目的 探讨颈性眩晕应用针刺解结法治疗的临床疗效。方法 选取广东省中医院进修期间2016年3月—2016年9月收治的60例颈性眩晕患者,按照随机数字表法均分为两组。对照组:予以常规针刺治疗;观察组:在此基础上,行针刺解结法治疗。记录比较两组治疗前后基底动脉(BA)、左侧椎动脉(LVA)、右侧椎动脉(RVA)等部位的血流速度,改良颈性眩晕症状与功能评估量表(ESCV)总评分,临床疗效。结果 两组治疗后BA、LVA及RVA部位的血流速度,均明显高于治疗前(P<0.05);与对照组治疗后比较,观察组TCD检测参数改善幅度更为显著(P<0.01);与治疗前相比,两组治疗后改良ESCV总评分均显著更高(P<0.01);且观察组改善情况显著优于对照组(P<0.01);观察组总有效率为96.7%较对照组的76.7%相比,明显更高(P<0.05)。结论 颈性眩晕应用针刺解结法治疗更能有效改善脑部血液循环,缓解临床症状,提高生活质量,疗效显著,具有较高临床推广价值。

Objective To analyze the clinical effect of curing cervical vertigo with acupuncture thrawing method. Methods To select 60 patients with cervical vertigo in Cantonese Chinese Medicine Hospital from March 2016 to September 2016 as the research objects. According to the random number table method, they were randomly divided into the control group and the study group. The control group: treated with normal acupuncture; The observation group: plus with acupuncture thrawing method. We recorded and compared the blood flow velocity in the basilar artery(BA), the left vertebral artery(LVA) and the right vertebral artery(RVA), the overall score of the improved cervical Evaluation Scale for Cervical Vertigo(ESCV), and the clinical therapeutic effect of the two groups. Results After treatment, the blood flow velocity of the two groups in the basilar artery(BA), the left vertebral artery(LVA) and the right vertebral artery(RVA) was obviously higher than before treatment (P<0.05). Compared with the control group, the improvement level of TCD verifying arguments in the observation group was more significant (P<0.01). Compared with before treatment, the overall score of the improved ESCV in the two groups after treatment was significantly higher (P<0.01). And the improved conditions in the observation group were better than in the control group. The total effective rate 96.7% in the observation group was apparently higher than that of 76.7% in the control group (P<0.05). Conclusion Curing cervical vertigo with acupuncture thrawing method may improve the brain blood circulation, relieve clinical symptoms, enhance the living quality, which is a good way with evident clinic efficacy and higher clinical popularization value.

目的 探讨经针刺治疗爆裂性眶壁骨折伴眼球运动障碍的临床疗效及安全性。方法 选取2013年10月—2015年9月在我院接受治疗的70例(70只眼)爆裂性眶壁骨折致眼球 运动障碍患者,按照治疗方式的不同分为常规组和针刺组,每组各35例,其中常规组给予常规药物治疗,针刺组除了接受常规治疗外,依据眶壁骨折部位的不同选取相应临近眼外肌穴进行针刺,每日1次,每次留针30 min,15天为一个疗程,两组患者均持续治疗两个疗程。对比分析两组患者治疗前后的角膜缘移动范围、眼球运动障碍级别以及临床疗效。结果 经过治疗后,两组患者的角膜缘移动范围均较治疗前明显改善,且与常规组患者相比,针刺组患者改善得更显著(P<0.05);经过治疗后,针刺组0级、I级、II级、III级的眼数分别为14、15、3、3只眼,其中0级的眼数明显多于常规组患者,差异有统计学意义(P<0.05);针刺组的治疗总有效率高达91.43%,明显高于常规组的62.86%,差异有统计学意义(P<0.05)。结论 针刺眼外肌穴有助于改善爆裂性眶壁骨折伴眼球运动障碍患者的角膜缘移动范围,促进患者眼外肌功能的恢复而降低眼球运动障碍级别,明显提高治疗总有效率,在临床上值得推广应用。

