作者：
Ning Jiong-jie;Yu Jun;Li Wu;Li Jiang-shan;Huang Guo-qi
期刊：
针灸推拿医学：英文版,2018年16(2):109-114 ISSN：1672-3597
通讯作者：
Jiang-shan Li
作者机构：
[Ning Jiong-jie; Yu Jun; Li Wu; Li Jiang-shan] Hunan University of Chinese Medicine, Changsha, 410007
通讯机构：
[Jiang-shan Li] H;Hunan University of Chinese Medicine, Changsha, China
关键词：
Tuina;Massage;Dyspepsia;Depression;Quality of Life;Mental Status Schedule
摘要：
Objective: To observe the clinical effects of tuina plus Western medication for functional dyspepsia (FD) due to liver qi stagnation and spleen deficiency. Methods: A total of 72 patients in conformity with the inclusion criteria of FD were randomly divided into an observation group and a control group based upon the random number table, 36 cases in each group. The control group was treated with mosapride citrate dispersible tablets, and the observation group was treated with the same tablets plus tuina. Before the treatment and 4 weeks after the treatment, the clinical symptoms, quality of life (QOL) and depression severity were observed by the scale, and were followed up two months later after the treatment for assessment of the clinical effects. Results: After the treatment and at the follow-up, the symptom scores of FD and the sores of Hamilton depression rating scale (HAMD) in both groups decreased, and the scores in Chinese version of quality of life questionnaire for functional digestive disorders (Chin-FDDQL) increased, with statistically significant differences in comparison with the same group before the treatment (all P<0.05). In comparison between the two groups at the same time point after the treatment, the scores of FD symptoms, HAMD and Chin-FDDQL were improved better in the observation group than those in the control group, with statistically significant differences (all P<0.05). The total effective rates at the follow-up were 91.7 %in the observation group and 75.0 %in the control group, without statistical difference between the two groups (P>0.05). The rate of clinical cure and remarkable effect was 66.7 %in the observation group, higher than 41.7 %in the control group, it is higher in the observation group than that in the control group, with a statistically significant difference between the two groups (P<0.05). Conclusion: Tuina plus Western medication is precise in the therapeutic effects for FD due to liver qi stagnation and spleen deficiency and can effectively relieve clinical symptoms, elevate the QOL and alleviate depression severity of the patients. Moreover, it’s better than the treatment by Western medication alone in the long-term therapeutic effects.
摘要：
Objective: To observe the effect of An-pressing manipulation on biceps brachii with delayed onset muscle soreness (DOMS) in healthy male volunteers. Methods: A total of 30 male college student volunteers were randomly divided into a blank group, a model group and a treatment group, 10 cases in each group. Subjects in the blank group did not receive any intervention; subjects in the model group received active weight-bearing eccentric exercise on the non-favored side of the upper limb to establish the models, while not receiving any treatment; subjects in the treatment group received both the same modeling and An-pressing manipulation treatment. The subjective rating of perceived exertion (RPE), subjective soreness sensation threshold and soreness grade were evaluated before modeling, immediately after modeling, and 24, 48, 72, 96 and 120 h after modeling. Serum total antioxidant capacity (T-AOC) was measured before modeling, immediately after modeling, and 24, 48 and 72 h after modeling. Serum creatine kinase MM isoenzyme (CK-MM) was measured before modeling and 24, 48 and 72 h after modeling. Results: At 24, 48, 72 and 120 h after treatment, the soreness grades of the treatment group were lower than those of the model group (all P<0.05). The RPE scores of the treatment group were lower than those of the model group (all P<0.05) immediately after modeling, at 24, 48, 72, 96 and 120 h after modeling. The subjective soreness sensation threshold of the treatment group was higher than that of the model group immediately after modeling, at 24, 48, 72 and 96 h after modeling (all P<0.05). Immediately after modeling, T-AOC value in the treatment group was higher than that in the model group and blank group (both P<0.05). CK-MM of the treatment group was lower than that of the model group at 48 h and 72 h after modeling (P<0.05). Conclusion: An-pressing manipulation shows a certain therapeutic effect on biceps brachii with DOMS by strengthening the body's antioxidant and anti-damage abilities, which can effectively reduce the pain and accelerate the recovery from fatigue damage.
