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河南医科大学第一附属医院,郑州,450052
纸质出版日期:2001
移动端阅览
王宗学, 张卫星, 常建民. 针药结合治疗泌尿系结石[J]. 针刺研究, 2001,(3):189-190.
Acupuncture Combined with Chinese Herbal Medicines for Treatment of Urinay Lithiasis[J]. Acupuncture research, 2001, (3): 189-190.
We treated 122 patients with lithiasis in the urinary system from 1996 to 1999. Among them
36 cases suffered from renal calculus and 86 from ureterolith; 80 were male and 42 female. The longest duration of disease was 20 years and the shortest 3 days. Through ultrasonic examination
it was shown that the largest stone was 10 mm×8 mm and the smallest about 3 mm×4 mm. Two groups of acupoints selected were 1) Shenshu (BL 23)
Jingmen (GB 25)
Yanglingquan (GB 34) and Feiyang (BL 58); and 2) Guanyuan (CV 4)
Shuidao (ST 28)
Yinlingquan (SP 9) and Sanyinjiao (SP 6) that were used alternately
one time a day. The needles were retained for 30 minutes. In addition
Ershenmen (MA TF 1) and Jiaogan (MA AH 7) were supplemented for renal colic; Xuehai (SP 10) and Taichong (LR 3) for urodynia and hematuria; Quchi (LI 11) and Dazhui (GV 14) for fever
Zusanli (ST 36) and Taixi (KI 3) for asthenia. When the first acupoint group used
the patient with unilateral lithiasis was asked to take lateral decubitus with the affected side being upwards. In treatment of bilateral lithiasis
the patient was asked to take prone position. Shenshu (BL 23) was stimulated with electroacupuncture (EA) after "Deqi"
and the rest acupoints were stimulated with reducing needling method. When the second point group used
the patient was ordered to take supine position. Guanyuan (CV 4) and Shuidao (ST 28) were also stimulated with EA after "Deqi" and the rest acupoints were stimulated with reducing needling method. For patients with weak constitution
Zusanli (ST 36) and Taixi (KI 3) were stimulated with reinforcing needling method. Chinese medicinal herbs employed were Jinqiancao (Herba Lysimachiae)
Haijinsha (Spora Lygodii)
Cheqiancao (Herba Plantaginis)
Jineijin (Endothelium Corneum Gigeriae Galli)
Chuanshanjia (Squama Manitis)
Huashi (Talcum)
Shiwei (Folium Pyrrosiae)
Fuling (Poria) and Baimaogen (Rhizoma Imperatae)
combined with Yinhua (Flos Lonicerae) and Lianqiao (Fructurs Forsythiae) for fever; with Huangqin (Radix Scutellariae)
Xiaoji (Herba Cephalanoploris) and Qiancao (Radix Rubiae) for hematuria; with Renshen (Radix Ginseng) and Huangqi (Radix Astragali seu Hedysari) for asthenia; and with Yuanhu (Rhizoma Corydalis)
Danshen (Radix Salviae Miltiorrhizae) and Chuanlian (Fructus Meliae Toosendan) for renal colic. Results showed that after treatment
of the 122 patients with renal calculus or ureterolith
105 (86.6%) were cured
in 36 cases with renal calculus
the stones were removed in 27 cases (75%). In 86 cases with ureterolith
78 cases (90.7%) had their stones eliminated. It was found that ureterolith is easier to be removed than renal calculus
with the stone eliminating rate of the former being significantly higher than that of the later (P<0.05). Conclusion: Acupuncture combined with herbal medicines is faster
safer and definite in removing urinary lithiasis.
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