Observation on therapeutic effects of acupuncture and tuina in treatment of sprains and strains of minor joints at four extremities

目的：观察针刺骨缝配合推拿治疗四肢小关节扭挫伤的,临床疗效。方法：将90例四肢小关节[包括掌（跖）指（趾）关节]扭挫伤患者按就诊顺序随机分为针刺组30例,采用单纯针刺骨缝治疗;推拿组30例,采用推拿治疗;观察组30例,采用针刺骨缝结合推拿治疗。每星期治疗6次,为1疗程,治疗2个疗程后观察疗效。结果：观察组、针刺组、推拿组的治愈率分别为50．0％、20．0％、16．7％;总有效率为93．4％、70．0％、73．3％,观察组与针刺组、推拿组相比,差异有统计学意义（P〈0．05）,针刺组与推拿组差异无统计学意义,提示观察组疗效优于针刺组和推拿组。结论：针刺骨缝配合推拿治疗掌（跖）指（趾）关节扭挫伤有较好的治疗效果。     

Clinical study on tuina therapy for degenerative spondylolisthesis of the lumbar spine

目的：推拿治疗腰痛有确切疗效,进行两种推拿手法治疗退行性腰椎滑脱症的疗效对比观察,以期探索推拿治疗腰椎滑脱症的最佳手法。方法：将121例退行性腰椎滑脱症患者,按就诊顺序及病情分级随机分为实验组和对照组。实验组61例,其中Ⅰ度34例,Ⅱ度27例;对照组60例,其中Ⅰ度34例,Ⅱ度26例。两组一般资料无显著差异。两组在进行相同软组织推拿基础上,实验组采用脊柱微调手法,对照组采用屈髋屈膝垫枕法。每星期治疗3次,10次为1个疗程。治疗1个疗程后评价疗效。结果：实验组与对照组总有效率、Ⅰ度患者愈显率均有显著差异（P〈O．01）,Ⅱ度患者总有效率也存在显著差异性（P〈0．05）。结论：脊柱微调手法对退行性腰椎滑脱症的疗效较好,且病情越轻,疗效越好。     

Clinical study of tuina for stiff neck

目的：观察推拿治疗落枕的临床疗效。方法：将216例落枕患者随机分为推拿组110例和对照组106例,推拿组用“三部四穴五法”推拿法治疗,对照组针刺患侧外劳宫、后溪、肩井和阿是穴。每日1次,3次为1个疗程;治疗2个疗程后观察疗效。结果：推拿组有效率为93．64％,对照组为83．02％,两者比较有统计学意义（P〈O．05）结论：“三部四穴五法”推拿法治疗落枕明显优于单纯针刺疗法。     

Observation on therapeutic effect of facial paralysis treated with electroacupuncture plus hydro-acupuncture

目的：观察电针矫正穴为主加穴位注射治疗面神经麻痹的疗效,探索治疗面神经麻痹的最佳针灸治疗方法。方法：将119例周围性面神经麻痹患者按就诊先后顺序随机分为观察组和对照组。观察组60例,采用电针矫正穴为主加穴位注射治疗;对照组59例,采用常规针刺法治疗。每天治疗1次,7次为1个疗程,疗程间休息1～2d,最长治疗6个疗程后评价疗效。结果：两组愈显率比较,观察组明显优于对照组（P〈O．05）;治疗14天后,治疗组、对照组愈显率分别为78．3％和49．2％;21天治疗组、对照组愈显率分别为88．3％和．67．8%两组比较,差异有统计学意义（P〈O．01）。结论：电针矫正穴为主加穴位注射治疗面神经麻痹疗效好,疗程短。     

Clinical observation on acupuncture at Jiaji (EX-B 2) points plus tuina in treating thoracic facet joint disorder

Objective

To observe the clinical effects of acupuncture at Jiaji (EX-B 2) points plus tuina manipulation for thoracic facet joint disorder, and get new clinical evidence for treatment of thoracic facet joint disorder.

