最新刊期
2002年第4期
- 摘要：目的 :探求心脏俞募穴与心脏的形态学联系通路 ,并揭示心脏俞募穴治疗心脏疾病的作用机理。方法 :将 3 0只大鼠随机分为三组 ,以荧光双标记法观察每组脊神经节标记细胞出现的数目。结果 :心脏俞募穴与心脏的共同传入神经元都主要分布在T2 ～T5,以T5 最集中。结论 :心脏俞募穴与心脏的联系通路可能是通过相同或相近的传入神经 ,并在脊神经节背角神经元进行整合后传入大脑中枢 ,故推断脊神经节是俞募穴刺激效应具有相对特异性的形态学基础之一。关键词：俞募穴与脏腑联系;荧光双标法;脊神经节1053|0|6更新时间：2023-08-11
- 摘要：目的 :探求肾与其俞募穴之间的神经联系通路。方法 :应用荧光双标记法进行研究。结果 :“肾俞” 肾组、“京门” 肾组、“肾俞” “京门”组分别在T1 3～L3、T1 2 ～L2 、T1 3～L1 脊神经节内出现双标细胞。结论 :①脊神经节中存在可双重支配肾和体表的神经元 ,不仅使牵涉痛的机制得到进一步的解释 ,而且揭示了针刺穴位的感觉冲动是通过分支的传入轴突影响到内脏的功能和感觉或对某些脏器的活动产生影响。②为临床应用肾俞募穴治疗肾病提供了形态学理论根据。③进而揭示中医经络学中气街可能的现代生物学本质。关键词：脊神经节;“肾俞”;“京门”;肾;荧光素双标记法965|0|9更新时间：2023-08-11
- 摘要：目的 :探讨循经红外辐射轨迹的形成机理。方法 :利用改进型的氧传感针 ,对 2 8名志愿者沿督脉线及其两侧旁开约 2 .5cm的非经对照点共五个水平组织中的氧分压进行了检测 ;并在自然状态下对志愿者背部进行了红外摄像观察。结果 :沿督脉红外辐射轨迹的部位 ,其深部组织的氧分压也较其两侧的非经对照点高 (P <0 .0 5)。结论 :督脉循行线下深部组织中的能量代谢旺盛 ,可能是产生沿该经脉的红外辐射轨迹的一个重要原因。提示经脉可能是与物质、能量和信息的转换和传递相关的某种通道。关键词：氧分压;督脉;循经红外辐射轨迹1050|0|6更新时间：2023-08-11
- 摘要：目的 :探讨针刺对人体体表循经红外辐射轨迹的影响。方法 :观察对象为 53名健康成年志愿者。针刺穴位取心包经的内关、胆经的光明以及督脉的大椎穴 ,用 6T67红外热像仪进行记录。结果 :①人体体表循经红外辐射轨迹的变化一般出现在针刺后 1 0min左右。②在基础温度较高的情况下 ,针刺可使部分受试者体表循经红外辐射轨迹上的皮温降低 ,部分受试者的皮温则表现为先降低后升高。③在基础温度较低的情况下 ,针刺可使得部分受试者体表循经红外辐射轨迹上的皮温升高。④针刺对一部分受试者体表循经红外辐射轨迹的皮温影响不大 ,但可使红外辐射轨迹变得更加连续、规整。⑤在一部分没有显示循经红外辐射轨迹的受试者 ,针刺也可激发出沿该经脉的循经红外辐射轨迹。结论 :人体体表循经红外辐射轨迹是人群中普遍存在的一种正常生命现象 ,针刺对循经红外辐射轨迹有明显的影响 ,既可诱发出所属经脉红外辐射轨迹 ,也可使既有的循经红外辐射轨迹变得更连续、规整。提示循经红外辐射轨迹与人体的机能调控有密切的关系To explore the effect of acupuncture on infrared radiant track along meridians (IRRTM) over the human body surface. Methods: Fifty three healthy volunteer subjects were observed. Acupoints selected were Neiguan (PC 6) of the Pericardium Meridian as well as Guangming (GB 37) of the Gall Bladder Meridian and Dazhui (DU 14) of Du Meridian. The infrared radiant track was recorded by a Thermal Tracer. Results: ① IRRTM appeared about ten minute after electroacupuncture . ② When the basic skin temperature was high, acupuncture could lower the skin temperature along IRRTM. ③ When the basic temperature was low, acupuncture could raise the skin temperature along the IRRTM. ④ In partial subjects, the change of skin temperature was slight during acupuncture.In this case, it was able to make IRRTM longer and more regular. ⑤ In some subjects without IRRTM, acupuncture could promote its appearance. Conclusion:IRRTM is a normal biological phenomenon in majority of the human subjects. Acupuncture stimulation of the acupoint is not only able to evoke IRRTM along the related meridian course, but also able to make the IRRTM more continuous and regular. It suggests that IRRTM may be closely related to the regulation of the function of human body.关键词：针刺刺激;循经红外辐射轨迹;督脉;胆经;心包经1083|0|8更新时间：2023-08-11
- 摘要：目的 :应用红外辐射成像技术显示人体体表循经分布的红外辐射轨迹 (IRRTM ) ,并对其形成机理进行初步探讨。方法 :观察对象为 3 0 0名健康成年志愿者 ,以红外辐射示踪仪显示人体体表的IRRTM ,并对与其相关组织的温度、氧分压和微循环状态进行了检测 ,分析其产生的原因。结果 :①IRRTM是在人群之中普遍存在的一种正常生命现象 ,可见之于十四经的每一条经脉 ;②IRRTM的皮肤微循环的灌注量高于其两侧对照区 ,它的形成与皮肤微循环状态密切相关 ;③冷负荷实验的结果提示 ,IRRTM的热源位于皮下一定深度的组织之中 ;④经脉线下深部组织的温度高于其两侧对照区 ;⑤经脉线下深部组织的氧分压也明显高于其两侧对照区 ;⑥针刺时经脉线上的能量代谢进一步增强 ,这种效应还可被压迫经脉线所阻断。结论 :①IRRTM的形成与皮肤微循环密切相关 ,但其主要热源位于皮下一定深度的组织之中 ,该处能量代谢活跃 ,组织温度较高 ;②经脉线下的相关组织可能是一条具有多元结构的物质、能量和信息转换和传递的通道 ,这一通道的实体包括了多种已知的组织 ,可能还有一些未知的因素参与 ,它的热学特性与其周围的组织有明显的不同 ;③上述实验结果为进一步弄清与经脉循行路线相关的物质基础、阐明经络的实质提供了一方面的依据Objective: To display the infrared radiant track along meridian course(IRRTM) over the human body surface and to explore the mechanism of its formation. Methods:Three hundreds healthy volunteer subjects were observed. IRRTM was displayed by a thermal tracer. At the same time, the microcirculation of the skin, the temperature and PO 2 in deep tissues along the meridian course were determined. Results: ①IRRTM was really a normal biological phenomenon of human body and exists in each of the 14 meridians. ②The results of cooling test demonstrated that the thermal source of IRRTM was located in the deep tissues