最新刊期
期 3 ， 2018
- 摘要：Traditional Chinese Medicine（ TCM） is rich in theoretical guidance and clinical practice in elderly frailty,but lack of rigorous assessment methods. Frailty assessment which focuses on single disease can’t fully reflect the complexity in frailty elderly. We should intensify the study on the diversification of elderly disease,and pay attention to the overall state of it. We combine the theory of"preventive treatment of disease"with geriatric assessment in order to guide TCM syndrome differentiation and treatment,and give a full play to the characteristics and advantages of TCM.关键词：elderly;frailty;traditional Chinese medicine;assessment;intervention
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发布时间：2023-04-10 - 摘要：Objective To explore the characteristics of TCM syndrome distribution in elderly frailty. Methods TCM differentiation and syndrome data of 61 cases of patients with elderly frailty were investigated by"Elderly Frailty TCM Syndromes Investigation Form".Results Qi deficiency and yin deficiency were two common deficiency types in elderly frailty patients. Qi depression and phlegm dampness were two common excess syndromes. Conclusion The appearance of elderly frailty is closely related to Qi deficiency of five zang organs and the decline of five zang organs is the core pathogenesis of elderly frailty.关键词：elderly frailty;TCM;syndrome
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发布时间：2023-04-10 - 摘要：Objective To develop Elderly Frailty Assessment Scale of Integrative Medicine to provide evaluation tool for evaluating TCM symptoms of frailty of elderly patients. Methods The primary item pool was formulated according to literature review,academic opinions of TCM doctors and peer review in meeting. The items were selected through expert consultations. Results The positive coefficient of the experts was 100%,and the expert authority coefficient was 0. 87. After two rounds of consultation,the Kendall’s W coordination coefficient of the expert opinions was 0. 484,and the value of χ2 were 822. 647（ P < 0. 01）. The Elderly Frailty Assessment Scale of Integrative Medicine consisted of 42 items,including 36 items of Qi deficiency,blood deficiency,Yin deficiency,Yang deficiency,deficiency syndrome leading to excess syndrome and 5 items of western medicine,and 1 item of medication. The scale content validity index（ S-CVI） was 0. 90. The Cronbach ’s α coefficient of the scale was 0. 746. Conclusion The Elderly Frailty Assessment Scale of Integrative medicine based on the weakness index model with deficiency syndrome related symptoms of TCM as the core index is reliable and valid and can be used to evaluate elderly frailty.关键词：elderly;frailty;frailty index;scale;integrative medicine;comprehensive geriatric assessment
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发布时间：2023-04-10 - 摘要：Objective To establish frailty assessment method suitable to Chinese elderly with Elderly Frailty Assessment Scale of Integrative Medicine to evaluate the frail state of elderly inpatients. Methods The frail status of 108 elderly inpatients was evaluated by using geriatric assessment of Integrative Medicine（ FI-TCM）,comprehensive geriatric assessment（ FI-CGA）,and clinical frailty scale（ CFS-09）. Frailty index was calculated. The correlation between FI-TCM value,FI-CGA value and CFS-09 level of the inpatients was compared,as well as the frailty state of inpatients with different sex,age,hospitalization days and costs. Results The mean value of FI-TCM was 0. 28 ± 0. 15,FI-CGA was 0. 23 ± 0. 08,and the average level of CFS-09 was 3. 44 ± 1. 01. The difference of FI-TCM,FI-CGA and CFS-09 of male and female had no statistical significance（ P > 0. 05）. The FI-TCM value,FI-CGA value,and CFS level increased with age,hospitalization days,hospitalization costs; the differences had statistical significance（ P < 0. 05）. There was a positive correlation between FI-TCM value,FI-CGA value,and CFS-09 level（ P < 0. 05）,and a positive correlation between FI-TCM value and CFS-09 level. Conclusion Elderly Frailty Assessment Scale of Integrative Medicine is an effective model for the quantitative evaluation of the frail state of elderly inpatients,and can be used for the clinical practice of geriatric medicine.关键词：integrative medicine;frail elderly;assessment;scale;frailty index;clinical practice
