针刀治疗与针灸刺穴治疗腰椎间盘突出症疗效比较

选用我院2010年2月—2012年8月就诊的腰椎间盘突出症的患者82例,随机分为两组,采用针刀与针灸刺穴治疗进行比较,观察其疗效,结果显示,针刀治疗在改善腰椎间盘突出症病人的临床症状方面优于针灸刺穴组。

石韦散结合针灸刺穴治疗肾绞痛的临床观察

目的：观察石韦散结合针灸刺穴治疗肾绞痛的临床效果.方法：对照组口服中药石韦散治疗8周 治疗组在口服中药的同时结合针灸刺穴治疗8周.结果：对照组总有效率44.2% 治疗组总有效率77.3%.结论：用石韦散结合针灸刺穴治疗肾绞痛的效果比单用石韦散佳.

针灸刺穴对全膝关节表面置换术后功能恢复的影响

选用2010年7月—2013年7月行人工全膝关节表面置换术治疗膝关节骨性关节炎的患者56例,随机分为两组,采用针灸刺穴加功能锻炼与单纯功能锻炼进行比较,观察其对术后关节功能恢复的影响,结果显示,针灸刺穴加功能锻炼在改善全膝关节表面置换术后关节功能恢复方面优良率明显高于单纯功能锻炼的患者。

针灸刺穴联合持续被动运动在膝关节置换术后康复中的应用

目的探讨针灸刺穴联合持续被动运动(CPM)在膝关节置换(TKA)术后康复中的应用效果。方法选择2019年9月—2020年9月医院收治的88例行TKA治疗患者,按随机数字表法分为两组,各44例。对照组采取COM治疗,观察组采取针灸刺穴联合CPM治疗,比较两组康复效果、治疗前及疼痛(视觉模拟评分发[VAS])及膝关节功能评分(膝关节评分[HSS])及膝关节恢复情况(膝关节活动度、膝关节周径)。结果治疗后,观察组康复有效率高于对照组(P<0.05);治疗后,两组VAS评分低于治疗前,HSS评分高于治疗前,观察组VAS评分低于对照组,HSS评分高于对照组(P<0.05);治疗后,两组膝关节活动度高于治疗前,膝关节周径低于治疗前,观察组膝关节活动度高于对照组,膝关节周径低于对照组(P<0.05)。结论针灸刺穴联合持续被动运动能够有效改善膝关节置换患者膝关节功能,降低术后疼痛,提升膝关节活动能力,提高临床康复效果,同时安全性较高。

银杏叶片、加味小柴胡汤联合针灸刺穴治疗脑卒中后遗症患者的疗效

目的评价银杏叶片、加味小柴胡汤联合针灸刺穴治疗脑卒中后遗症患者的疗效。方法选择2013年1月至2015年7月收治的脑卒中后遗症患者100例,按照随机数字表法分成对照组和试验组,各50例。对照组采用多虑平片治疗,试验组采用银杏叶片、加味小柴胡汤联合针灸刺穴治疗。比较两组的治疗总有效率。结果治疗后,试验组治疗总有效率为94.0%,高于对照组的70.0%,差异有统计学意义(P<0.05)。结论临床上对脑卒中后遗症进行治疗时,服用银杏叶片、加味小柴胡汤联合针灸刺穴治疗具有比较显著的临床疗效。

透穴针刺法配合推拿、TDP治疗顽固性面瘫的临床研究

目的:比较透穴针刺法与传统针刺法配合推拿、TDP治疗顽固性面瘫的临床疗效及疗程。方法:随机选取顽固性面瘫患者128例,分为透穴针刺法治疗组64例,传统针刺法对照组64例。分别采用透穴针刺法与传统针刺法配合推拿、TDP治疗,5次/周,1周为1疗程,4个疗程后进行评价。结果:治疗组临床痊愈27例,显效28例,有效6例,无效3例,总有效率95.31%,对照组分别为18例、29例、13例、4例,总有效率93.75%,组间比较差异有显著性(P<0.05);临床痊愈患者平均疗程分别为2.96、3.56个,组间比较差异有显著性(P<0.05)。结论:针刺配合推拿、TDP治疗顽固性面瘫疗效确切,但透穴针刺法疗效明显优于传统针刺法,且能明显缩短疗程。

芒针透刺法对中风后偏瘫肌张力及运动功能的影响

目的:探讨芒针透刺法对中风后偏瘫肌张力及运动功能的影响。方法:通过对芒针透刺组(治疗组)和常规针刺组(对照组)肌张力Ashworth量表和Fugl-Meyer运动功能进行评分。结果:经治疗后,治疗组疗效优于对照组,两组统计学比较差异有统计学意义(P<0.05)。结论:芒针透刺法能显著改善中风后偏瘫肌张力及运动功能。

