TREATMENT OF ACUTE DISEASES OF PHARYNX AND LARYNX WITH BLOOD-PRICKING THERAPY

This article deals with a treatment of acute diseases of pharynx and larynx with bloodpricking therapy, in this treatment, a group of 79 patients accepted the treatment with this therapy.The therapy contains mainly two methods: Acupoint pricking and local scattered pricking. A good result is achieved. It proves that blood-pricking method can replace the antibiotics and alleviate the sufferer’s pain and economic burden. It is simple and easy to carry out, thus it can be spread extensively.

CLINICAL OBSERVATION ON THE THERAPEUTIC EFFECT OF PRICKING BLOOD OF SHAOSHANG AND SHANGYANG FOR TREATMENT OF 100 CASES OF ACUTE TONSILLITIS

In this series of treatment, 100 cases of acute tonsillitis were treated using pricking blood therapy. After 1 session of treatment, 36 cases were cured; after 2 sessions, 44 cured and after 3 sessions, 18 cured, with the cure rate being 98%. This therapy works very well in treating acute tonsillitis.

OBSERVATION OF 14 CASES OF LARYNGEAL CARBUNCLE TREATED BY WEI JIA'S BLOOD-LETTING THERAPY

The author used the pricking-blood therapy to treat 14 cases of laryngeal car-buncle.The pricking-blood therapy included clumpy pricking(local area),spot pricking(prickingSanshang points on the thumb and three points of the helix).The therapy has role of clearing awaypathogentic heat and toxic materials and promoting subsidence of swelling.It could avoid forming py-opoiesis and free from operating treatment.The treatment was given once daily,result:13 cases cured(93%),1 case failed(7%).In 14 cases,antero-upper type has 13 cases which cured,postero-uppertype has only 1 case which treated failure.It is because its imflammation was located on posterior totonsillae,exposed bad and pricked difficulty.So the therapy only used antero-upper type of laryngealcarbuncle and had a good effect.

刺血疗法配合针刺调控炎症因子治疗急性期Bell麻痹疼痛患者的临床观察

目的:观察刺血疗法配合针刺治疗对Bell麻痹急性期疼痛患者的疗效及对患者血清细胞因子白介素-1β(Interleukin-1β,IL-1β)和肿瘤坏死因子(Tumor Necrosis Factor-α,TNF-α)的影响。方法:收集100例急性面瘫疼痛患者,随机分为观察组、对照组,各50例。其中观察组患者的治疗主要包括两个阶段:急性期治疗和恢复期治疗。急性期治疗运用刺血、常规针刺相配合的治疗方式,针刺穴位一般为常规取穴如地仓穴、下关穴等,刺血穴位选用阳白穴、太阳穴、颧髎穴、大椎穴;恢复期时,主要应用针刺法进行治疗。对照组患者仅运用针刺法进行治疗。10 d为1个疗程,共观察3个疗程。对两组患者治疗前后的各项参数变化情况进行详细记录,如急性期疼痛持续时间、总体治疗效果等,并测定两组患者血清IL-1β、TNF-α水平。结果:观察组疼痛视觉模拟评分法评分及面神经功能评分均明显优于对照组(P<0.01),而在疼痛持续时间、病程方面,相较于对照组患者,观察组相对更优(P<0.01),在总体治疗效果方面,观察组的治疗效果更好(P<0.05)。两组患者治疗后IL-1β、TNF-α的值较治疗前均明显减少(P<0.05),且观察组IL-1β、TNF-α减少程度较对照组明显(P<0.05)。结论:对于急性期Bell麻痹伴有疼痛的患者,运用刺血疗法加针刺治疗能够明显减轻患者的耳后疼痛,使患者的治疗周期缩短,治疗效果提升,同时可以快速减轻神经损伤,提高临床疗效。

朱维平基于少阴伏邪理论内外并治干燥综合征干眼经验

文章总结朱维平教授自拟方加味鳖甲散联合耳部刺络放血疗法内外并治干燥综合征干眼经验。朱维平教授提出内外并治干燥综合征所致干眼,综合考虑了干燥综合征患者正气亏虚,少阴伏邪,精亏血枯致瘀而燥的发病特点,提出基于少阴伏邪理论治疗干燥综合征干眼,认为正气亏虚是伏邪致燥的基础,邪伏少阴是内在核心致病因素,继而感受外邪,内外相合而发病。临床上常在中药汤剂加味鳖甲散透邪救阴、扶正养阴的基础上重视祛瘀通络,联合刺血疗法治疗干燥综合征所致干眼,认为邪祛一分、正缓一分,使邪祛正缓,临床疗效显著。文章简述“少阴伏邪”理论,以干燥综合征干眼的病因病机为切入点,结合刺络放血疗法的治疗优势,对朱维平教授治疗干燥综合征干眼的理论和临床经验进行介绍,并举验案一则,以期为临床治疗干燥综合征干眼提供具有参考意义的诊疗思路。

