石决明炮制工艺研究

目的:研究石决明的炮制工艺。方法:采用正交设计、多指标综合评分优选石决明的煅制醋淬工艺,并对其煅制盐淬工艺进行研究。结果:高温煅制醋淬的最佳工艺为:石决明于900℃煅制1.5h,以1.2倍量醋淬制。石决明煅制醋淬品的质量显著优于生品、煅制盐淬品及煅制品。结论:石决明的煅制醋淬工艺科学、可行;应采用多指标综合制定石决明的炮制标准。     

Otoplasty: Excision of conchal floor cartilage

In 10 consecutive otoplasties, conchal floor cartilage was excised to facilitate rotating prominent ears back against the head. The procedure is most effective in aural prominence due to deep conchae. Cosmetic improvement is as good as that achieved by excision of posterior wall cartilage, and recontouring of the antihelix fold is needed less often. The amount of cartilage to remove is easily determined, matching of asymmetrically prominent ears is simplified, and concha-mastoid sutures can be placed without tension. The corrections have been followed 1–2 years without recurrence of the deformity.     

珍珠母中和胃酸酸量的测定

目的：珍珠母中和胃酸酸量进行测定。方法：采用酸碱中和法,３７℃水浴放置１ｈ。结果：测定１ｇ珍珠母能中和浓度为０．１ｍｏｌ．Ｌ＾－１盐酸溶液１４５．３４ｍＬ,每次２ｇ,日服３次,几乎中和人体内１ｄ全部分泌的胃酸。结论：珍珠母中是一种有效的中和胃酸的天然药物,用药量也应改为９５版药典的１／５～１／３。     

柴胡加龙骨牡蛎汤治疗顽固性荨麻疹40例

目的:观察柴胡加龙骨牡蛎汤治疗顽固性荨麻疹的临床疗效。方法:选取2012年3月—2015年3月本院收治的顽固性荨麻疹患者共80例,随机分为治疗组和对照组,每组各40例。对照组患者口服依巴斯汀片,每日1次,剂量根据医嘱随时调整;治疗组口服柴胡加龙骨牡蛎汤加减。观察两组患者的临床疗效及治疗前后症状积分变化情况。结果:两组患者治疗后各个症状积分优于治疗前,且治疗组优于对照组,差异均有统计学意义(P0.05)。对照组有效率为60.0%,治疗组有效率80.0%,两组有效率比较,差异具有统计学意义(P0.05)。结论:柴胡加龙骨牡蛎汤治疗顽固性荨麻疹临床疗效显著。     

基于数据挖掘的国医大师颜正华含牡蛎处方用药规律研究

该研究在收集处方的基础上,基于中医传承辅助平台构建数据库,使用软件的统计报表模块、数据分析模块和关联规则apriori算法等数据挖掘方法,分析含牡蛎处方中单味药物频次、药物组合频次、关联规则与核心药物组合等。结果显示,含牡蛎处方常用于治疗不寐、眩晕、胃痛等病证,高频次药物包括龙骨、炒酸枣仁、首乌藤、丹参、赤芍等,高频次药物组合包括“牡蛎-龙骨”、“牡蛎-炒酸枣仁”、“牡蛎-首乌藤”等,置信度≥0.95的关联规则包括“龙骨→牡蛎”、“茯苓-龙骨→牡蛎”、“龙骨-炒酸枣仁→牡蛎”、“丹参-龙骨→牡蛎”等。     

Bardet–Biedl syndrome and a large concha bullosa pyocele

Bardet–Biedl syndrome is a rare disease involving rode cone dystrophy, polydactyly, obesity, learning disabilities, hypogonadism and renal anomalies, symptoms caused by immotile cilia dysfunction. We report the first case of this syndrome in a teenager with an endonasal mass secondary to pyocele of a concha bullosa. The patient was treated successfully with endoscopic sinus surgery. Nasal obstruction secondary to a middle turbinate pyocele in Bardet–Biedl syndrome has not been described before. The pediatrician and the rhinologist should take this entity into consideration when investigating patients with Bardet–Biedl syndrome and sinonasal symptoms.     

All Concha Bullosa: An Undefined Abnormality of the Lateral Nasal Wall

Pneumatization of the turbinates, are the anatomic variations of lateral nasal wall. Turbinate pneumatization, refers to the existence of air cell inside the turbinates. Pneumatization of the middle turbinate is common, whereas rare in the superior and especially inferior turbinate. In this report we presented a case who has bilaterally pneumatization of all conchas.     

石决明煅制温度初步研究

目的:探讨石决明的适宜煅制温度。方法:结合市场调查及传统经验对生品及300～850℃不同煅制品性状、得率、水煎液pH、浸出物含量、总钙及可溶性钙含量的比较分析和代表样品的X-Ray检测选择石决明的煅制温度。结果:总钙含量随加工温度提高而上升,可溶性钙也如此。结论:系统分析提示石决明以300℃左右煅制为宜。     

柴胡加龙骨牡蛎汤治疗失眠症对照研究

目的 探讨柴胡加龙骨牡蛎汤治疗失眠症的临床疗效和安全性. 方法 将80例失眠症患者随机分为研究组与对照组各40例,治疗组应用柴胡加龙骨牡蛎汤治疗,对照组口服枣仁安神胶囊治疗.观察4周.于治疗前及治疗4周末采用自拟睡眠质量问卷评定睡眠质量,以睡眠质量问卷总分减分率判定临床疗效,并记录两组不良反应. 结果 治疗4周末,研究组总有效率为92.5%,对照组为70.0%,研究组显著高于对照组（χ2=6.646,P＜0.05）;治疗后两组均未发现不良反应. 结论 柴胡加龙骨牡蛎汤治疗治疗失眠症疗效确切,安全性高,能促进失眠症患者睡眠的发生,维持睡眠状态的持续,促进日间体力精力的恢复.