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环球中医药

环球中医药

CSTPCD

Global Traditional Chinese Medicine
《环球中医药》杂志是由中华人民共和国卫生部主管，中华国际医学交流基金会主办，国内外公开发行的中医药学术期刊，2010年入选“中国科技论文统计源期刊”（中国科技核心期刊）。以“打造科学性、思想性、可读性俱佳的中医学术期刊”为编辑方针，以国内外中医药专业人员为主要读者。及时关注我国中医药最新学术热点，积极推介中医药最新学术成果、致力于深化国际中医药交流与合作。王永炎院士任名誉总编辑，张伯礼院士任总编辑。主要栏目有：述评、论著、理论探讨、临床经验、学术论坛、争鸣、海外中医、中医文化、名医心鉴、中医病案析评、综述、中医药热点等。
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  • 发文量：5478
  • 被引量：3612
  • H指数：1
  • 开始收录时间：2008,1(1)
  • CNKI综合因子：0.783
  • 维普期刊影响因子： 1.65
  • 万方期刊影响因子：1.27
  • 创刊时间：2008
  • 国内刊号/CN：11-5652/R
    国际刊号/ISSN：1674-1749
  • 发行周期：月刊
    邮发代号：80-726
  • 主管单位：中华人民共和国卫生部
    主办单位：中华国际医学交流基金会
环球中医药-联系信息
  • 主编：-
  • 电话：010-65269860
  • 邮箱：hqzhyy@163.com;hqzyy@126.com
  • 地址：北京市东城区民旺园31号
  • 邮编：100013
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环球中医药 >2023年第11期

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  • 摘要：难治性胃食管反流病可能与胃酸抑制不充分、非酸反流、食管高敏感性等因素有关.西医通常通过更换质子泵抑制剂、调整质子泵抑制剂剂量或者联用H2受体拮抗剂来有效控制胃酸;通过促进动力、肌松药、黏膜保护剂控制非酸反流;Stretta射频技术、腹腔镜下Nissen胃底折叠术对重症、难治性胃食管反流病也是一种有效的治疗方法.中医辨证论治、专方专药随症加减都取得一定疗效.中医辨证以肝胃不和为最常见证型,治疗以理气、清热两类药物应用最多.针灸治疗特色显著,提供了一种新的选择.中西医结合治疗难治性胃食管反流病因其疗效巩固、不易复发等特点,也取得一定的研究成果.%Refractory- gastroesophageal reflux disease may be caused by incomplete blockade of gastric proton pumps, nonacidic reflux, esophageal hypersentivity and some other factors.The clinical physicians always control the gastric acid by changing the type of PPIs, adjusting the dose of PPIs or combinating of H2 receptor inhibitors; control the nonacidic reflux with promoting motility drugs, muscle relaxant,mucoprotective drugs; the Stretta procedures, the Nissen fundoplication under the aparoscopic are also effective.The syndrome differentiation of Chinese medicine, and the special prescription and herbs for the disease have obtained a certain effect.Treatment on the Basis of Syndrome Differentiation of TCM, special prescription and herbs , plus minus based on the symptom , they all get certain effect.Disharmony between spleen and stomach is the most common syndrome in TCM differentiation.So on the treatment , the herbs we used mostly is regulating qi flow and clearing heat.The acupuncture therapy is significantly characteristic, and provides a new option.Some progress has been made in combination of traditional Chinese medicine and western medicine for the treatment of refractory- gastroesophageal reflux diease
  • 摘要：The disorders of reproductive and endocrinal system are the common cause of female infertility. The problems can be caused from either organic or dysfunctional reason. The author analyses the pathogenesis of the infertility common incident in the West and the mechanisms of acupuncture and herbal medicine treatments. The article is the report of how TCM therapies of which acupuncture and Chinese herbal medicine are utilised together treat infertility. Acupuncture plays the unique role to support conceive by stimulating and strengthening the self-regulating, self-healing functions and promote ovulation; Chinese herbal medicine is able to be prescribed, according to the particular condition in the individual case and following the menstrual circle as well. United both of TCM therapies will make a good enough treating level in the lesser rates of patient visiting the clinic for gaining an expectant treating effect. This is a successful experience to manage TCM treatment during the practicing condition in the West. Some successful cases that are treated in UK which are involved in some natural pregnancies supported by TCM and pregnancies assisted with IVF treatment which is supported by TCM is illustrated in the paper.%女性不孕既有器质性病变的原因,也有由功能障碍导致的.作者总结了中医治疗不孕的机理,报道了联合应用针灸、中药,根据女性月经周期的变化规律,辨证治疗的经验和成功案例.具体方法是:第1周:补肾健脾,加强先、后天之本,而促进卵子的生长;第2周:补阴养精,活血化瘀,而促进卵子的成熟与排出;第3周:温阳育阴,以促黄体生成; 第4周:疏肝活血以调经,或健脾补肾以固胎.针灸通过加强人体自身调节与自愈的能力,并有确切的促排卵作用,在治疗中具有不可取代的作用;而中药则可以根据月经周期及病患的个体状况辨证加减,同样担负着重要的作用.这两种疗法的联合应用,可以让病患在较少的就诊频率下,获得足够的治疗力度,而达到预期的治疗效果.这种促孕治疗适应于功能性不孕,卵巢因素导致的不孕,以及要求促孕的患者.
