针药同用治疗脑梗死的疗效确切,笔者通过搜集相关的研究文献,并进行整理、分析,根据针药同用治疗脑梗死的临床研究概况,总结出针药同用治疗脑梗死的作用机制,指导针药同用更好地运用于临床。The combined use of acupuncture and medica...针药同用治疗脑梗死的疗效确切,笔者通过搜集相关的研究文献,并进行整理、分析,根据针药同用治疗脑梗死的临床研究概况,总结出针药同用治疗脑梗死的作用机制,指导针药同用更好地运用于临床。The combined use of acupuncture and medication for the treatment of cerebral infarction is highly effective. By collecting relevant research literature and conducting a comprehensive analysis, the author summarizes the mechanism of the combined use of acupuncture and medication in treating cerebral infarction based on the clinical research overview, and guides the use of acupuncture and medication together for better clinical practice.展开更多
目的:为了研究小青龙加减联合右美沙芬片治疗慢性支气管炎的临床疗效,我们选取了2022年3月到6月的60名患者,按1到60号对患者进行排序,采用随机抽样法,偶数为研究组,奇数为对照组。研究组采用小青龙汤加减治疗,对照组采用右美沙芬片治疗...目的:为了研究小青龙加减联合右美沙芬片治疗慢性支气管炎的临床疗效,我们选取了2022年3月到6月的60名患者,按1到60号对患者进行排序,采用随机抽样法,偶数为研究组,奇数为对照组。研究组采用小青龙汤加减治疗,对照组采用右美沙芬片治疗。研究两组的治疗效果。结果发现:研究组治疗有效率为96.7%,对照组治疗有效率为90.0%,研究组显然高于对照组。两组对比差异有统计学意义(P Objective: To study the clinical efficacy of modified Xiaoqinglong decoction combined with dextromethorphan tablets in chronic bronchitis, we selected 60 patients from March to June 2022, ranked patients by 1 to 60, using random sampling method, even number for the study group and odd number for the control group. The study group was treated with modified Xiaoqinglong decoction, and the control group was treated with dextromethorphan tablets. To study the treatment effect in both groups. The results found that the effective rate of the study group was 96.7%, and the control group was 90.0%, and the study group was obviously higher than the control group. The difference between the two groups was statistically significant (P < 0.05). Before treatment, there was no significant difference in symptoms such as cough, expectoration, wheezing, fever, headache between the two groups. After treatment, the study group and the control group improved significantly, but the study group improved more significantly. The clinical symptoms disappeared early after treatment, and the difference compared with the control group was statistically significant (P < 0.05). Conclusion: Modified Xiaoqinglong decoction is highly effective in treating chronic bronchitis, and cough, expectoration, wheezing, fever and cold, headache and other symptoms disappear quickly, which is more effective than the control group, making it worthy of widespread promotion in clinical practice.展开更多
慢性萎缩性胃炎(Chronic Atrophic Gastritis, CAG)是指胃粘膜固有腺体萎缩,在中医属于“胃痞”等范畴,病机以中焦气化不利,脾胃升降失司为主,在中医临床上以虚实夹杂症多见。王教授为全国第六批名老中医药专家传承指导老师,从事临床教...慢性萎缩性胃炎(Chronic Atrophic Gastritis, CAG)是指胃粘膜固有腺体萎缩,在中医属于“胃痞”等范畴,病机以中焦气化不利,脾胃升降失司为主,在中医临床上以虚实夹杂症多见。王教授为全国第六批名老中医药专家传承指导老师,从事临床教学、科研工作10余载,对慢性萎缩性胃炎有着多年治疗的经验,并在临床实践中取得良好的成效。笔者在跟师学习过程中发现王教授治疗慢性萎缩性胃炎注重整体辨证,主要运用清热利湿、降气通下,调和脾胃之法,疗效显著。现将王教授治疗慢性萎缩性胃炎的思路归纳如下,以飱同道。Chronic Atrophic Gastritis (CAG) refers to the atrophy of gastric mucosa, which belongs to the category of “gastric ruffian” and so on in Chinese medicine. It is primarily characterized by impaired digestive and absorption functions, and spleen and stomach dysfunctions. Clinically, it often presents with a mixture of deficiency and excess symptoms. Professor Wang Zongming has been engaged in clinical teaching and scientific research for more than 10 years, and is the sixth batch of famous old Chinese medicine experts in China. He has had many years of experience in the treatment of chronic atrophic gastritis, and he has achieved good results in clinical practice. In the study with the teacher, the author found that Professor Wang paid attention to the overall syndrome differentiation, used the method of clearing heat, improving dampness, reducing Qi, and harmonizing the spleen and stomach, and achieved obvious effect in the clinical diagnosis and treatment of chronic atrophic gastritis. Now professor Wang’s treatment of chronic atrophic gastritis is summarized as follows for the benefit of researchers in the same field.展开更多
