落花生枝叶制剂治疗失眠症的临床全盲验证观察

为验证落花生枝叶制剂对失眠症的疗效,146例失眠症患者随机全盲分为治疗组72例（用落花生枝叶制剂治疗）,对照组74例（用焦糖,野菊花制成安慰剂）,结果：治疗组临床痊愈16．7％,显效41．7％,有效15．3％,总有效率73．6％,对照组临床痊愈4．1％,显效27．0％,有效12．2％,总有效率43．2％,两组比较有非常显著性差异（P＜0．01）。     

桂枝加龙骨牡蛎汤治疗老年失眠症45例

目的观察桂枝加龙骨牡蛎汤加味治疗老年失眠症的临床疗效。方法共观察90老年失眠症患者,随机分为2组,治疗组与对照组,各45例。诊断标准:参考中国精神障碍分类与诊断标准。治疗组口服桂枝加龙骨牡蛎汤加味,对照组口服舒乐安定,疗程均为4周。结果经治疗,治疗组临床痊愈13例,显效16例,有效12例,无效4例。对照组临床痊愈5例,显效17例,有效15例,无效8例。经ridit分析,治疗组优于对照组,P0.05。结论桂枝加龙骨牡蛎汤加味治疗老年失眠症具有较好的临床疗效,值得推广使用。     

不同推拿方法治疗失眠症的临床对比观察

目的：观察两种不同推拿方法治疗失眠症的临床疗效。方法：将80例失眠症病人随机分为观察组与对照组,每组各40例,对照组采用常规推拿方法治疗,观察组在常规推拿治疗的基础上加用推拿足三阴经,对比两组的临床疗效。结果：观察组40例中,临床痊愈16例,显效14例,有效8例,无效2例;对照组40例中,临床痊愈9例,显效18例,有效8例,无效5例。两组疗效差异有显著性（P〈0.05）,观察组疗效优于对照组。结论：在常规推拿治疗的基础上加用推拿足三阴经能提高常规推拿治疗失眠症的临床疗效。     

针刺加灸治疗慢性失眠症210例疗效观察

目的:观察针刺加灸对慢性失眠症的治疗效果。方法:对我院2011~2014年收集的210例确诊为慢性失眠症的患者,分为两组,观察组给予针刺加灸的治疗方法,对照组仅针刺。结果:观察组痊愈80例,显效18例,有效5例,无效2例,总有效率为95.23%。对照组痊愈65例,显效15例,有效10例,无效15例,总有效率为85.71%。结论:针刺加灸疗法对于慢性失眠症具有极佳的效果,操作简便,副作用小,但其优化治疗仍需探讨。     

加味酸枣仁汤治疗失眠症50例

目的:观察加味酸枣仁汤对失眠症的治疗作用。方法:将100例失眠症患者随机分为观察组和对照组,每组50例,观察组运用加味酸枣仁汤治疗,对照组采用地西泮治疗,比较两组的临床疗效。结果:治疗组50例中:痊愈20例,显效17例,有效8例,无效5例;对照组50例中:痊愈14例,显效19例,有效10例,无效7例。两组疗效比较,差异无显著性(P0.05)。结论:加味酸枣仁汤对失眠症具有较好的临床疗效。     

辨证治疗银屑病2000例疗效观察

采用中药辨证论治银屑病２００例，并设单用西药对照治疗８０例。结果：治疗组痊愈１１８例，显效４６例，有效１１例，无效２５例，总有效率为８７．５％；对照组痊愈２８例，显效１２例，有效１０例，无效３０例，总有效率为６２．５％。治疗组疗效优于对照组（Ｐ〈０．０５）。     

辨证治疗银屑病200例疗效观察

采用中药辨证论治银屑病２００例，并设单用西药对照治疗８０例。结果：治疗组痊愈１１８例，显效４６例，有效１１例，无效２５例，总有效率为８７．５％；对照组痊愈２８例，显效１２例，有效１０例，无效３０例，总有效率为６２．５％。治疗组疗效优于对照组（Ｐ＜０．０５）。     

