推拿结合温针治疗腰椎间盘突出症临床观察

目的:观察推拿结合温针治疗腰椎间盘突出症的疗效.方法:将90例腰椎间盘突出症患者随机分为两组,观察组45例,采用推拿结合温针治疗;对照组45例,采用单纯推拿治疗.结果:观察组的总有效率为88.9％,对照组的总有效率为75.6％,两组总有效率具有统计学差异(P＜0.01).结论:推拿结合温针治疗腰椎间盘突出症疗效优于单纯推拿手法治疗.     

Effect of tuina exercise on simple obesity in college students

Objective

To observe the effect of tuina exercise on simple obesity in college students.

Methods

Fifty-seven college students with simple obesity were divided into two groups according to the stratified randomization method. Twenty-eight in the tuina exercise group were trained in tuina exercise; while 29 in the auricular acupoint sticking group were treated with acuricular acupoint sticking. The tuina exercise group was trained once every other day, and 10 times made one course. The auricular acupoint sticking was replaced once every 4 d, and 5 times made one course. After 2-course treatment, the total therapeutic effect, weight, body mass index (BMI), waist and hip circumferences, serum total cholesterol (TC), triglyceride (TG), high-density lipoprotein cholesterol (HDL-C) and low-density lipoprotein cholesterol (LDL-C) were assessed.

Results

The total therapeutic effect was 86.2% in the auricular acupoint sticking group and 85.7% in the tuina exercise group. There was no significant difference between the two groups (P>0.05). After treatment, the weight, BMI, waist and hip circumferences were decreased and the differences were statistically significant (all P<0.05). The waist and hip circumferences in the tuina exercise group were lower than those in the auricular acupoint sticking group, showing statistically significant differences (all P<0.05). After treatment, there were no significant intra-group differences in TC, TG, HDL-C and LDL-C in the two groups (all P>0.05), and the between-group differences were not significant (all P>0.05).

Conclusion

Tuina exercise has reliable effect in treating obesity. It can produce more significant improvements in waist and hip circumferences than auricular acupoint sticking. But no obvious effect is shown in blood lipid indicators.

     

捏脊加穴位贴敷治疗脾虚型小儿脑瘫的疗效观察

目的:观察捏脊加穴位贴敷治疗脾虚型小儿脑瘫的临床疗效.方法:将70例脾虚型脑瘫患儿随机分为治疗组和对照组,治疗组在采用综合康复疗法的基础上加用捏脊及穴位敷贴,对照组仅采用综合康复疗法.每天治疗1次,20 d为1个疗程,共观察3个疗程.结果:治疗组临床症状总有效率77.1％,对照组为39.9％;治疗组康复疗效总有效率为74.3％,对照组为48.6％.治疗组有效率均明显优于对照组,具有统计学意义(P＜0.05).结论:捏脊加穴位敷贴治疗脾虚型脑瘫患儿的效果明显,值得临床推广应用.     

中药穴位贴敷治疗腰椎间盘突出症103例

目的观察中药穴位贴敷治疗腰椎间盘突出症的临床疗效。方法以本院配制的活血止痛膏采用穴位贴敷的方法治疗103例腰椎间盘突出症患者。结果治愈58例,好转36例,无效9例。结论用中药穴位贴敷治疗腰椎间盘突出症具有操作简单,疗效确切,费用低廉的优点,且不影响患者活动,患者易于接受。     

Observation on warm needling therapy for third lumbar vertebra transverse process syndrome

