最新刊期

    6 2016
    • ZHANG Zhiqiang,WANG Yanping,ZHANG Huamin,WANG Yongyan
      Vol. 23, Issue 6, Pages: 1-3(2016) DOI: 10.3969/j.issn.2095-6606.2016.06.001
      摘要:Standardization is a sign of a fully-fledged academic subject,syndrome,as the core of syndrome differentiation,could reflect the curative effect. Therefore,syndrome standardization is the foundation to establish the evaluation system of traditional Chinese medicine( TCM) curative effect,also is the premise to explore and establish a modern TCM methodology. Although the syndrome standardization research has made some achievements,but has not yet reached the basic goal of a "unified standard": Idea of dynamic space-time,multidimensional interface,interior-excess and exterior-deficiency are syndrome syestems,but complication is not standard barrier. The thinking method on making things simple of Sinology and TCM is focused on complication of syndrome. The logical thinking method about VisualizationAbstraction-Concretizationt is analogous to research method for complex system. Based on the background of the China culture communication to the west and the west culture communication to China,the objective of subject is consensus. The research method for complex system is a good beginning to syndrome standardization,but reexamining the connotation and extension of the TCM syndrome is a good inspiration on quoting method for complex system. This paper puts forward that the research of syndrome standardization should reexamine the connotation and extension of the TCM syndrome,then exploration on the methodology on the original thinking in TCM.  
      关键词:traditional Chinese medicine;syndrome;standardization;original thinking   
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    • Vol. 23, Issue 6, Pages: 3(2016)
      摘要:<正>1投稿要求(1)题名不超过20个字,尽量不用标点符号和副标题。立题要有新意。如系课题文章,请标注课题名称、级别和编号。课题如若获奖请及时反馈我刊。学生作者论文涉及导师学术思想等内容需经导师审查、签字。(2)按顺序写清楚每位作者的姓名、工作单位及所在地邮政编码,并在文末附第一作者的性别、学位、职称,是否硕士生、博士生导师,联系电话、电子邮箱地址、身份证号码。(3)中文摘要以200字左右为宜(尽量提供英文摘要),内容包括目的、方法、结果、结论。(4)标注38个中文关键词(尽量提供英文关键词),各词之间以分号隔开。(5)参照中国图书馆分  
        
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    • YANG Yang,TAN Dongyu,ZHANG Mingquan
      Vol. 23, Issue 6, Pages: 4-6(2016) DOI: 10.3969/j.issn.2095-6606.2016.06.002
      摘要:This paper introduces the acquaintance of pulse-taking of yin and yang in Treatise on Febrile and Miscellaneous Diseases for the national physician master LI Shimao,and through the clinical basis reflects his clinical thinking under the guidance of thinking methods of pulse-taking of yin and yang. LI puts forward the change of the pulse should be regarded as a whole in clinical practice,and should not only view the appearance of pulse position to correspond to a Zang or Fu. This is the best interpretation and supplement for the overall view of traditional Chinese medicine. Pulse-taking of yin and yang,that is treating three portions and nine pulse-takings as a whole,in order to distinguish the mutual influence and mutual relationship between the zang-fu organs,and transmission to each other. Including Chi pulse change and then change of Cun; Cun pulse change and then change of Chi; also pulse change of yin andyang separately and does not cause and effect mutually. After LI studies Treatise on Febrile and Miscellaneous Diseases in depth,worked out four elements for syndromes,disease location,nature of disease,disease tendency,and course of disease,that is"Four Sets". To analyze the nature of the disease entirety through pulse-taking of yin and yang in clinic,to grasp the "Four Sets",and treatment based on syndrome differentiation.  
