Case for non-specific pain on waist of a pregnant woman

The patient was in conception 27 weeks+6 days,and got right waist pain,complicated with nausea,vomiting(vomit as gastric content),which was diagnosed as non-specific pain on waist after consultations of many departments.The patient received acupuncture with the following acupoints:Shuǐgōu(水沟 GV26),Yìntáng(印堂 EX-HN3),left Hégǔ(合谷 LI4),and right Tàichōng(太冲 LR3).On the first date of acupuncture,the patient felt pain relieved obviously,occasionally with slight pain that did not influence normal diet and rest.On the next day,the patient took acupuncture continuously,the doctor added Tàixī(太溪 KI3) acupoint.The patient received acupuncture for 3 times in all.The pain and soreness of the patient almost disappeared,only with slight discomfort occasionally that did not influence the normal life.Through follow-up half a year,the patient born a live male infant by cesarean section on March 20,2019,both the mother and her infant were safe.     

冻结肩中喙突疼痛针刀治疗不同技法临床疗效观察（英文）

Objective:To explore the manipulation techniques of acupotomy in treatment of coracoid pain of frozen shoulder.Methods:A total of 60 patients with coracoid pain of frozen shoulder were collected.The randomized double-blind controlled method was adopted.Using random number table,the patients were divided into two groups,named a treatment group and a control group,30 cases in each one.In the treatment group,the pricking technique of acupotomy was adopted.In the control group,the traditional dissection technique of acupotomy was used.The duration of treatment was 5 weeks.Acupotomy was given once a week.At the end of treatment,pain index(visual analogy scale,VAS) and the therapeutic effect index were used to evaluate the therapeutic effect.Results:Before treatment,the average VAS score was 8.31 ± 0.84 in the treatment group and it was 8.14±0.24 in the control group.After treatment,the average VAS score was 0.01±0.89 in the treatment group and it was 0.10 ±1.01 in the control group.The difference was significant before and after treatment in the patients of the two group(both P 0.05).The difference before and after treatment was not significant between the two groups.The effective rate was 100% and the remarkably effective rate was100% in either the treatment group or the control group.Conclusion:The pricking technique of acupotomy achieves the same therapeutic effect on coracoid pain of frozen shoulder as compared with the dissection technique,which suggests that the dissection technique is not the indispensable manipulation in the treatment of the disease.The pricking technique of acupotomy brings a smaller wound,less medical damage in,less suffering in patients and quicker recovery of wound,as well as quicker remission of pain after acupotomy.Such modified method of acupotomy is more significant in practice.However,a further research is suggested for the pathological mechanism of frozen shoulder.     

Effectiveness of bee venom acupuncture in alleviating post-stroke shoulder pain: a systematic review and meta-analysis

BACKGROUND:Shoulder pain is a common complication of stroke.Bee venom acupuncture(BVA)is increasingly used in the treatment of post-stroke shoulder pain.OBJECTIVE:To summarize and evaluate evidence on the effectiveness of BVA in relieving shoulder pain after stroke.SEARCH STRATEGY:Nine databases,namely MEDLINE,EMBASE,the Cochrane Library,the China National Knowledge Infrastructure(CNKI),the Japan Science and Technology Information Aggregator,Electronic(J-STAGE),and four Korean medical databases,namely,the National Assembly Library,the Research Information Service System,the National Discovery for Science Leaders,and OASIS,were searched from their inception through August 2014 without language restrictions.INCLUSION CRITERIA:Randomized controlled trials(RCTs)were included if BVA was used at acupoints as the sole treatment,or as an adjunct to other treatments,for shoulder pain after stroke.DATA EXTRACTION AND ANALYSIS:Two review authors independently selected trials for inclusion,assessed methodological quality and extracted data.RESULTS:A total of 138 potentially relevant articles were identifi ed,4 of which were RCTs that met our inclusion criteria.The quality of studies included was generally low,and a preponderance of positive results was demonstrated.All four trials reported favorable effects of BVA on shoulder pain after stroke.Two RCTs assessing the effects of BVA on post-stroke shoulder pain,as opposed to saline injections,were included in the meta-analysis.Pain was signifi cantly lower for BVA than for saline injections(standardized mean difference on 10-cm visual analog scale:1.46 cm,95%CI=0.30–2.62,P=0.02,n=86)CONCLUSION:This review provided evidence suggesting that BVA is effective in relieving shoulder pain after stroke.However,further studies are needed to confi rm the role of BVA in alleviating post-stroke shoulder pain.Future studies should be conducted with large samples and rigorous study designs.     

