针药并用治疗腰椎间盘突出症的临床观察

目的观察针药并用治疗腰椎间盘突出症的临床疗效。方法将患者随机分为针药组158例，针刺组60例，中药组60例，进行对比观察。结果针药组痊愈率和有效率明显高于针刺组与中药组，经统计学处理，差异有显著性意义（P〈0．05）。结论针药并用能提高临床疗效。     

针药并用治疗脑卒中后抑郁症30例疗效观察

目的对照观察针药结合与单纯西药治疗中风后抑郁症（PSD）的疗效及不良反应。方法采用开放性对照研究方法,将93例抑郁症患者随机分为三组,针药组30例、百忧解A组30例、百忧解B组33例。针药组口服百忧解20 mg/d并加以针刺,百忧解A组口服百忧解20 mg/d,百忧解B组口服百忧解20~40 mg/d;三组治疗时间均为42 d,以汉密尔顿抑郁量表（HAMD）及副反应观察量表（TESS）分别观察三组的疗效及不良反应。结果针药组有效率为86.7%,百忧解A组为63.3%,百忧解B组为87.9%,针药组疗效优于百忧解A组,与百忧解B组疗效差异无统计学意义（P〉0.05）,但药物不良反应发生率百忧解B组高于针药组。结论针药并用是脑卒中后抑郁症的一种疗效确切且副反应少的治疗方法。     

Clinical observation on treatment of bronchial asthma by comprehensive acupuncture methods

采用针刺、耳压、水针综合治疗支气管哮喘40例,分别用单纯针刺治疗36例,中药治疗38例为对照,分析3组间的疗效.综合组总有效率为95.0%,针刺组为80.6%,中药组为73.7%,3组间疗效比较有显著性差异(P＜0.05).针刺、耳压和水针结合治疗哮喘疗效优于单纯针刺和中药.     

Clinical observations on the treatment of 90 chronic gastritis patients by combination of acupuncture and herbal medicine

目的：观察秦亮甫教授针药结合治疗慢性胃炎的临床疗效。方法：对90例慢性胃炎患者分成针刺组、中药组、针药组，6个月后进行临床观察。结果：6个月后临床疗效，针药组优于针刺组和中药组，P〈0．05。结论：针药组在治疗慢性胃炎的疗效方面优于针刺组和中药组。     

针刺配合西药治疗眼外肌不全麻痹疗效观察

目的:探寻眼外肌不全麻痹的较佳疗法.方法:将90例眼外肌不全麻痹慧者随机分为针药组、针刺组、西药组,每组30例.针刺组取水沟、风池、翳风、翳明、太阳、睛明、攒竹等穴针刺;西药组采取Vit B1、Vit B12肌肉注射,口服三磷酸腺苷(ATP)治疗;针药组采取针刺组及西药组的治法.比较3组疗效.结果:针药组痊愈率为66.7%,显著高于针刺组的26.7%与西药组的26.7%(均P<0.01).结论:针刺配合西药治疗眼外肌不全麻痹效果显著,优于单纯针刺与单纯西药治疗.     

Observation on Therapeutic Effect of Treating Traumatic Gonarthromeningitis by Combined Acupuncture and Chinese Herbs

目的：观察针药并用治疗膝关节创伤性滑膜炎的临床疗效。方法：70例患者随机分为两组，每组35例。治疗组用中药和针灸、拔罐的方法治疗；对照组口服双氯芬酸钠、元胡止痛片、维生素C治疗。结果：治疗组临床总有效率高于对照组，两组比较，差异有统计学意义（P〈O．05）结论：针药并用治疗膝关节创伤性滑膜炎疗效明显。     

