最新刊期

    1988年第3期
    • 关于针灸-免疫及其调控的研究

      陈汉平
      1988(3): 167-175.
      摘要:免疫学是一门既古老又年轻的生物科学。“免疫”一词在我国最早见于18世纪的《免疫类方》。中医典籍中早有用免疫疗法防治疾病的记载。晋《肘后方》记述了用疯狗脑治疗狂犬病的方法。明朝,我国已应用天花病人痘痂预防天花,比英国医师琴纳(Jenner)用牛痘预防天花(1798年)要早数百年。人痘的发明是我国医学史上辉煌的成就之一。可以认为,  
        
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    • 1988(3): 175-178.
      摘要:There was record of treatment with immunologic therapy early in Jin Dyn-asty (265A.D.)in our country.“Qian Jin Fang” written in Tang Dynasty(682 A.D.) stated that the moxibustion could prevent infection.And in thepast twenty years,the theory and technique of immunology has been developedand widely applied to the experimental researches as well as the clinical tre-  
        
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    • 激光针灸新途径的研究——附326的临床总结

      李世瑞, 尤士征, 张士林
      1988(3): 179-183.
      摘要:氦氖激光照射具消炎、镇痛、扩张血管,调节机体免疫功能,促进溃疡愈合等作用,已被医学家所公认。氦氖激光由于对皮肤有一定的穿透力。从1973年法国学者 Plog首先提出“光针”之后,有关激光针的研究及临床应用的报道,相继出现,激光照射穴Helium-neon laser has many functions such as counteracting inflammation analgesia,dilataling blood vessels,regulating immunity function,promoting the cure of ulcer.Because the irratiation of helium-neon laser is reflexed by the skin,absorbed by the tissue and rediated crosswidely etc.,its penetrating force is limited to a certain extent.Since it is unable to reach a proper depth with an effective strength,for the treatment of deep tissue inflammation or for acupuncture therapy,its clinical curative effect is weak.We have resea- rched a new way of laser acupuncture.It can irradiate and treat through laser into the deep tissue.After one year's treatment of 326 patients,we have made better clinical curative effect. The exportend of the tube of helium-neon laser is coupled with the fiber optics (diameter 50/125mm).This fiber optics bundle can be inserted into a special hollow acupuncture needle with its diameter similar to a syringe needle of No.5 or No 5(1/2).Thus a laser acupuncture needle is constituted. Among 326 cases,the cure rate of 13 kinds of diseases was 62.9% and the general effective rate was 99.3%.In 114 cases of prostatitis treated,the cure rate was 55.3%,the general effective rate 99.1%,in 61 cases of chronic colitis treated,the cure rate was% 73.8,the general effective rate 100%.In 40 cases of periarthritis of the shoulder treated,the cure rate was 65%,the gen- eral effective rate 100%.In 36 cases of ischiagia treated,the cure rate was 77%,the general effective rate 97.2%. In all 326 cases (3,186 person-times) treated with laser acupuncture needle inserted into the tissue or the acupoint showed no abnormal reaction,indicating that this method is feasible,effective and safe.The Success of it opens up a new field for laser medicine,enriches and develops acupuncture therapy.  
        
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    • 激光针灸治疗前列腺炎119例临床疗效总结

      尤士征, 张士林, 李世瑞
      1988(3): 184-188.
      摘要:氦氖激光照射治疗各种炎症已证实有卓著的疗效。1985年我们设计了激光针灸方法治疗某些疾病,也取得一些成效。本文仅就于1985年7月至1986年5月应用激光这种治疗方法治疗的前列腺炎119例的结果报道如下:Laser acupuncture produced remarkable effects on 119 cases of prostatitis. All the patients were from our clinic.Most of them were young or middle- aged. Patients were divided into two groups,laser acupuncture group (therapeu- tic group) and laser rectum irradiation (control group).For the therapeutic group,the helium-neon laser acupuncture and moxibustion needle was inserted into the prostate through the perineum,and for the control group,fiber optics was placed in the glass stick and inserted into the hole of rectum to irradiate indirectly the prostate.Patents in the two groups were all treated 20 min- utes per a day for four times as a course. The cure rate was 53.4%,in the threapeutic group including 88 cases and in the control group of 31 cases,the cure rate was 22.60%,the difference being very significant (p<0.01).The total effective rate of the therapeutic group was 98.9% and that of the control group was 83.9%.The difference was also very significant.(p<0.01). In the therapeutic group the prostate was reduced 0.449cm in average,and 0.108cm in the control group.There exists a very significant difference (p<0.01).  
        
