OBSERVATION ON THE THERAPEUTIC EFFECT OF ACUPUNCTURE PLUS ACUPOINT-INJECTION FOR RHINALLERGOSIS

Aims: To observe the clinical effect of acupuncture plus acupoint-injection of Acidi Nucleici et Caseini Hydrolysatis Composita in the treatment of allergic rhinitis. Methods: Ninety-five cases of allergic rhinitis patients were randomized into acupuncture plus acupoint-injection group (treatment group, n= 40), acupuncture group (control group A, n=30) and muscular-injection group (control group B, n=25). Yingxiang (LI 20), Yintang (EX-HN 3), Baihui (GV20), Fengchi (GB 20), Fengmen (BL 12), Feishu (BL 13), etc. were used. Results: Following 20 days‘ treatment,of the 40, 30 and 25 cases of allergic rhinitis in treatment, control A and B groups, 16 (40.0 % ), 8 (26.7 % ) and 0were cured, 22 (55.0%), 14 (46.7%) and 4 ( 16.0% ) experienced improvement in their symptoms and signs, and 2(5.0%), 8 (26.7%) and 21 (84.0%) failed in the treatment, with the effective rates being 95.0%, 73.3% and16.0% separately. The therapeutic effect of treatment group was significantly superior to those of two control groups ( P ＜ 0.05, 0.01 ). Conclusion: The therapeutic effect of acupuncture plus acupoint-injection of Injecto Acidi Nucleici et Caseini Hydrolysatis Composita is definite.     

OBSERVATION ON THE THERAPEUTIC EFFECT OF ACUPUNCTURE ON OPTIC ATROPHY(48 CASES)

48 cases of optic atrophy were treated with acupuncture. Qiuhou (EX-HN 7), Jing-ming (BL 1), Ganshu (BL 18), Pishu (BL 20), Fengchi (GB 20), Cuanzhu (BL 2), Yiming (EX-HN 14), Guangming (GB 37), Taiyang (EX-HN 5), Yanglao (SI 6), Sibai (ST 2), Tongziliao(GB 1) were selected as main points, of which three to five points were punctured each time, but thefirst two were used necessarily. According to an overall differentiation of symptoms and signs auxiliarypoints were supplemented. The treatment was given once everyday with the manipulations of twirlingneedles plus slow or rapid insertion for reinforcing or reducing to make the needling sensation reach theeye regions. Twelve treatments made a course with an interval of 3 days between the two courses. Itwas shown that 15 cases were markedly effective (3l. 25 % ), 26 improved (54. 17% ), and 7 ineffec-tive (14. 58 % ). The total effective rate was 85.42%.     

TREATMENT OF 150 CASES OF FACIAL PALSY WITH ACUPUNCTURE PLUS TDP IRRIDIATION

In the present paper,the author summarizes the results of treatment of 150 cases of facial palsy with acupuncture plus TDP irradiation.Main acupoints used are Bihui(GV 20),Yintang(EX-HN 3),Sibai(ST 2),Dicang (ST 4)and Hegu(LI 4),After insertion,the needles are retained but not manipulated,and the acupoints,are irradiated with TDP for 20-60 min every time.The treatment is conducted once daily,with 10 sessions being a therapeutic course.Following 6-28sessions of treatment,of the 150 cases,145 are cured,2 experience remarkable improvement and 3 have improvement,with the total effective rate being 100%.The fact indicates that acupuncture plus TDP irradiation is rather effective in the treatment of facial palsy.     

