AMU-ZANG I泵站改造工程施工组织的设计特点

针对AMU-ZANG I泵站改造工程中施工组织设计的特点,找出相应的解决办法,并根据灌溉供水影响系数,将泵站更新改造设备划分为3类,以确定不同的施工组织方法。对当今全面开展的泵站改造工程具有借鉴及指导意义。

Inter-Organ Relationships among Gut, Lung and Skin beyond the Pathogenesis of Allergies: Relevance to the Zang-Fu Theory in Chinese Medicine

Research on allergy has recently uncovered an apparent co-occurrence of allergies in skin and the lungs, a phenomenon that has been coined “atopic march”. A positive correlation has been found between gut microbiota at birth and the development of asthma and skin eczema later in life. Chinese medicine has long described a functional relationship between the large intestine and the lungs, and between the lungs and skin. In this short article, we examined the evidence in support of these inter-organ physiological/pathological relationships. In addition to the clinical observation of the relationship between the composition of gut microbiota at birth and the development of asthma later in childhood, gut microorganisms have also been shown to exert a protective effect on bacteria-induced pneumonia in experimental animals. Genetic predisposition was also found to play an important role in the co-existence of certain diseases of lung and skin. Despite the fact that the mechanism(s) underlying the connection of immune systems between two organs (such as the large intestine and the lungs) is still not clearly understood, it is the first time to correlate the relationship among gut, lung and skin based on recent clinical studies in relation to the Zang-Fu Theory in Chinese medicine. Future investigation of the gut-lung and lung-skin axes in terms of physiological/pathological relationships may help to provide a greater understanding of the pathogenesis of allergies, possibly establishing relevance to the Zang-Fu Theory in Chinese medicine.

THE UPLIFT PROCESS OF QING-ZANG PLATEAU

The uplift of Qing—Zang (Qinghai—Tibet) plateau was the most important event in the late Cenozoic, which deeply influenced the environments of the World, especially those of China. Since the uplift is so important and complex that it has been become the research focus of earth science. Nevertheless, the initial time and evolution process of the uplift is still controversial.1\ The initial time of the uplift\;Qing\|Zang plateau is a union geological\|geomorphic unit, which is composed of several geological\|structural units. Each geological\|structural unit has itself exchange history of sea\|continent (basin\|mountain); the exchange time of the different parts differs. Therefore, the initial time of some part of the plateau is not the uplift time of the whole plateau. The plateau is the highland with high height above sea level, little relief of the top, large area and steep boundary. The plateau plane is the paleo\|peneplain, which was formed by the uplift of the plateau after the peneplanation. Therefore, the initial time of the uplift should be counted from the time that the peneplain had been formed.

Dr.Egualdo Oscar Zangheri.(1931-2017)

Poco antes del inicio de la XXXV Reunión Científica Anual de la Sociedad de Biología de Cuyo,fallecióen la Ciudad de Mendoza,el Dr.E.Oscar Zangheri,quien fuera miembro de la comisión directiva que refundóla Sociedad de Biología de Cuyo en el año 1973.

Treatment of Arthralgia Syndrome from Zang and Fu

More than 30 medical history works and classical medical literatures about the theory and prescription of arthralgia syndrome from Zang and Fu were collected,summarized and analyzed,and the theory of treating arthralgia syndrome from Zang and Fu in the lung,spleen,liver and kidney basically reflected the academic thought of treating Bi syndrome from the viscera in traditional Chinese medicine books.

Cosmological Origins of the Obverse-Reverse Zang Fu Pairing in Chinese Medicine

Most of the rich philosophical and scientific concepts which nurtured the Chinese thought we know today, were developed during the troubled final end of the era before ours, from V to II centuries. After reading reputed sinologists’ work on the cosmological origin and subsequent evolution of the Chinese concept of parallelism-pairing in poetry, literature, mathematic and other disciplines and since it is a tradition that all branches of knowledge in China are based on the development of those initiatory thoughts, the author asked herself if such knowing on the cosmological genesis of the parallelism concept could also be applied to Chinese medicine, science that describes its coupled structures and functions in pairs, simply based on yinyang, matrix of all pairings. Therefore, this paper proposes to apply those foundations, to explain the pairing of dynamisms in medicine. This work starts out from the oracular inscriptions in ancient times, cosmological basis of these ideas and their applications to Chinese literature and from there translates this approach to the study of the pairings described by Chinese medicine, and thanks to which (qi xue) blood-energy circulation occurs in human beings. Organic and functional pairs described by Chinese medicine are the basic element to understand the concept of health and disease, and this paper is about the cosmological roots of those pairings, the cosmic resonance influence and the numerology influence in them, and the whole is illustrated both through the description of the (obverse-reverse) biao li pair, different from (inside-outside) nei wai, and the functional relationship between these two couples.