      关键词:national physician master;LI Shimao;pulse-taking of yin and yang;diagnosis pulses and differentiation of symptoms and signs;classical prescription in clinical practice   
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    • Vol. 23, Issue 6, Pages: 7-10(2016) DOI: 10.3969/j.issn.2095-6606.2016.06.003
      摘要:<正>经脉的"开、合、枢",最早见于《黄帝内经》,而《伤寒论》并未明言。后世医家多以此说解释六经病机和症状、阐发六经病变的传变关系、预测六经病变的预后、指导六经病的治疗,体现了中医学的整体观念。国医大师李士懋教授熟读经典、理论功底深厚,勤于实践、临床经验丰富,善于总结、学术思想鲜明,勇于创新、辨证思维灵活。对经脉的开、合、枢有独到见解,并且能够利用六经之间的联系进行辨证论治,指导临床实践,常取得桴鼓疗效。笔者作为李  
      关键词:经脉;国医大师;李士懋;厥阴病   
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    • Vol. 23, Issue 6, Pages: 10(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,办刊宗旨是贯彻"双百方针",报道中医药临床研究的新成果和新动态,服务中医药教学、科研和医疗,促进中医药学术发展和国际交流。双月刊,CN10-1157/R,ISSN 2095-6606。电话:010-64286149,北京市朝阳区北三环东路11号,邮编100029。请在线投稿,先注册后投稿,网址:http://xblc.bucm.edu.cn  
        
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    • ZHANG Mingquan,ZHANG Jiehan,YANG Yang
      Vol. 23, Issue 6, Pages: 11-12(2016) DOI: 10.3969/j.issn.2095-6606.2016.06.004
      摘要:Cold Convulsion Decoction is prescribed by national physician master,LI Shimao. According to professor LI’s theory,this decoction could be applied to treat the diseases with the symptoms of cold convulsion. Professor LI Shimao is good at pulse diagnosis. According to the academic thought on the differentiation of flat and vein pulse conditions,professor LI proposes that a clear diagnosis of cold convulsion disease can be confirmed if the pulse of convulsion is felt and other two or more symptoms of cold coagulation can be confirmed out of the total twelve symptoms. The author makes analysis on the four aspects as the theoretical source of cold convulsion decoction,compatibility of the source,application principles and clinical medical records in order to provide reference for peers.  
      关键词:Cold Convulsion Decoction;cold coagulation syndrome;LI Shimao;national physician master   
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    • TAN Dongyu,WANG Ye,YANG Yang
      Vol. 23, Issue 6, Pages: 13-16(2016) DOI: 10.3969/j.issn.2095-6606.2016.06.005
      摘要:Shengjiang powder is used not only for the febrile disease,but also the heat hot disease. Typical pulse manifestation for Shenjiang powder is deep and impatient. So long as the qi is stagnated,and qi movement needs to be improved,it could be used,too. So the clinical application is not limited to the typical pulse manifestation,effect will be significant if the pathogenesis meets the prescription. Shenjiang powder is used a lot by doctors of all dynastics,and it is updated and developed in terms of names,indications,dosage and usage. Modified Shengjiang powder is prescribed by professor LI Shimao based on the experience of predecessors,which illuminates the formation mechanism,diagnosis criteria,treatment rules,therapy method and effect signs of stagnated heat.  
      关键词:Shengjiang powder;stagnated heat;febrile disease;LI Shimao;diagnosis pulses and differentiation of symptoms and signs   
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    • Vol. 23, Issue 6, Pages: 16(2016)
      摘要:<正>首届世界浮刺针灸学论坛暨国际浮刺针灸学会成立会议定于2017年8月29-30日在荷兰DEN BOSCH城市举办。浮刺针灸学论坛的征文内容包括:(1)浮刺针灸疗法。(2)腕踝针、尺胫针、皮三针、头皮针和各种皮下针刺疗法。(3)皮下置入疗法:皮下埋线、皮下注射疗法和皮下留管等疗法。(4)南京符氏浮针疗法、世针联新式浮针疗法和各种皮下针刺+置管疗法。(5)浮刺针具的改进与研究。(6)浮刺针灸学的文献研究和中医理论论述。  
        
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    • CUI Xia,YU Wenjing,ZHANG Wen,HU Lijun,NIU Yan,WANG Qian,ZHAO Yunhe,YAN Lusha,WANG Sumei
      Vol. 23, Issue 6, Pages: 17-20(2016) DOI: 10.3969/j.issn.2095-6606.2016.06.006
      摘要:Objective To observe the influence of Jian-Pi-Zhi-Dong Decoction( JPZDD) on hypothalamic pituitary adrenal( HPA) axis,and explore the role of HPA axis in TS. Methods Fifty-six cases of children with TS were given JPZDD for treatment( treatment group),and thirty healthy children were recruited as control group. The serum levels of cortisol( COR) and adrenocorticotrophic hormone( ACTH)in both groups were examined by enzyme-linked immunosorbent assay( ELISA). Furthermore,all of the hormones were tested after the 12 weeks treatment of JPZDD in the treatment group. Results Compared with the control group,the contents of COR and ACTH increased significantly in the treatment group( P< 0. 001). After 12 weeks of treatment,the contents of COR and ACTH in the treatment group dramatically decreased( P < 0. 01). Conclusion The hyperfunction of HPA plays an important role in TS,and JPZDD can significantly reduce the levels of COR and ACTH,which may contribute to the function of anti-tic.  
