Vertebrobasilar dolichoectasia(VBD),a rare posterior circulation vascular variant disease,is an important risk factor for many acute cerebrovascular diseases.An insufficient understanding of VBD often leads to misdiag...Vertebrobasilar dolichoectasia(VBD),a rare posterior circulation vascular variant disease,is an important risk factor for many acute cerebrovascular diseases.An insufficient understanding of VBD often leads to misdiagnose.Two cases of VBD that were initially diagnosed as posterior circulation watershed infarction are reported here.Absence of common causes of stroke including hypoperfusion,blood system diseases,carotid and aortic dissection,and eosinophil elevation,the symptoms of the 2 patients met the diagnostic criteria of VBD.Both patients displayed symptoms that were in line with the Traditional Chinese Medicine(TCM)syndrome pattern of"Qi deficiency and blood stasis".Accordingly,they were comprehensively treated with Supplementing Qi and activating blood circulation method.The clinical manifestations of the 2 patients were remarkably improved and no recurrence of watershed infarction was found in a 1-year follow-up.A detailed medical history and laboratory examination are capable of improving diagnostic accuracy of VBD.TCM treatment based on syndrome identification might be a promising candidate for VBD management.展开更多
Objective: To observe the effect of acute lung injury after abdominal surgical operations treated with herbs activating blood circulation and dispersing stasis. Methods: Forty-four patients complication with acute lu...Objective: To observe the effect of acute lung injury after abdominal surgical operations treated with herbs activating blood circulation and dispersing stasis. Methods: Forty-four patients complication with acute lung injury after abdominal operation were analyze with multiple clinical and laboratory parameters and were treated early with herbs activating blood circulation and dispersing stasis. Results: After 2 days of medication,arterial oxygen saturation (SaO2 ) and partial pressure of oxygen in artery (PaO2 ) markedly improved, with significant difference as compared with those before medication (P < 0. 01 ). After continous medication for 4 days, SaO2, PaO2 and chest X-ray as well as synthetic physiologic parameters obviously improved, prostaglandin F1a,thromboxane B2 (TXB2 ), C-reactive protein (CRP), erythrocyte C3b were very significantly different from those medication (P < 0. 01 ), the synthetic physiological parameters returned generally to normal. After 5 days of herbal medication, all parameters resumed normal with satisfactory physiologic criteria. Conclusions: Early application of herbs activating blood circulation and dispersing stasis could obviously improve hypoxemia and the lung lesions, and consequently the general condition of the patient.展开更多
目的观察活血散风针刺法对白内障合并高血压病患者围手术期血压的影响。方法采用前瞻性研究的方法,选取在该院接受手术治疗的100例(100眼)合并高血压病的白内障患者作为研究对象,采用随机数字表法分为观察组、对照组各50例(50眼)。对照...目的观察活血散风针刺法对白内障合并高血压病患者围手术期血压的影响。方法采用前瞻性研究的方法,选取在该院接受手术治疗的100例(100眼)合并高血压病的白内障患者作为研究对象,采用随机数字表法分为观察组、对照组各50例(50眼)。对照组根据病情予以降压治疗及常规干预,观察组在此基础上联合活血散风针刺法治疗。比较两组围术期血压、心率、镇痛与镇静评分以及手术配合度、术后并发症发生情况。结果两组患者术中各时间点平均动脉压(mean arterial pressure,MAP)、心率(heart rate,HR)均较术前有所升高(P<0.05),观察组术中各时点MAP、HR及术后2 h HR均低于对照组(P<0.05);两组患者术中各时点及术后2hVAS评分均较术前升高,且观察组均高于对照组,对照组术中各时点Ramsay镇静评分均低于术前,观察组各时点Ramsay镇静评分均较术前无显著改变,且观察组术中各时点及术后2 h Ramsay镇静评分均高于对照组(P<0.05);观察组手术配合度高于对照组(P<0.05);观察组术后眼压升高、前房出血、角膜水肿总发生率低于对照组(P<0.05)。结论合并高血压病的白内障患者术前予以活血散风针刺法治疗,可有助于维持围手术期血压和心率稳定,提高患者手术配合度,减少术后并发症。展开更多
