• <tr id="yyy80"></tr>
  • <sup id="yyy80"></sup>
  • <tfoot id="yyy80"><noscript id="yyy80"></noscript></tfoot>
  • 99热精品在线国产_美女午夜性视频免费_国产精品国产高清国产av_av欧美777_自拍偷自拍亚洲精品老妇_亚洲熟女精品中文字幕_www日本黄色视频网_国产精品野战在线观看 ?

    Professor Yan Jun-bai’s experience in treating rheumatic arthritis with suppurative moxibustion

    2015-05-18 09:01:35LiuSujun劉素君ZhouJunmei周俊梅LiuPeng劉鵬WeiFang韋芳YanChen嚴(yán)晨XuSiwei徐斯偉ZhangBimeng張必萌YanJunbai嚴(yán)君白
    關(guān)鍵詞:劉鵬風(fēng)濕性關(guān)節(jié)炎經(jīng)驗(yàn)

    Liu Su-jun (劉素君), Zhou Jun-mei (周俊梅), Liu Peng (劉鵬), Wei Fang (韋芳), Yan Chen (嚴(yán)晨), Xu Si-wei (徐斯偉), Zhang Bi-meng (張必萌), Yan Jun-bai (嚴(yán)君白)

    Shanghai First People’s Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200080, China

    Famous Doctor’s Experience

    Professor Yan Jun-bai’s experience in treating rheumatic arthritis with suppurative moxibustion

    Liu Su-jun (劉素君), Zhou Jun-mei (周俊梅), Liu Peng (劉鵬), Wei Fang (韋芳), Yan Chen (嚴(yán)晨), Xu Si-wei (徐斯偉), Zhang Bi-meng (張必萌), Yan Jun-bai (嚴(yán)君白)

    Shanghai First People’s Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200080, China

    To summarize the clinical experience of Prof. Yan Jun-bai in treating rheumatic arthritis (RA) with suppurative moxibustion and aim to guide acupuncture treatment for RA. Prof. Yan believes that contributing factors of RA include external contraction of pathogenic factors, obstructed flow of qi and blood, internal phlegm-turbidity (due to deficiency of healthy qi or improper diet), and obstruction or malnourishment of meridians. As a result, the treatment strategies are to warm yang, remove pathogenic factors, and tonify the liver, spleen and kidney. Suppurative moxibustion is a reliable therapy for RA.

    Arthritis, Rheumatoid; Moxibustion Therapy; Direct Moxibustion; Scarring Moxibustion; Famous Doctor’s Experience; Yan Jun-bai

    Prof. Yan Jun-bai, male, born in Pinghu City, Zhejiang Province in 1932, is the 6th-generation successor of Yan’s acupuncture. Strongly influenced by his father and brother, Prof. Yan started to learn Chinese medicine when he was young. In 1956, he attended the Shanghai College of Traditional Chinese Medicine. After graduation in 1962, he started practice of Chinese medicine. His work experience includes: the director of Acupuncture Department, Shanghai First People's Hospital, the deputy chief of China Acupuncture Center in Morocco, the council member of Shanghai Acupuncturemoxibustion Association, a professor of Shanghai Medical University (now Fudan University Medical College) and an expert who enjoys the State Council Special Allowance. He has been invited many times to Japan and Morocco to give lectures on acupuncture. Currently, Prof. Yan is the successor of Yan’s acupuncture (Intangible Cultural Heritage Project in Xuhui District, Shanghai) and a tutor at Yan Jun-bai’s Work Room for Famous Doctors.

    Having dedicated to Chinese medicine and acupuncture for more than 60 years, Prof. Yan is especially good at treating autoimmune disorders such as rheumatic arthritis (RA) by suppurative moxibustion. He believes that RA mainly results from deficiency of healthy qi or hidden pathogenic factors coupled with external contraction of pathogens. As a result, the treatment strategies are to reinforce healthy qi and remove pathogenic factors. His experience in this regard is now summarized as follows.

    1 Etiology and Pathogenesis of RA

    Prof. Yan thinks that the contributing factors of RA include external contraction of pathogenic factors, obstructed circulation of qi and blood and internal phlegm-turbidity (due to deficiency of healthy qi or improper diet) and obstruction or malnourishment of meridians.

    1.1 Obstructed flow of meridian qi and blood due to external contraction of pathogenic factors

    In Chinese medicine, RA falls under the category of Bi-impediment syndrome, which results from obstructed flow of meridian qi and blood due toexternal contraction of wind, cold and dampness[1]. Clinically, Bi-impediment syndrome is categorized into migratory Bi-impediment (due to preponderance of wind), painful Bi-impediment (due to preponderance of cold) and fixed Bi-impediment (due to preponderance of dampness)[2].

    1.2 Obstructed flow of meridian qi and blood due to deficiency of health qi coupled with external contraction of pathogenic factors

    The underlying pathogenesis of RA lies in deficiency of healthy qi coupled with external contraction of wind, cold, dampness and heat. These factors may obstruct the joints and meridians and result in Bi-impediment syndrome. It’s said in theHuang Di Nei Jing(Yellow Emperor’s Classic of Internal Medicine) that: ‘with abundant healthy qi, one won’t get sick’. Since healthy qi is closely associated with the liver, spleen and kidney, these three organs are especially related to RA occurrence and development[3].

    1.3 Malnourishment of muscles/tendons due to improper diet and internal phlegm-turbidity

    Excessive ingestion of sweet and fat food can damage the transportation and transformation of the spleen and stomach, leading to internal phlegm-turbidity to obstruct the flow of qi. Excessive ingestion of sour food can damage the liver, and excessive ingestion of salty food can damage the kidney. Deficiency of liver blood and kidney essence can further cause malnourishment of tendons and bones, resulting in RA[4]. Consequently, improper diet is another important factor contributing to RA.

