“Focusing on Treating the Spirit(神)”in Acupuncture and Moxibustion:The Dialectical Unity of Regulating the Body and the Spirit

“Focusing on treating the spirit(神)”is an important principle in acupuncture and moxibustion.It is a unique psychosomatic therapy involving the doctor and the patient,which includes regulating the spirit and the body.Traditional Chinese medicine attaches great importance to it.Focusing on treating the spirit is also a component of the standards of medical ethics.Only when doctors have noble medical ethics can they achieve clinical treatment of the mind and give full play to their skills to cure diseases.Focusing on treating the spirit runs through the entire clinical process of acupuncture and moxibustion.Before the treatment,it is necessary to focus on the spirit to distinguish the spirit and qi.During the treatment,attention should be paid to the mind to regulate the spirit and qi.It is the premise of clinical diagnosis and treatment of acupuncture and moxibustion and the key to the curative effect.Focusing on treating the spirit is also in the realm of doctor-patient double treatment,which requires doctor-patient communication before treatment and the preservation of the body and spirit after treatment.Therefore,concentration of the mind is the key to acupuncture and moxibustion treatment.

PROPHYLACTIC AND THERAPEUTIC EFFECTS OF ACUPUNCTURE ON SIMPLE OBESITY COMPLICATED BY CARDIOVASCULAR DISEASES

In order to understand the prophylactic-therapeutic effects of acupuncture and moxibustion insimple obesity complicated by cardiovascular diseases,we have observed in 102 cases the changesof pathogenetic and hazardous factors and the regulating function of vegetative nerves oncardiovascular activities.The results showed that the therapeutic effect of acupuncture andmoxibustion was good with a total effective rate of 88.24%.At the same time,acupuncture andmoxibustion were found to have a benign conversion effect on the loin hip ratio(the pathogeneticfactor),the arteriosclerotic index(the hazardous factor),and the vegetative nerve function ofregulating the heart and blood vessels(the equilibrium indices of the vegetative nervous system).All this suggests that acupuncture is a treatment of choice for obesity and an important methodof preventing and treating complicating cardiovascular diseases.

HOW TO TREAT SIMULTANEOUS OCCURRENCE OF COLD AND HEAT SYNDROMES WITH ACUPUNCTURE AND MOXIBUSTION?

By simultaneous occurrences of cold and heat syndromes we mean the presence of cold-syndrome and heat-syndrome in the body of a same person such as heat-syndrome in the upper part with cold-syndrome in the lower part of the body or vice versa. In our acupuncture treatment, heat-clearing method and warming method are usually used

The effects of acupuncture and moxibustion on allergic asthma rats

Objective:In order to explore the neuroendocrine regulation mechanism of acupuncture and moxibustion in the treatment of allergic asthma and to provide theoretical basis for the effect of acupuncture and moxibustion on regulating mind.Methods:Forty SD rats were randomly divided into five groups:blank group,model group,sham-acupuncture group,acupuncture group and moxibustion group.Ovalbumin(OVA)was used to sensitise the rats.Except the blank group,the other groups were established by intraperitoneal injection of ovalbumin(OVA)and atomization excitation.The blank group was injected intraperitoneally and atomized with normal saline instead of OVA.After successful modeling,the rats in blank and the model group have no any treatment;In the sham acupuncture group,non-acupoint tissues were selected for acupuncture treatment every day;Acupuncture group and moxibustion group were treated with acupuncture or moxibustion at selected acupoints.At the end of the experiment,blood samples were collected to determine corticotropin releasing hormone(CRH).Results:After being sensitised by OVA,the symptoms scores of rats were significantly increased.After treatment,the symptoms of each treatment group were significantly reduced.Compared with model group,the CRH in acupuncture and moxibustion groups were significantly reduced(All P<0.01).Compared with the sham acupuncture group,the CRH in acupuncture group were significantly reduced(P<0.05).Conclusion:As a kind of stimulation,acupuncture and moxibustion can regulate the content of CRH in the body by nerve endocrine system.The effect of"regulating mind"of acupuncture and moxibustion plays an important role in the treatment of allergic asthma.

