Comparing the effectiveness of pattern differentiation treatment and fixed formula treatment for perimenopausal syndrome with Chinese herbal medicine:A study protocol

Objective:To further understand and compare the effectiveness of pattern differentiation treatment and fixed prescription treatment in perimenopausal syndrome.Methods:The study will be conducted in the Hong Kong Federation of Trade Unions Workers'Medical Clinics,Hong Kong Baptist University Chinese Medicine Clinic cum Training and Research Centre(Hong Kong,China).One hundred Chinese women,aged 45-55 years,will be recruited.The participants will be randomized into 2 groups.The intervention group will be administered medication,based on pattern differentiation,by qualified traditional Chinese medicine(TCM)practitioners.After each evaluation,TCM practitioners will evaluate and revise the prescription,based on the participants'patterns.The control group will be given the standard formula,i.e.,the Erxian decoction,which contains 6 herbs.The treatment period and the follow-up period will be 8 weeks each.The primary assessment outcome measure will be the Kupperman Index,and the secondary outcome measure will be the Menopause-specific Quality of Life Questionnaire score.Conclusion:Pattern-differentiated treatment is the basic principle of TCM to understand and treat diseases.The study will show the pattern-differentiated treatment is effectiveness than the fixed prescription.

Spatial differentiation pattern of interregional migration in ethnic minority areas of Yunnan Province, China

Interregional migration has broad and far-reaching impacts on regional urbanization process in ethnic minority areas of Southwest China.The previous literature of interregional migration paid less attention on the ethnic minority areas with fragile geographical feature and marginal socio-economic context in the developing world due to the dearth of reliable data.Based on the 2015 national 1%population sampling survey at the village/community scale,taking Yulong Naxi Autonomous County,Yunnan Province,China as the case study,this paper analyzed the spatial differentiation pattern.The results showed that:(1)migration in Yulong Naxi Autonomous County exhibited obvious spatial differentiation characteristics in terms of population aggregation,population loss,migration direction,and migration activity;(2)the overall spatial differentiation of migration exhibited a"layer+sector"pattern in Yulong Naxi Autonomous County:the first layer was active areas with net inflows(<20 km from the seat of the county government),the second layer was inactive areas(within 20–60 km of the seat of the county government),and the third layer was a mixed"layer+sector"zone(>60 km to the seat of the county government),comprised of inactive areas and active areas with net outflows;(3)the spatial differentiation pattern of migration was highly correlated with the regional contexts including the regional economic development,regional transportation accessibility and regional social development,while regional physical geographical factors had insignificant relationships with the migration pattern.

Traditional Medicine Diagnostic Codes in ICD-11 and Alternative Diagnostic Classifications in the Mainstream Healthcare

In 2018,the 11^(th) Edition of the International Classification of Diseases(ICD-11)defined a diagnostic code list for standard traditional medicine(TM)conditions.The codes improve patient safety by providing more comprehensive and accurate medical records for hospitals in the Western Pacific Region.In these facilities,TM is often a standard of care for those populations.In several mainstream media sources,writers are circumventing evidence-based peer-reviewed medical literature by unduly influencing public opinion and,in this case,against the new ICD-11 codes.The dangers imposed by the transgression of popular writing onto the discipline of peer-reviewed works are present since best practices in medical record-keeping will fail without the inclusion of TM in the ICD-11 codes.Such failures directly affect the health of the patients and policymakers in regions where TM and conventional medicine are combined.This article investigates the boundaries between substantial evidence and popular opinion.In this era where media is used to manipulate evidence,the reader’s use of sound judgment and critical thought are thwarted.This article also challenges three controversial themes in pop literature,including the threat to endangered species,increased patient risk,and contaminants in the TM.These themes are made without evidence and are,in fact,of flawed logic.There is no reason to assume that improved medical record-keeping and knowledge of patient cases increase risks.

Acupuncture Points Used in the Prophylaxis against Recurrent Uncomplicated Cystitis, Patterns Identified and Their Possible Relationship to Physiological Measurements

Objective： To explore the correlation between single acupoints used and the recurrence rate of cystitis among cystitis-prone women receiving acupuncture as a prophylactic treatment. Methods： In all, 58 cystitis-prone women were included in the analysis. Customised acupuncture treatments were given twice a week, over 4 weeks. The main effect parameter was the number of cystitis episodes during the 6-month observation time. Residual urine was measured at baseline, 2, 4 and 6 months using portable ultrasound equipment. Sympathetic and vagotone nerve activities were measured by using skin conductance and respiratory sinus arrhythmia, respectively. Results： The main acupoints used for patients with Kidney （Shen） qi/yang deficiency were Shenshu （BL23）, Taixi （KI3）, Zhongji （CV3）, Sanyinjiao （SP6） and Pangguangshu （BL2.8）, compared with Taichong （LR3）, CV3, BL28, Yinlingquan （SP9） and SP6 for Liver （Gan） qi stagnation, and SP6, CV3, BL28, Zusanli （ST36） and SP9 for Spleen （Pi） qi/yang deficiency patients. The combination BL23 and KI3 were used in 16 women, 13 of which were Kidney pattern related patients. When used, the number of symptomatic episodes were reduced to a third compared with what occurred in the 42 women where this combination was not used （3/16 vs. 28/42, P〈0.05）. BL23 application correlated to a significant reduction in residual urine measured a few days after treatment. Patients with the pattern of Spleen qi/yang deficiency had an initial increase in residual urine after treatments. Conclusion： Treating Kidney pattern related patients with the combination of BL23 and KI3 resulted in far better outcome than other points/combination of points for other Chinese medicine diagnoses. The acupoint SP6 may be less indicated than previously assumed when treating cvstitis-Drone women DroDhvlacticalIv.

Parametric array differential Pattern time delay shift coding underwater acoustic communication in the under-ice environment

In order to meet the demands of underwater acoustic communication in under ice environment,a differential Pattern time delay shift coding underwater acoustic communication method based on parametric array is introduced in this paper.The under ice underwater acoustic channel is characterized by heavy multipath transmission.Under this model,a parametric array emission method of Pattern signal is derived and the system performance is analyzed.A broadband low frequency sound waves with narrow beam-pattern,which will reduce the interface reflections and suppress the effects of multipath transmission,can be obtained by the emission method.The Songhua River under ice trial results show that there is an anti-multipath property and a higher data rate in the under-ice acoustic channel in proposed approach.