中药联合复方当归局部注射治疗结节性痒疹25例疗效观察

目的:观察中药联合复方当归注射液局部注射治疗结节性痒疹的临床疗效。方法:将50例符合纳入标准的结节性痒疹患者随机分成治疗组和对照组,各25例,对照组口服抗组织胺药扑尔敏,外擦复方吲哚美辛酊,治疗组在对照组基础之上加用中药和复方当归注射液局部注射治疗。治疗6周后进行疗效比较。结果:治疗组痊愈14例,显效8例,有效3例,无效0例,总显效率为88%;对照组痊愈5例,显效7例,有效8例,无效5例,总显效率为48%,治疗组总显效率明显高于对照组。结论:中药联合复方当归注射液局部注射疗效确切,无明显不良反应,且复发率低,值得临床推广应用。     

中西医结合治疗失眠症51例

目的:观察中西医结合治疗失眠症患者的临床疗效。方法:将102例失眠症患者随机分为对照组和观察组各51例,对照组予常规西医治疗,观察组在对照组治疗基础上予中医综合治疗,治疗2周后比较两组疗效。结果:观察组临床痊愈35例,显效7例,有效3例,无效6例,总有效率为88.24%;对照组临床痊愈20例,显效6例,有效11例,无效14例,总有效率为72.55%,观察组总有效率优于对照组(P0.01);观察组患者疗效满意度明显优于对照组(P0.05)。结论:中西医结合治疗失眠症能显著提高临床治疗效果,值得推广。     

复方丹参注射液在流行性出血热中的应用

对６３例出血热患者在常规治疗基础上加用复方丹参注射液静脉滴注治疗，并与１３０例常规治疗患者作回顾对比。结果，治疗组痊愈５５例，显效５例，有效２例，无效１例；对照组痊愈９０例，显效１７例，有效１３例，无效１０例。     

疏肝和胃化瘀安神汤治疗胃病不寐86例

目的观察用疏肝和胃化瘀安神汤治疗胃病不寐的临床疗效。方法对86例患者采用疏肝和胃化瘀安神汤治疗,疗程4周,观察临床疗效及SPIEGEL量表积分、慢性胃病症状变化情况。结果临床痊愈9例,显效36例,有效28例,无效13例,总有效率为84.88%;治疗后SPIEGEL量表积分明显减少（P〈0.01）,腹胀、胃脘疼痛、嘈杂泛酸、嗳气、纳呆等慢性胃病症状均有明显改善。     

酸枣仁汤加减治疗失眠症78例

[目的]观察酸枣仁汤加减治疗失眠症疗效。[方法]将147例门诊患者随机分为两组,治疗组78例以酸枣仁汤加减,日1剂,水煎2次合成150mL,睡前1次顿服;对照组69例以艾司唑仑,每次2mg睡前服,两组均2周为1疗程,2个疗程后进行疗效评定和SPIEGEL睡眠量表检测。[结果]治疗组临床治愈39例,显效19例,有效15例,无效5例,总有效率93.59%;对照组临床治愈27例,显效15例,有效16例,无效11例,总有效率84.06%。治疗组疗效好于对照组(P<0.05)。[结论]酸枣仁汤加减治疗失眠症疗效满意。     

300 CASES OF HYPERPLASIA OF MAMMARY GLANDS TREATED WITH RED-HOT NEEDLE PLUS FILIFORM NEEDLE

Hyperplasiaofmammaryglandsiscom monlyencounteredin youngandmiddle agedwomen.AccordingtoTCM ,itbelongstothecategoryof“Rupi” (乳癖 ,nodulesofbreast) .Inrecent 6yearsusingred hotneedlesplusfili formneedlestheauthorshavetreated 3 0 0casesofthedisease,andcompareditstherapeuticef fectwiththatofconventionalacupunctureintreatinganother 3 0 0casesofthedisease .Theresultsshowedthatthetherapeuticeffectofred hotneedleplusfiliformneedlewassatisfactory ,whichwasobviouslysuperiortothatofconven tionalacup…     

