Abstract:This paper summarizes Professor YANG Jin's clinical experience in treating refractory fever based on YE Tianshi's theory of"pathogens lingering in triple energizer"in Treatise on Epidemic Febrile Diseases.It is believed that the core pathogenesis of refractory fever is the retention of damp-heat,phlegm and turbidity pathogenic factors in triple energizer,causing triple energizer qi dysfunction and the disorder of qi movement.The basic treatment principle is to clear and purge the Shaoyang,disperse and eliminate phlegm and dampness,and promote the smooth flow of triple energizer.The clinical prescription is based on Haoqin Qingdan Decoction(蒿芩清胆汤),emphasizing YE Tianshi's idea of"adapting methods according to the syndrome".For cases of wind-heat attacking superficies and lung qi loss in dispersion,the method of dispelling wind and ventilating lung should be combined,and modified combination of Haoqin Qingdan Decoction and Yinqiao Powder(蒿芩清胆汤合银翘散)is prescribed.For cases of wind pathogen blocking the exterior and disharmony between nutrient qi and defensive qi,the method of dispelling wind and regulating wei qi can be used in combination with the modified combination of Haoqin Qingdan Decoction and Guizhi Decoction(蒿芩清胆汤合桂枝汤).If there is heat in the Yangming qi,the method of nourishing yin and clearing qi with pungent and cold medicinals is combined.The modified combination of Haoqin Qingdan Decoction and Baihu Decoction(蒿芩清胆汤合白虎汤)is used.For those with concurrent heat stagnation in the gallbladder and bowels,concurrent diseases in the Shaoyang meridians of the hands and feet,and unfavorable cardinal organs,the method of harmonizing and attacking the interior should be formulated,and the modified combination of Haoqin Qingdan Decoction and Dachaihu Decoction(蒿芩清胆汤合大柴胡汤)should be used.And one test case is attached for verification.

Abstract:This study reviews and sorts out the literature on the therapeutic effects of Lonicera japonica Thunb.in treating sores and ulcers by reviewing ancient and modern Chinese materia medica and prescription books.It analyzes and organizes the understanding of Lonicera japonica Thunb.'s medicinal properties for sores and ulcers treatment by medical practitioners throughout different historical periods.The research findings reveal that the explicit records of Lonicera japonica Thunb.'s efficacy in treating sores and ulcers can be traced back to the Song Dynasty,and it was recognized as a pivotal medicine for sores and ulcers treatment in the Ming Dynasty,leading to the development of several renowned prescriptions.In the ancient literature,the whole herb,stems and leaves,and flowers of Lonicera japonica Thunb.can be used to treat sores and ulcers,and its medicinal properties are recorded as cold and warm,the flavor is mainly sweet,and the therapeutic effects for sores and ulcers encompass heat-clearing and detoxication,as well as tonifying deficiency.This paper aims to provide valuable references for its clinical applications,starting with the causes of sores and ulcers,tracing the trajectory of the literature on the sores and ulcers treatment of Lonicera japonica Thunb.and providing literature verification on the efficacy of Lonicera japonica Thunb.in treating sores and ulcers.There are 58 references.

