最新刊期
      期 6 ， 2011
      • XU An-ping,XU Min,SUI Ming-he
        Vol. 18, Issue 6, Pages: 1-3(2011)
        摘要：Objective To discuss the relationship between lifting-thrusting reinforcing-reducing method and reinforcing-reducing effect through observing the influences of lifting-thrusting reinforcing-reducing method in Zusanli （ST36） on red blood count （RBC）, hemoglobin （Hb） and mean corpuscular volume （MCV） in rabbit model of blood-deficiency syndrome. Methods All rabbits （n=60） were randomly divided into five groups including A group （blank group）, B group （model control group）, C group （retaining needle group）, D group （lifting-thrusting reinforcing method） and E group （lifting-thrusting reducing method）. All groups were treated one time every other day for 10 times. Results After needling, the levels of RBC and Hb in peripheral blood increased significantly in B, C, D and E groups compared with those before needling （P<0.05）. The comparison in the levels of RBC and Hb among all groups showed that the difference was not statistically significant （P>0.05） on the 2nd, 17th and 32nd days after needling. On the 17th day, MCV in peripheral blood was significantly different in B, C, D and E groups compared with that before needling （P<0.05）. Conclusion There was no significant difference between lifting-thrusting reinforcing method （thrusting needle with force and lifting it gently） and lifting-thrusting reducing method （lifting needle with force and thrusting it gently） under the pathological condition of deficiency syndrome and no reinforcing-reducing effect showing.  
        关键词：blood-deficiency syndrome;red blood count;hemoglobin;mean corpuscular volume;lifting-thrusting reinforcing-reducing method;rabbits   
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      • Vol. 18, Issue 6, Pages: 2(2011)
        摘要：<正>《北京中医药大学学报（中医临床版）》第四届编委会会议于2011年11月12日在北京召开。出席本次会议的有:中国工程院院士王永炎教授,北京中医药大学党委书记吴建伟教授,北京中医药大学副校长王庆国教授、副校长靳琦教授、副校长乔延江教授,全体《北京中医药大学学报（中医临床版）》第四届编委会全体委员,共有近百人参加了本次会议。乔延江副校长主持了上午召开的编委会全体委员会议。北京中医药大学党委书记吴建伟教授首先致  
          
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      • LI Hang,LI Jia-yu,HUANG Yi-yu,CEN Kai,LIN Bao-shan
        Vol. 18, Issue 6, Pages: 4-6(2011)
        摘要：Objective To observe the curative effect of Kouchuang Yin on recurrent oral ulcer in clinic. Methods The patients （n=60） with recurrent oral ulcer were divided into the treatment group and control group （each n=30）. The treatment group was given Kouchuang Yin and control group, Kouyanqing Keli. A therapeutic course was 3 months. The total numbers and interval of ulcer were observed for judging long-term curative effect. Results The cure rate, obvious effective rate and total effective rate were all higher in the treatment group than those in the control group. The total numbers of ulcer were less in the treatment group than those in the control group, and the total interval of ulcer was longer in the treatment group than that in the control group. Conclusion Kouchuangyin Keli had a significant advantage in decreasing ulcer numbers and prolonging the interval.  
        关键词：recurrent oral ulcer;Kouchuang Yin;clearing heat and removing toxicity;fortifying spleen and drying dampness;resolving stasis and relieving pain   
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      • ZHANG Hai-bo1,LIU Feng2,LIU Tian-jun1
        Vol. 18, Issue 6, Pages: 7-9(2011)
        摘要：On the base of analyzing and studying on the Daoyin method in Zhubing Yuanhou Lun and combining with the practical experience and pathogenesis, the authors created a set of Daoyin exercise method, including 6 sections, for preventing and treating irritable bowel syndrome through selecting carefully the entries of Daoyin method in Zhubing Yuanhou Lun. The name of these 6 sections are, respectively, encouraging genuine qi, enhancing yang qi, regulating liver qi, stretching top and bottom, motioning bowels and tonifying genuine yuan qi. Every section was specified from the original text, Daoyin method, exercise essentials and principle explanation. The Daoyin exercise method is a new attempt in carrying down and developing ancient Daoyin method and extending modern TCM measures for health preserving and disease curing.  
