对应取穴疗法针刺治疗四肢急性筋伤临床观察

目的 观察对应取穴疗法针刺治疗四肢急性筋伤的临床疗效.方法 将患者随机分为两组,治疗组予对应取穴针刺,对照组予口服常规药物,治疗14d后观察疗效.结果 治疗组总有效率高于对照组,平均治愈天数时间少于对照组.结论 对应取穴疗法针刺治疗四肢急性筋伤临床疗效显著.     

中药封包干热外治法对腰椎压缩性骨折筋伤的疗效观察

目的：探讨中药封包干热外治法在腰椎压缩性骨折筋伤早期治疗中的效果。方法：选择60例腰椎压缩性骨折患者随机分为治疗组与对照组各30例，治疗组采用中药封包干热外治法，对照组采用跌打膏外敷法，第3天、第7天观察疼痛程度，第7天比较两组自主活动度恢复情况和接触性皮炎发生率。结果：两种外治法的疗效均有较好的止痛、自主活动恢复疗效且两者间无显著性差异，对照组接触性皮炎发生率30％明显高于治疗组3．33％（P〈0．01）。结论：中药封包干热外治法在骨折筋伤早期治疗中有其显著优势，值得临床护理摊产；     

复方软伤伸筋丸治疗膝关节骨性关节炎临床研究

目的 :探讨复方软伤伸筋丸治疗膝关节骨性关节炎的疗效机理。方法 :采用单盲法将膝关节骨性关节炎患者 2 2 0例 ,随机分为软伤伸筋丸组 (治疗组 ) 1 60例 ,壮骨关节丸组 (对照组 ) 60例 ,对比分析两组临床疗效。结果 :1治疗组临床治愈率为 88.75 % ,总有效率为 99.3 5 % ;对照组临床治愈率为 2 3 .3 3 % ,总有效率为 91 .68% ,治疗组优于对照组 ,具有显著性差异 (P<0 .0 1 )。2复方软伤伸筋丸无毒副作用。3复方软伤伸筋丸的应用可使增生骨刺吸收 ,损伤半月板修复。结论 :复方软伤伸筋丸是一种治疗膝关节骨性关节炎安全有效药物。     

山甲扶筋膏治疗慢性腰腿痛308例

目的:观察山甲扶筋膏治疗慢性腰腿痛的临床疗效。方法:将420例腰腿痛患者随机分为两组,治疗组308例,采用山甲扶筋膏治疗;对照组112例,采用1%双氯酚酸钠凝胶治疗。治疗结束后比较两组临床疗效。结果:治疗组总有效率为97.08%,对照组总有效率为77.68%,经统计学分析,P<0.01,两组比较有极显著性差异。结论:山甲扶筋膏治疗慢性腰腿痛疗效肯定,值得临床推广。     

筋伤相关理论的探讨及筋伤的治法

筋伤是中医骨伤科常见的疾病。西医治疗筋伤主要以控制症状、协调平衡为主,而中医治疗该病主要以恢复筋骨的平衡与功能为主。中医治疗该病的手段多种多样,究其原因,主要是中医学者对筋伤的理论认识不同,导致其临床治疗该病的方法也各异。深入探讨筋伤的相关理论,对临床医生治疗筋伤具有重要的指导意义。本文对筋伤相关理论进行了探讨,并介绍了在相关理论指导下的筋伤治法,以期为临床上筋伤的治疗提供参考。     

筋伤保健膏的镇痛作用实验研究

目的:观察筋伤保健膏的镇痛作用,为临床应用提供实验依据。方法:用热板法致疼痛小鼠模型,观察其镇痛作用。结果:筋伤保健膏可提高动物因热刺激致痛的痛阈值。结论:筋伤保健膏具有镇痛的药理作用。     

