《本草纲目拾遗》中《人海记》所载蝎子草的品种考证

目的考证《本草纲目拾遗》中《人海记》所载蝎子草的基原。方法通过古今文献考证和植物学比较研究,结合药物分布、生境、功效、主治进行分析。结果确定了《本草纲目拾遗》中《人海记》所载蝎子草的原植物。结论《本草纲目拾遗》中《人海记》所载蝎子草之基原为当今荨麻科植物麻叶荨麻（urti cacannabina linn）,本种的文献始载为清代查慎行的《人海记》。     

Herbal Treatments of Asthma: A Systematic Review

Background: Asthma is a condition, often chronic, characterized by respiratory symptoms, variable airflow limitation and/or airway hyper-reactivity with symptoms causally related to family history, environmental influences, exposure to viruses and allergens as examples. The high economic burden associated with asthma is associated primarily with health care costs, missed work or school days. This systematic review was conducted to determine the study quality of articles investigating ayurvedic/collateral herbs, the effectiveness/efficacy and safety profile, as reported in the studies. Methods: Literature searches were conducted using PubMed, EMBASE, Mantis, Ovid, Annotated Bibliography of Indian Medicine, and Cochrane library to identify published trials on herbal medicines for asthma of which Ayruvedic herbals are a subset. Randomized Controlled Trials (RCTs) and Quasi-Experimental Designs (QEDs) were included in this systematic review. The classic Jadad Scale, Singh RCT Scale with additional domains than Jadad, Safety Scoring Scale for clinical trials and the Singh QED Scale based on expanded features of QEDs were used to assess study quality. Herbs included in Traditional Chinese Medicine were excluded from this review. Forty-two articles were retrieved and 37 studies were ultimately reviewed utilizing 3 independent evaluators/1 arbitrator. Results: Articles reviewed indicated benefit from most of the herbs used either as a primary or adjunctive treatment for Asthma. Study quality was mixed and therefore caution in interpretation of findings of usefulness of these herbals must be suggested. Limited safety information was mixed and generally was related to GI symptoms, though one herbal investigated reported more serious side effects. Conclusions: Herbs may be useful in treatment of asthma. There is insufficient evidence to make recommendations for or against the use of these herbals. Established effectiveness must be balanced with study quality and safety profile for the herb.     

血液净化早期低血压发生率及其病位、病性证素与证候分布规律研究

目的研究血液净化早期低血压发生率及其病位、病性证素与证候分布规律。方法观察171例患者血液净化早期低血压的发生率,并分析早期低血压患者的病位、病性证素与证候分布规律。结果 171例患者发生血液净化早期低血压60例,发生率为35.10%,其中男性低血压发生率为36.10%,女性为33.30%,差别不大(P> 0.05)。60例早期低血压患者病位证素以脾为主,其次为肾。病性证素以阳虚、气虚为主,其次为血虚、血瘀、痰饮等。证候以虚证为主,其次为虚实夹杂证,最后为实证。虚证以脾肾阳虚为主,其次为脾肾气虚;虚实夹杂以气虚血瘀为主,其次为气虚水停;实证以痰瘀互结为主,其次为气滞血瘀。结论血液净化早期低血压发生率为35.10%;早期低血压病位证素分布呈脾>肾>心>肝>肺的趋势;病性证素分布呈阳虚>气虚>血虚>痰饮>血瘀>阴虚>气滞;证候分布呈虚证>虚实夹杂证>实证的趋势,其中虚证分布呈脾肾阳虚>脾肾气虚>心脾两虚的趋势,虚实夹杂证分布呈肾虚水泛>脾虚湿蕴>气虚血瘀的趋势,实证分布呈痰瘀互结>痰滞证>瘀滞证的趋势。     

“莲”性及其药用部位与功效钩玄

莲为原双子叶植物睡莲目睡莲科多年水生草本植物，古语有"一莲九药"之说，然莲之入药部位不同，功效有别。但总不离"莲"的"妙洁自在"特性，"莲"之性决定了其功用：在泥不染、本体清净，故而能破血散瘀、清心消暑；柔软不涩，故而可补益心脾，补血养血；自性开发，故能升阳、轻宣、解毒。莲能通过其荡涤污秽、除病去垢之功，以达除百疾的目的。     

