最新刊期
      期 3 ， 2013
      • WANG Yong-yan 1,XIE Ying-zhen 2
        Vol. 20, Issue 3, Pages: 1-4(2013)
        摘要：Imagery thinking is the most unique thinking mode in traditional Chinese culture, and TCM adopts the imagery thinking mode for diagnosing and treating diseases. From the onset of stroke to its critical stage, symptoms of phlegm heat and bowel excess appear along with the development of stroke, which are closely related to disease healing or exacerbating and spring up in imagery therapeutic course. The spring-up features of syndrome of phlegm heat and bowel excess of stroke in imagery therapeutic course have been summed up as follows: image combining high concept breeds novelty, corresponding changes to image depicts dynamic evolution, causal accommodation in imagery inherence springs up microscopic and macroscopic effects, and casual announce in inevitable image brings about integral unity.  
        关键词：therapy of resolving phlegm and relaxing bowels;stroke;symptoms of phlegm heat and bowel excess;imagery therapeutic mode   
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      • Vol. 20, Issue 3, Pages: 4(2013)
        摘要：<正>1文内引用参考文献的标注和著录原则与方法参考文献应限于作者直接阅读过的、最主要的、最新发表在正式出版物上的文献。未公开发表的内部文件和资料、二次文献不宜作参考文献引用。按照《顺序编码制》参考文献著录格式的要求,文内参考文献标注按引用文献出现的先后顺序连续编码,并将序号置于方括号中,并视具体情况把序号连同方括号作为上角标或按正文文字排列;同一处引用多篇文献时,只需将各篇文献的序号在方括号内全部列出,各序号间用",",如遇连续序号,可标注起止序号;多次引用同一著者的同一文献时,[]  
          
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      • Vol. 20, Issue 3, Pages: 5(2013)
        摘要：<正>本期专题:糖尿病足的中医治疗主持专家:于秀辰教授主持人语:糖尿病足是糖尿病常见的并发症,发病率高、致残性高、医疗费用高。糖尿病足是由糖尿病周围血管病变、周围神经病变、感染多重因素所致的疾病,糖尿病足的临床分期跨越较大,从没有破溃的0期到全足感染或坏死的5期,或侧重于血管病变、或侧重于神经病变,加之感染的程度不同,因此糖尿病足的临床表现形形色色。目前虽然中医针对本病的辨证治疗体系尚未完善,但中医治疗在预防糖尿病足、抑制糖  
          
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      • Vol. 20, Issue 3, Pages: 9(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物内容被收录和使用所付报酬,对于入编的文章,本刊及数据库光盘版编辑部等不再另付刊物内容入编网络及光盘版的报酬。特此声明。  
          
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      • Vol. 20, Issue 3, Pages: 10-12(2013)
        摘要：<正>随着人们生活水平的提高及饮食结构的变化,糖尿病的发病率在我国呈上升趋势。而糖尿病慢性并发症中的糖尿病肢体血管病变是糖尿病患者最主要的致残致死因素,由糖尿病肢体血管病变导致的高位截肢和再次截肢较非糖尿病患者高20倍[1]。据统计,有8%的患者在诊断糖尿病时即已存在肢体血管病变,并随年龄、病程的增加而增多,至20年后其发病率可达45%。同时,严重的糖尿病肢体血管病变患者的死亡危险也增加了47倍[1]。  
        关键词：糖尿病;血管病变;治疗   
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      • Vol. 20, Issue 3, Pages: 12-15(2013)
        摘要：<正>1糖尿病足诊治的中、西医现状糖尿病足又称糖尿病肢端坏疽。1999年,世界卫生组织（WH0）对糖尿病足的定义是[1]:糖尿病患者由于合并神经病变及各种不同程度末梢血管病变而导致下肢感染、溃疡形成和（或）深部组织的破坏。一般认为,其病变基础主要是糖尿病患者的两大慢性并发症,即血管病变和神经病变,糖尿病足发病往往是周围神经病变、缺血、感染共同作用的结  
        关键词：糖尿病足;发展现状;关键问题;治疗方法   
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        发布时间：2021-05-20
      • XING Peng-chao,CAO Ye-min #,Instructor: XI Jiu-yi
        Vol. 20, Issue 3, Pages: 16-20(2013)
