目的 观察穴位埋线联合鼻腔冲洗治疗变应性鼻炎的临床疗效.方法 将153例变应性鼻炎患者随机分为联合组、埋线组和冲洗组,每组51例.比较3组治疗后临床疗效.结果 联合组总有效率为96.1％,埋线组总有效率为88.2％,冲洗组总有效率为82.4％,联合组优于埋线组和冲洗组(P＜0.05).结论 在临床上采用穴位埋线联合鼻腔冲洗的方法治疗患者的变应性鼻炎病症疗效显著,操作简便,安全方便易行.

Objective To observe the clinical efficacy of electroacupuncture plus nasal irrigation in treating upper airway cough syndrome (UACS).Method A total of 114 UACS patients were randomized into 3 groups, 38 cases in each group. Group A was treated with acupuncture plus electrical stimulation with sparse-dense wave, group B was intervened by nasal irrigation with Shuang Huang Lian, and group C was treated with the two methods together. The clinical efficacies of the three groups were compared.Result The total effective rates were respectively 84.2%, 73.7% and 94.7% in group A, group B and group C. The total effective rate of group C was significantly different from that of group A and group B (P<0.05).Conclusion Electroacupuncture plus nasal irrigation can produce a more significant therapeutic efficacy compared to electroacupuncture or nasal irrigation alone.

带状疱疹是由潜伏在脊髓后根神经元中的水痘-带状疱疹病毒导致的疾病，病毒在多因素诱发刺激的作用下侵犯神经节，致使其发炎及坏死，产生神经痛［1］。多数患者经过积极治疗后，病情可以得到有效的控制，但仍有部分患者会留有后遗症，即为带状疱疹后遗神经痛（PHN），PHN 平均发病年龄为67岁，50岁以上者发病率为50岁以下者的14倍［2］，其临床上多表现为长期的持续性或间断性顽固性疼痛，疼痛性质多为刺痛、灼痛、跳痛、刀割样痛等，以及可伴有难以忍受的瘙痒［3］。本病是国内、外疼痛医学中困扰老年人群的顽痛症之一，是公认的世界级疼痛性疾病［4］。在祖国传统医学中多称为蛇串疮、缠腰火丹、蛇丹、火带疮、蜘蛛疮等。

Objective: Use single herbs Yangjinhua fine powder to treat rat model with PD to explore some of its mechanism,so as to provide a new way of Chinese medicine to treat Parkinson's disease.Method: Use stereotaxic injection of 6-OHDA to establish rat models with PD,apomorphine induced rotational behavior observation,the model rats were randomly divided into Yangjinhua high,medium and low-dose groups,the Madopar group and the model control group,at the same time set up the sham group as comparison.Observe the impact of changes of superoxide dismutase(SOD),malonic aldehyde(MDA) and glutathione(GSH),glutathione peroxidase(GSH-Px).Results: After administration 3W,the striatum of MDA content of each treatment group was significantly lower(P0.01),to the Madopar group,the Yangjinhua high and medium dose groups decreased significantly,among the three groups there was no significant difference(P0.05);the SOD content of each treatment group striatum was significantly increased(P0.05),to the Madopar group,the Yangjinhua high dose group increased significantly,between the two groups there was no significant difference(P0.05);Each treatment group striatum,GSH,GSH-Px were significantly increased(P0.05),with the most obvious increase in the Yangjinhua medium dose group.Conclusion: Yangjinhua can reduce the content of PD model rat striatum MDA,improve the content of GSH,GSH-Px,SOD,the mechanism may be by reducing lipid peroxidation,enhancing the antioxidant defense mechanism,reducing the oxidative stress,thereby to protect the neurons,and plays a role in the treatment of PD.

