最新刊期
      期 5 ， 2013
      • Vol. 20, Issue 5, Pages: 1(2013)
        摘要：<正>主持人语:传承和创新是中医药事业发展的两大主题,传承是基础,是核心,是创新发展的前提;创新是动力,是在传承基础上的"扬弃",是与时俱进的过程,是中医药事业可持续发展的源泉。医案作为中医理论和特色传承的载体,是中医理法方药的具体反映形式。深入地解析医案,探索医案中的灵感、知识、为医之境界,感悟对生命守护的东方智慧,不仅对中医药的学术创新具有十分重要的促进作用和现实意义,而且对于提高中医临床疗效、加强临床能力的转化,也是极佳的实现路径。  
          
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      • Vol. 20, Issue 5, Pages: 2(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表示,不用正体,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s,不用SE,也不用SEM;④t检验用英文斜体小写t;  
          
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      • SUN Guang-rong
        Vol. 20, Issue 5, Pages: 3-6(2013)
        摘要：On the base of introducing its concept and evolution,the author analyzes the position and function of medical case records in TCM sciences,difference between medical case records and medical records,and content of medical case records.The scientific and refinement principle in the design of typical medical case records are indicated,construction and information points are standardized and concrete content that a medical case record should contain is set in the paper taken the typical medical case records by modern prominent senior TCM doctors  
        关键词：medical case records;medical records;standard;prominent senior TCM doctors   
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      • Vol. 20, Issue 5, Pages: 4(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。  
          
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        发布时间：2021-09-15
      • XU Shi-jie,WANG Guo-wei
        Vol. 20, Issue 5, Pages: 7-11(2013)
        摘要：TCM case records are the valuable wealth of Chinese medical sciences,so to collect and study TCM case records is an important way for developing and improving the academic and clinical levels of TCM.The authors analyzed the characteristics and value of TCM case records from ancient and modern case records,individual cases,category cases,proved cases,error cases,and regional disparity,features,times,amount,curative effects and regions of cases.  
        关键词：Chinese medicine;medical case records;value   
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      • Vol. 20, Issue 5, Pages: 11(2013)
        摘要：<正>经国家新闻出版广电总局批准（批准文号:新出审字[2013]466号）,《北京中医药大学学报（中医临床版）》正式更名为《现代中医临床》,英文名称Modern Chinese Clinical Medicine。原刊号CN11-4892/R作废,新编国内统一连续出版物号CN10-1157/R。自2014年始使用新刊名与新刊号。更名的主要目的是为了适应中医药学科及中医药期刊发展的需求,利于与《北京中医药大学学报》相鉴别,利于突出特色,使杂志定位、范畴、内容更加明确。  
          
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      • Vol. 20, Issue 5, Pages: 12-13(2013)
        摘要：<正>医案是具有中医特色的医疗文书,近年来对医案的重视日益增加,医案学逐渐成为专门的学问,医案研究对促进中医药学术传承与发展具有重要的意义,以下就医案发展、医案应用谈点个人的认识,以抛砖引玉。1中医医案衍化过程1.1故事化医疗活动记录在古代典籍中有不少有关医疗活动的记录,如扁鹊的事迹在史记中多有记载,这些医疗活动的记录更像故事。具有医案基本要素的记录首属淳于意  
        关键词：医案;证候要素;病历   
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      • XIONG Li-hui,WANG Zhong
        Vol. 20, Issue 5, Pages: 14-16(2013)
        摘要：Medical records are the important carriers of TCM therapeutic experience.The paper analyzed medical records for exploring the inspiration-innovation,knowledge-clinic,medical realm-profundity and clinical cautionprevention.It is significant to the inheritance of TCM academic features,improvement of clinical effect and sublimation of TCM theory.  
