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情志病“痰热”隐性证候之辨析
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作者 鞠怡 过伟峰 《中医临床研究》 2024年第3期34-37,共4页
情志病指发病与情志刺激有关,具有情志异常表现的病症,涵盖了中医学郁证、不寐、脏躁、梅核气、百合病、健忘、癫狂等,现代医学常见于抑郁症、焦虑症、失眠、躁狂症等。因现代社会高效率、快节奏、竞争激烈导致负面情绪增加而使此类疾... 情志病指发病与情志刺激有关,具有情志异常表现的病症,涵盖了中医学郁证、不寐、脏躁、梅核气、百合病、健忘、癫狂等,现代医学常见于抑郁症、焦虑症、失眠、躁狂症等。因现代社会高效率、快节奏、竞争激烈导致负面情绪增加而使此类疾病发病率不断升高,逐渐受到社会各界的重视。情志病虽临床表现各异,但均以情志刺激、肝郁失疏为始动因素,并因体质及内生邪气不同而产生各种病理因素,形成相应的病理变化。其中,现代人情绪易郁结化火、不良饮食及生活习惯的产生及体质因素等的影响,导致痰热在情志病发病发展中具有重要作用,采用清化痰热安神法治疗典型的痰热型情志病取效显著。而非典型痰热型情志病由于证候隐匿,辨析不详易致错漏,因此根据痰热致病特点,全面重点地搜集四诊素材,从病程、体质、心神不宁主症、呼吸症状、肠胃症状、头面肢体症状等方面辨析痰热隐性证候,为准确辨治该病提供依据。虽然痰热扰神是痰热型情志病的共同病机,但不同情志病仍有其病机证候的特异性。如抑郁症痰热必兼肝郁,焦虑症痰热常伴胆虚,失眠痰热使阳过于盛而不得入阴,癫狂有痰浊与痰火之别却又可交互转化。文章重在探讨情志病痰热的形成机制及其隐性证候辨析要点,并分析不同情志病痰热证机特点,为临床从痰热精准论治情志病提供思路。 展开更多
关键词 情志病 痰热 隐性 辨析 证机特点
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A Trusted Attestation Mechanism for the Sensing Nodes of Internet of Things Based on Dynamic Trusted Measurement 被引量:10
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作者 Bei Gong Yubo Wang +2 位作者 Xiangang Liu Fazhi Qi Zhihui Sun 《China Communications》 SCIE CSCD 2018年第2期100-121,共22页
Internet of things has been widely applied to industrial control, smart city and environmental protection, in these applica- tion scenarios, sensing node needs to make real-time response to the feedback control of the... Internet of things has been widely applied to industrial control, smart city and environmental protection, in these applica- tion scenarios, sensing node needs to make real-time response to the feedback control of the application layer. Therefore, it is nec- essary to monitor whether or not awareness nodes are trusted in real time, but the existing mechanisms for trusted certification lack the real-time measurement and tracking of the sensing node. To solve the above problems, this paper proposes a dynamic metric based authentication mechanism for sensing nodes of Internet of things. Firstly, the dynamic trustworthiness measure of the sensing nodes is carried out by introducing the computational function such as the trust function, the trust- worthiness risk assessment function, the feed- back control function and the active function of the sensing node. The dynamic trustworthi- ness measure of sensing nodes from multiple dimensions can effectively describe the change of trusted value of sensing nodes. Then, on the basis of this, a trusted attestation based on node trusted measure is realized by using the revocable group signature mechanism of local verifier. The mechanism has anonymity, un- forgeability and traceability, which is proved the security in the standard model. Simulationexperiments show that the proposed trusted attestation mechanism is flexible, practical and ef|Scient and has better attack resistance. It can effectively guarantee the reliable data transmission of nodes and realize the dynamic tracking of node reliability, which has a lower impact on system performance. 展开更多
关键词 internet of things: trusted mea-surement trusted attestation: group signature
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