腹针为主治疗儿童近视有效性的随机对照研究

目的观察腹针治疗儿童近视的临床疗效。方法将90例青少年近视患者随机分为腹针组(45例,85只患眼)和梅花针组(45例,81只患眼)。腹针组取中脘、下脘、气海、关元、商曲(双)、天枢、大横,点刺不留针,配合针刺头针百会、率谷(患侧)。梅花针组叩刺患侧眼眉,配合针刺百会、率谷(患侧)。观察两组治疗前后视力改善情况,并比较两组治疗后的疗效。结果腹针组治疗20 min、治疗4星期、随访时视力与梅花针组比较,差异具有统计学意义(P0.05,P0.01),腹针组治疗4星期及随访时的总有效率分别为72.9%、84.7%,显著高于梅花针组的53.1%、50.6%(P0.01)。结论腹针治疗儿童近视可以显著地提高患者的视力水平,即时效果、远期疗效均优于梅花针组,腹针组患者治疗4星期后的视力较治疗20 min时明显好转,说明腹针治疗有一定的时间依赖性。     

腹针治疗乳腺增生临床疗效观察

目的:验证腹针治疗乳腺增生的临床疗效.方法:将121例乳腺增生病例随机分为腹针组(64例)、常规组(57例).腹针组在基础治疗(心理疏导及口服中成药乳癖消)的同时应用腹针疗法,穴取中脘、下脘、气海、关元、滑肉门为主穴;常规组仅行基础治疗.观察治疗前后两组主症疼痛模拟量表(VAS)评分、世界卫生组织生存质量测定量表(QOL-100BREF)评分,并比较两组疗效.结果:两组治疗前后VAS评分、QOL-100BREF评分比较,差异均具有统计学意义(均P＜0.05),两组治疗均可有效改善疼痛和生存质量;腹针组总有效率为84.4％(54/64),优于常规组的68.4％(39/57,P＜0.01).腹针治疗对中度疼痛疗效最优(P＜0.05).结论:腹针治疗乳腺增生病可以改善患者临床症状,提高患者生存质量.     

腹针结合气海穴瘢痕灸治疗肩周炎15例

目的:验证腹针结合气海穴瘢痕灸治疗肩周炎的疗效.方法:将30例肩周炎患者随机分为针灸组和针刺组,每组15例.两组均给予腹针治疗,穴取中脘、下脘、商曲、滑肉门,针灸组在此基础上予气海穴瘢痕灸治疗,每周5次,共治疗15次,治疗第20天进行疗效评定.结果:针灸组和针刺组有效率均为93.3％( 14/15),针灸组愈显率为86.7％( 13/15),优于针刺组的53.3％( 8/15,P＜0.01);两组治疗后疼痛积分和肩关节活动功能积分均较治疗前明显升高(均P＜0.05),针灸组较针刺组升高更明显(均P＜0.05).结论:腹针结合气海穴瘢痕灸治疗肩周炎疗效优于单纯腹针治疗.     

王不留行籽耳穴贴压治疗青少年近视70例

目的:观察王不留行籽耳穴贴压治疗青少年近视的临床疗效。方法:在140例(256只眼)青少年轻度近视眼患者中,随机分为治疗组(70例,126只眼)和对照组(70例,130只眼),治疗组采用王不留行籽贴压耳穴眼、目1、目2、肝、脾、肾等治疗,对照组用复方托吡咔胺液滴眼液每晚睡前滴眼1次,6周后用国际标准视力表观察视力变化。结果:王不留行籽贴压耳穴组治疗后视力提高明显,疗效优于对照组,两组总有效率分别为83.33%和62.07%,两组比较差异显著(P<0.01)。结论:王不留行籽耳穴贴压治疗青少年轻度近视有显著的临床疗效,且简便易行。     

