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姜良铎教授从状态辨治阿片类药物中毒合并脓毒症患者1例 被引量:1
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作者 张佳琪 马林沁 +2 位作者 吴彩军 姜良铎 菅原蓁 《中国中西医结合急救杂志》 CAS CSCD 北大核心 2023年第1期96-98,共3页
北京中医药大学东直门医院于2018年12月9日收治1例脓毒症患者。该患者为长期服用毒品者,即阿片类药物中毒者,患者近6个月来无明显诱因出现胸闷喘憋、汗出,不欲饮食,未予重视及诊治;近10 d来,胸闷喘憋、纳差加重,伴呼吸困难、周身乏力、... 北京中医药大学东直门医院于2018年12月9日收治1例脓毒症患者。该患者为长期服用毒品者,即阿片类药物中毒者,患者近6个月来无明显诱因出现胸闷喘憋、汗出,不欲饮食,未予重视及诊治;近10 d来,胸闷喘憋、纳差加重,伴呼吸困难、周身乏力、头晕恶心,以“胸闷喘憋6个月,加重10 d”入院,诊断为阿片类药物中毒后脓毒症。入院4 h后患者出现心搏骤停,给予胸外按压、除颤、血管活性药物等措施后抢救成功。后姜良铎教授结合患者当前症状和体征,给予抗感染、化痰平喘、改善脑循环、清热解毒、回阳救逆、豁痰开窍治疗,并基于中医状态学说辨证论治,给予中药进行治疗。经治疗患者症状改善,取得一定的临床疗效,这为今后此类患者的救治提供了经验。 展开更多
关键词 状态 阿片类药物 脓毒症 复苏
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基于中医状态辨治理论探讨新型冠状病毒肺炎的防治 被引量:3
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作者 奚胜艳 钱林超 +1 位作者 丁红平 王彦晖 《厦门大学学报(自然科学版)》 CAS CSCD 北大核心 2020年第3期304-309,共6页
运用中医状态辨治理论对于拓展中医辨证、辨症、辨病论治有重要价值,突破了针对健康人群"未病态"无证可辨、无症可察的缺陷.同时把状态辨治应用于新型冠状病毒肺炎(coronavirus disease 2019,COVID-19)的诊断与治疗,能较好地... 运用中医状态辨治理论对于拓展中医辨证、辨症、辨病论治有重要价值,突破了针对健康人群"未病态"无证可辨、无症可察的缺陷.同时把状态辨治应用于新型冠状病毒肺炎(coronavirus disease 2019,COVID-19)的诊断与治疗,能较好地认识其传变迅速的发展态势,并及时依"态"施治,对于防治新型的病毒性传染病将有积极的意义.掌握COVID-19的湿疫郁肺轻证、疫毒闭肺、毒损肺络、危重脱症不同阶段"已病态"的特征与内在演变机理,方能对其及早实施个性化治疗,截断其病势. 展开更多
关键词 状态 新型冠状病毒肺炎 中医学
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论“虚不受补”及状态辨治策略 被引量:8
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作者 唐光华 周仙仕 《环球中医药》 CAS 2015年第5期561-564,共4页
本文对临床常见"虚不受补"困境进行了思考和探索,提出"虚不受补"的主要原因是补不得法与措施不当。其深层原因是未能认识到"虚不受补"是一种复杂状态,采用线性思维下的"直补"策略常常不能有效... 本文对临床常见"虚不受补"困境进行了思考和探索,提出"虚不受补"的主要原因是补不得法与措施不当。其深层原因是未能认识到"虚不受补"是一种复杂状态,采用线性思维下的"直补"策略常常不能有效解决。临证可从状态辨治思路,识状态,析病机,并处理好虚实及内外邪气等关系,采用调补、通补之法,兼顾重视调脾胃、畅气机等策略,综合施治,实现虚者可补,虚体可调。 展开更多
关键词 虚不受补 状态 通补调补 定性定量
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从状态辨识论治支气管扩张 被引量:3
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作者 周仙仕 唐光华 姜良铎 《环球中医药》 CAS 2016年第2期165-168,共4页
本文就从状态辨识论治支气管扩张进行了系统总结。文章主要围绕着为何要从状态辨治支气管扩张症、如何辨识支气管扩张症状态(从病入手,总结疾病的现代病理机制和中医病因病机,分析形成疾病的关键状态要素特点,分析目前所处的疾病状态及... 本文就从状态辨识论治支气管扩张进行了系统总结。文章主要围绕着为何要从状态辨治支气管扩张症、如何辨识支气管扩张症状态(从病入手,总结疾病的现代病理机制和中医病因病机,分析形成疾病的关键状态要素特点,分析目前所处的疾病状态及态势演变,从证入手,分析从个体当前状态和个体病势)及如何干预调节支气管扩张症状态三大方面论述状态辨识论治支气管扩张,最后以临床案例进行说明阐述。较为详尽地阐述了从状态辨识论治支气管扩张的理论与实践,可对临床辨治支气管扩张有一定指导意义。 展开更多
关键词 状态 支气管扩张 临床经验
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论状态辨治方法与思路 被引量:17
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作者 姜良铎 魏文浩 《环球中医药》 CAS 2011年第4期281-282,共2页
中医学本质就是抓状态,临床着眼状态和整体。经临床验证,从状态辨治疾病确实有较好的临床疗效。把握状态的技巧可以概括为整体观、系统观、动态观、宏观与微观、辩证观五个方面。从状态论治也是解决疑难杂病的有效手段。
关键词 状态 疑难杂病 中医 角药 整体 动态
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姜良铎教授从胞睑进行内科疾病状态辨识的经验
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作者 赵洪杰 苌华颖 +2 位作者 张永生 王兰 焦扬 《环球中医药》 CAS 2021年第12期2187-2189,共3页
姜良铎教授倡导的状态辨识理论独树一帜,推动了当代中医临床诊疗创新。胞睑辨证是状态辨治的重要组成部分,是观眼识病的进一步延伸,与生物全息论相互呼应。胞睑辨证主要内容包括:从眼睑浮肿部位和病程判别其脏腑归属;从胞睑充血状态辨... 姜良铎教授倡导的状态辨识理论独树一帜,推动了当代中医临床诊疗创新。胞睑辨证是状态辨治的重要组成部分,是观眼识病的进一步延伸,与生物全息论相互呼应。胞睑辨证主要内容包括:从眼睑浮肿部位和病程判别其脏腑归属;从胞睑充血状态辨识外感病不同阶段病邪的寒热性质,区分内伤病的虚热与实火;由眼睑分泌物判断津液代谢障碍的原因。胞睑辨证是从局部辨别整体疾病的性质、从微观角度把握人体宏观生理病理状态的辨证方法,是从状态辨识疾病的临床应用之一。 展开更多
