推拿治疗小儿腹泻94例

Infantile diarrhea is one of the common infantile diseases, manifested chiefly in clinic as increased frequency of daily defecation or loose stool, even watery discharge. The improper and delayed treatment as well as persistent sickness will greatly affect the growth and development of child. The writer had treated 94 cases of infantile diarrhea with Chinese massage from July 2002 to October 2005 and had achieved quite good resuits. The report is as follows.     

CLINICAL OBSERVATION ON THE TREATMENT OF 34 CASES OF SLOW TRANSIT CONSTIPATION WITH ELECTROACUPUNCTURE

Slow transit constipation(STC)is a pri marytype of idiopathic constipation.It is commonly en-countered in clinical practice and occurs pri marily inthe aged people.STCis engendered byslowtransit ofcontents in the intestines owing to hypoperistalsis ofthe segmental or whole colon,leading to abdominaldistension and pain,decrease in defecation desire andhard stool.It may be accompanied by general symp-toms of tiredness and headache.The authors of thepresent paper treated34cases of STC with el…     

Acupuncture and moxibustion for incomplete adhesive intestinal obstruction:A randomized controlled trial

Objective:To investigate the clinical efficacy of acupuncture and moxibustion for incomplete adhesive intestinal obstruction.Methods:A total of 100 patients with incomplete adhesive intestinal obstruction were randomly divided into an observation group and a control group,and there were 50 patients in each group.The control group was treated with routine western medicine treatment,while the observation group was treated with acupuncture and moxibustion therapy on the foundation of the routine western medicine treatment of the control group.Zhongwan(中脘CV12),Tianshu(天枢ST25),Zusanli(足三里ST36),Shangjiuxu(上巨虚ST37),Zhigou(支沟TE6),Dachangshu(大肠俞BL 25),and Xiaochangshu(小肠俞BL27)were taken when acupuncture was performed.Moxibustion was performed with moxibustion box on abdomen after acupuncture.The time of abdominal pain relief,the first anal exhausting,the first defecation and intestines sound recovery,surgery conversion rate and clinical efficacy were observed in the two groups.Results:The time of abdominal pain relief,the first anal exhausting,the first defecation and intestines sound recovery in the observation group were all shorter than those of the control group.There were statistically significant differences between the two groups(all P0.01).The surgery conversion rate of the observation group was lower than that of the control group,there was statistically significant difference between the two groups(P0.01).The clinical efficacy of the observation group was superior to that of the control group,the difference between the two groups was statistically significant(P0.05).Conclusions:Acupuncture and moxibustion therapy on the foundation of the routine western medicine treatment,which can reduce the surgical conversion rate and cut down the time of treatment,was superior to routine western medicine treatment on the clinical efficacy of incomplete adhesive intestinal obstruction.     

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Dr. Du Xinju, working in The 8th Room of The Rear-Service Hospital of Air Force, used pureChinese herbs to treat various tuberculosis in the lung, bone, brain, lymph, genitals, urinary and di-gective tracts, etc. , with marked effectiveness, radically-cured ability and no toxic- or side-effect.The patient with tuberculosis needed to operate can be cured with the herbs and thus without opera-tion. The chronic tuberculosis not improved by western medicines for a long time and accompaniedwith the liver function impairment and the sinus forming after operation, various tuberculosis compli-     

溃疡性结肠炎案

Patient, female, 30 years old, a stewardess. Date of visit: 11 Nov. 2009. Main complaints: repeated occurrence of abdominal distention, defecation with pus and blood for more than 2 years. She had abdominal distension, defecation with pus and     

Effect of Sini San Freeze-dried powder on sleep-waking cycle in in- somnia rats

OBJECTIVE： To investigate the effects of the Sini San at different doses on each sleeping state[slow-wave sleep 1（SWS1）, slow-wave sleep 2（SWS2）, rapid-eye-movement（REM）, wakefulness（W）] in insomnia rats and to identify its mode of ac-tion for improving sleep.METHODS： The insomnia rats were randomly divided into a high-, medium- or low-dose group of Sini San（equal to crude drug 8.8, 4.4, or 2.2 g/kg, respectively） for seven consecutive days.RESULTS： Compared with pre-administration,SWS2 was significantly increased after administration of the low dose. Compared with pre-administration, W was significantly decreased and SWS1,SWS2, and the total sleeping time（TST） were markedly increased after administration of the medium dose. Compared with pre-administration, W was significantly decreased and SWS1, SWS2, rapid-eye-movement sleep, and TST were significantly longer after administration of the high dose. The effects of Sini San on sleep-wake cycle are dose-dependent.CONCLUSION： The results suggest that Sini San extends SWS1 and SWS2, which increases the total sleeping time.     

