OBSERVATION ON THE CURATIVE EFFECT OF 92 CASES WITH LUMBOCRURAL PAIN TREATED BY THE THERAPY OF NEEDLE WARMING THROUGH MOXIBUSTION(WEN ZHEN JIU)

In this paper, 92 cases suffering from pain in loin and legs were treated with Wen Zhen Jiu(the therapy of needle warming through moxibustion), and the other 91 cases treated with simple acupuncture as a control group. The results show that the clinical curative effect in group of needle warming through moxibustion is much better than that in group of simple acupuncture. It is worthy to be popularized in clinic.

THE TREATMENT OF CERVICAL SPONDYLOSIS WITH WARMINGNEEDLE MOXIBUSTION IN COMBINATION WITH TUINA (推拿)- WITH AN ANALYSIS OF THE X-RAY MANIFESTATION OF SIXTY-FIVE CASES

In this article, 88 cases of cervical spondylosis were treated with warming-needle moxi-bustion and Tuina, and the fair clinical effect was obtained with the total effective rate of 90. 9 %. TheX-ray manifestations of 65 cases before and after the treatment were observed and it has been foundthat the clinical symptoms could also be remarkedly improved or cured even if the X-ray examinationremained unchanged.

Curative Effects of Warming Needle Moxibustion Combined with Manipulation Massage on Cervical Spondylotic Vertebral Arteriopathy and Its Influence on the Cerebral Blood Flow Parameters and Cervical Vertebral Function

OBJECTIVE: To explore the curative effects of warming needle moxibustion combined with manipulation massage on cervical spondylotic vertebral arteriopathy and its influence on the cerebral blood flow and cervical vertebra function. METHODS: A total of 84 patients with cervical spondylotic vertebral arteriopathy admitted to our hospital from February 2016 to June 2017 were selected, and all patients were divided into an observation group (n=42) and a control group (n=42) according to the random number table method. The patients in the control group were given conventional western treatment, and the patients in the observation group were treated with warming needle moxibustion combined with manipulation massage on the basis of the control group. After 4 weeks of treatment, the changes of main clinical symptoms (vertigo, headache, neck and shoulder pain, tinnitus), cervical function (clinical symptoms, clinical examination, daily life action) and cerebral blood flow parameters (average blood flow velocity of left vertebral artery, right vertebral artery and basilar artery) of the 2 groups were observed, and the clinical efficacy of the 2 groups were statistically analyzed. RESULTS: The scores of vertigo, headache, neck and shoulder pain and tinnitus in the 2 groups were all significantly lower than before treatment (P < 0.05), and the clinical symptom scores in the observation group were significantly lower after treatment (P < 0.05);After treatment, the scores of clinical symptoms, clinical examination and daily life action in the 2 groups were significantly higher than those before treatment (P < 0.05), and the increase of cervical vertebral function score in the observation group was better than that in the control group (P < 0.05);The mean blood flow velocity of the left vertebral artery, right vertebral artery and the basilar artery in the 2 groups after treatment were significantly higher than before treatment (P < 0.05), and the increase of the above cerebral blood flow parameters in the observation group were higher than the control group (P < 0.05). The total effective rate was 92.9% in the observation group and 76.2% in the control group after treatment, and the difference between the 2 groups was statistically significant (P < 0.05). CONCLUSION: Warming needle moxibustion combined with manipulation massage can quickly relieve the clinical symptoms of patients with cervical spondylotic vertebral arteriopathy, improve the cervical function and cerebral blood flow parameters, increase the vertebrobasilar artery blood flow, and promote the recovery of the disease.

CLINICAL AND ELECTROPHYSIOLOGICAL OBSERVATIONS ON DIABETIC PERIPHERAL NEUROPATHYTREATED BY WARM NEEDLING AND MOXIBUSTION

Objective To observe clinical therapeutic effects of warm needling and moxibustion on diabetic peripheral neuropathy （DPN） and their influence on nerve conduction velocity. Methods Fifty two cases were randomly divided into a treatment group （n =26） and a control group （n =26）. In addition to basic treatment for lowering blood sugar in both groups, Pǐshū （BL 20）, Shènshū （BL 23）, Huántiào （GB 30）, Zùsānlǐ （ST 36）, Yánglíngquán （GB 34）, Sānyīnjiāo （SP 6）, Tàixī （KI 3）, Qǔchí （LI 11）, Wàiguān （TE 5） and Hégǔ （LI 4） were selected for warm needling and moxibustion in the treatment group. Methycobal was intramuscularly injected in the control group. Clinical symptoms and conduction velocities of the tibial nerve and common peroneal nerve were compared before and after treatment. Results Warm needling and moxibustion could alleviate such clinical symptoms as numbness of limbs, pain and hypoesthesia, and obviously improve the conduction velocities of both tibial and common peroneal nerves. Conclusion Warm needling and moxibustion exhibit good therapeutic effects on diabetic peripheral neuropathy.