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发布时间：2023-04-10 - 摘要：There are a lot of ancient TCM literatures about keeping fit during elderly and senile disease prevention. This paper makes a preliminary summary of the therapeutic principles and methods for elderly frailty through sorting out elderly frailty-related contents based on the basic theories of TCM recorded in ancient TCM literatures and provide references for the clinical practice.关键词：elderly;frailty;TCM therapy;intervention;ancient literatures
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发布时间：2023-04-10 - 摘要：Frailty seriously affects the life expectancy and quality of the elderly in our country. Multidisciplinary intervention model based on comprehensive assessment is the best strategy for health management of the frail elderly at present. Traditional Chinese medicine（ TCM） has recognized the importance of diet,psychology and other factors on the health of the elderly for a long time. The multidisciplinary intervention model of TCM formulated based on the pathogenesis of the frail elderly has two major characteristics of TCM: holistic concept and treatment according to syndrome differentiation, and it also has certain advantages in effectiveness,practicality,an diversity.关键词：elderly;frailty;multidisciplinary intervention;advantage;traditional Chinese medicine
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发布时间：2023-04-10 - 摘要：Objective To investigate the cardiopulmonary endurance and ability of daily living（ ADL） in aged women patients with sarcopenia and discuss the associations between them with TCM syndromes. Methods The enrolled aged women patients with sarcopenia were divided into two groups: syndrome of liver-kidney deficiency and syndrome of spleen-stomach deficiency. Cardiopulmonary endurance was measured by 6 Minutes Walk Test（ 6 MWT） to evaluate the cardiopulmonary endurance and the ability of daily living was assessed by ADL Scale. The factors,including grip strength,walking speed,RASM,BMI,6 MWT,and ADL of two groups,were compared and analyzed in correlation,which were compared with the aged women without sarcopenia.Results 105 aged women,including 28 cases of aged women patients with sarcopenia（ 16 cases in liver-kidney deficiency group,12 cases in spleen-stomach deficiency group） together with 77 cases of non-sarcopenia patients were recruited in the study. Compared with the non-sarcopenia group,the distance of 6 MWT were decreased significantly（ P < 0. 05） and ADL scores were higher（ P < 0. 05） in sarcopenia group. There was a positive correlation between 6 MWT and other factors including grip strength,walking speed,RASM,and BMI. A negative correlation was displayed between 6 MWT with ADL scores. Between group of liver-kidney deficiency and group of spleen-stomach deficiency,there were no statistical significances presented in their grip strength, walking speed, RASM, BMI,6 MWT,and ADL（ P > 0. 05）. Conclusion There was more or less a decline of cardiopulmonary endurance in elderly women patient with sarcopenia. A positive relationship was presented between cardiopulmonary endurance and the ability of daily living. The decline of cardiopulmonary endurance in elderly women sarcopenia may further reduce the quality of lives. There are no significant correlation between cardiopulmonary endurance and ability of daily living with TCM syndromes in elderly women sarcopenia.关键词：geriatrics;sarcopenia;TCM syndromes;cardiopulmonary endurance;ability of daily Living
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发布时间：2023-04-10 - 摘要：Objective To study the relationship between the onset of lumbar compression fractures with age and TCM syndromes in osteoporosis patients. Methods 800 patients diagnosed as osteoporosis aged between 55 and 85 were grouped into liver and kidney deficiency syndrome,spleen and kidney deficiency syndrome,and spleen and kidney deficiency syndrome; those primary osteroposis patients with height lose≥3 cm were given L1-L4 lumbar vertebral bone mineral density BMD value measurement（ France MEDILINK dual light energy Xray absorptiometry,DEXA）,combined with X-ray Genant semi-quantitative method to measure the lumbar L1 L4 anterior vertebral height and projection area and determine the incidence of lumbar compression fracture. Results Among 800 cases of elderly osteoporosis with height lose≥3 cm,the incidence of lumbar compression fracture was 81. 