Research on the Development Strategy of Panxi Sunshine Health and Wellness Homestays and Hotels Based on Traditional Chinese Medicine Health Preservation

This study is the first phase of research results from the student innovation project“Yunqiao Sunshine Health and Wellness Homestay”group at Chengdu Normal University.By analyzing the current state of the Sunshine Health and Wellness Tourism Area economy in the Panxi region of Sichuan,local policies,and the current state of Sunshine Health and Wellness homestays and hotels,this paper proposes the possibility of developing Sunshine Health and Wellness homestays and hotels through traditional Chinese medicine(TCM)health preservation methods.It also proposes development strategies for such hotels through a market survey SWOT analysis.

The Great Significance of Establishing Strategic Status of Traditional Chinese Medicine (TCM)

Traditional Chinese Medicine(TCM), based on the philosophic idea of “correlation between man and nature” and “balance of Yin and Yang” and characterized by “integrated concept” and “syndrome identification & treatment determination”, adjusts and activates the self-recuperating ability to rectify its differentiation from normality of human body to meet the goal of preventing and treating diseases mainly by means of traditional Chinese medicinal herbs, acupuncture and moxibustion, etc. The idea of “Human should be in harmony with Nature including bacterium, virus, etc., but not to exterminate microbe in a large scale”, held and promoted by TCM gives, rise to a delicate physiological equilibrium kept between man and microbe and this is just the development trend of medical science in future. For thousands years, TCM has made indelible contribution to the reproduction and prosperity of the Chinese nation, and under the countless attacks of pestilence has never made its people’s death in millions, not such as once occurred in Europe. TCM is also characterized by its “simple, convenient, cheap and effective”method of treatment” and is especially good at preventing and treating chronic diseases, complicate multi-system diseases and new-type virus diseases. Therefore, only when the sanitation and healthcare system is established can the health of 13 billion people in China and the problem of shortage of doctor and medicine for 900 million rural population and large number of poverty-stricken urban population be solved. It is strongly suggested that five promotion projects, namely: TCM policy and statute guarantee, TCM qualified personnel cultivation, TCM scientific research, development of TCM in rural areas and TCM administrative system reform should be carried out in real earnest to make TCM develop in a sustainable way.

Study on Agricultural Intellectual Property Protection and High-Quality Development of Traditional Chinese Medicine of Ginseng

Agricultural intellectual property has the functions of carrying forward agricultural cultural heritage,encouraging agricultural scientific and technological innovation,cultivating the brand of agricultural products and so on. The protection and application of agricultural intellectual property rights can enhance the vitality,innovation and competitiveness of agricultural economy,and promote the strategy of high-quality agricultural development and rural revitalization. Ginseng is a traditional medicinal variety with superior characteristics in Northeast China,and it is one of the most famous " three treasures" in Northeast China. This paper introduces ginseng( Panax ginseng C. A. Mey.) and its medicinal value,analyzes the traditional knowledge,biological genetic resources,new plant varieties,patents,geographical indications,trademarks and other agricultural intellectual property resources of ginseng,studies the traditional Chinese medicine GAP certification and certification of " Three Agricultural Products" and the construction of the dominant area of agricultural product( Fusong ginseng) with Chinese characteristics,and explores the rural revitalization strategy and traditional Chinese medicine development strategy,ginseng agricultural intellectual property protection and high quality development strategy.

Protection of Intellectual Property and Authenticity of Chinese Herbal Medicine Chrysanthemum morifolium

This paper first introduced Chrysanthemum morifolium Ramat. and its medicinal value. Then, it studied agricultural intellectual property resources such as geographical indications, trademarks, patents, new plant varieties, biological genetic resources, and traditional knowledge related to C. morifolium . Finally, it summarized poverty-stricken areas ecologically suitable for planting C. morifolium , analyzed the GAP certification of C. morifolium , pollution-free agricultural product certification, green food certification, and organic food certification, and discussed the strategies for C. morifolium intellectual property protection and authenticity protection in the context of TCM development strategy and rural revitalization strategy.

