研究論文
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| Author: 白玉琢 | |
| Abstract: 目的：隨著現代社會工作，人際關係，經濟壓力等諸多因素作用的加劇，焦慮症的發病率逐步上升。近年來，中醫藥治療本病取得較好療效，現將研究狀況作一綜述，以期為臨床治療焦慮症，提供理論上的依據和方法。 方法：運用電腦程式系統，搜尋歷代典籍、現代期刊等；然後再用統計，歸納分析，簡要的把要表達的資料呈現出來。(維普諮詢網；萬方數據；中國知網；循證醫學網)。 結果：與中文數據庫（維普諮詢網；萬方數據；中國知網）中找到大量文獻證實中醫藥，針灸，中醫心理療法對於治療焦慮症的有效性；但是在循證醫學網（The Cochrane Library）中無法找到任何直接論述中醫藥與焦慮症的文章。 結論：中醫藥治療焦慮症通過整體調節，辨證論治，臨床上對於治療焦慮症具有很好療效。 關鍵詞： 焦慮症；中医药；情志病；針灸 | |
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| Author: 周淑嫻，加州註冊中醫師 | |
| Abstract: 目的： 用易經象數思維模式及五行系統來透析傷寒六經主病的根源及其用方的規律 方法： 將河圖洛書及先後天八卦的陰陽變化加以分析，以理解《傷寒論》中的術數及六經陰陽的關係，並以五行系統來解釋方藥的陰陽變化。 結果： 《傷寒論》中包含有先天的病理因素，及後天病證的變化，其規律對應用方藥有意義，臨證時應加以考慮；《傷寒論》的主方並不是張仲景創造的，是根據《伊尹湯液經法》的方劑直接或修改而用的，而《伊尹湯液經法》是根據五行思維來應用的，瞭解其中的思維對靈活使用方劑有意義。 結論： 天地的陰陽變化無時無刻地影響著生命的產生與疾病的演化，從十月懷胎到嬰兒哇哇落地，人就有先天的生命特徵或先天缺陷，影響著疾病的演化，生命的氣數有其演化規律，此規律就是《傷寒論》三陰三陽六病的基礎，《傷寒論》裡沒有提到六經，只有六病的思維。按生命的氣數演變，人就處於不同的六病階段，再按照後天證的變化，產生疾病；能加上術數的層面去演繹《傷寒論》，可更深一層的將《傷寒論》活用，並更透徹地瞭解張仲景時代的思維，為《傷寒論》的研究開闢更廣闊的道路。 《伊尹湯液經法》雖已佚失，但1900年敦煌藏經洞破封而重見天日的陶宏景著的《輔行訣五臟用藥法要》揭示了《傷寒論》方劑的根源，更說明瞭其用藥思維是根據五行理論，每種藥有其性味，因此五行中又有五行，以達到相生相剋的陰陽制化效果，以影響陰陽在體內的升降。《輔行訣五臟用藥法要》內的方劑都不超過八味藥，每方有影響氣機升降的意義，瞭解其意義對應用經方和簡潔專一用藥有指導作用。 關鍵詞：傷寒論，易經，象數思維，五行 | |
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| Author: 唐辰中，加州註冊中醫師 | |
| Abstract: 題目：靈芝 博士生: 唐辰中，加州註冊中醫師 中文摘要 目的： 將靈芝的價值推廣於大眾，並且解釋它如何有利於我們的健康。 方法： 從各種各樣的資料來源，本文將進行詳細分析和分類，把靈芝中最重要的功能和作用都一一列舉出來，並詳述所有有關的成份如何在我們身體上發揮作用。 結果： 靈芝是一種幹結的真菌蘑菇類，比人參擁有更寬的醫療作用。在這近十到二十年間，日本開發一種特殊的技術，把這奇妙的蘑菇大量種植和生產，並能從孢子中提取靈芝的精華。從資料中發現，靈芝能增強我們的體力去抵抗現代疾病如癌症、血管病、肝炎，免疫系統問題及其他等等。 結論： 我們可以認為靈芝是一種珍貴的健康保養品，能預防現代常見的疾病，並沒有副作用，可以長期服用。 關鍵詞：靈芝，癌症，心血管，血管病，免疫，肝臟毒性，肝炎，糖尿病，高血壓，神經衰弱，過敏，哮喘，老化，化妝用品，皮膚，皺紋，健康保養品 | |
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| Author: 傅艷，註冊護士、加州註冊中醫師 、工商管理碩士 | |
| Abstract: 目的： 討論採用西醫或中醫的方法在治療不孕症方面的區別，探尋是否採用東方醫學治療方法比西醫更有效，或是否西醫加上針灸和傳統中醫的治療效果最好。 方法： 本論文列舉西醫對不孕症的治療，針灸和傳統中醫以及中西醫結合的治療方法。並分析中醫和西醫治療的優缺點，以及各自的安全性。 結果： 現有的研究資料體現中醫治療的有效性和安全性。中醫和針灸治療是一種安全，無痛的方法，是治療各種婦科疾病如不孕症和經前綜合征等問題的一種有效替代療法。成千上萬的人們已經發現東方醫學, 針灸和中醫治療是一個比西方藥物和手術更好的治療方法。 結論： 針灸與中醫和西醫在治療不孕症方面各有優缺點，並能相互補充。在中國已經證明中西醫結合的治療效果更好。這兩種醫學方法應盡可能在美國和世界結合應用，以造福期待成為父母的不孕不育患者。 關鍵字： 針灸，中醫，東方醫學，西醫學，婦女不孕和男子不育症，中藥，診斷，病因，檢查，治療。 | |
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| Author: 許春花 中醫師 | |
| Abstract: 目的： 「苓桂朮甘湯」是張仲景的重要處方之一，臨床廣被使用，我們從方的來源、治症及各個角度去研究它，希望能得到新的知識領域，在學術及臨床上獲得更多的啟發。 方法： 結合傳統與現代科技，運用電腦程式系統，有效率的搜尋歷代典籍、現代期刊等；然後再用統計、Excel、Visio…等，歸納、分析、分類製圖，簡要的把要表達的資料呈現出來。 結果： 1、苓桂朮甘湯呈現歷代典籍七大類書中，八十七本書共出現頻率113次。 2、大陸中國期刊網1994年到2009年，以苓桂朮甘湯為題名共收集204個。以國際病名(ICD-9-CM)作分類，統計總共病例3875個，有對照組898(23個題名)，循環系統疾病982病例，神經系統及感覺器官之疾病972病例。 3、藥學雜誌收尋三篇，一篇以苓桂朮甘湯為題名，兩篇以苓桂朮甘湯為關鍵詞。 4、PubMed 找到兩篇以苓桂朮甘湯為關鍵詞. 5、深圳國家圖書館，收尋六篇碩博士論文 結論： 過去苓桂朮甘湯主要用於治療濕症、痰飲，現代隨著科技的發展、生活水準、醫療水準的提高，疾病有些不同。但治病的病機其實是一致的。 關鍵詞：苓桂朮甘湯，痰飲。 | |
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| Author: 龍敏，加州註冊中醫師 | |
| Abstract: 目的： 參考關於痤瘡治療的經典文獻，結合筆者的臨床體會﹐提出痤瘡的綜合治療 法，並從理論方面探討其可行性和有效性。 方法： 根據患者患病部位和病理分型，提出對痤瘡的治療採用－中藥面膜美容+面部挑刺; 體針療法 +刺絡拔罐; 中藥內治; 飲食護理互相搭配使用的綜合治療方案。 結果： 論及臨床資料的分析說明，綜合治療痤瘡比單一治療法更具優勢，可以達到標本兼顧，表裏同治的作用。 結論： 據患者實際情況採用痤瘡綜合療法，進行合理搭配使用，不僅能達到近期療效，也能較好地維持遠期療效，充分顯示了中醫治療痤瘡的特色和良好的前景。 關鍵詞﹕痤瘡;綜合療法;中藥面膜美容; 針灸與刺絡拔罐;中藥內治;飲食護理 | |
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| Author: Park, Jae Young (L.Ac) | |
