43 CASES OF POSTOPERATIVE GASTROINTESTINAL DYSFUNCTION TREATED WITH ACUPUNCTURE PLUS AURICULAR-PLASTER THERAPY

After general surgical operation, a part of patients occur gastrointestinal dysfunction.The author has treated 43 cases of postoperative gastrointestinal dysfunction by acupuncture plus auricularplaster therapy. Body points Neiguan((PC 6 ), Hegu(LI 4 ), Zusanli (ST 36 ) and Gongsun(SP4), and auricular points Shenmen(MA-TF 1 ), Wei, Jiaogan(MA-AH 7) and Dachang(MA-SC 4),etc. were selected. Results indicated that 31 cases were cured, 11 cases were effective and one casewas ineffective. The total effective rate was 97. 7%. There was no statistically significant differencebetween the kinds of diseases operated and therapeutic effects. The method is convenient and its actionlasts a long period with more satisfactory effects for treatment of postoperative gastrointestinal dysfunction.

The use of traditional Chinese medicine internally and externally combined with auricular acupuncture point bloodletting in the treatment of vulvar leukoplakia

Vulvar leukoplakia refers to the chronic disease of degeneration and hypopigmentation of the skin and mucous membrane of the vulva with unbearable itching in women, seriously affecting the quality of life. The main treatment of western medicine for vulvar leukoplakia is the external use of glucocorticoids or estrogen, resulting to the high recurrence rate and side effects. Traditional Chinese medicine (TCM) has the characteristics of the overall concept and dialectical treatment with a variety of ways. Literature review in recent years found that the treatment of TCM decoction combined with external therapies, such as external fumigation, acupuncture and other treatments, or the combination of TCM decoction and external western medicine hormone ointment, can obtain good effects in vulvar leukoplakia. During the clinical practice, we found that the use of TCM internally and externally combined with auricular acupuncture point bloodletting was highly effective with unique advantages in the treatment of vulvar leukoplakia, providing the ideas guidance for clinicians.

Acupuncture, Moxibustion, and Combination Therapies for Insomnia

Insomnia, a common sleep disorder, affects general well-being, hastens the onset of other diseases, and impairs work performance. Hypnotic medications are efficacious in the short term but have obvious side effects. Acupuncture, often used to treat insomnia in traditional Chinese medicine (TCM), is considered to be beneficial in restoring the normal sleep-wake cycle by regulating and restoring the natural flow of qi (energy power). The three main TCM theories for treating insomnia by acupuncture are the tranquilization disturbance, zangfu disturbance (disequilibrium of internal organs), and imbalance of yin and yang theories. Moxibustion, another treatment for insomnia, is usually combined with acupuncture. Acupuncture and moxibustion with tuina (exercise massage), acupuncture with Chinese herbal injection, electroacupuncture, and acupuncture with medication or psychotherapy are other interventions. Some acupuncture-based methods such as needle-rolling acupuncture, auricular acupoint plaster therapy, phlebotomy, and acupoint catgut-embedding therapy are used as well. Although most clinical trials have shown that acupuncture and its combination therapies are significantly effective in insomnia, the beneficial effects may have been overvalued, because of small sample size, nonstrict inclusion and exclusion criteria, flawed methodology, short follow-up, or nonstandardized evaluation. Therefore, clinical studies of high methodological quality are needed to verify the efficacy of acupuncture, moxibustion, and other combination therapies in insomnia.

