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临床医学进展 2025年第2期15卷 1965-1970页

作者：康馨陈梦晴顾雯方匡洪影黑龙江中医药大学研究生院黑龙江哈尔滨黑龙江中医药大学附属第一医院妇二科黑龙江哈尔滨

多囊卵巢综合征(PCOS)是严重困扰女性的生理与心理的生殖内分泌疾病。其病机复杂,中医证型多样,以痰湿证与肾虚证为主要证型。众多医家认为肾虚是PCOS发生发展的基本病机。文章围绕PCOS肾虚证的病机、证型分布、临床表现及中医治疗概述... 详细信息

多囊卵巢综合征(PCOS)是严重困扰女性的生理与心理的生殖内分泌疾病。其病机复杂,中医证型多样,以痰湿证与肾虚证为主要证型。众多医家认为肾虚是PCOS发生发展的基本病机。文章围绕PCOS肾虚证的病机、证型分布、临床表现及中医治疗概述其中医证治研究进展,以期为PCOS临床诊疗提供参考。Polycystic ovary syndrome(PCOS) is a reproductive endocrine disease that seriously bothers women’s health from physiology and psychology. PCOS has complex pathogenesis and many kinds of traditional Chinese medicine syndrome differentiations in which phlegm-dampness and kidney-deficiency as the main types. Many traditional Chinese medical scholars believe that kidney deficiency is the basic pathogenesis of PCOS. This article summarized the research progress of kidney-deficiency in PCOS, based on the pathogenesis, syndrome distribution, clinical symptoms, and traditional Chinese medicine treatments, to provide a reference for the clinical diagnosis and treatment of PCOS.

关键词：多囊卵巢综合征肾虚证中医证型中医治疗

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马莉教授运用小续命汤治疗特发性突聋经验

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临床个性化医学 2025年第1期4卷 93-98页

作者：张琪马莉黑龙江中医药大学研究生院黑龙江哈尔滨黑龙江中医药大学附属第一医院针灸二科黑龙江哈尔滨

小续命汤最早记载于陈延之的《小品方》:“治卒中风欲死,身体缓急,口目不正,舌强不能语,奄奄惚惚,精神闷乱,诸风服之皆验,不令人虚方。”本方多用于治疗中风患者,具有祛风通络,活血化瘀等功效。今马莉教授将其运用于临床,异病同治,于特... 详细信息

小续命汤最早记载于陈延之的《小品方》:“治卒中风欲死,身体缓急,口目不正,舌强不能语,奄奄惚惚,精神闷乱,诸风服之皆验,不令人虚方。”本方多用于治疗中风患者,具有祛风通络,活血化瘀等功效。今马莉教授将其运用于临床,异病同治,于特发性突聋有显著疗效。The Xiao Xuming Decoction was first recorded in Chen Yanzhi’s Xiao Pin Fang: “It treats sudden stroke on the verge of death, with symptoms of sudden changes in body tension, misalignment of mouth and eyes, inflexible tongue rendering speech difficult, a state of semi-consciousness, mental confusion, and various wind conditions. It has proven effective for all types of wind disorders without causing debilitation.” This formula is commonly used to treat patients with stroke, offering benefits such as dispelling wind and unblocking collaterals, promoting blood circulation, and removing blood stasis. Today, Professor Ma Li applies it clinically for the treatment of idiopathic sudden sensorineural hearing loss, achieving significant therapeutic effects through the principle of treating different diseases with the same method.

关键词：特发性突聋小续命汤本虚标实

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升阳益胃汤治疗重症肌无力的临床体会

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临床个性化医学 2025年第1期4卷 320-325页

作者：潘建序马莉黑龙江中医药大学研究生院黑龙江哈尔滨黑龙江中医药大学附属第一医院针灸二科黑龙江哈尔滨

重症肌无力是一种神经肌肉接头传递功能障碍的获得性自身免疫性疾病,80%以上的重症肌无力患者存在胸腺异常。其主要临床表现为肌肉连续收缩后出现严重无力甚至瘫痪,休息后症状减轻。肌无力常于下午或傍晚因劳累后加重,晨起或休息后减轻... 详细信息

