原发性骨髓纤维化中医辨治思路探析

从脏腑病位、邪实偏胜、疾病发展阶段三方面探析原发性骨髓纤维化的中医辨证治疗思路。临床辨治本病应定病位,辨脏腑盛衰,从肝、脾、肾三脏论治。明病机,辨邪实偏胜,从瘀血、气、痰、毒邪论治。分阶段,辨寒热虚实,即病之初期,肝郁热盛,治以疏肝清热为主;病之中期,正虚邪实,治以扶正祛邪为主;病之末期,正气大虚,治以扶正气为主,忌一味猛攻。     

洞察温病 精研医道——津门名医杨达夫学术思想探究

近代天津是中西医结合医学较为兴盛的地域之一,其代表医家、医著不胜枚举。津沽中西医结合医学承袭传统中医学术之本,兼采“西学中用”的治学思路,推动了中医汇通学派的发展。本文以津门名医杨达夫温病学术思想及其辨治常见内科疾病的系统理论为研究对象,详细阐述其西学中用、精研温病的学术贡献,其中包括三焦辨证的理论内涵、三焦辨证的诊疗原则与西医治疗的对应性。并明辨温病学派与伤寒学派“寒温一体”的理论特色,将历代伤寒与温病之争合二为一。同时以喘病为例,本于中医寒热、虚实、痰的辨证纲领,融合西医病理机制,体现其中西汇通辨识疾病的思辨模式,以期为当代中西医结合医学提供诊疗思路。     

中医“和法”的历史沿革初探

“和法”属于中医治则八法之一,是中医独具特色的治疗大法,在临床中应用广泛,是中国传统文化“和”的思想在中医辨证治疗中的体现,为其提供了辨病辨证思路,并指导临床用药。现代中医“和法”,多侧重于其理论和临床应用,主要用于半表半里、脏腑气血失和、寒热往来、虚实夹杂的病证。     

基于络病理论探讨通络法在外感热病中的应用

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。     

年龄相关性黄斑变性的名医经验总结

分析年龄相关性黄斑变性的病因病机与辨证特点,总结庞赞襄、唐由之、李宗智、陆南山、李传课、韦企平、王明芳等7位名医治疗本病的经验,可为该病的临床辨治提供思路与方法。     

“肺之脾胃虚”论及其在肺系疾病中的应用探析

补土派医家李东垣在《脾胃论》中提出了“内伤脾胃,百病由生”的学术思想,并在此基础上论述了内伤杂病的病因病机。本文就“肺之脾胃虚”论从理论来源、辨治思路、临证用方三个方面进行了探析,并总结其代表方升阳益胃汤在肺系疾病中的临床应用,以供参阅。     

干眼的三焦辨证原理探析

三焦辨证是中医学常见的辨证方法,也是温病学的辨证纲领之一,具有丰富的津液保护辨证特色,但在干眼的治疗中却应用较少。中医学认为干眼的发生、发展与津液代谢有关,具体表现为津液生成障碍和津液传输障碍。本文总结干眼发病的病机特点,以三焦辨证理论为纲领,以津液代谢为核心,从上焦肺、中焦脾胃、下焦肝肾角度将干眼进行分型,以此辨证。本文辨治干眼从中医整体观念出发,将三焦理论应用于干眼治疗,有利于临床的辨证施治,从而提高治疗效果。     

余在先治疗溃疡性结肠炎经验

介绍余在先主任医师治疗溃疡性结肠炎的经验。余师认为临床上本病以脾虚为本,湿热或热毒蕴结、肠络瘀阻为主要病机。在辨治过程中应重视以下四个方面：辨证与辨病结合、整体辨证与局部辨证结合、解毒活血,治病求本、扶正与祛邪并举。其在多年临床经验的基础上,总结出溃结灌肠方进行局部治疗,疗效显著。     

湖南省首届70名“农村名中医”成才路径及学术情况调查报告

目的：通过对湖南省首届农村名中医的基本情况、治学方法、学术思想进行问卷调查,总结农村名中医的成才路径及学术情况。方法：设计“湖南省农村名中医独特诊疗技术调查表”进行问卷调查,包括姓名、性别、职称、工作现状等个人基本情况介绍,学医途径、行医准则、推崇的医家、必读的医籍等治学方法,学术思想、发表的论文和编写的著作、专科特长、擅长应用的药物和方剂等学术情况。对调查结果采用归类整理法进行整理分析。结果：共收集有效调查表70份,通过分析,认为湖南省首届农村名中医成才路径有以下共同特征：1）热爱中医药事业,医德医风优良;2）接受多样化教育,治学态度严谨;3）继承经典理论,学术思想丰富;4）注重科学研究,文化底蕴深厚。其临床诊疗特点为：1）学术思想重在实用、传承与创新;2）学术专长涉及内、妇、儿多科;3）用方用药偏于经典、基础与特色。结论：湖南省首届农村名中医的诊疗技术具有地域特点和时代特色,在学术上具有一定的实用性、继承性和创新性。对中医的无限热忱及高尚的医德修养,多样化的学医途径和精益求精的治学态度,学经典、跟名师、重创新,注重整理、传承和学术研究等,分别是农村名中医成才的首要条件、基本路径、重要途径与有力支撑。     

雷磊运用《女科经纶》学术思想论治多囊卵巢综合征不孕症经验

介绍雷磊教授运用《女科经纶》学术思想论治多囊卵巢综合征不孕症经验。多囊卵巢综合征是引起月经节律失调,排卵障碍不孕的主要原因之一,雷教授通过病史详析及临床辅助检查,灵活运用《女科经纶》学术思想,认为多囊卵巢综合征不孕症的主要病机为肾虚,辨证以肾为本,补虚泻实。遵循调经之法,强调分期论治,重视男女同治。临床擅用经验方黄体汤和促卵泡汤随证加减。临床选方用药藏泄有度,采用中西医结合用药原则,优势互补,辨治多囊卵巢综合征不孕症临床疗效颇佳。并举验案 1 则,以资佐证。     