CONSTIPATION TREATED BY AURICULAR ACUPOINT PRESSING COMBINED WITH ACUPUNCTURE AT ZUSANLI POINT

This paper reports that 65 cases with functional constipation were treated by putting one Wang Bu Liu Xing (semen vaccariae) seed on each acupoint, Intestinum crassum, Intestinum tenue,Sympathicum, Lung, Spleen, Subcortex, of auricula and pressing, associated with acupuncture at Zusanli point on both sides. The patients were instructed to press the stuck seed twice a day for 3 to 5 minutes each time. Auricular acupoints of both sides were used alternately every 2 days. The electric acupuncture was applied at Zusanli points about 30 minutes each time every other day. Ten times (i. e. 20 days) make one course of treatment and the routine treatment consists of 1 to 2 courses. The results showed that all the patients were cured, patients with Shi Mi (the constipation of excess type) were cured after one course of treatrnent while Xu Mi (the constipation of deficiency type) were cured after two courses. The study suggests that this kind of treatment is an ideal therapy for functional constipation. The pathogenesis and mechanism of treatment of auricular acupuncture pressing associated with acupuncture at Zusanli point for constipation are discussed.

CLINICAL REPORT ON 142 CASES (278 EYES) OF AFRICAN EPIDEMIC HEMORRHAGIC CONJUNCTIVITIS TREATED WITH ACUPUNCTURE

This paper introduces the curative effects on 142 cases (278 eyes) of African epi-demic hemorrhagic conjunctivitis treated by acupuncture, and 128 (90. 1%) cases (250 eyes) of allpatients have been improved. Three groups were clinically observed in the present report. There were55 cases (104 eyes) in the first group for body acupuncture, of which 46 (83. 6%) cases were effec-tively treated; In the second group for auricular acupuncture, 34 (91. 6% ) cases (68 eyes) out of 37cases (74 eyes) were improved; There were 50 cases (100 eyes) in the third group for boyauricular-acupuncture, among which 48 (96. 0%) cases (96 eyes) were improved. The curative effects of thethird group were better than those of the other two groups.

CLINICAL APPLICATION OF AURICULAR-PLASTER THERAPY IN THE TREATMENT OF GASTROPTOSIS

In the present study, 100 patients suffering from gastroptosis were randomly dividedinto auricular-plaster group and acupuncture group. The effective rates of the two groups were bothabove 90% and no statistically significant difference in the rates was found between these groups (P】0. 05). It indicates that auricular-plaster and acupuncture, though they are different from each otherin methodology, are both effective in the treatment of gastroptosis.

CHLOASMA TREATED MAINLY WITH FACIAL ACUPUNCTURE

63 cases of chloasma were divided into two groups, observation group facial acupuncture combined with auricular-plaster therapy of 43 cases and control group auricular-plaster therapy only of 23 cases. The resuls show that marked effective rate in observation group is higher than in control group (P<0. 005). In observation group, there is no distinct relationship between the course of disease and curative effect (P>0. 5), while there is marked difference between the course of treatment and curative effect, the longer the course of treatment, the better the curative effect(P<0. 05).

Ninety cases of simple obesity treated with the combined therapy of penetration needling, flash-fire cupping method and auricular acupuncture

Objective: To observe the clinical effects on simple obesity treated with the combined therapy of penetration needling, flash-fire cupping method and auricular acupuncture.Methods: In 90 patients of simple obesity, the Bo’s abdominal acupuncture therapy was adopted. Taking Shénquè(神阙 CV 8), the points 2 cun directly below CV 8 and 2 cun directly above CV 8 as the landmarks, 3 cun bilateral to each of the above three points, and penetrated through to the conception vessel. Then the electroacupuncture apparatus was connected, with the disperse-dense wave for 30 min.After acupuncture, the glass cup of the middle size was used to stimulate the selected points with the flash-fire cupping method. The cupping stimulation stopped when the skin turned to be slightly red. One treatment was given each day and every other day after 5 days. The 10 treatments made one course. In the auricular acupuncture therapy, Jīdiǎn(饥点), Shénm6 n(神门TF4), NèiFēnmì(内分泌CO18) and S5 njiāo(三焦 CO17) were selected. The auricular acupuncture therapy was given once every two days and 10 treatments made one course. After 3 courses of treatment, the waist circumference, hip circumference,body weight and body mass index(BMI) were observed.Results: Compared to before treatment, after 3 courses of treatment, the waist circumference of patients was(92.3 ±2.4 vs 80.4 ±2.3) cm, hip circumference(110.6 士 2.3 vs 99.2 ±2.5) cm, body weight(74.2 ±3.1 vs 68.2 ±2.4) kg and BMI(29.8 士 3.1 vs 25.2 士 2.1), they were all reduced obviously, indicating the significant differences(all P<0.05). Seventy-nine patients lost three to five kilograms, accounting for 87.8%.Conclusion: The combined therapy of penetration needling at abdomen, flash-fire cupping method and auricular acupuncture achieves the significant therapeutic effects on simple obesity.

