针灸联合推拿治疗腰椎间盘突出症25例

目的：观察针灸联合推拿治疗腰椎间盘突出症的临床疗效。方法：将50例腰椎间盘突出症患者采用随机数字表法随机分为治疗组和对照组各25例,对照组采用单纯推拿治疗,每周连续治疗5次;治疗组在对照组治疗基础上加用针灸治疗（阿是穴、腰部夹脊穴、腰阳关、肾俞、命门、大肠俞、秩边、环跳、委中、飞扬、太冲等穴）,1 d 1次,待患者病情好转后改为2 d 1次。两组均以10次为1个疗程,2个疗程之间间隔5~7 d,治疗2个疗程后判定疗效。结果：治疗组治愈13例,好转10例,未愈2例,有效率为92.0%;对照组治愈7例,好转9例,未愈9例,有效率为64.0%。两组对比,差别有统计学意义（P〈0.05）。结论：针灸推拿联合治疗腰椎间盘突出症有较好疗效,可加速疾病的痊愈,增强患者依从性。

综合康复疗法治疗脑卒中后肩-手综合征60例

目的:探讨早期综合康复对脑卒中后肩-手综合征治疗的疗效。方法:对60例患者采用肢体按摩、水疗、针灸治疗、高压氧治疗和心理干预等多种方法治疗。结果:总有效率93.2%。结论:表明早期综合康复治疗脑卒中后肩-手综合症可取得显著效果。

穴位注射结合针灸治疗带状疱疹后遗症96例

目的:观察穴位注射配合针灸治疗带状疱疹后遗症临床疗效。方法:96例均采用穴位注射配合针灸治疗,穴位注射10次为一个疗程。结果:总有效率100%。结论:穴位注射结合针灸治疗带状疱疹效果好。

腹背阴阳配穴治疗肝郁化火型中风后抑郁症72例

目的:观察腹背阴阳配穴治疗肝郁化火型中风后抑郁症的临床疗效。方法:选择中风后抑郁患者144例,按1∶1的比例随机分为两组。对照组给予头针治疗(额中线,额旁1线,额旁2线,额旁3线),1周治疗5 d。治疗组给予腹背阴阳配穴针刺(肝俞、脾俞、肾俞、京门、期门、章门),1 d1次,1周治疗5 d。两组均治疗4周后判定疗效。结果:治疗组痊愈15例,显效26例,有效24例,无效7例,有效率为90.28%;对照组痊愈14例,显效20例,有效23例,无效15例,有效率为79.17。两组对比,差别有统计学意义(P<0.05)。结论:腹背阴阳配穴治疗肝郁化火型中风后抑郁症疗效确切。

补肾活血助孕汤联合针刺和人绒毛膜促性腺激素治疗未破裂卵泡黄素化综合征30例

目的:观察补肾活血助孕汤联合针刺和人绒毛膜促性腺激素治疗治疗未破裂卵泡黄素化综合征的临床疗效。方法:将60例本院门诊就诊的未破裂卵泡黄素化综合征患者采用随机数字表法随机分为2组,对照组30例于B超监测提示优势卵泡平均直径≥18 mm时给予人绒毛膜促性腺激素5 000～10 000 IU肌肉注射治疗;治疗组30例在对照组治疗基础上于月经周期或雌、孕激素撤退性出血的第5天开始服用补肾活血助孕汤,同时配合针灸疗法,当优势卵泡直径≥16 mm时取关元、中极、三阴交、血海、气海、肾俞穴行针灸促排卵治疗。2组均以3个月经周期为1个疗程,治疗1个疗程。结果:治疗组排卵率和妊娠率均高于对照组(P<0.01);治疗组肌肉注射HCG 48 h后卵巢动脉血流阻力指数明显低于对照组(P<0.01)。结论:补肾活血助孕汤联合针灸和人绒毛膜促性腺激素治疗能提高未破裂卵泡黄素化综合征患者卵泡排卵率,降低卵巢动脉血流阻力指数,有效预防未破裂卵泡黄素化综合征发生。

刚柔相济综合康复方案治疗中风病恢复期临床研究

目的:评价刚柔相济综合康复方案治疗中风后遗症的有效性及安全性。方法:对照组采用内科治疗及现代康复治疗,治疗组采用中风病刚柔相济综合康复方案。治疗前后对患者进行中风病人功能独立性评定两、中医主要症状评分、改良Rankin量表评分。结果:两组均可增加中风病人功能独立性评定得分,改善中风病中医主要症状评分,提高患者的生活能力。两组间对比,治疗组优于对照组(P<0.05)。结论:中风病恢复期两种治疗方案中,刚柔相济综合康复方案优于常规治疗方案。

