针灸治疗顽固性呃逆

目的：针对呃逆用针灸治疗顽固性呃逆的疗效.方法：共76例患者治疗组采用针灸经络配穴,并加以补泻手法;对照组用中药汤剂治疗.结果：通过辨证施治,针灸调和阴阳,扶正祛邪,疏通经络,解除病因,停止呃逆,且未复发.结论：针灸治疗顽固性呃逆有显著的疗效.     

CLINICAL OBSERVATION ON 36 CASES OF SCAPULOHUMERAL PERIARTHRITIS TREATED BY ABDOMINAL ACUPUNCTURE AND BODY-ACUPUNCTURE

Ａｂｄｏｍｉｎａｌａｃｕｐｕｎｃｔｕｒｅｔｈｅｒａｐｙｉｓａｎｅｗｔｈｅｒａｐｙｏｆｍｉｃｒｏ ａｃｕｐｕｎｃｔｕｒｅｓｅｒｉｅｓａｆｔｅｒａｐｐｅａｒ ａｎｃｅｏｆｅａｒ ａｃｕｐｕｎｃｔｕｒｅ ,ｓｃａｌｐａｃｕｐｕｎｃｔｕｒｅａｎｄｈａｎｄａｃｕｐｕｎｃｔｕｒｅ .ＩｔｓａｃｕｐｏｉｎｔｓｄｉｓｔｒｉｂｕｔｅａｒｏｕｎｄＳｈｅｎｑｕｅ (ＣＶ 8)ａｎｄｆｕｎｃｔｉｏｎｉｎｒｅｇｕｌａｔ ｉｎｇｄｙｓｆｕｎｃｔｉｏｎｏｆｚａｎｇ ｆｕｏｒｇａｎｓ.Ｉｔｓｐｒｅｓｃｒｉｐ ｔｉｏｎｓａｒｅｍａｉｎｌｙｍａｄ…     

王树春经分针刺法的临床应用

本文概述了王树春经分针刺法的临床运用及针法特点。本针法取穴原则为人体寸寸是穴 ,不遵循传统的取穴原则及方式 ,适应于全科疾病 ,疗效较好     

针刺不同留针时间治疗顽固性呃逆临床观察

目的:探讨留针时间与疗效的关系。方法:将85例顽固性呃逆患者按就诊时间随机分为两组,观察组采用延长留针时间的方法治疗,对照组采用常规针刺的方法治疗。结果:观察组治愈率为88.9％(其中虚证治愈率为85.3％),对照组治愈率为65.0％(其中虚证治愈率为53.3％)。经X2检验,两组疗效差异有显著意义(P<0.05)。结论:延长留针时间治疗顽固性呃逆疗效高。对于虚证患者,留针时间长、病程短的治愈率明显高于常规留针时间及病程长者。     

SUCCESSFUL RATE OF IVF ON THE TYPE OF KIDNEY YANG DEFICIENCY INFERTILITY PATIENTS TREATED BY MOXIBUSTION WITH WARMED NEEDLES

Objective: To observe and evaluate the successful rate of IVF on the type of kidney yang deficiency infertility patients treated by moxibustion with warmed needles.Methods: One operator selected 60 patients with one or more times IVF, and with syndrome of kidney yang deficiency of infertility.The 60 patients were randomly divided into acupuncture treatment group(30 cases) and conventional treatment group(30 cases) by another operator.Both groups used conventional medication.Acupuncture group patients were treated with abdominal acupuncture by the third operator.Abdominal acupoints Zhongwan(CV12), double Tianshu(ST25), Daimai(GB26), Guanyuan(CV4), Qihai(CV6), Zhongji(CV3), double Zigong(EX-CA1), Xuehai(SP10), Zusanli(ST36), Sanyinjiao(SP6), and Taichong(LR3) were selected.Needling reinforcement technique was used, and the needles were retained for 30 min, 1 time/d.Moxibustion with warmed needles on double Zigong(EX-CA1) and Zusanli(ST36), 10 d a month at the start of treatment before menstruation was applied.Women during menstrual period were not given any treatments.Continuous treatment lasted for three months before embryo transfer.Normal group was given routine drug treatment for 3 months before embryo transfer.Successful rates of IVF of the two groups were compared.Results: The successful rate of moxibustion with warmed needles treatment was 46.7%, and the success rate of the conventional treatment was 30%.There was no significant difference between the two groups(P0.05).Conclusion: Moxibustion with warmed needles treatment on syndrome of kidney yang deficiency can increase IVF successful rate.There is no significant difference between the two groups.The reason may be small sample size and short treatment period.Our further research will increase the sample size and prolong treatment period.     