ACUPUNCTURE RELIEVES PAIN IN REFLEX SYMPATHETIC DYSTROPHY:PITFALLS IN THE ANALYSIS OF RESULTS

Objective: Despite thousands of years of utilizing acupuncture for relief of pain, there is considerable controversy whether acupuncture deserves to be considered an efficacious modality along with medications and operations.Many publications claiming to answer this most important question have inspired more controversy regarding experimental design, designation of adequate controls and avoiding the dreaded placebo effect.Methods: We present a retrospective series of patients all of whom have severe chronic pain of the extremities with the unequivocal diagnosis of reflex sympathetic dystrophy.The patients were included if they had 15 treatments with acupuncture.The patients were treated in a single practice of acupuncture by two of the authors.There was no standardization of treatment given to each patient.The treatments were modified at each session.Objective date collected included the pain level on a 0 to 10 visual analogue scale and other functional data such as range of motion and daily activities.Results: At each treatment time, the acupuncture treatment significantly decreased the pain level from the value before the treatment to the pain level after the acupuncture treatment.Firsttreatment pre-treatment pain level: 7.43±2.15, post treatment 3.86±2.76(P0.0019).Over the course of the initial 15 treatments, the pre-treatment pain level did not significantly decline.Treatment number 15 had an average pain level of 6.5±1.51(P0.40).Conclusions: The treatment with acupuncture unequivocally caused a significant reduction in pain level on each treatment day; however, 15 treatments with acupuncture did not significantly produce a lasting effect.However, reviewing each individual charted data and analyzing the individual patient course gives a more accurate picture of the effect of acupuncture on patients with c omplex pain problems.     

Effects of Chinese herbs in children with Henoch-Schonlein purpura nephritis：a randomized controlled trial

OBJECTIVE： To research the curative effect of Chi- nese herbs for clearing away heat, promoting diure- sis, nourishing the kidney, and consolidating es- sence in children with Henoch-Schonlein purpura nephritis（HSPN） with internal accumulation of damp-toxin using randomized controlled observa- tions on large samples. To seek the mechanism of the therapy and its scope of indications. METHODS： Overall, 186 children with HSPN were randomly divided into two groups： treatment group（n=126） treated with Chinese herbs for clear- ing heat and promoting diuresis and a control group（n=60） treated with Western Medicine. The treatment was carried out for three courses of 4 weeks each. We recorded changes in patient urine routines, 24 h urinary protein, blood-coagulating series, immunoglobulin and T-cell subgroups, and improvements in main symptoms. We evaluated the alleviation of clinical symptoms and the im- provement of proteinuria, hematuria, and other lab-oratory test results. Finally, we analyzed the patient population suitable for this therapy according to the relationship between the grouping of patient body weight and curative effect. RESULTS： Damp-heat syndrome improved in the treatment group, with a significant difference in to- tal effective rate after a 4-week treatment（χ2= 13.5220, P=0.0002） and in curative rate after a 12-week treatment（χ2=6.3410, P=0.0118）, com- pared to those in the control group.The curative ef- fect in the treatment group was greater than that in the control group but there was no statistical dif- ference between the two groups. The curative ef- fect after a 4-week treatment of patients in the treatment group weighing 30 kg or less based on Traditional Chinese Medicine（TCM） signs and uri- nary protein was significantly greater than that in the control group. However, there was no statistical difference in the curative effect on urinary red cells and various indexes after a 12-week treatment be- tween the two groups. CONCLUSION： Therapy for clearing away heat, pro- moting diuresis, nourishing the kidney, and consoli- dating essence using TCM is effective in children with HSPN from internal accumulation of damp-toxin. The therapy is especially suitable for patients weighing 30 kg or less. The curative effect may be related to the improvement of immune function and blood-coagulation.     

