THE INFLUENCE OF ELECTRO-ACUPUNCTURE AT NEIGUAN AND FIVE SHU POINTS OF TWELVE REGULAR MERIDIANS AT DIFFERENT TIME ON SYSTOLIC TIME INTERVAL OF NORMAL YOUNG ADULTS

The influence of electro-acupuncture at Neiguan (PC 6)and five shu points of twelve regular meridians at different time on systolic time interval (ST I) of normal young adultswere studied with 6×6 Latin square design in this work.In 12 groups according to 12 regular merldlans,the STIs were measured respectively just before and after electro-acupuncture on Neiguan andfive shu points at 00:00,04:00,08:00,12:00,16:00 and 20:00 of a day.It was found thatexcept the PEPI and PEPI/LVETI ratio among Shenmen(HT 7),Shaochong(HT 9)and Neiguan,Guanchong(TE)and Yemen(TE 2)points,the effects of electro-acupuncture at Neiguan pointand five shu points of twelve regular meridians on the indices of STI of normal young adults wereshowing no slgnificant differences.There also was no difference in different sex.But the indices ofSTI were changed when electroacupuncture on the different points of different meridians at differenttime.

THE TREATMENT OF CERVICAL SPONDYLOPATHY BY LASER ACUPUNCTURE AT THE CERVICAL JIAJI POINTS: AN ANALYSIS OF THERAPEUTIC EFFECT OF 102 CASES

Laser acupuncture therapy was employed in the treatment of spondylopathy.Thetherapeutic effect of the three types of the spondylopathy,nerve root type,vertebral artery type andspinal cord type were stuied and compared.The results indicate a significant difference between thethree types of spondylopathy.The best therapeutic effect was obtained in nerve root type with a remarkable effective rate of 98.5％;the effective rates for the vertebral artery type and the spinal cordtype were 92.3％and 25％,respectively.Combining laser irradiatlon with acupuncture,the therapyposseses the functions of acupuncture,heat effect and mild moxibustion action.Therefore,it showedeffect quickly and had the advantages of short treatment course and high therapeutic effect.Clinicalobservation has confirmed that laser acupuncture is more effective than single laser irradiation.Thistherapy offers another simple but effective method for the treatment of spondylopathy.

Effect of electroacupuncture at Jiaji (EX-B2) points on the expression of microRNA-21 and neuronal apoptosis in rats with acute spinal cord injury

Objective:To observe the effect of electroacupuncture at Jiaji (EX-B2) points on the expression of microRNA-21 and neuronal apoptosis in rats with acute spinal cord injury. Methods:SD rats were randomly divided into sham-operated group, model group, electro-acupuncture group and methylprednisolone group. The model of acute spinal cord injury was reproduced by modified Allen's method. Each group was given corresponding intervention treatment 2 hours after modeling. The electroacupuncture group was treated with electro-acupuncture at Jiaji (EX-B2) points in T8 to T12, the methylprednisolone group was given intraperitoneal injection of 30 mg/kg methylprednisolone sodium succinate, and the sham operation group and model group were not treated. After treatment, BBB scores were observed to evaluate the motor function of posterior limb in each group, and the injured spinal cord tissues were taken. The pathological changes of spinal cord neuropathy were observed by Nissl staining. The expression of microRNA-21 was detected by RT-qPCR, and the expression of apoptotic proteins (Bax, Bcl-2 and cleaved-Caspase-3) was detected by Western-Blot. Result:Compared with sham operation group, BBB, neuron survival rate and expression of microRNA-21 were significantly lower, apoptotic rate of neurons was significantly higher, expression of Bax, Bcl-2, cleaved Caspase-3 protein and Bax/Bcl-2 ratio were significantly increased in model group (P< 0.05). Electroacupuncture could significantly increase BBB score, neuron survival rate and expression of microRNA-21, reduce apoptotic rate of neurons and the ratio of Bax/Bcl-2, and inhibit the expression of Bax, Bcl-2 and cleaved Caspase-3 protein in tissues, which were significantly different from those of model group (P< 0.05). Conclusions: Electroacupuncture at Jiaji (EX-B2) points can significantly promote the recovery of neurological function in rats after ASCI, and its mechanism may be closely related to the up-regulation of the expression of microRNA-21 in tissues and the inhibition of the activation of Bax/Bcl-2/cleaved Caspase-3 signaling pathway.

