夹脊电场疗法治疗骶上脊髓损伤后神经源性膀胱尿失禁临床观察

目的 探讨夹脊电场疗法治疗骶上脊髓损伤后神经源性膀胱尿失禁的有效性。方法 将2019年10月—2022年10月就诊于兴化市中医医院的骶上脊髓后神经源性膀胱尿失禁患者60例,按就诊顺序随机分为治疗组和对照组,每组30例。治疗组采用骶上脊髓损伤部位上下节段夹脊电针密波联合肾俞、会阳电针疏波治疗;对照组采用膀胱功能训练法治疗。治疗2个疗程后,观察并比较2组治疗效果。结果 治疗后,2组患者残余尿量、漏尿次数、1 h尿垫试验漏尿量、SQLP评分均改善(P<0.05),治疗组优于对照组(P<0.05);治疗组总有效率高于对照组,差异具有统计学意义(P<0.05)。结论 夹脊电场疗法能显著改善骶上脊髓损伤后神经源性膀胱尿失禁患者临床症状,减少残余尿量、漏尿次数、1 h尿垫试验的漏尿量、降低SQLP量表评分,其疗效优于膀胱功能训练法治疗。

Observation on Therapeutic Effects of Electroacupuncture at Jiaji (Ex-B 2) Points plus Herbal Medicine for Herpes Zoster

Objective： To observe the clinical effects of electroacupuncture （EA） at Jiaji （Ex-B 2） points plus herbal medicine for herpes zoster （HZ）. Methods： Sixty-two cases were randomly divided into a treatment group and a control group. The treatment group was treated with EA at Jiaji （Ex-B 2） points plus herbal medicine based upon the pattern differentiation. The control group was treated with oral administration of Aciclovir tablets for resisting virus, and Mecobalamin tablets for nourishing the nerves and Aciclovir cream for skin rash. The therapeutic effects were compared between the two groups, after two-week treatment Results： After 7 d of the treatment, the therapeutic effect was remarkably better in the treatment group than that in the control group （P〈0.01）. After two-week treatment, the therapeutic effects were still different between the two groups （P〈0.05）. Conclusion： The therapeutic effect of EA at Jiaji （Ex-B 2） points plus herbal medicine for HZ is better than that of Western medications in resisting virus and nourishing nerves.

Clinical observation on acupuncture at Jiaji(EX-B 2) points plus tuina in treating thoracic facet joint disorder

Objective： To observe the clinical effects of acupuncture at Jiaji （EX-B 2） points plus tuina manipulation for thoracic facet joint disorder, and get new clinical evidence for treatment of thoracic facet joint disorder. Methods： Totally 106 patients with thoracic facet joint disorder were randomly allocated into an observation group and a control group based on the random number table. Patients in the control group were treated by tuina manipulation, while those in the observation group were treated by acupuncture at Jiaji （EX-B 2） points before tuina manipulation. Patients in the two groups were treated once a day. The improvements of signs and symptoms and the efficacy were observed after 3 treatments. Results： After treatment, there were intra-group statistical differences in scores of 8 signs and symptoms in both groups （P〈0.01}; the score of each item in the observation group was lower than that in the control group, and there was statistical significance in the inter-group difference （P〈0.05）. The cure rate of the observation group was 50.9%, versus 26.4% in the control group, and there was a significant difference between the two groups （P〈0.05）. Conclusion： In treating thoracic facet joint disorder, acupuncture plus tuina manipulation can restore the biomechanical balance of thoracic vertebrae, fully maximized the combined effect, and significantly improve the clinical efficacy.

Acupuncture-moxibustion at Jiaji(EX-B 2) points for intervertebral disc herniation: a systematic review

By organizing and classifying the literatures related to acupuncture-moxibustion at Jiaji （EX-B 2） points in treating intervertebral disc herniation （IDH） published before December 32, 2013, to summarize the application status and features of Jiaji （EX-B 2） points. It＇s found that its most favorable indication is IDH. It also further analyzed the action mechanism of acupuncture-moxibustion at Jiaji （EX-B 2） points in treating IDH, and brought up some ideas to highlight the further study.