      关键词:Jian-Pi-Zhi-Dong Decoction;Tourette Syndrome;hypothalamus-pituitary-adrenal axis;cortisol;adrenocorticotrophic hormone   
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    • LI Xiaodong
      Vol. 23, Issue 6, Pages: 21-24(2016) DOI: 10.3969/j.issn.2095-6606.2016.06.007
      摘要:Objective To investigate the clinical efficacy of traditional Chinese medicine combined with alternating cooling and heating whirlpool bath on patients with shoulder-hand syndrome( SHS) after stroke. Methods 70 cases of SHS in stage I after stroke in the Chinese Medicine Hospital of Fengrun District of Tangshan City from December,2012 to December,2014 were randomly divided into control group( n = 35) and treatment group( n = 35). The control group received comprehensive rehabilitation training including exercise therapy,and the treatment group received traditional Chinese medicine combined with alternating cooling( 12 ℃) and heating( 40 ℃) whirlpool bath treatment 30 minutes every time in addition,twice a day for 4 weeks. The total effective rates,Visual Analogue Scale( VAS),FuglMeyer assessment,Barthel index( BI),modified Ashworth Scale( MAS),passive flexion range of the interphalangeal joint in close section of the middle finger and Stroke-Specific Quality of Life( SS-QOL)were compared. Results The total effective rate of treatment group was significantly higher than control group( P < 0. 05). Compared with the control group,the values of Fugl-Meyer assessment,BI,passive flexion range of the interphalangeal joint in close section of the middle finger and SS-QOL were higher in treatment group( P < 0. 05),and the VAS and MAS were lower in treatment group( P <0. 05). Conclusion Traditional Chinese medicine combined with alternating cooling and heating whirlpool bath for patients with SHS in stage I after stroke has significant clinical effect. It can effectively attenuate pain and improve motor function and range of finger joint activity,as well as the ability and quality of daily life.  
      关键词:stroke;shoulder-hand syndrome;traditional Chinese medicine;alternating cooling and heating whirlpool bath;rehabilitation training   
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    • DENG Pin,WANG Yuting,CHEN Liming,LI Tingting,Zhang Jianwei,LI Hongjuan
      Vol. 23, Issue 6, Pages: 25-27(2016) DOI: 10.3969/j.issn.2095-6606.2016.06.008
      摘要:Objective To study the thermal structure characteristics of yang-deficienct constitution in late summer so as to investigate the physiological basis of yang-deficienct constitution in summer. Methods Infrared image combined with four diagnosis and Constitution in Chinese Medicine Questionnaire were used to investigate the calorific value data of people in late summer,so as to screen out the people with yang-deficient constitution and balanced constitution. Results The infrared heat value data of 30 cases of yang-deficient constitution and 23 cases of balanced constitution were involved in this study. By comparison,xuli,weiwan,left and right lumbar,nose and four stremities of yang-deficient constitution people showed cool off. Du meridian showed lower heat value than balanced constitution. Conclusion The study of the thermal structure characteristics of yang-deficient constitution in late summer provides a scientific basis for the physiological basis of supporting yang in summer.  
