Treatment of Terminal filum-related Tethered Cord Syndrome with Combined Acupuncture and Cupping

The patient, male, 60, came for treatment on July 25, 2003 with the following complaints: the muscular atrophy of the right lower limb, 7-year weakness in micturition and worsened in the last one month. The MRI on his lumbar-sacrum showed a widened sacral canal, a comparatively thick and long terminal filum in the base with 2.9-4.9 mm in diameter, which closely attached to the posterior wall of the canal with slightly thickened lower end.     

多发性硬化案2例

The multiple sclerosis (MS) is an inflammatory demyelinating disease in central nervous system,which is characterized with inflammatory reaction,demylinization and glial scar in substantia alba of central nervous system.The substantia alba around cerebral ventricle,optic nerve,spine,brain stem and cerebellum are often involved.People from 15 to 40 years old are often under the attack of this nervous system disease,leading to paralysis.The authors have treated two cases of MS with Academician SHI Xue-min.The report is as follows. Case 1 Patient,female,67 years old,German.Date of first visit:October 23,2011.Main complaints:paralysis in lower limbs and weakness in right-side upper limb for 44 years,which was progressively exacerbated for 1 year. Medical history:the patient suddenly had numbness in right hand without obvious reason in 1966.So she came to a local hospital and was diagnosed as multiple sclerosis.The condition was slightly relieved with steroid hormone treatment.The patient had equilibrium disorder and limping in October 1974 and the symptoms were gradually aggravated.In 1990 the patient had weakness in lower limbs and couldn't walk without the help of walking aid.In recent one year the patient had more obvious weakness in lower limbs with involuntary twitch,numbness and weakness in right-side upper limb were gradually aggravated into slow movement.     

A BRAIN FUNCTIONAL MAGNETIC RESONANCE IMAGING STUDY ON NEEDLING IN HEGU(LI4) AND HOUXI(SI3) IN ADULT HEALTHY VOLUNTEERS

Objective: To explore the neurophysiological mechanisms of acupuncture needling in Hegu(LI4) and Houxi(SI3) and the functional specificity of them based on the technique of brain functional magnetic resonance imaging(fMRI).Methods: Forty healthy right-handed volunteers were divided into LI4 point group and SI3 point group, with 20 cases in each group.All healthy volunteers were stimulated at left LI4 or SI3, and fMRI data were acquired with the same scanning sequences.All fMRI data were analyzed by analysis of functional neuroimage program and the results were corrected with Monte Carlo method(P=0.002, α≤0.05).Results:(1) Many brain areas were activated with increased signal by stimulating at left LI4 which included: bilateral cerebellum, right thalamus and subthalamic nucleus, bilateral lentiform nucleus and putamen, right caudate, right cingulate gyrus, bilateral precentral gyrus, right posterior central gyrus, bilateral superior parietal lobule, right inferior parietal lobule, left inferior frontal gyrus, right middle frontal gyrus, right middle temporal gyrus, bilateral superior temporal gyrus, right supramarginal gyrus, left middle occipital gyrus, and left insula;(2) many brain areas were activated with increased signal by stimulating at left SI3 which included: bilateral cerebellum, left thalamus and ventral posterior medial, right caudate, right precentral gyrus, right middle frontal gyrus, left cingulate gyrus, and bilateral insula;(3) it showed significant differences of the intergroup analysis results of stimulating at LI4 vs SI3: increased signal in left cingulate and precentral gyrus and decreased signal in right middle frontal gyrus and inferior frontal gyrus.Conclusion: The present study directly illustrated the link of LI4 with the face and mouth, as well as SI3 with the neck and torso at the levels of central nervous system.It also offered objective neurophysiological evidence to the traditional Chinese medical theory that "face and hand are controlled by Hegu" and "Houxi is associated with the governor vessel".In addition, it explained the mechanism of Hegu treatment to hyperhidrosis, Houxi treatment to neck lumbar diseases, and the analgesic function of both acupoints in some degree.Nevertheless, it provided objective basis of functional specificity of the acupoints which were close in location.     

Effect of Taijiquan practice versus wellness education on knee proprioception in patients with knee osteoarthritis: a randomized controlled trial

OBJECTIVE: To determine the effects of Taijiquan practice on knee proprioception in patients with knee osteoarthritis(OA).METHODS: We conducted a randomized controlled trial comparing Taijiquan with a control condition(wellness education) in patients with knee OA. The patients participated in either a 60-min Taijiquan session three times weekly or a 60-min weekly educational session, for 24 consecutive weeks. The primary outcomes were changes in knee proprioception. Secondary outcomes were changes in the Western Ontario and Mc Master University Osteoarthritis Index(WOMAC).RESULTS: After 24 weeks, compared with the control group, the Taijiquan group demonstrated better improvements in the joint position sense in knee flexion(left:-2.12°; right:-2.02°), and knee extension(left:-2.22°; right:-1.54°). In addition,the Taijiquan group showed significantly greater improvements in the WOMAC scores(P 0.05) for knee pain(left:-3.17 points; right:-3.74 points),stiffness(left:-2.43 points; right:-2.13 points),and physical function(left:-10.99 points; right:-8.00 points), compared with the control group.CONCLUSION: A 24-week Taijiquan practice resulted in a significant improvement in knee proprioception in patients with knee OA. The present findings add increasing evidence regarding the clinical benefits of Taijiquan as a therapeutic modality for patients to improve the reflex protection of knee joints against potentially harmful forces.     

