从筋骨肉并重论治膝骨关节炎

筋骨肉并重理论起源于《黄帝内经》,其核心思想为筋骨肉三者一体.骨为支柱,筋可约束和强固骨骼,肌肉能保护内在脏腑和筋骨血脉,三者共同维持膝关节功能,相互辅助、相互影响.基于该理论,认为膝骨关节炎以痹证为主,夹杂痿证,且痹证与痿证并存于整个病程且相互影响,其核心病机为肝脾肾亏虚、筋骨肉失衡.据此提出从筋骨肉并重论治膝骨关节...     

基于“经筋理论”探析针灸与康复治疗膝骨关节炎临床应用

膝骨关节炎是一种好发于老年的慢性骨关节疾病,具有较高的发病率和致残率,严重影响人们的身心健康.中医称为“膝痹”,其中经筋作为膝关节稳定与活动的基础,在KOA发展过程中,痹症日久必会伴有经筋损伤,因此基于“经筋理论”治疗KOA具有一定应用价值.在经筋理论指导下的针灸疗法能够直达病所、松解筋结、缓解疼痛,康复治疗通过有效肌...     

辰时针刺对原发性高血压患者的降压效应

ObjectiveTo observe the anti-hypertensive effect of time acupuncture on primary hypertension so as to provide the therapeutic regimen for the treatment of primary hypertension.MethodsA total of 120 patients with primary hypertension were randomized into a western medication group and an acupuncture-medication group, 60 cases in each one. In the western medication group, levoamlodipine maleate tablets were prescribed for oral administration. In the acupuncture-medication group, on the base of the treatment as the western medication group, time acupuncture was combined in the period of a day from 7:00 a.m. to 9:00 a.m. The duration of treatment was 4 weeks in the two groups. Before and after treatment, blood pressure, serum endothelin (ET) and nitrious oxide (NO) were measured successively and the clinical therapeutic effect was evaluated.Results(1) Blood pressure: the systolic and diastolic pressure after treatment were all lower than that before treatment in the two groups, indicating statistical differences (all P < 0.05). After treatment, the systolic and diastolic pressure in the acupuncture-medication group were lower than that of the western medication group, indicating significant differences (both P < 0.05). (2) ET and NO: after treatment, ET in the acupuncture-medication group was lower than the western medication group and NO was higher than the western medication group, indicating statistical differences (both P < 0.05). (3) Clinical therapeutic effect: the total effective effect of anti-hypertension was 89% in the acupuncture-medication group, higher than 63% in the western medication group, indicating statistical difference (P < 0.05).ConclusionThe combined treatment of western medication and time acupuncture (7:00 am to 9:00 am) achieves better effect on primary hypertension as compared with simple western medication and its anti-hypertensive effect is probably related to the decrease of ET and the increase of NO.     

燕赵医学流派对中医学本科师承教育与医德传承的作用

以医学流派对中医学的作用为切入点,以燕赵医学与中医药高等院校和临床医院相结合为实例,秉承"以人为本"的教育理念,从燕赵医学流派的传承创新、临床技能的带教实训、医德医风的德育教化等多维度,分析医学流派传承对中医药高等院校教育的积极影响,以期裨益于当代中医药高等院校教学质量和教学模式的改进.     

师承教育对提高中医本科生自主能力的调查分析

目的 探讨五位一体师承教育模式对学生自主能力的影响,以期为中医药人才培养模式提供参考。方法 采用调查问卷对351名接受师承教育的学生开展调研研究,问题涉及3个方面,包括中医本科班引入师承的必要性,师承后是否提高学生学习中医的兴趣、批判性思维、自主学习能力等。结果 90.6%的学生认为本科阶段引入师承模式是必要的,91.2%的同学认为本科引入师承教育能提高学习中医的学习兴趣,90.6%的学生认为师承教育能提升自主学习能力,91.5%的同学认为师承模式可以提升批判思维能力,而91.5%的学生认为师承教育有利于个性培养和因材施教。结论 大部分学生是肯定师承教育的优势,认为通过五位一体的师承教育模式的教导可提升其自主能力。     

展筋活血方穴位贴敷联合局部冷敷治疗膝骨关节炎膝关节镜术后肿胀、疼痛疗效观察

目的:比较展筋活血方穴位贴敷联合局部冷敷与单纯局部冷敷对膝骨关节炎(KOA)患者膝关节镜术后肿胀、疼痛的影响.方法:将62例膝关节镜术后伴有膝关节肿胀的KOA患者随机分为观察组和对照组,每组31例.对照组于术后采用冰袋冷敷治疗,每日3次;观察组在对照组的基础上选取展筋活血方(当归、川芎、桂枝、茯苓等)进行穴位贴敷,穴取...