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The historical source of “Trigger Points”:classical Ashi points 被引量:4
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作者 姜姗 赵京生 《World Journal of Acupuncture-Moxibustion》 CSCD 2016年第2期11-14,共4页
Our research began with a consideration of the etymological origins of the terms Ashi and the Ashi point. We used both original source texts and textual criticism to trace the original meaning of the phrases, "take t... Our research began with a consideration of the etymological origins of the terms Ashi and the Ashi point. We used both original source texts and textual criticism to trace the original meaning of the phrases, "take the tender spot as the point" and "use the Ashi method." Linguistic theory informed our discussion of three similar terms and our analysis of them. We show that Ashi points are in theory similar to regular acupuncture points in terms of their definition and function. Furthermore, we can use the concept of "c/i-pathway (Qi./ie)" to expand our understanding of the clinical use of Ashi points. Ultimately, the main purpose of our research was to clarify that the classical Ashi point and modern, western concept of the trigger point are in fact quite similar. The two concepts have been described in different languages primarily due to cultural differences. 展开更多
关键词 ashi point tenderness as acupoint ACUpointS local effect triggerpoint dry needling
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Regular acupuncture at combined with join valley needling at ashi point for scapulohumeral periarthritis: A randomized controlled trial 被引量:7
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作者 Miao ZHANG Cheng-xin FAN +2 位作者 Peng-yu ZHU Wen-ting NIE Hai QIN 《World Journal of Acupuncture-Moxibustion》 CSCD 2019年第4期269-273,共5页
Objective:To observe clinical efficacy differences of regular acupuncture at empirical acupoints combined with join valley needling at ashi point compared with simple join valley needling at ashi point for scapulohume... Objective:To observe clinical efficacy differences of regular acupuncture at empirical acupoints combined with join valley needling at ashi point compared with simple join valley needling at ashi point for scapulohumeral periarthritis.Methods:Sixty-four patients of scapulohumeral periarthritis were randomly divided into an observation group and a control group,32 cases in each one.Both groups underwent basic rehabilitation training.Patients in the observation group were treated with acupuncture at empirical acupoints combined with join valley needling at ashi point,while the patients of the control group were treated with simple join valley needling at ashi point.Both groups were all treated once a day,6 times a week.Patients were treated for one course which lasted for 4 weeks.The visual analog scale(VAS)score,the Constant-Murley score and the Hamilton Anxiety Scale(HAMA)are compared between the two groups before and after the treatment,and the efficacy was evaluated after the treatment.Telephone investigation was applied as the followed-up after one month of the treatment.Results:The total effective rate