Clinical Observation of the Hot and Humid Compress Therapy of Traditional Chinese Medicine in the Treatment of Qi Stagnation and Blood Stasis Type of Lumbar Disc Herniation

Background: Although a number of studies have reported that the hot and humid compress from traditional Chinese medicine (TCM) is effective in treating lumbar disc herniation (LDH) with qi stagnation and blood stasis, clinical evidence is limited. Objective: The purpose of this study is to provide high-quality evidence to support the effectiveness of the traditional Chinese hot and humid compress in the treatment of LDH with qi stagnation and blood stasis. Methods: From October 2021 to November 2023, 86 patients with LDH of qi stagnation and blood stasis type were recruited in our hospital and divided into a control (n = 43) and an observation group (n = 43) according to the random number table method. The control group was given routine clinical treatment, and the observation group was treated with the hot and humid compress therapy for two weeks. The visual analogue scale (VAS) score, Japanese Orthopaedic Association (JOA) score, TCM syndrome score, serum interleukin-6 (IL-6), serum interleukin-1β (IL-1β), and tumor necrosis factor-α (TNF-α) were observed and compared between the two groups before and after treatment, and the clinical efficacy of the two groups was evaluated. Results: After treatment, the VAS score, TCM symptom score, and serum IL-6, IL-1β, and TNF-α levels decreased in both groups (P P P P P Conclusions: The hot and humid compress of traditional Chinese medicine can effectively relieve pain, restore lumbar function, improve TCM syndromes, reduce the level of inflammatory factors, and have a curative effect in treating LDH.

Effect of Traditional Chinese Medicine inImproving Hot Flashes Symptom ofBreast Cancer

Breast cancer (BC) is the most common malignant tumor in women. Around 50% of BC receptor-positive patients are hormone-dependent cases, and it is necessary for them to use endocrine after operation. Through inhibition of estrogen level

Clinical Observation on 80 Cases of Anal Edema after Mixed Hemorrhoids Operation with Chinese Medicine Hot Election Package

The subjects of this study were 80 patients who underwent mixed hemorrhoids surgery in our hospital from January to October 2020 (mixed hemorrhoids external and internal ligation, internal hemorrhoids ligation or Xiaozhiling injection) and developed anal edge edema after surgery. According to the order of hospitalization, the patients were randomly divided into treatment group and control group, with 40 cases each. In the control group, blank hot pack was applied on the basis of anorectal No. 1 lotion for prevention and treatment of anal edge edema after operation;in the treatment group, hot pack of Traditional Chinese medicine was applied on the basis of anorectal No. 1 lotion for prevention and treatment of anal edge edema. The course of treatment was 7 days. The edema subsidence and postoperative pain scores were observed in both groups. Results: The scores of anal edema and pain in the treatment group were significantly lower than those in the control group (P < 0.05), and the significant efficiency and total effective rate in the treatment group were significantly better than those in the control group, with statistical difference (P < 0.05). Conclusion: Chinese medicine hot election package is effective in treating postoperative anal edema of mixed hemorrhoids, and the method is simple and suitable for clinical promotion.

Efficacy evaluation of high-frequency ultrasound in the treatment of diabetic peripheral neuropathy with α-lipoic acid combined with traditional Chinese medicine package treatment

