THIRTY-SIX CASES OF NEURITIS OF LATERAL CUTANEOUS NERVE OF THIGH TREATED BY MAGNETIC ROUND PLUM-BLOSSOM NEEDLE PLUS INFRARED RADIATION

Thirty-six cases of neuritis of lateral cutaneous nerve of thigh were treated by mag-netic round plum-blossom needle plus infrared radiation and it was compared with simpleacupuncture treatment.Statistical analysis indicated that there was no significant difference in thetheraPeutic effects between the two methods,but magnetic round Plum-blossom needle Plus in-frared radiation had as high therapeutic effect as simple acupuncture treatment and with themethod pateints suffered less without infection and it was easily to be accepted by patients.

TREATMENT OF 42 CASES OF ALOPECIA AREATA WITH PLUM-BLOSSOM NEEDLE

In the present study, 42 cases of alopecia areata were treated by tapping the locus with plum-blossom needle and rubbing the local skin with fresh ginger. After 1 - 3 courses of treatment, 41 cases were cured, with the cure rate being 97. 62%.

OBSERVATION ON THE THERAPEUTIC EFFECT OF PLUM-BLOSSOM NEEDLE TAPPING PLUS MEDICATION FOR HERPES ZOSTER

Objective： To observe the therapeutic effect of plum-blossom needle tapping combined with intravenous drip of Acyclovir for herpes zoster. Methods; A total of 40 herpes zceter patients were randomized into acupuncture plus medication group （ n = 21 ） and medication group （ n = 19） which were treated respectively with topical plum-blossom needle tapping in the focus region combined with intravenous drip of Acyclovir （250 rng＋250 mL normal saline, twice daily） and simple intravenous drip of Acyclovir. Results： After treatment, of the 21 and 19 cases in acupuncture plus medication and medication groups, 18 （85.7%） and 10 （52.6%） were cured, 3 （ 14.3% ） and 7 （36.8%） had marked improvement, 0 （0） and 2 （ 10.5% ） failed, with the effective rates being 100,0% and 89,5% respectively. The cure duration of acupuncture plus medication end medication groups were （2.5± 1.0） days and （4.0±2.3） days separately. The therapeutic effect of the former group was significantly superior to that of the later group （P〈 0.05） and the duration of cure of acupuncture plus medication group was evidently shorter than that of medication group （P〈0.05）. Conclusion： The therapeutic effect of plum-blossom needle tapping plus Acyclovir is significantly superior to that of simple Acyclovir in relieving pain, promoting scabbing, and shortening the therapeutic duration.

TREATMENT OF 247 CASES OF PROLAPSE OF LUMBAR INTERVERTEBRAL DISC WITH COMPREHENSIVE PLUM-BLOSSOM MAGNETIC NEEDLE THERAPY

Objective: To observe the therapeutic effect of comprehensive plum-blossom magnetic needle therapy on prolapse of lumbar intervertebral disc. Methods: 247 cases of prolapse of lumbar intervertebral disc were treated first with manual treatment and then with plum-blossom magnetic needle therapy and effect-increasing pad therapy at specified points and reactive points. Results: After treatment for 2 therapeutic courses,153 cases were cured accounting for 61.94%, 71 cases were markedly effective accounting for 28.75%, 22 cases were improved accounting for 8.91% and the rest one failed,accounting for 0.45%. Conclusion: The comprehensive plum-blossom magnetic needle therapy has a better therapeutic effect on prolapse of lumbar intervertebral disc.

