最新刊期
期 2 ， 2012
- 摘要：<正>中医临床思维是指医生在临床诊疗过程中,收集疾病信息,分析病因、病机,判断疾病与证候,确立治则治法及处方用药过程中的思维活动。中医临床辨治过程是一个完整、复杂的思辨过程,有其独特的关键词：中医药;临床思维;临床行为;模式
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发布时间：2021-05-20 - 摘要：<正>1焦虑障碍概述焦虑障碍（anxiety disorders）,又称焦虑症或焦虑性疾病,它是一组以病理性焦虑情绪为主要临床表现的精神障碍。临床上表现为精神性焦虑和躯体性焦虑。精神性焦虑是指一种提心吊胆、恐惧和忧虑的内心体验,伴有紧张不安。躯体性焦虑是指在关键词：焦虑障碍;中医药;进展
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发布时间：2021-05-20 - 摘要：<正>中医学无焦虑障碍的病名,但在古代医籍中,对焦虑障碍相关的临床表现、病因病机、辨证论治等均有详细的论述。先秦时期的《黄帝内经》就已经对本病的临床症状和病因病机作了初步的描述。《灵枢·经脉》[1]说:"肾足少阴之脉……是动则病饥不欲食……心如悬关键词：焦虑障碍;中医;历史沿革
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发布时间：2021-05-20 - 摘要：<正>1神经递质学的研究现有的假说认为,去甲肾上腺素（NE）、5-羟色胺（5-HT,也称血清素）、γ-氨基丁酸（GABA）等与焦虑障碍的发病有关,起源于蓝斑的去甲肾上腺素能系统调节警觉性。NE与焦虑应激行为关系密切,应激因子增加蓝斑的冲动发放,使受到去甲肾上腺关键词：焦虑障碍;中医药;机理
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发布时间：2021-05-20 - 摘要：<正>证候是一个复杂的巨系统,其研究方法与线性系统的方法不同。钱学森院士[1]提出的从定性到定量的综合集成研究思路对中医证候研究工作具有很好的借鉴作用。它将机器体系、专家体系和知识体系有机地结合起来,构成了一个高度智能化的人机关键词：焦虑障碍;中医证候;方法学
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发布时间：2021-05-20 - 摘要：<正>针灸疗法在焦虑障碍的治疗中占有重要地位,近年来的研究发现,该方法操作方便,取效快捷,对于焦虑情绪及其伴发症状具有很好的改善作用。针灸疗法包括针刺疗法、艾灸疗法、电针疗法、耳穴疗法、穴位注射等多种方法。1针刺疗法关键词：焦虑障碍;针灸;进展
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发布时间：2021-05-20 - 摘要：Objective To analyze and discuss the differences and characteristics in previous application of syndrome typing criteria of dementia.Methods Taking CNKI database as literature source,the citing literature about 3 syndrome typing criteria of dementia,including Fu’s criterion,Tian’s criterion and Chinese new medicinal criterion,were retrieved after establishing retrieving strategy.The citing frequency of all criteria was counted in different study fields and consecutive years for extracting the frequency of keywords and assistance funds.The data was analyzed by using descriptive statistics.Results In 3 main types of dementia,the frequency structure of citing criteria showed a significant difference.The total of citing literature of 3 syndrome typing criteria graduallyi ncreased by years,and citing literature of Tian’s criterion and Chinese new medicinal criterion increased year by year.There was a difference in the amount of literature assisted by national fund.The keywords with higher frequency showed that the study hotspots were all related to the prevention and treatment of vascular dementia,but they had different attention fields.Conclusion The difference in the citing literature about syndrome typing criteria of dementia reflects the hotspots in resent dementia study and researchers’preference in features of syndrome typing criteria,which will direct the development of syndrome typing criteria of dementia.关键词：dementia;syndrome typing;criterion
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发布时间：2021-05-20 - 摘要：Objective To investigate the correlation between different syndromes and plateletleukocyte aggregation in acute stroke.Methods The relevant information was collected from 45 patients with acute ischemia stroke attacked within 72 hours at two time points（attacking within 72 hours and treatment for 14 days）.The information included clinical symptoms and detected values of plateletleukocyte aggregation and then the data was analyzed statistically.The relationship and difference between different syndromes and plateletleukocyte aggregation in acute stroke were found out.Results Within 72 hours after stroke attacking,there were more wind syndromes.The level of plateletleukocyte aggregation was mainly lower than normal range and significantly correlated to the occurrence of fire-heat syndrome or qi deficiency syndrome.After treatment for 14 days,the level of plateletleukocyte aggregation trended to normal range and significantly correlated to the occurrence of phlegm syndrome.Conclusion In acute stage of stroke,plateletleukocyte aggregation is inhibited,while it will tend to normal range when stroke enters convalescence stage.Within 72 hours after stroke attacking,the occurrence of fire-heat syndrome or qi deficiency syndrome has statistical significance,and after treatment for 14 days,the occurrence of phlegm syndrome has statistical significance.关键词：stroke;syndromes;plateletleukocyte aggregation
