针刺治疗呃逆有良效

呃逆是膈肌痉挛引起的临床表现,现代医学称膈肌痉挛,是指膈肌产生间歇性的收缩运动.中医认为呃逆是以胃气不降,上冲咽喉而致喉间呃呃连声,声短而频不能自制,有声无物为主要表现的病证,又名哕、发呃,病位主要在中焦.     

中西医结合治疗脑卒中顽固性呃逆30例疗效观察

脑卒中后呃逆是临床常见症状，顽固性呃逆频繁且持久（24 h以上），严重影响患者的生活状况和神经功能的康复，一般的治疗效果欠佳。我们采用中西医结合治疗脑卒中后顽固性呃逆32例，取得明显效果，报告如下：     

Treatment of singultus following craniocerebral injury★ Intranasal cavity drip infusion versus intramuscular injection of aminazine

BACKGROUND: Craniocerebral injury always accompanies with singultus, while frequent singultus may cause increased intracranial pressure. Simultaneously, respiratory alkalosis and cerebral hypoxia induced by respiratory disorder may aggravate craniocerebral injury. OBJECTIVE: To observe the therapeutic effects of intranasal cavity drip infusion of aminazine and intramuscular injection on singultus following craniocerebral injury. DESIGN: Contrast observation. SETTING: Department of Neurosurgery, Xi'an Aerospace General Hospital. PARTICIPANTS: A total of 102 patients with singultus following craniocerebral injury were selected from the Department of Neurosurgery, Xi'an Aerospace General Hospital from June 2001 to June 2006. Patients with craniocerebral injury were diagnosed with CT examination and randomly divided into nasal cavity medication group (n =62) and intramuscular injection group (n =40). There were 44 males and 18 females in the nasal cavity medication group and their mean age was (33±4) years; while, there were 26 males and 14 females in the intramuscular injection group and their mean age was (29±4) years. All patients and their relatives provided the confirmed consent. METHODS: Patients in the nasal cavity medication group were slowly dripped aminazine solution into bilateral nasal cavity with the dosage of 12.5 mg (0.5 mL). Patients who had no obvious effect or had mild improvement received the treatment once every 6 hours. The treatment was stopped if symptoms were also observed after the fifth medication. In addition, patients in the intramuscular injection group received intramuscular injection of 50 mg aminazine. Patients who had no obvious effect or had mild improvement received the treatment once every 6 hours. The treatment was changed if symptoms were also observed after the fifth medication. MAIN OUTCOME MEASURES: Therapeutic effects of different medications in the two groups. RESULTS: All 102 patients were involved in the final analysis. Effective rate in the nasal cavity medication group was higher than that in the intramuscular injection group, and there was significant difference (χ2= 11.882, P < 0.01). At 6 hours after onset of singultus, effective rate in the nasal cavity medication group was higher than that in the intramuscular injection group, and there was significant difference (χ2 =8.188, P < 0.01). CONCLUSION: Therapeutic effects of intranasal cavity drip infusion of aminazine on singultus following craniocerebral injury are superior to those of intramuscular injection.     

丁香与郁金同用治疗呃逆的体会

“丁香莫与郁金见”,是中药“十九畏”中明确提出的。一次偶然失误,给一位顽固性呃逆患者在丁香柿蒂汤中加入了郁金,不料服完一剂后,呃逆已止,二剂服完诸症均除。笔者经过长期实践验证后,自拟用于治疗呃逆的主方,名“呃畏一二汤”。组成:丁香5克,郁金     

体针配合耳穴贴压治疗顽固性呃逆28例

近年来 ,笔者应用体针配合耳穴贴压的方法治疗顽固性呃逆 ,取得较好疗效 ,现总结如下。1　临床资料本组 5 6例均为我院住院或门诊病人 ,其中因寒热或饮食不调骤然发病者 1 8例 ,外伤及胸腹部术后引起者 2 2例 ,肿瘤患者放、化疗过程中出现者 1 6例。按随机抽样原则分为 2组 ,针刺配合耳穴治疗组 2 8例 ,男 1 9例 ,女 9例 ,年龄最大者 78岁 ,最小者 2 5岁 ,病程最短 2天 ,最长 1 0天 ;西药注射对照组 2 7例 ,男 2 0例 ,女 7例 ,年龄最大者71岁 ,最小者 2 6岁 ,病程最短 2天 ,最长 8天。 2组年龄、性别、病程无显著差异 (Ｐ >0 .0 5 ) ,具有可…     

大承气汤加味治呃逆18例

自2000年1月～2005年12月，笔者应用大承气汤加味治疗呃逆18例，取得满意疗效，现报告如下。     

外治法治疗顽固性呃逆38例

1一般资料 38例均为我院神经内科2001年1月-2002年12月收治的顽固性呃逆患者.其中,男30例,女8例;年龄32～84岁,平均年龄58岁;平均病程2年.临床表现:喉间呃呃连声,声短而频,不能自制,常规方法连续治疗1个月无效.经X线、B超、CT等相关检查,均排除器质性病变.     

一氧化碳中毒引发的流行性癔症19例临床报道

新疆博乐市某乡维吾尔学校初一的一名男生清早第一个到学校，发现教室内有一堆在燃烧的煤，立即将其运到室外，上午第二节课时该生突然四肢抽动、双目紧闭、失语、气急、呼吸深大、频繁呃逆，无舌咬伤及大小便失禁。老师告诉同学们可能是“一氧化碳中毒”，当即又有2例当场发病，当日陆续又有16例发病，其中与首发者症状相同的7例，出现恐惧、头晕、全身无力者17例；腹痛、恶心者1例，共19例发病。经隔离、心理治疗，部分病例镇静治疗后，全部治愈。     

大黄甘草汤治疗腹部手术后呃逆21例疗效观察

大黄甘草汤治疗腹部手术后呃逆２１例疗效观察刘孟安，闵凡锦，杨际超，陈茂华（中医教研室附属医院中医科外科教研室，２５６６０３）关键词手术后呃逆；中医药疗法；大黄甘草汤腹部手术后呃逆，不利于伤口愈合，且易形成习惯性，短时间难以消失，病人非常痛苦。近几年来...