INFLUENCE OF PEPPER-PARTITIONED MOXIBUSTION ON SERUM IL-1β AND TNF-α LEVELS IN RATS WITH RHEUMATOID ARTHRITIS

Objective: To observe the influence of pepper-partitioned moxibus tion on serum IL-1β and TNF-α levels in rats with rheumatoid arthritis(RA).Methods: Forty healthy female SD rats were randomly divided into normal group, control group, model group, aconite-partitioned moxibustion group(the aconite group) and pepper-partitioned moxibustion group(the pepper group)(n=8).RA model was established by injecting Freund's complete adjuvant(0.1 mL into the right hind paw of the rats.For the aconite group and the pepper group, moxibustion was applied at Shenshu(BL 23)Zusanli(ST36) and the inflammatory site(the most severe site of the swelling joint), respectively.The swelling volume of rat' s right hind paws was detected by volumetric method, and serum IL-1β and TNF-α contents were measured by ELISA.Results: Compared to the model group, serum IL-1β and TNF-α contents in both the aconite and pepper groups were reduced significantly(P0.05), but no statistical significance was found between different moxibustion groups(P0.05).Conclusion: Pepper-partitioned moxibustion can reduce the degree of swelling of the inflammatory locality and serum expressions of IL-1β and TNF-α in RA rats, which may contribute to its effect in alleviating inflammatory and improving immune response.     

Treatment of 1 case of brachial plexus injury by acupuncture of detecting peripheral nerve plus Tuina

Medical History A male patient, 37 years old, was wounded on the lateral and superior aspect of the right chest by the knife on Nov. 16 of 2003. The physical examination showed there was a wound 2 cm in length on the lateral and superior aspect of the right chest with active bleeding, the patient could flex and extend the right elbow, wrist,palm and metacarpophalangeal articulation, but felt numbness of five digits of right hand.     

人参配伍环境对附子半夏反药组合干预肺心病心衰阶段的毒效转化研究

Objective:Fuzi Banxia is one of eighteen antagonisms,previous studies have shown that the incompatibility could play special effects in the specific condition of diseases and appropriate compatible environment.The present study aims to evaluate the toxicity-efficacy of ginseng combined with Fuzi Banxia incompatibility intervening in the heart failure stage of cor pulmonale and to explore its mechanism.Methods:Monocrotaline(MCT)-induced cor pulmonale were used in this study.Ultra high-resolution small animal ultrasound real-time imaging system and the right heart catheterization were used to estimate cardiac function.Semi automatic biochemical analyzer was used to test myocardial enzyme LDH,CK,and CK-MB in serum.The heart tissues were stained with HE,and TUNEL assay was used to assess the pathomorphological changes and myocardial apoptosis.The expression of hypertrophy and apoptosis associated genes:ANP,BNP,β-MHC,Bax,and Bcl-2 in the right ventricle were determined by RT-PCR.Results:Fuzi Banxia combined with ginseng obviously attenuated mortality,decreased RVHI,and increased cardiac index;RVSP and m PAP were significantly reduced,and EF and FS were raised obviously;Myocardial enzymes LDH,CK,and CK-MB were pronounced attenuated;heart diameter reduced,right ventricular dilatation was significantly decreased,inflammatory cell infiltration notably reduced,and cardiac apoptosis rate was decreased obviously.Meanwhile,the expression of hypertrophy-related ANP,BNP,andβ-MHC m RNA were up-regulated,the expression of apoptosis-related Bax m RNA was down-regulated,and the expression of anti-apoptosis-related Bcl-2 m RNA and Bcl-2/Bax ratio were upregulated.Conclusion:Ginseng compatible environment could attenuate cardiac toxicity of Fuzi Banxia incompatibility intervening in the heart failure stage of cor pulmonale,and improve cardiac function,which may be related to the expression of hypertrophy and apoptosis associated genes,and thus delay the occurrence and development of heart failure.     