underneath the skin. ③The perfusion volume of the microcirculation in the skin along IRRTM was higher than its bilateral non meridian areas. ④The temperature and PO 2 in the deep tissues along IRRTM were also higher than those of its bilateral non meridian areas. ⑤ Metabolism of oxygen in the related tissues along IRRTM increased during acupuncture stimulation, and such response could be blocked by pressing the corresponding meridian course. Conclusion: ①The formation of IRRTM was closely related to the microcirculation of the skin, but its main thermal source was located in a certain deeper tissues underneath the skin where the temperature was higher and the oxygen metabolism was more active. ②The meridian course may be a channel with poly structures for the transformation and transmission of materials, energy and bio signals. This channel consists of several kinds of known tissues, and some unknown factors may also be involved. ③The above results may provide a basis for further clarifying the materials involving meridian running course and the essence of meridian from one aspect.关键词：循经红外辐射轨迹;经脉路线;经络实质;热像图982|0|11更新时间：2023-08-11
- 摘要：目的 :以一部分红外热像图 ,展示古人所描述的十四经脉的路线 ,使人们通过直观的图像进一步理解古人对经脉循行路线的描述确有充分的根据 ,并非虚构 ,说明经脉循行路线在外周必有其相应的物质基础 ,为今后的经络研究提供一方面的依据。方法 :观察对象为 3 0 0名健康成年志愿者 ,以红外辐射示踪仪进行测试 ,该仪器配有精密的红外摄像装置和完善的计算机图像处理系统。测试的温度范围为 0～ 70℃ ,一般设定在 1 4 .8～ 3 7.2℃ ,连续可调。温度分辨率为0 .0 2 5℃。,该系统可以提取体表强度相同的红外辐射信号 ,并连续显示它的瞬时分布状态 ,以取得等强度红外辐射的分布图像 (即等温分布图 )。适当调整采样水平 ,即可显示出体表经脉的红外辐射轨迹 (IRRTM)。结果输入微机储存 ,实验结束后再根据需要进行二次处理。部分受试者还作了连续摄像记录。结果 :①沿手三阴经路线显示的IRRTM :在自然条件下显示的左臂手三阴经的IRRTM(全温显示 )行程清楚可查 ;在肘部加热时诱发出的手三阴经的IRRTM ,由于体位的关系 ,上臂的心经轨迹看不到 ;沿两侧心包经路线出现的IRRTM ,轨迹的行程清楚 ,左右对称 ;前臂内侧和手掌部的热像图 (等温显示 )清楚地显示了前臂的手三阴经的路线 ,特别值得注意的是心包经的轨迹通过掌心To explore the possibility of displaying the classical meridian courses with infrared image technique for and to provide a reliable basis for the existence of the meridian courses. Methods: A thermal tracer (Mod. 6T67), equipped with precise infrared imaging apparatus and computer processing system, is used for observation. The temperature resolution is 0.025 ℃. Three hundreds of healthy volunteer subjects are subjected into this study. The room temperature is kept around 28 ℃. The data are stored in a microcomputer, and then the pictures are taken or processed after experiments. The observation is carried out under the natural conditions in most of the subjects. But in some subjects, IRRTM elicited by local heating is also observed for comparison. In order to get a picture of fine quality, the area for taking clear pictures is limited in an appointed region (such as head, trunk or leg). Results: ①One or more than one IRRTM can be observed in most of the subjects. ②IRRTM may appear along every meridian course of the fourteen meridians. Among them, the incidence of IRRTM is highest in the Du Meridian course (about 80%), but lower in other meridian courses (about 50%). ③IRRTM always manifests as a narrow band like trace. Its length varies from subject to subject and in the display duration; the longer one may travel across several body regions. ④The travelling courses of IRRTM basically coincide with the classical meridian courses, sometime, it appears symmetrically along the bilateral meridian course. ⑤Several IRRTMs may appear in one and some body regions at the same time. ⑥Twenty pictures of infrared image are presented in this paper, the travelling courses of the fourteen meridians described by the Chinese ancient medical workers can be seen clearly. Conclusion: IRRTM is a normal biological phenomenon appearing in a majority of the people and this study provides a reliable evidence for the elucidation of the essence of meridian from one aspect.关键词：十四经;红外热像图920|2|15更新时间：2023-08-11