“疏肝调神”针灸联合治疗难治性突发性耳聋的临床研究

目的:探讨“疏肝调神”法针灸联合治疗难治性突发性耳聋的临床疗效。方法:将68例诊断为突发性耳聋的患者随机分为观察组和对照组,每组各34例。对照组采用常规西医疗法,观察组在对照组治疗基础上施以“疏肝调神”针灸联合治疗。观察两组患者治疗前后纯音测听听力阈值、常见伴随症状(耳鸣)严重程度(TEQ)、汉密尔顿抑郁(HAMD)与焦虑(HAMA)程度评定疗效。结果:观察组总有效率为97.06%(33/34),高于对照组的73.53%(25/34)。治疗后两组患者纯音测听听力阈值、TEQ、HAMD与HAMA评分均降低,差异具有统计学意义(P<0.05),且观察组降低程度均优于对照组,差异具有统计学意义(P<0.05)。结论:“疏肝调神”针灸联合疗法可有效治疗难治性突发性耳聋,能够显著降低患者听力损失程度,改善常见伴随症状,具有较高的临床应用价值。

符文彬疏肝调神整合针灸疗法治疗青少年抑郁症经验探究

青少年抑郁症是临床常见的精神障碍性疾病。符文彬教授认为青少年抑郁症的基本病机为肝郁气滞、神失所养,阳气不足为其发病的体质因素;治疗上主张以疏肝调神为根本治法,同时重视温阳化气及疗效巩固;综合运用针刺、精灸、皮内针、刺络等方式,制订以“一针二灸三巩固”为基本模式的整合针灸治疗方案进行诊疗,效果理想。总结符文彬教授应用疏肝调神整合针灸疗法治疗青少年抑郁症的中医临证经验,并附验案1则加以阐明。

疏肝调神整合针灸方案治疗围绝经期失眠的思路与方法

围绝经期失眠在中医学中被称为“经断前后诸证”“不寐”“脏躁”,认为肝肾阴虚以致肝郁化火、上扰心神以及气血不足以致肝失濡养、神不安和为围绝经期失眠的主要病机,故此提出疏肝调神的治疗大法,并配合针刺、精灸、刺络、耳针、背俞穴埋针等治疗手段,共同构成“一针二灸三巩固”整合针灸方案,为围绝经期失眠提供治疗思路。

针灸治疗干眼作用机制及临床应用研究进展

干眼是临床常见的一种慢性眼表疾病。近年来其发病率不断上升,从不同程度影响患者视力以及生活质量。在感染、用眼习惯、环境温湿度等因素影响下,其发病机制复杂,主要涉及炎症反应、细胞凋亡、激素分泌、神经调节等。目前,临床多针对干眼的症状进行治疗,效果并不理想。针灸作为中医学的精髓,具有起效快、疗效持久、不良反应少等优势,已逐渐受到临床的重视。因此,本文对针灸治疗干眼的作用机制及其在临床中的应用进行综述,以期为临床防治干眼提供更为科学、可靠的参考依据。

针灸抗抑郁机制的新视角:奖赏与反奖赏神经环路的协同调控作用

抑郁症是一种常见的严重精神疾病,奖赏与反奖赏神经环路的功能异常可能是抑郁症快感缺失和绝望行为两种核心症状的神经基础。近年来影像学和神经环路研究揭示了针灸能够相对特异地调节抑郁症患者和动物模型的大脑奖赏和动机相关神经环路的活动,然而奖赏和反奖赏神经环路参与针灸改善抑郁症的机制研究尚不充分。系统综述了奖赏与反奖赏神经环路功能在抑郁症发病和治疗中的最新研究进展,同时探讨了奖赏与反奖赏神经环路的相互作用和协同关系在针灸抗抑郁治疗中的重要科学意义,为针灸治疗抑郁症等精神障碍疾病的神经生物学机制提供新的思路。

