老中医高式国治疗崩漏经验略识

严父高式国先生,年九十又四,行医六十余载,学验具丰,通经史,工书法,精医道。凡内、妇、针灸等学科皆有独道见地,早年著《针灸穴名解》一书问世,笔者临床耳濡目染,深得其传,将其临症经验,偶有小记,严父对崩漏一症治法独特,可师可法,撰文介绍。高老认为古人尝谓,宁治十男子,不治一妇人,男妇所异,经带胎产也,凡情志所伤皆关系经带诸疾,凡经带诸证之因,没不兼涉气血,故不明七情,气血者,不精妇科之治。治病之标,必深明其病之本,投剂可效如桴鼓,否则罔然。于妇科崩漏之治,更如是也。当今医学之发展。

寿世金书——高式国著《针灸穴位名解》(五)

脾足太阴之脉 箕门 箕，星名。在南天，凡四星，列如簸箕之形。人当敞腿兀坐时，两腿分张，形如箕状，故称箕坐。其两腿内侧，肌肉丰腴，有如鱼腹。本穴在腴肉上端，犹当箕星之门，故名“箕门”。

Thai Elderly Population： Lifestyle Enhancement Amongst the Overweight and Hypertensive

Hypertension and obesity are two prevalent conditions that often simultaneously affect the same individual and can increase one＇s chances of cardiovascular morbidity. In Thailand, older people often seek medical attention at times when they are extremely ill. Healthy lifestyle behaviors are essential in order for one to maintain their health. Certain regimens can be initiated to manage and control health problems. However, very few know about how the elderly maintain their subjective physical well-being, while living with obesity and hypertension. This qualitative study focuses on describing health care practices and behaviors of overweight and hypertensive older people in everyday Thai society. Ten elderly people have participated in this study through purposive sampling. Qualitative data was gathered via in-depth interviews and was analyzed by using a content analysis method. The findings illustrate that health care seeking behaviors emerged from an understanding to seek health care; acting behaviors based on knowledge, and seeking health care support. Most overweight and hypertensive elderly people in Thai cultures have the desire to maintain their everyday lives by continuing their routines or traditions that were in place before seeking professional attention. This knowledge is useful in developing health care practices with wider implications such as holistic care to elderly people for alleviating their suffering by promoting healthy lifestyles and maintaining healthy blood pressure.

Overeducation in China: Levels,Trends and Differentials

Overeducation is widespread across the countries in the world.However,not much is known about the patterns of overeducation in China.This paper examines levels,trends and patterns of overeducation in China over the last 20 years.Overeducation rate in China increased from 7.24%in 1990to 12.26%in 2000,and further to28.16%in 2010.The pace was much more rapid in the second decade than in the first decade.Overeducation is substantial across all the population subgroups.with widening differentials.Overeducation rates in the big cities like Beijing and Shanghai are much higher than elsewhere in China.China’s rapidly increasing overeducation is largely a result of the implementation of college expansion policy started in the late 1990s.

Direct Radiative Forcing and Climatic Effects of Aerosols over East Asia by RegCM3

The authors used a high-resolution regional climate model （RegCM3） coupled with a chemistry/ aerosol module to simulate East Asian climate in 2006 and to test the climatic impacts of aerosols on regional- scale climate. The direct radiative forcing and climatic effects of aerosols （dust, sulfate, black carbon, and organic carbon） were discussed. The results indicated that aerosols generally produced negative radiative forcing at the top-of-the-atmosphere （TOA） over most areas of East Asia. The radiative forcing induced by aerosols exhibited significant seasonal and regional variations, with the strongest forcing occurring in summer. The aerosol feed- backs on surface air temperature and precipitation were clear. Surface cooling dominated features over the East Asian continental areas, which varied in the approximate range of-0.5 to -2℃ with the maximum up to -3℃ in summer over the deserts of West China. The aerosols induced complicated variations of precipitation. Except in summer, the rainfall generally varied in the range of-1 to 1 mm d^-1 over most areas of China.

