唇风治案

唇风多因脾胃素有湿热,外感风邪,两邪相搏,循经上腾而发。本病多发于下唇,初起唇部发痒,随后红肿,痛如火燎。《医宗金鉴》云: “唇风多在下唇生,阳明胃经风火攻,初起发痒色红肿,久裂流水火燎痛。”《疡医大全》云:“凡下唇肿痛或生疮,名驴嘴风,上唇肿痛生疮,名鱼口风。”本证治法,清脾胃之湿热为主,佐散风。兹举典型病案如下:     

苦参土茯苓汤治前阴肿溃

近一年来,笔者采用清热解毒、除湿消肿法治疗男性前阴(包括龟头、包皮)红肿、痒痛或局部溃疡者20例,经内服、外用,一般10～15天即愈。苦参土茯苓汤:苦参、土茯苓各20～30克,银花、连翘、蒲公英、地丁、芙蓉叶、白花蛇舌草各15～20克,萆薢、石苇各10～15克,生甘草10克。痒甚者加白鲜皮、蛇床子各15～20克;有溃疡者外敷青白散(青黛、煅人中白、儿茶各等分,冰片少许,共研为细面,外敷溃疡面)。     

口疾从脾胃治验

《内经》云:“脾之合肉也,其荣唇也”、“唇舌者肌肉之本也”。“足太阴之脉……挟咽,连舌本,散舌下”,“足阳胃之脉……上入齿中,还出挟口,环唇”。脾与胃两者经络上互相络属,构成表里关系。当脾经有伏火,胃经有积热时,火、热之邪     

肾着治验

王×,女,50岁。1991年6月21日诊。一周前在田间插秧,夜间又在露天休息,次日即觉周身不适,腰胯冷痛,下肢沉重乏力。自服强的松、去痛片等药,腰胯酸痛冷     

Effect of Yiqi Huoxue Recipe (益气活血方) on cardiac function and ultrastructure in regression of pressure overload-induced myocardial hypertrophy in rats

Objective:To investigate the effect of Yiqi Huoxue Recipe (YHR,益气活血方)on the cardiac function and ultrastructure during the regression of myocardial hypertrophy induced by pressure overload in rats.Methods:The model of myocardial hypertrophy was established by abdominal aortic banding.Eighty male Wistar rats were divided into six groups,the normal control groupⅠ(n=20),the normal control groupⅡ(n=12),the hypertension model groupⅠ(n=12),the hypertension model groupⅡ(n=12),the YHR group(n=12)and the Captopril group(n=12).The observation was carried out in the normal control groupⅠand the hypertension model groupⅠafter 4 weeks of modeling,and the other four groups were observed after 16 weeks of modeling(12 weeks of administration).The cardiac function was measured with a multichannel biological signal analysis system,and the myocardium ultrastructure was observed by a transmission electron microscope. Results:(1)Compared with the normal control groupⅠ,the systolic blood pressure and cardiac coefficient(left ventricular weight/body weight)in the modelⅠgroup was higher(P<0.05,P<0.01). (2)In the YHR group,cardiac coefficient and-dp/dt_(max)were lower,left ventricular systolic pressure and dp/dt_(min)were higher when compared with the model groupⅡand the Captopril group(P<0.05 or P<0.01).In the Captopril group,only cardiac coefficient was lower when compared with the mode groupⅡ(P<0.05).(3)Compared with the normal control groupⅡ, dp/dt_(max)was higher(P<0.01), -dp/dt_(max)and isovolumetric contraction time(ICT)was lower(P<0.05,P<0.01)in both the YHR group and the Captopril group.(4)Results of the myocardium ultrastructure showed edema under myocardium plasmalemma,enlarged sarcoplasmic reticulum and T tube,and significantly enlarged intercalated disc of the cardiac muscle in the model groups.In the Captopril group,the extension of sarcoplasmic reticulum and T tube as well as the pathological changes of intercalated disc were lighter,with slight edema under the myocardium plasmalemma.In the YHR group,the expansion of the sarcoplasmic reticulum was less than in the Captopril group,part of the pathological changes of intercalated discs was slightly more severe than that in the Captopril group,the dissolution of nuclear chromatin was not found,which was similar to that of the Captopril group,and no injury of the nucleus was found,either.Conclusion:YHR could reverse myocardial hypertrophy in rats with abdominal aortic banding and improve the systolic and diastolic function of the left ventricle.The ultrastructure of the myocardium such as arcoplasmic reticulum,intercalated disc,and cell nucleus in abdominal aortic banding rats could be partly reversed by the recipe.