Objective To observe the clinical efficacy of acupotomy nerve stimulation on lumbar intervertebral disc protusion(LIDP) and explore its mechanism.Methods One hundred and twenty inpatients were coded according to the admission sequence and randomized into an acupotomy treatment group(treatment group,80 cases) and an acupuncture treatment group(control group,40 cases) via DPS database processing system at the ratio of 2∶ 1.In the treatment group,the acupotomy stimulation at spinal nerve root and nerve trunk was applied.In the control group,the conventional acupuncture was used.The relief of clinical symptoms after treatment was observed and the efficacy was determined.The recurrence rate was observed in follow-up visit for half a year.Results At the end of treatment session,the curative rate was 75.00% in the treatment group and was 45.00% in the control group,indicating the statistically significant difference in comparison(P 0.01).In half a year after treatment,the recurrence rate was 11.67% in the treatment group and was 27.78% in the control group,indicating the statistically significant difference in comparison(P 0.01).Conclusion Acupotomy stimulates directly the spinal nerve and trunk in the lumbar region,which induces body escape response and stress reaction and regulates the automatic function of the body so that the therapeutic effects can be achieved.The efficacy of it is apparently superior to acupuncture.

Objective To propose the pathological mechanism and the treatment specification of limb deformities in cerebral palsy.Methods Based on the function of acuptomy minimally invasive therapy as relieving spasm and contracture,three operation techniques were established,named incision technique,muscle stimulation technique and nerve trigger technique(spinal nerve trigger technique and peripheral nerve trigger technique).Incision technique:the muscular tissue was incised or a part of muscular fibers of spastic muscle was cut off so as to weaken the unit strength of muscle or tendon and promote the balance of spastic muscle and antagonistic muscle.Muscle stimulation technique:a strong stimulation was applied to the spastic muscle belly so as to increase the frequency of muscle contraction and dilation,inhibit abnormal postural reflex and motion pattern and eliminate or alleviate spasm.Nerve trigger technique:a proper triggering was applied to the nerve so as to promote nerve excitation or prohibitive inhibition,eliminate or alleviate muscular spasm or improve muscular tension.Results With the self-comparison before and after treatment,the clinical efficacy was observed.The remarkably effective rates were 92% for equines foot deformity,84% for flexion deformity of knee joint,strephenopodia and strephexopodia,80% for the deformities of palmar flexion and dorsiflexion and 47% for knee hyperextention deformity.Conclusion The new idea is proposed in the treatment of limb deformities in cerebral palsy.The techniques of acuptomy minimally invasive manipulation are established and standardized.The industrial scientific technological progression is promoted.

<正>痉挛是临床体征,是常见的运动障碍之一,是疼痛科、针刀科、神经内科、外科、矫形外科、康复医学科、儿科等跨学科、多专业共同面对的问题。在脑瘫、中风、颅脑外伤、脊髓损伤、多发硬化等上运动神经元病损均

笔者对临床确诊为痉挛型脑瘫55例3～16岁患者随机分为治疗组36例,采用针刀触激脊神经,切割剥离松解骨骼肌挛缩组织,针灸组19例进行对照 ,现报告如下.

针刀疗法广泛地进行临床应用和治病经验总结,用现代科学的方法开展了针刀临床研究和理论研究.发表针刀医学方面的学术文章据不完全统计一万余篇,取得了显著的科研成就.是全国3万医务工作者孜孜不倦的实践探讨努力的结果.针刀医学必竟是近20余年来新崛起的学科,在基础理论研究,临床研究方面仍较临床治病经验总结滞后和不协调.从事针刀医学前的西医专家学者,和从事针刀医学前的中医专家学者,均在从事针刀医学后,站在原学科的基础理论和思维模式上,对针刀医学疗法去实践,去探讨研究.并提出了种种假说.对针刀医学的基础理论研究和临床研究起到了推动作用.同时"仁者见仁,智者见智"对针刀医学的基础和临床去研究,首先应弄明白:1.什么是针刀医学;2.针刀医学是以西医为基础还是以中医为基础,还是以中西结合为基础;3.以中西结合为基础是"中"结合"西",还是"西"结合"中",结合什么内容;4.针刀医学是中西结合的新产物,其实质是什么?只有搞清楚这些惑点,才能更好的、深入的、扎实的对针刀医学去探讨,去研究.

糖尿病不是唯一病因所致的单一疾病,而是复合病因的综合症.那么治疗上单纯靠西药降低屯或控制血糖维持病情显然不足.通过临床观察对2型糖尿病,胰岛素抵抗(机体对一定量的胰岛素的生物学反应低于预计正常水平的一种现象)和胰岛素分泌缺陷,用针刀刺激、松解.中药辨证固本治疗,在治疗早期配合西药降糖药物,逐渐递减药量,最终据病情而停用.取得了较好疗效.

根性腰突症采用针刀作用于椎管内刺激,可直达病所.1996～2002年我院镇痛科在住院患者中筛选根性腰突症随访2年以上的病例,共300例.现介绍如下.