最新刊期
期 1 ， 2016
- 摘要：Be guided by professor SHANG Xianmin’s experience of treating gout that damp evil and phlegm are the main causes,and qi-blood and meridian blocking are the core pathogenesis,she plays a high value on different therapeutic strategies at different stages and on combination of pattern differentation and disease identification. In the acute phase of gout,the TCM therapy of eliminating damp-heat and blood activating to cure Bi（ arthralgia） is applied in line with the pattern of damp-heat and vessels blocking; in the chronic phase with arthritis,the therapy of dispersing phlegm and damp is applied according to the pattern of phlegm-dampness and vessels blocking; in the remitted phase,the therapy of nourishing liver-kidney and dispersing dampness is directed at the pattern of deficiency of liver-kidney and accumulating damp-stasis,or the therapy of warmly nourishing spleen-kidney and dispersing damp at the pattern of deficiency of spleen-kidney and accumulating damp-stasis. The efficacy of her empirical formula,Tongfeng Dingtong Tang,is proved.关键词：gout;traditional Chinese medicinals;experience;Tongfeng Dingtong Tang;outstanding senior traditional Chinese practitioner
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发布时间：2021-05-20 - 摘要：Professor SHANG Xianmin’s extensive experiences on arthralgia syndrome（ Bi syndrome） are summarized to twelve treatment methods and principles,listed as the following: method of dispersing wind to remove Bi,method of expelling cold and freeing Bi,method of clearing damp to eliminate Bi,method of clearing heat to dispense Bi,method of clearing heat and detoxifying,method of reducing phlegm and resolving masses,method of promoting blood circulation by removing blood stasis,method of strengthening the spleen and replenishing qi,method of invigorating the kidney to strengthen the bones,method of replenishing blood and nourishing liver,method of nourishing yin and moistening dryness,and method of freeing the channels and quickening the network vessels. Each method of treatment is discussed from its characteristics,symptoms,widely used prescription and physician’s understanding.关键词：TCM differentiation;arthralgia syndrome;treatment method;outstanding senior traditional Chinese practitioner
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发布时间：2021-05-20 - 摘要：Professor SHANG Xianmin points out that the basic pathogenesis of Sjogren’s syndrome（ SS） is dryness due to yin deficiency,especially liver-kidney yin deficiency,accompanied with pathological changes of the zang-fu organs including lung,spleen and stomach. Professor SHANG treats SS in accordance with five main pattern types: yin deficiency pattern treated with the method of nourishing yin and clearing heat,retaining the body fluid and moisturizing dryness; qi deficiency pattern treated with replenishing qi and invigorating spleen,enriching yin and moistening dryness; yin and yang deficiency pattern treated with method of strengthening yang and yin; qi stagnation and blood stasis pattern treated with soothing the liver and eliminating the stagnation of qi,tonifying and activating blood; noxious dryness intrinsic pattern treated with clearing dryness and expelling toxic materials to increase fluids and protect yin. Furthermore,she adds and subtracted herbal medicines to the formula based on the accompanying patterns.关键词：Sjogren ’s syndrome;syndrome differentiation and treatment;outstanding senior traditional Chinese practitioner
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发布时间：2021-05-20 - 摘要：According to the symptoms of diabetic nephropathy（ DN）,Professor SHANG Xianmin,differentiates DN into five TCM patterns to treat. Firstly,patients with pattern of extreme heat due to deficiency of yin are treated with the method of nourishing yin and clearing heat; secondly,those with pattern of qi and yin deficiency are treated with the method of notifying qi to nourish yin; thirdly,the TCM methods of reinforcing the kidney and strengthening the spleen,and eliminating damp and stasis are applied to the pattern of spleen-kidney qi deficiency; fouthly,the patients with pattern of deficiency of both yin and yang are undoubtedly treated with the methods of nourishing kidney-yin and warming kidney-yang,with of dispersing blood stasis and removing dampness; lastly,when the patients are suffered with patterns of phlegm accumulation and stasis,and qi deficiency and yang debility,the methods of tonifying qi and blood,warming kidney and fortifying spleen,promoting blood circulation and removing blood stasis,and expelling turbid and purging fu must be performed. The procedure of syndrome differentiation and treatment is based on the TCM pathogenesis of vital-qi deficiency.关键词：diabetic nephropathy;cause and pathogenesis;syndrome differentiation and treatment;outstanding senior traditional Chinese practitioner
