这项工作得到了成都中医药大学杏林学者研究促进项目 （MPRC2022012 和 QJJJ2023004） 的支持。

该方案已在成都中医药大学附属医院眼科批准用于临床试验伦理（伦理记录编号:KY2023001）。确保环境清洁无污染，光线充足，环境安静。获得患者的知情同意以使用和发布本文所示的数据。
1. 医生准备
<ol><li>检查患者的基本信息。确保患者符合《 近视防治指南 》中近视的诊断标准，且患有干眼症: （1） 确保患者远距离视力模糊，近视力良好，早期远视力经常波动，看远处物体时眯眼;（2） 通过屈光确定近视并确定程度。</li>
	<li>排除具有以下情况的患者: （1） 晕动病患者;（2） 皮肤溃疡;（3） 血糖控制不佳、血压控制不佳、头晕患者;（4） 凝血功能障碍和严重心功能不全患者;（5） 风湿性心脏病、先天性心脏病、肾衰竭、肝衰竭等;（6） 不配合治疗的患者。</li>
	<li>佩戴医用口罩和医用帽</li>
	<li>用肥皂水和七步洗手法洗手，保持双手干燥，并在取针前使用免洗手消毒液。 注意:手部消毒后避免触摸其他物品。手术前后必须洗手，双手必须保持清洁。</li>
</ol>2. 患者检查
<ol><li>获取患者基本信息:询问患者的姓名、性别、年龄、医生编号、身高、体重、既往病史、主诉等基本信息。</li>
	<li>测试患者的肉眼视力。<ol><li>要求患者距离视力表 5 m;遮盖眼睛的一侧。</li>
		<li>识别视力表上的"E"并检查它，直到它不再可识别。保持标签的方向从上到下。</li>
		<li>阅读视力表左侧的十进制记数法，根据视力表的读数判断患者的视力。</li>
		<li>然后使用相同的方法评估另一只眼睛。与通用视力表 （UCVA） 相比，低于 1.0 的分数被认为是近视。</li>
	</ol></li>
	<li>测试患者的干眼症评分。<ol><li>确保患者有眼睛干涩、异物感、烧灼感、疲劳、不适、眼睛发红和视力波动等主观症状之一。</li>
		<li>对照眼表疾病指数量表 （OSDI） 检查相应的情况:您在过去一周内是否出现过畏光、异物感、眼痛、眼睛刺激、视力模糊或视力丧失？ 总是出现 是 4 分， 经常出现 是 3 分， 一半时间出现 是 2 分， 有时出现 是 1 分， 没有出现 是 0 分。</li>
		<li>使用等式计算分数:0-12 是正常的;13-22 被归类为轻度干眼症;23-32 为中度干眼症;33-100 为重度干眼症。 最终比分 =<img alt="Equation 1" src="/files/ftp_upload/66727/66727eq01.jpg" style="margin: auto;"></li>
		<li>如果患者的 UCVA 评分为 <1.0 且 OSDI 为 ≥13 分，则进行下一步针刺治疗;否则，暂停针头给药。确保皮肤没有受损和溃疡。</li>
	</ol></li>
	<li>测量患者的血压。<ol><li>测量前让患者放松并安静休息 5-10 分钟。</li>
		<li>准备水银血压计;让患者坐着，双脚平放，肘部和前臂舒适地与心脏大致平行。</li>
		<li>打开血压计，将水银柱降至零。</li>
		<li>将血压计袖带系在患者上臂肘关节上方;确保一根手指仍然可以插入袖带和皮肤之间。</li>
		<li>将听诊器放在有动脉搏动的肘关节处，然后慢慢提高血压计内的压力，直到听诊器听不到血管的脉搏为止。现在慢慢放气:收缩压是听到血管脉搏的第一声，而舒张压是听不到声音的时候。</li>
		<li>如果血压正常（收缩压低于 90-140 mmHg，舒张压高于 60-90 mmHg），进行下一步针疗;否则，暂停针头应用。</li>