in the observation group was 87.5%(28/32),and that in the control group was 71.9%(23/32),and there was statistically significant difference between the two groups(P<0.05).The VAS scores,Constant-Murley scores,and HAMA scores in the patients of the observation group were lower than those of the corresponding indicators in the patients of the control group respectively,and there were statistically significant differences(all P<0.05).Conclusions:Compared with simple join valley needling at ashi point,regular acupuncture at empirical acupoints combined with join valley needling at ashi point can relieve the clinical symptoms of patients with scapulohumeral periarthritis,attenuate pains,ease anxiety and improve daily life activities better. 展开更多
关键词 ashi point Join valley needling Scapulohumeral periarthritis
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Clinical observation of acupuncture bloodletting at Ashi points on local swelling and pain after snakebite 被引量:2
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作者 Lin-sheng ZENG Zhong-yi ZENG +6 位作者 Yu-xiang LIU Cong-cong ZHANG Jian-hua GAO Qiang LIU Lin-hua LIU Yan ZHANG Cheng-bin LI 《World Journal of Acupuncture-Moxibustion》 CSCD 2021年第3期197-201,共5页
Objective:To evaluate the clinical therapeutic effect of acupuncture bloodletting therapy on local swelling and pain of snakebite in the patients bitten by snakes.Methods:A total of 106 patients with trimeresurus stej... Objective:To evaluate the clinical therapeutic effect of acupuncture bloodletting therapy on local swelling and pain of snakebite in the patients bitten by snakes.Methods:A total of 106 patients with trimeresurus stejnegeri bite were randomly divided into two groups,a conventional treatment group and a conventional treatment combined with bloodletting therapy group,53 cases in each one.In the conventional treatment group,the convention treatment of western medicine was adopted.In the conventional treatment combined with bloodletting therapy group,on the base of the conventional treatment,bloodletting therapy was applied at Ashi points selected at the tender points around the wound.The intervention and observation were performed not less than 7 days in two groups.Before and after treatment,swelling and pain degrees were measured and remission time of both the limb swelling and pain were recorded in the patients.Results:Compared with the values on day 1 of treatment,swelling degree and visual analogue scale(VAS) score of the upper and lower limbs were all lower on day 3 and day 7 of treatment in the patients of the two groups(all P <0.05).Compared with the conventional treatment group,swelling degree and VAS score of the upper and lower limbs were all lower in the values of the conventional treatment combined with bloodletting therapy group on day 3 and day 7 of treatment respectively(all P <0.05).The remission time of either limb swelling or pain in the patients of the conventional treatment combined with bloodletting therapy group was shorter than the conventional treatment group respectively(both P <0.05).Conclusion:Acupuncture bloodletting therapy can effectively relieve the local swelling and pain caused by snakebite,promote the recovery of limb function,shorten the treatment course and improve the clinical therapeutic effect. 展开更多
