穴位注射疗法结合针灸电疗仪治疗中风后遗症的体会

中风为中医病名，又名脑卒中。在当前各类疾病中具有高发病率、高致残率的特点。急性阶段经抢救治疗后大多进入恢复期，患者多数留有不同程度的后遗症。中风之病位在脑，因病灶所处部位不同，临床表现各异。针对中风后遗症病灶病位的不同，笔者分别给患者采用穴位注射疗法结合青岛Ⅱ型针灸治疗仪电疗的方法，通过辨证取穴，发现对多数中风后遗症患者均有较好的效果。

中西医结合治疗面神经炎50例临床体会

中西医结合治疗面神经炎５０例临床体会广东省佛山市第三人民医院（５２８０４１）丘云英笔者近年来采用中西医结合的治疗方法治疗５０例面神经炎患者，取得较满意的疗效，现报道如下。一、一般资料５０例思者均为门诊病人，其中男２９例，女２１例；年龄最小４岁，最大７...

FORTY-EIGHT CASES OF ACUTE GOUTY ARTHRITIS TREATED COMPREHENSIVELY WITH ELECTROACUPUNCTURE AND WARMING MOXIBUSTION

Objective To probe into the effects on acute gouty arthritis treated comprehensively with electroacupuncture (EA) and warming moxibustion. Methods 70 cases were randomized into treatment group (48 cases), in which the EA+warming moxibustion was applied; and controlled group (22 cases), in which, colchicine was prescribed for oral administration. Results The statistical outcomes after 1 course treatment in treatment group: 28 cases were cured (58.33%), 18 cases improved (37.50%) and the total effective rate was 95.83%. In controlled group: 12 cases (54.55%) were cured, 8 cases improved (36.36%) and the total effective rate was 90.91%. The therapeutic effects of two groups were basically consistent, without significant different (P>0.05). But, concerning to side effect, there was no any toxic side effects in the group treated with EA+warming moxibustion, and the occurrence rate in the group treated with colchicine was 40.91%. Conclusion Electroacupuncture+warming moxibustion achieves good therapeutic effects without any side effects.

保健医疗仪器,何时还明白于民

目前，社会上各式保健医疗仪器名目甚多，大部分都是自称能治疗或预防各种疾病。一些生产厂家的产品在市场上销售几个月后，改变外形、包装和广告，换个面孔又来“哄人”。消费者发现使用效果不佳或产品质量有问题时无法挽回损失。我家就有过这种事，买了一台针灸电疗仪用了约两个月就因质量问题不能使用，按保修单上的地址寻找厂商，根本找不着。

Enhanced expression of epidermal growth factor receptor gene in gastric mucosal cells by the serum derived from rats treated with electroacupuncture at stomach meridian acupoints

AIM: To investigate the effect of serum derived from rats treated with electroacupuncture at stomach meridian acupoints on the expression of epidermal growth factor receptor (EGFR) gene in gastric mucosal cells. METHODS: The stress-induced gastric mucosal injury in rat model was established by water-immersion and restrained stress methods. 52 rats were randomly divided into: normal group (n = 8), model group (n = 8), model serum group (n = 12), stomach serum group (n = 12), and gallbladder serum group (n = 12). The gastric mucosal cells were separated by pronase-EDTA digestion method and incubated with serum. The EGFR gene expression in gastric mucosal cells was detected by reverse transcription-polymerase chain reaction (RT-PCR) method. RESULTS: Compared with normal group (0.6860 ± 0.0594), the serum derived from rats of the stomach group (1.2272 ± 0.0813, P = 0.00 < 0.01) and gallbladder group (0.9640 ± 0.0387, P = 0.00 < 0.01) had a tendency to enhance the EGFR gene expression in gastric mucosal cells. Such tendency existed in the model group (0.7104 ± 0.0457) but with no signifi cant difference (P = 0.495 > 0.05) and in model serum group (0.8516 ± 0.0409) with an extremely obvious difference (P = 0.001 < 0.01). Furthermore, the EGFR gene expression in stomach serum group was significantly higher than that in gallbladder serum group (P = 0.00 < 0.01). CONCLUSION: The present study shows that serumderived from rats treated with electroacupuncture at stomach meridian acupoints can distinctly increase the EGFR gene expression of gastric mucosal cells. Therefore, there is certain meridian specificity in the serum, which could provide a proof for the TCM theory “particular relation between meridian and internal organ”.

