Objective：To search for an effective therapy in treating peripheral facial paralysis. Methods： One hundred and eight patients were randomly divided into treatment group （n = 68） and control group （n = 40）. The m...Objective：To search for an effective therapy in treating peripheral facial paralysis. Methods： One hundred and eight patients were randomly divided into treatment group （n = 68） and control group （n = 40）. The multi-directional needling technique was used by selecting Jiache （颊车 ST 6）, Yangbai （阳白 GB 14） and Dicang （地仓 ST 4） in the treatment group, and the traditional acupuncture technique with conventional needle selection was used in the control group. The treatment was given once daily with 10 treatments constituting a therapeutic course, and 2 courses of treatment were given in both the groups. Results： After the treatment, of the 68 and 40 cases in treatment and control groups, 56 （82.3%） and 28 （70.0%） were cured, 11 （16.2%） and 8 （20.0%） improved in clinical symptoms and signs, 1 （1.5%） and 4 （10.0%） failed, with the total effective rate being 98.5% and 90.0% respectively, and the therapeutic effect of treatment group was significantly superior to that of control group （ P 〈 0.05）. Conclusion： The multi-directional needling is an effective therapy for treating peripheral facial paralysis.展开更多
The homogenized Mg−5.6Gd−0.8Zn(wt.%)alloys were treated with water cooling and furnace cooling to obtain specimens without and with the 14H long-period stacking ordered(LPSO)phase.Subsequently,multi-directional forgin...The homogenized Mg−5.6Gd−0.8Zn(wt.%)alloys were treated with water cooling and furnace cooling to obtain specimens without and with the 14H long-period stacking ordered(LPSO)phase.Subsequently,multi-directional forging(MDF)experiments were carried out.The microstructure and mechanical properties of different regions(the center,middle and edge regions)in the MDFed alloys were systematically investigated,and the effect of LPSO phase on them was discussed.The results show that the alloys in different regions undergo significant grain refinement during the MDF process.Inhomogeneous microstructures with different degrees of dynamic recrystallization(DRX)are formed,resulting in microhardness heterogeneity.The alloy with the LPSO phase has higher microstructure homogeneity,a higher degree of recrystallization,and better comprehensive mechanical properties than the alloy without the LPSO phase.The furnace-cooled alloy after 18 passes of MDF has the best comprehensive mechanical properties,with an ultimate compressive strength of 488 MPa,yield strength of 258 MPa,and fracture strain of 21.2%.DRX behavior is closely related to the LPSO phase and deformation temperature.The kinked LPSO phase can act as a potential nucleation site for DRX grains,while the fragmented LPSO phase promotes DRX nucleation through the particle-stimulated nucleation mechanism.展开更多
The Ordos Basin(OB)in the western part of the North China Craton(NCC),was located at the jointed area of multi-plates and has recorded the Mesozoic tectonic characteristics.Its tectonic evolution in the Mesozoic is si...The Ordos Basin(OB)in the western part of the North China Craton(NCC),was located at the jointed area of multi-plates and has recorded the Mesozoic tectonic characteristics.Its tectonic evolution in the Mesozoic is significant to understand the tectonic transformation of the northern margin of the NCC.In this work,the detrital zircon and apatite(U-Th)/He chronological system were analyzed in the northern part of the OB,and have provided new evidence for the regional tectonic evolution.The(U-Th)/He chronological data states the weighted ages of 240‒235 Ma,141 Ma with the peak distribution of 244 Ma,219 Ma,173 Ma,147‒132 Ma.The thermal evolution,geochronological data,and regional unconformities have proved four stages of regional tectonic evolution for the OB and its surroundings in the Mesozoic:(1)The Late Permian-Early Triassic;(2)the Late Triassic-Early Jurassic;(3)the Late Jurassic-Early Cretaceous;(4)the Late Cretaceous-Early Paleogene.It is indicated that the multi-directional convergence from the surrounding tectonic units has controlled the Mesozoic tectonic evolution of the OB.Four-stage tectonic evolution reflected the activation or end of different plate movements and provided new time constraints for the regional tectonic evolution of the NCC in the Mesozoic.展开更多
This review explores multi-directional functionally graded(MDFG)nanostructures,focusing on their material characteristics,modeling approaches,and mechanical behavior.It starts by classifying different types of functio...This review explores multi-directional functionally graded(MDFG)nanostructures,focusing on their material characteristics,modeling approaches,and mechanical behavior.It starts by classifying different types of functionally graded(FG)materials such as conventional,axial,bi-directional,and tri-directional,and the material distribution models like power-law,exponential,trigonometric,polynomial functions,etc.It also discusses the application of advanced size-dependent theories like Eringen’s nonlocal elasticity,nonlocal strain gradient,modified couple stress,and consistent couple stress theories,which are essential to predict the behavior of structures at small scales.The review covers the mechanical analysis of MDFG nanostructures in nanobeams,nanopipes,nanoplates,and nanoshells and their dynamic and static responses under different loading conditions.The effect of multi-directional material gradation on stiffness,stability and vibration is discussed.Moreover,the review highlights the need for more advanced analytical,semi-analytical,and numerical methods to solve the complex vibration problems ofMDFG nanostructures.It is evident that the continued development of these methods is crucial for the design,optimization,and real-world application of MDFG nanostructures in advanced engineering fields like aerospace,biomedicine,and micro/nanoelectromechanical systems(MEMS/NEMS).This study is a reference for researchers and engineers working in the domain of MDFG nanostructures.展开更多
The complex grain fragmentation mechanisms of coarse grains in titanium alloys under multi-directional forging(MDF)directly influence the optimization and control of primary hot working processes.This study conducted ...The complex grain fragmentation mechanisms of coarse grains in titanium alloys under multi-directional forging(MDF)directly influence the optimization and control of primary hot working processes.This study conducted MDF experiments onβ-phase as-cast Ti-6554 alloy and simulated non-uniform deformation during cyclic multi-directional compression through macro-and micro-deformation modeling.The results revealed that friction and surface cooling caused low strain and tensile stress concentration at billet edges,leading to mixed grain structures.In contrast,high strain and triaxial compressive stress at billet centers facilitated uniform grain refinement.After 14 compressions and 4 intermediate reheating processes,coarse grains of the billet were refined from 2-5 mm to 0.25-0.50 mm,achieving uniform grain sizes across different regions.For the first time,the orientation evolution of grains with different morphologies during multi-directional compressions was visualized microscopically.Columnar grains were found to be more easily subdivided than equiaxed grains due to local strain accumulation.Under cumulative compressions,grain orientations gradually rotated from uniform to random,driving continuous dynamic recrystallization(CDRX).Slip system interactions and concentrated misorientation led to the formation and extension of transition and shear bands,inducing grain fragmentation dominated by transgranular subdivided CDRX.Smooth grain boundaries transformed into serrated ones after multiple passes,providing additional nucleation sites for discontinuous dynamic recrystallization(DDRX)and facilitating boundary expand CDRX.The interaction of diverse DRX mechanisms was the fundamental cause of grain refinement.This study clarified the principles of refining and homogenizing millimeter-grade coarse grains under increasing forging strain,offering valuable insights for the development of primary hot processing techniques for as-castβtitanium alloys.展开更多
