Treatment of skin pruritus with auricular acupuncture

取耳穴肺、风溪、神门、皮质下、肾上腺和大肠,以耳针配合常规方法治疗皮肤瘙痒症患者25例,以常规方法治疗25例为对照.结果两组疗效差别有统计意义,前者好于后者.     

Treatment of 30 cases of migraine by mind-regulating acupuncture

目的；探讨神庭、内关和三阴交穴在针刺治疗偏头痛中的作用。方法：在德国Aachen市门诊工作中，以神庭，双侧内关和三阴交为主穴，双侧合谷、太冲，患侧头维、阳白、攒竹、丝竹空、率谷、四白，耳穴交感、神门、心和内分泌为配穴（调神针刺法）治疗偏头痛患者30例，与常规针刺法治疗28例患者进行对照。观察两组疗效及即时止痛效果。结果：调神针刺法总有效率为90.0％，常规针刺法为75.0％，前者疗效好于后者（X^2=4．57，P〈0．05）。调神针刺法治疗24h后止痛效果远优于常规针刺法（X^2=10．11，P〈0．01）。结论：应用神庭、内关和三阴交穴治疗偏头痛可以取得较常规针刺方法更好的疗效。     

Therapeutic Observation on Treatment of Enuresis with Combined Auricular Pressure and Tuina

贴压耳穴肾、膀胱、肺、心、肝、神门、枕和皮质下，结合推拿疗法，治疗了92例遗尿症患者，经治疗后痊愈61例．好转28例，无效3例，有效率96．7％。     

不同针灸疗法联合三阶梯止痛法治疗癌痛的网状Meta分析

[目的] 对临床常用的针灸疗法（毫针刺法、耳穴疗法、电针、艾灸、穴位贴敷、穴位埋线、穴位注射）联合三阶梯止痛法治疗癌痛的有效性及安全性进行网状Meta分析，为探讨针药联合治疗方案提供科学的循证依据。[方法] 通过计算机检索知网（CNKI）、维普（VIP）、万方（Wanfang）、中国生物医学文献（SinoMed）、PubMed、Cochrane Library、EMbase数据库、中国临床试验注册中心及美国临床试验注册中心的随机对照试验，时间限定为建库至2021年6月。由2名评价者分别进行独立筛选后，采用Stata14.0进行网状Meta分析。[结果] 该项研究涉及63项随机对照试验，样本量共计5 129例癌痛患者。数据结果表明，在临床有效率方面，所有针药联合疗法的有效性均优于单纯的三阶梯止痛法（P<0.05）；在不良反应发生率方面，除“穴位埋线+三阶梯”组未纳入相关研究，其余针药联合疗法的安全性均优于单纯的三阶梯止痛法（P<0.05），穴位注射联合三阶梯止痛法的安全性明显优于电针联合三阶梯法（P<0.05）。SUCRA数值排序结果提示，穴位注射联合三阶梯止痛法的临床有效率最佳，不良反应发生率最低。[结论] 所有针药联合疗法的有效性和安全性均优于单纯的三阶梯止痛法。在针药联合疗法中，穴位注射联合三阶梯止痛法的疗效最佳且安全性最高，可推荐作为治疗癌痛的首选方案。     

耳穴皮内针治疗失眠:随机对照试验

ObjectiveTo compare whether there is clinical effects difference between intradermal needle at auricular acupoint and conventional acupuncture for insomnia.MethodsA total of 70 patients were randomly assigned into an intradermal needle group and an acupuncture group, 35 patients in each group. Finally 34 patients completed the study in the intradermal group, 32 patients completed validly in the acupuncture group. The patients in the intradermal needle group received intradermal needle therapy, in which the needle was imbedded subcutaneously at auricular acupoint: Shénmén (神门 TF₄), Pízhìxià (皮质下 AT₄), Zhĕn (枕 AT₃₎, Xīn (心 CO₁₅), and back-shu point: Gānshū (肝俞 BL18), Xīnshū (心俞 BL15), Shènshū (肾俞 BL23) and Pǐshū (脾俞 BL20), as well as Ānmián (安眠 EX-HN18) retained for 2 days, and the patient would received a second therapy every other day, one course of treatment consisted of 3 times of treatment. The patients in the acupuncture group received a conventional acupuncture therapy, in which Zhàohăi (照海 KI6), Shēnmài (申脉 BL62), Shénmén (神门 HT7), Sānyīnjiāo (三阴交 SP6), EX-HN18, Sìshéncōng (四神聪 EX-HN1) were punctured conventionally with needle and the needle was retained for 30 min, once per day, one course of treatment consisted of 5 times of treatment. Before and after the4 courses of treatment, Pittsburgh sleep quality index (PSQI) of the patients in the two groups were evaluated, and their clinical therapeutic effects were evaluated too.ResultsThere were no statistically significant differences of PSQI scores and clinical therapeutic effects of the patients with insomnia in two groups after treatment (both P>0.05).ConclusionsIntradermal needle at auricular acupoint and conventional acupuncture therapy have comparable clinical therapeutic effects.     