        关键词：Zhubing Yuanhou Lun;Daoyin method;irritable bowel syndrome   
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      • LI Chang-hui1,ZHENG Qi-kai1,ZHANG Kun-mu1,CHEN Shao-qing2,LIU Jia-rui1,CAI Shu-he1,CHEN Shui-jin1,HUANG Dao-xing3,CHEN Su-ling3,CHEN Ze-wen4,SONG Hong-mei1,CHEN Yi-min1,CHEN Jin-hui1,WANG Shi-zhong1
        Vol. 18, Issue 6, Pages: 10-12(2011)
        摘要：Objective To discuss the curative effects of phased comprehensive treatment and traditional combined therapy on lumbar disc herniation （LDH） through randomized controlling and studying in clinic. Methods All patients accorded with the standard （n=120） were randomly divided into the treatment group and control group （each n=60）. The treatment group was treated with phased comprehensive treatment and the control group, with traditional combined therapy. The changes of symptoms and signs were recorded after the treatment and the data was analyzed statistically. Results The improvement of Japanese Orthopaedic Association （JOA） scale scores and visual analogue pain scores （VAS） had significant difference in the treatment group compared with those in the control group. The comparison in the cure rate and improvement rate was statistically different between two groups. Conclusion The curative effect of phased comprehensive treatment is better than that of traditional combined therapy in LDH treatment.  
        关键词：phased comprehensive treatment;traditional combined therapy;randomized controlling;lumbar disc herniation;curative effect   
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      • Vol. 18, Issue 6, Pages: 13-14(2011)
        摘要：<正>在心脑血管疾病的治疗得到快速发展的今天,人类面临的新的挑战是预防急性心脑血管事件的发生。如何使高血压、高脂血症、糖尿病等高危人群多重危险因素控制达标,从而使急性心脑血管事件发生率下降已经成为新的研究热点。心脑血管疾病已占我国人口死因的首位,北京地区也不例外,而且北京地区急性心脑血管疾病事  
        关键词：急性心脑血管事件;危险因素;早期干预;研究思路;中医药   
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      • Vol. 18, Issue 6, Pages: 15-17(2011)
        摘要：<正>中医特色临床诊疗技术在中医诊断、预防、治疗疾病方面具有丰富的内容,针对不同的医疗目的,可以取得不同的干预效应。但由于未经系统和规范的整理和研究,缺乏现代科学认可的客观证据,影响了一些具有很好疗效的特色技术在更大范围的推广应用和对外交流。为了适应现代社会的发展和需求,体现出中医诊疗技术本身的手段、方法和技能特点,必须对各种中医诊疗技术进行科学的  
        关键词：中医;临床;诊疗技术;评价   
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      • PENG Jian-ying1,YAN Xiao-ping2
        Vol. 18, Issue 6, Pages: 17-19(2011)
        摘要：Objective To discuss the curative effect and safety of Bushen Qiangdu Fang in the treatment of ankylosing spondylitis （AS）. Methods The patients （n=50） were selected from outpatient sections and wards, and then they were treated with Bushen Qiangdu Fang one potion a day in the morning and evening for 6 months （one therapeutic course）. The changes of disease activity index, functional index, whole body pain scores, morning stiffness time, axial joint tenderness index, occiput to wall distance, finger to floor distance, activity of thorax, Schober sign, erythrocyte sedimentation rate （ESR） and C-reactive protein （CRP） were observed before and after the treatment. Results All indexes were significantly ameliorated （P<0.05 to P<0.001）. There were no changes observed in blood and urinary routine examinations and damage of liver and kidney functions. Conclusion Bushen Qiangdu Fang has a good curative effect on AS and is safe and reliable.  
        关键词：ankylosing spondylitis;Bushen Qiangdu Fang;activating blood circulation, dispelling dampness and freeing collateral vessels   
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      • DING Xiao-qing,SU Wei
        Vol. 18, Issue 6, Pages: 20-22(2011)
        摘要：Objective To analyse the basic TCM syndromes of immunologic thrombocytopenic purpura （ITP）. Methods The hospitalization materials were retrospectively summarized in 149 patients with ITP and 49 ones with secondary thrombocytopenia, and the clinical symptoms and syndromes were analysed statistically. Results The cases of ITP onset were more in female patients than in male ones. The first three syndromes with higher occurrence frequency were, in proper order, qi deficiency （85.4%）, blood stasis （44.4%） and blood deficiency （42.4%）. Conclusion The main TCM syndromes of ITP include qi deficiency, blood stasis and blood deficiency. The bleeding mechanism of ITP is related to blood failing to circulate in the vessels induced by qi failing to control blood and internal stagnation of blood stasis.  
