Diffuse fibromatosis on the scalp in infancy: A variant of juvenile hyaline fibromatosis

Various types of fibromatosis have been reported in infancy and early childhood. We describe an infant with diffuse fibromatosis on the scalp. A one year and five months-old girl showed a diffuse and hard mass 3 × 5 cm in diameter and no tenderness on the scalp. Two months later, the size of the mass had increased and several other tumors appeared on the lateral head. The magnetic resonance imaging (MRI) disclosed that a large and diffuse tumor had spread from the frontal to occipital head; a ‘helmet-like’ configuration of the tumor was exhibited on sagittal MR images. The tumor showed high signal intensity on T2-weighted images and was enhanced with Gd-DTPA. Histological examination showed a fibroblastic proliferation with intervening thick collagen bundles. The patient was diagnosed as having diffuse fibromatosis. The tumor at the resection site immediately recurred, whereas the tumor in the frontal head showed marked regression. Three months after the resection, new tumors appeared in the occipital head. The size and number of these tumors have remained unchanged for more than 18 months. The sites and appearance of the tumors were identical to that of juvenile hyaline fibromatosis (JHF) in this patient. However, JHF usually includes fibroblasts associated with large amounts of hyalinized collagen-like material, which were not present in our patient. The different histology of JHF comparing our case and other reported cases may depend on the different phase of the disease progression at resection. Long-term observation is necessary for the appropriate diagnosis and evaluation of prognosis in this patient.     

经络输声疗法对原发性痛经的经络调整作用

本文以月经相关经脉的声传导的变化为观察指标，通过经络输声疗法对８２例原发性痛经治疗效果的观察，以验证经络输声疗法对经络的调整作用。将８２例原发性痛经随机分为３组，分别用３个频率治疗，进行对比分析。临床结果表明：经３个月经周期的治疗，痛经症状积分明显下降；月经血色、血量、血块趋于正常；总有效率为９６．４３％；对虚实证均有效，但其输声频率的选择有差异。说明经络输声疗法对经络有疏通、调节作用。实验结果表明：经络输声能改变原发性痛经相关经脉的声传导状态，治疗后经络导声恢复正常，证实了经络输声对经络的调整作用。从客观上显示了有关经络的病理及愈复变化。此项研究国内外尚无报道。     

穴位注射加贴敷治疗乳腺增生的临床研究

97例患者随机分为穴位注射组 (31例 )、穴位贴敷组 (35例 )、穴位注射加贴敷组 (31例 )进行临床观察。结果穴位注射组与穴位贴敷组疗效相似 (P>0 .0 5 ) ,而穴位注射加贴敷组疗效明显优于单纯穴位注射组及穴位贴敷组 (P<0 .0 5 )。由此说明 ,穴位注射加贴敷这一综合疗法治疗乳腺增生病具有效佳、副作用小、取穴少、疗程短等优点。此外还证实这一疗法对卵巢激素有一定的影响。     

缪刺考

At present, most physicians hold that Miu Ci is "left and right cross collateral prick-ing",but it does not conform to the original meaning of "Suwen·Miucilunpian"(Plain Questions ·Trea-tise on Miu Ci). Miucilanpian holds that Miu Ci is the extension and perfection of Ju Ci (contralateral me-ridian needling), which mainly pricks the collateral but is not limited to the collateral, as it also pricks the acupuncture point. As for the "left and right cross" point selection, it is one step in the procedure of the treatment in the process of contralateral collateral needling instead of being a principle.     

艾灸涌泉穴对老年大鼠自由基代谢影响的研究

目的:探讨艾灸延缓衰老的作用机理。方法:建立自然衰老大鼠模型,分为老年时照组、维生素 E 组及艾灸组,观察大鼠血清和脑组织超氧化物歧化酶(SOD)活性、过氧化脂质(LPO)含量。结果:老年大鼠组血清和脑组织 SOD 活性明显低于青年大鼠组,LPO 含量明显高于青年大鼠组。艾灸组灸涌泉穴后,与老年对照组比较,其血清和脑组织 SOD 活性明显升高(45.30±6.17、35.03±3.67u/ml,P<0.01;2399±316、2005±206u/g 脑组织湿重,P<0.01); LPO 含量明显降低(3.30±0.55、4.40±0.51μmol/L,P<0.01;341±69、446±44nmol/g 脑组织湿重,P<0.01)。维生素 E 组大鼠与老年对照组大鼠比较,其血清和脑组织 SOD 活性差异无显著性。结论:艾灸涌泉穴能增强 SOD 活性,提高老年大鼠清除自由基的能力,改善老年大鼠自由基代谢失调的状况,从而阻止自由基损害机体,保护脑功能,延缓脑衰老,推迟衰老进程。     

