CLINICAL OBSERVATION ON COMBINED TREATMENT OF VASCULAR DEMENTIA WITH ACUPUNCTURE, MOXIBUSTION AND CHINESE MEDICINAL HERBS

In the present study, the clinical effect of acupuncture, moxibustion plus Chinese medicinal herbs for treatment of 30 cases of vascular dementia (VD) was observed and their mechanisms were analyzed by determining the activity of SOD, LPO and GSH-Px. Results showed that after 2 months’combined treatment, of the 30 cases, 12 had marked improvement, 15 had improvement and 3 had not any improvement, with an effective rate of 90%; the activity of SOD and GSH-Px increased considerably while the content of LPO lowered strikingly. There were significant differences between pre-and post-treatment in the activity of SOD and GSH-Px and the content of LPO (P<0. 01). It reveals that this method is capable of improving VD patients’ clinical symptoms and signs such as headache, dizziness, hemi-paralysis or hemianesthesia, forced crying and laughing, etc.and also raising the ability of the body in removing oxygen free radical, and suppressing peroxidization of free radical to reduce its products, thereby alleviating the toxic effect of oxygen free radical on the brain tissues.

COMBINED TREATMENT OF 54 CASES OF APOPLECTIC SEQUELAE WITH ACUPUNCTURE AND CHINESE MEDICINAL HERBS

In the present paper, 54 cases of apoplectic sequelae were treated with acupuncture plus Chinese medicinal herbs. Acupoints used were scalp point Motor Area (MS 6), points of body acupuncture: Jianyu(LI 15) and Shousanli(LI 10) for paralysis of the upper limb; Zusanli (ST 36)and Xuanzhong (GB 39) for paralysis of the lower limb, combined with other points based on syndromes. Chinese medicinal herbs for reinforcing qi, promoting blood circulation, relieving muscular spasm and dredging meridians were used. Patients of the control group were treated with Troxerutinum, enteric Aspirin, etc.. Findings showed that out of the 54 cases of the treatment group, 28 were cured basically, 16 had marked improvement, 8 had improvement and 2 were ineffective, with the total effective rate of 96. 3%; of the 28 cases in the control group, 3 were cured basically, 7 had striking improvement, 13 had improvement and 5 were ineffective, with the total effective rate of 82.2%.Both the total effective rate and the basic-cure rate of the treatment group were significantly higher than those of the control group (P<0. 01). Results of the present paper display that manipulating the needle to cause "qi reaching the affected area" and applying Chinese medicinal herbs can act on the locus by way of meridians which is the key point for achieving better therapeutic effect.

Treatment of Retinal Vein Obstruction with Acupuncture and Chinese Medicinal Herbs

We have treated thirty-two cases (52 eyes) of retinal vein obstruction by acupuncture and oral administration of Huo Xue Ming Mu Decoction. The total effective rate of 90.38% demonstrated that the treatment was definitely effective.

COMBINED TREATMENT OF 200 CASES OF PERIPHERY FACIAL PARALYSIS WITH ACUPUNCTURE AND CHINESE MEDICINAL HERBS

In the present study, 200 cases of periphery facial paralysis were treated with combined therapies of handle needle, electroacupuncture (EA), electronic moxibustion and oral administration of Supplemented Qianzheng San. After treatment, of the 200 cases, 176 were cured, 15 had marked improvement and 9 had improvement. Two groups of acupoints were chosen and used alternately for keeping the excitement of acupoints, preventing acupoint fatigue and raising the therapeutic effect. In the acute stage of periphery facial palsy, acupuncture treatment was performed using shallow needling, mild manipulation and no needling penetration. In the convalescence stage and sequela stage, penetration needling was adopted and stronger stimulation given. During acute period and when facial muscular spasm appeared, EA stimulation was not suitable for facial acupoints. Over use of vision should be avoided.

