1、XIN ZHONGYI新中医NEW JOURNAL OFTRADITIONAL CHINESE MEDICINES1SSS/ SD0( 5), , rDM( 7),M!D ?DM!( 8), ,Ee 13qU(10),=: M!q(B);(13),5 mp?91r4 f(16), , ee7854(19), -bR-F150r4SS I B(21), ,w& 0%h1045 (23), 7E32 Z(25), , mE%Wl384y b SBS(26), ,P4 /Uh/h4854 f(27), r%/EUh42r4(29), h2Uh50054% * (30), , 5Uh136r4 u6
2、(32), , hJF%BJFv50 N (34),L X-hMvT%Y o(35),5 DOs?1 Vc *(37), ,SED055 (54), , bk(55),h B73AVX1 R(24), , Do)77i?KT1 A ;(56),3 0hZFZ?pN (57), ,Z Sp( 9), , 08(28),8 DZ f u (58), ,rS ,(60), ,(6a20a22a24a25a28a31a33a41a60a61a62a63a64)Y(12a15) (44) q3(54a64)#5,hKSb:g51| I:510030! DXIN ZHONGYI(1969M7)322930
3、7:2000M25 9I:5 9I:; R% 5 I x S=9?)S=)S9?)SED05D0v(g12|v)5D6I I:510405:g12|v8DgD g_DgDKgSSS=m9(399Q)ISSN 0256- 7415CN 44- 1231/R S=|:46- 38S|:M186 ,kI,?U0by7khhe,?SLbV5A,kh?T-hN,O1e,y7h?=e1,eWk,k,A,VC0e?aUaaH,=,5V/e0bkhs+, /$5S0,k/Yk,0ZE,ykL,#RV*Plm4,=b5O=,Ry7s,e,ke;YeVk;Y=lCke;0U,Vov)kU0b,kb,bFhbU;Y
4、V,F1IU;YL,RFO/,vlJY;e,FVe,=k,rU0b2 3,Rkh6B,VCk,1.Mbk,k!,Vkg,HA=3,k,E,Pk,7nU0a6,#/3,k0,f/#%,?3,0, /A,A5b0VkhhVCA,1hyB,A3,k,#nUaaJ,Da*Cb516: /h,00,15ilb5I,=r*8g=DDS,?B,/,VC,04,5.,.fgZ,7lL,8b#khUA#/,/,#/|,5CYbkh?Z,5C/%H,Xk#,Ch,/E,k0EuYb/,E,V56/,$,-/0/RYk0,F0mk;0.7P-v,FC aaHFa,F/;,0a56/;|,aa%a3,)k/,0b4
5、|5,Rkh#k/#,#,CaJ,aalLa/aa05?,.5n,4,Xna1kb,r7&,khN3?/,C,C|,aa5l5VCb8Akaa/#x,kY,A,/A,AYV,k?,/-,Y,&,?,5,Wn,?,VC?,b?/,/,A,F0bNkh,:,DOhOM5,kara/H,+Ym,6BBE,V74r,VO/b1 ,=*,*,n,HrbfV,f,L3,%,3,E,w,%r,=*,7hbNKn,nMo,0R2,y,M1M,X4,?3 4lH,4,ytb1yfhfF,4?01 2lH,;0rbh*,$-n,Heba,?P1.b,=*b,*bZ*(Z)b)Z:a10g, aa,15g,a)aB
6、10g,(5X) 20gb54vh,?4 5lH,?54hb2 9,I,b#,=7M,8V9,Mg;V,;sB,Jg,_V,b9,*,B5hb,o, 36, 1996M416b,he,P-n,ggm,9,/| ,Lba,?b5=6 /,m2,0,Zb*(Z)b)Z:Caa10g,o0a,15g,12g,1jav10g,(5X) 30g,6 gbZYFh,084hb9,:y5AYHr,VYb,Eb(a);7/L500,Q1jb,b,*,PB,rb3 w,|,w*w,VV7,6,g|b56,y,V7,|W,w,|,wy,|,7|,Q7(|)7hbf,3, 38,1992M86b2M-0e?L=ah
