Operating procedures of traditional Chinese medicine breast massage

Traditional Chinese medicine breast massage,also known as breast Tuina or manual expression of breast milk,is a technique of using certain manipulations to act on specific positions or acupoints of the breast to promote blood and lymphatic circulation of breast and facilitate the discharge of stagnant milk.This technique is widely used in China to treat breastfeeding problems such as breast engorgement,mastitis,and postpartum hypogalactia.In this article,we introduce the definition and standardization process of breast massage,elaborate the operating procedures of breast massage in detail,and summarize and discuss the current situation of its clinical application,so as to provide a reference for its wide application and in‑depth research.

Thoughts on Transferring Traditional Operation to Full-process Logistic Service

通过阐述贵阳南站通过转变机制、拓展运输市场，站专一体、打造专业化市场，主动营销、创建全程运输品牌，无缝衔接、助力“前店后厂”装运等向全程物流服务转变的主要做法，在分析实践中存在“三个明显”和“三个不足”的基础上，提出组建自营车队，掌握市场主动权；优化价格机制，适应市场需求；依托改貌基地，努力建好物流港；提升硬件水平，增强货场能力等进一步向全程物流服务转变的措施。

Technical operation specification for cupping therapy

Cupping,as one of the characteristic therapies of traditional Chinese medicine,has been applied for more than 2000 years and has a unique curative effect in clinic.With the evolution of the times,the types and operation techniques of cupping method are also iterating.In the process of its inheritance and development,cupping technology is also known by more and more people.Starting from the development and efficacy of cupping method,this paper introduces the clinical operation steps and precautions of cupping method in detail,and lists the representative diseases such as lumbar muscle strain,herpes zoster,and ankylosing spondylitis,to provide reference for clinical application.

Technical operation specification for pricking-cupping therapy

Pricking-cupping therapy is a Traditional Chinese Medicine(TCM)nursing technology that can adjust the viscera of the human body,make the meridians smooth,and Yin and Yang balanced mainly by means of relieving heat and detoxification,harmonizing Qi and blood,promoting blood circulation and removing blood stasis,dredging meridians and activating collaterals,reducing swelling and pain,purging heat and calming shock,clearing heat,and opening orifices.Pricking-cupping therapy has a long history and wide application.After thousands of years of development,it has made great progress.They are widely used to treat lumbar disc herniation,herpes zoster,acute arthritis,migraine,and other diseases in China.Through the clinical practice and theoretical exploration of physicians of past dynasties,the therapeutic mechanism and application scope of pricking-cupping therapy have been greatly enriched.Modern TCM practitioners have conducted in-depth researches on the operation norms of the therapy on the basis of the ancients,hoping to grasp the essence of the disease more accurately and make the rational use of the operation technology of the therapy.

Cultivating New Agricultural Operators to Promote the Transformation and Upgrading of Traditional Agriculture——A Case Study of Nanchong City

In order to provide reference for cultivating new agricultural operators to promote the transformation and upgrading of traditional agriculture,the main practices,achievements and problems of cultivating new agricultural operators to promote the transformation and upgrading of traditional agriculture in Nanchong City,Sichuan Province were analyzed firstly,and then some measures were proposed.

Operational procedures of auricular point sticking technology

As an external treatment technique of traditional Chinese medicine(TCM),auricular point sticking,which is rooted in holographic biology theory and TCM viscera and meridian theory,is a safe and effective treatment method.This article introduces the technology overview and development process.The auricular point sticking technique for constipation is taken as an example to specify the basic requirements,assessment,operational points,acupoint selection and matters needing attention during the implementation of the auricular acupressure technique,providing a reference for the operating procedures of this technique in the clinical treatment of other diseases such as insomnia,diarrhea,colds,hypertension,headache,and dysmenorrhea.

