李传高创"十针"思维治疗周围性面瘫经验浅析

李传高主任认为面瘫的病机多因患者素体亏虚,卫阳不固,络脉空虚,风寒之邪损伤面部阳明经脉,以致经络失和,气血阻滞,肌肉弛缓不收而致.治疗面瘫病时,李主任的"十针"思维,是以辨经论治为基本原则,结合子午流注按时开穴,配合循经取穴以及行气催气的针刺手法,临床治疗面瘫病效果显著.     

中药经络疏通仪透入治疗骨关节疼痛疗效观察

目的观察中药经络疏通仪加中药组、单纯中药经络疏通仪组,治疗骨关节病的疗效.方法骨关节病患者104例,分为治疗组72例、(试验组),对照组32例.治疗组分为用中药经络疏通仪加中药膜和单纯经络疏通仪组,对照组用骨质增生治疗仪加中药单纯局部治疗.结果两组疗效综合评估,试验组共72例,总有效率95.9%,对照组32例,总有效率84.3%.两组比较P     

经络的人体定向水环境调控体系学说

目的经络研究及认识的相关情况说明了经络是人体已知组织结构具有未知功能的体系,该体系与脉管系统和脉管外组织液均有必不可分的关系,受神经、内分泌、免疫等系统调控支配,分析这些问题有助于对经络的全面认识. 方法通过回顾和总结古典经络学说的文史研究,结合现代经络研究的一些发现和认识,进行综合分析. 结果经络的本质可能是"人体定向水环境调控体系‘就是以连续的人体水环境为基础,特别是循经低流阻通道(十四经脉)为主干道,以信息快速传递的神经系统为主导,以物质快速运输的血液系统为源头,以穴位为枢纽,来反映人体与环境、人的整体与局部协调统一的功能调控体系. 结论人体正是通过这个"定向水环境调控体系"进行一系列物质、能量、信息传递活动而有机地组织成为一个整体.针灸刺激经穴产生的效应不是影响机体某个系统或某类功能,而是一种综合、整体调节.疏通经络是中医治疗疾病的手段,保持经络的畅通是中医保健的目的.     

痛风的中医病位研究

<正>痛风的主要病位在肝脾,日久累及于肾。本文从痛风的发病部位、中医经络学说、患者的体质、中药归经、中药的现代药理学研究、中医病因病机的分析和常见的并发症等多角度阐明学术观点。中医在治疗急性痛风性关节炎时应以清肝脾二经湿热为主,在治疗累及于肾时应参以补肾之药,从而提高疗效,调节     

中西医结合治疗贝尔氏麻痹32例的护理体会

贝尔氏麻痹中医习称"口僻"病,是指以突发面部麻木,口眼歪斜为主要表现的痿病类疾病.病多由风邪人中面部,痰浊阻滞经络所致.是我国相当常见的疾病.近5年来,我院采用中西医结合治疗和护理本病32例,取得了满意效果,现报告如下.     

毛以林运用经络辨证治疗胸痹经验

目的:经络学说是中医学理论的重要组成部分,它贯穿于中医学的生理、病理、诊断、治疗和预防等各个方面。方法:运用经络学说确定病位,是经络辨证的关键。经络辨证可指导中医各科的临床实践,获效颇佳。结果:运用经络辨证可对复杂的病候执简驭繁,同时使处方用药有的放矢。结论:毛以林教授善用经络辨证治疗心系病和疑难杂症,其辨证准确,用方精准,颇受患者信赖。     

肺与大肠相表里的临床应用

经络学说是研究人体经络系统的循行分布、生理功能、病理变化及与脏腑相互关系的理论学说.根据经络学说中的阴经阳经相配理论,手太阴肺经属肺络大肠,手阳明大肠经属大肠络肺,形成了肺与大肠互为表里的体系,这种互为表里的经络在生理上密切联系,病理上相互影响,治疗时相互为用,笔者将这一理论用于临床一些疾病的治疗,取得了较好的疗效.     

经络腧穴给药疗法与透皮给药系统

目的比较中西医透皮给药治疗的异同,探讨中医经络腧穴给药的优势及不足,找到急需解决的问题,弘扬中医外治疗法.方法复习历代有关中医经络腧穴给药疗法部分文献,检索PubMed数据和中文医学期刊中的相关论文,对相关信息进行分析.结果中医经络腧穴给药疗法历史悠久,经验丰富,疗效确切.药物通过经络腧穴的吸收过程所产生的放大作用和整体效应是其关键.与透皮给药治疗系统(transdermal therapeutie system,TTS)相结合进行药物透皮治疗的研究已处于起步阶段,但多局限于一病一方的研究,对作用机制及形态学证据尚显不足;在TTS作用机制中,解决药物在角质层转运的限速过程而促进足够量的药物进入体内是其热点之一.结论急需解决腧穴结构的形态学基础和经络的实质问题,建立药物透皮疗法的实验动物模型,在大量药物动物实验的基础上推广临床应用,创新中药透皮疗法.     

