拇指先天性狭窄性腱鞘炎在婴儿出生后即有轻度狭窄,随着小儿年龄的增加,手指活动的增多,肌腱与腱鞘间反复摩擦造成腱鞘内充血,水肿,腱鞘壁组织增生肥厚,鞘管狭窄,肌腱受到挤压出现变性,活动时肌腱通过困难,出现拇指关节功能受限.本病少数婴幼儿在出生6个月内有自愈的可能,若不能自愈则应尽快进行治疗.推拿治疗本病具有绿色、安全、无痛苦、无副作用、患者易于接受的特点,值得临床推广应用.

于娟教授从事推拿临床工作近30年,在临床工作中治疗了众多急性乳腺炎患者,积累了丰富的临床经验.笔者将介绍于娟教授推拿治疗急性乳腺炎的临床经验,以供临床借鉴.

腺样体肥大即咽扁桃体增生,是指咽扁桃体的病理性增生肥大,常起于咽部感染和反复炎症刺激.临床上的治疗多采用手术和中药治疗,相对而言,推拿是一种绿色疗法,其安全、无毒副作用,患儿更易于接受;并且随着年龄增长,增生的腺样体可能会逐渐萎缩,病情也可能得到缓解或症状完全消失.因此,采用这样一种有疗效且易于接受的保守疗法,值得临床推广.

目的:观察自拟金海排石汤治疗泌尿系结石的临床疗效。方法:将112例泌尿系结石患者随机分为2组,治疗组60例采用自拟金海排石汤治疗,对照组52例采用排石汤1号(我院协定方)治疗,半个月为1个疗程,治疗2个疗程后比较临床疗效及治愈1年后复发情况。结果:治疗组治愈35例,好转19例,无效6例,总有效率为90.00%(95%CI=82.41%～97.59%);对照组治愈19例,好转22例,无效11例,总有效率为78.85%(95%CI=67.04%～89.46%);两组综合疗效比较(u=2.217 8,P=0.026 9),差异有显著性意义。1年后随访,治疗组复发率低于对照组,但未达到显著性意义。结论:自拟金海排石汤治疗泌尿系结石的疗效优于排石汤1号,其收益为OR=0.41(95%CI=0.11～1.17),NNT=9(95%CI=4.09～55.05)。

Objective:To observe the therapeutic effect of Jinshuibao capsules combined with alprostadil injection in the treatment of diabetic nephropathy(DN).Methods:Sixty DN patients were randomly divided into control group(n = 30) and treatment group(n = 30).Both groups received conventional symptomatic/supportive treatment with antihypertensive,antidiabetic,and antihyperlipidemic Western medicines as well as alprostadil,and the treatment group received Jinshuibao capsules as an addition.The treatment outcomes of the two groups were compared after two weeks of treatment;the blood urea nitrogen(BUN),serum creatinine(SCr),and urine albumin excretion rate(UAER) of each group were measured.Results:The treatment group had a significantly higher overall response rate than the control group(83.33% vs 53.33%,P<0.05).After treatment,both group showed significant decreases in BUN,SCr,and UAER(P<0.05),and the treatment group had significantly more decreases in the indices than the control group(P<0.05).Conclusion:Jinshuibao capsules combined with alprostadil injection have good therapeutic effect in patients with early DN and show promise for clinical application.

<正>颈椎病是由颈椎骨关节病变或颈椎椎管内外软组织病变引起的各种病症称之为颈椎病。颈椎病根据症状可分为神经根型、脊髓型、椎动脉型、局部型、交感神经型、混合型、其他型。其中神经根型颈椎病在各型颈椎病中较为多见,约占60%,多发于30岁以上的低头姿势的工作者。其临床症状以颈肩背部疼痛、上肢及手指的放射性疼痛、麻木、无力为主。症状以疼痛为

腰椎间盘突出症是骨科常见病、多发病,临床治疗方法包括手术和非手术治疗.近年来,笔者运用身痛逐瘀汤配合推拿治疗腰椎间盘突出症36例,疗效显著,现报道如下. 1 一般资料 本组36例中,男30例,女6例;年龄26-72岁,平均年龄48.5岁;病程最短者3天,最长者7年,平均病程13月.所有患者均行CT检查,其中CT显示轻度压迫者19例,中度压迫者11例,重度压迫者6例.

冠心病心绞痛是临床常见病,以心前区憋闷疼痛,甚则胸痛彻背,气喘不能平卧为主要症状.近年来,笔者采用血府逐瘀汤加减治疗本病30例,取得了满意的效果,现报告如下.

肝纤维化是指肝细胞发生坏死及炎症刺激时肝组织内纤维、结缔组织异常增生的病理过程,也是进一步向肝硬化发展的重要环节[1].刘为民等从湿热疫毒、正气虚弱、肝络瘀阻3个方面阐述了肝纤维化的病理机制[2～4].近年来的大量实验及临床研究证明,肝纤维化与气滞血瘀关系密切,应用活血化瘀中药抗肝纤维化,已是治疗肝纤维化的一种有效途径.

柴胡属伞形科类植物,由柴胡的根或全草组成,临床用药有北柴胡和南柴胡之分.目前,传统炮制柴胡的方法有多种,常用的炮制方法有醋炙、酒炙、蜜炙和鳖血炙四种,古籍中有"酒炒则升,蜜炒则和"等记载.笔者现从不同的炮制方法入手.探讨不同炮制方法对柴胡的有效成分影响及运用.

According to lots of scholars' researches in many ways,'Collecting Record of Differentiation of Symptoms and Signs',signed with the name of CHEN Shi-duo but being a medical posthumous work written by FU Shan in fact,had refined symptoms differentiation and unique consideration.There were many discussions about carduonephric disharmony in this book.Among them the argument 'treating carduonephric disharmony with liver-based therapy theory' was full of originality,and could open and enlighten the thinking of later doctors'.This article expounded 'treating carduonephric disharmony with liver-based therapy theory' by 'Collecting Record of Differentiation of Symptoms and Signs',so as to deduce the important contribution of adjusting liver theory to treating carduonephric disharmony.

葛洪是中国医学史上一位著名的医学家、养生学家、炼丹术家,同时又是我国哲学史上杰出的道教家、哲学家.他所撰写的<肘后备急方>(以下简称"肘后方")是一部有突出贡献的医药著作,其伟大的成就早已引起许多学者的重视,并从各个方面加以研究论述.现笔者仅对书中所载的食疗方药予以整理研究,以充分体现葛氏的食疗特色.

随着病毒性肝炎的检测技术的不断完善和灵敏度的不断提高,病毒性肝炎的多重感染也越来越多地被捡出.为进一步探讨和预防病毒性肝炎多重感染,笔者对近3年我院收治住院的病毒性肝炎患者2 071例进行了分析,现报告如下.

原发性肝癌(简称肝癌)是我国常见的恶性肿瘤之一,死亡率为20.37/10万,占恶性肿瘤死亡率的第二位.目前虽以早期手术治疗为首选方法,但中医药治疗肝癌仍是一种独特而常用的治疗方法,与手术、放疗、化疗相比,各有所长.现就中医药治疗肝癌过程中应注意的问题浅述如下.