关键词 胞睑 状态 观眼识病 病位 病性 姜良铎
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何复东“二仙汤”从肾“三辨(病-证-状态)论治”更年期功能性消化不良 被引量:1
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作者 杨宇玲 何茁 陈豫 《实用中医内科杂志》 2015年第2期22-25,共4页
何复东教授认为功能性消化不良初期常以肝气郁结,脾胃虚弱为主,多由情志不遂、劳倦伤脾、寒温失调等因素所致,病位在中焦胃,涉及肝、脾,进一步发展则以肝郁脾虚、肝郁肾虚多见;久病则肝郁脾肾两虚,发为更年期功能性消化不良;提出"... 何复东教授认为功能性消化不良初期常以肝气郁结,脾胃虚弱为主,多由情志不遂、劳倦伤脾、寒温失调等因素所致,病位在中焦胃,涉及肝、脾,进一步发展则以肝郁脾虚、肝郁肾虚多见;久病则肝郁脾肾两虚,发为更年期功能性消化不良;提出"辨病、辨证、辨状态"的"三辨论治"独到见解;何老认为胃肾关系密切,临床治疗从补肾入手,独辟蹊径,疗效显著,以二仙汤为基础,加减应用,根据症状采用补肾健脾、补肾疏肝、补肾泻火等治法,调节"下丘脑-垂体-性腺轴"。附验案三则。 展开更多
关键词 更年期功能性消化不良 补肾健脾 补肾疏肝 补肾泻火 论治 辨状态 二仙汤 下丘脑-垂体性腺轴 何复东 老中医经验 中医药治疗
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姜良铎教授从状态辨治新型冠状病毒肺炎 被引量:4
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作者 刘彧杉 张晓梅 +4 位作者 杨华升 崔晋伟 李梦乾 于小林 姜良铎 《陕西中医》 2020年第11期1646-1650,共5页
总结探讨姜良铎教授运用从状态辨治“湿毒疫”的方法诊疗新型冠状病毒肺炎(COVID-19)的理论及经验。探讨疫毒损伤正气、气不摄津、化生湿浊、湿毒化热、痰瘀凝滞、阻络痹肺等基本病机以及疫毒循三焦膜系袭染他脏的转化病机特点,结合患... 总结探讨姜良铎教授运用从状态辨治“湿毒疫”的方法诊疗新型冠状病毒肺炎(COVID-19)的理论及经验。探讨疫毒损伤正气、气不摄津、化生湿浊、湿毒化热、痰瘀凝滞、阻络痹肺等基本病机以及疫毒循三焦膜系袭染他脏的转化病机特点,结合患者胸部CT辨识疫毒盛衰、肺部实阻程度,结合外周淋巴细胞辨识肺卫功能强弱,结合氧合指数辨识宗气盛衰,结合舌脉辨识病情进退,结合其他脏腑传变的临床表现和相关辅助检查辨识脏腑功能,综合分析患者当前病机,总结当前状态并施治,注重时时固护正气、扶正祛邪,才能及时截断病势取效。对于无症状核酸检测阳性患者,可从邪弱正盛或正虚邪恋的状态来辨治。从状态辨治开拓了新型冠状病毒肺炎中医药诊疗的思路和方法。 展开更多
关键词 新型冠状病毒肺炎 状态 湿毒疫 毒损正气 三焦转化 扶正祛邪
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从“状态辨治”探析中西医结合治疗急性呼吸窘迫综合征 被引量:1
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作者 郭怡鲲 程淼 +6 位作者 晏军 薛贝 陈琳雯 李书娇 姜尚上 姜良铎 班承钧 《中医杂志》 CSCD 北大核心 2024年第6期577-581,共5页
从状态辨治出发,认为急性呼吸窘迫综合征(ARDS)的病机为邪毒伤肺,肺气暴脱,肺气欲绝,气不摄血,气不摄津,津液溢于脉外,形成湿痰瘀毒结于体内,最终导致气机失调,诸症丛生,故“气损”是ARDS的核心病机。提出了有形之气和无形之气双补的中... 从状态辨治出发,认为急性呼吸窘迫综合征(ARDS)的病机为邪毒伤肺,肺气暴脱,肺气欲绝,气不摄血,气不摄津,津液溢于脉外,形成湿痰瘀毒结于体内,最终导致气机失调,诸症丛生,故“气损”是ARDS的核心病机。提出了有形之气和无形之气双补的中西医结合治疗思路,以中药益气固脱、抗渗利湿、解毒化瘀、调畅气机,结合西医辅助通气协同改善气的固摄、推动、气化作用,使邪气得去、正气得复,腑气得通,气血阴阳得以顺接,生命活动得以维持,从而达到中西医结合治疗ARDS的目的。 展开更多
关键词 急性呼吸窘迫综合征 状态 益气固脱 机械通气 有形之气 无形之气
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Identification algorithm for a kind of fractional order system 被引量:5
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作者 王振滨 曹广益 朱新坚 《Journal of Southeast University(English Edition)》 EI CAS 2004年第3期297-302,共6页
The state-space representation of linear time-invariant (LTI) fractional order systems is introduced, and a proof of their stability theory is also given. Then an efficient identification algorithm is proposed for tho... The state-space representation of linear time-invariant (LTI) fractional order systems is introduced, and a proof of their stability theory is also given. Then an efficient identification algorithm is proposed for those fractional order systems. The basic idea of the algorithm is to compute fractional derivatives and the filter simultaneously, i.e., the filtered fractional derivatives can be obtained by computing them in one step, and then system identification can be fulfilled by the least square method. The instrumental variable method is also used in the identification of fractional order systems. In this way, even if there is colored noise in the systems, the unbiased estimation of the parameters can still be obtained. Finally an example of identifying a viscoelastic system is given to show the effectiveness of the aforementioned method. 展开更多
