Therapeutic Observation on ＂Green Tortoise Probing Cave＂ Operation plus Stuck Needle Method in Treating Transverse Process Syndrome of the Third Lumbar Vertebra

Transverse process syndrome of the third lumbar vertebra is a common cause of lumbago and sciatica It is manifested by localized soreness, distention and pain on unilateral or bilateral aspect of the third lumbar transverse process. There is also fixed tenderness point at the tip of the transverse process. This condition frequently occurs in young adults who are engaged in physical work. In recent years, the author used green tortoise probing cave method and stuck needle method for treating 72 cases of transverse process syndrome of the third lumbar vertebra, it is now report as follows.     

温针疗法治疗第三腰椎横突综合征的临床研究(英文)

目的:观察温针治疗第三腰椎横突综合征的临床疗效。方法:将120例患者随机分为2组,观察组68例,采用密集温针灸治疗;对照组52例,采用小针刀治疗。结果:观察组与对照组疗效相当,随访6月观察组复发率有偏低趋势。结论:密集温针与小针刀治疗对第三腰椎横突综合征均有较好疗效,但密集温针治疗操作简便,且有复发率偏低趋势。     

皮内针疗法及其在胃病治疗中的应用

Intradermal needle therapy is a kind of therapy by embedding specially-made short needles in the points for long time retaining.It is also known as needleembedding therapy,develops from the ancient method of needle retaining[1].Intradermal needle therapy can be used to treat some diseases which need long time retaining of the needle[2-5].     

Observation on warm needling therapy for third lumbar vertebra transverse process syndrome

Objective： To observe the effect of warm needling therapy plus acupuncture on third lumbar vertebra transverse process syndrome. Methods： Sixty cases of third lumbar vertebra transverseprocess syndrome were randomly divided into a warm needling groupor an acupuncture group, 30 cases in each group. Cases in the acupuncture group were treated by routine points and needle sticking manipulation, while those in the warm needling group were treated by moxibustion plus needling as same as the acupuncture group. Japanese orthopedic association scores （JOA） in the two groups were observed and compared after 2 treatment courses. Results： After treatment, the JOA score in the warm needling group was higher than that in the acupuncture group （P〈0.01）; subjective symptom, clinical syndromes, activity of daily living （ADL） in the warm needling group were all higher than those in the acupuncture group （allP〈0.05）; the score of pain in the warm needling group was significantly lower than that in the acupuncture group （P〈0.01）; the total effective rate in the warm needling group was 76.7%, versus 70.0% in the acupuncture group, showing a statistically significant difference （P〈0.05）. Conclusion： Warm needling therapy is more effective thannormal acupuncture in treating third lumbar vertebra transverseprocess syndrome.     

小针刀综合治疗对慢性非特异性下背痛患者疼痛及腰屈曲活动度的影响

目的:观察小针刀为主综合治疗慢性非特异性下背痛患者的疗效。方法:将305例患者随机分为针刀组(153例)、理疗组(152例)。针刀组采用小针刀松解治疗,辅以封闭和功能训练;理疗组行超短波、调制中频电、推拿及功能训练治疗。两组患者治疗前后均采用视觉模拟评分(visual analogue scale,VAS)法评定疼痛程度,并测量腰屈曲活动度。结果:两组患者疼痛程度及腰屈曲活动度均明显改善,治疗后针刀组VAS评分为(1.60±0.38)分,腰屈曲活动度为(65.76±15.11)cm,理疗组分别为(4.59±1.09)分、(53.74±15.13)cm,针刀组明显优于理疗组(P<0.01)。两组患者随访6~36个月,针刀组VAS评分与腰屈曲活动度均优于理疗组(P<0.01)。结论:小针刀综合治疗可明显改善慢性非特异性下背痛患者疼痛及腰屈曲活动度,且远期疗效稳定。     

Survey: Use of acupuncture for the treatment of acute low back pain by physicians and physiotherapists in Ontario

