穴位埋线联合耳穴贴压治疗神经性贪食症18例

Prof. Min LI adopted acupoint catgut embedding at Zhōngwǎn (中脘CV12), Tiānshū (天枢ST25), Wèishū(胃俞BL21), Dàchángshū(大肠俞BL25), Zúsānlǐ (足三里ST36), Sányīnjiāo (三阴交SP6), and Tàichōng (太冲LR3), and combined with auricular plaster therapy at Wèi (胃 CO4) , Dà cháng (大肠 CO7) , Gān (肝CO12) ,Jiāogăn (交感 AH6a) ,Nèifēnmì (内分泌CO18) for the treatment of 18 cases of bulimia nervosa(BN). The result was that 9 cases were clinically cured, 6 cases improved, 3 case ineffective, and the total effective rate was 83.33%, no obvious adverse reactions. The therapeutic effect of acupoint catgut embedding combined with auricular plaster therapy for BN is good, without side effects.     

针刺心包经原络穴配合井穴放血治疗痰热扰心型不寐临床疗效观察

目的:观察针刺心包经原络穴配合井穴放血治疗痰火扰心型不寐的临床疗效。方法:选取60例不寐患者,随机分成2组,治疗组采用针刺心包经原络穴配合井穴放血治疗,对照组采用传统针刺法治疗,分别在治疗前和治疗结束后进行匹兹堡睡眠质量指数(PSQI)评分,中医症候积分,并在治疗结束后对比分析2组患者疗效。结果:治疗组总有效率达96.67%,对照组总有效率66.67%,治疗组疗效明显高于对照组(P0.05)。治疗组匹兹堡睡眠质量指数(PSQI)评分明显低于对照组,治疗组中医症候有效率显著高于对照组(P0.05)。结论:针刺心包经原络穴配合井穴放血治疗痰火扰心型不寐临床疗效优于传统针刺法。     

双“十”字针法联合盐酸多奈哌齐治疗血管性痴呆的临床观察

目的:观察双"十"字针法联合盐酸多奈哌齐治疗血管性痴呆(VD)的临床疗效。方法:选取60例血管性痴呆患者随机分为对照组和治疗组,每组30例。两组在基础治疗同时,对照组患者予盐酸多奈哌齐治疗,治疗组患者在对照组治疗基础上,联合双"十"字针法治疗,连续治疗80 d。比较两组治疗前后简易智能精神状态检查量表(MMSE)积分,日常生活活动能力量表(ADL)积分和中医证候评分变化,判定临床疗效。结果:两组患者治疗前后量表积分和中医证候评分比较,差异有统计学意义(P0.05)。治疗组总有效率为83.3%,对照组总有效率为63.3%,两组比较,差异有统计学意义(P0.05)。结论:双"十"字针法联合盐酸多奈哌齐治疗血管性痴呆疗效优于单纯西药。     

针刺少商、隐白穴为主治疗不寐疗效观察

<正>不寐,又称"不得卧"、"目不瞑",是因脏腑失调,气血失和,阴阳失衡,神不守舍而导致不能获得正常睡眠的疾病,俗称失眠。在我国失眠症患病率达到10%20%左右,若得不到及时治疗,会诱发更严重的躯体和心理疾病~([1])。目前临床常用镇静药物,抗焦虑药物治疗,疗效一般,副作用大。近年来,中医在治疗不寐上呈现显     

肯尼迪病案

正患者,男,48岁。初诊日期:2017年4月3日。主诉:双下肢无力8年余。病史:2009年开始出现双下肢行走不适,走路时间长则明显无力。2010年出现双手虎口处肌肉萎缩,伴有肌束震颤。期间就诊于当地某三甲医院,查头MRI示:未见明显异常。颈椎MRI示:C1~C3椎间盘轻度膨出。肌电图示:神经源性损害。高度怀疑运动神经元病(ALS?)。病情进行性     

《焦氏喉科枕秘》学术价值之刍议

《焦氏喉科枕秘》由清代焦氏(佚名)原撰,金德鉴编撰而成,是中医喉科的一部重要临床专著。在清代喉科专著蓬勃发展的时代背景下,本书提出了富有特色的辨证思路以及诊治思维,认为病邪不独为火,脏腑责之心脾;中药内服外用均注重分期给药以达标本兼治之功,相较于同时期的喉科书籍尤为强调针药并用,并提倡多种治疗方法相结合;为中医喉科治疗学的发展提供新的理论基础和治疗方法,具有较高的学术价值,值得进一步挖掘与探究。     

温针灸结合滞针提拉法治疗顽固性周围性面瘫33例

ObjectiveTo observe the clinical therapeutic effect on refractory peripheral facial paralysis treated with the combination of warming-needle moxibustion and stuck-needle-pulling therapy.MethodsA total of 33 patients with refractory peripheral facial paralysis were treated with the combination of warming-needle moxibustion and stuck-needle-pulling technique. The treatment was given once daily and there were 2 days at interval after consecutive 5 treatments. A total of 10 treatments made one course and consecutive 2 courses of treatment were required. Before and after treatment, House-Brackmann (H-B) facial nerve grading scale score was adopted to evaluate the degree of facial paralysis in the patients and the clinical effect was assessed.ResultsAfter treatment, the mean H-B score was higher than that before treatment in the patients, indicating a statistical significance (P < 0.05). After treatment, of 33 cases, 12 cases were cured, 9 cases effective remarkably, 8 cases effective and 4 cases no effect. The total effective rate was 87.88%.ConclusionThe combination treatment of warming-needle moxibustion and stuck-needle-pulling technique achieves a definite effect on refractory peripheral facial paralysis.     

庄礼兴分型论治左旋多巴引发的帕金森病异动症经验

总结庄礼兴教授分型论治左旋多巴引发的帕金森病异动症（LID）的临证经验。认为LID以筋脉失约或失养为根本病机,临证将剂峰LID辨为肝阳化风型、肝肾不足型,肝阳化风型治当平肝熄风、舒筋止颤,方以镇肝熄风汤加石决明、珍珠母加减,肝肾不足型治当补益肝肾、育阴熄风,以大补阴丸为主方加减;将关期LID辨为痰湿中阻型、气血两虚型,痰湿中阻型治当化痰除湿、濡养筋脉,予温胆汤或二陈汤加减,气血两虚型治当补益气血、濡养筋脉,可以补中益气汤或八珍汤或参苓白术散为主方加减;将双相LID辨为少阳枢机不利型,治当和解少阳、调达枢机,予小柴胡汤加减。     

庄礼兴“治异三针”穴组针刺治疗帕金森病异动症经验

介绍庄礼兴教授运用“治异三针”穴组针刺治疗帕金森病异动症的临床经验。庄教授认为帕金森病异动症基础病机是“阳虚风动”，针刺治疗以“温阳通督、调神止颤”为法，选择百会、素髎、定颤穴作为“止颤针”，配合靳三针中的“颤三针”“督三针”“挛三针”，构成“治异三针”穴组，随症加减，配合导气同精、小补小泻的特定针刺手法。