中国针灸学会:贡献中国智慧,引领针灸发展

1.History and today Acupuncture and moxibustion is an important component of traditional Chinese medicine.According to statistics from the World Health Organization(WHO),113 WHO Member States have endorsed the application of acupuncture and moxibustion.Acupuncture and moxibustion has been the most widely used intervention of traditional and alternative medicine globally;thereby playing a pivotal role in enhancing the health of people worldwide.China,being the birthplace of acupuncture and moxibustion,as well as the country with the highest investment and output in acupuncture scientific research.The science and technology societies of acupuncture and moxibustion in China inherit the theory and practice of acupuncture and moxibustion,assemble the relevant findings from scientific researches,communicate and promote the practical technology,boost the understanding,exchange,and cooperation on acupuncture and moxibustion around the researchers around the world,serving the course of health for all.Being the earliest member,China Association of Acupuncture and Moxibustion(CAAM)plays a crucial role among science and technology societies of acupuncture and moxibustion in China.

激光散斑成像技术观察浮针治疗急性贝尔面瘫案:病例报道

One case of acute Bell’s palsy was reported and treated with Fu’s subcutaneous needling(FSN).Present symptoms:facial muscle stiffness on the right side,ptosis of labial angle,failure to frown the right eyebrow,the eyeball exposed about 2 mm when gently closing the eyes,air leaking when bulging the cheeks,drooling when brushing the teeth and gargling,and food retained in the cheek when eating.Western medicine diagnosis:peripheral facial palsy.Traditional Chinese medicine diagnosis:facial paralysis.The subcutaneous swaying movement and reperfusion action of FSN were adopted on the affected muscles and achieved the remarkably effects on incomplete closure of eyes and drooping of the mouth.The patient was recovered quickly.Before and after treatment,the laser speckle contrast imaging was used to observe the improvement of blood flow on the face,which provides the idea for the research and clinical practice of Fu’s subcutaneous needling in treatment of Bell’s palsy.

针刺领域真实世界研究的现状、思考和建议

In recent years,the importance of real-world research based on real-world data has been widely recognized in many countries and regions around the world.Oriented by real-world data,real-world research is conducted to obtain real-world evidence,which becomes a hot spot in clinical study.In such circumstances,how to use the diagnosis and treatment data of clinical practice to evaluate the effect and safety of acupuncture becomes future direction of acupuncture research.This paper analyzed the current situation of the real-world research in the field of acupuncture and put forward the influencing factors and the countermeasures to provide the references for the real-world research of acupuncture.

多发性枯筋箭案

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.

不同针法分期治疗肩关节周围炎90例

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.

电针联合刮痧治疗乳腺增生病临床疗效观察

Objective:To evaluate the clinical therapeutic effect on mammary hyperplasia of electroacupuncture(EA)combined with scraping therapy.Methods:A total of 54 patients with mammary hyperplasia were adopted EA combined with scraping therapy.Two groups of acupoints were selected.One group is Wuyi(屋翳ST15),Danzhong(膻中CV17)and Hegu(合谷LI4),EA was applied to these acupoints.Anothor group is Tianzong(天宗SI11),Jianjing(肩井GB21)and Ganshu(肝俞BL18),scraping therapy was applied to these points.Other acupoints were accompanied to.Ten times of treatments were as one course,at the interval of 1 week among the treatment courses.Totally,3 courses were required.Before and after treatment,the score of the symptoms of mammary hyperplasia,the grade and score of breast lumps and the levels of follicle-stimulating hormone(FSH),luteinizing hormone(LH)and estradiol(E2)were evaluated in the patients.Results:Compared with the scores before treatment,the scores of the symptoms of mammary hyperplasia and breast lumps were all reduced in the patients,indicating the statistical significant differences(all P<0.05).Compared with the levels before treatment,the levels of FSH,LH and E2 were all reduced in the patients,indicating the statistical significant differences(all P<0.05).The total effective rate was 92.59%after treatment.Conclusion:Electroacupuncture combined with scraping therapy achieves a satisfactory clinical effect on mammary hyperplasia.

