神阙穴隔药灸治疗慢性腹泻78例

慢性腹泻中医辨证多为脾胃虚弱、湿热蕴结、肝郁脾虚、脾肾阳虚，临床多以腹泻、腹痛、黏液或脓血便等为主要症状，其病程长，反复发作，迁延难愈。近几年来笔者采用神阙穴隔药灸治疗本病，疗效满意，现报告如下。     

隔盐灸神阙穴治疗虚寒性腹泻65例

采用隔盐灸神阙穴治疗虚寒性腹泻６５例。方法，先用粗盐填满神阙穴，然后将艾条点燃装在灸架内，安放在神阙穴，结果痊愈５４例，好转１０例，无效１例，采用本法对脾虚湿困型和肾虚型患者有效率比较，Ｐ＞０．０５，无显著差别。     

隔药灸神阙穴治疗帕金森病54例疗效观察

目的:观察神阙穴隔药灸对帕金森病临床疗效.方法:将90例帕金森病患者按就诊先后顺序随机分为治疗组(54例)和对照组(36例),两组同时服用常规治疗帕金森病的西药,治疗组加用神阙穴隔药灸,分别观察其综合疗效及帕金森病功能量表(改良UPDRS评分)比较.结果:治疗组总有效率83.3%,明显高于对照组的58.3%(P＜0.01);治疗组改良UPDRS积分减少74.1%,明显优于对照组的16.7%(P＜0.01).结论:神阙穴隔药灸治疗帕金森病确有一定疗效.     

推拿配合过敏煎神阙穴外敷治疗小儿迁延性及慢性腹泻60例临床研究

小儿腹泻在临床上是一种常见的小儿疾病,大便粪质比较稀薄且次数频繁是临床的主要症状［1］。迁延性及慢性腹泻是小儿腹泻最难治的疾病类型,患有此病的患儿因为大部分伴发恶心、呕吐及腹胀等一系列消化道症状,导致口服使用药物接受治疗比较困难。为探讨中医推拿配合过敏煎神阙穴外敷在临床上治疗小儿迁延性及慢性腹泻的应用价值,2010－10—2012－12,我们应用推拿配合过敏煎神阙穴外敷治疗小儿迁延性及慢性腹泻60例,并与黄芪注射液、蒙脱石散（思密达）治疗60例对照观察,结果如下。     

神阙隔药灸疗法治疗溃疡性结肠炎的临床观察

目的：观察神阙隔药灸疗法治疗溃疡性结肠炎（UC）的疗效及对自身免疫水平的影响，并探讨其作用机制。方法：将60例UC患者随机分为治疗组（30例）和对照组（30例）。治疗组采用神阙隔药灸疗法，对照组口服柳氮磺胺吡啶片和甲硝唑片，比较两组治疗前后主要症状及肠黏膜病变变化和总疗效，观察血清免疫球蛋白、外周血T细胞亚群与自然杀伤细胞（NK）含量变化。结果：治疗组显效率、总有效率分别为60．0％、86．7％，明显优于时照组的23．3％、66．7％，两组间比较差异有显著性或非常显著性意义（P〈0．05，P〈0．01）。治疗组治疗后IgG显著降低，与对照组治疗后比较差异有显著性意义（P〈0．05）；治疗前后IgA、IgM无明显变化（P〉0．05）。治疗姐治疗后外周血T细胞亚群与NK细胞含量均不同程度增高，增高幅度与疗效呈正相关。结论：神阙隔药灸疗法是治疗溃疡性结肠炎的满意方法，其作用机制可能通过调节机体的免疫功能发挥疗效。     

神阙穴隔药饼灸治疗黄褐斑50例疗效观察

神阙穴隔药饼灸治疗黄褐斑５０例疗效观察林红（成都中医药大学针灸系，四川６１００７５）主题词黑变病／针灸疗法，间接灸，穴，神阙黄褐斑是一种发生于面颊、额部、鼻和口唇周围的黄褐色或咖啡色斑片状皮肤疾患，常见于女性，多与脏腑功能失调有关。笔者从１９９１年以...     

隔药灸治疗小儿轮状病毒腹泻疗效观察

目的用隔药艾灸治疗30例小儿轮状病毒腹泻患儿,与西医常规治疗组对比观察,验证隔药艾灸在治疗小儿轮状病毒腹泻中的优势。方法 60例患儿确诊后随机分为两组,分别采用隔药艾灸和口服蒙脱石散、思连康进行治疗,连续治疗3天。参照国家卫生部药政局2002年版《新药（中药）治疗小儿腹泻疗效评定标准》制定评价量表作为评价指标。结果隔药灸组24h治愈率达到40%,总有效率96.67%;对照组24h治愈率6.7%,总有效率76.67%,两组对比有显著性差异（P〈0.05）。结论①隔药灸治疗小儿轮状病毒腹泻临床疗效确切,缩短疗程治愈率高。②操作方法简单,患儿容易接受,易于推广。     