Clinical Observation on Acupuncture plus Auricular Point Sticking Therapy for Post Stroke Hiccups

Objective： To observe the clinical efficacy of acupuncture plus auricular point sticking in treating post stroke hiccups. Methods： Sixty patients with post stroke hiccups who met the inclusion criteria were randomly divided into two groups according to their visiting sequence, and 30 patients in the treatment group were treated by acupuncture plus auricular point sticking, while the other 30 in the control group were treated by Metoclopramide via intramuscular injection. The efficacy was observed after the 3-day treatment. Results： The total effective rate in the treatment group was 93.3%, while 66.7% in the control group, and the difference was statistically significant （P〈0.01）. Conclusion： Acupuncture plus auricular point sticking therapy was more effective than metoclopramide in treating post stroke hiccups.

耳穴贴压联合针灸对高血压病患者血压血脂的影响

目的 探析高血压病患者采用耳穴贴压联合针灸治疗对血压与血脂的影响。方法 选择枣庄市立医院2021年3月—2022年3月接诊的90例高血压病患者,按照随机数字表法分为2组,每组45例。对照组口服药物治疗,观察组耳穴贴压联合针灸治疗。比较2组患者血压、血脂、中医证候积分和治疗总有效率。结果 治疗后,观察组舒张压、收缩压均低于对照组,差异有统计学意义(P<0.05);观察组总胆固醇(TC)、三酰甘油(TG)、低密度脂蛋白胆固醇(LDL-C)低于对照组,高密度脂蛋白胆固醇(HDL-C)高于对照组,差异均有统计学意义(P<0.05);观察组主症(头痛、眩晕)与次症(心悸、胸闷、畏寒肢冷)中医证候积分均低于对照组,差异有统计学意义(P<0.05)。观察组的治疗总有效率为97.78%(44/45),高于对照组的80.00%(36/45),差异有统计学意义(P<0.05)。结论 高血压病患者采用耳穴贴压联合针灸治疗可以更好地改善血压与血脂,值得推广。

耳针疗法辅助治疗急性期周围性面瘫疗效观察

目的观察耳针疗法辅助治疗急性期周围性面瘫的临床疗效。方法将94例急性期周围性面瘫患者按照随机数字表法分为2组,对照组47例采取常规西医治疗,治疗组47例在对照组基础上联合耳针疗法治疗。2组均治疗4周。比较2组治疗效果,比较2组治疗前后面部神经传导速度、红外热成像(前额区、耳周区、口角区、颧区及患侧全区温度)、面瘫改良Portmann评分、面部残疾指数躯体(FDIP)评分、免疫炎性指标[免疫球蛋白(IgA)、IgM、IgG、白细胞介素6(IL-6)、IL-21]水平及世界卫生组织生活质量测定量表简表(WHOQOL-BRFF)评分变化情况,治疗后随访1年,统计对比2组复发率。结果治疗组总有效率95.74%(45/47),对照组总有效率80.85%(38/47),治疗组临床疗效优于对照组(P<0.05)。2组治疗1、2、3、4周面部神经传导速度均较本组治疗前升高(P<0.05),且治疗组治疗1、2、3、4周均高于对照组同期(P<0.05)。2组治疗1、2、3、4周前额区、耳周区、口角区及患侧全区温度均较本组治疗前升高(P<0.05),且治疗组治疗1、2、3、4周均高于对照组同期(P<0.05);2组治疗1、2、3、4周颧区温度均较本组治疗前升高(P<0.05),但2组组间同期比较差异无统计学意义(P>0.05)。2组治疗1、2、3、4周改良Portmann、FDIP评分均较本组治疗前升高,且治疗组治疗1、2、3、4周均高于对照组同期(P<0.05)。2组治疗后血清IgA、IgM、IgG、IL-6、IL-21水平均较本组治疗前降低(P<0.05),且治疗组治疗后均低于对照组(P<0.05)。2组治疗后WHOQOL-BRFF各维度评分均较本组治疗前升高(P<0.05),且治疗组治疗后均高于对照组(P<0.05)。2组复发率比较差异无统计学意义(P>0.05)。结论采用耳针疗法辅助治疗急性期周围性面瘫患者,能显著提高治疗效果,进一步改善患者面部肌群恢复情况,有效改善患者面部温度、神经功能及面部神经传导速度,且能有效抑制免疫炎性损伤,降低复发率,有助于改善患者预后。

