“贺氏三通法”对脑缺血再灌注大鼠模型血浆β-EP、ACTH的影响

目的观察“贺氏三通法”对脑缺血再灌注模型大鼠血清血浆β-内啡肽（β-EP）和促肾上腺皮质激素（ACTH）含量变化的影响,探讨针刺对大鼠脑缺血再灌注后机体反应的调节机制。方法采用线栓法制备大鼠右侧大脑中动脉脑缺血再灌注模型,将接受针刺的大鼠分为3h、6h、48h三组分别运用“贺氏三通法”予以治疗,然后采用放射免疫法检测血清血浆β-EP和ACTH含量。结果各组脑缺血再灌注大鼠血浆β-EP含量均明显增高,而ACTH呈下降趋势,但以3h组逆转β-EP与ACTH的比值失调更为明显。结论“贺氏三通法”针法可以调节脑缺血再灌注大鼠β-EP与ACTH的比值失调,而以3h组效果最为理想。     

贺氏针灸三通法验案举隅

贺氏针灸三通法是我国著名针灸学家、国家级名老中医贺普仁教授精研内难,通览甲乙,汲取历代医家思想之精华,并融合自己五十余年的临床经验、学术思想总结出来的针灸治病大法,包括火针、艾灸之温通法,三棱针之强通法,毫针之微通法。笔者于2002年赴京跟随贺教授学习,并被收为入门     

学习"贺氏三通法"的临床体会

贺氏针灸三通法是贺普仁教授经过50余年的临床实践所创立的针灸治疗学理论体系,包括了微通法、温通法和强通法.本文主要阐述了贺氏针灸三通法的创立过程;三通法理论的基本内容、含义,并通过若干验案体现其在临床中的应用.     

贺氏三通法对急性脑梗死患者血浆t-PA和PAI-1的影响

目的 :探讨贺氏针法防治急性缺血性中风机理及其临床意义。方法 :将 50例急性脑梗死患者分为贺氏针法组 (观察组)和局部取穴组(常规组 )各 2 5例 ,分别观察针刺 2天、7天和 2 1天血浆组织型纤溶酶原激活物 (t PA)及快速抑制物 (PAI 1 )的活性 ,并与 2 0例脑梗死后遗症期住院患者(对照组 )进行对照。结果 :治疗后两组患者t PA活性降低又升高 (P <0 0 5)。观察组PAI 1活性升高又降低 ,与对照组比较差异无显著性意义 (P >0 0 5) ;常规组PAI 1活性降低又升高 ,且均明显高于对照组(P <0 0 5 ,P <0 0 1 )。结论 :贺氏针法对急性脑梗死患者血浆纤溶活性下降有一定的影响 ,可能对脑梗死的复发有一定的预防作用     

贺氏针灸三通法及其治疗中风的经验

贺氏针灸三通法即微通法、温通法、强通法，是贺普仁教授提出的，微 通法是以毫针疗法为代表，温通法是以火针疗法为代表，强通法的典型方法是放血疗法，三通法较好地阐明了针灸的作用机理，“病多气滞，法用三通”的针灸学术思想是三通法的立论依据。本文将介绍三通法学术思想和贺老治疗中风的经验。     

贺氏三通法治疗痤疮疗效观察

目的　寻找提高痤疮临床疗效的最佳针灸组合方案。方法　将 1 6 2例痤疮患者 ,随机分为贺氏三通共用组 4 0例 ,强通加微通组 4 3例 ,强通加耳压组 4 3例 ,强通组 36例 ,进行临床疗效比较。结果　贺氏三通共用组总有效率为 97.5 % ,其它组分别为 88.37%、86 .0 5 %、72 .2 2 % ,经χ2 检验 ,贺氏三通共用组有效率明显优于其它三组 ,差异有非常显著性意义 (P <0 .0 0 5 ) ;强通加微通组与强通加耳压组疗效差异无显著性意义 (P >0 .0 5 ) ,与强通组疗效有显著性差异(P <0 .0 5 )。三通共用组的复发率低于其它三组。三通共用组各证型间疗效无差异。结论　贺氏三通法是针灸治疗痤疮的最佳组合方法之一     

