Clinical Observation on the Treatment of Early Pre-Eclampsia Abortion with the Combination of Enhanced “Shou Tai Wan” Soup and Progesterone

Objective:To investigate the clinical efficacy of the combination of enhanced“Shou Tai Wan”soup and progesterone in the treatment of early pre-eclampsia miscarriage.Methods:86 patients with early pre-eclampsia miscarriage in our hospital from July 2021 to July 2022 were selected and randomly divided into two groups of 43 cases each.The control group was treated with progesterone,while the study group was treated with an addition of enhanced“Shou Tai Wan”soup.The treatment effects of the two groups and the changes in the inflammatory factor levels and sex hormone levels before and after the treatment were observed.Results:INF-γand Il-2 were lower and IL-4 was higher in the study group than in the control group after treatment(p-value<0.05);the total effective rate of treatment was higher in the study group(95.35%)than in the control group(74.42%),(p-value<0.05);the levels of P,E2 andβ-hCG were higher in the study group than in the control group after treatment(p-value<0.05).Conclusion:The combined application of enhanced“Shou Tai Wan”soup and progesterone in patients with early preterm abortion is more effective by improving the patients’sex hormone levels and reducing the level of inflammatory factors,which is conducive to the improvement of the treatment effect and worthy of promotion.

辨证分型联合针灸治疗原发性高血压

高血压属"头痛""眩晕"范畴,中医药辨证分型防治具有独特优势:肝阳上亢镇肝熄风汤配针灸,痰瘀阻络半夏白术天麻汤合通窍活血汤配针灸,气血亏虚归脾汤合补中益气汤配针灸,阴阳两虚左归丸或右归丸配针灸,均能获满意疗效。

伤寒论评话 第11章 升降反作可逆流挽舟,表寒里热应分清离合——表实证兼证的证治

目的:探讨张仲景《伤寒论》升降反作、表寒里热证的病机及治则。方法:从分析《伤寒论》第31条、第32条、第33条、第38条、第39条、第40条、第41条。结果:①治疗太阳阳明合病下利,用葛根汤一则以桂枝汤加麻黄,和营卫散风寒于外;一则加葛根升提津液于上,风寒外散就可以恢复机体的气机升降,津液上升可以使下利停止。②伤寒脉浮紧、中风脉浮缓是指一般情况下的常态,而中风脉浮紧,伤寒脉浮缓是特殊情况下的变态,脉象不仅仅表现出正常证候的本质,也表现出病理的自身改变。③随着时间的迁延和病程的进展,外来之寒若不及时发散,则会因其内敛的特性而渐次入里,而内生之热若不及时消解,则会因其外向特性而陆续出表,入里之寒与出表之热相遇且交融,寒热相合,性质发生改变,程度逐渐减轻,虽仍旧是外寒内热的证候,但其临床表现则大有不同。④小青龙汤证微利用荛花,以芫花代荛花是错误的,荛花在小青龙汤加减法中治疗"微利",是取其"利水道"的作用,起到利小便而实大便的效果。⑤肺气不宣的气喘要用麻黄,而肺气不降的气喘要用杏仁,肺气的宣发和肃降同时失常就要麻黄和杏仁同时使用。⑥服用小青龙汤后的口渴只是暂时的,是病理之水———饮邪的消失和生理之水———津液的化生中间的一个空档期,随着饮邪的祛除,津液的逐步化生,口渴的症状就会随之消失,是小青龙汤发挥作用的证据之一。结论:证明了《伤寒论》升降反作、表寒里热证的病机及治则对临床有重要指导意义。

附子理苓汤合四神丸化裁治疗肝硬化顽固性腹泻临床观察

目的:探讨附子理苓汤合四神丸化裁治疗肝硬化顽固性腹泻的临床疗效。方法:40例患者用附子理苓汤合四神丸化裁以温肾健脾、祛湿化浊、涩肠止泻。结果:有效率92.5%。结论:用附子理苓汤合四神丸化裁治疗肝硬化顽固性腹泻效果满意。

半夏泻心汤方证探微

半夏泻心汤系张仲景首创辛开苦降法,出自《伤寒论》,主寒热错杂心下痞,在上之呕吐,于中之痞满,在下之肠鸣或泄泻,乃斡旋中焦代表方剂,"辛开苦降调气机,甘温调补扶正气",配伍严谨,具有辛开苦降、协调升降,寒温并投、调和阴阳,扶正祛邪、并理虚实等特点,后世苦辛宣泄、苦降辛开、苦降辛通等法实源于此,多以辛味之姜夏,苦味之芩连,甘味之参草枣五味阐发。李东垣中满分消丸、枳实消痞丸均仿效衍化而来,温病学派叶天士分消走泄法、吴鞠通加味人参汤等都受到"辛开苦降甘温调补"思想影响。药理研究证实具有双向调节胃运动、抑制HP活性、保护胃黏膜屏障,促进黏膜细胞再生、增强体液免疫、提高机体耐氧能力、直接作用于消化系统及通过介导脑内情感系统和中枢抑制作用而发挥抗溃疡功效,广泛应用于急慢性胃炎、顽固性呕吐、慢性肠炎、结肠炎、消化性溃疡、消化不良、胃肠功能紊乱、慢性肝炎、口腔溃疡、妊娠恶阻、梅尼埃病、小儿久泻等属脾胃升降不利,寒热错杂者。

术后分期使用中药与整复按摩联合手术内固定治疗掌侧缘劈裂桡骨远端骨折随机平行对照研究

[目的]观察术后分期使用中药与整复按摩联合手术内固定技术治疗桡骨远端骨折疗效。[方法]使用随机平行对照方法,将126例住院患者按就诊时间顺序分为两组。对照组63例手术内固定术。治疗组63例术后早期桃红四物汤,1剂/d,水煎150mL,2次/d;五苓散1剂/d,水煎150mL,2次/d;恢复中期:和营止痛汤1剂/d,水煎150mL,2次/d;恢复后期:六味地黄丸1.44g/次,3次/d。整个恢复期根据患者情况实施中医手法整复按摩。手术治疗同对照组。两组均连续治疗7d为1疗程。观测临床症状、愈合时间、住院时间、围手术期、不良反应。连续治疗4疗程,判定疗效。[结果]治疗组优19例,良25例,可15例,差4例,总有效率93.65%。对照组优10例,良14例,可27例,差12例,总有效率80.95%。治疗组疗效优于对照组(P<0.05)。骨折愈合和手术住院时间比较治疗组优于对照组(P<0.05)。[结论]术后分期使用中药与整复按摩联合手术内固定技术治疗桡骨远端骨折效果显著,值得推广。