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柴胡疏肝散联合西药治疗急性结石性胆囊炎(肝气郁滞)随机平行对照研究 被引量:4
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作者 韩国栋 《实用中医内科杂志》 2018年第10期46-49,共4页
[目的]观察柴胡疏肝散联合西药治疗急性结石性胆囊炎(肝气郁滞)疗效。[方法]使用随机平行对照方法,将104例门诊患者按就诊顺序号随机分为两组。对照组52例熊去氧胆酸,10mg/kg·次-1,2次/d,早晚餐后服用;阿莫西林,500g/次,3次/d;消... [目的]观察柴胡疏肝散联合西药治疗急性结石性胆囊炎(肝气郁滞)疗效。[方法]使用随机平行对照方法,将104例门诊患者按就诊顺序号随机分为两组。对照组52例熊去氧胆酸,10mg/kg·次-1,2次/d,早晚餐后服用;阿莫西林,500g/次,3次/d;消旋山莨菪碱,10mg/次,3次/d。治疗组52例柴胡疏肝散(香附8g,甘草炙、枳壳各9g,川穹10g,柴胡12g,芍药18g),水煎400mL,1剂/d,早晚分服,大便秘结加大黄9g,番泻叶10g;小便短赤加车前15g;结石明显加海金沙15g,金钱草30g;胃脘满加青皮、陈皮、佛手各9g;胁痛甚加元胡9g,金铃子、郁金各12g;西药治疗同对照组。连续治疗2个月为1疗程。观测临床表现、疼痛程度评分、生活质量评分、不良反应。治疗1疗程(2个月),判定疗效。[结果]PRI、PPT、VAS两组均有降低(P<0.01),治疗组降低多于对照组(P<0.01)。社会、生理、心理、环境领域生活质量评分两组均有改善(P<0.05,P<0.01),治疗组改善优于对照组(P<0.01)。[结论]柴胡疏肝散联合西药治疗急性结石性胆囊炎(肝气郁滞),疗效满意,可明显改善疼痛程度,提高生活质量,无严重不良反应,值得推广。 展开更多
关键词 急性结石性胆囊炎胁痛 柴胡舒肝散 熊去氧胆酸 阿莫西林 消旋山莨菪碱 疼痛程度评分 生活质量评分 中药复方 随机平行对照研究
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不寐病证型-证素分布及用药规律的病例研究 被引量:7
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作者 陈奕群 张伟健 +2 位作者 庄震坤 罗晓婉 张志玲 《广州中医药大学学报》 CAS 2022年第9期1964-1970,共7页
【目的】分析不寐病患者的性别、年龄、中医证型、证候要素的分布特点及用药规律,为不寐病临床诊疗规范的制定提供参考。【方法】对深圳市中医院2016~2021年门诊治疗不寐病的8336份门诊病例的性别、年龄、中医证型、病性证素和病位证素... 【目的】分析不寐病患者的性别、年龄、中医证型、证候要素的分布特点及用药规律,为不寐病临床诊疗规范的制定提供参考。【方法】对深圳市中医院2016~2021年门诊治疗不寐病的8336份门诊病例的性别、年龄、中医证型、病性证素和病位证素以及用药规律进行统计分析。【结果】(1)共纳入门诊病例8336份,其中,以20~39岁年龄段患者最多(4268例)。(2)中医证型94种,频次最高的3种证型依次为肝郁脾虚(2474次)、肺脾气虚(912次)、心脾两虚(782次)。(3)病位证素7个,出现频次前3位为脾(5331次)、肝(3174次)、心(1472次);病性证素14个,出现频次前4位为气虚(6398次)、气郁(滞)(2805次)、阴虚(1576次)、热(火)(1528次)。(4)涉及中药463味,频次较高的依次为甘草(7857次)、白芍(7128次)、柴胡(4987次)等;核心药对有远志-石菖蒲,首乌藤-合欢皮,龙骨-牡蛎,酸枣仁-五味子等。【结论】气虚为不寐病的核心病机贯穿始终,气郁(滞)、热(火)为其发生发展过程的驱动要素,中后期患者则以体虚为本,同时伴有血瘀、痰、热、湿、外邪侵扰等虚实夹杂表现。治疗上以养心安神、补虚、祛邪为基本原则,标本兼顾,气血同调,常配伍活血化瘀药、清热化痰药和理气药等。 展开更多
关键词 不寐病 中医证型 脾虚 证候要素 () 用药规律 养心安神
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Effect comparason of thermosensitive moxibustion and estazolam on anxiety and depression in the patients of insomnia differentiated as liver qi stagnation 被引量:10
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作者 Lichun LI Yan LIANG +3 位作者 Yonghong HU Na QIN Delong LI Chunsheng JIA 《World Journal of Acupuncture-Moxibustion》 CSCD 2018年第1期15-18,I0003,共5页
Objective: To observe the effect of thermosensitive moxibustion on anxiety and depression in the patients of insomnia differentiated as liver qi stagnation.Methods: From January 2015 to January 2017, 60 patients of ... Objective: To observe the effect of thermosensitive moxibustion on anxiety and depression in the patients of insomnia differentiated as liver qi stagnation.Methods: From January 2015 to January 2017, 60 patients of insomnia differentiated as liver qi stagnation were collected in Shijiazhuang Municipal Chinese Medicine Hospital. According to the random number table, the patients were randomized into a moxibustion group(30 cases) and an estazolam group(30 cases). In the moxibustion group, the thermosensitive moxibustion was adopted alternatively to the bilateral yuan-source points of the liver and gallbladder meridians. In the estazolam group, estazolam, 1 mg was prescribed for oral administration before sleep every day. After 15-day treatments, the sleep quality, the severity of anxiety and depression and the therapeutic effects were observed before and after treatment in the two groups.Results: Before treatment, the differences were not significant in the scores of Pittsburgh sleep quality index(PSQI), the self-rating anxiety scale(SAS) and the self-rating depression scale(SDS) between the two groups(all P〉0.05). After treatment, the scores of