	</ol></li>
	<li>检测患者的脉搏率和血氧饱和度。<ol><li>准备一个夹式血氧仪，将左手或右手的食指放入夹式血氧仪的夹式中，检查夹式血氧仪中的红外灯是否开启。</li>
		<li>保持手指与夹持式血氧仪完全接触，在显示屏上显示测试进度。进入检测状态后，请保持手指稳定。</li>
		<li>显示屏上显示测试结果后，请伸出手指。显示屏顶部的 %SpO2 是血氧指数，屏幕上的 Min 是脉搏率。</li>
		<li>如果脉率正常（60-100 bpm（次/分钟）），进行下一步的针头治疗;否则，暂停针头应用。</li>
	</ol></li>
	<li>测量患者的呼吸频率。<ol><li>让患者保持安静、坐着或平躺，以保持平静的呼吸。</li>
		<li>观察患者的呼吸模式（胸式呼吸或腹式呼吸），并将手放在胸部或腹部。</li>
		<li>用手表或时钟计数，并通过观察胸部或腹腔的起伏来判断每分钟的呼吸频率。</li>
		<li>如果呼吸频率正常（12-20 次/分钟），进行下一步针刺治疗;否则，暂停针头应用。</li>
	</ol></li>
</ol>3. 穴位的识别和消毒
<ol><li>将患者平躺在治疗床上，仰卧位。摘下眼镜（如果有）以露出面部。让医生站在患者的右侧。</li>
	<li>遵循穴位定位:根据标准化穴位定位，穗竹（BL2）、余瑶（Ex-HN04）、四白（ST2）（见 图2）。<ol><li>BL2:定位在脸上，取眉毛内缘（眉毛中间，眶上切迹）的凹陷处。</li>
		<li>Ex-HN04:位于额头上，直视，瞳孔笔直向上;取眉毛的中间。</li>
		<li>ST2:定位于面部，眼睛方正，瞳孔垂直向下;以眶下孔的凹陷为例。 注意: 消毒前询问患者是否对酒精过敏。对酒精和不锈钢过敏的人不应使用它。</li>
	</ol></li>
	<li>取 75% 医用消毒酒精，在穴位喷洒 2-3 次，用一次性医用消毒棉签由内向外、从上到下擦拭;消毒部分的直径约为 2-3 厘米。等待酒精蒸发并确保操作部件干燥。</li>
</ol>4. 针灸手术
<ol><li>检查压针，确保其在保质期内，打开包装，检查压针是否完整，无损坏或变形。</li>
	<li>针灸BL2穴位:用左手拇指和食指固定皮肤，右手用镊子拿起针带，保持针头无菌，将针尖对准穴位，以45°进入皮肤，将针尖完全压入皮肤，左手按压固定带（见 图3）。<ol><li>如果接触血管，请减小针头与皮肤之间的角度，以避免针头进一步插入血管。</li>
	</ol></li>
	<li>针灸 Ex-HN04 穴位:按照步骤 4.2 中概述的程序进行操作（见 图 4）。</li>
	<li>针灸 ST2 穴位:按照步骤 4.2 中概述的程序进行操作（见 图 5）。</li>
	<li>询问患者感觉如何:轻轻按压手指 3 次以应用针头，并询问患者是否有任何酸涩、麻木、肿胀、疼痛和其他刺激。如果有任何感觉，请留下针头;如果没有感觉，调整针灸的方向，直到有感觉，然后离开针头。</li>
	<li>2 天后拔针，休息 1 天，再次涂抹上述穴位。一个疗程持续 2 周;总共进行 2 个疗程的治疗。在保留期内大约每 3 小时进行一次按压，每天 3 次，一次 ~1 分钟。</li>
	<li>取针:用左手的拇指和食指固定皮肤，右手用镊子拿起针带，取出垂直于皮肤的针头，取下后用无菌棉签按压针孔，用酒精棉签局部消毒。</li>
	<li>拔针后，将患者留在治疗室 30 分钟后再离开。</li>
	<li>疗效评价:1 个疗程（2 周）后，根据国际通用视力表 （UCVA） 测量患者的肉眼视力，并在下一个疗程前评估患者干眼评分的改善情况。</li>
</ol>