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    • 针麻腹式输卵管结扎术23,554例临床研究报告

      王淑义, 徐子玉, 陈舜英
      1988(3): 189-193.
      摘要:针刺麻醉腹式输卵管结扎临床研究是卫生部下达的《1975年针刺麻醉全国研究计划》中的一个重要课题,由江苏、四川、上海、湖北、广东、广西、安徽、山西、河南、福建、山东、江西、浙江、湖南、黑龙江、甘肃、云南、宁夏十八个省、市、自治区的一百多个科研、临床单位组成协作组,自1975年5月至1977年12月共完成输卵管结扎术23,554例。其中针麻效果一级的12,246例,占51.9%;二级的7,968例,占A program of investigation an acupuncture anesthesia for abdomenal tubo- iigation was carried out by research workers and clinicians of 18 provinces, cities and autonomous regions.Operation were performed on 23,554 patients with a rate of success of 97.9%,and a rate of excellent-good result of 85.8%. For the choice of points,five groups of points were put into trial: (1)Sanyinjiao (bilateral),Ciliao (bilateral);(2)Renzhong,Chengjiang;(3)Ear points:Lung,Shenmen,Uterus,Endocrine;(4)Renzhong Chengjiang,Ciliao (bilateral);and (5)Ear points:Lung,Shenmen,Uterus,Endocrine,Parain- cisional.The rate of excellent-good result for each group was 85.5%,85.2%, 85.2%,91.4% and 87.0% respectively.The fourth group showed better result than the other groups (0.05>P>0.01). Regardiog the duration of induction,4,763 cases were investigated in four groups.Marked difference was noted in the rate of excellent-good result bet- ween.these groups (0.05>P>0.01).It was concluded that 5’—10’ was the most optimal induction duration. In this series, in 23,554 cases,neither procaine nor other analgesics was given.Dolantin was used in 3,915 cases.This was compared for three times with the control group of 3,073 cases.It was noted that acupuncture anesthesia without Dolantin could be as effective as with it. It may be concluded that acupuncture anesthesia can be used to perform abdominal tuboligation without the help of supplementary medication.Acupu- ncture anesthesia has the merits of being safe,simple,effective and with rapid recovery.It is considered to be a preferable method of anesthesia for abdo- minal tuboligation.  
        
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    • 针刺对实验性脑缺血猫血液动力学的影响

      蒋达树, 刘金兰, 谢瑶芳, 赵吉会, 刘家瑛, 隗功芬, 张立新
      1988(3): 194-198.
      摘要:针灸作为中国的一个有效治疗方法,已有两千多年的历史,历代和现今的文献中均有很多报导,在我们的临床研究工作中,观察到针刺治疗缺血性中风的有效率为87.5%和92.31%。但针刺为什么能治疗缺血性中风?其原理如何?这是应该探讨的问题。本文试图从针刺对实验性脑缺血动物的血液动力学,包括脑血流量和脑血管阻力的影响,来探讨针刺治疗缺血性中风的原理。The results in observation of 44 cats showed that the animal model of acute experimental cerebral ischemia were peroformed by ligating some cerebral supply artery.Acupuncture of cerebral ischemia cats at “Quchi”(曲池)and “Yanglingquan”(阳陵泉)may increase cerebral blood flow (CBF)and reduce cerebral blood vessel resistance (CVR).After removing the needle,CBF may increase last for 35 minutes,but the CVR reduced not prominently.In normal cats,the hemodynamics of the brain were not markedly affected by acupuncture.  
        