贺氏针灸三通法治疗神经根型颈椎病的临床研究

目的 观察贺氏针灸三通法治疗神经根型颈椎病的临床疗效.方法 将80例神经根型颈椎病患者随机分为治疗组与对照组各40例.治疗组根据证型采用贺氏针灸三通法治疗,对照组口服根痛平颗粒,两组均以2周为1个疗程.评价临床总疗效,观察治疗前后神经功能评分、疼痛模拟量表评分及血液流变学变化.结果 治疗组、对照组总有效率分别为95.0%、70.0%,治愈率分别为57.5%、27.5%,两组比较差异均有统计学意义(P＜0.05).两组治疗后神经功能评分、疼痛模拟量表评分比较,差异亦均有统计学意义(P＜0.05).两组治疗后全血高切黏度(cp200)、全血中切黏度(cp30)比较,差异有统计学意义(P＜0.05).提示治疗组下降明显.结论 贺氏针灸三通法治疗神经根型颈椎病可减轻患者局部疼痛症状,改善神经功能积分及血液流变学指标,临床总疗效优于根痛平.     

贺氏针灸三通法治疗神经根型颈椎病的临床研究

目的观察贺氏针灸三通法治疗神经根型颈椎病的临床疗效。方法将80例神经根型颈椎病患者随机分为治疗组与对照组各40例。治疗组根据证型采用贺氏针灸三通法治疗,对照组口服根痛平颗粒,两组均以2周为1个疗程。评价临床总疗效,观察治疗前后神经功能评分、疼痛模拟量表评分及血液流变学变化。结果治疗组、对照组总有效率分别为95．0％、70．0％,治愈率分别为57．5％、27．5％,两组比较差异均有统计学意义（P〈0．05）。两组治疗后神经功能评分、疼痛模拟量表评分比较,差异亦均有统计学意义（P〈0．05）。两组治疗后全血高切黏度（cp200）、全血中切黏度（cp30）比较,差异有统计学意义（P〈0．05）,提示治疗组下降明显。结论贺氏针灸三通法治疗神经根型颈椎病可减轻患者局部疼痛症状,改善神经功能积分及血液流变学指标,临床总疗效优于根痛平。     

贺氏针灸三通法治疗肩周炎80例临床观察

肩周炎又称“冻结肩”、“漏肩风”、“肩凝症”、“肩痹”、“五十肩”等,是一种由慢性损伤或退行性非细菌性炎症引起的肩部疾患,临床以肩部疼痛和运动功能障碍为特点,如得不到有效的治疗,常影响肩关节功能活动。笔者运用贺氏针灸三通法治疗本病,取得较好疗效,现报道如下。1一     

"贺氏三通法"对急性缺血性脑血管病患者神经元特异性稀醇化酶的影响

目的 观察"贺氏三通法"对急性缺血性脑血管病患者血清神经元特异性稀醇化酶(Neuron-specific enolase,NSE)的影响.方法 对57例急性缺血性脑血管病患者采用基础输液联合"贺氏三通法"治疗,运用放射免疫方法 检测血清NSE含量,比较患者治疗前后NSE的变化,同时与正常人做对照.结果 治疗后患者NSE...     

贺氏三通法治疗偏头痛疗效观察

目的:观察贺氏三通法对偏头痛的治疗效果.方法:将86例偏头痛患者随机分为两组,治疗组48例,对照组38例.治疗组采用贺氏三通法治疗,对照组采用口服西药尼莫地平和谷维素治疗.两组均治疗18天后观察疗效.结果:治疗组总有效率91.7%,明显高于对照组的71.3%(P<0.01).结论:贺氏三通法治疗偏头痛,能有效提高该病的治愈率,降低复发率.     

三通推拿法治疗腰椎间盘突出症:多中心、随机对照研究

目的:观察三通推拿法与常规推拿法治疗腰椎间盘突出症的疗效差异.方法:采用多中心、随机对照的临床试验研究方法,将120例腰椎间盘突出症患者随机分成观察组和对照组,每组60例.观察组采用三通推拿法,对照组采用常规推拿法进行治疗.观察两组的临床疗效,同时记录两组治疗前后的腰椎功能评分.结果:观察组总有效率为95.0%(57/60),对照组总有效率为96.7%(58/60),两组比较差异无统计学意义(P>0.05);观察组愈显率为81.7%(49/60),对照组愈显率为63.3%(38/60),两组比较差异有统计学意义(P<0.05).治疗前后腰椎功能评分自身比较,观察组治疗前后分别为12.25±3.15、25.56±5.27,对照组分别13.32±3.26、20.46±4.25,两组自身前后比较差异均有统计学意义(均P<0.05),且两组治疗后组间比较差异亦有统计学意义(P<0.05),观察组所采用的方法在改善腰椎功能方面更为显著.结论:在应用推拿治疗腰椎间盘突出症时,三通推拿法较常规推拿法具有更好的临床疗效.     

