CN100528262C - Program controlled meridian-dredging electric stimulator for treating headache - Google Patents

Program controlled meridian-dredging electric stimulator for treating headache Download PDF

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CN100528262C
CN100528262C CNB2006100875901A CN200610087590A CN100528262C CN 100528262 C CN100528262 C CN 100528262C CN B2006100875901 A CNB2006100875901 A CN B2006100875901A CN 200610087590 A CN200610087590 A CN 200610087590A CN 100528262 C CN100528262 C CN 100528262C
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meridians
helmet
electrodes
headache
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CN101088572A (en
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邰迎东
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Abstract

本发明涉及一种借助于常用安全头盔,其上设置电极,并用单片机控制治疗的头痛治疗仪。是以头盔的顶部,对应头部百汇穴为中心,向四周安装呈米字形排列的33个设有弹簧装置的电极。每根电极与患者的头皮接触良好,在任意两电极之间,通电脉冲刺激,达到治疗头痛,开通经络的目的。该头盔电极为带弹簧的不锈钢电极。前端为粗蘑菇头,能拨开头发,与头皮接触良好,又不刺痛头皮。弹簧外边套不锈钢薄管,使头发不与弹簧缠绕。不锈钢薄管套入有外罗口的铜管内。用螺母将铜管固定在头盔上。根据头形的不同,调整铜管在头盔中的位置。弹簧的一端连接蘑菇头,一端连接铜管外端,使蘑菇头能弹性地与头皮接触,提高治疗时的舒适度。

Figure 200610087590

The present invention relates to a kind of headache treating instrument with the aid of a common safety helmet, on which electrodes are arranged, and which is controlled and treated by a single-chip microcomputer. It is centered on the top of the helmet corresponding to the Baihui point on the head, and 33 electrodes with spring devices arranged in the shape of a meter are installed around it. Each electrode is in good contact with the patient's scalp, and between any two electrodes, the electric pulse is stimulated to achieve the purpose of treating headaches and opening the meridians. The helmet electrodes are stainless steel electrodes with springs. The front end is a thick mushroom head, which can detangle the hair and make good contact with the scalp without stinging the scalp. The spring is covered with a thin stainless steel tube so that the hair is not entangled with the spring. The stainless steel thin tube is sleeved in the copper tube with the outer collar. Secure the copper tube to the helmet with nuts. Adjust the position of the copper tube in the helmet according to the shape of the head. One end of the spring is connected to the mushroom head, and the other end is connected to the outer end of the copper tube, so that the mushroom head can elastically contact the scalp and improve the comfort during treatment.

Figure 200610087590

Description

程控电刺激开通经络头痛治疗器 Program-controlled electrical stimulation to open the meridian headache treatment device

技术领域 technical field

本发明涉及头痛理疗器具技术领域,具体涉及一种由单片机控制的程控经络开通治疗器,属于国际专利分类A61N1/00电疗法技术领域。The invention relates to the technical field of headache physical therapy appliances, in particular to a program-controlled meridian-opening therapeutic device controlled by a single-chip microcomputer, which belongs to the technical field of electrotherapy under international patent classification A61N1/00.

背景技术 Background technique

目前,临床上以穴位刺激治疗头痛,一般采用穴位针灸治疗法。但是往往对人体形成侵入性治疗过程,难以随时操作,进行适时治疗。同时,由于传统经络需对个体病人进行辨症施治,循经取穴,不能被目前占医学主流的西医人员掌握。At present, clinically, acupoint stimulation is used to treat headache, and acupoint acupuncture is generally used. However, it often forms an invasive treatment process for the human body, and it is difficult to operate at any time and perform timely treatment. At the same time, because the traditional meridians need to be differentiated and treated for individual patients, the selection of acupoints along the meridians cannot be mastered by Western medicine personnel who currently occupy the mainstream of medicine.

发明内容 Contents of the invention

本发明的目的,在于克服上述不足,提供一种借助于常用安全头盔上设置电极,并用单片机控制在电极上施加脉冲电治疗的头痛治疗器。The object of the present invention is to overcome above-mentioned deficiency, provide a kind of by means of conventional safety helmet to arrange electrode, and control the headache treatment device that applies pulse electric therapy on electrode with single-chip microcomputer control.

本发明依据杨氏“经络是人类大脑后天形成的有序自组织活动过程的自身整体功能调节系统。在中枢和人体外周,经络都没有其先天固有的循经通路途径的存在。经络的存在,主要反映在人体受到刺激后的感觉,称之为‘针感’,它可以循传统经络十四经的路线扩散循行,亦可使之循人体其它部位扩散循行。其扩散循行到达和通过的部位及其附近深浅组织器官的病痛症状,多可立即缓解或消退,局部或全身痛阀亦可相对提高”的理论,遵循传统经络学“通则不痛,痛则不通”的原则,将杨氏创建“两点刺激强弱并举,分段开通,统一连接”的新针法和新疗法转变为现代程控的头部电刺激方法。以百汇穴为中心,在米字形每一边上的四个相邻最近的两电极上通脉冲电,依次前进。打通最近距离的经络,最后贯通百汇与最远距离穴位的经络,达到打通经向经络的目的。同理,在米字形的每两边上的相邻最近的两电极上通脉冲电,依次前进。打通最近距离的纬向经络。在此基础上,在米字形的对称线的电极上通脉冲电,打通最远距离的穴位经络,达到贯通头部全部经络的目的。使原来不通无序的穴位经络变得通达有序,活跃起来,恢复正常的穴位经络状态。避免了传统针刺疗法对人体的损伤,同时方便更多非中医医疗人员使用。The present invention is based on Yang's "Meridian is the self-integral function regulation system of the orderly self-organized activity process formed by the human brain acquired. In the center and the periphery of the human body, the meridian does not have its inherent inherent meridian pathway. The existence of the meridian, It is mainly reflected in the feeling of the human body after being stimulated, which is called "needle sensation". It can diffuse along the route of the traditional meridians and fourteen meridians, and can also be diffused and circulated along other parts of the human body. Its diffusion and circulation reach and The pain and symptoms of the passing part and its nearby deep and shallow tissues and organs can be relieved or subsided immediately, and the local or whole body pain valve can also be relatively improved." The theory follows the traditional meridian theory of "there is no pain when it is clear, and the pain is not when it is unreasonable". Yang's new acupuncture method and new therapy of "both strong and weak points of stimulation, segmented opening, and unified connection" have been transformed into a modern program-controlled head electrical stimulation method. With Baihui point as the center, apply pulse electricity to the four adjacent and nearest two electrodes on each side of the Mi-shaped shape, and advance sequentially. Open up the meridians at the shortest distance, and finally through the meridians at Baihui and the farthest points, so as to achieve the purpose of opening up the meridians. In the same way, pulse electricity is passed on the adjacent and nearest two electrodes on every two sides of the "M" shape, and advances successively. Open up the closest latitudinal meridian. On this basis, pulse electricity is passed on the electrode of the symmetrical line of the rice character to open up the furthest point and meridian, so as to achieve the purpose of penetrating all the meridians of the head. Make the acupoints and meridians that were originally blocked and disordered become accessible and orderly, become active, and restore the normal state of acupoints and meridians. It avoids the damage of traditional acupuncture to the human body, and at the same time, it is convenient for more non-Chinese medical personnel to use.

