[前言]新医针挑科是一个以一流的专业技术诊治男女不育不孕症、颈肩腰腿痛并取得显著疗效和患者高满意度的科室。
暨南大学附属第一医院新医针挑科是以传统医学的继承与创新为特色,以突出男科病、脊柱神经疾病和不育不孕症为临床诊疗研究重点的学科。1981年建科,时任科主任王义智教授为本学科的开拓者。是闻名于全国乃至东南亚地区的一流科室。尤其是近20年来,新医针挑科在陈栋教授的主持下不断地致力于临床与科研教学工作。公开发表于医学核心期刊论著138篇,其它杂志、报刊39余篇。
新医针挑科早在2002年就被评为医院首批特色专科。在不育不孕症、男科病和颈肩腰腿痛诊疗方面有独到之处。尤其是男性不育症、前列腺疾病和椎间盘突出症。也是国内最早开展针挑治疗不育不孕症(男女同治)与腰椎间盘突出症的专科(专病)之一。自2002年起,连年主持并举办“中西医结合诊治不育不孕症”国家级中医药继续教育项目培训班6期。同年“针挑疗法对原发男性不育症精子异常的临床研究”获国家中医药管理局“中医临床诊疗技术整理与研究”科研专项,通过多年的临床研究,课题已通过国家验收和成果鉴定,并作为2009年第四批全国百项中医临床适宜技术·科技成果推广项目向全国推广。2007年“陈氏挑针治疗不育不孕症”被中国中医药科技交流中心列为科技成果推广项目。由于该项目具有专业、精确、快捷、高效的特点,医疗知名度及患者满意度不断提高,已在周边地区乃至东南亚树立了良好的声誉。
学科带头人:
新医针挑科主任陈栋,主任医师、教授、研究生导师。系中华中医药学会外治分会副主任委员;广东省中西医结合男科学会副主任委员;广东省中西医结合针挑学会筹备组负责人。担任临床特色医药杂志特邀编委、临床康复杂志编委。1988年底,王教授出国后,陈栋主任主持学科和支部工作至今。
陈栋教授早年跟随祖父陈祖和(系1951年中央人民政府卫生部授予全国名中医,广东省政协委员)悬壶济世,积累了丰富行医经验。毕业于广州中医学院,读暨南大学研究生。师从我国著名泌尿男科专家马永江(国家一级教授)、王益鑫、徐福松和王义智教授。2001年8月赴加拿大多伦多大学医学部医学生殖中心访问学者。主持及参与国家级、部省级和厅局级科研项目多项;职务发明国家专利1项。2002年国家级继续医学教育项目获得者。先后公开发表于医学核心期刊论著108篇;主编著出版了《中西医结合治疗不育不孕症》、《临床男科学》、《性医学知识解答》、《男科学》、《性医学》、《男性学基础与临床》等专著9部。获全国人大常委会副委员长吴阶平院士题词:“发展祖国医疗事业,造福子孙后代”。率先在全国高校开设“新医学”、“性医学”、“临床男科学”公选课和专业选修课(国际学院)以及主讲多学科硕士、博士生课程。
陈栋教授近30年来诊治国内及世界五大洲患者达数十万人次,临床工作中对患者无微不至的关怀和热忱交流,陈栋教授不仅能熟练地用国语、粤语、潮州话、客家话和海南黎话等地方语言与患者交流,还通晓英语、日语、印尼等外国语,出色地完成了包括外宾在内的诊治工作。
研究重点:不育不孕症(男女同治)与椎间盘突出症。
出诊时间:星期一、三全天;星期四上午。
学科特色:新医针挑科是国家及医院重点扶植特色专科,其主要特色范围有:
一、 不育不孕与男科特色
男性不育症(根据1993年WHO男性不育诊断程序图分类)
1、性功能障碍:勃起功能障碍(功能性ED)、不射精(逆行射精)、早泄、遗精。
2、精浆异常:精液液化异常(精液液化延缓、不液化),精浆微量元素缺乏或Zn、Se等元素减少,PH值异常。
3、精索静脉曲张:精索静脉轻度曲张(Iº)以及精索静脉曲张高位结扎术后治疗。
4、特发性少精子弱精子症:精子计数<2000万/ml,精子活动率≤50%
活动力≤2级(按国际5级分)。
5、特发性精子畸形率增多症:精子畸形率≥30%或>90%(巴氏检测法)
6、精量过少或过多:精液量≤1 ml或≥6~8ml。
7、附性腺感染:急慢性前列腺炎、精囊炎、附睾炎、生殖道支原体与衣原体感染、血精症。
8、内分泌疾病:内分泌性不育、特发性促性腺功能减退性性腺机能低下症(IHH)、高催乳素血症。
9、精子自身凝集:多与免疫不育有关。
10、不明原因不育。
11、医源性疾病。
12、免疫不育:血清抗精子抗体(AsAb)、精浆抗体阳性(MAR’S检测法)。
女性不孕症
1、功能性不排卵:卵泡不发育、发育不良(无优势卵泡)或功能性无排卵。
2、内分泌性不孕:高催乳素血症、月经不调、闭经、多囊卵巢、子宫内膜异位症。