Objective： To observe the effect of warm needling therapy plus acupuncture on third lumbar vertebra transverse process syndrome. Methods： Sixty cases of third lumbar vertebra transverseprocess syndrome were randomly divided into a warm needling groupor an acupuncture group, 30 cases in each group. Cases in the acupuncture group were treated by routine points and needle sticking manipulation, while those in the warm needling group were treated by moxibustion plus needling as same as the acupuncture group. Japanese orthopedic association scores （JOA） in the two groups were observed and compared after 2 treatment courses. Results： After treatment, the JOA score in the warm needling group was higher than that in the acupuncture group （P〈0.01）; subjective symptom, clinical syndromes, activity of daily living （ADL） in the warm needling group were all higher than those in the acupuncture group （allP〈0.05）; the score of pain in the warm needling group was significantly lower than that in the acupuncture group （P〈0.01）; the total effective rate in the warm needling group was 76.7%, versus 70.0% in the acupuncture group, showing a statistically significant difference （P〈0.05）. Conclusion： Warm needling therapy is more effective thannormal acupuncture in treating third lumbar vertebra transverseprocess syndrome.     

Clinical research on tuina plus hydro-acupuncture for lumbar intervertebral disc herniation

目的：观察推拿结合水针治疗腰椎间盘突出症的疗效。方法：将120例腰椎间盘突出症患者随机分入观察组或对照组，观察组采用推拿结合水针治疗，对照组采用单纯推拿手法治疗。结果：观察组总有效率为93.3％，对照组总有效率为75．0％，两组总有效率差异有统计学意义（P〈0．01）。结论：推拿结合水针治疗腰椎间盘突出症疗效优于单纯推拿手法治疗。     

Clinical study on tuina combined with auricular point sticking for cervical radiculopathy

Objective： To observe the clinical effect of tuina combined with auricular point sticking on cervical radiculopathy and evaluate in health economics. Methods： Using randomized single-blind controlled clinical design, a total of72 cases with cervical radiculopathy were randomly allocated into an observation group or a control group by the ratio of 1：1, 36 in each group. Cases in the observation group were treated with tuina combined with auricular point sticking, whereas cases in the control group were treated with tuina alone. Then the clinical effects in the two groups were observed and the cost of health economics was evaluated. Results： The drop-out, recovery, improvement and failure cases, recovery rate and total effective rate in the observation group were 1, 15, 20, 0, 42.9% and 100% respectively, versus 2, 6, 23, 5, 17.6% and 85.3% in the control group, showing significant differences in recovery rate and total effective rate （P〈0.05）. As for health economics, the cost-effect in the observation group was better than that in the control group. Conclusion： Compared with tuina alone, tuina combined with auricular point sticking can obtain better effect and lower cost in health economics for cervical radiculopathy.     

Clinical Study on Treatment of Cervical Spondylotic Radiculopathy by Electroacupuncture plus Tuina简

Objective： To observe the clinical effects of electroacupuncture（EA） plus tuina for cervical spondylotic radiculopathy. Methods： One hundred and twenty cases with cervical spondylotic radiculopathy were divided randomly by the digital table into the observation group and control group. The patients in an observation group were treated by EA plus tuina techniques. The patients in the control group were treated by simple tuina techniques. Results： The total effective rate was 91.7% in the observation group and 78.3% in the control group. The effective rates in the two groups were statistically different（P〈0.05）. Conclusion： EA plus tuina therapy is better than simple tuina therapy in the treatment of cervical spondylotic radiculopathy.     

Effect of electroacupuncture combined with tuina on lumbar muscle tone in patients with acute lumbar sprain

Objective： To observe the clinical effect of electroacupuncture（EA）combined with tuina on acute lumbar sprain and lumbar muscle tone before and after treatment. Methods： A total of 130 acute lumbar sprain cases were randomly allocated into an observation group and a control group, 65 in each group. Cases in the observation group were treated with EA combined with tuina, whereas cases in the control group were treated with Diclofenac Sodium Dual Release Enteric-coated capsules. The muscle tones in two groups were tested before and after treatment. Results： The recovery rate and overall response rate in the observation group were 66.2% and 93.8% respectively, versus 56.9% and 87.7% in the control group, showing no between-group statistical significances（P〉0.05）. After treatment, the force-displacement area under curve（AUC） in both groups showed a significance difference（P〈0.05）. Conclusion： Both EA combined with tuina and aforementioned oral medication have remarkable effects for acute lumbar sprain, and the former can better improve the lumbar muscle tone in patients with acute lumbar sprain.     

