摘要:Standardization is a sign of a fully-fledged academic subject,syndrome,as the core of syndrome differentiation,could reflect the curative effect. Therefore,syndrome standardization is the foundation to establish the evaluation system of traditional Chinese medicine( TCM) curative effect,also is the premise to explore and establish a modern TCM methodology. Although the syndrome standardization research has made some achievements,but has not yet reached the basic goal of a "unified standard": Idea of dynamic space-time,multidimensional interface,interior-excess and exterior-deficiency are syndrome syestems,but complication is not standard barrier. The thinking method on making things simple of Sinology and TCM is focused on complication of syndrome. The logical thinking method about VisualizationAbstraction-Concretizationt is analogous to research method for complex system. Based on the background of the China culture communication to the west and the west culture communication to China,the objective of subject is consensus. The research method for complex system is a good beginning to syndrome standardization,but reexamining the connotation and extension of the TCM syndrome is a good inspiration on quoting method for complex system. This paper puts forward that the research of syndrome standardization should reexamine the connotation and extension of the TCM syndrome,then exploration on the methodology on the original thinking in TCM.
关键词:traditional Chinese medicine;syndrome;standardization;original thinking
摘要:This paper introduces the acquaintance of pulse-taking of yin and yang in Treatise on Febrile and Miscellaneous Diseases for the national physician master LI Shimao,and through the clinical basis reflects his clinical thinking under the guidance of thinking methods of pulse-taking of yin and yang. LI puts forward the change of the pulse should be regarded as a whole in clinical practice,and should not only view the appearance of pulse position to correspond to a Zang or Fu. This is the best interpretation and supplement for the overall view of traditional Chinese medicine. Pulse-taking of yin and yang,that is treating three portions and nine pulse-takings as a whole,in order to distinguish the mutual influence and mutual relationship between the zang-fu organs,and transmission to each other. Including Chi pulse change and then change of Cun; Cun pulse change and then change of Chi; also pulse change of yin andyang separately and does not cause and effect mutually. After LI studies Treatise on Febrile and Miscellaneous Diseases in depth,worked out four elements for syndromes,disease location,nature of disease,disease tendency,and course of disease,that is"Four Sets". To analyze the nature of the disease entirety through pulse-taking of yin and yang in clinic,to grasp the "Four Sets",and treatment based on syndrome differentiation.
关键词:national physician master;LI Shimao;pulse-taking of yin and yang;diagnosis pulses and differentiation of symptoms and signs;classical prescription in clinical practice
摘要:Cold Convulsion Decoction is prescribed by national physician master,LI Shimao. According to professor LI’s theory,this decoction could be applied to treat the diseases with the symptoms of cold convulsion. Professor LI Shimao is good at pulse diagnosis. According to the academic thought on the differentiation of flat and vein pulse conditions,professor LI proposes that a clear diagnosis of cold convulsion disease can be confirmed if the pulse of convulsion is felt and other two or more symptoms of cold coagulation can be confirmed out of the total twelve symptoms. The author makes analysis on the four aspects as the theoretical source of cold convulsion decoction,compatibility of the source,application principles and clinical medical records in order to provide reference for peers.
摘要:Shengjiang powder is used not only for the febrile disease,but also the heat hot disease. Typical pulse manifestation for Shenjiang powder is deep and impatient. So long as the qi is stagnated,and qi movement needs to be improved,it could be used,too. So the clinical application is not limited to the typical pulse manifestation,effect will be significant if the pathogenesis meets the prescription. Shenjiang powder is used a lot by doctors of all dynastics,and it is updated and developed in terms of names,indications,dosage and usage. Modified Shengjiang powder is prescribed by professor LI Shimao based on the experience of predecessors,which illuminates the formation mechanism,diagnosis criteria,treatment rules,therapy method and effect signs of stagnated heat.