        摘要：Objective To observe the curative effect of Xishi Qingxiao Fang and therapy of dispelling putridity and clearing sinew on severe diabetic foot sinew gangrene. Methods Xishi Qingxiao Fang and therapy of dispelling putridity and clearing sinew were used for treating 90 patients, and the curative effect was observed. The biochemical indexes, including fasting plasma glucose （FPG）, 2-hour postprandial plasma glucose （2-h PBG）, C-peptide （C-PR）, fasting insulin （FINS）, glycated hemoglobin （HbA1c）, homeostasis model assessment of insulin resistance （HOMA-IR）, white blood cells （WBC）, sensitivity C-reactive protein （CRP）, erythrocyte sedimentation rate （ESR）, red blood cells （RBC）, hemoglobin （Hb） and albumin （ALB）, number, area and depth of wounds, and adverse reactions were observed before and after treatment. Results Among 90 cases, there were 29 cured （32.22%）, 35 with remarkable curative effect （38.89%）, 23 relived （25.56%） and 3 grew worse （amputation, 3.33%）. There was no death case. The success rate for salvaging limbs was 96.67%. FBG, PBG, HbA1c, HOMA-IR, WBC, CRP and ERS decreased significantly, and RBC, Hb and ALB increased significantly after treatment （ P <0.05）. The number, area and depth of wounds decreased significantly after treatment （ P <0.05）. There were no adverse reactions observed. Conclusion Xishi Qingxiao Fang and therapy of dispelling putridity and clearing sinew have a good curative effect on severe diabetic foot sinew gangrene.  
        关键词：diabetic foot;sinew gangrene;severe cases;Xishi Qingxiao Fang;therapy of dispelling putridity and clearing sinew   
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        发布时间：2021-05-20
      • SUN Liang 1,ZHANG Gen-ming 2#
        Vol. 20, Issue 3, Pages: 21-23(2013)
        摘要：Objective To observe the curative effect of TCM comprehensive therapy on insomnia of type of dual deficiency of the heart-spleen. Methods The patients （ n =160） were randomly divided into treatment group and control group （each n =80）. The treatment group was treated with Zaoxingwu Fang at Mao time （from 5 a.m. to 7 a. m.）, Zaoxingmei Fang at You time （from 5 p.m. to 7 p.m.）, foot bath and acupuncture. The control group was given estazolam （1 mg, once a day） 15 minutes before sleep. The curative effect and indexes of night sleep quality and daytime waking state were observed in two groups. Results There was no statistical significance in the difference of curative effect between two groups （ P >0.05）. After treatment, the index of night sleep quality decreased in treatment group than before （ P <0.05）, decreased in control group than before （ P <0.05）, and was significantly lower in treatment group than that in control group （ P <0.05）. After treatment, the index of daytime waking state decreased in treatment group than before （ P <0.05）, decreased in control group than before （ P <0.05）, and significantly lower in treatment group than that in control group （ P <0.05）. Conclusion The TCM comprehensive therapy of TCM has a better curative effect on insomnia.  
