Study of the Effect of Zhuang Medicine Aponeurotic System Triple Therapy on Lumbar Disc Herniation and Alpha-1 Acid Glycoprotein Level

Objective:To analyze the application effect of Zhuang medicine aponeurotic system triple therapy in the treatment of lumbar disc herniation and its effect on the level of alpha-1 acid glycoprotein(alpha-1 AGP).Methods:200 patients with lumbar disc herniation were selected and randomly divided into a treatment group and a control group,100 cases in each group.The control group was given conventional acupuncture,and the treatment group was treated with manipulation+fire needling+cupping.The alpha-1-AGP levels before and after treatment,as well as the lumbar spine function and pain scores before and after treatment,and the adverse reactions occurred during treatment between the two groups were compared.Results:Before treatment,there was no significant difference in alpha-1 AGP levels,lumbar function,and pain scores between the two groups(P>0.05).After treatment,the lumbar function scores of the two groups were significantly increased,with the treatment group having higher scores than the control group(P<0.05);the incidence of adverse reactions in the treatment group was 2.00%,which was much lower than the control group(P>0.05).Conclusion:Appropriate application of Zhuang medicine aponeurotic system triple therapy in the clinical treatment of lumbar disc herniation can promote the improvement of alpha-1 AGP index level,reduce the pain degree of patients,and improve their lumbar spine function.At the same time,Zhuang medicine also has significant advantages in terms of safety,while ensuring the efficacy and safety of the treatment.

Effects of Medicated Bamboo Cupping Therapy of Zhuang Nationality Medicine on Long-term Efficacy and Quality of Life in the Treatment of Functional Dyspepsia with Stagnation of Liver Qi and Spleen Deficiency Syndrome

Objective:To investigate the effect of medicated bamboo cupping therapy of Zhuang nationality medicine on long-term efficacy and quality of life in the treatment of functional dyspepsia with stagnation of liver Qi and spleen deficiency syndrome,and to provide a new,effective and easy to promote treatment method for functional dyspepsia.Methods:A total of 150 cases of functional dyspepsia treated in our hospital from March 2014 to October 2015 were selected as research subjects,and they were divided into the treatment group(medicated bamboo cupping therapy),the control A group(Omeprazole Enteric-coated Tablets+Domperidone Tablets)and the control B group(acupuncture),50 cases in each group.The clinical efficacy,the gastric electrical index,the recurrence rate and the quality of life were observed and compared.Results:The total effective rate in the treatment group was higher than that in the control A group and the control B group(P<0.05).Compared with before treatment,the main frequency and electrical amplitude in each group was significantly improved,and the rhythm disorder coefficient was significantly reduced(P<0.05).After treatment,compared with the control A group and the control B group,the difference of rhythm disturbance coefficient in the treatment group was statistically significant(P<0.05).The recurrence rate in the treatment group was lower than that in the control A group and the control B group at 1 month,3 months and 6 months after drug discontinuance,with no significant difference(P>0.05).Compared with before treatment,scores of each physiological function after treatment had no significant change(P>0.05),and the scores of physiological function,body pain,general health,vitality,social function,emotional function and mental health were significantly improved(P<0.05).The comparison of scores in each group had no significant difference(P>0.05).Conclusion:The medicated bamboo cupping therapy of Zhuang nationality medicine on functional dyspepsia with stagnation of liver Qi and spleen deficiency syndrome can significantly improve clinical efficiency,and reduce the coefficient of rhythm.The long-term recurrence rate is low,and the quality of life is significantly improved.It is a convenient and effective treatment,which is worthy of promotion.