        关键词：immunologic thrombocytopenic purpura;qi deficiency;blood stasis;blood deficiency;TCM syndromes   
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      • WANG Fen,ZUO Ming-huan,HU Kai-wen,JIANG Min,SU Tao-feng,ZHOU Er-fu
        Vol. 18, Issue 6, Pages: 23-24(2011)
        摘要：Objective To observe the curative effect of the therapy of warming meridian, freeing collateral vessels, removing toxicity and dissipating binds for external treating yin syndrome of cancerous pain. Methods The patients （n=50） with yin syndrome of cancerous pain were treated externally on the site of pain with Chinese medicinal with the actions of warming meridian, freeing collateral vessels, removing toxicity and dissipating binds. A therapeutic course was 7 days. The pain scores and curative effect were observed and reviewed by using numeric rating scale after treatment for one course. Results There were 4 cases relieved totally, 27 relieved obviously, 16 relieved slightly and 3 without any changes. The total effective rate was 94%. Conclusion The yin syndrome of cancerous pain can be treated with the therapy of warming meridian, freeing collateral vessels, removing toxicity and dissipating binds and the curative effect is significant.  
        关键词：warming meridian and freeing collateral vessels;removing toxicity and dissipating binds;external treatment;cancerous pain   
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      • Vol. 18, Issue 6, Pages: 24(2011)
        摘要：<正>本刊已经被中国期刊全文数据库全文收录;被中国核心期刊（遴选）数据库收录;被中文生物医学期刊文献数据库与中国生物医学期刊引文数据库收录;是中国学术期刊综合评价数据库统计源期刊。录用的文章将一律由编辑部统一纳入上述网络,进入因特网提供信息服务。不同意入网的作者请另投他刊。本刊所付  
          
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      • Vol. 18, Issue 6, Pages: 25-27(2011)
        摘要：<正>1病案刘某,女,84岁。2010年4月10日因傍晚吹风后感冒,咳痰不利,自服感冒药、止咳药疗效不佳,2010年4月16日中午因突发呼吸困难、胸闷、心悸入当地医院心内科住院治疗。主诉为"咳嗽、咯痰等2个月余,加重1d"。入院ECG示:房性心动过速,ST-T改变,前间壁、下壁AMI?心肌酶谱示:GOT44.00U/L,LDH267.20U/L,HBDH240.60U/L。CRP13.00mg/L。血常规NEU80.3%。肺部CT示:慢支  
        关键词：中西医结合;脑梗死;肺炎   
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      • Vol. 18, Issue 6, Pages: 28(2011)
        摘要：<正>刘某,女,50岁。主因左胁肋部剧烈疼痛8d,于2010年10月8日到中国中医科学院广安门医院针灸科就诊。患者因家庭琐事较多,情绪波动较大,心情低落,10月1日突发左侧胁肋部疼痛,到北京大学第三医院急诊就诊,血液化验及多项检查未见异常,未明确诊断,予卡马西平片口服止痛,但疼痛未能缓解。患者又于2010年10月5日到中国中医科学院广安门医院急诊就诊。血常规检查示:白细胞  
        关键词：肋间神经痛;毫火针;拔罐放血;验案   
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      • Vol. 18, Issue 6, Pages: 29-30(2011)
        摘要：<正>病案患者周某,男,71岁,因右眼疼痛视物不清6d,于2003年10月5日以恶性青光眼转入我院。曾于2003年9月26日在当地因老年性白内障行右眼Phaco+IOL植入术（人工晶体+21.5D）,转院6d前出现右眼疼痛、恶心、呕吐,右眼压101mmHg,当地诊断为"右恶性青光眼、右Phaco+IOL术后",予20%甘露醇静点、1%阿托品眼水滴右眼4次/d,转入我院。既往心脏病、高血压半月,服卡托  
        关键词：青光眼;恶性青光眼;人工晶体;针刺   