关键词 fractional order systems state-space representation system identification fractional order Poisson filter least square method instrumental variable method
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中医“状态辨治”构建的必要性及其应用举隅 被引量:4
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作者 王玉洁 王彦晖 +3 位作者 奚胜艳 宛金 张阳扬 李鹏飞 《中华中医药杂志》 CAS CSCD 北大核心 2018年第10期4472-4476,共5页
中医"状态辨治"思维及其相关理论的构建,对突破单纯辨病或辨证或辨症思维方式有建设性意义,对完善中医辨证论治体系不无裨益。文章着眼于把生命从出生、成长到死亡的起伏看成不同的状态,从状态角度辨治,力求达到从定性到定量... 中医"状态辨治"思维及其相关理论的构建,对突破单纯辨病或辨证或辨症思维方式有建设性意义,对完善中医辨证论治体系不无裨益。文章着眼于把生命从出生、成长到死亡的起伏看成不同的状态,从状态角度辨治,力求达到从定性到定量的精准治疗;同时提出中医治疗就是人体"土壤改造"的过程,帮助理解状态辨治。最后通过列举1则状态辨治的验案以期理解中医"状态辨治"的内涵。 展开更多
关键词 状态 健康 状态 中医学
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Online SOC estimation based on modified covariance extended Kalman filter for lithium batteries of electric vehicles 被引量:4
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作者 Fan Jiayu Xia Jing +1 位作者 Chen Nan Yan Yongjun 《Journal of Southeast University(English Edition)》 EI CAS 2020年第2期128-137,共10页
To offset the defect of the traditional state of charge(SOC)estimation algorithm of lithium battery for electric vehicle and considering the complex working conditions of lithium batteries,an online SOC estimation alg... To offset the defect of the traditional state of charge(SOC)estimation algorithm of lithium battery for electric vehicle and considering the complex working conditions of lithium batteries,an online SOC estimation algorithm is proposed by combining the online parameter identification method and the modified covariance extended Kalman filter(MVEKF)algorithm.Based on the parameters identified on line with the multiple forgetting factors recursive least squares methods,the newly-established algorithm recalculates the covariance in the iterative process with the modified estimation and updates the process gain which is used for the next state estimation to decrease errors of the filter.Experiments including constant pulse discharging and the dynamic stress test(DST)demonstrate that compared with the EKF algorithm,the MVEKF algorithm produces fewer estimation errors and can reduce the errors to 5%at most under the complex charging and discharging conditions of batteries.In the charging process under the DST condition,the EKF produces a larger deviation and lacks stability,while the MVEKF algorithm can estimate SOC stably and has a strong robustness.Therefore,the established MVEKF algorithm is suitable for complex and changeable working conditions of batteries for electric vehicles. 展开更多
关键词 electric vehicle battery management system(BMS) lithium battery parameter identification state of charge(SOC)
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Identification of abnormal movement state and avoidance strategy for mobile robots 被引量:2
