最新刊期
期 2 ， 2020
- 摘要：2019年末武汉出现新型冠状病毒肺炎（COVID-19）,疫情急剧蔓延,迅速播散,但截至目前尚无特效药物。国家中医药管理局委派高级别专家组多次深入武汉临床一线。笔者通过对确诊病例的中医流行病学初步观察,认为本病属于疫疠邪气所致温疫范畴,与武汉暖冬、降水多、湿度大的物候学环境导致的人群普遍易感相关,本病需要与感冒、时行感冒（流感）、风温、春温、冬温鉴别。审证求因,本病疫疠之邪的病因属性是湿毒,核心病机为"湿、热、毒、瘀、虚",综合轻型、普通型、重型、危重型的临床表现,初步认为本病存在较为鲜明的病程发展的阶段性,其预后有正局和变局之分。初步提出分期辨证论治:初期（轻型、普通型）、进展期（重型）、极期（危重型）、恢复期。结合前期武汉地区中医药干预有效病例的剖析,初步阐述了四期的辨证要点与理法方药,认为本病初期为湿毒郁于上焦膜原,进展期多为湿毒热化,进而淫肺、壅肺、闭肺、内闭外脱。初期湿毒郁于上焦膜原应"湿热治肺",分消走泄,关注肺气的宣畅,警惕入营之势;进展期从气分、营分论治;极期则变症百出,需要个体化辨证治疗。关键词：新型冠状病毒肺炎;COVID-19;湿毒疫;湿热治肺;上焦膜原
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发布时间：2023-04-11 - 摘要：<正>【主编导语】2019年末爆发的新型冠状病毒肺炎疫情,给全国公共卫生事业带来了巨大挑战。在此次疫情防控工作中北京市不仅第一时间组建市级中医药专家组,制定了中医药防治方案,始终坚持中西医并重方针,保障中医药全程参与治疗,展现出良好的治疗效果;全力提升收治率、治愈率,降低感染率、病死率,并实践治未病思想,积极落实社区预防用药;探索并建立三专三查机制、定点医院中西医双查房双组长工作机制。与此同时积极推进科研临床一体化,北京市中医管理局成立中医药科研专班、制定科研方案,并设立4项北京市中医药科技发展资金应急专项,第一时间开展中西医结合防治新型冠状病毒肺炎理论研究、证候学研究、新药筛选、疗效和安全性评价等科研工作。为了帮助医务人员和科研工作
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发布时间：2023-04-11 - 摘要：<正>2019年12月以来,湖北省武汉市陆续出现多例不明原因肺炎病例。2020年2月12日,世界卫生组织宣布新型冠状病毒引起的疾病正式名称为2019冠状病毒病（corona virus disease 2019,COVID-19）。我国国家卫生健康委员会将由新型冠状病毒感染引起的肺炎,暂命名为新型冠状病毒肺炎（novel coronavirus pneumonia,NCP）,简称新冠肺炎。新冠肺炎被列入《中华人民共和国传染关键词：新型冠状病毒肺炎;恢复期;中医药
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发布时间：2023-04-11 - 摘要：新型冠状病毒肺炎临床表现多种多样,发热、咳嗽、气促是其最主要的症状。病情轻重可不同,病位无不在肺中,部分患者进展迅速,符合"温邪上受,首先犯肺,逆传心包"这一温病发病特点和传变规律。疫毒犯肺-疫毒闭肺既是核心病机也是病变过程。轻症者系疫毒犯肺,病在肺卫;重症者则疫毒闭肺,病势深重,波及营血,若不能及时截断扭转,势必转为闭脱之证。治疗贵在快速阻遏病势,解毒凉血尤为关键。轻症解毒凉血意在先证而治防传变,重症解毒凉血旨在截断扭转阻闭脱。目前应用宣肺透邪、解毒凉血法治疗新型冠状病毒肺炎已取得初步疗效。关键词：新型冠状病毒肺炎;截断扭转;解毒凉血
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发布时间：2023-04-11 - 摘要：Objective To investigate the relationship between the clinical features and tongue manifestations of corona virus disease 2019（COVID-19）cases.Methods The symptoms,signs,laboratory examinations and imaging examinations of 40 COVID-19 patients together with tongue manifestations were analyzed.Results（1）Tongue manifestations: among 40 cases,all cases（100%）had red tongue,among which 19 cases（47.5%）had dark red tongue.There were 5 cases（12.5%）with little tongue coating,27 cases（67.5%）with white and sticky tongue coating,and 8 cases（20.0%）with yellow and sticky tongue coating.（2）Clinical manifestations: among the 40 patients,27 cases（67.5%）had fever,among them,18 cases（45.0%）had low fever（37.3-37.9℃）,8 cases（20.0%）had moderate fever（38-38.9℃）,and 1 cases（2.5%）had high fever（≥39℃）.There were 25 cases of cough（62.5%）,13 cases of fatigue（32.5%）,6 cases of pharyngeal pain（15.0%）,12 cases of muscle pain（30.0%）,and 2 cases of diarrhea（5.0%）.Those with red tongue with little tongue coating were milder,with only cough,pharyngeal pain,fatigue and so on,and pharyngeal pain were more common in those with thick and greasy tongue coating,the difference was statistically significant（P<0.05）.The patients with white greasy and yellow greasy coating on the tongue were mainly characterized by cough and fever,among which the patients with white greasy coating on the tongue were mainly characterized by low fever,while the patients with yellow greasy coating on the tongue mostly had medium and high fever above 38℃,the difference was statistically significant（P<0.05）.