摘要:Objective To find out an effective therapeutic plan for promoting the survival quality in the patients with renal insufficiency due to diabetic nephropathy in compensatory phase. Method All 161 patients with renal insufficiency due to diabetic nephropathy in compensatory phase were randomly divided into the TCM syndrome differentiation group (A group, n=54), Losartan group (B group, n=55) and TCM syndrome differentiation combined Losartan group (C group, n=50). A group was treated with Zhixiaotongmaining Granules, Zhixiaowenshenning Granules, Zhixiaobaoshenning Granules and the dummy of Western medicine. B group was treated with Losartan and different dummies of Chinese medicine. C group was treated according to TCM syndrome differentiation combined Losartan. The influences of above three therapeutic plans on renal function and survival quality in the patients of three groups were observed. Result In the improvement of renal function indexes the outcomes of A group were better than those of B group. C group had a medial result. The survival qualities of the patients in three groups were all promoted obviously. Conclusion The therapeutic plan of TCM syndrome differentiation, which is established on the base of hypoglycemic and depressor treatment of modern medicine, can improve the renal function indexes and promote the survival quality in the patients with renal insufficiency due to diabetic nephropathy.
摘要:Objective To find out the clinical types and pathologic types, and their correlation to TCM syndromes in the patients with kidney diseases. Method The retrospective analysis was made on the materials of clinical types, pathologic types and TCM syndrome patterns in 243 in-patients with kidney puncture and biopsy. Result There were 241 cases of glomerulonephropathy (GN, 99.2 %) and among them 176 cases of primary glomerulonephropathy (PGN, 73.0 %) and 65 cases of secondary glomerulonephropathy (SGN, 27.0 %). In PGN cases minimal change glomerulopathy (MCG), IgA nephropathy (IgAN) and mesangial proliferative glomerulonephritis (MsPGN) accounted for a higher proportion (30.1 %, 22.1 % and 18.8 % respectively). In SGN cases lupus nephritis (LN) and hepatitis B virus related nephritis accounted for 81.5% and 10.8% respectively. In PGN cases the proportion of TCM syndrome pattern of root deficiency and incidental excess was 83.5 % and that in SGN cases was 96.9 %. Conclusion Glomerulonephropathy is the most common cause in the cases of kidney puncture and biopsy and PGN cases was more than SGN cases. In PGN cases MCG was more common than IgAN and MsPGN and in SGN cases LN was the chief cause. The TCM syndrome pattern in the cases of PGN and SGN was mostly the syndrome of root deficiency and incidental excess.
摘要:Objective To observe the clinical epidemic characteristics of the onset and syndrome types of Bell’s paralysis. Method The clinical epidemic investigation was given to 208 patients with Bell’s paralysis (the onset of paralysis within 3 days) on their causes and syndrome types. Result The analysis on etiology showed that the disease causes were mainly wind-cold, tire and humoursome and the most common cause was wind-cold attack. The analysis on seasonal distribution showed that there were 32 cases (15.38%) came on in spring, 49 (23.56%) in summer, 57 (27.40%) in autumn and 70 (33.65%) in winter. The result of the investigation on syndrome types showed that 52 cases (25.00%) pertained to wind-cold type and 156 (75.00%) to wind-heat type. Conclusion The leading cause of Bell’s paralysis is wind-cold evil. The onset of the disease is mostly in winter and autumn and less in spring and summer. The syndrome types of acute Bell’s paralysis are classified as wind-cold type and wind-heat type, and more wind-heat type is observed.
关键词:Bell’s paralysis;disease course;onset season;syndrome type
摘要:Objective To investigate TCM syndrome characteristics and change laws in the patients with cough variant asthma (CVA). Method Through the review and analysis of the relative documents and research materials there were 62 common symptoms and manifestations of tongue and pulse of CVA chosen in clinic, and an uniform observation table of symptomatology was established for the systematic observation and study on 265 patients with CVA. Result The characteristic manifestations of core symptoms and peripheral symptoms of CVA were summed up primarily. The symptomatologic change laws were brought forward that the syndrome of wind evil attacking lung was the core syndrome type and other 5 basic syndrome types (syndrome of cold evil attacking lung, heat evil accumulating in lung, liver-fire attacking lung, consumption of lung-yin and deficiency of lung-qi) were intercurrent. Conclusion The syndrome of wind evil attacking lung and failure of lung in disseminating and purifying is the key of CVA onset, and the therapy of dispersing wind should be used from the beginning to the end of the treatment of CVA.
