目的与方法:电针关元和三阴交穴,以调补冲任为施治原则,对33例围绝经期综合征患者进行临床治疗效应分折.结果与结论:发现电针关元、三阴交穴对改善围绝经期患者临床症状有明显统计学差异,临床有效率达93.9%.性激素检测也发现治疗后围绝经期患者E2、FSH、LH水平较治疗前有所改善.分析表明电针关元和三阴交穴可以缓解围绝经期综合征患者临床症状,提高患者的生活质量.

目的: 研究以黄芪注射液穴位注射配合艾灸疗法对化疗后白细胞减少症患者白细胞数量及细胞免疫的影响.方法:将恶性肿瘤化疗后白细胞减少症患者86例,随机分为黄芪注射液穴位注射配合艾条温和灸治疗组(治疗组)、西药口服组(对照组),分别进行对照治疗,以治疗前后临床症状、外周血白细胞数量、T 淋巴细胞亚群CD+3、CD+4、CD+8含量的变化为指标进行实验观察.结果:黄芪注射液穴位注射配合艾条温和灸较升白药口服有明显提高外周血白细胞数的作用;前者能提高肿瘤患者外周血T细胞亚群CD+3、CD+4含量、使CD+4/CD+8比值升高,两组比较有显著性差异(P《0.01);并且能明显改善全身虚损症状.结论:黄芪注射液穴位注射配合艾条温和灸能有效升高白细胞,改善恶性肿瘤患者的全身症状.

目的:观察活血通窍刺灸法治疗椎动脉型颈椎病的临床疗效.方法:将176例患者随机分为治疗组(89例)和对照组(87例).治疗组针刺膈俞、风池和百劳穴,同时灸百会和上星穴;对照组口服西比灵.结果:活血通窍刺灸法能提高临床综合疗效,显著提高主观指标积分,显著提高体征积分,明显改变血液动力学,其作用优于对照组,并发现治疗组远期疗效明显优于对照组.结论:活血通窍刺灸法治疗椎动脉型颈椎病疗效肯定.

目的:观察针刺加拔罐治疗慢性咽炎的临床疗效.方法:将慢性咽炎患者60例随机分为两组,治疗组30例,采用针罐治疗;对照组30例,采用常规的抗炎、抗病毒治疗.观察两组的临床疗效.结果:治疗组总有效28/30,对照组为24/30.治疗组疗效明显优于对照组(P《0.05).结论:针刺加拔罐治疗慢性咽炎的疗效好.

目的:观察针刺疗法治疗急性脑梗死的疗效.方法:将80例急性脑梗死患者随机分为治疗组40例,对照组40例,采用悬钟透三阴交为主的针刺法,经治疗1个疗程后,比效2组的疗效及治疗前后脑梗死灶大小变化.结果:经1个疗程后,治疗组总痊愈率88.5%,对照组57.5%,二者差异有显著性意义(P《0.05);梗死病灶变化好转率治疗组明显高于对照组,亦有显著性意义(P《0.05).结论:该疗法是降低中风致残率,提高治愈率的有效方法.

目的:观察耳穴贴压治疗海洛因依赖的疗效.方法:耳穴贴压配合西药美沙酮治疗海洛因依赖60例,并与美沙酮治疗60例作对照,临床戒毒观察10 d.结果与结论:结果表明,耳穴贴压配合西药美沙酮戒毒疗效明显优于对照组美沙酮的戒毒疗效(P《0.01),其复吸率也低(P《0.01).认为耳穴贴压配合西药美沙酮戒毒是目前比较理想的戒毒治疗方法.

目的:观察电针郄穴为主治疗急性期血瘀型颈椎病临床疗效.方法:采用电针手少阳三焦经之郄穴会宗穴、手太阳小肠经之郄穴养老为主,配合电针病变颈椎旁夹脊穴治疗急性期血瘀型颈椎病32例,并随机选择31例以常规针刺颈段夹脊穴治疗作对照组,进行随机对照研究.同时观察两组治疗前后血液流变学的变化.疼痛评估采用视觉模拟评分法(VAS法)评价疗效.结果与结论:治疗组总有效率93.8%,平均疗程20.2±3.1 d,疼痛积分3.47±1.45;对照组总有效率83.9%,平均疗程26.5±1.8 d,疼痛积分5.67±1.52.经t检验,P《0.01.疗效经Ridit分析,P《0.05,两组治疗前后血液流变学有改善.表明两组疗效、平均疗程均有显著性差异,治疗组既能提高疗效,又能缩短疗程.

目的: 探讨针刺加穴位注射治疗化疗药物致骨髓抑制的可行性、有效性.方法:对110例恶性肿瘤动脉化疗的患者行术后骨髓抑制期穴位(足三里、三阴交、血海、关元、气海)针刺和针刺加地塞米松5 mg注射治疗.结果:针刺治疗和针刺加药物注射均有效的改善化疗后骨髓抑制,针刺加穴位注射组疗效更佳.结论:针刺可以有效的刺激骨髓因化疗药物所致的急性短期抑制,针刺加穴位注射可以有效地缩短治疗时间及外周血的低血象期,二者结合具有明显的协同作用效果,降低了治疗费用.

