The theory of “sensation and response”is guided by the operation law of qi movement,which guides the fullness of qi in the body to the sick area,so that the qi carries the blood to the area to relieve the pain. Qi as the fundamental maintenance of body functions, is injected into the zang-fu organs, and is connected to the interstices by the meridians. From the perspective of meridians and collaterals,this paper runs through the theory of“sensation and response”through the characteristics of meridians with the same name meridian, and differentiates meridians through the double-crossing method of taking the lower part of the meridians for upper illnesses and the right part for left illnesses,and identify the acupoints selection of scapulohumeral periarthritis under the guidance of this theory. Furthermore, a medical case is attached to combine the theory with clinical practice,to facilitate understanding of the theory in the case of scapulohumeral periarthritis.

带脉为经络系统中唯一横行的经脉,足六经(脾、胃、肝、胆、肾、膀胱)及其余七条奇经均与之相交而过.带脉绕腰腹一周,带脉一经同时具有阴阳两种属性,这为带脉在经络系统中的调控作用打下基础.由于带脉具有以上循行特点和功能属性,故可将带脉视作经络之"枢机".通过分析带脉循行路线的独特性及其与奇经八脉、十二正经间的相关性,进一步论证"以带为枢"诊治经络病的思路,并提出诊治经络病过程中需重视"治经络之病,当调带脉".

冲脉有"经络之海""血海"之称,胃及足阳明经有"水谷气血之海"之称,二者皆与气血运行相关.在中医学领域特有的"气理论"中,动气既可为"宗气"之异名,也可指"脐下肾间动气".胸中宗气输布全身、运行气血有赖于胃这一气血生化之源,而肾间动气则是基于"伏膂之脉"的发现,从而演化、发展了更为完整的气血运行体系.冲脉与胃的联系在经络循行上联系紧密,但胃通过经隧与五脏六腑建立联系,冲脉还与足少阴肾、足厥阴肝、任督二脉等建立联系.在生理功能和病理变化方面,冲脉与胃共同促进先天之真气与后天之宗气输布脏腑经络,冲气上逆与胃气上逆常并称冲胃气逆.冲脉"血海"之盈亏有赖于脾胃化生的水谷精微的滋养,充盈则血海功能正常,亏虚则血海失养,可致月事不以时下、胞胎不固.

从灵龟八法的经络调控效应、空间全息效应、时间气血效应及奇经八穴的穴位效应、卦象辨证等方面探析其治疗经行头痛的理论基础,认为灵龟八法本身就适用于痛症及发作性疾病,奇经八穴治疗经行头痛疗效应更为明显.

《素问·刺法论》把五运六气理论与针灸治法相结合,体现了中医辨证论治观.古代大多数医家多从注释的角度进行整理,而对针刺处方中蕴含的深层次中医思路则涉及较少.文章试从六气升降不前致郁发病的刺法、六气未得迁正与不退位而发病的刺法、司天在泉刚柔失守病发疫病的治法、预防与治疗五疫的方法以及外邪侵袭脏腑十二官发病的刺法5个方面分析其思路.笔者认为其构思巧妙,配伍精当,对于临床疫病类疾病的防治具有重要指导意义,应进行进一步的临床研究和推广应用.

Based on ying-wei theory, the disease mechanism of insomnia is that evil qi invades and locates in the five zang organs and six fu-organs, leading to wei qi failing to enter yin, or that deficiency of ying qi leads to unsmooth qi passage and internal invasion by wei qi. For acupuncture and moxibustion, syndrome differentiation is of the highest importance. Through excavation of the ying-wei theory from The Spiritual Pivot, the selection of major points for insomnia based on circulation and intersection of ying qi and wei qi was explored, and the systemic syndrome differentiation of channels and collaterals based on ying-wei theory by combining the general and the local was performed, and acupuncture was combined with other traditional Chinese medicine treatment to treat insomnia. Based on circulation and intersection of ying qi and wei qi the selection of major points for insomnia was explored, which involves the circulation law of ying qi and wei qi and points selection based on channel differentiation. The key point for syndrome differentiation is how to determine the condition of ying qi and wei qi, involving the differentiation of ying-wei deficiency or excess, and syndrome differentiation of wei qi disorder. Besides, the local diagnosis is applied to help diagnosis, especially the abdominal diagnosis and ocular diagnosis. The treatment should be based on the syndromes by using various therapies like acupuncture, moxibustion, cupping, blood letting and Chinese medicinals.

