Prevention and Treatment of “Epidemic Toxin, Pathogenic Dampness, and Lung Deficiency” after COVID-19 Recovery Based on the Theory of “Preventive Treatment of Diseases” in Traditional Chinese Medicine

Due to the sequelae and recurrence in patients with COVID-19 after recovery.This article,based on lire theory of“preventive treatment of diseases”in traditional Chinese medicine,winch believes that the three pathogenic factors of epidemic toxin,dampness,and lung deficiency are the fundamental causes of the recurrence of COVID-19.The treatment strategies are to remove pathogenic factors,strengthen qi,nourish yin,clear heat,moisten dryness,and at the same time,reinforce the lung,spleen and kidney,and soothe the liver.Through a variety of treatments such as oral administration,external treatment,and skin absorption,it provides a new idea and method for the management of the recurrence of COVID-19.

Prevention and Treatment of“Epidemic Toxin,Pathogenic Dampness,and Lung Deficiency”after COVID‑19 Recovery Based on the Theory of“Preventive Treatment of Diseases”in Traditional Chinese Medicine

Due to the sequelae and recurrence in patients with COVID-19 after recovery.This article,based on the theory of“preventive treatment of diseases”in traditional Chinese medicine,which believes that the three pathogenic factors of epidemic toxin,dampness,and lung deficiency are the fundamental causes of the recurrence of COVID‑19.The treatment strategies are to remove pathogenic factors,strengthen qi,nourish yin,clear heat,moisten dryness,and at the same time,reinforce the lung,spleen and kidney,and soothe the liver.Through a variety of treatments such as oral administration,external treatment,and skin absorption,it provides a new idea and method for the management of the recurrence of COVID‑19.

Traditional Chinese medicine for prevention and treatment of hepatocarcinoma: From bench to bedside

Traditional Chinese medicine(TCM) has played a positive role in the management of hepatocarcinoma. Hepatocarcinoma patients may present Qi-stagnation, damp-heat, blood stasis, Qi-deficiency, Yin-deficiency and other TCM syndromes(Zheng). Modern treatments such as surgery, transarterial chemoembolization(TACE) and high intensity focus ultrasound treatment would influence the manifestation of TCM syndromes. Herbs with traditional efficacy of tonifying Qi, blood and Yin, soothing liver-Qi stagnation, clearing heat and detoxifying and dissolving stasis, have been demonstrated to be potent to prevent hepatocarcinogenesis. TCM has been widely used in all aspects of integrative therapy in hepatocarcinoma, including surgical resection, liver transplantation, TACE, local ablative therapies and even as monotherapy for middle-advanced stage hepatocarcinoma. Clinical practices have confirmed that TCM is effective to alleviate clinical symptoms, improve quality of life and immune function, prevent recurrence and metastasis, delay tumor progression, and prolong survival time in hepatocarcinoma patients. The effective mechanism of TCM against hepatocarcinoma is related to inducing apoptosis, autophagy, anoikis and cell senescence, arresting cell cycle, regulating immune function, inhibiting metastasis and angiogenesis, reversing drug resistance and enhancing effects of chemotherapy. Along with the progress of research in this field, TCM will contribute more to the prevention and treatment of hepatocarcinoma.

Basic philosophy of three essences theory in traditional Mongolian medicine

Traditional Mongolian medicine(TMM)integrates Tibetan and Chinese medicine with indigenous Mongolian practices,focusing on the balance of three core essences:Khii,Shar,and Badgan,derived from the Five Elements-earth,water,fire,wind,and space.These essences regulate both physical and psychological processes,and their imbalance,often caused by diet,behavior,or environment,leads to disease.TMM utilizes holistic diagnostic methods such as pulse diagnosis,visual inspection,and lifestyle evaluation to identify imbalances of three essences.Treatments include herbal remedies,dietary adjustments,behavior modification,and accessory therapies like moxibustion and massage to restore balance.This mini review examines the philosophical underpinnings,diagnostic techniques,and therapeutic strategies to Khii,Shar,and Badgan,highlighting their importance in both traditional and modern integrative healthcare.

New Analysis of Banxia Xiexin Decoction and Its Similar Prescriptions in Treatise on Febrile Diseases to Explore the Universality of the Treatment and Compatibility Principle

Objective:The objective of this study is to explore the treatment and compatibility principles of Traditional Chinese Medicine.Materials and Methods:Syndrome differentiation is used to identify the etiology,nature,and location of a disease and the relationship between the healthy Qi and pathogenic factors by analyzing and synthesizing the four diagnostics data.The theory of treatment is to determine the principle and methods of treatment according to the results of syndrome differentiation and implement them as a specific prescription.This paper bears witness to the principle universality by analysis of the articles of the Banxia Xiexin Decoction,and it equally has analogical prescriptions in Treatise on Febrile Diseases.Results:The treatment and compatibility principles of Traditional Chinese Medicine are the same,that is,rectifying the deviation on three dimensions,strengthening the healthy Qi,and eliminating pathogenic factors in the light of its general trend.Conclusion:The treatment and compatibility principles of Traditional Chinese Medicine are the same,The treatment and compatibility principles provide a new thinking for clinical treatment.

