Objective： To observe the clinical efficacy of point-toward-point acupuncture combined with herbs iontophoresis in treating knee osteoarthritis. Methods： A total of 100 patients were randomly divided into a treatme...Objective： To observe the clinical efficacy of point-toward-point acupuncture combined with herbs iontophoresis in treating knee osteoarthritis. Methods： A total of 100 patients were randomly divided into a treatment group and a control group, 50 cases in each. Patients in the treatment group received point-toward-point acupuncture with long needle combined with herbs iontophoresis treatment; while those in the control group were only treated by point-toward-point acupuncture with long needle. Clinical efficacies of the two groups were compared after treatment. Results： The total effective rate was 92.0% in the treatment group, versus 82.0% in the control group, and the difference was statistically significant （P〈O.05）. Conclusion： The point-toward-point acupuncture with long needle combined with herbs iontophoresis treatment for knee osteoarthritis has a significant effect.展开更多
Objective: To observe the effect of point-toward-point needling at points on the low back regions on residual back pain after percutaneous kyphoplasty (PKP), thoracolumbar function and quality of life (QOL) in patient...Objective: To observe the effect of point-toward-point needling at points on the low back regions on residual back pain after percutaneous kyphoplasty (PKP), thoracolumbar function and quality of life (QOL) in patients with osteoporotic vertebral compression fracture (OVCF). Methods: A total of 72 patie nts with OVCF and residual back pain after PKP were in eluded and allocated into a treatme nt group (n=36) and a control group (n=36) by the random number table. Cases in the control group received salmon calcitonin injection (miacalcic), for 1 mL each time, once a day, and oral intake of calcium carbonate D3 pill, 600 mg each time, once a day, whereas cases in the treatment group received point-toward-point needling at points on the low back regions and electroacupuneture (EA) for 30 min each time, once a day and 6 times a week on the basis of the treatment in the control group. Treatment in both groups lasted for 2 weeks. Therapeutic efficacy indicators including visual analog scale (VAS), Oswestry disability index (ODI) and Barthel index (Bl) were evaluated before and after treatment and at follow-up visit (1 month after treatment). Results: The total effective rate was 94.4% and 88.9% in the treatment group after treatment and at the follow-up visit, respectively, higher than 77.8% and 69.4% in the control group, and the between-group differences were statistically significant (both P<0.05). After treatment and at the follow-up visit, the VAS and ODI scores decreased, and Bl scores in creased in both groups, and the in tra-group differe nces were statistically sign ifica nt (all P<0.05). After treatme nt and at the follow-up visit, between-group differences of VAS, ODI and Bl scores were statistically significant (all P<0.05). Conclusion: On the basis of conventional medication treatment, point-toward-point needling at points on the low back regions has a good therapeutic effect in relieving residual back pain after PKR improving thoracolumbar function and QOL, better than conventional medication treatment alone.展开更多
Objective:To observe the effect of point-toward-point needling on asthenopia.Methods:A total of 60 asthenopia cases were randomized into an observation group and a control group,30 cases in each group.Pointtoward-poin...Objective:To observe the effect of point-toward-point needling on asthenopia.Methods:A total of 60 asthenopia cases were randomized into an observation group and a control group,30 cases in each group.Pointtoward-point needling was used in the observation group;whereas point injection was used in the control group.The signs and symptoms including visual tasks and eye fatigue were observed before and after treatments.This was followed by an inter-group comparison of eye discomfort symptom score and therapeutic effects.Results:After treatment,the symptoms and signs in both groups were significantly improved,showing a statistical significance(P<0.01)and inter-group difference(P<0.01).The total effective rate of the observation group was 96.7%,versus 69.0%in the control group,showing a statistical difference(P<0.01).Conclusion:Both treatment protocols can help alleviate the clinical symptoms of asthenopia;point-toward-point needling can obtain better effect than point injection.展开更多
