最新刊期
      期 4 ， 2011
      • HAN Li-bei1,LI Xiao-ling2,LIU Jin-feng3,CUI Hong-xia4,WANG Li-juan2
        Vol. 18, Issue 4, Pages: 1-5(2011)
        摘要：Objective To analyze the distribution laws of TCM syndrome factors of primary dyslipidemia and type 2 diabetes complicating dyslipidemia,and clinical distribution characteristics of indexes of blood fat.Methods The information of TCM four examinations were collected from the patients with primary dyslipidemia（primary group） and patients with type 2 diabetes complicating dyslipidemia（diabetes group,each n=100）.The changes of total cholesterol（TC）,triglyceride（TG）,low-density lipoprotein-cholesterol（LDL-C） and high-density lipoprotein-cholesterol（HDL-C） were observed.After the data were treated,the syndrome factors from results of factor analysis were studied.The indexes of blood fat were compared and the distribution characteristics were reviewed in two groups.Results The disease locations mainly included spleen,liver and kidney,and especially spleen in the primary group and kidney in the diabetes group.The syndrome factors of disease nature included dampness,phlegm,qi stagnation,blood stasis,heat,qi deficiency,yin deficiency and yang deficiency,and especially dampness,phlegm and blood stasis in the primary group,and yin deficiency and qi deficiency in the diabetes group.The levels of TC,TG,HDL-C and LDL-C were significantly different（P<0.05） between two groups.Conclusion ①The TCM syndrome factors of primary dyslipidemia are mainly spleen,liver,kidney,phlegm,dampness,qi stagnation and blood stasis.The therapies are soothing liver and fortifying spleen,resolving phlegm and dispelling dampness,activating blood circulation and regulating qi assisted by replenishing liver and kidney.The TCM syndrome factors of type 2 diabetes complicating dyslipidemia are mainly kidney,liver,spleen,yin deficiency and qi deficiency.The therapies are nourishing liver and kidney,replenishing qi and nourishing yin assisted by resolving phlegm and dispelling dampness.②The increase of TC and LDL-C are mainly changes in primary dyslipidemia,and the increase of TG and decrease of HDL-C are mainly changes in type 2 diabetes complicating dyslipidemia.  
        关键词：dyslipidemia;type 2 diabetes;indexes of blood fat;syndrome factors   
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      • Vol. 18, Issue 4, 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。具体网址如  
          
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      • XIE Lin-li1,WANG Ya-hong2#
        Vol. 18, Issue 4, Pages: 5-7(2011)
        摘要：Objective To investigate the characteristics and relative factors of syndrome classification in middle-aged and older patients with primary hyperlipidemia.Methods The symptoms,signs and blood fat indexes were observed in 150 diagnosed patients with primary hyperlipidemia.A questionnaire was used for collecting data,and SPSS 11.5 software was used to count and analyze the data.Results Of 150 patients,there were 41 with deficiency of both spleen and kidney（27.3%）,and 39 with spleen-qi deficiency（26.0%）.The distribution of 6 TCM syndrome types was significantly different in various age groups.The cases of hyperlipidemia were mostly observed in 76-85 year-old group.The distribution of syndrome types was correlated to total cholesterol（TC）,triglyceride（TG）,high-density lipoprotein-cholesterol（HDL-C）,low-density lipoprotein-cholesterol（LDL-C） and body mass index（BMI）.Conclusion The type of deficiency of both spleen and kidney and type of spleen-qi deficiency are major ones in middle-aged and older patients with primary hyperlipidemia.TCM syndrome types are closely related to various age groups and correlated to TC,TG,HDL-C,LDL-C and BMI.  
        关键词：primary hyperlipidemia;syndrome classification;blood fat   
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      • Vol. 18, Issue 4, Pages: 8-9(2011)
        摘要：<正>临床上,不寐患者十分常见,其病因病机十分复杂。为了深入研究其临床证候特点及病因病机特点,笔者对北京积水潭医院中医科门诊2005年8月至2010年8月有完整资料的205例不寐患者的发病因素、主症及常见兼症、临床治疗情况进行了总结分析,现报道如下。  
        关键词：不寐;主症;兼症;病因病机   
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      • CHEN Hong1,ZHENG Bin2#,WANG Hao1
        Vol. 18, Issue 4, Pages: 10-12(2011)
        摘要：Objective To observe the curative effect of tuina combining with Lingguibafa needling method on cervical headache.Methods The patients（n=80） were randomly divided into the treatment group and control group（each n=40）.The treatment group was treated with tuina combining with Lingguibafa needling method once every other day and for 10 times.The control group was treated with Voltaren Pills（25 mg once,three times a day） orally and therapy of cervical traction（once every other day）.One therapeutic course was 22 days.All patients were followed up for 3 weeks and the changes of headache were observed and reviewed before treatment,after treatment and on the 1st,2nd and 3rd week of follow-up.Results The alleviation of cervical headache in the treatment group was superior to that in the control group with a significant difference.Conclusion Tuina combining with Lingguibafa needling method has an assured curative effect on cervical headache.  
