电针内关穴对心肌梗死大鼠血压的影响

目的:探讨电针内关穴对心肌梗死大鼠血压的影响。方法:将雄性SD大鼠随机分为电针组、模型组和假手术组。结扎左冠状动脉旋前降支建立心肌梗死模型,假手术组只开胸不结扎;电针组电针大鼠双侧内关穴,共5 d。分别记录大鼠造模前后及治疗后的心电图,测量右颈动脉及左股动脉的血压。结果:电针后,与假手术组比较,电针组、模型组的左股动脉收缩压、舒张压、平均动脉压和脉压均无统计学差异(P>0.05);电针组右颈动脉收缩压、舒张压、平均动脉压与假手术组无统计学差异(P>0.05),而模型组均显著小于假手术组(P<0.05)。模型组、电针组的脉压与假手术组相比均无统计学差异(P>0.05);三组大鼠心率无统计学差异(P>0.05)。结论:电针内关穴可以使心肌梗死大鼠右颈动脉的收缩压、舒张压及平均动脉压回升。     

The infrared radiation spectrum of acupoint Taiyuan(LU 9) in asthma patients

OBJECTIVE:To analyze the distinctive pathological characteristics in the spectrums of spontaneous infrared radiation at the Taiyuan(LU 9) acupoint in patients with asthma.METHODS:A highly sensitive infrared spectrum detecting device was used to detect the spectrums of spontaneous infrared radiation at Taiyuan(LU 9) in 37 asthma patients and 34 healthy volunteers.RESULTS:Asthma patients had significantly lower infrared intensity than that of the healthy volunteers(P>0.01).Asthma patients had significantly lower overall infrared radiation intensity at the left Taiyuan(LU 9) than that of healthy volunteers(P>0.05),but there was no significant difference between healthy volunteers and asthma patients at the right Taiyuan(LU 9)(P>0.05).The infrared radiation intensity of 17 wavelength spots at the left Taiyuan(LU 9) and 4 wavelength spots at the right Taiyuan(LU 9) in asthma patients were significantly lower than those of healthy volunteers(P>0.05).At 2 μm,the infrared radiation intensity of asthma patients was significantly stronger than that of healthy volunteers(P>0.05).At 19 wavelength spots in the healthy volunteers and at 4 wavelength spots in the asthma patients,the left Taiyuan(LU 9) showed a significantly stronger intensity than that of the right Taiyuan(LU 9)(P>0.05).By Pearson’s χ2 test,healthy volunteers had more wavelength spots that were significantly different between the left and right Taiyuan(LU 9) than the asthma patients(P>0.01).CONCLUSION:Changes in the infrared spectrum at the Taiyuan(LU 9) acupoint in asthma patients may reflect distinct pathological changes.Certain acupuncture points may be related to specific organs.     

CO_2激光灸对膝骨关节炎患者50码最快步行时间的影响

目的观察CO2激光灸对膝骨关节炎患者50码最快步行时间的影响。方法将符合纳入标准的95例膝骨关节炎患者随机分为CO2激光治疗组(47例)与假治疗对照组(48例),分别给予4星期、每星期3次、每次20 min的10.6μm CO2激光照射犊鼻穴治疗和假治疗。结果 CO2激光治疗组在治疗2星期、治疗4星期及治疗结束后4星期随访时50码(46 m)的最快步行时间均较治疗前明显缩短(均P0.01);假治疗对照组在治疗后各时间点50码(46 m)最快步行时间均较治疗前无明显差异(均P0.05);组间比较,治疗4星期及治疗结束后4星期随访时CO2激光治疗组的50码(46 m)最快步行时间均较假治疗对照组明显缩短(均P0.01)。结论 CO2激光灸能明显提高膝骨关节炎患者的步行速度,其疗效至少可持续到治疗后4星期。     