3、生殖道炎症:阴道炎、附件炎、宫颈炎、盆腔炎以及输卵管炎症粘连。
4、非淋病性尿道炎:生殖道支原体与衣原体感染。
5、习惯性流产:黄体功能不足、腺肌症。
6、免疫不孕:血清抗精子抗体(AsAb)、宫颈粘液抗体阳性、封闭抗体。
学科拥有国际最先进的精子质量自动分析系统(CASA),WHO(世界卫生组织)首选推荐AsAb(抗精子抗体)MAR’s检测方法,超声诊断系统、SG-89A微波治疗仪和PW-多功能超声治疗仪,独立的男科、性病实验室以及高级的专业检验师。其男科、不育不孕症综合检测技术为患者提供准确、快捷的检测报告。在不育不孕症、生殖健康方面:加拿大多伦多大学医学部生殖医学中心、加拿大国家中医药学会与我科成功建立了研究合作关系,在不育不孕症的中西医结合治疗和双胞、多胞胎生殖健康研究方面开展了不定期互访。
二 、颈肩腰腿痛特色
结合新医正骨手法、陈氏挑针疗法治疗颈肩腰腿痛、落枕、神经血管性头痛、颈椎后关节紊乱症、颈椎病(6型)、肩周炎、网球肘、胸椎后小关节紊乱症、胸背痛、肋间神经痛、脊椎压缩性骨折、腰痛、坐骨神经痛、腰椎间盘突出症、臀上皮神经损伤、强直性脊柱炎、脊椎滑脱症、梨状肌损伤综合症、膝关节疼痛、足踝部软组织损伤、骨质疏松症、先天性骶椎裂。
三、 疑难杂症特色
癫癇、抑郁症、假性近视眼、痔疮、麦粒肿、瘿瘤、小儿疳积。
针挑研究新领域:
1、理论新颖:结合现代医学、神经解剖学理论。皮肤与内脏相关学说以及神经节段性分布理论,以中医自主调控系统(脑)皮部为基础理论。以神经刺激点为特定点,不断得到发展与创新。
2、突出整体观念“治病必求于本”:以脊柱医学为中心,以针挑整脊标本同治为要纲。提出“离点不离经”新观点。在临床治病取点操作方面更得心应手。处方取点规范化、标准化。疗效更快捷、更高效。
3、神奇疗效:往往患者于治疗后3~6个月最有感触。在慢性疾病治疗过程中,经过1~3次治疗的病人开始感到有些好转,当疗程结束后,疗效则更加显著,患者称之为“疗效神奇”。实际上正是体现传统医学整体观念与辩证施治的精髓,也是“标本同治”的结果。
陈栋教授创立的陈氏针挑疗法具有科学性、创新性。是一种无痛苦、无毒副作用、安全、快捷、高效疗法。也贯穿了新医的理、法、方、点。
患者来信摘录:“陈氏挑针治病佳,不孕不育效堪夸。百般难治颈腰疾,一针病除誉万家。”
联系我们:
电子邮箱E-mail: drchendong@yahoo.com.cn
Department of New Medicine and Needle-Pricking Therapy
Introduction
The Department of New Medicine and Needle-Pricking Therapy of Jinan University possess the characteristic of creativity and inheritance of traditional medicine, focusing on andrological diseases, spinal nervous dieases and male, female infertility. The department was established in 1981 by leading expert Professor Wang Yizhi who is a well-known pioneer in new medicine and needle-pricking therapy within the country and abroad. His department has a high reputation inChinaandSoutheast Asia. The Department of New Medicine and Needle-Pricking Therapy keeps on its commitment in clinical teaching and scientific research in the last 20 years. 138 pieces of literatures was published in key journals and 39 articles was publish in various magazines and newspapers.