目的:为了研究启宫夺命汤联合西药治疗多囊卵巢综合征的临床疗效,进一步探究其机制,提高患者满意度。方法:选择2022年3月份至2023年10月份在遵义市中医院妇科门诊及住院部收治的60名患者,1~30号为对照组,31~60号为观察组,两组分别为30人...目的:为了研究启宫夺命汤联合西药治疗多囊卵巢综合征的临床疗效,进一步探究其机制,提高患者满意度。方法:选择2022年3月份至2023年10月份在遵义市中医院妇科门诊及住院部收治的60名患者,1~30号为对照组,31~60号为观察组,两组分别为30人,对照组予饭后口服二甲双胍缓释片,每次0.5 g,每天两次;每天睡前口服达英-35,每次一片,每天一次;观察组患者在对照组的基础上使用启宫夺命汤(川芎、麸炒白术、半夏、香附、茯苓、神曲、化橘红、炙甘草、桂枝、桃仁、赤芍、牡丹皮)。评估两组病人在治疗前与治疗后的各项指标(E2、SHBG、AMH、LH)水平判断分析药物取得的临床疗效。结果:治疗后两组均可以使E2、SHBG水平提高,AMH、LH水平降低,组内比较有差异(P 0.05)。结论:启宫夺命汤联合西药治疗多囊卵巢综合征进行治疗,能够使E2、SHBG水平提高,AMH、LH水平降低,能明显地缓解病人的临床症状,改善预后,提升生活质量,值得广泛应用。Objective: In order to study the clinical efficacy of Qigong Duoming Decoction combined with Western medicine in the treatment of Polycystic Ovary Syndrome, further explore the mechanism and improve patient satisfaction. Methods: 60 patients treated in the gynecology outpatient and inpatient departments of Zunyi Traditional Chinese Medicine Hospital from March 2022 to October 2023 were selected. Numbers 1 to 30 were assigned to the control group, and numbers 31 to 60 were assigned to the observation group, with 30 people in each group. The control group received oral metformin su tained-release tablets after meals, 0.5 g each time, twice a day;and Diane-35, one tablet, once a day before going to bed. The observation group was treated with Qigong Duoming Decoction (consisting of Chuanxiong, oven-fried Atractylodes, Pinellia ternata, Cyperus rotundus L., Poria, Shenqu, Citri Reticulatae Pericarpium, roasted licorice, cinnamon twig, peach kernel, red peony root, and moutan bark) on top of the control group’s treatment. To evaluate the clinical efficacy of the indicators (E2, SHBG, AMH, LH) before and after treatment in the two groups. Results: After treatment, both groups could increase E2 and SHBG, AMH and LH, and differ within the groups (P 0.05). Conclusion: The treatment of polycystic ovary syndrome combined with Western medicine can improve the level of E2 and SHBG, reduce the level of AMH and LH, which can significantly relieve the clinical symptoms of patients, improve the prognosis and improve the quality of life, which is worth widely used.展开更多
肠易激综合征(Irritable bowel syndrome, IBS),属于功能性肠病中的一种,是一组以腹痛、腹胀、排便习惯为主,并伴随大便性状改变的非器质性临床症候群,病程常呈持续或间断发作,目前缺乏明确的生物化学及形态学检测依据。IBS被公认为是...肠易激综合征(Irritable bowel syndrome, IBS),属于功能性肠病中的一种,是一组以腹痛、腹胀、排便习惯为主,并伴随大便性状改变的非器质性临床症候群,病程常呈持续或间断发作,目前缺乏明确的生物化学及形态学检测依据。IBS被公认为是一种世界性功能性肠病,随着生活节奏的加快及饮食习惯的改变,其发病率呈逐年上升趋势,据大量流行病学研究显示,南美洲国家总体发病率最高,约为21.0%;其次为非洲国家,约为19.0%;北欧国家相对较低,约12.0%;东南亚国家最低,约为7.0%。不同国家之间发病率相比,法国为3.3%,偏低,而尼日利亚为31.6%,较高,相同国家不同地区IBS发病率亦有不同,美国国内不同地区IBS发病率差别偏大,约为7.0%~16.0%,而澳大利亚约为7.0%~14.0%,新加坡不同地区发病率则偏小,约为5.0%~10.0%。IBS并非危及生命的疾患,但由于目前尚无针对IBS的特效药,并且常常反复发作,最终给患者带来较大的精神及经济负担,从而降低患者生活质量。Irritable bowel syndrome (Irritable bowel syndrome, IBS) is one of functional bowel diseases. It is a group of non-organic clinical symptoms, mainly abdominal pain, abdominal distension, defecation habits, and accompanied by changes in stool traits. The course of the disease is often continuous or intermittent, and there is no clear biochemical and morphological testing basis. IBS is recognized as a worldwide functional bowel disease. With the acceleration of the pace of life and the change of dietary habits, its incidence is increasing year by year. According to a large number of epidemiological studies, South American countries have the highest overall incidence rate at approximately 21.0%;followed by African countries at approximately 19.0%;Nordic countries were relatively low at approximately 12.0%;and Southeast Asian countries at approximately 7.0%. Compared with different countries, the incidence in France is 3.3%, low, but in Nigeria, 31.6%, the incidence of IBS in different countries, different regions, the United States, different parts of the United States, about 7.0%~16.0%, while Australia, about 7.0%~14.0%, Singapore, about 5.0% to 10.0%. IBS is not a life-threatening disease, but because there is no specific drug for IBS, and often recurrent attacks, and eventually bring greater mental and economic burden to patients, thus reducing the quality of life of patients.展开更多