Standardizing Press Needle Treatment for Myopia with Dry Eye

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作者没有什么可披露的。

针灸作为我国古老的传统治疗方法，其疗效在漫长的发展历史中得到了验证，近年来的各种研究成果进一步证明了针灸在改善近视患者视力和干眼症状方面的有效性。这种疗法的有效性主要取决于所选择的穴位。高辉14 等人的研究证实，针灸疗法可以显着改善干眼症的症状，增加泪液分泌量。至于针灸治疗干眼症近视患者的疗效，国内已有大量临床报道得到证实。根据中医经典?...

近视是一种屈光不正;当眼睛处于放松的调整状态时，平行光线穿过屈光视网膜后聚焦在视网膜前方，从而在视网膜上产生清晰的图像，这称为近视。这种疾病的主要表现是近处物体的清晰视力和远处物体的模糊视力1。当正常的眼睛适应到松弛状态时，来自 5 m 外的平行光线穿过眼睛的屈光系统，焦点落在视网膜上，形成清晰的图像。但是，当近视患者看到 5 m 外的远处物体时，平行光线穿过眼球的屈光系统后会聚焦在视网膜前方，因此视力会变得模糊。如果观察 5 m 以内的近处物体，平行光线穿过眼球的屈光系统后会聚焦在视网膜上，效果会更清晰。由于近年来社会经济环境的快速变化，电子屏幕的广泛使用，以及精细化的眼睛使用方法的增加，近视的发病率迅速增加，并呈现年轻化的趋势，对社会健康产生了严重影响。
据统计，到 2050 年，全球近视人数将达到近 50 亿。随着电脑和智能手机的普及，加上之前新型冠状病毒爆发的影响，越来越多的近视患者开始出现干眼症状2。中国有近 4 亿人患有干眼症，近视干眼症的患病率明显高于正视和远视，近视青少年干眼症的发生率约为 20%。泪液不足和泪膜不稳定是导致干眼症的关键因素，近视患者眼睛伸长过程中角膜的变化和眼睑空间的增加会导致泪膜分布不均匀，导致泪膜稳定性下降，从而增加干眼症的风险。
干眼症的特征是泪膜不平衡和眼睛不适。是角膜结膜干燥的慢性炎症反应，主要表现为对外界环境敏感、泪液不足、眼感异物。可导致角膜结膜病变和视力障碍，进而影响患者的生活质量和视力3。干眼症的病因很复杂;主要原因是泪液的质量、数量和动力学异常，导致泪膜不稳定或眼表微环境失衡。疾病的具体起病与患者的眼表泪膜渗透压变化、免疫炎症反应、泪膜过度氧化、感觉神经麻痹和细胞凋亡有关，病理过程涉及 MAPK、NF-κB、Wnt、TLR、PI3K/AKT 等信号通路 4,5。
中医认为，近视患者干眼症的主要发病机制是肝肾功能不全。在 黄帝的内经苏温中记载"五脏六腑渗入眼内"，由此可见内脏功能障碍、滋润眼睛的液体产生不足或输液不良是重要的病原。 银海精微 明确指出:"泪水少负责肝肾虚"——肝脏的主要血液是眼睛的外部，肝血充足，肝气调理，将细微物质注入眼表以产生泪水。肾脏的主要水是体液的源头，肾充足，肾气充盈，全身源头充足。肝肾精华和血液是同源且相互关联的，因此肝肾功能不全是一个重要的发病机制6。目前，干眼症的临床治疗主要以人工泪液、维生素、神经生长因子和热脉冲疗法为主，短期效果良好，但长期效果仍然有限。中医治疗以中医内服为主，针灸、热敷熏蒸、耳压丸等。疗效持久性好，但手术较复杂，患者依从性不强。
压针是一种皮内针灸，在临床上应用广泛，主要用于治疗面瘫、失眠、痛经等疾病，近年来逐渐扩展到眼科疾病，具有疗效持久、操作简便、成本低、患者依从性好等特点7.具体来说，将一根特殊的小针（0.2-0.3 厘米长）插入并固定在穴位区域或皮下进行长时间埋葬。埋针时无需立即产生空气感，只有埋针后才能调节空气。本疗法结合了穴位理论和中医皮肤理论，采用"久静不动"的古老理念，结合传统针灸和埋线的优点，对皮肤进行长时间的持续刺激，达到防病的目的。
压针可以改善肉眼远视力，改善视觉疲劳状态，减少屈光，延缓近视患者的轴向生长，这已被临床研究证实 8,9,10。按压针可以改善干眼症，在改善干眼症患者泪膜稳定性、泪液分泌和角膜上皮损伤程度方面优于单独使用透明质酸钠滴眼液 11,12,13。按压针联合耳压豆、中医雾化熏蒸、按摩治疗干眼症的效果更为显著，这可能与调控MAPK、NF-kB、Wnt、TLR、PI3K/AKT等多条信号通路有关。
基于中医穴位和皮肤虫理论，本研究采用压针治疗（图 1），旨在改善干眼症症状、改善视觉功能和生活质量。按压针是一种持久、易于操作且价格低廉的中医治疗方法。综上所述，有必要提出一个关于如何正确操作针灸治疗干眼症近视的标准方案。本文介绍了如何正确使用压针治疗近视患者的干眼症。

