大国医之路——读《古代的中医——七大名医传奇》有感

通过阅读罗大伦博士的《古代的中医》,笔者将大国医的成才之路归纳总结为六点,重德行,医者仁心;拜名师,薪火传承;重经典,精勤不倦;重悟性,医者意也;重精术,妙手仁术;立书著,传播学问。

从《大国医》谈为医之道

洛阳平乐正骨之术闻名遐迩,其医理之博,医德之良,令人叹为观止。余近日观央视大剧《大国医》,有感于为医之道,心胸顿作空阔,遂作此文以记之。

大国医侠钟南山

在这次疫情中,人们看到一个似曾相识又十分熟悉的老者身影——他就是中国工程院院士、著名呼吸病学专家钟南山。他希望自己还能再奋斗20年,建设亚洲最大的心肺呼吸中心。他说:"父亲曾跟我说过,一个人活在这个世界上,要是能给世界留下点什么,就不算白活。"

500本《揭秘百岁老人》限量赠送 大国医胡维勤首度公开:摆脱疾病,延长寿命的秘密

不上医院、少吃药,大国医教你治百病!胡维勤,中华名医,现年81岁高龄,曾担任多位领导人医疗保健医师,具有丰富的保健经验。1995年,他被评为"突出贡献的医学科学家",享受特殊津贴。胡教授介绍说:作为保健医生,职责就是将疾病消除在形成之前,也就是"治未病",而如何在疾病形成之前就能未雨绸缪,中医在这方面就做得很好。很多人认为中医神秘莫测,也有很多人认为中医艰涩难懂。

500本《揭秘百岁老人》限量赠送 大国医胡维勤首度公开:摆脱疾病,延长寿命的秘密

不上医院、少吃药,大国医教你治百病!胡维勤,中华名医,现年81岁高龄,曾担任多位领导人医疗保健医师,具有丰富的保健经验。1995年,他被评为"突出贡献的医学科学家",享受特殊津贴。胡教授介绍说:作为保健医生,职责就是将疾病消除在形成之前,也就是"治未病",而如何在疾病形成之前就能未雨绸缪,中医在这方面就做得很好。很多人认为中医神秘莫测,也有很多人认为中医艰涩难懂,胡教授却说:其实,中医一直就在我们身边,融入到了我们生活的方方面面。

不上医院、少吃药,大国医教你治百病!

胡维勤,中华名医,现年81岁高龄,曾担任多位领导人医疗保健医师,具有丰富的保健经验。1995年,他被评为"突出贡献的医学科学家",享受特殊津贴。胡教授介绍说:作为保健医生,职责就是将疾病消除在形成之前,也就是"治未病",而如何在疾病形成之前就能未雨绸缪,中医在这方面就做得很好。很多人认为中医神秘莫测,也有很多人认为中医艰涩难懂,胡教授却说:其实,中医一直就在我们身边。

《大国医魂》在医治谁的灵魂

鲁人的传奇中医小说<大国医魂>,用一天时间读完了它,感觉上心情激荡.现在坐下来,说两句吧. 北京作家鲁人,在长篇小说<大国医瑰>书中用何子建这个第一人称口气,讲述了京鲁两地一位神医家族,上个世纪百年间的人世沧桑.小说是一部家族史,又像一册连环画.通过对三十多个人物渐递的回忆,勾勒素描,为我们打开了一扇记忆的闸门.传奇的故事扑面而来,真实而又亲切.通读全书,感觉里面就有我们的上辈,有我们的亲戚,有我们身边的人. ……

《大国医》:为中医行业树国产偶像

中医其实有很多玄妙的东西。比如老外就不理解,某些生活中司空见惯的东西,竟然能入药。剂量怎么测算?科学标准何在?等等。以前顾忌"封建迷信"帽子,对中医的地位有限制。

从重庆市中医院建设看中医药的建筑文化

通过建筑空间和建筑形象与对外宣传可以有效地促进医院文化建设,确立与形成医院自身核心文化理念。该文以重庆市中医院的迁建工程实例,从建筑设计理念开始,通过建筑外观、庭院环境、院内文化装饰三方面对工程建设中的文化体现进行了探讨,充分展现出医院内外环境建设及其装修对中医药文化建设至关重要的作用。

Data mining analysis of Professor Liu Shangyi＇s prescription characteristics in clinical medicine for the treatment of cancer patients with stomachache

