Holistic view of Chinese spinal manipulation and its clinical application

目的：以整体观念指导脊柱推拿的临床实践,从而提高临床疗效。方法：应用现代科学,如解剖学、影像学、生物力学和病理生理学等学科知识,研究脊柱的解剖结构和生理病理特点。结果：脊柱及其周围的肌肉和韧带、整个脊柱、脊椎与椎间孔的神经血管和椎管内的脊髓、脊柱与骨盆及下肢是有机的整体。结论：中医的整体观念如筋骨整体观、脊柱整体观、脊柱-神经-血管-脊髓整体观、脊柱-骨盆-下肢整体观仍然指导着脊柱推拿的临床实际。     

整脊手法加中药足浴治疗小儿暂时性髋关节滑膜炎疗效观察

目的:比较不同治疗方案治疗小儿暂时性髋关节滑膜炎的疗效差异,以优化该病的临床治疗策略.方法:将90例暂时性髋关节滑膜炎患儿利用随机数字表法分为对照组、整脊组和整脊加足浴组,每组30例.对照组予以常规牵引;整脊组在对照组基础上加用整脊手法治疗;整脊加足浴组在整脊组基础上加用中药足浴.牵引和足浴均每日1次,整脊治疗隔日1次...     

TCM Non-medicinal Therapy for Regulation and Treatment of Chronic Fatigue Syndrome

Chronic fatigue syndrome （CFS） is a severe issue to influence the psychosomatic health of the mankind. With the social development, because of the enhancement of the medical and hygienic levels and improvement of the life quality, people pay an increasing attention to the issue of CFS. How to solve CFS, currently due to limitation in the theory of Western medicine, there is no concrete therapeutic method, in addition to the suggestion to change bad life style, regulate the psychological status and pay attention to proper balance between fatigue and physical exercise. But, TCM non-medicinal therapies have unique advantage and remarkable therapeutic effect in the elimination of CFS. Now, current-used TCM non-medicinal therapies for sub-health are summarized in the following.     

Research Advance in Functional Constipation Treated by Acupuncture in Past Ten Years

Constipation is the most common chronic clinical symptom of the digestive tract, which may trigger or aggravate other diseases. In Western medicine, symptomatic treatments such as purgatives are often adopted; however, these treatments have somewhat side effects and obstinate diarrhea-dependent constipation can develop after long-time use of purgatives. Acupuncture is safe, effective and less harmful in the treatment of constipation. Now the treatment of constipation by acupuncture is reviewed as follows.     

Summarization of Constipation Treated with Tuina Therapeutics

对推拿治疗便秘进行了概述，认为推拿是一种治疗便秘的有效、安全、方便的方法，特别适合小儿和中老年患者，临床上值得推广。     

近5年针灸推拿治疗颞下颌关节紊乱综合征研究进展

Temporomandibular joint dysfunction syndrome (TMD) is a commonly encountered disease in the oral and maxillofacial region and often occurs in the young and middle-aged adults.The epidemiological study on this disease by domestic scholars showed its incidence rate was 32.0％-57.3％[1-3].This disease is mainly manifested by motor abnormality of the mandible,pain and clicking sound when opening or closing the mouth[4] and clinically can be divided into 3 stages,namely stage of functional disorders,stage of structure disorders,and stage of joint organic sabotage.Surgery is suggested in modem medicine for the latter two stages of this disease.In the stage of functional disorders,physiotherapy and jaw pads (bite plate) are often applied in the treatment.Acupuncture and tuina are commonly used in the treatment of this disease,mainly in the stage of functional disorders.we reviews the literature on acupuncture and tuina treatment of TMD in recent 5 years as follows.     