针刺配合电针治疗脑卒中后强哭强笑的疗效观察

[目的]通过观察电针疗法治疗卒中后病理性哭笑(PLC),观察治疗前后患者的智能状态(MMSE)、社会行为能力(BBS)、日常生活功能(ADL)、汉密尔顿抑郁量表(HAMD)评定、血清5-羟色胺(5-HT)浓度的变化,评价电针疗法治疗卒中后病理性哭笑的临床疗效。[方法]将60例卒中后病理性哭笑患者采用随机数字表法分为治疗组、对照组各30例。在基础治疗的同时,治疗组采用针刺配合电针疗法,对照组口服西药治疗,1周为1个疗程,共治疗3个疗程。于治疗前后对两组患者MMSE、BBS、ADL、HAMD、5-HT浓度进行测定,将结果进行统计学分析。[结果]两组患者治疗后MMSE、BBS、ADL、HAMD、5-HT浓度比较差异均有统计学差异(P0.01或P0.05),两组患者治疗后组间比较亦有统计学差异(P0.01)。[结论]电针疗法可明显改善卒中后病理性哭笑患者的MMSE、BBS、ADL、情志变化及5-HT浓度,其疗效优于西药治疗。     

针药结合治疗抑郁症临床研究

目的 观察比较针药结合与单纯中药治疗抑郁症的临床疗效。方法 采用国际通用SDS抑郁自评量表测定选择患者63例，设针药组(电针 中药组)33例，中药组30例。结果 针药组总有效率90.9％，中药组80.0％，两组疗效比较有统计学意义(P＜0．05)，未见明显不良反应。结论 针药结合治疗抑郁症疗效优于中药组。     

Clinical observation on treatment of anxiety with combined acupuncture and medicine

Purpose To observe the curative effect of combined acupuncture and medicine on anxiety.Method An acupuncture plus medicine group and a medicine group were established for a comparison of their curative effects on anxiety.Results The total effective rate was 96% in the acupuncture plus medicine group and 64% in the medicine group, and there was a significant difference between the two groups (P<0.001).Conclusion The curative effect of combined acupuncture and medicine on anxiety is better than that of simple medicine. Author: ZHOU Zhi-hua (1965-), male, attending physician Translator: HAN Chou-ping     

针药并用对反流性食管炎患者胃泌素、胃动素的影响

目的观察针药并用对反流性食管炎患者血浆胃泌素和胃动素水平的影响。方法针药组30例,采用针刺和降逆中药;中药组30例,服用降逆中药;针刺组30例,采用针刺治疗;西药组30例,采用奥美拉唑肠溶胶囊口服。四组均以60d为1个疗程,1个疗程结束后检测指标,全部患者在治疗期间禁用其他胃药。结果治疗前各组患者血浆胃泌素和胃动素水平差异无统计学意义（P〉0.05）,与治疗前比较,治疗后各组患者血浆胃泌素和胃动素水平明显升高（P〈0.01）;针药组血浆胃泌素和胃动素水平明显高于西药组和中药组（P〈0.05）。结论针药并用可显著提高反流性食管炎患者血浆胃泌素和胃动素水平,调节胃-食管运动,增加下食管括约肌压力,防止食物反流。     

Clinical Observation on General Anxiety Disorder Treated by Acupuncture plus Herbal Medicine

目的观察疏肝理气、清心除烦中药结合针刺治疗广泛性焦虑症的疗效.方法治疗组用针刺结合中药治疗40例,对照组采用口服多虑平治疗38例,治疗前、中、后均作焦虑自评量表(SAS)、副反应量表(TESS)评定.结果治疗组与对照组总有效率分别为82.5%和84.2%,两组治疗前后SAS组内比较差异有统计学意义(P＜0.01),两组间痊愈显效率、总有效率及SAS评分比较无差异(P＞0.05),但副反应对照组显著高于治疗组(P＜0.01).结论针刺结合中药治疗广泛性焦虑症疗效确切,且毒副反应轻微.     

针药结合治疗黄褐斑临床疗效观察

目的:观察针药结合治疗黄褐斑的临床疗效。方法:将176例黄褐斑患者随机分为两组,治疗组90例采用针药结合治疗,对照组86例采用单纯西药治疗。10天为1疗程,两组均治疗3个疗程后观察疗效。结果:治疗组总有效率为96.7%,对照组为82.6%,二者疗效差异有显著性意义(P0.05)。结论:针药结合对黄褐斑的治疗效果明显优于单纯的药物治疗。     

Clinical observation on treatment of genual osteoarthritis by needle-warming therapy plus Chinese herbal drugs

目的:观察针药结合治疗膝骨关节炎的临床疗效.方法:将138例患者随机分为治疗组85例,运用电温针配合中药治疗;对照组53例,以西药内服治疗.经治疗1个月后停1个月再行观察作疗效对照.结果:治疗组总有效率89.4%,对照组56.6%,两组疗效差别有非常显著性意义(P＜0.01).结论:电温针配合中药治疗膝骨关节炎效果明显、确切.     