    2 Treatment Strategy and Method of RA

    Prof. Yan believes that the essential pathogenesis of RA involves damage to the liver, spleen and kidney due to healthy qi deficiency coupled with external contraction of pathogenic factors or improper diet. The treatment strategies are therefore to warm yang, remove pathogenic factors, tonify the liver, spleen and kidney, and strengthen the tendons and bones. In acute stage, the treatment mainly aims to remove pathogenic factors, plus tonify healthy qi and warming yang. As a result, patients are treated with acupuncture and herbal formula to unblock meridians and warm yang. In remissive stage, the treatment mainly aims to reinforce healthy qi and yang, assisted by regulating the liver, spleen and kidney and strengthening the tendons and bones. As a result, patients are treated with suppurative moxibustion at Dazhui (GV 14), bilateral Gaohuang (BL 43), Ganshu (BL 18), Pishu (BL 20) and Shenshu (BL 23). Dazhui (GV 14) activates yang qi of the Governor Vessel which is the sea of all yang meridians[5]. Gaohuang (BL 43) in this article is located below the spinous process of T5(traditionally T4in textbooks) and 3 cun lateral to the spine. It stores pectoral qi and is closely associated with vital activities[6], pectoral qi is essential to maintain free qi activities of the entire body.

    3 Yan’s Suppurative Moxibustion for RA

    3.1 Theoretical features

    Prof. Yan believes RA occurs as a result of healthy qi deficiency coupled with external contraction of wind, cold, dampness and heat. Modern studies have confirmed that compromised immunity can make people vulnerable to virus and bacteria. In addition, pathogenic factors are harder to remove in people with compromised immunity, which are known as hidden pathogenic factors in Chinese medicine. Since wind is the spearhead of other pathogens, it’s often mixed with other factors when attacking the body. All types of Bi-impediment syndrome are associated with wind to a certain extent. As a result, RA falls under the category of wind syndrome in Prof. Yan’s opinion. Considering yang qi deficiency in most RA patients, it’s not advisable to use too many points for suppurative moxibustion in order to damage yang qi instead of reinforcing healthy qi and warming yang. Generally, patients need to rest for approximately one month after moxibustion. It’s also important to limit sexual activity but to eat more stimulating food to induce suppuration.

    3.2 Location of points

    Prof. Yan thinks the accurate locations of points are directly associated with the treatment effect. Unlike descriptions in the textbooks, the point locations in Yan’s family are more similar to that of a Japanese acupuncturist named Sawada[7]. They both believe that except for Ba Liao [Shangliao (BL 31), Ciliao (BL 32), Zhongliao (BL 33) and Xialiao (BL 34)] points, points on the Governor Vessel and the Bladder Meridian are located one vertebra inferior to the vertebra recorded in the textbooks. Let’s take Dazhui (GV 14) for example, it’s generally believed that it’s located in the depression below the spinous process of C7[8-9]; however, Yan’s ancestors argued that its real location should be in the depression below the spinous process of T1, at the same level of Jugu (LI 16)[10].

    3.3 Moxibustion season

    Yan’s suppurative moxibustion is often conducted between the Slight Heat (11th solar term) and White Dew (15th solar term) to balance yin and yang and remove hidden pathogenic factors. Chinese medicine maintains ‘nourishing yang in spring and summer, and nourishing yin in autumn and winter’. Yang qi flourishes in the hottest summer days, so moxibustion at this time can activate yang qi and eradicate cold from the body because of the opening skin pores and smooth circulation of qi and blood[11].

    4 Suppurative Moxibustion Method for RA

    Most RA patients have yang deficiency. As a result, Dazhui (GV 14) and bilateral Gaohuang (BL 43) are often selected for the first course of treatment. Dazhui (GV 14) activates yang qi of the Governor Vessel. Gaohuang (BL 43) reinforces the deficient Zang organs. The two points can reinforce healthy qi, warm yang and remove pathogenic factors. The specific method is described as follows [taking Dazhui (GV 14) as an example].

    4.1 Point location

    The patient was asked to sit upright, straighten up the low back and place the hands over the knees or cross the hands to place on the contralateral shoulder to square the back. The point is located in the depression below the spinous process of T1, approximately at the same level of Jugu (LI 16). Then the point was marked using gentian violet or mercurochrome, followed by a circle of 1 cm in diameter for direct moxibustion.

    4.2 Body position

    Then the patient was asked to take a prone lying position to fully expose the treatment area. It’s better to conduct moxibustion after eating food or feeling energetic.

    4.3 Moxibustion method[12]

    Moxa cones of 8 mm in bottom diameter and 5 mg in weight were made with extremely fine and old mugwort floss. Spread some garlic juice over the moxibustion area and place the moxa cone on the area. Then ignited the moxa cone using incense stick and exchanged for a total of 7 cones. When the patient felt a burning pain, the practitioner could tap the area surrounding the point with the thumb, index or middle fingers (high frequency and appropriate force) to alleviate pain and circulate qi and blood. The local skin became dark and hard after moxibustion. The moxibustion sore was covered with Yan’s special paste. The paste was exchanged every day. The suppuration usually took 3-10 d. It’s not necessary to conduct debridement of moxibustion sore. More pus indicates a better effect.

    4.4 Cautionary notes

    Only one point was selected for one treatment. A group of points consist 2-3 points. The suppurative moxibustion was done within one week, followed by plenty of rest (1-2 months) afterwards. It’s important to remind the patients to limit sexual activity but to eat more stimulating food to induce suppuration. For patients with a poor constitution, it’s also necessary to take Chinese herbal decoction to induce suppuration and enhance the treatment effect.

    4.5 Case studies

    4.5.1 Case one

    A 53-year-old female patient came for the first visit on 6th of August, 2012.

    Chief complaints and history of present illness: Symmetrical joint swelling and pain in four limbs for 9 years and aggravated over the recent 1 month. The patient has been treated intermittently with acupuncture, cupping, adhesive plaster, oral administration of Chinese medicine and Western drugs (no detailed information). The symptoms sometimes got better but sometimes got worse. The condition was often induced or aggravated by fatigue or common cold. At the time of treatment, the patient developed swelling and pain in bilateral ankle, elbow and knee joints, coupled with morning stiffness for 1 hour or longer period of time. In addition, the patient was susceptible to common cold. The swelling and pain below the ankle and knee joints became more pronounced over the recent month. She hadn’t received other therapies.

    Diagnosis: RA.

    Treatment: Yan’s suppurative moxibustion.

    Method: One course of treatment at Dazhui (GV 14) and bilateral Gaohuang (BL 43).

    Return visit on 9th of August, 2013: The patient had significantly decreased frequencies of common cold and RA attack, coupled with improved body constitution. The same moxibustion method was conducted at bilateral Shenshu (BL 23) and Mingmen (GV 4).