针刺对老年性白内障患者房水中的离子元素及免疫系统的影响

目的 :为应用针刺预防和治疗老年性白内障提供理论依据。方法 :应用针刺疗法对 2 0例老年性白内障 (针刺治疗组 )进行术前治疗 ,然后应用等离子多通道光谱仪和激光散射浊度法测定术中抽取的房水中的钾 (K+)、钙 (Ca2 +)、磷 (P5 +)、镁 (Mg2 +)等离子元素及免疫球蛋白IgG、IgA、IgM、白蛋白、补体C3及C4含量 ;同步测定 2 0例成年健康组 (对照组 )及未经针刺治疗的老年性白内障患者 (白内障组 )的房水中的相同指标作为对照。结果 :白内障组房水中的K+、Ca2 +、Mg2 +等离子元素较对照组明显降低 ,而IgG、IgA、IgM、白蛋白、C3及C4含量均比对照组高 (P均<0 0 5) ,针刺治疗后可明显改善这种状况。结论 :针刺疗法可以调整老年性白内障患者房水中物理和生物化学环境 ,从而推测应用针刺疗法可以延缓老年性白内障的形成     

针刺加TDP照射治疗面神经炎150例

目的 :了解针刺加TDP照射治疗周围性面神经炎的疗效。方法 :取百会、印堂、四白、地仓、合谷为主穴 ,配合TDP照射疗法 ,每天 1次 ,每次 2 0～ 60min。结果 :治愈 1 4 5例 ,显效 2例 ,好转 3例 ,治愈率为 96.7%。结论 :针刺加TDP照射是治疗周围性面神经炎的有效途径之一     

EXPERIMENTAL OBSERVATION ON ACUPUNCTURE TREATMENT OF MULTIPLE AORTO—ARTERITIS IN THE RABBIT

Ａｏｒｔｏ ａｒｔｅｒｉｔｉｓｉｓａｎｏｎｓｐｅｃｉｆｉｃａｒｔｅｒｉｔｉｓｉｎ ｖｏｌｖｉｎｇｔｈｅｍａｉｎｔｒｕｎｋｓｏｆｔｈｅｌａｒｇｅａｒｔｅｒｉｅｓ ,ｓｕｃｈａｓ ｐｕｌｍｏｎａｒｙａｒｔｅｒｙ ,ｅｔｃ..Ｔｈｅｒｅｈａｖｅｂｅｅｎｓｏｍｅｒｅｐｏｒｔｓａｂｏｕｔｔｈｅｔｒｅａｔｍｅｎｔｏｆｍｕｌｔｉ ｐｌｅａｏｒｔｏ ａｒｔｅｒｔｉｓｗｉｔｈａｃｕｐｕｎｃｔｕｒｅｉｎｊｏｕｒｎａｌｓ .Ｔｈｅｅｆｆｅｃｔｏｆａｃｕｐｕｎｃｔｕｒｅｔｈｅｒａｐｙｆｏｒａｏｒｔｏ ａｒ ｔｅｒｉｔｉｓｃｒｅａｔｅ…     

基于1584份病历的小儿脑瘫针刺选穴规律研究

目的:挖掘学龄前脑性瘫痪儿童的针刺治疗取穴规律。方法:基于西安中医脑病医院电子病历,通过结构化病历文本提取针刺治疗处方,利用古今医案云平台V2.2.3、中医临床有效处方及分子机理分析系统V2.0中数据挖掘工具对针刺处方进行聚类分析、复杂网络分析。结果:1584个脑瘫患儿针刺治疗处方中含84个腧穴(穴区),使用率最高的3个穴位分别是足运感区、平衡区、三阴交。经聚类分析发现常配合使用的5个穴组:委中、外关;手三里、行间、悬钟、承扶;足运感区、平衡区、三阴交;血海、丰隆;脾俞、运动区、阳陵泉。经复杂网络核心处方分析获取13个核心腧穴,包含足运感区、平衡区、三阴交3个主要核心穴和太冲、运动区、血海、肝俞、脾俞、阳陵泉、四神聪、百会、风池、肾俞10个次要核心穴。结论:学龄前脑瘫儿童的针刺核心处方表里同治、阴阳同调,头、体针并用,体现脑、瘫同治的原则。     

CLINICAL OBSERVATION ON STAGE-AIDED TREATMENT OF 62 CASES OF PERIPHERAL FACIAL PARALYSIS WITH ACUPUNCTURE, MOXIBUSTION AND CUPPING

