平衡针灸联合康复训练治疗颈肩腰腿痛的临床研究

目的:探讨平衡针灸联合康复训练治疗颈肩腰腿痛的临床疗效。方法:以2017年12月～2018年12月在我院接受治疗的90例颈肩腰腿痛患者为主要研究对象,随机分为三组,每组30例。A组采用平衡针灸治疗,B组接受康复训练,C组行平衡针灸联合康复训练治疗,比较三组的临床疗效、疼痛程度、关节恢复情况等。结果:C组的临床治疗有效率明显高于A组和B组,三组比较有显著差异;治疗后,C组疼痛程度明显轻于A组和B组,A组和B组比较无明显差异;C组肩关节评分、踝关节评分、膝关节评分明显高于A组和B组,三组比较差异有统计学意义。结论:采用平衡针灸联合康复训练治疗颈肩腰腿痛的临床疗效显著,治疗后疼痛程度明显缓解,且可改善关节功能,提升患者生活质量,值得推广。     

平衡针灸联合康复训练治疗颈肩腰腿痛的临床效果

〔摘 要〕 目的：观察平衡针灸联合康复训练治疗颈肩腰腿痛的临床效果。方法：选取广州市番禺区何贤纪念医院 2018 年 6 月至 2020 年 6 月期间收治的 120 例颈肩腰腿痛患者,按照是否开展平衡针灸联合康复训练将患者分为对照组（60 例：康 复训练）与观察组（60 例：平衡针灸联合康复训练）,比较两组患者治疗效果。结果：治疗前两组患者的肩关节 Neer 评分、 日本骨科协会评估治疗分数（JOA）评分以及 Lysholm 评分比较,差异无统计学意义（P ＞ 0.05）。治疗后观察组患者的 Neer评分、JOA评分以及Lysholm评分均优于对照组,差异具有统计学意义（P＜0.05）;观察组患者治疗总有效率为96.97 %, 高于对照组的 70.00 %,差异具有统计学意义（P ＜ 0.05）。结论：颈肩腰腿痛患者给予平衡针灸联合康复训练疗效显著, 优于单纯康复训练。     

针刺联合中药热敷治疗颈肩腰腿痛的临床观察

目的:观察针刺联合热敷治疗颈肩腰腿痛患者的临床疗效。方法:选取80例颈肩腰腿痛患者,随机分为对照组与观察组。对照组给予按摩、理疗和牵引等常规治疗,观察组在常规治疗基础上给予针灸联合中药热敷治疗。观察两组患者治疗总有效率、疼痛消失时间、干预前后颈肩腰腿痛评分及生活质量评分等指标。结果:治疗前两组患者颈肩腰腿痛评分、生活质量评分比较均无统计学意义(P0.05);治疗后两组患者颈肩腰腿痛评分、生活质量评分均较治疗前好转,且观察组优于对照组(P0.05),治疗后观察组总有效率、疼痛消失时间等指标优于对照组(P0.05)。结论:针刺联合中药热敷治疗颈肩腰腿痛患者,能有效缩短疼痛时间,提高治疗效果,改善患者生活质量,值得临床推广。     

平衡针灸治疗颈肩腰腿痛临床观察

目的分析颈肩腰腿痛行平衡针灸治疗的作用。方法选取2018年1月—9月治疗的40例颈肩腰腿痛患者,随机分成A组和B组,均20例。A组给予平衡针灸治疗,B组给予传统针灸治疗。对比治疗效果。结果 A组的治疗总有效率为95. 0%,B组为70. 0%,对比差异显著(P 0. 05)。随访6个月,A组的复发率为10. 0%,B组为40. 0%,对比有差异(P 0. 05)。治疗后,2组的VAS评分低于治疗前,且A组低于B组(P 0. 05),JOA评分高于治疗前,且A组高于B组(P 0. 05)。A组的各项生活质量评分均高于B组,对比差异明显(P 0. 05)。结论颈肩腰腿痛患者行平衡针灸治疗可改善其临床症状,减轻疼痛程度,且复发率低,具有较佳的治疗效果。     

中医综合治疗颈肩腰腿痛49例

目的:观察运动手法及中药熏洗联合针灸理疗治疗颈肩腰腿痛的临床疗效。方法:将2012年12月—2014年1月来本院治疗的98例颈肩腰腿痛患者为研究对象,随机分为对照组和观察组各49例,对照组患者给予中药熏洗治疗及运动手法,观察组在对照组治疗基础上,增加针灸理疗。比较两组患者临床疗效、颈椎病相关功能评分、机体疼痛评分等相关指标的变化。结果:观察组有效率为89.79%,对照组有效率为63.26%,两组有效率比较具有统计学意义(P0.05);治疗后两组患者颈椎病相关功能评分和机体疼痛评分均有明显改善,与治疗前比较两组均具有统计学意义(P0.05),且观察组改善更明显(P0.05)。结论:运动手法及中药熏洗联合针灸理疗治疗颈肩腰腿痛疗效显著。     