体躯压痛点与"穴位"相关的临床观察

躯体一定部位的压痛点与穴位相关。这些部位大多数是位于肌腱筋膜等附着于骨关节的区点。这些区点是对应于肌运动的、外围性的进行血管神经性机制的功能调节区。它们对体内外动因有灵敏的反应，且易发生应激性反应、继后的无菌性炎症。     

溶栓素的分离纯化及特性测定

目的研究一种高效分离纯化溶栓素的方法并测定其pI和相对分子质量(Mr)。方法采用阴、阳离子交换色谱等技术分离纯化溶栓素并通过对缓冲体系的pH值、离子强度的调节及对初始供试品pH值的调节来优化纯化过程,以等电聚焦聚丙烯酰胺凝胶电泳(IEF PAGE)和SDS PHGE方法分别测定纯品的pI和Mr。结果溶栓素达到简捷、高效分离纯化的目的,电泳鉴定为一条蛋白质带,并测定溶栓素的pI为4 .5 0、Mr 为35 10 0。结论溶栓素的纯化工艺达到高纯度纯化程度,为进一步研究溶栓素奠定了基础     

头针对急性局灶性脑缺血再灌注损伤大鼠脑血流量和环核苷酸的影响

目的观察头针对急性局灶性脑缺血再灌注损伤大鼠脑血流量和环核苷酸的影响.方法大脑中动脉线栓法制作局灶性脑缺血再灌注损伤模型.将 24只大鼠分为假手术组、模型组、观察组和对照组,采用氢清除法测定患侧大脑皮层和海马区的血流量,用放射免疫分析测定血浆环磷酸腺苷 (cAMP)和环磷酸鸟苷 (cGMP)的含量.结果局灶性脑缺血模型大鼠患侧大脑皮层和海马区血流量显著减少,血浆 cAMP含量降低,与假手术组比较,差异有显著性;给予头针和体针治疗后大鼠大脑皮层血流量、血浆 cAMP含量均明显增加,但组间比较差异有显著性.结论头针治疗能增加脑缺血局部血流量,升高血浆 cAMP含量,对急性局灶性脑缺血再灌注损伤大鼠有明显的治疗和预防作用.     

耳穴疗法治疗老人失眠症之临床研究

目的:尝试利用科学性之方法探讨耳穴磁疗对老人失眠症之效果.方法:120位60岁或以上之老年患者,随机分配入三组.第一组及第二组为对照组,分别贴有灯芯或王不留行籽(不加压);第三组为实验组,贴有每粒含66高斯之磁珠(不加压).为针对老年患者常见之脏腑功能衰弱而致失眠,各人均选取相同之穴位:神门、心、肾、肝、脾、皮质下及枕,疗程共3周.结果:疗程完毕后,使用磁珠作耳疗之实验组于治疗前后的睡眠效果指数有明显之改进(P＜0.05),显效17%,有效为65%,总有效率为82%.此外,利用多元回归之反向淘汱法分析女性参加者之数据,发现利用磁珠作耳疗及参加者年龄对预测睡眠效果指数达显著水准(F3,106=9.04,P＜0.001,R2=0.20).结论:耳穴磁疗能有效地改善老人失眠症.     

辨证掌握穴位注射方法提高穴位注射的疗效

目的:提高中西结合治疗疾病的疗效.方法:在中医辨证的基础上,在腧穴上进行针剂注射.结果:通过针刺和药液渗透,将穴位疗效和药理作用结合在一起,充分发挥其综合效能.结论:用中医辨证理论,穴位注射治疗能疏通经络,调补阴阳.针药结合,提高疗效.