大承气汤治疗术后腹胀的临床观察

目的 观察腹部手术后12～24h用大承气汤灌肠对于预防及治疗腹胀、防止肠麻痹、减少肠粘连的临床效果。方法65例腹部术后患者分为治疗组33例，采用大承气汤治疗，对照组32例，未使用大承气汤。结果两组对照，治疗组肠功能恢复情况明显优于对照组，差异有显著性（P〈0．05）。结论大承气汤预防治疗以理气散瘀，润肠排毒，通肠通便疗效确切。     

妇产科腹部术后大承气汤保留灌肠的疗效观察

本文报告前瞻性对120例妇产科腹部术后患者肠功能恢复情况的临床疗效观察。患者随机分为给药组和对照组,各60例。给药组术后用大承气汤煎剂保留灌肠,肛门出现排气时间平均为25.2h,1例有中度腹胀;对照组平均为47.8h,15例有中度以上腹胀。证实大承气汤煎剂保留灌肠用于妇产科腹部术后,具有防治术后肠功能紊乱,促进肠功能早期恢复的作用。     

腹部手术后应用大承气汤促进肠功能恢复50例

腹部外科术后常见腹胀、肠麻痹, 为促使肠功能恢复, 肠腔早日通气, 笔者自1998年3月～2000年12月对急腹症术后患者应用大承气汤治疗, 现将其疗效观察报道如下.……     

参附注射液合加味大承气汤对腹部术后肠功能恢复的疗效观察

我科于2002年8月～2005年8月对50例腹部手术后病人用参附注射液合加味大承气汤治疗，观察其对术后患者肠功能恢复的疗效，现报道如下。     

推拿与大承气汤灌肠对阑尾炎术后肠功能恢复的临床对比观察

目的：观察推拿、大承气汤保留灌肠对手术后肠功能恢复的疗效。方法：选择186例阑尾炎手术患者，随机分为治疗1组58例，采用推拿配合常规治疗，并观察经络穴位敏感性的变化情况；治疗2组64例，采用大承气汤保留灌肠功配合常规治疗；对照组64例，常规治疗。结果：治疗1组病人术后的经络穴位敏感性明显降低，大约20h后恢复正常，治疗1组与对照组疗效比较差异无显著性意义；治疗1组与治疗2组疗效比较差异有显著性意义；治疗2组与对照组疗效比较差异有显著性意义。结论：腹部手术使人的经络穴位的敏感性明显降低，推拿对术后肠功能恢复无明显疗效；大承气汤保留灌肠对术后肠功能恢复有较好的疗效。     

自制通肠冲剂预防腹部术后并发症的疗效观察

目的:证实通肠冲剂在促进腹部手术后病人肠蠕动的恢复及早期排气、预防腹部术后并发症的作用。方法:随机选择2000年10月~2005年10月腹部手术患者1440例,单盲法分为四组,分别应用通肠冲剂、小承气汤、大承气汤及白开水。观察病人术后恢复情况,并进行数据统计学处理。结果:试验组与对照组各组比较,术后病人肠蠕动恢复、肛门排气时间前移(均P<0.01)。结论:通肠冲剂能够促进腹部术后肠蠕动,加速肛门排气,减少并发症,缩短住院时间。     

中医通里攻下法对多器官功能不全综合征时肠道屏障功 …

目的：探讨中医通里攻下法对多器官功能不全综合征（ＭＯＤＳ）时肠道屏障功能的保护作用。方法：采用酵母多糖腹腔注射制备大鼠ＭＯＤＳ模型。应用通里攻下中药大承气汤对模型动物进行治疗,并观察内毒素、二胺氧化酶（ＤＡＯ）、黄嘌呤氧化酶（ＸＯＤ）、过氧化脂质（ＭＤＡ）、还原型谷胱甘肽（ＧＳＨ）、肿瘤坏死因子（ＴＮＦ）含量的变化,肠粘膜、肠细胞膜通透性及小肠粘膜病理形态学改变。结果：ＭＯＤＳ时肠道屏障功能明显受     

