Women worldwide are dealing with hot flashes (潮热), a perimenopausal feature that is often tiring,embarrassing, and energeticallydraining. Conventionally, Chinese medicine defines hot flashes as Kidney-yin deficiency...Women worldwide are dealing with hot flashes (潮热), a perimenopausal feature that is often tiring,embarrassing, and energeticallydraining. Conventionally, Chinese medicine defines hot flashes as Kidney-yin deficiency and its clinical manifestations include red face,sweating, hot sensations in the palms and soles, mouth and nose dryness, constipation, insomnia, lumbar soreness, knee weakness, redtongue, etc. To obtain a broader perspective and understand the dynamics of hot flashes, we examined the mechanisms behind hot flashesbased on both the knowledge from ancient Chinese medicinal texts, as well as novel research findings of Chinese and Western medicine.This perspective was the foundation for the acupuncture study of our traditional Chinese medicine conducted in 2018-2019 in Shanghai.This study, designed as a pragmatic randomized control trial with two parallel groups, focused on regulating and unblocking conceptionand governor vessels. The results confirmed that our acupuncture method could effectively reduce both the frequency and severity of hotflashes and improve life quality of middle-aged women.展开更多
Objective:To observe the clinical efficacy of mind-refreshing and balance-restoring needling method combined with Frenkel exercises in treating ataxia after cerebral stroke.Methods:The recruited 120 patients were rand...Objective:To observe the clinical efficacy of mind-refreshing and balance-restoring needling method combined with Frenkel exercises in treating ataxia after cerebral stroke.Methods:The recruited 120 patients were randomized into an observation group and a control group,with 60 cases in each group.The control group was intervened by mind-refreshing and balance-restoring needling method,while the observation group was given additional lower-limb Frenkel exercises.Before and after treatment and at the follow-up,the ataxic lower-limb function was scored using Berg balance scale(BBS)and international cooperative ataxia rating scale(ICARS),and Barthel index(BI)was adopted to score the activities of daily living(ADL).Results:After treatment,the markedly effective rate was 70.2%and the total effective rate was 96.5%in the observation group,versus 39.7%and 87.9%in the control group,and the differences in the markedly effective rate and the total effective rate were statistically significant(P<0.01,P<0.05).The intra-group comparisons showed that the BBS,ICARS and BI scores after treatment and at the follow-up were significantly different from those before treatment in both groups(all P<0.01).There were significant differences in the BBS score between the two groups after treatment and at the follow-up(P<0.05,P<0.01);the between-group differences in the ICARS and BI scores were statistically insignificant after treatment(both P>0.05),while the between-group differences in the ICARS and BI scores were statistically significant at the follow-up(both P<0.05).The interaction effects between the scoring time of BBS and BI and the group factor were statistically significant(P<0.01,P<0.05).Conclusion:Mind-refreshing and balance-restoring needling can effectively improve the lower-limb ataxic symptoms and ADL after stroke;when combined with Fenkel exercises,this needling method can produce more significant efficacy.展开更多
Objective:To summarize the influence patterns of related time factors on acupuncture effectiveness in different disease model rats/mice,and to provide reference for acupuncture clinical practice.Methods:Retrieved the ...Objective:To summarize the influence patterns of related time factors on acupuncture effectiveness in different disease model rats/mice,and to provide reference for acupuncture clinical practice.Methods:Retrieved the relevant literatures on time-effect experimental studies of acupuncture in rats/mice in the recent 10 years.The correlations between the key time factors(such as different intervention timings of acupuncture,acupuncture moments,operation durations,needle-retaining times,intervals and treatment courses)and the acupuncture effect were analyzed and summarized.Results:From the mainstream perspective of quantification,the earlier the acupuncture intervention,the better.The proper time to implement acupuncture varied depending on disease models and points.The best operation time varied widely between different diseases.The most frequently needle-retaining time was 20-30 min.The frequency of acupuncture was usually 1 time/day;the length of the treatment course was determined according to practitioners'experience.Conclusion:Throughout the time-effect studies of acupuncture intervention in experimental rats/mice,conclusions are inconsistent,especially the lack of quantitative research on acupuncture operation time,acupuncture frequency,acupuncture treatment duration,and optimal stimulation amount.Future research should explore and determine the best time-quantity parameters that affect the effectiveness of acupuncture intervention,which is the key and goal of the acupuncture time-effect research.Independent intervention-time experiments throughout the entire course of a single disease(dominant disease)need to be done to guide clinical and disciplinary development.展开更多