耳穴贴压治疗儿童弱视疗效观察

目的:比较耳穴贴压与常规西医综合疗法治疗儿童弱视的疗效差异.方法:将230例弱视患儿随机分为两组,耳压组120例(212只眼)采用王不留行籽贴压耳穴眼、神门、肝、脾、肾等治疗,综合组110例(194只眼)运用西医常规综合疗法治疗,包括遮盖法、配镜矫正及家庭精细作业训练.分别观察两组患儿视力改善情况,并随访3年.结果:屈光不正性弱视耳压组、综合组有效率分别为81.0％( 64/79)、52.2％( 36/69);屈光参差性弱视耳压组、综合组有效率分别为73.1％( 49/67)、47.7％( 31/65);斜视性弱视耳压组、综合组有效率分别为71.2％( 47/66)、45.0％( 27/60),各类型弱视耳压组的疗效均优于综合组(均P＜0.05).结论:耳穴贴压治疗儿童弱视疗效优于西医常规综合疗法,可明显改善患儿的视力情况,且操作简便.     

耳穴贴压治疗儿童弱视疗效观察

目的:比较耳穴贴压与常规西医综合疗法治疗儿童弱视的疗效差异.方法:将230例弱视患儿随机分为两组,年压组120例(212眼)采用王不留行籽贴压耳穴眼、神门、肝、脾、肾等治疗,综合组110例(194眼)运用西医常规综合疗法治疗,包括遮盖法、配镜矫正及家庭精细作业训练.分别观察两组患儿视力改善情况,并随访3年.结果:屈光不正性弱视耳压组、综合组有效率分别为81.0％(64/79)、52.2％(36/69)；屈光参差性弱视耳压组、综合组有效率分别为73.1％(49/67)、47.7％(31/65)；斜视性弱视耳压组、综合组有效率分别为71.2％(47/66)、45.0％(27/60),各类型弱视耳压组的疗效均优于综合组(均P＜0.05).结论:耳穴贴压治疗儿童弱视疗效优于西医常规综合疗法,可明显改善患儿的视力情况,且操作简便.     

腹针治疗混合痔术后疼痛108例疗效观察

目的:观察腹针治疗混合痔术后疼痛的临床疗效.方法:将200例混合痔术后疼痛患者随机分为2组,腹针组108例,取中脘、关元、气海等穴进行腹针治疗;对照组92例,采用口服去痛片治疗.观察治疗后1小时、3小时止痛效果.结果:腹针组各级别在1小时、3小时的疼痛程度与时照组比较,差异均有显著性意义(P＜0.05).治疗后3小时止痛效果,总有效率腹针组为93.5%,对照组为78.3%,2组比较,差异有显著性意义(P＜0.05).结论:腹针能较好地缓解混合痔术后患者的疼痛.     

腹针结合龙氏正骨手法治疗神经根型颈椎病近远期疗效观察

目的:比较单纯龙氏正骨、腹针与腹针结合龙氏正骨手法治疗神经根型颈椎病(CSR)的近远期临床疗效,寻找较好的治疗方法。方法:将180例CSR患者随机分为腹针正骨组、正骨组和腹针组,每组60例。腹针正骨组采用腹针结合龙氏正骨手法治疗,腹针穴取中脘、关元、石关、商曲等,正骨手法采用仰头摇正、侧头摇正等龙氏正骨手法。正骨组和腹针组单纯采用龙氏正骨手法和腹针治疗。比较各组治疗2个疗程(近期)、治疗后1个月(远期)的临床疗效。结果:腹针正骨组近期、远期愈显率分别为80.7%(46/57)、68.4%(39/57),均明显高于正骨组的63.6%(35/55)、30.9%(17/55)与腹针组的58.9%(33/56)、50.0%(28/56)(均P0.05),其中正骨组、腹针组两组远期愈显率相比较,腹针组的远期疗效优于正骨组(P0.05)。结论:腹针结合龙氏正骨手法治疗神经根型颈椎病患者的近、远期疗效均较好,优于单纯腹针和龙氏正骨手法治疗,且具有叠加效应,是目前治疗CSR的较好方法之一。     

