最新刊期
期 4 ， 2012
- 摘要：Objective To investigate the changes of linguistic function before and after electroacupuncture in grouped acupoints,and relationship between the activation of cerebral function and changes of linguistic function after stimulating acupoints-Tongli（HT5） and Xuanzhong（GB39） taking one case of post-stroke anandia induced by injury of temple apical and occipital junctional zone as example and combining linguistic review and imaging investigation.Methods The linguistic function was reviewed by using Chinese standardized anandia examination table in the case.Han ’ s acupoint nerve stimulator（HANS） developed by Neuroscience Research Institure of Peking University Health Science Center was used for electroacupuncture,magnetic resonance imaging（MRI） scanner was Siemens Novus 1.5T superconducting MRI scanner made by Germany,and functional images were collected by applying BOLD technique.The data of fMRI were computed and analyzed by using SPM5 software package.Results After the treatment of electroacupuncture in Tongli（HT5） and Xuanzhong（GB39）,the function of retelling verbs,listening and understanding verbs,and reading and character understanding of verbs were significantly improved,and the scores of reading and character understanding of verbs was the highest.The recovery was better in verbs than in nouns.The electroacupuncture in Tongli（HT5） and Xuanzhong（GB39） stimulated bitemporal lobes and the left was more significant than the right.The left bitemporal lobe still showed being activated after removing sham-acupuncture in acupoints.Conclusion Electroacupuncture in Tongli（HT5） and Xuanzhong（GB39） has improving effect in the recovery of linguistic function in patients with post-stroke anandia.关键词：electroacupuncture;post-stroke anandia;linguistic function;function imageology
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发布时间：2021-05-20 -
TCM etiology,pathogenesis and syndrome differentiation and treatment of epatolenticular degeneration
摘要：The TCM etiology,pathogenesis and syndrome differentiation and treatment of epatolenticular degeneration were discussed according to the clinical symptoms,causes,pathology and development laws of the disease and TCM theory.The authors indicated that its etiology and pathogenesis included innate deficiency,internal copper toxin,accumulated dampness-heat,liver wind primed by heat-fire,and aggregation-accumulation due to binding of phlegm and blood stasis.The type of accumulated dampness-heat is treated,based on the therapy of clearing heat and resolving dampness and relaxing bowels and increasing urine excretion,with Gandou Tang consisting of Dahuang（Radix et Rhizoma Rhei）,Huanglian（Rhizoma Coptidis） and Banzhilian（Hrba Scutellariae Barbatae）,etc.The type of binding of phlegm and blood stasis is treated,based on the therapy of dispelling phlegm and resolving blood stasis,activating blood and dissipating binds with Gandouling Pian consisting of Yujin（Radix Curcumae）,Jianghuang（Rhizoma Curcumae Longae）,Ezhu（Rhizoma Zedoariae） and Danshen（Radix Salviae Miltiorrhizae）,etc.关键词：epatolenticular degeneration;liver wind;aggregation-accumulation;etiology and pathogenesis;syndrome differentiation and treatment- 42
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发布时间：2021-05-20 - 摘要：<正>全国首届国医大师张学文教授从医近60年,在中医急症、中医脑病、温病学、疑难病以及活血化瘀法等诸多研究领域均有极高学术造诣和丰富的临床经验,尤其擅长辨治疑难杂症。他常说"医无止境要求索,疾有良方需寻觅。医不贵能治病,而贵能治疑难病",创新性地提出了"毒瘀交夹""水瘀交夹""痰瘀交夹""气瘀交夹""颅脑水瘀"等病机理论。中风关键词：颅脑水瘀证;中风;经验
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发布时间：2021-05-20 - 摘要：Objective To observe the curative effect of therapy of clearing heat and removing toxicity on severe epidemic Japanese B encephalitis.Methods The patients（n =169） diagnosed as severe epidemic type B encephalitis were randomly divided into control group（n =79） and treatment group（n =90） by using random digits table.The control group was treated with routine therapy of Western medicine and treatment group,with routine therapy of Western medicine combining Chinese medicinals.The curative effect,relief of symptoms and signs and average period of hospitalization were compared between two groups.Results In treatment group,average detemperature time [（5.50 ± 1.30） d],average consciousness recovery time [（5.84 ± 1.03） d],average duration of convulsion [（2.23±1.19） d] and average hospital days [（23.00±2.19） d] were all shorter than those in control group,and the curative effect was better than that in control group（P <0.05）.Conclusion The therapy of clearing heat and removing toxicity assisting routine treatment of western medicine has a significant curative effect on severe epidemic type B encephalitis.关键词：severe epidemic type B encephalitis;therapy of clearing heat and removing toxicity;clinical observation
