范金茹运用心痛宁膏治疗胸痹心痛病的临床经验

范金茹教授认为冠心病稳定期和心梗后、PCI术后心绞痛皆可归于胸痹心痛病进行辨证论治.针对胸痹发作期、缓解期的不同病机特点,提出“心肝同治,间者并行,甚者独行”的治疗原则.并以“间者并行”为治则,研制出用于心梗后、PCI术后心绞痛和冠心病稳定期气虚痰凝肝郁血瘀证的心痛宁膏,临床疗效确切.通过对心痛宁膏主治病症及病案的解析,冀传承范师诊治胸痹的遣方用药经验.     

张艳自拟冠心方治疗冠心病心绞痛临证经验

冠心病心绞痛在心血管疾病中较为常见,属于中医学中“胸痹”“心痛”等范畴。张艳教授行医四十余载,治疗胸痹心痛疗效显著。认为其发病以气虚痰瘀交阻证型较为多见,提出“虚痰瘀”理论,自拟“冠心方”从脾论治冠心病心绞痛,治法为补气健脾,养血活血,化瘀止痛,化痰祛湿。该文章将张艳教授自拟冠心方治疗冠心病心绞痛的临证经验总结作出详细介绍。     

刘永家运用四逆散加减治疗胸痹心痛气郁证经验

<正>刘永家教授,四川省名中医,2003年被授予四川省名中医称号,《四川省中医名医录》收录名医,善用经方,循岐黄之术,变通古今,临床上常以仲景经典方剂四逆散加减治疗诸疾,尤以治疗胸痹心痛之气郁证型为代表,临床辨证运用,显效奇佳。笔者现举隅刘永家教授运用四逆散加味治疗胸痹心痛气郁证一则以探讨本方的辨证运用。     

叶天士通阳散结法辨治胸痹心痛探析

胸痹心痛是现代临床上较为多见的病症之一,与现代医学"冠心病"的症状类似。其病因病机多为上焦心阳虚衰、下焦阴寒上乘。本文通过研究《叶氏医衡》、《临证指南医案》、《叶桂医案存真》等著作中有关胸痹心痛的论述及医案,发现叶天士通阳散结治疗胸痹心痛上承仲景之法和历代先贤的研究,注重温通,下启"血络痹痛"与"涌痰法",提出"久痛必入络"、"痛久入血络"以及"涌吐痰涎"等观点,同时兼顾脾胃、寓通于补,注重情志因素,发展了胸痹心痛的病因病机和辨证论治理论。叶氏用药平淡简易但疗效颇佳,其辨治胸痹心痛的思路依然具有指导意义。     

姚淮芳温阳益气、活血化瘀法治疗胸痹经验

介绍姚淮芳教授临床应用温阳益气、活血化瘀法治疗胸痹经验。姚淮芳教授认为胸痹以阵发性胸部闷痛为主症,主要病位在心,基本病机为本虚标实,虚实夹杂,发病核心病机为心脉痹阻。本虚指脏腑阴、阳、气、血亏虚,标实有血瘀、寒凝、痰浊、气滞等。姚淮芳教授认为胸痹可因虚致实,亦可因实致虚,临床治疗胸痹应标本兼顾,治标实之气滞、血瘀、痰浊、寒凝运用理气行气、活血化瘀、化痰祛浊、温阳通脉之法,久病必瘀活血通脉法应全程应用,治病必求于本,治胸痹本虚应考虑相关脏腑气血阴阳之虚,辨证运用益气、补血、滋阴、养阳等方法。虽然临床胸痹证型繁杂,但以阳气虚为本,以血瘀为标者居多,姚淮芳教授应用温阳益气、活血化瘀法治疗胸痹频率较高,临床效果显著。     

375例胸痹心痛患者冠状动脉造影结果与中医证型的对比研究

目的:了解胸痹心痛的证型和冠状动脉(冠脉)造影结果的关系,为胸痹心痛的治疗提供依据.方法:对375例胸痹心痛患者进行辨证分型和冠脉造影检查,比较不同造影结果的证型特点.结果:冠脉狭窄组的血瘀证和痰浊证均显著高于冠脉正常组(P均<0.05);无病变组的气滞证显著高于三支病变组(P<0.05);三支病变组的血瘀证和痰浊证的比例均显著高于无病变组(P均<0.05);双支病变组的痰浊证比例显著高于无病变组(P<0.05);不同冠脉造影结果及病变支数的证型虚实分布和证型相兼分布均有显著性差异(P均<0.001).结论:胸痹心痛的冠脉造影结果不同其证型特点不同,血瘀证和痰浊证是胸痹心痛危险证型.     

