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.

Effects of integrated traditional Chinese and western medicine on the vision recovery and serum trace elements of patients with herpes simplex keratitis

Objective:To explore the effects of integrated traditional Chinese and western Medicine on the vision recovery and serum trace elements in patients with herpes simplex keratitis.Methods:A total of 86 cases of HSK patients admitted in Baogang Hospital of Inner Mongolia from January 2015 to October 2016 were selected and divided randomly into the observation group(n=43)and the control group(n=43)according to the random number table.The control group was treated with ganciclovir eye drops and chondroitin sulfate eye drops,and the observation group was treated with Qinggan Mingmu Decoction on the basis of the control group.The 2 groups were treated for 4 weeks continuously.The clinical efficacy was compared between two groups.The vision recovery,serum trace elements and tear immune factor levels were also compared between two groups before and after treatment.Results:After treatment,the effective rate of treatment in the observation group was significantly higher than that in the control group(p<0.05);in the observation group of patients,visual analogue scale(VAS)score and visual acuity after treatment were obviously higher than those before treatment,and also remarkably higher than those in the control group of patients(p<0.05);after treatment,the levels of Fe,Ca and Cu ions in the observation group were significantly lower than those in the control group and before treatment(p<0.05);after treatment,the level of zinc ions in the serum in the observation group was significantly higher than that before treatment and in the control group(p<0.05);after treatment,the levels of tear IgA,IgG and C3 in the observation group were prominently higher than those before treatment and in the control group(p<0.05).Conclusions:In the treatment of HSK,integrated traditional Chinese and western medicine can promote effectively the vision recovery,regulate the level of trace elements in the serum and enhance the level of tear immune factors,with the clinical efficacy better than the treatment of western medicine alone.

Construction of Inorganic Elemental Fingerprint and Multivariate Statistical Analysis of Marine Traditional Chinese Medicine Meretricis concha from Rushan Bay

Meretricis concha is a kind of marine traditional Chinese medicine(TCM), and has been commonly used for the treatment of asthma and scald burns. In order to investigate the relationship between the inorganic elemental fingerprint and the geographical origin identification of Meretricis concha, the elemental contents of M. concha from five sampling points in Rushan Bay have been determined by means of inductively coupled plasma optical emission spectrometry(ICP-OES). Based on the contents of 14 inorganic elements(Al, As, Cd, Co, Cr, Cu, Fe, Hg, Mn, Mo, Ni, Pb, Se, and Zn), the inorganic elemental fingerprint which well reflects the elemental characteristics was constructed. All the data from the five sampling points were discriminated with accuracy through hierarchical cluster analysis(HCA) and principle component analysis(PCA), indicating that a four-factor model which could explain approximately 80% of the detection data was established, and the elements Al, As, Cd, Cu, Ni and Pb could be viewed as the characteristic elements. This investigation suggests that the inorganic elemental fingerprint combined with multivariate statistical analysis is a promising method for verifying the geographical origin of M. concha, and this strategy should be valuable for the authenticity discrimination of some marine TCM.

Inorganic Elemental Determinations of Marine Traditional Chinese Medicine Meretricis concha from Jiaozhou Bay:The construction of Inorganic Elemental Fingerprint Based on Chemometric Analysis

The goal of this paper is to explore the relationship between the inorganic elemental fingerprint and the geographical origin identification ofMeretricis concha, which is a commonly used marine traditional Chinese medicine （TCM） for the treatment of asthma and scald bums. For that, the inorganic elemental contents ofMeretricis concha from five sampling points in Jiaozhou Bay have been determined by means of inductively coupled plasma optical emission spectrometry, and the comparative investigations based on the contents of 14 inorganic elements （A1, As, Cd, Co, Cr, Cu, Fe, Hg, Mn, Mo, Ni, Pb, Se and Zn） of the samples from Jiaozhou Bay and the previous reported Rushan Bay were performed. It has been found that the samples from the two bays are ap- proximately classified into two kinds using hierarchical cluster analysis, and a four-factor model based on principle component analysis could explain approximately 75% of the detection data, also linear discriminant analysis can be used to develop a prediction model to distinguish the samples from Jiaozhou Bay and Rushan Bay with accuracy of about 93%. The results of the present investi- gation suggested that the inorganic elemental fingerprint based on the combination of the measured elemental content and chemom- etric analysis is a promising approach for verifying the geographical origin ofMeretricis concha, and this strategy should be valuable for the authenticity discrimination of some marine TCM.

