目的 观察艾灸不同腧穴对膝骨性关节炎(KOA)大鼠血清及关节软骨与滑膜TNF-α、MMP-13表达的影响,探讨艾灸不同腧穴对KOA大鼠的特异性调节作用.方法 将大鼠随机分为空白组(Con)、模型组(KOA)、模型+足三里艾灸组(ST36)、模型+阳陵泉艾灸组(GB34)、模型+犊鼻艾灸组(ST35),每组8只.选择关节腔注射MIA溶液的方法 制备KOA模型.ST36、GB34、ST35组每日艾灸30 min,7天为1个疗程,共3个疗程.分析各组大鼠的机械刺激痛阈值(MWT),番红固绿染色及OARSI评分,血清、关节软骨与滑膜的TNF-α、MMP-13的表达情况.结果 与Con组比,KOA组足底机械痛阈值下降,OARSI评分、血清与关节软骨和滑膜TNF-α以及血清、关节滑膜MMP-13的表达均明显升高(P<0.001,P<0.05).与KOA组比,3个治疗组足底机械痛阈值上升,OARSI评分、血清TNF-α和MMP-13、软骨TNF-α均降低(P<0.001,P<0.05),软骨MMP-13无明显变化(P>0.05);ST36组滑膜TNF-α和MMP-13低表达(P<0.05);ST35组滑膜MMP-13表达降低(P<0.05);GB34组滑膜TNF-α降低(P<0.01).与GB34组比,ST36组OARSI评分更低(P<0.05),ST35组血清MMP-13下降显著(P<0.01).与ST36组比,ST35组的血清TNF-α下降更明显(P<0.01).结论 艾灸不同腧穴治疗KOA表现出腧穴的特异性功效.足三里的作用范围最大,可以从整体和局部都发挥抗炎以及缓解关节损伤的作用;犊鼻侧重从整体抗炎;阳陵泉侧重从局部滑膜抗炎.

该文通过探讨"远""近"概念、指导理论及标本根结的内容,认为远近配穴不仅是以病变部位局部以定远端的相对关系,其深层含义在于标本同治的思想,从而扩大经络及腧穴临床疾病范围.标本根结理论可作为远近配穴的理论依据,其标本同治的思想是针灸应用中应贯彻的理念.

目的 围绕足三里穴(ST36)进行文献可视化分析,探索近20年来有关足三里穴的研究进程、热点以及未来发展趋势.方法 以中国知网(CNKI)为数据来源,利用citespace软件对检索出的2000年1月至2021年11月收录的基础研究和临床研究文献分别进行可视化分析,绘制关键词、作者、机构相关图谱.结果 基础研究纳入1030篇文献,得到9个关键词聚类,电针中心度最高(0.53),发文量最多的作者是胡森(22篇),发文量最大的机构是北京中医药大学针灸推拿学院(23篇).临床研究纳入2067篇文献,得到9个关键词聚类,穴位注射和针刺中心度最高(0.27),发文量最多的作者是张波(7篇),发文量最大的机构是浙江中医药大学附属第一医院(8篇).结论 足三里穴在基础和临床的研究重点、热点和趋势不一致.并且在基础研究和临床研究之间,针刺镇痛、电针疗法、胃肠功能这三个内容是同步的,而关于代谢组学、穴位注射、温针灸和揿针的内容则是脱节的.

枕神经痛是枕大神经痛、枕小神经痛与耳大神经痛的总称[1],属中医"头痛"、"偏头痛"等范畴.主要表现为即时短效发作和持续长时间发作.原始点疗法总结了机体疼痛时容易出现的反应点,再结合大艾条灸法独有的温通温补优势,故大艾条悬灸头颈部原始点疗法治疗枕神经痛效果显著,介绍如下.

该文基于新型冠状病毒肺炎的病因病机,结合艾灸防疫的历史,对艾灸的热、光、烟因素的防疫作用进行分析和阐述,探讨艾灸防治新型冠状病毒肺炎的作用机制,为新型冠状病毒肺炎疫情的防治提供新的思路.

邪正相争强者胜.人体阳气盛衰决定着个体对新型冠状病毒肺炎(简称“新冠肺炎”)的易感性及预后、转归情况.任督灸作为艾灸疗法中的一种特色大灸,以施灸面积广、火力大、持久深透且隔铺药物为特点,通过艾药结合的方式作用于任督二脉,可最大程度调整五脏六腑及全身气血,扶助人体阳气,提高抗御新型冠状病毒的能力.任督灸可根据个体的身体状态,辨证施以不同的药物.谨守病机,随证加减,以灸促药,以药强灸.一则可以温补元气,提升人体正气;二则可以温化寒湿,改变人体寒湿的环境状态;三则对证施药纠偏,恢复患者阴阳平衡的状态,营造不利于病毒生存的体内环境.在新冠肺炎防控中,任督灸可以发挥“未病先防”“愈后防复”的重要作用.