针刺电场疗法治疗脊髓损伤的研究进展

脊髓损伤常导致受损平面以下运动、感觉功能缺失,自主神经功能障碍及并发症,严重影响了患者的生存质量,目前尚无有效的临床治疗措施。研究表明,电场疗法可促进轴突再生,抑制损伤部位的炎症反应,减少星形胶质细胞数量,减轻胶质瘢痕增生及继发性损伤,从而有效促进脊髓神经功能恢复,为临床治疗脊髓损伤开辟了新的途径。现就近年来夹脊电场疗法与督脉电场疗法在脊髓损伤治疗应用中的研究进行综述,发现两种方法均可对脊髓损伤后神经功能恢复、内源物质产生、代谢等方面产生积极影响,针刺效应与电场效应的双重作用,为脊髓损伤患者的康复提供有效的治疗方法,能更好地促进患者康复。

Treatment of Herpes Zoster with Electroacupuncture plus Collateral-pricking and Cupping Therapy

Objective： To observe the clinical effect of electroacupuncture （EA） plus collateral-pricking and cupping therapy for herpes zoster. Methods： Fifty-three cases with herpes zoster were randomly divided into two groups. Thirty-one cases in the treatment group were treated with EA at Jiaji （EX-B 2） points plus local collateral-pricking and cupping therapy. Twenty-two cases in the control group were treated with oral administration of VaLacido~;ir Hvdrochloride and Indomethaci~. Results： The curative and remarkable effective rate was 93.5% in the treatment group and 72.7% in the control group. The difference between the two groups was statistically significant （P〈0.01）, indicating that EA plus collateral-pricking and cupping therapy is better than Western medications in the clinical effects for herpes zoster. Conclusion： The EA plus collateral-pricking and cupping method is an effective therapy for herpes zoster.

Observation on clinical effects of acupuncture plus cupping therapy for cervical radiculopathy

Objective：To observe the therapeutic effects of acupuncture plus cupping therapy and Western medication alone for cervical radiculopathy.Methods：A total of 139 patients with cervical radiculopathy were randomly divided based on the random digital table into an acupuncture-cupping group（70 cases） and a Western medication group（69 cases）.In the acupuncture-cupping group,Fengchi（GB 20）（bilateral）,Dazhui（GV 14）,Jianjing（GB 21）（bilateral） and Jiaji（EX-B 2） points of the neck [bilateral,midpoint between Fengchi（GB 20） and Dazhui（GV 14）] were punctured.After the arrival of the needling sensation,bilateral Fengchi（GB 20） and Jianjing（GB 21） were linked with electric stimulation and the rest acupoints were manipulated with the moderate needling technique.In the retaining of the needles,TDP lamp radiation was used.After acupuncture,the cupping therapy was applied to the local area.The treatment was given once every other day,20 d for a course.After one course,the therapeutic effects were observed.The Western medication group was treated by oral administration of Meloxicam（Mobic）,7.5 mg,once a day,with water and liquid after meal.The therapeutic effects were observed after 20 d.Results：The total effective rate was 92.8% in the acupuncture-cupping group and 73.9% in the Western medication group,with a statistical difference between the two groups（P〈0.05）.After treatment,the scores of the clinical symptoms of the two groups were obviously declined（P〈0.01）,and the score of the clinical symptoms of the acupuncture-cupping group was better than that of the Western medication group,with a statistical difference（P〈0.05）.Conclusion：Acupuncture plus cupping therapy was more effective than administration of Meloxicam tablets alone in the treatment of cervical radiculopathy.

Observation on Clinical Efficacy of Acupuncture Therapy for Posterior Circulation Ischemia Vertigo

Objective： To observe the clinical efficacy of acupuncture for posterior circulation ischemia vertigo （PCIV）. Methods： A total of 71 PCIV cases were randomly allocated into an acupuncture group （37 cases） and a medication （oral Flunarizine Hydrochloride） group （34 cases）. After 6 weeks of treatment, the therapeutic efficacies in the two groups were analyzed. Results： After treatment, the mean blood flow velocities （VM） of both the vertebral artery （VA） and the basilar artery （BA） in acupuncture group were significantly increased, showing statistical differences when compared with the pre-treatment result of the same group （P〈0.05）; despite some decrease in pulsatility index （PI） after treatment, there was no statistical difference when compared with the pre-treatment result. After treatment, the mean blood flow velocities of both VA and BA in the medication group were increased, showing statistical differences when compared with the pre-treatment result of the same group （P〈0.05）; there was no statistical difference in PI before and after the treatment （P〉0.05）. Regarding the improvement of VM, the acupuncture group was superior to the medication group, showing a statistical difference （P〈0.05）; there was no statistical difference in PI improvement between the two groups. Considering from the clinical efficacy, both acupuncture and medication are effective. However, acupuncture obtained a significantly better effect than medication （P〈0.05）. Conclusion： Acupuncture therapy can posterior circulation ischemia vertigo. obtain a better effect than oral Flunarizine Hydrochloride for

