TREATMENT OF 18 CASES OF TRIGEMINAL NEURALGIA WITH ELONGATED NEEDLE

In this paper, a total of 18 cases of primary trigerninal neuralgia were treated with elongated needle.Of the 18 cases, 5 were male and 15 female, ranging in age from 27 to 58 years and in disease duration from 3 days to 8 years. Main acupoints used were Taiyang (EX-HN 5) to Xiaguan (ST 7, for penetration needling), Xiajiache, Fengchi (GB 20), Yanglingquan (GB 34) and Taichong (LR 3). The treatment was given once daily, with 12 sessions being a therapeutic course. After 2 courses of treatment, of the 18 cases, 10 cases were cured, 7 experienced improvemerit in pain and one failed in the treatment, with an effective rate of 94.4%. The key point for treating trigerninal neuralgia is applying penetrative needling from EX-HN 5 to ST 7 to achieve ideal needling sensations.     

关刺扳机点治疗原发性三叉神经痛疗效观察

目的:观察关刺扳机点治疗原发性三叉神经痛的临床疗效。方法:将103例原发性三叉神经痛患者按就诊顺序分为关刺组(53例)和常规针刺组(50例)。关刺组采用下颌关节扳机点(即下关穴附近寻找阳性点)关刺治疗,并远端配穴合谷、外关、太冲、内庭常规针刺;常规针刺组取下关、风池,并根据三叉神经痛各支的疼痛侧重配穴,采用常规针刺。采用视觉模拟评分法(VAS)和三叉神经痛症状评分于治疗前、第1疗程和第2疗程后对患者的疼痛程度、综合症状积分进行评定,并评定疗效。结果:两组治疗1个疗程后、2个疗程后VAS评分和综合症状评分均较治疗前明显降低(P<0.05,P<0.01),关刺组较常规针刺组降低更明显(均P<0.05);关刺组和常规针刺组总有效率分别为90.6%(48/53)和72.0%(36/50),关刺组优于常规针刺组(P<0.05)。结论:关刺扳机点治疗原发性三叉神经痛疗效显著,优于常规针刺治疗。     

放血加电针治疗银屑病158例临床观察

取大椎、陶道、肝俞，用三棱针点刺后拔火罐５～１０分钟，每穴出血０．３～０．５ｍｌ。然后取肺俞、脾俞、肾俞，毫针沿皮刺，得气后接电针治疗仪，选疏密波，电流强度以病人耐受为度。再针刺曲池、四渎、足三里、三阴交等穴，留针２０～３０分钟。隔日治疗１次，１５次为１疗程。经３～５疗程治疗，痊愈８０例（５０．６３％），显效３６例（２２．７９％），好转２７例（１７．０９％），无效１５例（９．４９％），有效率为９０．５１％。文中还讨论了该病的发病机理及治疗机制。     

深刺下关穴配合烧山火治疗风寒型三叉神经痛临床研究

目的:观察深刺下关穴配合烧山火治疗风寒型三叉神经痛的临床疗效与机理探讨.方法:选择本院2019年12月-2020年12月收治的风寒型三叉神经痛患者40例随机分为治疗组和对照组,各20例,对照组采用普通针刺,治疗组采用深刺下关穴配合烧山火,比较两组患者临床疗效以及治疗前后简化麦吉尔疼痛问卷评分McGill(VAS评分、疼...     

齐刺法治疗原发性三叉神经痛疗效观察

目的:探寻治疗三叉神经痛的有效方法.方法:将49例原发性三叉神经痛患者随机分成两组,治疗组31例采用齐刺颧髎加阳陵泉、丰隆穴治疗,对照组18例以口服卡马西平治疗.结果:治疗组总有效率为90.3%,对照组总有效率为72.2%.两组比较,差异有非常显著性意义(P<0.01).结论:以齐刺颧髎穴为主治疗三叉神经痛疗效优于卡马西平药物对照组.     