中药内服配合针灸治疗胃脘痛的疗效分析

目的探讨中药内服配合针灸刺穴对治疗胃脘痛临床疗效。方法将2011年5月至2012年5月就诊80例胃脘痛患者作为研究对象,分为40例观察组和40例对照组,观察组患者给予中药治疗联合针灸刺穴,对照组患者单纯给予中药内服并分别辅助食疗,疗程结束后观察两组疗效。结果观察组患者治愈16例,显效14例,进步7例,无效3例;对照组治愈8例,显效12例,进步14例,无效6例,Ridit分析两组具有显著差异。结论中药内服联合针灸刺穴治疗胃脘痛效果显著值得临床推广使用。

中医序贯疗法治疗脊柱相关性疾病软组织疼痛探讨

中医序贯疗法治疗脊柱相关性疾病软组织疼痛是从中医一体化诊疗模式出发,以辨证论治理论体系为思想指导,在充分认识疼痛病因基础上,采用正骨推拿、针灸刺穴、中药外敷和运动锻炼相结合的四位一体的治疗方案。分别论述颈椎区域、肩周区域、胸椎区域、腰椎区域软组织疼痛在中医序贯疗法指导下的治疗方案及操作流程。附验案1则。

辨证治疗肩关节周围炎45例

目的探讨中医辨证治疗肩关节周围炎的临床效果。方法选取我院2012年3月至2013年2月收治的肩关节周围炎患者90例,随机分为对照组与观察组各45例,对照组给予常规针刺的治疗方法,对照组利用中医辨证联合苍龟探穴法进行治疗,观察两组患者的临床疗效与不良反应并开展比较分析。结果经过中医治疗后,对照组治疗有效11例,总有效率为24.44%,观察组治疗有效24例,总有效率为53.34%,观察组显著好于对照组,具有统计学意义(P<0.05)。通过对2组患者不良反应的观察发现,90例患者均未发生严重不良反应,治疗安全性较高。结论利用中医辨证治疗肩关节周围炎可以有效改善患者的疼痛情况,能够起到对症治疗的效果,具有较好的临床效果。

TREATMENT OF SOFT TISSUE INJURY BY PUNCTURING CLEFT-POINTS

Objective: To observe the therapeutic effect of acupuncture of "Xi" (Cleft) points in treatment of soft tissue injury. Methods: 335 cases of soft tissue injury patients were divided into Cleft point group (264 cases) and Ashi point group (control group, 71 cases) randomly. In Cleft point group, the 16 Cleft points were used in combination with Ahshi points. In control group, only local Ahshi points were punctured. The treatment was conducted once every day, with 5 sessions being a therapeutic course. After 2 courses of treatment, the therapeutic effect was analyzed. Results: Results showed that the therapeutic effect of cleft point group was significantly better than that of control group (P<0.05), particularly in treatment of acute soft tissue. Conclusion: Cleft point acupuncture has a better therapeutic effect in treatment of soft tissue injury in comparison with Ashi point.

EFFECT OF ACUPUNCTURE PLUS MOXIBUSTION OF YONGQUAN POINT ON DYSCINESIA AND BLOOD RHEOLOGY IN STROKE PATIENTS

Objective: To observe the therapeutic effect of acupuncture plus moxibustion of Yongquan (KI 1) in improving stroke patients’ dyskinesia and blood rheology. Methods: 78 cases of stroke patients were treated by acupuncture and moxibustion of Yongquan (KI 1), once daily, with 20 days being a therapeutic course. Indexes of whole blood viscosity, plasma viscosity, platelet aggregation rate, packed cell volume and fibrinogen were detected before and after treatment. Changes of the functional activity were assessed using Barthel marking method. Results: After 2 courses of acupuncture treatment, all the above mentioned indexes and functional activity were improved significantly (P<0.05～0.01). Conclusion: Acupuncture and moxibustion of Yongquan (KI 1) has an active effect in improving stroke patients’ dyskinesia and blood rheology.

温通消瘀散联合针刺治疗膝关节骨性关节炎20例疗效观察

目的:观察口服温通消瘀散联合针刺治疗膝关节骨性关节炎的临床疗效。方法:将40例膝关节骨性关节炎患者随机分成两组,治疗组采用口服温通消瘀散配合选穴针刺治疗,对照组单用针刺治疗,对比观察两组的临床疗效及证候评分。结果:总有效率治疗组为85.0%,对照组为65.0%,组间比较,差异有统计学意义(P<0.05);中医证候积分两组均较治疗前有所降低(P<0.05),且治疗后第2、4周治疗组明显低于对照组,组间比较,差异有统计学意义(P<0.05)。结论:温通消瘀散联合针刺治疗膝关节骨性关节炎具有显著临床疗效,值得借鉴。