Clinical observation on electroacupuncture plus hydro-acupuncture for low back pain caused by compression fractures

Objective： To observe the effect of electroacupuncture （EA） at Jiaji （EX-B 2） points plus hydro-acupuncture with sinomenine hydrochloride for low back pain caused by compression fractures in the elderly. Methods： Ninety-five elderly in-patients with low back pain caused by compression fractures were randomly divided into an observation group and an EA group according to the visit sequence. Both groups received the same basic treatment. In the EA group, 48 cases were treated with EA at Jiaji （EX-B 2） points plus the basic therapy; 47 cases in the observation group received the basic treatment plus EA and hydro-acupuncture with sinomenine hydrochloride at Jiaji （EX-B 2） points. The levels of osteoprotegerin （OPG） and interleukin-1β（IL-1β） in peripheral blood were measured by enzyme-linked immunosorbent assay （ELISA） before and at the 21st day of treatment in both groups. Oswestry disability index （ODI） and visual analog scale （VAS） scores were used to analyze the clinical efficacy. Results： After treatment, the OPG content in the observation group was higher with statistical significance compared with that before treatment in the observation group and after the treatment in the EA group, respectively （both P〈0.05）; the content of IL-1β, ODI and VAS scores were lower than those before treatment in the observation group and after treatment in the EA group with statistical significances （all P〈0.05）. Conclusion： The combination of EA and hydro-acupuncture with sinomenine hydrochloride at Jiaji （EX-B 2） points is effective for low back pain caused by compression fractures in the elderly, and is superior to EA at Jiaji （EX-B 2） points alone.

Electroacupuncture combined with iontophoresis of Chinese medicine for lumbar intervertebral disc herniation

Objective：To observe the clinical efficacy of electroacupuncture （EA） combined with iontophoresis of Chinese medicine for lumbar intervertebral disc herniation （LIDH）. Methods： A total of 80 LIDH cases were randomly allocated into a treatment group and a control group by the random number table, 40 in each group. Cases in the treatment group were treated with EA combined with iontophoresis of Chinese medicine, whereas cases in the control group were treated with EA alone. Cases in both groups were treated once a day, 10 times for one course and there was a 3-day interval between two courses. The therapeutic efficacies in two groups were assessed after two courses of treatment. The short-form McGill pain questionnaire （SF-MPQ） and Japanese Orthopedic Association （JOA） low back pain evaluation questionnaire were used for the scoring system before treatment, after the first treatment and 2 courses of treatment. Results： After two courses of treatment, the total effective rate was 95.0% in the treatment group, versus 87.5% in the control group, showing a statistical difference （P〈0.05）. The therapeutic efficacy in the treatment group was significantly better than that in the control group after the first treatment and 2 courses of treatment. The score of SF-MPQ in the treatment group was more significantly decreased and the JOA score in the treatment group was more significantly increased, showing statistical differences （P〈0.01）. Conclusion： EA at Jiaji （EX-B2） points combined with iontophoresis of Chinese medicine is better than EA alone in alleviating low back and leg pain and improving functions of the low back and leg as well as the quality of life of LIDH patients .

Tuina plus Cupping Therapy for 60 Cases of Infantile Cough

Objective： To observe the clinical effect oftuina plus cupping therapy for infantile cough. Methods： Sixty subjects were mainly treated with pinching and pushing the spine, coordinating with the tuina manipulations and cupping therapy based on syndrome differentiation. Results： Among the 60 patients, 40 cases were cured and 20 cases got improved, the total effective rate was 100%. Conclusion： Tuina plus cupping therapy works effectively on infantile cough and without adverse reactions.

Application of Nape Acupuncture in Treatment of Vertebral-artery Type Cervical Spondylosis

Objective： To observe the effect of nape acupuncture on vertebral-artery type cervical spondylosis. Methods： Eighty patients with vertebral-artery type cervical spondylosis were randomly divided into nape acupuncture group and Jiaji acupuncture group, with 40 cases in each group. The patients in the nape acupuncture group were treated with the nape acupuncture plus Jiaji acupuncture, while the patients in the Jiaji group were treated with Jiaji acupuncture only, to observe the functional scale before and after treatment. Results： The total effective rate in the nape acupuncture group was 95.0%, while the total effective rate in the Jiaji acupuncture group was 82.5%. By Ridit analysis, u=5.186, P〈0.01. It indicated that the therapeutic effect in the nape acupuncture group was better than that in the Jiaji acupuncture group. Compared with Jiaji acupuncture group, the difference value of pre- and post-treatment about functional scale of vertebral-artery type cervical spondylosis and the post-treatment score have statistic differences （P〈0.01）. It indicated that the therapeutic effect of nape acupuncture group was more obvious in treating vertigo than that in the Jiaji acupuncture group. Conclusion： The treatment of vertebral-artery type cervical spondylosis by Jiaji acupuncture plus the nape acupuncture may enhance the therapeutic effect significantly.

