Using acupoint-to-acupoint penetrative needling to treat poststroke spastic paralysis: a clinical progress review

ObjectiveTo determine the characteristics and advantages of acupoint-to-acupoint penetrative needling (AAPN) treatment for post-stroke spastic paralysis (PSSP) to improve the clinical outcomes of this disease in the future.MethodsRandomized, controlled trials of PSSP patients receiving AAPN treatment were searched from MEDLINE, EMBASE, and China National Knowledge Infrastructure Database between January 2006 and June 2013. Key words included: clinic or clinical, acupuncture, needling, acupoint-to-acupoint, penetrative or penetration or penetrating, stroke or apoplexy or cerebral infarction or cerebral hemorrhage, spastic paralysis or spasticity or palsy, and hypermyotonia. Language was limited to English and Chinese. Case series reports, review articles, and animal studies were excluded.ResultsAAPN showed better clinical results on PSSP than other acupuncture treatments, especially when combined with adjunct therapies such as electroacupuncture, bloodletting, and rehabilitation. The greatest benefit was achieved with rehabilitation combined with penetration from Yang-channel acupoints to Yin-channel acupoints in the upper limbs, and from Yin-channel acupoints to Yang-channel acupoints in the lower limbs with a reinforcing maneuver.ConclusionAAPN is an effective treatment for PSSP, and it can accelerate and enhance functional repair of PSSP patients.     

针刺督脉背段对胃食管反流病患者反流症状和心理状态的影响

目的?通过观察胃食管反流病（GERD）患者躯体和心理症状改善情况来评价针刺督脉背段疗法的临床疗效。方法?随机选取就诊的60例GERD患者,按随机数字法随机分为针刺组和西药组,每组30例。针刺组针刺督脉背部T₃~T₁₂段棘突下（含经穴及非经穴）治疗,每周二、四、六治疗,共3次,疗程8周。西药组予奥美拉唑肠溶胶囊口服;同时服用氟哌噻吨美利曲辛片（黛力新）。分别观察2组患者治疗前后的反流性疾病诊断问卷（RDQ）各症状、焦虑自评量表(SAS)和抑郁自评量表(SDS)的评分。结果?2组治疗后RDQ问卷各症状、SAS和SDS评分较治疗前明显改善(P<0.01);治疗后针刺组RDQ问卷各症状、SAS和SDS评分均显著低于西药组（P<0.05）;针刺组RDQ愈显率为66.67%（20/30）,西药组为40%（12/30）,2组愈显率比较差异有统计学意义(P<0.05)。结论?2组治疗均有效,但针刺督脉背部T₃~T₁₂段棘突下对改善胃食管反流病患者反流症状和心理状态的临床疗效更优。      

穴位针感与神经肽相关的研究

本文用穴位针感“蓝点”标记法和免疫组织化学方法,研究了穴位针感与神经肽(SP、VIP、NPY)的关系,结果为:①针感可出现于自皮肤到骨膜的各个层次;神经(肽能)、血管二者出现率和针感的出现率完全一致。②三种肽能神经及其终末分支,穿行于穴位的深、浅层各种组织之间,呈串珠状,常随血管分布;也有肽能游离末梢分布在表皮、毛囊和骨骼肌中。③电针后,脊髓背角的神经肽含量,针刺侧多于非针刺侧(p<0.01)。总之,肽能神经是产生针感的重要结构之一,肽类物质参与针感过程并可能与针感的慢传导性有关。     

腕区常用穴位针刺安全及规范化操作探讨

腕区穴位是临床中医采用针灸治疗疾病时的常用穴位,这些腧穴所在的部位还分布着重要的肌腱、神经和血管,因此研究腕区穴位的针刺安全及规范化操作具有临床价值。文章从腕区解剖、穴位针刺的方向、角度、深度及规范化操作这几个方面进行了探讨,得出腕区的多数穴以直刺为主,深度以得气为度,不宜施行大幅度的提插捻转手法等结论,为临床腕区常用穴位的安全操作提供参考。     

