尖锐湿疣的中医外治法概况

尖锐湿疣 (ＣｏｎｄｙｌｏｍａＡｃｕｍｉｎａｔｕｍ ,ＣＡ)是由人类乳头瘤病毒 (ＨＰＶ)感染引起的 ,以生殖器、肛门及附近皮肤出现乳头状、菜花状或蕈状等疣状赘生物为特征的一种常见的性传播疾病。近年来 ,此病的发病率在我国逐年增高。其发病率在我国性传播疾病中居第 2位 ,仅次于淋病[1] 。治疗上 ,目前主要采用激光、冷冻、电灼等物理方法或局部外用药物治疗。近年来 ,采用中医药外治疗法治疗ＣＡ的报道颇丰 ,现将其代表性文献综述如下。1　单纯中医外治1 1　熏洗 :朱峰[2 ] 用消疣洗剂 (由白藓皮、蛇床子、大青叶、马齿苋、土茯苓、…     

林天东“补肾疏通法”治疗输尿管结石经验

林天东教授对输尿管结石提出"补肾疏通"的辨证治疗思路,认为输尿管结石发病机制为"肾虚"和"膀胱湿热",是本虚标实证,并结合现代医学,辨证与辨病相结合治疗,在疏通法上结合现代药理大胆创新,重用海南黎药鸡矢藤配葛根疏通输尿管结石,提高排石率,降低肾绞痛,这也成为他治疗输尿管结石的一大特色。     

Treatment of Patients with Erectile Dysfunction by Shugan Yiyang Capsule(疏肝益阳胶囊):A Multi-Centered Randomized Controlled Trial

Objective: To evaluate the efficacy and safety of Shugan Yiyang Capsule (SGYY, 疏肝益阳ficiency Syndrome type with or without blood stasis. Methods: A multi-centered, randomized, double-blinded, placebo-controlled trial in 304 patients was conducted by dividing them into 3 groups, who received re101), 1.0g taken three times a day for 4 weeks. Besides, 205 patients were arranged in an open-label studyand treated with SGYY 1.0 g taken three times a day for 4 weeks. The total effective rate, total remarkablyeffective rate, erection recovery rate tested by penis hardness test ring, time taken for improving erection among groups, as well as therapeutic effect between psychogenic ED group and mild arteriogenic ED group were compared. Adverse reactions related to SGYY were recorded. And a 3-month follow-up study was conducted on 105 cured patients. Results: The trial was completed in 500 patients. The total effective rate and total remarkably effective rate in the SGYY treated double-blinded group were 88.0% and 64.0% respectively, and those in the open-label group 90.5% and 65.0%, respectively, all significantly higher th an thosein the placebo (21.0%, 6.0%) and SYBS groups (60.0%, 29.0%), P＜0.01. At the same time, the e rection recovery rate and improving time in SGYY group were significantly better than those in other groups ( P＜0.01). No adverse reactions related to SGYY were found. The successful rate of potency to have intercourse within 3 months was over 80% (100 patients out of the 105 cured patients). Conclusion: SGYY was an effective and safe treatment for patients with psychogenic and mild arteriogenic ED of Gan stagnation and Shen deficiency Syndrome type with or without blood stasis, especially for psychogenic ED patients.     

妇产科疾病的中医治疗<上>

一、胎产疾病 <一>不妊症古人论述了不孕的原因,是因为“男人的阳气不足,女人的阴血亏虚,”但我觉得这种理论只是相对的,以下方药的运用可说明这一点。 (1)桂枝茯苓丸对没伴有附件炎且体质壮实之妇女不妊症是有效的,一般眼后大约3个月到半年内取效,短则2周内取效。假如服药半年以上仍不怀孕,多是药症不符。另外,常有便秘而体强之人则用桃核承气汤,如见右下腹有紧张压痛者可用大黄牡丹皮汤。体稍虚之人,则加入生姜,甘草的甲字汤较好,也可与人参汤合方。     

调整气化功能治淋经验举偶

笔者临床上通过调整气化功能治淋,收到满意的疗效。兹援引数案请教于同道。1.疏解太阳化气通淋法吕××,女,30岁,住海口市博爱南路175号。患者恶寒发热、头痛、尿频、尿急、小便刺痛,下腹胀痛,时有恶心呕吐,T39.40C,尿常规检查蛋白(++),脓球(++)、红细胞(++)、白细胞(卅),上皮细胞(卅)、初经西医诊断为急性泌尿道感染,口服呋喃啶,百炎净治疗,历时三天疗效不理想,于1986年3月27日转中医治疗;症     

面瘫针刺治疗方案的优选

目的:优选面瘫的针刺治疗方案.方法:将63例面瘫患者按正交设计L9(3)4表随机分组、安排试验,采用A(针刺时机)、B(选穴配方)、C(刺激量)、D(电针时间)4因素3水平不同组合方案治疗,观察面神经功能积分的变化,对影响面瘫针刺疗效的A(针刺时机)、B(选穴配方)、C(刺激量)、D(电针时间)4因素3水平组合方案进行优选.结果:B(选穴配方)、D(电针时间)为显著因素(P<0.05),其中B(选穴配方)为最主要的影响因素;在B(选穴配方)、D(电针时间)各自3水平中,B3(交替针刺两组穴位)、D3(电针疏密波治疗30 min)为最佳.结论:交替针刺两组穴位,电针疏密波治疗30 min为本试验的最佳方案.

