《中医药文化》40年学术推介与办刊理念之辨

1984年,《医古文知识》在广大青年学子和医学工作者对科学与知识的热切期盼中诞生。在其最初发展的22年中,杂志办刊理念从夯实广大从业人员的医古文基础、提高阅读古代文献的能力,逐步转变为宣传中医药知识、熔文史哲医艺于一炉。2006年,杂志更名为《中医药文化》,致力于发展成具有一定影响力的学术期刊。在杂志社同仁和业界的共同努力下,目前《中医药文化》已经成为学界最为重要的学术推介与交流平台之一。杂志介绍宿儒大家的卓越成果,推荐新人的学术力作,联络各个学科专业的杰出学者,擘画医学人文领域研究的前沿课题,搭建海内外学界沟通的桥梁纽带,营造融洽、热烈的学术研究氛围。杂志为中医药学术的发展、通识教育与科学普及书写了浓墨重彩的一笔,其意义与价值必将铭记在中医药人的心中。

从《医古文知识》到《中医药文化》:笔尖上的40年

1984年《医古文知识》创刊,2006年更名为《中医药文化》,2024年迎来《中医药文化》创刊40周年。通过与创刊主编段逸山教授进行深入访谈,了解创刊背景和创刊初期面临的挑战、期刊发展过程中内容的定位和演变,探讨《中医药文化》学术工作坊的意义及未来发展策略。段逸山教授对《中医药文化》所取得的各种成绩给予肯定,并对《中医药文化》学术影响力的提升和未来的发展方向提出宝贵意见。

本草文献讹误浅论

《古今注》文有"芍药一名可离"及"则赠以青堂",《证类本草》却将"可离"作"何离","青堂"作"青裳"。《全芳备祖》葡萄条有"绵被山谷,开花极细"及楮条文"收取其子阴干",《证类本草》作"绵被山谷间,花极细"及"收取中子阴干"。这都是《证类本草》文误。《神农本草经校注》将"欬逆上气"释作"咳嗽"欠妥,又说"益通溢"也误。《中草药鉴别与验方精选》的败酱草、金钱草及鹤虱三种药物的药图处置不当,如不同科属或不同品种等,即药店使用的品种与介绍的品种不一致。本文对这些问题都进行论述。

Perspectives of traditional Chinese medicine in pancreas protection for acute pancreatitis

Acute pancreatitis(AP)is one of the most common diseases.AP is associated with significant morbidity and mortality,but it lacks specific and effective therapies.Traditional Chinese medicine(TCM)is one of the most popular complementary and alternative medicine modalities worldwide for the treatment of AP.The current evidence from basic research and clinical studies has shown that TCM has good therapeutic effects on AP.This review summarizes the widely used formulas,single herbs and monomers that are used to treat AP and the potential underlying mechanisms of TCM.Because of the abundance,low cost,and safety of TCM as well as its ability to target various aspects of the pathogenesis,TCM provides potential clinical benefits and a new avenue with tremendous potential for the future treatment of AP.

Visual analysis of research hotspots and trends in the treatment of immune thrombocytopenia with traditional Chinese medicine

