针灸治疗神经性耳鸣研究进展

随着现代医学的发展,神经性耳鸣逐渐被重视,但其治疗仍然缺乏特异手段,是现代耳科学的三大难题之一。中医学(包括针灸、中药等)治疗神经性耳鸣具有悠久历史,且对该病的治疗具有一定优势。现对近十年的有关文献资料进行分类总结,从单纯针刺、电针、耳针、穴位注射、穴位埋线等方面进行论述,以了解神经性耳鸣的针灸、中药等疗法在临床中的应用进展情况,目的在于探索中医药治疗神经性耳鸣的有效方案,发挥祖国传统医学的特色与长处。     

Clinical Study on the Treatment of Knee Osteoarthritis of Shen(肾)-Sui(髓) Insufficiency Syndrome Type by Electroacupuncture

<正>Objective:To study the clinical efficacy of electroacupuncture(EA)on treating knee osteoarthritis (KOA)of Shen(肾)-Sui(髓)insufficiency(SSI)syndrome type.Methods:A total of 245 patients(279 knees)of KOA-SSI were randomly assigned to two groups by lottery:141 knees in the treatment group and 138 knees in the control group.The treatment group was managed with EA at the dominant points of Neixiyan(Ex-LE4) and Waixiyan(Ex-LE5)as well as the conjugate points of Xuanzhong(GB39)and Taixi(KI3)for 30 min,once a day,with 15 days as one course;2 courses were applied with a 5-day interval in between.The control group was treated with intra-articular injection of 2 mL hyaluronic acid into the affected joint every 7 days for 5 times in total.The clinical effects on the patients in different stages were observed,and their symptom scores of knee and contents of cytokines,including interleukin-1(IL-1),interleukin-6(IL-6),tumor necrosis factor-α(TNF-α), prostaglandin E_(2α)(PGE_(2α)and matrix metalloproteinases-3(MMP-3),in the knee joint fluid were measured before and after treatment.Results:The study was completed in 235 patients(263 knees);four patients(7 knees) in the treatment group and six patients(9 knees)in the control group dropped out.Comparison of therapeutic effects(excellent and effective rates)between the two groups showed insignificant differences(P0.05). Symptom scores of knee and contents of cytokines in the knee fluid after treatment were lowered significantly in the patients of stageⅠ-Ⅲin both groups(P0.05 or P0.01).However,the lowering of the total symptom score of knee in the patients of stageⅢin the treatment group was more significant(P0.05).Conclusions:EA could effectively alleviate the clinical symptoms in KOA patients of stage 1,showing an effect superior to that of hyaluronic acid.EA also shows action in suppressing the secretion of IL-1,IL-6,TNF-α,PGE_(2α)and MMP-3 in the knee fluid.     

浅谈针灸处方中君、臣、佐、使的配伍

针灸从"以痛为腧"的治疗开始发展到有名称的经络与穴位,因其功能、主治范围明确,实际上已经具备处方雏形,从针灸处方的发展及针灸处方君、臣、佐、使的取穴规律,包括从选穴角度、针刺先后顺序、针刺深浅、针刺刺激量、辨证论治角度、腧穴配伍拮抗作用等方面进行探究,以期为针灸系统化和临床治疗规范化提供思路与帮助。     

咳嗽变异性哮喘的中医研究进展

<正>咳嗽变异性哮喘(下文简称"CVA")又称变异性咳嗽,亦有学者将其称为咳嗽性哮喘、隐匿性哮喘,最早由Glauser提出,是特殊形式的一种哮喘,常表现为刺激性咳嗽(8周),以夜间或清晨咳嗽为重,无喘息及气促,无哮鸣音,支气管扩张剂治疗有效,遇冷空气、感     

中成药结合丙酸氟替卡松治疗过敏性鼻炎对患者生理功能的影响

目的 探讨中成药结合丙酸氟替卡松治疗过敏性鼻炎对患者生理功能的影响.方法 选择110例过敏性鼻炎患者作为研究对象,根据随机数字表法分为观察组与对照组,每组55例,对照组给予丙酸氟替卡松喷剂治疗,观察组在对照组治疗的基础上给予中成药鼻渊通窍颗粒治疗,都治疗观察15 d.观察2组疗效、两侧鼻腔总阻力、白介素-4(IL-4)、白介素-12(IL-12)、生活质量评分.结果 治疗后观察组的有效率明显好于对照组(P<0.05).在治疗后观察组和对照组明显比治疗前低(P<0.05),并且观察组治疗之后鼻阻力也明显比对照组低(P<0.05).治疗后观察组和对照组血清IL-4明显比治疗前低(P<0.05),同时IL-12值也明显比治疗前高(P<0.05),并且治疗之后观察组的血清IL-4与IL-12值与对照组比较,差异有统计学意义(P<0.05).治疗后观察组的身体疼痛、总体健康、生理功能、生理职能评分都明显高于对照组(P<0.05).结论 中成药结合丙酸氟替卡松治疗过敏性鼻炎能有效改善患者的鼻阻力状况,改善机体免疫功能,从而有利于生活质量与临床疗效的提高.     

论足阳明胃经循行胸腹部及其临床意义

《内经》云“经脉者,所以决死生、处百病、调虚实,不可不通。”十二经脉是人体的大周天,根据十二经脉交接的规律,阴经与阳经交汇于四肢末端,阳经交汇于头面部,阴经交汇于胸腹部。但是在胸腹部除阴经外,足阳明胃经也循行其中。如“胃足阳明之脉,……其支者,起于胃口,下循腹里,下至气街中而合,……。”     

张仲景小柴胡汤临床运用发微

小柴胡汤是张仲景创立的经典名方,在《伤寒论》中是治少阳病的主方。历代医家多认为"口苦、咽干、目眩、往来寒热、胸胁苦满、嘿嘿不欲饮食、心烦喜呕"七大症为小柴胡汤的主症。尽管主治症情纷繁,但小柴胡汤终归以和解少阳为主旨,只要证属少阳经脉脏腑功能失调,"便可但见一症,不必悉具"。张仲景创小柴胡汤以辛开苦降、补虚泻实为宗旨达到燮理少阳,调和枢机之目的。文章列举临床运用小柴胡汤开郁结治郁证、和枢机治杂症的案例,说明小柴胡汤具有广阔的临床价值。     

从“热因热用”论麻黄附子细辛汤治火疳

"热因热用"是临床治疗内真寒而外假热的方法,属反治法之一.反治法最早见于<黄帝内经>,正如<素问·至真要大论>说:"帝曰:何谓逆从? 岐伯曰:逆者正治,从者反治,从多从少,观其事也.帝曰:反治何谓? 岐伯曰:热因热用,寒因寒用,通因通用,必伏其所主,而先其所因,其始则同,其终则异,可使破积,可使溃坚,可使气和,可使必已."后被历代医家广泛地应用于临床,尤其在张仲景的<伤寒杂病论>中达到日臻成熟的境界.今采用"热因热用"辛温通络法治火疳案,疗效显著,特采撷之,以飨同道.     

阅读是一种时尚

<正>对一个读书人来说,阅读是再平常不过的事,但是当阅读成为一种时尚时,那么阅读是什么?其实真正的时尚是一种人生态度和生活感悟,因此阅读就是长袖阔带的文气和     

辛温通络法治疗慢性支气管炎30例

目的 :观察辛温通络法组方治疗慢性支气管炎的临床疗效。方法 :30例均以辛温通络立法治疗。结果 :显效 15例 ,有效 9例 ,好转 5例 ,无效 1例 ,总有效率为 96 6 7%。结论 :辛温通络法组方治疗慢性支气管炎疗效显著