最新刊期
      期 2 ， 2013
      • Vol. 20, Issue 2, Pages: 1-3(2013)
        摘要：The evolution, prognosis and treatment of syndrome of phlegm heat and bowel excess of stroke after applying therapy of resolving phlegm and relaxing bowels were summed up. The patients with different physiques, causes and pathogeneses will have different syndrome evolution and prognosis including freeing of bowels qi, reducing of phlegm heat, temporary resolving of bowel excess without freeing of bowels qi or without reducing of phlegm heat, and bowel qi obstruction with intense phlegm-heat and wind-fire. The authors indicate that syndrome of phlegm heat and bowel excess derives from the same pathogeneses of stroke including qi movement disorder, phlegm-heat retained in middle energizer and disorder of upbearing and downbearing. So freeing of bowels qi and reducing of phlegm heat are closely related to disease tendency and outcome.  
        关键词：therapy of resolving phlegm and relaxing bowels;stroke;syndrome of phlegm heat and bowel excess   
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      • Vol. 20, Issue 2, Pages: 2(2013)
        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、修稿或浏览最新目录等。2010—2012年杂志及现刊内容已在网上全文刊出,可在线全文阅读、下载。具体网址如下:http://xblc.bucm.edu.cn。  
          
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      • Vol. 20, Issue 2, Pages: 3(2013)
        摘要：<正>本刊已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;被"中国科技论文在线"收录;是中国学术期刊综合评价数据库统计源期刊;本刊电子版发行合作伙伴:中邮阅读网www.183read.com。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。本刊所付稿酬已包含刊  
          
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      • Vol. 20, Issue 2, Pages: 4-8(2013)
        摘要：Objective To study the curative effect and safety of TCM external treatment on breast hyperplasia. Methods By applying randomized double-blinded placebo-parallel-controlled method, 260 patients with breast hyperplasia were selected from 5 research centers, and then divided into treatment group and control group according to a proportion of 1 : 1. The treatment group was treated with Sanjie Rupi Gao applied on the best pain points of bilateral breasts one piece each side for 7 hours a day, and control group was treated with simulation agent. Every group was treated for 2 menstrual cycles but not treated during menstrual period. The indexes of breast painand lump were observed in two groups. Results The total effective rate was 73.2% in treatment group and 31.8% in control group after treatment. The comparison had statistical significance between two groups. Conclusion Sanjie Rupi Gao has a reliable curative effect without adverse reactions in the treatment of breast hyperplasia.  
        关键词：breast hyperplasia;external treatment with Chinese medicinal;Sanjie Rupi Gao   
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      • HE Xiao-jin,PAN Li-qun,JIANG Wei-hua,XU Feng,JIANG Hong-Jie,JING Hai-bo
        Vol. 20, Issue 2, Pages: 9-14(2013)
        摘要：Objective To observe the curative effect and safety of Sanhan Zhitong Plaster in the treatment of cold-dampness obstruction syndrome of knee osteoarthritis （KOA）. Methods KOA patients （n=578） from 4 research centers were divided, accordind to a proportion of 2:2:1, into group A （n=233, treated with Fufang Nanxing Zhitong Plaster）, group B （n=230, treated with Shangshi Jietong Plaster） and group C （n=115, treated with acrylics pressure-sensitive adhesive plaster）, once a day for 6 days. The cure rate, effective rate, Western Ontario and McMaster Universities Osteoarthritis Index （WOMAC）, integrals of TCM syndromes and adverse effects after medication were compared among three groups before and after treatment. Results All data were analyzed by using Full Analysis Set （FAS） and Per-Protocol population （PP）. The curative effect was the best in group A after knee pain scoring with Visual Analogue Scale （VAS）. The change tendency of WOMAC had statistical significance in three groups before and after treatment. The curative effect on TCM syndromes was the best in group A after data analysis with FAS. There were no serious adverse reactions observed related to experimental medicinal. Conclusion Sanhan Zhitong Plaster is safe and effective in the treatment of cold-dampness obstruction syndrome of KOA  
