CLINICAL OBSERVATIONS ON THE SELECTION OF ABDOMINAL ACUPOINTS TO RELIEVE LOWER LUMBAR PAIN

This paper discusses the selection of abdominal area kidney and meridian acupoints120 patients suffering from lower lumbar pain using the fingers to press the acupoints. Althoughthe types of ailments, mildness or severity of the patients' conditions f and duration of illness var-ied, in all cases satisfactory treatment results were achieved. The average effective rate was 97.5%. The average rate of cure (complete recovery rate) was 73.3%. Patients who had sufferedfrom symptoms for a period of less than one year and patients afflicted with mild or moderate con-ditions enjoyed the most outstanding treatment results. The advantages of this treatment method or technique are as follows: 1. This method ortechnique brings the distinctive dynamics of traditional Chinese medicine theory and meridian the-ory into full play. 2. This method of treatment uses neither acupuncture needles nor moxibus-tion. It merely utilizes the fingers to press certain acupoints. It is simple, convenient and easy toimplement.It is sa     

Acupoint Exploration A PRELIMINARY EXPLORATION OF THE CHARACTERISTICS OF SELECTING ACUPOINTS FOR EIGHT CATEGORIES OF PATTERNS OF IMBALANCE

With the help of computers,we have made statistics as to the frequency of se-lecting points for the eight categories of patterns of imbalance.We suggest that for the heat syn-drome,the points in the upper part should usually be selected,for the cold syndrome,the points inthe lower part should generally be adopted;for the exterior syndrome,the points on the yang surfaceshould mostly be selected,for the interior syndrome,the points on the yin surface should generally beadopted;for the asthenic syndrome,the points in the trunk should mostly be selected,for the sthenicsyndrome,the points at the extremities generally be adopted.     

ACUPUNCTURE TREATMENT ON 40 CASES OF IRRITABLE COLON SYNDROME ACCORDING TO DIFFERENTIATION OF SYMPTOMS AND SIGNS

Irritable intestinal tract syndrome was classified and treated with acupuncture according to differentiation of symptoms and signs.Of the 40 cases treated,28 were cured,11 improved,and 6 ineffective.The total effective rate was 85％.The syndrome was classified into fourtypes:weakness of the spleen and stomach,disharmony of the liver spleen,Yang deficiency ofthe spleen and kidney,and retention of dampness and heat.There was no statistically significant difference in therapeutic effects among the four types of syndromes.However,the curative effect in theacupuncture group was better than that in the medication group,and the difference was of statisticalsignificance.     

绝经后骨质疏松症患者骨密度及性激素水平与肾虚证的关系

为探讨女性绝经后骨质疏松症(postmenopausal osteoporosis PMO)患者骨密度(bone mineral density BMD)和性激素水平的变化与不同肾虚证型之间的内在联系,为临床辨证论治提供客观诊断依据.选择88例肾虚证PMO患者为研究对象,其中肾气虚组37例,肾阴虚组29例,肾阳虚组22例,另设对照组30例,同步检测骨密度、血清睾酮(T)和雌二醇(E2),计算E2/T并进行统计学分析.结果PMO患者骨密度随肾气虚、肾阴虚、肾阳虚依次下降,其中肾阳虚组较对照组和肾气虚组显著下降(P＜0.01);PMO不同肾虚证型组骨密度变化均为Ward＞Neck＞Troch.与对照组比较,不同肾虚证型组T显著升高(P＜0.01),性激素T水平的变化按肾气虚、肾阴虚、肾阳虚逐渐升高,而E2、E2/T则逐渐降低;不同肾虚证型组E2、E2/T较对照组显著下降(P＜0.01).表明①PMO患者骨密度随肾气虚、肾阴虚、肾阳虚依次下降,不同肾虚证型组骨密度变化均为Troch＞Neck＞Ward;②PMO患者性激素T水平的变化按肾气虚、肾阴虚、肾阳虚逐渐升高,而E2、E2/T则逐渐降低;③骨密度和性激素水平反应了肾虚程度,即依肾气虚-肾阴虚-肾阳虚逐渐加重.④骨密度测定值和性激素水平的变化可作为PMO不同肾虚证型的客观评价指标,并为PMO患者不同肾虚证型的治疗效果的观察提供参考依据.     

THE EXTENSIVENESS AND SPECIFICITY OF EFFECT OF ELECTROACUPUNCTURE AT DIFFERENT ACUPOINTS ON NOCICEPTIVE RESPONSE OF CONVERGENT NEURONS IN TRIGEMINAL NUCLEUS CAUDALIS

Experiments were carried out on rats anaesthetized with uraethane. The sponta-neous discharges and nociceptive responses of convergent neurons in the right trigerninal nucleus cau-dalis(TNC) to noxious stimuli at receptive field (cheek) were recorded extracellularly with glass mi-cro-electrode. Electroacupuncture (EA ) was applied at bilateral " Xiaguan" (ST 7 on face ) or "Zusanli" (ST 36 on shank) acupoint with Iow (2V) and high (18V) intensity. The noclceptive re-sponse of convergent neurons in TNC could be inhihited by low intensity EA applied at "Xiaguan" butnot "Zusanlil", showing the specificity of acupoints. High intensity EA at either "Xiaguan" or "Zusan-li" also reduced the nociceptive responses, showing the analgesic extensiveness of acupoints. We sug-gest that "the gate of control" mechanism plays a main role in low intensity EA and "diffuse noxiousinhibitory controls" (DNIC) rnechanism does so in high intensity EA.The results suggest that we should pay attention to the location of acupoints,     