The Department of New Medicine and Needle-Pricking Therapy was awarded “Characteristic Specialist Department of the hospital of2002”. The department has a unique way in diagnosing and treating infertility, neck back pain, sciatica and male diseases, particularly in male infertility and lumbar disc herniation (LDH). The department is the earliest specialist department in developing treatment of infertility and lumbar disc herniation in the country. Since 2002 and the following years the department hosted 6 times of training classes of state-level programs on extension studies of Chinese Medicine. In the same year the research “Clinical research on the treatment of male infertility and abnormal sperms by needle-pricking therapy” was appointed as the specific scientific research of “Management and promotion of clinical diagnosis and treatment techniques of Chinese medicine” of the State Administration of Traditional Chinese Medicine of PRC. The research was approved by the state and promoted throughout the country as “2009 National hundred TCM clinically-appropriate technologies”. In 2007 the “Treatment of infertility by Chen’s needle-pricking therapy” was appointed as the promotion programme by National Chinese Medicine Science andTechnologyExchangeCenter. The department offers good treatment effect, all-round development of new therapies. As a result, the department gained good reputation every year and also in peripheral areas even amongSoutheast Asia.
Subject Leaders
Director/Professor Chen Dong: Turtor of master-degree postgraduate students, Vice Chairman of Association of External Therapy of Chinese Association of Chinese Medicine; Vice Chairman of Association of Integratice Medicine and Andrology of Guangdong Province; Manager of Preparatory Group of Association of Integrative Medicine and Needle-Pricking Therapy of Guangdong Province; editor of Journal of Special Clinical Medicine and Chinese Journal of Clincal Rehabililation. Director Chen Dong has been managing the department till now since Professor Wang went abroad at the end of 1988.
Professor Cheng Dong has been following his Grandfather Chen Zuhe (granted as “Famous Doctor in Chinese Medicine” by Ministry of Health of Central Government in 1951) to practise medicine and gained experience. He was graduated from Guangzhou University of Chinese Medicine and continued postgraduate studies inJinanUniversity. He has been under guidance from specialist in urology and andrology Professor Ma Yongjiang (National Grade-I Professor), Wang Yixin, Xu Fusong and Professor Wang Yizhi. He made an academic visit to Center of Reproductive Medicine of Department of Medicine atUniversityofTorontoin August 2001. He hosted and participated in a number of national, provincial and bureau-level scientific research projects, achieved 1 national invention patent. Winner of 2002 National Continuing Medical Education Programs. He has published 108 pieces of literatures in core medical journals and published textbooks including “Treatment of Infertility by Integrative Medicine”, “Clinical Andrology”, “Q&A of Sexual Medicine”, “Andrology”, “Sexual Medicine”, “Basic Clinical Andrology” and ect up to 9 titles. He was given inscription by NPC Standing Committee Wu Jieping “Development of national medicine for the benefit of future generations”. He is the pioneer in hosting elective courses including “New Medicine”, “Sexual Medicine” and “Clinical Andrology” among universities ofChinaand Major elective courses ofInternationalSchool. He is also lecturer of numerous classes of Master and Doctorate-degree courses.
Subject Characteristics
The The Department of New Medicine and Needle-Pricking Therapy is a fostered specialist department of the hospital, its range of service includes:
I. Andrology and infertility
1. Male infertility (classified according to the 1993 WHO diagnostic map of male infertility)
i. Sexual dysfunction: erectile dysfunction (functional ED), anejaculation (retrograde ejaculation), premature ejaculation, nocturnal emission
ii. Abnormalities of seminal plasma: abnormal semen liquefaction (delayed semen liquefaction, no liquefaction), deficiency of trance elements in seminal plasma or reduced Zn, Se, etc, abnormal pH value
iii. Varicocele: Io Varicocele, treatment after high ligation of varicocele
iv. Idiopathic oligospermia and asthenospermia: sperm count <20 million/ml, sperm motility <= 50%, sperm activity <= Grade II (by 5-grade system)
v. Idiopathic sperm deformity: Sperm deformity rate => 20%
vi. Hypospermia, hyperspermia: Sperm count <= 1ml or => 6-8ml
vii. Infection of adnexa: acute and chronic prostatitis, epididymitis, genital mycoplasmal and chlamydial infection, hematospermia.
