春季,在天气回暖的过程中,会出现短时间的气温骤降,即我们常说的"倒春寒".此时若调摄不当,寒气极易损伤人体阳气,尤其会对老年人、婴幼儿以及体质较差的人群产生不利影响.此外,寒气伤人,最易损伤心肺,易导致感冒、流行性腮腺炎以及慢性呼吸系统疾病的急性发作,或者引发心脑血管疾病.因此,春季要特别重视寒温调摄,应密切关注天气变化,不要过早脱去棉衣,避免寒气伤人.同时可以使用艾灸、穴位按摩的方法,促进阳气升发,增强人体抵御外邪的能力.

"施主,我看你印堂发黑,必有大祸临头啊."在一些影视剧作品中,常有这样的台词.在部分人的印象里,印堂发黑往往预示着一些不好的信息.这到底是迷信,还是有一定的科学根据呢? 什么是印堂 其实,在中医学里,印堂有两种含义,一种是指部位,指两眉之间的区域,是中医望诊的重要部位之一;另一种是指穴位,即印堂穴.印堂穴位于前额部,两眉毛内侧端中间的凹陷中,在督脉的循行线上.该穴原来属于经外奇穴,2006年颁布的国家标准《腧穴名称与定位》 (GB/T 12346-2006),将印堂穴归入督脉.印堂穴也就正式成为了督脉的第29个穴位.

梳头是我们日常生活中的一件平常小事,可以让我们头发平顺,保持良好的仪容.其实如果运用得当,梳头也可以变成一个养生妙招. "头梳千遍,病少一半" 俗话说:"头梳千遍,病少一半."梳头养生自古就被医家、养生学家、文人雅士所热爱和推崇.南北朝著名医药学家、养生学家陶弘景在《养性延命录》中记载:"晨夕梳头满一千梳,大去头风,令人发不白."宋代陶毂在《清异录》中说:"修养家谓梳为木齿丹法,用奴婢细意者执梳理发,梳无数日,愈多愈神."明代谢肇淛在《五杂俎·卷十二·物部四》亦载:修养家谓梳为木齿丹,云:"每日清晨梳千下,则固发去风,容颜悦泽."意思就是经常梳头,可以美发乌发,并且具有去头风、美容颜等效果,而且梳头越多,效果越好;并将梳子美喻为木齿丹,因为梳子多是木质,木齿丹即是比喻梳子为木齿的灵丹.

肩周疾病主要指肩关节周围软组织病变引起的以肩关节疼痛及活动受限为主要表现的相关疾病的统称,其主要治疗手段包括手术及针灸针刀、中药康复等保守治疗,针刀治疗肩周疾病疗效显著.近年来随着超声技术水平的提高,超声实时引导针刀不仅提高了治疗的安全性,也实现了精准医疗.文章就超声引导针刀治疗肩周相关疾病的诊断标准、具体治疗方法等方面进行系统综述,总结超声引导针刀治疗此类疾病的特点以及目前存在的一些问题,以期为超声引导下针刀治疗肩周疾病的临床治疗及临床研究提供帮助.

鼻炎是临床的常见病和多发病,发病人数众多且需长期服药.鼻炎严重影响患者社交、工作和学习,已经成为我国当前社会的一个严重的公共卫生问题.本研究通过文献分析,系统梳理了鼻腔的自主神经通路及其与各类型鼻炎的病理状态的关系,提出自主神经功能失衡是各类鼻炎发病的重要病理机制,针刀结合蝶腭神经节刺激术治疗通过在自主神经通路上三个关键部位给予针刀或毫针刺激,可以调节鼻腔自主神经功能的失衡.本文在前期临床和文献分析的基础上,将针刀治疗与蝶腭神经节刺激术进行了整合,提出了较为完整的治疗方案,临床应用效果较好且疗效持久,值得临床推广.

Objective. Acupotomy therapy is widely used for pain management. However, the efficacy of acupotomy on shoulder adhesive capsulitis (SAC) is still uncertain. The aim of this study was to determine the effectiveness and safety of acupotomy therapy for SAC. Methods. We searched seven electronic databases to collect randomized controlled trials (RCTs) of acupotomy for SAC published before April 2019. A meta-analysis was performed according to the Cochrane systematic review method by using RevMan 5.3 software. Results. A total of eight RCTs involving 501 patients were enrolled. Meta-analysis showed that acupotomy was significantly better than the control group in debasing the Visual Analogue Scale (VAS) score (MD = -0.97, 95% CI = [-1.49, -0.45], P=0.0003) and improving the Constant-Murley Score (CMS) (MD = 8.46, 95% CI = [1.04, 15.87], P=0.03), and there was no significant difference in adverse events (OR = 1.24, 95% CI = [0.34, 4.52], P=0.74) between the two groups. Conclusion. Acupotomy therapy is an effective and safe treatment for SAC, and this treatment can be recommended for the management of SAC. Due to the low quality and small sample size of the included studies, more rigorously designed RCTs with high quality and large-scale are recommended in future.