本发明的技术方案如下。The technical scheme of the present invention is as follows.

首先,以安全头盔的顶部,并对应头部百汇穴为中心,向四周安装呈米字形排列的33个设有弹簧装置的电极。每根电极与患者的头皮接触良好,在任意两电极之间,通电脉冲刺激,达到治疗头痛,开通经络的目的。First, center on the top of the safety helmet and correspond to the Baihui acupoint on the head, and install 33 electrodes with spring devices arranged in the shape of a rice. Each electrode is in good contact with the patient's scalp, and between any two electrodes, the electric pulse is stimulated to achieve the purpose of treating headaches and opening the meridians.

程控经络开通器采用单片机技术,程序控制电子电路产生的电脉冲,加在安装于头盔上呈米字形排列的33个有弹簧装置的电极上,刺激每个穴位。The program-controlled meridian opener adopts single-chip microcomputer technology, and the program controls the electric pulse generated by the electronic circuit, which is added to the 33 electrodes with spring devices arranged in the shape of a meter on the helmet to stimulate each acupuncture point.

依据中医“通则不痛,痛则不通”的理论及循序渐进的原则,以百汇穴为中心,在米字形每一边上的四个相邻最近的两电极上通脉冲电,依次前进。打通最近距离的经络,最后贯通百汇与最远距离穴位的经络,达到打通经向经络的目的。同理,在米字形的每两边上的相邻最近的两电极上通脉冲电,依次前进。打通最近距离的纬向经络。在此基础上,在米字形的对称线的电极上通脉冲电,打通最远距离的穴位经络,达到贯通头部全部经络的目的。使原来不通无序的穴位经络变得通达有序,活跃起来,恢复正常的穴位经络状态。According to the theory of traditional Chinese medicine that "there is no pain if there is generalization, and no pain if there is no pain" and the principle of step-by-step, with Baihui point as the center, pulse electricity is applied to the four adjacent electrodes on each side of the Mi-shaped shape, and advance in sequence. Open up the meridians at the shortest distance, and finally through the meridians at Baihui and the farthest points, so as to achieve the purpose of opening up the meridians. In the same way, pulse electricity is passed on the adjacent and nearest two electrodes on every two sides of the "M" shape, and advances successively. Open up the closest latitudinal meridian. On this basis, pulse electricity is passed on the electrode of the symmetrical line of the rice character to open up the furthest point and meridian, so as to achieve the purpose of penetrating all the meridians of the head. Make the acupoints and meridians that were originally blocked and disordered become accessible and orderly, become active, and restore the normal state of acupoints and meridians.

附图说明 Description of drawings

图1为本发明的工作原理框图;Fig. 1 is a working principle block diagram of the present invention;

图2为本发明中头盔弹簧电极的示意图;Fig. 2 is the schematic diagram of helmet spring electrode among the present invention;

图3为本发明的面板图Fig. 3 is panel diagram of the present invention

图4为本发明的头盔电极连接图Fig. 4 is the helmet electrode connection diagram of the present invention

图5-图7为本发明的各电路图。5-7 are circuit diagrams of the present invention.

具体实施方式 Detailed ways

如图1的原理图所示:本发明的头痛治疗器,即经络开通器,由单片机控制、显示及调节、电源及高压脉冲电子开关网络头盔电极四部分电路组成。As shown in the schematic diagram of Fig. 1: the headache treatment device of the present invention, i.e. the meridian opener, is made up of four part circuits of single-chip microcomputer control, display and adjustment, power supply and high-voltage pulse electronic switch network helmet electrode.

首先,以安全头盔的顶部,对应头部百汇穴为中心,向四周安装呈米字形排列的33个设有弹簧装置的电极。操作时,戴在头痛患者的头上,操作简单快捷,靠头盔的自重,每根电极与头皮的接触良好。在任意两电极之间,通电脉冲刺激,达到治疗头痛,开通经络的目的。First, center on the top of the safety helmet, which corresponds to the Baihui point on the head, and install 33 electrodes with spring devices arranged in the shape of a rice. When operating, it is worn on the head of the headache patient, and the operation is simple and fast. Depending on the weight of the helmet, each electrode is in good contact with the scalp. Between any two electrodes, energize pulse stimulation to achieve the purpose of treating headaches and opening meridians.

电源:如图5,在室内时采用220V交流电供电,功耗0.4瓦,在室外时,由内部装配的蓄电池供电。变压器T1、整流桥B1、电容E1组成隔离降压、整流滤波电路。由IC1(MC34063)、D1、L1等元件组成的具有限流功能的开关稳压电源给蓄电池BATT进行浮充充电,与蓄电池组成不间断电源。由IC2、D3、L2等元件组成5伏开关稳压电源,供单片机及控制电路使用。如附图5的POWER1部分。由IC3、D4、L3、N1等元件组成的开关稳压电源,在单片机送来的脉冲宽度调制信号PWM的控制下,产生数字连续可调1.2-9伏的电源,供高压脉冲电电路产生相应的高压。如附图5的POWER2部分。Power supply: as shown in Figure 5, 220V AC is used for power supply when indoors, and the power consumption is 0.4 watts. When it is outdoors, it is powered by the battery assembled inside. Transformer T1, rectifier bridge B1, and capacitor E1 form an isolation step-down, rectification and filtering circuit. The switching regulated power supply with current limiting function composed of IC1 (MC34063), D1, L1 and other components performs floating charge for the battery BATT, and forms an uninterruptible power supply with the battery. The 5-volt switching regulated power supply is composed of IC2, D3, L2 and other components, which are used for single-chip microcomputer and control circuit. As shown in the POWER1 part of Figure 5. The switching stabilized power supply composed of IC3, D4, L3, N1 and other components, under the control of the pulse width modulation signal PWM sent by the microcontroller, generates a digital continuously adjustable 1.2-9 volt power supply for the high-voltage pulse circuit to generate corresponding of high pressure. As shown in the POWER2 part of Figure 5.