- 摘要：我们把经络分为血管性与非血管性两大类 ,本文深入研究了非血管性经络———皮肤信息通路或皮肤交感神经敏感线的结构和活动机制。首先用宏观放射自显影的方法 ,在大鼠皮肤中显示出纵贯全身的系列交感物质分布线 ,连续清晰、左右对称 ,在头部和肢体末端形成环路。在沿物质分布线经过的背上部切断皮肤 ,可以显著阻断针刺“足三里”产生的针刺效应 ,说明皮肤的交感物质分布线即针刺信号传递线路 ,或者说 ,经络的形态学基础已经显现出来。进一步通过SPG荧光染色法观察到 ,位于大鼠皮肤的交感物质分布线来源于其下支配立毛肌的交感神经网络。结合我们过去关于拔除经线毛囊阻断针刺效应的实验 ,提出毛囊立毛肌在经络实质中的动力靶器官作用和实体形态学基础。最后 ,为探索针刺信号的传递机制 ,将大鼠环形剪毛 ,针刺后出现与宏观显影线走行一致的立毛线或立毛带 ,表明交感物质分布线即立毛线。皮内注射苯肾上腺素或垂体后叶素后出现相似的立毛线 ;在去中枢神经支配的皮条上也观察到延伸至在体皮肤上的立毛线 ;全部切断皮肤阻断了立毛线的跨切口传递 ;仅切断部分真皮则没有影响 ,如果在切断部分真皮的切口内微量注射普鲁卡因同样可以阻断立毛线的跨切口传递。说明立毛线的产生是由于立毛肌收缩的机械牵拉及由之In this paper we studied the morphological structure and transmission mechanism of meridian (sympathetic sensitive lines along skin). ①The sympathetic substance lines(SSL) were displayed in 6 Wistar rats by macro autoradiography after intraperitoneal injection of tracer 125 I tyrosine; ②The adrenergic nerve endings innervating arrector pili musclelines were observed in 10 Wistar rats by fluorescent microscopy;③Following shearing the rat's hair as 12 ～16 rings from the head to the tail, punctured "Zusanli" (ST 36) or the lower part of the back for 5 min, followed by intradermal injection of phenylephrine (20～60 μL, 0.125 mg/mL)or posterior pituitary hormone (20～40 μL, 0.375 U/mL) along SSL, the arrector pili line changes were observed; ④ After sectioning a skin strip with subcutaneous tissues (7 cm long an 2～2.5 cm width) covering the SAS line along the back of the rat and with only the layers of dermis and epidermis of the neck end connecting with the neck skin and recovered it original position, 30 min later, acupuncture of the skin strip was conducted for 5 min, or intradermal injection of phenylephrine was carried out in the tail end of the strip, then the production of the arrector pili line was observed.Results: ①After intraperitoneal injection of tracer 125 I tyrosine, continuous SSL appeared from the head to the foot, being symmetric on the bilateral sides, and connected each other to form loops at the head and the foot. When the upper back skin where the SSL passed was severed, the effect of acupuncture analgesia produced by stimulating ST 36 was blocked significantly. ②Under fluorescent microscopy the SSL were found to come from the adrenergic nerve endings innervating the arrector pili muscle. The acupuncture effect was blocked by depleting the hair follicles at the meridian line, indicating that the hair follicles and its arrector pili muscles along the SSL are the morphological structure of the meridian and serve as the dynamic target organs for long distance transmission of messages. ③In rats ( n =10) treated with acupuncture stimulation, a pilomotor line (about 2 cm width) could be seen along the back 5 min after acupuncture of ST 36, 4～15 min after injection of phenylephrine and 5～30 min after injection of posterior pituitary hormone, which was identical with SSL. ④In the skin strips (9 rats), a pilomotor line also appeared along the longitudinal axis 2～5 min after acupuncture, and 3～13 min after injection of the above mentioned medicines, indicating that the production of the pilomotor line is not dependent upon the central nervous system. After severing the skin to break the SSL, the pilomotor line did not cross the incision. When the incision only was limited to the dermis layer, the pilomotor line did not be influenced. If a shallow incision was treated with 2% procaine (20 μL), the pilomotor line was also blocked, showing that the pilomotor line is mediated by neural axon reflex in the reticular dermis/hypodermis layer. The propagation of acupuncture signals along the skin depends on the arrectores pilorum and the innervation of sympathetic nerves. ⑤Following shaving all the rat's hairs, the hair growth presented linear distribution from the head to the foot, which is identical with SSL.关键词：经络研究;立毛肌;立毛线;交感神经;放射自显影;荧光染色法1023|0|7更新时间：2023-08-11