      关键词:infrared thermal imaging;thermal structure;constitution;detection technology   
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    • LI Yuxia,YANG Jing,WU Fengzhi,PANG Xin,ZHANG Dongsen,LI Yongqiu,MA Hongying
      Vol. 23, Issue 6, Pages: 28-30(2016) DOI: 10.3969/j.issn.2095-6606.2016.06.009
      摘要:Objective To explore the biased constitution of patients with transient ischemic attacks( TIA),as well as the distribution regularities,so as to provide reference for pretreatment of TIA.Methods Clinical epidemiology investigation methods and Chinese medicine constitution questionnaire were used to 182 patients with TIA and 151 normal people. Microsoft Excel database was established and SPSS 18. 0 was used to conduct statistical analysis. Results The patients with TIA were susceptible to the TCM constitution of phlegm-dampness,qi deficiency and yin deficiency,which accounted for 28.57%,24. 73% and 17. 58%,separately. For the control group,balanced constitution was the most constitution,which accounted for 49. 67%. For the patients with TIA,no significant difference showed in different ages( P > 0. 05). Conclusions The biased constitutions of TIA patients are phlegm-dampness constitution,qi-deficient constitution and yin-deficient constitution. As for TCM constitution is adjustable,so adjusting the biased constitution could provide effective prevention in the occurrence and development of the disease.  
      关键词:transient ischemic attacks;constitution of traditional Chinese medicine;distribution regularities;preventive treatment of disease   
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    • Vol. 23, Issue 6, Pages: 30(2016)
      摘要:<正>为坚持正确的出版导向,不断提高高校科技期刊的学术影响力和编辑出版质量,对高校科技期刊在科研活动和学术交流中所起的作用及其质量作出客观的、全面的评价,以树立榜样、明确发展方向,中国高校科技期刊研究会举办了2016年度"中国高校编辑出版质量优秀科技期刊"遴选活动。在差错率低于万分之一的前提下,主要按照差错率由低到高排序,必要时适当考虑期刊的学术影响力,择优遴选。在全国高校1000余本期刊中,我校主办的《现代中医临床》荣获2016年度"中国高校编辑出版质量优秀科技期刊",全国共69种期刊获此殊荣。多年来,《现代中医临床》一直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、  
        
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    • REN Lanqun,WANG Shaojie
      Vol. 23, Issue 6, Pages: 31-35(2016) DOI: 10.3969/j.issn.2095-6606.2016.06.010
      摘要:Objective To provide evidence for the study of the syndrome differentiation of hidden blood loss by analyzing the relationship between hidden blood loss and blood stasis syndrome at perioperative period of hip fracture. Methods By the methods of syndrome study,40 patients that meeting the standards of case selection criteria were included in this study. According to the standard scoring method for diagnosis of blood stasis syndrome,the symptom of blood stasis was quantified on the 1st and 3rd day after operation. At the same time,the volume of hidden blood loss was calculated on the 1st and 3rd day after operation. According to the scoring of the blood stasis syndrome,the patients were divided into 3grades of mild blood stasis syndrome,moderate blood stasis syndrome and severe blood stasis syndrome.To observe whether hidden blood loss and blood stasis integral had correlation through the Pearson correlation analysis. Using the single factor analysis to observe whether there was significant difference between the volume of hidden blood loss in different groups. According to the statistical results,the relationship was discussed between blood stasis syndrome and hidden blood loss during perioperative period of hip fracture. Results The 1st day and 3rd day after operation,the hidden blood loss and blood stasis syndrome integral were positively correlated( P < 0. 05),and the higher the blood stasis score,the more the hidden blood loss( P < 0. 05). The volume of hidden blood loss and blood stasis score gradually increase over time( P < 0. 05). Conclusion Between the volume of hidden blood loss and blood stasis syndrome during perioperative period in hip fracture have positive correlation,which indicates blood stasis syndrome is one of the main pathogenesis of hidden blood loss.  
      关键词:hidden blood loss;hip fracture;blood stasis syndrome;correlation   
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    • Vol. 23, Issue 6, Pages: 35(2016)
      摘要:<正>2016年10月12日,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,我校主办的《现代中医临床》杂志(原《北京中医药大学学报(中医临床版)》)连续第三年被收录为"中国科技核心期刊"(中国科技论文统计源期刊)。同时,影响因子也获得大幅提升,根据中信所发布数据,《现代中医临床》核心影响因子为0.381。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、各界朋友和全校师生致以诚挚的谢意!同时欢迎大家踊跃投稿!  