单片机控制:如图6中MPU部分所示:单片机ATMEGA16在程序的控制下,接收来自控制按钮S1-S8送来的脉冲电压、脉冲速度、穴位电极等信息,输出脉冲电压PWM、脉冲速度MC、穴位电极KZDA、KZCK以及显示脉冲电压速度VVDA、VVCK、各种脉冲波形WDA、WCK、输出指示OD、相应定位穴位显示等信号,控制显示输出电压及速度、脉冲波形,定位要电刺激的穴位。Single-chip microcomputer control: as shown in the MPU part in Figure 6: under the control of the program, the single-chip microcomputer ATMEGA16 receives information such as pulse voltage, pulse speed, and acupoint electrodes from the control buttons S1-S8, and outputs pulse voltage PWM, pulse speed MC, Acupoint electrodes KZDA, KZCK and display pulse voltage speed VVDA, VVCK, various pulse waveforms WDA, WCK, output indication OD, corresponding positioning acupoint display and other signals, control and display output voltage and speed, pulse waveform, and locate the acupoints to be electrically stimulated.

程序分手动和自动两部分。手动部分是有针对的选择头痛的部位电极,加适当的脉冲电刺激,达到治疗的目的。自动部分是在头盔的33个电极上分别加适当的脉冲电,以方案里所述的思想,打通头部穴位间的经络,使原来不通无序的穴位经络变得通达有序,活跃起来,恢复正常的穴位经络状态。The program is divided into two parts, manual and automatic. The manual part is to select the electrodes on the site of the headache in a targeted manner, and add appropriate pulse electrical stimulation to achieve the purpose of treatment. The automatic part is to add appropriate pulse electricity to the 33 electrodes of the helmet, and use the ideas described in the plan to open up the meridians between the acupuncture points on the head, so that the previously unconnected and disordered acupoints and meridians become orderly and active. Restore the normal state of acupuncture points and meridians.

本发明中采用300Hz的脉冲电为载波,0.3-100Hz频率调制输出,形成脉冲串。In the present invention, 300Hz pulse electricity is used as the carrier, and the frequency modulation output is 0.3-100Hz to form a pulse train.

显示及调节:如附图6中SW-PB部分的按钮矩阵所示,S1、S2为脉冲电压加减按钮,调节输出脉冲电压,显示器为3位LED显示器,显示0-100档,对应20-200伏输出电压;S3、S4为调制速率加减按钮,选择脉冲串循环速度,显示器亦为3位LED显示器,显示0.3-100,对应0.3-100赫兹调制速率(附图7中DISPLAYVOLTAGE AND RATE部分);S5为脉冲波形按钮,选择疏波、密波、疏密波、正三角波、反三角形波、手针波6钟脉冲串波形,产生连续波和模拟针灸运针的效果。同时,图7中DISPLAY WAVE部分的L1-L6脉冲波形指示灯相应点亮;S6、S7、S8为穴位定位按钮,分别为手动

Figure C20061008759000051
(经)、手动
Figure C20061008759000052
(纬)、自动(手动时为确认)按钮。当手动选择33个电极中任意两个电极时,第一次按手动经、手动纬、自动/确认按钮,选择第一个电极,第二次按手动经、手动纬、确认/自动按钮,选择第二个电极,同时相应穴位的指示灯点亮,指示选择的电极(如图6中DISPLAYPOINT部分)。按自动/确认按钮3秒钟进入自动穴位扫描,这时再按自动/确认按钮一次扫描速度快一档,共9档。按手动经或手动纬按钮退出自动。Display and adjustment: As shown in the button matrix of the SW-PB part in Figure 6, S1 and S2 are pulse voltage addition and subtraction buttons to adjust the output pulse voltage. The display is a 3-digit LED display, showing 0-100 levels, corresponding to 20- 200 volt output voltage; S3 and S4 are modulation rate addition and subtraction buttons, select the pulse train cycle speed, and the display is also a 3-digit LED display, showing 0.3-100, corresponding to 0.3-100 Hz modulation rate (DISPLAYVOLTAGE AND RATE part in Figure 7 ); S5 is the pulse waveform button, select sparse wave, dense wave, sparse-dense wave, positive triangle wave, reverse triangle wave, and hand acupuncture wave for 6 pulse train waveforms to generate continuous wave and simulate the effect of acupuncture and moxibustion. At the same time, the L1-L6 pulse waveform indicators of the DISPLAY WAVE part in Figure 7 light up accordingly; S6, S7, and S8 are acupuncture point positioning buttons, respectively for manual
Figure C20061008759000051
(by), manual
Figure C20061008759000052
(weft), automatic (Confirmation in manual mode) button. When manually selecting any two of the 33 electrodes, press the manual warp, manual weft, and auto/confirm button for the first time to select the first electrode, and press the manual warp, manual weft, and confirm/auto button for the second time to select For the second electrode, the indicator lights of the corresponding acupoints will light up at the same time, indicating the selected electrode (DISPLAYPOINT part in Figure 6). Press the Auto/Confirm button for 3 seconds to enter the automatic acupoint scanning, and then press the Auto/Confirm button again to scan one step faster, a total of 9 levels. Press the manual warp or manual weft button to exit automatic.

穴位指示灯位置如图3面板图(与头盔电极图图4对应)。中心指示灯为L33,对应头盔的百汇穴电极。从百汇穴电极到左太阳穴电极,均匀排列四个电极,指示灯为L1、L2、L3、L4;从百汇穴电极到左前额电极,均匀排列四个电极,指示灯为L5、L6、L7、L8;这样顺时针旋转,以米字形排列33个指示灯,对应33个电极。The location of the acupoint indicator lights is shown in Figure 3 panel diagram (corresponding to Figure 4 of the helmet electrode diagram). The central indicator light is L33, which corresponds to the Baihui acupoint electrode on the helmet. From the Baihui acupoint electrode to the left temple electrode, four electrodes are evenly arranged, and the indicator lights are L1, L2, L3, L4; from the Baihui acupoint electrode to the left forehead electrode, four electrodes are evenly arranged, and the indicator lights are L5, L6, L7, L8; rotate clockwise in this way, 33 indicator lights are arranged in the shape of a rice, corresponding to 33 electrodes.

