针刀医学的发展对中医现代化的意义与评价

针刀医学已经发展为一个较为完整的体系，到目前为止有了比较广泛的普及范围，取得了比较可观的经济和社会效益。针刀医学的开创者和学术带头人们应当认清形势，抓住当前的发展机遇，解决内部存在的问题，使之更快更好地发展。     

Acupotomy treatment for finger joint contracture after immobilization: Case report

Introduction:Contractures frequently occur in the finger joints after immobilization. This report describes the effect of acupotomy treatment in patients with joint contracture due to immobilization of the finger joints.Patient concerns and clinical findings:Case 1 was of a 39-year-old male patient who had flexion limitation of the left thumb and difficulty in grasping. Case 2 was of a 41-year-old female patient who had flexion limitation of the right index finger and difficulty in typing. Stiffness occurred after tendon repair surgery and cast immobilization in both cases. In Case 1, the patient had limited flexion movement of the first metacarpophalangeal and interphalangeal joints after 5 weeks of immobilization of the left thumb in a cast. In Case 2, the patient had limited flexion movement after 3 weeks of immobilization of the second proximal interphalangeal joint of the left hand in a cast.Diagnosis, interventions, and outcomes:We diagnosed both patients with finger joint contracture due to immobilization. Conservative treatment for approximately 4 weeks did not lead to improvement in either patient. Acupotomy is the key treatment for improving movement in Korean Medicine. Therefore, acupotomy was performed, and joint stiffness markedly improved without adverse events. Both patients reported that the daily use of the damaged fingers became comfortable.Conclusion:We found that acupotomy may be effective for finger joint contracture due to improper immobilization. We suggest it as a simple and safe treatment for joint contracture.     

Comparison of the efficacy and safety of acupuncture and acupotomy for patients with cervical spondylotic radiculopathy: A protocol for systematic review and meta-analysis

Background:There is no systematic review to compare the efficacy of acupuncture and acupotomy in patients with cervical spondylotic radiculopathy. It is worthy to critically review the evidence of the comparison of these 2 therapies to inform clinical practice. Therefore, the purpose of this study was to compare the efficacy and safety of acupuncture and acupotomy in the treatment of cervical spondylotic radiculopathy and to provide evidence for clinical practice.Methods:Seven electronic databases including Web of Science, Embase, PubMed, Wanfang Data, Scopus, Science Direct, Cochrane Library were searched in March 2021 by 2 independent reviewers. Data extraction was performed independently, and any conflict was resolved before final analysis. Only randomized clinical trials were included in this study. Outcomes included pain intensity, symptom score, neck disability index, total effective rate, and curative rate. The Cochrane risk of bias tool is used to evaluate the risk of bias of included randomized controlled trials by 2 independent reviewers.Results:We hypothesized that these 2 methods would provide similar therapeutic benefits. The results of this research will be delivered in a peer-reviewed journal.Conclusion:This study expects to provide credible and scientific clinical evidence for the efficacy and safety of acupuncture and acupotomy in the treatment of cervical spondylotic radiculopathy.OSF registration number:10.17605/OSF.IO/U7T6A.     

Effectiveness and safety of acupotomy on lumbar spinal stenosis: A pragmatic randomized,controlled, pilot clinical trial: A study protocol

