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1.
东汉张仲景所著《伤寒杂病论》一书中,虽没有后世疫病之名目,却真实记载了大量辨治疫病之证治方药的条文及案例经验。笔者抚今追古,重温经典,结合自己多年的临床经验及其体认,并引证了当代诸多医家名宿之论,认为《伤寒论》堪称我国古代疫病防治的奠基之作。《伤寒论》虽以辨治寒疫及寒湿疫为主,但也包括湿热类、热毒类及瘀毒类疫病的证治。其所论及疫病的类型及疑似病种,寒湿类疫病主要包括:流行性感冒及其并发呼吸道和消化道感染,流行性脑脊髓膜炎,流行性腹泻(寒性)及寒性霍乱,流行性出血热等急性传染病;温热类疫病最为确定的是“黄疸”和“下利”,其证候与现代所谓急性病毒肝炎和急性细菌性痢疾基本相同;该书还开示了辨治热毒疫、瘀毒疫之法门,对后世影响深远。笔者还从《伤寒论》全篇整体分析,体悟到张仲景以“正邪博弈”为核心理念辨治外感疫病的思想,分别采取以祛邪为主、以扶正为主或以祛邪扶正并重的治则大法;并开创了病证结合、以辨证论治为主的中医诊疗模式。  相似文献   

2.
疫病是指具有传染或流行特征而且伤亡较严重的一类疾病。疫病种类繁多,其病名及内涵不断演变和发展,在各个时代各有不同。本文基于中医古籍疫病理论,从疫病名称的古籍出处、古籍内容等方面对疫病、疫疠、瘟疫、温疫,肺痨、大头瘟等肺系疫病,痢疾、黄疸等消化系疫病,天花、麻风、鼠疫及动物传染性疫病等疫病名称进行考证辨析。“由释名义,以正源流”,通过对疫病病名的梳理,达到正确理解疫病内涵的目的,不仅丰富、完善了疫病的中医病名理论,而且能为现代疫病的研究提供中医理论依据。  相似文献   

3.
汉末魏晋时期瘟疫流行,晋代道教医家葛洪提出了瘟疫“毒邪”“疠气”病因说,并将“毒”与多种传染性疾病相联系,拓宽了疫病的内涵;同时创特异症或征、病因、实验、流行病学诊断模式;提出了养生强体、消毒隔离、针灸、药物等一系列防治措施,强调药物防治当循日辨治、辨病论治、辨证论治相结合,倡综合防治,为后世留下了丰富的防治疫病的经验,为温病及疫病学说的形成奠定了基础。  相似文献   

4.
介绍韩冰教授治疗子宫肌瘤的临床经验。分别阐述了从病因病机辨治和从周期辨治的理法方药。临证采用消补结合的原则,立补益正气、活血化瘀、软坚散结为基本大法。根据月经不同时期的生理病理特点,分别从行经期、经后期、经间期、经前期辨证治疗,取得较好疗效,并举例予以佐证。  相似文献   

5.
通过对温病大家吴有性及其著作进行分析、归纳和总结,认为吴氏立足于温疫病全程,除攻下法外,其临证早期预防和纠正误治的思想,温疫治疗中重视调护正气,倡导补泻兼施、生津养阴和慎用寒凉等具体临证思路,康复期注重饮食调护,均对现代温疫病的诊疗有着较好的指导意义。  相似文献   

6.
气象因素对瘟疫的发生与传播有重要影响,中国古代医家通过研究气候、历法与疫病间的关系,形成了五运六气、三年化疫、乖候之气等用以提示并防范疫情的一系列理论。本文通过回顾2019年末新型冠状病毒肺炎疫情前后的气候特征,结合上述理论分析,探讨时令和气候对此次传染病发生发展的影响,以期为今后疫病预警及防范提供参考。  相似文献   

7.
介绍栗锦迁主任医师治疗郁证的经验。郁证的发生主要与个人的体质、情志及外界环境等因素的影响有关。栗师强调对于郁证的治疗应当以中医辨证为主,再辅助结合西医辨病,辨证与辨病相结合。主张按照病情分清郁证之气血痰火食湿郁以何郁为主,多用越鞠丸加减治之。  相似文献   

