简介:Inthisarticle,theauthorsholdthattheevidence-basedmedicine(EBM)isanewmedicalactionproducedatthehistoricmomentinclinicalpractice,whichispromotingdevelopmentofthemedicineandeventhewholelifescienceinafullynewtrainofthoughtendmethod.FurtherthebrieflyintroducedcontentsaretheeffectofEBM,thedifficultyofutilizingintheacupunctureclinicalpracticeandhowtoresolvethem.ItishighlyrecommendedthatthedoctorsoftheacupuncturesciencefieldshouldstudyEBManditseffectanddifficultiesinpracticeasearlieraspossible,insistentlyassimilatenewknowledgeandkeepabreastofthetimes'progresstofacilitatethefurtherdevelopmentofacupunctology.
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简介:Peripheralfacialparalysisisacommondiseasewithmanifestationoffacialparalysis.Theauthor'sclinicalobservationon50casesoffacialparalysistreatedmainlywithacupunctureshowedaneffectiverateof98%,andtheremarkableeffectivenesswasreportedasfollows.50casesofoutpatientswhichconsistedof14malesand36femaleswereobserved.Theoldestwas61yearsandtheyoungest24years,withanaverageageof36years.33caseshadfacialparalysisontherightsideandother17casesontheleftside.Theshortestdurationwasonedayandthelongest19months.Treatmentwasdoneonceeveryotherdayandacoursecomprisedoftentreatments.Mainacupoints:Chengqi(ST1),Sibai(ST2),Juliao(ST3),Dicang(ST4),Jiache(ST6),Xiaguan(ST7),Sizhukong(TE23),andHegu(LI4),etc.werealladoptedineverytreatement.ComplementaryacupointswereYingxiang(Li20),Cuanzhou(BL2),Yangbai(GB14),andChengjiang(CV24).Methods:Gauge28filiformneedles(1cunatlength)wereused.Intheneedlingprocess,manipulationsofevenreinforcingandreducingincombinationwithlifting-thrustingandtwirling-rotatingwereabopted.Theneedlingsensationwasmadetoincreaseonlywithinthepatient'sbearablethresholdandtheneedleswerewithdrawnimmediatelyfollowingmanipulatingtheneedlesforawhile(about3min).Shallowinsertionofacupunctureneedleswascarriedoutthroughoutthewholetreatmentprocess.Criteriaofthetherapeuticeffect:Cure:Theclinicalsynptomsdisappearedompletelyaftertreatment(facialmusclewasnormal).Effective:Somesymptomswereimprovedbutfacialexpressionwasstillslay.Noeffect:Symptomsremainedthesameafterthetherapy.Results:80%ofthe50cases,namely27caseswithleftfacialparalysisand13caseswithrightsidefacialparalysis,werecured.7cases(14%)showedsignificantimprovement,2cases(4%)effectiveness,and1case(2%)noeffect,thusthetotaleffectiveratewas98%.Conclusion:Patientswithshorterdurationofdisease(withinamonth)hadhigherrecoveringratethanthos
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简介:ⅠLowerBackPainLowerbackpainisacommondiseasechar-acterizedbypaininthelumbarregion.Thepainmaybeononesideandmaybeontwosides.Clinically,lowerbackpaincanbefoundinvari-ousdiseasessuchassofttissueinjury,diseasesofthespine,anddiseasesoftheinternalorgans,etc..
简介:Objective:Toobservethetherapeuticeffectofcombinedtreatmentofdiabetesmellitus(DM)anditscomplications.Methods:30casesofnoninsulindependentdiabetesweretreatedbyelectroacupuncture(EA)ofTianzhu(天柱BL10),Dashu(大杼BL11),Fengmen(风门BL12),Jueyinshu(厥阴俞BL14),etc,massageattheacupointsalongtheBladderMeridian,pointinjectionofVitaminB1,B6,B12pluslidocaineatNeiguan(内关PC6)andSanyinjiao(三阴交SP6,onceevery3days),cuppingandphysiotherapycomprehensively.Thetherapeuticeffectwasanalyzedafter40treatments.Results:Aftertreatment,ofthe30cases,23(76.7%)experiencedremarkableimprovementintheirsymptomsandtherest7(23.3%)hadimprovement,withthetotaleffectiveratebeing100%.Conclusion:TheabovementionedcombinedtreatmentmethodworkswellinimprovingclinicalsymptomsoftypeⅡDMpatients.
