上图藏《金匮要略方》抄写者吴迁续考

从上海图书馆馆藏吴迁抄写《金匮要略方》(简称“吴迁本”)的跋语、印记、纸背文献等角度对吴迁的形象进行推测,在《明代小字本〈金匮要略〉抄写者吴迁生平考》一文的基础上进行新的史料检索,于《复初斋诗集》和《古书画过眼要录》中找到了新的线索,将这些线索与之前的推测进行验证,最终得到新的结论:吴迁为嘉兴檇李人,后为避战乱迁居苏州之洪里,他同父亲吴子才皆为隐士,能诗善画,与元末明初李升、崔永汶等多位名士大夫为友。     

魏玉璜生平考略

魏氏不仅是名医,又为诗人,与当时著名文人有交游。从这些文人记载中,考订魏氏字号为“玉横”,不应误写作“玉璜”;其生年应为１７１９年,享年５４岁,而现在多误订生年为１７２２年,享年５０岁。魏氏出生于广东,１２岁返回杭州,一生坎坷。对其主要行踪、谋生所为,特别是在杭州活动所在地都作了考证。     

从活用四逆汤看“扶阳”学术思想的继承与发展

四逆汤源自《伤寒论》,是治疗少阴阳虚阴寒证的代表方,病机主要为阳虚,但阳虚病机同中有异,故其所治病症的主证既可为手足逆冷,又可为下利清谷、呕吐等其他表现,不拘于四肢逆冷一症。郑钦安深得仲景"扶阳"学术思想宗旨,对阳虚病情辨认细致入微,灵活运用四逆汤治疗多种病症。吴佩衡在继承《伤寒论》及郑钦安扶阳学术思想的基础上,细究四逆汤各药物的功效以及配伍特点,强调早用四逆诸方,扶阳固本,将四逆汤的临床应用范围扩大至六经病之阴寒证以及内、妇、儿、外科等多种阳虚阴寒危重病症的治疗。     

吴玉生教授辨治肝癌经验介绍

[目的]总结吴玉生教授治疗肝癌的学术观点及临证经验,并在临床中进一步推广。     

吴康衡教授临证验案赏析4例

吴康衡教授(1932~2017)一生坚持临床,奉献医学。其学术融中西医于一炉,博采众长,沉疴痼疾常收覆杯之效。对于疑难之症,束手之疾,常可出奇制胜,虽常感为意料之外,但细思却是在情理之中。本文借以回顾吴老4例典型病案,以尽缅怀之情,并以激励后进。     

Laparoscopic Repair of Incisional Hernia Following Liver Transplantation—Early Experience of a Single Institution in Taiwan

Background

Ventral incisional hernia (VIH) is not uncommon following liver transplantation. Open repair was traditionally adopted for its management. Laparoscopic repair of VIH has been performed successfully in nontransplant patients with evidence of reduced recurrence rates and hospital stay. However, the application of VIH in post-transplantation patients has not been well established. Herein, we provide our initial experience with laparoscopic repair of post-transplantation VIH.

论《温病条辨》之五大死证

温病是具有起病急、来势凶猛、传变快、变化多等特点的一类急性外感热病,临证时稍有不慎,便险证蜂起,难以救治。故清·吴鞠通在《温病条辨》一书中论述了温病死证之五大纲,即"在上焦有二:一曰肺之化源绝者死;二曰心神内闭,内闭外脱者死,在中焦亦有二:一日阳明太实,土克水者死;二曰脾郁发黄,黄极则诸窍为闭,秽浊塞窍者死,在下焦则无非热邪深入,消烁津液,涸尽而死也"。此五大死证,在现今临床上虽确属急危重证,但若能及时救治,则有可能转危为安,"死"仅喻病势凶险,并非无生还之希望。吴氏所主张之"救阴存液"的治疗原则对中医急症的治疗极具指导价值,谨就原著中有关章节内容,对吴氏所论之温病五大死证,作一初识。     

Comparative analysis of essential oil components of three Phlomis species in Qinling Mountains of China

The essential oils of three wild-growing Phlomis species (Phlomis umbrosa Turcz., Phlomis megalantha Diels and Phlomis szechuanensis C.Y. Wu), collected from Qinling Mountains of China during the bloom stage, were obtained by hydrodistillation and analyzed by gas chromatography (GC) and gas chromatography/mass spectrometry (GC-MS). Under the optimum extraction and analysis conditions, 22, 26 and 19 constituents (mainly aliphatic compounds) were identified in P. umbrosa, P. megalantha and P. szechuanensis which represented 92.5%, 96.3% and 93.1% of the oils, respectively. The main constituents were hexadecanoic acid (7.1-52.1%), trans-phytol (5.7-50.8%) and 9,12,15-octadecatrien-1-ol (2.2-24.8%). Fatty acids and aliphatic esters were the major groups of P. umbrosa and P. megalantha, but P. szechuanensis showed higher content of alcohols. P. megalantha has relatively higher amounts of oxygenated monoterpenes and oxygenated sesquiterpenes than the others. The comparison of essential oil components of Phlomis species between the present and previous work indicated that the composition of oils vary greatly with respect to the geographical environment, mainly for the proportion of aliphatic compounds and terpenoids. This study is the first report on the chemical composition of essential oils of the three wild-growing herbs mentioned above.