刺血加温针灸治疗痛风性关节炎临床观察

目的 探讨刺血加温针灸对痛风性关节炎患者临床疗效、炎症指标及尿酸水平的影响。方法 2020年3月-2022年3月万安县中医院共计收治66例痛风性关节炎患者,随机等分为对照组与观察组,各33例。对照组患者予常规西药治疗,观察组患者予刺血加温针灸治疗。对比2组临床治疗效果、炎症指标及尿酸水平。结果 观察组总有效率为97.0%(32/33),高于对照组的66.7%(22/33),差异有统计学意义(P<0.05)。治疗后,观察组血沉、C反应蛋白(CRP)均低于对照组,差异有统计学意义(P<0.05)。观察组尿酸水平低于对照组,差异均有统计学意义(P<0.05)。结论 刺血加温针灸治疗痛风性关节炎患者,临床效果显著,可降低患者的炎症指标和尿酸水平,应用价值高。

自拟退热汤加减联合刺血疗法治疗社区获得性肺炎33例

目的观察自拟退热汤加减联合刺血疗法治疗肺炎的疗效。方法64例社区获得性肺炎患者,随机分为治疗组(33例)和对照组(31例)。对照组按社区获得性肺炎治疗指南常规采用抗感染、祛痰等治疗方法进行治疗,治疗组在对照组综合治疗基础上加用自拟退热汤联合刺血疗法进行治疗。比较两组体温恢复正常时间,治疗前、治疗第3天、治疗第6天白细胞计数、C反应蛋白,疗效。结果治疗组体温恢复正常时间(46.56±16.51)h短于对照组的(58.84±18.14)h(P<0.05)。治疗第6天,两组白细胞计数、C反应蛋白水平均低于本组治疗前、治疗第3天,且治疗组白细胞计数(9.32±1.37)×10^(9)/L、C反应蛋白(15.23±9.20)mg/L低于对照组的(11.20±1.88)×10^(9)/L、(22.58±13.27)mg/L(P<0.05)。治疗组总显效率72.7%高于对照组的48.4%(P<0.05)。结论自拟退热汤加减联合刺血疗法能促进社区获得性肺炎患者体温、白细胞计数和C反应蛋白水平恢复,以及肺部炎症渗出吸收,提高临床疗效。

基于数据挖掘的刺络拔罐疗法临床应用特点研究

目的:研究刺络拔罐疗法在相关文献中的临床应用特点,为临床使用刺络拔罐治疗疾病提供参考。方法:运用计算机和数据挖掘技术,建立“刺络拔罐疗法临床应用特点数据库”,利用数据挖掘技术对相关文献进行收集、筛选、审核、整理、提取和录入并进行统计分析。结果:刺络拔罐疗法在临床运用中以皮肤科最多,外科、内科、妇科次之,五官科、儿科应用较少,其中以带状疱疹应用居多;刺络拔罐应用腧穴多以阿是穴、督脉和足太阳膀胱经穴为主;工具多选三棱针和玻璃罐;针刺深度一般为0.1~0.5 cm,放血量一般为1~5 mL,留罐10 min后取罐;刺络拔罐常配合毫针刺法使用效果更佳;治疗频次大多2~3 d 1次,多数疾病在1个月内治疗6~10次有效率可达到90%以上。结论:本研究发现带状疱疹是刺络拔罐疗法的优势病种,在临床其操作方法也有一定特点。

