命门是生命之门吗？

“命门”一词最早见于《内经》云：“太阳根于至阴，结于命门，命门者，目也。”这“命门”指的是足太阳膀胱经的睛明穴。腧穴里又有“命门穴”，为督脉上的要穴，位于后背两肾间，第二腰椎棘突下，与肚脐相平对的区域。但这两个“命门”均与中医命门学说中的“命门”含义不同。彼一“命门”为脏腑的概念，因其主司元气，是人体元气的根本所在，元阳的发源地，为生气出入通达与维系生命之处，其重要性无异于生命之门，故名之。     

综合医院开设家庭病床初探

当前．我国人均占有病床的数量还远远不能满足病人的需要．而短时间内仍难以根本改变，如何解决这一矛盾?在源化改革的今天，我们医院一改传统等病人上门求医的惯例，主动送医上门，自1991年至1994年6月．我们家庭病床科共收治病人943人次。收到良好的社会效果和经济效益，探受病人、病人家属和社会各界的好评．现将我们的做法介绍如下．     

新生儿足长的测量及其意义

新生儿足长的测量及其意义ＭｅａｓｕｒｅｍｅｎｔａｎｄＩｔｓＳｉｇｎｉｆｉｃａｎｃｅｏｆＮｅｗｂｏｒｎＰｅｄａｌＬｅｎｇｔｈ陈洁（南京市第三人民医院儿科南京市２１０００８）关键词足月新生儿，低体重儿，体重，足长，回归方程作者对３８１例出生后第１天的新生...     

足外侧筋膜皮瓣修复足跟部软组织缺损

足跟部外伤，常造成软组织缺损，骨质外露，如不加处理，将给生活带来不便。我们利用足外侧筋膜皮瓣修复３例足跟部外伤后软组织缺损，均取得满意效果。１　手术设计和步骤足外侧筋膜皮瓣是以跟外侧血管、神经束为蒂的轴型瓣，包括跟外侧动静脉、小隐静脉及腓肠神经。根据足跟部缺损的大小、部位设计筋膜皮瓣，蒂部在平外踝上部与跟腱之间，弧形向前的舌状瓣，远侧可达第Ⅴ跖骨基底。术前进行彩色超声多普勒血管探查，龙胆紫标记。超声探查平外踝尖处３例平均动脉外径０．７ｍｍ，筋膜皮瓣大小分别为：４ｃｍ×７ｃｍ、４．５ｃｍ×９ｃｍ、…     

小针刀针剥治疗鹅足腱滑囊炎：附68例报告

小针刀针剥治疗鹅足腱滑囊炎（附６８例报告）山东省枣庄市中医院骨科周忠礼，王林华，潘丽华笔者自１９９０～１９９４年采用小针刀针剥治疗鹅足腱滑囊炎，取得了满意疗效。临床资料本组６８例，男２７例，女４１例，年龄均在４５～７０岁。右侧２５例，左侧１９例，双侧...     

综合治疗糖尿病足40例临床观察

目的探讨综合治疗糖尿病足的疗效。方法对40例糖尿病足采用中西医、内外科相结合的综合治疗,总结其疗效,并对不同级别糖尿病足疗效进行分析。结果40例糖尿病足经综合治疗后,治愈率42.5％,总有效率70％,级别越低,治愈率、总有效率越高。结论综合治疗疗效显著,对糖尿病足应做到早发现、早诊断、早治疗。     

复杂中足损伤的临床治疗

Objective To evaluate the features and key points of clinical treatment of the complex midfoot injury retrospectively.Methods Twenty-two cases of complex midfoot injury were admitted to our hospital from June 2003 to June 2008, including 8 cases of open fracture and 5 cases of complicated soft tissue defects.Thirteen were emergency cases and the other 9 chronic ones were referred from other hospitals.In the emergency cases, only 1 underwent arthrodesis of the navicular and middle and lateral cuneiform and the others had reduction and internal fixation.In the referred cases, 2 received talar-navicular arthrodesis, 3 Lisfranc arthrndesis (accompanied by distal hallux amputation in 1), 1 navicular-cuneiform arthrudesis and 1 Chopart arthrndesis, 1 medial column amputation and 1 lateral column reconstruction.In the cases of soft tissue defects, 4 underwent free serratus anterior transfer, and 1 had transfer of distally-based sural fas-eio-cutaneous flap.The American Orthopaedic Foot & Ankle Society (AOFAS) scoring was used to evaluate the results.Results All the patients were followed up for 5 to 44 (average, 17.5) months.The main sequelae of the emergency cases were pain after long time waking, which was relieved following local injection of steroid and NIADs in 2 cases.Of the referred cases, pain and fatigue after walking were reported in 2, callus and pain under the 4th and 5th metatarsal heads in 2, and the whole foot rigidity and atrophy of the intrinsic muscle with severe pain while walking in 1.The case of medial column amputation developed medial arch collapse and valgus of hind foot.The mean AOFAS score for the emergency cases was 80.3± 8.7 and for the chronic ones was 60.1±16.3.Conclusion For complex midfoot injury, good results can only be obtained by early operation, anatomic reduction and stable fixation on the basis of enough understanding of the functional anatomy and traumatic pathology.     

吃药您喝足水了吗

张大爷患有多种慢性病，经常需要服用药物进行治疗，有时，他图省事，将药片放在口中后，不喝水或仅喝一口水，用力一咽，算是服完了药。其实，这种服药方式是不可取的。