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    • 内脏传入与体表传入在中枢的相互作用

      陈助华, 陈培熹
      1988(3): 199-204.
      摘要:“体表与内脏相关”是针灸学一个基本理论,它指导着针灸的取穴和内脏疾患的诊断。现代医学也越来越重视这一课题,Ama-ssion 和 Langhof 等曾以体感皮层诱发电位为指标证明躯体传入可抑制内脏传入,Selzer,Hancock 等曾报导躯体传入Experiments were performed on 32 cats under chloralose and flaxedil.The A fider and AC fiber of splanchnic nerve (SPN) and peroneal nerve (PN) were stimulated with electric pnlses of different strength.The unit discharges were recorded with glass microelectrode in the contralateral somato-sensory cortex,and proceeded with microcomputer using stochostic point process signal analysis method.The normalized cross-eovariance function (NCCVF) is used to analyse the spikes. NCCVF of the cortical unit discharges evoked by peroneal and splanchnic nerve input expressed a first positive component followed by a negative com- ponent.The latency and the duration of the first positive component of NCCVF of SP-ED (the unit discharges evoked by splanchnic nerve input) were longer than that of P-ED (the discharges evoked by peroneal nerve input),and the amplitude was lower. When PN and SPN were stimulated simulanteously,P-ED appeared alone, but no SP-ED.SP-ED was depressed,while the SPN was stimulated after the stimulation of PN,and P-ED was inhibited while the PN was stimulated after the stimulation of SPN.The inhibition of the peroneal input on the splanchnic one was more powerful than that of splanchnic input on peroneal one.The longer the interval between these two stimulations,the lesser the inhibition. The unit discharges evoked by AC fiber input was more difficultly inhibited than that by A fiber input alone. It was suggested that the superficial somatic and the splanchnic inputs mi- ght inhibit each other in central nervous system.The preceding input reaching the cerebral cortex might inhibit the later one.This inhibition was related to the type of nerve fiber and to the intervals between two stimulations.  
        
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    • 电针“人中”对失血性休克家兔脑电活动影响的观察

      黄坤厚, 戎象棣, 蔡虹, 徐文斌
      1988(3): 205-214.
      摘要:休克是临床常见危急综合症,较为近似中医的脱证,失血性休克多见于中医的血脱,津脱、继之亡阴,出现“气滞血瘀”气血失调的症状,及时采用一些急救措施来调节机体的阴阳气血达到益气救阴回阳救逆是非常重要的,应用针刺治疗法在抢救休克特别是促使血压回升有一定作用。针刺对失血The objective of this study was to observe the effects of hemo(?)rhagic shock and electroacupuncture (EA)at “Renzhong” following shock on brain spontaneous and evoked potentials of rabbits;and further to analyse the regu- latory function of acupunctre on brain function in the rabbits with hemorrhagic shock. Rabbits were anesthetized with chloralose-urethan.The left peroneal nerve was placed on a pair of electrode for stimulation;the recording electrode was passed through skull and placed on the right cerebral somatosensory area.An arterial catheter fulled heparin was placed in the right femoral artery.Mean arterial blood pressure (BP) and electroencephalogram (EEG) were separately recorded on a multi-purpose physiological recorder:and EEG activity was put into a cassette data recorder for EEG power spectral analysis.Somatosensory evoked potentials (SEP) were averaged on Medical Data Processor,then reco- rded by X-Y recorder. The results were as follows: Among 30 rabbits,at the initial stage of shock,dysrhytemia of EEG appeared in 9 cases,EEG were no significant change in 13 cases,EEG showed slight improving in 6 cases;at maintaining shock for one hour,dysrhythmia of EEG appeared in 20 cases,EEG were no significant change in the rest. After EA at“Renzhong”,EEG showed clearer improvement in 24 cases;dys- rhythmia still appeared in 4 cases.EEG power spectrals were analysed on 5 rabbits.During hemorrhagic shock,normal theta rhythm (4-7Hz) was gradu- ally disappeared and the area of faster delta rhythm (2-3Hz) power spectral was gradually decreased;And after EA,the power spectral area of theta and faster delta rhythm was increased. among 26 rabbits,at maintaining shock for one hour,the amplitudes of SEP were decreased and some components of SEP disappeared or wave form was changed in 23 cases;after EA,mean arterial pressure was significantly increased (P<0.05),the amplitudes of SEP were picked up or wave form recovered in 17 cases.The EEG improvement was close related to a rise in blood pressure. The results indicated that electroacupuncturing “Renzhong” could rise BP of the rabbits with hemorrhagic shock and improve their brain function to a certain extent.There was close relation between EEG improving and BP rising.  
        