Influences of electro-acupuncture at related Jing-well Points in rats with vascular dementia

OBJECTIVE:To observe the effects of electro-acupuncture(EA) at related Jing-well Points(HT 9,PC 9,KI 1 and LU 11) in rats with vascular dementia(VD) and discuss the relative mechanism.METHODS:A randomized controlled animal experiment was designed.A total of 104 rats were involved in the present study and divided randomly into 4 groups:sham-operation group,model group,Jing-well Points group,and medication group.The VD model was established according to the modified 4-vessel occlusion(4-VO) method.VD rats in the Jing-well Points group were treated by EA at the related Jing-well Points(HT 9,PC 9,KI 1 and LU 11) while those in the medication group were treated with nimotop.The step-down avoidance test was performed before and after treatment in all rats.Latency and error frequency indexed memory function were recorded.Nitric oxide(NO) levels and superoxide dismutase(SOD) activity in both cerebral tissue and serum were detected after the treatment course.RESULTS:A total of 42 rats were included in the final analysis.Compared with the model group,the latency in the Jing-well Points group was significantly prolonged(P<0.01) and the error frequency was significantly decreased(P<0.05) after therapy;the decrease in NO levels in both brain tissue and serum was significant(P<0.05 and P<0.01,respectively);and the increase in SOD activity was also significant(P<0.01).There was no significant difference in latency,error frequency,NO levels and SOD activity between the Jing-well Points group and medication group.CONCLUSION:EA at related Jing-well Points can remarkably improve memory impairment in VD rats.Moreover,decreasing the overproduction of NO and strengthening the ability of eliminating free radicals may provide therapeutic potential for the treatment of VD.

Mulligan动态关节松动配合背俞穴透刺夹脊穴对腰椎间盘突出症患者生活质量的影响

目的探讨Mulligan动态关节松动配合背俞穴透刺夹脊穴对腰椎间盘突出症(LDH)患者生活质量的影响。方法选取2021年1月至12月在康复医学科就诊且行适宜手法治疗的80例LDH患者为研究对象,将其随机分为对照组和观察组,各40例。两组均采用常规腰部推拿和干扰电疗法治疗,对照组采用背俞穴透刺夹脊穴治疗,观察组在对照组基础上配合Mulligan动态关节松动治疗。比较两组的治疗效果。结果治疗后,两组的疼痛分级指数(PRI)、视觉模拟评分法(VAS)、现在疼痛状况(PPI)评分均低于治疗前,且观察组低于对照组(P<0.05)。治疗后,两组的日本骨科协会下腰痛评分法(JOA)评分高于治疗前,中文版Oswestry功能障碍指数(CODI)评分低于治疗前,且观察组优于对照组(P<0.05)。治疗后,两组的健康调查简表(SF-36)各维度评分均高于治疗前,且观察组高于对照组(P<0.05)。结论Mulligan动态关节松动配合背俞穴透刺夹脊穴可减轻LDH患者的腰部疼痛不适症状,改善腰椎功能,提高生活质量。

针刀五脏夹脊穴配合拔罐调理亚健康临床观察

目的在针刀医学理论的指导下,运用中医脏腑、经络理论结合脊柱相关源性亚健康的调理机制,观察针刀五脏夹脊穴配合拔罐调理亚健康的临床效果。方法60例亚健康状态者随机分为两组,针刀组(观察组)与针刺组(对照组),两组均采用五脏夹脊穴调理。观察组用针刀刺松穴位后,分别向督脉及膀胱经透刺,然后选取五脏夹脊穴进行拔罐;对照组取五脏夹脊穴针刺,得气后运用平补平泻的手法,留针20 min,出针后进行拔罐。21 d后观察两组的调理效果。结果调理后显示观察组总有效率为96.4%(27/28),高于对照组的77.8%(21/27)(P<0.05);观察组痊愈率为39.3%(11/28),高于对照组的22.2%(6/27)(P<0.01)。结论针刀五脏夹脊穴配合拔罐调理亚健康效果显著,并具有很好的发展前景,值得在临床上推广。

