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Dissertations / Theses on the topic 'Acupuncture points'

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Published: 4 June 2021
Last updated: 30 July 2024

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1

張琦. "激痛點針灸療法的機理研究進展." HKBU Institutional Repository, 2016. https://repository.hkbu.edu.hk/etd_oa/242.

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研究背景：激痛点与肌筋膜疼痛综合征等多种疾病的发生和转归有密切联系。激痛点针灸疗法在Ii面床治疗中应用广泛，但其相关作用机理还不十分清楚。因此，激痛点针灸疗法作用机理的研究有十分重要的理论意义和临床价值。 研究目的：初步总结激痛点针灸疗法的作用机制，为丰富激痛点针灸疗法及提高临床疗效提供思路。 研究方法：本文以“激痛点、“扳机点、“触发点 “激痛点针灸和“机制、为主题词’检索中国期刊全文资料库（ CNKI ）；以“Trigger point、“DryNeedling和“Mechanism为关键字检索英文文献数据库PubMed 。结合激痛点相失生理病理研究结论，对近年来激痛点针灸疗法机制的相关研究进行整理。 结论：破坏激痛点局部的独特生理病理结构’即功能障碍终板的完整性，抑制伤害戚受器的传人可能是激痛点针灸疗法的主要局部镇痛机制。其失’针刺本身参与的局部镇痛及通过脊髓相失节段调整远部牵涉痛、内脏痛；激发全身镇痛、抗炎、生物力学调整等，都是激痛点针灸疗法的镇痛的可能机制。
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2

Qian, Yang Peijuan. "Zhen jiu zhi liao fu xie xing chang yi ji zong he zheng de qu xue gui lü /." click here to view the abstract and table of contents, 2006. http://net3.hkbu.edu.hk/~libres/cgi-bin/thesisab.pl?pdf=b1998618xa.pdf.

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3

Lasmolles, Isabelle. "Actualité des muscles des méridiens de la médecine traditionnelle chinoise : étude comparative entre muscles des méridiens d'une part, douleurs référées (Travell) puis chaînes musculaires (Mézières) d'autre part." Bordeaux 2, 1994. http://www.theses.fr/1994BOR2M063.

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4

Lo, Pui-yi. "The difference in electrical conductance of acupoints between normal non-dysphonic subjects and subjects with dysphonia." Click to view the E-thesis via HKU Scholars Hub, 2007. http://lookup.lib.hku.hk/lookup/bib/B42005814.

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Thesis (B.Sc)--University of Hong Kong, 2007.
"A dissertation submitted in partial fulfilment of the requirements for the Bachelor of Science (Speech and Hearing Sciences), The University of Hong Kong, June 30, 2007." Includes bibliographical references (p. 19-21). Also available in print.
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5

劉向. "孫思邈十三鬼穴臨床組穴規律的文獻研究." HKBU Institutional Repository, 2017. https://repository.hkbu.edu.hk/etd_oa/456.

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研究背景：中醫針灸可以治療很多種類的疾病，其中最傳統的精華當屬治療“百邪癲狂”的孫思邈十三鬼穴，縱觀古代與現代文獻，多記載的是十三鬼穴的命名、主治功效、針灸方法與順序、臨床療效觀察、臨床運用經驗與體會，對於臨床組穴規律的探討尚不完善。研究目的：探討孫思遨十三鬼穴的臨床組穴規律。研究對象：古代文獻，包括《黃帝內經》、《干金方》（《備急千金要方》、《千金翼方》合訂本）、《針灸大全》、《針灸聚英》、《針灸大成》。現代文獻，來自於中國知網（ CNKI ）的中國學術期刊（網絡版）。研究方法：先對古代文獻進行回顧與分析，比較各文獻中十三鬼穴名稱、位置、針灸方法的異同﹔再對孫思邈十三鬼穴進行逐一具體研究，包括首載出處、穴名解釋、現代定位、穴位主治以及針灸方法﹔然後對現代文獻進行回顧與分析，歸納出十三鬼穴的治病機理﹔最後探討孫思邈十三鬼穴的臨床組穴規律。研究結果：從古代文獻中明確了不同版本十三鬼穴的區別，對於十三鬼穴各個穴位有了全面認識。從現代文獻中認識到孫思邈十三鬼穴主要治療神志疾病和急症，且十三鬼穴根本作用是開竅醒神，還能平衡陰陽、調節氣血、寧心安神。結論：十三鬼穴臨床組穴規律：1. 神志疾病的臨床組穴規律：主穴取人中穴、風府穴、上星穴，癲狂病加少商穴、隱白穴，其中癲病再加大陵穴，狂病再加勞宮穴、海泉穴。癲癎白天發作加申脈穴，晚上發作加照海穴。伴隨有口禁不語加頰車穴，上肢不利加曲池穴，下肢不利加申脈穴。2. 急症的臨床組穴規律：主穴取人中穴、承漿穴、風府穴、上星穴、大陵穴、會陰穴，熱盛神昏加曲池穴，痰厥加少商穴、隱白穴，上肢受傷加曲池穴、勞宮穴，下肢受傷加申脈穴。關鍵字：孫思邈十三鬼穴組穴規律文獻研究
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呂美芬. "針灸治療不孕症的用穴規律探討." HKBU Institutional Repository, 2011. https://repository.hkbu.edu.hk/etd_ra/1307.

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7

王譽穎. "慢性頭痛的激痛點針刺取穴方案的初步文獻研究." HKBU Institutional Repository, 2017. https://repository.hkbu.edu.hk/etd_oa/450.

