摘要:Acupoints can be determined on the foundation of distinguishing disease location,cause,pathogenesis and syndromes,and principles of selecting local acupoints and distant acupoints and selecting acupoints according to syndrome differentiation and symptoms and signs.The methods and techniques of acupuncture and moxibustion can be decided after differentiating the disease nature of exterior,interior,deficiency,excess,cold and heat,so different methods of syndrome differentiation are suitable acupuncture clinic with relative specificity.Among all identifying location and nature of disease.The meridian differentiation is suited to the differentiation and treatment of almost all diseases including some difficult and complicated ones,especially for those of limbs,orifices and skin with apparent locations.Visceral syndrome differentiation is also important,which is the key of symptom distinguishing after determining disease location in viscera and bowels,and is suited to the diseases with general manifestations,difficult ones without marked local pathological changes and some orifice diseases.The base of eight-principles syndrome differentiation is to distinguish disease nature with guiding significance to the differentiation of complicated diseases loading exterior-interior,cold-heat and deficiency-excess complex.Disease cause syndrome differentiation plays a role in the differentiation of disease location and nature and selection of acupoints and acupuncture methods.Qi-blood syndrome differentiation and fluid-humor syndrome differentiation are commonly combined with meridian differentiation and used for syndrome differentiation and treatment in acupuncture clinic.Each method of syndrome differentiation,therefore,has its strengths or advantages and should be selected eligibly in clinic.Although meridian differentiation is a basic method in acupuncture clinic,other methods can be used for complementation.
关键词:acupuncture clinic;methods of syndrome differentiation;eligible selection
摘要:The local acupuncture-moxibustion therapies for specific locations or symptoms of a disease on the body surface have many methods and are very popular in clinic,but the theoretical degree of these therapies is lower and current acupuncture-moxibustion theory has no proper formulation and reflection.Through analyzing the process,methods and experience of impediment treatment with acupuncture-moxibustion in Neijing,the author discussed the formation,elements and characteristics of these specific acupuncture-moxibustion therapies,pointed out the misunderstanding in syndrome differentiation,needling methods,meridians and acupoints,and raised the concept of syndrome differentiation by body for improving the study on therapeutic theory of acupuncture-moxibustion.
摘要:It is very important to build a specialized syndrome differentiation system with characteristics of acupuncture-moxibustion science for improving the therapeutic level and academic connotation of acupuncture and moxibustion.There were some puzzled problems in syndrome differentiation in clinical acupuncture-moxibustion.The specialized syndrome differentiation system of acupuncture-moxibustion should be built from the aspects of neatening therapeutic methods,enriching featured content,clearing up classic prescriptions,perfecting theory,summing up clinical practice and constructing characterized syndrome differentiation system.The problems in the building of a new specialized syndrome differentiation system include how to blend diagnostic content and methods of clinical acupuncture in TCM general syndrome differentiation system for enriching,specifying and quantifying connotation and fitting clinical operation,how to blend traditional meridian differentiation and treatment in modern disease differentiation and treatment,and how to make up for inadequate diagnostic techniques with the aid of modern high technology.It is significant to introduce traditional macro-theory to micro-field and conduct the research at multiple levels and by multiple ways in the building of a syndrome differentiation system of acupuncture-moxibustion for clinical demands.
关键词:acupuucture;clinic;syndrome differentiation system
LI Ling-ling,JIN Qiu-shuo,DONG Bin,DUAN Xing-wu,QU Xing #
Vol. 19, Issue 5, Pages: 19-22(2012)
摘要:Objective To investigate the changes and clinical significance of peripheral T lymphocytes in the patients with different TCM syndrome types of psoriasis.Methods The patients with psoriasis(n =64) were divided,according to TCM syndrome differentiation,into blood heat syndrome group(n =26),blood stasis syndrome group(n = 21) and blood dryness syndrome group(n =17).The levels of peripheral T lymphocyte subsets were detected by using flow cytometer.The values of CD3 + T,CD4 + T,CD8 + T and CD4/CD8 in 3 groups were compared with normal value,and a comparison was conducted among 3 groups.Results The difference in CD3 + T showed no statistical significance compared with normal value in 3 groups respectively(P >0.05),and the pairwise comparison showed no statistical significance in 3 groups(P >0.05).The difference of CD4 + T showed no statistical significance in blood stasis syndrome group compared with normal value(P >0.05),decreased in blood heat syndrome group(P <0.05) and increased in blood dryness syndrome group(P <0.05).The pairwise comparison showed CD4 + T increased in blood dryness group than that in blood stasis group and blood heat group(P <0.05),and decreased in blood heat group than that in blood stasis group(P <0.05).The difference of CD8 + T showed no statistical significance in blood heat syndrome group compared with normal value(P >0.05),and decreased in blood stasis syndrome group and blood dryness syndrome group(P <0.05).CD8 + T was lower in blood stasis syndrome group and blood dryness syndrome group than that in blood heat syndrome group(P <0.05),and there was no statistical significance in the difference of CD8 + T between blood stasis syndrome group and blood dryness syndrome group(P >0.05).CD4/CD8 decreased in blood heat syndrome group compared with normal value(P <0.05) and increased in blood stasis syndrome group and blood dryness syndrome group(P <0.05).CD4/CD8 was higher in blood stasis syndrome group and blood dryness syndrome group than in blood heat syndrome group(P <0.05),and there was no statistical significance in the difference of CD4/CD8 between blood stasis syndrome group and blood dryness syndrome group(P >0.05).Conclusion The patients with psoriasis had the disorder of immune function.The levels of CD4 + T,CD8 + T are closely correlated to types of TCM syndrome and immune status of the patients is correlated to TCM syndromes.
