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Objective:To investigate the effects of Jiawei Danshen Yin on the cardiac function and serum inflammatory factors interleukin-6 (IL-6) and tumor necrosis factor-α (TNF-α) in the rats with chronic heart failure, and to elucidate the mechanism of Jiawei Danshen Yin in the treatment of chronic heart failure.Methods:The SD rats were randomly divided into blank control group, heart failure model group, captopril group, and Low, medium, and high doses of Jiawei Danshen Yin groups.The rat models of chronic heart failure were prepared by intraperitoneal injection of adriamycin solution for 4 weeks.The left ventricular ejection fraction (LVEF) of the rats was measured by echocardiography.The heart rate (HR) , cardiac output (CO) , systolic blood pressure (SBP) , carotid artery diastolic pressure (DBP) , left ventricular end diastolic pressure (LVEDP) , left ventricular systolic pressure (LVSP) , left ventricular pressure change maximum increase/decrease rate (±dp/dtmax) and other related hemodynamic parameters were measured by ventilator in each group to assess the rat heart function.The levels of inflammatory cytokines IL-6and TNF-αwere detected by enzyme-linked immunosorbent assay (ELISA) .Results:Compared with blank control group, the LVEF of the rats in model group, captopril groups and low, medium, and high doses of Jiawei Danshen Yin groups were decreased (P＜0.05) .Compared with model group, the LVEF of the rats in captopril group and low, medium, and high doses of Jiawei Danshen Yin groups were increased (P＜0.05) .The HR, SBP, DBP, CO, LVSP, and±dp/dtmaxof the rats in model group were lower than those in blank control group (P＜0.05) , while the LVEDP was increased (P＜0.05) .Compared with model group, the SBP, DBP, CO, LVSP and±dp/dtmax of the rats in captopril group and low, medium, and high doses of Jiawei Danshen Yin groups were increased (P＜0.05) , however the HR and LVEDP were decreased (P＜0.05) .Compared with low dose of Jiawei Danshen Yin group, the CO and±dp/dtmaxof the rats in captopril group and medium and high doses of Jiawei Danshen Yin groups were increased (P＜0.05) and the LVEDP were decreased (P＜0.05) .Compared with blank control group, the levels of serum IL-6and TNF-αof the rats in the other groups were increased (P＜0.05) .The levels of serum IL-6and TNF-αof the rats in captopril group and low, medium, and high doses of Jiawei Danshen Yin groups were lower than those in model group (P＜0.05) .Compared with low dose of Jiawei Danshen Yin group, the levels of serum IL-6and TNF-αof the rats in captopril group and medium and high doses of Jiawei Danshen Yin groups were decreased (P＜0.05) .Compared with blank control group, the indexes of heart and lung in the other groups were all increased (P＜0.05) ;compared with model group, the heart and lung indexes of the rats in captopril group and low, medium, and high doses of Jiawei Danshen Yin groups were decreased (P＜0.05) .Conclusion:Jiawei Danshen Yin can improve the heart function of the rats with heart failure and inhibit the expressions of serum inflammatory cytokines IL-6and TNF-αto some extent.In the common dose range, Jiawei Danshen Yin can maximize the benefit of cardiac function and the serum inflammatory factors in the rats with chronic heart failure.
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According to the present situation and the current issues in the training of The Therapeutics of Acupuncture and Moxibustion Course, Teachers Standardized Patient(TSP) is suggested to be using in the training and the course assessments, to set up a high-quality TSP team and build up a practical teaching platform; combining the advantages from multiple teaching methods a carefully designed script, standardized training course, objective assessments as well as PBL and CBL, to improve the quality of practice teaching. Putting TSP in the classroom is the demand of the reformation of The Therapeutics of Acupuncture and Moxibustion Course, and it is also a vital approach and shortcut that leading to improve the teaching quality and to effectively create a clinical thought for medical students, especially in the shortage of medical resources nowadays.