（3）Imaging findings: chest X-ray showed that among 40 cases,13 cases had bilateral pulmonary inflammation（32.5%）,18 cases（45.0%）had unilateral pulmonary inflammation,including 7 cases（17.5%）of left pneumonia and 11 cases（27.5%）of right pulmonary inflammation,the remaining 9 cases（22.5%）showed no significant abnormality on chest X-ray examination.Most of the patients with red tongue with little tongue coating showed no abnormality in the imaging examination,and the chest X-ray indicated that the pulmonary inflammation was mostly those with thick and greasy coating on the tongue,among which bilateral sides of pneumonia was more common in those with red tongue with yellow greasy coating,the difference was statistically significant（P<0.05）.（4）Laboratory examination: the white blood cell count of 40 cases was（5.17±1.55）×109/L,among which 3 cases were abnormally decreased（7.5%）.The lymphocyte count was（1.39±0.75）×109/L,among which 8 cases（20.0%）were abnormally decreased.With the change of thickness and stickiness of tongue coating,the number of white blood cells increased gradually,while the number of lymphocytes decreased gradually,the difference was statistically significant（P<0.05）.Conclusion COVID-19 patients with red tongue and little coating were more seen at the early stage with short course of disease（1-2 d）,and milder symptoms,along with the progression（course of 3 d or more）,the tongue coating become more in some patients,characterized by thick greasy coating,and the clinical manifestations are manifested by cough and fever,reflecting the progress of the infection,therefore,to sum up the therapeutic principle for the COVID-19 cases is heat clearing,lung dispersing and removing dampness without overuse too bitter cold herbal drugs.
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发布时间：2023-04-11 - 摘要：Objective To explore the characteristics of TCM syndrome and pathogenesis by analyzing the clinical data of corona virus disease 2019 patients in the Beijing Youan Hospital,so as to provide further support for the clinical treatment.Methods There were 67 patients with corona virus disease 2019 hospitalized in the Beijing Youan Hospital until February 5,2020.And 27 patients of them who had complete information of tongue manifestations were selected to analyze the clinical manifestations and characteristics of TCM syndrome.Results Among 27 patients,fever was present in 22（81.0%）,and there were 17（62.96%）cases presenting fever as the most common syndrome,then the second and third were lassitude in 11 cases（40.74%）,general aching in 9 cases（33.33%）.About the tongue manifestations,all 27 cases had thick sticky tongue coating,of them there were 3 cases（11.1%）of slightly red tongue,15 cases（55.6%）of red tongue,9 cases（33.3%）of dark red tongue.And all 27 cases had sticky tongue coating,including 17 cases（62.9%）of yellowish and greasy tongue coating.Among 27 cases,syndrome of epidemic toxin attacking lung was seen in 15 cases（55.56%）,including 1 case of qi and yin deficiency,all of these had more pathogenic heat than pathogenic damp;syndrome of toxic damp accumulating in the lung was found in 12 cases（44.44%）,all of these had more pathogenic damp than pathogenic heat.Conclusion The patients with the corona virus disease 2019 in Beijing are manifested as syndrome of accumulated dampness-heat.The red tongue and yellow fur imply obvious heat syndrome,and heat syndrome was more serious than dampness syndrome generally.The syndrome differentiation and treatment of TCM for the corona virus disease 2019 should follow the principle of "treatment in accordance with seasonal-local conditions and patient’s individuality."
