The Idea of Treating Numbness of Lower Limbs after Stroke with Zhuang Medical Meridian Therapy by Regulating Shaoyang Meridian Tendons

Based on the understanding of lower limb numbness after stroke in Zhuang medicine, this study makes diagnosis and treatment of lower limb numbness after stroke from the clinical differentiation and treatment ideas of "numbness due to Shaoyang (lesser Yang)" through Zhuang Medicine Meridian Tendon Therapy. The triple therapy of meridian tendon Tuina+acupuncture+cupping originally created by Zhuang medicine and head bloodletting by Zhuang medicine were used to improve the numbness symptoms of patients. This provides a new thinking mode for acupuncture and moxibustion treatment of lower limb numbness after stroke.

Preliminary Study on Gray Theory in Forecasting Great Drought in Shaoyang District

By using occurrence years of great drought in Shaoyang district in recent 20 years,the time sequence was established,and by gray disaster prediction theory,the possible great drought years in future in Shaoyang district were predicted. The results showed that one quasi-periodic of great drought occurrence in Shaoyang district is 2 years,the next great drought years are 2010,2012 and 2015. Gray prediction drought theory will provide scientific basis for drought resistance work in Shaoyang district.

On the treatment of Tourette's syndrome in children from the perspective of "reconciling Shaoyang"

Tourette's syndrome is a syndrome characterized by involuntary,recurrent and aimless muscle motor twitching or vocal twitching in one or more locations,which seriously affects the learning and life of children and their families.Professor The author believes that the key to the pathogenesis of children with tourette's syndrome is"the disadvantageous of cardinal Shaoyang,viscera imbalance of Yin and Yang",proposed from the"reconciling Shaoyang"to treat the disease,and use of radix bupleuri class formula add and subtract cleaning the Shaoyang heat,harmonize the Yin and Yang of the viscera,and dredge the Qi mechanism,so as to achieve the effect of"equilibrium between Yin and yang,spirit is the treatment".With daily care,the clinical effect is better.

A treatment for Henoch-Schonlein purpura based on Shaoyang Channels： a hypothesis and case report

Henoch-Schonlein purpura （HSP） is an IgA-mediated vasculitis which is easy to relapse. A lot of patients have to useglucocorticoids, immunosuppressive drugs and other drugs which will bring sorts of serious side effects. Unfortunately,most of patients have to face the hurt of abdominal pain, arthritis, purpuric rash and renal involvement again after relapse.We have used Xiaochaihu decoration which is a famous formula in Shanghanlun to cure most of patients, especially whowith abdominal pain and purpuric rash. Due to the fact that this formula belongs to the Shaoyang Channels, interestingly,we find that these symptoms are located in regions close to the Shaoyang Channels. So that is the reason why Xiaochaihu decoration could work.

An analysis of Liu Songjiang’s experience in treating lymphoma from the theory of Shaoyang based on experimental cases

Professor Liu Songjiang has been engaged in clinical research of tumors for more than 30 years.He is based on syndrome differentiation and treatment.He is good at combining traditional Chinese and western medicine to treat malignant tumors.This article combines the test cases to summarize the experience of Professor Liu Songjiang in treating lymphoma from Shaoyang.He hopes to broaden his thinking and improve the curative effect for clinicians.

Efficacy and safety of Shaoyang Xibi decoction in patients with knee osteoarthritis:a multi-center,single-blind,randomized controlled trial

PURPOSE: To observe the efficacy and safety of Shaoyang Xibi decoction(SYXBD) in patients with knee osteoarthritis(KOA), and to verify that the theory of "Shaoyang dominating bone" in Traditional Chinese Medicine(TCM) can be applied to KOA treatment.METHODS: Participants were randomly allocated to two groups: SYXBD(treatment group, n = 66)and Meloxicam(control group, n = 66). Western Ontario and McMaster Universities Osteoarthritis Index(WOMAC) and 36-Item Short Form Health Survey(SF-36) were used to assess efficacy before the treatment and 8 weeks after the treatment.RESULTS: Baseline data before the treatment between the two groups were similar. The WOMAC scores significantly decreased and the SF-36 scores significantly increased after 8-week treatment in both groups compared with before the treatment(P < 0.05). SYXBD significantly decreased pain scores(P < 0.001), physical function scores(P <0.001) and the total scores(P < 0.001) in WOMAC compared to Meloxicam. SYXBD significantly improved physical function(P = 0.021), bodily pain(P = 0.002) and general health(P = 0.014), with no significant difference in role emotional(P = 0.053),role physical(P = 0.517), vitality(P = 0.241), social function(P = 0.712) and mental health(P = 0.800)in SF-36 compared to Meloxicam. No adverse events were reported in the treatment group while13 adverse events happened in the control group during the study.CONCLUSION: SYXBD, prepared based on the theory of "Shaoyang dominating bone", has a better curative efficay and safety in patients with KOA compared with Meloxicam. The TCM theory of "Shaoyang dominating bone" may be useful in KOA treatment.

