ACUPUNCTURE TREATMENT OF 55 CASES OF ACUTE BACILLARY DYSENTERY

The therapeutic effect of acupuncture on bacillary dysentery was observed in 55 patients suffering from acute bacillary dysentery. Bilateral Tianshu (ST 25) and Zusanli (ST 36) points were chosen as the main points and Quchi was added for those with high fever. All the patients in this investigation were cured after one course of acupuncture treatment. It was noticed that their symptoms disappeared after average of 2. 4 days and stool laboratory test normalized after 2. 8 days on an average.It is concluded that acupuncture is effective and applicable to bacillary dysentery.

Effects of Fermented Whey in Treating Bacillary Dysentery and on the Gastrointestinal Flora of Apparently Healthy Albino Rats

In this study, the effects of fermented whey （FW） in treating bacillary dysentery caused by Shigellaflexneri in albino rats and on the gastrointestinal （GIT） flora of apparently healthy albino rats （AHARs） were investigated. Prior the therapeutic assay, the growth inhibitory activity （GIA） of whey subjected to different fermentation durations at 30 ~ 2 ~C was first investigated using agar diffusion assay on the test organism, conventional antibiotics served as control. After this, the infectious dose of the organism was determined and used to infect another set of AHARs. The infected rats were grouped into two; group one was treated with 1.0 mL of the FW that exerted the highest GIA in the in vitro assay （FW1）, once daily for 7 d while group two was left untreated. The rats were observed for signs of recovery while their large intestine was subjected to histopathological examinations. For the effects of whey on GIT flora of AHARs, another group of AHARs was fed with FW1 for 3months. At 7 d intervals, their faeces were examined for microbial types and load. The in vitro GIA of the FWs on the test organism was superior to that of most of the antibiotics used and the administration of FW1 to infected rats caused them to recover by 72 h while those not treated with FW1 started to recover by 168 h. FWl did not significantly （p 〈 0.05） affect the GIT microflora loads but only the types.

Correlation Analysis for the Attack of Bacillary Dysentery and Meteorological Factors Based on the Chinese Medicine Theory of Yunqi and the Medical-Meteorological Forecast Model

Objective： To explore the impact of meteorological factors on the outbreak of bacillary dysentery, so as to provide suggestions for disease prevention. Methods： Based on the Chinese medicine theory of Yunqi, the descriptive statistics, single-factor correlation analysis and back-propagation artificial neural net-work were conducted using data on five basic meteorological factors and data on incidence of bacillary dysentery in Beijing, China, for the period 1970-2004. Results： The incidence of bacillary dysentery showed significant positive correlation relationship with the precipitation, relative humidity, vapor pressure, and temperature, respectively. The incidence of bacillary dysentery showed a negatively correlated relationship with the wind speed and the change trend of average wind speed. The results of medical-meteorological forecast model showed a relatively high accuracy rate. Conclusions： There is a close relationship between the meteorological factors and the incidence of bacillary dysentery, but the contributions of which to the onset of bacillary dysentery are different to each other.

Seasonal and geographical distribution of bacillary dysentery(shigellosis)and associated climate risk factors in Kon Tum Province in Vietnam from 1999 to 2013

Background:Bacillary dysentery(BD)is an acute bacterial infection of the intestine caused by Shigella spp.,with clinical symptoms ranging from fever to bloody diarrhoea to abdominal cramps to tenesmus.In Vietnam,enteric bacterial pathogens are an important cause of diarrhoea and most cases in children under 5 years of age are due to Shigella strains.The serogroups S.flexneri and S.sonnei are considered to be the most common.The main objective of this study was to,for the first time,assess the seasonal patterns and geographic distribution of BD in Vietnam,and to determine the climate risk factors associated with the incidence of BD in Kon Tum Province,where the highest rate of bacillary dysentery was observed from 1999 to 2013.Methods:The seasonal patterns and geographic distribution of BD was assessed in Vietnam using a seasonaltrend decomposition procedure based on loess.In addition,negative binomial regression models were used to determine the climate risk factors associated with the incidence of BD in Kon Tum Province,from 1999 to 2013.Results:Overall,incidence rates of BD have slightly decreased over time(except for an extremely high incidence in 2012 in the north of Vietnam).The central regions(north/south central coast and central highlands)had relatively high incidence rates,whereas the northwest/east and Red River Delta regions had low incidence rates.Overall,seasonal plots showed a high peak in the mid-rainy reason and a second smaller peak in the early or late rainy season.The incidence rates significantly increased between May and October(“wet season”)across the country.In Kon Tum Province,temperature,humidity,and precipitation were found to be positively associated with the incidence of BD.Conclusions:Our findings provide insights into the seasonal patterns and geographic distribution of BD in Vietnam and its associated climate risk factors in Kon Tum Province.This study may help clinicians and the general public to better understand the timings of outbreaks and therefore equip them with the knowledge to plan better interventions(such as improving water,sanitation,and hygiene conditions)during peak seasons.This can,in turn,prevent or reduce outbreaks and onwards transmission during an outbreak.

