杵针疗法治疗颈椎病的有效性和安全性系统评价

目的:系统评价杵针疗法治疗颈椎病的临床有效性及安全性,为其临床推广提供循证医学的证据支持。方法:计算机检索PubMed、EMBase、Cochrane Library、Web of Science等外文数据库以及中国生物医学文献数据库(CBM)、中国知网(CNKI)、维普网(VIP)和万方网(WanFang)等中文数据库,配合补充检索手段,收集所有杵针治疗颈椎病的随机对照试验(Randomized Controlled Trial,RCT)。文献筛选后对纳入文献进行资料提取及方法学质量评价,然后实施定性或定量分析。结果:共纳入8篇RCT(640例患者)。(1)定性分析的结果证实杵针疗法治疗颈椎病的临床疗效肯定,具备良好的有效性及安全性。(2)定量分析的结果显示杵针疗法能显著提高颈椎病患者临床症状的痊愈率(P 0. 05)。杵针因素的痊愈率与针刺因素或口服西药因素相比,其组间差异无统计学意义(P 0. 05)。结论:杵针疗法治疗颈椎病安全有效,有助于提高颈椎病患者临床症状的痊愈率,应在临床中大力推广。     

李仲愚主任医师杵针疗法经验

李仲愚主任医师杵针疗法经验刘全让＊钟枢才＊整理关键词李仲愚杵针杵针疗法针灸学杵针疗法是成都中医药大学附属医院主任医师、国内外知名针灸专家李仲愚老先生家传６４代，并经李老临床应用５０余年的一种特殊的治疗方法。该疗法兼有针刺与按摩之长，但“针”又不刺入皮...     

杵针治疗气滞血瘀型腰腿痛的远期疗效评价

目的:观察杵针治疗气滞血瘀型腰腿痛的临床疗效和远期疗效评价。方法:64名气滞血瘀型腰腿痛患者随机分成2组,每组32名。治疗组采用杵针结合局部蜡疗,对照组采用针刺结合局部蜡疗,5 d/疗程,每个疗程间隔2 d,共4个疗程。治疗结束时及结束后第1、3、6个月用《中医病证诊断疗效标准》、视觉模拟评分法(VAS)和改良日本骨科学会下腰痛评分法(M-JOA)行疗效评价。结果:治疗结束时治疗组总有效率、VAS和M-JOA评价优于对照组(P0.05)。随访第6月治疗组疗效优于对照组(P0.05)。结论:杵针对于气滞血瘀型腰腿痛的有疗效且具有一定的持久性。     

利用现代技术模拟中医骨伤临床手法复位的可行性研究

运用手法复位治疗骨折是祖国医学的特色。骨折复位手法在以《医宗金鉴》的复位八法为基础，总结出了骨折复位手法新八法，并开发出各种协助手法复位的器械，在临床上取得了比较好的疗效。但在临床运用过程中对手法的选用和具体运用都是以临床经验为主，在临床操作上是以术者复位技巧和肢体的力量进行复位治疗，缺乏具体手法选用标准、规范的操作依据和可靠的复位效果。这些因素影响了手法复位治疗骨折复位的成功率，复位的质量；阻碍了手法复位的临床推广和发展。     

杵针疗法在社区医疗中的发展运用及分析

推广应用中医药适宜技术是我国建立覆盖城乡居民的基本医疗卫生制度,为了响应国家号召,推广安全有效、成本低廉、适合本地区使用的中医药技术和方法,我院门诊部东高地社区卫生服务站率先开展了杵针疗法。 杵针疗法,是成都中医药大学附属医院李仲愚教授家传十四代的治病秘法。此疗法特点是针具不刺入皮肤肌肉之内,无疼痛伤害之苦,无相互感染之虚,兼针刺与按摩之长,病人易于接受,老弱妇孺皆无惧怯,是一种安全有效的物理疗法。杵针疗法使用专门的工具（一套杵针工具共有4件,包括：七曜混元杵、五星三台杵、金刚杵和奎星笔）,并具有自己独特的穴位,如八阵穴、河车路、八廓穴等。杵针疗法利用杵针作用在人体穴位上,通过施行各种手法,促进人体气血运行,畅通经脉,从而达到治病的目的。     

杵针疗法结合情志护理对中风后抑郁患者康复效果的影响

目的探讨杵针疗法结合情志护理对中风后抑郁患者康复效果的影响。方法将120例患者按随机数字表法分为常规护理组、杵针组和杵针情志组,3组均给予中风护理常规进行护理,杵针组在此基础上给予杵针疗法,杵针情志组在中风护理常规基础上采用杵针疗法结合情志护理措施进行干预。3组均于干预前和干预6周后采用汉密尔顿抑郁量表(HAMD)、巴氏指数评定量表(BI)、脑卒中影响量表(SIS)进行评价。结果 3组患者干预后HAMD评分、BI指数和SIS得分与同组治疗前比较,均具有统计学意义(P0.05)。杵针组和杵针情志组治疗后各项指标与常规护理组比较均有统计学意义(P0.05);杵针情志组HAMD评分和SIS得分与杵针组比较,均有统计学意义(P0.05)。结论杵针疗法结合情志护理能够有效提高中风后抑郁患者的康复效果。     