COMMENTS ON ACUPUNCTURE TREATMENT OF DISEASES ACCORDING TO SEASONAL CONDITIONS IN 《THE INTERNAL CLASSIC》

In the present paper, the author gives some comments on acupuncture treatment of diseases from 1 ) selecting acupoints based on seasonal conditions; 2) performing reinforcing or reducing needling manipulations in accordance with the waxing and wanning of the moon; 3 ) conducting acupuncture treatment in accordance with the time and the state of disease; and 4) performing acupuncture treatment based on the prosperity or decline of the meridian-qi, which are described in medical book The Yellow Emperor‘ s Internal Classic.     

Clinical Application of Yongquan （KI 1）Acupointd

Yongquan （KI 1） is the Jing-Well point of Kidney Meridian of Foot Shaoyin. It can be used to treat many kinds of diseases, such as parietal headache, vertigo and blurred vision, hypopharynx swelling and pain, dry tongue, voice loss, epistaxis, apoplexy and apoplectic sequela, dysufia, ungratifying defecation, epilepsy, syncope, planter fever, palpitations, lower limbs spasm, hypertension, vomiting, infantile convulsion. The author applied Yongquan （KI 1） in clinical practice and obtained satisfactory therapeutic effects. Now five cases were introduced as follows.     

Acupuncture and moxibustion combined with western medication for ninety cases of Bell's palsy at different stages: A randomized controlled trial

Objective: To observe the differences in the clinical effect on Bell's palsy at the acute stage and the recover stage, as well as the differences in the clinical effect between the simple acupuncture-moxibustion therapy and the combined therapy of acupuncture-moxibustion and western medication, explore the optimal intervention time point and therapeutic regimen.Methods: All of the patients were collected from the outpatients and the inpatients in the Specific Department of Acupuncture for Facial Paralysis in Hubei Chinese Medicine Hospital. A total of 128 patients with Bell's palsy were collected from February 2017 through to February 2018 and 90 patients of them were in compliance with the inclusion criteria. 90 cases were randomized into three groups, named group A(acupuncture and moxibustion at the acute stage), group B(acupuncture and moxibustion combined with western medication at the acute stage) and group C(acupuncture and moxibustion combined with western medication at the recovery stage), 30 cases in each one. In the group A, acupuncture and moxibustion were adopted at the acute stage of Bell's palsy. In the group B, at the acute stage, acupuncture and moxibustion were adopted in combination with the oral medication of hormone and vitamin. In the group C, at the recovery stage, acupuncture and moxibustion were adopted in combination with the oral medication of hormone and vitamin. The clinical healing time and the total effective rate were observed in the patients of the three groups and the occurrence of sequelae in facial paralysis was followed-up.Result: ①The clinical healing time in the Group B was slightly shorter than the Group A, but without statistical significance in comparison(P 0.05). The clinical healing time in either the Group A or the Group B was shorter than Group C, indicating the statistical significance in comparison(both P 0.05).②The results of 3-month follow-up observation showed that there were 3 cases of sequelae in the group A, 2 cases in the Group B and 7 cases in the Group C. ③After treatment, the total effective rate in either the Group A or the Group B was higher than the Group C, indicating the statistical significance in comparison(both P 0.05).Conclusion: The simple use of acupuncture and moxibustion at the acute stage achieves the similar clinical effect on Bell's palsy as the treatment of acupuncture-moxibustion combined with western medication. The simple application of acupuncture and moxibustion prevents from the potential side effects of hormone to the largest extent and displays its dominate advantages in safety. Besides, the early intervention of acupuncture-moxibustion shortens the healing time and effectively improves the prognosis of Bell's palsy.     

