最新刊期
期 3 ， 2011
- 摘要：Objective To study the mechanism of moxibustion in immunoregulation through observing on the influence of moxibustion on content of β-endorphin （β-EP） in rats with adjuvant arthritis.Methods All 40 rats were divided into the blank group,model group,Mingmen （GV4） group,Guanyuan （CV4） group and non-acupoint group.Except the blank group,the rats in other groups were injected Freund’s complete adjuvant in the right posterior leg for modeling.The Mingmen group was given moxibustion on GV4,Guanyuan group,on CV4,and non-acupoint group,on 0.5 cm lateral to CV4 in the left.The rate of paw edema and the content of β-EP in plasma,hypothalamus,pituitary and lymph nodes were observed.Results The rate of right paw edema decreased significantly in the Mingmen group and non-acupoint group compared with the model group （P<0.01）.The rate of right paw edema increased significantly in the Guanyuan group and non-acupoint group compared with the Mingmen group （P<0.05）.The rate of left paw edema increased significantly in the model group（P<0.05）,Mingmen group and Guanyuan group（P<0.05） compared with the blank group.The rate of left paw edema decreased significantly in the Mingmen group,Guanyuan group and non-acupoint group compared with the model group （P<0.01）.The plasma content of β-EP decreased significantly in the model group,Mingmen group,Guanyuan group and non-acupoint group compared with the blank group （P<0.05）.The hypothalamus content of β-EP increased significantly in the model group compared with the blank group （P<0.05）.The pituitary content of β-EP increased significantly in the Guanyuan group and non-acupoint group compared with the blank group （P<0.05）.The pituitary content of β-EP increased significantly in the Guanyuan group and non-acupoint group compared with the model group （P<0.05）.The content of β-EP in lymph nodes increased significantly in the Mingmen group,Guanyuan group and non-acupoint group compared with the model group （P<0.05）.Conclusion The moxibustion on GV4 and non-acupoint can inhibit the primary inflammation of the right leg,and that on GV4,CV4 and non-acupoint can inhibit the secondary inflammation of the left leg.It is inferred that the regulation to immune inflammation by moxibustion on the above mentioned acupoints maybe related to the increase of β-EP content in lymph nodes and arousing of central β-EP content.关键词：immunoregulation;moxibustion;β-endorphin;adjuvant arthritis;rats
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发布时间：2021-05-20 - 摘要：Objective To investigate the distribution laws of TCM constitutions,and study the correlation between TCM constitutions and blood fat indexes.Methods The patients with type 2 diabetes combined with hyperlipidemia （n=100） were selected and their constitutional types were decided according to the TCM Constitution Classification and Judgement and the distribution of constitutional types was observed.The blood fat indexes,body mass index （BMI） and waist hip ratio （WHR） were compared,and the correlation between BMI,HbA1c and blood fat indexes was observed in the patients with different constitutional types through detecting total cholesterol （TC）,triglyceride （TG）,low-density lipoprotein-cholesterol （LDL-C）,high-density lipoprotein-cholesterol （HDL-C）,apolipoprotein A1 （ApoA1）,apolipoprotein B （ApoB）,HbA1c,BMI and WHR.Results Among 100 patients,14.0% of them with normal constitution,22.0% with qi-deficiency constitution,16.0% with yang-deficiency constitution,24.0% with yin-deficiency constitution,7.0% with blood-stasis constitution,10.0% with phlegm-damp constitution,5.0% with damp-heat constitution,2.0% with qi-depression constitution,and 0.0% with special constitution.The mean value of TC and LDL-C was the highest in the patients with damp-heat constitution having statistical significance compared with those with normal constitution （P<0.05）.WHR increased in the patients with phlegm-damp constitution compared with that in the patients with normal constitution （P<0.05）.The levels of HDL-C and ApoA1 decreased in the overweight group and obesity group compared with the normal group （P<0.05）.The level of TG increased in the group with good HbA1c and the group with poor HbA1c compared with the group with ideal HbA1c （P<0.05）.Conclusion The constitutional types are mainly yin-deficiency constitution and qi-deficiency constitution in the patients with type 2 diabetes combined with hyperlipidemia.The levels of TC and LDL-C are the highest in the patients with damp-heat constitution.关键词：TCM constitutional types;diabetes;hyperlipidemia;correlation
