针刺人中的抗休克作用及其血流动力学特点

<正> 很早就知道,针刺人中等穴位具有急救的效果。近年来在针麻实践中证明,针麻应用于休克等危重病人的手术时比较安全,可使患者的一般情况得到改善,为手术的顺利进行提供了有利条件。本工作旨在观察针刺人中对失血性休克动物的失血量、死亡率、死亡时间、输液量以及一系列血流动力学指标的影响,以期阐明针刺人中是否具有     

针刺人中穴抗休克作用的研究进展

休克长期以来一直为国内外医学界所重视，本文就针刺人中穴抗休克作用的研究进展作了概述。内容包括：１、对循环系统的影响；２、对某些体液因素的影响；３、对重要器官的影响。     

针刺对心功能保护及抗休克作用的观察

本文报导了针刺“内关”穴对失血性休克家兔心功能及血压的影响。结果表明，针刺后PEP缩短；ET延长；SV、CO增多；MAP升高，每项指标与休克时相比均有非常显著之差异（P＜0．001）。以上结果提示，针刺能增强心肌收缩力，保护心泵功能，升高血压，这在抗休克过程中起到了积极的作用。     

针刺对高血压病患者血流动力学的影响

本文观察了49例Ⅱ期高血压病患者针刺风池、太冲等穴前后的血流动力学变化。发现针刺后较针刺前即刻收缩压平均降低3.2kPa(P<0.001),舒张压平均降低2.0kPa(P<0.001),外周阻力平均降低0.03kPa·s/ml(P<0.001),而动脉顺应性、每博心输出量和每分心输出量无明显变化(P均>0.05)。结果表明针刺的降压作用主要是通过降低细、小动脉的外周阻力,而对大、中动脉的顺应性以及心输出量影响不大。     

针刺刺激引起的基底血流动力学改变

已知针刺刺激可改善血液循环,因此,针刺疗法也可用于眼科以改善眼周围血流。但因缺乏对基底局部循环动力学进行测定的非侵害性方法,由针刺引起的视网膜脉络膜微循环动力学改变尚未得到证     

针刺“人中”抢救药物过敏性休克

取穴及操作方法:取人中穴,用1寸毫针,针尖斜上刺入2～3分,强刺激并连续捻转,直至病人神色好转。     

针刺上巨虚穴对大脑中动脉血流动力学影响的研究

目的：探讨针刺上巨虚穴对大脑中动脉（MCA）血流动力学的影响,为临床应用上巨虚穴治疗脑血管病提供依据。方法：对10名青年健康志愿者（男性6名,女性4名）通过经颅多普勒超声（TCD）连续观测针刺双侧上巨虚穴在进针前10rain、进针得气后、行针时（留针15min）、出针时（留针30min）并分别施以行针手法15s钟后、出针后10min等5个时间点的大脑中动脉的血流动力学变化。结果：同进针前10min比较,进针时、行针时VM、VD有统计学意义（P〈0．05）;出针时、出针后10minVM有显著的统计学意义（P〈0．01）;同进针前10min比较Vs、PI、RI均无统计学意义（P〉0．05）。结论：针刺上巨虚穴有可能增加MCA的血流量,对MCA的平均血流速度的影响具有非常显著的后遗效应,提示针刺该穴具有一定的延迟治疗作用。针刺上巨虚穴对MCA血管的收缩和舒张无显著影响。     

针刺人中穴抗休克的机理研究述略

休克是一种急性组织灌注量不足而引起的临床综合征。［１］主要表现为血压下降,面色苍白,四肢湿冷,肢端紫绀,脉搏细弱,尿量减少,反应迟钝,甚至昏迷等,属中医“厥证”、“脱证”范畴。祖国医学早就有针刺人中穴抢救厥脱症的文献记载,认为人中穴有回阳救逆、清热开...     

“中麻二号”应用于抗休克麻醉的体会

我院从1971年5月便开始应用中药麻醉于临床实践,现将1975年8月至1976年10月应用“中麻二号”于抗休克麻醉病人33例作一简要小结。     

穴位手法推拿治疗椎动脉型颈椎病临床疗效及其对血流动力学的影响

为探讨穴位(风池、风府、肩井、翳风、百会、太阳)手法推拿治疗对椎动脉型颈椎病的疗效及其对患者血流动力学的影响.选择诊断明确的椎动脉型颈椎病患者120例,随机分为穴位手法推拿治疗组(治疗组)60例和口服西比灵组(对照组)60例,连续3周,观察治疗前后眩晕、颈肩痛、头痛和TCD变化.结果显示,治疗组治疗后颈肩痛、头痛计分与对照组比较差异有显著性意义(P＜0.01),基底动脉、左侧椎动脉、右侧椎动脉的PS与对照组比较差异亦有显著性意义(P＜0.05～0.01).表明穴位手法可明显改善椎动脉型颈椎病患者的眩晕、颈肩痛和头痛等症状,明显提高椎基底动脉的血流速度,其疗效与穴位手法推拿治疗改善椎基底动脉供血有关.     

