Clinical Study on Moxibustion at Shenque （CV 8） for Chronic Urticaria

Objective： To observe the safety and efficacy of moxibustion at Shenque （CV 8） for chronic urticaria. Methods： A total of 80 cases who met the inclusion criteria were randomly allocated into a treatment group and a control group, 40 in each. Cases in the treatment group were treated with thunder-fire moxibustion at Shenque （CV 8）, whereas cases in the control group were treated with Mizolastine. Changes in clinical symptoms such as itching and skin lesion were observed before and after treatment and the therapeutic efficacies were assessed. Results： After treatment, the total scores of clinical symptoms in both groups were markedly reduced （P〈0.05）, and the reduction was more significant in the treatment group than that in the control group （P〈0.05）. The total effective rate in the treatment group was 77.5%, versus 65.0% in the control group, showing no significant difference （P〉0.05）. The Ridit analysis showed a between-group significant difference in therapeutic efficacy grades （P〈0.05）. There were no reports of adverse reactions in the treatment group and 2 cases experienced mild somnolence in the control group. Conclusion： With an exact effect for chronic urticaria, moxibustion at Shenque （CV 8） obtained better results in overall efficacy and improving symptoms than oral administration of Mizolastine.     

Experimental Research of Acupuncture at Zusanli （ST 36） for Anti-aging

目的：研究针刺足三里对D-半乳糖所致衰老小鼠抗衰老作用的机制。方法：三十只28周龄ICR系雌性小白鼠，随机分成对照组、模型组和针刺组。在光学显微镜下观察小肠粘膜形态学变4L；分别测定血清中超氧化物歧化酶（Superoxide Dismutase，SOD）活性和丙二醛（Malondialdehyde，MDA）含量。结果：针刺组SOD活性高于模型组和对照组，MDA含量低于模型组和对照组。模型组正常型绒毛比率减少，上皮细胞脱落再生加剧，肠绒毛萎缩；针刺组肠绒毛形态改善，肠上皮细胞异常减少。结论：针刺足三里能提高血清中SOD活性，减少MDA含量，改善肠绒毛形态，有助于延缓衰老过程。     

Effect and Mechanism of Moxibustion on Acupoints Zusanli （ST 36） and Liangmen （ST 21） in the Prevention and Treatment of Stress Ulcer

目的观察艾灸足三里等穴对应激性溃疡大鼠胃粘膜细胞增殖及凋亡的影响,探讨艾灸促进胃粘膜损伤修复的细胞分子生物学机制.方法60只SD大鼠随机分为4组,即束缚对照组、模型组、艾灸足三里和梁门穴组和艾灸非穴对照点组.束缚水浸应激法制备胃溃疡模型,放射免疫方法测定胃粘膜转化生长因子(TGF-α)的含量,免疫组织化学方法检测HSP70蛋白,胃粘膜增殖细胞核抗原(PCNA)及细胞凋亡指数.结果束缚水浸应激法造模后可致胃粘膜损伤指数升高,胃粘膜TGF-α含量下降;PCNA下降,HSP70蛋白增加;细胞凋亡指数增加(P＜0.01).艾灸足三里和梁门可降低胃粘膜损伤指数,增加胃粘膜TGF-α含量,促进HSP70和PCNA的表达,降低胃粘膜细胞凋亡指数,与模型组和对照组比较有显著性差异(P＜0.01).结论艾灸足三里和梁门对应激性溃疡胃粘膜具有保护作用,机制可能是促进TGF-α合成、刺激胃粘膜细胞增殖、抑制细胞凋亡,而这一过程与艾灸诱导HSP70表达有关.     

Warm Needling Moxibustion for Knee Osteoarthritis:A Randomized Controlled Trial

Objective： To observe the clinical effect of warm needling moxibustion for knee osteoarthritis （KOA） by a randomized controlled trial. Methods： Sixty cases with KOA were randomly divided into an observation group and a control group, 30 cases in each group. The observation group was treated by warm needling moxibustion. The control group was treated by simple acupuncture. Ten sessions made one course and the two groups were treated for two courses. The scores of knee joint pain, stiffness and knee functions before and after the treatment were observed. Results： The scores of Western Ontario and McMaster Universities osteoarthritis index （WOMAC） on pain, stiffness and joint functions before and after treatment in both groups were statistically different （all P〈0.05）. The comparisons of the scores in pain, stiffness and joint function after treatment between the two groups were all statistically different （all P〈0.05）. The total effective rate was 93.3% in the observation group and 80.0% in the control group. The differences of the clinical effects between the two groups were statistically significant （P〈0.05）. Conclusion： Warm needling moxibustion can improve the clinical symptoms and functions of the patients with KOA, and is better than ordinary acupuncture in the therapeutic effect.     

Moxibustion on Shenque （CV 8） Improves Effect of Acupuncture for Diarrhea-predominant Irritable Bowel Syndrome

Objective： To observe the clinical effect of acupuncture and moxibustion on diarrhea-predominant irritable bowel syndrome （IBS-D）. Methods： A total of 60 IBS-D patients were randomly allocated into a treatment group and a control group, 30 in each group. Patients in the treatment group were treated with acupuncture combined with ginger and salt-partitioned moxibustion on Shenque （CV 8）, whereas patients in the control group only received acupuncture treatment. Six days made up a course of treatment, and the clinical effects were statistically analyzed after 4 courses. Results： The overall response rate in the treatment group was 96.7%, versus 76.7% in the control group, showing a statistical significance （P〈0.05）. In the intra-group comparison of the symptom scores after treatment, there were statistical differences in both groups （both P〈0.01）, and in the inter-group comparison, the difference was statistically significant （P〈0.05）. Conclusion： Acupuncture combined with ginger and salt-partitioned moxibustion on Shenque （CV 8） can obtain better effect for ISB-D than acupuncture alone.     

