Objective Aiming at the characteristics of the course of acupuncture and massage,to discuss the application of Situational heuristic teaching.Methods 60 undergraduate students in Grade Four of Jiangxi University of Traditional Chinese Medicine (clinical practice) were even divided into 2 groups,that was situational teaching group (the experimental group) and the traditional teaching group (control group).The students in the experimental group received basic theory course of 30 hours,60 hours in the course of situational teaching.The clinical cases of teaching were carefully designed according to the simulated hospital scene in each chapter,including large cases,acupuncture and massage therapy program,which were conducted between teachers and students through interactive and positive research and other forms.In the control group the teachers taught the content to students in class for full 90 hours in accordance with the requirements of the teaching syllabus.Taking objective theoretical examination,subjective questionnaire survey,and subjective clinical return visit questionnaire scores as indicators the difference of the two kinds of teaching methods were compared and statistical analysis was carried out by SPSS 19.0 software,chi square test and t test.Results By comparison of objective theoretical examination results of two groups of subjects,the number of good students in the experimental group was 10,and the number of outstanding students was 7,with an average of (80.63 ± 1.35) points.In the control group,the number of good students was 9,the number of outstanding students was 6,with the average score of (80.54 ± 1.32),and the average score of the objective theory test scores were not statistically significant (P＞0.05).The learning satisfaction of the students in the experimental group was (3.91 ± 0.29).Students in the experimental group thought situation heuristic teaching was conducive to professional development (3.23 ± 0.39),to improving the learning quality (3.68 ± 0.72),clinical thinking culture (4.11 ± 0.24),clinical ability (3.72 ± 0.27),clinical physician-patient communication skills (3.28 ± 0.79),basic clinical skills (3.48 ± 0.42) points,with teaching satisfaction (4.19 ± 0.25),which were all higher than the control group,and the difference was statistically significant (P＜0.05).Conclusion Situational heuristic teaching method is better than the traditional teaching method in stimulating students' learning enthusiasm,innovation ability,cultivating professional interest and cultivating students' clinical practice ability.The teaching practice of teachers should give full play to the advantages of the method and improve the teaching effect,which is worthy of further research and promotion.

This study was aimed to observe clinical effect of Wu-Fu Ma-Xin Gui-Jiang (WFMXGJ) decoction treatment for patients with nonspecific low back pain. A total of 60 nonspecific low back pain cases were selected and randomly divided into the treatment group and the control group, with 30 cases in each group. Patients in the treatment group were treated with modified WFMXGJ decoction, while cases in the control group were given rou-tine treatment of oral administration of nimesulide sustained-release tablets. Seven days were one treatment course. Comparison was made on Visual Analogue Scale/Score (VAS), clinical symptoms and body signs before and after treatment between two groups. The results showed that compared with pretreatment, low back pain were relieved with obviously improved VAS among patients in both groups (P<0.05). However, there was no significant difference between the treatment group and the control group. In the treatment group, acute low back pain VAS was obviously improved than the chronic low back pain VAS (P<0.05). There was no statistical significance between the acute and chronic low back pain in the control group. In the treatment group, the total effective rate was 93.33%;and the con-trol group was 73.33%. The clinical effect of treatment group was more significant than the control group (P<0.05). There was no statistical significance on acute and chronic low back pain in the treatment group and the control group. The recurrent rate of the treatment group was significantly lower than the control group (P<0.05). In the treatment group, the recurrence rate of chronic low back pain patients was higher (P<0.05). There was no significant difference on the comparison between acute and chronic low back pain in the control group. It was concluded that modified WFMXGJ decoction had obvious therapeutic effect on treatment of nonspecific low back pain, especially for the improvement of acute low back pain, with non-toxic side effects and low recurrence rate. It is worthy of fur-ther research and promotion.

Objective To explore the effects of heat-sensitized moxibustion combined with conventional medicine on knee osteoarthritis(KOA)including clinical efficacy and cytokine levels.Methods 60 pa-tients with bilateral knee osteoarthritis was divided into two groups(n=30).The treatment group was given heat-sensitized moxibustion combined with conventional drugs,while the control group was adminis-tered with routine acupuncture treatment besides conventional drugs.Bilateral ST35,GB34,and EX-LE2 were selected as treating acupoints for 15 minutes once a day for 6 days as one treatment session.Four treatment sessions were one total treatment course, with 1-day interval between two sessions.The Ly-sholm knee function score was applied to evaluate clinical efficacy before and after treatment.The scores of joint pain,joint swelling,and walking ability and cytokine TNF-α/IL-1 were also compared before and after treatment.Criteria of adverse effect factors was adopted to evaluate the safety.Results The scores of joint pain,joint swelling, walking ability and serum cytokines TNF-α/IL-1of patients in both groups were improved after treatment(P<0.05).Compared with the control group, those above index in the treatment group were improved more markedly(P<0.01).The effective rate of the treatment group and control group was 86.7%,and 66.7%respectively,thus the efficacy of treatment group was significantly superior to that of the control group(P<0.01).Moreover,compared with control group,there were less adverse effects in treatment group(P<0.05).Conclusion To treat knee osteoarthritis,heat-sensitized moxibustion appears to be superior to routine moxibustion therapy in terms of efficacy and safety.The non-invasive heat-sensitized moxibustion may alleviate symptoms,and improve physical signs effectively, which warrants further exploration and development.