最新刊期
      期 3 ， 2016
      • ZHAO Jinxi,WANG Shidong,FU Qiang,GONG Qing,HUANG Weijun,LIU Xinyuan
        Vol. 23, Issue 3, Pages: 1-3(2016) DOI: 10.3969/j.issn.2095-6606.2016.03.001
        摘要：The writers put forward that inheritance and study of medical ethics,medical skills,scholarly method,academic thought and clinical experience,is the foundation of the academic inheritance of Professor L Renhe’s experience for treating diabetes and kidney disease; in addition,we should attach importance to modern mathematical methods in data mining the outstanding senior TCM practitioners’ experience; furthermore,what learned from the mentors should be applied to guide the clinical and scientific research and talent cultivation,so as to promote academic progress,theoretical innovation and to improve the efficacy.  
        关键词：L Renhe;experience;diabetes;kidney disease;outstanding senior traditional Chinese practitioner   
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        发布时间：2021-05-20
      • WANG Shidong,XIAO Yonghua,FU Qiang,ZHAO Jinxi,SHEN Zilong,WU Wenjing,LIU Yao,LI Jiayue,HAN Yuanyuan,L Renhe
        Vol. 23, Issue 3, Pages: 4-8(2016) DOI: 10.3969/j.issn.2095-6606.2016.03.002
        摘要：Professor L Renhe considers diabetic neurogenic bladder arises from improper treatment of diabetes,leading to yin deficiency of liver and kidney,heart and spleen damaged,meridians malnutrition. He proposes holistic treatment. He can flexibly use disease differentiation,syndrome differentiation of stage,and syndrome type differentiation. The treatment based on disease differentiation includes reinforcing qi and nourishing yin,moving qi and resolving phlegm,and promoting blood circulation to regulate meridians. He uses the treatment of promoting qi and tonifying the liver and kidney in early stage of diabetic neurogenic bladder. While in the middle stage,he uses the therapy of strengthening the middle-energizer to reinforce qi and invigorating the spleen and replenishing the kidney. In the late stage,he adopts warming and strengthening kidney yang,as well as reinforcing yang and transforming qi. Syndrome types of this disease include deficiency of the kidney qi,deficiency of the spleen qi,qi stagnation of the liver,and retention of dampness-heat. According to the type of syndrome,the treatments are supplementing the original qi of kidney and activating yang and transforming qi,invigorating the spleen and replenishing qi and activating yang and reinforcing transportation,soothing the liver to regulate its qi flow and promoting lower-energizer,clearing dampness-heat and promoting bladder. At the same time,he pays attention to monitoring clinical index and adjusting psychology of patients. The curative effect of above treatments are remarkable.  
        关键词：diabetic neurogenic bladder;experience;outstanding senior traditional Chinese practitioner   
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        发布时间：2021-05-20
      • LI Xiaoran,WANG Shidong,LI Jiayue,WU Wenjing,SHEN Zilong,XIAO Yonghua,L Renhe
        Vol. 23, Issue 3, Pages: 9-13(2016) DOI: 10.3969/j.issn.2095-6606.2016.03.003
        摘要：Objective To analyze the rule of herbal medicines of L Renhe on treating chronic renal failure（ CHF）,so as to find out his academic thought and experiences on CHF. Methods A total of 140 prescriptions on treating outpatient CHF patients were included. The frequency of herbal medicines were analyzed using Traditional Chinese Medicine Inheritance Support System（ TCMISS）,and the core combination and core network diagram were obtained based on association mapping of the herbal medicines using the method of association rules algorithm and improved mutual information,then new prescriptions were formulated by unsupervised clustering algorithm. Results Altogether 35 core herbal medicines,24 groups of medicines combination with high frequency,82 association rules,31 pairs of core association medicines,and 15 new prescriptions were found. Conclusion Professor L Renhe’s therapeutic principle of treating CHF patients is simultaneous treatment of the symptoms and root cause,attaching great importance on the therapy of descending the turbid and removing toxicity based on the fortifying the spleen and harmonizing the stomach,tonifying qi and nouring blood,and reinforcing kidney and strengthen resistance.  
