Forty-six Cases of the Nerve Root-Involved Cervical Spondylopathy Treated by Needling the “Sitian” Points

In order to investigate the analgesic effect of needling at “Sitian” points for the nerve root-involved cervical spondylopathy, 68 cases of the nerve root-involved cervical spondylopathy were randomly divided into a treatment group of 46 cases treated by needling at ＂Sitian＂ points, and a control group of 22 cases treated by needling at cervical Jiaji points. After 2 therapeutic courses, the therapeutic effects were evaluated by using the visual analogue scale （VAS） and the semeiographic format. The results showed that the markedly effective rate was 78.3% and 54.5%, respectively in the treatment group and the control group, and the difference between the two groups was of significance （P〈0.05）. It can be concluded that needling at “Sitian” points can bring about a better therapeutic effect on the improvement of clinical symptoms, ohvsical signs and pain than that of the needling at the cervical Jiaii points.     

Fifty-six cases of protrusion of lumbar intervertebral disc treated by penetration and oral administration of Chinese decoction plus traction.

Fifty-six cases of the protrusion Of the lumbar intervertebral disc in the treatment group were treatedby drug-penetration and oral administration of traditional Chinese decoction plus traction,and theother 35 cases in the control group by oral administration of Chinese decoction and traction.Theresults showed that the cure rate in the treatment group was 83.9%,and that in the control group was57.1%,with a statistically significant difference between the two groups(P<0.01),indicating that theformer is a more effective therapy for protrusion of the lumbar intervertebral disc.     

TREATMENT OF EPIGASTRALGIA BY EXTERNAL APPLICATION OF HUWEIGAO AT SHENQUE POINT

140 cases of epigastralgia were divided into two groups at random. The 100 cases in thetreatment group were treated with Huweigao externally applied at Shenque (Ren 8), andthe 40 cases in the control group by oral administration of Weinaian capsule. After a one-month treatment, the total symptom-relieving rate and the gastroscopy-proved effectiverate were 94.0% and 52.6% respectively in the treatment group, much superior to thosein the control group.     

External Application of Chinese Drugs on Acupoint Shenque Combined with Salpingostomy for Treatment of Sterility Caused by Obstruction of the Fallopian Tube——A Clinical Report of 45 Cases

Objective： To observe the therapeutic effect of external application of Chinese drugs on acupoint Shenque （CV 8） combined with salpingostomy for treatment of sterility caused by obstruction of the fallopian tube. Method： 75 cases were randomly divided into the following 2 groups. Forty-five patients in the treatment group were treated with external application of Chinese drugs on acupoint Sbenque （CV 8） combined with salpingostomy, while 30 patients in the control group were treated with salpingostomy only. Results： The results showed that in the treatment group, 26 cases were cured, 11 cases improved, and 8 cases failed, with a total effective rate of 82.22%; while in the control group, 14 cases were cured, 7 cases improved, and 9 cases failed, with a total effective rate of 70.00%. There is a significant difference in the total effective rate between the two groups （P〈0.05）. Conclusion： The therapeutic effect of external application of Chinese drugs on acupoint Shenque combined with salpingostomy is better than that of salpingostomy only.     

TREATMENT OF ACUTE PANCREATITIS WITH LIYI TANG -A Report of 50 Cases

Fifty cases of acute pancreatitis (AP) were treated with LIYI TANG (Decoction for AP) as the treatment group, and the other 50 cases of the disease with Western drugs as the control group. The results of one-week clinical observation showed that, in the treatment group, 43 cases were cured, 3 markedly effective, 2 improved and 2 ineffective; while in the control group, 32 cases were cured, 5 markedly effective, 4 improved, and 9 ineffective, showing a statistically significant difference in therapeutic effects between the two groups (P< 0.05).     

