头针对心功能及血液动力学的影响

<正> 头针降压效应已被我们的研究所证实,对其生理机制已有初探。头针其它穴位对脑电图的影响已有报导。本文主要研究针刺“循环敏感点”穴对心功能及血液动力学的影响,试图从理论上阐述降压机制与心血管反应的一系列生理变化及其与临床意义的关系。     

头针,手针,中药治疗小儿遗尿129例疗效的对比观察

头针、手针、中药治疗小儿遗尿１２９例疗效的对比观察４３００３０同济医科大学附属协和医院针灸科黄巍，罗立新，李唯笔者通过头针、手针、中药三法治疗遗尿的对比观察，发现头针组优于手针和中药组，手针次于头针而优于中药组，现报道如下：一般资料：共治疗１２９例，...     

不同头针流派治疗中风偏瘫特点分析及研讨

以中风偏瘫的针灸治疗为例，对各流派的头针体系进行分类归纳，总结经穴头针、反射区头针、全息头针及头缝针的诊治特点，指出当前流派研究存在的问题，并提出探索性建议：利用3D打印技术解决头穴定位不一问题，以超声等仪器为指标，观察针刺不同深度的临床效应以及通过诱发电位或脑电图探寻针刺手法产生疗效的可能机制，并加快数字化平台的建设，推进针刺手法量学的发展。     

全国头针学术会议述要

<正> 全国头针学术经验交流会于1991年3月17日在山西运城召开,会议共收论文80余篇,选出大会交流60篇,书面交流71篇,现将其主要内容概述如下。概述70年代初,头针发明者山西运城头针研究所焦顺发,介绍了“治疗脑血管疾病概况”。认为头针治疗脑血管疾病是最有效的方法。湖北黄冈地区卫校李艳生综述了头针不但对治疗神经内科疾病(脑源性疾病)有其特殊疗效,而且对内、外、妇、儿、五管、皮肤科等疾病也有意想不到的卓效。临床研究脑源性疾病:71篇论文中,用头针治疗脑源性疾病(包括脑血管疾病、脑外伤、脑膜炎后遗症等)的临床报道32篇,共观察脑源性疾病4577例,     

“ 交经缪刺、泻络远针 ” 法指导刺络放血的临床应用

〔摘 要〕 “ 交经缪刺、泻络远针 ” 法出自《标幽赋》：“ 交经缪刺，左有病而右畔取；泻络远针，头有病而脚上针 ”， 首载于金元针灸名家窦汉卿（公元 1195 ~ 1280 年）的《针经指南》，笔者运用 “ 交经缪刺、泻络远针 ” 法为指导，运用刺 络放血治疗痛症及内科杂病，见效快，疗效甚佳，现将治疗临床体会进行报道及分析讨论。     

头针体针连用与体针治疗中风偏瘫223例疗效对比

本文报道了头针与体针连用与单纯体治疗中风偏瘫２２３例，并将两种疗法进行了对比，结果表明头针与体针连用 疗效较单纯针疗效好，笔者认为头针与体针连用治疗中风偏瘫的方法值得推广。     

头针对偏瘫病人关节功能的影响

我们自从1973年开始用以“头针”和头部腧穴治疗中风偏瘫收到了满意效果。在治疗过程中发现“运动区”基本位于前顶与悬颅的连线上,针刺瘫侧的对侧和同侧均与百会透曲鬓的疗效无大差别,因而在头部分取三组穴,进行了特异性研究,为了察明随意运动的变化及其在组间的差距,把关节     

三种头针体系的疗效比较与分析

目前针灸学者在选用头针体系时非常混乱,通过对头针治疗疾病的147篇文章疗效进行分析,发现用头部腧穴统一头针体系符合中国特色,是头针体系发展的一个方向。     

针药结合治疗脑梗塞769例疗效观察

笔者采用头针、体针交替运用的方法,配合药物治疗脑梗塞病人769例,其中基本治愈446例,占68％;显效223例,占29％;有效86例,占11％;无效16例,占2％;总有效率98％。观察中发现头针、体针交替运用是最佳的针刺方法,既克服单纯用针的弊端,又提高疗效。且疗效与病程有密切关系,病程愈短,疗效愈好。     

头针与康复同步治疗脑梗死急性期运动功能障碍患者40例

头针与康复训练联合应用于脑梗死患者，其疗效已得到广大临床工作者认可。但以往的研究仅是两种疗法的结合，而两者的结合时机及结合方式并未做进一步的阐述和研究。本研究将头针与康复训练同步用于急性脑梗死运动功能障碍患者，疗效满意，现报道如下。     

头针治疗临床初步观察

<正> 据报导,头针治疗总的有效率达91.4％,对脑源性疾病的治疗有效率达97.4％。比体针效果更好。本工作在治疗神经系统疾病的过程中,观察了头针疗法和体针治疗的临床效果,试图寻找更好的针刺治疗方法。方法对32例以脑血管病为主的神经系统疾病患者作了649次的头针治疗观察,并对7例     