EFFECT OF ACUPUNCTURE ON CEREBRAL IMAGES IN AUTISM CHILDREN

Objective: To observe the effect of acupuncture on images in autism children. Methods: A total of 27 cases of autism children were subjected into this study. By using a SPECT, the cerebral images were collected before and after acupuncture treatment and analyzed according to the recommended methods in 《Clinical Nuclear Medicine》 for assessing the state of blood flow, radioactivity quantity distribution and radioactivity count in bilateral hemispheres. "JIN's three-needling" was employed. The acupuncture treatment was given once every other day, with 4 months being a therapeutic course and an interval of one month between two courses. Results: After acupuncture treatrnent, of the 22 cases, 20 had remarkable improvement and 2 had improvement in cerebral blood flow, with the total effective rate being 90.8%. Before the treatment there were significant differences between the left and right cerebrum (P<0. 001), and between the left and right frontal lobes in radioactive areas (P<0.01); however, after trea     

A REPORT ON ONE CASE OF CURED PARAPLEGIA INDUCED BY EPIDURAL ANESTHESIA

Chen Suqin,female,39 years old. Patient’s condition and process of diagnosesand treatment:The patient was hospitalized atthe Department of Gynecology in our hospitalowing to right hydrosalpinx.At 9 o’clock onJuly 22,1992,the right hydrosalpinx of patient（would be）excised under continuous epiduralanesthesia.Owing to failure of epidural anesthesia in operation,general anesthesia was used tofinish the operation.At that night of operationand the next day,the patient got out of bed and     

Pulmonary Valvulotomy and Valvuloplasty Under Drug Assisted Acupuncture Anesthesia

The patient was female, 29 years old, Han Nationality and married. Chief complaints: An over 20 years' history of congenital heart disease. She was admitted to a hospital for brain abscess operation in April 2006.During the hospitalization, color echocardiography showed a pulmonary transvalvar gradient of 134 mmHg, suggesting pulmonary valve stenosis. The patient was admitted to the department of cardiothoracic surgery in the present hospital for treatment on August 8, 2006.     

Treatment of 56 cases of cervical spondylosis by embedding method

In supporting Xinjiang Uygur Autonomous Region from August of 2008 to January of 2009, the authors treated 56 cases of cervical spondylosis by embedding method. Now, the report is given as follows.     

近10年电针治疗神经根型颈椎病的研究进展

目的:介绍近十年来国内外电针治疗神经根型颈椎病的情况.方法:从电针、电针结合其它疗法方面对电针治疗此病的方法进行分析.结果:电针治疗此病的常用腧穴为颈夹脊穴、风池、曲池、外关等.结论:电针治疗此病的其它评价指标的有效性,尚需更多的设计严谨、方法科学的高质量随机对照试验来证实.     

Therapeutic Effect of Acupuncture plus Tuina on Cervical Spondylosis

目的：观察针刺配合推拿治疗颈椎病的，临床疗效。方法：将146例颈椎病患者随机分为针刺配合推拿组（观察组）70例，针刺组（对照Ⅰ组）38例，推拿组（对照Ⅱ组）38例。结果：观察组痊愈率为92．1％，对照Ⅰ组为68．4％，对照Ⅱ组为65．8％；观察组与对照Ⅰ组、对照Ⅱ组相比，差异有统计学意义（P〈0．01）；对照Ⅰ组与对照Ⅱ组间差异无统计学意义（P〉0．05）。结论：针刺配合推拿治疗颈椎病能够较快较好地缓解患者病情。     

Therapeutic Observation of Point-towards-point Electroacupuncture for Cervical Spondylotic Radiculopathy简

Objective： To compare the therapeutic efficacies of point-towards-point electroacupuncture（EA）, EA with Jiaji points（EX-B 2）, and Jing Fu Kang in treating cervical spondylotic radiculopathy（CSR）, and to explore the optimal treatment protocol. Methods： Totally 160 patients with CSR were randomized into three groups： a point-towards-point group（n=60） treated with EA with point-towards-point method; a Jiaji group（n=60） treated with EA at cervical Jiaji（EX-B 2） points; a medicine group（n=40） treated with oral administration of Jing Fu Kang alone. The clinical efficacies were compared afterwards. Results： After treatment, the recovery rate and total effective rate of the point-towards-point group were significantly better than that of the Jiaji group and medicine group（both P〈0.01）. After 1-week treatment, the symptom and function score of the point-towards-point group was significantly better than that of the Jiaji group and medicine group（both P〈0.01）; the point-towards-point group and Jiaji group both achieved significant improvements in the symptom and function score（P〈0.01, P〈0.05）. After 2-week treatment, the three groups all achieved marked improvements in the symptom and function score（P〈0.01）. At the end of treatment, in comparing the symptom and function score, the point-towards-point group was significantly different from the medicine group（P〈0.01） and Jiaji group（P〈0.05）; the difference between the Jiaji group and medicine group was also statistically significant（P〈0.05）. Conclusion： Point-towards-point EA can rapidly improve the symptoms and function of CSR patients, and it＇s superior to EA at Jiaji（EX-B 2） and oral administration of Jing Fu Kang in comparing the clinical efficacy.     