        关键词：chronic renal failure;rules of herbal medicines;outstanding senior traditional Chinese practitioner   
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        发布时间：2021-05-20
      • YUE Hong,XIAO Yonghua,WANG Shidong,SHEN Ying,L Renhe
        Vol. 23, Issue 3, Pages: 14-16(2016) DOI: 10.3969/j.issn.2095-6606.2016.03.004
        摘要：Chronic kidney disease（ CKD） is a commonly progressive disease in kidney function. Professor L Renhe applies TCM theory of five zang- organs and integrates the advanced achievement of Chinese medicine and Western medicine. And his experiences on treating CKD is "treating kidney diseases by directing at five- zang organs（ heart,lung,spleen,liver and kidney） ",not limited to"treating kidney diseases by directing at kidney only ",which aims to adjust five-zang organs’ qi and blood,yin and yang. The clinical efficacy was proved.  
        关键词：chronic kidney diseases;treatment from the five-zang organs;outstanding senior traditional Chinese practitioner   
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        发布时间：2021-05-20
      • GONG Yanan,DU Jian,LI Zhirong,LIU Zhenzhu,XU Xiangyun,WANG Hao,YANG Qiuli
        Vol. 23, Issue 3, Pages: 17-19(2016) DOI: 10.3969/j.issn.2095-6606.2016.03.005
        摘要：The view of traditional Chinese medicine（ TCM） on diseases,which is guided by the holistic model of time-space-bio-phycho-social medicine,refers to the basic viewpoints of TCM on the nature,occurrence and development of the diseases. Narrative medicine views the disease course with the social constructivism from the viewpoint of time and space,which not only affirms the diseases affected by biological factors,but also emphasizes the occurrence and development of diseases influenced by social system,family ethics,humanistic concern and personal feeling. To further study the correlation between Chinese and Western narrative medicine from the view of TCM on diseases,so as to understand the narrative medicine.  
        关键词：view of traditional Chinese medicine on diseases;narrative medicine;social and cultural factors   
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        发布时间：2021-05-20
      • LIU Zhenzhu,GE Weitao,LI Zhirong,DU Jian,WANG Hao,GONG Yanan,XU Xiangyun,YANG Qiuli
        Vol. 23, Issue 3, Pages: 20-22(2016) DOI: 10.3969/j.issn.2095-6606.2016.03.006
        摘要：The occurrence and development of infertility are close with the psychological and social factors. And the clinical humanistic demands of infertile women,as a special group of patients,are always ignored. Fortunately,the introduction of narrative medicine and TCM parallel medical records to diagnosis and treatment can reduce the psychological burden of patients to improve the treatment effects and improve the life quality,by the way of enhancing the communication of physicians-to-patients,urging the physicians to answer the patients’ questions patiently to empathy with patients,reminding physicians to take care of patients’ emotion,recording the patients’ psychosomatic status,and self-examining the medical behaviors.  
