密骨丹穴位外敷对原发性骨质疏松症患者骨钙素、羟脯氨酸的影响

目的观察密骨丹穴位外敷对原发性骨质疏松症患者骨钙素(BGP)、羟脯氨酸(Hyp)的影响。方法按计算器随机数字发生法,随机分为密骨丹穴位外敷组(治疗组)和盖天力组(对照组)各48例。观察治疗前后患者BGP、Hyp的变化。结果密骨丹穴位外敷能使原发性骨质疏松症患者血清BGP明显升高,与对照组比较,P<0.05,血清BGP95%CI=4.91～5.19ng/mL;密骨丹穴位外敷能使原发性骨质疏松症患者尿Hyp明显下降,与对照组比较,P<0.05,尿Hyp95%CI=0.19～0.29mmol/L。结论密骨丹穴位外敷治疗原发性骨质疏松症疗效确切。     

密骨胶囊在治疗老年性骨质疏松症疗效观察

目的：密骨胶囊对老年性骨质疏松症疗效评定。方法：临床与实验室随机分组对70例与两对照组各35例服药3个月的对比研究。结果：临床症状与中医症候及性激素水平、骨代谢相关生化指标经统计处理,显示治疗组明显优于两对照组。结论：密骨胶囊有效缓解老年性骨质疏松症的临床症状,提高骨密度及骨矿含量,同时提高性激素水平。     

骨密康胶囊合并豆核蜜治疗绝经后骨质疏松症的疗效观察

为观察骨密康胶囊合并豆核蜜防治绝经后骨质疏松症(PMOP)的疗效及机理.选择自然绝经5年以上、利用双能X线检测股骨颈密度,根据骨质疏松症的诊断标准,排除内分泌、肝、肾、风湿、免疫等疾病,且近3个月末服用类固醇等药物、未经治疗的PMOP患者60例 ,随机分为治疗组与对照组.治疗组32例,口服骨密康胶囊合并食疗豆核蜜;对照组28例,口服葡萄糖酸钙片.疗程均为6个月.治疗前后检测股骨颈BMD和骨代谢相关指标.经治疗治疗组骨痛显著改善,BMD平均提高3.9%,雌二醇(E2)、碱性磷酸酶(ALP)、血钙(Ca)显著增高,尿吡啶酚(PYD)显著下降.总有效率为90.6%.以上指标明显优于对照组,且未出现不良反应.提示口服骨密康胶囊和食疗豆核蜜能有效防治PMOP.     

益肾密骨方治疗骨质疏松症的临床观察

目的:观察益肾密骨方治疗骨质疏松症(PMOP)临床疗效。方法:将98例患者随机分为治疗组50例、对照组48例;治疗组予口服益肾密骨方,对照组口服阿法D3,治疗前后进行症状评分,并在治疗初末期分别测定腰椎骨密度、股骨ward’s三角区和临床症状疗效评分。结果:治疗6个月后,两组症状评分结果,治疗组总有效率为96%,对照组为41.62%,治疗组优于对照组(P<0.01),治疗后两组BMD比值均较治疗前提高(P<0.05),两组BMD在治疗后差异无显著性(P<0.05)。结论:益肾密骨方具有明显改善临床症状,增加BMD的作用,其疗效优于阿法D。     

骨疏康治疗原发性骨质疏松症疗效观察

为了观察骨疏康颗粒的疗效，将1999年10月～2005年2月收治的107例中医辨证为肾阳虚证的骨质疏松症患者，随机分为两组，以仙灵骨葆胶囊为对照进行了对照观察，现将观察结果总结如下。     

骨宝胶囊治疗原发性骨质疏松症疗效观察

采用随机分组的方法,对骨宝胶囊治疗原发性骨质疏松症的疗效进行了临床及实验室观察。结果治疗组７０ 例,总有效率为９１ ．４３ ％ ;两对照组各３５ 例,总有效率分别为６８ ．５７ ％ 、３４ ．２９ ％ 。三组总有效率比较,差异有显著意义（ Ｐ＜ ０ ．０５） 。实验室观察结果表明骨宝胶囊在改善骨密度、性激素水平以及骨代谢各相关生化指标方面均有确切作用,效果明显优于两对照组。     

骨密汤治疗骨质疏松症45例

近年来,笔者根据中医“肾主骨,生髓”等理论,自拟具有补肾活血功效的骨密汤治疗骨质疏松症45例,疗效满意,现报告如下。1临床资料1.1一般资料本组45例中,男性18例,女性27例;年龄最小42岁,最大75岁,平均58岁;伴胸腰椎压缩性骨折8例。1.2诊断依据(1)年龄为40~80岁;(2)临床上有明显     