EFFECT OF ACUPUNCTURE-MOXIBUSTION PLUS CHINESE MEDICINAL HERBS ON PLASMA TXB_2, 6-Keto-PGF1α IN PATIENTS WITH VASCULAR DEMENTIA

In the present paper, changes of TXB2, 6-Keto-PGF1α contents before and after treatment by using acupuncture, moxibustion and Chinese medicinal herbs and in comparison with the normal values of healthy people were observed in 30 vascular dementia (VD) patients. Results showed that in VD patients, the content of serum TXB2 increased significantly and that of 6-Keto-PG1α decreased markedly in comparison with control group (P<0. 01), suggesting a significant imbalance between plasma TXB2 and 6-Keto-PG1α; after combined treatment with acupuncture, moxibustion and Chinese herbs, the content of plasma 6-Keto-PG1α raised remarkably and that of TXBα lowered,which had a positive correlation with clinical therapeutic effect. The fact indicates that this combined treatment is capable of regulating the balance between plasma TXB2 and 6-Keto-PG1α, increasing cerebral blood flow, raising the metabolic rate of the brain tissues and improving functions of the brain.

Case report: Treating postpartum SUI with acupuncture and Chinese herbal medicine

Background:Stress urinary incontinence(SUI),is the most common type of urinary incontinence affecting women.SUI has a significant impact on psychosocial functioning and quality of life.Biomedical treatments,such as surgery,often result in post-operative complications.In China,traditional Chinese medicine tends to be the treatment of choice for SUI.Case presentation:We present a 35-year-old patient who developed SUI following forceps delivery and was treated successfully with acupuncture and Chinese herbs.Traditional Chinese diagnosis,including channel and acupoint palpation revealed the patient had a syndrome pattern of liver/kidney deficiency,disordered bladder qi transformation,all of which lead to enuresis.Acupuncture,both body and scalp needling,were performed.Herbs were prescribed adjunctively.Conclusion:Traditional Chinese medicine modalities may be considered for treatment of SUI based on appropriate syndrome pattern assessment.

Function and mechanism of traditional Chinese medicine in the prevention and treatment of Parkinson＇s disease

Parkinson’s disease （PD） was frst discovered 200 years ago. The current gold standard of clinical treatment is still mainly levodopa replacement therapy. Traditional Chinese medicine is the foundation of traditional medicine in China. Chinese herbs and acu-puncture both exhibit remarkable effcacy in the treatment of PD. Clinical studies on the treatment of PD using Chinese herbs have confrmed that the combined use of Chinese herbs and the levodopa formulation can signifcantly increase the treatment effect and reduce toxic side effects. Basic studies further confrmed that various Chinese herbs and their monomeric substances can protect dopaminergic neurons in PD models. The major mechanisms include anti-infammation, anti-oxidant, anti-apoptosis, neuroprotection, mitochondrial function protection, and regulation of gut microbiota. The function of acupuncture in the treatment of PD has also gradually received extensive attention in China and other countries. Acupuncture not only has peculiar advantages in the improvement of symptoms of PD patients, but also can attenuate adverse drug reactions, delay disease progression, and increase the quality of life of patients. Basic studies further confrmed that acupuncture can improve many motor symptoms in animal models of PD and has cumulative effects and follow-up effects. The major mechanisms include dopamin-ergic neuron protection functions, anti-infammation and anti-oxidant effects, and the regulation of related neuro-transmitters and neural circuits. The clinical application of acupuncture and Chinese herbs still requires strict ran-domized, double-blind, controlled design, multi-centre and large-sample size evidence-based clinical studies and follow-up observations of long-term effcacy to support the effect. In addition, the multi-target and multi-pathway therapeutic mechanisms need further studies.