FromSeptemberof 1 998toSeptemberof2 0 0 2 ,theauthorsofthepresentpaperadoptedstage aidedacupuncturemethodtotreat62casesofperipheralfacialparalysisandcompareditsef fectwithroutineacupunctureinother 60cases.Theresultsarereportedasfollows.1　CLINICALDATAAllthe 1 2 2casesoffacialparalysiswereoutpatientsfromXinxiangSecondPeople’sHos pitalandwerediagnosedasperipheralfacialparalysisaccordingtothediagnosticstandardsforfacialneuritisfrombookPracticalOtorhino laryngology.Theywererandomlydivided…     

TREATMENT OF 46 CASES OF PERIPHERAL FACIAL PARALYSIS WITH HAND ACUPUNCTURE，MOXIBUSTION AND ELECTROACUPUNCTURE

In the present paper,the therapeutic effect of hand acupuncture,moxibustion and electroacupuncture (EA) is observed in the treatment of 46 cases of peripheral facial paralysis(treatment group)and compared with that of Western medicines(prednisone,Vitamin B1 and B12,dibazol)in other 42 facial palsy patients.Acupoints used are Fenchi(GB20),Yifeng(TE17),Taiyang(LR3),Yangbai(GB14),Cuanzhu(BL2),Yingxiang(LI20),Dicang(ST4),Shuigou(GV26),Chengjiang(CV24),Xiaguan(ST7)and jiache(ST6),Following 20-30 sessions of treatment,results show that the therapeutic effect of treatment group is significantly superior to that of Western medicine group and the therapeutic duration of the former group is shorter.     

毫火针配合拔罐治疗颈源性肩周炎疗效观察

目的:观察毫火针配合拔罐治疗颈源性肩周炎的疗效。方法:将42例颈源性肩周炎患者随机分为毫火针组与常规针刺组,每组21例。毫火针组以毫火针配合拔罐治疗,隔日治疗1次,1周为一疗程,共治疗2个疗程;常规针刺组以常规针刺配合拔罐治疗,每日治疗1次,1周为一疗程,治疗2个疗程。对临床疗效及肩关节功能评分(调整的CMS评分)进行评定。结果:两组治疗后调整的CMS评分均高于治疗前(P0.05),毫火针组调整的CMS评分单项(肩部疼痛积分、日常功能活动积分、肩关节活动度积分)均明显高于常规针刺组(P0.05),临床治疗总有效率(95.24%,20/21)明显高于常规针刺组(85.71%,18/21,P0.05)。结论:毫火针配合拔罐较常规针刺配合拔罐治疗颈源性肩周炎疗效更显著。     

SHALLOW NEEDLING USED FOR THE TREATMENT OF 35 CASES OF FACIAL SPASM

In the present paper, the authors sum up results of acupuncture treatment of 35 cases of facial spasm.Of the 35 cases, 14 were male and 21 female, ranging in age from 19 to 62 years and in the disease duration from 1 week to 21 years. Shallow needling was applied to the surrounding region of Ahshi points (the twitching locus), Hegu (LI 4), Taichong (LR 3), etc., once daily, 4 weeks altogether. In addition, according to syndrome differentiation,other acupoints as Fengchi (GB 20), Waiguan (TE 5), Zusanli (ST 36), Sanyinjiao (SP 6), etc. were supplemented.After treatment, out of the 35 cases, 26 (74.3%) were cured, 5 ( 14.3% ) experienced markedly improvement, and the rest 4 ( 11.4% ) cases had a certain degree of amelioration. The key point for treating facial spasm is applying shallow needling around the twitching muscles.     