关键词 ACUPUNCTURE BLOODLETTING SNAKEBITE Swelling and pain ashi points
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Clinical Study on Treatment of Myofascial Pain Syndrome with Ashi Points 被引量:3
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作者 张峻峰 吴耀持 韩丑萍 《Journal of Acupuncture and Tuina Science》 2008年第6期347-351,共5页
Objective: To investigate the clinical efficacy of Ashi points in the treatment of myofascial pain syndrome. Method: A hundred and fifty cases were randomized into a treatment group and a control group by the order ... Objective: To investigate the clinical efficacy of Ashi points in the treatment of myofascial pain syndrome. Method: A hundred and fifty cases were randomized into a treatment group and a control group by the order of visit. The cases in the treatment group were treated with "Stuck Needle" method in Ashi points plus tuina manipulations. The cases in the control group were treated with external local application of Votalin. The cases in both groups were treated once a day and 10 times made up one course. Results: Among 90 cases in the treatment group, 18 got clinical recovery, 34 got marked effect, 34 got certain effect, the marked effective rate was 57.8% and the total effective rate was 94.4%; while among 60 cases in the control group, 1 got clinical recovery, 18 got marked effect, 15 got certain effect, the marked effective rate was 31.7% and the total effective rate was 73.3%. Statistical management showed P〈0.01, indicating a significantly better effect in the treatment group. In addition, "Stuck Needle" method in Ashi points plus tuina manipulations can effectively improve local pain, tenderness, muscle spasm and motion range of joints, and can obtain significantly better effect for muscle spasm and motion range of joints. Conclusion: This therapy is safe, reliable and effective, and therefore worth spreading for clinical application. 展开更多
关键词 ashi points Myofascial Pain Syndrome Acupuncture Therapy TUINA MASSAGE
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Can Ashi Points Stimulation Have Specific Effects on Shoulder Pain? A Systematic Review of Randomized Controlled Trials 被引量:1
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作者 王康锋 张立娟 +2 位作者 陆峰 陆永辉 杨传华 《Chinese Journal of Integrative Medicine》 SCIE CAS CSCD 2016年第6期467-472,共6页
Objective: To provide an evidence-based overview regarding the efficacy of Ashi points stimulation for the treatment of shoulder pain. Methods: A comprehensive search [PubMed, Chinese Biomedical Literature Database,... Objective: To provide an evidence-based overview regarding the efficacy of Ashi points stimulation for the treatment of shoulder pain. Methods: A comprehensive search [PubMed, Chinese Biomedical Literature Database, China National Knowledge Infrastructure (CNKI), Chongqing Weipu Database for Chinese Technical Periodicals (VIP) and Wanfang Database] was conducted to identify randomized or quasi-randomized controlled trials that evaluated the effectiveness of Ashi