本研究得到了四川省中医药管理局中医药科学研究专题（2021MS093,2021MS539,2023MS608）和四川省科技厅四川科技计划（2022YF0392）的支持。

这是一项前后自我对照试验，患者来自成都中医药大学附属医院呼吸内科。该方案已获得成都中医药大学附属医院伦理委员会批准（备案号。KY2022007）。患者被告知研究的目的和过程，并同意在实验期间使用图像和视频。
1. 治疗前评估
<ol><li>纳入标准:包括满足以下条件的患者:年龄在 50 至 75 岁之间;有意识、精神正常并了解研究;不参与其他临床研究;符合基于GOLD COPD报告2023年更新（COPD预防、诊断和管理全球策略）1的稳定期COPD诊断标准，并对患者的既往病史、临床表现、肺功能、影像学表现等进行全面分析;符合中国精神障碍分类 （CCMD-3）28 的睡眠障碍诊断标准或国际睡眠障碍分类29 的诊断标准。</li>
	<li>排除标准: 排除符合以下任何标准的参与者:与其他严重的身体或精神疾病共存;慢性阻塞性肺病急性加重;患有已知由慢性阻塞性肺病以外的特定原因（如内分泌疾病、吸毒等）引起的睡眠障碍;拒绝接受针灸治疗;对医疗器械（如胶带、金属针头等）过敏;耳廓损伤;感觉障碍;在过去 2 周内接受过针灸、安眠药或基本 COPD 治疗以外的治疗的患者。 注意:对于有潜在凝血障碍的患者，应检查凝血情况，因为此类患者的耳针有一定的几率会导致皮下紫斑和出血过多。</li>
	<li>退出标准:从研究中撤出符合以下任何标准的参与者:严重不良反应;受试者自愿退出研究;研究期间出现严重并发症或疾病进展的受试者。</li>
</ol>2. 研究设计
注:所有进行治疗的从业者必须具有针灸师资格证书，并独立进行临床治疗1年以上。治疗根据《中华人民共和国针灸标准化操作法》第三部分:耳针（GB/T 21709.3-2021）30进行。除非必要，否则在实验过程中不会更换针灸师。
<ol><li>根据 2023 年 COPD1 预防、诊断和管理全球战略，在常规 COPD 治疗的基础上进行耳针治疗。不支持其他睡眠障碍的治疗方法来保证耳针治疗的独立性。</li>
	<li>如果在治疗过程中发生急性加重，应及时采取应急措施，并详细记录急性发作和治疗过程。病情好转后，咨询患者并重新评估，以决定是否继续实验。</li>
	<li>如果积极治疗 1 周后没有改善，则将患者作为退出参与者退出实验。</li>
</ol>三、操作步骤
<ol><li>术前准备<ol><li>在治疗开始前1周对患者进行睡眠卫生教育，包括保持规律的睡眠和起床时间以建立生物钟，制定合理的运动时间表，避免睡前剧烈运动，营造安静的睡眠环境，规律进食以避免晚上饥饿或饱腹，避免晚上喝太多液体以避免晚上上厕所， 下午4点后不喝茶、咖啡或能量饮料，睡前避免吸烟。</li>
		<li>验证患者信息:姓名、床号和身份证。 向患者及其家属解释详细的治疗程序和方法，以减轻或消除患者的紧张或恐惧。</li>
		<li>检查治疗中使用的医疗器械:无菌棉签、0.5% 碘、镊子和 0.25 mm x 1.3 mm 按针（见 图 1）。确保所有材料都在有效期内。</li>
	</ol></li>
	<li>穴位的选择和定位<ol><li>穴位的选择，可参考《实验针灸》31。根据标准选择4个穴位，费（CO14）、新（CO15）、沈门（TF 4）和皮志霞（AT4）。所选穴位的具体信息如表1所示。 注:穴位位置参照2008年公布的《中华人民共和国国家标准:耳穴命名法和位置32 》（GB/T13734-2008）。请参阅图 2 和 图 3 以准确识别穴位的正确位置。</li>
		<li>一只手握住耳廓，另一只手用棉签以适当的力度逐个探查耳穴。将敏感穴位作为特定的穴位，并用无菌记号笔标记这些穴位。</li>
	</ol></li>
	<li>操作程序<ol><li>对操作人员的手进行消毒:用75%酒精棉球擦拭手指。</li>
		<li>用镊子握住碘伏棉球对穴位进行彻底消毒，用镊子握住压针胶带的边缘，将针尖对准穴位，垂直缓慢地刺穿。 注意: 握住压针时，请使用镊子而不是直接用手，以免污染针头。</li>
		<li>确保针头顶部的圆形手柄平贴皮肤表面并用胶带牢固固定。然后用指尖轻轻按压约1-2分钟。</li>
		<li>同时，询问患者是否有全身酸痛、麻木、腹胀、沉重感。如果是这样，则表明达到了德气状态，这被认为是针灸疗效的重要组成部分，表明手术成功，达到了预期的效果。</li>
