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51.
目的基于中医传承辅助平台,分析和总结张伦忠教授治疗中老年郁证的组方规律和用药经验。方法收集张伦忠教授治疗中老年郁证的门诊首诊处方122首,运用中医传承辅助平台软件,分析其组方规律和用药经验。结果122首处方中得出12个核心组合和6个新处方。结论张伦忠教授治疗中老年郁证善于从阴阳角度辨焦虑与抑郁,重视肝、脾、肾三脏,治以疏肝解郁、顾护中焦、补肾填精,多以桑麻地黄汤为基础方临证加减,采用复方治疗,标本兼治。 相似文献
52.
介绍了张简斋妇科病证辨治特点:调气血,辨虚实,消补兼施;益肝肾,固冲任,调补奇经;安五脏,分寒热,兼顾表里。张简斋特别重视气血辨证,并兼顾寒热、表里、虚实、脏腑等方面。治疗擅长调补奇经,刚柔相济,以轻去实。 相似文献
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Background
Routine sources of information on the maternal and child health workforce in China are without clear definition and categorisation. The aim of the study was to systematically review all the evidence on China's maternal and child health workforce profile (ie, level of education, training, qualification, and professional title), and determine the density of the maternal and child health workforce.Methods
We did a systematic review by searching six English (Embase, MEDLINE, CENTRAL, EconLit, Global Health, and Web of Science) and two Chinese (Wanfang and China National Knowledge Infrastructure) databases, from 1949 onwards, using a combination of the search terms “human resources for health”, “maternal and child health services”, and “China” with both thesaurus and free text words. We included studies either describing the profile of the maternal and child health workforce or providing data allowing us to calculate the density of the maternal and child health workforce.Findings
We included 58 studies: 43 reporting profiles of the maternal and child health workforce, and 19 reporting density of the maternal and child health workforce, four of which covered both. 51 (88%) of the 58 studies were done after 1990. The maternal and child health workforce in China covers an array of professions, including obstetricians, gynaecologists, neonatologists, paediatricians, nurses, midwives, general physicians, specialised public health workers, vaccinators, barefoot doctors (ie, farmers who go through short-term medical training), and traditional birth attendants. Definitions of who qualifies as a maternal and child health provider are not clear (eg, the term midwife was used in six studies, and covered a range of training, including clinical medicine, maternal and child health care, nursing, and midwifery). Two studies reported that 7% (24 of 321) and 48% (650 of 1364), respectively, of the maternal and child health workforce at county-level facilities or below held no certificate for maternal and child health care. Only one study reported the density of the maternal and child health workforce at a national level, which was 0·6 health professionals per 1000 population in 2011. The density of the maternal health workforce was between 1·6 and 6·5 times higher than the child health workforce in the same population. The ratio of obstetric nurses to obstetricians ranged from 1·3:1 to 2·0:1, which was higher than the overall nurse-to-doctor ratio at a national level of 1·1:1 in 2017. The ratio of paediatric nurses to paediatricians ranged from 1·1:1 to 1·7:1, which was higher than the national ratio of 1·1:1.Interpretation
The density of the maternal and child health workforce in China is lower than the minimum desired level of 2·3 health professionals (physicians, nurses, and midwives) per 1000 population, as recommended in the World Health Report 2006. The maternal and child health workforce in China is characterised by varied personnel with diverse training backgrounds, a larger maternal health workforce than child health workforce, and more nurses than doctors. A strength of the study is the conceptual understanding of the maternal and child health workforce over the entire period of contemporary China. A limitation of the study is that various data sources prevented us from synthesising the available evidence together.Funding
China Medical Board. 相似文献55.
探讨杨绍伊《伊尹汤液经》学术思想,认为仲景论广《汤液经法》而成《伤寒论》,其书由《汤液经法》《伤寒论》、“遗论”三部分组成,论及王叔和对内容、文字进行多次编排;《胎胪药录》《平脉辨证》补充《伤寒论》内容;仲景既论“伤寒”又论“卒病”;《汤液经法》内容可概括为“一表二里之法”;对《伤寒论》重新编排,揭示了中医古籍形成及流传、发展的脉络,是研究《伤寒论》的重要著作。 相似文献
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《伤寒杂病论》麻黄煎法研究 总被引:1,自引:1,他引:0
《伤寒杂病论》之用麻黄,其先煎与否,非常灵活机动,要视病情、体质和用量大小及其配伍情况而定。一般而言:欲大汗猛汗者,则不必先煎去沫;欲缓发慢散,务去邪以尽者,必当先煎去沫;体质弱或用量小者,必须先煎去沫;而体质壮实,用量较大者,则勿须先煎去沫;配伍单纯,不相互牵制者,应予先煎去沫;而配伍复杂,有相畏、相杀、相恶者,则不必先煎去沫。 相似文献
58.
《辅行诀五脏用药法要》原藏敦煌藏经洞,1908年为法国伯希和盗掠,守洞道士王圆篆在为伯希和装箱时暗藏之,1918年售予河北省威县张僵南,僵南传其嫡孙大昌,毁于1966年“文革”初,“文革”期间张大昌将抄写本寄赠中国中医研究院,中国中医研究院加以整理,于1975年打印35本内部交流(简称“中研本”),继而王雪苔先生两次亲访张大昌,收集到两个抄本,经整理收录于1988年江西科学技术出版社《敦煌古医籍考释》(简称“考释本”);二十世纪九十年代中国中医研究院中国医史文献研究所派王淑民先生陶广正先生再访张大昌,收集到3个抄本,经整理收录于1998年江苏古籍出版社的《敦煌医药文献辑校》(简称“辑校本”)。今仍有大昌弟子抄本传世。 相似文献
59.
今存之宋本《伤寒论》非北宋校正医书局原刻之本。原刻本分大字本与小字本两种。小字本亡于明万历二十七年(1599)后,大字本《伤寒论》据清末藏书家伯兮题记所述,他藏有北宋治平二年(1065)大字官刻本,今不知何在。今称之宋本《伤寒论》,指明代万历二十七年江苏常熟赵开美请当地优秀刻工赵应期刊刻之《伤寒论》,以北宋元祐三年(1088)小字原刻本为底本翻刻,尊称"宋本伤寒论",实明刻也。宋本《伤寒论》确知共存五部,除台湾今存一部外,其余四部藏于中国大陆:沈阳中国医科大学图书馆一部,中国中医科学院图书馆一部,上海中医药大学图书馆一部,上海图书馆一部。 相似文献
60.
张謇作为中国近代著名的实业家,也热衷于发展教育事业。张謇的体育思想,受当时一些主要社会思潮的影响,以“武备精神”为核心,以“体力与智力平均发达”为手段,以“德行艺全面发展”为灵魂,一贯主张体育与其它学科具有同等地位。张謇的体育思想,与当时时代主题相契合,明确体育课程的地位与价值,支持体育竞技活动的参与,高度重视公共体育场地设施建设,主张政府和学校共同致力于体育教育的大力发展,对当代中国的教育体育改革具有重要的借鉴意义。 相似文献