黄褐斑,亦称“黧黑斑”,属于中医学“面尘”的范畴,是种常见的面部色素沉着性皮肤病。黄褐斑一般发展缓慢,持续多年且难以消退,发病率随着年龄增长而升高。由于该病发生在面部,随着人们对容貌的要求增高,黄褐斑对患者精神心理的影响也...黄褐斑,亦称“黧黑斑”,属于中医学“面尘”的范畴,是种常见的面部色素沉着性皮肤病。黄褐斑一般发展缓慢,持续多年且难以消退,发病率随着年龄增长而升高。由于该病发生在面部,随着人们对容貌的要求增高,黄褐斑对患者精神心理的影响也愈加严重。黄褐斑病灶在皮肤,中医外治法可直达病所,且毒副作用相对较小、药物依赖性低。治疗方法包括中药面膜、面部刮痧、穴位埋线、揿针、火针等,并且以其临床有效率较高、副作用较小、治愈后复发率较低等特点,在黄褐斑的治疗过程中有着明显的优势。Chloasma, which is called “lathyrus black spot” in Chinese medicine, belongs to the category of “face dust” in traditional Chinese medicine, and is a common skin disease of facial pigmentation. Melasma generally develops slowly, lasts for many years, and is difficult to subside. Its incidence increases with age. As the disease occurs in the face, as people’s requirements for appearance increase, melasma on patients’ mental and psychological impact is more serious. The lesions of chloasma are in the skin, and traditional Chinese external treatments can directly reach the affected area, having relatively fewer side effects and lower drug dependency. Treatment methods include traditional Chinese medicine mask, facial Gua Sha, acupoint burying, acupuncture, fire acupuncture, etc., and with its high clinical efficiency, fewer side effects, and low recurrence rate after cure, it has obvious advantages in the treatment process of chloasma.展开更多
Objective:To observe the short-and long-term clinical efficacy differences of body acupuncture and scalp acupuncture combined with extracorporeal shock wave and simple extracorporeal shock wave.Methods:Sixty patients ...Objective:To observe the short-and long-term clinical efficacy differences of body acupuncture and scalp acupuncture combined with extracorporeal shock wave and simple extracorporeal shock wave.Methods:Sixty patients with scapulohumeral periarthritis were randomly divided into two groups:the treatment group and control group,30 cases in each one.Both groups underwent basic rehabilitation training.Patients in the treatment group were treated with body acupuncture and scalp acupuncture combined with extracorporeal shock wave.Yújì(鱼际 LU10),Hégǔ(合谷L14),Zhōngzhǔ(中渚TE3),Hòuxī(后溪SI3).There were three needles for the scalp acupuncture with the first between Shéntíng(神庭 GV24)and Yìntáng(印堂 EX-HN3),and the other two straightly through the inner canthus and parallel to the first needle.Shock wave treatment was intensively applied in some pressure points around shoulder joint.The control group used the same shock wave therapy as the treatment group.Both groups were all treated once a day,6 times a week.Patients were treated for one course which lasted for 4 weeks.VAS score,the Constant-Murley score and the HAMA(the Hamilton Anxiety Scale)are as therapeutic effect index.30 days telephone investigation followed-up after the treatment course was evaluated.Results:Totally 28 cases completed the clinical observation in the treatment group,and 29 cases in the control group.The total effective rate of the treatment group was 85.7%(24/28),which was higher than 69.0%(20/29)of the control group(P<0.05).VAS score:There were significant statistical differences before and after the treatment in the two groups(the treatment group:6.67 ± 1.43 vs 3.47 ± 1.35,the control group:7.57 ± 1.31 vs 5.36 ± 1.45,both P<0.05).There were significant statistical differences before the treatment and at the follow-up in the two groups(the treatment group:6.67 ± 1.43 vs2.68±0.81,the control group:7.57±1.31 vs 4.56±1.35,both P<0.05).The VAS scores of the treatment group after treatment and at the follow-up were respectively lower than those of the control group(both P<0.05).Shoulder joints activity score:There were significant statistical differences before and after the treatment in the two groups(the treatment group:54.65±1.65 vs 65.54±2.19,the control group:54.32 ± 2.31 vs 61.01 ± 0.95,both P<0.05).There were significant statistical differences before treatment and at follow-up in the two groups(the treatment group:54.65 ± 1.65 vs 66.18± 1.35,the control group:54.32 ± 2.31 vs 62.11 ± 1.49,both P<0.05).The shoulder activity scores of the treatment group after treatment and at follow-up were respectively higher than those of the control group(both P<0.05).HAMA scores:There were singificant statistical differences before and after treatment in the two groups(the treatment group:16.83 ± 1.56 vs 13.26 ± 2.36,the control group:17.04 ± 1.84 vs 15.23 ±3.17,both P<0.05).There were significant statistical differences before treatment and at follow-up in the two groups(the treatment group:16.83 ± 1.56 vs 11.01 ± 3.20,the control group:17.04 ± 1.84 vs 13.68 ± 2.49,both P<0.05).The HAMA scores of the treatment group after treatment and at follow-up were lower than those of the control group(both P<0.05).Conclusion:Body acupuncture and scalp acupuncture combined with extracorporeal shock wave can relieve the clinical symptoms of patients with scapulohumeral periarthritis,ease anxiety and improve daily life activities.展开更多