复方大承气汤灌肠对腹部手术后胃肠功能恢复作用观察

目的观察复方大承气汤灌肠促使腹部术后患者胃肠蠕动功能恢复的临床疗效。方法将212例腹部术后患者随机分为治疗组与对照组各106例，均予西医常规治疗，治疗组加用复方大承气汤灌肠，每6小时1次；观察并记录肠鸣音恢复的时间、自主肛门排气排便时间。结果治疗组肠鸣音及肛门排气排便的时间较对照组明显提前。结论复方大承气汤保留灌肠能促使术后患者胃肠蠕动功能恢复。     

大承气汤在腹部手术后促进胃肠运动功能的临床观察

目的：探讨在腹部外科阑尾切除术后及胆囊切除术后，早期运用中药大承气汤恢复胃肠道运动功能。方法：对1999年—2003年我院外科施行开腹切除阑尾及胆囊患者156例的临床资料进行回顾性分析。结果：本组共分为服中药组及未服药组，观察患者术后肛门排气排便时间，发现服中药组比未服药组术后，二者时间均明显提前。结论：在腹部外科术后，给予早期患者口服中药大承气汤，对患者胃肠功能恢复起积极作用。     

加味大承气汤对腹部手术后肠功能恢复的实验研究

目的:观察加味大承气汤对家兔腹部手术后肠功能恢复的影响;方法:30只白兔随机分为观察组(加味大承气汤)、对照组(四磨汤组)及空白组(生理盐水组),胃肠减压、禁食,全麻后行肠切除肠端吻合术,假手术组行假手术,术后观察并记录肠鸣音恢复时间、首次排便时间、术后肠音恢复情况、肠肌电图、血浆胃肠激素改变及动物小肠推进率;结果:治疗组肠鸣音恢复时间、首次排便时间与对照组相比明显缩短(P<0.05)。术后BER及EMG立即出现,但治疗组恢复情况优于对照组与空白组。加味大承气汤能增加兔胁胃肠激素的分泌,增加兔小肠的推进率,与对照组比较,差异均有显著性意义(P<0.5)。结论:加味大承气汤可促进胃肠功能恢复,增加胃肠蠕动,明显缩短胃排空时间。     

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.     

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.     

常见证候荷瘤小鼠神经内分泌免疫组织基因转录的总体特征

目的揭示常见证候荷瘤小鼠神经-内分泌-免疫组织基因转录的总体特征。方法采用小鼠标准化四诊及辨证方法，及Gene Chip Mouse Exon1．0ST Array等技术，检测H22荷瘤小鼠早期邪毒壅盛（邪毒）和气虚、中期阳气虚、中晚期气阴阳虚等4个常见证候下丘脑、垂体、肾上腺、睾丸、脾脏、胸腺、肿瘤RNA的转录与剪接。结果正常昆明种雄性小鼠下丘脑、垂体、肾上腺RNA电泳的28S峰低于18S，而睾丸、脾脏、胸腺、肿瘤相反。肿瘤发生的早期，下丘脑、垂体、肾上腺基因表达模式发生显著改变，邪毒尤甚，出现了失代偿。下丘脑28SRNA迅速抬升并持续，气虚强于邪毒。垂体RNA总量降低，28S陡降，邪毒尤甚。肾上腺RNA电泳特征类似垂体，气虚与邪毒相近，中晚期气阴阳虚尤甚。睾丸变化不明显。随着病情发展，脾脏重量持续增加，而胸腺相反，重量持续下降，蛋白合成和糖代谢下降。肿瘤组织蛋白合成与糖代谢，邪毒大于气虚。以上7个组织与正常对照组相比，有9127个基因表达发生差异、51126个外显子剪接发生差异。结论神经-内分泌-免疫网络组织基因转录的差异是荷瘤小鼠不同证候内在重要的物质基础。