Objective:To use high-frequency ultrasound to evaluate the efficacy ofα-lipoic acid combined with traditional Chinese medicine in the treatment of diabetic peripheral neuropathy(DPN),so as to provide a basis for clinical medication and evaluation of therapeutic effect.Methods:From December 2018 to December 2019,110 patients with DPN who met the inclusion and exclusion criteria were divided into observation group and control group according to different treatment plans.The control group was treated withα-lipoic acid,and the observation group was treated withα-lipoic acid combined with traditional Chinese medicine encapsulation treatment,and used high-frequency ultrasound,nerve conduction velocity and serological examination to comprehensively evaluate the effectiveness of the two treatment methods.Results:The mean amplitude of glycemic excursions(MAGE)value of the observation group and the control group after treatment was significantly lower than before treatment(P<0.05);After treatment,the SCV of the ulnar nerve,median nerve,and common peroneal nerve in the two groups was significantly faster than before treatment(P<0.05).Similar to SCV,the MCV of the three nerves measured after treatment in the two groups was significantly faster than before treatment(P<0.05).Compared between the groups after treatment,the three kinds of nerve SCV and MCV in the observation group were significantly faster than those in the control group(P<0.05).The cross-sectional area(CSA)value of the ulnar nerve,median nerve and common peroneal nerve in the observation group after treatment was significantly lower than before treatment(P<0.05).Compared with the control group after treatment,the three nerves CSA in the observation group was significantly lower than that in the control group(P<0.05).Abnormal ultrasound performance:The proportion of abnormal ultrasound performances of the ulnar nerve,median nerve,and common peroneal nerve in the observation group after treatment was significantly lower than before treatment(P<0.05).The composition ratio of internal echo reduction and ambiguity in the observation group after three nerve treatments was significantly lower than that in the control group after treatment(P<0.05).In the correlation analysis,the three kinds of nerve CSA before and after treatment were negatively correlated with SCV and amplitude(P<0.05),and positively correlated with latency(P<0.05).Conclusion:The combination ofα-lipoic acid and Chinese medicine encapsulation technology has a good effect on the treatment and repair of DPN nerve damage,and can be routinely applied in clinical treatment.High-frequency ultrasound can intuitively observe changes in peripheral nerves and can be used to evaluate the prognosis of DPN.

Traditional Chinese medicine manipulative reduction combined with percutaneous vertebroplasty for treating type Ⅲ Kummell's disease: A case report

BACKGROUND A patient with type Ⅲ Kummell’s disease had a ruptured posterior cortex of the fractured vertebral body, which caused spinal cord compression. An open surgery was considered the best choice of operation. However, the patient and her family refused open surgery and instead demanded a minimally invasive surgical treatment such as percutaneous vertebroplasty(PVP). After preoperative discussion, we finally adopted the novel therapy of traditional Chinese medicine manipulative reduction(TCMMR) combined with PVP.CASE SUMMARY A patient with type Ⅲ Kummell’s disease exhibiting bone block-induced spinal cord compression was admitted to our hospital. She suffered from a variety of medical disorders but refused open surgery, and instead asked for PVP surgery. TCMMR, in parallel with PVP, was used to restore the height of the compressed vertebral body and reduce the symptoms of spinal cord compression by the bone block in order to strengthen the vertebral body and prevent further collapse. The surgery was very successful. The height of the compressed vertebra was restored, and the symptom of spinal cord compression by bone block was reduced successfully via TCMMR. The fractured vertebra was solidified by the PVP. The pain visual analog score declined from preoperative 7 scores to postoperative 2 scores, and the Frankel spinal cord scale increased from preoperative D degree to postoperative E degree.CONCLUSION The new method has advantages in treating patients with type Ⅲ Kummell’s disease who cannot be treated with open surgery.

Similarity measurement of Chinese medicine ingredients for cold-hot nature identification

目的:中药药性理论是中医药的核心基础理论,其中寒热药性是当前研究的重点。研究发现中药成分是产生药性的物质基础。因此,我们推断成分相似的中药具有相似的药性。由于中药指纹图谱可以反映中药的物质成分,因此,当前热点集中于通过中药指纹图谱技术研究中药药性。方法:为了验证上述假说,本文研究量化中药成分的相似性为指纹图谱的相似性,探索中药成分与寒热药性之间的关系。首先,我们利用紫外指纹图谱分析61味寒热药性明确的中药(30味寒性药和31味热性药)。其次,一个距离度量学习算法被研究度量中药指纹图谱的相似性。最后,一个检索方案被提出构建预测识别模型用于中药寒热药性的识别。结果:大量的实验发现,石油醚溶剂下的紫外图谱可以更好的区分寒热药性。与已有的识别方案相比,提出的模型具有更好的识别性能。结论:实验结果证明了我们的推论,成分相似的中药具有相似的药性。提出的预测模型被证明是可行和有效的。

