A Case Report on Treating Progressive Supranuclear Palsy with a Combination of Chinese and Western Medicine

A case of progressive supranuclear palsy in a 66-year-old woman is presented.The patient complained of“progressive stiffness of both lower limbs for five years,accompanied by choking and coughing for more than 1 year,”and was diagnosed with paralysis in traditional Chinese medicine(TCM),which was characterized by a deficiency of liver and kidney,and phlegm and blood stasis blocking the collaterals.Western medicine diagnosed it as progressive supranuclear palsy.The patient was diagnosed with“Parkinson’s disease”several times in the past and was given“polybasic hydrazide”and“amantadine hydrochloride tablets,”etc.The patient did not have significant symptomatic relief,so she sought further treatment with a combination of traditional Chinese and Western medicine.Based on the concept of deficiency and excess,this disease is categorized as a paralytic disease in Chinese medicine,and the onset of the disease is closely related to the deficiency of the body after a long period of illness,with wind,phlegm,blood stasis,and deficiency as the main pathogenetic mechanism.The treatment is based on the combination of disease and evidence,with traditional Chinese medicine and acupuncture as the main treatments,supplemented by intermediate-frequency pulsed electrical stimulation,transcranial repetitive magnetic stimulation,medicated canisters,wax therapy,traditional Chinese medicine guasha,and acupoint injections.Western medicine is based on symptomatic treatment,and the patient’s symptoms were relieved significantly after the combination of Chinese and Western medicine.

Clinical Observation of Integrated Traditional Chinese and Western Medicine in the Treatment of Chronic Ulcerative Rectitis

Objective:To observe and compare whether the combination of traditional Chinese and Western medicine can achieve more satisfactory results in the treatment of patients with chronic ulcerative rectitis(UR).Methods:70 cases of chronic ulcerative rectitis were selected in all hospitals of our hospital for comparison.Observation and control were set up.The number of people was the same,but there were differences in methods.The control group retained enema,and the observation group was treated with traditional Chinese medicine.Rectal mucosa scores after different treatments were compared to evaluate the effect of intervention.Results:It was found that the observation group scored lower(P<0.05),and the effect was better.Conclusion:For the treatment of patients with chronic ulcerative rectitis,the combination of traditional Chinese and Western medicine will help to promote the prognosis of the disease,improve the problem of ulcer,promote the improvement of gastrointestinal function and bring a more positive impact.

Clinical Efficacy of Western Medicine Combined with Chinese Medicine for Pelvic Inflammatory Disease(Damp-Heat and Stasis Type)

Objective:This study was undertaken to evaluate the clinical efficacy of Western medicine combined with Chinese medicine for pelvic inflammatory disease(damp-heat and stasis type).Methods:Seventy-four patients who were diagnosed with pelvic inflammatory disease(damp-heat and stasis type)by our hospital during July 2021 to July 2022 were randomized into two groups:the participants in the control group received conventional Western medicine treatment,and the participants in the study group received Western medicine combined with Chinese medicine.Results:After treatment,the total effectiveness of the control group(72.98%)was significantly lower than that of the study group(94.59%),(P<0.05);the whole blood viscosity high cut,whole blood viscosity low cut,fibrinogen and plasma viscosity of the control group were all lower than those of the study group(P<0.05);the levels of CRP,IL-6,and TNF-αin the control group were higher and IL-2 levels in the control group were lower than those in the study group(P<0.05).Conclusion:Western medicine combined with Chinese medicine is more effective in curing damp-heat and stasis-type pelvic inflammatory disease by improving the blood rheological indexes and lowering the level of inflammatory factors.

meta-analysis of randomized controlled trials of combined treatment with DGSN and western medicine on diabetic peripheral neuropathy

背景:为了系统研究当归四逆汤联合西医治疗糖尿病周围神经病的临床疗效。方法:检索了包括CNKI、CBM、万方数据库、维普数据库、MEDLINE、PubMed、荷兰医学文摘在内的7个数据库。检索出2012年1月至今(近5年)当归四逆汤联合西医治疗糖尿病周围神经病随机对照试验的相关文献。采用RevMan5.3软件分析发表偏倚并对比当归四逆汤联合西医和单独西医治疗糖尿病周围神经病的临床疗效。结果:共纳入19篇随机对照研究,1690例患者。Meta分析结果显示与对照组相比当归四逆汤联合西医治疗糖尿病周围神经病有更好的总有效率,差异有统计学意义(P<0.05)。异质性检验分析显示均为同质(P=0.94>0.05)。当归四逆汤联合西医治疗的总有效率明显高于对照组(P<0.00001,OR=3.98,95%CI:3.01~5.27)。结论:与单独西医治疗相比,当归四逆汤联合西医治疗糖尿病周围神经病更有效。然而,由于受原始研究数量、质量的影响,该结论仍有待于临床大样本、高质量、多中心的随机双盲对照试验来证实。

