Design of an Acoustic Levitator for Three-Dimensional Manipulation of Numerous Particles

We present a design of an acoustic levitator consisting of three pairs of opposite transducer arrays.Three orthogonal standing waves create a large number of acoustic traps at which the particles are levitated in mid-air.By changing the phase difference of transducer arrays,three-dimensional manipulation of particles is successfully realized.Moreover,the relationship between the translation of particles and the phase difference is experimentally investigated,and the result is in agreement with the theoretical calculation.This design can expand the application of acoustic levitation in many fields,such as biomedicine,ultrasonic motor and new materials processing.

An exploration of the origin and flow of the development of traditional Chinese medicine orthopedic and chiropractic massage

Traditional Chinese medicine(TCM)chiropractic massage is a kind of orthopedic therapy that corrects the abnormal anatomical position of bone or joint and corrects the dislocation of joint by manipulation so that the bone is soft and the Qi and blood are reconciled(Qi:The intangible,high-mobility nutritive substance that maintains vital activities).Manipulation treatment is the first of the four major orthopedic diseases.At the same time,TCM chiropractic massage is also an essential part of TCM.TCM orthopedic chiropractic practice originated from the struggle between humanity and nature,sprouted from the Warring States period to the two Han Dynasty,formed in the Sui,Tang,and Song Dynasties,matured in the Ming and Qing Dynasties,and flourished in the modern era.In more than 2,000 years of development,many practical techniques have been produced,which have profoundly influenced the inheritance and development of modern techniques,making the TCM orthopedic chiropractic massage in the contemporary era form the characteristics of“tendon and bone”and“point-line-face combination”.At present,the development of TCM chiropractic massage is facing the great challenges of modern medicine and modern advanced science and technology such as American chiropractic and the limitations of its development.Therefore,in the future,the development direction of Chinese medicine orthopedic chiropractic massage should be“hybrid to treat”.In the face of modern medicine,we should take its essence to its dross,eclectic,organically integrate its advantages into itself,enrich its theoretical framework,and strengthen the construction of disciplines and departments to enhance its competitiveness.It is believed that Chinese medicine orthopedic chiropractic massage can have better development in the future and can make more contributions to the health of the world’s people.

西方Chiropractic手法的特点

西方现代手法治疗学Chiropractic具有很强理论性和实践性,以脊柱相关疾病理论为出发点,从一个新的角度揭示了许多常见病及疑难病的发病原因及诊治规律,打破了以往的分科界限。

KINEMATIC ANALYSIS OF THE POSTERIOR ELEMENT OF LUMBAR SPINE IN ROTATORY CHIROPRACTIC

Rotatory chiropractic is one of the key manipulations in the treatment of low-er backache. The present paper reports the kinematic changes in the posterior element oflumbar spine during rotatory manipulation, using motion segments of lumbar spine fromfresh cadavers as specimens and an electromechanical system for the measurements. Theanalysis of the angle-displacement curve and the load-angle curve reveals that rotatorychiropractic is a kind of complicated 3-D. 6-degree-of-freedom motion. Correctmanipulation may adjust the volume of the nerve root canal and relax the articulation be-tween the upper and lower joint processes so as to relieve the adhesion of the enclosuresin the nerve root canal and relieve the adhesion of the facet joints, and bring aboutimprovement of local circulation and amelioration of symptoms.

Implementation of natural hand gestures in holograms for 3D object manipulation

Holograms provide a characteristic manner to display and convey information, and have been improved to provide better user interactions Holographic interactions are important as they improve user interactions with virtual objects. Gesture interaction is a recent research topic, as it allows users to use their bare hands to directly interact with the hologram. However, it remains unclear whether real hand gestures are well suited for hologram applications. Therefore, we discuss the development process and implementation of three-dimensional object manipulation using natural hand gestures in a hologram. We describe the design and development process for hologram applications and its integration with real hand gesture interactions as initial findings. Experimental results from Nasa TLX form are discussed. Based on the findings, we actualize the user interactions in the hologram.

