第四届全国经络学术讨论会简况

<正> 为1984年第二届全国针灸针麻学术讨论会作准备,第四届全国经络学术讨论会于1983年1月9日至15日在昆明召开。参加这次会议的代表有108人。会上有156篇论文进行了交流,从论文的质量来看,与1979年第一届会议相比,我国的经络研究取得了不少的新成就。近几年来,将一些新技术成功地应用到这个研究领域,使经络研究工作从主要靠病人主述转向了客观显示的新阶段。红外线热像仪的使用,不仅在穴位上而且在循经感传     

论木通

通过对本草文献的分析和有关基本植物的辨识,澄清了中药木通的品种状 况,解释了木通所含马兜铃酸引起的麻烦,以期重视中药规范化问题。     

CLINICAL OBSERVATION ON OPHTHALMOPLEGIA TREATED BASED ON SYNDROME DIFFERENTIATION

Clinical pathway of TCM in treating ophthalmoplegia, established by The 2nd Affiliated Hospital of Heilongjiang University of TCM, has been brought into the 2nd batch of clinical pathway of the State Administration of TCM.We conducted a multicenter comparative study with 14 hospitals within the state.A total of 260 patients were randomly divided into a treatment group and a comparative group.Ophthalmoplegia in treatment group was typed into supranuclear, nuclear, internuclear and ocular, and patients were treated by the combination of scalp cluster needling, ocular acupuncture and distal point selection according to the clinical pathway.Supranuclear ophthalmoplegia patients were given scalp cluster needling on parietal and nuchal region; internuclear ophthalmoplegia patients were given scalp cluster needling on occipital and nuchal region with ocular acupuncture; nuclear ones were given scalp cluster needling on occipital and nuchal region with ocular acupuncture combining with distal point selection; and ocular ones were given ocular acupuncture combining with distal point selection.The therapy lasted 30 min once daily, and 4 weeks as 1 course.The control group received 1.5 mg/d of mecobalamin in three divided doses after meals for 4 weeks.Curative effects were determined by TCM criterion of therapeutic effect.The research resulted 92% effective rate in the treatment group and 75% in the control group with significant difference(P0.05).That proves that treating ophthalmoplegia based on syndrome differentiation is superior to the mecobalamin group and the therapy is worth extension and application.     

电针对狗输尿管蠕动影响的研究

<正> 1971年以来,我院外科急腹症研究组用中西医结合的排石疗法,治疗输尿管结石病,取得了显著的排石效果。在此基础上,我们对这一疗法的作用原理进行了逐项的研究。本文观察了电针狗的某些穴位对输尿管蠕动的影响,并对其机理进行了初步探讨。实验方法输尿管蠕动记录方法:采用两种方法。一是将水检压计连接于输尿管,观察输尿管蠕动时内压(以毫米水柱表示)的波动,藉以反映其蠕动活动的变化;另一是将一聚氯乙烯导管插入近膀胱处的输尿管,导管的另     

“八纲”纵横谈

“八纲辨证”是中医基本辨证纲领之一,自新中国成立后引入全国统编教材沿用至今,已经成为中医界公认的传统概念。长期以来,在教学、临床、科研等各个方面均发挥了重要作用。但是无论其概念与内涵,始终存在一些问题需要解决。作为一种传统理论,更存在着继续深入研究、加以提高的必要性。     

OBSERVATIONS ON CURATIVE EFFECT OF ACUPUNCTURE AND MOXIBUSTION ON INSOMNIA

,,,, t.Objective: To observe the curative effect of acupuncture and moxibustion on insomnia and to explore its mechanism.Methods: One hundred and twenty patients were randomly divided into an experimental group and a control group.Sixty patients in the experimental group were treated once a day with acupuncture at Baihui(GV20), Sishencong(EX-HN1), Shenmai(BL62) and Zhaohai(KI6) and with moxibustion at Baihui(GV20) and Sishencong(EX-HN1).Sixty patients in the control group were acupunctured once a day at Shenmen(HT7), Neiguan(PC6) and Sanyinjiao(SP6).Pittsburgh Sleep Quality Indexes(PSQIs) were used to compare the curative effects of the two groups.Results: The total effective rate was 87.7% in the experimental group, which was higher than that of 76.3% in the control group.The PSQI scores and the total score after treatment were obviously lower than those before treatment in both groups.The reduction in the experimental group was more obvious than that in the control group in sleeping quality, time of falling asleep, sleeping disorder and daytime function(P0.05).Conclusion: The curative effect of acupuncture and moxibustion at GV20, EX-HN1, BL62 and KI6 on insomnia in the experimental group is better than that in the control group.     