Clinical observation on acupuncture plus acupoint sticking for bronchial asthma in remissive state

Objective： To observe the clinical efficacy of acupuncture plus acupoint sticking for bronchial asthma in remissive state. Methods： A total of 210 cases with asthma at remissive state were randomly allocated into an acupuncture group of 100 cases and a comprehensive therapy group of 110 cases. Cases in the acupuncture group were treated with acupuncture alone, and cases in the comprehensive therapy group were treated with acupuncture plus acupoint sticking therapy. Then the therapeutic efficacies were compared using observation indexes including wheezing, cough and coughing up phlegm, peak expiratory flow （PEF） and forced expiratory volume in one second （FEV1）. In addition, the overall therapeutic efficacies were also analyzed on different traditional Chinese medicine （TCM） patterns. Results： The comprehensive therapy obtained better effects than acupuncture alone in alleviating cough and coughing up phlegm and improving PEF and FEV1; the overall efficacies on asthma due to lung-qi deficiency and spleen-qi deficiency were better than those on asthma due to kidney-qi deficiency. Conclusion： Acupuncture plus acupoint sticking is a convenient and effective therapy for asthma at remissive state and therefore worthy of being popularized.     

穴位贴敷治疗腰椎间盘突出症疗效观察

目的:观察穴位贴敷治疗腰椎间盘突出症的临床疗效。方法:将腰椎间盘突出症患者90例按门诊就诊顺序随机分为治疗组45例(穴位贴敷治疗)与对照组45例(推拿配合西药治疗),观察治疗结束后疗效及疼痛积分、JOA评分情况,并进行对照分析。结果:穴位贴敷治疗的疗效、疼痛积分与JOA评分改善情况均优于推拿配合西药治疗,P<0.05。结论:穴位贴敷是临床治疗腰椎间盘突出症的较有效方法。     

Treatment and prevention of 100 cases with allergic rhinitis by acupoint sticking therapy

Objective： To observe the clinical effects of acupoint sticking therapy in the three ten-day periods in summer and three nine-day periods in winter. Methods： Herbal medicines were prepared into crude herbal powder and made into paste with ginger juice, and were respectively applied to the corresponding acupoints in the three ten-day periods in summer and three nine-day periods in winter. Results： The results showed 45 cases were cured, 50 cases were improved, and 5 cases failed out of 100 cases, with the total effective rate of 95%. Conclusion： The acupoint sticking therapy for the treatment and prevention of allergic rhinitis is simple in method, remarkable in effects, acceptable to the patients, and is worthy of clinical popularization.     

Observation on therapeutic effect of aligned acupuncture for lumbar intervertebral disc herniation

Objective

To observe the clinical effects of aligned needling therapy for lumbar intervertebral disc herniation (LIDH).

Methods

A total of 80 cases with LIDH in conformity with the inclusion criteria were randomly divided into a treatment group or a control group by their visit order, 40 cases in each group. The points from the Governor Vessel, L1-L5 Jiaji (EX-B 2) points, from the first lateral line of the Bladder Meridian, Huantiao (GB 30), Weizhong (BL 40) and Yanglingquan (GB 34) were selected for acupuncture in the treatment group. Shenshu (BL 23), Dachangshu (BL 25), Ashi (Extra) points and Weizhong (BL 40) were used for routine acupuncture in the control group. The clinical effects of the two groups after 2-course treatments and recurrence rates three months later were observed. The pain severity before and after treatments was assessed by visual analog scale (VAS). The improvement of the patient’s pathological situation was evaluated by the performance assessment of lumbar disease treatment from Japanese Orthopedic Association (JOA).

