最新刊期
      期 6 ， 2009
      • ZHOU Hui,LUO Wen-yi,CHEN Ying,GUAN Song,SHANG Xue-zheng,XIE Pei-feng,ZHAO Cui-fang,SHENG Tong,Tutor: GAO Yan-bin
        Vol. 16, Issue 6, Pages: 1-3(2009)
        摘要：Objective To sum up and study the distribution characteristics and development laws of TCM syndrome in the patients with type 2 diabetes accompanied by metabolic syndrome. Methods The patients accorded with the diagnostic standard of type 2 diabetes accompanied by metabolic syndrome （n=295） were chosen and given the syndrome differentiation according to the criteria of syndrome differentiation established by the Expert Committee of Diabetes Mellitus of China Association of Chinese Medicine. The clinical symptoms,signs and syndrome distribution in different processes of diabetes were analysed and compared statistically. Results Most of patients had the symptoms and signs of obesity, darkness in lips and tongue, heaviness of head and body, slippery and rapid pulse. The most common syndromes were dampness-heat syndrome and blood-stasis syndrome. The patients with the process of diabetes less than 5 years had mostly dampness-heat syndrome, blood-stasis syndrome and syndrome of heat accumulation in stomach and intestines, those with the process of diabetes for 5 to 10 years had the syndromes of pathogen excess and healthy qi deficiency at the same time, and those with the process of diabetes for more than 10 years had the syndrome of healthy qi deficiency mainly. Conclusion The patients with type 2 diabetes accompanied by metabolic syndrome have the syndrome of pathogen excess mainly at early stage, and then will have syndrome of deficiency complicated with excessiveness along with the development of diabetes. The syndrome of pathogen excess includes qi stagnation, blood stasis, dampness turbid and heat accumulation, among which the most common syndromes are dampness turbid and blood stasis.  
        关键词：type 2 diabetes;metabolic syndrome;syndromes;development laws   
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      • Vol. 16, Issue 6, Pages: 2(2009)
        摘要：<正>《北京中医药大学学报（中医临床版）》是由教育部主管、北京中医药大学主办的中央级高级中医药学术期刊。主编为中国中医界学术权威王永炎院士。办刊宗旨是继承弘扬中国传统医药文化,宣传中医药临床应  
          
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      • OUYANG Shuai-ling1,GUO Rong-juan2#,CUI Li-feng2,LIU Lin-lin2,WANG Jia-lin2,YU Miao2,SUN Yu-shuang2,FANG Qian2
        Vol. 16, Issue 6, Pages: 4-6(2009)
        摘要：Objective To investigate the relationship between TCM syndrome elements and relevant factors of senile depression. Methods The materials collected by TCM four diagnosis methods from 100 patients （over 60 year-old） with depression for the first time were reviewed by applying self-made "Observation Table of TCM Syndromes of Senile Depression", Hamilton Depression Scale （HAMD） and Hamilton Anxiety Scale （HAMA）. Results The TCM syndrome elements of senile depression included mostly blood deficiency, qi stagnation and qi deficiency, and the combination of these three elements was the most common in the combinations of syndrome elements. Conclusion The pathogenesis of senile depression is complicated characterized by deficiency of the root and excess of the tip. The deficiency syndromes are mainly syndrome of dual deficiency of qi and blood accompanied by marrow loss, and the excess syndromes are mainly qi stagnation syndrome and blood stasis syndrome. The locations of the disease are commonly in the liver, spleen and kidney by syndrome differentiation, and the syndrome types are mostly liver depression and spleen deficiency, and liver depression and kidney deficiency.  