Objective Through bibliometrics and visual analysis of the related studies on traditional Chinese medicine(TCM)treatment of immune thrombocytopenia(ITP),this study aims to sort out the overall research progress,hotspots,and trends in this field,and provide reference for further research in ITP.Methods The articles on ITP treated by TCM were retrieved from China National Knowledge Infrastructure(CNKI),Wanfang Database,China Science and Technology Journal Database(VIP),Web of Science Core Collection(WOSCC),and PubMed.The retrieval time was from the establishment of the databases to July 31,2022.VOSviewer,CiteSpace,Carrot2,and Note-Express were used for data analysis of the articles in terms of their quantities,types,and journals,and for visualization of research hotspots,authors,institutions,and keywords.Results 1493 Chinese articles and 40 English articles were included.The articles in Chinese mainly focus on clinical trial research and clinical experience summary,while the English articles mainly focus on clinical trial research and animal research.The Chinese articles were published in 317 Chinese journals,while English articles were published in 29 English journals.Research hotspots include the clinical syndrome differentiation of ITP,the therapeutic effect of TCM compounds on ITP,and the mechanism of ITP treatment.Keyword analysis shows that there are many research achievements in integrated traditional Chinese and western medicine treatment,clinical research,famous doctors’experience,TCM treatment,cellular immunity,and humoral immunity.The authors with the most articles in Chinese and English are Professor CHEN Xinyi and Professor MA Rou,respectively,and the research institutions with the most articles are Dongzhimen Hospital of Beijing University of Chinese Medicine and Xiyuan Hospital of China Academy of Chinese Medical Sciences.Chinese herbs often used to treat ITP clinically include Xianhecao(Agrimoniae Herba),Nvzhenzi(Ligustri Lucidi Fructus),Mohanlian(Ecliptae Herba),Zhongjiefeng(Sarcandrae Herba),etc.,and the prescription usually used to treat ITP include Guipi Decoction(归脾汤),Xijiao Dihuang Decoction(犀角地黄汤),Bazhen Decoction(八珍汤),Erzhi Pill(二至丸),and Xiaochaihu De-coction(小柴胡汤).The main development trends toward retrospective study,TCM treatment mechanism,and data mining.

Symptoms relieved after tumor removal in a case of dermatomyositis associated with hepatocellular carcinoma:case report and literature review

A case of dermatomyositis associated with hepatocellular carcinoma is reported in a 43-year-old man,in which removal of the tumor resulted in great improvement of dermatomyositis.The patient had shown aggravating symptoms of dermatomyositis including manifestations of typical skin rashes and muscle weakness six months before he came to our hospital.He had no history of drug allergy and took no medicine in these days.When first visiting the dermatological clinic,he complained of discomforts in skin and muscle manifestation and was diagnosed as having dermatomyositis.At the same time,A CT scan discovered a resectable liver tumor in the right lobe.Then he came to our hospital and asked for surgical treatment.Removal of the tumor resulted in great improvement of dermatomyositis and recurrence of liver tumor was followed by resumption of dermatomyositis.

Tanure Ojaide＇s God＇s Medicine-Men and Other Stories： A Feminist Perspective

Feminist criticism, an off-shoot of the Women Liberation Movement of the 1960s, is a gender-based discourse that considers, in some details, the significance of images of women constructed by literature as derogatory and biased; hence, the need to reconstruct womanhood in literary works. From time immemorial and according to historical facts, the Nigerian woman is seen as the bolt of a repressive patriarchal structure that persistently reduced her dignity and human essence and compelled her submission to the whims and caprices of the man. Woman, therefore over the years, has been so long conditioned in the environment of masculine dominance. With the advent of modernization however the world-view of woman and man starts to experience a radical change that calls for a reconstruction of the place of woman round the globe. The enlightenment leads to the feminist criticism among others. Tanure Ojaide represents this world-view in his collection： God＇s Medicine-Men and Other Stories. The fiction is a collection of 10 short stories out of which, however, this paper studies only the first story, ＂Come Back When You Are Ready to Die＂ with a view to exposing how well Tanure Ojaide responded to feminist＇s aspiration for a non-sexiest literary representation of the woman.

Construction of traditional Chinese medicine culture and characteristic communityculture： a review

The broad and profound Chinese medicine culture is an important part of Chinese traditional culture, which nourishes the vigorous development of modern Chinese medicine. At present, traditional Chinese medicine （TCM） culture faces challenges and opportunities. As the inheritor of Chinese medicine culture, we bear the burden of inheriting and carrying forward TCM culture. Distinctive community culture is mainly playing value guidance and education transmission function in the process of residents identifying with the culture of Chinese medicine. Therefore, building a distinctive community culture under the guidance of the essence of TCM can effectively inherit and develop TCM culture.