灸法治疗肛肠术后尿潴留临床研究

目的:比较灸法与新斯的明肌内注射治疗肛肠术后尿潴留的疗效差异.方法:将82例肛肠术后尿潴留患者随机分成艾灸组(41例)和药物组(41例),艾灸组采用艾灸三阴交、足三里、天枢、关元、阴陵泉治疗;药物组采用肌内注射新斯的明治疗.观察两组临床疗效、首次排尿时间及平均显效时间.结果:艾灸组有效率为80.5％(33/41),优于药物组的56.1％(23/41,P＜0.05);艾灸组首次排尿时间及平均显效时间分别为(35.1±4.6) min、(60.1±1.2) min,药物组分别为(38.2±7.3) min、(70.6±1.6) min,艾灸组首次排尿时间与平均显效时间均明显短于药物组(均P＜0.05).结论:灸法治疗肛肠术后尿潴留疗效优于肌内注射新斯的明,且能明显提前排尿时间.     

针刺和热刺激对小鼠“关元”穴区肥大细胞、血清五羟色胺影响差异的研究（英文）

目的:观察针刺激与热刺激不同刺激方式对小鼠"关元"局部穴区肥大细胞(MC)、五羟色胺(5-HT)和血清中5-HT表达的影响。方法:39只雄性C57BL/6小鼠随机分为空白组、针刺激组、热刺激组,每组13只,适应性喂养一周后进行试验。针刺激组手针刺激小鼠"关元" 5 min,热刺激组采用热灸仪刺激"关元" 30 min。采甲苯胺蓝染色方法和免疫荧光组织化学方法观察分析针刺与热刺激前后对"关元"穴区皮肤MC和5-HT表达(每组5只),采用酶联免疫吸附测定法测定针和热刺激前后对血清中5-HT含量(每组8只),分析比较针刺激与热刺激对小鼠皮肤MC、5-HT以及血清5-HT含量的不同影响。结果:①针或热刺激C57BL/6小鼠"关元"穴后,其穴区肥大细胞数量较C57BL/6空白组明显增多(空白组12.40±2.07 vs针刺激组23.00±5.96,空白组12.40±2.07 vs热刺激组26.20±10.85,均P0.05),出现肥大细胞聚集及脱颗粒现象(空白组8.00±3.16vs针刺激组17.80±4.55,空白组8.00±3.16 vs热刺激组24.00±9.05,P0.05,P0.01)。②针或热刺激后出现穴区肥大细胞释放5-HT,并向血管周围聚集,穴区5-HT数量较空白组相比明显增多(空白组3.00±1.28 vs针刺激组10.02±3.21:空白组3.00±1.28vs热刺激组14.00±3.94,均P0.01)。③与空白组对比,针或热刺激均能降低血清中5-HT含量(空白组0.72±0.2372 vs针刺激组0.43±0.21,空白组0.72±0.24 vs热刺激组0.32±0.18,均P0.01),而热刺激组略优于针组(P0.05)。结论:针刺激、热刺激均可以引起穴区肥大细胞的聚集和脱颗粒以及5-HT高表达,热刺激的效用略优于针刺激。     