Study of a list of modern diseases treated by tuina therapy in China

目的：归纳中国现代推拿临床的治疗病症,总结现代推拿临床病谱。方法：采用文献研究法,对《中国生物医学光盘数据库》中1978～2008年针灸临床疗效观察类论文报道的病症按系统进行分析归纳,并统计每一个病症被报道的论文篇数（即频次）。结果：通过文献研究,得到365种16类推拿病谱,包括西医病255种,西医症状57种,中医病症53种。结论：推拿疗法适应证广,值得临床推广应用。     

Mechanisms of spinal micro-adjustment manipulations in treating cervical spondylotic radiculopathy

在探讨神经根型颈椎病发病机制的基础上，从生物力学角度阐释脊柱微调手法治疗神经根型颈椎病的机理，即脊柱微调手法是通过恢复和改善颈椎动静力平衡来达到其较好的临床疗效的。     

近10年推拿治疗失眠症研究进展(英文)

Insomnia is a common sleeping disturbance characterized by difficulty falling asleep and/or maintaining sleeping. It is a subjective experience without normal sleeping quality or time[1]. Insomnia is often manifested by difficulty falling asleep, or easy     

近10年小儿推拿病谱研究

目的:调查小儿推拿临床研究现状,了解近10年推拿治疗儿科疾病范围及病谱变化.方法:收集2002～2011年国内期刊医药卫生数据库及德国Springer数据库,检索小儿推拿相关文章,提取相关信息,建立推拿治疗儿科疾病文献信息表,进行统计分析.并与《中国推拿全书》中1988年～1997年的10年小儿推拿论文数据进行对比.结果及结论:统计出小儿推拿临床适应症75种,筛选出5个常见病种,并提炼出1个优势病种,发现了一些淘汰病种和新病种.     

Clinical study on tuina therapy for degenerative spondylolisthesis of the lumbar spine

目的：推拿治疗腰痛有确切疗效,进行两种推拿手法治疗退行性腰椎滑脱症的疗效对比观察,以期探索推拿治疗腰椎滑脱症的最佳手法。方法：将121例退行性腰椎滑脱症患者,按就诊顺序及病情分级随机分为实验组和对照组。实验组61例,其中Ⅰ度34例,Ⅱ度27例;对照组60例,其中Ⅰ度34例,Ⅱ度26例。两组一般资料无显著差异。两组在进行相同软组织推拿基础上,实验组采用脊柱微调手法,对照组采用屈髋屈膝垫枕法。每星期治疗3次,10次为1个疗程。治疗1个疗程后评价疗效。结果：实验组与对照组总有效率、Ⅰ度患者愈显率均有显著差异（P〈O．01）,Ⅱ度患者总有效率也存在显著差异性（P〈0．05）。结论：脊柱微调手法对退行性腰椎滑脱症的疗效较好,且病情越轻,疗效越好。     

捏脊疗法在婴幼儿喘息性疾病中的应用研究

目的：观察捏脊疗法在婴幼儿喘息性疾病中的临床疗效。方法：治疗组选择75例在首次喘息发作缓解后的婴幼儿给予捏脊疗法治疗3个月：观察组选75例口服玉屏风颗粒进行预防,3月后观察疗效。结果：治疗组显效60例,有效8例,无效3例,总有效率94．2％;对照组显效55例,有效6例,无效10例,总有效率85．2％。结论：通过捏脊疗法对婴幼儿喘息性疾病首次发作进行早期干预,可增强患儿免疫功能,提高机体抗病能力,减少喘息再次发作次数,再发症状减轻,从而达到减少反复呼吸道感染发作几率。     

