Treatment of infantile enuresis by abdomen-kneading and spine-pinching method

首先推拿阑门、建里、中脘、天枢、气海、关元和中极等穴,然后用掌根在脊柱和脊柱两侧自上而下按揉,最后双手拇指和食指捏起皮肤,自长强穴起,沿督脉向上提捏至大椎穴.采用本法治疗89例小儿遗尿患者,经1～3个疗程治疗后,痊愈54例,好转32例,无效3例,有效率为96.6%.     

Treatment of 150 cases of infantile brachial plexus injury by Tuina

取风府、风池、合谷、肩井等穴,应用一指禅推法,按、揉、捏、捻、拿、摇、搓等手法,以温经通络、行气活血、通利关节.治疗150例臂丛神经损伤小儿患者,总有效率99.3%.     

Prostatosis treated with acupuncture and herbal medicine

According to differentiation of symptoms and signs, prostatosis was divided into pattern of dampness and heat in the lower energizer, pattern of qi stagnation and blood stasis, pattern of deficiency and cold in the lower abdomen, and pattern of qi deficiency and kidney deficiency. Prostatosis were treated mainly by acupuncture, plus moxibustion and Chinese medicine, and the effect was good. Author: Zhao Chang-quan (1949-), male, junior consultant doctor Translator: Huang Guo-qi     

Treatment of 25 cases of obstruction of Qi in the chest by Tuina

应用一指禅手法为主治疗25例胸痹患者,结果显示推拿对胸痹患者的各种临床症状均有缓解作用,治愈10例,好转14例,无效1例.     

基于因子分析探讨642例血脂异常合并超重或肥胖患者的证候要素分布与靶标的分析＊

目的 探究血脂异常合并超重或肥胖患者的证候要素分布及靶标，以期对中医临床辨证论治提供理论基础。方法 收集642例血脂异常合并超重或肥胖患者的临床资料（包括89个症状、体征）建立数据库，导入SPSS统计软件，采用因子分析方法对89项中医四诊信息进行降维，提取证候要素，并统计分布特点。结果 共提取得到14个公因子，归纳出5个证候要素：痰浊169例（32.88%）、气虚134例（26.07%）、阳虚98例（19.07%）、阳亢72例（14.01%）、阴虚41例（7.98%），靶标包括脾、肝等脏，以脾为主，占58.11%。结论 血脂异常合并超重或肥胖患者中医证候要素以痰浊和气虚为主，病性为虚实夹杂，病位以脾为常见。提示其治疗宜以化痰、益气、温阳、潜阳、滋阴为主，主张从脾论治，兼顾肝脏，标本同治。     

Apoplectic aphasia treated by collaterals-pricking and bleeding method

Case Example The patient, male, 68 years old, had a sudden seizure of hemiplegia on the right body, deviation of the eye and mouth, aphasia and salivation after getting up in the morning, and was sent to the hospital immediately, and was diagnosed with cerebral infarction after examination and was treated upon diagnosis for over month. Hemiplegia in the limbs and deviation of the eye and mouth had been relieved, but aphasia was still there.     

Treatment of 23 cases of supraorbital neuralgia by acupuncture plus semi-conductive laser

针刺患例阳白透鱼腰、攒竹、太阳、头维、中渚和内庭穴，同时激光照射患侧眉毛正中约1cm处，治疗了23例眶上神经痛患者。治疗10次后，痊愈19例，显效4例。     

香丹注射液对气滞血瘀证疗效与安全性再评价

目的:评价香丹注射液对气滞血瘀证的临床疗效与安全性。方法:采用队列研究方法,将不同疾病符合气滞血瘀证诊断且同意使用香丹注射液的患者形成的自然队列作为观察组,共142例,而未使用香丹注射液的患者96例作为对照组。结果:香丹注射液能降低气滞血瘀证证候积分(P<0.01),对气滞血瘀证总有效分别为89.43%,优于对照组的72.91%(P<0.01);观察组共出现8例不良反应,不良发生率5.63%,均为轻/中度。结论:香丹注射液对气滞血瘀证的治疗是有效的,但临床使用需要注意其安全性。     

Treatment of Infantile Night Crying by Dr. SHAN＇s Infantile Tuina Therapy

观察以推拿疗法治疗小儿夜啼的临床效果.对20例小儿夜啼采用单氏小儿推拿法辨证治疗.20例患者,治愈12例,好转6例,无效2例,总有效率90.0%.单氏小儿推拿法由已故单吉平医师所创,疗效显著,易受患儿所接受.     

