Treatment of Chronic Renal Failure by Supplementing the Kidney and Invigorating Blood Flow

Objective:To evaluate the effectiveness of treatment of chronic renal failure by supplementing the kidneyand invigorating blood flow.Method:The eligible patients were assigned to a treatment group(N=120)treated with the above principle and a control group(N=128)treated with western drugs,and theeffectiveness was evaluated when the study was completed in one year.Results:The total effective rateof 92.5% was achieved in the treatment group,better than that in the control group(49.2%);the differencewas significant(P<0.01),especially in patients of stage Ⅰ and Ⅱ.Conclusion:The treatment of chronicrenal failure by supplementing the kidney and invigorating blood flow proved to be very effective.     

滋肾通利胶囊治疗泌尿系感染临床研究

目的：观察滋肾通利胶囊治疗泌尿系感染的临床疗效。方法：随机设对照组（120例）和治疗组（136例）,对照组根据药敏选用抗生素口服或静脉滴注,治疗组在上述基础上加用滋肾通利胶囊治疗。2周为1疗程,两个疗程后统计疗效;1年后对复发率进行比较。结果：治疗组总缓解率96.3%,对照组81.7%（P〈0.05）;1年后治疗组复发率4.4%,对照组30.0%（P〈0.01）。结论：滋肾通利胶囊对泌尿系感染有良好作用,长期疗效尤其显著。     

中医药联合常规疗法治疗肾性骨病Meta分析

目的:系统评价中医药联合常规疗法治疗肾性骨病的临床疗效及其安全性。方法:计算机检索中国知网、万方期刊数据库、PubMed及Cochrane Central等数据库,检索中医药治疗肾性骨病的随机对照试验(randomized controlled trial,RCT),采用RevMan 5.3软件进行Meta分析。结果:共纳入24篇RCT,共1552例肾性骨病患者。Meta分析结果表明:中医药联合常规疗法与常规治疗的有效率比较,差异有统计学意义[RR=1.30,95%CI(1.18,1.44),P<0.00001],亚组分析显示,补肾活血法的临床疗效最好[RR=1.47,95%CI(1.30,1.67),P<0.0001]。中医药联合常规疗法与常规治疗的血清钙水平比较,差异有统计学意义[MD=0.16,95%CI(0.08,0.23),P<0.001]、血清磷水平[MD=-0.17,95%CI(-0.23,-0.11),P<0.00001]、甲状旁腺素激素水平[MD=-38.71,95%CI(-54.88,-22.55),P<0.00001],通过Meta回归找到异质性来源,并排除相应研究,再经敏感性分析发现血清钙、血清磷、甲状旁腺激素水平的结果都很稳定。结论:中医药联合常规疗法可以有效改善患者临床症状,提高有效率,改善血清钙、血清磷、甲状旁腺激素水平。但由于所纳入研究样本量少、质量不高,仍需开展更多高质量、大量本、多中心的研究予以验证。     

补肾活血法治疗椎动脉型颈椎病30例临床观察

椎动脉型颈椎病是颈椎病分型之一 ,是临床常见病、多发病 ,多发生于中老年人。笔者近年来运用“张氏补肾活血法”[1] 治疗椎动脉型颈椎病 30例 ,取得满意疗效 ,现报道如下。1　一般资料6 0例患者均符合国家中医药管理局颁布的《中医病症诊断疗效标准》[2 ] ,需排除耳源性眩晕、颅内占位性病变等血管疾患及高血压病等内科疾患引起的眩晕。随机分为观察组和对照组各 30例 ,各组患者的基本情况见表 1。表 1　两组患者基本情况比较组别n男女年龄 (岁 )病程 (月 )治疗组 30 1 3 1 744.2 0± 1 0 .56 7.1 5± 5 .92对照组 30 1 4 1 6 43 .70± 1 1…     

补肾活血法治疗绝经后骨质疏松症

绝经后骨质疏松症是一种与绝经有关的代谢性骨病 ,肾虚血瘀为绝经后骨质疏松症的主要发病机理。运用张氏“补肾活血法”治疗绝经期后骨质疏松症 ,是以“肾虚血瘀论”为理论依据 ,进行辨证施治 ,收到了显著的临床效果 ,对于改善骨痛、腰背痛症状等方面取得了较好的疗效。绝经后骨质疏松症的治疗 ,必须将补肾活血法有机结合。发病初期 ,活血对病变发展的防治作用较好 ,而随着疾病的发展 ,补肾法在治疗中渐占优势。因此 ,在完整的治疗法则中 ,早期可偏重于活血化瘀 ,病久则重于补肾     

中医药治疗糖尿病足的近况

糖尿病足又称糖尿病肢端坏疽，属中医学“消渴”、“脱疽”的范畴，是糖尿病常见而又严重的并发症，近年来中医药在糖尿病足的临床治疗中取得了一定的进展，现将有关资料综述如下。     

电针支沟穴治疗便秘之气秘多中心随机对照研究

目的:评价电针支沟穴治疗便秘之气秘的疗效和安全性。方法:采用多中心、随机对照的方法,将符合诊断、纳入和排除标准的患者按随机数字表法分为观察组和对照组。观察组采用电针支沟穴方法,对照组则电针相近位置的非穴点,以患者的临床症状积分、结肠传输试验及各项安全性指标进行评定,观察治疗4周,治疗结束1个月、3个月后进行随访。结果:电针支沟穴能明显改善便秘患者的临床症状和结肠传输时间,降低开塞露和泻剂的使用率,总有效率为94.4%,优于对照组的61.3%,两组相比,P<0.0001。结论:支沟穴具有良好的调气通腑作用,电针支沟穴是治疗便秘行之有效的方法,且安全可靠、无副作用。     

张大宁教授药对析用举隅^△

张大宁教授从事中医肾病学研究40余载,在长期、大量临床实践的基础上,继承了古代先哲的理论与经验,系统提出了“肾虚血瘀论和补肾活血法”、“心-肾轴心系统学说”等新的理论,并首先将“中医肾病学”这门新兴的临床专业学科从中医内科学中分离出来,形成独立的临床学科。在治疗急慢性肾炎、肾病综合征、急慢性肾盂肾炎、糖尿病肾病、慢性。肾衰竭等临床常见肾病中,取得很好的疗效,学验俱丰。     

A Clinical Study on the Treatment of Urinary Infection with Zishen Tongli Jiaonang

Objective: To observe the therapeutic effects of Zishen Tongli Jiaonang (滋肾通利胶囊 capsules for nourishing the kidney and promoting urination) for treatment of urinary infection. Method: The treatment group with a control group were randomly set up. 120 patients in the control group were given antibiotics according to drug sensitive tests for orally taking or intravenous drip, while 136 patients in the treatment group were additionally given the capsules on the basis of the above-mentioned treatment. One course of treatment lasted 2 weeks. Statistical analysis on the therapeutic effects was conducted after a two-course treatment. The recurrence rates of the two groups were compared one year later. Results: The total remission rates were respectively 96.3% in the treatment group and 81.7% in the control group (P＜0.05).The recurrence rates one year later were respectively 4.4% in the treatment group and 30.0% in the control group (P＜0.01). Conclusion: The capsules show good effects for urinary infection, especially in the longterm effect.