针刀松解法与电针对膝骨关节炎大鼠中枢啡肽类物质影响的比较研究

目的:观察针刀松解法及电针对膝骨关节炎大鼠中枢β-内啡肽(β-EP)及八肽胆囊收缩素(CCK-8)的影响。方法:将60只SD大鼠随机分为空白组、模型组、电针组和针刀组。用4%木瓜蛋白酶溶液与半胱氨酸溶液注入大鼠左膝关节腔复制膝骨关节炎模型。针刀组和电针组分别给予针刀松解法和电针治疗,疗程3周。采用放射免疫法检测脊髓及中脑β-EP及CCK-8的含量。结果:模型组大鼠脊髓及中脑β-EP和CCK-8含量较空白组显著增加(P<0.01);在脊髓水平针刀组及电针组β-EP含量较模型组升高,以电针组明显(P<0.05);针刀组和电针组脊髓和中脑CCK-8含量较模型组显著降低(P<0.05,P<0.01);两组间β-EP及CCK-8含量无显著性差异(P>0.05)。结论:针刀松解法和电针均可调节膝骨关节炎大鼠脊髓和中脑β-EP和CCK-8的合成和释放。     

CLINICAL OBSERVATION OF THE THERAPEUTICAL EFFECT OF 32 CASES OF ACUTE AND CHRONIC CHOLECYSTITIS WITH EYE ACUPUNCTURE

32 cases of patients with acute and chronic cholecystitis were treated with eyeacupuncture.The eye points used were Liver Region,Gallbladder Region and Middle Jiao Region.Reinforcing or reducing technique were applied under different conditions,The cure rate was 25％,the markedly effective rate was 31.25％,the effective rate was 28.21％and the ineffective rate was15.6％.The total effective rate was 84.37％.     

艾灸对亚急性衰老小鼠抗氧化酶活性影响的实验研究

目的通过测定亚急性衰老小鼠红细胞中SOD、血浆中CAT、肝组织中GSH-PX的活力,探讨艾灸督脉经穴的延缓衰老作用.方法以D-半乳糖造成的亚急性衰老小鼠为实验对象,艾灸"大椎"、"命门"、"足三里"穴,治疗结束后测定SOD、CAT、GSH-PX等酶的活力.结果各治疗组与模型组比较,各抗氧化酶的活力明显上升,有显著性或非常显著性意义(P<0.05,P<0.01);各治疗组与空白组比较,各酶的活力接近空白组,无显著性意义(P>0.05);各治疗组间比较,无显著差异(P>0.05).结论提示艾灸大椎、命门穴具有延缓衰老的作用.     

针刀松解法对第三腰椎横突综合征家兔5-HT和β-EP以及局部组织病理学的影响

目的:观察第三腰椎横突综合征模型兔血清和肌肉组织5-HT、β-EP的含量变化,探讨针刀治疗的作用机制。方法:将30只日本大耳白兔随机分为正常组、模型组、针刀组、电针组和针刀+电针组。造模后28天,腹主动脉取血和左侧第三腰椎横突周围肌肉组织,采用双抗夹心ELISA方法分别检测血清和肌肉组织中5-HT、β-EP含量的变化;HE染色观察局部组织的病理学改变。结果:模型组血清和肌肉组织5-HT、β-EP含量较正常组明显提高;3个治疗组血清和肌肉组织中5-HT以及肌肉组织中β-EP含量较模型组显著降低。模型组局部出现明显炎症反应,3个治疗组,局部炎症反应均有减轻。结论:针刀松解法可通过减轻局部炎症并减少血清和肌肉组织中5-HT和肌肉组织中β-EP的含量,介导外周的镇痛效应。     

Acupoint Exploration A PRELIMINARY EXPLORATION OF THE CHARACTERISTICS OF SELECTING ACUPOINTS FOR EIGHT CATEGORIES OF PATTERNS OF IMBALANCE

With the help of computers,we have made statistics as to the frequency of se-lecting points for the eight categories of patterns of imbalance.We suggest that for the heat syn-drome,the points in the upper part should usually be selected,for the cold syndrome,the points inthe lower part should generally be adopted;for the exterior syndrome,the points on the yang surfaceshould mostly be selected,for the interior syndrome,the points on the yin surface should generally beadopted;for the asthenic syndrome,the points in the trunk should mostly be selected,for the sthenicsyndrome,the points at the extremities generally be adopted.     