Effect of Acupuncture on the Auditory Evoked Brain Stem Potential in Parkinson's Disease

Under the auditory evoked brain stem potential (ABP) examination, the latent period of V wave and the intermittent periods of III-V peak and I-V peak were significantly shortened in Parkinson's disease patients of the treatment group (N=29) after acupuncture treatment. The difference of cumulative scores in Webster's scale was also decreased in correlation analysis. The increase of dopamine in the brain and the excitability of the dopamine neurons may contribute to the therapeutic effects, in TCM terms, of subduing the pathogenic wind and tranquilizing the mind.……

INFLUENCE OF DIFFERENT NEEDLE-RETAINING TIME ON THE THERAPEUTIC EFFECT OF ACUPUNCTURE IN THE TREATMENT OF ISCHEMIC STROKE

Objective：To explore the relationship between the needle-retaining time and the therapeutic effect of acupuncture in the treatment of ischemic stroke patients. Methods： Based on the level of the severity of the patient＇s disease and the duration of acupuncture needle-retaining, 245 ischemic stroke inpatients were divided into 20 min, 40 min and 60 min groups according to the stratified random method. Acupoints used were Jianyu （肩髃LI 15）, Quchi （曲池LI 11）, Waiguan （外关TE 5）, Hegu （合谷LI 4）, etc. and stimulated electrically （2 Hz, sparse waves, an endurable strength） for 20 min, 40 min and 60 min respectively by using an electroacupuncture therapeutic apparatus. The treatment was given once daily, with 10 sessions being a therapeutic course. The severity of clinical neurological deficit was scored before and after the treatment Results： The results showed that acupuncture could improve the neurological deficit severity of ischemic stroke patients. The therapeutic effect of acupuncture in improving myodynamia of the upper limbs and hands, and the total score of 60 min group was the best, followed by 40 min group and 20 min group respectively,of acupuncture needle retention has a better therapeutic effect in the treatment indicating that longer duration of acupuncture needle retention has a better therapeutic effect in the treatment of stroke. Conclusion： There is a positive relationship between the needle-retaining time and the curative effect in improving ischemic stroke patients＇clinical symptoms and signs by acupuncture.

“全科综合疗法”治疗乳腺小叶增生症的效果比较分析

目的通过临床实践证明"全科综合疗法"治疗乳腺小叶增生症的疗效优于生物医学干预的单一疗法。方法对174例乳腺增生患者分组进行"全科综合疗法"、"中西医结合疗法"及"针灸与中频电疗疗法"的治疗效果的有效性进行比较。结果 "全科综合疗法"组治疗有效的人数分别多于两个对照组,差异有统计学意义。结论 "全科综合疗法"治疗乳腺小叶增生症等常见病多发病效果明显,值得推广应用。

Treatment of Decortical State of Child Encephalitis with Scalp Acupuncture and the Effects on EEG and BEAM

Electroencephalogram (EEG)-recorded rhythmicelectrophysiologic activity of brain is synchronoussynthesis of postsynaptic potentials of pyramidalcells and their parietal dendrites of the cerebralcortex.Abnormal changes in EEG and brainelectrical activity mapping (BEAM) appear prior tothat in computed tomography (CT) and nuclearmagnetic resonance (NMR) during the acute stage ofencephalitis,providing a scientific and

The Time-Effect Relationship of Central Action in Acupuncture Treatment for Weight Reduction

Purpose: To study the time-effect relationship of action of acupuncture on the satiety center of ventromedial nucleus of hypothalamus (VMH) in rats with experimental obesity. Methods: Microelectrode recording method of nerve cells and stereotaxic technique for brain were adopted with discharge frequency (Hz/s) of nerve impulse in VMH as the index, and the time-effect of acupuncture action in different periods between groups were observed. Results: Electric activity in acupuncture group was higher than that in the obesity model group (P<0.001) and the normal group (P<0.01) respectively, and the curve of acupuncture action within 2 hours showed irregular fluctuation. Conclusion: Acupuncture can increase excitability of the satiety center, with a better long-term effect.

OBSERVATION ON FREQUENCY SPECTRUM OF ELECTROGASTROGRAM (EGG) IN ACUPUNCTURE TREATMENT OF FUNCTIONAL DYSPEPSIA

Functional dyspepsia is a frequently-encountered clinical syndrome, characterized by fullness and pain in the upper abdomen, belching, sour regurgitation, anorexia, nausea, vomiting, without organic pathologic change, metabolic or psychic diseases. It is closely related with disturbance of gastric motility. Our previous study has indicated that acupuncture has marked therapeutic effects on disturbance of gastric motility. In the present paper, analysis of time-frequency spectrum of EGG was used as indexes, and the clinical therapeutic effects of acupuncture treatment on functional dyspepsia were assessed objectively. The results are reported in the following.