Objective To explore the clinical effect of eye-acupuncture on eye movement disorders caused by orbital blowout fracture and its security. Methods 70 eyes movement disorder patients with burst orbital wall fracture treated in our hospital from October 2013 to September of 2015 were selected and divided into two groups, each group contains 35 cases. The routine group was given routine drug treatment, beside this, we gave the therapy of eye-acupuncture for 30 minutes to the acupuncture group according to the type to select the corresponding extraocular muscle holes. Both with 15 days was for a course of treatment. After two courses, compared the eye movement disorder level changes and the limbus range of movement of the two groups before and after treatment, we evaluated the efficacy based on efficacy standard. Results After treatment, the corneal limbus range of movement were significantly improved of both groups, and the acupuncture group were better than that of the routine group(P<0.05);after treatment, the eye movement disorder rating of the acupuncture group was as follows: the number of level 0,1,2,3 was 14,15,3,3,respectively, among which the number of level 0 was significantly higher than that of the routine group(P<0.05);The total effective rate of the acupuncture group was 91.43 %, which was significantly higher than that of the control group, the difference was statistically significant (P<0.05). Conclusion Eye-acupuncture may improve the corneal limbus range of movement in patients with eye movement disorders caused by orbital blowout fracture. It could promote the recovery of extraocular muscles function and thus lower the level of eye movement disorders. It significantly improves the total efficiency and is worthy of popularization and application clinically.

目的 探讨针灸治疗在体外受精—胚胎移植技术的临床效果。方法 以2013年8月—2015年8月在顺德妇幼保健院生殖科,因不孕进入IVF/ICSI周期的108例患者为研究对象,按照随机自愿原则将其分为三组,针刺组、安慰针刺组、对照组各36例,针刺组:在移植前24小时、移植后30分钟进行相关的针刺治疗,安慰针刺组:针刺穴位与妊娠无关,对照组:不使用针刺疗法,比较三组临床效果。结果 治疗后针刺组Ⅰ型内膜血流类型及PI、RI、S/D低于治疗前,Ⅱ+Ⅲ型内膜下血流类型高于治疗前,差异有统计学意义(P＜0.05)。针刺组总有效率高于安慰针刺组、对照组,三组差异有统计学意义(P＜0.05)。针刺组种植成功率、妊娠成功率及活产率均高于安慰针刺组、对照组,三组差异有统计学意义(P＜0.05)。结论 在体外受精—胚胎移植技术中为患者实施针灸治疗可改善子宫内膜下血流情况,提高临床疗效、改善妊娠结局。

Objective To investigate clinical results of acupuncture treatment in vitro fertilization-embryo transfer technology. Methods August 2013-August 2015 reproductive and child health hospital in Shunde branch,due to infertility entering IVF/ICSI cycles of 108 patients for the study,in accordance with the principle of voluntary they were randomly divided into three groups,the acupuncture group,placebo group and control group 36 cases,respectively.Acupuncture group:24 hours before transplantation,30 minutes post-transplant treatment of infertility acupuncture.Placebo group:acupuncture and were unrelated to infertility.The control group:acupuncture was not used.We compared three groups of clinical effect. Results In the treatment of type Ⅰ endometrial blood flow in the acupuncture group type and PI,RI,S/D were significantly lower than before treatment,Ⅱ+Ⅲ,endometrial blood type under were significantly higher than before treatment.the difference was significance(P<0.05). The acupuncture group was more efficient than placebo group and the control group,the three groups was significant(P<0.05). The success rate of acupuncture group planting,the success rate of pregnancy and live birth rates were higher than placebo group and the control group,the three groups was significant differences(P<0.05). Conclusion In vitro fertilization-embryo transfer technology into the implementation of acupuncture treatment for patients can improve blood flow under the endometrium,improve clinical outcomes and improve pregnancy outcomes.

