消化性溃疡的中药治疗

消化性溃疡是人类常见病，具有疼痛规律性，复发性，产生并发症等特点，本人采取中医重要辨证施治，取得满意疗效。本人根据疼痛的时间、性质、和与饮食的关系，辨别虚实，寒热，气血的不同，分为肝胃不和，脾胃虚寒两大类，以调和胃气，疏肝运脾为主，兼以理气，化瘀，清火，补阴，温阳等，疗效满意，有效率达100％，复发率低。中医中药治疗消化性溃疡疗效肯定，结果满意。     

络病的基本概念与病理特点探析

络脉有别络，络脉，浮络和孙络之分，气血阴阳之别，不同级别的络脉相互联系，纵横交错，呈树枝状分布于脏腑组织之间，形成一个遍布全身的网络系统。络脉为沟通表里内外，贯通营卫，渗化气血的场所，具有满溢灌注和双向流动的功能特性，络病病因复杂，外感六淫，疫疠之邪，内伤饮食，情志，跌扑损伤皆能导致络脉损伤，络病有病气病血之分。但无论是“新病入络”，还是“久病入络”，都只是络脉在不同层次的病理改变，络脉瘀滞是其共同的病理基础，邪客络脉，营卫功能失骨是其基本的病理环节，络脉失养，血行不畅，气滞血瘀，痰瘀凝结是络病的基本演变过程，络病病情缠绵，虚实并见，且多瘀，故其治当宿邪缓攻，通补兼施，随其所得，分部处之，临床用药多取类比象，比藤治络，辛香宣透，引经通络，虫类走窜，剔邪搜络，血肉有情，填补络道。     

行医谨记

我们的核心价值：生命所托，情义无价；我们的使命：安全有效，规范服务，治愈病人，帮助病人，安慰病人；我们的理念：学会倾听，学会告诉，学会关爱，诚信做人，精细做事，和谐共事，我们充满激情，充满阳光，充满智慧，勤奋工作，美满生活.     

黄芪临床应用验案3则

黄芪，味甘，微温，归脾、肺经，具有补气升阳，益卫固表，利水消肿，托疮生肌，补气散瘀之功，临床应用甚广，是临床上常用的补气药之一，根据不同的用途，黄芪用量不一，效果各异，现结合病例谈谈心得。     

黄芪在古方中的不同配伍作用探析

从古方中黄芪的配伍应用看，由于配伍不同药物，作用及应用赤各异如补气健脾，升阳，补气生血，生津，补气活血，止血，益气止汗助汗补气利水，固精缩泉，健脾止泻，通便，补气安胎，保产，补气托疮，生肌等，作用甚广，且很多是相反的“双向”作用，说明黄芪的不同配伍作用，在人体功能调节等方面具有广泛的意义。     

自拟养阴解毒汤防治头颈肿瘤放射损伤

头颈部恶性肿瘤占全身恶性肿瘤30％，由于头颈部是语言，咀嚼，吞咽，呼吸以及维系面容的主要解剖部位，也是人体重要器官的聚集地，且各器官部位交错，由较多的骨，肌腱，神经和血管，固定于相当小的空间，发生肿瘤后，手术难以切除干净，且易造成容貌外观破损，因此，放射治疗成为主要的治疗手段之一，但由于高剂量放疗易造成正常组织，器官损伤，损伤一旦发生，则难以纠正，严重损伤还将影响患者生存质量，     

国内外针刺戒断研究进展

针刺戒断主要包括针刺戒烟，戒烟，戒毒，本文简要介绍了针刺戒断在世界范围内的发展简史，针刺戒断的疗效，穴位选择，刺激方法的选择及刺激方式，疗程，心理因素对其疗效的影响，人口统计学等因素对其疗效的影响，针刺戒断理机理研究的进展等，并对其发展趋势作了展望，从目前的研究结果来看，针刺戒断的疗效不低于其它戒断疗法，而其本身又具有简便，易行，经济，痛苦小，损伤小，副作用小，可抑制戒断综合征症状，易为患者所接受     

