简介：摘要目的探讨冬病夏治辨证穴位贴敷治疗慢性鼻炎的疗效观察及护理体会。方法选取该院2017年1月至2018年2月接诊的慢性鼻炎患者90例进行研究。根据治疗方法的不同，将其均分为对照组和观察组，各45例。对照组采取常规方法进行治疗，观察组采取冬病夏治辨证穴位贴敷治疗，且对观察组采取优质护理。比较分析两组患者治疗后的临床疗效、感冒次数以及治疗后3个月、6个月的复发率。结果观察组总有效率显著高于对照组，差异有统计学意义(P<0.05)。观察组感冒次数频发、常发的概率显著低于对照组，偶发或不发的概率显著高于对照组，差异均有统计学意义(均P<0.05)。观察组治疗后3个月、6个月的复发率均显著低于对照组，差异有统计学意义(均P<0.05)。结论冬病夏治辨证穴位贴敷治疗慢性鼻炎，且对患者采取优质护理能够的提高疗效，改善其中医症候积分。

简介：摘要：目的 腰椎间盘突出症行中医辨证疗法治疗后分析临床效果和护理手段。方法 100例研究对象于在2019年10月-2020年10月入院治疗，机选实验组50例行中医辨证疗法护理，对照组50例行传统护理，对比患者治疗效果，疼痛问卷得分，评价护理满意度。结果 实验组疼痛得分低于对照组，治疗效果和护理满意度均高于对照组，差异显著。结论 腰椎间盘突出患者行中医辨证疗法并辅以个性化护理，治疗效果更好，护理满意度更高，值得推广。

简介：【摘要】目的：分析研讨中医辨证治疗糖尿病肾病的临床效果。方法：回顾分析我院 2016年 5月至 2018年 12月期间收治的糖尿病肾病患者 60例，按治疗方式分对照组（ 30例接受常规西药治疗）和研究组（ 30例接受中医辨证治疗），比较治疗效果，如疗效、血糖指标、血清指标等。结果：研究组治疗疗效 93.33%高于对照组 66.67%（ P<0.05）。治疗前，组间血清白蛋白、 24h尿蛋白定量、尿素氮、血清肌酐差异小（ P>0.05），治疗后，研究组血清白蛋白高于对照组， 24h尿蛋白定量低于对照组，尿素氮、肌酐低于对照组（ P<0.05）。结论：临床治疗糖尿病肾病可考虑采用中医辨证治疗方式，疗效明显，显著改善其肾脏损害、肾功能等，应用价值大。

简介：摘要龙胆泻肝汤是清泻肝胆实火经典方，临证发现龙胆泻肝汤治疗多梦打杀吵闹或逝者常获佳效，患者多梦吵架打杀等内容可以龙胆泻肝汤测证，而多梦逝者若无惊恐情节未必责之于肾，此类患者常有负面情绪，对其的心理疏导不容忽视。

简介：【摘要】目的：分析研讨中医辨证治疗糖尿病肾病的临床效果 。方法：回顾分析我院 2016 年 5 月至 2018 年 12 月期间收治的糖尿病肾病患者 60 例，按治疗方式分对照组（ 30 例接受常规西药治疗）和研究组（ 30 例接受中医辨证治疗），比较治疗效果，如疗效、血糖指标、血清指标等 。结果：研究组治疗疗效 93.33% 高于对照组 66.67% （ P< 0.05）。治疗前，组间血清白蛋白、 24h 尿蛋白定量、 尿素氮、血清肌酐 差异小（ P>0.05 ），治疗后，研究组血清白蛋白高于对照组， 24h 尿蛋白定量低于对照组，尿素氮、肌酐低于对照组 （ P< 0.05）。 结论：临床治疗糖尿病肾病可考虑采用中医辨证治疗方式，疗效明显，显著改善其肾脏损害、肾功能等，应用价值大。

