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针刀“三步缓推分层松解法”治疗老年神经根型颈椎病的临床效果 被引量:17
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作者 李瑞国 王占有 《中国老年学杂志》 CAS 北大核心 2021年第18期3977-3979,共3页
目的探讨针刀与针灸对神经根型颈椎病的临床治疗价值并比较两种治疗的差异性。方法选取60例神经根型颈椎病患者,采用随机数字表法随机分为针刀组与针灸组,每组30例,两组分别采用对应的针刀与针灸操作;所有患者于治疗后6个月进行随访,对... 目的探讨针刀与针灸对神经根型颈椎病的临床治疗价值并比较两种治疗的差异性。方法选取60例神经根型颈椎病患者,采用随机数字表法随机分为针刀组与针灸组,每组30例,两组分别采用对应的针刀与针灸操作;所有患者于治疗后6个月进行随访,对患者进行疗效评价。结果针刀法与针灸法均可以明显降低患者的疼痛感,并减轻患者的临床症状,但针刀法的即时疗效显著高于针灸法(P<0.001);治疗后6个月,两种方法的治疗效果可持续6个月,疗效与各方法的即时疗效相当(P>0.05),且治疗后6个月针刀法的疗效仍显著高于针灸法(P<0.001)。针刀法的治疗总有效率也显著高于针灸法(P<0.001)。结论针刀“三步缓推分层松懈法”可有效治疗老年神经根型颈椎病,且临床疗效持续较久。 展开更多
关键词 三步缓推分层松解法 针刀 神经根型颈椎病
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郑州地区激素性股骨头坏死的临床特征和中医辨证论治情况 被引量:1
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作者 孙宝霞 魏秋实 +3 位作者 曹玉举 常顺 陈建伟 郭永昌 《广州中医药大学学报》 CAS 2022年第6期1228-1234,共7页
【目的】探讨河南省郑州地区激素性股骨头坏死(SONFH)患者的临床特征和中医辨证论治情况。【方法】利用郑州中医骨伤病医院股骨头坏死数据库,导出2016年12月至2019年8月确诊为SONFH的患者。收集所有患者的性别、年龄、职业、住院次数、... 【目的】探讨河南省郑州地区激素性股骨头坏死(SONFH)患者的临床特征和中医辨证论治情况。【方法】利用郑州中医骨伤病医院股骨头坏死数据库,导出2016年12月至2019年8月确诊为SONFH的患者。收集所有患者的性别、年龄、职业、住院次数、基础疾病、中医证型、中医治法、方药、激素的种类、激素的应用途径、激素的总剂量、就诊时是否停药、疼痛时间、国际骨循环研究协会(ARCO)分期等,并对以上资料进行整理和统计分析。【结果】(1)基本情况方面:共纳入300例SONFH患者(523髋),其中,男179例(59.67%),女121例(40.33%),平均年龄(33.72±10.25)岁;单侧坏死77例(25.67%)77髋,双侧坏死223例(74.33%)446髋;ARCOⅡ期280髋,ARCOⅢ期243髋;平均疼痛时间(6.30±7.25)个月。(2)中医辨证论治方面:中医证型以肝肾亏虚证、肾虚血瘀证、脉络痹阻证为主,分别占全部患者的25.00%、20.67%、14.33%。中医治法方面,补肾活血法、补益肝肾法、补肾培元法最为常见,分别占全部患者的22.67%、18.00%、15.33%。方药应用方面,右归饮合桃红四物汤、补肾活血汤、大活络丸出现频数最多,分别占全部患者的21.67%、20.00%、17.33%。(3)基础疾病方面:其中风湿免疫疾病78例占26.00%,皮肤科疾病62例占20.67%,血液系统疾病和肾脏疾病各29例(各占9.67%),神经系统疾病27例(占9.00%),眼科疾病22例(占7.33%),呼吸疾病15例(占5.00%),肿瘤疾病9例(占3.00%),其他疾病29例(占9.67%)。(4)应用激素方面:按激素的种类分,应用频率最高的为甲强龙168次,其次分别为醋酸地塞米松158次、强的松79次、曲安奈德3次、布地奈德2次;按等量甲强龙换算,所有患者的平均激素使用剂量为(6532.43±2469.71)mg;63例(21.00%)患者在确诊时仍继续服用激素,237例(79.00%)患者在确诊时已停用激素;在确诊时已停用激素的患者中,有151例患者在停用激素后平均(3.06±2.01)个月诊断为股骨头坏死。【结论】郑州地区SONFH患者以中青年为主,且多为双侧发病。导致服用激素的基础疾病种类较多,甲强龙为应用较广泛的激素,其次为醋酸地塞米松,多数患者在停用激素后发现股骨头坏死。SONFH患者的中医证型以肾虚血瘀为主,以补肾活血为治疗大法,右归丸合桃红四物汤为治疗主方。 展开更多
关键词 激素性股骨头坏死 郑州地区 临床特征 肾虚血瘀 右归丸 桃红四物汤
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溃结一号方辅助治疗溃疡性结肠炎脾肾阳虚证临床观察 被引量:1
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作者 景少权 刘佃温 《光明中医》 2023年第19期3790-3793,共4页
目的 探讨溃结一号方辅助治疗脾肾阳虚型溃疡性结肠炎(UC)患者的疗效及中医症状积分的改善情况。方法 选取62例登封市人民医院2021年4月—2022年4月收治的UC患者作为研究对象,分为试验组(31例)、对照组(31例)。对照组给予美沙拉嗪肠溶... 目的 探讨溃结一号方辅助治疗脾肾阳虚型溃疡性结肠炎(UC)患者的疗效及中医症状积分的改善情况。方法 选取62例登封市人民医院2021年4月—2022年4月收治的UC患者作为研究对象,分为试验组(31例)、对照组(31例)。对照组给予美沙拉嗪肠溶片治疗,试验组在对照组基础上给予溃结一号方治疗。2组均连续治疗1个月。比较2组各项指标。结果 治疗后试验组临床总有效率优于对照组(P<0.05);与治疗前比较,治疗后2组中医症状各项积分、血清IL-1、IL-6、IL-23、TNF-α水平、全血高切黏度、全血低切黏度、血浆黏度、纤维蛋白原含量均降低,且试验组比对照组低(P<0.05)。结论 溃结一号方辅助治疗UC脾肾阳虚型患者可有效提高临床效果,改善中医症状积分,减轻炎症反应,改善血液流变学,安全性较高。 展开更多
关键词 溃疡性结肠炎 脾肾阳虚证 中医药疗法
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周立华教授辨治缺血性心律失常经验
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作者 张翠萍 李雪倩 +1 位作者 李娇 周立华 《中医研究》 2018年第6期41-43,共3页