Warm needling moxibustion at Xià guān(下关 ST 7) plus shallow Puncture for Bell's palsy in pregnancy

Objective To observe the effects of a protocol consisting of warm needling with moxibustion at Xiàguān（下关 ST 7） plus shallow puncture on Bell＇s palsy（BP） in pregnancy.Methods Thirteen patients with BP received an intervention of warm needling moxibustion at ST 7 plus shallow puncture,and were evaluated using the House–Brackmann facial nerve grading system（HB） before and after intervention.Result After intervention,the HB grade improved significantly（P0.05）.Conclusion Warm needling moxibustion plus shallow puncture is a safe and effective therapy for pregnant BP patients.BP in pregnancy appears to be more frequent in the last trimester.The severity of nerve injury and the timing for the first visit to the doctor after the onset of facial paralysis are essential factors for the recovery and prognosis of pregnant with BP.

Warm Needle Moxibustion Therapy for 41 Cases of Dysmenorrhea

Dysmenorrhea means that women feels periodical pain in the lower abdomen or lumbosacrum, before, during or after menstruation. The pain can be intolerable and affects the work and daily life. Dysmenorrhea is divided into two categories： primary and secondary, of which those without organic lesion in the genitalia are known as primary or functional ones. The author applied warm needle moxibustion in the treatment of 41 cases of primary dysmenorrhea and achieved remarkable curative results. The report is as follows.

CLINICAL OBSERVATION ON 138 CASES OF SEVERE HICCUP TREATED BY ACU-MOXIBUSTION

Severe hiccup was treated by auriculo-acupuncture plus moxa cone moxibustion,with hydro-acupuncture when the patient was very feeble. The second group was treated by auriculo-acupuncture with gentle moxibustion and the third one, with warm-needling moxibustion. Compari-son made in 138 cases revealed that the first group was very satisfactory, the cured rate being 100%,that of the 2nd and 3rd groups were 91. 3% and 82. 35% respectively. Statistical treatment revealedP【0.05 with significant difference between the first and second groups, P value between the firstand third groups was P【0.01, with very significant difference. There was no significant differencebetween the 2nd and 3rd groups, P】0.05.

温针灸对膝骨关节炎兔损伤前交叉韧带修复及相关因子的影响

背景:温针灸可有效治疗膝骨关节炎。前交叉韧带的退变、损伤、断裂可影响膝关节局部稳定性,进而诱发膝骨关节炎的形成,温针灸是否可修复损伤前交叉韧带及其作用机制,目前尚不清楚。目的:观察温针灸对膝骨关节炎兔前交叉韧带形态学及相关生长因子类胰岛素样生长因子1、转化生长因子β表达的变化,明确温针灸修复前交叉韧带的作用机制。方法:将30只新西兰兔采用随机数字表法分为空白组、模型组、温针灸组3组,每组10只。模型组和温针灸组兔采用石膏管型固定法制备膝骨关节炎兔模型。造模成功后,模型组每日于兔固定架固定15 min;温针灸组选取“鹤顶”“内膝眼”“外膝眼”行温针灸治疗,每日1次,7日为1个疗程,共治疗2个疗程;空白组不予干预。治疗结束后MRI观察前交叉韧带影像学改变,并进行MRI分级统计;透射电镜、苏木精-伊红染色观察其形态学变化;RT-PCR、Western blot检测组织类胰岛素样生长因子1、转化生长因子βmRNA及蛋白的表达。结果与结论:①MRI检查:与空白组比较,模型组前交叉韧带增粗、水肿、部分撕裂,分级评估差异有统计学意义(P<0.05);与模型组比较,温针灸组韧带增粗略轻,轻度水肿,无撕裂,分级评估差异有统计学意义(P<0.05)。②大体观察:模型组前交叉韧带表面光泽变淡,边侧有絮状被膜覆盖,有明显组织坏死;温针灸组韧带表面光泽,韧带呈正常螺旋走形。③苏木精-伊红染色:模型组前交叉韧带内明显组织坏死,大量新生毛细血管,成纤维细胞及胶原纤维排列松散;温针灸组韧带内有少量组织坏死,偶见新生血管,细胞及胶原纤维排列疏松、欠规则。④透射电镜观察:模型组前交叉韧带纤维排列紊乱,粗细不均,分布不均,成纤维细胞较多且形态不规则;温针灸组纤维基本呈纵向排列,纤维粗细、分布不均,少量椭圆形的纤维细胞存在。⑤RT-PCR和Western blot结果:与空白组比较,模型组类胰岛素样生长因子1、转化生长因子βmRNA及蛋白表达明显降低(均P<0.05);温针灸组上述2项指标表达明显升高(均P<0.05)。⑥结果说明,温针灸可改善前交叉韧带的损伤,可能通过调控类胰岛素样生长因子1、转化生长因子β的表达治疗膝骨关节炎。