Dysentery caused by Balantidium coliin a patient with non-Hodgkin's lymphoma from Turkey

Balantidium coli is the only parasitic ciliate of man. It is a flattened oval organism covered with cilia, and a gullet at the anterior end. It is infrequently pathogenic for man,although epidemic buds in tropical zones have been described. The infection fundamentally affects the colon and causes variable clinic pictures, from asymptomatic to serious dysenteric forms. We present a case of parasitologically diagnosed as causes of diarrhea in a patient with non Hodgkin's lymphoma from Turkey.In order to find out the causative etiologic agent of diarrhea,stool samples were examined by native,lugol and flotation methods and we detected moving trophozoites, which were approximately 60μm long and 35μm wide.These bodies were diagnosed as Balantidium coli This case underlines that Balantidium coli should also be considered as a possible pathogen in immunocompromised patients with diarrhea.

Quality Inspection and Preparation of Diarrhea Arresting and Dysentery Treating Dietary Traditional Chinese Herbal Medicine for Livestock

[Objective] This study was aimed to formulate the quality inspection of diarrhea arresting and dysentery treating dietary traditional Chinese herbal medicines for livestock.[Methods] Physiochemical identification and contrast test of UV spectrophotometer qualitative detection were adopted.[Results] The difference in the peak value of maximum adsorption peak detected by diluted water method was greater than 1 nm; the maximum adsorption peak values obtained by the 0.9％ hydrochloric acid and 60％ ethanol methods had a difference of less than 1 nm,and the secondary adsorption peak values also had a difference of less than 1 nm.[Conclusion] The 0.9％ hydrochloric acid and 60％ ethanol methods were selected as the quality inspection standards for the preparation of diarrhea arresting and dysentery treating dietary traditional Chinese herbal medicines for livestock.

Experimental Study on the Antibacterial Effect of Origanum Volatile Oilon Dysentery Bacilli In Vivo and In Vitro

To observe the germistatic and germicidal effects of origanum volatile oil (OVI) on the dysentery bacteria, the abdominal cavity of mice was infected with Shigella sonne (Sh. sonnei) and Shigella flexneri (Sh. flexneri) F 2a. After OVI was given to the mice via gastric lavage, the effects of OVI on the infected mice were observed. The minimal inhibitory concentration (MIC) and minimal bactericidal concentration (MBC) for dysentery bacteria were determined in vitro. The results showed that origanum volatile oil showed obvious protective effect on mice infected with Sh. sonnei and Sh. flexneri F 2a. and it had germistatic and germicidal effects on dysentry bacteria. We are led to conclude that origanum volatile oil is an effective medicine against the infection of dysentery bacteria.

Modeling Dysentery Diarrhea Using Statistical Period Prevalence

Various epidemics have occurred throughout history,which has led to the investigation and understanding of their transmission dynamics.As a result,non-local operators are used for mathematical modeling in this study.Therefore,this research focuses on developing a dysentery diarrhea model with the use of a fractional operator using a one-parameter Mittag–Leffler kernel.The model consists of three classes of the human population,whereas the fourth one belongs to the pathogen population.The model carefully deals with the dimensional homogeneity among the parameters and the fractional operator.In addition,the model was validated by fitting the actual number of dysentery diarrhea infected cases covering 52 weeks in 2017,which occurred in Ethiopia.The biological parameters were fitted,and fractional orderνwas optimized.The basic reproduction numbers R0 were 1.7031 and 1.9581,which correspond to the fractional and integer-order models,respectively.The fractional model showed smaller discrepancies compared to the integer-order model when the models were fitted and validated with the actual cases of infected humans.Qualitative theory for the existence and uniqueness of the solutions was extensively explored,and the stability of equilibria was investigated.The most influential parameters were found via forward sensitivity indices.This multidisciplinary research shows and explains the results of numerical simulations applied to a biological issue.

