最新刊期
      期 2 ， 2016
      • ZHOU Qin,SUN Tao,LI Quanwang,LIU Chuanbo,JIANG Min,WANG Fen,AN Chao,XIAO Li,HU Kaiwen,ZUO Minghuan
        Vol. 23, Issue 2, Pages: 1-4(2016) DOI: 10.3969/j.issn.2095-6606.2016.02.001
        摘要：Objective To investigate the efficacy and safety of cinobufagin injection on hematuria patients due to bladder cancer. Methods 28 cases were divided into treatment group（ n = 12） and control group（ n = 16）. The patients in control group were treated with regular medicine of hemocoagulase（ 2 Unit,intravenous drip,three times a day） and hematopoietic materials such as Vitamin 12,folic acid,and chalybeate. In addition to the therapy for the control group,the patients in the treatment group were bladder intravesically instillated with cinobufagin injection. Then a retrospective study was carried out by comparing the effects of hemostasis,alleviating anemia,TCM patterns,urethral pain,Karnofsky Performance Status（ KPS）,and adverse effect between the two groups. Results After treatment,66. 60 % of patients in the treatment group showed urinary red blood cells counts decreasing more than 50%,while only 31. 25 % patients in the control group did; 58. 33 % of patients in treatment group showed blood HGB level increasing more than 20 g / L,while 25. 00 % patients in the control group; the doses of analgesic drug decreased by more than 50% were 62. 50% in the treatment group,higher than 10. 00 %in the control group; KPS in the treatment group was significantly higher than that in the control group（ P< 0. 05）. After symptomatic supportive treatment,the adverse effects including mild gastrointestinal reaction,pain,and fever could be relieved. Conclusion The treatment of combined bladder intravesical instillation of cinobufagin injection with intravenous drip of hemocoagulase would alleviate hematuria due to bladder cancer,attenuate urethral pain and improve the patients’ life quality. It can be one of options for treatment for hematuria patients with bladder cancer.  
        关键词：bladder cancer hematuria;cinobufagin injection;bladder intravesical instillation   
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        发布时间：2021-05-20
      • LIU Hongwei,WANG Yizhan,NING Yanzhe,HAN Xiao,LI Zongheng,ZOU Yihuai
        Vol. 23, Issue 2, Pages: 5-8(2016) DOI: 10.3969/j.issn.2095-6606.2016.02.002
        摘要：Objective To observe the correlation of spasm degree,deficiency-excess syndromes and activity of daily life（ ADL） in early recovery stage from ischemic stroke. Methods 58 patients with spastic hemiplegia at early recovery stage from ischemic stoke included, were divided into excess syndrome group and non-excess syndrome group. The Modified Ashworth Scale（ MAS）,TCM syndrome scores and Barthel Index（ BI） were used to evaluate the degree of spasm,TCM syndrome and ADL respectively on Day 1 and Day 21. Then the correlation of spasm degree,TCM syndrome and ADL were analyzed. Results On Day 1,the spasm degree had a significant positive correlation with TCM symptom scores with the correlation coefficient of 0. 581（ P < 0. 01） in excess syndrome group,and the correlation coefficient was 0. 030（ P > 0. 05） in the non-excess group. On Day 21,the spasm degree and ADL showed a significant negative correlation with the correlation coefficient of- 0. 449（ P < 0. 05）,and the correlation coefficient was- 0. 279（ P > 0. 05） in non-excess group. Conclusion At the early recovery stage from ischemic stroke,the spasm degree and TCM symptoms had a more significant correlation in excess syndrome group while ADL had a more significant correlation with spasm degree of hemiplegic spasticity in non-excess syndrome group.  
        关键词：stroke;deficiency-excess syndromes;spastic hemiplegia;activity of daily living;correlation   
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        发布时间：2021-05-20
      • WU Zhisong,CAO Fang,LI Xiulan,LIU Yanfang,JIAO Yang
        Vol. 23, Issue 2, Pages: 9-12(2016) DOI: 10.3969/j.issn.2095-6606.2016.02.003
        摘要：Objective To find out characteristics of TCM patterns and key points of syndromes differentiation of coalworkers’ pneumoconiosis（ CWP）,so as to guide the clinical practice. Methods The TCM patterns of altogether 99 coalworkers with pneumoconiosis were investigated and analyzed. Results After differentiation of the patterns,TCM physicians identified nine patterns : wind-cold invading the lung,wind-heat invading the lung,exterior cold with lung-heat,phlegm-heat blocking the lung,phlegm-dampness blocking the lung,deficiency of lung qi,deficiency of lung yin,deficiency of spleen qi,and blood stasis. The frequencies of pattern of deficiency of lung qi and pattern of phlegm-heat blocking the lung were higher than other patterns. Using cluster analysis of symptoms,four kinds of patterns were identified: deficiency of lung qi,phlegm-heat blocking the lung,phlegm-dampness blocking the lung,and blood stasis. Conclusion The location of CWP is at the lung,the nature of CWP is the simultaneous occurrence of deficiency and excess syndromes,and the basic pathogenesis of toxic dust blocking the lung runs through the course of CWP with the common cause of toxic dust at the occurance,development and changes of CWP. Furthermore,different patients with the same pattern showed differences in the nature of cold,heat,deficiency and excess.  
