摘要:Objective To provide objective basis and help for the clinical differentiation, treatment and use of medicine on diabetes. Methods The cases suffered from type II diabetes (consumptive thirst) divided into syndrome groups according to their syndrome differentiation were observed. Every group included 30 cases. The control group also included 30 cases. Some micro indexes, such as NO, GMP 140, D D and IL 6 in serum or plasma, were tested and their changes and relationship between them with syndrome differentiation were studied. Results 1. The index of NO of serum showed as follows: the group of exuberance heat due to yin deficiency>the control group>the group of insufficiency of qi and yin>the group of qi and blood stasis. There was remarkable difference between every two groups ( P <0 05) and extremely remarkable difference between the group of qi and blood stasis and other groups ( P <0 01). 2. The indexes of GMP 140 and D D in plasma in the syndrome groups increased more significantly than that in the control group ( P <0 01). The changes of these indexes in the syndrome groups showed as follows: the group of exuberance heat due to yin deficiency<the group of insufficiency of qi and yin<the group of qi and blood stasis. The changes of GMP 140 and D D of serum showed positive correlations (r=0 66). 3. The index of IL 6 of serum in the syndrome groups increased than that in the control group and its change showed as follows: the group of exuberance heat due to yin deficiency<the group of insufficiency of qi and yin<the group of qi and blood stasis. There was extremely remarkable difference between every two groups ( P <0 01). Conclusion The cause of diabetes was mainly the deficiency of the genuine qi. As the development of the disease deficiency of both spleen and kidney and worsened blood stasis will be the results. So the treatment of the disease should be focused on tonifying spleen and kidney and promoting blood circulation by removing stasis.
关键词:diabetes;consumptive thirst;typing according to syndrome differentiation;micro index
摘要:Objective The curative effect of Qingkailing Injection to postoperative high fever and coma of hypertensive cerebral hemorrhage was discussed. Methods 117 cases of postoperative high fever and coma were given Qingkailing Injection to enhance the effects of waking up and temperature reducing besides the routine therapies, and compared with 117 cases in the control group using the routine therapies only. A series of indexes were observed. Results The indexes of the Qingkailing group were much better than that of the control group, such as duration of high fever and coma, hospitalization time and the grade of ADL after 4 weeks treatment. There was no obvious difference in the adverse reaction and death numbers of two groups. Conclusion Qingkailing Injection can obviously shorten the duration of postoperative high fever and coma of hypertensive cerebral hemorrhage, reduce the disease course and improve the prognosis.
关键词:hypertensive cerebral hemorrhage;Qingkailing Injection;clearing away heat and poison;resolving phlegm to dredging collaterals;awakening consciousness and opening cardiac orifice
摘要:Objective The curative effect and mechanism of the therapy of strengthening the genuine and protecting the brain to treatment of acute ischemic stroke with Shenmai Injection were studied. Method Sixty cases suffered from acute ischemic stroke were divided randomly into the treatment group (40 cases) and the control group (20 cases) and treated with Shenmai Injection or nimodipine respectively. Result Shenmai Injection could obviously reduce the damage degree of nervous function in acute stroke cases, control the abnormal raise of IL1β, IL6, regain the balance between ET and CGRP by decreasing ET or increasing CGRP, and improve the systolic and diastolic function of the heart. The total curative effective rate was 90% which significantly higher than that of the control group ( P <0 05). Conclusion Shenmai Injection has good curative effect to acute ischemic stroke, which indicates that it is feasible to popularize to take the therapy of strengthening the genuine and protecting the brain as a basic treatment on acute ischemic stroke.
关键词:the therapy of strengthening the genuine and protecting the brain;Shenmai Injection;acute ischemic stroke
摘要:Objective Clinical observation on the curative effects of Yiqihuoxuetongluo Decoction (aimed to enrich vital energy, activate blood circulation, clear main channels to promote vital energy circulation) for the treatment of coronary heart disease with angina pectoris was given. Methods Eighty one cases were randomly divided into the treatment group (including 41 cases) and the control group (including 40 cases). The two groups were well matched ( P >0.05) for age, sex, course of disease, angina types, cardiac functional grade and complications. The treatment group was given 150 ml Yiqihuoxuetongluo Decoction orally every time twice a day. The control group was given 10 mg Isosorbide Dinitrate every time, three times daily. Result After 4 weeks’ treatment the total effective rate was 85 37% in the treatment group which was evidently higher than that of the control group (62 50%, P <0 05). Yiqihuoxuetongluo Decoction could reduce the consumption of nitroglycerin, but there was no obvious difference in dosage decreasing rate between two groups ( P >0 05). By the electrocardiogram (ECG) the total effective rate was 46 34% in the treatment group and 42 50% in the control group. There was no clear difference ( P >0 05). Conclusion Yiqihuoxuetongluo Decoction could improve availably the symptoms of coronary heart disease with angina pectoris.