简介：摘要：探讨中医辨证疗法治疗脾胃气虚型功能性消化不良的临床疗效。选取收治的功能性消化不良患者 68 例，采用随机数字表法分为对照组和观察组，各 34 例。对照组患者采用多潘立酮片治疗，观察组患者采用中医辨证疗法治疗，两组患者均持续 1 个月。比较两组患者治疗前后症状积分及临床疗效。治疗前，两组患者症状积分比较，差异无统计学意义 ( P ＞ 0. 05) ; 治疗后，观察组患者症状积分低于对照组 ( P ＜ 0. 05) 。观察组患者治疗总有效率高于对照组 ( P ＜ 0. 05) 。结论采用中医辨证疗法治疗脾胃气虚型功能性消化不良的临床疗效确切，可有效缓解患者早饱、上腹胀痛等临床症状。

简介：摘要：目的：对短暂性脑缺血发作应用葛根素配合中医辨证治疗的疗效进行分析探讨。方法：笔者将选择我院2017年5月~2018年9月收治的80例暂性脑缺血发作患者为研究对象，按治疗方法将其分为两组，各组患者40例，分别采取不同方法治疗，比较两组患者临床效果。结果：观察组临床疗效显著优于对照组，组间数据比较差异显著，具有统计学意义。结论：将葛根素配合中医辨证治疗应用到短暂性脑缺血发作患者中，可提高临床治疗效果，具有临床应用及推广价值。

简介：　　【摘 要】目的：研究脾胃气虚型功能性消化不良患者应用中医辨证治疗的临床效果。方法： 2018年 6月至 2020年 5月在我院接受功能性消化不良诊治的患者中随机抽取 78例，按照所选患者应用治疗方式的异同进行分组，对比组（ n=39）患者应用西药治疗，研究组（ n=39）患者采用中醫辨证治疗。结果：研究组患者病情总好转率显著高于对比组患者， 2组差异存在统计学意义（ x2=19.2905， P=0.0292），其中，研究组治疗无效患者为 2例，病情好转患者共计 37例，对比组治疗无效患者为 10例，病情好转患者共计 29例。研究组患者用药后共计 2例患者出现不良反应，总发生率为 5.13%，对比组患者用药后共计 12例患者出现不良反应，总发生率为 30.77%， 2组患者用药后不良反应总发生率差异存在统计学意义（ x2=16.9202， P=0.0282）。结论：脾胃气虚型功能性消化不良患者应用中医辨证治疗能够取得较好的临床疗效且应用安全性较高，临床应用价值较高。  　　【关键词】中医辨证治疗 ;脾胃气虚型 ;功能性消化不良  　 [Abstract] Objective: To study the clinical effect of TCM syndrome differentiation on functional dyspepsia of spleen stomach qi deficiency type. Methods: from June 2018 to may 2020, 78 patients with functional dyspepsia in our hospital were randomly selected and divided into groups according to the similarities and differences of treatment methods. The control group (n = 39) was treated with western medicine, and the study group (n = 39) was treated with TCM syndrome differentiation. Results: the total improvement rate of patients in the study group was significantly higher than that in the control group, and the difference was statistically significant (x2 = 19.2905, P = 0.0292). Among them, there were 2 patients with ineffective treatment and 37 patients with improved condition in the study group, 10 patients with ineffective treatment and 29 patients with improved condition in the control group. There were 2 cases of adverse reactions in the study group, the total incidence rate was 5.13%, 12 cases of adverse reactions occurred in the control group, the total incidence rate was 30.77%, the difference was statistically significant (x2 = 16.9202, P = 0.0282). Conclusion: the application of TCM syndrome differentiation treatment in patients with functional dyspepsia of spleen and stomach qi deficiency type can achieve good clinical efficacy, high safety and high clinical application value.

简介：摘要 目的 在门诊骨伤科患者的护理中，应用中医辩证护理价值的分析。方法 86例骨伤患者根据掷骰的方式分为两组，若为单数，则被纳入观察组中，接受中医辩证护理。若为双数则纳入参照组中，接受常规护理。在治疗结束之后，比较疼痛评分和治疗依从情况。结果 在治疗依从率的对比上，观察组高于参照组，而在疼痛评分的对比上，观察组则低于参照组，且 p小于 0.05。结论 门诊骨伤科患者在护理措施的选择上，选用中医辩证护理疗效更为确切，有效减轻了患者的疼痛程度，并进一步改善治疗依从率，结果较为理想。