本文阐明了冻结肩的临床表现、临床分期、专科查体、影像学检查、诊断和治疗的要点.肩关节囊挛缩、关节腔容积显著下降是本病的病理特点.肩关节主动和被动活动均受限是本病的临床特点.笔者强调根据病理机制和肩关节功能解剖特点,分期治疗冻结肩.疼痛期,予以解痉止痛,首选关节腔注射;冻结期,首选关节腔液压扩张术联合针刀治疗,以解除关节囊的挛缩.针刀治疗的靶点包括肩关节囊、喙肱韧带、肩关节运动拮抗肌及循法触激颈肩部神经.液压扩张联合针刀对大部分冻结肩患者都能取得满意的临床疗效,值得深入开展相关临床研究,进一步规范临床操作.

针刀结合蝶腭神经节刺激术治疗鼻炎 针刀结合蝶腭神经节刺激术治疗鼻炎技术是从调节鼻腔自主神经功能入手,针对鼻部的自主神经(交感神经和副交感神经)通路(一线)以及颈胸部、蝶腭神经节、鼻部三个关键治疗部位(三点),形成了“三点一线”的治疗方案,该治疗方案可有效调节鼻部交感神经和副交感神经的平衡,恢复鼻腔黏膜的生理平衡,达到治疗鼻炎的目的.

Objective Acupotomy therapy is widely used for pain management. However, the efficacy of acupotomy on shoulder adhesive capsulitis (SAC) is still uncertain. The aim of this study was to determine the effectiveness and safety of acupotomy therapy for SAC. Methods We searched seven electronic databases to collect randomized controlled trials (RCTs) of acupotomy for SAC published before April 2019. A meta-analysis was performed according to the Cochrane systematic review method by using RevMan 5.3 software. Results A total of eight RCTs involving 501 patients were enrolled. Meta-analysis showed that acupotomy was significantly better than the control group in debasing the Visual Analogue Scale (VAS) score (MD = −0.97, 95% CI = [−1.49, −0.45], P=0.0003) and improving the Constant–Murley Score (CMS) (MD = 8.46, 95% CI = [1.04, 15.87], P=0.03), and there was no significant difference in adverse events (OR = 1.24, 95% CI = [0.34, 4.52], P=0.74) between the two groups. Conclusion Acupotomy therapy is an effective and safe treatment for SAC, and this treatment can be recommended for the management of SAC. Due to the low quality and small sample size of the included studies, more rigorously designed RCTs with high quality and large-scale are recommended in future.

鼻炎是鼻腔炎性疾病的总称,是指由病毒、细菌、变应原(俗称过敏原)、各种理化因子以及某些全身性疾病引起的鼻腔黏膜的炎症.鼻炎是临床上的常见病和多发病,常反复发作或持续出现,缠绵难愈.罹患鼻炎后,患者饱受鼻塞、流涕、打喷嚏等困扰,还有可能引起诸多非鼻部症状,如头痛、记忆力减退、注意力不集中、失眠、咳嗽、咽喉疼痛、易口渴等,以及各种并发症,如鼻窦炎、嗅觉障碍、中耳炎,甚至有可能诱发哮喘.鼻炎给患者工作生活带来诸多不便,造成极大困扰.有研究显示,我国慢性鼻炎患者的数量已超过3亿,鼻炎已经成为当今社会一个比较严重的公共卫生问题.

别具匠心的“教具” 走进位于中国中医科学院内的中国针灸博物馆,一件又一件带着历史尘埃的展品,会让你不禁感叹中医针灸学的恢弘和深邃.眼前这座高达一米八的针灸铜人模型,就曾经吸引无数参观者驻足. 针灸铜人最早由北宋太医院翰林医馆王惟一,受宋仁宗诏令于宋天圣五年(公元1027年)设计并主持铸造.据记载,针灸铜人一共两具,被命名为“宋天圣铜人”.

肩痛是一种临床常见症状,流行病学调查显示肩痛的患病率为7％～26％,是运动系统疼痛疾病的第三大类疾病,年龄越大,患病率越高.肩痛常进行性加重,或反复发作、缠绵难愈,严重影响患者工作、生活,降低生活质量.肩痛的病因复杂多样,随着医学的进步,肩痛的诊断越来越细致、准确.然而在临床中我们发现,目前对于肩痛的认识还很片面,导致误诊、漏诊,使病情延误甚至加重病变,造成一些不必要的严重后果.