Treatment of 30 patients with intractable facial paralysis by warming-needle moxibustion at B?ihuì(百会 GV 20)combined with penetration needling

Objective To observe the clinical efficacy of moxibustion at B ihuì（百会 GV 20） combined with penetration needling in treatment of intractable facial paralysis. Methods Sixty patients with intractable facial paralysis included in the study were divided into two groups according to the random number table, with 30 patients in observation group（group A）, and 30 patients in control group（group B）. Moxibustion at GV 20 combined with penetration needling were adopted in group A, and simple penetration needling was applied in group B. Once daily, thirty days of treatment were required. The House Brackmann（H-B） facial nerve function grading and improvement of clinical symptoms were observed. Results The H-B function grading and improvement of clinical symptoms in group A were superior to group B, and the difference was statistically significant（P〈0.05）. Conclusion The clinical efficacy of moxibustion at GV 20 combined with penetration needling in treatment of intractable facial paralysis is definite, and the treatment method is deserving of clinical promotion.

Ideas on Several Issues of Acupuncture-moxibustion Science

The Shanghai Journal of Acupuncture and Moxibustion and Journal of Acupuneture and Tuina Science witnessed a development of numerous authors. On the occasion of the 6th anniversary of Journal of Acupuncture and Tuina Science, I＇d like to share my ideas about several issues on acupuncturemoxibustion science.

Observations on Therapeutic Effect of Back-Shu Acupoint in Treatment of Asthma

Objective： To investigate the therapeutic effect of Back-Shu acupoint in treating asthma. Methods： Sixty-one patients were randomly divided into a Back-Shu acupoint group, a acupuncture-moxibustion group and a acupuncture group. All the three groups were treated twice a week, 10 times made up a treatment course. The therapeutic effect was evaluated after three courses of treatment. Results and conclusion： The control and marked effective rate were significantly higher in the Back-Shu acupoint group and acupuncture-moxibustion groups than in the acupuncture group （P〈0.05）. They were slightly higher in the acupuncture-moxibustion group than in the Back-Shu acupoint group, but there was no statistically significant difference. The results indicated that the Back-Shu acupoints have a good therapeutic effect in treating asthma.

Analysis of points selection pattern in acupuncture treatment of sleep apnea syndrome based on data mining

To explore the points selection pattern of acupuncture for sleep apnea syndromes by data mining technique. Methods： Clinical literature about acupuncture therapy for sleep apnea syndromes was derived from China National Knowledge Infrastructure （CNKI）, Wanfang Academic Journal Full-text Database （Wanfang）, Chongqing VIP Database （CQVIP）, PubMed and Science Direct between the time that databases were created and March 25th,2017. Relevant excel database was established and descriptive studies and association rules were analyzed. Results： The most frequently used point was Lianquan （CV 23） and the most frequently used meridian was the Stomach Meridian. The analysis of association rules showed that the clinical choice of acupuncture points was highly correlated, among which the combination of the highest degree of confidence and the highest degree of support was Shenmen （HT 7） and Sishencong （EX-HN 1）; Lieque （LU 7）, lianquan （CV 23） and Zhaohai （KI 6）. Conclusion： Acupuncture treatment of sleep apnea syndromes has specific selection rules of points, providing certain references for clinical and scientific research.

Clinical observation of Zhen'ai needling method in Nei Jing(Classic of Internal Medicine)for children with allergic rhinitis accompanied by adenoid hypertrophy

Objective:To observe the clinical efficacy of Zhen'ai needling method in Nei Jing(Classic of Internal Medicine)for children with allergic rhinitis(AR)accompanied by adenoid hypertrophy(AH).Methods:A total of 74 children who met the screening criteria were divided into a Zhen'ai group and a control group by the random number table method,with 37 cases in each group.The control group was treated with acupuncture at Zusanli(ST 36),Hegu(LI 4),Yingxiang(LI 20),Juliao(ST 3),Yintang(GV 29),Shangxing(GV 23)and Baihui(GV 20).The Zhen'ai group added points of Zhen'ai needling method{Shanglianquan[Extra,located at 1 cun above Lianquan(CV 23)],Tianrong(SI 17)and Lieque(LU 7)}in addition to the points in the control group.The needles were retained for 30 min.The treatment was performed twice a week.The total nasal symptom score(TNSS),sino-nasal outcome test-20(SNOT-20)and symptom scale for AH(SSAH)were assessed before and after 10 treatments.The clinical efficacy of the two groups was compared after treatment.Results:During the treatment,5 cases dropped out in the control group and 2 cases in the Zhen'ai group.After treatment,the total effective rate of the Zhen'ai group was 94.3%,versus 93.8%in the control group.There was no significant difference between the two groups(P>0.05).The markedly effective rate of the Zhen'ai group was 42.9%,versus 12.5%in the control group,and the difference was statistically significant(P<0.05).After treatment,there were significant intra-group differences in the scores of TNSS,SNOT-20 and SSAH in both groups(all P<0.05);the scores of SNOT-20 and SSAH in the Zhen'ai group were lower than those in the control group,and the differences between the groups were statistically significant(both P<0.05).Conclusion:Both conventional acupuncture and conventional acupuncture plus Zhen'ai needling method can improve clinical symptoms of children with AR accompanied by AH;and conventional acupuncture plus Zhen'ai needling method has a better effect than conventional acupuncture in improving AH symptoms.