        关键词：insomnia;partition therapy according to yin and yang;therapies of Chinese medicine and pharmacy   
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        发布时间：2021-05-20
      • YAN Ying 1,GUO Xiao-ming 2
        Vol. 20, Issue 3, Pages: 24-28(2013)
        摘要：Objective To observe the curative effect of medicated gauze application and soaking therapy on infantile eczema. Methods The infantile patients （ n =50） were randomly divided into treatment group （ n =30） and control group （ n =20）. The treatment group was treated with medicated gauze application and soaking therapy and control group was given warm water bath. The curative effect, integrals of skin lesion parts quantity, integrals of skin lesion condition, integrals of subjective symptoms and daily performance, and total integral were compared between two groups. Results In treatment group, there were 9 cases cured （30.0%）, 15 with obvious effect （50.0%）, 5 with effect （16.7%） and 1 without effect （3.3%）, and the total effective rate was 96.7%. In control group, there were 0 case cured （0%）, 4 with obvious effect （20.0%）, 4 with effect （20.0%） and 12 without effect （60.0%）, and the total effective rate was 40.0% （ Z =-2.277, P =0.023, P <0.05）. The integrals of skin lesion parts quantity, skin lesion condition, subjective symptoms and daily performance, and total integral all decreased in two groups after treatment （ P <0.01 or P <0.05）, and the difference in the comparison before and after treatment was statistically significant between treatment group and control group （ P <0.01）. Conclusion Medicated gauze application and soaking therapy has a good curative effect on infantile eczema.  
        关键词：medicated gauze application and soaking therapy;infantile eczema;Chinese medicinal;clinical observation   
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        发布时间：2021-05-20
      • Ba Yan. Aike Haiti 1,LIU Yun-xia 2#,ZENG Bin-fang 1
        Vol. 20, Issue 3, Pages: 28-31(2013)
        摘要：Objective To observe the curative effect of warm needling combining routine treatment of Western medicinal on rheumatoid arthritis （type of cold-dampness obstruction）. Methods The patients （ n =100） were randomly divided into treatment group and control group （each n =50）. The control group was given routine treatment of Western medicine （oral celecoxib capsules and leflunomide tablets）, and treatment group was given warm needling besides of routine treatment of Western medicine. The curative effect on TCM syndromes, integrals of TCM symptoms, scores of visual analogue scale （VAS）, erythrocyte sedimentation rate （ESR） and C-reactive protein （CRP） were observed in two groups. Results In treatment group, there were 20 cases cured （40%）, 19 with obvious effect （38%）, 9 with effect （18%） and 2 without effect （4%）, and the total effective rate was 96%. In control group, there were 15 cases cured （30%）, 10 with obvious effect （20%）, 12 with effect （24%） and 13 without effect （26%）, and the total effective rate was 74% （ Z =-7.557, P <0.05）. The integrals of TCM symptoms and scores of VAS all decreased in two groups after treatment （ P <0.05, P<0.05）, and the difference in the comparison before and after treatment was statistically significant between treatment group and control group （ P <0.05, P <0.05）. ESR and CRP all decreased in two groups after treatment （ P <0.05）, and the difference in the comparison before and after treatment was not statistically significant between treatment group and control group （ P >0.05, P >0.05）. Conclusion Warm needling combining routine treatment of Western medicinal has a good curative effect on rheumatoid arthritis （type of cold-dampness obstruction）.  
        关键词：warm needling;rheumatoid arthritis;impediment syndrome;type of cold-dampness obstruction   
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      • CHEN Wei,LIU Jian-ping #
        Vol. 20, Issue 3, Pages: 32-39(2013)
        摘要：Objective To review systematically the curative effect and safety of TCM external therapy on diabetic peripheral neuropathy （DPN）. Methods The domestic and international databases were retrieved till Mar. 1, 2011. The randomized controlled trials （RCT） about the comparison in treatment of DPN with Chinese external formulas, placebo or Western medicinal were identified and included. The quality of included RCT, such as randomization, allocation concealment, blinding, quitting and lost to follow-up, was reviewed according to internationally recognized criterions, and then the curative effect was analyzed systematically and comprehensively. Results There were totally 29 RCT included （involving 2 677 patients and 28 kinds of Chinese medicinal）. The methodological quality of included RCT was generally lower and there were no studies found out on the control study of external Chinese medicinal and placebo. There were 20 RCT showed that Chinese medicinal was better than Western symptomatic treatment in relieving symptom, 9 showed that Chinese medicinal had advantage in promoting nerve conduction velocity, 4 showed that Chinese medicinal had advantage in relieving numbness, and 6 showed that Chinese medicinal had advantage in relieving pain. The most of included RCT had no reports on adverse reactions, so the safety of external Chinese medicinal was not obtained affirmation. Conclusion Compared with Western medicinal, TCM external therapy has advantages in DPN treatment, but more rigorous designed and large-sample clinical trials are needed for further confirmation.  
