深刺鸠尾穴治疗癫痫

癫痫为临床常见病 ,治疗困难。我院应用鸠尾穴深刺治疗本病 ,取得了较满意的疗效 ,现介绍如下。治疗方法取鸠尾穴 ,患者仰卧 ,双手抱头 ,在前正中线剑突下 0 .5寸 (剑突不明显者可在胸骨体下端 1寸处 )取穴。治疗前先叩触肝脾位置 ,确定肝脾下缘在所取穴位的上面。局部经严格消毒后 ,嘱患者双臂上举或双手抱头以使膈肌上抬。用 2 6号毫针 ,在患者深吸气后进针 ,针尖微向下斜刺或直刺 2～ 3寸 ,进针后略微转动针体。此时患者可感到局部胀闷 ,并向上下扩散。禁止大幅度捻转和提插。典型病例张某 ,男性 ,2 6岁 ,1 989年 3月 1 9日初诊。患者 5…     

奔豚气病治案

《金匮要略·奔豚气病脉证治篇》说:“奔豚病,从少腹起,上冲咽喉,发作欲死,复还止,皆从惊恐得之。”主方奔豚汤。笔者在临床中应用本方加减治疗奔豚气病,收到较为满意的效果,现介绍如下: 例1:张××,女,27岁,81年10月就诊。患者一年来少言寡语,心情     

奔豚气病验案2则

<正>奔豚气病,因病气冲上如豚之奔状而得名,是指患者自觉有气从少腹上冲心胸咽喉,发作时有濒死感为主症的病证。本病的发病特点为发病之初,自感有气从少腹上冲,或冲胃、冲心、冲咽喉、冲头、或冲躯干,给患者带来了极大的痛苦。"奔豚气病"出自张仲景的《金匮要略》,精辟地论述了"奔豚气病"的病因病机,主     

透刺法配合梅花针治疗近视

透刺法是以一针作用于两个穴位,即是“一针两穴”的针刺法,它由《内经》中所述的“直针刺”演变而成,具有取穴少、针感强的特点,临床上运用颇广,往往能收到良好的效果,笔者在临床中,采用局部透刺法为主,配合背部膀胱经梅花针叩刺治疗青少年近视,取得满意疗效,现报道如下。     

透穴刺法的取穴及应用

透刺作为一种刺法,其理论萌芽始于中医传统经典著作《黄帝内经》。《灵枢·官针》篇“十二刺”中的“直针刺者,引皮乃刺之,以治寒气之浅者也”及“五刺”中“合谷刺者,左右鸡足,针于分肉之间,……”等的记载即可看作是后世的直针透刺、一针多向透刺等刺法的源头。至金元针灸大家窦默在《针经指南》首次提及一针两穴的刺法。其后,元·王国瑞所著《扁鹊神应针灸玉龙经》,透穴刺法已有多处提及和论述,并与临床紧密相关。至明·杨继洲著《针灸大成》,并在此书注解《玉龙歌》时发挥其透穴之未尽之意,增述透穴十余组。发展至清,《循经考穴编》中已…     

奔豚气病诊治验案1例

<正>奔豚病,其主证是自觉有气从少腹上冲心胸,如小猪奔跑,发作时烦躁欲死,不可名状,平复后诸证悉除为证侯特征。依据其主要临床表现应与现代医学植物神经功能紊乱、癔症等非器质性疾病相类似,此类疾病应用中医辨证论治往往能收到满意疗效。现有一典型病例,报道如下,以供同道借鉴。患者龚某,女,35岁,因下腹部烧灼感,胀痛并腰酸坠两年,加剧1周于2014年4月11日入院。患者诉于两年前在某民营医院行腰椎手术,术后第     

奔豚气病验案2则

<正>奔豚气病因病气冲上如豚之奔状而得名,是指患者自觉有气从少腹上冲心胸咽喉,发作时有濒死感为主症的病证。本病的发病特点为发病之初自感有气从少腹上冲或冲胃冲心冲咽喉冲头或冲躯干,给患者带来了极大的痛苦。张仲景把奔豚气病作为一个独立的疾病,列有专篇详细论述。奔豚气病在临床上不是很多见,并且患者症状有的典型,有的则不典型、表现复杂,诊断起来有一定难度。笔者在临床工作多年,曾诊治过2例奔豚气病,     