Abstract:Objective:To observe the effectiveness of Qishen Fuling Formula(芪参茯苓方)in the treatment of chronic heart failure(CHF)of yang deficiency and blood stasis type.Methods:From March 2019 to September 2023,clinical data of 281 CHF patients with yang deficiency and blood stasis type was obtained retrospectively.Patients were divided into 3 groups according to the medications:140 cases in the western medicines group(routine western medicine therapy only);79 cases in the Qili Qiangxin Capsule(芪苈强心胶囊)group(Qili Qiangxin Capsule with routine western medicine therapy for one month);and 62 cases in the Qishen Fuling Formula group(Qishen Fuling Formula with routine western medicine therapy for one month).The clinical efficacy and its effects on traditional Chinese medicine(TCM)syndrome score,brain natriuretic peptide(BNP),carcliac troponin Ⅰ(cTn Ⅰ),left ventricular ejection fraction(LVEF),and the heart failure rehospitatization rate.indicators of the three groups were compared,and the independent factors that were clinically effective were determined using Logistic regression analysis.Observe and record the occurrence of adverse reactions during treatment.Results:The Qili Qiangxin Capsule group and Qishen Fuling Formula group both had higher overall clinical effective rates than the western medicine group(P＜0.05),and showed more obvious decrease of TCM syndrome score than the western medicine group(P＜0.05).The difference before and after treatment within the same group was statistically significant(P＜0.01).The Qishen Fuling Formula group was better than pre-treatment and the other two groups in terms of both heart failure rehospitalization rate decrease and LVEF elevation(P＜0.05).There was no difference in the between-group comparison of BNP and cTnⅠ levels before and after treatment in the three groups(P＞0.05).The Qili Qiangxin Capsule group and Qishen Fuling Formula group both had better clinical efficacy than the western medicine group(P＜0.05).Conclusions:Qishen Fuling Formula combined with routine western medicine showed better effect for CHF of yang deficiency and blood stasis type,and can improve the heart function and symptoms of heart failure obviously without obvious adverse reactions.

Abstract:Acupoint sensitization refers to the transformation of an acupoint from its physiological"resting state"to a pathological"activated state".The infrared radiation of the human body is influenced by blood circulation,metabolism,as well as physiological and pathological reactions.Acupoints are not only the reaction points for internal organ diseases but also the stimulation points for acupuncture treatment.Therefore,the heat radiation emitted by acupoints can reflect the physiological and pathological information of the corresponding internal organs.Abnormal changes in human body heat radiation can be sensitively detected by infrared thermal imaging technology and presented in an intuitive form as an infrared thermal map.This article reviews the research on the application of infrared thermal imaging technology in traditional Chinese medicine(TCM)diagnosis and treatment based on the theory of acupoint sensitization.It is found that this technology has been widely used in the field of TCM for reflecting disease conditions,assisting in syndrome differentiation and treatment,identifying TCM constitutions,guiding disease treatment,and evaluating therapeutic effects.Infrared thermal imaging technology converts the body's cold and hot information into data,and visualizes and objectifies it to reflect the physiological and pathological states of the human body.It can not only be used for health management and clinical disease screening,but also is expected to become one of the key technical tools for the modernization and quantitative research of TCM,with profound significance for the innovation and development of TCM.

Abstract:"Taking the skin lesion as the acupoint"is a theory based on the nutrient-defense theory and the cutaneous region theory,taking the skin lesion as the main operative site.This theory holds that the emergence of skin lesions is the result of the struggle between pathogenic factors and healthy qi in the cutaneous region,leading to abnormal movement of nutrient qi and defensive qi.Treating at the lesion site has the effect of expelling pathogenic factors and regulating the movemwnt of nutrient qi and defensive qi.In recent years,the incidence of postherpetic neuralgia has been constantly rising.The persistent pain and itching affect the normal life and social interaction of the patients.Simple local acupuncture,bloodletting,and other treatments can not cope with the complex condition of postherpetic neuralgia.Our team constructed a rehabilitation system for postherpetic neuralgia under the guidance of the theory of"taking the skin lesion as the acupoint".This system mainly uses Joss stick moxibustion,which plays the role of dredging the collaterals of the cutaneous region,regulating the nutrient qi and defensive qi,and promoting the elimination of pathogenic factors.It is supplemented by Tuina manipulation,physical factor therapy,occupational therapy,etc.,to enhance the effects of eliminating pathogenic factors,strengthening the muscles,regulating the nutrient qi and defensive qi,and promoting the recovery of the patients'life and social abilities.The combination of various methods is used to improve the rehabilitation efficacy.

