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穴,阿是

穴,阿是的相关文献在1986年到2023年内共计6490篇,主要集中在中国医学、外科学、经济计划与管理 等领域,其中期刊论文79篇、专利文献6411篇;相关期刊13种,包括河北中医、陕西中医、上海针灸杂志等; 穴,阿是的相关文献由13694位作者贡献,包括胡建平、毛罕平、韩绿化等。

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穴,阿是—发文趋势图

穴,阿是

-研究学者

  • 胡建平
  • 毛罕平
  • 韩绿化
  • 马旭强
  • 陈留平
  • 杨春和
  • 施锡林
  • 徐俊辉
  • 李丹
  • 马洪岭
  • 期刊论文
  • 专利文献

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    • 左政; 黄培冬; 王馨悦; 普勇斌
    • 摘要: 目的 基于Toll样受体4/白细胞介素1β(TLR4/IL-1β)信号通路,观察阿是穴刺血干预痛风性关节炎(GA)临床疗效并探讨作用机制.方法 80例GA患者随机分成观察组和对照组,每组40例.观察组给予阿是穴刺血治疗,对照组给予西药常规治疗.采用酶联免疫吸附试验(ELISA)法检测外周血浆IL-1β、白细胞介素-6(IL-6)、白细胞介素-8(IL-8)水平;实时定量聚合酶链反应(RT-PCR)检测外周血单个核细胞(PBMCs)TLR4及IL-1βmRNA表达水平;流式细胞术检测炎性反应指标C反应蛋白(CRP)、血沉(ESR)、尿酸(UA)的变化.结果 观察组总有效率为87.5%,优于对照组的77.5%(P0.05);观察组治疗后CRP、ESR、IL-1β、IL-6、IL-8、UA水平及PBMCs中TLR-4、IL-1βmRNA表达水平较对照组显著下降(P0.05).结论 阿是穴刺血能有效改善GA患者临床症状,调节患者免疫应答、阻止炎症反应,其作用的靶点可能是通过调控TLR4/IL-1β信号通路而发挥作用.
    • 温婧; 王培育; 邵素菊; 高希言
    • 摘要: 邵经明教授临床行医80余年,针灸技法精湛,临床经验丰富.通过整理邵教授临床医案,总结邵教授的临证经验特点为:重视经络理论,辨证与辨病相结合,用穴少而精,阿是穴、合谷治疗瘿.强调"取穴有主次,施术有先后".治疗痫证分轻重缓急,注重奇穴的特殊作用.发作期镇惊安神,控制症状,缓解期则针药并举,调理气血阴阳,减少发作频率,认为手法是针刺取效的关键因素之一.对于以动态表现为主的病症如抽搐、痉挛等,采用"静而久留"针法,以静制动,增强刺激,以获得远期疗效.邵经明教授临床医案涉及内、外、妇、儿各科,治疗各种沉疴痼疾均有良效.邵教授作为一代厚德博学的国医大师,其经验值得进一步继承和发扬.%Professor Shao Jing-ming had practiced Chinese medicine for more than 80 years with rich clinical experience and exquisite acupuncture techniques. From his clinical experience, Professor Shao's clinical features can be summarized as the followings: attaching importance to the theory of meridians and collaterals, combining pattern identification and disease identification, using fewer acupoints for treatment, and using Ashi point and Hegu (LI 4) to treat goiter. He emphasized the priority and sequence in acupoint-selection and manipulation. In treatment of epilepsy, he proposed to treat it according to the situation and paid great attention to the special function of the extraordinary acupoints. During the onset, it should be managed by calming the mind and controlling the symptoms; during the remission period, acupuncture and drugs should be applied simultaneously to regulate qi-blood and yin-yang, so as to reduce the frequency of attacks. He believed that acupuncture manipulation be one of the key factors in achieving the efficacy. In treatment of the motive diseases, such as convulsions and cramps, acupuncture with static and longer needle-retaining time should be adopted to control the limb movement, to strengthen the stimulation and to obtain a long-term efficacy. Professor Shao Jing-ming's medical records range from internal medicine, external medicine, gynecology and pediatrics, listing various refractory diseases effectively treated by him. Professor Shao was a moral and erudite Chinese medicine master, and his clinical experience is worthy of inheritance and development.
