AIM： To investigate the prevalence of giardiasis in patients with dyspeptic symptoms. METHODS＂ Clinical records of consecutive patients who attended Gastroenterology Department at Aga Khan University Hospital from J...AIM： To investigate the prevalence of giardiasis in patients with dyspeptic symptoms. METHODS＂ Clinical records of consecutive patients who attended Gastroenterology Department at Aga Khan University Hospital from January 2000 to June 2003 and had esophagogastroduodenoscopy （EGD） with duodenal biopsies and international classification of diseases 9th revision with clinical modifications （ICD-9-CM） coded with giardiasis were studied. RESULTS： Two hundred and twenty patients fulfilled the above criteria. There were 44% （96/220） patients who were giardiasis positive, 72% （69/96） of them were males and 28% （27196） of them were females. There were 65% （81/124） males and 35% （43/124） females who were giardiasis negative. The mean age of patients with giardiasis was 28±17 years, while that of giardiasis negative patients was 40±18 years （P〈0.001）. In patients with giardiasis, abdominal pain was present in 71% （68/96） of patients （P = 0.02） and diarrhea in 29% （28/96） （P = 0.005）; duodenitis in 25% （24/96） on EGD （P = 0.006） and in 68% （65/96） on histopathology （P = 0.002）. CONCLUSION： Giardiasis occurs significantly in young people with abdominal pain, while endoscopic duodenitis is seen in only 25% of giardiasis positive cases, which supports routine duodenal biopsy.展开更多
Under the influence of academic theories of numerous physicians of TCM such as Li Gao and Li Zhong-zi in antient China, Professor Jia Chun-sheng proposed the academic thought of tonifying spleen and kidney in combinat...Under the influence of academic theories of numerous physicians of TCM such as Li Gao and Li Zhong-zi in antient China, Professor Jia Chun-sheng proposed the academic thought of tonifying spleen and kidney in combination with acupuncture based on his clinical experience for decades. In clinical practice of acupuncture, Zhongwan （中脘 CV 12）, bilateral Tianshu （天枢 ST 25）, Qihai （气海 CV 6）, Guanyuan （关元 CV4） are often selected to invigorate spleen so as to nourish original qi and to treat both spleen and kidney. The above-mentioned five acupoints form a pattern similar to a star according to their location distribution, so it is called the starlike selection method of acupoints, which attaches importance to spleen and kidney （original qi）. Many diseases, especially internal injuries, are often treated with the starlike acupuncture manipulation combined with acupuncture at other acupoints, which achieves good clinical efficacy.展开更多
By virtue of rich academic experience, professor JIA Chun-sheng can change the treatment method during clinical practice and implement different therapies according to the diseases, thus he can obtain effective and ra...By virtue of rich academic experience, professor JIA Chun-sheng can change the treatment method during clinical practice and implement different therapies according to the diseases, thus he can obtain effective and rapid results. In this study, the theoretical knowledge, application method and clinical experience of professor JIA Chun-sheng in blooddraining therapy on the back were mainly introduced. Professor JIA Chun-sheng focuses on two key viewpoints： ＂Attacking pathogenic qi is to supplement deficiency,＂ and ＂Eliminating stagnant pathogen can clean the intestines and stomach, and removing concretions and conglomerations can harmonize Fing and wei＂, which have been considered as the important theoretical bases of direction of clinical practice. Generally, professor JIA Chun-sheng conducts blood-draining therapy at Dazhui （大椎 GV 14）, Feishu （肺俞 BL 13）, Xinshu （心俞 BL 15）, Geshu （膈俞 BL 17）, Ganshu （肝俞 BL 18）, Pishu （脾俞 BE 20） and Shenshu （肾俞 BL 23） on the back in order to improve the blood circulation in local and corresponding zong-fu organs, thus being beneficial to harmonize qi and blood, or eliminate dampness, heat, wind, stasis and toxins. In the process of blood-draining, professor JIA Chun-sheng combines the blood-draining pen with vacuum cup to replace the traditional blood-draining tools, which makes the blooddraining therapy easy to learn and use.展开更多
文摘AIM： To investigate the prevalence of giardiasis in patients with dyspeptic symptoms. METHODS＂ Clinical records of consecutive patients who attended Gastroenterology Department at Aga Khan University Hospital from January 2000 to June 2003 and had esophagogastroduodenoscopy （EGD） with duodenal biopsies and international classification of diseases 9th revision with clinical modifications （ICD-9-CM） coded with giardiasis were studied. RESULTS： Two hundred and twenty patients fulfilled the above criteria. There were 44% （96/220） patients who were giardiasis positive, 72% （69/96） of them were males and 28% （27196） of them were females. There were 65% （81/124） males and 35% （43/124） females who were giardiasis negative. The mean age of patients with giardiasis was 28±17 years, while that of giardiasis negative patients was 40±18 years （P〈0.001）. In patients with giardiasis, abdominal pain was present in 71% （68/96） of patients （P = 0.02） and diarrhea in 29% （28/96） （P = 0.005）; duodenitis in 25% （24/96） on EGD （P = 0.006） and in 68% （65/96） on histopathology （P = 0.002）. CONCLUSION： Giardiasis occurs significantly in young people with abdominal pain, while endoscopic duodenitis is seen in only 25% of giardiasis positive cases, which supports routine duodenal biopsy.
文摘Under the influence of academic theories of numerous physicians of TCM such as Li Gao and Li Zhong-zi in antient China, Professor Jia Chun-sheng proposed the academic thought of tonifying spleen and kidney in combination with acupuncture based on his clinical experience for decades. In clinical practice of acupuncture, Zhongwan （中脘 CV 12）, bilateral Tianshu （天枢 ST 25）, Qihai （气海 CV 6）, Guanyuan （关元 CV4） are often selected to invigorate spleen so as to nourish original qi and to treat both spleen and kidney. The above-mentioned five acupoints form a pattern similar to a star according to their location distribution, so it is called the starlike selection method of acupoints, which attaches importance to spleen and kidney （original qi）. Many diseases, especially internal injuries, are often treated with the starlike acupuncture manipulation combined with acupuncture at other acupoints, which achieves good clinical efficacy.
基金Supported by Scientific and technological project of Hebei Provincial Science and Technology Department,project:16277725D
文摘By virtue of rich academic experience, professor JIA Chun-sheng can change the treatment method during clinical practice and implement different therapies according to the diseases, thus he can obtain effective and rapid results. In this study, the theoretical knowledge, application method and clinical experience of professor JIA Chun-sheng in blooddraining therapy on the back were mainly introduced. Professor JIA Chun-sheng focuses on two key viewpoints： ＂Attacking pathogenic qi is to supplement deficiency,＂ and ＂Eliminating stagnant pathogen can clean the intestines and stomach, and removing concretions and conglomerations can harmonize Fing and wei＂, which have been considered as the important theoretical bases of direction of clinical practice. Generally, professor JIA Chun-sheng conducts blood-draining therapy at Dazhui （大椎 GV 14）, Feishu （肺俞 BL 13）, Xinshu （心俞 BL 15）, Geshu （膈俞 BL 17）, Ganshu （肝俞 BL 18）, Pishu （脾俞 BE 20） and Shenshu （肾俞 BL 23） on the back in order to improve the blood circulation in local and corresponding zong-fu organs, thus being beneficial to harmonize qi and blood, or eliminate dampness, heat, wind, stasis and toxins. In the process of blood-draining, professor JIA Chun-sheng combines the blood-draining pen with vacuum cup to replace the traditional blood-draining tools, which makes the blooddraining therapy easy to learn and use.
