栝楼薤白半夏汤相关问题探讨

栝楼薤白半夏汤所涉及的相关问题为:瓜蒌应正名为栝楼;阳微阴弦是指寸脉微弱,上焦胸阳不振;尺脉弦,示下焦或中焦阴寒内盛,阴乘阳位乃胸痹病形成的主要病因病机;紧数相合为弦脉;白酒系低度米酒,临床上宜灵活应用;半夏宜生用重用,汤剂煎煮有解毒增效的作用.     

《柳选四家医案》学习方法举要

《柳选四家医案》是清代著名医家柳宝诒的代表著作,为柳氏选取清代四位著名医家的医案,包括尤在泾《静香楼医案》二卷、曹仁伯《继志堂医案》二卷、王旭高《环溪草堂医案》三卷、张仲华《爱庐医案》二十四则等,分门别类,每案之后,加以评注,编撰而成。书中理法方药齐备,辨治思路井然,是一部不可多得的医案佳作。为了更好地学习与应用《柳选四家医案》,笔者将该书的学习方法进行归纳总结。     

张謇状元府春联散论

张謇成为近代著名实业家后 ,不改其文人墨客本色 ,每临农历岁末喜好自撰春联供“状元府”大门张贴 ,便是一证。观赏存世的23幅“状元府”春联 ,既可领略名联佳对的妙趣 ,又可管窥张謇的思想追求、政治态度以及寄寓联中的亲情、乡情。     

马智临证诊疗经验举隅

马智，辽宁人，教授，主任医师，国家级名老中医，博士生导师，国务院特殊津贴获得者，第三、第四批全国名老中医专家学术经验继承工作指导老师，国家中医药管理局“十一·五”科技支撑计划全国200名名老中医经验传承研究项目中被研究的老中医之一，辽宁省“优秀中医临床人才培养项目”专家指导委员会指导专家。他深习经典，师古不泥，博采众长，先后从师于李玉奇、谢振芳、梁国卿、张岫云、郭福兴、齐子敬、赵子敬、沈宝和等著名老中医，深得真传；承古扬今，立创新之旨，结合自己的治疗经验与科研实践，总结出一套中医治疗肺系疾病、眩晕、头痛、痫证、泄泻、胃痛、便秘、郁证等多种疾病不同证型行之有效的方法，建立建全了中医理、法、方、药较为完整的治疗体系。，     

线上线下混合式教学在内经选读课程中的应用

内经选读是中医本科专业学生学习《黄帝内经》的必修课程.为了实现"以学生为中心"的现代教学理念,在教学中应用微课、慕课、翻转课堂、思维导图、知识竞赛等多种形式的线上线下混合式教学模式,能够提升教学效果,激发学生学习热情,在教学工作中值得进一步推广应用.     

Identification of BK Virus Genotypes in Recipients of Renal Transplant in Vietnam

ObjectivesThis study aims to investigate the prevalence and distribution of BK polyomavirus (BKV) genotypes in recipients of renal transplant in Vietnam.MethodsOne hundred six patients who underwent renal transplantation were included in this study. These patients were from the Department of Nephrology, Military Hospital 103, Vietnam Military Medical University. Quantification and genotyping of the BK virus was performed using in-house molecular methods from urine and plasma samples.ResultsBKV infection was detected in 82 patients (77.4%), including 58 patients who had the presence of both BK viremia and BK viruria, and 24 patients (22.60%) with BKV positive findings in the urine alone. Particularly, 16 patients (15.09%) had high BK viremia >10⁴ copies/mL and 20 patients (18.9%) had BK viruria >10⁷ copies/mL. BK virus nephropathy (BKVN) was confirmed in 6 patients (5.66%) by immunohistochemistry examination. Genotyping of BKV was performed successfully in 50 out of the 82 patients, with 36 out of 50 (72%) belonging to the BKV-I subtype and 14 out of 50 (28%) belonging to the BKV-IV subtype; no cases of genotypes II or III were observed. Using phylogenetic analysis of the subgroups, the BKV-I/b-1 subtype was found the predominant subgroup (100%), whereas BKV-IV included 21.43% of IV/a-1, 6.67% of IV/a-2, and 50% of IV/c-1, respectively. There remain 3 cases of BKV-IV (21.43%) that could not be categorized into any subgroups. In the 6 patients diagnosed BKVN, 5 of them were infected with subgroup I/b-1 (83.3%) and 1 patient was infected with subgroup IV/c-1 (16.7%). No significant difference between BKV genotypes was observed in relation to age, sex, HLA mismatch, viral load, BKVN, and immunosuppressive therapy.ConclusionsThis research indicated a high prevalence of BKV infection and BKV-I was predominant, followed by BKV-IV among recipients of renal transplant in Vietnam.     

岐轩脉法指导下的中医靶向用药

岐轩脉法是对古脉法的继承与发扬,是以气一元论为基石,以阴阳理论为核心、把握气机“升降、出入、交合、聚散”规律,以准确掌握患者气血阴阳失衡状态,为临床组方用药提供可靠依据的诊脉大法。中医靶向用药是站在气一元论这个层次看待和分析问题,把每一味药看成是具有着不同运动特征的气,或升,或降,或出,或入,或聚,或散,它进入人体又引起了人体气的升降出入运动的变化,使人体达到阴阳平衡的无病状态。     

国医大师禤国维教授分期论治天疱疮经验

整理了国医大师禤国维教授治疗分期论治天疱疮的经验,认为急性期以热毒炽盛多见,治疗以解毒祛邪为主;病程日久,湿热化燥,灼津耗气,故阴虚夹湿热多见,治宜祛湿健脾,清热养阴并重。该病病程反复,易转为阴伤气衰证。治疗时主张中西医并重,在西药激素等治疗基础上,可根据疾病发展的不同阶段配合使用中医外治法。      

雷火灸配合宣氏压痛点强刺激推拿治疗腰腿痛患者临床观察

目的 观察雷火灸配合宣氏压痛点强刺激推拿治疗腰腿痛的临床疗效.方法 将80例腰腿痛患者随机分为两组,每组各40例.治疗组采用雷火灸配合宣氏压痛点强刺激推拿治疗方法,对照组则应用传统艾灸、推拿配合康复训练进行治疗.结果 两组患者的腰腿痛均缓解,治疗组的总有效率82.50％,高于对照组的65.00％ （P＜0.05）.VAS、FMA、BI、SS-QOL评分治疗组均优于对照组（P＜0.05）.结论 雷火灸配合宣氏压痛点强刺激推拿治疗腰腿痛是一种行之有效的方法.