粗针平刺身柱穴配合体针治疗中风后痉挛性瘫痪的临床研究

目的:观察粗针平刺身柱穴配合体针对中风后痉挛性瘫痪的影响,为寻找有效的抗痉挛针刺方法提供临床研究依据。方法:将90例住院病人按入院先后顺序随机分为粗针体针组、体针组及西药组各30例,以修改的Ashworth量表为疗效评定指标,并同时采用简化Fugl-Meyer运动功能评价表及日常生活能力量表(ADL)对3组患者的肢体运动功能及生活自理能力进行测评。结果:粗针体针组有效率为86.67%,体针组有效率为66.67%,西药组有效率为56.67%。粗针体针组疗效明显优于体针组(P<0.05)及西药组(P<0.01)。3组患者的肢体运动功能、生活自理能力在治疗后亦均有不同程度改善,且粗针体针组优于另两组(P<0.05,P<0.01)。结论:粗针平刺身柱穴配合体针可明显改善中风患者肢体的痉挛程度,是一种有效的抗痉挛针刺法。     

头、体针结合治疗脑梗死后抑郁症临床观察

目的:探寻脑梗死后抑郁症的较佳疗法。方法:将80例脑梗死后抑郁症患者随机分为两组。针刺组(40例)采用头、体针相结合的治疗方法。西药组(40例))口服盐酸氟西汀每天20mg,两组均治疗6周,分别对两组治疗前及治疗第6周末进行汉密尔顿抑郁量表(HAMD)评分,采用副反应量表(TESS)评定不良反应。结果:针刺组总有效率为95.0%,西药组总有效率为90.0%,两组比较差异无统计学意义(P>0.05)。HAMD评分两组治疗6周后与治疗前比较差异均有统计学意义(均P<0.01);两组间治疗后比较差异无统计学意义(P>0.05)。治疗结束后两组间TESS评分比较差异有统计学意义(P<0.01),针刺组基本无不良反应,西药组表现为恶心、厌食、腹泻等。结论:头、体针相结合治疗脑梗死后抑郁症与服用盐酸氟西汀疗效相当,且安全、无不良反应。     

不同刺激量的捻转手法对健康人皮肤温度的影响

目的观察不同刺激参数的捻转手法对机体皮肤温度的实时影响,探讨针刺手法的量效关系。方法应用在体捻转手法仪对50名健康人的外关穴施行大、中、小刺激量的捻转手法,以中冲穴皮温作为观察指标进行实时记录观测与分析。结果(1)不同刺激量捻转手法的皮温在捻针期间明显降低(P<0.01,P<0.05))。(2)不同刺激量捻转手法的皮温均在留针中5min略高于针前水平(P>0.05)。(3)留针10min后,中、小刺激量捻转手法呈现升温效应。中刺激量捻转手法的皮温在留针后5min明显升高(P<0.01),而小刺激量则在起针中5min和后5min升温明显(P<0.05)。大刺激量捻转手法的皮温升降无明显变化(P>0.05)。结论(1)不同刺激量捻转手法的皮温从捻针至留针10min出现了降温和复温两个时相。(2)不同刺激量的捻转手法对健康机体的皮温影响存在着不同程度的效应差异。     

POINT PENETRATION AND DEEP PUNCTURE THERAPIES FOR SCIATICA:AN OBSERVATION ON 108 CASES

GENERALDATAAllcasesweretreatedintheclinic.Malewere117,female81.Theyoungestwas19,theoldest69,theaverageagewas45.6.Thepatho-geneticfactors:Sciaticneuritiswas62cases,lumbarvertebraehyperosteogeny3O.prolapsedintervertebraldisc28,injuryofsofttissueoflun-mbaran…     

EFFECTS OF REINFORCING AND REDUCING METHODS BY TWIRLING AND ROTATING THE NEEDLE FOR LEFT VENTRICULAR DAMAGE OF SPONTANEOUSLY HYPERTENSIVE RATS

Objective: To explore the different effects of reinforcing and reducing methods by twirling and rotating the needle on prevention for left ventricular damage of spontaneously hypertensive rats(SHRs).Methods: Sixty male SHRs were randomly divided into a model group(A), group(B) with twirling reinforcement method,group(C) with twirling reducing method, group(D) without manipulation, and a normal Wistar rat group(E) without acupuncture.Groups B, C, and D were all treated on "Taichong" point(LR3), ten minutes every time.Twenty-eight days later, myocardial hypertrophy and myocardial fibrosis situation of each group were observed with biochemistry methods, and their blood pressure was also recorded.Results: The systolic pressure and diastolic pressure of the group C were lower than those of the groups A, B, and D, but higher than the group E; the levels of I, and III collagen mRNA were lower in group C than groups A, B, and D.HE and Masson pictures showed myocardial hypertrophy and myocardial fibrosis on the groups A, B, and D, but less serious on the group C.The expression of endothelin-1 was also lower in the group C, but higher than normal group E.Conclusion: Acupuncture with twirling reducing method can effectively decrease the blood pressure in SHRs, as well as the levels of I, III collagen mRNA and endothelin-1 in left ventricular.However, no significant similar effect was found by using reinforcing method.Therefore twirling reducing method has an important role in preventing myocardial damage caused by hypertension.Therefore, twirling reducing and twirling reinforcing method have different biomedical effect on hypertension.     

