Survey： Use of Acupuncture for the Treatment of Acute Low Back Pain by Physicians and Physiotherapists in Ontario

Objective: To determine the prevalence of the use of acupuncture treatment for acute low back pain (LBP) among acupuncture practitioners, and investigate acupuncture practitioners’ perceptions on the effectiveness of this treatment modality and the costs associated with its use in Canada.     

Acupuncture plus Oral Herbal Decoction and Low Back Pain： A Report of 162 Cases

针刺病变部位的腰部夹脊穴,进针深度30 mm,运用平补平泻手法,并配合口服中药桃红四物汤,治疗了162例椎间盘源性腰痛患者.结果显效65例,良好53例,有效37例,无效6例,总有效率96.3%.     

Role of Acupuncture in Mangement of Optic Atrophy

Ｔｗｏｆｅｍａｌｅｐａｔｉｅｎｔｓｗｉｔｈｖｉｓｕａｌｉｍｐａｉｒｍｅｎｔｄｕｅｔｏｏｐｔｉｃａｔｒｏｐｈｙｗｅｒｅｔｒｅａｔｅｄｗｉｔｈａｃｕｐｕｎｃｔｕｒｅ.Ｂｏｔｈｏｆｔｈｅｍｄｅｖｅｌｏｐｅｄｏｐｔｉｃａｔｒｏｐｈｙｆｏｌｌｏｗｉｎｇｂｒａｉｎｔｕｍｏｒ.Ａｆｔｅｒａｃｕｐｕｎｃｔｕｒｅｔｒｅａｔｍｅｎｔ,ｂｏｔｈｏｆｔｈｅｍｓｈｏｗｅｄｉｍｐｒｏｖｅｍｅｎｔｉｎｔｈｅｉｒｖｉｓｉｏｎｗｉｔｈｉｎｓｉｘｍｏｎｔｈｓ.ＴｈｅｄｅｔａｉｌｓａｒｅｓｈｏｗｎｉｎｔｈｅｆｏｌｌｏｗｉｎｇＴａｂｌｅ.…     

Skin Slice as a Model for the Investigation of the Role of Mast Cells in Acupuncture Effects

Objective： To establish a new and better model to investigate the properties of mast cells that could be involved in acupuncture process mechanisms. Methods： Connective tissue under the corium at the area of acupuncture point Zusanli （ST 36） from rat was acutely bluntly separated with forceps and scissors, and incubated in bath solution up to several hours. Mast cells in slices of that tissue were irradiated with laser light of 650 nm, and changes in the appearance were observed under microscope. In addition, patch-clamp technique in whole-cell configuration was employed to induce mechanosensitive currents by pressure applied through the patch pipette. Results： 1） A high density of mast cells embedded in the extracellular matrix was detected in the tissue slices using toluidine blue staining. The mast cells survived for up to several hours;     

Guiding Role of Muscle Region Theory in Acupuncture Anesthesia

针刺麻醉是针灸体系的一部分，它的发展推动着针灸理论的完善。经筋理论也是针灸体系的一部分，它的主症决定了经筋理论在针刺麻醉临床应用中的指导地位。经筋分布与神经的相关性，是经筋理论对针刺麻醉指导的基础；同时，针刺麻醉推动着经筋理论的不断完善。两者间存在从实践到理论，再从理论到实践的循环发展关系，符合辨证发展观。     

Study on Rehabilitating Effect of Acupuncture plus Kinetotherapy for Early Hemiplegia

目的：研究针剌配合运动对脑卒中偏瘫早期的康复作用。方法：针刺配合运动疗法治疗脑卒中偏瘫50例，与单纯用药物治疗50例作疗效对比并作随访观察。结果：经平均1个月治疗后，康复组显效率为82％，对照组为54％，差异有显著性（P〈0．05）；康复组的肢体运动功能和日常生活活动能力积分经治疗后明显提高，与对照组相比差异有显著性（肚0．05），且康复组对血液流变性、血脂有较好调节作用。结论：针剌配合运动作业法治疗脑卒中偏瘫较单纯药物治疗疗效显著。     

Application of Acupuncture in the Earthquake Relief

Tens of thousands of people lost their lives after the earthquake ravaged Wenchuan, Sichuan province on May 12, 2008, and hundreds of thousands of people were injured during the earthquake.     

The Role of the Newly-constituted INARM （International Network of Acupuncture Research Methodology）

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Effects of Acupuncture on the Constipation in Rats Model

目的观察针刺对便秘大鼠模型排便功能的影响.方法利用复方地芬诺酯复制便秘大鼠模型,观察针刺"合谷"、"后三里"对大鼠首次排便时间、12 h排便粒数和排便重量的影响.结果模型组大鼠首次排便时间延长、大便粒数和重量显著减少;针刺治疗后,便秘大鼠首次排便时间显著缩短,12 h大便重量和粒数明显增加.结论针刺能够显著改善便秘大鼠的排便功能.     