Microvessel changes in the gerbil hippocampus after cerebral ischemia and reperfusion by Buyang Huanwu decoction pretreatment

Buyang Huanwu decoction （BYHWD） is a classic recipe for the prevention and treatment of ischemic cerebrovascular disease. Gerbils were pretreated with BYHWD, and then subjected to cerebral ischemia and reperfusion. Microvascular changes were determined with laser Doppler monitoring, tannic acid-ferric chloride mordant, and electron microscopy. Results showed that BYHWD pretreatment could enhance the function of hippocampal microvessels, prevent injury, and increase microvasular density and microvasular area density. Thus, these results suggest that BYHWD pretreatment could prevent microvascular occlusion, enhance the capacity of microvascular reperfusion, increase cerebral blood flow, and inhibit neuronal damage, and may be an effective therapy against brain ischemic injury.

Study on the Inheritance,Innovation and Development of Scutellaria baicalensis Georgi in the Treatment of COVID-19

The discovery of highly effective medicine"Qingfei Paidu Decoction"for COVID-19 is a new era gift of traditional Chinese medicine to the world.The traditional Chinese medicine Scutellaria baicalensis Georgi,as a medicinal plant in the family of Labiatae,is the dominant variety of genuine medicinal material in North China.It is the leading traditional Chinese medicine in the advantageous area of agricultural products with Chinese characteristics in Shangdang of Changzhi City,and it is one of the 21 herbal medicines in the new national prescription"Qingfei Paidu Decoction"for the rapid and effective treatment of COVID-19.This paper introduces S.baicalensis Georgi and its traditional Chinese medicine GAP base,ecologically suitable planting county and medicinal value in poor areas,and studies the intellectual property resources related to S.baicalensis Georgi,such as traditional knowledge,biological genetic resources,patents,new plant varieties,geographical indications,and trademarks.This paper mainly discusses the inheritance essence,innovation and high-quality development strategy of S.baicalensis Georgi under the rural revitalization strategy and traditional Chinese medicine development strategy from the aspects of intellectual property rights,important agricultural cultural heritage,advantageous areas of characteristic agricultural products and so on.

Acupuncture for ischemic stroke:cerebellar activation may be a central mechanism following Deqi

The needling sensation of Deqi during acupuncture is a key factor of influencing acupuncture outcome.Recent studies have mainly focused on the brain function effects of Deqi in a physiological state.Functional magnetic resonance imaging（f MRI）on the effects of acupuncture at Waiguan（SJ5）in pathological and physiological states is controversial.In this study,12 patients with ischemic stroke received acupuncture at Waiguan（SJ5）and simultaneously underwent f MRI scanning of the brain,with imaging data of the activated areas obtained.Based on the patient＇s sensation,imaging data were allocated to either the Deqi group or non-Deqi group.In the Deqi group,the activated/deactivated areas were the left superior temporal gyrus（BA39）/right anterior lobe of the cerebellum and left thalamus.In the non-Deqi group,the activated areas included the medial frontal gyrus of the right frontal lobe（BA11）,right limbic lobe（BA30,35）,and left frontal lobe（BA47）,while the only deactivated area was the right parietal lobe（BA40）.Compared with the non-Deqi group,the Deqi group exhibited marked activation of the right anterior lobe of the cerebellum and right limbic lobe（BA30）.These findings confirm that the clinical effect of Deqi during acupuncture is based on brain functional changes.Cerebellar activation may be one of the central mechanisms of acupuncture in the treatment of ischemic stroke.

倡议应用临床数据交换标准协会的治疗领域标准提高中医药治疗慢性阻塞性肺疾病的临床试验效率

为了更好地促进临床研究数据标准化,临床数据交换标准协会(Clinical data interchange standards consortium,CDISC)建立了一系列临床研究数据标准,并于2016年1月发布了慢性阻塞性肺疾病(简称“慢阻肺”)的治疗领域(Therapeutic area,TA)标准。该治疗领域标准用于确定慢阻肺临床研究方案的共性数据标准,支持不同来源、不同时期的临床试验数据整合,促进队列数据的二次分析。该文介绍了慢阻肺治疗领域标准用户指南的结构与内容,以帮助研究人员在研究设计中更好地理解和使用慢阻肺治疗领域标准,倡议应用该治疗领域标准来规范慢阻肺的中医药临床试验设计,以促进研究数据整合,提高临床试验效率。