制污穴刺血疗法联合四妙汤加减治疗3、4期压力性损伤疗效观察及对肉芽组织生长因子的影响

目的:观察制污穴刺血疗法联合四妙汤加减治疗3、4期压力性损伤的疗效及对肉芽组织生长因子的影响。方法:选取120例3、4期压力性损伤患者,按随机数字表法分为对照组及观察组各60例。对照组接受常规治疗,观察组在对照组基础上采用制污穴刺血疗法联合四妙汤加减治疗。比较2组临床疗效及不良反应发生情况,比较2组治疗前后Bates-Jensen伤口评估与效果评价量表(BWAT)评分、肉芽组织出现时间、肉芽覆盖创面时间、肉芽组织生长因子[转化生长因子-β1(TGF-β1)、基质金属蛋白酶(MMP-9)、血管内皮生长因子(VEGF)]的变化。结果:观察组临床疗效总有效率为98.33%,对照组为86.67%,2组临床疗效比较,差异有统计学意义(P<0.05)。治疗后,2组BWAT评分均较治疗前下降(P<0.05),观察组BWAT评分低于对照组(P<0.05)。观察组肉芽组织出现时间、肉芽覆盖创面时间均短于对照组,差异均有统计学意义(P<0.05)。治疗后,2组TGF-β1、VEGF指标值均较治疗前升高(P<0.05),MMP-9指标值均较治疗前下降(P<0.05);观察组TGF-β1、VEGF指标值均高于对照组(P<0.05),MMP-9指标值低于对照组(P<0.05)。治疗期间,2组均无明显不良反应发生。结论:制污穴刺血疗法联合四妙汤加减治疗3、4期压力性损伤疗效较好,可缩短肉芽组织出现时间及肉芽覆盖创面时间,促进肉芽组织生长,有利于快速恢复。

Effects of pricking blood therapy at meridian sinews on upper limb spasm of post-stroke patients

Objective:To observe effects of pricking blood therapy at meridian sinews on upper limb spasm of poststroke patients.Methods:A total of 72 patients with post-stroke upper limb spasm were randomly divided into a comprehensive group of pricking blood therapy at meridian sinews with rehabilitation training(comprehensive group)and the simple rehabilitation training group(rehabilitation group),and there were 36 patients in each group.On the basis of routine therapy,the patients of the two groups received rehabilitation therapy for 6 consecutive days and 1-day rest,for 4 weeks in total.On the above basis,the patients in the comprehensive group received pricking blood therapy at meridian sinews,once every other day,3 times per week,for 4 weeks in total.Before treatment,after the first treatment,and after 4-week treatment,the patients were observed for changes of upper limb spasticity(Modified Ashworth Scale,MAS),upper limb movement function(Fugl-Meyer Assessment,FMA),activity of daily living(Modified Barthel Index,MBI),and biceps and triceps integrated electromyogram(IEMG)values were observed as well as the therapeutic effects.Results:(1)After the first treatment,there were statistically significant differences of the MAS scale grades in patients of the two groups(P<0.05).The FMA scores in the comprehensive group were increased than that before treatment(P<0.05),and the MBI scores of the two groups were increased than those before treatment(both P<0.05).The FMA and MBI scores in the comprehensive group were higher than those of the rehabilitation group(both P<0.05).The biceps and triceps IEMG values were not improved than those before treatment(all P>0.05).(2)After 4-week treatment,there were statistically significant differences of MAS grades in patients of the two groups(P<0.05).The FMA and MBI scores in the two groups were increased than those before treatment(all P<0.05),and the FMA and MBI scores in the comprehensive group were higher than those in the rehabilitation group(both P<0.05).Through comparison of the differences of FMA and MBI scores of the two groups,the difference values in the comprehensive group were higher than those of the rehabilitation group(both P<0.05).The biceps and triceps IEMG values in the two groups were decreased than those before treatment(all P<0.05),and those in the comprehensive group were lower than those in the rehabilitation group(both P<0.05).The biceps and triceps IEMG values in patients of the comprehensive group were higher than those before treatment(both P<0.05).(3)After 4-week treatment,the total effective rate in the comprehensive group was 83.3%(30/36),and that was 58.3%(21/36)in the rehabilitation group.The total effective rate in the comprehensive group was higher than that in the rehabilitation group(P<0.05).Conclusions:The pricking blood therapy at meridian sinews can release affected upper limb flexor muscle spasticity and movement function of the patients with post-stroke upper limb spasm,decrease biceps IEMG values of the affected side,and improve activities of daily living.

Clinical Observation on Pricking Bloodletting Therapy at Back-Shu Acupoints Plus Chinese Herbal Mask in Treating Patients with Acne

Objective： To observe the clinical efficacy on pricking bloodletting and cupping therapy combined with Chinese herbal mask in treating acne. Methods： Thirty-seven patients with ache were randomly divided into a treatment group （treated by pricking bloodletting and cupping therapy combined with Chinese herbal mask） and a control group （only by Chinese herbal mask）. The therapeutic efficacy was observed after 2-course treatment. Results： The total effective rate in the treatment group was 94.7% versus 61.1% in the control group. According to the statistical management, the total effective rate in the treatment group was significantly higher than that in the control group （P〈O.05）. Conclusion： Pricking bloodletting and cupping therapy combined with Chinese herbal mask therapy for acne is more effective than Chinese herbal mask treatment alone.