        关键词：coalworker;pneumoconiosis;TCM;pattern investigation   
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      • Vol. 23, Issue 2, Pages: 12(2016)
        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》获得医药卫生类二等奖。  
          
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      • ZHENG Yibing,ZHANG Junsong,BAO Shuren,QI Yuefeng
        Vol. 23, Issue 2, Pages: 13-16(2016) DOI: 10.3969/j.issn.2095-6606.2016.02.004
        摘要：Objective To evaluate the clinical efficacy of the method of closed reduction with paper splint external fixation guided by the theory of "paying equal attention to sinew and bone ",combined with Zhenggu Powder,in treatment of distal radius fracture. Methods 198 patients suffered from distal radius fracture were treated with the method of paper splint external fixation combined with Zhenggu Powder. Then the function of wrist joint of patients were evaluated and followed up. Results Except for five patients of Fernandez type 2 failing in reduction underwent inpatient surgery（ three got no ideal efficacy and two suffered from fracture displacement in one week）,193 patients were all treated with the method of paper splint external fixation combined with Zhenggu Powder. With the average time of external fracture fixation of 30. 3 d（ range 27 44 d） and 180 followed up cases（ loss of 10 patients） with average time of 3. 9 months（ range 2 11 months）,the efficacy was satisfactory: the excellent and good efficacy rate of 93. 9 %（ 112 /180 excellent,57 /180 good,and 11 /180 poor）. Conclusion Paper splint external fixation,an effective elastic fixing way guided by the theory of "paying equal attention to sinew and bone",which was able to maintain fracture stability and allow micromotion of the wrist joint,can promote the recovery of wrist joint function with Zhenggu Powder formulated with Chinese medicinal materials.  
        关键词：paying equal attention to sinew and bone;radius fractures;fracture fixation   
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      • Vol. 23, Issue 2, Pages: 16(2016)
        摘要：<正>《现代中医临床》是教育部主管、北京中医药大学主办的中医药学术期刊,现为中国科技核心期刊,主编是王永炎院士。双月刊,国内刊号CN 10-1157/R,国际刊号ISSN 2095-6606。近日,我刊发现有数个网站以本刊名义对外征稿,为维护我刊声誉及广大作者、读者的利益,我刊特此郑重声明:  
          
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      • LIU Jinhui,LUO Jingyan,XIONG Xiangming,GUO Yuli,XU Xin
        Vol. 23, Issue 2, Pages: 17-20(2016) DOI: 10.3969/j.issn.2095-6606.2016.02.005
        摘要：Objective To explore the clinical efficacy of Chinese medicine,including cupping and Chinese herbal medicament patching on acupoints,combined with Global Initiative for Asthma（ GINA）scheme on children with mild to moderate asthma. Methods 126 children with mild to moderate asthma were randomly divided into the control group of 51 cases and the treatment group of 75 cases. Taking inhaled glucocorticoid step-up therapy proposed by GINA as the regular treatment in both groups,additionally,the children of the treatment group were treated with cupping and Chinese herbal medicament patching on acupoints. The children in the two groups were treated for consecutive six months. Results The rate of asthma control and the rise rate of forced expiratory volume in one second（ FEV1） in the treatment group were higher significantly than those in the control group. In six months,the condition of the children with asthma improved with the extension of treatment time. Conclusion The safety and effectiveness of combination of traditional Chinese and Western medicines on asthma in children are proved.  