关键词:Shengjiang powder;stagnated heat;febrile disease;LI Shimao;diagnosis pulses and differentiation of symptoms and signs
摘要:Objective To observe the influence of Jian-Pi-Zhi-Dong Decoction( JPZDD) on hypothalamic pituitary adrenal( HPA) axis,and explore the role of HPA axis in TS. Methods Fifty-six cases of children with TS were given JPZDD for treatment( treatment group),and thirty healthy children were recruited as control group. The serum levels of cortisol( COR) and adrenocorticotrophic hormone( ACTH)in both groups were examined by enzyme-linked immunosorbent assay( ELISA). Furthermore,all of the hormones were tested after the 12 weeks treatment of JPZDD in the treatment group. Results Compared with the control group,the contents of COR and ACTH increased significantly in the treatment group( P< 0. 001). After 12 weeks of treatment,the contents of COR and ACTH in the treatment group dramatically decreased( P < 0. 01). Conclusion The hyperfunction of HPA plays an important role in TS,and JPZDD can significantly reduce the levels of COR and ACTH,which may contribute to the function of anti-tic.
摘要:Objective To investigate the clinical efficacy of traditional Chinese medicine combined with alternating cooling and heating whirlpool bath on patients with shoulder-hand syndrome( SHS) after stroke. Methods 70 cases of SHS in stage I after stroke in the Chinese Medicine Hospital of Fengrun District of Tangshan City from December,2012 to December,2014 were randomly divided into control group( n = 35) and treatment group( n = 35). The control group received comprehensive rehabilitation training including exercise therapy,and the treatment group received traditional Chinese medicine combined with alternating cooling( 12 ℃) and heating( 40 ℃) whirlpool bath treatment 30 minutes every time in addition,twice a day for 4 weeks. The total effective rates,Visual Analogue Scale( VAS),FuglMeyer assessment,Barthel index( BI),modified Ashworth Scale( MAS),passive flexion range of the interphalangeal joint in close section of the middle finger and Stroke-Specific Quality of Life( SS-QOL)were compared. Results The total effective rate of treatment group was significantly higher than control group( P < 0. 05). Compared with the control group,the values of Fugl-Meyer assessment,BI,passive flexion range of the interphalangeal joint in close section of the middle finger and SS-QOL were higher in treatment group( P < 0. 05),and the VAS and MAS were lower in treatment group( P <0. 05). Conclusion Traditional Chinese medicine combined with alternating cooling and heating whirlpool bath for patients with SHS in stage I after stroke has significant clinical effect. It can effectively attenuate pain and improve motor function and range of finger joint activity,as well as the ability and quality of daily life.
关键词:stroke;shoulder-hand syndrome;traditional Chinese medicine;alternating cooling and heating whirlpool bath;rehabilitation training
摘要:Objective To study the thermal structure characteristics of yang-deficienct constitution in late summer so as to investigate the physiological basis of yang-deficienct constitution in summer. Methods Infrared image combined with four diagnosis and Constitution in Chinese Medicine Questionnaire were used to investigate the calorific value data of people in late summer,so as to screen out the people with yang-deficient constitution and balanced constitution. Results The infrared heat value data of 30 cases of yang-deficient constitution and 23 cases of balanced constitution were involved in this study. By comparison,xuli,weiwan,left and right lumbar,nose and four stremities of yang-deficient constitution people showed cool off. Du meridian showed lower heat value than balanced constitution. Conclusion The study of the thermal structure characteristics of yang-deficient constitution in late summer provides a scientific basis for the physiological basis of supporting yang in summer.
摘要:Objective To explore the biased constitution of patients with transient ischemic attacks( TIA),as well as the distribution regularities,so as to provide reference for pretreatment of TIA.Methods Clinical epidemiology investigation methods and Chinese medicine constitution questionnaire were used to 182 patients with TIA and 151 normal people. Microsoft Excel database was established and SPSS 18. 0 was used to conduct statistical analysis. Results The patients with TIA were susceptible to the TCM constitution of phlegm-dampness,qi deficiency and yin deficiency,which accounted for 28.57%,24. 73% and 17. 58%,separately. For the control group,balanced constitution was the most constitution,which accounted for 49. 67%. For the patients with TIA,no significant difference showed in different ages( P > 0. 05). Conclusions The biased constitutions of TIA patients are phlegm-dampness constitution,qi-deficient constitution and yin-deficient constitution. As for TCM constitution is adjustable,so adjusting the biased constitution could provide effective prevention in the occurrence and development of the disease.