中医药学与现代信息相结合发展态势评析

实现中医药信息的快速传播促进中医药国际化的重要手段，利用互联网这一技术平台，集合现代的信息技术是推动中医药现代化和中医药走向世界的一条迅捷之路，指出有，专业，商业，信息，行业，政府，科研，门户，远程教育，远程医疗，电子商务等通道。     

克糖降脂丸治疗Ⅱ型糖尿病的临床观察

克糖降脂丸治疗Ⅱ型糖尿病的临床观察张声生，金敬善，林瑞云，罗晓石，王丽华，于风华，何俊仁，陈明，王立，周志诚，赵荣莱根据我们多年的临床经验，遵循中医辨证施治的原则，在益气养阴的基础上应用化瘀解毒之品拟定克糖降脂丸，治疗Ⅱ型糖尿病１２５例，取得了较好的...     

戊己调和汤治疗胃脘痛的体会

胃脘久痛之病，病程漫长，反复发作，缠绵难愈，其因多为邪恋正虚，致使病情虚实相兼，寒热错杂，它与实邪侵袭而致的急症胃痛有所不同，其常见症状为胃脘久痛，时轻时重，痞胀，泛恶，食欲不振，呕吐或干呕，缓气，吞酸，嘈杂等。笔者近年来在诊治此类病人时细查脉症，详考病机，深究治法，精研用药，并对坚持治疗的病人登记观察，远期随访，偶有所得，兹介绍如下。     

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。     

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.     

七味红花殊胜散对缺血再灌注肝损伤的保护作用

目的::研究七味红花殊胜敬对缺血再灌注肝损伤的保护作用.方法:在大鼠肝缺血再灌注模型上,观察七味红花殊胜散对缺血再灌注肝损伤引起的血清丙二醛(MDA)、超氧化物歧化酶(SOD)、谷胱甘肽过氧化物酶(GSH-Px)、一氧化氮(NO)含量的变化.结果:七味红花殊胜散对大鼠血清MDA、SOD、GSH与再灌组比较有明显差异(P<0.05),NO含量与再灌组比较有明显差异(P<0.05).结论:七味红花殊胜散对大鼠急性缺血再灌注肝损伤具有保护作用.     

Methodology of Canine/Feline YNSA and Tail Acupuncture

BackgroundYamamoto New Scalp Acupuncture (YNSA) is a well-known acupuncture system for human patients which was developed by Dr. Yamamoto.ObjectiveMy aim was to transpose the human YNSA map onto canines and felines.MethodI started researching a canine/feline YNSA map in 2002. I investigated approximately 3,000 canines and felines for YNSA and 2,500 for Tail Acupuncture. The ratio of canines and felines was 6 to 4. I researched and found all the equivalent points by palpating animal patients on the basis of an exact Neck Diagnosis.ResultsI nearly completed the map in 2006. The points in the occipital region are incomplete and my research is still in progress. In the process of researching canine/feline YNSA points, I accidentally found the other microsystems around the tail and named it “Tail Acupuncture”.ConclusionsYNSA and Tail Acupuncture are acupuncture systems utilizing microsystems and support each other in canines and felines. The merits of YNSA and Tail Acupuncture are 1) immediate effects, such as in cases of lameness, 2) simplicity in finding the exact points to treat and 3) the scalp and the tail can be utilized separately or together as treatment zones, according to the situation.     