龙氏整脊手法联合针刺董氏奇穴治疗椎动脉型颈椎病的临床效果

目的探讨龙氏整脊手法联合针刺董氏奇穴治疗椎动脉型颈椎病的临床效果。方法选取2017年1月至2022年12月兴宁市人民医院中医康复科收治的50例椎动脉型颈椎病患者为研究对象,按照随机数字表法将其分为对照组(针刺董氏奇穴)和治疗组(龙氏整脊手法联合针刺董氏奇穴),每组25例。比较两组的治疗效果。结果治疗后,治疗组的功能、躯体评分及总分低于对照组,差异具有统计学意义(P<0.05)。治疗后,治疗组的数字评定量表(NRS)评分低于对照组,健康状况调查问卷(SF-36)评分高于对照组,差异具有统计学意义(P<0.05)。治疗组的治疗显效率及总有效率高于对照组,治疗无效率低于对照组,差异具有统计学意义(P<0.05)。结论龙氏整脊手法联合针刺董氏奇穴治疗椎动脉型颈椎病患者的临床效果显著,不仅可改善患者的眩晕、头痛症状,还能进一步提升生活质量。

Effect of chiropractic manipulation on disrupted epithelium barrier and its mechanism of specialized pro-resolving mediators in a spleen-deficiency murine model

OBJECTIVE: To investigate the influence of spleen deficiency on the epithelial barrier of jejunum and lungs in a rat model of spleen-deficiency and the effect and potential specialized pro-resolving mediators (SPMs) mechanism of chiropractic manipulation. METHODS: Three-week-old male Sprague-Dawley rats were divided randomly into normal control group (n = 6), spleen-deficiency group (n = 5) and chiropractic group (n = 6). Spleen-deficiency model was induced in spleen-deficiency group and chiropractic group. Moreover, chiropractic manipulation was performed in chiropractic group. Four weeks later, systemic Th1/Th2 balance was evaluated by the ratio of plasma interferon (IFN)-γ/interleukin (IL)-4 levels by enzyme-linked immunosorbent assay (ELISA). Epithelial barrier integrity were assessed by the observation of morphological changes by hematoxylin-eosin staining and zonula occludens (ZO)-1 gene expressions by quantitative real time polymerase chain reaction in jejunum and lungs. Plasma resolvin D1 (RvD1) and lipoxin A4 (LXA4) levels were measures by ELISA for endogenous SPMs production. The levels of docosahexaenoic acid (DHA) and arachidonic acid (AA) in jejunum and lungs were also measured by HPLC-MS/ MS. RESULTS: Comparing with normal control group, spleen-deficiency group showed disrupted mucosa in jejunum, inflammatory condition in lungs, significantly decreased ratio of plasma IFN-γ/IL-4 levels and lower expressions of ZO-1 mRNA in both jejunum and lung tissues. Comparing with spleen-deficiency group, chiropractic group had less disrupted mucosa in jejunum and inflammatory condition in lungs, significantly increased systemic ratio of IFN-γ/IL-4 and expressions of ZO-1 mRNA in both jejunum and lung tissues. Chiropractic group had significantly enhanced plasma levels of RvD1 and LXA4, but had no significantly higher levels of DHA and AA in jejunum and lungs when comparing with spleen-deficiency group. CONCLUSION: Spleen deficiency caused systemic Th1/Th2 imbalance towards Th2 polarization and epithelial barrier disruption in jejunum and lungs.Chiropractic manipulation helped enhance endogenous SPMs production, which might be one of the action mechanism of chiropractic manipulation on the improvement of epithelial barrier disruption.