参乌冠心冲剂治疗老年充血性心力衰竭45例疗效观察

[目的]探讨参乌冠心冲剂对老年充血性心力衰竭的治疗效果。[方法]将75例老年充血性心力衰竭患者分为治疗组(A组)45例和对照组(B组)30例。两组均给予西医常规治疗,A组在此基础上,加服参乌冠心冲剂,疗程为1个月。[结果]A组临床治愈15例,显效19例,有效9例,无效2例,总有效率为95.56%;B组临床治愈7例,显效8例,有效9例,无效6例,总有效率为80%;A组效果显著优于B组(P<0.05)。[结论]参乌冠心冲剂对老年充血性心力衰竭有较好的治疗作用。     

特色水药罐治疗颈型颈椎病临床观察

目的:以特色水药罐治疗颈型颈椎病为例,为临床提供一种更有效的拔罐方法。方法:将140例患者随机分为药罐组(47例)、水罐组(47例)、空罐组(46例)。药罐组将45℃的中药煎液倒入自制药罐内进行拔罐;水罐组将45℃水倒入自制药罐内进行拔罐;空罐组自制罐内不放任何东西进行常规拔罐。观察3组患者临床症状、体征,进行疗效比较。结果:药罐组临床治愈39例,显效8例;水罐组临床治愈20例,显效22例,有效5例;空罐组临床治愈12例,显效19例,有效15例。药罐组与水罐组不同疗效患者例数构成比及治疗前后疼痛积分差值进行比较,P<0.05;水罐组与空罐组比较,P<0.05;药罐组与空罐组比较,P<0.01。结论:特色药罐组疗效优于水罐组,水罐组疗效优于空罐组。     

脐内环穴针刺与安定片治疗原发性失眠症疗效观察

目的：观察脐内环穴针刺治疗失眠症的疗效。方法：脐内环穴针刺治疗失眠症,治疗1个疗程,并与西药安定片治疗对比观察。结果：安定片组痊愈12例,显效6例,有效8例,无效4例,愈显率为60.0%,总有效率为86.7%。脐内环穴针刺组痊愈10例,显效6例,有效8例,无效7例,愈显率为51.6%,总有效率为77.4%。两组临床疗效无显著差异。两组的不良事件发生率相当。在治疗后30天的安全性评价、随访等方面,脐内环穴针刺组同安定组无显著性差异,但睡眠时间低于5 h,不及安定片组。结论：壮医脐内环穴针刺治疗失眠症有较肯定的疗效和安全性,但也宜在临床上进一步丰富、发展和完善以脐内环穴为基础的失眠治疗方法。     

菖蒲莲心汤治疗失眠(实证)66例疗效观察

目的：观察菖蒲莲心汤治疗失眠（实证）的临床疗效。方法：将132例失眠患者随机分为2组。治疗组66例，采用菖蒲莲心汤（由石菖蒲、莲子心、远志、茯神、生龙骨、生牡蛎、磁石、麦冬、合欢皮、夜交藤、黄连、丹参、甘草等组成）治疗；对照组66例，采用舒乐安定、谷维素片、七叶神安片治疗。疗程为2周。结果：临床痊愈率、总有效率治疗组分别为28．78％、92．42％，对照组分别为13．64％、84．85％。2组总有效率比较，差异无显著性意义（P〉0．05）；但2组临床痊愈率比较，差异有显著性意义（P〈0．05）。结论：菖蒲莲心汤治疗失眠实证有较好的疗效。     

