Clinical observation of sinew-regulating and bone-setting manipulation combined with Xiaoyu Jiegu Powder in treating knee osteoarthritis

Objective:To evaluate the clinical efficacy of sinew-regulating and bone-setting manipulation(SRBSM)combined with Xiaoyu Jiegu Powder(XYJGP)in treating knee osteoarthritis(KOA).Methods:Sixty patients were randomly divided into treatment group(30 cases)and control group(30 cases).The treatment group was treated with SRBSM combined with XYJGP and the control group was given intermediate frequency electrotherapy and XYJGP.Visual Analogue Scale(VAS).The Western Ontario and McMaster Universities Osteoarthritis Index(WOMAC),Flexion range of motion of the knee joint,and surface electromyography(sEMG)were used to evaluate and compare the patients'knee function before and after treatment.The efficacy was observed with diagnosis and efficacy standards of TCM.Results:After treatment,compared with the same group before treatment,muscle fatigue and muscle tension decreased,pain was reduced,range of motion of the knee joint was increased,and motor function was improved(P<0.05).The improvement degree of the treatment group was better than that of the control group(P<0.05).The total effective rate of the treatment group was 96.6%(29/30),higher than that of the control group(80.0%),P<0.05.Conclusion:SRBSM combined with XYJGP can effectively reduce the pain of KOA patients,improve the range of motion of the joints,and improve the quality of life of the patients,and its curative effect is better than that of intermediate frequency electrotherapy combined with XYJGP.

Reduction in nerve root compression by the nucleus pulposus after Feng's Spinal Manipulation

Ninety-four patients with lumbar intervertebral disc herniation were enrolled in this study. Of these, 48 were treated with Feng＇s Spinal Manipulation, hot fomentation, and bed rest （treatment group）. The remaining 46 patients were treated with hot fomentation and bed rest only （control group）. After 3 weeks of treatment, clinical parameters including the angle of straight-leg raising, visual analogue scale pain score, and Japanese Orthopaedic Association score for low back pain were improved. The treatment group had significantly better improvement in scores than the control group. Magnetic resonance myelography three-dimensional reconstruction imaging of the vertebral canal demonstrated that filling of the compressed nerve root sleeve with cerebrospinal fluid increased significantly in the treatment group. The diameter of the nerve root sleeve was significantly larger in the treatment group than in the control group. However, the sagittal diameter index of the herniated nucleus pulposus and the angle between the nerve root sleeve and the thecal sac did not change significantly in either the treatment or control groups. The effectiveness of Feng＇s Spinal Manipulation for the treatment of symptoms associated with lumbar intervertebral disc herniation may be attributable to the relief of nerve root compression, without affecting the herniated nucleus pulposus or changing the morphology or position of the nerve root.

罗有明正骨手法结合药物治疗腰椎间盘突出症

目的:观察运用罗有明正骨手法并结合药物治疗腰椎间盘突出症的临床效果。方法:将79例经X线片、CT扫描、MR I等辅助检查结合症状、体征确诊的腰椎间盘突出症患者采用随机对照单盲法分为治疗组(40例)和对照组(39例)。治疗组采用罗有明正骨手法结合药物治疗,对照组采用牵引、物理疗法、功能锻炼治疗,治疗半个月后观察两组疗效。结果:治疗组总有效率为95.0%,对照组总有效率为86.5%。两组疗效比较有显著性差异(P<0.05)。结论:罗有明正骨手法结合药物治疗腰椎间盘突出症疗效明显优于牵引、物理疗法、功能锻炼治疗。

罗笑容教授从肝脾论治配合推拿治疗小儿抽动症临证经验

总结罗笑容名老中医从肝脾两脏辨治配合小儿推拿手法治疗小儿多发性抽动症的临床经验。罗笑容教授认为抽动症发病根本与五脏失调相关,其中以肝为核心,与脾关系最为密切,标为风痰。辨证考虑脾虚肝旺、风痰内扰,治以疏肝健脾、化痰熄风为法,方用四逆散、四君子汤合温胆汤,配合抑木扶土小儿推拿手法,内服外治以调和阴阳,可明显缓解患儿抽动症状,取得良好的疗效。