透刺法与药物治疗颈性眩晕症疗效对比观察

目的:探寻治疗颈性眩晕症的有效治疗方法。方法:临床随机分为针刺组6 4例,药物组5 0例。针刺组采用透刺法为主,脑空透风池、玉枕透天柱、丝竹空透率谷、颔厌透悬颅。药物组采用静滴丹参注射液、口服西比灵。治疗3个疗程后进行疗效比较。结果:针刺组总有效率为92 .1 8%,药物组总有效率为78.0 0 %。经统计学处理,两组疗效差异有显著性意义(P <0 .0 5 )。结论:透刺法为主治疗效果优于药物疗法,是一种安全有效、经济实用的方法。     

CLINICAL OBSERVATION ON TREATMENT OF PERIPHERAL FACIAL PARALYSIS WITH DIFFERENT NEEDLING METHODS

ＦｒｏｍＤｅｃｅｍｂｅｒｏｆ 1 992ｔｏＤｅｃｅｍｂｅｒｏｆ2 0 0 1 ,ｔｈｅａｕｔｈｏｒｓｏｆｔｈｅｐｒｅｓｅｎｔｐａｐｅｒｏｂｓｅｒｖｅｔｈｅｔｈｅｒａｐｅｕｔｉｃｅｆｆｅｃｔｓｏｆｐｅｎｅｔｒａｔｉｏｎｎｅｅｄｌｉｎｇｍｅｔｈｏｄａｎｄｔｒａｄｉｔｉｏｎａｌａｃｕｐｕｎｃｔｕｒｅｍｅｔｈｏｄｉｎｔｈｅｔｒｅａｔｍｅｎｔｏｆ 1 58ｃａｓｅｓｏｆｐｅｒｉｐｈｅｒａｌｆａｃｉａｌｐａｒａｌｙｓｉｓ.Ｔｈｅｒｅｓｕｌｔｓａｒｅｉｎｔｒｏｄｕｃｅｄａｓｔｈｅｆｏｌ ｌｏｗｉｎｇ .1　ＣＬＩＮＩＣＡＬＤＡＴＡ1…     

前后交替针刺配合TDP照射治疗增生性膝关节炎89例

目的 :观察膝关节前后交替针刺加TDP照射治疗增生性关节炎的效果。方法 :采用交替针刺膝关节前部之内膝眼、犊鼻、鹤顶与委中直上约 3寸处加以TDP照射的方法治疗膝关节炎89例。结果 :临床治愈 51例 ,占 57 3 % ;好转 3 2例 ,占 3 6 % ;无效 6例 ,占 6 7%。结论 :前后交替针刺加TDP照射是治疗增生性膝关节炎的有效方法     

刺血拔罐加针刺治疗急性期肝胆湿热型面瘫伴耳后疼痛的临床研究

目的:观察常规针刺配合刺血治疗急性面瘫伴耳后疼痛的临床疗效。方法:120例急性面瘫患者随机分为治疗组及对照组,各60例。治疗组急性期采用刺血加常规针刺治疗,针刺选患侧攒竹、丝竹空、四白、地仓等穴,刺血拔罐选患侧阳白、颧髎、大椎、翳风,恢复期采用针刺治疗,10d为1个疗程,共治疗3个疗程。对照组采用单纯针刺治疗。观察两组治疗前后耳后疼痛积分、急性期疼痛持续时间、多伦多面神经功能评分、面神经功能恢复时间及总体疗效。结果:两组疼痛及多伦多面神经功能评分较治疗前均改善,均能缩短患者疼痛持续时间及患者病程,治疗组的改善作用优于对照组(均P0.01),治疗组总体疗效优于对照组(P0.05)。结论:刺血配合针刺治疗急性面瘫伴耳后疼痛有很好的临床疗效。     

Treatment of pseudobulbar paraly by acupuncture plus functional training

Sixty cases of pseudobulbar palsy were treated by puncturing Shuigou (GV 26), Lianquan (GV 23), Fengchi (GB 20), Wangu (GB 12), Yifeng (TE 17), Tongli (HT 5), Neiguan (PC 6) and Fenglong (ST 40) with the needling technique to refresh mind and open orifice, and by puncturing the retropharyngeal wall and palatine arch, plus training of swallowing function, the total effective rate reached 95.0%. Author: WANG Li-qun (1966-), male, attending physician Translator: HUANG Guo-qi     

Clinical observation on the treatment of 38 cases of vascular headache by acupuncture