- 摘要：目的 :了解中医灸的机理与各种灸的红外辐射光谱特性。方法 :采用锁相放大技术建立了一套灵敏的红外光谱测量装置。首先采用光采集器将穴位或灸发出的光聚集到斩波器上 ,斩波的信号经红外分光仪分光后照射到一台高灵敏度的红外传感器上 ,传感器获得的信号经前置放大后输入锁相放大器中 ,并与来自斩波器的参数信号一起进行锁相放大 ,这样只有与斩波器同频同相的信号才被放大 1 0万倍左右 ,其它信号均被过滤 ,锁相放大的输出信号达几十毫伏量级 ,送入示波器与计算机用于观察与记录。通过这种技术我们检测到人体不到 1cm2 面积的体表红外辐射光谱。结果 :通过对这些光谱的归一化处理后发现 ,不同人体和同一人体的不同穴位 ,尽管其红外辐射绝对光谱及强度相差很大 ,但归一化光谱都有相当的一致性与可比性。进一步将人体发射的平均归一化光谱与中医艾条灸、隔姜灸、隔蒜灸及隔附子饼灸点燃过程中的光谱比较发现 ,后面三种间隔灸与人体自发辐射的光谱有着惊人的一致性 ,辐射峰几乎和人体穴位辐射一样都在 7.5μm附近 ,而艾条灸等的光谱却相差甚远。结论 :中医间接灸所发射的光谱虽然强度较人体穴位高 2 0多倍 ,但它的归一化光谱却和人体非常相同。这是一种偶然的巧合 ,还是有其深刻的生物物理机理 ,目前还不完Objective: To study the characters of infrared radiation spectrum of acupoints and moxibustion in the human body. Methods: In 5 healthy volunteer subjects, characters of the infrared radiation spectrum of Neiguan (PC 6), Laogong (PC 8) and Hegu (LI 4), ginger separated moxibustion, garlic separated moxibustion and Fuzi (Radix Aconiti Praeparata) cake separated moxibustion (less than 1 cm 2 area on the body surface) were detected using lock phase amplification technology under strict control of the room temperature and humidity. Results: Although some obvious differences were found in the primitive spectrum and the intensity of infrared radiation among different human bodies and in different acupoints, there exist quite consistency and comparability after unified treatment of the spectrums. It was also found that comparison between the average unified spectrum emitted from the subject body and the spectrum of ginger separated moxibustion, garlic separated moxibustion and Fuzi (Radix Aconiti Praeparata) cake separated moxibustion showed an amazing consistency, with the radiation peak all being about 7.5 μm in spite of different temperature. Conclusion: The results provide the scientific basic data for the thermotherapy and infrared physiotherapy.关键词：人体辐射;红外光谱;灸;穴位897|0|9更新时间：2023-08-11
- 摘要：目的 :观察头面部循经感传由督脉向任脉或由任脉向督脉的交会过程 ,其重点是观察感传绕过还是直接越过口裂。方法 :1 2名循经感传显著者 ,其中观察感传由督脉向任脉的交会过程 9例 :7例针刺位于督脉线上的奇穴印堂 ,2例针刺督脉经线印堂穴上 1寸 (经上非穴点 )。观察感传由任脉向督脉的交会过程 3例 ,其中 2例分别针刺光明穴和侠溪穴 ,另 1例先针刺印堂穴 ,随后针刺膻中穴 ,同时观察督脉与任脉的感传交接情况。结果 :所有受试者均出现循经感传由督脉绕口唇到达任脉或由任脉绕口唇到达督脉的交会过程。结论 :任督脉在头面部的交会过程是以绕过口唇的方式实现的 ,这与“环唇”、“别而络唇口”的历代文献记载相吻合。上述结果支持循经感传形成机理的外周观点Objective: To observe the convergence course of the propagated sensation along the Du Meridian and Ren Meridian. Methods: Twelve volunteer subjects with marked propagated sensation along the meridian (PSM) were observed. Among them, PSM traveling from Du Meridian to Ren Meridian was observed in nine cases by acupuncture stimulation of Yintang (EX HN 3) for 15 min in seven cases, and one non acupoint on Du Meridian course in 2 cases. The travelling process of PSM from Ren Meridian to Du Meridian was observed following acupuncture stimulation of Guangming (GB 37) and Jiaxi (GB 43) in 2 cases or Yintang (EX HN 3) and Danzhong (Ren 17) in one case. Results: In all the cases, after acupuncture stimulation, the evoked travelling course of PSM from Ren Meridian to Du meridian or from Du Meridian to Ren meridian passed around the lips in all the subjects, no PSM passed through the medial side of the mouth or the tongue body. Conclusion: The travelling process of PSM from Ren Meridian to Du Meridian or from Du Meridian to Ren Meridian on the face passes around the lips, that is consistent with the descriptions of the classical literature.关键词：循经感传/交会;任脉;督脉;针刺1041|0|2更新时间：2023-08-11
- 摘要：目的 :观察针刺对外周血中FSH、LH、E2 、T、P的影响。方法 :选健康育龄女性 2 8名 ,以耳穴与体穴、手法和电针相结合的方法进行治疗 ,采用自身对照 ,检测治疗前后各项指标。结果 :针刺前后FSH、LH的变化无明显差异 (P >0 .0 5) ,而E2 、T、P的变化具有显著性差异 (P <0 .0 5)。结论 :针刺对垂体促性腺激素的分泌无明显影响 ,对卵巢性激素的分泌具有明显的抑制性效应。关键词：针灸效应;内分泌;丘脑垂体卵巢轴937|0|3更新时间：2023-08-11
