Effect of Ear-Acupoint Pressing and Ear Apex (HX6,7) Bloodletting on Haemorheology in Chloasma Patients with Gan Depression Pattern

Objective: To explore the therapeutical effect of ear-acupoint pressing combined with Ear Apex (HX6,7) bloodletting on haemorheology in chloasma patients with Gan (Liver) depression pattern. Methods: A total of 180 chloasma patients were randomly assigned to three groups, 60 cases in each. Patients in the earacupuncture (EA) group were treated with ear-acupoint pressing combined with Ear Apex (HX6,7) bloodletting; vitamins C and E were put into practice in the Western medicine (WM) group together with 0.025% tretinoin cream for local external application; patients in the placebo group were treated with urea-cream by external use, while 30 healthy volunteers were in the control group. After a treatment course of 2 months, the changes of haemorheology, injury skin area, colour score and symptom score before and after the treatment were observed. Results: There was no significant difference on whole blood reduced viscosity (high shear, medium shear, and low shear), erythrocyte aggregation index, hematocrit, plasma viscosity among the four groups (F=2.65, P>0.05). Compared with those before treatment, the whole blood viscosity (high shear) and whole blood reduced viscosity (high shear) after treatment in the EA group, the WM group and the placebo group were with no statistical significance (P>0.05). The injury skin area and colour score after treatment were significantly lower than those before treatment in the EA group and the WM group (P<0.05), while there was no significant difference in placebo group (P>0.05). Clinical symptoms of the EA group were obviously improved after the 2-month treatment, which was significantly different compared with those before treatment (P<0.05), there was significant difference compared with those of WM group and placebo group (P<0.05). Conclusion: There was no significant difference on haemorheology index between healthy people and chloasma patients without angionosis, cerebrovascular disease, hematopathy, metabolic disease or any other organic disease. Ear-acupoint pressing combined with Ear Apex (HX6,7) bloodletting can effectively improve concurrent symptoms, lighten chloasma and lower chloasma area in patients accompanied by Gan depression.     

腹腔镜胆囊切除术漏诊临床病例分析

目的 探讨分析腹腔镜胆囊切除术后漏诊临床病例.方法 回顾2012年9月—2015年9月2000余例腹腔镜胆囊切除术后漏诊15例临床资料,腹腔镜胆囊切除术后根据患者出现临床症状进行并检查或病理回报合并疾病,确诊并选择治疗方式.结果 漏诊原因为胆总管结石3例、 意外胆囊癌9例、 结肠癌2例,胃巨大溃疡1例.结论 警惕腹腔镜胆囊切除术漏诊,术前应尽可能全面检查、 注意鉴别诊断,减少漏诊,避免术后非计划再次手术的发生.     

中医心理护理体会

中医学中虽没有心理学的名称,但却有极其丰富的“心理学”内涵,即重视情感活动在疾病中的作用,强调精神治疗。中医认为七情过极,可以导致人体疾病,《灵枢,百病始生》篇指出“喜怒不节则伤脏,脏伤则病”;《素问,阴阳应象大论》更具体:“怒伤肝”,“喜伤心”、“思伤脾”、“忧伤肺”、“恐伤肾”。阐明了心理因素导致内脏疾病的机理。在治疗上,十分强调心理治疗的重要性,而心理因素(情感)引起的疾病更应重视心理治疗,正     

血管萎缩性皮肤异色病1例

报告 1例血管萎缩性皮肤异色病。男 ,68岁。全身起红色皮疹伴瘙痒 2年。检查 :面、颈部 ,躯干及四肢皮肤呈现棕红、棕褐色网状色素沉着 ,色素减退斑 ,间有毛细血管扩张呈典型黑、白、红异色改变 ,全身皮肤干燥少许脱屑 ,触诊无浸润感及压痛 ,无溃烂。组织病理 :表皮萎缩变薄 ,钉突消失 ,轻度角化过度 ,基底层部分细胞液化变性 ,色素细胞减少 ,真皮浅层血管扩张 ,其周有少量单一核细胞浸润。     

