慢性肝炎的辨治体会

慢性肝炎为西医病名,是临床常见病。目前,西医多采用抗病毒、免疫、保肝等方法治疗,但疗效不够理想。本病属中医的“胁痛”、“黄疸”、“积聚”、“湿瘟”等病证范畴。近年来,笔者运用中医辨证治疗,取得较好疗效,现报道如下,与同道切磋。1湿热蕴结证此证型多见于发病初期,以黄     

浅谈慢性乙型肝炎辨证用药思路

在慢性乙型肝炎的治疗中,中医和西医各有侧重点,西医对乙肝的基础研究要超过中医,中医的保肝、降酶、利胆退黄作用更加明显.治疗慢性乙型肝炎时应遵循选择合适的药物、明确用药目的、处方精练、药量准确、不盲目自信等原则,才能取得良好的效果.     

中药治疗急性黄疸型肝炎68例体会

急性黄疸型肝炎,临床上并不少见,目前西医治疗效果局限,中医辩证治疗,常能短期获取良效达到祛湿退黄的目的。结果:通过临床多年实践,取得显著疗效。     

芪黄益肺合剂治疗慢性阻塞性肺疾病急性加重期的临床分析

目的:观察芪黄益肺合剂治疗慢性阻塞性肺疾病急性加重期的临床疗效。方法:将53例入选患者随机分为两组,治疗组25例,对照组28例,治疗组在西医常规治疗基础上加用芪黄益肺合剂治疗,对照组采用西医规范治疗。比较两组临床症状改善情况。结果:治疗后两组中医证候积分比较,治疗组总有效率84.00%,对照组总有效率67.86%;两组相比有显著性意义(P<0.05)。结论:芪黄益肺合剂结合西医常规治疗慢性阻塞性肺疾病急性加重期较单纯西医常规治疗能改善临床症状。     

降黄合剂Ⅱ号治疗慢性乙型肝炎轻中度黄疸临床研究

目的:观察降黄合剂Ⅱ号对慢性乙型肝炎所致轻中度黄疸患者的影响。方法:将63例慢性乙型肝炎所致轻中度黄疸患者患者随机分为两组,脱落3例,30例治疗组在西医治疗的基础上加服降黄合剂Ⅱ号,对照组给予西医治疗,疗程为4周。结果:两组治疗后中医、西医疗效比较,差异有统计学意义;治疗组在改善肝功能(ALT、AST、TBIL、DBIL)优于对照组。结论:降黄合剂Ⅱ号能明显改善慢性乙型肝炎所致轻中黄疸患者主要症状及肝功能情况,提高疗效。     

各地西医积极学习中医

省结核病防治所在防痨业务中,认真的貫彻中医政策,发揚祖国的医学遺产,取得显著成績。在中医治疗中,西医协助病情檢查、观察和急診的处理。并采取了双重記录病案的办法,来总結分析中医疗效上的经验。如对一例肺結核合并再生障碍性貧血病人,在中西医师共同努力下写出了論文。青年医师陈青云在中西医合流的号召下,大胆提議黄連素与異菸胼的化学合成为新抗痨药,目前已提炼出結晶,正在临床运用。許多西医人員,都能在临床治疗     

中医活血化瘀法用于子宫肌瘤治疗的临床探究

目的:探讨中医活血化瘀法用于子宫肌瘤治疗的临床效果。方法:选取94例子宫肌瘤患者,采取随机数表法,将其分为中医组和西医组,每组患者47例,中医组应用活血化瘀法治疗,西医组应用常规西医治疗,对比疗效。结果:中医组患者治疗前后子宫肌瘤缩小程度明显优于西医组,有统计学差异(P0.05);中医组患者取得了较好的治疗效果,其疗效明显优于西医组,两组数据对比有统计学差异(P0.05)。结论:中医活血化瘀法治疗子宫肌瘤效果有效、安全,具有临床应用意义。     