温针灸四关穴对中晚期宫颈癌癌性疼痛患者T淋巴细胞亚群调节作用研究

目的 探讨温针灸四关穴治疗气滞血瘀证中晚期宫颈癌癌性疼痛的疗效及对T淋巴细胞亚群的调节作用。方法 选定沧州市中心医院2021年10月至2023年10月就诊的84例气滞血瘀证中晚期宫颈癌癌性疼痛患者,按随机数字表法分为温针灸组、西药组,各42例。西药组给予三级止痛治疗,温针灸组在西药组基础上给予温针灸四关穴治疗,比较两组患者临床疗效、卡氏评分量表(Karnofsky,KPS)评分、视觉模拟评分量表(visual analogue scale,VAS)评分、一般自我效能感量表(general self-efficacy scale-schwarzer,GSES)评分、疼痛应激指标[5-羟色胺(5-hydroxytryptamine,5-HT)、β内啡肽(β-endorphin,β-EP)、P物质(substance P,SP)]、T淋巴细胞亚群指标、生活质量综合评定问卷量表(generic quality of life inventory-74,GQOLI-74)评分。结果 温针灸组总有效率(95.24%)高于西药组(76.19%)(P<0.05)。两组治疗后KPS评分、GSES评分、GQOLI-74评分、血清β-EP水平、CD3+、CD4+、CD4+/CD8+均较治疗前更高(P<0.05),两组治疗后VAS评分、血清5-HT水平、SP水平、CD8+均较治疗前更低(P<0.05)。温针灸组治疗后KPS评分、GSES评分、GQOLI-74评分、血清β-EP水平、CD3+、CD4+、CD4+/CD8+均较西药组更高(P<0.05,P<0.01),VAS评分、血清5-HT水平、SP水平、CD8+均较西药组更低(P<0.01)。结论 在三级止痛的基础上联合温针灸四关穴可有效缓解气滞血瘀证中晚期宫颈癌癌性疼痛患者疼痛症状,改善身体状况、免疫功能,调节疼痛应激物质释放,提高生存质量,效果显著。

温针灸治疗新冠后综合征4则

温针灸疗法的历史悠久,早在《伤寒论》中就曾有记载。很多古代针灸医家都提倡针法与灸法并用,最有代表性的就是唐代名医孙思邈,他指出“针而不灸,灸而不针,皆非良医”,而温针灸,就是对这一医学理念的最好诠释。2023年1月至今,齐鲁师承-温针灸特色治疗技术整理与推广项目组选用温针灸疗法,在四诊合参、辨证分经、循经选穴的基础上治疗新冠后综合征,疗效显著。现将温针灸特色疗法治验的4例新冠后综合征报道如下,以供各位同仁临证时参考应用。

温针灸联合关节镜微创手术治疗膝骨关节炎的临床研究

目的:探讨温针灸联合关节镜微创手术治疗膝骨关节炎(knee osteoarthritis,KOA)的临床效果。方法:选取2022年1—10月马鞍山市人民医院收治的60例膝骨关节炎患者为研究对象,根据治疗方式分为两组,其中治疗组30例,应用温针灸联合关节镜微创手术治疗,对照组30例,应用单纯关节镜微创手术治疗。对比两组Lequesne疗效、Lysholm膝关节评分、美国西安大略和麦克马斯特大学骨关节炎指数(Western Ontario and McMaster University osteoarthritis index,WOMAC)功能评分。结果:治疗后,治疗组患者总有效率显著高于对照组,差异有统计学意义(P<0.05)。治疗前,两组Lysholm膝关节功能评分比较,差异无统计学意义(P>0.05);治疗后3个月、6个月,治疗组Lysholm膝关节功能评分显著高于对照组,差异有统计学意义(P<0.05)。治疗前,两组WOMAC评分比较,差异无统计学意义(P>0.05);治疗后3个月、6个月,治疗组WOMAC评分显著低于对照组,差异有统计学意义(P<0.05)。结论:温针灸联合关节镜微创手术治疗KOA较单纯关节镜微创手术效果更好。