平衡针灸治疗颈肩腰腿痛50例

目的:观察平衡针灸治疗颈肩腰腿痛的临床疗效。方法:2011年1月-2013年10月收治的颈肩腰腿痛患者100例,随机分为观察组和对照组,每组各50例,对照组采取传统的针灸方法治疗,观察组采取平衡针灸方法治疗。对比两组患者的首次治疗、2个疗程及4个疗程后的临床疗效。结果:首次治疗,对照组的有效率为80.0%,观察组的有效率为88.0%;治疗2个疗程后,对照组的有效率为84.0%,观察组的有效率为94.0%;治疗4个疗程后,对照组的有效率为92.0%,观察组的有效率为100.0%。两组对比,观察组治疗效果均明显优于对照组,差异均具有统计学意义(P<0.05)。结论:平衡针灸治疗能明显提高对颈肩腰腿痛的临床疗效。     

除痹通络汤熏蒸联合针灸辨治颈肩腰腿痛51例

目的:观察除痹通络汤熏蒸联合针灸治疗颈肩腰腿痛的临床疗效。方法:将102例颈肩腰腿痛患者随机分为对照组和试验组,每组各51例。对照组给予常规治疗及针灸辨证论治,试验组在对照组的基础上加用除痹通络汤熏蒸。观察两组患者的临床疗效及治疗前后NRS评分、JOA疼痛评分、Barthel评分及Fugl-Meyer评分。结果:两组患者治疗后NRS评分、JOA疼痛评分、Barthel评分及Fugl-Meyer评分明显优于治疗前,且试验组优于对照组,差异均有统计学意义(P0.05)。对照组有效率为86.27%,试验组有效率为98.04%,两组有效率比较,差异具有统计学意义(P0.05)。结论:除痹通络汤熏蒸联合针灸辨证论治颈肩腰腿痛,可明显改善患者临床症状,缓解疼痛,提高患者运动能力,具有显著的临床疗效,很大程度上改善患者的生活质量。     

平衡针灸治疗颈肩腰腿痛疗效分析

目的:探讨采用平衡针灸法对患有颈肩腰腿痛的患者进行治疗的临床效果。方法:抽取92例颈肩腰腿痛患者病例,将其分为A、B两组,平均每组46例。分别采用临床传统针灸方法和平衡针灸法进行治疗。结果:B组患者的临床治疗效果明显优于A组患者;该组患者在治疗后出现复发现象的人数明显少于A组患者。结论:采用平衡针灸法对患有颈肩腰腿痛的患者进行治疗的临床效果十分明显。     

针灸联合常规疗法治疗颈肩腰腿痛临床分析

目的 分析针灸联合常规疗法对颈肩腰腿痛患者的疗效。方法 选择2016年1月—2017年4月81例颈肩腰腿痛患者根据随机数字表分组。常规疗法组单纯进行常规治疗,主要有按摩、理疗和牵引等,联合治疗组则在常规疗法组基础上给予针灸治疗。比较两组颈肩腰腿痛治疗总有效率;疼痛消失时间、不良反应发生率;干预前后患者颈肩腰腿痛评分、生活质量评分、匹兹堡睡眠质量评分。结果 联合治疗组颈肩腰腿痛治疗总有效率高于常规疗法组,P0.05;联合治疗组疼痛消失时间短于常规疗法组,P0.05;两组无明显不良反应,P0.05。干预前两组颈肩腰腿痛评分、生活质量评分、匹兹堡睡眠质量评分相近,P0.05;干预后联合治疗组颈肩腰腿痛评分、生活质量评分、匹兹堡睡眠质量评分优于常规疗法组,P0.05。结论 针灸联合常规疗法对颈肩腰腿痛患者的疗效确切,可有效减轻患者临床症状,减轻疼痛感,改善患者睡眠质量和生活质量,无明显不良反应,是颈肩腰腿痛的理想治疗方法,值得推广。     