目的观察疏风活血法治疗糖尿病肾病(DN)A2期风邪证的临床效果。方法筛选60例患者,随机分为对照组及治疗组,各30例。两组患者均给予基础西医治疗,对照组在此基础上给予缬沙坦胶囊口服,治疗组给予缬沙坦胶囊口服+疏风活肾颗粒剂治疗。观...目的观察疏风活血法治疗糖尿病肾病(DN)A2期风邪证的临床效果。方法筛选60例患者,随机分为对照组及治疗组,各30例。两组患者均给予基础西医治疗,对照组在此基础上给予缬沙坦胶囊口服,治疗组给予缬沙坦胶囊口服+疏风活肾颗粒剂治疗。观察治疗前后两组尿微量白蛋白(mALB)、24 h尿蛋白定量(24 h UP)、血浆胱抑素-C(Cys-C)、肾小球滤过率(eGFR)的改善情况及临床疗效。结果治疗组的总有效率为86.7%(26/30),高于对照组的63.3%(19/30)(P<0.05)。治疗后,治疗组中医证候总积分优于对照组(P<0.05);两组患者mALB、24 h UP、Cys-C、eGFR显著改善,且治疗组各指标改善情况均优于对照组(P<0.05)。结论在常规西医治疗方法的基础上应用疏风活血方治疗DN A2期风邪证,对于进一步改善患者肾功能具有重要作用。展开更多
Radiotherapy is an essential method in the comprehensive treatment of malignant tumors.However,radiation proctitis(RP)is a common complication of pelvic tumors after radiotherapy.Due to RP's various etiology and c...Radiotherapy is an essential method in the comprehensive treatment of malignant tumors.However,radiation proctitis(RP)is a common complication of pelvic tumors after radiotherapy.Due to RP's various etiology and complex pathogenesis,it is currently no standard for traditional Chinese medicine(TCM)treatment.Professor Yuan-hong Zhao believes that refractory RP,which is named chronic hemorrhagic radiation proctitis(CHRP),should be classified as"Intestinal Wind Bleeding"(Bleeding like a note before defecation,bright red blood,no swelling and pain in the anus)and"Intestinal Afflux"(Refers to the symptoms of pus and blood in the lower mucus,similar to ulcerative colitis,peptic ulcer and other diseases in modern medicine.)in TCM.The critical pathogenesis of CHRP lies in local stasis and collaterals injury of intestinal collaterals.In general,it is a syndrome of excess and scarcity.External treatment with TCM is the preferred treatment strategy for CHRP,and the primary way is to disperse blood stasis and detoxify and nourish the intestinal collaterals.展开更多
基金the 2019 Major Difficult Diseases Clinical Collaboration Capacity Building Project of Traditional Chinese and Western Medicine-cerebral Infarction(No.YW082)。
文摘Vertebrobasilar dolichoectasia(VBD),a rare posterior circulation vascular variant disease,is an important risk factor for many acute cerebrovascular diseases.An insufficient understanding of VBD often leads to misdiagnose.Two cases of VBD that were initially diagnosed as posterior circulation watershed infarction are reported here.Absence of common causes of stroke including hypoperfusion,blood system diseases,carotid and aortic dissection,and eosinophil elevation,the symptoms of the 2 patients met the diagnostic criteria of VBD.Both patients displayed symptoms that were in line with the Traditional Chinese Medicine(TCM)syndrome pattern of"Qi deficiency and blood stasis".Accordingly,they were comprehensively treated with Supplementing Qi and activating blood circulation method.The clinical manifestations of the 2 patients were remarkably improved and no recurrence of watershed infarction was found in a 1-year follow-up.A detailed medical history and laboratory examination are capable of improving diagnostic accuracy of VBD.TCM treatment based on syndrome identification might be a promising candidate for VBD management.
