目的 探讨中医脾虚证与骨质疏松之间的关系.方法 统计400例诊断为骨质疏松患者,检测所有患者的骨密度、握力、肌肉含量、体质量指数(BMI)等指标,分析握力、肌肉含量、BMI与骨密度的相关性,并根据中医证状分为脾虚组和非脾虚组,比较2组的握力、肌肉含量.结果 握力≤18 kg和握力＞18 kg、肌肉含量≤40.76 kg和肌肉含量＞40.76 kg、BMI≤23 kg/m2和BMI ＞23 kg/m2患者之间骨密度的差异均有统计学意义(P＜0.05).脾虚型与非脾虚型的握力、肌肉含量差异均有统计学意义(P＜0.05).结论 中医脾虚证与骨质疏松有一定的关系,骨密度与握力、肌肉含量、BMI相关,中医之脾虚证是导致骨密度含量下降的重要条件.
Objective To study the relationship between postmenopausalosteoporosis and brachial-ankle pulse wave velocity.Methods BMD of lumbar spine and left hip of 243 postmenopausal women was measured by dual-energy X-ray absorptiometry. Based on the T-scores of bone mineral density,participants were categorized into non-osteoporosis group(116 cases)and osteoporosis group(127 cases),BaPWV was tested by fully automatic arteriosclerosis diagnosis instrument. Comparisons were made between the two groups for baPWV,to determine whether there were differences and their correlation with bone density.ResultsThe difference of baPWV was statistically significant in two groups(P<0.05),the baPWV of osteoporosis group was higher than that of non-osteoporosis group(t=-2.101,P=0.037). BaPWV was negatively correlated with BMD of left hip and lumbar spine in total group(P<0.05). BaPWV was negatively correlated with BMD of left hip and lumbar spine in osteoporosis group (P<0.05),however,negative relationship didn`t appear between baPWV and BMD of lumbar spine in non-osteoporosis group(r=-0.145, P>0.05).Conclusions The high level of baPWV may be a predictive factor for postmenopausalosteoporosis.
王秀娟教授认为,唇炎的病因病机为胃腑有积热,复感风热之邪,灼唇部形成胃经风热证;脾胃受损,湿邪内生,湿热循经上蒸结于唇部;脾胃积热郁久化火,灼阴化燥,阴虚血燥,津液不能上行濡润唇肤而发为唇病.治法多用疏风清热、健脾除湿、滋阴润燥,同时加强合理饮食及护理常规.
王秀娟教授认为脾胃病总的病机是虚实夹杂,“虚”以气虚、阴虚多见,“实”以血瘀、痰阻多见.治宜益气养阴,涤痰化瘀.其辨证治疗肠上皮化生、不典型增生、胃食管反流病、慢性腹泻等脾胃病疗效显著.
Pathogenesis of Anxietydepression is still unclear nowadays. There are several hypotheses, among which the study of the relationship between brain neurotransmitters and depression is the most in-depth. My tutor Professor Li Yuehua cured one pat ient who had an unexplained fever with TCM diagnosis and treatment. At the beginning, the fever was unexplained and intermittent. Other hospitals treated the patient with ant ipyret ic and hormone, but the patient did not get better after five months. The patient with great depression and nervousness lose interest in life. Professor Li Yuehua used TCM diagnosis and treatment to clear heat and promote diuresis. At the same time, western medicine was added to cure anxiety and depression. Finally, the pat ient got better.
目的:探讨蒿芩清胆汤在现代临床应用中的研究进展。方法:整理近几年蒿芩清胆汤治疗临床各种疾病的临床资料,对古方、现代验方和中西医结合治法的应用情况综述。结果:蒿芩清胆汤在治疗流感、胆囊炎、胃炎、发热等各种疾病方面有显著的效果,副作用也较少。结论:使用蒿芩清胆汤辨证治疗少阳湿热痰浊证方面,具有显著地效果。