points stimulation for shoulder pain compared with conventional treatment. The methodological quality of the included studies was assessed using the Cochrane risk of bias tool. RevMan 5.0 was used for data synthesis. Results: Nine trials were included. Seven studies assessed the effectiveness of Ashi points stimulation on response rate compared with conventional acupuncture. Their results suggested significant effect in favour of Ashi points stimulation [odds ratio (OR): 5.89, 95% confidence interval (CI): 2.97 to 11.67, P〈0.01, heterogeneity: x 2=3.81, P=0.70, 12=0% ]. One trial compared Ashi points stimulation with drug therapy. The result showed there was a significantly greater recovery rate in group of Ashi points stimulation (OR: 9.58, 95% CI: 2.69 to 34.12). One trial compared comprehensive treatment on the myofascial trigger points (MTrPs) with no treatment and the result was in favor of MTrPs. Conclusions: Ashi points stimulation might be superior to conventional acupuncture, drug therapy and no treatment for shoulder pain. However, due to the low methodological quality of included studies, a firm conclusion could not be reached until further studies of high quality are available. 展开更多
关键词 ashi point shoulder pain ACUPUNCTURE systematic review
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Clinical Observation on Ashi Point Injection of Ozone for Tennis Elbow 被引量:5
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作者 郑兆俭 杨玲 《Journal of Acupuncture and Tuina Science》 2009年第6期347-348,共2页
Tennis elbow (lateral epicondylitis ) is the asepticinflammation on the attachment point of tendons ofthe forearm extensor muscles. It is a common-encountered disease with main symptoms of pain,tenderness and weakness... Tennis elbow (lateral epicondylitis ) is the asepticinflammation on the attachment point of tendons ofthe forearm extensor muscles. It is a common-encountered disease with main symptoms of pain,tenderness and weakness in holding objects. Theauthor treated 75 cases of tennis elbow by ozoneacupoint injection. It was reported as follows. 展开更多
关键词 Hydro-acupucnture points ashi Tennis Elbow
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Distributed Simulation of Non-Point Source Pollution in Ashi River Basin 被引量:1
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作者 Fang Ma Xiaofeng Jiang +2 位作者 Li Wang Zhe Li Xiongwei Liang 《Journal of Harbin Institute of Technology(New Series)》 EI CAS 2015年第3期31-39,共9页
In order to get a thorough understanding of non-point source pollution,it is essential to examine its temporal and spatial distribution. A physically-based distributed model,Soil and Water Assessment Tool( SWAT),was u... In order to get a thorough understanding of non-point source pollution,it is essential to examine its temporal and spatial distribution. A physically-based distributed model,Soil and Water Assessment Tool( SWAT),was used in this research,to quantitatively estimate the NPS load and analyze the temporal and spatial distributions of NPS pollution in Ashi River Basin. The results indicated that SWAT was suitable to simulate stream-flow and water quality in Ashi River Basin. Total Nitrogen which was contributed by NPS( NPS-TN) accounted for 32. 