A Meta-analysis of the spirit turtle eight method Acupuncture Therapy for Insomnia

Objective:To systematically evaluate the efficacy and safety of the spirit turtle eight method acupuncture therapy in the treatment of insomnia,to better serve the clinic and provide reference ideas for the treatment of insomnia.Methods:Search CNKI,CBM,Wanfang,Weipu,China Clinical Trial Registry databases on the use of the spirit turtle eight method compared with others interventions to treat insomnia.The search period is from the library until August 1,2021,two researchers will conduct independent quality evaluation and effect size extraction on the literature,and use STATA16.0 and Review5.3 to conduct Meta analysis and quality evaluation on the literature.Through screening,a total of 18 eligible documents participated in the meta-analysis,with a total of 1583 cases.Results:①The effective rate of the spirit turtle eight method in the treatment of insomnia is higher than the control group[RR=1.213,95%CI(1.155,1.274),Z=7.71,P<0.01];②The Pittsburgh Sleep Quality Index(PSQI)score is lower than other acupuncture treatments[WMD=-2.33,95%CI(-2.75,-1.91),Z=10.97,P<0.01];③The one-month follow-up PSQI score after the treatment of insomnia by the spirit turtle eight method is lower than the control group[WMD=-3.263,95%CI(-3.446,-3.080),Z=34.96,P<0.01];④No studies have reported serious adverse reactions in the treatment group and control group.Conclusion:Based on the current research,the spirit turtle eight method are better than the control group in the treatment of insomnia,and are suitable for clinical application.However,more high-quality clinical studies are still needed to prove its efficacy.

Acupuncture and moxibustion for treatment of Crohn’s disease:A brief review

Crohn’s disease(CD)is a kind of intestinal inflammatory disease that can affect any part of the gastrointestinal tract and the incidence rate of CD is gradually increasing worldwide.Acupuncture and moxibustion have unique curative effects on gastrointestinal diseases and can be new options for the treatment of CD.

Administration of the Acupuncture and Moxibustion in Clinical Treatment of Fractures

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“Focusing on Treating the Spirit(神)”in Acupuncture and Moxibustion:The Dialectical Unity of Regulating the Body and the Spirit

“Focusing on treating the spirit(神)”is an important principle in acupuncture and moxibustion.It is a unique psychosomatic therapy involving the doctor and the patient,which includes regulating the spirit and the body.Traditional Chinese medicine attaches great importance to it.Focusing on treating the spirit is also a component of the standards of medical ethics.Only when doctors have noble medical ethics can they achieve clinical treatment of the mind and give full play to their skills to cure diseases.Focusing on treating the spirit runs through the entire clinical process of acupuncture and moxibustion.Before the treatment,it is necessary to focus on the spirit to distinguish the spirit and qi.During the treatment,attention should be paid to the mind to regulate the spirit and qi.It is the premise of clinical diagnosis and treatment of acupuncture and moxibustion and the key to the curative effect.Focusing on treating the spirit is also in the realm of doctor-patient double treatment,which requires doctor-patient communication before treatment and the preservation of the body and spirit after treatment.Therefore,concentration of the mind is the key to acupuncture and moxibustion treatment.

CLINICAL OBSERVATION ON COMBINED TREATMENT OF VASCULAR DEMENTIA WITH ACUPUNCTURE, MOXIBUSTION AND CHINESE MEDICINAL HERBS

In the present study, the clinical effect of acupuncture, moxibustion plus Chinese medicinal herbs for treatment of 30 cases of vascular dementia (VD) was observed and their mechanisms were analyzed by determining the activity of SOD, LPO and GSH-Px. Results showed that after 2 months’combined treatment, of the 30 cases, 12 had marked improvement, 15 had improvement and 3 had not any improvement, with an effective rate of 90%; the activity of SOD and GSH-Px increased considerably while the content of LPO lowered strikingly. There were significant differences between pre-and post-treatment in the activity of SOD and GSH-Px and the content of LPO (P<0. 01). It reveals that this method is capable of improving VD patients’ clinical symptoms and signs such as headache, dizziness, hemi-paralysis or hemianesthesia, forced crying and laughing, etc.and also raising the ability of the body in removing oxygen free radical, and suppressing peroxidization of free radical to reduce its products, thereby alleviating the toxic effect of oxygen free radical on the brain tissues.