周立华是河南省名中医,硕士博士生导师,擅长治疗冠心病、心律失常、高血压等,重视中医学整体理念、内在逻辑与科学内涵的研究,提倡中西医融合,并提出"状态医学"新观点。周教授临证将辨病和辨证相结合,立足于宏观和微观,从多... 周立华是河南省名中医,硕士博士生导师,擅长治疗冠心病、心律失常、高血压等,重视中医学整体理念、内在逻辑与科学内涵的研究,提倡中西医融合,并提出"状态医学"新观点。周教授临证将辨病和辨证相结合,立足于宏观和微观,从多个角度辨证缺血性心律失常,以益气化痰祛瘀通络为治疗法则,并从微循环的角度进行解读,自拟通脉定悸汤,在临床上效如桴鼓。 展开更多
关键词 周立华 中医师 缺血性心律失常 血脉 络脉 微循环
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高血压病口服中成药的应用要点及原则 被引量:2
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作者 许冬阁 周立华 +3 位作者 刘宗昆 王娟 张争强 张翠萍 《中国中医药现代远程教育》 2017年第4期149-150,共2页
高血压病,即原发性高血压是指以体循环动脉血压升高为主的一组临床综合征,是临床上最常见的慢性疾病之一。近年来,高血压患病率呈明显增长态势,高血压病的防治引起了人们的广泛重视,中医治疗高血压病有其独特的优势,特别是中成药以其简... 高血压病,即原发性高血压是指以体循环动脉血压升高为主的一组临床综合征,是临床上最常见的慢性疾病之一。近年来,高血压患病率呈明显增长态势,高血压病的防治引起了人们的广泛重视,中医治疗高血压病有其独特的优势,特别是中成药以其简、便、效著、安全、副作用小的特点在临床上被广泛应用。近年来临床上出现了大量的中成药,可以说是琳琅满目,但也为如何合理的选用中成药带来了困扰,本文就是将为临床常用的口服中成药做简要概述,以期能为中成药的临床应用做些贡献。 展开更多
关键词 高血压病 中成药 辨证论治 眩晕
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Analysis of ZHENG Yuling's Medication Rules in the Syndrome Differentiation and Treatment of Cervical Cancer
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作者 WANG Juntao ZHENG Yaling ZHENG Yuling 《Chinese Medicine and Natural Products》 2021年第1期48-57,共10页
Objective:To analyze the medication rules of ZHENG Yuling in the treatment of cervical cancer,and provide a basis for the clinical practice of Chinese medicine for the treatment of cervical cancer.Methods:The data of ... Objective:To analyze the medication rules of ZHENG Yuling in the treatment of cervical cancer,and provide a basis for the clinical practice of Chinese medicine for the treatment of cervical cancer.Methods:The data of patients with cervical cancer treated by ZHENG Yuling in the First Hospital Affliated to Henan Univer-sity of Chinese Medicine from March 26,2017 to January 5,2021 were collected and the medication rules were analyzed.Results:Totally 143 cases were included,and the most frequently used prescriptions were Wuling Powder(五苓散),Simiao Powder(四妙散),Danggui Shaoyao Powder(当归芍药散),Shuyu Pill(薯损丸),Qingxin Lianzi Decoetion(清心莲子饮),Bazhen Decoction(八珍汤),etc.With statistics of the efficacy,all Chinese materia medica were divided into 19 categories,and their properties were mainly warm,mild and cold;the flavors of medicine were mainly sweet,pungent and bitter;the meridian tropism mainly ineludes the lung,liver,spleen and stomach.After cluster analysis and factor analysis,15 common factors were extracted;through the analysis of association rules,14 groups of Chinese materia medica combinations with high frequency associ-ation strength were obtai ned.Conclusion:ZHENG Yuling believes that the pathogenesis of cervical cancer is not only related to disorder between Chong and conception Channels due to the intermingling of dampness,tox-icity,blood stasis,and phlegm but also retention of urine due to qi stagnation and water retention.The direct disease location is in the uterus and indirect location may involve the lung,liver,spleen and kidney according to the development of disease,accompanying symptoms and the different constitutions of the patients.It is advo-cated that attention should be paid to not only removing dampness,detoxification,removing blood stasis,and re-ducing phlegm,but also regulating qi,opening the blockage,promoting water flow.At the same time,the spleen and stomach should be protected,and tonification and purgation should be applied in combination. 展开更多