Clinical observation of warm needling moxibustion for rheumatoid arthritis

Objective： To observe the clinical efficacy of warm needling moxibustion at points on the back in treating rheumatoid arthritis （RA）. Methods： Sixty RA patients were randomized into two groups by the random number table, 30 in each group. The observation group was intervened by warm needling moxibustion at the points from the Governor Vessel on the back and Jiaji （EX-B 2） points, while the control group was by regular acupuncture. Results： After intervention, the morning stiffness, joint pain index, joint swelling index and erythrocyte sedimentation rate （ESR） were significantly improved in both groups （P〈0.01）; the inter-group difference was also statistically significant （P〈0.05）. The total effective rate was 93.3% in the observation group versus 76.6% in the control group, and the difference was statistically significant （P〈0.01）. Conclusion： Warm needling moxibustion at points from the Governor Vessel on the back and Jiaji （EX-B 2） points can produce a higher efficacy than regular acupuncture in treating RA.

Clinical Study on Chronic Gastritis Treated by Acupuncture

Objective： To observe the therapeutic effects of acupuncture in managing chronic gastritis. Methods： The subjects were 102 patients with chronic gastritis, receiving acupuncture at Jiaji （Ex-B 2） plus cupping for treatment. Results： Among the 102 patients, 31 were clinically recovered, 62 got improved, and the total effective rate was 91.2%. Conclusion： Acupuncture therapy is effective in treating chronic gastritis.

Clinical observation of warm needling moxibustion plus lumbar traction for lumbar disc herniation

Objective To observe the clinical efficacy of warm needling moxibustion plus lumbar traction for lumbar disc herniation(LDH)and its effect on Oswestry disability index(ODI)score,present pain intensity(PPI)score,and the degree of straight leg raising.Methods A total of 146 patients with LDH were randomized into a combination group and a control group by the random number table method,with 73 cases in each group.The control group was treated with lumbar traction,and the combination group was treated with lumbar traction plus warm needling moxibustion.The curative efficacy of the two groups was compared.Also,the lumbar function,pain,straight leg raising degree,and inflammatory factor levels before and after treatment were compared.Results The total effective rate of the combination group was 93.2%,which was higher than 78.1%of the control group(P<0.05).After treatment,the lumbar ODI score,the PPI scores of lumbar pain and lower-limb pain,tumor necrosis factor(TNF)-αand interleukin(IL)-6 levels,and straight leg raising test score in both groups were significantly decreased(P<0.05).The Japanese Orthopaedic Association(JOA)score significantly increased(P<0.05).The improvements of the above items in the combination group were all superior to those in the control group(P<0.05).Conclusion Warm needling moxibustion plus lumbar traction in the treatment of LDH can improve lumbar function,relieve pain,and reduce inflammatory response of the body.

Clinical observation on acupuncture combined with tuina manipulation for thoracic facet joint disorder

Objective： To observe the clinical effect of acupuncture combined with tuina manipulation for thoracic facet joint disorder. Methods： A total of 93 eligible cases were randomly allocated into an observation group and a control group. Patients in the observation group （n=46） were treated with acupuncture combined with tuina manipulation, whereas patients in the control group （n=47） were treated with tuina manipulation alone. The treatment was done once a day, for a total of 3 times. Therapeutic efficacies were then evaluated according to scores on signs and symptoms. Results： After treatment, there were intra-group statistically significant differences in scores of eight signs and symptoms （all P〈0.01）; and the between-group differences were statistically significant in scores of eight signs and symptoms （all P〈0.05）. After three times of treatment, the recovery rate in the observation group was 54.4%, versus 25.4% in the control group, showing a statistical significance （P〈0.05）. Conclusion： Acupuncture combined with tuina manipulation can obtain better effects than tuina manipulation alone for thoracic facet joint disorder and is therefore worth further clinical application.