徐学义系国家级老中医、第三批全国名老中医药专家学术经验工作继承指导老师,在多年的临床实践中总结创新“新证论治加专药”理论,认为本病多见于情志不疏、情志抑郁,导致肝郁脾虚,治疗原则上以“疏肝解郁、健脾和胃”为主。笔者有幸跟...徐学义系国家级老中医、第三批全国名老中医药专家学术经验工作继承指导老师,在多年的临床实践中总结创新“新证论治加专药”理论,认为本病多见于情志不疏、情志抑郁,导致肝郁脾虚,治疗原则上以“疏肝解郁、健脾和胃”为主。笔者有幸跟诊于徐老学习多年,感悟颇深,现将徐老辨治返流性食管炎的经验整理如下。Xu Xueyi is a national old Chinese medicine, the third batch of national old Chinese medicine experts with academic experience inheritance guidance teacher, in many years of clinical practice of innovation “new evidence theory treatment and special medicine” theory, think the disease more in love not thin, mood depression, liver yu spleen deficiency, treatment in principle to “thin liver solution depression, spleen and stomach” is given priority to. The author has the honor to study with Xu Lao for many years, and has a deep understanding. Now Xu Lao’s experience of treating reflux esophagitis is summarized as follows.展开更多
象思维也叫取象思维,它是以《周易》为代表的中国古代哲学认识事物的基本思维。是我国传统文化中最具代表性的思维方式。“象”通常指客观事物表现于外在的现象、形象。一切可以看到的、闻到的、听到的、能触及的、可感知的,都是“象”...象思维也叫取象思维,它是以《周易》为代表的中国古代哲学认识事物的基本思维。是我国传统文化中最具代表性的思维方式。“象”通常指客观事物表现于外在的现象、形象。一切可以看到的、闻到的、听到的、能触及的、可感知的,都是“象”。天地之间,万物以“象”的形式表现出来。通过类比、象征等方法,根据两类事物在某种属性上的相似而推出它们在其他方面也可能相同或相似,这样的逻辑推理就是“象思维”。仝小林认为,象思维,是中国文化的主导思维形式,也是传统中医药产生和发展的主导思维形式。象思维的形成过程,是由观象、比象,到意象、抽象,从形而下的发现,到形而上抽提,再回到形而下去验证,往复循环,不断试错、纠错,逐步完善,形成相对真理。因此,研究中医的象思维,能为世界打开中华文明宝库提供一把钥匙。仝小林通过阳光的作用与中医运用温阳药物相类比治疗抑郁、“苦酸制甜”食物和药物治疗糖尿病等例子,仝小林展示了中医“象思维”在实际运用中取得的有效成果和治疗意义。这就是中医世界观与方法论的基础。Xiang-thinking is also called image-oriented thinking, which is the basic thinking of understanding things in ancient Chinese philosophy represented by Zhouyi. It is the most representative way of thinking in Chinese traditional culture. “Xiang-thinking” usually refers to the objective things expressed in the external phenomenon, the image. Everything that can be seen, smelled, heard, touched, and perceived is an “Xiang-thinking”. Between heaven and earth, all things are expressed in the form of “Xiang-thinking”. Through analogy, symbol, etc., according to the two types of things are similar in certain attributes, they may be identical or similar in other aspects, such logical reasoning is “Xiang-thinking”. Tong Xiaolin believes that Xiang-thinking is the dominant thinking form of Chinese culture and the leading form of thinking for the generation and development of traditional Chinese medicine. The formation process of Xiang-thinking is from view, comparison, to image, abstract, from the metaphysical discovery, to the metaphysical extraction, and then back to the shape to the verification, cycle, continuous trial and error, error correction, gradually perfect, the formation of relative truth. Therefore, the study of Chinese thinking can provide a key for the world to open the treasure house of Chinese civilization. Tong Xiaolin used the effect of sunshine and the use of Chinese medicine to treat depression, “bitter sour and sweet” food and drugs to treat diabetes, Tong Xiaolin demonstrated the effective results and therapeutic significance of TCM “Xiang-thinking” in practical application. This is the basis of the TCM world outlook and methodology.展开更多
慢性萎缩性胃炎(chronic atrophic gastritis, CAG)是慢性胃炎的一种类型,系指胃黏膜上皮遭受反复损害导致固有腺体的减少,伴或不伴肠腺化生和(或)假幽门腺化生的一种慢性胃部疾病。大多数该病患者无特异性临床表现,多因中上腹部不适、...慢性萎缩性胃炎(chronic atrophic gastritis, CAG)是慢性胃炎的一种类型,系指胃黏膜上皮遭受反复损害导致固有腺体的减少,伴或不伴肠腺化生和(或)假幽门腺化生的一种慢性胃部疾病。大多数该病患者无特异性临床表现,多因中上腹部不适、餐后饱胀、口苦、烧心、泛酸等症就诊,行胃镜、病理检查后方才确诊。世界卫生组织(WHO)早在多年前就指出了CAG属于胃癌的癌前状态,其中若是伴有肠化或不典型增生,癌变风险则会进一步增加。相关研究表明国外CAG的癌变率为8.6%~13.8%,而我国CAG的癌变率为1.2%~7.1%。不同地域饮食结构及生活习惯各有不同,饮食偏嗜、喜好烟酒浓茶、熬夜、各方面压力等均可导致胃肠疾病的发生发展,目前CAG的检出率也呈现逐渐上升趋势,而CAG作为胃癌的癌前状态,不得不引起我们的注意。CAG患者多为老年人,近50%胃黏膜存在萎缩改变的为50岁以上老年人,70%在40岁以上。国外研究发现,如南美、东亚、东欧等胃癌高发地,CAG的检出率也是居高不下的。荷兰通过10年对92,250例胃癌前病变患者进行随访发现肠化和萎缩性胃炎的胃癌发生率0.25/年和0.1%/年。国内研究调查发现,CAG患者主要集中于广西、福建、黑龙江等地,该病检出率约占胃镜检查的7.5%~13.8%。青海省人民医院消化内科通过研究本院187例胃镜检查报告显示:青海地区CAG发生率显著高于平原地区,胃镜室所检病种中CAG构成比高达72.47%,CAG发病率随年龄增长而增加。故探讨慢性萎缩性胃炎的研究进展至关重要,本文从中西医结合的角度论述慢性萎缩性胃炎的研究进展,为临床科研提供相应的帮助。