中药辨治配合敷脐治疗恶性肿瘤放化疗后腹泻的临床疗效分析

目的观察分析中药辨治配合敷脐治疗恶性肿瘤放化疗后腹泻的临床疗效,总结其临床用药经验及体会。方法选取我院2010年4月至2012年4月恶性肿瘤放化疗后腹泻的患者40例,按照数字表随机抽取方法分成观察组与对照组,各有20例,观察组使用中药辨治配合敷脐治疗,对照组使用西医常规对症治疗,观察对比两组临床疗效。结果观察组临床症状及体征消失时间明显对比对照组缩短(P【0.05);观察组疗效总有效率为85.0%(17/20),对照组疗效总有效率为60.0%(12/20),两组临床疗效对比差异显著(P【0.05)。结论中药辨治配合敷脐治疗恶性肿瘤放化疗后腹泻的临床疗效显著,明显优于常规西医治疗,可以迅速缓解临床症状,可辨证施治,提高患者化疗耐受性,改善患者生活质量,具有重要的临床意义。

小儿风疹辨治138例

目的了解中医药治疗小儿风疹的效果。方法对小儿风疹138例,分风热型99例、热毒型39例,给予相应的辨证治疗。结果全部病例治愈,疗程最长6天,最短2天,平均3·2天治愈。结果显示中医中药对本病有着高效、速效、廉价的优点。

从咳嗽的诊断与治疗探析中医辨治疾病思路

本文从现代医学对咳嗽的诊断与治疗角度,探讨分析中医辨治疾病的思路和方法,促进中医药理论创新和临床疗效的提高。

辨证分型治疗脂肪肝临床分析

目的观察辨治分型治疗脂肪肝的临床疗效。方法观察组中医辨治治疗,分肝气郁结、痰湿内阻、湿热内蕴、瘀血阻络、阴虚肝郁五型治疗;对照组采用常规治疗。结果中医辨治分型治疗组总有效率96%,对照组总有效率72%(P<0.05)。结论辨治分型治疗脂肪肝有较好疗效,值得推广应用。

中医急诊辨治胸痹患者的临床疗效

有针对性的比较在针对胸痹患者进行临床治疗的过程中采取中医急诊辨治疗法所呈现出的临床效果,希望为临床实践提供一定的参考。方法:在本次研究中所选取的对象是我们医院在2019年2月到2020年2月所收治的90例胸痹患者,按照治疗方法的不同,将所有研究对象分成对照组和观察组,每组各有患者45例,其中针对对照组患者采取的是常规西药治疗方法,针对观察组所采取的是对照组基础上的中医急诊变辨治治疗方法。在治疗完相关患者之后,对其治疗总有效率等相关情况进行对比。结果:通过对比能够明显看出,与对照组患者进行对比,观察组患者的治疗总有效率有十分明显的提升,P<0.05,该数据具有统计学意义。结论:针对胸痹患者而言,在对其进行治疗的过程中,结合患者的实际情况进一步有效采取西药治疗方法基础上的中医急诊辨治治疗方法,两者综合作用,共同发挥优势,这样能够呈现出更为明显的治疗效果,使患者的治疗总有效率显著提升,因此这种方法值得在临床实践中推行,有推广的意义。

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，

Clinical observation on effect of scalp electroacupuncture for mild cognitive impairment

