Development of Specialized Courses and Establishment of Teaching Materials in Nursing of Integrated Chinese and Western Medicine

Since the Third Plenary Session of the 11 thCentral Committee of the Communist Party of China( CPC),with the promotion and development of traditional Chinese medicine(TCM),the pace of TCM nursing work has been accelerated in nationwide,and a group of integrated Chinese and western medicine nurses have been cultivated preliminarily. However,professional nurses of integrated Chinese and western medicine are still deficient extremely. The target of talent cultivation,based on the theory of "focusing on humanism,expanding diathesis,and enhancing practice to highlight the accommodation and integration of nurses of integrated traditional Chinese and western medicine",is to cultivate competent,practical and interdisciplinary senior nursing talents with strong professional basis,skilled operations,rich humanistic literacy,and sharp innovative spirit who not only master modern nursing knowledge and skills,but also can perform comprehensive nursing under the guidance of TCM theory of holistic concept and syndrome differentiation and nursing. This study,through investigating and analyzing the settings of3-year nursing professional courses in about 20 senior medical colleges,including senior nursing education of TCM,reformed the development of professional nursing courses of integrated Chinese and western medicine and the establishment of educational materials according to the course settings and educational work modes,so as to analyze the current status of nursing education of integrated Chinese and western medicine,determine course targets,and establish course system and educational work modes.

Formulation of Work-Study Combined and Result-Oriented Integrated Curriculum Standards

According to the Annex Technical Regulations for Integrated Curriculum Development(Trial)in Document No.30 of the General Office of the Ministry of Human Resources and Social Security(2012),this paper studies the formulation of the curriculum standards for the integration of Chinese medicinal materials production.We focus on the formulation ideas of the curriculum standards for the integration of Chinese medicinal materials production,the formulation process of the curriculum standards for the integration of Chinese medicinal materials production,including the description of typical work tasks,the determination of curriculum objectives,the analysis of study content,the description of referential study tasks,teaching implementation suggestions,assessment and evaluation suggestions,which can provide a reference for the development and research of other related integrated courses.

Intellectual Property Rights and Authentic Protection of Chinese Wolfberry in Xinjiang

This paper introduced the biological characteristics and medicinal value of medlar(Lycium chinense Miller).It studied Chinese wolfberry industry and its agricultural intellectual property resources in Xinjiang.In addition,it analyzed main problems such as the lag in the construction of authentic medicinal materials bases and insufficient deep processing of related products.Finally,it proposed eight recommendations including cultivating biological species with more medicinal value and creating an advantageous area of characteristic authentic medicinal materials.

Antioxidant Activity of 50 Traditional Chinese Medicinal Materials Varies with Total Phenolics

This study was designed to determine the total phenolic content of 50 herbs and to examine their antioxidant potential. In the sample preparation, 60% ethanol was chosen as the extraction solvent for the subsequent experiments. Folin-Cicolteau phenol reagent and a colorimetric method were used to determine the total phenolic content of the selected herbs. The result showed that total phenolic content of those herbs ranged from 2 to 185 mg/g. In antioxidant assay, the ferric reducing/antioxidant power (FRAP) values ranged from 2 to 134 mg GAE/g;the IC50 values of DPPH?·, ·OH and ?scavenging were in the range of 0.06 - 5.50 mg/mL, 0.017 - 0.636 mg/mL and 0.050 - 0.681 mg/mL respectively. Flos caryophylli was the exceptant in the ?scavenging assay because there was no linear relation between the concentration and the scavenging percentage. Compared to gallic acid, ascorbic acid and butylated hydroxytoluene (BHT) in antioxidant assay as positive control, the most potential antioxidant herbs were Cacumen platycladi, Radix et Rhizoma rhei, Rhizoma rhodiolae crenulatae, and Rhizoma sanguisorbae with considerable content of phenolics. Especially, a positive and significant correlation was found between the total phenolic content and FRAP value or DPPH· scavenging percentage.