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发布时间：2021-05-20 - 摘要：<正>1多发性硬化概述多发性硬化（multiple sclerosis,MS）是一种主要累及中枢神经系统白质并导致多部位髓鞘脱失的自身免疫性疾病,具有易复发和致残率高的特点[1]。在西方国家,MS是仅次于外伤的,导致早期、中期的成年人神经功能障碍的疾病[2]。长期以来亚洲被认为是MS的低患病率（<5/10万）区。我国目前缺乏相关的流行病学调查资料,但近年来全国各地治疗的关键词：多发性硬化;中医药;临床疗效
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发布时间：2021-05-20 - 摘要：The number of issued systematic reviews trends to increase year by year.The need for high-quality systematic reviews is becoming apparent in both Chinese medicine and Western medicine.The report about result part in systematic reviews is an important content to undertake statistical analysis,present analytic outcomes and derive conclusion,so the report requires logicality,accuracy and integrity.Through the analysis clearly on research cases,the authors proposed that the report about result part in systematic reviews should be written from the aspects of trials selection,illustration of characteristics,assessment of bias risk,data synthesis,Meta-analysis reporting and other descriptive analysis.关键词：systematic reviews;report of results;report specification;evidence-based medicine;Meta-analysis
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发布时间：2021-05-20 - 摘要：With the development of evidence-based medicine,researchers pay more attention to the evidence rather than clinical experience when they make healthy policy and clinical decision.Systematic reviews with high quality provide reliable evidence for the decision of evidence-based medicine.To closely combine evidence with clinical practice and ultimately use evidence in clinic,we can transfer complicated clinical problems to answerable questions based on PICOS（patients,interventions,controls,outcomes and study designs） when we propose questions of systematic reviews.关键词：systematic reviews;proposing a question;PICOS;evidence-based medicine;meta-analysis
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发布时间：2021-05-20 - 摘要：Objective To observe the curative effect of kinesitherapy on reconvalescent cervical spondylosis.Methods The patients（n =60） with reconvalescent cervical spondylosis were randomly divided into two groups（each n =30）.Treatment group was treated with kinesitherapy including suspension exercise therapy（SET）,active function training of neck muscles,muscle strength training of multi-cervical-unit system（MCU） and traditional exercise training,and control group was treated with only tuina.The curative effect was compared between two groups after 4-week treatment,and the cervical function was tested and compared based on MCU before and after the treatment.Results The strength of MCU in cervical lateroflexion to the left and right,forward bending and backward extension had statistical difference in treatment groups before and after the treatment（P <0.05） and the comparison between two groups showed the difference being statistically significant.The results was better in treatment group than those in control group（P <0.05）.The recurrent rate was 3.33% in treatment group and 13.33% in control group after 3-month follow-up.The total effective rate was 96.67% in treatment group and 86.67% in control group（P <0.05）.Conclusion Kinesitherapy can improve cervical function,reduce the recurrent rate and has a better long-term curative effect than tuina.关键词：cervical spondylosis;reconvalescent stage;kinesitherapy