Study on Elemental Fingerprint of Traditional Marine Chinese Medicine Oysters from Jiaozhou Bay,China

In order to investigate the relationship between the trace elements and the characteristics of the oysters, we analyzed the trace elements present in the germplasm of oysters from different producing areas in the Jiaozhou Bay. The element fingerprints were established to reflect the elemental characteristics of the oysters. Concentration patterns of the elements were deciphered by principle component analysis (PCA) and hierarchical cluster analysis (HCA). The six regions were discriminated with accuracy using HCA and PCA based on the concentration of 16 trace elements. The elements were viewed as characteristic elements of the oysters and the fingerprints of these elements could be used to distinguish the quality of the oysters.

A Review of Traditional Chinese Medicine for the Treatment of Depression

Depression is a common mental illness with symptoms such as loss of interest.At present,It is mainly treated with antidepressants,which are effective in a short time,but it is highly addictive and has a high probability of adverse reactions.Traditional Chinese medicine(TCM)treatment of depression has the advantages of high feasibility,good tolerance,obvious effect,and small side effects.In addition,TCM has great potential for the treatment of depression with the overall concept of the unity of nature and man as its guiding ideology and rich clinical experience.This review mainly expounds on the research progress of TCM treatment of depression from two aspects of TCM non-drug therapy and TCM drug therapy,to provide a reference for clinical treatment of depression.

Effect of moxibustion combined with five‑element music therapy on postoperative pain relief after mixed hemorrhoid operation

Objective:To investigate the effect of moxibustion combined with five‑element music therapy on the postoperative pain relief of patients undergoing surgical operation for mixed hemorrhoid with damp‑heat syndrome.Methods:Totally,159 patients meeting the inclusion criteria were assigned to the control group,study group 1,and study group 2,with 53 cases in each group.All patients received routine care after surgical treatment,including acupoint application and Chinese herbal fumigation.In addition,patients in the study group 1 received moxibustion,and those in the study group 2 were given moxibustion combined with five‑element music therapy.The degree of postoperative pain was evaluated using visual analog scale(VAS).Results:There was no significant difference in VAS score on pain during dressing changes among three groups(P>0.05).After 3,5,and 7 days of intervention,there was a significant difference in VAS score on pain at rest among three groups(P<0.001),and VAS score in the study group 2 was lower than that in the study group 1 and the control group after 3 and 5 days of intervention,respectively(P<0.05).Conclusion:Moxibustion combined with five‑element music therapy is effective to relieve the postoperative pain of patients undergoing a surgical operation for mixed hemorrhoids with damp‑heat syndrome.

Ophthalmic Syndrome Differentiation System and Digital Chinese Medicine

In traditional Chinese medicine(TCM),ophthalmic syndrome differentiation is an ophthalmology-specific method for identifying syndromes based on the“Five Orbiculi”theory.It was devised by Professor Qing-Hua PENG through an unprecedented combination of syndrome element differentiation and ophthalmic clinical practices,based on the Clinical Terminology of Chinese Medical Diagnosis and Treatment-Syndromes of the National Standards of the People's Republic of China.This approach integrates an ophthalmic syndrome differentiation system with digital Chinese medicine(DCM),and proposes the extraction of syndrome elements of ophthalmic diseases from research on DCM.These elements are then quantified and organized to form a model of digital diagnosis and treatment specific to ophthalmology,which should help to achieve synergistic development of the ophthalmic syndrome differentiation system and DCM.

