简介:Acupunctureplaysadominantroleintreatingfunctionaldyspepsia(FD).ByreviewingandevaluatingclinicalRCTandfundamentalresearchwithhighqualityinthepast17years,itisfoundthatspecificacupointsarethechiefinthetreatmentofFD;additionally,therearedifferencesbetweenspecificacupointsandnon-specificacupointsintherapeuticeffect,explainingthatthespecificityofmeridianpointsplaysanimportantroleintreatment.However,becauseofinadequatehigh-qualityresearchesinclinics,thespecificityofacupointscan’tbeproveduntiltheresearchesofclinicaleffectandmechanismoftherapeuticdifferenceareintensified.
简介:目的:比较痛经时针刺单穴十七椎和多穴针刺治疗痛经的疗效差别,为取穴提供依据。方法:将38例患者随机分为单穴组和多穴组,每组19例。单穴组取穴十七椎,多穴组取十七椎、三阴交、地机、次醪,两组分别在疼痛发作第1天开始针灸治疗,每天针灸1次,1个月经周期连续治疗3天,共治疗3个月经周期。比较两组患者临床疗效、疼痛视觉模拟评分(VisualAnalogueScale,VAS),并采用Cox痛经症状量表(CoxMenstrualSymptomScale,CMSS)对患者痛经总频率、痛经严重程度进行评价。结果:单穴组痊愈率为68.4%(13/19),有效率为31.6%(6/19),多穴组分别为78.9%(15/19)、21.1%(4/19),两组疗效相当(P〉0.05);两组治疗后VAS疼痛评分、疼痛总频率评分、痛经严重程度评分均较治疗前明显降低(均P〈0.001),但两组间治疗后差异无统计学意义(均P〉0.05)。结论:对原发性痛经患者,在疼痛时进行针刺,只取一个穴位十七椎即可达到与选取多穴相同的止痛效果。
简介:目的:观察刺络拔罐结合穴位贴敷对神经根型颈椎病青年患者的疗效。方法:61例神经根型颈椎病患者按随机数字表法分为穴贴组(31例)与电针组(30例),穴贴组在项背、肩胛骨脊柱旁两侧采用刺络拔罐结合阿是穴穴位贴敷治疗,电针组在夹脊、风池、肩井、肩髃、外关、后溪、大椎采用电针治疗,观察两组患者在总体症状体征积分与总体疗效方面的优劣。结果:两组治疗前后总体症状体征积分均有明显改善(穴贴组:9.96±2.02vs15.87±1.84,P〈0.05;电针组:10.02±1.76vs13.59±1.52,P〈0.05),穴贴组积分改善较电针组更为明显(两组治疗前后差值:穴贴组为5.91±1.95,电针组为3.53±1.68,P〈0.05),穴贴组总有效率为93.6%(29/31),亦优于电针组的83.3%(25/30),差异有统计学意义(P〈0.05)。结论:刺络拔罐结合穴位敷贴对神经根型颈椎病青年患者有良好治疗效果。
简介:目的:对比观察电针消化系统相关的下合穴对溃疡性结肠炎(UC)模型大鼠血清白介素-1β(IL-1β)、结肠组织肿瘤坏死因子-α(TNF-α)及高迁移率族蛋白1(HMGB1)表达的影响,探讨大肠下合穴上巨虚治疗大肠腑病是否存在相对特异性。方法:将SD大鼠60只随机分为空白组、模型组、上巨虚组、足三里组、下巨虚组及阳陵泉组,每组10只,雌雄各半。采用2-4-6三硝基苯磺酸/乙醇溶液灌肠建立溃疡性结肠炎模型,造模成功后治疗10d,取材,肉眼观察大鼠结肠溃疡及炎性反应并评分,ELISA法检测血清IL-1β含量及结肠中TNF-α、HMGB1的表达。结果:1与空白组比较:其他各组大鼠结肠溃疡及炎性反应评分、血清IL-1β含量、结肠TNF-α(除上巨虚组外)和HMGB1含量均较高(P〈0.05,P〈0.01);2与模型组比较:足三里、上巨虚组溃疡评分明显偏低(P〈0.05,P〈0.01);全部4个治疗组的IL-1β、TNF-α、HMGB1含量均明显偏低(P〈0.01);3与上巨虚组比较:其他3个治疗组IL-1β、TNF-α、HMGB1含量均明显偏高(P〈0.05,P〈0.01),且下巨虚、阳陵泉组的溃疡评分也明显偏高(P〈0.05)。结论:1电针"上巨虚""足三里""下巨虚"和"阳陵泉"均可降低结肠溃疡评分,且降低血清IL-1β含量及结肠TNF-α、HMGB1的含量,有效阻抑UC所致的结肠炎性反应;2四穴治疗溃疡性结肠炎的效应趋势为:"上巨虚"〉"足三里"〉"下巨虚"〉"阳陵泉",且"上巨虚"相对而言效应最佳,存在相对特异性。
简介:FromJuly7to17in2009,the1stSino-GermanInt’lSymposiumonacupuncture&moxibustionwasheldinChengdu.Thirtywell-knownexpertsfromChina,Germany,theUnitedStates,Switzerlandandothercountrieshadathoroughexchangeanddiscussiononacupunctureandmoxibustionclinicalresearchandfuturetrends.Themaincontentsofthemeetingaresummarizedasfollows
简介:Nervelesionsurfaceiscommonlytreatedbylocalacupointsortheacupointsalongtheaffectedmeridians,referringtosymptomatictreatment,andthetreatmentofBiao.SelectionofacupointsbasedonthedifferentiationofsyndromesisinthecategoryofholistictreatmentandthetreatmentofBen.Thelocalselectedacupointsonnervelesionsurfacemayworkontheaffectedareadirectlyandplaytheimportantsignificanceintherecoveryofnervefunction.But,facialparalysisischieflymanifestedastheholisticdisorderofthebodyanditspathologicalmechanismisquitecomplicated,withmuchmoresyndromes.Hence,inordertoachievesatisfactorytherapeuticeffects,itisnecessarytodistinguishtheetiology,classifythesyndromes,makethedifferentiationofsyndromesandapplysystematictreatment.Itisthemainapproachtoselecttheacupointsbasedonthedifferentiationanditisviewedthattheorganiccombinationisthekeybetweentheselectionofacupointsbasedonnervelesionsurfaceandthatbasedondifferentiationofsyndromessothatthetherapeuticeffectmaybeenhanced.