目的：调查加拿大针灸从业人员对针灸治疗急性腰痛的有效性及相关费用的认识,从而确定针灸在急性腰痛治疗中的应用情况。方法：于1996年9月对安大咯加拿大针灸基金会的285名会员发放问卷,只对内科医生及理疗医生的反馈问卷进行统计分析。结果：281名符合条件的会员,197名完成了问卷（回收率70．1％）,45．0％为内科医生,55．0％为理疗医生。其中87．0％的人过去使用过针灸疗法治疗急性腰痛,66．O％的人调查时正在使用,87．0％的人表示将来会继续使用。87．0％的反馈者认为针灸治疗急性腰痛是有效的,60．0％的人认为针灸疗法可以阻止急性腰痛的发展。针灸平均每次费用为$28,必需的平均治疗次数为5．7次。结论：多数反馈者对针灸治疗急性腰痛持肯定态度,他们在临床上也经常使用针灸疗法治疗此病。绝大多数反馈者认为针灸治疗急性腰痛是有效的。此外,超过一半的反馈者相信针灸可以阻止急性腰痛的病情发展。虽然本研究调查的针灸从业者坚信针灸治疗急性腰痛是有效的,但需要高质量的大样本调查予以验证。     

Characteristics of post-apoplectic talipes varus and acupuncture and rehabilitation therapy

This paper describes the characteristics of post-apoplectic talipes varus at the early and middle-late stages and puts forward the acupuncture and rehabilitation-therapy. Translator: KUAI Le     

揿针疗法分经论治神经根型颈椎病的临床研究

目的:观察揿针疗法分经论治神经根型颈椎病的临床疗效及可行性.方法:将70例神经根型颈椎病患者随机分为观察组与对照组,每组35例.对照组采用常规取穴的揿针疗法,观察组采用分经辨证取穴的揿针疗法.在治疗前后对两组患者的视觉模拟量表(VAS)评分及临床症状评分进行评价,并观察两组治疗方案的临床疗效.结果:治疗后,两组患者的VAS评分均较治疗前降低(均P<0.01),且观察组患者VAS评分低于对照组(P<0.01);两组患者的临床症状评分均较治疗前降低(均P<0.01),且观察组患者的临床症状评分低于对照组(P<0.01);观察组的临床总有效率高于对照组(P<0.05).结论:分经辨证取穴的揿针疗法能够降低神经根型颈椎病患者的疼痛评分,改善患者的临床症状,疗效优于常规揿针疗法.     

Acupuncture treatment for Subacute Non-specific Low Back Pain-A Retrospective Cohort Study in the Role of the Back Exercise in Acupuncture Services for Low Back Pain Sufferers

目的研究腰部的锻炼方法与针刺疗效的内在关系,以揭示部分腰痛病人针灸治疗恢复较慢的原因.方法采用回顾性调查研究方法.70例被诊断为腰痛的患者按顺序性抽样方法分为两组.观察组44例采用针刺治疗加锻炼的方法,对照组26例仅针刺治疗.根据针刺治疗后1年内的复发率比较两组间的差异.结果与结论背部锻炼是一个危险因素,它和腰痛的频繁发作有关.而针刺治疗是一种对亚急性非特异性腰痛的有效治疗方案.     

“脉满则痛”的病机及其在针灸治疗痛证中的应用

"脉满则痛"是<素问·举痛论>提出的疼痛病机之一,但没有被后世所重视.笔者把"脉满则痛"的发病机制归纳为阳热亢盛、血瘀气壅和气机逆乱,对其辨证施治规律进行了探讨.提出本病机可见于急性软组织损伤、热痹、头痛、气功偏差等多种疾患,与神经系统对痛觉易化的状态有着密切的关系.同时,提出以"釜底抽薪"作为治疗"脉满则痛"的原则,并以临床案例加以说明,旨在丰富指导针灸治疗痛证的理论.     

皮内针疗法治疗疑难杂症举隅

I learnt intradermal needle therapy from my teacher,Mr.Sheng Shan-ben,in 1960s for treating pain in the joints and muscles by activating blood and stopping pain.In particular,the immediate anesthetic effect could be obtained by this therapy for some mild joint sprain or strain[1-6].Therefore,I started to explore its applications for some difficult and intractable diseases.Now,the examples are given as follows.     