8.
从病因病机、证候表现、治则治法、方剂和加减变化等方面介绍葛金文教授对新冠病毒奥密克戎感染的学术观点及临证经验。葛教授认为新冠病毒奥密克戎感染属于中医学疫病范畴,病名为“寒疫”,病因以寒性疫毒为主,兼有风、燥之性;病机及证候表现以外感寒邪六经传变特征为主;治疗当基于伤寒六经理法,观其脉证,随证治之;通过典型病案分析体现基本方剂的灵活运用,处方精巧,疗效显著,可为新冠病毒感染的治疗提供可借鉴的方法与思路。  相似文献   

9.
介绍李天望教授辨治腹泻型肠易激综合征的经验。李教授认为该病病位在大肠,与脾胃肝心有关,常因饮食不节、情志失调、禀赋不足、感受外邪而诱发,且临床以情志因素最为重要。故其着重从肝脾论治本病,采用抑木扶土、调运中焦之法,治以疏肝扶脾为主,兼顾温胃、养心、化瘀,辨证施治,疗效颇佳。  相似文献   

10.
通络法是以络病学理论为指导,以“络以通为用”为治则,广泛应用于多种内伤疑难杂症和外感重症的一种治疗方法。由于络病复杂多变的病机特点,有偏气络病者、偏血络病者、气络-血络共患者,其治疗总以“驱邪通络”为治疗大法,多采用“透”“泄”之法。六淫袭表,肺卫络郁,治以辛散通络、疏表透邪;温热疫邪,直中脏腑络脉,治以清热解毒、凉血透络;湿疫易从化,首重解毒除湿,重症宜顾护正气;热病多伤阴,恢复期当补肺养脾、育阴通络。通络法治疗外感热病有充分的理论依据和疗效确切的辨治经验。  相似文献   

11.
In order to assess the impact of deep-sea mining on the in situ benthic life, we measured the microbial standing stock and concentration of organic nutrients in the deep-sea sediments of the Central Indian Ocean Basin in the Indian pioneer area. Sediments were collected using box core and grab samples during September 1996. The total bacterial numbers ranged from 10 10 -10 11 cells per g -1 dry weight sediment. There was a marginal decrease in the number of bacteria from surface to 30 cm depth, though the subsurface section registered a higher number than did the surface. The highest numbers were encountered at depths of 4-8 cm. The retrievable number of bacteria were two orders less in comparison with the direct total counts of bacteria. An almost homogeneous distribution of bacteria, total organic carbon, living biomass, and lipids throughout the depth of cores indicates active microbial and benthic processes in the deep sea sediments. On the other hand, a uniform distribution of total counts of bacteria, carbohydrates, and total organic carbon in all the cores indicates their stable nature and suggests that they can serve as useful parameters for long-term monitoring of the area after the benthic disturbance. Further studies on temporal variability in this region would not only verify the observed norms of distribution of these variables but would also help to understand restabilization processes after the simulated benthic disturbance.  相似文献   

12.
The interdependence between the seismo-acoustic properties of a marine sediment and its geotechnical/physical parameters has been known for many years, and it has been postulated that this should allow the extraction of geotechnical information from seismic data. Though in the literature many correlations have been published for the surficial layer, there is a lack of information for greater sediment depths. In this article, a desktop study on a synthetic seafloor model illustrates how the application of published near-surface prediction equations to subsurface sediments (up to several tens of meters burial depth) can lead to spurious predictions. To test this further, acoustic and geotechnical properties were measured on a number of sediment core samples, some of which were subjected to loading in acoustically-equipped consolidation cells (oedometers) to simulate greater burial depth conditions. For low effective pressures (representing small burial depths extending to around 10 meters subsurface), the general applicability of established relationships was confirmed: the prediction of porosity, bulk density, and mean grain size from acoustic velocity and impedance appears generally possible for the investigated sedimentary environments. As effective pressure increases through, the observed relationships deviate more and more from the established ones for the near-surface area. For the samples tested in this study, in some instances increasing pressure even resulted in decreasing velocities. There are several possible explanations for this abnormal behavior, including the presence of gas, overconsolidation, or bimodal grain size distribution. The results indicate that an appropriate depth correction must be introduced into the published prediction equations in order to obtain reliable estimates of physical sediment properties for greater subsurface depths.  相似文献   

