从络病理论论治中风后肩手综合征临床观察

目的观察从络病理论论治中风后肩手综合征的临床疗效。方法将患者随机分为两组,对照组常规康复治疗,治疗组从络病理论论治予刺络拔罐治疗;比较两组治疗后疼痛、手肿、肩关节活动度、上肢功能临床疗效。结果治疗组疼痛、手肿、肩关节活动度、上肢功能改善明显优于对照组。结论从络病理论论治予刺络拔罐治疗中风后肩手综合征对疼痛、手肿、肩关节活动度、上肢功能均有良好疗效。     

拔罐对健康人体背部皮肤血流量的影响

目的：观察拔罐对健康人体背部不同部位皮肤血流量的影响。方法：运用经络罐通仪控制罐压为-0．04MPa,在健康受试者大椎及双侧大杼穴拔罐10min,通过激光散斑血流监测视频系统对大椎、身柱、神道、双侧肺俞、双侧心俞拔罐前,拔罐后即刻及拔罐后第5min、第10min、第15min、第20min、第25min、第30min的血流量进行记录。结果：起罐即刻,大椎、身柱及双侧肺俞血流量较拔罐前明显升高（均P〈0．05）;与起罐即刻相比,大椎在起罐20min后各时间点,身柱在起罐后10min、15min,双侧肺俞在起罐即刻后各时间点,血流量均明显下降（均P〈0．05）。神道、双侧心俞血流量在拔罐前后的差异无统计学意义（均P〉0．05）。结论：拔罐疗法可引起皮肤血流量的变化,且距离拔罐区域越近血流变化越明显。     

针刺结合药罐治疗颞颌关节紊乱症临床观察

ObjectiveTo observe the application of acupuncture at distal points combined with medicated cupping on the affected parts in the treatment of temporomandibular disorders (TMD) and to evaluate its effectiveness.MethodsA total of 120 patients with TMD were randomly divided into two groups according to the random number table and random number remainder method. Sixty-two patients in acupuncture combined with cupping group (group A) were treated with acupuncture at Hégŭ (

LI 4) and Tàichōng (

LR 3) combined with medicated cupping on the affected parts with Sānqī (

Radix et Rhizoma Notoginseng) and Báizh

(

Radix Angelicae Dahuricae). Fifty-eight patients in cupping group (group B) were just treated with medicated cupping. Patients were treated for 30 min each time, once daily, and 10 times were considered as one course of treatment. After one course of treatment, the therapeutic effect was evaluated. Before and after treatment, craniomandihular index (CMI), dysfunction index (DI), palpation index(PI) and changes in pain degree (VAS score) were compared.ResultsBefore and after treatment, CMI in group A were 0.27±0.02 and 0.04±0.01, respectively, and in group B were 0.29±0.02 and 0.06±0.01, respectively; PI in group A were 0.19±0.01 and 0.05±0.03, respectively, and in group B were 0.18±0.02 and 0.11±0.02, respectively; DI in group A were 0.33±0.04 and 0.06±0.02, respectively, and in group B were 0.34±0.05 and 0.11±0.04, respectively; VAS in group A were 5.39±0.24 and 2.13±0.47, respectively, and in group B were 5.70±0.31 and 3.97±0.26, respectively. After treatment, CMI, DI, PI and VAS in both groups significantly decreased when compared with those before treatment (all P<0.01), and the indices in group A were significantly lower than that in group B after treatment (all P<0.05), indicating that the difference was significant.ConclusionThe therapeutic effect of acupuncture at distal points combined with cupping at adjacent points in treatment of TMD is superior to that of single medicated cupping therapy.     

加味枳术丸配合腹部拔罐穴贴治疗慢传输型便秘

目的观察"加味枳术丸配合腹部拔罐穴贴法"治疗慢传输型便秘的临床疗效。方法将60例慢传输型便秘患者随机分成中医治疗组30例和西药对照组30例,治疗组采用"加味枳术丸配合腹部拔罐穴贴"治疗,西药对照组采用乳果糖口服液治疗;2周为1疗程。采用便秘患者临床评分系统在1个疗程治疗前后进行评分,观察患者症状及体征的缓解情况。结果中医治疗组总有效率为86.7%,优于西药对照组的70.0%(P<0.05)。2组便秘患者临床评分系统(CCS评分)与同组治疗前相比均有明显降低(P<0.05),但中医治疗组降低的更加明显(P<0.05),表明2组治疗均有效果,但加味枳术丸配合腹部拔罐穴贴治疗能缓解便秘症状。结论 "加味枳术丸配合腹部拔罐穴贴法"治疗慢传输型便秘临床疗效显著。     