Objective:To observe and compare the clinical effect on knee osteoarthritis(KOA)between Fu’s subcutaneous needling therapy(FSN)and convention acupuncture.Methods:A total of 80 outpatients with KOA were divided into a...Objective:To observe and compare the clinical effect on knee osteoarthritis(KOA)between Fu’s subcutaneous needling therapy(FSN)and convention acupuncture.Methods:A total of 80 outpatients with KOA were divided into a FSN group(40 cases)and a conventional acupuncture group(40 cases)according to random number table.Within 1 week of treatment,FSN was used once every two days in the FSN group.The needle tip of Fu’s subcutaneous needle was inserted toward the affected muscle,about 5 mm in depth,at the angle of 15 to 25°.After the needle body lifted slightly,the needle went forward subcutaneously for 25 to 35 mm in depth and was swiped side to side horizontally with even exertion for about 1 min.According to the distribution of affected muscle,the reperfusion approach was repeated for 3 times consecutively.In the conventional acupuncture group conventional acupuncture was given,once a day,for 6 times totally.The scores of Western Ontario and McMaster universities osteoarthritis index(WOMAC)and Lysholm knee scoring scale(Lysholm)were compared between the two groups before and after 1-week treatment.The clinical effect of the two groups was analyzed statistically and evaluated.Results:After 1-week treatment with FSN,in the FSN group,the score of WOMACpain was reduced to be7.7±1.9 from 18.5±3.2,the score of WOMACstiffnessto be 1.5±0.7 from 4.5±1.8,WOMACfunction to be22.7±3.9 from 45.7±2.7 and the score of WOMACoverall to be 31.9±5.3 from 69.7±6.5.The differences were significant in comparison before and after treatment(all P<0.05).In the conventional acupuncture group,after 1-week treatment with conventional acupuncture,the score of WOMACpain was reduced to be11.3±2.8 from 18.2±3.0,the score of WOMACstiffness to be 3.0±1.6 from 5.6±1.7,WOMACfunction to be29.8±5.1 from 44.3±2.9 and the score of WOMACoverall to be 44.1±7.8 from 69.1±7.3.The differences were significant in comparison before and after treatment(all P<0.05).WOMAC score of every item in the FSN group was lower obviously than that in the conventional acupuncture group(P<0.01).After 1-week treatment,Lysholm score was increased to be 78.52±18.4 from 59.64±18.3 in the FSN group and it was to be 69.27±11.9 from 58.17±12.5 in the conventional acupuncture group.The differences were significant in comparison before and after treatment in either group(both P<0.05).Lysholm score in the FSN group was higher than that in the conventional acupuncture group(P<0.05).The total effective rate was 92.5%in the FSN group,higher than 77.5%in the conventional acupuncture group(P<0.05).Conclusion:Fu’s subcutaneous needling therapy effectively relieves the clinical symptoms of KOA and improves knee joint function.The therapeutic effect is better than that of the regular acupuncture.展开更多
Objective:To explore the treatment effects of electroacupuncture(EA),acupuncture with filiform needle,and western medication for knee osteoarthritis(KOA).Methods:It was a randomized,controlled trial with the blinding ...Objective:To explore the treatment effects of electroacupuncture(EA),acupuncture with filiform needle,and western medication for knee osteoarthritis(KOA).Methods:It was a randomized,controlled trial with the blinding of outcome assessors and statistician.90 outpatients were diagnosed as KOA in Department of Acupuncture and Moxibustion,the First Affiliated Hospital of Heilongjiang University of Traditional Chinese Medicine.Using the random number table,they were divided into a medication group,an acupuncture group and an EA group,30 cases in each one.In the medication group,routine medication was provided with oral