自拟中药汤剂熏蒸联合针灸治疗颈肩腰腿痛的效果评价

目的:评价自拟中药汤剂熏蒸联合针灸治疗颈肩腰腿痛的效果。方法:研究对象为颈肩腰腿痛患者,例数80例,采用抽签分组方式对研究对象80例进行分组,患者收取时间在2015年10月2日-2016年2月10日,分为观察组(40例)、对照组(40例),分别实施自拟中药汤剂熏蒸联合针灸治疗以及常规治疗,将两组患者的总有效率、JOA评分和VAS评分进行对比。结果:观察组颈肩腰腿痛患者的总有效率95.00%(其中显效患者30例、有效患者8例、无效患者2例)高于对照组患者75.00%(P0.05);治疗后观察组颈肩腰腿痛患者的JOA评分高于对照组患者(P 0.05);观察组颈肩腰腿痛患者治疗后VAS评分低于对照组(P 0.05)。结论:通过对颈肩腰腿痛患者实施自拟中药汤剂熏蒸联合针灸治疗后,取得显著效果,能提高患者总有效率,降低患者疼痛感,改善患者JOA评分,促进患者早期康复。     

蒿芩麻杏石甘汤治疗肺炎支原体感染所致儿童急性支气管炎和轻症肺炎23例

目的:观察蒿芩麻杏石甘汤治疗肺炎支原体感染所致儿童急性支气管炎和轻症肺炎的临床疗效。方法:选取肺炎支原体感染所致急性支气管炎和轻症肺炎患儿44例,随机分为治疗组23例和对照组21例。治疗组给予蒿芩麻杏石甘汤治疗,对照组给予阿奇霉素治疗。结果:治疗组愈显率优于对照组(P0.05);治疗组治疗后临床症状体征评分优于对照组(P0.05)。结论:蒿芩麻杏石甘汤治疗儿童肺炎支原体感染所致急性支气管炎和轻症肺炎疗效确切。     

葛根芩连汤加味治疗代谢综合征30例

目的:观察葛根芩连汤加味治疗代谢综合征的临床疗效.方法:将60例代谢综合征患者随机分为试验组和对照组各30例,对照组给予尼群地平片和酒石酸罗格列酮片治疗,试验组在对照组治疗的基础上加服葛根苓连汤加味治疗.结果:试验组有效率86.7％,对照组有效率56.7％,试验组优于对照组(P＜0.05);试验组治疗后血糖、血压、血脂、糖化血红蛋白、腰围、体质量指数较治疗前有明显改善,且舒张压和餐后2h血糖、高密度脂蛋白明显优于对照组(P＜0.05或P＜0.01).结论:葛根芩连汤加味治疗代谢综合征疗效显著,具有较好的减质量降糖、降压调脂功效.     

高温热损伤病理变化及其与中医温病卫气营血传变关系的探讨

通过对高温热损伤机制及其病理、生理、具体临床表现的研究,探讨其与中医温病之暑温在卫、气、营、血不同阶段的关系,以及在这4个阶段的辨证依据、治疗原则、方药加减。以期进一步为中医对高温热损伤的治疗提供系统的理论依据,从而更好的指导于临床,提高其疗效。     

Medicinal plants used with Thai Traditional Medicine in modern healthcare services: a case study in Kabchoeng Hospital, Surin Province, Thailand

Ethnopharmacological relevance

Thai Traditional Medicine (TTM) is available in many modern hospitals in Thailand. However, there have been difficulties in integrating TTM, particularly the practices of the use of herbal medicines, into modern healthcare services. Kabchoeng Hospital is one hospital that has been able to overcome these difficulties. Thus, this study aimed to document the successful utilization of herbal medicine at Kabchoeng Hospital. The documentation focused on both the knowledge of medicinal plants and the success factors that facilitated the utilization of herbal medicine in the context of a modern hospital in Thailand.

Materials and methods

Kabchoeng Hospital was intentionally selected for this case study. Participatory observation was used for the data collection. There were six groups of key informants: three applied Thai Traditional Medicine practitioners (ATTMPs), a pharmacist, two physicians, two folk healers, the head of an herbal cultivation and collection group, and 190 patients. The plant specimens were collected and identified based on the botanical literature and a comparison with authentic specimens; these identifications were assisted by microscopic and thin layer chromatography (TLC) techniques.

Results

Eighty-nine medicinal plants were used for the herbal preparations. The ATTMPs used these plants to prepare 29 standard herbal preparations and occasional extemporaneous preparations. Moreover, in this hospital, seven herbal preparations were purchased from herbal medicine manufacturers. In total, 36 preparations were used for 10 groups of symptoms, such as the treatment of respiratory system disorders, musculo-skeletal system disorders, and digestive system disorders. Four success factors that facilitated the utilization of herbal medicine at Kabchoeng Hospital were determined. These factors included a proper understanding of the uses of herbal medicines, the successful integration of the modern and TTM healthcare teams, the support of an herbal cultivation and collection group, and the acceptance of the local people.

