汗法是通过发汗以解除外邪的一种治法,临床主要用于表证.汗法有广义与狭义之分,广义汗法是通过八法使阳加于阴,阴阳调和促使正汗出,狭义汗法是使用辛散发汗之品或者针灸熏熨鼓动阳气,驱邪而使汗出.李士懋教授认为不独表证可用,里证亦可用汗法.在诊断寒凝型高血压时注重脉诊,以脉为辩证治疗的依据,脉以沉弦紧滞为主,其次是疼痛、恶寒,再次是头晕头痛、胸闷、心悸等其他症状和体征.常用温阳散寒发汗的麻黄细辛附子汤合疏通经络的止痉散,使阴阳调和,脉痉得解.
医圣张仲景总结多年临床经验,编著了《伤寒杂病论》,不仅创制了广为人知的六经辨证和脏腑经络辨证体系,在经方用药方面亦展现出丰富的标本辨证观,尤其在论治肾病方面颇有见地.肾脏病变复杂多样,笔者欲从标本、虚实、寒热出发对其病因病证及遣方用药进行分析梳理,以期挖掘张仲景治疗肾病治病治本的临证思路,给予后世借鉴参考,更好地服务于临床.
Objective: To devise the herbal compound cluster in preventing and treating dermatosis of healthy qi deficiency and excessive pathogen. Methods: High-frequency Chinese herbs were used as basic compound, which was digged from famous doctors' clinical prescriptions in treating dermatosis of healthy qi deficiency and excessive pathogen. The optimal percentage of compound cluster would be established by setting up the target efficacy feature by means of optimization of Manhattan distance and mathematical modeling. Results: Six kinds of Chinese herbal compounds in accordance with the basic prescription were acquired. Conclusion: Six Chinese herbal compound group has retained the famous doctors' prescription characteristics, which would provide sufficient resources for treating dermatosis of healthy qi deficiency and excessive pathogen. The advantages of prescription groups exceed the single prescription. Similar-efficacy herbal compound group is important for widening clinical drug administration scope and relieving resource pressure.
为探讨中医文献研究生古典医籍知识产权教育的意义及方法,以中药古籍《证类本草》为例,分析经典医药学著作中蕴含的知识产权内容,进而探究文献类研究生古医籍知识产权教育的途径.结果显示,古典医籍的知识产权涵盖专利权、道地药材地理标识、植物新品种保护等领域,可以通过引导入门、入学培训、选修课程、编写资料、开设论坛等多种途径展开学生培养.由此得出结论:中医文献研究生古典医籍知识产权教育不可一蹴而就,需要长期的摸索与实践.不同院校应酌情规划,摸索相宜方案,设定灵活而实用的模式培养学生的认知与能力.
为探究中医药文献研究生展开数据挖掘教育的重要性,通过摆事实、讲道理,通过数据挖掘在各个领域的作用、中医药科研中的应用现状等内容分析,探讨中医药文献研究生对于数据挖掘教育的需求性.结果与结论:数据挖掘是新兴技术,成功应用于很多领域,中医药数据挖掘尚处于形成阶段,学科交叉的中医药文献数据挖掘发展潜力巨大,作为科研生力军,研究生接收数据挖掘教育的意义深远.
目的:探讨在中医药研究生中开设选修课的相关内容.方法:结合笔者多年来的授课及科研经验,以《古医籍中药组方权利要求书撰写》作为选修课研究内容,分析在内容设置方面的相关问题.结果与结论:《古医籍中药组方权利要求书撰写》主要面向学有余力的中医药基础研究生,授课内容大致涵盖权利要求书的价值、组成、保护范围、解释原则等内容.
Objective To explore the feature of medicinals used by Prof. Zhao Bingnan in treating skin disorders with the pattern of deficient healthy qi and excessive pathogenic qi. Methods Medical records of Prof. Zhao' s patients with skin disorders were collected and 363 prescriptions were selected as the pat-tern diagnosis was deficient healthy qi and excessive pathogenic qi, whose rule of herbal combination would be probed by means of cluster analysis ( Hierachical Cluster and K-means Cluster) . Results 363 prescriptions involving 94 Chinese herbs were clustered into two categories. The first category, as the ma-jor category with much higher dosage, frequency, monarch position in the formula, included eleven kinds of Chinese herbs. Conclusion Eleven kinds of Chinese herbs were frequently used in treating skin dis-orders of deficient healthy qi and excessive pathogenic qi, with the major effects of nourishing blood or yin, clearing heat and cooling blood, eliminating turbidity and etc. This demonstrates a holistic, compre-hensive, sequenced and stepwise approach to treatment. Analyzing and summarizing aged famed TCM practitioners' experiences in the choice of Chinese medicinals would contribute to the enrichment of TCM dermatology.