        关键词：senile depression;Chinese medicine;syndrome elements   
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      • SHI Wen-li,ZHANG Tao,SUN Yong-qiang
        Vol. 16, Issue 6, Pages: 7-10(2009)
        摘要：Objective To study the TCM syndrome characteristics of hypoproteinemia induced by hepatitis cirrhosis and curative effect of Chinese medicine. Method The syndrome differentiation and classification was given to 69 patients. The TCM syndrome characteristics in these patients were calculated and analysed. All patients were randomly divided into 3 groups according to the method of random number table. Group 1 （treatment group 1, n=22） was treated with Fubai Formula after basic treatment for 12 weeks, group 2 （treatment group 2, n=23） was treated with Fubai Formula after basic treatment for 24 weeks, and group 3 （control group, n=24） was treated with basic treatment only. The changes of TCM syndromes and serum albumin were observed respectively after the treatment for 12 or 24 weeks. Result The most common syndromes included spleen-stomach weakness syndrome, qi stagnation and blood stasis syndrome, and liver-kidney yin deficiency, and common ones included the syndrome of spleen deficiency and exuberant dampness. The least one was spleen-kidney yang deficiency syndrome. A patient might have multiple syndromes at the same time, especially spleen-stomach weakness syndrome combined with the syndrome of qi stagnation and blood stasis or liver-kidney yin deficiency. After the treatment with Fubai Formula the content of serum albumin, symptoms and signs were improved or relieved in the patients. Conclusion The TCM characteristics of hypoproteinemia induced by hepatitis cirrhosis is spleen deficiency with insufficiency of kidney essence as the root and the obstruction of phlegm, stasis and toxin in collaterals as the tip. Fubai Formula can relieve the symptoms and improve the content of serum albumin, and its midterm and long-term effect is more significant.  
        关键词：hepatic cirrhosis;hypoproteinemia;Fubai Formula;TCM symptoms   
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      • WANG Jun-hong1,Cui Li-hua2
        Vol. 16, Issue 6, Pages: 11-14(2009)
        摘要：Objective To observe the curative effect of Yiqihuoxueyunpi Formula on pediatric recurrent respiratory tract infection （RRTI）. Method The cases accorded with the diagnostic standard （n=61） were chosen and divided randomly into the treatment group （n=31） treated with Yunpihuoxue Formula, and control group （n=30） treated with Yupingfeng Granules. The changes of some detective indexes were analysed including TCM syndrome integrals, hemoglobin, immunoglobulin and microelements. Result The comparison of total curative effect between two groups showed that the total effective rate was 96.77% in the treatment group and 76.67% in the control group. The curative effect of the treatment group was better than that of the control group （P <0.05）. Conclusion Yiqihuoxueyunpi Formula can strengthen the immunity of the child patients, reduce the frequency of RRTI, shorten the disease course and relieve the symptoms.  
        关键词：Yiqihuoxueyunpi Formula;pediatric recurrent respiratory tract infection;clinical study   
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      • Vol. 16, Issue 6, Pages: 14(2009)
        摘要：<正>[1]陶志广.论小柴胡汤在肝癌防治中的应用[J].广州中医药大学学报,2008,25（6）:479-481.[2]卓春萍,邓伟,范元伦,等.论肾并非命门的代名词[J].北京中医药大学学报,2008,31（9）:588.  
          
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      • LUO Yuan-yuan,LI Hong-bo,CEN Jing,LI Jing-chi
        Vol. 16, Issue 6, Pages: 15-16(2009)
        摘要：Objective To observe the curative effect of Xuanhuanghuoluo Plaster combined with electromagnetic wave on acute sports injury of soft tissue. Method The patients （n =90） were randomly divided into the treatment group （n =45） treated with Xuanhuanghuoluo Plaster combined with electromagnetic wave externally and the control group （n=45） treated with Safflower Oil externally. One treatment course was 7 days. Result In the treatment group there were 32 cases with obvious effect, 12 with effect and 1 without effect, and the total effective rate was 97.78%. In the control group there were 21 cases with obvious effect, 9 with effect and 5 without effect, and the total effective rate was 88.89%. The therapeutic outcome of the treatment group was significantly better than that of the control group （P<0.05）. Conclusion Xuanhuanghuoluo Plaster combined with electromagnetic wave can improve the absorption of haemostasis and local blood circulation, and relieve the symptoms of acute sports injury of soft tissue.  