病毒性肝炎黄疸的中西医治疗

病毒性肝炎患者病程中常常伴随黄疸的加重,有效治疗肝病患者黄疸一直是治疗肝炎的难题。单纯中医及西医内科保肝退黄保守治疗,对于轻中度黄疸治疗效果尚可,对于重度黄疸效果均不能令人满意。中西医结合退黄在临床改善症状、退黄速度、个体差异治疗、减少患者费用方面都取得了良好的临床疗效。     

浅析姚祖培教授治疗心悸经验

姚祖培教授系国医大师朱良春弟子,江苏省名中医,主任中医师,硕士研究生导师,业医近四十年,一直致力于中医药研究,潜心临床,医术精湛,学验俱丰,对心血管内科疾病尤多建树,充分体现了中医整体观念,辨证论治的精髓,本人有幸跟随姚师侍诊学习,受益颇多,现不揣浅薄,将姚师治疗心悸之经验小结如下,以供同道借鉴参考.     

浅析姚祖培教授治疗心悸经验

姚祖培教授系国医大师朱良春弟子，江苏省名中医，主任中医师，硕士研究生导师，业医近四十年，一直致力于中医药研究，潜心临床，医术精湛，学验俱丰，对心血管内科疾病尤多建树，充分体现了中医整体观念，辨证论治的精髓，本人有幸跟随姚师侍诊学习，受益颇多，现不揣浅薄，将姚师治疗心悸之经验小结如下，以供同道借鉴参考。     

Oplopanax elatus（Nakai） Nakai： chemistry,traditional use and pharmacology

Oplopanax elatus（Nakai） Nakai, a member of the ancient angiosperm plant family Araliaceae, is used for the treatment of different disorders in the medicine systems of China, Russia, and Korea, and was designated in Russia as a classical adaptogen. Despite extensive studies of classical adaptogens, there are comparatively few reports concerning the chemical composition and pharmacological effects of O. elatus in English. The plant is a potential source of saponins, flavonoids, anthraquinones, terpenes, and other active compounds. Experimental studies and clinical applications have indicated that O. elatus possesses a number of pharmacological activities, including adaptogenic, anti-convulsant, anti-diabetic, anti-fungal, anti-inflammatory, anti-oxidant, blood pressure modulating, and reproductive function effects. In this review, the chemistry, safety, and therapeutic potential of O. elatus are summarized and highlighted to encourage the further development of this plant.     

Effect of Zhuyeshigao granule on tumor necrosis factor-a and inter- leukins serum protein levels in rats with radiation esophagitis

OBJECTIVE： To investigate the effects of Zhuyesh- igao granule （ZSG） on tumor necrosis factor-a （TNF-a）, interleukin-1 （IL-1）, IL-2, IL-6, and IL-8 in rats with radiation esophagitis. METHODS： Fifty Wistar rats were randomly divid- ed into five groups （10 rats in each group）： con- trol （without radiation）, saline-treated, and low, medium, and high-dose ISG-treated groups. Rats were given normal saline （10 mL/kg） or 1.15, 2.3, or 4.6 g/kg ZSG by intragastric administration once a day for 7 days. A rat model of radiation esophagi- tis was established by local irradiation of Co60 （490.25 cGy/min, totaling 30 Gy）. The administra- tion of ZSG was continued for another 7 days and on the 7th day post-irradiation, inferior vena cavablood was collected. The serum was separated, and TNF-a, IL-1, IL-2, 11_-6, and IL-8 protein levels were determined. RESULTS： Inflammatory response factors were found in the serum of each group. However, levels in ZSG-treated groups were significantly lower than in the saline-treated group （P〈0.05）. CONCLUSION： ZSG may prevent the development of radiation esophagitis, perhaps by inhibiting the generation and release of the inflammatory re- sponse factors TNF-a, IL-1, IL-2, IL-6, and IL-8.     

