董荣芬主任将消化道神经-体液调节反射系统称为“胃神”，临证常基于胃神理论，从斡旋中焦气机角度辨治不寐病。董师常将不寐病分为阳明燥热证、肝经郁热证、血虚火动证、清降失和证。阳明燥热证治以清热养阴、健脾安神为法，首选竹叶石膏汤加减治疗；肝经郁热证治以疏肝清热、养心安神为法，首选温胆汤加减治疗；血虚火动证治以滋阴降火、养血安神为法，首选黄连阿胶汤和酸枣仁汤加减治疗；清降失和证治以调畅气机、养心安神为法，首选人参清肺汤合归脾汤加减治疗。附验案进行分析。

董荣芬主任临床治疗痞满多分为水痞、气痞、食痞论治。水痞为“水渍胃中”导致饮停中焦，治疗重在健脾利水，常用茯苓甘草汤合五苓散加减；气痞为脾虚运化乏力导致腹部气胀，前期治疗重在理气，后期重在健脾，常用厚朴生姜半夏甘草人参汤加减；食痞为饮食不节导致食滞胃中，治疗重在消食导滞，常用保和丸合枳术丸加减。附验案进行分析。

目的 观察归脾汤加减益气摄血法治疗老年性紫癜的临床疗效.方法 2016～2019年门诊诊断为老年性紫癜患者15例,均经血常规检查无血小板减少、凝血指标正常,结合患者年龄、手痛前臂紫癜特点,诊断为老年性紫癜.10例采用归脾汤为基础方,适当加入收敛止血、经瘀止血药、维生素C片口服.结果 10例患者服用汤药后,手背紫癜均有不同程度吸收消散,一般1-2周紫癜部分消退.结论 以归脾汤为基础加减的益气摄血法治疗老年性紫癜有较好的临床疗效.

胃痞病可分实痞与虚痞，临床以虚痞为多见。董荣芬主任临证治疗虚痞以健脾行气、枢转气机为主，多将虚痞分为火结证、水结证、气结证，予厚朴生姜半夏甘草人参汤加减治疗，常获佳效。在应用厚朴生姜半夏甘草人参汤基础上，火结证常加黄连、瓜蒌以清热散结；水结证常加紫苏叶、茯苓以化气利水；气结证常加白术、枳实以益气健脾、消食导滞。附验案进行分析。

目的 通过四味宁舒散中药离子导入治疗脑卒中后患肢肌张力增高,观察其临床疗效.方法 选取90例符合纳入标准的脑卒中后患肢肌张力增高的住院康复患者,在常规康复治疗基础上随机分为四味宁舒组、巴氯芬组和安慰剂组,四味宁舒组、安慰剂组分别给予中药离子导入四味宁舒散、中药安慰剂治疗,巴氯芬组予口服巴氯芬治疗;三组均治疗4周,分别在治疗前、后和治疗过程中的每周进行改良Ashworth痉挛量表(MAS)、Fugl-Meyer运动功能评分表(FMA)和改良Barthel指数(MBI)评价.结果 治疗4周后四味宁舒散组和巴氯芬组在MAS、FMA和MBI评分方面,组间比较均无统计学差异(P＞0.05);但这两组在MAS评分方面,均低于安慰剂组(P＜0.05),而在FMA和BMI评分方面,均高于安慰剂组(P＜0.05).另外,四味宁舒散组与安慰剂组均未见明显不良反应,而巴氯芬组则有2例出现了不良反应,分别为明显乏力和腹泻.结论 中药离子导入四味宁舒散能有效降低脑卒中后患肢肌张力增高,提高患肢运动功能和生活活动能力,且患者可耐受性高.

目的:采用文本挖掘方法,探索糖尿病中医养生理论与养生方法的规律.方法:在CBM数据库中收集有关糖尿病文献数据,采用基于敏感关键词频数统计的数据分层算法,挖掘糖尿病养生理论与养生方法的规律,并利用Cytoscape 2.8软件进行可视化展示.结果:糖尿病最常用的养生理论是未病先防,其余从较常用的依次是既病防变、饮食有节、怒则气上、天人相应等;针灸、按摩、推拿、保健功、养性、节饮食、熏蒸等10种方法从高到低依次为常用的养生方法,其中推拿与按摩是联用最多的养生方法.结论:文本挖掘方法总结得到的糖尿病养生规律,在一定程度上客观呈现了糖尿病临床养生的情况并对糖尿病养生起到一定指导作用.