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发布时间：2023-04-11 - 摘要：施今墨在传染病辨证中倡导审因论治,注重辨别表里次第、气血层次,强调四诊合参尤重舌诊;在传染病防治中用药倡导清解相合、动静相合,强调给邪气以出路,指出忌早用寒凉、滋腻。在病毒性肝炎、病毒感染性腹泻、流行性感冒、风疹、麻疹、水痘、流行性腮腺炎、流行性乙型脑炎、病毒性肺炎的治疗中均提出了具体的治则、治法及用药经验,体现了分期论治、三因制宜、同病异治、异病同治的思路,及注重气机,善用芳化,强调和胃气、存津液等用药特色。关键词：施今墨;名老中医;病毒性传染病;新型冠状病毒肺炎;感染;临床经验
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发布时间：2023-04-11 - 摘要：新型冠状病毒肺炎当属"温疫"范畴,其发病具有典型的湿毒致病特点,并与运气、地理、气候和人群的易感性相关,其病位在膜原,涉及三焦、肺、脾、胃。病机为湿毒盘踞膜原,可有寒热从化,易于影响气机升降,可耗伤正气、化热、化毒、夹寒、夹瘀,危重患者发病2～3周是疾病转折点,顺证（轻型、普通型）病情多向愈,逆证（重型、危重型）病情多呈恶化加重。应以开达膜原、辟秽化浊、宣肺降气、清解相合为治则,寒化佐以辛温,热重于湿加强苦寒,湿重于热侧重淡渗、芳化,腑实佐以通腑泄浊,热入营血当清营凉血,内闭外脱当留人治病。在治疗中应该坚持三因制宜和群防群治相结合,首重气机宣畅,注意给邪气以出路,时刻注意护胃气、存津液,不宜早用寒凉、滋腻,扶正需要确有正虚,并提出了辨方证防治新型冠状病毒肺炎思路。关键词：新型冠状病毒肺炎;中医治疗;临床经验
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发布时间：2023-04-11 - 摘要：中药香囊辟瘟囊在中医古籍中记载常用于预防瘟疫,适用于尚未感受邪气的易感人群,可使其气机调畅,邪不内生,避免体内湿、寒、热与外邪相引,乘虚发病,具有简便验廉优势。从现代中医临床研究,结合中药药理研究,论述辟瘟囊在预防新型冠状病毒肺炎中的作用。关键词：新型冠状病毒肺炎;中药香囊;辟瘟囊;预防时疫
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发布时间：2023-04-11 - 摘要：Objective To observe TCM syndromes effect and safety of Shujin Jianyao Pill in the treatment of Lumbar Disc Herniation（LDH）（deficiency of liver and kidney syndrome and obstruction of wind damp and blood stasis syndrome）.Methods According to the multi-centered,randomized and controlled clinical treatment regime,a total of 240 LDH patients who met the inclusion criteria were randomly divided into two groups,180 in the experimental group and 60 in the control group.There was no significant difference in the basic data between the two groups with comparability.The experimental group was given Shujin Jianyao Pill and Yaobitong Capsule Simulator orally,while the control group was given Shujin Jianyao Pill Simulator and Yaobitong Capsule orally.The treatment course of the two groups was 4 weeks.The total TCM syndrome score and single TCM symptom score on day 0,14 and 28 were observed,and the adverse reactions were recorded.Results There were significant differences in total TCM syndrome score between the two groups at baseline,on day 0 and day 28（P<0.01）.There was significant difference in total TCM syndrome score between the two groups on day 28（P<0.05）.There were significant differences between the two groups in total effective rate of total TCM syndromes and lumbago in single TCM syndromes score on day 28（P<0.05）.There was no significant difference in the incidence of adverse events and serious adverse events between the two groups（P>0.05）.Conclusion Shujin Jianyao Pill is effective on TCM syndromes in the treatment of LDH of deficiency of liver and kidney syndrome and obstruction of wind damp and blood stasis syndrome,especially in improving the score of total TCM syndrome score and lumbago with high safety.关键词：Shujin Jianyao Pill;lumbar disc herniation;clinical research;TCM syndromes effect