    Return visit on 25th of August, 2014: The patient had not contracted common cold in the last year, coupled with decreased frequencies of RA attack. The same moxibustion method was conducted on bilateral Ganshu (BL 18) and Qihai (CV 6).

    The follow-up telephone interview a couple of months later found less frequencies of RA attack and the patient wished to continue with suppurative moxibustion to consolidate the treatment effects.

    Note: Points on the back can regulate functions of Zang-fu organs and strengthen the connection between internal organs with the surface of the body. The Governor Vessel regulates yang qi of the entire body. Dazhui (GV 14) is a gathering point of all yang meridians and therefore often used to reinforce yang. Gaohuang (BL 43) is indicated for all types of deficiencies. Direct moxibustion at these two points can regulate yang qi of five Zang and six Fu organs and unblock qi activity of the body and remove pathogenic factors out of the body. Direct moxibustion at Ganshu (BL 18) and Shenshu (BL 23) can tonify the liver and kidney. Qihai (CV 6) and Mingmen (GV 4) are two important healthcare points. A combination of all above points can warm and reinforce kidney yang and regulate qi activity of the body.

    4.5.2 Case two

    A 35-year-old female patient came for the first visit on 20th of July, 2012.

    Chief complaints and history of present illness: A joint pain in the small toe of the right foot started in 2004, which was gradually followed by pain, swelling andlimited movement of the wrist joints, pain in multiple interphalangeal joints and morning stiffness. In 2007, the patient was diagnosed as RA in Shanghai Renji Hospital. Since then, she had been treated with both Chinese and Western medicine (no detailed information). At the time of the treatment, the patient complained of pain, swelling and restricted motion of wrist joints and interphalangeal joints of the small and index fingers, coupled with a poor appetite and loose stools.

    Diagnosis: RA.

    Treatment: Acupuncture combined with Chinese herbal medicine, because this patient was scared of direct moxibustion.

    Method: Ten times of acupuncture at Shousanli (LI 10), Zusanli (ST 36), Yangchi (TE 4), Yanggu (SI 5) and Yanglao (SI 6).

    Return visit on November 2012: The patient had alleviated pain in the wrist joints and interphalangeal joints of the small and index fingers. Considering the poor appetite and loose stools due to spleen yang deficiency, a cream formula was prescribed to strengthen spleen qi, warm yang and unblock meridians.

    Formula:Dang Shen(Radix Codonopsis) 200 g,Sheng Shai Shen(Radix et Rhizoma Ginseng Cruda) 150 g,Dang Gui(Radix Angelicae Sinensis) 200 g,Qin Jiao(Radix Gentianae Macrophyllae) 60 g,Zhi Huang Qi(Radix Astragali Praeparata cum Melle) 180 g,Bai Shao(Radix Paeoniae Alba) 120 g,Xu Duan(Radix Dipsaci) 120 g,Shan Yao(Rhizoma Dioscoreae) 120 g,Bi Xie(Rhizoma Dioscoreae Hypoglaucae) 90 g,Sang Ji Sheng(Herba Taxilli) 120 g,Chong Wei Zi(Fructus Leonuri) 100 g,Shan Yu Rou(Fructus Corni) 90 g,Sheng Shou Wu(Radix Polygoni Multiflori) 120 g,Gou Ji(Peni et Testes Canitis) 150 g,Hu Zhang(Rhizoma Polygoni Cuspidati) 90 g,Du Zhong(Cortex Eucommiae) 150 g,Sheng Di Huang(Radix Rehmanniae) 150 g,Shu Di Huang(Radix Rehmanniae Praeparata) 150 g,Sha Ren(Fructus Amomi) 24 g,Huai Xiao Mai(Fructus Tritici) 120 g,You Song Jie(Lignum Pini Nodi) 150 g,Di Bie Chong(Eupolyphaga seu Steleophaga) 50 g,Sang Zhi(Ramulus Mori) 80 g,Gui Zhi(Ramulus Cinnamomi) 30 g,Mu Gua(Fructus Chaenomelis) 50 g,Bie Jia Jiao(Colla Carapacis Trionycis) 120 g,E Jiao(Colla Corii Asini) 240 g, crystal sugar 240 g and rice wine 500 g.

    Decoction method: Except forBie Jia Jiao(Colla Carapacis Trionycis),E Jiao(Colla Corii Asini), crystal sugar and rice wine, the other herbs were decocted with water for 3 times. After filtration, mixed the decoction with yellow rice meltedBie Jia Jiao(Colla Carapacis Trionycis) andE Jiao(Colla Corii Asini) to condense into sugarless paste. Then dissolved the paste with crystal sugar and water and made concentrated paste. The paste was taken twice a day, 10 g for one dose.

    Return visit on 11th of July 2013: Since the middle of March in 2013, the patient started to experience pain and severe swelling in right wrist joint and interphalangeal joints of the small and index fingers. The symptoms alleviated upon oral administration of immunosuppressants such as methotrexate and chloroquine. Then she was treated with acupuncture and Chinese herbal medicine. In addition, she agreed to receive suppurative moxibustion on 15th of August.

    The suppurative moxibustion started on 15th of August, 2013. Dazhui (GV 14) and bilateral Gaohuang (BL 43) were used for the first course of treatment within one week. One point was selected for one treatment (a total of 9 cones).

    Return visit on 31st of October 2013: The patient had significantly alleviated symptoms, except for pain, swelling and restricted movement of the right wrist joint. Her bowel movements became normal. The tongue was pale with a thin coating. The pulse was thready. As a result, a formula was prescribed to strengthen the spleen and resolve dampness. Ingredients:Chao Bai Zhu(Rhizoma Atractylodis Macrocephalae) 12 g,Ban Xia(Rhizoma Pinelliae) 9 g,Ju Hong(Exocarpium Citri Rubrum) 6 g,Hou Pu(Cortex Magnoliae Officinalis) 4 g,Shi Hu(Caulis Dendrobii) 12 g,Yu Jin(Radix Curcumae) 9 g,Bai Dou Kou(Fructus Amomi Kravanh) 3 g (decoct later),Xian Ling Pi(Herba Epimedii)9 g,Ze Xie(Rhizoma Alismatis) 9 g,Shan Yao(Rhizoma Dioscoreae) 12 g,Jiao Shan Zha(Fructus Crataegi Fermentata Praeparata) 10 g andJiao Shen Qu(Massa Medicata Fermentata Praeparata) 10 g. One formula was decocted with water for 400 mL (daily dose), 200 mL in the morning and 200 mL in the evening, for a total of 7 d. Acupuncture points: bilateral Pishu (BL 20) and Shenshu (BL 23) (swift insertion and immediate removal upon qi sensation), Waiguan (TE 5) towards Neiguan (PC 6) on the right arm, and Yangchi (TE 4), Yanggu (SI 5), Yangxi (LI 5) and Hegu (LI 4) towards Laogong (PC 8) on the right side. The needles were retained for 20 min.

