Exploring the transformative impact of traditional Chinese medicine on depression:Insights from animal models

Depression,a prevalent and complex mental health condition,presents a significant global health burden.Depression is one of the most frequent mental disorders;deaths from it account for 14.3%of people worldwide.In recent years,the integration of complementary and alternative medicine,including traditional Chinese medicine(TCM),has gained attention as a potential avenue for addressing depression.This comprehensive review critically assesses the efficacy of TCM interventions in alleviating depressive symptoms.An in-depth look at different research studies,clinical trials,and meta-analyses is used in this review to look into how TCM practices like herbal formulations,acupuncture,and mindbody practices work.The review looks at the quality of the evidence,the rigor of the methods,and any possible flaws in the current studies.This gives us an idea of where TCM stands right now in terms of treating depression.This comprehensive review aims to assess the efficacy of TCM interventions in alleviating depressive symptoms.In order to learn more about their possible healing effects,the study also looks into how different types of TCM work,such as herbal formulas,acupuncture,and mind-body practices.

A holistic strategy for quality and safety control of traditional Chinese medicines by the “iVarious” standard system

An effective quality control system is the key to ensuring the quality, safety and efficacy of traditional Chinese medicines(TCMs). However, the current quality standard research lacks top-level design and systematic design,mostly based on specific technologies or evaluation methods. To resolve the challenges and questions of quality control of TCMs, a brand-new quality standard system, named "iVarious", was proposed. The system comprises eight elements in a modular format. Meaning of every element was specifically illustrated via corresponding research instances. Furthermore, frankincense study was taken as an example for demonstrating standards and research process, based on the "i Various" system. This system highlighted a holistic strategy for effectiveness,security, integrity and systematization of quality and safety control standards of TCMs. The establishment of"i Various" integrates multi-disciplinary technologies and progressive methods, basis elements and key points of standard construction. The system provides a novel idea and technological demonstration for regulation establishment of TCMs quality standards.

Teaching Reform of “Nursing of Traditional Chinese Medicine” Course Based on OBE Concept

Traditional Chinese medicine(TCM)nursing is one of the important disciplines in TCM.It is based on TCM theory and combined with modern nursing theory and technology,aiming to provide comprehensive and individualized nursing services.With the changes in the medical environment and the continuous improvement of people’s health needs,the teaching of TCM nursing is facing new challenges and opportunities.This paper aims to discuss the teaching reform of TCM nursing course based on the concept of outcome-based education(OBE)or student-centered teaching.The significance of this study is to provide theoretical basis and practical guidance for the teaching reform of TCM nursing course,and to promote the development and progress of TCM nursing education.Through the teaching reform based on OBE concept,we can better cultivate TCM nursing talents with innovative spirit and practical skills,and contribute to the development of TCM.

The Foundation of Traditional Chinese Medicine

In this paper, the authors examine and interpret the concept of Traditional Chinese Medicine (TCM) whom the Chinese believes and practices for so many centuries. The authors also explain the ancient Chinese con-cepts of Chi and Tao (Yin and Yang) which are the foundation of the TCM. This paper also seeks to discuss the ways of attaining a healthy body with the clarity of mind as well as to demonstrate the benefits of such healthy lifestyle.

The Eastern Cultural Signature of Traditional Chinese Medicine: Empirical Evidence and Theoretical Perspectives

Background: Holistic thinking, which is rooted in Eastern culture, is assumed to be the core of traditional Chinese medicine (TCM). Recently, such holistic thinking has been proposed to be applicable to Western medicine practices for alleviating serious side effects;however, the obscure and often ill-defined terms of TCM, such as qi, yin yang, and wuxing, pose considerable obstacles for further understanding TCM. In the present study, we explored whether and how TCM is actually related to the scientific construct of holistic thinking, to elucidate the particular cultural signature of TCM. Methods: A random sample of 101 college students majoring in TCM and 93 non-medical college students was recruited for the study. Two psychological scales—the Chinese Holistic Thinking Scale and the TCM Competence Scale were used respectively to measure the holistic thinking and participants’ ability to apply the TCM in practice. Results: We found that individuals who thought more holistically were better at applying TCM to modern medical problems. Interestingly, TCM was associated with holistic thinking in both TCM and non-medical students, suggesting that this association is intrinsic. Further exploration revealed that the association and variability facets of Eastern holistic thinking—which emphasize that the world is interconnected and ever-changing, respectively—significantly accounted for the individual differences in competence in utilizing TCM in practice. Conclusion: In short, our study provides the first empirical evidence linking TCM to the Eastern holistic thinking style, which not only deepens the understanding of TCM from a scientific perspective but also promotes dialogue between TCM and Western medicine for building safer and more effective health care systems.