Methods

Totally 106 patients with thoracic facet joint disorder were randomly allocated into an observation group and a control group based on the random number table. Patients in the control group were treated by tuina manipulation, while those in the observation group were treated by acupuncture at Jiaji (EX-B 2) points before tuina manipulation. Patients in the two groups were treated once a day. The improvements of signs and symptoms and the efficacy were observed after 3 treatments.

Results

After treatment, there were intra-group statistical differences in scores of 8 signs and symptoms in both groups (P<0.01); the score of each item in the observation group was lower than that in the control group, and there was statistical significance in the inter-group difference (P<0.05). The cure rate of the observation group was 50.9%, versus 26.4% in the control group, and there was a significant difference between the two groups (P<0.05).

Conclusion

In treating thoracic facet joint disorder, acupuncture plus tuina manipulation can restore the biomechanical balance of thoracic vertebrae, fully maximized the combined effect, and significantly improve the clinical efficacy.

     

Therapeutic efficacy observation on combining acupuncture, tuina and functional exercise for transverse process syndrome of the third lumbar vertebra

Objective： To observe the clinical effect of combining acupuncture, tuina and functional exercise for transverse process syndrome of the third lumbar vertebra. Methods： A total of 90 cases were randomly allocated into an observation group and a medication group. The 48 cases in the observation group were treated with acupuncture, tuina and functional exercise, whereas the 42 cases in the medication group were treated with Ibuprofen sustained release capsules. Before and after treatment, the short-form McGill pain questionnaire （SF-MPQ） was employed to observe the changes in pain rating index （PRI）, visual analogue scale （VAS） and present pain intensity （PPI）. In addition, therapeutic efficacies were compared between two groups. Results： The total effective rate in the observation group was 97.9%, versus 61.9% in the medication group, showing a statistical difference （P〈O.05）. After treatment, there were statistical differences between the two groups in sensory PRI score, affective PRI score, total PRI score, VAS score and PPI score （P〈O.05）; and there were also statistical differences between two groups in clinical sign scoring （P〈O.05）. After 4 and 8 weeks of treatment, there was a statistical difference between the two groups in re~apse rate （P〈O.05）. Conclusion： Combining acupuncture, tuina and functional exercise can obtain better effects and has a lower relapse rate than Ibuprofen sustained release capsules for transverse process syndrome of the third lumbar vertebra.     

Clinical observation on oblique Ban-pulling tuina manipulation plus acupuncture for cervical vertigo

Objective

To explore the clinical efficacy of rotating-lifting oblique Ban-pulling tuina manipulation plus acupuncture in treating cervical vertigo (CV).

Methods

Seventy-three CV patients were divided into two groups by block randomization, 50 cases in each group. The observation group was intervened by rotating-lifting oblique Ban-pulling tuina manipulation plus acupuncture, while the control group was by the same acupuncture treatment alone. The tuina treatment was given once every other day and the acupuncture treatment was given once every day. The symptom score was observed before and after 20-day treatment, and the therapeutic efficacies were compared between the two groups.

Results

During the intervention, 14 subjects in the observation group and 13 subjects in the control group dropped out. Finally, 36 cases in the observation group and 37 cases in the control group were involved into the data analysis. After 20-day treatment, the symptom scores were significantly increased in both groups (P<0.05), and the symptom score in the observation group was significantly higher than that in the control group (P<0.05). The total effective rate was 91.7% in the observation group versus 83.8% in the control group, and the difference was statistically insignificant (P>0.05). The recovery and markedly effective rate was 69.4% in the observation group versus 32.4% in the control group, and the difference was statistically significant (P<0.05).

Conclusion

Rotating-lifting oblique Ban-pulling tuina manipulation plus acupuncture can significantly improve the clinical symptoms of CV patients, and its clinical efficacy is superior to that of acupuncture alone.

     

Clinical observation on treatment of degenerative knee osteoarthritis with warming needle plus tuina

目的：探讨温针灸配合推拿治疗退行性膝关节炎的疗效。方法：选取退行性膝关节炎患者120例,按就诊川页序随机分为治疗组60例和对照组60例,治疗组采用温针灸配合推拿治疗,对照组采用玻璃酸钠关节腔内注射治疗。结果：治疗组总有效率为93．3％,对照组总有效率83．3％。经统计学处理有显著性差异（P〈0．05）。结论：温针灸配合推拿是治疗退行性膝关节炎的有效方法。     

Observation on the therapeutic efficacy of acupuncture plus tuina for cervical vertigo

Objective

To observe the clinical efficacy and action mechanism of Jin’s three-needle acupuncture plus Long’s chiropractic tuina manipulations in treating cervical vertigo.

