瘢痕灸对失眠模型大鼠血清褪黑素及神经肽Y含量表达影响的研究

ObjectiveTo explore the influence of scarring moxibustion on the changes of serum melatonin (MT) and neuropeptide Y (NPY) expressions in the insomnia model rats.MethodsA total of 40 SD rats were randomly divided into a blank group, a model group, a scarring moxibustion group, an embedding needling group and a mild moxibustion group, 8 rats in each group. The intraperitoneal injection of p-chlorophenylalanine (PCPA) was adopted to establish the insomnia model rats and the corresponding interventions were given, consecutively for 6 days. Separately, before modeling and the first intervention as well as before sample collection, the body weight was measured and the serum was collected in the insomnia model rats. The enzyme linked immunosorbent assay (ELISA) was used to detect the levels of serum MT and NPY.ResultsCompared with the blank group, the body weight of rat in the model group was lower (P < 0.01) and the levels of MT and NPY were lower in the model group (both P < 0.05). Compared with the model group, in the scarring moxibustion group, the embedding needling group and the mild moxibustion group, the body weight and the levels of MT and NPY of the insomnia model rats were all higher (all P < 0.05). Compared with the embedding needling group and the mild moxibustion group, the body weight and the levels of MT and NPY the insomnia model rats were all higher in the scarring moxibustion group (all P < 0.05). In comparison between the embedding needling group and the mild moxibustion group, there were no statistical differences in the body weight and the levels of MT and NPY (all P > 0.05).ConclusionThe regulation mechanism of sleep-wake circadian rhythm may be related to the levels of serum MT and NPY in the insomnia model rats. Scarring moxibustion increases the levels of MT and NPY more effectively and displays the effect in the intervention as compared with embedding needling and mild moxibustion in the insomnia model rats.     

关于针灸推拿专业学位研究生住院医师规范化培训的思考

中医专业学位研究生住院医师规范化培训(以下简称"规培")是对临床型研究生教育的重大改革,是提高专业学位研究生教育水平的重大举措,对提高我国临床医师的整体职业素质具有重要意义.现阶段我校专业学位研究生规培教学工作刚刚起步,在科室安排、培训考核、课程设置及导师带教等方面尚存在一些问题,需逐步探索和完善.本文以我校针灸推拿专业临床型研究生规培为例,针对培训实施过程中存在的突出问题进行分析并提出具体的有针对性的建议,以期规范研究生规培工作,提高我校研究生培训质量,培养出高素质、高层次医学专业人才.     

扶阳法在消化痰病中的临证应用

时下清热药盛行,长期服用多损阳气。笔者临证先辨阴阳,阳虚患者论治,逐渐形成"重脾肾阳气、重一气周流"的思路,治病多以一气周流理论为指导,以气机升降为基准,重视阳气化藏及枢转,补阳之时,宜要分清阳虚之处,不能以四逆汤统治,方能药到而病除。临证运用扶阳思路常为扶后天之中气,调枢以运四旁、扶先天之肾阳,培根以生脾土、扶中天之心阳,下照以生胃土、扶生发之肝阳,疏达以畅气机,效果显著,而一些医者以四逆汤打天下,实际上是对郑钦安医学思想的误解。     

无烟型颈关节艾灸箱的应用与设计

艾灸箱由箱体、活动盖板、铁丝防护网、虑烟罩等部分组成。箱体为下部开口的中空体,箱体的上部有翻转的活动盖板,箱体前部侧壁上开有与人体颈部相对应的第一缺口,箱体后部的侧壁上开有与人体肩部相对应的第二缺口,箱体内中部装有水平的防护网,用来承托艾条和艾灰,虑烟罩包裹箱体,用于虑烟。此灸箱可对人体颈部施灸,艾灸效果好且舒适无烟。     

透灸法治验三则

临床常见的头痛、眩晕、失眠等严重影响了人们的生活质量。针灸作为一种安全有效的治疗方法有其独特的优势。笔者根据多年的临床经验总结出透灸法，透灸的关键是艾灸过程中出现温热感向组织深部透达，当艾灸达到一定量时可出现感传，感传呈线状、带状分布，或从施灸的腧穴循经向远端传导，或向组织深部透达[1]。运用此法透灸头部穴位，热感逐步从头皮向内渗透，致整个头部发热，且热感向其他部位传导，患者顿觉得头目清醒，精神良好，收效颇著。     

针刺加艾箱灸治疗产后尿潴留的观察

目的观察针刺加艾箱灸治疗产后尿潴留的临床疗效。方法选取114例郑州大学第二附属医院产科住院的产后患者,随机分为两组。对照组54例采用针刺法治疗,治疗组60例采用针刺加艾箱灸治疗。3d为1个疗程,1个疗程后评定疗效。结果对照组治疗后总有效率为75.93%,治疗组治疗后总有效率为91.67%,两组患者比较有统计学意义(P<0.05)。结论针刺加艾箱灸治疗产后尿潴留疗效显著,值得在临床上推广应用。     

足保健艾灸箱的设计和应用

目的:设计一种艾灸足部使用的、可以调节温度、提高艾灸热量利用率、提高艾灸疗效的艾灸箱.方法:灸箱由箱体、“足”形防护网、“足”形框、艾条固定架、通气孔和温度计等部分组成.“足”形防护网用于固定足部,可避免艾火灼伤足部皮肤.“足”形框用于支撑“足”形防护网,及焊接艾条固定架.艾条固定架用于固定燃烧的艾条.通气孔和塞子用于...     

凉泻手法对内毒素致热大鼠血清超氧化歧化酶水平的影响

目的：研究4种不同凉泻手法对内毒素致热大鼠血清超氧化歧化酶（SOD）水平的影响。方法：采用提插泻法、捻转泻法、透天凉法、提运手法。结果：4种手法均对内毒素致热大鼠血清SOD活力水平的降低有保护作用，表现为不同程度的提高，以提运手法组和效果最显著。结论：提运手法为一种简便效验的凉泻手法。     

参枳消萎汤对慢性萎缩性胃炎癌前病(肝胃气滞证)变转归的影响

目的:探讨参枳消萎汤对慢性萎缩性胃炎(CAG)胃炎癌前病(PLGC)(肝胃气滞证)转归和血清三叶因子3(TFF3)及胃泌素-17的影响。方法:89例PLGC随机按数字表法以1∶1原则分为对照组44和观察组45例。对照组口服胃苏颗粒,15 g/次,3次/d。观察组采用参枳消萎汤内服,1剂/d。两组疗程均为16周。进行治疗前后胃黏膜组织病理学检查;进行治疗前后胃脘疼痛、饱胀、痞闷、嗳气、纳差评分;检测治疗前后TFF3和胃泌素-17水平。结果:观察组治疗后胃镜、胃黏膜临床病理疗效总有效率为100%,高于对照组的84.1%(P0.05);治疗后观察组萎缩程度,肠上皮化生(IM)和异型增生(Dys)病理评分均低于对照组(P0.01);观察组胃脘疼痛、饱胀、痞闷、嗳气、纳差等主要症状评分均低于对照组(P0.01);治疗后两组血清TFF3水平均显著下降,观察组下降更为明显(P0.01);两组血清胃泌素-17水平明显升高,观察组升高更为显著(P0.01)。结论:参枳消萎汤能阻断或逆转胃癌前病变(PLGC),延缓CAG向胃癌的发展,临床疗效显著。