三棱火针加拔罐治疗腘窝囊肿30例（英文）

Objective:To explore the therapeutic effect of the fire needling with the three-edged needle and the cupping on popliteal cyst.Methods:A total of 60 patients of popliteal cyst were divided into two groups,30 cases in each one according to the random number table.In the fire needling group,the burnt-red three-edged needle was inserted to the deep layer of the cyst.After the fluid was squeezed out,the cupping was exerted.The treatment was given 1 to 2 times a week,for 4 weeks totally.In the western medication group,prednisolone acetate 25 mg was injected in the cyst capsule,once a week,for 4 weeks totally.The effective rate,recurrence rate and Rauschning-Lindgren grading were evaluated before and after treatment.Results:The total effective rate was 80.0% in the fire needling group and was 83.3% in the western medication group,without statistical significance in comparison(P0.05).The recurrence rate was 6.7% in the fire needling group and was 30% in the western medication group.The recurrence rate in the fire needling group was lower than that in the western medication group,indicating the statistical significance(P0.05).After treatment,Rauschning-Lindgren grade was different statistically as compared with that before treatment in either group(both P0.05).Rauschning-Lindgren grade was distributed in 0 to I in the fire needling group after treatment,which was different significantly as compared with the western medication group(P0.05).Conclusion:The combined treatment with the fire needling combined with cupping therapy achieves the satisfactory effect on popliteal cyst and the very low recurrence rate and it is easy in operation and deserves to be promoted in primary care.     

Collateral-pricking and blood-letting cupping combined with electroacupuncture for post-herpetic neuralgia: 刺络放血拔罐结合电针围刺治疗带状疱疹后神经痛临床观察

ObjectiveTo explore the clinical efficacy of collateral-pricking and blood-letting cupping combined with surrounding needling technique electroacupuncture in the treatment of post-herpetic neuralgia (PHN).MethodsSeventy-two patients with post-herpetic neuralgia were randomized into observation group and control group. Of the 72 cases, 12 cases fell off, so finally 30 cases in each group. The observation group was treated with collateral-pricking and blood-letting cupping combined with surrounding needling technique electroacupuncture, while the control group was treated simply with pregabalin capsules for 20 consecutive days. On the basis of the western medication pregabalin capsules, the same as that of the control group, collateral-pricking and blood-letting cupping combined with electroacupuncture in a surrounding needling technique, was adopted for the observation group, once every two days, ten days as one course of treatment, a total of two courses. The immediate visual analogue scale (VAS) before and after treatment were observed in the two groups, and their clinical effects were compared.ResultsThe VAS scores of PHN patients in the two groups after treatment were lower than those before treatment (both P<0.01), and the scores of observation group were lower than those of control group (P<0.05). The total effective rate of the observation group was 86.7%, higher than 73.3% of the control group.ConclusionThe clinical effect of collateral-pricking and blood-letting cupping combined with electroacupuncture is relatively satisfactory in the treatment of post-herpetic neuralgia.     

火针围刺联合夹脊电针治疗急性期带状疱疹:随机对照试验（英文）

目的:比较火针围刺联合夹脊电针治疗急性期带状疱疹的临床疗效,并通过血清炎性因子和疼痛介质水平的变化探讨其改善疼痛症状的可能机制。方法:将60例急性期带状疱疹患者随机分为针药组和西药组,西药组患者均给予甲钴胺和更昔洛韦治疗,连续治疗14天。针药组在西药组的基础上加用火针围刺(以皮损部位为中心运用火针方法向中心快速刺入)联合夹脊电针(取皮损部位一致的神经节段及上、下各一节段的夹脊穴连取连续波通电治疗)的方法,每日1次,共治疗14天。观察两组患者从出现疱疹到结痂脱落的疱疹症状改善情况,比较两组患者治疗前后疼痛视觉模拟量表(VAS)评分及血清炎性细胞因子(IL-1 β、IL-6、TNT-a)和疼痛介质水平(CGRP、SP)的变化,比较两组患者治疗前后及随访1个月后匹兹堡睡眠指数量表(PSQI)评分、汉密尔顿抑郁量表(HAMD)评分,评估两组患者临床疗效及随访1个月后遗神经痛的发生率。结果:治疗结束后,针药组疱疹的止疱时间、结痂时间、脱痂时间,明显短于西药组(all P<0.05)。治疗后两组患者VAS评分、PSQI评分、HAMD评分均较同组治疗前明显降低(P<0.05),且针药组与...     