Clinical Effect of Integrated Traditional Chinese and Western Medicine on Diabetic Peripheral Neuropathy

Objective:Patients with diabetic peripheral neuropathy were treated with integrated traditional Chinese and western medicine,and the final results were observed.Methods:70 patients with such symptoms were randomly divided into two groups.The number of people is the same,and the treatment methods are different.The control group uses western medicine,while the observation group uses traditional Chinese medicine to evaluate the treatment effect.Results:After treatment,the effective rate of the observation group was(P<0.05),indicating that the treatment effect was significantly better.Conclusion:Patients with clinical diabetic peripheral neuropathy treated with routine nutrition and nerve repair,and with Chinese medicine,the effect is more satisfactory,and the effect is positive,so as to promote the optimization of their health.

红皮病型银屑病中西医治疗研究进展

红皮病型银屑病是一种严重的特殊类型银屑病,病程较长,治疗难度大且极易复发,严重者可危及生命。在治疗上,中医依据传统理论辨证论治,给予红皮病型银屑病患者中药内服及外用,往往取得良好的临床疗效;西医通过抗炎、调节免疫等治法,改善患者临床症状,从而达到治愈疾病的目的。目前,中西医治疗红皮病型银屑病的诊疗指南尚未更新,有待未来进一步研究探索。通过挖掘国内外相关文献,总结近年来红皮病型银屑病中西医治疗方案,以期为红皮病型银屑病临床治疗提供参考。

Combined Treatment of Advanced Primary Hepatocellular Carcinoma with Traditional Chinese Medicine and Western Medicine

Ｃｏｍｂｉｎｅｄ Ｔｒｅａｔｍｅｎｔ ｏｆ Ａｄｖａｎｃｅｄ Ｐｒｉｍａｒｙ Ｈｅｐａｔｏｃｅｌｌｕｌａｒ Ｃａｒｃｉｎｏｍａ ｗｉｔｈ Ｔｒａｄｉｔｉｏｎａｌ Ｃｈｉｎｅｓｅ Ｍｅｄｉｃｉｎｅ ａｎｄ Ｗｅｓｔｅｒｎ ＭｅｄｉｃｉｎｅＹＵＥｒ－ｘｉ...

中西医结合治疗膀胱癌的研究进展

膀胱癌(bladder cancer,BC)是一种在全球影响广泛的常见且危险的疾病。西医和中医各自对膀胱癌有其独特的理解、诊断方法和治疗方法。概述西医和中医对膀胱癌的流行病学、统计学、诊断和治疗方面的认识。此外,还探讨了中西医结合治疗膀胱癌的方法,包括中医在手术治疗、化疗、放疗、靶向治疗、免疫治疗以及其他西医治疗中的应用。最后,讨论了中医对膀胱癌的循证和临床研究,包括单一化合物、提取物、方剂和专利药物的应用。

阿尔茨海默病不同治疗方式研究新进展

阿尔茨海默病(Alzheimer’s disease,AD)是一种复杂的、起病隐秘的、病因不明的、缺乏特异性诊断方式的神经退行性病变。面对与日俱增的患病率,却缺乏有效的治疗方式。中医药治疗方式具有多层次、多靶点、多通路的独特优势,中西医结合方式的互补,非药物疗法的辅助,干细胞疗法、新的分子药物、抗体及蛋白疫苗、γ感官刺激等新颖的实验阶段新疗法等方式治疗AD。本文综述近年来的不同治疗方式治疗AD研究新进展,旨在为临床上治疗AD提供新思路、新方法及参考价值。

外侧盘状半月板的中西医治疗新进展

盘状半月板作为半月板的一种先天变异,由Young在1889年首次提出,属中医学“伤筋”范畴。该病的形成机制尚不明确,多存在于外侧半月板,损伤多与活动相关,且在亚洲人群多发。临床上多建议以手术治疗为主,而随着中医治疗的不断研究,也为我们临床治疗提供了多种方案。本文对当前外侧盘状半月板的中西医治疗情况进行综述,以期为临床工作提供一定的指导作用。

