目的:探讨以脾肾阳虚分型辨证治疗失眠理论基础.方法:通过临床对治疗失眠多个证型疗效观察及思考,总结出失眠多个证型皆可从脾肾阳虚论治的理论依据.结论:从脾肾阳虚治疗失眠具有扎实的理论基础,临床疗效佳,极具推广意义.

OBJECTIVE:To compare the efficacy between moving cupping at Hechelu combined with rubbing method and western medication for depression of diabetes mellitus (DM). METHODS:Two hundred and sixteen patients were randomly divided into an observation group and a control group, 108 cases in each group. Patients in the observation group were treated with moving cupping at Hechelu combined with rubbing method, once every: other day; six treatments were considered as one course, and totally two courses were given with an interval of: 4 days between courses. Patients in the control group were treated with oral administration of fluoxetine hydrochloride capsules, once a day for consecutive 4 weeks. The Hamilton depression scale (HAMD), self-rating depression scale (SDS) and TCM symptom score were measured before treatment, after the treatment and in follow-up visit one and a half months after treatment. The fasting blood glucose was tested before and after treatment. The glycosylated hemoglobin (HbA1c) was tested in the follow-up visit. RESULTS:The total effective rate was 90.9% (90/99) in the observation group, which was superior to 73.7% (70/95) in the control group (P < 0.05). After the treatment, HAMD, SDS and TCM symptom scores were all reduced apparently in the observation group and the control group (all P < 0.05). After the treatment and the follow-up visit, the TCM symptom score in the observation group was lower than that in the control group (P < 0.05). The levels of HbA1c and GLU were stable in the observation group, and were decreased compared with those before treatment; but the difference between the, two groups was not significant (P > 0.05). CONCLUSION:The Hechelu theory-based TCM treatment has better: efficacy for depression of diabetes mellitus than fluoxetine hydrochloride capsule, which has less adverse effects.

Objective:To compare the effects of moving cupping and embrocating on Hechelu in treatment of depression resulting from diabetes.Methods:One hundred and eight cases were randomly divided into 2groups,a treatment group and a medication group,54cases in each group.Patients in the treatment group received moving cupping and embrocating on Hechelu treatment.The medication group were treated with Fluoxetine Hydrochloride Capsules.The Hamilton Depression Scale (HAMD),SF -36and Beck Depression Inventory (BDI) were used to assess the disease severity efficacy before treatment,after the treatment and 42days later separately.Before treatment test of complete blood count,the liver functions (ALT,AST),the kidney functions (BUN,CR) and urinalysis.Results:Mter the treatment,HAMD,SF-36and BDI scores were no significant differences between the two groups (P＞0.05).But HAMD and BDI scores were all reduced apparently in both the treatment group and the medication group (all P＜0.05),and SF-36scores were all markedly elevated (all P＜0.05).In the medication group had 4cases of adverse reactions.Conclusion:The combined therapy of moving cupping and embrocating on Hechelu achieves the effect in treatment of depression resulting from diabetes and has less side effects and high safety.The efficacy is superior to fluoxetine hydrochloride capsules.

目的 探析针灸临床治疗抑郁症的最佳方法.方法 通过计算机检索2015年6月以前公开发表的针灸治疗抑郁症的相关文献,对符合检索标准的文献进行收集、整理,对针灸治疗抑郁症选用的经脉、腧穴、刺灸法频率进行分析. 结果 检索到的78篇国内文献中共涉及100个腧穴,主穴使用频次最高的依次为:太冲、内关、三阴交、百会、神门、四神聪. 最常用的经脉为足太阳膀胱经、任脉和足厥阴肝经. 结论 针灸治疗抑郁症的临床用穴以膀胱经经、督脉、肝经及相关的特定穴为主穴,以伴随的躯体焦虑症状为主辩证选用配穴.

