| Professor Tian Conghuo engaged in clinical acupuncture and moxibustion,teaching and researching for more than 60 years.He has advanced theoretical attainments and rich clinical experience in traditional Chinese medicine.In the work,it has inherited the essence of traditional acupuncture,and has kept pace with the times,and explored the innovation of acupuncture and needling instrument.In the long term clinical practice,he gradually formed a relatively complete and unique academic thinking and clinical applications.Professor Tian Conghuo clinical knowledge combine traditional Chinese and Western medicine,emphasizes diversity of treatment methods,especially good at using different stimulating amount of acupuncture to adjust the local morphology,different groups of acupoints and acupuncture and moxibustion combined with our overall conditioning treatment of clinical disease.The main body of this paper contains two parts of "co-regulation of the body and the spirit":academic thought research and clinical research.1 Academic thoughts of Tian Conghuo’s "co-regulation of the body and the spirit"In order to study the academic thought of Professor Tian Cong Huo,and to inherit his academic experience.Through the study of books,medical,teaching,learning and diagnosis case analysis,thematic lectures and interviews with a combination of research methods,the field division of academic heritage Road,explores the basic content and spirit and academic thoughts“co-regulation of the body and the spirit",and focuses on the analysis of Tian Cong Huo’ s "co-regulation of the body and the spirit" academic thought in the application the characteristics of the treatment of allergic rhinitis and other diseases,refining field division of acupuncture method and clinical experience and academic thoughts of the"co-regulation of the body and the spirit",expounds the application of law.On this basis,this paper puts forward five parts and eight methods of "co-regulation of the body and the spirit”academic point,and verified in clinical application.1.1 The growth path about Tian Conghuo’s academic originIn the process of formation of Dr.Tian’s academic thought,he study the experience of the older generation,professor Zhu Lian and professor Gao Fengtong,who come from department of acupuncture and moxibustion,china of academy of Chinese medical science.And at the same time,he merged the acupuncture experience of famous docter in central South China and Beijing area.He focuses on famous Chinese Medicine books and records.Combined with his own practice for many years,Followed the theory of acupuncture and methods of acupuncture,he gradually formed academic thoughts of "co-regulation of the body and the spirit".1.2 Basic academic thoughts of Tian Conghuo’s "co-regulation of the body and the spirit"The meaning of“the body and the spirit”is always a disputed issue.Dr.Tian thinks "the body" means the morphological structure of information in the area of viscera,meridians,shape,and orifice which obtained by traditional Chinese medical four diagnostic.It mainly refers to the body that your eyes can see,your hands can touch.And specific to acupuncture operation for the location of needle tip,including skin,muscle,veins,tendons,bone.Dr.Tian thinks "the body" has lot of meaning in clinical acupuncture-moxibustion.It is the external performance of the human life action.But it needs to be divided into different parts in clinical practice.For example,the spirit in "five viscera spirit" means external performance for function activities of five viscera.But the spirit in“placating spirit”means external performance in human thought.Dr.Tian emphasizes there is a close contact between" the body" and the spirit".The relationship between them is mutual dependence and mutual restriction.They all exist and they are compatible with each other under physiological state.They produce different changes and affect each other under pathological state."The spirit" can rule"the body" to human body.Mental factors have a huge impact on health.In acupuncture-moxibustion clinical treatment,Dr.Tian treat the body in order to repair lesions of local tissue.He treat the spirit to coordinating recovery of viscera,meridians,Qi and blood.Using these two methods and co-regulating of the body and the spirit can achieve high coordination in the body and the spirit.It also can stay healthy.There’s no making without breaking is the clinical requirements of regulating body.Balance adjustment is principle of regulating spirit.This theory is the Dr.Tian’s academic essence of acupuncture and moxibustion for many years.Dr.Tian stresses that doctor need to review the characteristics of the disease before treatment.For different parts of the disease,doctor should observe and touch to find specific lesion location at