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目的：主要通過對激痛點相關文獻的收集與分析，初步探究激痛點治療慢性頭痛的針刺取穴方案，同時與傳統針灸的取穴和治療方案進行對比，以總結出兩者的區別和聯繫，為進一步提高治療頭痛的臨床水準提供依據，並為治療慢性頭痛拓寬臨床思路。方法：本文通過對國內外期刊文獻資料庫（ Pubmed 、CNKI 等）進行檢索，搜集激痛點及傳統針灸治療頭痛的有關內容，從頭頂痛、頭後部疼痛、最頁部頭痛及額部頭痛四個部位進行歸納總結。激痛點將從不同肌肉引起相關部位頭痛著手，而傳統針灸將從陽明經頭痛、太陽經頭痛、厥陰經頭痛及少陽經頭痛的取穴方案進行分類。結果： 1 、激痛點治療頭頂痛主要針刺胸鎖乳突肌胸骨部、頭夾肌、枕額肌的激痛點。傳統針灸療法治療頭頂痛局部選穴為百會、後頂、前頂﹔遠端選穴為合穀、中院、足三裡、公孫、太沖、內關。在治療頭頂痛時，巔頂為厥陰經走行之處，但與激痛點相近的穴位中無歸厥陰經的穴位。但頭夾肌的激痛點（與風池相近）為常見治療各部位頭痛的選穴之一。2 、激痛點治療頭後部疼痛主要針刺斜方肌TrPl 、胸鎖乳突肌胸骨部、胸鎖乳突肌鎖骨部、頭半棘肌、頸半棘肌、頸夾肌、枕部下肌肉群、枕肌、二腹肌及舌骨上肌群、顳肌TrP4 的激痛點。傳統針灸療法治療頭後部疼痛局部選穴為天柱、風池、風門、風府、大椎、百會﹔遠端取穴為申脈、後溪、昆侖。激痛點療法與傳統針灸在天柱、風池穴有位置的相近或重合。3 、激痛點治療顳部頭痛主要針刺斜方肌TrPl 、胸鎖乳突肌胸骨部、顳肌（ TrP1、2 、3 ）、頸夾肌、枕部下肌肉群、頭半棘肌的激痛點。傳統針灸療法治療顛部疼痛局部選穴為太陽、絲竹空、角孫、率谷﹔遠端選穴為風池、合穀、足臨泣、外關。在治療顳部頭痛中，量頁肌的激痛點與太陽穴相近。4 、激痛點治療額部頭痛主要針刺胸鎖乳突肌鎖骨部、胸鎖乳突肌胸骨部、頭半棘肌、額肌、顴大肌的激痛點。傳統針灸療法治療額部頭痛局部選穴為印堂、上星、陽白、頭維﹔遠端選穴為內庭、解溪、合谷、曲池、足三裡。兩者在陽白穴有位置的相近或重合，其中額大肌的激痛點與地倉相近，同屬陽明經。結論：激痛點和傳統針灸療法治療慢性頭痛既有相似之處，又存在差異。1 、兩者在理論基礎、治療方式、針刺後效應及治療病種方面皆存在不同。2 、同時，兩者在位置及取穴手段上又有一定的相似和重合。其中激痛點的選穴，與傳統針灸的局部選穴比較類似。但激痛點取穴不限於疼痛局部，還會在疼痛稍遠但與疼痛部位有直接或稍間接的聯繫處選穴針刺。而傳統針刺，常會配合四肢遠端取穴。關鍵字：激痛點取穴﹔頭痛﹔文獻綜述
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8

李思聞. "肩痛的激痛點針刺取穴方案初探." HKBU Institutional Repository, 2017. https://repository.hkbu.edu.hk/etd_oa/449.

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研究背景：肩痛是临床的常见症状，常因不正确姿势、受凉、外伤、运动劳损等引发，多被诊断为局关节周围炎、属部的肌臆炎等’带来的疼痛和肢体活动障碍都严重影响正常生活。针灸治疗盾痛效果显著’传统中医在眉痛的诊疗中已有详尽论边，而近年西方医学提出的激痛点疗法，在治疗痛症上也有明确的疗效。总结局痛的激痛点针刺取穴方案，探讨其与传统针灸的失系’对发展当代针灸有十分重要的理论意义和临床价值。研究目的：初步总结盾痛的激痛点针刺取穴方案，探讨激痛点和传统针灸的相关性, 为临床提供新思路。研究方法：文献研究。结论：眉痛的激痛点针刺取穴方案为：盾前痛取胸大肌锁骨部、胸小肌、肱二头肌、喙肱肌、背阔肌、冈下肌、前三角肌、前斜角肌、中斜角肌激痛点；属后痛取大圆肌、小圆肌、肩胛下肌、肱三头肌长头第一、下斜方肌第三、后三角肌激痛点；肩外侧疼痛取中三角肌、冈上肌激痛点。此法优势在于理论系统与诊疗过程明确、操作规范、疗效显著，是属痛的治疗的新思路。对比发现，激痛点理论与经筋理论相似。激痛点针刺取穴与中医整体辨证论治的结合, 势必有助提高临床疗效，值得深入探索。關键字：肩痛激痛点针刺取穴文献研究
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邊建國. "古代背俞穴的定位方法研究." HKBU Institutional Repository, 2008. http://repository.hkbu.edu.hk/etd_ra/955.

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吳彩玲. "背俞穴的取穴規律及臨床應用研究." HKBU Institutional Repository, 2010. http://repository.hkbu.edu.hk/etd_ra/1117.

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11

Xiong, Jiawei. "Zhen jiu zhi liao tong jing de qu xue gui lü tan tao /." click here to view the abstract and table of contents, 2006. http://net3.hkbu.edu.hk/~libres/cgi-bin/thesisab.pl?pdf=b19987055a.pdf.

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李家武. "針灸治療胃痛的取穴規律的研究." HKBU Institutional Repository, 2006. http://repository.hkbu.edu.hk/etd_ra/747.

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熊嘉瑋. "針灸治療痛經的取穴規律探討." HKBU Institutional Repository, 2006. http://repository.hkbu.edu.hk/etd_ra/745.

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錢楊佩娟. "針灸治療腹瀉型腸易激綜合征的取穴規律." HKBU Institutional Repository, 2006. http://repository.hkbu.edu.hk/etd_ra/732.

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何溪沁冰. "通過穴位進行分娩鎮痛有關文獻研究." HKBU Institutional Repository, 2015. https://repository.hkbu.edu.hk/etd_oa/136.

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分娩痛是一種生理性的疼痛，分娩過程中劇烈疼痛痛苦難以忍受，同時使產婦焦慮、緊張和恐懼，致使產婦血中兒茶酚胺、腎上腺皮質激素增高，導致血壓升高，心臟負荷加重﹔產婦由於疼痛呼喊、過度換氣、耗氧量增加，可導致呼吸性堿中毒，從而影響胎盤血供，導致母兒出現低氧血症。隨著產程進展、疼痛加劇，產婦血壓升高、呼吸頻率增快，過度耗氧，引起胎兒宮內窘迫，種種危險和痛苦導致剖宮產率逐年上升，加之藥物麻醉對產婦和胎兒都可以產生一定的不良反應。因此，合理地運用適當的疼痛緩解措施，可以使疼痛應激反應減輕甚至消失，提 高圍產期品質，分娩鎮痛日益受到重視。 研究目的 研究希望通過對現有關於通過穴位進行分娩鎮痛的臨床研究類文獻搜集、整理、分析，從而對通過穴位分娩鎮痛的常用方法、常用穴位、有效率等等方面做一個較為全面的展示，並對當前通過穴位分娩鎮痛的臨床研究的現狀和可能存在的問題進行探討。 方法 以中國期刊全文資料庫進行標準檢索，檢索選項為“主題”，檢索詞為“針刺”or“穴位”並包含“分娩鎮痛”or“分娩痛”，時間年限設定為2004年－2014 年。按納入排除標準進一步篩選文獻。 小結 就通過穴位分婉鎮痛的常用方法、常用穴位、有效率、產程變化、產後出血量等等方面進行文獻研究總結後，發現近年來通過穴位分娩鎮痛的臨床實驗文獻逐漸增多，初步證明穴位分娩鎮痛安全有效，但目前可搜到的臨床文獻存在臨床研究方式較為單一、選穴單一、結論標準不統一、隨機對照試驗設計不嚴謹等等問題，提示我們進行進一步研究。 關鍵字：分娩鎮痛﹔針刺鎮痛﹔ 穴位鎮痛﹔ 分娩痛﹔
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吳明真. "中風後痙攣性偏癱針灸取穴規律的計量文獻研究." HKBU Institutional Repository, 2012. http://repository.hkbu.edu.hk/etd_ra/1344.

