目的 探讨少腹逐瘀汤加减配合药袋热敷治疗对慢性盆腔炎患者的炎症因子的影响.方法 选择慢性盆腔炎患者60例,随机分为两组,各30例.两组患者均采用少腹逐瘀汤配合药袋热敷治疗,观察组热敷时间为60 min,对照组热敷时间为30 min.比较两组炎症因子水平、中医症状积分、不良反应.结果 治疗后,对照组TNF-α、IL-1β水平高于观察组,IL-4水平低于观察组,中医症状积分高于观察组(P<0.05);两组不良反应发生率相比,差异无统计学意义(P>0.05).结论 慢性盆腔炎患者采用少腹逐瘀汤配合药袋热敷治疗,热敷时间60 min治疗效果明显优于热敷30 min,利于降低炎症因子水平,改善临床症状.

目的:调查分析围绝经期综合征合并抑郁倾向患者的中医证候学特点.方法:以围绝经期综合征患者110例为研究对象,填写相关临床调查问卷,进行一般情况、改良Kupperman量表的症状评分量表、中医证候学量表、汉密尔顿抑郁量表的调查,对收集的数据进行统计和分析.结果:(1)调查的110例患者中,有抑郁倾向者77例,占70.00％;(2)围绝经期综合征合并抑郁倾向的77例患者中,肾阴虚者42例(54.55％)、肾阴阳两虚者27例(35.06％),肾阳虚者8例(]0.39％),结果显示以肾阴虚、肾阴阳两虚者多见,兼有肝郁者53例(68.83％),研究结果说明围绝经期综合征合并抑郁倾向的人群多兼夹有肝郁证;(3)围绝经期综合征合并抑郁倾向的77例患者研究结果提示,随着围绝经期综合征症状程度的加重,合并抑郁倾向的可能性增加.结论:围绝经期综合征以肾虚为本,合并抑郁倾向患者多兼夹肝郁证.肾虚肝郁是围绝经期综合征合并抑郁倾向患者的主要病机特点,中医治疗本病时,在调补肝肾的基础上重视养肝柔肝,对于防治本病的发生、发展有着一定的临床意义.

目的 探讨中药外敷联合情志护理治疗盆腔炎性疾病的临床治疗效果.方法 选择盆腔炎性疾病患者60例,随机分为观察组与对照组,各30例.对照组进行中药外敷治疗,观察组给予外敷加情志治疗的方式进行护理治疗.两组疗程均为21d,对比两组患者的在的临床治疗效果,安全性及治疗依从性.结果 观察组临床治疗效果显著优于对照组患者.结论 桂棱双草止痛方联合情志护理对临床上治疗盆腔炎性疾病疗效显著,值得临床推广使用.

目的:本课题主要对子宫腺肌病的中药用药规律探索,力求寻找出治疗该病的中药基础用药,进而提高临床疗效.方法:主要从中国期刊全文数据库中检索出1998—2014年间中药治疗子宫腺肌病的文献,筛选出口服中药方、病例数大于等于25例、有效率大于等于85%的文献64篇,共涉及方剂84方,其中有计量的方子53方,对其中涉及的中药出现频次、总剂量、药性、药味、五脏归经进行录入、统计,分析出子宫腺肌病的中药用药规律.结果:1)子宫腺肌病的用药主要以活血化瘀药及补虚药为主,具体以活血行气止痛药及补血药最多,用药以苦、辛、甘、温、平、凉为主.2)子宫腺肌病与肝、脾、肾三脏关系密切.结论:1)子宫腺肌病的病理实质是瘀血,病因以瘀、虚为主,病机以气滞、血瘀、气虚、血虚的气血失调为主,发病与肝、脾、肾关系密切,病性属虚实夹杂.2)中医药治疗上以活血化瘀、行气止痛、补虚为法.

Objective: To study the characteristics of syndrome differentiation in TCM and constitutional classification of TCM in recurrent vulvovaginal candidiasis(RVVC),and in addition,the correlation between them.Methods: 98 patients of RVVC were interviewed and the gynecological examination were performed by doctor.The questionnaire adopted general condition,syndrome and constitution condition of TCM.Results: Syndrome of dampness-heat was the most common type,spleen deficiency syndrome and kidney-yang deficiency syndrome were the second and the third.Liver depression syndrome was the most common type in accompanying syndromes.In composite syndromes,dampness-heat mixed with liver depression and spleen deficiency mixed with liver depression were the most frequently encountered.Qi-stagnation constitution,yang-deficiency constitution and dampness-heat constitution were the common unhealthy constitutiones of TCM in RVVC patients.Conclusion: There are relations and differences between syndrome and constitution.The constitution influences the syndrome.But in certain condition,they are not consistent.Qi-stagnation constitution is also the pathogenesis basis of syndrome of dampness-heat commonly.