47%-62. 61%,and Total Phosphorus which was contributed by NPS( NPS-TP)accounted for 22. 30%- 57. 85% of the total load respectively. In inter-annual timescale,both NPS-TN and NPS-TP were influenced by stream-flow and fertilizer. However,when compared with fertilizer,NPS pollution was more directly affected by stream-flow. In annual timescale,NPS-TN and NPS-TP mainly occurred in flood season( from May to September). In the aspect of space,spatial differences of NPS-TN and NPS-TP were extremely significant. The spatial variations of NPS pollution were mainly influenced by land use,precipitation,soil and slope. 展开更多
关键词 SWAT model non-point source NITROGEN PHOSPHORUS ashi River Basin
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Analysis of the Relationship between Landuse and Non-point Source Pollution in Ashi River Basin 被引量:1
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作者 马放 姜晓峰 +2 位作者 王立 李哲 梁雄伟 《Journal of Donghua University(English Edition)》 EI CAS 2016年第1期25-31,共7页
Landuse is one of the most influential factors of non-point source pollution. Based on the three-year landuse data( 2000,2005 and 2008),Arc GIS and Fragstat were used to analyze the landuse type and the change of land... Landuse is one of the most influential factors of non-point source pollution. Based on the three-year landuse data( 2000,2005 and 2008),Arc GIS and Fragstat were used to analyze the landuse type and the change of landscape pattern. The relationships between landuse and non-point source-total nitrogen( NPS-TN) and nonpoint source-total phosphorus( NPS-TP) were discussed with the methods of spatially statistical analysis,landscape pattern analysis and principal component analysis. The study results conveyed that agricultural land and forestland,which accounted for over 92% of the study area,were the major landuse type of Ashi River Basin.Meanwhile,the NPS pollution had close connections with landuse type and landscape pattern. When it comes to landuse type,the export risks of NPS-TN and NPS-TP were agricultural land > urban land > grassland > forestland. As for landscape pattern,NPS-TN and NPS-TP were positively related to SHDI and SHEI, while negatively connected with LPI,AI and COHESION. Therefore,the study could reach the conclusion that the more fragmented and complicated the landscape patterns were,the more serious the NPS pollution was. 展开更多
关键词 soil and water assessment tool(SWAT) model non-point source(NPS) landuse type landscape pattern ashi River Basin
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Clinical application of “Ase point” by professor WEI Lian-hai 被引量:1
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作者 王凝露 魏连海 《World Journal of Acupuncture-Moxibustion》 CSCD 2017年第1期63-66,共4页