Comparison of Sulfur Dioxide Residue in Chinese Me-dicinal Materials by Titration-fluorescence Spectrome-try and Pharmacopoeia Method

With sulphur-fumigated Chinese medicinal materials （Fritillaria thunbergii , Isatis #utigotica , Asparagus cochinchinensis and Poria cocos ） as the test materials, sulfur dioxide or sulfite residue was determined by the method in Chinese Pharmacopoeia （2015 edition） and titration-fluorescence spectrometry, respec- tively. The results showed that there were significant differences in measured value between titration-fluorescence spectrometry and phmmacopoeia method. The t result of titration-fluorescence spectrometry was much closer to the actual content of sulfur dioxide in Chinese medicinal materials. Thus, titration-fluo- rescence spectrometry had higher application value

Reason Analysis and Risk Prevention of Soaring Price of Traditional Chinese Medicinal Materials

In recent years,the price of traditional Chinese medicinal materials soars continuously,and the resulting price risk increasingly looms large,which has critically affected midstream and downstream industries and peoples' demand for drug,and imperiled healthy and orderly development of traditional Chinese medicinal industries.Based on the status quo of continuous skyrocketing price of traditional Chinese medicinal materials at present,we winkle out the root cause of soaring price as follows:the supply and demand lose balance;the production costs hike up;there are other factors responsible for soaring price.This paper further analyses the impact of sharp increase in price of traditional Chinese medicinal materials on all links of industry chain as follows:the medicinal herb growers never benefit from soaring price;the counterfeiters and forgers in midstream industry increase;the gross profit rate of Chinese medicine enterprises declines.In accordance with the risk arising from abnormal fluctuation in price of traditional Chinese medicinal materials,corresponding precautionary measures are put forward as follows:promote the quality of traditional Chinese medicinal materials through management of value chain;curtail the production and management cost of traditional Chinese medicinal materials through management of organization chain;stabilize price of traditional Chinese medicinal materials through management of information chain;reduce transaction cost of traditional Chinese medicinal materials through management of logistics chain.

Problems in the Development of Traditional Chinese Medicinal Materials Planting Industry in Shiyan City and Countermeasures

Through the analysis on the cultivation advantages and development problems of traditional Chinese medicinal planting industry in Shiyan City, Hubei Province, some measures were proposed to enlarge and enhance the traditional Chinese medicinal planting industry, namely, large-scale, standardized, market-oriented and regionalized planting, thereby making it the pillar industry for farmers to increase income.

Research Progress of Soil Factors Affecting the Quality of Chinese Medicinal Materials

The paper summarized the effects of soil on the quality of Chinese medicinal materials from the aspects of physical,chemical and biological properties of soil,in order to provide a reference for further research on the internal relationship between soil factors and the quality of Chinese medicinal materials,and to provide a theoretical basis for the cultivation and quality improvement of Chinese medicinal materials.

Gaps and feasibility of fixed-dose combination strategy in the development of modern Chinese medicine

isTraditional Chinese medicine(TCM)is a highly complex chemical substance system,which not only reflected in the complexity of the chemical components and their interrelationships,but also in the intricacy of the prescription’s connection with the human body.Component compatibility strategy has been proposed for developing modern TCM since 2005 and established comprehensive relevant technologies and research approaches.Moreover,to meet the safety and efficacy of current pharmaceuticals,research on fixed-dose combination drugs is directed by modern scientific theories,conforms to TCM compatibility principles and clarifies material basis and pharmacological mechanisms and component-effect correlations.This review summarized gaps and feasibility of fixed-dose combination strategy in the development of modern TCM research and assessed their advantages and disadvantages in light of contemporary drug combination research practices.

Current status and innovation attempt of compiling textbooks of Chinese medicine in medical colleges in China

At present,there are two modes in the compilation of textbooks of traditional Chinese medicine,one is stuck in one's own way and the other is to copy Western medicine completely.The reason is that the textbooks of traditional Chinese medicine colleges and universities are reduced into a hodger with no purpose,or the other is to cater to Western medicine system and give up the academic system of traditional Chinese medicine and lose the essence of traditional Chinese medicine.Through the"diagnosis and treatment strategy"and"knowledge link"of the new Chinese medicine textbooks,the author tries to make a breakthrough in the compilation,and puts forward the compilation ideas of rectifying the position of Chinese medicine textbooks,starting from the learning thinking of Western medicine students,and reflecting the characteristics of Chinese medicine and modern research results.

A Novel Sample Introduction Technique for the Simultaneous Determination of As,Se,Ge and Hg in Chinese Medicinal Material

A novel technique of Moveable Reduction Bed Hydride Generator（MRBHG）was applied tohe hydride generation or cold vapor generation of As，Se，Ge，and Hg existing In TraditionalChinese Medicinal Material（TCM）．The simultaneous determination of the multi－elements wasperformed with ICP－MS．A solid reduction system involving the use of potassiumtetraborohydride and tartaric acid was applied to generating metal hydride or cold vaporefficiently．The factors affecting the metal cold vapor generation were studied．The mainadvantage of the technique is that only a 4μL volume of sample was required for the cold vapor