<正>痛经是指妇女正值经期或行经前后出现周期性小腹疼痛,或痛引腰骶,甚至剧痛昏厥者。据调查我国妇女中痛经的发生率为33.1%,其中原发性痛经占53.2%[1]。临床实践表明中医药治疗本病疗效显著,且不良反应小。我们对近30年国内中医药类杂志发表的有关治疗原发性痛经的文献进行搜集、整理、初步分析。

本文将对古医籍中治疗痛经的方药进行归纳、整理,并加以分析,以期探讨古代医家对痛经的病因病机、证候特点及用药规律的认识。

Objective To observe the clinical efficacy of combined oral and enteric administration of Chinese herbs acting to activate blood and resolve blood-stasis and toxin in the treatment of chronic pelvic inflammation. Methods 115 subjects were randomized into two groups: treatment group in which 58 cases were treated with combined oral and enteric administration of Chinese herbs and control group in which 57 cases were treated simple oral administration of Chinese herbs, with a course of 45 days. Results The total effective rate was 96.56% in treatment group and 82.46% in control group, P<0.05. Conclusion Combined oral and enteric administration of Chinese herbs acting to activate blood and resolve blood-stasis and toxin is quite effective for chronic pelvic inflammation.

目的:揭示和比较对小鼠试验中,益坤宁合剂、益母草颗粒剂在缩短出、凝血时间;消炎及加强子宫收缩方面作用机制。方法:把小鼠随机分成益坤宁合剂大、中、小给药组、益母草颗粒剂组、蒸馏水对照组,分别给予益坤宁合剂、益母草颗粒剂、蒸馏水4d。实验1:小鼠剪去尾尖,记录各组出、凝血时间,同正常对照组相比,益坤宁大、中、小剂量组,益母草组出血时、凝血时均有不同程度的缩短,其中大、中剂量组与益母草组缩短明显(P<0.05或0.01)。实验2:打孔器分别在左右耳同一部位打下圆耳片,称重并计算右耳肿胀度和右耳肿胀百分率,同对照组相比,益坤宁合剂大、中、小剂量组,益母草组小鼠耳肿胀和耳肿胀百分率均有不同程度降低,与对照组比较无明显差异性(P>0.05)。实验3:将雌性大鼠在实验的前1d皮下注射已烯雌酚0.1mg/100g体重,注射24h后将大鼠颈部脱臼,取出子宫放入麦氏浴管,描记子宫在10min内的正常活动曲线,描记加入药物后子宫10min内的活动曲线,分别计算子宫收缩频率和收缩强度,益坤宁合剂在剂量分别为4、2、1mg/ml时,子宫活动频率分别增加50%、19.9%、7.04%,子宫波高度分别增加40.09%、27.08%、13.15%,子宫波宽度分别增加50%、23.26%、9.67%,表明益坤宁合剂可增加子宫收缩频率,较益母草颗粒剂作用显著,还可同时增加子宫收缩强度。

<正>王子瑜教授系全国有独特学术经验和技术专长的名老中医。王老从事中医教学、医疗、科研60余年,在长期的临床实践中,运用中医药治疗妇科经、带、胎、产及杂病,积累了丰富的经验。其良好的医德、精湛的医术,获得患者的尊重与好评。

目的:观察益坤宁合剂治疗药物流产后出血(气虚血瘀证)的疗效。方法:将115例患者随机分成两组,对照组50例在常规药物流产后口服益母草颗粒剂,每次15g,每日2次,连服7天;试验组65例在常规药物流产后口服益坤宁合剂,每次100m1,每日2次,连服7天。结果:试验组总有效率92.31%;对照组总有效率78%,两组比较有统计学差异,P<0.05。结论:益坤宁合剂具有缩短药物流产后出血时间、减少出血量的疗效。

Objective To observe the curative effect of Qingdu Pessary on erosive cervicitis. Method The patients with diagnosed erosive cervicitis (n=98) were given Qingdu Pessary once every other day 3 days after menstruation. A treatment course included 10 times and the patients were treated continuously for two courses. Result There were 32 cases cured (32.653 %), 32 cases with approving results (32.653 %), 23 cases with good results (23.469 %) and 11 cases without any results (11.225 %). The total effective rate was 88.775 %. The less serious erosive cervicitis, the better of curative effect was. Conclusion Qingdu Pessary has a reliable effect on erosive cervicitis and it is a safe and effective external preparation of Chinese medicine without adverse reaction.

目的观察应用中西医结合方法对女性生殖道衣原体、支原体感染的治疗作用.方法30名确诊病例均予阿奇霉素1 g单次顿服;同时口服中药自拟芪柏化浊方14 d.结果痊愈18例,占60.0%;显效9例,占30.0%;进步2例,占6.7%;无效1例,占3.3%,有效率为90.0%.结论中西医结合治疗女性生殖道衣原体、支原体感染是一种较好的方法.