The superplasticity of the Mg−8.59Gd−3.85Y−1.14Zn−0.49Zr alloy was investigated before and after multi-directional forging(MDF)and the mechanisms affecting superplastic deformation were analyzed.The results indicate t...The superplasticity of the Mg−8.59Gd−3.85Y−1.14Zn−0.49Zr alloy was investigated before and after multi-directional forging(MDF)and the mechanisms affecting superplastic deformation were analyzed.The results indicate that after MDF at a temperature of 350℃and strain rates of 0.1 and 0.01 s^(−1)(1-MDFed and 2-MDFed),the superplasticity of the alloy can be significantly improved.The elongations of the MDFed alloys exceed 400%under the strain rate of 6.06×10^(−4)s^(−1)and temperatures of 350,375,and 400℃,and reach the maximum values of 766%(1-MDFed)and 693%(2-MDFed)at 375℃.The grain boundary sliding of the MDFed alloy is sufficient,and the energy barrier of deformation decreases.Theβphase limits the grain growth and promotes dynamic recrystallization,maintaining the stability of the fine-grained structure during superplastic deformation.Several Y-rich phases nucleate in the high-strain region(i.e.,the final fracture region)at high temperatures,accelerating the fracture of the specimen.展开更多
A staged modeling approach is proposed to divide the needling process into three stages:deformation,insertion and smoothness,and construct dynamic coupling models of rigid force,cutting force and friction force respec...A staged modeling approach is proposed to divide the needling process into three stages:deformation,insertion and smoothness,and construct dynamic coupling models of rigid force,cutting force and friction force respectively.Based on the Boussinesq contact theory,the initial tip-fabric contact behavior is analyzed,combined with the elastic cutting theo-ry to quantify the fiber breakage mechanism,and the Winkler foundation model and LuGre dynamic friction model are used to characterize the friction properties of the needle shaft.It is shown that:the stiffness force in the deformation stage is af-fected by the geometrical parameters of the needle tip and the elastic modulus of the fabric;the cutting force in the insertion stage is closely related to the micro deformation of the fiber;and the dynamic friction behavior in the smooth stage can be depicted by the LuGre model with high accuracy.The complete needling force prediction model finally established provides a theoretical basis for optimizing composite needling process parameters,reducing fiber damage and equipment design.展开更多
Fu's subcutaneous needling(FSN)represents a non-pharmacological therapy that employs disposable needles for subcutaneous application,primarily targeting the relaxation of tightened muscles,invigoration of blood ci...Fu's subcutaneous needling(FSN)represents a non-pharmacological therapy that employs disposable needles for subcutaneous application,primarily targeting the relaxation of tightened muscles,invigoration of blood circulation,and alleviation of local tissue ischemia.Originating from traditional acupuncture and modern techniques,FSN effectively treats muscle-related conditions,including soft tissue injuries,neck-shoulder-back pain,visceral pain,and non-painful diseases.Its unique features encompass shallow needling,the swaying movement technique,and an emphasis on governing the spirit.FSN is characterized by rapid therapeutic responses,high repeatability,and minimal side effects,adhering to the keep it simple,stupid(KISS)principle in research by emphasizing simplicity and efficacy.By mechanically releasing chronic muscle tension,FSN improves arterial blood flow,halts pathological leakage of intracellular adenosine triphosphate(ATP),and consequently resolves pain.This therapy offers a promising and safe approach for pain management and muscular health,deserving vigorous promotion and further scientific investigation.展开更多
Objective:Although there is evidence to support the therapeutic effect of acupuncture on allergic rhinitis(AR),it is not clear whether acupuncture can achieve an efficacy comparable to that of pharmacological therapy....Objective:Although there is evidence to support the therapeutic effect of acupuncture on allergic rhinitis(AR),it is not clear whether acupuncture can achieve an efficacy comparable to that of pharmacological therapy.This multicenter,non-inferiority,single-blinded randomized controlled trial aimed to compare the differences in efficacy between warm needling(WN)therapy and loratadine(LO)in improving AR symptoms and quality of life.Methods:A total of 98 patients with persistent AR(PAR)were randomly divided into two groups in a 1:1 ratio:treatment group receiving WN therapy at Dazhui(GV14)and normal acupuncture at other acupoints for 12 sessions in 4 weeks and control group receiving LO at a dosage of 10 mg/day for oral administration.The study duration was 28 weeks(4-week treatment period with a 24-week follow-up).The primary outcome was the mean change in the Total Nasal Symptom Score(TNSS)from baseline to week 28,and the secondary outcomes included the Total Non-Nasal Symptom Score(TNNSS)and the Rhinoconjunctivitis Quality of Life Questionnaire(RQLQ)score.Statistical analyses were conducted us-ing SPSS22.0.Both intention-to-treat and treatment compliance analyses were performed to analyze all outcomes.Results:After intervention,TNSS scores improved from baseline to week 28 by 5.18(95%confidence interval[CI]:3.91,6.45;P<0.001)in the WN group and 4.59(95%CI 3.28,5.89;P<0.001)in the LO group,but the changes did not differ between the groups(P=0.515).The margin by 95%CI(−1.20,2.38)was not reached,indicating non-inferiority.WN therapy resulted in clinical improvements in TNNSS,with a significant difference com pared with LO treatment(f=5.466,P=0.021).WN therapy also resulted in clinical improvements in RQLQ scores,with a significant difference compared with LO(f=9.222,P=0.003).Conclusions:WN therapy demonstrated comparable efficacy to oral LO in improving nasal symptoms of PAR.However,it showed superior effects in alleviating concomitant nasal symptoms and enhancing patients’quality of life.展开更多
International patients are flocking to Hainan for healing through the ancient technique of traditional Chinese medicine.SAREN,a traditional Chinese medicine(TCM)doctor,keeps vipbooks filled with warm messages in var...International patients are flocking to Hainan for healing through the ancient technique of traditional Chinese medicine.SAREN,a traditional Chinese medicine(TCM)doctor,keeps vipbooks filled with warm messages in various languages in her consulting room at Sanya International Friendship Sanatorium of TCM.These expressions of gratitude not only document a long medical career,but also vividly testify to how a Chinese doctor has used acupuncture to cure patients from around the world.展开更多
The effect of forging passes on the refinement of high purity aluminum during multi-forging was investigated. The attention was focused on the structure uniformity due to deformation uniformity and the grain refinemen...The effect of forging passes on the refinement of high purity aluminum during multi-forging was investigated. The attention was focused on the structure uniformity due to deformation uniformity and the grain refinement limitation with very high strains. The results show that the fine grain zone in the center of sample expands gradually with the increase of forging passes. When the forging passes reach 6, an X-shape fine grain zone is initially formed. With a further increase of the passes, this X-shape zone tends to spread the whole sample. Limitation in the structural refinement is observed with increasing strains during multi-forging process at the room temperature. The grains size in the center is refined to a certain size （110 μm as forging passes reach 12, and there is no further grain refinement in the center with increasing the forging passes to 24. However, the size of the coarse grains near the surface is continuously decreased with increasing the forging passes to 24.展开更多
