热敏化腧穴埋线治疗更年期综合征思路探讨

简要论述了女性更年期综合征的流行病学、治疗现状、病因病机及针灸治则,并阐述了目前埋线治疗更年期综合征的研究现状以及存在的不足,进一步提出今后研究的方向,试图融合反应点理论、腧穴热敏化原理及埋线疗法之精粹,探讨热敏化腧穴埋线治疗女性更年期综合征临床研究思路,从而为针灸治疗更年期综合征的确切临床疗效提供更有力的支持。     

娄多峰治痹学术思想探析

文章总结了娄多峰教授治疗痹病的学术思想。娄老将痹病的病因简要地概括为虚、邪、瘀3个方面,提出了虚邪瘀病因学说,并认为虚邪瘀又是痹病的基本病机;创立了虚邪瘀辨证理论,指出痹病治疗需正虚、外邪、瘀血3者整体对待。治痹要遵循4大原则:①扶正祛邪,标本同治;②宣散疏通,依部用药;③三因制宜,异同相治;④守方变方,杂合以治。并列举了娄老治疗痹病的基础方通痹汤及其加减化裁方法;介绍了娄老对虚热型顽痹(类痹关节炎)的辨证治疗经验。     

病案教学法在中医妇科教学中的应用

在中医妇科学教学中灵活应用病案进行教学,有效地提高了学生的参与意识,调动了学生的学习积极性,提高了学生的临床思维和解决问题的能力,其教学效果显著。不仅提高了学生实际工作能力,还提高了学生的医德修养,同时亦对教师提出了更高的要求。     

方证相对论研究的关键问题与思考

中医学以间接致思的思维方式探求人体生理、病理及防病治病规律，开展方证研究也应遵循中医学的本原思维模式。方随证出，因证变化而药物组成变化是方证对应的一般规律，称之为“方证相对论”。方证对应理论体系是非线性的、多维的、开放的复杂系统，其研究内容应体现当代医学最新成就。从中药分子水平开展方剂配伍规律研究，阐明方剂作用机理以求得方证的最佳对应和变化规律，应是方证研究深化的客观要求和关键所在。     

影像学教学中强化临床诊断思维的探索

医学影像学是一门内容繁多的综合学科,涉及几乎所有的临床学科,对解剖、生理、病理等基础学科知识有相当高的要求.中医院校的〈医学影像学〉教学长期存在课时少、内容多的矛盾,导致总体教学效果欠佳.引入多媒体、网络教学及PBL（problem-based learig）等先进教学方法与手段无疑有助提高教学质量.如何在有限的课时内讲授大量的学习内容并使学生能够理解、记忆、应用是解决教学问题的关键,在课堂教学中强化临床影像诊断思维的培养对此具有重要意义.     

何廉臣学术思想探析

何廉臣为＂绍派伤寒＂继承和发扬者。传承寒温融合,发展伤寒学说。探究医理,悟出医方,方方切实可用。增订通俗伤寒论,别开生面;吸纳新知,厚古而不薄今。以六经三焦辨证而得法,法法新颖。     

浅议城镇农民工的医疗保障

本文对农民工医疗保障问题进行了初步探讨。首先指出了农民工的医疗保障状况不佳；然后对建立农民工医疗保障体制的必要性进行论述；最后提出了建立农民工医疗保障体制的初步思路，并突出了社会组织的作用。     

Correlates of Reflective Practice in Medicine

Background: The ability of physicians to critically reflect on their professional practice has been increasingly valued. Previous research brought to light the multidimensional structure of reflective practice in medicine. It comprises at least five sets of behaviours in response to complex medical problems encountered in professional practice. Factors associated to reflective practice among physicians have, as far as we know, not yet been explored by empirical study. Purpose: To study factors correlated to reflective practice among physicians. Methods: A questionnaire exploring characteristics of professional practice and educational experiences was administered to primary health care physicians. Measurements were related to scores on a reflective practice measuring instrument developed previously. Associations between variables were examined by statistical analysis with tests of correlation and analysis of variance. Results: Reflective practice is negatively correlated to physician’s age and number of years of clinical practice. Working mainly in hospitals and attendance to medical residency programmes in some specialties apparently have a positive effect on reflective practice. Conclusion: Reflective practice tends to decrease with experience. Findings are consistent with the literature on medical expertise that shows a decline of analytical reasoning in proportion to the increase in experience. Some specialty programmes seems to enhance concerns with the scientific basis to professional practice, thereby favouring reflective approaches. Local features of primary health care settings probably explain their negative effect on reflective practice. Strategies to develop reflective practice among physicians should be explored by further research.     

第5个氟喹诺酮类药品——加替沙星撤市的思考

通过对抗茵性能良好、并正处于市场旺销之中的加替沙星因诱发严重糖代谢紊乱不良反应而由生产企业主动召回一事，阐述几点发人深省的思考。     

《伤寒论》和《金匮要略》临证思维模式探讨

结合原著条文对《伤寒论》和《金匮要略》的辨证思维模式进行分析。认为"先辨病证,再辨方证,辨病与辨证相结合"是《伤寒论》和《金匮要略》辨证的基本原则,"方证相对"和"随证治之"是《伤寒论》和《金匮要略》诊治疾病的重要指导思想。