水针治疗呃逆临床观察

目的 探讨呢逆的针灸治疗方法。方法 对100例呢逆患者随机分成水针组和体针组，两组进行比较。结果 水针组治愈率和有效率分别为86％、100％；体针组为70％和92％，两组比较P＜0．05，疗效差异显著。结论 水针治疗呃逆疗效明显优于体针组。     

针刺天鼎穴治疗顽固性呃逆47例疗效观察

目的:探求治疗呃逆的有效简便针法.方法:将94例患者随机分为治疗组(针刺天鼎穴组)和对照组(常规取穴组)各47例,分别进行辨证施治,比较治疗10次内的疗效.结果:两组对顽固性呃逆原发性实证的疗效均优于继发性虚证(均P<0.05);两组疗效差异无显著性意义(P>0.05).结论:针刺天鼎穴治疗呃逆简便易行,疗效确切.     

针刺背俞穴治疗慢性疲劳综合征临床研究

目的:研究针刺背腧穴治疗慢性疲劳综合征(CFS)的临床疗效及安全性。方法:120例CFS患者随机分为对照组60例和治疗组60例,对照组给予非穴点浅刺,治疗组给予针刺背俞穴(双侧心俞、脾俞、膏肓俞)治疗,两组均留针20min,1周治疗5次,治疗4周。应用Chadler疲劳量表、整体健康水平量表(SF-20)和患者满意度自评量表对疗效给予评价,并于治疗后3个月±7d内给予随访。结果:近期疗效:两组治疗后Chalder疲劳量表得分均较治疗前显著减少(P<0.01),治疗组疗效优于对照组(P<0.01);对照组SF-20得分仅在生理功能及总体健康得分上较疗前提高(P<0.05),治疗组治疗后6个维度得分较治疗前均提高(P<0.01);对照组满意率36.7%(22/60),治疗组66.4%(38/59),治疗组满意度明显高于对照组(P<0.05)。随访时两组Chalder疲劳量表得分较疗前均减少(P<0.01),说明治疗持续有效,且治疗组仍优于对照组(P<0.01);对照组满意率32.0%(16/50),治疗组62.3%(33/53),治疗组优于对照组(P<0.05)。治疗期间,两组均未出现不良反应。结论:针刺背俞穴治疗CFS近期疗效明显优于对照组并且有一定中期疗效。     

COMBINED TREATMENT OF 198 CASES OF INSOMNIA WITH ACUPUNCTURE OF BODY ACUPOINTS PLUS PELLET PRESSING OF OTOPOINTS

Objective: To observe the therapeutic effect of acupuncture of body acupoints plus otopoint pelletpressing for treatment of insomnia. Methods: A total of 198 cases of insomnia patients were observed. Straight inserted the filiform needles into Shenmen (HT 7), Neiguan (PC 6), Zhaohai (KI 6) and Zusanli (ST 36) and manipulated the needles with uniform reinforcing-reducing method, then otopoints as Ershenmen (MA-TF 1 ), Shen (MA-SC), Gan (MA-SC 5), etc. were stimulated by pressing the stuck vaccaria seeds. Ten treatments were considered as a therapeutic course. Results: Of the 198 cases, 65 (32%) were cured, 76 (38%) had remarkable improvement, 53 (26%) had improvement and 4 (2%) had no effect, with the total effective rate being 97% Conclusion:Acupuncture of body acupoints plus otopoint pellet pressing works well in treatment of insomnia.     

“调神通络”针法治疗急性脑梗塞临床研究

本文根据“各种原因导致气血逆乱于上 ,脑络痹阻或血溢于脑 ,致气滞血瘀 ,脑络瘀阻 ,神明不调 ,而致中风”之论 ,运用头体针相结合的“调神通络”针刺法治疗急性脑梗塞 ,采用神经功能缺损积分、上田氏偏瘫十二级肢体功能评定、日常生活活动的指数进行临床对比观察。结果表明治疗组疗效优于对照组。     