    Return visit on 28th of May, 2014: The patient had significantly decreased frequency and severity of joint pain. She came back because of joint pain after gradually discontinuing methotrexate. She presented with an intolerance of cold but basically normal bowel movements. The tongue was pale with teeth marks and a white coating.

    For acupuncture treatment, bilateral Dazhu (BL 11) and Houxi (SI 3) on the right side were combined. For herbal formula,Shi Hu(Caulis Dendrobii) was removed; andYan Hu Suo(Rhizoma Corydalis) 9 g andWei Ling Xian(Radix et Rhizoma Clematidis) 9 g were combined, for a total of 7 formulae.

    Afterwards, the patient was treated with 1-2 acupuncture a week and herbal decoction every day. Her joint pain and neck stiffness gradually alleviated.

    Return visit on 2nd of July, 2014: The patient had significantly alleviated joint pain. Suppurative moxibustion was then conducted to cultivate Yuan-primordial qi and warm yang. Shenzhu (GV 12) and Zhiyang (GV 9) were selected for direct moxibustion, one point a day for 2 d and 7 cones for each point. During these two days, the patient discontinued oral administration of Chinese herbal medicine but continued with the acupuncture treatment.

    The follow-up telephone interview a couple of months later found that the patient had significantly less frequency of RA attack; however, she still had pain and was willing to continue with moxibustion.

    Note: Since this patient was diagnosed with deficiency in the root cause and excess in symptoms, acupuncture treatment was employed to unblock meridians and alleviate pain; the cream formula was prescribed to strengthen the spleen, reinforce qi and warm yang; and suppurative moxibustion was combined to remove hidden pathogenic factors out of the body. Moxibustion at Dazhui (GV 14) and Gaohuang (BL 43) can regulate yang qi of Zang-fu organs, unblock qi activity of the whole body, reinforce healthy qi, remove pathogenic factors and alleviate pain.

    5 Conclusion

    RA is a chronic autoimmune disorder. Prof. Yan used suppurative moxibustion for this condition because direct moxibustion can cause blisters, suppuration and result in suppurative inflammation. Modern studies have confirmed that moxibustion can regulate the immune system[13-15]. During the whole suppurative process, moxibustion can generate antibodies to remove hidden pathogenic factors out of the body[16-17].

    The neuroendocrine immune system can modulate harmful interferences to the body to maintain health. Direct moxibustion can activate this system to restore systemic functions, remove pathogenic factors and obtain health.

    Conflict of Interest

    There was no potential conflict of interest in this article.

    Acknowledgments

    This work was supported by Construction Project of Work Room for Academic Experience of Famous Physicians of Traditional Chinese Medicine in Shanghai (上海市名中醫(yī)學(xué)術(shù)經(jīng)驗(yàn)研究工作室建設(shè)項(xiàng)目,No. ZYSNXD-CC-MZY023); Supporting Project for Schools of Shanghai Traditional Chinese Medicine and Special Technique (海派中醫(yī)流派及特色技術(shù)扶持項(xiàng)目, No. ZYSNXD-CC-HPGC-FC-011).

    Received: 23 December 2014/Accepted: 29 January 2015

    [1] Wen H. Understanding the etiology and pathogenesis of rheumatic arthritis. Zhongguo Zhongyiyao Xiandai Yuancheng Jiaoyu, 2013, 11(15): 164-165.

    [2] Wu MH, Wang XY. Chinese Internal Medicine. Beijing: China Press of Traditional Chinese Medicine, 2012: 290.

    [3] Xu J, Zhou ZT, Wang XY, Xin YL, Zhang ZM, Yuan LX. Discussion on etiology and pathogenesis of rheumatoid arthritis from the five internal organs. Liaoning Zhongyi Zazhi, 2013, 40(3): 451-452.

    [4] Tian JX, Liao JQ, Wang H, Chen JM, Yuan LX. A brief research about pathogenic factors and pathogenesis of rheumatoid arthritis. Liaoning Zhongyiyao Daxue Xuebao, 2010, 12(2): 76-77.

    [5] Cao WZ, Li AM, Dai RW, Zhang ZG. Editing and textual research on the property of Dazhui (GV 14). Sichuan Zhongyi, 2012, 30(12): 32-34.

    [6] Lu HR. Gaohuang (BL 43) and Gaohuangshu. Huanqiu Zhongyiyao, 2013, 6(8): 606-607.

    [7] Yan JB, Yan C, Yan H. Insights ofZhen Jiu Zhen Sui(Essence of Acupuncture and Moxibustion). Shanghai Zhenjiu Zazhi, 2013, 32(11): 959-960.

    [8] Xia X, Wang QQ. Collections of academic experience from famous physicians in Shanghai. Beijing: People’s Medical Publishing House, 2012: 97.

    [9] Qin X, Shen PF. Textual research on Dazhui acupoint. Xibu Zhongyiyao, 2013, 26(2): 60-62.

    [10] Bi QL, Wang XY, Tian ML. Principle and clinical application of ‘Dazhui (GV 14) is the gathering point for all yang meridians’. Zhongyi Yanjiu, 2006, 19(12): 50-52.

    [11] Zhu XM. Exploring time factors in treating winter diseases in summer and reckoning the dates of dog days. Shanghai Zhenjiu Zazhi, 2013, 32(3): 224-226.

    [12] Yan YF, Qin LF, Cao RF. Following TCM masters for acupuncture treatment of difficult conditions. Beijing: China Press of Traditional Chinese Medicine, 2012: 79-190.