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发布时间：2021-05-20 - 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;④t检验用英文斜体小写t;⑤
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发布时间：2021-05-20 - 摘要：Objective To discuss the classification of TCM syndromes of chronic nasopharyngitis.Method The patients with chronic nasopharyngitis （n=300） were classified into different types according to the standard of TCM syndrome differentiation.The syndrome distribution and local mucous symptoms were observed.Results There were 30 cases of heat accumulation in liver meridian （10.0%）,66 of heat accumulation in lung and stomach （22.0%）,47 of damp-heat accumulating in spleen （15.7%）,12 of lung-kidney yin deficiency （4.0%）,95 of spleen qi deficiency （31.7%）,41 of phlegm coagulation and blood stasis （13.7%）,and 9 of other types （3.0%）.The most common symptom was nasopharynx discomfort distributing in all types.Except the type of spleen qi deficiency,mucous hyperemia was obvious in other types.Conclusion The common syndrome types of chronic nasopharyngitis mainly include heat accumulation in liver meridian,heat accumulation in lung and stomach,damp-heat accumulating in spleen,lung-kidney yin deficiency,spleen qi deficiency and phlegm coagulation and blood stasis.关键词：chronic nasopharyngitis;Chinese medicine;syndrome;classification
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发布时间：2021-05-20 - 摘要：Objective To study the TCM syndrome types of primary hyperlipidemia by applying jointly factorial analysis and cluster analysis to provide the scientific evidence for syndrome classification of primary hyperlipidemia.Method The information of TCM four examinations were treated statistically in 661 patients with primary hyperlipidemia by applying factorial analysis and cluster analysis.Result The syndrome types of 661 patients were classified into 6 types:181 cases of analogical syndrome of dual deficiency of heart-spleen （27.38%）,67 of analogical syndrome of yin deficiency with internal heat （10.14%）,106 of analogical syndrome of blood stasis obstructing collaterals （16.04%）,98 of analogical syndrome of kidney yang deficiency （14.83%）,57 of analogical syndrome of liver depression and qi stagnation with heat accumulation （8.62%）,and 152 of analogical syndrome of phlegm-turbidity obstruction （22.99%）.Conclusion The combined application of factorial analysis and cluster analysis can classify objectively the information of TCM four examinations,explore the characteristics of TCM syndrome types of primary hyperlipidemia to some degree,and is valuable in the research of TCM syndromes.关键词：primary hyperlipidemia;TCM syndrome types;factorial analysis;cluster analysis
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发布时间：2021-05-20 - 摘要：Objective To investigate tongue and pulse manifestations,syndrome factors and TCM syndrome distribution in HIV/AIDS patients in Xinjiang.Methods The routes of infection,tongue and pulse manifestations,locations and nature of the disease and syndrome types were counted in HIV/AIDS patients （n=142）,and the syndrome distribution in the patients with two routes of infection （sexual contact and intravenous drug abuse） was compared.Results Among 142 cases,the patients infected by sexual contact accounted for 42.25%,and by intravenous drug abuse,42.25%.In the statistics of tongue body,light red tongue accounted for 47.88% and red tongue,24.65%.In the statistics of tongue form,fissured tongue accounted for 20.42% and plump tongue,16.90%.In the statistics of texture and color of tongue fur,thin and