Abstract:Objective:To explore the effect of"twelve needles for hands and feet"acupuncture on the M1-basal ganglia-thalamic loop effect connection in patients with poststroke hemiplegia using functional magnetic resonance imaging(fMRI),and to investigate the specificity of acupoint selection and the mechanism behind brain effect.Methods:Forty-three patients with post-stroke hemiplegia were included as trial group,and twenty-eight healthy individuals were included as the control group.The trial group were divided into a true acupoint group of 23 cases and a sham acupoint group of 20 cases according to the random number table method.Both groups underwent clinical evaluation and magnetic resonance imaging.The true acupoint group received"twelve needles for hands and feet"acupuncture,while the sham acupoint group received acupuncture 0.5 cun away from the meridian point.Regions of interest included the bilateral anterior central gyrus(PreCG),amygdala(AMYG),caudate nucleus(CAU),putamen(PUT),globus pallidus(PAL),and thalamus(THA).Changes in Granger causality(GC)and differences in scale scores were compared between the two groups before and after treatment.Results:Before the intervention,the GC from AMYG.R → PreCG.R,PreCG.R → AMYG.R,CAU.L → AMYG.R,AMYG.R → CAU.L,and PAL.R → CAU.R in the trial group was stronger than in the control group.Before the intervention,the GC from PreCG.L → PreCG.R,PAL.L → PreCG.R,AMYG.R → PUT.L,PreCG.R →PAL.L,and CAU.L → THA.R in the trial group was weaker than in the control group(P＜0.05).After the intervention,in the true acupoint group,the GC from AMYG.R → CAU.L,PAL.R → CAU.R,and AMYG.R →PAL.R was stronger than in the control group.After the intervention,in the true acupoint group,the GC from PreCG.L → PreCG.R and PUT.L → AMYG.R was weaker than in the control group(P＜0.05).After the intervention,in the sham acupoint group,the GC from PAL.R → CAU.R and AMYG.L → THA.R was stronger than in the control group,while the GC from PreCG.L → PreCG.R,AMYG.L → PAL.L,and AMYG.R →THA.R was weaker than in the control group(P＜0.05).Conclusions:The right motor circuit tends to preferentially compensate in the early stages of stroke onset,showing a lateralization tendency.Bilateral basal ganglia remodeling and regulation of excitatory-inhibitory balance in the thalamus may serve as the basis for adaptive motor control after unilateral motor circuit injury.Acupuncture at meridian acupoints stimulates more brain activity than at non-meridian acupoints,indicating acupoint specificity.

Abstract:At present,many scholars in the field of acupuncture and moxibustion have clearly pointed out that the SPARC program may pose a significant challenge to the development of traditional Chinese acupuncture and moxibustion.It is increasingly important for modern acupuncture efficacy and mechanism research to refer to and draw on the outcomes and insights from the SPARC program.This paper sorts out and summarizes various studies related to"meridian-viscera correlation"theory in the SPARC program,and the neural regulatory mechanism of"meridian-viscera correlation"theory is discussed in combination with autonomic nerve con-duction pathways concerned by SPARC program.It is proposed that the process of visceral diseases reflected in body surface acupoints or meridians is related to the co-participation of sympathetic post-ganglionic neurons in innervation and sympathetic sprouting of dorsal root ganglia.The projected relationship between the body surface and the viscera in sensory afferent and autonomic nerve efferent may be the neuroanatomical way of meridians or acupoints to treat viscera diseases,with a prospect of providing insights for the modern mechanism research and transfor-mation innovation of traditional Chinese medicine.

Abstract:Professor ZHANG Wei innovatively puts forward the theory of"Lung generating blood",which believes that the lung not only participates in the production of blood,but also directly generates blood.The team preliminarily explores lung generating blood in terms of the lung dominating qi and harboring the fluids,the lung dominating the ascending and descending of qi,and the lung governing the convergence of vessels.In order to deeply excavate the connotation of lung generating blood in Chinese medicine,the team further applies the digital platform of ancient Chinese medical books to sort out the origin of lung generating blood in Chinese medicine,and has found that"lung generating blood"related thesis first appeared in The Yellow Emperor's Canon of Internal Medicine in the Spring and Autumn and Warring States period,subsequently,the relevant ancient books of various periods have been expanded and deepened from the perspectives of the lungs being the main source of qi and qi generating blood.In the Ming and Qing dynasties,the concept of lung qi generatein blood was interpreted,and it was believed that the lung was the master of qi of the whole body,and the blood would be generated when qi was flourishing.The synergistic roles of Spleen-Earth,Heart-Fire,and Kidney-Water in the generation of lung blood were recognized during this period.Among other things,spleen-earth provides the material basis for lung blood;the lung-metal is the wife of heart-fire,lung yin combines with heart fire to generate blood.It is also held that the kidney contains qi,it is responsible for the generation of water and marrow,and passes up through the diaphragm into the lungs,and is the important foundation of the formation of pulmonary blood.It can be seen that the ideas related to the theory of lung generateing blood has a long history,which provides a theoretical source and clinical guidance for the identification and treatment of lung diseases from blood by paying more attention to"lung blood deficiency","blood stasis in the lungs"and even"stasis poison",which provides a theoretical source and clinical guidance for the treatment of lung diseases from the blood.