针灸治疗难治性不孕的研究进展

Refractory infertility is a relatively intractable issue regarding its treatment at present.In recent years,acupuncture-moxibustion therapy participate increasingly in treatment of refractory infertility and has achieved a certain therapeutic effect.It is discovered that acupuncture-moxibustion effectively improves ovarian function,promotes ovulation and improves ovum quality and endomentrial receptivity.Hence,this therapy has been widely applied to the treatment of infertility induced by primary ovarian insufficiency(POI),polycystic ovarian syndrome(PCOS),endometriosis(EM),intrauterine adhesion(IUA),etc..In the paper,the research status of this disease treated with acupuncture-moxibustion is reviewed.It is anticipated to determine the direction and lay the foundation for further research.

兴奋点转移疗法治疗失眠32例（英文）

目的:观察兴奋点转移疗法治疗失眠的临床疗效。方法:根据纳入标准,于2016年5月至10月在厦大医院中山附属演武分院国医堂确诊并纳入32例失眠患者。所有患者采用兴奋转移法进行治疗,即丛针疗法透刺腕、踝部穴位并结合背部督脉、膀胱经走罐。所有受试者均接受治疗3次/周,6次为1疗程。治疗2个疗程后观察疗效,并在治疗后对患者进行为期两个月的随访。结果:治愈11例(34%),显效16例(50%),有效4例(13%),无效1例,总有效率达97%。两个月内无复发病情。结论:兴奋点转移疗法治疗失眠疗效显著,值得临床推广。

内麻点的发现及其临床应用（英文）

目的:介绍一个镇痛效果较好的新穴位。方法:通过对内麻点穴的发现、临床探索和实践操作,结合局部解剖,总结了内麻点穴的定位、操作手法、临床治疗范围、操作注意事项及不良反应的处理。结果:针刺内麻点穴持续刺激后血清β-内啡肽明显升高而血管紧张素Ⅱ没有变化,说明针刺内麻点穴有较好的镇痛效果。结论:针刺内麻点穴可以做为临床急慢性疼痛的治疗方法。

电针腰夹脊穴配头皮针治疗血管性痴呆步态障碍疗效观察(英文)

目的:观察电针腰夹脊穴配头皮针治疗血管性痴呆步态障碍的疗效,探寻较佳的治疗方法。方法:采用随机数字表法将42例患者分为针刺组和药物组,每组21人。针刺组采用电针第2至5腰椎夹脊穴(双侧)和头皮针百会、四神聪,每日1次,30次为一疗程;药物组口服都可喜(法国施维雅药厂生产每片含二甲磺酸阿米三嗪30 mg、萝巴新10 mg),每次1片,每日2次,30日为一疗程。两组均治疗一疗程后,进行疗效评价和日常生活能力(ADL)比较。结果:针刺组总有效率为90.5%,明显优于药物组的61.9%,差异有统计学意义(P<0.05);两组内治疗前后ADL比较,差异均有统计学意义(针刺组:24.52±9.34 vs 32.85±13.56;药物组:25.47±10.04 vs 29.99±13.87,均P<0.01);治疗后两组间比较,针刺组在改善患者日常生活能力包括步态障碍方面明显优于药物组,差异有统计学意义(32.85±13.56 vs29.99±13.87,P<0.01)。结论:电针腰夹脊穴配头皮针治疗血管性痴呆步态障碍的疗效优于口服药物都可喜。

缺血性脑卒中急性期针灸干预对肩痛发生率的影响(英文)