7、eb;Zp,R0r,hfh,f,P-,h9,m,gm|,a,bZlF1j10g,84hbl|,*mIgDDS,mIg(845350)52000M32 2Y,b11j15D6Z,rb4 ,d,!8|7,7,74bB,gB,.d!,M,h,54B,B7hb,3, 34, 1999M224byh,V,5c,5a,4,V,h,/z,a,?%,bZ!(Z)b)Z:Ba+10g,aa)a015g,naaa010gb54z,h,oZ27bZ!;naa0*;),!*,0*;|3,BVP3b5,7Bb5 |2,*,)|*702,58,=bA,f,|$;V,|,d!,|,|,=*,*7hb,3, 36, 1993
8、M914b8|,heb-yV,F,;0r,C4,P-n,0P,h9,g2,Yba,?%bZB0(Z)b)Z:WJaC20g,0aqS0ao0a0a)ana15g,0a10g,a10gb64,P-h,?3 4lH,ZFh264hbZiWJ,)|b;C/xWJ)|b,.,0;0aqS0ao0a)an)|,y)Hr7VC,;5,rb6 ,o,m,.,6?byh,M8;V;8,6?h,?7hb,3, 58,1990M1028b10M,lme#,hfhbM,hh,j,C,e,e,g,wLba,%b(Z)b)Z:60g,aBaanaS10 g,6aaI6gb649F,bZFh3,bZaa6,7V#*;6a
9、6;Ban,B5m606-V,B5|m,5;IaSpbR,B51Vb(l: 1999- 03- 03) #5D6,Ll,Kmb1995M35, 1996M53, 1997Ma1998M55, 1999M67(cn)b,h?Sb6 D杜达权老中医冬温变症治验举隅杜 江 成* 5M 冬温变症/中药疗法 风温/中药疗法 同病异治 杜达权 5r8DgD,VD40M,5,Mh,O,0,rA,CcM15,Ibf,3, 51by1/TH?h,PW,hebh1,-DH,me,r,QmFb5bn:&?,he,W,a,v,HCb*Gy,-a,$,PW,O, 1r10b3H,W,BMJ(/,vL4?,lL,OH1h
10、,FLhZb-D)Z0,aaa=FaC,meb4,rbVC,C,7%v,C,L;OVme ,QC,%-,XM3,OW,07,G:/,3,ee,30Mb_/CBZ,B0EbZIFb)Z:0aaS10g,I( ) 3g,a 25g,612g,020g,C a30gb014,3lH,PWvh,Q*gna,hehboZF15g3,X2Q*sb3?vh,Jv7,J,!,oZb5?y,er,Nvh,EmFb)Z:30g,aC a25g,a15g,Ba10g,64g,a5gb024,g|,*vbh,v,8t,*C,T,b)Z:10 g,aqS0a0a020g,W012g,1a *aCav)an15g,25g
11、bNZFh,b按: 冬温属急性热病, 雷少逸 5时病论6云: /冬温虽发于冬时, 然用药之法, 与伤寒迥别, 盖温则气泄, 寒则气敛, 二气本属相反, 误用辛温, 变症叠出矣b0 故治疗冬温,近人皆宗温病学说, 以辛凉开肺为主, 或疏表或清里, 辨别新感冬温与伏邪, 随症用药, 是为正治b唯病名虽一, 而人体禀赋, 各有不同b中医治病, 重在辨证, 强调整体治疗, 故处理同一病症, 遣方用药, 也有很大的差别b如墨守成规, 稍有不慎, 则变证丛生b如本例冬温误治变症, 症状如此之重, 实属少见b故在治法用药选方上, 完全超出温病范围, 仿/导龙归海, 引火归原0 法, 方用附桂八味丸加味治之,
12、 症状大减, 续以健脾补肾之法善后而收全功b可见中医治病在谨守病机的基础上同病异治的特点b(: 1999- 10- 19)*,+$MB%hTvbD0BL,9WbiSa.&DM! 21WX_TD3DTt%h,4h?hqqbtyPSDVV$h,.h,7,Mha&%hMha|h,rbDh,mDT9_ T,EVhEVZM,D1Xh8,7_rB8,b0SDBM,D,D0aar(aaZ$)|SK1DrbVn+WD1Dwbf: /SDnh?DM1ybd91996MDnr103511a,S914%,92007MDnr2ab,hDnCDTM%h,4%h?Z1T,9?ALDnir%5iL=5,thaM%hBZb0
13、: /Dnh,P vaS6DrB=,DBV$b0SDB,h11- +,V!qcWDK5SEDvbQ6vS=vD7,bS?q: /CDhP4hCrae6m,#t0T5,hpr,he,6,Db,C351+uODbM1sO,Qr1000b-VYOD=r1,VYOD=3$b,qZDnr55b1998M0gr-r35abM7500Q,Tr&%h,9sSb0q&SD,DM,1D.Wyb1992MhFvDB*D0v,g12|v(510405)8 DP4h,D0E,r,TD,iYL5Y,.yDbpDD3byh,D,gd9bLV5DB,8,%DmP4h,|z rm6rmb1994M7S,D4M)1M)37Zk,
