Duodenal bulbar ulcer is a frequently encountered disease. Clinically, it manifests itself by regular epigastric pain accompanied by belching and acid regurgitation, corresponding to epigastralgia and stomach distending pain in traditional Chinese medicine (TCM). Based on the TCM type-differentiation, the author has treated 105 cases of duodenal bulbar ulcer by the combined therapy of catgut embedding at point Zusanli (ST 36) and Chinese drugs with satisfactory results. A summary is as follows. Clinical Data1. Case selection: The cases selected all had the clinical symptoms and signs of duodenal bulbar ulcer, and had been diagnosed by GI examination at this or other hospitals with no obvious therapeutic effects obtained after relevant treatment, and still symptoms and signs and repeated attacks of pain.

饮食康复对糖尿病并发胃肠植物神经病变患者疗效观察

Background: It has been reported that there are 50％ patients in type 2 diabetes combined with differential gastrointestinalvegetative nervous lesion.The main symptoms are: dysphagia,abdominalgia,diarrhea,constipation,satiety in morning,nauseaand vomitting the foods taken before the last dinner or several hours,body weight's cutting down,low blood-glucose aftersupper,unstable blood-glucose etc,which caused the acceleration of patient's condition changes and the occurrence of othercomplications.Therefore,excepting actively decreasing blood-glucose and expectant treatments,the special dietaryrecovery care is necessary for patients of diabetes combined with gastrointestinal vegetative nervous lesion.Objective: To observe the curative effect of dietary care on patients of diabetes combined with gastrointestinal vegetativenervous lesion.Unit: People's Hospital of Shaoxing City.Subject: 172 in-patients of diabetes combined with gastrointestinal vegetative nervous lesion from June 1996 to March2001.Among them,male 98 cases,female 74 cases,age 42～ 87.Duration of illness was 2～ 29 years.Clinical symptomswere: 26 cases with nausea or vomitting the foods taken before the last dinner,72 cases with satiety on epigastrium,22 caseswith satiety in morning,42 cases with epigastric pain,56 cases with diarrhea,89 cases with constipation,7 cases withdysphagia.

Objective: To observe the clinical efficacy of combining acupuncture and medication in treating chronic atrophic gastritis (CAG) due to spleen-stomach deficiency.
Methods: Totally 176 patients with CAG were randomized into two groups by the random number table. The 91 subjects in the treatment group were intervened by acupuncture and oral Chinese patent medication; the other 85 subjects were by oral Chinese patent medication alone. The clinical efficacies were compared at the end of intervention.
Results: After a treatment course, the total effective rate was 87.9% in the treatment group versus 75.3% in the control group; according to the gastroscopy and pathological biopsy examinations, the total effective rate was 85.7% in the treatment group versus 74.1% in the control group. There were significant differences in comparing the clinical efficacy, gastroscopy and pathological examinations between the two groups (P<0.05).
Conclusion: Combining acupuncture and medication can produce a better therapeutic efficacy than medication alone in treating CAG due to spleen-stomach deficiency.

小儿细菌性肝脓肿(附110例临床分析)

小儿细菌性肝脓肿在小儿外科感染性疾病中并不少见.但由于抗生素应用欠妥以及激素应用不慎重,使不典型病例增多,诊断治疗因而被延误.为此将我院自1964～1985年治疗的小儿细菌性肝脓肿110例予以分析讨论.