The effect of traditional Chinese medicine rehabilitation exercise(pulmonary Daoyin)in patients with chronic obstructive pulmonary disease:A systematic review and meta-analysis

Objective:Previous research has demonstrated that pulmonary Daoyin could be an efficacious way to ameliorate the physical and psychological state of sufferers with chronic obstructive pulmonary disease(COPD)and bolster the quality of life.However,the results are not consistent.Thus,the objective of this research is to assess the impacts of pulmonary Daoyin in individuals with COPD.Methods:Relevant articles were searched in Web of Science,Cochrane Library,PubMed,EMBASE,SinoMed,CNKI,Wanfang,and VIP from database inception to January 2024.Results:There were a total of 15 randomized controlled trials(RCTs)included in this meta-analysis involving 1732 patients,of which 864 participated in the intervention group and 868 in the control group.When comparing with the control group,the COPD patients practicing pulmonary Daoyin demonstrated a significant improvement in 6 min walking distance(mean difference[MD]=24.53,95%confidence interval[CI][18.55,30.52],P<0.00001),forced expiratory volume in the 1 s(FEV_(1))(MD=0.39,95%CI[0.18,0.59],P=0.0002),percentage of FEV_(1)to the predicted value(FEV_(1)%)(MD=5.35,95%CI[3.22,7.48],P<0.0001),the forced vital capacity(FVC)(MD=0.39,95%CI[0.06,0.73],P=0.02),percentage of FVC to the predicted value(FVC%)(MD=7.52,95%CI[4.91,10.13],P<0.00001),the ratio of FEV_(1)/FVC(MD=4.95,95%CI[0.91,8.99],P=0.02),peak expiratory flow rate(standardized MD=0.98,95%CI[0.74,1.22],P<0.00001),modified Medical Research Council(mMRC)scale(MD=-0.47,95%CI[-0.89,-0.04],P=0.03),and Borg scale(MD=-0.65,95%CI[-0.75,-0.55],P<0.00001).Conclusions:Our findings may illuminate the influence of pulmonary Daoyin on exercise ability,breathlessness,and pulmonary function in COPD patients.More rigorous RCTs with larger samples and longer-term interventions will be required moving forward.

Functional and psychosocial effects of pulmonary Daoyin on patients with COPD in China:study protocol of a multicenter randomized controlled trial

BACKGROUND： Chronic obstructive pulmonary disease （COPD） is a major public health problem worldwide. Pulmonary rehabilitation （PR） is an established intervention for the management of patients with COPD. Exercise training is an important part of PR, and its effectiveness in patients with COPD is well established. However, alternative methods of PR training such as Daoyin have not been appropriately studied. Hence, alternative forms of exercise training that require less exercise equipment and no specific training place should be evaluated. This paper describes the study protocol of a clinical trial that aims to determine if pulmonary Daoyin training will improve the exercise capacity and psychosocial function of patients with COPD in China. METHODS AND DESIGN： A multicenter, randomized, controlled trial will be conducted. A total of 464 patients meeting the inclusion criteria will be enrolled into this study with 232 patients in each of the trial group and the control group. Based on patient education, patients in the trial group will receive pulmonary Daoyin and continue with their usual therapy for three months. In the control group, patients will continue with their usual therapy. The primary outcome measures are exercise capacity assessed by the six-minute walking distance test and lung function. Secondary outcomes include dyspnea and quality of life. Measurements will be taken at baseline （month 0） and after the study period （month 3）. DISCUSSION： It is hypothesized that pulmonary Daoyin will have beneficial effects in improving exercise capacity and psychosocial function of patients with stable COPD, and will provide an alternative form of exercise training that is accessible for the large number of people with COPD. TRIAL REGISTRATION： This trial has been registered in ClinicalTrials.gov. The identifier is NCT01482000.

Research on Combined Rehabilitation Method and Its Mechanism of Traditional Chinese Medicine Daoyin Technique with Biofeedback Technique