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     

The Effect of Auricular and Systemic Acupuncture on the Electromyographic Activity of the Trapezius Muscle with Trigger Points—A Pilot Study

The purpose of this study was to analyze and compare intra and intergroup the immediate effect of the auricular and LR8 systemic acupuncture on the electromyographic activity of the trapezius with the trigger points. This is an experimental clinical trial; 40 people were split in 4 distinct groups (n = 10): GI mustard seed application in the auricular acupoint; GII bilateral needle application in the LR8 acupoint; GIII combination of the techniques; GIV/Control Group mustard seed application in an acupoint not linked to the muscle tension. The EMG was used to assess the muscle contraction for 5 seconds during the resting time and during the isometric contraction time. The EMG signal was first collect without the acupuncture intervention; then both techniques were applied for 5 minutes; and the EMG was collected again right after these applications. The Shapiro-Wilk test was used, the t test was paired with the Wilcoxon test to the intragroup comparison; One-way analysis of variance test for intergroup comparison. There was no statistical difference in the intragroup comparison for the groups. The same happened to the intergroup comparison before and after application. Systemic and auricular acupuncture did not promote immediate changes in the EMG activity of the trapezius muscle in individuals with MTrPs.     

Comparative Observation on therapeutic effects of treating menopausal syndrome with auricular points sticking-pressure and acupuncture

目的：对比观察耳穴贴压与针剌治疗女性更年期综合征的疗效。方法：86例患者随机分为耳穴贴压组和针刺组。根据改良的Kupperman指数进行疗效对比观察。结果：两组疗效对比差异经统计学处理无显著性。结论：耳穴贴压与针刺疗法均能有效治疗女性更年期综合征，且耳穴贴压更具有操作简便，易于推广的优势。     

Regulatory effect of acupuncture and moxibustion on the hematopoiesis of leukopenia model in rats

目的：研究针刺或艾灸膈俞穴对低白细胞模型大鼠提升白细胞和增强骨髓增殖功能的作用。方法：选用Wistcr大鼠为实验对象，用环磷酰胺（CTX）腹腔注射造成白细胞减少及免疫功能抑制模型，分组处理后，在不同时相进行白细胞计数，并计数骨髓有核细胞数，以评估针刺或艾灸膈俞穴的升白及增强骨髓造血功能的作用。结果：针刺、艾灸膈俞穴及常规西药治疗均可显著提升白细胞、增加骨髓有核细胞计数，且艾灸膈俞穴组疗效优于针刺膈俞穴组及常规西药对照组（P〈0．05）。结论：艾灸膈俞穴可明显提升低白模型大鼠外周血白细胞数和骨髓有核细胞计数．     

针刺治疗糖尿病周围神经病变的网状Meta分析及安全性评价

目的：系统评价针刺治疗糖尿病周围神经病变的疗效及安全性。方法：检索国家知识基础设施数据库（CNKI）、中文科技期刊数据库（CCD）、中国学术期刊数据库（CSPD）、中国生物医学文献数据库（CBM）、PubMed、Cochrane Library等数据库,筛选针刺治疗糖尿病周围神经病变的随机对照试验。对纳入的文献进行质量评价,采用Stata14.0及GeMTC 0.14.3软件进行数据分析。结果：最终纳入61项研究,涉及10种针刺相关疗法,共计4 968例患者,其中观察组2 543例,对照组2 425例。网状Meta分析结果显示,电针、电针联合耳穴贴压、针刺联合穴位注射、温针灸、梅花针扣刺、穴位注射联合中药熏洗、刺络放血等疗法总有效率优于甲钴胺;在改善正中神经运动传导速度方面,单纯针刺、针刺联合中药足浴、针刺联合穴位注射、温针灸、梅花针扣刺及穴位注射联合中药熏洗等疗法优于甲钴胺;在改善正中神经感觉传导速度方面,单纯针刺及电针疗法优于梅花针扣刺;在改善腓总神经运动传导速度方面,单纯针刺、电针、电针联合耳穴贴压、针刺联合穴位注射、梅花针扣刺、穴位注射、穴位注射联合中药熏洗及针刺联合中药足浴等疗法优于甲钴胺;在改善腓总神经感觉传导速度方面,电针联合耳穴贴压优于甲钴胺,电针联合耳穴贴压及穴位注射疗法优于温针灸。结论：10种针刺相关疗法治疗糖尿病周围神经病变,针灸综合疗法总体优于甲钴胺治疗,且电针联合耳穴贴压、针刺联合穴位注射以及单纯针刺总体优于甲钴胺治疗。针刺相关疗法安全,各类针刺综合疗法互有优劣,建议结合临床实际情况合理选择。     

