Clinical observation on comprehensive treatment on cutaneous region for low back pain

Objective： To observe the clinical effects of comprehensive treatmenton cutaneous region for low back pain. Methods： One hundred and twenty outpatients with low back pain who met the diagnostic criteria were randomly divided into a cutaneous region group or a medication group, 60 cases in each group. The cases in the cutaneous region group were treated by Nie-pinching up the skin of the lumbosacral region, cupping and acupuncture. Those in the medication group were treated by oral administration of Celecoxib capsule. The visual analogue scale （VAS） and Oswestry disability index （ODI） were used to assess the therapeutic effects. Results： After treatment, the VAS scores of both groups were different from those before treatment, showing statistical significances （allP＆lt;0.01）. The D-valuse of VAS scores of both groups were different from those before treatment, showing statistical significances （allP＆lt;0.01）. The D-value of OID scores in the cutaneous region group was significantly different from that in the medication group（P＆lt;0.01）. After treatment, the total effective rate was 91.7% in the cutaneous region group versus 76.7% in the medication group, there was a significant difference in comparing the clinical effect （P＆lt;0.01）. Conclusion： Both comprehensive treatment on the cutaneous region and Celecoxib capsule can obviously relieve low back pain. But comprehensive treatment on the cutaneous region is better than Celecoxib capsule in the therapeutic effects.     

Observation on the effect of acupoint injection plus massage therapy on primary dysmenorrhea

Objective： To observe the clinical effects of acupoint injection therapy plus massage on primary dysmenorrhea （PD）. Methods： Ninety patients with PD were randomly divided into a treatment group or a control group, 45 cases in each group. The treatment group was treated by injection of Vitamin K3into Sanyinjiao （SP 6） plus massage on Diji （SP 8）. The control group was treated by oral administration of Ibuprofen sustained-release capsule. Before and after the treatment, visual analogue scale （VAS） was adopted to assess pain degree of the patients. The therapeutic effects were observed after continuous treatment of three cycles of menstruation. Results： After treatment, VAS scores were obviously decreased in both groups and the differences were statistically significant （allP＆lt;0.05）. The difference in VAS score after treatment was more significantin the treatment group than that in the control group （P＆lt;0.01）. The total effective rate was significantl higher in the treatment group than that in the control group （P＆lt;0.05）. Conclusion： Acupoint injection therapy plus massage for PD is effective and better than simple oral administration of Ibuprofen sustained-release capsule.     

Therapeutic Observation on Combined Acupuncture and Medication for Recurrent Facial Dermatitis简

Objective： To observe the clinical efficacy of acupoint injection plus medication in treating recurrent facial dermatitis（RFD）. Methods： Fifty-eight patients with RFD were randomized into a treatment group and a control group, 29 in each. The treatment group was intervened by acupoint injection with BCG-PSN plus oral administration of Fexofenadine Hydrochloride, and the control group was by Fexofenadine Hydrochloride only. The clinical efficacies were compared between the two groups, and a follow-up study was conducted to investigate the recurrence rate. Results： The total effective rate was 96.6% in the treatment group versus 65.5% in the control group, and the difference was statistically significant（P〈0.01）. Of the cured and improved patients in the treatment group, the recurrence rates were 10.7%, 25.0%, and 32.1% respectively 3 months, 6 months, and 12 months after treatment, versus 31.6%, 36.8%, and 73.7% in the control group, and the differences were statistically significant（P〈0.05）. Conclusion： Acupoint injection plus medication is an effective method in treating RFD.     

