中药穴位贴敷结合辨证护理治疗原发性痛经的效果观察

目的观察辨证取穴中药穴位贴敷及辨证护理进行治疗原发性痛经的疗效。方法采用辨证取穴穴位贴敷治疗原发性痛经106例,并与对照组口服田七痛经胶囊治疗98例比较。结果治疗组有效率96.23%,对照组79.59%,穴位贴敷疗法疗效优于口服田七痛经胶囊治疗（P〈0.05）。结论穴位贴敷疗法及辨证护理治疗原发性痛经疗效确切,且疗效优于口服田七痛经胶囊治疗。尤其适于气血瘀滞及寒湿凝滞之原发性痛经。     

中药穴位贴敷治疗原发性痛经临床观察

目的 观察中药穴位贴敷治疗原发性痛经临床疗效及安全性.方法 本研究采用随机分组,观察对照的研究方法.按照研究方案筛选和录入符合要求的患者,所有受试者均应按试验方案方法及疗程治疗,填写临床观察表,以提供对中药穴位贴敷治疗原发性痛经有效性和安全性进行评估的数据和资料.结果 临床观察证明,采用中药穴位贴敷治疗原发性痛经观察组30例,痊愈13例,显效10例,有效6例,无效1例,总有效率96.7%;采用元胡止痛滴丸对照组30例,痊愈6例,显效6例,有效15例,无效3例,总有效率90.0%,观察组在痊愈率及总有效率方面明显优于对照组(P＜0.05).结论 中药穴位贴敷治疗原发性痛经疗效显著,且安全可靠.     

穴位贴敷配合艾灸治疗中风后排尿障碍的疗效观察

目的:观察穴位贴敷配合艾灸关元穴对中风后排尿障碍的临床疗效.方法:将96例中风后尿失禁患者随机分为贴敷组(对照组)和隔姜艾灸组(治疗组),对照组患者46例只接受穴位贴敷于神阙穴治疗,治疗组50例患者先于关元穴隔姜艾灸后,再于神阙穴行穴位贴敷.7d为一个疗程,2个疗程后判定疗效.结果:两组对患者排尿障碍的改善均有明显效果,但治疗组疗效明显优于对照组.结论:穴位贴敷配合隔姜艾灸关元穴治疗可以提高中风后排尿障碍患者的临床疗效,优于单纯穴位贴敷组,具有补肾气、理三焦、通尿闭之功效,疗效较满意.     

中药穴位贴敷治疗原发性痛经临床分析

目的：观察中药穴位贴敷治疗原发性痛经的临床疗效。方法：2005—2010年门诊就诊的原发性痛经病人100例,50例采用中药贴敷于气海、关元、神阙三个穴位,50例病人不用中药,只在相应穴位处贴敷。结果：2个疗程后,中药穴位贴敷治疗痛经有效率98%,不用中药贴敷治痛经有效率32%。结论：中药穴位贴敷治疗原发性痛经疗效确切,安全可靠。     

温经止痛膏穴位贴敷法治疗原发性痛经32例疗效观察

目的观察温经止痛膏穴位贴敷法治疗原发性痛经的临床疗效。方法将50例原发性痛经患者随机分为治疗组和对照组。治疗组32例于经前及经期穴位贴敷温经止痛膏,对照组18例服用玄胡止痛片,疗程3个月经周期。疗效评价采用治疗前后症状指数积分比较及总疗效比较法。结果两组的治疗前后症状总积分比较均差异有统计学意义(P0.01)。治疗组在治疗前后的疼痛、腰酸、出冷汗、吐泻等症状积分值的疗效明显优于对照组(P0.01)。治疗组综合疗效总有效率为93.8%,对照组为72.2%,组间比较差异有统计学意义(P0.05)。结论温经止痛膏穴位敷贴法治疗原发性痛经,可明显改善患者的临床症状,提高治疗效果。     

痛经灸治疗原发性痛经36例临床观察

目的 观察痛经灸(中国灸系列产品)治疗原发性痛经的临床疗效.方法 将72例原发性痛经患者按随机数字表法分为两组,治疗组36例,用痛经灸贴敷关元穴治疗;对照组36例,口服吲哚美辛肠溶片治疗.治疗6个月经周期后观察疗效.结果 治疗组总有效率为94.44%,对照组总有效率为80.55%,两组总有效率比较差异有统计学意义(P<0.05).结论 痛经灸治疗原发性痛经组疗效优于口服吲哚美辛肠溶片对照组.     