Effect of Pricking Blood Therapy on Behavior and Gene Expression in a Rat Model of Migraine

Objective： To investigate the effect of pricking blood therapy on behavior and brainstem c-los and c-jun gene expression in migraine rats. Methods： A rat model of migraine was made with nitroglycerol. The rats were treated by pricking blood. Rat behavior was observed. Brainstem c-fos and c-jun gene expression was examined by immunohistochemistry. Results： Ear redness improved significantly, the number of head scratchings decreased obviously （P〈0.05） and c-fos and c-jun expression was reduced markedly （P〈0.01） in the treatment group after pricking blood compared with the model group and the blank group. Conclusion： Pricking blood treatment can improve behavior indices and reduce c-fos and c-jun positive expression in migraine rats.

带状疱疹后神经痛从络论治体会

带状疱疹后神经痛为顽固性难治性神经痛,属中医络病范畴。其发病部位与络病相符,病程与络病病程相似,疼痛形式多样的发病机制与络病病机相似。络损不复为其病机关键,治疗采用三期辨证、从络论治的方法。初期为毒损络脉,予自拟清毒舒络方以清热解毒、舒络止痛;中期为络脉瘀阻,予自拟活血通络方以活血化瘀、通络止痛;晚期为络虚不复,予自拟补虚护络方以益气养阴、护络止痛。同时根据疼痛不同部位及性质选用相应的止痛药对及引经药;局部疼痛迁延难愈时,采用刺络放血以祛瘀生新、畅达络脉,提高疗效。

基于数据挖掘的刺络放血疗法治疗外感发热的选穴规律研究

目的:探究基于数据挖掘的刺络放血疗法治疗外感发热的选穴规律。方法:2019年7月至2019年12月采用Excel 2019建立刺络放血数据仓库模型,随后下载、筛选已建数据库中刺络放血疗法治疗外感发热的文献资料,以及所需信息的录入,借助建立的刺络放血数据库平台,对其进行数据挖掘。结果:纳入刺络放血疗法治疗外感发热的文献共计63篇,其中刺络放血针具三棱针使用频次最高,刺络放血刺法使用频次最高的为点刺;刺络放血治疗未配合拔罐的研究占比80%;采用刺络放血配合疗法的有46项,占比73%,其中以拔罐使用频次最高。结论:刺络放血疗法治疗外感发热以三棱针点刺治疗为主,且部分研究常配合其他疗法以明显提升治疗效果,但配合拔罐治疗临床应用较少。

刺血疗法联合消散方外敷治疗乳腺增生的疗效观察

【目的】探讨刺血疗法联合消散方(由炙蜂房、郁金、公丁香、乳香、没药、生半夏、姜黄等中药组成)外敷治疗乳腺增生的临床疗效。【方法】将72例肝郁痰凝型乳腺增生患者随机分为研究组和对照组,每组各36例。研究组给予刺血疗法联合消散方外敷治疗,刺血疗法7 d治疗1次,消散方外敷隔日治疗1次;对照组给予枸橼酸他莫昔芬片口服治疗,每次10 mg,每日2次。14 d为1个疗程,共治疗3个疗程。观察2组患者治疗前后中医证候积分和血清雌二醇(E2)、催乳素(PRL)、孕酮(P)水平的变化情况,并评价2组患者的临床总疗效和安全性。【结果】(1)疗效方面,治疗3个疗程后,研究组的总有效率为94.44%(34/36),对照组为72.22%(26/36),组间比较,研究组的临床总疗效明显优于对照组(P<0.05)。(2)中医证候方面,治疗后,研究组的主要证候积分和肝郁痰凝相关证候积分均较治疗前降低(P<0.01),而对照组仅主要证候积分较治疗前降低(P<0.01);组间比较,研究组在降低主要证候积分和肝郁痰凝相关证候积分方面均明显优于对照组,组间治疗后及差值比较,差异均有统计学意义(P<0.01)。(3)雌孕激素方面,治疗后,2组患者血清E2、PRL水平均较治疗前降低,而血清P水平研究组较治疗前升高,对照组较治疗前降低,差异均有统计学意义(P<0.01);组间比较,研究组虽然在降低E2水平方面略逊于对照组,但在降低PRL水平和升高P水平方面均优于对照组,差异均有统计学意义(P<0.01),表明相比西药他莫昔芬,刺血疗法联合消散方外敷在改善乳腺增生患者雌孕激素比例失调方面更有优势。(4)安全性方面,治疗期间,对照组有1例出现月经不调,2例出现食欲不振,1例出现腹泻,不良反应发生率为11.1%(4/36),而研究组无不良反应发生,组间不良反应发生率比较,差异无统计学意义(P>0.05)。【结论】刺血疗法联合消散方外敷治疗肝郁痰凝型乳腺增生患者疗效确切,可有效改善临床症状,调节雌孕激素水平,且具有较高的安全性。