5%. In fracture patients,the fracture incidence was increased with ages as it was 10. 58% in 55-65 year-old group,27. 24% in 66-75 year-old group,and 61. 38% in 76-85 year-old group. Syndrome of spleen and kidney deficiency accompanied with blood stasis had the highest incidence of it of 69. 79%,much higher than that of syndrome of liver and kidney deficiency（ 6. 55%） and syndrome of spleen and kidney deficiency（ 19. 31%）; and the differences were statistically significant（ P <0. 01）. Conclusion The incidence of lumbar compression fracture in patients with primary osteoporosis is increased with ages,syndrome of spleen and kidney deficiency with blood stasis has the highest fracture rate among three TCM syndromes.关键词：osteoporosis;lumbar compression fracture;TCM syndromes
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发布时间：2023-04-10 - 摘要：Objective To observe the effects of Yangyin Qingfei Formula on the balance of Th17/Treg in peripheral blood of rats with radiation-induced pneumonia and explore its mechanism of prevention and treatment of this disease. Methods Fifty SD rats of half male and half female were randomly divided into blank group（ C）,model group（ M）,prednisolone group（ J）,TCM group（ Z）,TCM and prednisolone group（ X）. The whole chest of rats in four groups except the blank group was irradiated by a linear accelerator at a dose of16 Gy. From the first day after irradiation,each group was given the intervention. Four weeks after irradiation,10 rats in each group were sacrificed. HE and Masson staining were performed in the middle of right lung,and the whole blood samples were collected for flow cytometry. The pathological changes of lung tissue and the changes of Th17,Treg and Th17/Treg in 4 weeks after radiation were observed in each group. Results There was a significant difference in Th17 ratio between group M and group C at 4 weeks after radiotherapy（ P = 0. 011 < 0. 05）. There was no significant difference in Th17 between any two groups of group M,J,Z and X（ P >0. 05）. Compared with group C,the proportion of Treg in group M was slightly increased,but the difference wasn’t significant（ P =0. 062 > 0. 05）. The proportion of Treg in group J,Z and X was lower than that in group M（ P < 0. 05）. There was no significant difference in Treg between any two groups of group J,Z and X（ P > 0. 05）. The ratio of Th17/Treg in group M and C was increased with statistical difference（ P = 0. 023 < 0. 05）. There was no significant difference in Th17/Treg between any two groups of group M,J,Z and X（ P > 0. 05）. Conclusion Th17/Treg imbalance exists in the peripheral blood of rats with radiation-induced Pneumonia. Yangyin Qingfei Formula can effectively reduce inflammation and fibrosis in the local lung tissues of rats with radiationinduced pneumonia. The mechanism may be related to the inhibition of Treg.关键词：Yangyin Qingfei Formula;radiation-induced pneumonia;SD rat;Th17/Treg balance
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发布时间：2023-04-10 - 摘要：Objective To develop a HPLC method for simultaneous determination of ferulic acid,Senkyunolide I,Senkyunolide H,Senkyunolide A,z-ligustilide,Butylidenephthalide and α-Cyperone in Ligusticum chuanxiong Hort.-Cyperus rotundus L.. Methods The HPLC system consisted of a Kromasil-C18 column（ 4. 6 mm × 250 mm,5 μm）,with the mobile phase of methanol solution（ A）-water solution containing 0. 1% formic acid（ B） for gradient elution. DAD detector was used and the detection wave lengths were 250 nm and286 nm. The flow rate was 1. 0 m L/min and the column temperature was 25 ℃. Results The liner relationships of seven effective components were favorable; the mean rate of recovery of each were 99. 7%,99. 6%,98. 9%,101. 2%,99. 4%,100. 3%,99. 0%,and RSD were 1. 7%,1. 5%,1. 3%,2. 3%,2. 2%,1. 6%,2. 1%; other methodological investigation results followed the requirements. Conclusion This method is simple,rapid and correct,and it can be used for simultaneous determination of seven effective components in Ligusticum chuanxiong Hort.-Cyperus rotundus L.,and meanwhile,provide scientific evidences for overall quality evaluation and control of it.