帕金森病病因病机新探——毒邪主导,历损三阴

基于长期临床和基础研究,提出“毒邪主导,历损三阴”为帕金森病的病因病机,并制订相应的治则治法。特定毒邪是帕金森病的主导因素,所以解毒为首要治法,并贯穿帕金森病的所有治疗阶段。太阴阶段,邪犯肺、脾,证候性质为实寒,应合用祛风、散寒、化湿、健脾、固表之法。太阴、厥阴并病阶段,邪犯肺、脾、肝、心包,证候性质仍以实寒为主,应合用健脾、化湿、理气、搜风、敛肝、散寒、通络之法;偏于少阳实火者,在上述基础上,弱散寒而重疏少阳、清痰火。太阴、厥阴、少阴并病阶段,邪犯五脏,元阴元阳俱虚,证候性质为虚实寒热错杂,应采用元阴元阳并补之法,随寒热之性的偏向而有所侧重。

刘良徛“全程温法治疗肺纤维化”思想在系统性硬化症相关间质性肺病中的应用

刘良徛在继承国医大师洪广祥“治肺不远温”思想基础上,创新提出“全程温法治疗肺纤维化”的学术观点,认为“阳虚寒凝、痰滞血瘀”为肺纤维化的核心病机。系统性硬化症相关间质性肺病属于慢性肺纤维化的范畴,其中医病机与上述相一致。治疗上予以温阳散寒、涤痰行瘀,温肺化纤汤为其有效方剂。现总结刘良徛诊治系统性硬化症相关间质性肺病的学术思想及临床经验,以期为该病的中医治疗提供参考。

基于“五脏偏倾”理论探析青少年特发性脊柱侧弯中医病机与治则

[目的]探析青少年特发性脊柱侧弯中医病机与治则,开拓其中医诊治思路。[方法]通过查阅中医古代文献中青少年特发性脊柱侧弯相关文献,基于《黄帝内经》“五脏偏倾”理论,通过文献研究总结青少年特发性脊柱侧弯中医病因、病机、治则治法,探讨中医“五脏偏倾”理论对AIS治疗与调摄的指导作用。[结果]文献研究发现,《黄帝内经》“五脏偏倾”表现与青少年特发性脊柱侧弯的病变部位、症状特征高度一致。基于中医“五脏偏倾”理论的学术内涵,青少年特发性脊柱侧弯症因以禀赋不足为主,饮食不节、劳倦所伤为诱,病机以脾肾失调、五脏偏倾为本,筋出槽、骨错缝为标,治则为调理脾肾、端正五脏、筋骨并重、内外结合,治法应综合内服、外治、导引、食疗等多种方法。[结论]青少年特发性脊柱侧弯与“五脏偏倾”高度相关。基于“五脏偏倾”理论探讨青少年特发性脊柱侧弯的病机与治则,可以为青少年特发性脊柱侧弯的“治未病”“既病防变”临床诊疗提供中医思路,值得重视与进一步挖掘并应用于临床。

从“痰湿内蕴”论治冠状动脉粥样硬化性心脏病

摘冠状动脉粥样硬化性心脏病(简称冠心病)是由冠状动脉粥样硬化引起血管狭窄,心肌缺血缺氧的临床常见综合征。痰湿内蕴是冠心病早期较为常见的重要病机,临床常见胸闷、心痛、肢体困乏、头重如裹、眩晕、恶心、脘腹痞闷、脉滑等表现。古代医家很早就对痰湿之邪与胸闷、心痛之间的关系有了深刻的认知,并各有阐释。痰湿之邪不仅作为重要的病理因素引起冠心病的发病、发展,更是作为独立的病理产物影响着本病的预后与转归,痰湿内蕴作为本病的重要病机贯穿疾病发生发展的始终,并且作为独立的病理因素引起痰气阻滞、血脉瘀阻、痰火酿毒、痰湿困脾等复杂兼证,按照中医辨证论治的基本原则,其具体治法则以燥湿化痰为要,根据其兼证的不同分别施以理气、活血、解毒、健脾等法辅之。临床诊疗案例显示,以燥湿化痰为法治疗冠心病疗效确切,在减轻患者胸闷、胸痛等不适的同时,使痰湿引起的头昏体重、乏力等症状有了明显的改善。文章梳理“痰湿内蕴”理论的起源、发展与完善,剖析“痰湿内蕴”这一重要病机在冠心病的发病、转归中的重要意义,总结燥湿化痰类药物在冠心病治疗中的相关研究与应用,以期为中医中药防治冠心病的临床应用提供更可靠的理论依据。