Conclusions

The practices that support the use of herbal medicine at Kabchoeng Hospital illustrated the successful application of TTM and also represented a model for the integration of TTM, and particularly the use of herbal medicine, into modern hospitals. This integration will be beneficial for sustainable healthcare systems in Thailand and in other countries where modern medicine is the mainstream medical system.     

The Evolutional Development of Traditional Chinese Medicine (TCM) Outside China Mainland: Challenges,Training, Practice, Research, and Future Development

This overview has provided an account of evolutional changes of an experience-based traditional medical practice of traditional Chinese medicine (TCM) towards modernisation to keep up with recent advances in analytical and biomedical sciences, and information technology, which may help readers to understand why applying biomedical research methodology to TCM modernisation, while maintaining the experience-based concepts, principles and heritage of TCM’s personalised health and medical approaches in balancing body’s functions with physical and mental harmony when facing environmental changes, can contribute to gain global appreciation and acceptance of TCM in healthcare. It is envisaged that such future development and integration with biomedicine-based main-stream medicine (MSM) in practice will provide valuable medical care in the development of future personalised health and medicine as well as TCM product development.     

The treatment of jaundice with medicinal plants in indigenous communities of the Sub-Himalayan region of Uttarakhand, India

Ethnopharmacological relevance

Inspite of tremendous advances made in allopathic medical practices, herbs still play an important role in the management of various liver diseases. A large number of plants and formulations have been claimed to have hepatoprotective activity. Jaundice is a symptom, indicative of the malfunctioning of the liver. This paper provides ethnomedicinal information on the plants used to treat jaundice by three important indigenous communities, i.e., nomadic Gujjars, Tharu and Bhoxa of Sub-Himalayan region, Uttarakhand, India.

Aims of the study

To record herbal preparations used by the studied indigenous communities in treatment of jaundice and discuss hepatoprotective properties of the recorded plants.

Research strategy and methods

The traditional knowledge of the studied indigenous communities on herbal preparations used for treating jaundice was collected through structured questionnaire and personal interviews. The interviews were conducted with 91 traditional healers (29 Bhoxa, 35 Tharu and 27 nomadic Gujjars) in Sub-Himalayan region of Uttarakhand, India. More than 250 research papers reporting ethnomedicinal information on the hepatoprotective plants used by various communities from different parts of India were extensively reviewed.

Results

A total of 40 medicinal plants belonging to 31 families and 38 genera were recorded to be used by the studied communities in 45 formulations as a remedy of jaundice. Bhoxa, nomadic Gujjars and Tharu communities used 15, 23 and 9 plants, respectively. To our knowledge eight plants reported in the present survey viz., Amaranthus spinosus L., Cissampelos pareira L., Ehretia laevis Roxb., Holarrhena pubescens Wall., Ocimum americanum L., Physalis divaricata D. Don, Solanum incanum L. and Trichosanthes cucumerina L. have not been reported earlier as remedy of jaundice in India. Literature review revealed that a total of 214 (belonging to 181 genus and 78 families), 19 (belonging to 18 genus and 12 families) and 14 (belonging to 14 genus and 11 families) plant species are used as internal, external and magico-religious remedies for jaundice, respectively by various communities in different parts of India. Most widely used hepatoprotective plant species for treatment of jaundice in India is Boerhavia diffusa L. followed by Tinospora cordifolia (Willd.) Miers, Saccharum officinarum L., Phyllanthus amarus Schumach. &; Thonn., Ricinus communis L., Andrographis paniculata (Burm. f.) Nees., Oroxylum indicum (L.) Kurz, Lawsonia inermis L. and Eclipta prostrata (L.) L.

Conclusions

The plants recorded in the present survey have also been discussed in relation to pharmacological studies and hepatoprotective phytoconstituents present in them. Most of the recorded plants have shown hepatoprotective effects on experimental animals in earlier studies but more studies are needed to assess hepatoprotective properties of some recorded medicinal plants viz., Averrhoa carambola L., Ehretia laevis Roxb., Holarrhena pubescens Wall., Mangifera indica L., Ocimum americanum L., Oroxylum indicum (L.) Kurz, Physalis divaricata D. Don, Solanum incanum L., Sphaeranthus senegalensis DC. and Tribulus terrestris L.. The plants enumerated in this study with high number of citations and wider distributions have given some useful leads for further biomedical research. Nevertheless more phytochemical, pharmaceutical and clinical studies are needed to evaluate hepatoprotective properties, efficacy and safety of all the claimed medicinal plants.     