		<li>指导患者使用正确的操作，在针插入后立即按压针灸部位，如下所述:用拇指和食指从耳廓的后部和前部按压，强度由轻到重。</li>
		<li>仔细观察患者的感受，是否有德气状态或头晕、疼痛等不适。如果出现任何不适，请及时报告并采取对策（有关详细信息，请阅读步骤4）</li>
		<li>要求患者在插入针头后至少仰卧30分钟，以免发生意外和不良反应。</li>
		<li>进行为期 2 周的治疗，每周 3 次，安排在周一、周三和周五进行。每个留置针的时间为36小时。在此之后，要求患者返回诊所进行针头拔除和治疗后护理，如步骤 3.4 所述。</li>
		<li>在后续治疗中，要求患者自行按摩耳穴，每天3次，每次1-2分钟。为避免过度刺激耳朵的皮肤，请指示每天只按摩耳朵的一侧，然后在第二天切换到另一侧。</li>
	</ol></li>
	<li>治疗后护理<ol><li>保持穿刺部位干燥清洁，防止感染。</li>
		<li>取下针头时，用镊子夹住胶带并将其拉出。仔细检查是否有断针。如果是这样，请及时报告并采取对策。</li>
		<li>取下针头后，再次对穿刺部位的穴位进行消毒，以防感染。</li>
	</ol></li>
</ol>4. 不良事件的预防和对策
<ol><li>预防 措施<ol><li>在研究开始前，与患者及其家属详细沟通，说明治疗目的、具体操作和注意事项，以获得患者的积极配合。</li>
		<li>在试验过程中严格遵守操作规程。</li>
		<li>如果患者病情发生变化或恶化，应停止试验，并及时采取相应的治疗措施。根据 COPD 1 的预防、诊断和管理全球策略调整治疗计划，并在改善后重新评估。</li>
		<li>不良反应事件报告:详细记录治疗过程中发生的不良反应（包括出血、血肿、感染、剧烈疼痛等）。</li>
	</ol></li>
	<li>对策<ol><li>如果按压针脱落:检查完整性并通知针灸师更换针头。</li>
		<li>如果针头断裂:用适当的力按压，使折断的一端突出，然后用镊子将其取出。</li>
		<li>如果针灸部位有感染、出血或血肿:采取消毒、抗感染、消炎治疗，密切观察患者病情。</li>
		<li>针刺晕厥:当发生针头晕厥时，立即取下压针并检查拔出的针头的完整性。要求患者躺下以增加流向大脑的血流量并减少头晕。适当松开患者的衣领和腰带，保持温暖，保证空气流通，必要时给患者静脉注射葡萄糖。如果患者情况危急，请立即进行急救。 注意:针刺晕厥（又称针灸时昏厥），是一种针灸事故，常发生在针灸过程中。患者可出现头晕、恶心、心悸等清醒症状，常伴有脸色苍白、出冷汗、血压下降、脉搏微弱等体征。在严重的情况下，甚至会突然失去知觉33.根据现代医学，针刺性晕厥是一种血管源性晕厥。其主要机制是通过迷走神经反射刺激固体针刺，引起血管床（尤其是周围肌肉）的扩张。外周血管阻力和回流减少导致心输出量减少和血压降低，这共同导致脑血流暂时、广泛减少和随后的晕厥。其诊断主要基于患者的主观感受（头晕、恶心等）和客观体征（面色苍白、低血压等）。34</li>
		<li>病情稳定后，咨询患者并重新评估，根据实际情况决定是否继续治疗。</li>
	</ol></li>
</ol>5. 功效评价
注:研究人员可以根据患者的病情，经过综合考虑和分析，选择合适的评价指标。当涉及到量表填写等主观指标时，问卷内容和评分方法应由同一研究人员解释，患者必须独立完成评分，不得有任何暗示性提醒。
<ol><li>结局指标<ol><li>使用 COPD 评估测试 （CAT） 评估患者的生活质量:评分为 0-10 分的患者将 COPD 评为轻微影响;分数在 11-20 之间表示中等影响;分数在 21-30 之间表示严重受影响;分数在 31-40 之间表示影响非常严重。</li>
		<li>确定患者 CAT >2 的差异或变化具有临床意义。治疗前后患者CAT评分变化超过2分，可能提示该治疗具有临床意义。</li>
		<li>使用匹兹堡睡眠质量指数 （PSQI） 来评估患者的睡眠质量。通过比较治疗前后的总分来评估耳针的效果。分数越高表示睡眠质量越差，而 PSQI 分数越低表示睡眠质量有所改善。</li>
	</ol></li>
</ol>6. 资料收集与分析
<ol><li>为了进行分析，使用患者在治疗前后填写的量表数据，这些量表是在第一次治疗前24小时和最后一次治疗后24-36小时收集的。</li>
	<li>对于数据分析，请使用商业数据分析软件，并考虑 p< 0.05 来表示统计显着性。使用配对 t 检验进行前后自控比较。</li>
</ol>