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发布时间：2023-04-10 - 摘要：周德安教授治疗小儿发育迟缓主张取穴以治神为主,其应用"针灸四神方"以醒脑开窍、健脑益智;以督脉十三针、任脉穴位以平衡阴阳,调节元神功能;取肾经、手足阳明经穴位以补益先天和后天。共同达到健脑益智、填精益髓的功效。关键词：周德安;针灸;治神;发育迟缓;五迟;五软;老中医经验
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发布时间：2023-04-10 - 摘要：基于前人对药物功效的记载,秉承国医大师的临床经验,借鉴现代药理研究结果,综合王暴魁教授个人临床体会,分析和总结王暴魁教授运用黄芪、仙鹤草、山萸肉、海藻、地骨皮、苏叶、黄连、芦荟、干姜、姜黄等药治疗肾病的独特用法和用量。关键词：王暴魁;肾病;中医药疗法;临床经验;名中医经验
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发布时间：2023-04-10 - 摘要：秦建国主任医师根据高血压肾损害的发病机制,按照中西医不同临床特点,将高血压肾病分为3期:Ⅰ期:肾早期损害指标异常,但血肌酐（SCr）正常;Ⅱ期:SCr≤177μmol/L,即慢性肾功能不全代偿期;Ⅲ期:SCr>177μmol/L,即包括慢性肾功能不全失代偿期、衰竭期及尿毒症期。其认为高血压肾病中医病机为肾络瘀损,辨证分为肝阳上亢,肾络瘀阻（早期）;肝肾阴虚,肾络瘀损（中期）;气阴两虚,肾络瘀结（后期）三型。中医治则分别为平肝潜阳,化瘀通络;滋补肝肾,化瘀通络;补气养阴,通络益肾。临床均以降压通络方为主加减化裁。关键词：秦建国;高血压;肾损害;肾络瘀损;化瘀通络;名中医经验
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发布时间：2023-04-10 - 摘要：吴显文教授擅长恶性肿瘤的放疗、术后及放化疗中的中医治疗及恶性肿瘤晚期的中医姑息治疗。针对恶性肿瘤患者临床症状、病机复杂及证型多变的特点,吴教授以《内经》《脾胃论》为理论指导,认为肿瘤的形成与"阳气虚""浊气生"有关,治疗以健运中焦为主要原则,辨病与辨证相结合,疗效显著。关键词：吴显文;肿瘤;健运中焦;辨证;辨病;名中医经验
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发布时间：2023-04-10 - 摘要：经考证历史文献,结合临床实践,认为《难经》中提出的"脾裹血"是"脾主统血"中医基础理论形成的基石。"脾裹血"既是人体解剖与形态结构的集合体,又是人体生理功能的表达体。基于上述特征,"脾裹血"可释义到现代医学脾脏功能上,即脾储藏血液、滤过血液等,也间接延伸到人体毛细血管对血液的调节效应上。中医学"脾裹血"指"脏""形""象"结合的生命活动功能单位;而现代医学的脾脏仅指一免疫、储血器官,其微观的生理功能效应不能涵盖宏观的中医"脾"与"脾裹血"及其演绎的生理功能。关键词：藏象;脾脏;脾裹血;脾统血
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发布时间：2023-04-10 - 摘要：《黄帝内经》脉学理论精湛微妙,内容丰富。在其所述多种诊法中尤其重视寸口诊法,在认识脉象方面着重应用取象比类法,其脉学理论体现了脉应四时、脉证相参、诊法综合应用的整体观,重视胃气理论在脉诊中的应用,为后世中医脉学理论的发展及临床应用奠定了基础。关键词：黄帝内经;寸口;取象比类;整体观念;胃气
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发布时间：2023-04-10 - 摘要：细辛的用法、用量为自宋代以来医家争执不休的问题。中医文献中对此问题大致分为"本经派""陈承派"及"误读陈承派"三派,对细辛有3种不同论述。结合古今医家的各种理论以及现代药理研究结果对细辛的用法、用量加以分析,阐明细辛煎剂不必拘泥于《药典》,但服用散剂时则需要注意用量的观点。关键词：细辛;用量;古今用法
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发布时间：2023-04-10 - 摘要：分析糖尿病与瘀血的关系,认为瘀血是糖尿病发生的必然病理,是糖尿病并发症产生的关键环节,贯穿于糖尿病发病全过程且占重要地位;活血化瘀法是治疗糖尿病及其并发症的有效途径,并应贯穿治疗始终。选用活血化瘀药时,应根据疾病的寒热、虚实、轻重、深浅之不同辨证灵活运用。关键词：糖尿病;病理;瘀血;活血化瘀法
