摘要:There was record of treatment with immunologic therapy early in Jin Dyn-asty (265A.D.)in our country.“Qian Jin Fang” written in Tang Dynasty(682 A.D.) stated that the moxibustion could prevent infection.And in thepast twenty years,the theory and technique of immunology has been developedand widely applied to the experimental researches as well as the clinical tre-
摘要:氦氖激光照射具消炎、镇痛、扩张血管,调节机体免疫功能,促进溃疡愈合等作用,已被医学家所公认。氦氖激光由于对皮肤有一定的穿透力。从1973年法国学者 Plog首先提出“光针”之后,有关激光针的研究及临床应用的报道,相继出现,激光照射穴Helium-neon laser has many functions such as counteracting inflammation
analgesia,dilataling blood vessels,regulating immunity function,promoting
the cure of ulcer.Because the irratiation of helium-neon laser is reflexed by
the skin,absorbed by the tissue and rediated crosswidely etc.,its penetrating
force is limited to a certain extent.Since it is unable to reach a proper depth
with an effective strength,for the treatment of deep tissue inflammation or
for acupuncture therapy,its clinical curative effect is weak.We have resea-
rched a new way of laser acupuncture.It can irradiate and treat through laser
into the deep tissue.After one year's treatment of 326 patients,we have made
better clinical curative effect.
The exportend of the tube of helium-neon laser is coupled with the fiber
optics (diameter 50/125mm).This fiber optics bundle can be inserted into a
special hollow acupuncture needle with its diameter similar to a syringe needle of No.5 or No 5(1/2).Thus a laser acupuncture needle is constituted.
Among 326 cases,the cure rate of 13 kinds of diseases was 62.9% and the
general effective rate was 99.3%.In 114 cases of prostatitis treated,the cure
rate was 55.3%,the general effective rate 99.1%,in 61 cases of chronic
colitis treated,the cure rate was% 73.8,the general effective rate 100%.In 40
cases of periarthritis of the shoulder treated,the cure rate was 65%,the gen-
eral effective rate 100%.In 36 cases of ischiagia treated,the cure rate was
77%,the general effective rate 97.2%.
In all 326 cases (3,186 person-times) treated with laser acupuncture needle
inserted into the tissue or the acupoint showed no abnormal reaction,indicating
that this method is feasible,effective and safe.The Success of it opens up a
new field for laser medicine,enriches and develops acupuncture therapy.
摘要:氦氖激光照射治疗各种炎症已证实有卓著的疗效。1985年我们设计了激光针灸方法治疗某些疾病,也取得一些成效。本文仅就于1985年7月至1986年5月应用激光这种治疗方法治疗的前列腺炎119例的结果报道如下:Laser acupuncture produced remarkable effects on 119 cases of prostatitis.
All the patients were from our clinic.Most of them were young or middle-
aged.
Patients were divided into two groups,laser acupuncture group (therapeu-
tic group) and laser rectum irradiation (control group).For the therapeutic
group,the helium-neon laser acupuncture and moxibustion needle was inserted
into the prostate through the perineum,and for the control group,fiber optics
was placed in the glass stick and inserted into the hole of rectum to irradiate
indirectly the prostate.Patents in the two groups were all treated 20 min-
utes per a day for four times as a course.
The cure rate was 53.4%,in the threapeutic group including 88 cases and
in the control group of 31 cases,the cure rate was 22.60%,the difference
being very significant (p<0.01).The total effective rate of the therapeutic
group was 98.9% and that of the control group was 83.9%.The difference
was also very significant.(p<0.01).
In the therapeutic group the prostate was reduced 0.449cm in average,and
0.108cm in the control group.There exists a very significant difference
(p<0.01).
摘要:针刺麻醉腹式输卵管结扎临床研究是卫生部下达的《1975年针刺麻醉全国研究计划》中的一个重要课题,由江苏、四川、上海、湖北、广东、广西、安徽、山西、河南、福建、山东、江西、浙江、湖南、黑龙江、甘肃、云南、宁夏十八个省、市、自治区的一百多个科研、临床单位组成协作组,自1975年5月至1977年12月共完成输卵管结扎术23,554例。其中针麻效果一级的12,246例,占51.9%;二级的7,968例,占A program of investigation an acupuncture anesthesia for abdomenal tubo-
iigation was carried out by research workers and clinicians of 18 provinces,
cities and autonomous regions.Operation were performed on 23,554 patients
with a rate of success of 97.9%,and a rate of excellent-good result of 85.8%.