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黃劍煜. "針灸治療過敏性鼻炎的取穴規律研究." HKBU Institutional Repository, 2006. http://repository.hkbu.edu.hk/etd_ra/757.

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關世傑. "針灸治療更年期綜合症的用穴規律研究." HKBU Institutional Repository, 2010. http://repository.hkbu.edu.hk/etd_ra/1122.

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潘良新. "「王不留行」與「冰片」耳穴貼藥戒煙的療效臨床研究設計初探 = A preliminary clinical trial in comparing the effects of quitting smoking by ear acupuncture using semen vaccariae and borneolum syntheticum." HKBU Institutional Repository, 2008. http://repository.hkbu.edu.hk/etd_ra/954.

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Riach, Duncan Andrew. "Tapping into Happiness| A Pilot Study on Improving Psychological Wellbeing through Vibrational Stimulation of Acupuncture Points." Thesis, Sofia University, 2017. http://pqdtopen.proquest.com/#viewpdf?dispub=10620810.

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Acupuncture, involving insertion of fine needles into points on the body associated with energy flow through channels called meridians, has been used for 1000s of years to treat both physical and psychological conditions. Meridian therapies, such as Emotional Freedom Techniques (EFT) that involve percussive stimulation, or tapping, of the acupuncture points, have been developed to enable individuals to self-treat conditions ranging from headaches to depression. This mixed methods pilot study tested the hypothesis that vibrational stimulation of acupuncture points in the hand would increase psychological wellbeing, as measured by decreases in depressive and anxious symptoms, and increase in satisfaction with life. A randomized, double-blind, placebo-controlled trial of a device to automatically vibrationally stimulate the acupuncture points in the hand was used to test this hypothesis. Twelve participants, with moderate symptoms of depression as measured by the Beck Depression Inventory (BDI-II), were recruited from across the US and randomly assigned to using an active device (treatment) or to using an inactive device (control). Devices were used for 26 minutes per day, for 7 days of treatment. Measures were taken at pretest, posttest, and at follow-up 14 days afterwards. Participants were each paid $100 on completion of study. Trends in data could be interpreted as supporting the main hypothesis, although this pilot study showed no statistically significant interaction between time and group, resulting in the null hypothesis not being rejected. However, there was a main effect over time, when both groups were taken together. Mean depression (BDI-II) and satisfaction with life (SWLS) scores were found to improve between pretest and posttest, and the effect persisted to follow-up. Results of this pilot study warrant a larger study, with more participants, to investigate the interaction effect using sufficient experimental power. Suggestions are given to construct it, building on lessons learned from this pilot study.

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Narongpunt, Veerasak. "Détection par thermographie infrarouge de la chaleur cutanée provoquée par la stimulation des points de méridien utilisés en acupuncture chinoise." Paris 13, 2005. http://www.theses.fr/2005PA132028.

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La thermographie infrarouge (TIR) permet d'observer temps réel et en continu sans contact les isothermes de la peau humaine, sans aucune intervention ni préparation particulière pouvant perturber l'état initial du patient. Un essai contrôlé randomisé sur 12 volontaires sains a été entrepris suivant un protocole expérimental in vivo et en simple aveugle d'un stimulus par pression digitale sur un point du corps humain. Nous avons utilisé une caméra thermique au détecteur micro-bolométrique pour visualiser un point très distant du point stimulé sur la surface cutanée ; tous deux situés sur les deux extrémités du corps n'observent aucun lien anatomique immédiat et connu. Après des simplifications scientifiquement justifiées et assortis d'un traitement d'images complémentaire en contraste entre deux points d'images thermiques d'une même expérience, ces résultats expérimentaux donneraient une crédibilité à la mesure de température sans contact d'un tissu vivant et surtout à l'application de la thermographie infrarouge dans le domaine médical du vivant en général.
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22

Turner, Linda Catherine. "Measurement of electrical resistance at the skin surface over Jing-well acupuncture points in chronic pain states." Thesis, University of British Columbia, 2010. http://hdl.handle.net/2429/29638.

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The purpose of this project was to investigate an energy-based model of chronic pain. Given skepticism about the domain of energy-based healing as treatment for chronic pain, it has been suggested that research can only be furthered by the use of laboratory methods that allow for rigorous and controlled studies of the hypothesized biological pathways. A review of the literature established several measurement devices that could be used to measure the human energy field (biofield) but only an ohmmeter measuring electrical resistance at 24 Jing-well points showed promising biometrics. A reliability study conducted within this larger study demonstrated an impressive mean Cronbach’s alpha of .88 for the ohmmeter used in this study. Participants in the experimental group with rheumatoid arthritis and a pain level of at least 3 (0-10 scale) were compared to participants in the control group who had no medical diagnosis and were pain free. The measurements from the ohmmeter were compared to heart rate, heart rate variability, blood pressure, Pain Catastrophization Scale, McGill Melzack Pain Questionnaire, and Profile of Mood States. There were significant differences between the experimental group and the control group on conventional markers of pain except heart rate variability. Similarly, there were significant differences between Jing-well measurements for the acupuncture points labeled ‘Bladder’, ‘Gall Bladder’ and ‘Small Intestine’ thus differentiating between the experimental and control groups. Ingesting an analgesic did not lead to significant between group changes in acupuncture point activity after one hour. Electrical resistance at all Jing-well points was highly correlated suggesting that they tap into a global level of physiological activation. Electrical resistance at acupuncture points was significantly correlated with total pain (McGill Melzack Pain Questionnaire) and some acupuncture point activity was correlated with the ‘Tension/Anxiety’ and ‘Friendly’ dimensions of the Profile of Mood States. In summary, it was concluded that the ohmmeter and its measurements possessed criterion validity for distinguishing pain from no pain states. This research protocol appears to be suitable for further validation research on the criterion validity of energy-based models of disease and can be seen as a bridge between Western and Chinese medicine.
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Li, Jiawu. "Zhen jiu zhi liao wei tong de qu xue gui lü de yan jiu /." click here to view the abstract and table of contents, 2006. http://net3.hkbu.edu.hk/~libres/cgi-bin/thesisab.pl?pdf=b19987092a.pdf.

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王佩珊. "針灸治療兒童多動症臨床研究的系統評估." HKBU Institutional Repository, 2010. http://repository.hkbu.edu.hk/etd_ra/1116.

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Wang, Peiqiu. "Yao tui tong zhi ya yu zhen ci "a shi xue" lin chuang zhi liao bi jiao yan jiu /." click here to view the abstract and table of contents, 2006. http://net3.hkbu.edu.hk/~libres/cgi-bin/thesisab.pl?pdf=b20009392a.pdf.

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Huang, Jianyu. "Zhen jiu zhi liao guo min xing bi yan de qu xue gui lü yan jiu /." click here to view the abstract and table of contents, 2006. http://net3.hkbu.edu.hk/~libres/cgi-bin/thesisab.pl?pdf=b20009379a.pdf.