周围性面瘫针刺介入时机的临床对比研究

目的:观察患侧局部针刺介入时间对周围性面瘫急性期面神经损伤和面瘫疗效的影响.方法:将发病3天内的279例患者随机分为4组,即A组(74例)、B组(70例)、C组(74例)、对照组(61例).各组均于发病第3天开始西药醋酸泼尼松(强的松)治疗,A组、B组、C组在此基础上分别在发病第3、7、10天开始针刺治疗,穴取患侧风池、阳白、太阳、四白、迎香,双侧合谷等,耳面部穴位用浅刺法,不用行针手法,前4次不用电针,第5次起加用电针,远道取穴平补平泻,留针20 min,隔日1次,治疗25次.比较各组临床疗效、痊愈病人平均疗程及面神经电图(ENoG)指标变化.结果:A组、B组、C组、对照组临床总有效率分别为98.6%、95.7%、94.6%、72.1%,临床疗效比较差异有统计学意义(P＜0.05),痊愈病程长短按照A组、B组、C组和对照组的次序呈递增变化;各组间ENoG值第3天、第14天差异均无统计学意义(均P＞0.05).结论:面瘫急性期为针灸治疗最佳介入时间,针刺介入时间越早,疗效越好,疗程越短.     

针灸配合中药治疗重度颅脑损伤后顽固性呃逆

目的 探讨针灸配合中药治疗重度颅脑损伤后顽固性呃逆的临床疗效.方法 将60例重度颅脑损伤后顽固性呃逆的患者随机分为两组各30例,治疗组采用针灸配合中药治疗.对照组肌注胃复安10mg,1次/8 h;鼻饲硝苯地平10 mg或多虑平25 mg,3次/d,两组均1周为1个疗程.结果 治疗组总有效率为96.67%;对照组总有效率为70.00%,两组总有效率比较,差异有统计学意义(χ2=7.68,P<0.01).结论 针灸配合中药治疗重度颅脑损伤后顽同性呃逆有良效.     

竹叶石膏汤联合针刺治疗胃失和降之呃逆验案

竹叶石膏汤出自《伤寒论》,其主要作用是益气和胃、清热生津,治疗伤寒、温病、暑病之后,余热未清、气津两伤证,为清补之剂;针刺疗法是用金属制成的针,刺入人体一定的经脉的穴位,运用手法,刺激穴位,使之得气,以调整营卫气血;呃逆为胃失和降、气逆动膈;本研究运用竹叶石膏汤联合针刺治疗胃失和降之呃逆,临床效果较明显,值得临床推广。     

“六穴九针”法治疗腰椎间盘突出症临床研究

目的：探讨＂六穴九针＂法治疗腰椎间盘突出症的临床疗效。方法：将120例患者随机分为治疗组60例和对照组60例进行疗效观察,治疗组采用＂六穴九针＂法治疗,对照组采用常规针刺法治疗,3个疗程后进行统计分析。结果：治疗组有效率为89.66%,对照组有效率为77.59%,两组有效率经统计学处理有显著性差异（P〈0.05）,＂六穴九针＂法疗效明显优于常规针刺法。结论：＂六穴九针＂法治疗腰椎间盘突出症具有良好的临床疗效。     

三才针法对中风后顽固性呃逆患者呃逆发病的频率及每次发病持续时间的影响

目的:观察三才针法对中风后顽固性呃逆患者呃逆发病的频率及每次发病持续时间的影响。方法:将70例中风后呃逆患者按照随机数字表法分为试验组和对照组各35例。两组患者均给予基础治疗,试验组另给予三才针法治疗,对照组另给予一般针刺治疗。结果:试验组治疗后呃逆发病的频率、每次发病的持续时间、起效时间、疗程均低于对照组,差异有统计学意义(P<0.05);试验组治疗后呃逆程度评分、精神及睡眠状态评分高于对照组,差异有统计学意义(P<0.05);试验组有效率为91.4%,对照组有效率为74.2%,试验组有效率优于对照组,差异有统计学意义(P<0.05)。结论:三才针法治疗中风后顽固性呃逆疗效显著,能降低呃逆发病的频率、每次发病的持续时间。     

左升右降法针灸治疗慢性腹泻52例疗效观察

目的：探寻针灸治疗慢性腹泻的有效方法。方法：对52例慢性腹泻患者运用左升右降法进行治疗。取左侧陷谷、足三里、曲池,右侧列缺,并根据辨证配以艾灸。左升右降法的操作原则为先左后右,先下后上,先四肢再腹部;左侧穴位捻针时拇指向后,示指向前,右侧相反。虚症久病均留针1 h,取针时按压针孔;实证新病留针0.5 h,取针摇大针孔。除久泻欲脱者日针2次外,其余每日针灸1次,5 d为一疗程,每2个疗程后休息2 d,5个疗程后观察疗效。结果：共痊愈36例,其中1个疗程痊愈11例,2~3个疗程痊愈19例,4~5个疗程痊愈6例;好转8例;未愈6例;总有效率88.0%。结论：左升右降法针灸治疗慢性腹泻具有较好的疗效。     