Chronic atrophic gastritis (chronic atrophic gastritis, CAG) is a type of chronic gastritis, which refers to a chronic gastric disease leading to the reduction of native glands, with or without intestinal metaplasia and (or) pseudopyloric metaplasia. Most of the patients with this disease do not have specific clinical manifestations, and are usually due to middle and upper abdominal discomfort, postprandial fullness, bitter mouth, heartburn, pantothenic acid and other diseases, which are confirmed after gastroscopy and pathological examination. The World Health Organization (WHO) pointed out that CAG is a precancerous state of gastric cancer many years ago, where the risk of cancer is accompanied by enterization or atypical hyperplasia. Related studies show that the cancer rate of CAG abroad is 8.6%~13.8%, while the cancer rate of CAG in China is 1.2%~7.1%. Different regions have different dietary structure and living habits, including preference for eating, tobacco, alcohol and tea, staying up late, and all aspects of pressure can lead to the occurrence and development of gastrointestinal diseases. At present, the detection rate of CAG is also gradually rising trend, and CAG, as a precancerous state of gastric cancer, has to attract our attention. Most of the CAG patients are elderly, nearly 50% of the gastric mucosa is over 50 years old, and 70% are over 40 years old. Foreign studies have found that the detection rate of CAG in the high incidence of gastric cancer in South America, East Asia and Eastern Europe, is also high. In the Netherlands, 92,250 patients with precancerous gastric lesions for 10 years found enteric and atrophic gastric gastritis incidence 0.25/year and 0.1%/year. Domestic research found that CAG patients are mainly concentrated in Guangxi, Fujian, Heilongjiang and other places, and the detection rate of this disease accounts for about 7.5%~13.8% of gastroscopy. Through the study of the gastroscopy report of 187 cases, the incidence of CAG in Qinghai was significantly higher than that in the plain area, the composition ratio of CAG in the gastroscopy room was as high as 72.47%, and the incidence of CAG increased with the increase of age. Therefore, it is very important to discuss the research progress of chronic atrophic gastritis. This paper discusses the research progress of chronic atrophic gastritis from the perspective of combining traditional Chinese and western medicine, and provides corresponding help for clinical scientific research.展开更多
目的:探讨云南白药胶囊联合蒙脱石散交替治疗非静脉曲张性上消化道出血的临床疗效,进一步探究其机制,提高患者满意度。方法:采取随机数字表法,选择2023年3月份至2024年3月份在贵州省遵义市中医院收治的60名患者,奇数为对照组,偶数为观察...目的:探讨云南白药胶囊联合蒙脱石散交替治疗非静脉曲张性上消化道出血的临床疗效,进一步探究其机制,提高患者满意度。方法:采取随机数字表法,选择2023年3月份至2024年3月份在贵州省遵义市中医院收治的60名患者,奇数为对照组,偶数为观察组,两组分别为30人,对照组予808方案治疗,观察组在对照组的基础上使用云南白药胶囊联合蒙脱石散交替治疗。评估两组病人在治疗前与治疗后的各项指标,判断分析药物取得的临床疗效。结果:(1) 对照组的总有效率为86.21%,观察组总有效率为93.33%,两组相比较存在显著性差异(P P P > 0.05),治疗后两组的主症(黑便、呕血)和次症(腹胀、胃脘痛、腹痛、肢软)等积分比较,数据指标显示观察组优于对照组,具有明显差异性(P < 0.05),证实观察组改善症状积分方面的效果比对照组更加有优势。结论:云南白药胶囊联合蒙脱石散交替治疗非静脉曲张性上消化道出血,能明显改善患者的临床症状,提升患者生活质量,节约患者的经济,值得临床广泛应用。展开更多
随着经济社会的发展,人口老龄化日趋严重,临床上诊断为CAG比例逐渐升高,给患者家庭及社会带来沉重的负担。目前临床上认为CAG的发生主要是由于多种因素共同作用造成的,经电子胃镜取组织病理活检而诊断,但是发病机制尚不明确,临床常用叶...随着经济社会的发展,人口老龄化日趋严重,临床上诊断为CAG比例逐渐升高,给患者家庭及社会带来沉重的负担。目前临床上认为CAG的发生主要是由于多种因素共同作用造成的,经电子胃镜取组织病理活检而诊断,但是发病机制尚不明确,临床常用叶酸片、摩罗丹联合PPI、胃粘膜保护剂等进行试验性治疗,疗效明显。但治疗CAG的关键并不是药物治疗,而是在于早预防,早发现,因此“治未病”理论在CAG的防治中起到关键作用。有研究表明,“治未病”理论是一种从根本上防治CAG的新方法。文章将从“治未病”理论入手,探讨防治CAG“未病先防、既病防变、瘥后防复”这三个方面的临床运用。为临床提供一种新的思路,为优化治疗方案提供依据。With the development of economy and society, the aging of the population is becoming more and more serious, and the proportion of clinically diagnosed CAG is gradually increasing, which brings heavy burden to the patients’ family and society. At present, it is believed that the occurrence of CAG is mainly caused by the joint action of various factors. It is diagnosed by electronic gastroscopy and pathological biopsy, but the pathogenesis is not clear, including folic acid tablets, Moradan combined with PPI and gastric mucosal protective agent in clinical treatment, with obvious effect. However, the key to treating CAG is preventive treatment of disease, but early prevention and early detection, so the theory of “preventive treatment of disease” plays a key role in the prevention and treatment of CAG. Some studies have shown that the theory of “preventive treatment of disease” is a new way to fundamentally control CAG. Article will start from the theory of “preventive treatment of disease”, discusses the prevention and control of CAG “prevent before getting sick, prevent changes after getting sick, and prevent relapse after getting sick” these three aspects of clinical use. To provide a new clinical idea and provide the basis for optimizing the treatment plan.展开更多