目的: 研究针刺或艾灸膈俞穴对低白细胞模型大鼠提升白细胞和增强骨髓增殖功能的作用.方法: 选用Wister大鼠为实验对象, 用环磷酰胺(CTX)腹腔注射造成白细胞减少及免疫功能抑制模型, 分组处理后, 在不同时相进行白细胞计数, 并计数骨髓有核细胞数, 以评估针刺或艾灸膈俞穴的升白及增强骨髓造血功能的作用.结果: 针刺、艾灸膈俞穴及常规西药治疗均可显著提升白细胞、增加骨髓有核细胞计数, 且艾灸膈俞穴组疗效优于针刺膈俞穴组及常规西药对照组(P《0.05).结论: 艾灸膈俞穴可明显提升低白模型大鼠外周血白细胞数和骨髓有核细胞计数.

目的:探讨电针防治腰椎间盘移位的机理.方法:75只大鼠经手术造成椎间盘移位模型,成功后分为电针组,西药组,针药组,模型对照组和正常对照组,分别给予相应处理.RT-PCR法测定椎间盘组织中iNOS mRNA的表达.结果:模型组大鼠椎间盘组织iNOS mRNA表达与正常组之间比较存在显著性差异(P＜0.01);电针组、西药组、针药组对大鼠椎间盘组织iNOS mRNA表达均受抑制,与模型组比较有显著性差异(P＜0.01).结论:电针具有抑制椎间盘组织内iNOS的作用.

目的: 提高颈部旋转手法的准确性.方法:应用定向式微型麦克风记录两组患者在施颈部旋转手法作用时发出的"咔哒"声.结果:颈部旋转手法主要作用在旋转侧,只有少部分是作用在旋转的对侧.定点旋转复位法作用范围小,作用点相对集中;端提旋转复位法作用的节段较多,作用点相对分散.结论:旋转手法主要作用在旋转侧,并非旋转的对侧;端提旋转复位法作用范围较广,对上颈段病变的疗效较好;而定点旋转复位法作用范围较为局限,适用于下颈段病变;旋转时"咔哒"声的出现,预示着关节运动达到了极限.

将临床确诊为活动期类风湿关节炎52例采用针刺加西药治疗, 30 d为1疗程.治疗前后临床症状体征和免疫学指标比较差异显著(P《0.05, P《0.01).针刺联合西药治疗活动期类风湿关节炎能有效调节体液免疫和提高临床疗效.

采用颈椎仰头位旋转复位法,配合针刺风池、天柱、安眠、第1和第2颈椎夹脊穴、脑空、玉枕和外关,治疗了54例枕大神经痛患者,全部有效.

针刺天柱、风池、完骨和夹脊穴,推拿颈肩部肌肉,揉按重点穴位风池、缺盆、肩井,配合扳颈法,治疗了98例青少年颈椎病患者,1个疗程后症状缓解89例,2个疗程后症状消失94例.

根据辨证,将肠易激综合征分为肝脾不调和心脾两虚两型,分别针刺治疗.结果31例患者中,显效25例,好转5例,无效1例.

130例单纯性肥胖症患者经针刺和耳穴贴压治疗,经1个疗程治疗后,显效49例,有效73例,无效8例,总有效率为93.8%.尤其以重度肥胖症的减肥效果佳.

Professor HAN Bi-ying is a chief doctor in the acupuncture department of Guang An Men Hospital of China Academy of Chinese Medical Science. She has been engaged in clinical practice for nearly 40 years and accumulated abundant clinical experience, especially in clinical syndrome differentiation. I am fortunate to follow professor HAN to practice acupuncture on weekends and learn from him. I now present her academic thoughts and clinical experience with proven cases for References.

Acupuncture is one of the common treatment methods in China, and its clinical effectiveness has now been accepted in many countries or it has been expanded worldwide and applied as a medical modality. In China, clinical practice has proved that the indications of acupuncture include more than 300 disorders in nervous system, endocrine system, immune system, circulatory system, digestive system, respiratory system, urinary system, reproductive system, blood system, sensory system and motor system, and the indications are increasingly created with the development of the clinical application of acupuncture. Since 1949, China has attached great importance to the development of Chinese medicine cause, invested a large amount of money to finance Chinese medicine, and achieved fruitful results, as a result, to maintain the leading role of acupuncture in the world. Preceding researches have proven that acupuncture is effective in clinical practice, and it works in bi-directional regulation by many procedures such as nerve-endocrine-im-munenetwork, which undoubtedly shows the objectivity of acupuncture effects. Above research achievements have called extensive attention across the world.

Shenque (CV 8), located at the center of the umbilicus, has a very close connection with the five-zang and six-fu organs, the fourteen meridians, and extremities and bones of the body. It is described as the congenital stalk and postnatal qi-warehouse. It plays a key role in the circulation of qi and blood. Historically needling this point was strictly prohibited. In the past decade, the author got good efficacy by moxibustion, electric-acupuncture and herbal application on this point in treating varieties of problems of internal medicine, gynecology, pediatrics and dermatology. The following here are four examples.

Professor LIAN Yu-lin, a chief doctor in the acupuncture department of the first affiliated hospital of Tianjin College of Traditional Chinese Medicine, has been engaged himself in Chinese medicine for over 30 years with perfect medical skills and rich experience in the treatment of cerebrovascular diseases and cervical and lumbar diseases, especially in the treatment of gynecological disorders by acupuncture. I follow professor Lian as an intern and have learnt some skillful techniques in the treatment of gynecological disorders by acupuncture.