Effect of Stereoscopic Comprehensive Therapy of Zhuang Medicine on Inflammatory Factor IL-6 in Patients with Rheumatoid Arthritis

Objective:To study the effect of Stereoscopic Comprehensive of Therapy Zhuang Medicine on IL-6 in serum of patients with rheumatoid arthritis.Methods:Sixty rheumatoid arthritis patients who met the inclusion criteria were selected and randomly divided into a control group and a treatment group using a random number table.Among them,30 cases in the control group were treated with Western medicine,and 30 cases in the treatment group were treated with Western medical and Stereoscopic Comprehensive Therapy of Zhuang Medicine.The observation period was 8 weeks.Results:After 8 weeks of treatment,the level of IL-6 in the treatment group and the control group decreased,and the treatment group was better than the control group(P<0.05).Conclusion:The Stereoscopic Comprehensive of Zhuang Medicine can reduce the level of IL-6 in the serum of patients with rheumatoid arthritis,and has a good regulating effect on the inflammation of rheumatoid arthritis.

Summary and clinical application of Zhuang medicine medicated thread moxibustion

Zhuang medicine medicated thread moxibustion is a kind of external therapy with ethnic medicine characteristics that spreads in Guangxi Zhuang region.It has a wide range of clinical application and significant curative effect,and can be used to treat diseases such as internal medicine,surgery,dermatology,gynecology,pediatrics,and five sense organs.Through reviewing and combing the literature on the Zhuang medicine medicated thread moxibustion in recent years,this paper summarizes and prospects its clinical application,with a view to further explaining the basic principles and application rules of Zhuang medicine medicated thread moxibustion and digging its clinical value.

Discussion on the prevention and treatment of COVID-19 by Zhuang Medicine

The Corona Virus Disease 2019(COVID-19)spreads rapidly and is highly infectious.Zhuang Medicine,as a unique ancient and emerging ethnic medicine in Guangxi region,is combined with the unique local climate,geography and population physique,summing up many prevention and control experiences for infectious diseases,such as taking orally and external treatment,focusing on prevention.What is more,the Zhuang Medicine shows its own unique advantages through coming up with the measures of wearing medicine therapy,pyrotechnic fumigation,characteristic medicine baths and taking prescriptions internally.This paper intends to explore the use of Zhuang Medicine to build a disease prevention and control system with characteristics of Zhuang Medicine,trying to make a contribution to the prevention and control and treatment in this region.

壮医经筋疗法研究文献可视化分析

目的探讨壮医经筋疗法研究现状、研究热点及发展趋势。方法检索中国知识资源总库建库(CNKI)至2022年12月31日收录的壮医经筋疗法研究文献,运用CiteSpace6.2.R4软件对作者、发文机构、关键词进行可视化分析。结果共纳入文献172篇,年发文量整体呈上升趋势,2021年发文量达到峰值(22篇),发文量较高的作者为韦英才、梁树勇和张云;作者共现网络显示该领域形成多个研究团队,团队之间合作联系较少;发文量较高的研究机构为广西中医药大学、广西中医药大学第一附属医院和广西国际壮医医院;关键词聚为10类,分别是壮医、壮医经筋疗法、腰椎间盘突出症、肩周炎、经筋疗法、推拿、综述、温针灸、技术规范,壮医经筋学。结论该领域研究形成以广西名中医韦英才为首的稳定团队,主要集中在广西壮族自治区,应加强多区域协同合作发展,促进壮医经筋疗法的应用。壮医经筋疗法研究关注临床疗效与筋骨病,经筋疗法治疗颈肩腰腿痛是研究热点。

壮医针法起源探析

壮医针法是在壮医理论指导下,运用针具刺激人体体表的相关穴位,通过调整人体脏腑、骨肉、气血功能,调达人体三道两路,促进人体三气同步,达到人体康复的治疗方法。从文献记载、出土文物、自然环境、独特病种、壮族习俗等方面探究壮医针法的起源,得以推论壮医针法源远流长,应萌芽于原始社会时期,盛行于春秋战国时期,并对中医“九针”的形成产生了重大的影响。