| Abstract: Objective: To explain why Ge Gen has been such a popular herb in treating Xiao Ke based on its medicinal properties and Traditional Chinese Medicine theory. Methods: A systematic review of a number of Chinese Herbal Medicine and TCM books available in English is studied to examine the rationale behind the frequent use of Ge Gen for the treatment of Xiao Ke from the TCM perspective. Also, latest available data from the U.S. Department of Health and Human Services, Centers for Disease Control and Prevention are used to show the current status of diabetes mellitus population in the United States. Results: It is found that the wider use of Ge Gen for Xiao Ke is not just because of its nourishing the fluids and clearing the Stomach heat functions as widely described in most of Chinese herbal medicine books available in English. It is also found that Ge Gen’s status as the most frequently used herb can be mainly attributed to its entering TCM channels which are the Spleen and Stomach and its function of lifting Yang Qi to the Lung and eventually helping the Kidney. Conclusion: Since Ge Gen enters the Spleen which is responsible for transporting and transforming function in TCM, it is especially suitable for modern diabetes mellitus population considering the majority of them have central obesity which is mainly regarded as damp-phlegm stagnation in the abdominal area in TCM. Ge Gen will help to transform the abdominal fat and transport it up to the Lung to disperse through its Lifting Yang Qi function. More than anything, this function of “Lifting Yang Qi” is what distinguishes from all other frequently used herbs in treating Xiao Ke. More attention and research need to be done regarding this property of Ge Gen in regard to the treatment of Xiao Ke. | |
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| Author: 齊秀平，加州註冊中醫師 | |
| Abstract: 目的： 初步探討乳腺癌的脊椎病因。 方法： 以脊椎病因學為指導，用龍氏三步定位診斷法，對32例乳腺癌患者做脊椎 檢查，同時設置對照組，對32例至今尚未發現任何乳腺病變，而以腰背疼痛為主訴就診的32例患者做同樣脊椎檢查。 結果： 詳細記錄乳癌受檢者脊椎相關節段臨床陽性體征，分析乳腺癌發病部位與脊椎相關節段異常排列之間的相關性。比較受檢組與對照組中的陽性比例，用相關醫學統計學檢驗方法，發現陽性因素與乳癌發病之間存有統計學上的關聯。 結論： 根據檢查結果，參考脊椎病因學研究，試圖達到探索和檢驗乳腺癌脊椎病因假設的目的，並為進一步研究提供線索。提倡發揮中、西醫結合特別是中醫內、外兼治的特長綜合治療乳腺癌，通過脊椎保健及對脊椎受損後及時檢查治療，達到預防脊椎相關節段損傷引發內臟器官受累而最終導致乳腺癌發生的臨床指導意義。 關鍵詞:脊椎病因，乳腺癌，病例對照研究 | |
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| Author: 謝小冬，加州註冊中醫師 | |
| Abstract: 目的： 介紹運氣學說推衍病人體質傾向性的依據和方法並加以討論驗證，使之應用於臨床的診斷、治療和預後。 方法：以五運六氣理論為基礎，介紹了確定年干支的簡易方法與五運六氣的推算過程，以病人出生年月干支為演繹工具，按運氣學說對病人體質的傾向性及缺陷進行分類及案例解釋。 結果：依據五運六氣學說推導患者的體質及其患病的傾向性具有相關性，與臨床表現具有一致性。 結論：病人體質的傾向性和缺陷是每個針灸中醫師在其醫療實踐中值得關注的重要部分，運用運氣學說指導臨床實踐對於疾病的診斷、治療和預後有重要意義。 關鍵詞：運氣學說，體質傾向性，臨床應用 | |
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| Author: Schoenbart, Bill (L.Ac.) | |
| Abstract: Objective: To determine whether the roots of Dan Shen (Salvia miltiorrhiza) organically cultivated in the United States have a similar constituent profile to roots grown and imported from China. Methods: Samples of Dan Shen (Salvia miltiorrhiza) were collected from a variety of Asian sources. Using High Performance Thin Layer Chromatography (HPTLC), these were then compared to samples grown organically in the United States. Results: The roots grown organically in the U.S. showed high levels of the bioactive tanshinones andsalvianolic acid. In all cases, they compared favorably with the Asian samples both qualitatively and quantitatively. Both organically grown samples from the U.S. appeared to have equal or higher levels of these important compounds. Conclusion: Dan Shen (Salvia miltiorrhiza) can be successfully grown outside of China with organic agricultural methods. The harvested roots appear to have high levels of known bioactive compounds. This has positive implications for the environment, both in the reduction of pesticide and synthetic fertilizer usage, and in reducing pressure on Chinese agricultural land due to increased demand for Chinese herbs worldwide. | |
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| Author: Seiff-Mendelson, Eleonor (L.Ac) | |