        关键词：external plaster;knee osteoarthritis;dispelling cold and relieving pain;randomized double-blinded controlled trials;multi-center study   
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      • Vol. 20, Issue 2, Pages: 15-18(2013)
        摘要：Objective To establish TCM comprehensive external treatment plans, manipulation specification and curative effect evaluation standard of ulcer period of diabetic foot for providing the therapeutic guide through standardized clinical study. Methods The plan of central randomized, positive controlled and multi-center clinical trials were managed by applying the third-party data, and TCM comprehensive external treatment plans for ulcer period of diabetic foot from grade Ⅱ to grade Ⅳ were summed up in 190 cases studied by national 5 branch-centers. Results The differences in wound healing rate, wound closure index, curative effect of disease and curative effect of syndromes had statistical significance respectively compared between treatment group 1 or treatment group 2 and control group （P<0.05）. There was no difference between treatment group 1 and treatment group 2（P>0.05） Conclusion The therapeutic principles for ulcer period of diabetic foot is supporting the root and binding toxin, and dispelling putridity and promoting regeneration. TCM comprehensive external treatment plans are effective therapies for reducing and controlling toxin, and keeping the maximum of functional tissues. The plans, with scientific measures and tests of TCM syndrome quantification evaluation and reliable curative effect, canbe used in the treatment of ulcer period of diabetic foot.  
        关键词：ulcer period of diabetic foot;TCM external treatment;multi-center clinical study   
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        发布时间：2021-05-20
      • Vol. 20, Issue 2, Pages: 19-23(2013)
        摘要：Objective To review the curative effect and safety of Dinggui San applied on umbilicus combining Qianlie ’ an Shuan on type Ⅲ prostatitis （type of qi stagnation and blood stasis）. Methods The patients （n=160） were,accordingtomulti-centeredandstandardizedcontrolledmethod,dividedintoDingguiSancombiningQianlie ’ an Shuan group （group A） and Qianlie ’an Shuan group （group B）. One particle of Qianlie ’ an Shuan was intruded into anus before sleeping, and Dinggui San [Dingxiang （Flos Caryophylli, 0.3 g） and Rougui （Cortex Cinnamomi,1g）] mixed well with rice vinegar and applied on umbilicus once a day for 4 weeks. The curative effect was reviewed by using NIH-CPSI and TCM syndrome scoring, and adverse reactions were recorded at the same time. Results The results of NIH-CPSI showed that the total effective rate was 83.8% in group A and 68.4% in group B （P<0.05）. The results of TCM syndrome scoring showed that the total effective rate was 78.4% in group A and 64.5% in group B （P<0.05）. There were no adverse reactions observed. Conclusion Dinggui San applied on umbilicus combining Qianlie ’an Shuan is safe and effective to type Ⅲ prostatitis （type of qi stagnation and blood stasis）.  
        关键词：type Ⅲ prostatitis;Dinggui San;Qianlie ’an Shuan;qi stagnation and blood stasis;external treatment   
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        发布时间：2021-05-20
      • Vol. 20, Issue 2, Pages: 23-26(2013)
        摘要：Objective To establish a method for standardized evaluation on curative effect of external Chinese medicinal for treating psoriasis of blood-heat type. Methods Through retrospective study, literature arrangement, expert questionnaire and Optimization argument, an evaluation method was formed initially. The multi-centered, big sampled and randomized double-blinded placebo-controlled clinical trials were designed according to demand of evidence-based medicine, taken Pulian Gao treating psoriasis of blood-heat type as an example, for verifying and summing up the evaluation method. The scores of psoriasis area and severity index （PASI） and TCM syndromes were regulated and improved. Results An evaluation system of curative effect was initially established including evaluation of curative effect on disease, evaluation of curative effect on TCM syndromes and evaluation on safety. Conclusion The evaluation method established in this study is comprehensive, accurate and objective in the evaluation on the curative effect of external Chinese medicinal for treating psoriasis of blood-heat type.  