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作者 蔡自兴 段琢华 +1 位作者 章慧团 于金霞 《Journal of Central South University of Technology》 EI 2006年第6期683-688,共6页
Abnormal movement states for a mobile robot were identified by four multi-layer perceptron. In the presence ot abnormality, avoidance strategies were designed to guarantee the safety of the robot. Firstly, the kinemat... Abnormal movement states for a mobile robot were identified by four multi-layer perceptron. In the presence ot abnormality, avoidance strategies were designed to guarantee the safety of the robot. Firstly, the kinematics of the normal and abnormal movement states were exploited, 8 kinds of features were extracted. Secondly, 4 multi-layer pereeptrons were employed to classify the features for four 4-driving wheels into 4 kinds of states, i.e. normal, blocked, deadly blocked, and slipping. Finally, avoidance strategies were designed based on this. Experiment results show that the methods can identify most abnormal movement states and avoid the abnormality correctly and timely. 展开更多
关键词 mobile robot abnormal movement state avoidance strategy
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Status of the OECD-SERENA Project for the Resolution of Ex-vessel Steam Explosion Risks 被引量:2
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作者 Seong-Wan Hong Pascal Piluso Matjazu Leskovar 《Journal of Energy and Power Engineering》 2013年第3期423-431,共9页
OECD/NEA (Organization for Economic Cooperation and Development/Nuclear Energy Agency) launched the SERENA (steam explosion resolution for nuclear application) project to resolve internationally the ex-vessel stea... OECD/NEA (Organization for Economic Cooperation and Development/Nuclear Energy Agency) launched the SERENA (steam explosion resolution for nuclear application) project to resolve internationally the ex-vessel steam explosion issue, which is one of major unresolved issues after a TMI-2 (three mile island-2) accident. One of main conclusions of OECD/NEA SERENA Phase 1, which was completed in 2005, was that some damage to the cavity is to be expected for an ex-vessel explosion. One major uncertainty that does not allow for a convergence toward consistent predictions was that there are no data on the component distribution in a pre-mixture at the time of an explosion, especially the level of the void. The other major uncertainty is the explosion behavior of corium melts. Therefore, SERENA Phase 2 was launched on October 1, 2007 to resolve the uncertainties of the coolant void and material effect by performing a limited number of well-designed tests with advanced instrumentation reflecting a large spectrum of ex-vessel melt compositions and conditions, and the required analytical work to bring the code capabilities to a sufficient level for use in reactor case analyses. The recent status of the OECD-SERENA Phase 2 project for the resolution of ex-vessel steam explosion risks will be described. 展开更多
关键词 Steam explosion SERENA corium.
