乌梅冰糖饮治疗妊娠恶阻一例

笔者自拟乌梅冰糖为基础方,加治疗妊娠恶阻一例,现报告如下;典型病例,万女士,25岁,已婚,与一年前因呕吐停止妊娠,此次停止与60天左右,及开始出现频繁的恶心呕吐,甚至入食即吐,服药不见好转来院就诊;妊娠诊断为阳性,患者面目苍白,精神紧张,表情痛苦,并伴有头晕、倦怠等症状。脉细弱,舌淡苔薄,此症状为脾胃虚弱,治以和胃降逆止呕后调补脾胃,处方:以乌梅10枚,冰糖1两煮之,取汤频频与之服用。

TCM Treatment of Renal Amyloidosis—A Report of One Case

Case HistoryMr.Pang,aged 70 years,case number for in-patient:063593.

The Current Status of the Delineation and Determination of the Targets and the Radiation Protocols for Nasopharyngeal Cancer with Intensity-Modulated Radiotherapy

IMRT has increased the local-regional control and decreased the complications from treating nasopharyngeal cancer （NPC）. Therefore studying IMRT is important. CT and MRI are complementary, and their joint use is currently considered to be the optimal modality to delineate the extent of the primary spread of NPC. The key problem in delineation of the neck nodes is how to translate anatomic node regions into the CT boundaries. The consensus guideline which narrowed the gap among different cancer centers is recommended in delineating the boundary of the cervical lymph node regions. The definition of the NPC GTV is clear and almost the same among the main cancer centers in their IMRT planning protocols. The suggested biological dose to the GTV is close to or more than 80 Gy; the main differences are the definitions of the CTVs and their schemes for the prescribed dose, and also the dosage to the high cervical region is different among those centers. According to their long-term follow-up results, it is suggested that, besides adding 5-10 mm margins to the primary lesions, the immediate high-risk structures （including the entire nasopharyngeal cavity, retropharyngeal space, clivus, base of the skull, pterygoid plates and muscles, parapharyngeal space, the sphenoid and partial ethmoid sinuses, the posterior third of the maxillary sinuses and the nasal cavity） should also be included with a prescription of more than 60 Gy, and the bilateral Ib, II and Va node levels should be ranked as high-risk regions and differentially prescribed for treatment with no less than 60 Gy.

BRIEF ANALYSIS ON THEORETIC EVIDENCE OF FOUR-GATE POINTS IN TREATMENT OF DISEASE

In the present paper, the authors expound the approaches of four-gate points on treatment of diseases and the relevant theoretic evidence. The analysis and discussion were carried on in the aspects of the origins of four-gate points and the relationships of four-gate points with primary qi, running course of meridian, qi and blood and biaoben qijie of meridian and collateral. Being the major points in clinic, four-gate points provide extensive indications and good therapeutic effects, which are supported thoroughly by the theoretic evidence.

First aid strategy for severe traumatic patients in hospital

Objective： To study the emergency management principles of severe trauma in hospital （injury severity score ≥ 16）. Methods： We used ＂ ATP principle＂ to manage severe traumatic patients. The ATP principle is composed of： 1 ） attending surgeons offering initial management （A） ; 2 ） teamwork commencement immediately after patients admitted to hospital （ T ） ; 3 ） parallel principle, ie, emergency resuscitation, evaluation and laboratory test performed simultaneously （P）. Clinical effects before and after applying ATP principle were retrospectively analyzed and compared. Results： During January 1, 2002 to December 31, 2003, 338 patients were treated without applying ATP principle, in which ISS was 25.9 ± 6.4, 152 cases died with the mortality being 39. 2%, and the time stayed in emergency department and the time to operation room after admission were （102.8±16.7） rain, （140.3 ±20.6） rain,respectively. During January 1, 2004 to December 31, 2005, 438 patients were treated based on ATP principle, in which ISS was 28.6 ± 7.8, 87 cases died with the mortality being 19.9%, and the time in emergency department and the time to operation room after admission were （69.5 ± 11.5） rain, （89.6 ±9 .3） min, respectively. ISS showed no significant difference between the two groups （ P 〉 0.05 ）, but the mortality, the time stayed in emergency department and the time to operation room after admission were greatly reduced and showed significant difference between the two groups （ P 〈 0.05 ）. Conclusions： Applying ATP principle to treat severe traumatic patients can shorten emergency treatment time in hospital and decrease mortality.

Analysis of the prescription of auricular acupoint therapy for simple obesity based on complex network techniques

Objective： To explore the core acupoints and combination rules of auricular acupoint therapy for simple obesity, and to further analyze the characteristics of the prescription of auricular acupoint therapy for simple obesity.Methods： Relevant clinical study literature in recent 30 years in PubMed, China Biology Medicine disc（CBM）, China National Knowledge Infrastructure（CNKI）, Wan Fang Database. VIP Database and TCM Online Database was retrieved, and eligible articles were selected in order to build a prescription database of auricular acupoint therapy for simple obesity. On the basis of complex network techniques, the core acupoints and combination rules of auricular acupoint therapy for simple obesity were analyzed, and the characteristics of auricular acupoint therapy for simple obesity were analyzed comprehensively.Results： There were 46 network nodes of auricular acupoint. The top 16 core acupoints for auricular acupoint therapy for simple obesity included Nèifēnmì（内分泌CO18）, Pí（脾CO13）, Wèi（胃CO4）, Sānjiāo（三焦CO17）, Jīdiǎn（饥点）.Shénmén（神门TF4）. Dàcháng（大肠CO7）. Pízhìxià（皮质下AT4）. Fèi（肺CO14）. Shèn（肾CO10）. Jiāogǎn（交感AH6 a）, Kǒu（口CO1）,Gān（肝CO12）. Xiǎocháng（小肠CO6） and Nǎo（脑）. The combination of auricular acupoints was mainly based on the main indications of acupoints. The analysis of auricular acupoints combination indicated that the combination of CO4 with CO18 was applied most frequently, which was followed by the combinations of CO13 with CO18 and CO13 with C04. According to the analysis of auricular acupoint stimulation methods, ear point taping and pressing with Wángbùliúxíng（王不留行,Semen Vaccariae） seeds was used frequently, which was followed by magnetic beads taping and pressing and pyonex therapy. Auricular acupoint therapy combined with acupuncture for simple obesity was used most commonly, which was followed by auricular acupoint therapy combined with catgut embedment in acupoint and simple auricular acupoint therapy.Conclusion： In this study, the core acupoints and combinations of auricular acupoint therapy for simple obesity were explored effectively, and the pressing materials and major combined intervention methods were summarized and analyzed, thus providing references and treatment thoughts in terms of the point and prescription selection of auricular acupoint therapy for simple obesity.

Application of minimally invasive surgery in traumatic brain injury

This article aims to expound the essence of minimally invasive surgery as well as when and how to use it in craniocerebral trauma surgery according to the characteristics of the disease. In neurosurgery, the importance of tissue protection should be from the inside to the outside, i.e. brain→dura→skull→scalp. In this article, I want to share my opinion and our team＇s experience in terms of selecting surgical approaches and incision, surgical treatment of the skull, dura handling, intracranial operation and placement of drainage based on the above theory. I hope this will be helpful for trauma surgeons.