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Zhu, Libing, and 朱麗冰. "Tianjiu therapy for patients with chronic asthma : an evaluation of efficacy and exploration of the optimal treatment duration." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2014. http://hdl.handle.net/10722/206740.

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Although Tianjiu Therapy in Sanfu Days (三伏天灸) is extensively being used for the treatment of asthma in Mainland China, there is a lack of convincing evidence to support its efficacy to expand its clinical application into asthma treatment. This study incorporated two related studies, the first was a randomized, double-blind, placebo-controlled trial with an aim to evaluate the efficacy of Tianjiu Therapy in Sanfu Days for patients suffering from chronic asthma. The second was a self-control clinical efficacy observation study aiming to compare the efficacy of 2 courses Tianjiu Therapy with 1 course such treatment in order to find the optimal duration of Tianjiu Therapy. In the first study, 323 patients with chronic asthma were randomly assigned to Tianjiu Therapy group (n=165), and placebo group (n=158). There was no significant difference in primary and secondary outcome as compared with placebo group at the end of 3rd treatment and four times follow ups. But sub-analysis of secondary outcome in four times follow ups showed that Tianjiu Therapy significantly reduced the proportion of participants who didn’t need medical treatment during asthma attack increased from 6% to 15% at 1st follow up and 0% to 7% at 3rd follow up (P<0.05). In addition, Tianjiu Therapy was significantly superior to placebo in reducing the percentage of participants who were susceptibly waken up by asthma symptoms from 27% to 14%, and the percentage of participants who had the symptom of running nose and sneezing before onset from 18% to 8% at 2nd follow up ( P<0.05). Improvements also occurred with treatment group, it reduced the proportion of participants who were spontaneous sweating at 3rd follow up (P<0.05). In the second study, totally 102 patients received two courses of Tianjiu Therapy (3 sessions Tianjiu Therapy in a year constituted one course of treatment). After treatment, the number of symptoms which were associated with Chinese Medicine added by 1.38 points (95% CI, 0.25 to 2.51), 2.93±0.41 in the 1 course group and 4.31±0.41 in the 2 courses group (P<0.05). The number of days with asthma-related symptoms increased by 3.05 points (95% CI, 0.37 to 5.73), 1.98±0.96 in 1 course group and 5.03±0.96 in 2 courses group (P<0.05). But both 1 course and 2 courses Tianjiu Therapy as compared with baseline (didn’t receive Tianjiu Therapy at this time point) have a significant improvement in the most outcome measurements. From study 1, it was found that Tianjiu Therapy significantly decreased the need for pharmaceuticals to control asthma and improved the quality of participants’ life after one course Tianjiu Therapy. Study 2 indicated that although 2 courses Tianjiu Therapy was not as effective as 1 course Tianjiu Therapy in the treatment of asthma, both 1 course and 2 courses Tianjiu Therapy provided a significant improvement as compared with baseline. It was still unknown the optimal duration of Tianjiu Therapy, so it was worth to conduct the third course or more Sanfutianjiu Thearpy in future.
published_or_final_version
Chinese Medicine
Master
Master of Philosophy
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Zhang, Wei, and 張偉. "Clinical study on acupoints application on San Fu days for treating bronchial asthma." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2012. http://hdl.handle.net/10722/211147.

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29

林紅. "針刺治療肩周炎的文獻研究 : 附 : 典型病例報導." HKBU Institutional Repository, 2010. http://repository.hkbu.edu.hk/etd_ra/1118.

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30

林杰智. "針灸治療慢性疲勞綜合症的用穴規律研究." HKBU Institutional Repository, 2010. http://repository.hkbu.edu.hk/etd_ra/1121.

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潘玉珍. "針灸治療支氣管哮喘的用穴規律研究." HKBU Institutional Repository, 2010. http://repository.hkbu.edu.hk/etd_ra/1119.

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32

蘇玉玲. "針灸治療哮喘用穴規律的臨床研究." HKBU Institutional Repository, 2008. http://repository.hkbu.edu.hk/etd_ra/953.

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33

Al-Rashoud, Abdullah S. "The efficacy of low-level laser therapy applied at acupuncture points in knee osteoarthritis : a randomised double-blind controlled trial." Thesis, University of Dundee, 2014. https://discovery.dundee.ac.uk/en/studentTheses/a6dac764-eb6f-431c-892f-39d3b815c31a.

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Background: Osteoarthritis (OA) is the most common form of arthritis and is a major cause of disability and impaired quality of life (QoL). The prevalence of OA is rapidly increasing affecting approximately 15% of the world’s population. Currently, there are no disease modifying treatments available. Non-steroidal anti-inflammatory drugs, the most widely prescribed medications for patients with knee OA (KOA), are associated with serious side effects, including bleeding and gastric ulceration. As a result, both patients and professional societies are looking for alternative therapies, with good effects,and less toxicity, to control pain sufficiently. Low-level laser therapy (LLLT) is a non-invasive treatment modality in the field of physiotherapy for pain management. Nonetheless,the effectiveness of LLLT in the treatment of OA is debatable. Objectives and Design: A randomised, double-blind, controlled trial was conducted to evaluate the efficacy of LLLT when it is applied on specific acupuncture points (APs) at the knee joint in combination with exercises and advice in patients with KOA. Participants: Forty-nine patients with KOA were randomly assigned into two groups; active laser group (n= 26) and placebo laser group(n= 23). Intervention: Using a gallium-aluminium-arsenide laser device,patients received either active or placebo LLLT treatment at five APs (ST 35,Xiyan, ST 36, SP9, and SP10) on the affected knee. All participants received a series of 9 treatment sessions over a period of three weeks by using LLLT(active or placebo) in addition to strengthening exercise and advice. Outcome Measures: Visual analogue scale (VAS), Saudi knee function scale (SKFS), active range of motion (ROM), knee circumference (KC), and patient satisfaction were assessed at baseline, at the 5th treatment session,at the last (9th) treatment session, after six weeks and then six months after the last treatment session. Result: There was a statistically (but not clinically) significant improvement in the laser group compared to the placebo group in the primary outcome VAS after six weeks (P=0.014) and after six months of the last session of treatment (P= 0.003). There was a statistically (but not clinically) significant improvement in the laser group compared to the placebo group in the SKFS scores at the last treatment session (P= 0.035), and after six months (P= 0.006); in ROM only after six months (P= 0.019); inpatient satisfaction at the 5th session (P= 0.033) and after six months. No significant difference between both groups was noted in the KC at any time. Within both groups there was statistically significant improvement in most outcomes. Conclusions: The results demonstrate that the short-period application of LLLT on specific APs associated with exercises and advice is effective in reducing pain and improving the QoL in patients with KOA.
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李玉玲. "糖尿病性末梢神經炎的治療方法及用穴規律研究." HKBU Institutional Repository, 2011. https://repository.hkbu.edu.hk/etd_ra/1311.

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區智堅. "針灸治療牛皮癬的取穴研究." HKBU Institutional Repository, 2009. http://repository.hkbu.edu.hk/etd_ra/1020.