图6中DISPLAY OUTPUT部分L34为输出脉冲指示灯。DISPLAY OUTPUT part L34 in Fig. 6 is the output pulse indicator light.

高压脉冲、电子开关网络、头盔电极:High voltage pulses, electronic switching network, helmet electrodes:

高压脉冲电路如图5中HIGH VOLTAGE部分所显示:三极管N2、N3及变压器T2组成高压脉冲发生器,受单片机MC信号的控制产生20-200伏的脉冲电,供给各穴位电极。P1插座是脉冲电直接输出,供特殊情况时使用。The high-voltage pulse circuit is shown in the HIGH VOLTAGE part in Figure 5: the triode N2, N3 and transformer T2 form a high-voltage pulse generator, which is controlled by the MC signal of the single-chip microcomputer to generate 20-200 volt pulse electricity, which is supplied to the electrodes of each acupoint. The P1 socket is a direct output of pulse electricity, which is used in special cases.

电子开关网络如图7中OUTPUT VOLTAGE(O1…O33)部分,单片机输出的串行穴位定位数据KZDA和时钟KZCK送给由U1-U9组成的串入并出电路,输出66个穴位定位正负信号,控制由三极管P1-P33、N1-N66组成的电子开关网络,输出O1-O33正负高压脉冲到对应的头盔电极。如选择O1和O2两电极时,第一步U1集成片的Q0、Q3输出高电平,Q1、Q2输出低电平,这时O1输出高压脉冲,O2接地。第二步U1集成片的Q0、Q3输出低电平,Q1、Q2输出高电平,这时O2输出高压脉冲,O1接地。在程序的控制下,电极O1、O2完成了一次正负脉冲的输出。其它电极类同。这样的正负脉冲电刺激,减轻了单极性脉冲电刺激对皮肤的电解副作用。The electronic switch network is shown in the OUTPUT VOLTAGE (O1...O33) part in Figure 7. The serial acupoint positioning data KZDA and clock KZCK output by the microcontroller are sent to the serial input and parallel output circuit composed of U1-U9, and the positive and negative signals of 66 acupoint positioning are output , control the electronic switch network composed of triodes P1-P33, N1-N66, and output O1-O33 positive and negative high-voltage pulses to the corresponding helmet electrodes. For example, when two electrodes O1 and O2 are selected, Q0 and Q3 of U1 integrated chip output high level in the first step, and Q1 and Q2 output low level. At this time, O1 outputs high-voltage pulse, and O2 is grounded. In the second step, Q0 and Q3 of U1 integrated chip output low level, Q1 and Q2 output high level, at this time O2 outputs high-voltage pulse, and O1 is grounded. Under the control of the program, the electrodes O1 and O2 complete a positive and negative pulse output. Other electrodes are similar. Such positive and negative pulse electrical stimulation reduces the electrolytic side effect of unipolar pulse electrical stimulation on the skin.

头盔电极,如图2所示:为带弹簧3的不锈钢电极。前端为5毫米粗蘑菇头1,能拨开头发,与头皮接触良好,又不刺痛头皮。弹簧3外边套有不锈钢薄管2,使头发不与弹簧缠绕。不锈钢薄管2套入有外罗口的铜管4内。用螺母将铜管4固定在头盔上。根据头形的不同,调整铜管4在头盔中的位置。弹簧3的一端连接蘑菇头1,一端连接铜管4的外端。使蘑菇头1能弹性地与头皮接触,提高治疗时的舒适度。The helmet electrode, as shown in Figure 2: is a stainless steel electrode with a spring 3. The front end is a 5 mm thick mushroom head 1, which can push the hair away and make good contact with the scalp without stinging the scalp. The outside of spring 3 is covered with thin stainless steel tube 2, so that hair is not entangled with spring. Stainless steel thin tube 2 is sleeved in the copper tube 4 that has external collar. Fix the copper pipe 4 on the helmet with nuts. Adjust the position of the copper tube 4 in the helmet according to the shape of the head. One end of the spring 3 is connected to the mushroom head 1, and the other end is connected to the outer end of the copper pipe 4. Make the mushroom head 1 elastically contact with the scalp and improve the comfort during treatment.

试验验证:Test verification:

与现有技术相比,本发明具有如下效果:Compared with the prior art, the present invention has the following effects:

突破传统循经取穴的束缚,采用米字形各向开通经络的方法,运用程序控制顺序电刺激头部穴位,达到开通经络,实现“通则不痛”的目的。消除头痛患者的病痛,使用方便。Break through the shackles of traditional acupoint selection along the meridians, adopt the method of opening the meridians in all directions in the shape of a meter, and use the program control sequence to electrically stimulate the acupoints on the head to open the meridians and realize the goal of "no pain". Eliminate the pain of headache patients, easy to use.

探讨开通经络疗法对头痛的治疗效果,印证杨氏关于“经络是人类大脑后天形成的有序自组织活动过程的自身整体功能调节系统。在中枢和人体外周,经络都没有其先天固有的循经通路途径的存在。”之理论,并观察依此理论为基础自主研发的开通经络电子头痛治疗仪对头痛的治疗效果。方法:在149例各种头痛病例中,100例采用以头顶部为中心“米”字形排列布针,并施以电刺激的电针疗法。49例采用开通经络电子头痛治疗仪治疗。每例患者治疗前后分别指认疼痛指数,经统计学处理。结果:两组病例治疗前后头痛均明显缓解,疼痛指数差异显著(P<0.01);两种治疗方法无显著差异(P>0.05)。结论:杨氏经络实质的研究理论和开通经络疗法,具有客观存在性,经络是人体后天获得的,是可以任意方向传导针感的。通过两点间的强弱刺激,可按治疗目的任意开通经络。Discuss the therapeutic effect of opening the meridian therapy on headaches, and confirm Yang's statement that "the meridian is an orderly self-organized activity process formed by the human brain and the overall functional regulation system. In the central and peripheral areas of the human body, the meridian does not have its inherent inherent meridian following." The existence of access pathways.” theory, and observe the therapeutic effect on headache of the electronic headache treatment instrument independently developed on the basis of this theory. Method: Among 149 cases of various headache cases, 100 cases were treated with electroacupuncture therapy in which needles were arranged in a "m" shape centered on the top of the head and electric stimulation was applied. Forty-nine cases were treated with the electronic headache therapy instrument for opening the meridians. The pain index of each patient was identified before and after treatment, and processed statistically. Results: The headaches of the two groups were relieved obviously before and after treatment, and the pain index was significantly different (P<0.01); there was no significant difference between the two treatments (P>0.05). Conclusion: The research theory of Yang's meridian essence and the therapy of unblocking meridians have objective existence. The meridians are acquired by the human body, and can transmit acupuncture sensation in any direction. Through the strong and weak stimulation between two points, the meridians can be opened arbitrarily according to the purpose of treatment.