Methods

By adopting a randomized controlled method, 80 eligible patients were randomized into an observation group of 41 cases and a control group of 39 cases. The control group was intervened by Jin’s cervical three-needle acupuncture plus acupuncture at the vertigo-pain points and Fengchi (GB 20); the observation group was by Long’s chiropractic tuina manipulations in addition to the treatment given to the control. For both groups, the intervention was given once a day, 7 sessions as a treatment course, with a 1-day interval after a course, for 2 courses in total. The therapeutic efficacy was evaluated after the first session and the second treatment course, at the 3-month and 6-month follow-ups.

Results

After the first session, the recovery plus markedly effective rate of the observation group was significantly higher than that of the control group (P<0.01); the rate was markedly higher in the observation group than that in the control group after 2 treatment courses (P<0.01); at the 3-month follow-up, the relapse rate was 2.5% in the observation group versus 13.5% in the control, and the between-group difference was statistically insignificant (P>0.05); the 6-month follow-up study showed that the relapse rate was 5.0% in the observation group versus 21.6% in the control group, and the between-group difference was statistically significant (P<0.05); at the 6-month follow-up, the total relapse rate was 7.5% in the observation group versus 35.1% in the control group, and the inter-group difference was statistically significant (P<0.01).

Conclusion

The two treatment protocols are both effective in treating cervical vertigo. However, due to its more significant efficacy, more efficient action and lower relapse rate compared to acupuncture alone, acupuncture plus tuina can be regarded as a verified protocol for cervical vertigo.

     

Clinical analysis of acupuncture combined with tuina in treating cervical vertigo

Objective： To investigate the clinical efficacy of acupuncture combined with tuina in treating patients with cervical vertigo. Methods： According to the principle of randomization, 258 cases with cervical vertigo who met the inclusion criteria for the study were randomly divided into an observation group and a control group, with 129 cases in each. The patients in the observation group received acupuncture combined with tuina therapy, while those in the control group were just treated by the same acupuncture therapy as in the observation group. After 10-day continuous treatments, the clinical efficacies of the two groups were analyzed and compared. Results： The total effective rate of the observation group was 100%, versus 86.0% of the control group, and the difference was significant（P〈0.05）. After treatment, cervical range of motion（ROM） scores in both groups were statistically significantly different from those before treatment（all P〈0.05）; in addition, there was a statistically significant difference in inter-group comparison of ROM score（P〈0.05）. Conclusion： Compared with simple acupuncture treatment, acupuncture combined with tuina therapy has a better effect in improving the ROM of cervical vertigo patients, with higher clinical efficacy.     

Observation on therapeutic effect of acupucnture plus rehabilitation for hemiplegia following stroke

目的：观察针刺配合康复治疗脑卒中偏瘫的临床疗效。方法：96例患者随机分为治疗组50例，采用针刺配合康复治疗；对照组46例，采用康复治疗。结果：治疗组总有效率92．0％，对照组总有效率为76．1％，两组疗效比较差异有统计学意义（P〈0．05）。结论：针刺配合康复，是治疗脑卒中偏瘫较为理想的方法，尤其在提高患者肢体功能、缓解痉挛和改善患者日常生活能力方面，疗效显著。     

Therapeutic observation of acupuncture plus tuina for cervical vertigo

Objective

To evaluate the clinical efficacy of acupuncture plus tuina in treating cervical vertigo (CV).

Methods

One hundred CV patients were randomized into an observation group and an acupuncture group by the random number table, with 50 cases in each group. The acupuncture group received acupuncture at Xiang Ba Zhen (eight acupoints on the nape); the observation group received tuina treatment in addition to the Xiang Ba Zhen acupuncture. The two groups were both treated once every other day for 10 sessions in total. The two groups were examined by transcranial cerebral Doppler (TCD) before and after the treatment, and their therapeutic efficacies were evaluated.