Qiming granule in treating type 2 diabetic kidney disease patients:study protocol for a randomized controlled trial

Background:Diabetic kidney disease(DKD)is a chronic renal microvascular complication associated with abnormal glucose metabolism.According to traditional Chinese medicine(TCM)theory,Qi and Yin deficiency with blood stasis(the name of TCM symptoms,its main clinical features are fatigue,dry mouth,red or pale tongue,weak pulse,etc.)is the primary TCM syndrome of DKD,and Qiming granule(QMG)is suitable for the treatment of Qi and Yin deficiency with blood stasis syndrome.In view of this,we designed a randomized controlled trial to assess whether QMG is efficacious and safe in treating DKD patients.Methods:This protocol is for a randomized,double-blind,placebo-controlled,parallel group,six-centre clinical trial.A total of 180 participants will be randomized into the QMG group or placebo group,with a 1:1 ratio.The study will last for 50 weeks,including a 2-week run-in period,24 weeks of intervention,and 24 weeks of follow-up.The experimental intervention will be QMG,and the control intervention will be a placebo.The primary outcome will be the 24h urinary albumin excretion ratio and the change in the albumin-to-creatinine ratio.The secondary outcome will be evaluation of renal function,fundus changes,management of blood lipids,TCM symptom improvement and safety assessments.Adverse events will be recorded during the trial.Discussion:This study is a randomized controlled trial to test the effectiveness and safety of QMG for DKD patients.The findings of this study will help to provide evidence-based recommendations in treating DKD patients.Trial registration:Chinese Clinical Trial Registry,ChiCTR-TRC-12002953.Registered 23 December 2012.     

穴位按摩联合辨证施膳对中风后患者便秘的效果观察

目的:观察穴位按摩联合辨证施膳对中风患者便秘的临床效果。方法:中风后便秘的患者66例随机分为按摩组、施膳组和联合组,每组22例,按摩组患者采用穴位按摩法;施膳组患者采用辨证施膳;联合组采用穴位按摩联合辨证施膳。历时2周,于治疗前,治疗第7、14d,观察、对比三组患者的便秘情况。结果:①三组治疗前的排便困难、粪便性状、排便时间、下坠、不尽、胀感、排便频度和腹胀的情况差异无统计学意义(均P>0.05)。②治疗第7d,联合组的上述排便问题均较治疗前有所改善(P<0.05或0.01);按摩组的排便困难、排便时间及腹胀情况较治疗前有所改善(P<0.05或0.01);施膳组的仅下坠、不尽、胀感较治疗前改善(P<0.05)。治疗第14d,联合组的改善情况较治疗前及治疗7d后更明显(P<0.05或0.01);按摩组除排便频度外,其余项均较治疗前有所改善(P<0.05或0.01);施膳组所有观察项均较治疗前有所改善(P<0.05或0.01)。③按摩组治疗第14d的的排便困难较治疗第7d的好转(P<0.05);联合组治疗第14d的排便问题均优于治疗第7d的(P<0.01)。④治疗第7d,联合组的排便困难、排便时间和排便频度优于同期的按摩组,排便困难、粪便性状、排便时间和排便频度优于同期的施膳组。治疗第14d,联合组的排便情况均优于同期的按摩组与施膳组。结论:穴位按摩治疗联合辨证施膳对中风患者便秘效果显著。     

耳穴埋籽联合辰时穴位按揉在重症脑卒中便秘中的应用

目的:观察耳穴埋籽联合辰时穴位按揉对重症脑卒中便秘患者的治疗效果。方法:选择重症脑卒中便秘患者116例,按随机数字表法分为观察组和对照组各58例。2组患者入院后,给予脑卒中治疗及护理干预。对照组在常规治疗基础上给予便秘护理干预,观察组在对照组基础上给予耳穴埋籽联合辰时穴位按揉。比较2组排便效果、干预前后的便秘相关症状评分、首次排便时的异常情况发生率及心率和血压情况。结果:观察组排便效果优于对照组,差异有统计学意义(Z=1.847,P<0.05)。干预前,2组排便困难程度、粪便性状、排便时间评分比较,差异均无统计学意义(P>0.05)。干预后,2组排便困难程度、粪便性状、排便时间评分较干预前降低,且观察组各项评分均低于对照组,差异均有统计学意义(P<0.05)。观察组排便困难、排便费时、大便干结、大便残余感发生率均低于对照组,差异均有统计学意义(P<0.05)。干预前后,2组心率以及血压均未出现明显变化(P>0.05)。结论:耳穴埋籽联合辰时穴位按揉干预重症脑卒中合并便秘患者,可以改善便秘症状,安全性良好。     