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    • 电针及伤害性刺激对大鼠黑质神经元放电的影响

      高东明, 孙德玉, 常志杰
      1988(3): 214-220.
      摘要:已经证明黑质内存在着对伤害性刺激有反应的神经元(痛敏神经元),而且黑质与针刺镇痛作用有一定关系。本文用细胞外记录的方法进一步探讨黑质与痛觉的整合及针刺镇痛的关系。在75只无动化大鼠记录了382个黑质神经元的自发放电。根据其自发放电特点可将黑质神经元分为两型:310个Ⅰ型神经元以自发放电频率慢(3.36±0.11次/秒),动作电位时程长(4.59±0.16ms)为特点;72个Ⅱ型神经元的特点是自发放电频率快(26.12±1.55次/秒),动作电位时程短(1.65±0.06ms)。观察了219个神经元对伤害性刺激的反应。在痛敏神经元中,大部分Ⅰ型神经元(85%)呈痛抑制反应,大部分Ⅱ型神经元(81%)呈痛兴奋反应,电针时它们对伤害性刺激的反应减弱。结果表明电针和伤害性刺激的信息均可以到达黑质,并相互作用,使痛反应减弱。本文结果提示黑质神经元与痛觉信息的整合以及针刺镇痛有一定关系。  
        
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    • 针刺手法对感受器发放的影响

      赵晏, 史文春, 侯宗濂
      1988(3): 221-225.
      摘要:本工作利用在猫的脊神经背根分离神经纤维细束的方法记录单位型关节深部感受器的传入发放,试验了提插并捻转、单纯提插及单纯捻转这三种基本的传统针刺手法对19个感受器的作用。每次运针所引发的感受器放电平均数分别是6.98个,4.60个和1.83个。前两者之间无明显差异。而前两者与后者相比则显著高于后者。提示针刺手法和传入信息量之间有着明显的相互关系。从发放的瞬间频率图初步分析了针刺引起的传入信息编码形式。提示了不同针刺手法产生不同临床效果的初级机理。  
        
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    • 张克坚, 高骥援
      1988(3): 226-230.
      摘要:一系列的临床观察和实验研究证实,针刺可提高患病机体的防御能力,对炎症过程进行调整而抑制炎症的病损。临床观察发现,针刺能有效地治疗很多急、慢性炎症。实验研究亦表明,电针刺激可有效地抑制炎症的渗出和肉芽组织增生。但有关针刺对Electro-acupuncture could suppress the leukocyte migration to the inflam- matory focus in the rats of carrageenan-pleurisy.The result of analyses of stepped regression by micro-computer indicated that enhanced leukocyte chemo- taxis in inflammation is a main factor which effects leukocyte migation. Leukocyte chemotaxis is regulated by intracellular cAMP and cGMP levels. This paper demonstated that electro-acupuncture might inhibit leukocyte chemo- taxis,increase intracellular cAMP level which decreased during inflammation and decrease intracellular cGMP level which increased during inflammation. The effects of electro-acupuncture on cAMP and cGMP are probably substance basis inhibiting leukocyte chemotaxis,while showing the modulation of acu- puncture.  
        