针灸刺激耳朵以缓解 COPD 患者的睡眠障碍

作者没有什么可透露的。

耳针作为一种古老的中国传统治疗方式，在其漫长的发展历史中得到了检验，近年来各种研究的结果进一步证明了耳针在改善失眠患者睡眠质量、缓解症状和改善慢性阻塞性肺病患者肺功能方面的独立功效。该方法的功效主要取决于所选择的穴位。任润元23岁，Andreia Vieira35岁等人的研究证实了耳针疗法在治疗睡眠障碍和优化睡眠结构方面的积极作用。至于耳针?...

慢性阻塞性肺病 （COPD） 是一种异质性肺部疾病，其特征是由于气道异常（支气管炎、毛细支气管炎）和/或肺泡（肺气肿）导致持续性（通常是进行性气流阻塞）导致慢性呼吸道症状（呼吸困难、咳嗽、咳痰、加重）1.其发病率与年龄、性别、遗传等个体因素以及吸烟、空气污染、职业粉尘等环境因素密切相关2.近年来，慢性阻塞性肺病已成为重大的公共卫生挑战，并逐渐成为全球三大死亡原因之一，威胁着人类健康，影响着患者的生活质量。根据 2019 年全球疾病负担调查，全球报告了 2.123 亿例慢性阻塞性肺病流行，导致约 330 万人死亡3.值得注意的是，慢性阻塞性肺病作为2019年全球第三大死因，给患者及其家属以及医疗和社会资源带来了沉重的经济负担4。
慢性阻塞性肺病的临床症状复杂，合并症范围广，睡眠障碍（包括失眠、睡眠呼吸暂停综合征等），主要发生在重症病例中，尤其是老年患者，但往往被低估或忽视。据估计，大约 40% 的 COPD 患者患有睡眠障碍5，并且经常因咳嗽、呼吸困难、粘液产生和夜间血氧饱和度下降等症状而出现夜间觉醒。长期睡眠不足不仅会降低患者的生活质量，还会显著增加慢性阻塞性肺病恶化和呼吸系统相关紧急情况的风险。研究表明，睡眠障碍与慢性阻塞性肺病的进展密切相关，并已成为慢性阻塞性肺病加重和死亡率增加的独立危险因素6。
其原因主要与以下机制有关: 首先，睡眠会给呼吸系统带来生理压力，这种压力在呼吸系统疾病中被放大，导致失代偿7.其次，睡眠质量低下可能导致认知障碍，引发焦虑、抑郁等负面情绪，从而影响COPD患者的自我管理行为8,9。更重要的是，睡眠不足可能会损害免疫功能，导致患者因传染病而恶化的风险显着增加10,11。
目前，夜间氧疗、持续气道正压通气（CPAP）和苯二氮卓类药物等对症治疗措施主要用于COPD并发睡眠障碍12,13。夜间氧疗和CPAP可有效提高血氧水平14。然而，危重病人通常需要在专业睡眠中心接受治疗，巨大的开销会增加病人的负担。苯二氮卓类药物具有中枢呼吸抑制的副作用，可能会加重COPD患者的缺氧，甚至增加呼吸衰竭的风险15,16。因此，提高治疗效果，降低治疗的副作用和成本，寻找改善COPD合并睡眠障碍患者睡眠质量的有效措施仍然是当前研究的重要课题。
针灸作为中医的重要组成部分，其有效性在其悠久的历史中已经过检验，但仍需要在世界范围内得到彻底的认可17.现有的针灸治疗仍然以电针或传统针灸为主。然而，由于慢性阻塞性肺病合并睡眠障碍是一种需要长期稳定治疗的慢性疾病，这两种针灸刺激方法的局限性，包括针头断针和针头弯曲等意外事件的风险18，固定治疗，固定治疗时间固定，针头保留期间其他医疗操作的不便等， 这使得患者难以坚持长期针灸治疗，导致疗效不稳定19,20。
耳针作为一种特殊类型的针灸，是一种刺激耳朵特定穴位以诊断和治疗身体和心身疾病的治疗方法21。这种治疗可细分为针灸疗法、石膏疗法、针头嵌入疗法、耳部按摩疗法、电针疗法等，其中耳针嵌入疗法和耳廓石膏疗法在临床实践中最为常用。按针（如图1所示）是一种改进的皮内针灸方法。它有一个短的主体和一个埋在一块医用胶带中的圆形手柄。具有效果长、安全性高等优点，近年来被广泛用于治疗慢性疼痛、失眠、瘫痪等疾病22,23,24,25。截至目前，随着越来越多的临床报告证明耳针的疗效，它正逐渐成为一种重要的非药物替代疗法26,27。
本文详细讲解了耳针治疗慢性阻塞性肺病合并睡眠障碍的具体方法，包括患者资格评估、使用的医疗器械、穴位、疗程、治疗后护理、不良反应、应急措施等。匹兹堡睡眠质量指数（PSQI）和慢性阻塞性肺疾病评估量表（CAT）作为该方法的主要结局指标。
该措施的有效性可以通过比较患者治疗前后的 PSQI 和 CAT 评分来得出结论。耳针治疗操作简单、不良反应少、价格低廉等优点值得进一步研究推广，为临床治疗提供参考。