梅花针叩刺、针灸联合米诺地尔搽剂治疗男性脂溢性脱发疗效观察

目的:观察梅花针叩刺、针灸联合米诺地尔搽剂治疗男性脂溢性脱发的临床疗效。方法:选取2019年1月-2022年1月笔者医院收治的105例男性脂溢性脱发患者为研究对象,按随机数字表法分为对照组(n=52)和观察组(n=53),对照组给予针灸治疗,观察组在对照组基础上给予梅花针叩刺治疗。比较两组临床疗效、症状积分、发中微量元素水平、不良反应发生率及复发率。结果:共100例患者完成全部治疗。治疗后观察组总有效率为90.00%,显著高于对照组的68.00%(P<0.05);治疗后观察组脱发、瘙痒及脱屑积分均显著低于对照组(P<0.05);治疗后观察组头发中Fe、Cu、Zn水平均显著高于对照组(P<0.05),两组Ca水平比较差异无统计学意义(P>0.05);治疗后观察组复发率为4.00%,低于对照组的20.00%(P<0.05)。结论:梅花针叩刺、针灸联合米诺地尔搽剂治疗男性脂溢性脱发的临床疗效显著,能够减轻临床症状,改善发中微量元素含量,减少复发率。

Treatment of cervical spondylotic radiculopathy: acupuncture at neck Jiájǐ points and blood-letting puncture with the plum-blossom needle

Objective To observe the therapeutic effect of acupuncture at neck Jiájǐ （EX） points and blood-letting puncture with the plum-blossom needle on cervical spondylotic radiculopathy. Methods Sixty cases of cervical spondylotic radiculopathy were divided into a treatment group and a control group with 30 cases in each group. Acupuncture at neck Jiájǐ （EX） points （Extra） and blood-letting puncture with the plum-blossom needle were adopted for the treatment group. And acupuncture at neck Jiájǐ （EX） points was adopted for the control group. The therapeutic effect, visual analogue scale （VAS） and the numbness score were observed after 2 treatment courses. Results The total effective rate of the treatment group was 86.7% （26/30）, while the rate of the control group was 83.3% （25/30）. Comparison of the differences of the two groups was without statistic significance （P0.05）. The VAS scores of the two groups after treatment were both improved （both P0.01）, but without statistic significance between the two groups （P0.05）. The numbness scores of the two groups after treatment were both better than those before treatment （P0.01）. The therapeutic effect on numbness of the extremities of the treatment group was better than that of the control group （P0.05）. Conclusion Blood-letting puncture with the plum flower needle has a satisfactory effect on treatment of numbness of the extremities of patient with cervical spondylotic radiculopathy.

Efficacy observation on cervical spondylosis of nerve root type treated by the warm needling at Jiájǐ(夹脊EX-B 2) and tapping with plum-blossom needle

Objective To observe the clinical effect on cervical spondylosis of nerve root type treated by warm needling therapy at Jiáj （夹脊 EX-B 2） and plum-blossom needle therapy. Methods According to the random number table, 150 cases of cervical spondylosis of nerve root type were randomized into an acupuncture-moxibustion group （75 cases） and a control group （75 cases）. In the acupuncture-moxibustion group, the warm needling at EX-B 2 and tapping with plum-blossom needle were applied. EX-B 2 on the affected segments were selected and stimulated with warm needling technique for 20– 30 min. Afterward, the plum-blossom needle was used to tap the skin around the acupoints, for 3 min on each site. The treatment was given once every day. Seven treatments made one session. The interval between two sessions was 1 day. In the control group, the medication was used in combination with traction therapy. The intravenous drip with 5% glucose 250 mL and compound salvia miltiorrhiza injection 40 mL was used, once a day. In traction treatment, the patient was in a sitting position, neck anteflexion at 15°–30°, traction force at 10%–20% of the body mass, for 20–30 min in each time. The treatment was given once every day. The appointed person evaluated therapeutic effects after the three sessions of treatment in the two groups. Results The clinical curative rate was 49.3% （37/75） and the total effective rate was 94.7% （71/75） in the acupuncture-moxibustion group and those were 24.0% （18/75） and 81.3% （61/75） respectively in the control group. The total effective rate and clinical curative rate in the acupuncture-moxibustion group were superior to the control group （both P0.05）. In the comparison of the duration of treatment and effect in the cured patients between the two groups, the curative rate in the 1st session of treatment in the acupuncture-moxibustion group was higher than that in the control group （P0.05）. In the comparison of the 6-month follow-up visit in the cured patients between the two groups, the effect in the acupuncture-moxibustion group was much more stable （P0.05）. Conclusion The warm needling therapy at EX-B 2 and tapping therapy with plum-blossom needle achieve the significant effect on cervical spondylosis of nerve root type.