简介：　　摘要：目的 探究冠心病合并糖尿病患者采用中医辩证疗法的治疗效果。方法 选取本院 2017年 12月～ 2019年 10月收治的 56例冠心病合并糖尿病患者，并采用抽签的方式将其分为 2组，对照组 28例患者采用西医疗法治疗，观察组 28例患者采用中医辩证疗法治疗。并对两组患者的临床效果与不良反应发生率进行对比分析。结果 观察组患者治疗后总有效率 92.86%，对照组患者治疗后总有效率 75.00%，观察组患者总有效率明显比对照组高，（ X2=26.6350， P<0.05）；观察组治疗后不良反应发生率 3.57%，对照组患者治疗后不良反应发生率 21.43%，观察组患者不良反应发生率明显低于对照组，（ X2=4.0816， P<0.05）。结论 与西医疗法相比，中医辩证疗法对冠心病合并糖尿病的治疗效果更显著，不仅可以有效提高临床治疗有效率，更可以降低不良反应發生率。  　　关键词：中医辨证疗法；冠心病合并糖尿病；临床效果  Abstract: Objective To explore the therapeutic effect of dialectical therapy of traditional Chinese medicine in patients with coronary heart disease and diabetes mellitus. Methods 56 patients with coronary heart disease and diabetes mellitus admitted to our hospital from December 2017 to October 2019 were divided into two groups by drawing lots. 28 patients in the control group were treated with western medicine and 28 patients in the observation group were treated with TCM dialectical therapy. The clinical effect and the incidence of adverse reactions were compared between the two groups. Result The total effective rate of the observation group was 92.86%, the control group was 75.00%, and the total effective rate of the observation group was significantly higher than that of the control group (x2 = 26.6350, P < 0.05); the incidence of adverse reactions in the observation group was 3.57%, the incidence of adverse reactions in the control group was 21.43%, and the incidence of adverse reactions in the observation group was significantly lower than that in the control group (x2 = 4.0816, P < 0.05) 05). Conclusion compared with western medicine, TCM dialectical therapy is more effective in the treatment of coronary heart disease combined with diabetes. It can not only effectively improve the efficiency of clinical treatment, but also reduce the incidence of adverse reactions.

简介：　　【摘 要】目的：研究脾胃气虚型功能性消化不良患者应用中医辨证治疗的临床效果。方法： 2017年 6月至 2019年 6月在我院接受功能性消化不良诊治的患者中随机抽取 78例，按照所选患者应用治疗方式的异同进行分组，对比组（ n=39）患者应用西药治疗，研究组（ n=39）患者采用中醫辨证治疗。结果：研究组患者病情总好转率显著高于对比组患者， 2组差异存在统计学意义（ x2=19.2905， P=0.0292），其中，研究组治疗无效患者为 2例，病情好转患者共计 37例，对比组治疗无效患者为 10例，病情好转患者共计 29例。研究组患者用药后共计 2例患者出现不良反应，总发生率为 5.13%，对比组患者用药后共计 12例患者出现不良反应，总发生率为 30.77%， 2组患者用药后不良反应总发生率差异存在统计学意义（ x2=16.9202， P=0.0282）。结论：脾胃气虚型功能性消化不良患者应用中医辨证治疗能够取得较好的临床疗效且应用安全性较高，临床应用价值较高。  　　【关键词】中医辨证治疗 ;脾胃气虚型 ;功能性消化不良  [Abstract] Objective: To study the clinical effect of TCM syndrome differentiation on functional dyspepsia of spleen stomach qi deficiency type. Methods: from June 2017 to June 2019, 78 patients with functional dyspepsia in our hospital were randomly selected and divided into groups according to the similarities and differences of treatment methods. The control group (n = 39) was treated with western medicine, and the study group (n = 39) was treated with TCM syndrome differentiation. Results: the total improvement rate of patients in the study group was significantly higher than that in the control group, and the difference was statistically significant (x2 = 19.2905, P = 0.0292). Among them, there were 2 patients with ineffective treatment and 37 patients with improved condition in the study group, 10 patients with ineffective treatment and 29 patients with improved condition in the control group. There were 2 cases of adverse reactions in the study group, the total incidence rate was 5.13%, 12 cases of adverse reactions occurred in the control group, the total incidence rate was 30.77%, the difference was statistically significant (x2 = 16.9202, P = 0.0282). Conclusion: the application of TCM syndrome differentiation treatment in patients with functional dyspepsia of spleen and stomach qi deficiency type can achieve good clinical efficacy, high safety and high clinical application value.