银质针温针灸在人体内的温度分布特点

目的:观察艾球加热条件下传统银质针在人体内针身的温度变化情况.方法:将36名健康志愿者随机分为单针组和多针组,每组18例.在两组志愿者臀部进针点(左臀部内上方,髂嵴上缘最高点下7 cm,后正中线旁开7 cm)刺入测温银质针(长18 cm、直径1.1 mm),多针组则在测温银质针进针点上下左右4个配针点(距测温银质针进针点2 cm)刺入传统银质针(长18 cm、直径1.1 mm),针尖皆进皮下6 cm,针尾均装有1.3g艾球,点燃艾球后用数字测温仪自动动态记录测温银质针针尖上方3 mm、33 mm、63 mm处针身的最高温度.结果:单针组3个测温点的最高温度均在41℃左右,多针组3个测温点的最高温度均在43℃左右,多针组各测温点的最高温度明显高于单针组(均P＜0.05),同组银质针上各测温点的最高温度差异无统计学意义(均P＞0.05);单针组单个艾球燃烧时的艾球最高温度为(611.16±6.91)℃,5个艾球同时燃烧时中央的艾球最高温度为(628.94±8.99)℃,差异有统计学意义(P＜0.01).结论:银质针的导热性良好,温针灸时艾球的热量从针尾传向针尖,银质针多针针刺方式的针尖、针身各点最高温度均高于单针针刺方式,多个艾球同时燃烧时的最高温度高于单个艾球燃烧时的最高温度.     

2010’华佗杯全国大学生针灸操作技能大赛的回顾与思考

分析2010’华佗杯全国大学生针灸操作技能的问卷调查和大赛成绩,显示大赛对提高大学生针灸操作技能及推进针灸操作技能教学规范化均有较显著的作用,师生们对医学院校针灸操作技能培养现状感到不甚满意;大赛成绩除了唯一靠单纯记忆的经典背诵项目的得分均数在90分以上,其余各操作单项得分普遍不高。在今后的针灸教学中,可以提高人体操作实训的课时比例,适当强化夹持进针、捻转补泻法和温针灸等操作的训练,对一些针灸操作要点和细节加强解释、强调和补充说明。     

中国古代刺血考(二)

3刺血方法特点包括准备措施、刺血操作、辅助疗法、放出血的量和色、善后措施五个方面。3.1准备措施在刺血的正式操作之前,古人采取若干准备措施,包括服药、涂油、加热、扎缚、手捋、拍打,以及心理安慰等。3.1.1服药古人又通过服药使痧筋显露,以便于刺血操作,如《痧惊合璧》载:     

古代文献中膀胱经及其腧穴主治的统计报告

运用计算机对93种古医籍中有关膀胱经及其腧穴(本文简称为“膀胱经穴”)的主治内容进行检索，剔除其中明显抄录前人者，共得文献2958条．涉及症名310个，总计8500症次。再对其内容进行归纳整理，结果显示，膀胱经穴的常用功效共19项，其名称及症次分别为：健脾和胃663，疏理下肢622，安神493，疏腰理臀423，明目401，补虚383，清头健脑361，调腹354，宣肺351，疏背理脊329，散寒326，清热323，壮肾利尿297，祛风291，消肿255，止血214，镇痉苏厥213，疏肝理胁194，治阴疗疝178。     

Volt-Ampere Characteristics of Acupoint Neiguan （PC 6） on Patients with Hyperthyroidism

Objective： To observe volt-ampere characteristic of Acupoint Neiguan （PC 6） on patients with hyperthyroidism for probing into the actions of acupoints and change of qi and blood of human body as well as the relationship between the action of acupoint and the metabolism of energy. Methods： A self-made high-sensitive apparatus was applied to detect volt-ampere curves of Acupoint Neiguan （PC 6） and its control point on 33 patients with hyperthyroidism and 30 healthy people. Results： In patients, the volt-ampere areas （VAA） of both ampere-increasing scan （AIS） and ampere-decreasing scan （ADS） as well as the inertia areas （IS） of both side Neiguan （PC 6） were significantly smaller than the control points （P〈0.05 or P〈0.01）.     

伏安特性与穴位功能特异性

目的　研究穴位伏安特性在反映人体生理病理变化上的特异性。方法　应用自行研制的穴位伏安特性检测仪测试不同生理病理状态下太渊、冲阳穴伏安特性。结果　太渊、冲阳穴惯性面积显著低于对照点而代表穴位电阻高低的伏安面积则无显著差异 ;献血组与对照组比较冲阳穴伏安面积和惯性面积出现了显著变化而太渊穴则无明显差异 ;太渊穴惯性面积具有显著的昼夜节律而冲阳穴则无此特征。结论　穴位惯性面积在反映人体生理病理变化方面具有特异性