Acupuncture plus bloodletting therapy for insomnia in blood stasis constitution: a clinical study

Objective

To observe the clinical efficacy of acupuncture plus bloodletting therapy in treating insomnia in people with blood stasis constitution.

Methods

Seventy-two patients were randomized into a treatment group and a control group by using the random number table, 36 cases each. The treatment group received acupuncture plus bloodletting therapy, while the control group was intervened by oral administration of estazolam. One-week treatment was taken as a course, for 3 successive courses in total. A follow-up study was conducted 3 months later. The Pittsburgh sleep quality index (PSQI) was evaluated before and after the intervention, as well as in the follow-up. The clinical efficacies were also compared.

Results

The total effective rate was 88.9% in the treatment group versus 83.3% in the control group, and the between-group difference was statistically significant (P<0.05). After the intervention, the PSQI scores dropped significantly in both groups (both P<0.05); the between-group difference in PSQI score was statistically significant (P<0.05). The follow-up study showed that the between-group difference in the global score of PSQI was statistically significant (P<0.05).

Conclusion

Acupuncture plus bloodletting therapy can produce a more significant efficacy than oral administration of estazolam in treating insomnia in people with blood stasis constitution.

     

穴位埋线治疗全面发作型癫痫85例疗效观察

目的：探索穴位埋线对治疗全面发作型癫痫的疗效。方法：将170例患者随机分为2组，治疗组85例，给予穴位埋线；对照组85例，给予丙戊酸钠片0．2g口服。结果：2组治疗后癫痫计分均较治疗前改善（P〈0．01）；总有效率比较，治疗组为77．6％，对照组为85．9％，经统计学分析，2者差异没有统计学意义（P=0．16）。结论：穴位埋线疗法对全面发作型癫痫治疗效果肯定，可作为该病综合疗法应用。     

基于经穴效应与颅内经络的关系对针刺高血压病合并脑萎缩患者的fMRI脑功能成像研究

目的：运用功能核磁共振（fMRI）脑功能成像原理,观察针刺对于高血压病合并脑萎缩患者的脑功能连通性、经络敏感性、穴位治疗效应的相关改变,分析在病理因素影响下,颅内经络的改变对经穴效应的影响。方法：正常对照组8例,原发性高血压病组10例,原发性高血压病合并脑萎缩组10例。对原发性高血压病患者和原发性高血压病合并脑萎缩患者分别测定针刺太冲穴前后的实验压痛阈值,比较针刺对两组受试者的镇痛效应差异。在手法捻针刺激基础上,3组患者均按照组块设计方案刺激与静留针交替进行,针刺过程中fMRI扫描3组患者静息态脑功能成像特点,通过Matlab软件SPM2模块分析数据,获得效应脑区,采用感兴趣区（ROI）法对3组患者激活差异进行比较。结果：原发性高血压病组患者针刺前后压痛阈值差异有统计学意义（P<0.05）,原发性高血压病合并脑萎缩组患者针刺前后压痛阈值的比较差异无统计学意义（P>0.05）。正常组主要激活区域在左侧扣带回、左侧额叶、左侧顶叶、左侧颞叶,原发性高血压病组患者主要激活区域在左侧扣带回、左侧顶叶、左侧颞叶、右侧额叶,原发性高血压病合并脑萎缩组患者主要激活区域在左侧扣带回、双侧颞叶。正常组与原发性高血压病组患者激活点数无显著性差异（P>0.05）;原发性高血压病合并脑萎缩组患者的激活点数比针刺原发性高血压病组明显降低,有显著性差异（P<0.05）;在左侧顶叶、左侧扣带回激活点数降低明显,激活强度在左侧扣带回、左侧顶叶、左侧颞叶明显降低,有统计学差异（P<0.05）。结论：脑萎缩等中枢神经系统疾病损伤颅内经络,不仅损伤脑功能,而且使针刺激活脑功能区的区域面积和强度明显减少,降低外周经络的敏感性,影响针刺的疗效,针刺提高颅内相应脑区的连通性是治疗此类疾病的机制之一。     

灸法量学要素初探

国家级规范教材<针灸学>在刺灸法总论提出灸法的量学要素,笔者认为其阐述内容尚不能充分的反映目前灸法操作的量学要素,故根据笔者对其认识,进一步阐述了其包含的内容,进行一定的补充,并且提出灸法的量学要素的影响因素.