重症肌无力是一种神经肌肉接头传递功能障碍的获得性自身免疫性疾病,80%以上的重症肌无力患者存在胸腺异常。其主要临床表现为肌肉连续收缩后出现严重无力甚至瘫痪,休息后症状减轻。肌无力常于下午或傍晚因劳累后加重,晨起或休息后减轻,表现为“晨轻暮重”,甚至可伴有吞咽困难、言语不清、饮水呛咳、呼吸困难等症状,严重影响了患者的日常生活,大大降低了患者的生活质量,给患者造成了巨大的困扰。本文从中医药的角度分析重症肌无力的发病机制,并通过真实的临床案例记录升阳益胃汤治疗重症肌无力的疗效,为重症肌无力的治疗提供多样有效的中医药治疗方法。Myasthenia gravis is an acquired autoimmune disease of neuromuscular junction transmission dysfunction that occurs in more than 80% of patients Myasthenia gravis patients have thymus abnormalities. Its main clinical manifestations are severe weakness or even paralysis after continuous muscle contraction. The symptoms abated after rest. Muscle weakness is often aggravated in the afternoon or evening due to fatigue, and reduced in the morning or after rest, manifested as “morning light twilight Heavy”, can even be accompanied by dysphagia, slurred speech, drinking cough breathing difficulties and other symptoms, seriously affecting the daily life of patients Life has greatly reduced the quality of life of patients and caused great distress to patients. This paper analyzes the importance from the perspective of Chinese medicine. The pathogenesis of myasthenia and the efficacy of Shengyang Yiwei Decoction in the treatment of myasthenia gravis were recorded through real clinical cases. The treatment of myasthenia provides a variety of effective Chinese medicine treatment methods.

关键词：重症肌无力治疗中医药升阳益胃汤

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中医针灸治疗肩周炎的研究进展

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中医学 2025年第3期14卷 889-894页

作者：余利马莉黑龙江中医药大学研究生院黑龙江哈尔滨黑龙江中医药大学附属第一医院针灸二科黑龙江哈尔滨

肩周炎(scapulohumeral periarthritis, SP)又称黏连性肩关节囊炎,以肩部疼痛及关节活动受限为主症的临床常见病,属于中医“痹病”范畴。肩周炎发病率近年来有逐渐上升趋势,若治疗不及时将导致关节活动受限、疼痛加剧、肌肉萎缩,严重影... 详细信息

肩周炎(scapulohumeral periarthritis, SP)又称黏连性肩关节囊炎,以肩部疼痛及关节活动受限为主症的临床常见病,属于中医“痹病”范畴。肩周炎发病率近年来有逐渐上升趋势,若治疗不及时将导致关节活动受限、疼痛加剧、肌肉萎缩,严重影响患者的生活质量。针灸作为祖国医学重要治疗手段,对于缓解疼痛和改善肩关节活动度疗效显著,受到广泛认可。笔者通过查阅近年针灸治疗肩周炎的文献资料,系统综述了毫针、浮针、火针、揿针、温针灸、热敏灸、针灸综合法等疗法,并对针灸治疗存在的不足和今后研究方向提出了一些看法,以期为肩周炎的临床治疗和研究提供参考依据,更好服务于临床。Frozen shoulder (scapulohumeral periarthritis, SP), also known as adhesive capsulitis of the shoulder joint, is a common clinical disease with shoulder pain and limited joint movement as its main symptoms, and belongs to the category of “paralysis” in traditional Chinese medicine. The incidence of frozen shoulder has been increasing in recent years, and untimely treatment will lead to limited joint movement, increased pain and muscle atrophy, which seriously affects the quality of life of patients. Acupuncture, as an important therapeutic tool in Chinese medicine, has been widely recognised for its effectiveness in relieving pain and improving shoulder joint mobility. By reviewing the literature of acupuncture treatment of frozen shoulder in recent years, the author systematically reviewed the therapies of millimetre needles, floating needles, fire needles, snap needles, warm acupuncture and moxibustion, heat-sensitive moxibustion, and acupuncture and moxibustion synthesis method, and put forward some opinions on the deficiencies of acupuncture treatment and the direction of the development of the future research, with a view to providing a reference basis for the clinical treatment of frozen shoulder and the research, and to better serve in the clinic.