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发布时间：2021-05-20 - 摘要：Objective To evaluate the influence of various factors,including the TCM pattern factors,on the recurrence of patients with ischemic stroke. Methods A retrospective analysis was underwent for246 cases of discharged patients with ischemic stroke been treated in Dongfang Hospital of Beijing University of Chinese Medicine from July 2004 to November 2014. Based on their medical records,the patients suffered with ischemic stroke were followed up. A multivariate analysis of the factors was performed by using the Cox proportional hazard regression model. The information of prognosis,including recurrence and death,was collected. Results The recurrence rate of patients with cerebral multiple infarcts was4. 328 times higher than those suffered with cerebral single infarct. 14 days after admission,risk of recurrence for the patients with phlegm pattern was 3. 463 times higher than that for the patients without phlegm pattern. Furthermore,the risk of recurrence for the patients at the acute stage taking Chinese medicine decoction was only 49. 3% of the patients who didn’t take. Conclusion Cerebral multiple infarcts,and phlegm pattern were the independent recurrence factors,and the Chinese medicine decoction was the protective factor at the acute stage.关键词：ischemic stroke;recurrence;risk factors;TCM pattern factors;Cox proportional hazard model
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发布时间：2021-05-20 - 摘要：Objective To observe the effect of electroacupuncture on mixed urinary incontinence（ MUI）in women. Methods Altogether 50 patients were divided into electroacupuncture group and control group（ n = 25 each）. The patients in electoacupuncture group were treated with electoacupuncturing on the points of Zhōng liáo（ BL33） and Huì yáng（ BL35）,and those in the control group took orally solifenacin with pelvic floor muscle training（ PFMT）. The scores of Incontinence Quality of Life Questionnaires（ I-QOL）,Incontinence Impact Questionnaires short form（ IIQ-7） and Urogenital Distress Inventory（ UDI） were obtained. Results The scores of ALB,PSI and SE of IQOL increased significantly compared with those just one month before（ P < 0. 05） within the same group. The scores mentioned above showed no intergroup difference before treatment,but at the same time point after treatment,the scores of the eletroacupuncture group increased greater than those of the control group（ P < 0. 05）. Within the same group,the scores of IIQ-7 and UDI decreased month by month（ P < 0. 05）. Compared with the control group,IIQ-7 and UDI scores of the electroacupuncture group showed no difference before treatment,but significant decreasing showed at the same time points after treatment（ Month 1,2 and 3） in electroacupuncture group,compared with those of the control group. Conclusion The therapeutic effect of electroacupuncture treatment on female MUI patients was proved.关键词：mixed urinary incontinence in women;electroacupuncture;efficiency
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发布时间：2021-05-20 - 摘要：Objective To observe the efficacy of comfrey oil cupping on plaque psoriasis. Methods Altogether 88 patients were randomly divided into treatment group（ n = 30）,control group（ n = 30） and blank group（ n = 28）. The patients in blank group took orally Chinese medicinal. In addition,the patients of treatment group were treated with comfrey oil cupping,while comfrey oil was for external use only to the control group. Psoriasis Area and Severity Index（ PASI）,clinical efficacy and adverse reaction were measured. Results In the same group,the PASI score reduced significantly after treatment（ P <0. 01）. Although there was no intergroup difference of PASI score,the effect of the treatment group was superior to that of the blank group. The differences of before and after treatment showed statistical significance among the three groups,furthermore,the effect of the treatment group was superior to that of the other two groups（ P < 0. 01）. The total effective rate of the treatment group was 86. 67%（ 12 /30 markedly improved,14 /30 improved and 4 /30 ineffective）,of the control group was 43. 33%（ 13 /30 improved and 17 /30 ineffective） and that of the blank group was 35. 71%（ 10 /28 improved and 18 /28 ineffective）. The effective rate showed statistical significance among the three groups,and the treatment group was superior to that of the control group and the blank group（ P < 0. 01）. There was no significant difference between the control group and the blank group（ P > 0. 05）. Conclusion The treatment of comfrey oil cupping on plaque psoriasis achieved a good effect without adverse reactions.关键词：comfrey oil;cupping;plaque psoriasis