Structural and functional characteristics of microbiota in oropharynx of sub-healthy children with gastrointestinal heat retention syndrome differentiated by traditional Chinese medicine

Objective:To explore the structural and functional characteristics of microbiota in oropharynx of subhealthy children with gastrointestinal heat retention syndrome(GHRS)differentiated by traditional Chinese medicine,and screen the biometric operational taxonomic units(OTUs)to assist the clinical diagnosis.Methods:We recruited children according to the“GHRS diagnostic scale”,collected their oropharyngeal swabs,and sequenced the 16 SrDNA V4 region.We described the bacterial structure with alpha-indexes,beta-distances,and relative abundances;moreover,we screened the differential genera/OTUs with Wilcoxon rank-sum test,Metagenome Seq analysis,and linear discriminant analysis effect size(LEf Se)analysis,in which biometric OTUs were selected to construct the receiver operating characteristic curve to verify the diagnostic value.The bacterial function was predicted with Kyoto Encyclopedia of Genes and Genomes pathways according to 16S rDNA gene by using Phylogenetic Investigation of Communities by Reconstruction of Unobserved States.Results:The study population was composed of 10 children with GHRS and 10 healthy control children.GHRS children were more likely to overeat(gluttony,P=.033).Alpha-indexes,such as Sobs,abundancebased coverage estimator,Bootstrap,and Qstat,were significantly higher in the GHRS group,while betadistances did not exhibit any significant intergroup differences.There were 9 differently distributed nonpredominant genera between the groups in Wilcoxon rank-sum test,as well as 13 non-predominant genera in Metagenome Seq analysis and 3 non-predominant OTUs in LEfSe analysis.OTU44 and OTU196 were used to construct the receiver operating characteristic curve,and the area under curve was 0.92.Predicted functions showed that pathways related to oxidative phosphorylation and carbon metabolism were enriched in healthy control samples,while the pathway related to renin secretion was remarkably enriched in GHRS samples.Conclusion:Unique oropharyngeal microbial structure and function were identified in GHRS children.OTU44 and OTU196 were specific OTUs,which could be used as biomarkers of GHRS to assist clinical diagnosis.

Principle and operation of Jing-well point temperatures' test

Principle and operation of Jing-well point temperatures' test is a method to diagnose and treat diseases by measuring and comparing the symmetrical Jing-well point temperature of human body 12 meridians.It is an important supplement to traditional Chinese medicine four diagnoses. The theoretical basis are that the Jing-well is closely related to Meridians and Viscera, the basic traditional Chinese medicine principle of 'governing exterior to infer interior' and the balancing phenomenon of Meridians. In this paper, the operation steps and treatment measures of Jing-well point temperatures' test are put forward, and 2 successful cases are given. At the end of this paper, the prospect of this method is discussed.

中医药产业技术创新联盟的构建动机及运行机制研究——以江西省为例

基于中医药在改善民生、转变经济发展方式、弘扬中华文化、建设生态文明等国家大局中日益凸显的作用,结合产业技术创新联盟在推动产业发展、突破关键共性技术这一显著特点,提出中医药产业技术创新联盟的内涵,分析联盟构建动机。以江西省为例,从全生命周期角度提出中医药产业技术创新联盟的运行机制,保障联盟的稳定发展。