TCM Stage Differentiation Treatment of Diabetic Gangrene——An Observation on Microcirculatory Changes

Microcirculatory changes and therapeutic effects in 39 non-insulin dependent diabetes mellitus(NIDDM)cases were evaluated.Under the same basic treatment in both groups,the treatment group(21 cases)was treated with TCM drugs according to its stages and compared with the control group(18 cases,treated with 654-2).The results showed that the microcirculatory cumulative scores weresignificantly decreased in both groups(P<0.05),but the decrease in the treatment group was moremarked(P<0.05).In the treatment group,15 cases were cured,3 markedly effective,2 effective and 1ineffective;while in the control group,13 cases were cured,1 markedly effective and 4 ineffective.Statistically,there is no significant difference between the 2 groups(P>0.05)in therapeutic effects.     

Thirty Cases of Obsession Treated by Point-Stimulation and with Small Dose of Chlorimipramine

Objective: To investigate the clinical therapeutic effects of point-stimulation for obsession. Methods: Sixty cases of obsession were divided into two groups: a control group of 30 cases treated with chlorimipramine (Ch1), and a treatment group of 30 cases treated by point-stimulation (PS) plus chlorimipramine (PS Chl). The therapeutic effects and side-effect were evaluated according to the criteria set in Yale-Brown Obsession Scale (Y-BOCS), Hamilton's depression scale (HAMD), brief psychiatric rating scale (BPRS) and treatment emergent symptom scale (TESS). Results: The cure rate and markedly effective rate were respectively 26.7% and 56.6% in the control group, and 43.3% and 50% in the treatment group, suggesting that the therapeutic effect in the treatment group was better than that in the control group. The incidence of adverse side-effects was 73.33% in the control group and 46.67% in the treatment group, with a significant difference between the two groups (P<0.05). Conclusion: Point-stimulation plus small dose of chlorimipramine was superior to the simple chlorimipramine treatment, indicating that the combined method was more effective and safe for obsession with less side effects.     

ELECTRIC ACUPUNCTURE TREATMENT OF PERIPHERAL NERVE INJURY

54 cases of peripheral nerve injury were treated by electric acupuncture and compared with 54 control cases treated with supportive medication. The changes after treatment were ob-served chiefly by electromyography while sensory and motor improvement were also re-corded as auxiliary indicators. The therapeutic results in the acupuncture group were 5 cases cured, 26 markedly effective, 19 unproved, and 4 cases failed, a total effective rate of 92.6% in contrast to the 55.6% for the controls. Analysis of the therapeutic results showed that 1) those in the acupuncture group were significantly better than in the control group; 2) nerve injuries should be treated as early as possible; 3) the radial nerve and the common peroneal nerve recovered faster than others; 4) cases not surgically explored recovered faster than those that were, and 5) patients with prompt propagation of the needling sensation recovered significantly faster than those with slow propagation.     

Clinical Observation on Cervical Spondylopathy of the Vertebroarterial Type Treated by Electro-acupuncture

Objective: To observe the clinical therapeutic effects of electro-acupuncture in the treatment of cervical spondylopathy of the vertebroarterial type. Methods: According to the consulting order, the patients were randomly divided into a treatment group (29 cases treated with electro-acupuncture), and a control group (28 cases treated with simple acupuncture). 20 treatments were given to patients in both groups. Results: The markedly effective rate of the treatment group was 75% and that of the control group was 61.54% (P<0.05). Conclusion: Electro-acupuncture has a better therapeutic effect than the simple acupuncture in the treatment of cervical spondylopathy of the vertebroarterial type.     

Seventy-two Cases of Antidiabetic-Induced Hepatopathy Treated by Huatan Yigan Decoction

In order to observe the therapeutic effects of Huatan Yigan Decoction (化痰益肝汤 Decoction for resolvingphlegm and replenishing the liver) on antidiabetic-induced hepatopathy,129 cases were divided into twogroups,72 cases in the treatment group were administrated with Huatan Yigan Decoction and 57 cases inthe control group with the liver-protecting drugs.Their liver function,plasma prothrombin time (PT),bloodurea nitrogen and symptoms of the patients before and after treatment were observed during the threetherapeutic courses.Results:The total effective rate and cured rate of the treatment group manifested anobvious difference in comparison with those of the control group (P<0.05 or P<0.01).Even though the liverfunction,blood urea nitrogen (BUN) and symptoms in both groups were improved markedly,theseindicators in the treatment group were improved more markedly than those in control group (P<0.01).Noadverse effect was found during the treatment.Conclusion:Huatan Yigan Decoction shows a repair actionon hepatic injury.     

