从“伤风不醒便成劳”谈《金匮要略》虚劳病与外感病的关系

虚劳一病,古今医家多从正气亏损、精气血阴阳不足立论,而《伤寒杂病论》一书,却是外感与内伤杂病合论,且非常重视外感"风气"对人体健康的影响。后世更有"伤风不醒便成劳"的说法,进一步阐发了外感对于虚劳病的发生、发展以及预后的密切关系,这对于虚劳病的治疗提供了新的思路和途径。因此文章认为,伤风不醒便成劳,虚劳日久风气袭,《金匮要略》所言虚劳病与外感病关系密切,二者互相影响,临床表现上可互相兼夹,治疗方面需权衡兼顾。

向前走是时间 向后看便成了时光

你会不会有那么一瞬间,觉得眼前的一切很熟悉,就像在梦中梦到过一般。恍惚间,才惊觉,那也只是黄粱一梦罢了。时间的道路上没有红绿灯,有的似乎只是一直向前的铁轨,你看得见,听得到,却追不上。你我的眼睛,黑白分明,犹如一块幕布。那些所有属于青春的记忆都藏在那块黑白分明的幕布中,一幅幅绚丽多彩的画卷在我们的眼中展开,我们却无法察觉,即使,那画面就近在我们的眼睛里。其实,正是因为它太近了,所以。

Group Size and Composition of Black-and-White Snub-nosed Monkey (Rhinopithecus bieti) Estimated by Faecesof Sleeping Sites at Baima Snow Mountain

This study was designed to introduce a new method of estimating group size and composition of black-andwhite snub-nosed monkeys （Rhinopithecus bieti ） on the basis of faecal amount at sleeping sites at Mt. Baima Nature Reserve. The monkeys spend nights in the form of one-male, multi-female units （OMUs） and all-male units （AMU）, and their faecal pellets can be classified into three categories： adult males （the largest）, adult females （moderate） and immatures （the smallest） based on their size. Total pellets were counted under sleeping trees used for two nights at Nanren village （99°04′E, 28°34′N, northwest of Yunnan Province, China） in each of four seasons in 2000- 2001. Moreover, data on group composition were collected when the monkeys were passing through an open gully in November 2001. Since the number of adults in OMUs shows a positive significant correlation with the amount of pellets amount in each season, the mean number of feces produced per night per individual is the slope of the regression lines. Thus, group size and composition can be relatively reliably and accurately estimated by the faeces under trees compared with the previous methods of estimation, including the use of monkeys＇ activities and tracks such as broken branches on steep slopes, in deep gorges and under lower visibility. The use of pellets for population estimates displayed 9.4% deviation in regards to population size of adult females. Some causes of the bias were also discussed. The method might be applicable to other monkey groups of this species if their habitats and main foods are similar to those of the study group.

Effects of salinity on egg and fecal pellet production, development and survival, adult sex ratio and total life span in the calanoid copepod, A cartia tonsa:a laboratory study

The ef fects of salinity on the copepod, A cartia tonsa in terms of daily egg production rate(EPR), hatching success, fecal pellet production rate(FPR), naupliar development time and survival, sex ratio, and total life span were determined in laboratory conditions through three experiments. In experiment 1, EPR, hatching success, and FPR of individual females were monitored at salinities of 13, 20, 35 and 45 during short-periods(seven consecutive days). Results show EPR was aff ected by salinity with the highest outputs recorded at 20 and 35, respectively, which were considerably higher than those at 13 and 45. Mean FPR was also higher in 35 and 20. In experiment 2, the same parameters were evaluated over total life span of females(long-term study). The best EPR and FPR were observed in 35, which was statistically higher than at 13 and 20. In experiment 3, survival rates of early nauplii until adult stage were lowest at a salinity of 13. The development time increased with increasing of salinity. Female percentage clearly decreased with increasing salinity. Higher female percentages(56.7% and 52.2%, respectively) were signifi cantly observed at two salinities of 13 and 20 compared to that at 35(25%). Total longevity of females was not af fected by salinity increment. Based on our results, for mass culture we recommend that a salinity of 35 be adopted due to higher reproductive performances, better feeding, and faster development of A. tonsa.

Facile Synthesis of Mesoporous γ-Alumina using Starch as Template

Mesoporous alumina was prepared by using starch as the structure-directing template in an aqueous system. The resultant samples were characterized by using different methods such as the X-ray diffractometry,the transmission electron microscopy,the nitrogen adsorption-desorption analysis and the solid MAS NMR. The results showed that the prepared mesoporous γ-alumina had high surface area and uniform pore size distribution,and its specific surface area and the pore size could be tuned by changing the pH value of the starting solution.