穴性与药性相异辨

穴性与药性有着显著的不同,本文从它们的物质载体、作用途径及特色等方面的区别,具体论述穴性的归纳不可笼统地“穴性药性化”。     

寒热痹颗粒治疗寒热错杂型风湿病的临床观察

为进一步了解寒热痹颗粒治疗风湿病的临床效果 ,将中医辨证属于寒热错杂型的 40 2例风湿病患者随机分为试验组和对照组 ,用正清风痛宁片为对照药 ,进行临床观察。结果两组总疗效比较 (P <0 .0 1) ,有明显差异。症状疗效两组间比较 ,试验组在消除肿胀、发热方面优于对照组 (P <0 .0 5 ) ;在改善关节疼痛、晨僵和功能障碍方面无明显差异 (P >0 .0 5 )。不同疾病的疗效两组间比较 ,对于强直性脊柱炎 ,试验组疗效优于对照组 (P <0 .0 5 ) ;对于其他几种疾病 ,两组无明显差异 (P >0 .0 5 )。说明寒湿痹颗粒和对照药治疗风湿病均有显著疗效 ,但寒湿痹颗粒在某些方面优于对照药。     

腰椎间盘突出症辨型施治的临床研究

为探讨腰椎间盘突出症的辨证治疗规律及临床意义。将 2 6 2例LIDP患者分为两组 ,治疗组 (辨型施治 ) 16 2例 ,对照组(常规治疗 ) 10 0例 ,分别观察其近期疗效和远期疗效。结果显示治疗组与对照组相比 ,近期疗效及远期疗效比较均呈显著性差异 (P <0 .0 5或P <0 .0 1)。表明以辨型为基础 ,结合椎间盘突出的大小、程度、部位及临床症状等特点 ,选择合适方案施治有助于提高疗效。     

骨折早期血瘀证宏观指标与微观指标相关性研究

为探讨骨折早期血瘀证宏观指标与微观指标的相关性 ,将符合血瘀证的宏观标准的四肢骨折患者在外伤后 7天内与健康人作血细胞参数、血液流变学、甲皱微循环指标的对照检测。结果发现 ,血瘀组与对照组相比 ,血浆黏度 ,纤维蛋白原有显著性增高 (P <0 .0 0 1) ;甲皱微循环指标有显著性差异 (P <0 .0 5 )。表明微观指标血浆黏度、纤维蛋白原、甲皱微循环与骨折早期血瘀证宏观指标相关 ,但血液流变性障碍并不严重 ;纤维蛋白原在骨折早期血瘀证中具有重要的临床意义。     

辨证取穴药线埋植治疗癫痫的临床研究

目的：观察辨证取穴埋植药线治疗癫痫的疗效;疗效与病程的关系;疗效与证型的关系。方法：将270例癫痫患者随机分为治疗组180例与对照组90例。治疗组采用经安定注射液浸泡的羊肠线进行穴位埋植,每隔2周施治1次。对照组取穴同治疗组,采用毫针针刺,予平补平泻法,隔日1次,均6个月后观察疗效。结果：治疗组近期临床痊愈49例,总有效率占87％;对照组近期临床痊愈21例,总有效率占75．6％。治疗组病程愈短,疗效愈好。埋线对各种不同中医证型癫痫均有效,其中风痫型疗效最佳,先天型最差。结论：埋线较传统针刺更为省时、有效。     

THE STUDY ON THE RELATION BETWEEN THE LOCATION OF NERVE LESION IN PERIPHERAL FACIAL PARALYSIS AND THE THERAPEUTICAL EFFECT OF ACUPUNCTURE

Due to the difference of the plane of facial nerve lesion,facial paralysis can be classifiedinto nudear paralysis,paralysis of cerebellopontine angle,Hunt’s palsy,Bell’s palsy and simple facialneuritis.The authors treated 78 cases of the of the latter 3 types,compared the therapeutical effect after 2courses of treatment,and meanwhile made dynamic electromyographic observation between the tragusand the quadrate musde of upper lip for those with Bell’s palsy and Hunt’s palsy.The result showsthat acupuncture has a fair effect in treating peripheral facial paralysis and simple facial neuritis andthe myoelectric recovery in Bell’s palsy is quicker than that in Hunt’s palsy.It is suggested that thehfeher the pane of the facial nerve lesion is,the more unsatisfactory the effect is,and the effect ismore favorable otherwise.     

