最新刊期
      期 1 ， 2017
      • LI Zhirong,GONG Ya’nan,DU Jian,WANG Hao,LIU Zhenzhu,XU Xiangyun,YANG Qiuli
        Vol. 24, Issue 1, Pages: 1-3(2017)
        摘要：This paper aims to view the treatment of diabetes based on narrative medicine and humanistic care,especially emphasizes the clinical application and value of humanistic care and narrative medicine in the treatment of diabetes,thus to improve the narrative ability and humanistic quality,which could provide comprehensive and multi-perspective prevention and treatment methods,so as to improve the life quality.  
        关键词：narrative medicine;humanistic care;diabetes;empathy;parallel cases   
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        发布时间：2021-09-15
      • XU Hongri,SONG Wenjie,WANG Chengxiang,WANG Lan,KONG Lingbo,LIU Juan,Miao Qing,LIU Yu,JIA Ning,LI Yanpeng,MA Jie,LIU Guoxing,ZHAO Shitong,WANG Yuting
        Vol. 24, Issue 1, Pages: 4-8(2017)
        摘要：Objective To explore the Chinese medicine syndrome characteristics and prognosis of invasive pulmonary fungal infections（ IPFI）,thus to provide reliable basis for further treatment of intergrated Chinese and western medicine.Methods The four diagnosis data of 104 patients with IPFI were analysed and the Chinese medicine syndrome were judged.SPSS 20.0 were used to conduct statistical analysis.Results（1）IPFI always happened in the elderly over the age of 75,who often suffered from a variety of basic diseases and used of broad spectrum antibiotics repeatedly for a long time,as well as glucocorticoids or immunosuppressants.（2） The main symptoms of IPFI were cough,white,thick or filamentous sputum,difficult to cough up,wheezing,chest tightness,dry throat,thirst,short breath and disinclination to talk,spiritlessness and weakness,poor appetite,insomnia,constipation,scanty dark urine,et al.The color of tongue was red,and the coating was yellow greasy,less or no moss.The pulse was taut,slippery,stringer and rapid.（3）The common syndromes of IPFI were syndrome of phlegm-heat obstructing in lung and syndrome of deficient of both qi and yin,and the syndrome distributions had no relationship with age and gender.（4）The prognosis of IPFI had great relationship with syndrome,and the prognosis of heat invading pericardium syndrome was the worst.Conclusion IPFI has unique characteristics of syndromes,its prognosis have relationship with TCM syndrome types.Based on the syndrome characteristics,and integrated Chinese and western medicine could improve the curative effect.  
        关键词：fungal infections;pulmonary;traditional Chinese medicine;syndrome;prognosis   
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        发布时间：2021-09-15
      • Vol. 24, Issue 1, Pages: 9-11(2017)
        摘要：<正>"毒"是我国中医学重要的概念之一,历代医学典籍对"毒"这一概念均有论述,涉及病因病机、治法、方药等诸多方面,理论纷繁复杂。然而每种观点、学说,甚或流派的产生都受其所处的时间、空间等因素的影响,受古代朴素唯物主义影响的中医学更具有海纳百川、兼容并蓄的理论特性。"毒"这一概念历经千年,围绕"毒"所形成的理论不胜枚举,目前为止仍旧众说纷纭,莫衷一是。医学是一门实践科学,随着社会的发展,我们所处的环境已发生了重大的变化,这意味着疾病会变化,患者会变化,治  
        关键词：毒;中医;中药;理论   
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        发布时间：2021-09-15
      • LI Li,YANG Baolin,WANG Lan
        Vol. 24, Issue 1, Pages: 12-14(2017)
        摘要：Objective To observe the curative effect of the bleeding and cupping therapy on fever patients.Methods According to randomized controlled method,60 fever patients with upper respiratory infection were randomly divided into two groups,the control group was given conventional therapy,while the treatment group was given the bleeding and cupping therapy besides conventional therapy.2 h and 24 h after treatment,the antifebrile effect was evaluated.Results 2 h after treatment,the antifebrile rate of treatment group was 83.3 %,while the control group was 60.0 %,the difference between two groups was significant（P<0.05）.24 h after treatment,the antifebrile rate of treatment group was 70.0 %,while the control group was 36.7 %,the difference between two groups was significant1（P<0.05）.Conclusion The bleeding and cupping therapy has significant effect on fever.  