关键词：中医针灸肩周炎综述

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针刺阳明经穴治疗吉兰–巴雷综合征的临床进展

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临床医学进展 2025年第1期15卷 190-195页

作者：马梦阳马莉黑龙江中医药大学研究生院黑龙江哈尔滨黑龙江中医药大学的附属第一医院针灸二科黑龙江哈尔滨

吉兰–巴雷综合征(Guillain-Barrés syndrome, GBS)是一种感染性多发性神经病变,是典型周围神经和脊神经根感染后引发的自身免疫介导性疾病。GBS致死率约为5%,但10%的患者仍遗留较严重后遗症。祖国医学认为吉兰–巴雷综合征归属中... 详细信息

吉兰–巴雷综合征(Guillain-Barrés syndrome, GBS)是一种感染性多发性神经病变,是典型周围神经和脊神经根感染后引发的自身免疫介导性疾病。GBS致死率约为5%,但10%的患者仍遗留较严重后遗症。祖国医学认为吉兰–巴雷综合征归属中医“痿证”范畴,多为湿热侵袭筋脉、肌肉,气血津液输布不畅,筋肉四肢失养,痿弱不能用。基于“治痿独取阳明”理论,本文梳理相关古代文献及现代各医家综合应用针灸治疗GBS的临床研究,着重探讨针刺阳明经穴对本病的临床疗效。Guillain-Barrés syndrome (GBS) is an infectious polyneuropathy. It is an autoimmune mediated disease caused by typical peripheral nerve and spinal nerve root infection. The fatality rate of GBS is about 5%, but 10% of patients still have serious sequelae. Chinese medicine believes that Guillain-Barre syndrome belongs to the category of “flaccidity syndrome” of traditional Chinese medicine. This leads to damp-heat invasion of the meridians and muscles, poor delivery of Qi-blood-body fluid, resulting in the muscles and limbs being inadequately nourished, causing weakness and inability to function properly. Based on the theory of “treating flaccidity and taking Yangming alone”. This paper combs the relevant ancient literature and the clinical research of modern doctors’ comprehensive application of acupuncture to treat GBS, and focuses on the clinical effect of acupuncture Yangming meridian points on this disease.

关键词：吉兰–巴雷综合征阳明经穴痿证针灸

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针灸治疗耳鸣的研究进展

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中医学 2025年第1期14卷 328-333页

作者：董红瑜马莉黑龙江中医药大学研究生院黑龙江哈尔滨黑龙江中医药大学附属第一医院针灸二科黑龙江哈尔滨

耳鸣为无外界声源时的耳内或颅内声响,常被视为多种疾病的体征或独立疾病。中医对耳鸣的认知源于《黄帝内经》,详述其病理与治疗。流行病学显示,全球约14%人口有耳鸣经历,亚洲比例偏高,且耳鸣可引发焦虑、抑郁等,严重影响生活质量。现... 详细信息

耳鸣为无外界声源时的耳内或颅内声响,常被视为多种疾病的体征或独立疾病。中医对耳鸣的认知源于《黄帝内经》,详述其病理与治疗。流行病学显示,全球约14%人口有耳鸣经历,亚洲比例偏高,且耳鸣可引发焦虑、抑郁等,严重影响生活质量。现代医学对耳鸣机制尚未明确,治疗手段有限,包括药物(抗抑郁、镇静等,部分有副作用)、高压氧、助听器等。近年来,针灸治疗耳鸣的研究增多,方法多样且疗效显著,受到认可。本文综述了针灸治疗耳鸣的研究,其手段包括常规针刺、电针、穴位注射等,成本低廉、副作用小、疗效稳定。然而,针灸治疗的效果受多种因素制约,且多数研究缺乏远期随访,创新性不足。未来应探索更优针灸方案,并研究其与现代医学的结合,为临床提供全面、个性化的治疗方案。Tinnitus is an intra-ear or intracranial sound when there is no external sound source, and it is often regarded as a sign of many diseases or independent diseases. The cognition of tinnitus in traditional Chinese medicine comes from the “Huang Di Nei Jing”, which details its pathology and treatment. Epidemiology shows that about 14% of the global population experience tinnitus, the proportion in Asia is high, and tinnitus can cause anxiety, depression and so on, seriously affecting the quality of life. The mechanism of tinnitus in modern medicine is not clear, and the treatment is limited, including drugs (antidepressant, sedation, some side effects), hyperbaric oxygen, hearing aids and so on. In recent years, the research on acupuncture in the treatment of tinnitus has increased, with various methods and remarkable curative effect, which has been recognized. This paper reviews the research on acupuncture and moxibustion in the treatment of tinnitus, including routine acupuncture, electroacupuncture and acupoint injection, with low cost, little side effects and stable curative effect. However, the effect of acupuncture treatment is restricted by many factors, and most studies lack of long-term follow-up and lack of innovation. In the future, we should explore a better acupuncture scheme and study its combination with modern medicine, so as to provide a comprehensive and personalized treatment plan for clinic.

