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中风病“阴阳为纲、类证辨治”的临床思路探讨 被引量:10
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作者 卢明 刘文琛 +4 位作者 黄燕 黄培新 刘茂才 郭建文 蔡业峰 《中医杂志》 CSCD 北大核心 2021年第17期1492-1495,共4页
中风病的发生、发展、转归存在一定共通的特性,或呈现某些有规律的变化。认为中风病发生的基础、临床病机转化均与患者的阴阳体质属性相关,即在中风病证候的各个阶段均体现了中医学阴阳理论的基本特征。通过对中医临床"同病类证&qu... 中风病的发生、发展、转归存在一定共通的特性,或呈现某些有规律的变化。认为中风病发生的基础、临床病机转化均与患者的阴阳体质属性相关,即在中风病证候的各个阶段均体现了中医学阴阳理论的基本特征。通过对中医临床"同病类证"的特点分析,指出中风病不同时期临床核心病机多以痰瘀病证为基础,痰瘀闭阻神明清窍是疾病的本质,同时因患者体质阴阳属性的不同,中风病的整个发病及病程转化中存在同病类证即阳类证或阴类证各自的相对稳定性特点。以此为依据总结出中风病"阴阳为纲、类证辨治"的临床辨治方法,即以阴阳属性为总纲,痰瘀为最根本的核心病机,类证辨识指导下的类证同治为组方依据的基本临床思路。 展开更多
关键词 中风病 阴阳 核心病机 类证辨治
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Clinical observation on electroacupuncture plus long-snake moxibustion for rheumatoid arthritis due to kidney deficiency and cold coagulation 被引量:7
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作者 Xie Yu-ying Li Si-si Ben Yue-hong 《Journal of Acupuncture and Tuina Science》 CSCD 2020年第6期467-473,共7页
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 ... 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. 展开更多
关键词 Acupuncture Therapy ELECTROACUPUNCTURE Acupuncture-moxibustion Therapy Moxibustion Therapy Indirect Moxibustion Arthritis Rheumatoid Syndrome Differentiation Treatment
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