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      • Vol. 18, Issue 6, Pages: 30-31(2011)
        摘要：<正>胃食管反流病是指胃内容物异常反流至食管致组织损伤而引起的疾病,其典型症状为烧心和反酸。近年来发病率明显上升。西医治疗以改变生活方式、给予抑酸、促动力药及手术等方法为主,短期疗效肯定,但停药或手术后很容易复发。我院田德禄教授专攻消化系统疾病近50年,对此有独特的认识和丰富的经验。笔者作为全国第四批名老中医学术继承人,有幸随师学习3年,所见本病病例多  
        关键词：胃食管反流病;胆胃郁热;小柴胡剂;专方专药   
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      • Vol. 18, Issue 6, Pages: 32-33(2011)
        摘要：<正>梅国强教授执教行医40多年,熟谙中医经典,善用经方治疗消化系统疾病,心、脑血管系统疾病及各种疑难杂症。梅老师认为足少阳属胆经,与肝相表里,而肝脾（胃）关系密切,肝旺易克脾土,胆热易犯胃腑,若能在治疗脾胃之时,兼顾少阳,似胜一筹。小柴胡汤为和解少阳的代表方,梅老师常将其与他方相合,名为柴胡类方,用于治疗脾胃病,疗效颇佳。笔者有幸侍诊,现将我所经历的、梅老师灵活  
        关键词：柴胡类方;脾胃病;经验   
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      • Vol. 18, Issue 6, Pages: 33(2011)
        摘要：<正>《北京中医药大学学报（中医临床版）》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。主要面向国内外医学院校的师生,各级各类医院的临床医生,以及中医药医务工作者和有关专业的科研人员等。本刊现已被中文生物医学期刊文献数据库、中国期刊全文数据库、中国生物医学期刊引文数据库、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. 18, Issue 6, Pages: 34-36(2011)
        摘要：<正>田德禄教授是中医脾胃学临床专家和中医内科学教育家,在临床、科研和教学方面卓有成效。执业50年来,坚持工作在临床一线,在中医内科,尤其在消化内科临床上形成了自己的学术观点。在酒精性肝病、慢性胃炎、消化性溃疡、胃癌前期病变、慢性结肠炎等疾病的治疗上,摸索和建立了一套诊治系统,并提出了许多切合临床的新颖观点,临床  
        关键词：清降法;脾胃疾病;经验   
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      • Vol. 18, Issue 6, Pages: 36-38(2011)
        摘要：<正>慢性肾炎是由多种原因引起的,不同病理类型组成的原发于肾小球的一组疾病。该组疾病起病方式各异,病情迁延,病变缓慢进展,病程绵长,并以蛋白尿、血尿、水肿及高血压为其基本临床表现,常伴有不同程度的肾功能损害。可归属于中医的"慢肾风""水肿""虚劳""腰痛""尿血"等范畴。慢性肾炎在免疫介导炎症的同时,启动凝血障  
        关键词：从瘀论治;肾性高血压;水肿;蛋白尿;临床经验   
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      • Vol. 18, Issue 6, Pages: 39(2011)
        摘要：<正>1中西医结合中西医结合治疗是肝癌用药的重要原则。例如笔者曾治疗1位原发性肝癌患者,按照西医观点,以手术治疗为首选,同时行介入术。在术后一直出现极度乏力、纳差、腹胀、大便量少不爽等症状。2个月后CT提示:病灶有复发,建议再次介入。但因患者血象太低而暂缓介入。此时患者白细胞总数  
        关键词：肝癌;中西医结合;对药;剂型;剂量   
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      • Vol. 18, Issue 6, Pages: 40-42(2011)
        摘要：<正>消化系统肿瘤术后胃瘫是手术后因胃肠功能紊乱导致胃排空延缓,以胃流出道非机械性梗阻为主要表现的功能性疾病。其主要临床症状为术后胃引流量多、持续时间长,恶心,呕吐,早饱,餐后饱胀,腹部膨隆等,是肿瘤手术后的近期并发症。中医古文中没有对本病的专门论述,因其以胀、满、吐及食欲不振为主要临床表现,可将其归属中医"痞满"  
        关键词：消化系统;肿瘤术后胃瘫;内治法;外治法   
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      • Vol. 18, Issue 6, Pages: 43-44(2011)
        摘要：<正>肝衰竭是临床常见的严重肝病症候群,病死率极高。尽管中医药在本病的治疗领域尚未起主导作用,但能在一定程度上改善患者的症状,防止疾病恶化,改善患者预后。如何继承和发扬前贤理论精华,最大限度地发挥中医特色来治疗肝衰竭,是一个值得思考的问题。1中医对急性、亚急性肝衰竭的病因病机认识  
        关键词：湿热;血瘀;血热;凉血活血解毒   
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      • Vol. 18, Issue 6, Pages: 48(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。办刊宗旨是为中医药教学、科研、医疗服务。主要反映中医药研究的新成果、新成就、新动态,贯彻"双百方针",活跃学术空气,促进中医药学术发展,并在宣传与推进新观念上起导向作用。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等。《北京中医  
          
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