“三位动正”整脊手法联合通络活血方治疗气虚血瘀型腰椎管狭窄症的临床疗效观察

【目的】观察“三位动正”整脊手法联合通络活血方治疗气虚血瘀型腰椎管狭窄症(lumbar spinal stenosis,LSS)的临床疗效。【方法】将60例气虚血瘀型LSS患者随机分为试验组和对照组,每组各30例。试验组给予“三位动正”整脊手法联合通络活血方治疗,对照组给予“三位动正”整脊手法联合常规西药治疗,疗程为4周。观察2组患者治疗前后疼痛程度视觉模拟量表(VAS)评分、腰椎功能日本骨科协会(JOA)评分、Oswestry功能障碍指数(ODI)评分、直腿抬高试验结果以及血清白细胞介素6(IL-6)、C反应蛋白(CRP)水平的变化情况,并评价2组患者的临床疗效和安全性。【结果】(1)疗效方面,治疗4周后,试验组的总有效率为96.67%(29/30),对照组为63.33%(19/30),组间比较(Fisher精确检验),试验组的临床疗效明显优于对照组(P<0.05)。(2)腰部功能方面,治疗后,试验组的VAS、ODI评分较治疗前明显降低(P<0.05),JOA评分较治疗前明显升高(P<0.05),而对照组仅ODI评分较治疗前明显降低(P<0.05);组间比较,试验组对VAS、ODI评分的降低幅度及对JOA评分的升高幅度均明显优于对照组(P<0.05或P<0.01)。(3)直腿抬高试验方面,治疗后,试验组的直腿抬高试验较治疗前明显改善(P<0.05),而对照组无明显改善(P>0.05);组间比较,试验组对直腿抬高试验的改善幅度明显优于对照组(P<0.01)。(4)血清炎症因子方面,治疗后,2组患者的血清IL-6、CRP水平均较治疗前降低(P<0.05),且试验组对血清IL-6水平的降低幅度明显优于对照组(P<0.05),而2组患者治疗后的血清CRP水平比较,差异无统计学意义(P>0.05)。(5)安全性方面,试验组的不良反应发生率为6.67%(2/30),对照组为13.33%(4/30),组间比较(Fisher精确检验),差异无统计学意义(P>0.05)。【结论】“三位动正”整脊手法联合通络活血方治疗气虚血瘀型LSS患者疗效确切,在改善患者腰部功能、促进患者康复以及降低血清炎症因子水平方面相比“三位动正”整脊手法联合常规西药治疗有明显优势。

中医理念治疗青少年特发性脊柱侧凸的研究进展

青少年特发性脊柱侧凸(AIS)是一种骨骼发育问题,它不仅影响青少年的体态,严重者还可能导致心肺功能受损。中医对AIS有着独特的见解和丰富的治疗经验,文章的目的是介绍中医对AIS的认识,综述近几年中医治疗AIS的方法及研究进展,以提高医患双方对中医在AIS患者治疗中独特作用的认识,为今后推广AIS中医或中西医疗法提供思路。

整脊手法推拿联合穴位深刺、八段锦治疗神经根型颈椎病的效果

目的:探讨整脊手法推拿联合穴位深刺、八段锦治疗神经根型颈椎病(cervical spondylotic radiculopathy,CSR)的效果。方法:选取2021年2月—2022年10月龙岩市中医院收治的90例CSR患者作为研究对象。根据随机数表法将其分成观察组与对照组,各45例。两组均给予综合治疗,对照组给予八段锦,观察组在对照组基础上给予整脊手法推拿联合穴位深刺。比较两组临床疗效,治疗前后中医症候积分、血液流变学指标。结果:治疗8周,两组颈肩疼痛、四肢萎软、肢体麻木、眩晕评分均降低,观察组颈肩疼痛、四肢萎软、肢体麻木、眩晕评分均低于对照组,差异有统计学意义(P<0.05)。观察组总有效率高于对照组,差异有统计学意义(P<0.05)。治疗8周,两组全血高切黏度、血浆黏度、全血低切黏度降低,观察组全血高切黏度、血浆黏度、全血低切黏度均低于对照组,差异有统计学意义(P<0.05)。结论:整脊手法推拿联合穴位深刺、八段锦治疗CSR效果满意,可改善中医症候积分及血液流变学。

补肾通痹方联合中医骨伤整脊手法在腰椎间盘突出症中的作用及对患者MRI影像学、血清指标的影响

目的:探讨补肾通痹方联合中医骨伤整脊手法在腰椎间盘突出症中的作用及对患者MRI影像学、血清指标的影响。方法:选取2021年2月—2023年2月于泉州泉港仁爱医院诊治的102例腰椎间盘突出症患者,依据数字排列表法分为对照组(n=52)与观察组(n=50)。对照组患者给予中医骨伤整脊手法,观察组在对照组基础上给予补肾通痹方,比较两组Oswestry功能障碍指数问卷(ODI)、腰椎日本骨科协会评估治疗(JOA)评分、视觉模拟评分法(VAS)评分、血清炎症因子、MRI影像学指标及临床疗效。结果:两组治疗前各项评分、血清炎症因子指标及MRI影像学指标比较,差异无统计学意义(P>0.05);观察组治疗后VAS评分、ODI评分、血清炎症因子水平、MRI影像学指标均低于对照组,但JOA评分高于对照组,差异有统计学意义(P<0.05);观察组临床总有效率为96.00%,高于对照组的78.85%,差异有统计学意义(P<0.05)。结论:补肾通痹方联合中医骨伤整脊手法有利于改善腰椎间盘突出症患者疼痛程度,提高腰椎功能恢复,改善临床MRI影像学指标,降低炎症反应,提升临床疗效。