Objective To evaluate the clinical efficacy of tube moxibustion plus point-toward-point needling method for refractory facial paralysis.Methods A total of 100 patients with refractory facial paralysis who met the incl...Objective To evaluate the clinical efficacy of tube moxibustion plus point-toward-point needling method for refractory facial paralysis.Methods A total of 100 patients with refractory facial paralysis who met the inclusion criteria were randomized into an observation group and a control group,with 50 cases in each group.Both groups were treated with acupuncture by point-toward-point needling method,mainly in the affected eye,cheek and mouth areas.The observation group was given additional tube moxibustion after receiving the point-toward-point needling method,which inserted a tube moxibustion device into the external acoustic meatus 1 cm on the affected side for 20 min.Both groups were treated once a day,6 times a week,for 4 consecutive weeks.The House-Brackmann scale was scored before and after treatment,and the facial nerve electromyogram data were collected.Results The total effective rate of the observation group was 93.6%,which was higher than 64.6%of the control group,and the difference between the two groups was statistically significant(P<0.05).The proportion of new-onset facial paralysis complications(facial synkinesis,facial spasm,facial paralysis perversion,and crocodile tears)in the observation group was 6.4%,which was lower than 35.4%in the control group.The difference between the two groups was statistically significant(P<0.05).In the observation group,the numbers of cases after treatment with the ratio of action potential amplitude between the affected side and the healthy side increased by 10%–30%and over 30%were more than those in the control group.And the difference between the two groups was statistically significant(P<0.05).Conclusion Tube moxibustion plus point-toward-point needling method has a better effect in improving symptoms of refractory facial paralysis,decreasing the incidence of sequelae,and increasing clinical efficacy than the point-toward-point needling method alone.展开更多
目的观察芒针透刺联合康复训练对脑出血偏瘫患者运动功能及平衡能力的影响。方法选取84例脑出血偏瘫患者,采用简单随机分组法将患者分为观察组和对照组,每组42例。对照组采用康复训练,观察组在对照组的基础上采用芒针透刺躯干肌治疗。...目的观察芒针透刺联合康复训练对脑出血偏瘫患者运动功能及平衡能力的影响。方法选取84例脑出血偏瘫患者,采用简单随机分组法将患者分为观察组和对照组,每组42例。对照组采用康复训练,观察组在对照组的基础上采用芒针透刺躯干肌治疗。观察两组治疗前后中医证候积分变化,观察两组治疗前和治疗后3个月Fugl-Meyer评测法(Fugl-Meyer assessment,FMA)、日常生活能力量表(activity of daily living,ADL)、功能性步态评价表(functional gait assessment,FGA)、Berg平衡量表(Berg balance scale,BBS)、美国国立卫生研究院卒中量表(National Institutes of Health stroke scale,NIHSS)和锻炼依从性评分变化。结果治疗后,两组中医证候积分均下降(P<0.05),且观察组低于对照组(P<0.05);治疗后3个月,两组FMA、ADL、FGA、BBS以及锻炼依从性评分均上升(P<0.05),NIHSS评分均下降(P<0.05),且观察组FMA、ADL、FGA、BBS以及锻炼依从性评分高于对照组(P<0.05),NIHSS评分低于对照组(P<0.05)。结论芒针透刺躯干肌联合康复训练可有效改善脑出血偏瘫患者的运动功能、神经功能及平衡能力,提高其锻炼依从性,从而提高其日常生活自理能力。展开更多
Zhang Ren, a master of medicine, professor, chief physician, and State Council expert for Special Allowances. He is the current vice president of Chinese Acupuncture Society, the honorary chairman of Shanghai Acupunct...Zhang Ren, a master of medicine, professor, chief physician, and State Council expert for Special Allowances. He is the current vice president of Chinese Acupuncture Society, the honorary chairman of Shanghai Acupuncture Society, a member of Shanghai Intangible Cultural Heritage Assessment Committee. He used to be the director of Shanghai Municipal Literature Museum of Traditional Chinese Medicine and the director of the Shanghai Information Institute of Traditional Chinese Medicine. He has been engaged in acupuncture clinical and literature research for more than 40 years. He has been to Europe to give lectures and treat patients in clinic for 3 times, and received a favorable evaluation. And he has independently written and edited more than 60 books on acupuncture and traditional Chinese medicine as a chief editor （including English and Japanese versions）, which were published in Beijing, Shanghai, Chongqing, Taipei and Tokyo. He has published nearly 100 papers in both English and Chinese. He has also chaired Shanghai Municipal Public Health Bureau research projects, and participated in a number of projects such as Shanghai Municipal Science and Technology Commission project, the National 973 project. He has accumulated a wealth of clinical experience on acupuncture treamlent tor multiple modem intractable diseases, especially has unique experience on the acupuncture treammnt for stubborn eye diseases.展开更多