文摘针药同用治疗脑梗死的疗效确切,笔者通过搜集相关的研究文献,并进行整理、分析,根据针药同用治疗脑梗死的临床研究概况,总结出针药同用治疗脑梗死的作用机制,指导针药同用更好地运用于临床。The combined use of acupuncture and medication for the treatment of cerebral infarction is highly effective. By collecting relevant research literature and conducting a comprehensive analysis, the author summarizes the mechanism of the combined use of acupuncture and medication in treating cerebral infarction based on the clinical research overview, and guides the use of acupuncture and medication together for better clinical practice.
文摘目的:为了研究小青龙加减联合右美沙芬片治疗慢性支气管炎的临床疗效,我们选取了2022年3月到6月的60名患者,按1到60号对患者进行排序,采用随机抽样法,偶数为研究组,奇数为对照组。研究组采用小青龙汤加减治疗,对照组采用右美沙芬片治疗。研究两组的治疗效果。结果发现:研究组治疗有效率为96.7%,对照组治疗有效率为90.0%,研究组显然高于对照组。两组对比差异有统计学意义(P Objective: To study the clinical efficacy of modified Xiaoqinglong decoction combined with dextromethorphan tablets in chronic bronchitis, we selected 60 patients from March to June 2022, ranked patients by 1 to 60, using random sampling method, even number for the study group and odd number for the control group. The study group was treated with modified Xiaoqinglong decoction, and the control group was treated with dextromethorphan tablets. To study the treatment effect in both groups. The results found that the effective rate of the study group was 96.7%, and the control group was 90.0%, and the study group was obviously higher than the control group. The difference between the two groups was statistically significant (P < 0.05). Before treatment, there was no significant difference in symptoms such as cough, expectoration, wheezing, fever, headache between the two groups. After treatment, the study group and the control group improved significantly, but the study group improved more significantly. The clinical symptoms disappeared early after treatment, and the difference compared with the control group was statistically significant (P < 0.05). Conclusion: Modified Xiaoqinglong decoction is highly effective in treating chronic bronchitis, and cough, expectoration, wheezing, fever and cold, headache and other symptoms disappear quickly, which is more effective than the control group, making it worthy of widespread promotion in clinical practice.
文摘慢性萎缩性胃炎(Chronic Atrophic Gastritis, CAG)是指胃粘膜固有腺体萎缩,在中医属于“胃痞”等范畴,病机以中焦气化不利,脾胃升降失司为主,在中医临床上以虚实夹杂症多见。王教授为全国第六批名老中医药专家传承指导老师,从事临床教学、科研工作10余载,对慢性萎缩性胃炎有着多年治疗的经验,并在临床实践中取得良好的成效。笔者在跟师学习过程中发现王教授治疗慢性萎缩性胃炎注重整体辨证,主要运用清热利湿、降气通下,调和脾胃之法,疗效显著。现将王教授治疗慢性萎缩性胃炎的思路归纳如下,以飱同道。Chronic Atrophic Gastritis (CAG) refers to the atrophy of gastric mucosa, which belongs to the category of “gastric ruffian” and so on in Chinese medicine. It is primarily characterized by impaired digestive and absorption functions, and spleen and stomach dysfunctions. Clinically, it often presents with a mixture of deficiency and excess symptoms. Professor Wang Zongming has been engaged in clinical teaching and scientific research for more than 10 years, and is the sixth batch of famous old Chinese medicine experts in China. He has had many years of experience in the treatment of chronic atrophic gastritis, and he has achieved good results in clinical practice. In the study with the teacher, the author found that Professor Wang paid attention to the overall syndrome differentiation, used the method of clearing heat, improving dampness, reducing Qi, and harmonizing the spleen and stomach, and achieved obvious effect in the clinical diagnosis and treatment of chronic atrophic gastritis. Now professor Wang’s treatment of chronic atrophic gastritis is summarized as follows for the benefit of researchers in the same field.