Observation on Therapeutic Effects of Acupuncture plus Psychological Intervention for Postpartum Depression

Objective： To observe the therapeutic effect of acupuncture plus psychological intervention for postpartum depression. Methods： By random number table, 85 patients with postpartum depression were divided into a treatment group and a control group. Forty-three cases in the treatment group were treated by acupuncture plus psychological intervention, once every day, five sessions per week, and rest at weekend. Forty-two cases in the control group were treated by oral administration of Fluoxetine Hydrochloride, 20 mg, once per day. The two groups were treated continuously for six weeks. The change of the score in Hamilton depression scale （HAMD） was observed and the therapeutic effect was summarized. Results： The total effective rate was 90.7% in the treatment group and 90.5% in the control group. The difference in the total effective rate between two groups was not statistically significant （P〉O.05）. In the intra-group comparisons of HAMD scores two, four and six weeks after treatment in both groups with those before treatment, the differences were statistically significant （all P〈0.05）. In comparison between the two groups at the same time point, the differences in HAMD scores were not statistically significant （all P〉0.05）. Regarding the adverse events, 5 cases had nausea, 3 cases had dizziness, and 6 cases had poor appetite in the control group; no obvious adverse events happened in the treatment group. Conclusion： Acupuncture plus psychological intervention for postpartum depression is as same as oral administration of Fluoxetine Hydrochloride in therapeutic effects, but it does not have adverse reaction.     

针刺加刺络与卡马西平治疗偏头痛效应差异的观察（英文）

Objective:To observe the clinical therapeutic effect on migraine treated with acupuncture combined with blood-letting therapy.Methods:A total of 90 patients of migraine were included in compliance with the requirement and divided into a blood-letting therapy group,a western medication group,an acupuncture plus blood-letting therapy group,30 cases in each one according to the random number table.In the two control groups,the simple blood-letting therapy was exerted at Dazhui(大椎 GV14) and the oral administration with carbamazepine were provided respectively.In the acupuncture plus blood-letting therapy group,acupuncture was exerted at Baihui(百会 GV20) and other points,with blood-letting therapy combined.The treatment was given once daily and 12 treatments were as one course.After 2 courses of treatment,the score of therapeutic effect on symptoms and signs,pain score of visual analogue scale(VAS) and clinical therapeutic effect were compared among the three groups before and after treatment.Results:At the end of treatment,the scores for symptoms and signs and VAS score were reduced obviously as compared with those before treatment in the three groups(all P 0.01).Compared with the blood-letting therapy group and the medication group,the scores for symptoms and signs and VAS score were all reduced more obviously in the acupuncture plus blood-letting therapy group respectively(all P0.01) and the differences were not significant between the blood-letting therapy group and the medication group(P 0.05).The total effective rate in the acupuncture plus blood-letting therapy group was higher obviously than either the blood-letting therapy group or the medication group(both P 0.05).Conclusion:Acupuncture combined with blood-letting therapy achieves a better clinical therapeutic effect on migraine as compared with either simple blood-letting therapy or medication.Such combined treatment obtains a satisfactory therapeutic results and deserves to be promoted in clinical application.     

Effect of a comprehensive therapy plus Gushenyutai plaster admin- istered at Guanyuan （CV 4） on male infertility associated with se- men non-liquefaction

OBJECTIVE： To observe the clinical effect of Gushenyutai plaster administered at the Guanyuan（CV4） acupoint on male infertility associated with semen non-liquefaction.METHODS： Sixty-two male patients with infertility caused by semen non-liquefaction were random-ized into a treatment and control group. The control group received comprehensive therapy, which included oral administration of clarithromycin sustained release tablets, hip bath with Zhongyaoxiaoyan granules, prostate massage, and transurethral microwave treatment. The treatment group was administered Gushenyutai plaster in addition to the comprehensive therapy. Both groups were treated for 8 weeks. After treatment, the clinical effect and pregnancy rate were assessed and compared between the two groups.RESULTS： The effective rate of the treatment group was significantly higher than that of the control group（96.77% vs 70.97%, P〈0.05） and the pregnancy rates of the treatment group and control groups were 38.71% and 16.13%, respectively（P〈0.05）.CONCLUSION： The effect of Gushenyutai plaster plus comprehensive therapy was better than that of the comprehensive therapy alone on male infertility induced by semen non-liquefaction.     

