An exploration of the origin and flow of the development of traditional Chinese medicine orthopedic and chiropractic massage

Traditional Chinese medicine(TCM)chiropractic massage is a kind of orthopedic therapy that corrects the abnormal anatomical position of bone or joint and corrects the dislocation of joint by manipulation so that the bone is soft and the Qi and blood are reconciled(Qi:The intangible,high-mobility nutritive substance that maintains vital activities).Manipulation treatment is the first of the four major orthopedic diseases.At the same time,TCM chiropractic massage is also an essential part of TCM.TCM orthopedic chiropractic practice originated from the struggle between humanity and nature,sprouted from the Warring States period to the two Han Dynasty,formed in the Sui,Tang,and Song Dynasties,matured in the Ming and Qing Dynasties,and flourished in the modern era.In more than 2,000 years of development,many practical techniques have been produced,which have profoundly influenced the inheritance and development of modern techniques,making the TCM orthopedic chiropractic massage in the contemporary era form the characteristics of“tendon and bone”and“point-line-face combination”.At present,the development of TCM chiropractic massage is facing the great challenges of modern medicine and modern advanced science and technology such as American chiropractic and the limitations of its development.Therefore,in the future,the development direction of Chinese medicine orthopedic chiropractic massage should be“hybrid to treat”.In the face of modern medicine,we should take its essence to its dross,eclectic,organically integrate its advantages into itself,enrich its theoretical framework,and strengthen the construction of disciplines and departments to enhance its competitiveness.It is believed that Chinese medicine orthopedic chiropractic massage can have better development in the future and can make more contributions to the health of the world’s people.

Research progress of traditional Chinese medicine nursing techniques for the management of postoperative complications in mixed hemorrhoids

Mixed hemorrhoids,especially ring-shaped mixed hemorrhoid,is still a headache for anorectal surgeons due to its post-operative complications.In recent years,clinicians have been studying and exploring to avoid and alleviate these complications.In the Chinese medicine industry,the application of traditional Chinese medicine nursing technology has good and unique effect in prevent local pain,perianal edema,promote wound healing,relieve urinary retention,improve constipation,relieve anxiety,and so on.This article summarized the evidences of investigated the role of traditional Chinese medicine nursing technique in preventing and treating mixed hemorrhoid so that practitioners can make decision based on the best available evidences.

CLINICAL STUDY ON IRRADIATION COMBINED WITH TRADITIONAL CHINESE MEDICINE IN THE TREATMENT OF LARGE PRIMARY LIVER CANCER

This paper resports the response of inoperable primary liver cancer to whole liver irradiation(WLI)by movingstrip technique(MST)during the period from 1980- 1988.The results showed that WLI by MST gave good response in this malignancy.The 5-year survival after treatment was 30.83% and median survival 25.8 months.The analysis of prognostic factors indicated that the higher the midplane tissue dose(mTD),the longer the survival(P<0.001),and that the survival of those patients tumor diameter was>8 to<13 cm and/or tumor volume>50% to <75% of liver volume was longer than that of there with tumor diameter of≥13 cm and/or tumor volume≥75% of the liver volume(P<0. 001 ).Traditional Chinese medicine is an indispensable therapy during the period of WLI by MST.Both clinical and experimental studies suggest that WLI by MST can enhance the therapeutic effect.

Research on Combined Rehabilitation Method and Its Mechanism of Traditional Chinese Medicine Daoyin Technique with Biofeedback Technique

Objective: To study an anti resistance active exercise training method which is consistent with the principle of “transcendental goal power” to promote the plasticity change of central nervous system (CNS) in order to recover the motor function after CNS injury, observe its clinical effect and explore its mechanism. Methods: The potential of CNS was induced by six-step Daoyin technique of Chinese medicine, and the potential signal was received in real time by bio-electrical signal receiving equipment and displayed in curve form. Combined with the Operant conditioning biofeedback technique, targeted guidance was given to patients to continuously enhance the action muscle signal intensity and weaken the antagonistic muscle signal intensity, so that the motor program was gradually re-established. Sixty-four patients with hemiplegic elbow dysfunction of old cerebral infarction who had been trained but could not be improved further and had a history of more than 1 year were treated for one course, 90 times and 45 minutes each time. Lovett, Elbow Rom, Fugl-Meyer, program signal intensity and proportion were evaluated before and after treatment. The data were analyzed statistically. Before and after treatment, Lovett MMT, ROM of elbow joint, Fugl Meyer, motor program signal intensity and proportion were assessed, and the data were statistically analyzed. Results: After treatment and before treatment, there was a significant difference between the functional evaluation data (P < 0.01). The function of elbow joint was improved;this is the result of reconstructing the motor program on the basis of developing the potential of CNS by means of the “transcendental goal power” mechanism of the method. There was no recurrence after 6 months of follow-up. Conclusion: The Chinese Medicine Daoyin feedback rehabilitation technique is an effective method to improve elbow joint function of hemiplegia patients with cerebral infarction.

