162 cases of the in patients sick with herniated lumbar disc were randomly divided into three groups, including 82 cases in the observation group treated by manual manipulations plus external herbal application, 40 cases in the control group Ⅰ treated only by external application of herbal drugs, and 40 cases in the control group Ⅱ treated only by manual manipulations. The total effective rate was 90.2% in the observation group, 82.5% in the control group Ⅰ and 85.0% in the control group Ⅱ, indicating a significant difference (P＜0.05) in comparison of the therapeutic effects between the observation group, the control group Ⅰ and control group Ⅱ. In the treatment of herniated lumbar disc by manual manipulations plus external herbal application, the therapeutic effect is precise and obviously higher than that in the treatment by single manual manipulations or by external application of herbal drugs.

Objective: To observe the effect of treatment for proliferative knee osteoarthritis (KOA) using combined acupuncture and medicated compression. Method: All 328 cases were randomized into an observation and control group, 164 cases in each. Combined acupuncture and medicated compression were adopted in the observation group, while oral administration of Zhui Feng Tou Gu Wan (Wind-removing and Bone-penetrating Pills) were adopted in the control group. The clinical effects in the two groups were evaluated 40 days after the treatment. Result: There were significant differences in both marked and total effective rates (P<0.05). Conclusion: Combined acupuncture and medicated compression can obtain better effect for KOA than oral administration of the Wind-Removing and Bone-Penetrating pills.

Objective To establish the improved MPN quantitative detection method of Salmonella in treated wastewater.Methods The filtration method and improved MPN method were adopted to quantitatively detect Salmonella in treated wastewater.In the filtration method,separation effect of Salmonella was investigated by using three selective agar which including XLD,HE and BS,respectively.It was established that the improved MPN method in which PCR was used instead of the biochemical tests and serological identification to identify Salmonella.In the improved MPN method,the enrichment effect was researched by using SC,MM and TTB enriched broth in different time and temperature.Results In the filtration method,the Salmonella could not be counted accurately by the three kinds of selective agar.In the improved MPN method the optimized enrichment effect was determined as using MM enriched broth at 42℃ for 24 hours.Conclusion The improved MPN method is accurate,sensitive,quick and applicable to the quantitative detection of Salmonella in treated wastewater.

Objective: To observe the clinical effect of Tuina for stiffneck. Methods: All of 216 cases with stiff neck were randomly allocated into a tuina group (110 cases) and a control group (106 cases). The patients in the tuina group were treated with Three Parts, Four Points,Five Manipulation tuina therapy, while those in the control group were treated with pucturing Wailaogong (Ex-UE 8), Houxi (SI 3), Jianjing (GB 21) and Ashi points in the affected side,Once a day, and 3 times constitute one treatment course. The effect was observed after 2-course treatments. Result: The effective rate in the tuina group and the control group was 93.64% and 83.02%, respectively, and there was statistical difference between the two groups (P < 0.05).Conclusion: The tuina therapy of Three Parts, Four Points, Five Manipulations is better than simple acupuncture therapy in treating stiff neck.

Objective:This study was to observe the therapeutic effect of electro-acupuncture combined with Chinese herbal fumigation and application in the treatment of relapsed lumbar disc herniation after lumbar disc surgery.Methods:Eighty-four subjects were randomized into a treatment group and a control group.The treatment group(44subjects)received electroacupuncture plus herbal fumigation and application therapy.The control group(40 subjects)only received electroacupuncture therapy.The therapeutic results were observed and compared afterwards.Results:The total effective rate was 90.9% in the treatment group and 82.5% in the control group.and the difierence was statistically significant(P<0.05).Conclusion:The combined therapy of electroacupuncture with Chinese herbal fumigation and application has better therapeutic effect than mono-electroacupuncture in the treatment of post-surgery relapsed lumbar disc herniation.

Purpose: To observe the clinical efficacy on acupuncture treatment of atrophic gastritis. Methods: Points Zhongwan (CV 12) and Zusanli (ST 36) were selected to treat 38patients with atrophic gastritis by reducing within reinforcing manipulations. The curative effect was evaluated and compared with that in a medication group. Results: A comparison of the comprehensive clinical efficacy between the acupuncture group and the medication group showed that the effective rate was 86.8% and 84.2% respectively. Statistical analysis showed that there was no significant difference in clinical effect between the two groups (P>0.05).Conclusion: Acupuncture can get the same effect as medication in treating atrophic gastritis.