Objective To observe the clinical efficacy of opposing needling for the treatment of migraine with the symptom of hyperactivity of liver yang type and its effect on NO level in plasma of patients. Methods Atotal of 60...Objective To observe the clinical efficacy of opposing needling for the treatment of migraine with the symptom of hyperactivity of liver yang type and its effect on NO level in plasma of patients. Methods Atotal of 60 migraine patients with the symptom of hyperactivity of liver yang who met the inclusive criteria were randomly divided into a opposing needling group （group A） and a routine acupuncture group （group B） by using SPSS 15.0 software according to the registration order with 30 patients in each group. Patients in group A were treated with opposing needling. Taich6ng （太冲 LR 3）, Zhongzhu （中渚 TE 3）, ZOlfnqi （足临泣 GB 41） and QiOxu （丘墟 GB 40） in the uninjured side were selected. After deqi, reducing method was used. Then Taixi （太溪 KI 3） in the uninjured side was selected. After deqi, rein forcing method was used. Needles were retained for 30 rain. Patients in group B were treated with routine acupuncture. Local Ash point, Sishncong （ 四神聪EX-HN1）, Yifeng （翳风 TE 17）, Fengchi （风池 GB 20）, Sizhukong （丝竹空 TE 23）, Shuaigu （率谷GB 8）, Hegu （合谷 LI 4） and LiEque （列缺 LU 7） were selected. After puncturing, reducing method was used routinely and needles were retained for 30 rain. After 2 weeks treatment, migraine specific quality of life questionnaire （MSQ）, visual analogue scale （VAS） and nitric oxide （NO） level in plasma of patients in two groups were observed. Results After treatment, the MSQ, VAS and NO of two groups were significantly improved compared with those before treatment. After treatment, score of MSQ functional limitation was 73.41±10.22 in group A and 60.95 ± 10.15 in group B; the score of MSQ dysfunction was 86.11 ±8.22 in group A and 75.45±8.34 in group B; score of MSQ emotion was 80.51±10.16 in group A and 75.01± 10.20 in group B. The improvements of group A were superior to those of group B, and the differences were all statistically significant （all P〈0.05）. After treatment, the VAS score was 0.93 ± 1.25 in group A and 2.17± 1.70 in group B. The improvement of group A was superior to that of group B, and the difference was statistically significant （P〈0.05）. After treatment, blood plasma NO level was （42.15 ± 16.15） μmol/L in group A and （62.76±15.17） μmol/L in group B. The improvement of group A was superior to that of group B, and the difference was statistically significant （P〈0.05）. Overall response rate was 86.7% （26/30） in group A and 53.3% （16/30） in group B, and the difference between two groups was statistically significant （P〈0.05）. Conclusion Opposing needling is an effective method for the treatment of migraine with the symptom of hyperactivity of liver yong. Its mechanism is to regulate the generation of NO in migraine patients, and improve the relaxation and contraction of cerebral vascular smooth muscle, so as to adjust the cerebral circulation.展开更多
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
Objective To observe the clinical efficacy of pricking needling by filiform needles in trea ng pediatric func onal dyspepsia. Methods Pricking needling was carried out on the 65 children with func onal dyspepsia on Sh...Objective To observe the clinical efficacy of pricking needling by filiform needles in trea ng pediatric func onal dyspepsia. Methods Pricking needling was carried out on the 65 children with func onal dyspepsia on Shàngwǎn（上脘 CV 13）,Zhōngwǎn（中脘 CV 12）,Xiàwǎn（下脘 CV 10）,Guānyuán（关元 CV 4）,Tiānshū（天枢 ST 25） at both sides,Zúsānlǐ（足三里 ST 36） at both sides and Sìfèng（四缝 EX-UE 10）. The treatments were carried out once every three days for totally three times,and the clinical efficacy was observed. Results Fiftyeight cases were cured,eff ec ve in 7 cases and no invalid case; the cure rate was 89.2% and the total eff ec ve rate was 100%. Conclusion Treatments on pediatric functional dyspepsia by pricking needling with filiform needles are simple and convenient,the therapeutic efficacy is accurate,and it deserves further generaliza on.展开更多
Objective To observe the clinical efficacy of treatment of hearing loss with ＂fameng needling＂ in Nèijīng（《内经》, The Yellow Emperor＇s Inner Classic）. Methods Seventy patients with hearing loss were divid...Objective To observe the clinical efficacy of treatment of hearing loss with ＂fameng needling＂ in Nèijīng（《内经》, The Yellow Emperor＇s Inner Classic）. Methods Seventy patients with hearing loss were divided into ＂fameng needling＂ group（group A） and conventional acupuncture group（group B） randomly by sortition, with 35 patients in each. ＂Fameng needling＂ was applied in patients in group A. Bilateral antitragi were pressed by middle fingers for covering the earholes, twirling for reduction was conducted by thumbs and index fingers, and then the middle fingers, thumbs and index fingers loosened suddenly after the patients felt sore or numb inside the ears. Conventional acupuncture treatment was adopted for patients in group B. Treatment for ten times was considered as one course of treatment, and clinical efficacy and electro-audiometry evaluation of all the patients were observed after three courses of treatment. Results The total effective rate of group A was 91.43%, which was superior to that of group B（71.43%）, and the difference between the two groups was statistically significant（P0.05）. The electro-audiometry evaluation results of the two groups after treatment improved when compared with that before treatment, the result in group A was（37.01±19.43） d BHL, which was superior to that of group B（49.85±21.29） d BHL, and the difference between the two groups was statistically significant（P0.01）. Conclusion ＂Fameng needling＂ is an effective method for treatment of hearing loss, which is worth promoting and applying clinically.展开更多
Objective To observe the clinical efficacy of fire needling and bloodletting at cleft points for acute gouty arthritis, and to explore its functional mechanism. Methods Thirty-five patients with acute gouty arthritis ...Objective To observe the clinical efficacy of fire needling and bloodletting at cleft points for acute gouty arthritis, and to explore its functional mechanism. Methods Thirty-five patients with acute gouty arthritis were enrolled into this study, and fire needling and bloodletting with 10 mL/ time were applied at cleft points of corresponding meridians and collaterals at the affected side. The treatment was conducted for once every other day, and treatment for three consecutive times was needed. Serum uric acid （UA） and pain score were tested in patients before treatment and on the 6th day after treatment, follow-up visit for 3 months was performed in patients who stopped treatment, and recurrence rate was calculated. Results Budzyuski 6-point behavioral rating scale was applied to score pain. T-test was conducted on mean and standard deviation of pain score before treatment （4.09 ＋ 0.82） and after treatment （1.14 ＋ 1.33）, showing that the difference was significant （P〈0.05）; t-test was also conducted on mean and standard deviation of serum UA before treatment [（555.34 ＋ 53.09） pmol/L] and after treatment [（414.23 ＋ 67.04） pmol/L], showing that the difference was significant （P〈0.05）; among the 35 patients with acute gouty arthritis, 14 patients were cured （40.0%）, improvement was found in 19 patients （54.3%）, and effectiveness was found in 33 patients （94.3%）. Based on follow-up visit for 3 months in 33 patients with efficacy, recurrence was found in 3 patients （9.1%）. Conclusion Fire needling and bloodletting at cleft points is an effective method in treatment of acute gouty arthritis with significant analgesic effect, efficacy of reducing serum UA, high cure rate and low recurrence rate, which is worth of being generalized clinically.展开更多