Results

After the treatment, the mean velocity (Vm) of vertebral artery (VA) and basilar artery (BA) showed significant improvement in both groups (all P<0.001); there were significant differences in the Vm of VA and BA between the two groups (both P<0.05). The total effective rate was 100.0% in the observation group versus 82.0% in the acupuncture group, and the difference was statistically significant (P<0.01).

Conclusion

Xiang Ba Zhen acupuncture as a monotherapy or used together with tuina can improve CV, but Xiang Ba Zhen plus tuina can produce a more significant efficacy.

     

Clinical study on tuina plus functional training for scapulohumeral periarthritis

Objective

To observe the clinical effects of tuina manipulations plus the functional training on scapulohumeral periarthritis (SP), and provide the better therapeutic plan for SP patients.

Methods

A total of 76 cases with SP in conformity with the inclusion criteria were randomly divided into a tuina group and an acupuncture group, 38 patients in each group. All the patients were instructed to do functional training under the guidance of the professional medical practitioners. The patients in the tuina group were treated additionally with tuina manipulations, while the patients in the acupuncture group were added with acupuncture treatment. The two groups were treated once every day. After ten sessions, the changes in the scores of visual analog scale (VAS) and Melle were observed, and the clinical effect was compared.

Results

After the treatment, VAS and Melle scores were all lower in the tuina group than those in the acupuncture group, with statistical significances between the two groups (P<0.05). The remarkable effective rate was 5.3% in the acupuncture group and 21.1% in the tuina group. The remarkable effective rate was higher in the tuina group than that in the acupuncture group, with a statistical significance (P<0.05).

Conclusion

Tuina manipulations plus functional training for SP can effectively alleviate pain and restore the functions of the shoulder joint, with a better effect than acupuncture plus functional training.

     

Tuina for leg length discrepancy and lumbosacral pain due to sacroiliac joint subluxation

Objective： To observe theclinical effect of tuina reduction manipulation on leg length discrepancy and lumbosacral pain due to sacroiliac joint subluxation. Methods： A total of 60eligible cases were randomly allocated into an observation group and a control group, 30 in each group. Cases in the observation group were treated with conventional tuina plus reduction manipulation of sacroiliac joint subluxation; whereas cases in the control group were treated with conventional tuina plus acupuncture. The clinical effects were observed after 10 times of treatment. In addition, the relapse rates were observed 2 months after treatment. Results： The total effective rate in the observation group was 80.0%, versus 50.0% in the control group, showing a statistically significant difference （P＆lt;0.05）. The relapse rate of lumbosacral pain in the observation group was 12.5%, versus 66.7% in the control group, showing a statistically significant difference （P＆lt;0.01）. The relapse rate of leg length discrepancy in the observation group was 16.7%, versus 80.0% in the control group, showing a statistically significant difference （P＆lt;0.01）. Conclusion： Tuina reduction manipulation can obtain substantial therapeutic effect for leg length discrepancy and lumbosacral pain due to sacroiliac joint subluxation, coupled with a low relapse rate.     

Observations on the efficacy of acupuncture plus tuina therapy in treating supraspinatus tendinitis

目的：观察针刺、推拿治疗冈上肌肌腱炎的临床疗效。方法：将100例冈上肌腱炎患者随机分为两组,治疗组50例采用针刺推拿疗法,对照组50例采用单纯针刺疗法;每日1次,10次为1个疗程,2个疗程后进行疗效评定。结果：治疗组总有效率96．0％,对照组总有效率74．0％,两组总有效率经X^2检验（P〈0．01）,差异有统计学意义。结论：针刺配合推拿治疗冈上肌肌腱炎疗效优于单纯针刺治疗。     

Clinical observation of vascular headache treated by acupuncture plus needle-embedding method

