探讨悬起灸疗效的影响因素

新冠疫情以来,人民未病先防的健康意识逐渐增强,悬起灸因其无创无痛、简单易学、可自行操作的特点,受到广大国民的喜爱。悬起灸是中医特色疗法之一,具有补阳散寒、温运气血、祛湿利水、防病保健的作用,适应证广泛,但其灸疗效果受诸多因素的影响。故本文从灸材、辨病施灸、选穴等方面,探讨悬起灸疗效的影响因素,为临床悬起灸疗法的综合应用提供参考,以便临床能够更好地发挥其治疗作用。     

温和灸、回旋灸、雀啄灸治疗气虚体质92例临床观察

[目的]观察温和灸、回旋灸、雀啄灸治疗气虚体质疗效。[方法]将92例门诊患者温和灸、回旋灸、雀啄灸治疗。主穴足三里,配穴内关,上中脘,三阴交,艾条施灸。温和灸,距施灸部位2～3cm,以皮肤微红为度;回旋灸,距施灸部位2～3cm,左右回旋,以皮肤微红为度;雀啄灸,距施灸部位2～3cm,像鸟雀啄食一样,一上一下,以皮肤微红为度。30min/次,1次／d。连续治疗30d为1疗程。观测临床症状、不良反应。连续治疗3疗程,判定疗效。[结果]显效45例,有效41例,无效6例,总有效率93．50％。[结论]温和灸、回旋灸、雀啄灸治疗气虚体质效果显著,值得推广。     

艾条温和灸治疗呃逆150例

笔者1988年以来采用薰灸治疗呃逆150例，取得满意疔效，现报告如下：     

艾条温和灸治疗产后乳房胀痛临床观察

产后乳房胀痛是常见的护理问题,也是临床护理工作中比较棘手的问题.笔者运用艾条温和灸治疗产后乳房胀痛,取得满意的效果,现报道如下. 1 一般资料 2010年11至2011年5月抽取乳房过度充盈并有硬结形成的产妇90例,随机分为两组.两组均排除妊娠并发症,乳头凹陷,乳腺炎等乳房疾病,新生儿吸吮能力均正常.两组一般资料比较差异均无统计意义(P＞0.05).见表1.     

艾条温和灸辅治小儿哮喘临床观察

目的：观察艾条温和灸辅治小儿哮喘的临床效果。方法：80例按随机数字表法分为两组,两组均给予丙酸氟替卡松吸入及孟鲁司特钠口服治疗,观察组加用艾条温和灸。结果：观察组总有效率高于常规组（P<0.05）,治疗后观察组中医症状评分低于常规组（P<0.05）,治疗后观察组肺功能水平优于常规组（P<0.05）,两组不良反应发生率比较无统计学意义（P>0.05）。结论：艾条温和灸辅治小儿哮喘可提高疗效,且安全。     

热敏灸治疗原发性痛经临床观察

目的 观察热敏灸疗法治疗原发性痛经的临床疗效.方法 将40例原发性痛经患者通过随机分组的方法将其分成热敏灸疗法治疗组及传统灸疗法对照组,治疗4个疗程对比分析其临床疗效.结果 热敏灸疗法治疗组临床疗效优于传统灸疗法对照组.结论 采用热敏灸法治疗治疗原发性痛经可以迅速激发经气、疏经活血、缓解疼痛,且操作简便、止痛快、无副作用、疗效显著,临床推广应用前景广阔.     

热敏灸不同悬灸方式及仿灸仪治疗膝关节骨关节炎的灸感和疗效观察

目的:观察热敏灸两种不同悬灸方式及仿灸仪治疗轻中度膝关节骨关节炎(KOA)的灸感和临床疗效,探讨不同施灸方式的疗效差异.方法:将90例轻中度KOA患者随机分为手持组(30例,脱落1例)、仿灸仪组(30例)和灸架组(30例,脱落1例).各组患者均以阿是穴、犊鼻、内膝眼、阳陵泉、阴陵泉、梁丘、血海为高发穴区探寻和确定热敏穴...     