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何家明. "針灸治療糖尿病的取穴規律研究." HKBU Institutional Repository, 2009. http://repository.hkbu.edu.hk/etd_ra/1021.

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許宏寶. "針刺治療原發性高血壓取穴規律的研究." HKBU Institutional Repository, 2010. http://repository.hkbu.edu.hk/etd_ra/1123.

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黃俊傑. "針刺治療原發性高血壓的取穴規律研究." HKBU Institutional Repository, 2009. http://repository.hkbu.edu.hk/etd_ra/1023.

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39

林正道. "明清貼敷療法用穴規律研究." HKBU Institutional Repository, 2008. http://repository.hkbu.edu.hk/etd_ra/956.

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梁凱圖. "《針灸資生經》治療抑鬱症用穴規律探討." HKBU Institutional Repository, 2011. https://repository.hkbu.edu.hk/etd_ra/1310.

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41

鄒惠娣. "井穴刺絡放血的臨床研究." HKBU Institutional Repository, 2010. http://repository.hkbu.edu.hk/etd_ra/1127.

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42

Maciel, Leonardo Yung dos Santos. "Comparação do efeito placebo entre dispositivos de acupuntura não penetrantes e acupuntura real em individuos saudáveis: estudo clínico aleatório." Universidade Federal de Sergipe, 2016. https://ri.ufs.br/handle/riufs/3642.

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Introduction: Several studies have used sham acupuncture methods in recent years as a way of masking to test the real effect of real acupuncture, however the placebo method selection has not followed methodological criteria to create a consensus on what the best option to use. This study aimed to evaluate the effectiveness of three placebo acupuncture methods for masking applied in healthy subjects and observe the effect of the types of placebo and real acupuncture in the skin and deep sensitivity threshold. Methods: 321 healthy volunteers were randomly divided into seven groups using the ST25 point (abdominal) to puncture, and seven groups using the BL52 point (lumbar), real acupuncture was applied and three different methods of placebo acupuncture, It was also mixed real acupuncture and sham acupuncture in the same person, totaling fourteen groups, evaluations of skin and deep sensitivity and the questionnaire were performed before and immediately after applying the technique by the investigator who was unaware of the technique had been applied. Results: The question that asked if the volunteer believed received real acupuncture or placebo showed no significant result, the percentage of subjects who reported believe that having received real acupuncture in the ST25 point was 69.56% in real group, 86.95% group Park Sham, 82.60% needle + foam, 91.30% insertion and removal, 78.26% real + Park Sham, 86.36% + real needle and foam and 86.95% + real insertion and removal and at the point BL52 was 86.36% in real group, 86.95% group Park Sham, 69.56% needle + foam, 72% insertion and removal, 86.95% real + Park Sham, 81.81% real and needle + foam and 78.26% real + insertion and removal. The skin sensitivity threshold showed no statistical difference in the intragroup analysis and in the comparison between groups, the pressure pain threshold showed a decrease in the value after the technique of application only at the real group BL52 (p = 0.044) and insert and removal BL52 (p = 0.037) for intragroup analysis and showed a statistical difference between groups real group ST25 compared with Park Sham BL52 (p <0.05) and Real in BL52 compared with insertion and removal at the point BL52 (p <0.05). Conclusion: placebo acupuncture groups used are effective in masking acupuncture research, and none of the placebo methods demonstrated have greater advantage for use in clinical trials. The skin sensitivity threshold remains unchanged after applying acupuncture or placebo, but these techniques influence the pressure pain threshold.
Introdução: Diversos estudos têm utilizado métodos de acupuntura placebo nos últimos anos como forma de mascaramento para testar o efeito terapêutico da acupuntura real, entretanto a seleção do dispositivo placebo não tem seguido critérios metodologicos a ponto de se criar um consenso de qual seria o melhor método para se utilizar. O presente estudo objetivou averiguar se técnicas de acupuntura placebo são indistinguíveis entre si e da acupuntura real. Métodos: Foram incluídos 321 voluntários saudáveis, os quais foram divididos aleatoriamente em sete grupos que utilizaram o ponto E25 (abdominal) e sete grupos que utilizaram o ponto B52 (lombar) para puntura. Foi aplicado acupuntura real, três métodos diferentes de acupuntura placebo além da mescla entre acupuntura real e placebo em um mesmo individuo, totalizando 14 grupos. As avaliações da sensibilidade cutânea e profunda assim como a aplicação do questionário foram realizadas antes e imediatamente após a aplicação da técnica por investigador cego quanto a técnica que tinha sido aplicada. Resultados: A maioria dos sujeitos referiram que tinham recebido acupuntura real em todos os grupos, porém não houve diferença significativa quanto à percepção de que estavam recebendo acupuntura real ou placebo entre os grupos. O percentual de sujeitos que informaram acreditar ter recebido acupuntura real no ponto E25 foi de 69,56% no grupo real, 86,95% no grupo Park Sham, 82,60% no agulha + espuma, 91,30% na inserção e retirada, 78,26% no grupo real + Park Sham, 86,36% no real + agulha e espuma e 86,95% no real + inserção e retirada, no ponto B52 foi de 86,36% no grupo real, 86,95% no grupo Park Sham, 69,56% no agulha + espuma, 72% na inserção e retirada, 86,95% no real + Park Sham, 81,81% no grupo real + agulha e espuma e 78,26% no real + inserção e retirada. O limiar de sensibilidade cutânea não apresentou diferença estatística na análise intragrupo e também na comparação entre os grupos estudados, o limiar de dor por pressão apresentou uma diminuição dos valores após a aplicação da técnica apenas no grupo Real B52 (p = 0,044) e inserção e retirada (p = 0,037) para análise intragrupo e na comparação entre os grupos houve diferença estatística para o redução do limiar de dor entre o grupo Real E25 comparado com Park Sham B52 (p < 0,05) e Real no B52 comparado com inserção e retirada no ponto B52 (p < 0,05). Conclusão: Todos os métodos de acupuntura placebo utilizados são igualmente eficazes para mascaramento dos sujeitos de pesquisa que são punturados em distintos pontos corporais, e nenhum dos métodos placebo apresentou vantagem em relação aos demais para utilização em futuros ensaios clínicos. O limiar de sensibilidade cutânea não sofre alteração após a aplicação de acupuntura ou placebo, porém as técnicas Real E25 e Real B52 podem favorecer alteração do limiar de dor por pressão.
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43

王沛球. "腰腿痛指壓與針刺「阿是穴」臨床治療比較研究." HKBU Institutional Repository, 2006. http://repository.hkbu.edu.hk/etd_ra/758.

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44

張凱旋. "影響人體免疫系統的穴位初探." HKBU Institutional Repository, 2009. http://repository.hkbu.edu.hk/etd_ra/1019.

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45

Erthal, Vanessa. "Mecanismos de ação envolvidos na atividade anti-inflamatória e antinociceptiva por meio da radiação laser no acuponto E36 (Zusanli) em camundongos." Universidade Tecnológica Federal do Paraná, 2016. http://repositorio.utfpr.edu.br/jspui/handle/1/2005.