- 摘要：目的 :观察针灸结合治疗慢性萎缩性胃炎的临床疗效。方法 :慢性萎缩性胃炎患者 3 6例 ,按中医辨证 ,分型施以针灸治疗。治疗前及治疗后均进行胃镜、体表胃电图、胃酸和胃蛋白酶血中胃泌素、血中前列腺素E及胃粘膜胃泌素细胞等理化指标检查。结果 :针灸治疗本病有较好的效果 ,显效好转率达 97.2 3 % ,临床症状消失率达 97.0 2 %。治疗后可使患者血中前列腺素E等防御性因子增强 ,使患者从胃内低酸转向正常状态 ,胃动力功能增强 ,胃电图幅值回升 ,并可促使胃泌素释放 ,有利于胃酸的分泌。此外 ,针灸治疗后G细胞数目和形态及胃镜组织活检病理结果也基本恢复至正常状态。结论 :针灸治疗萎缩性胃炎简便经济 ,无副作用 ,见效快 ,疗效肯定 ,可重复性强 ,具有一定的临床意义Objective: To observe the therapeutic effect of acupuncture therapy for treatment of chronic atrophic gastritis and to analyze its action mechanisms. Methods: According to the theory of TCM, 36 cases of chronic atrophic gastritis were divided into ①Deficiency of the spleen and stomach, Qi and blood stagnation,②Disharmony of the liver and stomach, depressed fire and dry heat,③Stomach Yin deficiency, blood stagnation in collateral, and ④Spleen deficiency and liver Qi stagnation, failure of descending of the stomach qi. Gastroscopy and electrogastrograph (EGG) of the body surface are recorded for examining changes of the gastric structure and functional activities after acupuncture treatment. The observed indexes: gastric acid and pepsin, blood gastrin, blood prostaglandin E (PGE), gastric mucosal cells and G cells. Main acupoints used were Pishu (BL 20), Weishu (BL 21), Geshu (BL 17), Zhongwan (CV 12), Zhangmen (LR 13), Neiguan (PC 6), Zusanli (ST 36) and Xuehai (SP 10). They were punctured and moxibustioned.Results:① Acupuncture therapy had a better effect in improving clinical symptoms, the markedly effective rate was 97.23% and the disappearing rate of clinical manifestations 97.02%; ②After the acupuncture treatment, the output of gastric acid and gastric pepsin reduced by 78% and 52% respectively in comparison with that of pre treatment ( P <0.01), while blood PGE concentration increased by 39% ( P <0.01).③After acupuncture, the gastric acid secretion increased by 92% ( P <0.01).④After acupuncture treatment, the gastric dynamics was enhanced and the amplitude of EGG raised by 45% ( P <0.05). ⑤Acupuncture could significantly facilitate secretion of gastrin (increasing by 56%).⑥Immunofluorescence technique showed that the abnormal number and structure of the antral mucosa gastrin cells G of epigastralgia patients became normal again after the acupuncture treatment. ⑦The EGG patterns of chronic atrophic gastritis patients were different in patients with different syndromes. In deficient type atrophic gastritis patients, the amplitude values of EGG were lower than those of normal people, and higher in excess type patients, while those of EGG of the mixed type of deficiency and excess patients were between the above mentioned 2 types, but the individual differences were significant. The patients in the present study belonged to the compound deficiency and excess type (with the deficiency being predominant), therefore, after acupuncture treatment, the amplitude of EEG was decreased in most of the cases. The acupuncture treatment could help it become normal. ⑧After acupuncture treatment, the glands were increased in the number, the mucosa became thicker and the muscular layer of the mucosa became thinner, blood vessels increased as well, and intestinal metaplasia or non typical hyperplasia disappeared; the color of mucosa became red or partially congested; the granular tuberosity disappeared and it bled easily during the biopsy examination.Conclusion: Acupuncture is a convenient treatment method for atrophic gastritis with quick effect and without side effects.关键词：胃炎;萎缩性;针灸疗法1046|0|1更新时间：2023-08-11