Objective To observe the correlation between analgesic effect and duration of analgesic effect of superficial needling for shoulder pain of shoulderhand syndrome（SHS） after stroke, so as to screen the best time peri...Objective To observe the correlation between analgesic effect and duration of analgesic effect of superficial needling for shoulder pain of shoulderhand syndrome（SHS） after stroke, so as to screen the best time period of analgesia. Methods A total of 120 patients with SHS after stroke（stage I） were recruited and superficial needling therapy was applied. Two obvious tenderness points on the affected shoulder of patients were found out. The site 80–100 mm down each tenderness point was selected for superficial needling. Bimanual needling technique was applied after inserting needles. The surrounding of tenderness points was pinched and grasped by left hand above the needling, and the technique of green dragon swaying tail was applied by right hand. The needles at each acupoint were manipulated for3 min and retained for 30 min. The analgesic effect was evaluated dynamically by visual analogue scale（VAS） in 120 patients before treatment, immediately after treatment, 30 min after treatment, 1 h after treatment and 24 h after treatment. The analgesic effects at different time were statistically analyzed by generalized estimating equation. Results The mean values of VAS were 7.483, 3.950, 4.767, 5.917 and 7.217, respectively, before treatment, immediately after treatment, 30 min after treatment, 1 h after treatment and 24 h after treatment. The difference of analgesic effect at different time was statistically significant（P〈0.01）; the difference of analgesic effect of superficial needling in treatment of SHS after stroke was significant between immediately after treatment and 30 min after treatment（both P〈0.05）, while there was no significant difference between 1 h after treatment and 24 h after treatment（both P〈0.05）. Conclusion Analgesic effect of superficial needling for shoulder pain of SHS after stroke was different at different time points and decreased over time; analgesic effect was the most significant immediately after treatment and the optimal duration of analgesic effect was from immediately to 30 min after superficial needling therapy.展开更多
Objective To explore the effect of heat-reinforcing acupuncture combined with Bobath rehabilita on training for the gross motor func on measurement（GMFM） in children with cerebral palsy. Methods Sixty cases of cereb...Objective To explore the effect of heat-reinforcing acupuncture combined with Bobath rehabilita on training for the gross motor func on measurement（GMFM） in children with cerebral palsy. Methods Sixty cases of cerebral palsy were randomized into a heat-reinforcing acupuncture combined with rehabilitation training group（group A） and a rehabilitation group（group B）,30 cases in each group. Rehabilitation training was applied in group B and heat-reinforcing acupuncture was added in group A. Jiāji（夹脊 EX-B 2）,Jiānyú（肩髃 LI 15）,Qūchí（曲池 LI 11）,Hégi（合谷 LI 4）,Yánglíngquán（阳陵泉 GB 34）,Yīnlíngquán（阴陵泉 SP 9）,Xuánzhōng（悬钟 GB 39）,Zúsānli（足三里 ST 36）,Sānyīnjiāo（三阴交 SP 6）,Chéngshān（承山 BL 57）,Tài chōng（太冲 LR 3）,Tàixī（太溪 KI 3） and Shénmén（神门 HT 4） were chosen in group A and the heat-reinforcing acupuncture was applied once a day. For scalp acupuncture,Biihuì（百会 GV 20）,Sìshéncōng（四神聪 EX-HN 1）,Zhìsānzhēn（智三针）,Nǎosānzhēn（脑三针）,Nièsānzhēn（颞三针） and motor area（运动区） were punctured without any manipulation,once every other day,3 months as a treatment course and 2 courses were needed. GMFM were selected to assess the children with cerebral palsy before treatment,a er 3 months treatment and a er 6 months treatment. Results The total eff ec ve rate in group A was 70.00%（21/30）,which is superior to that of 60.00%（24/30） in group B（P0.05）. In group A,the GMFM scores of decubitus position and turn-over of body,creeping and kneeling,sitting,standing,walking,running and jumping after6 months treatment were significantly improved compared with that before treatment and after 3 months treatment（all P0.05）. In group B,above indices a er 6 months treatment were significantly improved compared with those before treatment,the standing score after 6 months treatment was significantly improved compared with that a er 3 months treatment（P0.05）; the GMFM scores of creeping,kneeling,sitting,standing,walking,running and jumping after 6 months treatment in group A were more significantly improved than that in group B（all P0.05）. Conclusion The heat-reinforcing acupuncture combined with Bobath rehabilita on training has a be er eff ect than rehabilitation training on the GMFM scores of creeping and kneeling,si ng,standing,walking,running and jumping of children with cerebral palsy. It can be shown that the combination of heat-reinforcing acupuncture and Bobath rehabilita on training can improve the gross motor func on of children with cerebral palsy.展开更多
He＇s clinical suited acupuncture manipulation is summarized by the famous tradi onal Chinese medical master Prof. HE Pu-ren in his clinical prac ces for almost 70 years,and it is highly favored as ＂flying needle man...He＇s clinical suited acupuncture manipulation is summarized by the famous tradi onal Chinese medical master Prof. HE Pu-ren in his clinical prac ces for almost 70 years,and it is highly favored as ＂flying needle manipula on＂. This manipula on has high requirements on finger strength; it is characterized from techniques for holding needles to needling inser on,and it is painless during needle insertion and the needling responses are rapid; the operations are simple,with high prac cability in clinic,and it can improve working effi ciency and clinical effi cacy.展开更多
Objective To observe the clinical efficacy of moxibustion at B ihuì（百会 GV 20） combined with penetration needling in treatment of intractable facial paralysis. Methods Sixty patients with intractable facial pa...Objective To observe the clinical efficacy of moxibustion at B ihuì（百会 GV 20） combined with penetration needling in treatment of intractable facial paralysis. Methods Sixty patients with intractable facial paralysis included in the study were divided into two groups according to the random number table, with 30 patients in observation group（group A）, and 30 patients in control group（group B）. Moxibustion at GV 20 combined with penetration needling were adopted in group A, and simple penetration needling was applied in group B. Once daily, thirty days of treatment were required. The House Brackmann（H-B） facial nerve function grading and improvement of clinical symptoms were observed. Results The H-B function grading and improvement of clinical symptoms in group A were superior to group B, and the difference was statistically significant（P〈0.05）. Conclusion The clinical efficacy of moxibustion at GV 20 combined with penetration needling in treatment of intractable facial paralysis is definite, and the treatment method is deserving of clinical promotion.展开更多
文摘Objective：To search for an effective therapy in treating peripheral facial paralysis. Methods： One hundred and eight patients were randomly divided into treatment group （n = 68） and control group （n = 40）. The multi-directional needling technique was used by selecting Jiache （颊车 ST 6）, Yangbai （阳白 GB 14） and Dicang （地仓 ST 4） in the treatment group, and the traditional acupuncture technique with conventional needle selection was used in the control group. The treatment was given once daily with 10 treatments constituting a therapeutic course, and 2 courses of treatment were given in both the groups. Results： After the treatment, of the 68 and 40 cases in treatment and control groups, 56 （82.3%） and 28 （70.0%） were cured, 11 （16.2%） and 8 （20.0%） improved in clinical symptoms and signs, 1 （1.5%） and 4 （10.0%） failed, with the total effective rate being 98.5% and 90.0% respectively, and the therapeutic effect of treatment group was significantly superior to that of control group （ P 〈 0.05）. Conclusion： The multi-directional needling is an effective therapy for treating peripheral facial paralysis.