方氏头针联合择时耳穴贴压治疗维持性血液透析失眠患者的临床观察

【目的】观察方氏头针联合择时耳穴贴压治疗维持性血液透析失眠患者的临床疗效。【方法】将70例维持性血液透析失眠患者随机分为观察组和对照组,每组各35例。2组均给予常规治疗,对照组在常规治疗的基础上给予艾司唑仑片口服,观察组给予方氏头针联合择时耳穴贴压治疗,共治疗4周。治疗1个月后,评价2组临床疗效,观察2组患者治疗前后匹兹堡睡眠质量指数量表(PSQI)评分与肾脏疾病生活质量简表(KDQOL-SF)评分的变化情况,以及汉密尔顿抑郁量表(HAMD)和汉密尔顿焦虑量表(HAMA)评分的情况。比较2组患者治疗前后血红蛋白(Hb)、血肌酐(Scr)、血尿素氮(BUN)水平的变化情况。并评价2组的安全性。【结果】(1)治疗后,2组患者的PSQI、KDQOL-SF评分均明显改善(P<0.05),且观察组在改善PSQI、KDQOL-SF评分方面明显优于对照组,差异有统计学意义(P<0.05)。(2)治疗后,2组患者的HAMD、HAMA评分均明显改善(P<0.05),且观察组在改善HAMD、HAMA评分方面明显优于对照组,差异有统计学意义(P<0.05)。(3)治疗后,2组患者Hb、Scr、BUN水平均明显改善(P<0.05),且观察组在改善Hb、Scr、BUN水平方面明显优于对照组,差异均有统计学意义(P<0.05)。(4)观察组总有效率为77.14%(27/35),对照组为62.86%(22/35)。观察组疗效优于对照组,差异有统计学意义(P<0.05)。(5)2组患者的不良反应发生率比较,差异无统计学意义(P>0.05)。【结论】方氏头针联合择时耳穴贴压治疗维持性血液透析失眠,能够有效改善患者的睡眠质量,缓解焦虑抑郁情绪,从而提高患者的生活质量,疗效显著。