目的 观察隔药壮灸神阙穴治疗女性黄褐斑的临床疗效及对血清性激素水平的影响。方法 将72例患者随机分为2组,治疗组38例和对照组34例,治疗组予隔药壮灸神阙穴治疗,对照组予口服维生素C、维生素E治疗,10次为1个疗程,第2、4、6疗程末观察疗效,治疗前后测定月经第2～3天血清雌二醇(E2)、孕酮(P)、泌乳素(PRL)、卵泡刺激素(FSH)、黄体生成素(LH)、睾酮(T)水平。结果 第6疗程末治疗组总有效率为83.33％,对照组总有效率30.30%,治疗组疗效优于对照组(P＜0.05),治疗组治疗前后E2、LH下降水平有统计学意义(P＜0.05)。对照组治疗前后E2、P、PRL、FSH、LH、T水平变化不明显(P＞0.05)。治疗后2组E2、LH比较,差异有统计学意义(P＜0.05)。结论 隔药壮灸神阙穴治疗女性黄褐斑临床疗效较好,可能通过调节性激素而起到治疗作用。

Objective To observe the clinical efficacy on female chloasma treated with acupuncture of Zhuang minority medicine at Shengque xue and its influence on sex hormone levels. Methods 72 cases were divided randomly into a treatment group(38 cases) and a control group(34 cases). In treatment group, acupuncture of Zhuang minority medicine at Shengque xue was applied. In control group, oral administration of vitamin C and vitamin E were given. The cases of treatment group were treated ten times as one session. At the end of 2,4,6 treatment session efficacy were analyzed respectively. The levels of serum estradiol(E2), progesterone(P), prolactin(PRL), follicule stimulating hormone(FSH), luteinizing hormone(LH) and testosterone(T) were detected on day 2-3 of menstruation. Results At the end of 6 treatment session the total effective rate was 83.33％ in treatment group and was 30.30% in control group, the efficacy in treatment group were superior to that in control group, with significant difference(P＜0.05). In treatment group, the levels of LH and E2 after treatment were lower as compared with those before treatment(P＜0.05). In control group, there were no obvious changes in E2,P, PRL, FSH, LH and T before and after treatment(P＞0.05). The levels of LH and E2 after treatment were significantly different in comparison of two groups(P＜0.05). Conclusion Acupuncture of Zhuang minority medicine at Shengque xue achieves a definite efficacy on female chloasma in clinic and its pharmacological mechanism may be relevant with its regulation on sex hormone levels for the patients.

        目的   观察急性期脑卒中患者早期针刺结合康复训练的临床疗效。方法   采用单盲、分层、区组随机设计分组，随机分成针康组与康复组。针康组35例，康复组35例，按5 d为一个疗程，共4个疗程。采用Fug-Meyer运动功能评分法（FMA）、巴氏指数（BI）、脑卒中专用生活质量量表（SS-QOL）对治疗前及治疗后4周末、出院后8周末及随访期3个月、6个月末的死亡率、残疾率、复发率评估，比较两组的疗效。结果   两组基线比较差异无统计学意义（P＞0.05）。组间比较：4周末 FMA、BI评分两组相比差异均无统计学意义（P＞0.05），8周末则具有统计学意义（P＜0.01）。SS-QOL评分在第4周末和第8周末相比差异无统计学意义（P＞0.05）。随访3个月、6个月末的死亡率、致残率和复发率差异均无统计学意义（P＞0.05）。组间多重比较，两组4、8周末 FMA、 BI和SS-QOL评分较治疗前比较差异有统计学意义（P＜0.01）。针刺康复组8周末疗效优于4周末（P＜0.01），康复组8周末与4周末相比差异无统计学意义（P＞0.05）。针刺康复组4、8周末SS-QOL评分显著高于治疗前（P＜0.01），8周末与4周末相比差异无统计学意义（P＞0.05），康复组各时间点SS-QOL评分两两比较差异有统计学意义（P＜0.01）。结论   对急性脑卒中患者进行早期针刺结合康复训练，可明显改善其肢体运动功能和日常生活活动能力。