Acupuncture as a potential approach to improve the health of women with obesity

In addition to higher risks of various obstetric and gynaecological illnesses among women with obesity or who are overweight, maternal adiposity threatens the lifetime health of their offspring. Diverse treatments are provided, including complementary and alternative medicine such as Chinese medical practices. Acupuncture, a traditional Chinese medicinal method, is increasingly being applied to this health problem. This literature review analyses 25 clinical studies, involving 2407 participants aged 13-65 in Africa, Asia, the Middle East and North America. This illustrates the use of acupuncture alone or with other approaches to control body weight, obesity-induced diseases, and gynaecological health. Although positive indicators are presented, this study offers recommendations for enhancing reliability and validity in further research. It therefore suggests the use of acupuncture in dealing with obesity due to its efficacy, and economic and safety benefits.

Using Icons in a Knowledge Based System for Traditional Medicine

MedTrad＋ is an expert system for African Traditional Medicine where actors are often illiterate. Its originality lies in the use of icons instead of textual content of facts. It has been created by GExpert＋ which is An Expert system Generator based on the use of icons in a Web environment. With its iconic interface GExpert＋ allows any user to overcome any intermediary for the management and the use of its knowledge base. Traditional healers from Yamoussoukro region are working toward its validation.

Literature on the law of Miao medicine in treating liver cancer

Aims:Through the literature review of Miao medicine for liver cancer,this paper discussed the law of Miao medicine for liver cancer.Methods:Using"Zhonghua Bencao Miao medicine"as the source of literature,the search term was prepared to search the related literature of CNKI database and Wanfang database for the treatment of liver cancer in the Miao medicine from May 2018.The qualified drugs were used to conduct statistical analysis on their family genus,medicinal property,medicinal taste,regression and efficacy.Results:A total of 132 flavors of Miao medicine for liver cancer were included,and the high-frequency family was compositae,liliaceae,and rosaceae,accounting for 22.8%.The medicine was mainly cold medicine,accounting for 75.8%.The main taste of medicine was bitter,hot and sweet,accounting for 75.5%.The main parts of longitude are hot longitude and cold longitude,accounting for 90.5%.Drugs are mainly used to cure poison,tonifying body and vent the blood,a total of 80.4%.Conclusions:Miao medical treatment of liver cancer is based on the dialectic of cold and heat,with proper use of tonifying body and vent the blood drugs.

Jamu-A Healthy Drink of Indonesia

Jamu is traditional herbal medicine and a healthy drink considered by some Indonesians to be a primary element in their lives. The term ofjamu may be derived from ancient Javanese language ＂Djampi＂ that means a healing method using herb during the era of Ancient Java emerged since the 9th century AD. Jamu is consume either in fresh or in processed one. Some jamu sellers still found carrying their wares, in a basket fastened to their torsos using a sling made of fabric, and visit door to door in local neighborhoods. The name is Jamu gendong. The use of the j amu remains the same as the ancestors did. The visible proof is the use of traditional herbal medicine of various type of ＂medical plants＂, either from the leaves, the fruits, the roots, the flowers or the barks, etc. It is truly back to nature. These herbal medicine had been used since the ancient time up to now, it is largely consumed by people of different levels： lower, middle and upper, in the villages and in the big cities. Jamu as a cultural heritage has a big potential asset of Indonesia and is also one of Indonsia＇s cultural products based on local resources and the creativity of the nation. Indonesia has natural resourses of plants totaling about 30,000 species of flowering plants, which is the third largest in the world after Brazil and Zaire, including 7,000 species of medicinal plants, 940 species one could buy easily readymade jamu packed modernly in the form of powder, pills, capsules, drinking liquid and ointments. Of course there are still jamu shops, which only sell for those have been identified, 283 species are listed as raw materials that are used routinely in the medicine industry. Jamu from time to time has been widely accepted in almost every country in the world. It is not only as a preventive maintenance, but also as a curative treatment for acute and chronic treatment. At present ingredients ofjamu and its preparation spot as required by buyers. Some women are roaming the street to sell jamu, which is a common view across the country. At present time, jamu has also been produced in mass by manufacturers for export, and mostly concerns on quality, consistency, and cleanliness either locally or internationally distributed.

