acupuncture(ACU),acupoint injection(AI),electroacupuncture(EA),western medicine of statins(WM),and combination of acupuncture and related therapies(combined therapies)were all more effective than placebo(P<0.05).For triacylglycerol(TG),ACU,EA,warming acupuncture(WA),WM and combined therapies were better than placebo(P<0.05),while WA was better than Chinese herb(CH)(P<0.05).For low-density lipoprotein cholesterol(LDL-C),combined therapies were more effective than lifestyle modification(LM)(P<0.05).For high-density lipoprotein cholesterol(HDL-C),auricular acupoint stimulation(AAS),ACE,ACU,AI,CH,EA,LM,moxibustion(MOX),WM,combined therapies and placebo were all worse than WA(P<0.05),while WM and combined therapies were better than ACU(P<0.05).Combined ranking results suggest that ACU and combined therapies may be the optimal intervention.Conclusions The efficacy of all kinds of acupuncture-related therapies in patients with hyperlipidemia is better than lifestyle changes.However,for different outcome indicators,all kinds of acupuncture-related therapies have their advantages and disadvantages,and comprehensive ranking results suggest that ACU and combined therapies may be the optimal intervention.

Comparison of efficacy of treating obese patients with endocrine-metabolic abnormity by electroacupuncture of different types of wave modes

Objective To compare the efficacy of treating obese patients with abnormity of lipids and serum leptin by dilatational wave or continuous wave of electroacupuncture combined with thunder-fire moxibustion in order to provide a clinical basis for selecting wave types of electroacupuncture for different patterns of obesity. Methods Sixty obese patients with abnormal lipids and serum leptin were randomly divided into a dilatational wave group and a continuous wave group via random number table, with 30 cases in each group. They were divided by TCM differentiation into three types： stomachintestine excessive heat, weakness of the spleen-stomach and spleen-kidney yang deficiency, treated by electroacupuncture on Tianshu （天枢 ST 25）, Daheng （大横 SP 15）, Zusanli （足三里ST 36）, Shangjuxu （上巨虚 ST 37）, Fanglong （丰隆 ST 40）, Yinlingquan （阴陵泉 SP 9）, Quchi （曲池 LI 11）, Zhigou （支沟 TE 6） and Hegu （合谷 LI 4） along with thunder-fire moxibustion. The frequency of electro-acupuncture in the dilatational wave group and the continuous wave group was 2 Hz/100 Hz and 2 Hz, respectively. Patients in the two groups were treated once a day, six times a week. The treatment lasted for 4 weeks with 3-month follow-up. Body mass and body fat percentage before and after the treatment, as well as during the follow-up, were compared. The effectiveness rates in the two groups were compared, and the efficacy statistics of patients with different TCM patterns in the dilatational wave group were also analyzed. Lipid levels of the patients in two groups before and after the treatment were measured with an automatic biochemical analyzer, and serum leptin levels were detected with flow cytometry system. Results After the treatment, the patients＇ blood lipids, serum leptin levels, body mass and body fat percentage were effectively reduced in the two groups; three months＇ follow-up witnessed continuous decline of obesity indicators （P〈0.01 or P〈0.05）, and patients in the dilatat-ional wave group improved more significantly than those in continuous wave group （P〈0.05 or P〈0.01）. The efficacy in the dilatational wave group was superior to that in the continuous wave group （P〈0.01）. The best efficacy could be found among patients with weakness of the spleen and the stomach in the dilatational wave group. Conclusion Efficacy of treating obese patients with abnormity of lipids and serum leptin by electro-acupuncture combined with thunder-fire moxibustion in the dilatational wave group was significantly better than that of the continuous wave group, and efficacy for obese patients with weakness of the spleen and the stomach was superior to that of those with stomach-intestine excessive heat and spleen-kidney yang deficiency.