Objective To observe the impact of single herb Yangjinhua fine powder on the dopamine (DA) level in brain of parkinson disease (PD) model rats, and its mechanism thereof. Methods The rat model of PD was established by 6-hydroxydopamine (6-OHDA). The control groups included madopar group, model group and sham group. The high, medium, and low doses of Yangjinhua were given to PD model rats for three weeks. Rats were sacrificed and brains were removed immediately and quickly isolated in an ice tray to get striatal tissues. The DA levels of striatal tissues were detected by spectrometry (TSQ). Results Results of LSD-t test showed that the DA level of striatal tissues was significantly decreased in model group than that of sham group (P=0.00). The DA levels of striatal tissues were significantly increased in three Yangjinhua treatment groups than that of model group after three-week treatment (P=0.00,P=0.03).Conclusions The content of DA in striatum can be increased by Yangjinhua in PD model rats, which supply the deficiency of DA in striatum and enhance the activity of DA neurons, therefore, the rotation behavior was improved in PD model rats.

Objective To observe the clinical efficacy of combined use of acupuncture and medication in treating acute gouty arthritis.Method Sixty patients with gout were randomized into a treatment group and a control group,30 in each group.The treatment group was intervened by acupuncture plus oral administration of Chinese medication,and the control group was by medication.After a treatment course,the two groups were compared with each other in the improvement of pain,serum uric acid,and clinical efficacy.Result The total effective rate was 96.7% in the treatment group versus 70.0% in the control group,and the difference was statistically significant(P<0.05);after treatment,pain score and serum uric acid changed significantly compared with those before treatment in the same group(P<0.05).Pain score and serum uric acid in the treatment group were markedly different from those in the control group after treatment(P<0.05).Conclusion Combined use of acupuncture and medication is an effective way in treating acute gouty arthritis.

Objective To investigate the efficacy of double-needle acupuncture in treating post-stroke leg hypermyotonia.Methods Fifty patients were randomly allocated to treatment and control groups(25 cases each).The treatment group received double-needle acupuncture at antagonistic point 4 and antagonistic point 5 on the affected leg,twice daily and the control group,conventional acupuncture(at points Yanglingquan(GB34),Zusanli(ST36),Yinlingquan(SP9) and Taichong(LR3) on the affected leg).Results The total efficacy rate was 72% in the treatment group and 56% in the control group;there was a statistically significant difference between the two groups(P0.05).Conclusion The effect of double-needle acupuncture is better than that of conventional acupuncture in treating post-stroke leg hypermyotonia.

To assess the clinical effect of electroacupuncture for treating prostatic hyperplasia.

特发性面神经麻痹又称Bell麻痹,是因茎乳突孔内面神经非特异性炎症所致的周围性面瘫.本病可发生于任何年龄,但以青壮年为多见,无明显的季节性.本病发病急速,为单纯性的一侧面颊筋肉弛缓,无半身不遂、神志不清等症状.本病又称"口噼"、"口眼歪斜".在临床上,面神经麻痹分为3个时期,发病1～7天为急性期,发病8～15天为静止期,发病15天以上为恢复期.面瘫不仅在身体上给病人带来极大损害,在精神上亦给病人造成极大的压力.

尺神经麻痹,是指由于各种原因损伤尺神经出现的功能障碍.发病过程先是疼痛和皮肤感觉障碍,其次出现运动障碍及肌肉麻痹或萎缩,常持续数周或数月.尺神经麻痹以骨间肌和拇收肌最明显,次为小鱼际肌群.

一项调查显示,口腔溃疡在人群中的发病率已超过10%.作为常见病之一,口腔溃疡让人非常痛苦,常是"吃一口,疼一口",吃不好睡不好.如果遇上复发性口腔溃疡更麻烦,治好了又犯,犯了又治……如此反复,让人不得安生.对于久治不愈的口腔溃疡更是让人担心,因为有可能会发生癌变.

Objective To investigate the clinical efficacy of electroacupuncture in treating prostatic hyperplasia.Methods Sixty prostatic hyperplasia patients were randomly allocated to two groups,a treatment group of 30 cases and a control group of 30 cases.The treatment group received electroacupuncture.The control group took Jingzhu Qianli Lonbitong capsule.The therapeutic effects and pre-/post-treatment International Prostate Symptom Score(IPSS) scores,Quality of Life(QOL) scores,maximum flow rates(Qmax) and residual urine volumes(RUV) were compared between the two groups after 3 courses of treatment.Results The total efficacy rate was 96.7% in the treatment group and 70.0% in the control group;there was a statistically significant difference between the two groups(P0.05).There were statistically significant post-treatment differences in IPSS score,QOL score,Qmax and RUV between the two groups(P0.05).Conclusion IPSS score,QOL score and RUV decreased significantly and Qmax increased significantly in the treatment group compared with the control group.