| Abstract: Objective: To review, summarize and analyze literature in relation to the effects of acupuncture and its affiliated modalities (moxibustion and acupressure/massage) on glucose metabolism and type 2 diabetes complications and to point for future research directions. Methods: A systemic literature review of acupuncture modalities which were translated to English or originally published in English since 2000 to date, were retrieved from English-Language databases and Chinese medical journals. Only studies related to human subjects were included in this review. Results: 45 studies were located. Of these, only 25 met the inclusion criteria. All studies reported of statistically significant effect on lowering glucose levels of participants but the there was no follow up to indicate how long these effects lasted. All studies also reported of improvement in patients symptoms. There was no evidence of any adverse effect of acupuncture on glucose metabolism or the treatment of type 2 diabetes complications. Most of the studies were of short duration, but had adequate sample size. Almost all studies included a control group. Conclusion: The findings presented here provided grounds for cautious optimism in considering the potential role of acupuncture for diabetes management. Acupuncture was demonstrated to have beneficial effects on some of the metabolic risk factors for type II diabetes as well as its complications. However, the overall poor quality of reporting in the controlled trials requires further investigation of well designed trials. | |
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| Author: Tran, Loanne (L.Ac) | |
| Abstract: Objective: This literature review aspire to bring into light the potential benefits of acupuncture treatments in cancer-related symptoms; improving quality of life and enhance routine oncology care. It aims to familiarize physicians the workings of acupuncture as a part of a larger ancient art of healing, Traditional Chinese Medicine. Methods: Review of over 50 research papers existing from late 1990’s to present employing PUBMED, JEJM, JAMA, and researches conducted by government organizations. Quantitative studies include mainly randomized controlled trials to increase level of evidence. Results: Acupuncture reduces cancer pain, boosts immune system, reduces nausea/emesis, potentiates conventional medicine, and benefits many other cancer-related symptoms. Conclusion: Acupuncture’s role in cancer care is effective and beneficial. | |
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| Author: 智齊 加州註冊中醫師 | |
| Abstract: 對用芒針治療腰間盤突出症進行深入的分析和研究，對其治療機理進行探討，為臨床治療提供依據。 方法： 敍述芒針治療腰椎間盤突出症時如何實施辯證施治，包括選穴的原則、穴位與經絡的關係及針法。探討芒針治療腰椎間盤突出症的治療機理。 結果： 芒針治療腰椎間盤突出症的療效及作用機理包括： (1). 從解剖學可以看出，芒針治療腰椎間盤突出症選用的穴位部位較深。作者認為毫針短，故進針較淺，不能進入經絡之中，從而不能對腰椎間盤突出症產生更好的療效。而芒針長，針刺較深，可深刺穴位，能“直達病所”，達到應有的療效。 (2). 芒針治療腰椎間盤突出症的效果顯著是因為芒針的深刺和脊髓、脊神經、交感幹神經的相互作用實現的。腰椎間盤部位的脊髓、脊神經節、脊神經、交感幹神經節、交感幹神經為一整體。芒針深刺可直接刺激深部的脊神經、刺激脊神經後支、亦影響脊神經前支、刺激神經末梢，引起神經系統中生物電脈衝廣泛發放和傳遞，即“氣至有效”，從而刺激脊髓釋放化學傳遞物資，形成鎮痛機制，產生鎮痛效果。 (3). 在交感神經的參與之下，全身的體液化學成分的改變和生物學的變化使神經-體液系統恢復正常平衡，促進了局部的血液迴圈和淋巴迴圈，減少了血液和淋巴液的淤滯，從而減少炎症滲出。 在抑制炎症的過程中，局部的水腫和炎症得到吸收，從而減少了對神經根的刺激，使受壓的神經根得以緩解，有利於突出的髓核回納，可有效地減輕、緩解或治癒腰椎間盤突出症病症，即“通則不痛”。 結論： 芒針治療腰間盤突出症是有理論基礎的。臨床報導統計亦可證明芒針治療腰間盤突出症是一種有效的非手術治療的手段，推廣芒針治療腰間盤突出症對臨床治療有著重大的意義。 主題詞：芒針、深邪遠痹、直達病所、腰腿痛/腰椎間盤突出症、神經根、坐骨神經、治療機理 | |
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| Author: Lan, Sheng-wei (L.Ac) | |