viii. Endocrine diseases: endocrine infertility, idiopathic hypogonadotropic hypogonadism (IHH), hyperprolactinemia
ix. Sperm autoagglutination: related to immunal infertility
x. Unexplained infertility
xi. Iatrogenic disease
xii. Immunal infertility: Serum anti-sperm antibodies (AsAB), seminal plasma antibodies.
2. Female infertility
i. Functional anovulation: follicle aplasia or hypoplasia (no dominant follicle).
ii. Endocrine infertility: hyperprolactinemia, menstrual irregularities, amenorrhea, polycystic ovarian syndrome (PCOS), endometriosis.
iii. Inflammation of genital tract: vaginitis, adnexitis, cervicitis, pelvic inflammatory disease (PID) and tubal adhesions.
iv. Non-gonococcal urethritis: genital mycoplasml and chlamydial infection
v. Habitual abortion: luteal phase defect
vi. Immunal infertility: serum anti-sperm antibodies (AsAb), cervical mucus antibodies
The department posses the most advanced Computer Automated Sperm Analysis (CASA), B&W Ultrasound diagnostic system, SG-89Amicrowave therapy system, PW-multifunction ultrasound therapy system, independent andrology, veneral disease research laboratory and professional senior examiners. The detection and screening of infertilit and andrology is at a highly advanced level both within and outside the province. The department has established research partnership with theCenterofReproductiive Medicineof Department of Medicine atUniversityofToronoto, and National Institute of TCM ofCanada, both in the field of reproductive health and infertility. Mutual visits are carried out in discussion of Western and TCM integrated treatment in infertility and health research in twin and multiple pregnancy.
II. Neck, shoulder, leg and lower back pain
In combination of New Medicine and Bone-setting manipulation, the Chen’s Needle-Pricking Therapy is capable of treating the following diseases:
1. Neck, shoulder and lower back pain
2. Stiff neck
3. Neurovascular headache
4. retrocervical vertebral joint disorder
5. Cervical spondylosis (6 types)
6. Omarthritis
7. Tennis elbow
8. Thoracic vertebral micro-joint disturbance syndrome
9. Chest and back pain
10. Intercostal neuralgia
11. Spinal compression fractures
12. Lower back pain
13. Sciatica
14. Lumber disc herniation
15. Neural damage of renal cortex
16. Ankylosing spondylitis
17. Spondylolisthesis
18. Piriformis Injury Syndrome
19. Knee Pain
20. Foot and ankle soft tissue injuries
21. Osteoporosis
22. Sacral hiatus
III. Rare illness
Epilepsy; depression; pseudo-myopia, hemorrhoids, sties, gall cecidium, pediatric malnutrition
New Research Fields of Needle-Pricking Therapy
1. Creative theories: Integration of modern medicine, neural anatomy, skin and visceral-related theories and theory of segmental distribution of the skin with Chinese medicine self-regulatory system of brain cortex and specific points according to nerve stimulation points as the basis, continued to develop and innovate constantly
2. Highlighting the overall concept of “treating the disease in the reason”: based on spinal medicine and principles of treatment of the spine by needle-pricking, “離點不離經” is suggested. It offers greater freedom in operating clinical treatment and higher efficacy and standardization in making prescriptions and faster treatment effect.
3. “Magical treatment effect”: Patients who have completed treatment for 3-6 months realize most from the treatment benefir. Patients will start to feel improvement after 1-3 courses of treatment. The treatment effect will become prominent after the whole course of therapy and the patient name it “magical effect”. It actually reflected the overall concept of Chinese medicine and the essence of dialectical therapy and also the results of simultaneous treatment of symptom and reason.
The Chen’s Needle-pricking therapy developed by Professor Chen Dong is creative, innovative, safe, effective and toxin-free, it incremented the principles of New Medicine which suggest “Combination of theory, method, presciption and point”.