头痛是临床上一个最常见的病症,几乎每个人一生中都有不同程度的头痛体验,但因其类型繁多,机制复杂,病情轻重不一,且涉及神经科、精神科、内科、儿科、五官科等多种学科,给诊断与治疗带来了不少困难。1988年国际头痛协会(IHS)对头痛进行了统一分类,制定了较为详细的诊断标准。规范了头痛的分类和诊断标准。对于头痛的治疗方法诸多,但疗效不一,特别是对以头痛为主要表现的一类疾病,如偏头痛、紧张性头痛、丛集性头痛等原发性头痛的治疗多以镇痛药物控制疼痛为主,尚不能根治。祖国医学中以经络理论为基础的针灸学方法对头痛的治疗已被公认,但对经络本身机理的研究众说纷云,尚未有被公认的说法。Headache is one of the most common symptoms clinically. Almost everyone experiences headaches in different degrees in their life. Medicine and other disciplines have brought many difficulties to diagnosis and treatment. In 1988, the International Headache Society (IHS) unified the classification of headaches and formulated more detailed diagnostic criteria. Standardize the classification and diagnostic criteria of headache. There are many treatment methods for headache, but the curative effect is different, especially for a class of diseases with headache as the main manifestation, such as migraine, tension headache, cluster headache and other primary headaches, analgesic drugs are often used to control pain Mainly, it cannot be cured yet. In traditional Chinese medicine, acupuncture and moxibustion based on meridian theory have been recognized for treating headaches, but there are many opinions on the mechanism of meridian itself, and no one has been accepted yet.

依据杨氏“开通经络疗法及量子经络针灸学”理论(1),打破传统以经络学理论为基础的循环取穴,以穴位为针刺区域对头痛施治的方法,采用以头顶部为中心,自四周八向以“米”字形排列布针,施以电刺激的方法治疗头痛,并以此为依据开发研制了开通经络电子头痛治疗仪,对149例各种头痛进行治疗。以期印证杨氏:“经络是人类高级中枢后天形成的有序自组织活动过程的自身整体功能调节系统,其中枢主要在高级中枢体感区。在中枢或人体外围,经络都没有其先天固有的循经通路途径的存在”之理论[2]。并观察依此理论为基础自主研发的开通经络电子头痛治疗仪的疗效,现报告如下。According to Yang's "opening meridian therapy and quantum meridian acupuncture" theory (1) , breaking the traditional cycle of acupoint selection based on meridian theory, using acupoints as acupuncture areas to treat headaches, using the top of the head as the center , Arrange needles in the shape of "rice" from all directions and eight directions, and treat headaches by applying electrical stimulation. Based on this, an electronic headache treatment instrument for opening meridians was developed to treat 149 cases of various headaches. In order to confirm Yang’s: “The meridian is the overall functional regulation system of the orderly self-organized activity process formed by the human high-level center. The existence of pathways through access" theory [2] . And observe the curative effect of the Kaitong Meridian Electronic Headache Therapy Apparatus independently developed on the basis of this theory, the report is as follows.

临床资料clinical information

1.1一般资料1.1 General information

本组149例均以头痛为主诉,男50例,女99例,年龄12-77岁,头痛时间1天至40年。依据国际头痛协会制定的头痛诊断标准,符合偏头痛者27例,紧张性头痛28例,丛集性头痛4例,余90例多为继发性头痛,涉及神经衰弱、抑郁症、焦虑症、高血压、腔隙性脑梗塞、枕大神经痛、脑外伤后遗症、颈源性头痛等十多种病症。All 149 cases in this group had headache as the main complaint, 50 males and 99 females, aged 12-77 years, with headache duration ranging from 1 day to 40 years. According to the headache diagnostic criteria established by the International Headache Society, 27 cases met migraine, 28 cases of tension headache, 4 cases of cluster headache, and the remaining 90 cases were mostly secondary headaches involving neurasthenia, depression, anxiety, high Blood pressure, lacunar infarction, occipital neuralgia, sequelae of traumatic brain injury, cervicogenic headache and more than ten diseases.

1.2诊断标准1.2 Diagnostic criteria

采用1988年国际头痛协会(IHS)对头痛的分类和诊断标准,但由于该标准过于繁杂,病人不能正确表述,给确切诊断造成困难,本组病例27例符合偏头痛诊断标准,28例符合紧张性头痛标准,4例符合丛集性头痛标准,其余90例属继发性头痛或不能分类的头痛。The 1988 International Headache Society (IHS) classification and diagnostic criteria for headaches were adopted. However, due to the complexity of the criteria, patients could not express them correctly, which made it difficult to make a precise diagnosis. In this group, 27 cases met the diagnostic criteria for migraine, and 28 cases met the criteria for tension. 4 cases met the criteria of cluster headache, and the remaining 90 cases belonged to secondary headache or unclassifiable headache.

1.3疗效标准1.3 Curative effect standard

由于头痛为一种主观感觉,目前尚无检测痛阈的客观设备,我们采用疼痛指数或视觉模拟尺度的方法,以头痛得要死为100,完全不痛为0。分别检测治疗前后的疼痛指数。Since headache is a subjective feeling, there is currently no objective equipment for detecting pain threshold. We use the method of pain index or visual analog scale, with headache as 100 as death and no pain as 0. The pain index before and after treatment was detected respectively.

