北京郭氏医学流派是以名老中医郭士魁先生、郭维琴教授及郭志强教授两代名老中医及其第三代传承人形成的医学流派,对治疗更年期高血压有独到的经验.更年期高血压是一种涉及生殖内分泌、心血管等多系统的身心疾病.郭氏医学认为更年期高血压的核心病机是阴虚阳亢,基本病机是妇人多郁、阴血常虚,重要病机是血瘀络阻,治疗当滋补肝肾、平肝潜阳、柔肝解郁、化瘀通络,具有较好的临床疗效.

Objective: To observe the effect of the neurological deficits of spastic hemiplegia after acute cerebral infarction treated by the practice of Zhu scalp acupuncture(needle retention required) coordinated with limbs training.Methods: 72 patients were randomly divided into the trial group and the control group.Each group was administered basic treatment for the sake of stable blood pressure and the protection of cerebral cells.Meanwhile,the 2 groups were provided with intravenous injection of Shuxietong Injection,6 ml every time,once a day.Moreover,the trial group was given additional Zhu scalp acupunctural treatment once a day together with limbs training over 4 courses of treatment(5 days for each course,2 days interval).Results: It was revealed that the trial group demonstrated greater effectiveness in relieving muscle tension and stimulating the recovery of neurological deficits.Conclusion: The practice of Zhu scalp acupuncture(needle retention required),coordinated with limbs training,at the early stage of spastic hemiplegia after acute cerebral infarction,improves hypermyotonia and the recovery of neurological deficits,as well as reduces the incidence of spastic hemiplegia.

Objective To explore symtpoms within 7～30 days before onset of acute ischemic apoplexy,to provide bases of symptoms for early diagnosis and treatment of acute ischemic apoplexy. [Methods] Adopted 1∶2 matched case-control study, and conditional multivariate logistic regression analysis was performed. [Results] The major symptoms were numbness of hands, and obesity. The subordinate symptoms were halitosis, Persistent dizziness,dryness of the eyes,normal complexion,sleepy after taking food,and dizziness.The accompany symptoms was impatience.[Conclusion] Our data showed tat principal symptom was numbness of hands, and secondary symptom was obesity. Halitosis was the symptom of gastroenteric aspect,and the symptom of equilibrium disoreder aspect was dizziness (the symptoms may be persistent dizziness or dizziness),fuethermore,sleepy after taking food was the symptom of the sleep aspect,and the symptom of eye region was dryness of the eyes, the other, such as normal complexion, and impatience was the symptom of emotional aspect. In a word, if the patient had the symptoms of usual impatience, obesity, and normal complexion, or halitosis, only had the symptoms of numbness of hands, persistent dizziness or dizziness, dryness of the eyes, or sleepy after taking food, it indicated that the patient was in the premonitory phase before the onset of acute status of ischemic apoplexy.

目的:较为客观地评价中药1、2、3号方结合西药基础疗法治疗SARS的临床疗效.方法:采用中国疾病预防控制中心公布的SARS诊断标准,制订纳入和排除标准,选取63例临床确诊SARS病人,按病情轻重程度,分为普通症和重症,将普通症和重症分别随机分组,其中中西医结合组31例,单纯西药组32例,并根据SARS的自然进程和临床特征分为高热、喘憋、吸收三期.中西医结合组在西药基础治疗的同时,按证、期不同分别口服非典1、2、3号方,单纯西药组用西药基础治疗.选取发热所致的全身中毒症状与体征、X线胸片、血常规及血生化等指标进行21天治疗观察.结果:中西医结合组可以明显减轻发烧所致的全身中毒症状,并且具有促进肺部炎症吸收的作用,与单纯西药组比较有显著性差异.结论:中西医结合治疗SARS取得临床疗效,无明显副作用.

目的观察中药治疗非典型肺炎(SARS)的疗效.方法将所收治的急性早期65例SARS患者在均采用西药治疗方法的基础上,随机分组后其中一组患者加用中药治疗.结果观察3周显示中西医结合治疗组在缩短平均发热时间、减缓发热所致全身症状、促进肺部炎症吸收、加速激素减量等方面优于西药治疗组.结论中药治疗SARS有确切的疗效.

目的探讨缺血性中风急性发病前3～7d内相关症状,为缺血性中风的尽早诊断和治疗提供症状依据.方法采用1:2配对病例对照研究方法,调查缺血性中风患者急性发病前3～7d内的相关症状,对数据进行条件Logistic回归分析.结果缺血性中风急性发病前3～7d内主要相关症状如下:主症为头痛而痛处不移,食后困顿,体胖臃肿,嗜睡;次症为颜面正常,手麻,两目干涩,急躁,头晕,头昏沉,持续眩晕,面色晦暗;伴症为面红,气息均匀.结论头痛而痛处不移是这一时相的首要症状,并出现属于意识觉醒障碍的嗜睡症状及以食后困顿为表现的睡眠症状,手麻为感觉障碍方面症状,眩晕为平衡障碍方面症状(患者或见头昏沉,或头晕,或持续眩晕),并有以两目干涩为表现的眼部症状,面部颜色以颜面正常为主,也可见面色晦暗,偶见面红;其它可见急躁,体胖臃肿,气息均匀.总之,若患者出现以头痛而痛处不移为主要表现,同时伴有嗜睡等症状,表明其处于缺血性中风急性期始发态的早期阶段;若仅见手麻、头昏沉、或头晕、或持续眩晕,且伴有食后困顿、两目干涩等症状,表明其处于缺血性中风急性期始发态的早期先兆阶段.

目的探讨缺血性中风急性发病前24～72h内相关症状,为缺血性中风急性期的及早诊治提供依据.方法采用1:2配对病例对照研究方法,调查缺血性中风患者急性发病前24～72h内相关症状,对数据进行条件Logistic回归分析.结果缺血性中风急性发病前24～72h内主要相关症状如下:主症为偏身麻木,呵欠频频,持续眩晕,嗜睡,急躁;次症为体胖、臃肿,手麻,头昏沉,颜面正常;伴症为面色晦暗,气息均匀.结论研究表明,若患者但见偏身麻木,或伴见呵欠频频、嗜睡、持续眩晕等症状,可以认为其处于缺血性中风急性发病前24～72h时段.

本文着重探讨通过1:2病例对研究方法获取的中风发病前7d～30d内的主要相关症状.

目的探讨中风急性发病前72h内相关症状,为中风病急性期尽早诊断和治疗提供症状依据.方法以1:2配对病例对照研究方法,调查中风患者急性发病前72h内的相关症状,对数据进行条件Logistic回归分析.结果中风急性发病前72h内主症为偏身麻木,呵欠频频,持续眩晕,阵发性半身无力;次症为急躁,嗜睡,瞬间眩晕,体胖臃肿,手麻,卒然头痛;伴症为头沉,头晕.结论了解中风发病前72h内症状,方能为积极防治中风提供帮助.