针灸联合推拿干预中风后遗症68例疗效观察

目的：探讨针灸联合推拿治疗中风后遗症的疗效。方法：68例中风后遗症患者纳入研究，分为针灸结合推拿的治疗组，及单纯针灸的对照组，疗程结束后进行疗效及血液流变学检测。结果：治疗组有效率88．24％，对照组为73．53％，治疗组优于对照组，差异具有统计学意义（P〈0．05）；与对照组比较，治疗组在全血还原粘度和RBC压积水平治疗组下降明显，差异具有统计学意义（P〈O．05）。结论：针灸结合推拿治疗中风后遗症疗效显著，对血液流变学改善明显，具有临床推广价值。     

针药结合治疗中风后遗症50例临床观察

目的:探讨针药结合治疗中风后遗症的临床疗效。方法:将我院收治的中风后遗症患者100例,随机分为对照组与治疗组,各50例,对照组给予丹参注射液和三磷酸胞苷二钠治疗;治疗组在对照组基础上给予针灸治疗。两组疗程均为30d,治疗后评价临床疗效、对比两组治疗前后的神经功能缺损评分、症状积分情况。结果:治疗组的显效率和总有效率明显高于对照组(P<0.05);治疗组治疗后的神经功能缺损评分以及症状积分明显低于对照组(P<0.05)。结论:针药结合治疗中风后遗症的临床疗效确切,值得临床推广应用。     

温针灸治疗气虚血瘀型中风后遗症的临床观察

目的：探讨温针灸治疗气虚血瘀型中风后遗症的临床疗效。方法：将60例气虚血瘀型中风后遗症的患者随机分为治疗组和对照组，两组取穴相同，治疗组予温针灸法，对照组予电针法，进行临床疗效对比分析。结果：治疗组的总有效率为90．00％，与对照组比较，差异无统计学意义（P〉0．05），但治疗组神经功能缺损评分、血液流变学的改善情况优于对照组，差异有统计学意义（P〈0．05）。结论：温针灸治疗气虚血瘀型中风后遗症疗效确切。     

培他司汀与复方丹参合用对中风先兆患者血液流变学的影响

目的观察复方丹参联合培他司汀对中风先兆患者血液流变学及临床症状的影响。方法将通过中风预测仪检测有中风先兆的66例患者随机分为3组:A组给予盐酸倍他司汀氯化钠注射液静滴,B组给予复方丹参注射液静滴,C组给予两药合用。观察3组患者治疗前后血液流变学指标(包括全血黏度、血浆黏度、血沉等)的变化。结果 C组临床疗效优于A组和B组,血液流变学指标改善情况亦优于A组和B组。结论倍他司汀与复方丹参合用可以有效改善中风先兆患者血液流变学,对中风有很好的防治作用。     

针药并用治疗脑卒中后遗症疗效观察

目的:观察针药并用治疗脑卒中后遗症的临床疗效。方法:将符合纳入标准的脑卒中后遗症患者采用随机数字表法分为针药治疗组(治疗组)、与西药对照组(对照组)两组。治疗组30例给予针刺和中药脑心康口服液联合治疗;对照组29例单纯应用奥扎格雷钠、三磷酸胞苷二钠西药治疗。观察两组治疗后的临床疗效、脑卒中计分情况、神经功能缺损程度评分、血液流变学变化、血脂变化。结果:两组患者经过治疗后,治疗组总有效率90%,对照组总有效率69.0%,两组比较,P0.05。且治疗组脑卒中病计分情况、神经功能缺损程度评分、血液流变学、血脂变化较对照组明显改善,P0.05。结论:针药并用治疗中风后遗症疗效显著。     

头针为主治疗中风后遗症疗效观察

目的观察头针治疗中风后遗症的临床疗效。方法将70例中风后遗症患者随机分为两组，治疗组43例采用头针联合体针、舌针疗法治疗，对照组27例采用体针、舌针治疗，观察其疗效。结果治疗组总有效率为95．3％，对照组总有效率为77．8％，治疗组总有效率明显优于对照组（P〈0．01）。与对照组相比，治疗组能降低神经功能缺损评分（P〈0．01）、血浆比黏度（KO．01）、纤维蛋白原（P〈0．01）、红细胞压积（P〈0．01）：并且治疗组在半身不遂、头痛、头晕目眩、面色咣白症状改善方面优于对照组（P〈0．05）。结论头针治疗中风后遗症有确切疗效。     