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发布时间：2021-05-20 - 摘要：Objective To observe the curative effect of Yizhong Shengxue Capsules on cancer-related anemia.Methods The cases（n=46） accorded with the enclose criterion were selected and randomly divided into treatment group（n=22） and control group（n=24）.The control group was treated with routine and necessary therapy,and treatment group,with Yizhong Shengxue Capsules orally（3 capsules a time and three times a day） on the base of the same therapy in control group.The treatment was continued for 4 weeks.Results After 4-week treatment,the level of hemoglobin（Hb） decreased significantly in control group than that before the treatment（P<0.05）,and increased significantly in treatment group（P<0.05）.Before the treatment Hb level was significantly lower in treatment group than that in control group（P<0.05）,and after the treatment,the difference in Hb level was not statistically sinificant between two groups（P>0.05）.Conclusion Yizhong Shengxue Capsules has an antagonistic or corrective effect on the descending trend of Hb level and curative effect on cancer-related anemia.关键词：Yizhong Shengxue Capsules;cancer-related anemia;hemoglobin;clinical observation
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发布时间：2021-05-20 - 摘要：Objective To observe the curative effect of self-disigned Yiqi Yangyin Fang on syndrome of dual deficiency of qi and yin of idiopathic pulmonary fibrosis（IPF）.Methods The cases with syndrome of dual deficiency of qi and yin of IPF（n=44） were selected from MINO Chinese Medical Clinic in Singapore from Jan.2007 to Sept.2011,and then they were divided,according to the therapeutic course,into group A（n=21,therapeutic course≤6 months） and group B（n=23,therapeutic course>6 months）.The two groups were treated with Yiqi Yangyin Fang and then the changes of type II alveolar cell surface antigen（KL-6）,6-minute walk test（including 6-minute walk distance）,the lowest value of transcutaneous oxygen saturation（SPO2） and Borg dyspnea scoring were assessed at different time points（before treatment and 6,12,24 and 36 months after treatment）.Results The total effective rate of Yiqi Yangyin Fang was 79.55% and effective rate was 66.67% in group A and 91.30% in group B（P<0.05）.In group A,Borg dyspnea score was lower after 6 months than that before treatment（12<0.05）.In group B,the changes of KL-6,the lowest value of SPO2 and Borg dyspnea score had significance after P significance after 36 months（P<0.05）.Conclusion A long-term treatment of syndrome of dual deficiency of qi and and 24 months（P<0.05 or P<0.01）,and the changes of the lowest value of SPO2 and Borg dyspnea score had yin of IPF with Chinese medicinal has some clinical significance in relieving symptoms of dyspnea and reducing KL-6.关键词：idiopathic pulmonary fibrosis;Yiqi Yangyin Fang;dual deficiency of qi and yin;type II alveolar cell surface antigen;6-minute walk test