基于DEA模型的杵针疗法对腰椎间盘突出症临床疗效的效率评价

目的采用数据包络法评价杵针对腰椎间盘突出症的治疗效率。方法三种治疗方案为杵针+电针疗法、杵针疗法、电针疗法,投入指标为治疗费用和治疗次数,产出指标为VAS评分比较和ODI评分比较。运用数据包络法对实验结果进行分析,得出三种治疗方案的效率值,对比评价杵针疗法对腰椎间盘突出症的治疗效率。结果组2效率值为0.78高于组3效率值0.72(P0.05),说明杵针对腰椎间盘突出症治疗效率相比于传统针刺更高;组1效率值0.81高于组3效率值0.72(P0.05),说明电针治疗的同时结合杵针治疗效率更理想。结论杵针治疗腰椎间盘突出症有独特优势。DEA模型可应用于评价中医复杂干预治疗方案的效率,有利于指导临床找到最经济有效的治疗方案。     

一例非小细胞肺癌患者癌因性疲乏杵针疗法的循证护理

背景　癌因性疲乏（CRF）是影响癌症患者生活质量的重要因素,杵针疗法兼具针灸与按摩的双重功效,符合干预CRF的中医理论和思路,但缺乏一线临床的直接证据。目的　评价对1例非小细胞肺癌患者的CRF进行杵针护理干预的临床有效性及安全性,为CRF探索新的护理干预措施。方法　选取2019-02-25成都中医药大学附属医院收治的非小细胞肺炎患者1例为研究对象,应用循证护理的思路,结合杵针疗法的临床实践经验和患者的个人意愿,提出CRF的杵针护理问题,检索相关文献并对重要文献进行分析,然后制定实施CRF杵针护理干预并评估效果。结果　经文献检索及筛选后共纳入7篇重要参考文献,均为杵针护理干预CRF提供了理论支持,但缺乏杵针护理干预CRF的直接病例研究。按照患者的个体化杵针护理干预方案完成治疗并对患者的CRF状况进行评估,结果显示,杵针护理能够有效缓解患者的CRF程度,改善患者的生活质量,但是停止杵针护理后的远期疗效尚不够理想。结论　在处理该例非小细胞肺癌患者的CRF问题中,杵针护理干预安全有效,长期实施可能实现CRF的远期缓解,有望成为CRF新的中医护理干预手段。     

“眼库医学标准”草案推出

近日在重庆举办眼库操作规范暨医学标准学术研讨会 ,来自全国 2 8个省份的专家及美国佛罗里达最大眼库执行总裁 Jason Woody出席了会议。会议形成的《眼库操作规范及医学标准》(草案 ) ,是本次会议的一亮点。据眼库专家介绍 ,我国因角膜病致盲或低视力者在全国有 5 0 0万人。我国已广泛建立眼库及开展角膜移植手术。此次会议的与会专家 ,按照符合国际惯例的眼库医学标准 ,结合我国的实际情况 ,制定了《眼库操作规范及医学标准》(草案 )。这标志着我国眼库正逐步与国际眼库接轨“眼库医学标准”草案推出…     

俯卧位成角牵引配合手法按摩及足部1针疗法治疗腰椎间盘突出症

目的探讨俯卧位成角牵引配合手法按摩及足部1针疗法治疗腰椎间盘突出症的临床价值。方法对临床诊断的35例腰椎间盘突出症患者,应用俯卧成角(15~25°)牵引,并配合手法按摩及足部1针疗法进行治疗,隔日1次,3次为1疗程。结果31例经2个疗程治疗后,临床症状消失,直抬>80;°4例经3个疗程后,基本痊愈;全部患者均有效。结论中医俯卧成角牵引配合手法按摩及足部1针疗法治疗腰椎间盘突出症疗效好,无创伤,具有临床应用价值,为腰椎间盘突出症的临床治疗开辟了一条新途径。     

APPLICATION OF LORNOXICAM TO PATIENT-CONTROLLED ANALGESIA IN PATIENTS UNDERGOING ABDOMINAL SURGERIES

FOR anesthesiologis s ,treatingpostoperativepainhas alwaysbeen a problem.Althoughopioidshave been provedtobe effective,theirsideeffectscouldnotbeignored.With thedevelopmentofscienceand pharmacology,many drugs with aspectsof satisfactoryanalgesicefficacyand couldbe welltoleratedby patientshave been developed.And lornoxicamisone of them, which isa non-steroidalanti-inflammatorydrug (NSAID ), with analgesic, anti-infl-ammatory,andantipyreticproperties.Itseliminationhalf-time(3 to 5 hours) isle…     

Acupuncture Treatment of Vomiting

CASE HISTORY A female patient, 46 years old, head of the foreign affairs department of a certain university in Beijing, paid her first visit on October 9, 2006, with the chief complaint of vomiting for one month. She got vomiting after meals in early September. Before that, she had discomfortable sensation in the stomach due to angry with others, but she didn't pay much attention. Later, it developed into vomiting after eating. After the vomiting, the discomfort would be relieved, but with slight hypodynamia. She was once diagnosed as having 'neurogenic vomiting'. Having taken some western and Chinese drugs, the above symptoms were a little bit improved, but she would have nausea upon eating and with regurgitation. Because of the fear for vomiting, she did not dare to have food intake, with body weight reduction of 6 kilos in one month.     

