汪慧敏教授以隔药饼灸为主治疗慢性盆腔炎经验

汪慧敏教授是浙江省首批中青年名中医培养对象,其对妇科病的针灸治疗有独特的思路和方法。其治疗慢性盆腔炎采用隔药饼灸关元、次髎二穴的疗法,通过艾灸热源和药饼效力改善盆腔局部血液循环和组织营养状态,有利于炎症包块的吸收和消散,改善盆腔充血、瘀血及慢性瘢痕粘连,最终达到止痛消炎的目的。

浮针结合隔药饼灸治疗顽固性肱骨外上髁炎临床研究

目的:观察浮针结合隔药饼灸治疗顽固性肱骨外上髁炎的临床疗效。方法:将80例顽固性肱骨外上髁炎患者随机分为两组,每组40例。浮针组采用浮针结合隔药饼灸治疗,电针组采用电针结合隔药饼灸治疗,两组在治疗3个疗程后进行疗效评定。结果:浮针组治愈率为90.0%,总有效率为100%;电针组治愈率为52.5%,总有效率为87.5%,两组疗效差异有统计学意义(P<0.05)。结论:浮针结合隔药饼灸治疗顽固性肱骨外上髁炎疗效明显优于电针。

夺命穴隔药饼灸护理方法治疗轻微型肝性脑病随机对照研究

目的:观察夺命穴隔药饼灸护理方法治疗轻微型肝性脑病的临床疗效。方法:对54例患者随机分配入对照组、夺命穴隔药饼灸护理组、乳果糖组,每组18例。对照组采用一般护理常规及常规治疗,夺命穴隔药饼灸护理组在一般护理常规及常规治疗基础上给予夺命穴隔药饼灸法护理,乳果糖组在对照组基础上给予口服乳果糖治疗,每次30 m L,3次/d。治疗15 d后,通过脑电图、事件相关电位P300检测评价临床疗效。结果:3组自身治疗前后在P300检测、脑电图检测的差异均有统计学意义(P<0.05);治疗后夺命穴隔药饼灸护理组在P300检测、脑电图检测中疗效优于其它2组(P<0.05)。结论:夺命穴隔药饼灸法护理治疗轻微型肝性脑病疗效明显优于对照组和乳果糖组。为治疗轻微型肝性脑病提供新的有效的护理方法。

隔药饼灸治疗溃疡性结肠炎30例

目的:观察隔药饼灸治疗溃疡性结肠炎的临床疗效。方法:30例溃疡性结肠炎患者予以隔药饼灸治疗,日1次,10次为1个疗程,3-5个疗程后观察疗效。结果:治愈25例,占83.3%;好转4例,占13.3%;无效1例,占3.4%,总有效率为96.6%。结论:隔药饼灸治疗溃疡性结肠炎操作简便,治愈率高,值得推广。

排刺隔药饼灸治疗臀上皮神经卡压综合征临床疗效观察

目的：比较排刺隔药饼灸、排刺、常规针刺治疗臀上皮神经卡压综合征的临床疗效差异。方法：将105例患者随机分为排刺药饼灸组、排刺组和常规针刺组,每组35例。排刺药饼灸组与排刺组均于腰臀病变部位痛性筋束区行排刺治疗,并配合TDP神灯照射,排刺药饼灸组排刺结束后于痛性筋束区行隔药饼灸;常规针刺组采用循经取穴法,依经脉循行路线取委中、阳陵泉、秩边、环跳、三阴交、L_1~L_5夹脊穴,并配合TDP神灯照射。各组均每天治疗1次,治疗4周,比较治疗后疼痛评分改善情况。结果：各组治疗4周后疼痛评分均明显降低（均P〈0.05）,治疗4周后排刺药饼灸组和排刺组疼痛评分较常规针刺组明显降低（均P〈0.05）,排刺隔药饼灸组疼痛评分较排刺组明显降低（P〈0.05）。治疗4周后排刺药饼灸组和排刺组显效率分别为88.6%（31/35）、68.6%（24/35）均高于常规针刺组的40.0%（14/35）（均P〈0.05）,排刺隔药饼灸组显效率高于排刺组（P〈0.05）。结论：排刺药饼灸疗法治疗臀上皮神经卡压综合征的临床疗效肯定,优于单纯排刺和常规针刺治疗。

Effects of moxibustion on the P2X7R/STAT3/VEGF pathway in rats with colitis-associated colon cancer

Objective:To observe the effects of herb-partitioned moxibustion and ginger-partitioned moxibustion on the growth of colon tumors in rats with colitis-associated colon cancer(CACC),and explore the mechanism of moxibustion intervening CACC through the purinergic receptor P2X ligand-gated ion channel 7(P2X7R)/signal transducer and activator of transcription 3(STAT3)/vascular endothelial growth factor(VEGF)pathway.Methods:A total of 26 male Sprague-Dawley rats were selected.According to the random number table method,6 rats were selected as the normal group.The remaining 20 rats were injected intraperitoneally with azoxymethane(AOM)combined with oral dextran sodium sulfate(DSS)to prepare the CACC model.After the model was successfully established,2 rats were randomly selected for model identification.The remaining 18 rats which were successfully modeled were randomly divided into a model group,a herb-partitioned moxibustion group and a ginger-partitioned moxibustion group,with 6 rats in each group.Moxibustion intervention was performed in the herb-partitioned moxibustion group and the ginger-partitioned moxibustion group at Qihai(CV 6)and bilateral Tianshu(ST 25).Moxibustion was performed twice at each point each time,once a day,at a 1-day interval after 6 consecutive interventions,for a total of 30 interventions.After intervention,the colon tumor load,pathological change and histopathological score were observed.Immunohistochemistry was used to detect the expressions of VEGF,P2X7R,phospho-STAT3(p-STAT3),and nuclear factor-kappa B p65(NF-κB p65)proteins in rat colon tissue.Western blot was used to detect the levels of p-STAT3 and NF-κB p65 proteins in rat colon tissue.Results:Compared with the normal group,the colon tumor load and histopathological score in the model group were significantly increased(both P<0.001),and different grades of dysplasia were observed in colon tissue from the model group,reaching the degree of adenocarcinoma;the expression level of P2X7R protein in colon tissue was significantly decreased(P<0.001),and the expression levels of p-STAT3,NF-κB p65 and VEGF proteins were significantly increased(all P<0.001)in the model group.Compared with the model group,the colon tumor load,colon histopathological score and the levels of p-STAT3,NF-κB p65 and VEGF proteins in colon tissue were significantly decreased(all P<0.05)in the herb-partitioned moxibustion group and the ginger-partitioned moxibustion group while the expression levels of P2X7R protein in colon tissue were significantly increased(both P<0.05).Conclusion:Both herb-partitioned moxibustion and ginger-partitioned moxibustion can reduce the colon tumor load in CACC rats and delay the progression of colon adenomas.The mechanism may be mediated by the P2X7R/STAT3 pathway to inhibit STAT3 phosphorylation,thereby reducing VEGF protein expression.