基于“反阿是穴”理论针刺联合低能量体外冲击波治疗中风后上肢肌痉挛的临床研究

目的:探讨基于“反阿是穴”理论针刺联合低能量体外冲击波治疗中风后上肢肌痉挛的临床研究。方法:选择2022年3月—2023年12月天津市北辰区中医医院脑病科住院及门诊就诊的108例中风患者作为对象,依据随机数字表法分组,即分成对照组54例与治疗组54例。对照组采用低能量体外冲击波手段治疗,治疗组基于“反阿是穴”取穴理论,采用针刺联合低能量体外冲击波手段治疗,治疗5周后评估两组患者疗效,比较两组治疗前后临床痉挛指数评分、简式Fugl-Meyer运动功能评分量表、日常生活能力指数评分及改良Ashworth量表评分。结果:治疗5周后治疗组SCI、FMA、MBI评分均高于对照组(P<0.05)。治疗5周后治疗组改良Ashworth量表评分低于对照组(P <0.05)。结论:临床对中风后上肢肌痉挛患者采用基于“反阿是穴”理论针刺联合低能量体外冲击波治疗可使中风后上肢肌痉挛患者症状有效改善,明显使其上肢运动功能与日常生活能力提高。

阿是穴多针浅刺为主治疗偏头痛肝阳上亢证临床观察

目的:观察阿是穴多针浅刺为主治疗偏头痛肝阳上亢证的近期及远期临床疗效。方法:70例按随机数字表法分为针刺组和西药组各35例。针刺组予阿是穴多针浅刺为主针刺治疗,西药组予盐酸氟桂利嗪胶囊,两组均以14天为一疗程,治疗2个疗程。结果:治疗结束时针刺组总有效率94.29%、西药组80.00%,两组比较差异有统计学意义(P<0.05);治疗结束后6个月,针刺组总有效率85.71%、西药组71.43%,两组比较差异有统计学意义(P<0.05)。结论:阿是穴多针浅刺为主治疗偏头痛肝阳上亢证疗效显著,近期及远期疗效均优于盐酸氟桂利嗪胶囊。

针刺循经筋阿是穴治疗周围性面瘫的临床研究

目的探讨针刺循经筋阿是穴治疗周围性面瘫的临床疗效。方法选取收治的周围性面瘫患者80例,随机分成两组,每组40例,观察组采用针刺循经筋阿是穴治疗,对照组采用传统的针刺疗法治疗,观察两组治疗效果。结果观察组患者以及对照组患者治疗前的面神经功能总评分没有明显差异(P>0.05),没有统计学意义。观察组患者以及对照组患者在治疗后的面神经功能总评分都得到了明显升高,且观察组患者在治疗后的面神经功能总评分明显高于对照组,观察组患者的治疗总有效率明显高于对照组(P<0.05),有统计学意义。结论对周围性面瘫患者实施针刺循经筋阿是穴治疗,能够有效提升患者的面神经功能总评分,提高患者的治疗有效率,效果显著。

手法配合针刺治疗急性腰扭伤的疗效观察

目的观察自创腰椎正骨复位手法配合腰部阿是穴粗针灸针刺治疗对军事训练引起的急性腰扭伤的治疗效果。方法 32例急性腰扭伤患者以腰椎正骨复位、阿是穴针刺进行治疗,均1次,于治疗前后按照《中医病证诊断疗效标准》拟定疗效评定标准。结果 32例患者治疗后症状体征均得到明显改善,总有效率为96.88%。结论腰椎正骨复位、阿是穴针刺联合治疗急性腰扭伤疗效显著,安全可靠。

针刺阿是穴治疗神经性头痛42例

神经性头痛是一种常见病和多发病，目前有不少治疗头痛的药物，它们都有一定程度的止痛作用，却不能从根本上治疗，有的甚至有很严重的依赖性、成瘾性。笔者在1997年至2004年运用针刺疗法治疗神经性头痛42例，取得满意疗效，现报告如下。

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).