中药外敷配合穴位点按治疗跟骨增生80例

笔者对 8 0例跟骨骨质增生患者 ,采用传统医学中药外敷配合穴位点按治疗取得了较好疗效 ,现整理总结如下。1　一般资料1 1　病例选择　本组均为门诊患者 ,在 80例中 ,男 32例 ,女48例 ;年龄多在 45岁～ 75岁 ,平均 6 0岁 ;由于急性损伤、慢性劳损、膝、髋关节和腰椎等疾病 ,导致足跟部发生病变 ;病程长短不一 ,最短 10ｄ ,最长 2 7浕 ,一般至少在半年以上。1 2　临床症状　临床表现为 :持续性疼痛 ,夜间或运动后疼痛加重 ,行走时患侧足跟部不能负重 ,阵发性疼痛并放射至跖趾关节 ,患者坐、卧位时疼痛减轻 ,季节或温度差别较大时 ,病情加重。…     

Efficacy evaluation of summer acupoint application treatment on asthma patients: a two-year follow-up clinical study

OBJECTIVE: To evaluate the self-efficacy and satisfaction of asthma patients subjected to summer acupoint application treatment(SAAT).METHODS: A two-year follow-up clinical study was conducted. Patients with asthma were treated by applying a herbal paste onto the Feishu(BL 13) and Fengmen(BL 12) acupoints on the three hottest days of summer, according to the traditional Chinese calendar, from 2008 to 2010. During a two-year follow-up, these patients were asked tofill out a questionnaire evaluating asthma degree,exacerbation frequency, concomitant medications and self-satisfaction. The self-rate and doctor-report outcomes obtained in parallel were evaluated to assess the efficacy of SAAT.RESULTS: A total of 527 asthma patients were initially enrolled in this study, of which 97 elderly patients and those with more severe cases of asthma were lost to follow-up. Thus, a total of 430 patients were valid for analysis using self-rate data. Nevertheless, occasional negative returns were obtained;almost all of the outcomes were rated as No change, Moderate effective, or Very effective. In addition, 80% of the patients were satisfied with this treatment. Moreover, 391(91.4%) patients were somewhat improved after SAAT in 2009, and further improvement was observed in 2010. After SAAT, the average asthma-degree score decreased from 5.3 in 2008 to 4 in 2009 and, subsequently to3.5 in 2010.CONCLUSION: With pronounced patient satisfaction, SAAT can reduce the exacerbation severity and frequency, concomitant medications and asthma degree. Prolonging the treatment course might enhance the efficacy of SAAT.     

穴位敷贴治疗失眠症的临床研究进展

目的总结近几年穴位敷贴治疗失眠症的研究进展。方法通过检索中国知网、PUBMED数据库中的相关文献,从病因病机、敷贴治疗(包括药物、穴位选择)及敷贴结合其他疗法等几个方面进行论述。结果阴阳失调是失眠症的主要病机,敷贴治疗失眠症药物多选用养心安神、交通心肾的中药,穴位多选择药物吸收较好的穴位和治疗常用穴。结论穴位敷贴治疗失眠症具有一定疗效,但仍需进一步研究。     

穴位贴敷治疗痛经的研究进展

目的:总结近10年来穴位贴敷治疗痛经的研究进展,为今后的科研和临床工作提供参考依据.方法:从分型论治、穴位的选择、赋形剂的选择、敷药时间、疗效判断以及不良反应等方面,对近10年来穴位贴敷治疗痛经的文献进行综述报道.结论:穴位贴敷治疗痛经确有疗效,但其临床研究中还存在一些问题有待改进.     

Clinical research on treatment of hyperkinetic syndrome of childhood by electroacupuncture plus acupoint application

Objective To observe the clinical therapeutic effect of hyperkinetic syndrome of childhood treated by electroacupuncture plus acupoint application.Method Sixty-five cases with hyperkinetic syndrome of childhood were treated by electroacupuncture plus acupoint application (electroacupuncture group); 53 cases were treated by acupuncture (acupuncture group) and 53 cases were treated by Ritalin (west drug group). The above three groups were compared with each other in therapeutic effect.Results The effective rate of treating hyperkinetic syndrome of childhood by electroacupuncture plus acupoint application was 87.7%; the effective rate in west drug group was 86.8% and in acupuncture group was 77.4%. A comparison among the three groups showed there was no significant difference in clinical therapeutic effect (P>0.05).Conclusion Electroacupuncture plus acupoint application was an effective therapy of hyperkinetic syndrome of childhood. Translator: KUAI Le     