    [13] Zhu WL, Liu RQ. Effect of moxibustion at Dazhui (GV 14) on phagocytic function of macrophages in mice with compromised immunity. Beijing Zhongyiyao Daxue Xuebao, 2005, 28(1): 89-90.

    [14] Pei J, Wei H, Liu ZD, Yu YM, Ni CR, Wu HG. Effects of moxibustion on the expression of IL-1β, IL-2, IL-6 mRNA and protein in the cerebral cortex in tumor bearing mice. Zhen Ci Yan Jiu, 2010, 35(4): 243-249.

    [15] Luo CL, Wang JW, He TY. Impacts of moxibustion at Gaohuang (BL 43) on immune factors for Japanese white rabbits with rheumatoid arthritis. Shijie Zhongxiyi Jiehe Zazhi, 2012, 7(1): 19-20, 33.

    [16] Hong HG, He SW, Ju JH, Yu AZ. Relationship between quantity of suppurative moxibustion and its effect on allergic asthma. J Acupunct Tuina Sci, 2005, 3(3): 8-9.

    [17] Lei HY. Effect of festering moxibustion therapy on Zusanli on blood test of cancer patients. Liaoning Zhongyiyao Daxue Xuebao, 2010, 12(1): 156-157.

    Translator: Han Chou-ping (韓丑萍)

    嚴(yán)君白教授使用化膿灸治療類風(fēng)濕性關(guān)節(jié)炎經(jīng)驗(yàn)介紹

    總結(jié)嚴(yán)君白教授使用化膿灸治療類風(fēng)濕性關(guān)節(jié)炎(rheumatoid arthritis, RA)的臨床經(jīng)驗(yàn), 以指導(dǎo)RA的針灸治療。嚴(yán)教授認(rèn)為RA多由感受外邪、正氣虛弱或飲食失調(diào)引起的氣血不通、痰濁內(nèi)生、經(jīng)絡(luò)壅塞或筋脈失養(yǎng)所致。治療應(yīng)扶正溫陽祛邪, 補(bǔ)益肝、脾、腎。采用化膿灸治療RA療效可靠。

    關(guān)節(jié)炎, 類風(fēng)濕; 灸法; 直接灸; 瘢痕灸; 名醫(yī)經(jīng)驗(yàn); 嚴(yán)君白

    R245.8 【

    】A

    Author: Liu Su-jun, master degree candidate

    Zhang Bi-meng, M.D., associated chief physician, associate professor, a supervisor of master degree candidate.