简介：摘要：目的： 实验将针对膝骨关节炎患者实施中医整体辨证护理干预，进一步提升护理疗效。

简介：摘要目的研究专人化健康教育联合中医辨证膳食干预对溃疡性结肠炎患者疾病不确定感、不良情绪及免疫功能的影响。方法选取2017年3月至2019年5月在本院进行治疗的100例溃疡性结肠炎患者为研究对象，随机分为两组，各50例。对照组进行常规护理，观察组在对照组常规护理基础上进行专人化健康教育联合中医辨证膳食干预模式护理。对比两组患者疾病不确定感、不良情绪及免疫功能。结果护理后，两组患者疾病不确定感、不良情绪及免疫功能均显著优于干预前，且观察组疾病不确定感、不良情绪及免疫功能均显著优于对照组，差异均有统计学意义（均P<0.05）。结论对溃疡性结肠炎患者进行专人化健康教育联合中医辨证膳食干预模式护理，能够明显提高患者对自身疾病的了解程度，改善患者不良情绪，提高患者生活质量。值得进一步研究并推广应用。

简介：【摘要】目的：本文主要研究中医辩证护理联合中医治疗在晚期结肠癌患者中的应用。方法：将我院62例晚期结肠癌患者平均分成实验组与对照组，各31例，对照组实施西药常规护理，实验组则实施中医辩证护理联合中医治疗，将两组患者临床效果进行比较。结果：干预前两组患者各项生活质量指标与中医证候积分无明显差异，实施干预后，实验组各项生活生活质量指标比对照组高，且中医证候积分低于对照组，均P

简介：　　【摘要】目的：分析探究寻常型银屑病中医辨证分型与生活质量的相关因素，为寻常型银屑病患者的临床治疗提供科学的理论依据。方法：从本院 2017年 6月～ 2019年 6月收治的寻常型银屑病患者中选择 124例作为本次研究的观察对象，由中医皮肤科主治医师对所有患者进行中医辨证，将其分成血热证、血瘀证以及血燥证三种，并借助国际通用的银屑病调查表与皮肤病生活質量指数量表展开测评，对比几种银屑病患者的评分情况。结果：血热证组患者的银屑病调查表总分明显高于血瘀证组和血燥证组（ P<0.05），血瘀证组和血燥证组患者的皮肤病生活质量指数量表评分结果相对较低（ P<0.05），且血燥证组患者各项维度的评分结果均处于相对较低的水平。结论：寻常型银屑病中医辨证分型与生活质量之间存在一定的联系，并且血热证患者的生活质量明显低于血瘀证和血燥证患者。  　　【关键词】寻常型银屑病 ;中医辨证分型 ;生活质量  [Abstract] Objective: to analyze and explore the related factors of TCM syndrome differentiation and quality of life of psoriasis vulgaris, so as to provide scientific theoretical basis for the clinical treatment of psoriasis vulgaris. Methods: from June 2017 to June 2019, 124 patients with psoriasis vulgaris were selected as the subjects of this study. All patients were divided into three types: blood heat syndrome, blood stasis syndrome and blood dryness syndrome by the chief dermatologist of traditional Chinese medicine. They were evaluated by the international psoriasis questionnaire and dermatology quality of life index scale The scores of several psoriasis patients. Results: the total score of psoriasis questionnaire in the blood heat syndrome group was significantly higher than that in the blood stasis syndrome group and the blood dryness syndrome group (P < 0.05), and the scores of skin disease quality of life index in the blood stasis syndrome group and the blood dryness syndrome group were relatively low (P < 0.05), and the scores of all dimensions in the blood dryness syndrome group were relatively low. Conclusion: there is a certain relationship between TCM syndrome differentiation and quality of life of psoriasis vulgaris, and the quality of life of patients with blood heat syndrome is significantly lower than that of patients with blood stasis syndrome and blood dryness syndrome.