- 摘要：目的 :了解针刺加TDP照射治疗周围性面神经炎的疗效。方法 :取百会、印堂、四白、地仓、合谷为主穴 ,配合TDP照射疗法 ,每天 1次 ,每次 2 0～ 60min。结果 :治愈 1 4 5例 ,显效 2例 ,好转 3例 ,治愈率为 96.7%。结论 :针刺加TDP照射是治疗周围性面神经炎的有效途径之一Objective: To observe the therapeutic effect of acupuncture plus TDP irradiation for treatment of facial palsy. Methods: A total of 150 cases of facial palsy patients were treated with acupuncture of Baihui (GV 20), Yintang (EX HN 3), Sibai (ST 2) to Jingming (BL 1), Dicang (ST 4) to Jiache (ST 6), Hegu (LI 4), etc. After acupuncture, TDP irradiation was applied to the forehead, facial part, ear area and the mastoid process on the affected side. The treatment was carried out once every day, with 10 days being a therapeutic course. Results: After the treatment, of the 150 cases, 145 (96.7%) were cured, 2 (1.3%) had marked improvement, and 3 (2%) had amelioration. Conclusion: Acupuncture plus TDP irradiation is one of the effective ways for treatment of facial palsy.关键词：面神经炎;针刺;TDP照射671|0|0更新时间：2023-08-11
- 摘要：目的 :观察穴位注射配合牵引治疗颈椎病的疗效。方法 :随机将 92例患者分为穴位注射配合牵引组和针刺配合牵引组。结果 :穴位注射配合牵引组疗效优于针刺配合牵引组 ,有明显差异。结论 :穴位注射配合牵引治疗颈椎病效果满意To observe the therapeutic effect of acupoint injection combined with traction for treatment of cervical spondylopathy. Methods: A total of 92 cases of cervical spondylopathy patients were randomly divided into acupoint injection plus traction group (treatment group, n =54) and traction group (control group, n =38). Main acupoints used were Jiaji (EX B 2) beside the affected cervical vertebral bodies, and the adjunct acupoints were Fengchi (GB 20), Dazhui (GV 14), Jianjing (GB 21), Jianyu (LI 15), Jianliao (TE 14), Quchi (LI 11), Waiguan (TE 5) and Yanglao (SI 6). 2～3 Jiaji points and 2～3 adjunct acupoints were used for injection of mixture of Danggui (Radix Angelicae Sinensis) injecto (2 mL) and Vitamin B 12 (1 mg/2 mL) in every session. The treatment was performed once daily, with 10 sessions being a therapeutic course. Cervical traction was conducted for 30 min, once daily and with 10 sessions being a therapeutic course.Results: After 3 courses of treatment, of the 54 and 38 cases in treatment and control groups, 25 and 12 were cured, 20 and 12 experienced significant improvement in their symptoms and signs, 7 and 9 had improvement, and 2 and 5 failed in the treatment, with the total effective rates being 96.3% and 86.8% respectively.Conclusion:Acupoint injection combined with traction has a better effect for treatment of cervical spondylopathy.关键词：颈椎病;穴位注射疗法;牵引疗法884|0|2更新时间：2023-08-11
- 摘要：目的 :观察针刺带针运动治疗外伤性肩痛症的疗效。方法 :将 45例患者随机分为治疗组和对照组 ,治疗组采用针刺配合带针运动治疗 ,对照组采用传统温针灸 ,以肩部疼痛和肩关节运动为观察指标。结果 :治疗 3个疗程后治疗组总有效率 92 % ,对照组总有效率 90 % ,两组比较无显著性意义 (P >0 .0 5) ,但在疗程比较上 ,两组有显著性差异 (P <0 .0 5)。结论 :针刺带针运动治疗外伤性肩痛症疗效较好 ,且在缩短疗程上优于对照组 ,及早治疗是提高疗效的关键。关键词：外伤性肩痛症;针刺;带针运动;温针疗法796|0|0更新时间：2023-08-11
- 摘要：目的 :观察针刺加葱盐外敷灸的疗效。方法 :针刺双侧阴谷、肾俞、三焦俞穴 ,配合电针治疗仪 ,然后将捣碎加温炒热的葱白混和食盐均匀敷于下腹部 ,再使用艾条在敷物上艾灸。采用上述方法治疗产后尿潴留 2 3例 ,并与单纯使用电针方法治疗的 2 0例进行比较。结果 :使用电针加葱盐外敷灸的方法治愈率为 87% ,而单纯使用电针的方法治愈率为 50 % ,两者相比差异有显著性意义 (P <0 .0 5)。结论 :使用电针加葱盐外敷灸治疗产后尿潴留疗效显著Objective:To observe the curative effect of acupuncture plus indirect moxibustion with scallion mixed with salt for treatment of postpartum uroschesis. Methods: A total of 43 cases of postpartum uroschesis inpatients were randomly divided into treatment group ( n =23) and control group ( n =20). In treatment group, bilateral Yingu (KI 10), Shenshu (BL 23) and Sanjiaoshu (BL 22) were punctured and stimulated electrically with an Electroacupuncture Therapeutic Apparatus for 30 min, once daily. In addition, smashed scallion stalk (0.5 kg) mixed with salt (250 g) was applied to the patient's lower abdomen covering Shenque (CV 8), Guanyuan (CV 4), Qihai (CV 6) and Zhongji (CV 3) areas, followed by moxibustion with an ignited moxa stick. 20 cases of control group accepted only acupuncture treatment. Results: After one treatment, of the 23 cases and 20 cases in treatment and control groups, 20 (87%) and 10 (50%) were cured (the patient had micturition automatically), 3 (13%) and 8 (40%) experienced improvement (the patient could pass micturition automatically but incompletely), 0 and 2 (10%) failed in the treatment (the patient still could not pass urine), with the curative rates being 100% and 90% respectively. The therapeutic effect of acupuncture plus indirect moxibustion is significantly better than that of simple acupuncture therapy in the treatment of postpartum uroschesis ( P <0.05). Conclusion: Acupuncture plus indirect moxibustion is superior to that of simple acupuncture therapy for postpartum uroschesis.关键词：电针;葱盐外敷灸;产后尿潴留655|0|0更新时间：2023-08-11
