张节《伤燥论》研究

新安医家张节《伤燥论》认为燥邪既作为六淫之一,就不应拘于季节发病来认识,仅言"秋燥"是不够的。张节主张以《内经》五运六气理论为指导,强调医者当重视天时、地域、体质等差异,全面阐述燥症的病原、病证、病脉及病辨。

张节传略

张节原名张国威,是安徽知名的爱国民主人士,党和人民忠实的朋友。他同所有爱国者一样,在与黑暗和专制的斗争中,能顺应时代的大潮,投向光明。 1892年,张节出生于宿松县凤凰镇。父亲张荩臣在镇上开小中药铺,以行医卖药为业。当时,帝国主义势力已经伸入安徽。在张节的家乡,教会势力十分猖狂。1900年,宿松曾爆发了群众捣毁教堂的斗争。当时,张节在私塾读书,也愤然在教堂的外墙写上:“

不同植物生长调节剂对冬小麦生长及产量的影响

为考察不同植物生长调节剂对农作物生长状况及产量的影响,以氨基寡糖素、复硝酚钠和胺鲜酯为处理药剂,以复合肥(18-15-12)为药剂载体,于冬小麦播种前底施于土壤,测定了不同生育时期冬小麦的株高、主根长、须根数、分蘖数、叶片数、顶节长、穗长、旗叶长、颖果数等指标。结果表明:氨基寡糖素在冬小麦前期能促苗生根,中期能促叶、增加分蘖数,提高冬小麦产量;复硝酚钠主要表现在中后期能促进冬小麦株高和旗叶的生长;胺鲜酯在冬小麦前期对茎叶、须根数,在中期对顶节长、颖果数具有促进作用,但后期对顶节长、旗叶长和颖果数有抑制作用;复硝酚钠和胺鲜酯均会降低冬小麦产量。

Equivalent elastic compliance tensor for rock mass with multiple persistent joint sets:Exact derivation via modified crack tensor

Discontinuities constitute an integral part of rock mass and inherently affect its anisotropic deformation behavior.This work focuses on the equivalent elastic deformation of rock mass with multiple persistent joint sets.A new method based on the space geometric and mechanical properties of the modified crack tensor is proposed,providing an analytical solution for the equivalent elastic compliance tensor of rock mass.A series of experiments validate the capability of the compliance tensor to accurately represent the deformation of rock mass with multiple persistent joint sets,based on conditions set by the basic hypothesis.The spatially varying rules of the equivalent elastic parameters of rock mass with a single joint set are analyzed to reveal the universal law of the stratified rock mass.

Changes in Plasma Angiotensin II and Circadian Rhythm of Blood Pressure in Hypertensive Patients with Sleep Apnea Syndrome Before and After Treatment

Objective To explore the changes in plasma angiotensin II （Ang Ⅱ） and circadian rhythm of blood pressure among hypertensive patients with sleep apnea syndrome （SAS） before and after continuous positive airway pressure （CPAP） or surgical treatment. Methods A total of 180 essential hypertension patients were enrolled in our study. The determination of plasma Ang Ⅱ concentration, ambulatory blood pressure （ABP）, and polysomnography （PSG） monitoring were performed before and 3 months after CPAP or surgical treatment. Results Patients were classified into three groups by their apnea-hypopnea index （AHI）： essential hypertension group （EH group, n=72; AHI〈5）, essential hypertension with mild SAS group （EH＋mild SAS group, n=60, 5≤AHI〈20）, and essential hypertension with moderate and severe SAS group （EH＋moderate-severe SAS group, n=48, AHI_〉20）. The concentrations of plasma AngⅡ in the above three groups were 13.42±3.27, 16.17±3.82, and 18.73±4.05 ng/mL respectively before treatment, and AngⅡ concentration in EH patients combined with SAS was significantly higher than that in EH group （all P〈0.05）. After treatment the values in the latter two groups significantly decreased to 14.67±2.56 and 15.03±3.41 ng/mL respectively （P〈0.05）. The incidence of non-dipper blood pressure curve in EH patients was 31.9%, and those in hypertensive patients with mild SAS and moderate-severe SAS were 51.7% and 58.3%, respectively before treatment. The incidence of non-dipper blood pressure curve in the EH patients with mild SAS was significantly higher than that of patients with EH alone （P〈0.05）. After CPAP treatment or surgery, the incidence of non-dipper blood pressure curve in the two SAS groups was significantly decreased to 38.3% and 39.6%, respectively （P〈0.05）. Conclusions Ang Ⅱ might play a role in blood pressure variability in patients with obstructive SAS. CPAP or surgical treatment can improve blood pressure disorder and decrease plasma Ang Ⅱ level in patients with obstructive SAS.