耳针配合舌下神经针刺及中药治疗阻塞性睡眠呼吸暂停低通气综合征的疗效观察

目的观察耳针配合舌下神经针刺及中药治疗阻塞性睡眠呼吸暂停低通气综合征的临床疗效。方法将60例阻塞性睡眠呼吸暂停低通气综合征患者随机分为观察组和对照组,每组30例。观察组采用耳针配合舌下神经针刺及口服理气消鼾方治疗,对照组采用单纯口服理气消鼾方治疗。观察两组治疗前后呼吸暂停低通气指数(apnea-hypopnea index,AHI)、夜间最低氧饱和度(lowest oxygen saturation,LSpO2)、Epworth嗜睡量表(Epworth sleepiness scale,ESS)评分、睡眠过程中呼吸暂停与低通气反复发作次数、各项中医证候积分及血清低氧诱导因子-1(hypoxia inducible factor-1,HIF-1)、促红细胞生成素(erythropoietin,EPO)、神经生长因子(nerve growth factor,NGF)及脑源性神经营养因子(brain-derived neurotrophic factor,BDNF)水平的变化情况,并比较两组临床疗效。结果观察组总有效率为96.7%,明显高于对照组的83.3%(P<0.05)。两组治疗后LSpO2及血清NGF、BDNF水平均较同组治疗前显著上升,AHI、ESS评分、睡眠过程中呼吸暂停与低通气反复发作次数、各项中医证候积分及HIF-1、EPO水平均显著下降,差异均具有统计学意义(P<0.05)。观察组治疗后LSpO2及血清NGF、BDNF水平明显高于对照组,AHI、ESS评分、睡眠过程中呼吸暂停与低通气反复发作次数、各项中医证候积分及HIF-1、EPO水平均明显低于对照组,差异均具有统计学意义(P<0.05)。结论耳针配合舌下神经针刺及口服理气消鼾方治疗阻塞性睡眠呼吸暂停低通气综合征疗效确切,不仅能有效改善患者AHI及LSpO2,快速缓解其打鼾、睡眠中发生呼吸暂停、日间嗜睡等症状,还能保护神经,减轻缺血缺氧损伤。

Clinical Observation on Acupuncture plus Auricular Point Sticking in Treating Insomnia

Insomnia is a common sleep disorder and usually affects the patients＇ emotions and work. We applied acupuncture plus auricular point sticking to treat insomnia and reported it as follows.

Therapeutic efficacy observation on combining auricular and routine acupuncture for peripheral facial paralysis in acute stage

Objective： To investigate the clinical efficacy of combining auricular and routine acupuncture for peripheral facial paralysis in acute stage. Methods： A total of 60 eligible cases were randomly allocated into a treatment group （n=30） and a control group （n=30）. Cases in treatment group received auricular and routine acupuncture, whereas cases in the control group received routine acupuncture alone. Both groups were treated for 10 d. Results： The recovery rate was 73.3% in the treatment group and 53.3% in the control group, showing a statistical difference （P〈0.05）. Conclusion： Combining auricular and routine acupuncture is effective for peripheral facial paralysis in acute stage and has a better effect than routine acupuncture.

Efficacy Observation on Acupuncture Combined with Auricular Point Sticking Treatment for Primary Dysmenorrhea

Objective： To observe the clinical efficacy of acupuncture combined with auricular point sticking treatment for primary dysmenorrhea. Methods： Sixty-eight patients with primary dysmenorrhea were randomly divided into two groups, and 35 cases in the treatment group were treated by acupuncture combined with auricular point sticking, while 33 cases in the control group were only treated by acupuncture. The treatments for the patients in both groups began from one week before their menstruation and continued tiJl the menstruation came. And the efficacy was observed after treatments of three consecutive menstrual cycles. Results： The total effective rate was 94.2% in the treatment group, versus 84.8% in the control group, and the difference was statistically significant （P〈0.05）. Conclusion： Acupuncture combined with auricular point sticking treatment for primary dysmenorrhea is more effective than simple acupuncture.

Treatment of 60 Cases of Intractable Hiccups Following Craniocerebral Surgery by Acupuncture and Auricular Point Sticking

Hiccup is one of the common complications of craniocerebral surgery, and commonly called as ＂Da Ge （打嗝 ）＂. It is usually caused by ascending counterflow of stomach qi. The modem medicine holds that it is caused by hyperkinesia of diaphragm. Most hiccups are temporary; a mild condition can recover without medical treatments, but a severe one can outbreak around the clock or intermittent attack, it can last for several days, and has a strong impact on patients＇ rehabilitation. It was called intractable hiccups lasting over 24 h and didn＇t respond to treatments of tranquilization, spasmolysis and acupoint injection. The authors treated this disease with acupuncture plus auricular point sticking. Now it is summarized as follows.