蜂蜜炼制前后黄酮类成分种类和含量变化分析

目的研究中药辅料蜂蜜炼制前后黄酮类成分变化。方法参考《中药药剂学》,对不同来源的6种蜂蜜进行炼制。供试品经固相萃取法富集黄酮类成分。采用高效液相色谱-三重四级杆串联质谱(HPLC-TQ-MS)法测定,Thermo Accucore RP-MS色谱柱(100 mm×2.1 mm,2.6μm),以0.1%甲酸水溶液-甲醇为流动相进行梯度洗脱,体积流量0.3 m L/min,柱温30℃。质谱条件:采用电喷雾离子源(ESI),正离子检测模式,多反应监测模式(MRM)扫描分析。结果蜂蜜中共检测到12种黄酮类成分,包括黄酮苷元、二氢黄酮苷元和异黄酮苷元。黄酮苷元有8种:槲皮素、桑黄素、木犀草素、山柰酚、芹菜素、汉黄芩素、高良姜素和白杨素;二氢黄酮苷元有3种:短叶松素、柚皮素和乔松素;异黄酮苷元染料木素。不同蜜源蜂蜜所含黄酮类成分种类和含量存在明显差异。6个蜂蜜样品炼制后,都发现了蜂蜜中没有报道过的芦丁和芸香柚皮苷,12种检测到的蜂蜜黄酮类成分在炼制后其量都有不同程度的变化,椴树蜜的槲皮素、桑黄素、木犀草素、山柰酚、芹菜素、汉黄芩素、乔松素和白杨素量均有增加,短叶松素、柚皮素和高良姜素量没增加反而还有下降的;洋槐蜜中除芹菜素量增加不明显外,其余均有所增加,尤其是槲皮素和桑黄素增加的较为明显;百花蜜和枣花蜜12种黄酮类成分量均显著增加。结论炼制可造成蜂蜜中黄酮类成分的种类和含量发生改变。     

Chinesische Orthopädie: Teil 1: Die Zukunft der Akupunktur in der Postmoderne

The locomotor system is one of the major fields of application for acupuncture. The results of the large acupuncture studies funded by German Health Insurances from 2000 until 2006 are impressive and repressive: they restrict acupuncture application by allocation of reimbursement and create the necessity of reorientation, since acupuncture can neither be adequately described nor prescribed solely on the basis of disease entities. Regarding these disease entities, it seems rather necessary to analyse the layers of problems and formulate a hierarchy of therapeutic goals instead. Only in this way the effects of acupuncture, related techniques and further therapeutic modalities can be matched with the set of objectives. The article presents general principles and follows their application from biological aspects to implications for the locomotor system and consequences for the application of physical therapy. The manual of acupuncture focuses on therapeutic effects and objectives first, and then goes on to sketch simple therapeutic strategies and finally complex approaches within acupuncture. These may encompass acupuncture, microsystem acupuncture and complex therapeutic modes.     

Patientin mit chronisch rezidivierenden Gelenks- und Wirbelsäulenschmerzen

Background

Acupuncture as a regulative therapy is well-suited for the treatment of functional, reversible disorders. Additionally, the WHO recommends its application for pain therapy in cases of arthritis and back pain due to various causes. This case study should clarify which paths to take in the case of a multi-morbid patient suffering from chronic pains due to polyarthrosis.

Objective

Pain reduction and improvement of quality of life as well as improvement of sleep quality.

Methods

Annual treatment series consisting of 10 sessions each, one session per week.

Results

short-term pain reduction before undergoing endoprosthetic surgery; considerable improvement of general status and sleep.

Conclusions

Acupuncture may bring temporal relief in cases of chronic pain due to osteoarthritis and should therefore be applied in combination with western medicine. Acupuncture is particularly well-suited to treat the co-emergent vegetative symptoms.     

Fallbericht: Patientin mit Schlafstörung

Background

Since the onset of her menopause about ten years ago, a sixty-year old patient has been suffering from hot flashes and sleep disorders causing her to become increasingly anxious and nervous. As the patient's mother had died of breast cancer, substitution of hormones was not advisable. Relaxation methods such as Yoga and Autogenic Training could only mildly alleviate the symptoms.

Objective

To effectively treat the sleep disorder, improve quality of life, lessen frequency and severity of hot flashes

Methods

Weekly sessions with ear- and body acupuncture for ten weeks

Results

After the third acupuncture session the patient reported a decrease of nightly waking episodes but suffered from acute pain in the neck as well as shoulder region. After nine therapy sessions, the patient reported a 50% decrease of nightly waking episodes. The hot flashes, however, remained unchanged.

Discussion

In this case, acupuncture significantly improved the patient's sleeping disorder. It also reduced the symptoms of anxiety and nervousness. Other menopausal symptoms such as hot flashes and dryness of mucous tissues, could not be influenced.