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1.
Tao Huang Lijian Yang Shuyong Jia Xiang Mu Mozheng Wu Hang Ye Weizhe Liu Xinnong Cheng 《Journal of traditional Chinese medicine》2013
Objective
To observe capillary blood flow at acupoints during acupuncture treatment of primary dysmenorrhea and gain new insights into its analgesic mechanism.Methods
Patients with primary dysmenorrhea were enrolled and randomly assigned to a treatment or control group. Subjects' symptoms were differentiated into various Traditional Chinese Medicine (TCM) syndromes and treated for 10 sessions with puncturing acupuncture or self-pressing right-hand Hegu (LI 4), adding other acupoints based on syndrome. Laser speckle was used to compare the change in the vasomotor amplitude and perfusion of the capillaries in Hegu (LI 4) before and during the treatment. Each subject was required to finish the period pain symptoms observation form, verbal rating scales, numerical rating scale, pain rating index, face rating scale, Zung self-rating depression scale, Zung self-rating anxiety scale, and numerical rating scale before and after treatments.Results
After 10 sessions, the symptom scores, pain index (PI), and visual analog scale (VAS) decreased significantly in treatment group. The volume of blood flow in Hegu (LI 4) declined slightly. No significant evidence supported that needling caused capillary contraction, but the capillary vasomotor amplitude at Hegu (LI 4) increased remarkably.Conclusion
Acupuncture can increase the capillary blood flow, thus promoting the flow of Qi and blood in terms of TCM theory, which facilitates pain relief. 相似文献2.
Yiling Yang Laixi Ji Gaobo Li Xiufang Deng Peisi Cai Ling Guan 《Journal of traditional Chinese medicine》2012,32(3):397-403
Objective
To study the effects of temperature on different facial areas by suspended moxibustion at two points, Zusanli (ST 36) and Hegu (LI 4), and probe the phenomena underlying self-regulation in the human body after thermal stimulation.Methods
Thirty healthy volunteers accepted moxibustion over Zusanli (ST 36) and Hegu (LI 4), and the order of moxibustion points was randomly determined. Moxibustion method: suspension of moxibustion over Zusanli (ST 36) and Hegu (LI 4) on both sides was performed using an ignited moxa stick stuck in a support for 20 min. Observation method: An infrared thermal image of the face was taken before and after suspended moxibustion using a CK350 medical infrared thermal imaging instrument. Data analysis: A thermal microscopic section view system (TMTSys) was used to analyze the change in temperature in special facial areas. Statistical analysis was carried out using SPSS 14.0 software.Results
Before moxibustion was suspended, the facial thermal image showed a T-shaped thermal area related to the vascular distribution with even temperature and good symmetry on both sides. Suspended moxibustion over Zusanli (ST 36) have a very significant increase in temperature at the forehead, around the nose, at the corners of the mouth, and at the cheeks and lips (P<0.01). Suspended moxibustion over Hegu (LI 4) also have a significant (P<0.05) increase in temperature around the nose, the corners of the mouth, the cheeks, and lips, where has a new high temperature area was formed (P<0.01). Suspended moxibustion over Hegu (LI 4) raised the temperature at the middle point of the lips more obviously than did Zusanli (ST 36) in the same person,(P<0.05). After 10 min of moxibustion over Zusanli (ST 36) and Hegu (LI 4), the change in temperature in the facial area reached its peak value.Conclusion
Facial infrared thermography of healthy people revealed a T-shaped thermal area reflecting a physiological thermal area. Moxibustion over Zusanli (ST 36) or Hegu (LI 4) raised the temperature in this facial T-shaped thermal area. Hegu (LI 4) led to the formation of a new thermal area in the lips. The time required for moxibustion to regulate human body temperature was 10 min. 相似文献3.