基于ICP-MS法的加味左金丸中无机元素分析

目的 通过电感耦合等离子体质谱（inductively coupled plasma mass spectrometry,ICP-MS）法建立加味左金丸中Cd、Pb、As、Hg、Co、V、Ni、Cu、Li、Sb、Ba、Mo、Sn、Cr、Na、Mg、Al、Ca、Ti、Mn、Fe、Zn、Ga、Se、Sr、Tl共计26种无机元素的测定方法。方法 加味左金丸通过微波消解法处理后,根据相对分子质量的大小选择内标物,其中⁷Li、²³Na、²⁴Mg、²⁷Al、⁴⁰Ca、⁴⁸Ti、⁵¹V、⁵²Cr、⁵⁵Mn、⁵⁶Fe、⁵⁸Ni、⁵⁹Co、⁶³Cu、⁶⁶Zn、⁷⁰Ga、⁷⁵As、⁷⁷Se、⁸⁶Sr以⁷²Ge作为内标;⁹⁵Mo、¹¹⁴Cd、¹¹⁸Sn、¹²¹Sb、¹³⁷Ba以¹¹⁵In作为内标;²⁰²Hg、²⁰⁵Tl、²⁰⁸Pb以²⁰⁹Bi作为内标。对标准品溶液、空白溶液与供试品溶液进行分析,采用标准曲线法进行定量分析。通过ICP-MS法进行测定。结果 26种无机元素线性的相关系数r ≥ 0.999 6,检出限为0.001~1.500μg/L,定量限为0.01~5.00 μg/L,精密度与重复性试验的RSD均小于5%,平均回收率在82.64%~106.44%,RSD均小于5%。对3个厂家的12批样品进行了测定,26种元素的含量差异较大,其中Na、Mg、Ca、Fe 4种元素的含量比较高,均大于500 μg/g,Cd、Pb、As、Hg、Co、Li、Sb、Mo、Sn、Cr、Se、Tl的含量比较低,均小于1 μg/g。由结果可知,人体的常量元素,如Na、Mg、Ca的含量比较高,Cd、Pb、As、Hg等有害元素含量比较低。根据《中国药典》2020年版一部的要求,本品中Cd、Pb、As、Hg与Cu均符合规定。结论 该方法快速、准确,可以用于加味左金丸中无机元素的测定。     

Erstaunliches Ergebnis einer Schädelakupunktur nach Yamamoto bei Hemihypsarrhythmie rechts

A girl, three and a half years old at the respective date, premature in 25th week of gestation, had been presented. On day three after birth, she had had a IVH III° right and left with severe involvement of parenchyma and other multiple complications, e. a. infant respiratory distress syndrome up to the 42nd day postpartum, and epileptic attacks with apnoeic events.     

七味红花殊胜散对缺血再灌注肝损伤的保护作用

目的::研究七味红花殊胜敬对缺血再灌注肝损伤的保护作用.方法:在大鼠肝缺血再灌注模型上,观察七味红花殊胜散对缺血再灌注肝损伤引起的血清丙二醛(MDA)、超氧化物歧化酶(SOD)、谷胱甘肽过氧化物酶(GSH-Px)、一氧化氮(NO)含量的变化.结果:七味红花殊胜散对大鼠血清MDA、SOD、GSH与再灌组比较有明显差异(P<0.05),NO含量与再灌组比较有明显差异(P<0.05).结论:七味红花殊胜散对大鼠急性缺血再灌注肝损伤具有保护作用.     

Methodology of Canine/Feline YNSA and Tail Acupuncture

BackgroundYamamoto New Scalp Acupuncture (YNSA) is a well-known acupuncture system for human patients which was developed by Dr. Yamamoto.ObjectiveMy aim was to transpose the human YNSA map onto canines and felines.MethodI started researching a canine/feline YNSA map in 2002. I investigated approximately 3,000 canines and felines for YNSA and 2,500 for Tail Acupuncture. The ratio of canines and felines was 6 to 4. I researched and found all the equivalent points by palpating animal patients on the basis of an exact Neck Diagnosis.ResultsI nearly completed the map in 2006. The points in the occipital region are incomplete and my research is still in progress. In the process of researching canine/feline YNSA points, I accidentally found the other microsystems around the tail and named it “Tail Acupuncture”.ConclusionsYNSA and Tail Acupuncture are acupuncture systems utilizing microsystems and support each other in canines and felines. The merits of YNSA and Tail Acupuncture are 1) immediate effects, such as in cases of lameness, 2) simplicity in finding the exact points to treat and 3) the scalp and the tail can be utilized separately or together as treatment zones, according to the situation.     