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发布时间：2021-05-20 - 摘要：Objective To observe the influence of Shenqi Tang on life quality in patients with chronic congestive heart failure（CHF） of qi deficiency and blood stasis type.Methods All 68 patients were randomly divided into control group（n =32） treated with routine therapy according to Guidelines for Diagnosis and Treatment of Chronic Heart Disease,and treatment group（n =36） treated with the same therapy as control group and additional Shenqi Tang.Results The total effective rate in improving heart function was 83.3% in treatment group and 84.4% in control group（P >0.05）.After the treatment,6-minute walk distance test and scores of Minnesota Living with Heart Failure Questionnaire were all improved in two groups（P <0.05）.The total effective rate in relieving the symptoms of qi deficiency and blood stasis was 86.1% in treatment group and 53.1% in control group（P <0.05）.Conclusion Shenqi Tang can effectively improve the life quality in the patients with chronic CHF.关键词：Shenqi Tang;heart failure;life quality
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发布时间：2021-05-20 - 摘要：Objective To study the influence of Pingchuan Capsules on BODE indexes [B=body mass index（BMI）,O=obstruction of airflow,D=dyspnea and E=exercise capacity] in the patients with stable chronic obstructive pulmonary disease（COPD）.Methods The patients（n =70） with stable COPD were randomly divided into treatment group（n =35） and control group（n =35）.The treatment group was treated with conventional Atrovent Metered Dose Inhaler（MDI） and Pingchuan Capsules,and control group only with MDI.The therapeutic course was one year.The scores of BODE indexes,including FEV 1,6-minute walk distance test（6 MWT）,MMRC dyspnea and BMI,were detected one time respectively before and after the treatment.The aggravation times of COPD were observed during the treatment in two groups.Results After the treatment,the cores of FEV 1,6 MWT and MMRC dyspnea were lower in treatment group than those in control group（P <0.05,P<0.01）.The aggravation times of COPD were less in treatment group than those in control group（P <0.05）.Conclusion Pingchuan Capsules can reduce the scores of BODE in patients with stable COPD through improving the scores of FEV 1,6 MWT and MMRC dyspnea,and decrease aggravation times of COPD for improving the overall prognosis of the patients.关键词：Pingchuan Capsules;stable chronic obstructive pulmonary disease;BODE indexes
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发布时间：2021-05-20 - 摘要：Objective To analyse the distribution characteristics of constitutional types and relationship between TCM constitutional types and indexes of blood fat in the patients with primary dyslipidemia.Methods The general materials and indexes of blood fat were collected from 122 patients.All patients were divided into 9 constitutional types by applying Professor WANG Qi ’ s method of constitutional classification,and then the data was calculated by using SPSS 18.0 software.Results The constitutional types were mainly qi-deficiency constitution in 122 patients（61.48%）,and other types were phlegm-dampness constitution,yin-deficiency constitution,qi-depression constitution and yang-deficiency constitution.In male patients the constitutional types were mainly qi-deficiency constitution,phlegm-dampness constitution,yin-deficiency constitution and damp-heat constitution and in female ones,were mainly qi-deficiency constitution,phlegm-dampness constitution yin-deficiency constitution and qi-depression constitution.The level of low-density lipoprotein-cholesterol（LDL-C） was positively correlated to qi-deficiency constitution and yang-deficiency constitution,and the level of apolipoprotein A1（ApoA1） was negatively correlated to qi-depression constitution.Conclusion Qi-deficiency constitution is the most common constitutional type in the patients with primary dyslipidemia,and constitutional types are correlated to indexes of blood fat.关键词：primary dyslipidemia;constitutional types;blood fat indexes