1.4方法1.4 Method

1.4.1电针疗法1.4.1 Electroacupuncture therapy

以头顶部为中心点(相当于百会穴),向头周四方八向每间隔2.5-4cm刺入一根针,每个方向共3-4根,前面以眉间为最后一针,后面于枕结节下方为最后一针,两前侧方向至颞部(相当于太阳穴),双侧方向在耳廓上缘1cm处,双后侧方向位于乳突后方约2cm处(相当于风池穴处),针全部刺入后,用G6805I II型电子治疗仪将一端电极夹于中心点针柄上,手持别一电极,分别依次由里向外短暂接触各针针柄,施以电刺,参数设定:频率100Hz,波形为疏密波,电压40伏,电流分三档,每档均对各针接触一次。实施电刺激后留针10-20分钟。对疼痛较重区域酌情加大刺激量和加长时间。Take the top of the head as the center point (equivalent to Baihui acupoint), insert a needle at intervals of 2.5-4cm in eight directions on the first four sides, a total of 3-4 needles in each direction. The last stitch is below the occipital tubercle, and the two fronts are directed to the temporal part (equivalent to the temple), the bilateral direction is at 1 cm from the upper edge of the auricle, and the bilateral posterior direction is at about 2 cm behind the mastoid (equivalent to Fengchi point). place), after the needles are all inserted, use the G6805I II electronic therapy instrument to clamp one end of the electrode on the needle handle at the center point, hold the other electrode, and briefly touch the needle handles from the inside to the outside respectively, and perform electric stimulation. Parameter setting: the frequency is 100Hz, the waveform is a density wave, the voltage is 40 volts, and the current is divided into three levels, and each level touches each needle once. The needle is left for 10-20 minutes after the electrical stimulation. Increase the amount and duration of stimulation as appropriate for areas with severe pain.

1.4.2开通经络电子头痛治疗仪简介和使用方法1.4.2 Brief introduction and usage method of Kaitong Meridian Electronic Headache Therapy Apparatus

1.4.2.1开通经络电子头痛治疗仪简介1.4.2.1 Brief Introduction of Open Meridian Electronic Headache Therapy Apparatus

我们在以上电针治疗方法的基础上,开发研制了开通经络电子头痛治疗器,选用安全头盔,以头顶部为中心,以米字型方式,间隔3cm固定一弹性电极杆,使之与头皮接触,本仪器设有疏波、密波、疏密波、正三角波、反三角波、手针刺激波,刺激电压区间0-100档,对应脉冲电压20-200伏。频率区间0.3--100Hz。在仪器板面上设置有与每个电极杆相连接的米字形LED指示灯,指示灯亮时表示相应电极杆有电流导入,对人体实施电刺激。该仪器设有自动刺激和手动刺激两种方式,自动刺激由电脑程序指挥完成,分为三部刺激法①以中心电极为起点,各方向每条单线两电极点分别相连②相邻两单线上相邻两电极点依次相连③米字型线中相对线上各点相连。手动刺激由操作人员按住米字型手动经、手动纬按钮,使任何两点相连,进行电刺激。On the basis of the above electroacupuncture treatment methods, we have developed an electronic headache treatment device for opening the meridians. We use a safety helmet, center the top of the head, and fix an elastic electrode rod at an interval of 3 cm in a rice-shaped manner to make it contact with the scalp. , The instrument is equipped with sparse waves, dense waves, sparse and dense waves, positive triangle waves, reverse triangle waves, and hand acupuncture stimulation waves. The stimulation voltage range is 0-100 files, and the corresponding pulse voltage is 20-200 volts. Frequency range 0.3--100Hz. There is a meter-shaped LED indicator light connected to each electrode rod on the instrument panel. When the indicator light is on, it means that the corresponding electrode rod has current input, and the human body is electrically stimulated. The instrument has two methods of automatic stimulation and manual stimulation. The automatic stimulation is completed by the command of the computer program, which is divided into three stimulation methods. ①Start from the center electrode, and connect the two electrode points on each single line in each direction. ②Two adjacent single lines. The adjacent two electrode points are connected in turn. ③ The points on the opposite line in the rice-shaped line are connected. For manual stimulation, the operator presses the M-shaped manual latitude and longitude buttons to connect any two points for electrical stimulation.

1.4.2.2使用方法1.4.2.2 How to use

给患者带上头盔,为防止头发阻隔,前后左右移动头盔使电极杆与头皮密切接触。选取疏密波型和手针刺激波型各自动程序刺激一遍,设置电压强度为5-8档,频率100Hz,然后采用手动强化刺激,着重刺激疼痛较重区域。Put on a helmet for the patient, and move the helmet back and forth, left and right to make the electrode rods in close contact with the scalp in order to prevent the hair from blocking. Select the automatic program of the density wave type and the hand acupuncture stimulation wave type to stimulate once, set the voltage intensity to 5-8 levels, and the frequency to 100Hz, and then use manual strengthening stimulation to focus on stimulating the more painful areas.

1.5统计方法1.5 Statistical methods

数据以X±s表示,治疗前后比较采用配对t检验,与对照组比较采用t检验。The data is represented by X±s, the paired t test was used for comparison before and after treatment, and the t test was used for comparison with the control group.

1.6方法选择1.6 Method selection

我们自2003年3月开始对头痛患者实施开通经络电针疗法,共治疗各类头痛100例,2004年10月后开发出开通经络电子头痛治疗仪后,对49例头痛患者施用该仪器进行治疗。Since March 2003, we have implemented open meridian electroacupuncture therapy for headache patients, and treated 100 cases of various types of headaches. After developing the open meridian electronic headache treatment instrument after October 2004, 49 cases of headache patients were treated with this instrument .

结果result

开通经络电针疗法治疗前后疼痛指数分别是45.03±20.53,6.13±8.26,开通经络电子头痛仪治疗前后疼痛指数分别是51.47±21.74,8.15±10.39,每组病例治疗前后疼痛指数均有显著差异(P<0.01),两种方法治疗头痛无显著差异(P>0.05)。从以上结果可看出,开通经络电子头痛治疗仪与电针疗法对头痛的治疗,效果相近。而治疗仪不用针具刺入人体可消除病人对针具的恐慌心理,而且设有自动化刺激程序,可以节省人力和时间。The pain indexes before and after treatment of opening meridian electroacupuncture therapy were 45.03±20.53, 6.13±8.26 respectively, and the pain indexes before and after treatment of opening meridian electronic headache instrument were 51.47±21.74, 8.15±10.39 respectively. P<0.01), there was no significant difference between the two methods for treating headache (P>0.05). From the above results, it can be seen that the effect of opening the meridian electronic headache treatment instrument and electroacupuncture therapy on headache is similar. The therapeutic instrument does not need needles to penetrate the human body, which can eliminate the patient's panic about needles, and is equipped with an automatic stimulation program, which can save manpower and time.