透刺法治疗膝骨性关节炎60例

目的:观察透刺法治疗膝骨关节炎的临床疗效。方法:治疗组60例取外膝眼透内膝眼,阳陵泉透阴陵泉,膝阳关透血海穴。对照组60例在膝关节局部取穴,内外膝眼,阳陵泉,阴陵泉,血海等穴。结果:治疗组有效率为96.6%,对照组为83.39%。治疗组疗效明显优于对照组。结论:治疗组与常规针刺相比更能加强表里两经及邻近经脉的沟通,增强刺激量和刺激面,使针感易于传导,经络易于畅通,气血易于调和,筋骨得到濡养,从而提高疗效,扩大主治范围。     

一贯煎治疗奔豚气

高某某,女,43岁。1994年9月6日初诊。自述近3个月来时觉少腹有股气流上冲,发作轻时至胸胁而止,重时直贯咽喉,顿感胸闷喉紧,头晕目眩,不能动作。曾投它处门诊,被诊为奔豚气,以桂枝加桂汤与苓桂草枣汤加味治疗而无效。又增咽干口燥,大便秘结等症状,按肝气郁结论治,投以柴胡疏肝散     

芒针透刺配合整体护理治疗慢性疲劳综合征的临床研究

目的：观察芒针透剌足三里及气海穴,配合整体护理治疗慢性疲劳综合征的疗效,为本病的治疗提供新的思路和有效方法。方法：将200例慢性疲劳综合征患者随机分为治疗组100例,采用芒针透剌配合整体护理,对照组100例,口服中药十全大补汤;每日治疗一次,7d为一疗程,休息2d后继续下一疗程。4疗程后观察比较疗效。结果：治疗组总有效率、显效率分别为94％、74％,明显优于对照纽的74％、32％,组间比较差异有显著意义（P〈0．05,P〈0．01）。结论：芒针透刺配合整体护理治疗慢性疲劳综合征疗效可靠。     

头穴透刺对常年性变应性鼻炎的影响

目的:评价头穴透刺对常年性变应性鼻炎的疗效及安全性.方法:将81例符合标准的患者随机分为针刺组(41例)和药物组(40例).针刺组采用头穴透刺,穴取百会透前顶、上星透神庭等,每周3次,共治疗4周;药物组予口服氯雷他定片和局部应用盐酸氮卓斯汀鼻喷雾剂,连续治疗12天,治疗后3个月随访.观察两组患者临床疗效、治疗前后症状体征评分变化,以及治疗过程中是否有不良事件发生.结果:针刺组总有效率为95.1％(39/41),优于药物组的82.5％(33/40,P＜0.05);两组治疗后各项症状、体征评分与症状总评分,及随访时临床症状总评分较治疗前均有明显降低(均P＜0.01),且针刺组鼻堵评分、总症状评分均优于药物组(均P＜0.05);治疗过程中均未见明显不良反应.结论:头穴透刺对常年性变应性鼻炎具有较好的近远期疗效,且安全有效.     

等分三角斜透刺配合微波治疗肱骨外上髁炎疗效观察

目的:探讨等分三角斜透刺配合微波治疗肱骨外上髁炎的临床疗效.方法:将42例肱骨外上髁炎患者随机分成治疗组和对照组,每组各21例.治疗组予等分三角斜透刺配合微波治疗,对照组予以普通针刺配合电针治疗,隔天治疗1次,一周3次,12次为一个疗程.结果:两组病例治疗前后的视觉模拟评分法(Visual Analogue Scale...     

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.     

运动针法治疗中风后肩手综合征的临床观察

[目的] 观察运动针法治疗中风后肩手综合征的临床疗效.[方法] 将75例患者随机分为两组,A组采用传统针法,B组采用运动针法,治疗4周后比较两组患者治疗前后目测类比评分法(VAS)疼痛积分?肿胀程度积分?Fugl-Meyer运动功能评定(FMA)积分及日常生活活动能力(ADL)积分.[结果] VAS疼痛积分,两组治疗后较治疗前均明显下降(P<0.01),但两组间差异无统计学意义(P>0.05);FMA积分及ADL积分,两组治疗后较治疗前均显著升高(P<0.01), B组积分明显高于A组积分(P<0.05),肿胀程度积分,两组治疗后较治疗前均显著下降(P<0.01),B组积分显著低于A组(P<0.01).[结论] 运动针法在改善上肢运动功能?提高日常生活活动能力及改善肢体肿胀方面优于常规针刺.     