Shuishu fifty-seven points in Plain Questions is one of the important acupuncture prescriptions in Huangdi Nei jing(Yellow Emperor's Canon of Internal Classic).Most of the ancient physicians explained from the perspective of collation and annotation and did not deeply study the implication of the Chinese medicine prescription.This paper from the lung and bladder,kidney and stomach theory as well as the distribution characteristics of acupoints analyzed Shuishu fifty-seven points acupunture prescriptions.The author thinks its ingenious design and precise matching have an important guiding significance for the clinical prevention and treatment of edema disease.The clinical studies should be conducted and further applied.

"腿脚有疾风府寻"见于《肘后歌》,属于下病上取的远道取穴法.其治疗下肢疾病尤其治疗不安腿综合征的疗效显著,但对取穴思路却没有进行深入的理论解说.笔者认为可以从治病求本、全息对应、四海理论3个方面阐释"腿脚有疾风府寻"的中医理论,并附以典型病案,望能给针灸治疗下肢疾病的取穴提供有益的借鉴与思考.

"Abdominal brain" and brain are the mutual influence of the whole,the vagus nerve is the important basis of the interaction both in embryonic development,anatomy,neurotransmitters and other aspects of a close relationship.So when acupuncturing the abdominal points [Renzhong (DU26),Baihui (DU20)] and Du Meridian points [Mingmen (GV4),Baihui (GV20)],we found that it can obviously improve the plasticity of the brain after ischemic stroke."Abdominal brain" acupuncture method and the traditional acupuncture method have common points,but there are also differences in the mechanism of acupuncture and moxibustion in ischemic stroke.It mainly manifested in the inhibition of the vagus nerve function,neural homeostatic regulation of intracellular and extracellular calcium ions,which plays a protective role in brain.This paper tries to explore the mechanism of the effect of acupuncture on the plasticity of ischemic stroke by the related theories of the brain and the brain.

目的:观察灵龟八法针法结合普通针法治疗颈型颈椎病的临床疗效.方法:60例随机分为治疗组与对照组各30例.治疗组用灵龟八法针法结合普通针法治疗,对照组单用普通针法治疗.结果:治疗1周后及治疗结束后,治疗组与对照组NPQ量表得分各分别与治疗前相比较差异有统计学意义(P<0.05),但治疗组较对照组治疗结束后NPQ量表得分更低(P<0.05).结论:灵龟八法针法结合普通针法治疗颈型颈椎病颈痛疗效更好.

Objective To observe the clinical efficacy of yang-warming acupuncture therapy established by Zuo Changbo for the treatment of allergic rhinitis. Methods Sixty patients with allergic rhinitis were randomly divided into observation group and control group, 30 cases in each group. The observation group was given Zuo’s yang-warming acupuncture therapy and the control group was given conventional acupuncture therapy. Acupuncture was performed once every other day, and 10 times constituted one course of treatment. After treatment, the therapeutic effect was evaluated, and the symptom scores of nasal itching, stuffy nose, sneezing and nasal discharge as well as their visual analog scale ( VAS) scores were observed. Results ( 1) Total effective rate of the observation group was 93.3%, and that of the control group was 63.3%, there was significant difference between the two groups ( P<0.01). ( 2) After treatment, the scores of the four symptoms were decreased obviously ( P<0.05 or P<0.01) , and the decrease in the observation group was superior to that in the control group ( P<0.01) . ( 3) After treatment, the VAS scores in both groups were decreased ( P<0.01) , and the decrease was more obvious in the observation group (P<0.01). Conclusion The curative effect of yang-warming acupuncture therapy on allergic rhinitis is better than that of the routine acupuncture group.