骨关节炎又称骨关节病、老年性关节炎、骨关节骨质增生症、肥大性关节炎、退行性关节炎、增生性骨关节炎等,是以滑膜关节出现软骨丧失及关节周围骨质增生为特征的关节疾病,临床以关节疼痛、关节僵硬、局部压痛、活动受限、行走跛行、关节弹响为主要表现,有时伴有关节积液,严重者出现关节畸形,但不伴有明确的全身症状.骨关节炎可见于全身多处关节,膝关节是本病发生的主要部位.膝骨关节炎是引起膝关节疼痛最常见的原因之一,是中老年人群的一种常见病、多发病.

随着社会的进步和电脑的普及,办公室工作时间越来越长、越来越普遍.长期伏案工作会给我们的身体带来一系列的问题,比如颈部、肩背部、腰部的僵硬和疼痛,时间久了则会导致颈椎病、腰椎间盘突出症、脊柱侧弯等疾病,还可能引起头痛、头晕、眼睛干涩、视物模糊、耳鸣等症状,给工作生活带来诸多不便和困扰.因此,防患于未然,尽早预防极其重要.

针灸疗法是祖国医学的瑰宝,在中华民族数千年繁衍生息的过程中发挥了重要作用,在治病、养生、预防等领域均积累了宝贵的经验.穴位是针灸治病的基础,针灸疗法通过在穴位上施加各种适宜的刺激方法如针刺、艾灸、拔罐、刮痧、指压等,调动自身的愈病潜能达到治疗目的,具有安全、绿色、疗效好、副作用少等诸多优点,且有些方法易学易用,适合推广普及.

罐疗法是我国传统的特色保健治病方法,古称"角法",这是因为最早人们是利用动物的角作为治疗工具.我们知道,很多动物的角(如牛角、羊角等)其内部是空的,从动物身上取下后,就变成了一个天然的罐子. 拔罐疗法是指用排除罐内空气以产生负压,使其吸附于体表经络、腧穴、痛处或体表的某些部位,使被拔部位的皮肤产生充血、瘀血等现象,以促使该处的经络通畅、气血旺盛,达到防病治病目的的一种方法.拔罐疗法具有疏通经络、温经散寒、祛风除湿、活血化瘀、消肿止痛等作用,简便易行,适应证广效果显著且无毒副作用等优点.

OBJECTIVE:We have demonstrated that needle knife (acupotomy) treatment can improve knee osteoarthritis (KOA) in rabbits. The present study was designed to examine its effect on expression of phosphorylated focal adhesion kinase (p-FAK), phosphinositides 3 kinase (p-PI 3 K) and Aggrecan genes and proteins in the knee-joint cartilage tissues of KOA rabbits, so as to explore its partial molecular mechanism underlying improvement of KOA. METHODS:Forty-nine New Zealand male rabbits were randomly divided into normal control, model, model +inhibitor, needle knife, needle knife+ inhibitor, electroacupuncture (EA), EA +inhibitor groups (n=7 in each). The KOA model was established by modified Videman method (left hindlimb extension immobilization and ankle dorsal flexion 60°). Acupotomy relaxing manipulation was applied to the lateral collateral ligament and patellar ligament of the left knee-joint, two times a week for 4 weeks, and EA (2 Hz/100 Hz, 3 mA) was applied to the left "Liangmen" (ST 21), "Xuehai" (SP 10), "Neixiyan " (EX-LE 4) and "Dubi" (ST 35) for 20 min, three times a week, for 4 weeks. About 2 h before every needle-knife or EA treatment or at the corresponding time-point, intra-articular cavity injection of PF-562271(a specific antagonist of FAK, 200 μmol/L, 0.5 mL)was performed in the three inhibitor groups. The expression levels of p-FAK, p-PI 3 K, Aggrecan genes and proteins in the cartilage tissues were measured with quantitative Real-time PCR and Western blot, separately. RESULTS:After modeling, the expression levels of p-FAK and p-PI 3 K genes and proteins were significantly up-regulated (P<0.05, P<0.01), while those of Aggrecan protein and mRNA considerably down-regulated in the model group in comparison with the normal group (P<0.01). Following 4 weeks' needle-knife or EA treatment, the expression levels of p-FAK and p-PI 3 K and Aggrecan proteins in both EA and needle-knife groups, and Aggrecan mRNA in the needle knife group were significantly up-regulated (P<0.05, P<0.01). After administration of p-FAK antagonist, modeling-induced upregulation of expression of p-FAK mRNA and protein and p-PI 3 K protein, as well as modeling-induced down-regulation of Aggrecan mRNA and protein were significantly suppressed in the model+inhibitor group (P<0.05, P<0.01), and needle knife-induced and EA-induced up-regulation of expression of p-FAK, p-PI 3 K and Aggrecan mRNAs and proteins was notably suppressed respectively in comparison with the needle knife and EA groups (P<0.05, P<0.01). The effect of needle knife was significantly superior to that of EA in up-regulating p-PI 3 K and Aggrecan mRNAs as well as p-FAK, p-PI 3 K and Aggrecan proteins (P<0.05, P<0.01). CONCLUSION:Needle knife intervention can up-regulate the expression levels of p-FAK, p-PI 3 K and Aggrecan proteins and mRNAs in the cartilage tissue of the knee-joint in KOA rabbits, suggesting an involvement of FAK-PI 3 K signaling in the needle knife-induced improvement of KOA.

