西医院校中医学辨证体系教学模式改革的探索

辨证体系与临床联系紧密,是西医院校中医学教学中的重点。受多种因素影响,该部分教学在应用传统的LBL教学模式时存在较多不足。本教研室对中医学辨证体系的教学方法进行改革,采用LBL联合PBL与CBL教学模式进行授课,在充分讲解中医辨证知识的同时,提高了临床应用,改良了教学效果,也更利于培养学生的中医思维。

构建辨证医学为牵引的产后管理评估新模式

目的:探讨分析辨证医学为牵引的产后管理评估新模式在妇产科护理中的实践效果与价值。方法:选取2020年8月—2021年8月在医院妇产科接受过护理治疗的100例产妇为研究对象,分为观察组和对照组,每组50例。对照组采用常规的管理模式,观察组采用辨证医学为牵引的产后管理评估新模式。比较两组的产妇满意度、产妇康复率、措施干预前后的VAS评分、产妇的生活质量评分。结果:观察组产妇的总满意率为96%,高于对照组的80%;观察组产妇的康复率为100%,高于对照组的92%;观察组产妇干预后的VAS评分低于对照组;观察组产妇的各项生活质量评分高于对照组。结论:辨证医学为牵引的产后管理评估新模式可以提高产妇满意度及康复率,能够改善产妇生活质量。

基于中医学的综合辨证护理干预对2型糖尿病老年患者血糖水平及护理满意度的影响分析

目的观察基于中医学的综合辨证护理干预对2型糖尿病老年患者血糖水平及施护满意度的影响。方法120例2型糖尿病老年患者,以是否接受中医综合辨证护理干预为暴露因素,分为暴露组和非暴露组,各60例。非暴露组采用常规护理,暴露组在常规护理基础上加入中医综合辨证护理干预。比较两组护理前、护理后2周、出院后2周的血糖指标及护理后2周的护理满意度。结果护理前,两组空腹血糖、餐后2 h血糖水平比较差异无统计学意义(P>0.05)。护理后2周、出院后2周,暴露组餐后2 h血糖水平分别为(9.21±1.54)、(10.00±1.88)mmol/L,均低于非暴露组的(11.7±2.47)、(13.38±2.06)mmol/L,差异均有统计学意义(P<0.05)。护理后2周、出院后2周,暴露组空腹血糖、餐后2 h血糖水平分别为均低于护理前,差异均有统计学意义(P<0.05)。护理后2周,暴露组护理满意度评分(8.56±1.09)分高于非暴露组的(7.34±1.21)分,差异具有统计学意义(P<0.05)。结论中医综合辨证护理方案可进一步改善2型糖尿病老年患者的血糖水平,提高护理满意度,值得进一步研究以早日应用于基层养老服务中。

《伤寒论》辨证法观点发微

《伤寒论》富含辨证法思想,它用整体的、联系的、变化的观点来认识人体和疾病,既用六经病证概括疾病发展规律,又强调具体问题具体分析的方法,诸多地方都体现了共性与个性的辨证关系,贯穿着对立统一,全面分析矛盾的方法。注重从现象认识本质,体现着量与质的辨证关系,还特别重视在辨证过程中注意矛盾的转化并抓好主要矛盾。

中医教育全球视野

目前国际医学教育是建立在西方的系统之上的,其主流医学是以循证医学为基础并结合近二、三百年以来科学的进步而逐步发展起来的。一项针对几个不同的国家所进行的医学教育的比较研究表明,这些国家在大学教育,实习及专业培训方面有很多共同点。然而其评估和执行标准在国家与国家之间却有不同。这就促使世界医学会提议设定一个统一的国际医学教育最低标准大纲。没有这个大纲,将很难实行国际范围内的彼此认可和鉴定,而且这也是实现21世纪国际医学无边界的基本的一步。

Ophthalmic Syndrome Differentiation System and Digital Chinese Medicine

In traditional Chinese medicine(TCM),ophthalmic syndrome differentiation is an ophthalmology-specific method for identifying syndromes based on the“Five Orbiculi”theory.It was devised by Professor Qing-Hua PENG through an unprecedented combination of syndrome element differentiation and ophthalmic clinical practices,based on the Clinical Terminology of Chinese Medical Diagnosis and Treatment-Syndromes of the National Standards of the People's Republic of China.This approach integrates an ophthalmic syndrome differentiation system with digital Chinese medicine(DCM),and proposes the extraction of syndrome elements of ophthalmic diseases from research on DCM.These elements are then quantified and organized to form a model of digital diagnosis and treatment specific to ophthalmology,which should help to achieve synergistic development of the ophthalmic syndrome differentiation system and DCM.

Research on Text Mining of Syndrome Element Syndrome Differentiation by Natural Language Processing

Objective Natural language processing (NLP) was used to excavate and visualize the core content of syndrome element syndrome differentiation (SESD). Methods The first step was to build a text mining and analysis environment based on Python language, and built a corpus based on the core chapters of SESD. The second step was to digitalize the corpus. The main steps included word segmentation, information cleaning and merging, document-entry matrix, dictionary compilation and information conversion. The third step was to mine and display the internal information of SESD corpus by means of word cloud, keyword extraction and visualization. Results NLP played a positive role in computer recognition and comprehension of SESD. Different chapters had different keywords and weights. Deficiency syndrome elements were an important component of SESD, such as "Qi deficiency""Yang deficiency" and "Yin deficiency". The important syndrome elements of substantiality included "Blood stasis""Qi stagnation", etc. Core syndrome elements were closely related. Conclusions Syndrome differentiation and treatment was the core of SESD. Using NLP to excavate syndromes differentiation could help reveal the internal relationship between syndromes differentiation and provide basis for artificial intelligence to learn syndromes differentiation.