三乌芍蝎汤对类风湿关节炎患者细胞因子IL-18,TNF-α,IL-4,IL-10水平的影响

目的:探讨中药三乌芍蝎汤治疗类风湿性关节炎(RA)外周血细胞因子(CK)的变化。方法:随机选择RA病人63例,其中治疗组41例以三乌芍蝎汤1剂/每天,分2次口服。对照组22例,予雷公藤多苷20 mg/次,每天3次;2组均连续服用60 d。同时观察药物对患者外周血细胞因子IL-6,TNF-α,IL-4,IL-10的影响。结果:临床疗效、实验室指标治疗组明显高于对照(P0.01,P0.05);治疗组外周血4种细胞因子治疗前后自身比较,均有显著性意义(P0.05,P0.01)。与对照组比,治疗后IL-4,IL-10明显上调,有非常显著性意义(P0.01)。结论:三乌芍蝎汤治疗RA,能调节外周血异常细胞因子,明显改善病人临床症状和实验室指标。     

Antimicrobial, anti-inflammatory, antiparasitic, and cytotoxic activities of Galium mexicanum

Ethnopharmacological relevance

To study the potential benefit of the traditional Mexican medicinal plant Galium mexicanum Kunth (Rubiaceae). Hexane, chloroform, and methanol extracts as well as various fractions from these extracts were tested to determine antibacterial, antifungal, antiparasitic or anti-inflammatory activities in vitro.

Materials and methods

Aerial parts of the plant were extracted with various solvents and fractionated accordingly. Their antibacterial and antifungal activities were assessed on nine bacterial and four fungal strains. Leishmania donovani was used as a protozoan strain for antiparasitic activity. The anti-inflammatory activity of the compounds was investigated by measuring the secretion of interleukin-6 when macrophages were exposed to lipopolysaccharide.

Results

Various extracts and fractions obtained from this plant exhibit antibacterial, antifungal, antiparasitic, and anti-inflammatory activities. Of special interest was the hexane fraction HE 14b, which show antibacterial (ranging between 67 and 666 μg/ml) and antifungal (at concentrations of 333 μg/ml) activities. Also the hexane fraction HE 5 exhibited antiparasitic activity (at concentrations of 260 μg/ml), whereas the methanol fraction ME 13-15 showed a potent anti-inflammatory activity when compared to dexamethasone. Chemical analyses of the chloroform extract show the presence of triterpenes, saponins, flavonoids, sesquiterpene lactones, and glucosides, but no tannins were detected in the assayed extract.

Conclusions

The benefit of Galium mexicanum as a traditional medicinal plant was confirmed using antibacterial and antifungal assays in vitro. We also report for the first time, and to the best of our knowledge, antiparasitic and anti-inflammatory activities of this plant.     

Effects on type 2 diabetes complicated with pulmonary tuberculosis: regiment of insulin,isoniazid, rifampicin,pyrazinamide and ethambutol versus the regiment plus Qi-boosting and Yin-nourishing decoction of Traditional Chinese Medicine

OBjECTIVE:To observe the clinical effect on type 2diabetes mellitus(T2DM) complicated with pulmonary tuberculosis(TB) of insulin,isoniazid,rifampicin,pyrazinamide and ethambutol(conventional medication) administered together with Qi-boosting and Yin-nourishing decoction derived from Traditional Chinese Medicine(TCM).METHODS:A total of 60 patients with T2 DM complicated with pulmonary TB were randomly and equally divided into positive control group and treatment group.The control group was treated with Western conventional regiment(WCR):insulin,isoniazid,rifampicin,pyrazinamide,and ethambutol,whereas the treatment group was given both WCR and Qi-boosting and V/n-nourishing decoction prepared from TCM.RESULTS:After the treatment,20(66.7%) and 11(36.7%) cases showed sputum bacteria negative conversion in the WCR plus TCM group and WCM group respectively(P 0.05).A total of 25(83.3%)and 18(60%) cases showed improvement in lung lesion in the WCR plus TCM group and WCM group respectively(P 0.05).Compared with WCR group,fasting plasma glucose and 2-hour postprandial blood glucose levels in the WCR plus TCM group significantly decreased(P 0.05 and P 0.01,respectively).CONCLUSION:Qi-boosting and Yin-nourishing decoction combined with the Western medication showed better curative effect in treating T2 DM complicated with pulmonary TB compared with the group using the conventional Western Medicine alone.