针刺人中、后溪穴治疗急性腰扭伤32例疗效观察

本人采用针刺人中、后溪穴治疗急性腰扭伤３２例，取得总有效率９０．２５％的良好效果。

CURRENT SITUATION OF CHINESE REHABILITATION TREATMENT OF CEREBRAL PALSY

Analyze present situation of treatment of cerebral palsy at home and abroad, review in detail concrete methods and studies of mechanisms of acupuncture and moxibustion as main therapeutic way adopted at home, probe characteristics and models of Chinese rehabilitation treatment for cerebral palsy. Results indicate that acupuncture and moxibustion treatment of cerebral palsy has very great potential social and economic results. Therefore, it is appropriate to approach establishment of a comprehensive rehabilitation system of cerebral palsy with Chinese characteristics, and with acupuncture and moxibustion used as main way.

Clinical Application of the Point Yongquan

Yongquan (KI 1) is a jing (well) point of the Kidney Meridian of Foot-Shaoyin. As this point is widely used for treatment of acute or chronic diseases, it has drawn attentions from physicians both in the ancient and in the present times. If this point is taken accurately and the differentiation of disease is made properly, both the needling and the external drug application can achieve satisfactory therapeutic results.

EFFICACY OF ACUPUNCTURE THERAPY ON A, B AND O BLOOD GROUPS ──Relationship between A, B, O blood groups and the acupuncture therapy

Efficacy of acupuncture therapy varies in patients with similar ailments. The present study was undertaken to search for a marker for better efficacy of acupuncture therapy. The study was made in 224 patients including osteoarthritis 141 (62.94 %), polyarthritis 23 (10.26 %), Bursitis & synovitis 15 (6.69 %) and others 45 (20.08 %). ABO blood groups were tested for each patient. It appears that patients belonging to group AB and B responded well to acupuncture therapy in proportionately more number. Good result was achieved in 47.82 % cases in group AB and 46.04 % cases in group B, whereas patients of group A and O showed good result in 27.65 % and 26.15 % cases respectively. Apparently it may be concluded that patients of AB & B blood groups would respond comparatively well to acupuncture therapy.

80 CASES OF PROLAPSE OF LUMBAR INTERVERTEBRAL DISC TREATED BY ROUND-SHARP NEEDLE

Objective: To observe the therapeutic effect of round-sharp needle for prolapse of lumbar intervertebral disc. Methods: A total of 80 cases of lumbar intervertebral disc prolapse were treated by puncturing Qihaishu (气海俞 BL 24), Guanyuanshu (关元俞 BL 26), etc., with round-sharp needle, once every week, continuously for 4 sessions. Results: After the treatment, of the 80 cases, 56 (70 %) were cured, 16 (20%) improved,and 8 (10)%) failed, with an effective rate of 90%. Conclusion: Round-sharp needle works well in the treatment of prolapse of lumbar intervertebral disc.

THEORETICAL ANALYSIS ON THE DEPTH OF NEEDLE-INSERTION

In the present paper, the author sums up and analyzes descriptions about needle-insertion depth in Chinese classical medical book Huang Di Nei Jing (《黄帝内经》The Yellow Emperor’s Internal Classic). In many chapters of Nei Jing, the needle-insertion depth is stressed to be various according to 1) the deficiency or excess of syndromes, 2) the patients’ constitution, 3) the severity of disease, 4) the duration of disease, 5) the location of disease, 6) the patient’s age, 7) the location of the needled acupoint, 8) the season, 9) the patient’s temperament, 10) the pulse condition, 11) the state of “Deqi”, and 12) the location of the running course of meridians. In addition, different kinds of diseases and different stages of diseases also need different depths of needle insertion, different manipulating skills and different stimulating quantity.

MY UNDERSTANDINGS ABOUT ACUPUNCTURE TREATMENT OF LUMBAGO ACCORDING TO SYNDROME-DIFFERENTIATION

In the present paper, the author introduces his individual experience and understandings about acupuncture treatment of lumbago from ① pathogenic causes and pathogenesis, ② syndrome differentiation and analysis, ③ therapeutic methods, ④ treatment according to differentiation of syndromes, and ⑤ key points about treatment of lumbago. The author stresses that in the treatment of lumbago, never forget reinforcing the kidney and treat both the primary and secondary aspects of the disease at the same time.

