最新刊期
      期 6 ， 2010
      • SHENG Tong,CHEN Zhao-hui,XIE Pei-feng,GAO Yan-bin,SHANG Xue-zheng,ZHOU Hui,GUAN Song,ZHANG Tao-jing,YI Wen-ming
        Vol. 17, Issue 6, Pages: 1-3(2010)
        摘要：Objective To review the curative effect of wet compressing of Chinese medicinal,with the actions of supplementing qi,activating blood circulation and detoxify,on refractory ulcer of diabetic foot in yellow stage.Method The patients with refractory ulcer of diabetic foot were randomly divided into the treatment group treated with Chinese medicinal and control group treated with traditional ulcer management.The duration of ulcer development from yellow stage to red stage and TCM symptom integrals of diseased foot were observed.Result The most of symptoms and signs were relieved in two groups.In the aspects of diseased foot temperature,secretion and granulation colour,the treatment group had better curative effect than control group.The duration of ulcer development from yellow stage to red stage was shortened in the treatment group.Conclusion The wet compressing of Chinese medicinal,with the actions of supplementing qi,activating blood circulation and detoxify,had better effects of relieving local infection and regeneration,which can treat effectively diabetic foot gangrene.  
        关键词：diabetic foot;yellow stage;wet compressing of Chinese medicinal;supplementing qi,activating blood circulation and detoxify   
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      • Vol. 17, Issue 6, Pages: 4-6(2010)
        摘要：<正>近年来,慢性阻塞性肺疾病（COPD,简称慢阻肺）患病率呈逐年上升趋势,严重影响患者生活质量,严重影响社会劳动力。令人欣慰的是COPD是可以预防、可以治疗的。关注高危人群,早期发现COPD病例是预防工作的重点之一。我国近年来迅速发展的社区医疗机构为慢性疾病预防工作搭建了平台,但目前的设施尚未完备,这就需要简单易行的筛查方式协助完成早期的疾病管理。  
        关键词：慢性阻塞性肺疾病;早期筛查;问卷;评价   
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      • CHEN Ye-meng1,LI Hui1,ZHENG Xin1,ZHANG Qun-ce1,KONG Jun-hui1,WANG Tian-fang1
        Vol. 17, Issue 6, Pages: 6-11(2010)
        摘要：The paper analysed the social-psychological factors of the rise of acupuncture fever in the United States by applying literature research and data analysis based on health belief model.The factors include the cognition on health idea by individual people（especially on the susceptibility and severity of adverse reactions of chemical medicinal）,social influence factors and negative factors in acupuncture cognition,the characteristics of people accepted acupuncture such as age,sex,region and social strata,motivation factors promoting people to seek acupuncture treatment,and self-efficiency of people for keeping confidence about acupunture’s effectiveness.The paper also thought on the strategy of sustainable development of acupuncture in the United States from the aspect of health belief model.  
        关键词：health belief model;the United States;acupuncture fever;adverse reactions of chemical medicinal;social influence factors;sustainable development   
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      • ZHANG Da-wei1,ZHOU Xu-sheng1,XIE Xiao1,SHEN Yi2,DAI Mei1#
        Vol. 17, Issue 6, Pages: 12-14(2010)
        摘要：Objective To observe the curative effect of Rouganqingxuan Decoction on vertigo of cerebral arteriosclerosis.Methods All 170 patients were randomly divided into two groups.The treatment group（n=85） was treated with Rouganqingxuan Decoction orally,and the control group（n=85）,with flunarizine.The relief of the symptoms in the patients of two groups were observed after the treatment.The hemorrheologic changes were detected by using transcranial Doppler（TCD）.Results The rate of symptom relief was higher in the treatment group than that in the control group and the comparison between two groups showed a significant difference（P<0.05）.The outcomes of TCD showed significant improvements in two groups and those was superior in the treatment group to those in the control group（P<0.05）.Conclusion Rouganqingxuan Decoction has a significant curative effect on vertigo of cerebral arteriosclerosis.  
        关键词：cerebral arteriosclerosis;vertigo;Rouganqingxuan Decoction   
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      • WANG Jun,ZHAO Ji-ping,DAI Jing-zhang
        Vol. 17, Issue 6, Pages: 14-16(2010)
        摘要：Objective To observe the immediate curative effect of needling singly in Jing point in the treatment of migraine.Method After deciding the relevant Jing point and sensitive point,the acupuncturist needled and rotated needle in the point for 10 seconds（not less than 20 times） in the patient with migraine.The curative effect was observed after 30 minutes.Result Totally there were 82 points needled,and among them,49 with immediate curative effect,11 with obvious effect,20 with effect and 2 without effect.The total effective rate was 97.56 %.Conclusion The acupuncture in Jing point has significant immediate curative effect on migraine,and the therapy is simple and easy in point-choice,which is suitable for spreading in clinic.  