        关键词：psoriasis;TCM external treatment;evaluation methods of curative effect   
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        发布时间：2021-05-20
      • Vol. 20, Issue 2, Pages: 27-30(2013)
        摘要：According to the experience on conducting randomized controlled trials （RCT） of needling, the authors summed up some key points and notes of methodologic issues in implementation of acupuncture RCT. There were 6 aspects that were should be paid special attention to, including ①influence factors and control of variability in acupuncturists ’ manipulation process, ②selection and implementation of placebo-acupuncture control, ③patient compliance, ④evaluation on safety of needling, ⑤personal arrangement, and ⑥clinical monitoring. The quality of the implementation of acupuncture RCT is one of the decisive factors in the whole study, which should be concidered cautiously.  
        关键词：acupuncture;needling;randomized controlled trial;clinical trial;standard operating procedure;compliance;quality control   
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      • Vol. 20, Issue 2, Pages: 30(2013)
        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;⑤F检验用英文斜体大写F;⑥卡方检验用希腊文斜体小写χ2;⑦相关系数用英文斜体小写r;⑧自由  
          
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        发布时间：2021-05-20
      • SHIN Jae-young,FU Cai-hong,LIU Hong-wei,CAO Ke-gang,ZOU Yi-huai
        Vol. 20, Issue 2, Pages: 31-34(2013)
        摘要：Objective To review the curative effect and influence of Chuangxion Dingtong Yin in the prophylactic treatment of syndrome of liver wind complicated by stasis of migraine. Methods By applying multi-centered, perspective, randomized and double-blinded placebo-controlled method, treatment group （n=86） was orally given granules of Chuangxion Dingtong Yin and necessary analgesics for 12 weeks and control group （n=42） was orally given placebo and necessary analgesics for 12 weeks. The indexes of quality of life and times of headache attack were reviewed respectively before and after treatment. Results The difference in total index score of quality of life and average of prospective items had statistical significance between two groups （P<0.05）. The different values in times of headache attack before and after treatment had significance between two groups （ P <0.05）. Conclusion The prophylactic treatment of migraine with Chuangxion Dingtong Yin can effectively improve quality of life and reduce times of headache attack in the patients.  
        关键词：Chuangxion Dingtong Yin;migraine;syndrome of liver wind complicated by stasis;quality of life   
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        发布时间：2021-05-20
      • Vol. 20, Issue 2, Pages: 35-36(2013)
