黄芩白术配伍治疗先兆流产研究进展

基于数据挖掘技术对中医治疗先兆流产文献分析时发现,白术、黄芩配伍使用频率较高。黄芩清热燥湿、泻火解毒、止血安胎,白术健脾益气、燥湿利尿、止汗安胎,两药配伍使用具有清热除湿,健脾安胎作用,临床治疗脾胃虚弱、湿热不化致先兆流产者。黄芩、白术乃"安胎圣药"起源于东汉张仲景《金匮要略·妇人妊娠病脉证并治篇》,被后世诸多医家用于治疗先兆流产,积累了丰富的研究文献和临床经验。目前对黄芩白术配伍治疗先兆流产的研究主要集中在其调节母胎界面免疫作用、支持妊娠黄体功能作用、抑制子宫平滑肌收缩作用三个方面。对其胚胎毒性研究方法主要为动物实验、体外模拟实验等,研究对象也只是单味黄芩、白术或其单体成分,其体内配伍应用的胚胎毒理需要进一步研究。     

赵吉平教授以针刺脑心同调、平衡阴阳论治失眠经验

赵吉平教授针刺治疗不寐,从病机入手,首先"调神",脑神、心神同调,调脑神选头部腧穴,轻症、病程短者选"头三神",重症、病程久者选"头十二针";实证、虚证分别施以不同的刺激量,实现虚补实泻.调心神选心经、心包经远端腧穴,虚证、热象不著者,选原穴、络穴,实证、热盛者,选荥穴、井穴.次重调阴阳,阴阳跷脉与任督脉并用.再以四诊...     

《针灸大成》十二井穴运用

《针灸大成》十二井穴各自的功效,可以概括为"少商清肺热食饮可下,商阳平喘满疗耳齿疾,关冲泻壅热盛乎三焦,中冲疗中风与小儿惊,乳痈无乳眼热寻少泽,心虚惊狂健忘调少冲,足窍阴主胁痛与气逆,大敦治疝秘补中益气,上呕下泻血出隐白收,面肿不食胃热厉兑医,至阴主难产头目热疾,涌泉救厥散痞道不尽。"十二井穴对疾病的治疗有很好的效果。《针灸大成》曰:"治一切暴死恶候,不省人事,及绞肠痧,乃起死回生妙诀。"临床上十二井穴放血常用于各种昏迷急救。《针灸大成》对井穴论述理论部分较少,但是临床部分较为详尽,灵活运用于临床,必大有裨益。     

夏枯草、黄芩、钩藤治疗肝热型高血压病经验--仝小林三味小方撷萃

仝小林教授将高血压病分为"三期六态",指出热壅态中的肝热证具有"四红二干"的临床表现,"四红"指面(目)红、唇红、舌红、掌红,"二干"指便干、口干。常处以靶方夏枯草、黄芩、钩藤清肝降压,一般用量为夏枯草30~60 g,黄芩15~30 g,钩藤15~30 g,根据兼证配合使用清热、降火、散火、行气、利湿之品。该小方治疗肝热型高血压病时,降压效果显著,并可以明显减轻头晕、头痛、目赤等症状,临床疗效良好,但需注意不可长期大剂量使用。     

《针灸大成》后溪穴临床应用浅析

《针灸大成》中记载的关于后溪穴的操作方法有针刺、艾灸、刺血与推拿四种,补泻手法以泻法居多,但须辨别虚实。后溪穴临床适用于痛证、神志疾病、头面五官疾病、皮肤疾病、肢体疾病、儿科疾病等,其中,以痛证、神志疾病以及头面五官疾病运用较广泛,可单独使用,也可配伍其他腧穴。《针灸大成》中虽未直接言明后溪穴补泻,但根据该穴"火"属性及其主治病症不难推测出,后溪多用泻法,泻后溪具有祛风解表、清热解毒、通络止痛、安神醒脑、熄风止痉之效。但在治疗"脾寒发疟"之证时,多施以灸法。     

针刺井穴对中风恢复期患者SIAS和ADL评分的影响

目的观察针刺井穴对中风急性期患者的影响。方法与结果采用普通针刺加十二井穴的方法治疗中风恢复期患者36例，发现治疗后SIAS积分和ADL积分显著提高，且疗效优于不采用井穴的对照组（P〈0．01）。结论提示中风恢复期患者采用针刺井穴治疗效果优于普通针刺。     

竹叶石膏汤治疗急性病毒性心肌炎机理探讨

急性病毒性心肌炎的病机为本虚标实，且以标实为主，故临床上以清热解毒为主要治则。竹叶石膏汤具有清热宣肺、解毒清心、益气生津之功效，体现了病证结合，方证相应，为治疗该病的有效方剂。但过用则心阳被遏，痰湿易阻，导致他变，故据其病机特点应以标本兼治为原则。     