ACUPUNCTURE FOR TRERTING 120 CASES OF HYPERPLASIA OF MAMMARY GLANDS

Objective: To observe the therapeutic effect of acupuncture therapy for 120 cases of hyperplasia of mammary glands. Methods: These patients were classified into liver-qi-stagnation type (n=53), phlegm-coagulation type (n=30) and Thoroughfare-Conception vessel maladjustment type (n=37). Acupoints used were Qimen (期门 LR 14), Wuyi (屋翳 ST 15), Weishu (胃俞 BL 21), etc.. Acupuncture treatment was conducted once daily and 30 treatments constituted one therapeutic course. Results: After 3 courses of treatment, of the 53, 30 and 37 cases of the liver-qi-stagnation, phlegm-coagulation and Thoroughfare-Conception vessel maladjustment types, 43 (81.1%), 24 (80.0%) and 29 (78.4%) were cured, 7 (13.2%), 5 (16.7%)and 5 (13.5%) markedly improved, 3 (5.7%), 1 (3.3%) and 2 (5.4%) improved respectively, and 1 (2.7%) of Thoroughfare-Conception vessel maladjustment type failed. A two-years’ follow-up showed that 3 of the cured 92 cases had a relapse, and after 2 more courses of treatment, they were cured again. Conclusion: Acupuncture therapy is effective for the treatment of hyperplasia of mammary glands.

OBSERVATION ON THE THERAPEUTIC EFFECT OF BIRD-PECKING MOXIBUSTION OF SPECIFIC ACUPOINTS IN THE TREATMENT OF FUNCTIONAL DYSPEPSIA

Objective: To observe the therapeutic effect of moxibustion of some specific acupoints for treatment of functional dyspepsia (FD, qi-distension type). Methods:A total of 50 cases of FD patients were randomly divided into treatment group (n=26) and medication group (n=24). In treatment group, bird-pecking moxibustion was applied to Zhongwan (CV 12), Qihai (CV 6), Neiguan (PC 6) and Gongsun (SP 4) 5～6 times in every treatment till the local skin got flush. The treatment was given once daily, continuously for 10 days. In control group, the patients were ordered to take Motilium 10 mg/time, 3 times daily. Following 10 days’ treatment the therapeutic effect was assessed.Results:After treatment, of the 26 cases in treatment group, 11 (42.3%) were cured, 7 (26.92%) had remarkable improvement in their symptoms, 6 (23.07%) had improvement and 2 (7.69%) failed, with a total effective rate of 92.31%. Of the 24 cases in medication group, 9 (37.50%) were cured, 6 (25.00%) experienced remarkable improvement in their symptoms, 6 (25.00%) were improved and 3 (12.50%) failed, with a total effective rate of 87.50%. Comparison between two groups showed that the therapeutic effect of moxibustion was significantly superior to that of medication (P<0.05). In addition, the difference value of the therapeutic effect index (TEI) between post-and pre-treatment in treatment group was also significantly higher than that of medication group (P<0.05). Conclusion: Bird-pecking moxibustion of specific acupoints can effectively improve clinical symptoms of FD patients.

OBSERVATION ON THE THERAPEUTIC EFFECT OF ACU-MOXIBUSTION OF DIFFERENT ACUPOINT GROUPS IN STROKE PATIENTS IN CONVALESCENCE STAGE

Objective: To observe and compare clinical therapeutic effect of acupuncture and moxibustion at different acupoint groups in stroke patients in the convalescence stage. Methods: Sixty stroke patients were evenly randomized into yin-meridian group and yang-meridian group. On the basis of the treatment with Chinese and Western medicines, these stroke patients of two groups were treated mainly by acupuncture of acupoints of yin meridians such as Jiquan (极泉HT 1), Tongli (通里HT 5), Neiguan (内关PC 6), etc., and those of yang meridians as Jianyu (NFDA1 LI 15), Quchi (曲池 LI 11), Shousanli (手三里LI 10), etc. respectively. After 30 days’ treatment, the therapeutic effect was evaluated by using American National Institutes of Health Stroke Scale (NIHSS), Hamilton Depression (HAMD) Rating Scale, Mini-Mental State Examination (MMSE), Barthel Index and Activities of Daily Living (ADL) Scale. Results: Following treatment, the therapeutic effect of yin-meridian group was significantly superior to that of yang-meridian group in improving stroke patients’ neurological deficits [Level B: 50% (15/30) vs 20% (6/30)] and ADL [Level Ⅱ: 40% (12/30) vs 13.3% (4/30)]. No significant difference was found between two groups in the neurological impairment domains. Conclusion: Acu-moxibustion of acupoints of yin meridians is superior to acupoints of yang meridians in improving stroke patients’ neurological impairment and daily living activities.