Cytological and biochemical studies during the progression of alloxan-induced diabetes and possible protection of an aqueous leaf extract of Costus afer

Some plants have proven efficacy in the management of diabetes mellitus, of which Costus afer is one. This study was designed to evaluate the cytological and biochemical properties, and comparative ameliorating effects, of an aqueous extract of Costus afer Ker Gawl.（Costaceae） leaf and glibenclamide（GBM）, in liver, kidney, and pancreatic injury induced by alloxan. Thirty male albino rats were divided into six weight-matched groups. Group one served as the negative control（non-induced and non-treated, control）, while groups 2–6 were alloxan-induced diabetic groups. Group 2 served as a positive control（induced and non-treated, IC）, groups 3–5 were treated with different doses of the extract（375, 750, and 1 125 mg/kg body weight） and glibenclamide, respectively. Body weight, absolute and relative organ weights, food and fluid intake, levels of serum glucose and liver enzymes and kidney parameters were calculated and compared. Hepatocytes, renal tubules, and pancreatic cells of diabetic rats, in diabetic non-treated and treated rats were harvested and examined histopathologically. There was dose dependent amelioration on the injuries induced by alloxan on both hepatocytes, renal tubules, and pancreatic cells after treatment with Costus afer. The glucose level was reduced significantly in the Costus afer treated diabetic rats compared with the non-treated diabetic group. Costus afer leaves seem to be effective against diabetic cell injury induced in rat liver, kidney, and pancreas.     

中药膏方治疗疑难杂症验案4则

所谓膏方又称膏滋方,具有治病纠偏,滋补强身等多种作用。时下在江南一带时兴冬令以膏方进补,实际上是中药传统剂型的丸、散、膏、丹、汤、酒、露、锭八种剂型之一。由于服用方便、疗效显著,在一年四季均可服用,尤其是针对一些需长期服药的慢性病或疑难顽症,更适合以膏方来调治。现代家庭多具备冰箱冷藏的条件,这为膏剂的收藏提供了方便。因此,更可以提倡以膏方剂型来治疗诸多慢性疾病。笔者常不拘季节以膏方为主,根据辨证施治原则来治疗某些疑难病症,现撷取4则医案,以飨读者,不当之处,请多赐教为盼。     

Polysaccharides from Tricholoma matsutake and Lentinus edodes enhance 5-fluorouracil-mediated H22 cell growth inhibition

OBJECTIVE： Few studies have investigated the ef- fects produced by combinations of polysaccharides and chemotherapeutic drugs in cancer treatment. We hypothesized that a combination of polysaccha- rides （COP） from Lentinus edodes and Tricholoma matsutake would improve the efficacy of 5-fluoro- uracil （5-FU）-mediated inhibition of H22 cell growth. METHODS： Mice were injected H22 cells and then treated with either 5-FU, polysaccharides from Tri- choloma matsutake （PTM）, polysaccharides from Lentinus edodes （PL）, PTM ＋ PL, 5-FU ＋ PTM, 5-FU ＋ PL, or 5-FU ＋ COR The tumor weight and volume, and splenic CD4 ＋ and CD8 ＋ T cell frequencies, were determined. Additionally, splenic natural killer （NK） cell and cytotoxic T lymphocyte （CTL） activities were assessed and the serum levels of tumor necro- sis factor-a （TNF-a）, Interleukin-2 （IL-2）, and Interfer- on-y （IFN-y） were measured. RESULTS： Compared with mice from the control,5-FU, PL, PTM, PTM ＋ PL, 5-FU ＋ PL, and 5-FU ＋ PTM groups, mice treated with 5-FU ＋ COP showed： （a） significantly reduced tumor weight and volume （P〈 0.05）, （b） significantly higher serum levels of TNF-α, IL-2, and IFN-y （P〈0.05）, （c） significantly increased CD4＋ and CD8＋ 1 cell frequencies in the spleen （P〈 0.05）, and （d） significantly increased splenic NK cell and CTL activities （P〈0.05）. The tumor weight and volume in mice treated with 5-FU＋PL or 5-FU＋PTM were significantly reduced compared with mice treated with 5-FU alone （P〈0.05）. Serum levels of TNF-α, 11.-2, and IFN-y, frequencies of CD4 ＋ and CD8＋ T cells in the spleen, and splenic NK and CTL activities were also significantly increased in mice treated with 5-FU＋PL or 5-FU＋PTM compared with mice treated with 5-FU alone （P〈0.05）. CONCLUSION： Polysaccharides from Lentinus edodes and Tricholoma matsutake could enhance the efficacy of 5-FU-mediated H22 cell growth inhi- bition.     