  • 摘要：中医药英译时,常常使用汉语拼音来表达独特的中国文化概念和词汇.一直以来,这种方法被称为"音译".根据翻译理论中对"音译"方法的界定,认为中医药英译中使用汉语拼音的方法应叫做"注音".本文进而从读者因素的原理论证了中医药英译中注音方法的可行性及运用原则;文章又从翻译单位的概念入手,分析了中医药术语词汇英译时注音词的规范化书写形式.
  • 摘要：Tumor invasion and metastasis is a complex, multi-step continuous process , control transfer is to determine the key factors in the prognosis of cancer patients. Shiquandabu Decoction in the prevention of tumor metastasis and recurrence has played an irreplaceable role, By inhibiting tumor cell proliferation; promote tumor cell apoptosis; inhibiting angiogenesis; enhance immunity; reduce radiotherapy and chemotherapy side effects and other ways inhibit tumor invasion and metastasis. Explore tonic herbs in the inhibition of tumor invasion and metastasis will become an important issue, and to further reveal the law of tumor metastasis, invasion of relationship Qi and blood between tumor metastasis and recurrence, etc. have many significance.%肿瘤的侵袭、转移是复杂、多步骤的连续过程,控制转移是决定癌症患者预后的关键因素.十全大补汤在预防肿瘤的转移和复发方面发挥了不可替代的作用,通过抑制肿瘤细胞增殖;促进肿瘤细胞凋亡;抑制血管新生;增强免疫;减轻放、化疗毒副作用等途径抑制肿瘤侵袭和转移.探索补益类方药在抑制癌瘤侵袭、转移的作用将成为当今肿瘤研究的重要课题,并为进一步揭示肿瘤转移的规律及探讨益气补血与肿瘤侵袭转移的关系等具有诸多重要意义.
  • 摘要：目的 总结2009年甲型H1N1流感发病和中西医治疗规律.方法 对北京地坛医院2009年5月15日至8月2日收治的经核酸检测阳性的甲型H1N1流行性感冒患者326例进行回顾性病例分析.结果 调查时段内以输入性病例为主,高发人群是青少年,占81.3%,病情温和.主要症状是发热、咳嗽、咽痛等.其中医病因病机是风热疫毒侵袭肺卫,共有131例采用单纯中医药治疗,在退热、核酸阴转时间等方面与抗病毒药奥司他韦疗效相当.结论 治疗轻型甲型H1N1流感病例可单纯使用中医药,奥司他韦应用于高危或病情较重人群.%Objective: To observe the treatment about self-made headache prescription for 50 cases with cluster headache syndrome. Methods: 80 patients were randomly divided into treatment group and control group. 50 cases in treatment group treated hy self-made headache prescription; 30 patients in control group treated by pill of Zheng-tian-wan. Therapy time of two groups was 1 month. Results: The total effective rate was 94.0％ in treatment group. The control group, the total effective rate was 73.3％ in control group. There was significant difference ahout the total effective rate between the two groups (P＜0.01). Conclusion: Self-made Headache prescription had better effect to patients with cluster headache syndrome.
