针灸在中风昏迷临床中的应用研究

目的探讨针灸疗法治疗中风昏迷的临床疗效。方法选取本院2009年12月-2012年12月收治的中风昏迷患者30例为研究对象,随机分为治疗组和对照组各15例;对照组采用常规疗法,观察组在对照组的基础上进行针灸治疗,对比其临床疗效。结果治疗组的临床显效率和总有效率分别为67%、93%,均显著高于对照组(47%、73%)(P<0.05)。结论针灸疗法有利于脑部功能的恢复,可有效减轻脑组织损伤,提高中风治疗的临床疗效,具有深入研究的潜在价值。     

浅谈艾叶在针灸临床中的应用

说到艾叶,我们自然会想到将艾叶挂满门窗前以“避邪”的端午节,看来具有“医草”之称的艾叶在很早之前就已经为大家所熟悉。
　　艾叶为菊科多年生灌木状草本植物艾的叶片,性味苦、辛、温,归肝、脾、肾经,具有温经止血、散寒止痛的作用。“艾叶苦辛,生温,熟热,纯阳之性,能回垂绝之阳,通十二经,走三阴,理气血,逐寒湿……以之灸之,能透诸经而除百病。”《本草从新》,故艾叶作施灸材料,具有温经活络,祛除阴寒,回阳救逆等作用。艾叶经过加工,制成细软的艾绒,更有它的优点：第一,便于搓捏成大小不同的艾柱,易于燃烧,气味芳香;第二,燃烧时热力温和,能穿透皮肤,直达深层。又由于艾叶产地广,价格低廉,所以几千年来,一直在灸法中长期采用。     

浅谈时间治疗学在针灸临床中的运用

时间治疗学是一门新兴的临床学科 ,在对人的生命活动与外界环境周期具有节律变化的认识基础上 ,进而对疾病采取择时治疗以收事半功倍之奇效的一种方法（１）。《内经》对时间列的年、季、月、日、时等各节段与生理、病理、诊疗、预后的关系均有深刻阐述 ,同时认为“逢时而刺”是取得疗效的关键 ,《灵枢·卫气行》中提出病在于三阳 ,必候其气在于阳而刺之 ,病在于三阴 ,必候其气在于阴分而刺之。因此 ,针灸临床中 ,无论是诊断、治疗、预防皆重视择时施治原则 :年、月、日节律。１按年节律施治人体阴阳随季节变异发生规律性变化 ,人体各部经气…     

应充分发挥针灸在临床各科中之效用

针灸学是祖国医学伟大宝库中一颗璀璨的明珠。针灸疗法对临床各科均有使用价值。孙思邈说过:针而无药,药而无针,非良医;针而无灸,灸而无针,又非良医也。众所周知,医圣张仲景既是辨证论治的鼻祖,     

肛提肌的形态学及其功能意义和临床应用

目的：探讨肛提肌表态及其与肛直肠的解剖关系和功能,为腊肠手术预防和治疗肛门失禁提供解剖学参考资料,方法：采用经福尔马林固0定的59具小儿尸体,3例成人盆部标本在3倍放大镜下解剖对照观察,结果：肛提肌是由许多细小的带状肌束分层叠连,自然铺展而成的一整块片状肌,按肌束的层次和肌纤维方向可分上,下两层和三块肌,耻骨尾骨肌和髂骨尾骨肌较薄,位在上层,耻骨直肠肌位在下层,耻骨直肠肌根据基肌纤维方向可分为五部,即会阴体部,肌袢部,联合中纵肌部,肛门外括约肌部和会阴浅横肌部,耻骨直肠肌肌袢部和耻骨尾骨肌肌袢在肛直曲两侧和后方呈内,外重叠关系,结论：肛提肌肌束的排列形式是认识,区别肛周肌群及其相互关系的关键,耻骨直肠肌并非单一肌袢,其会阴体部,肌袢部及联合纵肌部共同牵拉作用于肛管,分别与肛管直肠前,后角的形成和维持有关,临床应用应将前列腺提取及会阴体也纳入重点保护范围内。     

临床路径在非针灸专业本科生针灸临床带教中的应用研究

[目的]观察临床路径在非针灸专业本科实习生针灸临床带教中的应用效果。[方法]38名学生接受临床路径教学,32名学生接受传统教学方式,每名学生均在教学结束后进行考试。[结果]临床路径教学组学生平均成绩明显优于传统教学组,结果具有统计学意义。[结论]临床路径教学法对于非针灸专业本科实习生在针灸科的学习具有良好的效果。     

数码相机在临床检验基础形态学教学中的应用

针对实验条件有限的单位提出并探讨了如何利用数码相机技术,对传统的形态学实验教学进行改进的做法,调查显示此种方法简便、实效。     

奇经八脉脉诊在针灸临床中的应用与思考

奇经八脉是经络系统的重要组成部分,奇经八脉理论指导着针灸临床运用。脉诊是中医重要诊法之一,奇经八脉脉诊是脉诊的一部分,其发展有其固有的溯源,本文对奇经八脉脉诊在针灸临床的应用作一简要探讨与思考。     