first.And according to lesion’s location,size,depth,hardness and temperature,use different acupuncture apparatus and needling and moxibustion methods.Skin lesions always use filiform needle surrounding or fire needle pointing.Mucosal lesions use tenaculum pricking.Subcutaneous mass lesions use filiform needle triple needling or proximal needling.Vascular lesions use three-edged needle pointing or fire needle pointing.Tendons disease use restoration needling of filiform needle.Bone disease use close needling of filiform needle.Acupoint selection can choose not only in the point but also in or around the lesion’s area.Dr.Tian put emphasis on keeping-spirit in clinical treatment.He thinks it is the key of obtaining the effect of acupuncture and moxibustion.Keeping-spirit contains keeping doctor’s spirit and also keeping patient’s spirit.He stresses that acupuncturists not only have excellence medical skill and should be full of working energy but also need a good professional quality.Practicing the spirit to control the needling handflexibly and effectively.When doctors treat patients,they need peace of mind,patience and kindness.Doctors need to devote themselves heart and soul to treating,with peace of mind and agile during acupuncture-moxibustion clinical treatment.When needling the patient,carefully check needling feel and the spirit of the patient.It is also important that patients need to cooperate with the doctor.Dr.Tian uses the method of regulating spirit in clinical practice.He stresses that the effects of psychological factors on human body.So he pays attention to method of smoothing spirit,placating spirit,benefiting spirit and so on.He always uses acupoints which are located in the head.He also emphasizes the special use of five viscera spirit and back shu points.Because Du meridian and Ren meridian can regulate spirit.Dr.Tian stresses acupoints which are on abdomen and dorsum.When regulating spirit,doctors should pay attention to operating methods,needling sensation and make patients comfortable.1.3 Clinical application of Tian Conghuo’s "co-regulation of the body and the spirit""Co-regulation of the body and the spirit" is the most important characteristic of acupuncture operation for Dr.Tian on treating allergic rhinitis.The local deformation is based on driving out evil spirits.Restore collateral channels to treat disorder of Qi and viscera.Treatment methods contain acupuncture,moxibustion,sticking therapy,cupping.At the same time,he emphasizes relieving and regulating the spirit.And pay attention to the daily care of doctors and patients.Regulating the spirit means acting on the target.The target is in the nasal mucosa and surrounding tissue.Hegu needling is the main operating method.First of all,it is necessary to determine the meridians or organs involved in the disease,and pay attention to the functions of the Zang Fu organs and Qi.When in acute stage,regulating the body first,then regulating the spirit.But in remission stage,treatments based on regulating the spirit,and regulating the body.In order to improve the curative effect,the doctors need to practice the coordination of needles.Dr.Tian believes that Traditional Chinese medicine for treating cough and asthma has the advantage of relieving clinical symptoms.The disease is mainly in the lung meridian and Ren meridian.The location of the lesion is in the throat and chest.AcupointsTiantu,Dingchuan to regulating body.Regulating spirit need use methods of placating spirit,regulating qi,relieving liver qi stagnation.Acupuncture combined with traditional Chinese medicine and cupping can treat patients who are in acute stage.When in stable condition,use acupuncture,moxibustion and application of acupoint.Dr.Tian has his own particular method to treat skin diseases.Cooperation between doctor and patient and co-regulation of the body and the spirit is important.There’s no making without breaking.Use filiform needle surrounding,dermal needling and fire needle to regulating body.Regulate whole body and keep Qi and blood harmonious.Protect spleen and stomach and support the healthy energy at the same time.Dr.Tian treats Bi syndrome with acupuncture.For the area of pain,he regulates body to treat it.He finds three points around the joint.The points are located at top of the joint and two side of the joint.Tip of needle arrive between periosteum and bones.Regulating five viscera spirit strengthens function of viscera.Use four point around belly button tostrengthen body.Use application of acupoint and moxibustion to strengthen yang and remove cold.Dr.Tian treats irregular menses.He believes that the disease in the lower abdomen and imbalance of Chong meridian and Ren meridian is the basic pathogenesis.Regulating body mainly use local acupoints Guanyuan,Guilai.Regulating