Muscle regions of meridians warm needling method plus pricking Jing-Well points for blood-letting in the treatment of shoulder-hand syndrome after stroke

Objective To observe the effect of muscle regions of meridians warm needling method plus pricking Jing-Well points for blood-letting in improving nail fold microcirculation in the patients with shoulder-hand syndrome(SHS)after stroke,and the effects on hemorrheology,calcitonin gene-related peptide(CGRP)and serum substance P(SP).Methods A total of 72 patients were randomized into an observation group and a control group by the random number table method,with 36 cases in each group.The control group was treated with physical rehabilitation training,and the observation group was treated with additional muscle regions of meridians warm needling method plus pricking Jing-Well points for blood-letting treatment.The treatment course lasted for 4 weeks.After treatment,the clinical efficacy of the two groups was compared.The changes in shoulder-hand syndrome scale(SHSS),simplified Fugl-Meyer assessment-upper extremity(FMA-UE),visual analog scale(VAS),activities of daily living(ADL),traditional Chinese medicine(TCM)syndrome score,nail fold microcirculation hemorheology indictors[whole blood viscosity(high-shear,low-shear),hematocrit,erythrocyte sedimentation rate(ESR)],CGRP and SP levels were observed.Results The total effective rate in the observation group was 86.1%,higher than 63.9%in the control group(P<0.05).The overall curative effect in the observation group was better than that in the control group(P<0.05).After treatment,the scores of pain sensation,edema,external turn and rotation of the arm in SHSS,and the total score were significantly decreased in both groups(all P<0.05),and each score in the observation group was lower than that in the control group(all P<0.05).After treatment,the scores of VAS and TCM syndrome in both groups decreased significantly(all P<0.05),and the scores of FMA-UE and ADL increased significantly(all P<0.05).The scores of VAS and TCM syndrome in the observation group were lower than those in the control group(both P<0.05),and the scores of FMA-UE and ADL were higher than those in the control group(both P<0.05).After treatment,the whole blood viscosity(high-shear and low-shear)and hematocrit in both groups decreased obviously(all P<0.05),and ESR increased obviously(both P<0.05),and the whole blood viscosity(high-shear and low-shear)and hematocrit in the observation group were lower than those in the control group(all P<0.05),and ESR was higher than that in the control group(P<0.05).After treatment,the peritubular state,loop shape,blood flow and total score of nail fold microcirculation in both groups decreased significantly(all P<0.05),and each score in the observation group was lower than that in the control group(all P<0.05).After treatment,SP in both groups decreased obviously(both P<0.05),CGRP increased obviously(both P<0.05),and SP in the observation group was lower than that in the control group(P<0.05),CGRP was higher than that in the control group(P<0.05).Conclusion Compared with conventional physical rehabilitation training,muscle regions of meridians warm needling method plus pricking Jing-Well points for blood-letting treatment can significantly reduce the clinical symptoms of SHS,promote the recovery of physical functions,improve the nail fold microcirculation and hemorrheology indictors,and regulate the serum cytokine levels such as CGRP and SP.

Efficacy observation on acupuncture-moxibustion at Ciliao(BL 32) for primary dysmenorrhea due to cold-dampness

Objective： To observe the clinical efficacy of acupuncture plus moxibustion at Ciliao （BL 32） for primary dysmenorrhea （PD） due to cold-dampness. Methods： A total of 58 cases with PD due to cold-dampness were randomly allocated into an observation group （n=29） and a control group （n=29）. Patients in the observation group were treated with acupuncture and suspended moxibustion at Ciliao （BL 32）, whereas patients in the control group were treated with routine acupuncture alone. After three courses of treatment, the clinical efficacy was evaluated and compared between the two groups. Results： After treatment, the symptom scores were significantly reduced in both groups （P〈0.05）, but there were no significant between-group differences in clinical efficacy and symptom scores （P〉0.05）. Conclusion： With fewer points and less pain, acupuncture-moxibustion at Ciliao （BL 32） can obtain similar effect as routine acupuncture therapy for PD due to cold-dampness.