关键词：耳鸣针灸研究进展

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中西医结合治疗桥本甲状腺炎的研究进展

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临床医学进展 2025年第5期15卷 2233-2238页

作者：陈浩然王宽宇黑龙江中医药大学研究生院黑龙江哈尔滨黑龙江中医药大学附属第一医院外二科黑龙江哈尔滨

目的:探讨中西医结合治疗桥本甲状腺炎的研究进展,分析其在免疫调节及临床应用中的效果与机制。方法:通过回顾文献,分析西医治疗桥本甲状腺炎的局限性,以及中医药在调节免疫、改善炎症方面的潜力,探讨中西医结合治疗的优势。结果:西医... 详细信息

目的:探讨中西医结合治疗桥本甲状腺炎的研究进展,分析其在免疫调节及临床应用中的效果与机制。方法:通过回顾文献,分析西医治疗桥本甲状腺炎的局限性,以及中医药在调节免疫、改善炎症方面的潜力,探讨中西医结合治疗的优势。结果:西医激素替代疗法能缓解症状,但对免疫系统调控有限,且长期使用可能引发副作用。中医药通过辨证论治和调节免疫功能,能够有效降低抗体水平,减轻甲状腺炎症,改善患者生活质量。结论:中西医结合治疗在免疫调节和减轻炎症方面效果显著,具有较高临床应用价值。未来应加强大规模临床试验和个性化治疗方案的研究,以进一步验证其有效性与安全性。Objective: This paper reviews the latest progress in integrated traditional Chinese and Western medicine for treating Hashimoto’s thyroiditis (HT), focusing on its effects and mechanisms in immune regulation and clinical application. Methods: A literature review was conducted to analyze the limitations of Western medicine in treating HT and the potential of Chinese medicine in immune regulation and inflammation control, exploring the benefits of combined therapy. Results: While hormone replacement therapy relieves symptoms, its impact on immune regulation is limited, and long-term use may cause side effects. Chinese medicine, through syndrome differentiation and immune modulation, effectively reduces antibody levels, alleviates thyroid inflammation, and improves patients’ quality of life. Conclusion: Integrated traditional Chinese and Western medicine shows promising clinical efficacy, particularly in immune modulation and inflammation reduction. Future research should focus on large-scale clinical trials and personalized treatment plans to further confirm its effectiveness and safety.

关键词：桥本甲状腺炎中西医结合免疫调节临床疗效治疗方案

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化疗相关认知障碍的治疗研究进展

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世界肿瘤研究 2025年第1期15卷 9-15页

作者：刘立石闫珺黑龙江中医药大学研究生院黑龙江哈尔滨黑龙江中医药大学附属第一医院肿瘤二科黑龙江哈尔滨

化疗相关认知障碍(CRCI)是肿瘤患者化疗所引起的常见不良反应,在肿瘤幸存者中,它的发生率非常高,对患者的治疗依从性和生活治疗带来极大影响。目前,CRCI并无明确有效的治疗方法,主要的治疗方法有药物干预和非药物干预。近些年,治疗CRCI... 详细信息