Objective: To study an anti resistance active exercise training method which is consistent with the principle of “transcendental goal power” to promote the plasticity change of central nervous system (CNS) in order to recover the motor function after CNS injury, observe its clinical effect and explore its mechanism. Methods: The potential of CNS was induced by six-step Daoyin technique of Chinese medicine, and the potential signal was received in real time by bio-electrical signal receiving equipment and displayed in curve form. Combined with the Operant conditioning biofeedback technique, targeted guidance was given to patients to continuously enhance the action muscle signal intensity and weaken the antagonistic muscle signal intensity, so that the motor program was gradually re-established. Sixty-four patients with hemiplegic elbow dysfunction of old cerebral infarction who had been trained but could not be improved further and had a history of more than 1 year were treated for one course, 90 times and 45 minutes each time. Lovett, Elbow Rom, Fugl-Meyer, program signal intensity and proportion were evaluated before and after treatment. The data were analyzed statistically. Before and after treatment, Lovett MMT, ROM of elbow joint, Fugl Meyer, motor program signal intensity and proportion were assessed, and the data were statistically analyzed. Results: After treatment and before treatment, there was a significant difference between the functional evaluation data (P < 0.01). The function of elbow joint was improved;this is the result of reconstructing the motor program on the basis of developing the potential of CNS by means of the “transcendental goal power” mechanism of the method. There was no recurrence after 6 months of follow-up. Conclusion: The Chinese Medicine Daoyin feedback rehabilitation technique is an effective method to improve elbow joint function of hemiplegia patients with cerebral infarction.

An Exploration of the Original Meaning and Connotation of Daoyin from “Movement” and “Essential Qi”

Now,daoyin has developed into a complete set of conventional movement patterns,such as Baduanjin,Yijinjing,and Wuqinxi.However,the original meaning and the connotation of daoyin is ignored by people gradually,which will hinder the development of daoyin and make the specific application difficult.In this article,we will explore the basic composition of the daoyin–“movement”and its intrinsic basis–“essential qi”to think about the original meaning and connotation of daoyin.

The mechanism and clinical effectiveness of the six-step Chinese Daoyin technique on hemiplegic patients with drop-foot

Objective: The aim of this study was to improve the Chinese Daoyin technique (physical and breathing exercises), which is an ancient rehabilitation method, to elevate its effect and to standardize its operational procedure. Methods: Based on the ancient Chinese Daoyin technique, a six-step method was developed including: 1) motion imagination and imitation;2) mental and breathing regulation;3) target point determination;4) motion percussion;5) motion persistence;6) relaxation. Sixty drop-foot patients who suffered from hemiparesis after a stroke were randomly divided into the experimental group and the control group. Functional evaluation including Fugl-Meyer assessment score, Lovett manual muscle test (MMT), active range of motion of the ankle joint and electromyography were performed before and after the training course. The data were analyzed using the statistical software SPSS 12.0. Results: The differences between the two groups were significant. The effectiveness of the six-step group was significantly better than the effectiveness of the control group. Conclusion: The six-step method of the Chinese Daoyin technique is an effective rehabilitation training method for drop-foot in stroke patients with hemiparesis.

Life Nurturing in the Illustrated Daoyin of the 24 Solar Terms(二十四节气)

China’s“24 Solar Terms”,known as the fifth invention after China’s hour Major Inventions,is a knowledge system and social practice formed through observations of the sun’s annual motion,and cognition of the year’s changes in season,climate and phenology.More and more people in the world have been eager to know more about it since UNESCO inscribed Chinas“24 Solar Terms”on the Representative List of the Intangible Cultural Heritage of Humanity in 2016.As a way of nurturing life,the Illustrated Daoyin of the 24 Solar Terms includes twenty-four exercise forms,corresponding to the 24 solar terms respectively,which reflects the significant idea of complying with the law of yin-yang changes in the universe.It presents a series of sitting and standing exercises designed to prevent diseases that occur during seasonal changes throughout the year.The ancient Chinese wisdom of time and life nurturing has been witnessed in China’s“24 Solar Terms”and“Illustrated Daoyin of the 24 Solar Terms”This article aims to arouse readers’concern and interest in life nurturing by introducing how to do all the exercises presented by the Illustrated Daoyin of the 24 Solar Terms,which is helpful to the prevention and cure of diseases as well as good for health.

Observation on the Treatment of Belt Vessel Lumbago by Daoyin method with Acupuncture

Objective:To observe the clinical efficacy of Daoyin method with acupuncture on belt vessel type lumbago,and to evaluate the effectiveness of the method.Methods:A total of 54 patients with belt vessel type lumbago who met the inclusion criteria were randomly divided into two groups,with 27 patients in both groups.Patients in the treatment group were treated by Daoyin with acupuncture on the belt vessel,patients in the control group only received acupuncture on the belt vessel.The visual analogue scale,JOA score,ODI score,and SBI score before and after treatment were observed.Results:There were significant differences in the score changes in both groups before and after treatment,and the difference between the treatment group and the control group was significant.The therapeutic effect in the treatment group is better than the control group.Daoyin with acupuncture has a better effect on belt vessel type lumbago.

