辨证论治联合左氧氟沙星治疗慢性细菌性前列腺炎疗效观察

慢性细菌性前列腺炎临床以反复发作的会阴及腰骶部疼痛或不适,伴有不同程度的尿频、尿急、尿痛、尿液浑浊、夜尿增多、尿不尽等为主要临床表现。西医治疗主要以抗感染为主,但由于多种抗生素不能进入前列腺,故疗效并不理想。近几年来,笔者采用中医辨证论治结合左氧氟沙星治疗慢性细菌性前列腺炎患者110例,收到较好疗效,现报道如下。

Stereological and ultrastructural research on the rats with chronic gast rit is treated based on the differential diagnos is of traditional Chinese medicin(TCM)

目的检查慢性胃炎大鼠胃粘膜的体视学和超微结构改变，以便确定健脾温胃汤（ＪＷＤ）和疏肝和胃汤（ＳＨＤ）分别治疗脾胃虚寒型慢性胃炎（ＰＸＧ）和肝胃不和型慢性胃炎（ＧＢＧ）后的疗效。方法Ｗｉｓｔａｒ大鼠４５只，均分９组：Ｎ组，正常对照组；ＰＸＧ模型组，同种免疫法加利血平法制成；大、中、小剂量ＪＷＤ治疗组（１０ｍｌ／ｋｇ，５ｍｌ／ｋｇ，２５ｍｌ／ｋｇ）；ＧＢＧ模型组，同种免疫法加电激怒法制成；大、中、小剂量ＳＨＤ治疗组（１０ｍｌ／ｋｇ，５ｍｌ／ｋｇ，２５ｍｌ／Ｋｇ）。两方都是赵健雄教授多年临床应用的验方制成的水煎剂，含生药１６００ｇ／Ｌ。治疗组灌胃给药，模型组灌胃给水，１次／ｄ，７周后处死大鼠，常规制作胃体部和胃窦部的石腊切片和超薄切片。前者（ｎ＝５）用于体视学（Ｗｅｉｂｅｌ的点计数法）测算粘膜厚度。后者（ｎ＝３）供电镜观察。结果胃体部粘膜厚度各组间无显著差异（Ｐ＞００５）；模型组胃窦部粘膜明显萎缩（Ｐ＜００１，Ｐ＜００５）；大、中剂量治疗组的粘膜厚度明显恢复（Ｐ＜００１，Ｐ＜００５）。两模型组的超微病变基本相似，粘膜上皮细胞和腺细胞均受损，而主要是粘膜上皮细胞和粘液细胞萎缩、变性，细胞间隙增宽，

Knee osteoarthritis treated with acupuncture based on syndrome differentiation:a randomized controlled trial

Objective To compare the efficacy differences between acupuncture and western medicine in treating osteoarthritis of knee joints.Methods One hundred and twenty cases were randomly divided into an acupuncture group and a western medication group with 60 cases in each group.In the acupuncture group,acupuncture was applied mainly at Nèixīyǎn（内膝眼 EX-LE 4）,Dúbí（犊鼻 ST 35）,Yīnlíngquán（阴陵泉 SP 9） and Yánglíngquán（阳陵泉 GB 34） plus other acupoints selected according to syndrome differentiation.In the medication group,Glucosamine Hydrochloride capsules were orally given 3 times daily with 2 capsules each time.Western Ontario and McMaster Universities Osteoarthritis Index（WOMAC）,Medical Outcomes Study 36-Item Short Form Health Survey（SF-36,Chinese version） were used to assess therapeutic effects before treatment,after 4 weeks treatment and 9 weeks after treatment,respectively.Results After 4 weeks of treatment,the total effective rates were 86.7%（52/60） and 88.3%（53/60） in the acupuncture group and the western medication group,respectively,without significant difference（P〈0.05）.In 9 weeks after treatment,the total effective rates were 83.3%（50/60） and 61.7%（37/60） in the acupuncture group and the western medication group,respectively,with significant difference between the two groups（P〈0.05）.According to WOMAC and SF-36,the scores were all improved in both groups（P〈0.05,P〈0.01）,with significant difference in follow-up visit of 9 weeks after treatment between the two groups（P〈0.05,P〈0.01）,but not after 4 weeks of treatments（both P〈0.05）.Conclusion Short-term of therapeutic effects of acupuncture and oral administration of Glucosamine Hydrochloride on osteoarthritis of knee joints are similar,but long-term efficacy in the acupuncture group is better than that in the western medication group.

Clinical observation on electroacupuncture plus long-snake moxibustion for rheumatoid arthritis due to kidney deficiency and cold coagulation

Objective:To observe the clinical efficacy of electroacupuncture(EA)plus long-snake moxibustion for rheumatoid arthritis(RA)due to kidney deficiency and cold coagulation.Methods:A total of 60 patients in active stage of RA were randomly divided into an observation group and a control group,with 30 cases in each group.Patients in the control group took methotrexate tablets and nimesulide dispersible tablets orally for treatment,while those in the observation group received additional treatment of EA plus long-snake moxibustion.Both groups were treated for 12 weeks.The post-treatment changes in symptomatic grading and quantifying score,disease activity score with 28 joint counts(DAS28),and inflammatory indicators erythrocyte sedimentation rate(ESR)and C-reactive protein(CRP)were observed,and the efficacy was evaluated.Results:The total effective rate in the observation group was 89.9%,versus 76.6%in the control group,and there was a significant difference in the total effective rate between the two groups(P<0.05).After treatment,the symptomatic grading and quantifying score and DAS28 in both groups were significantly improved(all P<0.05),and the improvements in the observation group were more significant than those in the control group(both P<0.05).Besides,there were 11 cases with low disease activity index(DAI)and in remission in the observation group versus 5 cases in the control group,showing a statistically significant between-group difference(P<0.05).The ESR and CRP scores in both groups were significantly reduced after treatment(all P<0.05),also showing statistically significant between-group differences(both P<0.05).Conclusion:The efficacy of additional EA plus long-snake moxibustion based on oral medications for RA due to kidney deficiency and cold coagulation is better than that of the oral medications alone.

Treatment of 67 Cases of Seasonal Allergic Rhinitis by Acupuncture

Seasonal allergic rhinitis refers to a seasonal and regional allergic disease induced mainly by botanical pollen, also termed ＂Hay Fever＂ and ＂Pollinosis＂, clinically manifested by the main symptoms of itching sensation in the nose, nasal obstruction, sneezing, watery nasal discharge, conjunctival congestion, itching in the eyes, lacrimation, and asthma developed from an incessant cough in some people, or manifested by the gastrointestinal symptoms of nausea, vomiting, abdominal pain, and diarrhea, and skin eczema, urticaria, pruritus vulvae, vaginitis. The author treated 67 cases of seasonal allergic rhinitis by acupuncture from 2002 to 2004. Now, the result is summarized as follows.

Treatment of 68 Cases of Chronic Prostatitis with Acupuncture

Chronic prostatitis （CPT） is a common prevalent disease in urology department, which always occurs in people aged 20-40 years. It can cause complex clinical symptoms, with a low cure rate and high recurrence. It has a certain relationship with sterility and cause great pressure on patients. The author treated 68 cases of chronic prostatitis by acupuncture in recent years. It is now reported is as follows.