administration of celebrex for 21 days.Regular acupuncture was applied in the remaining groups,at Liángqiū(梁丘ST34),Xuèhǎi(血海SP10),Dúbí(犊鼻ST35),Nèixīyǎn(内膝眼EX-LE4),Yánglíngquán(阳陵泉GB34),Hèdǐng(鹤顶EX-LE2)and Sānyīnjiāo(三阴交SP6)and the needles were retained for 30 min.In the EA group,electric stimulation with low-frequency pulse current and dense wave was applied for 30 min on the basis of the treatment of the acupuncture group.The treatment was applied once daily at 1-day intervals after each 6-day treatment for a total of 21 days.Western Ontario and McMaster University Osteoarthritis Index(WOMAC)and visual analogy scale(VAS)scores and levels of serum inflammatory factors(interleukin-1β[IL-1β]and tumor necrosis factor[TNF-α])were used to assess the clinical therapeutic effect.Results:Following treatment,there were significant differences in the WOMAC score in the medication,acupuncture,and EA groups after treatment(all P<0.01).In the comparison among groups,after treatment,the WOMAC score in the EA group was lower than that in either the acupuncture or medication group(both P<0.01).Compared to before treatment,VAS scores were significantly different in the medication group(3.95±0.55 vs 5.75±1.40),the acupuncture group(2.78±0.38 vs 5.78±1.44)and EA group(1.72±0.38 vs 5.78±1.39)separately after treatment(all P<0.01).In the comparison among groups,after treatment,the VAS score in the EA group was lower than that in either the acupuncture or medication group(both P<0.01).Compared to before treatment,IL-1βlevels were significantly different in the medication group(31.53±6.84 vs 63.33±10.25),acupuncture group(31.70±7.54 vs63.90±9.96)and the EA groups(23.43±3.94 vs 63.10±10.66)separately after treatment(all P<0.01).IL-1βlevels were significantly lower in the EA group than in the acupuncture and medication groups(both P<0.01).Compared to before treatment,TNF-αlevels were significantly different in the medication group(40.20±6.09 vs 68.77±11.13),the acupuncture group(39.60±7.55 vs 68.33±11.51)and the EA groups(22.17±5.72 vs 68.97±10.52)separately after treatment(all P<0.01).TNF-αlevels were significantly lower in the EA group than in the acupuncture and medication groups(both P<0.01).After treatment,there were no significant differences in TNF-αand IL-1βlevels between the acupuncture and medication groups(both P>0.05).The total effective rates were 86.67%(26/30),73.33%(22/30)and70.00%(21/30)in the EA,acupuncture,and medication groups,respectively.The total effective rate was higher in the EA group than in either the acupuncture or medication group(both P<0.05).In the whole process of trial,the adverse events occurred in three groups.In consideration of the potential association between these adverse events and acupuncture treatment,the acupuncture physiotherapists and experts classified the adverse events into the treatment relevance or non-treatment relevance within 24 h of occurrence.Conclusion:All three therapeutic methods alleviated clinical symptoms of KOA and reduced levels of relevant inflammatory factors in serum.EA with dense wave is more advantageous than the traditional acupuncture technique and routine medication and is therefore worthy of clinical application.展开更多
Objective:To observe clinical efficacy differences of regular acupuncture at empirical acupoints combined with join valley needling at ashi point compared with simple join valley needling at ashi point for scapulohume...Objective:To observe clinical efficacy differences of regular acupuncture at empirical acupoints combined with join valley needling at ashi point compared with simple join valley needling at ashi point for scapulohumeral periarthritis.Methods:Sixty-four patients of scapulohumeral periarthritis were randomly divided into an observation group and a control group,32 cases in each one.Both groups underwent basic rehabilitation training.Patients in the observation group were treated with acupuncture at empirical acupoints combined with join valley needling at ashi point,while the patients of the control group were treated with simple join valley needling at ashi point.Both groups were all treated once a day,6 times a week.Patients were treated for one course which lasted for 4 weeks.The visual analog scale(VAS)score,the Constant-Murley score and the Hamilton Anxiety Scale(HAMA)are compared between the two groups before and after the