治湿疹验方

1.鲜马齿苋200g,水煎后湿敷患处。2.青黛10g,全蝎10g,炉甘石10g,滑石10g,冰片10g。共研为细末,过筛后用香油调匀,外敷患处。     

中西医结合治疗细菌性阴道病临床观察

细菌性阴道病(BV)为阴道内正常菌群失调导致的一种厌氧菌混合感染,长期反复发作,可引起妇科盆腔炎性疾病,甚至导致异位妊娠以及不孕.目前治疗细菌性阴道病的主要药物是硝基咪唑类衍生物或克林霉素等抗生素,效果虽好,但容易引起双重感染,且耐药性和复发率高.我们对西药甲硝唑凝胶、中药黄芩滑石汤及两种合并用药治疗细菌性阴道病的临床疗效和复发情况进行了对比观察,旨在为临床治疗细菌性阴道病提供安全高效的治疗方法.     

三焦辨证在耳鼻喉科的运用

目的：说明三焦辨证在耳鼻喉科疾病的临床辨证施治应用情况。方法：通过学习《温病条辨》,深入理解三焦辨证理论,结合具体耳鼻喉科疾病分别从上、中二焦讨探临床辨证及用药体会。结果：在治疗上焦疾病时,用药宜轻清、量小,煎药时间短,选用六味汤、三仁汤等轻宣肺气之方剂;治疗中焦疾病时,用药权衡祛湿与清热,选药质地中等,升降平衡,用黄芩滑石汤、橘皮竹茹汤、旋覆代赭汤之燥清、升降相济之方剂。结论：三焦辨证理论在耳鼻喉科临床应用有效,值得深入研究。     

中医药治疗痛风病举隅

例1,患者,男,28岁,1997年10月14日初诊.主诉:右拇指红肿疼痛1周.现病史:右拇指红肿疼痛,伴灼热感,口干口渴,面红目赤,心烦易怒,大便干,2日一行,舌质红苔黄腻,脉滑数;实验室检查:血尿酸512mmol/L.中医辨证:湿热痹阻经络.立法:化湿清热,通络活络.方药:生薏苡仁30g,金银藤30g,佩兰12g,藿香12g,蒲公英30g,白蔻仁9g,连翘15g,黄芩12g,丝瓜络12g,白通草9g,滑石30g,甘草6g.     

基于民国中医名家临床用药的滑石剂量研究

目的:揭示滑石在汤剂中的用药剂量。方法:以滑石为检索词,以汤剂为对象,对民国中医名家运用滑石的经验方进行逐篇检索,数据录入EXCEL表格。采用均数、百分位数和极差等统计方法统计处理后,与《中国药典》(2010年版)中法定的滑石剂量作对比分析。结果:滑石的剂量80%分布在8～30g之间。与《中国药典》法定剂量的符合率为71.4%,不符合率为28.6%。结论:滑石在汤剂中的剂量以8～30g为宜。     

夹心型钨锑酸阴离子插层镁铝水滑石的制备与表征

目的：制备一种新型多阴离子插层水滑石类无机复合功能材料（Sb2W18Co3-LDHs）。方法：采用离子交换法制备Sb2W18Co3-LDHs,使用X-射线粉末衍射和红外光谱对样品进行了表征。结果：夹心型钨锑酸阴离子（Sb2W18Co3）成功插入到Mg-Al-LDHs层间,取代了层间原有的硝酸根离子,制备了新型的Sb2W18Co3-LDHs。结论：夹心型锑钨酸盐成功应用于水滑石复合材料中。     

Preventive effect of hydrotalcite on gastric mucosal injury in rats induced by taurocholate

AIM: To study the preventive effect of hydrotalcite on gastric mucosal injury in rat induced by taurocholate, and to investigate the relationship between the protective mechanism of hydrotalcite and the expression of trefoil factor family 2 (TFF2) mRNA and c-fos protein.METHODS: Forty five male Wistar rats were randomly divided into hydrotalcite group, ranitidine group and control group. Gastric mucosal injury was induced by introgastric acidified taurocholate. OD value of TFF2 mRNA expression in gastric mucous cells was determined by hybridization and computer image analysis system. OD value of c-fos protein expression in gastric mucous cells was measured by immunohistochemistry and computer image analysis system.RESULTS: The gross mucosal injury index in hydrotalcite group was significantly lower than that in ranitidine group and control group (8.60±2.20 vs 16.32±4.27, 29.53±5.39;P＜0.05, P＜0.01). The expression level of TFF2 mRNA in hydrotalcite group was markedly higher than that in ranitidine group and control group (0.56±0.09 vs 0.30±0.05, 0.28±0.03,P＜0.05). The OD value of c-fos protein in hydrotalcite group was higher than that in ranitidine group and control group (0.52±0.07 vs 0.31±0.04, 0.32±0.05, P＜0.05).CONCLUSION: Hydrotalcite can protect gastric mucosal injury in rats induced by taurocholate, which may be related to the increased expression of TFF2 and c-fos protein.     

基于“湿热生虫”理论探讨慢性前列腺炎病机及当归贝母苦参丸加滑石组方思路

慢性前列腺炎(CP)为成年男性常见疾病,其中医病因多与虚、湿、热、瘀相关,表现为虚实夹杂的病性特点。基于国医大师王琦从虫毒论治男性不育经验和中医“湿热生虫”理论,认为湿热常致虫毒患生,湿热证与虫毒证常同时出现,因此提出CP中医主导病机为肾虚湿热、血瘀虫毒。中医治疗应根据辨证给予“扶正”和“祛邪”,其中“祛邪”应注重辨治湿热、血瘀、虫毒。国医大师王琦、段亚亭根据《金匮要略》注“男子加滑石半两”,将当归贝母苦参丸加滑石用于CP的治疗。分析四味药物功用特点,当归化瘀润燥以行气血,贝母清热开肺以通水道,苦参清热燥湿以祛虫毒,滑石清热利水以通前窍,共奏清热利水、活血杀虫之效,符合CP“祛邪”的中医治法。结合现代药理研究认为,当归贝母苦参丸加滑石可能在下尿路症状感染、盆腔疼痛、细菌感染等方面具有治疗作用。