OBSERVATION ON THE THERAPEUTIC EFFECT OF CT—AIDED SURROUNDING NEEDLING IN THE TREATMENT OF ISCHEMIC STROKE AND CHANGES OF PLASMA CATECHOLAMINE LEVEL

Ｓｔｒｏｋｅｉｓａｃｏｍｍｏｎｌｙｍｅｔａｎｄｆｒｅｑｕｅｎｔｌｙｏｃｃｕｒｒｉｎｇｄｉｓｅａｓｅｉｎｃｌｉｎｉｃ ,ａｎｄｉｓｏｎｅｏｆｔｈｅｄｉｓ ｅａｓｅｓｗｉｔｈｈｉｇｈｅｒｍｏｒｂｉｄｉｔｙ ,ｈｉｇｈｅｒｍａｉｍｒａｔｅａｎｄｈｉｇｈｅｒｄｅａｔｈｒａｔｅｉｎｔｈｅｗｏｒｌｄ .Ｉｎｏｒｄｅｒｔｏｓｅａｒｃｈｆｏｒｍｏｒｅｅｆｆｅｃｔｉｖｅａｃｕｐｕｎｃｔｕｒｅｔｈｅｒａｐｙｆｏｒｔｒｅａｔｍｅｎｔｏｆｉｓｃｈｅｍｉｃｓｔｒｏｋｅ ,ｔｈｉｓｐａｐｅｒｓｕｍｓｕｐｒｅｓｕｌｔｓｏｆＣＴ ａｉｄ…     

头穴久留针治疗多发性抽动症

目的:观察头针不同留针时间对多发性抽动症(TS)的疗效差异.方法:将入选的62例TS患者按就诊先后顺序以区组随机化法分为观察组和对照组各31例,两组治疗主穴均取额中线、顶中线、顶旁1线,配穴取顶颞前斜线、颞后线.观察组每次留针2 h,对照组留针30 min,隔日1次,观察治疗2个月.采用耶鲁抽动程度综合量表(YGTSS)和多发性抽动症综合量表(TSGS)为疗效评定标准,于治疗前后分别进行症状评分并进行疗效对比观察.结果:观察组和对照组治疗前后自身对照疗效比较差异均有统计学意义(P＜0.01),针刺治疗能够有效改善运动性抽动和发声性抽动等症状;观察组的总有效率为61.3%,对照组为67.7%,两组比较差异无统计学意义(P＞0.05).结论:头穴留针2 h与头穴留针0.5 h均可有效改善TS患者的症状,治疗效果大体一致,无疗效差异.     

Clinical research on acute lumbar sprain by Qi-inducing acupuncture manipulation

目的:探讨针刺导气法治疗急性腰扭伤的临床价值.方法:将60例急性腰扭伤患者随机单盲分为两组,观察组30例,在针刺得气的基础上施以导气法治疗;对照组30例,在常规针刺得气后留针20 min.3 d后观察疗效.结果:观察组痊愈率为86.7%,对照组为43.3%,观察组痊愈率明显优于对照组(P＜0.01).结论:针刺导气法是治疗腰扭伤的一种较好的方法.     

针刺对单纯性肥胖症患者食欲的影响

目的:评价针刺疗法对单纯性肥胖症患者食欲调控的影响。方法:采用随机单盲试验方法,将118例单纯性肥胖症患者按2∶1比例随机分为试验组76例和安慰组42例。试验组取腹部以脐为中心12穴并配合梁丘(双)、足三里(单)、阴陵泉(单)进行针刺,隔日1次,共治疗12次;安慰组采用假针刺。观察两组患者治疗前后体质量指数(BMI)、热量摄入、胃液体残存率、食欲情况VAS量表分值及3个月后回访BMI及热量摄入的变化。结果:试验组患者治疗后BMI较安慰组明显改善(P<0.01)。试验组患者在治疗后0.5h、1h胃液体残存率均较安慰组明显升高(P<0.05)。试验组患者在治疗后进食欲望、饥饿感、意愿进食数量的分值都较安慰组有明显改善(P<0.05)。3个月后随访中显示,试验组BMI较安慰组仍有明显改善(P<0.01),且摄入热量较安慰组明显降低(P<0.01)。结论:针刺治疗可明显降低单纯性肥胖症患者BMI,并减慢胃排空,降低患者食欲,控制其摄食行为,达到减重及控制体重的效果。