186例复发性脑卒中患者体质特征研究

目的:调查复发性脑卒中患者的中医体质特点。方法:选择186例复发性脑卒中患者,调查其中医体质类型分布以及与性别、年龄、体重的关系。结果:复发性脑卒中患者的中医体质类型以阴虚质、血瘀质和气虚质居多,分别为34.4%、23.1%和17.7%。男性患者常见的体质类型为阴虚质、血瘀质和痰湿质,女性患者常见的体质类型为阴虚质、血瘀质、气虚质。50岁以下及50~60岁患者以阴虚质和痰湿质最为常见,60+~70岁患者以阴虚质和血瘀质为主,70+~80岁及80岁以上患者主要以血瘀质为主。肥胖及超重患者以痰湿质最为常见,其他患者以阴虚质最为常见。结论:复发性脑卒中患者的中医体质类型以阴虚质、血瘀质和气虚质为多;不同年龄和体重的患者,其中医体质特点有所不同。     

2型糖尿病中医体质的调查研究

目的 通过问卷调查的方法研究2型糖尿病患者中医体质特点,为2型糖尿病的防治提供参考.方法 收集符合纳入标准的2型糖尿病患者200例,选用标准化的中医体质量表对研究对象进行问卷调查;收集患者的一般资料并计算体重指数;并分析患者的中医体质类型与患者性别、年龄、体重指数的关系.结果 ①200例2型糖尿病患者中医体质类型分布情况：阴虚质、气虚质、痰湿质、阳虚质、平和质、瘀血质、气郁质、湿热质、特禀质所占比例分别为：26.5％、20.5％、18.0％、11.0％、10.5％、4 5％、4％、2 5％、2 5％;前3种主要体质类型分别是：阴虚质、气虚质、痰湿质.②不同性别2型糖尿病患者中医体质类型分布情况不一样,在男性患者中以阴虚质为主,共占27例,其次是痰湿质、气虚质、平和质,其中痰湿体质者明显多于女性患者;在女性患者中以阴虚质及气虚质为主,各占26例,其次为阳虚质、痰湿质、平和质,其中气虚质、阳虚质明显多于男性患者.③2型糖尿病患者气虚质、阳虚质的人数随着患者年龄的增长而增多.④阴虚质、气虚质、平和质、阳虚质组的体重指数与痰湿质组相比较,显著低于痰湿质组（P ＜0.01）;阴虚质、阳虚质、气虚质组的体重指数与平和质组相比较,低于平和质组（P＜0.05）.结论 ①2型糖尿病患者的主要的体质类型是阴虚质、气虚质、痰湿质.②2型糖尿病患者中医体质类型的分布情况在不同性别中存在差异,并且与年龄相关.③2型糖尿病患者的体重指数与各主要中医体质类型存在相关性.     

结肠黑变病与中医体质相关性研究

目的探讨结肠黑变病(MC)与中医体质相关性,为MC防治提供依据。方法对78例MC患者进行中医体质辨识,分析体质类型与性别、年龄相关性。结果 MC患者最常见的体质类型为气虚质、阴虚质、湿热质、气郁质、痰湿质;不同性别MC患者中医体质类型分布比较差异无统计学意义(P0.05);老年MC患者中,气虚质、阴虚质所占比例大于其他体质类型(P0.05)。结论 MC中医体质类型主要由气虚质、阴虚质、湿热质、气郁质、痰湿质构成,并与年龄因素密切相关,老年MC患者中医体质以气虚质、阴虚质为主。     

社区老年高血压患者中医体质类型调查分析

目的 了解社区老年高血压人群中医体质特点，为防治高血压病提供依据。方法 调查济南市市中区1849例65岁以上高血压病患者，根据性别、年龄、病程和体重指数(BMI)分析其与中医体质类型的关系。结果 社区老年高血压患者的主要中医体质类型为痰湿质、阴虚质、气虚质和血瘀质，其中痰湿质男性显著高于女性(P<0.05),气虚质、阳虚质女性显著高于男性(P<0.05),75岁以上血瘀质患者显著高于65～74岁患者(P<0.05),病程10年以上患者中阳虚质显著高于病程10年以下者(P<0.05),痰湿质超重肥胖患者显著高于正常体质量者(P<0.05),而阴虚质体质量正常者显著高于超重肥胖患者(P<0.05)。结论 老年高血压患者中医体质类型以痰湿质、阴虚质、气虚质和血瘀质为主，与年龄、性别、病程和体质指数相关。     