14、V,v3?DEhIs,4Z,i?BteD/?Tbs3bEqyp!3,i,M500bB,nX?7M,nq?ZDbVVn,SD#8,$WK5,V rm,iX,V6,BS9s!*WSE?WgX60a,Sg2a,ST,rB;? 21W?Zag?ZsDr;?Av?ZD,w,=svlb6,n?b体会 /,_/|b_4V/%elL,0b|/,E=),7L$bp./L,|,SB/,|,h|e,debh/,/h|5,SaVP/LY,Y5e,#he,97b(: 1999- 09- 06)*SMy9,40|(100855)92000M32 2名专家精粹夏洪生教授治咳经验林 育 华* 夏洪生 (1939 ),男, 吉
15、林省怀德县人,主任医师a教授a博士研究生导师, 国家有突出贡献中青年专家, 享受国务院政府特殊津贴; 全国第二批名老中医药专家学术继承人指导老师b历任长春中医学院中医系主任a副教授a教授a副院长, 深圳市中医院副院长a教授, 现为深圳市红十字会医院党委书记a第一副院长兼深圳市中西医结合临床研究所所长b先后在国内外发表学术论文100余篇, 独立编著及主篇 5伤寒论训解6a5伤寒论析要6a5温病析要6a5中医临证指南6a5中医证候诊断治疗学6 等专业学术论著43部; 科研成果4项, 其中1项获部级科技进步二等奖, 主持针灸CAI系统研究, 居国内先进水平; 临床擅长于外感热病a心血管病a呼吸病a内
16、分泌病等疑难病的诊治b1qVYDDaS#5T40M,Y,pE,b3=,mh0bC5UB=,b1 OU, /aaa0,EW111 /0,a 1qUBh,UUaeUUaLUU,h/0nb|,T,9SLbUn5,7n7f/h,00vE,d0?Y,52D6: /z|0,Y5,Y,5U1b5:elCFh,e.F0;U;U,9b0F1 20hA,a%;2U,5bZF,aaaB0,B,BzkU0,UUaC2e,rTDbH,5BeR,7Yb9,7BRbbP2Z,15O,Vv0b112 /0,$a $:2AaYPA#bAb2A=0!TFh,1B,ZA,1q/ha/k,7ra|s,0,UA0,eaaA(V,1E1
17、,Rv,B18g,?15g,5X,0,?CQ,O,|rgs,a A;aa;(pa2;,0a0aeb2ZA,CA,5nUT46,w,8,H,N.ATaE3,NHRYPAE,VFhOFaPaa*r,AY;=U,yk,|,$=9,E3,|Eb56: /,|P,|51h0,y71qE:,V,Ekf/,A4w,F0VP,k0,VP,kr,7,$7,U07b113 /0,ka6k U,AYk,r;$U,Ak6, /3,k0,R6,kR,kVV3,/n,730a/,75,5B&Ag7Zb0,aIa%a,b5=aaa-,k5E1aWa=a-aV0a,ab1q0,k,B6B,Pr,A,b114 /0,lk 5#
18、EH6: /kl,$Jl,0, 5M36: /kb,l,0b1q,UUlE,lk#Ym/B,OUaU9V FE,yU,7rE,c7V,5nV,VIaa%a,P,9,7U,h?,#1qUU,k$,Ql0aa0;7UU, Fl00b|r,1o2biEAEM,?P,ZAl,7,Z?P,h.b2 UU,ei,YUU,L,7X;yeh,;yh,e,#Aeii,LC;7$E,5|nb5mb1q:NU,?CBE,7Os,5,L5,Rb,eR,Rl,)Z/0,Y,ei,lgb,b,e,|b5rmk,aa aa0beikeabaaI;k,abka.;bk-ak-amaWa=;7ra%l|0aabn%U,hnla
19、,7,VX7U,U,T 5U,W.,e5?,p5,U.HU1L,e,g,g,a7,?%b,V%2 37,N.2U,kEb)Z:9g,m12g,a6g,aWa=a,aad0aaB15gbZae;,a112000M32 2;ad0k;Wa=k;Bk;!|lk,P7V2,7,kB,7U1b3 hp,/,E71qU?3%,Ay=,/X,A0,#.h,7/p,y0,1Vm,!,3,3b56: /;,7g?,7h390,UU7n=UQ?T,.ka;Q,6wg,A1,6,8EaA,?xbr,?7I,?!A7A3,2k,(VU0bhp,rm,r3,aaa ,eae=95F,n/H,g$F/0,Pr9,Z?/#
20、,Hi6,P,0:amTaV0aaE1ab4 hu,3, 56, 1999M35b:QU3b1M12yQ,7U,U,O 5U,#WaeU.,s5?,?7U,Ae,g,?,a7,?b1q2U,Eb)Z:10g,m12g,8g,6g,aWa=a,aad0aaB15gbX,?14b054,vh,O ae,oZd0,F 30g,?347b按: 本例病起于初冬, 感受秋凉之邪, 外束肺气, 肺不宣畅, 气机上逆而咳b虽干咳但口不干, 舌无津伤化热之象, 可见并非燥热为患b治应辛温以外散凉邪, 润降以内降肺气,取麻黄a干姜辛温散寒, 桔梗a枇杷叶a牛蒡子宣肺利咽, 当归a紫菀a款冬花温润肃肺,配百合养阴敛
21、肺a安神止咳, 共制麻a姜之辛温疏散, 刚柔相济, 则散不过猛, 温不过燥,而取良效b(: 1999- 10- 18)WSjh+SD jhD0 a5S+SD$Y6IaSjhD02000M6PIgz7/WSjh+SD0,+:BaOaEg/D3aT3()TDDzaS/+aZBZD0aD#ThD3aWD3a8D3(Vgb1p9BZS58,5K,K30003=,Au,66003=K1b=aE,$hFp,i?/Sjh+SD0/+S/0c,F2SIbaqh2000M430-7:8g237|SWDD0S/w!7ja|j;/54;#55a;#k/,Vbab5O,Bh,$#Y,%1H,PQ17b#/m,Y#0v
22、E,F)a,!a*b5,M3Nhbf,1a8nb;8naIUL;Y,YA,.|,(nLpbV,8V7V,.Ua,g?7hbhh,VhA,aLy;eAy;eV.5/;aHr9bO(i/WM1b*D0vBD,2,FIa aE1bY|,RrY|,Z,0Faaaa%aZJbvL.,V,0Fa=aa#ab|,Rm!|,Fh;Ymv,RFvb,|E,NB;r,A$,AT,N=;|EAF|A,5,Nb|shlhVCb5hnhhN,8ht,.,n.e,#,Q,.5;,%b|1,MSh|b#,|F|E,)!,F81hbE,!|,b|,A,b|,gV1nb0,S,i|b,Nh?,hl?.,#1$p7gvv4,5,
23、#|;|g?V)H,E,Q7|3;7|1V,b|1b#R0a0a a,#a,;QPs,hl?.,|XvmbPHgIn,v,p,#,ivfv9Fg0Q,m$,|vb|,+Y;,FVala0KMRbY|,b,WJLbA$,R0Ka aa,MaHnav;HY$Ha?a8ae$b#N,A,$bVn/e,Y0,|,7$,91hb#N,4/|M10,|,|B?ZbN,V|,gV|bCAwYB1y,DTMbV6B4U,|VYVmEF%,Y|b3h,&a#B?b7,51.v,1VC?/,714?,5!b?,3,6,?6-b,Vm!r,#mrbN,r,5A,4,gu/$bE3hV,BYE,SL7!,YVVY,Y
24、ibEYE3hVsv5,5P5Y,5Y,Y,Y,BYB,YY,(3h,j8f7b3he$,FbPZH,Fqbe,%V,0,Y|V3;YFana;Y/F;YF,b (待续)(l: 1999- 09- 20)WSWD0+D) Y SWDD07?xSED05i,SE:SEB)v8,2000M4Pqgz7/WSWD0+D)0,+:Ba:)DDSDSagajh3aaDiB/D0DaD0zaThD3a8D3b=a=:D0ShZB/,aaVaw&aZaZaZ,5KbaO,$hFp,|?/0, /SD0+D/0/?ZD0D0cba1p:(u,66003=K1,F3c,2000M320-7:8g237|SWDD
25、07?x0S/w 0105); 而降TG疗效明显优于舒降之 ( P 01005), 降LDL2C的疗效则不如舒降之显著 ( P 01001)b对升高高密度脂蛋白胆固醇 (HDL2C), 2组疗效均不理想, 且2组疗效无显著差异b5M 高脂血症/中药疗法 益寿调脂片/治疗应用 降血脂药 (中药) /治疗应用 mp8De|qM-M?Z704,r/,rb5#LXTs112,C|0?rT1,T/b1 5111 h4 4hSv3500556#5syp6122b112 B h12vDBD,121,M-40 74bs2FbmpF(F) 91,342,o49,(M-55101? 8145;F(vF) 30,3