腹腔镜改良Soave短肌鞘术式治疗小儿先天性巨结肠的疗效、安全性及对排便功能的影响

目的 观察腹腔镜改良Soave短肌鞘术式治疗小儿先天性巨结肠(HD)的临床疗效、安全性及对排便功能的影响。方法 我院2018年1月~2023年5月收治的HD患儿91例,按照随机数字表法分为观察组(腹腔镜改良Soave短肌鞘术式,41例)和对照组(传统腹腔镜Soave巨结肠根治术,50例)。比较两组患儿的手术时间、术中出血量、术后排便时间、术后住院时间、切除肠管长度以及术前灌肠时间,比较两组患儿手术前后白细胞计数(WBC)和C反应蛋白(CRP)水平,比较两组患儿术后12小时、24小时、36小时、48小时的疼痛评分,比较两组患儿术后排便功能和术后并发症发生情况。结果 观察组患儿手术时间(134.07±22.08)分钟、术中出血量(5.17±0.87)ml、术后排便时间(2.10±0.32)天、术后住院时间(7.59±1.25)天、切除肠管长度(15.24±2.25)厘米以及术前灌肠时间(13.61±2.14)分钟均少于短于对照组[(159.78±25.44)分钟、(7.61±1.41)ml、(2.46±0.53)天、(10.59±1.84)天、(16.67±2.54)厘米、(16.44±2.57)分钟],差异有统计学意义(P<0.05);手术后两组患儿血清WBC、CRP水平均上升,但观察组血清WBC、CRP水平低于对照组,差异有统计学意义(P<0.05);观察组患儿在术后12小时、24小时、36小时、48小时的疼痛评分(3.42±0.69、3.17±0.64、2.52±0.58、2.06±0.53)均低于对照组(4.47±0.76、3.78±0.72、3.31±0.66、2.83±0.64),差异有统计学意义(P<0.05);两组患儿术后排便功能比较,差异无统计学意义(P>0.05);观察组患儿术后并发症总发生率为17.07%,低于对照组的34.00%,差异有统计学意义(P<0.05)。结论 应用腹腔镜改良Soave短肌鞘术治疗HD,可改善各临床指标和排便功能,缓解术后疼痛,降低感染程度,减少术后并发症,安全性更高。

中医非药物疗法治疗骨伤术后疼痛临床观察

目的探讨分析中医非药物疗法治疗骨伤术后疼痛的临床效果。方法选择遂川县中医院于2020年1月—2022年1月收治的60例骨伤术后疼痛患者,采取随机数字表法分组,奇数患者纳入观察组(30例),实施中医非药物疗法,偶数患者纳入对照组(30例),实施常规治疗。对比两组临床疗效、焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分、视觉模拟量表(VAS)评分、生活质量评分以及关节活动度(ROM)等情况。结果观察组临床总有效率为93.33%(28/30),高于对照组的70.00%(21/30)(P<0.05)。治疗后,观察组SAS、SDS、VAS和生活质量评分以及ROM均优于对照组,差异均有统计学意义(P<0.05)。结论应用中医非药物疗法治疗骨伤,可有效缓解患者疼痛以及因疾病产生的焦虑、抑郁等不良情绪,其关节活动度改善明显,生活质量切实提升,值得临床大力推广、应用。

高温大曲中葡萄球菌多样性解析及其分离株鉴定

为探究湖北襄阳地区不同颜色高温大曲中葡萄球菌(Staphylococcus)多样性,该研究通过下载并筛选葡萄球菌属相对含量>10%的样品序列,采用Illumina Mi Seq高通量测序技术和传统纯培养技术相结合的方法对大曲中葡萄球菌多样性进行解析。结果表明,高温大曲中葡萄球菌相对含量>10%的样品共有13份,包括7份黑色大曲、4份黄色大曲和2份白色大曲,葡萄球菌基因序列相对丰度占所有原核生物的14.33%~74.19%。多样性分析表明,黑色大曲中葡萄球菌丰富度和多样性均显著偏高(P<0.05),且不同颜色高温大曲中葡萄球菌群落结构差异显著(P<0.05)。操作分类单元(OTU)分析表明,高温大曲中共有OTU 5个,累积平均相对含量达到91.38%。传统纯培养技术表明,腐生葡萄球菌(Staphylococcus saprophyticus)是黑色、黄色和白色大曲中共有的可培养菌种,亦是高温大曲中葡萄球菌的主要可培养菌种。由此表明,黑色大曲中葡萄球菌丰富度和多样性更高,且腐生葡萄球菌为高温大曲中葡萄球菌的主要可培养菌种。

