旋覆代赭汤加减防治恶性肿瘤患者化疗所致呕吐39例

目的:观察旋覆代赭汤加减防治恶性肿瘤患者化疗所致呕吐的临床疗效。方法:选取恶性肿瘤化疗患者78例,按照随机数字表法分为治疗组和对照组,每组39例。两组患者所用化疗药物均含有顺铂、阿霉素或环磷酰胺其中的一种或多种,都具有明显致呕吐的副作用。对照组予以格拉司琼及甲氧氯普安静脉滴注治疗,治疗组给予旋覆代赭汤加减治疗。结果:治疗后治疗组呕吐情况优于对照组(P0.05);两组不良反应比较,差异无统计学意义(P0.05)。结论:旋覆代赭汤加减防治恶性肿瘤患者化疗所致呕吐疗效显著。     

旋覆代赭汤防治呕吐研究进展

旋覆代赭汤出自东汉末年张仲景所著《伤寒论·辨太阳病脉证并治》,为和胃降逆 ,化痰下气之剂。由旋覆花、人参、生姜、代赭石、甘草、半夏、大枣组成。用于治疗胃气虚弱 ,痰浊内阻 ,心下痞硬 ,噫气不除之症。大量临床资料显示旋覆代赭汤对于消化道疾病所致呕吐、妊娠恶阻呕吐不止、神经官能性呕吐、前庭障碍性呕吐、慢性肾炎所致顽固性呕吐等均有较好效果。现将其防治呕吐的研究综述如下。1　临床研究进展1.1　化疗致吐 :王亚非 〔1〕进行了旋覆代赭汤加味防治恶性肿瘤化疗呕吐反应的研究 :患者 72例用本方加味治疗 ,同时设恩丹西酮为对照 ,…     

旋覆代赭汤加味合昂丹司琼预防化疗恶心呕吐反应40例

目的：观察旋覆代赭汤加味合昂丹司琼对化疗恶心呕吐反应的预防作用。方法：将78例患者随机分为治疗组40例，对照组38例，2组均给予昂丹司琼静脉推注，治疗组加服旋覆代赭汤加味，化疗前1天开始煎服，连服6剂后比较疗效。结果：治疗组有效率95．0％，对照组有效率79．5％。2组比较，P〈0．05，差异有显著性意义。结论：旋覆代赭汤加味能明显提高昂丹司琼预防化疗所致恶心呕吐反应的有效率。     

含服生姜煎汁联合旋覆代赭汤治疗化疗诱发的迟发性呕吐30例

目的:评价生姜煎汁联合旋覆代赭汤治疗化疗诱发的迟发性呕吐的临床疗效。方法:生姜煎汁联合旋覆代赭汤(旋覆花、代赭石、党参、半夏、生姜、大枣、甘草)治疗本病30例。结果:经本方法治疗2～6d,平均2.8d达到好转,3.6d达到显效。提示:生姜煎汁联合旋覆代赭汤可以有效治疗化疗诱发的迟发性呕吐。     

耳穴压豆联合旋覆代赭汤口服防治乳腺癌化疗后恶心呕吐的临床观察

目的:观察耳穴压豆联合旋覆代赭汤口服在乳腺癌化疗所致恶心呕吐中的疗效。方法:将92例乳腺癌手术后化疗的患者随机分为研究组和对照组各46例,对照组给予西医疗法,研究组在对照组的基础上,增加耳穴压豆手法和旋覆代赭汤口服,疗程为4个周期,观察两组治疗效果。结果:治疗后,研究组与对照组的愈显率分别为84.78%,63.04%,两组比较差异有统计学意义(P 0.05)。结论:耳穴压豆联合旋覆代赭汤口服可以较好地防治乳腺癌术后化疗引起的恶心呕吐,该方案安全、易行。     

加味旋覆代赭汤临床应用

[目的]介绍加味旋覆代赭汤的适应症及治疗效果。[方法]选择历年间接诊中使用加味旋覆代赭汤的各类胃虚痰阻,气逆不降的患者采用内服中药加味旋覆代赭石汤。[结果]加味旋覆代赭汤治疗胃虚痰阻,气逆不降患者具有明显临床疗效,治愈率高。[结论]应用加味旋覆代赭汤临证加减,治疗反流性食管炎、胆汁反流性胃炎、顽固性呃逆、化疗诱发的迟发性呕吐等症疗效显著。     