头电针治疗血管性痴呆的临床多中心随机对照研究

目的:为针灸治疗血管性痴呆提供可靠证据。方法:采用多中心随机对照试验(RCT)的方法,将270例血管性痴呆患者随机分配到针药组、电针组和药物组。针药组采用头电针配合口服尼莫地平,电针穴取四神聪、百会、神庭、风池;电针组单纯采用头电针治疗;药物组单纯口服尼莫地平,均治疗6周。治疗前后分别进行简易精神状态检查量表(MMSE)、日常生活活动能力(ADL-R)量表和P300的检测。结果:患者认知状况的改善,针药组总有效率为86.59%,电针组为82.05%,药物组为43.21%,针药组与电针组均优于药物组;患者日常生活活动状况的改善,3组总有效率分别为59.76%、65.38%、32.10%,针药组与电针组均优于药物组。MMSE量表评分、ADL-R量表评分和P300检测中均显示,治疗后针药组和电针组较药物组差异均有统计学意义(P<0.01)。结论:头电针与头电针配合口服尼莫地平均能改善血管性痴呆患者认知功能和日常生活活动能力,疗效优于单纯口服尼莫地平,且安全性高。     

Diverse needling methods for dry eye syndrome: A randomized controlled study

Objective:To explore a proper acupuncture treatment protocol for dry eye syndrome(DES),by comparing the therapeutic effects between ordinary acupuncture and electroacupuncture(EA).Methods:Forty-seven eligible subjects with DES were randomized into an acupuncture group(n=23)and an EA group(n=24).With the same acupoint formula,the acupuncture group was treated with ordinary acupuncture,and the EA group was treated with ordinary acupuncture plus electrical stimulation.After a treatment course,eye symptom score,Schirmer I test(SIT),Break-up Time(BUT)of tear film,Corneal Fluorescein Staining(CFS),and Visual Analogue Scale(VAS)were adopted in evaluation and comparison of the two groups.Results:The total effective rate was 79.2%in the EA group versus 56.5%in the acupuncture group,and the difference was statistically significant(P<0.05).After treatment,both groups had marked improvements in eye symptom score,SIT,BUT,CFS,and VAS values(P<0.001);the EA group was better than acupuncture group in improving eye symptom score and SIT value(both P<0.05);the differences were insignificant in comparing VAS,BUT and CFS results between the two groups(P>0.05).Conclusion:Both EA and ordinary acupuncture are effective in treating DES,but EA is better than ordinary acupuncture in improving eye symptom and SIT score.     

Conducting qi and regulating the spirit needling method for insomnia: A randomized controlled trial

Objective:To evaluate the clinical effect differences between conducting qi and regulating the spirit needling method and regular needling method.Methods:Sixty-nine patients of insomnia were randomly divided into an observation group(35 cases)and a control group(34 cases).Bǎihuì(百会GV20),Sìshéncōng(四神聪EX-HN1),Hégǔ(合谷LI4),Tàichōng(太冲LR3),Zúsānlǐ(足三里ST36) and Sānyīnjiāo(三阴交SP6) were selected in the two groups.The patients in the observation group were treated with needling method for conducting qi and regulating the spirit.The patients in the control group were treated with the regular needling method.The treatment was given once every other day,both groups were treated for 12 times.Pittsburgh Sleep Quality Index(PSQI)and Epworth Sleepiness Scale(ESS) were observed before and after the treatment and the clinical effect was evaluated.Results:After treatment,the total score and the score of each item of PSQI as well as the result of ESS were all improved after the treatment in the two groups(all P 0.05).The improvements in the total score of PSQI and the result of ESS in the observation group were better than the control group(both P0.05).The total effective rate was 88.57%(31/35) in the observation group,significantly superior to 76.47%(26/34) in the control group(P 0.05).Conclusion:The conducting qi and regulating the spirit needling method achieves a better effect on insomnia as compared with the regular needling method.This method achieves a remarkable improvement in sleep latency,sleep quality and daytime sleepiness.     