Chief physician Zhang Tang-fa’s experience of acupuncture for gouty arthritis

Skillful in the treatment of gouty arthritis (GA) by integrated therapies of Chinese and Western medicine, chief physician Zhang Tang-fa proposes to ‘deal with the exterior with the needles, and attack the interior with the drugs, by integrated application of acupuncture and herbal medicine’, in combination with comprehensive intervention of dietetic therapy and health education. In the treatment of GA, he adopts the syndrome differentiation based upon the pathogenic factors, in combination of syndrome differentiation based upon the six meridians, to reinforce and benefit the spleen and kidney, clear away heat and remove dampness as the therapeutic principle. By acupuncture mainly at the acupoints of the Spleen and Liver Meridians, he also proposes to select the acupoints by the theory of Na Zi Fa (earthly branch method) of Zi Wu Liu Zhu (midnight-noon ebb-flow), and to puncture the surrounding area of the involved joints shallowly by multiple needles as the major needling method, simultaneously with the reinforcing and reducing manipulations based upon the respiration. In the treatment, acupuncture and acupoint-injection are often used. In diet, low purine diet is often suggested. In health education, the patients are often instructed to understand the disease correctly, eliminate fears and cooperate with doctor’s treatment positively.     

婴儿手指脱疽的中医外治一则

采用祛腐生肌、清热解毒的中药膏和活血消肿、止痛收口的中药粉及油纱布治疗1例婴儿双手指脱疽，取得较佳疗效。     

Analysis of Similarities and Differences between Coronavirus Disease 2019 and Severe Acute Respiratory Syndrome

Both coronavirus disease 2019 (COVID?19) and severe acute respiratory syndrome (SARS) are epidemic, contagious, sudden, and publicly harmful diseases. The whole?genome nucleotide identity of the pathogens causing the two diseases reached 79.5%. The mechanism and treatment of COVID?19 are still under investigation. Combining the experiences of SARS prevention and treatment in 2003, and the case data and literature of COVID?19, the similarities and differences between the two diseases in terms of causes, susceptible people, characteristics, dialectical mode, and treatment were analyzed. The two diseases are both plagues in terms of Chinese medicine. The cause of SARS was “heat poison,” and its pathogenesis was “heat poison, stasis, and qi and yin deficiency.” Therefore the treatment regimen was mainly to clear away heat, detoxicate, and expel evil. While the cause of COVID?19 was “wet poison,” and its pathogenesis was “wet, poison, heat, stasis, close, syncope, and yang collapse.” Hence the basic treatment strategy was to declare lung and remove dampness. Treatment of COVID?19 was clearing away evil qi as soon as possible, with the basic treatment regimen, which was declaring lung, removing dampness, and dispelling the evil. Combined with Traditional Chinese medicine’s (TCM’s) understanding and experience in SARS prevention and treatment, and Chinese clinical cured cases, we try to provide strategies for people all over the world to understand and respond to COVID?19, through the analysis and comparison. To improve COVID-19 prevention and treatment regimen and give full play to the advantages of TCM.     

仝小林运用荷叶、芡实、莲子心清化经验

仝小林院士在调整湿热体质或治疗湿热病症时,主张清化、清利之法。常以荷叶、芡实、莲子心组成清化组合三味小方,旨在轻清去实宣化。方中荷叶清暑热、利湿气,升清降浊,芡实健脾除湿去伏热,莲子心清泄清火去热;荷叶临床用量为15~30 g,芡实为15~45 g,莲子心为3~9 g。     

活血化瘀法治肺系疾患应用举隅

介绍化痰祛瘀、平喘活血、清肺和营益气、宣肺活血利水以气管炎、哮喘、迁生肺炎、肺心病等四则验案，提示活血化瘀法在治疗肺系疾患中具有提高疗效的作用。     

基于脾胃升降理论浅谈花类药在口臭中的应用

口臭的病位主要在脾胃,病机为脾胃蕴热、肺火熏蒸,多以泻脾胃积热、清心泻脾、清肺火等清热之法为治疗大法,常用清胃散、泻黄散等为主方。在辨证的基础上,合理使用花类药物,可通过直接调理脾胃气机,或是通过芳香燥湿、醒脾和胃、调节他脏气机等使脾胃气机升降正常,脾胃气机升降有序,脾可升清,胃可降浊,湿可除,郁热可散,随证加减,口臭自除。     

仝小林运用炒栀子、连翘、薄荷清鼻窍经验

仝小林认为鼻炎的治疗当辨涕之脓清、辨有无过敏.当其辨证要点为黄浓涕时,仝院士常精选三味药物——炒栀子、连翘、薄荷合成三味小方,炒栀子泻火除烦,清热解毒,连翘清热解毒,疏散风热,薄荷疏散风热,清利头目,利咽透疹,三者以清上焦之热为主,共奏清鼻窍之功,在鼻炎的治疗中具有较好的疗效.该小方临床常用剂量分别为薄荷6～15 g,...     