Introduction:Lumbar spinal stenosis (LSS) is a pathological condition that causes a variety of neurological symptoms due to narrowing of the anatomical structures; usually, conservative treatment is recommended, rather than surgical treatment. Acupotomy combines conventional acupuncture with small scalpels; the procedure can be considered minimally invasive, and has recently received considerable attention in clinical practice. Still, there is a lack of data and randomized controlled trials regarding acupotomy related to LSS. Additional studies are necessary, considering the low methodological quality and small size of the study.Methods and analysis:This is a pragmatic, pilot, randomized controlled trial. The trial comprises 8 weeks of treatment, with 16 visits and a 4-week follow-up period. Forty participants diagnosed with LSS will be randomly assigned to either the experimental or control groups; both groups will receive acupuncture and interferential current therapy twice a week for 8 weeks, while the experimental group will receive an additional acupotomy intervention once a week for 8 weeks. The primary outcome will be assessed using the visual analog scale; the secondary outcome will be measured by self-rated walking distance, Oswestry Disability Index, and short-form McGill Pain Questionnaire. Measurements will be obtained prior to the start of the clinical trial, 4 weeks after the interventional procedure, 8 weeks after the procedure, and 4 weeks after the end of the interventional procedure. Blood tests and adverse reactions will be performed to ensure safety of the treatments.Conclusion:We expect that this study will provide basic data for future large-scale acupotomy studies regarding LSS.     

臂丛麻醉下针刀、手法松解治疗肩关节周围炎的临床观察

目的:观察臂丛麻醉下针刀、手法松解治疗肩关节周围炎的临床疗效。方法:将72例肩周炎患者随机分为两组,治疗组36例采用臂丛麻醉下针刀联合手法松解治疗,对照组36例采用针灸及推拿治疗,观察两组的镇痛效果、肩关节活动度改善情况及综合疗效。结果:①肩关节疼痛程度:两组治疗后VAS评分均较治疗前降低(治疗组:t=42.730,P=0.000;对照组:t=30.156,P=0.000);但治疗后治疗组VAS评分的降低程度较对照组明显(t=8.475,P=0.000)。②肩关节活动度:两组治疗后肩关节Mallet评分均较治疗前降低(治疗组:t=22.254,P=0.000;对照组:t=19.486,P=0.000);但治疗后治疗组肩关节Mallet评分的降低程度较对照组明显(t=4.841,P=0.000)。③综合疗效:两组综合疗效比较,治疗组优于对照组(Z=-2.075,P=0.038)。结论:臂丛麻醉下针刀、手法松解治疗肩关节周围炎疗效显著,值得临床推广。     

针刀联合柴胡加龙骨牡蛎汤治疗难治性下肢溃疡

目的 此文主要基于"祛瘀生新"及"去菀陈莝"理论探讨针刀联合柴胡加龙骨牡蛎汤论治难治性下肢溃疡的心得体会.方法 总结针刀联合柴胡加龙骨牡蛎汤治疗难治性下肢溃疡的临证经验,并结合难治性下肢溃疡的基本病理过程,进一步探讨难治性下肢溃疡的临床论治.结果 针刀联合柴胡加龙骨牡蛎汤临床可以有效治疗难治性下肢溃疡,值得探讨研究.结...     

针刀疗法对缺血缺氧性幼鼠脑组织CX32及Nestin蛋白表达的影响

目的:目的:观察针刀刺激对幼鼠缺血缺氧性脑损伤的影响。方法:新生7日龄SD幼鼠28只,随机分为手术组20只及假手术组8只。手术组幼鼠复制为缺血缺氧性脑损伤模型,共成功16只,再随机人为手术组A和手术组B各8只。手术组A于造模后2、9及16d时参照《实验针灸学》取百会、大椎、曲池、内关、环跳、阳陵泉及三阴交穴分别交替给予针刀治疗1次。造模第17天时通过悬吊试验观察各组随意运动功能,免疫组化观察脑组织缝隙连接蛋白(CX32)及巢蛋白(Nestin)的表达。结果:悬吊试验中,手术组A平均悬吊时间评分与假手术组比较差异不明显;手术组B则明显低于假手术组(P0.05)。CX32表达,手术组B明显低于手术组A及假手术组(P0.05),手术组A与假手术组比较差异无统计学意义。Nestin表达,手术组A与假手术组及手术组B比较均明显升高(P0.01)。结论:针刀治疗缺血缺氧性脑损伤可改善随意运动功能障碍,启动内源性神经干细胞的增殖,提高损伤后脑组织CX32的表达。