岭南乡村居民中医药文化认知需求现状问题与对策——基于广州市从化区江埔街道科普调研的思考

党的十八大以来,习近平总书记高度重视中医药发展,党中央把中医药发展上升为国家战略。岭南乡村作为中医药文化根植的沃土,也是新时代背景下反映农村居民在中医药文化背景、认知、情感、行为方面现状与问题的缩影。为全面了解当前中医药文化认知需求现状,发掘其面临的突出问题与成因,提升中医药基层科普的活力与发展前景,该项目组通过现场问卷调查、知识竞赛、深度访谈,对岭南地区的中医药文化乡村传承发展现状进行了深入的调查。结果显示,乡村居民对中医药文化的认知度较低,而需求度较高。文章针对上述问题,提出因人、因地、因时制宜的对策与建议。

系统性视域下中医药助力山东省乡村振兴发展战略路径

在当前阶段,乡村振兴和全民健康被提升到国家战略高度,纳入国家和山东省工作全局的大背景。山东省农村中医药保健将会进一步发挥在健康基础和新兴产业中的关键作用。中医药与乡村振兴发展作为国家战略,是一个系统工程,要充分发挥中医药保健服务在乡村振兴领域中的“三力”资源优势,积极促进政府部门、教育科研院所、基层医疗机构与乡村管理者统筹协作,形成推动、指导、践行、督导和考核的合力,共同推动山东省乡村振兴发展战略的实施。

经典名方中桂枝的关键信息考证与质量评价研究

目的通过本草考证和多批次道地产区桂枝药材的质量评价,为含桂枝的经典名方的研究提供依据与参考。方法对历代本草和经典医书进行考证,对经典名方中桂枝的药用部位、基原、产地与品质进行考证;并根据考证结果收集4个道地产地的15批次合格桂枝药材,建立适用于桂枝药材的高效液相色谱(HPLC)特征图谱方法并进行方法学验证;通过聚类分析、主成分分析和偏最小二乘-判别分析方法,结合特征图谱数据和桂皮醛含量,对古籍考证的道地产区桂枝药材的质量一致性进行综合评价。结果通过古籍考证,确定了经典名方中所用桂枝的药用部位(嫩枝)、基原(樟科植物肉桂)、产地(广东、广西);建立了通过方法学验证的HPLC特征图谱方法,形成的共有对照特征图谱共计10个共有特征峰,并指认出香豆素、肉桂酸、桂皮醛以及2-甲氧基肉桂醛4个色谱峰;3个化学识别分析结果均表明古籍考证的道地产区桂枝药材质量具有一致性。结论经典名方中桂枝选用樟科植物肉桂(Cinnamomum cassia Presl)的干燥嫩枝,产地可选用广西和广东两地;建立的桂枝特征图谱方法适用于桂枝的质量控制研究。

岭南地区皮肤溃疡患者的临床特征及中医证型分布研究

【目的】回顾性分析岭南地区皮肤溃疡病例的临床资料,探讨其中医证型分布特点及相关影响因素。【方法】收集2012年8月至2022年7月在广东省中医院皮肤科住院治疗的241例皮肤溃疡患者的临床资料,分析其临床特点和中医证型分布规律。【结果】(1)临床特点方面,241例皮肤溃疡患者的发病年龄从10岁到98岁不等,其中70~79岁的年龄段是发病的高发区间;病程从1周到20余年不等,而且大部分患者的病程在1~5年之间;241例皮肤溃疡患者中,以男性为主,男女患病比例为1.62∶1;皮肤溃疡发病率最高的部位为下肢200例(82.99%),其次为躯干17例(7.05%)、全身多发13例(5.39%)、上肢9例(3.73%)、头面部2例(0.83%)。其不同性别病变部位分布比较,差异无统计学意义(P>0.05)。(2)中医证型分布方面,241例皮肤溃疡患者中,以湿热瘀阻证最为常见(46.89%),其他按百分比由高到低依次为脾虚湿盛证(27.39%)、气虚血瘀证(14.11%)、气阴两虚证(11.62%)。4种中医证型的性别分布比较,差异无统计学意义(P>0.05),但其发病年龄段分布比较,差异有统计学意义(P<0.05)。【结论】岭南地区皮肤溃疡患者的发病年龄、性别、部位和病程分布等均存在一定差异,中医证型分布以湿热瘀阻证占比最多。