关键词:transient ischemic attacks;constitution of traditional Chinese medicine;distribution regularities;preventive treatment of disease
摘要:Objective To provide evidence for the study of the syndrome differentiation of hidden blood loss by analyzing the relationship between hidden blood loss and blood stasis syndrome at perioperative period of hip fracture. Methods By the methods of syndrome study,40 patients that meeting the standards of case selection criteria were included in this study. According to the standard scoring method for diagnosis of blood stasis syndrome,the symptom of blood stasis was quantified on the 1st and 3rd day after operation. At the same time,the volume of hidden blood loss was calculated on the 1st and 3rd day after operation. According to the scoring of the blood stasis syndrome,the patients were divided into 3grades of mild blood stasis syndrome,moderate blood stasis syndrome and severe blood stasis syndrome.To observe whether hidden blood loss and blood stasis integral had correlation through the Pearson correlation analysis. Using the single factor analysis to observe whether there was significant difference between the volume of hidden blood loss in different groups. According to the statistical results,the relationship was discussed between blood stasis syndrome and hidden blood loss during perioperative period of hip fracture. Results The 1st day and 3rd day after operation,the hidden blood loss and blood stasis syndrome integral were positively correlated( P < 0. 05),and the higher the blood stasis score,the more the hidden blood loss( P < 0. 05). The volume of hidden blood loss and blood stasis score gradually increase over time( P < 0. 05). Conclusion Between the volume of hidden blood loss and blood stasis syndrome during perioperative period in hip fracture have positive correlation,which indicates blood stasis syndrome is one of the main pathogenesis of hidden blood loss.
摘要:Objective To explore the effect of modified Ziyin Chushi decoction on children with atopic dermatitis,as well as the influence on SCORAD and total serum IgE. Methods 64 patients with atopic dermatitis in traditional Chinese medicine hospital of Qingdao from from June 1,2013 to December 1,2015 were involved in this study. All the patients were randomly divided into two groups. The treatment group was treated with modified Ziyin Chushi decoction,while the control group was given antihistamines,loratadine tablets. The curative effect,SCORAD scores before and after treatment,as well as the total serum IgE were compared between two groups. Results For treatment group,the total effective rate,SCORAD scores and serum total IgE levels after treatment were significantly superior to the control group( P < 0. 05). Conclusion Modified Ziyin Chushi decoction could significantly improve the symptoms of atopic dermatitis and related immune function.
摘要:Objective To investigate the effect of prophylactic treatment on seasonal allergic rhinitis( AR). Methods 60 patients with moderate-severe persistent allergic rhinitis based on mugwort allergen were randomly divided into two groups,with 30 cases each in prophylactic group and control group respectively. Patients in prophylactic group were treated with traditional Chinese medicine 2 weeks before pollen season,and control group was given no treatment. At the beginning of pollen season,two groups accepted traditional Chinese medicine for 6 weeks. The symptom score of nose and eye was recorded by using a visual analogue scale. The quality of life was evaluated by rhinoconjunctivitis quality of life questionnaire( RQLQ) periodically. Results In the peak pollen season,the symptom scores of nasal congestion,nasal itching,eye itching and nasal signs were significantly lower in the prophylactic group than those in the control group. The differences between the two groups were significant( P < 0. 01). During the whole pollen season,the eye itching was lighter than that of the control group,the difference was significant( P < 0. 01),the symptom scores of nasal signs was lighter than the control group,the difference was statistically significant( P < 0. 05). Conclusion Pretreatment two weeks before pollen treatment can relieve the clinical symptoms,and improve the life quality of allergic rhinitis based on mugwort allergen.
摘要:Fatigue,as a common problem,has great impact on human health and life,with its high incidence and pathogenic characteristics of extensiveness and attention. The causes of fatigue are various,the mechanism is complex,and the performance is various. How to solve the problem of fatigue has become a hot issue. Traditional Chinese medicine has a long history and excellent therapeutic effect,and it has accumulated rich theoretical and practical experience in the prevention and treatment of fatigue. The understanding of fatigue in modern Chinese medicine is mainly from the angle of the internal organs syndrome differentiation and thus prescription. Based on the theory of " Essence,Qi,Spirit" of traditional Chinese medicine,this paper aims to explore the internal mechanism of fatigue,and discusses the ways to solve fatigue,so as to provide ideas for solving fatigue.