        关键词：research on medical records;achievements;curative effect   
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      • LIU Fu-sheng,ZHONG Jian,WANG Mei,ZHAO Hu-kang,ZHANG Rui,CAO Po#
        Vol. 20, Issue 5, Pages: 17-20(2013)
        摘要：Objective To observe the curative effect of Shengmai Capsules combining moxibustion on intradialytic hypotension（IDH）.Methods The patients（n=24） were randomly divided into group A and group B,and they were given 2-stage clinical crossover tests.At the first stage group A was treatment group and group B was control group,and at the second stage,they were in reverse.There were 8-week treatment stage and 8-week follow-up stage in two stages and the whole test course was continued for 32 weeks.The two groups were given routine dialysis treatment and additionally Shengmai Capsules combining moxibustion to treatment group and midodrine hydrochloride to control group.The integrals of quality of life（QOL） and symptoms,KT/V,URR,incidence of IDH,suspending times of dialysis induced by IDH and UFV induced by IDH were compared between two groups.Results The comparison in QOL integrals,symptom integrals,incidence of IDH and suspending times of dialysis induced by IDH had statistical difference in two groups before and after treatment（P<0.05）,and more significant in treatment group.The comparison in KT/V,URR and UFV induced by IDH had no statistical difference in two groups before and after treatment（P>0.05）,and more significant in treatment group.Conclusion Shengmai Capsules combining moxibustion has better curative effect on IDH in improving QOL and relieving symptoms,and can reduce the incidence of IDH and suspending times of dialysis induced by IDH.  
        关键词：Shengmai Capsules;moxibustion;patients with dialysis;quality of life;intradialytic hypotension   
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        发布时间：2021-09-15
      • WU Ya- bing,LI Xiang,ZHANG Yu,WU Zhen-qi,HAN Zhi-you1#
        Vol. 20, Issue 5, Pages: 21-25(2013)
        摘要：Objective Salviae Miltiorrhizae) and Dongchongxiacao（Cordyceps） applied in renal transplantation in 112 patients.Methods The clinical data of 112 patients with renal transplantation were retrospectively analyzed from 2003 to 2007.The patients were randomly divided into treatment group（n=56） and control group（n=46）.The two groups were treated with immunosuppressant and treatment group was additionally given preparations of Danshen and Dongchongxiacao.The survival rates of both patients and kidneys after 1 year,3 years and 5 years,postoperative rejection,complications,major causes of death,and abnormal renal function were observed respectively.The treatment of chronic allograft nephropathy（CAN） was observed too.Results The survival rates of both patients and kidneys were 96.4%,85.7% and 74.1% in 112 patients,respectively,after 1 year,3 years and 5 years.There was 1and 11 missed follow-up.There were totally 11 cases died,among them 3 died in perioperative period and 8 died with normal renal function including 5 died of cancer（4.5%）.The comparison of survival rates of both patients and kidneys after 5 years showed that the survival rate was 82.1%（46/56） in treatment group and 80.4%（37/46） in control group（P>0.05）,and incidence of abnormal renal function was 16.1%（9/56） in treatment group and 41.3%（19/46） in control group（P<0.01）.There were 28 cases diagnosed as CAN in two groups.At the same time of reducing the dose of immunosuppressant or changing it,these cases were given intravenous drip of Danshenfen Injection for 2 weeks and the level of serum creatinine decreased averagely by（84.3±24.5） μmol/L.Conclusion The additional application of the preparations of Danshen and Dongchongxiacao besides of routine anti-rejection treatment has a good curative effect in the patients with renal transplantation,and similarly preparation of Danshen has the therapeutic effect on CAN.  