改良型雀啄灸治疗原发性痛经30例临床疗效观察

目的:探讨改良型雀啄灸治疗原发性痛经的疗效。方法:将60例原发性痛经患者随机分为治疗组和对照组。治疗组给予改良型雀啄灸治疗,对照组给予传统雀啄灸治疗,共治疗两个月经周期,分别于治疗前和每一个月经周期后进行视觉模拟(VAS)评分。结果:治疗组对VAS评分的改善程度明显优于对照组(P<0.05)。结论:改良型雀啄灸治疗原发性痛经有显著疗效,值得进一步研究和推广。     

雀啄灸治疗足跟痛38例

足跟痛是中老年人的一种常见病,其表现为站立或行走时,足跟及足底有酸胀疼痛感,严重时呈针刺样痛,难以举步,给老年人的生活造成极大的痛苦。笔者从2000年开始用雀啄灸治疗本病,现报道如下。1临床资料本组38例中男14例,女24例;年龄最大79岁,最小55岁;病程最短1个月,最长近36个月     

电针加艾条温和灸治疗急性痛风性关节炎43例

目的:探讨电针加艾条温和灸治疗急性痛风性关节炎的效果。方法:将65例患者随机分组,治疗组43例采用电针加艾条温和灸治疗,对照组22例采用口服秋水仙碱治疗。结果:治疗组治疗1个疗程后统计:治愈25例(58.14%),好转16例(37.21%),总有效率为95.35%;对照组治疗一个疗程后统计:治愈12例(54.55%),好转8例(36.36%),总有效率90.91%。两组疗效基本一致,无显著性差异(P>0.05)。但从副反应比较看,电针加艾条温和灸组无任何毒副反应,而秋水仙碱组毒副作用发生率为31.82%。结论:电针加艾条温和灸治疗急性痛风性关节炎有较好疗效并且无任何副作用。     

Clinical observation on the correlation between moxibustion sensation and distance of moxa stick

Objective

To explore the correlation between moxibustion sensation and distance of moxa stick and provide reference for clinical practice.

Methods

A total of 16 healthy volunteers aged 18-35 years old in college were recruited and given mild moxibustion at Shousanli (LI 10), Zusanli (ST 36), Shenshu (BL 23) and Tianshu (ST 25) with moxa stick, and the occurrence and frequency of moxibustion sensation were recorded at distances of 5 cm, 4 cm, 3 cm and 2 cm. Mild moxibustion scale was used to count the score.

Results

Warm was the main moxibustion sensation, burning pain and soreness decreased with the rise of distance; for the same acupoint, score of mild moxibustion scale increased with the decrease of distance; score ranged between 5.5 and 6.5 at distance 3 cm, which was the most comfortable distance for volunteers.

Conclusion

The distance of 3 cm is the most comfortable distance in mild moxibustion

     

药艾条灸治疗足癣疗效观察

目的:观察药艾条治疗湿热下注型足癣的疗效.方法:将144例足癣患者采用随机数字表分为药艾条组、清艾条组和达克宁组,各48例.药艾条组及清艾条组采用局部熏灸治疗,达克宁组采用硝酸咪康唑乳膏(达克宁霜)局部涂擦,均治疗21天,于治疗前后记录足癣症状体征评分,评价疗效.结果:药艾条组总有效率为89.59%,与清艾条组的81.25%相比差异无统计学意义(P>0.05),优于达克宁组的70.84%(P<0.05);药艾条组在改善瘙痒、丘疹、水疱及浸渍糜烂症状方面优于清艾条组和达克宁组(均P<0.05).结论:药艾条熏灸治疗湿热下注型足癣有较好疗效,优于清艾条及达克宁治疗.     

雷火灸治疗泪液缺乏性干眼症疗效观察

目的:观察单纯雷火灸治疗泪液缺乏性干眼症的临床疗效.方法:将70例泪液缺乏性干眼症患者随机分成雷火灸组和人工泪液组.雷火灸组36例,对眼周穴位攒竹、鱼腰、瞳子髎、太阳、四白、睛明等给予雷火灸治疗,并配合眼周穴位及泪腺按摩.人工泪液组34例,局部点泪然滴眼液.观察2组治疗前后主要症状、泪液分泌试验、泪膜破裂时间及角膜荧光染色的变化.结果:2组患者眼部干涩感、异物感、视疲劳和整体症状较治疗前均有显著改善(P<0.01),并且在干燥感、异物感及整体症状的改善上,雷火灸组要优于人工泪液组(P<0.05);雷火灸组泪液分泌试验较治疗前具有显著改善(P<0.05),优于人工泪液组(P<0.05);2组泪膜破裂时间、角膜荧光素染色较治疗前均有显著改善(P<0.05),其中雷火灸组泪膜破裂时间改善较人工泪液组显著(P<0.05).结论:雷火灸治疗泪液缺乏性干眼症疗效好.     