中医外治法治疗偏头痛疗效Meta分析

目的:系统评价临床常用中医外治法治疗偏头痛的效果。方法:以临床常用的针刺、拔罐、推拿、耳穴压豆、刺血等中医外治法及“偏头痛”为关键词,检索CNKI数据库、CBM数据库、VIP数据库、万方数据库、Pub Med数据库、Web of Science数据库中偏头痛的随机对照试验并进行分析。提取相关文献原始数据,比较中医外治与单用西药治疗偏头痛的疗效,利用漏斗图对文献发表偏倚进行评估。结果:检索到1474篇相关文献,最终纳入17篇。运用固定效应模型对总效应值进行合并分析,漏斗图显示左右基本对称,提示发表偏倚较小。Meta分析表明,中医外治法治疗偏头痛的疗效高于单纯西药(I2<50%、P<0.01)。在VAS量表中纳入的7篇文献进行针刺与刺血的亚组分析,刺血疗法的效应量(-0.43,Z=2.86,P<0.05),针刺疗法的效应量(-1.38,Z=8.69,P<0.05),意味着针刺与刺血疗法可显著缓解偏头痛,且针刺疗法效果优于刺血疗法;偏头痛大脑前动脉(ACA)血流速度的分析中纳入3篇文献(I2<50%,P<0.01),中医外治法比单纯西药治疗能更大程度地降低ACA血流速度,缓解头痛。结论:针刺、推拿、拔罐、耳穴压豆、刺血治疗偏头痛的有效性优于单纯西药,中西医结合治疗能提高偏头痛防治效果。

谢强刺营法治疗咽喉病虚寒证经验探析

旴江医学谢氏五官科流派传人谢强不仅将刺营放血疗法用于咽喉病热证、实证的治疗,亦用于虚、寒、瘀证所致的咽喉肿痹,同时配合补益气血的针灸处方或中药以扶正祛邪,拓展了刺营放血疗法的主治范围,临床取效迅捷。

李滋平“针药相须”理论治疗腓总神经损伤经验

腓总神经缘于其解剖上的易受损性,该部位的神经损伤已成为临床常见的下肢功能性疾病。针对本病的治疗,李滋平教授讲求“从血论治”,以养血活血为根基,根据病期前后来平衡扶正、祛邪两种治疗方向,并结合体质、病因等因素,精细诊察,明辨个体,为患者提供精确的个体化治疗。作为岭南针药相须流派传承人,李滋平教授时刻贯彻针药相须理念,以针灸疏导局部,以药物调畅整体,两者相辅相成,并有机结合穴位注射、刺血疗法等技术,活血通络,濡润经筋,合获全效。

舌下刺络放血疗法联合针刺治疗中风后失语的临床疗效观察

目的:观察舌下刺络放血疗法联合针刺治疗中风后失语患者的临床疗效。方法:将60例中风后失语患者按信封法随机分为联合治疗组和传统针刺组,各30例,传统针刺组进行临床常规针刺干预,联合治疗组在传统针刺组基础上予以舌下刺络放血疗法,两组患者均接受除试验干预措施以外的中风病及其他疾病的基础药物治疗。观察两组患者干预前后语言功能及日常生活语言沟通能力的评分变化、对失语程度进行分级,同时评定临床疗效。结果:联合治疗组总有效率为93.3%(28/30),传统针刺组总有效率为76.7%(23/30),差异有统计学意义(P<0.05)。干预后两组患者临床症状均有改善,其中联合治疗组患者语言功能评分、日常生活语言沟通能力评分、失语程度分级均高于传统针刺组(P<0.05)。结论:舌下刺络放血疗法联合针刺可明显改善中风后失语患者的语言功能,疗效优于单纯针刺治疗。

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.