Study on the medication rule of Wang Xun in the treatment of dysentery based on Data Mining

Objective: Based on data mining, Wang Xun's medication rule in the treatment of dysentery was discussed. Methods: the traditional Chinese medicine used in the prescriptions for dysentery in Wang Xun's "Tzu hang Ji Sanyuan Puji Fang" was counted, the names of the drugs were standardized, and their properties, taste, efficacy and meridian tropism were investigated respectively. The database was established with the help of Microsoft Excel 2016, SPSS statistic 24.0 and SPSS modeler 18.0 computer software, and the frequency analysis and high-frequency drug association rules were carried out Analysis, cluster analysis. Results: 44 prescriptions of Wang Xun's dysentery were sorted out and 64 traditional Chinese medicines were used, of which 22 were high-frequency drugs (drugs with frequency ≥ 5%). The top ten drugs were Cheqianzi, Danggui, liquorice, Muxiang, white peony, Fructus aurantii, areca, Poria cocos, radish and rhubarb. The correlation analysis produced "Raphanus seed→Plantago asiatica, Bitter orange→liquorice, tangerine peel→Fructus aurantii, Fructus aurantii→Cheqianzi, areca There are 15 associations of 2 kinds of drugs, such as hammer, Cheqianzi, Fructus aurantii, Muxiang, and so on. Cluster analysis shows that there are 4 cluster formulas: Angelica, Cheqianzi, Raphani, Fructus aurantii, white peony, liquorice, areca, red peony, tangerine peel, rhubarb, Fructus aurantii, Magnolia officinalis and Coptis. Conclusion: the method of data mining is to study the rule of Wang's prescription in the treatment of dysentery, so as to summarize the characteristics of Wang's prescription in the treatment of dysentery, which has guiding significance for clinical treatment of dysentery.

孙凤霞教授治疗溃疡性结肠炎经验

溃疡性结肠炎(UC)是一种病因尚不明确的慢性非特异性肠道炎症性肠病,具有反复发作的特点,给患者带来巨大的痛苦,严重影响到人们的生活质量。目前针对此病,现代医学尚缺乏满意的治疗方法,中医药通过整体观念、辨证论治的方法防治UC,具有明显的优势。作者通过跟随孙凤霞教授学习,总结孙凤霞教授治疗UC的经验,孙教授认为此病虽病位在大肠,但与肝脏关系密切,强调治疗过程中需关注情绪对UC的影响,主张从清热利湿、调肝理气的角度治疗UC,并创制了经验方“仙梅汤”,获得了良好的临床效果。

参姜止痢合剂治疗仔猪黄痢的临床疗效评价

为验证参姜止痢合剂治疗仔猪黄痢的临床疗效,从兰州周边养猪场搜集疑似病例,经流行病学调查、临床症状观察作出初步诊断,通过实验室细菌学检查进行确诊后,采用参姜止痢合剂进行治疗,观察给药后病猪精神状态、饮食和腹泻情况,采用普通血平板培养基和大肠杆菌显色培养基测定给药前后仔猪粪便中大肠杆菌的数量。结果显示,用药治疗后的仔猪精神状态明显好转或恢复正常,病猪粪便中大肠杆菌数量明显减少,3个养猪场(景泰县王德香养猪场、甘肃蟾慕农业科技有限责任公司和永登县苗中俊养猪场)的黄痢治愈率分别为87.6%、89.1%和84.1%。结果提示,参姜止痢合剂治疗仔猪黄痢效果较好,为今后研发新药提供了试验依据。

Bacillary layer detachment presenting with posterior scleritis:case report

Background:Bacillary layer detachment(BALAD)is a phenomenon characterized by fluid accumulation at the myoid region of the inner photoreceptor segments identifiable on optical coherence tomography(OCT)imaging.This finding has been recently described in patients with diverse primary diagnoses which share the common feature of serous exudation in the posterior pole.However,thus far there have been very few reports in the literature of BALAD in patients with posterior scleritis.Case Description:A 16-year-old male presented with unilateral vision changes that acutely worsened overnight to significant unilateral vision loss.He was eventually diagnosed with idiopathic posterior scleritis with associated BALAD on OCT.Similar to other reported cases of BALAD,he experienced anatomic restoration of the outer retina followed by good visual recovery after treatment with high dose steroid,ultimately with complete recovery of both retinal anatomy and vision within 4 months.Conclusions:This case provides further evidence that posterior scleritis can be a cause of BALAD.The rapid presentation and excellent visual and anatomical outcome of this case is entirely consistent with known descriptions of BALAD in a variety of other conditions,further supporting the categorization of BALAD as an entity which retinal specialists should be able to recognize as distinct from other forms of intraretinal fluid,retinal detachment,and retinoschisis.