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    • 王希涛, 吴景兰
      1988(3): 231-238.
      摘要:自从1975年 Hughes 等发现甲啡肽和亮啡肽以来,许多研究工作已表明,EK 与针刺镇痛关系密切。应用放射免疫(RIA)法的研究表明,大鼠电针后尾核和下丘脑的EK 含量升高,并与针效呈正相关;用抑制 EK 降解的肽酶抑制剂给大鼠腹腔注射(ip)和家兔测脑室注射后,可使针刺镇痛效应提高,同时大鼠尾核和下丘脑 EK 含量升高。Vacca 等曾应用 PAP 法研究了In the present paper,the relationship between the enkephalin-like immuno- reactivity (EK-LIR) and the electroacupuncture (EA) analgesia was studied by immunohistochemical techniques in guinea pig's adrenal and spinal cord.I.In accordance with the pairing design of experiment,56 male guinea pigs were divided into 28 pairs.Each pair was randomly divided into the test group with EA and the control group without EA.2.In accordance with the ran- domized blocks design of experiment,18 male guinea pigs were divided into 6 blocks.Each block was randomly divided into 3 groups:1.naloxone plus EA group;2.EA group;3.control group without EA.The acupoints were bi- lateral“Zusanli”.The results showed as follows: 1.In the test group,the pain threshold after EA increased from 0.26 ±0.02 mA to 0.47±0.05mA (P<0.001);In the adrenal medulla and spinal cord,both the met-enkephalin (MEK)-LIR and leu-enkephalin (LEK)-LIR in the test group were much weaker than that in the control group (P<0.01); Correlation analysis between the effect of EA analgesia and the MEK-LIR or LEK-LIR in the adrenal medulla and spinal cord respectively revealed that there was a significant negative correlation only between the LEK-LIR and the effect of EA analgesia (P<0.05). 2.After naloxone injection followed by EA,the pain threshold did't increase.But it increased obviously after saline injection followed by EA (P<0.01);In the adrenal medulla,the MEK-LIR and LEK-LIR in the naloxone plus EA group and the EA group were about the same,but much weaker than that in the control group withou(?) EA (P<0.01).In the spinal cord,the two kinds of EK-LIR in the naloxone plus EA group and the control group without EA were much the same,but much greater than that in the EA group (P< 0.01).  
        
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    • 刘琦, 韩苇, 赵建础
      1988(3): 239-243.
      摘要:鉴于不少文献报导在针刺镇痛中有阿片肽及中枢单胺类递质参与,联系我们以往在实验中曾看到的电针后脑脊液中加压素含量增加。以及近年来发现加压在脑内有镇痛作用。这种镇痛作用不被阿片受体阻断剂NX 所拮抗。本文拟观察在精—加压素(AVP)镇痛效应中亮—脑腓肽(LEK)与单胺类递质的变化以及和电针镇痛的关系。  
        
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    • 电针对脑脊液内去甲肾上腺等物质含量变化

      刘冰怀, 朱舜丽, 陈全珠, 许建平, 董以键, 徐俊健, 徐惠金, 汪业汉, 徐复华, 邵坤山
      1988(3): 243-246.
      摘要:许多实验支特中枢去甲肾上腺素(NE),5-羟色胺(5-HT),乙酰胆硷(Ach)参与针刺镇痛过程,多数认为中枢5-HT 是加强针刺镇痛的一个重要环节,但 NE 在针刺镇痛中的作用是拮抗还是协同尚难定论。本文工作研究颅脑针麻手术病人脑脊液内 NE系统含量的变化及其与镇痛效果的关系,以便进一步观察中枢 NE 在针刺镇痛过程中的作用。  
        