基金the financial supports from the Key Research and Development Program of Hunan Province,China(No.2023GK2020)。
文摘The homogenized Mg−5.6Gd−0.8Zn(wt.%)alloys were treated with water cooling and furnace cooling to obtain specimens without and with the 14H long-period stacking ordered(LPSO)phase.Subsequently,multi-directional forging(MDF)experiments were carried out.The microstructure and mechanical properties of different regions(the center,middle and edge regions)in the MDFed alloys were systematically investigated,and the effect of LPSO phase on them was discussed.The results show that the alloys in different regions undergo significant grain refinement during the MDF process.Inhomogeneous microstructures with different degrees of dynamic recrystallization(DRX)are formed,resulting in microhardness heterogeneity.The alloy with the LPSO phase has higher microstructure homogeneity,a higher degree of recrystallization,and better comprehensive mechanical properties than the alloy without the LPSO phase.The furnace-cooled alloy after 18 passes of MDF has the best comprehensive mechanical properties,with an ultimate compressive strength of 488 MPa,yield strength of 258 MPa,and fracture strain of 21.2%.DRX behavior is closely related to the LPSO phase and deformation temperature.The kinked LPSO phase can act as a potential nucleation site for DRX grains,while the fragmented LPSO phase promotes DRX nucleation through the particle-stimulated nucleation mechanism.
基金This study was jointly supported by the Science&Technology Fundamental Resources Investigation Program(2022FY101800)National Science Foundation(92162212)+1 种基金the project from the Key Laboratory of Tectonics and Petroleum Resources(China University of Geosciences,Wuhan)(TPR-2022-22)the International Geoscience Programme(IGCP-675)。
文摘The Ordos Basin(OB)in the western part of the North China Craton(NCC),was located at the jointed area of multi-plates and has recorded the Mesozoic tectonic characteristics.Its tectonic evolution in the Mesozoic is significant to understand the tectonic transformation of the northern margin of the NCC.In this work,the detrital zircon and apatite(U-Th)/He chronological system were analyzed in the northern part of the OB,and have provided new evidence for the regional tectonic evolution.The(U-Th)/He chronological data states the weighted ages of 240‒235 Ma,141 Ma with the peak distribution of 244 Ma,219 Ma,173 Ma,147‒132 Ma.The thermal evolution,geochronological data,and regional unconformities have proved four stages of regional tectonic evolution for the OB and its surroundings in the Mesozoic:(1)The Late Permian-Early Triassic;(2)the Late Triassic-Early Jurassic;(3)the Late Jurassic-Early Cretaceous;(4)the Late Cretaceous-Early Paleogene.It is indicated that the multi-directional convergence from the surrounding tectonic units has controlled the Mesozoic tectonic evolution of the OB.Four-stage tectonic evolution reflected the activation or end of different plate movements and provided new time constraints for the regional tectonic evolution of the NCC in the Mesozoic.
文摘This review explores multi-directional functionally graded(MDFG)nanostructures,focusing on their material characteristics,modeling approaches,and mechanical behavior.It starts by classifying different types of functionally graded(FG)materials such as conventional,axial,bi-directional,and tri-directional,and the material distribution models like power-law,exponential,trigonometric,polynomial functions,etc.It also discusses the application of advanced size-dependent theories like Eringen’s nonlocal elasticity,nonlocal strain gradient,modified couple stress,and consistent couple stress theories,which are essential to predict the behavior of structures at small scales.The review covers the mechanical analysis of MDFG nanostructures in nanobeams,nanopipes,nanoplates,and nanoshells and their dynamic and static responses under different loading conditions.The effect of multi-directional material gradation on stiffness,stability and vibration is discussed.Moreover,the review highlights the need for more advanced analytical,semi-analytical,and numerical methods to solve the complex vibration problems ofMDFG nanostructures.It is evident that the continued development of these methods is crucial for the design,optimization,and real-world application of MDFG nanostructures in advanced engineering fields like aerospace,biomedicine,and micro/nanoelectromechanical systems(MEMS/NEMS).This study is a reference for researchers and engineers working in the domain of MDFG nanostructures.
