Clinical observation on acupoint injection of Chuankezhi injection plus acupoint sticking in treating bronchial asthma

Objective: To observe the clinical efficacy of acupoint injection of Chuankezhi plus acupoint sticking treatment for bronchial asthma, and provide clinical evidence for the synergy of the two therapies, and explore their synergistic mechanism. Methods: A total of 70 patients were randomized into an acupoint injection plus sticking group and an acupiont sticking group by the random number table, with 35 cases in each group. The treatment took place in July and August. The acupoint injection plus sticking group was treated with acupoint injection and acupiont sticking, while the acupiont sticking group was treated only with acupiont sticking therapy. The treatment course was 4 weeks. After the treatment, the scores of symptom scale in the two groups before treatment, 3 months and 6 months after the treatment were observed. Results: During the treatment, there were 5 dropouts in the acupoint injection plus sticking group with 30 cases remained, and 4 dropouts in the acupiont sticking group with 31 cases remained. Before the treatment, there was no significant difference in the total scores of symptom scale between the two groups. Three months after the treatment, the total scores of symptom scale of both groups were lower than those before treatment, and the intra-group differences were statistically significant (bothP<0.05). In the inter-group comparison, there was no significant difference in the difference values of the scores before treatment and 3 months after treatment (P>0.05). Six months after the treatment, the total scores of symptom scale in both groups were lower than those before treatment, and the intra-group differences were statistically significant (bothP<0.05), so were the differences in the difference values of the scores before treatment and 6 months after treatment (bothP<0.05). Conclusion: Acupoint injection of Chuankezhi plus acupoint sticking or acupoint sticking alone both can improve the symptoms of patients with bronchial asthma. Acupoint injection of Chuankezhi plus acupoint sticking has a higher total effective rate than single acupoint sticking therapy.

定喘穴穴名与定位源流考

定喘穴属于经外奇穴,在治疗呼吸系统疾病中屡获良效。中国古代医籍无定喘穴穴名,现代中医药教材中虽然有定位、功效、主治,但是出处不详。为进一步推广定喘穴的临床应用,该文对定喘穴穴名、定位的源流进行考证,以便为临床正确选用该穴提供一定借鉴。结果显示定喘穴经历了从"阿是穴"到"新穴",再到"经外奇穴"的发展历程。定喘穴发展到与当今国标相同的穴名、定位,主要经历了4个阶段,即穴名相似、定位不同,穴名相似、定位相近,穴名相同、定位不同,穴名相同、定位相同。

定喘穴经皮神经电刺激对COPD急性期患者肺功能的影响:随机对照研究

目的:验证定喘穴经皮神经电刺激对慢性阻塞性肺病(COPD)急性期患者肺功能的改善作用。方法:采用随机对照研究方法将40例COPD急性期患者随机分为A组、B组,每组20例。A组予定喘穴经皮神经电刺激(频率4 Hz、波宽200 ms),B组予定喘穴无电流输出的假刺激治疗。连续治疗10天,观察治疗前后肺功能测试变化,包括第1秒用力呼气量(FEV_1)、用力肺活量(FVC)、第1秒用力呼气量占用力肺活量比值(FEV_1%),进行疗效评价。结果:两组治疗前肺功能各项指标差异无统计学意义(均P>0.05),经过10次治疗,两组肺功能各项指标治疗后及治疗前后差值比较,差异亦无统计学意义(均P>0.05)。结论:频率4 Hz、波宽200 ms的定喘穴经皮神经电刺激治疗对急性期COPD患者肺功能指标的改善无明显辅助治疗作用。