Analysis on the principles of differentiation and prescription of traditional Chinese medicine in the treatment of cancerous fever

To investigate the principles of differentiation and prescription of traditional Chinese medicine(TCM)treatment for cancerous fever by logistic stepwise regression and literature investigation,the following databases were searched(from inception to June 30th 2016):CNKI,CSPD,CBM,PubMed,MEDLINE,EMBASE.According to the inclusion and exclusion criteria,literatures about TCM in the treatment of cancerous fever were screened.The frequency about cancerous fever of differential syndrome types,formulas and herbs were analyzed by logistic multiple regression analysis.The model about syndrome types and formula application of cancerous fever was established.The result showed formula prescriptions used most frequently were Qing-Hao-Bie-Jia decoction,Xiao-Chai-Hu decoction,Xue-Fu-Zhu-Yu decoction,Bai-Hu decoction,San-Ren decoction.The main syndrome types of cancerous fever were as follows:Toxic heat flourishing type,Yin deficiency type,Stagnation of damp-heat type,Qi-Yin deficiency type,Liver meridian depressed-heat type,Blood stasis type and Yang deficiency type.Based on regression equation of the syndrome types,the corresponding herbs of this seven syndrome types were Radix Bupleuri,Radix Paeoniae Alba and Scutellaria Baicalensis Georgi;Radix Bupleuri and Cortex Moutan;Radix Paeoniae Rubra and Radix Angelicae Sinensis;Rhizoma Pinelliae,Cortex Lycii Radicis and Radix Paeoniae Alba;Herba Artemisiae Annuae,Gypsum Fibrosum and Poria Cocos;Rhizoma Anemarrhenae,Scutellaria Baicalensis Georgi and Radix Codonopsis;Radix Bupleuri respectively.The results of Logistic regression analysis and frequency of herbs statistics can provide reference for differentiation and treatment of cancerous fever in clinical.

Rare Side Effects of Propofol Administration Case Report and a Brief Literature Review

Introduction： Propofol is an intravenous general anesthetic and sedation drug for use in the induction and maintenance of anesthesia or sedation. It is included in WHO Model List of Essential medicines and approved by the FDA （food and drug administration） in 1989. The side effects of Propofol have been studied widely in the last 25 years. They can be easily managed and that is why Propofol has become a fn＇st choice drug for the most of the anesthesiologists worldwide. This paper presents a case report of Propofol induced pulmonary edema and also a review of some of the rarest and unusual manifestations of Propofol side effects. Some of them are urine discoloration, tissue necrosis, rhabdomyolysis and postoperative panereatitis. Methods and materials： A case summary of 18-years old woman with unusual postoperative pulmonary reaction was considered along with other documented cases. Several full-text articles were briefly analyzed for estimating the role of Propofol for a number of strange and potentially life threatening conditions. Results： Despite the low incidence rate, the presented case could be determined as a pulmonary edema due to its clinical features. Furthermore, rare drug reactions such as rhabdomyolysis, tissue necrosis, postoperative pancreatitis etc. may remain unrecognized and create diagnostic and therapeutic issues. Conclusions： Although the officially reported dangerous reaction, Propofol remains one of the best hypnotic and sedative agents. The better knowledge of the full list of drug reactions considered as rare and very rare is a guarantee of an adequate and a better therapeutic behavior.

Antimicrobial management of intra-abdominal infections:Literature's guidelines

Antimicrobial management of severe intra-abdominal infections (IAIs) involves a delicate balance of optimizing empirical therapy,which has been shown to improve clinical outcomes,while simultaneously reducing unnecessary antimicrobial use.Two sets of guidelines for the management of intra-abdominal infections were recently published.In 2010,the Surgical Infection Society and the Infectious Diseases Society of America (SIS-IDSA) created guidelines for the diagnosis and management of complicated IAIs.The new SIS-IDSA guidelines replace those previously published in 2002 and 2003.The World Society of Emergency Surgery (WSES) guidelines represent additional contributions,made by specialists worldwide,to the debate regarding proper antimicrobial drug methodology.These guidelines represent the conclusions of the consensus conference held in Bologna,Italy,in July 2010 during the first congress of the WSES.

