张家维教授治疗女性更年期综合征经验撷要

介绍张家维教授治疗女性更年期综合征的独到经验。根据女性更年期患者的生理病理特点，张老提出中医治疗更年期综合征应以补脾益肾、调和阴阳为总的治疗原则；在针灸治疗中，首先应讲究针法应用。张老根据多年的临床经验，总结了一套以“稳、准、轻、快”为特点的张氏飞针手法，同时，重视五脏背俞穴埋线治疗；此外，还提倡在治疗中应因时、因地、因人制宜，主张先针后灸，针药并用。     

"阴火"考释

"阴火"一词屡见于李杲之前的文学作品,并与李杲的"阴火"概念密切相关,对此加以考释,对于进一步理清李杲的"阴火"概念有十分积极的意义。     

双氢青蒿素对恶性疟原虫有性生殖期的影响

Eighteen falciparumn malaria patients with gametocytemia were randomly allocated to 2 groups,treated respectively with dihydroartemisinin (DATM) tablets at a total dose of 360 mg over 5 days and with oral quinine sulfate (QN) at a total dose of 10 5000 mg over 7 days. Peripheral gametocyte counts were done daily in all patients until its disappearance. Blood samples were taken on D0, D4, D7, D10, D14, D21 and D28 from the patients to perform infectivity tests to Anopheles dirus. The result showed that the mean clearance times of PFG were 21.8±5.2 days in DATM group and 31.5±8.7 days in QN group respectively. And in DATM group, the infectivity tests were positive in 6 cases only. In those 6 positive cases, the numbers of the positive infectivity on D4, D7, D10, D14 and D21 were 6/6,6/6,2/6,0/6 and 0/6 respectively. While the 4 negative cases on D0 remained negative infectivity on D4, D7, D10, D14. In QN group, the infectivity tests were positive in 4 cases too on D0, the numbers of positive cases on D4, D7, D10, D14, D21 and D28 were 8/8,8/8,8/8,8/8,2/8 and 0/8 respectively. These indicate that QN cannot inhibit P.Falciparum at sexual stage, while DATM has a remarkable inhibitory effect, and may prevent the immatured PFG that was failure to infect An. dirus on D0 from maturing.     

保妇康泡沫剂治疗霉菌性阴道炎的临床研究

目的：探讨保妇康泡沫剂治疗霉菌性阴道炎的临床疗效。方法：对１９９８年１２月至１９９９年２月在门诊确诊为霉菌阴道炎的１２０例患者分别用保妇康泡沫剂（６０例）两种药物进行治疗,并定期随访。结果：保妇康泡沫剂组随方５４例中,治愈率和总有效率分别为８７．０～８８．９％和９４．４～９６．３％,达克宁组随访５２例中,治愈率和总有效率分别为８４．６～８８．５％和９２．３～９４．２％,两组比较无显著性差异,Ｐ〉０     

开心胶囊对实验性糖尿病合并心肌缺血大鼠血液流变学的影响

Effects of Kaixin capsule on blood rheology in myocardial ischemia rats with diabetes mellitus were studied. The administration of Kaixin capsule at a dosage of 0.65 g/kg could significantly reduce plasma triglyceride and total cholesterol,elevate the blood level of high-density lipoprotein in model mice and improve blood rheology.The results suggest that Kaixin capsule is an effective preparation for improving the status of myocardial ischemia.     

瘿消颗粒剂的药效学研究

正常小鼠ｐｏ瘿消颗粒剂２０ｄ后,使小鼠机体耗氧量明显低于正常对照组,效果与他巴唑相同,瘿消颗粒剂对实验性甲状腺机能亢进家兔的体重、体温、心率、心电图、血清Ｔ３、Ｔ４值等各项指标均有明显改善,并使甲 功能和形态基本恢复正常,它还可使正常大鼠血清Ｔ４值下降,其作用与他巴唑相似,说明该方剂有明显抗甲状腺机能亢进作用。     

人胚胎发育中表皮细胞连接通讯沿经连续性的建立

用细胞内注射羧基荧光素示踪法对７个５～８月龄流产人胚胎的１２个皮肤标本所作的表皮细胞连接通讯的测定表明：在表皮深层，通讯沿胸腹段任脉线的连续性早在６．５月龄胚始即已存在，而沿股内侧段肝经线的通讯连续性则在约１个月后才建立，此时其侧向旁开部位尚不能测到这种通讯的空间连续必地结果提示人体表皮细胞连接通讯与经络的形成密切相关，在胚胎期已经确立，胚胎皮肤是研究这种相关进而探索经络本质的理想材料。     

中药长皮膏结合补阳还五汤加减治疗手指外伤疗效观察

手指外伤在门急诊中较为常见。目前治疗多采取清创缝合、植皮甚至截指术。笔者采用外敷中药长皮膏结合内服补阳还五汤加减治疗手指外伤,避免了行手术治疗的痛苦、截指的风险,减轻了患者的经济负担,治愈率100%,疗效确切。     

丹郁骨康丸治疗股骨头缺血性坏死：Ⅱ期临床试验90例小结

为评价丹服骨康丸治疗股骨头缺血性坏死的临床疗效、适应性和安全性，彩双盲双模拟随机观察，结果显示：治疗组在疗效、镇痛、功能、跛行和Ｘ线改善方面均优于对照组，有非常显著差异。说明丹郁骨康丸是一种治疗股骨头缺血性坏死的良药。     

幼年型特发性关节炎病案

1 病历摘要 张某某,男,14岁,学生,住院号300863.因"左膝关节反复肿痛14个月,伴腰背部酸痛2个月"于2002年4月25日入院.