Objective: To compare the therapeutic efficacies of point-towards-point electroacupuncture(EA), EA with Jiaji points(EX-B 2), and Jing Fu Kang in treating cervical spondylotic radiculopathy(CSR), and to explore the op...Objective: To compare the therapeutic efficacies of point-towards-point electroacupuncture(EA), EA with Jiaji points(EX-B 2), and Jing Fu Kang in treating cervical spondylotic radiculopathy(CSR), and to explore the optimal treatment protocol. Methods: Totally 160 patients with CSR were randomized into three groups: a point-towards-point group(n=60) treated with EA with point-towards-point method; a Jiaji group(n=60) treated with EA at cervical Jiaji(EX-B 2) points; a medicine group(n=40) treated with oral administration of Jing Fu Kang alone. The clinical efficacies were compared afterwards. Results: After treatment, the recovery rate and total effective rate of the point-towards-point group were significantly better than that of the Jiaji group and medicine group(both P<0.01). After 1-week treatment, the symptom and function score of the point-towards-point group was significantly better than that of the Jiaji group and medicine group(both P<0.01); the point-towards-point group and Jiaji group both achieved significant improvements in the symptom and function score(P<0.01, P<0.05). After 2-week treatment, the three groups all achieved marked improvements in the symptom and function score(P<0.01). At the end of treatment, in comparing the symptom and function score, the point-towards-point group was significantly different from the medicine group(P<0.01) and Jiaji group(P<0.05); the difference between the Jiaji group and medicine group was also statistically significant(P<0.05). Conclusion: Point-towards-point EA can rapidly improve the symptoms and function of CSR patients, and it's superior to EA at Jiaji(EX-B 2) and oral administration of Jing Fu Kang in comparing the clinical efficacy.展开更多
Objective: To observe and compare the clinical effects of combining mild lifting and superficial pulling point-towards-point needling and point injection and integrated standard electroacupuncture(EA) with intramuscul...Objective: To observe and compare the clinical effects of combining mild lifting and superficial pulling point-towards-point needling and point injection and integrated standard electroacupuncture(EA) with intramuscular injection of Mecobalamin for intractable facial palsy. Methods: Eighty cases with intractable facial palsy were randomized into a treatment group and a control group, 40 in each group. Cases in the treatment group were treated with mild lifting and superficial pulling point-towards-point needling Xiaguan(ST 7) coupled with point injection of Mecobalamin. Cases in the control group were treated with standard EA coupled with intramuscular injection of Mecobalamin. After three courses of treatment, the between-group comparisons of Portmann scores and clinical effects were conducted. Results: After three courses of treatment, the Portmann scores in both groups were higher than the scores before treatment(P<0.01); the Portmann score in the treatment group was higher than that in the control group(P<0.05) and the total effective rate in the treatment group was higher than that in the control group(P<0.05). Conclusion: Combining mild lifting and superficial pulling point-towardspoint needling and point injection of Mecobalamin could obtain better effect for intractable facial palsy than standard EA coupled with intramuscular injection of Mecobalamin.展开更多
基金supported by the Project of Shanghai 6th People’s Hospital(Inner-1528)
文摘Objective： To observe the clinical efficacy of point-toward-point acupuncture combined with herbs iontophoresis in treating knee osteoarthritis. Methods： A total of 100 patients were randomly divided into a treatment group and a control group, 50 cases in each. Patients in the treatment group received point-toward-point acupuncture with long needle combined with herbs iontophoresis treatment; while those in the control group were only treated by point-toward-point acupuncture with long needle. Clinical efficacies of the two groups were compared after treatment. Results： The total effective rate was 92.0% in the treatment group, versus 82.0% in the control group, and the difference was statistically significant （P〈O.05）. Conclusion： The point-toward-point acupuncture with long needle combined with herbs iontophoresis treatment for knee osteoarthritis has a significant effect.