温针灸治疗坐骨神经痛疗效观察(英文)

目的:观察温针灸治疗坐骨神经痛的临床疗效。方法:将 50 例坐骨神经痛患者随机分成两组,治疗组 25 例,采用温针灸治疗,对照组 25 例,单用针刺治疗。观察两组患者治疗 3 个疗程后的临床疗效。结果:治疗组治愈率为 68.0%,总有效率为 88.0%,明显优于对照组的 36.0%和 66.0%,两组差异具有统计学意义(P<0.05)。结论:温针灸治疗坐骨神经痛能有效地改善临床症状,疗效优于单纯针刺治疗。     

朝医舍岩针法治疗太阴人便秘随机对照研究

目的：通过朝医舍岩针法治疗太阴人便秘,观察其疗效,并推广应用。方法：本研究将60例太阴人便秘的患者运用随机数字表随机分配到治疗组和对照组中,每组30例。治疗组通过朝医舍岩针法治疗太阴人便秘;对照组采用常规取穴针刺,穴取足三里、上巨虚、气海、大肠俞等。采用单盲法对两组患者均进行治疗,分别于治疗前和1个疗程后对患者的观察指标进行评分,并进行总体疗效观察和评定。结果：1．治疗组在改善患者便次异常方面,较对照组差异有统计学意义（P〈0．05）,且治疗组在改善便质、便感异常方面,较对照组差异有显著性统计学意义（P〈0．01）,说明治疗组在改善患者便次、便质、便时异常方面,优于对照组。2．两组组内治疗前后症状总积分及差值,差异均有非常显著性统计学意义（P〈0．01）;两组组间治疗后症状总积分,差异有显著性统计学意义（Z=-2．831,P=0．005〈0．01）;两组组间治疗前后总积分差值,差异有显著性统计学意义（Z=-3．017,P=0．003〈0．01）。根据统计分析结果,说明两种治疗方法对太阴人便秘均有效,而治疗组优于对照组。3．两组间疗效差异有显著性统计学意义（Z=-2．562,P=0．01〈0．05）,说明治疗组在总体疗效上也优于对照组。结论：朝医舍岩针法能有效地改善太阴人便秘患者的临床症状,治疗组的疗效优于对照组。朝医舍岩针法治疗太阴人便秘有较好的临床应用价值,值得进一步推广。     

Acupuncture intervention in ischemic stroke: a randomized controlled prospective study

Stroke is one of the most common causes of death and few pharmacological therapies show benefits in ischemic stroke. In this study, 290 patients aged 40-75 years old with first onset of acute ischemic stroke (more than 24 hours but within 14 days) were treated with standard treatments, and then were randomly allocated into an intervention group (treated with resuscitating acupuncture) and a control group (treated using sham-acupoints). Primary outcome measures included Barthel Index (BI), relapse and death up to six months. For the 290 patients in both groups, one case in the intervention group died, and two cases in the control group died from the disease (p = 0.558). Six patients of the 144 cases in the intervention group had relapse, whereas 34 of 143 patients had relapse in the control group (p < 0.001). The mean values for BI at six months were 70.25 ± 20.37 and 57.43 ± 19.61 for the two groups, respectively (p < 0.01). Acupuncture resulted in a significant difference between the two groups for the National Institute of Health Stroke Scale (NIHSS), not at two weeks (7.03 ± 3.201 vs. 8.13 ± 3.634; p = 0.067), but at four weeks (4.15 ± 2.032 vs. 6.35 ± 3.131, p < 0.01). The Chinese Stroke Scale (CSS) at four weeks showed more improvement in the intervention group than that in the control group (9.40 ± 4.51 vs. 13.09 ± 5.80, p < 0.001). Stroke Specific Quality of Life Scale (SS-QOL) at six months was higher in the intervention group (166.63 ± 45.70) than the control group (143.60 ± 50.24; p < 0.01). The results of this clinical trial showed a clinically relevant decrease of relapse in patients treated with resuscitating acupuncture intervention by the end of six months, compared with needling at the sham-acupoints. The resuscitating acupuncture intervention could also improve self-care ability and quality of life, evaluated with BI, NIHSS, CSS, Oxford Handicap Scale (OHS), and SS-QOL.     

分期针刺治疗脑梗死的临床疗效对比研究

目的：比较分期针刺法与常规针刺法治疗脑梗死的临床疗效.方法：将60例符合纳入标准的病人随即分为治疗组（分期针刺）和对照组（常规针刺）各30例,比较治疗后病人肌力改善程度.结果：经4周治疗后,治疗组愈显率83.33%,优于对照组60%（P＜0.05）,差异有显著性意义.结论：分期针刺治疗脑梗死偏瘫疗效优于常规针刺法.