  • 摘要：老年单纯收缩期高血压(OISH)是高血压的一个特殊类型,发病率高,临床表现比较复杂,血压容易波动,合并并发症多,临床治疗率、控制率都很低.目前西医治疗OISH强调小剂量、多品种联合降压、缓和平稳降压,注重个体化降压治疗、血压不宜降太低,降压达标过程要延长,但如何控制收缩压的基础上不明显影响舒张压是治疗的难点;中医药治疗OISH显示出多靶点、多途径干预的优势,但单纯中医药治疗血压很难达标,限制了临床应用.本文就如何充分发挥中西医结合治疗的优势,改善OISH患者症状、提高血压控制率、减少并发症发生提出了一些见解.
  • 摘要：概述了中医对溃疡性结肠炎的病因病机认识和辨证论治内治方法.溃疡性结肠炎病机主要为脏腑气血阴阳的失调,以脾虚为病机根本,又与肝、肾等脏腑相关,以湿热、痰浊或血瘀等为标.辨治溃疡性结肠炎应以健脾益气为本,重视温肾、调肝,注意清热凉血、理气活血,并注重分期论治、寒热并用,兼用补益脾肺、调气化痰等治疗方法.针对中药治疗溃疡性结肠炎面临的问题提出了进一步发展的方向.
  • 摘要：金元时期的社会动荡潮和文化多元化等推动了医学流派的空前发展,催化了医学研究的百花齐放.地域因素造就了医学的流派个性,不同学术流派体现出不同的地域色彩.金元四大家的学术理论既相互交叉、渗透、补充,又相对独立、个性.中医学的传承应包括历史的认知、历史的复原、历史的激活、历史的推动四个方面.中医是在运动中发展、应用中进步的学科,是生生不息、与时俱进的科学.
  • 摘要：脾胃为气血生化之源,为后天之本,濡养五脏六腑、四肢百骸.卫气本源于下焦,滋生于中焦,宣发于上焦.卫气赖于脾胃之气化生水谷精微的不断补充,而发挥其正常的防御功能.一旦脾胃功能受损,就会引起卫气不足,防卫抗御外邪能力降低,外邪乘虚而入,而导致外感疾病的发生,姜良铎教授根据临床经验,在治疗表证上提出从脾胃辨治的理论.
  • 摘要：抑郁症作为危害人类身心健康的常见病,其发病机制错综复杂,至今尚未完全阐明,近年来抑郁症海马神经可塑性改变及其中医药干预机制逐渐成为新亮点.纵观目前研究现状来看,抑郁症形成过程中确实存在神经元萎缩、再生受损以及凋亡的可塑性变化,中药对抑郁症海马区神经元保护作用确切,抗抑郁疗效显著,但其中仍存在一些值得思考、亟待解决的问题.%Depression is a somatopsychic illness.Its mechanism is very complicated and some of it was unclear.These years the neural plasticity on depression is become the new highlight of the mechanism of depression and its antidepressants of Chinese medicine.From the datas of the present studies, the mechanism of depression were related to the neuronatrophy regeneration-failure and apoptosis of hippocampi, and the effect of the Chinese medicine was clear and its mechanism was related to protecting the hippocampal neurons of depression.But there were still remained some problems need to be thought and to be solved.
  • 摘要：@@ 正当我们沉浸在环球中医药杂志被入选中国科技论文统计源期刊(中国科技核心期刊)的喜悦之中,迎来了新的一年2011年.在这辞旧迎新之际,我代表环球中医药杂志向一直关心和支持环球中医药杂志发展的各位中医药专家、编委、作者和读者表示诚挚的问候!祝大家新年快乐!身体健康!万事如意!
  • 摘要：Gastroesophageal reflux disease(GERD) is a common disease in dyskinesis of upper gastrointestinal tract.In recent years, many studies have been done to explore the pathogenesis of GERD in traditional Chinese medicine.This paper reviews the research progress of it from several aspects, such as zang-fu differentiation of symptoms and signs, appearance substance and deficiency excess, regularity of syndrome type and body constitution factors.%胃食管反流病是常见的上消化道动力障碍性疾病.近年来对其中医病机的研究较多,本文从脏腑辨证、标本虚实、证型规律、体质因素等方面对各家的中医病机观点做一综述.