新型冠状病毒肺炎恢复期针刺治疗的选穴规律分析＊

目的 分析新型冠状病毒肺炎（COVID-19，以下简称“新冠肺炎”）恢复期针刺治疗的选穴规律，为恢复期的康复治疗提供适宜的针刺穴位处方建议。方法 使用古今医案云平台（V1.4）对针刺治疗冠肺炎恢复期的选穴方案进行频次统计、关联分析、聚类分析、复杂网络分析。结果 共纳入77首腧穴处方，涉及腧穴59个，其中高频腧穴包括足三里、肺俞、气海、关元、脾俞等；关联规则得到24组重要腧穴组合；复杂网络分析得到核心处方为肺俞、足三里、气海、关元、脾俞、中脘、内关、天枢、三阴交、太渊、膻中。结论 本研究通过数据挖掘方法提取出了新冠肺炎恢复期针刺治疗的核心腧穴组合，该穴位组合可作为新冠肺炎恢复期针刺干预的基本穴位处方建议，为恢复期患者的康复治疗提供参考与借鉴。     

Treatment of climacteric syndrome by ear-acupoint application in 30 cases

采用耳穴贴压方法治疗30例更年期综合征患者,主穴取肾、神门、交感和内分泌.头晕目眩、记忆力下降、头痛者加肝、皮质下、肾上腺和内耳;失眠烦躁、潮热出汗者加心、肺和三焦.治疗3个疗程后,临床症状消失,月经周期紊乱明显改善者25例;临床症状减轻,月经周期紊乱明显改善者4例;经过治疗,病情无改变1例,总有效率为96.7%.     

益肾消渴汤结合耳穴敷贴治疗肾虚血瘀型早期糖尿病肾病32例

目的观察自拟益肾消渴汤结合耳穴敷贴治疗肾虚血瘀型早期糖尿病肾病的临床疗效。方法将108例病例采用简单随机法分为耳穴敷贴组、中药加耳穴敷贴组、西药加耳穴敷贴组,每组各36例,分别予耳穴敷贴、益肾消渴汤加耳穴敷贴、贝那普利加耳穴敷贴治疗;3组均治疗12周。观察各组临床疗效及治疗后中医证候积分、24 h尿微量白蛋白、空腹血糖、餐后2h血糖、总胆固醇、三酰甘油、糖化血红蛋白等指标的变化情况。结果耳穴敷贴组、中药加耳穴敷贴组、西药加耳穴敷贴组分别有33例、32例、33例纳入分析,其总有效率分别为63.64%、90.63%、69.70%,中药加耳穴敷贴组与其他两组疗效差异有统计学意义（P〈0.05）。各组治疗后中医证候积分均明显下降（P〈0.05）,组间治疗后比较,差异无统计学意义（P〉0.05）。各组治疗后24h尿微量白蛋白总量均明显降低（P〈0.05）;中药加耳穴敷贴组治疗后HbA lc显著降低（P〈0.05）,其他两组FBG、PBG、HbA lc、TC、TG治疗前后差异均无统计学意义（P〉0.05）。组间治疗后比较,各实验室指标差异均无统计学意义（P〉0.05）。结论益肾消渴汤结合耳穴敷贴治疗肾虚血瘀型早期糖尿病肾病具有较好的临床疗效,可以有效改善早期糖尿病肾病患者的临床症状,降低24h尿微量白蛋白水平。     

STUDY ON THE THERAPEUTIC EFFECT AND MECHANISMS OF AURICULAR ACUPUNCTURE FOR TREATMENT OF EXPERIMENTAL DIABETES MELLITUS IN THE RABBIT

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Treatment of 116 cases of facial pigmented spots by auricular needle-embedding method

以耳穴子宫、神门、内分泌、肺为主穴,根据辨证选取配穴,埋针治疗面部色素斑患者116例,全部治愈.     

