简介:目的:观察调督针法与常规针法的疗效差异,总结调督针法的临床疗效和运用规律。方法:90例脑梗死患者随机分为2组,每组45例。调督针法组采用调督针法结合康复训练,常规针刺组采用常规针刺结合康复训练。2组分别在治疗前、治疗2周后、治疗4周后,采用改良的Barthel指数(MBI)、Fugl—Meyer运动功能评分法(FMA)及神经功能缺损评分(NDS)进行疗效评定。结果:治疗2周后,两组MBI、FMA评分较治疗前显著提高(P〈O.01),两组NDS评分较治疗前显著降低(P〈0.01),两组组间对比MBI、FMA评分及NDS评分均差异无统计学意义(P〉0.05);治疗4A后,调督针法组MBI、FMA评分显著高于传统针刺组(P〈0.05),NDS评分显著低于传统针刺组(P〈0.05)。结论:与常规针刺法相比,调督针法能显著改善脑梗死患者的日常生活活动能力。
简介:目的:比较头针、梅花针叩刺头部区域结合语言训练和单纯语言训练两种不同方法治疗缺血性中风失语患者的临床疗效。方法:选择60例缺血性中风失语患者随机分为观察组和对照组,每组30例。对照组予语言训练治疗;观察组在语言训练基础上,取顶颞前斜线、顶颞后斜线、顶中线行针刺治疗,出针后,在顶颞前斜线、顶中线、顶颞后斜线、曲鬓穴和悬厘穴连线四线围定区域,用梅花针轻叩2~3遍。采用《汉语失语成套测验》计分标准,比较两组患者失语检查法各亚项评分。结果:两组在治疗后信息量、流利性、复述、词命名、颜色命名、反应命名、回答是否题、听辨认、执行指令各亚项的评分均较治疗前明显提高(均P〈0.05),且观察组治疗后以上各项评分均较对照组增加明显(均P〈0.05)。结论:针刺、梅花针叩刺配合语言训练治疗缺血性中风失语疗效显著,其效果优于单纯语言训练治疗缺血性中风失语。
简介:传统的时辰治疗最初出自《内经》,是以中国传统时期针灸治法为代表,以阴阳五行、日时干支、经络气血流注学说为基石,利用及时取穴到达治愈病症的目的。一般分为子午流注纳甲法,子午流注纳子法,灵龟八法等,其特殊的思维方式往往可以在诊断病情时获得独特的效果,是中医学传统时期医术的精髓。但这些年来,部分研究者也对传统时期针灸治疗的使用价值进行了检验,从而证明了其临床效果。
简介:'Mountainburningmanipulation(烧山火)'and'heavenlycool-inducingtechnique(透天凉)'wereearlyseeninGreatCompletionofAcupunctureandMoxibustion:PoemofGoldenNeedle(《针灸大全·金针赋》)writtenbyXuFenginMingdynasty,whicharethebasisofreinforcingandreducingmanipulationofacupuncture.Insuchneedlingmanipulations,severalconditionsareconsidered,suchasthespeedofinsertionandwithdrawalofneedle,liftingandthrustingofneedle,nineyangnumberandsixyinnumber,aswellasopenorcloseofpointafterwithdrawal;additionally,theneedlingmanipulationsareaccomplishedinthreelayers,namedheaven,earthandhumanbeing.Themanipulationsofthesetwotechniquesarecomplicatedandarenoteasilymastered,therefore,thesuccessfulrateoftheclinicalapplicationisratherlowandthemanybeginnersfeeldifficultinlearning.Inrecent20years,onthebasisoftheoriginaltechniques,byconstantdiscussion,akindofsimplemanipulationhasbeendevelopedandthesuccessoftheoperationbecomesquitehigh.During10years,from1978to1997,bythestatisticalanalysisontheclinicaldataof'mountainburningmanipulation(烧山火)'and'heavenlycool-inducingtechnique(透天凉)',thesuccessfulrateinclinichadbeenover90%.Thefollowingistheintroductiononthemodifiedoperation,stepsandclinicalapplication.
简介:TheSuWen.TiaoJingLun(《素问·调经论》,PlainQuestions·TheoryofRegulatingMeridians)said,"Patientswithpaininbodyyetwithoutanyailmentaretreatedwithcontralateralshallowcollateralneedling;patientswithpainononesidewithailmentsontheothersidearetreatedwithcontralateraldeepcollateralneedling".Therefore,bothofthetwotherapiesareapplicabletopainsyndromes,and,forcontralateraldeep