以痈论治溃疡性结肠炎理论阐释及临床思路探析

于永铎认为,痈为火毒生,下利脓血为热毒本质,提出“病由毒起,热毒伤肠”为溃疡性结肠炎病机关键,“邪踞火毒”“湿热毒邪”“正虚伏毒”为溃疡性结肠炎的核心病机演变规律,体现热毒伤肠络,毒邪由实致虚,虚实夹杂的病邪转变过程。结合从肠黏膜屏障损伤、免疫功能紊乱、细胞自噬、凋亡、焦亡的病变特点及交叉转化的因果联系,提出以痈论治溃疡性结肠炎的核心治法,采用清热解毒、凉血消痈,清热利湿、解毒消痈,健脾益气、托毒消痈等辨治策略,并结合临床验案进行分析,以期为溃疡性结肠炎的治疗提供参考。

从厥阴论治克罗恩病

克罗恩病的发生多与外邪、情志、饮食以及脏腑功能有关,属本虚标实、虚实夹杂、寒热错杂之证,病机特点在于寒热夹杂、变化迅速,与厥阴的气机变化特点相契合。此文主要从厥阴气机下陷、厥阴气机中化、厥阴气机升发三方面综合分析克罗恩病,并结合厥阴肝与中焦脾胃五行相克的关系,对克罗恩病的临床表现、病机特点及用药进行分析,以期为临床治疗克罗恩病提供参考。

基于“脾为之卫”探讨溃疡性结肠炎的辨治思路

[目的]探讨溃疡性结肠炎的病因病机及治疗方法,以期为拓展溃疡性结肠炎的辨治思路提供理论依据。[方法]基于对“脾为之卫”理论内涵的梳理,同时结合现代医学对溃疡性结肠炎发病机制的认识,探讨脾脏功能失常与溃疡性结肠炎病因病机的相关性,并根据溃疡性结肠炎病程演变过程中病机的变化,具体论述分期辨治原则及方药。[结果]“脾失于卫”作为溃疡性结肠炎的病机关键,贯穿其各期而为病,故以“助脾复卫”为中心治则,对溃疡性结肠炎进行分期论治,活动期以消积化滞、理脾和卫为法,缓解期以调气疏郁、健脾行卫为法,恢复期以清养生肌、补脾固卫为法。[结论]运用“脾为之卫”理论有助于认识溃疡性结肠炎发病机制与脾脏的密切关系,完善从脾论治溃疡性结肠炎的分期证治法则及具体方药。

柳宝诒与吴鞠通治疗痢疾病案异同研究

目的 分析柳宝诒和吴鞠通治疗痢疾医案的异同,探索2位医家治疗痢疾的用药规律。方法 以《柳宝诒医论医案》和《吴鞠通医案》中治疗痢疾的医案为研究对象,采用Excel2010软件统计用药频次、功效分类等,分析其用药规律、病机治法的异同。结果 柳宝诒治疗痢疾以理气药、止血药、补气药、利水渗湿药为主,高频药物为木香、白术、枳壳、桔梗、砂仁等,吴鞠通治疗痢疾多用清热药、理气药、补血药、利水渗湿药,高频药物为黄芩、白芍、木香、黄连、神曲等。结论 柳宝诒和吴鞠通对痢疾的病因病机认识基本相同,吴鞠通治疗痢疾强调初痢以祛邪为主,多用清热药和理气药,久痢有虚实之分,以攻补兼施、扶助正气为主。柳宝诒在痢疾病机认识上创新性提出“宿垢”观点,治疗上提出“疏化”之法。

