解读《神农本草经》

原文:夫大病之主有中风,伤寒,寒热,温疟,中恶,霍乱,大腹水肿,肠游,下痢,大小便不通,贲豚,上气,咳逆,呕吐,黄疸,消渴,留饮,癖食,坚积,症瘕,惊邪,癫痫,鬼疰,喉痹,齿痛,耳聋,目盲,金疮,踒折,痈肿,恶疮,痔,漏,瘿瘤,男子五劳七伤,虚乏羸瘦,女子带下,崩中,血闭,阴蚀。虫蛇蛊毒所伤。此大略宗兆,其间变动枝叶,各宜依端绪以取之。     

关于概括腧穴主治方法的几点思考

腧穴主治就是腧穴所能治疗的病症,随着不断的临床实践,其内容由少到多.以合谷主治为例,晋代<针灸甲乙经>有"鼻鼽衄,热病汗不出, 目,目痛瞑,头痛,龋齿痛"," 疟","寒热","狂易","瘖不能言","聋,耳中不通"[1]等12个;明代<针灸大成>有"伤寒大渴,脉浮在表,发热恶寒,头痛脊强,无汗,寒热疟,鼻衄不止,热病汗不出,目视不明,生白翳,下齿龋,耳聋,喉痹,面肿,唇吻不收, 不能言,口噤不开,偏风,风疹,痂疥,偏正头痛,腰脊内引痛,小儿单乳鹅".等23个;当前高等医药院校试用教材<腧穴学>载"头痛,眩晕,目赤肿痛,鼻衄,鼻渊,齿痛,耳聋,面肿,疔疮,咽喉肿痛,失喑,牙关紧闭,口眼呐斜,痄腮,指挛,臂痛,半身不遂,发热恶寒,无汗,多汗,咳嗽,经闭,滞产,胃痛,腹痛,便秘,痢疾,小儿惊风,瘾疹,疥疮,疟疾"[3]等31个.而即使这些,也只是合谷穴的典型主治病症,实际应用更复杂.因此,研究、分析腧穴主治,找出其中规律,就变得愈发必要、迫切.就现存针灸文献分析,概括腧穴主治的方法主要有以下4种.     

老年养生三字诀

人到老,不服老,童心在,不老药。心不顺,赏花草,经常笑,变年少。薄名利,无烦恼,不贪得,杂念抛。事临头,忍为妙,多谦让,别急躁。行方便,人称道,依本分,心理好。邻里和,勿口角,家庭睦,乐陶陶。不嫉妒,少计较,心境宽,病不扰。心常静,神勿劳,色莫贪,精不耗。善交往,广爱好,常知足,自逍遥。不挑食,莫过饱,酒少量,烟戒掉。打耳光,撮谷道,发常梳,晚洗脚。腿莫懒,常踮脚,目常运,伸懒腰。腹常摩,肢节摇,气血通,百病消。勤用脑,可防老,常锻炼,寿自高。     

AUTHOR INDEX FOR VOLUME 5

A AGARWAL, A.K., 87 B BANERJEE, T.K., 325 BHATTACHARYA, B., 178 BHATTACHARYA, SHELLEY, 18, 178 236, 355 BIAS, HVARONG, 115 BOSE, SHAMBHUNATH, 355 C CAI, LU, 46 CAI, SHIWEN,130 CAO, ZHAOJING, 136 CHANG, LOUIS, W., 283, 293 CHAUDHURY, SHIBANI, 355 CHEN, CHANG, 149 CHEN, CHIEH-Fu, 283,293 CHEN, HUA, 229 GUAN, LI, 257 GUHA, DHRITI, 92 GUPTA, B.N., 321 GUPTA, N., 87 H HALDER, P., 178 HE, SHUNZHONG, 115 HE, XIWEN, 276 HOWELL, KATHY, S., 3 HU, WENJUAN, 161 HUANG, CHENGYU, 25 HUANG, JIANG, 136 HUANG, JIANPING, 115 HUSAIN, FIDA, 251 J JIANG, XUEZHI,266 JING, XIPENG, 221 JIU, YIQUAN, 115 JONES, ROSS, E., 314 LU, JING, 276 LUO, XUEYUN, 161 LUO, YUNDA 366 M MALLICK, NIRUPAMA, 65, 241 MAO, XU, 125 MATHUR, A.K., 321 MUKHERJEE, DILIP, 92 N NARA NG, S., 321 NASU, M., 25 OKUDA, A., 25 PAK, D.C.H., 99     