基于足三阴经筋理论的小针刀松解疗法联合桃红四物汤治疗早中期股骨头坏死研究

目的 研究在足三阴经筋理论指导下的闭合性小针刀松解疗法联合桃红四物汤治疗早中期股骨头坏死的临床效果。方法 选取2020年6月至2023年6月在该院就诊的72例早中期股骨头坏死患者作为研究对象,对其临床资料进行回顾性分析。根据治疗方案不同将患者分为2组,其中38例接受足三阴经筋理论指导下的闭合性小针刀松解疗法联合桃红四物汤治疗(观察组),另34例接受常规闭合性松解术治疗(对照组)。比较2组治疗效果,以及治疗前后髋关节功能、疼痛程度及生活质量评分。结果 观察组患者整体疗效优于对照组,差异有统计学意义(P<0.05)。治疗后3、6个月时,观察组患者Harris髋关节功能评分高于对照组,视觉模拟评分法评分低于对照组,差异均有统计学意义(P<0.05)。治疗后6个月时,观察组患者生理功能、躯体疼痛、活力、情感职能、社会功能、生理职能、精神健康及总体健康等简明健康状况调查问卷评分显著高于对照组,全血黏度高切、低切及血浆黏度水平均低于对照组,差异均有统计学意义(P<0.05)。结论 基于足三阴经筋理论指导下的小针刀松解术联合桃红四物汤治疗早中期股骨头坏死患者效果显著,有助于改善患者血液流变学,减轻躯体疼痛,提高患者生活质量。

高血压六经辨证论治思路与方法

基于六经辨证理论体系,探析高血压的六经辨治用药思路。高血压早期病在三阳,阳气尚足,病多属实;病变后期,病在三阴,阳气衰弱,病多属虚。高血压病在太阳,以解表祛邪为主;病在阳明,以清热通下为要;病在少阳,宜调畅气机;病在太阴,需温补脾胃;病在少阴,需调理心肾;病在厥阴,需调和寒热。

壮医经筋疗法结合循经涂擦及烫熨治疗膝骨关节炎的临床疗效

目的探讨壮医经筋疗法结合循经涂擦及烫熨治疗膝骨关节炎的临床疗效。方法将120例膝骨关节炎患者随机分为A组、B组、C组,每组40例。A组采用局部涂擦及烫熨治疗,B组采用循经涂擦及烫熨治疗,C组采用壮医经筋疗法结合循经涂擦及烫熨治疗,3组均治疗14 d。比较3组患者治疗前及治疗5 d、10 d、14 d后的膝关节疼痛视觉模拟量表(VAS)评分、西安大略大学和麦克马斯特大学(WOMAC)骨性关节炎指数评分。比较3组患者治疗14 d后的临床疗效。结果3组治疗后的膝关节疼痛VAS评分、WOMAC骨性关节炎指数评分均有随时间延长而降低的趋势(P<0.05),且治疗5 d、10 d、14 d后,C组的膝关节疼痛VAS评分、WOMAC骨性关节炎指数评分低于A组和B组(P<0.05)。3组的治疗总有效率均较高(>80%),C组的临床疗效优于A组和B组(P<0.05)。结论壮医经筋疗法结合循经涂擦及烫熨治疗能更快速地缓解膝骨关节炎患者的膝关节疼痛症状,促进关节功能恢复,提高临床疗效。