贲门失弛缓症是较为少见的食管运动功能障碍性疾病，属中医“噎嗝”范畴。该病发病机制尚未明确。临床症状严重影响患者生活质量。西医治疗贲门失弛缓症以手术治疗为主，部分患者难以耐受，且复发率较高，可出现并发症。针刺结合刺络治疗贲门失弛缓症，具有操作简便，起效迅速，无副作用的优势。目前，针刺结合刺络治疗贲门失弛缓症相关临床报道较少，故本文将针刺结合刺络治愈贲门失弛缓症一例予以报道，以供临床工作者参考。

目的 观察火针经筋疗法治疗脑梗后上肢肌痉挛的有效性.方法 将60名脑梗后上肢肌痉挛患者随机分为两组,在应用基础治疗药物及康复治疗的基础上,常规针刺组采用石氏醒脑开窍法穴位针刺,常规针刺+火针组加用火针点刺手三阴经筋阳性反应点,治疗4周后,观察改良Ashworth评分、Fugl-Meyer评分的变化.结果 治疗后两组的改良Ashworth评分、Fugl-Meyer评分均有上升,治疗前后均有显著差异(P＜0.05),两组相比,常规针刺+火针组优于常规针刺组(P＜0.05).结论 火针经筋疗法可改善脑梗后上肢肌痉挛程度以及提高上肢的运动功能.

目的：探讨针刺人迎穴联合放血疗法治疗脑梗死肩手综合征的临床疗效。方法患者57例，对照组28例，采用常规针刺，治疗组29例，在对照组基础上加用针刺人迎穴和放血疗法。结果治疗1w与治疗前、治疗2w与1w后、治疗3w与2w后、治疗4w与3w后比较，两组自身各时段疼痛、肿胀评分均减少（均P＜0.05）；治疗组治疗1、2、3、4 w后疼痛、肿胀评分均较对照组减少（均P＜0.05）；治疗组总有效率为89.66％，对照组67.86％，差异显著（P＜0.05）。结论常规针刺和加用针刺人迎穴联合放血疗法对脑梗死肩手综合征均有较好疗效，后者对疼痛和肿胀的改善优于前者，且起效更快。

目的:观察针刺对肥胖大鼠促黑皮质素(MSH)及前阿片黑素促皮质激素原(POMC)的影响.方法:选用刚断乳健康SD雄性大鼠,分为正常组和造模组,采用自制高脂饲料制备肥胖大鼠模型,随机分为模型组及针刺组,针刺组针刺梁门、天枢、大横、内庭穴,连续治疗2周.观察各组大鼠MSH及POMC的变化.结果:针刺后针刺组大鼠体重下降,与模型组比较,差异有非常显著性意义(P＜0.01).针刺组MSH、POMC水平明显低于模型组(P＜0.05);针刺后针刺组MSH、POMC与正常组比较,差异无显著性意义(P＞0.05).结论:针刺在改善肥胖大鼠体重的同时可调节肥胖大鼠MSH及POMC的水平.

Objective To evaluate the clinical efficacy and safety of electro-acupuncture on herpes zoster.Methods Randomized controlled trials(RCTs) involving electro-acupuncture in the treatment of herpes zoster were identified from CBM,CNKI,VIP,Wanfang Database and Pubmed.Relevant journals of traditional Chinese medicine and comprehensive journals were manually searched.The data were extracted and evaluated by two reviewers independently with a specially designed extraction form.The Cochrane Collaboration's RevMan5.0 software was used for data analyses.Results A total of 9 trials involving 560 patients were included.1 trial was high quality,the other 8 trials were low quality.Systematic review showed that the clinical cure rate,the VAS scores,the clinical symptoms scores,the time of crusting,the duration of pain were superior to the western drugs group,no significant difference was noted between them.Conclusion The profit treated by electro-acupuncture on herpes zoster is superior to that in the control group from the clinical evidence.But the incorporation of the limited number of documents and the quality was not very good.To get more reliable conclusions,further large-scale trials are required to define the role of electro-acupuncture in the treatment of herpes zoster.