LECTURES ON ACUPUNCTURE—PartⅠ Clinical Acupuncture Lecture Nineteen INSOMNIA

Insomnia refers to a disorder in which patient can not have normal or enough sleep. Clinically, it has different manifestations. In mild cases, it is manifested as difficulty in getting to sleep, easy to wake up and unable to sleep again after waking. In severe cases, it is manifested as sleeplessness during the whole night.     

健神利水Ⅰ号对血管源性脑水肿影响的实验研究

目的 :观察健神利水Ⅰ号(五苓散加三七、丹参活血祛瘀)和醒脑消肿胶囊(五苓散加石菖蒲、夏枯草清火化痰开窍)对血管源性脑水肿的疗效差异 ,并探讨引起差异的原因。方法 :用自体无肝素新鲜血注入法制作脑出血脑水肿兔模型 ,观察并检测12h和24h两个时间点的脑系数、脑含水量、伊文思蓝含量。结果 :两中药组在降低脑系数、脑含水量、伊文思蓝含量上均有差异(P<0 01) ,其中健神利水Ⅰ号与醒脑消肿胶囊比较有显著性差异(P<0 05)。结论 :动物模型实验表明在12h内已出现血管源性水肿 ,并随时间推移脑水肿有进一步加重的趋势 ;健神利水Ⅰ号对血脑屏障的保护作用强于醒脑消肿胶囊。     

针刺在减肥中作用的临床研究

目的 为了提高减肥的疗效,观察针刺在减肥中的作用。方法 将121例单纯性肥胖症患者分6个组,以体重下降及腰围减少为指标,观察针刺、控制饮食、运动在减肥中的作用。结果与结论 针刺能明显提高减肥疗效,并且97．8％不反弹。     

暗示对针麻效果影响的观察

<正> 针刺麻醉的大量临床实践和实验研究已经证明,针刺具有调整和镇痛作用。可作为麻醉的手段之一。但心理因素,如其中的暗示作用,在针麻中有何意义,还存在不同看法。国外有人认为,针麻就是一种催眠暗示性的麻醉,多数人意见相反,有人进而用实验证明其机理是不同的。我国于1973年即有工作看到,暗示感受性高的人     

STUDY ON THE EFFECT OF ACUPUNCTURE ON CEREBRAL ISCHEMIA IN MICE

Ｍｅｎｔａｌｒｅｔａｒｄａｔｉｏｎ (ＭＲ)ｉｓａｌｓｏｃａｌｌｅｄａｓｏｌｉｇｏｐｈｒｅｎｉａｏｒｍｅｎｔａｌｄｅｆｅｃｔｏｃｃｕｒｒｉｎｇｄｕｒｉｎｇｄｅｖｅｌｏｐｍｅｎｔｓｔａｇｅ .Ｉｔｍａｎｉｆｅｓｔｓｍａｉｎｌｙａｓｄｉｓ ｔｕｒｂａｎｃｅｉｎｐｅｒｃｅｐｔｉｏｎ ,ｍｅｍｏｒｙ ,ｓｐｅｅｃｈａｎｄｆｉｎｅｍｏｖｅｍｅｎｔ ,ｅｔｃ ..Ｔｈｅｔｈｅｒａｐｅｕｔｉｃｅｆｆｅｃｔｏｆ“ＪＩＮＳａｎＺｈｅｎ”ｔｈｅｒａｐｙｍａｉｎｌｙｆｏｒｔｒｅａｔｍｅｎｔｏｆｉｎ ｆａｎｔｉｌｅＭＲｈａｓｂｅｅｎｃ…     

