最新刊期

    2 2011
    • LIU Cen1,CAO Ke-gang1,LIN Liang-da2,ZOU Yi-huai1,GAO Ying1
      Vol. 18, Issue 2, Pages: 1-4(2011)
      摘要:Objective To find out and analyse the syndrome characteristics through the survey and cluster analysis on the clinical materials and information of TCM four examinations in the patients with senile tremor syndrome.Methods The cases of senile tremor syndrome(n=55) were selected,and their disease history and clinical materials were collected and give clinical symptomatologic survey.The database of clinical survey indexes was set up and studied by using statistical methods such as description and SPSS.Results The cluster analysis of symptoms showed that there were five cluster forms of symptoms including symptom of onset mode combining with intentional tremor,symptom of static tremor,symptom of dysgnosia and postural balance-disorder,symptom of numb pain,and complications combining with limb tremor.Conclusion There are symptom groups in main symptoms of senile tremor syndrome and between the main symptoms and accompanied symptoms.  
      关键词:senile tremor syndrome;information of TCM four examinations;cluster analysis   
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    • Vol. 18, Issue 2, Pages: 2(2011)
      摘要:<正>为更好地服务作者、读者,提高工作效率,《北京中医药大学学报(中医临床版)》编辑部自2011年1月1日起开通网上采编系统,请广大作者和读者登陆本刊网址,首次登陆需先行注册,以后可随时通过此系统投稿、查稿、修稿或阅读最新目录等。  
        
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    • Vol. 18, Issue 2, Pages: 5-7(2011)
      摘要:<正>高血压脑出血是临床脑出血的一个常见类型。基底节内囊区是最常见的高血压颅内出血部位。其发病因素较为明确,有针对性的临床和基础研究也较多。影像学手段的介入,使研究者对于高血压脑出血发病、病情变化的过程又有了更深入的了解,随之对目前的治疗策略也有了新的改进必要。  
      关键词:脑出血;活血化瘀法;体层摄影术;X线计算机   
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    • Vol. 18, Issue 2, Pages: 7(2011)
      摘要:<正>中国中医药研究促进会生殖医学专业委员会拟于2011年9月,在河北省石家庄市召开第2届第1次全国生殖医学论坛会议。欢迎医护工作者积极参与。授予国家级继续教育学分。有关事项通知如下。1征文内容:①男性不育的中西医治疗临床研究;②女性不孕的中西医治疗临床研究;  
        
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    • WANG Xiao-cai1,HUANG Xiang-an1,WANG Xiao-bao2
      Vol. 18, Issue 2, Pages: 8-10(2011)
      摘要:Objective To describe the syndrome types and characteristics of symptoms and signs in fever cases of acute tonsillitis.Methods The fever cases of acute tonsillitis(n=233) were investigated by using unified syndrome questionnaire,and then they were divided into warm-heat type and dampness-heat type according to the pathogenic factors.The cases of warm-heat type were given six-meridian syndrome differentiation,and those of dampness-heat type were given defense-qi-nutrient-blood syndrome differentiation.Results The cases of warm-heat type(n=207) could be divided into 7 syndrome types including Taiyang diseases(n=21,10.1%),disease involving both Taiyang and Shaoyang(n=34,16.4%),Shaoyang diseases(n=2,1.0%),disease involving both Taiyang and Yangming(n=46,22.2%),disease involving Taiyang,Shaoyang and Yangming(n=76,36.7%),disease involving both Yangming and Shaoyang(n=9,4.4%) and Yangming diseases(n=19,9.2%).The cases of dampness-heat type(n=26) could be divided into 3 syndrome types including defense aspect syndrome(n=5),qi aspect syndrome(n=2) and disease involving both defense aspect and qi aspect(n=19).Conclusion The fever cases of acute tonsillitis can be inducted to 10 regular syndrome types,and the types of disease involving Taiyang,Shaoyang and Yangming,disease involving both Taiyang and Yangming and disease involving both Taiyang and Shaoyang are common.  