  • 摘要：目的 通过临床观察收集中医四诊信息探讨特发性肺纤维化患者中医证型.方法 通过横断面临床流行病学调查的方法,收集了131例IPF患者中医临床四诊信息,进行分层聚类指标变量分析.结果 131例IPF患者证候分布为肺肾气虚证(35.1%)、肺气阴两虚证(16.8%)、心气虚证(19.1%)、气滞血瘀证(17.6%)和肺脾气虚证(11.4%).结论 肺肾气虚证是IPF患者最常见的证候.%Objective To investigate the main type of syndrome of Idiopathic Pulmonary Fibrosis (IPF) on the basis of collection of Chinese traditional medicine' s four methods of examination information. Methods Through transaction investigation of IPF by the way- of clinical epidemiology, the Chinese traditional medicine' s four methods of examination information of 131 cases is collected and clustering-analyzed by computer. Results 131 cases of IPF can probably be summarized in five types of syndromes: Qi deficiency of Lung and Kidney (35.1％), Qi & Yin deficiency of Lung( 16.8％ ), Qi deficiency of heart, ( 19.1％ ) Qi-stagnancy and blood stasis( 17. 6％ ), Qi deficiency of Lung and Spleen( 11.4％ ). Conclusion Qi deficiency of Lung and Kidney syndrome is the mostly type of IPF in TCM.
  • 摘要：近年流行的"证素"学说在把证(名)"分解"为"不可再分解的"所谓"病位证素"和"病性证素"各若干项单元"证素"之时,也丢弃了辨证的整体性灵魂,忽视了多数病位概念与病性概念之间本质上具有同一性(亦"位"亦"性")及更为复杂的非线性关系;同时也把"证属"的"划分"误解为"证素"的"分解";犯了一个把"集合"颠倒为"元素"的集合论错误.所以"证素辨证新体系"值得商榷,更不能代替脏腑、八纲等传统辨证体系.
  • 摘要：失眠症是一种难治性疾病,其治疗主要分为药物治疗和非药物治疗两大类.通过对近年失眠症治疗相关文献的整理研究表明,失眠症西药治疗主要有苯二氮卓类药物、非苯二氮卓类药物、褪黑色素类药物及抗抑郁药物等,中药治疗包含辨证论治、专方治疗及采用单味中药制剂治疗.针灸推拿治疗、认知行为与物理、音乐治疗等非药物疗法亦取得一定的进展.西药治疗见效快,催眠效果明显,但长期服用有一定副作用.中药治疗灵活,疗效明确、稳定,能调节患者负面情绪,但临床治疗中对患者体质、个性方面关注少,中医治疗的辨证分型及疗效标准不完全统一.非药物疗法具有较好的研究前景.多种治疗手段联合应用治疗失眠症有待进一步探讨研究.%Insomnia is a refractory disease. Its treating includes medication and non-medicine therapy. By analyzing the research literature in recent years, we found that all these medicines contain benzodiazepines, non-benzodiazepine melatonin, antidepressant drugs and Chinese medical treatments.Chinese medical treatments include treatment based on syndrome differentiation, special prescription and single drug. Meanwhile non-medicine therapy, such as acupuncture, moxibustion, massage, cognitive behavior -therapy, naturopathy and musical treatment have made some progress. The western drugs have quick and significant effects but it also has side-effects after long-term use. Chinese medicine is flexible in treatment, and it not only has specific stable effects, but also could regulate the negative emotions of the patients. The deficiencies of Chinese medicine are that little attention is paid to patients'physique and personality, the differentiation of symptoms and signs and treating criterions are not standardized. The nonmedicine therapy has a bright future in treating insomnia. The combined therapy needs to be further studied.
  • 摘要：Laser scanning confocal microscopy is characterized for high imaging resolution, noninvasive dynamic measurement and 3D imaging function analysis.It is the preferred technology in anti-tumor mechanism research of Traditional Chinese Medicines and natural medicines.The applications of LSCM include several aspects, such as morphologic observation of tumor cell nucleus, determination of intracellular Ca2+ density, mitochondria membrane potential and expressions of apoptosis associated gene.%激光扫描共聚焦显微术因其具有成像分辨率高,可实现对活性细胞动态定量测量及三维重建等优势,用于中药与天然药诱导肿瘤细胞凋亡的研究中,包括以下几个方面:肿瘤细胞细胞核变化观察;细胞内钙离子浓度测定;线粒体膜电位测量;凋亡相关基因表达等.
