目的:对柴苓降压汤治疗痰湿壅盛证高血压病的疗效进行前瞻性研究.方法:将120例痰湿壅盛证高血压病患者分为治疗组60例和对照组60例.治疗组服用柴苓降压汤,对照组服用苯磺酸氨氯地平片,两组疗程均为8周.观察治疗前及后第4、第8周血压的变化和中医症候评分的变化.结果:治疗组能够有效改善血压,在第4周时起效明显(P＜0.05,或P＜0.01);且能够改善中医证候评分(P＜0.05,或P＜0.01).结论:柴芩降压汤对高血压病痰湿壅盛证的患者降压效果明显.

人到年老,就会白头,少数人则在少年就开始白头,有的甚至一夜愁白头.这到底是何道理?是否对人体起着有益的作用? 自从人类直立行走后,头顶就成了阳光照射最多的部位.特别是当人类懂得用衣物御寒遮羞后,这一现象更为突出.

The efficacy of acupuncture for pain diseases is significant, however, the unified understanding re garding mechanisms of acupuncture analgesia has not been fully reached. In this paper, it is believed that uncoordi nated muscle movement is one of the important causes for pain, while acupuncture could enhance the contact of nerve cells and improve the synergy of muscle movement, so as to achieve the aim of pain relief and even cure.

目的:研究艾灸对应激性胃溃疡大鼠胃黏膜细胞凋亡蛋白质磷酸化的影响,探讨艾灸促进胃黏膜损伤修复的信号转导机制.方法:将大鼠随机分为正常组、模型组、胃经穴组和对照点组,采用束缚冷应激法制作应激性胃溃疡大鼠模型,肉眼观察大鼠胃黏膜损伤程度,Apoptosis Microarray Slides芯片检测胃黏膜细胞凋亡蛋白质磷酸化水平.结果:与模型组比较,胃经穴组和对照点组大鼠胃黏膜损伤指数值均显著降低(P＜0.05);与对照点组比较,胃经穴组大鼠胃黏膜损伤指数显著降低(P＜0.05);Apoptosis Microarray Slides芯片检测结果显示:与模型组比较,胃经穴组大鼠胃黏膜细胞10种蛋白质磷酸化水平上调,其中Bcl-XL、Mcl-1、Bcl-2、IAPs 4种蛋白磷酸化水平差异有统计学意义(P ＜0.01,P＜0.05);18种蛋白质磷酸化水平下调,其中TNF、Fas、Apaf-1、Caspase-3、Caspase-9、Bax6种蛋白质磷酸化水平差异有统计学意义(P＜0.01,P＜0.05).结论:艾灸可促进胃黏膜的损伤修复,调节多种凋亡相关信号蛋白质的磷酸化水平,并且存在一定的经脉脏腑相关性.

Epigastric pain,also known as stomach pain,is presented with frequently recurrent pain in the upper abdomen or stomach area,which is mainly caused by exogenous pathogen,improper diet or internal injuries due to seven emotions.All 45 cases with epigastric pain caused by various factors were treated with mainly needling Hegu（LI 4）between November 2010 and November 2012,and the report is given as follows.

The clinical experience of Professor LIU Kong-teng's needling techniques and methods of the penetrating needling from Neiguan (PC 6) to Waiguan (TE 5) in the treatment of various diseases is introduced in this paper. The acupoints characteristics, penetrating needling techniques and methods and the clinical indications are summarized. Examples of Elbow flaccid paralysis, headache, insomnia, neck contracture, vomiting, hiccups, heart disease, the acute abdominal pain, acute lumbar sprain, acute ankle joint sprain and periarthritis of shoulder are given to explain techniques and methods of the penetrating acupuncture.

<正>笔者20年来采用大转子围刺治疗髋关节慢性滑囊炎42例,现介绍如下。1临床资料42例均来自厦门大学附属中山医院演武分院针灸科门诊,其中男22例,女20例;35岁以下8例,35~45岁22例,45岁以上12例;病程3个月~3年13例,3+~7年21例,7年以上8例。临床均

目的:通过随机单盲对照的方法观察隔药灸对溃疡性结肠炎患者主要临床症状与肠镜表现的改善情况,对其疗效进行客观评价,并探讨提高隔药灸治疗的途径.方法:将180例溃疡性结肠炎患者,采用随机对照的方法分为隔药灸组与隔麸灸组,分别进行隔药灸与隔麸灸治疗,通过对两组患者主要症状、肠镜表现改善情况的观察.对隔药灸与隅麸灸治疗的疗效进行评价.结果:隔药灸与隔麸灸对溃疡性结肠炎患者均有较好的疗效,其中隔药灸组近期治愈率显着优于隔麸灸组.结论:隔药灸对溃疡性结肠炎有较好疗效,是一种简便易行的治疗方法,精选方剂,改进荆型,提高药物的透皮吸收能力.或许是提高隔药灸临床效果的关键因素之一.