新型冠状病毒肺炎(简称新冠肺炎)属于中医“疫病”范畴,具有发病迅速、传播快、传染性强的流行特点.“治未病”思想起源于中国古代对急性传染性疾病的认识和防治之中,是中医理论思想中的特色与精华部分,核心内容包括“未病先防、既病防变、愈后防复”三个方面.在抗击新冠肺炎疫情中,运用“治未病”思想综合中医特色疗法如艾灸、导引等,指导中医药及早介入、全程干预,在疫情的防治中发挥早期预防、防止传变、缩短病程、愈后防复等重要作用.探讨中医“治未病”思想运用于新冠肺炎的防治思路,以期发挥中医优势,为临床提供参考依据.

新型冠状病毒肺炎疫情具有传播快、传染性强、传播途径多的特点,伴随疫情蔓延的还有感染者内心的焦虑、恐惧等不良情绪.“思伤脾,恐伤肾”.不良情绪引起脾肾功能失常,导致水湿代谢失常,在疾病的预防和治疗中会产生负面影响.因此,在本次疫情的防控中,及时介入中医情志疗法来消除紧张、恐慌等不良情绪,可以增强“正气”,保持“精神内守,病安从来”的状态.针对感染者的恐慌、焦虑心理,可融入中医情志疗法,主要包括情志相胜法、移情易性法、中医认知疗法、中医行为疗法、五行音乐疗法等.

随着全国防控新型冠状病毒疫情的工作不断加强和完善,严峻的疫情局势逐渐得到缓和,全国现存确诊数持续下降,治愈好转出院的人数不断上升.根据临床抗疫一线的回访调研,在大病初愈的这部分人群中,仍存在纳差、乏力、情绪异常等表现.中医学认为病虽已愈,但仍然有遗复的可能,“疾病愈后”亦是病情发生发展的一个重要阶段,应用“愈后防复”思想对新冠肺炎恢复期患者实施中医调护,将对患者的完全康复起到关键作用.

OBJECTIVE To compare the clinical efficacy between acupuncture combined with cinesiotherapy cupping and acupuncture combined with conventional cupping for knee osteoarthritis (KOA) with qi stagnation and blood stasis syndrome, and to seek a better solution for KOA. METHODS A total of 78 patients of KOA with qi stagnation and blood stasis syndrome were randomly divided into an observation group and a control group, 39 cases in each group (3 cases in the observation group and 2 cases in the control group lost contact). Both groups were treated with acupuncture at Neixiyan (EX-LE 4), Dubi (ST 35), Xuehai (SP 10), Liangqiu (ST 34), Heding (EX-LE 2), Zusanli (ST 36), Yinlingquan (SP 9), Yanglingquan (GB 34) and Xuanzhong (GB 39). Based on the acupuncture treatment, the control group was treated with conventional cupping. The No. 4 cupping glass was used for Xuehai (SP 10), Liangqiu (ST 34) and Fengshi (GB 31), while the No. 3 cupping glass was used for Yinlingquan (SP 9), while the cupping with appropriate size was used for ashi points; the cupping glass was retained for 5 min. Based on the acupuncture treatment, the observation group was treated with cinesiotherapy cupping. The selection of acupoint and cupping glass was identical as the control group. The patients were instructed to perform knee flexion-extension, hip abduction-adduction, weight-bearing and other active exercise while cupping; the treatment was given once a day, 10 times as a course of treatment; totally three courses were given with an interval of 2 days between the courses. The patient's symptom scores, pain scores and knee function scores were recorded before and after treatment. The amount of joint effusion was measured by ultrasound; the level of interleukin-1 (IL-1), interleukin-6 (IL-6), tumor necrosis factor-α (TNF-α) in joint effusion were measured by ELISA. RESULTS After treatment, the total effective rate in the observation group was 94.4% (34/36), which was significantly higher than 86.5% (32/37) in the control group (P<0.05). Compared before treatment, the symptom scores, pain scores, amount of joint effusion and the levels of IL-1, IL-6, TNF-α in joint fluid in both groups all were decreased after treatment, whereas the knee function scores were increased (P<0.05). Compared with the control group, the symptom scores, pain scores, and the levels of IL-1, TNF-α and the amount of joint effusion all were significantly decreased, whereas the knee function scores were increased in the observation group (P<0.05). The level of IL-6 in joint effusion was not significantly different between the observation group and the control group (P>0.05). CONCLUSION The acupuncture combined with cinesiotherapy cupping could alleviate pain, improve joint function and reduce joint effusion, which is superior to acupuncture combined with conventional cupping.