        关键词：narrative medicine;infertility;humanistic care;traditional Chinese medicine;parallel medical records   
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        发布时间：2021-05-20
      • CHEN Menglian,QIAN Huinan,SUN Xin,ZHANG Biao
        Vol. 23, Issue 3, Pages: 23-27(2016) DOI: 10.3969/j.issn.2095-6606.2016.03.007
        摘要：Objective To study the correlation of TCM constitution types and chronic diseases of elderly community residents. Methods After investigate the community residents who went to the Xiangheyuan Community Health Service Centre using TCM Constitution Identification Questionnaire,the database was established and the data were analyzed. Results A total 306 residents included, 84 of male（ 27. 45 %） and 222 of female（ 72. 55 %）,30 of constitution of yin- yang harmony（ 9. 80 %） and 276 of biased constitution（ 90. 20 %）. Compared with female,the percentage of harmony constitution and that of phlegm-dampness constitution in male were more（ P < 0. 05）,while that of yang deficiency constitution was lower（ P < 0. 05）. There were differences of distribution of nine constitution types in different age grades（ P < 0. 05）. There were significant differences of distribution of constitutions of yang deficiency,yin deficiency,phlegm-dampness,damp-heat,qi stagnation,or allergy between the residents below60 years old and the residents aged 60 and over（ P < 0. 05）. There were 20 of harmony constitution（ 8.00 %） and 230 biased constitution（ 92. 00%） in 250 residents with chronic diseases; 10 of harmony constitution（ 17. 86 %） and 46 biased constitution（ 82. 14%） in 56 residents with no chronic diseases.The biased constitution ratio of residents with chronic diseases was higher than that of residents with no chronic diseases（ P < 0. 05）. Within the residents with chronic diseases,the five leading constitutions were,arranging from high to low,phlegm-dampness,qi stagnation,yin deficiency and yang deficiency.The leading chronic diseases were listed as hypertension,followed by osteoarthrosis,cardio-cerebrovascular disease,chronic gastritis,hyperlipidemia,diabetes,insomnia. There were also differences distribution of TCM constitutions in different chronic diseases. Conclusion Biased constitution had higher proportion in community elderly residents with chronic diseases,the physical distribution has a certain relationship with age,gender,and kind of disease.  
        关键词：TCM constitution type;chronic diseases;aging population;age   
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        发布时间：2021-05-20
      • Vol. 23, Issue 3, Pages: 27(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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        发布时间：2021-05-20
      • XU Manman,REN Guangming
        Vol. 23, Issue 3, Pages: 28-32(2016) DOI: 10.3969/j.issn.2095-6606.2016.03.008
        摘要：Objective To explore the distribution rule of syndrome factors of viral myocarditis（ VM） in children with syndrome of qi and yin deficiency. Methods Total 200 children with VM were designated into deficiency of qi and yin group,invasion of the heart by wind-heat group,invasion of the heart by damp-heat group,deficiency of heart yang group. Then the distribution of syndrome factors were studied by using the method of factor analysis,binary logistic regression analysis and multinomial logistic regression analysis. Results By using the method of factor analysis,syndrome of qi and yin deficiency was more than syndrome of deficiency of heart qi and yin,which was a comprehensive procedure of pathogenesis development of zang-fu organs. The results of binary logistic regression analysis showed that there were significant differences in syndrome factors between deficiency of qi and yin group and the other three groups—stuffiness in the chest or chest pain,pale,change of cardiac rhythm,low cardiac sound,vexation,poor sleep,weakness,dizziness,loss of appetite,diarrhea with undigested food,deep sighing,silence,hot feeling on hands and feet（ P < 0. 05）. And by using multinomial logistic regression analysis,the symptoms of change of cardiac rhythm,low cardiac sound,diarrhea with undigested food,deep sighing,silence,have the diagnostic value on VM children with syndrome of qi and yin deficiency.Conclusion For VM children,the spleen and liver organs play important roles in development process of syndrome of qi and yin deficiency.  
