金芍汤加味治疗胃脘痛36例

介绍应用名中医莫矜耀教授自拟的金芍汤为基本方，结合辨证用药治疗胃脘痛患者３６例的经验，结果：临床治愈１７例，好转１８例，无效１例。

金芍益胃汤治疗慢性胃炎

金芍益胃汤治疗慢性胃炎云南省中医医院（６５００２１）刘红英牛祖智指导莫矜耀教授慢性胃炎为内科常见病，往往反复发作，缠绵难愈。从慢性胃炎的临床症状来看，多属中医“胃脘痛”、“呕吐”等病证范围，我们自１９９７年４月～６月以来，采用莫教授自拟的金芍益胃汤治...

理气开郁法板块方镇痛作用的动态分析

目的:探讨理气开郁法中药板块方的镇痛作用特点。方法:将150只清洁级昆明种小鼠,按体重随机区组法分为15组,包括对照组,柴郁汤、芍甘汤、痛泻要方、金铃子散高中低剂量各组,吗啡和布洛芬组,采用45℃、50℃、55℃水浴引致小鼠疼痛模型,动态测定痛阈潜伏期,用药前测定基础痛阈。采用重复测量设计的方差分析。结果:柴郁汤、芍甘汤和痛泻要方的镇痛作用以高剂量更明显;柴郁汤对45℃、50℃、55℃水浴的痛阈潜伏期均有延长作用,柴郁汤高、中剂量在多个时间点上显示出较好的镇痛作用。结论:柴郁汤的镇痛作用较强,作用特点类似于中枢镇痛药或兼有中枢性镇痛作用;芍药甘草汤、痛泻药方、金铃子散属于作用于外周的镇痛药。

Re-analysis on Heidan Disease (Black Jaundice) in Synopsis of Golden Chamber (Jin Gui Yao Lue)

Heidan disease(black jaundice)is a kind of jaundice,which is caused by lingering and chronic jaundice,often with blood stasis and damp-heat,etc.The clinical symptoms of Heidan disease(black jaundice)are similar to those of cirrhosis caused by multiple chronic liver diseases in Western medicine.Heidan disease(black jaundice)generally belongs to yin jaundice type,and the pathogenesis is mostly related to blood stasis and dampness stagnation,often with damp-heat residue.According to Zhongjing Zhang,the prescription Xiaoshi Fanshi powder for the treatment of Heidan disease(black jaundice)is based on the understanding that the nature of Heidan disease(black jaundice)is inseparable from the two key pathological factors of dampness and blood stasis.The treatment of jaundice should be based on removing blood stasis and dampness,supplemented by soothing the liver and promoting the transportation function of spleen,removing blood stasis and harmonizing the collaterals,and promoting diuresis and reducing jaundice.In the treatment of jaundice,removing blood stasis and purging turbidity should be stressed,and powerful tonification should be used with caution.Since blood stasis and turbidity are always intermingling and often complicated with damp heat,the method of warm drying should be used with caution.For promoting blood circulation,removing blood stasis,and dredging the liver-biliarycollaterals,drasticmedicine shouldbeused withcaution.

理气开郁法板块方对炎症介质的作用特点研究

目的:探讨理气开郁法板块方对炎症介质影响的相对特征性作用。方法:以过滤空气皮下注射和1%角叉菜胶囊内注射制备大鼠背部气囊炎症模型,用放免法检测炎性渗出液中IL-6和PGE2及血清皮质醇,用硝酸还原酶法测定渗出液中NO,预防性灌胃用药。结果:各板块方高、中、低剂量和氢化可的松均能显著降低大鼠气囊炎症渗出液中IL-6水平,金铃子散高剂量的作用有优于氢化可的松的趋势。金铃子散高、中、低剂量、芍甘汤高、中剂量、柴郁汤中剂量及氢化可的松均能显著降低大鼠气囊炎症渗出液中PGE2水平,金铃子散和芍甘汤高、中剂量的作用与氢化可的松相当。金铃子散、芍甘汤、柴郁汤高、中、低剂量、痛泻要方中剂量和氢化可的松均能显著降低大鼠气囊炎症渗出液中NO含量,金铃子散高、中、低剂量、芍甘汤高剂量、柴郁汤中、高剂量的作用尤著。模型对照组大鼠血清皮质醇水平明显升高,氢化可的松组与芍甘汤低、中剂量组血清皮质醇明显降低。结论:金铃子散、痛泻要方降低IL-6的作用较强;金铃子散、芍甘汤降低PGE2的作用较强;金铃子散和柴郁汤降低NO的作用较强;四方中金铃子散的抗炎作用可能最强;芍甘汤的抗炎作用可能还涉及到皮质醇。