Thin cotton moxibustion combined with plum-blossom needle in treatment of herpes zoster:a controlled trial

Objective To compare the difference of clinical efficacy of thin cotton moxibustion combined with plum-blossom needle and western medication in treatment of herpes zoster.Method Eighty patients with herpes zoster were divided into thin cotton moxibustion group（group A,n=40） and western medication group（group B,n=40） according to the sequence of admission.Patients in group A received thin cotton moxibustion that the colton was used as thin as a cicada＇s wings,combined with plum-blossom needle,and patients in group B received intravenous infusion with 0.25 g of acyclovir once a day,and acyclovir ointment application on affected part for 3-5 times per day.Five days were considered as a course of treatment.Analgesic effect and the incidence of postherpetic neuralgia were observed after two consecutive courses.Result The total effective rate was 97.5%（39/40） in group A,and80.0%（32/40） in group B（P〈0.05）;it was shown from the comparison of course between two groups that the cure rate after one in group A was markedly higher than that in group B（P〈0.01,P〈0.05）;the differences in effectual time and analgesic time between group A and group B were statistically significant（P〈0.05）;after treatment,the incidence of postherpetic neuralgia in group A was markedly lower than that in group B（P〈0.05）.Conclusion Thin cotton moxibustion combined with plum-blossom needle in treatment of herpes zoster can obviously shorten the time of therapy,effectively control pain,and reduce the incidence of postherpetic neuralgia.

梅花落玫瑰兴:花之喻与中国近现代文学女性的情感嬗变

中国近现代历史的巨变推动着国人的情绪样貌也发生了深刻的转变,“情与爱”突破传统礼教的束缚上升为中国社会生活和文化生活的重要参数,尤其对女性解放产生了空前的影响,借助文学女性笔下的“花之喻”便可豹窥中国近现代女性的情感嬗变。以秋瑾、徐自华、吕碧城、张默君等为代表的第一代知识女性偏爱梅花,她们的咏梅诗既继承了传统文人借花比德的精神传统,也展露出近代知识女性各具风采的情感特征。随着新文化运动的兴起,承载着现代爱情意蕴的玫瑰取代传统梅花成为新文学女性热烈情感和自由追求的载体。但是,源自西方的爱情玫瑰舶来本土之后却发生了有趣的形变,由“夜莺玫瑰”转变成“杜鹃玫瑰”并在玫瑰的颜色上有了红白之分,由此透露出新文学女性情感嬗变中传统与现代的交汇状态。

肌内注射腺苷钴胺、威伐光理疗联合梅花针在急性期带状疱疹中的应用

目的探讨肌内注射腺苷钴胺、威伐光理疗联合中医梅花针对急性期带状疱疹治疗的有效性、优越性。方法选取皮肤科门诊2020年9月至2022年5月确诊的124例带状疱疹患者,患者随机分为对照组58例和观察组66例。对照组采用西医治疗,即肌内注射腺苷钴胺、口服伐昔洛韦及维生素B1、辅助威伐光理疗。观察组在对照组基础上,联合应用梅花针针刺、火罐治疗。比较2组患者的治疗效果、疼痛缓解时间、以及是否遗留后遗神经痛的差异,综合评价观察组的临床效果。结果2组患者年龄、病程差异无统计学意义(P>0.05)。观察组疗效明显优于对照组(χ^(2)=8.904,P=0.031)。观察组疼痛缓解时间明显短于对照组(t=3.402,P=0.001)。观察组出现后遗神经痛概率明显低于对照组(χ^(2)=4.835,P=0.028)。结论肌内注射腺苷钴胺、威伐光理疗联合梅花针治疗急性期带状疱疹,能够提高治疗的有效率,明显缩短疼痛缓解时间,有效的减少了后遗神经痛的发生率。