太仓市某医院高血压病肾损害患者中医证型与肾功能损伤程度分析

目的探究太仓地区高血压病肾损害中医证型与肾功能的关系。方法纳入2021年10月至2022年10月太仓市中医医院(本院)诊治的高血压病肾损害患者363例,根据患者年龄分为青年、中年、老年三组,统计分析不同年龄段中医证型与血压水平、肾功能损伤程度的相关性。结果太仓地区高血压病肾损害中医证型从高到低依次为脾肾两虚、肝肾阴虚、肝阳上亢、痰瘀互结,青年组以肝阳上亢型最多,中年组痰瘀互结型最少,其余各证型之间几乎持平,老年组以脾肾两虚最多,三组脾肾两虚、肝阳上亢占比比较,差异有统计学意义(P<0.05);三组痰瘀互结、肝肾阴虚占比比较,差异无统计学意义(P>0.05)。三组血压比较,差异均有统计学意义(P<0.05)。不同年龄段的肌酐、尿素氮比较,差异均有统计学意义(P<0.05),但肾小球滤过率比较,差异无统计学意义(P>0.05)。不同证型收缩压、舒张压比较,差异均有统计学意义(P<0.05),但肌酐、尿微量白蛋白、24 h蛋白尿定量比较,差异均无统计学意义(P>0.05)。结论本院高血压病肾损害以老年患者为主,证型以脾肾两虚最多,不同年龄、证型在血压、肾功能等方面均存在一定差异,临床应做到因人而异,中青年患者早诊断、早干预,以防治疾病进展,老年患者应更加关注血压、肾功能损害程度。

乡村振兴背景下农村中医药文化建设的路向选择——基于习近平关于发展中医药重要论述的启示

农村中医药文化是中医药文化的重要组成部分,在乡村文化振兴中具有重要作用。习近平总书记关于发展中医药重要论述的价值意蕴契合了当前乡村振兴战略在文化层面的振兴要求,对农村中医药文化建设,促进新时代优秀乡土文化挖掘、保护与创新性发展具有重要价值启示。推动农村健康素养的提升,提高农民防病保健意识;推动特色中医药文化品牌建设,提升农村文化内涵和品位;推动中医药康养文旅发展,促进农村经济发展;推动农村精神文明建设,促进良好乡风的形成与传播。深化认识,加强保护与延续;聚焦功用,深挖价值与潜能;纳入规划,加强布局与管理;聚焦人才,促进培优与建设。

高原地区冠心病的中医辨证与证素分布规律研究

目的:探究高原地区冠状动脉粥样硬化性心脏病(冠心病)患者的中医辨证、证素分布规律,以期为冠心病的中医论治提供参考。方法:以2021年5—6月、2022年7—8月在西藏、新疆的边疆高原地区就诊并经冠状动脉增强CT或冠脉造影术检查确诊为冠心病的患者为研究对象,借助数据挖掘技术,采用频率分析与关联规则分析的方法对冠心病患者的性别、年龄、生活地区海拔高度、中医辨证、证素等进行统计分析。结果:共纳入182例冠心病有效病例。男性患者占89.56%,女性患者占10.44%;海拔500~4500 m之间者占比最多(49.45%)。共涉及中医辨证72种,频数居前3位的中医辨证为心脉瘀阻证、心肾不交证、心脾亏虚证。共涉及14个病位证素,其中心(111)、肾(69)、脾(56)是频数最高的3个证素。共涉及13个病性证素,前3位为气虚(47.80%)、血瘀(41.21%)、气滞(39.01%)。在证素关联分析中,心-肾、气滞-血瘀、脾-气虚支持度最高。高原地区冠心病的常见合并病有睡眠障碍、胃炎等。结论:气虚证素作为高原地区冠心病的首要证素贯穿始终,其中以心、脾、肾脏腑亏虚为主;血瘀为高原地区冠心病的重要实性证素,痰瘀互结证为高原地区冠心病常见证候类型。

辽宁省城乡居民中医“知-信-行”现状调查分析

目的 对辽宁省城乡居民中医知识、中医态度、中医行为情况进行调查,明确辽宁省城乡居民中医“知-信-行”作用通路,为促进辽宁省居民中医药卫生服务利用、完善我国公共卫生系统的相关政策提供理论依据。方法 采用分层随机抽样方法进行抽样,通过问卷调查法,对辽宁省城乡居民中医“知-信-行”现状进行调查。结果 辽宁省居民中医知识水平为5.00 (3.00,7.00),中医态度水平为9.50 (9.00,12.00),存在中医行为的比例为50.3%。城乡、年龄、教育程度、工作情况、健康状况、慢性病患病情况与居民中医行为相关(P<0.05)。居民中医知识与中医态度之间呈正相关(coeff=0.199 7),中医态度与中医行为之间呈正相关(coeff=0.457 7),居民中医态度在中医知识和中医行为之间存在中介效应(直接效应coeff=0.255 2;间接效应coeff=0.091 4)。结论 辽宁省城乡居民中医知识、中医态度是中医行为的重要影响因素,且中医态度在中医知识与中医行为的关系中起到中介作用。