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发布时间：2021-05-20 - 摘要：Objective To investigate the curative effect of Yangxinshi Pian combining amiodarone on ventricular premature beats of coronary heart disease（CHD） and its relieving effect on ischemia symptoms.Methods All patients（n =66） were randomly divided into combining group（n =24） treated with Yangxinshi Pian combining amiodarone,amiodarone group（n =20） treated with amiodarone tablets orally and Yangxinshi Pian group（n =22） treated with Yangxinshi Pian orally.A therapeutic course was 4 weeks.Results In the relief of clinical symptoms,the total effective rate was 91.67% in combining group,80.00% in amiodarone group nd 68.18% in Yangxinshi Pian group.The comparison among three groups showed a statistical significance（P <0.05）.In the treatment of arrhythmia,the total effective rate was 95.83% in combining group,80.00% in amiodarone group and 72.73% in Yangxinshi Pian group.The comparison among three groups showed a statistical significance（P <0.05）.Conclusion The combination of Yangxinshi Pian and amiodarone had reliable and safe effect on ventricular premature beats,and can relieve myocardioischemia symptoms of CHD.关键词：Yangxinshi Pian;amiodarone;coronary heart disease;ventricular premature beats
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发布时间：2021-05-20 - 摘要：Objective To discuss the curative effect of integrated therapy of Chinese and Western medicine in the treatment of periodontal disease induced by faulty prosthesis.Methods The patients was given periodontal non-surgical treatment and surgical crown lengthening accompanied by gargle with Chinese medicinals without removing faulty prosthesis.The changes of dental plaque index,bleeding index,tooth mobility and probing depth were compared before and after the treatment.Results The plaque index was（2.50±0.51） before the treatment and（1.52±0.57） four weeks after the treatment.The bleeding index was（3.44±0.95） before the treatment and（3.25± 0.84） four weeks after the treatment.The probing depth was（3.89±2.01） mm before the treatment and（1.35±0.47） mm four weeks after the treatment（P <0.05）.Among 32 teeth,4 had grade Ⅰ mobility and had no changes after the treatment,and 2 had grade Ⅰ mobility due to more desclerotization.Conclusion The treatment of periodontal disease with periodontal non-surgical treatment and surgical crown lengthening accompanied by gargle with Chinese medicinals without removing faulty prosthesis has desirable curative effect.关键词：integration of Chinese and Western medicine;faulty prosthesis;periodontal disease
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发布时间：2021-05-20 - 摘要：<正>类风湿性关节炎（rheumatoid arthritis,RA）是一种以关节滑膜炎症为特征,以慢性、多发性、对称性关节肿痛为主要临床表现的慢性全身性自身免疫性疾病。滑膜炎可反复发作,导致关节软骨及骨质破坏,最终导致关节畸形及功能障碍。其病程长,缠绵难愈,致残率高,属于中医"痹证"范畴,与《灵枢》的"周痹"、《金匮要略》的"历节"病相似,亦有历节风、关键词：类风湿性关节炎;痹证;微型癥瘕
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发布时间：2021-05-20 - 摘要：<正>失眠即"不寐",是因为阳不入阴所引起的以经常不易入寐为特征的病症。轻者入寐困难,或寐而易醒,或醒后不能再寐,亦或时寐时醒等,严重者则整夜不能入寐,白天常伴有焦虑、抑郁、心悸、头晕、健忘、多梦、心烦等表现。现代社会失眠症发病率高,已经成为许多国家广泛关注的社会公共卫生问题。《灵枢·营卫生会》云:"荣卫之行,不失其常,故昼精而夜瞑。"若营卫不和,循行失常,则会导致"昼不精,夜不瞑"的紊乱状态,即为失眠。笔者现浅析如下。关键词：内经;失眠;昼不精;夜不瞑
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发布时间：2021-05-20 - 摘要：<正>关于中医耳鼻咽喉科的教学问题,以前鲜有探讨,为此我们进行了一系列的、针对学生的问卷调查,初步了解了学生的教学需求。中医耳鼻咽喉科学是运用中医基本理论和方法研究人体耳、鼻、咽、喉生理病理及其疾病防治规律的临床学科。其特点为:以中医的整体观念为指导思想,以脏腑经络学说为理论基础,借鉴西医学先进关键词：中医耳鼻咽喉科教学;问卷调查;教学方式;调研分析
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发布时间：2021-05-20 - 摘要：<正>陈文伯教授是我国中医界著名的男科专家和内科专家,是享受国务院颁发的政府特殊津贴的国家级名老中医。陈老先生从事医学临床50余年,治疗多种疑难杂症颇多效验。笔者撷其精粹,在此文中对陈文伯教授诊疗喘病的经验进行探讨总结。1强调本虚是喘病的发病基础关键词：喘病;本虚;火邪;经验
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发布时间：2021-05-20 - 摘要：<正>针灸治疗肩周炎文献报道穴位不尽相同,故笔者在中国知网以针灸、肩周炎为关键词,收集2001—2011年针灸治疗肩周炎文献共34篇,用该穴在34篇文献中出现的次数÷34=该穴的出现频率的方法,从经络辨证角度进行穴位和经脉筛选,以期更好地为治疗肩周炎选穴组方提供依据。1十二经高频经穴统计及结果分析1.1十二经脉高频穴位1.1.1十二经脉高频穴位分布（1）手太阴肺经:任玉华等[1]报道臂内侧酸痛,关键词：肩周炎;穴位;经脉;经络辨证
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发布时间：2021-05-20 - 摘要：<正>麻杏石甘汤出自《伤寒论·辨太阳病脉证并治》:"发汗后,不可更行桂枝汤。汗出而喘,无大热者,可与麻黄杏仁甘草石膏汤。"原治太阳病,发汗未愈,风寒入里化热,"汗出而喘"者。临床上,我们取其清热宣肺的功效,用于治疗鼻科疾病,取得了满意的疗效,现介绍如下。1鼻窦炎鼻窦炎是鼻窦黏膜的化脓性炎症,中医称为"鼻渊",是指以鼻流浊涕、量多不止为主要特征的疾关键词：麻杏石甘汤;鼻窦炎;变应性鼻炎
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发布时间：2021-05-20 - 摘要：<正>近年来,肿瘤靶向药物的出现颠覆了原有的肿瘤治疗观念与模式,其个体化、疗效高、使用方便、不良反应较轻的突出优势逐渐被广泛认同,但肺癌靶向治疗的毒副作用与传统治疗的毒副作用截然不同,目前的相关治疗尚未达到满意效果。本文试从西医和中医两方面,对常见的肺癌靶向治疗毒副反关键词：靶向治疗;靶向药物毒副反应;中医治疗
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发布时间：2021-05-20 - 摘要：<正>脑卒中后吞咽困难,其发生率约占45%[1],可引起吸入性肺炎、营养不良和脱水等各种并发症,并对饮食、发音、交流产生不利影响,重症患者还可因痰液阻塞呼吸道导致窒息而危及生命。为了挽救患者的生命,提高患者的生活质量,必须尽早实施综合的康复措施,改善其摄食吞咽功能。随着人们对本病症的日益重视,临床治疗方法日渐增多,临床疗效也关键词：卒中后;吞咽困难;假性球麻痹
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发布时间：2021-05-20
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