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An Extended Closed-loop Subspace Identification Method for Error-in-variables Systems 被引量:1
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作者 刘涛 邵诚 《Chinese Journal of Chemical Engineering》 SCIE EI CAS CSCD 2012年第6期1136-1141,共6页
A closed-loop subspace identification method is proposed for industrial systems subject to noisy input-output observations, known as the error-in-variables (EIV) problem. Using the orthogonal projection approach to el... A closed-loop subspace identification method is proposed for industrial systems subject to noisy input-output observations, known as the error-in-variables (EIV) problem. Using the orthogonal projection approach to eliminate the noise influence, consistent estimation is guaranteed for the deterministic part of such a system. A strict proof is given for analyzing the rank condition for such orthogonal projection, in order to use the principal component analysis (PCA) based singular value decomposition (SVD) to derive the extended observability matrix and lower triangular Toeliptz matrix of the plant state-space model. In the result, the plant state matrices can be retrieved in a transparent manner from the above matrices. An illustrative example is shown to demonstrate the effectiveness and merits of the proposed subspace identification method. 展开更多
关键词 closed-loop error-in-variables system subspace identification extended observability matrix orthogonal projection
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High Resolution Crossed Beams Scattering Study of the F+HD→DF+H Reaction
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作者 Xing-an Wang Li Che +4 位作者 Ze-feng Ren Ming-hui Qiu Dong-xu Dai Xiu-yan Wang Xue-ming Yang 《Chinese Journal of Chemical Physics》 SCIE CAS CSCD 2009年第6期551-555,J0001,共6页
Crossed beams scattering study was carried out on the F+HD→DF+H reaction using high- resolution H-atom Rydberg tagging time-of-flight technique. Vibrational state-resolved differential cross sections were measured,... Crossed beams scattering study was carried out on the F+HD→DF+H reaction using high- resolution H-atom Rydberg tagging time-of-flight technique. Vibrational state-resolved differential cross sections were measured, with partial rotational state resolution, at eight collision energies in the range of 2.51-5.60 kJ/mol. Experimental results indicated that the product angular distributions are predominantly backward scattered. As the collision energy increases, the backward scattered peak becomes broader gradually. Dependence of product vibration branching ratios on the collision energy was also determined. The experimental results show that the DF products are highly inverted in the vibrational state distribution and the DF (v'=3) product is the most populated state. Furthermore, the DF (v'=l) product has also been observed at collision energy above 3.97 kJ/mol. 展开更多
关键词 F+HD→DF+H Crossed beam Rydberg tagging Backward scattering
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慢性乙型肝炎从“肝脾肾同调补益清化并举”论治探析 被引量:1
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作者 刘升胜 《国际中医中药杂志》 2013年第3期240-242,共3页
本文以状态辨治理论为指导,主张采用辨病与辨证相结合的方法治疗慢性乙型肝炎。并认为“肝脾肾同调气血并治补益清化并举”是慢性乙型肝炎非细胞破坏性清除病毒的较好途径。临床中治以健脾补肾疏肝、行气活血、清热利湿解毒;兼顾直接... 本文以状态辨治理论为指导,主张采用辨病与辨证相结合的方法治疗慢性乙型肝炎。并认为“肝脾肾同调气血并治补益清化并举”是慢性乙型肝炎非细胞破坏性清除病毒的较好途径。临床中治以健脾补肾疏肝、行气活血、清热利湿解毒;兼顾直接调节机体免疫功能的药物如黄芪、茵陈、香菇、肉苁蓉、黄芩、葛根、三七、柴胡、甘草等可取得较好疗效,值得研究开发。 展开更多
关键词 慢性乙型肝炎 状态 肝脾肾同证 中药组方
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Temporal dynamics of mental impasses underlying insight-like problem solving 被引量:1
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作者 SHEN WangBing LIU Chang +2 位作者 YUAN Yuan ZHANG XiaoJiang LUO Jin 《Science China(Life Sciences)》 SCIE CAS 2013年第3期284-290,共7页
Insight problem solving is characterized by mental impasses,states of mind in which the problem solver does not know what to do next.Although many studies have investigated the neural correlates of insight problem sol... Insight problem solving is characterized by mental impasses,states of mind in which the problem solver does not know what to do next.Although many studies have investigated the neural correlates of insight problem solving,however,the question when mental impasses occur during insight problem solving has been rarely studied.The present study adopted high temporal resolution ERPs to investigate the temporal dynamics of an impasse underlying insight problem solving.Time locked ERPs were recorded associated with problems with impasses(PWI) and problems without impasses(POI).The problem types were determined by participants' subjective responses.The results revealed an early frontocentral P2 was linked with the preconscious awareness of mental impasses and a P3a was associated with fixed attention when the impasse formed.These findings suggest the impasse may occur initially at a relatively early stage and metacognition plays an important role in insight problem solving. 展开更多
关键词 insight problem solving METACOGNITION mental impasse event-related potential (ERP) P200
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