针灸推拿医学（英文版）杂志

In addition to conventional palpation method, examination on vertebral range of motion (ROM) and mobility can help to determine a pathological displacement and thus provide solid basis for spinal tuina manipulation.

作者： 刊期： 2014年第06期

推拿结合金匮肾气汤治疗腰椎椎管狭窄症疗效分析

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

Analysis on Therapeutic Features of Ancient Acupuncture Treatment for Impotence

运用计算机对130种古医籍中用针灸治疗阳痿的内容进行分析,总结古代医家针灸治疗本病的用穴规律.结果发现针灸治疗本病有循经取穴,分部取穴和辨证取穴特点.

作者：刘立公；顾杰 刊期： 2009年第01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

Progress of Clinical Study on Treatment of Hyperlipidemias with Acupuncture

目的:总结针灸治疗高脂血症的临床研究进展,以发现存在的问题,指导今后的研究方向.方法:计算机检索科技期刊数据库,得到近10年针灸治疗高脂血症的相关文献并进行综合分析.结果与结论:符合纳入标准的42篇文献,主要涉及针刺、灸法、针灸并用、穴位埋线、穴位敷贴、穴位注射等疗法,多取脾胃经的穴位为主穴.但针灸辨证取穴、针刺补泻手法的应用及试验方案的设计方面有待改进.

作者：李艳芬；庄礼兴；黄国琪 刊期： 2009年第04期

目的:探讨针刺是否具有抑制脂毒性的作用,及其可能机制.方法:临床针刺治疗34例单纯性肥胖病患者3个疗程,治疗前后测量体重指数(BMI)、脂肪百分率(F%),酶联免疫法测定血清胰岛素、脂联素,生化比色法测定血脂、血糖,高效液相色谱法测定主要的八种游离脂肪酸,并与20例正常人对照.结果: 临床总有效率88.2%,针刺可提高患者降低的胰岛素敏感指数(IAI,t=-5.103,P=0.000).针刺后F%的降低与不饱和脂肪酸升高的相关性具有显著性意义(r=0.402,P=0.019),与不饱和脂肪酸与饱和脂肪酸的比值的升高的相关性亦具有显著性意义(r=0.348,P=0.044).高密度脂蛋白升高与二十碳五烯酸的升高的相关性具有显著性意义(r=0.352,P=0.041),BMI的降低与高密度脂蛋白的升高的相关具有显著性意义(r=0.357,P＝0.038).针刺后脂联素水平显著升高(与治疗前相比P=0.000),FFAs降低与脂联素升高的相关性具有显著性意义(r=-0.349,P=0.043).结论:针刺可以降低肥胖患者的游离脂肪酸水平,提高其胰岛素敏感性,从而表现出抑制脂毒性的效应.针刺抑制脂毒性的作用与提高脂联素水平有一定的关系.

作者：徐斌；袁锦虹；刘志诚；吕雅妮；王欣君；陈梅；姜军作 刊期： 2006年第04期

目的:观察温灸髀关穴对卒中后的治疗效果.方法:50例患者采用等候对照法,以入院时间为序,随机分为治疗组与对照组.治疗组以深刺髀关穴加温针灸,对照组口服左旋多巴,治疗28 d后比较疗效.结果:治疗组总有效率为76.00%,对照组总有效率为28.00%,差异具有显著性意义.结论:髀关穴温针可治疗卒中后不宁腿综合征.

作者：戴晓矞；李妍；宋秋珍；韩宝杰；肖元春 刊期： 2006年第03期

目的:研究结肠镜检前针刺双合谷对镜检患者及对插镜时间的影响.方法:依接受镜检单、双序号将全部结肠镜检患者185例分为针刺组(93例)、对照组(92例).针刺组在镜检前30min针刺双合谷,对照组不予任何防治措施.分别观察两组过乙状结肠和横结肠时的疼痛级别并记录插镜时间.结果:共有165例患者完成插镜确定为有效病例,其中针刺组84例,对照组81例.统计表明,针刺组患者在过横结肠及乙状结肠时疼痛级别较对照组显著低(P＜0.01),针刺组的插镜时间较对照组短(P＜0.05).结论:结肠镜检前针刺双合谷可有效降低结肠镜检时患者的不适并缩短镜检时间.

作者：杜艳军；孙国杰；朱函亭 刊期： 2006年第03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

Proteomics Analysis of Component in Serum with Anti-asthma Activity Derived from Rats Treated by Acupuncture

目的:通过蛋白质组技术鉴定针刺抗哮喘血清中差异蛋白,明确针刺抗哮喘效应的物质基础.方法:采用蛋白质双向电泳技术,对针刺抗哮喘血清进行蛋白质组份差异分析,并对差异蛋白质点进行质谱鉴定.结果:双向电泳显示,与其它组相比,肾上腺切除哮喘模型针刺组血清与哮喘模型针刺组血清有一个明显深染的蛋白点(MW=44.1kD,PI=5.1),质谱结果为60S核糖体蛋白L13或假想蛋白FLJ32191:双向电泳显示,与其它组相比,肾上腺切除哮喘模型针刺组血清有两个高峰度蛋白点(MW=39.8kD,PI=4.9和MW=39.5kD,PI=5.0),质谱分析表明依次为锌指蛋白208、甲状腺激素受体相关蛋白;双向电泳显示,肾上腺切除哮喘模型针刺组血清中有两个明显区别于其他组的特有蛋白点(MW=17.3kD,PI<4.5和16.9kD,PI<4.5).质谱分析表明依次为亲环蛋白A、锌指蛋白91.结论:针刺治疗哮喘,是整体调整的多靶点效应,与免疫调节、基因表达、蛋白质合成等密切相关.针刺应答蛋白质功能有待深入研究.

作者：王宇；崔建美；马淑兰；刘艳艳；尹磊淼；杨永清；崔学军 刊期： 2009年第06期