Efficacy of Daoyin combined with lower limb robot as a comprehensive rehabilitation intervention for stroke patients: a randomized controlled trial

OBJECTIVE: To assess the effectiveness of a comprehensive rehabilitation approach combining Traditional Chinese Medicine Daoyin with lower limb robotics during the recovery phase of stroke patients.METHODS: Stroke patients meeting the specified criteria were randomly assigned to one of four groups using a random number table: Control group, Daoyin group, lower limb robot group(LLR group), and Daoyin and lower limb robot group(DLLR group). Each group received distinct treatments based on conventional rehabilitation training.The treatment duration spanned two weeks with two days of rest per week. Pre-and post-intervention assessments included various scales: Fugl-Meyer Assessment(FMA),Berg balance scale(BBS), Barthel index(BI), Fatigue Scale-14(FS-14), Pittsburgh sleep quality index(PSQI),Hamilton Anxiety Scale(HAMA), and Hamilton Depression Scale(HAMD).RESULTS: Statistically significant differences were observed in the lower limb function measured by FAM between the Control group(15 ± 5) and the DLLR group(18 ± 5)(P = 0.049). In the Barthel index, a statistically significant difference was noted between the Control group(54 ± 18) and the DLLR group(64 ± 11)(P = 0.041).Additionally, significant differences were found in the Berg balance scale between the Control group(21 ± 10)and the DLLR group(27 ± 8)(P = 0.024), as well as between the Control group(21 ± 10) and the LLR group(26 ± 10)(P = 0.048).CONCLUSION: The findings of this study suggest that the combined use of Daoyin and robotics not only enhances motor function in stroke patients but also has a positive impact on fatigue, sleep quality, and mood. This approach may offer a more effective rehabilitation strategy for stroke patients.

坐-立位平衡导引训练对老年衰弱前期患者平衡能力的影响

目的探讨坐-立位平衡导引训练改善老年衰弱前期患者平衡能力的效果。方法将80例老年衰弱前期患者采用随机数字表法分为试验组与对照组各40例。对照组按常规进行康复训练,试验组在对照组基础上实施坐-立位平衡导引训练12周。训练4周及12周后,比较两组患者计时起立-行走测试和Berg平衡量表得分。结果训练4周后,试验组的Berg平衡量表得分显著高于对照组(P<0.05);训练12周后,试验组计时起立-行走测试显著短于对照组,Berg平衡量表评分显著高于对照组(均P<0.05)。结论对老年衰弱前期患者开展坐-立位平衡导引训练,有利于缩短患者起立-行走时间,提高其身体平衡能力。

The history,research,and application of traditional Chinese medicine(TCM)guidance techniques in the clinical management of chronic

Traditional Chinese guidance techniques are an important part of traditional Chinese medicine and involve integrating three aspects:essence,energy,and spirit,while combining physical movement,breath control,and mental regulation.Traditional Chinese guidance techniques include Tai Chi,Eight Section Brocade,Five Animal Frolics,Yi Jin Jing,and Liu Zi Jue,among others.In recent years,an increasing number of clinical studies have demonstrated the beneficial effects of guidance techniques on promoting health and well-being safely.This study provides a systematic and comprehensive summary and analysis of the research on the application of Traditional Chinese guidance techniques in the management of chronic diseases,offering valuable insights for future clinical research directions and the integration of these techniques into medical practice.

《诸病源候论》脾胃病导引法探析

《诸病源候论》是中国现存最早病因病机证候学专著,书中记载大量脾胃病相关症状并提供导引治疗方法。其导引方法涉及调身、调息、调心3个方面,且各有侧重。文章从功法三调角度,总结分析《诸病源候论》脾胃病导引治疗规律,发现《诸病源候论》导引治疗脾胃病时注重调畅气机,主要包括“以脊为枢”调畅气机出入,“闭气调息”调节气机升降,并注重“以意引气”增强调身及调息的效果。

基于红外热成像技术探究八段锦对平人八会穴的影响

目的:观察习练八段锦对平人八会穴中的章门穴、中脘穴、膻中穴、膈俞穴穴位温度的影响。方法:招募健康受试者40名,采用随机数字表法将受试者分为观察组与对照组,每组20名。观察组习练八段锦,对照组习练第九套广播体操,对纳入的受试者进行为期12周的观察,分别于入组后习练前、习练后即刻、习练12周后采用FLIR SC660型红外热像仪观察受试者左右章门穴、中脘穴以及膻中穴、膈俞穴的温度变化。结果:观察组与对照组习练后即刻章门穴、中脘穴、膻中穴、膈俞穴温度上升,但差异无统计学意义(P>0.05),习练12周后2组差异有统计学意义(P<0.05)。结论:八段锦可通过刺激平人脏、腑、气、血之精气,一定程度提高其章门穴、中脘穴、膻中穴、膈俞穴的温度,且长期习练效果更佳,为八段锦“协调脏腑,促进气血运行”提供客观化、可视化依据。