RELATIONSHIP BETWEEN ACUPUNCTURE ANALGESIA AND MET- ENKEPHALIN OR DYNORPHIN

subjective: The effect of 4～5 Hz electroacupuncture (EA) on alterations of both met-enkephalin (MEK) and dynorphin (Dyn) in the patient plasma or mouse spinal cord and its relation with analgesic effect were studied. Methods: In acupuncture clinic 10 patients with acute pain were treated with 4 Hz EA at Zusanli(ST 36) and/or Hegu(LI 4) acupoints for 30 min. 20 BALB/C mice were randomly divided into 2 groups: a. EA group(n=10), treated with 4～5 Hz EA at bilateral “Zusanli“(ST 36) for 15 min; b. control group(n=10) treated with no EA, but also restrained for 15 min. Before and after EA or restraining acupoints, the pain threshold of the patients or mice was detected. 10 μI of the patient plasma before and after EA and each mouse spinal cord suspension, of the 2 groups were blotted onto nitrocellulose membrane (NCM) respectively. The protein dot blot signals were detected by immunoreactivity (IR) and using Shimadu TLC Scanner and analyzed statistically. Results: The results showed that an increase in patient plasma MEK-IR or Dyn-IR and a decrease in mouse spinal MEK-IR or Dyn-IR could be detected, and the alteration of plasma or spinal MEK-IR was more significant than that of plasma or spinal Dyn-IR. There was a positive correlation in alteration between plasma or spinal MEK-IR and plasma or spinal Dyn-IR with respective parallel levels in individuals. The increased plasma MEK-IR or the decreased spinal MEK-IR was positively or negatively correlated with the analgesic effect, while the correlation between plasma or spinal Dyn-IR and analgesic effect was insignificant. Conclusion: The results suggest that under lower frequency EA the met-enkephalin may play an important role in analgesia.     

Warm Needling Moxibustion for Knee Osteoarthritis:A Randomized Controlled Trial

Objective： To observe the clinical effect of warm needling moxibustion for knee osteoarthritis （KOA） by a randomized controlled trial. Methods： Sixty cases with KOA were randomly divided into an observation group and a control group, 30 cases in each group. The observation group was treated by warm needling moxibustion. The control group was treated by simple acupuncture. Ten sessions made one course and the two groups were treated for two courses. The scores of knee joint pain, stiffness and knee functions before and after the treatment were observed. Results： The scores of Western Ontario and McMaster Universities osteoarthritis index （WOMAC） on pain, stiffness and joint functions before and after treatment in both groups were statistically different （all P〈0.05）. The comparisons of the scores in pain, stiffness and joint function after treatment between the two groups were all statistically different （all P〈0.05）. The total effective rate was 93.3% in the observation group and 80.0% in the control group. The differences of the clinical effects between the two groups were statistically significant （P〈0.05）. Conclusion： Warm needling moxibustion can improve the clinical symptoms and functions of the patients with KOA, and is better than ordinary acupuncture in the therapeutic effect.     

Effect of Yinian Jiangya Yin on primary hypertension in early stage--a clinical observation on 40 patients

Objective： To observe the effect of Yinian Jiangya Yin （Decoction for lowering blood pressure to prolong life） on patients with early hypertension and its mechanism on the function of vascular endotheliocytes. Methods： The 79 patients with early primary hypertension belonging to the TCM syndrome of stagnation of phlegm and blood stasis in meridians and hyperactivity of the liver-yang were randomly divided into a treatment group of 40 patients treated with Yinian Jiangya Yin and a control group of 39 patients treated with Tianma Gouteng Yin （Decoction of Gastrodia and Uncaria）. The changes in score of TCM syndrome and in blood pressure before and after treatment were observed in the two groups. The contents of nitrogen monoxide （NO） and endothelin （ET） in serum after treatment were determined. Results： There was a statistical difference （P〈0.05） in score of TCM syndrome, effect of lowering blood pressure, and the contents of ET and NO in serum after treatment between the two groups. Conclusion： The effect of Yinian Jiangya Yin on improving TCM syndrome of patients with primary hypertension in early stage and on lowering blood pressure may be related to its regulating the imbalanced condition between ET and NO for restoring the function of endothelium-dependent vasodilation.     

Apoplectic aphasia treated by collaterals-pricking and bleeding method

Case Example The patient, male, 68 years old, had a sudden seizure of hemiplegia on the right body, deviation of the eye and mouth, aphasia and salivation after getting up in the morning, and was sent to the hospital immediately, and was diagnosed with cerebral infarction after examination and was treated upon diagnosis for over month. Hemiplegia in the limbs and deviation of the eye and mouth had been relieved, but aphasia was still there.     

