《唇舌症候图》考证

<唇舌症候图>一直被工具书著录为"清力钧绘",定为清代的著作.本文从有关力钧的史料、图书特征和全书内容等办面进行论证,证明该书并非力钧所著,而是日本的汉医著作.     

奄贯各家烛微茫 融会中西出新知——李如奎治疗运动神经元病的经验

李如奎教授长期从事中西医结合神经内科的临床、科研、教学工作,在神经变性疾病的中西医结合治疗方面积累了丰富经验。对运动神经元病的中医治疗,他提出了痉痿同治,健脾益气与滋阴填精并举;攻补兼施,补益脾肾与理气化湿合参的特色诊疗经验。彰显其治疗神经科疑难杂症重视辨证与辨病相结合,重视乙癸同源,调和肝脾的学术思想。     

Ethnobotanical study on medicinal plants around Mt.Yinggeling,Hainan Island,China

Aim of the study

The main objectives were to collect information on the use of medicinal plants and compare medicinal plant traditions between Run and Qi.

Materials and methods

Information was obtained from semi-structured interviews, personal conversation and guided fieldtrips with herbalists.

Results

385 species belonging to 290 genera in 104 families were used for the treatment of various diseases. Rubiaceae (20 species), Euphorbiaceae and Compositae (19 species respectively) were predominant families used by herbalists. The most species were used for injuries (20.1%), muscular–skeletal system disorders (18.3%) and infections/infestations (18.0%). The coefficient of similarity (36.6%) shown a high consensus of plant species used by Run and Qi. The ‘informant agreement ratio’ values for both Run and Qi are rather low (less than 0.3).

Conclusions

Traditional medicinal plants still play an important role in medical practices of Li Ethnic Group around Mt.Yinggeling. There is a close relationship of medicinal plant traditions between Run and Qi. Further investigation is necessary to record this valuable knowledge before its disappearance.     

白花丹参的化学成分研究(Ⅱ)

目的 研究白花丹参的化学成分.方法 采用色谱法分离,波谱学数据分析鉴定结构.结果 从白花丹参根的乙醇提取物中分离得到4个化合物,分别鉴定为8,9-dihydro-1,6-dimethylfuro[3,2-c] naphtha[2,1-e]oxepine-10,12-dione(I)、丹参二醇C(II)、鼠尾草酚酮(Ⅲ)和1,2,6,7,8,9-hexahydro-1,6,6-trimethyl-3,11-dioxanaphtho[2,1-e]azulene-10,12一dione(IV).结论 化合物I为新化合物,命名为白花丹参酮(salmilalba-none),化合物Ⅱ～Ⅳ为首次从白花丹参中分离获得.     

严世芸运用膏方调治冠心病稳定期验案3则

总结严世芸教授运用膏方治疗冠心病稳定期验案3则。其用药特点是：扶正与祛邪兼顾并举,着眼整体治疗;以大方复方为主,时时以顾护胃气为念。     

李发枝老中医甘草泻心汤临床治验

河南中医学院老中医李发枝用《金匮要略》方甘草泻心汤治疗急性盆腔炎、口腔扁平苔藓、干燥综合征等，疗效卓著。     

李曰庆教授治疗早泄思路浅析

早泄在临床上属于男科的常见病、多发病,但由于病因复杂,常与其他男科病伴发,治疗起来较为棘手。中医对本病认识较早,将其称之为"鸡精"。李曰庆教授认为其基本病机是"心神不宁,相火妄动",兼夹肝郁、肾虚、血瘀、湿热等病理变化。在临床上,对本病的辨治经验丰富,见解有独到之处,强调辨证与辨病相结合,中医与西医相结合,身心同治,男女同调,疗效确切,现对其具体思路做一浅析,以供同道相互借鉴。     

Serum Metabonomics of Articular Cartilage Destruction Induced by T-2 Toxin in Wistar Rats

正The molecular pathogenesis of T-2toxin-induced cartilage destruction has not been fully unraveled yet.The aim of this study was to detect changes in serum metabolites in a rat anomaly model with articular cartilage destruction.Thirty healthy male Wistar rats were fed a diet containing T-2 toxin(300 ng/kg chow)for 3 months.     

早期外科专著关于痈疽的学术成就和价值

对《刘涓子鬼遗方》、《卫济宝书》、《集验背疽方》、《外科精要》4种早期外科专著进行研究,发现其内容均以痈疽病症方药为主,外科的清热解毒、消散、灸法、托里排脓、祛腐生肌等治疗方法,从脾论治的思想于此期形成,外科祛腐生新法为较早的重要记载,并系统论述了多种外科刀具及切开排脓的原则和适应症,切开部位和所用刀针选择,成为宋以后外科治疗原则和方法的学术基础。     

欣母沛辅助治疗产后出血的临床疗效分析

目的：观察欣母沛辅助治疗产后出血的临床效果。方法：回顾性分析我院自2007年3月-2009年12月收治的138例产后出血患者的临床资料,按照治疗方法分为观察组（欣母沛辅助治疗组）65例和对照组（常规治疗组）73例,比较两组患者的治疗效果。结果：（1）观察组产后2h、12h及24h出血量与对照组比较有统计学差异（P〈0．05）,其中12h及24h出血量与对照组比较差异显著（P〈0．01）。（2）观察组65例患者经以上方法成功止血64例,总有效率为98．5％,1例止血无效转外科手术治疗,手术率为1．5％;对照组73例患者经以上方法成功止血67例,总有效率为91．8％,6例止血无效转外科手术治疗,手术率为8.2％。两组比较差异显著（P〈0．01）,具有统计学意义。（3）观察组出现恶心呕吐3例,面部潮红1例,不良反应发生率为6．2％,但症状均较轻微,多为一过性反应,不需治疗。对照组无明显不良反应发生。结论：欣母沛可以提高产后出血的保守治疗成功率,但需注意治疗过程中出现的不良反应。