Assessment of Herbaceous Species Diversity in Lede and Galumji, Wawa-Zange Forest Reserve, Gombe State, Nigeria

The study was carried out in Wawa-Zange Forest Reserve. The aim was to investigate the Herbaceous Species Composition and Diversity. Point Centered Quarter (PCQ) Sampling method was used to conduct the study. Data obtained was analyzed for Frequency, Relative Frequency, Density, Relative Density and Importance Value Index. The result obtained showed a total number of twenty. Herbaceous Plant Species. Out of this number 17 were Forbs and 3 were Grasses. They belonged to 9 families and 19 genera. The family Fabaceae (Subfamily Caesalpinoideae, Papilionoideae and Mimosoideae) had 5 species, and Malvaceae had 5 species while Poaceae had 3 species, Rubiaceae had 2 species. Euphorbiaceae, Linderniaceae, Acanthaceae, Commelinaceae and Arecaceae had 1 species each. Simpson’s index of diversity (1 - D) was (0.60) while Shannon-Wiener index was (2.21). The species with the highest importance value index was Urena lobata L. (65.47%) and the species with lowest importance value index were Palisota hirsuta, Cassia rotundifolia, Amorphophallus abyssinicus, and Corchorus olitorius with (2.93%). These plants therefore require urgent conservation measures.

《黄帝内经》中脏腑理论与阴阳五行关系探究

《黄帝内经》全面论述了中医学的思维方法,其重视整体观念,并构建了藏象理论,较为详细地描述了脏腑的功能、病机,同时蕴含着自然万物的生长之道,对现代人的诊治、养生等都有着长久且深远的影响。文章浅述了机体脏腑的生理、病机与阴阳五行生克制化之间的相关性。其中特别是脏腑的病机及临床症状,从其特点及阴阳五行关系进行描述,希望能够为中医基础理论的发展拓宽思路。

Acupuncture on back-shu points of five zang for chronic fatigue syndrome:A randomized control trial

Objective: To observe the clinical efficacy of acupuncture on back-shu points of five zang in treating chronic fatigue syndrome(CFS).Methods: Sixty patients were randomized into treatment group and control group. In treatment group,the back-shu points of five zang organs were adopted for acupuncture. Shènshū(肾俞 BL23) was perpendicularly needled 15-30 mm in depth. The rest of the selected points were inserted obliquely 15-30 mm in the direction of the spine with even method of lifting-thrusting and twisting-twirling, 10 s for each acupoint. In control group, the acupoints were approximately 1.5-2 cm away outward from the back-shu points of five zang organs(about on the middle of the two sidelines of the bladder meridian of foottaiyang) and the points from the bladder meridian of foot-taiyang were excluded. Acupoints were needled6-9 mm in depth, and deqi was not required, without any manipulation. The treatments were carried out twice a week for twenty minutes each time, a total of eight treatments were given. The clinical efficacy of acupuncture treatment for CFS was evaluated through the Fatigue Scale-14(FS-14) and the Symptom Check-List 90(SCL-90) after treatment.Results: The total effective rate was 86.67% in the treatment group and 53.33% in the control group(P<0.01). In treatment group, FS-14 total scores, somatic fatigue scores, and mental fatigue scores were significantly reduced than before treatment(all P<0.01). In control group, FS-14 total scores and somatic fatigue scores were significantly reduced(both P<0.01). The improvement of FS-14 total scores, somatic fatigue scores, and mental fatigue scores in the treatment group were better than those in the control group(P<0.01, P<0.05). After treatment, SCL-90 total scores and somatization, compulsion, interpersonal sensitivity, depression, anxiety, hostility, psychoticism, and other factors scores were significantly reduced in the treatment group compared with before treatment(P<0.01). In control group, the SCL-90 total scores and the scores of somatization, compulsion, hostility, and other factors after treatment were lower than those before treatment(P< 0.01). The total scores of SCL-90 and somatization, compulsion, interpersonal sensitivity, depression, anxiety, psychoticism, and other factors in the treatment group were significantly lower than those in the control group(P< 0.01, P< 0.05).Conclusions: Acupuncture on back-shu points of five zang can significantly improve the somatic fatigue and mental fatigue of the patients, and at the same time improve their psychological status. Significant therapeutic effect was found on CFS. Compared with the control group, the acupuncture treatment can significantly improve the patient’s somatic fatigue, mental fatigue and psychological status.

