Effectiveness of five elements music therapy on negative emotions of tumor patients:a systematic review and grading recommendations(GRADE)system

Background:Many original studies have shown that traditional Chinese five-element therapy(FEM-therapy)can effectively relieve anxiety,depression and quality of life.However,one published systematic review refuted this conclusion.To further clarify the efficacy of FEM therapy in relieving negative emotion among cancer patients and to assess the reliability of the evidence,this systematic review and meta-analysis was performed.Methods:We searched for randomized controlled trials(RCTs)comparing FEM-therapy versus standard care for cancer patients,six databases(CBM,PubMed,Cochrane Library,Web of Science,CNKI,and WanFang),two clinical trial registries and one gray literature database were searched from inception to October 31,2022.Two investigators independently screened literature,extracted data,and assessed risk of bias according to the Cochrane Handbook Version 6.1.0.The RevMan 5.3 software was used to perform the meta-analysis.Overall quality of evidence was rated using GRADE(Grading of Recommendations,Assessment,Development and Evaluation).Results:25 RCTs involving 1990 patients were finally included.Two of which had high risk bias,the remaining 23 were rated as unclear risk bias.Compared with other treatments,FEM-therapy combined with conventional nursing can significantly relieve anxiety(MD=-10.33,95%CI:[-13.77,-6.88],P<0.05;very low certainty)and depression(SMD=-1.10,95%CI:[-1.41,-0.79],P<0.05;very low certainty),and can significantly increase the quality of sleep(MD=-2.92,95%CI:[-4.89,-0.95],P<0.05;low certainty).Compared with acupuncture intervention,FEM-therapy combined with acupuncture can decreased the anxiety(SMD=-0.64,95%CI:[-0.98,-0.30],P<0.05;Moderate certainty)and depression(SMD=-0.68,95%CI:[-1.00,-0.32],P<0.05;Moderate certainty).Conclusion:Traditional Chinese FEM therapy combined with other treatments are effective in alleviating negative emotions among cancer patients.In order to better improve the quality of life of cancer patients and give more reliable advice,more trials of direct comparisons are needed to inform clinical decision-making with greater confidence.

INFLUENCE OF THE FIVE ELEMENT THEORY ON ACUPUNCTUROLOGY

In the present paper, the authors make a simple comment on the influence of the theory of five elements of TCM on the acupuncturology from ① its influence on the meridian-collateral theory and acupoint system; ② its influence on acu-moxibustion therapeutics including the application of mother and son points for reinforcing and reducing, the application of the five element theory to the midnight-noon ebb-flow needling, and guiding point selection in different seasons; and ③ its influence on acupuncture techniques.

Analysis of the Case Records of Five Elements in Linzheng Zhinan Yi'an(Guide to Clinical Practice)

Basis of seventy-seven case records of twenty-six diseases in Linzheng Zhinan Yi'an(Guide to Clinical Practice),analyze and distinguish them into four types.They are disorder of the mother-organ affecting the child-organ,disorder of the child-organ affecting the mother-organ,over restraint and reverse restraint.The essence of this article is to recognize the pathological transmission among the Zang-fu organs according to the theory of five elements.

Effect of Lixujieyu recipe in combination with Five Elements music therapy on chronic fatigue syndrome

OBJECTIVE: To observe the clinical effects of the Lixujieyu recipe combined with Five Elements music therapy on chronic fatigue syndrome(CFS) identified as the symptom patterns of liver stagnation and spleen deficiency in terms of Traditional Chinese Medicine.METHODS: Patients with CFS were randomly divided into treatment group 1(Lixujieyu recipe combined with Gong-Tune, n = 15); treatment group 2(Lixujieyu recipe combined with Jiao-Tune, n = 15);treatment group 3(Lixujieyu recipe combined with Yu-Tune, n = 15); treatment group 4(Lixujieyu recipe combined with Shang-Tune, n = 15); treatment group 5(Lixujieyu recipe combined with Zhi-Tune,n = 15); and the control group(Lixujieyu recipe alone, n = 15). Chinese medicine was given twice daily, and music was listened to for 45 minutes daily, 5 days a week. All patients were treated for4 weeks. Patients were assessed via the Fatigue Scale, the Hamilton Depression Rating Scale, and the Hamilton Anxiety Rating Scale before and after treatment.RESULTS: Treatment groups 1 and 2 had better effects on relieving the symptoms of physical fatigue related to anxiety and depression than the control group(P < 0.05).CONCLUSION: Lixujieyu recipe combined with Gong-Tune or Jiao-Tune significantly relieved the symptoms of CFS.