Rapid rehabilitation technique with integrated traditional Chinese and Western medicine promotes postoperative gastrointestinal function recovery

BACKGROUND During the perioperative period, the characteristic therapy of traditional Chinese medicine is effective in improving postoperative rehabilitation. In large-scale hospitals practicing traditional Chinese medicine, there is accumulating experience related to the promotion of fast recovery in the perioperative period.AIM To evaluate the efficacy and safety of Yikou-Sizi powder hot compress on Shenque acupuncture point combined with rapid rehabilitation technique.METHODS This prospective, multicenter, randomized, controlled study included two groups: Treatment group and control group. The patients in the treatment group and control group received Yikou-Sizi powder hot compress on Shenque acupuncture point combined with rapid rehabilitation technique and routine treatment, respectively. Clinical observation regarding postoperative recovery of gastrointestinal function was performed, including the times to first passage of flatus, first defecation, and first normal bowel sounds. The comparison between groups was conducted through descriptive analysis, χ~2, t, F, and rank-sum tests.RESULTS There was a statistically significant difference in the time to postoperative first defecation between the treatment and control group(87.16 ± 32.09 vs 109.79 ±40.25 h, respectively;P < 0.05). Similarly, the time to initial recovery of bowel sounds in the treatment group was significantly shorter than that in the control group(61.17 ± 26.75 vs 79.19 ± 33.35 h, respectively;P < 0.05). However, there was no statistically significant difference in the time to initial exhaust between the treatment and control groups(51.54 ± 23.66 vs 62.24 ± 25.95 h, respectively;P >0.05). The hospitalization expenses for the two groups of patients were 62283.45 ±12413.90 and 62059.42 ± 11350.51 yuan, respectively. Although the cost of hospitalization was decreased in the control group, the difference was not statistically significant(P > 0.05). This clinical trial was safe without reports of any adverse reaction or event.CONCLUSION The rapid rehabilitation technique with integrated traditional Chinese and Western medicine promotes the recovery of postoperative gastrointestinal function and is significantly better than standard approach for patients after colorectal surgery.

Data-driven based four examinations in TCM:a survey

Traditional Chinese medicine(TCM)diagnosis is a unique disease diagnosis method with thousands of years of TCM theory and effective experience.Its thinking mode in the process is different from that of modern medicine,which includes the essence of TCM theory.From the perspective of clinical application,the four diagnostic methods of TCM,including inspection,auscultation and olfaction,inquiry,and palpation,have been widely accepted by TCM practitioners worldwide.With the rise of artificial intelligence(AI)over the past decades,AI based TCM diagnosis has also grown rapidly,marked by the emerging of a large number of data-driven deep learning models.In this paper,our aim is to simply but systematically review the development of the data-driven technologies applied to the four diagnostic approaches,i.e.the four examinations,in TCM,including data sets,digital signal acquisition devices,and learning based computational algorithms,to better analyze the development of AI-based TCM diagnosis,and provide references for new research and its applications in TCM settings in the future.