Qiu Baoguo''''s Experience in Treating Consumptive Syndromes after Radio-Chemotherapies

Radiotherapy and chemotherapy are the important modern medical therapies for malignant tumors,yet they can also bring about serious local and systemic toxic side reactions so to decrease the patient;'s life quality,manifested by a series of consumptive symptoms.Having engaged in the combined work of Chinese and western medicine for nearly 50 years,the research fellow Qiu Baoguo in Henan Provincial Academy of TCM has developed his unique views on the TCM study of consumptive syndromes.The author of this essay had once the fortune tO follow Dr.Qiu in clinic,and specially would like to introduce in the following Dr.Qiu's experience in treating consumptive syndromes after radio-chemotherapies for patients with malignant tumor.     

Insomnia Due to Deficiency of Both the Heart and Spleen Treated by Acupuncture-Moxibustion and Chinese Tuina

OBJECTIVE: To observe therapeutic effects of the comprehensive therapy of acupuncture-moxibustion and Chinese Tuina for treatment of insomnia due to deficiency of both the heart and spleen. METHODS: 92 cases were divided randomly into the treatment group (treated by acupuncture-moxibustion and Chinese Tuina) and the control group (treated by acupuncture-moxibustion). RESULTS: The therapeutic effect of the treatment group was obviously superior to that of the control group (the CHI2 test showed P < 0.01). CONCLUSIONS: The comprehensive therapy of acupuncture-moxibustion and Chinese Tuina can give marked therapeutic effects for treatment of insomnia due to deficiency of both the heart and spleen.     

Analysis of CK-19,PDX-1,Nestin,Ngn3 in different donor islet purity in rats

Objective: To investigate if there are the CK-19, PDX-1, Nestin, Ngn3 positive cells in the donor islets of different purity in rats. Methods: Thirty male adult SD rats were randomly divided into 3 groups. Islets were isolated using digestion by ductal injection of collagenase. Group Ⅰ (n=10): Separating cell preparations were not purified, Group Ⅱ(n=10): Islet sediment was purified with 25% Ficoll400 ,Group Ⅲ (n=10): Islet sediment was purified with 25% and 11% Ficoll-400. The levels of protein of CK-19, PDX-1, Nestin and Ngn3 were detected by immunohistochemistry and the mRNA of CK-19, PDX-1, Nestin, Ngn3 was amplified by RT-PCR. Results: After two different purification methods applied, three islet preparations of different purities were obtained. The difference of islet purity was significant among various groups (P＜0.05). Compared with group Ⅱ and group Ⅲ,the protein and mRNA of CK-19, PDX-1, Nestin,Ngn3 were both higher in group Ⅰ; group Ⅲ was poorly expressed. Conclusions: The three different islet purity donor islet have different CK-19, PDX-1, Nestin, Ngn3 positive cells within them, indicating that there are some islet stem cells in the purified donor islet.     

Dr.Zhang Ren''''s Experience in the Acupuncture Treatment of Different Diseases with the Same Therapeutic Principle

Dr.Zhang Ren,the chief physician,is the chairman of Shanghai Acupuncture and Moxibustion Association.Having been engaged in medicine for about 40 years,he is experienced in treating various intractable diseases.In his long years of clinical practice,he advocates taking the TCM differentiation as the basis to seek for the acupuncture method for treatment of modern intractable diseases.The author of this essay had the fortune to follow Dr.Zhang in study.The following is a summary of Dr.Zhang's experience in the acupuncture treatment for different intractable diseases with the same therapeutic principle.     

Luo Lingjie''''s Experience in Treating Chronic Nephropathy

In treating chronic nephropathy,Luo Lingjie,a chief physician,pays attention to regulating the balance between yin and yang,treating infection if present,and removing pathogenic factors.He prescribes gentle drugs and uses carefully strongly warming-tonifying ones,emphasizes the importance of persuading the patient to persist in treatment with medication and nurse one's health for recuperation,and is good at combined use of TCM and western medicine therapy and brings the merits of various therapies into full play,with obvious theraoeutic effects.     

Acupuncture Combined with Spinal Tui Na for Treatment of Primary Dysmenorrhea in 30 Cases

Objective: To observe the therapeutic effects in acupunture treatment of primary dysmenorrhea combined with spinal Tui Na, and study its mechanism. Methods: Thirty cases of the treatment group were treated by acupuncture combined with spinal Tui Na, and thirty cases in the control group were treated by routine acupuncture. Results: The total effective rate was 93.3% in the treatment group, and 73.3% in the control group, with a significant difference between the two groups (P<0.05). Conclusions: Acupuncture combined with spinal Tui Na has good prospects for treatment of primary dysmenorrhea.