带状疱疹经验撷要

袁基海老先生,系浙江省安吉县昆铜乡草医,悬壶乡甸五十载,造诣颇深,其医治带状疱疹一证,治疗不过一两次,疗程最长不过一周耳,在当地富有名声。笔者现将其医治带状疱疹之法归纳介绍如下:带状疱疹俗称缠腰火丹、蛇串疮,顾名思义,好发于腰部,四肢、颈项、胸背部亦有所见。袁老观察得见,疮有干湿两种,色有红白不同,均为串珠型水疱。但湿型带状疱疹较干型水疱大,疮面白,疼痛更甚。     

针刺结合复方白芥子油走罐治疗腰背肌筋膜炎疗效观察（英文）

目的:观察针刺结合复方白芥子油走罐治疗腰背肌筋膜炎的临床疗效。方法:将90例符合纳入标准的腰背肌筋膜炎患者随机分为观察组和对照组,每组45例。观察组接受针刺和白芥子油走罐治疗;对照组接受针刺加温针治疗。每星期治疗2次,共治疗4星期。分别在治疗前、治疗1星期及4星期后进行疼痛的视觉模拟量表(VAS)和中文版罗兰-莫里斯残疾问卷(RMDQ)评分,治疗结束后进行疗效评定。结果:治疗4星期后两组总有效率无统计学差异(P0.05)。治疗1星期后,两组VAS评分无统计学差异(P0.05);治疗4星期后,观察组的VAS评分低于对照组,组间差异有统计学意义(P0.05)。治疗4星期后两组中文版RMDQ评分均明显降低,与本组治疗前均有统计学差异(均P0.05)。治疗1星期和4星期后,观察组中文版RMDQ评分均低于对照组,组间差异均有统计学意义(均P0.05)。结论:针刺加走罐及针刺加温针均可减轻腰背肌筋膜炎患者的疼痛,改善腰背肌功能,而针刺加走罐疗效更佳。     

张明权治疗再生障碍性贫血验案3则

[目的]总结张明权先生治疗再生障碍性贫血(Aplastic anemia,AA)(简称:再障)的经验.[方法]复习张老的临床有效病案,选取3则典型病案进行分析.[结果]抓住患者寒热辩证要害,对症用药,3则案例患者在坚持服药一段时间后均告痊愈.[结论]AA是虚中夹实证,气血虚、肾虚是本,伏热、血瘀是标,应标本兼治；治疗在补气血、补肾基础上合用清热解毒之品.抓住寒热辩证要害,指导用药可取得较好疗效.     

陈元膏膏摩结合熏蒸疗法治疗肘关节强直的疗效观察

目的 观察陈元膏膏摩结合熏蒸疗法治疗肘关节强直的临床疗效.方法 临床收集除关节骨折病变外的肘关节强直患者47例,男28例,女19例,年龄30 ～ 63岁.采用分型定位膏摩及熏蒸疗法治疗,观察疗效.结果 治疗次数10～35次.治疗优12例,良21例,可8例,差6例,总有效率87.23％.结论 肘关节强直通过分型定位膏摩及熏蒸疗法能明显提高疗效.     

当代浙江针灸名家临证精要（二）

浙江的针灸事业长盛不衰,浙江的针灸医家也可谓是前有古人,后有来者。由于浙江当代针灸名家汇聚,临证经验丰富,不仅使针灸医学造福于广大患者,也给我们留下了宝贵的财富。我们曾对楼百层、高镇五、阮少南、盛燮荪、罗诗荣等5位名家的临证精要进行了总结,     

“手足同名经相应配穴法”治验案浅析

盛燮荪主任中医师在其《盛氏针灸临床经验集》一书中详细记述运用"手足同名经相应配穴法"治疗肩周炎的临床经验.笔者根据其配穴原则运用于临床,取效良好.现举验案3则,以供同道参考.     

张明权应用“蛇药方”治疗中医外科疾病验案3则

张明权(1924-)系浙江省嘉兴市第二医院中医科主任医师,曾师从上海名医丁济万、章次公先生,临床用药博采众方,不拘一格。20世纪50年代,嘉兴地区毒蛇咬伤病例较多,民间以马齿苋、蒲公英、大蓟根、五灵脂等为主药的"蛇药方"治疗,因其具有解毒止痛、活血消肿功效,无论外敷还是内服,对蝮蛇、五步蛇等毒     

针罐推拿治疗颈性眩晕的疗效观察

颈性眩晕是指椎动脉的颅外段受到颈部病变影响所致的以眩晕为主的综合征，其特点是眩晕出现在头颈部活动时，可见头痛、视物不清、耳呜、内脏功能障碍（如恶心、呕吐、上腹不适感、出汗等），重则有猝倒等症状。笔者自2002年5月至2006年8月间运用针刺、火罐结合推拿的方法治疗颈性眩晕，取得了较满意的效果，现将结果报告如下。     

Efficacy observation on acupuncture plus moving cupping with compound white mustard oil for lumbar myofascitis

Objective

To observe the clinical effect of acupuncture plus moving cupping with white mustard oil to treat lumbar myofascitis.

Methods

A total of 90 patients with lumbar myofascitis who met the inclusion criteria were randomly divided into an observation group and a control group, 45 cases in each group. The observation group received acupuncture and moving cupping with white mustard oil; the control group received acupuncture plus warm needling treatment. The treatment was given twice a week for a total of 4 weeks. The visual analog scale (VAS) and Chinese version of Roland-Morris disability questionnaire (RMDQ) score of pain before the treatment, and respectively after 1-week and 4-week treatment were recorded for efficacy evaluation.

Results

After 4 weeks of treatment, the difference in total effective rate between the two groups was not significantly (P>0.05). After 1 week of treatment, there was no significant difference in VAS score between the two groups (P>0.05). After 4 weeks of treatment, the VAS score of the observation group was lower than that of the control group, and there was a significant difference between the two groups (P<0.05). After 4 weeks of treatment, the Chinese version of RMDQ scores of both groups were significantly decreased, there were statistical differences in comparing with those before treatment (both P<0.05). After treatment for 1 week and 4 weeks, the Chinese version of RMDQ score in the observation group was lower than that in the control group, with significant differences between the two groups (all P<0.05).

Conclusion

Acupuncture plus moving cupping and acupuncture plus warm needling both can relieve the pain of patients with lumbar myofascitis, improve the function of back muscles, while the curative effect of acupuncture plus moving cupping is better.