        
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    • LYU Huiqing,HUA Hong,ZHENG Weiqing,SUN Fenglan,YU Xiaoqian
      Vol. 23, Issue 6, Pages: 36-38(2016) DOI: 10.3969/j.issn.2095-6606.2016.06.011
      摘要:Objective To explore the effect of modified Ziyin Chushi decoction on children with atopic dermatitis,as well as the influence on SCORAD and total serum IgE. Methods 64 patients with atopic dermatitis in traditional Chinese medicine hospital of Qingdao from from June 1,2013 to December 1,2015 were involved in this study. All the patients were randomly divided into two groups. The treatment group was treated with modified Ziyin Chushi decoction,while the control group was given antihistamines,loratadine tablets. The curative effect,SCORAD scores before and after treatment,as well as the total serum IgE were compared between two groups. Results For treatment group,the total effective rate,SCORAD scores and serum total IgE levels after treatment were significantly superior to the control group( P < 0. 05). Conclusion Modified Ziyin Chushi decoction could significantly improve the symptoms of atopic dermatitis and related immune function.  
      关键词:modified Ziyin Chushi decoction;atopic dermatitis;clinical curative effect;SCORAD scores;total serum IgE   
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    • LUO Chao,LIU Qiaoping,LIU Jianhua,YAN Zhanfeng,ZHOU Lei,JIAO Lulu,GONG Zheng,GENG Yan
      Vol. 23, Issue 6, Pages: 39-42(2016) DOI: 10.3969/j.issn.2095-6606.2016.06.012
      摘要:Objective To investigate the effect of prophylactic treatment on seasonal allergic rhinitis( AR). Methods 60 patients with moderate-severe persistent allergic rhinitis based on mugwort allergen were randomly divided into two groups,with 30 cases each in prophylactic group and control group respectively. Patients in prophylactic group were treated with traditional Chinese medicine 2 weeks before pollen season,and control group was given no treatment. At the beginning of pollen season,two groups accepted traditional Chinese medicine for 6 weeks. The symptom score of nose and eye was recorded by using a visual analogue scale. The quality of life was evaluated by rhinoconjunctivitis quality of life questionnaire( RQLQ) periodically. Results In the peak pollen season,the symptom scores of nasal congestion,nasal itching,eye itching and nasal signs were significantly lower in the prophylactic group than those in the control group. The differences between the two groups were significant( P < 0. 01). During the whole pollen season,the eye itching was lighter than that of the control group,the difference was significant( P < 0. 01),the symptom scores of nasal signs was lighter than the control group,the difference was statistically significant( P < 0. 05). Conclusion Pretreatment two weeks before pollen treatment can relieve the clinical symptoms,and improve the life quality of allergic rhinitis based on mugwort allergen.  
      关键词:rhinitis;allergic;seasonal;prophylactic treatment   
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    • Vol. 23, Issue 6, Pages: 43-45(2016) DOI: 10.3969/j.issn.2095-6606.2016.06.013
      摘要:<正>脾胃学说形成于先秦至唐宋时期,在金元时期得到了蓬勃发展。明清时期,随着中医理论全面深入发展,脾胃学说也得以进一步充实。这一时期,明清医家继承并发展了先人的脾胃理论,关于脾胃学说的内容愈加丰富。同时,涌现出的新安医学(代表人物:汪机、徐春圃、吴楚、吴澄等)、温补学派(代表人物:薛己、张景岳、李中梓等)、温病学派(代表人物:叶天士、吴又可、薛雪、王士雄等)、孟河派(代表人物:马培之等)等多种学派代表人物的学术思想也皆涉及脾胃,脾胃学说可谓进入百家争鸣的成  
      关键词:明清时期;脾胃学说;各家学说   
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    • Vol. 23, Issue 6, Pages: 45(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如在投稿过程中遇到任何问题,请与我刊编辑部联系。  
        
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    • CHEN Dou,LI Feng,WU Fengzhi,MA Jie,ZHANG Yu,ZHANG Weiyue
      Vol. 23, Issue 6, Pages: 46-48(2016) DOI: 10.3969/j.issn.2095-6606.2016.06.014
      摘要:Fatigue,as a common problem,has great impact on human health and life,with its high incidence and pathogenic characteristics of extensiveness and attention. The causes of fatigue are various,the mechanism is complex,and the performance is various. How to solve the problem of fatigue has become a hot issue. Traditional Chinese medicine has a long history and excellent therapeutic effect,and it has accumulated rich theoretical and practical experience in the prevention and treatment of fatigue. The understanding of fatigue in modern Chinese medicine is mainly from the angle of the internal organs syndrome differentiation and thus prescription. Based on the theory of " Essence,Qi,Spirit" of traditional Chinese medicine,this paper aims to explore the internal mechanism of fatigue,and discusses the ways to solve fatigue,so as to provide ideas for solving fatigue.  