        关键词：Chinese herbal medicament patching on acupoints;cupping therapy;glucocorticoid;asthma in children   
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        发布时间：2021-05-20
      • HE Rui,FENG Qi,YAN Mingna,SONG Yuhui,ZHAO Baixiao,ZHANG Lufen,ZHU Wenlian
        Vol. 23, Issue 2, Pages: 21-23(2016) DOI: 10.3969/j.issn.2095-6606.2016.02.006
        摘要：Objective To compare the effects of acupuncture,moxibustion,and acupuncture with moxibustion on patients with functional menstrual disorders. Methods 57 female undergraduates with functional menstrual disorders were eligible and randomly divided into acupuncture group,moxibustion group and acupuncture with moxibustion group. Acupuncture was applied on Baihui（ GV 20）,and moxibustion was applied on Guanyuan（ CV 4）,for continuous three menstrual cycles. The therapeutic effects were evaluated. Results The total efficiency showed no significant difference among the three groups using exact probability test（ P > 0. 05）,with 89% in acupuncture group,84% in moxibustion group,and95% in acupuncture with moxibustion group. However,the curative rate in acupuncture with moxibustion group was 74%,significantly higher than that in acupuncture group or in moxibustion group using nonparametric test（ P = 0. 000 1）. And the curative rate in acupuncture with moxibustin group was superior to that in moxibustion group（ χ2= 13. 571 4,P = 0. 000 2）. Conclusion The therapeutic effects of application of acupuncture on Baihui,moxibustion on Guanyuan,and acupuncture on Baihui with moxibustion on Guanyuan were proved. Undoubtedly,the therapeutic effect of acupuncture with moxibustion was better than that of acupuncture or of moxibustion.  
        关键词：Baihui;Guanyuan;functional menstrual disorders;therapeutic effects   
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      • WANG Jianfei,WANG Yaoxian,HE Ping,YU Han,WANG Jialin,LIU Yuning
        Vol. 23, Issue 2, Pages: 24-28(2016) DOI: 10.3969/j.issn.2095-6606.2016.02.007
        摘要：Objective In accordance with the method and principle of clinical epidemiology,a retrospective survey of 200 patients with chronic glomerulonephritis was carried out to study the rules of TCM patterns,ao as to discover the distribution features of asthenia of healthy qi and sthenia of pathogenic factors. By using the factor analysis to analyze and summarize the distribution rules of TCM patterns,the nature of TCM pattern of chronic glomerulonephritis was explored. Methods The clinical symptoms of the200 patients were recorded by using questionnaire responses. By the method of factor analysis,the common factors which dominated the variables of four diagnosis for chronic glomerulonephrits were extracted,analyzed and interpreted. Results Total 13 common factors were included,with the highest occurrence rate of Factor 10. Factor 10 represented the pattern of damp heat and pattern of blood stasis. Of the deficiency patterns,the incidence rate of pattern of qi deficiency represented by Factor 8 was the highest.Furthermore,the results from the traditional pattern analysis by TCM physicians and the factor analysis by software showed significant difference（ P < 0. 01）. Conclusion Of the deficiency syndromes,the incidence rate of qi deficiency was the highest. The damp heat pattern and the blood stasis pattern were the most common of the excessive syndromes,which suggested that damp heat and blood stasis be the key pathogenesis. The method of factor analysis,not be equal to traditional pattern differentiation,would separate the TCM patterns well to obtain the independent groups of patterns. The main study results were approved,because the leading three incidence rates of patterns including blood stasis pattern and damp heat pattern.  
        关键词：chronic glomerulonephritis;factor analysis;damp heat;blood stasis;TCM patterns   
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      • Vol. 23, Issue 2, Pages: 29-30(2016) DOI: 10.3969/j.issn.2095-6606.2016.02.008