Results

After the treatment for two courses, there was no dropped-out case in the two groups. The curative rates and total effective rates were respectively 32.5% and 92.5% in the treatment group versus respectively 12.5% and 82.5% in the control group. The differences in the curative rates and total effective rates between the two groups were statistically significant (both P<0.01). After the treatment, VAS and JOA scores remarkably declined in the patients of the two groups, with statistical differences in comparison with those of the same group before treatment (both P<0.05). In follow-up check of three months, the recurrence rate was 10.7% in the cured and remarkably effective cases in the treatment group and was 29.4% in the control group. The recurrence rates of the two groups were statistically different (P<0.05).

Conclusion

The aligned needling technique is remarkable in the clinical effects, obvious in the analgesic effects and low in the recurrence rate in the treatment of LIDH.

     

Clinical observation on tuina therapy for congenital muscular torticollis

Objective： To observe the clinical effect of spleen-strengthening and kidney-benefiting tuina therapy for congenital muscular torticollis. Methods： A total of 63 cases who met the inclusion criteria were randomly allocated into an observation group and a control group. Cases in the control group were treated with tuina manipulation on the local area, whereas cases in the observation group were treated with local tuina plus manipulation that acts to strengthen the spleen and benefit the kidney. Cases in both groups were treated three times a week, 20 times for a course of treatment. The clinical effects were observed after three courses. Results： There was no between-group significant difference in the total effective rate. However, the recovery and marked effect rate in the observation group was 63.3%, versus 33.3% in the control group, showing a significant difference （P〈0.05）. Conclusion： Combining local tuina with spleen-strengthening and kidney- benefiting tuina manipulation could obtain better effect in congenital muscular torticollis than local tuina alone.     

Clinical study on combined tuina with Qi Zheng Qing Peng paste for herniation of the lumbar intervertebral disc

目的：观察推拿手法结合奇正青鹏膏治疗腰椎间盘突出症的临床疗效。方法：。将568例腰椎间盘突出症患者随机分为3组，观察组189例，采用推拿配合奇正青鹏膏治疗；对照Ⅰ组187例，采用推拿配合双氯芬酸二乙胺乳剂治疗；对照Ⅱ组192例，采用推拿治疗。治疗4星期后比较各组疗效。结果：观察组总有效率为89．9％，对照Ⅰ组为86．6％，对照Ⅱ组为84．9％，观察组与对照Ⅱ组比较，总有效率差异有统计学意义（P〈0．05）。结论：推拿手法结合奇正青鹏膏剂对腰椎间盘突出症有良好的治疗作用。     

Clinical analysis of acupuncture combined with tuina in treating cervical vertigo

Objective： To investigate the clinical efficacy of acupuncture combined with tuina in treating patients with cervical vertigo. Methods： According to the principle of randomization, 258 cases with cervical vertigo who met the inclusion criteria for the study were randomly divided into an observation group and a control group, with 129 cases in each. The patients in the observation group received acupuncture combined with tuina therapy, while those in the control group were just treated by the same acupuncture therapy as in the observation group. After 10-day continuous treatments, the clinical efficacies of the two groups were analyzed and compared. Results： The total effective rate of the observation group was 100%, versus 86.0% of the control group, and the difference was significant（P〈0.05）. After treatment, cervical range of motion（ROM） scores in both groups were statistically significantly different from those before treatment（all P〈0.05）; in addition, there was a statistically significant difference in inter-group comparison of ROM score（P〈0.05）. Conclusion： Compared with simple acupuncture treatment, acupuncture combined with tuina therapy has a better effect in improving the ROM of cervical vertigo patients, with higher clinical efficacy.     