    • 朱世鹏; 袁亚; 刘通; 张朝晖; 叶新华; 周静珠; 陈欢; 张前德
    • 摘要: 背景 阿是穴是针灸治疗骨骼肌损伤的常用穴位.然而,其在急性骨骼肌损伤后的干预时机尚未有相关报道.目的 观察不同时机电针阿是穴对腓肠肌钝挫伤大鼠腓肠肌高频超声成像评分、血清肌酸激酶(CK)水平的影响.方法 2017年9月,将清洁级健康成年雄性SD大鼠60只随机分为空白组(n=6)、模型组(n=18)、24 h电针组(n=18)、72 h电针组(n=18).除空白组外,模型组、24 h电针组、72 h电针组均参照本课题组前期研究的方法 建立腓肠肌急性钝挫伤模型,并采用超声成像技术进行评定.由于动物无言语表达能力,研究中阿是穴的选取以局部病灶(即腓肠肌肌腹的中点,辅以超声进行病灶定位)作为针刺部位.除空白组外,各组造模后3、5、7 d分别抓取不同的6只大鼠进行以下操作:24 h电针组在钝挫伤后24 h进行1次针刺治疗,72 h电针组在钝挫伤后72 h进行1次针刺治疗.模型组与2个电针组同步抓取与固定,但不做电针干预.空白组不做任何处理.记录各组大鼠造模后3、5、7 d超声分级评分表评分.评分后处死,记录各组大鼠造模后3、5、7 d血清CK水平.结果 模型组、24 h电针组、72 h电针组大鼠造模后即刻、3、5、7 d超声分级评分表评分比较,差异均无统计学意义(P>0.05).造模后3 d、24 h电针组大鼠不同时间点造模后即刻超声分级评分表评分与干预后超声分级评分表评分差值大于模型组、72 h电针组(P<0.05).模型组大鼠造模后3、5、7 d血清CK水平均高于空白组(P<0.05);24 h电针组大鼠造模后5、7 d血清CK水平均高于空白组(P<0.05);72 h电针组大鼠造模后3 d血清CK水平低于模型组,5、7 d血清CK水平均高于空白组(P<0.05).结论 电针阿是穴能有效促进大鼠腓肠肌钝挫伤后的组织修复,损伤后24 h电针阿是穴治疗能较早地促进组织修复.
    • 俞华; 赵翠霞; 张大锐; 杨茜
    • 摘要: 目的:观察针灸埋线结合穴位注射对骨质疏松腰腿痛的影响.方法:收集126例骨质疏松腰腿痛患者临床资料,平均分成两组各63例,对照组常规抗骨质疏松处理,研究组针灸埋线结合穴位注射治疗,观察不同方法处理后在疗效、临床表现和生活质量等方面差异性.结果:生活质量上,两组治疗后躯体、角色、认知、情绪、社会功能和疲劳、失眠、食欲丧失症状积分较治疗前均显著下降(P<0.05),治疗后观察组在以上指标下降水平显著优于对照组(P<0.05);症状上,两组治疗后腰腿痛、下肢抽筋、下肢无力、麻木积分较治疗前均显著下降(P<0.05),治疗后观察组以上指标下降水平显著优于对照组(P<0.05);疗效上,对照组显效率41.27% 、总有效率74.6%,研究组显效率63.49% 、总有效率90.48%,研究组显著优于对照组(p<0.05).结论:针灸埋线结合穴位注射能改善骨质疏松腰腿痛临床症状,提高生活质量,促进骨吸收.%Objective:To observe the effect of acupuncture and moxibustion embedding combined with point injection on osteoporosis low back pain.Methods:The clinical data of 126 cases of osteoporosis patients with low back pain were collected.The average data were divided into two groups of 63 cases.The control group was given conventional anti-osteoporosis treatment.The study group was treated with embedding with acupuncture and acu-point injection.The curative effect,Clinical manifestations and quality of life differences.Results:On the quality of life,the scores of somatic body,role,cognition,emotion,social function and fatigue,insomnia and loss of appetite in both groups were significantly lower than those before treatment (P<0.05).After treatment,the lumbocrural pain,lower extremity cramp,lower extremity weakness and numbness scores of both groups were significantly low-er than those before treatment (P<0.05).After treatment,the above indexes in the observation group decreased (P<0.05).The effective rate was 41.27% in the control group,the total effective rate was 74.6%,the effective rate in the study group was 63.49% and the total effective rate was 90.48%,which was significantly better in the study group than that in the control group(P<0.05).Conclusion:Acupuncture embedding combined with acupoint injection can improve clinical symptoms of osteoporosis low back pain,improve quality of life and promote bone re-sorption.
    • 葛谈; 齐昌菊; 苏齐; 朱轶
    • 摘要: 目的 观察阿是穴配合巨刺肩痛穴治疗肩关节周围炎(以下简称肩周炎)的临床疗效.方法 将60例肩周炎患者随机分为2组.治疗组30例采用阿是穴配合巨刺肩痛穴治疗,对照组30例采用常规电针治疗,2组均治疗3周.比较2组治疗前后肩关节疼痛和活动功能评分变化,统计比较2组临床疗效.结果 治疗组总有效率96.67%,对照组76.67%,2组总有效率比较差异有统计学意义(P<0.05),治疗组临床疗效优于对照组.2组治疗后肩关节疼痛和活动功能评分均较本组治疗前明显增加(P<0.05),且治疗组高于对照组(P<0.05).结论 阿是穴配合巨刺肩痛穴治疗肩周炎临床疗效确切.