关键词 cervical cancer ZHENG Yuling medication rules Chinese medicine
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Systematic Arrangement and Mechanism Exploration of Clinical Suitable Diseases Treated by Thumb-Tack Acupuncture
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作者 LUO Xiao HU Bin 《Chinese Medicine and Natural Products》 2021年第2期50-62,共13页
Objective:To sort out and analyze the domestic and foreign literature on thumb-tack acupuncture in the past fifteen years using bibliometrics methods,summarize the dominant diseases of thumb-tack acupuneture,explore t... Objective:To sort out and analyze the domestic and foreign literature on thumb-tack acupuncture in the past fifteen years using bibliometrics methods,summarize the dominant diseases of thumb-tack acupuneture,explore the mechanism of thumb-tack acupuncture and further the researches of this therapy.It is expected to provide references for policy formulations of current and future development,research hotspots and selection of scientific research topics of thumb-tack acupuncture.Methods:China National Knowledge Infrastructure(CNKI),VIP,Chinese Biomedical Literature(CBM)and PubMed were retrieved by computer,and the literature retrieval results were imported into NoteExpress 3.2 software for mana gement.Then,according to the literature inclusion criteria,the literature that met the standard was included,and the literature results were extracted and statistically analyzed by Excel.Results:Through the integration of 559 Chinese and English papers that met the standards,it was found that the thumb-tack acupuncture was suitable for mental behavior disorder system disea-ses,musculoskeletal connctive tissue diseases,neurological diseases,and genitourinary system diseases;insomnia and herpes zoster were the dominant diseases,and through mec hanism exploration,it was found that there was 8 corresponding relationship with the dominant system diseases in the disease spectrum.Conclusion:The thumb-tack acupuncture has the advantages of solid theoretical basis,definite climical curative effect,wide range of ap-plication and large application area.The current and future researches may require further explorations in the basic experimental studies of the mechanism,clinical contraindications,interdisciplinary researches,improvement of the equipments and standardized clinical operation techniques of thumb-tack acupuncture. 展开更多
关键词 thumb-tack acupuneture suitable disease dominant disease
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Two proved cases of treating herpes zoster pain by needling wei 被引量:1
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作者 Xi-yan GAO Jin XIE Ling-yan MENG 《World Journal of Acupuncture-Moxibustion》 CSCD 2019年第1期28-30,共3页
Two cases of herpes zoster neuralgia treated by shallow needling combined with electroacupuncture were introduced. The literature basis and possible mechanisms were discussed.