For the choice of points,five groups of points were put into trial:
(1)Sanyinjiao (bilateral),Ciliao (bilateral);(2)Renzhong,Chengjiang;(3)Ear
points:Lung,Shenmen,Uterus,Endocrine;(4)Renzhong Chengjiang,Ciliao
(bilateral);and (5)Ear points:Lung,Shenmen,Uterus,Endocrine,Parain-
cisional.The rate of excellent-good result for each group was 85.5%,85.2%,
85.2%,91.4% and 87.0% respectively.The fourth group showed better result
than the other groups (0.05>P>0.01).
Regardiog the duration of induction,4,763 cases were investigated in four
groups.Marked difference was noted in the rate of excellent-good result bet-
ween.these groups (0.05>P>0.01).It was concluded that 5’—10’ was the
most optimal induction duration.
In this series, in 23,554 cases,neither procaine nor other analgesics was
given.Dolantin was used in 3,915 cases.This was compared for three times
with the control group of 3,073 cases.It was noted that acupuncture anesthesia without Dolantin could be as effective as with it.
It may be concluded that acupuncture anesthesia can be used to perform
abdominal tuboligation without the help of supplementary medication.Acupu-
ncture anesthesia has the merits of being safe,simple,effective and with rapid
recovery.It is considered to be a preferable method of anesthesia for abdo-
minal tuboligation.
摘要:针灸作为中国的一个有效治疗方法,已有两千多年的历史,历代和现今的文献中均有很多报导,在我们的临床研究工作中,观察到针刺治疗缺血性中风的有效率为87.5%和92.31%。但针刺为什么能治疗缺血性中风?其原理如何?这是应该探讨的问题。本文试图从针刺对实验性脑缺血动物的血液动力学,包括脑血流量和脑血管阻力的影响,来探讨针刺治疗缺血性中风的原理。The results in observation of 44 cats showed that the animal model of
acute experimental cerebral ischemia were peroformed by ligating some cerebral
supply artery.Acupuncture of cerebral ischemia cats at “Quchi”(曲池)and
“Yanglingquan”(阳陵泉)may increase cerebral blood flow (CBF)and reduce
cerebral blood vessel resistance (CVR).After removing the needle,CBF may
increase last for 35 minutes,but the CVR reduced not prominently.In normal
cats,the hemodynamics of the brain were not markedly affected by acupuncture.
摘要:“体表与内脏相关”是针灸学一个基本理论,它指导着针灸的取穴和内脏疾患的诊断。现代医学也越来越重视这一课题,Ama-ssion 和 Langhof 等曾以体感皮层诱发电位为指标证明躯体传入可抑制内脏传入,Selzer,Hancock 等曾报导躯体传入Experiments were performed on 32 cats under chloralose and flaxedil.The
A fider and AC fiber of splanchnic nerve (SPN) and peroneal nerve (PN)
were stimulated with electric pnlses of different strength.The unit discharges
were recorded with glass microelectrode in the contralateral somato-sensory
cortex,and proceeded with microcomputer using stochostic point process signal
analysis method.The normalized cross-eovariance function (NCCVF) is used
to analyse the spikes.
NCCVF of the cortical unit discharges evoked by peroneal and splanchnic
nerve input expressed a first positive component followed by a negative com-
ponent.The latency and the duration of the first positive component of
NCCVF of SP-ED (the unit discharges evoked by splanchnic nerve input) were
longer than that of P-ED (the discharges evoked by peroneal nerve input),and
the amplitude was lower.
When PN and SPN were stimulated simulanteously,P-ED appeared alone,
but no SP-ED.SP-ED was depressed,while the SPN was stimulated after the
stimulation of PN,and P-ED was inhibited while the PN was stimulated after
the stimulation of SPN.The inhibition of the peroneal input on the splanchnic
one was more powerful than that of splanchnic input on peroneal one.The
longer the interval between these two stimulations,the lesser the inhibition.
The unit discharges evoked by AC fiber input was more difficultly inhibited
than that by A fiber input alone.
It was suggested that the superficial somatic and the splanchnic inputs mi-
ght inhibit each other in central nervous system.The preceding input reaching
the cerebral cortex might inhibit the later one.This inhibition was related to
the type of nerve fiber and to the intervals between two stimulations.