电针颈夹脊穴治疗急性期神经根型颈椎病的临床观察

【目的】观察电针颈夹脊穴治疗急性期神经根型颈椎病的临床疗效。【方法】将124例急性期神经根型颈椎病患者随机分为对照组和观察组,每组各62例。对照组给予西药常规治疗。观察组在对照组治疗的基础上,给予电针颈夹脊穴治疗。连续治疗6周。治疗6周后,评价2组临床疗效,观察2组患者治疗前后颈椎生理曲度C2~7Cobb角的变化情况,以及麦吉尔疼痛问卷简表(SF-MPQ)评分、血清疼痛因子P物质(SP)、前列腺素E2(PGE2)水平的变化情况。比较2组患者治疗前后白细胞介素(IL)-6、IL-1β、肿瘤坏死因子α(TNF-α)、核因子-κB(NF-κB)水平的变化情况。并进行随访,统计复发率。【结果】(1)治疗后,2组患者颈椎生理曲度C2~7Cobb角均明显改善(P<0.05),且观察组在改善颈椎生理曲度C2~7Cobb角方面明显优于对照组,差异有统计学意义(P<0.05)。(2)治疗后,2组患者的颈椎疼痛SF-MPQ评分、SP、PGE2水平均明显改善(P<0.05),且观察组在改善颈椎疼痛SF-MPQ评分、SP、PGE2水平方面明显优于对照组,差异有统计学意义(P<0.05)。(3)治疗后,2组患者的IL-6、IL-1β、TNF-α、NF-κB水平明显改善(P<0.05),且观察组在改善IL-6、IL-1β、TNF-α、NF-κB水平方面明显优于对照组,差异有统计学意义(P<0.05)。(4)观察组总有效率为95.16%(59/62),对照组为80.65%(50/62)。观察组疗效优于对照组,差异有统计学意义(P<0.05)。(5)观察组患者症状复发率为5.71%(2/35),对照组为29.63%(8/27)。观察组患者症状复发率低于对照组,差异有统计学意义(P<0.05)。【结论】电针颈夹脊穴治疗急性期神经根型颈椎病,可显著缓解患者的疼痛症状,改变异常颈椎生理曲度,并减轻炎症反应,降低症状复发风险,疗效显著。

古法针刺治疗神经根型颈椎病的临床研究

目的研究古法针刺治疗神经根型颈椎病的临床疗效。方法选取三亚市中医院2020年3月—2022年6月收治的96例神经根型颈椎病患者,将其分为采用电针针刺夹脊穴治疗的电针组和采用古法针刺治疗的古法针刺组,均治疗4周。统计2组临床疗效,比较2组治疗前和治疗4周后血清学指标、椎-基底动脉血流动力学、颈椎活动度、颈椎功能。结果治疗4周后,古法针刺组总有效率高于电针组(P<0.05)。治疗4周后与治疗前比较,2组血清SP、TGF-β1、NF-κB水平、椎-基底动脉阻力指数(RI)降低,古法针刺组低于电针组(P<0.05);2组血清β-EP水平、椎-基底动脉Vm、Vs、颈椎前屈、后伸、右侧屈、左侧屈活动度及颈椎功能评分升高,古法针刺组高于电针组(P<0.05)。结论与电针针刺夹脊穴相比,采用古法针刺可有效改善神经根型颈椎病患者血清学指标,降低机体炎症反应,缓解疼痛改善其椎-基底动脉血流动力学、颈椎活动度,促进颈椎功能恢复,具有较好的治疗效果。

