In this paper,the experience in the treatment of complications due to continuousambulatory peritoneal dialysis for chronic renal failure with traditional Chinese medicine(TCM)is reported.Modified Renshen Yangrong Tang...In this paper,the experience in the treatment of complications due to continuousambulatory peritoneal dialysis for chronic renal failure with traditional Chinese medicine(TCM)is reported.Modified Renshen Yangrong Tang(Ginseng Nutrition Decoction)wasused for anorexia and hypoproteinemia;modified Xiangsha Liujunzi Tang(Decoction ofCyperus and Amomum with Six Noble Ingredients)for abdominal pain and distension;modified Da Chaihu Tang(Major Bupleurum Decoction)for peritonitis;modifiedShenling Baizhu San(Powder of Ginseng,Poria and Atractylodes)for diarrhea due toinsufficiency of the spleen with abundance of dampness;Lizhong Tang(Decoction forRegulating the Function of Middle-jiao)and modified Sishen Wan(Pills of FourMiraculous Drugs)for insufficiency of both the spleen and the kidney;Siwu Tang(Decoction of Four Ingredients)added with other drugs for cutaneous pruritus,andGuishao Sijunzi Tang(Decoction of Four Noble Drugs added with Chinese Angelica Rootand white Peony Root)for renal anemia.The therapeutic principles of invigorating theliver and kidney,strengthening the bones and muscles,and promoting blood circulation toeliminate blood stasis were adopted in the treatment of renal osteopathy,and thetherapeutic principles of invigorating the liver and kidney,expelling phlegm and resolvingdampness,and promoting blood circulation to eliminate blood stasis in the treatment ofhyperlipemia.Shen Tekang capsules(capsules for improving the renal function)wasadministered to patients for strengthening the viability and improving the nutrition state,and the recipe for treating renal function failure(both formulated by the authors)forimproving the renal function so as to decrease the frequency and duration of dialysis.展开更多
Most research in support of agricultural development and natural resource management in densely settled mountain ecosystems continues to emphasize component over system-level goals. Research by plant breeders, foreste...Most research in support of agricultural development and natural resource management in densely settled mountain ecosystems continues to emphasize component over system-level goals. Research by plant breeders, foresters and animal scientists is generally designed to maximize the yield of products within their particular area of expertise (edible plant parts, tree products and livestock products, respectively), while soil scientists aim largely to increase soil nutrient stocks. At landscape level the same dynamic holds within the agronomic sciences, while water engineers work independently to conserve water through its isolation from broader landscape dynamics, and other common property resources remain largely ignored. Opportunities to foster positive synergies between system components, and to integrate livelihood with conservation goals, are generally missed. This paper presents experiences of the African Highlands Initiative, an ecoregional program of the Consultative Group for International Agricultural Research (CGIAR) and a network of the Association for Strengthening Agricultural Research in Eastern and Central Africa (ASARECA), in operationalizing integrated research at farm and landscape scale. Following a discussion of the shortcomings of the conventional research paradigm that beg for strongerintegration and a review of the contributions of extant research paradigms that help us move in the right direction, the paper lays a conceptual foundation for integrated research. System components at farm and landscape level are delineated, and this somewhat arbitrary conceptual partitioning of agroecological systems shown to influence the current research paradigm as well as the partitioning of institutional mandates. Diverse meanings of systems integration are then discussed to illustrate the synergies that might be built into agricultural and natural resource research programs. The distinction between the logic of maximization and optimization is then utilized to distinguish between component and “system-level” goals. This conceptual overview is followed by several case studies to illustrate how these concepts can guide the formulation of integrated research objectives, methods and outputs at farm and landscape scale. The paper concludes with a discussion of the implications of this alternative research paradigm for the structure, function and skill base of national and international agricultural research systems.展开更多
文摘In this paper,the experience in the treatment of complications due to continuousambulatory peritoneal dialysis for chronic renal failure with traditional Chinese medicine(TCM)is reported.Modified Renshen Yangrong Tang(Ginseng Nutrition Decoction)wasused for anorexia and hypoproteinemia;modified Xiangsha Liujunzi Tang(Decoction ofCyperus and Amomum with Six Noble Ingredients)for abdominal pain and distension;modified Da Chaihu Tang(Major Bupleurum Decoction)for peritonitis;modifiedShenling Baizhu San(Powder of Ginseng,Poria and Atractylodes)for diarrhea due toinsufficiency of the spleen with abundance of dampness;Lizhong Tang(Decoction forRegulating the Function of Middle-jiao)and modified Sishen Wan(Pills of FourMiraculous Drugs)for insufficiency of both the spleen and the kidney;Siwu Tang(Decoction of Four Ingredients)added with other drugs for cutaneous pruritus,andGuishao Sijunzi Tang(Decoction of Four Noble Drugs added with Chinese Angelica Rootand white Peony Root)for renal anemia.The therapeutic principles of invigorating theliver and kidney,strengthening the bones and muscles,and promoting blood circulation toeliminate blood stasis were adopted in the treatment of renal osteopathy,and thetherapeutic principles of invigorating the liver and kidney,expelling phlegm and resolvingdampness,and promoting blood circulation to eliminate blood stasis in the treatment ofhyperlipemia.Shen Tekang capsules(capsules for improving the renal function)wasadministered to patients for strengthening the viability and improving the nutrition state,and the recipe for treating renal function failure(both formulated by the authors)forimproving the renal function so as to decrease the frequency and duration of dialysis.
文摘Most research in support of agricultural development and natural resource management in densely settled mountain ecosystems continues to emphasize component over system-level goals. Research by plant breeders, foresters and animal scientists is generally designed to maximize the yield of products within their particular area of expertise (edible plant parts, tree products and livestock products, respectively), while soil scientists aim largely to increase soil nutrient stocks. At landscape level the same dynamic holds within the agronomic sciences, while water engineers work independently to conserve water through its isolation from broader landscape dynamics, and other common property resources remain largely ignored. Opportunities to foster positive synergies between system components, and to integrate livelihood with conservation goals, are generally missed. This paper presents experiences of the African Highlands Initiative, an ecoregional program of the Consultative Group for International Agricultural Research (CGIAR) and a network of the Association for Strengthening Agricultural Research in Eastern and Central Africa (ASARECA), in operationalizing integrated research at farm and landscape scale. Following a discussion of the shortcomings of the conventional research paradigm that beg for strongerintegration and a review of the contributions of extant research paradigms that help us move in the right direction, the paper lays a conceptual foundation for integrated research. System components at farm and landscape level are delineated, and this somewhat arbitrary conceptual partitioning of agroecological systems shown to influence the current research paradigm as well as the partitioning of institutional mandates. Diverse meanings of systems integration are then discussed to illustrate the synergies that might be built into agricultural and natural resource research programs. The distinction between the logic of maximization and optimization is then utilized to distinguish between component and “system-level” goals. This conceptual overview is followed by several case studies to illustrate how these concepts can guide the formulation of integrated research objectives, methods and outputs at farm and landscape scale. The paper concludes with a discussion of the implications of this alternative research paradigm for the structure, function and skill base of national and international agricultural research systems.