摘要:Objective To observe the curative effect of soaking-washing with self-designed TCM formula on oxaliplatin-induced peripheral neurotoxicity.Methods The patients(n =35) who had peripheral neurotoxicity after chemotherapy containing oxaliplatin plan were given soaking-washing with self-designed TCM formula for 14 days.The grading changes of peripheral neurotoxicity,score changes of Karnofsky performance scale(KPS),median time to the evaluation standard of cured/effective,and adverse reactions were observed in the patients.Results Before the treatment,the grading of peripheral neurotoxicity in 35 patients showed that there were 10 cases with grade I(28.6%),18 with grade II(51.4%) and 7 with grade III(20.0%).After the treatment,the grading showed that there were 10 cases with grade 0(28.6%),16 with grade I(45.7%),6 with grade II(17.1%) and 3 with grade III(8.6%).The difference was statistical significant before and after the treatment(P <0.05),and peripheral neurotoxicity was decreased after the treatment.The changes of grading of peripheral neurotoxicity in 35 patients showed that there were 10 cases cured(28.6%),19 with effectiveness(54.3%),and 6 without effectiveness(17.1%).The total effective rate was 82.9%.The score of KPS was(71.7±5.7) before the treatment and(80.0±7.7) after the treatment(P <0.05).The changes of KPS score showed that the score was increased in 27 cases(77.1%) and stabilized in 8(22.9%),and the total effective rate was 77.1%.Among 35 patients,there were 29 had reached the evaluation standard of cured/effective and the median time was(6.9±2.5) day.There were no any adverse reactions observed in all patients.Conclusion The soaking-washing with self-designed TCM formula has a good curative effect on oxaliplatin-induced peripheral neurotoxicity.
关键词:oxaliplatin;neurotoxicity;soaking-washing with Chinese medicinals;curative effect
摘要:Objective To observe the curative effect of chiropractics combining self-designed Wenshen Jianpi Fang on children enuresis.Methods All 52 child patients with enuresis were treated with chiropractics accompanied by oral self-designed Wenshen Jianpi Fang and one therapeutic course was 7 days.Results Among 52 cases,36 were cured(69.23%),10 had obvious curative effect(19.23%),5 had effect(9.62%),and 1 had no effect(1.92%).The total effective rate was 98.08%.The shortest total therapeutic course was 14 days and the longest was 42 days.Conclusion Chiropractics combining self-designed Wenshen Jianpi Fang has a good curative effect on children enuresis.
摘要:According to two international reporting standards for systematic reviews in Cochrane Handbook for Systematic Reviews of Interventions and PRISMA statemant,the paper introduced the content that should be reported in the parts of discussion and conclusion in systematic reviews,including summary and interpretation of main results,evaluation of the quality of evidence,study of bias and limitation of evidence,comparison with similar studies or systematic reviews,and implication for future clinical practice and research.The authors analyzed the current problems in the parts of discussion and conclusion in TCM systematic reviews published domestically,involving simple content,repeated content and results,off-topic content in discussion and careless words in conclusion.For the common problems and characteristics existing in TCM systematic reviews,the conclusion should be made objectively and cautiously considering the features of interventions and quality of original studies.Some suggestions were provided for clinical practice and further research in the paper.
关键词:systematic reviews;Cochrane Handbook;PRISMA statemant;reporting standard
摘要:Zhubing Yuanhou Lun set the culmination of life-nurturing Daoyin methods before the Sui Dynasty,which is very important in the development history of Qigong.The 28th volume of this book is Mubing Zhuhou,which is the earliest specific literature for expounding ophthalmic diseases.In Mubing Zhuhou there is three Hou involving 11 items about life-nurturing Daoyin methods and these items have great guiding significance to today ’ s research on treating ophthalmic diseases with Qigong.The authors explained in detail these items based on words combing in the three Hou,including annotation of words and expressions,reference of operation and explanation of principles of Qigong exercises.It is hoped that this paper will be benefit to the research on treatment of ophthalmic diseases with Qigong.
摘要:The number of postgraduates from foreign countries and Taiwan,Hong Kong and Macao in TCM universities are increasing year by year,so it is necessary to adjust the training mode.The paper discussed the training mode and methods for these clinical postgraduates in TCM universities from the aspects of learning TCM classics,improving TCM theoretical level,training clinical thinking,rotating in outpatient department,following teachers,promoting TCM skills in diagnosis and treatment,cultivating practical TCM talents,offering workshops on famous doctors ’ experience,expanding TCM therapeutic thinking and scope of knowledge,and formulating differential training plans according to different regional sources of postgraduates.