温建民教授中西医结合微创治疗拇外翻学术思想总结

阐述温建民教授中西医结合微创治疗拇外翻的学术思想。温老师治疗拇外翻的核心思想来源于中医的阴阳理论、筋骨理论及天人合一的整体观念,在此基础上凝练出“筋骨并重”“动静结合”及“内外兼治”3条治疗大法,涵盖了微创截骨手法整复、裹帘法外固定、中药内服外用、中西医结合康复调护4个操作环节。温老师传承经典,融贯中西,从中西医结合的角度贡献了“筋”与“骨”伤病的独家治疗经验和学术思想。

中药封包结合西药治疗对气滞血瘀证腰椎间盘突出症的疗效

目的探讨中药封包结合西药治疗对腰椎间盘突出症(气滞血瘀证)的临床效果。方法本研究共纳入125例腰椎间盘突出症患者,所有病例均来源于安阳市中医院,选取时间为2021年9月至2023年9月,根据治疗方法将患者分为对照组(62例,常规西药治疗)和研究组(63例,中药封包结合西药治疗)。对比2组患者治疗后前后中医证候积分、视觉模拟疼痛量表(VAS)评分、Oswestry功能障碍指数(ODI)量表、日本骨科协会下腰痛评估问卷(JOA)评分,治疗前后各项血清学指标以及2组患者不良反应发生情况。结果治疗后2组患者各项中医证候积分较治疗前降低,研究组患者上述评分较对照组低(t=7.734、10.168、7.884、8.912,P均<0.01);治疗后2组患者VAS评分、ODI评分均较治疗前下降,研究组患者上述评分较对照组低,治疗后2组患者J0A评分较治疗前上升,研究组较对照组高(t=10.368、10.398、4.219,均P<0.01);治疗后2组患者血清前列腺素E2(PCE2)、肿瘤坏死因子-α(TNF-α)、转化生长因子β_(1)(TGF-β_(1))、重组人基质金属蛋白酶3(MMP-3)水平均较治疗前下降,研究组患者上述指标均较对照组低,而治疗后2组患者β-内啡肽(β-EP)水平较治疗前上升,研究组较对照组高(t=30.026、10.895、9.446、6.665,13.012,P均<0.01);2组患者不良反应总发生率比较,差异无统计学意义(χ^(2)=0.088,P>0.05)。结论腰椎间盘突出症(气滞血瘀证)的治疗中采用中药封包联合常规西药治疗,可有效缓解临床症状,减轻疼痛程度与炎症反应,促进腰椎功能的恢复,并有助于腰椎纤维化程度好转,且安全性良好。

中西医结合治疗高脂血症性急性胰腺炎的研究进展

高脂血症性急性胰腺炎(hyperlipidemia in acute pancreatitis,HTG-AP)是由血清甘油三酯升高引起的急性胰腺炎,临床以保守治疗为主,除西医常规治疗以外,传统中医药治疗具有显著疗效,大柴胡汤、大承气汤等化裁被临床广泛应用,且联合中药外治法治疗,效果更佳。目前,中外学者从不同靶点探究HTG-AP的治疗。文章从靶向治疗、炎症机制及肠道菌群等方面介绍HTG-AP中西医治疗的研究进展。

fMRI在股骨头缺血性坏死早期诊断及中西医疗效评估的研究进展

股骨头缺血性坏死(osteonecrosis of the femoral head,ONFH)是发生在髋关节的较为常见的骨科疾病,对患者生活质量和身体健康造成极大的影响。早诊断、早治疗对疾病的预后至关重要。临床上X线、CT和MRI是检查和诊断股骨头坏死不可缺少的影像方法,其中MRI及其功能成像(fMRI)具有无创、无辐射、软组织分辨力高等优势,在股骨头缺血性坏死的早期诊断和治疗评估方面有着较好的应用价值和前景。本文选取磁共振功能成像(fMRI),包括扩散成像(DWI)、波谱成像(MRS)、灌注成像(PWI)和动态对比增强磁共振成像(DCE-MRI)在股骨头缺血性坏死的诊断和中西医结合治疗疗效评估的应用现状和进展进行综述。

非小细胞肺癌免疫检查点抑制剂相关性肺炎研究进展及中西医结合治疗

免疫检查点抑制剂(ICIs)主要包括细胞毒性T淋巴细胞抗原4(CTLA-4)抑制剂和程序性细胞死亡蛋白1/配体1(PD-1/PD-L1)抑制剂,为非小细胞肺癌(NSCLC)患者带来显著的治疗效益。但是,在增强机体抗肿瘤免疫反应的同时,ICIs产生免疫相关不良事件(irAEs),包括免疫检查点抑制剂相关性肺炎(CIP)。虽然CIP临床发病率较低,但在一些严重病例中可能导致免疫治疗的延迟或终止,甚至危害生命。本文拟从CIP的临床表现、病理特征、生物学机制、易感人群、诊断与鉴别诊断以及中西医结合治疗等角度进行总结,以期更加清晰地认识CIP。