基于心肺功能监测的个体化运动配合针刺夹脊穴对PCI术后患者氧化应激相关指标的影响

目的研究基于心肺运动试验的个体化运动配合针刺夹脊穴治疗,对冠心病经皮冠状动脉介入治疗(PCI)术后患者心肺功能及其氧化应激相关指标的影响,以期为临床决策的制定提供参考。方法选取2021年1月—2023年12月于上海市浦东新区人民医院康复医学科、心血管内科门诊就诊的120例PCI术后患者作为研究对象,采用随机数字表法将患者随机分为针刺组、康复组、联合组、对照组,每组30例。各组患者均于治疗前后行心肺运动试验。对照组患者采用规范化药物治疗;其余3组患者在对照组的基础上进行治疗,针刺组接受针刺夹脊穴治疗,康复组基于心肺运动试验进行个体化运动治疗,联合组采用针刺夹脊穴联合个体化运动治疗,4组患者均观察8周。以治疗后峰值公斤摄氧量(VO_(2)/kg)作为主要结局指标,并比较治疗前后各组峰值代谢当量(MET)、氧脉搏(VO_(2)/HR),以及二氧化碳通气当量(VE/VCO_(2))斜率,测定治疗前后患者血浆超氧化物歧化酶(SOD)、丙二醛(MDA)、血红素加氧酶1(HO-1)、谷胱甘肽过氧化物酶4(GPX4)水平并比较。结果共有107例患者完成观察,治疗前各组患者基础资料具有可比性(P>0.05)。组内比较,针刺组患者治疗后峰值MET、VO_(2)/HR提高,VE/VCO_(2)斜率降低(P<0.05);康复组及联合组患者治疗后峰值VO_(2)/kg、MET、VO_(2)/HR提高,VE/VCO_(2)斜率降低(P<0.05);组间比较,治疗后联合组患者峰值VO_(2)/kg及VE/VCO_(2)斜率均优于其他3组(P<0.05);针刺组与康复组患者治疗后以上指标的差异均无统计学意义(P>0.05)。组内比较,针刺组、康复组、联合组患者的SOD、HO-1、GPX4水平均升高,MDA水平均降低(P<0.05);治疗后组间比较,联合组患者以上指标的改善情况优于其余3组(P<0.05)。结论基于心肺运动试验制定个体化运动处方联合针刺夹脊穴对冠心病PCI术后患者心肺功能具有良好改善作用,优于单用针刺或康复治疗;联合治疗可以升高血浆SOD、HO-1、GPX4水平,降低MDA水平,提示联合治疗可以有效抵抗氧化应激,从而起到心脏保护作用,值得临床推广。

从“浊气在上,则生月真胀”论夹脊穴治疗功能性腹胀

本研究基于对《黄帝内经》“浊气在上,则生[月真]胀”的分析阐释,认为功能性腹胀病机关键在于生理性浊气不归其位,日久生浊邪,使中焦气机升降失常。浊为阴邪,功能性腹胀属阴位疾病,与之相应,背部夹脊穴属阳位,具有借腹气街及任督循环多维联络腹部的功能,为调节腹部诸脏腑经脉气机之枢纽。基于此,笔者提出可从阳治阴,用经络诊察的方式,着重取与腹气街相应的T11~L5夹脊穴区的病证反应点,以散局部有形浊邪;再基于督脉-夹脊穴-足太阳膀胱经三者特殊的位置关系,取夹脊穴通调任督与脏腑之气,整体复升降以还浊气,调阴阳之失衡,解除机体因“浊气在上”而生腹胀的病理状态,以期对针灸临床治疗功能性腹胀提供思路。

针刺华佗夹脊穴联合雷火灸治疗中风后偏瘫的疗效及对血清神经元特异性烯醇化酶和S100β蛋白水平的影响

目的 探讨针刺华佗夹脊穴联合雷火灸治疗中风后偏瘫的疗效及对血清神经元特异性烯醇化酶(NSE)和S100β蛋白水平的影响。方法 选取2021年1月至2022年1月于武汉市中医医院就诊的中风后偏瘫病人92例,按照随机数字表法分为对照组和观察组(n=46),两组病人均接受常规营养神经、活血化瘀等药物治疗,对照组病人除基础治疗外加用雷火灸,观察组病人在对照组的基础上给予针刺华佗夹脊穴治疗,治疗周期4周。观察两组肢体肿胀程度、功能独立性量表(FIM)评分、Berg平衡功能量表(BBS)评分、疗效、血清NSE和S100β蛋白水平及不良反应发生率。结果 治疗2周、4周后,两组肢体肿胀积分[(1.43±0.59)分比(1.67±0.41)分、(0.16±0.32)分比(0.31±0.29)分]及血清NSE[(0.31±0.08)μg/L比(0.39±0.10)μg/L、(0.18±0.05)μg/L比(0.25±0.07)μg/L]、S100β蛋白[(21.99±5.67)μg/L比(25.08±6.41)μg/L、(14.34±3.65)μg/L比(18.26±4.70)μg/L]水平均显著降低,且观察组低于对照组(P<0.05);治疗2周、4周后,两组FIM评分[(68.54±10.22)分比(62.39±8.49)分、(83.54±15.61)分比(73.37±11.24)分]、BBS评分[(28.54±6.39)分比(25.21±4.70)分、(37.82±8.64)分比(32.87±7.21)分]均显著升高,且观察组高于对照组(P<0.05);观察组整体疗效优于对照组(P<0.05);观察组不良反应发生率(4.35%)与对照组(2.17%)比较差异无统计学意义(P>0.05)。结论 针刺华佗夹脊穴联合雷火灸对中风后偏瘫病人疗效显著,可有效提高FIM评分及降低血清NSE、S100β蛋白水平,改善病人平衡能力及肢体肿胀症状,且安全性较高。