讨论discuss

头痛是由于头面部结构受到物理或化学因素刺激,经感觉神经传于大脑而引起的一种复杂的主观感觉。现已发现参与痛信息传递的神经元中可能有十几种生物活性物质,如缩胆囊素、生长抑素、内啡肽、强啡肽、脑啡肽、5-HT、Ach等。其中内啡肽、强啡肽、脑啡肽等阿片肽胶类物质,镇痛作用较强,尤以强啡肽为著[3]。韩济生关于针刺镇痛原理的研究证明,不同频率的电针刺激,可促使脑和脊髓释放不同种类的阿片肽,而以2-100HZ交替的疏密波疗效最佳[4]。此项原理为本文所施用方法提供了现代理论基础。Headache is a complex subjective sensation caused by stimulation of the head and face structures by physical or chemical factors and transmitted to the brain through sensory nerves. It has been found that there may be more than a dozen biologically active substances in the neurons involved in the transmission of pain information, such as cholecystokinin, somatostatin, endorphin, dynorphin, enkephalin, 5-HT, Ach, etc. Among them, endorphins, dynorphins, enkephalins and other opioid peptides have strong analgesic effects, especially dynorphins [3] . Han Jisheng's research on the principle of acupuncture analgesia proves that different frequencies of electroacupuncture stimulation can promote the release of different types of opioid peptides in the brain and spinal cord, and the effect of alternating density waves of 2-100HZ is the best [4] . This principle provides the modern theoretical basis for the method applied in this paper.

传统经络学认为,在人体存在着经络调节系统,并从实践中总结提出,它主要有十二条正经,加上奇经八脉中的任脉、督脉、通称十四经脉。它“内属脏腑,外络肢节”,可以“调虚实,处百病,决生死”。当针刺出现的针感循环到达和通过人体相应部位时,其附近深浅组织的病痛症状多可以立即缓解或消退,局部痛阈值亦相应提高,针灸学对此称之为“气至病所”和“气至而有效”以及“通则不痛”和“不通则痛”。The traditional meridian theory believes that there is a meridian regulation system in the human body, and it is concluded from practice that it mainly has twelve main meridians, plus the ten meridians, the governor meridians, and the fourteen meridians among the eight extra meridians. It "belongs to the viscera inside, and the limbs and joints outside", it can "regulate deficiency and excess, treat all kinds of diseases, and determine life and death". When the needling sensation from acupuncture reaches and passes through the corresponding parts of the human body, the pain symptoms of the nearby deep and shallow tissues can be relieved or subsided immediately, and the local pain threshold is also increased accordingly. Acupuncture and moxibustion is called "Qi to the sick place". And "Qi arrives and it is effective" and "No pain if it works well" and "Pain if it doesn't work".

中医和针灸辩证治疗常将头痛分为外感和内伤两类,外感头痛指外感风、寒、暑、湿、燥、头六淫之邪或疫病之此所致的经络不通,“不通则痛”之实证头痛;内伤头痛指气血阴阳不足不荣脑络,脑失所养出现的虚证头痛,及脏腑功能的虚损,气血津液运行异常,产生痰瘀阻滞经络,导致脑络不通则痛。此两类病因均以外部或内部因素导致经络不通而引发疼痛[5]。由此可见,经络的通畅与否决定着疼痛的产生与消失。亦即所谓经络通畅则不痛,经络不通则痛。那么用现代医学的眼光观察什么是经络呢?经络的实质是什么呢?我国“八五”“九五”攻关课题均投入大量人力物力对之进行实验研究,应用声、光、电、热、磁辐射、同位素示踪和解剖组织学等现代科技手段,去揭示经络在人体外周先天循经活动的通路途径结构的存在,尚未闻有可以肯定的答案。Traditional Chinese medicine and acupuncture dialectical treatment often divide headaches into two types: exogenous and internal injuries. Exogenous headaches refer to the blockage of meridians caused by exogenous wind, cold, heat, dampness, dryness, six evils of the head, or epidemics. Excessive syndrome headache; internal injury headache refers to deficiency syndrome headache caused by deficiency of qi, blood, yin and yang, lack of nourishment of the brain, and deficiency of viscera function, abnormal operation of qi, blood and body fluid, resulting in phlegm and blood stasis that block the meridian, resulting in brain meridian blockage pain. These two types of etiology are both external or internal factors leading to blockage of meridians and causing pain [5] . It can be seen that the smoothness of the meridians determines the occurrence and disappearance of pain. That is to say, if the meridians are unblocked, there will be no pain, and if the meridians are blocked, there will be pain. So what is the meridian from the perspective of modern medicine? What is the essence of meridians? my country's "Eighth Five-Year Plan" and "Ninth Five-Year Plan" have invested a lot of manpower and material resources in experimental research, using modern scientific and technological means such as sound, light, electricity, heat, magnetic radiation, isotope tracing and anatomy and histology to reveal the meridians in the human body. There is no definite answer to the existence of the pathway structure of innate meridian-following activities around the human body.