TCM analysis and strategy for COVID-19 associated loss of smell and taste

Coronavirus disease 2019(COVID-19)is caused by SARS-CoV2 and is still not yet under complete control and no cure is available until this moment.It is still unpredictable to expect vaccination available worldwide in the near future.Early diagnosis hence becomes extremely important.Various papers have proven that early identification of loss of smell and taste is of significance in the diagnosis of this disease.Some patients of COVID-19 may carry on suffering from loss of smell and taste even long after the other symptoms of the infection subside.The aetiology,pathology,and mechanism of loss of smell and taste are discussed in this article,pointing out that impairment of meridians,disturbed Brain-Shen and dysfunction of the Zang-Fu organs are the key pathology of loss of smell and taste by COVID-19.Traditional Chinese medicine resolution with acupuncture and Chinese herbs are therefore demonstrated accordingly,aiming to establish some practical and effective strategies to deal with loss of smell and taste.This unique presentation in the treatment illustrate that even though loss of smell and taste being a single symptom,it requires a profound understanding on the complicated and sophisticated background mechanism of the COVID-19,which is urgently in need of comprehensive treatment in time.Loss of smell and taste by COVID-19 is not only a minor suffering of the infection,but also a very critical part of a fully recovery of COVID-19,it shall not be left untreated.

中医药在糖尿病合并勃起功能障碍治疗中的应用及思考

随着糖尿病的发病趋于年轻化,糖尿病性勃起功能障碍(diabetic mellitus erectile dysfunction,DMED)发病率逐渐较高,现代医学治疗存在一定的局限性,部分患者可能出现一定的不良反应,这影响DMED的治疗。中医药治疗DMED可以有效缓解患者症状,降低现有药物不良反应,辅助降糖。现代医家多采用辨证论治,分型组方,运用单味药、药对、中药提取物、经方验方、中成药进行个体化治疗。现通过概述中药的多种组方思路,总结其优势,并对中医药治疗DMED的现状进行思考与总结,为中医药治疗DMED得到更好的发挥。

Clinical Observation on Treatment of Post-operative Gastrointestinal Syndrome with Combined Acupuncture and Herbs

Objective： To observe the therapeutic effect of treating postoperative gastrointestinal syndrome with combined needles and herbs. Method： Altogether 117 in-patients were randomly allocated into the treatment group of 86 cases and control group of 31 cases. Point injection was mainly adopted in the treatment group plus Chinese herbal decoction, while Western medicine was adopted in the control group. And then the therapeutic effect of the two groups was compared. Result： The total effective rate of the treatment group and control group were 96.5% and 80.6% respectively, and the treatment course of the treatment group was significantly shorter than the control group （P 〈 0.01）. Conclusion： Combined needles and herbs have excellent effect in treating postoperative gastrointestinal syndrome and were superior to Western medicine.

Combined acupuncture and Chinese herb decoction for 5 cases with graphospasm

Combined acupuncture and Chinese herb decoction were applied for 5 cases with graphospasm.Acupuncture included scalp acupuncture and body acupuncture.Using transcranial repeated needling,Baihui(百会GV20),Chorea-trembling controlled area,Emotional area,as well as Dazhui(大椎GV14),Fengchi(风池GB20),and Yingxiang(迎香EX-HN8)etc.were stimulated by proposed by Sun Shentian.Meanwhile,the patients took orally Chinese herb decoction,on the basis of the Siwu decoction(四物汤four substances decoction)addition and subtraction,relieve symptoms under syndrome differentiation.The treatment was carried out for 4 courses in total.One course consisted of 5 days,with an interval of 2 days between two courses.After treatment of 5 patients,2 patients were cured,2 patients achieved markedly effective response,and 1 patient achieved effective response.

ASEPTIC FEMORAL HEAD NECROSIS TREATED WITH LONG NEEDLE COMBINED WITH HERBAL MEDICINES

A total of 32 cases of aseptic femoral head necrosis were treated with long needle combined with herbal medicines. Huantiao (GB 30), Weizhong (BL 40), Chengshan (BL 57), etc. were punctured with 3 cun, 7 cun, and 2.5 chi, long thick needles. Herbal medicines used were Danggui (当归 Radix Angelicae Sinensis), Huangqi (黄芪 Radix Astragali seu Hedysari), Gouji (狗脊 Rhizoma Cibotii), etc.. Following 2 months to 3 years’ treatment, of the 32 cases, 16 were cured, 10 had remarkable improvement, 5 experienced improvement in the symptoms and signs and one failed in the treatment.