        关键词：children’s viral myocarditis;syndrome of qi and yin deficiency;syndrome factors;spleen and liver   
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        发布时间：2021-05-20
      • NIE Changyong
        Vol. 23, Issue 3, Pages: 33-37(2016) DOI: 10.3969/j.issn.2095-6606.2016.03.009
        摘要：Objective To observe the effect of Buyang Huanwu Decoction combined with irbesartan on primary hypertension（ PH） patients with microalbuminuria（ MA）,who were identified as the pattern of qi deficiency and blood stasis. Methods PH patients with MA were divided into treatment group（ n =42） and control group（ n = 41）. All the patients took orally irbesartan at the dose of 0. 15 g once daily,in addition,the patients of the treatment group took orally Buyang Huanwu Decoction. The indice of TCM syndrome efficacy,score of symptoms,blood pressure,urinary albumin excretion rate（ UAER）,urine trace albumin（ UMALB） and serum creatinine（ Scr） of the two groups before and after treatment were compared. Results The total effective rate of the treatment group was 85. 71 % with 40. 47%markedly improved rate（ 17 /42）,45. 24% effective rate（ 19 /42）,14. 29% ineffective rate（ 6 /42）;while the total effective rate of the control group was 65. 85 % with 29. 27% markedly improved rate（ 12 /41）,36. 58 % effective rate（ 15 /41）,34. 15 % ineffective rate（ 14 /41）. The Ridit test showed that clinical curative effect of treatment group was higher than that of control group（ U = 1. 983,P =0. 023）. Within the same group,the symptom scores of vertigo,headache,palpitation,insomnia,tinnitus,amnesia and shortness of breath,systolic blood pressure（ SBP） and diastolic blood pressure（ DBP）,UAER and UMALB all reduced significantly after treatment（ P < 0. 05）. Furthermore,after treatment,all the symptom scores,UAER and UMALB of the treatment group were lower than those of the control group（ P < 0. 05）. Compared with before treatment,SBP and DBP of the treatment group showed no significant intergroup difference（ P > 0. 05）. As far as Scr concerned,there were no inter- or intra- differences before and after treatment（ P > 0. 05）. Conclusion It suggested that the treatment of Buyang Huanwu Decoction and irbesartan on PH patients（ TCM pattern of qi deficiency and blood stasis）with MA gained better effects than that of irbesartan only.  
        关键词：primary hypertension;microalbuminuria;pattern of qi deficiency blood stasis;Buyang Huanwu Decoction   
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        发布时间：2021-05-20
      • LIU Xiaofang,WEI Li,ZHANG Wen,WANG Sumei
        Vol. 23, Issue 3, Pages: 38-41(2016) DOI: 10.3969/j.issn.2095-6606.2016.03.010
        摘要：Tourette syndrome（ TS） is a complicated condition that causes tics in children. Professor WANG Sumei,based on her years’ experiences,summarizes that TS is caused by factors of exopathogen,emotion and diet,of which dysfunction of zang- fu organ and deficiency of spleen with hyperactivity of liver are the superficiality,and agitation of wind phlegm to afflict the meridians is the root. So she applies TCM therapy of soothing the liver with invigorating the spleen to treat children with TS,and achieves satisfactory results.  
        关键词：Tourette syndrome;disease cause and pathogenesis;clinical experiences   
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      • Vol. 23, Issue 3, Pages: 41(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CN10-1157/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:请各位作者投稿务必通过我刊官方网站,网址如下:http://xblc.bucm.edu.cn  
          
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        发布时间：2021-05-20
      • ZHANG Nan,ZHAO Jingru,XU Jiajun,DENG Guijiang
        Vol. 23, Issue 3, Pages: 42-44(2016) DOI: 10.3969/j.issn.2095-6606.2016.03.011
        摘要：Ophthalmology of Chinese medicine focuses on the combination of local differentiation syndrome and integral differentiation syndrome,so in clinical practice systemic manifestation with tongue,pulse and local signs are equally important. Now,when the teachers give the lessons linked to fundus manifestations of diabetic retinopathy,what they can do is only simple description and explanation with or without pictures of fundus. And the college students are lack of intuitive feelings and hard to understand,who can only learn by rote and forget quickly. We attempt to combine classification of syndrome differentiation,DR images of fundus,with optical coherence tomography（ OCT） images. The improvement in teaching both keeps consistent with the textbooks,and shows the students intuitive fundus manifestation of diabetic retinopathy corresponding to each syndrome type,which improves the students’ learning enthusiasm.  
        关键词：diabetes;fundus;image library;TCM syndrome differentiation;teaching   
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      • YU Xiuchen,YANG Huixin,CHEN Yuanyuan
        Vol. 23, Issue 3, Pages: 45-46(2016) DOI: 10.3969/j.issn.2095-6606.2016.03.012
        摘要：Guwei therapy（ Chinese: 箍围,also known as "drug encircling"or "hoop method"） is one of the external therapies of traditional Chinese medicine,which puts medicinal paste around a lesion to enhance wound healing. Huchang（ Chinese: 护场）,another TCM term,refers to the red and swollen flesh round furuncle which is regarded as one of signs for evaluating the prognosis and severity of a disease.This paper briefly introduces the formation and clinical application of guwei therapy and the theory of huchang,and also points out their relationship —guwei therapy can improve the formation of huchang,in a word,guwei therapy can transform conditions of poor prognosis into ones of good prognosis with huchang.  