背俞穴线罐配合自血疗法治疗慢性荨麻疹血虚风燥证30例临床观察

目的观察背俞穴线罐配合自血疗法治疗慢性荨麻疹血虚风燥证的临床疗效。方法将90例慢性荨麻疹血虚风燥证患者按照就诊先后顺序随机分为3组,各30例。线罐组给予线罐配合自血疗法治疗,梅花针组给予梅花针叩刺后拔罐配合自血疗法治疗,西药组给予依巴斯汀片口服。3组均以3周为1个疗程,共治疗3个疗程。比较3组的临床疗效、不良反应发生情况、复发率,以及治疗前后血清免疫球蛋白E(IgE)水平。结果线罐组总有效率为96.7%(29/30),梅花针组为86.7%(26/30),西药组为76.7%(23/30),线罐组总有效率明显高于其他2组,差异均有统计学意义(P<0.05);治疗后3组血清IgE水平均明显降低,与同组治疗前比较差异有统计学意义(P<0.05),且线罐组明显低于其他2组,差异均有统计学意义(P<0.05);梅花针组复发率为10.0%(3/30),西药组为20.0%(6/30),线罐组为6.7%(2/30),线罐组复发率明显低于其他2组,差异均有统计学意义(P<0.05);西药组出现轻度嗜睡症状2例,头晕1例,其余2组均未出现明显不良反应。结论背俞穴线罐配合自血疗法治疗慢...     

针刺配合走罐治疗老年习惯性便秘临床观察

目的：探寻老年习惯性便秘的非药物治疗的有效方法。方法：将84例患者随机分为治疗组（针刺加走罐）和对照组（口服西药果导片）各42例,走罐隔日1次,针刺和对照组的果导每日1次,观察和比较两组患者便秘的改善情况。结果：治疗组近期临床显效率85．7％,明显优于对照组的59．5％,差异有显著性意义（P〈O．05）。远期（2月）两组疗效比较,临床痊、显率差异有非常显著性意义（P〈O．01）。结论：针刺配合走罐是治疗老年习惯性便秘的有效方法。     

针刺结合风市穴刺络拔罐治疗足少阳经型坐骨神经痛30例

目的:探讨针刺结合风市穴刺络拔罐治疗足少阳经型坐骨神经痛的临床疗效。方法:将60例足少阳经型坐骨神经痛患者随机分两组,每组30例。刺络拔罐组运用针刺结合风市穴刺络拔罐治疗,针刺穴取患者双侧腰夹脊、肾俞、大肠俞及患侧环跳、委中、昆仑、承山;常规针刺组单纯运用针刺治疗,取穴同刺络拔罐组。两组均每日治疗1次,10次为1个疗程,刺络拔罐组风市穴刺络拔罐每周1次,治疗3个疗程后通过疼痛视觉模拟评分(VAS)、日本骨科学会下腰痛(JOA)评分评定疗效。结果:刺络拔罐组总有效率为96.7%(29/30),优于常规针刺组的90%(27/30,P<0.05);两组治疗后疼痛VAS评分、JOA评分较治疗前均有明显改善(P<0.01)。结论:针刺结合风市穴刺络拔罐治疗足少阳经型坐骨神经痛的临床疗效较好,且操作简便,无不良反应,安全性高。     

火针配合拔罐的临床应用概况

综述近10余年来火针配合拔罐的临床应用概况。火针配合拔罐在皮肤科、骨伤科及外科得到了广泛的应用。今后可进一步提高其临床科研的设计水平,以充分体现火针配合拔罐的优势。     

药罐疗法对慢性喘息型支气管炎迁延期患者免疫功能的影响

目的 观察药罐疗法治疗慢性喘息型支气管炎迁延期的临床疗效,探讨其对机体免疫功能的影响。方法 随机将本病患者77例分为两组,治疗组（40例）用六味地黄丸加穴位药罐（内含自制平喘膏）拔罐治疗,对照组（37例）用六味地黄丸加穴位空罐拔罐治疗,并行治疗3周前后T淋巴细胞亚群、γ-干扰素（IFN-γ）、白细胞介素（IL）、免疫球蛋白（Ig）、补体（C3、C4）等指标测定。结果 总有效率治疗组（90．0％）优于对照组（59．5％,P〈0．01）;治疗后两组CD4^＋、CD4^＋／CD8^＋比值、IFN-γ、IL-2、IgM、IgA、IgG、C3、C4水平升高,CD8^、IL-4、IL-10、IgE水平降低（P〈0．05或P〈0．01）,且治疗组优于对照组（P〈0．05）。结论 穴位药罐拔罐疗法疗效明显优于穴位空罐拔罐疗法,且可显著改善患者细胞免疫及体液免疫功能。