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press needle: a traditional chinese medicine therapy for myopia patients with dry eye

大多数近视患者患有干眼症，这已被证明会对近视患者的眼部症状、近视进展和生活质量产生不利影响。针刺已被证明可有效缓解近视和干眼症患者的症状。压针是一种持久、易于操作且价格低廉的中医治疗方法。针头插入的标准做法对于治疗近视和干眼症非常重要。具体步骤包括选择合适的穴位，用合适的针刺穿，固定在穴位皮肤或皮下，埋 2 天，休息 1 天;治疗过程持续 2 周。具体来说，评估了以下指标: 未矫正视力和眼表疾病指数。本文将解释如何规范按压针在治疗近视和干眼症中的操作。

在本研究中，共有 8 名符合标准的患者参加并完成了试验，在此过程中没有一人出院或被排除在外。OSDI 和 UCVA 评分用作该试验的主要评价指标，数据来自患者在治疗前后完成的量表评分。使用配对 t 检验比较治疗前后的自我控制。
表 1 比较了患者治疗前后的 OSDI 评分。将 OSDI 评分分为轻度症状≤ 21~45 分为中度症状，≥46 分为重度症状。治疗后患者 OSDI 评...

Read this Scientific Article Protocol about Author Spotlight: Exploring Press Needle Efficacy and Underlying Molecular Pathways at JoVE.com

Author Spotlight: Exploring Press Needle Efficacy and Underlying Molecular Pathways

在这里，我们提出了一种方案，以标准化针灸治疗干眼症近视的操作。

压针:干眼症近视患者的中医疗法

Most patients with myopia have dry eye, which has been shown to adversely affect ocular symptoms, myopia progression, and quality of life in patients with ...

我们的研究重点是使用中医预防和治疗眼病。具体来说，我们正在制定治疗近视和干眼症的标准手术计划。按压针可以提高干眼症患者泪膜、泪液分泌和角膜雅典损伤的稳定性，比单独使用钠、高神经率滴眼液更好。可能与 MAPK、LFP、B、WNT、TLR、PI3、KAKT 和其他信号通路的调节有关。我们观察到针灸治疗后近视患者的干眼症状有显着改善，并导致某些病例的视力得到改善。

press-needle-traditional-chinese-medicine-therapy-for-myopia-patients

Research

JoVE Journal

Medicine

Press Needle: A Traditional Chinese Medicine Therapy for Myopia Patients with Dry Eye

1.1K 次观看.  Eye School of Chengdu University of Traditional Chinese Medicine. 我们的研究重点是使用中医预防和治疗眼病。具体来说，我们正在制定治疗近视和干眼症的标准手术计划。按压针可以提高干眼症患者泪膜、泪液分泌和角膜雅典损伤的稳定性，比单独使用钠、高神经率滴眼液更好。可能与 MAPK、LFP、B、WNT、TLR、PI3、KAKT 和其他信号通路的调节有关。我们观察到针灸治疗后近视患者的干眼症状有显着改善，并导致某些病例的视力得到改?...

视频: Author Spotlight: Exploring Press Needle Efficacy and Underlying Molecular Pathways

Preparation Of Gushukang (GSK) Granules for In Vivo and In Vitro Experiments

Traditional Chinese herbal medicine plays a role as an alternative method in treating many diseases, such as postmenopausal osteoporosis (POP). Gushukang (GSK) granules, a marketed prescription in China, have bone-protective effects in treating POP. Before administration to the body, one standard preparation procedure is commonly required, which aims to promote the release of active constituents from raw herbs and enhance the pharmacological effects as well as therapeutic outcomes. This study proposes a detailed protocol for using GSK granules in in vivo and in vitro experimental assays. The authors first provide a detailed protocol to calculate the animal-appropriate dosages of granules for in vivo investigation: weighing, dissolving, storage, and administration. Second, this article describes protocols for micro-CT scanning and the measurement of bone parameters. Sample preparation, protocols for running the micro-CT machine and quantification of bone parameters were evaluated. Third, serum-containing GSK granules are prepared, and drug-containing serum is extracted for in vitro osteoclastogenesis and osteoblastogenesis. GSK granules were intragastrically administered twice per day to rats for three consecutive days. Blood was then collected, centrifuged, inactivated, and filtered. Finally, serum was diluted and used for performing osteoclastogenesis and osteoblastogenesis. The protocol described here can be considered a reference for pharmacological investigations of herbal prescription medicines, such as granules.