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<p><b>OBJECTIVE</b>To observe the effect difference between acupuncture of "five needles therapy" and conventional acupuncture for asthma of latent cold phlegm-fluid in the lung.</p><p><b>METHODS</b>Two hundred and ten cases were randomly assigned into an observation group and a control group, 105 cases in each one. Finally 7 cases were dropped out in the observation group; 6 cases in the control group. Feishu (BL 13), Dazhui (GV 14), Fengmen (BL 12) were used in the observation group; conventional acupuncture was used in the control group, and the main acupoints were Feishu (BL 13), Zhongfu (LU 1), Tiantu (CV 22), Danzhong (CV 17), Kongzui (LU 6), Dingchuan (EX-B 1), Fenglong (ST 40), Fengmen (BL 12), Taiyuan (LU 9). The needles were retained for 30 min each time, once a day for continuous 12 days. The scores of the individual symptoms and signs were observed before treatment and on the 3rd, 6th, 9th, 12th days, including pant, cough, cough up phlegm, fullness and oppression in the chest and diaphragm, wheezing rale and shortness of breath. The clinical effects were compared between the two groups.</p><p><b>RESULTS</b>The scores of six individual symptoms and signs on the 3rd, 6th, 9th, and 12th days in the two groups were lower than those before treatment (all<0.05), except the score of wheezing rale in the control group on the 3rd day (>0.05). The scores of pant, wheezing rale, cough on the 3rd, 6th, 9th, and 12th days in the observation group were lower than those in the control group (all<0.05), except the score of wheezing rale score on the 3rd day (>0.05). There were no significant difference between the two groups about the scores of cough up phlegm, fullness and oppression in the chest and diaphragm and shortness of breath on the 3rd, 6th, 9th, and 12th days (all>0.05), except the score of fullness and oppression in the chest and diaphragm in the observation group was lower than that in the control group on the 12th day (<0.05). 46 cases were clinical cured, 39 cases were markedly effective, 10 cases were effective and 3 cases were ineffective in the observation group with the total effective rate of 96.9%. 23 cases were clinical cured, 43 cases were markedly effective, 24 cases were effective and 9 cases were ineffective in the control group with the total effective rate of 90.9%. The difference was statistical (<0.05).</p><p><b>CONCLUSION</b>"Five needles therapy" has significant therapeutic effect for asthma of latent cold phlegm-fluid in the lung, which is better than conventional acupuncture.</p>
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The student problems existing in the practice and training course of acupuncture-moxibustion treatment include unsolid basic knowledge, inexperienced basic skills and poor comprehensive utilization ability. The writers proposed the effective countermeasures accordingly. Firstly, the students are required to go over the related knowledge in advance, targeting the weakness, and complement the basic knowledge. Secondly, the teachers provide the demonstration and guidance for the practice to improve the basic skills. Thirdly, the clinical simulation is adopted for the comprehensive training to enhance the comprehensive utilization ability. The countermeasures mentioned above improve effectively the basic skills and comprehensive ability in the students and lay the foundation for the future clinical work.
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Acupuncture and moxibustion can improve thesymptoms of chronic cholecystitis, alleviate pains of patients, improve the rate of contraction of the gallbladder. It is a kind of safe and effective treatment method, and is worthy of clinical promotion. This paper reviews the progress of cholecystitis treated by acupuncture and moxibustion in recent years from the following aspects: filiform needle,acupuncture and moxibustion, catgut implantation at acupoint, acupoint application, acupoint injection, auricular acupressure and combining therapy.In this paper, we summed up clinical experience of cholecystitis treated by acupuncture and moxibustion, in order to provide reference for clinical therapy and scientific studies.
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In order to make a report on 90 cases of insomnia treated by the Wei-defensive qi-regulating and brain-strengthening needling technique,as a clinical subject of the multiple center,for assessing the preliminary standardized indications and operating methods and making an initial summary for writing the draft of the technique operation.Methods:By ratio of 1:1,the patients in conformity with the criteria were randomly divided into the experimental group and control group.In the experimental group,45 cases were treated with the Wei-defensive qi-regulating and brain-strengthening needling technique on Baihui (GV 20),Dazhui(GV 14),Shenmai(BL 62),Zhaohai(KI 6),plus ear points.In the control group,45 cases were treated with routine acupuncture on Sishencong(Ex-HN 1),Shenmen (HT 7),Sanyinjiao(SP 6),etc.The therapeutic effects in the two groups were observed and assessed in comparison.Results:The results showed cure in 15 cases.remarkable effect in 27 cases,effect in 42 cases,failure in 6 cases,and the total eriective rate in 94.4% in 90 cases of insomnia.In the three centers,the statistic management was performed based upon PSQI integral and showed significant difference(P＜0.01),and no significant difference among various groups(P＞0.01).Conclusion:The therapeutic effect in the treatment of insomnia by Wei-defensive qi-regulating and brain-strengthening needling technique is better than the control group and the therapeutic effect and methods in various centers are stable.without any deviation.
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‘Controlling spirit’is the key point of efficacy of acupuncture treatment, which goes throughout the treatment. Both doctor and patient have to understand each other and closely cooperate to get full control of spirit. Try to be carefully to examine the condition and get psychological relaxation before inserting needle, concentrate the spiri and get mind in the needle on inserting needle, give attention to needling sensation after inserting needle, setting the mind to conserve energies and regulate emotion-thought after witherawing needle.To achieve controlling spirit includes understanding spirit, influencing spirit, focus on spirit, and maintaining spirit, then to improve the clinical curative effect and obtain the the best results.