26、10,o20;(M-54136? 9148bV2_, 2FYaM-#-sAil,V1b113 Os h500556s5,$E3,/,/|,|n8D055(No196056)nSE5(No193295247)G,()|b2 ZEF:mp(0B3,aaqS0ana6avF,c300153g),Q4,?3QbvF:(BR,S,5mg),?1,-b2F(60?b3 4ZE311 4W,0-MJ3ZT,ia3hVbkWF0b312 |-B,J,Qb|bbTCaTGaHDL2CE(k433S/zK4),ApoA1aApoB100f1$E(k4ZZDS/zK4),%?( LDL2C)FriedewaldT9
27、( *2vDD,gF(510632) * *2vDBD(510632)* * *0B(510130)16 Dmmol/L): LDL2C= TC- HDL2C- (1/212) TGb(AI) = (TC-HDL) /HDL2Cb4 rS8r31988M550556 Sb98r500556bd9)(SPSS810qd9b5 T511 2F-#M TAUmpTCaTGaLDL2CaAIaApoBrA,i?ATC/HDL2C#6ApoA/ApoB1,TCaAIaApoBrsAil,LDL2CA,7TG 0105);2FWMr1,Wilconxon_sAil(P 012);F=r1,Kruskal
28、Wallis_sgAil(P 014),AUmpDrMbnV4bV1 2F#-M1(x ? s)FYTC(mmol/L)TG(mmol/L)HDL2C(mmo/L)TC/HDL2CLDL2C(mmol/L)AIApoA(g/L)ApoB(g/L)ApoA/ApoBFvF-6171? 1115 2172? 1173 1110? 0137 6181? 2157 4138? 1114 5180? 2157 1114? 0111 1110? 0120 1107? 01195154? 0180 xx 1163? 0179x x 1114? 0131 5118? 1151xx 3166? 0181xx 4
29、138? 2112x x 1110? 0110 x x 1100? 0115xx 1112? 0122x(%) 21715 24010 + 319 22319 21615 22415 2412 2818 + 419-6146? 1139 2147? 1176 1109? 0139 6157? 2134 4125? 1158 5156? 2133 1106? 0107 1112? 0114 0197? 01165123? 0190 xx 2122? 1182v 1107? 0137 5129? 1147xx3115? 0199xxvv4133? 1149x x 1111? 0108x x 110
30、4? 0120 1109? 0125xx(%) 21910 21011 2117 21915 22518 22212 + 415 2618 + 1218 :2U/,+U6 -1x P 0105, x x P 0101b2FW1v P 0105, v v P 0105bV2 2F8r1(%)FYnArrr09rqpTCF72 33(4518) 23(3119) 16(2212) 0(0) 56(7718) 012vF21 12(5711) 7(3313) 2(915) 0(0) 17(9016)TGF51 36(7016) 14(2716) 1(210) 0(0) 50(9810) 0105vF
31、15 3(2010) 4(2617) 6(4010) 2(1313) 7(4617)V3 2F98r1(%)FYn5eArrr9rqpF91 17(1817) 48(5217) 18(1918) 8(818) 83(9112) = 01901vF30 6(2010) 15(5010) 5(1617) 4(1313) 24(8617)172000M32 2V4 2FDr1() F( n= 91)n5eArrrvF( n= 30)n5eArrrWilconxon_P$E37 3 3 0 1 3 0 2 0 1 = 01201/16 2 8 4 2 2 0 1 1 0 = 01761/|7 1 3
32、2 1 6 1 3 2 0 = 01647|G7 0 5 2 0 6 1 3 0 2 = 01804()|54 11 29 10 4 13 4 6 2 1 = 01556Kruskal2Wallis_P= 01466 P= 01748515 2F-qaa8M 2F1&-#FW1,sAil( P 0105),Vb516 Q F0W,g3(515%),vFna1(3%),2(7%)b(Y0,O0Vva,?b6 ),+Y%?(LDL2C)3h1BybmpLX,AtbTCaTGaAIaApoBaLp (a)aox2LDLT,i?6bHDL2CaApoAl#ApoAl/ApoB1T,O?Etv132,5
33、mp9514,TA9( P 01001)142b(BR)-HMG2CoA4b%?TKB,yN,N0Tv,BmpbTAU,mpTCaTGaLDL2CaAIaApoBrA,i?ATC/HDL#6ApoA/ApoB1,OTCaAIaApoBrAsbLDL2CA( P 01001)b6HDL2C 2Fr(X,O2FrAsb72FTC/HDL1rGA(sY2315%a1915%, 2F-1(P 0101)bTgAUTGrTiA,7mpTG8r9rq9810%,AF( P01005)bD1_Jg,/,SL,/,|$Sb#/rmaEbrm5r,$3,Y;/5|A,|M6bEP$h,YS,V7rSYbV,mp
34、DrM,VbID1 j,e|,b1mpM51SD0, 1999,6 (1) B32 342 Z ,aBZ,1syp15h, 1997, 25 (3) B165 1683 j,e|,b1mpF#L1SD, 1998, 18 (10) B616 6194 j,e|,b1mp1SD$D, 1999, 5(1): 36 39(: 1999- 10- 13)18 D痛风汤治疗痛风78例临床观察刘 辉 明* 4 1 应用自拟痛风汤治疗痛风78例, 并与西药对照组作比较b结果: 治疗组总有效率9119%, 对照组总有效率7715%, 经统计学处理, 差异有非常显著性意义 ( P 10109/L23, B_U
35、F11bvF67,364,o3,M-39 70,(42;h1 14M,(1M6;?11,?56;-?16,%9 10 109/L13, B_UF8b2F51,vM,V1b112 S 4hGHOLMES(1985)eS112b5A%UCb18A,O_vUbQ?T$1WuaU#l6a+rb113 Os =:1e,5,1sK,B1sbY?agWba,beA=:1.e#,y%,ee9,5h,a,H,?b2 ZE211 F 1EebZ:Faa30g,!(20g,-a+d15g,5gbFh:=ZFUaaz,;eA=ZFZ,a$a;1e.Fd;&F,a?bE:?14,X,?X, 2QXAs2Qb212 vF
36、 Yw?Q011g,?3Q,gb3B1Q20mg,?3Q,gb?UF)b2F(5?1, 2d9Tb3 rST311 rS122 5:1eh,#UAUcbr:1eh,#UAUchbr:5#UAUc,.Fb312 T F562(7915%),r12(1514%),r4(511%),9rq9419%bvF538(5617%),r14(2019%),r15(2214%),9rq7714%b2F9rq1,sdAil( P 0101)b*f1 nV1bV1 e1hf1(%)F-hvF-h!143 31 (72109) 39 28 (71179)3138 34 (89147) 46 24 (52117)11
37、9 13 (68142) 25 11 (44100)4 h,3, 65b1998M711b:3ae2,?1?bh-;,e,Yw?,1$nAzb8:T 38e ,31#1!1a#,eV,sKbaMW,bBUA 670 Lmol/LbWBC 12109/L, N 0182, L 0118bD:ebD:=(=)bRAbb)Z:Faaaaz,30g,?a,aUa-a+d15g,!(20g,5gb34,?14,0?X, 2QXAs2Qb=|, T 3618e ,3aeAhbZh?a,b1,5hbBUAXb5 8511 eVC1ehM,#BD=Sb3NLh1obh,iS8bNAeAS,7hb#eGh7EF
38、ZbZF,?,m?2A,?e,Aa=er,0b,LZb,rgb,54gATb7c?42JFaeaT132ba!(FA,OYr T,0b|a-her,1emb0V,a-(FaeaTb+d0/,rh,=r ,Y1,Q0bP,$e,0b0M,A,1,b3,5BU30,T1v,O?b71Ee,V8wy,9FU,y7?lXrT,A0 xT1bID1 13200=S%hS1:S , 199819532 .15%hGzS1:+D , 198712163 D10vJ1Z:ZS/ , 19951381 382(: 1999- 10- 25) #v542 16X b8Daq1- S5#42SDE.dI7b1 |m