APPLICATION OF PRINCIPLE OF "PREVENTION IN PREFERENCE TO TREATMENT OF DISEASES" IN ACUPUNCTURE-MOXIBUSTION CLINIC

In the present paper the author reviews the viewpoint of 'preventive treatment of diseases' in the ancient literature of traditional Chinese medicine (TCM) and its clinical application from ① prevention first before the occurrence of diseases; and ② preventing development after onset of diseases. In the preventive treatment of diseases, the ancient Chinese doctors usually ① regulated qi of both Conception Vessel and Governor Vessel for health care; ② performed regular moxibustion; and ③ applied plaster to the acupoint in summer for treating winter-diseases. In the treatment of diseases after onset, the ancient Chinese usually ① tried best to make early diagnosis and early treatment; and ② strengthened the related internal organ in advance to check their development; and ③ employed appropriate remedies to recuperate the patient's health.

Study and Discussion on Acupuncture Treatment of Urticaria

OBJECTIVE:To explore the etiology and pathogenesis of urticaria and its characteristics,advantages of acupuncture and moxibustion treatment of it and the commonly used acupoints,with a prospect of providing clinical guidance for other doctors.METHODS:Methods and views of urticaria treatment with acupuncture and moxibustion were summarized and the representative acupoints were found out by retrieving related literatures in recent years.RESULTS:Traditional Chinese medicine holds that urticaria is caused by weakness and leads to the wind stroke knot on the skin,which fights against qi and blood and generates wheal..Acupuncture therapy has its unique advantages in treating,which is worth clinical reference and promotion,however,there are still some problems in its clinical study.CONCLUSION:Acupuncture therapy should be combined with reinforcing qi and nourishing blood,detoxification dehumidification,dispelling wind and arresting itching as the principle,as according to the the principle that different symptomsmatch with the corresponding points after selecting the main point.Physiciansshould treat patients by choosing acupuncture point according to the law of syndrome differentiation in selecting,tired to choose acupuncture point,local pick acupuncture point and choosing particular points.As urticaria may attack in any season,in any place and on any person.Therefore,the prevention and treatment of urticariais a protracted war,and needs to strengthen the nursing in the treatmentto achieve the desired effect.

INFLUENCE OF DIFFERENT INTERVALS OF ACUPUNCTURE TREATMENT ON BONE INTENSITY IN PRIMARY OSTEOPOROSIS PATIENTS

Objective: To observe the influence of different intervals of acupuncture treatment on bone intensity in primary osteoporosis subjects. Methods: A total of 45 cases of primary osteoporosis female patients were randomly divided into 1 treatment/week (1-T/W), 2 treatments/week (2-T/W) and 3 treatments/week (3-T/W) groups, with 15 cases being in each group. Guanyuan (CV 4), Zusanli (ST 36), Sanyinjiao (SP 6), Shenshu (BL 23), Taixi (KI 3) and Pishu (BL 20) were used and stimulated with reinforcing needling manipulation. For patients with deficiency syndrome of kidney-yang, thermal acupuncture was applied to Shenshu (BL 23), and for patients with spleen-deficiency syndrome, thermal acupuncture applied to Zusanli (ST 36). Results: After 6 months’ treatment, in 1-T/W group, no apparent change of bone intensity was observed, while in 2-T/W and 3-T/W groups, the bone intensity was increased significantly (P<0.05, 0.01). Conclusion: Acupuncture plus moxibustion treatment twice or 3 times every week can obviously improve the bone intensity.

