目的：观察温针灸背部腧穴对类风湿性关节炎(rheumatoid arthritis, RA)的临床疗效。方法：将60例RA患者按随机数字表随机分为2组，每组30例。观察组采用温针灸背部督脉穴及夹脊穴治疗，对照组采用常规针刺治疗。结果：治疗后，两组患者晨僵、关节疼痛指数、关节肿胀指数及红细胞沉降率(erythrocyte sedimentation rate, ESR)都有明显改善，与本组治疗前差异均有统计学意义(P＜0.01)；观察组与对照组亦有统计学差异(P＜0.05)。观察组总有效率为93.3%，对照组为76.6%，两组总有效率差异有统计学意义(P＜0.01)。结论：温针灸背部督脉穴及夹脊穴治疗RA的疗效优于常规针刺治疗。
作者：林兵宾 刊期： 2015年第02期
目的：观察隔姜灸对慢性非细菌性前列腺炎患者免疫细胞因子的影响。方法：将慢性非细菌性前列腺炎患者80例，按就诊顺序随机分为两组，每组40例。观察组予口服盐酸坦索罗辛缓释胶囊(哈乐)(Tamsulosin Hydrochloride Sustained Release Capsules, Harnal)，每次0.2 mg，每日1次；隔姜灸气海、关元、中极及双侧足三里、三阴交、膀胱俞、上髎、次髎、中髎和下髎治疗,每日1次。对照组仅口服盐酸坦索罗辛缓释胶囊，剂量及服用方法与观察组相同。两组均治疗28 d。治疗前、后检测患者外周血中CD3+、CD4+、CD8+、CD4+CD25+、CD4+CD25+Foxp3+、转化生长因子-β1(transforming growth factor-β1, TGF-β1)、免疫球蛋白(immuneglobulin, Ig) A、IgE、IgG 和 IgM，并进行美国国立卫生研究院慢性前列腺炎症状指数(National Institutes of Health chronic prostatitis symptom index, NIH-CPSI)评分。结果：观察组总有效率90.0%；对照组总有效率72.5%，两组总有效率差异有统计学意义(P＜0.05)。治疗后，两组患者CD3+、CD4+、CD8+、CD4+CD25+、CD4+CD25+Foxp3+、TGF-β1、IgA 、IgG及IgM均明显提高，与本组治疗前差异有统计学意义(P＜0.05)；观察组CD3+、CD4+、CD8+、CD4+CD25+、CD4+CD25+Foxp3+、TGF-β1、IgA、IgG、IgE、IgM、NIH-CPSI总分及疼痛与不适评分与对照组有统计学差异(P＜0.05)。结论：隔姜灸可通过提高免疫功能改善慢性非细菌性前列腺炎患者的临床症状。
作者：李国栋；李树义 刊期： 2015年第02期
目的：：观察经筋排刺配合皮肤针疗法对脑卒中后上肢痉挛患者认知功能及生活质量的影响。方法：将488例脑卒中后上肢痉挛患者随机分为治疗组和对照组,每组244例,在必要康复治疗的基础上,治疗组给予经筋排刺配合皮肤针疗法,对照组给予常规西药治疗。两组均连续治疗3星期后观察疗效。采用功能综合评定量表(functional comprehensive assessment, FCA)和简易精神状态检查量表(mini-mental state examination, MMSE)评价患者认知功能；采用健康状况调查问卷(36-item short-form health survey, SF-36)中文版评价患者的生活质量。结果：治疗后,两组FCA、MMSE评分均较治疗前有明显改善(P＜0.05),且治疗组改善情况均优于对照组,两组间差异均有统计学意义(P＜0.05)。治疗组患者各项生活质量评分均明显高于对照组,差异有统计学意义(P＜0.05, P＜0.01)。结论：经筋排刺配合皮肤针疗法能明显改善脑卒中后上肢痉挛患者的认知功能,提高其生活质量。
作者：韩淑凯；郝海燕；刘凤辉；李卿；李学飞；杨伟红 刊期： 2015年第02期
目的：观察针刺配合康复训练对膝关节半月板损伤关节镜术后患者步行功能的影响。方法：将60例半月板损伤关节镜术后患者按随机数字表法分为两组，每组30例。观察组予针刺结合常规康复训练治疗，对照组仅采用与观察组相同的常规康复训练治疗。于治疗前及治疗1个月、2个月后对患者膝关节能量、支撑力矩及摆动力矩进行测量比较。结果：治疗前，两组膝关节能量、支撑力矩及摆动力矩差异均无统计意义(P＞0.05)。治疗1个月及2个月后，两组患者膝关节能量、支撑力矩及摆动力矩均明显改善，与本组治疗前有统计学差异(P＜0.05)；两组间亦有统计学差异(P＜0.05)。结论：针刺配合康复训练可增加膝关节半月板损伤关节镜术后患者下肢运动过程中膝关节能量、支撑力矩与摆动力矩，提高其步行功能。
作者：刘新荣；李旗 刊期： 2015年第02期