程氏伤骨活血膏治疗创伤临床观察

目的：阐述程氏伤骨活血膏的特点,观察程氏伤骨活血膏治疗创伤的效果,为日后临床创伤治疗提供参考.方法：选择创伤患者400例为研究对象,随机分为观察组和对照组各200例,对照组患者采用常规治疗,观察组患者在对照组的基础上应用程氏伤骨活血膏进行治疗,对比分析两组患者的临床治疗效果.结果：经治疗后,观察组第一观察期限的显效率为70.0％,第二观察期显效率为85.0％,增长明显;对照组第一观察期显效率为50.0％,第二观察期显效率为60.0％,增长不明显.另外,观察组患者第一观察期限的有效率达50.0％,第二观察期限的有效率达75.0％;对照组患者在第一观察期限的有效率为20.0％,第二观察期限的有效率为45.0％.表明程氏伤骨活血治疗创伤的临床效果较好.结论：采用程氏伤骨活血膏治疗创伤具有较理想的临床效果,并且可有效防止复发,给患者带来更好的治疗效果,值得临床推广应用.     

伸筋活血汤联合系统抚触疗法治疗新生儿硬肿症疗效观察

目的 观察伸筋活血汤联合系统抚触疗法治疗新生儿硬肿症的疗效.方法 将200例新生儿硬肿症患儿随机分为观察组和对照组各100例,在综合治疗的基础上,观察组采用伸筋活血汤联合系统抚触疗法,对照组采用传统局部按摩法,比较两组疗效.结果 观察组显效率为97％,对照组为78％,两组比较差异有显著性(P＜0.01).结论 伸筋活血汤联合系统抚触疗法治疗新生儿硬肿症能明显提高疗效.     

齐刺滞针法治疗慢性筋伤97例

中医筋伤属软组织损伤的范畴，因各种外来暴力或慢性劳损等原因所造成，主要表现为伤处疼痛或／和功能障碍，为临床常见病、多发病。近年来我科采用“动痛穴”齐刺滞针法治疗慢性筋伤，现小结如下。     

生氏黑膏药治疗筋伤的临床观察

目的：探讨生氏黑膏药治疗筋伤的临床疗效。方法：196例筋伤患者采用生氏黑膏药（由麝香、牛黄、珍珠、三七、鹿茸、冰片、血竭、鳖甲等90味原料制成）治疗。结果：痊愈162例,好转30例,无效4例,有效率97.95%。结论：生氏黑膏药治疗筋伤的疗效显著。     

微波消解-电感耦合等离子体质谱法测定脉络宁注射液中25种矿物质元素

目的建立微波消解-电感耦合等离子体质谱(ICP-MS)直接稀释测定脉络宁注射液中25种矿物质元素(Mg、Ca、Fe、Cu、Zn、Mn、Al、B、Ba、Co、Cr、K、Li、Mo、Na、Ni、P、Pb、Sr、Th、Ti、V、As、Cd和Hg)的方法。方法分别对微波消解条件和测试条件进行考察;样品经微波消解后,采用电感耦合质谱仪测定25种矿物质元素,并对测定方法学进行考察。结果确定最佳消解条件为3步缓慢升温:400 W 80℃升温10 min,保留5 min;600 W 120℃升温10 min,保留5 min;900 W 200℃升温20 min,保留20 min;25种矿物质元素在各自的线性范围内线性关系良好,r≥0.999 6,精密度、稳定性和重复性试验的RSD均符合定量分析要求;加标回收率为94.7%~106.1%,RSD在0.34%~2.79%。脉络宁注射液中检测出Mg、Ca、Fe、Cu、Zn、Mn、Al、B、Ba、Co、Cr、K、Li、Mo、Na、Ni、P、Pb、Sr、Th、Ti、V,未检出As、Cd和Hg。结论该方法简便、迅速、准确,适用于脉络宁注射液中25种矿物质元素的同时测定。     

Die Lateralität und Lateralitätsinstabilität in der Diagnostik und Therapie

The disturbance and instability of laterality are obstacles to diagnostics and therapy. Correction prior to starting therapy is required. They also predispose toward defined health problems and unspecific diseases. Numerous research activities provide evidence of the relevance of undisturbed laterality in diagnostics and therapy. Techniques of testing and therapeutic corrections will allow for optimized therapy success.     