Lower Bifidobacteria counts in both duodenal mucosa-associated and fecal microbiota in irritable bowel syndrome patients

AIM: To determine the composition of both fecal and duodenal mucosa-associated microbiota in irritable bowel syndrome (IBS) patients and healthy subjects using molecular-based techniques. METHODS: Fecal and duodenal mucosa brush samples were obtained from 41 IBS patients and 26 healthy subjects. Fecal samples were analyzed for the composition of the total microbiota using fluorescent in situ hybridization (FISH) and both fecal and duodenal brush samples were analyzed for the composition of bif idobacteria using real-time polymerase chain reaction. RESULTS: The FISH analysis of fecal samples revealed a 2-fold decrease in the level of bifidobacteria (4.2 ± 1.3 vs 8.3 ± 1.9, P < 0.01) in IBS patients compared to healthy subjects, whereas no major differences in other bacterial groups were observed. At the species level, Bifidobacterium catenulatum levels were significantly lower (6 ± 0.6 vs 19 ± 2.5, P < 0.001) in the IBS patients in both fecal and duodenal brush samples than in healthy subjects.CONCLUSION: Decreased bifidobacteria levels in both fecal and duodenal brush samples of IBS patients compared to healthy subjects indicate a role for microbiotic composition in IBS pathophysiology.

Facile Synthesis of Coronene Dimers Having Unique Optical Properties

The authors synthesized very pure dimer phase of coroneae by simple heat-treatment and subsequent sublimation purification. It was confirmed by laser desorption/ionization mass spectroscopy measurements that pure dimer phase of coronenes can be obtained by controlling the fusing and sublimation temperatures. The crystal structure of the dimer phase was analyzed by synchrotron XRD （X-ray diffraction） experiments. It was also found that very bright red light is emitted by irradiating ultra violet light （λ = 350 nm） to the dimer phase. The external and internal quantum yields were determined to be 5.56% and 6.95%, respectively.

Electroacupuncture Treatment for Constipation Due to Spasmodic Syndrome of the Pelvic Floor——A Report of 36 Cases

Thirty-six cases of constipation due to spasmodic syndrome of the pelvic floor were treated by electroacupuncture, with satisfactory therapeutic results reported as follows.Clinical DataThere were 36 cases in this series, 12 males and 24 females, ranging in age from 25 to 76 years, averaging 42 years. The course of disease ranged from 6 months to 22 years, with an average of 6 years. All the 36 cases were previously treated by purgative and emollient cathartic for promoting the bowl movement.

Novel Frequency Hopping Sequences Generator Based on AES Algorithm

A novel frequency hopping(FH) sequences generator based on advanced encryption standard(AES) iterated block cipher is proposed for FH communication systems.The analysis shows that the FH sequences based on AES algorithm have good performance in uniformity, correlation, complexity and security.A high-speed, low-power and low-cost ASIC of FH sequences generator is implemented by optimizing the structure of S-Box and MixColumns of AES algorithm, proposing a hierarchical power management strategy, and applying ...

Ensiled Cassava Peel and Caged Layers＇ Manure Mixture as Energy Source in Broiler Starter Diet

The replacement of maize with dried cassava peel and dried caged layers＇ manure mixed in ratio 5：1 （w/w）, ensiled for 14 days was investigated in broiler starter diet to evaluate their growth responses. The fermented mixture was used to partially replace maize at 0, 25% and 50% in broiler starter diet. Ninety （90） day old chicks, of Anark breed were divided into three groups of three replicates each. There were ten birds per replicate and each group was fed each of the dietary treatment ad libitum for 28 days. Feed intake, body weight gain, feed conversion ratio （FCR）, protein efficiency ratio （PER）, total protein, albumin, globulin, aspartate aminotransaminase （EC 2.6.1.1.1）, alanine aminotransaminase （EC 2.6.1.1.2）, carcass cut parts and cost per kilogram flesh gained were monitored. Results showed linear increase （P 〈 0.05） in feed intake, body weight gain, FCR, and PER. The serum proteins and enzymes monitored were not influenced （P 〉 0.05） by treatments. The eviscerated weight, wings and large intestine length were higher （P 〈 0.05） in birds fed 50% replacement of maize diet. The cost of feed per kilogramme and cost per kilogramme flesh gained was best （P 〈 0.05） in birds fed diets 50% replacement of maize. Therefore, fermented mixture of cassava peel and caged layers＇ manure （FCPCLM） in broiler starter diet at 50% dietary level support good performance, enhanced gain in eviscerated weight and reasonable cost per kilogramme flesh gained at the starter phase.

