亦儒亦医,医文两栖——中外医史拾趣

自古以来,中医亦称＂儒医＂。何谓＂儒＂？儒即指有文化的人。古时称中医为儒医,即儒生当了医生。在源远流长的中医医史里,历代许多名医几乎都是饱读诗书的儒生。魏晋间杰出的针灸学家皇普谧,少时是个只知道吃喝玩乐、＂心不入道＂的浪荡儿。20岁那年,他弄来一些瓜果孝敬继母。     

岭南医家陈主平及其针灸著作述略

收集整理民国时期岭南地区较早一批针灸医家之一的陈主平的现存针灸著作,考证其生平事迹,探讨其针灸著作《中医刺灸术讲义》和《刺灸术讲义》的关系和学术特点。陈主平主张取穴重解剖定度量,依度量定穴位位置;取穴治疗,关键在辨证论治,认为欲辨证论治,需明《内经》、《难经》要旨;急症治疗,刺灸较药物治疗为宜。陈主平著作为岭南地区现存最早的针灸教材,对后世岭南针灸教材产生了积极的影响。     

温和灸促进混合痔术后组织修复的临床研究

目的：观察温和灸治疗混合痔术后并发症及促进创面愈合的临床疗效。方法：将90例混合痔患者随机分为两组,每组45例,治疗纽（A）术后第2天起,采用高锰酸钾稀释液熏洗后,予以温和灸创面局部以及长强穴30min,常规换药;对照组（B）术后第2天起,采用高锰酸钾稀释液熏洗后,予以常规换药。观察两组术后创面愈合时间以及术后疼痛及水肿情况。结果：经统计学分析,术后第1d、2d、3d、7d疼痛积分,术后第7d、2w水肿积分以及创面愈合时间（d）,两组相比差异有统计学意义（P〈0．05）,治疗组均优于对照组。结论：温和灸能有效缓解混合痔术后疼痛、肛门水肿等并发症,能促进术后创面愈合。     

Adolescent Spasmodic Torticollis Treated by Moxibustion A Report on 30 Cases

Spasmodic torticollis is characterized by involuntary contraction of the cervical muscles and the patient will have uni-directional paroxysmal vibration of the neck. The author has treated the disease by applying moxibustion and achieved quite satisfactory therapeutic effects. A report follows. Clinical Data Among the 30 cases in this series, 17 cases were male and 13 cases female, ranging in age from 6 to 17 years with 11.5 years on average, and in course of disease from 2 to 26 hours. The left side was affected in 21 cases, and the right side in 9 cases. The anterior-posterior radiograph films showed unilateral protrusion of the vertebrae in all the 30 cases. The lateral radiograph films showed normal physiological curvature in 3 cases, straightened in 18 cases, and reversed in 9 cases.     

中药内服配合按摩灸术治疗失眠症临床研究

目的 中药内服配合按摩足底部加艾灸涌泉穴治疗失眠症.方法 将88例患者分为治疗组41例和对照组47例,治疗组采用中药内服配合按摩足底反射区,加艾灸涌泉穴治疗,对照组按常规中药内服的治疗方法,比较治疗前后患者的睡眠状况.结果 两组疗效比较,治疗组有效率达90.3%,对照组为72.3%,经X2检验P＜0.01,两组差别具有显著性,治疗组治疗效果明显优于对照组.结论 中药内服配合按摩足底反射区,加艾灸涌泉穴疗效显著.     

COMBINED TREATMENT OF 28 CASES OF CHRONIC COLITIS BY ACUPUNCTURE AND MOXIBUSTION

Chronic colitis belongs to the category of “Xiexie“ (diarrhea), manifested mainly as loose stools with undigested food, mucus and small amount of pus and blood , abdominal pain, being long-lasting and lingering in the course of disease. Generally, the therapeutic effect was poor. In recent years, the author of the present paper has treated 28 cases of this disease andachieved satisfactory results. Here is the summary.     

Effect of pre-moxibustion on apoptosis and proliferation of gastric mucosa cells

AIM： TO observe the effects of pre-moxibustion on apoptosis and proliferation of gastric mucosal cell in rats with stress-induced ulcer, and to analyze the relationship between those effects and the expression of heat-shock protein 70 （HSP70）.
METHODS： Sixty healthy Sprague Dawley rats were randomly assigned into four groups, namely group A, B, C and D. The animal model of stress ulcer was established by water immersion and restraint stress. The rats in group A, B, and D served as the restraint, model, and non-acupoint controls, respectively, while those in group C received moxibustion at Zusanli and Uangmen points. Immunohistochemical methodology was used to detect the expression of HSP70, apoptosis index （AI, × 10^-6/μm^2） and proliferation index （PCNA-LI, × 10^-6/μm^2）. The mucosal expression of transforming growth factor α （TGF-α） was detected by radioimmunoassay.
RESULTS： IVloxibustion at Zusanli and Liangmen points significantly decreased the gastric injury and the apoptosis of gastric mucosal cells, while markedly increased the mucosal expression of TGF-α and HSP70 as well as the proliferation of gastric mucosal cells. Compared with group A, ulcer index （UI） （26.8 ± 9.8 vs 12.0 ± 5.9, P 〈 0.01）, AI （9.6 ± 4.2 vs 4.4 ± 2.6, P 〈 0.05） and expression of HSP70 （9.6 ± 4.2 vs 4.4 ± 2.6, P 〈 0.05） were significantly increased, but the content of TGF-α （104.7 ± 51.2 pg/mL vs 254.0 ± 86.9 pg/mL, P 〈 0.01） and PCNA-LI （6.9 ± 4.7 vs 14.9 ± 4.6, P 〈 0.05） were significantly decreased in group B. However, ulcer index values （UI） and AI were obviously lower in group C compared to groups B and D （14.1 ± 5.4 vs 26.8 ± 9.8 and 26.2 ± 7.7, P 〈 0.01, 3.0 ± 1.6 vs 9.6 ± 4.2 and 8.2 ± 5.2, P 〈0.05, respectively）, but content of TGF-α （237.0 ± 72.6 pg/mL vs 104.7 ± 51.2 pg/mL and 154.1 ± 61.3 pg/mL, P 〈0.01） and expression of HSP70 （0.13 ± 0.03 vs 0.08 ± 0.06 and 0.06 ± 0.04, P 〈 0.05） were higher in group C. Furth     

EFFECT OF HERB-MEDICINE-CAKE-SEPARATED MOXIBUSTION ON SERUM LIPOPROTEIN CONTENTS AND RATIO OF HDL-Ch AND LDL-Ch IN HYPERLIPEMIA RABBITS

Ourclinicalresearch[1 ] showedthatinthetreatmentofhyperlipemia patients,medicinalcake separatedmoxibustioncouldeffectivelylowerbloodlipid .Inordertostudytheunderly ingmechanismofmoxibustion ,weobservedthetherapeuticeffectsofdirectandindirectmoxi bustiononserumhighdensitylipoprotein choles terol(HDL Ch) ,lowdensitylipoprotein choles terol (LDL Ch)inexperimentalhyperlipemiarabbits.Followingisthereport.1　MATERIALSANDMETHODS1 .1　Groupingofanimalsandestablishmentofhyperlipemiamodel1 .1…     

中医针灸穴脉诊断系统的研制

中医针灸穴、脉诊断系统由穴位阻抗波分析、脉搏波分析和随机印证三部份所组成。其诊断方式为由两种波形分析的结果作出初步诊断,然后经症状、体征印证作必要的修正,因而诊断准确性较高。其治疗方式为输出中药针灸处方,同时可进行可控针灸治疗,形成一个诊断治疗闭环反馈系统。