Clinical study on acupuncture plus auricular point sticking for tension-type headache

Objective:To observe the clinical efficacy of acupuncture plus auricular point sticking for tension-type headache(TTH).Methods:A total of 90 TTH patients were divided into an acupuncture group,an auricular point sticking group and an observation group by random number table method,with 30 cases in each group.Patients in the observation group received acupuncture plus auricular point sticking for treatment,while those in the acupuncture group only received acupuncture and those in the auricular point sticking group only received auricular point sticking for treatment.The headache attack frequency and the scores of visual analog scale(VAS),self-rating anxiety scale(SAS)and self-rating depression scale(SDS)were observed before treatment,after treatment and 3 months after treatment.The clinical efficacy was evaluated at the follow-up of 3 months after treatment.Results:At follow-up,there were significant differences in clinical efficacy among the three groups(P<0.01 or P<0.05),and the clinical efficacy ranking from high to low was the observation group,the acupuncture group and the auricular point sticking group.After treatment and at follow-up,the VAS score,headache attack frequency,SAS and SDS scores in the three groups were significantly lower than those before treatment(all P<0.01).The above four results in the observation group were lower than those in the acupuncture group and the auricular point sticking group at the same time point(all P<0.01);VAS score in the acupuncture group was lower than that in the auricular point sticking group(both P<0.05).At follow-up,the headache frequency in the acupuncture group was lower than that in the auricular point sticking group(P<0.05).Conclusion:Either using acupuncture and auricular point sticking together or separately can reduce the headache degree of TTH patients,reduce the number of headache attacks,and relieve anxiety and depression.The efficacy of acupuncture plus auricular point sticking is most significant.

Clinical Study on Acupuncture plus Auricular Point Sticking for Insomnia

Objective： To study the clinical efficacy of acupuncture plus ear-points pressure for insomnia. Method： All 156 cases were randomized into the observation, acupuncture and Chinese herbal formula groups. Combined acupuncture and ear-points pressure, acupuncture alone and Chinese herbal formula were applied in each group respectively. Result： The total effective rates of the observation, acupuncture and herbal group were 94.2%, 75.0% and 78.8% respectively. This has indicated that combined acupuncture and Auricular Point Sticking could obtain significantly better effect than the acupuncture group （P〈0.01） and the herbal group （P〈0.05）. Conclusion： Combined acupuncture and ear-point pressure can obtain a better effect for treatment of insomnia.

中医药疗法防控儿童青少年近视的网状Meta分析

目的:应用网状Meta的方法系统评价临床常用中医药手段防控儿童青少年近视的有效性和安全性,为后续临床应用提供循证依据。方法:以国家知识基础设施数据库(CNKI),中国学术期刊数据库(CSPD),中文科技期刊数据库(CCD),中国生物医学文献数据库(CBM),PubMed,Cochrane Library,Embase 7个数据库为资料来源,检索应用中医药手段防控儿童青少年近视的临床随机对照试验文献。对相关文献进行筛选、数据提取并进行风险偏倚评估,采用Stata15.0和Review Manager5.4软件进行数据分析并绘制相关图形。结果:共纳入28篇文献,纳入患者3 017例,涉及9种中医药治疗措施。其中针刺+熏蒸,针刺,耳穴,耳穴+推拿以及口服中药的治疗方法在有效率方面优于常规西医治疗。在调节视力和屈光度方面,耳穴疗法效果优于针刺治疗,且二者疗效均优于常规西医治疗。纳入的研究中有9项提到安全指标,其中仅3项研究出现不良反应,观察组不良反应发生率显著低于对照组。结论:防控儿童青少年近视的中医药疗法多种多样且安全性较高,综合2种及以上手法的效果更为显著,建议临床实践中结合中医辨证及临床实际情况合理选择。