提抖整复法治疗外伤后慢性腕关节痛疗效观察

目的观察提抖整复法治疗外伤后慢性腕关节痛的临床疗效。方法将103例外伤后慢性腕关节痛患者随机分为治疗组和对照组。其中治疗组54例,采用提抖整复法加温针治疗;对照组49例,采用温针加口服双氯芬酸钠缓释片及氨基葡萄糖片的治疗方法。两组均10次一个疗程,两个疗程后观察疗效。结果治疗组优良率为90.7%,显效率为100%;对照组优良率为69.4%,显效率为85.7%,两组优良率及显效率比较差异有统计学的意义(P<0.05)。结论运用提抖整复法加温针治疗外伤后慢性腕关节痛疗效优于温针加口服药物治疗,值得临床推广。     

药物联合治疗难治性室性早搏82例疗效分析

目的 :探讨药物联合应用治疗难治性室性早搏的疗效。方法 :把 82例难治性室性早搏患者分为慢心律 +心律平组 5 1例 ,慢心律 +美托洛尔组 31例 ,两组对比疗效。结果 :慢心律+心律平组有效率为 93.84 % ,慢心律 +美托洛尔组有效率 86 .6 8% ,均明显优于单用药物组。随访 2年后治疗组 5例复发 ,有效率 72 .2 8% ,与对照组的 2 0 .2 3%相比差异非常显著 (P <0 .0 1 )。结论 :药物联合治疗难治性室性早搏较单一用药效果显著 ,具有重要的临床价值。     

泻肝补肺针法治疗太阴人抑郁症的临床研究

目的?观察朝医泻肝补肺针法治疗太阴人抑郁症患者临床疗效,探讨其内分泌及免疫机制。方法?将符合纳入标准的太阴人抑郁症患者90例随机分为3组（治疗组、对照组、药物对照组）,每组30例。治疗组采用朝医泻肝补肺针法针刺太渊、太冲穴;针刺对照组采用朝医常规针法针刺百会、内关穴;药物对照组给予西药百忧解口服。疗程8周。对比3组治疗前后HAMD抑郁量表积分,外周血皮质酮/肾上腺酮（CORT）、促肾上腺皮质激素(ACTH) 、白介素-6（IL-6）、C-反应蛋白（CRP）水平。结果?治疗后3组患者HAMD抑郁量表积分均明显降低（P<0.01）,治疗组效果最佳(P<0.01);3组患者外周血CORT、ACTH水平均明显降低(P<0.01),治疗组降低最明显(P<0.05~0.01);3组患者外周血IL-6、CRP水平均明显降低(P<0.01),但3组间比较无差别。结论?泻肝补肺针法能明显降低太阴人抑郁症患者抑郁状态,优于朝医常规针法及西药百忧解,且能降低太阴人抑郁症患者外周血CORT、ACTH水平及IL-6、CRP水平。      

The Brain-Resuscitation Acupuncture Method for Treatment of Post Wind-Stroke Mental Depression —— A Report of 45 Cases

In order to observe the therapeutic effects of the brain-resuscitation acupuncture method for postwind-stroke mental depression,90 such cases were randomly divided into two groups,each consisting of45 cases.For the treatment group,the brain-resuscitation acupuncture method was adopted,withNeiguan(PC 6),Renzhong(GV 26),Sanyinjiao(SP 6),Baihui(GV 20),and Shenmen(HT 7)selectedas the main points.For the control group,oral medication of Fluoxetine was prescribed.Therapeuticeffects and changes in the HAMD integrals of the two groups were observed.The total effective rate inthe treatment group was 77.7%,and that in the control group was 75.1%,showing no significantdifference between the two groups(P<0.05).The average effect starting time of the treatment group was11.58±4.89 days,while that of the control group was 15.96±6.50 days,showing a significantdifference between the two groups(P<0.05).It can be concluded that for the post wind-stroke mentaldepression,the brain-resuscitation acupuncture method may show a good and quicker therapeutic effectwith no side effects as compared with pharmacotherapy.     