treatment,and the efficacy was evaluated after the treatment.Telephone investigation was applied as the followed-up after one month of the treatment.Results:The total effective rate in the observation group was 87.5%(28/32),and that in the control group was 71.9%(23/32),and there was statistically significant difference between the two groups(P<0.05).The VAS scores,Constant-Murley scores,and HAMA scores in the patients of the observation group were lower than those of the corresponding indicators in the patients of the control group respectively,and there were statistically significant differences(all P<0.05).Conclusions:Compared with simple join valley needling at ashi point,regular acupuncture at empirical acupoints combined with join valley needling at ashi point can relieve the clinical symptoms of patients with scapulohumeral periarthritis,attenuate pains,ease anxiety and improve daily life activities better.展开更多
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-trembl...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.展开更多
Objective:To observe the clinical therapeutic effects on nervous olfactory disorder treated with acupuncture at three nasal points and scalp acupuncture.Methods:Acupuncture was applied in 30 eligible patients with ner...Objective:To observe the clinical therapeutic effects on nervous olfactory disorder treated with acupuncture at three nasal points and scalp acupuncture.Methods:Acupuncture was applied in 30 eligible patients with nervous olfactory disorder.The points included three nasal points,i.e.,Yíngxiāng(迎香 LI 20),Shàngyíngxiāng(上迎香 EX-HN 8)and Yìntáng(印堂EX-HN 3),ézhōngxiàn(额中线 middle line of forehead,MS1)and bilateral Nièhòuxiàn(颖后线 posterior temporal line,MS11).The even-needling technique was used to stimulate the three nasal points to ensure deqi. In scalp acupuncture,the needle was rotated continuously at 200 times per min,for 2 min at each scalp acupuncture line.The needles were retained for 40 min at above points and lines and were manipulated once every 20 min during needle retaining.The treatment was given once a day,6-day treatment was as one course and the next course of treatment started after the interval of 1 day.Totally,4 courses of treatment were required.Before and after treatment,T&T olfactory was adopted to test the olfactory function and the score was compared in order to evaluate the therapeutic effect.Results:Of 30 cases,8 cases were cured,20 cases remarkably effective and 2 cases failed.The total effective rate was 93%.Conclusion:Acupuncture at three nasal points and scalp acupuncture are effective approach to nervous olfactory disorder.展开更多
Objective:To observe the clinical efficacy of acupuncture for Meige’s syndrome Ⅱ.Methods:Fourteen patients of Meige’s syndrome Ⅱ were treated with acupuncture.The acupoints included bilateral Tāichōng(太冲LR3),S...Objective:To observe the clinical efficacy of acupuncture for Meige’s syndrome Ⅱ.Methods:Fourteen patients of Meige’s syndrome Ⅱ were treated with acupuncture.The acupoints included bilateral Tāichōng(太冲LR3),Sānyīnjiāo(三阴交SP6),Tāixī(太溪KI3),dance tremor control area of scalp acupuncture(舞蹈震颤控制区),Yángbái(阳白GB14),Sīzhúkōng(丝竹空TE23),Yíngxiāng(迎香LI20),Dìcāng(地仓ST4),Jiāchē(颊车ST6) and Xiàguān(下关ST7),and the needle retention continued for 40 min.The treatment was applied once a day,and there was a 5-day treatment and a 2-day rest every week.One course of treatment included a week,and there were 4 courses of treatment in total.After treatment,the clinical efficacy of the patients was evaluated.Results:4 cases were cured,9 cases were effective,1 case was ineffective,and the effective rate was 92.9%.Conclusions:Acupuncture had a satisfactory clinical therapeutic effect on patients of Meige’s syndrome Ⅱ.展开更多
文摘黄褐斑,亦称“黧黑斑”,属于中医学“面尘”的范畴,是种常见的面部色素沉着性皮肤病。黄褐斑一般发展缓慢,持续多年且难以消退,发病率随着年龄增长而升高。由于该病发生在面部,随着人们对容貌的要求增高,黄褐斑对患者精神心理的影响也愈加严重。黄褐斑病灶在皮肤,中医外治法可直达病所,且毒副作用相对较小、药物依赖性低。治疗方法包括中药面膜、面部刮痧、穴位埋线、揿针、火针等,并且以其临床有效率较高、副作用较小、治愈后复发率较低等特点,在黄褐斑的治疗过程中有着明显的优势。Chloasma, which is called “lathyrus black spot” in Chinese medicine, belongs to the category of “face dust” in traditional Chinese medicine, and is a common skin disease of facial pigmentation. Melasma generally develops slowly, lasts for many years, and is difficult to subside. Its incidence increases with age. As the disease occurs in the face, as people’s requirements for appearance increase, melasma on patients’ mental and psychological impact is more serious. The lesions of chloasma are in the skin, and traditional Chinese external treatments can directly reach the affected area, having relatively fewer side effects and lower drug dependency. Treatment methods include traditional Chinese medicine mask, facial Gua Sha, acupoint burying, acupuncture, fire acupuncture, etc., and with its high clinical efficiency, fewer side effects, and low recurrence rate after cure, it has obvious advantages in the treatment process of chloasma.