        关键词：bleeding and cupping;antifebrile;emergency;curative effect   
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        发布时间：2021-09-15
      • LIU Yu,LIANG Tengxiao,WANG Lan,TIAN Xianmei
        Vol. 24, Issue 1, Pages: 15-17(2017)
        摘要：Objective To explore the pathogenic characteristics of traditional Chinese medicine（TCM）by analyzing the upper respiratory infection of TCM syndrome type distribution.Methods Retrospective study was used in this study,and 1 003 patients with upper respiratory tract infections in emergency department of Dongzhimen Hospital during February 4,2015 to February 3,2016 were involved in this study.All the cases were divided into different groups according to whether there was the haze,air pollution and air quality index（AQI） classification,and the difference among different groups were compared.Results The TCM syndrome types had no statistical difference between haze days and non haze days,and there was no difference showed during air pollution and non air pollution period.Similarly,no statistical differences of TCM syndrome types showed among different air pollution levels groups.Conclusion Through analyzing the distribution difference of the upper respiratory tract infection syndrome type,the pathogenic characteristics or the tendency of haze are still unknown.Therefore,further study is needed.  
        关键词：haze;upper respiratory tract infection;syndrome type;pathogenic characteristics   
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        发布时间：2021-09-15
      • TIAN Xianmei,WANG Lan,LIU Lijie,XU Chunxiu,JIANG Zehui
        Vol. 24, Issue 1, Pages: 18-22(2017)
        摘要：Objective To explore the curative effect of modified Maxing Shigan decoction combined moxifloxacin injection on community-acquired pneumonia（CAP）（syndrome of phlegm-heat obstructing in lung）.Methods 98 patients with CAP（syndrome of phlegm-heat obstructing in lung） accepted by emergency department from March,2013 to October,2015 were involved in this study.All the patients were randomly divided into treatment group and control group,with 49 cases in each.The treatment group was given modified Maxing Shigan decoction combined moxifloxacin injection,while the control group was given conventional treatment such as anti-infection,defervescence,removing phlegm,antiasthma,et al.7 d and 14 d after treatment,the effect,security and adverse effect were compared between two groups.Results The exclusive cases of treatment group were 3,and in control group,there were 5exclusive cases.The total effective rate of treatment group was 97.8%,and the control group was93.2%,the difference between two groups was significant（P<0.05）.For Chinese medicine syndrome,the total effective rate of treatment group was 100.0%,and the control group was 86.4%,the difference was significant（P<0.05）.After treatment,the single symptom score of fever,chest pain,cough,dry mouth and yellow and viscous phlegm was decreased significantly（P<0.05）.Compared to the control group,the score of cough,dry mouth and yellow and viscous phlegm had significant difference（P <0.05）.In the treatment group,the content of WBC,C-reactive protein（CRP） and serum procalcitonin（PCT） after treatment decreased significantly than before treatment（P<0.05）.Compared to the control group,the difference was significant（P<0.05）.The absorption day of treatment group was（12.25 ±8.37） d,and the control group was（16.42 ± 11.87） d,and the difference was significant（P<0.05）.No abnormal changes of vital signs,blood routine examination,urine and stool routines showed between two groups,and no adverse effect showed during the study.Conclusion Modified Maxing Shigan decoction combined moxifloxacin injection has good effect on community-acquired pneumonia（syndrome of phlegm-heat obstructing in lung）.  