        关键词：Xuanhuanghuoluo Plaster;electromagnetic wave;acute sports injury of soft tissue   
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      • OUYANG Dong,LIU Yan-jun,LIU Ying-xia,LUO Yun,DUAN Li-li,WANG Yi-ting
        Vol. 16, Issue 6, Pages: 17-18(2009)
        摘要：Objective To observe the curative effect of complex therapy of TCM application method on idiopathic facial palsy. Methods The patients diagnosed as idiopathic facial palsy for the first time were randomly divided into two groups based on random control study. The treatment group （n=30） were treated with TCM application method and basic treatment, and the control group （n= 30） was treated with prednisone and basic treatment. The basic treatment included various Vitamins, acupuncture and physical therapy. Results The result of the comparison between two groups showed that there was no statistical different in the total effective rate, and also no significant different in recovery time. Conclusion TCM application method has a satisfactory curative effect on idiopathic facial palsy with a higher safety.  
        关键词：idiopathic facial palsy;TCM application method;prednisone   
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      • Vol. 16, Issue 6, Pages: 18(2009)
        摘要：<正>本刊是由国家教育部主管、北京中医药大学主办的中医药学术期刊。主编为中国中医界学术权威王永炎院士。主要面向国内外中医药医学院校的师生,各级各类医院的临床医生等。设中医临床基础研究、临床  
          
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      • Vol. 16, Issue 6, Pages: 19(2009)
        摘要：<正>近年来,肺癌发病率呈上升趋势,其病死率在所有肿瘤中也居第一位。非小细胞肺癌（NSCLC）占肺癌的80%,其中60%～70%在诊断时已属不能手术根治性切除的局部进展或晚期病人[1]。  
        关键词：苓甘五味姜辛汤;氩氦刀冷冻消融;老年非小细胞肺癌;咳嗽   
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      • Vol. 16, Issue 6, Pages: 20-21(2009)
        摘要：<正>脾胃学说是中医学术体系的精华部分之一,它的形成是历代医家不断努力,经过临床实践进行总结升华的结果。从《内经》中提出"五脏六腑皆禀气于胃""人以胃气为本"的基本脾胃理论,至仲景《伤  
        关键词：叶天士;临证指南医案;脾胃学说   
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      • Vol. 16, Issue 6, Pages: 22-24(2009)
        摘要：<正>时脏理论源于《内经》,有"脏气法时"（即五脏之气,象法于四时）"五脏应时"的说法。具体来说是人体内在的脏腑生理机能,与外界时辰季节具有同步的相应性变化。其内容包括"肝应春""心应夏"  
        关键词：时脏理论;天人相应;中医理论体系   
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      • Vol. 16, Issue 6, Pages: 24-26(2009)
        摘要：<正>1概念"痹",为形声字,从疒、从卑,卑有举、予、低下、卑微之义。《说文解字》云:"痹,湿病也。"痹在现代作为中医的专有名词,是指由于风、寒、湿、热等外邪侵袭人体,闭塞经络,气血运行不畅所导致的以  
        关键词：五脏痹;理论;临床应用   
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      • Vol. 16, Issue 6, Pages: 27(2009)
        摘要：<正>典型病例赵某,女,23岁,未婚。初诊于2007年10月23日。主诉:行经期小腹部冷痛反复发作4个月。患者4个月前因经期淋雨受寒而出现小腹部疼痛。此后每逢行经则小腹疼痛难忍,得热则减。  
        关键词：针灸;中药;原发性痛经;临床应用   
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      • Vol. 16, Issue 6, Pages: 28(2009)