        关键词：diabetic peripheral neuropathy;Chinese medicine;randomized controlled trials;systematic review   
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        发布时间：2021-05-20
      • GUO Sheng-nan 1,CHEN Sheng 1,ZHANG Jia-jia 1,ZHU Wen-hao 1,LIU Zhi-shun 2#
        Vol. 20, Issue 3, Pages: 40-43(2013)
        摘要：Objective To analyze and sum up the clinical application characteristics of Hui needling method. Methods The content about Hui needling method in ancient and modern literature was retrieved from the databases of Enclopaedia of Traditional Chinese Medical Works and CNKI. The clinical application of Hui needling method was summed up. Results There were totally 12 ancient literature and 31 modern literature included. In ancient literature, the main indication of Hui needling method was impediment of sinew, and the needle was inserted obliquely into the side of injured tendon, lifted, thrust and judged, and then lifted to subcutaneous part to relieve sinew spasm cooperated by joint flexion. In modern literature, the clinical application of Hui needling method is to treat train lesions in joints and soft tissue around joints. The acupoints are mainly ouch points and some times local acupoints and those along meridians are selected. The manipulation is perpendicular insertion and neutral supplementation and draining method or draining method are used. The shortest needle retention time is 10 minutes and the longest is 2 hours. Other cooperation therapies are commonly applied including other needling methods, moxibustion method, cupping method, acupoint special therapy and other therapies such as tuina, plum-blossom needle and scalp acupuncture. Conclusion The clinical application of Hui needling method in modern time inherits the characteristics of ancient method, while its indications have been expanded and better effects are achieved.  
        关键词：Hui needling method;clinical application;literature   
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      • Vol. 20, Issue 3, Pages: 43(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自由度用希腊文斜体小写γ;⑨样本用英文斜体小写n;⑩概率用英文斜体大写P。  
          
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      • Vol. 20, Issue 3, Pages: 44-46(2013)
        摘要：<正>医学是实践性、应用性极强的学科,临床实践和技能教学是医学教育的重点和关键。对于医学生而言,临床实习阶段是他们走上医疗这个高风险、高强度工作岗位之前重要的实践活动阶段,这个时期的学习、教学质量的优劣直接关系着他们的未来,关系着医疗的未来。北京中医药大学东直门医院血液肿瘤科是一个集医疗、教学、科研于一体的重点科室,是国家教育部重点学科"中医内科学"的重要组成部分,国家中医药管理局重点学科"中医血液病学科"  
        关键词：临床教学;科室管理;教学质量   
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      • Vol. 20, Issue 3, Pages: 46-48(2013)