基于癌毒病机理论辨治甲状腺癌

程海波教授团队在传承国医大师周仲瑛癌毒学说基础上提出中医癌毒病机理论。癌毒病机理论认为,甲状腺癌是由水土失宜、情志内伤、饮食不节等因素致气滞、痰凝、血瘀、癌毒聚于颈部而发病。甲状腺癌的主要病理因素为“气、痰、瘀、毒”;病位在颈前,与肝、脾、肾密切相关;“肝气郁滞、痰瘀蕴毒”为其核心病机;病性多为虚实夹杂,疾病后期多为气阴虚损;临证以“抗癌解毒、扶正祛邪”为治疗原则,针对癌毒盛衰及疾病不同分期特点灵活运用疏肝理气、化痰散结、祛瘀解毒、益气养阴等治法。本文以癌毒病机理论为基础探讨甲状腺癌病机演变及相应治法,以期为甲状腺癌辨治提供新思路。

基于窠囊理论探讨慢性阻塞性肺疾病的病机与治疗

梳理了窠囊理论的内涵、源流及其与慢性阻塞性肺疾病的相关性,重点论述了基于窠囊理论的慢性阻塞性肺疾病病机与治疗。窠囊理论强调痰、瘀病理产物的重要性,认为元气不足、气机失调皆可导致痰瘀互结,与慢性阻塞性肺疾病的病因病机高度相似,治疗以窠囊理论为指导,化痰活血,痰瘀同治是其基本治则,同时注重调畅气机以助化痰活血,健脾补肾以培元固本。

李泉旺教授基于“胰脾同源”理论治疗胰腺癌经验

胰腺癌是消化系统常见恶性肿瘤,其起病隐匿、易转移、预后差,常规的手术、放化疗皆不能取得良好效果。李泉旺教授基于多年临证经验,从“胰脾同源”角度认识胰腺癌,认为胰腺癌发病与脾之生理失常密切相关,发病之本为脾气亏虚、升降失调;病之标为痰浊、瘀血、癌毒;具体治则包括:其一健脾益气、固本夯基;其二理气疏肝、调和枢机;其三芳香化浊、解毒散结;病位在胰,涉及肝、脾。本文以“胰脾同源”理论为指导,总结了李泉旺教授治疗胰腺癌的临床经验,文末附医案1则以佐证。

从脾论治溃疡性结肠炎浅析

溃疡性结肠炎(ulcerative colitis,UC)是临床常见但发病机制尚未明确的炎性肠道疾病之一,发病率高,且易复发,其发病机制、诊断和治疗是目前医学研究的热点。中医学多认为脾虚是UC的根本病机,脾虚失运,升降失司,易成泄泻。因此,以脾为本,从脾论治是治疗UC的关键。现代研究发现,运用从脾论治理念治疗UC时,可通过维持肠道菌群稳态、调节线粒体代谢及调节肠道免疫功能平衡,影响UC的发生发展。探讨从脾论治在UC中的作用,依据从脾论治UC的相关机制,将健脾作为从脾论治UC的核心,配合燥湿、疏肝和温肾等治法,以期为有效治疗UC提供新的诊疗角度和治疗思路。

基于“善治痰者不治痰而治气”探讨朱丹溪运用调气法治痰规律

元代医家朱丹溪对于痰证的论述尤为翔实,治疗痰证时立法得当、用药灵活,倡导“善治痰者,不治痰而治气”,旨在强调气机平衡在痰证治疗中的关键作用,通过疏畅气机而达到痰自化的治疗效果。根据整理比较朱丹溪治痰相关医案中所载调气药物与化痰药物的使用频数与占比,将朱丹溪调气化痰法归纳为“不治痰而治气”“治痰兼治气”“治痰先治气”三类,即治疗痰证时或独用调气药物,或化痰药物辅以调气药物,或调气药物辅以化痰药物等3种情况。朱丹溪这一主张为中医药在痰证治疗中的应用提供了有力的理论基础,丰富了中医药的临床实践。

驴疥癣病原分析、诊断及防治方法的研究

【目的】本研究旨在深入探讨驴疥癣的病理机制、诊断技术和防治策略,以提高该病的诊断准确性和治疗效果,为科学防治驴疥癣提供有效的指导意见。【方法】通过观察患疥癣驴的临床表现,结合皮肤活检和组织病理检查,运用ELISA检测和PCR技术对驴疥癣病原进行深入分析,评估不同药物及局部使用杀螨剂的疗效。【结果】驴疥癣由多种螨类引起,表现出病原的临床多样性。综合运用多种诊断手段可以明显提高检测精确度。阿维菌素类药物、硫磺剂和二硫化硒类药物对多种螨均显示出良好疗效。药物治疗应与环境卫生管理、免疫力提高等综合防治措施相结合,可有效遏制癣的蔓延。【结论】驴疥癣的防治策略需要综合运用一整套的诊断技术、精细化的治疗方案和全面的虫害管理措施。通过深入研究疥癣的致病机理并对治疗方法进行全面评估,能显著提升防治驴疥癣病的效果,为兽医实践提供可供参考的科学依据。