中医康复护理对脑卒中偏瘫患者肢体功能及生活质量的影响

目的观察中医康复护理对脑卒中偏瘫患者肢体功能及生活质量的影响。方法选取108例脑卒中偏瘫患者,按照住院时间分成对照组和观察组各54例;对照组实施常规康复训练,观察组在此基础上结合中医特色护理康复,包括坐式八段锦、中药热敷、按摩等。结果干预3个月后,两组肢体运动功能评分、生活质量评分比较,差异有统计学意义(均P<0.05)。结论对脑卒中偏瘫患者实施中医特色康复护理,可促进患者肢体功能康复,提高生活质量。

中国传统文化在中成药包装视觉设计里的应用研究

目的基于深厚的中国传统文化,探索更能体现传统文化特质和赢得用户认可的中成药包装视觉设计路径。方法探究现有中成药包装在融入中国传统文化元素时存在的视觉设计问题,分析中国传统文化在中成药包装视觉设计里的可用元素,在此基础上探讨中国传统文化融入中成药包装视觉设计的应用与应用原则,并辅之以案例进一步说明。结论如果遵循文章提出的应用原则,在传统文化理念指导下将传统图案、色彩、文字、艺术等具有代表性的中国传统文化元素融入中成药包装设计,能够帮助中成药包装充分展现产品自身特质,满足用户个性需求,赢得目标用户的文化认同与情感认同,提高中成药市场竞争力,为中成药产业发展注入新的动力,同时传承和发扬中国传统文化,彰显文化自信。

中药药熨联合皮内针对气滞血瘀型腰椎间盘突出症的疗效观察

目的观察中药药熨联合皮内针对气滞血瘀型腰椎间盘突出症(LDH)患者的短期及远期效果。方法选取2021年3月至2023年3月在广东省第二中医院骨三科住院的气滞血瘀型LDH患者70例,采用随机数字表法将患者分为观察组和对照组,每组各35例。对照组男17例,女18例;年龄45~60(68.20±11.54)岁;病程1~3(2.51±0.94)年。观察组男19例,女16例;年龄45~60(69.69±3.54)岁;病程1~3(2.54±1.06)年。两组均给予骨科常规护理,对照组采用口服塞来昔布治疗,观察组在对照组基础上采用中药药熨联合皮内针治疗。两组均连续治疗14 d,3个月后给予电话随访。比较两组患者治疗前、治疗3 d后、治疗14 d后、治疗后3个月视觉模拟评分法(VAS)评分、日本骨科协会腰椎功能量表(JOA)评分。观察两组患者治疗前后临床表现改善情况,进行疗效评价。采用独立样本t检验、配对样本t检验和χ^(2)检验。结果观察组治疗3 d后、治疗14 d后、治疗后3个月VAS评分[(3.97±0.95)分、(3.91±0.89)分、(3.74±0.74)分]均低于对照组[(6.46±1.15)分、(6.23±0.94)分、(6.29±1.15)分],差异均有统计学意义(均P<0.05)。观察组治疗3 d后、治疗14 d后、治疗后3个月JOA评分[(21.74±1.52)分、(22.03±1.38)分、(22.51±1.20)分]均高于对照组[(18.83±1.51)分、(19.49±1.34)分、(20.26±1.07)分],差异均有统计学意义(均P<0.05)。观察组总有效率为94.29%(33/35),高于对照组的65.71%(23/35),差异有统计学意义(P<0.05)。结论中药药熨联合皮内针治疗气滞血瘀型LDH,不仅起效快,改善疼痛、腰椎功能,总体疗效亦优于单用塞来昔布。