| Abstract: Objective: This study design aims to gather preliminary data pertaining to the efficacy of an integrative intervention using Tai Ji Fan exercise and individualized TCM formulations with conventional western medicine of type 2 diabetes. As a research effort that is closely linked to the clinical TCM practice, this study serves to improve basic qualities of life experienced by the type 2 diabetic patients. Methods: This study was designed and conducted with a complimentary TCM consultations and prescription of Tai Ji Fan exercise along with TCM formulations and conventional western medicine for research purpose. Study was conducted at Great Compassion Healing Center in Berkeley, California with total of 120 participants divided in two groups spanning over 12 weeks. Study investigated the changes in the blood glucose levels and major TCM symptoms improvements in response to the prescription Tai Ji Fan exercise. Results: The susceptibility of the metabolic response to exercise amazed biochemists for years. The prescription of Tai Ji Fan exercise for treatment and management of type 2 diabetes improves glucose level on fasting and postprandial blood glucose results. Conclusion: Tai Ji Fan exercise can potentially treat and manage type 2 diabetes in a non-medical way and significantly reduce the risk of long term implications. | |
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| Author: 董安安，加州註冊中醫師 | |
| Abstract: 目的：抗氧化劑在疾病治療的應用關注逐漸提高。本文希望通過簡單試驗對常用中藥中的抗氧化劑進行初篩，針對結果進行文獻回顧，以總結此類中藥的治療作用及其臨床應用。 方法：根據水中有效消除氯作用的實驗來篩選出常用潛在中藥中的抗氧化劑，並通過Google以“抗氧化劑”和相應的中藥名檢索文獻，對相關文獻進行整理分析。 結果：在篩查試驗22種中藥中顯示能有效清除氯自由基的12種中藥，涉及到多種不同作用的類別，如菊花(解表藥)，金銀花(清熱解毒藥)，薏以仁(化濕藥)，木香(理氣藥)，丹參(活血祛瘀藥)，川芎(活血祛瘀藥)，當歸（補血藥），黃芪(補氣藥)，白術(補氣藥)，山藥(補氣藥)，甘草(補氣藥)，麥門冬(補陰藥)。這些草藥在文獻中也查找到其抗氧化作用的依據，包括有效的化學成份、藥理作用及其在臨床各種疾病中的應用情況。 結論：大多數清熱解毒藥能幫助消除易反應的氯種類（RCS）而在糖尿病中有效改善病情。在研究中也發現中草藥的抗氧化性質與其治療作用有著密切的關聯，例如活血祛瘀藥也是在心臟病中針對氧自由基（OFR）的有效抗氧化劑，補氣藥是作為針對易反應的氧種類（ROS）的有效抗氧化劑而有抗衰老的作用。對氧化壓力之下細胞油脂過氧化（LPO）免疫系統有改善作用的可能屬於中醫補陰藥的範圍。抗氧化劑的應用涉及心血管系統、免疫系統、神經系統疾病及抗衰老等。 關鍵詞：中藥，抗氧劑，水中氯自由基清除篩查試驗，自由基 ，作用及其臨床應用 | |
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| Author: 趙萍 | |
| Abstract: 目的：子宮內膜異位症是生育年齡婦女的多發病、發病率呈明显上升趋勢。子宮內膜異位所引起的痛经、下腹痛和性交痛等, 嚴重地影響婦女的健康和生活質量,也是不孕症的主要病因之一。希望經過此研究,可以提高對於預防醫療和中醫診治的重視, 並減少眾多婦女病痛, 降低社會醫療成本及人力資源浪費。 方法: 借用醫療體系圖書館資料及中國,世界各地醫療學術界的研究報告,或是具有一定信任度的大機構建立的網站, 搜集各界醫療學術研究機構相關研究報告。 通過中西醫對於子宮內膜異位症診斷方法和治療手段不同特點的對比, 提出對於該病的預防方法。 結果：中西醫對於此病病因病機的認識有所不同, 治療方式亦有很大的差異, 各自有優缺點。但中醫治療不僅僅標本兼治, 還同時體現”未病先防”的預防觀念, 在治療此病方面有較大的優勢。本人根據臨床體會提出從痰論治的觀點。 結論：通過中西醫診治對比, 體現中醫對於此病的治療的優勢,預防保健減少子宮內膜異位症發生的可行性。中醫理論不只是醫理, 藥理，還包含心理, 並與大自然相應的天地宇宙學說息息相關, 從而能在日常生活中將預防措施做到日常化。臨床辨証施治中, 從痰濁論治也可能是治療的思路之一。 關鍵詞：子宮內膜異位, 子宮內膜異位治療, 子宮內膜異位預防 | |
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| Author: 陳兆銘 | |
| Abstract: 目的：本論文旨在研究《傷寒論》部分用藥規律。 方法：《傷寒論》中小青龍湯，小柴胡湯，理中湯，真武湯，通脈四逆湯，四逆散方後有數個加減法，本研究分析這些加減法的症狀、病機、用藥關係，再與其他方劑中相同或相似的症狀、病機、用藥作比對，這樣將仲景的加減法與仲景方劑互參，探討仲景用藥規律。 結果：仲景在加減法與方劑中用藥原則是一致的，表示《傷寒論》的用藥有一定之規律。 結論：仲景用藥在加減發中與仲景用藥以病機為選藥原則，因此不同症狀如果病機相同，仲景會用同樣的藥；相同症狀如果病機不同，會選用不同的藥，這些用藥原則也可以在其他方劑中得到驗證。 關鍵詞：傷寒論，加減法，用藥規律 | |
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| Author: 陳穗琪，加州註冊中醫師 | |
| Abstract: 目的：祖國醫學的“無子” 、“月經不調” 、“崩漏” 、“胎漏” 、“滑胎”等相當於西醫所說的“不孕”，是婦產科的常見病。現代醫學認為其中黃體功能不全致不孕這一因素不容忽視。本研究結合既往臨床診治的經驗與文獻研究，力求從中醫藥方面來探討以補腎為基礎的各種治療手段對黃體功能不全導致不孕治療的臨床療效，希望能提高黃體功能不全致不孕治療效果，提高妊娠率。 方法：通過對《中醫婦科學》和《西醫婦科學》理論的學習，並查閱近10年來黃體功能不全造成的不孕症的相關文獻資料、期刊200餘篇，篩選其中幾十篇文獻進行重點閱讀，特別是一些名老中醫的研究成果，總結了一些臨床上應用比較常用的治療方法(例如:中藥方劑；針灸取穴治療)；結合自身臨床經驗，自擬“臨證診治方案”。 結果： 腎虛是黃體功能不全造成的不孕的主要病機，而腎陽虛更是黃體功能不全致不孕的主導。中醫注重在辨證論治和整體觀念的基礎上，講究補腎與調肝相結合，可以明顯地改善患者的腎虛症狀和體征，有效提高黃體功能不全致不孕患者的激素水準，有利於妊娠的繼續，從而達到標本兼治的目的。 結論：文獻資料研究表明：運用補腎和調肝的中醫藥方法治療黃體功能不全致不孕的臨床方法療效確切，既可明顯改善患者的症狀和體征，又可以保持滿意的妊娠率。而且因其簡便易行、經濟效驗，無明顯副作用，故中醫藥在黃體功能不全致不孕的治療中具有廣闊的前景。 關鍵詞：黃體功能不全；不孕症；腎虛；肝鬱；中醫治療 | |
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| Author: He, Stephanie Na (L.Ac.) | |