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CAPES
A acupuntura LASER (LA) é uma técnica da área de saúde que aplica LASER de baixa intensidade em pontos de acupuntura, sendo capaz de produzir uma ação biológica que resulta em efeitos bioquímicos, bioelétricos e bioenergéticos nas células. E36 (Zusanli) é um ponto da acupuntura comumente usado para tratamento de várias alterações patológicas, tais como inflamação, dor aguda e desordens gastrointestinais. Objetivo: Investigar os possíveis mecanismos de ação da LA no acuponto E36 (Zusanli) nas atividades anti-inflamatória e antinociceptiva em modelos agudos e crônicos em camundongos. Método: Os animais foram tratados com LA (830 nm, 4 J/cm2 e 30 mW) no ponto de acupuntura E36. O experimento utilizado para avaliar a ação anti-inflamatória da LA foi o de inflamação aguda induzida pela carragenina no modelo do edema de pata, o qual foi avaliado por micrometria e termografia infravermelha. Depois disso, os níveis de espécies reativas de oxigênio (ROS), hidroperóxidos lipídicos (LOOH) e glutationa reduzida (GSH) foram quantificados. Em outro conjunto de experimentos, o edema da pata foi induzido por bradicinina (BK), histamina (HIST) e prostaglandina E2 (PGE2). A nocicepção foi avaliada pela indução química (glutamato, capsaicina e cinamaldeído). Também foi avaliada a alodínia mecânica no modelo de dor neuropática pelo modelo de Ligadura Parcial do Nervo Ciático (LPNC) e de inflamação crônica induzida pelo Complexo Adjuvante Freund (CFA). Os sistemas muscarínicos, adrenérgicos α1 e α2 e adenosinérgicos foram avaliados após o tratamento com LA no acuponto E36, no pré-tratamento utilizando atropina, prazosina, ioimbina e cafeína, verificado no modelo do glutamato. Resultados: A LA no acuponto E36 inibiu significativamente a formação de edema durante 4 h e reduziu a temperatura da pata em 10%, após a injeção de carragenina. Além disso, a LA também reduziu os níveis de ROS (55%) e LOOH (50%); no entanto, não alterou os níveis de GSH. A aplicação do LA reduziu o edema da pata induzido por BK (30 min: 6%, 60 min: 7%), HIST (30 min: 11%) e de PGE2 (90 min: 10%, 120 min: 16%). No acuponto E36, a LA reduziu a nocicepção induzida pelo glutamato, capsaicina e cinamaldeído com inibição de 44%, 53% e 80%, respectivamente. Uma única aplicação inibiu a ação nociceptiva nos modelos do LPNC e CFA. Em longo prazo, o tratamento com LA, uma vez ao dia, também reduziu a alodínia mecânica durante oito dias de aplicação. Os sistemas muscarínicos, adrenérgicos α2 e adenosinérgicos parecem estar ligados ao efeito da estimulação da LA no acuponto E36, pois a redução do comportamento nociceptivo foi revertido pelos antagonistas utilizados, quando verificado no modelo do glutamato. Porém, o efeito antinociceptivo da LA não foi influenciado pelo antagonista do receptor α1 adrenérgico. Conclusão: Os resultados sugerem uma importante atividade antinociceptiva e anti-inflamatória da LA no acuponto E36 em modelos experimentais de nocicepção e inflamação agudo e crônico em camundongos, por meio dos sistemas muscarínicos, adrenérgicos α2 e adenosinérgicos.
LASER acupuncture (LA) is a health care technique in which Low-intensity LASER is yielded in acupuncture points to produce a biological action in order to induce biochemical, bioenergetic and bioelectrical effects in cells. ST36 (Zusanli) is acupuncture point commonly used for treating various pathological changes, such as inflammation, acute pain and gastrointestinal disorders. Objective: To investigate the possible mechanisms of action of LA in ST36 (Zusanli) acupoint on the anti-inflammatory and antinociceptive activities in acute and chronic models in mice. Method: Animals were treated with LA (830 nm, 4 J/cm2, 30 mW) in ST36 acupuncture point. The experiment used to assess the anti-inflammatory action of LA was the model of acute inflammation induced by carrageenan in the rat paw edema model, which was evaluated by micrometry and infrared thermography. After that, the levels of reactive oxygen species (ROS), lipid hydroperoxide (LOOH) and reduced glutathione (GSH) were quantified. In another set of experiments, paw edema was induced by bradykinin (BK), histamine (HIST) and prostaglandin E2 (PGE2). Nociception was evaluated by chemical induction (glutamate, capsaicin and cinnamaldehyde). It was also evaluated the mechanical allodynia in models of neuropathic pain, applying the Partial Sciatic Nerve Ligation model (PSNL) and chronic inflammation by means of Complete Freund's Adjuvant (CFA). Muscarinic, adrenergic α1 and α2 and adenosinergic systems were assessed after treatment of LA in ST36 acupoint with pre-treatment using atropine, prazosin, yombina and caffeine, found in glutamate model. Results: LA in acupoint ST36 significantly inhibited edema formation during 4 h after carrageenan injection in the paw and reduced the temperature by 10%. Moreover, LA also reduced the levels of ROS (55%) and LOOH (50%), however, did not alter levels of GSH. The application of LA reduced paw edema induced by BK (30 min 6%, 60 min: 7%), HIST (30 min: 11%) and PGE2 (90 min: 10%, 120 min: 16%). LA in ST36 acupoint reduced the nociception induced by glutamate, capsaicin and cinnamaldehyde with inhibition of 44%, 53% and 80%, respectively. A single application inhibited the response of mechanical allodynia in models of PSNL and CFA. The long-term treatment with LA, once a day, also reduced mechanical allodynia for eight days of application. Muscarinic, adrenergic α2 and adenosinergic systems appear to be linked to the effect of stimulation of the ST36 acupoint in LA, since reducing the nociceptive behavior was reversed by antagonists used when checked in glutamate model. However, the analgesic effect of LA was not influenced by antagonist α1 adrenergic receptor. Conclusion: The results suggest an important antinociceptive and anti-inflammatory activity of LA in ST36 acupoint in experimental models of nociception and acute and chronic inflammation in mice by means of muscarinic systems, adrenergic α2 and adenosinergic.
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Müller, Cristina Emöke Erika 1978. "Avaliação de pontos-gatilho miofasciais por imagens de ultrassom e elastografia ultrassonográfica em mulheres tratadas pela acupuntura, eletroacupuntura e acupuntura sham : estudo piloto = Two-dimensional ultrasound and ultrasound elastography imaging of myofascial trigger points in women treated by acupuncture, electroacupuncture and sham acupuncture : pilot study." [s.n.], 2014. http://repositorio.unicamp.br/jspui/handle/REPOSIP/287942.