39、Ea aC%,?,0=),iYb;,/,SLN(IbrN12(cn)bv5#S6 l1956 1996MS=E?V#268bsa*8AamaDLsa0a0ar#T,#ZE9cb667,$iZZTbQS?Z,iVSS5b278(c7nan)b2s5D6I r,|g12|vD0v5D6I ?Sl,haW%#Ib20 D前列清颗粒治疗慢性前列腺炎150例疗效观察卢国频* 刘桂滨* 刘灿康* 范晓平* 4 1 应用自拟方前列清颗粒治疗慢性前列腺炎150例, 结果治愈69例, 显效45例, 好转27例, 无效9例, 总有效率为9410%b认为本病是因湿热蕴结, 瘀血阻滞而致, 治疗应清热利湿与活血化瘀并
40、举b5M 前列腺炎/中药疗法 前列清颗粒/治疗应用 清热祛湿剂/治疗应用 慢性病 -Fs-F5pY,0#F31i-FF8=,rri,F-FF5.as4y,PhCrZE0b|M-Fr0)Z-bR,5,|zrbC|1998M7 1999M71509/b1 5111 B F150,M-20 65Wb20 3994, 40 5950, 606bhK3,K15M,1M=60, 1 5M72, 5M18b112 S 1998M5SD3Sv-F%h 10/HPv,x l8hb2 ZE-bRa=aaaaada0Fb?:|,b,A$b0Xa?4ai,Fa,R,27b15g,Q1,7,?3QbM140cb21b_
41、1Q-FfbH,-FA_2QbAr:1h,-FA_%10 20/HP,x l8 50%bz:1h,-FA_%,%Xh.7br:b312 T FK2,K8,B2 4b69(4610%),Ar45(3010%),z27(1810%),r9(610%),9rq9410%b4 h, 42,X, 1998M105b|#p.ea3Mbn:U,Ui,UVnUgTAn,aH,?%b_:-F9vae,-FA$,_:%(+ + ),x l850%b:-FbO:A,|EbbAa|b-bRg,Q1,?3Qb2h,-FA_:%( + ) ,x l8*8gD,g(214500)212000M32 2 50%b?2,h,-
42、Fb-FA_:%4 5/HP,x l8 75%b?-bR1%r,M,-F_b5 )511 hnhy=Z:Bj|3,A/L7,S,/-FF,V7Shb=?Y,m8,-F,|/,A,V7hb5n,vVCA7,HXhbM54,:LA,|Eb5AbA|ib512 0hzrb,t?T0X4,N|x)Z-bR4bZadaa=|Y$;aab;3AY%bZ=|abaA$b513 CL,ada=|0?hh1,E,Y-F5,P8F,A9F,V7P0rh1,4r0i;a3A0F)abh1aPsa4f?aFTb514 -Fh,v*f*?y,P0H,Phfnf,;%hbN,hYaaJJOJ,9r4b(l: 1999-
43、11- 07) # v 5100hZe6 SD0S/ ,l100nh5Z600n,h#=aaa8a2aSbZS65DDsE,5rA,TeLbnZ)ZaOEa5raha#,e21,Lb5a#ST1IN,zgvTb7n28b#v 5426D0vq3afEI,SD0S/ b503,Bsn.abBaV1442EX;=s42E5);sIDEP4h58bLli,l42,O)Z?p,jW+rEGOaa0L!,avDT#zbrN40(c7n)bv 5f) )h6X bS= DVM)h#1I7bS#SE)h?3?Z,)hahyaa#o?Zt;)ha-0Z#D0;K)hs0Ta4avvVb=WL,0,Baa)hz
44、brN16(cn)bv 5pq9806SD0 bp,sc/EaPaiY#Fhb=UL,VaL,aDT5I#v!3ra1b17(cnan)b4hg12|vD0v5D6I ?Sl,7bI: 510405b22 D针灸推拿足三里穴药物注射治疗化疗引起的白细胞减少症104例尹先哲* 尹德印* 刘新群* 丁旭萌* 5M 白细胞减少症/穴位疗法 穴, 足三里 1992M4 1998M4,a65422aATPa40A%h,ri,C/b1 5 F127(h_b393,o34;M-12 75;J538,22,k21,11,%?8,F8,7,12b(,%9410 109/L 015 109/L,4bF127,sF