The Holy Bitch That Can Be a Witch in The Grass Harp

This paper comprises an analysis of the modernist American writer Truman Capote＇s novel The Grass Harp （1951） from a feminist perspective. While the novel treats the ostracizing of four people by the oppressive mindset of a patriarchal society, the female character Dolly Talbo who leads the banished group to live in a tree house becomes the embodiment of a Goddess image introduced by the New Age Spiritualities and Neopaganism. Creating a new culture for women as an alternative to the patriarchal system, in which concepts such as love, herbalism, and magic are sanctioned as sacred, and offering this culture as an opportunity to all human beings, Dolly Talbo can be perceived as a contemporary holy witch who becomes an occult and undermining threat to the patriarchal order.

Ethnomedicine: fading or flowering? ——Heritage and development of Dai Medicine

Ethnomedicine is an important component of ethnic culture, and a part of traditional medicine in China. We undertook great considerations and in-depth investigations of Dai Medicine, as well as analyses of its basic concepts, current situations, and interrelations with Traditional Chinese Medicine. The issues regarding Dai Medicine's heritage and development are also discussed.

Effect of traditional Chinese medicine and traditional health care sports on the development of modem community sports

After thousands of years of history, traditional Chinese medicine and traditional health care sports survive the fittest in the screening of the natural law, breeding, enduring Cheung, and reflects the inherent vitality. Investigation thoroughly on the effect of traditional Chinese medicine and traditional health care sports for the development of modem community sports is to examine and understand its meaning and value from a higher level, to better inherit and carry forward the excellent traditional culture of China and thus to explore meeting point of traditional Chinese medicine and traditional health sports and modem sports. It also ensures the community to establish a healthy concept, improve the cultural quality, strengthen the moral cultivation, rouse the national spirit, increase life interest and form the modem community culture. In short, by the national education of traditional Chinese medicine and traditional protection movement, there is a unique advantage other cultures are incomparable.

Prof. Zhou Xuewen's Experience in Treating Superior Mesenteric Artery Syndrome

Prof. Zhou Xuewen (周学文), a veteran TCM doctor,is an expert in treating miscellaneous internaldiseases. I have the honor to follow him and havebenefited from his teaching. The following is hisexperience in treating superior mesenteric arterysyndrome that I would like to introduce below.

Treatment of cholecystitis with Chinese herbal medicines:A systematic review of the literature

AIM:To analyze the literature on the use of Chinese herbal medicines for the treatment of cholecystitis.METHODS:The literature on treatment of cholecystitis with traditional Chinese medicines(TCM) was analyzed based on the principles and methods described by evidence-based medicine(EBM).Eight databases including MEDLINE,EMbase,Cochrane Central(CCTR),four Chinese databases(China Biological MedicineDatabase,Chinese National Knowledge Infrastructure Database,Database of Chinese Science and Technology Periodicals,Database of Chinese Ministry of Science and Technology) and Chinese Clinical Registry Center,were searched.Full text articles or abstracts concerning TCM treatment of cholecystitis were selected,categorized according to study design,the strength of evidence,the first author's hospital type,and analyzed statistically.RESULTS:A search of the literature published from 1977 through 2009 yielded 1468 articles in Chinese and 9 in other languages;and 93.92% of the articles focused on clinical studies.No article was of levelⅠevidence,and 9.26% were of level Ⅱ evidence.The literature cited by Science Citation Index(SCI),MEDLINE and core Chinese medical journals accounted for 0.41%,0.68% and 7.29%,respectively.Typically,the articles featured in case reports of illness,examined from the perspective of EBM,were weak in both quality and evidence level,which inconsistently conflicted with the fact that most of the papers were by authors from Level-3 hospitals,the highest possible level evaluated based on their comprehensive quality and academic authenticity in China.CONCLUSION:The published literature on TCM treatment of cholecystitis is of low quality and based on low evidence,and cognitive medicine may functions as a useful supplementary framework for the evaluation.