| Abstract: Objective: To make a clinical trial design of acupuncture with” Hua Tuo Jia Ji” points in the treatment of neck pain. Methods: Follow random-control-blind principle to do clinical experiment. Initially evaluate the curative effect of traditional points (DU14, SI3, UB62) and “Jia JI” points to treat neck pain. Adopt visual analog scale and Short-Form McGill Pain Questionnaire (SF-MPQ) to assess pain. Use uniform reinforcing-reducing needling technique, take traditional points selection treatment as a control group. Use SPSS 13.0 statistical software to conduct data processing. Results: There are three substantial results of this clinical trial design. “Jia Ji” points has better, as same as or not good as curative rate than traditional points. Conclusion: “Jia Ji” points connect to zang fu. It has very close relationship with neuroganglion. Needling “Jia Ji” points may not only affect ramus posterior nervi spinalis, but also ramus anterior nervi spinalis which contact with sympathetic trunk. In the future, we may do some research about acupuncture “Jia Ji” points to treat complete or incomplete spinal cord injure or other neurological disease. | |
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| Author: 劉小蘭，加州註冊中醫師 | |
| Abstract: 目的 : 太極六合針是一種綜合新針法,以 中國的傳統中醫和易經的太極八卦理論為基礎。藉著從文獻資料總結歸納出太極六合針法的理論和臨床應用規律，期望對臨床應用有較好的指導意義，從而提高針灸治病的療效，簡化針灸傳統的學習過程。對針法的探討期望對其臨床推廣應用提供依據，也為其作用機制的研究提供思路。 方法 : 對歷代醫家著作中涉及太極六合針法的理論, 和臨床規律, 穴位組方及配穴規律進行歸納總結，同時參考現代文獻對臨床應用的適應症、使用方法和局限性進行歸納分析。 結果: 太極六合針法是以中國古老的太極八卦和易經理論為基礎，以中國傳統中醫理論為指導，乙太極八卦經絡調控系統為樞紐，以人體的三層太極八卦為模式，以十二正經和奇經八脈為配合，多方位多角度綜合後產生的一種新針法。天人相應，天人合一的易理是構成太極六合針法的理論基礎。而太極六合針法屬綜合組方取穴，採用了多方位多角度綜合的 “四步通調”布針治療的新方法。“四步通調”操作技法是太極六合針法治療內容的精髓，以內八卦為治療針，以中八卦為導引針，以病灶區為納氣針，以外八卦為加強針。通過奇特的四步布針模式達到人體臟腑氣血而治癒疾病。這針法融入了現代人體全息理論, 通過奇特的布針模式激發體內最大的潛在能量, 運用對人體內、中、外八卦的全面通應調理, 發揮人體生理全息共振效應, 使激發的能量資訊成倍疊加, 提高治療疾病的效率。 結論: 太極六合針法以易經、太極和中醫理論為淵源，融入了道家 針法的理論。六合針法的布針方式有異於現在流行的任何針法，它既不同於腹針療法，亦有異於臍針療法。通過 “ 四步通調 ” 技法行針操作，使人體的內、中、外八卦之氣全面貫通，其治療效應為四維立體空間產生的共鳴 。太極六合針法是一種高效、快捷、簡單、實用的新針法，在治療各科急慢性疾病中其療效優於現行一般的針法 。 關鍵詞 太極六合針法, 易經, 針灸, ,太極, 八卦, 全息治療, 神闕 | |
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| Author: 廖慈惠，加州註冊中醫師 | |
| Abstract: 目的： 本文希望基於五運六氣的理論，運用傳統方法結合臨床經驗，分析總結証候與五運六氣的關係，為臨床提出有效的疾病之預防及診治方案。 方法： 通過分析五運六氣的運行變化規律，總結歸納五運六氣運用於疾病的預測及治療規律，並例舉曾經診治的臨床案例加以說明。探討分析五運六氣理論對疾病發生規律和對個體發病特點的預測。使臨床診治符合宇宙間的自然變化規律，提高疾病治療效果，也達到預防疾病的作用。 結果： 五運太過、不及或平氣之年，各有相應的氣候變化規律，結合地域環境的不同，運用干支相合的方法可用主運 主氣的變化規律，來推測氣候變化規律，而預知該年氣化傾向對人體的影響和可能的致病因素，通過臟腑生理功能與自然氣候之間的聯繫，可預知臟腑之間病機的演變與預後轉歸等，為臨床選擇相應的藥食或針灸方法提供依據。並通過10個案例的診治分析加以說明。 結論： 中醫運氣理論是中醫學的精髓，蘊藏著豐富的天文與曆法知識，是古人在長期的生活實踐中總結而出的理論，是非常寶貴的醫學資料，因包羅萬象且帶神祕而艱深，故近代醫家應用於臨床上亦難以普遍。 臨床實際運用過程中，尤須注意因時因地因人制宜，根據氣候、地域特點及實際的氣候與疾病關係靈活運用，隨機達變，不可拘泥，從而推斷出人體臟腑經絡，氣血陰陽的變化，推測可能發生的疾病，可採取相應的預防治療措施，而達到防病治病的目的。 關鍵詞： 五運六氣, 中醫理論, 疾病的預測, 治療規律 | |
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| Author: McDonald, Fred Melvin, Jr. | |
| Abstract: Fibromyalgia is an idiopathic syndrome (FMS) that affects an estimated 7-10 million in the United States alone, and affects mostly women between ages of twenty to fifty. Objective: The present study was performed to determine whether the addition of acupuncture injection therapy of Sarraceniacea purpurea and selected homeopathic injectables would increase the effectiveness of a previously used acupuncture/electro-acupuncture protocol that produced minimal responsiveness after six weeks. Methods: There were two case studies in which the patients were evaluated during two six week periods with a three week break between these two periods. The two six week periods were labeled Phase I and Phase II respectively. Phase I was represented by acupuncture and electro-acupuncture alone. Phase II was represented by acupuncture/electro-acupuncture combined with acupuncture injection therapy (AIT) of Sarraceniacea purpurea and selected homeopathic injectables. Patients were evaluated via a Visual Analog Pain Scale (VAPS), a Fibromyalgia Oswestry Pain Questionnaire (FOPQ), and weekly range of motion (ROM) measurements during both phases of the study. Results: There was an average overall improvement of 15% from baseline in Case Study A in Phase I compared to an average overall improvement