        摘要：<正>老年肺部感染是老年人常见病、多发病之一,更是导致患者死亡的重要原因之一,常因其临床症状及体征不典型而易造成漏诊和误诊,由于抗生素的不恰当使用,也常常影响该病的治疗。中医辨证论治该病,在改善患者症状、缩短疗程、增加治愈率等方面均显示出一定的优势。我们在既往研究中对152例老年肺部感染患者进行中医辨证分析,结果显示老年肺部感染患者常兼有中焦湿热证,且该证型与年龄相关,发病率较高,约为49.3%[1]。现从理论角度进一步分析探讨老年肺部感染中焦湿热兼证的证治特点,为临床辨证论治该病提供理论依据。  
        关键词：老年肺部感染;中焦湿热兼证;病证特点;治疗   
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      • Vol. 20, Issue 3, Pages: 49-51(2013)
        摘要：<正>自1977年美国罗彻斯特大学教授恩格尔（Engel）提出生物-心理-社会医学模式[1]之后,西医学已逐渐认识到心理因素与人的健康和疾病有着极其密切的关系。中医早在《内经》中就提出了情志致病这一重要理论,如《灵枢·本神》中提到:"怵惕思虑者则伤神,神伤则恐惧流淫而不止。因悲哀动中者,竭绝而失生。喜乐者,神惮散而不藏。愁忧者,气闭塞而不行。盛怒者,迷惑而不治。恐惧者,神荡惮而不收。"我国古代先人发现了由于情绪反应引起的各种症状群或生理功能障碍。而现在随着饮食结构的改  
        关键词：功能性便秘;情志;理论探讨   
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      • Vol. 20, Issue 3, Pages: 52-55(2013)
        摘要：<正>增生性瘢痕是因皮肤损伤后过度修复而导致的病理产物,不仅影响患者的体表美观,而且可导致不同程度的功能障碍,对患者的身心健康造成双重影响。现代细胞生物学和分子生物学的研究表明,增生性瘢痕的病理原因是成纤维细胞的过度增殖、细胞外基质中胶原的合成与分解的不平衡、转化生长因子-β（TGF-β）等生长因子的过度生成、微血管构筑异常等[1-2]。但增生性瘢痕的发病机制及确切病因仍未完全明确。中医认为,瘢痕多因先天因素或  
        关键词：增生性瘢痕;中草药;针灸;抑制;综述   
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      • Vol. 20, Issue 3, Pages: 55(2013)
        摘要：<正>本刊电子版发行合作伙伴:中邮阅读网。录用的文章将一律由编辑部统一纳入网络,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物内容被收录和使用所付报酬,不再另付。特此声明。  
          
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      • Vol. 20, Issue 3, Pages: 56-58(2013)
        摘要：<正>中风是中医学对脑血管疾病的统称,尿失禁是中风后患者常见的后遗症。它易诱发感染,给患者机体造成不适,对患者心理也会产生了不良的影响。赵红霞等[1]对急性脑卒中患者发生下尿路症状的临床表现及对近期预后的影响进行观察,发现中风后出现下尿路症状的患者,在病情严重程度上明显高于未出现下尿路症状的患者,其预后也明显差于后者。然而武汉地区一项社区人群尿失禁发病情况的流行病学调查显示,大部分患者因为缺乏对尿失禁的认识而没有进行治疗,男、女性就诊率分别仅  
        关键词：艾灸;中风;尿失禁;临床;综述   
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      • Vol. 20, Issue 3, Pages: 58(2013)
        摘要：<正>为了配合2011年国家中医药管理局医政司第一批"中医诊疗设备推广"工作,举办"红外成像检测技术在中医诊断中的应用"培训班（2013330501060）,为红外检测技术在中医临床应用奠定人力资源基础。培训内容:红外成像技术的基本原理及与中医学的相关性;红外成像检测技术的主要功能;临床应用实例介绍;国际医疗红外检测技术概况及国内研究概况。有实际操作和练习。培训对象:中医临床医生、中医院校学生及教师、中医科研人员、养生机构人员。培训时间:2013年8月27日—30日。  
          
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      • Vol. 20, Issue 3, Pages: 59-60(2013)
        摘要：<正>1病案资料马某,女性,25岁。主因颈部不自主歪向左侧2周,以"斜颈原因待查"于2012年5月1日收住北京中医药大学东直门医院脑病科二病区。患者于2012年4月20日因劳累及情绪波动出现颈部肌肉僵硬、右颈部肌肉疼痛伴右侧颈肩部麻木,偶有头晕,无头痛,无视物旋转,无视物模糊,无恶心呕吐,肢体活动如常。患者未予重视,症状逐渐加重。  
        关键词：痉证;痉挛性斜颈;中医药;针灸;推拿   
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      • Vol. 20, Issue 3, 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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      • Vol. 20, Issue 3, Pages: 64(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。原则上本刊不再接收电子邮件与纸版投稿,请作者、读者相互转告。如有特殊情况请与本刊联系。电话:010-64286149。  
          
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