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Orientador: Maria Beatriz Duarte Gavião
Dissertação (mestrado) - Universidade Estadual de Campinas, Faculdade de Odontologia de Piracicaba
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Resumo: O presente estudo, de caráter experimental, teve como objetivo a avaliação de pontos-gatilho miofasciais (PG) do músculo trapézio descendente (TPz) por imagens de ultrassonografia bidimensional em escala de cinza (US 2D) e elastografia ultrassonográfica (ELASTO), bem como avaliar a eficácia das técnicas de acupuntura (AC) e eletroacupuntura (EA) na diminuição da dor em mulheres com síndrome da dor miofascial (SDM) associada a queixas de dor nas regiões de cabeça, pescoço e parte superior do tronco. Uma amostra de conveniência de 24 voluntárias, com idades entre 20 e 40 anos (27,33±5,05), IMC entre 18,03 e 27,09 Kg/m² (22,59±3,11), ciclo menstrual regular, presença de ao menos um PG ativo em ambos os TPz, queixa de dor local e/ ou referida há pelo menos seis meses foi selecionada para o estudo. Após a assinatura do Termo de Consentimento Livre e Esclarecido (TCLE), as voluntárias foram randomizadas em três grupos, sendo: dois grupos de tratamento (AC e EA) e um grupo controle (SHAM). Oito sessões de tratamento foram então realizadas, duas vezes por semana, durante aproximadamente um mês, levando em consideração o ciclo menstrual das voluntárias. Imagens do músculo trapézio foram adquiridas pelas técnicas de US 2D e ELASTO para avaliação e diagnóstico das propriedades mecânicas e viscoelásticas do tecido miofascial e a comparação dessas características pré e pós-tratamento. Nas imagens de US 2D, as áreas dos PG foram mensuradas. Nos elastogramas adquiridos pela ELASTO, o índice de resistência (IR) foi calculado. Tanto as voluntárias quanto o examinador eram cegos em relação aos grupos. A intensidade de dor geral e localizada nos TPz direito e esquerdo (TPzD e TPzE, respectivamente) pré e pós-tratamento foi mensurada com o auxílio da escala visual analógica (EVA). A ocorrência de fatores influenciadores e as fases do ciclo menstrual foram monitoradas. Os dados foram analisados quanto à normalidade e simetria. Na avaliação intragrupo todos os dados apresentaram distribuição normal, sendo analisados pelo teste t student para dados pareados. Observou-se diminuição da intensidade de dor geral para o grupo AC (P<0,001) e de dor geral e local para a EA (geral, P=0,027; TPzD, P<0,001; TPzE, P=0,005); sem resultados estatisticamente significantes para o grupo SHAM (geral, P=0,296; TPzD, P=0,052; TPzE, P=0,198). Quanto à avaliação de PG nas imagens de US 2D , observou-se diminuição da área do PG para ambos os TPzD e TPzE nos grupos AC (TPzD e TPzE, P<0,001) e EA (TPzD, P=0,003; TPzE, P=0,005); e não para o grupo SHAM (TPzD, P=0,117; TPzE, P=0,093). Em relação à ELASTO, os dados não apresentaram significância estatística para a amostra analisada, contudo, o IR de ambos os lados apresentou-se menor após o tratamento para a EA e AC, e maior para a SHAM. Na comparação entre grupos, diferenças estatisticamente significantes não foram observadas para as variáveis testadas. Os resultados do presente trabalho sugerem a possibilidade de utilização da US 2D e ELASTO na caracterização do tecido miofascial e de PG, apontando para a possibilidade de confirmação objetiva de efeitos subjetivos de tratamentos propostos para a SDM. Ainda, as técnicas de AC e EA demonstraram eficácia no alívio da dor geral, sendo a efetividade da EA observada também na diminuição da intensidade de dor local. O nível de significância adotado foi ?=0,05
Abstract: The aim of this study was to evaluate upper trapezius (TPz) myofascial trigger points (MTrP) through two-dimensional ultrasonography (2D US) and ultrasound elastography (ELASTO) images, as well as, to evaluate the effectiveness of acupuncture (AC) and electroacupuncuture (EA) in decreasing pain in women with myofascial pain syndrome (MPS) associated with head, neck and upper back complaints. A convenience sample of 24 volunteer aged between 20 and 40 years (27.33±5.05 years), body mass index (BMI) from 18.03 to 27.09Kg/m² (22.59±3.11), presenting regular menstrual cycle, at least one active MTrP at both right and left TPz (RTPz and LTPz, respectively) and local or referred pain for up to six months were selected. After signing the Informed Consent Form (ICF), subjects were randomized into three groups, being: two treatment groups (AC and EA) and one control group (SHAM). Eight treatment sessions were than performed, two times per week, for nearly one month, considering each volunteer menstrual cycle. Pre, post-treatment Intensity of pain was assessed by visual analogue scale (VAS) as well as MTrP mean area and strain ratio (SR) by 2D US and ELASTO, respectively, in way to myofascial tissue mechanical and viscoelastic properties assessment and diagnosis. Both, volunteers and examiner were blinded for the three groups. Influencing factors and menstrual cycle phases were monitored. Data were analyzed for normality and symmetry. All intragroup data were normally distributed, so, were analyzed by Student¿s t test for paired data. Decrease in pain intensity was observed for AC (general, P<0.001) and EA (general, P=0.027; RTPz, P<0.001; LTPz, P=0.005); without any significant result for SHAM (general, P=0.296; RTPz, P=0.052; LTPz, P=0.198). Decreased MTrPs area occurred for both sides in AC (RTPz and LTPz, P<0.001) and EA (RTPz, P=0.003; LTPz, P=0.005); on the other hand, SHAM results were not significant (RTPz, P=0.117; LTPz, P=0.093). Concerning ultrasound elastography, although not statistically significant, post-treatment SR in both sides were lower than the beginning for EA and AC, and higher for SHAM group. Regarding within group comparison, no statistically significant difference were observed for the tested variables. 2D US and ELASTO presented the possibility of MTrPs and surrounding tissue diagnosis and characterization, pointing to the possibility of objective confirmation of subjective MPS treatment effects. Also, EA and AC were effective in decreasing general pain intensity, being EA also effective in local pain intensity relief. The level of significance was ?=0.05
Mestrado
Anatomia
Mestra em Biologia Buco-Dental
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47

Velloso, Adriana de Freitas. "Da homeopatia à medicina chinesa: a trajetória dos pontos de Weihe." Universidade do Estado do Rio de Janeiro, 2003. http://www.bdtd.uerj.br/tde_busca/arquivo.php?codArquivo=5575.