"Ase points" refer to a kind of effective acupoints used in acupuncture- moxibustion treatment for various diseases of internal medicine, and the location with obvious color change on patient's skin is selected as ... "Ase points" refer to a kind of effective acupoints used in acupuncture- moxibustion treatment for various diseases of internal medicine, and the location with obvious color change on patient's skin is selected as treatment site. The method of diagnosis and treatment of diseases through examining the response of meridians and collaterals and acupoints on the body surface had been recorded in ancient books, however, it is rare during clinical acupuncture therapy to taking the color change on patient's skin as research emphasis, and taking these sensitive points as specific acupoints to conduct acupuncture- moxibustion therapy. The author explored and analyzed "Ase points" in terms of the nomenclature, acupoint selection method, and etc., and verified the application of "Ase points", providing a new idea for clinical diagnosis and treatment methods of acupuncture-moxibustion. 展开更多
关键词 Ase points ashi points color acupuncture
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被泛化的阿是法
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作者 牟东晓 武晓冬 +2 位作者 赵楠琦 丁楠 袁静云 《中国针灸》 北大核心 2025年第1期105-109,122,共6页
通过对阿是法源流考证文献进行逐条分析,提出当前阿是法存在泛化情况。经过系统研究和理论辨析后可知,阿是法就是源自于民间、广泛应用于民间的用于寻找缓解病痛部位的简易定位取穴方法,这是相较于官方正统经络腧穴学教育和治疗而言的... 通过对阿是法源流考证文献进行逐条分析,提出当前阿是法存在泛化情况。经过系统研究和理论辨析后可知,阿是法就是源自于民间、广泛应用于民间的用于寻找缓解病痛部位的简易定位取穴方法,这是相较于官方正统经络腧穴学教育和治疗而言的。阿是法是当时穷苦百姓在缺医少药情况下的无奈之选,是有一定局限性的。现代针灸医生在临床上须将阿是穴与十四经穴及经外奇穴等结合使用,并且结合现代医学知识和技术开展更为细致深入的研究。 展开更多
关键词 阿是法 阿是穴 定位取穴 揣穴
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恢刺法联合雷火灸治疗第三腰椎横突综合征的临床观察 被引量:2
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作者 徐学妍 肖颖 +2 位作者 沈丹彤 叶水林 陈劼 《广州中医药大学学报》 2025年第3期670-675,共6页
【目的】观察恢刺法联合雷火灸治疗第三腰椎横突综合征的临床疗效。【方法】选取2022年6月至2024年2月中国人民解放军南部战区总医院特勤科及康复医学科收治的60例明确诊断为第三腰椎横突综合征的患者为研究对象。按随机数字表将患者随... 【目的】观察恢刺法联合雷火灸治疗第三腰椎横突综合征的临床疗效。【方法】选取2022年6月至2024年2月中国人民解放军南部战区总医院特勤科及康复医学科收治的60例明确诊断为第三腰椎横突综合征的患者为研究对象。按随机数字表将患者随机分为观察组和对照组,每组各30例。对照组给予电针针刺配合红光局部照射治疗,观察组给予恢刺联合雷火灸治疗。隔日治疗1次,治疗10次为1个疗程,共治疗2个疗程。治疗后,评价2组临床疗效,观察2组患者治疗前后疼痛视觉模拟量表(VAS)评分的变化情况,以及日本骨科协会(JOA)评分的情况。比较2组患者治疗前后Oswestry功能障碍指数(ODI)评分的变化情况。【结果】(1)治疗后,2组患者的VAS评分均明显改善(P<0.05),且观察组在改善VAS评分方面明显优于对照组,差异有统计学意义(P<0.05)。(2)治疗后,2组患者的JOA评分与ODI评分均明显改善(P<0.05),且观察组在改善JOA评分与ODI评分方面明显优于对照组,差异均有统计学意义(P<0.05)。(3)观察组总有效率为93.33%(28/30),对照组为83.33%(25/30)。观察组疗效优于对照组,差异有统计学意义(P<0.05)。【结论】恢刺法联合雷火灸治疗第三腰椎横突综合征,能明显改善患者的疼痛症状,增强患者腰椎活动度,从而提高患者生活质量,临床疗效显著。 展开更多
关键词 恢刺法 雷火灸 第三腰椎横突综合征 阿是穴 临床观察
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基于“灸背俞,针阿是”探讨骨转移癌痛治疗
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作者 陈君仪 胡玉星 +2 位作者 张子淑 孟繁颖 田雪飞 《湖南中医药大学学报》 2025年第6期1071-1075,共5页
骨转移癌痛是癌症转移到骨骼后引起的疼痛,是晚期癌症患者常见的并发症。基于“灸背俞,针阿是”治疗理念,结合“荣亏瘀伤”癌痛病机理论,阐述背俞穴与阿是穴在骨转移癌痛治疗中的作用,提出治疗骨转移癌痛的配穴体系,即“灸背俞”以益肾... 骨转移癌痛是癌症转移到骨骼后引起的疼痛,是晚期癌症患者常见的并发症。基于“灸背俞,针阿是”治疗理念,结合“荣亏瘀伤”癌痛病机理论,阐述背俞穴与阿是穴在骨转移癌痛治疗中的作用,提出治疗骨转移癌痛的配穴体系,即“灸背俞”以益肾荣骨调脏腑、“刺阿是”以理气活血止疼痛。在辨证配穴方面,以护胃温阳祛邪为纲,旨在顾护胃气以调和气血缓疼痛,建中填精以养血温阳补肝肾,泻实通瘀以祛邪排毒蠲痹痛,佐以解郁安神,多方合力,共奏止痛之效。 展开更多
关键词 癌痛 骨转移 背俞穴 阿是穴 穴位注射 阳气 血瘀
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张文兵主任基于反阿是穴法运用针刀治疗颈型颈椎病经验 被引量:1
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作者 张华 张文兵(指导) 《中国民族民间医药》 2025年第8期103-106,共4页