痛经贴外敷关元穴治疗痛经188例

痛经是指妇女在经期或其前后出现周期性下腹部疼痛、痛引腰骶为主症的常见病.在中医临床实践中采用穴位针灸治疗或(和)中药内服治疗均取得良好疗效.我们将具有治疗痛经作用的穴位与中药相结合,采用透皮给药技术治疗188例痛经患者,取得了较高的疗效,且治疗方法简便易行.     

中医治疗非急性发作期支气管哮喘临床观察

目的：观察采用针灸刺络拨罐及穴位贴敷疗法治疗支气管哮喘的临床疗效。方法：筛选110例患者随机分为治疗组和对照组,治疗组55例采用针灸刺络拨罐及穴位贴敷疗法治疗支气管哮喘,对照组55例单纯应用针刺疗法治疗支气管哮喘,同期治疗观察进行疗效对比。结果：治疗组有效率达98％,对照组有效率为58％。结论：治疗组疗法具有突出疗效,复发率低,治疗组疗效明显优于对照组。     

抚触与中药敷穴位治疗痛经及伴随症状疗效观察

目的 探讨抚触与中药敷穴位治疗痛经及伴随症状的疗效.方法 选取我院就诊的痛经患者73例,随机分为治疗组37例和对照组36例,2组均在发病期给予口服非甾体类抗炎药布洛芬及对症处理;治疗组在经前2 d开始给予下腹部抚触与经期内中药敷关元穴治疗,连续3个月,疗程结束后观察疗效.结果 治疗组总有效率为89%,显著高于对照组的63%,2组比较差异有统计学意义(P<0.05). 结论 抚触与中药敷关元穴治疗痛经及伴随症状可获得满意的疗效,值得临床推广应用.     

针灸结合穴位贴敷治疗耳聋耳鸣临床观察

目的:探讨针灸结合穴位贴敷治疗耳聋耳鸣的临床疗效.方法:将100例耳聋耳鸣患者随机分为对照组和实验组,对照组患者接受常规治疗,实验组患者接受针灸结合穴位贴敷治疗,对比两组患者的临床治疗效果.结果:实验组总有效率为87％,对照组总有效率为54％,两组患者临床治疗效果对比统计学差异显著(P＜0.05).结论:针灸结合穴位贴敷治疗耳聋耳鸣临床治疗效果比常规疗法更加理想,临床使用价值更高.     

气滞痛经汤治疗原发性痛经

目的 观察王昕教授拟气滞痛经汤治疗气滞血瘀型原发性痛经的临床疗效.方法 选取气滞血瘀型痛经患者60例,按照随机数字表法分为治疗组和对照组,各30例.治疗组给予气滞痛经汤水煎服治疗,对照组给予布洛芬缓释胶囊口服治疗,均持续治疗3个月,观察2组治疗效果.结果 2组药物安全性良好,均未出现不良反应.治疗组总有效率90.00%,对照组总有效率66.67%.2组比较差异有统计学意义(P<0.05).治疗组痛经评分(5.35±2.24)分,明显低于对照组的(9.30±3.42)分,2组比较具有统计学意义(P<0.05).结论 气滞痛经汤能明显缓解患者腹痛症状,且用药未出现明显不良反应.     