Observation on the therapeutic effect of scalp acupuncture, plum-blossom needle combined with speech rehabilitation training on aphasia of ischemic apoplexy

Objective To compare clinical therapeutic effects of scalp acupuncture, plum-blossom needles tapping the head area combined with speech training and simple speech training on aphasia of ischemic apoplexy. Methods Sixty cases of aphasia of ischemic apoplexy were randomly divided into an observation group and a control group, 30 cases in each group. The patients in the control group received speech training, and in the observation group, on the basis of speech training, acupuncture was given at the anterior oblique line of vertex temporal, the posterior oblique line of vertex temporal and the middle line of vertex, and after withdrawal of the needles, the area enclosed by the 4 lines of the anterior oblique line of vertex temporal, the middle line of vertex, the posterior oblique line of vertex temporal, and connective line of Qǔbìn （曲鬓 GB 7） with Xuánlí（悬厘 GB 6） was tapped 2-3 times with plum-blossom needles. The assessment criteria in Chinese Aphasia Set Tests were used for comparison of scores of all the sub-items between the two groups. Results After treatment, scores of information amount, fluency, retelling, naming of words, naming of colors, naming of response, answer to yes or no question, hearing and recognizing, executing an order, etc. were signif icantly increased in both the two groups （all P0.05）, and the scores of all the above items in the observation group were more significantly increased as compared with those in the control group （all P0.05）. Conclusion Scalp acupuncture, plum-blossom needle tapping combined with speech training has a significant therapeutic effect on aphasia of ischemic apoplexy, which is better than that of simple speech training.

梅花针叩刺法治疗1例动眼神经麻痹患者的护理体会

动眼神经麻痹严重影响患者视觉及生活质量。本文总结采用梅花针叩刺法治疗1例轻度动眼神经麻痹患者的护理经验。根据护理评估及中医辨证分型,在生活起居、饮食护理、情志护理基础上,采用梅花针中医护理技术,有效改善了患者上睑下垂、斜视、眼球活动受限等症状。

梅花针循经叩刺联合针刺治疗脑卒中后痉挛性偏瘫疗效观察

目的:观察梅花针循经叩刺联合针刺治疗脑卒中后痉挛性偏瘫的临床疗效。方法:将符合标准的72例脑卒中后痉挛性偏瘫患者随机分为观察组和对照组,每组各36例。对照组予脑卒中基础治疗联合针刺治疗,每周5次,2周为一疗程,共治疗4个疗程。观察组在对照组的治疗基础上采用梅花针叩刺阳明经,上肢叩刺手阳明大肠经,下肢叩刺足阳明胃经,每周3次,2周为一疗程,共治疗4个疗程。观察2组患者治疗前后Fugl-Meyer运动功能(FMA)评分、日常生活活动能力Barthel指数(BI)评分和改良Ashworth痉挛量表(MAS)分级变化,并比较2组间的临床疗效。结果:治疗后2组患者FMA评分、BI评分和上下肢MAS分级均优于治疗前(P<0.05),且观察组以上3项指标的改善程度均优于对照组(P<0.05)。治疗组总有效率为97.2%,高于对照组的77.8%,差异有统计学意义(P<0.05)。结论:梅花针循经叩刺联合针刺治疗脑卒中后痉挛性偏瘫的疗效较单纯的针刺治疗更为显著,能够明显改善脑卒中后痉挛性偏瘫患者肢体运动功能和痉挛状态,提高临床疗效,改善患者的生活质量。

梅花针技术防治复杂性肛瘘术后早期并发症的临床疗效评价

目的 评价梅花针技术防治复杂性肛瘘术后早期并发症的临床疗效。方法 选取2022年3月至2023年2月在上海中医药大学附属曙光医院肛肠科行复杂性肛瘘手术的132例患者作为研究对象,按照随机数字表法将其分为观察组(梅花针技术加术后常规护理)和对照组(术后常规护理),每组各66例。比较2组患者术后早期并发症防治总有效率、术后疼痛程度、排尿困难发生率、住院满意度。结果 观察组总有效率高于对照组,尿潴留发生率低于对照组,治疗后30 min及治疗后2 h疼痛程度低于对照组,住院满意度高于对照组,差异均有统计学意义(P<0.05)。结论 复杂性肛瘘术后采用梅花针技术治疗可有效防治早期并发症,减轻疼痛,降低尿潴留发生率,患者住院满意度较高。