摘要：
Objective:To observe the influence of pressing force and time on the thermal effect of An-pressing manipulation.Methods:Eight healthy volunteers were recruited to receive An-pressing manipulation at Xinshu (BL 15) on the right side.The pressing force and time were both divided into five levels:the force described as extremely mild,mild,moderate,strong and extremely strong and time given by 2.5 min,5.0 min,7.5 min,10.0 min and 15.0 min.The real-time change in local acupoint temperature as well as the change during 1.0-15.0 min after the manipulation were observed.Results:Compared with the baseline data,the real-time changes in the temperature after An-pressing Xinshu (BL 15) on the right side with different levels of force (from mild to strong) were respectively (1.88t0.64) ℃,(2.05±0.68) ℃,(2.25±0.59) ℃,(2.35±0.61) ℃ and (2.32±0.69) ℃;the changes in 15.0 min after the manipulation were respectively (-0.11±0.11) ℃,(0.03±0.14) ℃,(0.59±0.58) ℃,(1.38±0.70) ℃ and (2.09±0.98) ℃.The real-time temperature changes after the manipulation for different durations (from short to long) were respectively (1.94±0.37) ℃,(2.33±0.29) ℃,(2.49±0.31) ℃,(2.51±0.39) ℃ and (2.41±0.55) ℃;the changes in 15.0 min after the manipulation were respectively (0.53±0.49) ℃,(0.33±0.30) ℃,(0.52±0.33) ℃,(0.55±0.38) ℃ and (0.76±0.36) ℃.Conclusion:The thermal effect presented an increasing tendency with the extension of pressing time,and the temperature reached the top at 7.5 min;the thermal effect showed an increasing tendency with the rise of pressing force,and the temperature reached the top upon a moderate level of force.The pressing time can produce a greater influence on the real-time temperature than the pressing force;the pressing force can produce a greater influence on maintaining the temperature than the pressing time.
作者机构：
School of Acupuncture, Moxibustion & Tuina, Hunan University of Chinese Medicine, Changsha, 410007;Yueyang Hospital of Traditional Chinese Medicine Affiliated to Hunan University of Chinese Medicine, Yueyang, 414000;[叶兰; 李江山; 李铁浪; 谭程] School of Acupuncture, Moxibustion & Tuina, Hunan University of Chinese Medicine, Changsha, 410007;[蒋学余; 王德军] Yueyang Hospital of Traditional Chinese Medicine Affiliated to Hunan University of Chinese Medicine, Yueyang, 414000
通讯机构：
[De-jun Wang] Y;Yueyang Hospital of Traditional Chinese Medicine Affiliated to Hunan University of Chinese Medicine, Yueyang, China
摘要：
Objective: To discuss the clinical efficacy of Liu’s infantile tuina therapy in treating kid’s allergic rhinitis (AR). Methods: Sixty eligible AR kids were randomized into a tuina group and a Western medication group by their visiting sequence, 30 cases in each group. The tuina group was intervened by Liu’s infantile tuina therapy, once daily, 5 times as a treatment course, with a 2-day interval after a course; the control group was by orally taking Loratadine. The therapeutic efficacies were compared and analyzed after treatment for 4 successive weeks. Results: After treatment, the symptoms such as itchy nose, sneezing, runny nose, and stuffy nose were significantly improved in both groups (P<0.05), and the improvements in the tuina group were more remarkable than those in the Western medication group (P<0.05). The total effective rate was 90.0% in the tuina group versus 73.3% in the Western medication group, and the difference was statistically significant (P<0.05). Conclusion: Liu’s infantile tuina therapy can produce a better therapeutic efficacy in treating AR kids compared to oral administration of Loratadine.