温针灸治疗稳定期慢性阻塞性肺疾病的疗效观察

目的基于冬病夏治理论,观察三伏天温针灸夹脊穴治疗稳定期慢性阻塞性肺疾病的临床疗效。方法将符合纳入标准的60例稳定期慢性阻塞性肺疾病患者随机分为对照组和治疗组,每组30例。对照组予穴位贴敷治疗,治疗组在对照组穴位贴敷治疗基础上予温针灸夹脊穴治疗。比较两组治疗后3个月和治疗后6个月的临床疗效和患者症状加重次数。观察两组治疗前、治疗后3个月和治疗后6个月慢阻肺评估测试问卷评分(chronic obstructive pulmonary disease assessment test,CAT)评分的变化。结果治疗后3个月,治疗组总有效率为93.3%,高于对照组的73.3%,差异具有统计学意义(P<0.05)。治疗后6个月,两组总有效率比较,差异无统计学意义(P>0.05)。治疗后3个月和治疗后6个月,两组CAT评分和患者症状加重次数均低于同组治疗前(P<0.05),且治疗组均低于对照组(P<0.05)。结论在穴位贴敷基础上,三伏天温针灸夹脊穴治疗稳定期慢性阻塞性肺疾病可降低患者6个月内症状加重次数,改善咳嗽、咳痰和胸闷症状,提高临床疗效。

Effectiveness of electroacupuncture at Jiaji acupoints(EX-B 2), plus moxibustion and intermediate on postherpetic neuralgia: a randomized controlled trial

OBJECTIVE:To investigate the effectiveness of electroacupuncture at Jiaji acupoints(EX-B 2)plus moxibustion and intermediate frequency on postherpetic neuralgia(PHN).METHODS:A total of 140 outpatients who satisfied the inclusion criteria and volunteered for this treatment were randomly divided into treatment(n=70)and control(n=70)groups.Both groups received a localized lesion area and electroacupuncture treatment combined with moxibustion and intermediate frequency.The treatment group(TG)increased acupuncture at Jiaji acupoints(EX-B 2)and electroacupuncture.Pain and anxiety were assessed before and after 5,10,15,and 20 treatments by using visual pain simulation score(VAS)and Hamilton anxiety scale(HAMA),respectively.Clinical efficacy was also evaluated.RESULTS:The baseline between the two groups did not significantly differ(P>0.05).The VAS and HAMA scores of the two groups after treatment significantly decreased compared with those of various treatment stages(P>0.05).The HAMA score(P<0.01)of TG was lower than that of the control group(CG).The VAS score of TG was lower than that of CG in the 5th and 10th treatments(P<0.01).In the 15 th and 10 th scores,CG was also superior to TG(P<0.05).CONCLUSION:The combined treatment of electroacupuncture at Jiaji acupoints(EX-B 2),moxibustion,and intermediate frequency can relieve the pain and anxiety symptoms of PHN.The efficacy of the combined treatment was superior to traditional acupuncture.