基于《中国百年百名中医临床家丛书》探讨近现代名医治疗眩晕的方药规律研究

目的利用数据挖掘探寻《中国百年百名中医临床家丛书》中各位医家对于治疗眩晕病的用药规律。方法通过《中国百年百名中医临床家丛书》获得数据来源,利用Excel、IBM SPSS Modeler 18.0、IBM SPSS Statistics 25.0、Origin 2022、Cytoscape 3.9.1等软件,对所获得数据进行频数、频率统计、关联规则分析、因子分析、系统聚类分析及复杂网络可视化分析等。结果共纳入方剂191首,包含中药268种,使用总频数达2204次。使用频数≥20的中药共31种,累积频数1129次。使用频率较高的药物有茯苓、白术、天麻、陈皮、当归、白芍、菊花、石决明、川芎等:使用频率较高的药物功效以补虚药、平肝息风药、利水渗湿药等为主;药性以温为主;药味以甘、苦、辛为主;归经以入肝经、脾经为主;药物关联规则分析得到支持度较高的药对有“半夏-陈皮”、“茯苓-白术-半夏”、“半夏-天麻-茯苓”等;经系统聚类分析得出5大类,经因子分析提取到12个公因子。结论眩晕基本病机与“风”、“痰”、“瘀”、“虚”有关,治法以利水渗湿、燥湿化痰、平肝熄风、补益脾肾、活血通络为主。

中医药治疗慢性阻塞性肺病合并支气管扩张的研究进展

慢性阻塞性肺疾病(简称慢阻肺)合并支气管扩张(简称支扩)的案例屡见不鲜,西医对于本病尚未有临床诊疗指南及专家共识的颁布。中医对于慢阻肺、支扩的认识由来已久,历代医家对其发病特点、病因病机,治则治法都提出了独到的见解。结合历代医家理论及当今临床实践,文章将慢阻肺合并支扩的病因病机大抵归纳为肺脾肾三脏虚衰为内在因素,痰、热、瘀是主要病理产物,外邪侵袭是重要发病条件。在治疗方面,根据病情缓急确定治则治法,充分发挥中医药优势,将药物治疗与非药物治疗相结合。文章旨在通过阐述中医药治疗慢阻肺合并支扩的研究进展,发挥中医药独特优势,期望有助于临床对本病的诊疗。

基于“上下交损,当治其中”论治冠心病

“上下交损,当治其中”语出叶天士著作《临证指南医案》,其强调了中焦脾胃为气血化生之源,气机及阴阳升降之枢机。冠心病以脾胃气血虚损为本,痰、瘀、膏、浊凝结血脉为标,可从中医大脾胃生理病理观入手诊治冠心病。中虚正损,气血匮乏,心脉失养是冠心病的发病基础,中虚邪实,枢轴失常,浊气攻心是冠心病的发病关键。临床治疗上采用补脾胃养心脉、畅中焦通心脉、复枢轴调寒热之法。“上下交损,当治其中”为冠心病“治中”提供理论基础,为冠心病临床诊治提供新思路。

医学院校实验室一次性塑料废弃物的处理利用

医学院校实验室是医学生从事医学研究的重要场所,但其每年产生的一次性塑料废弃物体量巨大,这些废弃物的处理成为重要难题。本文从一次性塑料废弃物处理原则出发,介绍了三种塑料废弃物的处理手段,旨在为我国一次性塑料医疗废弃物的规范化以及无害化处理提供思路,促进我国医疗环保事业的发展。

舒仪琼辨治肥胖2型糖尿病治验擘析

2型糖尿病是由遗传和环境因素共同作用引起的以慢性高血糖为特征的代谢性疾病,易伴发肥胖症。而肥胖症也是在遗传和环境共同作用下发生的以脂肪过度蓄积和体重超常为特征的代谢性疾病,是引起2型糖尿病的病理基础。肥胖2型糖尿病的发病率逐年升高,中医药在治疗肥胖2型糖尿病上有其优势所在,导师舒仪琼教授从“虚、毒、瘀”入手进行辨证论治,在临床上获得了满意的效果。文章基于肥胖2型糖尿病的病机特点,通过对“虚-毒-瘀”理论的深入分析,将补虚、解毒、化瘀法应用于肥胖2型糖尿病人群,从而达到降糖、减重的目的,并为肥胖2型糖尿病的有效治疗提供思路。