加味旋覆代赭汤临床应用

[目的]介绍加味旋覆代赭汤的适应症及治疗效果。[方法]选择历年间接诊中使用加味旋覆代赭汤的各类胃虚痰阻,气逆不降的患者采用内服中药加味旋覆代赭石汤。[结果]加味旋覆代赭汤治疗胃虚痰阻,气逆不降患者具有明显临床疗效,治愈率高。[结论]应用加味旋覆代赭汤临证加减,治疗反流性食管炎、胆汁反流性胃炎、顽固性呃逆、化疗诱发的迟发性呕吐等症疗效显著。     

旋覆代赭汤在乳腺癌化疗中的应用

目的：观察旋覆代赭汤在防治乳腺癌化疗中出现恶心呕吐反应中的应用。方法：乳腺癌患者随机分为观察组30例和对照组30例,观察组在化疗前3天开始服中药旋覆代赭汤加味治疗至化疗后1周,化疗前静脉注射恩丹西酮。对照组单在化疗前用恩丹西酮。结果：观察组与对照组止吐有效率分别为93．3％与70．0％,两组有统计学差异（P〈0．05）,并能显著改善化疗的不良反应。结论：旋覆代赭汤能有效预防化疗引起的恶心呕吐,减轻化疗毒副作用。     

旋覆代赭汤加味治疗化疗诱发的迟发性呕吐26例

目的:观察经典名方治疗化疗诱发的迟发性呕吐的临床疗效。方法:采用旋覆代赭汤加味治疗本病26例。结果:本组26例患者经治疗2-6d,平均3.3d达到PR,4.5d达到CR。提示:旋覆代赭汤加味可以有效治疗化疗诱发的迟发性呕吐,避免大剂量胃复安引起的严重毒性反应。     

旋覆代赭汤联合耳穴压豆治疗胃癌CINV临床观察

目的 探讨旋覆代赭汤联合耳穴压豆治疗胃癌术后化疗致恶心呕吐(CINV)的疗效。方法 52例患者随机分为治疗组和对照组,各26例,化疗前均给予昂丹司琼治疗,治疗组加用旋覆代赭汤联合耳穴压豆治疗,比较2组临床疗效。结果 治疗组急性恶心呕吐发生率较对照组低(P<0.05);治疗组第1天、第2天、第4天不同程度呕吐发生率较对照组低(P<0.05);治疗组临床疗效优于对照组(P<0.05)。结论 旋覆代赭汤联合耳穴压豆能够增强止吐疗效,值得临床使用。     

薯蓣皂苷水解微生物的筛选

目的:筛选可水解薯蓣皂苷的微生物。方法:从盾叶薯蓣根茎表面、根际土壤、叶片及根茎内筛选可降解薯蓣皂苷得皂苷元的菌株,薯蓣皂苷元采用薄层层析和高效液相色谱法鉴定。结果:筛选得到水解薯蓣皂苷的微生物,经鉴定分别属于曲霉属和交链孢属,并对其中一株菌的产酶特性和发酵工艺进行了初步研究。结论:筛选菌株分泌的薯蓣皂苷水解酶,可水解薯蓣皂苷得到皂苷元。     

Analgesic effect of different moxibustion durations in rheumatoid arthritis rats

OBJECTIVE： To observe the influence of different moxibustion durations on hypothalamic pro-opi- omelanocortin（POMC） and prodynorphin（PDYN） mRNA expressions and plasma β-endorphin（β-EP） content in rheumatoid arthritis（RA） rats, to under- stand the mechanism of moxibustion analgesia and its dose-effect relationship. METHODS： Twelve male Wistar rats were randomly selected from 48 male Wistar rats as a normal con- trol group. The RA model was created by raising rats in a windy（blowing with electric fan）, cold（6 ℃ ±2 ℃）, and wet（80%-90% humidity） environ- ment for 20 days, 12 h each day. This was followed byinjectionofFreund＇scompleteadjuvant（0.15 mL） into the ankle. Then, rats were randomly divided in- to a model group, moxibustion group Ⅰ, and moxi- bustion group Ⅱ, with 12 rats in each group. In moxibustion groups Ⅰ and Ⅱ, moxibustion was given at Shenshu（BL 23） and Zusanli（ST 36） for 20 and 40 min, respectively, once daily for 15 days. Hy- pothalamic POMC and PDYN mRNA expression lev- els and plasma β-EP content were determined.RESULTS： Compared with the normal group, the pressure pain threshold decreased, while the hypo- thalamic POMC and PDYN mRNA expression levels and plasma β-EP content increased in the moxibus- tion groups（P0.01）. Compared with the model group, the pressure pain threshold, hypothalamic POMC and PDYN mRNA expression levels and plas- ma β-EP content in the moxibustion groups in- creased significantly（P0.01）. Compared the moxi- bustion groupⅠ, the pain threshold, hypothalamic POMC and PDYN mRNA expression levels and plas- ma β-EP content in moxibustion groupⅡsignifi- cantly increased（P0.01）. CONCLUSION： Moxibustion has an analgesic effect and increases hypothalamic POMC and PDYN mRNA expression levels and plasma β-EP content inRArats.Theanalgesiceffectinmoxibustiongroup ⅡisbetterthanthatinmoxibustiongroupⅠ.     