       Objective  To observe the clinical efficacy of early acupuncture combined with rehabilitation training in acute-phase stroke patients．Methods  Single-blind，stratified，zone group randomized design grouping was adopted，and  randomly divided into acupuncture rehabilitation group and rehabilitation group．There were 35 cases in the acupuncture rehabilitation group and 35 cases in the rehabilitation group，received 4 courses，5 days in each course．Fugl-Meyer Assessment（FMA），Barthel Index（BI），Stroke Specific Quality of Life Scale（SS-QOL） scores and mortality，disability and recurrence rates at the end of 3 and 6 months of follow-up were used to compare the efficacy of the two groups．Results  Comparing the basic conditions of the two groups，the difference was not significant（P＞0.05）．Comparison between groups：differences FMA and BI scores between two groups at the end of 4 weekends were not significant（P＞0.05），while differences were significant（P＜0.01）at the end of 8 weekends．SS-QOL scores at the end of 4 weekends and the end of 8 weekends were not significant different between two groups（P＞0.05）．Mortality，disability and  recurrence  rates at the end of 3 and 6 months of follow-up were not significantly different（P＞0.05）．Multiple comparisons between groups：there were significant differences in FMA，BI and SS-QOL scores at the end of 4 and 8 weeks between the two groups compared with the pre-treatment period（P＜0.01）．The efficacy of the acupuncture rehabilitation group at the end of 8 weekends was significantly better than that at the end of 4 weekends（P＜0.01），and there was no statistically significant difference between the rehabilitation group at the end of 8 weekends and that at the end of 4 weekends（P＞0.05）．The SS-QOL scores at the end of 4 and 8 weekends in the acupuncture rehabilitation group were significantly higher than those before treatment（P＜0.01），and there was no statistically significant difference at the end of 8 weekends compared with that at the end of 4 weekends（P＞0.05），and there was a statistically significant difference in the two-by-two comparisons of SS-QOL scores at each time point in the rehabilitation group（P＜0.01）．Conclusions  Early acupuncture combined with rehabilitation training for acute stroke patients can significantly improve their extremities motor function and daily vitality．

       目的   探究腕踝针联合揿针治疗带状疱疹后遗痛的临床疗效观察。方法   选取上海市黄浦区中西医结合医院2021年10月—2024年4月收治的80例带状疱疹后遗神经痛患者为研究对象，按随机数表法分为研究组、对照组，各40例。对照组采用口服甲钴胺治疗；研究组采用腕踝针联合揿针治疗。比较两组治疗疗效；治疗前后采用视觉模拟评分（VAS）与阿森斯失眠量表评分（AIS）、皮肤病生活质量指数（DLQI）、汉密尔顿抑郁量表评分（HAMD）、汉密尔顿焦虑量表评分（HAMA）。结果   研究组治疗总有效率为92.5%，对照组治疗总有效率为75%。比较差异有统计学意义（P＜0.05）。两组患者治疗后VAS、AIS均比治疗前改善，研究组VAS评分为（1.00±0.45）、AIS评分为（7.15±0.89），优于对照组VAS（2.15±0.36）和AIS（5.65±0.70），比较差异有统计学意义（P＜0.05）。相较于治疗前，两组患者DLQI评分均有改善，研究组［休闲活动评分（1.73±0.45）、人际交往评分（1.13±0.34）、工作学习评分（0.94±0.25）、自觉症状评分（1.83±0.38）、日常活动评分（0.98±0.28）］优于对照组［休闲活动评分（2.06±0.40）、人际交往评分（1.81±0.39）、工作学习评分（1.08±0.38）、自觉症状评分（2.01±0.34）、日常活动评分（1.10±0.30）］，差异有统计学意义（P＜0.05）。两组患者HAMD评分、HAMA评分，相较于治疗前均有改善，研究组HAMD评分为（34.63±2.61）、HAMA评分为（35.75±2.48），优于对照组HAMD评分（47.68±3.21）和HAMA评分（46.90±3.31），差异有统计学意义（P＜0.05）。结论   腕踝针联合揿针治疗带状疱疹后遗神经痛的临床疗效显著，可有效改善患者生活质量、疼痛程度、焦虑及抑郁程度，提升患者睡眠质量。