      关键词:fatigue;Chinese medicine;essence-qi-spirit;mechanism   
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    • Vol. 23, Issue 6, Pages: 49-52(2016) DOI: 10.3969/j.issn.2095-6606.2016.06.015
      摘要:<正>慢性乙型肝炎(以下简称乙肝)是严重的公共卫生问题,全球每年超过100万人死于乙肝病毒感染。我国一般人群乙肝表面抗原(HBsA g)流行率为7.18%,乙肝患者约有2 000万例[1]。王庆国教授从医40余年,精研仲景学说,善用经方,不弃时方,善于古今接轨,经时结合,创制新方,临床尤其精于肝胆病的辨证施治,疗效卓著。本文拟对王庆国教授治疗乙肝的学术经验进行总结探讨,以期对临床  
      关键词:王庆国;病毒性乙型肝炎;辨治特色;名医经验   
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    • Vol. 23, Issue 6, Pages: 53-54(2016) DOI: 10.3969/j.issn.2095-6606.2016.06.016
      摘要:<正>中风病因虚而致病之说肇始于《内经》,成说于李东垣的"气虚致风论",著于王清任的补阳还五汤。囿于历史局限性,古代没有"心源性中风"之说,而近现代也尚无对其进行系统的证候学临床研究。笔者认为心源性中风虽然属于中风病范畴,但是有其独特的证治特点。临床发现虽然大部分中风患者都有气虚表现,但是心源性中风患者的气虚表现尤为突出,其急性期临床症状往往表现为神昏或意识淡漠,肢体瘫软,面色白或晦暗,气短声低,畏  
      关键词:心源性中风;气虚动风;证治   
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    • Vol. 23, Issue 6, Pages: 55-58(2016) DOI: 10.3969/j.issn.2095-6606.2016.06.017
      摘要:<正>1通法的概念所谓"通",《说文解字》云:"通,达也。"《易经·系辞》云:"往来不穷谓之通。""通"是人体各脏腑正常运行和保持平衡的前提,若由于各种原因出现脏腑经络等不通,则会导致人体气血阴阳的失调,五脏功能失衡。正如《素问·六微旨大论篇》所云"出入废则神机化灭,升降息则气立孤危。故非出入,则无以生长壮老已;非升降,则无以生长化收藏"。临床上属于不通的症状或病症很多,如:痹  
      关键词:通法;临床应用;通腑法   
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    • Vol. 23, Issue 6, Pages: 59-60(2016) DOI: 10.3969/j.issn.2095-6606.2016.06.018
      摘要:<正>北京中医药大学东直门医院急诊科于2015年3月收治了1例患者,因"肺部感染,Ⅱ型呼吸衰竭"收入院,给予积极抗感染治疗后,肺部感染得到有效控制,但呼吸功能无明显改善,需要持续呼吸机辅助呼吸,经完善检查,最终发现原发病因,针对病因给予相关治疗后,病情改善明显,最终康复出院。现将该病例的诊疗过程报道如下。1病例介绍患者,女,88岁,主因"意识模糊4天,发热1天,加重伴呼吸困难半天"于2015年3月以"肺部  
      关键词:呼吸衰竭;撤机困难;个案   
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