张金生教授运用滋水涵木法治疗帕金森病经验

介绍张金生教授运用滋水涵木法治疗帕金森病的临床经验,分析帕金森病肾阴虚亏、肝风内动的病因病机,对滋水涵木法和自拟验方——育阴止颤汤及其用药特色进行总结,并附录一典型医案进行验证,为临床治疗帕金森病提供一种新思路与方法。

张金生教授运用柴胡桂枝汤治疗抑郁症经验探析

[目的]探讨张金生教授运用柴胡桂枝汤治疗抑郁症的经验。[方法]通过跟师临诊,记录和整理张金生教授运用柴胡桂枝汤治疗抑郁症的医案,并结合中医典籍及现代文献研究,从柴胡桂枝汤所主抑郁症的病因病机及其方义探微分析总结张金生教授辨证治疗抑郁症的临床经验,并附验案一则。[结果]张金生教授认为,抑郁症的病因病机和临床症状多与少阳阳气不足相关,并认为少阳阳气虚弱、营卫气血失和是抑郁症发病之本,三焦气化失司,病理产物痰饮、瘀血阻滞为致病之标,主张以和解少阳、调畅气血为主要治法,兼顾开窍化痰、活血化瘀。而少阳阳气虚弱、营卫不和也是柴胡桂枝汤证的病机关键,与抑郁症病机符合,因此张教授临证选用柴胡桂枝汤加减治疗抑郁症。所附医案,张教授辨为心胆阳虚、气血失和,治疗用柴胡桂枝汤加减,取得较好效果。[结论]张金生教授治疗抑郁症,紧扣"少阳阳气不足、营卫气血失和"的病机,运用柴胡桂枝汤加减以和少阳、畅气机、调营卫、化痰浊,可有效改善患者生活质量,为临床治疗拓展了思路。

张金生教授运用冰火疗法治疗卒中后吞咽困难的经验

分析卒中后吞咽困难的病因病机,结合现代临床治疗思路与方法,论述张金生教授运用冰火疗法治疗卒中后吞咽困难临床经验,对张金生教授自创冰火特色疗法具体操作方法及创新性总结,典型医案举隅分析讨论,为临床治疗卒中后吞咽困难提供新方法。

一个养鱼老汉的奉献

他的名字叫张金生，今年62岁，麻阳县文昌阁乡黄后冲村人。1984年，张老汉以每年上交800元钱和3000公斤稻谷，承包了本乡关闭口水库，为期十年。六年来，张老汉既管水又养鱼，“四勤”管水受到上级表扬和群众称赞。他在50亩水库水面中养成鱼，搞网箱养鱼，利用3亩鱼池培育鱼种，种植消落区水田8亩，栽柑桔树380余株，还养了商品牛、鸡、鸭。栽种烤烟、

Comparative study of various internal fixation methods for treating patellar fractures by three-dimensional photoelasticity

Objective: To compare the biomechanical basis of 3 different internal fixation methods: nitinol patellar concentrator (NT-PC), tension band and wire circle in treating patellar fractures. Methods: The epoxy resin three dimensional photoelasticity patellar models were made by precise moulding, and were fixated by nitinol patellar concentrator (NT-PC), tension band and wire circle respectively. The patellar models with frozen stress stripes were put into the polarized light field and the stress distributions were compared. As for the model fixated by NT-PC, by dividing layer, photographing and tracing, we used the iterative method to calculate the stress value of every internal node of the epoxy resin patellar model, and the character of stress was analyzed. Results: An overall stress field was yielded when the patellar model was fixated by NT-PC, and the stripes were more than that of tension band model and wire circle model, which have only few stress stripes in the fixated layers. Further analysis indicated that there were continuous fixated stresses in the facies articularis and distal pole of patella, and the character of stresses produced by NT-PC were mainly in longitudinal direction, then in transverse direction. The shearing stresses were small. Conclusion: The initiative and continuous memorial stress of NT-PC and its overall stress distribution character are the essence of NT-PC distinguished with tension band and wire circle in treating patellar fractures. The stress character produced by NT-PC is good for the stability of fracture site and prompts fracture healing.