基于湖湘针推学术流派“五经配伍”理论从主脏论治卵巢储备功能下降

“五经配伍”是湖湘针推学术流派重要理论,主张“先辨病归经,再认穴施治”思想,利用五行制化原理,重调病变脏腑对应经络（本经）,并调相关四经（子母经、克侮经）,达到调控人体功能进而“未病先防,既病防变”的目的。卵巢储备功能下降主脏责肾,与肝、心、脾相关,气血精失调为发病关键。文章基于五经配伍理论,以“责主脏、重本经”为关键点,浅析卵巢储备功能下降的针灸治疗。     

“咽为经脉之所聚”理论在针刺治疗中风后吞咽障碍中的运用

总结程红亮主任基于“咽为经脉之所聚”理论,采用“辨经论治”针刺治疗中风后吞咽障碍的临床经验。谨守“脑-咽-脏腑”三位一体理念,融“咽为经脉之所聚”理论,合“病候、病位、经络”三辨法,以“辨经论治”中风后吞咽障碍。经过十余年的探索确立了以项部取穴+舌咽部取穴+辨经取穴为治疗思路,首选督任经以调阴阳,次取脾胃肾以养先后天,辅取肝心经以促气血行,进一步提高了临床疗效,形成了针刺治疗中风后吞咽障碍关键技术。     

腰椎间盘突出症患者原穴的伏安特性曲线特征

目的通过研究腰椎间盘患者原穴的伏安特性曲线,探索中医人体功能检测方法。方法采用康威人体经络特性分析系统,检测分析40例腰椎间盘突出症患者的经络状况,并且进行针刺前后的对照比较。结果针刺前,膀胱经和肾经原穴的伏安特性曲线异常率高于十二正经,针刺后两经的改善率也同样高于十二正经。结论腰椎间盘突出症患者的经络异常主要集中在膀胱经和肾经,针灸对腰椎间盘突出的治疗效果可能通过调整膀胱经和肾经实现。检测分析腰椎间盘突出症患者原穴的伏安特性曲线,可以用于对腰椎间盘突出症的诊断、指导治疗以及疗效评价。     

Myofascial Referred-Pain Data Provide Physiologic Evidence of Acupuncture Meridians

Recently published data suggest substantial anatomic, clinical, and physiologic (referred pain to meridian) overlap of myofascial trigger points and acupuncture points, particularly in the treatment of pain disorders. This qualitative study examines whether myofascial referred-pain data from the Trigger Point Manual can provide independent physiologic evidence of acupuncture meridians. Trigger point regions were subdivided from prior, validated trigger point region–classical acupuncture point correspondence results into subsets according to the 12 acupuncture Organs of their anatomically corresponding acupuncture points (Bladder, Gallbladder, Heart, Kidney, Large Intestine, Liver, Lung, Pericardium, Small Intestine, Spleen, Stomach, and Triple Energizer). The referred-pain patterns for each subset of trigger point regions were graphically applied to a virtual human model along with the subset's corresponding acupuncture Principal meridian. All 12 meridian distributions were compared qualitatively with the summed referred-pain distributions of their anatomically corresponding trigger point regions. For all 12 subsets of trigger point regions, their summed referred-pain patterns accurately predicted the distributions of their corresponding acupuncture meridians, particularly in the extremities. The myofascial referred-pain data from the Trigger Point Manual provides independent physiologic evidence of acupuncture meridians. Understanding these meridians may enhance treatment of both pain and non-pain conditions.PerspectiveThis article demonstrates that myofascial referred-pain data provide independent physiologic evidence of acupuncture meridians. The acupuncture tradition provides pain practitioners with millennia of accumulated clinical experience treating pain (and visceral) disorders and offers the potential for novel pain treatment approaches and understanding of pain neurophysiology.     

耳穴压豆法对中风-中经络患者抑郁状况的影响研究

目的探讨耳穴压豆法在中风-中经络患者治疗中的实施方法及对患者抑郁状况的影响。方法将80例中风-中经络患者随机分为两组,每组40例。试验组在常规治疗护理基础上,于入院1周后开始给予耳穴压豆;对照组只接受常规治疗护理。比较两组患者干预后的抑郁状况。结果干预2周和4周后,试验组抑郁自测量表得分低于对照组(P<0.01)。结论耳穴压豆法能够有效改善中风-中经络患者抑郁状况,适当延长治疗时间疗效仍显著。     