        关键词：drug encircling;guwei therapy;huchang   
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      • Vol. 23, Issue 3, Pages: 47-49(2016) DOI: 10.3969/j.issn.2095-6606.2016.03.013
        摘要：<正>1亚急性甲状腺炎的临床表现亚急性甲状腺炎又称急性非化脓性甲状腺炎,是甲状腺炎中比较常见的一种。临床以甲状腺肿大、疼痛、压痛并伴全身症状为主要特点[1]。病因尚未完全阐明,但一般认为与病毒感染有关。大多数患者起病急骤,发病前12周出现发热（体温3739℃）、恶寒、头痛、扁桃体肿大、咽痛、全身酸  
        关键词：从肝论治;亚急性甲状腺炎;验案   
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      • Vol. 23, Issue 3, Pages: 50-51(2016) DOI: 10.3969/j.issn.2095-6606.2016.03.014
        摘要：<正>1验案陈某,女,65岁。主因胃脘痞满、纳呆、腹胀3月余,于2013年10月14日初诊。患者3个月前与邻居发生争执后,出现胃脘痞满,餐后加重,纳呆,腹胀,大便溏薄,且出现血糖波动,空腹血糖在910mmol/L,餐后血糖亦升高到1012 mmol/L。曾在当地中医院服用疏肝理气、健脾和胃中药治疗1月  
        关键词：糖尿病性胃轻瘫;补中益气法;验案   
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      • Vol. 23, Issue 3, Pages: 51(2016)
        摘要：<正>本刊已被中国科技核心期刊收录;被中国期刊全文数据库全文收录;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  
          
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      • LI Xinhang,TAO Xiaoyan,CHANG Ri,ZHU Guangzhao,LIU Chang,MIAO Lihui
        Vol. 23, Issue 3, Pages: 52-56(2016) DOI: 10.3969/j.issn.2095-6606.2016.03.015
        摘要：By searching the clinical articles linked to functional dyspepsia（ FD）,to summarize the common methods of acupuncture treatment from the options of filiform needling,moxibustion,needling coupled with cupping,auricular needling,elongated needling,acupoint injection,acupoint pasting,acupoint thread imbedding,to summarize the methods of acupoints selection and rules of acupoints combination,so as to provide the literature basis for treating FD.  
        关键词：functional dyspepsia;acupuncture;review   
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      • Vol. 23, Issue 3, Pages: 56(2016)
        摘要：<正>由北京中医药大学东直门医院承办的第二届杜怀堂、宋乃光、姜良铎名老中医经验传承会议定于2016年6月25日（周六）举行,由杜怀堂名老中医工作室、宋乃光名老中医工作室、姜良铎名老中医工作站联合举办,旨在传承名老中医经验,深入中医药治疗复杂发热疾病、疑难危急重症的研究,促进学术交流。本次会议免会务费,授予I类学分3分。诚邀诸位同仁参加,莅临指导。  
          
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      • NING Yanzhe,ZOU Yihuai,ZHANG Yong,FU Caihong,ZHENG Ruwen,REN Yi
        Vol. 23, Issue 3, Pages: 57-60(2016) DOI: 10.3969/j.issn.2095-6606.2016.03.016
        摘要：Insomnia,a chronic dysfunctional disease,is a sleep disorder of quality,quantity,duration and rhythm. In recent years,functional magnetic resonance imaging（ f MRI） technology is applied to study the disease. In this review,we describe the advances of f MRI on insomnia in abnormal variations of brain functional network in rest state and task state,central effects and mechanism of acupuncture intervention.  
        关键词：insomnia;functional magnetic resonance imaging（f MRI）;acupuncture;review   
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