目的:通过观察针刀干预对膝骨关节炎(KOA)兔HE染色及Mankin评分、股四头肌收缩性能的影响,探讨针刀治疗KOA的作用机制.方法:28只清洁级新西兰雄兔,随机分成正常组、模型组、电针组和针刀组.采用改良Videman左后肢伸直位固定制动法复制KOA模型,针刀组、电针组分别采用针刀和电针疗法治疗4周.采用光镜、电生理的方法对软骨形态学情况、股四头肌收缩性能进行检测.结果:造模后,模型组兔膝关节软骨HE染色显示软骨结构紊乱、破坏,Mankin评分较正常组明显升高(P＜0.01),股四头肌单收缩幅度和强直收缩幅度较正常均显著降低(P ＜0.05或P＜0.01).电针、针刀干预后,电针组兔膝关节软骨HE染色较模型组有所改善,Mankin评分较模型组显著降低(P＜0.01),股四头肌单收缩幅度和强直收缩幅度较模型组无显著差异(P＞0.05);针刀组兔膝关节软骨HE染色较模型组改善明显,Mankin评分较模型组显著降低(P＜0.O1),股四头肌单收缩幅度和强直收缩幅度较模型组显著升高(P＜ 0.05或P＜0.01),且与电针组相比Mankin评分显著降低(P＜0.05),股四头肌单收缩幅度和强直收缩幅度较电针组显著升高(P＜0.05).结论:针刀干预能改善关节软骨退变,促进关节软骨修复,并能提高股四头肌的收缩性能.提高股四头肌的收缩性能是针刀干预KOA的重要机制.

Objective To summarize the spectrum of disease of heat-sensitive moxibustion therapy by the modern literature calculation and evaluation. Methods A computer-based research was conducted on CNKI database, VIP database, PubMed database, Embase database, Cochrane Library database, and Wanfang database of the clinical literature about heat-sensitive moxibustion, the time limitation ran from the commencement of each database to October 30, 2017. Recorded the names and counted the numbers of each disease after reading, and then carried on classifying and summarizing based on ICD-10. Results Totally 832 clinical literature were included, 150 kinds of diseases were involved, including 89 diseases of western medicine, 40 symptoms of western medicine and 21 TCM syndromes were identified. The top 10 kinds of diseases in the literature were knee osteoarthritis, cervical spondylosis, lumbar disc herniation, facial paralysis, primary dysmenorrheal, asthma, urinary retention, cerebrovascular disease, allergic rhinitis and postherpetic neuralgia. The number of these diseases was more than 10, and accounted about for 46.6% of the total literature. Conclusion Heat-sensitive moxibustion is an effective therapy with wide indications,but not evenly distributed. And the dominant diseases are relatively scattered, mainly concentrate in musculoskeletal and connective tissue diseases, nervous system diseases, urogenital system diseases and respiratory system diseases.

目的:探讨热敏灸疗法在临床应用中的优势病种和适应证.方法:计算机检索与热敏灸相关的临床文献,经阅读筛选后根据疾病和有关健康问题的国际统计分类(ICD-10)记录符合纳入标准文献的病症名及病种数量,并对病种进行分类.结果:共纳入文献832篇,文献最多的前16种疾病依次是膝关节骨性关节炎、颈椎病、腰椎间盘突出症、面神经麻痹、原发性痛经、哮喘、尿潴留、脑血管病、过敏性鼻炎、带状疱疹后遗神经痛、肩周炎、肠易激综合征、盆腔炎、便秘、前列腺炎以及失眠,这些疾病的文献量均≥10,共计477篇,约占文献总数的57.30％.结论:热敏灸疗法的临床适应证范围广,分布不均,优势病种多且相对分散.