便秘虚实寒热的辩证述要

便秘是多种原因引起的临床常见病和多发病。以．摊便间隔时间延长，大便干结难解，或虽有便意而排出困难为主要临床表现的病证。便秘已严重影响了觋代。人生活质量，给患者带来很大的痛苦，影响人们的生活和工作，中医时便秘辨证施治有较好的疗效。     

基于正常小鼠排便作用的益智仁燥性效应表征研究

目的: 观察益智仁对正常小鼠排便作用的影响及作用机制,从而对益智仁的燥性效应进行表征。 方法: 将SPF小鼠分为正常动物组、益智仁20,10,5 g·kg^-1剂量组及益智仁20 g·kg^-1与增液汤20 g·kg^-1联用组,各组动物每天灌胃给药1次,连续28 d,在第7,14,21,28 d观察对动物排便作用的影响,并从肠道水分、结肠肌电方面阐明益智仁燥性对肠道影响的机制。 结果: 在连续6 h观察中,益智仁低剂量组在28 d的首次排黑粪时间为142.7 min,干粪粒数为10.1粒,干粪重量为176.6 mg;中剂量组在21 d的首次排黑粪时间为145.4 min,干粪粒数为10.2粒,干粪重量为177.0 mg;高剂量组在21 d的首次排黑粪时间为160.3 min,干粪粒数为9.7粒,干粪重量为170.5 mg,说明益智仁能呈剂量依赖和时间依赖使得正常动物逐渐出现便秘症状。在28 d时,益智仁低、中、高剂量组的大肠肠腔水分含量分别是66.23%,64.42%,61.53%,均能显著减少大肠肠腔水分含量。在28 d时,益智仁低、中、高剂量组的结肠肌电频率分别是43.40,45.63,48.26次/min,结肠肌电振幅分别是66.23,64.42,61.53 mV,能显著增快结肠肌电频率及降低结肠肌电振幅。增液汤对于益智仁引起的上述便秘作用有显著的拮抗作用。 结论: 益智仁燥性效应表征能引起正常小鼠的便秘作用,且与促进肠道水分重吸收和减弱肠道传输能力有关。     

穴位按揉及舒适护理对急性心肌梗死患者排便的影响

目的探讨穴位按揉及舒适护理对急性心肌梗死患者排便的影响。方法选择急性心肌梗死住院患者123例,随机分为2组。治疗组65例予穴位按揉 舒适护理,对照组58例予常规护理。观察2组的首次排便时间及首次排便情况。结果首次排便时间治疗组明显早于对照组,差异有统计学意义(P<0.01);首次排便情况比较治疗组明显优于对照组,差异有统计学意义(P<0.01)。结论穴位按揉及舒适护理有利于改善急性心肌梗死患者的排便情况。     

提壶揭盖法治疗糖尿病合并便秘的临床疗效及对患者血清SP、NO 水平的影响

目的:观察提壶揭盖法治疗糖尿病合并便秘的临床疗效及对患者血清P物质(SP)、一氧化氮(NO)水平的影响。方法:选取70例糖尿病合并便秘患者,按随机数字表法分为治疗组和对照组,每组35例,治疗期间2组共脱落3例,最终纳入治疗组34例,对照组33例。治疗组在常规降血糖基础上基于提壶揭盖法组方治疗,对照组在常规降血糖基础上给予乳果糖联合枸橼酸莫沙必利治疗,2组均连续治疗8周。比较2组临床疗效、症状积分、排便情况、心理状态及血清SP、NO水平。结果:治疗组愈显率为91.18%,高于对照组的72.73%(P<0.05)。治疗后,2组大便干结、排便不畅、腹胀、里急后重及腹痛积分均较治疗前降低(P<0.05),治疗组大便干结、排便不畅、腹胀、里急后重及腹痛积分均低于对照组(P<0.05)。与治疗前比较,治疗后2组排便时间均缩短,排便频率均降低,大便性状均有改善(P<0.05);治疗组排便时间短于对照组,排便频率低于对照组,大便性状改善情况优于对照组(P<0.05)。治疗后,2组焦虑自评量表(SAS)、抑郁自评量表(SDS)评分均较治疗前降低(P<0.05),治疗组SAS、SDS评分均低于对照组(P<0.05)。治疗后,2组血清SP水平均较治疗前升高,血清NO水平均较治疗前降低(P<0.05);治疗组血清SP水平高于对照组,血清NO水平低于对照组(P<0.05)。结论:基于提壶揭盖法治疗糖尿病合并便秘,可以较好地改善患者的临床症状,改善其肠道动力及心理状态,促进排便。     

