慢性前列腺炎(CP)是前列腺炎中最常见者,患者通常以长期反复的骨盆区域疼痛为主要表现。CP的发病机制复杂,涉及多种环节,具有临床症状持续、难以治愈、容易复发等疾病特点,给患者带来严重负担。西医对本病的治疗方式较为单一,药物不良...慢性前列腺炎(CP)是前列腺炎中最常见者,患者通常以长期反复的骨盆区域疼痛为主要表现。CP的发病机制复杂,涉及多种环节,具有临床症状持续、难以治愈、容易复发等疾病特点,给患者带来严重负担。西医对本病的治疗方式较为单一,药物不良反应较多,中医药治疗CP历史悠久,治疗方式多样。笔者通过综述近年来中医药治疗CP的临床研究发现,中医药治疗CP疗效确切,安全性高,可通过改善炎症反应、调控内分泌细胞等机制来改善患者临床症状,提高生活质量,一些特色治疗方法如中药熏洗、针灸等表现出了明显的治疗优势。未来需要更多大规模的多中心随机对照研究来探究中医药治疗CP的深层次机制,以提高中医药治疗本病的可信度。Chronic prostatitis (CP) is the most common form of prostatitis, and patients usually have persistent and recurrent pelvic pain as their main symptoms. The pathogenesis of CP is complex and involves multiple mechanisms, with clinical symptoms persisting, being difficult to cure, and being prone to recurrence, which brings serious burdens to patients. Western medicine has a relatively single treatment approach for this disease, with many adverse drug reactions, while traditional Chinese medicine has a long history of treating CP and has diverse treatment methods. Through a review of the recent clinical research on the treatment of CP with traditional Chinese medicine, the authors found that traditional Chinese medicine has a definite therapeutic effect and high safety, and can improve patients’ clinical symptoms by improving inflammatory responses and regulating endocrine cells. Some unique treatment methods such as herbal bath and acupuncture have shown obvious therapeutic advantages. In the future, more large-scale, multicenter, randomized controlled trials are needed to explore the deep-level mechanisms of traditional Chinese medicine in the treatment of CP, in order to enhance the credibility of traditional Chinese medicine in the treatment of this disease.展开更多
室性早搏为临床最常见的一种快速性心律失常类型,频发性室性早搏可诱发恶性的心律失常,严重者可危及生命。目前针对本病暂无特殊疗法,多以抗心律失常药物为主,但这类药物可表现出致心律失常作用,极大限制了其应用。室性早搏可属中医“...室性早搏为临床最常见的一种快速性心律失常类型,频发性室性早搏可诱发恶性的心律失常,严重者可危及生命。目前针对本病暂无特殊疗法,多以抗心律失常药物为主,但这类药物可表现出致心律失常作用,极大限制了其应用。室性早搏可属中医“心悸”、“心痛”、“胸痹”、“怔忡”范畴,笔者综述近年来中医治疗室性早搏的中医研究进展,发现目前中医药治疗本病以内治法为主,用方有经典方、自拟方,中成药亦较多,疗效较为理想的有参松养心胶囊、稳心颗粒。室性早搏的中医外治法有针刺法、穴位贴敷、灸法等,以针刺疗法为主,方式有腹针、腕踝针、耳揿针等。中医药治疗本病疗效确切,可显著减少早搏发生次数,改善中医症状,且安全性较高,值得临床推广应用。Ventricular premature beats (VPBs) are one of the most common types of rapid arrhythmias in clinical practice. Frequent VPBs can induce malignant arrhythmias, which may be life-threatening in severe cases. Currently, there is no specific treatment for this condition, and antiarrhythmic drugs are primarily used. However, these drugs can exhibit proarrhythmic effects, greatly limiting their application. VPBs fall under the categories of “palpitations”, “cardiodynia”, “chest obstruction”, and “anxiety palpitations” in traditional Chinese medicine (TCM). The authors reviewed recent research progress in the treatment of VPBs with TCM and found that internal treatment methods are predominantly used. Prescriptions include classic formulas, self-created formulas, and a considerable number of Chinese patent medicines. Among them, ShenSong YangXin Capsules and WenXin Granules have shown promising efficacy. External treatment methods in TCM for VPBs include acupuncture, acupoint application, moxibustion, etc., with acupuncture being the main method. Techniques used include abdominal acupuncture, wrist-ankle acupuncture, and auricular needle therapy, among others. The efficacy of TCM in treating this condition is definite, significantly reducing the frequency of premature beats, improving TCM symptoms, and demonstrating high safety. Therefore, it is worthy of clinical promotion and application.展开更多