Clinical observation on acupuncture at points of Shaoyang meridians plus moving cupping on the neck and shoulder for migraine

Objective： To observe the efficacy of acupuncture at points of Shaoyang meridians plus moving cupping on neck and shoulder for migraine. Methods： A total of 64 migraine cases were randomly allocated into an observation group and a control group, 32 cases in each group. Random number table method was used in allocation. Acupuncture at points of Shaoyang meridians and cupping on neck and shoulder were used for cases in the observation group, which contain acupuncture 5 times a week and cupping once a week. Oral flunarizine hydrochloride capsules were used for cases in the control group, 10 mg for each dose, 1 dose a day. 2 weeks constitutes a course of treatment. The patients were treated for two courses of treatment in both groups. After that, the changes of visual analogue scale （VAS） and the migraine disability assessment questionnaire （MIDAS） were observed, as well as the clinical efficacy. Results： The total effective rate and recovery and marked effective rate in the observation group were 93.8% and 71.0% respectively, versus 78.1% and 43.8% in the control group, showing statistical significant differences （both P〈O.05）. There were significant decreases in VAS and MIDAS scores after treatments in both groups （both P〈O.05）. VAS and MIDAS scores in the observation group were significantly different from those in the control group （both P〈0.05）. Conclusion： Combining acupuncture at points of Shaoyang meridians and cupping on neck and shoulder can relieve headache and reduce influence of migraine on life. It can produce a better efficacy than oral flunarizine hydrochloride capsules in treating migraine patients.

半表半里及少阳病探析

《伤寒论》未提出“半表半里”的概念,此概念系后世注家注解时提出。半表半里不是人体中的一个层次,亦非某具体部位、某些脏腑。少阳病、厥阴病应为“半病”,表现为半表里、半寒热、半虚实,治疗上应用“和法”,即表里双解、寒热并用、攻补兼施。少阳病证包含小柴胡汤证,小柴胡汤证为少阳本病,最能代表少阳病证的特点。对少阳病方剂的应用,不应止步于“方证相应”,而应紧扣半表里、半寒热、半虚实之“半病”概念。

基于“三焦生精”理论治疗成人原发免疫性血小板减少症

原发免疫性血小板减少症是一种免疫介导的以血小板减少为主要特征的疾病,归属于中医“紫癜病”范畴,临床多从火热亢盛、气虚失摄、脾不统血、肾虚火旺等方面论治。三焦理论始于《黄帝内经》,三焦具有通行原气,运化水液两大基本功能,该文首先对“三焦生精”的理论内涵进行阐述,其次基于“三焦生精”理论探讨原发免疫性血小板减少症的病机及治法,最后通过对一则验案进一步分析,以期为临床治疗原发免疫性血小板减少症拓宽思路。

基于六经辨病浅析柴胡桂枝干姜汤证及验案举隅

“六经辨病”指的是一种中医临床诊疗思维。即先诊断疾病,分属六经病范畴,再辨别方证,寻找方证对应线索,一一对号入座,精准用药。柴胡桂枝干姜汤证属《伤寒论》六经病中少阳病范畴,临证首先把握少阳病特点,再结合其方证要点(往来寒热、胸胁苦满、心烦、但头汗出、周身无汗、口渴而不呕、小便不利、大便溏泄等),适证选方,则药随方出。如此,病证方药,环环相扣,病下是证,证下是方,药出方下,呈无缝对接,具有精准性及可重复性,更有助提高临证有效率。