HPLC同时测定新健胃包芯片中5种蒽醌类成分的含量

目的:建立HPLC法测定新健胃包芯片中5种蒽醌类成分的含量。方法:色谱柱:Diamonsil C8柱,流动相:甲醇(A)-0.3%磷酸(B)梯度洗脱,柱温:25℃,流速:1.0mL·min-1,检测波长:430nm。结果:芦荟大黄素、大黄酸、大黄素、大黄酚、大黄素甲醚平均回收率(n=9)分别为99.5%,97.7%,105.4%,100.1%,106.1%,RSD值分别为1.15%,1.76%,1.79%,1.74%,1.93%;芦荟大黄素、大黄酸、大黄素、大黄酚、大黄素甲醚分别在进样量为0.041～0.205、0.041～0.202、0.049～0.245、0.097～0.484、0.042～0.212μg与峰面积呈良好线性关系。结论:该方法简便、灵敏、结果准确可靠,适用于该制剂中蒽醌类成分的质量控制。     

国产舒他西林胶囊的相对生物利用度

 目的:了解国产舒他西林胶囊的相对生物利用度,评价其生物等效性。方法:10名健康志愿者随机交叉po单剂量750mg国产舒他西林胶囊和进口片剂后,采用HPLC测定血浆中的血药浓度。结果:口服国产舒他西林胶囊和进口片剂后,利用HPLC测得血浆中药物浓度舒巴坦分别在(38.66±10.39)min和(36.68±11.37)min达到峰值(3.45±2.63)mg·L^-1和(4.21±3.67)mg·L^-1;氨苄西林分别在(26.13±5.98)min和(28.00±7.54)min达到峰值(7.11±2.19)mg·L^-1和(7.46±2.79)mg·L^-1。血药浓度曲线下面积舒巴坦分别为(629.98±177.34)mg·min·L^-1和(687.78±225.44)mg·min·L^-1;氨苄西林分别为(693.87±192.15)mg·min·L^-1和(708.87±202.48)mg·min·L^-1?经药代动力学程序计算拟合后,发现氨苄西林和舒巴坦在体内的过程符合一级吸收和消除的二室模型。国产舒他西林胶囊的相对生物利用度舒巴坦为95%(81%～118%),氨苄西林为99%(81%～115%)两药的主要药代动力学参考无显著性差异(P>0.05)。结论：国产舒他西林胶囊和进品版剂具有生物等效性。     

Gibt es eine Beziehung zwischen Qigong und Moderner Physik?

Based on the principle of completeness, Qigong is described as a method uniting external and internal paths to insight, and this can be perceived while practicing it. The common principle which we approach in every Qigong exercise is named the Dao. In quantum physics, there are also phenomena showing an underlying unity: entanglement of atomic systems.     

基于肉桂质量标志物（Q-Marker）预测的质量控制研究

目的建立一种基于肉桂Cinnamomum cassia质量标志物(quality marker,Q-Marker)预测的质量控制方法,并运用化学计量学综合分析不同产地肉桂质量差异。方法采用高效液相色谱法,通过同时测定肉桂中肉桂醛、香豆素、肉桂醇、肉桂酸及邻甲氧基肉桂醛5种Q-Marker含量,建立肉桂药材的指纹图谱,采用聚类分析、主成分分析等化学计量学手段对27批肉桂药材质量进行评价。结果建立了一测多评法,肉桂醇、肉桂酸及邻甲氧基肉桂醛与内参物肉桂醛的相对校正因子分别为0.135 7、0.211 5、1.592 7;建立了不同产地27批肉桂的HPLC指纹图谱及共有模式,并进行聚类分析、主成分分析和正交偏最小二乘判别分析。结果显示,27批不同产地肉桂可聚为5类,肉桂醛、香豆素是体现3个主产地间样品差异的主要标志性成分,并提示越南产的肉桂成分含量与中国广东、广西产的肉桂存在差异。结论建立的一测多评法能准确、简便地测定肉桂中Q-Marker的含量,不同产地的肉桂药材质量存在一定的差异性。为肉桂质量控制提供了更为科学、全面的依据和基础。     