THE TREATMENT OF CERVICAL SPONDYLOPATHY BY LASER ACUPUNCTURE AT THE CERVICAL JIAJI POINTS: AN ANALYSIS OF THERAPEUTIC EFFECT OF 102 CASES

Laser acupuncture therapy was employed in the treatment of spondylopathy.Thetherapeutic effect of the three types of the spondylopathy,nerve root type,vertebral artery type andspinal cord type were stuied and compared.The results indicate a significant difference between thethree types of spondylopathy.The best therapeutic effect was obtained in nerve root type with a remarkable effective rate of 98.5％;the effective rates for the vertebral artery type and the spinal cordtype were 92.3％and 25％,respectively.Combining laser irradiatlon with acupuncture,the therapyposseses the functions of acupuncture,heat effect and mild moxibustion action.Therefore,it showedeffect quickly and had the advantages of short treatment course and high therapeutic effect.Clinicalobservation has confirmed that laser acupuncture is more effective than single laser irradiation.Thistherapy offers another simple but effective method for the treatment of spondylopathy.     

孤束核、脊髓损毁后艾灸预处理对急性胃黏膜损伤大鼠PGE2与EGF含量的影响

目的:损毁大鼠中枢神经通路中的孤束核和脊髓,观察艾灸预处理对胃黏膜内源性保护物质前列腺素E2(prostaglandin E2,PGE2)和表皮生长因子(epidermal growth factor,EGF)含量的影响,进而探讨艾灸启动内源性保护信息与中枢神经通路的关系.方法:50只SD大鼠随机分5组,即A:空白对照组;B:模型对照组;C:温和灸+模型组;D:温和灸+模型组+孤束核损毁组;E:温和灸+模型组+脊髓损毁组.预先按要求对D、E组大鼠分别实施孤束核、脊髓的损毁手术,再对相应组别进行艾灸处理,最后用无水酒精灌胃造成急性胃黏膜损伤模型.运用酶联免疫吸附法(enzyme linked immunosorbent assay,ELISA)法检测胃黏膜组织中PGE2和EGF的含量.结果:艾灸预处理有上调胃黏膜中PGE2、E G F含量的作用(338.82g/L±19.87g/Lvs279.52g/L±16.53g/L,P<0.01;4037.12g/L±300.20g/L vs2923.73g/L±251.23g/L,P<0.05),孤束核和脊髓被损毁的2组大鼠胃黏膜PGE2和EGF的含量明显低于神经通路未损伤的温和灸组(298.65g/L±12.89g/L,317.56g/L±16.60g/Lvs338.82g/L±19.87g/L;3176.21g/L±242.35g/L,3337.43g/L±249.86g/L vs4037.12g/L±300.20g/L,均P<0.01),且孤束核损毁的大鼠胃黏膜中PGE2的含量较脊髓损毁的低(P<0.05).结论:损毁大鼠中枢神经通路中的孤束核和脊髓对艾灸预处理提高胃黏膜组织中PGE2、EGF含量有影响,提示孤束核和脊髓均参与了艾灸保护胃黏膜信号的传导.其中,艾灸诱导胃黏膜PGE2的产生可能主要受控于孤束核,而其对胃黏膜EGF表达调控则与孤束核和脊髓均有关.     

穴位注射野木瓜治疗颈椎病202例疗效观察

用穴位注射野木瓜法治疗颈椎病202例。结果:对风寒、风湿及湿热型患者的有效率为96.77%;对阴虚、阳虚及阴阳两虚有效率为96.67%;对气滞血瘀型和肝郁及血虚型的有效率均为100%,总有效率为97.52%。文中还就该法治疗颈椎病的机制进行了探讨。     

EFFECT OF ACUPUNCTURE ON ELECTROMYOGRAPH OF MYOSITIS AND PATHOLOGY OF MUSCLE

An animal model of experimental polymyositis(EPM)similar to humampolymyositis(PM)was made by immuning with skeletal muscular homogenate of rabbits.We treatedthem by acupuncturing Zusanli(ST 36)and Xuehai(SP 10)for 8 consecutive weeks and comparedthem with control group.The changes of electromyogram and muscular pathology were analysed.The results show that all changes in acupuncture group are milder than that in control group and sug-gest that acupuncture has some beneficial adjustment for the immunity of PM.     

针刺对视神经萎缩患者球结膜微循环的影响

本文对１８例２８眼视神经萎缩的针刺前后球结膜微循环变化进行了观察，并与正常组对照。结果发现视神经萎缩患者球结膜微循环以血流减慢、血细胞聚集、微血管了血和渗出为主要病理改变，针刺后血流加快、血细胞聚集减轻。本病球结膜微循环的异常发迹与中 对本病“经络郁滞”的认识相吻和。针灸能改善局部血循环，疏通目络气血、局部新陈代谢，使部分处于低下地视神经的兴奋性得以改善，是针炙治疗神经萎缩的疗效机制定之一。