Abstract:Professor LIU Ruifen believes that blood stasis and cell vein obstruction are the core pathogenesis of tubal obstructive infertility,and proposes that exogenous dampness,heat and cold pathogenic factors are the initial causes,and the combination of deficiency and excess is the inevitable outcome.She emphasizes the combination of local disease differentiation and overall syndrome differentiation,and frequently applies a combination of traditional Chinese medicine oral administration and retention enema as the main comprehensive treatment plan,which is combined with western surgical treatment if it is necessary.The treatment is based on the basic principles of promoting blood circulation and removing blood stasis,activating qi circulation and clearing collaterals,tonifying kidney and cultivating the essence.The oral administration of Quyu Zhongzi Decoction(祛瘀种子汤)and Shenlian Guanchang Formula(参连灌肠方)retention enema treatment are established to treat this disease and she is good at adjusting according to the syndrome clinically.At the same time,attention is paid to emotional therapy,internal and external combination treatment,which dispels evil and supports the healthy qi and the clinical effect is remarkable.One test case is attached.

Abstract:Objective:To investigate the clinical efficacy of the combination of acupuncture and medicine in the treatment of patients with qi deficiency and blood stasis syndrome in convalescent period of cerebral infarction and its effect on blood lipid metabolism and serum homocysteine(Hey).Methods:A total of 60 patients with qi deficiency and blood stasis syndrome in convalescent period of cerebral infarction were divided into the control group and the observation group according to random number table method,with 30 cases in each group.The control group received Tongdu Tiaoshen acupuncture combined with the symptomatic treatment and secondary prevention treatment of anti-platelet aggregation,stabilizing plaque,promoting blood circulation and removing blood stasis and nourishing cerebral nerves.The observation group was supplemented with modified Xiaoxuming Decoction(小续命汤)on the basis of the treatment of the control group.Both groups were treated continuously for 2 weeks.The clinical efficacy,National Institutes of Health Stroke Scale(NIHSS)score,Barthel index score,traditional Chinese medicine(TCM)syndrome score,Hcy,blood lipid[low density lipoprotein cholesterol(LDL-C),triglyceride(TG),total cholesterol(TC),high density lipoprotein cholesterol(HDL-C)]levels of the two groups were observed and compared.Results:After treatment,the total effective rate was 90.00％in the observation group and 80.00％in the control group,and the difference was statistically significant(P＜0.05).After treatment,NIHSS score and TCM syndrome score of both groups were lower than those before treatment,and the observation group was lower than the control group(P＜0.05).The Barthel index score in both groups was higher than that before treatment,and the observation group was higher than the control group(P＜0.05).LDL-C,TG,TC and Hcy levels in both groups were lower than those before treatment,and the observation group was lower than the control group(P＜0.05).HDL-C level in both groups was higher than that before treatment,and the observation group was higher than the control group(P＜0.05).Conclusion:The combination of acupuncture and medicine can improve the limb dysfunction of patients with qi deficiency and blood stasis syndrome in the convalescent period of cerebral infarction,promote the quality of life of patients,and reduce the level of blood lipids and Hcy.