文摘目的:为了研究启宫夺命汤联合西药治疗多囊卵巢综合征的临床疗效,进一步探究其机制,提高患者满意度。方法:选择2022年3月份至2023年10月份在遵义市中医院妇科门诊及住院部收治的60名患者,1~30号为对照组,31~60号为观察组,两组分别为30人,对照组予饭后口服二甲双胍缓释片,每次0.5 g,每天两次;每天睡前口服达英-35,每次一片,每天一次;观察组患者在对照组的基础上使用启宫夺命汤(川芎、麸炒白术、半夏、香附、茯苓、神曲、化橘红、炙甘草、桂枝、桃仁、赤芍、牡丹皮)。评估两组病人在治疗前与治疗后的各项指标(E2、SHBG、AMH、LH)水平判断分析药物取得的临床疗效。结果:治疗后两组均可以使E2、SHBG水平提高,AMH、LH水平降低,组内比较有差异(P 0.05)。结论:启宫夺命汤联合西药治疗多囊卵巢综合征进行治疗,能够使E2、SHBG水平提高,AMH、LH水平降低,能明显地缓解病人的临床症状,改善预后,提升生活质量,值得广泛应用。Objective: In order to study the clinical efficacy of Qigong Duoming Decoction combined with Western medicine in the treatment of Polycystic Ovary Syndrome, further explore the mechanism and improve patient satisfaction. Methods: 60 patients treated in the gynecology outpatient and inpatient departments of Zunyi Traditional Chinese Medicine Hospital from March 2022 to October 2023 were selected. Numbers 1 to 30 were assigned to the control group, and numbers 31 to 60 were assigned to the observation group, with 30 people in each group. The control group received oral metformin su tained-release tablets after meals, 0.5 g each time, twice a day;and Diane-35, one tablet, once a day before going to bed. The observation group was treated with Qigong Duoming Decoction (consisting of Chuanxiong, oven-fried Atractylodes, Pinellia ternata, Cyperus rotundus L., Poria, Shenqu, Citri Reticulatae Pericarpium, roasted licorice, cinnamon twig, peach kernel, red peony root, and moutan bark) on top of the control group’s treatment. To evaluate the clinical efficacy of the indicators (E2, SHBG, AMH, LH) before and after treatment in the two groups. Results: After treatment, both groups could increase E2 and SHBG, AMH and LH, and differ within the groups (P 0.05). Conclusion: The treatment of polycystic ovary syndrome combined with Western medicine can improve the level of E2 and SHBG, reduce the level of AMH and LH, which can significantly relieve the clinical symptoms of patients, improve the prognosis and improve the quality of life, which is worth widely used.
文摘肠易激综合征(Irritable bowel syndrome, IBS),属于功能性肠病中的一种,是一组以腹痛、腹胀、排便习惯为主,并伴随大便性状改变的非器质性临床症候群,病程常呈持续或间断发作,目前缺乏明确的生物化学及形态学检测依据。IBS被公认为是一种世界性功能性肠病,随着生活节奏的加快及饮食习惯的改变,其发病率呈逐年上升趋势,据大量流行病学研究显示,南美洲国家总体发病率最高,约为21.0%;其次为非洲国家,约为19.0%;北欧国家相对较低,约12.0%;东南亚国家最低,约为7.0%。不同国家之间发病率相比,法国为3.3%,偏低,而尼日利亚为31.6%,较高,相同国家不同地区IBS发病率亦有不同,美国国内不同地区IBS发病率差别偏大,约为7.0%~16.0%,而澳大利亚约为7.0%~14.0%,新加坡不同地区发病率则偏小,约为5.0%~10.0%。IBS并非危及生命的疾患,但由于目前尚无针对IBS的特效药,并且常常反复发作,最终给患者带来较大的精神及经济负担,从而降低患者生活质量。Irritable bowel syndrome (Irritable bowel syndrome, IBS) is one of functional bowel diseases. It is a group of non-organic clinical symptoms, mainly abdominal pain, abdominal distension, defecation habits, and accompanied by changes in stool traits. The course of the disease is often continuous or intermittent, and there is no clear biochemical and morphological testing basis. IBS is recognized as a worldwide functional bowel disease. With the acceleration of the pace of life and the change of dietary habits, its incidence is increasing year by year. According to a large number of epidemiological studies, South American countries have the highest overall incidence rate at approximately 21.0%;followed by African countries at approximately 19.0%;Nordic countries were relatively low at approximately 12.0%;and Southeast Asian countries at approximately 7.0%. Compared with different countries, the incidence in France is 3.3%, low, but in Nigeria, 31.6%, the incidence of IBS in different countries, different regions, the United States, different parts of the United States, about 7.0%~16.0%, while Australia, about 7.0%~14.0%, Singapore, about 5.0% to 10.0%. IBS is not a life-threatening disease, but because there is no specific drug for IBS, and often recurrent attacks, and eventually bring greater mental and economic burden to patients, thus reducing the quality of life of patients.