伏九贴联合捏脊疗法防治小儿哮喘临床研究

目的：评估中药伏九贴联合捏脊疗法防治小儿哮喘的疗效。方法将符合入选标准的小儿哮喘患者55例采用随机数字表法分为治疗组28例,对照组27例,治疗组于每年三伏与三九期间采用伏九贴联合捏脊疗法治疗,对照组单纯行捏脊疗法。2组均治疗3年。治疗结束后观察患儿总有效率与临床控制率,比较2组患儿哮喘发作次数。结果治疗组总有效率为92.9%(26/28)、临床控制率为64.3%(18/28),对照组总有效率为70.4%(19/27)、临床控制率为22.2%(6/27),2组总有效率、临床控制率比较,差异均有统计学意义(χ2值分别为4.073、8.823,P值分别为0.044、0.003)。治疗组治疗后第3年哮喘分级的人员分布与对照组比较,差异有统计学意义(χ2＝10.776,P＝0.005)。治疗组治疗后第1年[(4.5±0.5)次比(5.0±0.5)次,t＝3.708]、第2年[(3.0±0.5)次比(4.3±0.5)次,t＝9.728]、第3年[(1.5±0.5)次比(3.0±0.5)次,t＝11.225]哮喘发作次数明显低于对照组(P＜0.01)。结论伏九贴联合捏脊可有效预防小儿哮喘的发作,减少哮喘发作次数。     

Tuina plus Traction for Cervical Distortion in Teenagers： A Report of 40 Cases

目的：观察推拿结合牵引治疗青少年颈椎反弓的,临床疗效。方法：对40例青少年颈椎反弓患者进行推拿结合牵引的治疗。隔天治疗1次,10天为1个疗程,治疗2个疗程后评价疗效。结果：治疗前后颈椎曲度有显著改变,治疗后颈椎反弓纠正15例,明显改善20例,好转5例。结论：推拿结合牵引是治疗青少年颈椎生理曲度异常的有效方法。     

益气通督手法治疗小儿脾虚泻的多中心随机对照研究

目的:对益气通督手法治疗小儿脾虚泻的疗效进行评价。方法:将275例患儿采用多中心、随机、对照方法分为观察组(n=137)和对照组(n=138),观察组采用益气通督手法治疗,对照组采用中医院校教材《推拿学》中所规定手法治疗。治疗7天后比较两组疗效。结果:观察组治愈率为83.2%,对照组治愈率为69.6%,差异有统计学意义(P<0.05),观察组疗效优于对照组。两组平均治愈时间比较,观察组平均治愈时间(3.22±1.04)天,对照组平均治愈时间(4.20±1.11)天,差异有统计学意义(P<0.05),观察组短于对照组。结论:益气通督手法治疗小儿脾虚泻疗效确切,起效快,适宜普及推广应用。     

Efficacy Observation of Tuina Therapy for Fibromyalgia Syndrome

Objective： To observe the efficacy of tuina manipulations for fibromyalgia syndrome （FMS）. Methods： Sixty eligible FMS patients were randomized into two groups, 30 in each group. Patients in the observation group were intervened by tuina manipulations to the corresponding segment of the spine based on the detection of disorders of the spine-related bones and tendons; patients in the control group were directed to practice functional exercises. Before and after intervention, the fibromyalgia impact questionnaire （FIQ） and visual analogue scale （VAS） were adopted for evaluation. Results： After intervention, the FIQ and VAS scores dropped significantly in both groups （all P〈O.05）, and there were significant differences between the two groups （both P〈0.05）. The total effective rate was 86.7% in the observation group versus 63.3% in the control group, and the difference was statistically significant （P〈0.05）. Conclusion： Spinal tuina manipulations are effective and safe in treating FMS, for significantly promoting the quality of life of the FMS patients.     

Treatment of 49 cases of knee osteoarthritis by tuina therapy

Knee osteoarthritis is a common and frequent disease among middle aged and elderly people. In recent years, the author used tuina as major therapy to treat 49 cases of this disease. Now it is reported as follows.     

推拿疗法在中风康复治疗中的应用误区

目的:分析既往推拿疗法在中风病康复中的应用误区,以提高推拿治疗中风病的临床疗效.方法:通过查阅、分析推拿治疗中风病的相关文献,发现问题.结果:推拿治疗中风病存在治疗介入时间误区、重推拿轻康复误区、疗效评价标准误区、手法经穴选择误区以及忽视健康教育误区.结论:推拿治疗中风病宜早期介入,分期运用手法,适时配合康复,重视健康...