        关键词：renal transplantation;Danshen（Radix Salviae Miltiorrhizae）;Bailing Capsules;survival rate   
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      • Vol. 20, Issue 5, Pages: 25(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  
          
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        发布时间：2021-09-15
      • LI Kui-jiu,XIE Ying
        Vol. 20, Issue 5, Pages: 26-30(2013)
        摘要：Objective To observe the curative effect of tuina therapy on infant damp-heat diarrhea.Methods The infant patients（n=61） were randomly divided into treatment group（n=30） and control group（n=31）.The treatment group was given tuina therapy including different manipulations and control group,Changling Zhixie Oral Solution mainly and supplemented by bifidobacterium tetravaccine tablets and Mengtuoshi San.The total curative effect,total integrals of symptoms,integrals of symptoms and signs and WBC in routine blood and stool examinations were observed in two groups.Results The total curative effect in treatment group was superior to that in control group.The total integrals of symptoms and signs after treatment decreased in two groups（P<0.05）,which was more significant in treatment group（P<0.05）.After treatment,the integrals of stool frequency and characters,abdominal pain,vomiting,spirit,fever,thirst,diet,urine and red anus decreased in treatment group（P<0.01） and in control group（P<0.05） except of vomiting.In control group,the integral of vomiting had no statistical difference（P>0.05） before and after treatment.The integrals of stool frequency,abdominal pain and vomiting decreased more significantly in treatment group than in control group（P<0.05）,while integrals of stool characters,spirit,fever,thirst,diet,urine and red anus had no statistical difference（P>0.05） between two groups.The comparison in WBC in blood and stool routine examinations had no statistical difference（P>0.05） between two groups.Conclusion Tuina therapy has good curative effect on infant damp-heat diarrhea.  
        关键词：damp-heat diarrhea;tuina manipulations;infant diarrhea   
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      • Vol. 20, Issue 5, Pages: 30(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在正文中标注首次引用的文献序号,并在序号的"[]"外著录引文页码。2文后参考文献编排格式  
          
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      • XIA Yun,SUN Ying,LIU Zhao- lan,LIU Jian- ping3#
        Vol. 20, Issue 5, Pages: 31-33(2013)
        摘要：The estimation of sample size is required by the repeatability principle of clinical trials aiming at the study power in statistics.Similarly,in systematic review and Meta-analysis,when the number of included trials or the total sample size was too small,the curative effect will be exaggerated due to random errors.The paper briefly introduces a method for estimating sample size,which can adjust random errors and calculate the sample size needed by systematic review and Meta-analysis through applying trial sequential analysis（TSA）.  
        关键词：systematic reviews;meta-analysis;sample size;trial sequential analysis   
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      • PAN Liang,ZHOU Li,HU Hui#
        Vol. 20, Issue 5, Pages: 33-35(2013)
        摘要：curative effect of acupuncture.The authors analyzed the relative dissertation on acupuncture frequency in ancient literature,discussed the factors for determining acupuncture frequency from the aspects of constitutional types,disease causes and disease status,and explained in detail the common therapeutic plans in ancient literature.The purpose is to guide and provide reference for today’s clinical research.  
        关键词：acupuncture;frequency;interval time;therapeutic course   
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      • LI Sheng-jie,XIE Jie-ping#,LI Zhi-tong,YANG Wei-ning
        Vol. 20, Issue 5, Pages: 36-39(2013)
        摘要：literatures about"he-sea points governing vomiting and diarrhea"were studied.In ancient literature,it was recorded that,except of Xiaohai（SI8）,Yingu（KI10） and Quchi（LI11）,all he-sea points could be chosen for treating vomiting and diarrhea.In modern literature,only Chize（LU15）,Quze（PC3）,Quchi（LI11）,Yinlingquan（SP9）,Zusanli（ST36） and Weizhong（BL40） are reported to be able to treat the diseases.In addition,Chize（LU15） and Quze（PC3） of hand meridians are always used in blood-letting therapy,and Yinlingquan（SP9） and Zusanli（ST36） of foot meridians are always used in acupoint injection therapy.Zusanli（ST36） is used the most widely in the ancient and modern literature about"he-sea points governing vomiting and diarrhea",which shows that"hesea points governing vomiting and diarrhea"is with a certain universality.But Zusanli（ST36） has a relative specificity in controlling vomiting and diarrhea,which refers that Zusanli（ST36） is not only the he-sea point of stomach meridian but also lower he-sea point of stomach.  