异位妊娠中西医结合保守治疗的现状和展望

异位妊娠作为一种常见的妇科急症,其治疗策略的优化对于提升育龄女性生殖健康具有重要意义。该文综合分析了中西医结合在异位妊娠保守治疗中的应用现状,并探讨了其未来发展趋势。通过对甲氨蝶呤单药治疗和腹腔镜手术等西医传统方法的评估,与中医药治疗如中药、针灸和推拿等方法的综合疗效进行对比,揭示了中西医结合治疗在提高治疗效果和降低副作用方面的潜力。展望未来,个体化治疗方案、微创技术的进步和中药新药的开发,预计将为异位妊娠的保守治疗提供更广阔的视野。本综述强调了中西医结合治疗异位妊娠的优势,并为其在临床实践中的深入应用提供了科学依据。

从神论治精神障碍针刺康复思路探析

针灸为中医学的重要组成部分,以迅速、神奇的临床效果展现着强大的生命力,并一直被广泛应用于各种精神障碍疾病的治疗中。这说明针灸在诊治精神障碍方面的疾病具有很好的研究潜力和应用价值,彰显了中医学的特色和优势。作者近年来在精神卫生临床实践中,以“从神论治”为理论依据,运用针刺治疗精神障碍有所心得,遂通过该文详细总结了当下常用的调神、解郁、振阳、健中针刺之法以及针刺之方、针刺之悟等中医康复思路,以期为从事精神卫生针灸临床工作的同仁们提供参考,促进学术交流,助力针灸事业更好地传承与发展,精益求精,造福群众。

以经络辨证为基础结合《黄帝内经》相关条文构建咽痛诊疗思路探析

针灸的临床辨证方法有多种,而以经络理论为基础的辨经论治则是针灸有别于传统方药、最具特色的辨证方法。此文通过整理《黄帝内经》中关于咽喉经脉循行、咽痛针刺穴位、操作方面的条文,及结合近年来运用经络理论辨证治疗咽痛的体悟,对二者进行归纳、分析、总结,尝试构建以循行经络为基础结合咽痛具体性质辨别病变所在经脉,以循经远端取穴、刺络放血、缪刺等方法灵活处理咽痛,集诊断、治疗为一体,较系统的诊治思路,以期为提高针灸治疗咽痛的临床效果,运用经典理论指导实践做一些积极探索。

针刺治疗抑郁症腧穴配伍规律及刺灸法应用特点

目的基于复杂网络技术分析针刺治疗抑郁症的腧穴配伍规律及刺灸法应用特点,为抑郁症针刺处方的制定提供依据和思路。方法检索中国知网(CNKI)、万方数据知识服务平台(万方数据)、维普资讯中文期刊服务平台(VIP)、中国生物医学文献数据库(CBM)、PubMed、Embase、Cochrane Library、Web of Science建库至2022年9月21日针刺为主治疗抑郁症的相关临床研究文献,根据纳入排除标准筛选文献,建立针刺抗抑郁临床文献数据库,使用Excel2010对腧穴进行频次分析,运用SPSS Modeler 18.0进行关联规则分析,采用Gephi0.9.5进行复杂网络分析。结果共纳入文献579篇,涉及腧穴172个,使用总频次为3222。腧穴归经以督脉、足太阳膀胱经、足厥阴肝经为主;特定穴多选用原穴、输穴、背俞穴、络穴、八脉交会穴、募穴、合穴。关联规则分析显示,相关性最高的腧穴组合为“印堂-百会”。通过复杂网络k-core层次分析和社团分析得到2个核心腧穴群。针刺角度、深度、方向以安全性和经脉循行方向为依据;补泻手法以辨证分型为依据;组方时遵循辨证选穴和对症选穴。结论针刺治疗抑郁症以循经选穴和特定穴为主,核心腧穴以治神及调节脏腑经气和功能为主,临证注重辨证选穴和对症选穴,同时注重刺灸法效应特异性。

外治法治疗强直性脊柱炎的作用机制研究进展

外治法治疗改善强直性脊柱炎(AS)症状的效果显著,对延缓病情进展亦有一定效果。外治法方法多样、操作简单、价格较低廉,其不良反应较少,已在临床广泛运用。临床常将西药与中医药内外治法结合治疗AS,其缓解AS患者腰背部疼痛,减轻肝肾、胃肠道功能损害的疗效良好。目前关于外治法治疗AS的文献报道较多,但关于其作用机制的研究报道较少,因此未来还需要对外治法治疗AS的作用机制进行深入研究,以为外治法治疗AS提供更多客观理论依据。