摘要:休克是临床常见危急综合症,较为近似中医的脱证,失血性休克多见于中医的血脱,津脱、继之亡阴,出现“气滞血瘀”气血失调的症状,及时采用一些急救措施来调节机体的阴阳气血达到益气救阴回阳救逆是非常重要的,应用针刺治疗法在抢救休克特别是促使血压回升有一定作用。针刺对失血The objective of this study was to observe the effects of hemo(?)rhagic
shock and electroacupuncture (EA)at “Renzhong” following shock on brain
spontaneous and evoked potentials of rabbits;and further to analyse the regu-
latory function of acupunctre on brain function in the rabbits with hemorrhagic
shock.
Rabbits were anesthetized with chloralose-urethan.The left peroneal nerve
was placed on a pair of electrode for stimulation;the recording electrode was
passed through skull and placed on the right cerebral somatosensory area.An
arterial catheter fulled heparin was placed in the right femoral artery.Mean
arterial blood pressure (BP) and electroencephalogram (EEG) were separately
recorded on a multi-purpose physiological recorder:and EEG activity was put
into a cassette data recorder for EEG power spectral analysis.Somatosensory
evoked potentials (SEP) were averaged on Medical Data Processor,then reco-
rded by X-Y recorder.
The results were as follows:
Among 30 rabbits,at the initial stage of shock,dysrhytemia of EEG
appeared in 9 cases,EEG were no significant change in 13 cases,EEG showed
slight improving in 6 cases;at maintaining shock for one hour,dysrhythmia of EEG appeared in 20 cases,EEG were no significant change in the rest.
After EA at“Renzhong”,EEG showed clearer improvement in 24 cases;dys-
rhythmia still appeared in 4 cases.EEG power spectrals were analysed on 5
rabbits.During hemorrhagic shock,normal theta rhythm (4-7Hz) was gradu-
ally disappeared and the area of faster delta rhythm (2-3Hz) power spectral was
gradually decreased;And after EA,the power spectral area of theta and
faster delta rhythm was increased.
among 26 rabbits,at maintaining shock for one hour,the amplitudes of
SEP were decreased and some components of SEP disappeared or wave form
was changed in 23 cases;after EA,mean arterial pressure was significantly
increased (P<0.05),the amplitudes of SEP were picked up or wave form
recovered in 17 cases.The EEG improvement was close related to a rise in
blood pressure.
The results indicated that electroacupuncturing “Renzhong” could rise BP
of the rabbits with hemorrhagic shock and improve their brain function to a
certain extent.There was close relation between EEG improving and BP
rising.
摘要:一系列的临床观察和实验研究证实,针刺可提高患病机体的防御能力,对炎症过程进行调整而抑制炎症的病损。临床观察发现,针刺能有效地治疗很多急、慢性炎症。实验研究亦表明,电针刺激可有效地抑制炎症的渗出和肉芽组织增生。但有关针刺对Electro-acupuncture could suppress the leukocyte migration to the inflam-
matory focus in the rats of carrageenan-pleurisy.The result of analyses of
stepped regression by micro-computer indicated that enhanced leukocyte chemo-
taxis in inflammation is a main factor which effects leukocyte migation.
Leukocyte chemotaxis is regulated by intracellular cAMP and cGMP levels.
This paper demonstated that electro-acupuncture might inhibit leukocyte chemo-
taxis,increase intracellular cAMP level which decreased during inflammation
and decrease intracellular cGMP level which increased during inflammation.
The effects of electro-acupuncture on cAMP and cGMP are probably substance
basis inhibiting leukocyte chemotaxis,while showing the modulation of acu-
puncture.