Objective:To estimate the validity of acupuncture guided by Liugui 8 Methods Theory for Spasmodic Dysarthria caused by Cerebrovascular Infarction.Methods:93 patients were randomly distributed into Lingui Group(group A),Xingnao Kaiqiao Group(group B),Lingui plus Xingnao Kaiqiao Group(group C),with 31 cases in each group.Results:We used GRBAS and Frenchay Index as efficacy indexes.After 1,2 and 3 weeks,we found all groups showed significant changes compared with the beginning point(P<0.05).After 3 weeks,we found Group C earned better scores both in GRBAS and Frenchay Index compared with the other 2 groups(P<0.05).After 3 weeks' therapy,Group A gained 71% efficacy,Group B gained 74.2%,and Group C 93.5%.Conclusion:Both Linagui Methods and Xingnao Kaiqiao showed satisfying similar effect on Spasmodic Dysarthria caused by Cerebrovascular Infarction,however,when the 2 methods were combined,better effects would be gained.

目的 观察针刺结合穴位埋线治疗代谢综合征的疗效.方法 选取代谢综合征患者60例为研究对象,随机分为治疗组(针刺结合穴位埋线组)与对照组(针刺组),每组30例.观察患者治疗前后体重、体重指数、体围、血压、空腹血糖、空腹胰岛素、甘油三酯、高密度脂蛋白、低密度脂蛋白、胆固醇、尿酸、收缩压、舒张压.结果 治疗组治疗MS的总有效率明显高于对照组(P＜0.05)；治疗肥胖症方面的总有效率虽较对照组高,但无显著性差异(P＞0.05).FIns、IR、TG、FPG与体重、BMI、腹围呈正相关；HDL、LDL、SBP、DBP与体重、BMI、腹围无明显相关性.治疗组与对照组治疗后IR、FIns、HDL、FPG、DBP得到不同程度改善(P＜0.05),两组间治疗后比较无明显差异(P＞0.05).两组治疗后TG均下降,但治疗组效果高于对照组(P＜0.05)；治疗组SDP治疗后较治疗前下降,有显著性差异,对照组治疗前后无显著性差异.结论 针刺配合穴位埋线对代谢综合征的疗效明确且优于单纯针刺,尤其对中心性肥胖的疗效更为显著,且能有效改善代谢综合征患者的IR水平.

目的评价穴位埋线治疗单纯性肥胖的临床随机对照试验的疗效评价。方法电子检索中国生物医学文献数据库(CBM)、中国期刊全文数据库(CNKI)、维普期刊数据库(VIP)、万方数据库;年限:1990年1月至2009年12月。在排除重复、无关及非随机对照试验后,筛选出符合纳入标准的穴位埋线治疗单纯性肥胖的随机对照试验,用Jadad评分对这些文献进行质量评价,疗效评价采用Review Manage 5.0.2软件。结果共纳入14篇文献,共1 325例患者纳如本次研究。14篇文献研究均以有效率作为主要结局指标,对同质性较强的研究进行Meta分析,显示穴位埋线组与非穴位埋线组相比较,有效率结果相对危险度(relative risk,RR)=1.06,95%可信区间为(1.02,1.11)。总体效应检验,Z=2.95,P=0.003,差异具有统计学意义。提示穴位埋线疗效可能优于非穴位埋线组。结论穴位埋线治疗单纯性肥胖有一定优势。但由于纳入评价的文献质量普遍不高以及发表偏倚等因素,尚有待进一步大样本、高质量、多中心、方法学规范化的临床随机对照试验来证实。

Objective:To observe and compare the clinical effects between the eight extra-meridians acupuncture therapy and Shi′s xingnao kaiqiao needling method in the treatment of dysphagia in acute cerebral infarction,besides this,additive effects of combination with these two methods was also observed in this study.Methods:33 patients were divided into the Shi′s xingnao kaiqiao needling method group;33patients belong to the eight extra-meridians acupuncture therapy group who were treated with the acu-points selected between 9am to 11am;30 patients were in the group of the two methods combined.Basic therapy and rehabilitation were operated among all three groups.The observation indexes base on the swallowing function seven-level-grades and Watian water-swallowing test.Results:The extent of variation improved significantly among the three groups without any difference(P<0.01).Conclusion:The eight extra-meridians acupuncture therapy have remarkable clinical effect which was similar to the Shi′s xingnao kaiqiao needling method in treating dysphagia in acute cerebral infarction,and without marked additive effects of these two methods.Based on the superiorities of fewer but better in choosing points,convenience and safe,mild stimulating quantity,and simple operation,the eight extra-meridians acupuncture therapy is worth using widely in clinic.