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Fundação Carlos Chagas Filho de Amparo a Pesquisa do Estado do Rio de Janeiro
Esta dissertação de mestrado é um estudo de natureza sócio-histórico que constrói a trajetória do sistema de Pontos de Weihe, um sistema médico minoritário, cuja origem encontra-se na Homeopatia, porém, seu desenvolvimento o levou de encontro a Acupuntura. Esse estudo tem como objetivo inserir seu objeto de análise na discussão de questões pertinentes ao desenvolvimento conceitual da Homeopatia. Sendo um sistema médico complexo, a racionalidade médica homeopática possui seis dimensões, a saber: morfologia (ou anatomia), dinâmica vital (ou fisiologia), doutrina, diagnóstico, terapêutica e cosmologia. Destas, a dimensão da morfologia e o exame físico da dimensão diagnóstica são compartilhados com a biomedicina, enquanto, as demais, baseiam-se no para digma vitalista, ainda que nem todas tenham sido desenvolvidas conceitualmente e encontrem-se apenas implícitas. Tal situação conferiu à Homeopatia a denominação de racionalidade médica híbrida. Este estudo parte do pressuposto que a Homeopatia é um sistema médico ainda em construção e que deve caminhar para o desenvolvimento conceitual de suas dimensões tendo como elemento norteador sua natureza vitalista. Portanto, espera-se que, ao resgatar-se a história do sistema de Pontos de Weihe, crie-se a possibilidade de repensar a morfologia homeopática, de forma que, ela possa expressar o movimento da força vital na saúde e no adoecimento. Espera-se, também, que, ao revelar uma colaboração possível da Medicina Chinesa, racionalidade médica que compartilha com a Homeopatia o paradigma vitalista, abra-se a possibilidade de repensar a base conceitual da dinâmica vital homeopática. Buscar uma sistematização da dinâmica vital, ao mesmo tempo, compatível com o paradigma vitalista e agregadora dos elementos centrais do pensamento homeopático é passo importante no desenvolvimento desta racionalidade, pois, permite que se parta de um mesmo esquema conceitual, e portanto, de uma mesma base paradigmática, em direção a criação de outros sistemas diagnósticos que concorram com o diagnóstico medicamentoso e o confirmem. Utilizou-se, como fontes primárias e secundárias para a construção da trajetória dos Pontos de Weihe, artigos e livros de Weihe e seus discípulos que, sofreram uma tradução livre do idioma original, o alemão, para o português. O substrato conceitual empregado foram as reflexões de George Canguilhem a respeito da história que se desvia dos obstáculos que impedem sua linearidade, comprometendo a compreensão das descobertas científicas como determinadas por suas condições de aparecimento, transfigurando-as no aparecimento puro daquilo que deveria ser.
This masters degree dissertation is a study of social-historical nature that builds the trajectory of the Weihe Points system, a minority medicine system, whose origin is found in Homeopathy, however, its development leads this system towards Acupuncture. Such study has the purpose of inserting its objects of analysis in the discussion of the questions regarding the conceptual development of Homeopathy. As a complex medical system, the homeopathic medical rationality has six dimensions, i.e., morphology (or anatomy), vital dynamic (or physiology), doctrine, diagnosis, therapeutics and cosmology. From these, the morphologic dimension and the physical exam are shared with biomedicine, whereas the remaining ones are based on the vitalist paradigm, even though not all of them have been conceptually developed, remaining only implicit. This situation gave Homeopathy the denomination of hybrid medical rationality. The present study starts with the premise that Homeopathy is a medical system that is still being built and that should be directed towards the conceptual development of its dimensions, having its vitalist nature as guidance element. Nevertheless, it is expected that a possibility of rethinking homeopathic morphology should be created insofar recovering the history of the Weihe Points, in such a way that it might express the movement of the vital force in sickness and in health. It is also expected that in revealing a possible collaboration with Chinese Medicine medical rationality that shares with Homeopathy the vitalist paradigm -, it might open a window to rethinking the conceptual base of homeopathic vital dynamic. Searching for a systematization of the vital dynamic simultaneously compatible with the vitalistic paradigm and capable of aggregating the central elements of the homeopathic thought is a fundamental step in the development of such rationality, for it allows us to start from the same conceptual scheme and, therefore, from the same pragmatic base towards the creation of other diagnosis systems, which concur with the medicamentous diagnosis and confirm it. As primary and secondary sources to the construction of the trajectory of the Weihe Points, articles and books by Weihe and his disciples, freely translated from its original language, German, to portuguese, were used. The conceptual substrata employed here were George Canguilhems reflections concerning the history which diverge from the obstacles that obstruct its linearity, compromising the comprehension of the scientific discoveries as determined by its forthcoming conditions, transfiguring them in the pure forthcoming of what they should be.
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48

Moro, Marlene Zuccolotto. "Eficácia das técnicas de eletroestimulação intramuscular no tratamento da dor miofascial." Botucatu, 2020. http://hdl.handle.net/11449/192401.

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Orientador: Guilherme Antonio Moreira de Barros
Resumo: A Síndrome Dolorosa Miofascial (SDM) é considerada um importante problema de saúde pública, podendo, muitas vezes, ser incapacitante e de difícil tratamento. Considerando que, atualmente, o tratamento da SDM é pouco eficaz para o controle da dor, verificamos a necessidade do estudo de novas técnicas e da comparação com as técnicas já existentes. O presente estudo teve como objetivo comparar técnicas de eletroestimulação intramuscular com a técnica de agulhamento seco para o tratamento dessa enfermidade musculoesquelética. Foram estudados 90 pacientes divididos em três grupos. O primeiro grupo foi tratado com agulhamento seco em pontos de gatilhos (PGs), o segundo grupo com eletroestimulação intramuscular de PGs e o terceiro grupo foi tratado com eletroestimulação de pontos motores (PMs) pertencentes ao músculo acometido e/ou o nervo responsável pela inervação desse músculo. O músculo utilizado foi a porção superior do trapézio que é inervado pelo nervo acessório espinal. Foram realizadas sete sessões de tratamento em cada grupo e todos foram avaliados antes e após o término do mesmo. Não houve diferença estatisticamente significativa nos escores de dor da Escala Verbal Numérica (EVN) entre os grupos estudados, apesar de todas as intervenções terem se mostrado eficazes para o tratamento da dor miofascial do músculo trapézio.
Abstract: Myofascial Pain Syndrome (SDM) is considered an important public health problem and can often be disabling and difficult to treat. Considering that, currently, the treatment of SDM is not very effective for pain control, we verified the need to study new techniques and to compare them with existing techniques. The present study aimed to compare intramuscular electrostimulation techniques with the dry needling technique for the treatment of this musculoskeletal disease. Ninety patients were studied, divided into three groups. The first group was treated with dry needles at trigger points (PGs), the second group with intramuscular electrostimulation of PGs and the third group was treated with electrostimulation of motor points (PMs) belonging to the affected muscle and / or the nerve responsible for innervation of that muscle. The muscle used was the upper portion of the trapezius, which is innervated by the spinal accessory nerve. Seven treatment sessions were carried out in each group and all were evaluated before and after the end of the same. There was no statistically significant difference in pain scores on the Numerical Verbal Scale (EVN) between the groups studied, although all interventions have been shown to be effective for the treatment of trapezius muscle myofascial pain.
Doutor
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49

Marcon-Rinker, Ghislaine. "Intérêt de la piqûre du point d'acupuncture rein 9 dans le traitement des menaces d'accouchement prématuré." Montpellier 1, 1989. http://www.theses.fr/1989MON11321.

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50

Tough, Elizabeth Anne. "Myofascial trigger point pain- its diagnosis and its treatment with acupuncture." Thesis, University of Exeter, 2008. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.489980.

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The overarching aims of this work were to explore the clinical construct of myofascial trigger point pain syndrome, its diagnosis in clinical practice, and its treatment with acupuncture dry needling.
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