目的：观察电针对内脏高敏感大鼠结肠神经生长因子(nerve growth factor, NGF)和神经生长因子受体(nerve growth factor receptor, NGFR)表达的影响，探讨电针治疗慢性内脏高敏感性的作用机制。方法：将24只新生乳鼠随机分为正常组、模型组和电针组。参照 Al-Chaer 法制备内脏高敏感性大鼠模型。电针组予电针天枢、上巨虚治疗，每次20分钟，每天1次，连续7天。首次治疗后，通过观察大鼠腹壁撤回反射(abdominal withdrawal reflex, AWR)评分以评价内脏高敏感性大鼠的痛阈。治疗7天后，采集大鼠结肠组织进行NGF和NGFR免疫组织化学检测。结果：模型组大鼠的AWR评分均高于正常组，经电针治疗后均降低。模型组大鼠的结肠NGF和NGFR阳性表达较正常组显著增加(P＜0.05)，电针组治疗后NGF和NGFR阳性表达均显著降低(P＜0.001)。结论：电针可使内脏高敏感性大鼠的痛阈升高，并降低结肠的NGF和NGFR表达。电针对结肠NGF和NGFR表达的调节可能是其治疗慢性内脏高敏感性的外周作用机制之一。
作者：刘雅楠；吴焕淦；王晓梅；施征；江岩；宋春斌；张英英；谭琳蓥 刊期： 2015年第02期
目的：探讨推拿结合金匮肾气汤治疗腰椎管狭窄症的疗效。方法：将70例腰椎管狭窄症门诊患者随机分为两组，治疗组36人，对照组34人。治疗组采用推拿结合内服金匮肾气汤治疗，对照组仅采用推拿治疗。根据日本骨科协会(Japanese Orthopaedic Association, JOA)腰痛评分评价疗效。结果：治疗前两组JOA评分无明显差异（(P＞0.05）；治疗后与后随访两组评分均有明显改善(P＜0.05)，而且治疗组评分明显高于对照组(P＜0.05)；治疗后与后随访，治疗组疗效均优于对照组(P＜0.05)。结论：推拿结合金匮肾气汤治疗腰椎管狭窄症疗效优于单纯推拿治疗。
作者：尚永；陈广敏；唐树杰 刊期： 2015年第02期
目的：观察齐刺加灸结合痛点弹拨治疗第三腰椎横突综合征的临床疗效。方法：将108例第三腰椎横突综合征患者随机分为两组，观察组56例予齐刺、艾灸及痛点弹拨治疗；对照组52例予针刺、艾灸治疗。观察治疗前后两组患者简化 McGill 疼痛问卷(short-form McGill pain questionnaire, SF-MPQ)中疼痛分级指数(pain rating index, PRI)，视觉模拟量表(visual analogue scale, VAS)及现有疼痛强度(present pain intensity, PPI)评分的变化，并进行疗效比较。结果：观察组总有效率为96.4％，对照组为76.9％，两组总有效率差异有统计学意义（P＜0.05）。两组患者治疗前后 PRI 感觉分、PRI 情感分、PRI 总分、VAS 评分、PPI 评分的差值比较，差异均有统计学意义(P＜0.05)。两组治疗前后临床体征评分差值比较，差异有统计学意义(P＜0.05)。治疗后4星期及治疗后8星期，两组复发率差异均有统计学意义(P＜0.05)。结论：齐刺加灸结合痛点弹拨治疗第三腰椎横突综合征疗效优于针刺加灸治疗，且复发率低。
作者：郭清；华宇；盛锋；宋加富；王海琴；刘霞 刊期： 2015年第02期
目的：观察电针腰夹脊穴配合中药离子导入治疗腰椎间盘突出症(lumbar intervertebral disc herniation， LIDH)的疗效。方法：采用随机数字表法将80例LIDH患者随机分为观察组和对照组，每组40例。观察组采用电针腰部夹脊穴结合中药离子导入治疗，对照组采用与观察组相同的电针治疗。两组患者均每日治疗1次，10次为1个疗程，2个疗程中间休息3 d，治疗2个疗程后进行疗效观察。治疗前、首次治疗后及治疗2个疗程后，进行简式McGill 疼痛询问量表(short-form McGill pain questionnaire, SF-MPQ)和日本骨科协会(Japanese Orthopedic Association, JOA)下腰痛评分量表评分。结果：经2个疗程治疗后，治疗组总有效率为95.0%，对照组为87.5%，两组总有效率差异有统计学意义(P＜0.05)；其中首次治疗与2个疗程治疗后比较，治疗组的疗效均明显优于对照组，SF-MPQ评分均明显降低，下腰痛JOA评分升高明显，治疗组更为显著，差异有统计学意义(P＜0.01)。结论：电针腰夹脊穴结合中药离子导入能够有效缓解LIDH患者的腰腿痛，改善腰腿部功能障碍，从而提高患者的生活质量，其疗效优于单纯电针腰夹脊穴。
作者：张金朋；唐强；朱路文 刊期： 2015年第02期