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.

Effects on activities of daily life and quality of life of post-stroke depression treated with electroacupuncture at temple-three-needle

Objective To explore the better treatment of post-stroke depression. Methods Sixty cases of post-stroke depression ranged from mild to middle degree were randomly divided into comprehensive therapy group and medication group, 30 cases in each group. In comprehensive therapy group, electroacupuncture at temple-three-needle was mainly applied and Fluoxetine Hydrochloride capsule was taken by oral administration; in medication group, Fluoxetine Hydrochloride capsule was applied by oral administration. Functional Independent Measure （FIM） Scale and WHOQOL-BREF evaluation results before and after treatment were compared after 4 weeks treatment. Results Comparing with the FIM scores before treatment, the differences in the two groups were significant （both P0.01）, and the improvement in comprehensive therapy group （74.97±9.52） was superior to that in medication group （66.70±9.23） （P0.01）. Signif icant differences were presented statistically in comparison of index scores of WHOQOL-BREF before and after treatment in two groups （P0.05, P0.01）, and it in comprehensive therapy group was superior to that in medication group （P0.05, P0.01）. Conclusion Activities of daily life and quality of life of post-stroke depression can be significantly improved by electroacupuncture at temple-three-needle and oral administration of Fluoxetine Hydrochloride capsule.

Clinical observation of deep electroacupuncture at Baliao points for female stress urinary incontinence

Objective:To observe the clinical efficacy of deep electroacupuncture(EA)at Baliao points in treating stress urinary incontinence(SUI).Methods:A total of 60 female patients with SUI were divided into two groups according to the order of consultation,with 30 cases in each group.The control group was treated with pelvic floor muscle training.The treatment group was treated with deep EA at Baliao points[Shangliao(BL 31),Ciliao(BL 32),Zhongliao(BL 33)and Xialiao(BL 34)].Results:The total effective rate was 93.3%in the treatment group,versus 33.3%in the control group,and the total effective rate of the treatment group was significantly higher than that of the control group(P<0.05).After treatment,the scores of international consultation on incontinence questionnaire-short form(ICIQ-SF)and the volume of urinary leakage in both groups were lower than those before treatment(all P<0.05),and the ICIQ-SF score and the volume of urinary leakage in the treatment group were lower than those in the control group(both P<0.05).Conclusion:Deep EA at Baliao points with long needles can improve the clinical symptoms in female patients with SUI,and it has a better curative effect than pelvic floor muscle training.

Clinical observation on electroacupuncture plus long-snake moxibustion for rheumatoid arthritis due to kidney deficiency and cold coagulation

Objective:To observe the clinical efficacy of electroacupuncture(EA)plus long-snake moxibustion for rheumatoid arthritis(RA)due to kidney deficiency and cold coagulation.Methods:A total of 60 patients in active stage of RA were randomly divided into an observation group and a control group,with 30 cases in each group.Patients in the control group took methotrexate tablets and nimesulide dispersible tablets orally for treatment,while those in the observation group received additional treatment of EA plus long-snake moxibustion.Both groups were treated for 12 weeks.The post-treatment changes in symptomatic grading and quantifying score,disease activity score with 28 joint counts(DAS28),and inflammatory indicators erythrocyte sedimentation rate(ESR)and C-reactive protein(CRP)were observed,and the efficacy was evaluated.Results:The total effective rate in the observation group was 89.9%,versus 76.6%in the control group,and there was a significant difference in the total effective rate between the two groups(P<0.05).After treatment,the symptomatic grading and quantifying score and DAS28 in both groups were significantly improved(all P<0.05),and the improvements in the observation group were more significant than those in the control group(both P<0.05).Besides,there were 11 cases with low disease activity index(DAI)and in remission in the observation group versus 5 cases in the control group,showing a statistically significant between-group difference(P<0.05).The ESR and CRP scores in both groups were significantly reduced after treatment(all P<0.05),also showing statistically significant between-group differences(both P<0.05).Conclusion:The efficacy of additional EA plus long-snake moxibustion based on oral medications for RA due to kidney deficiency and cold coagulation is better than that of the oral medications alone.