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发布时间：2021-05-20 - 摘要：Objective To investigate the distribution of syndrome types of acute cerebral infarction（ACI） based on formula analysis,and guide the formula design and medicinal administration for treating ACI in clinic and research.of ACI with Chinese medicinal,and the distribution laws of ACI syndrome types were explored.Results ①The Methods Through retrieving in CNKI from 2002 to 2011,132 literature papers were collected about the treatment Chinese medicinal with the actions of activating blood circulation,calming liver to stop wind,resolving phlegm,clearing heat and tonifying qi were used commonly.② The syndrome types of ACI were mainly blood stasis syndrome and liver-wind stirring syndrome.Conclusion The medicinal administration in modern literature reflects the characteristics and laws in the treatment of ACI with modern Chinese medicine,reveals distribution laws of ACI syndrome types,and can guide scientifically medicinal administration.关键词：acute stage of cerebral infarction;formula analysis;distribution of syndrome types
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发布时间：2021-05-20 - 摘要：<正>多发性硬化（multiple sclerosis,MS）属于神经系统疑难杂症,是以中枢神经系统白质脱髓鞘病变为特点的自身免疫性疾病,症状和体征的空间多发性和病程的时间多发性构成了MS的主要临床特点,病变可累及大脑白质、脊髓、脑干、小脑和视神经关键词：病案;人文;中医;多发性硬化;毒
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发布时间：2021-05-20 - 摘要：Objective To observe the effect of moxibustion combining Ziwuliuzhu Najia method on primary dysmenorrhea,and find out a therapy for primary dysmenorrhea.Methods All 64 patients were randomly divided into treatment group（n=34,treated with moxibustion combining Ziwuliuzhu Najia method） and control group（n=30,treated with somedon） by using randomized and controlled trial method.The value of pain was detected and analyzed by applying visual analogue scale（VAS）,and the curative effect of moxibustion combining Ziwuliuzhu Najia method was assessed objectively.Results After treatment for 3 menstrual cycles and follow-up for one menstrual cycle,there were excellent analgesic effects in two groups,and the value of pain decreased progressively in treatment group before treatment in each menstrual cycle（P<0.01）.Conclusion Moxibustion combining Ziwuliuzhu Najia method can effectively relieve the pain,and ameliorate the condition of primary dysmenorrhea.关键词：primary dysmenorrhea;Ziwuliuzhu Najia method;moxibustion
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发布时间：2021-05-20 - 摘要：<正>膝骨性关节病（osteoarthritis,OA）又称增生性关节病、退行性关节病等,是以膝关节软骨发生弥漫性龟裂、纤维化和脱失及骨组织增生性变化为病理特征的疾病。本病发病率随年龄的增长而升高。在我国,65岁以上的老年人60%患有此病,全国大约有6500万人患病,而本病的致残率可高达53%,严重影响了老关键词：雷火灸;膝骨性关节炎;温经通络
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发布时间：2021-05-20 - 摘要：Objective To review the curative effect and safety of Lifei Pian in the treatment of pulmonary tuberculosis complicating diabetes.Methods The patients with pulmonary tuberculosis complicating diabetes（n= 84） were divided into treatment group（n=46） treated with combined antituberculotic chamotherapy and Lifei Pian and control group（n=38） treated with only combined antituberculotic chemotherapy.The curative effect,damages of liver and kidney and level of glucose hemoglobin A1（GHbA1） were compared between two groups one month and 3 months after treatment respectively.Results After one month,the total remission rate of fatigue,cough,expectoration and hemoptysis was higher in treatment group than that in control group（P<0.05）.The total remission rate of fever was not significantly different between two groups（P>0.05）.After 3 months,the significant absorption rate was higher in treatment group than that in control group（P<0.05）.The sputum negative conversion rate,cavitary closure rate or diminution rate and total remission rate of symptoms were not different significantly between two groups（P>0.05）,but the effective rate was higher in treatment group than that in control group（P< 0.05）.The changes of GHbA1 level and liver and kidney functions had no statistical differences before and after the treatment（P>0.05）.Conclusion Lifei Pian can improve the remission of symptoms like fatigue,cough,expectoration and hemoptysis,and focus absorption in patients with pulmonary tuberculosis complicating diabetes.Its effective rate and safety are higher than those of combined antituberculotic chemotherapy关键词：pulmonary tuberculosis;diabetes;combined antituberculotic chemotherapy;Lifei Pian