Traditional Chinese acupuncture manipulations and “dry needling”

In this paper, the authors studied the manipulation of ＂dry needling＂, reviewed Chinese ancient and modern literature of acupuncture-moxibustion, and found that ＂dry needling＂ is very similar to triple needling, superficial needling, joint valley needling, surround needling, and other traditional Chinese acupuncture- moxibustion manipulations; even if in modern China, before and after the invention of ＂dry needling＂, some unique therapies, such as oblique insertion therapy at Ashi point, sliver needling, Fu＇s subcutaneous needling, and long-round needling, were also invented. It can be seen that ＂dry needling＂ therapy is actually a kind of differentiation of traditional Chinese acupuncture- moxibustion in the international communication. The spread of traditional Chinese acupuncture-moxibustion in the West is the basis for the invention of ＂dry needling＂ therapy, and ＂dry needling＂ therapy develops and enriches traditional Chinese acupuncture-moxibustion.

Clinical application of “Ase point” by professor WEI Lian-hai

＂Ase points＂ refer to a kind of effective acupoints used in acupuncture- moxibustion treatment for various diseases of internal medicine, and the location with obvious color change on patient＇s skin is selected as treatment site. The method of diagnosis and treatment of diseases through examining the response of meridians and collaterals and acupoints on the body surface had been recorded in ancient books, however, it is rare during clinical acupuncture therapy to taking the color change on patient＇s skin as research emphasis, and taking these sensitive points as specific acupoints to conduct acupuncture- moxibustion therapy. The author explored and analyzed ＂Ase points＂ in terms of the nomenclature, acupoint selection method, and etc., and verified the application of ＂Ase points＂, providing a new idea for clinical diagnosis and treatment methods of acupuncture-moxibustion.

Therapeutic observation of superficial needling for hemifacial spasm

Objective： To observe the therapeutic efficacy of superficial needling in treating hemifacial spasm. Methods： Eighty patients with facial spasm were randomized into two groups by the random number table, 40 cases in each group. The observation group was intervened by superficial needling at local Ashi points and wrist-ankle acupuncture at the Upper 1, Upper 2 and Upper 3 points; while the control group was by ordinary acupuncture. For both groups, the treatment was given once a day, 7 times as a treatment course, and the therapeutic efficacy was evaluated after 3 courses. Results： The total effective rate and recovery rate were respectively 97.5% and 57.5% in the observation group versus 85.0% and 37.5% in the control group, and the differences were statistically significant （P〈0.05）. Conclusion： Superficial needling can produce a more significant efficacy in treating hemifacial spasm than ordinary acupuncture.

Clinical Study on Treatment of Myofascial Pain Syndrome with Ashi Points

Objective： To investigate the clinical efficacy of Ashi points in the treatment of myofascial pain syndrome. Method： A hundred and fifty cases were randomized into a treatment group and a control group by the order of visit. The cases in the treatment group were treated with ＂Stuck Needle＂ method in Ashi points plus tuina manipulations. The cases in the control group were treated with external local application of Votalin. The cases in both groups were treated once a day and 10 times made up one course. Results： Among 90 cases in the treatment group, 18 got clinical recovery, 34 got marked effect, 34 got certain effect, the marked effective rate was 57.8% and the total effective rate was 94.4%; while among 60 cases in the control group, 1 got clinical recovery, 18 got marked effect, 15 got certain effect, the marked effective rate was 31.7% and the total effective rate was 73.3%. Statistical management showed P〈0.01, indicating a significantly better effect in the treatment group. In addition, ＂Stuck Needle＂ method in Ashi points plus tuina manipulations can effectively improve local pain, tenderness, muscle spasm and motion range of joints, and can obtain significantly better effect for muscle spasm and motion range of joints. Conclusion： This therapy is safe, reliable and effective, and therefore worth spreading for clinical application.