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</table>

auricular acupuncture as a traditional chinese medicine therapy for chronic obstructive pulmonary disease combined with sleep disorders

慢性阻塞性肺疾病（COPD）是一种临床综合征，其特征是持续和不可逆的气流受限和慢性呼吸道症状。它有广泛的并发症，睡眠障碍作为其中的一部分，在严重病例中很常见，尤其是在老年患者中。长期睡眠不足可能导致原病加重，降低患者的生活质量。苯二氮卓类药物主要用于慢性阻塞性肺病合并睡眠障碍的对症治疗。然而，此类药物具有呼吸中枢抑制的副作用，可能会加重缺氧症状。耳针是一种通过刺激耳朵特定穴位来治疗身体和心身功能障碍的特殊方法。本文详细讲解了耳针临床操作的具体方法，包括患者资格评估、使用的医疗器械、穴位、治疗过程、治疗后护理、突发事件应对等。采用匹兹堡睡眠质量指数（PSQI）和慢性阻塞性肺疾病评估量表（CAT）作为该方法的观察指标。迄今为止，临床报道证明，耳针在治疗慢性阻塞性肺病联合睡眠障碍方面具有一定的疗效，其操作简单、不良反应少等优点值得进一步研究和推广，为此类疾病的临床治疗提供参考。

上述方案描述了一项前后对照试验，以研究耳针在改善 COPD 合并睡眠障碍患者的生活和睡眠质量方面的疗效。在这项研究中，共有 8 名符合标准的患者参与并完成了试验，在此过程中均未出院或排除。PSQI和CAT量表作为本试验的主要评价指标，数据来源于患者治疗前后完成的量表评分。对于数据分析，使用配对 t 检验进行前后自控比较， p< 0.05 将被视为表示统计学意义。
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Watch this Scientific Journal Video about Utilizing Traditional Chinese Acupuncture of the Ear to Improve Sleep Disorders at JoVE.com

作者聚焦:利用中医耳针疗法改善睡眠障碍 

该协议引入了一种有效的方法，通过使用耳针技术经皮刺激患者耳朵中的特定穴位来改善慢性阻塞性肺病患者的睡眠状况并缓解咳嗽症状。

耳针作为慢性阻塞性肺疾病合并睡眠障碍的中医疗法

Chronic obstructive pulmonary disease (COPD) is a clinical syndrome characterized by persistent and irreversible airflow limitation and chronic ...