摘要:Objective To observe the curative effect of Jieduhuoxue Pills on acute coronary syndrome (ACS) and the influence on the levels of C-reactive protein (CRP) and fibrinogen (Fig), and to discuss the accurate effect on ACS and the mechanism of influencing the prognosis. Method The patients with ACS (n=80) were randomly divided into the treatment group (n=40) treated with Jieduhuoxue Pills (8 pills a time and 3 times daily) on the base of intravenous drip of nitroglycerine (5-10 mg, once a day), and the control group (n=40) treated with intravenous drip of nitroglycerine (5-10 mg, once a day) only. The levels of CRP and Fig and the curative effects in two groups were tested and calculated respectively before treatment and 4 weeks after the treatment. Result The total effective rate in the treatment group was 87.5 % and 80.0 % in the control group. There was no significant difference between two groups. After the treatment the levels of CRP and Fig were much lower in the treatment group than those in the control group with a statistical significance (P<0.01). The incidence rate of cardiovascular risk events was relative lower in the treatment group. Conclusion Jieduhuoxue Pills can relieve the symptoms in ACS patients, reduce the levels of CRP and Fig, and decrease the cardiovascular risk events.
摘要:Objective To observe the clinical effect of Qinfantang Lotion applied externally for treating shank ulcer. Method The patients with shank ulcer (n=50) were randomly divided into the treatment group (n=30) and the control group (n=20) in a proportion of 3 to 2. The treatment group was treated with Qinfantang Lotion applied externally and the control group was given the routine operation and medicinals. The control and healing condition of shank ulcer were observed. Result The total effective rate in the treatment group was 86.67 % and 65.00 % in the control group. The difference is significant between two groups (P<0.05). Conclusion Qinfantang Lotion applied externally has a better clinical effect on shank ulcer.
摘要:Objective To compare the curative effects and safety between Liushen Pills and arsenous acid as endodontic sealer in mummification of baby tooth. Method The children with pulpitis (n=80) were randomly divided into the treatment group (n=40) and the control group (n=40). The two groups were given endodontic treatment and then the treatment group was given Liushen Pills as endodontic sealer and the control group was given arsenous acid. The relief of tooth pain, devitalization, long-term effect and complications were observed in two groups before and after the treatment. Result In the treatment group the relief rate of tooth pain was much higher (P<0.05) and the complications were less (P<0.05) than those in the control group. The two groups had the same devitalized rate and long-term effect (P>0.05). Conclusion Liushen Pills has a good effect on relieving tooth pain and reducing complications as the endodontic sealer applied in the mummification of baby tooth.
摘要:Objective To investigate the effects of integrated acupuncture plan on refractory hiccough. Method The integrated plan of body acupuncture, needle-embedding therapy and auricular acupuncture was given to 36 cases of refractory hiccough. In the body acupuncture the acupoints of Neiguan (PC6), Juque (CV14), Cuanzhu (BL2), Xiachengjiang (EX-ST1), Danzhong (CV17), Tiantu (CV22) and Waifenglong (EX-B2) were chosen and then combined with other apupoints according to the disease conditions and deficiency or excess states of syndromes. In the needle-embedding therapy Jiaji points (EX-B2, from C3 to C7) in the cervix, and Back-shu points (T7, from T9 to T12, from L1 to L2) in the back and waist were chosen, and in the auricular acupuncture the acupoints of Shenmen (Shenmen), Jiaogan (sympathesis), Pizhixia (subcortex), Ge (diaphragm) and Wei (stomach) were chosen. Result The cure rate of the integrated acupuncture plan was 91.67 % and the total effective rate was 100.00 %. Conclusion The integrated acupuncture plan has a good curative effect on refractory hiccough.
摘要:Objective To discuss the curative effect of the therapy of acupuncture combined with rehabilitative exercises on the motor skills disorder in the patients with shoulder subluxation after stroke. Method The patients (n=60) with shoulder subluxation after stroke were randomly divided into the treatment group (n=30) and the control group (n=30). The treatment group was treated with acupuncture combined with rehabilitative exercises and the control group with rehabilitative exercises only. The scores of pain index and motor skills of shoulder joint, clinical score of neural lesion and curative effect were observed and the objective evaluation on the therapy of acupuncture combined with rehabilitative exercises for treating shoulder subluxation was accomplished. Result In the relief of shoulder pain, improvement of shoulder motor skills and neural function the treatment group had a better outcome than the control group. Conclusion The therapy of acupuncture combined with rehabilitative exercises can relieve the motor skills disorder and pain of shoulder in the patients with shoulder subluxation after stroke.
关键词:shoulder subluxation;stroke;acupuncture combined with rehabilitative exercises
摘要:Objective To investigate respectively different curative effects of Yang Qing-shan’s deep kneading-pressing manipulation and other routine massage manipulations. Method The patients with vertebrarterial cervical spondylosis (n=100) were randomly divided into the treatment group (n=50) treated with Yang’s deep kneading-pressing manipulation, and the control group (n=50) treated with routine massage manipulations. Result The cure rate and total effective rate in the treatment group were all much better than those in the control group (P<0.01). Conclusion Medical massage-tuina is one of efficacious methods for treating vertebrarterial cervical spondylosis. Yang’s deep kneading-pressing manipulation stresses on the harmony of breath and step by using medium, and give the holistic treatment on the head and face to get a better curative effect.