多囊卵巢综合征是青春期及育龄期女性常见的内分泌疾病,临床发病率较高,约为5%~20%,是导致女性不孕的常见原因。目前临床上常将身体体质量指数(body mass index,BMI)正常的多囊卵巢综合征患者归为“非肥胖型”。导致“非肥胖型”多囊卵...多囊卵巢综合征是青春期及育龄期女性常见的内分泌疾病,临床发病率较高,约为5%~20%,是导致女性不孕的常见原因。目前临床上常将身体体质量指数(body mass index,BMI)正常的多囊卵巢综合征患者归为“非肥胖型”。导致“非肥胖型”多囊卵巢综合征发病原因复杂,主要包括情志因素、体质因素、循环和内分泌因素等。中医认为“非肥胖型”多囊卵巢综合征的病机主要以“肾虚肝郁”为主。在治疗方面中医药在辨证论治的理论基础上,将“辨病”和“辨证”相结合,对“非肥胖型”多囊卵巢综合征有着独特的治疗方法。中医常根据不同的证候类型使用相应的方药,同时针刺和灸法也发挥着重要的治疗作用。另外配合生活管理也可以获得更好的临床疗效。展开更多
湿疹是儿科临床常见病,其发病机制与多种因素相关,现代医学多采用糖皮质激素外治结合抗组胺药、抗炎药内治方法治疗婴儿湿疹,短期好转,但易复发。近年来,中医诊疗小儿湿疹的优势逐渐凸显,治疗方法主要以药物和非药物疗法为主,依据不同...湿疹是儿科临床常见病,其发病机制与多种因素相关,现代医学多采用糖皮质激素外治结合抗组胺药、抗炎药内治方法治疗婴儿湿疹,短期好转,但易复发。近年来,中医诊疗小儿湿疹的优势逐渐凸显,治疗方法主要以药物和非药物疗法为主,依据不同病因病机辨证施治,疗效显著,不易复发。本文查阅文献,通过对中药内治法、中药外治法、推拿等方法的总结,梳理小儿湿疹中医药治疗的最新进展,为临床治疗提供参考。Eczema is a common clinical disease in pediatrics, and its pathogenesis is related to many factors. Modern medicine mostly adopts glucocorticoid external treatment combined with antihistamine and anti-inflammatory internal treatment to treat eczema in infants, which can improve in the short term, but is easy to recur. In recent years, the advantages of traditional Chinese medicine in the treatment of pediatric eczema have been gradually highlighted, and the treatment method is mainly based on drug and non-drug therapies, based on different etiology and pathogenesis of eczema, with remarkable efficacy, and not easy to recur. In this paper, we reviewed the literature and summarized the latest progress of TCM treatment of pediatric eczema by summarizing the internal treatment method of traditional Chinese medicine, external treatment method of traditional Chinese medicine and massage method, so as to provide reference for clinical treatment.展开更多
文摘慢性前列腺炎(CP)是前列腺炎中最常见者,患者通常以长期反复的骨盆区域疼痛为主要表现。CP的发病机制复杂,涉及多种环节,具有临床症状持续、难以治愈、容易复发等疾病特点,给患者带来严重负担。西医对本病的治疗方式较为单一,药物不良反应较多,中医药治疗CP历史悠久,治疗方式多样。笔者通过综述近年来中医药治疗CP的临床研究发现,中医药治疗CP疗效确切,安全性高,可通过改善炎症反应、调控内分泌细胞等机制来改善患者临床症状,提高生活质量,一些特色治疗方法如中药熏洗、针灸等表现出了明显的治疗优势。未来需要更多大规模的多中心随机对照研究来探究中医药治疗CP的深层次机制,以提高中医药治疗本病的可信度。Chronic prostatitis (CP) is the most common form of prostatitis, and patients usually have persistent and recurrent pelvic pain as their main symptoms. The pathogenesis of CP is complex and involves multiple mechanisms, with clinical symptoms persisting, being difficult to cure, and being prone to recurrence, which brings serious burdens to patients. Western medicine has a relatively single treatment approach for this disease, with many adverse drug reactions, while traditional Chinese medicine has a long history of treating CP and has diverse treatment methods. Through a review of the recent clinical research on the treatment of CP with traditional Chinese medicine, the authors found that traditional Chinese medicine has a definite therapeutic effect and high safety, and can improve patients’ clinical symptoms by improving inflammatory responses and regulating endocrine cells. Some unique treatment methods such as herbal bath and acupuncture have shown obvious therapeutic advantages. In the future, more large-scale, multicenter, randomized controlled trials are needed to explore the deep-level mechanisms of traditional Chinese medicine in the treatment of CP, in order to enhance the credibility of traditional Chinese medicine in the treatment of this disease.