Intellectual Property Protection and High Quality Development of Radix Glycyrrhizae for Treatment of COVID-19

Radix Glycyrrhizae is the dominant native medicinal material variety in the north and northwestern medicinal materials producing areas.It is a main Chinese medicine of effective TCM drugs and formulas for the treatment of new coronavirus disease(COVID-19).This paper introduces the medicinal value of Radix Glycyrrhizae,involving the labeling,cultural heritage,and creative intellectual property rights of the Chinese medicinal materials,analyzes the poverty-stricken areas that are ecologically suitable for Radix Glycyrrhizae cultivation,and the superior counties and production bases of the Chinese medicinal materials.Besides,mainly from the aspects of perfect intellectual property rights,the establishment of authentic medicinal material production bases,and the construction of quality control systems,etc.,it discusses the rural revitalization strategy and the development strategy of traditional Chinese medicine(TCM),agricultural intellectual property protection and high-quality development strategy of Radix Glycyrrhizae.

Geochemical characteristics and growth suitability assessment of Scutellaria baicalensis Georgi in the Earth's critical zone of North China

Geochemical differentiation of soils has a series of consequences on plant and places pressure on the ecological environment.The quantitative evaluation of element migration in the Earth’s critical zone is a challenging task.In this study,two demonstration study areas of Scutellaria baicalensis Georgi were selected,and multiple chemical weathering indexes,chemical loss fraction,mass migration coefficients and biological enrichment coefficient method were used to assess the ecological and geochemical suitability.The results show that for the element of Fe,Zn,Se,Cu,Co,Ni,Mo and Ge,the degree of weathering and soil maturation,were greater in the rhyolitic tuff area than in the Plagioclase gneiss area.In both research sites,the heavy metal level of samples in Scutellaria baicalensis Georgi did not exceed the standard limits.The plagioclase gneiss region’s surface soil environment was more alkaline,and the content of soil organic matter was lower,resulting in a higher bioenrichment intensity of Ge,Co,Cu,and Se elements in Scutellaria baicalensis Georgi than in the rhyolite-tuff area.The elements of Cd,Nb,Mo,Pb and As are considerably enriched in the soil of the plagioclase gneiss area but lost by leaching in the soil of the rhyolite tuff area,which is connected to the interplay of elemental abundance and human impact in the parent materials.This study provides a good example of how to assess growth suitability of Chinese medicinal materials in the Earth’s critical zone.

Network pharmacology approaches for research of Traditional Chinese Medicines

Pharmacodynamics material basis and effective mechanisms are the two main issues to decipher the mechnisms of action of Traditional Chinese medicines(TCMs)for the treatment of diseases.TCMs,in“multi-component,multi-target,multi-pathway”paradigm,show satisfactory clinical results in complex diseases.New ideas and methods are urgently needed to explain the complex interactions between TCMs and diseases.Network pharmacology(NP)provides a novel paradigm to uncover and visualize the underlying interaction networks of TCMs against multifactorial diseases.The development and application of NP has promoted the safety,efficacy,and mechanism investigations of TCMs,which then reinforces the credibility and popularity of TCMs.The current organcentricity of medicine and the“one disease-one target-one drug”dogma obstruct the understanding of complex diseases and the development of effective drugs.Therefore,more attentions should be paid to shift from“phenotype and symptom”to“endotype and cause”in understanding and redefining current diseases.In the past two decades,with the advent of advanced and intelligent technologies(such as metabolomics,proteomics,transcriptomics,single-cell omics,and artificial intelligence),NP has been improved and deeply implemented,and presented its great value and potential as the next drug-discovery paradigm.NP is developed to cure causal mechanisms instead of treating symptoms.This review briefly summarizes the recent research progress on NP application in TCMs for efficacy research,mechanism elucidation,target prediction,safety evaluation,drug repurposing,and drug design.

基于改进型AlexNet的中药材图像识别

文章以百部、白芍、枸杞、黄精、姜黄、蒲黄、蛇床子、益母草、郁金和枳壳片共10种中药材为研究对象,使用Python爬虫算法构建数据集,使用随机缩放、随机剪切、水平翻转对数据集进行增强,对AlexNet网络模型进行改进,具体改进内容为在原AlexNet网络模型的第三层(卷积层)之后插入一层,为新的第三层,同时在原AlexNet网络模型中引入岭回归和迁移学习,建立基于改进型AlexNet网络模型的10种中药材的图像识别方法,该模型的平均识别准确率达95.4%;数据集足够大时,可以有效地提高图像识别准确率,该模型也可应用于绝大部分需要识别的中药材类别的场景。