    • 齐建华; 韩宝杰; 蔡斐
    • 摘要: Objective To investigate the efficacy of acupoint selection at distant places and local tenderness points in treating migraine without aura.Method Sixty patients were randomly allocated, using a random number table, to two groups, 30 cases each. The treatment group received acupuncture at distant points selected along meridians and local tenderness points and the control group, acupuncture at conventionally selected points. The therapeutic effects were evaluated using the visual analogue scale (VAS) and the short-form McGill Pain Questionnaire (SF-MPQ).Result After treatment, the VAS pain score was lower in the treatment group than in the control group; there was a statistically significant difference (P<0.05). The total efficacy rate was 93.3% in the treatment group and 73.3% in the control group; there was a statistically significant difference between the two groups (P<0.05).Conclusion Both acupuncture at distant points selected along meridians and local tenderness points and acupuncture at conventionally selected points have a certain therapeutic effect on migraine, but the former produces a better effect than the later and can markedly relieve the pain and improve the quality of life in the patients. The outcome of this study provides a certain reference value for clinical treatment of this disease.%目的 观察远端配合局部取穴治疗无先兆性偏头痛的疗效.方法 应用随机数字表法将60例纳入的患者随机分成两组,每组30例.治疗组采用循经远端取穴加局部压痛点针刺,对照组采用传统针刺取穴治疗,通过视觉模拟评分(VAS)、简式麦-吉疼痛问卷(PPI)等观察指标进行科学评价,观察其疗效.结果 治疗组治疗后VAS疼痛评分改善均优于对照组,差异有统计学意义(P<0.05),治疗组总有效率为93.3%,对照组总有效率为73.3%,两组比较差异具有统计学意义(P<0.05).结论 循经远端取穴配合局部压痛点针刺与传统针刺取穴治疗对偏头痛均有一定的疗效,但前者的治疗效果明显优于后者,可明显减轻患者的疼痛,本研究结果对临床治疗该病提供了一定的参考价值.
    • 徐颖; 黄微珍; 李斌
    • 摘要: 目的:针刺配合阿是穴放血治疗急性痛风性关节炎的临床疗效。方法将70例急性痛风性关节炎患者随机分为治疗组38例和对照组32例。治疗组采用针刺配合阿是穴刺络放血治疗,对照组采用常规药物治疗。观察两组治疗前后血尿酸及C反应蛋白含量变化情况,比较两组临床疗效。结果两组治疗1、2个疗程后血尿酸及C反应蛋白含量与同组治疗前比较,差异均具有统计学意义(P<0.01)。治疗组治疗2个疗程后C反应蛋白含量与对照组比较,差异具有统计学意义(P<0.05)。治疗组总有效率为84.2%,对照组为81.3%,两组比较差异具有统计学意义(P<0.05)。结论针刺配合阿是穴刺络放血是一种治疗急性痛风性关节炎的有效方法。%Objective To investigate the clinical efficacy of acupuncture plus ashi point pricking bloodletting in treating acute gouty arthritis.Methods Seventy patients with acute gouty arthritis were randomly allocated to a treatment group of 38 cases and a control group of 32 cases. The treatment group received acupuncture plus ashi point pricking bloodletting and the control group, routine medication. Blood uric acid and C reaction protein contents were measured in the two groups before and after treatment. The clinical therapeutic effects were compared between the two groups.Results There were statistically significant differences in blood uric acid and C reaction protein contents after one and two courses of treatment compared with before treatment in the two groups (P<0.01). After two courses of treatment, there was a statistically significant difference in comparing C reaction protein contents between the two groups (P<0.05). The total efficacy rate was 84.2% in the treatment group and 81.3% in the control group; there was a statistically significant difference between the two groups (P<0.05).Conclusion Acupuncture plus ashi point pricking bloodletting is an effective way to treat acute gouty arthritis.
    • 姜姗; 赵京生
    • 摘要: “阿是穴”的准确释义依赖于对“阿是”的理解,现有的3种解析“阿是”的观点,其产生分歧的主要原因在于所依据的文献以及对其理解的不同.笔者通过全面梳理相关古今文献,并逐一分析不同解释方法,考辨“阿是”一词的原始意义,进而论述对“阿是穴”及“阿是之法”的认识.