针刺治疗痛经止痛作用时效的临床研究(英文)

目的:观察针刺单穴、多穴对重度原发性痛经患者止痛作用的时效规律。方法:将 20 位原发性痛经重度疼痛患者随机分为单穴组和多穴组。每组观察 15 人次,每次均留针 30 min,分别记录针刺前即时,进针 5 min、10 min、20 min、30 min,及起针后 30 min、60 min、120 min的疼痛视觉模拟评分(Visual Analogue Scale, VAS)值,然后进行统计分析。结果:针刺后,两组的止痛作用产生迅速,留针 30 min内,两组患者的止痛作用均持续加强,直至出针;进针 20 min时多穴组的即时止痛作用明显优于单穴组(P<0.05),这种趋势一直维持到起针后 2 h。结论:针刺单穴、多穴对重度原发性痛经患者均有明显的即时止痛作用,且两组针刺作用的时效规律具有相同的变化趋势,但针刺多穴的即时止痛作用在多个时点明显优于针刺单穴。     

久留针强针感治疗三叉神经痛疗效观察

目的　为了提高针刺治疗三叉神经痛的临床疗效。方法　在辨证选穴的基础上,强调久留针,注重针感传导,同时设对照组比较。结果　久留针强针感的愈显率为８８．５％ ,对照组为４６．１％ ,其疗效明显优于对照组（Ｐ＜ ０．０１）。结论　久留针强针感法治疗三叉神经痛疗效比一般针刺法好     

ACUPUNCTURE TREATMENT OF OCCIPITAL NEURALGIA WITH DAZHUI AND FENGCHI ACUPOINTS

Ｏｃｃｉｐｉｔａｌｎｅｕｒａｌｇｉａｉｓａｃｏｍｍｏｎｄｉｓｅａｓｅｉｎｃｌｉｎｉｃ,ｆｒｅｑｕｅｎｔｌｙａｔｔａｃｋｓｉｎｔｈｅｃｏｌｄｓｅａｓｏｎｓａｎｄｍｏｓｔｌｙｒｅｓｕｌｔｓｆｒｏｍｔｈｅｅｘｏｇｅｎｏｕｓｐａｔｈｏｇｅｎｓ .Ｉｔｍａｎｉｆｅｓｔｓｍａｉｎｌｙａｓｐａｒｏｘｙｓｍａｌｓｔａｂｂｉｎｇ ｐａｉｎ ,ｄｒｉｌｌｉｎｇ ｐａｉｎ ,ｊｕｍｐｉｎｇ ｐａｉｎｏｒｓｕｓｔａｉｎｉｎｇｓｏｒｅａｎｄｄｉｓｔｅｎｄｉｎｇｐａｉｎｏｎｔｈｅｕｎｉｌａｔｅｒａｌｏｒｂｉｌａｔｅｒａｌｎｅｃｋ .Ｉ…     

温通针法治疗三叉神经痛临床疗效观察

目的：观察温通针法治疗三叉神经痛的临床疗效。方法：将60例三叉神经痛患者随机分为治疗组和对照组各30例。对照组采用基础针刺治疗,治疗组在此基础上再实行温通针刺手法,2组均每天治疗1次,治疗5次为1个疗程,6个疗程后观察疗效。结果：总有效率治疗组为96．67％,对照组为90．00％,2组相比差异有统计学意义（P〈0．05）。结论：温通针法治疗三叉神经痛临床疗效肯定。     

基于数据挖掘探讨电针治疗周围神经病的临床应用特点

目的:通过挖掘电针疗法在周围神经病临床治疗中的应用特点,为临床运用电针治疗周围神经病提供依据.方法:以"电针"和"面神经麻痹""面肌痉挛""三叉神经痛""坐骨神经痛""腓总神经麻痹""糖尿病周围神经病变""桡神经麻痹""臀上皮神经炎""尺神经损伤""肋间神经痛""正中神经麻痹""带状疱疹后遗神经痛""枕大神经痛"为检索...     

毫火针治疗椎动脉型颈椎病120例

目的:验证毫火针治疗椎动脉型颈椎病的临床疗效.方法:120例椎动脉型颈椎病患者予毫火针治疗,穴取百会、风池、脑户、颈百劳等,快速刺入穴位,留针20 min.每日治疗1次,7次为一疗程,治疗1个疗程后评定疗效.结果:显效88例,占73.3％;有效27例,占22.5％;无效5例,占4.2％,总有效率达95.8％.结论:毫火针治疗椎动脉型颈椎病疗效显著.     