目的：观察针刺大椎、风池、夹脊、外关、丘墟和照海穴对血管性头痛的治疗效果。方法：68例血管性头痛患者被分为治疗组（n=38）和对照组（n=30）。治疗组患者以针刺大椎、风池、C2-6夹脊、外关、丘墟透照海穴为主治疗，对照组口服苯噻啶片治疗。结果：治疗2个疗程后，治疗组35例有效，对照组22例有效，前者疗效好于后者（P〈0．05）。结论：针刺大椎、风池、夹脊、外关、丘墟和照海穴是治疗血管性头痛的有效方法。     

针刺加穴位注射治疗Bell麻痹32例临床观察

目的 观察针刺加风池穴注射腺苷钴胺治疗Bell麻痹的疗效和机理.方法 将93例患者随机分为3组,治疗组32例,应用针刺加穴位注射治疗;对照Ⅰ组30例,应用针刺加肌肉注射治疗;对照Ⅱ组31例,单纯针刺治疗,观察治疗前后各组症状改变和电生理学指标变化.结果 治疗组在临床总疗效、电生理学检查等各方面均优于两个对照组(P＜0.05或P＜0.01).结论 针刺加风池穴注射腺苷钻胺可明显促进损伤面神经修复,在3个组中疗效最佳.     

不同疗法治疗突发性耳聋疗效观察

目的:在多种针灸治疗方法中寻找治疗突发性感音神经性耳聋的最佳疗法.方法:将187例患者随机分为针刺组(A组)、电针组(B组)、针刺加穴位注射组(C组)、电针加穴位注射组(D组),穴取患侧耳门、听宫、听会、翳风、风池,头部上星、百会、四神聪,体穴合谷、外关等.每日治疗1次,经治疗40次后再次进行听力测试,并对比疗效差异.结果:各组总有效率分别为A组47.6%、B组79.2%、C组76.0%、D组94.0%,D组疗效最好,A组疗效最差,D组与其他各组比较差异均有统计学意义(均P<0.05).在D组中,发病在2周之内的患者针刺疗效优于2周以上的患者(P<0.05);轻中度患者针刺疗效优于重度患者(P<0.05);年龄在50岁以下的患者针刺疗效优于50岁以上的患者(P<0.05).结论:电针加穴位注射是治疗急性突发性感音神经性耳聋的最佳疗法,同时观察到针灸的及时干预、病情的轻重程度、患者年龄都关系到本病的预后.     

针刺对兔泪液分泌及泪腺血管活性肠肽浓度的影响

目的:观察针刺对兔泪液分泌的影响,以及兔泪腺中神经肽血管活性肠肽(Vasoactive IntestinalPolypeptide,VIP)浓度的变化,从而探讨针刺刺激兔泪液分泌增加的物质基础。方法:以纯种新西兰大白兔为对象进行针刺治疗,取单侧“太阳”“攒竹”“丝竹空”穴,留针20 min,每周3次,共治疗10次。对针刺前后的schirmer试验Ⅰ(shirmer testⅠ,S1T)值进行盲态评分,比较针刺前后评分变化差异,同时用放射免疫法检测针刺前后泪腺VIP浓度的变化。结果:S1T值针刺后即刻[(17.89±3.06)mm/5 min]比针刺前[(10.44±1.81)mm/5 min]明显增高,差异有显著性统计学意义(P<0.001);针刺结束后3 d[(16.89±4.46)mm/5 min]比针刺前明显增高,差异有显著性统计学意义(P<0.01)。说明针刺刺激泪液(主要是水液性)分泌明显增加,且针刺刺激泪液分泌增加有持续性。同时针刺后的泪腺组织VIP浓度[(109.75±22.32)pg/100μg组织]明显高于针刺前[(62.71±20.12)pg/100μg组织],有显著性统计学差异(P<0.001)。结论:针刺能增加泪腺组织中VIP浓度,VIP直接与分泌细胞之间的相互作用刺激了腺体分泌泪液(主要是水液性),而且针刺刺激泪液分泌的作用持久。