补气温阳通便散治疗老年陈旧性胸腰椎骨折患者椎体成形术术后便秘临床研究

目的:探讨补气温阳通便散治疗老年陈旧性胸腰椎骨折患者椎体成形术(PVP)术后便秘的临床疗效。方法:选取120例老年陈旧性胸腰椎骨折PVP术后便秘患者作为研究对象,随机分为两组。其中常规治疗组59例采用枸橼酸莫沙必利胶囊治疗,通便散组61例加以补气温阳通便散治疗,比较通便散组与常规治疗组中医疗效、中医症候评分、便秘症状评分、血清指标[胃动素(MOT)、活性肠肽(VIP)与生长抑素(SS)]水平变化、不良反应发生情况。 结果:治疗后,通便散组中医疗效总有效率为98.36%,明显高于常规治疗组的86.44%(P<0.05); 两组中医症候中大便干结、腹满胀痛、口干口臭、纳食减少评分均明显下降(P<0.05),且通便散组治疗后上述评分明显低于常规治疗组(P<0.05); 两组便秘症状评分中排便计时、排便频率、排便困难、排便性状分值均明显下降(P<0.05),且通便散组治疗后上述评分明显低于常规治疗组(P<0.05); 两组MOT、VIP水平明显上升(P<0.05),SS水平明显下降(P<0.05),且通便散组上述指标与常规治疗组差异明显(P<0.05); 两组均未见明显不良反应。 结论:补气温阳通便散治疗老年陈旧性胸腰椎骨折患者PVP术后便秘疗效良好,可有效改善患者便秘症状,提高生活质量。     

基于温下法治疗急性有机磷农药中毒的疗效观察

目的 观察大黄附子汤治疗急性有机磷农药中毒（AOPP）的临床疗效.方法 将60例AOPP患者随机分为两组,各30例.对照组在洗胃同时给予阿托品和氯解磷定及生命支持等治疗基础上,治疗组给予大黄附子汤,对照组予硫酸镁灌胃导泻,观察两组有效率、首次排便时间、每日排便次数、胆碱酯酶开始恢复时间及其完全恢复时间和住院天数.结果 治疗组总有效率为76.67％,对照组的总有效率为63.33％,两组患者疗效相当（P＞0.05）;治疗组首次排便时间明显短于对照组,治疗组每日排便次数明显多于对照组（P＜0.01）.两组胆碱酯酶开始恢复时间相当（P＞0.05）;胆碱酯酶最终恢复时间治疗组明显短于对照组（P＜0.01）.治疗组与对照组相比住院总天数明显减少（P＜0.01）.结论 大黄附子汤能明显缩短急性有机磷中毒患者首次排便时间,增加排便次数,助于患者尽早排出毒物,缩短患者住院时间.     

LECTURE ON ACUPUNCTURE Part I Clincal Acupuncture Lecture Thirty-one CONSTIPATION

Constipationreferstoaconditionofdifficul tyindefecationwithdischargeofdryandim pactedstool.Thepatientmayhavenodefecationforquiteafewdays.Inviewofthedifferencesinitsetiologyandpathogenesis,constipationcanbedividedintofourtypes:heattype,qistagna tiontype,qi blooddeficiencytypeandcoldtype.Constipationisoftenseeninvariousacuteandchronicdiseases.Also ,forthedifferentiationofsyndromesandtreatment,thesimplehabitualconstipationmaybereferredtointhissection .EtiologyandPathogenesis1 .Constipationdueto…     

大黄内服配合芒硝外敷治疗重症急性胰腺炎患者43例

目的：观察大黄泻下配合芒硝外敷治疗重症急性胰腺炎的临床效果。方法：将83例重症急性胰腺炎患者随机分为对照组与治疗组,对照组40例给予常规治疗,治疗组43例在常规治疗的基础上加用大黄泻下配合芒硝外敷治疗,观察对比2组患者腹痛及腹胀缓解时间、首次排便时间、住院天数及死亡率。结果：与对照组相比,治疗组患者腹痛及腹胀缓解时间、首次排便时间、住院天数均明显缩短（P〈0.05）,死亡率显著降低（P〈0.05）。结论：在综合治疗的基础上加用大黄泻下配合芒硝外敷治疗可显著缩短重症急性胰腺炎患者的腹痛及腹胀缓解时间、首次排便时间、住院天数,从而降低死亡率。