Journal of Acupuncture and Tuina Science Instructions for Authors

The Journal of Acupuncture and Tuina Science, a journal with an international scope （IS SN 1672-3597, CN 31-1908/R, Bimonthly）, is embodied by ＇Springer Verlag＇ Database, Index Copernicus （IC） and Chinese Scientific and Technical Paper and Citations Data （CSTPCD）. You can search full text on http：//www, springerlink, com/content/1672 -3597.     

Yerba Mate or Paraguay Tea

正Beverages based on Ilex paraguariensis A.St.-Hil.are used in the south Brazil and other Latin American countries located at the so-called southern cone.It is known as chimarro or mate in south and southeast Brazil,tererêin     

Ethnopharmacologic study of chinese rhubarb

This paper deals with an interdisciplinary study covering historic, botanical, phytochemical, pharmacological and clinical aspects of rhubarb and related species, to lay stress on the correlation between plant phylogeny, chemical constituents and purgative activity.

It was found that the official rhubarbs were exclusively restricted in the Sect. Palmata e.g. Rheum palmatum R. palmatum var. tanguticum R. officinale; the following criteria may serve as their standard, viz., the presence of sennoside derivatives and rhein, the occurrence of the reduced form of rhein and aloe-emodin, the leaves with any kind of palmate incision. Comprehensive multivariate analyses showed that there is a very close relationship between the leaf incision, existence of sennosides or rhein and purgative activity.     

Wirksamkeit der Akupunktur bei der Therapie von idiopathischen Schmeckstörungen: Eine randomisierte Placebo-kontrollierte Studie

Background

At present, the state-of-the-art medication in treating idiopathic taste disorder (gustatory dysfunction) is zinc. If zinc medication was unsuccessful, not tolerated or if it is contraindicated the persons affected can hardly be helped.

Objectives

In a randomized placebo-controlled clinical trial an attempt was made to determine the efficacy of acupuncture.

Methods

The treatment group was treated with acupuncture needles, the placebo group with an inactive acupuncture-laser. Endpoints of the study were changes in the taste test, the quality of life and the severity of symptoms of depression (BDI) as well as mood changes (ZMS). Satisfaction with the success of the respective therapy was also evaluated. Data were collected before and after therapy and again for the treatment group 10 weeks after completion of the treatment period.

Findings

Treatment with real acupuncture showed a significant improvement in gustatory function as well as a significant improvement in psychological symptoms. Greater satisfaction with the treatment results was evident in the treatment group. The treatment results of acupuncture remained stable over a period of ten weeks after completion of the treatment.

Conclusion

Acupuncture was effective in the therapy of idiopathic taste disorders and therefore it is an effective alternative when zinc medication is not tolerated or unsuccessful. But it is also suitable as a therapy of first choice. Acupuncture can be considered as an extension of the therapeutic spectrum in the difficult treatment of taste disorders.     

Veränderungen der Herzratenvariabilität (HRV) während Low Level Lasernadelakupunktur: Placebokontrollierte Studie an 19 herzgesunden Probanden

Background

Experimental and clinical studies postulate a neurobiological mechanism of acupuncture by modulating central pain systems, neurohormones and -transmitters. It seems to be quite likely that the autonomic nervous system (ANS) plays an important mediating role in this neuromodulation.

Aim

In measuring heart rate variability (HRV), as a non-invasive approach to the ANS-function, the object of this study was to monitor probable acupuncture-induced changes of autonomic balance. The innovative technology of laser-needle acupuncture offers for the first time a stimulation method which fulfils the demands on a placebo-controlled acupuncture trial not requiring controversial sham acupuncture.