他们热爱诗,他们就是诗

“春江潮水连海平,海上明月共潮生”伴随着充满磁性的声音,听众被带入《春江花月夜》的美好意境里。令人意想不到的是,这打动人心的朗诵者,竟然是一位名叫张节的视障诗人。此后,张节的朗诵在“寻找最美的声音”视障者诵读比赛中获了奖,诗人周文彰还专门写了一首贺诗:“春江花月夜斑斓,可恨双瞳不见颜。幸有心灯天地亮,声情奔涌诵佳篇。”

主持人语

本专栏刊出三篇样板戏研究论文：武汉大学李松的《样板戏的本质、功能与影响》、复旦大学祝克懿的《文革·样板戏文本的异域认知范式探究》、浙江大学张节末、彭俊的《样板戏话语体系的形成：以〈沙家浜〉版本变迁为例》。李松的论文全面论述了样板戏,提出：＂样板戏＂意味着一种艺术上的排斥性机制,其主题与＂文革＂精神之间有着同构关系,被推行为政治运动的模式化范本。

Observation on clinical efficacy of tension-balance acupuncture therapy in treating knee osteoarthritis

Objective By comparison of the clinical efficacy of treating knee osteoarthritis with tension-balance acupuncture therapy and conventional acupuncture therapy, the effectiveness of treatment of knee osteoarthritis with tension- balance acupuncture therapy was evaluated. Methods Sixty-three patients with knee osteoarthritis in conformity with the diagnostic criteria were randomly divided into the tension-balance-acupuncture group （32 cases, balance group for short） and the conventional acupuncture group （31 cases, conventional group for short） according to random number table. In the balance group, patients with the pain in the anterior flexor group were needled at Biguan （髀关 ST 31）, Fengshi （风市 GB 31）, Heding （鹤顶 EX-LE 2）,Dubi （犊鼻 ST 35）, Yanglingquan （阳陵泉 GB 34）, Xuehai （血海 SP 10） and Liangqiu （梁丘 ST 34） .Afterwards the patients were repositioned in prone position. They were given the treatment by needling at Huantiao （环跳 GB 30）, Chengfu （承扶 BL 36）, Weizhong （委中 BL 40）, Weiyang （委阳 BL 39）, Yinlingquan （阴陵泉 SP 9）, Ququan （曲泉 LV 8） and Chengshan（承山 BL 57）.Patients with the pain in the posterior extensor group were needled at ST 31, GB 31, EX-LE2, ST 35, GB 34, SP 10 and ST 34 .Then the patients were repositioned in prone position. They were given the treatment by needling at GB 30, BL 36, BL 40, BL 39, SP 9, LV 8 and BL 57. They were treated once a day with five days as a course of treatment and two days as an interval. After three courses, Lequesne indiceses before and after the treatment and clinical efficacy of the treatment were observed. In the conventional group, patients were treated in a sitting position by needling at ST 35, Xiyang （膝眼 EX-LE 5）,Zusanli（足三里 ST 36）, GB 34, Xuanzhong （悬钟 GB 39）, SP 9, EX-LE2, ST 34, Shenshu （肾俞 BL 23） and Pishu （脾俞 20）. They were treated once a day with five days as a course of treatment and two days as an interval. After three courses, the clinical efficacy of the treatment was observed. Results After three courses, improved Lequesne indices score was （5.55± 1.08） in the balance group while improved Lequesne indices score was （2.14 ± 0.57） in the conventional group, indicating that improved Lequesne indices score in the balance group was superior to that of the conventional group with the significant difference （P〈0.05）; efficacy rate in the balance group was 84.37% while that of the conventional group was 58.06%, and efficacy rate in the balance group was superior to that of the conventional group （P〈0.01）. Conclusion Clinical efficacy of treatment of knee osteoarthritis in the balance group was superior to that of the conventional group, worthy of clinical promotion.