  • 摘要：目的 建立蛇床子配方颗粒质量标准.方法 采用薄层色谱法对蛇床子配方颗粒进行定性鉴别;采用高效液相色谱法对蛇床子配方颗粒的主要活性成分蛇床子素进行定量分析.结果 在蛇床子配方颗粒的薄层色谱鉴别中蛇床子素等特征性斑点明显;蛇床子素在2.0～20.0 μg/ml范围内线性关系良好,r=0.99999,平均回收率为100.3%,相对标准偏差RSD为1.75%.结论 所建方法可行,灵敏度高、重复性好,能有效地控制蛇床子配方颗粒质量.%Objective To establish the quality standard for Shechuangzi Dispensing Granule.Methods The TLC was used to identify Shechuangzi Dispensing Granule. The content of osthole,the main active constituent in the granule was determined by HPLC. Results The characteristic spots such as osthole could be detected in the TLC identification of Shechuangzi Dispensing Granule. There was a good linear relationship between the peak area and quantity of osthole at the range of 2. 0 ～ 20. 0 μg/ml, r =0. 99999 , and the average recovery rate was 100. 3％ ,RSD was 1. 75％. Conclusions The method is practicable and repeatable. It provides a sensitive and reliable analytical approach for the quality evaluation of Shechuangzi Dispensing Granule.
  • 摘要：Objective To observe the effects of acupuncturing pericardium meridian on heart function of volunteer with acute mild hypoxia.Methods Under the condition of inhaling low-oxygen gas mixture, cardiac output (CO), cardiac index( CI), systemic vascular resistance (SVR) and systemic vascular resistance (SVRI) were measured with ICG Monitor when electric acupuncture was used.Results The level of CO and CI were significantly cut down when needling Neiguan (P ＜ 0.05 or P ＜ 0.01 ).And SVR, SVRI were significantly increased ( P ＜ 0.05 or P ＜ 0.01 ).Conclusion Electro-acupuncture on Neiguan can improve the body toleration through depressing the level of CO and SV induced by acute mild hypoxia.%目的 观察针刺内关穴对急性轻度缺氧健康志愿者心脏功能的影响.方法 在通过吸氧面罩吸入低氧混合气体(14%O2,86% N2)条件下,电针左侧内关穴,采用血液动力学监护仪记录心输出量、心脏指数、外周血管阻力、外周血管阻力指数在针刺前后的变化.以空白对照、内关左右各旁开1.5~2 cm位点及手三里穴为对照.结果 电针内关穴能显著降低急性轻度缺氧所致的心输出量、心脏指数升高(P＜0.05或P＜0.01),电针过程中外周血管阻力、外周血管阻力指数显著升高(P＜0.05或P＜0.01).结论 针刺内关穴对调整缺氧状态下心脏功能具有一定的特异性.
  • 摘要：难治性消化性溃疡以症状消除,溃疡愈合,减少复发为治疗目标.难治性消化性溃疡涉及脾虚、肝郁、血瘀,其中血瘀可能是该病病机的为中心环节.笔者对该病临床辨证为脾虚血瘀型、阴亏血瘀型、肝郁血瘀型、血瘀络伤型,在中医辨证治疗基础上给出随症加减经验,并可结合局部治疗,在必要时考虑手术干预.
  • 摘要：中医儿科研究生培训作为一种崭新的教育模式,由于受其学科性质及社会发展的影响,教育模式及学科发展与社会需求仍有差距.在当前研究生教育规模扩大、学科体系加速发展的时期,只有强化中医基础理论学习,加强基础理论与临床实践的结合,强调创新型人才的培养,重视综合素质的培养提升,才能保证和提高中医研究生教育的质量,培养优秀的中医儿科高级临床专业人才.
  • 摘要：目的 观察七味利湿散治疗婴幼儿轮状病毒肠炎临床疗效. 方法 将轮状病毒肠炎患儿202例随机数字表法分为两组,治疗组102例采用口服七味利湿散治疗;对照组100例采用口服蒙脱石散治疗,治疗4天后比较疗效. 结果 治疗组总有效率91.2%,对照组总有效率73.0%,治疗组疗效优于对照组,经χ2检验差异有显著性(P<0.05).结论 七味利湿散治疗婴幼儿轮状病毒肠炎有肯定的疗效.