不同刺激量针刺关元穴对寒凝类痛经模型大鼠的影响

目的：观察不同的针刺刺激量施于关元穴对寒凝类痛经模型大鼠子宫组织中收缩素受体（ OTR）及肌球蛋白轻链激酶（ MLCK）含量的影响。方法将处于动情间期3月龄的SD雌性大鼠32只,随机分为盐水组、寒凝类痛经模型组24只,造模成功后将寒凝类痛经模型组又分为模型组、刺激量A组和刺激量B组,每组8只。除盐水组外,模型组、刺激量A组和刺激量B组均采用全身冷冻法结合苯甲酸雌二醇注射法造模。盐水组和模型组不予针刺,刺激量A组予以粗针、深刺、行手法;刺激量B组予以细针、浅刺、不施手法。采用荧光定量PCR方法检测大鼠子宫组织中缩宫素受体（ OTR）的含量。采用ELISA（酶联免疫法）测量大鼠子宫组织中MLCK的含量。结果与盐水组比较,模型组的子宫收缩波个数、波峰峰值、活动度及MLCK水平均升高（ P﹤0.01）;与模型组比较,刺激量A组的子宫收缩波个数明显减少（ P﹤0.05）、MLCK含量明显降低（ P﹤0.01）,刺激量B组的OTR mRNA相对表达量降低（ P﹤0.05）;与刺激量A组比较,刺激量B组收缩波个数增多（ P﹤0.05）、OTR mRNA相对表达量降低（ P﹤0.01）。结论不同刺激量针刺关元穴对寒凝类痛经模型大鼠的效应有所不同,粗针、深刺、行手法的效应较强于细针、浅刺、不行手法的针刺效应,提示针刺的刺激量也是决定针刺疗效的因素之一。     

温针灸治疗原发性痛经即刻镇痛效应临床观察

目的:评价月经期温针灸治疗寒凝血瘀型原发性痛经患者的即刻镇痛效应。方法:将44例寒凝血瘀型原发性痛经患者,随机分为治疗组和对照组,每组22例。治疗组于月经第1天针刺气海、关元、三阴交,留针同时行温针灸,治疗3个月经周期。对照组于月经第1天口服布洛芬缓释胶囊1粒,治疗3个月经周期。采用视觉模拟评分量表(visual analogue scale,VAS)观察治疗前、治疗后各时间段患者的疼痛强度。连续治疗3个月经周期后观察临床疗效。结果:温针灸治疗痛经从施治15 min开始起效,口服布洛芬缓释胶囊从30 min开始起效,温针灸施治后30 min镇痛效果最明显,口服布洛芬缓释胶囊60 min镇痛效果最明显,两组治疗后60 min、90 min、120 min、150 min、180 min镇痛效果比较,差异无统计学意义(P0.05);治疗3个月经周期,治疗组疼痛强度明显降低,且显著优于对照组(P0.05),治疗组有效率86.36%,明显优于对照组的9.09%,差异有统计学意义(P0.05)。结论:温针灸治疗寒凝血瘀型原发性痛经起效快。长期疗效优于口服布洛芬缓释胶囊,能代替非甾体抗炎药物治疗原发性痛经。     

针刺配合推拿治疗原发性失眠临床观察

[目的]评价针刺配合推拿治疗原发性失眠的I临床疗效.[方法]随机分为针刺配合推拿组38例,单纯针刺组36例.采用匹兹堡睡眠质量指数同卷治疗前后总分评价疗效.统计学分析采用RevMan4.2.8.[结果]针刺配合推拿组改善匹兹堡睡眠质量总分数优于针刺组,两组总有效率及治愈率均无统计学意义,肝郁化火型失眠患者治愈率优于其他证型.[结论]针刺配合推拿改善失眠症状优于单纯针刺;肝郁化火型失眠患者疗效较好.     

Thirty-six Cases of Urinary Retention Treated by Acupuncture

Objective:To observe the clinical therapeutic effects of acupuncture on urinary retention.Methods:36 cases of urinary retention were treated by acupuncture at the following points:1)Qugu(CV 2),Zhongji(CV 3)Guanyuan(CV 4),Sanyinjiao(SP 6)and Yinlingquan(SP 9);2)Shenshu(BL 23),Pangguangshu(BL 28),Ciliao(BL 32)and Weiyang(BL 39).Results:30 cases were cured,4 cases improved and 2 cases failed,with a curative rate of 83.33% and a total effective rate of 94.44%.Conclusions:Acupuncture is affirmatively effective in treating urinary retention.     