Therapeutic effect observation on combining electroacupuncture and tuina for migraine

Objective： To observe the clinical effect of combining electro- acupuncture and local tuina for migraine. Methods： A total of 94 migraine cases were randomly allocated into an observation group and a medication group, 48 cases in each group. Electroacupuncture and local tuina were used for cases in the observation group, whereas oral Flunarizine Hydrochloride capsules were used for cases in the medication group. Then the frequency of attacks, severity of the pain, duration of the headache, and associated symptoms of headache before and after treatment in the two groups were observed and compared. Results： The total effective rate in the observation group was 93.8%, versus 63.0% in the medication group, showing a statistical significant difference （P〈0.05）. There were statistical significant differences in frequency of attacks, severity of the pain, duration of the headache and associated symptoms between the two groups （P〈0.05）. In addition, there were statistical significant differences in relapse rates after 4 and 8 weeks of treatment （P〈0.05）. Conclusion： Combining electroacupuncture and local tuina can obtain better effect and lower relapse rate than oral Flunarizine Hydrochloride capsules in migraine patients.     

从心脑论治电针中风后焦虑障碍:随机对照试验（英文）

Objective:To evaluate the differences in the clinical effect and the safety in the treatment of post-stroke anxiety disorder(PSAD) between electroacupuncture(EA) and paroxetine on the base of the heart-brain theory.Methods:A total of 70 patients of PSAD were randomized into an EA group and a medication group,35 cases in each one.In the EA group,four acupoints were selected and divided into two pairs.In the Pair A,there were Baihui(百会 GV20) and Fengfu(风府 GV16).In the Pair B,there were Xinshu(心俞 BL15)and Shenmen(神门 HT7).After acupuncture,the electroacupuncture apparatus was applied.The duration of needle retention was 20 min.EA was given three times a week,totally for 4 weeks.In the medication group,paroxetine tablets were administered orally,10 mg daily in the first 4 days and 20 mg afterwards,totally for 4 weeks.Before and after treatment,as well as in the follow-up period,Hamilton anxiety scale(HAMA),Barthel index(BI) for daily life ability,and clinical global impression(CGI) were observed and the clinical therapeutic effect was evaluated separately.Results:A total of 3 cases were dropped-out in the medication group.Finally,35 cases in the EA group and 32 cases in the medication group were included in the analysis.Compared with the scores before treatment,the scores of HAMA and CGI-SI(severity of illness) were lower and the scores of BI were higher after treatment and during the follow-up in either the EA group or the medication group(all P0.05).Compared with the scores after treatment,the differences were not significant in HAMA and CGISI scores during the follow-up in either the EA group or the medication group(all P0.05).Compared with the medication group,BI score in the EA group was higher in the follow-up,indicating the statistical significance(P 0.05).After treatment,CGI-SI score was different statistically between the EA group and the medication group(P0.05).There were 5 cases with adverse reactions in the EA group and 9 cases in the medication group.Conclusions:The therapeutic effect of electroacupuncture on the base of heart-brain theory is similar to the oral administration of paroxetine in the treatment of post-stroke anxiety disorder.This therapy relieves anxious emotions,promotes the recovery of limb function and has less adverse reactions in the patients.     