辨证分型治疗原发性骨质疏松症的临床研究

为探讨中医辨证分型治疗原发性骨质疏松症的临床疗效，应用院内制荆补肾壮骨丹，辨证分型治疗原发性骨质疏松症，通过近期（服药前后）及远期（停药半年后，临床观察和BMD（骨密度）测定及生化指标（血钙素、尿吡啶酚）检测，确切地对其疗效进行评定。近期及远期与治疗前比较，临床症状、BMD、生化指标（BGP、PYD）均明显改善，统计学处理P〈0．05，有显著差异。表明中医辩证分型治疗原发性骨质疏松症疗效显著。     

辨证选穴治面瘫是提高疗效的关键：——浅谈损伤神经平面选穴与辨证选穴的辨治关系

Nerve lesion surface is commonly treated by local acupoints or the acupoints along the affected meridians, referring to symptomatic treatment, and the treatment of Biao. Selection of acupoints based on the differ- entiation of syndromes is in the category of holistie treatment and the treatment of Ben. The local selected acupoints on nerve lesion surface may work on the affected area directly and play the important significance in the recovery of nerve function. But, facial paralysis is chiefly manifested as the holistic disorder of the body and its pathological mechanism is quite complicated, with much more syndromes. Hence, in order to achieve satisfactory therapeutic effects, it is necessary to distinguish the etiology, classify the syndromes, make the differentiation of syndromes and apply systematic treatment.     

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.     

胃电图临床应用及中医辨证、针刺与胃电图关系的实验研究——附144例资料分析

<正> 消化道疾病是一种常见病、多发病,至今对胃肠道疾病诊断的检查方法有X线钡餐造影、纤维内窥镜等。长期来中医针灸临床常取足三里穴为治疗肠胃道疾病的主穴。而且国内已有不少工作证实足三里穴对胃肠道生理功能确有一定的影响,但缺乏一种无痛苦的客观记录。自Alyarez等从人的腹壁体表记录到胃电后,许多学者都企图应用胃电作为胃机能活动的指标研究胃的生理病理规律,希望胃电能作为胃疾患临床诊断和     

《伤寒论》"心下"病证辨治探析

本文根据(《伤寒论》“心下”病证的有关条文内容，从痛、满、痞、硬、结、悸等6个方面予以详尽辨析，以示明“心下”病证轻重变化及遣方用药的特点，为“心下”病证辨治提供了可靠的依据，同时也丰富了中医腹诊的内容。     

"治未病"学术思想对防治亚健康状态的指导意义

分析了造成亚健康状态的原因,阐述了中医“治未病”思想与防治亚健康状态的关系及其对防治来健康状态的指导意义。     

绝经后妇女原发性骨质疏松症辨证分型与症候特征的探讨

目的：探讨绝经后妇女原发性骨质疏松症与证型之间的关系。方法：对118例正常绝经后女性T12一k椎体进行骨密度测量，从中筛选出91例绝经后骨质疏松症（postmenopansal osteoporosis）患者，根据辨证分型的标准进行辨证分型。结果：绝经后女性骨质疏松症证型分布规律：肝肾阴虚型43例，占47．25％；肾阴虚型15例，占16．48％；肾阳虚型10例，占10．99％；脾肾阳虚型9例，占9．89％；脾胃虚弱型5例，占5．49％；气滞血瘀型9例，占9．89％；通过单因素方差分析，各型骨量减少程度无显著性差异。症候主要特征集中表现为腰膝酸软或疼痛79例，占86．81％。结论：初步认为原发性骨质疏松症这样一个涉及多脏腑的复杂病变，其中证型分布与骨密度之间无显著相关性，但症候分布特点仍有一定规律可循。     

从CT表现及临床症状体征探讨腰椎间盘突出症推拿配合骨盆牵引疗法的适应症

通过对70例腰椎间盘突出症患者的CT表现和临床症状、体征分析,以及对应用推拿手法配合骨盆牵引疗法治疗1个月后的疗效进行比较,认为该疗法的适应症是：CT表现为腰椎间盘膨出;腰椎间盘中央突出＜5mm;腋下型后外侧突出＜5mm;主椎管较宽大的肩上型后外侧椎间盘突出症。病员主要症状体征：①单纯腰痛者;②腰及下肢放射痛不超过膝关节者;③腰及下肢放射痛过膝关节,直腿抬高试验不出现强阳性,Millgram试验不出现强阳性者。     

慢性阻塞性肺病急性发作期瘀血舌象的相关性研究

目的 :探讨慢性阻塞性肺病急性发作期患者瘀血舌象与血气分析、病情轻重的关系。方法 :按舌象变化将慢性阻塞性肺病急性发作期患者分为瘀血舌象组和非瘀血舌象组 ,并进行临床病情程度判断 ,在入院24h内作血液气体分析。结果 :瘀血舌象组患者临床病情较非瘀血舌象组为重 ,并发肺心病例数较非瘀血舌象组多 ,统计学处理均有显著性差异 (P<0.05) ,血气分析结果显示瘀血舌象组患者 pH ,PaCO2 和SaO2 较非瘀血舌象组有显著性差异 (P<0.05或P<0.01)。结论 :慢性阻塞性肺病急性发作期瘀血舌象组病情较非瘀血舌象组重 ,PaCO2 的升高与SaO2 的下降是慢性阻塞性肺病瘀血舌象形成的一个重要因素