Effects of Traditional Chinese Medicine Five-element Music Combined with Acupoint Application on Perioperative Sleep Quality in Patients Undergoing Joint Replacement Surgery

OBJECTIVE: To explore the effects of traditional Chinese medicine(TCM) five-element music combined with acupoint application on perioperative sleep quality in patients undergoing joint replacement surgery. METHODS: In this study, a total of 122 patients with joint replacement surgery in Beijing Jishuitan Hospital were targeted from 2015 to 2018. All patients were grouped by random number table method. Among them, 61 patients with routine nursing were included in the control group. On this basis, the other 61 patients with acupoint application and TCM five-element music therapy were included as the observation group. 2 weeks later, the Pittsburgh Sleep Quality Index(PSQI) was used to evaluate sleep quality in all patients. The sleep improvement of the 2 groups was evaluated, and the patient was assessed for anxiety and depression, and the curative efficacy was evaluated. RESULTS: After 2 weeks of nursing, the PSQI of the patients improved significantly. The PSQI of the observation group was only 6.6 ± 2.4, and the control group decreased to 9.9 ± 2.7. The observation group was better than the control group, and the difference was statistically significant(P < 0.05). Comparing the 2 groups, the anxiety score of the observation group decreased to 4.8 ± 1.6, which was significantly lower than that of 6.9 ± 2.2 in the control group. The depression score of the observation group decreased to 4.6 ± 1.3, which was significantly lower than that of 6.8 ± 2.3 in the control group. In the control group, the negative emotion scores after nursing were better than those before nursing, and the difference was statistically significant(P < 0.05). Comparing the 2 groups, the effective rate of sleep improvement in the observation group was 96.6%, and the cure rate was as high as 49.1%. The control group was 82.0%, and the cure rate was 18.0%. The observation group was better than the control group, and the difference was statistically significant(P < 0.05). CONCLUSION: The combination of TCM five-element music with acupoint application can improve the perioperative sleep quality of patients undergoing joint replacement surgery, and it can help patients to relieve negative emotions. It is worth promoting.

杨宗艳基于五脏生克规律论治肺癌经验

肺癌是威胁人民健康的重大疾病,发病率和死亡率均居恶性肿瘤之首。肺癌属于中医“肺积”“息贲”等范畴。杨宗艳主任认为:肺癌的发生、发展是动态演变的过程。正气不足、肺脏亏虚是肺癌的主要病因。五脏功能紊乱,痰、瘀、毒胶结是肺癌发生、发展的基本病机。肺脏与他脏生克失宜,是肺癌病机演变的内在规律。肺癌的治疗,当立足肺脏本身,考量肺脏与他脏的关系状态,依照五行生克,补不足,损有余:清心火,润肺金;培脾土,生肺金;疏肝木,护肺金;滋肾水,固肺金,并灵活选用扶正、化痰、祛瘀、解毒方药,恢复肺脏与他脏常正关系,消解相互胶着的痰、瘀、毒。

名中医康志媛从“肝肾同源于脑”论治多囊卵巢综合征伴抑郁

多囊卵巢综合征伴抑郁是妇科临床常见难题,严重影响女性生殖功能和生活质量,康志媛教授基于“肝肾同源于脑”理论,认为本病与肝肾密切相关。经本于肾,肾主骨生髓通于脑,肾虚不仅冲任胞宫失司经乱,并见髓海空虚则精神失守;水不涵木则肝失调达加重气机不畅,以致形神共病,故发病以肾虚肝郁为主,临证常用经验方补肾疏肝方加减联合五行音乐治疗,药乐结合,共奏补肾疏肝之功,疗效显著。

五行音乐疗法在认知障碍疾病病人中应用的研究进展

总结五行音乐疗法的概念与发展,从中西医结合角度阐释了五行音乐干预认知障碍的机制、具体实施方法及在认知障碍疾病病人中的应用效果等,提出该疗法在认知障碍领域的应用前景及局限性,为认知障碍疾病的干预治疗提供参考。

循经刮痧联合五行音乐疗法对肝阳上亢型持续性姿势-感知性头晕的疗效观察

目的:探讨循经刮痧联合五行音乐疗法对肝阳上亢型持续性姿势-感知性头晕(PPPD)的疗效。方法:选择2022年9月—12月于我院就诊的66例肝阳上亢型PPPD病人作为研究对象,采用随机数字表法将病人分为观察组与对照组,各33例。对照组给予常规治疗及护理健康教育,观察组在对照组基础上采用循经刮痧联合五行音乐疗法。比较两组病人临床疗效、头晕程度、焦虑和抑郁情绪、中医证候评分。结果:观察组病人临床疗效优于对照组;观察组病人治疗后眩晕障碍量表、汉密尔顿焦虑量表、汉密尔顿抑郁量表及中医证候评分均低于治疗前及同期对照组,差异有统计学意义(P<0.05)。结论:循经刮痧联合五行音乐对肝阳上亢型PPPD病人临床疗效显著,可有效降低病人头晕程度、焦虑和抑郁情绪,减轻病人临床症状。