Published papers about Salvia miltiorrhiza Bunge as a Chinese medicinal material

Xu Cuihong, Shu Zhiming, Wang Yan, Miao Fang, Zhou ke. The accumulation rule of the main medicinal components in different organs of Salvia miltiorrhiza Bunge. and Salvia miltiorrhiza Bunge. f. alba. Lishizhen Medicine and Materia Medica Research, 2010, 21（09）： 2129-2132. Email： miaofangmf@ 163,com

基于中药监管科学创新技术体系破解国家中药类产品集中带量采购难点

在国家推动药品集中带量采购(以下简称集采)工作常态化背景下,中成药大品种在全国范围内的集采已经落地开展,中药饮片的省际联合采购也正在进行,而未来中药配方颗粒纳入集采也是大势所趋。然而,中药不同于化学药品,其原料来源于天然资源,组成成分复杂、功效主治多样,是一个多功效、多组分的复杂体系,加之中药类产品生产过程复杂,产品质量良莠不齐,生产成本相差悬殊,如何在中药类产品集采中科学评价产品质量,体现优质优价,以及如何科学评估中药类产品的生产成本,制定合理的最高限价,都是中药集采工作执行中亟待解决的难点问题。针对上述难点,笔者提出基于中药监管科学体系,创新制定中药类产品质量等级标准以及构建全产业链溯源与供应保障平台,从而确保中药类产品集采保质、提级、稳供、高质量发展的新思路。

民国时期东北第一大药材集散地营口调查研究

全面收集清末、民国时期史志文献,民国出版图书、期刊、日报及日伪编纂汇编类文献,参考建国后出版文史资料中的口述文献,去伪存真,去粗取精,对民国时期东北地区起源最早、规模最大的中药材集散地营口发源、兴盛、凋敝、衰落之全过程加以调查研究;探究其成为东北第一大药材集散地的历史地理、交通、药材资源优势,重点讨论当地药材集散的种类、规模、变化规律和经营模式,了解其在民国独特社会进程和近代中医药学科发展影响下的时代特色,为尽可能全面客观认识民国中药产业史及民国药业探源溯流提供重要依据。

高效液相色谱法测定川贝母和川贝粉中三嗪代谢物残留

目的建立了一种快速固相萃取联合高效液相色谱法同时测定川贝母和川贝粉中3种三嗪代谢物残留量的分析方法。方法采用分散固相萃取前处理方法,样品经乙腈-水提取,无水硫酸镁和醋酸钠等无机盐盐析分离,十八烷基硅烷键合硅胶C18净化处理,以Athena C18柱为色谱柱,以水和乙腈为流动相进行梯度洗脱,外标法定量。结果通过合理选择色谱柱、流动相和净化剂,在最佳色谱条件下,脱异丙基莠去津、脱乙基莠去津和脱乙基特丁津等3种三嗪代谢物的检出限为0.20μg/kg,定量限为0.67μg/kg,3种目标组分在0.01~20.00μg/mL的线性范围内线性关系良好(r≥0.999),在5、25和50μg/kg 3个添加水平内,平均加标回收率为95.3%~105.7%,相对标准偏差为1.0%~2.4%。结论该方法简单、快速、灵敏,适用于川贝类中药材中三嗪类农药代谢物残留量的快速检测分析。

道地中药材金果榄种子育苗技术

以金果榄(Tinosporae Radix)基原植物青牛胆[Tinospora sagittata(Oliv.)Gagnep.]实生种子进行大棚育苗,并检测一、二年生金果榄种苗的农艺性状及二年生金果榄种苗干燥块根的古伦宾含量。对一年生金果榄种苗喷施MS营养液,检测其农艺性状并分析各性状之间的相关性。结果表明,金果榄种苗株高、主根长、块根随种植时间呈增长趋势,二年生苗叶片数在6—7月无明显增加;种苗叶形指数、块根形指数分别在5月龄、17月龄后无明显变化;二年生金果榄种苗干燥块根EP理论塔板数均>5 000、古伦宾含量均>2%,水分含量均<13.0%,符合药典规定。MS营养液处理促进了一年生金果榄种苗株高增长、叶片数增加和块根的形成,种苗株高、叶宽、茎粗与地下块根鲜重呈显著正相关,块根鲜重与块根纵径、块根横径、块根形指数呈显著正相关,块根横径、块根纵径、块根形指数之间均呈极显著正相关。叶形指数与叶长、叶宽之间无相关关系,而块根形指数与块根纵、横径之间呈正相关。