超声引导下输刺夹脊穴治疗腰椎间盘突出症的随机对照试验

背景:在腰椎间盘突出症的研究中大多数针刺治疗由CT引导或非引导,对位点的精准控制及针刺有效部位不够明确。目的:观察超声引导下输刺夹脊穴治疗腰椎间盘突出症的临床疗效。方法:选择于解放军总医院及北京中医药大学第三附属医院就诊的腰椎间盘突出症患者70例,男36例,女34例,年龄18-65岁,采用随机数表法分成试验组与对照组,每组35例。对照组患者予输刺夹脊穴治疗,试验组患者在超声引导下予输刺夹脊穴治疗,于就诊当天及就诊后4,7 d各治疗1次。治疗前后进行目测类比评分、Oswestry功能障碍指数、日本骨科协会(JOA)评分及健康调查简表(SF-36)评估。结果与结论:①与治疗前相比,两组患者治疗后的目测类比评分均降低(P<0.01);与对照组比较,试验组患者治疗第2,3,6,7天及治疗结束后1,2周的目测类比评分降低(P<0.05,P<0.01)。②与治疗前相比,两组患者治疗后的Oswestry功能障碍指数均降低(P<0.01);与对照组相比,试验组患者治疗第1-7天及治疗结束后1,2周的Oswestry功能障碍指数降低(P<0.01)。③与治疗前相比,两组患者治疗后的JOA评分均升高(P<0.01);与对照组相比,试验组患者治疗等3,7天及治疗结束后1,2周的JOA评分升高(P<0.05,P<0.01)。④与治疗前相比,两组患者治疗后的SF-36评分均升高(P<0.01);两组间治疗后的SF-36评分比较差异无显著性意义(P>0.05)。⑤结果表明,输刺夹脊穴对腰椎间盘突出症具有疗效,并且超声引导能够提升输刺夹脊穴治疗腰椎间盘突出症的疗效。

中医外治法治疗高血压的研究进展

高血压属于临床最常见的心血管疾病之一,也是导致其他心脑血管疾病如心力衰竭、冠心病等的主要危险因素。近些年随着生活水平的不断提升及一些不良饮食习惯的形成,高血压发病率呈现逐年增高的趋势,与此同时致残率及致死率也在逐年上升。目前高血压的治疗主要依靠西医各类降压药,但存在不良反应大,血压控制不理想、费用昂贵等诸多局限。而近些年关于针刺、艾灸、耳穴疗法等中医外治法治疗高血压的研究表明,运用中医外治法治疗高血压具有独特优势,如经济性及安全性好,毒副作用小,患者接受度高等。该文对针灸、艾灸、耳穴疗法治疗高血压的研究进行了总结。

中医外治法治疗慢性疲劳综合征临床研究进展

慢性疲劳综合征(CFS)是以长期持久或反复发作的疲劳为主要特征,并伴有乏力、肌肉酸痛、淋巴结肿大、注意力不集中、情绪低落、睡眠障碍等躯体及神经精神症状的一组症候群,呈现广泛性、低龄化的发病趋势。通过对近5年来中医外治法治疗CFS的相关文献进行总结,笔者发现中医外治法治疗CFS已得到广泛应用,针刺、灸法、穴位贴敷、推拿、拔罐及综合疗法等治疗CFS具有操作简便、易于接受、无依赖性等优势,但目前仍存在临床研究开展较少,样本量不足,机制研究较少,缺乏客观指标等问题。

