Good Regulation of Acupunctore in Simple Obesity Patients with Stomach－Intestine Excessive Heat Type

ＧｏｏｄＲｅｇｕｌａｔｉｏｎｏｔＡｃｕｐｕｎｃｔｏｒｅｉｎＳｉｍｐｌｅＯｂｅｓｉｔｙＰａｔｉｅｎｔｓｗｉｔｈＳｔｏｍａｃｈ－ＩｎｔｅｓｔｉｎｅＥｘｃｅｓｓｉｖｅＨｅａｔＴｙｐｅＬｉｕＺｈｉ－ｃｈｅｎｇ（刘志诚）；ＷａｎｇＹｉ－ｚｈｅｎｇ（王沂争）；Ｈ...     

Regulatory effects of acupuncture and moxibustion on simple obese complicated with hypertension

Acupuncture and moxibustion is one of the important therapies in TCM for treating obese. The authors have treated 41 simple obese patients complicated with hypertension by acupuncture and moxibustion which obtained good results. In the treating group, a total effective rate was 87.8% (36 cases). For the purpose of understanding regulatory effect of acupuncture and moxibustion, the authors have observed the obesity indices, the lipid indices (TC, TG, VLDL-C, TC/HDL-C, HDL-C, LDL-C, LDL-C/HDL-C and AI), the physiological indices (saliva secretion, heart rate, respiratory rate, blood pressure and temperature) and the energy metabolism indices (BMR) in the simple obese complicated with hypertension before and after the acupuncture and moxibustion. The results showed that the therapeutic effect of acupuncture and moxibustion could have good results. At the same time, there were the benign regulatory effect of acupuncture and moxibustion in the overeating, the blood pressure, the vegetative nervous indexes, the lipid level and the energy metabolism.     

The Effect of Acupuncture on Serum IgE Level in Patients with Chronic Urticaria

The pathogenesis for chronic urticaria is not clear yet, and there has been no assured effective therapies for it. In the present study on the therapeutic effects of acupuncture for chronic urticaria and its mechanisms in immunity, the author put the stre…     

Effect of acupuncture and moxibustion on antiobesity in the variation of plasma cyclic nucleotide and the function of vegetative nervous system]

The authors observed the changes of the obesity index, lipid index, the equilibrium indices of the vegetative nervous system (Y value) and the plasma cAMP of 46 cases of simple obese before and after acupuncture. Of 46 cases, 39 were of the non-sthenia of liver-Yang (group 1) and 7 of the sthenia of liver-Yang (group 2). It was found that the sympathetic nervous function of the patients in group 1 was markedly higher than the normal. In both of them, the lipid metabolism was abnormal and the content of cAMP in plasma was significantly lower than the normal. The marked effects were achieved on the cases which received one course of treatment (1 month) by acupuncture, the total effective rate being 84.8%. The acupuncture brought about not only antiobesity effect but biphase changes on the blood pressures and Y value as well, that is, acupuncture raised the blood pressures and Y value of the patients in group 1 but reduced the blood pressures and Y value of the patients in group 2. In addition, acupuncture brought about good regulation effect on lipid metabolism and plasma cAMP of patients. This suggests that the regulation effect of acupuncture on plasma cAMP of patients with simple obese might be an important link by which antiobesity effect may be achieved.     

温针灸治疗痰湿壅盛型原发性高血压并发肥胖36例

目的观察温针灸治疗原发性高血压并发肥胖的临床疗效。方法选择中医辨证为痰湿壅盛型原发性高血压并发肥胖的患者36例,采用温针灸配合耳针治疗,1个月为1个疗程,共治疗3个疗程,观察温针灸治疗前后患者的血压及肥胖指标的变化,并观察综合疗效。结果温针灸治疗3个月后,患者血压、体质量、肥胖度、体质量指数和体脂百分率均显著下降(P0.01),总有效率为91.7%,随着疗程的增加,疗效显著提高。结论温针灸疗法对痰湿壅盛型原发性高血压并发肥胖患者具有降压和减肥的双重作用。     

Prophylactic and therapeutic effects of acupuncture on simple obesity complicated by cardiovascular diseases.