目的：从生殖内分泌、免疫系统、神经内分泌、自由基和骨的新陈代谢、血脂改变的角度，总结针刺治疗围绝经期综合征的机制。方法：检索了截止到2014年6月发表的临床和实验的针刺治疗围绝经期的研究，检索数据库包括 MEDLINE，EMBASE，CNKI，万方和重庆维普。结果：针刺治疗围绝经期综合征是安全的、有效的、科学的，疗效是显著的。结论：以前的研究存在一定的局限性，以后再开展研究时，应采用诸如分子生物学、基因检测等高科技，也应开展更多的随机对照临床试验来评估针刺治疗围绝经期综合征的疗效，进一步探讨针刺治疗围绝经期综合征的机制。
作者：李瑞丽；傅金英；邓迎莹；沈文娟；马红丽；李威；吴效科 刊期： 2015年第02期
针灸疗法作为中医传统疗法的一部分，其对部分神经系统疾病的疗效已被大量的临床与实验研究所证实，然而现有常用的脑电图、诱发电位等电生理技术对于揭示针灸的作用机理尚有诸多不足之处。微电极阵列记录技术是起源于国外的生物电信号监测技术，属于电生理技术的一种，可在体或离体同时记录多个神经细胞的电信号，同时又保持记录信息的准确性、稳定性，较大程度丰富了电生理学研究的手段。该技术虽然在国外已经应用于基础研究和临床治疗，但是将该技术应用于针灸学领域的研究并不多见。对微电极阵列技术的在体应用情况进行综述，简要分析该技术应用于针灸学研究的现状及前景，以指导微电极阵列技术在针灸学研究领域的应用。
作者：韩清；徐鸣曙；徐佳；葛林宝；李明哲；张英杰 刊期： 2015年第02期
作者： 刊期： 2015年第02期
作者： 刊期： 2015年第02期
介绍金义成教授儿科推拿学术思想及其临床应用，以促进相关推拿手法的推广应用及老中医经验传承，提高推拿治疗小儿疾病的临床疗效。
作者：陈志伟；沈一菁；王茜 刊期： 2015年第02期
介绍田从豁教授临床常用的针灸方法及其临床应用，总结名老中医临床经验，促进中医针灸经验传承，提高针灸治疗疾病的临床疗效。
作者：杨涛；王蕊；赵宏 刊期： 2015年第02期
Objective: To observe the clinical effects of acupoint injection therapy plus massage on primary dysmenorrhea (PD).Methods: Ninety patients with PD were randomly divided into a treatment group or a control group, 45 cases in each group. The treatment group was treated by injection of Vitamin K3into Sanyinjiao (SP 6) plus massage on Diji (SP 8). The control group was treated by oral administration of Ibuprofen sustained-release capsule. Before and after the treatment, visual analogue scale (VAS) was adopted to assess pain degree of the patients. The therapeutic effects were observed after continuous treatment of three cycles of menstruation.Results: After treatment, VAS scores were obviously decreased in both groups and the differences were statistically significant (allP<0.05). The difference in VAS score after treatment was more significantin the treatment group than that in the control group (P<0.01). The total effective rate was significantl higher in the treatment group than that in the control group (P<0.05).Conclusion: Acupoint injection therapy plus massage for PD is effective and better than simple oral administration of Ibuprofen sustained-release capsule.