ON THE PRESENT UPLIFT SPEED OF QING-ZANG PLATEAU

Uplift of Qing-Zang (Qinghai-Xizang (Tibet)) Plateau and its impacts on the natural environment and human activities is one of the most important subjects of global changes. Chinese and foreign geoscientists presented quite a lot of different ideas on the time and amplitude of the uplift of the Qing-Zang Plateau in the past decades of years. E. Norin real-

从口渴症状探讨和法在治疗消渴中的应用

口渴为消渴发展过程中的常见症状,多由阴阳气血失衡、脏腑功能失调引起,故运用和法辨治消渴口渴,疗效颇佳。依据消渴口渴阴阳平衡失调的病机,治疗首当调和阴阳,寒温并用,处方可选柴胡桂枝干姜汤。依据不同病位,治疗当调和相应脏腑。调和中焦脾胃,可选甘草泻心汤斡旋中土;调理三焦脏腑气机,平衡脏腑寒热,可选小柴胡汤、四逆散分别调和少阳、少阴气机,大柴胡汤调畅气机兼清热;扶正与祛邪兼顾,调和肝肾整体功能,处方可选乌梅丸。

湘西刘氏小儿推拿流派的学术特色与应用

湖南湘西刘氏小儿推拿是我国主要小儿推拿流派之一,起源于清朝咸丰同治年间,至今已传承六代,目前是省级非物质文化遗产,国家中医药管理局确定其为国家流派传承工作室。湘西刘氏小儿推拿的学术特色主要有:以五行学说为理论指导,首创了“推五经”疗法;在“推拿八法”的基础上,融合苗医、中医技术,创立了“刘氏小儿推拿十法”和各种复式手法;注重开阖有序,阴阳协调;独创分经脉诊法,分别为单经病脉诊、单侧复合病脉诊、双侧复合病脉诊。目前,湘西刘氏小儿推拿在小儿呼吸、消化、神经系统疾病的临床应用较广泛,且治疗效果良好。

TERRESTRIAL HEAT FLOW ON THE QING-ZANG PLATEAU AND THE MODELING OF THE TECTONO-THERMAL EVOLUTION OF TERRANES IN ITS SOUTHERN PART

Ⅰ. IMPLICATIONS OF THE INTEGRATED STUDY OF THE TECTONO-THERMAL EVOLUTIONRef. [1] reported 13 heat flow values along the profile from Yadong to the Qaidam Basin for the first time. After further systematic analysis and verification, these data together with the latitudes and longitudes of the heat flow sites, depth interval of linear sections, tem-

西藏交通警察道路执法工作的风险与防范

西藏自治区自然、地理与气候环境复杂且特殊,道路交通环境相对恶劣,这导致当地交通警察道路执法工作面临诸多风险,包括警员人身安全和执法效能等风险。对此,文章对西藏交通警察道路执法工作风险进行了调查分析,从地区环境、警员安全意识与技能、执法装备、社会宣传和教育等角度探讨了相关风险的成因,针对性相关风险成因,提出从优化警力配置与道路信息推送、加强警员培训、完善警务装备、加强法治化宣传教育等工作来消除相关风险,以期保障警员安全并改善西藏交通环境。

浅议“五脏六腑皆令人不寐,非独心也”

不寐是临床上常见的一种睡眠障碍,长期不寐对人们的工作、生活和学习造成很大的影响,给患者、家庭和社会带来不同程度的隐患和危害。作者查阅古代医家文献及现代诸多学者论文基础上,结合多年临床治疗不寐经验,提出“五脏六腑皆令人不寐,非独心也”观点。文章分别从生理状态、病理变化、中医药治疗等方面就不寐与五脏六腑的管理进行论述,认为生理情况下人体各脏腑各司其职,互相协调,方可正常寤寐。病理情况下,各种因素引起五脏六腑功能失常,直接或间接导致心神不宁、心神失养,阴阳失交,从而产生不寐。因不寐的发病与五脏六腑均有密切联系,故概括为“五脏六腑皆令人不寐,非独心也”。通过探讨不寐与脏腑的关系,旨在拓宽临床不寐中医论治思路,为不寐的中医辨证论治开辟新思路和方案。

史前考古学文化的演变与嬗变——以青海宗日遗址为中心

青海省海南州宗日遗址包含有新石器时代晚期的宗日文化、马家窑文化和青铜时代的齐家文化、卡约文化。这几种考古学文化在宗日遗址上展示出演变、进化和嬗变三种文明的起源与发展模式,为我们了解考古学文化的进程提供了丰富而生动的第一手资料。宗日文化、马家窑文化和齐家文化之间的关系由于都是以农业为主导的定居文化,所以呈现出碰撞、融汇和适应的包容关系;而卡约文化替续齐家文化时,由于完全不同的经济模式、生活方式以及社会形态,故显示出暴力的对抗和革命的关系。