      关键词:acute tonsillitis;fever;syndrome types   
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    • WEN Shao-hui1,XI Ning1,SHI Li-qing2
      Vol. 18, Issue 2, Pages: 11-14(2011)
      摘要:Objective To investigate TCM pathological factors,main syndromes and life quality in 72 patients with chronic cough.Methods The scoring outcomes of Leicester Cough Questionnaire(LCQ) and information of TCM four examinations were collected from 72 patients with chronic cough who accorded with the inclusion criteria.The TCM pathological factors and main syndromes were studied by applying cluster analysis and rank-sum test,and the difference in the scores of various LCQ areas was compared in the patients with different syndromes.Results Chronic cough influenced on the physiological,psychological and social activities in the patients.The main pathological factors were wind,damp-heat,cold,phlegm-damp and yin deficiency.There were 5 syndrome types mostly included wind hiding in lung,phlegm-damp accumulating in lung,cold hiding in lung,damp-heat accumulating in the interior and lung-yin deficiency.The symptoms of wind hiding in lung(pharynx itching and cough induced by wind,cold and cooking fume) had the highest occurrence.The scores of LCQ of all syndrome types showed significant differences in physiology,psychology and total score(P<0.05).Conclusion Wind is one of important pathological factors of chronic cough,and others are damp-heat,cold,phlegm-damp and yin deficiency.The patients with syndrome types of damp-heat accumulating in the interior and lung-yin deficiency have poorer life quality.The therapies of expelling wind and dispersing lung,clearing heat and drying dampness,and nourishing yin to moisten lung for the patients with corresponding symptoms will improve their life quality.  
      关键词:chronic cough;life quality;pathological factors;TCM syndromes;cluster analysis   
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    • CAO Ying1,HE Ming2
      Vol. 18, Issue 2, Pages: 15-17(2011)
      摘要:Objective To discuss the relationship between TCM syndromes of zang-deficiency and lung function(FEV1/FVC and FEV1%) and severity grading of chronic obstructive pulmonary disease(COPD) at stable stage.Methods The patients of COPD at stable stage(n=95) were divided into the group of lung deficiency(n=25),group of two-zang-deficiency(15 cases of lung-spleen deficiency and 18 of lung-kidney deficiency),and group of three-zang-deficiency(37 cases of lung-spleen-kidney deficiency) according to patients’ syndrome manifestations.The lung function oriented by TCM syndrome types was detected synchronously and the correlation between TCM syndrome types and lung function was observed.Results The differences in FEV1/FVC and FEV1% among three groups were significant(P<0.001).The indexes in the group of lung deficiency were higher than those in the group of two-zang-deficiency and group of three-zang-deficiency(all P<0.001).The indexes in the group of two-zang-deficiency were higher than those in the group three-zang-deficiency(all P<0.001).The distribution differences in COPD severity grading among three groups were significant(P<0.001).The severity in the group of lung deficiency was milder than that in the group of two-zang-deficiency or the group of three-zang deficiency(P<0.01,P<0.001),and that in the group of two-zang-deficiency was milder than that in the group of three-zang-deficiency(P<0.01).Conclusion The syndromes in COPD at stable stage are mainly lung-spleen-kidney deficiency,and the involved zang-viscera are from lung to spleen,and then from spleen to kidney.The number of involved zang-viscera will increase along with the decreases of predicted value of FEV1/FVC,FEV1% COPD grading,and the pathological changes will become more serious.Early synthetical treatment should be paid more attention to.  
      关键词:COPD at stable stage;zang-deficiency;FEV1;vital capacity;severity grading of lung function;syndromes   
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    • MA Xue-hong1,WANG Xiang-qun2,HUANG Wen-sheng2,XU Ke2,WANG Xue-qin2,TU Ya1#
      Vol. 18, Issue 2, Pages: 18-21(2011)
      摘要:Objective To observe the influences of electroacupuncture on the curative effect and reverse reactions of paroxetine hydrochloride in the treatment of mild or moderate depression.Methods The patients with mild or moderate depression(n=55) wer randomly divided into A group(treated with paroxetine hydrochloride,n=29) and B group(treated with electroacupuncture and paroxetine hydrochloride,n=26).The therapeutic course was 6 weeks.The total score changes of Hamilton Depression Rating Scale for Depression(HAMD) and Rating Scale for Side Effects(SERS) were observed before treatment and after treatment for 1,2,4 and 6 weeks.Results The scores of HAMD showed that two weeks after the treatment in A group and one week after the treatment in B group,the difference was significant(P<0.05) compared with those in the same group before the treatment.There was a significant difference in HAMD scores between two groups after the treatment for 2 weeks.The total effective rate was 71.4% in A group and 88.0% in B group with a significant difference(P<0.05).The scores of SERS in B group showed a significant difference 4 weeks after the treatment compared with those before the treatment(P<0.05),and the difference was greatly significant 6 weeks after the treatment(P<0.01).Conclusion Electroacupuncture can improve the curative effect of paroxetine hydrochloride and decrease its reverse reactions in the treatment of depression.  
