Objective To observe the efficacy of herbal cake-partitioned moxibustion for lumbar disc herniation(LDH)due to kidney deficiency and blood stasis and observe the influence of this method on lumbar functions and inflam...Objective To observe the efficacy of herbal cake-partitioned moxibustion for lumbar disc herniation(LDH)due to kidney deficiency and blood stasis and observe the influence of this method on lumbar functions and inflammatory factors in patients with this condition.Methods A total of 120 LDH patients who met the inclusion criteria were randomly divided into three groups,including a herbal cake-partitioned moxibustion group,a flour cake-partitioned moxibustion group,and a Western medication group,with 40 patients in each group.The patients in the Western medication group were treated with diflunisal tablets,0.5 g per dose,2 doses a day.Those in the herbal cake-partitioned moxibustion group were treated with additional herbal cake-partitioned moxibustion group at Back-Shu Points and Jiaji(EX-B2)Points once a day.Those in the flour cake-partitioned moxibustion group were treated with the same methods as in the herbal cake-partitioned moxibustion group,except that the herbal cake was replaced by a flour cake.All the patients were treated for 10 d.After treatment,the scores of the visual analog scale(VAS)and Japanese Orthopaedic Association(JOA)and the changes of the interleukin(IL)-6,tumor necrosis factor(TNF)-α,and substance P(SP)levels were observed,and the efficacy was evaluated.Results After treatment,the VAS score and the levels of IL-6,TNF-α,and SP were lower than those before treatment,and the JOA score was higher than that before treatment in the three groups,indicating intra-group statistical significance(P<0.05).The VAS score and the levels of IL-6,TNF-α,and SP of the herbal cake-partitioned moxibustion group were lower than those of the flour cake-partitioned moxibustion group and the Western medication group,while the JOA score of the herbal cake-partitioned moxibustion group was higher than that of the other two groups,indicating inter-group statistical significance(P<0.05).The total effective rate of the herbal cake-partitioned moxibustion group was 92.5%,higher than that of the flour cake-partitioned 展开更多
Because of the high importance of transportation tunnels,most precise analyses of stress concentration and displacement around them are essential to provide safety of them as much as possible.Recently,various numerica...Because of the high importance of transportation tunnels,most precise analyses of stress concentration and displacement around them are essential to provide safety of them as much as possible.Recently,various numerical methods such as finite element method(FEM),discrete element method(DEM),finite difference method(FDM)and boundary element method(BEM)have been used extremely in geosciences problems,but among these numerical methods,BEM has been used less than others because the computational algorithm is not so straightforward.This paper suggests the implementation of the indirect boundary element method(IBEM)as a formulation of BEM to analyze displacement around Shiraz-Esfahan railway tunnel in Zagros Mountains southwest of Iran.For this purpose,this tunnel has been modeled numerically using two-dimensional fictitious stress method(TWOFS)algorithm.To validate the results,they were compared with FEM results as a commonly used numerical method.Results of current theoretical study have shown that the presented approach using IBEM is reasonably accurate and can be used for analysis of displacement in geosciences problems.In rock mechanics,for problems with a low ratio of boundary surface to volume,FEM is not very well suited and may be cumbersome,but use of such a proposed IBEM approach can be particularly attractive.展开更多
文摘Objective To observe the efficacy of herbal cake-partitioned moxibustion for lumbar disc herniation(LDH)due to kidney deficiency and blood stasis and observe the influence of this method on lumbar functions and inflammatory factors in patients with this condition.Methods A total of 120 LDH patients who met the inclusion criteria were randomly divided into three groups,including a herbal cake-partitioned moxibustion group,a flour cake-partitioned moxibustion group,and a Western medication group,with 40 patients in each group.The patients in the Western medication group were treated with diflunisal tablets,0.5 g per dose,2 doses a day.Those in the herbal cake-partitioned moxibustion group were treated with additional herbal cake-partitioned moxibustion group at Back-Shu Points and Jiaji(EX-B2)Points once a day.Those in the flour cake-partitioned moxibustion group were treated with the same methods as in the herbal cake-partitioned moxibustion group,except that the herbal cake was replaced by a flour cake.All the patients were treated for 10 d.After treatment,the scores of the visual analog scale(VAS)and Japanese Orthopaedic Association(JOA)and the changes of the interleukin(IL)-6,tumor necrosis factor(TNF)-α,and substance P(SP)levels were observed,and the efficacy was evaluated.Results After treatment,the VAS score and the levels of IL-6,TNF-α,and SP were lower than those before treatment,and the JOA score was higher than that before treatment in the three groups,indicating intra-group statistical significance(P<0.05).The VAS score and the levels of IL-6,TNF-α,and SP of the herbal cake-partitioned moxibustion group were lower than those of the flour cake-partitioned moxibustion group and the Western medication group,while the JOA score of the herbal cake-partitioned moxibustion group was higher than that of the other two groups,indicating inter-group statistical significance(P<0.05).The total effective rate of the herbal cake-partitioned moxibustion group was 92.5%,higher than that of the flour cake-partitioned
文摘Because of the high importance of transportation tunnels,most precise analyses of stress concentration and displacement around them are essential to provide safety of them as much as possible.Recently,various numerical methods such as finite element method(FEM),discrete element method(DEM),finite difference method(FDM)and boundary element method(BEM)have been used extremely in geosciences problems,but among these numerical methods,BEM has been used less than others because the computational algorithm is not so straightforward.This paper suggests the implementation of the indirect boundary element method(IBEM)as a formulation of BEM to analyze displacement around Shiraz-Esfahan railway tunnel in Zagros Mountains southwest of Iran.For this purpose,this tunnel has been modeled numerically using two-dimensional fictitious stress method(TWOFS)algorithm.To validate the results,they were compared with FEM results as a commonly used numerical method.Results of current theoretical study have shown that the presented approach using IBEM is reasonably accurate and can be used for analysis of displacement in geosciences problems.In rock mechanics,for problems with a low ratio of boundary surface to volume,FEM is not very well suited and may be cumbersome,but use of such a proposed IBEM approach can be particularly attractive.