EFFECT OF ACUPUNCTURE ON HYPERLEPTINAEMIA AND HYPERINSULINEMIA IN OBESITY RATS

Objective: To observe the effect of acupuncture on hyperleptinaemia and hyperinsulinemia for studying its underlying mechanism about anti-obesity and reducing blood lipid in obesity rats. Methods: A total of 80 SD rats were randomized into normal control, model, acupuncture and medication groups, with 20 cases in each group. Hypothalamic obesity model was established by subcutaneous injection of 15% sodium glutamate (0.2 mL/10 g body weight), once daily and continuously for 5 days. “Zusanli” (足三里 ST 36), “Sanyinjiao”(三阴交 SP 6), “Guanyuan”(关元 CV 4) and “Zhongwan”(中脘 CV 12) were punctured and stimulated electrically (100 Hz, dense-sparse waves, and a suitable strength inducing local muscular tremor) for 15 min, once daily. In medication group, rats were fed with Sibutramine 4 mg/kg, once daily. After 4 weeks’ treatment, Lee’s index was detected, and serum leptin and insulin contents were determined by radioimmunoassay (RIA). Results: Compared with normal control group, Lee’s index, serum leptin and insulin contents of model group increased significantly (P<0.01). Comparison between acupuncture and model groups, Lee’s index and serum leptin of acupuncture group decreased significantly (P<0.01), and serum insulin level also lowered. In comparison with model group, Lee’s index, serum leptin and insulin levels of medication group also lowered. Comparison between acupuncture and medication groups showed that Lee’s index and serum leptin level of acupuncture group were significantly lower than those of the later group (P<0.01), displaying that the therapeutic effect of acupuncture is better than that of Sibutramine in lowering Lee’s index and serum leptin. No significant differences were found between acupuncture and medication groups in body weight and length and serum insulin(P>0.05). Conclusion: Acupuncture can effectively reduce Lee’s index, serum leptin and insulin contents in fasting obese rats, which may contribute to its effect in anti-obesity.

OBSERVATION ON THE THERAPEUTIC EFFECT OF ACUPUNCTURE THERAPY FOR SIMPLE OBESITY COMPLICATED WITH PREMENSTRUAL TENSION SYNDROME

Objective: To observe the therapeutic effect of acupuncture therapy in the treatment of simple obesity complicated with premenstrual tension syndrome. Methods: A total of 39 cases of simple obesity complicated with premenstrual tension were treated by combination of body acupuncture and otoacupuncture based on syndrome-differentiation of traditional Chinese medicine (TCM). Symptoms, physical signs, obesity indexes and cumulative scores of clinical disease-syndrome before and after treatment were analyzed and compared. Results: After one, two and three courses of treatment, the effective rates were 69.23%, 79.49% and 87.18% respectively. Conclusion: Acupuncture therapy works well in the treatment of simple obesity with concurrent premenstrual tension syndrome.

CLINICAL SIGNIFICANCE OF "TREATING VITALITY" AND "RESERVING VITALITY"

“Treating vitality”and“ reserving vitality”are very important manipulations during acupuncture treatment of diseases.“Treating vitality” comprises adjusting and treating both the acupuncture doctor＇s and the patient＇s vitality; while “reserving vitality” demands the acupuncture doctor carefully to experience the sensations of ＇excess＇ or ＇deficiency＇ under the needle, wait for the arrival of qi, observe the patient＇s responses, and then perform reducing or reinforcing needling manipulations in accordance with the state of excess-or deficiency-syndrome. “Treating vitality”and “reserving vitality” impenetrate the whole process of acupuncture treatment all along. Through years＇ clinical practice, the author of the present paper discusses the functions of the two aspects in every stage of acupuncture treatment, including before acupuncture, during needle insertion, during retention and withdrawal of the needle. The purpose of this paper is to explain the clinical significance of treating and reserving vitality and arouse many acupuncture doctors＇attention.

ADVANCES IN CLINICAL AND EXPERIMENTAL STUDIES ON ACUPUNCTURE TREATMENT OF ACUTE CEREBRAL HEMORRHAGE

In the present paper, the authors review recent advances in clinical and experimental studies on acupuncture treatment of cerebral hemorrhage(CH). Regarding clinical studies, the resuscitation-inducing needling maneuver, and main points of Shuigou(水沟GV 26),Baihui(百会 GV 20) and scalp-points Motor Area(MS 6), Sensory Area(MS 7), etc. are often involved. Concerning experimental studies, the underlying mechanisms of acupuncture of GV-26+“Neiguan”(内关 PC 6), GV-20,GV-26+GV-20, etc. in improving acute CH are introduced. In a word, acupuncture therapy works well in improving clinical symptoms and signs of CH patients, and acupuncture stimulation induced ameilioration of cerebral blood flow, favorable modulation of some bioactive substances as excitatory and inhibitory amino acids, endothelin, CGRP, heat shock protein 70, etc. and neuro-endocrine-immune network may contribute to the effect of acupuncture on CH. In addition, acupuncture combined with medicine and earlier application of acupuncture therapy in the acute stage of CH are recommended in clinical practice.