      关键词:depression;electroacupuncture;paroxetine;Hamilton Depression Rating Scale for Depression;Rating Scale for Side Effects   
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    • Vol. 18, Issue 2, Pages: 21-22(2011)
      摘要:<正>嗅觉是一种比较原始的感觉,有影响食欲、情绪及警示危险信号等作用。嗅觉障碍会严重影响人的生活质量。对于该病的治疗,临床上鲜有报道。20余年来,我们应用针刺内迎香治疗嗅觉障碍取得了满意的疗效,现介绍如下。  
      关键词:针灸;内迎香;嗅觉下降   
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    • YANG Xiao-lin,KONG De-ying,LIU Wei,ZHANG Xing-hui
      Vol. 18, Issue 2, Pages: 23-24(2011)
      摘要:Objective To observe the curative effect of Danhong Injection on diabetes combined with vertebrobasilar insufficiency.Method The patients(n=80) were randomly divided into 2 groups.On the base of routine treatment,the treatment group(n=40) were given Danhong Injection,and the control group(n=40) were given Dengzhanhuasu Injection.The curative effect and changes of cerebral blood flow rate were observed in two groups after the treatment for 14 days.Result The total effective rate was 97.50% in the treatment group and 95.00% in the control group.The curative effect was similar in two groups(P>0.05).The average blood flow rate of vertebral artery was improved significantly in two groups and the improvement of average blood flow rate of vertebral artery and basal artery was more significant in the treatment group than that in the control group(P<0.05).Conclusion Danhong Injection had a significant curative effect on diabetes combined with vertebrobasilar insufficiency.  
      关键词:Danhong Injection;diabetes;vertebrobasilar insufficiency   
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    • LI Hong-jian,DONG Xuan
      Vol. 18, Issue 2, Pages: 25-26(2011)
      摘要:Objective To observe and study the distribution characteristics of different types of summer cold.Methods The retrospective analysis was given to 251 patients with summer cold in the outpatient department.The samples were compared by using statistical method.Results The proportion of wind-cold type was the highest(47%),that of wind-heat type came second(29 %) and summer heat-damp type accounted for 24 % only.The outcomes of differential analysis in the incident number of 3 types of cold showed that F=10.685,P=0.014 in summer heat-damp type with statistical significance(P<0.05).Conclusion Wind-cold type is the most common in summer cold and the occurrence of summer heat-damp type is related to temperature changes in summer.  
      关键词:summer cold;syndromes;TCM syndrome differentiation   
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    • MU Qing-hui,WANG Huai-lian,DAI Xin-xin
      Vol. 18, Issue 2, Pages: 27-28(2011)
      摘要:Objective To observe the curative effect of Calcium Colloidal et Vit D injected in acupoints on infantile asthmatic bronchitis.Method The infantile patients(under 3 years old) with asthmatic bronchitis(n=300) were chosen and divided into the treatment group(n=178) and control group(n=122).On the base of routine treatment of arresting cough and controlling inflammation of air passage with anti-inflammatory agents,the treatment group was injected Calcium Colloidal et Vit D in bilateral Dingchuan acupoints and Danzhong(CV17),and the control group was given aminophylline.Result The total effective rate was 96.07% in the treatment group and 84.43% in the control group.The comparison between two groups had greatly significant difference(P<0.01).Conclusion The therapy is safe and easy with a reliable curative effect,which is worth popularization and application in clinic.  