基金Supported by Key scientific research project of Heilongjiang administration of traditional Chinese medicine:No.ZHY18-065Inheritance studio project of national fa-mous traditional Chinese medicine experts Sun Yuanzheng,National education of traditional Chinese medicine:No.[2014]20Postgraduate innovative research project of Heilongjiang University of traditional Chinese medicine:No.2018yjscx047
文摘Objective:To observe the short-and long-term clinical efficacy differences of body acupuncture and scalp acupuncture combined with extracorporeal shock wave and simple extracorporeal shock wave.Methods:Sixty patients with scapulohumeral periarthritis were randomly divided into two groups:the treatment group and control group,30 cases in each one.Both groups underwent basic rehabilitation training.Patients in the treatment group were treated with body acupuncture and scalp acupuncture combined with extracorporeal shock wave.Yújì(鱼际 LU10),Hégǔ(合谷L14),Zhōngzhǔ(中渚TE3),Hòuxī(后溪SI3).There were three needles for the scalp acupuncture with the first between Shéntíng(神庭 GV24)and Yìntáng(印堂 EX-HN3),and the other two straightly through the inner canthus and parallel to the first needle.Shock wave treatment was intensively applied in some pressure points around shoulder joint.The control group used the same shock wave therapy as the treatment group.Both groups were all treated once a day,6 times a week.Patients were treated for one course which lasted for 4 weeks.VAS score,the Constant-Murley score and the HAMA(the Hamilton Anxiety Scale)are as therapeutic effect index.30 days telephone investigation followed-up after the treatment course was evaluated.Results:Totally 28 cases completed the clinical observation in the treatment group,and 29 cases in the control group.The total effective rate of the treatment group was 85.7%(24/28),which was higher than 69.0%(20/29)of the control group(P<0.05).VAS score:There were significant statistical differences before and after the treatment in the two groups(the treatment group:6.67 ± 1.43 vs 3.47 ± 1.35,the control group:7.57 ± 1.31 vs 5.36 ± 1.45,both P<0.05).There were significant statistical differences before the treatment and at the follow-up in the two groups(the treatment group:6.67 ± 1.43 vs2.68±0.81,the control group:7.57±1.31 vs 4.56±1.35,both P<0.05).The VAS scores of the treatment group after treatment and at the follow-up were respectively lower than those of the control group(both P<0.05).Shoulder joints activity score:There were significant statistical differences before and after the treatment in the two groups(the treatment group:54.65±1.65 vs 65.54±2.19,the control group:54.32 ± 2.31 vs 61.01 ± 0.95,both P<0.05).There were significant statistical differences before treatment and at follow-up in the two groups(the treatment group:54.65 ± 1.65 vs 66.18± 1.35,the control group:54.32 ± 2.31 vs 62.11 ± 1.49,both P<0.05).The shoulder activity scores of the treatment group after treatment and at follow-up were respectively higher than those of the control group(both P<0.05).HAMA scores:There were singificant statistical differences before and after treatment in the two groups(the treatment group:16.83 ± 1.56 vs 13.26 ± 2.36,the control group:17.04 ± 1.84 vs 15.23 ±3.17,both P<0.05).There were significant statistical differences before treatment and at follow-up in the two groups(the treatment group:16.83 ± 1.56 vs 11.01 ± 3.20,the control group:17.04 ± 1.84 vs 13.68 ± 2.49,both P<0.05).The HAMA scores of the treatment group after treatment and at follow-up were lower than those of the control group(both P<0.05).Conclusion:Body acupuncture and scalp acupuncture combined with extracorporeal shock wave can relieve the clinical symptoms of patients with scapulohumeral periarthritis,ease anxiety and improve daily life activities.