Clinical study on acupoint injection for primary osteoporosis

Objective:To observe the therapeutic efficacy of acupoint injection in treating primary osteoporosis. Methods:A hundred and fourteen eligible subjects were randomized at 2:1 into two groups. Seventy-six subjects in the observation group were intervened by acupoint injection, and 38 subjects in the control group were intervened by oral medication. Symptom and signs scores were observed before and after treatment. A two-year follow-up study was conducted to compare the long-term therapeutic efficacy between the two groups. Results:The recovery and markedly effective rate was 68.4% in the observation group versus 47.4% in the control group, and the difference was statistically significant (P<0.05). During the 2-year follow up study, 5 subjects in the observation group and 8 in the control group had new fracture, occupying 6.6% and 21.1% respectively, and the difference was statistically significant (P<0.05). Conclusion:In treating primary osteoporosis, acupoint injection has better short and long term therapeutic efficacies compared to oral medication, and it’s convenient with high security evaluation.     

穴位敷贴治疗糜烂性胃炎临床研究

目的：探索穴位敷贴治疗糜烂性胃炎的疗效。方法：选取糜烂性胃炎患者48例,进行中医辨证分型,然后采用穴位敷贴治疗贴进行治疗;观察治疗前后症状的变化,胃镜观察炎症及病理改变情况。结果：穴位敷贴治疗贴治疗糜烂性胃炎,能明显减轻对脾胃虚弱型及肝胃不和型的临床症状。结论：采用穴位敷贴外治法治疗糜烂性胃炎疗效满意,尤适用于脾胃虚弱型及肝胃不和型糜烂性胃炎,值得推广应用。     

太冲穴临床应用举隅

太冲穴为足厥阴肝经腧穴,首见<灵枢·本输>,为肝经原穴,又是马丹阳天星十二穴之一.位于足背第一、二跖骨结合部前方凹陷处.约当行间穴直上2寸,正坐或仰卧取之.在(足母)长伸肌腱的外侧缘,有足背静脉网及第一跖骨背侧动脉;并有腓深神经的跖背伸神经,深层为胫神经的足底内侧神经.笔者在临床中应用该穴治疗多种疾病,均获得较好的疗效,今不揣浅陋,兹举5则如下.     

井穴的临床应用

井穴是十二经脉中位于手足之端的穴位.《灵枢》将其喻作水之源头,是经气所出的部位,故此命名.《灵枢·根结篇》中又将井穴称之为"根",更有脏腑、经气之根本的含义.可见,井穴对于周身脏腑、气血、经脉之气的调节有着十分重要的作用.     

腧穴热敏化的临床应用

目的:阐述腧穴热敏化的规律及其临床应用。方法:从腧穴的热敏化特征与规律入手,论述腧穴热敏化新灸法及其临床应用。结果:(1)人体腧穴存在敏化态与静息态两种功能态,当人体发生疾病时能使体表腧穴发生敏化,敏化的类型多种多样,而腧穴热敏化是腧穴敏化的一种类型,处在敏化态的腧穴对外界相关刺激呈现腧穴特异性的“小刺激大反应”;(2)热敏化穴的最佳刺激为艾热,也是灸疗的最佳选穴,疗效远优于常规静息态腧穴的针灸疗法;(3)热敏化态腧穴在艾热刺激下极易激发灸性感传,临床疗效大幅度提高。结论:腧穴热敏化的提出完善和发展了“刺之要,气至而有效”的针灸理论。     

背俞穴的临床应用

背俞穴是针灸学十四经中特定穴的一种.最早见于<灵枢·背腧>篇,其日:"肺腧在三焦之间,心腧在五焦之间……肝腧在九焦之间,脾腧在十一焦之间,肾腧在十四焦之间.皆挟背相去三寸所,则欲得而验之,按其处,应在中而痛解,乃其腧也."现在针灸学所说的背俞穴,是以脏腑命名的十二个,即肺俞、厥阴俞、心俞、肝俞、胆俞、脾俞、胃俞、三焦俞、肾俞、大肠俞、小肠俞、膀胱俞,已成为针灸临床上重要而常用的特定穴.笔者在多年的针灸临床实践中,应用背俞穴或以背俞穴为主治疗脏腑病,均获得满意疗效.现整理介绍如下: