中医药治疗糖尿病近况

糖尿病是一种由于体内胰岛素分泌绝对或相对不足而引起糖代谢紊乱为主的全身性疾病,属于中医“消渴”、“消痹”、“隔消”、“肺消”、“消中”等病范畴。一般认为本病是由于素体阴虚,复因饮食不节、情志失调、劳欲过度而引起,且以阴虚为本,肺脾(胃)肾三脏阴虚互为影响,主要责之于肾,发病机理始于阴虚引起燥热,阴虚重点在肾为其本,燥热表现在胃是其标,本病以虚证、热证为多、寒证、实证较少,尤以湿热之证最为多见。近年来随着人们物质生活水平的提高,饮食结构的变化,其     

顺势疗法和中医学诊治特点的比较与思考

顺势疗法是盛行于欧美的一种相对独立的治疗体系.顺势疗法和中医学虽分属于不同的医学体系、根植于东西方不同的文化背景,但其哲学理念、宏观诊治观点、尤其是诊断思维较为相近.本研究从顺势疗法诊治特点入手,梳理其诊治思路、法则、临床治疗特点,并与中医的诊治特点予以比较和评析.     

用经筋理论辨经分型颈部挥鞭样损伤的研究

在分析《灵枢.经筋》篇与后世注释的基础上,重点分析颈部不同经筋病变所出现的症状特点,并结合挥鞭样损伤的生物力学机制,认为挥鞭样损伤下颈段综合征的机制与经筋异常扭挫有密切关系。根据明代马莳、张介宾对经筋的具体注释并结合现代解剖学知识,归纳出挥鞭样损伤的4个不同经证:太阳经证为颈部广泛痉挛、拘急、屈伸不利;阳明经证为颈不可左右视、掣引疼痛、痉挛和肩不举;少阳经证为头颈支撑不适、痉挛、侧屈困难;少阴经证为颈部深处疼痛、后伸困难、头晕。对挥鞭样损伤患者运用《灵枢》经筋理论进行辨经分型论治,能提高其临床疗效。     

膻中,中脘,气海三穴调气作用机理初探

膻中、中脘、气海三穴调气作用机理初探张群策，刘敏（陕西省中医药研究院附属医院，西安７１０００３）主题词理气，穴，膻中，穴，中脘，穴，气海祖国医学认为，气机调畅、升降出入有序是机体处于“阴平阳秘”生理状态的前提条件，气机失调、升降逆乱则是机体各种病理变...     

高位型小隐静脉曲张1例报告

患儿8岁。出生时右大腿外侧有一指尖大小的隆起、质软,未介意。会走路时沿大腿及小腿外侧有一条状隆起,逐渐迂曲成团,疼痛,站立时加重,平卧时消失。于1986年7月19日入院。家族史:父母无类似病史。体检:右下肢无畸型及肌萎,小隐静脉呈条状隆起,迂曲成团,皮肤颜色正常。小隐静脉终端人大腿外中段,无压痛及搏动。听诊无血管杂音。(孛夂)——托氏试验阴性、伯尔德士试验阴性。     

刺血疗法的临床研究概况

<正> 刺血疗法,又称刺络疗法,即指用针具直接施刺于瘀滞的络脉,使之出血,从而达到驱除血中瘀滞,使气血运行通畅的一种治疗方法。古代先贤从大量的临床实践中为我们积累了丰富的经验。仅《内经》中论述此方面的内容就近30余篇。《灵枢·九针十二原》中载道“凡用针者,虚则实之,满则泻之,宛陈则除之,邪盛则虚之”。《灵枢·脉度篇》云“盛而血者疾诛之”。明确地提出了刺血疗法的治疗原则,并从血络的形、色等表现为本证的诊断提出了理论依据。如《灵枢·经脉篇》曰“凡诊经脉,脉色青则寒且痛,赤则有热……其暴黑者,留久痹也;其有赤有黑有青者,寒热气也”.在治疗方法上,《内经》亦予以精辟的论述,遵循局部取穴、循经取穴的原则,运用络刺,赞刺、豹文刺等方法,以达到通经活络、消肿止痛、调和气血、清热开窍的作用,臻使“经脉流行、营复阴阳”。刺血疗法有其简便易行,疗效显著等特点,临床上除单纯刺血外,尚有配合拔罐、体针、中药、艾灸等方法,从而扩大了其治疗范围。现将近六年来临床各科应用的情况综述如下:一、皮肤科 (一)刺血法:有人用三棱针点刺颈7、胸1.2的棘突旁开2寸处的方法,治疗枕后硬结性毛囊炎97例,治愈率为86.6%。以耳背近耳轮角处小静脉放血之法治疗扁平疣100例,观察结果:     

按诊在美国各针灸流派中的应用现状及思考

按诊是中医诊察疾病的重要方法之一。本文系统归纳了流行于美国的传统中医针灸的经络腧穴按诊、日本针灸的腹诊、欧式五行体制针灸的夫妻脉诊、针灸物理医学的肌腱带按诊及肌反应测试术等不同针灸流派按诊现状、特点及源流。在分析美国各针灸流派均重视按诊的社会心理因素的基础上,提出按诊反馈检测的诊疗互动机制不仅是美国针灸以人为本、身心并治的个性化诊疗特性的重要体现,亦是对中医现代化进程中中医诊疗特色的继承与发展。     

单侧外固定架在四肢近关节骨折伴有大血管神经损伤的应用

我院自1994年3月至1996年3月应用单侧多功能外固定支架(后简称单支架)在四肢开放近关节骨折同时伴大血管神经损伤的治疗共10例,取得了满意效果,报告如下.     

以健康信念模式分析美国"针灸热"之兴起与可持续性发展

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