spirit stress regulating function of viscera,strengthen body and relieving liver qi stagnation.Different disease use different acupoints.This part mainly introduces Dr.Tian’s clinical treatment for stroke,epilepsy and developmental delay.He stresses that these three kinds of disease occur mainly in the marrow,and relate to disorder or dystrophy in Du meridian and Ren meridian.It relates to the different meridians.So there is various clinical symptoms and treatment Relate body according to the exact location of the symptoms,such as using acupoints in local Yangming Meridian to treat limb movement disturbance,using acupoints around throat to treat dysphagia and using acupoint Lianquan or points under tongue to language disorders.Regulating spirit should pay attention to regulating function of Du meridian and treating internal organs deficiency.Generally take Du meridian,Ren meridian,and other meridians’ Shu acupoint to treat the disease.And pay attention to application of acupoints in head.1.4 Exploration of Tian Conghuo’s "co-regulation of the body and the spirit"Thinking on Dr.Tian’s clinical thinking and characteristics of acupoint,acupuncture manipulation,I put forward Dr.Tian’s five parts and eight methods of"co-regulation of the body and the spirit"academic point of view.I gradually have my own practice experience during clinical practice.In the learning process,I realized academic point of Dr.Tian’s"co-regulation of the body and the spirit".This academic point can be used in the treatment of surgery,gynecology and pediatrics department disease.He often uses some very practical acupuncture therapy and prescription to treat different disease,including regulating body for the skin,muscle,veins,tendons,bone.He usually use surrounding needling,fire needle.It also includes the eight methods for regulating spirit,namely "regulating Du meridian and benefit spirit","regulating five viscera spirit ","strengthening body","balancing yin and yang","regulating Qi","placating spirit","making mind peace" and "resuscitation method".These are basic ideas to treat disease.Learn well and you will benefit in clinical practice.Five parts of regulating body add eight methods of regulating spirit to five parts and eight methods of "co-regulation of the body and the spirit",which describes his academic point of acupoint prescription,acupuncture manipulation and field of application.I use five parts and eight methods of "co-regulation of the body and the spirit" to treat patients who have eczema,mammary gland hyperplasia.They also get good effect.In a word,Professor Tian Conghuo’ s academic thoughts about "co-regulation of the body and the spirit" is rich in content and the clinical application of acupuncture is distinctive.It is worthy of our promotion and study.2 clinical study on the treatment of persistent allergic rhinitis using the points of"co-regulation of the body and the spirit".2.1 ObjectiveAcademic thought of professor Tian conghuo was applied to Persistent Allergic Rhinitis,we used common acupoints Treatment of persistent allergic rhinitis,The selection of the acupoints has the function of adjusting body.At the same time,there is the role of the regulate the spirit.To observe the short-term and long-term clinical efficacy and safety of treatment of persistent Allergic Rhinitis with "of the body and spirit"acupoint group2.2 methodsRandomized,single-blind(blind evaluator),control,multi-center approach was used in this study.96 patients of who complied with inclusion criteria were included,they come from Department of Acupuncture and Moxibustion of Guang’anmenHospital,Institute of Acupuncture and Moxibustion of China Academy of Chinese Medical Science,Internal medicine clinic of Mentougou District Chinese Medicine Hospital.Time from March 2015 to December 2016.According to SAS software generated by the random program grouping,acupuncture treatment group 48 cases,western medicine control group 48 cases.Diagnostic criteria according to "allergic rhinitis and its impaction asthma,ARIA"Guidelines for the preparation of the 2008 revision(WHO).Acupointgroup:Shangyingxiang(EX5)(bilateral),Yingxiang(GV29)(bilateral),Yintang(LI20),Sibai(ST2)(bilateral),Shangxing(GV21),Dazhui(GV14),Chize(LU5)(bi lateral),Lieque(LU7)(bilateral),Hegu(LI4)(bilateral).The needles were inserted into acupints for Deqi,then moxa stick was ignited and attached to the handle of the needle of Dazhui,One treatment was administered for 20 min,three times per week for 4 weeks.Control group took Loratadine,1 tablets per day for 4 weeks.AcupointOutcomes:the TNSS and TNNSS scores were applied before、2 weeks and 4weeks after treatment and 3 months,6 months after the end of treatment.The RQLQ was also determined before and 4weeks after treatment and 3 months、6 months after the end of