广州地区高尿酸患者中医体质类型与相关影响因素研究

目的：探讨高尿酸血症（HUA）患者中医体质类型与相关影响因素。方法：采用标准化的9种中医体质分类量表对984例HUA患者进行中医体质辨识,并就体质类型与性别、年龄、血尿酸（uA）、血压、血脂、体重指数（BMI）的相关性进行分析。结果：984例HUA患者,其中单一体质533例（未发现单纯特禀质体质类型）,2种体质兼夹的403例,3种体质兼夹的48例。平和质185例（18．8％）,痰湿质164例（16．7％）,湿热质65例（6．6％）,气虚质61例（6．2％）,气虚兼痰湿质141例（14．3％）,气虚兼湿热质79例（8．0％）,其余均为出现例数〈60的体质类型,共计289例（29．4％）。若按体质九分法将上述的兼夹体质进行拆分,984例患者共出现体质类型1483例。不同体质类型性别间比较,差异有显著性意义（P〈0．05）;不同体质类型年龄问比较,差异也有显著性意义（P〈0．05）。提示年龄、性别均可影响体质。单一体质中,男性以痰湿质、平和质为主;女性以平和质、气虚质为主。兼夹体质中,男女性均以气虚兼痰湿质、气虚兼湿热质为主,且构成比大致相同。青年以平和质和痰湿质为主;中年以痰湿质、气虚兼痰湿质为主;老年以气虚质为主。不同体质类型体型分布比较,差异有显著性意义（P〈0．05）。不同体质类型BMI比较,差异无显著性意义（P〉0．05）。平和质、痰湿质、气虚兼痰湿质均以轻度肥胖为多,且痰湿质〉气虚兼痰湿质〉平和质。湿热质、气虚质、气虚兼湿热质均以正常体型为多。不同体质类型患者UA、甘油三酯（TG）、总胆固醇（TC）比较,差异均无显著性意义（P〉0．05）。不同体质类型收缩压（SBP）、舒张压（DBP）比较,差异均有显著性意义（P〈0．05）。提示血压与体质类型有一定的相关性。SBP、DBP均为痰湿质水平最高,气虚兼湿热质最低。结论：年龄、性别均可影响体质;血压、血脂与体质类型有一定联系。     

帕金森病患者中医体质分布规律

目的:探讨帕金森病患者中医体质的分布规律。方法:采用《中医体质分类与判定表》对北京市平谷区中医医院100例帕金森病患者进行中医体质判断,并观察不同性别、不同发病年龄、不良生活习惯与患者体质类型的关系。结果:100例帕金森病单一体质34例,复合体质66例。单一体质以阴虚质、阳虚质为主,其次为气虚质、平和质、血瘀质、痰湿质、气郁质及特禀质;复合体质,合并2种体质者10例,3种体质者20例,4种体质者13例,5种体质者9例,以气虚质为主,其次为气郁质、阴虚质、阳虚质、痰湿质、血瘀质、湿热质及平和质。结论:阳虚质、阴虚质是帕金森病患者最常见的单一体质类型,复合体质中以气虚质为主,气郁质、阴虚质、阳虚质、痰湿质、血瘀质及湿热质均为常见的复合因素。     

2型糖尿病患者中医体质类型与相关指标关系的分析

目的：通过对571例2型糖尿病患者（T2DM）问卷调查及体重指数（BMI）、腰臀围比（WHR）指标的分析，探讨其与主要体质类型及体重指数、腰臀围比的关系，为T2DM的防治提供新的思路。方法：对2010年1月至2010年3月在开封市中医院糖尿病科门诊、住院就诊的患者中，符合2型糖尿病诊断标准者进行中医体质调查，并进行身高、体重、腰臀围等的测量和分析。结果：①471例T2DM人群前5位的体质类型是：气虚质166例（35．2％）、平和质125例（26．5％）、阳虚质82例（17．4％）、阴虚质54例（11．5％）、痰湿质44例（9．3％）。②与痰湿质比较，平和质、气虚质、阳虚质、阴虚质组的BMI显著较低（P〈0．01）；与平和质比较，气虚质、阳虚质、阴虚质组的BMI、WHR较低（P〈0．05）。③T2DM5种主要中医体质类型与年龄的分布有一定的关系，具体来说：气虚质、平和质、阳虚质、阴虚质随年龄增长而增多，痰湿质多见于中年。结论：①T2DM人群的主要体质类型是气虚质、平和质、阳虚质、阴虚质、痰湿质。@BMI、WHR与T2DM各主要体质类型有相关性。T2DM中医体盾的分布与年龄有美．     