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发布时间：2023-04-10 - 摘要：目的探讨中药足浴治疗糖尿病周围神经病变（DPN）的常用药物组方规律。方法以1996年1月—2016年12月发表的中药足浴治疗DPN,且临床有效的中药复方为研究对象,对中药复方用药进行关联规则分析。结果 DPN中药足浴组方中,置信度高的药对为透骨草-伸筋草,桃仁-红花;三药组合为透骨草-伸筋草-鸡血藤,桃仁-红花-桂枝;四药组合为桃仁-红花-桂枝-赤芍或当归,透骨草-伸筋草-鸡血藤-丹参或桂枝;五药组合为桃仁-红花-桂枝-赤芍-当归,桃仁-红花-桂枝-赤芍-川芎,桃仁-红花-桂枝-当归-川芎,透骨草-伸筋草-鸡血藤-桂枝-红花,透骨草-伸筋草-鸡血藤-丹参-威灵仙。结论DPN中药足浴用药以活血化瘀、温经通络为主。关键词：糖尿病周围神经病变;中药足浴;组方规律;关联规则
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发布时间：2023-04-10 - 摘要：目的分析阎小萍教授治疗强直性脊柱炎（AS）的用药规律,总结归纳其治疗本病的辨证思路。方法利用阎小萍名老中医数据库,采集2010年308例AS住院患者初诊信息,运用频数统计方法分析其用药规律。结果阎小萍教授采用"2期6型"辨治AS,肾虚督寒证为基本证候,核心药为川续断、桑寄生、狗脊、独活、防风、鹿角、制元胡、片姜黄、知母,用药特点为善用补肾强督药,避免毒性药,擅用对药,活血化瘀贯穿始终,注意调和营卫,重视循经辨证等。结论阎小萍教授辨治AS用药特点既与各学术流派相合,又独具特色。关键词：强直性脊柱炎;用药规律;频次统计;数据挖掘
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发布时间：2023-04-10 - 摘要：目的探讨疏筋整复手法治疗椎动脉型颈椎病的临床疗效。方法将80例患者随机分为2组,治疗组采用疏筋整复手法,对照组采用颈椎牵引治疗,疗程均为2周。观察患者治疗前后眩晕程度评分、眩晕症状与功能评分的变化。结果治疗组临床疗效显著优于对照组（P<0.01）,治疗组眩晕程度评分、眩晕症状与功能评分均较对照组显著改善（P<0.01）。结论疏筋整复手法治疗椎动脉型颈椎病临床疗效确切。关键词：椎动脉型颈椎病;疏筋整复手法;牵引
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发布时间：2023-04-10 - 摘要：目的观察活血化瘀涂膜治疗ⅠⅢ期压疮的临床疗效。方法将140例压疮患者分为试验组、药物对照组和常规护理组,均给予常规护理方法,试验组在常规护理基础上给予活血化瘀涂膜治疗,药物对照组在常规护理基础上给予康惠尔溃疡贴治疗。第3、5、7、14天统计各组治愈例数,21天后评价各组总体疗效并对治愈时间进行统计。结果与药物对照组和常规护理组比较,试验组在各观察时点治愈例数及治愈率均显著升高,3周后总体疗效较优,治愈时间明显缩短,差异有统计学意义（P<0.05）。结论活血化瘀涂膜治疗ⅠⅢ期压疮临床疗效确切。关键词：压疮;活血化瘀;中医外治;临床观察
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发布时间：2023-04-10 - 摘要：目的采用"脊神经定位诊断结合手三阳经循经取穴法"与常规针刺法进行随机对照研究,评价本法对神经根型颈椎病临床功能及疼痛评分的影响。方法将140例患者随机分为治疗组和对照组各70例,治疗组采用脊神经定位诊断结合手三阳经循经取穴法治疗,对照组采用常规针刺法,比较2组患者症状、体征与功能状态的临床评分,简化Mc Gill疼痛问卷表各项评分（PRI、VAS、PPI评分及Mc Gill总分）。结果 2组第1疗程后与治疗前相比,临床评分、疼痛问卷表各项评分均有显著改善（P<0.01）,且第2疗程后上述评分的改善均明显优于第1疗程（P<0.01）。组间比较:第1疗程后,治疗组临床评分、PRI、PPI评分、Mc Gill总分（PRI+VAS+PPI之和）的改善均优于对照组（P<0.05）;第2疗程后治疗组PRI评分、Mc Gill总分的改善优于对照组（P<0.05）;临床评分、VAS及PPI评分2组比较差异无统计学意义（P>0.05）。结论两种针刺取穴方法治疗神经根型颈椎病均可取得良好的临床疗效;治疗组较对照组能更快速缓解患者疼痛、麻木等症状,改善日常功能;在改善患者疼痛综合评分方面治疗组优于对照组。关键词：神经根型颈椎病;脊神经定位诊断;手三阳经;经络辨证;随机对照研究