        关键词：modified Maxing Shigan decoction;moxifloxacin injection;community acquired pneumonia;syndrome of phlegm-heat obstructing in lung;curative effect   
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        发布时间：2021-09-15
      • Vol. 24, Issue 1, Pages: 22(2017)
        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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        发布时间：2021-09-15
      • GE Weitao,XIE Yanming,ZHI Yingjie,YANG Wei,TANG Hao,ZHUANG Yan
        Vol. 24, Issue 1, Pages: 23-26(2017)
        摘要：Objective To study the effect of Shenfu injection on renal function.Methods Based on hospital information system（HIS）,25 704 patients who were given Shenfu injection and 51 888 patients who hadn’t given Shenfu injection were involved in this study.Among the patients,blood urea nitrogen（BUN） and serum creatinine（SCr） of patients,and the patients aged 1880 were recruited in this study.Propensity score method was used to wipe off the effect of Shenfu injection on renal function.Results Logistic analysis was used to analyze the effect of Shenfu injection on BUN and SCr（P<0.05）,After weighing,Logistic analysis showed the effect of Shenfu injection on BUN and SCr were significant（P<0.05）.But after propensity score weighted with a covariate,P value of BUN was lager than 0.05,while the P value of SCr was smaller than 0.05.Conclusion Shenfu injection has no obvious influence on BUN,and great influence on SCr.  
        关键词：Shenfu injection;blood urea nitrogen;serum creatinine;propensity score method;hospital information system database   
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        发布时间：2021-09-15
      • ZHAO Wenshu,HUANG Hongwei,ZHAO Wenlin
        Vol. 24, Issue 1, Pages: 27-29(2017)
        摘要：Objective To observe the effect of cupping method on wound healing after anal fistula operation.Methods 120 patients who have received anal fistula operation were randomly divided into treatment group and control group,with 60 patients in each.The treatment group was given cupping method on Dazhui,Mingmen,Yaoshu,Pishu and Shenshu before operation,while the wound of control group was filled with ribbon gauze immersed by hongyou onintment.The wound healing time,wound area reduction degree and pain,edema,effusion,fall-swell and improvement of complication and adverse effect were recorded.Results On the 7th and 14 th d after operation,anal pain,burn surface exudation and fall-swell score between two groups showed significant difference（P<0.05）,and the treatment group was superior.The wound healing time of treatment group was（28.26 ± 5.94） d,and the control group was（32.19 ± 5.46） d,the difference between groups was statistically significant（P<0.05）.No adverse effect showed during the treatment.Conclusion Cupping method could improve pain,edema,effusion,fall-swell and complications,as well as no adverse effect,so it could help improving wound healing.  
        关键词：cupping method;low simple anal fistula;wound healing;curative effect   
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        发布时间：2021-09-15
      • ZHONG Liqun,TANG Xuechun,ZHU Yumei,CHEN Dongmei,DU Yawei,LIU Guoling,LI Cong,XIA Menghuan,LI Shasha,ZHOU Xia,LYU Zhe,WANG Baoshen,WANG Shoulian,WANG Junfeng,WANG Jie,LIU Xiaohui,WU Shengxian,ZOU Yihuai,LIU Cen,ZHANG Hua,REN Yi,ZHANG Yu,MA Dayong
        Vol. 24, Issue 1, Pages: 30-34(2017)
        摘要：Objective To observe the effect of Xiao-shuan Enteric-coated capsules in the treatment of convalescent cerebral infarction（syndrome of blood stasis due to qi deficiency）,and the effect will be observed.Methods Randomized,double-blind,double simulation,positive drug parallel contrast and multicenter clinical trial research methods was used in this study,325 patients in treatment group was given Xiao-shuan Enteric-coated capsules and compound Dilong capsule simulation agent,while 107 cases of the control group was given Xiao-shuan Enteric-coated capsule simulation agent and compound Dilong capsule,the medication was continuously used and the nerve function,Chinese medicine syndrome and security index before medication,（28 ± 1） d after medication and（90 ± 2） d after morbidity were collected.Results 1 The neurologic impairment between two groups and before-after treatment decreased significantiy,and the treatment group was superior to control group;2 TCM syndrome of both treatment group and control group decreased,and the differences between two groups and before-after treatment were significant,and the treatment group was superior to control group;3 Vital sign,blood routine and urine routines showed normal,and no adverse effect happened.Conclusion Xiao-shuan Enteric-coated capsules could significantly improve the nerve function and the syndrome of blood stasis due to qi deficiency,and the effect is superior to compound Dilong capsule and secure.  