揿针治疗老年膝关节骨性关节炎疗效观察：随机对照试验

ObjectiveTo observe the effects of the thumb-tack needling therapy on knee joint pain and joint function in the elderly patients with knee osteoarthritis (KOA) and compared with medication.MethodsA total of 60 patients were randomized into a thumb-tack needling group and a medication group, 30 cases in each one. In the thumb-tack needling group, the therapy with the thumb-tack needle retaining and waiting for qi was adopted. The acupoints were Hèdĭng (EX-LE2鹤顶), Nèixīyăn (内膝眼EX-LE4), Dúbí (犊鼻ST35), Xuèhăi (血海SP10), Liángqiū (梁丘ST34) and Ashi points on the affected side. The needles were retained for 24 h. This therapy was given once every two days, 3 times a week. The treatment for 2 weeks was as one course and consecutive 2 courses of treatment were required. In the medication group, diclofenac sodium sustained release tablets were taken orally, 75 mg each time, once daily, consecutively for 4 weeks. Successively, the score of visual analogue scale (VAS) at the affected knee before treatment, after treatment and 3 months after treatment as well as Lequesne indicator before and after treatment were evaluated. The clinical therapeutic effect was observed in the patients of the two groups after treatment.Results(1) After treatment, VAS scores were reduced as compared with those before treatment in the patients of the two groups (both P < 0.05). After treatment, VAS score in the thumb-tack needling group was lower than that in the medication group (P < 0.05). (2) After treatment, the scores of all the items of Lequesne indices reduced as compared with those before treatment in the patients of the both groups, indicating significance differences (all P < 0.05). After treatment, compared with the medication group, the score of pain, morning stiffness and walking ability as well as the total score were all lower in the thumb-tack needling group, indicating significant differences (all P < 0.05). (3) The curative and remarkably effective rate and the total effective rate were 66.7% and 93.3% in the thumb-tack needling group, higher than 56.7% and 86.7% in the medication group respectively (both P < 0.05).ConclusionThe thumb-tack needling therapy effectively relieves knee joint pain and improves joint function in the patients and the therapeutic effect is better than medication group. Hence, this therapy deserves to be promoted in clinical practice.     

Efficacy of catgut-embedding therapy at “five neck points” on cervical spondylotic arteriopathy and effects on hemodynamics: A randomized clinical trial “颈五针”穴位埋线治疗椎动脉型颈椎病疗效及对血流动力学的影响-随机临床试验

ObjectiveTo observe the effect of catgut-embedding therapy at five neck points in the treatment of cervical spondylotic arteriopathy (CSA) and analyze its effects on the hemodynamics of patients with CSA.MethodsUsing the computer randomization method, 72 patients with CSA were divided into a catgut-embedding therapy group (n = 36, none dropped out) and a western medication group (n = 36, none dropped out). In the catgut-embedding therapy group, the therapy was applied to five neck points, i.e. bilateral J?ngjiāj? (颈夹脊) at C5, bilateral J?ngjiāj? (颈夹脊) at C6, and Dàzhuī (大椎GV14) once a week. One 3-week treatment session was required. In the western medication group, flunarizine hydrochloride 5 mg capsules were administered orally once daily for 3 weeks. Efficacy was assessed before and after 3 weeks treatment using a functional evaluation scale for cervical spondylotic arteriopathy (FS-CSA). Changes in vertebral-basilar arterial hemodynamics, serum nitric oxide (NO) level, and plasma endothelin (ET) level were detected.ResultsEfficacy was assessed when the treatment session was completed. The total efficacy rate was significantly higher in the catgut-embedding therapy group (86.1%) than in the western medication group (61.1%; P < 0.01). The after treatment FS-CSA score was reduced compared with baseline score in both groups (P < 0.05), and the reduction in the catgut-embedding therapy group was superior to that in the Western medication group (P < 0.05). Compared with baseline, the flow velocity and pulsatility index of the bilateral vertebral and basilar arteries increased at each period in both groups (P < 0.05) except for the left systolic velocity of the vertebral artery after treatment. The increase in the catgut-embedding therapy group was greater than that in the western medication group (P < 0.05). After treatment, the serum NO concentration was increased and the plasma ET concentration was reduced compared to baseline in both groups (P < 0.05), while the improvements in the catgut-embedding therapy group were superior to those in the western medication group (P < 0.05).ConclusionThe clinical efficacy in the catgut-embedding therapy group was superior to that in the western medication group. Catgut-embedding therapy at five neck points may effectively improve psychological and functional conditions, promote vertebral basilar arterial supply, and relieve clinical symptoms in patients with CSA.     

盘龙刺配合背部走罐治疗慢性疲劳综合征

目的:比较盘龙刺配合背部走罐与西药泼尼松治疗慢性疲劳综合征的疗效差异.方法:将72例患者随机分为针罐组(37例)和泼尼松组(35例).针罐组穴取T1-L5夹脊穴,运用盘龙刺法(每天1次)结合背部走罐(隔2日1次)治疗,泼尼松组口服泼尼松片10 mg,每天早晨8:00顿服.7d为一疗程,共治疗2个疗程.采用疲劳量表14 (FS 14)评分和BELL氏慢性疲劳综合征积分表评定患者治疗前后疲劳程度,比较两组疗效.结果:治疗1个疗程后,两组BELL氏积分较治疗前明显改善(均P＜0.01),但组间差异无统计学意义(P＞0.05);治疗2个疗程后针罐组BELL氏积分较泼尼松组改善明显(P＜0.05);针罐组总有效率为91.9％(34/37),优于泼尼松组的71.4％(25/35,P＜0.05).结论:盘龙刺配合背部走罐治疗慢性疲劳综合征疗效肯定,优于口服泼尼松.     