不同中医体质人群足三里穴针刺得气规律研究

目的:观察不同中医体质人群足三里穴针刺得气现象的规律,探讨中医体质学说和针灸临床的关系。方法:采用问卷调查的方式,以王琦教授的《中医体质分类与判定表》为标准,对527例健康大学生进行体质分析及中医体质分型,并观察受试者左侧足三里穴的针刺感觉,对各体质间的针感性质及强度差异进行比较。结果:针刺感觉以酸、麻、重、胀、钝痛和循经感传等为主,受试者感受最多的是"胀"感,占90.3%,其次是"酸"感,占45.9%;除循经感传外,其他5种针感在各体质人群中出现率差异均无统计学意义(P0.05);循经感传在平和质人群中的出现率比气虚质、阳虚质、血瘀质及气郁质出现率高(P0.05)。在平和质人群中体会到的"酸"感强度较气虚质、阳虚质、阴虚质、痰湿质、湿热质、气郁质人群更大(P0.05),而"胀"感强度仅在平和质和阳虚质人群中差异有统计学意义(P0.05)。结论:除循经感传外,酸、麻、重、胀、钝痛5种针感在9种不同中医体质人群中出现的频次没有差异性和特异性。受试者感受到的酸感强度可能是针刺时产生镇痛的原因,提示针刺效应与体质有一定相关性,针刺时需因人施术、因人施治。     

揿针疗法治疗宫颈癌术后尿潴留的临床研究

目的:观察揿针疗法对宮颈癌术后尿潴留的临床疗效。方法:将100例宮颈癌术后尿潴留症状的患者随机分为对照组和观察组,每组50例。对照组仅接受基础护理,观察组在基础护理上配合揿针疗法;两组均治疗2个疗程。观察两组治疗前后主要症状积分和残余尿量,比较两组住院时长、尿管留置时长及临床疗效。结果:观察组有效率为96.0%,优于对照组的88.0%,差异有统计学意义(P<0.05)。治疗后,两组主要症状枳分及残余尿量较治疗前均明显降低(均P<0.05),组间比较观察组显著低于对照组(均P<0.05);观察组住院时长和尿管留置时长均较对照组明显缩短(均P<0.05)。结论:揿针疗法对改善宫颈癌木后尿潴留症状的效果明显,且持续性明显优于单纯基础护理。     

电针配合灸天突穴治疗慢性单纯性咽炎疗效观察

目的观察电针配合灸天突穴治疗慢性单纯性咽炎的临床疗效。方法将122例慢性单纯性咽炎患者随机分为治疗组59例和对照组60例。治疗组采用电针配合灸天突穴治疗,对照组采用药物治疗。疗程结束后比较两组总有效率。结果治疗组总有效率为98.3%,对照组为76.7%,两组比较差异具有统计学意义（P〈0.01）。结论电针配合灸天突穴是一种治疗慢性单纯性咽炎的有效方法。     

远取足三里、厉兑结合面部深透刺治疗周围性面瘫临床观察

目的:观察远取穴位对针刺疗效的影响.方法:将125例周围性面瘫患者随机分为两组.观察组75例,在面部取穴的基础上根据不同的辨证结果,分别选取足三里、厉兑穴;对照组50例,单纯面部取穴治疗,观察比较两组疗效.结果:观察组治愈率69.3%、显效率17.3%;对照组治愈率48.0%、显效率20.0%.观察组疗效优于对照组(χ2=7.337,P<0.05).结论:远取足三里、厉兑可提高针刺治疗周围性面瘫的疗效.     

针刺痛点配合艾灸足三里治疗肩周炎临床观察

目的:探寻治疗肩周炎的有效疗法.方法:以肩部疼痛、肩关节活动功能为观察指标,分别运用针刺痛点配合艾灸足三里和常规针刺,对60例(每组30例)患者进行对比治疗,并观察两组的临床疗效.结果:治疗组总有效率为96.7%,常规组总有效率为90.0%,两组总有效率差异无显著性意义(P＞0.05);但两组治愈率(分别为46.7%和20.0%)之间差异有显著性意义(P＜0.05).在改善肩关节活动功能和减轻疼痛方面亦同样具有统计学意义(均P＜0.01).结论:针刺痛点配合艾灸足三里治疗肩周炎在提高治愈率和减轻疼痛、改善肩关节功能方面优于常规针灸疗法.     

中风后尿潴留针灸诊疗特点分析

通过分析针灸治疗中风后尿潴留的文献,探讨其诊疗特点。电子检索中国知网(CNKI)、中文科技期刊全文数据库(VIP)、中国生物医学光盘数据库(CBM)以及PUBMED中针灸治疗中风后尿潴留的文献,分析总结针灸的辨证特点、选穴、治疗频次次数、治疗观察周期、疗效、随访和安全性等。针灸治疗中风后尿潴留选穴是辨病结合辨病位,具体表现为局部选穴配合远端循经取穴,常用穴位是关元、三阴交、中极、气海、阴陵泉、水道、百会、八髎、肾俞、膀胱俞。治法上针灸并重,频次多为1~2次/d,治疗次数多在30次以内,治疗观察周期多在1个月以内,有效率较高。