210例黔南州布依族功能性便秘患者中医体质与中医证型的分布特点

目的：调查210例黔南州布依族功能性便秘（Functional constipation FC）患者的中医体质类型及其与性别、年龄、吸烟、饮酒、便秘类型、中医证型等的相关性,为制定适合本地区防治FC方案提供参考。方法：选择2021年8月—2023年1月黔南州中医医院消化内科门诊及住院部符合纳入标准的患者,开展问卷调查研究。结果：1.210例黔南州布依族FC患者性别分布情况：男性以湿热质、阴性质为主,女性以气虚质、阳虚质为主。2.年龄分布情况：20岁以下以阴虚质、平和质、特禀质为主;21～40岁以阴虚质、气虚质为主;41～60岁以气郁质为主;61～80岁以气虚质为主;80岁以上以气虚质为主。3.吸烟、饮酒分布情况：吸烟、饮酒者均以阴虚质为主;不吸烟、不饮酒者均以气虚质为主。4.便秘类型分布情况：混合型便秘体质类型以阴虚质、阳虚质、湿热质为主;出口梗阻型以阴虚质、气郁质、气虚质、湿热质为主;慢传输型以气虚质、痰湿质为主。5.中医证型分布情况,气虚秘以气虚质为主;血虚秘以血瘀质、气虚质为主;阴虚秘以阴虚质为主;阳虚秘以阳虚质、痰湿质为主;热积秘以湿热质为主;寒积秘以阳虚质、痰湿质为主;气滞秘...     

难治性高血压患者的中医体质特点研究

目的:研究难治性高血压患者的中医体质特点,为中医药早期干预提供依据。方法:运用R-Q型因子分析于聊城市中医医院就诊的120例难治性高血压患者中医体质特点,探索不同年龄段、不同性别难治性高血压患者的中医体质相关性。结果:难治性高血压患者中医体质构成中,男性以痰湿质(31.3%)、湿热质(23.9%)居多,其次为气郁质、阴虚质(各8.9%);女性以气郁质(22.7%)、痰湿质(18.8%)、血瘀质(15.1%)、阴虚质(15.1%)居多,其次为气虚质、湿热质(各9.4%);不同性别患者在湿热质、气郁质构成中存在差异性(P0.05)。18～29岁以平和质为主,30～34岁以痰湿质、湿热质、气郁质为主,45～59岁以阴虚质为主,60岁以上多呈现出气虚质、阳虚质、血瘀质。男性患者18～29岁以平和质、特意禀体质分布为主,30～44岁以痰湿质、湿热质、气郁质为主,45～59岁以阴虚质为主,60岁以上以气虚质、阳虚质、血瘀质为主;女性患者18～29岁以气郁质为主,30～44岁以湿热质、痰湿质、阳虚质、气郁质为主,45以上气虚质、阳虚质、阴虚质、痰湿质、血瘀质渐多。结论:不同年龄段难治性高血压患者存在中医体质偏颇性,不同性别、年龄段难治性高血压患者中医体质存在差异,可以为中医药早期干预提供依据和参考。     

保定南市区78例结肠黑变病患者中医体质分类与判定调查结果分析

目的探索保定市南市区结肠黑变病(MC)患者的流行病学特点,为MC防治提供依据。方法在我院,针对就诊的确诊结肠黑变病患者78例进行《中医体质分类与判定》问卷调查,并针对检查结果进行统计学分析。结果 78例MC患者最常见的体质类型为气虚质、阴虚质、痰湿质、湿热质、气郁质;不同性别MC患者中医体质类型分布比较差异无统计学意义(P0.05);老年MC患者中,气虚质、阴虚质所占比例大于其他体质类型(P0.05)。结论 MC中医体质类型主要由气虚质、阴虚质、痰湿质、湿热质、气郁质构成,并与年龄因素密切相关,老年MC患者中医体质以气虚质、阴虚质为主。     