- 摘要：本文先叙述“十五络”穴名称起源、“十五络”穴的不同临床运用 ,然后结合临床病例、治疗经验 ,说明“十五络”穴具有独特的治疗效果。关键词：“十五络”穴;临床运用629|0|0更新时间：2023-08-11
- 摘要：总结了八脉交会穴在临床运用中的经验及体会 ,分别举例说明其具体用法及疗效In the present paper, the author introduces his/her experiences about the clinical application of eight confluence acupoints [Gongsun (SP 4), Neiguan (PC 6), Waiguan (TE 5), Zulinqi (GB 41), Houxi (SI 3), Shenmai (BL 62), Lieque (LU 7) and Zhaohai (KI 6)]. It is well known that the eight confluence acupoints are located at the extremities connecting the Eight Extraordinary Meridians with the Twelve Regular Meridians. In clinic, Gongsun (SP 4) is frequently used together with acupoints of the Chong Meridian; Neiguan (PC 6) used in combination with those of Yinwei Meridian; Waiguan (TE 5) used in combination with those of Yangwei Meridian; Zulinqi (GB 41) used together with those of Dai Meridian; Houxi (SI 3) used together with those of Du Meridian; Shenmai (BL 62) used in combination with those of Yangqiao Meridian; Lieque (LU 7) used in combination with those of Ren Meridian, and Zhaohai (KI 6) often used in combination with those of Yinqiao Meridian. Clinical practice demonstrates that the eight confluence acupoints are fairly effective in the treatment of disorders occurring in the distal part of the body and in the brain.关键词：八脉交会穴;临床运用566|0|0更新时间：2023-08-11
- 摘要：目的 :研究参与外周跨节段信息传递的多种神经递质及其作用机制 ,为阐明经络实质提供资料。方法 :在大鼠足太阳膀胱经上刺激一个穴位的支配神经 ,用电生理学方法在相邻节段或者相隔多个节段的穴位支配神经上观察放电数的变化。在跨节段信息传递的模型上 ,使用辣椒素损伤肽能神经 ,并应用P物质 (SP)、降钙素基因相关肽 (CGRP)、神经激肽A(NKA)的激动剂和NK 1受体、H1 受体拮抗剂观察对它们的影响。结果 :首次证实了模拟穴位刺激可引起沿经脉线的跨节段信息传递 ,这种跨节段信息传递现象符合人体循经感传的特性 ,可能是循经感传的生理学基础。用辣椒素处理破坏肽能神经纤维后 ,跨节段信息传递明显减少。SP、NKA和CGRP均使跨节段信息传递易化 ,三种神经肽的作用强度和持续时间为 :SP >CGRP >NKA。应用NK 1受体阻断剂WIN51 ,70 8、H1 受体拮抗剂苯海拉明则可使跨节段信息传递减少。结论 :SP、CGRP、NKA、组织胺等 ,通过与相应的受体结合 ,介导外周跨节段的信息传递。交感神经的激活也可能促进这种信息传递。提示循经感传是由多种递质和受体介导的 ,并且可以从经脉线上直接采集电信号作为研究经络活动的指标。关键词：穴位刺激;神经递质;循经感传1024|0|9更新时间：2023-08-11
- 摘要：本文综述了近年来针灸结合康复疗法在脑卒中临床治疗中的进展 ,并探讨了传统针灸与现代康复的结合机制 ,及在脑卒中治疗中存在的问题及前景展望。在其结合方式上以头针结合康复、体针结合康复、头体针并用结合康复多见 ;而在疗效上 ,尤以头针结合康复为显著。结合机制研究表明 ,现代康复对传统针灸具有重要的意义 ,反过来 ,针灸对康复也有积极的促进作用In the present paper, the authors review recent clinical progresses of treatment of cerebral apoplexy with acupunctrue combined with rehabilitation. Since 1994, 58 pieces of clinic reports about treatment of stroke patients with acumoxi therapy combined with rehabilitation have been published. According to the sorts of remedies including scalp acupuncture, body acupuncture, scalp body acupuncture combined with rehabilitation, this paper reviews their progresses about clinical application and some mechanism research results. Results show that acupunctrue combined with rehabilitation for stroke can enhance the therapeutic effect further and fasten the progress of recovery. The frequently seen combined treatment methods are head acupuncture combined with rehabilitation, body acupuncture combined with rehabilitation, and head body acupuncture combined with rehabilitation, while the head acupuncture combined with rehabilitation is more effective. The treatment should be given as early as possible. The rehabilitation exercise can conquer unusual physical pattern, improve the effect of acupuncture, is a powerful supplement for acupuncture or a lash at the traditional acupuncture method. On the other hand, acupuncture possesses a facilitating effect on rehabilitation treatment and can relieve patient's muscular spasm by suppressing the excitability of the spinal anterior horn motor neurons.关键词：脑卒中;针灸;康复1046|0|9更新时间：2023-08-11