王民集教授临床运用经外奇穴经验

奇穴是原有经穴之外的经验有效穴,有奇特的治病效果,甚至强于经穴,但主治疾病范围比较单一,往往是针对某种疾病特定运用,如四缝穴治小儿疳积,定喘穴治疗咳喘,二白穴治疗痔疮,太阳穴治疗头痛目疾,子宫穴治疗阴挺等。临证应用奇穴具有取穴精简,针对性强,效果卓著的特点,如果运用得当,常可事半功倍。王民集教授临床运用奇穴治疗各类疾病,包括太阳穴透刺法治疗三叉神经痛、偏头痛、牙痛;针刺臂中穴治疗急性乳腺炎、乳腺增生;针刺四神聪穴治疗不寐、呆痴,疗效显著。     

平衡针灸治疗疝气49例

目的:观察平衡针灸疗法治疗各类疝气的疗效。方法:取升提穴作为针刺穴位,采用平衡针刺手法治疗各类疝气49例。结果:49例患者中,痊愈39例,显效7例,好转2例,无效1例,总有效率为98.0%。结论:升提穴是治疗疝气的有效穴之一,平衡针灸疗法治疗各类疝气疗效确切。     

针刺组穴治疗原发性痛经临床研究

目的:探讨针刺组穴(子宫、关元、中极、曲骨、阴陵泉)治疗原发性痛经的临床疗效。方法:将40例患者随机分为治疗组和对照组,治疗组予以针刺组穴(子宫、关元、中极、曲骨、阴陵泉)治疗,对照组予以月月舒痛经宝颗粒口服治疗,两组治疗3个月后观察临床疗效。结果:治疗组在3个月经周期治疗结束后痛经总频率评分与治疗前相比,差异有统计学意义(P<0.05),两组治疗前后差值比较差异有统计学意义(P<0.05)。治疗组治疗前后痛经严重程度比较,差异有统计学意义(P<0.05),两组治疗前后差值比较差异有统计学意义(P<0.05)。治疗组有效率为95.0%;对照组有效率为65.0%。两组有效率比较差异有统计学意义(P<0.05)。结论:针刺组穴(子宫、关元、中极、曲骨、阴陵泉)治疗原发性痛经有较好的疗效。文献引用:杨露,张鹏,尤璐,等.针刺组穴治疗原发性痛经临床研究[J].中医学报,2015,30(2):294-296.     

腰腹部群针灸疗法治疗单纯性肥胖临床研究

目的:观察腰腹部群针灸疗法治疗单纯性肥胖的临床疗效。方法:60例单纯性肥胖患者随机分为对照组与观察组各30例,对照组给予耳穴压豆治疗,观察组给予腰腹部群针灸治疗,以10次为1个疗程,连续治疗2个疗程后比较两组患者治疗前后体质量、身体质量指数(body mass index,BMI)、腰臀比(waist-to-hip ratio,WHR)、体质量、腰围及腰臀比变化情况。结果:两组患者治疗前后比较体质量、BMI及WHR均降低,观察组较对照组下降更为显著,差异具有统计学意义(P0.05)。观察组患者体质量、腰围、腰臀比有效率分别为93.33%、96.67%、90.00%,对照组患者体质量、腰围、腰臀比有效率分别为80.00%、83.33%、76.67%,观察组较对照组体质量、腰围及腰臀比疗效均明显提高,差异具有统计学意义(P0.05)。结论:腰腹部群针灸治疗单纯性肥胖的疗效显著。     

Effect of Acupuncture on Ovary Morphology and Function in DHEA-Induced Polycystic Ovary Syndrome Model Rats

Objective To investigate the effects of acupuncture on ovary morphology and function in dehydroepiandrosterone(DHEA)-induced polycystic ovary syndrome(PCOS)model rats.Methods A total of 40 adult female Wistar rats were randomly allocated to 4 groups by a random number table,including control,model,metformin and acupuncture groups,10 rats in each group.PCOS rat model was developed by injecting with DHEA(6 mg/100 g body weight)in 0.2 mL of oil subcutaneously.Electrical stimulation(2 Hz,3 mA)was applied to Guanyuan(CV 4),Zigong(EX-CA1)and Qihai(CV 6)acupoints for 30 min daily in the acupuncture group,and metformin(200 mg/kg)was given to rats in the metformin group,both once per day for 21 consecutive days,and rats in the normal group was fed with normal saline and fed regularly.After 21 days of administration,the rat blood samples were collected for detecting the reproductive hormonal levels[luteinizing hormone(LH),follicle stimulating hormone(FSH),estradiol(E2),progesterone(P),testosterone(T)]and inflammatory factors(visfatin,IL-6)analysis.Ovary tissue was used for histopathological analysis.Results Compared with the model group,rats in the acupuncture and metformin groups were significantly lower in weight gain,FSH,LH and T levels,and E2 and P levels significantly increased(alll P<0.05).Meanwhile,LH and FSH levels were significantly decreased,and P,T and E2 levels significantly increased in the acupuncture group,compared with the metformin group(P<0.05).Compared with the model group,IL-6 and visfatin levels were significantly decreased in the acupuncture and metformin groups(P<0.05).There were no significant differences in IL-6 and visfatin levels between the acupuncture and metformin groups(P>0.05).Ovarian diameter in the acupuncture and metformin groups were smaller than the model group(P<0.05).However,there were no significant differences in ovarian diameters between the acupuncture and metformin groups(P>0.05).Conclusion Acupuncture might improve ovary morphology and its function in DHEA-induced PCOS model rats.     