Abstract:Objective:To explore the application effect of acupuncture on patients with dysphagia after stroke.Methods:A total of 90 patients with dysphagia after stroke were selected as the study subjects and divided into the control group,observation group 1 and observation group 2 by using random number table method,with 30 cases in each group.The control group received conventional treatment.On this basis,observation group 1 was treated with acupuncture without needle retention,observation group 2 was treated with needle retention for 30 minutes after acupuncture.The therapeutic effect,intestinal barrier function[D-lactic acid(D-LA),lipopolysaccharide(LPS),diamine oxidase(DAO)],nutritional status[hemoglobin(Hb)and serum albumin(ALB),total protein(TP)],swallowing function[deglutigraphy examination(VFSS),standardized swallowing assessment scale(SSA)],gastrointestinal function and life quality[Barthel Index(BI)],sleep quality[Pittsburgh Sleep Quality Scale(PSQI)]and adverse effects of the three groups were compared.Results:The total effective rate of the observation group 1 and group 2 was 83.33％and 93.33％,respectively,which was higher than that of the control group,60.00％(all P＜0.05).After treatment,the SSA and gastrointestinal function scores of the three groups were lower than those before treatment,and observation group 2＜observation group 1＜the control group(all P＜0.05),VFSS scores were increased,and observation group 2＞observation group 1＞the control group(all P＜0.05).After treatment,the levels of LPS,DAO,and D-LA were decreased in all three groups,and observation group 2＜observation group 1＜the control group(all P＜0.05),and the levels of Hb,ALB and TP were increased,and observa-tion group 2＞observation group 1＞the control group(all P＜0.05).After treatment,BI scores in all three groups were increased,and the observation group 2 and group 1 were higher than the control group(all P＜0.05),PSQI scores in all three groups were decreased,and the observation group 2 and group 1 were lower than the control group(all P＜0.05).Conclusion:The application of acupuncture in the clinical treatment of dysphagia after stroke can enhance the therapeutic effect,improve the sleep and quality of life of patients,and the degree of improvement of swallowing function,nutritional status and intestinal barrier function of patients with needle retention after acupuncture is better than that of the no-needle retention program.

Abstract:Chronic kidney disease(CKD)is characterized by a poor prognosis and a long course.Moreover,patients with end-stage renal disease require expensive renal replacement therapy to sustain their lives.Therefore,most CKD patients endure heavy psycho-logical and economic burdens for a long time,and thus concurrently develop emotional disorders.Professor YU Renhuan proposed that the main pathogenesis of CKD complicated with emotional disorders is depression caused by kidney deficiency,including restlessness caused by deficiency of kidney yin resulting in fire without containment,fear caused by deficiency of kidney yang resulting in will without storage,and depression caused by deficiency of kidney qi resulting in qi without support,etc.Guizhi Gancao Longgu Muli Decoction(桂枝甘草龙骨牡蛎汤)has the efficacy of activating yang,restraining yang,and subduing yang to calm the mind.It can be used to treat restlessness caused by the disturbance of the mind and spirit by yang-pathogen due to kidney deficiency.Based on this formula,Professor YU treats CKD complicated with emotional disorders by adding prescriptions or drugs with efficacy of regulating the heart and calming the mind,warming yang and strengthening the spleen,and soothing the liver and relieving depression according to different syndrome types,which has achieved favorable therapeutic outcomes.One proved case is attached.

Abstract:Professor ZHANG Fengmei analyzes the occurrence and development of myopia in children and adolescents from the perspective of the theory that prolonged vision impairs blood.She believes that the abundance of qi and blood is closely related to the heart,liver,kidney,spleen,and stomach.Prolonged vision tends to damage the spleen,stomach,heart,liver,and kidney,leading to blood deficiency in the viscera.Blood deficiency causes qi stagnation,and the eyes lose the nourishment of essence and blood,thus resulting in myopia.Therefore,in treating myopia in children and adolescents,she begins by identifying which organ is deficient and then adjusts the qi and blood functions of the organs.For those with spleen and stomach deficiency,the treatment involves nourishing the spleen and stomach and replenishing qi and blood.The selected prescriptions include Yiqi Congming Decoction(益气聪明汤)and Buzhong Yiqi Decoction(补中益气汤).For those with liver and kidney insufficiency and essence and blood deficiency,the treatment focuses on nourishing essence and blood.The selected prescriptions include Qiju Dihuang Decoction/Pill(杞菊地黄汤/丸),Mingmu Dihuang Decoction(明目地黄汤),and Modified Zhujing Pill(加减驻景丸),etc.For those with heart blood consumption and yang qi deficiency,the treatment aims to tonify the heart and qi,calm the mind,and stabilize the will.The selected prescriptions include Dingzhi Pill(定志丸)and Guipi Decoction(归脾汤),etc.For those with blood deficiency and qi stagnation,as well as sluggishness of the ocular collaterals,the treatment involves regulating qi and blood,promoting blood circulation,and dredging collaterals.The selected prescriptions include Danggui Huoxue Drink(当归活血饮)and Buyang Huanwu Decoction(补阳还五汤),etc.Two proved cases are attached.