Meta-Analysis on scalp acupuncture based therapy in treating children cerebral palsy

Objective To explore the effectiveness of applying scalp acupuncture in treating child cerebral palsy. Method Computer was adopt to retrieve relevant literature about scalp acupuncture based therapy in treating children cerebral palsy published during 2999-2024 in PubMed, China National Knowledge Infrastructure （CNKI）, China Biology Medicine Disc （CBM）, VIP database, Wan fang database, Longyuan Electronic Journal and People＇s University Copying Periodical Resources Full-Text Database. The quality of literature about scalp acupuncture based therapy in treating children cerebral palsy was systematically evaluated and Meta analysis was conducted for integrated data by adopting evidence-based medicine and bibliometrics and through RevMan 5.2 statistical software. Results Two hundred and thirty-four literature were retrieved in total, within which, 7 of them were included. There were 796 cases in included literature, which were divided into a treatment group （416 cases） and a control group （380 cases）. The total effective cases in the treatment group was 378, with the total effective rate of 90.9%, and the total effective cases of the control group was 282, with the total effective rate of 73.9%, which could provide evidence for the fact that the treatment of scalp acupuncture has increased the effective rate of child cerebral palsy by 17%. It is shown by Meta analysis that： OR is 0.16, 95% CI is （0.22, 0.22） and combined effect test is Z=6.27, P〈0.02, indicating that the combined effect size of several studies included is of statistical significance, and the difference between the control group and the treatment group is statistically significant. Conclusion The total effective rate of scalp acupuncture based therapy in treating children cerebral palsy is higher than that of modern medicine comprehensive rehabilitation treatment, and the treatment method of scalp acupuncture could be widely applied to clinic; but since articles about scalp acupuncture based therapy in treating children cerebral palsy published domestically are not qualified enough, only a few literature are included, hence, more power and strong evidences shall be verified by literature with higher quality.

Symptoms of long-term exposure to moxa smoke in acupuncturists： a correlation analysis

OBJECTIVE: To investigate the effects of long-term exposure to moxa smoke on acupuncturists and to consider the association between physical symptoms and gender, age, secondhand smoke(SHS) exposure, and the duration of exposure.METHODS: A self-report, web-based questionnaire was used to evaluate the effects of moxa smoke onacupuncturists. Logistic regression was used to analyze the relationship between physical symptoms and possible correlative factors.RESULTS: A total of 858 questionnaires were analyzed. The data showed that 42.42% of acupuncturists had been exposed to moxa smoke for 5-10 years. The most frequent symptom was tearing(32.98%) and the least frequent symptom was asthma(5.24%). Logistic regression analysis showed that female acupuncturists were slightly more susceptible to cough and tearing than males(cough:OR: 1.583, 95% CI: 1.079, 2.321, P = 0.019; tearing:OR: 1.519, 95% CI: 1.094, 2.108, P = 0.013). Acupuncturists aged over 25 years reported a slightly lower incidence of eye itchiness than those aged under25 years(26-40 years: OR: 0.604, 95% CI: 0.379,0.965, P = 0.035; over 40 years: OR: 0.330, 95% CI:0.114, 0.958, P = 0.042). Ophthalmodynia occurred less in acupuncturists aged 26-40 years(OR: 0.591,95% CI: 0.359, 0.970, P = 0.038) than in those younger than 25 years. The only association between prevalence of symptoms and tobacco use and SHS exposure was that smokers had a lower occurrence of phlegm in the throat(OR: 0.579, 95% CI: 0.392,0.856, P = 0.006). Shortness of breath was less frequent in participants exposed to moxa smoke for more than 5 years(5-10 years: OR: 0.400, 95% CI:0.204, 0.785, P = 0.008; 11-20 years: OR: 0.392, 95%CI: 0.178, 0.864, P = 0.02), but a slightly higher incidence of eye itchiness was found in those with over20 years of moxa exposure(OR: 4.200, 95% CI:1.344, 3.128, P = 0.014).CONCLUSION: The most frequent symptom of moxa smoke exposure in acupuncturists was tear-ing. The association of symptoms with age and duration of exposure to moxa smoke were rather complicated; hence, care should be taken in drawing conclusions about the safety of moxa smoke based solely on its potentially harmful ingredients.