电针夹脊穴结合导引治疗功能性腰椎不稳疗效观察

目的探讨电针夹脊穴结合导引治疗功能性腰椎不稳患者的临床疗效。方法纳入2020年5—12月在上海市中医院骨伤科就诊的功能性腰椎不稳患者120例,通过随机数字分组法分为3组,每组40例(对照组1例、其余2组各2例失访)。对照组给予塞来昔布胶囊口服及功能锻炼治疗;电针联合功能锻炼组在所选病灶两侧的华佗夹脊穴进行电针治疗,同时进行功能锻炼;电针联合导引组在选取病变节段两侧华佗夹脊穴施以电针治疗,同时进行导引功法锻炼。3组均连续治疗4周。比较3组患者治疗前及治疗4周、8周、12周后的Oswestry功能障碍指数(ODI)评分、疼痛视觉模拟评分(VAS)、腰椎功能JOA评分和治疗前、治疗12周后的腰椎稳定性相关影像学参数(腰椎矢状位曲度、腰椎活动度及过伸过屈位片椎体滑移距离、角位移),统计3组治疗4周后的临床疗效。结果3组患者治疗4周、8周、12周后的ODI评分、VAS评分均明显低于治疗前(P均<0.05),JOA评分均明显高于治疗前(P均<0.05);且电针联合导引组治疗4周、8周、12周后的ODI评分均明显低于其他2组(P均<0.05),JOA评分均明显高于其他2组(P均<0.05),3组间VAS评分比较差异均无统计学意义(P>0.05)。3组患者治疗前后腰椎矢状位曲度、椎体滑移距离、角位移比较差异均无统计学意义(P均>0.05);3组患者治疗12周后的腰椎活动度均较治疗前明显增加(P均<0.05),且电针联合导引组腰椎活动度明显大于其他2组(P均<0.05)。治疗4周后,电针联合导引组愈显率为100%(38/38),明显高于对照组的53.8%(21/39)和电针联合功能锻炼组的81.6%(31/38),差异均有统计学意义(P均<0.05)。结论电针联合导引治疗功能性腰椎不稳的疗效显著,可以明显减轻患者疼痛,改善腰椎功能,恢复腰椎稳定性。

基于德尔菲法构建海派中医导引治疗骨质疏松症的特色诊疗方案

目的:探讨海派中医对导引治疗骨质疏松症的特色诊疗意见,构建并形成海派中医导引治疗骨质疏松症的特色诊疗方案,为后期研究提供前期基础。方法:通过采用查阅文献,结合专家临床经验、专家讨论的方式及课题组前期研究成果,归纳并构建海派中医导引治疗骨质疏松症的特色诊疗方案的条目池,运用德尔菲法确立海派中医导引治疗骨质疏松症的特色诊疗方案。结果:第1轮问卷调查共遴选出22名专家,发放问卷22份,收回有效问卷22份,有效问卷回收率100%;专家权威系数为0.884;根据专家认同度平均值和变异系数结合专家意见,剔除条目4、条目5、条目7,调整条目3,形成第2轮调查问卷。第2轮问卷调查共遴选出22名专家,发放问卷22份,收回有效问卷22份,有效问卷回收率100%;专家权威系数为0.906;第2轮问卷调查所有条目的变异系数均<0.5,调查结束并确立海派中医导引治疗骨质疏松症的特色诊疗方案。结论:本研究基于德尔菲法构建海派中医导引治疗骨质疏松症的特色治疗方案,为今后骨质疏松症患者导引治疗提供了依据和参考。

基于Neo4j的中医导引学知识图谱构建

目的:以中医导引学的特点为基础构建知识图谱,方便用户查询、学习,传播中医养生保健传统文化,提高健康素质。方法:使用BERT-CRF模型辅以人工校对,对导引功法相关文献进行命名实体识别,根据学科特征制定实体之间的关系,并使用Neo4j构建中医导引学知识图谱。结果:纳入相关文献3152篇,构建的知识图谱共包含2262个实体节点,5108条关系数据,7种实体类别属性,7种关系,并可以使用Neo4j的Cypher查询语言进行知识检索。结论:本知识图谱将中医导引学知识进行可视化展示,可用于构建导引知识检索、智能问答、功法推荐等应用程序与网络平台,开发相关人工智能应用设备,应用于计算机、自动化等学科的研究与生产创新中,同时也可用于深入数据挖掘,发现新研究方向。