  • 摘要：GERD has no corresponding name in ancient literature of TCM.TCM named this disease according to its clinical symptoms.Related descriptions could be found in the scope of acid regurgitation, nausea, obstruction of Qi in the chest, medicine hiccups, globus hystericus, dysphagia, stomachache, distention and fullness, etc.But it couldn't be regarded as the same meaning.After we compared the description of TCM pathogenesis of GERD in ancient literature, we concluded that the location of GERD was spleen and stomach, and the cause of it was failure of stomach-qi to descend and upward of turbid-Qi.GERD had close relation with liver depression and converse of gallbladder.It could cause and be caused by the clotted blood and turbid phlegm.Some ancient classical prescriptions based on syndrome differentiation in treating GERD were proved to be satisfactory.%胃食管反流病中医古代文献中无对应病名,中医常据其临床主要表现命名,在古代文献"吞酸"、"反胃"、"胸痹"、"呃逆"、"梅核气"、"噎膈"、"胃脘痛"、"痞满"等范畴中都可找到相关内容的描述,却不能认为直接等同对应.中医古代文献中对胃食管反流病中医病因病机的描述与现代医家的认识对比总结后,归纳为胃食管反流病病位在脾胃,因胃失和降,浊气上逆所致,与肝郁、胆逆关系密切,并可与病理产物瘀血、痰浊互为因果.现代医家在辨证论治的基础上,应用一些古代经典方剂治疗胃食管反流病取得了较为满意的疗效.
  • 摘要：Objective To analyze the correlation between the quality of life and symptoms of patients with gastroesophageal reflux disease, and syndrome of in-cordination between liver and stomach of patients with gastroesophageal reflux disease. Methods First assessed the patients who were diagnosed as gastroesophageal reflux disease (GERD) of their reflux related symptoms, symptoms of in-coordination syndrome between liver and stomach, as well as their quality of life, then analyzed the correlations of quality of life with reflux related symptoms and symptoms of in-coordination syndrome between liver and stomach by the method of linear correlation. Results There were statistic significance between the reflux related symptoms and quality of life in gastroesophageal reflux patients, including the domains of role physical, bodily pain, social functioning and mental health, of which the correlation coefficient are -0.25163, -0. 30000, -0. 23270, -0. 18180 respectively. Meanwhile, from the aspect of TCM, the correlations of quality of life with the in-coordination syndrome between liver and stomach had statistical significance, in cluding the domains of vitality, bodily pain, mental health, role physical, general health, social functioning, physical functioning , and role emotional, of which the correlation coefficient were - 0. 30080, -0. 28186, -0. 27572, -0. 26531, -0. 24416, -0. 23549, -0. 22667, -0. 20700 respectively. Conclusion Both reflux related symptoms and syndrome of in-coordination of liver and stomach can impair the life quality of GERD patients.%目的 分析胃食管反流病患者生存质量与反流相关症状、中医肝胃不和证症状的相关性.方法 对确诊为胃食管反流病的患者分别测评其反流相关症状、中医肝胃不和证症状及患者生存质量,并采用直线相关的方法分析生存质量与反流相关症状、中医肝胃不和证症状的相关性.结果 胃食管反流病患者生存质量在生理职能、身体疼痛、社会功能、精神健康四个维度上与反流相关症状的相关性有统计学意义,其相关系数(r)分别为:-0.25163,-0.30000,-0.23270,-0.18180.从中医学角度上看,患者的生存质量在活力、身体疼痛、精神健康、生理职能、总体健康、社会功能、生理功能、情感职能8个维度上与肝胃不和证症状有相关性,其相关系数(r)分别为:-0.30080,-0.28186,-0.27572,-0.26531,-0.24416,-0.23549,-0.22667,-0.20700.结论 反流相关症状及中医肝胃不和证症状的存在均可使胃食管反流病患者生存质量下降.
  • 摘要：中医在防治疫病方面有着丰富的理论和经验,但目前有将各种疫病一概视为温疫,轻忽甚至废用伤寒理法的倾向.温病与伤寒本应互为补充,而不能以温病取代伤寒.依据经典文献和临床实际,可知寒性疫病确实存在.对<伤寒例>提出的"寒疫"加以探讨并重新定义,为应对流感、禽流感、SARS一类流行病做好理论准备.介绍了临床经验体会.
