骨质疏松性骨折中西医结合诊疗专家共识

骨质疏松性骨折;中西医结合诊疗;规范;专家共识     

艾灸温补作用的理论探源

从温补学说的形成;温补乃治虚之本;温补之法,莫过于灸法;温补中阳、脾胃之要;温、通、疏三法的灵活应用等5个方面,对艾灸温补作用的理论进行了论述和探源。希望对今后能更好的研究和探讨艾灸温补理论的临床应用提供帮助。     

膝骨关节炎中西医结合诊疗专家共识

膝骨关节炎;中西医结合;辨证诊疗;专家共识     

颈椎病中西医结合诊疗专家共识

国家自然科学基金项目（81930116,81730107,81873321）;国家中医药“传承创新团队”计划项目（ZYYCXTD-C-202202）;上海市重中之重研究中心建设项目（2022ZZ01009）;国家科技部重点领域“创新团队”计划项目（2015RA4002）;国家教育部“创新团队”计划项目（IRT1270）;上海高水平地方高校创新团队计划项目（沪教委人[2022]3号）;上海市促进市级医院临床技能与临床创新三年行动计划重大临床研究项目（SHDC2020CR1010A）;上海市长宁区卫生与计划生育委员会光华卓越PI工程(2016-01,2016-06)     

Upholding fundamental principles and breaking new ground: ensuring positive efficacy and reaching new consensus

<正>The work of Traditional Chinese Medicine(TCM) should “follow the development laws of TCM, carry forward the essence, uphold fundamental principles and break new ground”. How to correctly understand “upholding fundamental principles” and “breaking new ground” and how their relationship is are the key to the future development of TCM.     

肩周炎中西医结合诊疗专家共识

肩周炎;中西医结合;辨证论治;专家共识     

The Effect of Peony and Licorice Decoction on the Voltage-Gated Sodium Channel Subtype 1.4 Based on Standard Decoction

Objective: The objective of this study is to investigate the inhibitory effect of peony and licorice decoction and its compatibility components on the Nav1.4 voltage?gated sodium channels (VGSCs). Materials and Methods: Writhing test was carried out with ICR mice. Paeonia lactiflora and Glycyrrhiza uralensis group were administrated 0.2 ml of solution of freeze?dried powder dissolved in normal saline with the concentration of 2.94 mg/ml, 1.47 mg/ml, and 0.74 mg/ml using intragastric administration, respectively. Peony and licorice decoction groups were administrated 0.2 ml of solution of freeze?dried powder dissolved in normal saline with the concentration of 5.89 mg/ml, 2.94 mg/ml, and 1.47 mg/ml using intragastric administration, respectively. For electrophysiology studies, each freeze?dried powder was dissolved in DMSO to make 10 mg/ml and 50 mg/ml stock solutions. The electrophysiological recordings were obtained under visual control of a microscope. For UPLC analysis, the freeze?dried powder was dissolved in methanol and then determines the contents of the nine marker compounds. Results: The effect of G. uralensis on incubation period and writhing frequency was significantly better than that of peony and licorice decoction group and P. lactiflora group. The inhibition rate of 50 mg/ml water extracts of the three samples was significantly higher than that of the 10 mg/ml group. Moreover, the water extract of G. uralensis at 50 mg/ml had the strongest inhibitory effect on INav1.4 of the three. Conclusion: The possible mechanism of peony and licorice decoction in relieving spasm and pain is most likely by inhibiting Voltage?Gated Sodium Channel Subtype 1.4.     

骨质疏松症中西医结合诊疗专家共识

骨质疏松症；中西医结合；辨证诊疗；专家共识     

类风湿关节炎中西医结合诊疗专家共识

类风湿关节炎；中西医结合；辨证诊疗；专家共识     

腰椎间盘突出症中西医结合诊疗专家共识

腰椎间盘突出症；中西医结合；分期论治；专家共识     

Perspective on the Development of Traditional Chinese Medicine and World Medicine

Following the spirit of Central Committee about the Opinions on Promoting the Inheritance, Innovation, and Development of Traditional Chinese Medicine, Academician Chen Kai-Xian, from Shanghai University of Traditional Chinese Medicine, made a wonderful report on the development of traditional Chinese medicine (TCM) and global medicine. The report deeply elaborated on five aspects: the characteristics and advantages of TCM, the challenges faced by contemporary medicine, the status and role of TCM in the contemporary era, the inheritance and innovation of TCM, and the cooperation and development of “Belt and Road.”     