高铁呼南通道邵永铁路引入邵阳地区方案研究

研究目的:呼南通道作为“八纵八横”国家高铁主通道之一,邵阳至永州铁路是呼南通道的重要组成部分。本文基于邵阳地区既有铁路、客流特点、城市规划等因素,研究提出邵永铁路在邵阳地区的引入方案,再根据运输能力适应、既有设备利用、工程投资节省、运营成本控制、未来持续发展等需求,进一步细化比选,形成邵永铁路引入邵阳地区的优选推荐方案。研究结论:(1)根据邵阳地区既有铁路概况,以及邵阳市城市总体规划和客运需求,研究提出邵永铁路引入邵阳站和新设邵阳南站两大系列方案;(2)通过比较分析各项具体方案的线路布局、工程投资、运输质量、未来发展等控制因素,推荐采用按线路别引入邵阳站娄邵场调整到发线分工的方案,并预留未来娄邵高铁引入邵阳站的条件;(3)本研究结果可应用于高铁呼南通道邵永段的勘察设计中,对引入工程的建设具有指导作用。

从少阳病论治新型冠状病毒肺炎并味觉减退验案1例

报道从少阳病论治本土新型冠状病毒肺炎(COVID-19)并味觉减退患者1例。此病例根据经方大师胡希恕先生所提出的孔窍病多从少阳论治的观点,以和解少阳、化湿解毒为治法,明显改善了患者的味觉功能;通过对该患者诊疗过程的回顾分析,证明从少阳病论治COVID-19并味觉减退病例的可行性,为COVID-19及其并发症的中医治疗提供参考。

刘永丰主任医师辨证治疗罕见少阳虚证腹痛经验浅析

腹痛为中医内科常见疾病,其病因复杂,证型多变,辨证尤为重要。文章以刘永丰主任医师接诊一例腹痛病为例,探讨总结刘永丰主任医师治疗腹痛的临床经验。刘老在诊治过程中以六经辨证为主,结合八纲及脏腑辨证,诊断为较为罕见的少阳虚证,其病机变化为早期少阳枢机不利,升降失常,中期正气亏虚,余邪留恋,后期气阴两虚提出早期斡旋气机,和解少阳,祛急为主,中期补虚复正,兼去旧邪,后期固护脾胃,养阴益气,不忘后天之本的治疗思想,并根据患者病机变化在不同阶段分别予小柴胡汤、人参败毒散、沙参麦冬汤等方化裁,收效显著。文章结合此例医案,分析、还原诊疗思路及经过、解析具体方药,体会刘老应用六经辨证的诊疗思路,体现其调和脏腑枢机、重视审证求因、临证化裁、顾护气血津液的治疗思想,为腹痛诊疗开阔了辨证思路,提供了临床经验,希望更好地指导临床,应用于患者。

基于肝与小儿少阳体质探究抽动障碍中医机制

抽动障碍病起病于儿童和青少年时期,现代医学属于神经精神障碍性疾病。随着社会的发展,外界刺激的增加,本病病例亦有逐年上涨的趋势。当儿童发育处于生长时期,无不体现肝之特性,小儿体质符合肝的特性,肝气平和,肝血充足则正常发育;肝阳过亢、肝阴不足或肝肾不相协调易使得肝风内动则可见抽动的症状表现。另外,对于外部刺激的处理失当,肝气郁滞,亦生内动之变。基于此,抓住肝的生理特性和小儿体质特点,探究二者之间的关系,以及肝与其他脏腑的联系,从肝和少阳体质关系的角度分析抽动障碍,以肝为主,五脏平调,内外并治,对于初发和久治不愈的疑难性抽动障碍治疗均具有一定的指导意义。

基于少阳枢机理论辨治胃食管反流病

胃食管反流病是一种常见消化系统疾病,目前临床治疗以药物及个人生活调摄为主,但复发率较高,中医药治疗该病颇具特色。文章通过阐述少阳枢机理论内涵,从少阳枢机不利角度认识该病的发病机制,认为临床治疗当以调畅少阳枢机为要。