A facile synthesis of 2-aryloxypyrimidine derivatives via a tandem reductive amination/intermolecular S_NAr sequence

A novel tandem reductive amination/intermolecular nucleophilic aromatic substitution (SNAr) sequence has been established for the synthesis of amine containing pyrimidine in formation of one carbon-oxygen and one carbon-nitrogen bonds in a one-pot fashion. Treatment of aldehyde with arylamine, 2-methanesulfonyl-4,6-dimeth-oxypyrimidine and sodium borohydride provides good overall yield. The p-toluenesulfonic acid (PTSA) can be used as activator and is generally needed in the reaction. Dioxane is the preferred reaction solvent, but reactions can also be carried out in tetrahydrofuran (THF), MeCN, toluene and dichloromethane. The procedure is carried out effectively in the presence of K2CO3. The reaction proceeds smoothly with aromatic aldehydes and arylamines possessing elec-tron-donating or-withdrawing groups. This method can be applied to the synthesis of the oilseed rape herbicide and is superior to the classical one in several aspects: cutting out several purification steps, minimizing solvent use and chemical waste, and saving time. Its advantages such as operational convenience, high-efficient synthesis, and starting material availability make it a desirable method for preparing amines with molecular diversity and biological activity.

Facile synthesis of size-tunable stable nanoparticles via click reaction for cancer drug delivery

The stability and size of polymeric nanoparticles are two of the most important parameters determining their pharmacokinetics and tumor/drug accumulation efficiency in cancer-drug delivery. Herein, we report a facile one-pot synthesis of crosslinked nanoparticles(CNPs) with tunable sizes and polyethylene glycol(PEG) shells via click reactions. Simply by adjusting the contents of the macromonomer(PEG monoacrylate) in its reaction with ethylene diacrylate and a crosslinker containing hexa-thiols groups, the sizes of the resulting PEGylated crosslinked nanoparticles could be easily tuned from 10 to 90 nm. These nanoparticle cores could encapsulate hydrophobic drugs such as doxorubicin(DOX), and the unreacted thiol and acrylate groups could be used for drug conjugation or labeling. Thus, the nanoparticles provide a multifunctional platform for drug delivery. In vivo studies showed that the larger nanoparticles(about 83.7 nm) had a much longer blood-circulation time and better tumor-targeting efficiency. One of our most important findings was that the drug encapsulated in the crosslinked nanoparticles, even though little was released at pH 7.4 under in vitro conditions, had much faster blood clearance than the nanoparticles' carrier, suggesting that drug release in the bloodstream was significant.

An efficient and facile synthesis of N-Cbz-β-aminoalkanesulfonamides

An efficient method for the synthesis of N-Cbz-β-aminoalkanesulfonamides was described.N-Cbz-β-aminoalkanesulfonamides were readily prepared in good yields from a variety of amino alcohols,including optically active ones,via N-Cbz protection with benzyl chloroformate,Mitsunobu esterification reaction with thiolacetic acid,N-chlorosuccinimide oxidation,and ammonolysis process.

A facile synthesis of hierarchical Sn3O4 nanostructures in an acidic aqueous solution and their strong visible- light-driven photocatalytic activity

Hierarchical tin（Ⅲ） oxide, Sn3O4, nanospheres were synthesized via hydrothermal reaction under strongly acidic ambient conditions. The morphology of Sn3O4 varied with decreasing pH. The prickly SnaO4 nanospheres changed into SnaO4 nanospheres covered with single-crystalline nanoplates having a high BET surface area of ca. 55.05 m^2·g^-1 and a band gap of ca. 2.25 eV. Small amounts （0.05 g） of the hierarchical Sn3O4 nanostructures completely decomposed a 30% methyl orange （MO） solution in 100 mL deionized water within 15 min under one sun condition （UV ＋ visible light）. The Sn3O4 photocatalyst exhibited a fast decomposition rate of 1.73 ×10^-1 min^-1, which is a 90.86% enhancement relative to that of the commercially available P25 photocatalyst. The high photocatalytic activity of the hierarchical Sn3O4 nanostructures is attributed to its ability to absorb visible light and its high surface-to-volume ratio.