摘要:Objective The effectiveness of Chinese herbs on preventing and controlling mouth mucositis caused by nasopharyngeal cancer was observed. Method Forty one cases diagnosed as nasopharyngeal cancer and treated with radiotherapy were divided randomly into the treatment group treated with radiotherapy and herbs and the control group treated with radiotherapy only. The cases in two groups were all given radiotherapy according to a routine fractionated radiation, which was 2 0Gy/t and 5 times a week. The total volume was 68-70Gy/34-35t. The treatment group was given Chinese herbs with effectiveness of nourishing yin to produce body fluid from one week before radiotherapy applied till one week after radiotherapy applied. The herbs included 20 g pseudostellaria root, 15 g glehnia root, 15 g scrophularia root, 15 g trichosanthes root, 15 g dried rehmanria root, 12 g lily bulb and so on. Then the reaction of mouth mucous membrane after radiotherapy were observed. Result At the end of the third week the reactions of the cases in the treatment group were mainly grade 1, while in the control group, grade 2 mainly. The difference was significant ( P <0 05). At the end of the 7th week the reactions of the cases in the control group were mainly grade 3 or grade 4, while in the treatment group, grade 2 mainly. The difference was significant ( P <0 05). Conclusion Radiotherapy coordinated with Chinese herbs can effectively prevent and control the reaction of mouth mucous membrane, defer occurring of mouth mucositis and help the patients to complete radiotherapy smoothly.
关键词:radiotherapy;effectiveness of nourishing yin to produce body fluid;reaction of mouth mucous membrane
摘要:Objective The clinic effect of the treatment of genital herpes (GH) with Fuzhengjiedu Decoction and its effect to cell mediated immunity were studied. Method There were 27 cases in the treatment group treated with Fuzhengjiedu Decoction and acyclovir, 19 cases in the control group treated with acyclovir only. The effect and the changes of T lymphocytic subpopulation, IL 2 and sIL 2R in peripheral blood before and after the treatment in two groups were observed. Result Cell mediated immunity of cases suffered from GH was obviously decreased. The severity degree score of two groups were obviously decreased after the treatment than that before the treatment. Compared the treatment group to the control group, the decline degree of severity degree score in the treatment group was distinctly lower than that in the control group after 7 days’ treatment. In the treatment group CD 4 level was increased, but CD 8 level was decreased after the treatment. The ratio of CD 4 to CD 8 was clearly increased. Then IL 2 was obviously increased, and sIL 2R was distinctly decreased. The cases were followed up after 5 months and the relapse rate in the treatment group was obviously lower than that of the control group. Conclusion The cell mediated immunity of GH can be increased and the relapse rate can be reduced by Fuzhengjiedu Decoction.
关键词:genital herpes;Fuzhengjiedu Decoction;strengthening the body’s resistance by neurising qi;removing heat and toxic;immunity
摘要:Objective The curative effect of treatment of hysteroptosis with electropuncture accompanied with scalp acupuncture was observed. Method There were 51 cases in the treatment group treated with electropuncture accompanied with scalp acupuncture and 43 cases in the control group treated with drugs only. After 4 courses of treatment the curative effects of two groups were compared. Result In the treatment group the cure rate was 56 9% and the effective rate was 88 2%. In the control group the cure rate was 30 2% and the effective rate was 62 8%. The data dealt with statistics showed that P <0 01. Conclusion The treatment of hysteroptosis with electropuncture accompanied with scalp acupuncture has good curative effect.
摘要:Objective The curative effect of treatment of sciatica with acupuncture combined with Wenjingtongluo Liquor was observed. Methods Ninety cases of sciatica were randomly divided into two groups. The treatment group with 52 cases treated with acupuncture combined with Wenjingtongluo Liquor and the control group with 38 cases treated with acupuncture only. Results The total effective rate of the treatment group was 96 15%, while the control group, 81 58%. The difference between two groups was significant ( P <0 05). In the treatment group the curative effect of the treatment of primary sciatica was superior to that of the secondary sciatica. Conclusion The curative effect of acupuncture combined with Wenjingtongluo Liquor was superior to that of acupuncture only, especially for primary sciatica.
摘要:Objective To study the curative effect of treatment of post stroke depression with acupuncture. Methods Thirty one cases with post stroke depression as the treatment group were treated with needling the acu points on Du Meridian. Other 31 cases as the control group were treated with Baiyoujie. The Hamilton Depression Scale (HMAD) wasusedtomeasurethedepressivedegreeandimprovementofthecases.Thecurativeeffectsofacupuncturewerecompared. Results Thedepressivestateofthecasesinthetreatmentgroupwereimprovedobviously.Therewasnoremarkabledif ferencebetweentwogroups(P >0 0 5 ).Inthetreatmentgrouptherewere 7casescured(2 3 33%), 9improved markedlyand 4failedtorespond.Thetotaleffectiveratewas 86 6 7%.Conclusion Theacupuncturetreatmenthadno tableeffectontheimprovementofthepost strokedepression.
摘要:Objective The relationship between the pathogeny of liver disease, temperament types and blood stasis was discussed. Methods Seventy three cases of liver disease were divided into different groups according to the patterns of Chinese medicine and temperament types (five kinds of constitution), and their items of blood rheology were tested respectively. Results The cases of Taiying and Taiyang patterns in 5 kinds of constitution were amiable to suffer from liver diseases (belonging to susceptible temperament) and they were always accompanied with a distinctive blood stasis at the same time. Excepting the plasma adhibit degree, their test items of blood rheology were all obviously higher than that of the cases of Shaoyang and Shaoyin patterns and normal people in the control group ( P <0 01). Conclusion The coexist of stimulated or depressive emotion and blood stasis were one of the important pathogenies causing liver disease.