Abstract:Atopic dermatitis is an inflammatory skin disease related to allergies.Because its skin lesions often spread all over the body and cause unbearable itching,it is often accompanied by psychological disorders of different degrees.Among them,depressive disorder is closely related to it.The concurrent occurrence of the two usually aggravates clinical symptoms and prolongs the course of the disease.Existing studies have shown that atopic dermatitis and depressive disorder may share common pathological bases in aspects such as genetic susceptibility,immune-inflammatory response,dysfunction of the neuroendocrine system,and imbalance of the intestinal flora.Many active components of Chinese materia medica can play a therapeutic role in atopic dermatitis and depressive disorder by regulating the immune-inflammatory response,the neuroendocrine system,and the intestinal flora.Traditional Chinese medicine characteristic external treatment methods,such as acupuncture,pricking-cupping therapy,moxibustion,and Tuina,have also been applied in the treatment of them.There are 55 references.

Abstract:Visceral manifestations theory of liver(LVMT)is one of the important contents of tradirional Chinese medicine(TCM)visceral manifestations theory.Deepening its scientific connotation and promoting its inheritance and innovation to guide clinical practice have been important propositions in the basic research of TCM.This article systematically reviews the development history and basic consensus of the research on LVMT,emphasizing that the physiological characteristic of"liver governing and regulating"is closely related to emotional disorders and gynecological diseases.However,its modern research still faces challenges such as theoretical and clinical disconnection and insufficient integration of traditional Chinese and Western medicine,which urgently needs key breakthrough points.Taking premenstrual syndrome(PMS)/premenstrual dysphoric disorder(PMDD)as the entry point,this paper reveals the deep association between liver dysfunction(either excessive or insufficient)and the neuroendocrine mechanism in Western medicine.It is proposed that the states of liver dysfunction,imbalance of Chong and Ren meridians,and disharmony of nutrient-defense in patients with PMDD are consistent with the functional abnormalities of the gamma-aminobutyric acid(GABA)ergic system,the negative feedback disorder of the hypothalamus-pituitary-adrenal(HPA)axis,and the immune disorder mechanism.From the perspective of constitution theory,the influence of genetic factors and environmental factors on the susceptibility to PMS/PMDD has been emphasized.Future research should be based on the holistic view of TCM,construct a four-dimensional framework of"phenomenon-data-mechanism-theory",integrate systems biology and artificial intelligence technologies,deepen the analysis of the microscopic regulatory network of the LVMT,promote complementary advantages of traditional Chinese and Western medicine,and facilitate the leap of TCM from empirical medicine to precision medicine.

Abstract:Objective:To explore the effectiveness of Baihe Zhimu Decoction(百合知母汤)combined with emotion release therapy in treating coronary heart disease complicated with depression and anxiety(qi and yin deficiency type).Methods:A total of 100 patients with coronary heart disease complicated with depression and anxiety were selected as the research subjects,and the admission time was from May 2023 to May 2024.According to the random number table method,they were divided into the control group and the observation group,with 50 cases in each group.The control group was treated with conventional drug therapy combined with emotion release therapy,while the observation group was treated with Baihe Zhimu Decoction on the basis of the treatment of the control group.Both groups were treated continuously for 4 weeks.The clinical efficacy,TCM syndrome scores and anxiety and depression conditions[Self-rating Anxiety Scale(SAS)score,Self-rating Depression Scale(SDS)score]of the two groups were compared.Results:The comparison between the total effective rate of the observation group(90.00％)and that of the control group(74.00％)showed a statistically significant difference(P＜0.05).After treatment,the TCM syndrome scores,SAS score and SDS score of the two groups were lower than those before treatment,and the difference was statistically significant(P＜0.05).Moreover,the scores of the observation group were lower than those of the control group,and the difference was statistically significant(P＜0.05).Conclusion:Baihe Zhimu Decoction combined with emotion release therapy is helpful to relieve the anxiety and depression of patients with coronary heart disease complicated with depression and anxiety,it alleviates clinical symptoms and has a remarkable therapeutic effect.