In order to understand the prophylactic-therapeutic effects of acupuncture and moxibustion in simple obesity complicated by cardiovascular diseases, we have observed in 102 cases the changes of pathogenetic and hazardous factors and the regulating function of vegetative nerves on cardiovascular activities. The results showed that the therapeutic effect of acupuncture and moxibustion was good with a total effective rate of 88.24%. At the same time, acupuncture and moxibustion were found to have a benign conversion effect on the loin hip ratio (the pathogenetic factor), the arteriosclerotic index (the hazardous factor), and the vegetative nerve function of regulating the heart and blood vessels (the equilibrium indices of the vegetative nervous system). All this suggests that acupuncture is a treatment of choice for obesity and an important method of preventing and treating complicating cardiovascular diseases.     

Effect of acupuncture and moxibustion on hypothalamus-pituitary-adrenal axis suffering from simple obesity

In order to understand the effect of acupuncture and moxibustion on hypothalamus-pituitary-adrenal axis in simple obesity, the authors have observed the obese indices, the lipid level, the content of ACTH in plasma and that of salivary cortisol in 39 simple obesity before and after the acupuncture and moxibustion treatment. The results showed that the markedly effective rate was 38.5%, the effective rate was 51.3%, the ineffective rate was 10.3% and the total effective rate was 89.7% after treatment. The results also showed that the function of hypothalamus-pituitary-adrenal axis in simple obesity was lower than that of normal. Acupuncture and moxibustion treatment not only regulated the lipid level and achieved the antiobesity effect but also enhanced the function of hypothalamus-pituitary-adrenal system. The results suggested that the key factor of antiobesity by acupuncture and moxibustion was to increase the function of hypothalamus-pituitary-adrenal system.     

穴位埋线配合耳针治疗肥胖症的疗效观察

目的探讨穴位埋线配合耳穴针灸对肥胖症患者的影响。方法选择肥胖症患者60例,随机分成实验组与对照组,每组各30例。实验组施用穴位埋线配合耳穴针灸,对照组用普通针刺,且不加耳针刺激,两组均按照辩证取穴和局部取穴相结合的方法取穴,疗程结束后,依据疗效评价标准,观察穴位埋线配合耳针治疗肥胖症的效果。结果治疗后,实验组总有效率（90.0%）显著高于对照组（60.0%）,组间差异具有统计学意义（P〈0.05）。结论穴位埋线配合耳针疗法有较好的减肥作用,能够有效影响内分泌,抑制食欲,促进脂肪的代谢,从而达到治疗肥胖症的效果。     

Relation between Treatment Course and Therapeutic Effects of Acupuncture for Female Obesity of Diffrerent Types

objective;To observe the relationship between treatment course and therapeutic effect of acupuncture on female obesity in different types.Methods;The 83 cases of obesity were divided into two groups;abdominal obesity group(AO,31 cases)and symmetrical obesity group(SO,52 cases).All of them were treated by acupuncture for 3 months,1 month as one course.Results;In Group AO,after one month of treatment,body mass index(BMI),waist circumference(WC)and skin fat thickness(SFT)in the upper limbs(A),trunk(B)and abdomen(at locations C and D)were very significantly reduced(P＜0.01);After 2 months of treatment,BMI,WC and SFT at C were also very significantly reduced(P＜0.01),SFT in A and at D was significantly reduced(p＜0.05),but no significant SFT difference was found in B(P＞0.05);And after 3 months of treatment,no difference was found in any indices.In Group SO,all the indices including BMI,WC and SFTim A,B,C and D were reduced in the successive 3 months of treatment (P＜0.01).Conclusions;The therapeutic effect of acupuncture on abdominal obesity was gradually Iessened with the prolonging of treatment course,even without further advance after reaching the normal body weight range.But for symmetrical obesity,tbe effect was gradually advanced to reach the normal range.That tgeir body weight in a normal range will be kept stable without further reduction remains to be studied further     

针灸治疗单纯性肥胖病并发高血压病731例疗效观察*

[目的]观察针灸治疗单纯性肥胖病并发高血压病的疗效及其相关因素.[方法]将731例单纯性肥胖病并发高血压病患者依据辨证分型采用耳体针结合施治,观察针灸治疗前及治疗3个月后患者的症状、体征、肥胖指标、血压的变化及影响其变化的相关因素.[结果]针灸治疗3个月后,总有效率为93.8％.针灸对单纯性肥胖并发高血压具有良好的疗效,重度肥胖、轻度肥胖疗效均优于中度肥胖;年龄轻者优于长者;病程短者优于长者,女性疗效优于男性患者.[结论]针灸对肥胖并发高血压同时有减肥和降压的双重作用,针灸治疗单纯性肥胖病并发高血压病的疗效与肥胖度、年龄、性别和病程有关.     