二氢槲皮素和β-烟酰胺单核苷酸顺势和逆势给药对健康大鼠生长和生理的影响

目的:通过研究二氢槲皮素和β-烟酰胺单核苷酸顺势和逆势给药对健康大鼠生长和生理的影响,进一步验证中医阴阳分药分时服用方剂学理论。方法:48只无特定病原体级SD大鼠,随机分为顺势饲喂组、逆势饲喂组、混合饲喂组、对照组各12只,雌雄各半,顺势饲喂组早晨给予二氢槲皮素溶液,下午给予β-烟酰胺单核苷酸溶液,逆势饲喂组给药顺序与顺势饲喂组相反,混合饲喂组给予二氢槲皮素和β-烟酰胺单核苷酸混合溶液灌胃,分早晚两次给药,对照组早晚给予灌胃等量超纯水,四组均每周给药5 d,共给药6周。分别于饲喂第1天、第10天、第20天、第30天、第45天时观察各组大鼠的皮肤毛发、行为状态、兴奋程度、激怒反应、睡眠状态、大便状态。分别于饲喂后第2周、第4周、第6周的周一、周三、周五测定大鼠采食量和体重,饲喂第45天检测大鼠的血液常规和血生化指标,计算脏器系数。结果:实验期间,各组大鼠的皮肤毛发、行为状态、兴奋程度、激怒反应、睡眠状态、大便状态均未见明显改变。四组雌、雄性大鼠在各个阶段的日均采食量和体重比较差异均无统计学意义(P>0.05)。给药6周后,四组大鼠肝、脾、肺、肾、胃脏器系数、白细胞计数、中性粒细胞计数、淋巴细胞计数、单核细胞计数、嗜酸性粒细胞计数、红细胞计数、血红蛋白、血清总蛋白、总胆红素、碱性磷酸酶、三酰甘油、血清总胆固醇、尿素、空腹血糖、肌酐、钾离子比较,差异均无统计学意义(P>0.05)。雄性大鼠顺势饲喂组和逆势饲喂组心脏脏器系数低于对照组(P<0.05);雌性大鼠顺势饲喂组谷丙转氨酶高于对照组(P<0.05);雄性大鼠混合饲喂组谷草转氨酶高于对照组(P<0.05);雌性大鼠混合饲喂组钠离子低于对照组,差异均有统计学意义(P<0.05)。结论:顺势给药和逆势给药可引起大鼠心脏脏器系数降低,混合给药可引起大鼠谷草转氨酶增高,钠离子降低。

五行音乐疗法联合认知行为干预对脑卒中患者康复期的影响

目的 探讨中医五行音乐疗法联合认知行为干预对脑卒中患者运动功能、日常生活能力及心理状态的影响。方法选取2021年7月—2022年12月在南昌某三甲医院康复科住院的首发脑卒中患者80例,采用随机数字表法分为对照组和试验组,各40例。两组患者都行脑卒中常规康复护理,试验组加用中医五行音乐疗法联合认知行为干预,比较两组运动功能评分[Fugl-Meyer运动功能评估量表(FMA)评分]、日常生活能力量表(ADL)评分、心理状态评分[汉密尔顿抑郁量表(HAMD)评分]。结果 入院干预4、8周后,两组FMA评分、ADL评分、HAMD评分比较,差异均有统计学意义(P<0.05);不同时间、不同组别及时间-组别交互差异均有统计学意义(P<0.05)。结论 在常规康复护理的基础上行中医五行音乐联合认知行为干预,有利于改善脑卒中患者的运动功能和日常生活能力,消除其一些不良心理状态,值得临床推广应用。

五行针灸联合耳穴压丸治疗卒中后抑郁症临床研究

目的:观察五行针灸联合耳穴压丸治疗卒中后抑郁症的效果。方法:80例以随机数字表法分为对照组和研究组各40例,对照组给予常规针灸治疗、研究组用五行针灸联合耳穴压丸治疗。结果:治疗后研究组HADS-A、HADS-D低于对照组(P<0.05)。治疗后研究组Cor水平低于对照组(P<0.05)而神经肽Y水平高于对照组(P<0.05)。治疗后研究NIHSS低于对照组(P<0.05)而Brathel指数高于对照组(P<0.05)。结论:五行针灸配合耳穴压丸治疗卒中后抑郁症可有效缓解焦虑、抑郁情绪,增强信心,改善神经功能缺损,促进日常生活能力提高。