地塞米松联合加味桑白皮汤治疗急性呼吸窘迫综合征30例临床分析

目的 探讨中西医结合治疗急性呼吸窘迫综合征的应用价值。方法 选择2019年1月至2023年12月兴化市人民医院接诊的30例急性呼吸窘迫综合征患者为研究对象,采用随机数字表法分为对照组和观察组。对照组采用西药地塞米松治疗,观察组采用地塞米松联合加味桑白皮汤的治疗方式。对比两组患者的治疗有效率,接受治疗之后两组患者的呼吸频率、氧合指数、肿瘤坏死因子-α、白细胞介素-6、ICU停留时间、住院时间、机械通气时间等。结果 观察组患者治疗有效率高于对照组(P <0.05)。观察组患者的呼吸频率以及氧合指数比对照组高,肿瘤坏死因子-α以及白细胞介素-6指标比对照组低(P <0.05)。观察组患者ICU停留时间、机械通气时间以及总体住院时间均比对照组少(P <0.05)。结论 治疗急性呼吸窘迫综合征患者过程中应用中西结合治疗方式能使得患者的治疗有效率有较大幅度的提升,呼吸频率、氧合指数均有所提高,肿瘤坏死因子-α、白细胞介素-6均有较大幅度的下降,而从患者恢复指标的情况来看,观察组患者的ICU停留时间、机械通气时间、住院时间均有所减少。

中西医结合治疗口腔颌面部牙源性感染研究进展

该文分析了近年来中西医结合治疗方法在治疗口腔颌面部牙源性感染(OIOFR)方面的研究概况。通过回顾学习与中西医结合诊治OIOFR疾病的相关文献,对其研究的成果进行系统总结分析。中西医结合诊疗技术在OIOFR方面不仅可以提高临床治愈率、缩短愈合周期,还可降低复发率。中西医结合治疗手段为OIOFR患者的治疗提供了广阔的参考依据。

马脑震荡的诊断与治疗

脑震荡及脑挫伤,是由于钝性暴力物作用于颅骨或头部受大力撞击引起的脑神经全面损伤的一种急性疾病,军马多发。随着社会生产力水平的不断进步,马的功能属性由役用转变为休闲骑乘,现阶段马脑震荡的病例并不多见。本文介绍了一例调教训练操作不慎,撞击引起的马脑震荡的诊断和中西医结合治疗,为该病的预防和治疗提供一定参考。

牛胃肠炎临床诊治效果观察

[目的]探究不同临床诊治方案对牛胃肠炎的治疗效果。[方法]选取某规模养殖场80头确诊为牛胃肠炎的病牛作为试验对象,并根据临床诊治方案的差异将其随机分为4组,每组20头,分别实施中药复方、西药抗生素和中西药联合3组治疗方案以及空白对照组,每组每天治疗1次,连续使用5d为1个疗程,比较各治疗方案的临床治疗效果。[结果]采用中西药联合方式治疗牛胃肠炎的临床疗效最为显著,总有效率为95.0%,其次为西药抗生素治疗组和中药复方治疗组,总有效率均显著高于空白对照组,且中西药联合治疗相较于仅接受单纯西医治疗组和中药治疗组的治疗效果分别显著提升10、35百分点。[结论]中西医结合治疗牛胃肠炎的临床效果较好,可快速有效控制病情蔓延,降低该病造成的生产经济损失。

药物降糖联合饮食、运动治疗老年2型糖尿病并带状疱疹的效果探究

目的分析老年2型糖尿病并带状疱疹患者治疗中药物降糖联合饮食、运动治疗的效果。方法随机选取2020年4月—2021年4月在长春市中心医院皮肤科接受治疗的老年2型糖尿病并带状疱疹患者66例为研究对象,利用硬币法将其分为对照组(n=33)及观察组(n=33)。对照组接受中西医结合治疗(阿昔洛韦+甲钴胺+疏血通注射液+西黄丸)+药物降糖治疗,观察组接受中西医结合治疗+药物降糖+饮食、运动干预。观察对比两组临床治疗效果。结果治疗前,两组血糖水平比较,差异无统计学意义(P>0.05);治疗30 d后,两组血糖水平均降低,且观察组明显低于对照组,差异有统计学意义(P<0.05)。观察组治疗总有效率高于对照组,差异有统计学意义(P<0.05)。结论中西医结合治疗联合药物降糖治疗基础上,加入饮食、运动干预,可促使老年2型糖尿病并带状疱疹患者血糖水平得到显著改善,临床治疗效果更加显著。