中医妇科学教学融入思政元素探究

中医妇科学是一门临床学科,在掌握其基础理论之后的理论与实践相结合的教学过程中,要重视在教学大纲的认知中通过各种教学方法加入思政元素,同时深化以人为本的教学理念,加强教学队伍思政意识的建设,整体推动中医妇科学“思政元素”的挖掘,推崇“立德树人”的理念,并且围绕这一目标而开展卓有成效的教育体系改革。加强和扎实做好新时期医学院校中医妇科学思想政治路线教育和优秀人才培养相关工作,是在新的历史阶段提出的新政治任务、新发展方向和新战略要求。

中医药联合音乐疗法对老年晚期肠道肿瘤患者临床疗效及其机制探讨

目的分析中医药联合音乐疗法对老年晚期肠道肿瘤的临床疗效及其机制。方法选取2021年1月—2022年3月南通市中医院老年科收治的90例老年晚期肠道肿瘤患者为研究对象,随机分为治疗组A(中药汤剂口服+音乐疗法+姑息治疗)、治疗组B(中药汤剂口服+姑息治疗)、对照组(姑息治疗)各30例,对比3组疗效、治疗前后负性情绪[焦虑自评量表(SAS)、抑郁自评量表(SDS)]、炎症反应[中性粒细胞与淋巴细胞比值(NLR)、肿瘤坏死因子-α(TNF-α)、白细胞介素-6(IL-6)]、欧洲癌症研究与治疗组织生命质量测定量表(EORTC QLQ-C30 V3.0中文版)、匹茨堡睡眠质量指数(PSQI)、不良反应。结果治疗组A总有效率90.00%高于对照组66.66%(P<0.05),治疗组A总有效率高于治疗组B 76.67%,但差异无统计学意义(P>0.05);治疗后治疗组A的SAS评分、SDS评分低于治疗组B和对照组(P<0.05);治疗后治疗组A的NLR、TNF-α、IL-6均低于治疗组B和对照组(P<0.05);治疗后治疗组A的EORTC QLQ-C30评分、PSQI评分低于治疗组B和对照组(P<0.05);3组的不良反应情况比较差异无统计学意义(P>0.05)。结论中医药联合音乐疗法对老年晚期肠道肿瘤患者有较好临床疗效,其机制可能与下调炎症因子有关,利于减轻焦虑抑郁情绪,提高生命质量及睡眠。

中医芳香疗法联合音乐疗法在磁共振幽闭恐惧症患者检查中的干预效果

目的探究中医芳香疗法联合音乐疗法在幽闭恐惧症患者磁共振(MRI)检查中的干预效果。方法选取2021年1月至2023年3月南昌大学第一附属医院需进行MRI检查的80例幽闭恐惧症患者作为研究对象,采用随机数字表法分为中医组和对照组,每组各40例。中医组采用中医芳香疗法联合音乐疗法的护理干预;对照组采用常规检查联合心理护理干预。观察并比较两组患者的干预效果、情绪变化、应激指标及图像满意度。结果中医组的干预效果优于对照组,差异有统计学意义(P<0.05)。中医组检查后的汉密尔顿焦虑量表(HAMA)评分、心率、舒张压、收缩压、呼吸频率均低于对照组,差异有统计学意义(P<0.05)。中医组的图像满意度优于对照组,差异有统计学意义(P<0.05)。结论中医芳香疗法联合音乐疗法在幽闭恐惧症患者MRI检查中干预效果较好,能促使患者配合完成检查,缓解焦虑情绪,改善心率、血压等应激指标,提高图像满意度。