大榭——政府“节能义诊车”开进大企业

从过去"单打独斗"节能,到如今政府埋单请专家前往"义诊",大榭不少大企业能耗"瘦身"的积极性更高了。在党的群众路线教育实践活动中,大榭开发区管委会组织10多位专家为用能企业开具了45张节能"药方",挖掘出节能技改项目30个,预计每年可为企业节电约4亿千瓦时,节能1.22万吨标煤,减少二氧化碳排放约3万吨。一直以来,不少企业节能是在内部"单打独斗"。

K-wire and tension band wire fixation in treating sternoclavicular joint dislocation

Objective： To evaluate the feasibility and therapeutic effect of treating sternoclavicular joint dislocation by K-wire and tension band wire fixation, and to improve the safety and stability of this technique.Methods： This study consisted of 9 cases, 6 males and 3 females with the mean age of 25 years （range, 9-62 years）.The causes were traffic accident in 7 cases, falling in 1 case and fight in 1 case. The duration from injury to operation was 2 hours to 7 days. There were 5 left dislocations and 4right dislocations; 8 anterior dislocations and 1 posterior dislocation, including one combined with left scapular fracture and one with left olecranon fracture. Open reduction and internal fixation using K-wires and tension band wires were performed to treat dislocations.Results： All patients were followed up for 6 to 24months, 10 months on average. According to Rockwood＇s rating scale on postoperative sternoclavicular joint, 8 cases achieved excellent outcomes with an average score of 13.88,and the rest case achieved a good outcome with the score of 12. Anatomical reduction was obtained in all cases. There were no such postoperative complications as severe infection, injury to blood vessel and nerve, failure of fixation,etc. Patients were all satisfied with the anatomical reduction and functional recovery.Conclusions： The technique of K-wire and tension band wire fixation is safe, simple, effective, less invasive and has been successfully used in orthopedic surgery. It is effective in treating sternoclavicular joint dislocation though it has some disadvantages.

Chief physician Zhang Tang-fa＇s experience of acupuncture for gouty arthritis

Skillful in the treatment of gouty arthritis （GA） by integrated therapies of Chinese and Western medicine, chief physician Zhang Tang-fa proposes to ＇deal with the exterior with the needles, and attack the interior with the drugs, by integrated application of acupuncture and herbal medicine＇, in combination with comprehensive intervention of dietetic therapy and health education. In the treatment of GA, he adopts the syndrome differentiation based upon the pathogenic factors, in combination of syndrome differentiation based upon the six meridians, to reinforce and benefit the spleen and kidney, clear away heat and remove dampness as the therapeutic principle. By acupuncture mainly at the acupoints of the Spleen and Liver Meridians, he also proposes to select the acupoints by the theory of Na Zi Fa （earthly branch method） ofZi Wu Liu Zhu （midnight-noon ebb-flow）, and to puncture the surrounding area of the involved joints shallowly by multiple needles as the major needling method, simultaneously with the reinforcing and reducing manipulations based upon the respiration. In the treatment, acupuncture and acupoint-injection are often used. In diet, low purine diet is often suggested. In health education, the patients are often instructed to understand the disease correctly, eliminate fears and cooperate with doctor＇s treatment positively.

Cell cycle regulator geminin is dispensable for the proliferation of vascular smooth muscle cells

The proliferation of vascular smooth muscle cells(VSMCs) plays a major role in the pathogenesis of many cardiovascular diseases.Geminin regulates DNA replication and cell cycle progression and plays a key role in the proliferation of cancer cells.We therefore hypothesized that geminin regulates the proliferation of VSMCs.The present study demonstrates that the level of geminin expression was low in quiescent VSMCs(approximately 90% and 10% of cells in the G1 and in S/G2/M phases of the cell cycle,respectively),increased as more cells entered in S/G2/M,and then decreased as cells exited S/G2/M.Further,angiotensin II and norepinephrine stimulated expression of geminin in VSMCs.However,the DNA content,nuclear morphology,percentage of cells at different stages of the cell cycle,and rate of proliferation of VSMCs from which geminin was either depleted or overexpressed were all similar.These findings indicate geminin functions differently in VSMCs than it does in cancer cell lines and that it may provide a target for treating cancers without affecting normal cells.

The Qi-regulating Massotherapy for Treatment of Tonic Headache in 150 Cases

Objective: To observe the therapeutic effects of the qi-regulating massotherapy (通脉调气推拿法) for treatment of tonic headache. Methods: According to different clinical types, 150 cases of tonic headache were treated by the qi-regulating massotherapy. Evaluations were done according to the scores for physiology, behavior, intensity of pain, and the therapeutic effects. Results: After treatment, the total score in the 150 cases significantly decreased as compared with that before treatment (P<0.01). The total effective rate was 93.3%, and the effective rates for all the types were over 90%. Conclusion: The qi-regulating massotherapy is indicated for all types of tonic headache with obvious therapeutic effects.