Jianfeng Xu Ruizhu Lin Jing Wang Yongli Wu Yingxu Wang Yuequan Zhang Chaolei Xi Qiang Wu 《Journal of traditional Chinese medicine》2013,(6):752-756
OBJECTIVE: To evaluate the effect on acne vul- garis of pricking-bloodletting cupping at Dazhui (GV 14) under acupuncture anesthesia, and estab- lish whether providing anesthesia to the treat- ment area by manipulating Hegu (LI 4) and Quchi (LI 11) might have an additional therapeutic bene- fit. METHODS: Thirty-eight patients were recruited and randomized into a control group and an inter- vention group with a single-blind (observer-blind) method. The control group was treated by prick- ing-bloodletting cupping at Dazhui (GV 14) and the studied group by pricking-bloodletting cupping at Dazhui (GV 14) under acupuncture anesthesia at Hegu (LI 4) and Quchi (LI 11). Both groups were treated twice weekly for 6 weeks. The analgesic and therapeutic effects of acupuncture were evaluated on a visual analog scale (VAS) and global acne grad- ing system (GAGS), respectively.RESULTS: There were differences in the VAS scores of pain on pricking and in the pricked area, and the duration of pain between the groups. After 12 treat- ments, there was a significant reduction in GAGS scores from baseline in both groups, but there was no significant difference between the groups. CONCLUSION: Acupuncture anesthesia at Hegu (LI 4) and Quchi (LI 11) is an effective means of alleviat- ing the pain of pricking-bloodletting cupping and reducing the duration of pain in the treatment ar- ea. Pricking-bloodletting cupping at Dazhui (GV 14) improves the skin lesions of patients with moder- ate acne vulgaris, but acupuncture anesthesia does not appear to have an additional therapeutic effect. 相似文献
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针刺参与治疗猩红热退热疗效观察王行素,崔春凤,刘晶艳(辽宁省沈阳市儿童医院,110Q32)主题词猩红热/针灸疗法;体温/针灸效应ObservationonAcupunctureforScarletFever¥WangXing-suetal(Sheny... 相似文献
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家兔前肢“商阳”“二间”“三间”“合谷”“曲池”穴巨显微解剖结构 总被引:4,自引:3,他引:1
目的:研究家兔前肢阳明经"商阳"二间"三间"合谷"曲池"穴区的层次结构。方法:先对各穴进行体表定位标识,然后针刺各穴,用多用电子穴位测定治疗仪协助探穴,以确定上述各穴定位准确性。空气栓塞处死家兔,打开胸腔后从锁骨下动脉注入不同浓度的ABS灌注液,使前肢血管全部染色清晰,在巨显微条件下逐一对腧穴进行层次解剖,观察并测量腧穴与周围组织结构的毗邻关系。结果:家兔前肢阳明经"商阳"二间"三间"合谷"曲池"穴浅层穴区以头静脉为主,桡神经浅支神经干和其分支为基础;深层穴区以桡动脉及分支、正中神经为基础。结论:"商阳"二间"三间"合谷"曲池"穴和头静脉,桡动、静脉及分支,桡神经浅支及正中神经有密切的关系,这是上述5个腧穴穴区的形态学基础。 相似文献
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李晔 《针灸推拿医学(英文版)》2004,2(1):16-17
取大椎、肺俞、曲池、合谷、血海和三阴交为主穴进行针刺,配合辨证论治把银屑病分为血热和血燥两型分别给予清热凉血解毒和养血润肤中药治疗银屑病患者80例,5个疗程后有效率为91.3%. 相似文献