化疗相关认知障碍(CRCI)是肿瘤患者化疗所引起的常见不良反应,在肿瘤幸存者中,它的发生率非常高,对患者的治疗依从性和生活治疗带来极大影响。目前,CRCI并无明确有效的治疗方法,主要的治疗方法有药物干预和非药物干预。近些年,治疗CRCI的方法层出不穷,也有大量与之相关的随机对照试验和系统综述发表。因此,本文对这些化疗相关认知障碍的治疗方法进展进行综述,以期为临床治疗CRCI提供参考。Chemotherapy-related cognitive impairment (CRCI) is a common adverse effect of chemotherapy in cancer patients, with a particularly high incidence among cancer survivors. This condition signi- ficantly impacts patients’ treatment adherence and quality of life. Currently, there is no definitive and effective treatment for CRCI;the main therapeutic approaches include pharmacologic and non-pharmacologic interventions. In recent years, there has been a proliferation of treatments for CRCI, and numerous randomized controlled trials and systematic reviews related to these interventions have been published. Therefore, this article reviews the progress of various therapeutic approaches for chemotherapy-related cognitive impairment, aiming to provide a reference for clinical treatment.

关键词：化疗化疗相关认知障碍 CRCI 多奈哌齐认知行为治疗针灸

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中西医结合方法降低多囊卵巢综合征患者血睾酮值的研究进展

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中国医药导报 2025年第6期22卷 67-71,101页

作者：孙泽蒲韩延华姜玥张蛟张跃辉黑龙江中医药大学研究生院黑龙江哈尔滨150040 黑龙江中医药大学附属第一医院妇科一科黑龙江哈尔滨150000 黑龙江中医药大学附属第二医院国医堂黑龙江哈尔滨150001

多囊卵巢综合征(PCOS)是妇科常见的内分泌异常与生殖功能受损并存的疾病,高雄激素血症是其核心诊断标准之一,临床常以游离睾酮值或总睾酮值判断该病高雄激素的程度。中医认为该病的发生与肾、脾、肝、冲任二脉及胞宫有关,多由肾虚夹瘀... 详细信息

多囊卵巢综合征(PCOS)是妇科常见的内分泌异常与生殖功能受损并存的疾病,高雄激素血症是其核心诊断标准之一,临床常以游离睾酮值或总睾酮值判断该病高雄激素的程度。中医认为该病的发生与肾、脾、肝、冲任二脉及胞宫有关,多由肾虚夹瘀、肝失疏泄、脾虚夹痰所致的瘀血和痰湿而引发。近年来中西医结合方法降低PCOS患者血清睾酮水平的临床研究日益增多,同时可改善患者内分泌紊乱、生殖功能异常、月经周期异常等临床表现,效果显著。本文综述PCOS高雄激素血症发生的中医病因病机、PCOS患者高睾酮值西医病理机制及中西医结合降低PCOS患者高血睾水平的临床方法和效果进展。

关键词：多囊卵巢综合征睾酮高雄激素血症中西医治疗

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程为平脐腹针概述

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中医学 2024年第10期13卷 2712-2720页

作者：王心怡王裕文程为平黑龙江中医药大学附属第一医院针灸二科黑龙江哈尔滨

程为平脐腹针是由程为平先生创立,基于中医脏腑经络理论、河图洛书理论、脑–肠轴理论、自主神经系统理论、脏腑解剖结构及生理功能理论,在长期的临床经验基础上创立的一种针灸治疗方法。本文主要从脐腹针的理论基础、脐腹针分区、基本... 详细信息

程为平脐腹针是由程为平先生创立,基于中医脏腑经络理论、河图洛书理论、脑–肠轴理论、自主神经系统理论、脏腑解剖结构及生理功能理论,在长期的临床经验基础上创立的一种针灸治疗方法。本文主要从脐腹针的理论基础、脐腹针分区、基本针刺手法以及相关治疗方法等几个方面对程为平脐腹针进行介绍,从而为临床应用提供一定的理论指导与参考。Cheng Weiping Umbilical and Abdominal Acupuncture was founded by Mr. Cheng Weiping, based on the theory of Chinese medicine’s internal organs and meridians, the theory of Hetu Luoshu, the theory of the brain-intestinal axis, the theory of the autonomic nervous system, and the theory of the anatomical structure of the internal organs and their physiological functions, and is a kind of acupuncture and moxibustion treatment based on long-term clinical experience. This article mainly introduces Cheng Weiping’s umbilical-abdominal acupuncture from the theoretical basis of umbilical-abdominal acupuncture, umbilical-abdominal acupuncture zoning, basic acupuncture techniques and related therapeutic methods, so as to provide certain theoretical guidance and reference for clinical application.

关键词：针灸特色针法脐腹针

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