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发布时间：2023-04-11 - 摘要：Objective To discuss the characteristics of TCM patterns and syndromes of coal workers’ pneumoconiosis so as to enrich TCM theory for the treatment of this disease and provide the evidence for syndrome differentiation and treatment.Methods TCM syndromes of 208 patients with CWP were collected,investigated and statistically analyzed.Results The syndrome factors of workers’ pneumoconiosis included qi deficiency,heat（fire）,exogenous wind,phlegm,blood stagnation,exogenous cold,deficiency of Yin,and endogenous damp.The locations of the illness are the lung,spleen and kidney.After differentiation of the patterns,TCM syndrome identified ten patterns: deficiency of lung qi,attack of lung by wind and heat,stagnation of blood,blockage of lung by phlegm heat,deficiency of spleen qi,attack of lung by wind and cold,blockage of lung by phlegm damp,deficiency of lung Yin,deficiency of Yin of kidney,and exterior cold and lung heat.Using cluster analysis of symptoms,seven kinds of patterns were identified: deficiency syndrome of lung qi,accumulation of phlegm heat in the lung,obstruction of lung by phlegm damp,attack of lung by wind and heat,stagnation of blood,deficiency of kidney Yin,and deficiency of spleen qi.When acute infection is complicated,the accompanied TCM syndrome types include blockage of the lung by phlegm heat,and blockage of the lung by wind and heat.Conclusion CWP is manifested by deficiency in the root and excess in the secondary condition.Deficiency of lung qi is the main root.Patients with CWP are liable to be infected by exogenous wind and cold.By means of cluster analysis,the main characteristics of TCM syndromes of CWP can be revealed to some extent.关键词：Coal workers’ pneumoconiosis;cluster analysis;TCM syndrome factors;TCM syndrome classification