管氏针灸学术流派伤科用药规律分析

目的:系统梳理管氏针灸学术流派伤科用药规律,为流派传承及临床用药提供依据。方法:将《管氏常用中医处方与遣药圭臬》所载管氏第二代名医管庆鑫的伤科经验方分别归类并建立数据库,通过Excel进行频数统计,JAVA及Gephi软件进行可视化分析,挖掘管氏针灸学术流派伤科用药规律。结果:管氏伤科经验方共71首,其中内服方66首(含4首小方)、外用方5首。使用药物共139味,使用频次802次,使用频次10的常用药共有26味,使用关联频次≥10的药对组合54对,前5位的依次是乳香与没药、当归与红花、当归与没药、当归与乳香、当归与桃仁。在药物属性中,温、平、寒及辛、苦、甘药常用,归经前三位依次为肝经、心经、脾经。结论:管氏针灸学术流派伤科用药以活血化瘀药为主,佐以补虚药、理气药、清热药或温里药。

从“阳化气,阴成形”理论探析针灸治疗甲状腺结节

甲状腺结节又称瘿瘤,是内分泌科常见疾病。“阳化气,阴成形”解释了甲状腺结节产生的根本原因在于阳气不足从而气滞、痰结、瘀阻,逐步形成痰瘀等病理产物聚积在颈部。在“阳化气,阴成形”思想的指导下,治疗甲状腺结节重在扶助阳气,消散阴邪,恢复机体阴阳平衡。近年来,针灸作为一种安全高效的外治法在各类结节、积聚等实证治疗上疗效突出,“阳化气,阴成形”思想也可作为针灸治疗甲状腺结节的指导思想。从“阳化气,阴成形”理论探析针灸治疗甲状腺结节,以期为中医外治法治疗甲状腺结节提供新思路、新方法。

基于“升清-理中-培元”的腹泻型肠易激综合征诊治思路探讨

[目的]总结储浩然教授对腹泻型肠易激综合征的认识及治疗经验。[方法]通过临床跟师学习,查阅古籍并结合现代文献研究,总结储师对腹泻型肠易激综合征的认识及治疗思路,明确该疾病基本诊治规律,并举临床医案一则加以佐证。[结果]储师认为,中焦气机失调是腹泻型肠易激综合征的核心病机,主张以“升清气机-调理中焦-培补元气”为治疗思路,以天枢穴为核心穴位,配以中脘、章门、上巨虚、大肠俞、足三里调理中焦脾胃,配以龙虎交战的针刺手法,助中焦气机畅达。重点选用“百会-内关”调节清气,梳利头脑心神,提升整体气机,此外以“关元-足三里”固本培元,培补先天元气。验案中患者中医辨证为脾胃虚弱证,兼有心神不宁、阳气虚衰之象,储师以升清-理中-培元法治之,补后天以滋先天,并予以安神,收效显著。[结论]储师临床上根据辨证,增减穴位,通过整合穴位群,使中焦气机升降有利,形成了独具特色的“调中复元”的腹泻型肠易激综合征诊疗体系,为腹泻型肠易激综合征的临床治疗提供了新思路。

疏肝调神针刺法联合热敏灸治疗脑卒中后焦虑临床观察

目的探析脑卒中后焦虑患者接受疏肝调神针刺法联合热敏灸治疗的临床效果。方法选取2021年9月—2022年9月于萍乡市第三人民医院就诊的60例脑卒中后呈焦虑状态的患者作为观察对象,根据随机数字表法将其分为两组,其中对照组30例患者采用常规治疗及康复治疗,研究组30例患者采用疏肝调神针刺法联合热敏灸治疗。对比两组治疗后的焦虑程度[汉密尔顿焦虑量表(HAMA)评分]及中医证候积分。结果治疗后,研究组焦虑程度比对照组轻(P<0.05);研究组中医证候积分均低于对照组(P<0.05)。结论脑卒中后呈焦虑状态的患者应用疏肝调神针刺法联合热敏灸治疗,能够缓解相关症状、改善患者焦虑情绪,应用效果较好。