这里展示的耳针方案是一种传统中医治疗方法。我们希望通过比较治疗前后的PSQI和CAT评分，探讨耳针在改善COPD合并睡眠障碍患者的睡眠和生活质量方面的疗效。根据中医，耳朵通过经络与大脑和各种内脏相连。近年来，一些学者将中医理论与现代神经解剖学知识相结合，系统地组织了耳、脑、脏腑的连接，提出了耳、脑、脏腑轴理论，为耳针治疗的原理和机制提供了新的思路。与传统针灸相比，耳针以其操作简单、副作用少、价格低廉等优点被患者广泛接受，在慢性病的治疗中具有独特的作用。耳针具有效果持久、安全性高等优点，是一种有效的非药物替代疗法，具有进一步推广和临床应用。

auricular-acupuncture-as-traditional-chinese-medicine-therapy-for

Research

JoVE Journal

Medicine

Auricular Acupuncture as a Traditional Chinese Medicine Therapy for Chronic Obstructive Pulmonary Disease Combined with Sleep Disorders

1.9K 次观看.  Hospital of Chengdu University of Traditional Chinese Medicine. 这里展示的耳针方案是一种传统中医治疗方法。我们希望通过比较治疗前后的PSQI和CAT评分，探讨耳针在改善COPD合并睡眠障碍患者的睡眠和生活质量方面的疗效。根据中医，耳朵通过经络与大脑和各种内脏相连。近年来，一些学者将中医理论与现代神经解剖学知识相结合，系统地组织了耳、脑、脏腑的连接，提出了耳、脑、脏腑轴理论，为耳针治疗的原理和机制提供了?...

视频: 作者聚焦:利用中医耳针疗法改善睡眠障碍 

Evaluation of Respiratory Muscle Activation Using Respiratory Motor Control Assessment (RMCA) in Individuals with Chronic Spinal Cord Injury

During breathing, activation of respiratory muscles is coordinated by integrated input from the brain, brainstem, and spinal cord. When this coordination is disrupted by spinal cord injury (SCI), control of respiratory muscles innervated below the injury level is compromised1,2 leading to respiratory muscle dysfunction and pulmonary complications. These conditions are among the leading causes of death in patients with SCI3. Standard pulmonary function tests that assess respiratory motor function include spirometrical and maximum airway pressure outcomes: Forced Vital Capacity (FVC), Forced Expiratory Volume in one second (FEV1), Maximal Inspiratory Pressure (PImax) and Maximal Expiratory Pressure (PEmax)4,5. These values provide indirect measurements of respiratory muscle performance6. In clinical practice and research, a surface electromyography (sEMG) recorded from respiratory muscles can be used to assess respiratory motor function and help to diagnose neuromuscular pathology. However, variability in the sEMG amplitude inhibits efforts to develop objective and direct measures of respiratory motor function6. Based on a multi-muscle sEMG approach to characterize motor control of limb muscles7, known as the voluntary response index (VRI)8, we developed an analytical tool to characterize respiratory motor control directly from sEMG data recorded from multiple respiratory muscles during the voluntary respiratory tasks. We have termed this the Respiratory Motor Control Assessment (RMCA)9. This vector analysis method quantifies the amount and distribution of activity across muscles and presents it in the form of an index that relates the degree to which sEMG output within a test-subject resembles that from a group of healthy (non-injured) controls. The resulting index value has been shown to have high face validity, sensitivity and specificity9-11. We showed previously9 that the RMCA outcomes significantly correlate with levels of SCI and pulmonary function measures. We are presenting here the method to quantitatively compare post-spinal cord injury respiratory multi-muscle activation patterns to those of healthy individuals.

Evaluation of Respiratory Muscle Activation Using Respiratory Motor Control Assessment RMCA in Individuals with Chronic Spinal Cord Injury

The purpose of this publication is to present our original work on a multi-muscle surface electromyographic approach to quantitatively characterize respiratory muscle activation patterns in individuals with chronic spinal cord injury using vector-based analysis.

评价呼吸肌慢性脊髓损伤个人使用呼吸电机控制评估（RMCA）

During breathing, activation of respiratory muscles is coordinated by integrated input from the brain, brainstem, and spinal cord. When this coordination ...