基于数据挖掘的COVID-19中医适宜技术治疗方案研究

目的：归纳分析新型冠状病毒肺炎疫情期间所用到的治法、经络及穴位,以期为恢复期患者的康复治疗提供参考。方法：检索国家中医药管理局官网和国家及各地区卫生健康委员会官网,查找国家及各地区新型冠状病毒肺炎恢复期中医适宜技术最新版本相关文件,提取治法、经络及穴位信息并进行归纳分析。结果：治法主要分为针刺、艾灸、推拿、其他疗法四大类,共涉及经络12条,总使用频次为54次;共用穴位66个,总使用频次242次。针刺共涉及经络12条、使用频次为12次,穴位40个、使用频次为86次;艾灸共涉及经络9条、使用频次为9次,穴位31个,使用频次为50次;推拿共涉及经络9条、使用频次为20次,共用穴位34个、使用频次39次;其他疗法共涉及5种治法,经络6条、使用频次为13次,穴位42个、使用频次为67次。结论：新型冠状病毒肺炎恢复期患者以气阴两伤和肺脾气虚两种证型为主,在康复治疗过程中可采用中医适宜技术,经络选择上当首先考虑膀胱经、任脉,穴位选择上当首选肺俞穴。     

经脉起止走向规律

目的纠正两千年来以"营气流注"方向代替经脉起止走向的错误.方法从分析古代文献入手,通过中医经典著作中经脉全部起始的记载;以及经别经筋全部起始走行;标本、根结、本输、根溜注入理论依据;"脉行逆顺";营气流注;经穴远程循经诊疗作用方面分析,探讨经脉起止走向规律.结果通过<黄帝内经>、<灵枢·经别>和<灵枢·经筋>等文献的确切记载,证实经脉起始于肢端,并向心走行,终止于头身的规律,并从标本、根结、本输、根溜注入等古典经络理论中得到证明.从"脉行逆顺"基础理论和实践中也证实,以营气流注方向代替经脉起止走向是错误的,是造成经脉起止走向规律的错误认识,从而导致古典经络理论的长期分歧.结论以营气流注方向代替经脉起止走向是错误的,纠正这一错误,可以彰显四肢肘膝以下腧穴对内脏和远隔部位的循经诊治作用及其重要的科学研究价值.     

CAM and the phenomenology of pain

Many CAM modalities afford relief from pain, each in its own way, or according to its own terminology. Comparison of different CAM modalities results in a simple phenomenology of pain centered around the idea that pain may be associated with blockages of the flow of energy in the system of nadis/acupuncture meridians.     

Alone together: A grounded theory study of experienced burden,coping, and support needs of spouses of persons with a bipolar disorder

Bipolar disorder is a chronic and severe mental disorder. Little is known about the experiences of the spouses of such patients. A grounded theory study was undertaken to examine the burden for spouses living with a partner with a bipolar disorder and to explore how they cope and what support they need. Fifteen spouses and ex‐spouses were interviewed; they experienced heavy burden and found themselves to be ‘alone together.’ Their coping process is found to involve appraisal of the situation and attempts to achieve a balance between self‐effacement and self‐fulfilment. While support can clearly reduce experienced burden, the spouses surprisingly receive virtually no professional support. A theory is developed that constitutes a starting point for the development of adequate support for spouses.     

A Reliability of the Prototype Trunk Training System for Sitting Balance

[Purpose] Cerebral palsy is a disorder that affects balance in the sitting position. Cerebral palsy patients need trunk muscle strengthening and balance training. In order to improve trunk control sensory-motor control training is carried out on an unstable surface. We have developed a Trunk Training System (TTS) that can provide visual feedback using a tilt sensor for balance training in the sitting position. Before using the TTS for training children with cerebral palsy experiments were conducted with healthy adult subjects and the TTS to gather basic data for its improvement. [Subjects] The subjects were 11 healthy men (n=3) and women (n=8). [Methods] Subjects trained at two levels (5°, 10°), in four different directions (anterior, posterior, left, right), three times each. TTS outcome indices (stability index, performance time) were measured. [Results] The stability index and performance time showed high correlation (−0.6<r<1). The measurements of the different task levels and directions showed high reliability (0.9<α). [Conclusion] The TTS may be used to evaluate the range of motion and execution capabilities of sitting balance. Additional experiments will be needed to investigate the validity of the TTS measurements.Key words: Trunk training system, Reliability, Cerebral palsy     

冷负荷对人体体表循经红外辐射轨迹影响的初步观察

目的观察冷负荷对人体体表循经红外辐射轨迹的影响。方法应用日本三荣公司生产的ThermoTracer6T67型红外热像仪系统,对45名健康成年志愿者的背部、上肢内侧面的经与非经部位同时进行致冷,观察其恢复过程。结果经线上的皮温恢复要比非经部位快,与致冷前比较,经线上的轨迹表现得更加清晰。结论经脉循行线下相应的组织中的微循环可能更丰富,能量代谢也更旺盛。