目的：观察刃针治疗中风后肢体痉挛的临床疗效和安全性。方法：30例用刃针治疗，治疗前后采用改良Ashworth量表评定肌张力，Barthel指数对日常生活能力进行评定。结果：痉挛状态明显改善和日常生活能力提高（P＜0.05）。结论：刃针治疗中风后肢体痉挛安全有效，可改善肢体痉挛程度，提高日常生活能力。

报道命门八阵穴针刺配合盒灸治疗多系统萎缩病案1例,鼓励临床医生在秉持中医辨证论治原则的基础上,尽可能尝试新的方法治疗临床疑难杂症,提高其临床疗效,并将有效临床手段进行推广.

目的 探讨河车路治疗脾肾阳虚型糖尿病抑郁的理论基础.方法 通过临床对治疗脾肾阳虚型糖尿病抑郁的疗效观察及对比,整理、思考、总结出河车路行罐配合擦法治疗脾肾阳虚型糖尿病抑郁的理论依据.结果 河车路行罐配合擦法治疗相比西药抗抑郁治疗理论上具有显著优势.结论 使用河车路行罐配合擦法治疗脾肾阳虚型糖尿病抑郁具有扎实的理论基础,极具推广意义.

目的:观察电针结合推拿手法治疗梨状肌综合征的临床疗效。方法:将患者随机分为A组(42例)、B组(38例)和C组(40例)。三组针刺方法相同,均取阿是穴、环跳、委中、承山和阳陵泉,A组采用电针同时配合推拿手法治疗,B组则单纯电针治疗,C组单纯针刺同时配合推拿手法的治疗方法,观察前并比较临床疗效。结果:A组有效率为92.8%,优于B组79.1%与C组的65%(P<0.05,P<0.01)。结论:电针配合推拿手法为治疗梨状肌综合征的较佳方法。

目的:观察断面九针对腰椎间盘突出症的治疗作用。方法:将116例患者,随机分为断面九针治疗组(60例)和普通针刺组(56例)。断面九针治疗组取断面九针并配合电针治疗;普通针刺组取常规针灸选穴治疗。两组均治疗12天后观察临床疗效。结果:治疗组愈显率明显优于对照组,两组愈显率之间有统计学差异(P<0.05)。结论:断面九针配合电针对腰椎间盘突出症患者临床症状改善显著,方法简单,值得推广。

OBJECTIVE:To evaluate the clinical effect of combination of acupuncture, cupping and medicine for treatment of fibromyalgia syndrome.METHODS:By using multi-central randomized controlled method, 186 cases were randomly divided into an acupuncture combined with cupping and western medicine group (group A), an acupuncture combined with cupping group (group B) and a western medicine group (group C) and treated continuously for 4 weeks. The treatment of acupuncture combined with cupping was produced by acupuncture at five mental points and moving cupping on the Hechelu of the back, once evrey other day, thrice each week, and the western medicine therapy by oral administration of Amitriptyline, once each day. The scores of McGill Pain Questionnaire (MPQ), the amount of tenderness point and the time of producing effect were compared and the therapeutic effects were assessed with the Hamilton Depression Scale (HAMD).RESULTS:The cured and markedly effective rate was 65.0% (39/60) in the group A, which was superior to 15.9% (10/63) in the group B and 16.1% (9/56) in the group C (both P < 0.001). After treatment, the scores of MPQ and HAMD and the amount of tenderness point all decreased in the three groups, group A being significantly better than group B and group C, and the time of producing effect in the group A was more earlier than those in the group B and the group C.CONCLUSION:The therapeutic effect of combination of acupuncture, cupping and medicine on fibromyalgia syndrome is superior to that of the simple acupuncture combined with cupping or the simple medicine.

Objective To observe the therapeutic effect of Neck Hechelu(meridian running course) Acupuncture on insufficient blood supply of vertebro-basilar artery.-Methods The 128 cases of insufficient blood supply of vertebro-basilar artery were randomized into treatment group(84 cases) and control group(44 cases).The treatment group was treated by Neck Hechelu Acupuncture and the control group by traditional acupuncture therapy.The symptoms and changes of average speed of blood flow of basilar artery and bilateral vertebral arteries were examined by Doppler Ultrasonic Testing before and after treatment.-Results After two courses of treatment,the effect of treatment group was superior to that of the control group not only in relieving the symptoms such as headache and dizziness but also in increasing the average speed of blood flow of vertebro-basilar artery.-Conclusion The effect of Neck Hechelu Acupuncture was good for insufficient blood supply of vertebro-basilar artery.

