明代300年间理学逐渐实现真正的内化,朱丹溪(元代末年)与张景岳(明代末年)相隔一个朝代,同样作为理学的集大成者,其关于火热理论的相火论与命门学说在理法方药上呈现出寒温虚实的差异.基于对理学思想的见解与应用角度不同,朱丹溪、张景岳由一源出两端,在临证和用药方面整体呈现出相反的思路与方法.本文通过结合元明时期理学思想的发展变化过程及时代背景,对比朱丹溪、张景岳关于火热证的医理思想、临证特点及用药规律异同,旨在探讨理学思想对朱丹溪相火论到张景岳命门学说嬗变的影响.

Objective:To observe the effect of ligustrazine on angiogenesis of chick embryo chorioallantoic membrane(CAM).Methods:90 chick embryo were randomly divided into 6 groups:normal saline group,basic fibroblast growth factor(bFGF)group,and ligustrazine A,B,C,D group.CAM model was prepared,then NS,bFGF,four doses of ligustrazine were added respectively onto the carriers on the CAM.CAM sample was prepared after 3 days incubation.The state of angiogenesis was observed and the number of new blood vessels was counted.Results:The proliferation of vessels in ligustrazine groups was move than that in normal saline group and bFGF group(P<0.05).Conclusion:Ligustrazine could promote angiogenesis of chick embryo chorioallantoic membrane,and the effect has certain dependent relationship with its concentration.

目的:观察加味安冲汤治疗功能性子宫出血的临床疗效。方法:50例病例均采用加味安冲汤治疗。结果:50例病例中,治愈40例,好转8例,无效2例,总有效率为96%。结论:加味安冲汤治疗功能性子宫出血,疗效显著,值得在临床上推广应用。

<正>近年来我们采用逐瘀通络膏治疗输卵管阻塞导致的不孕85例,疗效显著,现报道如下。1临床资料85例病例均为我院门诊患者,年龄22岁～38岁,平均30岁;原发不孕55例,继发不孕30例。所有病例均由慢性炎症、盆腔手术后造成程度不同附件粘连而引起输卵管阻塞,治疗前均行子宫输卵管造影确诊。