中医医院新入职本科护士培训考核评价指标的构建

目的 构建中医医院新入职本科护士培训考核评价指标。方法 通过文献研究、小组讨论,建立中医医院新入职本科护士培训考核评价指标初稿,选取来自7个省份的中华护理学会中医中西医结合护理分会的15名专家进行2轮专家咨询,确定考核评价内容及其权重。结果 2轮专家函询问卷的有效回收率均为100%,专家权威系数分别是0.962、0.980,肯德尔协调系数分别是0.220、0.268(均P<0.05),最终形成的中医医院新入职本科护士培训考核评价指标包括5项一级指标、24项二级指标和77项三级指标。结论 构建的中医医院新入职本科护士培训考核评价指标具有较高的可靠性和科学性,可为中医医院管理者及培训者选拔人才提供参考。

中医适宜技术联合盆底肌肉训练治疗产后压力性尿失禁临床观察

目的 对产后压力性尿失禁患者进行中医适宜技术干预治疗,并观察效果。方法 将60例患者随机分为治疗组和训练组,并对其进行相应治疗,观察2组1 h尿垫试验结果、Sandvik尿失禁指数和国际尿失禁咨询委员会尿失禁问卷简表(ICI-Q-SF)评分改善情况,以及临床疗效。结果 治疗后,治疗组1 h尿垫试验结果、Sandvik尿失禁指数和ICI-Q-SF评分改善均优于训练组。治疗结束时,治疗组总有效率为86.7%(26/30),高于对照组的63.3%(19/30)(P<0.05)。6个月随访时治疗组总有效率86.7%(26/30)亦高于对照组的56.7%(17/30)(P<0.05)。结论 在产后女性中,压力性尿失禁的发生是值得关注的问题。将中医适宜技术与凯格尔训练联用干预产后压力性尿失禁达到巩固、延长疗效的目的。

基于中医执业医师分阶段考试的中医学专业成绩分析与策略研究

[目的]总结和分析浙江中医药大学中医学专业学生的培养质量和存在问题,为中医药院校提高教学质量和学生临床知识及技能提供参考。[方法]以该校2018至2020年参加中医执业医师分阶段考试(第一阶段)实证研究的中医学专业学生为研究对象,采用方差分析和χ^(2)检验进行数据分析,比较分阶段考试成绩与在校学习成绩的相关性、考试通过率、掌握率。[结果]分阶段考试成绩能够较好地反映学生在校学习成绩情况,理论考试平均通过率为68.64%,技能考试平均通过率95.27%。理论考试平均总掌握率为65.06%,其中西医(基础医学类)55.57%、西医(临床医学类)52.12%,与理论考试总掌握率比较,差异有统计学意义(P<0.05);技能考试总掌握率为76.57%,第3~4站(体格检查)的平均掌握率分别为71.24%、72.24%。可以通过制定考试激励机制来提高学生考试内驱力,通过强化西医课程培训来提升理论考试通过率,通过反复临床技能训练来补齐技能考核的短板等改进措施和策略,从而提高学生的临床知识和技能,可为中医药院校提高教学质量作参考。[结论]中医药院校可以通过制定考试激励机制、强化西医课程培训、反复临床技能训练来提高学生的临床知识和技能,从而提高中医学专业学生的培养质量。

疼痛专科护士中医疼痛管理培训知识体系的构建研究

目的构建疼痛专科护士中医疼痛管理培训知识体系,为中国疼痛护理人才中医疼痛管理培训提供参考。方法以核心能力理论为指导,通过文献研究和半结构式访谈构建中医疼痛管理培训知识体系初稿,2024年1月—2月采用德尔菲法对17名专家进行2轮函询。结果2轮函询的积极系数分别为100%和94.12%,权威系数均为0.899,肯德尔和谐系数为0.406~0.606(均p<0.001)。最终形成包括5个一级指标、12个二级指标和35个三级指标的疼痛专科护士中医疼痛管理培训知识体系。结论构建的疼痛专科护士中医疼痛管理培训知识体系具有科学性、可靠性,可为中国疼痛护理人才规范化、同质化的中医疼痛管理培训提供指导和借鉴。

浅析天津中药炮制技术的形成、发展与特色

天津中药饮片炮制起源于明代,成于清代,独具地方特色。为了传承与发扬天津中药炮制特色,文章通过整理文献书籍和《天津中药饮片炮制规范》2022版,分析了天津中药炮制技术的形成、发展与特色。天津中药炮制优选道地药材;修治与软化药材技术多样;切制技术兼容并蓄;辅料使用丰富多彩,重用醋与黄酒,善用甘草水炮制解毒;炮炙技术丰富,醋煮技术独具特色,通过比较《中国药典》2020版与其他地方中药材与饮片标准,挖掘出一些特色炮制品种。经过本文的挖掘与分析,可以为天津中药炮制的继承、发展与推广提供参考。