高温大曲中芽孢杆菌菌群多样性解析及其分离株鉴定

为探究湖北襄阳地区高温大曲中芽孢杆菌(Bacillus)菌群多样性,该研究通过下载并筛选高温大曲样品芽孢杆菌相对含量>2.0%的测序数据,采用Illumina Mi Seq高通量测序技术和传统纯培养技术相结合的方法对大曲样品中芽孢杆菌多样性进行解析。结果表明,高温大曲中芽孢杆菌相对含量>2.0%的样品共有12份,包括8份白色大曲样品和4份黄色大曲样品,所有样品共获得77 825条代表性序列,1 197个操作分类单元(OTUs)。多样性分析结果表明,较之黄色大曲,白色大曲样品中芽孢杆菌的超1指数和发现物种数显著偏高(P<0.05)。OTU分析结果表明,OTU5321和OTU5291在所有样品中均存在,其在白色大曲和黄色大曲中累积包含序列分别占总序列数的49.43%和41.32%。传统纯培养技术分析结果表明,解淀粉芽孢杆菌(Bacillus amyloliquefaciens)为高温大曲中芽孢杆菌的主要可培养菌种。由此可知,白色大曲芽孢杆菌群落结构的丰富度更高,且解淀粉芽孢杆菌为高温大曲中芽孢杆菌的主要可培养菌种,为后续高温大曲中芽孢杆菌的应用及菌种选育具有指导作用。

中药熏洗坐浴法结合挂线手术治疗肛瘘的临床疗效研究

分析肛瘘患者联合应用中药熏洗坐浴法与挂线手术治疗的临床效果。以2020年10月—2022年10月收治的112例肛瘘患者为研究对象,经随机数表法将其分为对照组(n=56,实施挂线手术治疗)和观察组(n=56,实施中药熏洗坐浴法结合挂线手术治疗),采用统计学分析两组治疗效果、并发症发生情况、肛门动力学变化、生活质量及负性情绪情况。结果显示,观察组治疗总有效率高于对照组(P<0.05);观察组并发症发生率经统计学计算显示低于对照组(P<0.05)。治疗前,两组患者肛门动力学指标比较,无显著差异(P>0.05);治疗后,两组患者肛门动力学指标中直肠静息压和肛管静息压均降低,且观察组低于对照组(P<0.05);治疗后,SF-36中社会及生理功能等8个维度评分比较,观察组均高于对照组(P<0.05);观察组SAS、SDS评分均低于对照组(P<0.05)。研究发现,以挂线手术治疗为基础实施中药熏洗坐浴法治疗肛瘘患者临床疗效显著,有利于改善患者肛门动力学,且可有效预防各类并发症,提高患者生活质量,减少其负性情绪,建议推广应用。

基于“治未病”思想下的预见性护理干预对老年骨折患者手术室急性压疮的预防作用

目的:探讨基于"治未病"思想下的预见性护理干预(PNI)对老年骨折患者手术室急性压疮的预防作用.方法:选取2021年3月至2022年3月本院收治的86例老年骨折手术患者作为研究对象.依据干预模式将其分为研究组(n=44,采用"治未病"思想下的PNI)和对照组(n=42,采用常规护理干预).采用统计学方法,比较两组患者压疮发生率、压疮面积和临床相关指标.结果:干预后,研究组患者压疮总发生率(6.82%,3/44)低于对照组(23.81%,10/42),差异有统计学意义(P<0.05);术后30min、60min研究组患者压疮面积均小于对照组,差异均有统计学意义(P<0.05);研究组患者住院天数、压疮恢复时间、首次下床活动时间均短于对照组,差异均有统计学意义(P<0.05).结论:在老年骨折手术患者中实施"治未病"思想下的PNI,能有效预防压疮发生,减轻压疮程度,有利于提高医疗质量.

基于三阶段DEA模型和Malmquist指数的我国中医医院运营效率研究

目的:分析2017—2021年我国30个省(区、市)中医医院运营效率变化情况,为促进中医医疗资源均衡布局提供依据。方法:运用三阶段DEA模型对2021年数据进行静态分析,采用Malmquist指数模型对2017—2021年数据进行动态分析。结果:剔除环境变量和随机干扰的影响后,2021年我国中医医院运营综合效率均值为0.886,环境变量对中医医院运营效率的影响显著,2017—2021年全要素生产率变化指数均值为0.958,各省(区、市)的技术变化指数均小于1。结论:我国中医医院运营效率存在区域差异;各地应积极适应人口老龄化趋势,科学规划中医资源以促进区域协调发展;中医医院应优化管理模式,提升中医技术水平,促进中医技术的传承与创新。