目的:探讨针灸干预是否能改善缺血性脑卒中患者并发症肩痛的发生,初步探索长时间针灸随访研究的可行性。方法:300例符合研究标准并自愿参与研究的患者被随机分配到针灸组和常规治疗组。针灸组150例,接受电针结合灸熨治疗和常规治疗,共4周;常规治疗组150例,接受常规治疗。观察随访期末1、2、3、6、12个月时的肩痛发生人数,治疗4周进行简化Fugl-Meyer上肢功能活动评定,随访期末6个月用改良Rankin修订量表评估相对独立患者人数及患者对针灸治疗认同程度。结果:治疗4周结束时,尽管肩痛发生人数及简化Fugl-Meyer上肢功能活动评定两组差异不具统计学意义(P>0.05),但针灸组随访期末2、3、6及12个月肩痛发生人数与常规治疗组比较,差异有统计学意义(P<0.05),同时在随访期末6个月时采用改良Rankin修订量表评估相对独立患者人数,针灸组多于常规治疗组(P<0.05),针灸组出院后坚持针灸康复治疗人数较常规治疗组多(P<0.05)。结论:缺血性脑卒中急性期的针灸干预不仅能有效降低患者肩痛并发症的发生,并且对改善患者独立生活能力具有帮助作用,同时系统的针灸复诊治疗在对针灸学科专病专技建设方面可能具有一定意义。

近10年穴位埋线治疗癫痫的研究进展(英文)

收集国内近10年来发表的穴位埋线治疗癫痫的研究文献,从临床报道、埋线穴位、材料、方法及机制研究等方面进行分析与评价。结果表明目前穴位埋线治疗癫痫取得满意疗效,但对中医理论的研究稍显滞后,缺乏标准化、规范化研究。今后穴位埋线治疗癫痫的研究应加强中医理论挖掘,并结合现代医学研究前沿及先进技术进行研究。

Acupuncture research: an update

ABSTRACT The 1997 National Institutes of Health(NIH) Consensus Development Conference on Acupuncture was a landmark in the history of acupuncture research in the USA and the West.The Consensus Statement concluded,'There is sufficient evidence of acupuncture's value to expand its use into conventional medicine and to encourage further studies of its physiological and clinical value.' It also suggested that more high quality clinical research should be conducted.Since then,more than 600 randomized clinical trials have been conducted and published.Trial quality has significantly improved,and the field of acupuncture research is now much

2011 WFAS Global Acupuncture Stylish Tour—“Practical Acupuncture Technology Promotion Seminar” Successfully Held in Singapore

World Federation of Acupuncture-Moxibustion Societies (WFAS) Global Acupuncture Stylish Tour- 'Practical Acupuncture Technology Promotion Seminar' was prominently hosted by WFAS at the Quality

针刺治疗重型颅脑损伤脑觉醒功能障碍(英文)

目的:探讨针刺对重型颅脑损伤患者脑觉醒的早期康复效果。方法:将102例重型颅脑损伤患者随机分为针刺组和电刺激组,每组51例。在神经外科常规治疗护理基础上,针刺组给予针刺治疗,穴取水沟、内关、三阴交为主;电刺激组给予功能性电刺激(FES),选择性地刺激患侧上肢肌肉。30天后比较两组的昏迷转清醒率、苏醒时间及临床疗效。结果:针刺组患者昏迷转清醒率为82.4%(42/51),高于电刺激组的56.9%(29/51,P<0.01),针刺组苏醒时间较电刺激组明显缩短(P<0.01),临床疗效亦明显优于电刺激组(P<0.01)。结论:在常规治疗基础上,早期针刺干预能够加快重型颅脑损伤患者脑觉醒功能的恢复,其疗效优于功能性电刺激。

电针曲池、太冲对青年高血压患者血压变异的影响(英文)