作者： 刊期： 2014年第04期
Objective: To observe the clinical effect of tuina combined with auricular point sticking on cervical radiculopathy and evaluate in health economics.Methods: Using randomized single-blind controlled clinical design, a total of72 cases with cervical radiculopathy were randomly allocated into an observation group or a control group by the ratio of 1:1, 36 in each group. Cases in the observation group were treated with tuina combined with auricular point sticking, whereas cases in the control group were treated with tuina alone. Then the clinical effects in the two groups were observed and the cost of health economics was evaluated.Results: The drop-out, recovery, improvement and failure cases, recovery rate and total effective rate in the observation group were 1, 15, 20, 0, 42.9% and 100% respectively, versus 2, 6, 23, 5, 17.6% and 85.3% in the control group, showing significant differences in recovery rate and total effective rate (P<0.05). As for health economics, the cost-effect in the observation group was better than that in the control group.Conclusion: Compared with tuina alone, tuina combined with auricular point sticking can obtain better effect and lower cost in health economics for cervical radiculopathy.
作者： 刊期： 2014年第04期
Objective: To observe the effect of warm needling therapy plus acupuncture on third lumbar vertebra transverse process syndrome.Methods: Sixty cases of third lumbar vertebra transverseprocess syndrome were randomly divided into a warm needling groupor an acupuncture group, 30 cases in each group. Cases in the acupuncture group were treated by routine points and needle sticking manipulation, while those in the warm needling group were treated by moxibustion plus needling as same as the acupuncture group. Japanese orthopedic association scores (JOA) in the two groups were observed and compared after 2 treatment courses.Results: After treatment, the JOA score in the warm needling group was higher than that in the acupuncture group (P<0.01); subjective symptom, clinical syndromes, activity of daily living (ADL) in the warm needling group were all higher than those in the acupuncture group (allP<0.05); the score of pain in the warm needling group was significantly lower than that in the acupuncture group (P<0.01); the total effective rate in the warm needling group was 76.7%, versus 70.0% in the acupuncture group, showing a statistically significant difference (P<0.05).Conclusion: Warm needling therapy is more effective thannormal acupuncture in treating third lumbar vertebra transverseprocess syndrome.
作者： 刊期： 2014年第04期
Objective: To observe theclinical effect of tuina reduction manipulation on leg length discrepancy and lumbosacral pain due to sacroiliac joint subluxation.Methods: A total of 60eligible cases were randomly allocated into an observation group and a control group, 30 in each group. Cases in the observation group were treated with conventional tuina plus reduction manipulation of sacroiliac joint subluxation; whereas cases in the control group were treated with conventional tuina plus acupuncture. The clinical effects were observed after 10 times of treatment. In addition, the relapse rates were observed 2 months after treatment.Results: The total effective rate in the observation group was 80.0%, versus 50.0% in the control group, showing a statistically significant difference (P<0.05). The relapse rate of lumbosacral pain in the observation group was 12.5%, versus 66.7% in the control group, showing a statistically significant difference (P<0.01). The relapse rate of leg length discrepancy in the observation group was 16.7%, versus 80.0% in the control group, showing a statistically significant difference (P<0.01).Conclusion: Tuina reduction manipulation can obtain substantial therapeutic effect for leg length discrepancy and lumbosacral pain due to sacroiliac joint subluxation, coupled with a low relapse rate.
作者： 刊期： 2014年第04期
Objective: To observe the clinical effects of comprehensive treatmenton cutaneous region for low back pain.Methods: One hundred and twenty outpatients with low back pain who met the diagnostic criteria were randomly divided into a cutaneous region group or a medication group, 60 cases in each group. The cases in the cutaneous region group were treated by Nie-pinching up the skin of the lumbosacral region, cupping and acupuncture. Those in the medication group were treated by oral administration of Celecoxib capsule. The visual analogue scale (VAS) and Oswestry disability index (ODI) were used to assess the therapeutic effects.Results: After treatment, the VAS scores of both groups were different from those before treatment, showing statistical significances (allP<0.01). The D-valuse of VAS scores of both groups were different from those before treatment, showing statistical significances (allP<0.01). The D-value of OID scores in the cutaneous region group was significantly different from that in the medication group(P<0.01). After treatment, the total effective rate was 91.7% in the cutaneous region group versus 76.7% in the medication group, there was a significant difference in comparing the clinical effect (P<0.01).Conclusion: Both comprehensive treatment on the cutaneous region and Celecoxib capsule can obviously relieve low back pain. But comprehensive treatment on the cutaneous region is better than Celecoxib capsule in the therapeutic effects.