The effects of probiotics administration on the milk production,milk components and fecal bacteria microbiota of dairy cows

Probiotics administration can improve host health. This study aims to determine the effects of probiotics （Lactobacillus casei Zhang and Lactobacillus plantarum P-8） administration on milk production, milk func- tional components, milk composition, and fecal microbiota of dairy cows. Variations in the fecal bacteria microbiota between treatments were assessed based on 16S rRNA profiles determined by PacBio single molecule real-time sequencing technology. The probiotics supplementation significantly increased the milk production and the contents of milk immunoglobulin C （IgG）, lactoferrin （LTF）, lysozyme （LYS） and lactoperoxidase （LP）, while the somatic cell counts （SCC） significantly decreased （P〈0.01）. However, no significant difference was found in the milk fat, protein and lactose contents （P 〉 0.05）. Although the probiotics supplementation did not change the fecal bacteria richness and diversity, significantly more rumen fermentative bacteria （ Bacteroides, Roseburia, Ruminococcus, CIostridium, Coprococcus and Dorea） and beneficial bacteria （Faecalibacterium prausnitzii） were found in the probiotics treatment group. Meanwhile, some opportunistic pathogens e.g. Bacillus cereus, Cronobacter sakazakii and Alkaliphilus oremlandii, were suppressed. Additionally, we found some correlations between the milk production, milk components and fecal bacteria. To sum up, our study demonstrated the beneficial effects of probiotics application in improving the quality and quantity of cow milk production.

SmI_2-promoted imino-Reformatsky reaction for facile synthesis of enantioenriched β-amino acid esters

A facile and efficient method for the stereoselective synthesis of β-amino acid esters via SmI2-promoted imino-Reformatsky reaction is described.Asymmetric addition of tert-butyl bromoacetate to N-tert-butanesulfinyl aldimines afforded β-amino acid esters in moderate to high yields with excellent diastereoselectivities.The synthetic utilities of the tert-butyl β-amino acid esters were expanded by the preparation of β-lactams and 3-aminoindan-1-ones derivatives.

Ultrasmall Pd nanoclusters: facile synthesis and versatile catalytic application

A simple and efficient method for the synthesis of ultrasmall Pd nanoclusters(NCs) has been developed. The as-obtained Pd NCs displayed uniform size with an average diameter of 1.8±0.2 nm. The ultrasmall Pd NCs and carbon nanotubes(CNTs)-supported Pd NCs also showed outstanding catalytic activity for nitrobenzene reduction and Suzuki coupling reactions. Notably, the reactions were conducted under mild conditions with high yield and selectivity.

Lanthanide-catalyzed cyclocarbonylation and cyclothiocarbonylation: a facile synthesis of benzannulated 1,3-diheteroatom five- and six-membered heterocycles

La[N(SiMe3)2]3 proves to be an efficient catalyst system for the cyclocarbonylation of 1,2-disubstituted benzenes with isocyanates. In this approach, aryl/alkyl isocyanates react with o-phenylenediamine, o-aminophenol, o-aminothiophenol, catechols and anilines ortho-substituted by CH2NH2 and CONH2 to form, respectively, the corresponding benzimidazolones, benzoxazolones, benzothiazolones, benzodioxolones, 3,4-dihydroquinazolin-2(1H)-one, and quinazolinediones. These results represent the first example of lanthanide-catalyzed carbonylation. This methodology is also applicable for the preparation of various benzannulated 1,3-diheteroatom cyclic thioketones starting from aryl/alkyl isothiocyanates or CS2 in good to excellent yields. Based on the results of experiments performed using an o-aminobenzamido dianion lanthanide complex, a general mechanism, involving the tandem reaction of two lanthanide-ligand bonds with one heterocumulene molecule, is proposed as well.

Microbial treatment in chronic constipation

Chronic functional constipation is a kind of common intestinal disease that occurs in children, adults and elderly people. This disease not only causes great influence to physiological function, but also results in varying degrees of psychological barriers. At present, constipation treatments continue to rely on traditional methods such as purgative therapy and surgery. However, these approaches can disrupt intestinal function. Recent research between intestinal diseases and gut microbiota has gradually revealed a connection between constipation and intestinal flora disturbance, providing a theoretical basis for microbial treatment in chronic constipation. Microbial treatment mainly includes probiotic preparations such as probiotics, prebiotics, synbiotics and fecal microbiota transplantation(FMT). Due to its safety, convenience and curative effect, probiotic preparations have been widely accepted, especially gradually developed FMT with higher curative effects. Microbial treatment improves clinical symptoms, promotes the recovery of intestinal flora, and has no complications during the treatment process. Compared with traditional treatments, microbial treatment in chronic constipation has advantages, and is worthy of further promotion from clinical research to clinical application.