推拿结合温针灸治疗粘连性肩关节周围炎疗效观察

目的：观察推拿手法结合温针灸治疗粘连性肩关节周围炎的临床疗效。方法：将182例粘连性肩关节周围炎患者随机分为2组,观察组93例,予推拿手法松解结合温针灸治疗;对照组 89 例,予温针灸治疗。两组均隔日治疗1次,10次为1个疗程。观察治疗前及治疗1个疗程后肩关节功能及活动度评分。结果：观察组治愈率为 65.6%,总有效率为 97.9%;对照组治愈率为11.2%,总有效率85.4%,两组治愈率和总有效率比较,差异均有统计学意义（P〈0.01）。治疗后,两组患者的肩关节功能评分和肩关节活动度评分均有明显增加（P〈0.01,P〈0.05）,且观察组各项评分高于对照组（P〈0.01）。结论：推拿结合温针灸治疗粘连性肩关节周围炎疗效优于单纯的温针灸治疗。     

委中穴刺络放血治疗腰椎间盘突出症临床观察

目的观察舒筋止痛水拍打委中穴后刺络放血疗法治疗腰椎间盘突出症的临床疗效。方法将60例腰椎间盘突出症患者随机分成两组,治疗组采用舒筋止痛水拍打委中穴后刺络放血疗法,对照组口服塞来昔布胶囊（西乐葆）。通过NRS评分表及腰椎JOA评分表记录治疗前后临床症状的改善程度。结果治疗组总有效率为100．0％,对照组总有效率为86．7％：治疗组治疗后NRS、JOA评分改善优于对照组,具有统计学意义（P〈0．001）。结论舒筋止痛水拍打委中穴后刺络放血是治疗腰椎间盘突出症的一种有效治疗方法。     

Tuina is superior to electroacupuncture in treating thoracic facet joint disorder

Objective： To observe the clinical efficacy of tuina in treating thoracic facet joint disorder, and compare it to the efficacy of electroacupuncture （EA）. Methods： Eighty patients were randomized into a tuina group and an EA group, 40 in each. The tuina group was intervened by tuina manipulations, and the EA group was by EA treatment. Visual analogue scale （VAS）, symptoms and physical signs were evaluated before, and after 5 and 7 treatment sessions respectively, and the clinical efficacies were compared between the two groups. Results： After treatment, the recovery and markedly effective rate was 92.5% in the tuina group versus 47.5% in the EA group, and the difference was statistically significant （P〈0.01）. The total effective rate was 100.0% in the tuina group versus 85.0% in the EA group, and the difference was statistically significant （P〈0.05）. After 5 treatment sessions, the recovery and markedly effective rate was 91.9% in the tuina group versus 68.4% in the EA group, and the difference was statistically significant （P〈0.05）. The VAS scores, and total symptoms and physical signs scores were significantly reduced in both groups after treatment （P〈0.01）, and the scores in the tuina group were significantly lower than those in the EA group （P〈0.01）. Conclusion： Compared to EA, tuina is more efficient and effective in treating thoracic facet joint disorder and has obvious analgesic effect.     

Therapeutic effect of warm needling plus acupoint sticking therapy on primary dysmenorrhea due to cold-dampness retention

Objective

To observe the clinical efficacy of warm needling plus acupoint sticking therapy for primary dysmenorrhea.

Methods

A total of 60 eligible cases were randomly allocated into a treatment group (n=30) and a control group (n=30) according to their sequence of consultation. Patients in the treatment group were treated with warm needling combined with acupoint sticking therapy, whereas patients in the control group were treated with oral Ibuprofen (Fenbid) capsules. After two menstrual cycles, the visual analogue scale (VAS) score, COX menstrual symptom scale (CMSS) and clinical efficacy were compared between the two groups.

Results

After treatment, the VAS and CMSS scores were significantly reduced in both groups, indicating that both treatment protocols can remarkably alleviate pain. There was a between-group statistical difference in comparing the CMSS score (P<0.05), but no between-group statistical difference in the VAS score (P>0.05). However, the follow-up visit showed between-group statistical differences in comparing VOA and CMSS scores (both P<0.01). The clinical effect, relapse rate and long-term efficacy in the treatment group were better than those in the control group.

Conclusion

Warm needling plus acupoint sticking therapy is a simple but effective therapy for primary dysmenorrhea. In addition, it causes fewer cases with relapse.