关键词 NEEDLING WEI HERPES ZOSTER NEURALGIA HERPES ZOSTER post-herpetic NEURALGIA ELECTROACUPUNCTURE
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Case of multiple verruca plantaris 被引量:1
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作者 Xiao-jing CHEN Xu-guang YANG Xi-yan GAO 《World Journal of Acupuncture-Moxibustion》 CSCD 2020年第2期155-157,共3页
A female student,23 years old,suffering from multiple warts scattered on the right sole for 2 years and pain on the bottom of the first metatarsal bone when walking for 1 month.The case was diagnosed as kujinjian(枯筋... A female student,23 years old,suffering from multiple warts scattered on the right sole for 2 years and pain on the bottom of the first metatarsal bone when walking for 1 month.The case was diagnosed as kujinjian(枯筋箭)in traditional Chinese medicine and verruca plantaris in western medicine.At the beginning of treatment,fire needling therapy was applied to local lesions,once every two days.Afterwards,moxibustion with moxa cone was used at the local lesions,once a day,three cones on each lesion till warts were dropped.Simultaneously,in combination,mild moxibustion was given at bilateral Zusanli(足三里ST36)for 15 min,once a day.After three times of moxibustion therapy,a part of warts were crusted and 3 weeks later,all the warts were dropped.No recurrence was found in the follow-up visit.The therapeutic methods of this case are simple in manipulation and satisfactory in therapeutic effect. 展开更多
关键词 Kujinjian Verruca plantaris Moxibustion with moxa cone Fire needling
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Case report of seborrheic dermatitis 被引量:1
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作者 Cong-ying LIU Xi-yan GAO +3 位作者 Ming-ming ZHANG Qian-na WANG Ling-yan MENG Jin XIE 《World Journal of Acupuncture-Moxibustion》 CSCD 2021年第1期65-67,共3页
One case of seborrheic dermatitis,male patient,aged 73 years is reported.After treated with acupuncture,penetrating moxibustion and bloodletting therapies,skin lesions on the neck and shoulder regions disappeared,the ... One case of seborrheic dermatitis,male patient,aged 73 years is reported.After treated with acupuncture,penetrating moxibustion and bloodletting therapies,skin lesions on the neck and shoulder regions disappeared,the epidermis returned to normal and itching disappeared.There was no recurrence in the follow-up visit 3 months later.Hence,acupuncture,combined with penetrating moxibustion and bloodletting has a definite effect on this case in the patient and it is worthy of promotion and application in clinical practice. 展开更多
关键词 Male seborrheic dermatitis ACUPUNCTURE Penetrating moxibustion BLOODLETTING
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Different acupuncture modalities for 90 cases of adhesive capsulitis at different clinical stages
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作者 Yong Yang Yi-jun Liu +3 位作者 Quan-liang Wang Lei-sheng Wang Fei Sun You-long Zhou 《World Journal of Acupuncture-Moxibustion》 CSCD 2020年第2期141-145,共5页
Objective:To observe the clinical efficacy of different acupuncture modalities in the treatment of adhesive capsulitis a tthrough different clinical stages.Methods:Ninety patients of adhesive capsulitis weregraded in ... Objective:To observe the clinical efficacy of different acupuncture modalities in the treatment of adhesive capsulitis a tthrough different clinical stages.Methods:Ninety patients of adhesive capsulitis weregraded in three different stages based on clinical presentations.Patients in painful stage were treated with silver needles once every 5 to 7 days for two courses;patients in adhesive stage were given acupotomy treatment every 7 to 10 days for two courses;while patients in recovery stage were treated with acupuncture with warm needles by moxibustion on tendon knots,once a day 10 times in a course,for two courses of treatment.The disease scores were compared between all groups before and after the treatment,and clinical efficacy was evaluated after the treatment.Results:The disease scores in patients of all three stages were higher after treatment,and the differences were statistically significant(all P<0.05).Among 90 patients with adhesive capsulitis,32 cases were clinically under controlled,37 cases claimed remarkably effective,18 were effective,and 3 ineffective cases,thus the total effective rate for this stage-based treatment is 96.7%.Conclusion:For adhesive capsulitis,different acupuncture modalities targeting patients in different clinical stages were feasible and effective,the disease scores of patients were significantly improved. 展开更多
关键词 ACUPOTOMY Adhesive capsulitis Randomly controlled trial Silver needles Stage-based treatment Warm needles by moxibustion
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Cases on the clinical application of needling wei method
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作者 Chen-yang JIA Yin-dan GAO Xi-yan GAO 《World Journal of Acupuncture-Moxibustion》 CSCD 2021年第1期68-70,共3页
In the paper,two medical cases,i.e.carpal tunnel syndrome and acute chest soft tissue contusion,are treated and reported with acupuncture kinesitherapy,in which the needles are inserted shallowly and no sensation of d... In the paper,two medical cases,i.e.carpal tunnel syndrome and acute chest soft tissue contusion,are treated and reported with acupuncture kinesitherapy,in which the needles are inserted shallowly and no sensation of deqi is required in the guidance of subcutaneous shallow puncture and"pain point as the acupoint".The mechanism of needling wei method is summarized. 展开更多
关键词 Needling wei method Shallow puncture Weiqi(Defensive qi)
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