以脉调气理论指导下的脏腑推拿治疗小儿功能性消化不良疗效研究

目的探究以脉调气理论指导下的脏腑推拿治疗小儿功能性消化不良的疗效研究。方法采用随机数字表法将黑龙江中医药大学附属第一医院治未病中心2020年2月—2022年2月收治的106例功能性消化不良患儿分为观察组(53例)与对照组(53例)。对照组采用一般推拿治疗,观察组在此基础上采用“以脉调气”理论指导下的脏腑推拿治疗方法。观察两组患儿治疗前以及治疗20 d后的中医症状积分、血锌浓度水平、胃动素、胃泌素、食欲调节因子水平、尼平消化不良指数。观察两组患儿临床疗效与复发率。结果两组患儿治疗前食后腹胀、纳呆食少、大便异常和面色萎黄的证候积分对比差异无统计学意义(P>0.05)。治疗20 d后观察组食后腹胀、食少纳呆、面色萎黄和大便异常证候积分显著低于对照组(P<0.05)。两组患儿治疗前胃动素、血锌含量、胃泌素水差异无统计学意义(P>0.05)。治疗20 d后观察组胃动素、血锌含量、胃泌素水平显著高于对照组(P<0.05)。两组患儿治疗前Ghrelin、NPY和Leptin水平差异无统计学意义(P>0.05)。治疗20 d后观察组NPY、Ghrelin浓度水平明显较对照组高,而Leptin水平明显较对照组低(P<0.05)。两组患儿治疗前NDI评分差异无统计学意义(P>0.05)。治疗20 d后观察组NDI评分显著低于对照组(P<0.05)。观察组总有效率为90.57%(48/53),显著高于对照组[75.47%(40/53)](χ^(2)=4.283,P=0.039)。观察组复发率为3.77%(2/53)(40/53)略低于对照组9.43%(5/53),但两组复发率差异无统计学意义(χ^(2)=1.377,P=0.241)。结论“以脉调气”理论指导下的脏腑推拿能有效提高临床疗效、提升食欲、调节因子水平、提高生活质量、改善胃动素、血锌含量、胃泌素水平,值得临床推广。

宋代官修方书中脏腑病证研究进展

宋代官修方书是宋代医学成就的集中体现,也是在医学门户未大量分化之前最系统、最全面的中医学术总结。脏腑学说是中医理论体系的核心,而脏腑病证是中医认识疾病的核心,宋代官修方书中记载有大量脏腑病证相关内容,近年来学者们对其中各个脏腑的病证大都有所讨论,但仍不够系统与精深,宋代官修方书的系统性、权威性、实用性及承上启下作用为脏腑病证提供了一个良好的研究样本,值得系统挖掘与研究。

梁繁荣教授“治神和脏”学术思想论治新冠后失眠经验撷英

本文从理论源流、治法、选穴处方及操作要点探析梁繁荣教授“治神和脏”学术思想在新冠后失眠的运用经验。梁繁荣教授认为新冠后失眠病因病机在于疠气扰神,神受邪扰,或疠气伤脏,脏不藏神,神失所养,致神不入舍,出现寤寐失常,或难以入寐,或寐而易醒,或寐而多梦。临证治疗以“治神和脏”为治则,选取头项部腧穴及背俞穴通督治神,募原穴或俞募穴相配调和脏腑,针刺手法强调虚实有别,补泻有度,对于阳虚失眠伴抑郁者辅以督脉火龙灸温阳开郁以增效,并附验案1则,以期为针灸治疗新冠后失眠提供参考。

张忠德运用平调五脏法辨治阻塞性睡眠呼吸暂停低通气综合征的经验

阻塞性睡眠呼吸暂停低通气综合征(OSAHS)是一种常见的睡眠呼吸障碍性疾患,易引起多器官、多系统损害;可归属中医学的“鼾证”。全国名中医张忠德教授以平调五脏法辨治阻塞性睡眠呼吸暂停低通气综合征,强调五脏“失衡”的发病机理;认为肺气失于宣降是OSAHS的发病之基础;“脾胃失于运化,痰湿内生”是OSAHS的关键致病因素,“心肾之阳虚,肝血之不足”是OSAHS的发病之根本。发病过程中五脏之间阴阳气血此消彼长,从而导致疾病的发展。辨证治疗以“平”为度,通过“平调”的思维,以“健脾、宣肺、温心肾、养肝血”为治则,五脏同调,从而达到各脏器间的动态平衡,起到治疗疾病的目的。