基金supported by the National Key Research and Development Program of China(No.2022YFB3706901)the National Natural Science Foundation of China(No.52274382)。
文摘The complex grain fragmentation mechanisms of coarse grains in titanium alloys under multi-directional forging(MDF)directly influence the optimization and control of primary hot working processes.This study conducted MDF experiments onβ-phase as-cast Ti-6554 alloy and simulated non-uniform deformation during cyclic multi-directional compression through macro-and micro-deformation modeling.The results revealed that friction and surface cooling caused low strain and tensile stress concentration at billet edges,leading to mixed grain structures.In contrast,high strain and triaxial compressive stress at billet centers facilitated uniform grain refinement.After 14 compressions and 4 intermediate reheating processes,coarse grains of the billet were refined from 2-5 mm to 0.25-0.50 mm,achieving uniform grain sizes across different regions.For the first time,the orientation evolution of grains with different morphologies during multi-directional compressions was visualized microscopically.Columnar grains were found to be more easily subdivided than equiaxed grains due to local strain accumulation.Under cumulative compressions,grain orientations gradually rotated from uniform to random,driving continuous dynamic recrystallization(CDRX).Slip system interactions and concentrated misorientation led to the formation and extension of transition and shear bands,inducing grain fragmentation dominated by transgranular subdivided CDRX.Smooth grain boundaries transformed into serrated ones after multiple passes,providing additional nucleation sites for discontinuous dynamic recrystallization(DDRX)and facilitating boundary expand CDRX.The interaction of diverse DRX mechanisms was the fundamental cause of grain refinement.This study clarified the principles of refining and homogenizing millimeter-grade coarse grains under increasing forging strain,offering valuable insights for the development of primary hot processing techniques for as-castβtitanium alloys.
基金supported by the National Natural Science Foundation of China(No.52127808)。
文摘The superplasticity of the Mg−8.59Gd−3.85Y−1.14Zn−0.49Zr alloy was investigated before and after multi-directional forging(MDF)and the mechanisms affecting superplastic deformation were analyzed.The results indicate that after MDF at a temperature of 350℃and strain rates of 0.1 and 0.01 s^(−1)(1-MDFed and 2-MDFed),the superplasticity of the alloy can be significantly improved.The elongations of the MDFed alloys exceed 400%under the strain rate of 6.06×10^(−4)s^(−1)and temperatures of 350,375,and 400℃,and reach the maximum values of 766%(1-MDFed)and 693%(2-MDFed)at 375℃.The grain boundary sliding of the MDFed alloy is sufficient,and the energy barrier of deformation decreases.Theβphase limits the grain growth and promotes dynamic recrystallization,maintaining the stability of the fine-grained structure during superplastic deformation.Several Y-rich phases nucleate in the high-strain region(i.e.,the final fracture region)at high temperatures,accelerating the fracture of the specimen.
文摘A staged modeling approach is proposed to divide the needling process into three stages:deformation,insertion and smoothness,and construct dynamic coupling models of rigid force,cutting force and friction force respectively.Based on the Boussinesq contact theory,the initial tip-fabric contact behavior is analyzed,combined with the elastic cutting theo-ry to quantify the fiber breakage mechanism,and the Winkler foundation model and LuGre dynamic friction model are used to characterize the friction properties of the needle shaft.It is shown that:the stiffness force in the deformation stage is af-fected by the geometrical parameters of the needle tip and the elastic modulus of the fabric;the cutting force in the insertion stage is closely related to the micro deformation of the fiber;and the dynamic friction behavior in the smooth stage can be depicted by the LuGre model with high accuracy.The complete needling force prediction model finally established provides a theoretical basis for optimizing composite needling process parameters,reducing fiber damage and equipment design.
基金supported by Guangdong Key Laboratory of Acupuncture and Moxibustion(202101).
文摘Fu's subcutaneous needling(FSN)represents a non-pharmacological therapy that employs disposable needles for subcutaneous application,primarily targeting the relaxation of tightened muscles,invigoration of blood circulation,and alleviation of local tissue ischemia.Originating from traditional acupuncture and modern techniques,FSN effectively treats muscle-related conditions,including soft tissue injuries,neck-shoulder-back pain,visceral pain,and non-painful diseases.Its unique features encompass shallow needling,the swaying movement technique,and an emphasis on governing the spirit.FSN is characterized by rapid therapeutic responses,high repeatability,and minimal side effects,adhering to the keep it simple,stupid(KISS)principle in research by emphasizing simplicity and efficacy.By mechanically releasing chronic muscle tension,FSN improves arterial blood flow,halts pathological leakage of intracellular adenosine triphosphate(ATP),and consequently resolves pain.This therapy offers a promising and safe approach for pain management and muscular health,deserving vigorous promotion and further scientific investigation.
基金Supported by Beijing Municipal Science&Technology Commission Program:Z151100004015117Shenzhen Science and Technology Plan Project:JCYJ20210324120804012Shenzhen Luohu District Soft Science Research Plan project:LX202202128。
文摘Objective:Although there is evidence to support the therapeutic effect of acupuncture on allergic rhinitis(AR),it is not clear whether acupuncture can achieve an efficacy comparable to that of pharmacological therapy.This multicenter,non-inferiority,single-blinded randomized controlled trial aimed to compare the differences in efficacy between warm needling(WN)therapy and loratadine(LO)in improving AR symptoms and quality of life.Methods:A total of 98 patients with persistent AR(PAR)were randomly divided into two groups in a 1:1 ratio:treatment group receiving WN therapy at Dazhui(GV14)and normal acupuncture at other acupoints for 12 sessions in 4 weeks and control group receiving LO at a dosage of 10 mg/day for oral administration.The study duration was 28 weeks(4-week treatment period with a 24-week follow-up).The primary outcome was the mean change in the Total Nasal Symptom Score(TNSS)from baseline to week 28,and the secondary outcomes included the Total Non-Nasal Symptom Score(TNNSS)and the Rhinoconjunctivitis Quality of Life Questionnaire(RQLQ)score.Statistical analyses were conducted us-ing SPSS22.0.Both intention-to-treat and treatment compliance analyses were performed to analyze all outcomes.Results:After intervention,TNSS scores improved from baseline to week 28 by 5.18(95%confidence interval[CI]:3.91,6.45;P<0.001)in the WN group and 4.59(95%CI 3.28,5.89;P<0.001)in the LO group,but the changes did not differ between the groups(P=0.515).The margin by 95%CI(−1.20,2.38)was not reached,indicating non-inferiority.WN therapy resulted in clinical improvements in TNNSS,with a significant difference com pared with LO treatment(f=5.466,P=0.021).WN therapy also resulted in clinical improvements in RQLQ scores,with a significant difference compared with LO(f=9.222,P=0.003).Conclusions:WN therapy demonstrated comparable efficacy to oral LO in improving nasal symptoms of PAR.However,it showed superior effects in alleviating concomitant nasal symptoms and enhancing patients’quality of life.
文摘International patients are flocking to Hainan for healing through the ancient technique of traditional Chinese medicine.SAREN,a traditional Chinese medicine(TCM)doctor,keeps vipbooks filled with warm messages in various languages in her consulting room at Sanya International Friendship Sanatorium of TCM.These expressions of gratitude not only document a long medical career,but also vividly testify to how a Chinese doctor has used acupuncture to cure patients from around the world.