艾条灸配合四神丸治疗慢性结肠炎46例临床研究

目的：观察艾条灸加四神丸治疗脾肾阳虚型慢性结肠炎的临床疗效。方法：将86例患者随机分为两组,观察组（46例）采用艾条灸加四神丸治疗,对照组（40例）行口服柳氮磺吡啶片治疗。结果：1疗程后,观察组有效率为91.3%,对照组为82.5%,观察组疗效优于对照组（P〈0.05）。结论：艾条灸加四神丸是治疗慢性结肠炎的有效方法。     

Comparative study on the analgesic effects of different moxibustion methods with tai-yi moxa stick in treating primary dysmenorrhea

Objective： To compare the therapeutic effects of two different moxibustion methods both with tai-yi moxa stick in treating primary dysmenorrhea. Methods： Forty-three patients were randomized into two groups by the random number table according to their treatment orders. The causalgic group was intervened by causalgic stimulation with tai-yi moxa stick while the tepid group was treated by mild thermal stimulation with tai-yi moxa stick. Shiqizhui（EX-B 8） was selected for both groups. Visual analogue scale（VAS） was used for observation before and during the treatment by every 10 min to compare the clinical efficacies between the two groups. Results： Before treatment, there was no statistically significant difference in pain intensity between the two groups（P〉0.05）. After treatment, both groups achieved significant improvements in pain intensity（P 〈 0.05）, but the inter-group difference in pain intensity was still statistically insignificant（P 〉 0.05）, but the difference was enlarged comparing with that before treatment. The pain relief during the first 10 min of treatment was slower in the causalgic group than that in the tepid group. However, during the later 20 min, the pain relief in the calsalgia group gradually outpaced that in the tepid group. Conclusion： The two moxibustion methods with tai-yi moxa stick both have a good instant analgesic effect in treating primary dysmenorrhea. For patients with primary dysmenorrhea, if 30 min is regarded as the treatment time, mild stimulation was suggested to be used for the first 10 min, and causalgic stimulation for the later 20 min to achieve a better curative effect.     

如何提高中药疗效

目的:探讨提高中药治疗效果的方法。方法:从药物因素、非药物因素两大方面分析。结论:综合考虑各种因素,因时、因地、因人制宜,合理用药,能够提高中药疗效。     

艾条灸神阙穴治疗糖尿病患者便秘的疗效观察及护理

目的：观察艾条灸神阙穴治疗糖尿病患者便秘的疗效,探讨护理措施。方法：对60例病例随机分为对照组30例和治疗组30例,对照组进行常规的护理干预,治疗组在常规护理干预的基础上使用艾条灸神阙穴,观察每日排便次数及相关症状。结果：两组排便次数和间隔时间有差异具有统计学意义（P〈0.05）。结论：艾条灸神阙穴治疗糖尿病患者便秘疗效显著。     

Observation on clinical efficacy of acupuncture combined with direct moxibustion with fine-strip moxa for 62 cases of herpes zoster

ObjectiveTo evaluate the clinical effect of acupuncture combined with direct moxibustion with fine-strip moxa for herpes zoster.MethodsSixty-two patients with herpes zoster were randomly divided into two groups according to attendance number, 32 in acupuncture group and 30 in western medicine group. The patients in the acupuncture group were treated by acupuncture at the nidus-related nerve segments Jiāj

(

EX-B2) in combination with direct moxibustion with fine-strip moxa, while the patients in the western medicine group were treated by oral valaciclovir hydrochloride, vitamin B₁, vitamin B₁₂. The times of response, incrustation and decrustation were observed respectively, and pain relief degree of the two groups were compared.ResultsThe response time, incrustation time and decrustation time of the acupuncture group were all less than those of the western medicine group [(1.74±0.43) days vs (3.86±0.58) days, (2.03±0.52) days vs (5.46±0.65) days, (5.14±0.33) days vs (8.34±0.59) days, all P<0.05]. The pain relief degree (VAS score), and pain duration in the acupuncture group were all higher obviously than those of the western medicine group [(10.41±12.1) vs (15.63±11.39), (4.78±0.45) days vs (8.12±0.63) days, all P<0.05]. The total effective rate of the acupuncture group was 96.9% (31/32) and that of the western medicine group was 90% (27/30), thus the therapeutic effect of acupuncture group was better than that of western medicine group (P<0.05).ConclusionThe therapeutic effect of acupuncture combined with direct moxibustion with fine-strip moxa is remarkable. It can effectively control the development of herpes zoster, alleviate pain and shorten therapy periods. It is worthy to be promoted and applied.     

黄迪君教授麦粒灸的制作、操作及临床应用

从艾绒制备、麦粒灸的操作、操作注意事项、麦粒灸适应证及临床特点等方面详细介绍了黄迪君教授麦粒灸的操作技法及其临床应用,为临床推广应用麦粒灸疗法提供参考.