        摘要：<正>由于聚类分析是在没有"先验"知识的情况下进行分类的,因而其所具有的科学性和客观性为中医证候的标准化、客观化研究提供了新的思路与方法。本课题研究将聚类分析运用于中风病的证候研究中,意在将研究的客观性、科学性提高到一个新的层次。糖尿病是我国人群的高发病之一,其血糖的异常会引起血液状态的一系列变化,进而导致大、小血管的病变而易发生缺血性中风  
        关键词：聚类分析;始发状态;首次发作急性缺血性中风;证候;糖尿病   
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        发布时间：2021-05-20
      • Vol. 20, Issue 2, Pages: 37-39(2013)
        摘要：<正>历代中医都非常重视天人相应,不同季节,寒来暑往,阴阳变化主宰世界上万物之生命节律。不同体质人群由于身体阴阳失衡,对不同季节的耐受情况不同,可出现不同脏腑热代谢特征。《素问·阴阳应象大论篇》指出:阳盛之人"能冬不能夏",阴盛之人"能夏不能冬"。本研究利用红外成像检测技术,验证这一现象的客观存在。1研究方法研究对象为健康体检人群144例,男性25例,  
        关键词：体质;红外成像;脏腑热值;夏季   
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      • Vol. 20, Issue 2, Pages: 40-42(2013)
        摘要：<正>岁月穿梭,光阴荏苒。2011年春节过后,王永炎老师简短的一句话"春节后每周二我来查房",就这样,我们已经跟随王老师查房2年多了。当完成了繁杂的日常工作,静坐于书桌前,翻开我们随身携带的查房笔记,总是被老师的学者医道所感动。和先生一起查房,耳濡目染,潜移默化,不断成长。本想整理老师查房的验案供同道参考,但许多的感悟却使我们完成了"随王永炎教授查房有感"的短  
        关键词：王永炎查房;症状学;病史;诊病;炮制   
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      • Vol. 20, Issue 2, Pages: 42-44(2013)
        摘要：<正>自《内经》《难经》论及脏腑病机以来,汉、晋、隋、唐医家常以"五脏辨证"作为论病辨证的基础。在中医基础理论藏象学说的基础上,钱乙博采各家之学,结合自己对小儿"脏腑柔弱""成而未全……全而未壮"的生理及"易虚易实,易寒易热"的病理特点的认识,首创了儿科五脏辨证学说。提出"心主惊""肝主风""脾主困""肺主喘""肾主虚"的辨证纲领,各脏证有虚、实、寒、热之分,方有温、清、补、泻之别。在临  
        关键词：钱乙;五脏辨证学说;小儿疾病   
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      • Vol. 20, Issue 2, Pages: 45-46(2013)
        摘要：<正>功能性消化不良属中医"胃痞·实痞"范畴,以实证居多,也有虚实夹杂者。病位主要在胃,涉及肝脾肾。病因主要涉及饮食不节、情志不遂、脾胃虚弱。病机主要为胃气壅滞、失于和降。对于本病,叶天士从胃论治。董建华教授在生理上强调"降"字,在病理上强调"滞"字,在治疗上强调"通"字。秦伯未倡导从脾论治。上海中医药大学倡导从肝论治。田德禄教授坚持"内镜是中医望诊  
        关键词：清降理论;功能性消化不良;经验   
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        发布时间：2021-05-20
      • SHI Zhi-hong,WANG Peng,CHEN Sheng,FU Yu,WANG Peng,WANG Yu-ming,ZHAO Ji-ping
        Vol. 20, Issue 2, Pages: 47-49(2013)
        摘要：Objective To review the curative effect of needling therapy of regulating mind on persistent allergic rhinitis （AR）. Methods The eligible subjects were randomly divided into treatment group and control group. The treatment group （n=20） was treated according to set acupoints and needling methods in established plan three times a week for 4 weeks, and control group （n=16） was treated with oral cetirizine once a day for 4 weeks. The total nasal symptom score （TNSS） was observed. Results The comparison within the same group showed the difference had statistical significance （P<0.05） from the 3 rd week in treatment group and the 1 st in control group. The average baseline of TNSS decreased in two groups after treatment （P<0.05）. The total effect of relieving nasal main symptoms in treatment group was similar to that in control group （P>0.05）. Conclusion The needling therapy of regulating mind is an effective therapy for treating AR.  