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发布时间：2023-04-10 - 摘要：目的探讨银屑病关节炎临床特点及中西医结合分层治疗的疗效。方法对81例首都医科大学附属北京中医医院2011—2016年门诊及住院收治的病例,进行回顾性分析。结果通过对81例银屑病关节炎患者流行病学分析,显示年龄对于银屑病关节炎发生无明显影响;皮疹病程长短对银屑病关节炎发生率的影响差异无统计学意义（P>0.05）;银屑病关节炎患者HLA-B27阳性率不高;最多受累的关节是足趾,最少受累关节是髋关节。中西医结合分层治疗81例患者经治疗6个月前后对照,除1例患者外均有效,以治疗2个月时疗效最佳;分层诊治组间疗效差异无统计学意义（P>0.05）;所有病例均观察治疗6个月,其中有3例出现较严重感染,加用抗生素治疗后缓解;17例出现肝功能小于2倍升高,加用保肝药物未停治疗,用药后肝功能好转。结论根据病情程度及关节症状的中西医结合分层治疗方案,治疗效果明显,不良反应较少,患者耐受性好,为中西药联合治疗银屑病关节炎提供了临床依据。关键词：银屑病关节炎;回顾性研究;中西医结合疗法
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发布时间：2023-04-10 - 摘要：目的观察不同给药剂量下桂枝加厚朴杏子汤治疗感染后咳嗽的临床效果。方法将90例患者随机分为低剂量组、正常剂量组和高剂量组各30例,3组分别给予1/2、1、1.5倍剂量的桂枝加厚朴杏子汤,均治疗2个疗程,观察3组咳嗽症状评分、莱彻斯特咳嗽量表（LCQ）评分、咳嗽症状临床控制时间。结果 1个疗程后、2个疗程后3组总有效率差异均无统计学意义（P>0.05）,但正常剂量组及高剂量组临床控制例数均高于低剂量组,差异有统计学意义（P<0.05）;2个疗程后低剂量组、正常剂量组、高剂量组达到临床控制例数分别为18例、24例、25例,低剂量组达到临床控制的时间明显长于正常剂量组及高剂量组,差异有统计学意义（P<0.05）。结论桂枝加厚朴杏子汤治疗感染后咳嗽疗效确切,疗效在一定范围内呈剂量依赖性。关键词：感染后咳嗽;桂枝加厚朴杏子汤;量效关系
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发布时间：2023-04-10 - 摘要：目的观察消胀贴神阙穴贴敷治疗脓毒症胃肠功能障碍的中医证候疗效。方法采用前瞻性、随机对照的方法,将120例脓毒症胃肠功能障碍患者随机分为治疗组和对照组,2组均给予脓毒症抗感染、脏器功能支持及改善胃肠道动力等西医基础治疗。根据脓毒症胃肠功能障碍患者"寒热错杂,清浊相混"证候特点,治疗组加予消胀贴神阙穴贴敷。疗程共7天,观察治疗后72 h及治疗后7天脓毒症胃肠功能障碍患者中医证候的改善情况。结果治疗后72 h,治疗组总有效率55.0%,对照组21.7%,差异有统计学意义（P<0.05）;治疗后7天,治疗组总有效率76.7%,对照组43.3%,差异有统计学意义（P<0.05）。2组治疗前后中医证候积分比较差异均有统计学意义（治疗组F=119.08,P=0.000;对照组F=14.2,P=0.000）,治疗后组间比较差异有统计学意义（F=14.305,P=0.000）。结论消胀贴神阙穴贴敷可有效改善脓毒症胃肠功能障碍患者腹胀腹痛、恶心呕吐、大便秘结等症状。关键词：脓毒症;胃肠功能障碍;消胀贴;神阙穴;寒热错杂;清浊相混
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发布时间：2023-04-10 - 摘要：<正>2018年《北京中医药》杂志将实行"一期一述评,一期一主题,一期一专栏"的出版计划,特邀中医药领域的权威专家和学者担任专栏（专题）的执行编委。具体要求如下。一、组织安排（1）由中华中医药学会各专科分会、北京中医药学会和北京中西医结合学会各专业委员会委员牵头,负责稿件的选题
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发布时间：2023-04-10 - 摘要：<正>1病案介绍患儿,女,6岁,2016年10月19日初诊。患儿因感冒后心悸、气短、咳嗽、自汗、活动后加重两月余就诊。时有痰多白色,手心热。纳差,便约不畅,夜尿频2或3次。北京儿童医院、安贞医院诊为病毒性心肌炎,多次心电图及Hoter示:关键词：病毒性心肌炎;房室传导阻滞;验案
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发布时间：2023-04-10 - 摘要：<正>据世界卫生组织（WHO）调查,15%的育龄夫妇存在不育的问题;而我国男性不育的发病率呈上升趋势,约占育龄夫妇的10%。男性不育的影响因素较多,病因复杂,使其治疗难度加大;中医药在治疗男性不育方面,有着丰富的经验,取得了一定的疗效,但其作用机理尚不十分清楚,急需进行相关基础研究。近年来,中医药在不育关键词：男性不育症;动物模型;中医药;文献综述
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发布时间：2023-04-10
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