        关键词：Xiao-shuan Enteric-coated capsules;ischemic stroke;restoration stage;syndrome of blood stasis due to qi deficiency   
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        发布时间：2021-09-15
      • SUN Wei,HUO Yanming,HUANG Chen
        Vol. 24, Issue 1, Pages: 35-38(2017)
        摘要：Objective To investigate the clinical characteristics of chronic heart failure complicated with renal insufficiency.Methods A retrospective analysis of 374 patients with chronic heart failure as the first diagnosis of hospitalized patients,according to the modified MDRD equation of the patients with estimated glomerular filtration rate,all the patients were divided into control group（n=106）,mild renal insufficiency group（n=129） and renal insufficiency group（n=139）.The clinical characteristics and prognosis were compared among groups.Results Renal function of chronic heart failure patients deteriorated with age,and the average hospital stay was significantly prolonged for renal insufficiency group.The red blood cells and the hemoglobin of the renal insufficiency group were significantly lower than the mild renal insufficiency group and normal group（P<0.05）.For renal insufficiency group,the potassium concentration,serum phosphorus concentration,serum uric acid concentration,urea nitrogen concentration,brain natriuretic peptide（BNP） and troponin T（TNT） positive rate,and the dead cases of renal inefficiency in two years were higher than mild renal insufficiency group and normal group（P<0.05）.Age,red blood cell,hemoglobin,creatinine,urea nitrogen concentration and TNT were the risk factors of death in two years.Conclusion Chronic heart failure complicated with renal insufficiency has a high incidence in aged people,and the hospital stay is relatively long.The mortality increases in two years.The patients with chronic heart failure combined renal insufficiency has low level of red blood cells and hemoglobin,as well as the high level of serum potassium concentration,blood phosphorus concentration,blood urea nitrogen,blood uric acid,brain natriuretic peptide and troponin T.  
          
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        发布时间：2021-09-15
      • GU Yuhong,LAN Xiumin,YIN Juan,HUO Yanming
        Vol. 24, Issue 1, Pages: 39-40(2017)
        摘要：Objective To investigate the effect of auricular points plaster therapy on anxiety and depression patients with acute exacerbation of chronic heart failure.Methods 60 anxiety and depression patients with acute exacerbation of chronic heart failure were randomly divided into control group（n=30）and treatment group（n=30）.The control group was given routine treatment and traditional Chinese medicine（TCM） mental nursing,while the treatment group was given auricular points plaster therapy besides the treatment of control group.The points were heart,kidney,sympathetic,subcortex and shenmen.Self-rating anxiety scale（SAS） and Self-rating depression scale（SDS） were conducted before treatment and 14 d after treatment in two groups.Results After treatment,SAS score of both groups decreased,and the treatment group was superior to control group（P<0.05）,and SDS score of both groups decreased,and significant difference showed before and after treatment.Conclusion Auricular points plaster therapy could significantly improve the anxiety status and slightly alleviate depression status of patients with acute exacerbation of chronic heart failure.  