本文通过对药物发现途径差异的论述,指出药物存在治证和治病的作用差异,认为辨证论治和辨病论治相结合,不仅能够细化证的定位准确性,而且从治证和治病两个不同的角度去认识选用中药,能够提高用药的准确性。同时,从药物的治证和治病之作用差异入手研究,也能够发现中药的更多功能,对于全面认识中药作用和完善中医理论具有重要意义。

In the thesis, the author divides disease into the following two aspects, Impairment (disease’s physical damage to the body)and Pain(the discomfort brought by the disease). Impairment and Pain can overlap each other and can deviate from each other as well. It is essential to distinguish them before proper therapy and treatment to be conducted. Although patients suffer from pain, it is important during the healing process. Thus,the author puts forward key features of proper removal of pains. Meanwhile, the strengths and weaknesses of both Western medicine and traditional Chinese medicine(TCM) are to be discussed based on dualism, which will contribute to the accurate diagnosis of diseases, due understanding of the relationship of Western medicine and TCM, and proper development of medical science.

月经不调是发生于女性整个生殖期的常见疾病,尤其多见于青年女性.月经不调具有临床表现多样性、复杂性的特点,虽由脏腑功能失常、或气血失调、或冲任督带损伤所致,但是病机却大多与肾-天癸-冲任-胞宫生殖轴功能失调有关.因而,目前临床治疗多以中药人工周期疗法为主而获良效.笔者近数年来通过用针灸与中药人工周期疗法结合,治疗月经不调患者75例,则获得更佳效果.现将治疗情况介绍于下.

多汗症为在无发热情况下全身性、偏侧性或局限性长期多汗的一种表现,为临床所常见,主要发生于手掌、足跖、腋窝和其它褶皱部。属中医自汗、盗汗的范围。虽然多汗症不会对人们的身体造成什么实质性的损害,甚至有的人并不认为这是一种疾病,但其实却给人们的生活带来很多不便和尴尬。从古至今,中医对多汗症的治疗积累了很多宝贵的经验,最近10几年来有了进一步的发展,取得了理想疗效。本文对此进行了全面总结。

经络学说中,"气"的概念首先来源于针刺感应,尤其是循经感传.对于"气"的作用,‘灵枢·九针十二原)指出:"刺之要,气至而有效."

Objectives:It was proposed that atheromatous plaque might less be the pathological product than the important postnatal tissue formed by human body to regulate blood flow. This very theory with its further probe is significant in the treatment of atherosclerosis and hypertensive disease.

历来认为,辨证论治和辨病论治是两个完全不同的概念,但笔者通过对《伤寒论》、《温病》等古代经典著作的分析研究,认为古人之辨证实际上包含了辨病。并指出辨证论治并非异病同治,从本质上讲,不同的病不可能出现完全相同的证,之所以认为异病可以出现同证,乃是辨证不够细化所致。也因此只有将辨病作为辨证的主体内容,才能提高辨证的准确性,才能使中医得到不断发展。

老年性骨质疏松,其病因病理目前认为主要是因为性激素水平下降,骨骼合成性代谢减少所致;亦有人认为是钙摄入减少所致.根据以上观点,治疗老年性骨质疏松,多采用激素,亦有采用补充钙和VitD的.但实践证明,疗效甚微.为此,笔者对此进行了长期的观察和研究,发现老年性骨质疏松主要是神经功能失调所致.如果这一观点成立,对于该病的针灸治疗必定具有重要意义,现就此观点论述如下.

<正> 尿失禁是临床常见病之一,中老年妇女多见,多由生育损伤会阴部神经,或久憋小便,导致小便控制中枢功能及尿道括约肌损伤所致,轻则尿频、有余沥、时有失禁,重则尿失禁频发,甚至用尿布护垫,给工作生活带来诸多不便,但病人往往羞于治疗。笔者在给中老年病人因其他病针刺腰骶部或腹部穴位时,常闻到尿臭,每问之有否小便失禁,回答多为肯定。对此采用骶管透刺法,疗效极为理想。通过与采用常规穴位治疗的对照组比较,经统计学处理,两组疗效之间差异存在显著性意义。特介绍如下。

刺灸方法正确与否,对于保证针灸安全和疗效,至关重要.但是,目前在阐述穴位刺灸法时,大多没有阐明穴位的具体针刺方向及其与针刺深度的关系,不同针刺方向和深度的疗效差别,以及每一穴位的具体灸法等.不同的针刺角度,针感不同,则疗效也不同,应将主治与针刺角度结合起来介绍;不同的角度,其入针深度相同,但垂直深度不同,故应分别写明直刺和斜刺的具体尺寸;人有大小胖瘦,针刺深度用绝对尺寸表示,很不合理,而应改用同身寸来表示;灸法方法很多,一概言可灸或不可灸,不够具体,理应写明具体灸法.