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发布时间：2021-05-20 - 摘要：Objective Based on the data mining technique,to find out the rules of Chinese herbal medicines used by Professor L Renhe. Methods 128 medical records of diabetes patients were included.After a consistent processing,the data were stored in the medical records database of traditional Chinese medicine. Results Of all 210 Chinese herbal medicines appeared in the medical records of diabetes patients,the five medicinal herbs with leading frequency were listed: salvia miltiorrhiza（ danshen,64. 06%）,cortex moutan（ mudanpi,46. 88%）,radix cyathulae（ chuanniuxi,42. 19%）,cibotii rhizoma（ gouji,41. 41%）,and radix paeoniae rubra（ chishao,40. 63%）. Of the ten herbs with leading frequency,there were three herb pairs: danshen and mudanpi depended on mudanpi,chishao and paeoniae radix alba（ baishaoyao） depended on baishaoyao,fructus aurantii（ zhiqiao） and immature sweet orange（ zhishi）. Furthermore,the herb pair of fructus citri sarcodactylis（ foshou） and citron fruit（ xiangyuan）was analyzed,inputting "bergamot"and "citron"as the keywords by the TCM knowledge mining function,to catch the key factors of pattern differentiation including symptoms,disease locations and pathogenesis. Conclusion Professor L Renhe is good at using medicinal herb pairs on treating diabetes. He thinks highly of the method of activating blood to dredge vessels. On the other hand,traditional Chinese medical records database was conducive to mining the experiences of the famous specialists of TCM.关键词：diabetes;medical records;rules of Chinese herbal medicines;data mining;outstanding senior traditional Chinese practitioner
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发布时间：2021-05-20 - 摘要：Objective To investigate the effects of TCM therapies of nourishing yin to clear heat and invigorating the spleen to remove phlegm（ NYCH and ISRP） on meibomian gland dysfunction（ MGD） and MGD-related dry eyes. Methods Altogether 58 patients suffering from MGD or MGD-related dry eyes were randomly divided into treatment group and control group（ n = 29 each）,but four cases dropped out. In addition to patients in the control group treated with artificial tears eye drops,antibiotic eye drops and ointments,flushing conjunctival sac,extrusion meibomian gland and cleaning the eyelid margin,those in the treatment group orally took TCM medicinals granules formulated by the principle of TCM therapies NYCH and ISRP for consecutive two weeks. The subjective symptoms before and after treatment were recorded,including ocular surface disease index（ OSDI）,degree of lipid secretion of meibomian glands,lipid layer thickness,tear break-up time（ BUT）,corneal fluorescein staining（ FL） and SchirmerⅠ test values（ SⅠT）. Results The total effective rate of treatment group was 89. 29%,with 21. 43%（ 6 /28） markedly effective,67. 86%（ 19 /28） effective and 10. 71 %（ 3 /28） ineffective; while the total effective rate of control group was 61. 54%,with none markedly effective,61. 54 %（ 16 /26） effective and 38. 46 % ineffective（ 10 /26）. The clinical efficacy of treatment group was superior to that of control group（ Z =- 2. 236,P = 0. 025）. OSDI,degree of lipid secretion and lipid layer thickness reduced after treatment in both groups（ P < 0. 05）,but the differences in treatment group were significantly more than those of the control group（ P < 0. 05）. BUT increased after treatment in both groups（ P < 0. 05）,while the difference in treatment group were more than that of the control group（ P < 0. 05）. FL decreased after treatment in the treatment group（ P < 0. 05）,while no statistical difference in control group（ P > 0. 05）. SⅠT increased after treatment in the treatment group（ P < 0. 05）,while no change in the control group（ P> 0. 05）; and the difference in the treatment group was more than that of the control group（ P < 0. 05）.Conclusion It was suggested that the combination of TCM therapies of nourishing yin to clear heat,invigorating the spleen to remove phlegm with conventional therapy would be superior to conventional therapy only on MGD and MGD-related dry eye.关键词：dry eyes;meibomian gland dysfunction;TCM therapies of nourishing yin to clear heat,invigorating the spleen to remove phlegm