Preparation Of Gushukang GSK Granules for In Vivo and In Vitro Experiments

This article provides a detailed protocol for preparing a working solution of Gushukang granules for animal studies and GSK granule containing serum for in vitro experiments. This protocol can be applied to pharmacological investigations of herbal medicines as well as prescriptions for both in vivo and in vitro experiments.

古树康 (GSK) 颗粒的制备,用于 Vivo 和体外实验

Traditional Chinese herbal medicine plays a role as an alternative method in treating many diseases, such as postmenopausal osteoporosis (POP). Gushukang ...

科研

医学

Enema of Traditional Chinese Medicine for Patients with Severe Acute Pancreatitis

Severe acute pancreatitis (SAP) is characterized by high mortality rates, numerous complications, and extreme difficulties in treatment. A traditional Chinese medicine (TCM) enema has been widely utilized in clinical and experimental studies of SAP. It has been demonstrated to have beneficial effects in protecting pancreatic function and delaying disease progression. The procedure of TCM enema is to perfuse the Chinese medicinal liquid of raw rhubarb (Rheum officinale Baill. DaHuang) from the anus into the rectum and colon. Basic steps of the procedure include boiling the herbal solution in advance, using a disposable enema kit to assist patients in taking a left lying position, raising the patient's hip 10 cm, and carefully inserting the enema 30-35 cm into the anus, with a drip speed of 60-80 drops/min. The medicine liquid temperature should be equivalent to the patient's body temperature, typically between 37-39 &#176;C. The end of the enema operation should be slow, and Tui na (massage therapy) should be administered before extubation. The medication liquid should be kept in the rectum for more than 1 h. After issuing an enema, it is essential to observe the patient's feces and abdomen, and to evaluate the remission of abdominal signs and symptoms.

An enema is a type of traditional Chinese medicine (TCM) therapy used to treat severe acute pancreatitis (SAP). The therapy involves instilling a TCM liquid into the rectum and colon through the anus to keep the liquid in the intestine, absorbing through the intestinal mucosa. This study aims to standardize the enema procedure for SAP patients.

重症急性胰腺炎患者中药灌肠

Severe acute pancreatitis (SAP) is characterized by high mortality rates, numerous complications, and extreme difficulties in treatment. A traditional ...

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 ...

太极拳配合正念训练治疗糖尿病周围神经病变

Effects of Mindfulness Training Combined with Tai Chi in Patients with Diabetic Peripheral Neuropathy

Diabetic peripheral neuropathy (DPN) is one of the most prevalent chronic complications of diabetes. One of its crucial therapy approaches is mind-body exercise. Recently, various exercise modalities, including stepping, resistance, aerobics, balance, and whole-body vibration, were investigated to construct the most suitable form of exercise for patients with DPN. The purpose of this study is to describe a standard protocol for mindfulness training combined with Tai Chi. The convenience sampling method was used to select 90 patients with DPN who met the inclusion and exclusion criteria from three communities. The three communities were randomly divided into the control group (CG), the Tai Chi group (TCG), and the mindfulness training combined with the Tai Chi group (MTCG). The CG was given routine health education guidance once a month, a total of three times. Based on the CG, the TCG practiced Tai Chi three times; the MTCG received mindfulness training combined with Tai Chi exercise a week for a total of 12 weeks. Before the intervention and 12 weeks after the intervention, the clinical symptoms, neurological function, attention awareness level, pain, and quality of life of the subjects were evaluated by Toronto Clinical Scoring System (TCSS), Mindful Attention Awareness Scale (MAAS), Visual analog scale (VAS), Diabetes Specificity Quality of life Scale (DSQL) and tumor necrosis factor-&#945;. Overall, the addition of mindfulness training to Tai Chi effectively enhances the exercise effects of Tai Chi. Therefore, mindfulness training combined with Tai Chi is worthy of promotion and application.

作者聚焦：将太极拳与正念训练相结合，实现有效的身心锻炼 

When studying exercise for treating diabetic peripheral neuropathy (DPN), achieving mind-body exercise is essential. This study proposes a protocol for mindfulness training combined with Tai Chi to achieve mind-body exercise.

正念训练联合太极拳对糖尿病周围神经病变患者的影响

Diabetic peripheral neuropathy (DPN) is one of the most prevalent chronic complications of diabetes. One of its crucial therapy approaches is mind-body ...