基金Projects(51204053,51074048,51204048)supported by the National Natural Science Foundation of ChinaProject(20110491518)supported by China Postdoctoral Science FoundationProject(2012CB619506)supported by the National Basic Research Program of China
文摘The effect of forging passes on the refinement of high purity aluminum during multi-forging was investigated. The attention was focused on the structure uniformity due to deformation uniformity and the grain refinement limitation with very high strains. The results show that the fine grain zone in the center of sample expands gradually with the increase of forging passes. When the forging passes reach 6, an X-shape fine grain zone is initially formed. With a further increase of the passes, this X-shape zone tends to spread the whole sample. Limitation in the structural refinement is observed with increasing strains during multi-forging process at the room temperature. The grains size in the center is refined to a certain size （110 μm as forging passes reach 12, and there is no further grain refinement in the center with increasing the forging passes to 24. However, the size of the coarse grains near the surface is continuously decreased with increasing the forging passes to 24.
基金Supported by Traditional Chinese Medicine Bureau of Guangdong Province,project number:20141240
文摘Objective To observe the clinical efficacy of opposing needling for the treatment of migraine with the symptom of hyperactivity of liver yang type and its effect on NO level in plasma of patients. Methods Atotal of 60 migraine patients with the symptom of hyperactivity of liver yang who met the inclusive criteria were randomly divided into a opposing needling group （group A） and a routine acupuncture group （group B） by using SPSS 15.0 software according to the registration order with 30 patients in each group. Patients in group A were treated with opposing needling. Taich6ng （太冲 LR 3）, Zhongzhu （中渚 TE 3）, ZOlfnqi （足临泣 GB 41） and QiOxu （丘墟 GB 40） in the uninjured side were selected. After deqi, reducing method was used. Then Taixi （太溪 KI 3） in the uninjured side was selected. After deqi, rein forcing method was used. Needles were retained for 30 rain. Patients in group B were treated with routine acupuncture. Local Ash point, Sishncong （ 四神聪EX-HN1）, Yifeng （翳风 TE 17）, Fengchi （风池 GB 20）, Sizhukong （丝竹空 TE 23）, Shuaigu （率谷GB 8）, Hegu （合谷 LI 4） and LiEque （列缺 LU 7） were selected. After puncturing, reducing method was used routinely and needles were retained for 30 rain. After 2 weeks treatment, migraine specific quality of life questionnaire （MSQ）, visual analogue scale （VAS） and nitric oxide （NO） level in plasma of patients in two groups were observed. Results After treatment, the MSQ, VAS and NO of two groups were significantly improved compared with those before treatment. After treatment, score of MSQ functional limitation was 73.41±10.22 in group A and 60.95 ± 10.15 in group B; the score of MSQ dysfunction was 86.11 ±8.22 in group A and 75.45±8.34 in group B; score of MSQ emotion was 80.51±10.16 in group A and 75.01± 10.20 in group B. The improvements of group A were superior to those of group B, and the differences were all statistically significant （all P〈0.05）. After treatment, the VAS score was 0.93 ± 1.25 in group A and 2.17± 1.70 in group B. The improvement of group A was superior to that of group B, and the difference was statistically significant （P〈0.05）. After treatment, blood plasma NO level was （42.15 ± 16.15） μmol/L in group A and （62.76±15.17） μmol/L in group B. The improvement of group A was superior to that of group B, and the difference was statistically significant （P〈0.05）. Overall response rate was 86.7% （26/30） in group A and 53.3% （16/30） in group B, and the difference between two groups was statistically significant （P〈0.05）. Conclusion Opposing needling is an effective method for the treatment of migraine with the symptom of hyperactivity of liver yong. Its mechanism is to regulate the generation of NO in migraine patients, and improve the relaxation and contraction of cerebral vascular smooth muscle, so as to adjust the cerebral circulation.
文摘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.
文摘Objective To observe the clinical efficacy of pricking needling by filiform needles in trea ng pediatric func onal dyspepsia. Methods Pricking needling was carried out on the 65 children with func onal dyspepsia on Shàngwǎn（上脘 CV 13）,Zhōngwǎn（中脘 CV 12）,Xiàwǎn（下脘 CV 10）,Guānyuán（关元 CV 4）,Tiānshū（天枢 ST 25） at both sides,Zúsānlǐ（足三里 ST 36） at both sides and Sìfèng（四缝 EX-UE 10）. The treatments were carried out once every three days for totally three times,and the clinical efficacy was observed. Results Fiftyeight cases were cured,eff ec ve in 7 cases and no invalid case; the cure rate was 89.2% and the total eff ec ve rate was 100%. Conclusion Treatments on pediatric functional dyspepsia by pricking needling with filiform needles are simple and convenient,the therapeutic efficacy is accurate,and it deserves further generaliza on.
基金Supported by Shaanxi Administration of Traditional Chinese Medicine:2011 LC 05
文摘Objective To observe the clinical efficacy of treatment of hearing loss with ＂fameng needling＂ in Nèijīng（《内经》, The Yellow Emperor＇s Inner Classic）. Methods Seventy patients with hearing loss were divided into ＂fameng needling＂ group（group A） and conventional acupuncture group（group B） randomly by sortition, with 35 patients in each. ＂Fameng needling＂ was applied in patients in group A. Bilateral antitragi were pressed by middle fingers for covering the earholes, twirling for reduction was conducted by thumbs and index fingers, and then the middle fingers, thumbs and index fingers loosened suddenly after the patients felt sore or numb inside the ears. Conventional acupuncture treatment was adopted for patients in group B. Treatment for ten times was considered as one course of treatment, and clinical efficacy and electro-audiometry evaluation of all the patients were observed after three courses of treatment. Results The total effective rate of group A was 91.43%, which was superior to that of group B（71.43%）, and the difference between the two groups was statistically significant（P0.05）. The electro-audiometry evaluation results of the two groups after treatment improved when compared with that before treatment, the result in group A was（37.01±19.43） d BHL, which was superior to that of group B（49.85±21.29） d BHL, and the difference between the two groups was statistically significant（P0.01）. Conclusion ＂Fameng needling＂ is an effective method for treatment of hearing loss, which is worth promoting and applying clinically.
文摘Objective To observe the clinical efficacy of fire needling and bloodletting at cleft points for acute gouty arthritis, and to explore its functional mechanism. Methods Thirty-five patients with acute gouty arthritis were enrolled into this study, and fire needling and bloodletting with 10 mL/ time were applied at cleft points of corresponding meridians and collaterals at the affected side. The treatment was conducted for once every other day, and treatment for three consecutive times was needed. Serum uric acid （UA） and pain score were tested in patients before treatment and on the 6th day after treatment, follow-up visit for 3 months was performed in patients who stopped treatment, and recurrence rate was calculated. Results Budzyuski 6-point behavioral rating scale was applied to score pain. T-test was conducted on mean and standard deviation of pain score before treatment （4.09 ＋ 0.82） and after treatment （1.14 ＋ 1.33）, showing that the difference was significant （P〈0.05）; t-test was also conducted on mean and standard deviation of serum UA before treatment [（555.34 ＋ 53.09） pmol/L] and after treatment [（414.23 ＋ 67.04） pmol/L], showing that the difference was significant （P〈0.05）; among the 35 patients with acute gouty arthritis, 14 patients were cured （40.0%）, improvement was found in 19 patients （54.3%）, and effectiveness was found in 33 patients （94.3%）. Based on follow-up visit for 3 months in 33 patients with efficacy, recurrence was found in 3 patients （9.1%）. Conclusion Fire needling and bloodletting at cleft points is an effective method in treatment of acute gouty arthritis with significant analgesic effect, efficacy of reducing serum UA, high cure rate and low recurrence rate, which is worth of being generalized clinically.