Objective To investigate the clinical efficacy of efficacy of joint needling plus warm-unblocking needling method in treating knee osteoarthritis. Method Three hundred and twenty patients with knee osteoarthritis were randomly allocated to a treatment (joint needling plus warm-unblocking needling method) group of 161 cases and a control (acupuncture alone) group of 159 cases. Result The total efficacy rate was 90.7%in the treatment group and 79.9%in the control group. There was a statistically significant difference in therapeutic effect between the two groups (P＜0.05). Conclusion Joint needling plus warm-unblocking needling method is more effective than acupuncture alone in treating knee osteoarthritis.

Objective To investigate the effect of combination of cervical manipulation with cervical conditioning exercise for the treatment of cervical spondylosis of neck type or nerve root type. Methods Seventy-two patients were randomly divided into a treatment group (37 patients) or a control group (35 patients) by using a random number table. Patients in the treatment group and in the control group were treated with combination of cervical manipulation or cervical manipulation only, respectively. At the end of treatment and 3 months, treatment effects were assessed by Neck Disability Index (NDI) and Visual Analog Scale (VAS). Results NDI scores in both of the treatment group and the control group after treatment were significantly lower han those before treatment (t=4.471 in the treatment group, t=3.599 in the control group, all P<0.05), and NDI score in the treatment group were significantly lower than that in the control group after treatment (t=-2.085,P<0.05). Follow-up at 3 months, NDI score in the treatment group was significantly lower than that in the control group (t=-4.549, P<0.05). Proportions of improved patients, as assessed by NDI items, including pain intensity, personal care, lifting, reading, headaches, concentration, work, sleeping, driving and recreation in the treatment group were significantly higher than those in the control groups (Z=-3.521,-3.331,-3.003,-3.001,-3.265,-3.198,-3.016,-3.000,-2.102,-2.971, respectively, all P<0.05). VAS scores in both of the treatment group and the control group after treatment were significantly lower than those before treatment (t=7.986 in the treatment group, t=6.507 in the control group, all P<0.05), and VAS score in the treatment group were significantly lower than that in the control group after treatment (t=-2.426,P<0.05). Follow-up at 3 months, the VAS score in the treatment group was significantly lower than that in the control group (t=-7.065, P<0.05). Proportions of improved patients in the treatment group was significantly higher than that in the control group (91.89% vs 74.29%; χ2=4.014, P=0.045). Conclusion Combination of cervical manipulation with cervical conditioning exercise may be superior to cervical manipulation only for the treatment of cervical spondylosis of neck type or nerve root type.

Objective To investigate the value of 320-slice CT in diagnosis and intervention treatment of the hepatocellular carcinoma (HCC).Methods Retrospective analysis of 41 patients with HCC was performed,who underwent 320-slice CT three-phase scans and the CTA reconstruct before the transcatheter arterial chemoembolization (TACE).The origins,the distributions and the branches of the abdominal arteries were observed,respectively.Compared to the images of the DSA,the tumor feeding artery and portal vein tumor thrombus (PVTT)were analyzed.Results Compared to the images of the DSA,there was an obvious advantage in diagnosis of small HCC with the diameter <3 cm using the 320-slice CTA.However,there were no significant differences in display of hepatic artery variations,tumor feeding arteries and PVTT between the 320-slice CTA and the DSA.Conclusion The 320-slice CT and the CTA reconstruct can be helpful for more accurate diagnosis and evaluation for HCC,it can be used to direct the intervention treatment for HCC on basis of the images of the tumor feeding artery and PVTT.

ObjectiveTo investigate the efficacy of meridian differentiation-based point selection plus qi-guiding acupuncture in treating lumbar intervertebral disc herniation.MethodFive hundred and forty-nine patients with lumbar intervertebral disc herniation were randomly allocated, using a random number table, to two groups. The treatment group of 280 patients received qi-guiding acupuncture at points selected according to meridian differentiation and the control group, electroacupuncture at points selected according to meridian differentiation.ResultThe total efficacy rate was 87.5% in the treatment group and 86.6% in the control group; there was no statistically significantdifference between the two groups (P>0.05). The cure rate was 51.8% in the treatment group and41.6% in the control group; there was a statistically significant difference between the two groups (P<0.05). ConclusionThe total efficacy rate of qi-guiding acupuncture at points selected according to meridian differentiation for lumbar intervertebral disc herniation is similar to that of electroacupuncture at points selected according to meridian differentiation, but the cure rate of the former is higher thanthat of the latter.