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目的:统计近5年来文献中有关针灸治疗过敏性鼻炎的选穴、归经,总结选穴用经规律。方法:通过检索中国知网(CNKI)、维普数据库(VIP)、万方数据库和PubMed数据库,纳入2015年5月至2020年5月公开发表的针灸治疗过敏性鼻炎的临床研究文献,统计并整理其针灸处方,运用现代统计方法分析针灸处方的选穴用经规律。结果:共纳入临床文献178篇,共涉及75个穴位,总频数为1021。选用频数前12位的穴位依次是迎香(112次)、印堂(93次)、肺俞(84次)、合谷(78次)、足三里(66次)、大椎(56次)、鼻通(49次)、风池(43次)、肾俞(38次)、上星(36次)、风门(35次)、脾俞(33次)。特定穴共34个,总频数574,非特定穴41个,总频数576。针灸治疗过敏性鼻炎的用经主要集中在膀胱经、督脉、大肠经、任脉、胃经。关联分析结果显示,鼻通-印堂-迎香、鼻通-合谷-迎香、上星-迎香、合谷-肺俞-迎香、鼻通-迎香、上星-印堂-迎香、风池-合谷-迎香、风池-印堂-迎香、合谷-印堂-迎香为常用穴组。聚类分析结果表明,针灸治疗过敏性鼻炎的主要选穴可以分为3类,肾俞、脾俞、肺俞、大椎、风门属一类,迎香、印堂、合谷、鼻通、风池、上星归第二类,足三里自成一小类。结论:针灸治疗过敏性鼻炎的特点为:"主穴固定-随证加减-标本兼治""突出脏腑辨证-辨证归经""循经取穴-远近结合"。核心选穴为迎香、印堂、肺俞、合谷、足三里、大椎、鼻通、风池、肾俞、上星、风门、脾俞,临床治疗时可以从12个核心腧穴中根据患者具体情况选择穴位。 相似文献
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针刺合谷与太冲fMRI脑功能成像的比较研究 总被引:42,自引:7,他引:42
目的:探讨针刺不同穴位对脑组织fMRI功能成像的影响.方法:将健康受试者随机分为针刺合谷组、太冲组、合谷配伍太冲组各7人,分别观察fMRI脑功能成像.结果:针刺合谷穴诱导额叶和枕叶脑组织血流量和血流容积的增加;针刺太冲穴仅诱导颞叶脑组织血流量和血流容积的增加;针刺合谷配太冲穴诱导额叶和颞叶脑组织血流量和血流容积的增加.结论:针刺不同穴位激发不同脑区的脑组织变化,而两个穴位配伍并不是两个穴位引起脑组织fMRI功能改变作用的叠加,而是引起脑组织fMRI功能重新分布. 相似文献
9.
围刺结合刺络拔罐治疗聚合性痤疮的随机对照研究 总被引:2,自引:0,他引:2
目的:观察围刺结合刺络拔罐治疗聚合性痤疮的临床疗效,探讨其机制。方法:选取52例聚合性痤疮患者,随机分为针刺组和西药组各26例。针刺组取痤疮局部围刺的基础上,合谷、血海、丰隆、三阴交穴常规针刺,每日治疗1次,同时,结合大椎、肺俞穴刺络拔罐,每周治疗2次;西药组选用异维A酸胶丸口服,10mg/次,每日3次;两组疗程均为4周。治疗结束后观察两组的临床疗效,并于治疗前后分别釆用双抗体夹心ELISA法检测血清白介素-6(IL-6)含量。结果:针刺组26例中,痊愈3例,显效14例,有效6例,无效3例,总有效率为88.5%;西药组26例中,痊愈4例,显效11例,有效7例,无效4例,总有效率84.6%;两组临床疗效比较,差异无统计学意义(P>0.05)。两组治疗后血清IL-6水平较治疗前均明显下降(P<0.01),针刺组较西药组降低更明显(P<0.05)。西药组与针刺组比较有更为明显的不良反应。结论:围刺结合刺络拔罐治疗聚合性痤疮疗效显著,与西药疗效相当;降低血清IL-6水平,调节机体的免疫功能,可能是其促进皮损恢复的机制之一。 相似文献
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目的:观察针罐结合和单纯西药治疗神经根型颈椎病的疗效。方法:将139例神经根型颈椎病患者按随机数字表随机分为针罐组(70例)和西药组(69例)。针罐组针刺风池(双侧)、大椎、肩井(双侧)和颈夹脊穴(双侧,取风池和大椎穴连线的中点)。得气后,双侧风池和肩井接电针,其余穴位采用平补平泻法。留针期间配合T DP灯照射,针刺后予以局部拔罐。隔日治疗1次,20 d为1个疗程,1个疗程后观察疗效。西药组予口服美洛昔康片(莫比可),每次7.5 mg,每日1次,饭后用水或流质送服,20 d疗程后观察疗效。结果:针罐组总有效率为92.8%。西药组总有效率为73.9%,两组总有效率差异有统计学意义(P<0.05)。治疗后,两组临床症状评分均较本组治疗前明显下降(P<0.01),针罐组临床症状评分优于西药组,差异有统计学意义(P<0.05)。结论:针罐结合治疗神经根型颈椎病的疗效优于单纯口服美洛昔康片。 相似文献
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目的:评价合谷穴对子宫收缩乏力的治疗作用与应用价值。方法:3个中心共276例产妇入组,所有病例随机分为针药组和药物组。药物组采用静脉滴注催产素治疗,针药组在药物组治疗基础上加电针合谷。观察电针合谷对子宫收缩乏力的影响,以及对宫缩持续时间和间歇时间的影响。结果:针药组对子宫收缩乏力的总有效率为97·1%,而药物组为70·3%,两组比较,差异有非常显著性意义(P<0·01);与药物组相比,针药组在治疗后0·5、1、1·5、2小时,对宫缩持续时间和间歇时间的影响差异有显著或非常显著性意义(P<0·05,P<0·01)。结论:由于产力异常而导致的难产可采用电针合谷的方法。 相似文献
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K. Streitberger J. Steppan K. Plaschke C. Maier H. Hill J. Backs 《Deutsche Zeitschrift für Akupunktur (in deutscher Sprache / in German)》2008,51(4):12-19