ACUPUNCTURE AND KETAMINE IN TREATING CHRONIC BACKACHE

Purpose: The primary aim of this research was to determin whether the use of oral ketamine is effective, safe, and acceptable fo patients presenting with low-back pain.It was used in conjunctio with acupuncture treatment to reduce the number of the seat(when treating a patient with acupuncture, they receive treatment over a series of days—this may mean every day or every othe day for a period of 10 d, for example, this is called a "seat") o acupuncture.Results: The results showed that(1) 58%(29/50) of the patients became pain-free;(2) 26%(13/50) of the patients experienced a decrease in pain by one half.They continued on acupuncture only, without ketamine;(3) The remaining 16%(8/50) had no response during the 1st course.Among these eight participants, six requested ketamine in combination with acupuncture, and two required surgery.The result of this study is compared with other studies in which acupuncture alone was used in treatment of the 30 patients in the control group.Thirty percent were pain-free after the 1st course of acupuncture, 50% of the patients had pain reduced by one half, and only 20% showed no response during the first course.     

伴颈外侧淋巴结肿大症状的锁骨结核1例报告

骨与关节结核发生于锁骨的十分罕见,伴有淋巴结肿大尚未见到报告。我院收治锁骨结核1例,现报告如下：患者女性,39岁,于25天前开始无明显诱因出现右胸锁部疼痛,压之痛甚,后左颈外侧出现肿大淋巴结,予以抗炎治疗,期间曾出现发热,经治疗症状减轻,之后胸锁部又出现肿痛,逐渐加重,影响到右肩关节活动,于二零一零年八月二十八日收入院,住院号：606034。入院后经过查体,辅助检查以及病理诊断,最后确诊为锁骨结核。经过抗结核治疗后半年随访患者右肩关节功能恢复正常。     

Treatment of 70 Cases of Shoulder Periarthritis by Puncturing “Taijian Acupoint” plus External Application of Chinese Medicine

用纱布醮白芥子膏在肩前，肩后及三角肌处用力擦至皮肤发红后，再按摩肩关节5～10min。嘱患者上臂外展30°～45°选取抬肩穴，用直径0．5～1mm、长90～100mm针，由下向上直刺至触及骨头，将针稍后退少许捻针，边捻针边嘱患者抬肩待臂举过头时停止捻针。应用本法治疗了70例肩周炎患者，结果35例疼痛消失，肩关节功能恢正常；25例疼痛明显减轻，肩关节功能明显改善；8例疼痛减轻，肩关节功能略有改善；2例疼痛无减轻，肩关节功能改善不明显。     

Treatment of 70 Cases of Shoulder Periarthritis by Puncturing "Taijian Acupoint" plus External Application of Chinese Medicine

用纱布醮白芥子膏在肩前,肩后及三角肌处用力擦至皮肤发红后,再按摩肩关节5～10 min.嘱患者上臂外展30°～45°选取抬肩穴,用直径0.5～1 mm、长90～100 mm针,由下向上直刺至触及骨头,将针稍后退少许捻针,边捻针边嘱患者抬肩待臂举过头时停止捻针.应用本法治疗了70例肩周炎患者,结果35例疼痛消失,肩关节功能恢正常;25例疼痛明显减轻,肩关节功能明显改善;8例疼痛减轻,肩关节功能略有改善;2例疼痛无减轻,肩关节功能改善不明显.     

LARS人工韧带与缝线骨锚重建喙锁韧带治疗锁骨远端不稳定性骨折的疗效比较

目的:比较LARS人工韧带与缝线骨锚重建喙锁韧带2种方法治疗锁骨远端不稳定性骨折的疗效.方法:42例锁骨远端不稳定性骨折患者,男27例,女15例；年龄32～ 79岁,中位数54岁；左侧26例,右侧16例；合并骨质疏松症27例；骨折分型:NeerⅡ型30例,Ⅲ型12例.随机分为2组,分别采用LARS人工韧带与缝线骨锚重建喙锁韧带,观察骨折愈合及肩关节功能恢复情况,并对2组患者的疗效进行比较.结果:2组患者均获随访,随访时间6～16个月,中位数11个月；骨折均愈合；参照JOA肩关节疾患治疗成绩判定标准评定疗效,LARS人工韧带组疗效优于缝线骨锚组,差异具有统计学意义(Z=7.323,P=0.034).缝线骨锚组2例合并骨质疏松症的NeerⅡ型骨折患者,术后2个月出现锚钉松动、拔出,骨折端移位,改用锁骨钩钢板固定,4个月后骨折愈合；LARS人工韧带组1例患者,术后3周因跌倒致骨折远端向上移位,患肢上举时疼痛,行锁骨远端切除术后,疼痛消失,肩关节功能恢复正常.结论:LARS人工韧带重建喙锁韧带是治疗锁骨远端不稳定性骨折的一种理想方法.     