of 37% from baseline as seen in Phase II of Case Study A. In Case Study B, there was an average overall improvement of 16% from the baseline in Phase I and an average overall improvement of 35% from the baseline in Phase II of Case Study B. Conclusion: The results of this study indicate that acupuncture injection therapy may be a viable adjunctive therapy in complex hard-to-treat patients with fibromyalgia and/or chronic myofascial pain that do not readily respond to acupuncture or electro-acupuncture alone. It would appear that a larger more complex study would be warranted. | |
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| Author: 梅雯瑜,加州註冊中醫師 | |
| Abstract: 目的： 子宮肌瘤 （Fibromyoma or Uterine Fibroids）, 是女性生殖器官中最常見的良性腫瘤。但目前的診斷方法有一定的局限性。 手診具有方法簡單易學、指標直觀實用、結論準確可靠等優點，不僅對現有疾病能診斷，而且具有超前診斷，瞭解既往病史等特色。 本文通過對目前已經出版的手診專著進行綜述，獲取子宮肌瘤的手診特徵，以期為子宮肌瘤的臨床診斷提供手診依據。使之作為中西醫現有診斷方法的補充，彌補臨床診斷的不足。 方法： 本文通過查閱目前出版的手診專著及相關文獻，選取有代表性手診專著30本，涵蓋了手診各家各派。通過對其進行分析、整理、對比、歸納及總結，分析子宮肌瘤患者的手掌變化規律，瞭解子宮肌瘤患者的手診特徵。 結果： 1. 對於胞宮在手掌的定位：各流派所涉及的部位主要有六處。各部位認同度為：部位一85.71%，部位二28.57%，部位三19.05%，部位四9.52%，部位五9.52%，部位六4.76%。 2. 子宮區紋理改變：“小島紋” 100%，“亂細紋” 50%，“菱形紋”及“十字紋” “小米字紋”各占16.67%。 3. 子宮區斑點，斑塊的出現：超過一半的醫家都提到了斑點或斑塊的出現（9/13）；“白色”被44.44%的醫家提到，“暗紅棕色”被33.33%提到。有66.67%的醫家提到“凸起的”斑點。 4. 子宮區出現的凹陷：有3位醫家提到了子宮區出現了“區域凹陷”。 結論： 1. 部位一應該被確認為子宮疾病診斷的標準部位，部位二可以被設定為參考部位，如果部位一及部位二均有陽性表現，則會提高子宮疾病的診斷準確率。其餘四個部位僅可做為警示信號。 2. 在子宮區出現的“小島紋”及斑點斑塊可能可以做為子宮肌瘤的診斷標準。斑點斑塊的顏色，數量及形狀的改變，有可能可以用來判斷子宮肌瘤病情的進展，對於早期子宮肌瘤患者或子宮肌瘤易感體質者，其他紋理的改變，如“亂細紋”“區域凹陷”等，可以做為警示信號。 3. 本綜述主要基於手診專著，尚未發現相關臨床科研文獻的報導。有待今後配合目前常用的檢查方法如子宮B超、腹腔鏡等手段，設計隨機對照研究，對其診斷價值做進一步的臨床驗證。 關鍵字：手診 子宮肌瘤 診斷 | |
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| Author: 蘇燦基，加州註冊中醫師 | |
| Abstract: 中文摘要 目的：通過文獻研究總結糖尿病專家(中醫)的臨床實踐經驗，探討中醫對糖尿病周圍神經病變(DNP)的病因病機分析，並歸納方劑、中藥、針炙方面對此病的防治作總結。 方法：以綜述方法將多位學者有關 DPN的研究及論點加以分析、比較、歸納以總結中醫對 DPN防治方法。 結果：歸納各學者論點，DPN之病因病機分為六大類，分別為脾氣虛、氣陰兩虛、痰熱阻滯、陽虛(脾腎陽虛)、肝鬱及瘀血。也就此六種病因之治則、常用方劑、常用之中葯及針灸治療方法作比較分析。最後就預防 DPN 作討論。 結論：現在尚未有一套完善之中醫防治 DPN的方法。各學者的研究多偏于一方一法，未能代表病因複雜的 DPN防治方法。尚須更多的研究以確立 出可行之中醫防治 DPN的方法。 關鍵詞: 糖尿病，周圍神經病變，中醫防治，綜述 | |
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| Author: 談恩麗，加州註冊中醫師 | |
| Abstract: 目的： 通過文獻研究的方法，探討“冬病夏治”治療哮喘等肺系疾病的理論依 據，使用方法及臨床效應，並探討其治療機理，為臨床應用提供理論依據和方法。 方法 ： 運用電腦程式系統和手工檢索，搜尋歷代典籍，查閱近十年書刊雜誌和網絡有關“冬病夏治”的文獻，對文獻中使用的藥物及配方，敷貼穴位，時間進行頻次分析、統計和整理，根據研究結果探討治療機理及相關問題。 結果： 通過對大量冬病夏治文獻數據統計整理，發現最常用的貼敷穴位為：肺俞、大椎、 定喘 、心俞、脾俞、膻中。常用藥物為：白芥子，延胡索，細辛，甘遂，麻黃等。 結論： 冬病夏治是在夏天治療冬季難以治癒的疾病。《素問。脈要精微》曰：“四時之病，以其勝治之愈也”。在夏季對“冬病”給予辛、溫之藥祛寒，選擇補腎壯陽之要穴貼敷，驅除致病之寒邪，恢復人體正常的陰陽平衡，增強機體非特異性免疫能力，令血中嗜酸性粒細胞減少，皮質醇提高，直接或間接地調整神經系統功能，增強抗病能力。冬病夏治大多數在三伏天進行，用辛、溫性藥物研磨和膏，貼敷背俞穴位，進行補陽，驅散人體內陰寒之氣，治療冬秋兩季容易反復發作之疾病，如：哮喘、慢性支氣管炎、過敏性鼻炎、 慢性阻塞性肺病 。對風濕性關節炎，肩周炎也有一定療效。 關鍵詞：冬病夏治 穴位貼敷 哮喘 方藥，穴位 | |
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| Author: Cowan, Beverly K., Dipl. OM (NCCAOM), L.Ac. | |
| Abstract: Objective: To describe a treatment protocol for peripheral neuropathy using acupuncture and electrical stimulation. Methods: A 76-year-old man had experienced peripheral neuropathy of unknown etiology, numbness, and pain for 9 years. Muscle Channel Technique was used (He Sea points as Anchor Points, and other areas on Channels as Access Points). De Qi was obtained manually with each needle. Electrical stimulation at 100 Hz for 30 minutes was used. Treatment schedule was twice weekly for 5 months. Results: After a 5-month treatment period, improved sensory stimulation and pain reduction were achieved. The patient’s balance improved but was never fully regained; ambulatory function improved and foot pain was minimal. During the end of the treatment protocol, the patient reported feeling pain when De Qi was achieved, suggesting that sensory levels were maintained. Conclusion: Electroacupuncture may be an effective modality in treating peripheral neuropathy of unknown etiology. | |