针药并用治疗缺血性中风60例

目的观察针药并用治疗缺血性中风的临床疗效。方法将60例缺血性中风患者随机分为两组,对照组给予西医常规治疗,治疗组在此基础上加用针刺疗法。治疗后对两组病人症状进行积分评估和疗效的对比。结果观察两组患者的有效率,P0.05,治疗组优于对照组;从两组治疗前后症状积分的改善情况的对比,P0.05,治疗组症状改善优于对照组。结论针药并用治疗缺血性中风有较好疗效。     

温针灸对缺血性中风患者血液流变学的影响和疗效观察

目的观察温针灸治疗对血液流变学的影响,了解其对缺血性中风中经络患者的治疗作用和相关性。方法将90例急性期缺血性中风中经络患者随机分为治疗组和对照组,对照组采用基础药物治疗,治疗组在基础药物治疗基础上加用温针治疗,两组治疗前后均行血液流变学指标检查和疗效判定。结果两组治疗后血液流变学指标与治疗前相比差异有统计学意义(P0.05),两组治疗后血液流变学指标比较差异有统计学意义(P0.05),两组治疗后总有效率比较差异有统计学意义(P0.01)。结论温针灸对急性期缺血性中风中经络患者的血液流变学改善作用明显,其总有效率优于药物治疗,是治疗缺血性中风中经络患者的有效方法之一。     

益气聪明汤化裁治疗中风后遗症30例疗效观察

目的:观察益气聪明汤化裁治疗气虚血瘀型中风后遗症的临床疗效及对血液流变学的影响。方法:将60例本病患者随机分为两组,对照组30例以西药配合针刺治疗为主,治疗组在对照组治疗的基础上加用益气聪明汤化裁治疗。结果:治疗组临床综合疗效与对照组比较,差异有统计学意义(P0.05);治疗后两组患者的神经功能缺损评分、血液流变学等主要指标均较治疗前降低(P0.05),且治疗组明显优于对照组(P0.05)。结论:益气聪明汤化裁可明显改善中风后遗症患者的神经功能缺损程度和血液流变学指标,并能显著提高临床疗效。     

针药结合治疗中风后遗症30例临床观察

目的 观察针药结合治疗中风后遗症的临床疗效.方法 将60例患者随机分为对照组(常规治疗)和治疗组(针药结合治疗)各30例,疗程均为30 d.观察两组治疗前后神经功能缺损评分、日常生活能力积分和中医证候积分变化情况.结果 对照组总有效率为73.3%,治疗组总有效率为90.0%(P＜0.05);两组治疗后神经功能缺损评分、日常生活能力积分和中医证候积分均有明显改善(P＜0.05),组间比较,差异均有统计学意义(P＜0.05).结论 针药结合治疗中风后遗症优于常规治疗.     

微波消解-电感耦合等离子体质谱法测定脉络宁注射液中25种矿物质元素

目的建立微波消解-电感耦合等离子体质谱(ICP-MS)直接稀释测定脉络宁注射液中25种矿物质元素(Mg、Ca、Fe、Cu、Zn、Mn、Al、B、Ba、Co、Cr、K、Li、Mo、Na、Ni、P、Pb、Sr、Th、Ti、V、As、Cd和Hg)的方法。方法分别对微波消解条件和测试条件进行考察;样品经微波消解后,采用电感耦合质谱仪测定25种矿物质元素,并对测定方法学进行考察。结果确定最佳消解条件为3步缓慢升温:400 W 80℃升温10 min,保留5 min;600 W 120℃升温10 min,保留5 min;900 W 200℃升温20 min,保留20 min;25种矿物质元素在各自的线性范围内线性关系良好,r≥0.999 6,精密度、稳定性和重复性试验的RSD均符合定量分析要求;加标回收率为94.7%~106.1%,RSD在0.34%~2.79%。脉络宁注射液中检测出Mg、Ca、Fe、Cu、Zn、Mn、Al、B、Ba、Co、Cr、K、Li、Mo、Na、Ni、P、Pb、Sr、Th、Ti、V,未检出As、Cd和Hg。结论该方法简便、迅速、准确,适用于脉络宁注射液中25种矿物质元素的同时测定。     

Die Lateralität und Lateralitätsinstabilität in der Diagnostik und Therapie

The disturbance and instability of laterality are obstacles to diagnostics and therapy. Correction prior to starting therapy is required. They also predispose toward defined health problems and unspecific diseases. Numerous research activities provide evidence of the relevance of undisturbed laterality in diagnostics and therapy. Techniques of testing and therapeutic corrections will allow for optimized therapy success.     

