影响中药口服剂疗效因素剖析

阐述了合格中医师、优质中药材、适当的药物剂量、中药饮片合理煎煮的方法与时间、合理的服药频次、恰当的服药时间、有助药效发挥的辅助措施、服药时的饮食与起居宜忌等8个影响中药疗效的因素,为提高中医药临床疗效提供参考。

中药口服剂合理日服频次之古今文献研究

通过古今中医药文献探索、挖掘、提取中药合理日服频次。从古今中医药文献中提取的中药合理日服频次可以从现代药理学得到理论支撑。从古今中医药文献中提取出宜日服3次或3次以上频次的疾病(病证)包括外感风寒、外感风热、瘟疫(温疫)、外毒入侵与内毒蕴结而发生的病证、占位性疾病、出血性疾病和痰浊凝结、血脉瘀塞之病证等;宜日服2次的疾病(病证)包括各种虚羸、虚弱、虚损性病证,慢性疾病,功能性疾病等;宜日服一次的疾病(病证)包括解除疾病的某一症状或阻断某一病程,阳明腑实便秘与睡眠障碍,癫痫、癔病、反应性精神病等的急性发作等。从古今中医药文献研究中药合理日服频次对中医药学术的继承与发展有启示作用,可为中药现代药理学的构建提供一定的思路,对中医药标准化建设有可资借鉴的作用,对提高中医药疗效具有促进作用。最后提出从古今中医药文献中研究中药合理日服频次的几点思考。

口服中药对比剂在胃CT检查中的应用

胃CT检查常规口服一定量的稀释泛影葡胺充盈胃肠道，以区分胃腔、胃壁、病变及周围组织，受胃内气体、粘液、高密度对比剂干扰，图像有伪影，胃壁结构、病变细节显示欠佳。我们应用藿香正气散作为对比剂，对65例胃疾病病人进行CT扫描，取得了满意效果，现报道如下。

Thirty-two Cases of Vascular Headache Treated by Acupuncture Combined with Chinese Herbal Decoction

To compare the acupuncture plus oral administration of Chinese herbal decoction with simple oral administration of Chinese herbal decoction in the treatment of vascular headache. Methods： Sixty two patients were randomly divided into a treatment group （32 cases） and a control group （30 cases）. Acupuncture at Baihui （GV 20）, Fengchi （GB 20）, Shuaigu （GB 8）, Xingjian （LR 2）, Neiguan （PC 6）, Sanyinjiao （SP 6） and Ashi points combined with oral administration of Chinese herbal decoction, was applied in the treatment group, and simple oral administration of Chinese herbal decoction was applied in the control group. Results： The total therapeutic effect in the treatment group was better than that in the control group （P〈0.05）. After treatment, the frequency, and duration of the attacks were reduced and shortened, and headache greatly alleviated in both groups （P〈0.01）. The alleviation in the treatment group was more obvious than that in the control group （P〈0.05）. Conclusion： Acupuncture combined with oral administration of Chinese herbal decoction provided remarkable therapeutic effects in treating vascular headache.