COMBINED TREATMENT OF 43 CASES OF CERVICAL SPONDYLOPATHY

From February of 1994 to February of 1996, the author of the present paper adopted combined therapies of potent traction, massage, acupuncture and Chinese medicinal herbs to treat 43 cases of cervical spondylopathy. Results showed that after 1-3 months’ treatment, of the 43 cases, 30 (69.8%) were cured, 10 (23.3%) had marked improvement, 2 (4.6%) had improvement and 1 (2.3%) failed, with an effective rate of 97.7%.

“中药-头针-无错性学习”三联疗法治疗脑外伤后认知障碍临床研究

目的观察“中药-头针-无错性学习”的三联疗法治疗脑外伤后认知障碍的临床疗效。方法选取80例脑外伤后认知障碍患者,按照随机数字表法分为4组,分别为对照组(n=20)、中药组(n=20)、头针组(n=20)和三联组(n=20)。4组均予常规内科药物及康复运动训练,对照组加无错性学习认知训练,中药组在对照组基础上加天麻配方颗粒治疗,头针组在对照组基础上加头针治疗,联合组在对照组基础上加天麻配方颗粒及头针治疗,共治疗8周。比较4组治疗前后蒙特利尔认知评估量表(MoCA)、简易智能精神状态检查量表(MMSE)和改良Barthel指数(MBI)评分。结果治疗后,4组MoCA、MMSE、MBI评分均较本组治疗前升高,且中药组、头针组及三联组均高于对照组,三联组高于中药组和头针组,比较差异均有统计学意义(P<0.05),中药组与头针组组间比较差异无统计学意义(P>0.05)。结论“中药-头针-无错性学习”的三联疗法可提高脑外伤后认知障碍患者的认知功能、日常生活活动能力,进而提高生活质量,疗效优于单纯头针、中药及认知训练治疗。

中药联合腹针治疗脂肪性肝病临床研究

目的 探讨薄氏腹针联合中药治疗痰湿内阻型肥胖型代谢相关脂肪性肝病的临床疗效。方法 选取2022年1月—2022年11月在新余市人民医院收治的60例痰湿内阻型肥胖型代谢相关脂肪性肝病患者。中药组采用纯中药治疗,腹针组采用腹针治疗,联合组采用中药联合腹针治疗。对比3组治疗60 d后的临床疗效。结果 联合组总有效率优于中药组、腹针组,差异有统计学意义(P<0.05)。结论 薄氏腹针联合中药治疗痰湿内阻型肥胖型代谢相关脂肪性肝病疗效确切。

郭义四通法治疗抑郁症

在治疗抑郁症方面,郭义教授根据其病因病机、证候特点,在中医针灸基本理论指导下,结合现代生命科学知识,创建针灸治疗抑郁症的四通法——＂一针、二罐、三艾灸、四中药＂,取得较好疗效。即采用老驴拉磨手法针刺中脘穴疏通气机,在背部腧穴走罐以畅通气机,在气海、关元、神阙等穴位施以艾灸温通气机,以柴胡疏肝散和逍遥散为基本处方加减以通条气机。