加服壮医祛毒通养方治疗多囊卵巢综合征临床研究

目的:观察加服壮医祛毒通养方治疗多囊卵巢综合征(PCOS)的临床疗效。方法:随机将62例PCOS患者分为对照组和观察组,每组31例。对照组予炔雌醇环丙孕酮片和盐酸二甲双胍片治疗,观察组在对照组治疗的基础上加用壮医祛毒通养方治疗,两组均治疗3个月经周期。比较两组患者治疗前后月经情况评分、双侧卵巢体积、性激素[睾酮(T),黄体生成素(LH),卵泡刺激素(FSH)]水平、空腹胰岛素(FINS)水平、空腹血糖(FPG)水平及胰岛素抵抗指数(HOMA-IR)。结果:治疗后两组患者月经情况评分、性激素(FSH、LH和T)水平、血糖代谢指标(FINS、FPG和HOMA-IR)水平均降低,双侧卵巢体积缩小,且观察组降低或缩小的程度均明显优于对照组(P<0.05或P<0.01)。结论:加用壮医祛毒通养方治疗多囊卵巢综合征可更好地改善月经情况和性激素水平,减小卵巢体积和纠正内分泌代谢紊乱,从而减轻临床症状。

1例基于“调督论”实施平衡罐法改善脑卒中患者临床症状的护理体会

本文总结1例基于“调督论”实施平衡罐法改善脑卒中后症状的护理经验。在常规护理的基础上,基于“调督论”的平衡罐法,通过对足太阳膀胱经闪罐、督脉走罐、特定穴位留罐等罐法操作,结合走罐时间、速度、罐内负压和手法配合,形成针对性刺激,达到补虚泻实、调理督脉的效果,有效改善患者脑卒中后相关症状,提高患者生活质量。

血管性痴呆的研究进展

血管性痴呆(VaD)是因脑卒中后大脑血液供应减少引起脑细胞缺血缺氧,从而出现严重认知功能障碍的疾病。VaD是一种可以预防的病症,但因其病因复杂、诊断困难的特点,使得其在神经科学和老年医学领域中占据较高的地位。目前在治疗上,现代医学主要采取口服多奈哌齐等药物控制血管性危险因素以及改善认知功能等(非)药物治疗方案;中医学则通过望闻问切达到对疾病的整体了解,并根据辨证论治对不同个体采取不同的中医特色治疗措施。文章对VaD发病相关因素、发病机制和中西医治疗方案进行综述。

壮医药熨联合五音疗法对慢阻肺稳定期老年失眠患者睡眠质量、生活质量、肺功能的干预研究

目的:探讨壮医药熨疗法、五音疗法及其联合疗法对慢阻肺稳定期老年失眠患者睡眠质量、生活质量、肺功能的干预效果。方法:按照随机对照临床试验研究方法,将140例研究对象随机分为对照组、壮医药熨组、五音组和联合组(壮医药熨联合五音疗法组),每组各35例。比较四组患者的匹兹堡睡眠质量指数(Pittsburgh sleep quality index,PSQI)、失眠严重程度指数(Insomnia Severity Index,ISI)、COPD患者生存质量自我评估测试(COPD assessment test,CAT)和肺功能(FVC、FEV1、FEV1/FVC%)结果。结果:干预后联合组患者的睡眠质量、生活质量和肺功能指标改善效果优于其余三组(P<0.05)。结论:壮医药熨联合五音疗法改善慢阻肺稳定期老年失眠患者睡眠质量、生活质量和肺功能指标效果明显,值得在临床实践中进一步总结和推广应用。

从调少阳论壮医经筋疗法治疗中风后下肢麻木的思路

中风后下肢麻木是中风常见的后遗症状,临床上治疗难度较大,严重影响患者生活质量。文章基于壮医对中风后下肢麻木的认识,通过壮医经筋疗法从“麻在少阳”的临床辨治思路,对中风后下肢麻木进行诊治。采用壮医独创的“手法+火针+拔罐”三联疗法及壮医头部放血改善患者麻木症状,为针灸治疗中风后下肢麻木提供新的思维模式。

壮医龙脊灸治疗嘘内(慢性疲劳综合征)临床观察

目的观察壮医龙脊灸治疗嘘内[慢性疲劳综合征(CFS)]临床效果。方法将60例嘘内患者随机分成观察组和对照组,每组30例。观察组采用壮医龙脊灸治疗,对照组采用常规针灸治疗。每周治疗3次,3次为1个疗程,连续2个疗程。采用疲劳量表-14(FS-14)和临床症状积分表观察、评价两组临床疗效。结果治疗后,两组FS-14评分和临床症状积分均明显低于治疗前,且观察组低于对照组(P<0.05);观察组总有效率为90.0%(27/30),明显高于对照组的73.3%(22/30)(P<0.05)。结论壮医龙脊灸治疗嘘内(CFS)效果显著,值得推广。