营口市海水浴场资源环境容量分析

营口市位于辽宁省的中南部,面对渤海的辽东湾,背依鞍山市平原丘陵,东邻辽东崇山峻岭,西接盘锦市沿海平原,有辽河蜿蜒人海,海岸线绵延曲折。由于受海洋、河流的影响．营口市四季分明,气候宜人,蕴藏着丰富的滨海旅游资源,海蚀景观、地质珍迹、人文景观等资源各显异彩;尤其是海水浴场,条件极为优越,与国际上一流的海水浴场相比．毫不逊色,在某些特征上还稍胜一筹。     

A method of estimation of the results of reconstruction of the trajectories of drifting buoys

A method for the estimation of the results of reconstruction of the trajectories of drifting buoys is proposed. It is based on the comparison of the estimates of power spectral densities for the components of current velocity computed according to three data sets: the data set of the coordinates of a drifting buoy with a built-in GPS receiver, the data set of coordinates formed on the basis of the first set but with data missing and observational errors corresponding to the actual trajectory measurements by the Argos satellite location and data collection system by the Doppler method, and the data set of coordinates obtained as a result of interpolation of the second set. As an example, we consider the procedure of realization of the proposed method and demonstrate the efficiency of its application for the improvement of the reliability of reconstruction of the trajectories of drifting buoys.     

海鸟系列CTD数据预处理分析

介绍了海鸟系列温盐深测量仪(CTD)原始数据预处理的方法和步骤,解释各个过程中的原理,根据规范和工作实际对处理过程中存在的问题进行分析,提出解决方案,针对资料的标准化提出建议和意见。     

Estimates of fishery potentials of the EEZ of India

An attempt has been made to estimate the fishery potentials of the EEZ of India on the basis of data on primary and secondary production. The total column primary production and zooplankton production have been calculated to be 265·9 and 9 million tonnes of carbon per year, respectively. From these values the fishery potential has been estimated as 2·5 million tonnes per year. To this, if we add the estimated demersal fish catch, being 1·2 million tonnes per year, the total potential yield comes to 3·7 million tonnes per year. Since the present average total catch is about 1·6 million tonnes in a year, the fish catch could be doubled.     

韩国的海岸带综合管理

1992年，联合国21世纪议程提出了综合管理的概念，并认为它是海岸管理的最重要目标，而海岸管理的目的就是改进业已存在的管理实践的效率和效果。在21世纪议程的实施过程中，沿海国家面临着巨大的困难，即：为了使综合管理在实践中具有可操作性而建立适合的政府机构。韩国正是在国家范围和次一级区域进行这项工作的实验场所。这项工作的最重要成就是在1996年成立了具有综合协调各涉海部门职能的韩国海洋事务与渔业部（MOMAF）。这篇文章的内容主要来自于这些观察，即韩国政府为建立海岸带综合机制而进行了各种努力，特别是1992年联合国环发大会召开后到1997年初海洋事务与渔业部成立了海岸带管理处这段时间里开展的各种工作，文章重点在于评价在建立海岸带综合机制的过程中综合的概念是如何被应用并被挑战的。文章提出了在东亚地区沿海国家开展合作的可能区域的建议。     

天然气水合物地球化学特征

天然气水合物是在低温、高压以及有足够气体供应条件下形成的一种天然气(主要为甲烷)与水组成的似冰状固态化合物。天然气水合物中包含的甲烷碳是全球甲烷资源的重要组成部分,是一种数量巨大的潜在能源[1]。而且由于甲烷的温室效应,天然气水合物分解释放的甲烷进入大气中会严重     

A model of the dynamics of the ecosystem of the Sea of Azov

We use many-year archival observations of hydrologic and hydrobiologic state of the Sea of Azov for the identification of the structure of a model of its ecosystem. The ecosystem model, supplemented with expert estimates of bioresource consumption (fish reserve), contamination level, and possible ecologic fines for violation of the sea natural state, is formalized by the method of system dynamics. Hereat, the major part of influence functions is found in terms of observational data with application of self-organization algorithms. We also present the results of simulated experiments with the model of the ecosystem, which enable us to analyse scenarios of its behaviour under the influence of various external factors (wind, river discharge, water exchange with the Black Sea, etc.). Translated by Peter V. Malyshev and Dmitry V. Malyshev     

Analysis of photographic images of the structure of the surface of the sea near a speck of light

Values of root mean square slope ₀ and its variations -₀ are estimated using the brightness field of an image of the surface of the sea near a speck of light. When ₀ and -₀ are defined it is highly important to take into account direct as well as dissipated solar radiation.The space-time analysis of the structure of the image brightness field is performed. This gives an opportunity to estimate dispersion relationship and the running effect of a brightness contrast packet. Comparison of the parameters obtained with the theoretical dispersion ratio of internal waves (IW) allows one to make a conclusion that IW surface manifestations are recorded in a frame.UDK 551.463.5     

Generation of long waves in a basin of variable depth in the process of formation of a region of perturbations of atmospheric pressure

We perform the numerical analysis of the long-wave response of the free surface of a fluid in a basin of variable depth to the formation of an anomaly of the baric field for a finite period of time. In numerical experiments, we use the distribution of depths typical of the south coast of the Crimea. We also study the dependence of the dynamics of the sea level in the zone of the baric anomaly and in the shelf zone on the space and time scales of local changes in the field of atmospheric pressure in the open part of the basin. Translated by Peter V. Malyshev and Dmitry V. Malyshev