white tongue fur accounted for 33.10% and yellow and slimy tongue fur,21.83%.In the statistics of pulse manipulations,fine pulse accounted for 35.92%,deep pulse,30.28% and frequent pulse,25.35%.In the statistics of location factors,kidney accounted for 30.99% and liver,26.76%.In the statistics of nature factors,yin deficiency accounted for 44.37% and qi deficiency,42.96%.In the statistics of syndrome types,the syndrome of liver-kidney yin deficiency accounted for 28.17%,syndrome of liver qi invading stomach,16.18%,syndrome of spleen-stomach dampness-heat,8.45%,syndrome of liver depression and spleen deficiency,4.93%,and syndrome of deficiency of both lung and kidney,7.04%.There was no difference in major syndrome types between the patients infecting by sexual contact and those by intravenous drug abuse.Conclusion The syndromes of HIV/AIDS patients in Xinjiang involve several viscera and bowels including kidney,liver,spleen,stomach and lung.The syndrome types are mostly qi deficiency and yin deficiency manipulating as liver-kidney yin deficiency,liver qi invading stomach,spleen-stomach dampness-heat,deficiency of both lung and kidney and liver depression and spleen deficiency.关键词：Xinjiang;HIV/AIDS patients;Chinese medicine;syndromes
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发布时间：2021-05-20 - 摘要：<正>近20年来,临床实践指南的开发与应用得到了迅猛的发展。临床实践指南可促进临床诊疗质量提高,使卫生保健更有效,并帮助患者取得更好的治疗效果[1]。随着中医学科研水平的提升和科研成果的转化,科学研究提供了一定的循证医学证据,临床实践指南已经由"基于共识的临床指南"逐渐发展为"循证临床指南"。由中华中医药学会内科分会主持编写的《中医内科常见病临床诊疗指南》[2],关键词：中医;指南;循证;辨证论治
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发布时间：2021-05-20 - 摘要：<正>感染性糖尿病足是在糖尿病周围神经病变、血管病变的基础上发生的,或由清洁性溃疡继发感染而成。如果治疗不当,可以导致截肢等事件的发生,因此,需要多学科联合治疗,以期最大限度地保护患者肢体功能、降低截肢率。1内科治疗1.1基本治疗降糖、调脂、降压,改善低蛋白血症,纠正心功能不全、肾功能不全等是内科常规的治疗方法,降糖以胰岛素为首选药物。值得注意的是对于低蛋白关键词：糖尿病足;内科;外科;联合治疗
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发布时间：2021-05-20 - 摘要：<正>慢性咽炎是临床常见病,为咽部黏膜及黏膜下组织和淋巴组织的慢性炎症,属中医"慢喉痹"的范畴。该病病程较长,且反复发作,严重影响人们的生活质量。我们从脾论治慢性咽炎取得了满意的疗效,现介绍如下。1临床资料66例均为2008年1月—2010年6月在北京中医药大学东直门医院耳鼻喉科就诊的慢性咽炎患者。最小年龄22岁,最大年龄65岁;病程最短2个关键词：健脾生津法;慢性咽炎;慢喉痹
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发布时间：2021-05-20 - 摘要：<正>中草药是中医师治疗疾病过程中必不可少的,中草药处方的书写是中医师临床必须完成的工作之一,但医师处方书写不合格、用药不合理的情况时有发生,造成药房人员不知如何调配、患者取药后不能正确煎煮,导致服药后疗效欠佳,甚至产生药物不良反应的情况并不罕见。作为中药饮片调剂的工作人员,笔者将中草药处方书写的常见问题加关键词：中草药;处方书写;问题;对策
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发布时间：2021-05-20 - 摘要：<正>社区卫生服务是近几十年来世界范围内发展起来的医学学科,主要解决社区居民保健、康复、预防、健康教育、计划生育技术指导、常见多发病诊疗等医学问题。其公益性明显,以社区全体居民乃至健康人群为服务对象,提供较多主动性的服务内容,主要诊治常见病、多发病、慢性病,对慢性病、亚健康状态等人群进行综合性、连续性、动态管理。全关键词：社区卫生;中医;全科
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发布时间：2021-05-20 - 摘要：<正>临床医学论文的摘要是现代医学论文必要的附加部分。中华人民共和国国家标准文摘编写规则（GB6447-86）[1]将摘要定义为:"以提供文献内容梗概为目的,不加评论和补充解释,简明、确切地记叙文献重要内容的短文。"由于国内外大多数检索系统只收录论文的摘要部分,或它们的数据库只有摘要部分可供读者免费阅览,因此撰写符合要求的、关键词：临床医学论文;英文摘要;写作
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发布时间：2021-05-20 - 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.[3]蔡霞,刘宁州,刘芳霞.耳穴贴压治疗失眠症42例[J].北京中医药大学学报:中医临床版,2008,15（5）:
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发布时间：2021-05-20 - 摘要：<正>癌性贫血,又称肿瘤相关性贫血（cancer related anemia,CRA）,是指由于肿瘤本身或者抗肿瘤治疗（如放疗、化疗）过程中引起的一类贫血,是恶性肿瘤常见的并发症,临床上发病率比较高,王荦楠等[1]调查了500例恶性肿瘤患者化疗前后贫血发生状况,结果显示:化疗前总贫血发生率为30.8%,其中关键词：癌性贫血;中医药治疗;综述
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发布时间：2021-05-20 - 摘要：<正>随着人们对健康的要求越来越高,灸法治未病的地位也日益突显,由于灸法的有效性、安全性、操作方便性及易被患者接受等诸多优点,使其不仅在临床上得到了广大患者及医务工作者的认可,也使其更具独特的研究价值。中医治未病主要包括"未病先防、既病防变、病后防复"3个方面。笔者以"灸关键词：灸法;治未病;文献
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发布时间：2021-05-20 - 摘要：<正>前列腺癌是男性常见的恶性肿瘤之一,其在欧美地区发病率占男性肿瘤第1位,病死率为第2位[1]。在我国其发病率、死亡率也呈逐年上升趋势[2]。前列腺癌发病隐蔽,不易早期诊断,目前虽然西医治疗该病已经有了很大突破,并有了多种治疗手段及方法,显著延长了患者生存期,但是在对患者生活质量及生存质量的改善方面,还存在着很多缺憾。近关键词：前列腺癌;中医药;辨证论治
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发布时间：2021-05-20 - 摘要：<正>年龄相关性黄斑变性又称老年性黄斑变性,为黄斑部视网膜的退行性病变,患者发病年龄多在50岁以上,是老年人致盲的主要原因之一,严重影响患者生活质量,目前西医对该病尚无有效治疗方法。中医眼科韦氏眼科第4代传人北京中医药大学韦企平教授运用中医方法治疗该病经验丰富,验案颇多。现将其经验总结介绍如下。关键词：年龄相关性黄斑变性;中医;辨证
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发布时间：2021-05-20
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