付于主任认为,皮部是经络系统的重要组成部分,机体存在皮部-络脉-经脉-脏腑的调节机制.付主任创新性提出皮部浅刺法,并进行了针刺量化处理,临床治疗神经精神病症、内科病症疗效显著.

帕金森病是一种以静止性震颤等运动症状为主症的神经系统疾病，现代医学仅能缓解其症状，无法中断其进展。付于主任认为帕金森病多由肝肾阴虚所致，肝阴虚则肝木失养，肾阴虚无以滋水涵木而致肝木失荣，肝木失荣则筋脉无以滋养而虚风内动，导致其出现肢体动摇、颤抖甚则肢体拘急不能自止的症状。故临床选取足厥阴肝经和足少阴肾经皮部浅刺，配合聆听角调式音乐和羽调式音乐治疗，治疗效果明显。

擦法是中医推拿治疗寒性病证常用的一种手法,主要具有温经散寒的作用,"透热"是产生疗效的关键,规范化操作是"透热"产生的前提.从手法、力量、频率、操作部位及介质方面,对擦法的操作方法及量化研究进行分析,对影响规范化操作的相关因素进行总结,以期促进擦法在临床上的应用.

作为全国中医行业推广建设现代医院管理制度的标杆,广东省中医院高度重视人才工作,坚定不移地实施人才战略,着力打造人才工程,践行感恩文化并将感恩文化作为人才工程的"导航系统",不断完善和创新爱才、育才、用才和聚才的工作机制,把医院建设成为人才茁壮成长的沃土和名医的摇篮,提升医院核心竞争力,使医院实现了跨越式的发展.

目的:运用文献数据挖掘方法,分析明清医家治疗瘿病的用药频次、药物组合、药物关联规则等,挖掘治疗瘿病的核心组合及新方剂.方法:检索《中华医典》,查找明清时期治疗瘿病的相关文献,从中筛选出治疗瘿病的方剂录入中医传承辅助平台,运用规则分析、无监督的熵层次聚类等数据挖掘方法对录入的方剂进行组方用药规律分析.结果:共筛选出76首明清时期治疗瘿病的方剂,包含中药160味,得到用药频次≥8的中药22味、常用药物组合11组、潜在核心药物组合8组,演化得到新方剂4首.结论:明清医家在治疗瘿病时多运用化痰、理气、散瘀类药物,常配伍清热、健脾燥湿之品,同时注重运用补益类药物以顾护正气.

笔者就临床中出现“但头汗出”一症的病机进行分析,认为其主要以三阳经病变为主,出现在太阳病中有风寒表虚证,阳明病中有热扰胸膈证、热盛伤津证、湿热发黄证,出现在少阳病中有阳微结证、少阳饮停证等,临证辨治结合其兼证可辨其病机以处方用药.

目的 观察补肾活血方治疗肾虚型黄体功能不健性月经失调的疗效和作用机理.方法 45例肾虚型黄体功能不健性月经失调患者,随机分为补肾活血方组(30例,给予补肾活血方治疗)和常规治疗组(15例,给予地屈孕酮治疗),比较两组疗效差异.结果 补肾活血方组治疗总有效率90.0%明显高于常规治疗组60.0%,差异具有统计学意义(P<0.05).两组治疗前经期、经量(量化评分)、周期(量化评分)比较差异均无统计学意义(P>0.05);治疗后两组经期、经量(量化评分)、周期(量化评分)均优于治疗前,且补肾活血方组均优于常规治疗组,差异均具有统计学意义(P<0.05).治疗前两组孕酮(P)、雌二醇(E2)、P/E2比较差异均无统计学意义(P>0.05).治疗后两组患者P、P/E2均较治疗前升高,且常规治疗组P高于补肾活血方组,差异均具有统计学意义(P<0.05);治疗后补肾活血方组E2较治疗前升高,常规治疗组E2较治疗前降低,且补肾活血方组E2高于常规治疗组,差异均具有统计学意义(P<0.05).结论 肾虚型黄体功能不健性月经失调患者经中医补肾活血方治疗的效果可观,表明了中医辨证论治,个体化治疗的优势.

目的:探讨跨学科并行式PBL教学模式在“中西医结合急诊内科学”部分内容课堂教学的教学效果,为跨学科并行式PBL教学模式的开展提供依据.方法:中西医结合七年制专业班137名学生为研究对象,16名精英班学生为实验组,其余121名学生作为对照组,分别以PBL教学法及传统教学方法进行“中西医结合急诊内科学”部分内容课堂教学.试验结束后,通过问卷调查、对比测试、批判性思维对两组教学效果进行评价.结果:PBL教学法有利于激发学生的学习兴趣,提高操作技能,增强综合分析、解决临床实际问题能力.实验组考试成绩明显高于对照组(P＜0.05),教学效果优于传统教学.PBL教学前两组学生的批判性思维能力测评得分差异无统计学意义,PBL教学后则实验组高于对照组,且实验组自身见习前后差异也有统计学意义.结论:在“中西医结合急诊内科学”课堂中实施跨学科并行式PBL教学模式可以提高教学效果.

Objective To observe the therapeutic effect of Shegan Mahuang Decoction combined with acupoint application in treating the post-infection cough.Methods One hundred and twenty patients with post-infection cough were equally randomized into treatment group and control group.The treatment group was given Shegan Mahuang Decoction combined with acupoint application,and the control group was treated with Ketotifen and Chinese herbal medicine particles placebo,the treatment lasting 7 days.The changes of main symptoms were observed before treatment,3 and 7 days after treatment,and then the therapeutic effect in both groups was evaluated.Results(1)The cure rate of the treatment group was 25.0% and the total efficiency was 93.3%.In the control group,the cure rate was 11.6% and the total efficiency was 80.0%.The differences of cure rate and total efficiency were significant between the two groups(P0.05).(2)The differences of total scores of symptoms such as cough,expectoration,and itching in the throat were insignificant between the two groups before treatment(P﹥0.05).After treatment for 3 and 7 days,the total scores of symptoms were decreased obviously in both groups(P0.05 or P0.01 compared with those before treatment).On treatment day 7,the decrease of score of all symptoms except for itching in throat in the treatment group was superior to that in the control group(P0.05).(3)Time for cough relief was shorter in the treatment group than that in the control group(P0.05).(4)Adverse reaction was not found in the two groups.Conclusion Shegan Mahuang Decoction combined with acupoint application is effective and safe in treating the post-infection cough,and has better effect on relieving the symptoms of cough and expectoration than Ketotifen.