高效毛细管电泳法研究美托洛尔、艾司洛尔和维拉帕米的对映体的手性分离

目的：用高效毛细管电泳法分离美托洛尔、艾司洛尔和维拉帕米的对映体的手性分离。方法：在６５ｍｍｏｌ·Ｌ－１磷酸盐缓冲溶液中加入５．５ｍｍｏｌ·Ｌ－１羧甲基βＣＤ（ＣＭβＣＤ）手性选择剂,ｐＨ＝４．５,紫外λ２１２ｎｍ检测。结果：美托洛尔、艾司洛尔和维拉帕米的对映体得到基线手性分离。结论：此方法分析速度快,手性分离效果好,可用于上述药物对映体的临床研究。     

温针灸治疗脑卒中后尿潴留患者的临床观察

目的:观察温针灸在脑卒中后尿潴留患者中的治疗作用。方法:24例脑卒中后尿潴留患者随机分为两组,治疗组12例采用温针灸治疗,对照组12例采用单纯针灸治疗,2个疗程后进行疗效评定。结果:治疗组总有效率为98%,对照组89%治疗组疗效优于对照组(P0.05);两组治疗后有效病例起效时间比较,治疗组优于对照组(P0.05)。结论:温针灸治疗脑卒中后尿潴留有一定的临床意义,值得临床采用。     

Welche Wertigkeit besitzt die TCM in der Therapie von malignen Erkrankungen? Eine Expertenbefragung

Background

Acupuncture as a regulative therapy has proved itself in functional disorders. It is incapable, however, of repairing structurally damaged tissue. This dogma has remained unchallenged for decades, making benign as malign tumors a contraindication for acupuncture treatment. As in German-speaking countries, acupuncture has been taught for more than 50 years, it may be time to question and re-evaluate certain dogmas on the basis of modern scientific findings.

Aim

To find a consensus regarding the treatment of malignant tumors by means of Traditional Chinese Medicine.

Method

All instructors of four German-speaking acupuncture societies as well as all DGfAN were provided with a questionnaire containing 11 questions regarding procedures and experiences with Traditional Chinese Medicine in the treatment of carcinoma.

Results

Questionnaires were sent to 56 DGfAN instructors as well as all of the 1'200 members. Of these, 24 were returned. For nearly all participants, malignant tumors do not constitute a contraindication for acupuncture anymore. Many therapists successfully treat the side-effects of chemotherapy and/or radiotherapy by means of Traditional Chinese Medicine.No consensus could be found regarding the ipsilateral use of acupuncture in lymphedema after breast cancer surgery. There should be due caution as to the possible Interactions between chemotherapy and certain Chinese drugs.

Conclusion

The present findings suggest a revision of the current policy of discouraging acupuncture in patients receiving chemo- and/or radiotherapy/anti-hormone therapy. Further studies are recommended to support these findings. Also, further studies are needed to investigate the possibility of augmenting conventional malignoma therapy by stimulation of the immune system, and of preventing metastasis.     

Phasen der Stressbewältigung: Traumaverarbeitung und Akupunktur

After trauma, people accomplish several stages of coping which require certain mental abilities: Fear, aggression, insight, grief, and hope. Traumas are usually coped with in a physiological sense. However, they may also lead to a trauma disorder if the coping is blocked at one or more stages. The stages of stress coping correspond to the metaphoric terms of TCM characterizing the five mento-psycho-somatic abilities acting together in forming a cycle of reaction.In addition to the therapies of post-trauma-disorders, as well as in order to prevent their arising after traumatic life events, non-verbal forms of therapy are suitable. The NADA protocol, devised in the 1980s by Michael Smith et al. in New York is also successful in the treatment of trauma patients. It represents a low-threshold, non-confrontative and non-verbal method of therapy.