孙思邈治失眠三法

《千金要方》中有丰富的临床内容,其中蕴含了大量的治疗疾病的方法和思路,其对失眠症的论治多从三方面进行论述,对临床治疗失眠症具有重要的指导价值。     

孙维峰教授治疗类风湿关节炎

孙维峰教授认为,湿邪对类风湿关节炎的起病有较大影响,正虚为根本原因,提出辨证分型应增加脾胃亏虚型,资后天以养先天.提倡中西医结合和中药辨证治疗,善用经方和自拟方,重视活血化瘀,灵活应用藤类、虫类中药及中成药,且不同时期治疗方略各有侧重.     

《备急千金要方》膏剂临床适应症与文献研究

膏剂是中医药学的重要组成部分,历代医家经过临床实践,不断丰富它的应用范围。孙思邈收集的膏剂是现存中医药文献记载隋唐以前膏剂之大成,通过对江户版《备急千金要方》中以“膏”命名的药方进行归纳,并结合临床进行整理。     

孙同郊治疗胆病经验

文章总结孙同郊治疗胆病经验。通过整理孙同郊教授临床治疗胆病的门诊验案发现:对于慢性胆囊炎,孙同郊教授认为肝郁气滞证是本病的基本证型,疏肝利胆是基本治法,发病机制中有不同程度的胆汁瘀滞和湿热内蕴,故疏肝利胆辅以清热除湿作为基础治疗;对于胆囊术后综合征,孙老认为,肝气不疏是本病的关键,和胃降逆是常用的辅助治疗。     

Utilization of calcium L-phenyllactate as a substitute for phenylalanine by uremic patients

The efficacy of calcium L-phenyllactate as a substitute for phenylalanine was examined in eight uremic patients who were also receiving calcium salts of the α-keto analogues of the branched-chain amino acids and the D,L-α-hydroxy analogue of methionine in addition to the remaining four essential amino acids themselves. Nitrogen balance, corrected for urea accumulation but not for cutaneous losses, was measured while the patients ate a virtually protein-free diet supplemented with the above mixture and glycine as a source of nonessential nitrogen. Two men were in negative nitrogen balance whether receiving this regimen (?2.58 ± 0.43 g N/day) or 21.5 g/day of essential amino acids, including 2 g of phenylalanine (?2.76 ± 0.46 g N/day). There was no apparent reason for their excessive catabolism. In contrast, six women had an average measured nitrogen balance of +0.73 ± 0.23 g N/day on this regimen. If an estimate for unmeasured nitrogen losses is included in their measured nitrogen balances, one patient was in positive balance (+0.90 g N/day), three in neutral balance (+0.43, +0.42, +0.11 g N/day) and two in negative balance, (?0.26, ?0.56 g N/day), yielding an average balance of +0.23 ± 0.23 g N/day. These data contrast with reported negative balances of ?1.8 to ?3.8 g N/day of subjects eating a phenylalanine-free diet. We conclude that in this group of six uremic patients, calcium L-phenyllactate was converted to phenylalanine and utilized to maintain nitrogen balance.     

孙喜才教授用四逆散治疗汗证经验

介绍孙喜才教授治疗汗证的经验。认为气机不畅也可导致汗出。气机不畅 ,营卫二气的循环节度规律就会发生紊乱 ,营卫不和 ,腠理开合不利而引起汗液外泄。提出了从疏理气机不畅入手来治疗汗证的方法。选用四逆散加味治疗。     

3例SUN5基因变异导致无头精子症的遗传学分析和助孕治疗结局

畸形精子症是男性不育的常见原因之一[1],其中无头精子症(acephalic spermatozoa syndrome,ASS)是一种严重导致男性不育的罕见畸形精子症,其特征是精液中含有无头精子尾部和一些松散的精子头部,主要表现为头颈部连接处异常[2-3],精子在电子显微镜下通常显示精子头部和尾部之间缺少植入窝和基板[4].     

《备急千金要方》中未命名经验方特点及其文献研究*

分析了江户版《备急千金要方》中未命名经验方的形成原因,将未命名经验方的文献记载特点归纳总结为以病机、主治、病名以及"又方"为特点的四大类。宜古为今用,推广于临床。