基金Supported by Outstanding Innovation Talent Support Project of Heilongjiang University of Traditional Chinese Medicine:2018RCD10:the ForthTerm National Chinese Medicine(Clinical and Basic Research)Outstanding Talent Advanced Training Program,State Administration of Traditional Chinese Medicine:National TCM Education[2017]24.
文摘Objective:To observe and compare the clinical effect on knee osteoarthritis(KOA)between Fu’s subcutaneous needling therapy(FSN)and convention acupuncture.Methods:A total of 80 outpatients with KOA were divided into a FSN group(40 cases)and a conventional acupuncture group(40 cases)according to random number table.Within 1 week of treatment,FSN was used once every two days in the FSN group.The needle tip of Fu’s subcutaneous needle was inserted toward the affected muscle,about 5 mm in depth,at the angle of 15 to 25°.After the needle body lifted slightly,the needle went forward subcutaneously for 25 to 35 mm in depth and was swiped side to side horizontally with even exertion for about 1 min.According to the distribution of affected muscle,the reperfusion approach was repeated for 3 times consecutively.In the conventional acupuncture group conventional acupuncture was given,once a day,for 6 times totally.The scores of Western Ontario and McMaster universities osteoarthritis index(WOMAC)and Lysholm knee scoring scale(Lysholm)were compared between the two groups before and after 1-week treatment.The clinical effect of the two groups was analyzed statistically and evaluated.Results:After 1-week treatment with FSN,in the FSN group,the score of WOMACpain was reduced to be7.7±1.9 from 18.5±3.2,the score of WOMACstiffnessto be 1.5±0.7 from 4.5±1.8,WOMACfunction to be22.7±3.9 from 45.7±2.7 and the score of WOMACoverall to be 31.9±5.3 from 69.7±6.5.The differences were significant in comparison before and after treatment(all P<0.05).In the conventional acupuncture group,after 1-week treatment with conventional acupuncture,the score of WOMACpain was reduced to be11.3±2.8 from 18.2±3.0,the score of WOMACstiffness to be 3.0±1.6 from 5.6±1.7,WOMACfunction to be29.8±5.1 from 44.3±2.9 and the score of WOMACoverall to be 44.1±7.8 from 69.1±7.3.The differences were significant in comparison before and after treatment(all P<0.05).WOMAC score of every item in the FSN group was lower obviously than that in the conventional acupuncture group(P<0.01).After 1-week treatment,Lysholm score was increased to be 78.52±18.4 from 59.64±18.3 in the FSN group and it was to be 69.27±11.9 from 58.17±12.5 in the conventional acupuncture group.The differences were significant in comparison before and after treatment in either group(both P<0.05).Lysholm score in the FSN group was higher than that in the conventional acupuncture group(P<0.05).The total effective rate was 92.5%in the FSN group,higher than 77.5%in the conventional acupuncture group(P<0.05).Conclusion:Fu’s subcutaneous needling therapy effectively relieves the clinical symptoms of KOA and improves knee joint function.The therapeutic effect is better than that of the regular acupuncture.