不同参数针刺治疗原发性高血压的正交优化方案研究

目的:分析不同选穴、留针时间、针刺深度对原发性高血压患者24 h血压负荷及昼夜节律的影响,优选最佳针刺降压方案。方法:纳入48例临床病例,采用正交试验设计,按照3因素2水平,即选穴(人迎、太冲)、留针时间(15、30 min)、针刺深度(浅刺、深刺),分为8组,每组6例,观察针刺前后24 h动态血压负荷及血压昼夜节律的变化。结果:(1)针刺深度对收缩压负荷的影响最为显著(P<0.05),各因素不同水平的影响程度为:人迎>太冲,15 min<30 min,浅刺<深刺,最佳调节收缩压方案为深刺人迎30 min;(2)留针时间对舒张压负荷的影响最为显著(P<0.05),各因素不同水平的影响程度为:人迎<太冲,15 min<30 min,浅刺<深刺,最佳调节舒张压方案为深刺太冲30 min;(3)不同因素对于昼夜节律的影响程度为针刺深度>留针时间>选穴;各因素不同水平对昼夜节律的影响程度为:人迎<太冲,15 min<30 min,浅刺<深刺。最佳调节昼夜节律的方案为深刺太冲30 min。结论:深刺人迎或太冲30 min为针刺调节收缩压负荷、舒张压负荷及血压昼夜节律的最佳方案。     

天突、气舍针刺安全的临床解剖研究

目的:探讨天突、气舍穴局部解剖与针刺安全的关系。方法:采用小号克氏针标定法和层次解剖法在46具正常成人尸体上、左右共92侧解剖观测了天突和气舍穴针刺途径的局部解剖特点。结果:50·0%的标本胸骨柄后的两侧胸膜返折部相交在胸骨角平面,6·5%的标本两侧胸膜返折部相交在第1肋平面;天突针刺途径的局部解剖观测结果为43·5%的标本左头臂静脉上缘平齐或接近胸骨柄上缘,56·5%的标本左头臂静脉上缘平齐于胸骨柄中部;在气舍穴的钢针穿刺中观察到有68侧标本颈内静脉被刺穿,占73·9%,有24侧标本的左颈总动脉被刺损,占26·1%;并有约50侧标本的迷走神经被钢针触及,占54·3%。结论:天突和气舍的针刺操作不仅仅易伤及上部胸膜腔,更易伤及上纵隔及颈根部的大血管、迷走神经等要害结构,应引起重视与警惕。     

深刺局部穴治疗三叉神经痛疗效观察

目的:寻找提高三叉神经痛疗效的有效方法.方法:将90例原发性三叉神经痛患者随机分为深刺组(45例)、常规针刺组(45例).常规针刺组以局部近取浅刺和循经远取手足阳明经穴位为主,深刺组在此基础上对局部穴位采用深刺达神经干的方法.治疗3个疗程后统计疗效.结果:两组均收到明显疗效,深刺组临床治愈12例,显效24例,好转7例,无效2例,有效率为95.6%;而常规针刺组分别为7例、15例、12例、11例、75.6%.深刺组疗效优于常规针刺组(P＜0.05).结论:针刺治疗三叉神经痛,局部穴位深刺加循经远取手足阳明经穴位,能明显提高疗效.     

不同留针时间电针治疗对三叉神经痛疗效的影响

目的:观察不同电针留针时间治疗三叉神经痛的疗效差异.方法:将52例三叉神经痛患者随机分为2组,每组26例.两组均穴取下关和地仓,颊车和承浆,四白和迎香加辨证取穴4组穴,采用电针疗法,观察组每组穴位电针刺激30 min,共计留针120 min;对照组每组穴位电针刺激10 min,共计留针40 min.均每天治疗1次,4周后观察疗效.结果:观察组痊愈率为84.6(22/26),总有效率为100.0%(26/26),均优于对照组的34.6%(9/26),80.8%(21/26)(P<0.01,P(0.05).结论:电针治疗三叉神经痛每组穴延长电针留针时间至30 min疗效优于每组穴留针10 min.     