耳针、体针、耳体针结合治疗单纯性肥胖病临床疗效比较

目的：观察耳针、体针、耳体针结合单纯性肥胖病的疗效。方法：将195例单纯性肥胖病人分为耳针组，体针组，耳体针结合组分别施治，并视不同证型施以相应补泻手法。结果：体针组与耳体针结合组疗效明显优于耳针组，体针组证型与疗效无明显关系，而耳针组胃肠实热型疗效高于脾虚湿阻型，肾气不足型和肝郁气滞型。结论：耳体针结合治疗单纯性肥胖疗效较好。     

抑郁症神经内分泌功能及其对电针治疗反应的研究

本研究以61例中、重度抑郁症病人为对象,阿米替林为对照,对电针治疗抑郁症的临床和实验室特点及其机理作了初步研究。发现电针与阿米替林一样具有抗抑郁作用,它对双相抑郁症病人或治疗前尿3-甲氧基-4羟基-苯乙二醇硫酸盐(MHPG·SO_4)排泄量低的病人疗效较好,能使伴有内分泌功能异常的病人症状改善。电针治疗后抑郁症病人尿MHPG·SO_4排泄量增加,部分病人内分泌功能恢复正常。研究资料提示,电针的抗抑郁作用与它对中枢NE活动的影响有关。     

腹针疗法治疗单纯性肥胖症的临床有效性分析

目的:观察腹针疗法对单纯性肥胖症患者体质指数的影响、临床治疗效果以及治疗方案的稳定性。方法:将来自我院肥胖症专科门诊的45例病例随机分为治疗1组,治疗2组,治疗3组,每组15例;另取健康人15例作为对照组。对照组不做任何治疗,治疗各组分别接受3位资深针灸医师腹针疗法治疗,所取穴位及针刺方法均相同。20次为1个疗程,1个疗程后观察各组患者BMI变化情况并进行相关性分析。结果:各治疗组治疗前BMI指数与对照组比较有显著差异(P<0.01),而各治疗组之间无显著差异(P>0.05)。经过治疗后,各治疗组BMI值均有所下降,与治疗前比较,有显著性差异(P<0.05),治疗1组、治疗2组与对照组比较无显著差异(P>0.05),治疗3组与对照组比较差异显著(P<0.05),但与治疗1组及治疗2组治疗后比较无显著差异。结论:腹针疗法对于单纯性肥胖症患者的BMI指数有良好的调整作用,对该病有较好的治疗效果。     

针刺从脾论治单纯性肥胖患者的疗效观察

目的观察针刺从脾论治单纯性肥胖患者的临床疗效。方法回顾性分析60例单纯性肥胖患者的临床资料。其中30例仅予以饮食控制及有氧运动为对照组;30例在对照组的基础上加用脾胃经取穴为主的针刺治疗为治疗组,每天1次,8天为1疗程,疗程结束后休息1天,3个疗程后观察两组疗效。结果两组总有效率比较,治疗组优于对照组（P〈0．05）。两组患者治疗后体重、体重指数（BMI）均下降,腰围（WC）缩小（P〈0．05）。结论从中医肥胖病机出发,针刺从脾论治单纯性肥胖疗效确切。     

针灸治疗肥胖症110例

目的：观察针灸治疗肥胖症的临床疗效,为肥胖症的治疗提供依据。方法：110例患者均采用体针、耳针配合控制饮食,增加运动的治疗方法。结果：总有效率达到91．82％。结论：针灸治疗肥胖症既安全又有效。     