Hypertension becomes a major public health problem due to its serious morbidity and mortality and serious cardiovascular, cerebrovascular and kidney complications. The complementary therapies of Traditional Chinese Medicine (TCM) play important roles in hypertension treatment. Acupuncture, as an important component in TCM, is frequently used in treatment hypertension. In this paper, we mined the data set of literature downloaded from SinoMed on hypertension focused on its treatment with acupuncture technology in TCM common use. The text mining results showed that Shuigou, Zhongshu, Burong, Zusanli, and Taichong were the top 5 acupoints, while Governor Meridian, Bladder Meridian of Foot-Taiyang and Stomach Meridian of Foot-Yangming were the top 3 meridian used for hypertension treatment. The combinations of acupoints were demonstrated in network, which were widely used in the clinical practices of acupuncture. The results provided good references for both clinical practice and medical research.

Objective: To understand the current situation and development trend of traditional Chinese medicine( TCM) in Jiangxi province. Method: Collected the data about TCM demands of Jiangxi province in 2002 ~ 2012,and built the analysis database.Through time series analysis with Autoregressive Integrated Moving Average( ARIMA) model to forecast the trends of Jiangxi TCM demands in 2013 ~ 2017. Data analysis performed on SAS9. 1. 3 software platform. Result: The number of hospital beds,staff and workers,health professionals,total income and other indicators of TCM hospital in Jiangxi province showed a year on year growth trend. On the contrary,the percentage of TCM practitioners of the total number of practicing physicians declining trend,herbal medicines income accounted for a lower percentage of total drug income. Conclusion: Jiangxi TCM demand continues to expand,but the TCM professional's demands are not large. TCM has the trend of being marginalized.

It is well known that acupuncture treatment has an effect on patients with ischemie cerebrovascular disease. This study was aimed to summarize the basic laws of acupoints of ischemie cerebrovascular disease in acupuncture treatment using text mining techniques. First, we proposed the text-mining-based method to collect related literatures about acupuncture treatment of ischemie cerebrovascular disease from Chinese Biomedicai Literature Database, and then the ACCESS database was constructed. Second, structured query language was applied to data processing as well as data stratification algorithm was adopted to analyze the basic laws of acupoints of ischemie cerebrovascular disease in acupuncture treatment. Final, 62,903 documents were retrieved and the results showed that the higher frequency of single point in the treatment of ischemie cerebrovascular disease were sorted in descending order as the following: Renzhong(570), Burong(205), Fufen(186), Youmen(84), Shuifen(58), Baihui(57), Zusanli(55). Moreover, the higher frequency of paired points in the treatment of ischemie cerebrovascular disease were sorted in descending order as the following: Baihui with Dazhui(21), Neiguan with Zusanli(21), Quchi with Zusanli(21), Baihui with Qubin(10), Neiguan with Renzhong(9), Neiguan with Sanyinjiao(9), Neiguan with Yinjiao(9). These findings suggest that the method of text mining can be used to analyze basic acupoint laws through statistical frequency of acupuncture treatment of ischemie cerebrovascular disease and to provide a reference for clinical acupoints.

It is a still a world-wide challenge that hypertensive patients maintain a satisfactory blood pressure control. In TCM practice, traditional physical therapy has shown beneficial to blood pressure (BP) controlling. As the amount of bio medical data in leading databases (i.e. SinoMed, etc.) is growing at an exponential rate, it might be possible to get something meaningful through the techniques developed in data mining. In this paper, focused on hypertension, we proposed an algorithm named two dimensions data slicing to mine rules of Chinese medicinal physical therapies (massage, cupping and so on). The process of mining was done in two dimensions. The one-dimension analyzes the frequencies. The two-dimension analyzes the frequencies of co-existed keyword pairs. By examining the results of these two dimensions, although some noises existed, most regular knowledge of this disease is mined out. This algorithm might be useful in mining rules in the literature of traditional Chinese medicine.

我们采用益气活血涤痰解郁法,用自拟醒脑解郁汤治疗中风后抑郁,取得满意疗效,现报道如下. 一般资料 病例诊断标准:依据中国精神疾病的分类和诊断标准和第2版修订(CCMD222R)对脑卒中后抑郁障碍的诊断标准.