Therapeutic observation of warm needling moxibustion plus tuina for knee osteoarthritis due to cold-dampness blocking collaterals

Objective： To observe the clinical efficacy of warm needling moxibustion plus tuina in treating knee osteoarthritis （KOA） due to cold-dampness blocking collaterals. Methods： Forty-eight KOA patients were randomized into 2 groups by their visiting sequence, 24 cases in each group. The treatment group was intervened by warm needling moxibustion plus tuina, while the control group was treated with acupuncture plus tuina. The two groups were both treated once a day, 30 min for each session, 10 d as a treatment course, totally for 3 treatment courses. The visual analogue scale （VAS） and Lysholm knee scoring scale （LKSS） were observed before and after the treatment to evaluate the clinical efficacy. Results： After 3 treatment courses, the VAS and LKSS scores were significantly changed in the two groups （P〈0.01）, and the between-group differences were also statistically significant （P〈0.01）. The markedly-effective rate was 83.3% in the treatment group versus 66.7% in the control group, and the difference was statistically significant （P〈0.05）. Conclusion： Warm needling moxibustion plus tuina can produce a more significant efficacy than acupuncture plus tuina in treating KOA due to cold-dampness blocking collaterals.

Therapeutic efficacy observation of warm needling moxibustion plus spine subtle adjusting manipulation for cervical radiculopathy

Objective To observe the clinical efficacy of warm needling moxibustion plus spine subtle adjusting manipulation for cervical radiculopathy.Methods A total of 70 patients with cervical radiculopathy were randomized into an observation group and a control group,with 35 cases in each group.The observation group was treated with warm needling moxibustion plus spine subtle adjusting manipulation,while the control group was treated with warm needling moxibustion alone.The treatments were performed three times a week,and for four weeks in total.The visual analog scale(VAS)was scored before and after treatment.And the clinical efficacy of the two groups was compared after treatment.Results The total effective rate was 97.1%in the observation group,versus 88.6%in the control group.The difference between the two groups was statistically significant(P<0.05).After treatment,the VAS scores in both groups significantly decreased(P<0.01),and the score in the observation group was significantly lower than that in the control group(P<0.05).Conclusion Warm needling moxibustion plus spine subtle adjusting manipulation has a better effect in the treatment of cervical radiculopathy than warm needling moxibustion alone.

温针灸为主的传统疗法综合治疗脊柱侧弯病案

成人退行性脊柱侧弯与腰椎间盘突出为临床上常见疾病,并常伴随出现,互为因果。保守治疗通常为临床首选的治疗方案。本文报告了一例退行性脊柱侧弯伴腰椎间盘突出的病案,以“骨正筋柔”为理论基础,结合脊柱侧弯的生物力学特征,施以温针灸为主的传统疗法综合治疗,调整两侧椎旁肌肌力,改善脊柱生物力学平衡,达到行气活血、疏筋通络之功效,有效改善患者症状且疗效巩固,期望能够为临床医师治疗此类疾病提供参考。

Warm needling moxibustion plus functional exercises for knee osteoarthritis

Objective： To observe the clinical efficacy of warm needling moxibustion plus functional exercises in treating knee osteoarthritis（KOA）. Methods： Totally 108 eligible KOA patients were intervened by warm needling moxibustion plus functional exercises. The warm needling moxibustion was given 3 times a week, successively for 4 weeks. The visual analogue scale（VAS） was adopted to evaluate the pain intensity of the knee joint. After 4-week treatment, the change of VAS score, range of motion（ROM） of knee, and Lysholm score were observed, and the clinical efficacy was also estimated. Results： After treatment, the VAS score dropped obviously, and the ROM and Lysholm score increased markedly; the total effective rate was 83.3%. Conclusion： Warm needling moxibustion plus functional exercises is effective in treating KOA, as it can relieve the knee joint pain and improve the joint motion.