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    • 杨友泌, 陆卓珊, 裴玉珍, 王萍萍
      1988(3): 247-250.
      摘要:近年来,对肾上腺髓质在镇痛与针刺麻醉过程中的作用曾有报导。但有关针刺对肾上腺髓质去甲肾上腺素细胞机能影响的研究尚属少见。本实验采用6-羟基多巴胺损坏去甲肾上腺素能节后交感神经纤维末梢的动物模型,并应用组化定量的方法,观察针刺对髓质去甲肾上腺素细胞的作用和分析其作用的所属途径。今将实验总结如下:The animal models of adrenergic postganglionic sympathetic nervous fibre damaged by 6-hydroxydopamine (6-OHDA) had been used.31 healthy rats divided into four groups:Control group;6-OHDA group;6-OHDA plus re- Straining group;and 6-OHDA restraining and acupunctrure group. The results indicated that the restraining and acupuncture could promote the release of adrenal medullar noradrenaline.This shows that acupuncture would exert it function through the cholinergic preganglionic sympathetic nervous fibre.  
        
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    • 针刺治疗抗生素中毒性耳聋之我见

      宋光飞
      1988(3): 251-254.
      摘要:针刺治疗抗生素中毒性神经性耳聋(以下简称“毒聋”),目前医学界多持否定态度。笔者近年来随师王乐善副教授运用针刺“完骨穴”为主,并配合内服中药的方法,曾试治“毒聋”数百例,其中诊断明确,听力损失在40~90dB 之间,坚持治疗三个月以上,且治疗前后均有纯音电测听检查以资对照者共72例(127只耳),取得了70.9%的总有效率。下面本人不揣浅陋,试将近年来针刺治疗“毒聋”的概况及展望谈几点看The medical circle now adopts a negative attitude to the acupuncture treatment of deafness due to antibiotic poisoning.In recent years,we have studied the treatment of deafness by acupuncture through the clinical and lite- rature.Now,we are introduce our views briefly as follows: 1.The different views of treating the deafness by acupuncture. 2.The necessity of treating the deafness by acupunbture. 3.The feaciblity of treating the deafness by acupuncture. 4.Some suggestions about the research of treating the deafness by acu- puncture. a.It is the basic to explore continuously the new points and the new technique. b.It is the prerequiste to set up an objective foundation about judging the curative effect. c.The early diagnosis and early treatment is the key of curing the deafness. Through our research with clinical and literature,it shows to treat the deafness by antibiotic poisoning with acupuncture is feasiblity and it presage a new breakthrough in future.  
        
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    • 针刺治疗慢性原发性血小板减少性紫癜37例近期疗效观察

      蔡立皓
      1988(3): 255-259.
      摘要:慢性原发性血小板减少性紫癜(以下简称 ITP)是常见的出血性疾病,目前缺乏特效疗法,为了探索治疗本病的新方法,我们于1987年10月21日至11月26日,对37名ITP 患者进行针刺治疗,同时设中药对照治疗11名,发现针刺对本病确有疗效,现报导如下。  
        
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    • 针灸文献分析检索系统建成

      1988(3)
      摘要:[本刊讯]中国中医研究院图书情报研究所研制的计算机“针灸文献分析检索系统”,已初步建成。这一系统收录中,英、日、德、法、俄等中外文期刊200余种及有关国际会议的文摘,其中中外文针灸专业期刊18种。它们按用户要求进行多途径快速检索,节省时间。目前已输  
        
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    • 国外文摘

      1988(3): 262-266.
      摘要:为了使读者更多地了解国外有关针灸方面的研究情况,我们开辟了《国外文摘》栏,主要由中国中医研究院图书情报研究所供稿。所有稿件都是通过该所电子计算机“针灸文献分析检索系统”中精选出来的。该系统中收录中、美、日、德、法、俄等中外文期刊200余种及有关国际会议的文摘,其中中外文针灸专业期刊18种。目前已输入了1985年以来的4,000篇文献的题录和文摘。是目前世界上唯一的中、英两种版本的医学专业数据库。  
        
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