眼针熥疗止痛技术治疗中风后肩手综合征的随机对照临床试验

目的观察眼针熥疗止痛技术治疗中风后肩手综合征1期的临床疗效。方法将356例中风后肩手综合征Ⅰ期患者采用分层区组随机化方法分为试验1组120例,试验2组122例,对照组114例。对照组采用常规康复训练,试验1组在康复训练基础上采用熥疗治疗,试验2组在康复训练基础上采用眼针结合熥疗进行治疗。比较3组中风后肩手综合征患者在治疗前后疼痛视觉模拟法(VAS)评分、GEPI评分、疼痛评分与GEPI相关性评价、首次疼痛起效时间。结果治疗前,3组之间VAS的评分比较,P>0.05,差异无统计学意义;治疗后,试验2组与对照组VAS评分均显著低于治疗前,且试验2组显著低于对照组(P<0.001);3组治疗前后比较都有差异(P<0.001);试验1组与对照组VAS评分均显著低于治疗前,且试验1组显著低于对照组(P<0.001);试验2组与试验1组比较,VAS评分显著低于治疗前,且试验2组显著低于试验1组(P<0.001)。3组治疗前后比较都存在差异(P<0.001);3组肩关节活动度变化,比较治疗前(访视1)和治疗第2周后(访视2),3组之间比较无显著性差异(P>0.05);治疗第4周后(访视3)及治疗第6周随访(访视4),共评分4次,3组之间有显著性差异(P<0.01);3组首次止痛起效时间比较无显著差异(P>0.05)。结论眼针熥疗止痛技术治疗中风后肩手综合征1期止痛效果明显、改善肩关节活动度效果显著,随着疼痛消失肩关节活动度范围增加,止痛疗效眼针结合熥疗方法明显优于单纯康复训练治疗。

针刺推拿配合中药治疗海洛因成瘾临床疗效观察

目的:探讨针刺推拿配合中药综合治疗海洛因成瘾临床疗效及应用价值。方法:采用随机方法将符合DSM-Ⅲ-R阿片类诊断标准的109例海洛因依赖者分为单纯服用中药排毒养生胶囊组(单药组)和服用排毒养生胶囊联合针刺与推拿治疗组(针药组);使用阿片类戒断综合征量表(OWS)评测两组对海洛因成瘾戒断综合征治疗效果;用操守随访调查表评测近期(3个月)巩固操守率。结果:12 d治疗观察结果显示:单药组和针药组临床脱毒率均为100%,但针药组脱毒达标时间为d3,单药组为d4;戒断症状分项比较结果:针药组对腹痛、肌骨疼痛、失眠主显症状控制效果明显优于单药组;近期巩固操守率:针药组为37.5%,单药组为28.5%,两组有统计学差异(P<0.05)。结论:针刺推拿配合中药戒毒,可提高海洛因成瘾戒断综合征控制水平和近期操守率。

基于图论的色谱指纹图谱谱峰的全局匹配

以色谱工作站的积分数据为基础,定义了允许匹配峰组的域,提出了在域内根据色谱峰面积、保留时间计算各匹配峰组之间距离矩阵的公式,从而形成有向图。采用图论中的最短路径算法寻找可能的匹配峰组中的最佳匹配峰组。采用优化的匹配参数,对珍菊降压片、丹参提取物、柴胡皂苷提取物、人参皂苷提取物的HPLC谱图进行匹配并将有关结果与国家药典委员会推出的指纹图谱软件自动匹配结果作了比较。结果表明:本算法可最大程度地匹配可能的色谱峰并极少出现错配、漏配峰组,无需手动校正。

早期综合康复对老年脑卒中患者运动能力的影响

目的观察简单康复疗法与综合康复疗法对老年急性脑卒中患者的日常生活活动能力、神经功能缺损程度的影响。方法将78例老年急性脑卒中患者随机分为简单康复疗法组(36例)和综合康复疗法组(42例)。简单康复疗法组采用Bobath治疗;综合康复疗法组除采用Bobath治疗外,加用中药、针灸治疗,两组的疗程均为6周。治疗前、后每周对两组患者采用临床神经功能缺损程度量表(NIHSS)评定神经功能,采用改良Brathel指数(MBI)评定日常生活活动(ADL)。结果治疗3周后,两组患者的MBI、NIHSS评分均较治疗前改善,但差异无显著性意义(P>0.05);治疗6周后,综合康复疗法组的NIHSS评分与治疗前比较,差异有显著性意义(P<0.05),MBI评分与治疗前比较差异有非常显著性意义(P<0.01);简单康复疗法组的NIHSS、MBI评分虽有改善,但与治疗前比较差异无显著性意义(P>0.05)。结论综合康复疗法与简单康复疗法对老年急性脑卒中患者的ADL及神经功能康复均有一定效果,但综合康复疗法的效果优于简单康复疗法。