基金Supported by State Administration of Traditional Chinese Medicine of the People’s Republic of China "Twelfth FiveYear Plan" key specialty construction projectMajor scientific project of Changning District Science and Technology Commission:CNKW2013Z05+1 种基金Traditional Chinese medicine scientific research fund project of Shanghai Municipal Commission of Health and Family Planning:2014LQ021ATCM of Shanghai style heritage research base project of Shanghai Municipal Health Bureau:ZYSNXD-CCHPGC-JD-004
文摘Objective To observe the correlation between analgesic effect and duration of analgesic effect of superficial needling for shoulder pain of shoulderhand syndrome（SHS） after stroke, so as to screen the best time period of analgesia. Methods A total of 120 patients with SHS after stroke（stage I） were recruited and superficial needling therapy was applied. Two obvious tenderness points on the affected shoulder of patients were found out. The site 80–100 mm down each tenderness point was selected for superficial needling. Bimanual needling technique was applied after inserting needles. The surrounding of tenderness points was pinched and grasped by left hand above the needling, and the technique of green dragon swaying tail was applied by right hand. The needles at each acupoint were manipulated for3 min and retained for 30 min. The analgesic effect was evaluated dynamically by visual analogue scale（VAS） in 120 patients before treatment, immediately after treatment, 30 min after treatment, 1 h after treatment and 24 h after treatment. The analgesic effects at different time were statistically analyzed by generalized estimating equation. Results The mean values of VAS were 7.483, 3.950, 4.767, 5.917 and 7.217, respectively, before treatment, immediately after treatment, 30 min after treatment, 1 h after treatment and 24 h after treatment. The difference of analgesic effect at different time was statistically significant（P〈0.01）; the difference of analgesic effect of superficial needling in treatment of SHS after stroke was significant between immediately after treatment and 30 min after treatment（both P〈0.05）, while there was no significant difference between 1 h after treatment and 24 h after treatment（both P〈0.05）. Conclusion Analgesic effect of superficial needling for shoulder pain of SHS after stroke was different at different time points and decreased over time; analgesic effect was the most significant immediately after treatment and the optimal duration of analgesic effect was from immediately to 30 min after superficial needling therapy.
基金Supported by a project from Bureau of Public Health of Shanghai:2008 L 029 A
文摘Objective To explore the effect of heat-reinforcing acupuncture combined with Bobath rehabilita on training for the gross motor func on measurement（GMFM） in children with cerebral palsy. Methods Sixty cases of cerebral palsy were randomized into a heat-reinforcing acupuncture combined with rehabilitation training group（group A） and a rehabilitation group（group B）,30 cases in each group. Rehabilitation training was applied in group B and heat-reinforcing acupuncture was added in group A. Jiāji（夹脊 EX-B 2）,Jiānyú（肩髃 LI 15）,Qūchí（曲池 LI 11）,Hégi（合谷 LI 4）,Yánglíngquán（阳陵泉 GB 34）,Yīnlíngquán（阴陵泉 SP 9）,Xuánzhōng（悬钟 GB 39）,Zúsānli（足三里 ST 36）,Sānyīnjiāo（三阴交 SP 6）,Chéngshān（承山 BL 57）,Tài chōng（太冲 LR 3）,Tàixī（太溪 KI 3） and Shénmén（神门 HT 4） were chosen in group A and the heat-reinforcing acupuncture was applied once a day. For scalp acupuncture,Biihuì（百会 GV 20）,Sìshéncōng（四神聪 EX-HN 1）,Zhìsānzhēn（智三针）,Nǎosānzhēn（脑三针）,Nièsānzhēn（颞三针） and motor area（运动区） were punctured without any manipulation,once every other day,3 months as a treatment course and 2 courses were needed. GMFM were selected to assess the children with cerebral palsy before treatment,a er 3 months treatment and a er 6 months treatment. Results The total eff ec ve rate in group A was 70.00%（21/30）,which is superior to that of 60.00%（24/30） in group B（P0.05）. In group A,the GMFM scores of decubitus position and turn-over of body,creeping and kneeling,sitting,standing,walking,running and jumping after6 months treatment were significantly improved compared with that before treatment and after 3 months treatment（all P0.05）. In group B,above indices a er 6 months treatment were significantly improved compared with those before treatment,the standing score after 6 months treatment was significantly improved compared with that a er 3 months treatment（P0.05）; the GMFM scores of creeping,kneeling,sitting,standing,walking,running and jumping after 6 months treatment in group A were more significantly improved than that in group B（all P0.05）. Conclusion The heat-reinforcing acupuncture combined with Bobath rehabilita on training has a be er eff ect than rehabilitation training on the GMFM scores of creeping and kneeling,si ng,standing,walking,running and jumping of children with cerebral palsy. It can be shown that the combination of heat-reinforcing acupuncture and Bobath rehabilita on training can improve the gross motor func on of children with cerebral palsy.
文摘He＇s clinical suited acupuncture manipulation is summarized by the famous tradi onal Chinese medical master Prof. HE Pu-ren in his clinical prac ces for almost 70 years,and it is highly favored as ＂flying needle manipula on＂. This manipula on has high requirements on finger strength; it is characterized from techniques for holding needles to needling inser on,and it is painless during needle insertion and the needling responses are rapid; the operations are simple,with high prac cability in clinic,and it can improve working effi ciency and clinical effi cacy.
文摘Objective To observe the clinical efficacy of moxibustion at B ihuì（百会 GV 20） combined with penetration needling in treatment of intractable facial paralysis. Methods Sixty patients with intractable facial paralysis included in the study were divided into two groups according to the random number table, with 30 patients in observation group（group A）, and 30 patients in control group（group B）. Moxibustion at GV 20 combined with penetration needling were adopted in group A, and simple penetration needling was applied in group B. Once daily, thirty days of treatment were required. The House Brackmann（H-B） facial nerve function grading and improvement of clinical symptoms were observed. Results The H-B function grading and improvement of clinical symptoms in group A were superior to group B, and the difference was statistically significant（P〈0.05）. Conclusion The clinical efficacy of moxibustion at GV 20 combined with penetration needling in treatment of intractable facial paralysis is definite, and the treatment method is deserving of clinical promotion.
