郑伟达从瘀毒论治肺癌经验探析

郑伟达教授认为癌症的主要病因是"瘀"加"毒",瘀中有毒,毒中有瘀,瘀毒互结是"瘀毒"的本质。"瘀毒证"是指恶性肿瘤,乃全身性疾病,手术治疗不能完全治愈,有可能复发并转移。肺癌多由正气内虚、邪毒互结所致,其病机包括瘀毒侵肺、痰湿内聚、正气内虚。肺癌临证可分四型诊治:瘀毒互结、阴虚毒热型;瘀毒互结、气阴两虚型;瘀毒互结、气阴两虚型;瘀毒互结、脾虚痰湿型。通过对郑教授运用瘀毒理论辨证施治治疗肺癌的常用方药及加减方法的经验总结,体现郑教授其学术思想。     

郑板桥的女性观

郑板桥有许多以女性为题材的诗词 ,从中体现出他的较为丰富复杂的女性观。或颂扬慈母、烈妇 ,或怜悯同情弱者和无助者、或厌恶丧失妇德的女性。郑板桥与一般封建文人的女性观有着割不断的联系 ,但其女性观中又不乏鲜活的时代气息     

扬州盐商与板桥风格

郑板桥杰出的艺术成就与清代扬州文化和商业相关。清代扬州盐业和漕运的繁荣 ,为“扬州八怪”的出现提供了社会舞台 ,同时也使郑板桥的艺术风格呈现出商业化、市俗化的审美特征。首先 ,“板桥风格”反映了一种平民思想 ,具有自我表现、自我娱乐的色彩。其次 ,“板桥风格”中具有一种化雅为俗 ,以俗为奇 ,雅俗共赏的艺术风貌。第三 ,“板桥风格”体现出一种美丑互见、立异标新、取悦商贾的价值取向。     

江苏昆山世医——郑氏女科抄本医书浅识

1昆山郑氏女科概况江苏昆山的郑氏家族世医,专精女科,自南宋始,流传至今29世,已有八百年的悠久历史,堪与青浦何氏29代世医相媲美,是中外医学史上罕见的奇迹。郑氏祖籍河南开封,是周宣王弟友(郑桓公)之裔。建炎三年,郑忆年率家百余口随高宗南渡,定居昆山,为迁昆始祖[1]。郑氏世医的始祖为薛氏(南宋末昆山人),薛氏精于医术,尤善女科,人称薛医产家,因为没有子嗣,将医术传于女婿钱氏,钱氏亦无子嗣,复传医术于女婿郑公显,自郑公显始郑氏家族遂世业女科[2]。郑公显为郑忆年5世孙。郑氏家族,名医辈出,遍及吴中,以儒医闻名,入朝任太医院医官者众多。…     

王正公老师治学之道

王正公,四世业医,行医六十余年,家学渊源,擅治外感热病,主张“伤寒温病一炉共冶,新感伏邪在于辨证”,尤推崇张子和六门三法,主张“攻病宜早,达邪务尽”。先生重视临床实践,有遍尝百草、以身试药之习惯,且善于向病家学习,不断总结临床经验,他谦虚好学,广交师友,能博采众长,好读书,常以“养心莫善寡欲,至乐无如读书”作为座右铭。他做为全国名老中医专家学术思想研究班指导老师,对学生循循善诱,谆谆教导,真可谓呕心沥血。他勤于笔耕,发表论文七十余篇,出版书籍《哮喘与慢支的防治和康复》及将出版《正斋医稿》二书。     

温热病舌象的动态观察及其临床研究——附300例图谱分析

本研究结果论证了温热病舌象的一般规律。发现“卫气营血”各阶段均有数量不等的淡白舌、青紫舌;病例各期伤阴舌象少、挟湿舌象多。提示临床上邪入于营不必枸泥于“舌色必绛”其治勿须拘泥于“入血方能凉血散血”;固护正气不仅仅是固护津液,还要固护阳气;不可只注意热邪而忽视湿邪;不可囿于热病后期养阴一法,当据其舌象变化而灵活运用益气、化瘀等法。     

解毒化瘀汤治疗温病内毒素血症临床研究

解毒化瘀汤治疗温病内毒素血症临床研究结果表明,该方有抗炎作用,对内毒素有拮抗作用,能保护组织器官,特别是心、肝、肾等重要器官免受内毒素损害,能调节免疫功能,对血浆内毒素的清除作用非常显著,有直接对抗或抑制内毒素之抗原作用,对内毒素之生物活性有灭活作用,为临床治疗内毒素血症开拓了一条新的有效途径。     

郑寿全《伤寒论》学术思想探析

《伤寒论》是中国第一部理法方药比较完备的医学著作,一直被中国医家奉为经典。同样基于对《伤寒论》的研究,因侧重不同,后世学者发展出各具特色的学术体系,并开展了不同的临床实践。郑寿全是清代伤寒学大师,被后世中医学者尊为“火神派”鼻祖。其融合《周易》、《黄帝内经》等两部经典著作的思想,对《伤寒论》进行阐释,提出“六经即六气,六经本一经”的“万病一气说”;并以阴阳为纲,总括伤寒六经,又在阴阳之中,重视阳气。使《伤寒论》辨证简白,主次分明,颇有独到之处。     

Laparoendoscopic Single-site Surgery for Comprehensive Staging of Early Ovarian Cancer

Study ObjectiveTo demonstrate the procedure and suspension skills of laparoendoscopic single-site (LESS) staging surgery with infrarenal para-aortic lymphadenectomy for early-stage ovarian cancer.DesignA presentation of the surgery through this technical video.SettingA hospital.Patient and InterventionsA 45-year-old woman presented with a pelvic mass on gynecologic examination and a serum cancer antigen 125 level of 5910 U/mL (normal = <35 U/mL). A computed tomographic scan revealed a mixture of solid and cystic components (70 × 77 × 71 mm) arising from the right ovary and characterized by the “ovarian vascular pelvic” sign. Clinically early-stage ovarian cancer was suspected. Subsequently, LESS staging surgery was performed by an experienced surgeon in our department.ResultsThe surgery lasted 280 minutes, and the volume of blood loss was 50 mL; there were no intra- or postoperative complications. We “hid” the incision perfectly for cosmetic purposes. The histopathologic findings supported high-grade serous ovarian cancer of the right ovary with the left fallopian tube involved as well. In addition, a total of 34 negative pelvic and 18 negative para-aortic lymph nodes were identified, and a stage of IIA was diagnosed as a result.ConclusionWe performed an LESS staging surgery for early-stage ovarian cancer successfully. Our video shows that the LESS approach provided feasible, cosmetic, and safe access among the selected malignant gynecologic surgery. Therefore, we have experienced that the effective suspension was an auxiliary measure for LESS lymphadenectomy. In addition, compared with multiport laparoscopy, the LESS approach could provide easier access to infrarenal para-aortic regions; furthermore, it was safe and quick to extract an unknown sample.     

何廉臣《感症宝筏》手校稿本述考

《感症宝筏》原名《伤寒指掌》,为清代医家吴贞所著,何廉臣重订,体现了清代中后期寒温思想的融合。该稿本为何廉臣出版该书时手校之底本,由其子抄录,内有多处校对、抄录笔迹及校改痕迹。从该稿本的抄写和体例、稿本与通行本之对比、该稿本中的修改符号等几个方面进行论述,探讨其学术与文物价值。