文摘Objective: To observe the effect of point-toward-point needling at points on the low back regions on residual back pain after percutaneous kyphoplasty (PKP), thoracolumbar function and quality of life (QOL) in patients with osteoporotic vertebral compression fracture (OVCF). Methods: A total of 72 patie nts with OVCF and residual back pain after PKP were in eluded and allocated into a treatme nt group (n=36) and a control group (n=36) by the random number table. Cases in the control group received salmon calcitonin injection (miacalcic), for 1 mL each time, once a day, and oral intake of calcium carbonate D3 pill, 600 mg each time, once a day, whereas cases in the treatment group received point-toward-point needling at points on the low back regions and electroacupuneture (EA) for 30 min each time, once a day and 6 times a week on the basis of the treatment in the control group. Treatment in both groups lasted for 2 weeks. Therapeutic efficacy indicators including visual analog scale (VAS), Oswestry disability index (ODI) and Barthel index (Bl) were evaluated before and after treatment and at follow-up visit (1 month after treatment). Results: The total effective rate was 94.4% and 88.9% in the treatment group after treatment and at the follow-up visit, respectively, higher than 77.8% and 69.4% in the control group, and the between-group differences were statistically significant (both P<0.05). After treatment and at the follow-up visit, the VAS and ODI scores decreased, and Bl scores in creased in both groups, and the in tra-group differe nces were statistically sign ifica nt (all P<0.05). After treatme nt and at the follow-up visit, between-group differences of VAS, ODI and Bl scores were statistically significant (all P<0.05). Conclusion: On the basis of conventional medication treatment, point-toward-point needling at points on the low back regions has a good therapeutic effect in relieving residual back pain after PKR improving thoracolumbar function and QOL, better than conventional medication treatment alone.
文摘Objective:To observe the effect of point-toward-point needling on asthenopia.Methods:A total of 60 asthenopia cases were randomized into an observation group and a control group,30 cases in each group.Pointtoward-point needling was used in the observation group;whereas point injection was used in the control group.The signs and symptoms including visual tasks and eye fatigue were observed before and after treatments.This was followed by an inter-group comparison of eye discomfort symptom score and therapeutic effects.Results:After treatment,the symptoms and signs in both groups were significantly improved,showing a statistical significance(P<0.01)and inter-group difference(P<0.01).The total effective rate of the observation group was 96.7%,versus 69.0%in the control group,showing a statistical difference(P<0.01).Conclusion:Both treatment protocols can help alleviate the clinical symptoms of asthenopia;point-toward-point needling can obtain better effect than point injection.
文摘Objective To evaluate the clinical efficacy of tube moxibustion plus point-toward-point needling method for refractory facial paralysis.Methods A total of 100 patients with refractory facial paralysis who met the inclusion criteria were randomized into an observation group and a control group,with 50 cases in each group.Both groups were treated with acupuncture by point-toward-point needling method,mainly in the affected eye,cheek and mouth areas.The observation group was given additional tube moxibustion after receiving the point-toward-point needling method,which inserted a tube moxibustion device into the external acoustic meatus 1 cm on the affected side for 20 min.Both groups were treated once a day,6 times a week,for 4 consecutive weeks.The House-Brackmann scale was scored before and after treatment,and the facial nerve electromyogram data were collected.Results The total effective rate of the observation group was 93.6%,which was higher than 64.6%of the control group,and the difference between the two groups was statistically significant(P<0.05).The proportion of new-onset facial paralysis complications(facial synkinesis,facial spasm,facial paralysis perversion,and crocodile tears)in the observation group was 6.4%,which was lower than 35.4%in the control group.The difference between the two groups was statistically significant(P<0.05).In the observation group,the numbers of cases after treatment with the ratio of action potential amplitude between the affected side and the healthy side increased by 10%–30%and over 30%were more than those in the control group.And the difference between the two groups was statistically significant(P<0.05).Conclusion Tube moxibustion plus point-toward-point needling method has a better effect in improving symptoms of refractory facial paralysis,decreasing the incidence of sequelae,and increasing clinical efficacy than the point-toward-point needling method alone.