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发布时间：2023-04-11 - 摘要：Objective To observe the effects of Liqi Runchang Recipe on opioid-induced constipation.Methods 104 patients with constipation of Qi deficiency and Qi stagnation caused by using opioids were randomly divided into control group and treatment group with random number table method.The control group（n=52）was given oral Lactulose Oral Solution.The treatment group was given orally Liqi Runchang Recipe.Both two groups were treated for 2 weeks as a course of treatment.The score,TCM syndrome score before and after the treatment and the therapeutic effects of between the two groups were compared and the safety evaluated.Results There was no statistical difference between two groups before the treatment（P>0.05）;the symptom score of two groups after the treatment were lowered（P<0.05）,and the symptom score of treatment group was more lowered than that of the control group（P<0.05）.The scores of TCM syndromes in both groups were decreased after treatment（P<0.05）,and the scores in the treatment group were more significantly lowered than those in the control group（P<0.05）.After the treatment,the findings of blood and stool routine,liver and kidney function,and ECG in both groups had no obvious changes.5 cases in the control group showed abdominal distension and nausea,which are probably the adverse reactions of Lactulose Oral Solution,so without management,these symptoms were alleviated.Any adverse reactions were found in the treatment group.Conclusion Liqi Runchang Recipe can effectively alleviate opioid-induced constipation,which has better effect than Lactulose Oral Solution.关键词：constipation;Liqi Runchang Recipe;Opioid analgesics
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发布时间：2023-04-11 - 摘要：ObjectiveTo explore the effect of "meridian flow" theory applied into Chinese medicine wax therapy on anxiety and depression in knee osteoarthritis patients.Methods A total of 66 patients with knee osteoarthritis were randomly divided into experimental group（n= 33）and control group（n=33）.The experimental group was treated with time-selected Chinese medicine wax therapy based on meridian flow,while the control group was treated with conventional time traditional Chinese medicine wax therapy,both once a day,seven times as a course of treatment,and four courses of treatment together.VAS score,SAS score and SDS score were used to evaluate the pain of knee joints and psychological state in both two groups.Results The intra-group comparison showed that there were significant differences in VAS score,SAS score and SDS score between the two groups at 4 weeks of intervention and the difference was statistically significant（P<0.05）.The comparison between the two groups showed that the scores of VAS,SAS and SDS in the experimental group were more lowered than those in the control group（P<0.05）at 4 weeks after intervention,and there was significant difference between the two groups（P<0.05）.Conclusion The effect of meridian flow selective Chinese herbal wax therapy can effectively relieve pain and improve patients’ psychological state,which is better than that of conventional time Chinese herbal wax therapy.
