Objective To observe the clinical efficacy of transverse striation needling in treatment of cervical spondylosis.Method Thirty patients were diagnosed with cervical spondylosis in Guoyitang Clinic,Yanwu Branch of Zhongshan Hospital,Xiamen University from July,2013 to March,2015,and were included into this study.Transverse striation needling,i.e.transverse insertion into the transverse striation of the cervical vertebra,was adopted for the 30 patients,and conventional acupuncture at Fēngchí(风池 GB 20,bilateral),Jiānj?ng(肩井 GB 21,bilateral) and Jiānzhōngshù(肩中俞 SI 15,bilateral) was combined.The treatment was conducted for once a day,twice a week,and 6 times were needed in total.Follow-up visit was performed two months after the treatment.Result Among the 30 patients,the markedly effective rate was 70.0%(21/30),effective rate was 30.0%(9/30),and the total effective rate was 100.0%.There was no relapse during two months after the treatment.Conclusion The therapeutic effect of transverse striation needling in treatment of cervical spondylosis was good.
Objective To observe the clinical efficacy of excitement transfer therapy for insomnia. Methods According to the inclusion criteria, 32 patients, selected from Guoyitang, affiliated Zhongshan Hospital Yanwu Branch of Xiamen University from May to October, 2016, were diagnosed with insomnia and included in this study. All the patients were treated by adopting the excitement transfer therapy, i.e. cluster needling was carried out at the acupoints of wrist and ankle in the manner of penetration needling, and combined with sliding- cupping at governor vessel and bladder meridian on the back. All the subjects were treated for 3 times per week, and treatment for 6 times was considered as I course of treatment. The curative effect was observed after treatment for 2 courses, and follow-up visit was performed for two months after treatment. Efficacy evaluation criteria were established by reference to Guidelines of Clinical Research on Chinese New Herbal Medicine (Trial) Results Cured: 11 cases (34%4 markedly effective: 16 cases (50%), effective: 4 cases (13%4 ineffective: 1 case. The total effective rate was up to 97%. There was no relapse during two months after the treatment. Conclusion The efficacy of excitement transfer therapy for insomnia was significant, which was worthy of clinical promotion and application.
目的:动态观察电针对胃溃疡模型大鼠胃黏膜损伤修复的影响,探讨电针治疗胃溃疡的时效关系和分子机制。方法:72只SD大鼠分为空白组、模型组、胃经穴组、对照点组,并按干预时间1、4、7 d分为3个亚组,每个亚组6只。采用乙醇灌胃方法制备胃溃疡大鼠模型,胃经穴组电针"足三里""梁门",对照点组电针"梁门""足三里"外旁开5 mm处,每日1次,每次电针30 min。空白组和模型组用鼠板束缚但不进行电针处理,每日1次,每次30 min。用逆转录-聚合酶链反应(PR-PCR)法检测胃增殖细胞核抗原(PCNA)、P物质(SP)的表达,Western blot检测胃神经降压素(NT)的表达。结果:干预1 d后,模型组溃疡指数显著高于空白组(P<0.01),PCNA、SP、NT表达降低(P<0.01,P<0.05);胃经穴组与模型组、对照点组相比,溃疡指数降低(均P<0.05),上调PCNA m RNA、SP m RNA的表达(均P<0.05)且显著上调NT蛋白表达(均P<0.01)。干预4 d后,模型组溃疡指数降低但仍高于空白组(P<0.05),PCNA m RNA、SP m RNA、NT蛋白的表达上升且高于空白组(均P<0.01);胃经穴组溃疡指数接近空白组(P>0.05),PCNA m RNA、SP m RNA低于模型组(P<0.01,P<0.05),NT蛋白与模型组比较差异无统计学意义(P>0.05)。干预7 d后,各组以上指标组间比较差异均无统计学意义(均P>0.05)。结论:电针胃经穴能在胃溃疡发展的不同病理状态下对PCNA m RNA、SP m RNA进行双向调节的平衡作用同时促进NT蛋白高表达,进而促进溃疡的修复。