微波消解-电感耦合等离子体质谱法测定脉络宁注射液中25种矿物质元素

目的建立微波消解-电感耦合等离子体质谱(ICP-MS)直接稀释测定脉络宁注射液中25种矿物质元素(Mg、Ca、Fe、Cu、Zn、Mn、Al、B、Ba、Co、Cr、K、Li、Mo、Na、Ni、P、Pb、Sr、Th、Ti、V、As、Cd和Hg)的方法。方法分别对微波消解条件和测试条件进行考察;样品经微波消解后,采用电感耦合质谱仪测定25种矿物质元素,并对测定方法学进行考察。结果确定最佳消解条件为3步缓慢升温:400 W 80℃升温10 min,保留5 min;600 W 120℃升温10 min,保留5 min;900 W 200℃升温20 min,保留20 min;25种矿物质元素在各自的线性范围内线性关系良好,r≥0.999 6,精密度、稳定性和重复性试验的RSD均符合定量分析要求;加标回收率为94.7%~106.1%,RSD在0.34%~2.79%。脉络宁注射液中检测出Mg、Ca、Fe、Cu、Zn、Mn、Al、B、Ba、Co、Cr、K、Li、Mo、Na、Ni、P、Pb、Sr、Th、Ti、V,未检出As、Cd和Hg。结论该方法简便、迅速、准确,适用于脉络宁注射液中25种矿物质元素的同时测定。     

Die Lateralität und Lateralitätsinstabilität in der Diagnostik und Therapie

The disturbance and instability of laterality are obstacles to diagnostics and therapy. Correction prior to starting therapy is required. They also predispose toward defined health problems and unspecific diseases. Numerous research activities provide evidence of the relevance of undisturbed laterality in diagnostics and therapy. Techniques of testing and therapeutic corrections will allow for optimized therapy success.     

Yerba Mate or Paraguay Tea

正Beverages based on Ilex paraguariensis A.St.-Hil.are used in the south Brazil and other Latin American countries located at the so-called southern cone.It is known as chimarro or mate in south and southeast Brazil,tererêin     

Journal of Acupuncture and Tuina Science Instructions for Authors

The Journal of Acupuncture and Tuina Science, a journal with an international scope （IS SN 1672-3597, CN 31-1908/R, Bimonthly）, is embodied by ＇Springer Verlag＇ Database, Index Copernicus （IC） and Chinese Scientific and Technical Paper and Citations Data （CSTPCD）. You can search full text on http：//www, springerlink, com/content/1672 -3597.     

Ethnopharmacologic study of chinese rhubarb

This paper deals with an interdisciplinary study covering historic, botanical, phytochemical, pharmacological and clinical aspects of rhubarb and related species, to lay stress on the correlation between plant phylogeny, chemical constituents and purgative activity.

It was found that the official rhubarbs were exclusively restricted in the Sect. Palmata e.g. Rheum palmatum R. palmatum var. tanguticum R. officinale; the following criteria may serve as their standard, viz., the presence of sennoside derivatives and rhein, the occurrence of the reduced form of rhein and aloe-emodin, the leaves with any kind of palmate incision. Comprehensive multivariate analyses showed that there is a very close relationship between the leaf incision, existence of sennosides or rhein and purgative activity.     

基于ICP-MS法的加味左金丸中无机元素分析

目的 通过电感耦合等离子体质谱（inductively coupled plasma mass spectrometry,ICP-MS）法建立加味左金丸中Cd、Pb、As、Hg、Co、V、Ni、Cu、Li、Sb、Ba、Mo、Sn、Cr、Na、Mg、Al、Ca、Ti、Mn、Fe、Zn、Ga、Se、Sr、Tl共计26种无机元素的测定方法。方法 加味左金丸通过微波消解法处理后,根据相对分子质量的大小选择内标物,其中⁷Li、²³Na、²⁴Mg、²⁷Al、⁴⁰Ca、⁴⁸Ti、⁵¹V、⁵²Cr、⁵⁵Mn、⁵⁶Fe、⁵⁸Ni、⁵⁹Co、⁶³Cu、⁶⁶Zn、⁷⁰Ga、⁷⁵As、⁷⁷Se、⁸⁶Sr以⁷²Ge作为内标;⁹⁵Mo、¹¹⁴Cd、¹¹⁸Sn、¹²¹Sb、¹³⁷Ba以¹¹⁵In作为内标;²⁰²Hg、²⁰⁵Tl、²⁰⁸Pb以²⁰⁹Bi作为内标。对标准品溶液、空白溶液与供试品溶液进行分析,采用标准曲线法进行定量分析。通过ICP-MS法进行测定。结果 26种无机元素线性的相关系数r ≥ 0.999 6,检出限为0.001~1.500μg/L,定量限为0.01~5.00 μg/L,精密度与重复性试验的RSD均小于5%,平均回收率在82.64%~106.44%,RSD均小于5%。对3个厂家的12批样品进行了测定,26种元素的含量差异较大,其中Na、Mg、Ca、Fe 4种元素的含量比较高,均大于500 μg/g,Cd、Pb、As、Hg、Co、Li、Sb、Mo、Sn、Cr、Se、Tl的含量比较低,均小于1 μg/g。由结果可知,人体的常量元素,如Na、Mg、Ca的含量比较高,Cd、Pb、As、Hg等有害元素含量比较低。根据《中国药典》2020年版一部的要求,本品中Cd、Pb、As、Hg与Cu均符合规定。结论 该方法快速、准确,可以用于加味左金丸中无机元素的测定。     