电针联合隔姜灸对多囊卵巢综合征不孕患者子宫内膜容受性的影响

Objective:To observe the effect of the combined therapy of electroacupuncture(EA) and ginger-isolated moxibustion on endometrial receptivity in the patients with polycystic ovarian syndrome(PCOS).Methods:A total of 70 subjects of PCOS were randomized into two groups,35 cases in each one.In the western medication group,letrozole and human chorionic gonadotropin(HCG) were administered.In the combined therapy group,on the base of the treatment as the western medication group,the artificial cycle therapy with EA and ginger-isolated moxibustion was provided.The treatment duration was 3 menstrual cycles in two groups.After treated for 3 menstrual cycles,the symptom score of traditional Chinese medicine(TCM),endometrial thickness,the number of ovulation cycle,endometrial morphology,bilateral uterine artery pulsatility index(PI),resistance index(RI),the sum of peak systolic velocity/end diastolic velocity(S/D) and pregnancy were compared in the patients between two groups.Results:(1) After treatment,the endometrial thickness was better(0.21 ± 0.13 vs 0.14 ± 0.08,P <0.01),TCM symptom score reducing range was larger(5.00 ± 2.24 vs 0.52 ± 1.66,P <0.01),the reducing degrees of bilateral uterine artery PI,RI and S/D sum were better(0.62 ± 0.26 vs 0.04 ± 0.15,0.08± 0.05 vs0.01±0.05,0.61±0.33 vs 0.07±0.17,0.11±0.05 vs 0.01 ± 0.05,4.80±1.14 vs 0.15 ± 0.89,all P <0.01) in the combined therapy group respectively as compared with the western medication group.After treatment,the number of ovulation cycle and the proportion of A+B type of endometrial morphological were higher in the combined therapy group(2.09 ± 0.78 vs 1.27 ± 0.84,87.5% vs 60.61%,P <0.01,P <0.05) as compared with the western medication group respectively.(2) The clinical pregnancy rate was56.25% in the combined therapy group,better than 30.30% in the western medication group(P <0.05).The early abortion rate was 10.53% in the combined therapy group,lower than 50.00% in the western medication group(P <0.05).Conclusion:The combined treatment of electroacupuncture and ginger-isolated moxibustion with western medication effectively improves endometrial receptivity,increases clinical pregnancy rate and reduces early abortion rate in the patients with PCOS.     

天枢超声中药透入治疗阿片类所致肝郁脾虚型便秘的临床观察（英文）

Objectives:To observe the clinical effect on opioid-induced constipation of liver stagnation and spleen deficiency treated with the ultrasonic penetration of the No.1 constipation herbal formula at Tiānshū(天枢 ST25).Methods:A total of 126 patients that were in compliance with the inclusion criteria were randomized into an acupoint group(41 cases),a Chinese medication group(42 cases) and a western medication group(43 cases).In the acupoint group,the ultrasonic penetration of the No.1 constipation herbal formula at bilateral Tiānshū(天枢 ST25) were given.In the Chinese herbal medication group,the No.1 constipation herbal formula was prescribed for oral administration.In the western medication group,polyethylene glycol electrolyte powder was prescribed for oral administration.The treatment was given once a day,for 14 days totally.Before and after treatment,the constipation symptom score,the score of the patient assessment of constipation quality of life(PAC-QOL),the situation of nitric oxide synthetase(NOS) in serum were observed in each group.The safety indicators in the observation included diarrhea,allergic reaction,liver dysfunction,skin lesions,etc.Results:A total of 122 cases accomplished the trial.The total effective rate was 82.5% in the acupoint group,80.48% in the Chinese medication group and 78.04% in the western medication group.The constipation symptoms were all relieved in the three groups,indicating the statistical significance as compared with those before treatment(P0.01,P 0.05).In the acupoint group and the western medication group,the improvements in the three symptom items,i.e.distention or scurrying pain in the chest,hypochondriac region or the bilateral sides of the abdomen,depression or irritability and poor appetite,were better than the western medication group(P0.01,P 0.05).The improvements in all of the symptoms in the acupoint group were better than the Chinese medication group(all P0.05).The PACQOL score was improved in each group after treatment and it was different significantly in statistics as compared with that before treatment in each group.After treatment,the improvement of PAC-QOL score in the acupoint group and the Chinese medication group was better than that in the western medication group(both P 0.05),and the improvement in the acupoint group was better than the Chinese medication group(P 0.05).As to serum NOS,after treatment,it was different significantly as compared with that before treatment in each group(all P 0.05),the improvement in the acupoint group was better than that of either the Chinese medication group or the western medication group,indicating the statistical significance(both P0.05).The incidence of adverse reaction in the acupoint group was less and different significantly as compared with the western medication group(P0.01),and it was different statistically as compared with the Chinese medication group(P0.05).Conclusion:The ultrasonic penetration of the No.l constipation herbal formula at Tiānshū(天枢 ST25) is effective on opioid-induced constipation of liver stagnation and spleen deficiency.This therapy achieves the significant therapeutic effect and presents the good compliance in treatment.Hence,it deserves to be further promoted in clinical application.     