隔药灸脐法延缓衰老临床观察

目的:观察隔药灸脐疗法延缓衰老的临床疗效及作用机制。方法:将71例患者随机分为3组,其中隔药灸脐组30例,采用隔药灸脐治疗,每周2次;针刺组21例,取肾俞、太溪为主穴,每日1次;西药组20例,口服VitE胶囊,每次0.1g,每日2次。比较3组的临床疗效,以及治疗前后症状积分、血清超氧化物歧化酶(SOD)、血清丙二醛(MDA)含量变化。结果:治疗后3组临床症状均有非常显著的改善(P<0.01),且隔药灸脐组改善更显著(P<0.01);3组SOD含量均明显提高(P<0.01),MDA含量均明显降低(P<0.01),隔药灸脐组与针刺组相比SOD、MDA含量差异均无显著性意义(P>0.05),隔药灸脐组与西药组相比SOD、MDA含量差异均有显著性意义(P<0.05)。结论:隔药灸脐法能明显延缓衰老,其机制与改善体内SOD、MDA含量有关。     

穴位贴敷治疗小儿秋季腹泻40例

小儿秋季腹泻是由多种原因引起的胃肠功能紊乱综合征,治疗颇为棘手.2004～2005年,笔者采用穴位贴敷治疗小儿秋季腹泻40例,现报告如下. 1资料与方法 1.1一般资料本组40例,男26例,女14例;年龄最小6个月,最大4岁;病程最短1日,最长10日.     

隔药灸脐法治疗原发性痛经临床研究

目的观察隔药灸脐与针刺三阴交穴对原发性痛经患者症状的影响,比较其疗效差异。方法将60例原发性痛经患者随机分为灸脐组和针刺组,每组30例。观察治疗3个月经周期后COX痛经症状评分量表（the Cox Menstrual Symptom Scale）的变化,并比较两组之间的差异。结果灸脐组与针刺组治疗前后COX痛经症状评分比较差异均有统计学意义（P〈0.05）,且灸脐组疗效优于针刺组（P〈0.05）。结论隔药灸脐法治疗原发性痛经疗效较好。     

Clinical Study on Moxibustion at Shenque （CV 8） for Chronic Urticaria

Objective： To observe the safety and efficacy of moxibustion at Shenque （CV 8） for chronic urticaria. Methods： A total of 80 cases who met the inclusion criteria were randomly allocated into a treatment group and a control group, 40 in each. Cases in the treatment group were treated with thunder-fire moxibustion at Shenque （CV 8）, whereas cases in the control group were treated with Mizolastine. Changes in clinical symptoms such as itching and skin lesion were observed before and after treatment and the therapeutic efficacies were assessed. Results： After treatment, the total scores of clinical symptoms in both groups were markedly reduced （P〈0.05）, and the reduction was more significant in the treatment group than that in the control group （P〈0.05）. The total effective rate in the treatment group was 77.5%, versus 65.0% in the control group, showing no significant difference （P〉0.05）. The Ridit analysis showed a between-group significant difference in therapeutic efficacy grades （P〈0.05）. There were no reports of adverse reactions in the treatment group and 2 cases experienced mild somnolence in the control group. Conclusion： With an exact effect for chronic urticaria, moxibustion at Shenque （CV 8） obtained better results in overall efficacy and improving symptoms than oral administration of Mizolastine.     

中药酊剂外涂神阙穴治疗婴幼儿腹泻临床观察

目的:探讨治疗婴幼儿腹泻的有效途径.方法:将60例患儿随机分为治疗组及对照组各30例.两组均采用口服补液方法,治疗组以中药酊剂外涂神阙穴,对照组以阿莫西林口服.结果:治疗组治愈率、有效率均明显优于对照组(P＜0.01,P＜0.05),无副作用发生.结论:中药外涂神阙穴治疗婴幼儿腹泻疗效确切,且操作简单.     

隔药灸神阙穴治疗原发性痛经疗效观察

目的:观察隔药灸神阙穴治疗原发性痛经的临床疗效。方法:将102例患者随机分为隔药灸组和西药组各51例,隔药灸组隔药灸神阙穴,西药组口服镇痛药进行治疗。结果:隔药灸组治愈17例,显效21例,有效9例,无效4例,总有效率为92.2%;西药组治愈7例,显效11例,有效21例,无效12例,总有效率76.5%。两组总有效率经比较差异具有统计学意义(P0.01),隔药灸组优于西药组。两组治疗前后痛经症状积分及两组不良反应比较,差异均具有统计学意义(均P0.01),隔药灸组均优于西药组。结论:隔药灸神阙穴治疗原发性痛经的临床疗效优于口服镇痛药,具有安全、不良反应少的优点,患者依从性好,值得推广应用。     

神阙穴隔盐灸治疗儿童遗尿的临床观察

目的:观察神阙穴隔盐灸合并针灸对非洲儿童遗尿的疗效.方法:将70例遗尿患儿随机分为治疗组(38例);对照组(32例),分别进行神阙穴隔盐灸合并针灸和针刺治疗.按《中医病症诊断疗效标准》中判效标准评定疗效.结果:神阙穴隔盐灸合并针灸组患儿痊愈平均治疗次数与对照组差异有统计学意义,结论:神阙穴隔盐灸合并针灸对改善非洲儿童遗尿有明显作用,机制需进一步探讨.     