Changes in Extreme Events as Simulated by a High-Resolution Regional Climate Model for the Next 20-30 Years over China

In this paper, the changes in temperature and precipitation extremes over the next 20-30 years (2021-2050) in relative to the present day (1986-2005) under the Intergovernmental Panel on Climate Change (IPCC) Special Report on Emissions Scenarios (SRES) A1B scenario are analyzed based on a high-resolution climate change simulation performed by a regional climate model (the Abdus Salam International Center for Theoretical Physics (ICTP) RegCM3). The extreme indices of summer days (SU), frost days (FD), and growing season length (GSL) for temperature and simple daily intensity index (SDII), number of days with precipitation ≥10 mm d-1 (R10), and consecutive dry days (CDD) for precipitation are used as the indicators of the extremes. The results show that the indices simulated by RegCM3 in the present day show good agreement with the observed. A general increase in SU, a decrease in FD, and an increase in GSL are found to occur in the next 20-30 years over China. A general increase in SDII, an increase in R10 over western China, and a decrease in R10 in north, northeast, and central China are simulated by the model. Changes in CDD are characterized by a decrease in the north and an increase in the south and the Tibetan Plateau.

Sensitivity of simulated short-range high-temperature weather to land surface schemes by WRF

The simulations of a heat wave occurring in southern Yangtze-Huaihe valley and southern China during late July,2003 were conducted to examine the sensitivity of simulated surface air temperature(SAT) to different land surface schemes(LSSs) using the Weather Research and Forecasting Model(WRF) Version 2.2 in the short-range mode for 24-h integrations.Initial and boundary conditions employed a National Centers for Environmental Prediction(NCEP) analysis.The results showed that,overall,simulated high-temperature weather is sensitive to different LSSs.Large differences in simulated SAT intensity,threat score,and simulated error under different schemes are identified clearly.In addition,some systematic differences are also in-duced by the LSSs.In terms of threat score from the three LSSs,SLAB is the best,and RUC is better than NOAH.SLAB gives the lowest absolute error for area-averaged SAT,and tends to depict the western Pacific subtropical high with the east-ernmost position at low levels.The LSSs modify the simulated SAT,primarily via the transfer of sensible heat from the land surface to the atmosphere.The physical mechanism of the positive feedback between atmospheric circulation and the SAT is unimportant,with"negative"feedback over most of the simulated areas.This study emphasizes the importance of improving LSSs in SAT forecasting by numerical models.

The influence of rainfall and land use patterns on soil erosion in multi-scale watersheds: A case study in the hilly and gully area on the Loess Plateau, China

Soil erosion has become a major global environmental problem and is particularly acute on the Loess Plateau(LP), China. It is therefore highly important to control this process in order to improve ecosystems, protect ecological security, and maintain the harmonious relationship between humans and nature. We compared the effects of rainfall and land use(LU) patterns on soil erosion in different LP watersheds in this study in order to augment and improve soil erosion models. As most research on this theme has so far been focused on individual study areas, limited analyses of rainfall and LU patterns on soil erosion within different-scale watersheds has so far been performed, a discrepancy which might influence the simulation accuracies of soil erosion models. We therefore developed rainfall and LU pattern indices in this study using the soil erosion evaluation index as a reference and applied them to predict the extent of this process in different-scale watersheds, an approach which is likely to play a crucial role in enabling the comprehensive management of this phenomenon as well as the optimized design of LU patterns. The areas considered in this study included the Qingjian, Fenchuan, Yanhe, and Dali river watersheds. Results showed that the rainfall erosivity factor(R) tended to increase in these areas from 2006 to 2012, while the vegetation cover and management factor(C) tended to decrease. Results showed that as watershed area increased, the effect of rainfall pattern on soil erosion gradually decreased while patterns in LU trended in the opposite direction, as the relative proportion of woodland decreased and the different forms of steep slope vegetation cover became more homogenous. As watershed area increased, loose soil and craggy terrain properties led to additional gravitational erosion and enhanced the effects of both soil and topography.