Abstract:Objective:To explore the clinical efficacy of floating needle combined with reperfusion activity in the treatment of biceps spasm after ischemic stroke(IS).Methods:A total of 140 patients with biceps spasm after IS were included.The patients were divided into observation group and control group,with 70 cases in each group,according to the random number table method.The control group received traditional acupuncture combined with modern rehabilitation treatment,while the observation group was treated with floating needle combined with reperfusion activities on the basis of modern rehabilitation treatment.The spasticity conditions[Modified Ashworth Scale(MAS)grade and Clinic Spasticity Index(CSI)]and motor conditions[Fugl-Meyer Assessment(FMA)score]were compared between the two groups after 1 week of treatment and 4 weeks of treatment.The clinical efficacy of the two groups of patients was compared,and the occurrence of adverse reactions in the two groups was recorded.Results:Compared with those before treatment,the MAS grades of the two groups of patients showed a downward trend after 1 week and 4 weeks of treatment(P＜0.05),and the MAS grade of the observation group was lower than that of the control group(P＜0.05).The differences in CSI and FMA scores between groups,time points and interactions between the two groups of patients were statistically significant(P＜0.05).One week after treatment and four weeks after treatment,the CSI scores of both groups were lower than those before treatment,and the scores of the observation group were lower than those of the control group(P＜0.05).One week after treatment and four weeks after treatment,the FMA scores of both groups were higher than those before treatment,and the scores of the observation group were higher than those of the control group(P＜0.05).The total effective rate of treatment in the observation group was 88.57％,which was higher than 68.57％in the control group.Comparison of the clinical efficacy between the two groups showed a statistically significant difference(P＜0.05).Conclusion:Floating needle combined with reperfusion activity has a good therapeutic effect and it can effectively relieve the limb spastic state and improve the limb movement degree of patients in the treatment of biceps spasm after ischemic stroke(IS).

Abstract:Objective:To observe the therapeutic effect of traditional Chinese medicine(TCM)directional drug penetration on cervical spondylotic radiculopathy(CSR)of the qi stagnation and blood stasis type and its influence on the hemodynamics of the vertebral artery.Methods:A total of 128 patients with CSR of the qi stagnation and blood stasis type were divided into an observation group and a control group,with 64 cases in each group,according to the random number table method.The control group received conventional treatments with Chinese and Western medications and cervical traction,while the observation group received TCM directional drug penetration therapy in addition to the treatment given in the control group.Both groups received treatment for 4 weeks.The therapeutic effect,TCM syndrome score,levels of the vertebral artery hemodynamic indicators,cervical spine range of motion,Visual Analogue Scale(VAS)score for pain,and adverse reactions of the two groups were compared.Results:After treatment,the total effective rate of the observation group(95.31％)was higher than that of the control group(82.81％),and the difference was statistically significant(P＜0.05).After 4 weeks of treatment,the main symptom score,secondary symptom score and total score of the TCM syndrome in both groups were lower than those before treatment(P＜0.05),and the scores in the observation group were lower than those in the control group(P＜0.05).The peak systolic blood flow velocity(Vs)and peak mean blood flow velocity(Vm)of the left vertebral artery(LVA)and right vertebral artery(RVA)in both groups were increased compared with those before treatment(P＜0.05),and the values in the observation group were higher than those in the control group(P＜0.05).The cervical spine range of motion in both groups increased compared to that before treatment(P＜0.05),and it was higher in the observation group than in the control group(P＜0.05).After 1 week,2 weeks,and 4 weeks of treatment,the pain VAS scores of the patients in both groups were lower than those before treatment(P＜0.05).After 2 weeks and 4 weeks of treatment,the pain VAS scores of the patients in both groups were lower than those after 1 week of treatment(P＜0.05).After 4 weeks of treatment,the pain VAS scores of the patients in both groups were lower than those after 2 weeks of treatment(P＜0.05).After 1 week and 2 weeks of treatment,the pain VAS scores of the patients in the observation group were lower than those in the control group(P＜0.05).No obvious adverse reactions occurred in both groups of patients during the treatment period.Conclusions:Based on Chinese and Western medications as well as cervical traction therapy,the TCM directional drug penetration for CSR of the qi stagnation and blood stasis type has a definite therapeutic effect.It can improve the clinical cure rate,relieve symptoms such as neck pain and limb numbness in patients,improve the blood flow velocity in the vertebral artery,and increase the range of motion of the cervical spine.