香港地区中医执业资格考试之现况与改革建议

目前国家把中医药传承发展需要的中医临床合格人才作为中医执业资格考试的目的。通过香港地区、内地(大陆)与台湾地区三地执业资格考试现况的比较,从中医发展现况、国家中医人才需求及本地中医业界意见等入手探讨香港地区的中医执业资格考试制度。结论是因目前所需的中医人才在中医思维、经典与临床实践能力都有较高的要求,故执业资格考试亟需在目的、内容、方式、参加资格与课程要求等方面做相应改革,并结合有系统的中医人才培训计划及资历架构以提升中医专业素质,另建议设立“香港中医专业学院”以进行执业资格考试的相关改革事宜。

多角度对比中药熏蒸联合睑板腺按摩治疗MGD性干眼临床疗效观察

目的:从多角度对比中药熏蒸和睑板腺按摩治疗MGD性干眼患者临床疗效观察。方法:选择2023年5月~2023年11月在我院就诊的120例MGD性干眼患者采用随机数字表将患者按照1∶1∶1∶1比例随机分为ABCD四个组。其中A组采用先热敷再进行睑板腺按摩,B组采用先睑板腺按摩再进行热敷,C组采取先中药熏蒸再进行睑板腺按摩,D组采取先睑板腺按摩再进行中药熏蒸。四组均进行热敷或中药熏蒸隔日一次,睑板腺按摩每周一次的干预,四周为1个疗程,共干预1个疗程。对四组患者从患者干眼相关评价指标、睑板腺功能相关评价指标、OSDI评分及患者疼痛评分进行观察比较。结果:A组的干眼相关评价指标(BUT、Schirmer I)、睑板腺功能相关评价指标、OSDI评分均优于B组(P<0.05),疼痛评分低于B组(P<0.05);C组的干眼相关评价指标(BUT、Schirmer I)、睑板腺功能相关评价指标、OSDI评分均优于D组(P<0.05),疼痛评分低于D组(P<0.05);A组与C组相比较,C组的干眼相关评价指标(BUT、Schirmer I)、OSDI评分均优于A组(P<0.05),睑板腺功能相关评价指标及疼痛评分无差异(P>0.05)。结论:先进行中药熏蒸再进行睑板腺按摩治疗MGD性干眼,有利于患者症状改善,减轻患者的疼痛,提高患者的治疗效果。

中医护理技术应用创新现状与思考

中医护理技术应用创新是中医护理传承创新的重要要素,也是中医护理优势专科建设的重要抓手。聚焦人民群众日益增长的多元化护理服务需求,积极开展中医护理技术创新研究,进一步改善患者临床结局具有重要的意义。通过梳理中医护理技术应用创新现状,客观分析影响因素,发现中医护理技术应用创新的广度和深度尚需进一步提升,可通过深化专科建设提升守正创新能力,期待中医护理学科在新时代下能取得跨越式发展。

吴氏理筋手法结合J型针刀治疗术后肘关节僵硬的临床研究

目的 探讨吴氏理筋手法结合J型针刀治疗术后肘关节僵硬的临床应用价值。方法 选取江西省南昌市洪都中医院康复科2020年6月—2021年6月收治的60例术后肘关节僵硬患者,以单盲随机法分为对照组(关节松动术)与治疗组(吴氏理筋手法结合J型针刀),各30例。治疗4周后,比较两组Mayo肘关节功能评分(MEPS)与视觉模拟量表(VAS)评分,同时对疗效开展评估。结果 治疗后,与对照组相比,治疗组MEPS评分较高,而VAS评分较低(P<0.05);且治疗组总有效率为100.00%(30/30),明显高于对照组的83.33%(25/30)(P<0.05)。结论 吴氏理筋手法结合J型针刀治疗术后肘关节僵硬患者,能实现肘关节功能的恢复,并减轻患者疼痛,效果确切,具有较高的推广价值。