Therapeutic observation on swift needling with fire needle plus medication for herpes zoster

Objective： To discuss the effectiveness and safety of swift needling with fire needle plus medication in treating herpes zoster and the change of substance P. Methods： Seventy-nine patients with herpes zoster were selected and randomized into a fire-acupuncture group （41 cases） and a Western- medication group （38 cases）. The fire-acupuncture group was intervened by swift needling with fire needle, and simultaneously prescribed with Valaciclovir Hydrochloride tablets and Vitamin B1; the Western-medication group was by the same oral medicines alone. The therapeutic efficacies were evaluated afterwards. Results： The total effective rate was 95.1% in the fire-acupuncture group versus 89.5% in the Western-medication group, and the difference was statistically significant （P〈0.05）. After treatment, the concentration of substance P and visual analogue scale （VAS） score dropped significantly in both groups （both P〈0.05）; the inter-group differences were statistically significant （both P〈0.05）. Conclusion： Swift needling with fire needle plus medication has better therapeutic efficacy than medication alone in treating herpes zoster.     

经筋刺法针刺治疗顽固性面瘫疗效观察

ObjectiveTo observe the differences in the therapeutic effect on refractory facial paralysis between meridian sinew needling therapy and routine penetrating needling therapy.MethodsA total of 46 patients with refractory facial paralysis were randomly divided into a meridian sinew needling group and a routine penetrating needling group, 23 cases in each one. The same acupoints were selected in the two groups. Besides using routine acupuncture technique, a part of acupoints were stimulated with the meridian sinew needling technique in the meridian sinew needling group. In the routine penetrating needling group, a part of acupoints were stimulated with the routine penetrating needling technique. In both of the groups, the needles were retained for 30 min and the treatment was given once every two days, 10 treatments made one course. A total of 3 courses of treatment were required at the interval of 2 days. The score and grade of facial nerve function were recorded before and after treatment in the patients of the two groups. The clinical therapeutic effect was evaluated.ResultsAfter treatment, the scores of facial nerve function were significantly improved compared with that before treatment in the patients of the two groups (both P < 0.05). The difference value of the score of facial nerve function before and after treatment in the meridian sinew needling group was higher than that in the routine penetrating needling group, indicating a statistical significance (P < 0.05). The grades of facial nerve function after treatment were different significantly as compared with those before treatment in the patients of the two groups (both P < 0.05). However, the difference was not significant between the two groups after treatment (P > 0.05). After treatment, the total effective rate in the meridian sinew needling group was 100%, which was higher than 91.3% in the routine penetrating needling group, while without statistical significant difference (P > 0.05).ConclusionMeridian sinew needling therapy of acupuncture greatly improves facial nerve function as compared with routine penetrating needling therapy. It would be an potential effective acupuncture technique for refractory facial paralysis.     

经筋排刺法结合皮肤针对脑卒中后上肢偏瘫患者痉挛状态的影响:多中心随机对照研究

ObjectiveTo explore the effect of meridian sinew row needling combined with dermal needling on spasticity of post-stroke patients with upper limb hemiparalysis.MethodsFour hundred and eighty-eight cases of post-stroke patients with upper limb spasticity were randomly divided into two groups at the ratio of 1: 1, the group of meridian sinew row needling combined with dermal needling (group A, 244 cases) and western medication group (group B, 244 cases). Coupled with rehabilitation, the patients in the group A were given meridian sinew row needling combined with dermal needling where five shu points were specifically selected, and three yang meridians of the hand were treated with acupuncture with muscle region, and three yin meridians of the hand were treated with dermal needles; the patients in the group B was treated with conventional western medication with piracetam injection and cerebroprotein hydrolysate included. Clinical efficacy was evaluated among patients in the two groups after three weeks of continuous treatment, and upper limb spasticity and motor functions were observed through modified Asworth Scale and Fugl-Meyer Assessment Scale (FMA) before and after treatment.ResultsFor Asworth Scale, group A was significantly superior to group B (3.04 ± 1.29 vs 3.88 ± 1.54, P<0.05); for FMA scale, group A was also significantly superior to group B (48.67 ± 15.64 vs 42.96 ± 14.72, P<0.05); mitigations of motor status of upper limb joints in group A, such as remission of shoulder adduction (90.5%), pronation of forearm (70.7%), elbow joint flexion (73.1%), wrist joint flexion (80.9%) and finger flexion (88.1%), were superior to those of group B (70.0%, 60.0%, 61.9%, 57.4%, 63.2%, all P<0.05).ConclusionsGood clinical efficacy of the treatment with combined with dermal needling on spasticity of post-stroke patients with upper limb hemiparalysis is achieved.