Clinical observation on tuina treatment for cervical intervertebral disc herniation

目的：观察推拿治疗颈椎间盘突出症的临床疗效。方法：87例患者根据就诊顺序随机分为治疗组和对照组。治疗纽39例,采用推拿手法治疗;对照纽48例,采用颈椎牵引结合中频脉冲治疗。两组均每星期治疗3次,治疗10次为一个疗程。结果：治疗组治愈22例,显效13例,好转4例,显效率89．7％,总有效率100．0％;对照纽治愈23例,显效17例,有效7例,无效1例。显效率83．3％,总有效率97．9％。两组显效率及总有效率比较,差异均无统计学意义。治疗组平均治疗17．8次,对照组平均治疗26．6次。结论：推拿治疗颈椎间盘突出症疗效与牵引结合中频脉冲治疗相当,但推拿治疗具有见效快,疗程短的优势。     

灸药结合治疗颈性眩晕临床观察

目的：观察艾灸联合盐酸倍他司汀治疗颈性眩晕的临床疗效。方法：将 120 例颈性眩晕患者随机分为两组,观察组 60 例,予艾灸结合静脉滴注盐酸倍他司汀治疗;对照组 60 例,予单纯静脉滴注盐酸倍他司汀治疗。观察治疗前后患者临床症状及功能评分变化,比较两组临床疗效。结果：与本组治疗前比较,两组患者治疗后眩晕症状及功能评分均有明显改善（P〈0.01）。治疗后组间比较,观察组眩晕症状及功能评分改善明显优于对照组（P〈0.01）。两组愈显率及总有效率亦有统计学差异（均P〈0.05）,提示观察组疗效优于对照组。结论：灸法联合盐酸倍他司汀治疗颈性眩晕疗效优于单纯盐酸倍他司汀治疗。     

穴位注射结合牵引治疗神经根型颈椎病的疗效观察(英文)

目的:观察穴位注射结合牵引治疗神经根型颈椎病的临床疗效。方法:将 122 例神经根型颈椎病患者随机分为 3 组,观察组 42 例,进行穴位注射结合牵引治疗;穴位注射组 40 例进行穴位注射治疗;牵引组 40 例进行牵引治疗。治疗结束比较三组间疗效差异。结果:观察组总有效率为 92.9%,穴位注射组总有效率为 72.5%,牵引组总有效率为 75.0%,观察组与穴位注射组、牵引组比较均有显著差异(P<0.05),穴位注射组与牵引组比较无显著差异。结论:穴位注射结合牵引治疗神经根型颈椎病的疗效优于单纯穴位注射及单纯牵引治疗。     

颈椎微调推拿手法配合舒颈定眩汤治疗颈性眩晕

目的：观察颈椎微调推拿手法配合舒颈定眩汤治疗颈性眩晕的疗效。方法：采用随机、开放、平行对照研究。治疗组予以颈椎微调推拿手法配合舒颈定眩汤治疗,对照组单以推拿治疗。两个疗程后进行统计。结果：治疗组和对照组治愈率分别为20.6%和14.7%;总有效率分别为88.2%和73.5%。两组治愈率及总有效率差异均有统计学意义(P＜0.01)。结论：颈椎微调推拿手法配合舒颈定眩汤治疗颈性眩晕疗效优于单纯颈椎微调推拿手法治疗。     

针刺配合雷火灸治疗颈型颈椎病临床研究

目的：观察针刺配合雷火灸治疗颈型颈椎病的临床疗效。方法：将符合纳入标准的60例颈型颈椎病患者随机分为治疗组和对照组,每组30例。治疗组采用针刺配合雷火灸治疗;对照组采用单纯针刺治疗。观察治疗前后症状、体征积分及视觉模拟量表（Visual Analogue Scale,VAS）评分的变化。结果：治疗组在提高临床疗效、降低VAS评分,改善临床症状、体征积分方面均优于对照组（P〈0.01 或P〈0.05）。差异均有统计学意义。结论：针刺配合雷火灸能明显减轻颈型颈椎病患者的疼痛症状,改善颈椎功能。     

推拿治疗青年期神经根型颈椎病的随机对照研究(英文)

目的:探讨手法对青年期神经根型颈椎病患者的近期和远期治疗效果。方法:将120例患者随机分为观察组和对照组。观察两组患者治疗后即时疗效和治疗后6个月的复发率。结果:观察组近期疗效优于对照组(P<0.05),6个月后的复发率明显低于对照组(P<0.05)。结论:手法治疗对青年期神经根型颈椎病患者有较好的近期和远期效果。