葡萄糖对Starmerella bacillaris香草醛耐受能力的影响

分析典型酚类抑制剂香草醛对酵母Starmerella bacillaris R5生长和产乙醇的影响,同时分析改变葡萄糖的质量分数对其生长和发酵性能的影响。结果表明在3 g/L香草醛质量浓度下,将培养基中的葡萄糖质量分数从2%提高至6%可将延滞期缩短25.92%,比生长速率提高82.1%,乙醇转化率提高17.88%。进一步分析表明葡萄糖质量分数的提高还使含有活性氧的细胞比例增加、膜渗透率及胞内H2O2含量降低。过氧化氢酶、超氧化物歧化酶、谷胱甘肽过氧化物酶的活性分别提高58%、35.5%和2.3倍,胞内甘油质量浓度提高1.82倍。另外与糖代谢相关的丙酮酸激酶活性降低54.5%,己糖激酶和6-磷酸葡萄糖脱氢酶活性提高4.16倍和11.8倍,NADPH浓度提高19.4%,己糖激酶、6-磷酸果糖激酶、异柠檬酸脱氢酶、6-磷酸葡萄糖脱氢酶、乙醇脱氢酶、丙酮酸脱羧酶、醛酮还原酶基因水平分别上调4.6、2.5、13.9、12.2、17.5、34.8、34.9倍。葡萄糖质量分数的增加主要是通过提高细胞内抗氧化酶的活性,减弱氧化损伤,为酵母提供更多的腺苷三磷酸以及还原力以应对胁迫环境,从而提高乙醇的转化速率。本研究结果可为进一步利用S. bacillaris产纤维素乙醇提供新思路。

郭光业教授溃结爽治疗溃疡性结肠炎经验

溃疡性结肠炎以腹痛、腹泻、里急后重、便黏液脓血便等肠道症状为主要临床表现,中医的基本病机为本虚标实,脾胃虚弱为本,湿热蕴结、痰湿停滞和瘀血阻滞为标。郭光业教授认为溃疡性结肠炎的病机是以脾胃虚弱、肝脾失调为本,以湿热血瘀为标,以调和肝脾、活血化瘀、清热化湿为治疗原则。郭教授运用自拟溃结爽口服方治疗溃疡性结肠炎,临床效果甚佳。

基于“络病”理论探讨溃疡性结肠炎肠外表现病机

溃疡性结肠炎(ulcerative colitis,UC)属于中医学“痢疾”“泄泻”“肠澼”等范畴,是一种迁延难治的消化系统疾病,还可引起皮肤、骨关节、肝胆等多种肠外系统及组织器官病变,给患者身心健康带来极大影响。但UC肠外表现的病机尚未形成统一的认识,为其临床诊疗带来一定阻碍。根据络脉系统网络全身、灌渗气血的特性,提出基于“络病”理论探究UC肠外表现的病机,认为脾虚为本,损伤肠络为UC发生的病机关键,湿、热、瘀、毒入络,浸淫他脏,而出现诸多肠外表现。在此基础上阐述UC患者出现皮肤、关节、肝胆病变的病变机制,总结皮肤病变的病机为肺脾失调、络虚邪郁,关节病变的病机为脾肾亏虚、外邪壅络,肝胆病变的病机为湿热入(肝)络、气血失调,以期为UC肠外表现的诊疗提供中医特色新思路。

2005—2020年云南省阿米巴痢疾流行特征分析

目的分析云南省阿米巴痢疾流行状况,为制定防治策略和措施提供科学依据。方法采用描述流行病学方法对中国疾病预防控制信息系统中2005年1月—2020年12月的云南省阿米巴痢疾报告病例进行分析,对其人群、时间和地区等分布特征进行描述。结果2005—2020年云南省累计报告阿米巴痢疾病例3315例,其中临床诊断病例697例(占21.03%),确诊病例2618例(占78.97%)。年报告发病率为0.06/10万~1.45/10万,年均报告发病率为0.46/10万,发病率在2005年最高(1.45/10万),其后呈波动下降。报告病例中,男性1838例(占55.44%),女性1477例(占44.56%),性别比为1∶0.8;0~9岁人群报告病例最多(1675例,占50.53%);散居儿童和农民报告病例较多,分别为1276例(占38.49%)和1011例(占30.50%)。报告病例主要集中在4—7月(1925例,占58.07%)。地区分布中,报告病例数前3位的地区分别为临沧市(1526例,占46.03%)、楚雄州和红河州(均为273例,各占8.23%)。其中临沧市耿马县报告1380例,占全省报告病例数的41.63%。结论云南省阿米巴痢疾报告发病率总体呈下降趋势,儿童和农民为主要发病群体,临沧市耿马县报告病例数最多。今后应加强对重点地区和重点人群的健康教育。同时,要进一步提高医疗机构的诊断能力和疾控机构的监测能力,不断提升阿米巴痢疾的防控水平。