OBJECTIVE: To evaluate the therapeutic effect of scalp electroacupuncture for mild cognitive impairment (MCI) in the early stage. METHODS: Two hundred and thirty three MCI patients were randomly divided into three groups: the drug group, the scalp electroacupuncture group, and the syndrome differentiation group. For the scalp electroacupuncture group, the points of Baihui (DU 20), Sishecong (EX-HN1), Fengchi (GB 20), and Shenting (DU 24) were selected. For the syndrome differentiation group, specific acupoints were added on the basis of syndrome differentiation and according to the scale for the differentiation of syndromes in vascular dementia (SDSVD) beside the acupoints used in the scalp electroacupuncture group. For the drug group, nimodipine was orally administered. Each patient was treated for two courses, eight weeks. The score differences in minimental state examination (MMSE), picture recognition, and clock drawing test were observed before and after the treatment. RESULTS: After treatment, the score differences in MMSE and clock drawing test were of obvious statistical significance among three groups (P<0.01, P<0.05). The score differences in picture recognition were of extremely statistical significance between the scalp electroacupuncture group and the syndrome differentiation group (P<0.01), while the difference was not found in the drug group (P>0.05). There were statistical significant differences in therapeutic effects between the scalp electroacupuncture group and the drug group, and between the syndrome differentiation group and the drug group (P<0.05), while no statistical difference was found between scalp electroacupuncture group and the syndrome differentiation group (P>0.05). CONCLUSION: All the three therapies may improve the cognitive function of MCI patients. The therapeutic effects in the scalp electroacupuncture and syndrome differentiation groups were basically the same, but superior to nimodipine.

Randomized controlled multicenter clinical trial for integrated treatment of community-acquired pneumonia based on Traditional Chinese Medicine syndrome differentiation

OBJECTIVE:To evaluate the efficacy and safety of treatment based on syndrome differentiation ofTraditional Chinese Medicine(TCM) for community-acquired pneumonia(CAP).METHODS:A total of 240 CAP patients were randomly divided into the following two groups:thecontrol group was treated by anti-infection plus conventional medicine treatment;and the trial group was treated by TCM plus the above-mentioned treatment given to the controls.The course of treatment was 14 days,and the patients were followed up for 7 days.RESULTS:Of the 240 patients,235 accomplished the whole process of treatment.The five patients who withdrew from the study were brought into an intent-to-treat analysis.The therapeutic effects of the trial group were superior to those of the control group(P<0.01).The trial group took less time to become clinically stable,with a higher score in the quality of life(P<0.01).There were no significant differences in mortality rate(P>0.05),white blood cell count(P>0.05),bacterial clearance rate(P>0.05),and adverse reactions between the two integrated groups.CONCLUSION:Treatment based on TCM syndrome differentiation for CAP has the advantages of resulting in less time to achieve a stable clinical condition,improvement of clinical symptoms and quality of life,and is comparatively safe.

Integrated traditional and Western medicine for treatment of depression based on syndrome differentiation:a meta-analysis of randomized controlled trials based on the Hamilton depression scale

OBJECTIVE:To systematically review the benefits of integrated traditional and Western medicine therapies based on the Hamilton depression scale(HAMD) following syndrome differentiation of depression.METHODS:We searched six English and Chinese electronic databases for randomized clinical trials(RCTs) on integrated traditional and Western medicine for treatment of depression.Two authors extracted data and independently assessed the trial quality.RevMan 5 software was used for data analyses with an effect estimate presented as weighted mean difference(WMD) with a 95% confidence interval(CI).RESULTS:Seven RCTs with 576 participants were identified for this review.All trials were eligible for the meta-analysis and were evaluated as unclear or having a risk of bias.Meta-analysis showed,compared with Western medicine alone,integrated traditional and Western medicine based on syndrome differentiation could improve the effect of treatment represented by the HAMD [WMD=-2.39,CI(-2.96,-1.83),Z=8.29,P<0.00001].There were no reported serious adverse effects that were related to integrated traditional and Western medicine based therapies in these trials.CONCLUSIONS:Integrated traditional and Western medicine based therapies for the syndrome differentiation of depression significantly improved the HAMD,illustrating that combining therapies from integrated traditional and Western medicine for treatment of depression is better than Western medicine alone.However,further large,rigorously designed trials are warranted due to the insufficient methodological rigor seen in the trials included in this study.

Professor Yu Hai-bo's clinical experience in treating acute attack of hemorrhoids with acupuncture-moxibustion

Hemorrhoid refers to soft vein mass formed by varicosity of submucosal veins around the end of the rectum and subcutanceous veins of the anal canal. It is the most common anorectal disease. This article summarized the regular patterns, features and advantages of Professor Yu Hai-Bo＇s acupuncture-moxibustion therapy for hemorrhoids, in order to guide the acupuncture treatment for hemorrhoids.