文摘徐学义系国家级老中医、第三批全国名老中医药专家学术经验工作继承指导老师,在多年的临床实践中总结创新“新证论治加专药”理论,认为本病多见于情志不疏、情志抑郁,导致肝郁脾虚,治疗原则上以“疏肝解郁、健脾和胃”为主。笔者有幸跟诊于徐老学习多年,感悟颇深,现将徐老辨治返流性食管炎的经验整理如下。Xu Xueyi is a national old Chinese medicine, the third batch of national old Chinese medicine experts with academic experience inheritance guidance teacher, in many years of clinical practice of innovation “new evidence theory treatment and special medicine” theory, think the disease more in love not thin, mood depression, liver yu spleen deficiency, treatment in principle to “thin liver solution depression, spleen and stomach” is given priority to. The author has the honor to study with Xu Lao for many years, and has a deep understanding. Now Xu Lao’s experience of treating reflux esophagitis is summarized as follows.
文摘象思维也叫取象思维,它是以《周易》为代表的中国古代哲学认识事物的基本思维。是我国传统文化中最具代表性的思维方式。“象”通常指客观事物表现于外在的现象、形象。一切可以看到的、闻到的、听到的、能触及的、可感知的,都是“象”。天地之间,万物以“象”的形式表现出来。通过类比、象征等方法,根据两类事物在某种属性上的相似而推出它们在其他方面也可能相同或相似,这样的逻辑推理就是“象思维”。仝小林认为,象思维,是中国文化的主导思维形式,也是传统中医药产生和发展的主导思维形式。象思维的形成过程,是由观象、比象,到意象、抽象,从形而下的发现,到形而上抽提,再回到形而下去验证,往复循环,不断试错、纠错,逐步完善,形成相对真理。因此,研究中医的象思维,能为世界打开中华文明宝库提供一把钥匙。仝小林通过阳光的作用与中医运用温阳药物相类比治疗抑郁、“苦酸制甜”食物和药物治疗糖尿病等例子,仝小林展示了中医“象思维”在实际运用中取得的有效成果和治疗意义。这就是中医世界观与方法论的基础。Xiang-thinking is also called image-oriented thinking, which is the basic thinking of understanding things in ancient Chinese philosophy represented by Zhouyi. It is the most representative way of thinking in Chinese traditional culture. “Xiang-thinking” usually refers to the objective things expressed in the external phenomenon, the image. Everything that can be seen, smelled, heard, touched, and perceived is an “Xiang-thinking”. Between heaven and earth, all things are expressed in the form of “Xiang-thinking”. Through analogy, symbol, etc., according to the two types of things are similar in certain attributes, they may be identical or similar in other aspects, such logical reasoning is “Xiang-thinking”. Tong Xiaolin believes that Xiang-thinking is the dominant thinking form of Chinese culture and the leading form of thinking for the generation and development of traditional Chinese medicine. The formation process of Xiang-thinking is from view, comparison, to image, abstract, from the metaphysical discovery, to the metaphysical extraction, and then back to the shape to the verification, cycle, continuous trial and error, error correction, gradually perfect, the formation of relative truth. Therefore, the study of Chinese thinking can provide a key for the world to open the treasure house of Chinese civilization. Tong Xiaolin used the effect of sunshine and the use of Chinese medicine to treat depression, “bitter sour and sweet” food and drugs to treat diabetes, Tong Xiaolin demonstrated the effective results and therapeutic significance of TCM “Xiang-thinking” in practical application. This is the basis of the TCM world outlook and methodology.
文摘慢性萎缩性胃炎(chronic atrophic gastritis, CAG)是慢性胃炎的一种类型,系指胃黏膜上皮遭受反复损害导致固有腺体的减少,伴或不伴肠腺化生和(或)假幽门腺化生的一种慢性胃部疾病。大多数该病患者无特异性临床表现,多因中上腹部不适、餐后饱胀、口苦、烧心、泛酸等症就诊,行胃镜、病理检查后方才确诊。世界卫生组织(WHO)早在多年前就指出了CAG属于胃癌的癌前状态,其中若是伴有肠化或不典型增生,癌变风险则会进一步增加。相关研究表明国外CAG的癌变率为8.6%~13.8%,而我国CAG的癌变率为1.2%~7.1%。不同地域饮食结构及生活习惯各有不同,饮食偏嗜、喜好烟酒浓茶、熬夜、各方面压力等均可导致胃肠疾病的发生发展,目前CAG的检出率也呈现逐渐上升趋势,而CAG作为胃癌的癌前状态,不得不引起我们的注意。CAG患者多为老年人,近50%胃黏膜存在萎缩改变的为50岁以上老年人,70%在40岁以上。国外研究发现,如南美、东亚、东欧等胃癌高发地,CAG的检出率也是居高不下的。荷兰通过10年对92,250例胃癌前病变患者进行随访发现肠化和萎缩性胃炎的胃癌发生率0.25/年和0.1%/年。国内研究调查发现,CAG患者主要集中于广西、福建、黑龙江等地,该病检出率约占胃镜检查的7.5%~13.8%。青海省人民医院消化内科通过研究本院187例胃镜检查报告显示:青海地区CAG发生率显著高于平原地区,胃镜室所检病种中CAG构成比高达72.47%,CAG发病率随年龄增长而增加。故探讨慢性萎缩性胃炎的研究进展至关重要,本文从中西医结合的角度论述慢性萎缩性胃炎的研究进展,为临床科研提供相应的帮助。