Meta analysis of the curative effect of acupuncture on post-stroke depression

OBJECTIVE:To systematically evaluate the curative effect of acupuncture on post-stroke depression(PSD).METHODS:The internet was used to retrieve the Wanfang Medical Data System,Chinese Periodical Net,the Weipu Information Resources System,PubMed and the Cochrane Library Database.Relevant articles,up to September 2010,were manually retrieved.These papers included studies that had performed random and semi-random control trials for the use of acupuncture to treat PSD.Fifteen random control tests involving 1096 patients were included in this study and individual cases,interventional measures and curative effects were extracted from this research.Grade methodological quality evaluation and meta-analysis were performed on these studies.RESULTS:Comparison between the acupuncture group and the Western medicine group for the curative rate on PSD revealed an OR of 1.48,95% CI = [1.11 1.97] and P=0.008.Comparison of obviously effective rate shows that OR=1.39,95% CI=[1.08 1.80] and P=0.01.Comparison of effective rate showsthatOR=0.83,95%CI=[0.631.09]andP=0.18.CONCLUSION:Comparison between the acupuncture group and Western medicine group in treating PSD revealed that there is a statistical difference in curative rate and remarkably effective rate,but no difference in effective rate.

A Study on the Classification and the‘Catching’of the‘Arrived Qi’in Acupuncture

This essay studies the phenomenon of‘obtaining of qi’in acupuncture.Combined with clinical practice,the authors think that it was a habitual misunderstanding in the past to equate‘needling sensation’to ‘obtaining of qi’in acupuncture practice.The two concepts are different and are related with each other.The authors have also classified the phenomenon of‘obtaining of qi’according to its depth in the skin layer. Based on the research achievements in neuroscience,the authors propose the study on‘catching’the specific cerebrations,so as to reveal the essence of‘obtaining of qi’.

Depressive Neurosis Treated by Acupuncture for Regulating the Liver―A Report of 176 Cases

Objective: To observe therapeutic effect of acupuncture for regulating the liver on depressive neurosis. Methods: In a multi-center randomized controlled trial, 440 patients were divided into 3 groups: Acupuncture group for regulating the liver (Acup., 176 cases) was treated by acupuncture at Siguan Points, i.e. bilateral Hegu (LI 4) and Taichong (LR 3), Baihui (GV 20) and Yintang (EX-HN3) plus ear-acupuncture, Prozac group (P., 176 cases) by oral administration of Prozac, and Non-acupoint needling group (NAN, 88 cases) by acupuncture at non-acupoints as acupuncture placebo. Self-rating Depression Scale (SDS) was examined before treatment, and one month, two and three months after treatment respectively to evaluate therapeutic effect, and Rating Scale for Side Effects (SERS) was used to evaluate the safety. Results: After one month of treatment, SDS scores in Acup. Group were significantly lower than that in P. Group (P<0.05) and than that in NAN Group (P<0.01), and SDS scores in P. Group were lower than that in NAN Group (P<0.05), showing the SDS scores in Acup. Group <P. Group <NAN Group. After 2 months of treatment, SDS scores in Acup. Group were also significantly lower than that in P. Group (P<0.01) and than that in NAN Group (P<0.01), and SDS scores in P. Group were also lower than that in NAN Group (P<0.05), showing the SDS scores in Acup. Group <P. Group <NAN Group. After 3 months of treatment, SDS scores in Acup. Group were also significantly lower than that in P. Group (P<0.01) and than that in NAN Group (P<0.01), and SDS scores in P. Group were also lower than that in NAN Group (P<0.01), showing the SDS score in Acup. Group <P. Group <NAN Group. After treatment, SERS scores were 0.16±0.95, 6.51±5.09 and 0.23±1.36 in Acup. Group, P. Group and NAN Group respectively. A significant difference existed between Acup. Group and P. Group (P<0.05), but no significant difference between Acup. Group and NAN Group (P>0.05), showing the SERS scores in Acup. Group <NAN Group <P. Group. No side effect was found in Acup. and NAN groups. Conclusion: The therapeutic effect of acupuncture on depressive neurosis is better than or similar to that of Prozac but with less side effect.