基金Supported by Scientific Research Project of Heilongjiang Provincial Administration of Traditional Chinese MedicineZHY2020-119Heilongjiang Province Postdoctoral Scientific Research Launch Fund ProjectLBH-Q16216。
文摘Objective:To explore the treatment effects of electroacupuncture(EA),acupuncture with filiform needle,and western medication for knee osteoarthritis(KOA).Methods:It was a randomized,controlled trial with the blinding of outcome assessors and statistician.90 outpatients were diagnosed as KOA in Department of Acupuncture and Moxibustion,the First Affiliated Hospital of Heilongjiang University of Traditional Chinese Medicine.Using the random number table,they were divided into a medication group,an acupuncture group and an EA group,30 cases in each one.In the medication group,routine medication was provided with oral administration of celebrex for 21 days.Regular acupuncture was applied in the remaining groups,at Liángqiū(梁丘ST34),Xuèhǎi(血海SP10),Dúbí(犊鼻ST35),Nèixīyǎn(内膝眼EX-LE4),Yánglíngquán(阳陵泉GB34),Hèdǐng(鹤顶EX-LE2)and Sānyīnjiāo(三阴交SP6)and the needles were retained for 30 min.In the EA group,electric stimulation with low-frequency pulse current and dense wave was applied for 30 min on the basis of the treatment of the acupuncture group.The treatment was applied once daily at 1-day intervals after each 6-day treatment for a total of 21 days.Western Ontario and McMaster University Osteoarthritis Index(WOMAC)and visual analogy scale(VAS)scores and levels of serum inflammatory factors(interleukin-1β[IL-1β]and tumor necrosis factor[TNF-α])were used to assess the clinical therapeutic effect.Results:Following treatment,there were significant differences in the WOMAC score in the medication,acupuncture,and EA groups after treatment(all P<0.01).In the comparison among groups,after treatment,the WOMAC score in the EA group was lower than that in either the acupuncture or medication group(both P<0.01).Compared to before treatment,VAS scores were significantly different in the medication group(3.95±0.55 vs 5.75±1.40),the acupuncture group(2.78±0.38 vs 5.78±1.44)and EA group(1.72±0.38 vs 5.78±1.39)separately after treatment(all P<0.01).In the comparison among groups,after treatment,the VAS score in the EA group was lower than that in either the acupuncture or medication group(both P<0.01).Compared to before treatment,IL-1βlevels were significantly different in the medication group(31.53±6.84 vs 63.33±10.25),acupuncture group(31.70±7.54 vs63.90±9.96)and the EA groups(23.43±3.94 vs 63.10±10.66)separately after treatment(all P<0.01).IL-1βlevels were significantly lower in the EA group than in the acupuncture and medication groups(both P<0.01).Compared to before treatment,TNF-αlevels were significantly different in the medication group(40.20±6.09 vs 68.77±11.13),the acupuncture group(39.60±7.55 vs 68.33±11.51)and the EA groups(22.17±5.72 vs 68.97±10.52)separately after treatment(all P<0.01).TNF-αlevels were significantly lower in the EA group than in the acupuncture and medication groups(both P<0.01).After treatment,there were no significant differences in TNF-αand IL-1βlevels between the acupuncture and medication groups(both P>0.05).The total effective rates were 86.67%(26/30),73.33%(22/30)and70.00%(21/30)in the EA,acupuncture,and medication groups,respectively.The total effective rate was higher in the EA group than in either the acupuncture or medication group(both P<0.05).In the whole process of trial,the adverse events occurred in three groups.In consideration of the potential association between these adverse events and acupuncture treatment,the acupuncture physiotherapists and experts classified the adverse events into the treatment relevance or non-treatment relevance within 24 h of occurrence.Conclusion:All three therapeutic methods alleviated clinical symptoms of KOA and reduced levels of relevant inflammatory factors in serum.EA with dense wave is more advantageous than the traditional acupuncture technique and routine medication and is therefore worthy of clinical application.