13.
An acoustic inversion method using a wide-band signal and two near field receivers is proposed and applied to multiple layered seabed models including a manganese sediment. The inversion problem can be formulated into a probabilistic model comprised of signals, a forward model, and additive noise. The forward model simulates wide-band signals, such as chirp signals, and is chosen to be the source-waveletconvolution plane wave modeling method. The wavelet matching technique, using weighted least-squares fitting, estimates the sediment sound-speed and thickness on which determination of the possible numerical ranges for a priori uniform distribution is based. The genetic algorithm is applied to a global optimization problem to find a maximum a posteriori solution for determined a priori search space. Here the object function is defined by an L 2 norm of the difference between measured and modeled signals. Not only the marginal pdf but also its statistics are calculated by numerical evaluation of integrals using the samples selected during importance sampling process of the genetic algorithm.  相似文献   

14.
海上大直径钢管桩打桩过程中,桩周土体受到强烈扰动而发生强度弱化,掌握桩周土体强度弱化规律对于准确预测打桩过程、保证工程安全具有重要意义。为研究土体强度弱化规律,开展了环剪试验模拟打桩对桩周土体的扰动,测试土体强度随剪切速率的变化规律,建立了描述土体强度弱化规律的拟合公式,引入到打桩分析软件中。研究结果表明:土体的强度折减程度不仅与土体本身的性质有关还受到土体的埋深和剪切速率的影响,埋深越深土体强度折减程度越低,剪切速率越高土体强度折减越高,在打桩分析中可采用这里推荐的线性折减方法来模拟不同深度处土体强度的折减规律。  相似文献   

15.
Specific properties of the interannual sea level variations and annual tides in the Northwestern Pacific were studied. Several tide stations were monitored. The monthly mean sea level for the year of 1995 was analyzed at each tide station. A seismic event in 1995, some tectonic activity around the subject area, and the Kuroshio (the oceanic western boundary current) may possibly contaminate results which would have occurred from the astronomical annual tide alone.  相似文献   

16.
The effect of different fixation and storage protocols on the flow cytometric (FCM) simultaneous analysis of bacterioplankton and phytoplankton in coastal seawater samples (Mediterranean coastal lagoons) was investigated. FCM measurements (cell number, fluorescence and scatter characteristics) were obtained through DAPI staining. Three fixatives [glutaraldehyde (GA), formaldehyde (FA) and paraformaldehyde (PFA)] and two storage (3 months duration) methods (5 °C and −196 °C) were tested. Two dominant populations were detected in studied samples: bacteria and eukaryotic picophytoplankton. Adding fixatives (2% final concentration) appears necessary to obtain FCM exhaustive counts of all the bacteria and phytoplanktonic cells. This was related to the permeation effect of fixatives which allowed a better DAPI staining of the cells. Maximum fluorescence, i.e. optimal staining of the cells was obtained with FA or PFA, and significant lower fluorescences with GA. Fixed samples stored at 5 °C induced rapid cell loss. Only storage in liquid nitrogen of samples fixed with FA or PFA, allows mid-term (≥4 months) preservation of bacteria or picophytoplankton cell numbers, and limited evolution of DAPI-induced fluorescence and scatter characteristics.  相似文献   

17.
18.
Oedometer tests have been carried out on 70 undisturbed surficial clays (at approximately 250 mm below the mudline), mostly collected by free-fall corers from sites widely scattered throughout the deep-sea North Atlantic. Acoustic measurements were also made, initially on contiguous samples and ultimately on the same sample using a geophysically instrumented oedometer which also collected electrical resistivity data. Apart from those quiescent areas below the carbonate compensation depth, such as north of the West Indies where very fine clays exist, most of the samples are silty clays whose geotechnical-geophysical properties are dependent on the type of clay minerals present (and their ability to take in moisture), the sand-size fraction, and the quantity of carbonate present. Thus the pure clays have high compressibilities which decrease on the addition of coarse particles, while the converse is true for the acoustic parameters, these increasing with the sand fraction. Using the notion of the intrinsic compression line for all samples, and comparison to it of the measured compression curves, it is clear that, contrary to some previously held ideas, most deep-sea clays are normally consolidated; the addition of carbonate has the effect of creating an open, stronger sediment skeleton. Interestingly, where information is available, the variation with depth of a sample's acoustic velocity follows the void ratio pressure relationship of the compression curve. This allows the construction of an in-situ sediment compression curve using the in-situ geophysical observations.  相似文献   

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20.
《海洋学报(英文版)》2014,(9):F0003-F0003
<正>Acta Oceanologica Sinica(AOS)is a comprehensive academic journal edited by the Editorial Committee of Acta Oceanologica Sinica and is designed to provide a forum for important research papers of the marine scientific community which reflect the information on a worldwide basis.The journal publishes scholarly papers on marine science and technology,including physics,chemistry,biology,  相似文献   

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