综合疗法治疗慢性非细菌性前列腺炎80例疗效观察

目的:探索更有效治疗慢性非细菌性前列腺炎的方法。方法:采用中、西药内服配合肤阴洁坐浴、前列腺按摩、适当调节性生活等综合疗法治疗80例慢性非细菌性前列腺炎患者(A组),同时分别以纯西药治疗(B组)和纯中药治疗(C组)各30例作对照。结果:A组总有效率为97.50％,治愈率为61.25％;B组总有效率为76.67％,治愈率为23.33％;C组总有效率为80.00％,治愈率为26.67％;3组间疗效比较,A组疗效明显优于B组和C组(均P<0.01),而B组和C组无明显差别。提示综合疗法有协同作用,是提高疗效,消除炎症的有效方法之一。     

针药结合治疗老年性失眠

笔者采用中药配合针刺治疗老年人失眠，收到比较满意的效果。一般资料本组117例患者排除器质性病变影响因素。患者为男60例，女57例；平均年龄68．6岁；病程最长的20年，最短的半年。随机分为对照组和治疗组，治疗组82例，对照组35例。治疗方法治疗组82例，服用汤剂中药的同时，配合针刺。基本组方：党参、黄茂、当归、炒枣仁、五味子、丹参、熟地黄、甘草，并随症加减，每日一剂，水煎服二次。针刺取穴：四神聪、百会，用1寸毫针，针芒方向循督脉经，平刺0．5-0．8寸，捻转得气后，留针30分钟，每10分钟补法行针1次，每日1次，每10次为1疗…     

Acupuncture combined with speech rehabilitation training for post-stroke spasmodic dysphonia: a multicenter randomized controlled trial

ObjectiveTo observe the clinical efficacy of acupuncture combined with speech rehabilitation training for post-stroke spasmodic dysphonia and compare the differences in efficacy among the therapy of acupuncture combined with speech rehabilitation training and the monotherapy.MethodsTwo hundred and seventy cases of patients with post-stroke spasmodic dysarthria were randomly divided into three groups with the ratio of 1:1:1. Group A: acupuncture combined with speech rehabilitation training group (90 cases), group B: acupuncture group (90 cases), group C: speech rehabilitation training group (90 cases). In the group B, acupuncture treatment was given at B?ihuì (

GV 20), Jīnjīn (

EX-HN 12) and Yùyè (

EX-HN 13) as well as tongue-three needles. In the group C, the treatment of speech rehabilitation training was provided. The two treatments mentioned above were combined in the group A. Patients were treated once a day for a month with improved Frenchay dysarthria rating scale as the indices of therapeutic effect evaluation.Results

Group A: the cured and markedly effective rate was 88.7%, and total effective rate was 94.3%; group B: the cured and markedly effective rate was 44.2% and total effective rate was 81.4%; group C: the cured and markedly effective rate was 23.5% and total effective rate was 61.2%. Both the cured and markedly effective rate and the total effective rate in the group A were significantly higher than those in the group B or group C (all P<0.05); both the cured and markedly effective rate and the total effective rate in the group B were higher than those of group C (both P<0.05);

In comparison of functional recovery of tongue in accordance with the Frenchay dysarthria rating scale, the recovery rate of the tongue-stationary state was 71.74% in the group A, 18.87% in the group B and 4.44% in the group C; the recovery rate of tongue lolling out was 66.23% in the group A, 27.63% in the group B and 1.59% in the group C; the recovery rate of tongue up and down motion was 44.19% in the group A, 4.94% in the group B and 1.35% in the group C; the recovery rate of lateral motion was 40.24% in the group A, 7.59% in the group B and 0.00% in the group C; the recovery rate of alternating motion was 29.07% in the group A, 7.14% in the group B and 1.23% in the group C; the recovery rate of speech was 29.07% in the group A, 5.88% in the group B and 1.22% in the group C. In the three groups, the recovery rates of stationary state and tongue lolling out were superior to those of up and down movement, lateral movement, alternating movement and speech (all P<0.05).ConclusionThe clinical efficacy of acupuncture combined with speech rehabilitation training for patients with post-stroke spasmodic dysarthria is significant, and the efficacy of acupuncture is superior to that of speech rehabilitation training; as for functional recovery of tongue like stationary state and tongue out, the therapy of acupuncture combined with speech rehabilitation training is effective.