对于良性前列腺增生病从病因病机、中药治疗、临床分型、针灸治疗、中西医结合治疗及其他疗法等方面作较全面的综述.结论:中医药在治疗良性前列腺增生症方面疗效显著.

目的:通过观察钟灸治疗急性期和静止期Bell麻痹的临床疗效,探讨针灸治疗Bell麻痹的最佳时机.方法:观察Bell麻痹急性期和静止期的症状积分、疗效评定标准的临床疗效.结果:针灸对于BeU麻痹的治疗,无论急性期还是静止期均有显著性疗效;针灸的治疗Bell麻痹远期疗效,急性期干预优于静止期干预;针灸治疗Beu麻痹早期治疗痊愈率高,后遗症少.结论:急性期是针刺治疗周围性面瘫的最佳时机

目的:观察针灸治疗周围性面瘫的临床疗效。方法:运用针灸方法治疗周围性面瘫35例,取穴百会、头针运动区、攒竹、丝竹空、四白、翳风、迎香、地仓、下关、颊车、合谷。结果:治疗35例患者中,治愈29例,有效6例,总有效率达100%。结论:针灸治疗周围性面瘫,效果显著,值得临床推广。

目的:观察电针对视网膜色素变性的作用,并判定电针与单纯针刺在治疗该病上是否存在差异性,从而为临床建立治疗该病的有效方法。方法:对37例视网膜色素变性患者随机分为电针组和单纯针刺组。治疗前后分别进行视力、视野、视网膜电图记录以及2治疗组间的对比,并分析病史长短对疗效的影响。结果:(1)电针可提高视网膜色素变性患者的视力,电针组有效率达69.44%,单纯针刺组有效率达44.74%,2治疗组比较电针组疗效优于单纯针刺组(P<0.05)。(2)基础视力>0.1与≤0.1患者群的疗效具有显著性差异(P<0.05),前者有效率高于后者。(3)在视野检查中,2治疗组均有平均光敏度增强,平均缺损减少,但仅电针组平均光敏度治疗前后比较有统计意义(P<0.05),电针组平均光敏度的增强比单纯针刺组高(P<0.05)。(4)在同时进行的ERG检查中,2治疗组治疗后a波振幅均明显升高(P<0.025),电针组b波振幅升高(P<0.05)。(5)病史长者治疗效果差。结论:电针能明显改善视网膜色素变性患者的视力、视野,增强视网膜神经纤维层的电活动,对视网膜光感受器层损伤的修复有明显促进作用。电针组疗效优于单纯针刺组。

目的:观察针刺治疗桡神经麻痹的临床疗效。方法:运用针灸方法治疗桡神经麻痹37例,取穴百会、头针运动区、侠白、曲池、手三里、外关、合谷、中渚、八邪。结果:治疗37例患者中,治愈30例,有效7例,总有效率达100%。结论:针刺治疗桡神经麻痹,疗效显著,值得临床进一步推广应用。

目的:观察针刺治疗腓肠肌损伤的临床疗效。方法:运用针灸方法治疗腓肠肌损伤58例,取穴头针足运感区、肌肉疼痛起止点。结果:58例患者一般5~10天治愈,治愈50例,有效8例,总有效率达100%。结论:针刺治疗腓肠肌损伤,有显著的治疗效果,值得临床进一步推广应用。

目的:观察皮下埋针治疗寻常痤疮的临床疗效.方法:将76例寻常座疮患者随机分为皮下埋针治疗组与口服颜清胶囊对照组,治疗组40例,对照组36例.结果:经4周治疗,治疗组治愈率明显高于对照组,二者相比差异有非常显著意义(P＜0.01).结论:皮下埋针法治疗寻常痤疮效果较好,值得临床推广运用.