穴位注射联合耳穴贴压治疗失眠临床研究

目的：探讨穴位注射联合耳穴贴压治疗失眠症的临床疗效。方法：将118例患者按照随机数字表法分成治疗组和对照组,每组各59例。治疗组给予穴位注射结合耳穴贴压法治疗,抽取维生素B12注射液500Ixg,分别注入足三里或三阴交,每穴注射药物0．5mL。足三里、三阴交交替注射,10次为1个疗程;并配合耳穴王不留行籽贴压：神门、皮质下、交感、心、肾、脑点。隔日换贴1次,双耳交替,10次为1个疗程。疗程间隔5d,然后行下1个疗程。对照组口服舒乐安定2mg,每晚睡前0．5h服。谷维素20mg,每日3次。结果：对照组有效率为86．4％,治疗组有效率为93．2％,两组有效率比较,差异有统计学意义（P〈0．01）。结论：穴位注射联合耳穴贴压治疗失眠症疗效确切,不良反应小。     

Clinical Practice Guideline for Allergic Rhinitis Treatment with Acupuncture

With reference to international guidelines for the development of tools—Grading of Recommendations Assessment,Development and Evaluation(GRADE)system approach and reasoning,this practice guideline has been drafted reflecting the characteristics of acupuncture to improve effectiveness and safety of acupuncture treatment for allergic rhinitis.This guideline includes outlining the acupuncture diagnosis and treatment principles for allergic rhinitis,suggesting recommendations and related evidence for the acupuncture treatment of allergic rhinitis,and defining operating methods and precautions for the acupuncture treatment of allergic rhinitis.     

Recommendations for Acupuncture in Clinical Practice Guidelines of the National Guideline Clearinghouse

Objective: To organize the clinical practice guidelines(CPGs) related to acupuncture included in the National Guideline Clearinghouse(NGC) to systematically summarize the diseases and disorders most commonly treated with acupuncture, the strength of recommendations for acupuncture and the quality of evidence. Methods: The NGC database was systematically searched for guidelines that included acupuncture as an intervention. Two independent reviewers studied the summaries and the full texts of the guidelines and included guidelines based on the inclusion and exclusion criteria. Thirty-nine guidelines were collected with 80 recommendations. The Appraisal of Guidelines for Research and Evaluation(AGREE) Ⅱ instrument was used to assess the quality of these guidelines. Results: Of the 80 recommendations on acupuncture, 49 recommendations were clearly for acupuncture, 25 recommendations were against acupuncture and 6 recommendations did not indicate any clear recommendations, 37 recommendations were for painful diseases/disorders, and 12 recommendations were for non-painful diseases/disorders. Locomotor system disorders were the most common in the painful diseases/disorders category. Out of all the recommendations for acupuncture, most recommendations(87.76%) were weak in strength, and most of the evidence(40.84%) was of low quality. Conclusion: In the National Guideline Clearinghouse, the recommendations for acupuncture focus on painful diseases/disorders. The recommendations in the guidelines are not high in strength, and most of the evidence is moderate or low in quality.     

针灸联合中药治疗肩周炎临床观察

目的观察针灸联合中药治疗肩周炎的临床疗效。方法将74例肩周炎患者随机分为两组,对照组给予西药局部封闭治疗,治疗组采用针灸联合中药治疗。观察两组患者治疗前后疼痛及肩关节功能改善情况。结果治疗组总有效率明显优于对照组(P0.05);两组患者治疗前后VAS、Constant评分比较均明显改善(P0.05),治疗组的改善程度优于对照组(P0.05)。结论针灸联合中药治疗肩周炎效果良好,可在临床推广运用。     

《中风假性球麻痹针灸临床实践指南》解读

<中风假性球麻痹针灸临床实践指南>是"世界卫生组织西太区资助项目--中医循证临床实践指南"中一个子课题的研究结果.针灸治疗中风假性球麻痹有较好的疗效,有大量的古、现代文献为针灸治疗本病症的选穴及操作提供临床证据.编写针灸临床实践指南是一项开创性的工作,课题组通过问卷调查、小组讨论、专家咨询、专家论证等方法,对指南编写中遇到的问题,如病症的选择、临床问题的产生、文献的查阅与评价、推荐方案的形成等进行了确定并最终完成了指南的编写任务.从编写背景、编写难点和解决方法、主要内容、特色4个方面对<中风假性球麻痹针灸临床实践指南>进行解读.