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发布时间：2023-04-11 -
WANG Yao-xian’s experience in treating diabeticnephropathy by clearing heat and eliminating symptoms
摘要：古代及当代医家认为糖尿病肾病病因病机与热邪密切相关。王耀献教授结合当代生活方式的特点及多年临床经验,提出糖尿病肾病以"内热致癥"为病机,同时以清热消癥为治疗大法,并根据内热致癥过程中癥瘕不同形态特点,强调糖尿病肾病分期论治,糖尿病肾病早期透热消癥,中期清热消癥,晚期化浊（热）消癥。关键词：糖尿病肾病;内热致癥;清热消癥法;王耀献- 2
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发布时间：2023-04-11 - 摘要：慢性肾衰竭常发生于慢性肾脏疾病晚期,病机复杂,治疗困难,预后较差。其证候特点常为寒热错杂,虚实并见。赵进喜教授从事慢性肾病学术研究多年,学验俱丰,疗效显著。其临床治疗慢性肾衰竭常应用寒温并用治法,包括解表清里、辛开苦降、清上温下、和解少阳、滋阴助阳等。关键词：慢性肾衰竭;寒温并用;赵进喜
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发布时间：2023-04-11 - 摘要：多囊卵巢综合征（polycysticovariansyndrome,PCOS）是青春期少女和生育期妇女最常见的妇科内分泌疾病之一。赵红教授从事中医妇科临床、教学、科研工作35年,具有丰富的妇科临床经验。赵教授认为PCOS属于疑难杂症,病情复杂多变,需衷中参西,仔细分辨,辨证准确,方可获效。治疗上重视以"肾虚"为主线,或补肾祛湿化痰;或补肾活血化瘀;或补肾健脾;或清肝利湿,佐以补肾。同时参照西医学检查,根据患者具体情况,或先治其标,再治其本;或标本兼治,或攻补兼施。关键词：多囊卵巢综合征;辨证论治;赵红
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发布时间：2023-04-11 - 摘要：再生障碍性贫血（aplastic anemia,AA）主要分为重型（severe AA,SAA）和非重型再生障碍性贫血（non-severe AA,NSAA）两类。AA属于中医"髓劳"范畴,SAA和NSAA分别归属于"急髓劳"和"慢髓劳"。SAA和输血依赖性NSAA（TD-NSAA）的中西医结合治疗疗效确切,结合近期再生障碍性贫血的临床进展和治疗体会,提出SAA多处于以"细胞因子风暴"为典型特征的"异常免疫"阶段,此阶段以异常免疫为主要矛盾,以骨髓衰竭为次要矛盾,应以免疫抑制剂+中药补肾活血解毒为主治疗,TD-NSAA所处阶段多以骨髓衰竭为主要矛盾,治疗应以补肾健脾中药+雄激素为主促进骨髓造血功能恢复。连续治疗6个月无效的TD-NSAA应根据SAA中西医结合治疗方案进行治疗。关键词：再生障碍性贫血;重型;输血依赖;中西医结合治疗
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发布时间：2023-04-11 - 摘要：失眠是现代人群十分常见的一种疾病,严重影响人群的身心健康,赵瑞珍老师认为失眠以心脾两虚型为常见,临床以针药合用为主要治疗手段,同时补益心脾、疏通经络安神助眠,赵老师辨证思路清晰,整体调治并随证加减,在治疗心脾两虚型失眠取得较好的疗效。关键词：失眠;心脾两虚;针药合用
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发布时间：2023-04-11 - 摘要：目的观察对精神分裂症患者使用冬病夏治三伏贴对其精神症状的影响。方法对在北京市朝阳区第三医院住院治疗的55例精神分裂症患者使用冬病夏治三伏贴治疗其适应症,比较治疗前与治疗后患者精神科用阳性、阴性症状量表与临床疗效总评量表、药物不良反应量表的评分变化,评价冬病夏治三伏贴的安全性。结果治疗前与治疗后阳性与阴性症状量表、临床疗效总评量表、药物不良反应量表的评分比较,差异均无统计学意义（均P>0.05）。结论冬病夏治三伏贴治疗对精神分裂症患者精神症状无明显影响,可在精神分裂症患者中使用冬病夏治三伏贴方法进行治疗。关键词：冬病夏治三伏贴;精神分裂症;中医传统外治法;安全性观察