treatment.Build Epidata 3.1 databases for data processing and statistical applications.Check data and record library by hand.Using SPSS 17.0 software,the data of this study were statistically analyzed.The baseline comparability,efficacy evaluation of these two aspects were analyzed.The measurement data,comparison between groups,conform to the normal distribution with t test group,by variance homogeneity test for variance homogeneity test of T phase,the heterogeneity of variance with corrected t test(t’ test).Nonparametric analysis is used for those who do not conform to the normal distribution.The count and rank data were described by frequency(component ratio),and rank sum test was used among the rank data groups.Enumeration data were checked by X2 test or Fisher exact probability method.2.3 results41cases of treatment group,45 cases of control group completed the experiment.2.3.1 The main efficacy evaluation:TNSS scores:The TNSS scores and individual scores of the two groups were statistically significant(P<0.05)compared with those before treatment at different points of observation.These showed that both acupuncture and moxibustion treatment and Loratadine can effectively decrease the nasal symptoms.And with the course of treatment increased,TNSS score gradually reduced.Follow-up results show that after the end of treatment,the two groups of treatment have a certain follow-up effect.Comparison between groups:After the course of treatment and follow-up,the two groups improved the total score of nasal symptoms and individual score in terms of efficacy.At 2 weeks treatment,the degree of acupuncture improved nasal symptoms in patients better than Loratadine tablet(P<0.05).At the end of the treatment,the degree of follow-up effect of acupuncture and moxibustion was better than that of Loratadine tablet(P<0.05).After 2 weeks of treatment,the degree of acupuncture improved the nasal congestion,runny nose and nasal itching symptoms was better than Loratadine tablets(P<0.05).After 3 months of treatment,the follow-up effect of acupuncture and moxibustion on the degree of nasal obstruction was superior to that of Loratadine(P<0.05).2.3.2 The secondary efficacy evaluation:TNNSS scores:The TNNSS scores of the two groups were significantly different from those before treatment,statistically significant(P<0.05).Indicating that both acupuncture and Loratadine tablets could relieve symptoms of allergic rhinitis.And with the course of treatment increased,TNNSS scores were gradually reduced.Follow-up results showed that the two groups of treatment both have a certain follow-up effect.Comparison between groups:After 2 weeks of treatment,acupuncture improved the TNNSS scores was better than Loratadine tablets(P<0.05).After 6 months of treatment,the follow-up effect of acupuncture on the TNNSS scores was superior to that of Loratadine tablets(P<0.05).Nasal conjunctivitis quality of life scale(RQLQ):There was significant difference in the AQLQ score between the two groups at different time points after treatment(P<0.05).Indicating that both acupuncture and moxibustion and Loratadine tablets can improve the quality of life of patients with allergic rhinitis.And as the course of treatment increases,the RQLQ score gradually decreases.Follow-up results showed that after the end of treatment,the two groups of treatment had a certain follow-up effect.Comparison between groups:At 2 weeks of treatment,the degree of RQLQ was better in patients with acupuncture than Loratadine tablets(P<0.05).After 6 months of treatment,the follow-up effect of acupuncture on the degree of RQLQ was superior to that of Loratadine tablets(P<0.05).Safety evaluation:A total of 96 cases were included in this study,there is no halo acupuncture,halo moxibustion,local pain,skin burns and other adverse reactions.2.4 Conclusion:(1)The curative effect was confirmed for 4 weeks and 6 months follow-up treatment."co-regulation of the body and spirit" acupoint group can effectively decrease the nasal symptoms.Show the bioequivalent efficacy as well as recommended first-line drugs of Loratadine tablets.(2)The curative effect was confirmed for 2 weeks and 3 months follow-up treatment."co-regulation of the body and spirit" acupoint group can effectively decrease the nasal symptoms.The effect is better than Loratadine tablets.(3)"Co-regulation of the body and spirit" can improved the TNNSS scores and AQLQ score,and show overall efficiency than Loratadine tablets.(4)The curative effect was confirmed for 2 weeks treatment.Using "co-regulation of the body and spirit" to treat persistent allergic rhinitis takes effect quickly.(5)"Co-regulation of the body and spirit" is safe and without side effects in the treatment of persistent allergic rhinitis. |
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