Effect of electroacupuncture and herbal cakepartitioned moxibustion on anxiety and depression in patients with Crohn's disease in remission

Objective： To observe the effect of electroacupuncture （EA） and herbal cake-partitioned moxibustion on anxiety and depression in patients with Crohn＇s disease （CD） in remission. Methods： Sixty CD cases were randomly allocated into an EA group （n=30） and an herbal cake-partitioned moxibustion group （n=30） using the random number table by the ratio of 1：1. In addition, 30 healthy subjects were included in a control group. Bilateral Tianshu （ST 25）, Qihai （CV 6） and Zhongwan （CV 12） were used in the EA and herbal cake- partitioned moxibustion groups. The treatment was done 3 times a week, for a total of 12 weeks. The efficacy was evaluated using self-rating anxiety scale （SAS）, self-rating depression scale （SDS） and traditional Chinese medicine （TCM） symptom scores. Results： Before treatment, the SAS and SDS scores in CD patients were remarkably higher than those in healthy subjects. After EA or herbal cake-partitioned moxibustion treatment, the SAS and SDS scores were significantly decreased in both groups, showing significant intra-group differences （P〈0.05）; the symptom scores of abdominal pain （severity, frequency and duration）, bowel sounds/flatus and general fatigue were significantly decreased, showing significant intra-group differences （P〈0.05）; however, there were no between-group statistical differences （P〉0.05）. Conclusion： Both EA and herbal cake-partitioned moxibustion can significantly decrease abnormally high SAS and SDS scores in CD patients as well as TCM symptom scores. The two therapies share similar effects in alleviating common symptoms and improving anxiety and depression.

Point Electric Stimulation and Children＇s Amblyopia

Object： To observe the therapeutic efficacy of electric stimulation on points for children＇s amblyopia. Method： Ninety children amblyopia cases with ametropia upon correction were randomized into three groups： point electric stimulation, comprehensive conventional therapy and integrative therapy of the above two. And then visual function changes of kids in the three groups were observed. Results： Among the above three therapies, the recovery rates of point electric stimulation, comprehensive conventional therapy and integrative therapy of the two were 83.9%, 82.6% and 94.25 respectively, showing no significant difference （P〉0.05） among the three groups. Conclusion： Point electric stimulation has similar action with comprehensive conventional therapy in the treatment of children＇s amblyopia, and the combination of the two therapies has better effect, indicating point electric stimulation can speed up recovery of visual function of kids with amblyopia.

Different manual manipulations and electrical parameters exert different therapeutic effects of acupuncture

Acupuncture is an important component part of Traditional Chinese Medicine(TCM). The therapeutic effects may be influenced by a variety of factors.Stimulation quantity is one of the factors for achieving good therapeutic effects in acupuncture practice. With the development of science and technology, besides the influence of manual manipulations, the parameters adopted for electroacupuncture have become the benchmark of stimulation quantity. This study, by referring to the related literatures, is designed to explore the influence of manual manipulations and electrical parameters on therapeutic effects of acupuncture. The results from the present study show that different manualmanipulations and electrical parameters may exert different therapeutic effects of acupuncture, which are closely related to the characteristics of diseases.Different manual manipulations and electrical parameters should be adopted according to syndrome differentiation of TCM. This is very important in acupuncture treatment.

Clinical Study on Treatment of Simple Obesity Due to Spleen Deficiency by Acupuncture-moxibustion

Objective： To investigate the clinical effect of acupuncture-moxibustion therapy on simple obesity due to spleen deficiency. Method： Sixty-eight cases of simple obesity due to spleen deficiency syndrome, including internal dampness due to spleen deficiency, qi deficiency of lung-spleen, yang deficiency of spleen-kidney, were randomly allocated into two groups, treatment group （36 cases） and control group （32 cases）. The former group was treated with warm needling moxibustion method, and the latter was treated with electroacupuncture. The therapeutic effect and body weight （BW） were observed, respectively. Result： There was a significant difference between the two groups in the total effective rate （P〈0.05）; there was a significant difference between the two groups in the decrease of BW （P〈0.01）, furthermore, the long-term effect in warm needling moxibusiton group was better than that in the electroacupuncture group. Conclusion： The effect of needle warming moxibustion therapy on simple obesity due to spleen deficiency is accurate, and it is worth to spread.

Treatment of Lumbar Intervertebral Disk Herniation with Electric Acupuncture

Objective： To make objective evaluation on treatment of lumbar intervertebral disc herniation with electric acupuncture. Method： All 200 cases were randomly allocated into an observation group （100 cases） and a control group （100 cases）. Cases in the observation group were treated with electric acupuncture. Cases in the control group were treated with oral administration of Mobic. Result： The total effective rate in the observation group was 86.5%, and the total effective rate of the control group was 75.0%. There was a significant difference between the two groups （P〈0.01）. Conclusion： Electric acupuncture is a safe and remarkably effective way for lumbar intervertebral disc herniation.