贇式排石疗法在泌尿系统结石治疗中的创新应用

目的通过对贇式排石疗法训练联合排石药物治疗输尿管结石的疗法分析,探讨其可推广性。方法将120例输尿管结石患者随机分为3个治疗组,每组各40例。单纯服用排石药物(药物组):复方金钱草颗粒,3g,tid冲服;联合贇式组:服用复方金钱草颗粒,3g,tid冲服之外,联合贇式排石疗法训练;联合体操组:服用复方金钱草颗粒,3g,tid冲服之外,联合大众广播体操训练。治疗时间共4周。评估结石排出率(治愈率)、结石排出时间(d)、典型肾绞痛再次发生率,比较各治疗组的总有效率。结果共120例患者完成研究,各组间基线资料比较无显著性差异(P>0.05)。联合贇式组的排石总有效率82.5%(33/40),优于药物组47.5%(19/40)与联合体操组60%(24/40),差异具有统计学意义(P<0.05)。结论贇式排石疗法联合复方金钱草颗粒应用可以提高输尿管结石患者的排石效果,效果优于单用复方金钱草颗粒。     

云鹰教授治疗小儿肾性血尿经验

对云鹰教授治疗小儿肾性血尿的经验做了总结,阐述了其对小儿肾性血尿中医病因病机的认识、辨病辨证治疗及用药经验。     

运气学说研究进展述评(一)

基于对过去一年运气学说研究资料的分析,从运气学说的科学性评价研究、应用研究、发生发展研究、六气大司天思想研究及其他方面研究等五个方面,对运气学说的研究现状进行了归纳总结,分析了研究中存在的概念混乱不清、水平较低重复等问题,指出其研究的显著特点是逐渐趋于理性。     

大黄黄连泻心汤不同的浸渍剂治疗功能性消化不良的临床观察

目的：观察大黄黄连泻心汤不同浸渍剂治疗功能性消化不良属肝胃郁热、胃中蕴热型方法,将240例随机分为三组,浸渍去滓组（A）、浸渍未去滓组（B）、西药三联疗法组（C）、观察三组治疗功能性消化不良属肝胃郁热、胃中蕴热型的疗效及不良反应。结果：A组总有效率大于B组和C组,不良反应发生远小于B组（P〈0.01）、C组（P〈0.01）。     

A comparative study on the tissue distributions of rhubarb anthraquinones in normal and CCl4-injured rats orally administered rhubarb extract

Aim of the study

The present study comparatively investigated the tissue distributions of rhubarb anthraquinone derivatives (AQs) to examine whether they undergo different uptakes in normal or CCl₄-induced liver-damaged rats, to explore possible reasons for the different toxicities of AQs in pathological model rats and normal rats at the tissue distribution level.

Materials and methods

The total rhubarb extract (14.49 g kg⁻¹ of body weight per day based on the quantity of crude material) was administrated orally to normal and model rats for 12 weeks. The concentrations of free AQs in tissues were quantitated by liquid chromatography-tandem mass spectrometry (LC-MS). After drug withdrawal for 4 weeks, tissue distributions were again determined.

Results

The five free AQs—aloe-emodin, rhein, emodin, chrysophanol and physcion—were detected in the liver, kidney and spleen, while only rhein, aloe-emodin and emodin reached the quantitative limit. The tissue distributions of rhein (p < 0.001), aloe-emodin (p < 0.001) and emodin (p < 0.05) in normal rats were higher than those in model rats with rhein > aloe-emodin > emodin in kidney and spleen tissues and aloe-emodin > rhein > emodin in liver tissues. Free AQs were not detected in the tissues after drug withdrawal for 4 weeks.

Conclusions

These results suggest that the tissue toxicity of AQs in normal animals is higher than that in pathological model animals with little accumulative toxicity of rhubarb. The results are concordant with the traditional Chinese theory of You Gu Wu Yun recorded first in Su Wen, a classical Chinese medical treatise.     

"日本安政本《伤寒论》"版本之考证

赵开美翻刻宋版<伤寒论>逼真北宋原刻本,医家美称赵氏翻刻本为"宋本",北宋原刻本已佚.宋本今存五部,皆藏中国,极为珍秘,已为国宝.日本枫山秘府藏有一部,经反复考察,系据赵开美之初刻本翻刻者,翻刻草率,讹字甚多,日本安政期间中医文献学家堀川济据枫山秘府本翻刻之,改其讹字,刊刻精美,对中国影响甚大,1923年恽铁樵影印之,...     

中西医结合治疗异位妊娠58例

目的观察中西医结合治疗异位妊娠的疗效。方法氨甲蝶呤与宫外孕11号方联合用药,动态观察血β-HCG和盆腔包块的吸收情况,有生育要求者,月经复潮6个月内行输卵管通畅试验,以血β-HCG正常和盆腔包块消失为治愈标准。结果异位妊娠治愈率89.66%,输卵管通畅率为78.85%。结论中西医结合治疗异位妊娠疗效高,副作用少,具有较高的临床应用价值。     

推按运经仪治疗泌尿系结石临床研究

探索治疗泌尿系结石的新疗法。应用推按运经仪穴位刺激,配合中西药物治疗。结果治疗组500例与对照组500例在疼痛减轻、疼痛消失、排出结石、排净结石四项对比P<0.01具有非常显著的差异。结果提示本文所研究的推按运经仪治疗泌尿系结石是一种简易、高效、低费用排石的新疗法。     

通脉益寿口服液治疗老年高脂血症的临床对照观察

为验证通脉益寿口服液治疗高脂血症的临床疗效，以通脉益寿口服液治疗老年高脂血症４９例（治疗组），同期采用藻酸双酯钠（ＰＳＳ）治疗３７例（对照组）作对照观察，比较两组间的症状疗效和降脂疗效。结果：治疗组的两项显效率分别为５３．０６％和５１．０２％，总有效率分别为９１．８４％和８５．７１％，与对照组比较，治疗组的显效率高于对照组（Ｐ＜０．０１），降低甘油三酯（ＴＧ）及提高高密度脂蛋白（ＨＤＬ－Ｃ）的作用亦优于对照组（Ｐ＜０．０５）。提示通脉益寿口服液对老年高脂血症有较好的治疗作用。