头针麻醉对肠癌患者术后炎症反应的影响

目的：探讨头针麻醉对肠癌患者术后炎症反应的影响.方法：选择需做肠癌根治术的患者60人,随机分为2组,头针加全麻组（简称头针组,下同）30人和单纯全麻组（简称全麻组,下同）30人.头针组患者先行头针麻醉诱导20分钟,然后行全身麻醉.头针麻醉持续刺激至手术结束.全麻组只行单纯气管内全麻.观察头针对患者手术前后C反应蛋白（CRP）、外周血白细胞的影响.结果：头针组术后CRP异常的人数明显减少,而单纯全麻组变化不明显,术后两组之间的差异有显著的统计学意义（P＜0.05）.两组患者术后外周血白细胞头针组变化幅度最小,恢复最快,明显优于单纯全麻组.结论：头针可明显减轻组织损伤、术后的感染和炎症反应.     

Effect of different twirling and rotating acupuncture manipulation techniques on the blood flow perfusion at acupoints

OBJECTIVE: To analyze the effect of different twirling and rotating acupuncture manipulation techniques on the blood flow perfusion at acupoints to provide a reference for the study of acupoint specificity and the quantification and effectiveness of acupuncture methods.METHODS: Twenty healthy male or female college students each received four different acupuncture manipulation techniques, including simple acupuncture, uniform reinforcing-reducing needling,twirling reinforcing needling, and twisting reducing needling.The self-control method was applied.Acupuncture was performed by an acupuncture manipulation simulator at Neiguan(PC 6) and Zusanli(ST 36).The process of twirling and rotating was divided into seven timepoints.The PeriCam Perfusion Speckle Imager(PSI) System was used to collect the blood flow perfusion data at each acupoint.The specificity of twirling and rotating acupuncture manipulation was analyzed based on changes in the curve, video, and numerical blood flow perfusion data at each timepoint.RESULTS: There were two peaks in the blood flow perfusion curve of twirling and rotating acupuncture manipulation; one appeared after 3 min of needle retention, and the other appeared 3 min after needle removal.The blood flow perfusion parameters showed that the greatest differences between the four manipulation techniques occurred after 5 and 10 min of needle retention.The specificity of various manipulation techniques was most obvious at these two timepoints.There were significant differences between the four manipulation groups in the blood flow perfusion and the relative change rates of blood flow perfusion at each timepoint.CONCLUSION: Laser speckle imaging enables the real-time, non-invasive, rapid, and accurate collection of blood flow perfusion data during acupuncture.This imaging technique enables the easy attainment of various parameters such as visual images, two-dimensional curves, and data tables.At various timepoints, the four groups significantly differed regarding changes in blood flow perfusion and relative change rates of blood flow perfusion,which facilitated the differentiation of the four acupuncture manipulation methods.Based on this, further analysis could be conducted to study spatial distribution characteristics such as the influence area and flare area.The frequency domain analysis of acupuncture manipulation curves is important in the study of the dose-effect relationship and specificity of acupuncture manipulation.     

魏稼教授的飞针手法与临床应用

魏稼教授师承徐少廷的飞针法,并融入古代“凤凰展翅”与“饿马摇铃”补泻法的临床经验。根据明代杨继洲《针灸大成》载,前者属于捻转泻法,而后者则属于捻转加提插补法。“凤凰展翅”泻法操作重点是：二指夹持针柄,朝一个方向一捻一放4-8次,如瑞鸟展翅状;“饿马摇铃”补法的操作要点是：二指持针柄缓慢轻微摇摆50次,如饿马无力之状。文中附有治验病例。论证了以此法治疗三叉神经痛,胆石症合并胆囊炎,支气管哮喘等均有满意疗效。     

CLINICAL OBSERVATION ON EFFECTS OF EYE-ACUPUNCTURE ON LEFT-VENTRICULAR FUNCTION IN PATIENTS OF HYPERTENSION

Hypertensioninmodernsciencesisinclud-edinthecateg0ry0fdizzinessintraditionalChi-nesemedicineanditisanindependentdisease,mainlymanifestinganincreaseofarterialbloodpressure,andeasi1yinjuringtheheart,kidney,brainandotherorgans.Inthepresentstudy,18Ocasesofhyper-tensionweretreatedrespectivelywitheye-acupuncture,body-acupunctureand0ra1adminis-trationofhypotensor,andheartfuncti0n,includ-ingUCGandSTIandotherobjectiveindexeswereusedtoobserveeffectsofeye-acupunctureonLVFandbloodpressureathypertesion…