Objective： To analyze National Chinese Medicine Master Liu Shangyi’s prescription characteristics of clinical medicinefor the treatment of cancer patients with stomachache. Methods： Data on prescriptions for cancer patients withstomachache between January 2014 and July 2016 were collected. The composing principles were analyzed byunsupervised data mining methods including Apriori algorithm in association rules and complex system entropy cluster.Results： Based on the analysis of 120 prescriptions, the frequency of each herb and association rules among the herbswere computed. Four core combinations and two new prescriptions were mined from the database. Compared to thebefore treatment, the clinical symptomatic grading of stomachache after treatment was lower （P 〈 0.001）. Conclusion：Professor Liu has been successful in the treatment of cancer patients with stomachache by prescribing medication thataids in activating blood circulation, removing dampness, and alleviating pain.

Traditional Chinese medicine Master XIONG Jibo’s medication experience in treating arthralgia syndrome through data mining

Objective This study aimed to examine and propagate the medication experience and group formula of traditional Chinese medicine(TCM)Master XIONG Jibo in diagnosing and treat-ing arthralgia syndrome(AS)through data mining.Methods Data of outpatient cases of Professor XIONG Jibo were collected from January 1,2014 to December 31,2018,along with cases recorded in A Real Famous Traditional Chinese Medicine Doctor:XIONG Jibo's Clinical Medical Record 1,which was published in December 2019.The five variables collected from the patients’data were TCM diagnostic information,TCM and western medicine diagnoses,syndrome,treatment,and prescription.A database was established for the collected data with Excel.Using the Python environment,a custom-ized modified natural language processing(NLP)model for the diagnosis and treatment of AS by Professor XIONG Jibo was established to preprocess the data and to analyze the word cloud.Frequency analysis,association rule analysis,cluster analysis,and visual analysis of AS cases were performed based on the Traditional Chinese Medicine Inheritance Computing Platform(V3.0)and RStudio(V4.0.3).Results A total of 610 medical records of Professor XIONG Jibo were collected from the case database.A total of 103 medical records were included after data screening criteria,which comprised 187 times(45 kinds)of prescriptions and 1506 times(125 kinds)of Chinese herbs.The main related meridians were the liver,spleen,and kidney meridians.The properties of Chinese herbs used most were mainly warm,flat,and cold,while the flavors of herbs were mainly bitter,pungent,and sweet.The main patterns of AS included the damp heat,phlegm stasis,and neck arthralgia.The most commonly used herbs for AS were Chuanniuxi(Cyathu-lae Radix),Huangbo(Phellodendri Chinensis Cortex),Cangzhu(Atractylodis Rhizoma),Qinjiao(Gentianae Macrophyllae Radix),Gancao(Glycyrrhizae Radix et Rhizoma),Huangqi(Astragali Radix),and Chuanxiong(Chuanxiong Rhizoma).The most common effect of the herbs was“promoting blood circulation and removing blood stasis”,followed by“supple-menting deficiency(Qi supplementing,blood supplementing,and Yang supplementing)”,and“dispelling wind and dampness”.The data were analyzed with the support≥15%and con-fidence=100%,and after de-duplication,five second-order association rules,39 third-order association rules,39 fourth-order association rules,and two fifth-order association rules were identified.The top-ranking association rules of each were“Cangzhu(Atractylodis Rhizoma)→Huangbo(Phellodendri Chinensis Cortex)”“Cangzhu(Atractylodis Rhizoma)+Chuanniuxi(Cyathulae Radix)→Huangbo(Phellodendri Chinensis Cortex)”“Chuanniuxi(Cyathulae Radix)+Danggui(Angelicae Sinensis Radix)+Gancao(Glycyrrhizae Radix et Rhizoma)→Qinjiao(Gentianae Macrophyllae Radix)”and“Chuanniuxi(Cyathulae Radix)+Danggui(Angelicae Sinensis Radix)+Gancao(Glycyrrhizae Radix et Rhizoma)+Huangbo(Phello-dendri Chinensis Cortex)→Qinjiao(Gentianae Macrophyllae Radix)”,respectively.Five clusters were obtained using cluster analysis of the top 30 herbs.The herbs were mainly dry-ing dampness,supplementing Qi,and promoting blood circulation.The main prescriptions of AS were Ermiao San(二妙散),Gegen Jianghuang San(葛根姜黄散),and Huangqi Chongteng Yin(黄芪虫藤饮).The herbs of core prescription included Cangzhu(Atractylodis Rhizoma),Chuanniuxi(Cyathulae Radix),Gancao(Glycyrrhizae Radix et Rhizoma),Huangbo(Phellodendri Chinensis Cortex),Mugua(Chaenomelis Fructus),Qinjiao(Gentianae Macro-phyllae Radix),Danggui(Angelicae Sinensis Radix),and Yiyiren(Coicis Semen).Conclusion Clearing heat and dampness,relieving collaterals and pain,and invigorating Qi and blood are the most commonly used therapies for the treatment of AS by Professor XIONG Jibo.Additionally,customized NLP model could improve the efficiency of data mining in TCM.

