Clinical analysis of acupuncture combined with tuina in treating cervical vertigo

Objective： To investigate the clinical efficacy of acupuncture combined with tuina in treating patients with cervical vertigo. Methods： According to the principle of randomization, 258 cases with cervical vertigo who met the inclusion criteria for the study were randomly divided into an observation group and a control group, with 129 cases in each. The patients in the observation group received acupuncture combined with tuina therapy, while those in the control group were just treated by the same acupuncture therapy as in the observation group. After 10-day continuous treatments, the clinical efficacies of the two groups were analyzed and compared. Results： The total effective rate of the observation group was 100%, versus 86.0% of the control group, and the difference was significant（P〈0.05）. After treatment, cervical range of motion（ROM） scores in both groups were statistically significantly different from those before treatment（all P〈0.05）; in addition, there was a statistically significant difference in inter-group comparison of ROM score（P〈0.05）. Conclusion： Compared with simple acupuncture treatment, acupuncture combined with tuina therapy has a better effect in improving the ROM of cervical vertigo patients, with higher clinical efficacy.     

Therapeutic Efficacy Observation on Combining Foot Bath and Massage with Auricular Point Sticking for Community Senile Insomnia简

Objective： To observe the therapeutic efficacy of combining foot bath and massage with auricular point sticking for community senile insomnia. Methods： A total of 210 cases treated in our community health center were randomized into an observation group and a control group by their visit sequence numbers, 105 cases in each group. Cases in the observation group were treated with foot bath and massage plus auricular point sticking, whereas cases in the control group were treated with auricular point sticking alone. After four courses of treatment, the therapeutic efficacies were evaluated. In addition, the sleep quality was also assessed using the Pittsburgh sleep quality index（PSQI）. Results： The total effective rate in the observation group was 95.2%, versus 68.6% in the control group, showing a statistical significance（P〈0.05）. Conclusion： Combining foot bath and massage with auricular point sticking could obtain better effect for community senile insomnia than auricular point sticking alone.     

Clinical Study on Treatment of Cervical Spondylotic Radiculopathy by Electroacupuncture plus Tuina简

Objective： To observe the clinical effects of electroacupuncture（EA） plus tuina for cervical spondylotic radiculopathy. Methods： One hundred and twenty cases with cervical spondylotic radiculopathy were divided randomly by the digital table into the observation group and control group. The patients in an observation group were treated by EA plus tuina techniques. The patients in the control group were treated by simple tuina techniques. Results： The total effective rate was 91.7% in the observation group and 78.3% in the control group. The effective rates in the two groups were statistically different（P〈0.05）. Conclusion： EA plus tuina therapy is better than simple tuina therapy in the treatment of cervical spondylotic radiculopathy.     

针刺推拿治疗肝阳上亢型头风临床研究

目的:观察针刺配合推拿治疗肝阳上亢型头风的疗效。方法:115例符合肝阳上亢型头风诊断的患者采用随机对照方法进行观察。治疗组58例给予针刺百会、风池、率谷、合谷、太冲、行间、肝俞、阿是穴,配合推拿手法治疗;对照组57例口服盐酸氟桂利嗪胶囊治疗。两组疗程均为4周,主要观察指标包括头痛程度、频率和持续时间,以及其他伴随症状和体征。结果:治疗组总有效率为91.4%,对照组为71.9%,组间差异有统计学意义(P<0.05),治疗后治疗组头痛程度、频率和持续时间的改善明显优于对照组,其他伴随症状和体征如头部压痛、急躁易怒、失眠多梦、口苦咽干的改善明显优于对照组(P<0.05)。结论:针刺配合推拿治疗肝阳上亢型头风能有效改善患者头痛程度、频率和持续时间,以及伴随症状和体征。     

基于生物力学探讨侧卧定点踩跷法治疗极外侧型腰椎间盘突出症的临床思考

由于极外侧型腰椎间盘突出症疼痛剧烈,突出组织接近椎间孔等问题,传统推拿手法往往难达到好的疗效。笔者从中西医对该病发病过程的生物力学改变的认识,侧卧定点踩跷法的操作技巧及生物力学、神经效应等角度出发,对极外侧型腰椎间盘突出症的手法治疗思路及相关临床应用进行思考。     