中医药文化在“一带一路”新兴国家传播的实证分析(2013—2023)——基于甘姆森诠释包裹理论

“一带一路”倡议提出十年来(2013-2023),作为促进民心相通的重要纽带和载体,中医药文化在共建“一带一路”国家广泛传播。以俄罗斯、印度、南非三个既是金砖国家、又是在“一带一路”沿线的全球南方新兴国家为案例,以甘姆森诠释包裹为理论框架、以这三个国家十年间中医药文化报道为样本进行基于内容分析的实证研究。研究发现,印度对社会背景和政府归因更聚焦、俄罗斯对中医药评估和后果与影响较为关注、南非重点强调生态背景和中医药归因;三国媒体中医药文化报道装置主要采用描述装置和论据装置,隐喻和短语较少;历时看,屠呦呦获诺奖(2015年)引发印度对本国医学发展的省思,激发俄罗斯对中华传统医学更大兴趣,新冠肺炎疫情防控期间关于中医药文化的讨论更为广泛多元,舆论出现两极分化;三国媒体中医药文化报道的框架装置和推理装置间存在相关性。

中药热敷联合多磺酸粘多糖乳膏治疗动静脉内瘘血肿的效果观察

目的探讨中药热敷联合多磺酸粘多糖乳膏对动静脉内瘘血肿的护理效果。方法本研究为随机对照试验。选取2021年2月至2023年2月连云港市中医院门诊动静脉内瘘血肿患者60例,按照随机数字表法分为参照组30例和联合组30例。参照组男21例,女9例,年龄(47.58±7.15)岁,采用多磺酸粘多糖乳膏联合常规护理;联合组男20例,女10例,年龄(46.45±6.14)岁,在参照组基础上实施中药热敷。记录并比较两组患者的皮下血肿消退时间和疼痛持续时间、并发症发生情况、护理满意度。采用t检验、χ^(2)检验。结果联合组患者的皮下血肿消退时间、疼痛持续时间均短于参照组[(7.54±2.25)d比(10.85±3.14)d、(4.25±0.48)d比(6.50±0.51)d],差异均有统计学意义(t=6.934、9.072,均P<0.001);联合组患者的并发症发生率低于参照组[6.67%(2/30)比26.67%(8/30)],护理总满意度高于参照组[90.00%(27/30)比66.67%(20/30)],差异均有统计学意义(χ^(2)=4.320、4.812,P=0.038、0.028)。结论中药热敷联合多磺酸粘多糖乳膏可加快动静脉内瘘血肿患者的皮下血肿消退,缩短疼痛持续时间,提升护理满意度,减少并发症发生,缓解炎症,值得临床推广。

火龙灸与补肾健骨汤治疗骨质疏松性椎体压缩性骨折临床观察

目的探析采用火龙灸与补肾健骨汤治疗骨质疏松性椎体压缩性骨折的临床效果。方法选择2019年11月—2021年11月南昌市洪都中医院收治的骨质疏松性椎体压缩性骨折患者66例,按照随机数字表法分为对照组和研究组,每组33例。所有患者均行经皮椎体后凸成形术治疗,在此基础上对照组给予碳酸钙D3片、阿法骨化醇软胶囊治疗,研究组给予火龙灸、补肾健骨汤治疗。观察两组的中医证候积分、不同部位骨密度值(L2~L4、全髋、股骨颈)。结果治疗后,研究组中医证候积分低于对照组(P<0.05),L2~L4、全髋、股骨颈等骨密度值均大于对照组(P<0.05)。结论针对骨质疏松性椎体压缩性骨折患者,采用火龙灸与补肾健骨汤辅助治疗,能够获得较好的临床效果,有效改善患者相关症状,增加骨密度值,促进腰椎功能恢复。

