深刺腰阳关为主治疗干性坐骨神经痛208例

深刺腰阳关为主治疗干性坐骨神经痛２０８例同济医科大学附属协和医院（武汉４３００２２）黄巍同济医科大学镇痛原理研究室邢宏义近年来，我们以腰阳关为主穴脊柱深刺激加刺环跳穴治疗干性坐骨神经痛，并与肾俞加环跳和阳陵泉加环跳作对照观察，疗效满意。临床资料全部病...     

Dissociative responses in the immediate aftermath of the Oakland/Berkeley firestorm

This study examined relationships between dissociative symptoms experienced in the immediate aftermath of the Oakland/Berkeley firestorm and contact with the fire, life events, demographic variables, and actions taken after learning about the fire. One hundred eighty-seven participants completed self-report measures about their experiences during and immediately following the fire. Dissociative symptoms were significantly related to contact with the fire, sex, and stressful life events. Also, dissociative symptoms were significantly related to engaging in certain activities, such as trying to get closer to the fire and going into blocked-off areas and crossing police barricades. These results suggest that dissociative symptoms may merit special attention in intervention focusing on the immediate aftermath of disaster.     

李杲"阴火说"探微

关于“阴火”理论历来有不同解释,经反复分析原文,认为“阴火”是指下焦离位之邪火,乃为病理之火,与元气不两立,又称“心火”。对“阴火”诊治之法,认为病因是脾胃元气,病机是气火失调,治疗特点是甘温益气、升阳泻火。     

Fire during the use of Nd-Yag laser

Fire during the use of Nd–Yag laser is a very rare complication. A case report of laser fire during the use of Nd–Yag laser for congenital subglottic stenosis is reported. The probable causes for the fire, management and short review of literature are dealt with. This case report highlights the importance of following the safety protocol during laser surgery.     

广东省某村入侵红火蚁伤害及控制调查

目的了解广东省T村村民被红火蚁叮咬的流行病学特征及该村环境中红火蚁情况,为预防控制红火蚁提供依据。方法采用随机抽样的方法确定抽查村民户,用一览表问卷调查访谈,了解T村村民被红火蚁叮咬的流行病学特征、临床表现和治疗情况。结果2006年1月1日至2006年6月28日期间,抽取60户村民有45户发生过被红火蚁叮咬事件,户叮咬率为75.0%。共抽查241人,被蚁叮咬过的有72人,被叮咬率为29.9%(72/241),性别间差异无统计学意义;40岁以上村民的叮咬率>50%。在天气炎热的6月被叮咬人数明显增加。在农田务农或绿化带工作时被叮咬的机会较大,农民、绿化工人的被叮咬率分别为42.3%和28.3%。双足被叮咬的比例高达65.0%,其次为手;临床表现以轻微的痒痛(100%)、红晕(45.8%)、皮疹(78.6%)、丘疹(54.2%)多见,水(脓)疱(33.3%)常见,少见发热(1.4%)和头晕(1.4%)等症状,98.6%的病例自行处理。村中红火蚁蚁巢散存。结论村民被蚁叮咬的现象近年较普遍,临床表现较轻。应加强农民与绿化工人预防红火蚁咬伤的宣传教育工作,加大科学防控红火蚁的力度。     

东莞市入侵红火蚁伤人导致1例过敏性休克

目的了解人群被入侵红火蚁蜇咬后引发过敏性休克的临床症状、治疗情况及红火蚁的发生情况,为其蜇咬人后的治疗提供资料。方法采用访问主治医生及查阅病历、访问患者,调查被蚂蚁叮咬的现场生境等方法进行。结果患者入院诊断为蚂蚁咬伤,过敏性休克,经医院及时对症抢救2h后痊愈;访问患者证实其是被蚂蚁叮咬后引起身体不适入院;调查患者被叮咬生境发现有入侵红火蚁孳生。结论患者被入侵红火蚁蜇咬后引起过敏性休克,应加强入侵红火蚁防控,人被蜇咬后要及时就治。     

《理虚元鉴》学术特色探析

《理虚元鉴》是明末医家汪绮石论治虚劳的专著,该书具有鲜明的学术特色。在病因上重视情志因素,在病机上倡虚火、伏火致病学说,治疗上依三本二统,尤其重培补脾胃,重视预防,强调虚劳当治其未成,该书对临床慢性虚损性疾病辨治颇具指导意义。     

"阴火"考释

"阴火"一词屡见于李杲之前的文学作品,并与李杲的"阴火"概念密切相关,对此加以考释,对于进一步理清李杲的"阴火"概念有十分积极的意义。     

《内经》火郁发之探析

“火郁发之”为《内经》五郁治法之一。《内经》中,火郁即为心郁,导因于外感风寒,心气不舒,邪热怫郁于内,其治“发之”多以汗解。后世认为,火郁不仅可因外感,内伤也可致郁;且火郁不单指心郁,五脏皆有火郁之证;“发”谓升散透达。凡五脏之火郁,以升散透达之法治之者,均属“火郁发之”理论范畴。这是后世在《内经》基础上对该理论的发展。     

抗蠕虫药物对体外猪囊尾蚴作用的研究

选用７种高效,广谱抗蠕虫药物进行了体外抑制猪囊尾幼作用研究,结果表明磺苯咪唑、硫苯咪唑、氟苯咪唑、三苯双脒、丙硫咪唑和吡喹酮均有抑制猪囊尾蚴作用,而伊维菌素无抑制猪囊尾蚴作用。