针刺对单纯性肥胖症体重指数及腰臀围比的影响

目的：观察针刺减肥的疗效。方法：将80例单纯性肥胖患者随机分为针刺组和药物组，每组各40例。针刺组采用体针、电针，配合耳穴贴压的方法，体穴取天枢、关元、三阴交等，耳穴取神门、内分泌、脾等；药物组采用口服西药西布曲明的方法。分别于治疗前后测定患者的体重、体重指数、腰围、臀围及腰臀围比值，并评价减肥疗效。结果：针刺组的总有效率为87．5％，药物组的总有效率为82．5％，2组的治疗结果相近（P〉0．05）；2组患者治疗后的体重、体重指数、腰围、臀围及腰臀围比值均较治疗前显著下降，并且针刺组患者的腰围及腰臀围比值的改善优于药物组（P〈0．05）。结论：针刺减肥的疗效确切，并且针刺能有效地改善单纯性肥胖患者的体重、体重指数、腰围、臀围及腰臀围比值。     

Current situation and analysis of clinical application of auricular acupoint sticking therapy

Objective

By the bibliometrical analysis and evaluation of acupuncture theses on auricular acupoint sticking from 2005 to 2014, the analysis was processed from multiple aspects including the types and numbers of diseases and effective rates of various diseases, in order to objectively reflect the general situation of clinical application of ear point embedding method in the recent years.

Methods

By the bibliometrical analysis, the literature on auricular acupoint sticking in the recent ten years was counted up, analyzed and categorized.

Results and Conclusion

Auricular acupoint sticking is used clinically for diseases of 16 systems, including 130 diseases. 74 diseases were singularly treated with auricular acupoint sticking, including the advantageous disease category like insomnia, constipation and obesity, and secondary advantageous disease category like dysmenorrhea, myopia, allergic rhinitis, post-operative pain and acne vulgaris.

     

Treatment of Early-stage Adhesive Shoulder Periarthritis with Transcutaneous Electric Stimulation on Acupoints

目的：观察经皮穴位电刺激对粘连前期肩关节周围炎的治疗作用。方法：采用大样本、多中心、随机化等循证医学研究方法，对163例粘连前期肩关节周围炎患者分别进行经皮穴位电刺激治疗和电针治疗，观察经皮穴位电刺激对粘连前期肩周炎的治疗作用及与电针治疗的效应比较。结果与结论：经皮穴位电刺激对粘连前期肩周炎的总有效率达到96．59％，与电针比较无明显差异；该疗法不仅具有明显的止痛效应，对肩关节活动障碍也有明显的改善作用。经皮穴位电刺激为治疗肩周炎有效、简便的疗法。     

疏肝调神针法结合择时耳穴压豆治疗阈下抑郁（英文）

目的:观察疏肝调神针法结合择时耳穴压豆治疗阈下抑郁肝郁脾虚证患者的临床疗效。方法:34例患者均予以疏肝调神针法结合择时耳穴压豆治疗,疏肝调神针法选取主穴:百会、内关、太冲,配穴:四神聪、神庭、本神、足三里、肝俞、脾俞。每周3次,1周为一疗程,治疗4个疗程。择时耳穴压豆取穴:心、皮质下、神门、肝、脾,于9至11点(巳时)、11至13点(午时)、15至17点(申时)进行耳穴按压。3天更换一次,1周为1疗程,治疗4个疗程。治疗结束及治疗三个月后随访汉密尔顿抑郁量表24项(HAMD-24)、中医证候积分、流调中心用抑郁量表(CES-D)、生存质量指标(SF-36)积分评定临床疗效。结果:治疗后及三个月后随访HAMD-24、中医证候积分、CES-D评分较治疗前降低(均P<0.05),SF-36量表评分均高于治疗前(均P<0.05),治疗后与三个月后随访各项评分有差异但无统计学意义(均P>0.05)。34例阈下抑郁患者,痊愈8例,显效15例,好转9例,无效2例,总有效率为94.12%。结论:疏肝调神针法结合择时耳穴压豆能有效缓解阈下抑郁肝郁脾虚证患者症状,提高患者生活质量。