        关键词：Jing point;migraine;immediate curative effect;needling   
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      • Vol. 17, Issue 6, Pages: 17(2010)
        摘要：<正>口腔溃疡是肿瘤病人放化疗常见的副反应,有报道接受化疗的癌症患者,其发生率约为40%[1]。我们采用中药养阴解毒漱口方进行治疗,取得较好疗效。1临床资料46例患者中20例来自我院门诊,26例来自住院病人,就诊时均正在接受放化疗。其中放疗者15例,化疗者31例;男性19例,女性27例;最小年龄33岁,最大年龄76岁;其中肺癌17例,乳腺癌7例,淋巴瘤8例,鼻咽癌9例,口底癌1例,卵巢癌4例;出现口腔溃疡时间在放化疗开始114d。  
        关键词：养阴解毒漱口方;放化疗;口腔溃疡   
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      • Vol. 17, Issue 6, Pages: 18-20(2010)
        摘要：<正>阎小萍教授是全国第四批名老中医、著名的风湿病专家,行医40余载,学验俱丰,尤擅长在临床上采用中西医结合、辨证与辨病相结合手段治疗风湿病,疗效显著。阎师处方中常用的对药,看似平淡,实寓意深刻。笔者有幸随师侍诊,深得教诲,现将阎师用健脾和胃对药治疗风湿病的经验作一简介。  
        关键词：痹证;健脾和胃;对药   
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      • Vol. 17, Issue 6, Pages: 21(2010)
        摘要：<正>恩师戴西湖教授系南京军区福州总医院名老专家,其在医林辛勤耕耘数十载,学验俱丰,自创专病专方治疗各种疑难杂症,起沉疴,愈顽疾,享有盛誉。现将其专方辨治慢性萎缩性胃炎经验小结如下。1核心病机挈精要,气虚血瘀贯始终慢性萎缩性胃炎（CAG）是一种以胃黏膜萎缩变薄、腺体减少或消失,黏膜肌层增厚,伴有肠上皮化生、不典型增生等为特征的消化系统疾病,属于中医学的"胃痞""嘈杂""胃脘痛"等范畴。  
        关键词：辨病;专方;慢性萎缩性胃炎;经验   
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      • DU Ya-wei1,WANG Yu-lai2,YIN Ling3,ZHAO Xiu-mei3,YAO Zhuo-ting4,QIN Shao-lin2
        Vol. 17, Issue 6, Pages: 22-24(2010)
        摘要：Objective To study the influences of Chaihushugan Powder on the ethological changes and levels of serum gastrin（GAS） and plasma motilin（MTL） in rat model of liver depression syndrome.Methods All rats were divided into the blank control group,the model group of liver depression syndrome and the Chaihushugan Powder group.The method combining die bound and lonely feeding was used to establish the rat model of liver depression syndrome.The changes of ethological indexes of immobility time in forced swimming test were observed after the administration of Chaihushugan Powder,and the levels of serum GAS and plasma MLT were detected by using radioimmunoassay.Results Chaihushugan Powder reduced the immobility time in forced swimming test,and increased the levels of serum GAS and plasma MTL in the rat model of liver depression syndrome.Conclusion Chaihushugan Powder has the effect of antagonizing liver depression and the mechanism may be related to that it can regulate the levels of serum GAS and plasma MTL.  
        关键词：liver depression syndrome;Chaihushugan Powder;gastrin;motilin;rats   
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      • Vol. 17, Issue 6, Pages: 24-26(2010)
        摘要：<正>目前,依据奇经理论进行辨证施治的研究进行得较为活跃,在临床治疗上取得了良好的效果,特别是在治疗慢性、顽固性的疑难疾病方面,诊治奇经常获得奇效。例如,针灸阴跷脉照海、阳跷脉申脉,可治疗顽固性不寐[1]。然而,在奇经病证的辨治方面,目前尚缺少大家公认的奇经脉诊法。因此,笔者就此进行了初步探讨。  
        关键词：手检图;奇经脉诊法;气口九道脉;奇经八脉;脉经   
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      • Vol. 17, Issue 6, Pages: 27-28(2010)
        摘要：<正>中风病的基本病机为本虚标实。在急性期以标实为主,气血逆乱,风火痰瘀阻滞经脉,表现为急性起病。急性期过后,病情稳定,进入恢复期后,本虚的病机则显得更为明显和突出,阴阳气血失调,风痰瘀血阻滞脉络,临床表现为半身不遂、口眼?斜、语言謇涩或失音等。此时运用培元通脑胶囊益肾填精、熄风通络,心、脑、肾同治,本虚标实兼顾,有利于改善患者的临床症状。  
        关键词：中风病;心脑肾同治;虚实兼顾;益肾填精;熄风通络   
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      • YU Zhi-yong1,LIANG Zhao1,HONG Jun2,WEN Jian-min1#,YAN Li1,JIANG Ke-wei1,CHENG Ting1,SUN Wei-dong1,SUN Yong-sheng1,HU Hai-wei1,LIN Xin-xiao1,WU Xia-bo1
        Vol. 17, Issue 6, Pages: 29-32(2010)
        摘要：Objective To compare the curative effects of sodium hyaluronate and sodium hyaluronate combined with acupotomology therapy,and analyse the influence of acupotomology therapy on the soft tissue tension around knee joint.Method The patients were randomly divided into two groups（each=30）and treated respectively with the intraarticular injection of sodium hyaluronate and the injection combining with acupotomology therapy.The curative effects and changes of local soft tissue tension in two groups were compared before and after the treatment.Result The total effective rate was 93.33% in the treatment group and 83.33% in the control group.There was significant difference in the comparison between two groups.After the treatment 500 g tensiometer shifting and percentage of absorbed energy by soft tissue（R %） were higher significantly in the treatment group than those in the control group（P<0.05）.Conclusion The two therapies all have good curative effects on early knee osteoarthritis,while acupotomology therapy can decrease local soft tissue tension,improve the mechanical equilibrium of the soft tissue around knee joint,relieve significantly pain,and the long-term curative effect is more significant.  