Wirksamkeit der Akupunktur bei der Therapie von idiopathischen Schmeckstörungen: Eine randomisierte Placebo-kontrollierte Studie

Background

At present, the state-of-the-art medication in treating idiopathic taste disorder (gustatory dysfunction) is zinc. If zinc medication was unsuccessful, not tolerated or if it is contraindicated the persons affected can hardly be helped.

Objectives

In a randomized placebo-controlled clinical trial an attempt was made to determine the efficacy of acupuncture.

Methods

The treatment group was treated with acupuncture needles, the placebo group with an inactive acupuncture-laser. Endpoints of the study were changes in the taste test, the quality of life and the severity of symptoms of depression (BDI) as well as mood changes (ZMS). Satisfaction with the success of the respective therapy was also evaluated. Data were collected before and after therapy and again for the treatment group 10 weeks after completion of the treatment period.

Findings

Treatment with real acupuncture showed a significant improvement in gustatory function as well as a significant improvement in psychological symptoms. Greater satisfaction with the treatment results was evident in the treatment group. The treatment results of acupuncture remained stable over a period of ten weeks after completion of the treatment.

Conclusion

Acupuncture was effective in the therapy of idiopathic taste disorders and therefore it is an effective alternative when zinc medication is not tolerated or unsuccessful. But it is also suitable as a therapy of first choice. Acupuncture can be considered as an extension of the therapeutic spectrum in the difficult treatment of taste disorders.     

Erstaunliches Ergebnis einer Schädelakupunktur nach Yamamoto bei Hemihypsarrhythmie rechts

A girl, three and a half years old at the respective date, premature in 25th week of gestation, had been presented. On day three after birth, she had had a IVH III° right and left with severe involvement of parenchyma and other multiple complications, e. a. infant respiratory distress syndrome up to the 42nd day postpartum, and epileptic attacks with apnoeic events.     

Veränderungen der Herzratenvariabilität (HRV) während Low Level Lasernadelakupunktur: Placebokontrollierte Studie an 19 herzgesunden Probanden

Background

Experimental and clinical studies postulate a neurobiological mechanism of acupuncture by modulating central pain systems, neurohormones and -transmitters. It seems to be quite likely that the autonomic nervous system (ANS) plays an important mediating role in this neuromodulation.

Aim

In measuring heart rate variability (HRV), as a non-invasive approach to the ANS-function, the object of this study was to monitor probable acupuncture-induced changes of autonomic balance. The innovative technology of laser-needle acupuncture offers for the first time a stimulation method which fulfils the demands on a placebo-controlled acupuncture trial not requiring controversial sham acupuncture.

Method

19 healthy voluntary subjects underwent 3 treatments in randomized sequence, consisting of placebo-, 1-point- (PC 6) and simultaneous 3-point- (PC 6, LR 3, SI 3) laser-needle-stimulation over 20 minutes. Before, during and after placebo-/verum laser-needle acupuncture, HRV-data for normalized HF(high frequency)- and LF(low frequency)-Power (nHF, nLF) and their quotient nLF/nHF obtained by power spectrum analysis (FFT), were measured and analyzed statistically at 5 different time points (ANOVA repeated measures, p < 0,05).

Results

During both verum applications, the 1-point- (PC 6) as well as the simultaneous 3-point- (PC 6, LR 3, SI 3) laser-needle stimulation, significant changes of the ANS-activity were found in comparison to the placebo application. The most significant modification of HRV was an increase of nHF (p < 0,05 (PC 6), p < 0,0001 (PC 6, LR 3, SI 3)) as an expression of growing vagal activity during acupuncture.

Conclusion

Laser-needle acupuncture causes in 1-point-stimulation (PC 6) as well as in simultaneous 3-point-stimulation (PC 6, LR 3, SI 3) significant changes in HRV in comparison to placebo application. HRV-monitoring seems to be a suitable approach in exploration of acupuncture-induced changes of ANS and could possibly be established in combination with laser needle acupuncture as a standard for further scientific and clinical acupuncture investigations which are greatly needed.