In the treatment of 48 cases of menopause syndrome by moving cupping therapy along the pathways of the bladder meridian, Jiaji points (Ex-B 2) and pathway of the Governor Vessel, the results showed cure in 10 cases, remarkable effect in 27 cases, effect in 8 cases and failure in 3 cases, and the total effective rate in 93.7%. In comparison with before the treatments, all the symptoms were relieved (P<0.05) after treatments, with insomnia, poor memory, depression and easy crying, warm sensation in the five body parts, aching and soft sensation in the low back and knee relieved more remarkably (P<0.01).

Objective To explore therapeutic program and application feasibility of quick cupping therapy on points Shenque Bazhen for simple obesity. Methods Seventy-five cases of simple obesity were randomly divided into treatment group (n=42) treated by quick cupping on points Shenque Bazhen, and control group (n=33) treated by oral administration of sibutramine, an inhibitor for appetite. The body weight (kg), body mass index (BMI), waist circumference (WC) and distribution rate of body fat (F%) before and after slimming treatment were assessed. Results There was no significant difference in therapeutic effects for body weight and BMI between the two guoups (P0.05), but the treatment group in WC and F% was superior to the control group (P0.05); after treatment, BMI in the treatment group had significantly change (P0.05). Conclusion Quick cupping therapy can obviously improve WC and F% for obesity, particularly for abdominal obesity.

针灸是具有独特理论的传统中医学科,它不仅可以治疗疾病,而且可以预防疾病,保健强身.古人在针灸保健中非常重视艾灸的应用,如<扁鹊心书>中有记载:"保命之法:灼艾第一,丹药第二,附子第三."

自1997年1月～1999年1月我们选用著名老中医李仲愚医师的杵针穴位之一--天谷八阵治疗中风后抑郁症,现将结果报道如下.

孙××,男,3岁半,台湾高雄县人,1997年4月就诊.主诉:双下肢萎软,不能行走,少语3年.经详细询问病史,其母在怀孕期间因和丈夫闹离婚、分居,情绪一直不佳,分娩时无异常,但数月后即感小孩反应较迟钝,1岁时仍不能行走,手牵行也不迈步,二便时不能告诉父母.

颈椎病是一种常见多发病,是颈椎退行性脊柱病的简称.是由于颈椎间盘退行性病变、颈椎骨质增生以及颈部损伤等引起的颈、肩、上肢等部位疼痛、沉重和瘫痪等症状.近年来报导治法很多,笔者采用针刺配合穴位敷贴方法,治疗61例,疗效较好,兹介绍于下.

更年期综合征是由于卵巢功能衰退,引起内分泌失调和植物神经功能紊乱,由此而产生的一系列症候群,是妇科常见病、多发病.近几年来笔者采用循经走罐的方法治疗本病,取得了较好的疗效,现报告如下.

方法:采用循膀胱经走罐协调阴阳气血、醒脑开窍,并配合肾经涌泉至太溪推按.结果:治疗98例,治愈39例,占39.8%;显效48例,占49.0%.提示本法有较显著治疗效果.

90例早期轻度血管性痴呆患者,随机分为A、B、C 3组,每组各30例.A组:麝香注射液2ml穴位注射;B组:麝香注射液2ml肌肉注射;C组:生理盐水2 ml肌肉注射.每日1次,疗程6周.治疗前后用多种神经心理测定量表进行测定,作出总体疗效(GI)和疗效指数(EI)的综合评定.结果:麝香注射液穴位注射(内关、风池、肾俞)总改善率为83.3%,肌肉注射总改善率为60.0%,进行组间比较,A与B、A与C、B与C之间,均P＜0.05,有统计学意义.结论:麝香穴位注射近期疗效确切,优于肌肉注射.