从热、虚、瘀辨证论治小儿过敏性紫癜

从热、虚、瘀三个方面论述了小儿过敏性紫癜的病因病机特点，抓住病因病机的核心，确定了热伤血络、阴虚火旺、气不摄血三个本证证型和风热、热毒、湿热、血瘀四个标证证型。采用本证和标证相结合的方法对小儿过敏性紫癜进行辨证论治，并从理论上探讨了该方法的科学性和实用性。     

浅谈湿热崩漏证治

湿热崩漏临床并非鲜见,笔者略有所得,现结合病例,浅述如下: 一、病因病机病因分为内外两个方面。内因多因素体脾虚,或饮食不节,劳倦过度,损伤脾气,致脾失健运,温自内生,湿邪下注,蕴而化热;或情志所伤,肝气郁滞,肝郁乘脾,脾运失常,湿邪停聚,湿浊下注,稽而化热;或气郁化火,过食肥甘厚味,酿生湿热,蕴结肝胆,肝     

慢性肾炎辨治体会

慢性肾炎属中医“水肿”、“虚劳”、“腰痛”、“淋证”等范畴 ,治疗多采用清热利湿 ,健脾温肾 ,利水消肿等法。1　湿热蕴结　全身浮肿 ,肌肤胀急 ,小便短赤 ,腹部胀满 ,口渴不欲饮水或饮水不多 ,胸中烦闷 ,大便秘结 ,舌苔黄腻 ,脉沉数。治以清热利湿 ,健脾除湿消肿。方用加味金凤汤 :金钱草、茨萝卜、苡仁根、五香藤各 30 g,糯米根、满天星、白茅根、茜草根、茯苓皮各 15 g,牛膝、一支箭、猪毛草、石韦各 10 g,凤尾草、木贼各 12 g。兼外感风热 ,发热咽痛 ,扁桃红肿 ,脉浮数者 ,可加桑叶、连翘各 10 g,薄荷、牛蒡子、射干各 6 g,夏枯草 12…     

化脓性中耳炎中医验方2则

化脓性中耳炎中医称耳内流脓，是一种常见病，多发病。本病分急性和慢性两种，发病原因诸多，其中以肝经湿热引起者较为多见。急性者好发于麻疹、猩红热、感冒之后的幼儿，大人也可发生，慢性者往往由急性转变而来。急性中耳炎的症状为：耳内流脓，常伴有发热、怕冷、头痛、耳鸣、听力下降等症状；幼儿因不会诉说，常哭闹，烦躁不安，常用手抓耳或摇头表示，检查耳内有脓液流出。     

湿热环境下密闭性功能敷料护理伤口对β—内啡肽的影响

OBJECTIVE: To study the changes of plasma beta-endorphin (beta-EP) in pigs with traumatic injury after occlusive wound dressing supplemented with antiphlogistic and analgesic agents in hot and humid environments (HHE). METHODS: Traumatic models were established in 10 pigs, 5 of which received antiphlogistic- and analgesic-supplemented occlusive dressings of the wounds (experiment group, EG), while the rest pigs were assigned to control group (CG) to receive routine wound management. The pigs in both groups were then exposed to artificial HHE and at different time points during the exposure, the plasma beta-EP level, respiratory frequency and heart rates were measured respectively. RESULTS: The plasma beta-EP concentration of EG was significantly lower than that of CG (P <0.01) after the injury, but in both groups, the levels before the injury were similar to those measured at hour 8 during HHE exposure and at hour 24 following the injury. The variation range of the respiratory frequency and heart rates during HHE exposure were significantly smaller in EG than CG (P <0.01). CONCLUSION: This supplemented occlusive wound dressing can help restrain the peak of plasma beta-EP level and the variation range of respiratory frequency and heart rates of pigs exposed to HHE.     

林区瘟软病的辨证论治

1970年笔者在四川省南江县深山林区伐木工人中发现一种以低血钾为主的 ,四肢呈弛缓性瘫痪 ,并呈地域性、季节性、流行性和以突进深山林区发病率高为特征的神经肌肉疾病 ,它不同于“周期性瘫痪” ,亦不同于棉酚所致的“低血钾软病” ,其发病原因与深山林区某种特异因素包括病毒感染有关 ,在中医学中为感受风毒水湿之气 ,亦即山岚瘴气所致 ,故名“林区瘟软病” ,现将 1970～ 1985年收治的 4 5例治疗情况报道如下。1　临床资料4 5例中男 4 2例 ,女 3例 ;年龄 18～ 35岁 4 3例 ,4 5、5 0岁各 1例 ;首次发病 38例 ,复发 7例 ;外地初入林区的临时…