Experimental study on the effect of moxibustion at Shenque (CV 8) for long-term exercise-induced fatigue

Objective

To investigate the effect of moxibustion at Shenque (CV 8) on fatigue in rats with chronic exercise-induced exhaustion.

Methods

Thirty male Sprague-Dawley (SD) rats were randomly divided into a blank group, a model group and a moxibustion group, 10 rats in each group. Except rats in the blank group, the remaining rats were subjected to create long-term exhaustion models by repeated swimming. After successful modeling, rats in the moxibustion group received mild moxibustion at Shenque (CV 8) for 15 min, once every other day with a total of 10 times. Rats in the model group and the blank group did not receive moxibustion. At the end of the treatment, the exhausted times, and the body weight of rats before and after the experiment were compared among groups. The levels of blood malondialdehyde (MDA) and urea nitrogen (BUN), as well as the activities of aspartate transarninase (AST), alanine aminotransferase (ALT) and lactate dehydrogenase (LDH) were also measured by the automatic biochemical analyzer, 24 h after the exhausting excise.

Results

The 10th swimming time was significantly longer in the moxibustion group than that in the model group (P<0.01). The increase rate of the body weight was lower in the rats of the moxibustion group than that in the model group before the 7th and the 10th exhausting excise (P<0.05, P<0.01). The levels of serum MDA and BUN, as well as the activities of AST, ALT and LDH in the model group were higher than those in the blank group (all P<0.01). The levels of serum MDA and BUN, as well as the activities of AST, ALT and LDH in the moxibustion group were lower than those in the model group (P<0.01).

Conclusion

Moxibustion at Shenque (CV 8) can decrease the serum levels of MDA and BUN, as well as activities of AST, ALT and LDH in the long-term fatigue rats, thus to improve the symptoms of fatigue.

     

隔姜隔盐灸治疗中风后排尿功能障碍对照研究

目的：探讨隔姜隔盐灸法治疗中风后排尿功能障碍的疗效与安全性。方法：将82例脑卒中（包括脑梗死、脑出血）恢复期排尿功能障碍患者，按入院顺序随机分为两组，治疗组使用神阙隔姜隔盐灸法及常规针刺治疗，对照组使用常规针刺治疗。实际完成试验75例，其中治疗组39例，对照组36例。均每周治疗5次，连续治疗3周观察疗效。结果：隔姜隔盐灸法在改善患者日平均排尿次数、护理者夜间平均被叫起次数、患者白天平均急迫性尿失禁次数、患者夜间尿失禁人次等排尿障碍症状方面，以及提高尿失禁等级方面均优于对照组，相关指标差异有显著性意义（P〈0．01，P〈0．05）；对于预防泌尿系感染，治疗后治疗组较对照组泌尿系感染发生率低，但差异无显著性意义。结论：隔姜隔盐灸法是治疗中风后排尿功能障碍的安全、有效、简便、适于推广的疗法。     

隔物灸治疗寒湿凝滞型原发性痛经疗效分析

目的：观察隔物灸治疗原发性痛经的临床疗效。方法：将138例原发性痛经患者随机分为两组，治疗组78例，采用隔物灸关元、神阙穴治疗；对照组60例，采用口服月月舒冲剂治疗。均观察3个月经周期。结果：治疗组的总有效率96．1％，疗效指数90．8％；对照组的总有效率88．3％，疗效指数76．2％。两组疗效比较差异有显著性意义（P〈0．05）。结论：隔物灸治疗原发性痛经的临床疗效显著。     

Clinical Observation on Application of Jiao Tai Pill on Shenque （CV 8） in Treating Insomnia

目的：观察神阙穴贴敷交泰丸治疗失眠症的临床疗效。方法：将152例失眠患者按就诊顺序随机分为2组,治疗组76例,采用交泰丸贴敷神阙穴治疗;对照组76例,采用口服交泰丸治疗,疗程均为4星期。于治疗前和治疗第1、2、4星期末及停药后第1、2、4星期末采用匹兹堡睡眠质量指数量表评定临床疗效。结果：治疗4星期,两组患者的睡眠质量均得以改善,组间差异无统计学意义,且无不良反应,停药后睡眠改善持续时间长。结论：交泰丸神阙穴贴敷与口服治疗失眠症疗效肯定,停药后反跳现象不明显。