    • 孙钰; 张文
    • 摘要: 目的:观察齐刺、扬刺治疗面肌痉挛的临床疗效。方法将68例面肌痉挛患者随机分为治疗组和对照组,每组34例。治疗组采用扬刺局部阿是穴和齐刺患侧翳风穴治疗,对照组采用常规针刺治疗。两组均每日治疗1次,10次为1个疗程,共治疗3个疗程。两组分别在治疗前后进行面神经痉挛程度Cohen Albert分级评定,并比较两组临床疗效。结果两组治疗后痉挛强度分级比较,差异具有统计学意义(P<0.05)。治疗组显著改善率为88.2%,对照组为50.0%,两组比较差异有统计学意义(P<0.05)。结论齐刺、扬刺是一种治疗面肌痉挛的有效方法,具有取穴少、疗效高、针对性强、易于操作等优点。%Objective To observe the clinical efficacy of triple needling and centro-square needling in treating hemifacial spasm. Method Sixty-eight patients with facial spasm were randomized into a treatment group and a control group, 34 in each group. The treatment group was intervened by centro-square needling at topical Ashi points and triple needling at Yifeng (TE 17) on the affected side; the control group was intervened by regular acupuncture. The two groups were treated once a day, 10 times as a treatment course, for 3 courses in total. Cohen Albert grading scale was adopted to evaluate the spasm intensity before and after the intervention, and the clinical efficacies were then compared.Result After intervention, there was a significant difference in comparing the spasm intensity between the two groups (P<0.05). The significant improvement rate was 88.2% in the treatment group versus 50.0% in the control group, and the difference was statistically significant (P<0.05).Conclusion Triple needling plus centro-square needling is an effective method in treating hemifacial spasm. This method uses less points, but it produces a high efficacy, strong pertinence, and is easy-to-operate.
    • 罗建昌; 郎伯旭
    • 摘要: ObjectiveTo investigate the clinical efficacy of nape eight needles plus cephalic ashi point acupuncture in treating cervicogenic headache.MethodA randomized controlled trial was carried out. Eighty-nine patients with cervicogenic headache were randomly allocated to two groups, the treatment group of 45 cases and the control group of 44 cases. Nape eight points [bilateral Fengchi(GB20), Fengfu(GV16), Dazhui(GV14) and “nape Sihuaxue”] and cephalic ashi points were selected inthe treatment group and Huatuo jiaji(Ex-B2) points at the affected cervical vertebrae and points Tianzhu(BL10), Fengchi, Yuzhen(BL9), Lieque(LU7), Taichong(LR3)and Zulinqi(GB41), in the control group. Every group was treated three times a week for two weeks. A follow-up was performed at one month after the completion of treatment. Headache was scored using the VAS, and continuous headache time, headache frequency and range of motion (ROM) of cervical spine were scored before treatment, at the end ofone week’s treatment, at the completion of treatment and at one month after the completion of treatment. The therapeutic effect at the completion of treatment and the follow-up was evaluated according to criteria for assessing the therapeutic effect.ResultAt the completion of treatment and the follow-up, the headache score and the range of motion of cervical spine score were lower in the treatment group than in the control group (P<0.05). In the treatment group, the total efficacy rate was 91.1% at the completion of treatment and 86.7% at the follow-up; the short-term and the long-term therapeutic effects were superior to those in the control group (P<0.05). After one week of treatment, the total efficacy rate was 57.8%, which was higher than 11.4% in thecontrol group (P<0.05).ConclusionTreatment with nape eight needles plus cephalic ashi point needle retention has a marked improving effect on headache symptoms and range of motion of cervical spine in cervicogenic headache. Its short-term and long-termtherapeutic effects are superior to those of conventional acupuncture. It has a higher efficacy rate and effect-producing speed.%目的:观察项八针配合头部阿是穴留针治疗颈源性头痛的临床疗效,并探讨此方法的特点。方法釆用随机对照试验研究的方法,将89例颈源性头痛患者随机分为两组,治疗组45例,对照组44例。治疗组取项八穴(双侧风池、风府、大椎和“项四花穴”)和头部阿是穴,对照组取病变颈椎夹脊穴、天柱、风池、玉枕、列缺、太冲、足临泣穴。各组均治疗2星期,每星期治疗3次,治疗完成1个月后进行随访;并分别于治疗前、治疗1星期末、治疗结束时和1个月随访时进行头痛VAS评分、头痛持续时间、头痛频率和颈椎活动度(ROM)评分;根据疗效评价标准评定治疗结束时和随访时的疗效。结果治疗组治疗结束时和随访时的头痛积分、颈椎活动度评分均优于对照组(P<0.05);治疗结束时总有效率为91.1%,随访时总有效率为86.7%,近远期疗效优于对照组(P<0.05);治疗1星期后,治疗组总有效率为57.8%,优于对照组的11.4%(P<0.05)。结论项八针配合头部阿是穴留针治疗对颈源性头痛的头痛症状、颈椎活动度均有明显的改善作用,其近、远期疗效优于常规取穴针刺治疗,且具有较高的有效率和起效速度。
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