柔性手法治疗颈肩背痛85例疗效观察

目的：分析手法治疗颈肩背痛的临床疗效,证实柔性手法治疗颈肩背痛的确切疗效.方法：以我院2008年3月-2009年3月采用手法治疗的170例颈肩背痛患者为研究对象,将患者平均分为两组,一组采用柔性手法治疗,为观察组;一组采用刚性手法,为对照组;将两组患者的疗效、治疗时间、治疗中的痛苦度、治愈后随访一年的复发情况及患者满意度等进行比较.将所得数据进行统计学分析.结果：观察组有效率高达97.6%较对照组的84.7%有明显优势.其他数据比较除治疗时间外,观察组均有明显优势.经统计学分析P=0.029＜0.05具有统计学意义.结论：柔性疗法治疗颈肩背痛不仅疗效显著,而且有治疗痛苦小、愈后复发率低、患者满意率高等优势,值得临床进一步推广.     

翻身锻炼法为主治疗腰椎压缩性骨折50例

１９９７年起笔者采用翻身锻炼法为主治疗腰椎压缩性骨折５０例效果满意,报道如下。１　临床资料本组５０例中男３７例,女１３例;年龄最大者６９岁,最小者２８岁,平均４８－５岁,其中５０岁以上者１５例,占３２％．Ｌ１骨折２５例,Ｌ２骨折２０例,Ｌ３骨折４例,Ｌ１合并Ｌ２骨折１例。合并脑外伤５例,股骨骨折３例,科雷斯骨折５例,肋骨骨折并血气胸者３例。２　治疗方法单纯椎体压缩、无椎体脱位者入院后睡硬板床,腰部垫棉垫,外敷本院自制的活血消痛膏,内服行气、活血、止痛等中药,日１剂。翻身锻炼法：术者站立在患者病…     

推拿、中频电疗法治疗颈肩痛78例

颈肩病的发生率较高,给患者带来很大痛苦,严重影响其工作和生活。作者自2005年11月至2006年4月收治经骨科排除骨结核、骨肿瘤及骨折的颈肩病患者,采用推拿和中频电疗法治疗,取得了较好疗效。     

艾灸床艾灸督脉、肩井治疗肩背痛临床研究

目的:观察艾灸床艾灸督脉、肩井治疗肩背痛的临床疗效,并调查患者的满意度。方法:纳入122例肩背痛患者,于艾灸床艾灸患者背部督脉上的大椎、至阳、身柱、灵台穴及肩部的肩井穴,对患者治疗前后的肩背疼痛、颈肩压痛和肩背活动进行评分,并统计以上3项症状的出现率,调查患者对艾灸床艾灸治疗的满意度。结果:患者经艾灸床艾灸治疗后肩背疼痛、颈肩压痛和肩背活动评分均较治疗前降低,差异均有统计学意义(P<0.05)。治疗后,患者肩背疼痛缓解总有效率100%,颈肩压痛缓解总有效率97.4%,肩背活动缓解总有效率97.1%。经艾灸床治疗后,患者的总满意率为99.2%。结论:艾灸床艾灸督脉及肩井治疗肩背痛疗效显著,患者对治疗的满意度高,值得临床推广应用。     

肌内效贴技术结合针刀治疗卒中后肩痛的临床研究及安全性分析

目的:评定运用肌内效贴技术结合针刀治疗卒中后肩痛的临床疗效及安全性。方法:选取2018年1月~2019年9月东莞市滨海湾中心医院中医康复科和神经内科的脑卒中后肩痛患者120例,随机分为治疗组和对照组各60例。对照组运用常规康复治疗训练,治疗组在此基础上配合运用肌内效贴技术及针刀治疗。分别记录两组患者在治疗前、治疗2周后及治疗4周后的肩痛VAS评分、上肢简化Fugl-Meyer运动功能评分及Constant-murley评分,并分析其疗效。结果:治疗2周、4周后,两组患者的VAS评分、FAM评分、CMS评分均较治疗前显著改善(P<0.05),且治疗组组治疗后的各评分显著优于对照组(P<0.05)。结论:运用肌内效贴结合针刀治疗卒中后肩痛临床疗效满意,安全性高。     

针刺肩痛穴治疗肩周炎临床疗效观察

目的：观察针刺肩痛穴疗法对肩周炎的临床疗效。方法：采用针刺肩痛穴疗法：每5日为1疗程．治疗4个疗程。根据临床症状判断疗效。结果：针刺肩痛穴对肩周炎总有效率为95．9％。简单易行，费用低廉。适合在农村推广利用。