Abstract:Objective:To observe the clinical efficacy of Qishen Tongmai Decoction Ⅰ(芪参通脉饮Ⅰ号)combined with electroacupuncture at Jiaji points(EX-B2)in treatment of diabetic foot with qi deficiency and blood stasis syndrome at Wagner Grade 0.Methods:A total of 120 patients with diabetic foot and qi deficiency and blood stasis syndrome at Wagner Grade 0 were divided into a control group and a treatment group according to the random number table method,with 60 cases in each group.Both groups were treated with conventional western medicine.The control group was treated with electroacupuncture at Jiaji points on the basis of conventional western medicine,and the treatment group was treated with Qishen Tongmai Decoction Ⅰ on the basis of the control group.Both groups were treated for 28 days.The tra-ditional Chinese medicine(TCM)syndrome scores,ankle-brachial index(ABI),Toronto Clinical Scoring System(TCSS)score,nerve conduction velocity,hemorheological indicators,and microcirculation blood flow indicators were compared between the two groups before and after the treatment,and the clinical efficacy was evaluated.Results:After treatment,the TCM syndrome scores,TCSS scores,and the levels of hemorheological indicators in both groups were lower than those before treatment(P＜0.05),and levels of these indicators in the treatment group were lower than those in the control group(P＜0.05).The levels of ABI,nerve conduction velocity,and microcirculation blood flow indicators in both groups were increased compared with those before treatment(P＜0.05),and levels of these indicators in the treatment group were higher than those in the control group(P＜0.05).The total effective rate of the treatment group(93.33％)was higher than that of the control group(86.67％).The difference in clinical efficacy between the two groups was statistically significant(P＜0.05).Conclusions:The combination of Qishen Tongmai Decoction Ⅰ and electroacupuncture at Jiaji for diabetic foot with qi deficiency and blood stasis syndrome at Wagner Grade 0 has a definite curative effect.It can effectively promote blood circulation and improve the condition of lower extremity neuropathy.

Abstract:Mr.CHEN Jinghe,a"model of traditional Chinese medicine",believes that pathogenic factors in cold regions have the characteristics of heavy cold pathogen,vigorous wind pathogen,accumulation of phlegm-dampness,and concurrent blood stasis.Therefore,the etiology and pathogenesis of chronic headache in cold regions are mainly related to latent pathogenic factors of wind-cold or wind-heat,stagnation of qi and blood,deficiency,and phlegm.The treatment of chronic headache in cold regions should be tailored to the time,place,and individual,and based on the pathogenesis of the disease.For those with latent pathogenic factors remaining in the collaterals,the treatment should distinguish between cold and heat,and use the method of dispersion to expel the latent pathogenic factors.For those with stagnation of qi and blood,the treatment should involve promoting blood circulation and unblocking collaterals,and regulating both qi and blood.For those with deficiency of qi and blood,the treatment should aim at tonifying deficiency while preventing congestion,with a small amount of promoting medicinals as adjuncts.For those with phlegm-turbidity blocking collaterals,the treatment should focus on regulating qi and clearing heat.One proved case is attached.