Chinesische Orthopädie: Teil 1: Die Zukunft der Akupunktur in der Postmoderne

The locomotor system is one of the major fields of application for acupuncture. The results of the large acupuncture studies funded by German Health Insurances from 2000 until 2006 are impressive and repressive: they restrict acupuncture application by allocation of reimbursement and create the necessity of reorientation, since acupuncture can neither be adequately described nor prescribed solely on the basis of disease entities. Regarding these disease entities, it seems rather necessary to analyse the layers of problems and formulate a hierarchy of therapeutic goals instead. Only in this way the effects of acupuncture, related techniques and further therapeutic modalities can be matched with the set of objectives. The article presents general principles and follows their application from biological aspects to implications for the locomotor system and consequences for the application of physical therapy. The manual of acupuncture focuses on therapeutic effects and objectives first, and then goes on to sketch simple therapeutic strategies and finally complex approaches within acupuncture. These may encompass acupuncture, microsystem acupuncture and complex therapeutic modes.     

Patientin mit chronisch rezidivierenden Gelenks- und Wirbelsäulenschmerzen

Background

Acupuncture as a regulative therapy is well-suited for the treatment of functional, reversible disorders. Additionally, the WHO recommends its application for pain therapy in cases of arthritis and back pain due to various causes. This case study should clarify which paths to take in the case of a multi-morbid patient suffering from chronic pains due to polyarthrosis.

Objective

Pain reduction and improvement of quality of life as well as improvement of sleep quality.

Methods

Annual treatment series consisting of 10 sessions each, one session per week.

Results

short-term pain reduction before undergoing endoprosthetic surgery; considerable improvement of general status and sleep.

Conclusions

Acupuncture may bring temporal relief in cases of chronic pain due to osteoarthritis and should therefore be applied in combination with western medicine. Acupuncture is particularly well-suited to treat the co-emergent vegetative symptoms.     

Fallbericht: Patientin mit Schlafstörung

Background

Since the onset of her menopause about ten years ago, a sixty-year old patient has been suffering from hot flashes and sleep disorders causing her to become increasingly anxious and nervous. As the patient's mother had died of breast cancer, substitution of hormones was not advisable. Relaxation methods such as Yoga and Autogenic Training could only mildly alleviate the symptoms.

Objective

To effectively treat the sleep disorder, improve quality of life, lessen frequency and severity of hot flashes

Methods

Weekly sessions with ear- and body acupuncture for ten weeks

Results

After the third acupuncture session the patient reported a decrease of nightly waking episodes but suffered from acute pain in the neck as well as shoulder region. After nine therapy sessions, the patient reported a 50% decrease of nightly waking episodes. The hot flashes, however, remained unchanged.

Discussion

In this case, acupuncture significantly improved the patient's sleeping disorder. It also reduced the symptoms of anxiety and nervousness. Other menopausal symptoms such as hot flashes and dryness of mucous tissues, could not be influenced.     

常见证候荷瘤小鼠神经内分泌免疫组织基因转录的总体特征

目的揭示常见证候荷瘤小鼠神经-内分泌-免疫组织基因转录的总体特征。方法采用小鼠标准化四诊及辨证方法，及Gene Chip Mouse Exon1．0ST Array等技术，检测H22荷瘤小鼠早期邪毒壅盛（邪毒）和气虚、中期阳气虚、中晚期气阴阳虚等4个常见证候下丘脑、垂体、肾上腺、睾丸、脾脏、胸腺、肿瘤RNA的转录与剪接。结果正常昆明种雄性小鼠下丘脑、垂体、肾上腺RNA电泳的28S峰低于18S，而睾丸、脾脏、胸腺、肿瘤相反。肿瘤发生的早期，下丘脑、垂体、肾上腺基因表达模式发生显著改变，邪毒尤甚，出现了失代偿。下丘脑28SRNA迅速抬升并持续，气虚强于邪毒。垂体RNA总量降低，28S陡降，邪毒尤甚。肾上腺RNA电泳特征类似垂体，气虚与邪毒相近，中晚期气阴阳虚尤甚。睾丸变化不明显。随着病情发展，脾脏重量持续增加，而胸腺相反，重量持续下降，蛋白合成和糖代谢下降。肿瘤组织蛋白合成与糖代谢，邪毒大于气虚。以上7个组织与正常对照组相比，有9127个基因表达发生差异、51126个外显子剪接发生差异。结论神经-内分泌-免疫网络组织基因转录的差异是荷瘤小鼠不同证候内在重要的物质基础。