云淡风轻

试着去攀登一座山，体会它的高度——而不是仰望或仅仅想象。     

黄晓和的音乐人生

黄家兄妹六人，均自幼学习音乐：大哥黄晓庄作曲，大姐黄晓芬拉大提琴，二姐黄晓而搞声乐，二哥黄晓同指挥，妹妹黄晓芝拉小提琴。黄晓和自幼学习小提琴，后改修音乐理论。     

养生长寿话七情

七情，系指精神活动所呈现的喜、怒、忧、思、悲、恐、惊七种情绪，属生理活动范畴，一般不会致病。但若情志过激，失去节制则可使内脏功能失常气皿逆乱而影响健康。近年，精神因素与健康长寿的关系愈来愈为国内外医家所重视。祖圈医学，视七情为内伤发病之主因，历来主张减少和避免情志所伤以达到“形与神俱，而尽终其天年”。可见，精神保养是抗老防衰，摄生保健之要素，在防治疾病、延年益寿中占有重要位置。     

Biosynthesis of the pigments of life

Chlorophyll can be chosen as the fundamental pigment of life. Related to it is protoheme, the red pigment of blood. These substances are found to be biosynthesized from the same parent substance called uroporphyrinogen-III. This paper covers research over a period of 19 years, which has gradually revealed the details of Nature's pathway to uroporphyrinogen-III.     

血浊的“前世今生”之危险因素浅析

血浊,其形成与当代人类的生活方式、饮食习惯、社会和自然环境等密切相关,是脏腑功能失调的"果"和"因",具有致病隐匿、致病广泛、缠绵难去的特点,影响诸多脏腑的生理功能。故通过探讨血浊的形成和发展,以更好地理解血浊理论,提高对调控血浊的重视程度,为指导临床提供更多思路。     

十二月星座浪漫冬季生活

冬季忧郁症的外感内因，是由于严寒的气候作用于人体所致。寒冷使肌体新陈代谢和生理机能处于抑制状态，体内调节物质代谢的环磷腺苷、环磷酸腺乌苷的含量减少。冬季日照时间的相对缩短，使脑内褪黑素分泌增加，从而造成脑垂体及肾上腺皮质功能紊乱。[编者按]     

孙一奎之生命本源说

孙一奎为明代医家，对生命本源问题的研究，见解独到。其以太极图示生命之本源，以命门学说论生命之本源，并详细说明了人之生命形成的重要过程，形成了系统、完善的生命本源论，为中医学术发展作出了重要贡献。     

私享生活及其他

从心理学角度讲，人类独处时容易寂寞，和他人相处时则容易焦虑，拥挤的城市遍布盘根错节的网，人是网上交结的点，能力愈大，捆缚愈多，人人都不想被环境拥抱到窒息，也害怕被群落抛离，只想在喧闹城市中，打造一个只发球自己的磁场——也许这就是私享欲望的由来。     

长命锁

中国民间把锁的用处加以夸张引申，便可用来锁住无形的事物，父母们希望长命锁能“锁”住孩子的生命，辟灾去邪，伴随到他们长大成人。     

坝美桃源记

处于云南省东南的文山州大部分属于喀斯特地质构造，地下水极其丰富，石灰岩质的山峰历经侵蚀，山山有洞，洞洞相连。 几乎与世隔绝的坝美村是深居其中的一个小村落，全村100余人家，村民均为壮族“沙”支系。