以我对中医的认识,我认为它不是一个只有专业人士才能学习的学问,这也是中医和西医的区别之一.西医须由专业医学生去学,而且应用时,如果离开医院,很难被广泛操作,这是因为西医有着极强的专业性. 但中国作为人口大国,14亿人如果仅靠医生和医院,力量是不够的.而这个时候就体现了中医的价值,在应用范围上,中医与西医可以很好地互补.

新冠肺炎疫情防控时期,要做好日常饮食防护,不可过度节食,亦不可暴饮暴食.根据新冠肺炎患者的临床症状,既有咳嗽、发热等肺系症状,又有乏力、食欲差、腹泻等脾胃表现.所以,呵护好肺和脾胃,对疾病防护有一定的作用.

促进胆汁分泌,增加血气 人体的能量来源于食物.人吃进去的食物,有一部分由胆汁分解成人体造血所需要的蛋白质.因此,如果胆汁分泌不足,则食物被分解成可供人体吸收的蛋白质就不够,当然也就不能提供人体造血所需的足够原料.

冬日天气寒冷,冬日的阳气应该封藏.因此,《素问》专门提到了一个养藏的问题.冬三月养藏,秋三月养收,实际上就是秋冬养阴的互辞.《素问·四气调神大论》就讨论了这方面的问题:“冬三月,此谓闭藏,水冰地坼,无扰乎阳,早卧晚起,必待日光,使志若伏若匿,若有私意,若已有得,去寒就温,无泄皮肤,使气亟夺,此冬气之应,养藏之道也.逆之则伤肾,春为痿厥,奉生者少.”

Sini decoction (SND), a well-known traditional Chinese medicine, has been used to treat kidney Yang deficiency for ~1,800 years. The present study aimed to evaluate the effects of SND treatment on hypothalamic-pituitary-adrenal axis hormones in a rat model of Yang deficiency and to explore the molecular mechanisms using microarray analysis of adrenal glands and in vitro adrenocortical cell culture systems. The results indicated that SND treatment recovered circulating serum cortisol, adrenocortical hormone (ACTH) and testosterone levels in a yang deficiency model. Immunohistochemical analysis of pituitary and hypothalamic tissues confirmed increased expression of ACTH and corticotropin-releasing factor, respectively, in response to SND treatment. Microarray analysis identified a marked upregulation of genes involved in ≤metabolic and stress response pathways in rat adrenal tissues in response to SND treatment, exemplified by cyclooxygenase-2 and nuclear factor (NF)-κB. In vitro, SND exerted a protective effect on mitochondria in response to H2O2 exposure also activated NF-κB and cyclic adenosine monophosphate response element binding protein reporter gene activity. These results contributed towards an improved understanding of how SND effectively alleviates the symptoms of kidney Yang deficiency syndrome at the molecular level.

随着我国经济建设的发展与建筑工程的成熟,我国的城市建筑呈现蒸蒸日上的局面,建筑工程兴起越来越多,因此,建筑工程的施工技术变得十分重要.在建筑工程的施工过程中,混凝土的施工技术最为重要.为了保证建筑工程的施工质量,在对混凝土的原料进行选择时就要注意控制,还要注意混凝土的强度和耐久性.注重混凝土原材料的选择和混凝土的质量控制和施工要点,才能保证建筑工程的施工质量.

目的:观察茵陈四逆汤治疗慢加急性肝衰竭阴黄证的临床疗效.方法:将符合纳入标准的260例慢加急性肝衰竭阴黄证患者随机分为对照组及治疗组(各130例),对照组予西医综合治疗为主,治疗组在西医综合治疗基础上予茵陈四逆汤辨证加减治疗,疗程为8周,比较入组前组间基线特征,记录治疗前后患者症状体征积分、肝功能[包括总胆红素(total bilirubin,TBIL),丙氨酸氨基转移酶(alanine aminotransferase,ALT),血清白蛋白(serum albumin,ALB)],凝血功能[凝血酶原活动度(primary trait analysis,PTA)],终末期肝病模型(MELD)评分(model for end-stage liver disease)变化情况,比较两组患者中医证候疗效,8周治疗效果及短期(12周)的预后差异.结果:治疗组症状体征积分下降明显优于对照组(P＜0.01),中医证候总有效率治疗组为87.90％,对照组为60.83％,差异比较有显著性意义(P＜0.05),两组患者治疗后TBIL,ALT,ALB,PTA,MELD评分改善程度比较,差异有显著性意义(P＜0.01),8周治疗后总有效率比较,治疗组91.54％,优于对照组53.85％(P＜0.01),两组随访12周,治疗组存活率高于对照组(P＜0.05).结论:茵陈四逆汤治疗慢加急性肝衰竭阴黄证能显著改善患者临床症状、保护肝脏功能,提高存活率,优于单一西医综合治疗.