中国古代医学教育与考试制度概述

我国是世界上最早实行医学教育和考试制度的国家,医学教育起源南朝刘宋时期,考试制度则源于西周,二者基于政治、思想和经济等因素的影响,不断推动中医药事业进步。研究中国古代医学教育与考试制度,总结其中的经验,寻绎其中的规律,是中国医学史研究的一个重要内容,对于我们把握中国医学教育与考试的特色与规律、更好地继承与发展中医学、培养中医学人才,具有重要的现实意义。该文主要概括中国各朝代的医学教育和考试制度,尽力发掘与勾勒我国古代医学教育与考试制度在不同时代的特点、意义及其发展、演变的规律,对于指导中医药院校的教学、培育和选取优秀中医药人才具有重要意义。

提升审查质量和审查效率推动新质生产力发展

党的十八大以来,专利审查工作取得显著成效,审查标准日益完善,审批能力大幅增强,审查质量稳步提升,审查效率持续提高,审查模式不断创新,国际业务交流成果显著,有效发挥了“向前激励高水平创造、向后促进高效率运用”的源头保护作用。在坚持制度激励创新方面,持续完善大数据、人工智能等新领域新业态审查标准,以及中医药等传统特色领域专利审查标准,为推动新质生产力发展提供支撑。

中药贴敷联合推拿手法对肺炎喘嗽患儿肺功能及症状消失时间的影响

目的本研究旨在探讨中药贴敷联合推拿手法对肺炎喘嗽患儿肺功能及症状消失时间的影响。方法选取2020年4月-2021年6月在我院诊治的102例肺炎患儿为研究对象,按随机数字表法分为对照组和研究组,各51例。观察治疗前后2组中医证候积分、肺功能及免疫功能,统计临床疗效及症状消失时间。结果治疗前,2组患儿发热、咯痰黄稠、咳嗽、气喘息粗、喉中痰鸣、鼻翼煽动、口渴、烦躁、瞬时流量(PEF25)、最高呼气峰流速(PEF)、第1秒最大呼气量(FEV_(1))、肺活量(FVC)、IgG、IgM、IgA水平比较,差异无统计学意义(P>0.05);治疗后,2组患儿发热、咯痰黄稠、咳嗽、气喘息粗、喉中痰鸣、鼻翼煽动、口渴、烦躁评分均较治疗前降低,PEF25、PEF、FEV_(1)、FVC、IgG、IgM、IgA水平较治疗前明显升高,与对照组相比,研究组患儿发热、咯痰黄稠、咳嗽、气喘息粗、喉中痰鸣、鼻翼煽动、口渴、烦躁评分更低,发烧,咳嗽,咳痰,肺部湿罗音都会在较短的时间内消失,PEF25、PEF、FEV_(1)、FVC、IgG、IgM、IgA水平更高,差异具有统计学意义(P<0.05)。结论中药贴敷联合推拿手法可改善肺炎喘嗽患儿肺功能,缩短症状消失时间,降低住院时间,促使患儿康复,疗效显著。

基于试卷分析探讨线上线下混合式教学效果——以“中药资源综合利用与产品开发”课程为例

定量分析了信阳农林学院中药资源与开发专业2019级2个班级的“中药资源综合利用与产品开发”课程期末考试的结果,评估了基于“三个阶段+三个目标+两性一度+认知提升”模式下的线上线下混合式教学改革的质量,为改进教学方法和提高考试试卷质量提供依据。结果显示,整套试卷难度系数为0.78,区分度为0.51,信度系数为0.94。以中药资源为原料的食品开发这一知识单元的得分率最高,达92.25%。可见,该试卷难度适中、区分度较好、可信有效,线上线下混合式教学改革质量可靠,有助于提高人才培养质量。

基于OSCE的中医儿科护士规范化培训考核模式的构建

探讨基于客观结构化临床考试(OSCE)的中医儿科护士规范化培训考核模式的构建,为提升儿科新护士临床综合实践能力探索新的思路。OSCE作为一种科学、准确、公正的评价工具,可为临床培训考核提供客观及可量化的标准。根据考核目的设定考站和考核内容,通过6个站点(病情资料收集、辨病辨证分析、护理措施、相应中医护理操作、应急事件处理、健康教育)统一、规范的评分标准,更加突出中医护理特色,直观反映出新护士工作中的弱项与不足,为以后的培训教学指明了方向。OSCE考核模式的构建贴合临床护理预期和需求,能够有效评价新护士的辨证施护能力,并以此为基础制定出具有中医护理特色的规范化培训模式,以期为临床培养出优秀的实用型护理专业人才,进而提高中医儿科临床护理服务质量。