作者： 刊期： 2014年第04期
Objective: To observe the therapeutic efficacy of acupuncture combined with hyperbaric oxygenation for cervical spondylosis of nerve root type in acute phase.Methods: One hundred cases with cervical spondylosis of nerve root type in acute phase were randomly divided into two groups, with 50 patients in each group. The patients in the treatment group were treated by acupuncture combined with hyperbaric oxygenation, and those in the control group only received the same acupuncture therapy as the treatment group. The therapeutic efficacy was evaluated after 2 courses of treatment.Results: In the treatment group, 27cases were cured, 9 cases showed markedly effective, and 4 cases were invalid, and the recovery rate was 67.5%, the total effective rate was 90.0%; in the control group, 18 cases were cured, 17 cases showed markedly effective, 15 cases were invalid, and the recovery rate was 36.0%, the total effective rate was 70.0%. There were statistically significant differences between two groupsin the recovery rate and the total effective rate (bothP<0.05). The average cure time of the treatment group was (15.56±7.13) d, and that of the control group was (22.13±7.78) d, which also had significant difference between the two groups (P<0.05).Conclusion: Acupuncture combined with hyperbaric oxygenationhas rapid and reliable effects for cervical spondylosis of nerve root type in acute phase.
作者： 刊期： 2014年第04期
Objective: To observe the clinical efficacy of acupoint injection at Neiguan (PC 6) plus acupuncture in treating insomnia due to heart-kidney disharmony.Methods: A hundred patients with insomnia due to heart-kidney disharmony were randomized into an observation group and a control group. Fifty-three cases in the observation group were intervened by acupoint injection at Neiguan (PC 6) plus acupuncture; while 54 cases in the control group were intervened by acupuncture alone. The Pittsburgh sleep quality index (PSQI) was evaluated before and after intervention, and the therapeutic efficacies of the two groups were compared.Results: Acupoint injection at Neiguan (PC 6) plus acupuncture produced significantly higher efficacies in improving sleep quality, shortening sleep latency, and enhancing sleep efficiency than acupuncture alone (P<0.05).Conclusion: The two groups both can improve the condition of insomnia; acupoint injection at Neiguan (PC 6) has significant advantages, manifested by a higher therapeutic efficacy for insomnia due to heart-kidney disharmony, higher safety evaluation, efficiency, and less adverse events, thus proper for clinical application.
作者： 刊期： 2014年第04期
Objective: To observe the effect of electroacupuncture (EA) on cytochrome c oxidase (COX)activity of hippocampal mitochondria in senescence-accelerated mouse prone 8 (SAMP8) mice, and to explore the EA mechanism on Alzheimer disease (AD) in improving energy metabolic disorder.Methods: Twelve SAMP8 mice were randomly divided into a model group and an EA group, with six in each group. Six senescence-accelerated mouse resistance 1 (SAMR1) mice were prepared as blank group. Mice in the EA group received EA on Baihui (GV 20) and Yongquan (KI 1), once a day for 7 d as a course, altogether 3 courses with one day intervalbetween two courses. Mice in the model group and the blank group were manipulated and fixed as those in the EA group. After interventions, Morris water maze was employed to test spatial learning and memory ability to evaluate EA effect; spectrophotometry was used to detect the activity of hippocampal mitochondria COX.Results: Compared with the blank group, mean escape latenciesof the EA group and model group were prolonged significantly in Morris water maze tests (P<0.01), the residue duration in the former platform quadrant significantly decreased (P<0.01). Compared with the model group, mean escape latencies on 1 d, 2 d and 3 d of the EA group were significantly reduced (P<0.05), and those on 4 d and 5 d continued the decreasing tendency (P<0.01), the residue duration on the former platform quadrant was significantly prolonged (P<0.05). The COX activity tests showed that, compared with the blank group, COX activities of the model group and the EA group were significantly decreased (P<0.01); compared with the model group, COX activity of the EA group was significantly elevated (P<0.01).Conclusion: It’s plausible that EA improves AD learning and memory ability by increasing mitochondria COX activity, protecting the structure and function, and improving energy metabolism.
作者： 刊期： 2014年第04期