三级中医医院运营管理及绩效考核研究

目的 探讨三级中医医院运营管理及绩效考核效果。方法 选取2020年1—12月济南市中西医结合医院单纯进行绩效考核方式的急诊科护理人员20名作为对照组,同时选择2021年1—12月济南市中西医结合医院进行医院运营管理联合绩效考核方式的急诊科护理人员22名作为研究组。比较2组急诊科护理人员临床护理质量、满意度、被投诉率。结果 研究组护理文件、护理安全、急救药品、无菌技术、消毒隔离等评分高于对照组(P <0.05);研究组总满意度为95.5%,高于对照组的65.0%(P <0.05);研究组护理人员被投诉率低于对照组(P <0.05)。结论 三级中医医院中使用医院运营管理联合绩效考核方式的管理效果较好。

中医正骨结合手术治疗踝关节骨折的临床价值分析

目的探讨中医正骨结合手术治疗踝关节骨折的临床效果。方法方便选取2020年4月—2023年2月莆田滨海医院收治的98例踝关节骨折患者作为研究对象,应用随机数表法分为观察组(中医正骨结合手术治疗)和对照组(手术治疗)各49例,对比两组的治疗效果。结果观察组康复优良率(97.96%)高于对照组(81.63%),差异有统计学意义(χ^(2)=7.127,P<0.05)。观察组住院时间、骨折愈合时间短于对照组,差异有统计学意义(P均<0.05)。治疗后,观察组视觉模拟评分低于对照组,生活质量评分高于对照组,差异有统计学意义(P均<0.05)。观察组治疗后的肿瘤坏死因子-α、白细胞介素-6水平以及术后并发症总发生率低于对照组,差异有统计学意义(P均<0.05)。结论在踝关节骨折的临床治疗中,中医正骨结合手术治疗方法有着良好的应用效果。

老年骨科手术期间构建综合中医理念介入的风险控制管理方案的临床观察

目的观察老年骨科手术期间构建综合中医理念介入的风险控制管理方案的临床实施效果。方法将130例老年骨科手术患者按照随机数字表法分为2组,对照组65例予以常规手术室风险控制管理,观察组65例在对照组基础上予以综合中医理念介入的风险控制管理方案,2组均自入院干预至手术结束。比较2组术中出血量、术后疼痛视觉模拟评分(VAS)、术后下床时间及住院时间、手术相关并发症发生率、炎症指标[白细胞介素6(IL-6)、肿瘤坏死因子α(TNF-α)及C反应蛋白(CRP)]及血液流变学指标[全血还原黏度、全血黏度(高切)、全血黏度(中切)、全血黏度(低切)及红细胞沉降率(ESR)]水平差异。结果观察组术中出血量、术后疼痛VAS均低于对照组(P<0.05),首次下床时间及总住院时间均短于对照组(P<0.05)。观察组手术相关并发症发生率低于对照组(P<0.05)。2组术后3天血清IL-6、TNF-α水平均较本组治疗前升高(P<0.05),CRP水平均降低(P<0.05);观察组术后3天血清IL-6、TNF-α、CRP水平均低于对照组同期(P<0.05)。2组术后3天全血还原黏度、全血黏度(高切)、全血黏度(中切)、全血黏度(低切)及ESR均较本组术前降低(P<0.05),观察组术后3天均低于对照组同期(P<0.05)。观察组干预满意度评分高于对照组(P<0.05)。结论在老年骨科手术患者中应用综合中医理念介入的风险控制管理方案能够改善患者术后一般情况,降低并发症风险与炎症反应程度,改善血液流变学指标,患者满意度良好。

基于视觉引导的推拿机器人设计与实现

基于视觉引导设计中医(traditional chinese medicine,TCM)推拿机器人。通过搭建视觉引导平台,以Franka多自由度机械臂为基础建立推拿机器人平台,并构建两个平台间的数据映射模型,通过机器人操作系统(robot operating system,ROS)将机械臂与计算机(PC)端连接实现实时控制;将光学运动捕捉技术与多自由度机械臂融合,实现对中医推拿过程的学习与复现。