       Objective  To investigate the clinical efficacy of wrist and ankle acupuncture combined with thumbtack needle in the treatment of postherpetic herpes zoster pain．Methods  Eighty patients with postherpetic neuralgia admitted to Shanghai Huangpu District Hospital of Integrative Medicine from October 2021 to April 2024 were selected for the study，and were divided into a study group and a control group of 40 cases each according to the random number table method．The control group was treated with oral mecoblamin tables；the study group was treated with wrist and ankle acupuncture combined with thumbtack needle．The efficacy of treatment between the two groups was compared；before and after treatment，the visual analogue score（VAS）and Asens Insomnia Scale（AIS），Dermatological Quality of Life Index（DLQI），Hamilton Depression Scale（HAMD），Hamilton Anxiety Scale（HAMA）were compared．Results  The treatment efficiency was 92.5% in the study group and 75% in the control group．The difference was statistically significant（P＜0.05）．VAS scores and AIS scores of patients in both groups improved after treatment，and VAS score（1.00±0.45），AIS score（7.15±0.89）of the study group were better than VAS score（2.15±0.36），AIS score（5.65±0.70）of the control group．The differences were statistically significant（P＜0.05）．The DLQI scores of both groups improved after treatment，and the score of study group（leisure activity score［1.73±0.45］，interpersonal interaction score［1.13±0.34］，work-study score［0.94±0.25］，self-perceived symptom score［1.83±0.38］，daily activities score［0.98±0.28］）were higher than those of the control group（leisure activity score［2.06±0.40］，interpersonal score［1.81±0.39］，work-study score［1.08±0.38］，conscious symptom score［2.01±0.34］，daily activity score［1.10±0.30］）．The differences were statistically significant（P＜0.05）．HAMD scores and HAMA scores of patients in both groups，showed significant improvement after treatment，and HAMD scores（34.63±2.61）and HAMA scores（35.75±2.48）of the study group were better than HAMD scores（47.68±3.21）and HAMA scores（46.90±3.31）of the control group．The difference was statistically significant（P＜0.05）．Conclusions  The clinical efficacy of wrist and ankle acupuncture combined with thumbtack needle in the treatment of postherpetic pain is remarkable，effectively improving the quality of life，pain，anxiety and depression，and enhancing the quality of sleep of patients．

      作为中医药文化瑰宝，针灸在疾病治疗中展现出独特价值，但其标准化操作、疗效量化评价及安全风险控制仍是制约现代化转型的关键问题。随着人工智能技术的突破性发展，机器学习在医疗领域引发的技术革命为针灸创新提供了新机遇。超声医学凭借可视化、定量化及动态监测优势，与机器学习算法形成技术协同，推动传统针灸向精准化、智能化方向迈进。通过超声成像实时定位穴位层次结构与针体轨迹，结合机器学习对多维数据的深度分析，显著提升了针刺治疗的精准性与安全性，同时为建立客观疗效评价体系提供了技术支撑。文章旨在全面回顾超声引导下机器学习技术在针灸研究领域的应用状况，深入剖析现有研究中存在的挑战与局限，并前瞻性地探讨未来的研究方向与趋势，旨在为针灸实践与应用研究的深化与发展提供理论指导与实践启示。

      As an invaluable component of traditional Chinese medicine，acupuncture boasts a distinctive value in the 

treatment of diseases．However，the standardization of its practice，the quantitative assessment of its therapeutic efficacy，and the implementation of safety risk control measures remain pivotal challenges hindering its modernization and transformation．The advent of artificial intelligence technology has precipitated a technological revolution in the medical field，thereby generating novel opportunities for innovation in acupuncture．The integration of ultrasound medicine and machine learning algorithms，leveraging their respective strengths in visualization，quantification and dynamic monitoring，has emerged as a technological synergy．This synergy is poised to propel traditional acupuncture towards precision and intelligence．The integration of ultrasound imaging with machine learning algorithms enables real-time localization of acupoints and needle trajectory，enhancing the precision and safety of acupuncture treatment．Additionally，it facilitates the development of objective efficacy evaluation systems．The present article aims to comprehensively  review the application of ultrasound-guided machine learning technology in the field of acupuncture and moxibustion research．It does so by first analyzing the challenges and limitations of existing research and then prospectively exploring future research directions and trends．The article’s ultimate aim is to provide theoretical guidance and practical inspiration for the deepening and development of acupuncture and moxibustion practice．