基于捏脊法“深取痛引之”探讨体表刺激量与皮部激活

捏脊作为传统中医儿科推拿手法之一,在临床小儿推拿中广泛应用且疗效显著。捏脊法以经络穴位为基础,通过外部刺激使相关部位获得经气感应,实现防治疾病的目的。文章欲从“深取痛引之”的角度探讨捏脊操作蕴含的体表刺激量和激活皮部理论的意义,旨在为今后捏脊规范化操作、教学、临床运用起到积极作用。

肢麻方联合针灸及整脊手法治疗神经根型颈椎病临床观察

目的:观察肢麻方联合针灸及整脊手法治疗神经根型颈椎病(CSR)的效果。方法:62例按随机数字表法分为两组各31例。两组均行整脊手法联合针灸治疗,观察组加用肢麻方治疗。结果:总有效率观察组高于对照组(P<0.05),观察组治疗后NDI评分、VAS评分较对照组低(P<0.05),观察组治疗后颈椎后伸、前屈、侧屈、旋转活动度较对照组高(P<0.05),观察组治疗后肩颈臂疼痛、麻木、活动受限及颈项压痛积分低于对照组(P<0.05)。结论:肢麻方联合针灸及整脊手法治疗CSR效果较好。

呼吸训练联合整脊手法对腰椎间盘突出症患者疗效及腰椎功能影响的临床研究

目的 探讨呼吸训练联合整脊手法对腰椎间盘突出症患者疗效及腰椎功能的影响。方法 选取2022年1月—2023年6月在本院就诊的腰椎间盘突出症患者80例为研究对象,并随机划分为实验组与对照组,每组40例。对照组接受整脊手法治疗,实验组在对照组基础上联合呼吸训练。通过对比两组患者的JOA评分、ODI评分、VAS评分、疗效评估、症状与体征积分,探讨对腰椎间盘突出症患者腰椎功能的改善和治疗效果评估。结果 两组JOA参数比较,实验组整体效果较好(P<0.05)。两组患者进行ODI评分比较,其中实验组患者治疗后ODI评分明显优于对照组,组间差异有统计学意义(P<0.05)。通过对两组患者进行治疗前后腰痛VAS比较,实验组患者治疗前腰痛VAS差异不大,实验组治疗后腰痛VAS评分<对照组,实验组效果较好(P<0.05)。通过对两组患者进行疗效评估的比较,实验组整体有效率为96.67%,相比较对照组整体效果较优(P<0.05)。在对患者治疗后的症状与体征积分的情况进行比对的基础上,实验组腰椎间盘突出患者的疼痛症状、运动障碍、活动受限以及感觉障碍均有显著改善(P<0.05),结论 对腰椎间盘突出症患者进行整脊手法联合呼吸训练治疗,患者情况明显改善,整体效果较好。

针挑合整脊治疗强直性脊柱炎对照研究

目的:观察针挑合整脊疗法治疗强直性脊柱炎的,临床疗效并探讨其作用机制。方法:将93例确诊为强直性脊柱炎(活动期)患者随机分为针挑整脊组(47例)和西药组(46例)。针挑整脊组针挑主点颈2神经点、颈5神经点等,并结合整脊手法;西药组口服柳氮磺胺嘧啶。分别观察2组患者治疗前后关节疼痛和肿胀积分值、关节功能及Keitel试验变化和血沉、C反应蛋白情况。结果:针挑整脊组有效率为95.8%,显效率为68.1%,西药组分别为78.3%、23.9%,针挑整脊组疗效明显优于西药组(P<0.01)。结论:针挑合整脊疗法治疗强直性脊柱炎(活动期)患者不仅疗效明显,而且远期效果稳定。

益气通督手法治疗小儿脾虚泻的多中心随机对照研究

目的:对益气通督手法治疗小儿脾虚泻的疗效进行评价。方法:将275例患儿采用多中心、随机、对照方法分为观察组(n=137)和对照组(n=138),观察组采用益气通督手法治疗,对照组采用中医院校教材《推拿学》中所规定手法治疗。治疗7天后比较两组疗效。结果:观察组治愈率为83.2%,对照组治愈率为69.6%,差异有统计学意义(P<0.05),观察组疗效优于对照组。两组平均治愈时间比较,观察组平均治愈时间(3.22±1.04)天,对照组平均治愈时间(4.20±1.11)天,差异有统计学意义(P<0.05),观察组短于对照组。结论:益气通督手法治疗小儿脾虚泻疗效确切,起效快,适宜普及推广应用。