        关键词：auricular points plaster;acute exacerbation of chronic heart failure;anxiety and depression   
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      • Vol. 24, Issue 1, Pages: 41-44(2017)
        摘要：<正>肩周炎是骨科常见病,是一类引起盂肱关节僵硬的粘连性关节囊炎,表现为肩关节周围疼痛及各个方向的主动和被动活动受限,影像学检查除骨量减少外无明显异常[1]。因肩部活动明显受限,形同冻结,故而又称为"冻结肩""肩凝症",属于中医学"痹证"范畴。目前肩周炎的治疗以保守治疗为主,中医疗法具有自身优势及特色。现就近年来肩周炎的中医治疗概况归纳整理如下。  
        关键词：肩周炎;中医药;治疗;综述   
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      • Vol. 24, Issue 1, Pages: 45-47(2017)
        摘要：<正>良性阵发性位置性眩晕（Benign Paroxysmal Positional Vertigo,BPPV）俗称"耳石症",是常见的耳源性眩晕疾病。管石复位术是目前最常用的治疗方法[1-2],其临床有效率可达90%以上[3],但仍有观察性研究发现高达61.2%[4]的患者在复位成功后残留头晕等症状。Lee[5]等前瞻性研究也发现即使BPPV患者复位成功,仍有可能出现残留的头晕症状,且伴随产生不安全感、焦虑抑郁等情绪,这一系列症状严重影响患者的生活质量。有研究表明,高  
        关键词：良性阵发性位置性眩晕;手法复位;复位成功后残留症状;西医机制;中医病机   
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      • Vol. 24, Issue 1, Pages: 48-52(2017)
        摘要：<正>消化系统恶性肿瘤术后胃肠道功能紊乱（PGID）是肿瘤最常见的术后并发症之一。根据临床症状,PGID可分为术后胃瘫、术后恶心呕吐、术后呃逆、术后粘连性肠梗阻、术后便秘和术后腹泻6类。据报道,我国PGID的发生率为9%20%[1-4]。由于本病的病程长,且易反复发作,因此常延误肿瘤后续治疗。中医治疗PGID具有疗效显著、操作简便、副作用小等优势。纵观中医文献可知,历代医家对本病的认识不一,治疗方法多样。本文章对既往文献中的辨证方法及用药特点进行统计  
        关键词：肿瘤术后;胃肠功能障碍;中医;临床;分析   
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      • Vol. 24, Issue 1, Pages: 52(2017)
        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;（7）浮刺与皮下组织的现代医学研究。  
          
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      • Vol. 24, Issue 1, Pages: 53-55(2017)
        摘要：<正>香苏散出自《太平惠民和剂局方》,由香附、紫苏叶、陈皮、炙甘草4味药组成,功能是散寒解表、理气消滞,主治外感风寒、内伤气滞,症见恶寒发热、头身疼痛、胃脘胀满、纳呆呕恶、苔白腻、脉浮紧。当代人嗜食肥甘厚味及烟酒摄入增多必然引起湿热内蕴,又加之工作生活压力大导致情志郁结化热,且二者常结合致病,因此致使当今胃病以实证、热证为多见,虚寒之证少见。针对此病因病机变化,北京中医药大学东直门医院田德禄教授以香苏散为基础,将方中苏叶换为苏梗,变解表为理气消胀,去方中炙甘草防其甘温  
        关键词：香苏散;化裁;临床经验   
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      • Vol. 24, Issue 1, Pages: 56-57(2017)
        摘要：<正>本文"鼓胀"特指肝硬化失代偿期腹水阶段,此病病因病机复杂,多种虚实因素交织,虚有肝郁脾虚、肝肾阴虚、脾肾阳虚、气血不足等,实有肝郁气滞、瘀血阻滞、水湿（热）内蕴等。笔者在鼓胀病临证中,强调控制病因以缓传变,肝肾论治以固其体,调气升降以利消水的治疗理念。从整体观念来讲,本病腹大如鼓症状与气机升降失常、水邪内停相关,其中与肝肺气机升降失常有一定的相关性。肺主行水,通调水道,肝升肺降有利于水邪从二便而出,从  
        关键词：鼓胀病;气机升降理论;肝肺同治   
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      • Vol. 24, Issue 1, Pages: 58-60(2017)
        摘要：<正>经方一词最早见于《汉书·艺文志》[1],但何谓经方,即便中医人士及古今文献也莫衷一是。笔者认为,经方是以方证理论治病的医药学体系,经方起源于神农时代,起初用单味药治病,其代表著作为《神农本草经》;后经秦汉逐渐积累了复方方证经验,再经汉晋集成《伤寒杂病论》。凡提经方,不但指《伤寒论》等书中之方剂,而且要包含方证之理论体系,即六经辨证理论体系,其理论特点是先辨六经,继辨方证,方证对应,疾病乃愈。  
        关键词：经方;脑病;方证辨证;验案   
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        发布时间：2021-09-15
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