《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。     

CURRENT EVALUATION ON HEMIPARALYSIS AND STUDY ON ITS TREATMENT WITH ACUPUNCTURE

Apoplectichemiparalysisresultsfromlossofcontrolcapacityofthehighnervecenteronthevoluntarymovement,anabnormalmotionmodeonthebasisofmuscularspasmappearsundercontrolofthelowernervecenterinstead.There-fore,theresultantweakeningofmyodynamiaisaqualitativechange[']andthetreatmentshouldbeaimedpredominantlyatcoordinatingthebal-anceoftensionamongmusclegroups,promotingseparationandappearanceofvoluntarymove-ment,reestablishingthenormalmotionmodeunderthecontrolofhighnervecenterandrealiz-ingafunctionalrecomb…     

EXPERIMENTAL STUDY ON THE EFFECT OF ACUPOINT-CATGUT-EMBEDDING ON EEG OF EPILEPSY RATS

Epilepsyisaparoxysmalandtransitorydis turbanceofthefunctionsofthebrainwhichde velopssuddenly ,ceasesspontaneously ,andex hibitsaconspicuoustendencytorecurrence.Itisacommonsyndromewithrepeatedonsetoftheuncontrolledneuraldischargesofthebrain .Itsischaracterizedbyparoxysmaltrance,disorderofconsciousness,evensuddenfalling ,lossofcon sciousness,etc.,whichmayormaynotbeasso ciatedwithtonicspasmandcloniccontractionsofthemuscles,foaminginthemouth ,screamingorroar,up viewingoftheeyes.Afterrecoveringcons…     

OBSERVATION ON CLINICAL EFFECTS OF WARM NEEDLING ON 200 CASES OF SCIATICA

The author selected acupoints according to the meridian that was affected bypain and the primary symptoms to treat 200 cases of sciatica. Of thern, 152 (76. 0% ) cases werecured, 28 (14.0% ) markedly improved, 12 (6.0% ) improved and 8(4.0% ) ineffective.     

OBSERVATION ON CURATIVE EFFECTS OF BEATING-ACUPUNCTURE ON 100 CASES OF CERVICAL SPONDYLOPATHY

Beating-acupuncturetherapyisdevelopedbychiefphysicianLiXutang,anassociatedirec-torofJingdezhenMunicipalFirstHospita1,basedon"non-invasivepainacupuncturetheory"ofprofessorWeiJia.ItusesadistinctiveneedlinginstrumentandincorporatesthestrongPOintsofdigitalacupointpressure,massageandscrappingtherapyasawholewithnontraumaticpain,saftyandreliability,andithasbeenwellreceivedbypatients.Since1992,wehavetreat-ed1Oocasesofcervicalspondyloparthywiththistherapyand5Ocasestreatedbyfiliform-needleacupunctur…     

红花总黄素对离体大鼠心脏保护作用的实验研究

目的:探讨红花总黄素(SY)对离体大鼠心脏的保护作用.方法:以离体大鼠心脏为观测对象,观察其在4℃10% SY和单纯生理盐水中保存不同时间时,观察各不同时间心肌组织中一氧化氮(NO)、丙二醛(MDA)含量和超氧化物歧化酶(SOD)活性的变化情况.结果:组内各时点间比较:SY组5h心肌中NO含量与0h相比有显著性差异(P＜0.05),余均无显著性改变;对照组在各时点NO和MDA含量、SOD活性均与0h有显著性差异(P＜0.05).组间各指标比较:自2h起,各时点SY组NO含量和SOD活性均显著高于对照组,MDA含量均显著低于对照组(P＜0.05).结论:红花总黄素能较明显的减轻自由基对缺血心肌的损伤,延长心肌存活时间.可考虑通过进一步研究将其应用于心脏移植供心的保护.     

胰岛素和氨茶碱影响针麻效果的临床观察

<正> 大量研究资料反复证明,脑内5-羟色胺(5-HT)能神经元系统在针刺镇痛中有着重要作用。激活或加强这个系统的神经传递,针刺镇痛效应得到提高;相反,破坏或减弱这个系统的神经传递,则针刺镇痛效应明显降低。我们以往的动物实验结果表明,胰岛素和氨茶碱在提高脑内5-HT含量的同时,可明显提高大白鼠的针刺镇痛效应。为了验证上述动物实验结果,并探索提高临床针麻效果的可能途径,我们用双盲法观察了胰岛素和氨茶碱对临床针麻效