全蝎的临床应用体会

全蝎为钳蝎科昆虫,东亚钳蝎的干燥全体,产于我国各地,长江以北较多,春秋均可捕捉。捕捉后投沸水中烫死,晾干者,称淡全蝎,加盐煮,晾干者,称咸全蝎。笔者在临床上应用全蝎,效果显著,介绍如下。1肢体麻木麻木是一个症状,可单独出现,亦可见于其他疾病中,但究其主要的病因,不外乎虚实两种。其一,风、寒、湿、热、痰、瘀等邪侵袭机体,闭阻经络,使气血流通不畅,肢体经脉失养而致;其二,由于气血不足,筋脉失荣而发。不论麻木的原因如何,只要有麻木症状,均可配伍或单独使用全蝎,常能收到满意的疗效。患者张××,女,48岁,形体稍胖,双上肢麻木,活动受限,…     

论清道、咸时期的西北史地研究

在晚清西北史地学的发展过程中 ,道、咸时期是人们关注最多的一个阶段。它与这一时期涌现出的西北史地名家与名著的贡献密切相关。但另一方面 ,在这些学者中初步形成的一种治学上的群体效应才是真正将西北史地研究发扬光大的关键因素。     

探析“以咸养脉”的内涵

回顾“以咸养脉”的文字含义与医学文献中的内涵,对于其中“咸”的概念与功能,发现“咸”与“脉”的密切关联性,探讨“以咸养脉”的内涵,并分析“以咸养脉”与“心病禁咸”的关系,解答既往对于“心病禁盐”与“以咸养脉”看似矛盾的疑惑点。历代医家皆善用“活血化瘀”“行气化痰”等药物强化心脑血管疾病的治疗。“咸”在传统中医理论体系中属水,有软坚、润下、引经之功。因此,明确“以咸养脉”的内涵及其作用机制具有重要意义,通过系统梳理文献发现,“以咸养脉”的古代医学内涵可概括为咸生精血以充脉、咸寒清热以护脉、咸润软坚以通脉三个方面。     

从五味合化角度探析张仲景组方原则

五味合化理论是由五味药性理论发展而来的一种配伍理论,即酸、苦、甘、辛、咸五种药性和滋味配伍化合出新的功用。试从五味合化角度探讨张仲景组方原则,具体从辛甘化阳、酸甘化阴、苦咸泻热、辛开苦降等几个方面探讨五味合化理论在《伤寒杂病论》中的体现。     

卡巴胆碱对烧伤延迟复苏大鼠免疫功能的影响

Objective To explore the changing trend of Ia on monocyte, lymphocyte apoptosis rate, TNF-α and IL-6 in abdominal aorta of burned rats with delayed resuscitation and the influence of application of carbachol on them. Methods Adult male Wistar rats were randomly divided into normal control group(n =8), scald group(n =48) and scald with carbachol treatment group(n =48). In latter two groups, rats were inflicted with 30% total body surface area (TBSA) full-thickness scald and delayed fluid resuscitation. All scald rats were sacrificed at the 6th hours or 1st, 2nd, 3rd, 7th, 14th day after scald, with 8 rats at each time point. Expression of Ia antigen on monocyte and lymphocyte apoptosis rate were determined by direct immunofluorescence on a flow cytometer, and TNF-α and IL-6 was measured by ELISA. Results Expression of la on monocyte was obviously lower than that of controls. The lowest levels were recorded on the 6th hours and 1st day after scald. Subsequently, Ia was elevated gradually, but still lower than that of normal rats(P <0. 01). After administration of carbachol, Ia expression was obviously promoted, compared with the simple scald group (P <0. 01). Lymphocyte apoptosis rate, TNF-α and IL-6 was higher than that of controls(P <0. 01). After administration of cavachol, , lymphocyte apoptosis rate and TNF-α and IL-6 was obviously down-regulated on the 6th hours, 1st day, 2nd day and 3rd day after scald injury, compared with the simple scald group (P < 0. 01 or 0. 05). Conclusion After severe burn with delayed fluid resuscitation, there is a low la expression, high lymphocyte apoptosis rate and increased releasing of proinflammatory cytokine. Immune function was suppressed. Carbacho] could improve the immune function of scald rats with delayed fluid resuscitation.     

饮食过咸危害多

盐是人们日常生活中必不可少的调味品,缺了它饮食无味,人会觉得软弱无力,然而若长期摄入过多,则会影响健康,诱发疾病。 饮食过咸会伤骨 饮食中钠盐过多,在肾小管重吸收方面,过多的钠离子与钙离子相竞争,使钙的排泄增加。同时,钠盐还刺激人的甲状旁腺,使之分泌出较多的甲状旁腺素,激活“破骨细胞”膜上的腺苷酸环化酶,促使骨盐溶解,破坏了骨质代谢的动态平衡,因而易发生骨质疏松症甚至骨折。     

维生素B2局部用药治疗兔角膜碱烧伤

目的 探讨VitB2在兔角膜碱烧伤中的保护作用及其机制。方法 复制兔右眼角膜碱烧伤模型,设实验组和烧伤组。实验组于烧伤后每日以VitB20.2ml/kg球结膜下注射。烧伤组每日以等量生理盐水注射。分别于第1,4,8,16,32天实验组MDA含量显著低于烧伤组,而SOD活性1-64天明显高于烧伤组,尤其是第4天至第16天的差异具有统计学意义。结论：VitB2对角膜碱烧伤后角膜组织的恢复有明显的促进作用,其机理之一可能与其抗脂质过氧化损伤有关。     

舒琦瑾诊治抗肿瘤治疗后口咸症经验浅析

[目的]总结舒琦瑾教授诊治抗肿瘤治疗后口咸症的学术经验。[方法]通过跟诊学习,阅读古籍,整理相关临床医案,从病因病机、治则治法方面分析舒师治疗口咸症的临床经验,并佐以医案。[结果]舒师认为,抗肿瘤治疗后口咸症的病因病机主要为肾脏阴阳失调,肾液上乘;脾肾对水液的制化失常而致水湿上泛,治以调补肾阴肾阳、健脾化湿为主。所附医案,舒师辨为虚火水湿相兼之证,治以滋阴降火、健脾渗湿,选用知柏地黄丸合平胃散加减,取得良好疗效。[结论]舒师诊治抗肿瘤治疗后口咸症强调四诊合参,灵活辨证,其学术经验丰富,疗效确切,值得学习与推广。     

浅谈内经教学中“汗”“咸”的两个问题

笔者在内经教学的4年中,时常有学生对内经中一些看似矛盾而似乎又有些合理的论述提出疑问。本文从中选取两个相互矛盾又相互关联的问题,结合《内经》相关原文来进行讨论,即《内经》中"出汗"致皮肤病然而"汗法"又能治疗皮肤病,以及《内经》中"咸"致瘀与"咸"亦能软坚。通过此文论述以期达到对《内经》初学者解惑的目的。     

饮食过咸对人体有害

盐是人们日常生活中必不可少的调味品，缺了它就会饮食无味，还会觉得软弱无力，但若长期摄入过多，则很容易影响健康，诱发疾病。