    E-mail: pjzhtiger08@aliyun.com

    猜你喜歡
    劉鵬風(fēng)濕性關(guān)節(jié)炎經(jīng)驗(yàn)
    Rotational manipulation of massive particles in a 2D acoustofluidic chamber constituted by multiple nonlinear vibration sources
    《公園創(chuàng)意拼貼》
    2021年第20期“最值得推廣的經(jīng)驗(yàn)”評選
    黨課參考(2021年20期)2021-11-04 09:39:46
    經(jīng)驗(yàn)
    2018年第20期“最值得推廣的經(jīng)驗(yàn)”評選
    黨課參考(2018年20期)2018-11-09 08:52:36
    Cyclic strength of sand under a nonstandard elliptical rotation stress path induced by wave loading*
    蒙藥治療風(fēng)濕性關(guān)節(jié)炎260例
    壯醫(yī)治療類風(fēng)濕性關(guān)節(jié)炎的研究進(jìn)展
    藏醫(yī)外敷治療類風(fēng)濕性關(guān)節(jié)炎
    當(dāng)你遇見了“零經(jīng)驗(yàn)”的他
    都市麗人(2015年4期)2015-03-20 13:33:22
    三级国产精品欧美在线观看 | 亚洲欧美日韩高清专用| 成人性生交大片免费视频hd| 久久这里只有精品19| aaaaa片日本免费| 成人三级做爰电影| 久久久久久久久中文| 亚洲色图av天堂| 日韩人妻高清精品专区| 色综合亚洲欧美另类图片| 国产精品九九99| 在线观看美女被高潮喷水网站 | 中文字幕人成人乱码亚洲影| av天堂在线播放| 九九在线视频观看精品| 久久久久久久久中文| 99热这里只有是精品50| 别揉我奶头~嗯~啊~动态视频| 国产精品自产拍在线观看55亚洲| 国产高清视频在线观看网站| 亚洲av成人不卡在线观看播放网| 身体一侧抽搐| 日本与韩国留学比较| 亚洲国产精品sss在线观看| 国产高清激情床上av| 99热只有精品国产| 日本免费a在线| 中亚洲国语对白在线视频| 亚洲人与动物交配视频| 亚洲男人的天堂狠狠| 黑人欧美特级aaaaaa片| 又黄又粗又硬又大视频| 欧美最黄视频在线播放免费| 欧美日韩综合久久久久久 | 啪啪无遮挡十八禁网站| 熟女人妻精品中文字幕| 制服人妻中文乱码| 免费在线观看视频国产中文字幕亚洲| 国产三级中文精品| 国产成人福利小说| 免费看十八禁软件| 亚洲avbb在线观看| 超碰成人久久| 欧美日本亚洲视频在线播放| 亚洲18禁久久av| 最近最新中文字幕大全免费视频| 在线看三级毛片| 日本一本二区三区精品| 国产午夜精品论理片| 又紧又爽又黄一区二区| 99视频精品全部免费 在线 | 无人区码免费观看不卡| 午夜激情欧美在线| 免费在线观看成人毛片| 成人午夜高清在线视频| 国产精品久久久人人做人人爽| 国产又色又爽无遮挡免费看| 国产精品久久久久久久电影 | 国产一区二区三区视频了| 久久香蕉精品热| 巨乳人妻的诱惑在线观看| 久久久久久久久久黄片| 欧美日韩乱码在线| 久久这里只有精品19| 色尼玛亚洲综合影院| 99久久99久久久精品蜜桃| av天堂中文字幕网| 精品久久久久久,| www日本在线高清视频| 中文字幕精品亚洲无线码一区| 午夜福利视频1000在线观看| 美女高潮喷水抽搐中文字幕| 久久精品国产亚洲av香蕉五月| 久久婷婷人人爽人人干人人爱| 国产免费av片在线观看野外av| 色在线成人网| 久久香蕉精品热| av视频在线观看入口| 国产男靠女视频免费网站| 国产人伦9x9x在线观看| aaaaa片日本免费| 国产黄色小视频在线观看| 国产一区二区三区在线臀色熟女| 一a级毛片在线观看| 欧美日韩精品网址| 国产成人系列免费观看| 夜夜看夜夜爽夜夜摸| 国产精品亚洲美女久久久| 一本精品99久久精品77| 狂野欧美白嫩少妇大欣赏| 亚洲成av人片免费观看| 噜噜噜噜噜久久久久久91| 十八禁网站免费在线| 久久中文看片网| 在线观看66精品国产| 久久精品人妻少妇| 午夜福利在线观看免费完整高清在 | x7x7x7水蜜桃| 老鸭窝网址在线观看| 欧美黄色片欧美黄色片| 国产一区在线观看成人免费| 欧美日韩瑟瑟在线播放| 99精品在免费线老司机午夜| 国产成人欧美在线观看| 老司机午夜十八禁免费视频| 日韩欧美三级三区| 女人高潮潮喷娇喘18禁视频| 午夜影院日韩av| 黑人巨大精品欧美一区二区mp4| 国产在线精品亚洲第一网站| 性欧美人与动物交配| 精品欧美国产一区二区三| 99久久精品国产亚洲精品| 成年人黄色毛片网站| 美女cb高潮喷水在线观看 | 在线国产一区二区在线| 欧美绝顶高潮抽搐喷水| svipshipincom国产片| 亚洲人成伊人成综合网2020| 亚洲欧美精品综合久久99| 欧美极品一区二区三区四区| 色尼玛亚洲综合影院| 国产 一区 欧美 日韩| 国产精品av视频在线免费观看| 国产激情欧美一区二区| 99热这里只有是精品50| 男女那种视频在线观看| 日本一二三区视频观看| 久久亚洲真实| 男人的好看免费观看在线视频| 两性夫妻黄色片| 国产成人av教育| 欧美最黄视频在线播放免费| 色老头精品视频在线观看| 好看av亚洲va欧美ⅴa在| 欧美精品啪啪一区二区三区| 非洲黑人性xxxx精品又粗又长| 国产成人一区二区三区免费视频网站| 欧美黄色淫秽网站| а√天堂www在线а√下载| 91在线精品国自产拍蜜月 | 国产麻豆成人av免费视频| 美女 人体艺术 gogo| av女优亚洲男人天堂 | 91九色精品人成在线观看| 一个人看视频在线观看www免费 | 一级毛片女人18水好多| 日韩欧美国产在线观看| 亚洲av熟女| 国产精品av久久久久免费| 最好的美女福利视频网| 色噜噜av男人的天堂激情| 色吧在线观看| www.999成人在线观看| 最近最新中文字幕大全免费视频| 啪啪无遮挡十八禁网站| 欧美在线一区亚洲| 成人无遮挡网站| 久久九九热精品免费| 日韩欧美一区二区三区在线观看| 成人特级黄色片久久久久久久| 国产精品国产高清国产av| 国内久久婷婷六月综合欲色啪| 亚洲第一欧美日韩一区二区三区| 