名中医吴清明应用“胆气春生”理论治疗不寐经验

失眠是常见的内科疾病之一,传统中医学称“不寐”“不眠”等,现代医学称为失眠症,是最常见的睡眠障碍。按照现代医学的标准,其主要表现有在合适的睡眠条件下仍入睡困难,或时睡时醒,或醒后难再入睡,甚则彻夜不眠等。本病病位在“心”,与情志因素等密切相关,其核心病机为心神不安,神气不和。吴清明教授将“不寐”的生理病理与《脾胃论》中的“胆气春生”及其中“少阳为枢”的学术思想相联系,结合自身临床实践经验,提出观点:少阳在气的运化中起着至关重要的调控作用,胆气为人体阳气激发的重要枢纽,在人体阴阳调和中发挥着不可忽视的作用。他阐明了失眠与胆气的关系,主张调节全身气机必先升发胆气,在本病的治疗中取得了较好的临床疗效。

眭道顺从“少阳为枢”论治胆碱能性荨麻疹

“少阳为枢”是中医学理论中的重要概念之一。少阳位于半表半里间,外达肌表,内联脏腑,能够发挥畅气机、调水道、游相火的功能;少阳枢机失调可致气机紊乱、水液代谢失常、相火郁结妄动等。胆碱能性荨麻疹是一种由于胆碱能神经传导障碍而导致的特殊类型的荨麻疹,其病程长,难以治愈。眭道顺教授根据该病的临床特征,认为少阳枢机不利是其核心病机。情志不畅而致枢机不畅,导致气津疏泄失常、相火妄动内扰,致使营卫不和无力抗邪,风邪外袭隐于皮肤腠理而发为胆碱能性荨麻疹。治疗时可采用柴胡桂枝汤为基本方以和解少阳、透邪解表,临证运用可根据少阳枢机不利所致的气滞、湿停、郁热等不同病证而酌加相应药物。基于“少阳为枢”防治胆碱能性荨麻疹,可为该病的临床治疗提供思路。

基于“少阳主枢”浅析小柴胡汤治疗wAMD

湿性年龄相关性黄斑变性(wAMD)是眼科常见病及疑难病,也是老年人致盲的主要原因,西医治疗存在局限性,中医辨证使用补法常效果不佳,而小柴胡汤治疗wAMD收获良效。本文基于“少阳主枢”浅析wAMD的病因病机,并为小柴胡汤在wAMD中应用提供依据。“少阳主枢”就脏腑功能而言,主行诸气,决渎水道,宣布相火,畅达气血;就部位而言,位于表里之间,沟通脏腑。wAMD病位在视网膜,属半表半里少阳经;少阳枢机不利为发病关键环节,三焦失司可见水肿,气血失畅可见出血;水肿与出血并见,即“寒热往来”,属小柴胡汤证。故治疗上以和法为基本原则,小柴胡汤为主方辨证施治,可获良效。

基于“伏风理论”探讨IgA肾病的发病与治疗

IgA肾病是最常见的原发性肾小球肾炎之一,通过系统梳理近年来中医药辨治IgA肾病的理论研究,发现“伏风”的致病特点与IgA肾病的发病机制及临床表现具有相似之处,IgA肾病病机总属本虚标实,肾元亏损是邪气内伏致病的基础。提出“伏风”与IgA肾病发病相关,然后结合疾病的静止期及活动期,分别阐述了邪气可蛰伏于咽喉、肠道、泌尿道,伺机而动,在诱因的作用下,转出少阳三焦,致气化失司。总结历代医家的证治经验,遵循标本兼顾、祛邪务尽的治则,提出了固护脾肾、肃清病灶、托邪外出、搜风通络、疏利三焦等治法。

刘金民从“和少阳,调枢机”理论辨证论治耐药性癫痫经验

耐药性癫痫是指癫痫患者在接受≥2种抗癫痫药物治疗后仍无法控制的一种复杂发作性疾病,属于中医学“痫证”的范畴。刘金民教授认为少阳转枢不利是耐药性癫痫的核心病机,病因涉及气郁、痰瘀、精血亏虚等多种因素,治疗上倡导从“和少阳,调枢机”角度入手,将“开阖枢机、通利三焦、补虚培元”法贯穿遣方用药的全程,善用柴胡剂,喜用风药、虫药和补药,临床疗效显著。本文总结刘金民教授治疗耐药性癫痫的理论思想与辨治思路,并附1则验案加以阐释,以期为该病的防治提供新的视角和实践指导。