Background and Aims
Many neurophysiologic effects have been observed during acupuncture. So far there is no placebo-controlled trial studying the correlation between changes in the central nervous system and vegetative effects. In consideration of a reliable blinding of the volunteers, the aim of this study was to examine specific cerebral and vegetative effects of verum-acupunture (VA) compared to placebo-acupuncture (PA).Methods
Healthy volunteers received either VA at LI 4 (Hegu) with a verum-needle or PA at a non-acupuncture point with a placebo needle. EEG and ECG recordings were performed in parallel followed by an evaluation of pain, skin penetration and vegetative effects.Results
The feeling of skin penetration was not significantly different (p = 0.057). Vegetative effects and Deqi occurred significantly more often during VA (p = 0.022). Pain was increased during VA-stimulation compared to PA (p > 0.01). Verum stimulation markedly increased occipital EEG power (p < 0.03). The increase in the fast alpha1 waves was accompanied by a decrease in the theta frequencies and the ratio alpha1/theta was shifted to the benefit of alpha1 (p < 0.04). This was paralleled by a short increase of the ECG ratio between low frequency (LF) and high frequency (HF) (p < 0.02), followed by an increase of HF-power (p < 0.04).Conclusions
Volunteers were unable to distinguish between VA and PA. The EEG and ECG changes measured during VA stimulation are pointing towards a modulation of cerebral functions by vegetative acupuncture effects compared to PA. 相似文献17.
针刺治疗过敏性鼻炎疗效观察 总被引:12,自引:0,他引:12
目的:探求过敏性鼻炎的有效针灸治法。方法:将135例过敏性鼻炎患者随机分为观察组、对照Ⅰ组、对照Ⅱ组,每组45例。观察组穴取迎香、上迎香、印堂、合谷,配风池、大椎、肺俞针刺治疗;对照Ⅰ组单纯针刺迎香、上迎香、印堂、合谷治疗;对照Ⅱ组予以口服鼻炎康片,每次4片,每日3次。3组均每日治疗1次,10次为一疗程,治疗2个疗程并随访半年后进行疗效比较。结果:观察组总有效率91.1%,对照Ⅰ组总有效率71.1%,对照Ⅱ组总有效率46.7%,3组疗效比较差异有显著性意义(P<0.05,P<0.01);3组痊愈病例1年后复发率比较,差异有显著性意义(P<0.05,P<0.01)。结论:针刺治疗过敏性鼻炎疗效肯定,前后配穴法针刺效果更好。 相似文献
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脑磁图检测在合谷穴特异性研究中的应用 总被引:2,自引:0,他引:2
顾星 《中国中医药信息杂志》2005,12(5):11-13
目的探讨脑磁图检测在合谷穴特异性研究中的作用。方法对6例健康志愿者分别采用经皮电刺激正中神经、电针非穴点、电针合谷穴,同步观察脑磁图(MEG)的变化,比较3种刺激在脑磁图的同一时间段的不同。结果电针合谷穴较非穴点及正中神经刺激的脑磁场强度为低(P<0.05)。结论脑磁图检测对合谷穴循经感传(PSM)的经络研究具有一定特异性。 相似文献
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目的观察针刺曲池、风池穴对原发性高血压病的降压效果。方法将60例患者随机分为两组。针刺组30例采用针刺曲池、风池穴治疗;对照组30例采用口服西药酒石酸美托洛尔片治疗。结果针刺组总有效率为83.3%,对照组总有效率为56.7%,两组疗效比较差异有统计学意义(P〈0.05)。结论针刺曲池、风池穴治疗高血压疗效明显优于药物治疗。 相似文献