依据《伤寒论》六经辨证理论,用经方小柴胡汤合当归四逆汤加味,治愈1例辨证属厥阴少阳证,病机为阳郁寒凝的急性结节性红斑(EN),疗程短,见效快,值得借鉴.

本文介绍李永成教授治疗溃疡性结肠炎的理论和经验,从溃疡性结肠炎的发病病因、发病机制、发病和转变过程、分型论治进行了论述,认为溃疡性结肠炎的根本病因是脾虚,水液代谢失常,水火交结成痞,病性是寒热错杂,且为其疾病基本特征,中心环节,寒热并调是其治疗常用治则.

本文通过分析、总结、归纳何廉臣对《全国名医验案类编四时六淫病案》以六气为纲的疾病分类方法,总体分为风、寒、暑、湿、燥、火六门,各门细分下又包括六气本证,六气本证与疾病核心信息组合,六气兼证、夹证、变证,特定病名等数种情况,执简驭繁,细致入微,使学者在学习与实践中能够从中医理论高度分析复杂的临床问题,对学术研究和临床工作具有指导意义.

Thrombocytopenia is a common clinical phenomenon in patients of intensive care unit(ICU).It can be used as an independent risk factor for the severity of the disease and an observation indicator of the prognosis.Sepsis,drugs, trauma,major surgery and some special treatments such as continuous renal replacement therapy or intra -aortic balloon pump in ICU etc.can cause thrombocytopenia.The mechanism can be summarized as increased consumption and destruc-tion of platelet and/or decrease of the platelet production of different causes,platelet desialylation and some immune factors. The critical illness is complex and multiple factors exist simultaneously.Platelet should be monitored closely to deliver active treatment of the original disease,recombinant human thrombopoietin,immunoglobulin or oseltamivir should be used when severe thrombocytopenia or hemorrhagic tendency happen,and platelets infusion should be given if necessary.

从"气机升降"理论出发,结合危重病的发病特点,阐述脾胃气机升降失常是危重症胃肠功能障碍的根本病机,为其发生发展的关键因素,调整中焦气机,顾护脾胃,恢复脾胃升清降浊的功能在其防治过程中具有重要的临床意义,应贯穿危重病胃肠功能障碍治疗的始终.

Objective To investigate the effects of nalmefene combined with mild hypothermia therapy on the prognosis of patients with cardiopulmonary resuscitation (CPR). Methods Eighty patients with successful cardiopul-monary resuscitation who were transferred from clinical departments and Emergency Department into ICU from January 2013 to Dec. 2014 were included in the study. The patients were divided into the observation group and the control group according to a random number table, with 40 cases in each group. The observation group applied nalmefene com-bined with mild hypothermia therapy for treatment, while the control group only used mild hypothermia therapy. The prognosis of the patients in the two groups was observed. Results After CPR, blood lactic acid, Glasgow Coma Scale (GCS) score, acute physiology and chronic health evaluation (APACHEⅡ) score showed no statistically significant dif-ference between the two groups (P>0.05). 72 h treatment can significantly improve the blood lactate level and APACHEⅡscore, as well as the GCS score (P<0.05). Compared with control group, the observation group had significantly better blood lactic acid [(3.72±1.02) vs (4.00±0.84)], GCS score [(7.12±2.14) vs (5.03±1.62)], APACHEⅡscore [(16.00±3.73) vs (18.90 ± 2.54)], P<0.05. The mortality within 7 days of the observation group (20.0%, 8/40) was significantly lower than that of the control group (40.0%, 16/40), P<0.05. Conclusion Nalmefene combined with mild hypothermia thera-py can improve cardiopulmonary cerebral resuscitation in patients with neurological function and organ failure, reduce neurological sequelae, and improve the short-term prognosis.

出汗是临床上一个重要症状，本文以《内经》原文对汗的论述为基础，进行总结分析，认为汗出有3个要素，分别是充足的阴液，阳气的蒸腾，腠理的开放，任何一方出现问题，都可影响人的机能，进而出现汗出异常，而阴阳气的协调，卫阳之气的固护在出汗这个过程里显得十分重要，本文对异常出汗进行了解析。

The meaning ofYinhuo has not been conclusive. It analyzes the formation process of Dong Yuan theory based on the background of Jin and Yuan Dynasties and its academic background,restores its theoretical development in the progress. It analyzes the original meaning ofYinhuoin many aspects,Yinhuoreferring to the fire induced by internal damages, deficiency of the spleen and stomach, but not particularly the fire of certain organ.

脾与胃解剖位置相近,生理功能相互影响,从而导致二者病理上亦息息相关,由此推出二者在治疗上亦相互影响,脾与胃疾病的治疗往往相提并论,但二者在生理、病理上亦存在差异,故在治疗上亦有所差别。本文从解剖、生理、病理改变及治疗上对脾胃关系进行了简单分析,以期能对临床处方用药有所提示。

Cold,cold combined with dampness or excess cold were the common reasons of cough induced by exogenous pathogen in summer.Dispelling and promoting the circulation of QI was the main therapeutic principle and method in treating this kind of cough.This article illustrated the therapeutic mechanism and the experiences of cough induced by the exogenous pathogen in summer by modified prescription based on ancient prescription of Xing Su Powder.