涤痰汤治疗非酒精性脂肪肝临床观察

目的 探究针对非酒精性脂肪肝患者,施以涤痰汤治疗的临床效果。方法 参与研究的92例非酒精性脂肪肝患者,均为2018年1月—2020年1月经筛选后纳入。对照组(46例,血脂康治疗)与观察组(46例,涤痰汤治疗)应用随机数字表法完成分组并施以不同的治疗方案,对比分析2组的肝功能指标及不良反应发生率。结果 治疗后,观察组的各项肝功能指标比治疗前及对照组明显数值更低(P 0. 05);观察组各等级的脂肪肝评分比治疗前及对照组均明显处于更低水平(P 0. 05),以上差异均具有统计学意义。结论 针对非酒精性脂肪肝患者,施以中医涤痰汤治疗,相比西药能够更加快速地改善临床症状及肝功能指标,具备更强的药物安全性,值得临床相互借鉴并大力推广。     

涤痰化瘀法治疗非酒精性脂肪肝病临床观察

目的:探讨采用涤痰化瘀法治疗非酒精性脂肪肝病的临床效果。方法:本次选取非酒精性脂肪肝患者100例,均为我院2013年5月-2014年5月收治,随机分组,就涤痰化瘀法治疗(观察组,n=50)与多烯磷脂酰胆碱胶囊治疗(对照组,n=50)的效果展开对比。结果:观察组选取的非酒精性脂肪肝病例经统计示,临床总有效率为90%,明显高于对照组的68%,差异有统计学意义(P0.05)。观察组肝功能、血脂情况改善明显优于对照组(P0.05)。结论:采用涤痰化瘀法治疗非酒精性脂肪肝患者效果显著,具有较高安全性,使患者预后明显改善,对保障生存质量,提高临床救治成功率效果显著,具有非常积极的实施价值。     

化痰活血方加减治疗非酒精性脂肪肝47例临床观察

目的:探讨中药化痰活血方加减治疗非酒精性脂肪肝的临床疗效.方法:选择非酒精性脂肪肝患者86例,随机分为治疗组47例与对照组39例.治疗组予中药化痰活血方辨证加减治疗,对照组服用易善复胶囊治疗.疗程均为12周.结果:总有效率治疗组为91.5%,对照组为79.5%.两组比较,差异有统计学意义(P<0.05).结论:中药化痰活血方加减治疗非酒精性脂肪肝具有较好疗效.     

复肝消脂汤治疗非酒精性脂肪肝的临床观察

目的:观察复肝消脂汤治疗非酒精性脂肪肝肝郁脾虚兼痰瘀互结证的临床疗效。方法:将诊断为非酒精性脂肪肝肝郁脾虚兼痰瘀互结证患者80例,随机分为观察组和对照组,各40例,观察组采用中药复肝消脂汤联合西医常规治疗,对照组单纯予西医常规治疗,连续治疗3个月,观察2组临床疗效及实验室指标变化。结果:观察组总有效率为95%,对照组为85%,2组比较有统计学意义(P0.05);2组患者治疗后肝功能指标均明显降低(P0.05),且观察组谷丙转氨酶和谷草转氨酶降低更为显著(P0.05);观察组TC、TG、HDL-C、腹部B超显像水平均有较好的改善,与对照组比较差异有统计学意义(P0.05)。结论:复肝消脂汤联合西医常规治疗非酒精性脂肪肝肝郁脾虚兼痰瘀互结证疗效确切。     

保肝理脂汤治疗非酒精性脂肪肝120例

目的:观察中医治疗非酒精性脂肪肝的治疗疗效。方法:选取符合诊断标准的非酒精性脂肪肝患者240例。随机分为2组,治疗组120例予保肝理脂汤治疗,对照组120例予甘利欣胶囊、脂必妥口服,4周1疗程,用2个疗程。结果:治疗组治愈61例,好转45例,无效14例,总有效率为88.33%;对照组治愈29例,好转55例,无效36例,总有效率为70.00%。两组比较有显著差异(P<0.05)。结论:保肝理脂汤治疗非酒精神脂肪肝疗效优于西药治疗。     