方剂学课程思政研究概览

该文探讨方剂学课程思政的研究现状,为深入挖掘思政元素,广泛开辟实施途径集成更多的策略与方法。全面梳理方剂学教学中开展课程思政的相关文献,分析方剂学课程思政在全国各院校开展的实际情况,结合专业内容对可公知公用的思政元素融入策略、思政内涵等进行全面总结,同时探索课程思政的实施途径。共纳入源于全国28家单位的38篇文献,通过讲授式、案例式、讨论式、竞赛式和情景模拟式等教学方法,将精术尚德、传承守正、刻苦钻研、勇于创新和家国情怀等思政内涵悄然渗透到方剂学总论到各论的19个章节中。方剂学作为思政教育与专业课充分融合的主阵地,在以立德树人为根本任务的高校中医药人才培养过程中正发挥着巨大作用。

基于三要素之课程思政在中医外科学混合教学中的应用

“课程思政”是中国现代社会主义建设下教育发展的产物,符合中国社会主义新时代教育发展的规律。中医学具有融入思政教育的天然优势。中医外科学是中医学专业的主干课程,是重要的临床专业课。作者团队在中医外科学的教学中,除传统的课堂教学与临床实践教学外,还进行了基于在线开放课程的线上线下混合式教学,且围绕教师、教书育人、学生三要素,具体实施课程思政探索。

中医药预防大肠息肉术后复发证型证素分布及用药规律研究

目的:探讨近二十年各医家预防大肠息肉术后复发证型证素分布及用药规律,为中医药预防大肠息肉术后复发提供新的思路。方法:以各医家处方为切入点,提取处方涉及的证候类型、病位证素、病性证素及药物组成,基于中医传承辅助平台(V2.5)软件,运用关联规则、系统熵聚类等一系列高级的数据挖掘方法,总结处方的证型证素分布、用药频次、性味、归经、药物相关性以及聚类情况。结果:共收集到数据库相关文献所载预防大肠息肉复发的处方105首,涉及中医证型30种,中药186味。其中核心药物组合139对,潜在常用药对157对,新处方3首。结论:脾胃虚弱是大肠息肉的核心病机,治疗当以健脾益胃为基础,根据不同患者血瘀、湿阻、痰凝、热毒等的差异,佐以活血、祛湿、化痰、清热之法,标本兼治,方获良效。

1例吉兰-巴雷综合征合并分离性障碍患者的中西医结合护理体会

本文总结1例吉兰-巴雷综合征合并分离性障碍患者的中西医结合护理经验。基于护理评估和中医辨证,在病情观察、生活指导、饮食护理等常规护理基础上,采取竹罐、艾灸、五音疗法等中医护理适宜技术,有效提高患者四肢肌力,改善了患者不适症状。

冠心病中医证素分布及与危险因素的相关性研究

目的 研究冠状动脉粥样硬化性心脏病(简称“冠心病”)患者的中医证素分布及其与危险因素的相关性。方法 纳入冠心病患者473例,综合中医四诊资料进行辨证;利用Logistic回归分析检测中医证素和危险因素的相关性。结果 473例冠心病患者中包含8种中医证素,所占比例由多到少依次为血瘀、热毒、痰浊、气虚、阴虚、气滞、阳虚、寒凝。中医证素和危险因素的相关性分析显示,男性是热毒证的危险因素,女性、年龄是其保护因素;血脂异常史是血瘀证的危险因素;女性、年龄、家族史是气虚证的危险因素;年龄是阴虚证的危险因素。结论 危险因素与冠心病患者中医证素存在一定相关性,性别与热毒证、气虚证相关,年龄与热毒证、气虚证、阴虚证相关,血脂异常与血瘀证相关,家族史与气虚证相关。