Treatment of cervical type of cervical spondylosis with electroacupuncture therapy

针刺双侧风池穴和大杼穴、病变相应的颈椎节段夹脊穴,得气后接电针仪,治疗了52例颈型颈椎病患者.结果治愈28例,好转17例,无效7例,总有效率为86.5%.     

Clinical observation of infantile persisting diarrhea treated by spine-pinching manipulation plus moxibustion

Purpose: To observe the clinical therapcutic effect in the treatment of infantile persisting diarrhea with the spine-pinching manipulation plus moxibustion.Methods: 110 cases of the sick children were randomly divided into 68 cases in the treatment group and 42 cases in the control group for comparative observation. The treatment group was treated by the spine-pinching manipulation and the control group was given the expectant treatment of western medicine.Results: The total effective rates were 97.0% and 81.0% in the treatment group and control group respectively, and the therapeutic effect in the treatment was better group than in the control group (P<0.01).Conclusion: The treatment of infantile persisting diarrhea by the spine-pinching manipulation plus moxibustion could remarkably enhance the therapeutic effect and shorten the courses of the treatment. Author: WANG Juan-yi (1975-), female, physician Translator: HUANG Guo-qi     

四逆汤加减保留灌肠治疗小儿腹泻180例

目的:观察四逆汤灌肠在小儿腹泻治疗中的临床疗效.方法:180例小儿腹泻患者随机分为治疗组90例,给予四逆汤灌肠治疗;对照组90例,给予口服枯草杆菌二联活菌颗粒(妈咪爱),72 h后评价临床疗效并观察不良反应.结果:治疗组的总有效率为83.0％,高于对照组72.0％,经统计学比较(P＜0.05),具有显著性差异.结论:四逆汤灌肠治疗小儿腹泻疗效确切,且无明显不良反应.中药灌肠治疗小儿腹泻具有良好的临床效果.     

Superficial needling therapy for tennis elbow in 40 cases

Superficial needling therapy was employed to treat 40 cases of tennis elbow. For the cases of qi and blood stagnation, cupping therapy was added. Thirty-eight cases were cured after one treatment and 2 cases were cured after two treatments. Author: Ge Heng-bi (1945-), males, attending physician Translator: Xiao Yuan-chun     

基于Delphi法的高原红细胞增多症中医证候研究＊

目的 初步确定高原红细胞增多症中医基本证型及辨证要点。方法 在文献研究与临床病例回顾性研究的基础上，采用Delphi法开展2轮专家咨询。结果 第1轮问卷克朗巴赫系数为0.951，Cr为0.859；第2轮问卷克朗巴赫系数为0.968，Cr为0.866。两轮专家对高原红细胞增多症气虚血瘀、气阴两虚、痰湿阻肺、气滞血瘀4个临床证型共53项指标的一致性检验，其中43项指标一致性良好（P > 0.05），10项指标一致性较差（P < 0.05）。结论 初步获得高原红细胞增多症气虚血瘀、气阴两虚、气滞血瘀、痰湿阻肺、气血两虚5个基本证型及辨证要点。     

Tuina treatment of infantile eczema

以推拿疗法联合西药治疗20例小儿湿疹患者,并以西药治疗18例作对照.两组有效率分别为100%和90.0%,疗效有差异(P＜0.01).     

Treatment of 78 cases of knee osteoarthritis by electroacupuncture

针刺膝关节周围的4个穴位,犊鼻、内膝眼、梁丘和血海,得气后接电针,并用TDP照射膝关节,治疗了78例膝关节骨性关节炎患者.治疗2个疗程后,临床治愈26例,显效18例,好转31例,无效3例,总有效率96.2%.     