        关键词：Tuina;Lingguibafa method;needling method;cervical headache   
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      • Vol. 18, Issue 4, Pages: 13(2011)
        摘要：<正>1临床资料1.1一般资料154例均为东方医院门诊患者。其中男性86例,女性68例;年龄最大81岁,最小1岁7个月;病程最长11个月,最短10d。病程超过2个月以上者114例。1.2诊断标准参照文献[1]确诊为周围性面瘫。起病突然,每在睡眠醒来时发现单侧面部板滞、麻木、瘫痪,不能  
        关键词：耳背割治法;周围性面瘫;疗效   
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      • Vol. 18, Issue 4, Pages: 14-15(2011)
        摘要：<正>负压封闭引流（vacuum sealing drainage,VSD）[1]是加速创面愈合及创伤修复的新方法和新技术。我科专门从事创面修复的研究,自2008年以来运用改良的负压封闭引流技术联合中药化腐生肌法治疗各种慢性溃疡、难愈性创面、褥疮及糖尿病足等近百例,取得了满意的疗效,比单独采用负压封闭  
        关键词：负压封闭引流;化腐生肌;慢性溃疡   
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      • WANG Chao-liang,NI Dai-mei,SHI Li
        Vol. 18, Issue 4, Pages: 16-17(2011)
        摘要：Objective To observe the curative effect of Fu Zheng Qiang Xin Tang in adjunctive treatment of dilated cardiomyopathy and heart failure.Method All 80 patients were randomly divided into the control group（n=40） and treatment group（n=40）.The control group was given routine Western therapies and the treatment group was given Fu Zheng Qiang Xin Tang besides of the routine therapies.The therapeutic course was 4 weeks.The changes of heart function were observed in all patients of two groups.Result The curative effect in the improvement of heart function in the treatment group was superior to that in the control group（P<0.05）.Conclusion Fu Zheng Qiang Xin Tang has a good adjunctive and curative effect on dilated cardiomyopathy and heart failure.  
        关键词：dilated cardiomyopathy;heart failure;Fu Zheng Qiang Xin Tang;integration of Chinese and Western medicine   
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      • Vol. 18, Issue 4, Pages: 18-21(2011)
        摘要：<正>2009年12月18日9Am,国家中医药管理局中医药类重点学科学术带头人王永炎教授来到老年病房,开始例行查房。所查病例主诉:近日眩晕发作,起床加重,视物旋转,同时伴表情呆滞,无心慌出汗。发病前已有记忆力下降,睡眠困难,白天困倦,大便困难,3～4日1行,夜尿多。需要解决的问题  
        关键词：类中风;病案;查房法   
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      • Vol. 18, Issue 4, Pages: 22-23(2011)
        摘要：<正>痤疮是一种毛囊、皮脂腺的慢性炎症,以颜面、胸、背等处生丘疹如刺,可挤出白色碎米样粉汁为主要临床表现[1]。痤疮主要发生在皮肤肌肉之间,中医认为肌肉为脾所主,皮毛为肺所主,故其发生与脾胃病变有着十分重要的相关性。谷晓红教授在临  
        关键词：脾胃;痤疮;验案   
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      • Vol. 18, Issue 4, Pages: 24-25(2011)
        摘要：<正>近年来,随着社会竞争的日趋激烈,生活节奏的不断加快,失眠的现象越来越多,越来越严重,它已成为影响人们身体健康、生活质量和工作效率的重要问题。中医称失眠为"不寐""不得眠""不得卧",以经常性不能够获得正常睡眠为特点。临床表现为不易入睡,或睡中反复易醒,或早醒不能入睡,  
        关键词：失眠;肾虚;参芪地黄汤;青蒿鳖甲汤   
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      • Vol. 18, Issue 4, Pages: 26-28(2011)
        摘要：<正>河北医科大学中医学院李士懋教授,为全国第二、三、四批老中医药专家学术经验继承工作指导老师,河北省"十二大名医",博士研究生导师。长期的临床实践形成了以脉诊为中心的四诊合参的辨证特色,擅长运用中医疗法治疗急症、心脑血管病及内科疑难杂症。现将李士懋教授应用自拟方益气  
        关键词：益气养阴汤;气虚发热;名医经验   
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      • Vol. 18, Issue 4, Pages: 28(2011)
        摘要：<正>自拟活血清热通降方:桃仁20g,赤芍30g,败酱草20g,红藤20g,厚朴10g,枳实10g,炒莱菔子15g,半夏9g,生大黄8g（后下）。方中桃仁、赤芍活血化瘀、调畅气机为君药;败酱草、红藤、大黄清热解毒、通腑泻热为辅药;厚朴、枳实、炒莱菔子、  
        关键词：活血清热通降方;呕吐;肠梗阻;临床应用;验案   
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      • Vol. 18, Issue 4, Pages: 29(2011)
        摘要：<正>验案张某,男,46岁,2007年10月9日初诊。患者因多次睡卧冰冷潮湿之地致右臀及下肢麻木、疼痛约半年余。近1个月来,劳累或受寒着凉时疼痛加重,痛处固定不移,日轻夜重,休息及遇暖则减轻,痛处有冷感。经某医院诊断为"坐骨神经痛",给予针灸及口服"双氯芬酸钠缓释片"、维生素B1片  