基于CiteSpace和VOSviewer《诸病源候论》导引法可视化分析

目的基于文献计量学对《诸病源候论》导引法的国内外研究进行可视化分析,了解其研究现状与趋势。方法检索Web of Science与中国知网中《诸病源候论》导引法的相关研究,检索时间截至2022年12月31日。借助Microsoft Excel 2021、VOSviewer 1.6.19和CiteSpace 6.2.4对纳入文献的发文情况、发文作者、发文机构及关键词进行可视化分析。结果《诸病源候论》导引法相关研究发文量自2008年开始有明显增加。相关研究均由中国研究人员发表于国内期刊,各研究机构间缺乏交流合作。相关研究涉及学科领域宽泛且较为分散,近年来研究重点逐渐由单纯的理论研究转变为疾病的临床治疗,其中脑卒中、康复等是近年的研究热点。结论《诸病源候论》导引法的挖掘研究工作并不充分,缺乏合作及国际认可,今后应进一步深入开展相关基础研究及临床研究。

考探·复原·编创:传统体育养生功法“导引却病歌诀”处方化研究

在老龄化时代背景下,充分挖掘中国传统体育养生功法所具备的养生潜力,并结合新的时代条件加以继承、创新和转化,对提高全民健康水平具有重要的基础意义。研究对传统体育养生功法“导引却病歌诀”进行考究,进而围绕功法养生的内容、姿势、方式、机理等特点进行了探讨与解读。基于此,本着尊重古籍、体现原貌和贴近内涵的原则,以《修龄要旨》著录版本记载的“导引却病歌诀”为蓝本,将功法动作表述的疾病病机、练习内容、练习姿势、练习时间、练习方式、练习效果进行了复原与编创,将养生典籍中所记载的传统体育养生功法进行活化,实现“古为今用”,不仅推动健康关口前移,还有助于传统体育养生功法能够实现多元、科学、有序发展。

运用“虚静复命”理念探究中医导引术在肿瘤防治中的应用

随着医学技术的逐渐发展,癌症患者生存时间的不断延长,癌症患者的症状管理水平及生活质量提升已成为癌症支持治疗的重要组成部分。运动疗法及心理疗法等非药物治疗显示出越来越重要的地位。中医导引法作为中医特色的养生和体疗方法,分别通过调身、调息、调心三方面在肿瘤疾病的防治中得到了越来越多的应用,并显示出良好的临床疗效。“虚静复命”思维是指一种无欲、无得失、无功利的极端平静的精神状态,作为中国传统养生文化的一部分,它指导着人们修生养性、防治疾病,为国人推崇。笔者认为两者结合,以道家“虚静复命”理论为指导运用导引术防治肿瘤疾病,发挥了传统养生文化的特色,可以更好地展现出中医在肿瘤防治中的优势。

宋代隐逸观的调和与演变

宋代隐逸名目繁多,隐逸形式多样。宋代隐逸观的冲突,主要在“小隐”和“大隐”间展开。而二者争论的焦点,主要集中在隐居形式和隐居目的两个方面。二者争论的过程中,调和求中的“中隐”观大肆发展。“中隐”,最初是指一种兼得仕隐佳趣的隐逸方式,宋人则将其发展成一种形而上的具有普遍指导意义的行为准则即“道隐”。“道隐”观的出现,与宋代理学的兴盛以及儒、释、道三教合一的发展趋势有关。对“道”的重视,使得宋人论“隐”时从“形隐”向“心隐”过渡的痕迹明显。宋人讲“心隐”时,多追求适性之乐,“孔颜乐处”“曾点气象”等内圣之学遂成为隐者的致力方向。

马王堆导引术功能分析

该研究聚焦于养生视角下的健身气功,专注于马王堆导引术的功能分析。通过深度综合考察古代文献、现代医学研究和实际实践,揭示了马王堆导引术在健身气功领域的独特价值和潜在作用。文中挖掘了马王堆导引术的源流和传承脉络,揭示了其在传统医学理念中的重要地位。结合解剖学、生理学和心理学,分析了马王堆导引术对人体的影响,揭示了其在促进气血流通、强化身体素质和平衡身心状态方面的潜在作用。通过实地调查和案例分析,总结了现代人群在实践马王堆导引术过程中的健康变化。最后,提出在科技发展和生活方式变迁的背景下,深化对其机制的解析,结合现代医学手段,明确更加系统和全面评估的未来研究方向。