很黄的视频免费| 美女高潮的动态| 看片在线看免费视频| 日韩中文字幕欧美一区二区| 久久国产乱子伦精品免费另类| 欧美日本亚洲视频在线播放| 精品国产超薄肉色丝袜足j| 黑人巨大精品欧美一区二区mp4| 亚洲精品一卡2卡三卡4卡5卡| 日本成人三级电影网站| 国产在线精品亚洲第一网站| 精品熟女少妇八av免费久了| 欧美一级毛片孕妇| 1024手机看黄色片| 69av精品久久久久久| 男插女下体视频免费在线播放| 国产精品日韩av在线免费观看| 午夜福利18| 欧美日本亚洲视频在线播放| 成年女人永久免费观看视频| 99riav亚洲国产免费| 精品欧美国产一区二区三| 欧美丝袜亚洲另类 | 国产成人啪精品午夜网站| 精品日产1卡2卡| 国产伦一二天堂av在线观看| 男人舔女人的私密视频| 热99在线观看视频| 国产精品日韩av在线免费观看| 精品欧美国产一区二区三| 看免费av毛片| 人人妻人人澡欧美一区二区| 国产精品久久久久久人妻精品电影| 成人亚洲精品av一区二区| 久久久久国产精品人妻aⅴ院| 最好的美女福利视频网| 国产精品 国内视频| 国产激情久久老熟女| 亚洲va日本ⅴa欧美va伊人久久| 亚洲精品一区av在线观看| 俄罗斯特黄特色一大片| 婷婷丁香在线五月| 精品国产亚洲在线| 极品教师在线免费播放| 亚洲第一电影网av| av中文乱码字幕在线| 亚洲欧美一区二区三区黑人| 久久国产精品人妻蜜桃| 国产爱豆传媒在线观看| 欧美性猛交╳xxx乱大交人| 一进一出抽搐动态| 成年版毛片免费区| 日本免费a在线| 久久久精品大字幕| 亚洲片人在线观看| 亚洲一区高清亚洲精品| 精品国产亚洲在线| 最近最新免费中文字幕在线| 日韩大尺度精品在线看网址| 又紧又爽又黄一区二区| 三级国产精品欧美在线观看 | 国产真实乱freesex| 国产成人福利小说| 国产精品av视频在线免费观看| 亚洲av第一区精品v没综合| 精品无人区乱码1区二区| 久久久久久久久免费视频了| 在线观看免费视频日本深夜| 日韩 欧美 亚洲 中文字幕| 久久精品影院6| 久久午夜亚洲精品久久| 国产av一区在线观看免费| 亚洲专区字幕在线| 一a级毛片在线观看| 欧美激情在线99| 成人三级做爰电影| 欧美绝顶高潮抽搐喷水| 国产精品综合久久久久久久免费| 久久精品夜夜夜夜夜久久蜜豆| 床上黄色一级片| 麻豆成人午夜福利视频| 婷婷丁香在线五月| 国产伦在线观看视频一区| 悠悠久久av| 男女床上黄色一级片免费看| 欧美成人性av电影在线观看| 午夜激情欧美在线| 一区二区三区国产精品乱码| 国内精品美女久久久久久| 一进一出好大好爽视频| 亚洲av第一区精品v没综合| 亚洲人成伊人成综合网2020| 国产精品电影一区二区三区| 动漫黄色视频在线观看| 国产高清激情床上av| 51午夜福利影视在线观看| 国产成人av教育| 在线十欧美十亚洲十日本专区| 国产爱豆传媒在线观看| or卡值多少钱| 亚洲国产中文字幕在线视频| 搞女人的毛片| 欧美av亚洲av综合av国产av| 一个人免费在线观看电影 | 国产1区2区3区精品| 国产99白浆流出| 天堂√8在线中文| 中文字幕精品亚洲无线码一区| 少妇的逼水好多| 精品久久久久久,| 老鸭窝网址在线观看| 啦啦啦韩国在线观看视频| 日韩精品青青久久久久久| 亚洲狠狠婷婷综合久久图片| 毛片女人毛片| 一区二区三区国产精品乱码| 午夜免费观看网址| 色av中文字幕| 欧美+亚洲+日韩+国产| 亚洲aⅴ乱码一区二区在线播放| 久久国产精品人妻蜜桃| 精华霜和精华液先用哪个| 俺也久久电影网| 不卡av一区二区三区| 亚洲av免费在线观看| 中出人妻视频一区二区| 波多野结衣高清无吗| 性色avwww在线观看| netflix在线观看网站| 国产精品免费一区二区三区在线| 首页视频小说图片口味搜索| 老熟妇仑乱视频hdxx| 母亲3免费完整高清在线观看| 免费一级毛片在线播放高清视频| 97超视频在线观看视频| 亚洲国产精品久久男人天堂| 国产成人系列免费观看| 一进一出抽搐动态| 亚洲成人久久性| 久久天躁狠狠躁夜夜2o2o| 国产1区2区3区精品| 他把我摸到了高潮在线观看| 桃色一区二区三区在线观看| 999精品在线视频| 国模一区二区三区四区视频 | 老鸭窝网址在线观看| 亚洲av中文字字幕乱码综合| 91麻豆精品激情在线观看国产| 久久这里只有精品19| 在线a可以看的网站| 午夜福利免费观看在线| 人妻丰满熟妇av一区二区三区| 最新中文字幕久久久久 | 悠悠久久av| 亚洲精华国产精华精| 亚洲国产日韩欧美精品在线观看 | 日本一二三区视频观看| 无限看片的www在线观看| 亚洲精品色激情综合| 精品无人区乱码1区二区| 日本成人三级电影网站| 亚洲欧美日韩卡通动漫| 亚洲一区二区三区不卡视频| 国产精品九九99| 久久人妻av系列| 婷婷六月久久综合丁香| 国产v大片淫在线免费观看| 日韩人妻高清精品专区| 嫁个100分男人电影在线观看| 久久久久免费精品人妻一区二区| 亚洲av成人av| 两个人看的免费小视频| 最新中文字幕久久久久 | 波多野结衣高清无吗| 国产亚洲精品久久久com| 老司机在亚洲福利影院| 91在线精品国自产拍蜜月 | 久久久国产欧美日韩av| 国产成人aa在线观看| 亚洲欧美精品综合一区二区三区| 免费观看人在逋| 中文字幕高清在线视频| 国产一区二区激情短视频| 男女那种视频在线观看| 国产精品一及| 淫妇啪啪啪对白视频| 欧美在线黄色| 国产视频内射| 亚洲美女黄片视频| 亚洲欧美精品综合久久99| 国产男靠女视频免费网站| 麻豆国产av国片精品| 一区二区三区国产精品乱码| 啦啦啦免费观看视频1| 国产成人福利小说| 久久国产乱子伦精品免费另类| 男人舔女人下体高潮全视频| 99国产精品一区二区蜜桃av| www国产在线视频色| 在线a可以看的网站| 在线免费观看的www视频| 精品欧美国产一区二区三| 看免费av毛片| 亚洲自拍偷在线| 欧美乱妇无乱码| 亚洲国产精品合色在线| 一进一出好大好爽视频| 搞女人的毛片| 黄片小视频在线播放| 国产麻豆成人av免费视频| 搞女人的毛片| 天堂√8在线中文| 法律面前人人平等表现在哪些方面| 国产视频一区二区在线看| 午夜福利免费观看在线| 欧美日韩亚洲国产一区二区在线观看| 欧美在线黄色| 精品99又大又爽又粗少妇毛片 | 午夜精品久久久久久毛片777| 精品不卡国产一区二区三区| 精品免费久久久久久久清纯| 免费看光身美女| 午夜亚洲福利在线播放| 成人精品一区二区免费| 变态另类丝袜制服| 免费一级毛片在线播放高清视频| 