摘要:自从1975年 Hughes 等发现甲啡肽和亮啡肽以来,许多研究工作已表明,EK 与针刺镇痛关系密切。应用放射免疫(RIA)法的研究表明,大鼠电针后尾核和下丘脑的EK 含量升高,并与针效呈正相关;用抑制 EK 降解的肽酶抑制剂给大鼠腹腔注射(ip)和家兔测脑室注射后,可使针刺镇痛效应提高,同时大鼠尾核和下丘脑 EK 含量升高。Vacca 等曾应用 PAP 法研究了In the present paper,the relationship between the enkephalin-like immuno-
reactivity (EK-LIR) and the electroacupuncture (EA) analgesia was studied by
immunohistochemical techniques in guinea pig's adrenal and spinal cord.I.In
accordance with the pairing design of experiment,56 male guinea pigs were
divided into 28 pairs.Each pair was randomly divided into the test group
with EA and the control group without EA.2.In accordance with the ran-
domized blocks design of experiment,18 male guinea pigs were divided into 6
blocks.Each block was randomly divided into 3 groups:1.naloxone plus EA
group;2.EA group;3.control group without EA.The acupoints were bi-
lateral“Zusanli”.The results showed as follows:
1.In the test group,the pain threshold after EA increased from 0.26
±0.02 mA to 0.47±0.05mA (P<0.001);In the adrenal medulla and spinal
cord,both the met-enkephalin (MEK)-LIR and leu-enkephalin (LEK)-LIR in
the test group were much weaker than that in the control group (P<0.01);
Correlation analysis between the effect of EA analgesia and the MEK-LIR or
LEK-LIR in the adrenal medulla and spinal cord respectively revealed that
there was a significant negative correlation only between the LEK-LIR and
the effect of EA analgesia (P<0.05).
2.After naloxone injection followed by EA,the pain threshold did't
increase.But it increased obviously after saline injection followed by EA
(P<0.01);In the adrenal medulla,the MEK-LIR and LEK-LIR in the naloxone
plus EA group and the EA group were about the same,but much weaker than
that in the control group withou(?) EA (P<0.01).In the spinal cord,the two
kinds of EK-LIR in the naloxone plus EA group and the control group without
EA were much the same,but much greater than that in the EA group (P<
0.01).
摘要:许多实验支特中枢去甲肾上腺素(NE),5-羟色胺(5-HT),乙酰胆硷(Ach)参与针刺镇痛过程,多数认为中枢5-HT 是加强针刺镇痛的一个重要环节,但 NE 在针刺镇痛中的作用是拮抗还是协同尚难定论。本文工作研究颅脑针麻手术病人脑脊液内 NE系统含量的变化及其与镇痛效果的关系,以便进一步观察中枢 NE 在针刺镇痛过程中的作用。
摘要:近年来,对肾上腺髓质在镇痛与针刺麻醉过程中的作用曾有报导。但有关针刺对肾上腺髓质去甲肾上腺素细胞机能影响的研究尚属少见。本实验采用6-羟基多巴胺损坏去甲肾上腺素能节后交感神经纤维末梢的动物模型,并应用组化定量的方法,观察针刺对髓质去甲肾上腺素细胞的作用和分析其作用的所属途径。今将实验总结如下:The animal models of adrenergic postganglionic sympathetic nervous fibre
damaged by 6-hydroxydopamine (6-OHDA) had been used.31 healthy rats
divided into four groups:Control group;6-OHDA group;6-OHDA plus re-
Straining group;and 6-OHDA restraining and acupunctrure group.
The results indicated that the restraining and acupuncture could promote
the release of adrenal medullar noradrenaline.This shows that acupuncture
would exert it function through the cholinergic preganglionic sympathetic
nervous fibre.
摘要:针刺治疗抗生素中毒性神经性耳聋(以下简称“毒聋”),目前医学界多持否定态度。笔者近年来随师王乐善副教授运用针刺“完骨穴”为主,并配合内服中药的方法,曾试治“毒聋”数百例,其中诊断明确,听力损失在40~90dB 之间,坚持治疗三个月以上,且治疗前后均有纯音电测听检查以资对照者共72例(127只耳),取得了70.9%的总有效率。下面本人不揣浅陋,试将近年来针刺治疗“毒聋”的概况及展望谈几点看The medical circle now adopts a negative attitude to the acupuncture
treatment of deafness due to antibiotic poisoning.In recent years,we have
studied the treatment of deafness by acupuncture through the clinical and lite-
rature.Now,we are introduce our views briefly as follows:
1.The different views of treating the deafness by acupuncture.
2.The necessity of treating the deafness by acupunbture.
3.The feaciblity of treating the deafness by acupuncture.
4.Some suggestions about the research of treating the deafness by acu-
puncture.
a.It is the basic to explore continuously the new points and the new
technique.
b.It is the prerequiste to set up an objective foundation about judging the
curative effect.
c.The early diagnosis and early treatment is the key of curing the
deafness.
Through our research with clinical and literature,it shows to treat the
deafness by antibiotic poisoning with acupuncture is feasiblity and it presage
a new breakthrough in future.