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| Author: Jorge Intal, Ph.D. | |
| Abstract: Objective: To describe the design of a study to gather quantitative data and qualitative observations regarding the effect of an integrative oncology intervention of individualized Chinese medical formulas in conjunction with adjuvant chemotherapy on measures of quality of life (QoL) in women with stage II breast cancer. To integrate distinct forms of research methodology to cultivate a deeper understanding of this disease and patterns thereof, individualized interventions, and the process of healing. To merge objective conventional methods into the traditional, subjective clinical foundations of Chinese medicine (CM) rather than attempting to apply Western approaches to understand/evaluate the scientific merits of Chinese medicine. To propose an integrated research model that allows for pathophysiologic pattern-based differentiation and individualized interventions, and that may represent the complexities of clinical practice within the context of Chinese medicine and healing. Methods: A randomized, cross-over trial is described using the CM intervention with chemotherapy of eligible female subjects reporting outcomes on: 1) the FACT-B (Functional Assessment of Cancer Therapy); 2) the MOS SF-36 (Medical Outcomes Study 36-item Short Form Health Status Survey); and 3) a qualitative Chinese medical case study of each participant. Eligible women with stage II breast cancer according to the TNM Classification of Malignant Tumors cancer staging system, beginning adjuvant chemotherapy will be randomly assigned to four groups. After randomization, each group will undergo the 32-week observational study: sixteen weeks of individualized CM therapy with chemotherapy; and sixteen weeks without the CM therapy (chemotherapy only). Results: (1) The therapeutic intervention of utilizing individually modified formulas of Chinese medicine based on the pathophysiologic pattern-based clinical practice of Chinese medicine is a viable, critically important approach to clinical research. Utilizing individualized treatment strategies based upon Chinese medical patterns and treatment principles (rather than standardized interventions) are of tremendous value within the context of integrative clinical investigation emphasizing holistic perspectives of medicine and healing. (2) If constructed effectively, multi-method research designs merging diverse aspects (e.g., of quantitative and qualitative, objective and subjective, biomedical and holistic, and modern and traditional methods) offer highly innovative, groundbreaking approaches for the field of integrative medicine. Such multi-method approaches should not comprise the rigors of scientific investigation or the integrity of holism. On the contrary, multi-method research may become the means to enhance scientific rigor and to encompass a breadth and depth of human experience that includes the body, mind and spirit. Accordingly, combinations of appropriate methodologies may provide comprehensive knowledge and understanding toward a more integrative, humanistic medicine. (3) This project illuminates further the significance of the prevention and early treatment of various Chinese medical patterns associated with early-stage breast carcinoma. Therefore, it is imperative that women be presented with appropriate treatment options according to their pathophysiologic patterns as early as possible (rather than to await further disease progression and consequently decide among more limited possibilities). (4) As an investigative endeavor that is closely tied to the clinical practice of humanism in Chinese