日本《竹取物语》中的中国阴阳五行思想

《竹取物语》作为日本物语文学的鼻祖,具有重要的文学价值,一直是国内外学界研究的热点。在有关阴阳五行思想对其影响的研究中,日本学者提出了卦象说、五材说,而中国学者几乎尚未涉及相关研究。本文将在此基础上,首先指出《竹取物语》是在平安时代阴阳文化盛行的背景下成书的,然后阐述并提出主人公辉月姬的出生、化身和人物关系所体现的阴阳五行思想,同时在日本学界提出的五个求婚故事的“五材说”的基础上,提出“五德说”。

新冠疫情期间中医药大学生心理健康状况及中医五态人格调查

目的:了解新冠疫情期间中医药大学生心理健康、中医五态人格状况。方法:2020年5月用身心症状自评量表(SCL-90)和中医五态人格量表(CMFPI)随机调查某中医药大学在校生1556人。结果:CMFPI人格占比整体为太阴型>阴阳和平型>少阳型>太阳型>少阴型,整体、男生、女生两两比较均差异显著(P<0.05或0.01);CMFPI得分,整体、男生、女生与全国同龄常模及男女生与整体、男生与女生均不尽相同(P<0.01);SCL-90得分,整体、男生、女生均与全国青年常模不尽相同(P<0.05或0.01),男女生与整体均不尽相同且女生与男生强迫、人际敏感、睡眠及饮食差异显著(P<0.05或0.01);SCL-90多个因子与CMFPI多型人格显著相关(P<0.05或0.01)。结论:新冠疫情对中医院校大学生心理健康、中医五态非主体阴性人格均有影响且存在性别差异、两者交互影响,女生趋向内敛、强迫和人际敏感,男生倾向积极但睡眠及饮食问题突出。

“心中的极致”——由陈其钢《五行》谈个性风格在创作中的体现

管弦乐《五行》(1998—1999)是作曲家陈其钢在压抑之下创作的一部希望之作。作品专注于对意象的描述,追求技术层面的极致表达。本文通过技术分析与作曲家的创作观念、技术语汇偏好、个性风格的关联性思考,以及不同作品之间的对照观察,尝试提炼这部经典作品中所蕴含的能够体现作曲家个性风格的技术语汇。

《淮南子》设计色彩理论研究

《淮南子》是我国思想史上具有划时代意义的学术巨著,内容涉及多个领域,其中包含丰富的设计色彩理论。文章分析了《淮南子》五行色彩学的形成与发展,对其五色审美观进行归纳和总结,探讨《淮南子》设计色彩理论的应用。《淮南子》设计色彩理论研究,是解读文献方法的新尝试,为新时代设计色彩文化的传承与发展提供借鉴和启示。

董仲舒关于“孝”的政治哲学

董仲舒的“孝”思想有浓厚的政治意蕴,孝可以保证邦国的和谐,保证君王拥有“自然之赏”。董仲舒以五行生克关系论孝,这样孝就起到了调节阴阳五行的作用,从而有助于阴阳的和谐;董仲舒用天命的思想论孝,从而使得孝可以起到调节君臣和父子的矛盾的作用;董仲舒用受命来论孝,从而使得孝的功效具有普遍性。董仲舒的孝哲学不是一个孤立的思想史现象,代表了孝哲学的一个取向,即政治哲学的取向。

五感体验在文创产品设计中的应用研究

目的探究五感体验在文创产品设计中的应用原则与应用策略,为文创产品设计人员提供参考与借鉴。方法从五感体验理论入手,分析五感理念在文创产品设计中的意义,探究五感体验在文创产品中的应用原则,探讨五感体验在文创产品中的应用方法。结论在文创产品设计中,设计人员应该利用感官刺激使文创产品给人带来深刻的印象,借助互动体验优化文创产品的设计,利用元素提取在文创产品中渗透感官元素,从而使五感体验提升文创产品的用户体验。

积极心理学视域下“Z世代”大学生网络短视频成瘾的影响因素

目的探讨“Z世代”大学生网络短视频成瘾的影响因素。方法基于积极心理学PERMA五要素理论,对300名大学生进行问卷调查。结果①大学生的焦虑、抑郁、学习投入、人际关系满意度、学业成就因素和网络短视频成瘾在不同年级、身体健康方面差异均具有统计学意义(P<0.05);②生命意义感分别在学习投入与短视频成瘾之间、学业成就与短视频成瘾之间起部分中介作用;③焦虑、抑郁在人际关系满意度与短视频成瘾之间起链式中介作用。结论积极心理学视域下,构建了“Z世代”大学生的焦虑、抑郁、学习投入、人际关系满意度、生命意义感、学业成就因素影响网络短视频成瘾的结构方程模型,为大学生短视频成瘾的干预提供了路径。