谈勇教授补肾调周法结合辨病治疗不孕症验案

肾为先天之本,对女性生殖功能起着重要作用,补肾调周法可调节女性下丘脑-垂体-卵巢生殖轴,进而改善女性生殖内分泌功能,谈勇教授用补肾调周法结合辨病治疗妇女不孕症疗效显著.     

自拟补肾调冲汤治疗青春期功能失调性子宫出血临床观察

目的 观察补肾调冲方治疗青春期功能失调性子宫出血的疗效,并探讨其治疗机制.方法 选择了60例青春期功能失调性子宫出血患者,随机分为治疗组30例(口服补肾调冲方汤剂),对照组30例(常规西医治疗),观察治疗前后患者临床症状、体征、子宫内膜厚度、血清生殖激素等指标的变化,记录并观察治疗过程中不良反应的发生情况.结果 治疗组与对照组总有效率分别为93.33%、80.00%,两者相比差异有显著性意义(P<0.05);治疗组在降低子宫内膜厚度,改善血清生殖激素水平,与治疗前相比差异均有显著性意义(P<0.05),且治疗后两组组间比较差异均有显著性意义(P<0.05);在治疗过程中,两组治疗期间均未见明显严重不良反应.结论 补肾调冲方治疗青春期功能失调性子宫出血安全、有效,应用前景好值得进一步深入研究与推广应用.     

补肾中药对女性生殖系统功能的影响

肾主生殖,女性以肾-天癸-冲任-胞宫为生殖生理环路,而肾是这个生殖环路的关键,在女性生殖方面具有主导作用.临床历代医家治疗女性生殖系统功能性疾病无不重视补肾.我们将补肾中药对女性生殖系统功能的影响综述如下.     

话说男人更年期综合征(中)

更年期综合征治宜补肾人的生、长、老、已的自然规律与肾中精气的盛衰密切相关。祖国医学认为,本病主因是肾气衰,冲、任二脉功能减退,出现阴阳不平衡状态。妇女到了五十岁左右,肾气渐衰,冲、任亏虚。《素问·上古天真论》云:“女子七岁肾气盛,齿更发长,二七天癸至,任脉通,太冲脉盛,月事以时下,故有子……七七任脉虚,太冲脉衰少,天癸竭,地道不通,故形坏而无子。”足以说明肾与妇女的月经、生殖、衰老密切相关。因此在治疗本病时,当以补肾,调冲任为主。治疗妇女更年期综合征的首要问题是补肾。男性更年期正是“七八,肝气衰,筋不能动,天癸竭,精…     

从补肾毓麟汤的作用机制探讨“肾主生殖”的科学内涵

“肾主生殖”是中医藏象学说对人体生殖生理的认识：肾精充足、肾气旺盛,生殖功能正常;反之,肾精不足肾气亏虚,生殖功能异常。依据“肾主生殖”理论,临床中生殖功能障碍所致的不孕症、多从补养肾精肾气入手调理。补肾药能有效改善女性黄体功能不足、无排卵、卵泡发育障碍所致的不孕症和男性少精、弱精所致的不育症。为探讨“肾主生殖”的科学内涵,笔者设计用雷公藤多苷造成雌、雄人鼠肾虚生殖功能障碍模型,用补肾毓麟汤进行治疗,旨在一观察补肾中药汤对雌、雄性大鼠生殖功能障碍模型的生殖功能,从而初步探讨“肾主生殖”的科学内涵。     

育肾调冲法治疗卵巢储备功能下降月经过少32例

目的　观察育肾调冲法治疗卵巢储备功能下降月经过少的临床疗效。方法　采用育肾调冲法治疗32例卵巢储备功能下降月经过少患者,用药6个月经周期,观察治疗前后月经量、FSH值。结果　育肾调冲法疗效显著,治疗前后FSH值有显著差异,总有效率为87.5%. 结论　育肾调冲法治疗卵巢储备功能下降月经过少疗效满意     

试论妇科补肾10法

妇科补肾从理论和临床应用两大方面进行了探讨 ,并将其归纳为 1 0法 ,即补肾调经法、补肾摄血法、补肾通经法、补肾止带法、补肾种玉法、补肾安胎法、补肾行水法、被肾安种法、补肾调肝法、补肾固冲法。     