Yerba Mate or Paraguay Tea

正Beverages based on Ilex paraguariensis A.St.-Hil.are used in the south Brazil and other Latin American countries located at the so-called southern cone.It is known as chimarro or mate in south and southeast Brazil,tererêin     

Journal of Acupuncture and Tuina Science Instructions for Authors

The Journal of Acupuncture and Tuina Science, a journal with an international scope （IS SN 1672-3597, CN 31-1908/R, Bimonthly）, is embodied by ＇Springer Verlag＇ Database, Index Copernicus （IC） and Chinese Scientific and Technical Paper and Citations Data （CSTPCD）. You can search full text on http：//www, springerlink, com/content/1672 -3597.     

Ethnopharmacologic study of chinese rhubarb

This paper deals with an interdisciplinary study covering historic, botanical, phytochemical, pharmacological and clinical aspects of rhubarb and related species, to lay stress on the correlation between plant phylogeny, chemical constituents and purgative activity.

It was found that the official rhubarbs were exclusively restricted in the Sect. Palmata e.g. Rheum palmatum R. palmatum var. tanguticum R. officinale; the following criteria may serve as their standard, viz., the presence of sennoside derivatives and rhein, the occurrence of the reduced form of rhein and aloe-emodin, the leaves with any kind of palmate incision. Comprehensive multivariate analyses showed that there is a very close relationship between the leaf incision, existence of sennosides or rhein and purgative activity.     

基于ICP-MS法的加味左金丸中无机元素分析

目的 通过电感耦合等离子体质谱（inductively coupled plasma mass spectrometry,ICP-MS）法建立加味左金丸中Cd、Pb、As、Hg、Co、V、Ni、Cu、Li、Sb、Ba、Mo、Sn、Cr、Na、Mg、Al、Ca、Ti、Mn、Fe、Zn、Ga、Se、Sr、Tl共计26种无机元素的测定方法。方法 加味左金丸通过微波消解法处理后,根据相对分子质量的大小选择内标物,其中⁷Li、²³Na、²⁴Mg、²⁷Al、⁴⁰Ca、⁴⁸Ti、⁵¹V、⁵²Cr、⁵⁵Mn、⁵⁶Fe、⁵⁸Ni、⁵⁹Co、⁶³Cu、⁶⁶Zn、⁷⁰Ga、⁷⁵As、⁷⁷Se、⁸⁶Sr以⁷²Ge作为内标;⁹⁵Mo、¹¹⁴Cd、¹¹⁸Sn、¹²¹Sb、¹³⁷Ba以¹¹⁵In作为内标;²⁰²Hg、²⁰⁵Tl、²⁰⁸Pb以²⁰⁹Bi作为内标。对标准品溶液、空白溶液与供试品溶液进行分析,采用标准曲线法进行定量分析。通过ICP-MS法进行测定。结果 26种无机元素线性的相关系数r ≥ 0.999 6,检出限为0.001~1.500μg/L,定量限为0.01~5.00 μg/L,精密度与重复性试验的RSD均小于5%,平均回收率在82.64%~106.44%,RSD均小于5%。对3个厂家的12批样品进行了测定,26种元素的含量差异较大,其中Na、Mg、Ca、Fe 4种元素的含量比较高,均大于500 μg/g,Cd、Pb、As、Hg、Co、Li、Sb、Mo、Sn、Cr、Se、Tl的含量比较低,均小于1 μg/g。由结果可知,人体的常量元素,如Na、Mg、Ca的含量比较高,Cd、Pb、As、Hg等有害元素含量比较低。根据《中国药典》2020年版一部的要求,本品中Cd、Pb、As、Hg与Cu均符合规定。结论 该方法快速、准确,可以用于加味左金丸中无机元素的测定。     

Wirksamkeit der Akupunktur bei der Therapie von idiopathischen Schmeckstörungen: Eine randomisierte Placebo-kontrollierte Studie

Background

At present, the state-of-the-art medication in treating idiopathic taste disorder (gustatory dysfunction) is zinc. If zinc medication was unsuccessful, not tolerated or if it is contraindicated the persons affected can hardly be helped.