PSQJ, SAS and SDS were all reduced remarkably as compared with those before treatment in the two groups(all P〈0.05). PSQI score was(6.72 ±2.311)points in the moxibustion group and was(5.37 ±2.621) points in the estazolam group. SAS score was(31.76 ± 6.511) points in the moxibustion group and was(39.62 ± 4.371) points in the estazolam group.SDS score was(35.98 ±5.161) points in the moxibustion group and was(46.38 ±4.971) points in the estazolam group. After treatment, the scores of PSQI, SAS and SDS in the moxibustion group were reduced more remarkably as compared with the estazolam group, indicating the significant differences(all P 〈0.05). After treatment, the scores of sleep efficacy and TCM symptoms were(72.65 ± 14.36) points and(69.36 ±4.28) points respectively in the moxibustion group, better than the estazolam group, indicating the significant differences(all P〈0.05).Conclusion: The thermosensitive moxibustion at the yuan-source points of the liver and gallbladder meridians significantly improves the sleep quality, relieves the symptoms of anxiety and depression and enhances the therapeutic effects in the patients of insomnia differentiated as liver qi stagnation. Hence,this therapy deserves to be recommended in clinical practice. 展开更多
关键词 Yuan-source points of the liver and gallbladder meridians Thermal sensitive moxibustion Insomnia differentiated as liver qi stagnation Anxiety Depression
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Observation on efficacy of thumbtack needle combined with pediatric Tuina for constipation in children caused by liver depression and Qi stagnation 被引量:1
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作者 SHEN Qinghe GUAN Zhimin +2 位作者 LI Yan HAO Chunhua ZHANG Kaiwei 《Journal of Acupuncture and Tuina Science》 CSCD 2022年第4期316-320,共5页
Objective To observe the clinical effect of thumbtack needles combined with pediatric Tuina(Chinese therapeutic massage)for constipation in children caused by liver depression and Qi stagnation.Methods A total of 60 c... Objective To observe the clinical effect of thumbtack needles combined with pediatric Tuina(Chinese therapeutic massage)for constipation in children caused by liver depression and Qi stagnation.Methods A total of 60 children with constipation caused by liver depression and Qi stagnation were randomly divided into a combined group and a Tuina group,with 30 cases in each group.The cases in the Tuina group were treated with pediatric Tuina,while those in the combined group were treated with additional thumbtack needle therapy.We observed the clinical efficacy and the change in the number of spontaneous bowel movements per week before and after treatment.Results After treatment,the cure rate and the total effective rate in the combined group were higher than in the Tuina group,showing statistical significance(P<0.05).Compared with the same group before treatment,the number of spontaneous bowel movements per week in both groups increased after treatment(P<0.05).With the progression of treatment,the number of spontaneous bowel movements per week increased in both groups,and the number in the combined group was more than that in the Tuina group,showing statistical significance(P<0.01).Conclusion Thumbtack needles combined with pediatric Tuina is more effective than pediatric Tuina alone in the treatment of constipation in children caused by liver depression and Qi stagnation. 展开更多
关键词 TUINA MASSAGE Pediatric Massage(Tuina) Embedding Therapy Intradermal Needle Therapy Liver Depression and Qi Stagnation CONSTIPATION CHILD
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