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。     

Clinical Study on Treatment of Primary Dysmenorrhea with Qihuang Herbal Warm Bag

目的观察"歧黄"养生温灸包对原发性痛经患者的影响.方法以原发性痛经患者32例为观察对象,采用温灸包外敷的方法,治疗2个月经周期后观察临床疗效,并检测患者治疗前后的前列腺素F2a(PGF2a)及β内啡肽(β-EP)的变化.结果温灸包对不同程度的痛经患者均有疗效,可使血中PGF2a含量下降及β-EP升高.结论温灸包治疗原发性痛经有效.温灸包能够降低血清PGF2a含量,增加血清β-EP含量.     

热补针法结合康复训练对小儿脑瘫患儿功能影响的随机对照研究

目的:探讨热补针法结合康复训练治疗小儿脑瘫的疗效。方法:将40例小儿脑瘫患儿随机分为康复组19例,针刺结合康复组21例,康复组患儿采用康复训练进行治疗,针刺结合康复组患儿采用热补针法结合康复训练治疗。针刺治疗体针取百会、哑门、曲池、环跳、三阴交等穴,施热补针法,不留针;头针取智三针、脑三针、运动区、平衡区等穴,不提插捻转,留针1 h。均隔日1次,3个月为1疗程,共治疗2个疗程。采用粗大运动功能评价量表(GMFM)和脑瘫患儿综合功能评定量表进行功能评定。结果:康复组与针刺结合康复组显效、无效和有效率分别为12(63.16%),18(85.71%);7(36.84%),3(14.29%);63.16%和85.71%,针刺结合康复治疗组的疗效显著优于单纯康复治疗组(P<0.05)。两组治疗前比较GMFM评分和脑瘫综合功能评分均无显著性差异(P>0.05),两组治疗后比较GMFM评分和脑瘫综合功能评分均有显著增加(P<0.01);针刺结合康复治疗的增加幅度明显高于单纯康复组(P<0.01)。结论:针刺结合康复训练提高脑瘫患儿的综合功能的疗效明显优于单纯康复治疗。     

A REPORT OF THE TREATMENT OF 103 CASES WITH POSTPARTUM RETENTION OF URINE

The acupuncture treatment with Zi Wu Dao Jiu needling was used to treat thepostpartum retention of urine and produced a therapeutic effect better than that of urethral catheteri-zation. The remarkable effectiveness rate in patients with a clinical course less than 4 days was 99％.The acupuncture at Huiyang (BL 35) point might stimulate pudendal nerve and relax muscles of uri-nary bladder and urethra to facilitate the discharge of urine.     

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.     

"烧山火"针法治疗小儿遗尿35例临床观察

目的:观察运用“烧山火”针法治疗小儿遗尿的临床效果。方法:将67例遗尿患儿随机分为治疗组和对照组,治疗组35例采用“烧山火”针法治疗,对照组32例采用西药治疗。结果:治疗组总有效率88.6%,对照组总有效率68.8%,治疗组的疗效明显优于对照组(P<0.05)。结论:“烧山火”针法是治疗小儿遗尿的一种有效手法。     

电针对大鼠胃肌电的针刺效应及其传导途径作用机理探讨

目的 探讨电针对大鼠胃肌电穴位特异性影响及其传出途径研究。方法 选用四白、地仓、颧髂穴及四白旁开点，观察电针对禁食24h麻醉状态下大鼠胃肌电的影响：并通过腹注阿托品、六羟季胺、利血平神经阻断剂，观察传出途径阻断后电针的效应.结果 电针四白穴对胃肌电的发放具有一定的兴奋效应，地仓次之，而颧髂、四白旁开点对胃电活动无明显作用：针刺四白穴能部分取消阿托品、六羟季胺对大鼠胃电的抑制效应，部分增强利血平后大鼠胃电的兴奋效应。结论 电针足阳明经对大鼠胃肌电具有一定的兴奋效应，其调整作用具有经脉、穴位的相对特异性。而电针对胃电的调整作用，与胆碱能神经、交感神经、肾上腺素能神经的参与有关。 通过电针四白、地仓、颧偿穴及四白旁开点，并腹注神经阻断剂，探讨电针对大鼠胃肌电穴位特异性影响及其传出途径研究,结果电针足阳明经对大鼠胃肌电的兴奋效应，具有经脉、穴位的相对特异性。而电针对胃电的调整作用，与神经系统参与有关。     

CLINICAL OBSERVATION ON TREATMENT OF ALLERGIC BRONCHIAL ASTHMA WITH ACUPOINT APPLICATION THERAPY

In the present paper,the therapeutic effect of acupoint application of Chinese materia Medica in the treatment of allergic asthma was observed.The results revealed that topical application of drug-paste[mixture of powder of Mahuang(Herba Ephedrae),Xixin (Herba Asari),Baijiezi(Semen Sinapis Albae),etc.]at the acupuncture points could improve symptome and signs of allergic asthma patients,with the total effective rate being 69.57%(16/23)for the short-term effect,and 52.17%(12/23)for the long-term effect.In medication(Aminophylline)group,of the 25 cases of allergic asthma,16(64.0%)were effective after 4 weeks of treatment,while 6(24.0%)were still effective that was shown by 6-months‘ follow up.The therapeutic effect of acupoint application group was significantly better than that of medication group in the long-term effect.Results also showed that no obvious interrelation between the short-term therapeutic effect and the duration of the severity of the disease.Results also display that acupoint application therapy is an effective,safe and handy method withfewer side effects for asthma.     

《腧穴学》(六版)腧穴主治规范探讨

分析了《腧穴学》（六版）中腧穴主治规范的失误，将其归纳为中医病症与西医病名排列格式不统一，病机与症状混淆，内容重复以及用词不当四个方面，并对如何规范提供了一些具体建议。     

穴位贴敷加穴位注射防治支气管哮喘的临床研究

目的：观察穴位贴敷加穴位注射防治支气管哮喘的疗效。方法：将117例患者随机分成治疗组62例和对照组55例进行对照观察。结果：治疗组临床疗效的总有效率明显高于对照组，P＜0．01，患者免疫功能和生命质量指标明显改善。结论：穴位贴敷加穴位注射防治支气管哮喘疗效显著、确切，明显优于对照组。