BACKGROUND:Pulsed electromagnetic field (PEMF) therapy is widely used to treat myofascial pain syndrome (MPS). Damp-clearing and pain-reducing paste (DPP) comprises medical herbs and has been a traditional method of reducing myofascial pain in China for a long time, and it is usually administered with heating. However, the synergistic effect of PEMF therapy on heating-DPP in patients with MPS is unclear.AIM:To investigate the synergistic effect of PEMF therapy plus heating-DPP in lumbar MPS.METHODS:This double-blind, randomized, placebo-controlled trial was conducted on 120 patients with lumbar MPS who were randomly divided into an experimental group (EG, n = 60) and a control group (CG, n = 60). Patients in both groups were treated with heating-DPP combined with PEMF therapy; however, the electromagnetic function of the therapeutic apparatus used in the CG was disabled. Each treatment lasted for 20 min and was applied five times a week for two weeks. The short-form McGill Pain Questionnaire was applied at five time points: pretest, end of the first and second weeks of treatment, and end of the first and fourth week after completing treatment. Visual analog scale (VAS), present pain intensity index (PPI), and pain rating index (PRI; total, affective pain, and sensory pain scores) scores were then analyzed.RESULTS:Compared with the CG, the VAS, PPI and PRI scores (total, affective pain and sensory pain scores) in the EG were significantly lower after treatment and during follow-up.CONCLUSION:PEMF therapy combined with heating-DPP showed better efficacy than heating-DPP alone in reducing the overall intensity of pain and sensory and affective pain.

房定亚教授提出尿道综合征以肝经湿热、气机不畅为核心病机,在疾病的发展过程中可以出现耗气伤阴、阴虚内热的症状;由于久病入络,病程较长的患者可以出现血行不畅、经脉瘀阻的症状;病久伤及中气,导致脾肾不足,出现膀胱失约的表现.治疗中房定亚教授选用四逆散合八正散化裁进行治疗,早期以清利湿热、理气止痛为主;阴虚内热辅以益气清热;对于血行不畅、经脉瘀阻的患者在治疗中辅以理气活血通络;对于疾病日久损伤中气的患者在治疗中注意温补脾肾以调畅气机贯穿治疗始终,取得良好的临床疗效.

房定亚教授善用三仁汤治疗湿热内蕴所致的各种疑难杂症.三仁汤是清代名医吴鞠通继承发扬叶天士经验而成的著名方剂,是治疗湿热内蕴证的经典方剂,具有宣畅气机、清热利湿之效,本方宣上、畅中、渗下,畅达三焦,对于各种疾病属于湿热内蕴证的均可使用.本文结合系统性红斑狼疮、不明原因发热、自汗、慢性便秘四个医案介绍了房教授使用三仁汤的经验,并介绍了三仁汤和二陈汤、小柴胡汤、枳术丸合方使用的方法.三仁汤与二陈汤合方适合湿热内蕴合并痰湿内阻证;三仁汤合小柴胡汤适合湿热内蕴合并少阳郁热证;三仁汤合枳术丸适合湿热内蕴合并脾虚便秘.

目的 研究针刺辅助经颅磁刺激(TMS)治疗仪对脑卒中伴认知功能障碍患者的治疗效果.方法 纳入2015年6月-2017年6月本院收治的100例脑卒中伴认知功能障碍患者,按照随机数字表法分为观察组和对照组,各50例.对照组进行常规康复认知治疗,观察组在对照组基础上于针刺辅助下利用TMS治疗仪进行治疗,比较两组患者认知功能水平,记录两组患者治疗前后P300点位变化情况.结果 治疗后,观察组患者执行、命名、延迟记忆、注意力及定向力等MoCA评分均显著高于对照组和治疗前(P<0.05).治疗后,观察组患者P300电位潜伏期较对照组和治疗前显著缩短,波幅较对照组显著延长(P<0.05).结论 针刺辅助TMS治疗仪用于脑卒中伴认知障碍患者,能显著改善患者认知功能,可能与TMS改善P300电位表达有关.

棘上韧带炎属于中医学“筋伤”范畴,其病位在经筋,肝肾不足,筋脉失养为其内因,慢性劳损、感受风寒、久卧湿地为其主要外因.气血运行不畅,筋脉失去濡养[1],故出现腰背痛等症状.中医常采用特殊针法[2]、火针[3]、针刀[4]等方式治疗,但因其有创且治疗过程疼痛剧烈,加之针刀、火针等治疗需要严格的消毒,无菌要求严格,患者接受度低.有学者提出冲击波作用于穴位可产生类似于针灸的效果[5],相关研究使用冲击波刺激穴位治疗髋关节疼痛[6]、失眠[7]和肱骨外上髁炎[8]等疾病,取得较好的疗效.

"和合治疗仪"是由北京大学太极文化研究所与中国中医科学院西苑医院联合研制的一种新型理疗仪,它是以中国古代文化中的"六十四位和合数表"为依据研制的一种特定物理结构形成的"场"来治疗疾病,是中国人自主研发、具有完全知识产权的全新治疗技术[1-2].本文拟从"和合治疗仪"治疗膝关节骨性关节炎入手对这一新仪器的疗效与机制进行初步探讨.

良性前列腺增生症(Benign prostatic hyperplasia,PH)是中老年男性常见病,其梗阻和刺激症状严重地影响这一人群的生存质量.目前对该病的治疗方法有药物治疗、手术治疗与物理治疗.其中物理治疗多经直肠或尿道.笔者采用超高电压体外取穴治疗本病,取得了较好的疗效.现报道如下:

颈椎生理曲度改变在颈椎病的发病中是一个不容忽视的因素,既往在颈椎病的治疗中对纠正异常生理曲度研究较少,本文拟从这一角度人手探讨有关颈椎病的治疗. 1 资料与方法 本组300例,其中男171例占57%,女129例占43%;年龄24～72岁,平均44.3岁;住院病人96%例占32%,门诊病人204例占68%;病程2个月～17年,平均3.7年;颈型87例、神经根型63例、椎动脉型36例、交感型6例、混合型108例,脊髓型缺如.全部病例均有颈椎X线正侧加双斜位片.X线报告示颈椎生理曲度变直252例占84%,后凸48例占16%.颈椎骨质增生207例占69%,椎间隙改变112例占37.33%.方法:将多功能颈椎病防治枕平放于硬板床上,使用北京空军总医院产的多功能颈椎病防治枕,该枕依据健康人正常颈椎生理曲度设计,旨在纠正异常颈椎曲度.