深夜精品福利| 丁香六月欧美| 久久中文字幕一级| 99国产精品一区二区三区| 偷拍熟女少妇极品色| 国产1区2区3区精品| 天堂√8在线中文| 99热这里只有是精品50| 91av网一区二区| 亚洲人与动物交配视频| 此物有八面人人有两片| 丝袜人妻中文字幕| 老司机深夜福利视频在线观看| 亚洲狠狠婷婷综合久久图片| 搡老熟女国产l中国老女人| 午夜福利免费观看在线| 亚洲午夜理论影院| 国产一区二区三区在线臀色熟女| 亚洲午夜理论影院| 两个人视频免费观看高清| 免费看光身美女| 一个人观看的视频www高清免费观看 | 成人国产一区最新在线观看| 国产美女午夜福利| 日韩欧美精品v在线| 色视频www国产| 亚洲国产精品999在线| 久久精品国产99精品国产亚洲性色| av天堂在线播放| 亚洲一区高清亚洲精品| 精华霜和精华液先用哪个| 99久国产av精品| 草草在线视频免费看| 国产精品 欧美亚洲| 男女做爰动态图高潮gif福利片| 欧美中文综合在线视频| 国产伦精品一区二区三区视频9 | 中文字幕av在线有码专区| 亚洲av日韩精品久久久久久密| 99久久精品一区二区三区| 欧美一区二区国产精品久久精品| 亚洲av片天天在线观看| 成在线人永久免费视频| 亚洲一区二区三区不卡视频| 亚洲七黄色美女视频| 亚洲最大成人中文| 欧美乱妇无乱码| 免费在线观看影片大全网站| 99精品久久久久人妻精品| 国产99白浆流出| bbb黄色大片| 无遮挡黄片免费观看| 精品久久蜜臀av无| 久久精品夜夜夜夜夜久久蜜豆| 亚洲国产精品久久男人天堂| 午夜免费观看网址| 天堂av国产一区二区熟女人妻| 亚洲无线在线观看| 亚洲va日本ⅴa欧美va伊人久久| 岛国在线免费视频观看| 国产黄片美女视频| 亚洲成av人片免费观看| 成人特级黄色片久久久久久久| 青草久久国产| 国产精品影院久久| 午夜成年电影在线免费观看| 国产精品,欧美在线| 最近最新中文字幕大全电影3| 国产成年人精品一区二区| 精品久久久久久久久久免费视频| 亚洲精品国产精品久久久不卡| 一级毛片高清免费大全| 99国产综合亚洲精品| 国产精品99久久久久久久久| 日韩av在线大香蕉| 黄色 视频免费看| 老司机午夜十八禁免费视频| 丁香欧美五月| 亚洲欧洲精品一区二区精品久久久| 欧美黄色片欧美黄色片| 丁香六月欧美| 两个人视频免费观看高清| 老司机在亚洲福利影院| 一本久久中文字幕| 午夜福利在线在线| 亚洲男人的天堂狠狠| 香蕉av资源在线| 99精品在免费线老司机午夜| 嫩草影院精品99| 婷婷亚洲欧美| 久久久国产成人免费| 日韩欧美国产一区二区入口| 欧美丝袜亚洲另类 | 夜夜躁狠狠躁天天躁| 麻豆国产97在线/欧美| 99国产精品99久久久久| 听说在线观看完整版免费高清| 超碰成人久久| 给我免费播放毛片高清在线观看| 好男人电影高清在线观看| 免费在线观看成人毛片| 亚洲国产精品sss在线观看| 精品99又大又爽又粗少妇毛片 | 亚洲av片天天在线观看| 亚洲精品中文字幕一二三四区| 老熟妇乱子伦视频在线观看| 国产精华一区二区三区| 国产乱人视频| 国产激情久久老熟女| 美女黄网站色视频| 亚洲成av人片在线播放无| 亚洲七黄色美女视频| 小说图片视频综合网站| 成人av在线播放网站| av天堂在线播放| 国内久久婷婷六月综合欲色啪| 男女床上黄色一级片免费看| 欧美高清成人免费视频www| 91av网站免费观看| 熟女电影av网| 成年免费大片在线观看| 久久婷婷人人爽人人干人人爱| 亚洲av成人精品一区久久| 国产精品九九99| 国产精品国产高清国产av| 久久久久九九精品影院| 成人国产一区最新在线观看| 欧美成人免费av一区二区三区| 亚洲激情在线av| 精品久久久久久久人妻蜜臀av| 一个人免费在线观看电影 | 日本撒尿小便嘘嘘汇集6| 巨乳人妻的诱惑在线观看| 亚洲天堂国产精品一区在线| 19禁男女啪啪无遮挡网站| 国产伦一二天堂av在线观看| 精品久久久久久久末码| 午夜视频精品福利| 亚洲男人的天堂狠狠| 亚洲18禁久久av| 老司机深夜福利视频在线观看| 麻豆av在线久日| 又粗又爽又猛毛片免费看| www国产在线视频色| 午夜免费观看网址| 欧美日韩国产亚洲二区| 麻豆av在线久日| 久久久久亚洲av毛片大全| 色综合欧美亚洲国产小说| 91麻豆精品激情在线观看国产| 丁香六月欧美| 最近最新免费中文字幕在线| 老汉色∧v一级毛片| 桃色一区二区三区在线观看| 日韩欧美一区二区三区在线观看| 丁香六月欧美| 午夜福利在线观看吧| 欧美一区二区精品小视频在线| 免费看日本二区| 长腿黑丝高跟| 白带黄色成豆腐渣| 亚洲人与动物交配视频| 在线观看一区二区三区| 国内精品久久久久精免费| 偷拍熟女少妇极品色| 日本成人三级电影网站| 无人区码免费观看不卡| 欧美xxxx黑人xx丫x性爽| ponron亚洲| 欧美国产日韩亚洲一区| 老汉色av国产亚洲站长工具| 国产免费男女视频| 最近在线观看免费完整版| 亚洲真实伦在线观看| 国产久久久一区二区三区| 免费高清视频大片| 日韩精品中文字幕看吧| 午夜福利视频1000在线观看| 午夜免费成人在线视频| 色尼玛亚洲综合影院| 国产亚洲欧美在线一区二区| 婷婷亚洲欧美| 久久这里只有精品19| 久久精品国产亚洲av香蕉五月| 精品国内亚洲2022精品成人| 欧美成人性av电影在线观看| 999精品在线视频| 校园春色视频在线观看| 亚洲精品美女久久久久99蜜臀| 特级一级黄色大片| 亚洲人成电影免费在线| 一区福利在线观看| 国产亚洲精品av在线| 这个男人来自地球电影免费观看| 久久欧美精品欧美久久欧美| 日韩欧美在线二视频| 成年女人永久免费观看视频| 婷婷亚洲欧美| 国产日本99.免费观看| 久久精品国产亚洲av香蕉五月| 国产激情偷乱视频一区二区| 国产精品久久久久久人妻精品电影| 午夜视频精品福利| 国产高清videossex| 国产精品爽爽va在线观看网站| av福利片在线观看| 国产69精品久久久久777片 | netflix在线观看网站| www.www免费av| 97人妻精品一区二区三区麻豆| 久久久精品大字幕| 老鸭窝网址在线观看| 男人舔奶头视频| 久久久精品大字幕| 国产精品 国内视频| 此物有八面人人有两片| 精品久久久久久久久久久久久| 久久久久久大精品| 国产亚洲精品久久久久久毛片| 国产97色在线日韩免费| 国产91精品成人一区二区三区| 久久久久免费精品人妻一区二区| 亚洲五月婷婷丁香| avwww免费| 搡老熟女国产l中国老女人|