Digital Chinese Medicine Research: an Overview

Digital Chinese medicine(DCM)is an emerging interdisciplinary field developed from traditional Chinese medicine(TCM)and information science.In this article,we consider the significance and propose an architecture for DCM research,and highlight the key tasks that need to be performed to provide references for the integration of information science into Chinese medicine research.

中医药治疗慢性萎缩性胃炎临床近况

慢性萎缩性胃炎（简称CAG）是一种常见病、难治病，现代医学尚缺乏理想的治疗方法。中医药有着丰富的治疗脾胃病的经验并自成体系。现对近年来中医药对CAG的治疗作综述如下。

基于双心医学模式中医辨证施护在我院心血管内科老年患者中的应用

目的:分析心血管内科患者实施基于双心医学模式中医辨证施护的临床效果。方法:纳入医院2020年12月—2021年12月收治的心血管内科老年患者45例开展研究,实施基于双心医学模式中医辨证施护,作为观察组。纳入医院2019年11月—2020年11月收治的心血管内科老年患者45例,实施常规护理,作为对照组。分析两组患者生活质量量表(WHOQOL-BREF)评分、临床护理服务质量满意率。结果:护理1周后,观察组WHOQOL-BREF量表评分、患者临床护理服务质量满意率明显高于对照组(P<0.05)。结论:医院心血管内科老年患者实施基于双心医学模式中医辨证施护服务的效果更佳,能够更有效地提升科室中医护理管理质量,更有利于改善老年心血管疾病患者的生活质量,让患者对中医辨证施护服务的满意度提升。

Traditional Chinese Medicine syndrome patterns and Qi-regulating,chest-relaxing and blood-activating therapy on cardiac syndrome X

OBJECTIVE:To master the syndrome patterns characteristics and explore the effective therapy methods ofTraditional Chinese Medicine(TCM) for cardiac syndrome X(CSX).METHODS:The TCM syndrome characteristics were mastered and the TCM intervention programs were determined by clinical investigations for TCM syndrome patterns characteristics of CSX patients.Then,the clinical efficacy studies on TCM intervention for CSX were carried out through randomized controlled trials.RESULTS:CSX is a clinical syndrome with the main manifestations of chest pain and chest stuffiness,and Qi stagnation,phlegm retention and blood stasis are the basic symptoms of CSX.As a result,the Qi-regulating,chest-relaxing and blood-activating therapy integrated with some Western Medicines was adopted for treatment.The effect of Qi-regulating,chest-relaxing and blood-activating therapy can reduce the frequency and degree of angina,improve the symptoms and exercise the tolerance of patients,inhibit the inflammatory response of vascular walls and protect the function of vascular endothelial cells,which is better than that of the simple and conventionalWestern Medicine alone.CONCLUSION:A good effect was achieved in the integration of Chinese and Western Medicines for CSX.The therapy is worthy to be applied further in clinical practice.On the other hand,more long-term and randomised controlled studies with large samples are still required to further determine the clinical efficacy and safety of the therapy.

Case studies of Chinese acupuncture's comprehensive effectiveness on knee pain

Conventional Western medicine（CWM） and traditional Chinese medicine（TCM） have different approaches and lead to different practices in experimental design, research methodology, regulation, and standards. TCM emphasizes on the optimal or holistic health. In contrast, CWM is an allopathic medicine primarily based on anatomy, biology, biochemistry,molecular biology and modern technology, and rejects the concept of invisible substances and quantum entanglement.Consequently, CWM emphasizes on abnormal lab tests or obvious diseases. In the early 1970 s, TCM and acupuncture quickly emerged as an alternative to CWM as Westerners explored new TCM concepts while questioning the side effects of CWM. Many countries accept traditional acupuncture as a legal alternative medical practice. Some CWM physicians nowadays are more enthusiastic and are receptive to learning and practicing acupuncture. The common goal of CWM and TCM is to enhance human health, but problems arise over differences in approach. As a response to some Western journal papers that failed to validate the real acupuncture effect because of their incorrect methodologies and their ignorance of the holistic acupuncture approaches, the authors hereby present a group of case studies to demonstrate the real and unique effects of genuine acupuncture. The objective was to explore the clinical effects of acupuncture for knee pain.Thirty-six patients with knee pain were divided into five groups based on age. Holistic TCM diagnosis was performed at the beginning of each case and then made a personalized acupuncture treatment prescription according to the root of illness found by the diagnosis. The symptoms and signs were recorded before and after every treatment, and the treatment effects were assessed based upon the self-reported feeling and the observed changes of the patient following the numeric rating scale（NRS）. The results were summarized after the completion of the minimal 5 acupuncture treatments or the standard 10 acupuncture treatments. Among the 36 patients who participated in the cases studies, 17 patients reported a complete healing for knee pain（47.2%）. About 60 kinds of illness other than knee pain were improved（98.9%） and the complete healing rate was about 44.2%. This leads to the conclusion that TCM acupuncture is remarkably effective in treating knee pain. TCM and CWM share a common goal in promoting the health of human being. The efficacy of TCM acupuncture in treating knee pain shouldn＇t be denied or distorted.

龙胆泻肝汤加味治疗急慢性前列腺炎103例

目的：探讨中药龙胆泻肝汤加减治疗急慢性前列腺炎的疗效。方法：以龙胆泻肝汤为基础方，随症加减，急性者去车前子、加连翘、大黄、荔核等，慢性者去山栀，加川楝子、板兰根、金银花、益智仁等治疗103例。结果：总有效率97．1％。结论：本方加减使用，对前列腺炎的治疗，达到清利湿热、泻火解毒、散结、固本。