AUTHOR INDEX FOR VOLUME 4

A ABDALLAH, KHASAWINAH, 317 AINSLEY, WESTON, 73 ALFONSO, DI, MuccIo, 415 ALI, SYED, F., 207 ALICJA, MARKOWSKA, 166 AN, FENGCHUN, 268 ANGELO, TURTtlRRO, 2, 130 ARTHtJR, FURST, 242 B BAI, GUANG, 273 BASTONE, A., 339 BEILSTEIN, M. A., 392 BELAND, FREDERICK, A., 69 BENSON, WAYNE, R., 113 BHATTACHARYA, R., 384, 452 BONDY, STEPHEN, C., 217 BOTTONI, P., 339 BOVNIAS, M., 376 BOWMAN, ELISE, D., 73 BRECKLER. STEVEN.J.,166     

AUTHOR INDEX FOR VOLUME 2

BBELLls^z,M^RI^S^Nn以,287BERs^CCH一,M^Rlo,287BHA仃^eH^Rv^,S^MIR,92BH^TTAeH^Rv^,SHELLEv,92B一vINs,FRANK G.,54BouNIAs,M.,106BRY^N,GEoRGE T.,36 HH^^s一oBELlus,M^RoRET,249Ho,1 .K,295HosKINs,Bo 295HouGH,AueREYJ,54HouK,VERNoN N.,48Hu,Su一YINe,3 18Hu,WEN一Ju^N,65Hu,YuHLJ^,1 50 CCAMONI,Iv^No,287C^RR,C.J￡LLEFr,177CAseINO,P.,106CHAN,G.Y.5.,131CHANe,Lou一5 Wo 54CH^RYuLLJ,P.B.B.N.,CH八盯就竹E,M.,385CHEN,X一AoM一NG,65CHEuNo,Y.H.,81CHou…     

SUBJECT INDEX

6-OHDA,substantia nigra,parkinson disease,207089 abdominal compartment syndrome ,full abdominoplasty,207530 abdominoplasty,abdominal defect ,polypropylene,207531 ace tabular ,hipjoint ,dislocation,fixation,207421 acetabulum,fracture ,riskfactors treatment ,207422 acinetobacter baumannii ,nosocomial infection,207008 acoustic neuromas ,facial nerve,207451 acoustic neuromas ,retrosignal approach,207452 acute severe headinjury,progesterone,207255 adenovirus ,colon carcinoma,RNAinference,207382 ad…     

缬草（Valerian）

又名 Amantilla, All-Heal, Baldrian, Baldrianwurzel, Belgium Valerian, Common Valerian, Fragrant Valerian, Garden Heliotrope, Garden Valerian, Indian Valerian, Mexican Valerian, Pacific Valerian, Valeriana, Valerianae radix, Valeriana rhizome, Valeriane。     

补中益气汤加附子治疗低血压

患者安某,52岁,男性,曾患过黄疸及结核病,自1969年由于低血压容易疲劳、懒倦,精神不振,经治疗未见好转。目前,患者消瘦,仍易疲劳、懒倦,易感冒,情绪不安,严重失眠,面色青白无华,全身多汗,头沉发紧,耳鸣,听力稍有减退,流涕,口淡无味,咳嗽,经常咽后部干燥,晨起咳嗽较重,痰少不易咳出。胸闷,胸腹动悸,胃部郁闷胀满,足腰发冷,脱肛,大便正常,两天一次,但有排不尽之感,血压105/53 mmHg,食欲不好,偏食,喜食水果、肉     

糖尿病并发周围神经病变误诊为冠心病1例

患者,男,51岁,主因"左后背疼痛2d"入院,该患者无明显诱因出现左后背伴左上肢疼痛,伴胸闷,心前区不适,无胸痛,无发热,无恶心呕吐,无大汗淋漓,既往冠心病,糖尿病病史,血糖控制不理想,BP:120/70mmHg,双肺(-),HR 70次/min,率齐,低钝,未闻及杂音,心电图显示心肌缺血,诊断为冠心病,急性冠脉综合征.给予扩张血管,营养心肌,活血化瘀等药物治疗,胸闷症状好转,仍后背疼痛,血糖10mmol/L左右,住院期间颈椎磁共振,未见明显异常,诊断为糖尿病并周围神经病变,给予弥可保0.5mg,每日3次,针灸秉风,手三里,曲池,双关,天寰等穴位,同时积极控制血糖,10d后,后背疼痛症状明显好转.     