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发布时间：2023-04-11 - 摘要：目的探讨吴茱萸敷脐疗法配合穴位注射足三里治疗重症患者胃肠功能障碍的疗效。方法纳入符合诊断标准的入住ICU并伴有胃肠功能障碍的重症患者共80例,随机数字表法分为4组:常规组20例、单纯吴茱萸敷脐疗法组20例、单纯维生素B12穴位注射组20例、吴茱萸敷脐疗法+穴位注射组20例。通过比较4组患者治疗前和治疗7 d后急性生理及慢性健康（Acute Physiology and Chronic Health Evaluation,APACHEⅡ）评分、序贯性器官衰竭（Sequential Organ Failure Assessment,SOFA）评分、胃肠功能障碍评分、胃肠功能障碍改善疗效以及不良反应发生率,评价该中医外治法对重症患者胃肠功能障碍的效果。结果 4组患者治疗前一般情况（包括年龄、性别、APACHEⅡ评分、SOFA评分,胃肠功能障碍评分）比较,差异无统计学意义（均P>0.05）,具有可比性。4组患者组内对比,治疗后APACHEⅡ评分、SOFA评分、胃肠功能障碍评分与治疗前相比有不同程度降低（P<0.05）。3个治疗组与常规组比较,治疗后APACHEⅡ评分、SOFA评分及胃肠功能障碍评分比较,皆有不同程度降低,其中吴茱萸敷脐疗法+穴位注射组下降最显著（P<0.05）。同时吴茱萸敷脐+穴位注射组与常规组比较,治疗后肠功能障碍改善疗效显著（P<0.05）。4组患者治疗前后血液、尿液、粪便三大常规以及肝、肾功能指标组间比较差异无统计学意义,未见明显不良反应。结论吴茱萸敷脐疗法配合穴位注射足三里可促进重症患者胃肠功能恢复,是一种安全、有效、简便的中医外治法。关键词：吴茱萸;脐疗;穴位注射;胃肠功能障碍
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发布时间：2023-04-11 - 摘要：目的观察"以筋代骨"六步手法推拿治疗早期骨性膝关节炎（KOA）的临床疗效。方法选取2015年9月—2018年9月医院治疗的KOA患者72例,随机分为手法组和冲击波组,各36例,分别采用"以筋代骨"六步手法推拿、体外冲击波治疗。比较2组治疗前、治疗2周、1个月及治疗后半年视觉模拟评分（VAS）、膝关节日本骨科协会（JOA）评分、中医证候积分。结果治疗前,2组VAS、JOA评分及中医证候积分比较差异无统计学意义（P>0.05）;治疗2周、1个月,与对照组相比,观察组VAS及中医证候积分降低,但差异无统计学意义（P>0.05）;治疗后半年,与对照组相比,观察组VAS及中医证候积分低（P<0.05）,JOA评分高（P<0.05）。结论 "以筋代骨"六步手法推拿可减轻早期KOA患者疼痛,改善膝关节功能,缓解临床症状;且远期效果优于体外冲击波疗法。关键词：早期骨性膝关节炎;“以筋代骨”六步手法推拿;体外冲击波
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发布时间：2023-04-11 - 摘要：<正>幽门螺杆菌（Helicobacter pylori,Hp）为革兰氏阴性需氧菌,与慢性胃炎、消化性溃疡、胃黏膜相关淋巴瘤和胃癌等消化系统疾病的发病密切相关,是消化系统的主要致病菌之一。我国《第五次全国幽门螺杆菌感染处理共识报告》[1]中指出:根除Hp可显著改善胃黏膜炎性反应,阻止或延缓胃黏膜萎缩、肠化生的发生和发展,部分可以逆转萎缩;根除Hp是局部阶段胃MALT淋巴瘤的一线治疗措施,关键词：幽门螺杆菌;抗生素耐药;中西医结合
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发布时间：2023-04-11 - 摘要：<正>三阴性乳腺癌（triple negative breast cancer,TNBC）是雌激素受体（estrogen receptor,ER）、孕激素受体（progesterone receptor,PR）和人类表皮生长因子受体2 （human epidermal growth factor receptor-2,Her-2）表达均为阴性的一类乳腺癌[1]。TNBC约占整个乳腺癌患者的10%～20%[2],与其他类型乳腺癌相比,其侵袭性强,恶性程度高,预后最差。关键词：三阴性乳腺癌;中医药治疗;研究进展
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发布时间：2023-04-11 - 摘要：<正>化疗是目前临床治疗恶性肿瘤患者的主要治疗手段之一,但化疗药物对人体各系统的副作用是患者不能完成全疗程治疗的主要制约因素。参附注射液来源于中药经典名方《参附汤》,由红参、黑附片的提取物加工合成,其内有效生物成分为人参皂苷和乌头类生物碱。红参可大补元气、益脾、补肺;黑附片可回阳救逆、振脾肾阳气。参附注射液不但在动物研究中观察到显著效果,关键词：参附注射液;化疗;防治;不良反应;心脏毒性;文献综述
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发布时间：2023-04-11 - 摘要：<正>类百日咳综合征是由腺病毒、呼吸道合胞病毒、肺炎支原体等（除百日咳杆菌以外的其他病原体）引发的一组症候群,本病以发作性痉挛性咳嗽、咳末伴高声调鸡鸣样吼声为特征,临床表现与百日咳极为类似,故称类百日咳综合征,又称"百日咳综合征"[1-4]。临床鉴别百日咳与类百日咳综合征的金标准为百日咳聚合酶链式反应（PCR）关键词：中医药;类百日咳综合征;疾病分期论治;脏腑经络论治;古方化裁
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发布时间：2023-04-11 - 摘要：<正>名誉主编方来英丛骆骆谢阳谷顾问王永炎李连达张伯礼李辅仁颜正华路志正金世元张炳厚孙树樁李曰庆姚乃礼李乾构刘殿永王硕仁冯兴华晁恩祥李佩文王融冰崔锡章翟胜利黄毅高丹枫
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发布时间：2023-04-11 - 摘要：<正>CERTIFICATE OF SOURCE JOURNALFOR CHINESE SCIENTIFIC AND TECHNICAL PAPERS AND CITATIONS北京中医药经过多项学术指标综合评定及同行专家评议推荐,贵刊被收录为"中国科技核心期刊"（中国科技论文统计源期刊）。
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发布时间：2023-04-11
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