Clinical observation of warm needling moxibustion for rheumatoid arthritis

Objective： To observe the clinical efficacy of warm needling moxibustion at points on the back in treating rheumatoid arthritis （RA）. Methods： Sixty RA patients were randomized into two groups by the random number table, 30 in each group. The observation group was intervened by warm needling moxibustion at the points from the Governor Vessel on the back and Jiaji （EX-B 2） points, while the control group was by regular acupuncture. Results： After intervention, the morning stiffness, joint pain index, joint swelling index and erythrocyte sedimentation rate （ESR） were significantly improved in both groups （P〈0.01）; the inter-group difference was also statistically significant （P〈0.05）. The total effective rate was 93.3% in the observation group versus 76.6% in the control group, and the difference was statistically significant （P〈0.01）. Conclusion： Warm needling moxibustion at points from the Governor Vessel on the back and Jiaji （EX-B 2） points can produce a higher efficacy than regular acupuncture in treating RA.

Warm Needling Moxibustion at Zhongji (CV 3) and Zusanli (ST 36) for Urinary Retention after Gynecological Surgery

Objective： To observe the clinical Zhongji （CV 3） and Zusanli （ST 36） gynecological surgery. effect of warm needling moxibustion at in treatment of urinary retention after Methods： Forty patients with urinary retention after gynecological surgery were randomly divided into two groups by the randomized method, 20 cases in each group. Patients in the treatment group were treated by warm needling moxibustion at Zhongji （CV 3） and Zusanli （ST 36）. Patients in the control group were treated by inductive urination. The therapeutic effects of the two groups were observed after one course of treatment. Results： The total effective rate was 95.0% in the treatment group and 70.0% in the control group. The difference in the total effective rate between the two groups was statistically significant （P〈O.05）. Conclusion： Warm needling moxibustion at Zhongji （CV 3） and Zusanli （ST 36） is more effective than inductive urination in treating urinary retention after gynecological surgery.

Clinical observation on warm needling moxibustion for erectile dysfunction

Objective： To observe the therapeutic effect of warm needling moxibustion for erectile dysfunction （ED）. Methods： A total of 46 eligible ED patients were randomized into a treatment group （n=24） and a control group （n=22）. The treatment group was intervened by warm needling moxibustion while the control group by conventional acupuncture treatment, for a total of 4 courses. The therapeutic effect was evaluated by the international index of erectile function 5 （IIEF-5）. Results： After 4 courses of treatment, the overall effective rate was 91.3% in the treatment group （23 completed）, versus 75.0% in the control group （20 completed）, with a significant difference （P〈0.05）. After the treatment, the change of IIEF-5 score in the treatment group was significantly different from that in the control group （P〈0.05）. Conclusion： Warm needling moxibustion can produce a more significant efficacy than conventional acupuncture in the treatment of ED.

Clinical Observation of Warm Needling Moxibustion for Seasonal Allergic Rhinitis

Objective： To observe the clinical therapeutic effects of warm needling moxibustion for seasonal allergic rhinitis. Methods： One hundred and eighty cases of the patients with seasonal allergic rhinitis were randomly divided into two groups, 90 cases in the warm needling group, treated by acupuncture plus warm needling moxibustion, and 90 cases in the acupuncture group, treated by acupuncture only, to observe the therapeutic effects after one course of the treatments. Results： The total effective rate was 95.6% in the warm needling group and 85.6% in the acupuncture group, with significant statistical difference in comparison between the two groups. Conclusion： The total effective rate of the warm needling moxibustion is better than that of the acupuncture treatment in the treatment of seasonal allergic rhinitis.

Warm Needling Moxibustion for Knee Osteoarthritis: A Randomized Controlled Trial

Objective: To observe the clinical effect of warm needling moxibustion for knee osteoarthritis(KOA) by a randomized controlled trial. Methods: Sixty cases with KOA were randomly divided into an observation group and a control group, 30 cases in each group. The observation group was treated by warm needling moxibustion. The control group was treated by simple acupuncture. Ten sessions made one course and the two groups were treated for two courses. The scores of knee joint pain, stiffness and knee functions before and after the treatment were observed. Results: The scores of Western Ontario and Mc Master Universities osteoarthritis index(WOMAC) on pain, stiffness and joint functions before and after treatment in both groups were statistically different(all P<0.05). The comparisons of the scores in pain, stiffness and joint function after treatment between the two groups were all statistically different(all P<0.05). The total effective rate was 93.3% in the observation group and 80.0% in the control group. The differences of the clinical effects between the two groups were statistically significant(P<0.05). Conclusion: Warm needling moxibustion can improve the clinical symptoms and functions of the patients with KOA, and is better than ordinary acupuncture in the therapeutic effect.