        关键词：knee osteoarthritis;sodium hyaluronate;acupotomology therapy;soft tissue tension   
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      • SHI Zong-ting,WANG Qing-fu,HUANG Hu,CHEN Zhao-jun,QI Yin-ze,CHEN Li-ming
        Vol. 17, Issue 6, Pages: 32-35(2010)
        摘要：Objective To observe the manifestations of cervical functional position X-ray and explore the practical value in the diagnosis and treatment of juvenile cervicodynia.Methods Among teenager students aged from 12 to 25,68 were chosen as study objects.The patients were given lateral and hyperexternsion-hyperflexion X-ray tests,and then the changes of angular displacement,displacement of cervical vertebra,ladder signs,and intersection of Ruth Jackson ray were observed.Results The films of functional position X-ray of 68 patients showed that there were 51 patients with cervical destabilization and ladder signs,and among them 11 with destabilization of displacement of double cervical posterior edges and 35 with destabilization of angular displacement.There were 51 patients with the changes of Ruth Jackson ray in posterior extension intersection and 33 with the changes in anterior flexion intersection.Conclusion Juvenile cervicodynia manifested as cervical mechanics disequilibrium.The functional position X-ray can reflect the early state of juvenile cervicodynia and be used for early diagnosis.  
        关键词：juvenile cervicodynia;functional position X-ray;early diagnosis   
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      • Vol. 17, Issue 6, Pages: 36(2010)
        摘要：<正>骶髂关节扭伤多因患者持物体时不慎斜扭,或因摔倒时臂部半身着地,身体向左或向右扭转,致使骶髂关节产生旋转剪力所致。所造成的损伤可导致局部疼痛,轻者可引起关节周围韧带撕裂,重者可造成关节半脱位,致使局部出血、肿胀、疼痛、功能障碍。  
        关键词：扭伤;诊断;手法治疗   
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      • Vol. 17, Issue 6, Pages: 37-40(2010)
        摘要：<正>慢性萎缩性胃炎（CAG）临床以上腹胀痛、纳少、嗳气、消瘦乏力为主要表现,是消化系统中常见病和难治病之一,属于中医"胃脘痛""痞满""嘈杂""腹胀""嗳气"等范畴[1]。目前临床上西医药治疗仍无特效疗法。中医治疗CAG有一定的优势,近年来亦取得了一些成果,现将中医药干预治疗CAG伴异型增生（Dys）的研究进展综述如下。  
        关键词：中医药干预;慢性萎缩性胃炎;异型增生;研究进展   
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      • Vol. 17, Issue 6, Pages: 40(2010)
        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、临床研究、临床观察、经典研读、思路与方法、循证医学、个案报道、名老中医经验、医案医话、针灸疗法、理论探讨、临证发挥、综述等栏目。本刊现已被中文生物医学期刊文献数据库、中国生物医学期刊引文数据库、中国期刊全文数据库、中国学术期刊综合评价数据库、中国核心期刊（遴选）数据库收录。  
          
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      • Vol. 17, Issue 6, Pages: 41-44(2010)
        摘要：<正>糖尿病视网膜病变（diabetic retinopathy,DR）是糖尿病常见的微血管并发症,视网膜病变导致患者视力的显著下降,严重时会引起失明,是严重影响糖尿病患者生存质量的主要原因[1],也是临床治疗的重点、难点。DR属于中医学视瞻昏渺、萤星满目、血灌瞳仁、暴盲、云雾移睛等范畴。  
        关键词：糖尿病视网膜病变;中医临床;治疗   
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      • Vol. 17, Issue 6, Pages: 44(2010)
        摘要：<正>本刊2010年第4期发表的"加味济川煎治疗慢性传输型便秘50例临床观察"一文,作者张大炜（男,在读医学硕士生,副主任医师,单位是首都医科大学附属北京中医医院）应标示为通信作者.  
          
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