刘吉善治疗非酒精性脂肪肝的临床经验

刘吉善名老中医治疗非酒精性脂肪肝的经验。勤求古训，结合临床，将病因病机归纳为“实（饮食）”、“郁（情志）”、“湿（痰热）”、“滞（气血）”。通过“宏观辨证”与“微观辨证”相结合，临床上可分为四型：肝郁气滞型、胆胃湿热型、肝胃阴虚型、肝脾血瘀型。肝郁气滞型：丹栀逍遥散加玄胡、葶苈子、渐贝母、温胆汤、砂仁、莱菔子、蒲公英等。胆胃湿热型：三仁汤加温胆汤加减。肝胃阴虚型：一贯煎加减（麦冬、条参、生地、川连、枸杞、石斛、当归、白芍、栝楼仁、薤白、百合、乌药等）。肝脾血瘀型：调营饮加减（川芎、赤芍、酒大黄、莪术、延胡索、当归、参三七、穿山甲、水蛭、桃仁、红花、桔梗、枳壳等）。临床诊疗特点鲜明，疗效突出。     

丹栀逍遥散合温胆汤加味治疗中老年人睡眠障碍32例

目的:观察丹栀逍遥散合温胆汤加味对中老年人睡眠障碍的临床疗效.方法:选择符合CCMD-3标准的中老年睡眠障碍患者63例,随机分成治疗组(丹栀逍遥散合温胆汤加味组32例)和对照组(珍合灵片组31例),两组均以14 d为1个疗程,治疗2个疗程后判定疗效.结果:治疗组有效率为87.50%,对照组为61.29%,经统计学处理,组间比较差异有显著性意义(P＜0.05),提示治疗组疗效优于对照组.结论:丹栀逍遥散合温胆汤加味是治疗中老年人睡眠障碍的有效方剂.     

五苓散不主蓄水证

五苓散是《伤寒论》的著名方剂,历来注释主“膀胱蓄水”(太阳腑证),这是宋·成无已以后逐步形成的观点,似乎已成定论。但若细读原文,可以发现,这不是仲景的意思。仲景再三强调的是胃,是“转属阳明”,因此,五苓散证属“太阳阳明合病”始合仲景原义。一、五苓散证背景是耗津五苓散是在汗、吐、下后,为表证兼津伤而设。如71、72条(汗后),74条(吐后),161条(下后)。其证发热,躁烦渴、汗出、吐逆、小便不利及“呕吐而利”之霍乱,皆属耗津之证。     

Clinical observation on treatment of depression by electro-acupuncture combined with Paroxetine

Objective:To observe the clinical efficacy and adverse reactions of Paroxetine combined with electro-acupuncture (EA) in treating depression.Methods:Forty-two patients with depression were randomly assigned to the observation group (22 patients) treated with EA combined with Paroxetine,and the control group (20 patients) treated with Paroxetine alone,and the therapeutic course for both groups was 6 weeks.The therapeutic efficacy and adverse reactions were evaluated with scores by Hamilton depression scale (HAMD) and treatment emergent symptoms scale (TESS), respectively.Results:HAMD scores determined at the end of the 1st,2nd,4th,and 6th week of the treatment course were significantly lower in the observation group than those in the control group (P<0.05).The significant improvement rate evaluated at the end of the 6-week treatment was remarkably higher in the observation group than that in the control group (72.7% vs 40.0%).No significant difference of TESS scores was found between the two groups.Conclusion:EA combined with Paroxetine has better clinical efficacy than that of Paroxetine alone,with milder adverse reaction and quicker initiation of effect.     

论中医学理论体系形成与楚文化圈的关系

中医学是世界优秀文化的组成部分。中医理论体系荟萃九州精华,但其早期形成与楚文化有着密切关系。从某种意义上说,楚地域是中医理论形成的摇篮,楚文化是中医理论体系形成的基础,而中医学则是构成楚文化的要素之一。     

清胆和胃、化浊通阳法治疗胆汁反流性胃炎

胆汁反流性胃炎是含有胆汁、胰酶的十二指肠液长期、大量反流入胃,与胃粘膜接触而产生的反应性粘膜病变[1].     

舒畅饮对赛乐特治疗抑郁症的辅助作用

我们应用专科制剂舒畅饮作为赛乐特治疗抑郁症的辅助药物进行对照研究，现报道如下：     

刘吉善治疗黄褐斑的临床经验

刘吉善系十堰市中医院主任医师,湖北省知名中医。刘师临床经验丰富,尤在中医妇科、皮肤科、精神病科、儿科、内科疑难杂症等方面,造诣较深。笔者有幸师从刘师,受益匪浅。现将刘师治疗黄褐斑的经验介绍如下。     

神农武当心脉康治疗不稳定型心绞痛临床观察

不稳定型心绞痛(UAP)是急性冠脉综合征中最常见的一种类型,临床以非ST段抬高为特征.近年来,笔者采用我院经验方--神农武当心脉康治疗不稳定型心绞痛疗效满意,现将结果报告如下.