Chronic atrophic gastritis (chronic atrophic gastritis, CAG) is a type of chronic gastritis, which refers to a chronic gastric disease leading to the reduction of native glands, with or without intestinal metaplasia and (or) pseudopyloric metaplasia. Most of the patients with this disease do not have specific clinical manifestations, and are usually due to middle and upper abdominal discomfort, postprandial fullness, bitter mouth, heartburn, pantothenic acid and other diseases, which are confirmed after gastroscopy and pathological examination. The World Health Organization (WHO) pointed out that CAG is a precancerous state of gastric cancer many years ago, where the risk of cancer is accompanied by enterization or atypical hyperplasia. Related studies show that the cancer rate of CAG abroad is 8.6%~13.8%, while the cancer rate of CAG in China is 1.2%~7.1%. Different regions have different dietary structure and living habits, including preference for eating, tobacco, alcohol and tea, staying up late, and all aspects of pressure can lead to the occurrence and development of gastrointestinal diseases. At present, the detection rate of CAG is also gradually rising trend, and CAG, as a precancerous state of gastric cancer, has to attract our attention. Most of the CAG patients are elderly, nearly 50% of the gastric mucosa is over 50 years old, and 70% are over 40 years old. Foreign studies have found that the detection rate of CAG in the high incidence of gastric cancer in South America, East Asia and Eastern Europe, is also high. In the Netherlands, 92,250 patients with precancerous gastric lesions for 10 years found enteric and atrophic gastric gastritis incidence 0.25/year and 0.1%/year. Domestic research found that CAG patients are mainly concentrated in Guangxi, Fujian, Heilongjiang and other places, and the detection rate of this disease accounts for about 7.5%~13.8% of gastroscopy. Through the study of the gastroscopy report of 187 cases, the incidence of CAG in Qinghai was significantly higher than that in the plain area, the composition ratio of CAG in the gastroscopy room was as high as 72.47%, and the incidence of CAG increased with the increase of age. Therefore, it is very important to discuss the research progress of chronic atrophic gastritis. This paper discusses the research progress of chronic atrophic gastritis from the perspective of combining traditional Chinese and western medicine, and provides corresponding help for clinical scientific research.
文摘目的:探讨云南白药胶囊联合蒙脱石散交替治疗非静脉曲张性上消化道出血的临床疗效,进一步探究其机制,提高患者满意度。方法:采取随机数字表法,选择2023年3月份至2024年3月份在贵州省遵义市中医院收治的60名患者,奇数为对照组,偶数为观察组,两组分别为30人,对照组予808方案治疗,观察组在对照组的基础上使用云南白药胶囊联合蒙脱石散交替治疗。评估两组病人在治疗前与治疗后的各项指标,判断分析药物取得的临床疗效。结果:(1) 对照组的总有效率为86.21%,观察组总有效率为93.33%,两组相比较存在显著性差异(P P P > 0.05),治疗后两组的主症(黑便、呕血)和次症(腹胀、胃脘痛、腹痛、肢软)等积分比较,数据指标显示观察组优于对照组,具有明显差异性(P < 0.05),证实观察组改善症状积分方面的效果比对照组更加有优势。结论:云南白药胶囊联合蒙脱石散交替治疗非静脉曲张性上消化道出血,能明显改善患者的临床症状,提升患者生活质量,节约患者的经济,值得临床广泛应用。
文摘随着经济社会的发展,人口老龄化日趋严重,临床上诊断为CAG比例逐渐升高,给患者家庭及社会带来沉重的负担。目前临床上认为CAG的发生主要是由于多种因素共同作用造成的,经电子胃镜取组织病理活检而诊断,但是发病机制尚不明确,临床常用叶酸片、摩罗丹联合PPI、胃粘膜保护剂等进行试验性治疗,疗效明显。但治疗CAG的关键并不是药物治疗,而是在于早预防,早发现,因此“治未病”理论在CAG的防治中起到关键作用。有研究表明,“治未病”理论是一种从根本上防治CAG的新方法。文章将从“治未病”理论入手,探讨防治CAG“未病先防、既病防变、瘥后防复”这三个方面的临床运用。为临床提供一种新的思路,为优化治疗方案提供依据。With the development of economy and society, the aging of the population is becoming more and more serious, and the proportion of clinically diagnosed CAG is gradually increasing, which brings heavy burden to the patients’ family and society. At present, it is believed that the occurrence of CAG is mainly caused by the joint action of various factors. It is diagnosed by electronic gastroscopy and pathological biopsy, but the pathogenesis is not clear, including folic acid tablets, Moradan combined with PPI and gastric mucosal protective agent in clinical treatment, with obvious effect. However, the key to treating CAG is preventive treatment of disease, but early prevention and early detection, so the theory of “preventive treatment of disease” plays a key role in the prevention and treatment of CAG. Some studies have shown that the theory of “preventive treatment of disease” is a new way to fundamentally control CAG. Article will start from the theory of “preventive treatment of disease”, discusses the prevention and control of CAG “prevent before getting sick, prevent changes after getting sick, and prevent relapse after getting sick” these three aspects of clinical use. To provide a new clinical idea and provide the basis for optimizing the treatment plan.