Clinical observation on tuina treatment for cervical intervertebral disc herniation

目的：观察推拿治疗颈椎间盘突出症的临床疗效。方法：87例患者根据就诊顺序随机分为治疗组和对照组。治疗纽39例,采用推拿手法治疗;对照纽48例,采用颈椎牵引结合中频脉冲治疗。两组均每星期治疗3次,治疗10次为一个疗程。结果：治疗组治愈22例,显效13例,好转4例,显效率89．7％,总有效率100．0％;对照纽治愈23例,显效17例,有效7例,无效1例。显效率83．3％,总有效率97．9％。两组显效率及总有效率比较,差异均无统计学意义。治疗组平均治疗17．8次,对照组平均治疗26．6次。结论：推拿治疗颈椎间盘突出症疗效与牵引结合中频脉冲治疗相当,但推拿治疗具有见效快,疗程短的优势。     

Clinical research on tuina plus hydro-acupuncture for lumbar intervertebral disc herniation

目的：观察推拿结合水针治疗腰椎间盘突出症的疗效。方法：将120例腰椎间盘突出症患者随机分入观察组或对照组,观察组采用推拿结合水针治疗,对照组采用单纯推拿手法治疗。结果：观察组总有效率为93.3％,对照组总有效率为75．0％,两组总有效率差异有统计学意义（P〈0．01）。结论：推拿结合水针治疗腰椎间盘突出症疗效优于单纯推拿手法治疗。     

Clinical observation on treatment of knee osteoarthritis by acupuncture and tuina therapy

目的：观察和评价针灸推拿治疗膝骨关节炎的临床疗效,分析针灸推拿对患者股四头肌肌力的影响。方法：将80例膝骨关节炎患者随机分为2组,治疗组40例采用针灸推拿治疗,对照组40例口服芬必得,治疗前后采用疗效评定量表、Lequene＆Mery严重度指数评分以及等速测试系统进行评估。结果：治疗组总有效率90．0％,对照组总有效率87．5％,治疗后组间比较无明显差异;Lequene＆Mery评分显示,两组治疗后组间比较无明显差异。等速测试结果显示,两组治疗前后比较均有显著性差异（P〈0．05）;治疗后组间比较有显著性差异（P〈0．05）。结论：针灸推拿和口服芬必得均能改善患者症状,但对膝骨关节炎严重程度改善较小。针灸推拿治疗可以提高膝骨关节炎患者股四头肌肌力、做功和爆发力,其影响大于口服芬必得。     

中医推拿治疗原发性高血压临床观察

目的：探讨中医推拿治疗原发性高血压的临床疗效。方法：采用前瞻性研究的方法,进行随机对照研究,将原发性高血压患者80例随机分为推拿治疗组与对照组。在不停止两组使用已有西药降压基础下,予以推拿治疗组辨证推拿治疗,对照组不予以推拿治疗。治疗前后观察其临床疗效和客观指标的改善情况,并进行统计学处理。结果：治疗1周、4周、8周后,分别使用证候疗效判定标准判定疗效。推拿治疗组有效率95.00%,对照组有效率77.50%。两组治疗后1次血压、1周、4周、8周治疗后平均血压均较治疗前显著降低（P〈0.05）。而且中医推拿治疗组对原发性高血压相关症状改善优于对照组（P〈0.05）。结论：相较于单纯西药降压,中医推拿配合西药降压效果显著,并能有效缓解相关症状,值得推广。     

基因组学与蛋白质组学对手法研究的意义

分子生物技术在很多学科领域中被广泛应用,并且许多研究已取得一定的成绩。反观推拿科研工作中应用分子遗传学生物技术相对较少。通过剖析推拿科研面临的现状和问题,探讨分子生物学技术在推拿科研中应用及其临床的指导意义,以期弥补当前推拿研究方法从宏观角度分析推拿问题的不足,开拓临床思路。应用分子生物技术有助于阐明推拿研究中各种重要问题。