豫东农村地区脑梗死患者中医体质分布特点及与BMI、情绪、睡眠质量相关性分析

目的:调查豫东农村地区脑梗死患者中医体质分布情况,并分析不同性别、年龄脑卒中患者中医体质分布特点,分析中医体质与BMI、焦虑抑郁状态及睡眠质量的相关性。方法:对2020年8—9月于河南省商丘市睢县地区所收集的888名脑梗死患者进行问卷调查,收集一般资料(性别、年龄、BMI等)、汉密尔顿抑郁量表(HAMD)、汉密尔顿焦虑量表(HAMA)、匹兹堡睡眠质量量表(PSQI)及中医体质量表信息,分析其中医体质分布情况,并对中医体质分布与BMI分级、焦虑程度、抑郁程度及与PSQI分值差异进行相关性检验。结果:气虚质是豫东农村地区888例脑梗死患者最常见的中医体质类型;不同性别的脑梗死患者体质分布在平和质、气郁质、气虚质、阴虚质、阳虚质方面差异有统计学意义(P<0.05);9种体质在年龄分布人数差异均无统计学意义(P>0.05);仅阳虚质BMI等级分布人数差异有统计学意义(P<0.05);平和质、阴虚质、阳虚质、气郁质、气虚质、血瘀质、特禀质焦虑程度等级分布人数差异有统计学意义(P<0.05);平和质、气虚质、气郁质、血瘀质抑郁程度等级分布人数差异有统计学意义(P<0.05);平和质、阴虚质、阳虚质、气郁质、气虚质的PSQI分值差异有统计学意义(P<0.05)。结论:豫东农村地区脑梗死患者最常见的中医体质类型是气虚质。多种偏颇体质与脑梗死患者性别、BMI分级、焦虑抑郁程度及睡眠质量具相关性,应重视对脑梗死患者偏颇体质的纠正。

互联网+在边疆地区中医教育的应用

中医学凝聚着深邃的哲学智慧和中华民族几千年的健康养生理念及实践经验,临床疗效确切、预防保健作用独特且费用低廉,在边疆地区更能发挥其独特优势作用。中医药的发展离不开中医人才的培养。在21世纪信息化技术快速发展的时代背景下,将“互联网+”教学运用到边疆地区的中医教育工作中已是大势所趋。基于此,文章通过论述边疆地区中医教育现状、互联网+在边疆地区教学中的优势,为提高中医教学水平及中医临床诊疗能力提供思路。

和田地区宫颈癌患者中医证型分布及其影响因素研究

目的:探讨新疆和田地区宫颈癌患者中医证型分布特点及其相关影响因素。方法:对宫颈癌患者中医临床症状进行聚类分析得到宫颈癌患者的中医证型分布规律,并通过比较不同特征患者之间的中医证型分布差异寻求可能影响宫颈癌中医证型的因素。结果:符合纳入标准的宫颈癌患者共186例,中医证型分布情况从高到低为肝肾阴虚证81例(43.55%)、肝经湿热证64例(34.41%)、肝郁气滞证25例(13.44%)和脾肾阳虚证16例(8.60%);年龄、入院症状项数、西医临床分期、妊娠及流产次数不同的宫颈癌患者之间的中医证型分布情况比较,差异均有统计学意义(P<0.05)。结论:通过对和田地区186例宫颈癌患者的中医证型进行统计分析,得出区域性的宫颈癌中医证候分布特点及影响因素,为和田地区宫颈癌的中医辨证论治和早期干预提供思路。

中医药文化研学活动在农村中小学的探索

农村中小学是中医药文化进校园和研学活动的薄弱阵地。中医药研学活动的进行有助于丰富农村的教育形式,增加综合实践活动内容,提升农村学生综合素质。本研究通过结合农村资源环境特点,在农村中小学开展了几次中医药研学活动实践,结合活动实施情况,分析农村实施研学活动的效果和意义。结果表明,中医药研学活动的开展,有助于增强农村中小学生对中医药的兴趣和认同,有助于弘扬传统文化、树立文化自信。