Intra-set correlation analysis of medical records of thyroid cancer treated by traditional Chinese medicine Master ZHOU Zhongying

Objective Based on intra-set correlation analysis, this paper deconstructs the clinical medical records of traditional Chinese medicine(TCM) Master ZHOU Zhongying in treating thyroid cancer, and analyzes the experience in “mechanism-syndrome-medicine-prescription” for thyroid cancer.Methods Through Medcase data processing platform, based on Frequent Pattern(FP)-Growth enhanced correlation analysis algorithm, the medical records of Professor ZHOU Zhongying for the treatment of thyroid cancer from June 1, 2001 to February 28, 2015 were analyzed within the set.Results This study involved 43 medical records, 43 patients, and 167 visits. After processing intra-set correlations, 28 groups of highly correlated symptoms, 21 groups of highly correlated tongue images, 10 groups of highly correlated pulse conditions, 28 groups of highly correlated pathogenesis, 34 groups of highly correlated herbs, and 26 groups of highly correlated western medicine diagnosis were selected. Professor ZHOU Zhongying treats thyroid cancer according to syndrome differentiation. Symptoms with more association rules included neck swelling, neck pain, cough, and dry mouth;tongue images with more association rules included dark purple tongue, dark red tongue, and fissured tongue;pulse conditions with more association rules were wiry pulse, thready pulse, small pulse, and slippery pulse;the pathogenesis with more association rules was phlegm and blood stasis, damp-heat accumulation,and impairment of both Qi and Yin;herbs with more association rules were Chaihu(Bupleuri Radix), Zeqi(Sun Euphoribiae Herb), and Tiandong(Asparagi Radix);western medicine diagnosis with more association rules included thyroid cancer, insomnia, and chronic gastritis.Conclusion Thyroid cancer mostly presents as deficiency in origin and excess in manifestations. The basic pathogenesis is phlegm and blood stasis, damp-heat accumulation, and impairment of both Qi and Yin, which are closely related to liver, kidney, and spleen. Professor ZHOU Zhongying adopts both attack and supplement approaches as the general treatment principle, with a strong emphasis on regulating Qi and relieving depression, eliminating phlegm and resolving stagnation, eliminating dampness and turbidity, clearing fire and destroying poison, moistening dryness and softening hard mass, invigorating Qi and nourishing Yin, and paying attention to nourishing liver and kidney, invigorating spleen and stomach,while protecting the heart and lungs.

Synchronous incidental gastrointestinal stromal and epithelial malignant tumors

AIM:To investigate the incidence of incidental gastrointestinal stromal tumor (GIST) and its etiopathogenesis.METHODS: From January 1, 2000 to December 31, 2007, 13 804 cases of gastrointestinal epithelial malignant tumor (EMT) and 521 cases of pancreatic adenocarcinoma (PAC) were successfully treated with surgery at the Department of General Surgery and the Department of Thoracic Surgery, West China Hospital, Sichuan University, China. The clinical and pathologic data of 311 cases of primary GIST, including 257 cases with clinical GIST and 54 cases of incidental GIST were analyzed.RESULTS: Of the 311 patients, 54 had incidental GIST, accounting for 17.4%. Of these tumors, 27 were found in 1.13% patients with esophageal squamous cell carcinoma (ESCC), 22 in 0.53% patients with gastric adenocarcinoma (GAC), 2 in 0.38% patients with PAC, 2 in 0.03% patients with colorectal adenocarcinoma, and 1 in one patient with GAC accompanying ESCC, respectively. Patients with incidental GIST presented symptoms indistinguishable from those with EMT. All incidental GIST lesions were small in size, and the majority had a low mitotic activity while only 1.9% (5/257) of clinical GIST lesions had a high risk.CONCLUSION: Incidental GIST may occur synchronously with other tumors and has a high prevalence in males. Surgery is its best treatment modality.