城市绿地梅花听嗅刺激对人体情绪及压力恢复研究

城市绿地作为城市中最便于居民接触的自然绿地环境,具有缓解居民压力进而促进其身心健康的效果。为探究城市绿地中声音与梅花香气对人情绪及压力恢复的影响,设计并开展相关实验研究。选择梅花作为嗅觉刺激材料,以城市绿地中常见的声音(人声、水声)为听觉刺激材料,招募100名被试者随机分在5个实验组,被试者首先进行压力学习任务,然后进行恢复活动,使用EmotivEpocX便携式脑电仪、Omron血压仪及简式心境量表(POMS)分析不同组的情绪变化及压力恢复情况。结果显示:1)脑电波情绪显示,各实验组均会使被试者压力值下降,放松值上升,梅花组的放松及兴趣值最高,水声组的参与及兴奋值最低,人声组的兴奋及专注值最高,梅花&人声组的参与值最高;2)POMS量表结果显示,除人声组有上升外,其余4组均呈下降趋势;3)收缩压及舒张压结果同样显示,除人声组上升外,其余各组均呈现不同程度的下降趋势。以期为后续城市绿地梅花景观的设计提供科学建议。

光动力疗法治疗口腔白斑的研究进展

口腔白斑(oral leukoplakia, OLK)指发生于口腔黏膜上不能被擦去、也不能以临床或组织病理学方法诊断为其他可定义的疾病的白色损害,是一种口腔黏膜癌前病变。现有治疗OLK的方法中,非手术治疗如药物治疗缺乏其防止OLK恶性转化和复发的确切证据;而手术治疗则存在适应证窄、术后口腔形态及功能受损等不足;光动力疗法(photodynamic therapy, PDT)是一种现代的非侵入性疗法,可用于治疗包括口腔白斑在内的各种肿瘤及非肿瘤病变,由于其良好的组织形态及功能保存潜能,现已成为治疗口腔白斑的一种新型且前景广阔的治疗选择。该文就PDT治疗口腔白斑应用的光敏剂、光源及其辅助治疗手段作一综述。

小续命汤化裁联合梅花针叩刺对老年脑梗死偏瘫患者的临床疗效

目的考察小续命汤化裁联合梅花针叩刺对老年脑梗死偏瘫患者的临床疗效。方法104例患者随机分为对照组和观察组,每组52例,2组采用常规治疗,同时对照组给予梅花针叩刺,观察组在对照组基础上加用小续命汤化裁,疗程4周。检测临床疗效、BDNF、PTX-3、CTRP9、ET-1、vWF、脑血流动力学指标(平均血流量、平均血流速度、外周阻力、动态阻力)、中医证候评分、相关评分(FMA上肢和下肢评分、S-FMMFA上肢和下肢指数、NIHSS评分)、不良反应发生率变化。结果观察组总有效率高于对照组(P<0.05)。治疗后,2组BDNF、CTRP9、平均血流量、平均血流速度、相关评分升高(P<0.05),PTX-3、ET-1、vWF、外周阻力、动态阻力、NIHSS评分、中医证候评分降低(P<0.05),以观察组更明显(P<0.05)。2组不良反应发生率比较,差异无统计学意义(P>0.05)。结论小续命汤化裁联合梅花针叩刺可安全有效地改善老年脑梗死偏瘫患者脑血流动力学,调节相关因子表达,促进肢体运动功能恢复,提高日常生活能力。