文摘室性早搏为临床最常见的一种快速性心律失常类型,频发性室性早搏可诱发恶性的心律失常,严重者可危及生命。目前针对本病暂无特殊疗法,多以抗心律失常药物为主,但这类药物可表现出致心律失常作用,极大限制了其应用。室性早搏可属中医“心悸”、“心痛”、“胸痹”、“怔忡”范畴,笔者综述近年来中医治疗室性早搏的中医研究进展,发现目前中医药治疗本病以内治法为主,用方有经典方、自拟方,中成药亦较多,疗效较为理想的有参松养心胶囊、稳心颗粒。室性早搏的中医外治法有针刺法、穴位贴敷、灸法等,以针刺疗法为主,方式有腹针、腕踝针、耳揿针等。中医药治疗本病疗效确切,可显著减少早搏发生次数,改善中医症状,且安全性较高,值得临床推广应用。Ventricular premature beats (VPBs) are one of the most common types of rapid arrhythmias in clinical practice. Frequent VPBs can induce malignant arrhythmias, which may be life-threatening in severe cases. Currently, there is no specific treatment for this condition, and antiarrhythmic drugs are primarily used. However, these drugs can exhibit proarrhythmic effects, greatly limiting their application. VPBs fall under the categories of “palpitations”, “cardiodynia”, “chest obstruction”, and “anxiety palpitations” in traditional Chinese medicine (TCM). The authors reviewed recent research progress in the treatment of VPBs with TCM and found that internal treatment methods are predominantly used. Prescriptions include classic formulas, self-created formulas, and a considerable number of Chinese patent medicines. Among them, ShenSong YangXin Capsules and WenXin Granules have shown promising efficacy. External treatment methods in TCM for VPBs include acupuncture, acupoint application, moxibustion, etc., with acupuncture being the main method. Techniques used include abdominal acupuncture, wrist-ankle acupuncture, and auricular needle therapy, among others. The efficacy of TCM in treating this condition is definite, significantly reducing the frequency of premature beats, improving TCM symptoms, and demonstrating high safety. Therefore, it is worthy of clinical promotion and application.
文摘多囊卵巢综合征是青春期及育龄期女性常见的内分泌疾病,临床发病率较高,约为5%~20%,是导致女性不孕的常见原因。目前临床上常将身体体质量指数(body mass index,BMI)正常的多囊卵巢综合征患者归为“非肥胖型”。导致“非肥胖型”多囊卵巢综合征发病原因复杂,主要包括情志因素、体质因素、循环和内分泌因素等。中医认为“非肥胖型”多囊卵巢综合征的病机主要以“肾虚肝郁”为主。在治疗方面中医药在辨证论治的理论基础上,将“辨病”和“辨证”相结合,对“非肥胖型”多囊卵巢综合征有着独特的治疗方法。中医常根据不同的证候类型使用相应的方药,同时针刺和灸法也发挥着重要的治疗作用。另外配合生活管理也可以获得更好的临床疗效。
文摘湿疹是儿科临床常见病,其发病机制与多种因素相关,现代医学多采用糖皮质激素外治结合抗组胺药、抗炎药内治方法治疗婴儿湿疹,短期好转,但易复发。近年来,中医诊疗小儿湿疹的优势逐渐凸显,治疗方法主要以药物和非药物疗法为主,依据不同病因病机辨证施治,疗效显著,不易复发。本文查阅文献,通过对中药内治法、中药外治法、推拿等方法的总结,梳理小儿湿疹中医药治疗的最新进展,为临床治疗提供参考。Eczema is a common clinical disease in pediatrics, and its pathogenesis is related to many factors. Modern medicine mostly adopts glucocorticoid external treatment combined with antihistamine and anti-inflammatory internal treatment to treat eczema in infants, which can improve in the short term, but is easy to recur. In recent years, the advantages of traditional Chinese medicine in the treatment of pediatric eczema have been gradually highlighted, and the treatment method is mainly based on drug and non-drug therapies, based on different etiology and pathogenesis of eczema, with remarkable efficacy, and not easy to recur. In this paper, we reviewed the literature and summarized the latest progress of TCM treatment of pediatric eczema by summarizing the internal treatment method of traditional Chinese medicine, external treatment method of traditional Chinese medicine and massage method, so as to provide reference for clinical treatment.