照见传统 交汇中西——张朝钢琴作品《中国之梦》的创作与演奏研究

在当代音乐创作中,许多作曲家将灵感聚焦于中国传统文化元素,张朝钢琴作品《中国之梦》便是这样一个范例,其中的音乐意象、结构布局、主题旋律都取自传统文化元素,并以现代风格的作曲技法加以呈现。因此,本文将视角聚焦于传统文化元素的历史原型与时代表达,探析取自《易经》的音乐意象、取自传统戏曲的音乐结构、以西方无调性和声表现的编钟音响、以西方主题发展手法表现的古琴主题等,并将这种文化启思融入演奏实践与对当代中国音乐创作的思考上。新时代的音乐创作要以中华传统文化为根基,只有取长补短、融合创新,才能创作出更多优秀的中国当代音乐作品。

150例腺瘤型肠息肉伴上皮内瘤变患者中医体质与证素分布规律研究

目的 探讨腺瘤型肠息肉伴上皮内瘤变不同分级患者的中医体质和证素分布特点并阐述二者之间的关系,为临床研究提供依据。方法 对2019年5月-2022年3月就诊且符合纳入标准的150例患者进行中医体质和证素测定,分别运用χ^(2)检验和Logistic回归分析方法分析二者在不同病理分级中的分布特点及相关性。结果 150例患者高级别上皮内瘤变(HGIN)69例,低级别上皮内瘤变(LGIN)81例。经采集,中医体质主要构成为痰湿质[26.00%(39/150)]、阳虚质[18.67%(28/150)]、湿热质[16.67%(25/150)],中医证素主要构成为湿[24.67%(37/150)]、阳虚[16.67%(25/150)]、气滞[(16.00%(24/150)];二者相关性分析显示,痰湿质与湿、痰呈显著正相关性,阳虚质与寒、阳虚呈显著正相关性,湿热质与火、湿呈显著正相关性。结论HGIN和LGIN患者之间,中医体质和证素分布存在一定差异性,且二者存在相关性。

国家中医药综合改革示范区“十四五”中医药发展规划政策文本分析

目的剖析我国7个国家中医药综合改革示范区的“十四五”中医药发展规划政策的特征及政策工具使用情况,探讨政策缺陷,并提出优化策略,为推进国家中医药综合改革示范区建设提供参考。方法基于7省份“十四五”中医药发展规划,构建“政策工具—政策要素—政策清晰度”三维分析框架,进行多维度量化分析。结果7份中医药政策共提取564条编码,政策工具中命令规制型、激励型、能力建设型、系统变革型、象征劝诫型工具分别占比13.3%、7.1%、53.0%、22.9%、3.7%,政策要素中服务体系提及频率最高,占比33.9%,政策清晰度等级为“清晰”的编码条目占比9.4%。结论中医药政策激励机制不够完善,宣传力度不足,政策要素内部缺乏联动,政策工具与政策要素契合度不高,政策清晰度有待提升。建议丰富激励型与象征劝诫型政策工具的使用,建立中医药发展要素联动机制,优化政策工具内部结构,提升政策发展目标清晰度。

Wavy Distribution of Trace Elements in Phytolacca Samples from Different Areas

To study the distribution of 25 elements, i.e. Be, Cd, Ce, Cr, Cu, Dy, Er,Eu, Gd, Ge, Ho, La, Lu, Mo, Nd, Pb, Pr, Sm, Sr, Tb, Tl, Tm, Y, Yb and Zn in Phytolacca, atraditional Chinese medicinal herb, collected from nine areas of P. R. China. Methods Twenty-fiveelements in Phytolacca including essential elements, toxic elements and rare earth elements intraditional Chinese medicinal herbs from different areas were analyzed by ICP-MS. Results The 25elements in Phytolacca were determined by ICP-MS under optimized conditions. The detection limitswere 0.003 -0.71 ng·mL^(-1). The recoveries were 88% - 118% . The relative standard deviations ofthe measurements were 1.7% - 13.3%. Conclusion The determined concentrations of elements inPhytolacca acinosa Roxb vary from one area to another; however, the distribution tendency ofelements in all the samples is similar. The distribution tendency of rare earth elements inPhytolacca acinosa Roxb is consistent with that in nature.