师徒互动与民间武术组织建构——冠县梅花拳传承协会个案分析

以冠县梅花拳传承协会为个案探讨师徒互动及组织建构过程。协会师徒互动包括:(1)传艺协作:师父通过引导惩戒使弟子养成行为规范,在技艺渐进中密切师徒关系;(2)情感交互:师父为武术传承事业倾情付出换来弟子的情感回馈;(3)仪式共享:拜师仪式缔结师徒关系,祭祖大会强化组织认同。协会在师徒互动中建构:(1)技艺传承中,徒弟在认识师父中融入协会,师徒共同维护协会良好形象,最终形成共同目标和行为规范;(2)情感交流中,弟子归属感提升表现为对协会从仰慕、关爱到眷恋的情感递进和升华;(3)仪式共享中,拜师和祭祖贯穿情感形塑制度,以丰富拳种叙事促进认同。总之,师徒互动是围绕武术传承展开的情感与仪式的互融共促,民间武术组织应以情感与仪式交融促进技艺传承。

皮肤针治疗肝肾不足型雄激素性脱发的疗效观察

目的观察皮肤针治疗肝肾不足型雄激素性脱发的临床疗效。方法将64例肝肾不足型雄激素性脱发患者随机分为对照组和治疗组,每组32例。治疗组用皮肤针局部叩刺治疗,对照组用常规针刺治疗。分别观察两组患者治疗前、治疗4周后、治疗后的临床症状评分、中医证候积分和头皮温度的变化。比较两组临床疗效。结果治疗4周后和治疗后,两组临床症状评分均低于治疗前(P<0.05),两组临床症状评分组间比较差异无统计学意义(P>0.05),治疗组临床症状评分的治疗前后差值大于对照组(P<0.05)。两组治疗后中医证候积分低于同组治疗前(P<0.05),但组间比较差异无统计学意义(P>0.05)。治疗组头皮温度升高程度较对照组更为明显(P<0.05),两组同时段内治疗后头皮温度均高于治疗前(P<0.05),治疗组第12次和第24次治疗前后头皮温度差值大于对照组(P<0.05)。治疗4周后,治疗组总有效率为28.1%,对照组为21.9%;治疗后,治疗组总有效率为78.1%,对照组为68.8%;同时段组间比较,差异无统计学意义(P>0.05);两组治疗后的总有效率均高于同组治疗4周后(P<0.05)。结论皮肤针治疗肝肾不足型雄激素性脱发的临床疗效与常规针刺治疗相当,在改善临床症状和升高头皮温度方面优于常规针刺,可能通过改善头皮微循环而减轻临床症状。

梅花针联合威伐光理疗、肌注腺苷钴胺治疗急性期带状疱疹临床观察

目的观察梅花针联合威伐光理疗+肌注腺苷钴胺对急性期带状疱疹(HZ)患者疼痛、免疫反应及血清神经降压素(NT)水平的影响。方法将140例急性期HZ患者按随机数字表法分为梅花针组与对照组。对照组采用威伐光理疗+肌注腺苷钴胺治疗,梅花针组在对照组基础上采用梅花针治疗。比较两组疗效、临床症状改善时间、免疫细胞数量、血清NT水平、视觉模拟量表(VAS)评分、是否遗留后遗神经痛(PHN)。结果梅花针组的临床总有效率为92.86%,高于对照组的80.00%(P<0.05);梅花针组患者止疱时间、结痂时间、疼痛开始缓解时间均短于对照组(P<0.05);治疗后,两组患者CD4+细胞百分比、CD4+/CD8+均上升,且梅花针组高于对照组;两组患者CD8+细胞百分比均下降,且梅花针组低于对照组(P<0.05);治疗1周后、治疗结束4周及治疗结束8周时,两组患者血清NT水平均上升,且同时间点梅花针组高于对照组(P<0.05);治疗1周后、治疗结束4周及治疗结束8周时,两组患者VAS评分均下降,且同时间点梅花针组低于对照组(P<0.05);梅花针组PHN的发生率低于对照组(P<0.05)。结论梅花针联合威伐光理疗+肌注腺苷钴胺治疗急性期HZ可有效缓解患者疼痛,提高免疫力,血清NT水平,临床症状改善效果显著。