汉代竹简《引书》中利用器械及物体治疗导引法的复原及特征研究

对西汉初期竹简《引书》中的使用器械等物治疗法进行了研究。首先对《引书》的研究现状及存在问题进行了概观介绍,确定43式治疗导引法中有14式器械等物的治疗导引法。研究将这14式抽出研究,制成了53幅动作复原图。通过对复原图的分析,明确了该治疗法使用冷水、杖、壁、吊板、木柱、枕、木鞠、米饭8种器物,并确定了有徒手、他人帮助、按摩、呼吸的4种治疗动作。器械等物的导引法所治疗疾患可分2类,即6种疾病和8种症状,确定了该治疗法是以治疗慢性病为主。通过动作复原图和西汉马王堆的帛画《导引图》比较,明确了长期以来对木杖、木鞠的判断错误等一些长期未解决的问题。

Positron emission tomography/computed tomography with ^(18)F-fluorodeoxyglucose identifies tumor growth or thrombosis in the portal vein with hepatocellular carcinoma

Patients suffering from hepatocellular carcinoma (HCC) with tumor thrombus in the portal vein generally have a poor prognosis. Portal vein tumor thrombus must be distinguished from portal vein blood thrombus, and this identification plays a very important role in management of HCC. Conventional imaging modalities have limitations in discrimination of portal vein tumor thrombus. The application of positron emission tomography (PET) with 18F-fluorodeoxyglucose (18F-FDG) for discrimination between tumor extension and blood thrombus has been reported in few cases of HCC, while portal tumor thrombosis and portal vein clot identified by 18F-FDG PET/CT in HCC patients has not been reported so far. We present two HCC cases, one with portal vein tumor thrombus and one thrombosis who were identified with 18F-FDG PET/CT. This report illustrates the complimentary value of combining the morphological and functional imaging in achieving a correct diagnosis in such clinical situations.