文摘目的观察芒针透刺联合康复训练对脑出血偏瘫患者运动功能及平衡能力的影响。方法选取84例脑出血偏瘫患者,采用简单随机分组法将患者分为观察组和对照组,每组42例。对照组采用康复训练,观察组在对照组的基础上采用芒针透刺躯干肌治疗。观察两组治疗前后中医证候积分变化,观察两组治疗前和治疗后3个月Fugl-Meyer评测法(Fugl-Meyer assessment,FMA)、日常生活能力量表(activity of daily living,ADL)、功能性步态评价表(functional gait assessment,FGA)、Berg平衡量表(Berg balance scale,BBS)、美国国立卫生研究院卒中量表(National Institutes of Health stroke scale,NIHSS)和锻炼依从性评分变化。结果治疗后,两组中医证候积分均下降(P<0.05),且观察组低于对照组(P<0.05);治疗后3个月,两组FMA、ADL、FGA、BBS以及锻炼依从性评分均上升(P<0.05),NIHSS评分均下降(P<0.05),且观察组FMA、ADL、FGA、BBS以及锻炼依从性评分高于对照组(P<0.05),NIHSS评分低于对照组(P<0.05)。结论芒针透刺躯干肌联合康复训练可有效改善脑出血偏瘫患者的运动功能、神经功能及平衡能力,提高其锻炼依从性,从而提高其日常生活自理能力。
基金supported by Project of Shanghai Science and Technology Committee(12401904600)
文摘Zhang Ren, a master of medicine, professor, chief physician, and State Council expert for Special Allowances. He is the current vice president of Chinese Acupuncture Society, the honorary chairman of Shanghai Acupuncture Society, a member of Shanghai Intangible Cultural Heritage Assessment Committee. He used to be the director of Shanghai Municipal Literature Museum of Traditional Chinese Medicine and the director of the Shanghai Information Institute of Traditional Chinese Medicine. He has been engaged in acupuncture clinical and literature research for more than 40 years. He has been to Europe to give lectures and treat patients in clinic for 3 times, and received a favorable evaluation. And he has independently written and edited more than 60 books on acupuncture and traditional Chinese medicine as a chief editor （including English and Japanese versions）, which were published in Beijing, Shanghai, Chongqing, Taipei and Tokyo. He has published nearly 100 papers in both English and Chinese. He has also chaired Shanghai Municipal Public Health Bureau research projects, and participated in a number of projects such as Shanghai Municipal Science and Technology Commission project, the National 973 project. He has accumulated a wealth of clinical experience on acupuncture treamlent tor multiple modem intractable diseases, especially has unique experience on the acupuncture treammnt for stubborn eye diseases.
基金support of Clinical Scientific Research Project of Health Bureau of Wuhan(No.WZ11C05)
文摘Objective: To compare the therapeutic efficacies of point-towards-point electroacupuncture(EA), EA with Jiaji points(EX-B 2), and Jing Fu Kang in treating cervical spondylotic radiculopathy(CSR), and to explore the optimal treatment protocol. Methods: Totally 160 patients with CSR were randomized into three groups: a point-towards-point group(n=60) treated with EA with point-towards-point method; a Jiaji group(n=60) treated with EA at cervical Jiaji(EX-B 2) points; a medicine group(n=40) treated with oral administration of Jing Fu Kang alone. The clinical efficacies were compared afterwards. Results: After treatment, the recovery rate and total effective rate of the point-towards-point group were significantly better than that of the Jiaji group and medicine group(both P<0.01). After 1-week treatment, the symptom and function score of the point-towards-point group was significantly better than that of the Jiaji group and medicine group(both P<0.01); the point-towards-point group and Jiaji group both achieved significant improvements in the symptom and function score(P<0.01, P<0.05). After 2-week treatment, the three groups all achieved marked improvements in the symptom and function score(P<0.01). At the end of treatment, in comparing the symptom and function score, the point-towards-point group was significantly different from the medicine group(P<0.01) and Jiaji group(P<0.05); the difference between the Jiaji group and medicine group was also statistically significant(P<0.05). Conclusion: Point-towards-point EA can rapidly improve the symptoms and function of CSR patients, and it's superior to EA at Jiaji(EX-B 2) and oral administration of Jing Fu Kang in comparing the clinical efficacy.
基金supported by Famous Traditional Chinese Medicine Doctor Construction Project of Yan Jun-bai’s Academic Experience Work Room(No.ZYSNXD-CC-MZY023)
文摘Objective: To observe and compare the clinical effects of combining mild lifting and superficial pulling point-towards-point needling and point injection and integrated standard electroacupuncture(EA) with intramuscular injection of Mecobalamin for intractable facial palsy. Methods: Eighty cases with intractable facial palsy were randomized into a treatment group and a control group, 40 in each group. Cases in the treatment group were treated with mild lifting and superficial pulling point-towards-point needling Xiaguan(ST 7) coupled with point injection of Mecobalamin. Cases in the control group were treated with standard EA coupled with intramuscular injection of Mecobalamin. After three courses of treatment, the between-group comparisons of Portmann scores and clinical effects were conducted. Results: After three courses of treatment, the Portmann scores in both groups were higher than the scores before treatment(P<0.01); the Portmann score in the treatment group was higher than that in the control group(P<0.05) and the total effective rate in the treatment group was higher than that in the control group(P<0.05). Conclusion: Combining mild lifting and superficial pulling point-towardspoint needling and point injection of Mecobalamin could obtain better effect for intractable facial palsy than standard EA coupled with intramuscular injection of Mecobalamin.