Objective:To observe the short-term efficacy of modified Yinchenzhufu decoction in patients with chronic liver failure (CLF).Methods:Three hundred eligible patients with CLF characterized by Yin jaundice syndrome were randomized equally to receive either western comprehensive treatment alone (control group, n =150) or in combination with modified Yinchenzhufu decoction (trial group, n =150) for 8 weeks.Baseline characteristics were compared between both groups prior to treatment initiation.At 8 weeks after treatment, pa-tients in both groups were compared to see if there was any difference in the efficacy parameters.In addition, a follow up was performed at 3 months for any difference in short-term outcomes between both groups.Results:The addition of modified Yinchenzhufu decoction was associat-ed with significantly reduced clinical symptom scores, as well as significantly improved liver function and coagulation function (all P <0.01 ), compared with western comprehensive treatment alone.Overall, significantly more patients responded to the combination therapy than to the monotherapy (P <0.01).Conclusion:Modified Yinchenzhufu decoction appears to have a significantly higher efficacy in protecting the liver, improving clinical symptoms, and reducing mortality in patients with CLF, compared with western comprehensive treatment alone.

阳主阴从是中医学中的一种阴阳观,它强调人体生命活动中阳的主导地位,以及阴的从属位置.有关其与众阴阳观的关系众说纷纭,各持己见,本文就与其争论最多的阴平阳秘、阴阳平衡、阴阳合之间的关系逐一展开探讨,以明确其内在联系,进而论证阳主阴从在防病治病过程中的重要意义.

通过跟师和长期的思考,近年我提出了“中医是尚礼的医学”的观念.这个观念不是我创造的,孙思邈在他的著述里已讲到“上医以德治国,中医以礼齐人,下医以刑治病”.中医学作为一门医学,疗效是硬道理.中医不仅要近期疗效,更要远期疗效,这就要对“医”有一个长远的考虑,有一个深入的认知.

本文从扶阳的核心思想“阳主阴从”观、扶阳要药“附子”的遣方用药及沿革等多角度阐述“扶阳”学说的内涵，并从“扶阳”的其他疗法（五行针灸、正脊扶阳、性理扶阳、扶阳罐、功法扶阳）陈述“扶阳”在现代的拓展状况，继而提出了扶阳学派未来的研究趋向。

《伤寒论》中的临证次第思想是非常深刻的,从理、法、方、药各个方面为我们诠释了次第的重要性。并告诫医者临证时必须严格依照次第治疗疾病,这样才能取得理想的效果。

Peace is an important concept in NeiJing and then Zhu Dan-xi′s peaceful view is elucidated.Its application in medicinal and psychological treatments were analyzed so that great importance was attached to the theory of Yang consolidation to kidney and treating physique and spirit together,which was raised to a higher level.

钦安祖师讲"天地一阴阳耳,分之亿万阴阳,合之而一阴阳",这也是《素问》在很多地方都讲了的,"阴阳者,数之可十,推之可百,数之可千,推之可万,万之大不可胜数.然其要一也,知其要者,一言而终,不知其要,流散无穷."能知一万事毕,实际上都在这里.钦安祖师又讲了,"仲景之六经还是一经,人身的五气还是一气,三焦还是一焦,万病总在阴阳中",这就是归一的学问,合一的学问,任何问题都回到主线上面来,由此而言,衍生了万法,万法归宗.所以,卢氏的学问,钦安的学问很重要的一点是在理上用功,即在合一上用功.钦安祖师点得很清楚,就是阴阳合一,不是合二.

通过针(灸)药结合治疗反复鼻衄1例,体会学习经典的重要性,只有掌握经典才可以应付临床的千变万化。

In order to make a detailed textual research of ZHEN Qin-an's time of birth and year of death,works,and life event and get a definite his biographical condition,reading chorographic books,visiting ZHEN Qin-an's later generations on spot and searching relative trails as possible as to get the first hand data.

眼下即将进入炎热的夏季，而作为一个全科医生，我发现每到夏季会出现一个很奇怪的现象，那就是在炎炎夏日里，痛经的患者尤其年轻女性会比平常季节里增多。这不得不引起我们女性朋友的注意。记得一天上午，四五个女孩族拥着把一个女孩抬了进来。一进来就说：“医生，快快，看看她怎么样了，赶紧救救她。”只见那个女孩脸色煞白，四肢冰凉，直冒冷汗，一副休克的样子。我让那个孩子平躺下来，问哪儿不舒服，女孩说肚子痛，

运用温阳法治疗疾病的前提是辨清阴阳,而当今多种原因导致伤阳的途径多,生阳的途径少。通过继承学习钦安卢门的四逆法并运用于临床,对于当今许多疾病都能达到满意的疗效。

Mr.WANG Feng-yi found sexual physiotherapy disease in family's daily life and make it perfect.He believes that "five poisonous" is a very important cause of disease and tries to explain the pathogenesis from monarch and minister fires.

医学一途,不难于用药,而难于识证;亦不难于识证,而难于识阴阳。钦安先生认为,临证至关重要且最难解决的问题是如何辨清阴阳。其始终立足于先天一元,提出万病起于一元损伤,而一元又分为元阴、元阳,诸病无非元阴或元阳之亏虚所致。此乃钦安先生辨阴虚、阳虚之根本,也是其独到之处。