文摘Women worldwide are dealing with hot flashes (潮热), a perimenopausal feature that is often tiring,embarrassing, and energeticallydraining. Conventionally, Chinese medicine defines hot flashes as Kidney-yin deficiency and its clinical manifestations include red face,sweating, hot sensations in the palms and soles, mouth and nose dryness, constipation, insomnia, lumbar soreness, knee weakness, redtongue, etc. To obtain a broader perspective and understand the dynamics of hot flashes, we examined the mechanisms behind hot flashesbased on both the knowledge from ancient Chinese medicinal texts, as well as novel research findings of Chinese and Western medicine.This perspective was the foundation for the acupuncture study of our traditional Chinese medicine conducted in 2018-2019 in Shanghai.This study, designed as a pragmatic randomized control trial with two parallel groups, focused on regulating and unblocking conceptionand governor vessels. The results confirmed that our acupuncture method could effectively reduce both the frequency and severity of hotflashes and improve life quality of middle-aged women.
文摘Objective:To observe the clinical efficacy of mind-refreshing and balance-restoring needling method combined with Frenkel exercises in treating ataxia after cerebral stroke.Methods:The recruited 120 patients were randomized into an observation group and a control group,with 60 cases in each group.The control group was intervened by mind-refreshing and balance-restoring needling method,while the observation group was given additional lower-limb Frenkel exercises.Before and after treatment and at the follow-up,the ataxic lower-limb function was scored using Berg balance scale(BBS)and international cooperative ataxia rating scale(ICARS),and Barthel index(BI)was adopted to score the activities of daily living(ADL).Results:After treatment,the markedly effective rate was 70.2%and the total effective rate was 96.5%in the observation group,versus 39.7%and 87.9%in the control group,and the differences in the markedly effective rate and the total effective rate were statistically significant(P<0.01,P<0.05).The intra-group comparisons showed that the BBS,ICARS and BI scores after treatment and at the follow-up were significantly different from those before treatment in both groups(all P<0.01).There were significant differences in the BBS score between the two groups after treatment and at the follow-up(P<0.05,P<0.01);the between-group differences in the ICARS and BI scores were statistically insignificant after treatment(both P>0.05),while the between-group differences in the ICARS and BI scores were statistically significant at the follow-up(both P<0.05).The interaction effects between the scoring time of BBS and BI and the group factor were statistically significant(P<0.01,P<0.05).Conclusion:Mind-refreshing and balance-restoring needling can effectively improve the lower-limb ataxic symptoms and ADL after stroke;when combined with Fenkel exercises,this needling method can produce more significant efficacy.
文摘Objective:To summarize the influence patterns of related time factors on acupuncture effectiveness in different disease model rats/mice,and to provide reference for acupuncture clinical practice.Methods:Retrieved the relevant literatures on time-effect experimental studies of acupuncture in rats/mice in the recent 10 years.The correlations between the key time factors(such as different intervention timings of acupuncture,acupuncture moments,operation durations,needle-retaining times,intervals and treatment courses)and the acupuncture effect were analyzed and summarized.Results:From the mainstream perspective of quantification,the earlier the acupuncture intervention,the better.The proper time to implement acupuncture varied depending on disease models and points.The best operation time varied widely between different diseases.The most frequently needle-retaining time was 20-30 min.The frequency of acupuncture was usually 1 time/day;the length of the treatment course was determined according to practitioners'experience.Conclusion:Throughout the time-effect studies of acupuncture intervention in experimental rats/mice,conclusions are inconsistent,especially the lack of quantitative research on acupuncture operation time,acupuncture frequency,acupuncture treatment duration,and optimal stimulation amount.Future research should explore and determine the best time-quantity parameters that affect the effectiveness of acupuncture intervention,which is the key and goal of the acupuncture time-effect research.Independent intervention-time experiments throughout the entire course of a single disease(dominant disease)need to be done to guide clinical and disciplinary development.