45、104,vF23b2 ZEV%410 109/L,T,/2ZEb211 F |,?h,|25ml67|h,|5mga654225mgaATP20mga011gA,O3 cm,4aaPamE,Paanae,=5 10s|0Awb?1Qb212 vF :75Lg,/,?2Qb2F(3?7?b3 rST311 rS Ar:3?,%6410 109/L;r:7?,%6410 109/L;r:7?%410 109/L/b312 T nV1bV1 2Fr1(%)FYnArrr9rq(%)F104 40 (3815) 56 (5319) 8 (717) 9213xxvF23 14 (6019) x 7 (3
46、014) 2 (817) 9113 FArq1x P 0105313 T 1042CB/.e,(3?h,+yabvF23,4C?b4 hf,3, 52, 1995M45yJ5/$blbV%9210 109/L,T,5mg, 654- 25mg, ATP 20mg,011g,?1Q,3?,%6614109/Lb5 8%hKnQ,-506?a2),VP%6S=,T00,%y/,HsVC?a&CQb*282g=D?S,2gu(473012)232000M32 2,YI#bCDLO?9F%9#%1,h?3,48f?b65422Ms8E4,?,4 /b?O /?,P%a%al9b4ATPa654- 2a
47、,0,?,?Oa0Tb54V,FArq3815%,vF6019%,d9)P0105,sAilb:/, 3?=6%y,1H2ZErTB,O:NL,BT,4sb7a65422aATPa,ZEe,rAON,s,Bara66%E,5wb(l: 1999- 08- 25)病例报告当归寄生注射液肌注致过敏性休克1例报告刘宝华* 郭秀英* * ,o, 54, 1997M102b%eP/.e!2,%XL_,%Wlb0ia aB73A8b10aF3VNb5B73A2 ml,|Z03(1995071221|),3s,h,0,|s,vp,0b|,a=g O,bVX,10mg,$gD=,FX#FV,b?,%yeH,B
48、73A011ml,-D=Sk,H3kv4bT5s,B73Akm9v, 10smV1 cm,Cvl,7vMb) B73A50,C0VC,VXhnbB73AB734|,0m,aa/,/a aAaaYaebBdBY,4#T,4vH,VP#Tf,iaTb73Vyd=s,YV*.85w,7P/byN5H,V8aVN#0b(l: 1997- 07- 01) *8g55191,g2(277500)* *8gD(277500) # 5iD6l8DD=1990M595,=aa8SnhP4b,(F,O1oZ02,lDO+bVD5T#DzIkb(c) 19bhg12|vD0v5D6I ?SbI: 510405bh/
49、iD0,ibW%aaIb24 D火罐疗法治疗慢性窦道32例王启才* 陈海丰* * 5M 窦道/中医疗法 拔罐 慢性病 5M,?$F7E32,|irbC/b1 5F462,337,o25;(M-46;Ca%ay)hM733,mMgag29bh(3,v5a1*BhbsF32,vF30b2 ZE211 F ?$7E,aj7,E,|7gg,=75 10s,hA,Vb!9,7A5V7b2 3?1Qb1b212 vF ?ZE,#Hb=s#F,g#F3,b70bV1 2Fr1(%)FYnHW(x? sad)?F32 27 (87137) 14? 318x 3 (11150) xvF30 20 (60100)
50、 24? 511 4 (20100) vF1x P 01053 T1d9,1d9?qbnV1b4 81,F?#Hbs=,?#He,h,vF,AsY,F,PF4b7TT,PF5f,%59,Paf9b9P=s,e,CTLM3,bD,=,7ba|aYrb54?C,F7EFy,q,?q,7EeL,wlqI5DN6X bVD?Z aDaDaDD0FaD0 vD0aDaD?ZZ,UD?Zw|a4,ADNbb=,VbSD?ZaD0aaDa35|3Y,V1IbVg12|vD0v5D6I ?S,I510405b(cn) 33bh/DN0,ibW%aaIb,1,yr,T#3;z:%yeh,le,yk;r:%ye#