Abstract：

Objective To optimize acupuncture treatment programs for facial paralysis. Methods Sixty-three cases of facial paralysis were randomly grouped according to orthogonal design L9 (3)4table,and treated by different combined programs of 4 factors,A(acupuncture opportunity),B(combination of points ),C(stimulating quantity),D(electroacupuncture time) and 3 levels,and changes of the functional score of the facial nerve were observed,and the different combined programs of the 4 factors,A(acupuncture opportunity),B(combination of point),C(stimulating quantity),D(electroacupuncture time) and 3 levels influencing acupuncture therapeutic effect on facial paralysis were optimized. Results B(combination of points) and D(electroacupuncture time) were obvious factors(P<0.05),among them,B(combination of points ) was the most main influencing factor;among the 3 levels of B(combination of points ) and D(electroacupuncture time),B3(alternately needling two groups of acupoints) and D3(electroacupuncture treatment at sparse-dense wave for 30 min) were the best. Conclusion Electroacupuncture at sparse-dense wave for 30 min,alternately needling two groups of acupoints is the best program for treatment of facial paralysis.     

基于文献挖掘《章次公博采众方医案补注》治疗胃病用药规律

目的：探讨《章次公博采众方医案补注》中治疗胃病的用药规律。方法：统计《章次公博采众方医案补注》中胃病使用药物情况,并分别查出其方、药（药性、药味、功效及归经）,运用软件Excel 2010建立并输入方、药相关数据的原始数据库;并把相关药物的频次运用软件SPSS 25.0做描述性的统计;对于药物间潜在关联规则使用软件Weka 3.8进行挖掘及分析同时采用软件Cytoscape 3.6.1把所得出药物间的关联规则制作成网络视图。结果：治疗胃病的高频药物有杏仁、当归、延胡索、茯苓、半夏、枳实等;其中以理气药居多,依次为化痰止咳平喘药、补虚药、消食药和温里药等,药性多为温性及平性,药味多属辛味、苦味及甘味,归经多属脾胃经。依据高频药物的关联规则分析,得到药对配伍规则为当归-杏仁配伍最多,其次是延胡索-杏仁、延胡索-当归、茯苓-杏仁、半夏-杏仁等;进行层次聚类得到新方3首。结论：章次公治疗胃病多用理气止痛、健脾行气、温中补虚和消食和胃等治法,可为临床辨证施治用药方面提供参考。     

基于文献挖掘的《小儿卫生总微论方》治疗小儿惊痫用药规律探讨

目的 本研究探讨《小儿卫生总微论方》中小儿惊痫的处方用药规律,为当代医家辨治本病提供思路.方法 统计《小儿卫生总微论方》中小儿惊痫有效方剂的药物运用情况,并整理其方(剂型)与药(功效、性、味及归经),采用Excel 2020软件建立原始资料数据库;运用SPSS 25.0软件对数据库资料做描述性统计;使用Weka 3.8...     

复方丹参注射液治疗登革热599例疗效观察

登革热（Ｄｅｎｇｕｅ Ｆｅｖｅｒ，ＤＦ）是一种由伊蚊传播的急性病毒性传染病。建国后，海南岛曾有过两次ＤＦ大流行。第一次于１９７９年１０月从儋州市发生流行，确诊是由登革病毒 ３型（Ｄｅｎｇｕｅ Ｖｉｒｕｓ，ＤＶ３）引起；第二次于１９８５年９月再次始发于儋州市，尔后扩散至全岛，尤以西北部沿海地区流行甚烈，系由ＤＶ２型所致，到１９８９年６月停息。临高县于１９８６年７月至１９８７年１０月发生由ＤＶ２型引起的流行，先后殃及全县１６个区（镇），ＤＦ患者９８７４人，死亡４２人。在此期间笔者收治ＤＦ患者８０９例，…     

妇产科疾病的中医治疗(下)

二、妊娠合并症笔者认为在本合并症中,以前有梅毒、结核、淋病等,但在今天已少见,中医也少有记载,现即常见之合并症分述如下: (一)泌尿系感染本合并症使用抗菌素,疗效是肯定的,但在妊娠早期运用,其异议较多,医生用药存在团难。因此可考虑在安全期服用中药,其中医治疗有如下一些方法。 1、实证:选用猪苓汤,本方用以治疗血尿者效最佳,但应以尿频,淋沥不畅、尿赤、尿浊(热)等为主要特征。寒证忌用。 2、虚证:选用清心莲子饮,本方用于具有上述症状的阴虚有热患者,尤以胃肠虚弱者最宜。虚证不甚而仅见血尿时,则用猪苓汤合