论芒针疗法中穴位的枢纽性

目的：探讨《芒针疗法》中枢纽穴位的特点和应用。方法：从经络的特性、腧穴的特性、疾病的部位、病机病症等方面探讨了枢纽穴位的确定方法和临床应用。结论：芒针枢纽穴位理论的确立,体现了芒针“少而精”的选穴配穴原则,也给临床治疗提供了一条执简驭繁的选穴配穴路径,既减轻了患者的痛苦,又提高了疗效。     

蜂针治疗慢性腰肌劳损疗效观察

目的:探索一种治疗慢性腰肌劳损的新方法.方法:将150例患者随机分为2组,观察组78例采用蜂针疗法,取穴以腰部华佗夹脊、肾俞、志室、次髎、委中、阿是穴为主;对照组72例采用常规针刺法,取穴同观察组,可配合火罐或温针.两组均每日治疗1次,10次为一疗程,治疗3个疗程、随访半年后统计疗效.结果:观察组痊愈49例,好转27例,无效2例,痊愈率62.8%;对照组痊愈29例,好转40例,无效3例,痊愈率40.3%,两组痊愈率差异有统计学意义(P<0.01).结论:蜂针疗法疗效明显优于常规针刺疗法,为治疗慢性腰肌劳损提供了一种较好的方法.     

Introduction to the application of sacroiliac acupuncture

Sacroiliac acupuncture was developed by the research faculty from Shanghai Research Institute of Acupuncture and Meridian on the basis of modem and traditional Chinese medical theories combined with clinical practice. Decades of clinical observations have proved its efficacy for treating lumbosacral neuralgia, systremma, epithelial gluteal neuritis, periformis injury, strain of lumbosacral spine muscles and muscular atrophy of the lower limbs. The author is thus going to introduce this needling therapy as follows.     

火针治疗痹症的疗效观察

目的 :观察火针治疗痹症的临床疗效。方法 :采用火针疗法治疗痹症 175例 ,同时设立毫针对照组 2 19例。结果 :火针组总治愈率及总有效率分别达到 86 3%和 97 7% ,毫针组分别为 78 1%和94 1%。 2组治疗 3次有效率、平均治愈时间对比 ,火针组明显优于毫针组 ,差异有极显著性意义 (P <0 0 1)。病程超过 3年时 ,火针组疗效优于毫针组 (P <0 0 5 ) ,3年以内则差异无显著性意义。结论 :火针治疗痹症有显著而肯定的疗效。     

Medicine bar percussion therapy and its clinical application

Medicine bar percussion comprehensive therapy is based on years of clinical experience from WANG Yue-zhen.a senior doctor of Chinese medicine in Shanghai.It combines acupuncture,moxibustion,medicine bar and physical therapy.This acts to dredge meridians.circulate qi and invigorate blood.Now it is reported as follows.     

刺血配合辨证针刺治疗痹症疗效观察

目的:观察刺血配合针刺法对痹症的临床疗效.方法:将192例痹症患者随机分为局部刺血配合针刺组(治疗组)96例和单纯针刺组(对照组)96例,比较两组疗效.结果:治疗组治愈率83.3%、总有效率100.0%,对照组分别为31.0%和87.0%,两组疗效比较差异有显著或非常显著性意义(P＜0.05,P＜0.01);两组平均治愈次数比较,治疗组均优于对照组(P＜0.05,P＜0.01).结论:刺血配合针刺法治疗痹症有显著而肯定的疗效.     

Treatment of Swallowing Dysfunction after Cerebral Apoplexy by Acupuncture： A Report of 56 Cases

采用针刺配合吞咽功能训练疗法治疗脑卒中后吞咽障碍56例，疗效满意，总有效率96．4％。     

Clinical observation of a combination of acupuncture and drug administration for non-specific acute lumbar sprain

目的：观察针药并用治疗非特异性急性腰扭伤的临床疗效。方法：将69例患者按就诊川页序随机分为针药并用组、针刺组和药物组。针刺组24例,采用针刺治疗,每日1次,共治疗5次;药物组20例,采用口服双氯芬酸钠治疗,50mg每次,每日2次,连服5日;针药并用纽25例采用与针刺组、药物组相同的针刺和药物治疗。以疼痛量表和下腰痛量表评价临床疗效。结果：三组患者治疗后在疼痛,活动度方面均有一定改善,但针药并用组疗效最佳,与针刺组、药物组比较,差异有统计学意义（P〈0．01）;针刺组与药物组比较,差异无统计学意义。结论：针药并用治疗急性腰扭伤疗效优于单纯针刺治疗或常规剂量双氯芬酸钠治疗。     

Clinical observation of combined acupuncture and herbs in treating low back pain due to climacteric osteoporosis in 40 cases

针刺双侧风池、大椎、膈俞、天宗及阿是穴,配合内服中药,治疗40例更年期骨质疏松腰背痛患者,治愈25例,好转9例,无效6例,总有效率85.0%.