温针灸治疗60例腹泻型肠易激综合征疗效观察

目的：观察温针灸治疗腹泻型肠易激综合征的临床疗效。方法：120例腹泻型肠易激综合征患者,随机分为温针灸组和西药组,每组各60例。温针灸组主穴取天枢、足三里、三阴交,采用温针灸,留针30 min,每日1次,治疗6 d间断1 d,连续治疗4周;西药组给予口服盐酸洛哌丁胺胶囊2 mg,3次/d,连续治疗4周。两组进行疗效比较,随访6个月后统计复发率。结果：温针灸组总有效率为86.7%（52/60）,西药组总有效率为71.7%（43/60）,两组比较差异有统计学意义（P〈0.05）;随访6个月后,温针灸组复发率为21.4%（6/28）,西药组复发率为54.5%（12/22）,两组比较差异有统计学意义（P〈0.05）。结论：温针灸治疗腹泻型肠易激综合征具有较好疗效,复发率相对较低。     

芒针条口穴直刺深透承山穴治疗肩周炎的疗效观察

目的：观察运用芒针选条口穴直刺深透刺承山穴和常规针刺治疗肩周炎的疗效差异。方法：将90例肩周炎患者随机分为常规针刺组和芒针条口穴直刺深透承山穴组（芒针组）,每组45例。常规针刺组均采用毫针针刺,取穴：肩髑、膈俞、肩骼、臂膈、压痛点、肩贞、曲池、合谷、肩井、天宗,巨骨等穴,随证加减。芒针组让病人取坐位,两腿屈成直角,取患肢同侧从条口穴进针,直刺深透承山穴,进针后频频捻转,边捻针边令病人抬起肩部,并活动患肢,动作由慢到快,用力不宜过猛,然后留针20min,留针期间嘱患者继续活动患肢,20min后可随证取穴行常规针刺,取穴同常规针刺组。比较两组患者的治疗效果。结果：常规针刺组：显效22例,有效18例,总有效率为89％,芒针组：显效31例,有效11例,总有效率为93％,两组患者治疗效果差异显著（P〈0．05）,具有统计学意义。结论：芒针条口穴直刺深透承山穴治疗肩周炎优于常规针刺治疗。     

Ninety cases of simple obesity treated with the combined therapy of penetration needling,flash-fire cupping method and auricular acupuncture

Objective

To observe the clinical effects on simple obesity treated with the combined therapy of penetration needling, flash-fire cupping method and auricular acupuncture.

耳针沿皮透穴刺法结合经筋排刺法治疗腰椎间盘突出症103例

ObjectiveTo observe the clinical efficacy of auricular subcutaneous penetration needling combining with row acupuncture at meridian sinew on prolapse of lumbar intervertebral disc.MethodsOne hundred and three patients with prolapse of lumbar intervertebral disc were treated with a combined treatment of auricular subcutaneous penetration needling and row acupuncture at meridian sinew.ResultsOf 103 patients, 46 cases were cured, 33 were markedly effective, 21 effective and 3 ineffective. The total effective rate was 97.1% (100/103).ConclusionThe combined treatment of auricular subcutaneous penetration needling and row acupuncture at meridian sinew has a significant efficacy for the treatment of prolapse of lumbar intervertebral disc.     

Timeliness of the analgesic effect of superficial needling on shoulder-hand syndrome after stroke

ObjectiveTo observe the correlation between analgesic effect and duration of analgesic effect of superficial needling for shoulder pain of shoulder-hand syndrome (SHS) after stroke, so as to screen the best time period of analgesia.MethodsA total of 120 patients with SHS after stroke (stage I) were recruited and superficial needling therapy was applied. Two obvious tenderness points on the affected shoulder of patients were found out. The site 80–100 mm down each tenderness point was selected for superficial needling. Bimanual needling technique was applied after inserting needles. The surrounding of tenderness points was pinched and grasped by left hand above the needling, and the technique of green dragon swaying tail was applied by right hand. The needles at each acupoint were manipulated for 3 min and retained for 30 min. The analgesic effect was evaluated dynamically by visual analogue scale (VAS) in 120 patients before treatment, immediately after treatment, 30 min after treatment, 1 h after treatment and 24 h after treatment. The analgesic effects at different time were statistically analyzed by generalized estimating equation.ResultsThe mean values of VAS were 7.483, 3.950, 4.767, 5.917 and 7.217, respectively, before treatment, immediately after treatment, 30 min after treatment, 1 h after treatment and 24 h after treatment. The difference of analgesic effect at different time was statistically significant (P<0.01); the difference of analgesic effect of superficial needling in treatment of SHS after stroke was significant between immediately after treatment and 30 min after treatment (both P<0.05), while there was no significant difference between 1 h after treatment and 24 h after treatment (both P>0.05).ConclusionAnalgesic effect of superficial needling for shoulder pain of SHS after stroke was different at different time points and decreased over time; analgesic effect was the most significant immediately after treatment and the optimal duration of analgesic effect was from immediately to 30 min after superficial needling therapy.