目的：探讨针刺治疗血管性头痛的临床疗效。方法：93例血管性头痛患者随机分为针剌组（n=30），以针刺患侧风池、阿是穴和三阴交穴治疗；针刺加埋针组（n=36），在针刺治疗的基础上加用患侧太阳和悬钟穴埋针治疗；西药组（n=27），口服西比灵5mg，每日2次。观察三组患者治疗前后临床症状的变化。结果：治疗后三组患者的临床症状均有减轻或消失。近期疗效针刺加埋针组优于对照组（P〈0．05），针剌加埋针组与针刺组比较无显著差异（P〉0．05），针刺组与对照组比较亦无显著差异（P〉0．05）。远期疗效针刺加埋针组优于对照组（P〈0．01），针刺组优于对照组（P〈0．05），针刺加埋针组与针刺组比较则无显著差异。结论：针刺治疗血管性头痛具有良好的近、远期疗效，而针刺加埋针疗法的疗效更好。     

腹针配合推拿治疗落枕疗效观察

目的观察腹针配合推拿治疗落枕的临床疗效。方法将46例落枕患者随机分为对照组和治疗组,每组23例。治疗组采用腹针配合推拿治疗,对照组采用单纯推拿治疗,观察两组患者的疼痛指数和临床整体疗效。结果两组治疗1次后疼痛指数均低于同组治疗前（均P〈0.01）;两组治疗3次后疼痛指数均低于同组治疗1次后（均P〈0.01）。治疗组治疗1次和3次后疼痛指数均低于对照组（P〈0.01,P〈0.05）。治疗组治疗1次后临床疗效优于对照组,两组比较差异具有统计学意义（P〈0.05）。结论腹针配合推拿是一种治疗落枕的有效方法。     

Clinical observation on treatment of herniated lumbar disc by manual manipulations plus external herbal application

将162例在病房收治的腰椎间盘突出症患者随机分为3组,其中观察组82例,用手法结合中药贴敷治疗.对照Ⅰ组40例,单用中药贴敷治疗.对照Ⅱ组40例,单用手法治疗.观察组总有效率为90.2%;对照Ⅰ组总有效率为82.5%;对照Ⅱ组,总有效率为85.0%.观察组与对照Ⅰ组及对照Ⅱ组总有效率比较有明显差异(P＜0.05).手法结合药敷治疗腰椎间盘突出症疗效确切,且明显高于单纯的手法治疗和中药贴敷治疗.     

Clinical observation on treatment of cervical spondylotic radiculopathy with combined electroacupuncture tuina and traction

目的：观察电针、推拿结合牵引治疗神经根型颈椎病的临床疗效。方法：将120例患者根据初诊时间,按随机数字表随机分为治疗组60例,采用电针、推拿结合牵引治疗：对照组60例,采用电针、推拿治疗,两组均每天治疗1次,5次为1个疗程,疗程间休息2d,治疗6个疗程后评价疗效。结果：治疗组总有效率及治愈率分别为93．3％和61．7％,对照组为78．3％和31．7％,两组总有效率、治愈率比较,差异有统计学意义。结论：电针、推拿、牵引三者结合治疗神经根型颈椎病疗效较好。     

Therapeutic observation of warm needling moxibustion plus tuina for knee osteoarthritis due to cold-dampness blocking collaterals

Objective

To observe the clinical efficacy of warm needling moxibustion plus tuina in treating knee osteoarthritis (KOA) due to cold-dampness blocking collaterals.

Methods

Forty-eight KOA patients were randomized into 2 groups by their visiting sequence, 24 cases in each group. The treatment group was intervened by warm needling moxibustion plus tuina, while the control group was treated with acupuncture plus tuina. The two groups were both treated once a day, 30 min for each session, 10 d as a treatment course, totally for 3 treatment courses. The visual analogue scale (VAS) and Lysholm knee scoring scale (LKSS) were observed before and after the treatment to evaluate the clinical efficacy.

Results

After 3 treatment courses, the VAS and LKSS scores were significantly changed in the two groups (P<0.01), and the between-group differences were also statistically significant (P<0.01). The markedly-effective rate was 83.3% in the treatment group versus 66.7% in the control group, and the difference was statistically significant (P<0.05).

Conclusion

Warm needling moxibustion plus tuina can produce a more significant efficacy than acupuncture plus tuina in treating KOA due to cold-dampness blocking collaterals.