叶景华运用滋肾通关丸治疗泌尿系统疾病经验

介绍叶景华运用滋肾通关丸治疗泌尿系统疾病的经验,并附验案5则。     

刘公望运用经方治疗放化疗不良反应验案2则

恶性肿瘤的致死率甚高,源自上皮组织者称为癌,源自间叶非上皮组织者称为肉瘤,二者均病情凶险,预后恶劣。目前肿瘤的治疗有外科手术治疗、放射治疗及化学治疗。在放化疗过程中往往发生毒副作用,导致患者的抵抗力下降,严重时可影响治疗的继续进行。刘公望教授巧用经方治疗放化疗后引起的毒副反应,收效良好。现举医案2则,以飨读者。     

Aqueous extract of Taxus Chinensis （Pilger） Rehd inhibits lung carci- noma A549 cells through the epidermal growth factor receptor/mi- togen-activated protein kinase pathway in vitro and in vivo

OBJECTIVE： To explore the anticancer mechanism of aqueous extract of Taxus Chinensis （Pilger） Rehd （AETC）. METHODS： The serum pharmacological method was used to avoid interference from administration of the crude medicinal herbs. Eight purebred NewZealand rabbits were used for preparation of serum containing various concentrations of AETC. For- ty-eight Balb/c-nu mice were used for in vivo experi- ments. The effects of serum containing AETC on the proliferation of A549 cells and expression levels of the epidermal growth factor receptor/mito- gen-activated protein kinase （EGFR/MAPK） path- way-related proteins in vitro were investigated. Ad- ditionally, the effects on the growth of A549 xeno- grafts in nude mice, and expression levels of the EG- FR/MAPK pathway-related proteins in the xeno- grafts, were investigated. RESULTS： 3-（4,5-dimethylthiazol-2-yl）-2,5-diphenyl- tetrazolium bromide （MTT） assay revealed that the serum containing AETC significantly decreased the viability of A549 cells in a dose-dependent manner. Western blot showed that the serum containing various concentrations of AETC strongly reduced the levels of phospho-Jun N-terminal kinase （p-JNK） and phospho-extracellular signal-regulated kinasel/2 （ERK1/2） while it increased the level of p-p38. However, no significant effects on the ex- pression levels of JNK, ERK1/2, and p38 MAPK were found. In addition, an anticancer effect from AETC was observed in vivo in the Balb/c-nu mice bearing A549 xenografts.CONCLUSION： AETC has significant effects on the growth of A549 xenografts and on the activity of the EGFR/MAPK pathway. Therefore, AETC may be beneficial in lung carcinoma treatment.     

Clinical Application of Yongquan （KI 1）Acupointd

Yongquan （KI 1） is the Jing-Well point of Kidney Meridian of Foot Shaoyin. It can be used to treat many kinds of diseases, such as parietal headache, vertigo and blurred vision, hypopharynx swelling and pain, dry tongue, voice loss, epistaxis, apoplexy and apoplectic sequela, dysufia, ungratifying defecation, epilepsy, syncope, planter fever, palpitations, lower limbs spasm, hypertension, vomiting, infantile convulsion. The author applied Yongquan （KI 1） in clinical practice and obtained satisfactory therapeutic effects. Now five cases were introduced as follows.