针刺促排卵的临床及机理研究

排卵功能障碍可导致许多妇科常见病症,如闭经、不孕及功能性子宫出血等,进一步还可产生性腺萎缩、肥胖及贫血等一系列并发症。现代医学认为:排卵障碍是由下丘脑-垂体-卵巢轴的内分泌功能失调所致。我们采用针刺治疗34例因排卵障碍所致闭经、功血、不孕症患者,取得了临床疗效,现报道如下。临床资料从1986年12月至1987年12月,门诊收治排卵障碍病人34例,其中32例为曾有过月经来潮,后因各种原因而致闭经至少1年以上的继发闭经患者,均为1度闭经(用     

CLINICAL STUDIES ON THE MECHANISM FOR ACUPUNCTURE STIMULATION OF OVULATION

Ovulatory dysfunction is commonly seen in gynecology clinic,it may cause infertility,amenia,functional uterine bleeding and a variety of complications.This research according to TCM theory records treating with acupuncture 34 patients sufferingfrom ovulatory dysfunction.Changes in clinical symptoms and some relative targets are reported,plus findings in animal experiments.The effect of acupuncture in improving ovulation and therationale are discussed.According to TCM theory concerning the generative and physiologic axis of women,this re-search involved the following points:Ganshu(UB 18),Shenshu(UB 23),Guanyuan(Ren 4),Zhongji Ren 3),and Sanyinjiao(Sp 6).The reinforcement and reduction of acupuncture enablesit to strengthen liver and kidney.Through the Chong and Ren channels it nourishes uterus to ad-just the patient's axis function and recover ovulation.Treated on an average of 30 times,the patients'symptoms improved to varying degrees.Themarked effective rate was 35.29%,the total effective rate being 82.35%.BBT,VS,CMS,and Bultrasonic picture all improved to some degree.The results also showed that acupuncture may ad-just FSH,LH,and E_2 in two directions and raise the progesterone level,bringing them tonormal.The animal experiments confirmed this result.Results showed that acupuncture may ad-just endocrine function of the generative and physiologic axis of women,thus stinulatingovulation.The results of this research will provide some scientific basis for treating and further studying thisdisorder.     

针刺治疗类风湿性关节炎的疗效观察

本文运用整体取穴和局部取穴相结合的针刺方法治疗31例类风湿性关节炎,结果:显效8例(25.8％),有效18例(58.1％),无效5例(16.1％),总有效率为83.9％。并观察了类风湿性关节炎患者的关节晨僵时间、两手握力、关节肿痛数、压痛等体征和血沉、粘蛋白,类风湿因子、血液流变学等实验室指标,发现针刺后除类风湿因子无变化外,其余均有明显改善,有统计学差异.提示针刺治疗类风湿性关节炎可能通过活血化瘀,解除或减轻类风关患者血液高粘滞状态,消炎镇痛等途径来实现的。