科研

医学

一种 Zanba-Stir-Fried Tiebangchui 工艺优化方法

Optimization of Processing Technology for Tiebangchui with Zanba Based on CRITIC Combined with Box-Behnken Response Surface Method

The dried root of Aconitum pendulum Busch., called Tiebangchui (TBC) in Chinese, is one of the most famous Tibetan medicines. It is a widely used herb in northwest China. However, many cases of poisoning have occurred because of TBC's intense toxicity and because its therapeutic and toxic doses are similar. Therefore, finding a safe and effective method to reduce its toxicity is an urgent task. A search through the Tibetan medicine classics shows that the processing method of TBC stir-fried with Zanba was recorded in the "Processing specification of Tibetan medicine of Qinghai Province (2010)". However, the specific processing parameters are not yet clear. Thus, this study aims to optimize and standardize the processing technology of Zanba-stir-fried TBC.
First, a single-factor experiment was conducted on four factors: the slice thickness of TBC, amount of Zanba, processing temperature, and time. With monoester and diester alkaloid contents in Zanba-stir-fried TBC as indexes, CRITIC combined with the Box-Behnken response surface method was used to optimize the processing technology of Zanba-stir-fried TBC. The optimized processing conditions of Zanba-stir-fried TBC were a TBC slice thickness of 2 cm, three times more Zanba than TBC, a processing temperature of 125 &#176;C, and 60 min of stir-frying. This study determined the optimized and standard processing conditions for the usage of Zanba-stir-fried TBC, thus providing an experimental basis for the safe clinical use and industrial production of Zanba-stir-fried TBC.

作者聚焦：基于 CRITIC 结合 Box-Behnken 响应面法的 Tiebangchui 与 Zanba 加工工艺优化  

The present protocol describes an efficient and standard detoxification processing method for Zanba-stir-fried Tiebangchui using CRITIC combined with the Box-Behnken response surface method.

基于CRITIC结合Box-Behnken响应面法的铁邦岀与赞坝加工工艺优化

The dried root of Aconitum pendulum Busch., called Tiebangchui (TBC) in Chinese, is one of the most famous Tibetan medicines. It is a widely used herb in ...

A Traditional Chinese Medicine Characteristic Therapy for Bronchial Asthma: Moxibustion

Bronchial asthma is a chronic inflammatory disease of the airway which can lead to symptoms such as recurrent wheezing, shortness of breath, chest tightness, or cough, as a result of increased airway reactivity. With high diurnal variation, these symptoms often occur or worsen at night or in the morning. By burning and roasting the Chinese medica above human acupoints, moxibustion is a type of treatment that stimulates the activity of the human meridians through drugs and heat stimulation to prevent and treat diseases. According to the principle of syndrome differentiation and treatment of traditional Chinese medicine, acupoints are selected on the corresponding parts, which has a definite effect. It is regarded as a characteristic traditional Chinese medicine therapy for bronchial asthma. This protocol elaborates the methods and steps of patient management, material preparation, selection of acupoints, operation, and postoperative nursing to ensure safe and effective moxibustion treatment to significantly improve the clinical symptoms and quality of life of patients with bronchial asthma.

This protocol presents a curative procedure of moxibustion in treating patients with bronchial asthma.

支气管哮喘的中医特色疗法:艾灸

Bronchial asthma is a chronic inflammatory disease of the airway which can lead to symptoms such as recurrent wheezing, shortness of breath, chest ...

Acupoint Needle-Embedding Combined with Ironing Therapy for Postoperative Pain After Anal Surgery

Acupoint needle-embedding combined with ironing therapy is a non-drug treatment method to release postoperative pain after anal surgery. The practice is guided by traditional Chinese medicine (TCM) syndrome differentiation theory and employs acupoint stimulation and heat to alleviate pain. Although prior research has shown that these are dependable methods for pain relief, the combined effect of the two techniques has not been described. In our research, we found that compared to using diclofenac sodium enteric-coated capsules alone, adding acupoint needle-embedding combined with ironing therapy was more effective for reducing pain levels at different stages after hemorrhoid surgery. Although this technique is efficient and commonly used in clinics, due to its invasive practice, acupoint needle embedding still carries risks relating to hospital-acquired infections and broken needles. Ironing therapy, on the other hand, can result in burns and connective tissue injuries. Therefore, there is an urgent need to develop a standardized protocol for medical staff. Our protocol refines the traditional techniques and provides detailed instructions on patient preparation, operation techniques, and postoperative care to ensure the therapy is carried out safely and efficiently. By standardizing this therapy, this technique is expected to become an important complementary therapy for postoperative pain relief&#160;in hemorrhoids, which will significantly improve patients &#39;life quality after anal surgery.