关节镜结合中药治疗老年人髌股关节炎的临床研究

目的探讨关节镜结合中药治疗老年人髌股关节炎的疗效。方法将76例82髌股关节炎患者关节镜下行关节清理术后随机分成治疗组和对照组,各38例。对照组术后常规给予引流包扎等处理,行相关功能锻炼。术后1周予玻璃酸钠关节内注射,2 ml/次,每周1次,共5次。治疗组在此基础上加用补肾坚骨汤,1剂/d,分2次温服。对术后1周、1个月、6个月、12个月的疗效分别评定。结果术后1周,治疗组总有效率高于对照组,但两组差异无统计学意义（P〉0.05）;术后1个月、6个月、12个月治疗组的总有效率均明显高于对照组,差异有统计学意义（P〈0.05）。结论关节镜下关节清理术结合中药治疗老年人髌股关节炎疗效持久稳定,值得在临床推广。     

中药性味的可拆分性、可组合性研究—中药性味理论新假说与研究方法的探索

中药药性理论是中医药特色的突出体现,准确把握中医药特色优势需要对药性理论彻底研究.本文基于中药性味当为"一味一性",提出中药性味理论新的假说,即"一药X味Y性,其中Y≤X",并提出验证新假说的中药性味可拆分性和可组合性研究方法.本文提出的假说和相应的研究方法,将有助于深化对中药性味本质的认识,丰富中药药性理论的内容,构建中药性味研究的新模式.     

Inhibitory effect of icariin on expression of myelin inhibitory factors in the central nervous system of rats with focal cerebral ischemia

Icariin, the major active component of Chinese medicinal herb epimedium brevicornum maxim, is used widely in traditional Chinese medicine for the treatment of neurological diseases. However, the effects of icariin on myelin inhibitory factors are as yet unclear. In the present study, administration of icariin at 20 mg/kg showed a marked reduction in neurological deficit of middle cerebral artery occlusion rats. Icariin exhibited better inhibitory effects on myelin inhibitory factors: Nogo-A, myelin-associat...     

枳实陷胸方合电针治疗肝胃郁热型胃食管反流病78例

目的观察枳实陷胸方合电针治疗肝胃郁热型胃食管反流病的临床疗效。方弦将符合纳人标准的153例患者按分层随机法分为治疗组78例和对照组75例，治疗组予枳实陷胸方合电针治疗，对照组予奥美拉唑合吗丁啉口服，两组均治疗30d；观察两组临床疗效及治疗前后临床症状、胃镜、病理学积分变化情况。结果治疗组总有效率为92．31％，对照组为80．00％；组间疗效比较，差异有统计学意义（P〈0．05）。治疗后治疗组各症状积分均明显减少（P〈0．05），对照组反酸烧心、胃脘灼热嘈杂症状积分下降明显（P〈0．05）；组间治疗后比较，胸痛连及两胁、口苦口干、大便不爽积分差异有统计学意义（P〈0．05）。治疗后治疗组胃镜下黏膜状况积分明显减少（P〈0．05），而对照组变化不明显；组间治疗后比较。差异有统计学意义（P〈0．05）。治疗后治疗组除上皮细胞层内炎细胞浸润外，其余各项病理积分均明显减少（P〈0．05），对照组上皮细胞层内炎细胞浸润、黏膜糜烂、溃疡形成积分减少（P〈0．05）；组间治疗后比较，鳞状上皮增生、黏膜固有层乳头延伸积分差异有统计学意义（P〈0．05）。结论枳实陷胸方合电针对肝胃郁热型胃食管反流病有较好的临床疗效，能明显改善患者的临床症状和病理变化。     

电疗裤配合中药外敷治疗痛经的临床研究

目的 :研究治疗原发性痛经的有效方法。方法 :采用自制电疗裤配合中药温经止痛液外敷。结果 :治疗 5 2例 ,显效 39例 ,有效 12例 ,总有效率98 1%。结论 :电疗裤配合中药外敷治疗原发性痛经方法简便 ,无痛苦 ,疗效可靠 ,尤其适合患者在家庭中应用。     

针药并施治疗面瘫疗效分析

目的：验证针灸与服药治疗面瘫的临床疗效。方法：将30例患者分为针药并用组和针灸组,每组各15刺、灸法治疗。针灸穴位：风池、攒竹、睛明、颧髎、下关、阳白、翳风、迎香、地仓、颊车、太阳、合谷、足三里、太冲等;方药：牵正散加减。比较两组患者疗效和主要伴随症状变化。结果：针药并用组的治愈率为93.3%（14/15）,针灸组为80%（12/15）。结论：两组的治疗效果及疗程以针药并用组更为显著。