      关键词:Calcium Colloidal et Vit D;injecting in acupoints;asthmatic bronchitis   
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    • Vol. 18, Issue 2, Pages: 28(2011)
      摘要:<正>根据国家标准GB3358-82《统计学名词及符号》的有关规定,请作者书写统计学符号时注意以下规格:①样本的算术平均数用英文斜体小写x表示,不用正体X,也不用M或Mean(中位数仍用M);②标准差用英文斜体小写s,不用SD;③标准误用英文斜体小写sx,不用SE,也不用SEM;  
        
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    • Vol. 18, Issue 2, Pages: 29-30(2011)
      摘要:<正>继发性闭经指月经周期建立以后,在正常绝经年龄前,月经停止来潮6个月以上者;或月经稀发,按自身月经周期计算,停经3个周期以上者。古人又称"不月""经闭""月水不通"等。继发性闭经属妇人三十六病中的痼疾,痼者难愈,故治疗颇为棘手。  
      关键词:继发性闭经;二仙汤;桃红四物汤;经验   
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    • Vol. 18, Issue 2, Pages: 30-31(2011)
      摘要:<正>中医治疗痤疮多从肺、脾、胃辨证论治,但对部分病人疗效并不让人满意[1],尤其是对女性患者[2]。叶天士《临证指南医案》提出"女子以肝为先天",肝主疏泄,其太过或不及,均会影响痤疮的发生发展。女性痤疮常有于经期前加重、伴有月经失调等特点[3-4]。  
      关键词:女性痤疮;肝郁;肝火;湿热;肝阴   
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    • Vol. 18, Issue 2, Pages: 32-34(2011)
      摘要:<正>宋金元时期是"新学肇兴"与中医理论深入探索的重要阶段[1]。张元素是这个时代医学界不可不提的重要人物。他重视《内经》的运气学说,但不刻板,运用灵活,将运气学说与临床实际相结合[2]。在临证时,他通过辨别脏腑寒热虚实来分析疾病的发生、发展及转归,主张化裁古方,创用新方。此说对后世医家临证诊疗多有启悟。  
      关键词:张元素;医学思想;临证经验   
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    • Vol. 18, Issue 2, Pages: 35-37(2011)
      摘要:<正>银屑病是一种常见而病因尚未完全明了的易复发的慢性炎症性皮肤病,俗称牛皮癣。临床主要分为寻常型、脓疱型、关节病型及红皮病型。其中寻常型银屑病是最多见的类型,临床表现为红斑上附有多层银白色鳞屑,皮损分布广泛,身体各个部位均可发生,呈对称性。表皮过度增生和分化受阻是其典型病理改变。  
      关键词:银屑病;血热证;T细胞   
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    • Vol. 18, Issue 2, Pages: 38-40(2011)
      摘要:<正>糖尿病视网膜病变(diabetic retinopathy,DR)是糖尿病严重并发症之一。美国对2005—2008年40岁以上的糖尿病患者进行调查发现,DR患病率为28.5%[1]。几乎所有病程在20年以上的糖尿病患者都存在不同程度的视网膜病变[2]。DR导致的失明占所有失明人数的8.9%[3]。DR的患病率高,致盲率高,因此早期诊断、积极治疗是防治糖尿病并发症的一项重要内容。中医药在临床治疗DR上展示了独特的优势。本文就近5年有关文献概述如下。  
      关键词:糖尿病视网膜病变;中医药;综述   
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    • Vol. 18, Issue 2, Pages: 41-43(2011)
      摘要:<正>中风病后肺部感染主要表现为发热、咳喘、痰多、呼吸困难等,是重症中风病患者的常见并发症。肺部感染不仅可以使中风病病情加重,住院时间延长,医疗支出增加,甚至能危及生命[1]。因此,积极防治中风病后肺部感染意义重大。  
      关键词:中风病;肺部感染;研究进展   
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    • LI Hong-juan1,GUO Hui-juan2,LIU Ying3,ZOU Wen3,DONG Ji-peng3,SHA Sha1,WANG Yu-guang4,WANG Jian3
      Vol. 18, Issue 2, Pages: 43-45(2011)
      摘要:Objective To study the infrared charts in HIV/AIDS patients in the cold-syndrome group(n=45),heat-syndrome group(n=45) and control group(n=118) by applying infrared thermal imaging technology,and analyse and interpret the results based on TCM theory.Methods The thermal difference data of Governor Vessel(GV),Conception Vessel(CV),Shenque(CV8),kidney,life gate,triple energizer,five zang-vescera and six bowels were observed and analysed by using T-test method in the cold-syndrome group,heat-syndrome group and control group.Results ①The thermal state in GV,middle energizer and lower energizer all was lower in the cold-syndrome gooup and heat-syndrome group compared with the control group with a significant difference.②The thermal state in CV,CV8 and lung in the cold-syndrome group was significantly different compared with the control group.③The thermal state in liver and CV8 was significantly lower in the cold-syndrome group than that in the heat-syndrome group.Conclusion The constitution type of HIV/AIDS patients is insufficiency of primordial yang compared with the persons of normal constitution.The cold-syndrome group manifests as the insufficiency of kidney-yang in lower energizer and the decrease of energy metabolism of small intestine.The heat-syndrome group manifests as the decrease of energy in life gate indicating the consumption of genuine yin and genuine yang.The thermal state of liver is higher in the heat-syndrome group than that in the cold-syndrome group,which is supposed that there is inflammatory changes and manifests TCM pathogenesis of excessive pathogenic heat.  
      关键词:cold syndromes and heat syndromes;infrared thermal imaging;HIV/AIDS patients   
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    • Vol. 18, Issue 2, Pages: 46(2011)
      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,宣传中医药临床应用,为中医药教学、科研、医疗服务。  
        
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