新正天丸治疗紧张性头痛46例

目的：观察新正天丸和阿米替林治疗紧张性头痛的临床疗效及不良反应。方法：４６例应用新正丸治疗（６ｇ／次,３次／ｄ）,另４４例用阿米替林治疗（２５￣１００ｍｇ／ｄ）。结果：新正天丸组基本恢复率为３４．７８％,显效率为２６．０９％,总有效率为９３．４８％;阿米夫林组基本恢复率为１５．９１％,显效率为２７．２７％,总有效率为７０．４５％。两组基本恢复率和总有效率有显著性差异（Ｐ〈０．０５,Ｐ〈０．０１）。     

针刺配合放血治疗慢性头痛48例

目的:观察针刺配合放血治疗慢性头痛的疗效。方法:86例慢性头痛患者,分为针刺配合放血治疗组和西药对照组,观察治疗前后两组的疗效。结果:采用针刺配合放血治疗慢性头痛疗效显著,且与西药治疗组比较,差异有显著性。结论:采用针刺配合放血治疗慢性头痛是较好的治疗途径。     

新头痛方治疗紧张型头痛72例

目的 比较新头痛方与正天丸治疗紧张型头痛的临床疗效,以优化正天丸的组方。 方法 将132例紧张型头痛患者分为正天丸组60例和新头痛方组72例,疗程3个月,观察两组临床疗效以及治疗前后头痛发作程度、频率和持续时间。 结果 新头痛方组临床疗效明显优于正天丸组（P<0.05）;与治疗前比较,两组治疗后头痛评分、发作频次、头痛持续时间均显著降低（P<0.05）;新头痛方组治疗后发作频次降低程度显著大于正天丸组（P<0.05）。 结论 新头痛方治疗紧张型头痛的临床疗效优于正天丸。     

深生态学的文化张力与人类价值

生态文化问题是一种跨学科的人类与自然的命运考辨,是从人类反思自然生态进而反思文化生态开始的.这种生态自然观使得西方人返身而诚开始研究生态文化、生态哲学、生态美学、生态艺术.深生态学是一种有深度的生态哲学,它是在思考人与世界关系或人类与非人类的深度关联中升华为"人类性"思考的生态智慧.我们必须冷静地思考人类的未来是否可以将东西文化中精神相通的要素整合起来,在真正的文化生态整体创新中,拿出巨大的心智和勇气着手解决人类共同面临的精神生态失衡问题.     

Variable Presentations of Lethal Colloid Cysts

Four cases of colloid cysts that led to death are reported to demonstrate their nonspecific and protean presentations at autopsy: a 27‐year‐old man with severe occipital headache, blurred vision, drowsiness and vomiting; a 44‐year‐old man with recent memory disturbance; a 54‐year‐old man with head and neck pains, tiredness, urinary incontinence, confusion, and drowsiness; and a 66‐year‐old man with severe frontal headache, gait disturbance, vomiting, and syncope with a previous episode of confusion and disorientation. Each death was due to an occult colloid cyst obstructing the foramen of Monro causing acute hydrocephalus. Nonspecific manifestations may mean that the diagnosis of colloid cyst is only made at the time of autopsy. The possibility of rare cases being familial may necessitate medical review of family members. Forensic evaluation should identify how a colloid cyst was related to the mechanism of death and whether there are any features that were associated with precipitate decline.     

偏头痛与颈源性头痛临床特点分析及头痛方的疗效观察

目的 探讨偏头痛与颈源性头痛的临床特点及头痛方对两种头痛的治疗效果。方法 对37例偏头痛患者和40例颈源性头痛患者的临床资料进行分析,两组患者均接受头痛方治疗,3个月后评估临床疗效。结果 两种头痛患者在年龄、病程、枕部头痛、搏动性头痛及恶心、呕吐、畏光、畏声方面比较,差异均具有统计学意义（P<0.05）;在性别、单双侧头痛、颞部头痛、前额头痛、顶部头痛、头痛程度方面比较,差异均无统计学意义（P>0.05）。头痛方对两种头痛的疗效相似（P>0.05）。结论 偏头痛发病年龄较颈源性头痛早,多为搏动性疼痛,多伴随恶心、呕吐、畏光、畏声;偏头痛多见于颞部,颈源性头痛多见于枕部、颞部。具祛风、除湿、化瘀、补虚之功的头痛方对偏头痛和颈源性头痛的临床疗效相似。     

“一张一弛之谓道”:复杂局面中的国家治理节奏

对任何一个现代国家来讲,掌握国家治理中的节奏感都是十分重要的。现代国家都处在复杂局面之中,张弛有度的国家治理节奏,全面、深刻地影响国家前途与命运。在把握社会总体周期的基础上,处在复杂局面中的国家,应当因应于社会总体态势,或强化政策力度,提高政策张力,推进国家发展;或弱化政策进取,俾使社会休养生息,保障国家生机。如果在社会需要国家强化政策力度时反应迟缓,在社会需要国家弱化政策刚性时霸王硬上弓,那么,就会导致国家治理的张弛失度,让国家治理节奏紊乱,催生国家风险与危机。这让国家治理无法保持一种适应社会周期的力度变化:要么以过度的政策强度而摧毁国家治理的正常运转机制,要么以不及的政策而跟不上社会变化的速率导致国家权力瘫痪。对中国而言,这点尤为紧要。     

An Unusual Cause of Headache and Sudden Death of a Young Sailor—Postmortem Computed Tomography and Histological Findings of a Fatal Retroperitoneal Malignant Mixed Germ Cell Tumor

A 26‐year‐old Caucasian sailor, with no past medical history aside from headache for the last 1 week, was found dead in his cabin. The body was stored in a refrigerator on board and disembarked for autopsy 3 days later. Autopsy showed a large, nodular, necrotic and hemorrhagic retroperitoneal mass, and smaller hemorrhagic nodules in the brain, lungs, liver, and left kidney, with the brain being markedly edematous. Both testes were descended and normal. Histologically, the retroperitoneal mass showed a malignant mixed germ cell tumor comprising choriocarcinoma, embryonal carcinoma, and teratoma components. Retroperitoneal extragonadal germ cell tumors are uncommon, and this case of a young male who presented with headache and sudden death due to metastases is extremely rare.     

从"筋"论治颈源性头痛探析

颈源性头痛的发病机制在于“筋损致病”,即颈部经筋急性损伤或慢性劳损后所产生的“炎症”刺激引起头痛。治疗上应根据“顺筋取穴”“筋穴治痛”的原则,以经筋起止点、压痛点、压痛缓解点、筋结点为主穴,施以震颤松解手法和温针灸法,以达筋松脉通、通则不痛之效。