简介：　　【摘 要】目的：探讨中医辨证治疗慢性阻塞性肺疾病合并呼吸衰竭的临床效果。方法：选用我院于 2018年 1月至 2019年 1月收治的 60例慢性阻塞性肺疾病合并呼吸衰竭患者进行研究，将患者分为观察组和对照组，各 30例。对照组使用常规西医治疗，观察组在对照组基础上加入中医辨证分型治疗，观察两组患者的临床疗效，并对其治疗前后的相关指标进行分析和比较。结果：观察组临床治疗有效率为 90%，显著优于对照组的 80%，且观察组治疗前后的血气分析、中医证候积分及 APACHEⅡ评分均优于对照组，两组差异具有统计学意义（ P<0.05）。结论：采用中医辨证法治疗慢性阻塞性肺疾病合并呼吸衰竭患者的临床效果显著，可以有效改善患者的呼吸困难等症状，让患者早日恢复健康，值得推广应用。  　　【关键词】中医辨证；呼吸衰竭；临床效果  　　 [Abstract] Objective: To explore the clinical effect of TCM syndrome differentiation in the treatment of chronic obstructive pulmonary disease (COPD) with respiratory failure. Methods: 60 patients with chronic obstructive pulmonary disease and respiratory failure admitted to our hospital from January 2018 to January 2019 were selected for study. The patients were divided into observation group and control group, 30 cases each. The control group was treated with conventional western medicine, and the observation group was treated with TCM syndrome differentiation and typing on the basis of the control group. The clinical efficacy of the two groups was observed, and the relevant indicators before and after treatment were analyzed and compared. Results: the effective rate of clinical treatment in the observation group was 90%, significantly better than 80% of the control group, and the blood gas analysis, TCM syndrome score and APACHE II score in the observation group before and after treatment were better than those in the control group, the difference between the two groups was statistically significant (P < 0.05). Conclusion: the treatment of chronic obstructive pulmonary disease (COPD) with respiratory failure by TCM syndrome differentiation has a significant clinical effect, which can effectively improve the symptoms of dyspnea and make the patients recover to health as soon as possible, which is worth popularizing.

简介：摘要 : 目的 探究足三里穴位注射辨证施治肿瘤化疗所致恶心呕吐的疗效 。 方法 以 70 例肿瘤化疗所致恶心呕吐患者为对象，分为参照组 35 例与研究组 35 例，参照组实施西药治疗，研究组添加足三里穴位注射辨证施治，对比两组患者治疗效果 。 结果 研究组 24h 内治疗有效率与参照组比较， P>0.05 。研究组 24h 后治疗有效率高于参照组， P<0.05 。 结论 肿瘤化疗所致恶心呕吐患者采用足三里穴位注射辨证施治，可有效改善症状，提高治疗有效率，治疗效果显著，可在临床广泛使用。

简介：【摘要】目的：探讨 中医辨证分型联合恩替卡韦在慢性乙型肝炎患者中的应用 。

简介：　　【摘 要】目的：研究并探讨中医辨证治疗慢性阻塞性肺疾病合并呼吸衰竭的临床效果。方法：此次研究的对象是选用我院于 2018年 1月至 2019年 1月收治的 60例慢性阻塞性肺疾病合并呼吸衰竭患者，将患者的临床资料进行回顾性分析，并随机分为观察组和对照组，各 30例。对照组使用常规西医治疗，观察组在对照组基础上加入中医辨证分型治疗，观察两组患者的临床疗效，并对其治疗前后的相关指标进行分析和比较。结果：观察组临床治疗有效率为 90%，显著优于对照组的 80%，且观察组治疗前后的血气分析、中医证候积分及 APACHEⅡ评分均优于对照组，两组差异具有统计学意义（ P<0.05）。结论：采用中医辨证法治疗慢性阻塞性肺疾病合并呼吸衰竭患者的临床效果显著，可以有效改善患者的呼吸困难等症状，让患者早日恢复健康，值得推广应用。  

简介：摘要本文探讨了针对中医各家学说教学的特点，强化学生临床辨证思维能力培养的教学改革实践。开设中医各家学说系列理论课程和"医家学术思想与临床实践"必修课程；探索以问题为导向、以能力培养为目的的中医各家学说教学方法改革；完善以过程评价为主的评价体系。引导学生在临床实践的过程中体会中医各家学说的运用，以提升中医理论素养，培养临床辨证思维能力。