THERMOLYTIC EFFECT OF MOXIBUSTION AND ITS RELATION TO ACUPOINT RECEPTORS

In the present paper, the effect of moxibustion stimulation (by using a computer automatically-controlled condensed light) of Dazhui (GV 14) etc. on auricular temperature changes was observed in the rabbit after intravenous injection of endotoxin. Changes of rabbit‘s auricular temperature were sampled and recorded by using a thermistor-thermometer (connected with a computer) before and after moxibustion stimulation. Results indicated that moxibustion making the skin temperature reach to 480C could inhibit the endotoxin-induced lowering reaction of auricular temperature, while moxibustion making the skin temperature of 400C had no this effect. It revealed that higherskin-temperature moxibustion had a thermolytic effect on body-fever, which had a close relation mainly with polymodal receptors rather than with temperature receptor. It also demonstrated that endotoxininduced changes of auricular temperature could be used as an index for evaluating the thermolytic effect of moxibustion.     

THE RETRIEVAL AND ANALYSIS OF THE ACUPOINT EFFECT FROM ZHENJIU DACHENG

This paper has counted the clauses about the acupoint effect in Zhenjiu Dachengwith computer. The results have been indicated, summed up, simplified, and listed in a table. Ac-cording to these results, authors proposed some hypotheses, such as the first grade of the holographicunits on the extremities, the second grade of the holographic units on the extremities, the holographicunit on the head, etc., which are of significance in the clinical selection of points.     

针刺“人中”穴对狗胃运动效应的影响及其与外周5-羟色胺变化的关系

<正> 大量的临床实践表明,针灸治疗消化系统病症有良好的疗效,但其作用机制则迄今尚未阐明。最近我们的工作证明了针刺对狗的胃酸分泌有明显的调整作用,但针刺对胃运动功能的作用则了解甚少。从针灸临床实践认识到,针刺“人中”穴具有     

针麻和硬膜外阻滞对循环动力学的影响

<正> 上腹部手术中最常见的手术是胃大部切除术,这种手术最常用的麻醉方法在国内是连续硬膜外阻滞,但施行这种麻醉方法发生低血压的机会甚多,提示硬膜外阻滞对循环动力学的影响。自针麻施行于胃大部切除     

ACUPOINT TO ACUPOINT PENETRATIVE NEEDLING AND ITS CLINICAL APPLICATION

Acupoint to acupoint penetrative needling method has a long history in traditional Chinese medicine. Chinese physicians in various dynasties hold that this type of needling method can strengthen the needling sensations and raise the therapeutic effect in clinical practice. This needling method can be divided into straight penetration, oblique penetration and transverse penetration. In clinical application, it can also be divided into external-medial meridian penetration, a single meridian penetration, neighboring meridians penetration, and neighboring aoupoints penetration, etc. in accordance with the involved acupoints and meridians. Clinical practice demonstrates that penetrative needling possesses advantages of stronger needling sensations, better therapeutic effect and fewer aoupoints selection. For this reason, it is extensively applied in clinic.     

ANTIPYRETIC ACTION OF MOXIBUSTION AND ITS RELATION WITH ACUPOINT RECEPTORS

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针刺对实验性脑缺血猫血液动力学的影响

<正> 针灸作为中国的一个有效治疗方法,已有两千多年的历史,历代和现今的文献中均有很多报导,在我们的临床研究工作中,观察到针刺治疗缺血性中风的有效率为87.5%和92.31%。但针刺为什么能治疗缺血性中风?其原理如何?这是应该探讨的问题。本文试图从针刺对实验性脑缺血动物的血液动力学,包括脑血流量和脑血管阻力的影响,来探讨针刺治疗缺血性中风的原理。     

针刺足三里穴对高脂血症的临床观察

<正> 大量的人群普查和实验研究表明,高脂血症是导致动脉粥样硬化性心脑血管病的危险因素之一。世界卫生组织亦认为它是冠心病的易患因素,已将高胆固醇血症列为冠心病的诊断条件之一。动脉粥样硬化性心脑血管病是中、老年人的常见病、多发病,近年来其患病率及死亡率均有逐年增加的趋势。故设法降低高血脂对防治动脉粥样硬化性心脑血管病具有重要意义。目前,国内外均将其作为防治与研究的重点。鉴于对现有降血脂药物的疗效尚有争论,且易产生多种副