痛经与中医体质相关性分析＊

目的 探讨痛经患者的相关特点及体质分布，探索痛经体质及情志因素对痛经的影响，为不同体质类型痛经患者制定治疗方案提供参考，提供康复、体质调节方案。方法 采用自制痛经调查表，国际焦虑调查表和国际抑郁调查表以及王琦的《中医体质量表》对收集的患者进行调查问卷,筛选出有效病例158例，将所得数据录入Excel表，运用SPSS13.0对数据进行统计分析。结果 ①偏颇质占91.1%，平和质占8.9%，其中偏颇质出现频率最高的体质为痰湿质，占25.3%。气郁质，占19%；②不同体质类型的情志失调程度比较：不同体质类型痛经患者的焦虑抑郁程度有差别，其中平和组较气郁、湿热、痰湿、阳虚轻（P < 0.05），气虚较气郁、湿热、痰湿、阳虚轻（P < 0.05），气郁较痰湿、阳虚、阴虚重（P < 0.05）；③痛经疼痛程度的分布结果 可以忍耐29例（占36.7%），坐立不宁33例（占41.8%），卧床休息12例（占15.2%），痛到昏倒3例（占3.8%）。发现痛经患者多数坐立不宁（41.8%），其中，轻度可以忍耐的患者在抑郁程度上，明显小于其他3组。结论 痛经与中医体质分布关系密切。     

Clinical observation of infantile cerebral palsy mainly treated by scalp acupuncture

Purpose: The clinical effects of scalp acupuncture in treating infantile cerebral palsy were observed.Methods: Forty-five patients were treated by scalp acupuncture, functional exercise, intravenous drip, and parents' instructive training.Results: Basic recovery occurred in 4 cases, marked effectiveness in 21 cases and effectiveness in 15 cases. The total effective rate was 88.9%. The shorter duration and the longer course were, the better curative effects got.Conclusion: A combined treatment of scalp acupuncture, physiotherapy and intravenous drip can markedly improve clinical symptoms, signs, and intelligence in children with cerebral palsy. Author: REN Yi-zhong (1965-), male, attending physician Translator: XIAO Yuan-chun     

多囊卵巢综合征中医证候与中医体质关系研究

[目的]观察多囊卵巢综合征患者中医证候与中医体质的关系。[方法]选取黑龙江中医药大学附属第一医院妇科门诊收集的多囊卵巢综合征患者病例,对患者进行中医证候分型和中医体质判定,观察分析不同证候类型的多囊卵巢综合征患者中医体质分布是否存在差异。[结果]共收集263例符合纳入标准及排除标准的多囊卵巢综合征患者。中医证候分型以脾虚痰湿证居多,83例,占31.6%,其次为肾虚肝郁证77例,占29.3%;痰瘀互结证70例,占26.6%、肾虚血瘀证33例,占12.5%。中医体质以气虚质(74例,28.1%)、血瘀质(53例,20.2%)、痰湿质(51例,19.4%)3种体质占主要比例。4种中医证候的中医体质分布差异均有统计学意义,脾虚痰湿证以气虚质和痰湿质为主要体质;肾虚肝郁证的体质以气虚质及气郁质为多;痰瘀互结证中以血瘀质和痰湿质占主要比例;肾虚血瘀证中血瘀质和气虚质为主要体质。[结论]多囊卵巢综合征不同中医证候间中医体质分布存在差异,中医体质的特异性影响中医证候的类型。     

慢性肾炎中医证型与免疫学指标的相关性分析

目的探讨慢性肾炎中医证型与T淋巴细胞亚群、免疫球蛋白及补体的相关性,为慢性肾炎中医辨证提供客观依据。方法选取120例慢性肾炎患者为评价对象(慢性肾炎组),并选择40例健康人为对照组,同步检测两组的T淋巴细胞亚群、免疫球蛋白及补体,并按照中医证型进行相关性分析。结果与健康组比较,慢性肾炎组患者血Ig A、Ig G、C3、CD3+、CD4+、CD4+/CD8+水平降低,CD8+水平增高(P<0.05,P<0.01);其中,慢性肾炎患者的Ig A、Ig G、CD3+、CD4+、CD4+/CD8+水平在脾肾阳虚型中最低、脾肾气虚型次之、肝肾阴虚型最高,C3在肺肾气虚型中最低,CD8+水平在肝肾阴虚型中最低、脾肾阳虚型中最高,差异均有统计学意义(P<0.05,P<0.01)。结论 T淋巴细胞亚群、免疫球蛋白及补体水平等免疫学客观指标与慢性肾炎有关,且与中医证型存在明显的相关性,提示慢性肾炎阴阳失衡中存在免疫功能缺陷。