颈型颈椎病近年来发病率逐年升高,针对本病中西医已有一些有效方案,但一般治疗周期偏长。文章总结了张文兵主任使用反阿是穴疗法治疗颈型颈椎病的临证经验,具有疗程短、起效快、简便安全等优势。张文兵主任以“经筋小整体”理论为指导,... 颈型颈椎病近年来发病率逐年升高,针对本病中西医已有一些有效方案,但一般治疗周期偏长。文章总结了张文兵主任使用反阿是穴疗法治疗颈型颈椎病的临证经验,具有疗程短、起效快、简便安全等优势。张文兵主任以“经筋小整体”理论为指导,将颈部肌群视为一个整体,根据痛点在“小整体”内的对应位置寻找反阿是穴,在反阿是穴上通过针刀治疗,释放紧张肌纤维或条索状结节的压力,改善局部血液循环,阻断炎症反应等作用,以达到快速止痛、调和气血、重新调整颈部肌肉平衡的效果。 展开更多
关键词 颈型颈椎病 经筋小整体 反阿是穴 针刀
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针刺治疗斑秃案1例
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作者 张博宇 高希言 +2 位作者 李赟 褚文明 董莉 《基层中医药》 2025年第11期58-60,共3页
本文报道1例斑秃患者接受针刺治疗的情况。根据患者四诊情况,辨证分析该患者病因病机,于脱发病灶部之阿是穴、足太阳经之背俞穴等部位施以针刺,针刺治疗隔日1次,每周3~4次,共治疗64次(约18周)后病灶处毛发已完全生出,发根牢固,色泽鲜亮... 本文报道1例斑秃患者接受针刺治疗的情况。根据患者四诊情况,辨证分析该患者病因病机,于脱发病灶部之阿是穴、足太阳经之背俞穴等部位施以针刺,针刺治疗隔日1次,每周3~4次,共治疗64次(约18周)后病灶处毛发已完全生出,发根牢固,色泽鲜亮,诸症好转,随访1个月未见复发,远期疗效显著,具有临床推广意义和研究参考价值。 展开更多
关键词 斑秃 头油风 针刺 围刺
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三叉神经刺络放血联合灵龟八法治疗风痰阻络型贝尔氏面瘫的临床研究
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作者 宁屹 孟博文 +3 位作者 姚红旗 康坤 刘雪峰 刘奇 《中医药学报》 2025年第9期59-64,共6页
目的:探讨三叉神经刺络放血联合灵龟八法对风痰阻络型贝尔氏面瘫的临床疗效。方法:选取2022年1月—2024年11月在安徽医科大学附属阜阳医院及阜阳市中医医院被诊断为贝尔氏面瘫的患者72例,随机分为治疗组(36例,脱落4例)和对照组(36例,脱... 目的:探讨三叉神经刺络放血联合灵龟八法对风痰阻络型贝尔氏面瘫的临床疗效。方法:选取2022年1月—2024年11月在安徽医科大学附属阜阳医院及阜阳市中医医院被诊断为贝尔氏面瘫的患者72例,随机分为治疗组(36例,脱落4例)和对照组(36例,脱落1例)。两组均给予西医基础治疗,对照组采取常规针刺治疗,每日治疗1次,每周治疗5 d,连续治疗4周。治疗组在对照组治疗的基础上采取三叉神经刺络放血联合灵龟八法治疗,前7 d采取三叉神经阿是穴放血联合灵龟八法(公孙、内关、足临泣、外关、后溪、申脉、列缺、照海)治疗,每日治疗1次,7 d后采取灵龟八法治疗,每日治疗1次,每周治疗5 d,连续治疗4周。比较两组治疗前后House-Brackmann面神经瘫痪分级、Sunnybrook(多伦多)面神经评定系统量表、改良Portmann评分量表、面部残疾指数(FDI)量表及中医症状疗效标准量表的变化。结果:治疗后,两组患者的House-Brackmann面神经瘫痪分级、Sunnybrook(多伦多)面神经评定系统量表、改良Portmann评分量表、面部残疾指数(FDI)量表级中医症状疗效标准量表均较治疗前优化(P<0.05),且治疗组显著优于对照组(P<0.05,P<0.01)。治疗组临床疗效总有效率为93.75%(30/32),明显优于对照组的82.86%(29/35)。结论:三叉神经刺络放血联合灵龟八法治疗风痰阻络型贝尔氏面瘫可改善面神经功能,提高生活质量,缓解临床症状,具有良好的临床应用价值。 展开更多
关键词 阿是穴放血疗法 贝尔氏面瘫 临床研究 面神经功能 生活质量
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Traditional Chinese acupuncture manipulations and “dry needling” 被引量:5
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作者 郝洋 刘炜宏 《World Journal of Acupuncture-Moxibustion》 CSCD 2016年第2期15-19,共5页
In this paper, the authors studied the manipulation of "dry needling", reviewed Chinese ancient and modern literature of acupuncture-moxibustion, and found that "dry needling" is very similar to triple needling, s... In this paper, the authors studied the manipulation of "dry needling", reviewed Chinese ancient and modern literature of acupuncture-moxibustion, and found that "dry needling" is very similar to triple needling, superficial needling, joint valley needling, surround needling, and other traditional Chinese acupuncture- moxibustion manipulations; even if in modern China, before and after the invention of "dry needling", some unique therapies, such as oblique insertion therapy at Ashi point, sliver needling, Fu's subcutaneous needling, and long-round needling, were also invented. It can be seen that "dry needling" therapy is actually a kind of differentiation of traditional Chinese acupuncture- moxibustion in the international communication. The spread of traditional Chinese acupuncture-moxibustion in the West is the basis for the invention of "dry needling" therapy, and "dry needling" therapy develops and enriches traditional Chinese acupuncture-moxibustion. 展开更多