针刺治疗单纯性肥胖临床疗效及血脂含量相关性分析

目的:观察针刺治疗单纯性肥胖症的临床疗效及与血脂含量相关性分析,以探讨针刺减肥的治疗机理.方法:选择门诊单纯性肥胖患者32例,采用针刺腹部脾胃经相关穴位,10次为一疗程,3个疗程后采用自身前后对照的方法,比较针刺前后体重、腰围、体重指数、血脂等检测资料,并对临床症状的改变进行分析总结.结果:经针刺治疗3个疗程后,患者血液中胆固醇、甘油三脂含量明显降低(P＜0.01);患者腹胀、便秘、月经不调、痤疮等症状均有明显改善,体重明显减轻(P＜0.01),腰围明显减小(P＜0.01).结论:针刺人体脾胃经相关穴位可以调节内分泌,改善胃肠动力,消除腹胀便秘、痤疮,减肥塑形,降低血中胆固醇及甘油三脂的含量,改善血液流变性.     

“肾俞五十七穴”构建新2型糖尿病针灸治疗体系

＂肾俞五十七穴＂是《内经》中不多见的针灸成方之一。临床主要应用治疗水液代谢障碍疾病及水肿病,现已被临床证实治疗肥胖症减肥疗效肯定。研究发现,＂肾俞五十七穴＂与古典针灸治疗消渴的治疗特点颇为一致,即多取膀胱经穴,多取脾胃、肝、肾经穴,多取背俞穴等。临床运用＂肾俞五十七穴＂治疗2型糖尿病肥胖者,取得较好效果。     

针刺为主治疗胃热湿阻型单纯性肥胖症的临床观察

目的:观察针刺为主治疗胃热湿阻型单纯性肥胖症的临床疗效及对血清脂联素(APN)的影响,探讨针刺减肥的作用机理。方法:针刺组20例患者采用针刺配合饮食控制,对照组20例患者采用饮食治疗,2个疗程后观察临床疗效及对APN的影响。结果:针刺组与对照组的总有效率分别为80%、30%,针刺组的疗效优于对照组(P<0.01);针刺组血清APN含量改善优于对照组(P<0.05)。结论:针刺对胃热湿阻型单纯性肥胖症有较好的治疗作用,能上调患者血清APN水平,从而达到治疗作用。     

浮针配合银质针导热法治疗顽固性无菌性软组织炎症的临床研究

目的观察浮针配合银质针导热疗法治疗顽固性无菌性软组织炎症的临床效果。方法选取顽固性无菌性软组织炎性疼痛患者100例,随机数字表法分为两组,对照组单纯采用银质针导热疗法治疗,治疗组联合使用浮针及银质针导热疗法,比较两组的临床效果。结果联合使用浮针及银质针导热疗法治疗顽固性无菌性软组织炎症7日,临床疗效明显优于单纯采用银质针导热疗法(P<0.05)。结论联合使用浮针及银质针导热疗法治疗顽固性无菌性软组织炎症,提高临床痊愈率,有较好的临床使用价值。     

灵龟八法治疗单纯性肥胖症临床研究

目的：观察灵龟八法按时取穴针刺治疗对单纯性肥胖病的临床疗效,并将其与普通辨证取穴针刺方法进行比较,观察两者治疗效果是否存在差异。方法：将符合单纯性肥胖病的患者随机分为治疗组与对照组,各30例患者。治疗组辨证后,在主穴上加用灵龟八法按时取穴,对照组直接选用主穴针刺治疗。10次为1个疗程,共治疗3个疗程。结果 ：两组治疗前后在减体重、降低BMI值、减腰围三方面均有明显下降（P〈0.01）。两组相比,治疗后两组体重、BMI值的疗效无显著性差异（P〉0.05）,而在降低腰围疗效方面差异显著（P〈0.05）。在症状改善方面,两组治疗前后的症状积分均有明显下降（P〈0.01）,两组相比,差异上有显著统计学意义（P〈0.05）。结论：灵龟八法按时针刺组和普通针刺组对于单纯性肥胖均有疗效,两组相比,治疗组与对照组在降低体重与BMI值方面疗效相近,而在减腰围及症状改善方面,治疗组疗效优于对照组。