Meeting the ADA Guidelines of Diabetic Care at King Fahd Hospital of University, Khobar, Eastern Province, Saudi Arabia in 2012

The main purpose of this study is determining the extent of achieving American Diabetes Association （ADA） targets in diabetes type I and II at KFUH （King Fahd Hospital of University） in the year of 2012. Observational, cross sectional, retrospective study was conducted on 479 patients; the informations were reviewed using Quadramed CPR system. All the data obtainedwere analyzed by medical statistician using SPSS program. The results show that only 19.0% was achieved the target of HbA~; and the targets of LDL, HDL and TG were achieved in 38.4%, 35.9%, and 48.2% respectively. The routine ophthalmology and dietitian review were found to be in only 32.1% and 27.3%, respectively. The use of medications recommended by ADA was 51.4% for aspirin and 54.7 % for both statin and ACE inhibitor. The present study indicated that most of the ADA guidelines were not achieved in our diabetic patients being followed in our center, which is almost similar to other studies in most of the parameters. The achievement of diabetes targets is a difficult task but may not be impossible. It requires a multidisciplinary approach. So, further studies are needed to determine the reasons behind the gap between practice and guidelines.

How to lead foreign students into Traditional Chinese Medicine

Traditional Chinese Medicine (TCM) is becoming much more international and widely accepted. More and more foreign students come to China's Mainland to study this great yet mysterious discipline. However, the current teaching methods are far from satisfaction. This paper analyzes some existing problems and contradictions present in the teaching practices and suggests some measures for improvement.

Start of the “China Autism Service Platform”

On April 1,themed with＂Different Colours,Same Beauty＂,the China Women＇s Development Foundation,together with No.6 Hospital Affiliated to Beijing University,the CCTV tower,Beijing Anding Hospital,and Beijing Association for Rehabilitation of Autistic Children,

Cloning of ACC Oxidase （ACO） Gene from Dendrobium officinale

Many studies suggest that ethylene plays an important role in regulating metabolite synthesis. Dendrobium plants are traditional Chinese medicine and nowadays its medicinal components are known to be secondary metabolites. In present study, a homolog of ACC oxidase （ACO） gene was isolated from flowers of Dendrobium officinale Kimura et Migo by PCR-method. The obtained cDNA of DoACO is 970 bp long and contains an open reading frame （ORP） encoding a protein with 314 amino acid residues. The DoACO shows high identity to its homologues from other plant species, that has 94.8% closest amino acid sequence of related protein with the ACO from Dendrobium hybrid cultivar. The putative ORP of the obtained sequence could encode a proper protein in respect of molecular weight under T -Lac promoter in E. coli.

Common causes of geriatric medical emergencies in China

To the Editor One of the most significant demographic changes in our cotmtry is the increase in the elderly population. In China Mainland, the population aged 60 and older was 194 million in 2012, accounting for 14.3% of the total population. However, by 2053, it is estimated that the number of elderly will reach 487 million, representing 34.8% of the total population. Elderly patients represent an everncreasing populace in emergency medicine who often present with atypical signs and symptoms as well as eomorbidities that can complicate diagnoses and treatment.Ell The geographic factors and the developmental status of the country can influence the spectrum of common geriatric emergencies. Thus, this study presents a retrospective analysis of common causes of geriatric emergencies involving 9,628 elderly patients from Jan. 2008 to Dec. 2013 in an emergency department in Beijing, China.

编前

《大国医》是中医学博士罗大中（又名罗大伦）先生的一个系列讲座。初听觉得罗先生简直像个说书的人，什么：“不知谁家养的一群鸭子，摇摇摆摆向村边的河里跑去……在一个简陋的房子里，一个男子在收拾包裹。他有点喝醉了，眼睛里泛着微微的红色……”这哪里像中医讲座？讲古代大医，就应该多讲他们所创立的理论，讲他们如何分析病情，如何治病。

500本《揭秘百岁老人》限量赠送

大国医胡维勤首度公开:摆脱疾病,延长寿命的秘密——倡导全民科学健康养生,500本《揭秘百岁老人》免费发放随着亚健康、老慢病人群的增多和人们对生活品质要求的提高,养生保健已经成为大话题,然而,对于普通老百姓而言,中医历来显得神秘而有距离感,再加之文言文的障碍,人们对晦涩难懂的养生典籍往往敬而远之。大国医胡维勤一生致力于提高我国亚健康、老慢病康复的研究,针对民间养生知识泛滥。