        关键词：武威汉代医简;坐骨神经痛;痹证;验案   
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      • Vol. 18, Issue 4, Pages: 30-31(2011)
        摘要：<正>经过多年积累,中医临床教学在教学思想、教材建设、教学方法以及系统化、专业化等诸多方面均取得了很大成绩,已成为中医教学体系中不可或缺的重要组成部分。其中,临床实习是将医学生培养成为临床医生的最重要的环节之一。中医作为一门临床医学,更加重视中医基础理论与临床的紧密  
        关键词：中医;呼吸;临床教学   
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      • Vol. 18, Issue 4, Pages: 32(2011)
        摘要：<正>1课堂讲授灵活多样,理论密切联系临床中医耳鼻喉科学是学生平素接触较少的一门学科,尤其它的中医病名,学生们可能平常从没听说过,因此,在课堂讲授的一开始,我们先将类似的西医病名讲给学生,例如"鼻鼽"类似于西医的"过  
        关键词：中医耳鼻喉科学;临床教学;学科特点;学习兴趣;技能训练   
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      • Vol. 18, Issue 4, Pages: 33-34(2011)
        摘要：<正>附子一直被古今医家视为补阳要药,医圣张仲景的四逆汤、真武汤等皆是应用附子的代表方剂。火神（扶阳）派医家祝味菊更是称附子"为百药之长"。现代名医吴佩衡、李可、朱良春等都是善用附子的医家。恽铁樵说:"附子最有用,亦最难用。"从  
        关键词：附子;应用;金匮要略   
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      • Vol. 18, Issue 4, Pages: 34(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;④t检验用英文斜体小写t;⑤  
          
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      • Vol. 18, Issue 4, Pages: 35-36(2011)
        摘要：<正>有关孕育求嗣的论述在中医妇科古代文献中占重要篇章,古代医家对不孕、求嗣、种子的记载给后人留下了宝贵的资料。我们从整理古代文献中种子方剂入手,通过分析种子方剂的用药规律,以药测证,为研究不孕症的病机特点和治疗规律提供依据。1方剂来源及研究方法  
        关键词：古代文献;方剂;种子;用药规律   
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      • Vol. 18, Issue 4, Pages: 36(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;③名老中医经验、地方名医经验;④  
          
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      • Vol. 18, Issue 4, Pages: 37-40(2011)
        摘要：<正>乌梅丸源自《伤寒论》厥阴病篇,初为治疗蛔厥而设,为方剂学中驱虫剂的代表方。后世在此方主治蛔厥的基础上,发展用于寒热错杂之久痢。本文试图从文献学角度,结合方剂学特点,在收集现代临床运用乌梅丸的文献和对资料信息进行规范化处理的基础上,借助计算机分析手段,探讨乌梅丸  
        关键词：乌梅丸;现代运用;方证   
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      • QI Cong-hui,SHE Yan-fen,XIE Jie-ping,ZHU Jiang#
        Vol. 18, Issue 4, Pages: 40-42(2011)
        摘要：The acupoint temperature and distribution laws of temperature difference（TD） in human body under different states,and the relationship between them and diseases were studied.After retrieving and summarizing 34 papers about acupoint temperature and TD from the China Journal Full-Test Database（CNKI）,the author found that the distribution of acupoint temperature had some regularity in human body under physical state,such as the nearer to head and body the acupoints were,the higher acupoint temperature was,showing a centripetal increase trend.Different acupoints had different TD between the left side and right side.Under pathological state,the manifestations of acupoint temperature and TD were different,showing higher or lower,but mainly higher.Different diseases had different amplitudes of increase or decrease.  
        关键词：acupoints;temperature;distribution laws   
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      • Vol. 18, Issue 4, Pages: 43-45(2011)
        摘要：<正>乳腺癌是一种严重影响女性身心健康甚至危及生命的常见病、多发病。中医中药作为我国的传统方法在转移性乳腺癌的综合治疗中具有独特优势。本文结合文献资料及我们的临床经验,探讨转移性乳腺癌的中医证候特点与治疗规律,以期指导  
        关键词：转移性乳腺癌;扶正抗瘤;中医药疗法   
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      • Vol. 18, Issue 4, 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。主要面向国内外医学院校的师生,各级各类医院的临床医生,以及有关专业的人员  
          
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