简介:Objective:Totrytogiveanobjectiveevaluationontheclinicalresearchsituationaboutacupuncturetreatmentoffacialparalysisinthepast50yearsandtrytoprovideapossibleevidenceforclinicalpractice.Methods:Allpapersaresearchedandassessedaccordingtotheinternationalstandardsandclinicalepidemiology.Results:Thereisnosystematicreview(SR)onacupuncturetreatmentoffacialpalsyinatotalof1021articlesenlistedinthepresentpaper.Comparingwiththequantityofthedescriptivestudiesandexpertopinions(constituting84.84%),thatoftherandomizedcontrolledtrials(RCTs)andclinicalcontrolledtrials(CCTs)issmaller(constituting15.16%),be-sides,thequalityofRCTsandCCTsisunsatisfactory.Conclusion:Atpresent,thequantityandqualityofstudieswithRCTsaboutacupuncturetreatmentoffacialparalysiscan'tmeettheneedofclinicalpractice,andinordertoimprovethetherapeuticeffect,ahigherqualityofRCTsandSRisrequired.
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简介:Inthepresentpaper,theauthorsreviewrecentadvancesinclinicalandexperimentalstudiesonacupuncturetreatmentofcerebralhemorrhage(CH).Regardingclinicalstudies,theresuscitation-inducingneedlingmaneuver,andmainpointsofShuigou(水沟GV26),Baihui(百会GV20)andscalp-pointsMotorArea(MS6),SensoryArea(MS7),etc.areofteninvolved.Concerningexperimentalstudies,theunderlyingmechanismsofacupunctureofGV-26+'Neiguan'(内关PC6),GV-20,GV-26+GV-20,etc.inimprovingacuteCHareintroduced.Inaword,acupuncturetherapyworkswellinimprovingclinicalsymptomsandsignsofCHpatients,andacupuncturestimulationinducedameiliorationofcerebralbloodflow,favorablemodulationofsomebioactivesubstancesasexcitatoryandinhibitoryaminoacids,endothelin,CGRP,heatshockprotein70,etc.andneuro-endocrine-immunenetworkmaycontributetotheeffectofacupunctureonCH.Inaddition,acupuncturecombinedwithmedicineandearlierapplicationofacupuncturetherapyintheacutestageofCHarerecommendedinclinicalpractice.
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简介:Objective:Toobservethetherapeuticeffectofscalpacupunctureoncerebralbloodflowinpseudobulbarparalysispatientsforanalyzingmechanismsofscalp-acupunctureinthetreatmentofwindstrokek.Methods:Atotalof38inpatients(26malesand12females)weretreatedwithelectroacupuncture(EA)ofscalp-pointDingzhougxian(MS5),DingnieHouxiexian(MS7),DingpangxianⅡ(MS9)andDingnieQianxiexian(MS6).Beforeandafteracupuncturetreatment,clinicalsymptomsofdysphadiaanddyskphoniaserecompared,andthemeanbloodflowspeed(MBFS)valuesoftheanteriorcerebralartery(ACA),middlecerebralartery(MCA)andposteriorcerebralartery(PCA)detectedbyusingDopplerbloodflowmeter.Results:Followingtwocourses(4weeks)ofscalp-acupuncturetreatment,ofthe38cases,23hadtheirdysphagiaanddyskphoniacured(60.5%),10(25.3%)hadremarkableimprovement,3(7.9%)experiencedimprovementand2(5.3%)hadnoapparentchanges.Simultaneously.MBFSofACA,MCAandPCAincreasedsignificantlyincomparisonwiththatofpre-treatment(P<0.01).Additionally,resultsalsoshowedthatscalpacupuncturecouldstabilizethebloodcirculationbetweenbothhemispheresofthebrain.Conclusion:Scalpacupuncturehasafairlygoodtherapeuticeffectinimprovingstrokecauseddysphagiaanddysphoniaandinfacilitatingcarebralbloodflow.
简介:Melancholyisageneraltermfordiseasesresultingfromemotionaldepressignandstagnationofqi.Disorderofqi-circulationcandisturbfunctionalactivityofthebloodsystemandresultinmanypathologicalchanges.Inthissection,onlyhysteriaisdiscussed.Ifyouwanttotreatheadache,insomnia,palpitation,seminalemissionandglobushystericus,therelativesectionsinotherlecturescanbereferredto.
简介:Thispaperreportedthat2785in-patientswithinfantilediarrheaweretreatedwithmoxaconemainlyonpointsHegu(LI4),Zhongwan(CV12),Shenque(CV8),Zusanli(ST36)andPishu(EL20).Asaresult,2520cases(90.5%)weretreatedwithexcellenttherapeuticef-fectiveness;233(8.4%),good,and32(1.1%),poor.Thetotaleffectiveratereached98.9%.
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简介:Inthepresentstudy,121patientswithlumbarvertebrahyperosteogenyweredividedintofollowingfourgroupsfortreatmentandcomparison:intenseelectro-acupuncturegroup(Group1),hydro-acupuncturegroup(Group2),electro-acupunctureplushydro-acupuncturegroup(Group3)andanalgesicliquidforspurgroup(Group4).Itisindicatedthattheeffectofelectro-acupunctureplushydro-acupunctureisthebestinthetreatmentoflumbarvertebrahyperosteogeny.