关键词 Dry needling triple needling superficial needling joint valleyneedling surround needling oblique insertion at ashi point sliver needling Fu's subcutaneous needling long-round needling traditional acupuncture-moxibustion
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基于声触诊弹性成像评价针刺阿是穴治疗颈型颈椎病的临床研究
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作者 崔梦洁 高珍 +3 位作者 顾倪瑄 申煜 王海军 冀来喜 《针灸临床杂志》 2025年第6期8-12,共5页
目的:疼痛是一种多维体验,基于声触诊弹性成像技术评价针刺阿是穴治疗颈型颈椎病的临床疗效,为针刺镇痛的临床疗效评价提供可靠依据。方法:招募42例颈型颈椎病患者,随机分为真针刺组(20例,脱落1例)和假针刺组(21例),同期招募与患者性别... 目的:疼痛是一种多维体验,基于声触诊弹性成像技术评价针刺阿是穴治疗颈型颈椎病的临床疗效,为针刺镇痛的临床疗效评价提供可靠依据。方法:招募42例颈型颈椎病患者,随机分为真针刺组(20例,脱落1例)和假针刺组(21例),同期招募与患者性别、年龄匹配的21例健康受试者。针刺治疗3次/周,共2周。基于声触诊弹性成像表征患者和健康受试者剪切波传播速度的差异,同时采用视觉模拟量表(VAS)、压痛阈值(PPT)等症状相关量表及焦虑自评量表(SAS)和抑郁自评量表(SDS)等情绪量表评价针刺干预颈型颈椎病的临床疗效。结果:与健康受试者比较,颈型颈椎病患者剪切波传播速度明显增高;真针刺组治疗后剪切波传播速度显著降低,差异具有统计学意义(P<0.05),且与假针刺组比较,差异具有统计学意义(P<0.05);与治疗前比较,两组VAS、SAS及SDS评分均显著降低,差异具有统计学意义(P<0.05),真针刺组PPT和NDI评分显著降低,差异具有统计学意义(P<0.05)。结论:声触诊弹性成像技术在评价针刺治疗颈型颈椎病方面具有一定价值,可为其临床疗效的客观评价提供依据。 展开更多
关键词 颈型颈椎病 针刺 阿是穴 声触诊弹性成像
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基于艾灸循经筋阿是穴的中医治疗对膝骨性关节炎的改善策略探析
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作者 王友清 刘彦权 +2 位作者 张剑凯 曾敏娟 古剑雄 《临床医学研究与实践》 2025年第30期190-194,共5页
膝骨性关节炎(KOA)为临床常见的老年疾病,对老年人群的健康与生命质量造成了严重危害。中医药治疗膝关节疾病有着悠久的历史,外治法中的艾灸疗法已具备显著的疗效、独特的优势,并在临床实践中积累了丰富的经验。作为中医治疗KOA的一种... 膝骨性关节炎(KOA)为临床常见的老年疾病,对老年人群的健康与生命质量造成了严重危害。中医药治疗膝关节疾病有着悠久的历史,外治法中的艾灸疗法已具备显著的疗效、独特的优势,并在临床实践中积累了丰富的经验。作为中医治疗KOA的一种非药物介入手段,艾灸循经筋阿是穴的外治法逐步受到国际医学界的重视,其能够显著缓解KOA疼痛,提升关节功能,且不良反应极少,可进一步改善患者日常生活质量。为此,本文系统综述艾灸循经筋阿是穴在KOA治疗中的应用,探讨其具体的作用机制和优化策略,旨在为传统中医学对KOA的治疗策略制定提供借鉴与参考。 展开更多
关键词 膝骨性关节炎 艾灸 循经筋阿是穴 中医治疗
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麦粒灸联合针刺治疗中老年带状疱疹后遗神经痛40例临床观察 被引量:32
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作者 邱玲 杨璇 +4 位作者 阚俊微 张敏 张吉 郑旭 何流 《中医杂志》 CSCD 北大核心 2015年第22期1931-1934,共4页
目的观察麦粒灸联合针刺治疗中老年带状疱疹后遗神经痛患者的临床疗效及安全性。方法将80例中老年带状疱疹后遗神经痛患者随机分为观察组和对照组各40例。对照组采用常规针刺、电针夹脊穴及阿是穴围刺治疗,观察组在对照组基础上加用麦... 目的观察麦粒灸联合针刺治疗中老年带状疱疹后遗神经痛患者的临床疗效及安全性。方法将80例中老年带状疱疹后遗神经痛患者随机分为观察组和对照组各40例。对照组采用常规针刺、电针夹脊穴及阿是穴围刺治疗,观察组在对照组基础上加用麦粒灸。两组每日治疗1次,5次为1个疗程,疗程间休息2天,共治疗4个疗程。治疗前及治疗5、10、15、20次后采用视觉模拟疼痛(VAS)评分、汉密尔顿焦虑量表(HAMA)评分评价患者疼痛及焦虑症状,计算患者疼痛缓解百分数并评价临床疗效。记录两组患者治疗期间的不良反应。对治愈的患者,在治疗结束后3个月内随访其疼痛复发情况。结果观察组临床疗效总有效率为94.74%,对照组为92.11%,两组比较差异无统计学意义(P>0.05)。治疗组治疗5、10、15、20次后,VAS评分、HAMA评分及疼痛缓解百分数均较前一时间点显著改善(P<0.05),且观察组VAS评分及疼痛缓解百分数治疗后各时间点均优于对照组(P<0.05),观察组治疗5、10次后HAMA评分优于对照组(P<0.05)。两组治疗期间均未发生不良反应。治愈患者随访3个月均未发生疼痛复发。结论麦粒灸联合针刺对中老年带状疱疹后遗神经痛患者症状安全有效,且远期疗效稳定。 展开更多
关键词 带状疱疹后遗神经痛 麦粒灸 阿是穴 电针 夹脊穴
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针刀干预对大鼠触发点肌组织P物质和缓激肽的影响 被引量:37
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作者 张义 张莉 +2 位作者 郭长青 杜宁宇 陈晨 《中华中医药杂志》 CAS CSCD 北大核心 2020年第1期97-100,共4页
目的:观察针刀干预对大鼠触发点肌组织P物质和缓激肽含量的影响。方法:将雄性SD大鼠40只随机取8只作为空白组,其他32只采用"打击结合离心运动"的方法建立触发点模型。将造模成功的24只分为针刀组、注射组和模型组,每组8只。... 目的:观察针刀干预对大鼠触发点肌组织P物质和缓激肽含量的影响。方法:将雄性SD大鼠40只随机取8只作为空白组,其他32只采用"打击结合离心运动"的方法建立触发点模型。将造模成功的24只分为针刀组、注射组和模型组,每组8只。应用免疫组织化学技术检测各组大鼠触发点肌组织内P物质和缓激肽的含量。结果:模型组P物质及缓激肽显著高于空白组(P<0.05);针刀组和注射组显著低于模型组(P<0.05)。结论:针刀干预可降低肌筋膜疼痛触发点处肌组织内P物质和缓激肽的含量水平,这可能与针刀治疗触发点疼痛症状的机制有关。 展开更多
关键词 针刀 触发点 P物质 缓激肽 肌筋膜疼痛综合征 阿是穴
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