温经活血膏联合罗氏特色推拿手法治疗腰椎间盘突出症

目的:观察温经活血膏联合罗氏特色推拿手法治疗腰椎间盘突出症的疗效。方法:选取2015年7月至2016年10月就诊于本院推拿科的腰椎间盘突出症患者136例,按随机数字表法分为试验组和对照组各68例。对照组给予罗氏特色推拿手法治疗,试验组在对照组治疗的基础上加用温经活血膏治疗。1个疗程结束后,观察两组患者的临床疗效,同时采用日本骨科学会腰痛疾患疗效评定标准(Japanese Orthope-dic Association,JOA)对患者治疗前后腰椎功能进行评分。结果:试验组有效率为91.2%,对照组有效率为73.5%,试验组优于对照组,差异具有统计学意义(P<0.05);两组患者治疗后腰椎功能JOA评分均优于治疗前,且试验组治疗后JOA评分优于对照组,差异具有统计学意义(P<0.05)。结论:温经活血膏联合罗氏特色推拿手法能够改善腰椎间盘突出症患者临床症状,是一种安全、有效的治疗方法。

罗氏正骨包扎法治疗锁骨骨折的临床疗效

目的分析罗氏正骨包扎法对锁骨骨折患者进行治疗的临床效果。方法80例锁骨骨折患者,根据随机数字表法分为对照组和观察组,每组40例。对照组患者采用传统开放式手术切开复位并使用钢板螺钉进行内固定治疗,观察组患者采用罗氏正骨包扎法进行治疗。比较两组患者临床疗效及不良反应发生情况。结果治疗后,观察组患者的治疗总有效率为95.00%,高于对照组的80.00%,差异具有统计学意义(P<0.05)。观察组患者的不良反应发生率为17.50%,低于对照组的37.50%,差异具有统计学意义(P<0.05)。结论采用罗氏正骨包扎法治疗锁骨骨折患者,能够有效降低患者康复期间不良反应发生率,同时也能在一定程度上提高患者的临床治疗效果,是一种具有较高推广价值的治疗方法。

罗才贵教授取八髎穴治疗腰痛病经验

介绍罗才贵教授针刺"八髎穴"行指搓、指捻行针手法治疗腰痛病的经验,此法在改善患者腰痛及下肢麻木症状方面疗效显著,具有操作时间短、得气快、针效持续时间长的特点。本文从"八髎穴"针刺方法、行针手法、注意事项等方面进行详细阐述,并附验案1例。

罗才贵手法治疗“筋痹”经验

介绍名老中医罗才贵手法治疗"筋痹"的特色及经验。罗老在《黄帝内经》经筋理论的指导下,根据"筋痹"的发病及临床特点,注重触诊的运用及指下感觉,审证求因,辨证选穴,强调"温"法的运用,组合运用针刺手法(搓法、捻法)、推拿手法("松""分""温""顺")以阳性点、肌间隙为治疗重点治疗"筋痹"。该法得气迅速、针感持续时间长,温热作用明显,临床疗效显著,可以显著改善症状体征,缩短病程,具有鲜明的特色。

罗华送正骨推拿手法结合抗阻运动疗法治疗颈性眩晕临床经验

罗华送副教授将中医经典理论与西医学以及生物力学相结合治疗颈性眩晕,认为其发病机制是颈本体感觉紊乱和颈椎失稳,病理表现为颈本体感受器功能异常、单个或者多个椎体三维空间的改变,颈伸肌群紧张。治疗上采用正骨推拿手法结合抗阻运动疗法,治练结合,对于改善患者症状、重建颈本体感觉功能、纠正失稳节段三维空间位置和调整椎动脉的相对位置疗效显著。