中药归经入脑理论及方法的研究

阐述中药归经入脑的证据及方法论,中医学证据主要有文献记载的相关药物、脏腑系统证据、经络系统证据;现代医学研究认为归经与血脑屏障、有效成分的体内分布、受体学说、环核苷酸、脑保护作用等均有密切关系,为中药归经入脑的深入研究提供参考。     

针刺督脉三穴治疗脑动脉硬化性痴呆疗效分析

目的:观察督脉百会、强间、脑户三穴组合应用[1]的穴位效应和治疗脑动脉硬化性痴呆的临床疗效.方法:将临床诊断为脑动脉硬化性痴呆的100例患者,随机分为治疗组50例和对照组50例,治疗组选取督脉穴位百会、强间、脑户三穴组合应用为主,对照组选取督脉穴位百会为主,分别施以针刺治疗,1疗程后根据长谷川痴呆量表(HDS)评定,进行比较.结果:治疗组总有效率为92%,对照组总有效率为68%,治疗组在改善患者症状方面明显优于对照组(P＜0.005),治疗组治疗前后经统计学处理差异显著(P＜0.001).结论:针刺疗法具有穴位的特异性;此疗法起效快、安全可靠、可操作性强,是一种非常有效的治疗手段.     

针刺少阳经特定穴治疗偏头痛疗效观察

目的:观察针刺少阳经的特定穴治疗偏头痛的临床疗效。方法:45例偏头痛患者以针刺少阳经特定穴进行治疗。结果:特定经穴组有效率93.33%。结论:少阳经特定经穴治疗偏头痛有显著的特异性。     

纤维肌痛综合征的经络辨治

纤维肌痛综合征(fibromyalgia syndrome,FS)是一种风湿免疫性疾病,发病率高居风湿病第3位。它以患者全身的肌肉疼痛为特征性表现,同时伴有精神、神经症状,目前尚没有理想的治疗方法。本文以中医理论为指导,对纤维肌痛综合征的病因病机从经络的角度进行分析,根据患者疼痛部位定位对应所属经络进行综合辨证,提出FS可能与阳经的气化不利有关,并以此指导治疗,试图探求更好的物理学治疗手段。     

通过经络的科学定位，探索中医振兴之路

通过50多年的经络研究和临床实践,笔者认识到中医作为诠释人体相互关联相互制约的、整体的、动态的系统医学,应该成为现代医学的重要组成部分;中医经络是机体能量信息以电磁振荡形式在体内沟通和连动所形成的闭合环路体系,具有许多量子特征,不能用固定的组织结构硬套。经络感传研究发现,经络循行线具有漂移现象,这正是经络动态运行规律的体现。通过动态的信息触发和生物共振,经络系统自组织地发挥着整体调整作用。遵循经络的量子特征和规律,不仅创新了经络疗法,也取得了很好的疗效。经络在量子信息医学中的科学定位为中医现代化提供了重要的突破口。     

Effect of Meridian Massage for Cancer Related Fatigue

The purpose of this study is to investigate the effectiveness of meridian massage in lessening the fatigue and improving both physical and mental quality of life of cancer patients. Settings and design: This study was conducted at the East-West Cancer Center at Daejeon University; Using a single-arm, waiting list and non-treatment control research design, we compared the results of control group and to that of the experimental group. Materials and methods: From July 2, 2007 to July 28, 2007, eighteen eligible cancer patients were recruited to participate in the experiment. Modified Chalder Fatigue Scale (CFS), Visual Analogue Scale (VAS) and active oxygen level were measured before and after treatment for both control and experimental groups. Lying on their back or stomach inside a room with a temperature of 18-2℃2, the patients received 30 minutes of meridian massages mainly around the trapezius muscles 5 times a week.Statistical analysis used: Data analysis was carried out using independent t-test, paired t-test and One-way ANOVA.Results: Data analysis of modified CFS showed statistically significant results for all groups between before and after treatment. Within CFS, results of physical and psychological analysis showed significant results for all groups except before and after no treatment and secondary treatment. In the analysis of VAS, the experimental group showed a greater decrease in score compared to that of the control group and the average difference was statistically significant (P＜0.05). Although the results were not statistically significant (P＞0.05), active oxygen levels for the control group showed little difference before and after no treatment (331.11 and 330.78, respectively) while the experimental group observed a decrease in active oxygen level before and after treatment (327.28 and 314.11, respectively). Conclusion: In conclusion, patients who received meridian massage showed decreased cancer related fatigue scores compared to the control. These results suggest that meridian massage may alleviate cancer-related fatigue and contribute to the improvement in quality of life among cancer patients.     

熏蒸疗法与经络皮部理论关系的探讨

熏蒸疗法为常用的中医外治法,有几千年的历史,因其具有确切疗效、简便易行等特点被广泛用于临床各科,但熏蒸疗法的基础理论性研究较少.本文阐述了熏蒸疗法与经络皮部理论的内涵,深入探讨了两者的关系.     

G氏压痛点与中医穴位相关性的讨论

目的:通过探讨纤维肌痛综合征患者的压痛点与中医穴位的相关性,进行中医穴位的临床研究。方法:采用点区局部玻璃酸酶注射法等。结果:按G氏压痛点的标准,躯体的压痛点增加为50余组,与中医穴位相对照,二者均有压痛的性质,有压诊放射痛的性质,有局部索状、结块状纤维性硬韧变化等。结论:G氏压痛点和中医穴位均为身体病症的炎症性反应点,具有诊断和治疗的意义。相对健康者的这些部位多是肌腱筋膜附着在骨关节的部位,具有丰富的血管神经分布和对内外环境各因素敏锐的反应性。     

刺激耳穴辅助诊断的国内外研究概况

通过耳郭(或耳穴)辅助诊断病症的方法除望诊法(含染色法)、触诊法(含测温法)、压痛法(含压痕法)、电探测法外,还有多数由西医或西学中的专科医师在研究和应用的,在现有耳穴专著中尚未列入耳诊法分类的刺激耳穴辅助诊断法。本文以文献综述的方法简介了刺激耳穴配合X线造影的应用;在对胎心电子监护和胎儿生物物理象监护中的应用;及国外同行35年前开始一直在研究的心耳反射、血管自主信号和耳郭、躯体7个频率响应区诊断法,希望能对同行,特别是对耳针爱好者有所启发,并进一扩大其研究内涵。