Investigation of the Role of Mast Cells in Acupuncture Effects and Their Sensitivity to Physical Stimuli During TCM Treatment

Objective： To better understand the function of mast cells in acupuncture points （acupoints） in acupuncture-induced analgesia. The author tested their sensitivity to mechanical, thermo and light stimulation. Methods： The tail flick model was applied to measure analgesia in rats, and the author determined the density of mast cells in tissue slices and their degranulation ratio before/after acupuncture. The author also applied the patch-clamp technique to investigate activation of human mast cells （HMC1 cell line） by mechanical stress or noxious heat, and the author optically observed degranulation phenomena of mast cell in response to red laser light. Results： Manual stimulation by acupuncture at Zusanli （ST 36） of the rat resulted in analgesia and the effect was more pronounced than after stimulation of a sham point nearby the acupuncture point. A higher density of mast cells was found at Zusanli （ST 36） than at the sham point,     

Survey: Use of acupuncture for the treatment of acute low back pain by physicians and physiotherapists in Ontario

目的：调查加拿大针灸从业人员对针灸治疗急性腰痛的有效性及相关费用的认识,从而确定针灸在急性腰痛治疗中的应用情况。方法：于1996年9月对安大咯加拿大针灸基金会的285名会员发放问卷,只对内科医生及理疗医生的反馈问卷进行统计分析。结果：281名符合条件的会员,197名完成了问卷（回收率70．1％）,45．0％为内科医生,55．0％为理疗医生。其中87．0％的人过去使用过针灸疗法治疗急性腰痛,66．O％的人调查时正在使用,87．0％的人表示将来会继续使用。87．0％的反馈者认为针灸治疗急性腰痛是有效的,60．0％的人认为针灸疗法可以阻止急性腰痛的发展。针灸平均每次费用为$28,必需的平均治疗次数为5．7次。结论：多数反馈者对针灸治疗急性腰痛持肯定态度,他们在临床上也经常使用针灸疗法治疗此病。绝大多数反馈者认为针灸治疗急性腰痛是有效的。此外,超过一半的反馈者相信针灸可以阻止急性腰痛的病情发展。虽然本研究调查的针灸从业者坚信针灸治疗急性腰痛是有效的,但需要高质量的大样本调查予以验证。     

Acupuncture forbidden points for low back pain in pregnancy: A literature review synthesis

There has long been a controversy whether forbidden points truly exist, or if they have any bearing in contemporary practice. This study used literature review synthesis method to examine the application of acupuncture at the ＂forbidden points＂ for low back pain and pelvic pain in pregnancy. This study addresses the potential implications of needling the forbidden points during pregnancy.     

理筋正骨手法结合运动疗法治疗慢性非特异性下背痛临床观察

目的:评价理筋正骨手法结合运动疗法治疗慢性非特异性下背痛(CNLBP)的临床疗效.方法:将65例CNLBP患者根据随机数字表法分为两组,治疗组33例接受理筋正骨手法联合运动疗法治疗;对照组32例接受中频电疗法结合运动疗法治疗.治疗前后使用视觉模拟量表(VAS)、腰部动静态肌耐力、表面肌电中位频率(MF)和Oswestry功能障碍指数(ODI)对患者腰部功能进行评估.治疗后进行疗效评价.结果:治疗过程中,两组各脱落2例.治疗组总有效率为90.3%,对照组为66.7%,两组总有效率差异有统计学意义(P<0.05).治疗后,两组VAS评分、腰部动静态肌耐力、表面肌电MF和ODI评分与本组治疗前均有统计学差异(均P<0.05);治疗组各项指标与对照组均有统计学差异(均P<0.05).结论:理筋正骨手法结合运动疗法可有效缓解CNLBP患者的疼痛,提高腰部肌肉耐力,改善患者的生活质量,其疗效优于中频电疗法结合运动疗法.     

Clinical observation of combined acupuncture and herbs in treating low back pain due to climacteric osteoporosis in 40 cases

针刺双侧风池、大椎、膈俞、天宗及阿是穴,配合内服中药,治疗40例更年期骨质疏松腰背痛患者,治愈25例,好转9例,无效6例,总有效率85.0%.     