我们采用益气活血涤痰解郁法自拟醒脑解郁汤治疗中风后抑郁症,取得满意疗效,现报道如下. 一般资料 入组标准:①首发脑卒中,经CT或MRI证实为脑血管意外,病程在半年以上,并存在不同程度神经功能缺损症状者.②抑郁自评量表(SDS) > 41 分提示可能存在抑郁.③汉密尔顿抑郁量表(HAMD ,24项) 评分≥20分[1].

急性下消化道出血指的是屈氏韧带以下的小肠与结肠直肠出血,临床较上消化道出血少见,但临床诊断较困难,若延误治疗可造成生命危险;急诊结肠镜检查目前开展并不普遍,其在急性下消化道出血的诊断与治疗中的临床意义也存在争议,现总结我院2002年4月至2006年10月进行的急诊结肠镜检查11例患者的诊断与治疗情况,报告如下.

大肠黑变病是指大肠黏膜色素沉着,引起非炎症性良性的病变,属少见病,但近年来发病率有所增高[1].我院1992年6月至2004年6月进行肠镜检查2 200例,结合病理切片共查出大肠黑变病18例,现总结分析如下.

<正>Barrett食管(Barrett'sesophageal,BE)是由于反复胃食管反流,导致食管下段复层鳞状上皮受损、单层柱状上皮进行修复的结果[1]。其发生腺癌的危险性是正常人的30～50倍,内

嗜酸细胞性胃肠炎(eosinophilic gastroenteritis,EG)是一种胃肠道组织中嗜酸细胞增多性疾病,临床大宗病例报道少见,误诊率高.我院2003年10月～2005年11月共诊治EG 13例,随访1个月～2年,症状全部缓解,停用激素后复发2例,血中嗜酸细胞始终较高2例,临床首诊全部误诊.为提高医务人员对本病的认识与警惕,现将临床资料分析报告如下.

目的观察脑功能再建法对脑卒中偏瘫患者运动功能的影响。方法选取急性脑卒中有运动功能障碍患者200例,治疗组150例,对照组50例,治疗组予脑功能再建法治疗,对照组予常规康复治疗,比较治疗前后Fugl-Meyer运动评分(Fugl-Meyer assessment,FMA)、神经功能缺损程度评分、修订的巴塞尔指数(modified Barthel index,MBI)两组间的差异。结果治疗前后两组间在神经功能缺损程度评分、MBI有非常显著性差异(P<0.01),Fugl-Meyer运动评分有显著性差异(P<0.05)。结论脑功能再建法可以促进脑卒中偏瘫患者运动功能的改善、降低神经功能缺损、提高日常生活能力,且优于单一的现代康复治疗。

目的探讨中老年2型糖尿病患者胰岛素敏感指数与中医辨证分型的内在联系.方法将207例中老年糖尿病患者分为燥热伤肺、胃燥津伤、肾阴亏虚、阴阳两虚、阴虚阳浮五个证型,探讨各型胰岛素敏感性的差异.结果空腹胰岛素均值依次降低:燥热伤肺、阴虚阳浮、阴阳两虚、胃燥津伤、肾阴亏虚.胰岛素敏感指数按其绝对值依次增高:肾阴亏虚、胃燥津伤、阴阳两虚、燥热伤肺、阴虚阳浮.结论胰岛素敏感指数与中医辨证分型存在相关性.胰岛素敏感性由高到低依次为:肾阳亏虚、胃燥津伤、阴阳两虚、燥热伤肺、阴虚阳浮型.

目的 观察脑功能再建法治疗对脑卒中偏瘫患者运动功能的影响。方法 选取急性脑卒中有运动功能障碍患者65例，治疗组45例，对照组20例，比较康复治疗后两组间的差异。结果 初次评定各主要指标间两组无差异(P＞0.05)，末次评定Fugl-Meyer运动评分(FMA)、神经功能缺损程度评分、修订的巴塞尔指数(MBI)，两组间有非常显著差异(P＜0.01)。结论脑功能再建法治疗可以促进脑卒中偏瘫患者运动功能的改善，降低神经功能缺损，提高日常生活能力。