        关键词：needling;allergic rhinitis;clinical study   
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      • Vol. 20, Issue 2, Pages: 49(2013)
        摘要：<正>为了实现期刊编辑、出版工作的网络化,我刊现已入网"万方数据——数字化期刊群",向本刊投稿并录用的稿件文章,将一律由编辑部统一纳入"万方数据——数字化期刊群",进入因特网提供信息服务。凡有不同意者,请另投他刊。本刊所付稿酬包含刊物内容上网服务报酬,不再另付。"万方数据——数字化期刊群"是国家"九五"重点科技攻关项目。本刊全文内容按照统一格式制作,读者可上网查询浏览本刊内容,并订阅本刊。  
          
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      • Vol. 20, Issue 2, Pages: 50-51(2013)
        摘要：<正>过敏性鼻炎也称变态反应性鼻炎,是机体对外界某些过敏源感应性增高而表现出以鼻黏膜病变为主的一种变态反应性疾病。可发生于任何年龄,男女均有,多见于年轻人。其常见症状有眼痒、鼻痒、喷嚏多、流清涕、鼻塞、头晕、头痛,如长期迁延不愈严重者可引起记忆力减退、中耳炎、过敏性哮喘等多种疾病。中医归为"鼻鼽"范畴,认为是肺气虚、宣降失常所致。西医学认为过敏性鼻炎是特  
        关键词：过敏性鼻炎;针刺蝶腭神经节;临床疗效   
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      • Vol. 20, Issue 2, Pages: 52-53(2013)
        摘要：<正>血脂异常是指体内脂质代谢异常导致的血液中一种或几种脂质成分异常的一种疾病,是中老年人的常见病和多发病。血脂异常与动脉粥样硬化、冠心病、脑血管病等的发生发展关系密切,危害甚大。本研究用自拟降脂代茶饮治疗血脂异常中医辨证属痰瘀互结型患者83例,取得了良好的疗效,现报道如下。1资料与方法1.1临床资料1.1.1一般资料本次研究病例来源于2012年2月至10月来我院门  
        关键词：自拟降脂代茶饮;痰瘀互结;血脂异常   
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      • Vol. 20, Issue 2, Pages: 54-55(2013)
        摘要：<正>下肢骨折是骨伤科常见疾病,由于下肢的主要功能是负重及行走,当发生骨折后,对其整复要求高,不仅需要患肢与健肢的长度相等,而且要求对位对线良好[1]。故大部分下肢骨折选用手术治疗,但术后因局部渗出、炎症反应、微循环障碍、缺血再灌注损伤等原因常伴有肢体肿胀,如果处理不当,则可能出现切口愈合不良、感染、筋膜间室综合征、骨髓炎、甚至截肢等严重后果。笔者2010年9月至2012  
        关键词：五味消毒饮;下肢骨折;肿胀;疗效观察   
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      • Vol. 20, Issue 2, Pages: 56-57(2013)
        摘要：<正>痤疮,中医称为"肺风粉刺",是一种毛囊皮脂腺慢性炎症性皮肤病。本研究就"化瘀解毒散结饮"治疗痤疮的临床疗效进行了观察。1临床资料1.1一般资料患者67例来源于2011年10月—2012年9月北京中医药大学第三附属医院皮科门诊。根据随机分组原则,参照随机数字表进行分组,其中治疗组35例,对照组32例。治疗组男性15例,女性20例;病程2个月2年;证候评分（14.20±3.28）;皮损分级  
        关键词：化瘀解毒散结饮;痤疮;临床疗效   
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      • Vol. 20, Issue 2, Pages: 58-60(2013)
        摘要：<正>经络系统是中医学基础理论的重要组成部分,由奇经八脉和十二正经共同组成。带脉是奇经八脉之一,是全身唯一的一条横行经脉,横于腰际,位于上下之枢纽地带,与多条经脉相联系,有很重要的作用,故应对其深入研究,以便临床更好地应用。1起源与命名对带脉的记载最早可追溯至《内经》,但其对带脉的描述散在于少量几篇中,内容简单且不完整,如《灵枢·经别》言:"足少阴之正,至腘  
        关键词：带脉;起源;循行;功能;病候   
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      • Vol. 20, Issue 2, Pages: 60-61(2013)
        摘要：<正>耳鸣指患者耳中鸣响而周围环境中并无相应的声源。它可发生于单侧,也可发生于双侧,有时患者自觉鸣声来自头颅内部,称为"颅鸣"或"脑鸣"。临床上我们采用中医辨证施治的方法治疗耳鸣,取得了一定的疗效,现介绍如下。案例1患者,男性,54岁,于2012年7月11日就诊。主诉"双耳鸣2年余"。患者2年前感冒后出现耳鸣、耳堵,遂到某医院就诊,诊断为"渗出性中耳  
        关键词：耳鸣;清肝泄火;化痰祛湿;通窍止鸣   
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      • Vol. 20, Issue 2, Pages: 62(2013)
        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等。《北京中医药大学学报（中医临床版）》现已被中文生物医学期刊文献数据库、中国生物医学期刊引  
          
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