杨氏发现针感并非完全按照传统的经络途径循行,亦可按照需要而编制的循行程序向任何方向扩散循行,其扩散循行过程,可被高级中枢明确地感知和定位出来,这些特点反映着针感有序自组织扩散循行具有大脑高级中枢后天获得性的特征。针感存在有序自组扩散循行的特征,其过程实为针感在高级中枢后天扩散循过程的轨迹,在人体外周的反映和投影,这就突破了传统经络学的先天外周为主循经为纲的理论框架,他认为针感有序连锁扩散循行是一个后天获得性过程,无论在人体中枢或外周,都没有针感扩散循行的先天固有通路途径的存在。所以欲使针感在较长距离和不同方位扩散循行时,需要先采取两点刺激强弱并举的操作方法,把欲开通的区间分割成数段,先一段一段地开通,然后再分别刺激全程两端,便可将各段统一连接起来,从而使针感按所编制的循行途径,在全程扩散循行,从而达到预期治疗的目的。由此创立了以“两点刺激,强弱并举,统一连系”为主要内容的“开通经络针感有序扩散循行操作法”(1)Yang discovered that the acupuncture sensation does not completely follow the traditional meridian pathways, but can also spread in any direction according to the required circulation program. The diffusion circulation process can be clearly perceived and positioned by the high-level central nervous system. The characteristics reflect that the orderly self-organized diffusion of needle sensation has the acquired characteristics of the high-level brain center. Acupuncture has the characteristics of orderly self-organization and diffusion, and its process is actually the trajectory of the acquired diffusion process of acupuncture in the high-level central, and the reflection and projection on the periphery of the human body, which breaks through the innate peripheral-based circulation of traditional meridian science. Based on the theoretical framework of Jingweigang, he believes that the orderly chain diffusion and circulation of needle sensation is an acquired process, and there is no innate inherent pathway for the diffusion and circulation of needle sensation in the center or periphery of the human body. Therefore, if you want to make the acupuncture sensation diffuse and circulate in a long distance and in different directions, you need to adopt the operation method of two points of stimulation simultaneously, divide the interval to be opened into several sections, open up section by section, and then stimulate separately The two ends of the whole process can be connected together in a unified way, so that the acupuncture sensation can diffuse and follow the whole process according to the compiled route, so as to achieve the desired purpose of treatment. Therefore, the "orderly diffusion of acupuncture senses for opening the meridians" (1) was established with the main content of "two points of stimulation, simultaneous development of strength and weakness, and unified connection".

我们依据以上理论,结合现代针刺镇痛原理,先后对149例头痛患者施以电针疗法和运用开通经络电子头痛治疗仪治疗,取得显著疗效,使绝大部分患者即刻消除疼痛。另外我们对部分病人回访显示,部分患者未见复发,部分人仍有复发,但疼痛程度较轻。这就说明,开通经络是一个暂时的过程,只有反复不断的刺激才能形成经络的长期开通,以达到根治头痛的目的。Based on the above theories, combined with the principles of modern acupuncture analgesia, we successively applied electroacupuncture to 149 headache patients and used the electronic headache therapy device to open the meridians, and achieved remarkable curative effect, making most of the patients relieve pain immediately. In addition, our follow-up visits to some patients showed that some patients had no recurrence, and some still had recurrence, but the pain was mild. This shows that opening the meridians is a temporary process, and only repeated stimulation can form the long-term opening of the meridians, so as to achieve the goal of radically curing headaches.

参考文献:references:

1、杨生源、仇惠艳、杨李敏等.经络与开通经络和开通经络疗法及量子经络针灸学.美国中华医学荟萃杂志.2002,2:54-57.1. Yang Shengyuan, Qiu Huiyan, Yang Limin, etc. Meridians and unblocking meridians and opening meridian therapy and quantum meridian acupuncture. American Journal of Chinese Medicine. 2002, 2: 54-57.

2、杨生源、杨李敏.弘扬经络学说,创新针法和新疗法.深圳中西医结合杂志.1999,1:7-10.2. Yang Shengyuan, Yang Limin. Carry forward the meridian theory, innovate acupuncture and new therapy. Shenzhen Journal of Integrated Traditional Chinese and Western Medicine. 1999, 1: 7-10.

3、李仲廉、石学敏.头面部疼痛治疗学.北京人民军医出版社.2004,28.3. Li Zhonglian, Shi Xuemin. Therapeutics of Head and Face Pain. Beijing People's Military Medical Press. 2004, 28.

4、韩济生、丁玄宙、范少光.吗啡受体拮抗剂翻转电针镇痛的程度决定于电针刺激的频率.生理学报.1986,38(5):475-482.4. Han Jisheng, Ding Xuanzhou, Fan Shaoguang. The degree of electroacupuncture analgesia by morphine receptor antagonist reversal depends on the frequency of electroacupuncture stimulation. Physiological Journal. 1986, 38(5): 475-482.

5、孟庆刚、唐强、冯军.中国针灸头穴疗法.北京.中国医药科技出版社.2003:43.5. Meng Qinggang, Tang Qiang, Feng Jun. Chinese Acupuncture and Scalp Therapy. Beijing. China Medical Science and Technology Press. 2003: 43.

Claims (4)

1, a kind of headache treating device is opened therapeutic apparatus for a kind of by monolithic processor controlled program control meridians, it is characterized in that: it comprises Single-chip Controlling, shows adjusting, power supply and high-voltage pulse electronic switch network, helmet electrode four partial circuits; With the top of crash helmet, and corresponding head hundred to converge caves be the center, to around install and be 33 electrodes that are provided with spring assembly that M shape is arranged; Every electrode well contacts with patient's scalp, between any two electrodes, carries out electrical pulse; The electric pulse that described electric pulse adopts the programme-control electronic circuit to be produced; Specifically be that to converge caves with hundred be the center, logical Pulse Electric on four adjacent two nearest electrodes on each limit of M shape is advanced successively, open the meridians of minimum distance earlier, lead to Pulse Electric at hundred acupuncture points farthest of converging cave and this edge again, connect this meridians, be communicated to perforation from segmentation; In like manner, logical Pulse Electric on the adjacent two nearest electrodes on every both sides of M shape is advanced successively, gets through the broadwise meridians of minimum distance; On this basis, logical Pulse Electric on the electrode of the line of symmetry of M shape is got through the acupuncture point meridian of maximum distance, more than each electricity irritation process all on the panel of therapeutic apparatus, pass through diode displaying.
2, headache treating device according to claim 1, it is characterized in that: described helmet electrode is formed for the stainless steel electrode of band spring, front end is 5 millimeters thick mushroom heads, the outside of spring is with the rustless steel light wall pipe, the Thin Stainless Steel pipe box goes into to be provided with in the copper pipe of outer rib collar, by nut copper pipe is fixed on the helmet; According to the difference of capitiform, adjust the position of copper pipe in the helmet during application; One end of spring connects the mushroom head, and the other end connects the copper pipe outer end.
3, according to right 1 described headache treating device, it is characterized in that:
Described electricity irritation process is carried out incremental electricity irritation with the method for programme-control electricity irritation order to warp-wise and broadwise, reaches the purpose of opening meridians.
4, according to right 1 described headache treating device, it is characterized in that:
Described electronic switch network is made up of the high-voltage three-pole pipe.
CNB2006100875901A 2006-06-16 2006-06-16 Program controlled meridian-dredging electric stimulator for treating headache Expired - Fee Related CN100528262C (en)

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