股骨头坏死中西医结合诊疗专家共识

股骨头坏死；中西医结合；辨证诊疗；专家共识     

中药外洗治疗不愈合伤口76例疗效观察

自 1 996～ 1 999年 ,作者采用自拟中药方煎汤外洗治疗不愈合伤口 76例 ,效果满意。现总结报告如下。1　临床资料本组病人 76例中男 45例 ,女 31例 ;年龄 1 5～ 84岁 ,平均46岁。病程最短 3周 ,最长 6个月。伤口位于下肢者 32例 ,上肢者 2 3例 ,胸背及腹部者 1 4例 ,头颈部者 7例。外伤 48例 ,手术后伤口不愈合 2 3例 ,脓肿溃破 5例。疮面面积最大 1 0 cm×1 0 cm,最小 1 cm× 0 .5cm,伴周围皮肤色素沉着者 2 0例 ,伴有骨质外露者 1 3例。2　治疗方法2 .1　药液制备　取黄连 60～ 1 0 0 g、苦参 30 g、当归 30 g、乳香30 g、没药 30 g、紫草…     

Mongolian medicine: History, development and existing problems

Mongolian medicine (MM) is an important part of Mongolian culture. Exploration of MM can play a crucial role in the prevention and treatment of various diseases and can help provide better health care globally. In this article, we gave a brief introduction to the origin and development of MM, the theoretical system of MM, the principles of Mongolian materia medica formula, the modern research on Mongolian materia medica and the quality control of Mongolian materia medica. The present situation and outlook of MM were also discussed.     

New Progress in Modern Research on Chinese Herbal Medicines Published in Chinese Traditional and Herbal Drugs in 2010: Annual Highlights and Comments

As a series of and continuous publication,the papers published on Chinese Traditional and Herbal Drugs in 2010 were selectively and briefly highlighted to reflect the new progress on modern research of Chinese herbal medicines.Within 617 articles,chemical constituents(127),pharmaceutics and technology(149),pharmacological studies and clinical observation,and medicinal materials are still major categories.Some comments have also been personally provided.     

白花蛇舌草中总三萜酸的提取纯化工艺优选

目的:优选白花蛇舌草中总三萜酸的提取纯化工艺。方法:以总三萜酸提取率为指标,选取乙醇用量、乙醇体积分数及回流时间为考察因素,采用正交试验优选白花蛇舌草中总三萜酸的提取工艺;通过静态吸附和解吸试验筛选树脂型号,采用单因素试验考察总三萜酸的大孔树脂纯化工艺。结果:最佳提取工艺为加10倍量70%乙醇回流提取1.5 h。采用AB-8型大孔树脂,其纯化工艺为上样流速2 BV.h-1,上样液pH 5,上样液质量浓度0.25 g.L-1,洗脱剂pH 7,洗脱乙醇体积分数80%,洗脱速度2 BV.h-1。结论:优选的工艺操作简单、稳定可行、重复性好,可推广于工业化生产应用。     

Clinical Study on Puncturing Houxi （SI 3） Toward Hegu （LI 4） plus Lumbar Movement for Acute Lumbar Sprain

Objective: To observe the therapeutic efficacy of puncturing Houxi (SI 3) toward Hegu (LI 4) plus lumbar movement in treating acute lumbar sprain. Methods: A total of 212 patients with acute lumbar sprain were randomized into two groups. There were 106 subjects in the observation group who were treated with puncturing Houxi (SI 3) toward Hegu (LI 4) plus lumbar movement; the other 106 patients in the control group were treated with puncturing Houxi (SI 3) toward Hegu (LI 4) alone. Therapeutic efficacy was evaluated after 2 treatment courses. Results: The total effective rate was 95.3% in the observation group versus 88.7% in the control group, and the difference was statistically insignificant between the two groups (P>0.05). However, in comparing the treatment times for achieving recovery and effectiveness, differences between the two groups were statistically significant (both P<0.05), indicating that integrated use of acupuncture and exercise is faster in realizing therapeutic effectiveness. Conclusion: By selecting fewer acupoints, puncturing Houxi (SI 3) toward Hegu (LI 4) is effective in treating acute lumbar sprain, and with the help of lumbar movement, it can achieve even better treatment effect.     

中西医结合治疗烧伤160例

中西医结合治疗烧伤１６０例河南省驻马店地区中医院（河南４６３０００）刘天骥，王淑平，吕洪范，阎国英，王景芝，关玉慧，王者香我科自１９８８年以来用中西医结合治疗烧伤，取得了显著疗效，现报告如下。临床资料我们按就诊顺序将患者随机分为两组，凡周一、三、五就...     

紫玉盘化学成分的研究

目的：从紫玉盘Uvaria macrophylla var. microcarpa中分离具有抗癌活性成分。方法：用色谱方法分离紫玉盘中化学成分，用波谱技术（IR，ESI-MS，1H-NMR，13C-NMR，HMQC，COSY，HMBC， NOESY)进行鉴定结构。结果：从紫玉盘中分离得到4个化合物， uvarimacrins A （1）， B（2）and C（4）和uvamalols D（3）。结论：化合物（1），（2），（4）均为新化合物，（3）首次从紫玉盘中分离得到。