补肾调冲方与脱氢表雄酮治疗卵巢储备功能降低所致不孕症临床疗效观察

[目的]观察补肾调冲方与脱氢表雄酮(DHEA)治疗卵巢储备功能降低(DOR)所致不孕症患者的临床疗效。[方法]将60例DOR所致不孕症的患者随机分为3组,即补肾调冲方组、DHEA组、安慰剂组,均治疗3个月经周期。[结果]补肾调冲方可显著改善DOR患者临床症状、血清性激素水平及四清抗苗勒氏管激素(AMH)、抑制素B(INHB)值,增加卵巢窦卵泡数(AFC),提高卵巢储备功能,其疗效优于DHEA,差异有统计学意义(P0.05)。[结论]补肾调冲方在治疗因DOR所导致不孕症方面较DHEA疗效显著,且未发现有明显的毒副作用和不良反应,值得临床推广应用。     

中药补肾调冲方对卵巢早衰大鼠性激素水平的影响

目的 研究中药补肾调冲方对雷公藤多苷片(GTW)所致卵巢早衰(POF)雌性大鼠性激素水平和卵巢中肿瘤坏死因子-a(TNF-α)/γ-干扰素(IFN-γ) mRNA表达的影响.方法 将42只SD雌性大鼠,分为空白组,模型组,结合雌激素组(对照组),中药补肾调冲方高、中、低剂量组.运用酶联免疫吸附试验(ELISA)法检测血清中雌二醇(E2)、卵泡刺激素(FSH)、抗苗勒管激素(AMH)水平;RT-PCR法检测卵巢组织中TNF-a/IFN-γ mRNA的表达水平.结果 模型组E2、AMH水平显著低于空白组(P＜0.05);中药补肾调冲方各给药组和对照组E2、AMH水平均高于模型组(P＜0.01);其中中药补肾调冲方中、高剂量组和对照组E2、AMH水平与空白组比较,差异无统计学意义(P＞0.05).模型组FSH水平显著高于空白组(P＜0.05);中药补肾调冲方各给药组和对照组FSH水平均低于模型组(P＜0.01);其中中药补肾调冲方中、高剂量组和对照组FSH水平与空白组比较,差异无统计学意义(P＞0.05).模型组TNF-α、IFN-γ mRNA水平高于空白组(P＜0.05);中药补肾调冲方各给药组和对照组TNF-α、IFN-γ mRNA水平均低于模型组(P＜0.01);其中补肾调冲方中、高剂量组TNF-α、IFN-γ mRNA水平与空白组比较,差异无统计学意义(P＞0.05).结论 中药补肾调冲方对卵巢具有调节作用,可以预防卵巢早衰的发生.     

试论妇科补肾10法

妇科补肾从理论和临床应用两大方面进行了探讨，并将其归纳为10法，即补肾调经法、补肾摄血法、补肾通经法、补肾止带法、补肾种玉法、补肾安胎法、补肾行水法、被肾安种法、补肾调肝法、补肾固冲法。     

APPLICATION OF LORNOXICAM TO PATIENT-CONTROLLED ANALGESIA IN PATIENTS UNDERGOING ABDOMINAL SURGERIES

FOR anesthesiologis s ,treatingpostoperativepainhas alwaysbeen a problem.Althoughopioidshave been provedtobe effective,theirsideeffectscouldnotbeignored.With thedevelopmentofscienceand pharmacology,many drugs with aspectsof satisfactoryanalgesicefficacyand couldbe welltoleratedby patientshave been developed.And lornoxicamisone of them, which isa non-steroidalanti-inflammatorydrug (NSAID ), with analgesic, anti-infl-ammatory,andantipyreticproperties.Itseliminationhalf-time(3 to 5 hours) isle…     

Acupuncture Treatment of Vomiting

CASE HISTORY A female patient, 46 years old, head of the foreign affairs department of a certain university in Beijing, paid her first visit on October 9, 2006, with the chief complaint of vomiting for one month. She got vomiting after meals in early September. Before that, she had discomfortable sensation in the stomach due to angry with others, but she didn't pay much attention. Later, it developed into vomiting after eating. After the vomiting, the discomfort would be relieved, but with slight hypodynamia. She was once diagnosed as having 'neurogenic vomiting'. Having taken some western and Chinese drugs, the above symptoms were a little bit improved, but she would have nausea upon eating and with regurgitation. Because of the fear for vomiting, she did not dare to have food intake, with body weight reduction of 6 kilos in one month.     