        摘要：<正>葛根芩连汤出自《伤寒论》辨太阳病脉证并治。第34条:"太阳病,桂枝证,医反下之,利遂不止,脉促者,表未解也;喘而汗出者,葛根芩连汤主之。"[1]原方中葛根辛凉,升发轻清,生津止渴,升阳止利,兼以解表透邪;黄连、黄芩苦寒,既可清热,又可厚胃肠,坚阴止利;炙甘草甘缓和中,调和诸药。本方具有清热固阴止利之功,为表里双解之方,以清里热为主。在临床中,王师推崇仲景之道,谨守病机,应用  
        关键词：葛根芩连汤;合方;经验   
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      • Vol. 23, Issue 2, Pages: 31-32(2016) DOI: 10.3969/j.issn.2095-6606.2016.02.009
        摘要：<正>皮肤瘙痒与痤疮[1]均属皮肤病范畴,临床颇为多见。这类疾病虽非急危重症,但因其一方面有皮肤改变及不适症状,一方面影响美观,故患者往往身体痛苦与精神痛苦并见。其病变多迁延日久,或反复发作,治疗有一定难度。我师刘景源教授治疗此类疾病疗效确切,现总结报道如下。1治疗皮肤瘙痒重在风与血本文探讨的皮肤瘙痒不是单独的病种,而是由  
        关键词：皮肤瘙痒;痤疮;营卫不和;风热痰瘀   
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      • Vol. 23, Issue 2, Pages: 33-34(2016) DOI: 10.3969/j.issn.2095-6606.2016.02.010
        摘要：<正>便秘表现为排便次数减少、粪便干硬和（或）排便困难。排便次数减少指每周排便少于3次。排便困难包括排便费力、排出困难、排便不尽感、排便费时以及需手法辅助排便[1-2]等。慢性便秘的病程至少为6个月。导师田德禄教授对慢性便秘病因病机及治疗均有独到认识,临床疗效确切。笔者有幸侍诊,获益良多,现将田老治疗慢性便秘经验进行总结,与同道分享。1通腑为第一要义大肠传导失司是便秘的基本病机,而其传导失  
        关键词：慢性便秘;通腑;条畅气机;治疗经验   
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      • Vol. 23, Issue 2, Pages: 35-36(2016) DOI: 10.3969/j.issn.2095-6606.2016.02.011
        摘要：<正>第五批国家级名老中医田金洲教授,承董建华院士、王永炎院士教诲之恩,学有所得。善于读书,精于科研,勤于临证,在脑病尤其是认知障碍、运动障碍、睡眠障碍等疾病诊治方面,有独到之处。笔者有幸跟师学习,亲聆教诲,获益良多,兹不揣浅陋,总结老师治疗正常颅压脑积水之经验,列其大要,供同道参考。1西医对正常颅压脑积水的认识正常颅压脑积水[1](normal pressure hydroceph-  
        关键词：正常颅压脑积水;中医药辨治;名老中医经验   
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      • Vol. 23, Issue 2, Pages: 37-41(2016) DOI: 10.3969/j.issn.2095-6606.2016.02.012
        摘要：<正>近年来,咽喉反流（laryngopharyngeal reflux,LPR）受到广泛关注,其已被证实与包括喉接触性肉芽肿/溃疡、声带白斑、喉癌、中耳炎、鼻窦炎在内的多种疾病相关,严重威胁人们的生命健康[1]。LPR是指胃及十二指肠内容物反流至上食管括约肌以上的咽喉部位造成组织损伤,以声嘶、咽异物感、慢性咳嗽、喜清嗓等为主要表现的疾病。其与常就诊于  
        关键词：咽喉反流;反流症状指数;反流体征评分;温胆汤;文献回顾   
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      • HAN Libei,AYIGULI Ruoman,ZHU Aihua,MA Qian,LIU Junli
        Vol. 23, Issue 2, Pages: 42-46(2016) DOI: 10.3969/j.issn.2095-6606.2016.02.013
        摘要：Objective To explore the distribution rules of TCM syndromes and pattern elements of atherosclerotic cardiovascular diseases. Methods After searching China National Knowledge Infrastructure（ CNKI）,Wanfang Data and VIP from 2004 to 2013,the literature of coronary atherosclerotic cardiopathy（ CAD） and atherothrombotic cerebral infarction（ ATCI） linked to TCM patterns was obtained.From the literature,the raw data quantized were input into computer. Each pattern type was recorded,and from which syndrome elements were extracted. Then the frequency and rate of syndrome type and pattern elements were calculated using SPSS 20. 0 Software. Results Altogether 346 articles were eligible and 64 810 cases were included. The common syndrome types in both CAD and ATCI were qi deficiency and blood stasis,intermingling of phlegm and blood stasis,qi deficiency,blood stasis,obstruction of phlegm-turbidity,and the common pattern elements were phlegm-turbidity,blood stasis,toxic heat,yang hyperactivity,qi deficiency and yin deficiency,but the distributions of syndrome types or pattern elements in CAD or ATCI were significantly different using Chi-square test. The rate of syndrome of qi deficiency and blood stasis in patients with ATCI was higher than those in patients with CAD（ P <0. 05）,while the rates of syndromes of intermingling of phlegm and blood stasis,qi deficiency,blood stasis,obstruction of phlegm- turbidity in patients with CAD were higher than those in patients with ATCI（ P < 0. 05）. The rates of blood stasis,qi deficiency and yin deficiency in CAD were higher than those in ATCI（ P < 0. 05）,and the rates of phlegm-tuibidity,toxic heat and yang hyperactivity in ATCI were higher than those in CAD（ P < 0. 05）. The pattern elements of qi stagnation,yang deficiency and congealing of cold were only found in patients with CAD,while the pattern element of wind were only in ATCI. Conclusion The differences and similarities of distribution of syndrome types and pattern elements evolved in cardiac and cerebrovascular diseases due to atherosclerosis,can guide the treatment of different diseases with the same method.  