Clinical observation on comprehensive treatment on cutaneous region for low back pain

Objective： To observe the clinical effects of comprehensive treatmenton cutaneous region for low back pain. Methods： One hundred and twenty outpatients with low back pain who met the diagnostic criteria were randomly divided into a cutaneous region group or a medication group, 60 cases in each group. The cases in the cutaneous region group were treated by Nie-pinching up the skin of the lumbosacral region, cupping and acupuncture. Those in the medication group were treated by oral administration of Celecoxib capsule. The visual analogue scale （VAS） and Oswestry disability index （ODI） were used to assess the therapeutic effects. Results： After treatment, the VAS scores of both groups were different from those before treatment, showing statistical significances （allP＆lt;0.01）. The D-valuse of VAS scores of both groups were different from those before treatment, showing statistical significances （allP＆lt;0.01）. The D-value of OID scores in the cutaneous region group was significantly different from that in the medication group（P＆lt;0.01）. After treatment, the total effective rate was 91.7% in the cutaneous region group versus 76.7% in the medication group, there was a significant difference in comparing the clinical effect （P＆lt;0.01）. Conclusion： Both comprehensive treatment on the cutaneous region and Celecoxib capsule can obviously relieve low back pain. But comprehensive treatment on the cutaneous region is better than Celecoxib capsule in the therapeutic effects.     

Clinical observation of a combination of acupuncture and drug administration for non-specific acute lumbar sprain

目的：观察针药并用治疗非特异性急性腰扭伤的临床疗效。方法：将69例患者按就诊川页序随机分为针药并用组、针刺组和药物组。针刺组24例,采用针刺治疗,每日1次,共治疗5次;药物组20例,采用口服双氯芬酸钠治疗,50mg每次,每日2次,连服5日;针药并用纽25例采用与针刺组、药物组相同的针刺和药物治疗。以疼痛量表和下腰痛量表评价临床疗效。结果：三组患者治疗后在疼痛,活动度方面均有一定改善,但针药并用组疗效最佳,与针刺组、药物组比较,差异有统计学意义（P〈0．01）;针刺组与药物组比较,差异无统计学意义。结论：针药并用治疗急性腰扭伤疗效优于单纯针刺治疗或常规剂量双氯芬酸钠治疗。     

龙虎交战针法治疗非特异性下背痛疗效观察

目的:比较龙虎交战针法与平补平泻针法、中频理疗治疗非特异性下背痛的临床疗效差异。方法:将90例非特异性下背痛患者随机分为龙虎交战针法组、平补平泻针法组和中频理疗组,各30例。龙虎交战针法组施以龙虎交战针法,平补平泻针法组采用平补平泻针法,均穴取①肾俞、大肠俞、委中、阿是穴,②气海俞、关元俞、昆仑、腰阳关,两组穴位交替使用。中频理疗组于腰部疼痛部位采用中频理疗。各组均每日治疗1次,6次为一疗程,共治疗2个疗程。观察各组疼痛视觉模拟评分(VAS)、腰部功能障碍指数评分(ODI)及临床疗效。结果:各组患者治疗后VAS评分、ODI评分均明显降低(P<0.05,P<0.01);龙虎交战针法组治疗后以上指标较其他两组降低更明显(均P<0.05)。龙虎交战针法组、平补平泻针法组和中频理疗组临床治愈率分别为30.0%(9/30)、23.3%(7/30)、16.7%(5/30),各组综合临床疗效比较,龙虎交战针法组优于其他两组(均P<0.05)。结论:龙虎交战针法治疗非特异性下背痛较平补平泻针法、中频理疗效果更好,是较好的镇痛针法之一。     

Observation on Therapeutic Effect of Electro-acupuncture in the Treatment of Chronic Low Back Pain： A Report of 30 Cases

56例慢性腰背痛患者随机分为电针治疗组(n=30)和对照组(n=26).电针治疗组在常规物理疗法的基础上加用电针治疗,对照组采用常规物理疗法治疗.以疼痛等级量表为评价疼痛的指标.电针在物理治疗的基础上,能明显提高腰背痛的镇痛效果,改善患者的生活质量,其疗效明显优于单纯物理疗法.     

耳穴磁疗治疗老年人腰背痛疗效观察

目的:观察比较耳穴磁疗和王不留行籽耳穴贴敷对老年人腰背痛的疗效差异。方法:将60例60岁以上腰背痛患者随机分为两组。第1组为对照组,贴王不留行籽(不加压);第2组为试验组,贴有每粒含66Gs之磁珠(不加压)。取穴:神门、肾、膀胱、腰骶椎、臀、肝及脾。疗程共3周。疗程之前、中期及之后均用Aberdeen腰背痛问卷评估效果。结果:磁珠试验组治疗后背部及腿部痛麻度评分14·00、功能障碍度评分4·60、起居生活情况评分1·90、总障碍度评分20·50,均较治疗前18·50、6·80、3·10、28·40明显减少(P<0·05);而对照组治疗后各项评分与治疗前比无明显变化(P>0·05)。随访2~4周,治疗效果仍能维持。结论:耳穴磁疗较之贴压王不留行籽能更有效地改善老年人之腰背痛。