中药穴位热熨敷的不同推熨频率对促进结肠癌根治术后患者胃肠功能恢复的影响

[目的]观察中药穴位热熨敷的不同推熨频率对促进结肠癌根治术后患者胃肠功能恢复的影响。[方法]选取2020年1月—2023年3月在广州中医药大学第一附属医院二外科住院的腹腔镜下结肠癌根治术后患者108例,随机分为试验A组、试验B组、对照组各36例。对照组采用常规护理方法,试验组在常规护理基础上实施子午流注理论指导下的中药热熨敷干预,试验A组的推熨频率为90~95次/min,试验B组的推熨频率为115~120次/min,从术后第1天开始,每日2次,直至肛门排气和排便。观察3组患者胃肠功能恢复、住院时间、中医证候积分变化情况以及不良反应发生情况,评价3组患者的临床疗效。[结果]干预后,试验B组术后肠鸣音恢复时间、首次肛门排气时间明显短于试验A组和对照组(P<0.05),试验B组首次排便时间和术后住院时间均明显短于对照组(P<0.05或P<0.01);3组患者中医证候积分的组间效应、时间效应及交互效应均有统计学差异(P<0.05);3组患者中医证候积分随时间推移均呈下降趋势,试验B组术后72 h的中医证候积分低于试验A组和对照组,且试验A组低于对照组(P<0.05);试验A组和试验B组的临床治疗总有效率均明显优于对照组(P<0.05)。[结论]中药热熨敷能有效促进结肠癌根治术后患者胃肠功能恢复,以推熨频率为115~120次/min的整体治疗效果更为显著。

葛根汤联合中药热敷治疗神经根型颈椎病风寒阻络证临床观察

目的 观察葛根汤联合中药热敷治疗神经根型颈椎病风寒阻络证的临床效果。方法 选取吉林省吉林中西医结合医院骨伤科2021年7月—2022年7月收治的90例神经根型颈椎病风寒阻络证患者,运用掷硬币法分为2组,各45例。对照组用葛根汤治疗,观察组使用葛根汤加中药热敷治疗,比较2组颈椎功能障碍评分、临床疗效、颈肩疼痛程度评分。结果 治疗后,对照组总有效率低于观察组(P<0.05);观察组的颈椎功能障碍评分与颈肩疼痛程度评分更低(P<0.05)。结论 葛根汤联合中药热敷治疗神经根型颈椎病风寒阻络证临床效果较好,优于单一使用葛根汤治疗的方式,有较高临床应用价值。

中医特色护理临床路径在骨质疏松性胸腰椎压缩骨折患者经皮穿刺椎体后凸成形术围手术期的临床应用

目的 探讨中医特色护理临床路径在骨质疏松性胸腰椎压缩骨折(OVCF)患者经皮穿刺椎体后凸成形术(PKP)围手术期的应用效果。方法 选取浙江中医药大学附属温州市中医院2020年6月至2021年12月收治的老年OVCF患者96例,采用随机数字表法分为两组,每组48例。对照组实施骨折术后常规护理,观察组在对照组基础上实施中医特色护理临床路径干预。比较两组视觉模拟评分法(VAS)、功能障碍指数(ODI)评分及并发症、护理满意度情况。结果 术后1周,两组VAS、ODI评分均低于入院时,且观察组低于对照组(P<0.05)。观察组并发症总发生率低于对照组,护理满意度高于对照组(P<0.05)。结论 中医特色护理临床路径用于OVCF患者PKP围手术期,可获得显著效果。

中药热奄包联合补阳还五汤加减对中风偏瘫患者生活质量的影响研究

目的观察中药热奄包联合补阳还五汤加减对中风偏瘫患者生活质量的影响。方法将2021年1月—2022年12月在安徽中医药大学第二附属医院住院的70例中风偏瘫患者随机分为对照组与研究组,对照组给予常规西医基础治疗+康复训练。研究组在对照组基础上给予中药热奄包联合补阳还五汤加减治疗,2组疗程均为2周。比较2组临床疗效,观察2组干预前后患者中医症状积分、肌力状况、肢体功能、步行情况和日常生活自理能力的变化[Lovett肌力评分、简式Fugl-Meyer量表(FMA)评分、10 m最大步行速度测试(10 MWT)和Barthel指数量表(BI)]。最后统计2组生活质量量表(SF-36)评分的改善情况。结果研究组临床总有效率为91.43%明显高于对照组的68.57%(P<0.05)。与治疗前比较,治疗后2组中医症状积分呈下降趋势(P<0.05),且研究组降低程度高于对照组(P<0.05);治疗后2组Lovett肌力评分、FMA评分、10 MWT和BI评分均有增加趋势(P<0.05),且研究组增加程度高于对照组(P<0.05)。治疗后实验组SF-36量表的各维度评分均高于治疗前(P<0.05),且活力(VT)、躯体疼痛(BP)、总体健康(GH)、生理机能(PF)、社会功能(SF)维度评分高于对照组(P<0.05)。2组不良反应发生率比较差异无统计学意义(P>0.05)。结论中药热奄包联合补阳还五汤加减治疗中风偏瘫的疗效确切,能改善肌力、肢体功能,步行能力和生活自理能力,从而有利于生活质量的提高。