超声引导下输刺夹脊穴治疗腰椎间盘突出症的随机对照试验

背景:在腰椎间盘突出症的研究中大多数针刺治疗由CT引导或非引导,对位点的精准控制及针刺有效部位不够明确。目的:观察超声引导下输刺夹脊穴治疗腰椎间盘突出症的临床疗效。方法:选择于解放军总医院及北京中医药大学第三附属医院就诊的腰椎间盘突出症患者70例,男36例,女34例,年龄18-65岁,采用随机数表法分成试验组与对照组,每组35例。对照组患者予输刺夹脊穴治疗,试验组患者在超声引导下予输刺夹脊穴治疗,于就诊当天及就诊后4,7 d各治疗1次。治疗前后进行目测类比评分、Oswestry功能障碍指数、日本骨科协会(JOA)评分及健康调查简表(SF-36)评估。结果与结论:①与治疗前相比,两组患者治疗后的目测类比评分均降低(P<0.01);与对照组比较,试验组患者治疗第2,3,6,7天及治疗结束后1,2周的目测类比评分降低(P<0.05,P<0.01)。②与治疗前相比,两组患者治疗后的Oswestry功能障碍指数均降低(P<0.01);与对照组相比,试验组患者治疗第1-7天及治疗结束后1,2周的Oswestry功能障碍指数降低(P<0.01)。③与治疗前相比,两组患者治疗后的JOA评分均升高(P<0.01);与对照组相比,试验组患者治疗等3,7天及治疗结束后1,2周的JOA评分升高(P<0.05,P<0.01)。④与治疗前相比,两组患者治疗后的SF-36评分均升高(P<0.01);两组间治疗后的SF-36评分比较差异无显著性意义(P>0.05)。⑤结果表明,输刺夹脊穴对腰椎间盘突出症具有疗效,并且超声引导能够提升输刺夹脊穴治疗腰椎间盘突出症的疗效。

针刺颈夹脊穴结合半夏白术天麻汤治疗颈性眩晕的临床效果

目的:探究针刺颈夹脊穴结合半夏白术天麻汤治疗颈性眩晕(CV)的临床效果。方法:选择2022年1月—2023年1月贵阳市花溪区中医院收治的50例CV患者作为研究对象,按治疗方案不同将患者分为两组,各25例。对照组予以半夏白术天麻汤治疗,观察组予以针刺颈夹脊穴结合半夏白术天麻汤治疗,两组均持续治疗2周。比较两组临床效果、血清相关指标[C反应蛋白(CRP)、纤维蛋白原(FIB)、总胆固醇(TC)]、颈性眩晕症状与功能评估量表(ESCV)评分、眩晕障碍量表(DHI)评分及安全性。结果:观察组治疗总有效率为100%,较对照组的76.00高,差异有统计学意义(P<0.05);治疗后,两组血清CRP、FIB、TC水平较治疗前降低,且观察组较对照组低,差异有统计学意义(P<0.05);治疗后,两组ESCV评分较治疗前升高,且观察组较对照组高,两组DHI评分较治疗前降低,且观察组较对照组低,差异有统计学意义(P<0.05);两组不良反应发生率比较,差异无统计学意义(P>0.05)。结论:针刺颈夹脊穴结合半夏白术天麻汤治疗CV患者的效果确切,能改善脑血液循环及炎症反应,促进颈部功能恢复,安全性高。

Clinical observation on acupuncture at Jiaji(EX-B 2) points plus tuina in treating thoracic facet joint disorder

Objective： To observe the clinical effects of acupuncture at Jiaji （EX-B 2） points plus tuina manipulation for thoracic facet joint disorder, and get new clinical evidence for treatment of thoracic facet joint disorder. Methods： Totally 106 patients with thoracic facet joint disorder were randomly allocated into an observation group and a control group based on the random number table. Patients in the control group were treated by tuina manipulation, while those in the observation group were treated by acupuncture at Jiaji （EX-B 2） points before tuina manipulation. Patients in the two groups were treated once a day. The improvements of signs and symptoms and the efficacy were observed after 3 treatments. Results： After treatment, there were intra-group statistical differences in scores of 8 signs and symptoms in both groups （P〈0.01}; the score of each item in the observation group was lower than that in the control group, and there was statistical significance in the inter-group difference （P〈0.05）. The cure rate of the observation group was 50.9%, versus 26.4% in the control group, and there was a significant difference between the two groups （P〈0.05）. Conclusion： In treating thoracic facet joint disorder, acupuncture plus tuina manipulation can restore the biomechanical balance of thoracic vertebrae, fully maximized the combined effect, and significantly improve the clinical efficacy.