Objectives

In a randomized placebo-controlled clinical trial an attempt was made to determine the efficacy of acupuncture.

Methods

The treatment group was treated with acupuncture needles, the placebo group with an inactive acupuncture-laser. Endpoints of the study were changes in the taste test, the quality of life and the severity of symptoms of depression (BDI) as well as mood changes (ZMS). Satisfaction with the success of the respective therapy was also evaluated. Data were collected before and after therapy and again for the treatment group 10 weeks after completion of the treatment period.

Findings

Treatment with real acupuncture showed a significant improvement in gustatory function as well as a significant improvement in psychological symptoms. Greater satisfaction with the treatment results was evident in the treatment group. The treatment results of acupuncture remained stable over a period of ten weeks after completion of the treatment.

Conclusion

Acupuncture was effective in the therapy of idiopathic taste disorders and therefore it is an effective alternative when zinc medication is not tolerated or unsuccessful. But it is also suitable as a therapy of first choice. Acupuncture can be considered as an extension of the therapeutic spectrum in the difficult treatment of taste disorders.     

Erstaunliches Ergebnis einer Schädelakupunktur nach Yamamoto bei Hemihypsarrhythmie rechts

A girl, three and a half years old at the respective date, premature in 25th week of gestation, had been presented. On day three after birth, she had had a IVH III° right and left with severe involvement of parenchyma and other multiple complications, e. a. infant respiratory distress syndrome up to the 42nd day postpartum, and epileptic attacks with apnoeic events.     

Veränderungen der Herzratenvariabilität (HRV) während Low Level Lasernadelakupunktur: Placebokontrollierte Studie an 19 herzgesunden Probanden

Background

Experimental and clinical studies postulate a neurobiological mechanism of acupuncture by modulating central pain systems, neurohormones and -transmitters. It seems to be quite likely that the autonomic nervous system (ANS) plays an important mediating role in this neuromodulation.

Aim

In measuring heart rate variability (HRV), as a non-invasive approach to the ANS-function, the object of this study was to monitor probable acupuncture-induced changes of autonomic balance. The innovative technology of laser-needle acupuncture offers for the first time a stimulation method which fulfils the demands on a placebo-controlled acupuncture trial not requiring controversial sham acupuncture.

Method

19 healthy voluntary subjects underwent 3 treatments in randomized sequence, consisting of placebo-, 1-point- (PC 6) and simultaneous 3-point- (PC 6, LR 3, SI 3) laser-needle-stimulation over 20 minutes. Before, during and after placebo-/verum laser-needle acupuncture, HRV-data for normalized HF(high frequency)- and LF(low frequency)-Power (nHF, nLF) and their quotient nLF/nHF obtained by power spectrum analysis (FFT), were measured and analyzed statistically at 5 different time points (ANOVA repeated measures, p < 0,05).

Results

During both verum applications, the 1-point- (PC 6) as well as the simultaneous 3-point- (PC 6, LR 3, SI 3) laser-needle stimulation, significant changes of the ANS-activity were found in comparison to the placebo application. The most significant modification of HRV was an increase of nHF (p < 0,05 (PC 6), p < 0,0001 (PC 6, LR 3, SI 3)) as an expression of growing vagal activity during acupuncture.

Conclusion

Laser-needle acupuncture causes in 1-point-stimulation (PC 6) as well as in simultaneous 3-point-stimulation (PC 6, LR 3, SI 3) significant changes in HRV in comparison to placebo application. HRV-monitoring seems to be a suitable approach in exploration of acupuncture-induced changes of ANS and could possibly be established in combination with laser needle acupuncture as a standard for further scientific and clinical acupuncture investigations which are greatly needed.