        摘要：<正>1临床资料33例均为本院推拿康复科2004年1月～2007年12月收治的脑卒中后失语症患者,均经颅脑CT、MRI等确诊为脑梗死,均为首次发病,在转入推拿康复科治疗前均接受常规药物治疗,生命体征稳  
        关键词：脑卒中后失语症;中医推拿;语言训练   
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      • Vol. 16, Issue 6, Pages: 29(2009)
        摘要：<正>腰三横突综合征发病原因多为慢性劳损,如长期弯腰工作劳动、急性扭伤失治等。采用小针刀结合推拿按摩治疗本病临床疗效显著。1临床资料诊断标准[1]:有腰肌扭伤史或慢性劳损史;腰部  
        关键词：小针刀;推拿按摩;腰三横突综合征   
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      • Vol. 16, Issue 6, Pages: 30-31(2009)
        摘要：<正>《伤寒论》第190条原文是:"阳明病,若能食,名中风,不能食,名中寒。"对于本条的诠释,历代诸家多在"能食""不能食""中风""中寒"的字面上辨解,而忽略了本条在整个《伤寒论》书中的作用。故笔者在仔细审读"阳明篇"的上下文后,谈谈自己对  
        关键词：能食;不能食;病机;承上启下;补充;诠释   
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      • Vol. 16, Issue 6, Pages: 31-32(2009)
        摘要：<正>北京中医药大学东直门医院刘小北教授为全国首批老中医经验继承人,师从著名中医专家宋孝志教授,业医30余年,承前启后,在治疗脾胃病方面积累了丰富的临床经验。余有幸随师学习,获益  
        关键词：脾胃病;经验;治疗   
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      • Vol. 16, Issue 6, Pages: 33(2009)
        摘要：<正>刘仍海老师为北京中医药大学东方医院肛肠科主任医师、医学博士、硕士生导师。从事肛肠科临床、科研和教学工作20多年,对便秘的诊断和治疗有独特的方法和疗效。现将其方法和经验简介如  
        关键词：经验;便秘;外治法   
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      • Vol. 16, Issue 6, Pages: 34-35(2009)
        摘要：<正>痛风性关节炎是尿酸盐在关节滑膜或软骨沉积,导致滑膜及关节周围组织发生的炎症反应,具有骤然发作和剧烈疼痛的特点。多数患者的关节炎表现为发作与缓解交替,病程长者发作期长而缓解期短,甚则迁延不愈,严重影响人们的生活质量。房  
        关键词：痛风性关节炎;病因病机;治疗经验   
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      • Vol. 16, Issue 6, Pages: 35-37(2009)
        摘要：<正>失眠是以经常不能获得正常睡眠为特征的一类病证,主要表现为睡眠时间、深度的不足,轻者入睡困难,或睡而易醒,或醒后不能再睡,重则彻夜不眠,常影响人们正常的工作、生活、学习和健康。  
        关键词：失眠;中医论治;五脏   
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      • Vol. 16, Issue 6, Pages: 38-40(2009)
        摘要：<正>风湿病是累及骨、关节及其周围组织,如肌肉、肌腱、滑囊、筋膜、韧带、神经等部位,以疼痛为主要临床表现的一大类疾病的总称,是危害人类健康的常见病、多发病。因其与自身免疫有关,所以多数疾病缠绵难愈,有的患者需终身服药治疗。中医中药  
        关键词：风湿病;风湿免疫病;毒蕴血瘀;临床应用   
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      • Vol. 16, Issue 6, Pages: 41(2009)
        摘要：<正>我们所处的时代是一个科学技术高速发展的时代。先进的科学技术把人类从繁重的劳动中解放出来,使之有充裕的时间用于休闲娱乐,更好地享受生活。但随着生活水平的提高,疾病谱发生了变  
        关键词：过逸;真阳;元气;津血   
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      • Vol. 16, Issue 6, Pages: 42-43(2009)
        摘要：<正>砷的拉丁名称arsenicum和元素符号As来自希腊文arsenikos,原意是"强有力的",以及"男子气概"。砷化合物三氧化二砷俗称"砒霜",是一种剧毒剂,往往令人谈之色变。然而,正是这种剧毒之品,  
        关键词：砷;砒霜;以毒攻毒;白血病   
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      • Vol. 16, Issue 6, Pages: 44-46(2009)
        摘要：<正>胰腺癌是以腹中积块、黄疸及疼痛为主症的恶性肿瘤。中医对此无专门论述,散见于"脘痛""膈痛""痞气""积聚""伏梁""黄疸"等篇章[1]。范氏等[2]对近20年来发表在各类杂志的关于中医药治疗胰  
        关键词：胰腺癌;病因病机;中医治疗   
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