疏肝调经针灸方案联合耳穴埋豆对围绝经期失眠及焦虑抑郁状态的改善作用及对睡眠质量的影响

目的:分析围绝经期失眠伴焦虑抑郁患者采取疏肝调经针灸联合耳穴埋豆治疗对其失眠、焦虑、抑郁状态的改善效果。方法:选取2020年1月至2022年12月福建大田县总医院理疗科收治的围绝经期失眠伴焦虑抑郁患者60例作为研究对象,按照随机法数字表法随机分为观察组和对照组,每组30例。观察组采取疏肝调经针灸联合耳穴埋豆治疗,对照组采取常规治疗,比较2组治疗后临床疗效,分析2组治疗前后中医证候积分(潮热、情志不畅、失眠多梦、夜寐不安)、睡眠质量[匹兹堡睡眠质量指数(PSQI)、睡眠时长、闭眼至入睡时间]、情绪状态[焦虑自评量表(SAS)、抑郁自评量表(SDS)]、性激素水平[雌二醇(E_2)、促黄体生成素(LH)、促卵泡生成素(FSH)]。结果:观察组治疗后临床疗效高于对照组,差异有统计学意义(P<0.05);观察组治疗前与对照组中医证候积分、性激素水平、睡眠质量、情绪状态指标比较,差异均无统计学意义(均P>0.05);治疗后,观察组证候积分、心理情绪评分低于对照组,睡眠质量高于对照组,性激素水平较对照组改善明显,差异均有统计学意义(均P<0.05)。结论:对围绝经期失眠伴焦虑抑郁患者采取疏肝调经针灸治疗联合耳穴埋豆可减轻疾病引起的多种临床症状,改善性激素水平,缓解其不良情绪,相较于常规治疗更有助于提高患者睡眠质量,延长夜间睡眠时间,效果明显,值得临床推广应用。

基于调枢通胃理论针灸治疗老年性便秘经验撷菁

便秘属于临床常见疾病之一,若不对病情实施积极有效的控制,可能增加心脑血管疾病发生风险,尤其是老年性便秘患者,其心脑血管疾病风险更高,便秘可在一定程度上威胁患者生命。针灸是中医外治法之一,亦是临床上用以治疗便秘的重要手段,具有显著的疗效,且有操作简便、无毒副作用以及治疗费用较低等优势。“调枢通胃”是近年来中医学者基于脾胃学说综合当代医学经验所提出的一种新型中医理论,主要用于指导脾胃疾病治疗,突出中医理论的整体观念。此文为基于调枢通胃学说的针灸治疗老年性便秘的经验撷菁,以期为针灸应用于老年性便秘的治疗提供理论依据。

降调节联合中医针灸在激素替代冻融胚胎移植周期中对反复移植失败患者临床结局的影响

目的探究降调节联合中医针灸在激素替代冻融胚胎移植周期中对反复移植失败(RIF)患者临床结局的影响。方法选取30例采用激素替代治疗方案准备子宫内膜的RIF患者,随机分为两组,每组15例。对照组仅采用激素替代治疗和冻融胚胎移植,试验组在对照组基础上使用降调节联合中医针灸治疗。比较两组临床妊娠率、活产率和抱婴率及满意度。结果试验组临床妊娠率、活产率及抱婴率均高于对照组(P<0.05)。试验组总满意度高于对照组(P<0.05)。结论降调节联合中医针灸在激素替代冻融胚胎移植周期中对RIF患者具有积极的临床结局影响,可以显著提高患者的临床妊娠率、活产率和抱婴率,提高患者满意度,为RIF患者提供了新的治疗选择。