- 摘要：本文概述了王树春经分针刺法的临床运用及针法特点。本针法取穴原则为人体寸寸是穴 ,不遵循传统的取穴原则及方式 ,适应于全科疾病 ,疗效较好This article introduces the clinical application, characteristics of WANG Shuchun's Jingfen needling. Principles for selecting acupoints: acupoints on the human body exist everywhere, at any part of the body surface where the skin exists, the acupuncture needles may be inserted. Jingfen needling does not follow the traditional acupoint selecting modes or principles, the acupuncture needles may be inserted into the skin and muscles transversely, longitudinally, far away or nearby, left right correspondingly or front back correspondingly in the light of the concrete disease. In treatment of various diseases it can attain immediately effect. It is attributed to another wholism acupuncture therapy similar to body acupuncture. Notes: When puncturing, it is suitable that if the operator feels soft and has no any impedance beneath the needle tip, and the patient has no specific sensations. If the acupuncture needle meets a resistance, or the patient experiences sensations of soreness, numbness and distension, it indicates deeper insertion, the needle should be moved back to the subcutaneous tissues and then inserted into the shallower layer. When the needle is retained, no manipulations of lifting, thrusting or twirling are needed.关键词：经分针刺法730|0|0更新时间：2023-08-11
- 摘要：本文根据《素问·至真要大论》关于经络间的内在实质联系的论述总结出十二经络阴阳二气盛衰和经脉交接的规律 ,认为经络阴气变阳气在于手 ,阳气变阴气在于足 ,故十二经中经络阴气始于足 ,汇于胸 ,上散于手 ;经络阳气始于手 ,汇于首 (头 ) ,下泻于足。阴阳二气交换转变形成大周天。In the present paper, the author makes a summary on the regularities of the prosperity and decline, handing over and taking over of yin qi and yang qi of the twelve regular meridians in accordance with the theory of traditional Chinese medicine. The head and the chest are the places where the twelve regular meridians hand over and take over. The location where the meridian yin qi transforms into yang qi is at the hand, and the yang qi transforming into yin qi is situated at the foot. The hand is located in the upper part of the body and belongs to yang and to heaven, while the foot is located in the lower portion and belongs to yin and to earth. Therefore, the yin qi of the twelve regular meridians originates from the foot, flows together in the chest and runs upward to spread to the hand. The yang qi of the twelve regular meridians starts from the hand, converges in the head and goes downward to distribute in the foot. Such handing over and taking over (transformation) and coursing of the yin qi and yang qi of the twelve regular meridians form the "Da Zhou Tian" (big circle, 大周天). In clinic, the regulative effects of the acupoints at the hand and foot on the three yin and three yang meridians, those of the acupoints at the head on the six yang meridians, and those of acupoints at the chest on the six yin meridians are of a certain significance.关键词：十二经络;阴气阳气;经脉交接规律694|0|0更新时间：2023-08-11
- 摘要：人体经穴能量系统是由含线粒体、三磷腺苷量多质好的神经、肌肉及结缔组织等细胞组成的综合体 ,是人体的一个固有的系统 ,它和其他系统器官一样受中枢、周围神经的支配和控制 ,与神经有密切的关系。但经穴系统不等于神经系统The acupoint energy system of the human body is a compound system consisting of neurons, myocytes, connective tissues, etc. It is an inherent system and is governed by the central nervous system and the peripheral nerve system, and is thus closely associated with the nervous system. But, the acupoint system does not equal to the nervous system.关键词：经穴综合系统;神经系统728|0|2更新时间：2023-08-11
- 摘要：本文用中医传统整体论进行观察 ,以相对观念进行思维。受中医的脏腑不仅仅是指实质脏腑 ,更是个多功能概念的综合的启示 ,提出经络不是一个有形实体 ,而也是综合功能概念 ,象“三焦”一样 ,是个区间 ,其形态是人体组织间压力带。因为压力与人体有着密切的关系。用天人合一的观念看 ,自然界外力的作用时刻影响着人体生理、病理的改变 ;从人体内部看 ,组织间的作用力是存在的 ,形成了脑压、血压、眼压等 ,阴阳平衡的破坏 ,会造成体内多种压力的失常 ,故施以针刺治疗 ,就是对人体局部施加一种压力 ,用以调和阴阳 ,使组织间压力恢复正常。关键词：经络;身体组织间压力带717|0|1更新时间：2023-08-11
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