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发布时间：2021-05-20 - 摘要：Objective To observe the influence of retention enema with Chinese medicinal with differnt cannula depth on analgesic effect in treatment of inflammatory pelvic disease.Methods All patients（n=127） were randomly divided into two groups and given therapies of oral Chinese medicinal and retention enema with Chinese medicinal,but the cannula depth was different,i.e.in group I（n=61）,the depth was 10 cm to 15 cm,and in group II（observed25and to 30 cm.The retention time of Chinese medicinal in colon and degree changes of pain were n=66）,average retention time was（4.3±2.0） h in group I and（6.2±1.6） h in group II and the difference was greatly cmrecorded,and the analgesic effect was assessed by using symptom grading method.Results The significant（P<0.01）.The total effective rate of analgesic effect was 75.41% in group I and 89.39% in group II（P< 0.05）.Conclusion The retention enema with Chinese medicinal in colon can significantly relieve pain of inflammatory pelvic disease.关键词：cannula depth;retention enema with Chinese medicinal;inflammatory pelvic disease
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发布时间：2021-05-20 - 摘要：The occurrence of bronchial asthma is closely related to emotional factors,and negative emotions commonly induce or aggravate asthma.The recurrent attacks of asthma will induce psychological obstacle,and common negative emotions are anxiety and depression.Acupuncture is the most popular and effective therapy in treatment of anxiety and depression in recent years.Besides traditional acupoints including Feishu（BL13）,Dazhui（GV14） and Dingchuan（EX-B1） on the back for treating asthma,some additional ones are selected as Baihui（GV20）,Yintang（EX-HN3）,Shenmen（HT7）,Neiguan（PC6） and Sanyinjiao（SP6） on the basis of differentiation of syndrome types and disease stages for regulating mind and relieving depression.A good curative effect has been obtained and asthma symptoms have been alleviated.关键词：bronchial asthma;anxiety;depression;acupuncture therapy;acupoints for regulating mind
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发布时间：2021-05-20 - 摘要：<正>中医称失眠为"不寐"或"不得眠",在神经科门诊病例中占有相当大的比例。临床中失眠的病因病机复杂多变,相应的中医药治疗方法也是多种多样。本文主要就运用疏肝解郁法辨治失眠的思路展开讨论。关键词：疏肝解郁;失眠;辨治思路
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发布时间：2021-05-20 - 摘要：<正>北京中医药大学王庆国教授临床善用经方,不拘时方,对多种内、妇、儿科疾病有丰富的治疗经验,疗效突出。本文以3个典型医案为例,总结王老师活用金沸草散治疗咳嗽的临证经验,介绍其对方证病机、组方配伍的运用体会,以期有助于读者学习提关键词：金沸草散;咳嗽;医案
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发布时间：2021-05-20 - 摘要：According to Chenjiru Preface in Zhouhou Baiyi Fang（Revision）,scholars in all ages thought that Zhouhou Beiji Fang in Daozang was inscribed in Ming Dynasty Hongwu years and the inscribing person was ZHAO Yuan-yang.It has been proved wrong after textual research.Zhouhou Beiji Fang was included into Daozang in Ming Zhengtong 10th years（1445） and its master copy was Yuan Dynasty copy with DUAN Cheng-ji’s preface.ZHAO Yuan-yang and ZHAO Nan-yang were the same person and his Waike Fang was inscribed by his pupils after he died.Until Ming Zhengtong period,ZHAO Yuan-yang had died for many years,so he was impossible to take part in the revision of Daozang,and more impossible to invite Zhouhou Beiji Fang into Daozang.关键词：ZHAO Yuan-yang;Daozang;Zhouhou Beiji Fang
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发布时间：2021-05-20
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