基金Supported by National Traditional Chinese Medicine clinical characteristic technology inheritance backbone talent training program:National Administration of Traditional Chinese Medicine 2019 No.36Innovative research project for postgraduates of Heilongjiang University of Traditional Chinese Medicine:2018yjscx047
文摘Objective:To observe clinical efficacy differences of regular acupuncture at empirical acupoints combined with join valley needling at ashi point compared with simple join valley needling at ashi point for scapulohumeral periarthritis.Methods:Sixty-four patients of scapulohumeral periarthritis were randomly divided into an observation group and a control group,32 cases in each one.Both groups underwent basic rehabilitation training.Patients in the observation group were treated with acupuncture at empirical acupoints combined with join valley needling at ashi point,while the patients of the control group were treated with simple join valley needling at ashi point.Both groups were all treated once a day,6 times a week.Patients were treated for one course which lasted for 4 weeks.The visual analog scale(VAS)score,the Constant-Murley score and the Hamilton Anxiety Scale(HAMA)are compared between the two groups before and after the treatment,and the efficacy was evaluated after the treatment.Telephone investigation was applied as the followed-up after one month of the treatment.Results:The total effective rate in the observation group was 87.5%(28/32),and that in the control group was 71.9%(23/32),and there was statistically significant difference between the two groups(P<0.05).The VAS scores,Constant-Murley scores,and HAMA scores in the patients of the observation group were lower than those of the corresponding indicators in the patients of the control group respectively,and there were statistically significant differences(all P<0.05).Conclusions:Compared with simple join valley needling at ashi point,regular acupuncture at empirical acupoints combined with join valley needling at ashi point can relieve the clinical symptoms of patients with scapulohumeral periarthritis,attenuate pains,ease anxiety and improve daily life activities better.
文摘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.
文摘Objective:To observe the clinical therapeutic effects on nervous olfactory disorder treated with acupuncture at three nasal points and scalp acupuncture.Methods:Acupuncture was applied in 30 eligible patients with nervous olfactory disorder.The points included three nasal points,i.e.,Yíngxiāng(迎香 LI 20),Shàngyíngxiāng(上迎香 EX-HN 8)and Yìntáng(印堂EX-HN 3),ézhōngxiàn(额中线 middle line of forehead,MS1)and bilateral Nièhòuxiàn(颖后线 posterior temporal line,MS11).The even-needling technique was used to stimulate the three nasal points to ensure deqi. In scalp acupuncture,the needle was rotated continuously at 200 times per min,for 2 min at each scalp acupuncture line.The needles were retained for 40 min at above points and lines and were manipulated once every 20 min during needle retaining.The treatment was given once a day,6-day treatment was as one course and the next course of treatment started after the interval of 1 day.Totally,4 courses of treatment were required.Before and after treatment,T&T olfactory was adopted to test the olfactory function and the score was compared in order to evaluate the therapeutic effect.Results:Of 30 cases,8 cases were cured,20 cases remarkably effective and 2 cases failed.The total effective rate was 93%.Conclusion:Acupuncture at three nasal points and scalp acupuncture are effective approach to nervous olfactory disorder.
基金Supported by the Construction Project of The Third Traditional Chinese Medicine Master Inheritance Studiothe National Famous Traditional Chinese Medicine Inheritance Studio:20180713
文摘Objective:To observe the clinical efficacy of acupuncture for Meige’s syndrome Ⅱ.Methods:Fourteen patients of Meige’s syndrome Ⅱ were treated with acupuncture.The acupoints included bilateral Tāichōng(太冲LR3),Sānyīnjiāo(三阴交SP6),Tāixī(太溪KI3),dance tremor control area of scalp acupuncture(舞蹈震颤控制区),Yángbái(阳白GB14),Sīzhúkōng(丝竹空TE23),Yíngxiāng(迎香LI20),Dìcāng(地仓ST4),Jiāchē(颊车ST6) and Xiàguān(下关ST7),and the needle retention continued for 40 min.The treatment was applied once a day,and there was a 5-day treatment and a 2-day rest every week.One course of treatment included a week,and there were 4 courses of treatment in total.After treatment,the clinical efficacy of the patients was evaluated.Results:4 cases were cured,9 cases were effective,1 case was ineffective,and the effective rate was 92.9%.Conclusions:Acupuncture had a satisfactory clinical therapeutic effect on patients of Meige’s syndrome Ⅱ.