目的:观察电针及西药治疗对青年高血压患者血压变异的疗效差异。方法:选择60例青年高血压患者随机分为电针组和西药组各30例。电针组电针曲池、太冲;西药组口服卡托普利。两组均治疗14天后观察24 h动态血压、血压变异性及昼夜节律。结果:电针曲池、太冲能降低青年高血压患者各时段收缩压和舒张压水平(均P<0.01),与西药组比较差异无统计学意义(均P>0.05);电针曲池、太冲可明显降低青年高血压患者各时段的收缩压和舒张压的标准差,与治疗前相比差异有统计学意义(P<0.01,P<0.05),与西药组比较24 h收缩压标准差(24 h SSD)、24 h舒张压标准差(24 h DSD)、白天收缩压标准差(dSSD)、夜间收缩压标准差(nSSD)、夜间舒张压标准差(nDSD)差异均有统计学意义(P<0.01,P<0.05);两组患者中杓型与非杓型者人数进行比较,治疗后两组差异有统计学意义(P<0.05)。结论:电针曲池、太冲具有较好的长时降压效果,可有效改善青年高血压患者的血压昼夜节律变化,是针灸降压的有效穴对组方。

麦粒灸结合针刺治疗慢性功能性便秘随机对照研究(英文)

目的:比较麦粒灸合针刺与单纯针刺治疗慢性功能性便秘的疗效差异。方法:将100例便秘患者随机分为针灸组和单纯针刺组,每组50例。均采用两组穴位隔日交替针灸治疗,第1组穴:天枢、大横、气海、关元、足三里、上巨虚、三阴交,第2组穴:中髎、下髎、大肠俞、肾俞、脾俞。单纯针刺组均予针刺治疗,针灸组于气海、足三里及大肠俞、脾俞施麦粒灸,其余穴位均针刺操作。观察两组临床疗效及治疗前后便秘临床评分、生活质量及心理症状评分的变化。结果: 针灸组总有效率为74.0%(37/50),优于单纯针刺组的52.0%(26/50)(P<0.05)。两组治疗后便秘临床评分、生活质量及心理症状各项评分均较治疗前有不同程度改善,其中便秘临床评分中排便费力程度、排便时间、腹痛、排气不畅、排便不尽感、肛门梗阻感、依赖泻剂情况,以及生活质量评分和心理症状评分,针灸组改善较单纯针刺组更明显(P<0.05,P<0.01)。结论:麦粒灸结合针刺治疗慢性功能性便秘安全有效,优于单纯针刺治疗。

Effect of Sim-eui point on causes of nasal obstruction such as allergic rhinitis and rhinosinusitis

Purpose This study was done to verify the effectiveness of acupuncture treatment on nasal obstruction caused by allergic rhinitis or rhinosinusitis, and to know the clinical effect of a novel acupuncture point named Sim-eui. Method Rhinitis patients with at least two visits to the hospital from September, 2009 to November, 2009 were randomized into either experiment or control group. The experiment group were treated with acupuncture on generally used points of rhinitis, that are GV 22, GV 23, GV 24, ST 8 (both sides), BL 2 (both sides), ST 4 (both sides), as well as Sim-eui point. The control group were treated with the general points and LI20(both sides) instead of Sim-eui point. Acupuncture needles were left in for 15 minutes for both groups. The initial and final symptom scores of SNOT-20 and a modified VAS were used to evaluate the effectiveness. The program used for statistical analysis was SPSS 15.0 for window. Wilcoxon Signed Ranks Test was done to analyze the intra-group symptom score change before and after treatment, and Mann-Whitney Test was used to compare inter-group VAS change. All the statistics were verified at a signifi cance level of 5%. Result The SNOT-20 scores before and after acupuncture treatment showed significant changes on both experiment and control groups, but there was no signifi cant difference between the two groups. All categories of the SNOT-20 showed signifi cant result, except the 'Wake up at night' and 'Lack of a good night's sleep' entries. The modifi ed VAS showed significant improvement of symptom in the experiment group compared with control group. Conclusion Acupuncture treatment using Sim-eui point seems to be helpful in improving quality of life by immediate relief of nasal obstruction.