        关键词：he-sea acupoints;vomiting and diarrhea;five shu acupoints;literature   
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      • Vol. 20, Issue 5, Pages: 40-43(2013)
        摘要：<正>盆腔炎性疾病[1]指女性上生殖道及其周围组织的一组感染性疾病,主要包括子宫内膜炎、输卵管炎、输卵管卵巢脓肿、盆腔腹膜炎。炎症可局限于一个部位,也可同时累及几个部位,最常见的是输卵管炎。盆腔炎性疾病大多发生在性活跃期。严重的盆腔炎性疾病发展可引起弥漫性腹膜炎、败血症、感染性休克,严重者可危及生命。若盆腔炎性疾病未能得到及时正确的治疗,则可形成盆腔粘连、输卵管阻塞,导致不孕、输卵管妊娠、慢性盆腔痛、炎症反复发作等。慢性盆腔炎严重影响妇女健康,增加家庭和社会经济负担。  
        关键词：慢性盆腔炎;中医药治疗;概况   
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      • LIANG Jin-pu,WANG Ya-hong,QIN Jian-guo
        Vol. 20, Issue 5, Pages: 44-46(2013)
        摘要：Professor GUO Wei-qin has indicated that heart qi deficiency is the base of onset of coronary heart disease（CHD）,qi deficiency and blood stasis is its basic pathogenesis,supplementing qi and activating blood circulation is its basic treatment principle and Yiqi Huoxue Fang is a basic formula according to TCM fundamental theory and her therapeutic experience on CHD for many years.The therapy of supplementing qi and activating blood circulation combining the therapies of diffusing impediment and freeing yang,replenishing qi and nourishing yin,activating blood and freeing vessel,warming the middle and fortifying spleen,pacifying liver and nourishing yin,regulating qi and releasing depression,clearing heat and resolving phlegm,and diffusing impediment and resolving stasis are applied by Professor GUO Wei-qin for treating CHD and better curative effects have been achieved.  
        关键词：coronary heart disease;heart qi deficiency;syndrome of qi deficiency and blood stasis;therapy of supplementing qi and activating blood circulation;syndrome differentiation;disease differentiation   
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      • Vol. 20, Issue 5, Pages: 47-49(2013)
        摘要：<正>痛风是嘌呤代谢紊乱和（或）尿酸排泄减少所引起的一种晶体性关节炎,临床表现为高尿酸血症、急性关节炎、痛风石、慢性关节炎,常可累及肾脏,发生尿酸盐肾病、尿酸性尿路结石,严重者可出现关节畸形、肾功能不全[1]。痛风性关节炎是痛风最常见的类型,秋水仙碱等药物虽对其症状的控制效果显著但副作用也相对突出,尤其是消化系统反应较为明显,且用药后容易复发,而中医药对本病的防治具有较为独特的优势。杨卫彬教授为中国中医科学院主任医师,从事临床、科研、教学工作20余年,他采取中医辨证治疗痛风性关节炎,疗效较为满意,现将其  
        关键词：痛风性关节炎;中医药;治疗   
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      • Vol. 20, Issue 5, Pages: 49-50(2013)