Method

19 healthy voluntary subjects underwent 3 treatments in randomized sequence, consisting of placebo-, 1-point- (PC 6) and simultaneous 3-point- (PC 6, LR 3, SI 3) laser-needle-stimulation over 20 minutes. Before, during and after placebo-/verum laser-needle acupuncture, HRV-data for normalized HF(high frequency)- and LF(low frequency)-Power (nHF, nLF) and their quotient nLF/nHF obtained by power spectrum analysis (FFT), were measured and analyzed statistically at 5 different time points (ANOVA repeated measures, p < 0,05).

Results

During both verum applications, the 1-point- (PC 6) as well as the simultaneous 3-point- (PC 6, LR 3, SI 3) laser-needle stimulation, significant changes of the ANS-activity were found in comparison to the placebo application. The most significant modification of HRV was an increase of nHF (p < 0,05 (PC 6), p < 0,0001 (PC 6, LR 3, SI 3)) as an expression of growing vagal activity during acupuncture.

Conclusion

Laser-needle acupuncture causes in 1-point-stimulation (PC 6) as well as in simultaneous 3-point-stimulation (PC 6, LR 3, SI 3) significant changes in HRV in comparison to placebo application. HRV-monitoring seems to be a suitable approach in exploration of acupuncture-induced changes of ANS and could possibly be established in combination with laser needle acupuncture as a standard for further scientific and clinical acupuncture investigations which are greatly needed.     

瑞香科五属植物中酚性聚合物的结构特征、分布及药理活性研究进展

瑞香科植物广泛分布于世界热带和温带地区,其中多种植物可供药用。在对该科植物的研究中发现,黄酮类、木脂素和香豆素等酚性化合物的低聚体为其重要的特征性成分,药理活性主要表现在抗肿瘤、抗炎、抗氧化、抗菌和抗病毒等方面。对已发现的酚性聚合体的化学结构、植物来源及药理活性进行综述,为瑞香科植物今后的研究和开发利用提供参考。     

HPLC法同时测定沉香化滞丸中11种成分

目的采用HPLC梯度洗脱法同时测定沉香化滞丸中沉香四醇、柚皮苷、橙皮苷、新橙皮苷、和厚朴酚、大黄素、厚朴酚、木香烃内酯、去氢木香内酯、大黄酚、大黄素甲醚11种成分。方法采用Thermo Syncronis C18色谱柱(250 mm×4.6 mm,5μm),流动相为水-乙腈,梯度洗脱:0～10 min,20%乙腈;10～20 min,20%～40%乙腈;20～24 min,40%乙腈;24～26 min,40%～52%乙腈;26～30 min,52%乙腈;30～31 min,52%～90%乙腈;31～35 min,90%乙腈;35～40 min,90%～100%乙腈;40～43min,100%乙腈;43～45min,100%～20%乙腈;检测波长215nm,体积流量1.0m L/min,柱温30℃,进样量20μL。结果各成分在43 min内分离良好,沉香四醇、柚皮苷、橙皮苷、新橙皮苷、和厚朴酚、大黄素、厚朴酚、木香烃内酯、去氢木香内酯、大黄酚、大黄素甲醚的线性范围分别为1.4～13.6、10.0～200.0、31.5～315.0、1.0～120.1、1.8～50.6、0.93～10.1、1.8～30.0、0.2～40.3、1.8～18.1、1.7～25.0、0.45～10.70μg/mL;样品中各成分的平均回收率均在98.90%～100.87%;11种成分精密度RSD在0.55%～1.54%;供试品溶液在30 h内稳定性良好,RSD在0.75%～1.94%;重复性RSD在0.39%～1.73%。6批次样品中沉香四醇、柚皮苷、橙皮苷、新橙皮苷、和厚朴酚、大黄素、厚朴酚、木香烃内酯、去氢木香内酯、大黄酚、大黄素甲醚质量分数分别为92.0～201.0、511.5～9 033.0、5 475.0～12 635.5、54.5～5 095.5、192.0～2 137.5、117.0～391.5、106.5～1 281.5、13.0～136.5、93.5～199.0、177.0～1 207.0、33.5～251.5μg/g。结论本方法准确、快速、简便,重复性好,精密度高,适用于沉香化滞丸中多种活性成分的定量分析。