文摘Objective: To observe the effect of acute lung injury after abdominal surgical operations treated with herbs activating blood circulation and dispersing stasis. Methods: Forty-four patients complication with acute lung injury after abdominal operation were analyze with multiple clinical and laboratory parameters and were treated early with herbs activating blood circulation and dispersing stasis. Results: After 2 days of medication,arterial oxygen saturation (SaO2 ) and partial pressure of oxygen in artery (PaO2 ) markedly improved, with significant difference as compared with those before medication (P < 0. 01 ). After continous medication for 4 days, SaO2, PaO2 and chest X-ray as well as synthetic physiologic parameters obviously improved, prostaglandin F1a,thromboxane B2 (TXB2 ), C-reactive protein (CRP), erythrocyte C3b were very significantly different from those medication (P < 0. 01 ), the synthetic physiological parameters returned generally to normal. After 5 days of herbal medication, all parameters resumed normal with satisfactory physiologic criteria. Conclusions: Early application of herbs activating blood circulation and dispersing stasis could obviously improve hypoxemia and the lung lesions, and consequently the general condition of the patient.
文摘目的观察活血散风针刺法对白内障合并高血压病患者围手术期血压的影响。方法采用前瞻性研究的方法,选取在该院接受手术治疗的100例(100眼)合并高血压病的白内障患者作为研究对象,采用随机数字表法分为观察组、对照组各50例(50眼)。对照组根据病情予以降压治疗及常规干预,观察组在此基础上联合活血散风针刺法治疗。比较两组围术期血压、心率、镇痛与镇静评分以及手术配合度、术后并发症发生情况。结果两组患者术中各时间点平均动脉压(mean arterial pressure,MAP)、心率(heart rate,HR)均较术前有所升高(P<0.05),观察组术中各时点MAP、HR及术后2 h HR均低于对照组(P<0.05);两组患者术中各时点及术后2hVAS评分均较术前升高,且观察组均高于对照组,对照组术中各时点Ramsay镇静评分均低于术前,观察组各时点Ramsay镇静评分均较术前无显著改变,且观察组术中各时点及术后2 h Ramsay镇静评分均高于对照组(P<0.05);观察组手术配合度高于对照组(P<0.05);观察组术后眼压升高、前房出血、角膜水肿总发生率低于对照组(P<0.05)。结论合并高血压病的白内障患者术前予以活血散风针刺法治疗,可有助于维持围手术期血压和心率稳定,提高患者手术配合度,减少术后并发症。
文摘目的观察疏风活血法治疗糖尿病肾病(DN)A2期风邪证的临床效果。方法筛选60例患者,随机分为对照组及治疗组,各30例。两组患者均给予基础西医治疗,对照组在此基础上给予缬沙坦胶囊口服,治疗组给予缬沙坦胶囊口服+疏风活肾颗粒剂治疗。观察治疗前后两组尿微量白蛋白(mALB)、24 h尿蛋白定量(24 h UP)、血浆胱抑素-C(Cys-C)、肾小球滤过率(eGFR)的改善情况及临床疗效。结果治疗组的总有效率为86.7%(26/30),高于对照组的63.3%(19/30)(P<0.05)。治疗后,治疗组中医证候总积分优于对照组(P<0.05);两组患者mALB、24 h UP、Cys-C、eGFR显著改善,且治疗组各指标改善情况均优于对照组(P<0.05)。结论在常规西医治疗方法的基础上应用疏风活血方治疗DN A2期风邪证,对于进一步改善患者肾功能具有重要作用。
文摘Radiotherapy is an essential method in the comprehensive treatment of malignant tumors.However,radiation proctitis(RP)is a common complication of pelvic tumors after radiotherapy.Due to RP's various etiology and complex pathogenesis,it is currently no standard for traditional Chinese medicine(TCM)treatment.Professor Yuan-hong Zhao believes that refractory RP,which is named chronic hemorrhagic radiation proctitis(CHRP),should be classified as"Intestinal Wind Bleeding"(Bleeding like a note before defecation,bright red blood,no swelling and pain in the anus)and"Intestinal Afflux"(Refers to the symptoms of pus and blood in the lower mucus,similar to ulcerative colitis,peptic ulcer and other diseases in modern medicine.)in TCM.The critical pathogenesis of CHRP lies in local stasis and collaterals injury of intestinal collaterals.In general,it is a syndrome of excess and scarcity.External treatment with TCM is the preferred treatment strategy for CHRP,and the primary way is to disperse blood stasis and detoxify and nourish the intestinal collaterals.