Clinical curative effect of fuzi-cake-separated moxibustion for preventing dysuria after operation for lower limb fracture

ObjectiveTo assess the clinical curative effect of fuzi-cake-separated moxibustion at Zhongji (CV 3) and Guanyuan (CV 4) for preventing dysuria after internal fixation of lower limb fractures.MethodsSixty patients conforming to the inclusion standards were randomly divided into a treatment group (n=30) and a control group (n=30). Fuzi-cake-separated moxibustion was performed at Guanyuan (CV 4) and Zhongji (CV 3), 20 min at a time, twice a day, for 3 days before operation in the treatment group. No fuzi-cake-separated moxibustion was performed in the control group. After treatment, the score for symptoms of first urination, urinary time, urinary volume, 24 h remaining urinary volume, incidence of uroschesis, and rate of controlling dysuria were compared to evaluate the curative effect of preventing post-operative dysuria.ResultsThe score for symptoms of first urination, 24 h remaining urinary volume (maximum 120 mL vs 250 mL, and less than 10 mL in 24 cases vs 15 cases), and the rate of controlling dysuria (83.34% vs 30%) were significantly better (P<0.05, P<0.05, and P<0.001, respectively) in the treatment compared with the control group. There was no statistical difference (P>0.05) between the two groups in first post-operative urinary time, urinary volume, or incidence of 24 h uroschesis.ConclusionFuzi-cake-separated moxibustion at Zhongji (CV 3) and Guanyuan (CV 4) can better prevent post-operative dysuria, effectively promote the functional restoration of the urinary bladder, and control the incidence of post-operative dysuria.     

针刺配合推拿治疗原发性失眠临床观察

【目的】评价针刺配合推拿治疗原发性失眠的临床疗效。【方法】随机分为针刺配合推拿组38例,单纯针刺组36例。采用匹兹堡睡眠质量指数问卷治疗前后总分评价疗效。统计学分析采用RevMan4．2．8。【结果】针刺配合推拿组改善匹兹堡睡眠质量总分数优于针刺组,两组总有效率及治愈率均无统计学意义,肝郁化火型失眠患者治愈率优于其他证型。【结论】针刺配合推拿改善失眠症状优于单纯针刺;肝郁化火型失眠患者疗效较好。     

近10年针灸治疗痛经的同功穴选用规律的文献分析

目的运用数据挖掘技术,总结分析近10年现代文献中针灸治疗痛经的同功穴选用规律。方法采用计算机检索的方式,对2006—2016年中国期刊全文数据库(CNKI)、万方数据知识服务平台(WF)和维普数据库中针灸治疗痛经的相关文献进行检索及整理。结果得到相关文献128篇。治疗痛经的同功穴有49个,其中十四经腧穴47个,经外奇穴2个;主要穴位为三阴交、关元、中极,所属经脉主要为足太阳膀胱经和任脉,所在部位主要是胸腹部和腰背部。按照使用频率将腧穴分为3级:一级谱腧穴9个、二级谱腧穴13个、三级谱腧穴27个。结论同功穴的概念进一步诠释了腧穴配伍的协同增效作用,可对针灸处方的选择以及临床疗效的提高起到指导作用。     

Pathologic analysis on hyperplasia of mammary gland with different syndromes based on infrared radiation temperature of acupoints