        摘要：<正>舌下腺囊肿为口腔科常见疾病,属中医"舌下痰包"范畴,中医古籍中记载了多种中医治疗该病的方法。有文献报道显示,目前临床对本病的治疗均以外治为主,其中以手术切除囊肿并摘除舌下腺为根治方法,但复发率高[1]。我们运用中药治疗了舌下腺囊肿1例,该患者为单纯型舌下囊肿,初诊时采用补脾胃、泻阴火、散痰结的方法治疗,5 d后囊肿消失,继以汤药调理善后,随访6个月未见复发。现将病例介绍如下。1病案资料郭某,男,24岁。主因右舌下生肿物1月余,于2012年10月27日就诊。患者于2012年9月初曾多次到外地出差,旅途奔波劳累,饮食不节,且思虑过  
        关键词：舌下腺囊肿;阴火;中医疗法   
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      • Vol. 20, Issue 5, Pages: 51-53(2013)
        摘要：<正>特发性肺间质纤维化（idiopathic pulmonary fibrosis,IPF）是指原因不明的以普通型间质性肺炎为特征性病理表现的慢性、进行性、致命性、间质性肺疾病,除肺移植外,其他的治疗药物和方法未能证实能改善IPF患者生活质量或提供生存率的循证医学证据[1]。中医药治疗对于肺间质纤维化的病理改变、X线胸片和CT的磨玻璃影、杵状指等难以逆转而其优势在于缓解患者的症状,改善患者的生活自理程度,提高生存质量[2]。笔者运用中医药诊治IPF,临床效果满意,现将用药经验整理介绍如下。1对IPF病名、病因病机的中医认识  
        关键词：特发性肺间质性肺纤维化;中医药;经验   
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      • Vol. 20, Issue 5, Pages: 53-54(2013)
        摘要：<正>痛泻要方[1]最早见于《丹溪心法》[2],主治痛泻。后人在实际运用此方时总结出本方的功效为补脾泻肝、缓痛止泻,主治脾虚肝强之痛泻。症见肠鸣腹痛、大便泄泻、泻必腹痛,舌苔薄白,脉两关不调,弦而缓。该方由白术、白芍、陈皮、防风4味药组成。方中白术味甘而苦,甘能补益,苦能燥湿,为补益脾胃之气、燥湿化浊止泻的要药。白芍苦酸微寒,既能酸敛收涩,又可缓急止痛。陈皮理气健脾、燥湿和胃。防风胜湿止泻、疏肝理脾。全方补中有泻,使脾气得健、肝气得舒,气机调畅则痛泻自止。1防风在痛泻要方中作用的传统观点  
        关键词：痛泻要方;防风;临床经验   
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      • Vol. 20, Issue 5, Pages: 55-56(2013)
        摘要：<正>薄氏腹针是薄智云教授经过多年研究发明的通过刺激腹部穴位调节脏腑失衡来治疗全身疾病的一种新的针灸方法[1]96。其以神阙调控系统理论为基本理论,采用中医针灸的理、法、方、穴,通过针刺腹部穴位最大限度地激发人体经络系统自我调控的潜能,使机体逐渐趋于稳态来治疗全身疾病。由于腹针安全、无痛、快捷、高效的特点,近年来受到广大患者的欢迎,同时,学习腹针的医学生和临床医生也越来越多。由于腹针在诊断、处方、取穴操作及针具等多方面都有别于传统针灸,带教老师和  
        关键词：薄氏腹针;临床带教;启示   
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      • Vol. 20, Issue 5, Pages: 57-60(2013)
        摘要：<正>软组织损伤性腰痛是临床常见病,中医理论认为,其疼痛的发生可以从督脉、膀胱经、肾经入手,也可以考虑带脉[1]。有学者认为,脊源性腰腹痛的病理机制除了可以从神经传导通路来解释外,更应从腰段脊柱的动静力失衡的角度来研究,而腹痛的发生则主要是因为腰大肌的急慢性损伤,这与中医"带脉瘀滞型腰痛"的典型表现——"腹腰脊痛,冲阴股"很相似[2-5]。近年来对腰大肌的研究逐渐得到国内外学者的重视,脊旁肌是协助完成脊柱功能的重要结构,通常认为腰大肌是屈髋的重要肌肉[6],但其在维持腰部脊柱稳定方面的机制尚不完全清楚。鉴于目前业内在腰大肌解剖方面的认识不尽相同[6],在  
        关键词：腰大肌;解剖;功能;推拿;临床意义;综述   
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      • Vol. 20, Issue 5, Pages: 61(2013)
        摘要：<正>顾问（13人）:王沛田德禄吕仁和孙呈祥孙照华李乃卿李学武李素卿肖承悰陈淑长徐秋萍郭志强曹建辉主编（1人）:王永炎副主编（8人）:王庆国王耀献刘建平李曰庆张允岭高思华唐启盛李岩（常务）编委（98人）:丁建中于秀辰马文珠王健*王天芳王玉来王玉芬王玉蓉王永炎王庆国王庆普王硕仁王新月王慧英*王耀献王麟鹏*韦企平牛欣左明焕卢颖田秀英  
          
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      • Vol. 20, Issue 5, 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文数据库、中国期刊全文数据库、中国学术期刊综合评价数据库、中国核心期刊（遴选）数据库、中国科技论文在线收录。根据相关国家标准及《中国高等学校自然科学学报编排规范》,结合本刊特点,编辑成如下投稿须知,请  
          
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