Acupuncture-moxibustion at Jiaji(EX-B 2) points for intervertebral disc herniation: a systematic review

By organizing and classifying the literatures related to acupuncture-moxibustion at Jiaji （EX-B 2） points in treating intervertebral disc herniation （IDH） published before December 32, 2013, to summarize the application status and features of Jiaji （EX-B 2） points. It＇s found that its most favorable indication is IDH. It also further analyzed the action mechanism of acupuncture-moxibustion at Jiaji （EX-B 2） points in treating IDH, and brought up some ideas to highlight the further study.

Observation on Therapeutic Effects of Electroacupuncture at Jiaji (Ex-B 2) Points plus Herbal Medicine for Herpes Zoster

Objective： To observe the clinical effects of electroacupuncture （EA） at Jiaji （Ex-B 2） points plus herbal medicine for herpes zoster （HZ）. Methods： Sixty-two cases were randomly divided into a treatment group and a control group. The treatment group was treated with EA at Jiaji （Ex-B 2） points plus herbal medicine based upon the pattern differentiation. The control group was treated with oral administration of Aciclovir tablets for resisting virus, and Mecobalamin tablets for nourishing the nerves and Aciclovir cream for skin rash. The therapeutic effects were compared between the two groups, after two-week treatment Results： After 7 d of the treatment, the therapeutic effect was remarkably better in the treatment group than that in the control group （P〈0.01）. After two-week treatment, the therapeutic effects were still different between the two groups （P〈0.05）. Conclusion： The therapeutic effect of EA at Jiaji （Ex-B 2） points plus herbal medicine for HZ is better than that of Western medications in resisting virus and nourishing nerves.

王颖针刺督脉结合夹脊穴治疗卒中后上肢痉挛经验

总结王颖主任针刺督脉结合夹脊穴治疗卒中后上肢痉挛的临证经验。王颖主任认为卒中后上肢痉挛发病之根本在于阴阳失衡,神机失用;所导致的脏腑经络气血失和,经筋失养为其基本病机。治疗上当以通调阳气,舒筋解痉为原则,基于“形神一体观”及“通督调神”理论提出针刺督脉穴结合夹脊穴,振奋周身阳气,恢复神机功能,以求形神共治。

皮肤针治疗带状疱疹后遗神经痛研究进展

带状疱疹后遗神经痛(postherpetic neuralgia,PHN)病位在皮部,主要累及肝、脾二脏,久则及肾。其发生涉及内、外两个因素,内因有年老体弱、素体亏虚、正气不足、情志内伤、饮食不节等,外因则与外感火毒湿热时邪有关。其病机有虚实两种,实为肝经湿热火毒蕴积与血气搏结,造成局部气血凝滞,经脉瘀阻不通,脏腑气机不畅则痛;虚为正气虚弱,无力抗邪,外感火毒之邪后,余邪未尽日久化火,耗伤阴血,阴血亏虚不能濡养肌肤经脉,不荣则痛。故该病治疗需要兼顾内外虚实,以扶正祛邪、理气活血、通络止痛为主。皮肤针治疗PHN可因势利导、诱邪外出,既能活血祛瘀、通络止痛,又可振奋经气、调节脏腑,常用治疗方法有:皮肤针放血、皮肤针联合普通针刺、皮肤针联合灸法、皮肤针联合中药、皮肤针联合西药等。皮肤针治疗PHN,临床叩刺部位选择主要为局部叩刺,其次是阿是穴、夹脊穴的穴位叩刺。目前,皮肤针治疗PHN的临床研究仍存在以下问题:观察的样本量较小,缺乏多中心、大样本研究;疗效评价以观察性指标为主,缺乏实验室指标观察,实验结果主观性较强,缺乏客观真实性;临床应用型研究多,基础理论型研究少;PHN易复发,病程迁延时间长,部分临床研究仅关注近期疗效,缺少后期随访;治疗主要以缓解疼痛为主,缺乏对患者的心理疏导。建议加强皮肤针治疗PHN的基础研究,注重客观疗效标准,同时注意后期随访及心理疏导,设计更为严谨的科研方案。