目的 为继承名老中医治疗食管癌的经验,提高中医诊疗食管癌的水平.方法 通过跟师学习和文献整理对广东省名老中医俞云教授切脉针炙治疗食管癌经验进行分析研究.结果 俞师切脉针灸治疗食管癌,是以调动人体的内因为主,抓住主要矛盾,兼顾扶正与祛邪.结论 俞云教授切脉针灸治疗食管癌经验对中医治疗食管癌提供了新的思路和方法.

This article discusses gout causes and its treatments introduced in Synopsis of Golden Chamber. Eating factors and alcohol addiction are two common causes of gout. Besides, being attacked by wind-cold and damp-heat evil is an important cause of gout and lack of vital energy is the main cause of gout. Accordingly, removing wind-cold and damp-heat evil is the main treatment for gout and disinhibiting urine to clear dampness is popular treatment for gout. Other treatments includes sweating, reinforcing kidney, nourishing Qi to enrich blood and external treatment.

Objective: To observe the effect of different TCM prescriptions of JinKuiYaoLve on levels of noradrenaline(NE), dopamine(DA) and 5-hydroxytryptamine(5-HT) in lung and brain tissues of pulmonary fibrosis in the early stages. To investigate the effect and mechanism of TCM prescriptions and the nature of prescription-syndrome. Methods: The wistar rats were divided into groups randomly. Pulmonary fibrosis was induced by bleomycin A5 in all groups except normal group. Rats in drug group were killed after 7 days' treatment. The levels of NE, DA and 5-HT in the lung and brain tissues were detected. Results: The level of NE in the lung tissue of model group was higher than that of normal group, Gualouxiebai decoction(GLXB) group and prednisone group. The level of 5-HT of model group was lower than that of Shenqi Pills(SQW) group and prednisone group. The level of DA of SQW group was lower than that of GLXB group. The level of NE in the brain tissue of model group was higher than that of normal group, but the level of DA was lower than that of normal group, GLXB group and Maimendong decoction(MMD) group. The level of 5-HT of Dahuangzhechong pills (DHZCW) group was higher than that of other groups(P<0.05). Conclusion: The level of NE in the lung and brain tisues of rats with pulmonary fibrosis increased and that of DA in the brain tissue decreased in the early stage. GLXB can hold this change. MMD can prevent the decrease of DA level in brain tissue. DHZCW can improve the level of 5-HT. SQW can lower 5-HT level in lung tissue. These prescriptions may influence the pathological damage of pulmonary fibrosis in the early stage by regulating the level of NE,DA and 5-HT in lung and brain tissues, which may be probably associated with the nature of prescription-syndrome of TCM.

目的:研究通痹合剂2号对胶原诱导型关节炎(CIA)模型大鼠滑膜组织病理的影响。方法:滑膜组织常规脱水、包埋、制片、苏木精伊红染色,观察大鼠的滑膜组织病理分级积分情况,以此来判断通痹合剂2号对CIA滑膜组织病理的影响。结果:通痹灵对CIA大鼠滑膜组织的滑膜血管增生、炎症细胞浸润、滑膜细胞增殖有明显抑制作用。滑膜病理总积分与模型组比较,差异非常显著性(P<0.001)。结论:通痹合剂2号能有效抑制类风湿关节炎的滑膜炎症,阻断"滑膜—软骨"这一病理环节。

通过《金匮要略》对痹证的论述,归纳中医对痹证病因病机的认识,并探讨其对痹证临床治疗的指导意义。

论述了《金匮要略》治疗风湿病的方剂。以祛邪为主的方剂:以祛风湿为主的方剂主要有麻黄加术汤等;以祛寒湿为主的方剂主要有乌头汤等;以祛风痰为主的方剂主要有藜芦甘草汤;以祛热邪为主的方剂主要有白虎加桂枝汤等;以祛风邪为主的方剂主要有阳旦汤等。以扶正为主的方剂:以扶正祛邪为主的方剂主要有薯蓣丸等;以扶正为主的方剂主要有小建中汤等。《金匮要略》针对胸痹、心痛的方剂:主要有栝蒌薤白白酒汤等。

探讨金匮血痹病的病因病机及治疗,通过血痹与痹证关系的讨论,揭示二者之间临床辨证的联系,即温阳通痹贯穿血痹与痹证治疗的始终,从而论证了金匮辨病与辨证结合的思想。

We discuss the origin and development of preventive medicine thought in Synopsis of Prescriptions of G0lden Cabinet;It sayed the diseases are cognizable and curable and payed much attention to treatment before occurrence of disease,and preventing the development of disease.These are very important in reality.