medicine, this project serves to enhance fundamental qualities of life experienced by the individuals of this population. Conclusion: There are infinite possibilities in pursing integrative research within traditional frameworks. Accordingly, within integrative investigation, holism need not be lost or diluted in order to co-exist with or be evaluated by Western approaches. Despite serious limitations to this study, future studies may further expand upon the use of multi-method approaches within traditional frameworks. Even though the case study or clinical narrative may remain as among the most meaningful means for inquiry within the field of Chinese medicine, there are various methodologies (and combinations thereof) that may well serve investigations of holistic approaches to Chinese medicine. Therefore, it is not necessary to choose Western methodologic approaches to the exclusion of more traditional ones or vice versa. Moreover, the use of multiple diverse methods shall become the future of integrative medical research as it equips researchers of integrative medicine with powerful tools and methods to continue to explore and uncover the mysteries of the world of medicine and the human experience. | |
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| Author: Yee, Lisa (L.Ac) | |
| Abstract: Objective: To review the critical points of current knowledge on tendonopathy and integrate TCM theories of treatment to improve healing rate and expedite recovery. The essential question posed by this review is: what effect does acupuncture have on increasing the healing rate of lateral epicondylosis? Methods: A systematic review of the anatomy and physiology of tendons and tendonopathy during the inflammatory stage to chronic fibrotic stage is outlined. Various Western Orthopedic therapies and treatment approaches were reviewed for current concepts in treating lateral epicondylosis. TCM classical texts and books available in English were reviewed for treating tendon problems. Results: After the collection of theories, concepts, and ideas were gathered, a comparative study of several theories were critiqued. In clinical practice and theory, Chinese medical practitioners treat a variety of musculoskeletal disorders, including tendonosis. The basis of Chinese medical treatment is the facilitation of balance and harmony. For acute tendonitis from overuse, the focus is on decreasing inflammation and promoting healing. However, Chinese medicine views treatment of chronic tendon recovery in terms of breaking stagnation and accumulation of blood and fluids, nourishing the tendon, balancing qi and blood, and restoring normal circulation in the injured area to improve tendon quality and therefore correcting pathology and restoring physiology. The author believes that integrated Chinese acupuncture and western medicine therapies combined during the fibrotic stage of lateral epicondylosis can improve the recovery rate and rehabilitation by promoting local blood flow. Conclusion: Integrated Chinese acupuncture and Western medicine therapies are complementary in treating lateral epicondylosis. Acupuncture’s inflammatory action benefits the chronic stage of tendonosis by moving qi along the meridians to break local fibrosis. Secondly, acupuncture supplies blood and nutrients locally to nourish and rebuild the injured tendon, promotes circulation to the area, and facilitates balance to this chronic degenerative condition. Combining both medicines of acupuncture and western manual therapy of: self-soft tissue massage, stretches, activity modification, and strengthening expedites healing rate, regains functional activity, and reduces recurrence. | |
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