The high incidence of pain after anal surgery is due to the physiological structure and pathological status of the anus. At present, the use of painkillers cannot provide satisfactory pain relief, which makes complementary therapy important. This paper proposes acupoint needle-embedding combined with ironing therapy to relieve postoperative pain.

穴位嵌入联合熨烫治疗肛门术后疼痛

Acupoint needle-embedding combined with ironing therapy is a non-drug treatment method to release postoperative pain after anal surgery. The practice is ...

用耳石膏治疗妊娠呕吐

Ear Plaster Therapy as a Safe and Effective Treatment for Gestational Vomiting

Nausea and vomiting in pregnancy (NVP) are common symptoms that often complicate early pregnancy for many women. While clinical treatments such as fasting, fluid infusion, and nutritional support are conventionally applied to manage NVP, their effectiveness varies. However, traditional ear plaster therapy offers a promising alternative that effectively relieves symptoms and poses no known risk to the development of embryos or fetuses. This therapy is known for its ease of application, cost-effectiveness, and favorable outcomes. Previous studies have demonstrated the efficacy of combining ear plaster therapy with conventional treatments in alleviating symptoms of nausea and vomiting in pregnant women, surpassing the results achieved with conventional treatment alone. The protocol presented herein describes a method to relieve NVP using round, smooth, and hard cowherb seeds applied to specific ear points. These seeds are gently rubbed onto the surface of the ear, utilizing the principles of acupressure. By stimulating the designated ear points, this procedure aims to regulate the body's energy flow and restore balance, thereby reducing the severity and frequency of NVP. The application of cowherb seeds on specific ear points is a straightforward technique that healthcare professionals can easily implement or self-administered by pregnant women under appropriate guidance. Overall, ear plaster therapy presents a safe, effective, and economical approach for managing gestational vomiting, offering women a potential solution to alleviate their discomfort during pregnancy.

作者聚焦：通过安全有效的耳针缓解怀孕期间的恶心和呕吐 

The presented protocol describes a traditional Chinese medicine treatment procedure known for its safety and effectiveness in managing gestational vomiting.

耳膏疗法是一种安全有效的妊娠呕吐治疗方法

Nausea and vomiting in pregnancy (NVP) are common symptoms that often complicate early pregnancy for many women. While clinical treatments such as ...

Acupoint Application Combined with Acupoint Massage for Treating Constipation in a Patient with Chronic Obstructive Pulmonary Disease

Chronic obstructive pulmonary disease (COPD) is a common and frequent disease in elderly patients, with a tendency for progressive exacerbation. Constipation that reduces the quality of life and triggers the risk of diseases is a common concomitant symptom in patients with COPD. Currently, western medical treatment does not achieve the desired results for patients. A high recurrence rate accompanies it, whereas traditional Chinese medicine (TCM) has a long history and rich experience in treating chronic diseases. Both acupoint application and acupoint massage are characteristic therapies of TCM, with minor side effects, high safety, simple operation, and outstanding advantages. They are effective in treating constipation for patients with COPD and are considered an ideal alternative therapy for patients with chronic constipation. The purpose of this article is to introduce the method of acupoint application combined with acupoint massage for the treatment of constipation in patients with COPD, including the selection of points, items, treatment time, and operation procedure.

Here we demonstrate acupoint application combined with acupoint massage for treating constipation in a patient with chronic obstructive pulmonary disease (COPD).

耳针作为慢性阻塞性肺疾病合并睡眠障碍的中医疗法

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此视频中的章节

评价呼吸肌慢性脊髓损伤个人使用呼吸电机控制评估（RMCA）

基于CRITIC结合Box-Behnken响应面法的铁邦岀与赞坝加工工艺优化

基于CRITIC结合Box-Behnken响应面法的铁邦岀与赞坝加工工艺优化

基于CRITIC结合Box-Behnken响应面法的铁邦岀与赞坝加工工艺优化

支气管哮喘的中医特色疗法:艾灸

穴位嵌入联合熨烫治疗肛门术后疼痛

耳膏疗法是一种安全有效的妊娠呕吐治疗方法

耳膏疗法是一种安全有效的妊娠呕吐治疗方法

耳膏疗法是一种安全有效的妊娠呕吐治疗方法

穴位应用联合穴位按摩治疗慢性阻塞性肺疾病患者便秘