        关键词：atherosclerosis;cardiovascular disease;cerebral infarction;patterns;review of literature   
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      • Vol. 23, Issue 2, Pages: 46(2016)
        摘要：<正>经中国科学技术信息研究所依据多项学术指标综合评定及同行专家评议推荐,继2014年,本刊2015年再次被收录为"中国科技核心期刊"（中国科技论文统计源期刊）。在此,谨向多年以来热心支持杂志工作的广大读者、作者、编委及业内专家、各界朋友致以诚挚的谢意!同时欢迎大家踊跃投稿!  
          
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      • Vol. 23, Issue 2, Pages: 47-49(2016) DOI: 10.3969/j.issn.2095-6606.2016.02.014
        摘要：<正>膀胱癌是泌尿系统最常见的恶性肿瘤之一,血尿为膀胱癌的典型症状,也是临床治疗的难点。中西医学对膀胱癌血尿有着不同的认识及治疗方法。1西医治疗1.1常规保守治疗首先要向患者及家属解释病情,消除紧张情绪。嘱患者多饮水,保持尿道通畅。治疗包括持续性膀胱冲洗,应用止血药物,完善相关检查,必要时给予抗感染,补充造血原料或输血治疗。选用的止血药物,根据作用于凝血机制的不同环节,大致分为3  
        关键词：膀胱癌;血尿;中西医治疗;进展;综述   
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      • Vol. 23, Issue 2, Pages: 50-52(2016) DOI: 10.3969/j.issn.2095-6606.2016.02.015
        摘要：<正>咳嗽变异性哮喘是一种特殊类型的哮喘,咳嗽是其唯一的或者主要临床表现,无明显喘息、气促等症状或体征,但有气道高反应性[1]。笔者有幸跟随导师在临证中实践治疗本病,学习与领悟张洪春教授诊治的宝贵经验。张教授具有独特的肺脾常见病和其他疑难病的辨证论治思路,尤其擅长于应用疏风解痉法治疗咳嗽变异型哮喘,现将其诊疗本病的临床经验整理如下。  
        关键词：咳嗽变异性哮喘;疏风宣肺;调补脾肺肾;临床经验   
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      • Vol. 23, Issue 2, Pages: 53-55(2016) DOI: 10.3969/j.issn.2095-6606.2016.02.016
        摘要：<正>小儿推拿以中医理论为指导,通过应用手法作用于小儿的特定穴位与部位,以调整脏腑,平衡阴阳,调和气血,从而达到防治疾病的目的[1]。笔者在临床实践中发现温中健脾类手法在小儿常见病中有着广泛应用。1小儿生理特点与疾病的关系小儿是一类特殊群体,其生理异于成人,具体表现为脏腑娇嫩,形气未充,生机蓬勃,发育迅速。小儿时期机体各器官的形体发育和生理功能都是不成熟和不完善的,中医学认为小儿五脏具有"肺常不  
        关键词：温中健脾;小儿推拿;验案   
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      • Vol. 23, Issue 2, Pages: 56-57(2016) DOI: 10.3969/j.issn.2095-6606.2016.02.017
        摘要：<正>慢性肾脏病（chronic kidney disease,CKD）是由于各种原因导致的肾损害（病理、血、尿、影像学异常）≥3个月者。其治疗重点在于控制并发症和延缓疾病进展,中医药在治疗本病方面优势突出。根据CKD患者的临床症状,将其归属中医"慢肾风""水肿""癃闭""关格"等范畴。《素问·脏气法时论篇》提出治疗肾病基本原则是"肾苦燥,急食辛以润之,开腠理,致津液,通气也""肾欲坚,急食苦以坚之,用苦补之,  
        关键词：慢性肾脏病;肝肾同源;益肾疏肝法   
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      • Vol. 23, Issue 2, Pages: 58-60(2016) DOI: 10.3969/j.issn.2095-6606.2016.02.018
        摘要：<正>支气管哮喘是呼吸系统常见疾病,属中医"哮病"范畴,其特点为反复发作,迁延难愈。哮病患者发作时喘息、气急、胸闷或咳嗽症状明显,临床治疗以急则治标为原则,以祛痰平喘为法。哮病缓解后病情平稳,临床医家多以补益脏腑虚损、调理体质作为治疗原则。哮病缓解期咳喘虽平息,但易遇诱因或感邪引触复发,中医认为其原因在于患者体内存在宿  
        关键词：支气管哮喘缓解期;宿根;伏痰;辨证   
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