依沙吖啶液坐浴治疗产后痔

痔是直肠下端肛管和肛门边缘的静脉丛曲张形成的质软静脉团块,为临床常见疾病,多见于成年人。临床发病率约为50％～70％。女性妊娠后子宫增大,直接压迫直肠静脉,影响血液回流,故易患痔。患痔产妇分娩时易引起痔水肿,严重者     

卡介苗多糖核酸穴位注射治疗变应性鼻炎74例临床观察

1临床资料1.1诊断标准及症状体征评分标准采用中华医学会耳鼻咽喉科学分会、中华耳鼻咽喉科杂志编辑委员会修订的《变应性鼻炎诊断标准及疗效评定标准(1997年修订,海口)》[1]。1.2一般资料采取随机对照临床试验(RCT),将符合变应性鼻炎诊断标准的148例患者随机分成治疗组和对照组各74例。治疗组74例中男43例,女31例;年龄9~71岁,中位年龄43岁;病程1~35年,中位病程17年;其中季节性45例,29例为常年性;症状和体征评分为(10.9±1.5)分。对照组74例中男45例,女29例;年龄11~66岁,中位年龄39岁;病程1~30年,中位病程16年;其中40例为季节性,34例为常…     

夹脊穴短刺结合温针治疗椎动脉型颈椎病56例临床观察

1997～2004年,作者应用夹脊穴短刺结合温针治疗椎动脉型颈椎病56例,取得了较好的效果.现介绍如下.     

附子饼灸为主治疗糖尿病神经系统病变54例

糖尿病合并神系统病变是糖尿病常见的并发症之一。笔者在 1997～ 2 0 0 0年间运用附子饼灸为主治疗 5 4例 ,取得较好疗效 ,总结如下。1　一般资料5 4例均来自门诊和住院患者 ,其中男 35例 ,女19例 ;年龄 4 6～ 72岁 ;病程 2～ 15年。全部病例经临床化验确诊为Ⅱ型糖尿病 ,其中合并周围神经病变 2 8例 ,出现复视 7例 ,植物神经损害 12例 ,合并肌无力、肌萎缩 7例。2　治疗方法主穴 :腰阳关。配穴 :并发周围神经病变加委中、阳池 ;并发复视加太阳、太冲 ;并发植物神经损害加足三里、三阴交 ;合并肌无力、肌萎缩加伏兔、阳陵泉、曲池、合谷。方…     

穴位埋线法治疗胃中不和型失眠症临床研究

目的：观察穴位埋线法对胃中不和型失眠症的疗效.方法：对90例胃中不和型失眠症病例随机分为穴位埋线组、针刺组和药物组,各30例,以匹兹堡睡眠质量指数量表（PSQI）评分及睡眠率的变化进行疗效评价.结果：3组均能有效改善患者的失眠状况,随访后均有一定的复发,尤其是药物组;埋线组的疗效维持优于针刺组,更明显优于药物组.针刺组除入睡时间、睡眠时间项目外均优于药物组（P＜0.05）,而埋线组除睡眠时间外均明显优于药物组（P＜0.01）.随访后,3组均有不同程度的复发;PSQI各项目比较,埋线组优于针刺组,针刺组优于药物组,显示埋线组的疗效更明显,复发率更低.结论：穴位埋线法治疗胃中不和型失眠症是较为安全有效的方法.     

青龙摆尾法结合筋结点治疗膝骨关节炎浅析

基于对徐凤《金针赋》中的青龙摆尾法具有行气活血作用的认识,通过总结膝骨关节炎的中医学理论及现代研究,对青龙摆尾法结合筋结点治疗膝骨关节炎作初步分析,认为青龙摆尾法结合筋结点治疗膝骨关节炎主要是通过刺激筋结点,激发局部经气,使经气由络脉、经脉感传至脏腑,不但能治疗局部膝关节本身的病症,还能通过络脉、经脉以调整脏腑,通行气血,配合青龙摆尾的手法更利于疏通经络,活血化瘀,从而达到内外兼治的目的。结合膝骨关节炎的病因病机"本虚标实",临床运用青龙摆尾在筋结点施补泻结合、寓补于泻的手法,可起到调畅气血运行,兼补肝肾的作用。