ACUPUNCTURE TREATMENT FOR PROLAPSE OF THE RECTUM

Prolapse of the rectum refers to theprolapse or evagination of the anal canal,rectum or even the sigmoid colon outsidethe anus. It often occurs in children, the el-derly of weak constitution or multiparouswomen. Colitis, dysentery, long--termcoughing, constipation, vesical calculus andstrenuous physical labour are remote

CLINICAL EXPERIENCE OF DR. SHAO JINGMING IN TREATMENT OF DISEASES BY PUNCTURING BACK-SHU POINTS

Dr.Shao Jingming has been engaged inclinical acupuncture teaching for more than60 years and accumulated rich experience.He has always put stresses on differentiationof diseases according to pathologicalchanges of the viscera and theirinterrelations,and proposed utilization ofthe Back—Shu points in treatment of dis-eases.He is good at treating diseases by se-lecting.few but highly effective acupoints. Inthis paper the authors summarize the expe-rience of Dr.Shao in the clinical applicationof Back—Shu points,and would like to

调和阴阳法针灸对老年不寐患者睡眠质量及MT、NE、5-HT水平的影响

目的 探讨调和阴阳法针灸对老年不寐患者睡眠质量及褪黑素(MT)、去甲肾上腺素(NE)、5-羟色胺(5-HT)水平的影响。方法 选取2020年7月—2022年7月河北医科大学第一医院收治的老年不寐患者120例,采用随机数表法分为观察组和对照组,每组60例。对照组采取常规药物治疗,观察组在对照组基础上联合调和阴阳法针灸。比较两组临床疗效,同时评估其中医证候积分和匹兹堡睡眠质量指数(PSQI)评分,测定MT、NE、5-HT、多巴胺(DA)、γ-氨基丁酸(GABA)水平,观察记录不良反应发生情况。结果 观察组总有效率高于对照组(P <0.05);观察组治疗前后入睡困难、多梦易醒、神疲食少、目赤口苦、舌红少津、脉弦数、舌苔黄评分的差值均高于对照组(P <0.05)。观察组与对照组治疗前及治疗后2、4周的PSQI评分比较,结果:(1)不同时间点PSQI评分比较,差异有统计学意义(F=17.894,P=0.000);(2)两组PSQI评分比较,差异有统计学意义(F=26.894,P=0.000),观察组PSQI评分较低,相对睡眠质量较好;(3)观察组与对照组PSQI评分变化趋势比较,差异有统计学意义(F=45.247,P=0.000)。观察组治疗前后睡眠总时间、快速眼动睡眠期、睡眠潜伏期、醒觉时间、睡眠效率的差值均高于对照组(P <0.05);观察组治疗前后MT、NE、5-HT的差值均高于对照组(P <0.05);观察组治疗前后DA、GABA的差值均高于对照组(P <0.05);两组不良反应总发生率比较,差异无统计学意义(P>0.05)。结论 调和阴阳法针灸治疗老年失眠症疗效显著,不仅能有效改善患者中医症状、睡眠质量及睡眠结构,还能改善血清MT、NE、5-HT、DA、GABA水平,安全性较高。

基于“调脏通络解郁”思想论治广泛性焦虑症

广泛性焦虑症是临床上常见的焦虑障碍之一,是诸多躯体化症状的主要原因之一。西药治疗不良反应颇多,针灸疗法具有明显的优势,且起效迅速,疗效确切。王洪峰教授认为,广泛性焦虑的根本原因是络气不通、络虚不荣导致的脏腑失和,脑络失养,故在治疗时要“调脏”与“通络脉”“通脑络”三步并举。进而提出“调脏通络解郁”法治疗广泛性焦虑症,选取五脏俞配合“百会配神庭”“合谷配太冲”“足三里配三阴交”等穴,以调整脏腑,疏通络脉,行气解郁。