Observation on Treatment of Depression with Acupuncture and Chinese Medicine： A Report of 52 Cases

目的讨针灸与中药并用治疗抑郁症的效果.方法将98例抑郁症患者随机分为两组,治疗组52例,采用头皮针、电针(百会、神庭、太冲、内关、关元、足三里、三阴交)配中药逍遥散加味.对照组46例,采用中药逍遥散加味.结果治疗组总有效率为94.23%,对照组总有效率为78.26%,两组比较差异有统计学意义(P＜0.05).结论灸配合中药治疗抑郁症疗效显著.     

Clinical observation of 40 cases of acne treated by acupuncture plus herbal drugs

Acne is divided into the patterns of wind and heat in the lung meridian and accumulation of dampness and heat. Forty cases of acne were treated by acupuncture plus herbal drugs (acupuncture and drug group, A) and 30 cases were treated by simple acupuncture as the control group (acupuncture group, B). The results showed basic cure in 31 cases, remarkable effect in 5 cases, effect in 3 cases, failure in 1 case and the total effective rate of 97.5% in Group A, and basic cure in 16 cases, remarkable effect in 6 cases, effect in 3 cases, failure in 5 cases and the total effective rate of 83. 3% in Group B. There was no significant difference (P>0.05) in the therapeutic effect and there was a significant difference (P<0.01) in the curative rate in the two groups. The therapeutic effect was obviously better in Group A than in Group B. Author: CAI An-he (1971-), male, resident Translator: Huang Guo-qi     

整体针药法治疗发作期支气管哮喘临床观察

[目的]观察整体针药法治疗发作期支气管哮喘(BA)的临床疗效。[方法]将60例辨证为寒哮证发作期的BA患者随机分为对照组30例,常规西药治疗;治疗组30例,在常规西药的基础上加用内服射干麻黄汤加减,外用穴位针刺及穴位敷贴治疗。两组均治疗1周。观察治疗后患者的临床疗效、肺功能及白介素(IL)-5、IL-10、嗜酸性粒细胞阳离子蛋白(ECP)的变化。[结果]治疗后,对照组总有效率为73.33%,治疗组总有效率为93.33%,两组比较差异有统计学意义(P0.05);治疗组对肺功能的改善优于对照组(P0.05);治疗后,治疗组患者IL-5、嗜酸性粒细胞(EOS)及ECP水平低于对照组(P0.05),IL-10水平高于对照组(P0.05)。[结论]整体针药法联合常规西药治疗BA优于单用常规西药治疗。     

针药并用治疗术后胃肠综合征临床观察

目的 观察针药并用治疗术后胃肠综合征的疗效。方法 将117例住院患者随机分为以水针为主,中药汤剂为辅的治疗组86例,并设西药对照组31例进行对比观察。结果 治疗组和对照组的总有效率分别为96％与81％（P＜0．01）,治疗组的疗程明显短于对照组（P＜0．001）,结论,针药并用治疗术后胃肠综合征疗效确切,并明显优于对照组。     