灸刺督脉治疗气虚血瘀型缺血性脑卒中临床观察

目的 观察评价灸刺督脉疗法治疗气虚血瘀型缺血性脑卒中的临床疗效。方法 将气虚血瘀型缺血性脑卒中患者41例,随机分为对照组（20例）和治疗组（21例）。两组均予以基础病管理,对照组采用脑卒中气虚血瘀型常规针刺治疗,取穴为顶颞前后斜线、极泉、尺泽、内关、委中、足三里、三阴交、气海、血海;治疗组在常规针刺治疗基础上加用灸刺督脉疗法,取通督七穴（水沟、神庭、百会、风府、大椎、命门、腰阳关）,其中百会艾灸,大椎刺络,其余腧穴予以针刺治疗。治疗周期为14 d。疗程结束后以美国国立卫生研究院卒中量表（National Institute of Health stoke scale,NIHSS）及改良Rankin量表（modified Rankin scale,MRS）评分结果评价两组的临床疗效。结果 两组患者治疗后NIHSS及MRS评分均较治疗前显著降低（P<0.05）,治疗组NIHSS及MRS评分差值与对照组比较,差异均有统计学意义（P<0.05）。两组临床疗效分布比较,差异有统计学意义（P<0.05）。结论 灸刺督脉疗法治疗气虚血瘀型缺血性脑卒中临床疗效确切,优于常规针刺治疗。     

Acupuncture methods for hemiplegic spasm.

Remitting hemiplegic spasticity in apoplexy (HSA) is an important problem in today's clinical study. Through teaching and clinical practice, the authors summed up the effective acupuncture methods for remitting HSA: puncture deeply the acupoints on the superior-spasm side (SSS) by filiform needles so as to obtain the intensive needling sensations in the deep tissues (ISDT) until the superior spasm is immediately remitted; tap the skin on the inferior-spasm side (ISS) by skin needles until the corresponding muscle contracts. The methods have showed a significant immediate and long-term therapeutic effect.     

针刺治疗面肌痉挛疗效观察

目的：观察缪刺法加远端取穴治疗面肌痉挛的疗效。方法：选取辽宁省中医院2011年10月—2012年2月就诊于眼针研究室门诊的60例面肌痉挛患者,按就诊顺序和患者意愿分为治疗组与对照组。治疗组40例用缪刺法加远端取穴治疗,对照组20例用患侧穴位加远端取穴治疗,疗程30天。结果：治疗组临床治愈27例,有效7例,总即治疗组疗效优于对照组。结论：缪刺法加远端取穴治疗面肌挛疗效确切。     

《伤寒杂病论》针灸疗法探析

就《伤寒论》和《金匮要略》的针灸疗法作了较深入地探讨，认为张仲景针灸疗法的学术思想和运用特点是：针、灸、药诸疗法并重；重治未病，防病御变；辨证论治，循经取穴；宜针宜灸，各展其长；针、灸、药并施以增强疗效；警示误用针灸可致变证。指出其所蕴含的针灸理法原则和买践经验，为后世针灸学科的建立和发展奠定了坚实的基础，至今仍具有重要的指导意义和实用价值。     

运用“烧山火”手法深刺夹脊穴治疗腰椎间盘突出症

[目的]观察运用"烧山火"手法深刺夹脊穴治疗腰椎间盘突出症的临床疗效。[方法]将120例本病患者随机分为治疗组和对照组,每组各60例,治疗组运用"烧山火"手法深刺夹脊穴治疗,对照组采用常规的针刺方法针刺夹脊穴治疗。[结果]总有效率治疗组为93.3%,对照组为80%,两组比较,差异有统计学意义(p0.05)。[结论]运用"烧山火"手法深刺夹脊穴治疗腰椎间盘突出症有较好的疗效。     

透针法治疗膝关节骨性关节炎的临床疗效评价

目的研究透针技术在治疗膝关节骨性关节炎中的操作规范,综合分析和评价其临床疗效。方法选用阳陵泉透阴陵泉、外膝眼透内膝眼、膝阳关透曲泉、梁丘透血海4组穴位,采用透针法治疗膝关节骨性关节炎,通过循证医学研究方法,观察临床疗效。结果两组间临床综合疗效评定对比,具有极显著性差异;两组间疼痛疗效对比,具有显著性差异,透针组优于针刺组。结论透针法与常规毫针刺法治疗膝关节骨性关节炎在止痛、综合疗效等方面均有效,但透针法比常规毫针刺法效果更好。