OBJECTIVE:To explore the pathologic characteristics of hyperplasia of the mammary gland(HMG) by observing differences in infrared radiation temperature of points of HMG in patients with different syndromes compared with healthy controls.METHODS:AFLIRSystems Therma CAM P30 infrared thermal camera was used to detect the infrared temperature of Shanzhong(CV 17),Qimen(LR 14),Zhongwan(CV 12),Qihai(CV 6),Guanyuan(CV 4),Taixi(KI 3),and Taichong(LR 3) in 113 patients with HMG.Of these patients,71 were placed in the Liver Qi stagnation group,34 were placed in the Dysfunction of conception and thoroughfare vessels group,and 8 were placed in the Phlegm and blood stasis in combination group.The infrared radiation temperature of each point in the patients was compared with that of healthy controls,and the differences in the infrared radiation temperatures of the points in the patients were analyzed.RESULTS:Overall,the bilateral corresponding point in both the controls and patients exhibited no significant difference in infrared radiation temperature.In all cases,the infrared radiation temperature of the points from proximal to distal tended to decrease.In a comparison of the patients and controls,the infrared radiation temperature of the trunk points Shanzhong(CV 17),Qimen(LR 14),Zhongwan(CV12),Qihai(CV6),and Guanyuan(CV 4) of the patients was higher than that of the controls,while the infrared radiation temperature of the lower extremity points Taixi(KI 3) and Taichong(LR 3) was lower than that of the controls.Of these points,Shanzhong(CV 17)(P=0.0368),Zhongwan(CV 12)(P=0.0028),Qihai(CV 6)(P=0.0085),and Guanyuan(CV4)(P=0.0018) showed significant differences.In a comparison of the corresponding point on the same side in the Liver Qi stagnation group and controls,the infrared radiation temperature of Shanzhong(CV17)(P=0.0089),right-side Qimen(LR 14)(P=0.0382),Zhongwan(CV 12)(P= 0.0000),Qihai(CV 6)(P=0.0011),and Guanyuan(CV 4)(P=0.0000) of the patients was significantly higher than that of the controls,while the differences in the infrared radiation temperature of the other points were not statistically significant(P= 0.0833-0.8397).In a comparison of the corresponding point on the same side in the Dysfunction of conception and thoroughfare vessels group and controls,the infrared radiation temperature of left-side Taichong(LR 3)(P=0.0048),right-side Taichong(LR 3)(P=0.0329),left-side Taixi(KI 3)(P= 0.0171),and right-side Taixi(KI 3)(t=0.544,P= 0.0165) of the patients was significantly lower than that of the controls,while the differences in the infrared radiation temperature of the other points were not statistically significant(P=0.3793-0.9197).In a comparison of the corresponding point on the same side in the Phlegm and blood stasis in combination group and controls,the infrared radiation temperature of Shanzhong(CV 17),Qimen(LR 14),Qihai(CV 6),Guanyuan(CV 4),Taixi(KI 3),Taichong(LR 3),and Zhongwan(CV 12) tended to increase,but without statistical significance(P=0.175-.759).CONCLUSION:The corresponding points of HMG patients with different syndromes are in different deficiency/excess states.Changes in the infrared radiation temperature of the trunk points Shanzhong(CV 17),Qimen(LR 14),Zhongwan(CV 12),Qihai(CV 6),and Guanyuan(CV 4) are closely related to the pathological characteristics of the Liver Qi stagnation syndrome of HMG patients,while changes in the infrared radiation temperature of the lower extremity points Taixi(KI 3) and Taichong(LR 3) are closely related to the pathological characteristics of the Dysfunction of conception and thoroughfare vessels syndrome of HMG patients.On the whole,HMG patients with Liver Qi stagnation syndrome are characterized by "upper excess," and those with Dysfunction of conception and thoroughfare vessels syndrome are characterized by"lowerdeficiency."     

速效救心丸治疗原发性痛经临床疗效研究

目的对速效救心丸治疗原发性痛经的临床疗效进行客观评价。方法速效组43例患者舌下含服速效救心丸治疗,芬必得组41例口服芬必得治疗,月月舒组29例冲服月月舒痛经宝颗粒治疗。结果速效组总有效率90.70%,芬必得组为80.49%,月月舒组为100.00%。速效组起效时间明显短于其他2组,痛经伴随症状有明显改善,优于芬必得组。结论速效救心丸治疗原发性痛经疗效满意。