韦氏颈椎手法配合中药烫疗治疗神经根型颈椎病的临床研究

目的:观察韦氏颈椎手法配合中药烫疗治疗神经根型颈椎病的临床疗效。方法:将264例神经根型颈椎病患者随机分为治疗组133例和对照组131例。治疗组采用韦氏颈椎手法配合中药烫疗治疗,对照组采用颈椎牵引配合中药烫疗治疗。治疗结束后3个月分别采用Boeden测量法、Northwick Park颈痛量表及《中医病证诊断疗效标准》中的颈椎病疗效标准评定并比较2组患者的颈椎生理曲度、颈椎症状体征功能评分及总体疗效。结果:①颈椎生理曲度。治疗前2组患者颈椎生理曲度比较,差异无统计学意义[(3.67±2.32)mm,(3.15±2.14)mm,t=-1.194,P=0.234];治疗结束后3个月2组患者颈椎生理曲度均改善[(7.79±3.74)mm,(5.98±3.56)mm],治疗组改善更明显[(4.12±2.34)mm,(2.83±1.18)mm,t=5.221,P=0.000]。②颈椎症状体征功能评分。治疗前2组患者颈椎症状体征功能评分比较,差异无统计学意义[(38.77±12.25)分,(38.36±8.79)分,t=0.311,P=0.756];治疗结束后3个月2组患者的颈椎症状体征功能评分均降低[(17.65±5.94)分,(20.50±8.79)分],治疗组降低更明显[(21.12±10.64)分,(17.86±8.93)分,t=2.310,P=0.022]。③总体疗效。治疗组治愈32例,显效81例,有效15例,未愈5例;对照组治愈12例,显效85例,有效17例,未愈17例。治疗组总体疗效优于对照组,差异有统计学意义(Z=-3.569,P=0.000)。结论:采用韦氏颈椎手法配合中药烫疗治疗神经根型颈椎病,能有效改善患者的临床症状与体征,以及颈椎生理曲度和颈椎功能,疗效优于颈椎牵引配合中药烫疗,值得临床推广应用。

刘智斌推拿整脊手法治疗颈性眩晕经验

陕西省名中医刘智斌教授擅长针灸推拿治疗颈腰椎病和老年病。他认为颈性眩晕是以眩晕为主症、与上颈段椎体错位、失稳、卡压、齿状突偏移、环枢关节半脱位等因素相关,治疗需推拿理筋、整脊复位、脊柱调衡,消除病因,解除症状。其手法灵巧,快捷有效,缩短疗程,值得总结推广。

由脊骨神经医学发展模式引发的思考

在治疗脊柱相关疾病时,中医脊柱推拿疗法与脊骨神经医学存在一定相似之处,但自身也保持着鲜明的特色。虽然中医脊柱推拿疗法的"骨错缝、筋出槽"与脊骨神经医学的"椎体半脱位"均未形成定论,但脊骨神经医学已经与WHO开展正式合作,并且形成《指南》指导其进一步规范化推广。相对而言,中医脊柱推拿疗法有着成熟理论体系和良好临床疗效,却难以作为正规医疗方式走向世界。本文通过对中医脊柱推拿疗法的基本理论与临床思维进行分析,旨在通过分析中医脊柱推拿疗法的不足之处,借鉴脊骨神经医学之优势,对中医脊柱推拿疗法之推广分析和探讨,希望为相关领域提供参考。

整脊结合推拿治疗暂时性髋关节滑膜炎临床研究

目的:比较整脊结合推拿与单纯推拿治疗暂时性髋关节滑膜炎的疗效差异。方法:将60例暂时性髋关节滑膜炎患儿随机分为观察组(30例)、对照组(30例)。观察组行整脊疗法并结合推拿手法;对照组单纯采用推拿治疗,均隔日治疗1次,14天为一疗程,共治疗1个疗程。通过对两组患者治疗前后视觉模拟量表(VAS)评分的比较,从而判断其疗效差异。结果:两组患者治疗后VAS评分较治疗前均明显降低(均P<0.01),且治疗后观察组VAS评分低于对照组(P<0.05);观察组治愈20例,好转9例,未愈1例;对照组治愈14例,好转13例,未愈3例。观察组总体疗效优于对照组(P<0.05)。结论:整脊结合推拿治疗暂时性髋关节滑膜炎可有效缓解疼痛,改善关节活动度,疗效优于单纯推拿治疗。