Qiu Baoguo''''s Experience in Treating Consumptive Syndromes after Radio-Chemotherapies

Radiotherapy and chemotherapy are the important modern medical therapies for malignant tumors,yet they can also bring about serious local and systemic toxic side reactions so to decrease the patient;'s life quality,manifested by a series of consumptive symptoms.Having engaged in the combined work of Chinese and western medicine for nearly 50 years,the research fellow Qiu Baoguo in Henan Provincial Academy of TCM has developed his unique views on the TCM study of consumptive syndromes.The author of this essay had once the fortune tO follow Dr.Qiu in clinic,and specially would like to introduce in the following Dr.Qiu's experience in treating consumptive syndromes after radio-chemotherapies for patients with malignant tumor.     

Insomnia Due to Deficiency of Both the Heart and Spleen Treated by Acupuncture-Moxibustion and Chinese Tuina

OBJECTIVE: To observe therapeutic effects of the comprehensive therapy of acupuncture-moxibustion and Chinese Tuina for treatment of insomnia due to deficiency of both the heart and spleen. METHODS: 92 cases were divided randomly into the treatment group (treated by acupuncture-moxibustion and Chinese Tuina) and the control group (treated by acupuncture-moxibustion). RESULTS: The therapeutic effect of the treatment group was obviously superior to that of the control group (the CHI2 test showed P < 0.01). CONCLUSIONS: The comprehensive therapy of acupuncture-moxibustion and Chinese Tuina can give marked therapeutic effects for treatment of insomnia due to deficiency of both the heart and spleen.     

Analysis of CK-19,PDX-1,Nestin,Ngn3 in different donor islet purity in rats

Objective: To investigate if there are the CK-19, PDX-1, Nestin, Ngn3 positive cells in the donor islets of different purity in rats. Methods: Thirty male adult SD rats were randomly divided into 3 groups. Islets were isolated using digestion by ductal injection of collagenase. Group Ⅰ (n=10): Separating cell preparations were not purified, Group Ⅱ(n=10): Islet sediment was purified with 25% Ficoll400 ,Group Ⅲ (n=10): Islet sediment was purified with 25% and 11% Ficoll-400. The levels of protein of CK-19, PDX-1, Nestin and Ngn3 were detected by immunohistochemistry and the mRNA of CK-19, PDX-1, Nestin, Ngn3 was amplified by RT-PCR. Results: After two different purification methods applied, three islet preparations of different purities were obtained. The difference of islet purity was significant among various groups (P＜0.05). Compared with group Ⅱ and group Ⅲ,the protein and mRNA of CK-19, PDX-1, Nestin,Ngn3 were both higher in group Ⅰ; group Ⅲ was poorly expressed. Conclusions: The three different islet purity donor islet have different CK-19, PDX-1, Nestin, Ngn3 positive cells within them, indicating that there are some islet stem cells in the purified donor islet.     

Dr.Zhang Ren''''s Experience in the Acupuncture Treatment of Different Diseases with the Same Therapeutic Principle

Dr.Zhang Ren,the chief physician,is the chairman of Shanghai Acupuncture and Moxibustion Association.Having been engaged in medicine for about 40 years,he is experienced in treating various intractable diseases.In his long years of clinical practice,he advocates taking the TCM differentiation as the basis to seek for the acupuncture method for treatment of modern intractable diseases.The author of this essay had the fortune to follow Dr.Zhang in study.The following is a summary of Dr.Zhang's experience in the acupuncture treatment for different intractable diseases with the same therapeutic principle.     

Luo Lingjie''''s Experience in Treating Chronic Nephropathy

In treating chronic nephropathy,Luo Lingjie,a chief physician,pays attention to regulating the balance between yin and yang,treating infection if present,and removing pathogenic factors.He prescribes gentle drugs and uses carefully strongly warming-tonifying ones,emphasizes the importance of persuading the patient to persist in treatment with medication and nurse one's health for recuperation,and is good at combined use of TCM and western medicine therapy and brings the merits of various therapies into full play,with obvious theraoeutic effects.     

Acupuncture Combined with Spinal Tui Na for Treatment of Primary Dysmenorrhea in 30 Cases

Objective: To observe the therapeutic effects in acupunture treatment of primary dysmenorrhea combined with spinal Tui Na, and study its mechanism. Methods: Thirty cases of the treatment group were treated by acupuncture combined with spinal Tui Na, and thirty cases in the control group were treated by routine acupuncture. Results: The total effective rate was 93.3% in the treatment group, and 73.3% in the control group, with a significant difference between the two groups (P<0.05). Conclusions: Acupuncture combined with spinal Tui Na has good prospects for treatment of primary dysmenorrhea.