中医方案治疗偏头痛的贝叶斯网状Meta分析

目的 运用贝叶斯网状Meta分析法比较中药、针灸推拿等中医方案对偏头痛患者5-HT、头痛发作频率、VAS评分及有效率的疗效差异性。方法 计算机检索中英文八大数据库，收集中药方剂、针灸推拿等干预偏头痛的随机对照试验，检索时间为建库-2021年12月，评价文献质量，运用Stata和Gemtc软件分析数据。结果 纳入42篇文献，网状Meta分析结果显示，在对5-HT影响上，与西药相比，单纯中药或针刺、针刺+中药方案疗效均显著，其中针刺+中药的治疗方案升高偏头痛患者5-HT效果最优［SMD=2.02%，95% CI（0.86，3.18），P<0.01］，其次为针刺［SMD=1.99%，95% CI（0.81，3.16），P<0.01］，再次为中药［SMD=1.60%，95% CI（0.82，2.39），P<0.001］，疗效排序依次为推拿+中药>针刺+中药>针刺>中药>推拿>灸法>西药。在降低头痛发作频率上，针刺+中药的治疗方案效果最优［MD=-11.55，95% CI（-15.36，-7.74），P<0.001］，其次为推拿+中药［MD=-9.05，95% CI（-14.37，-3.73），P<0.01］，排序评价依次为针刺+中药>推拿+中药>针刺+推拿>推拿>中药>针刺>灸法>西药。在降低VAS评分上，单纯中药或针刺、灸法、针刺+中药以及针刺+推拿方案疗效均显著，针刺+推拿治疗方案降低偏头痛患者VAS评分最优［MD=-1.74，95% CI（-3.12，-0.37），P<0.01］，其次为针刺+中药［MD=-1.72，95% CI（-2.52，-0.92），P<0.01］，再次为单纯中药［MD=-1.53，95% CI（-2.11，-0.94），P<0.05］，灸法［MD=-1.27，95% CI（-2.27，-0.27），P<0.05］，单纯针刺［MD=-1.03，95% CI（-1.72，-0.34），P<0.05］，疗效排序依次为针刺+推拿>针刺+中药>中药>灸法>针刺>推拿+中药>推拿>西药。有效率上，单纯中药、灸法、针刺+中药、针刺+推拿以及推拿+中药方案疗效均显著，推拿+中药方案有效率最高［MD=6.48，95% CI（2.66，15.81），P<0.001］，其次为针刺+中药［MD=5.32，95% CI（2.62，10.83），P<0.01］，再次为单纯中药［MD=4.74，95% CI（3.14，7.15），P<0.001］，灸法［MD=3.71，95% CI（1.76，7.84），P=0.012］，针刺+推拿［MD=3.49，95% CI（1.47，8.28），P<0.01］，排序评价依次为推拿+中药>针刺+中药>中药>灸法>针刺+推拿>推拿>针刺>西药。结论 推拿+中药的结合方案在对偏头痛患者5-HT影响和临床有效率上具有优势，在降低头痛发作频率上，针刺+中药在所有方案中可优先考虑，针刺和推拿联合减少发作次数显著，针对偏头痛发作频繁者可优先考虑采用该方案。考虑纳入文献偏倚缺陷，需谨慎使用研究结论，未来需开展更多高质量研究予以验证。     

Acupuncture and medicated oxygen therapy for multiple infarctional dementia

Purpose To observe the clinical efficacy of acupuncture and medicated oxygen therapy in the treatment of multiple infarctional dementia (MID).Methods 150 cases of MID were randomized into three groups: group A in which 50 cases were treated by acupuncture and medicated oxygen, group B in which 50 cases were treated by acupuncture and inhaled oxygen and group C in which 50 cases were simply treated by acupuncture.Results The clinical effects were obviously better in group A than those in group B and group C (P<0.05,P<0.01).Conclusion Chinese medicine together with oxygen and acupuncture can improve brain blood circulation, activate brain cells, increase the volume of brain blood flow and its blood supply, and enhance the clinical effects. Author: HOU An-le (1952-), male, senior consultant doctor and professor Translator: XIAO Yuan-chun     

Observations on the curative effect of acupuncture on depressive neurosis

Purpose To evaluate the curative effect of acupuncture on depressive neurosis.Method Sixty-two patients were randomly divided into a treatment group of 32 cases and a control group of 30 cases. The treatment group and the control group were treated with acupuncture and Fluoxetine, respectively. The curative effects were evaluated by HAMD.Results There was a significant difference between pretreatment and posttreatment in each group (P<0.02). There were no significant differences in curative effect and score reduction rate between the two groups (P>0.05). But acupuncture had no side effects and was good in compliance.Conclusion Acupuncture is an effective method for treating depressive neurosis. Translator: WANG Si-you