针灸神经调控领域的研究现状

目的:针灸神经调控机制已成为近年来针灸学相关领域研究的热门,现拟以该机制为切入点,回顾国家自然科学基金立项课题的资助情况,探讨研究现状。方法:对立项起始时间为2013-2022年度针灸学相关领域国家自然科学基金申请代码为H3107经络与腧穴、H3117中医养生与康复、H3118中医针灸学中关于针灸神经调节机制的基金项目进行统计,分析资助情况、研究内容与病症治疗谱、针灸干预类型、相关调控机制与信号通路。结果:该领域基金项目共有252项,研究较多的疾病包含脑缺血、阿尔茨海默病、脊髓损伤等,主要调控机制与信号通路涉及神经环路、自噬、凋亡、翻译、应激等。结论:近10年国家自然科学基金对针灸神经调控领域的资助力度总体呈波动上升态势,相关研究涉及疾病范围广,关注的机制与通路多,但对中枢神经系统的一些重要作用点及多发性硬化、神经肌肉接口疾病等神经系统疑难病症的研究仍有待深入。

中医药治疗痰湿型多囊卵巢综合征研究进展

痰湿型多囊卵巢综合征为本虚标实之证,以肾虚为本,痰湿为标。中医药治疗痰湿型多囊卵巢综合征主要包括辨证治疗、中药序贯治疗、经典方加减治疗、经验方治疗、针灸治疗等。治疗安全有效,但仍存在以下不足:(1)中药及针灸治疗痰湿型PCOS的小样本量研究较多,但缺少临床多中心的大样本验证;(2)虽然研究表明心理应激与痰湿型PCOS的发生发展互为因果,但临证时对此的重视程度依然有所欠缺;(3)方药研究多以对症治疗为主。今后应从以下几个方面进行努力:(1)尽可能开展系统科学、设计严谨的多中心、大样本、随机双盲试验,使中医药疗效的研究结果更具说服力;(2)在药物治疗的同时,给予情志疗法,使患者从心态上转变,有利于长期疗效的坚持;(3)多从药物成分研究设计实验,有助于更好地明确方药治疗该病的机制及新药的开发。

早期中医学“脉舍神”理论及其应用探析

“脉舍神”是早期中医学理论的重要组成部分之一,而现代中医学对这一理论却罕有认识,更未提出明确的应用。该文结合魏晋及其之前中医学存世与出土文献,探求了早期中医学中“脉舍神”理论的内涵及其应用。在早期中医学中,脉诊之“脉”与经络之“脉”均属“脉”之范畴,因此“脉”同时具有诊断与治疗的功能。“脉舍神”理论实则是论述了“神”与脉中血气变化的相关性,“神”为血气所养,与血气的变化密切相关,对于“神”的感知与调节,可以通过对血气的调节而实现。“脉舍神”理论与针灸治疗、色脉诊断都有着密切的联系。在“脉舍神”之理论的指导下,医者可以通过诊察色脉之变化来判断患者之“神”的状态,并通过针刺、灸法等方式调节脉中血气之状态,以达到调节患者之“神”的目的。其中对于癫、狂病的诊治是早期中医学对“脉舍神”理论的一个经典应用。

中医综合疗法治疗围绝经期综合征研究进展

中医治疗围绝经期综合征(perimenopausal syndrome,PMS)多采用辨证论治、推拿按摩疗法、针灸疗法等,同时重视饮食护理,发挥多阶段、多层次、多角度和多目标行为等优势,取得较好疗效。但目前仍存在以下问题:(1)关于围绝经期综合征的病因、辨证分型及疗效评价尚无统一的标准,也无定量和微观指标;(2)缺乏大样本、多中心临床试验,造成证据的可靠性和确切性不足;(3)缺乏长期追踪数据,目前针对中医综合疗法治疗围绝经期综合征的临床试验结果主要基于短期疗效。今后,需进一步开展多中心、大样本的临床试验,积累更为可靠和具有说服力的证据,进而帮助中医从业者总结经验、统一标准,并提升治疗效果;也可通过基因检测等手段,在更全面理解个体差异的基础上实施精准化治疗,将传统疗法与现代技术相结合,丰富中医理论在疾病中的指导作用;从整体角度出发,采取推拿按摩、针灸、饮食调节等多种治疗方法相互配合,形成一套个体化的组合治疗方案,以改善围绝经期综合征患者的各项临床症状,提高其生活质量。