膏肓穴临床探析

膏肓穴属足太阳膀胱经,被医家称为"增益正气之门",在临床上多采用灸法或针刺法进行治疗.膏肓穴用灸法,侧重于补虚,具有补益虚损、敛肺止咳、补火驱寒、固本防疫、散寒通经等功效.针刺膏肓穴可补虚泻实,调和阴阳.膏肓穴点刺放血,以疏散风热、泻火解暑、熄风止痉、凉血醒神、祛邪外出.通过按揉或是叩拍膏肓穴,引导经气运行,外可放松肩...     

“莲”性及其药用部位与功效钩玄

莲为原双子叶植物睡莲目睡莲科多年水生草本植物,古语有"一莲九药"之说,然莲之入药部位不同,功效有别。但总不离"莲"的"妙洁自在"特性,"莲"之性决定了其功用:在泥不染、本体清净,故而能破血散瘀、清心消暑;柔软不涩,故而可补益心脾,补血养血;自性开发,故能升阳、轻宣、解毒。莲能通过其荡涤污秽、除病去垢之功,以达除百疾的目的。     

玉叶解毒冲剂的临床应用

玉叶解毒冲剂由玉叶金花、银花为主药,配有野菊花、山芝麻等药组成。具有辛凉解表,清热解毒,清暑利湿,生津利咽作用。临床用于风热感冒183例,显效116例,有效53例,总有效率为92.34％。用于喉痺,喉蛾33例,显效13例,有效19例,总有效率为96.96%。治疗癤肿等24例,显效15例,有效9例;治疗风热咳嗽20例,显效7例,有效10例,总有效率为85%;治疗淋症74例,显效33例,有效28例,总有效率82.43%。     

介绍两种治疗肩周炎的传统疗法

肩周炎,亦称“漏肩风”、“肩凝症”、“五十肩”、“冻结肩”,主要表现为肩部冷痛,╥胀或麻木,遇冷痛增,痛如刀割样,坐卧不安,夜间较剧,肩关节功能受限等特点。中医学将本病列入痹证范围,认为正气不足,素体虚弱,腠理不密,卫外不固,是引起痹证的内因。肩部劳损、外伤、受风寒湿侵袭等因素可诱发本病。笔者运用传统手法和“闪火拍打”法治疗本病收到满意效果,现作简介。１　手法治疗　　揉肩法：患者坐位,术者斜立于患肩侧,一手托握住患侧上臂,使患侧上臂外展,另一手在肩关节周围行拇指揉法或大鱼际揉法。手法由轻渐重,并…     

周德安教授针药并用治疗颤证的临床经验

多数学者从风、火、痰、瘀、阴虚阳亢等角度论治颤证。周德安教授认为许多颤证的发生与阳虚水泛有关,临床上应用温阳利水的方法治疗颤证取得了显著的疗效。中药使用真武汤加减,针灸方面秉承针灸治神的学术观点(取四神方、督脉十三针、背俞穴),同时注重补肾健脾利水、调畅气血。针药并用,共奏温阳利水、熄风止痉之功,临床效果显著。     

中药外洗Ⅱ方在肛肠疾病中的临床应用

中药外洗Ⅱ方是上海市第七人民医院肛肠科集几十年临床经验制成的一种中药熏洗制剂。它的主要药物组成为蒲公英、五倍子、虎杖、乳香、海螵蛸。蒲公英为君药,取其清热解毒,消痈散结,抗菌利水消肿之功效,五倍子为臣药,五倍子中的主要有效成分为鞣质,具有止血、护膜、减少分泌渗出和防止细菌侵蚀的作用,配合蒲公英增强其抗菌的作用,又能收敛、燥湿、止痒。鲜虎杖性味苦寒,具有清热解毒、祛腐生肌、收敛止痛之功效,与蒲公英配伍能加强清热解毒、抗菌之功效;与五倍子配伍能协同其止血功能,能治疗肛门病术后出血、水肿、疼痛,促进创面愈合。海螵蛸和乳香共为佐药,有收敛止血、敛疮,消肿止痛之功效。