  • 摘要：董少龙教授认为:老年眩晕病有自身的特点.常因肝阴不足,阴不制阳,肝阳上亢,肝风内动而发眩晕;或肾精不足则髓海失充,发为眩晕,肝肾阴虚是老年眩晕病的基本病机.因此治疗上在中医整体观和恒动观的思想指导下,急则治其标,缓则治其本,以扶正为主,祛邪为辅,分别给予补肾、平肝潜阳、健脾等方法,常选天麻钩藤饮、杞菊地黄丸等方剂化裁治疗.
  • 摘要：自上世纪末以来,由于美国民众对西医药治疗慢性病的不确定疗效的不满及长期服用西药所引起的副作用的忧虑,寻找一种安全而自然的替代疗法成为大势所趋.作为替代医学一部分的针灸和中医药被越来越多的美国民众所接受.本文介绍了自上个世纪末到目前的针灸和中医药(不含非药物疗法)在美国的发展背景;针灸和中医药所经历的立法情况,其中针灸的立法历经了探索期、立法规范前期,完善立法期三个阶段;由于中草药成分的复杂性和对其研究的进展缓慢,中草药的立法道路仍然很艰辛;针灸师的从业情况;针灸教育在美国是作为专业教育的一部分,其教育形式有别与国内的教育;美国针灸科研的发展也非常迅速,其研究质量和研究方法值得我们学习借鉴.通过对针灸和中医药在美国的发展背景、立法情况、教育及科研现状的介绍和把握,一定程度上比较了中国针灸和中医药的科研现状,对中国的针灸和中医药的发展提出了期望.
  • 摘要：乳腺癌的发病率呈明显上升趋势,乳癌的复发与转移是乳癌患者的最大威胁,针对这一环节,提出中医防治乳癌复发与转移的思路与方法.以中医理论及"治未病"的理论,结合乳癌相关的研究文献,分析该病的中医病因病机、揭实乳癌转移的基本病理过程,阐释中医防治乳癌复发与和转移的思路与方法.提出了乳腺癌中医的防治理念与策略,以疏肝,调畅情志为中心,滋养先后天,调摄冲任为本,兼顾袪邪,共同为防治乳癌复发、转移的基本原则.防治乳癌复发与转移,中医药可发挥其的特色与优势.%The incidence of breast cancer has been rising sharply in recent years.Recurrence and metastasis of the disease become a major threat to women' s health.Focusing on this issue, the application of TCM approach to prevent the recurrence and metastasis of breast cancer is discussed in this article.The development of a standardized infrastructure on breast cancer treatment using TCM strategies will also be investigated, pointing out the characteristics and advantages of TCM therapy.The pathology, diagnosis and treatment and the concept of "treating preventable diseases" are analyzed based on the TCM theory with the references of breast cancer related literature, giving an insight into the pathological process of breast cancer recurrence and metastasis.The advantages of using TCM treatment in this area will be illustrated.Soothing the liver and regulating emotions are the key principles and strategies of TCM treatment on breast cancer; nourishing both the spleen and kidneys, fostering and balancing Chong and Hen, and strengthen the body' s resistance to eliminate Xie( pathogenic factors ), all contribute to the prevention and treatment of breast cancer as well as its recurrence and metastasis.
  • 摘要：癫痫主病之脏在心肝,而涉及脾肾,其病理特点是"痫病独主乎痰",每因火动、痰聚气逆不顺而病作.举同病异治效案二则,两案总以风痰内闭为基础,一为阴虚火炎,痰因火动,肝肾阴伤,一为土不栽木,气虚痰蕴,心脾两伤.病同证异,治亦有别,临床活化辨证,同病异治,均获较好远期疗效.
  • 摘要：目的 探讨妇舒能洗剂治疗外阴部亚急性湿疹的临床疗效.方法将120例外阴部亚急性湿疹患者随机分为治疗组和对照组两组,前者采用妇舒能洗剂治疗,后者给予糠酸莫米松乳膏治疗,1周后分别观察两组疗效.结果 治疗组总有效率83.3%,对照组总有效率78.3%,P>0.05,无明显差异.结论 妇舒能洗剂治疗外阴部亚急性湿疹疗效高,为临床进一步探索中药治疗亚急性湿疹提供了依据.

    环球中医药的期刊信息

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