穴位埋线与董氏奇穴疗法结合治疗黄褐斑30例临床观察

目的：观察采用穴位埋线与董氏奇穴疗法相结合的方法治疗黄褐斑的疗效.方法：30例用穴位埋线与董氏奇穴疗法相结合治疗,3个月为1个疗程,2个疗程评定疗效.结果：基本治愈8例,显效14例,好转4例,无效4例,总有效率86.7％.结论：穴位埋线与董氏奇穴疗法结合治疗黄褐斑疗效好.     

董幼祺运用经方治疗小儿哮喘经验拾萃

介绍董幼祺教授运用小青龙汤、苓桂术甘汤治疗外寒内饮之哮喘,以及麻杏石甘汤合葶苈大枣泻肺汤治疗痰热互结之哮喘验案2则。     

董氏养心贴治疗心律失常期前收缩的疗效研究

目的:观察董氏养心贴治疗心律失常期前收缩的疗效。方法:选择心律失常患者90例,随机分为三组,养心贴热敷治疗组30例,养心贴常温治疗组30例,空白对照组30例。予养心贴热敷帖、养心贴常温贴、空白帖外敷膻中穴,每次12小时,每日一次,14日为一疗程。观察治疗前和治疗2周后动态心电图及临床症状、匹茨堡睡眠质量指数量表调查、生化指标。结果:治疗后动态心电图疗效相比,总有效率养心贴热敷组为70.00%、养心贴常温组为73.33%,与空白对照组相比差异有统计学意义(P<0.05);临床症状比较,养心贴热敷组有效率为76.67%、养心贴常温组为70.00%,与空白对照组相比差异显著(P<0.05);睡眠情况三组均有改善,养心贴热敷组、养心贴常温组改善更为明显,与空白对照组相比差异有统计学意义(P<0.05);与养心贴热敷组与养心贴常温组相比各组数据均无明显差异(P>0.05)。结论:养心贴热敷帖、养心贴常温贴对期前收缩安全有效。     

The role of radiotherapy in patients with resected ampullary carcinoma: findings based on the SEER database

BackgroundThe role of adjuvant radiotherapy for resected ampullary carcinoma (AC) remains controversial. The aim of this study was to assess the effect of adjuvant radiotherapy on survival in patients who underwent resection for AC.MethodsThe Surveillance, Epidemiology and End Results (SEER) database was used to identify patients diagnosed with AC from 2004 to 2012. Kaplan-Meier survival curve and multivariable Cox proportional hazards analyses were conducted to determine the effect of adjuvant radiotherapy on overall survival (OS) and disease-specific survival (DSS). Propensity score matching (PSM) method was used to balance the differences of clinicopathological characteristics between groups.ResultsA total of 1227 patients were included. Patients who received adjuvant radiotherapy were younger, had more advanced T stage and N stage tumors and were more likely to receive chemotherapy (p < 0.001). Adjuvant radiotherapy failed to improve either OS (p = 0.119) or DSS (p = 0.188) in PSM cohorts. In subgroup analysis, no subgroup benefited from adjuvant radiotherapy and in patients older than 70 years, radiotherapy was associated with a worse OS and DSS.ConclusionPatients with resected AC do not benefit from adjuvant radiotherapy.     

董振华辨治疑难性发热验案撷英

董振华教授师从近代著名中医专家祝谌予,学验俱丰,医术精湛,辩证思维独到,擅治内科疑难杂症,屡愈顽疾沉疴。笔者有幸从师随诊,受益匪浅,兹集录董师治疗发热案例5则,以飨同道。     

占里侗族传统医药文化传承及保护浅析

占里侗族传统医药作为祖国宝贵的传统医药文化的重要组成部分，足占里侗族同胞智慧的结晶，长期以来在占里人民战胜疾病保障健康方面做出了卓越贡献，尤其在占里创造“中国计划生育第一村”的奇迹方面，占里医药作为控制计划生育的技术手段起了不可磨灭的贡献。但是研究表明，在占里医药自身的局限和现代经济、科技、生活方式等的综合影响下，占里统医药面临失传的危险。占里传统医药急需保护、研究和改进。为此提出了相关政策建议。     

何常春教授应用电针配合定痛方治疗痹证临证经验

何常春主任治疗痹证疗效显著,其认为正气亏虚为痹证的内因,外因为风、寒、湿、热等外邪侵入,治疗上以电针配合经验自拟定痛方以补益肝肾,行气化瘀为基本原则。     

“董氏指压法”治疗婴儿吐乳症80例

目的观察＂董氏指压法＂治疗婴儿吐乳症的临床疗效。方法将160例婴儿吐乳症患者随机分为治疗组、对照组各80例,治疗组给予＂董氏指压法＂,对照组口服冠迪糖浆。两组疗程均为15天,治疗前后观察每天吐乳次数和吐乳量情况,并评价临床疗效。结果治疗组、对照组临床总有效率为91.25%、61.25%,组间疗效差异有统计学意义（P〈0.01）。两组治疗后吐乳次数、吐乳量较治疗前差异均有统计学意义（P〈0.01）,治疗后两组吐乳次数、吐乳量差异均有统计学意义（P〈0.05）。结论 ＂董氏指压法＂治疗婴儿吐乳症疗效良好。