妊娠期糖尿病胎儿常规行心超检查的临床研究

目的评价对孕中期胎儿超声畸形筛查结果正常的妊娠期糖尿病胎儿常规行超声心动图检查的价值。方法回顾本院自2010年1月-2012年1月接受胎儿超声心动图检查的资料,将唯一检查指征为母亲患妊娠期糖尿病的病例纳入研究,且这些病例孕中期胎儿超声畸形筛查结果均无异常。结果共40例妊娠期糖尿病胎儿纳入研究,检出先天性心脏病4例,未发现严重先天性心脏病,胎儿超声心动图检查准确率为95％。结论妊娠期糖尿病胎儿常规行超声心动图检查并不能明显提高对严重先天性心脏病的胎内栓出率。     

Fetal echocardiography at West Virginia University: a seven-year experience

The last decade has seen tremendous growth and utilization of fetal echocardiography. In order to assess the indications and yield of fetal echocardiography at West Virginia University, all fetal echocardiograms performed during a seven-year period were reviewed. There were 931 fetal echocardiograms performed on 803 women during this time period and there was a large increase in referral rate as has been seen in other regions. The highest yield of abnormalities was seen in fetuses referred secondary to the finding of an abnormal fetal cardiac exam on routine screening ultrasound (55.6%), or fetal anomalies of other organs (8.2%). These two indications alone were responsible for 77.8% of identified cases of congenital heart disease by fetal echocardiography during this time period. The resultant findings highlight the need for thorough obstetrical screening ultrasound, including the four chamber view of the heart.     

产前超声筛查胎儿先天性心脏病的临床价值分析

目的探讨胎儿超声心动图（FECG）产前筛查胎儿先天性心脏病（CHD）的临床应用价值。方法采用四腔心、左室流出道、右室流出道、三血管切面四切面法,对6 500例孕20～41周孕妇进行产前FECG筛查,以引产后尸解或产后新生儿ECG作为对照标准。结果 6 500例胎儿中,检出胎儿心脏异常69例,包括复杂性先天心脏病部分合并心外畸形39例。结论四切面检查方法简便可靠,是显示胎儿心脏结构及产前筛查胎儿CHD的重要影像诊断方法。     

超声心动图在诊断胎儿先心病中的价值

目的探讨超声心动图筛查胎儿先天性心脏病的可行性及临床价值、意义。方法对5 851例孕妇进行超声心动图检查,筛查严重的胎儿先天性心脏病。结果经5 851例胎儿超声心动图探查,共检出88例胎儿心血管畸形。5 851例胎儿中漏诊肌部室间隔缺损3例。部分孕妇到上级医院进一步检查得到证实,部分生后超声心动图随访结果与产前诊断相符。结论胎儿超声心动图是检查胎儿心脏畸形的有价值的无创性检测技术,可以早期发现严重先心病胎儿,应用超声心动图筛查胎儿先天性心脏病是可行的。     

超声心动图在产前诊断胎儿先天性心脏病中的临床探讨

目的:观察超声心动图在胎儿先天性心脏病中的产前诊断价值.方法:选取2010年6月至2011年7月在我院行产前检查的孕周为20-24周的8481例孕妇的胎儿心脏行超声心动图检查,观察超声心动图对胎儿先天性心脏病的诊断准确性,并在出生后对新生儿进行随访追踪,以便进行验证.结果:8481例孕产妇经超声心动图检查后怀疑有67例患有胎儿先天性心脏病,发病率为0.79%;术后及随访确诊的有66例,准确率为98.51%;1例胎儿发生误诊,误诊率为1.49%,漏诊5例,漏诊率0.58%.结论:超声心动图在产前诊断胎儿先天性心脏病具有较高准确率,对在产前进行胎儿先天性心脏病的筛查具有重要意义,值得临床上应用.     