中医适宜技术壮医经筋推拿治疗骶髂关节炎临床观察

目的观察中医适宜技术壮医经筋推拿治疗骶髂关节炎的效果。方法纳入120例骶髂关节炎患者,应用随机数字表法将患者分为2组各60例,对照组采用常规护理康复训练治疗,观察组在对照组基础上予中医适宜技术壮医经筋推拿治疗,2组疗程均为1个月。比较治疗前后骶髂关节炎症状及体征评分、JOA下腰痛评估量表评分及治疗后的效果。结果治疗1个月后,观察组有效率明显高于对照组;2组症状体征评分明显高于治疗前,且观察组总分高于对照组;2组JOA腰痛评定量表总分明显高于治疗前,且观察组评分高于对照组,差异均有统计学意义(P<0.05)。结论中医适宜技术壮医经筋推拿配合常规护理康复训练,有助于减轻腰痛症状,改善临床症状和体征,从而促进骶髂关节炎的康复。

李凤珍主任医师从壮医毒虚论治痛风经验

“毒虚致病”是壮医学核心理论之一。李凤珍主任医师认为,“毒、虚”是痛风发病的关键因素,“湿、热、瘀”是其发病的关键环节,亦为病久之变。湿热瘀毒可阻滞龙路、火路,导致天地人三气不同步。她基于壮医“毒虚”理论论治痛风,认为痛风与脾肾两脏关系密切,应分期论治,急性发作期以“清热毒、除湿毒、消肿痛”为主,慢性缓解期以“健脾益肾、利湿化瘀”为主;根据痛风患者脾虚、肾虚及湿毒、瘀毒的主次,权衡用药,或以健脾益肾为主,或以利湿化瘀为主,多获良效。现整理成文,以期为痛风的防治提供诊疗思路及干预措施。

结合经络辨证论治神经性皮炎2例

神经性皮炎是皮肤科常见的疾病之一,主要表现为皮肤苔藓样改变及剧烈瘙痒,严重影响患者的生活质量,甚至引起焦虑等情志改变,而情志改变又可加重皮肤瘙痒感,患者苦不堪言。作者根据皮疹在皮肤表面分布规律,与经络循行特点相联系,结合患者自身情况辨证神经性皮炎,并在此基础上选择合适的方法论治神经性皮炎,以期为神经性皮炎的诊疗提供新思路。

壮医经筋疗法联合半夏白术天麻汤在椎动脉型颈椎病中的治疗作用研究

目的 观察壮医经筋疗法联合半夏白术天麻汤治疗椎动脉型颈椎病(CSA)的临床效果。方法 选择2023年1—7月广西国际壮医医院针灸推拿科住院或门诊确诊为CSA的患者,共100例,按照随机数表法分为壮医经筋疗法联合半夏白术天麻汤组(治疗组)50例、常规推拿+针刺组(对照组)50例。观察两组治疗前后临床症状及体征评分、颈椎DR(正侧位+开口位)、多普勒超声中对血流速度以及血液流变学指标的影响,比较两组临床疗效。结果 治疗后观察组临床总有效率、VAS评分、椎动脉型症状积分、椎动脉与基底动脉平均血流速度、血液流变学指标、颈椎DR(正侧位+开口位)检查结果方面均优于对照组,差异有统计学意义(P <0.05)。结论 壮医经筋疗法联合半夏白术天麻汤能明显改善患者的眩晕症状,同时能够改善患者脑部供血,在治疗CSA方面有显著效果,值得临床推广。