中医适宜技术在产妇分娩疼痛管理中的应用进展

该文从分娩疼痛产生机制,中医适宜技术应用于分娩疼痛管理的理论基础及方式进行综述,分析中医适宜技术在减轻产妇分娩疼痛、增加舒适感方面的应用优势,探讨存在的不足,提出对未来的展望,为今后的研究和临床护理实践提供参考。

椎体压缩骨折不愈合治疗进展

从现代医学和中医学角度阐述椎体压缩骨折不愈合的治疗进展。分析椎体压缩骨折不愈合的临床表现、分期分型,阐述现代医学手术不同术式的应用以及保守治疗方案,探究中药方剂、中医外治法治疗此病的临床效果,进一步发掘中西医结合治疗本病的优势。对椎体压缩骨折不愈合的治疗方式选择做出综合评价,为治疗此病开拓思路。

穴位贴敷联合中药热奄包热敷在肛肠病腰麻术后尿潴留的护理分析

目的研究分析穴位贴敷联合中药热奄包热敷在肛肠科腰麻术后尿潴留护理中的应用效果。方法随机选取2023年1—6月如东县中医院肛肠科接受腰麻术的110例肛肠疾病患者作为研究对象,按照随机数表法分为对照组(n=50)与观察组(n=60)。对照组给予常规护理联合穴位贴敷,观察组在对照组基础上给予中药热奄包热敷。比较两组尿潴留发生率、导尿率、排尿成功率、首次排尿时间、排尿完全通畅时间、负面情绪评分、数字疼痛评分法(Numeric Rating Scales,NRS)评分、满意度评分。结果观察组尿潴留发生率(3.33%)、导尿率(3.33%),排尿成功率(70.00%)均优于对照组的18.00%,16.00%,50.00%,差异有统计学意义(χ^(2)=6.519,3.873,4.582,P均<0.05)。观察组首次排尿时间、排尿完全通畅时间均明显短于对照组,差异有统计学意义(P均<0.05)。与对照组相比,观察组焦虑、抑郁、疼痛评分更低、满意度评分更高,差异有统计学意义(P均<0.05)。结论肛肠科腰麻术患者应用穴位贴敷联合中药热奄包热敷,不仅有助于降低尿潴留发生率,加快自主排尿的恢复,提高排尿成功率,还可以缓解负面情绪及疼痛,提高满意度。

阴道填塞溻渍法治疗宫颈癌近距离放疗后阴道损伤的疗效观察

目的研究中医特色填塞溻渍疗法治疗宫颈癌近距离放疗后阴道损伤的疗效。方法将60例近距离放疗后出现放射性阴道损伤的患者随机分为观察组、对照组,每组30例。观察组予以中药阴道溻渍填塞治疗,每日1次,每次3 h。对照组予以三乙醇胺乳膏阴道涂抹,每次3 mg,每日1次,均14天为1疗程。比较两组患者治疗前后临床疗效、阴道疼痛评分及阴道组织创面愈合时间。结果①两组治疗前后临床疗效比较:观察组与对照组总有效率分别为93.33%、70.00%,两组间差异有统计学意义(P<0.05)。②两组治疗后阴道疼痛评分比较,观察组疗效优于对照组,差异具有统计学意义(P<0.05)。③两组愈合时间比较:观察组创面完全疗愈合时间明显小于对照组,差异有统计学意义(P<0.05)。两组用药期间未见明显不良反应。结论中医特色填塞溻渍疗法在治疗宫颈癌近距离放疗后阴道损伤方面有效果,且在改善患者阴道疼痛评分、缩短创面愈合时间等方面,具有优势。