应用胎儿超声心动图技术早期诊断动脉导管依赖型先天性心脏病

目的：探讨胎儿超声心动图对动脉导管依赖型先天性心脏病的临床诊断价值。方法：回顾分析16例经证实的动脉导管依赖型先心病的胎儿超声心动图资料，观察四腔心切面、三血管切面、左室流出道、右室流出道切面、主动脉弓和动脉导管弓长轴切面以及上下腔静脉汇入右房切面，总结其异常声像图特点，探索应用胎儿超声心动图技术诊断该类疾病的规律和方法。结果：根据生命依赖导管的作用及胎儿超声心动图改变，笔者将其分为三种类别，分别为以右心发育不良为代表的右心梗阻型、以左心发育不良为代表的左心梗阻型、室间隔完整的大动脉转位。结论：胎儿超声心动图可以早期发现和诊断动脉导管依赖型先心病，为进一步的治疗创造机会。左、右心相同节段对比显示法及彩色多普勒三血管切面血流显像具有重要价值。     

超声心动图检测胎儿先天性心脏病的应用及价值

目的:探讨超声心动图检测胎儿先天性心脏病作为产前常规检查方法的应用及其价值。方法:2006年1月1日至2007年6月31日我院连续对2851例孕妇行产前胎儿超声心动图检查,以引产后尸解或生后超声心动图作为对照标准。结果:2851例胎儿超声心动图检出27例胎儿心血管畸形,漏诊房间隔缺损1例。生后超声心动图随访或引产后尸检结果与产前诊断相符。结论:超声心动图是胎儿先天性心脏病产前检查的有效方法。     

CLINICAL SIGNIFICANCE AND PROGNOSIS OF FETAL ARRHYTHMIAS

Objective To explore fetal arrhythmia clinical significance and its correlation with fetal prognosis. Methods Twenty-six cases of fetal arrhythmia detected among 12 799 pregnant women recorded over a ten-year period in Peking Uinon Medical College (PUMC) Hospital were reviewed retrospectively. Fetal arrhythmia was diagnosed by fetal auscultation, ultrasonography, electric fetal heart monitoring, and fetal echocardiography. Twenty-six fetuses were documented with fetal arrhythmia (3 tachycardia, 4 bradycardia, 19 normal heart rate with irregular fetal cardiac rhythm). The incidence of fetal arrhythmia in our hospital was 0.2%. They were diagnosed at the average of 35 weeks‘ gestation (15 to 41 weeks). Twenty-two cases were diagnosed by antenatal fetal auscultation, l case was diagnosed by ultrasonography, and 3 cases were diagnosed by electric fetal heart monitoring. Fetal echocardiograms were performed on 17 fetuses, 6 cases (35.3%) of which showed that ventricular premature beats with normal structure of fetal heart.All neonates survived postnatally and 24 of them (92.3%) were followed up. Echocardiograms were performed for 16 neonates and 2 of them were identified as atrial septal defects with normal heart rhythms. The results of follow-up showed that the two patients had no apparent clinical manifestation. The echocardiogram showed that atrial septal defect obliterated already. Conchusion The prognosis is well for most of the fetuses with arrhythrnias, with low incidence of heart deformation.     

超声心动图顺序节段分析思路在胎儿心脏结构异常中的诊断价值

目的探讨超声心动图诊断胎儿心脏结构异常中顺序节段分析思路的应用价值。方法利用顺序节段分析思路指导253例高危胎儿的超声心动检查,对胎儿心脏结构异常系统、确切诊断。结果 253例高危胎儿中顺序节段分析思路检查出各种心脏结构异常121例。117例经引产和新生儿超声心动图证实,失访4例,与产前诊断完全相符108例,部分相符7例,误诊2例。部分符合者4例漏诊房间隔缺损,3例漏诊室间隔缺损。结论顺序节段分析思路对于系统、确切诊断胎儿心脏结构异常有重要价值。     

超声心动图在产前诊断胎儿先天性心脏病中的临床探讨

目的:探讨超声心动图在产前诊断胎儿先天性心脏病中的临床意义.方法:对50例先天性心脏病胎儿行产前胎儿超声心动图检查,着重观察胎儿胸、腹部切面,左右心室流出道长轴或大动脉短轴切面、四腔心切面、胎儿主动脉弓长轴切面.结果:50例先天性心脏病胎儿,其中复杂先天性心脏病部分合并心外畸形30例,单纯室间隔缺损12例,房间隔缺损8...