腕踝针配合温针灸治疗肩关节周围炎40例临床观察

目的观察腕踝针配合温针灸治疗肩关节周围炎的临床疗效。方法将80例肩关节周围炎患者随机分为治疗组和对照组,每组40例,治疗组采用腕踝针配合温针灸治疗,对照组采用单纯温针灸治疗,每日治疗1次,2周为1个疗程,1个疗程后观察2组治疗前后肩关节功能、活动度评分及临床疗效。结果治疗组与对照组均能明显改善患者的肩关节功能及活动度（P〈0.01）,但治疗组改善程度较对照组更为显著（P〈0.05）。治疗组总有效率为97.5%,对照组为85.0%,2组比较差异有统计意义（P〈0.05）。结论腕踝针配合温针灸是治疗肩关节周围炎较佳的治疗方法,其疗效优于单纯温针灸治疗。     

围针治疗慢性荨麻疹30例

目的：观察围针治疗慢性荨麻疹的疗效。方法：将60例慢性荨麻疹患者随机分为治疗组和对照组各30例,治疗组采用围针联合开瑞坦治疗,对照组单纯口服开瑞坦。结果：治疗组和对照组总有效率分别为90．0％、66．8％,两组总有效率比较,差异有显著性（P〈0．05）。结论：围针联合开瑞坦疗效优于单纯口服开瑞坦。     

神阙穴隔盐灸配合三阴交穴温针灸治疗虚证良性前列腺增生症

目的：观察神阙穴隔盐灸配合温针灸治疗虚证良性前列腺增生症的临床疗效。方法：将36例患者按就诊科室分为治疗组(19例)和对照组(17例)。治疗组采用神阙穴隔盐灸配合温针灸疗法,每日一次;对照组口服非那雄胺,每次5 mg,每天1次。两组均治疗12周,观察两组临床疗效及不良反应。结果：治疗组的总有效率为84.21%(16／19),对照组的总有效率为70.59% (12／17),治疗组疗效优于对照组(P<0.05)。两组均未观察到严重不良反应。结论：神阙穴隔盐灸配合温针灸治疗良性前列腺增生症,安全有效。     

针刺四神聪印堂内关治疗抑郁症

目的：观察毫针刺四神聪、印堂、内关为主对抑郁症患者的治疗作用。方法：38例抑郁症患者随机分为治疗组和对照组，治疗组用毫针刺法治疗，对照组口服抗抑郁药多虑平治疗，两组患者都给予心理疏导，治疗前后进行HAMD量表评分。结果：两组患者治疗后抑郁状态都有所改善，但治疗组改善的程度明显高于对照组。结论：针刺四神聪、印堂、内关对抑郁症有明显的治疗作用。     

电针不同穴位组合对阿片类药物依赖者情绪的影响

目的:观察电针对阿片类药物成瘾者情绪的干预作用。方法:120例阿片类药物成瘾者经脱毒治疗后随机分为4组:对照组、针刺1组(内关、神门)、针刺2组(T5、T7夹脊穴)、针刺3组(内关、神门、T5、T7夹脊穴);分别于治疗前及治疗1周、2周、3周后用汉密尔顿焦虑量表和抑郁量表对患者情绪进行评定。结果:治疗后各针刺组在改善海洛因依赖者的焦虑和抑郁症状方面明显优于对照组(P<0.01);治疗2周后针刺2组和针刺3组均优于针刺1组(P<0.05)。在改善抑郁方面针刺3组在治疗3周后优于针刺2组(P<0.05)。结论:电针双侧内关、神门、T5、T7夹脊穴在改善阿片类药物依赖者的情绪方面效果显著。