中西医结合治疗非酒精性脂肪肝临床疗效观察

目的:分析非酒精性脂肪肝(NAFLD)患者采用疏肝降脂汤与多烯磷脂酰胆碱联合治疗的效果。方法:选取周口市中医院2017年1月至2018年10月收治的非酒精性脂肪肝患者96例,根据治疗方案不同分为观察组(n=48)与对照组(n=48),对照组采用多烯磷脂酰胆碱治疗,观察组在对照组基础上联合疏肝降脂汤,治疗12周后,观察比较两组患者的临床疗效,治疗前后肝功能(ALT、AST)及血脂指标(TC、TG)。结果:治疗12周后,观察组患者总有效率91.67%高于对照组70.83%,差异具有统计学意义(P 0.05);观察组患者ALT、AST、TC、TG水平较对照组低,差异具有统计学意义(P 0.05)。结论:给予非酒精性脂肪肝患者疏肝降脂汤与多烯磷脂酰胆碱联合治疗,疗效确切,并可有效改善肝功能,降低血脂。     

消脂保和汤治疗非酒精性脂肪肝100例

目的:消脂保和汤治疗非酒精性脂肪肝疗效观察.方法:选取江西省中医院门诊及住院患者100例,平均分为治疗组和对照组,治疗组予消脂保和汤口服,对照组予水飞蓟宾胶囊口服,2组均治疗8周后观察疗效.结果:治疗组治疗效果明显优于对照组.结论:消脂保和汤治疗非酒精性脂肪肝临床疗效显著.     

中医清肝降脂汤在治疗非酒精性脂肪肝中的临床效果分析

目的:对中医清肝降脂汤治疗非酒精性脂肪肝的临床疗效进行分析和总结。方法:68例非酒精性脂肪肝患者,随机分成研究组和对照组,各34例。研究组采用中医清肝降脂汤治疗,对照组给予护肝片治疗,对比两组的治疗效果。结果:研究组与对照组的总有效率分别为94.12%、76.47%,比较差异有统计学意义(P0.05)。结论:对非酒精性脂肪肝患者给予中医清肝降脂汤治疗,能后有效降低患者血脂,临床疗效确切。     

“疏肝健脾降脂方”治疗非酒精性脂肪肝100例临床研究

目的:观察疏肝健脾降脂方治疗非酒精性脂肪肝的临床疗效。方法:将200例确诊为非酒精性脂肪肝的患者随机分为治疗组和对照组,治疗组服用自拟疏肝健脾降脂方,对照组服用辛伐他汀,治疗前和治疗12周后比较患者肝功能、血脂的变化。结果:治疗组总有效率为92.0%,对照组总有效率为54.0%,2组比较有显著性差异。治疗组与对照组治疗后肝功能、血脂各项指标均明显改善,治疗组改善程度明显优于对照组。结论:疏肝健脾降脂方治疗非酒精性脂肪肝有较好的临床疗效,且其疗效优于辛伐他汀。     

益气化痰活血汤治疗非酒精性脂肪肝32例

目的:观察益气化痰活血汤治疗非酒精性脂肪肝的临床疗效。方法:将62例非酒精性脂肪肝患者随机分为治疗组(中药益气化痰活血汤口服)32例,对照组(西药力平脂口服)30例,疗程均为3个月,比较两组疗效。结果:治疗组总有效率为87.50%,对照组总有效率为66.67%,两组比较有统计学意义(P0.05),治疗组治疗后空腹胰岛素(FINS)、瘦素(LEP)和胰岛素抵抗指数(HOMA-IR)指标改善优于对照组(P0.05)。结论:益气化痰活血汤可以减轻非酒精性脂肪肝患者的瘦素和胰岛素抵抗,疗效优于力平脂。     

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.