杜雨茂教授治疗冠心病的经验

业师陕西中医学院副院长、主任医师杜雨茂教授,幼秉家教,习读歧黄,数十载孜孜不倦,力治仲景之学,精研临证之法,深得病机要领,渐成体系,名闻全国。今特就其于冠心病治疗经验,简介于后,以飧同道。一、明病机划定病名杜老认为,省病问疾,尤其是经现代医学诊断而确定之疾病,应首先弄清病机,确定其属于中医何病之范畴,从而依据该病之特点,有的放矢,治疗才有针对性。认为冠心病相当于中医之胸痹(杜老认为,心痛、短气与胸痹应属一病不同表现,或单见或合并出现,故《金匮》胸痹、心痛、短     

胸痹心痛的中药治疗探究

目的：胸痹心痛的中药治疗效果。方法：从2015年2月到2016年2月期间在本院接受治疗胸痹心痛患者随机选取90例,并分为A组和B组,每组45例患者。A组患者采用口服硝酸甘油治疗,B组患者采用中药治疗,观察比较两组患者的治疗效果。结果：B组患者的治疗总有效率明显高于A组患者,比较差异具有统计学意义（P<0.05）。结论：采用中药治疗胸痹心痛整体疗效显著,值得推广应用。     

益气活血宣痹汤治疗胸痹心痛52例观察

目的：观察益气活血宣痹汤治疗胸痹心痛的效果。方法：用益气活血宣痹汤治疗52例胸痹心痛。结果：治愈18例(34．16％)。有效28例(53．84％)。无效6例(11．5％)，总有效率88．45％。结论：益气活血宣痹汤对胸痹心痛有一定疗效。     

郑梅生治疗胸痹心痛学术经验

<正>郑梅生教授系全国名老中医,在中医防治心血管疾病方面取得了丰硕的成果。曾参加国家中医药管理局医政司胸痹急症协作组主编《中医心病方药集成》一书,收集了心病治疗古方、今方及各种剂型的中成药方1200余首,颇具学术价值和临床应用价值,获得芜湖市科技进步三等奖。曾参与的胸痹心痛方向课题获全国(部级)中医药重大科技成果奖。其治疗冠心病采用传     

Tiotidine and cimetidine--kinetics and dynamics

Tiotidine and cimetidine kinetics and dynamics were compared to assess mechanisms of the longer duration of effect of tiotidine in man. Both drugs has similar lag times for absorption. Tiotidine with a meal was more slowly absorbed than when fasting and was also more slowly absorbed than cimetidine with a meal. The elimination rates for both drugs did not differ; they were both approximately 2 to 3 hr. Oral doses of cimetidine achieved areas under the plasma concentration curve approximately three times that of tiotidine but these concentrations were only 1/10 as potent. The cimetidine concentration inducing 50% inhibition of food-stimulated gastric acid secretion was 0.41 +/- 0.04 whereas it was 0.04 +/- 0.003 microgram/ml for tiotidine. The effect of tiotidine lasted longer than that of cimetidine because the doses recommended for use in man resulted in higher concentrations in plasma relative to effective concentration than clinical doses of cimetidine.     

Developments and trends in traditional medicine and complementary and alternative medicine

With the rapid development of society, medical science and technology, although quality of life is enhanced and life expectancy is prolonged, aging, environmental changes and health problems are unavoidable. More and more people, therefore, are concerned about their health and place high demands on medical care. As modern medicine cannot meet all such demands, other medical care systems emerge. Trends in the seeking of medical care show that people are inclined towards natural approaches, so attention is being paid once again to traditional medicine, as well as complementary and alternative medicine. Under the patient-oriented concept, medical personnel have to recognize means of health care while thinking of the individualized and socioeconomic impacts. The purpose of this paper therefore is to provide medical personnel with information on the developments and trends in, knowledge and research with regard to traditional medicine as well as complementary and alternative medicine.