52 cases of entrapment syndrome of superficial radial nerve treated with short thrust needling at Shànglián (上廉LI 9)

Objective

To observe the clinical therapeutic effects on entrapment syndrome of superficial radial nerve treated with the short thrust needling at Shànglián (上廉LI 9).

芒针临床应用特点探讨

通过检索“芒针”临床研究文献,分析总结其临床应用特点。芒针的临床主要适应症是前列腺疾病、腰椎间盘突出症、中风及其后遗症、胃下垂、肩周炎、三叉神经痛。芒针在以上各疾病中的常用穴各异,不同穴位有不同针刺深度,各疾病治疗频次以每日1次常见,不同疾病的疗程各不相同。使用芒针前需严格消毒,进针时要掌握针尖方向和针身刺入深度,行针勿用力过猛,出针应顺势缓慢,在胸背部、小腹部使用芒针时要防止刺伤脏器。     

七星针为主治疗小儿脑性瘫痪260例疗效观察

七星针为主治疗小儿脑性瘫痪２６０例疗效观察袁清顺（北京市朝阳中医医院，１０００２０）主题词脑性麻痹／针灸疗法；肌痉挛／针灸疗法；运动障碍／针灸疗法；刺法Ｔｒｅａｔｍｅｎｔｏｆ２６０ＣａｓｅｓｏｆＩｎｆａｎｔｉｌｅＣｅｒｅｂｒａｌＰａｒａｌｙｓｉｓｂｙ...     

EFFECT OF NEEDLING STIMULATION QUANTITY ON THE THERAPEUTIC EFFECT OF ACU-MOXIBUSTION IN THE TREATMENT OF PERIPHERAL FACIAL PALSY IN THE EARLY STAGE

Objective: To observe the correlation between needling stimulation quantity and the therapeutic effect of acupuncture in the treatment of early stage of peripheral facial palsy. Methods: Sixty-three peripheral facial palsy patients were randomized into treatment group (n=33) and control group (n=30). In treatment group, Taiyang (EX-PIN 5), Jingrning (BL 1) and Hegu (LI 4) were punctured with gauge-36 acupuncture needles and stimulated with light twirling-reinforcing method (about 200 times/min), the acupuncture needles were retained for 20 min. In addition, moxibustion was also applied to Fengchi (GB 20) and Qianzheng (EX-HN 17) following puncturing them with gauge-30 filiform needles. In control group, conventional twirling-reducing method (about 60 times/min) was applied to Yangbai (GB 14), Cuanzhu (BL 2), Sizhukong (TE 23), etc., following puncturing them with gauge-28 filiform needles. Additionally, thermal needle was applied to Fengchi (GB 20),tained for 40 min. Results: Following 10 days‘‘ treatment,Yifeng (TE 17) and Jiache (ST 6), with the needles retained for 40 min,Results:Following 10 days‘‘ treatment,of the 33 and 30 cases in treatment and control groups, 21 (63.0%) and 12 (40.0%) were cured, 7(21.1% ) and 5 (16.7%) had remarkable improvement, 4 (12.1%) and 9 (30.0%) were effective, and 1 (3.0%) and 4 ( 13.3% ) failed in the treatment, with the cure plus markedly effective rates being 84.8% and 56.7% respectively. Statistical analysis shews that in acupuncture treatment of early stage of facial palsy, light stimulation is superior to that of heavy stimulation in the therapeutic effect.     

OBSERVATION ON 8 CASES OF TRIGEMINAL NEURALGIA TREATED BY ACUPUNCTURE OF TIANRONG POINT

Trigeminalneuralgiaisadiseaseindepart-mentofneurologywithunclearcause.Itischar-acterizedbyrepeatedandparoxysmalmegalgiaindistributiveregionsofthetrigeminalnervesintheface.Thepatientssufferagonyandtheirwork,lifeandstudyareaffectedgreatly.Becauseitscausesha…