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发布时间：2021-05-20 - 摘要：<正>2015年12月26日教育部科技发展中心发布关于公布《2014年度"中国科技论文在线优秀期刊"暨"中国科技论文在线科技期刊优秀组织单位"评选结果的通知》。评选出"中国科技论文在线优秀期刊"一等奖111项,二等奖183项;其中的医药卫生类一等奖12项,二等奖25项,《现代中医临床》获得医药卫生类二
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发布时间：2021-05-20 - 摘要：Objective To observe the therapeutic effects of bone-setting work,a traditional practice for the Qing Court,on the obsolete ankle sprain. Methods 54 patients with obsolete ankle sprain were treated with the bone-setting manipulation. The therapeutic effects were assessed by comparing the ankle function scores of before and after treatment,according to Baird-Jackson ankle scoring system. Results After treatment,the scores of pain,stability,walking ability,running ability,working ability,range of motion,as well as the total scores were significantly higher than those of before treatment（ P < 0. 05）.The total effective rate was 100. 0% with 46 cured（ 85. 2%）,7 markedly improved（ 13. 0%）,1 improved（ 1. 8%） and none of ineffective. According to Baird-Jackson criteria,36 cases got the scores of96 to 100,14 ones got the scores of 91 to 95 and 4 cases got 81 to 90,with the excellent and good rate was 92. 6%. Conclusion The efficiency of the Qing Court’s practice of bone-setting on obsolete ankle sprain was proved.关键词：obsolete ankle sprain;Qing Court’s bone-setting;manipulation treatment
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发布时间：2021-05-20 - 摘要：The theory of"triple energizers membrane system"was propounded by Professor KONG Guangyi,an outstanding senior traditional Chinese practitioner at Beijing University of Chinese Medicine,based on his over 60 years’ clinical experiences,which often guides the pattern differentiation and treatment for complex diseases. The theory,attempting to visualize the abstract and fuzzy concept of triple energizers,consists two parts: outside membrane system,referred as the passageway of dispelling evil,and inside membrane system,considered as the passageway of tonifying. Taking professor KONG’s treating on a patient with Takayasu’s arteritis as an example to discuss the therapeutic thoughts of application of the theory of triple energizers membrane system. In addition,the procedure of treatment reflected KONG’s thoughts on holistic concept,exterior evil,and giving consideration to menstruation.关键词：the theory of triple energizers membrane system;Takayasu’s arteritis;clinical application
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发布时间：2021-05-20 - 摘要：With the TCM constitutional theory being introduced into syndrome differentiation and treatment,a typical method of TCM clinical practice,the combination of constitution identification and application of classical prescriptions for gastric carcinoma has become the hot spot. Identification of constitution is the same substantially as differentiation of syndromes: syndrome differentiation is based on the constitution identification which is one part of the syndrome differentiation,and the constitution identification makes syndrome differentiation more efficiency and more accuracy. So,modified Liangfu Formula,a classical prescription,is applied to the gastric carcinoma patients with pattern of yang deficiency and blood stasis to alleviate their symptoms.关键词：gastric carcinoma;TCM constitution identification;syndrome differentiation;modified Liangfu Formula
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发布时间：2021-05-20 - 摘要：<正>2013年以来,中国东部地区相继发生了强度强、持续时间长、范围广的雾霾天气,严重影响了人们的身体健康和日常生活[1]。回顾人类的历史,雾霾已经造成了许多严重的公共卫生事件,如1943年洛杉矶光化学烟雾事件,1952年伦敦雾霾事件,还有1960—1972年间,日本三重县四日市因大气污染而导致居民的哮喘疾病[2],让人触目惊心。这些恶性公共卫生事件提醒我们,对雾霾的研究和治理迫关键词：雾霾;中医;病因
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发布时间：2021-05-20 - 摘要：<正>自古至今,五运六气与疾病的相关性就是中医运气学说研究的主要内容之一。古人以五运配以天干,以六气配以地支,用于分析、预测每年气候变化和疾病流行的一般规律,为临床疾病的诊断和治疗以及预测疾病流行趋势提供参考[1]。目前的研究主要包括两个方面:一方面是分析疾病的发生、流行与运气理论的关联程度;另一方面是利用运气学说总结疾病预防和治疗的规律。我们对近10年发表的五运六气与疾病发病及防治的相关性研究论文进关键词：五运六气;疾病;防治;综述
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发布时间：2021-05-20
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