The Significance of Constructing TCM Psychosomatic Medicine from the Holistic View of the Unity of Nature and Man

With the development of medical technology, the problem of fragmentation of medical research has become increasingly prominent, and a series of iatrogenic diseases, drug-induced diseases and drug toxicity and side effects have resulted in an increase in the number of diseases. In the face of these problems, the medical concept has been re-examined and re-thought. The concept of the holistic view of the unity of nature and man in traditional Chinese medicine has certain enlightenment for dealing with the problems in the current medical development. Based on the holistic view of the unity of nature and man, the overall connection between human’s heart and body and nature is explained, and the further construction of TCM psychosomatic medicine is conducive to guiding the diagnosis and treatment of clinical diseases, and providing new enlightenment for the current medical concept thinking and clinical disease research.

A Brief Discussion on the Concept of Location San Jiao

San Jiao is one of the most controversial concepts in traditional Chinese medicine.With the changes of history,the concept of San Jiao was developed into another concept,"Location San Jiao",on the basis of"Liu Fu San Jiao".However,the appearance of"Location San Jiao"makes the concept of San Jiao more complicated and controversial.This paper will explore from the origin of"Location San Jiao",analyze the origin of its argument,and discuss the problems in it,so as to preliminarily clarify the connotation of San Jiao conception.Through investigation,it is found that the"Location San Jiao"is actually the dissimilation of"Liu Fu San Jiao",and the three parts of"Liu Fu San Jiao"should be divided by functional features rather than anatomical structure.

Quality Marker Concept Inspires the Quality Research of Traditional Chinese Medicines

Traditional Chinese medicines （TCMs） have been used in China for thousands of years for the treatment of various diseases, highly treated as the Chinese cultural heritage. It has played the pivotal role in maintaining the health of Chinese people and even the entire globe.

中西医结合诊治妊娠胚物残留专家共识(2024年版)

妊娠胚物残留(RPOC)是指流产或分娩后,胚胎组织或胎盘未能完全排出而残留子宫内,可引起出血、感染,甚至宫腔粘连等。目前RPOC的治疗策略主要分为药物治疗和手术治疗两类,但国内外对此尚未形成科学、规范的指导意见。中西医联合诊治一直是我国诊治RPOC的特色手段,为推广中西医结合协同诊疗理念,促进RPOC中西医结合诊疗技术发展,山东中医药学会妇科专业委员会、山东中西医结合学会生殖外科专业委员会、山东省疼痛医学会妇产科专业委员会共同牵头成立共识专家组,讨论形成《中西医结合诊治妊娠胚物残留专家共识(2024年版)》,从RPOC的高危因素、临床表现、诊断、治疗等方面阐述中西医结合协同诊疗理念,并提供专家共识,以改善RPOC患者预后,提高其生活质量。

论中医治疗急危重症之临床理念

中医急诊重症医学是一门新兴学科,本文结合古代医籍论述及当今临床实践,总结了中医救治急危重症的5个理念:救命留人之“整体观”;祛除病因之“病因论”;明辨虚实之“正邪论”;动态观察之“恒动观”;已病防变之“未病论”。救命留人之“整体观”是战略层面的,在急危重症的救治中要贯穿始终;祛除病因之“病因论”和明辨虚实之“正邪论”是战术层面的,关乎具体治疗方案的制订;动态观察之“恒动观”,是在治疗方案初步确定,动态观察病情变化,随时评估治疗效果,反馈修正治疗方案;而已病防变之“未病论”,则是我们通过以上4个理念的坚持,所应达到的理想状态。

超声影像组学模型鉴别肝郁痰凝型与冲任失调型乳腺癌中医证型的价值

目的探讨超声影像组学模型鉴别肝郁痰凝型与冲任失调型乳腺癌中医证型的价值,寻求有助于中医辨证分型的客观指标。方法回顾性收集2018年1月—2021年12月于福建中医药大学附属第二人民医院行术前超声检查并经病理确诊且有完整中医辨证资料的231例(247个病灶)乳腺癌患者资料,获取术前超声图像,用ITK-SNAP软件勾画感兴趣区(ROI),利用Pyradiomics 3.0软件提取超声影像组学特征,病灶按7∶3比例分为训练集(175个)和测试集(72个),使用最小绝对收缩与选择算法(LASSO)进行特征降维筛选,采用支持向量机(SVM)构建影像组学模型,通过受试者工作特征(ROC)曲线评估模型的鉴别诊断效能。结果纳入病例中肝郁痰凝型107例115个病灶,冲任失调型124例132个病灶。LASSO算法筛选出17个可鉴别肝郁痰凝型和冲任失调型乳腺癌的超声影像组学特征,其中前7个特征权重系数较大,分别为Dependence Variance,Correlation,Sphericity,Center Of MassIndex2,Bounding Box5,Large Dependence High Gray Level Emphasis和Short Run Emphasis。利用上述17个有效特征构建的影像组学模型在训练集和测试集上的曲线下面积(AUC)分别为0.797(95%CI:0.730~0.864)和0.775(95%CI:0.666~0.883)。该模型训练集的敏感度、特异度、准确率分别为72.3%(60/83)、73.0%(65/89)、72.7%(125/172);该模型测试集的敏感度、特异度、准确率分别为75.5%(37/49)、65.4%(17/26)、72.0%(54/75)。结论超声影像组学模型能够有效鉴别肝郁痰凝型与冲任失调型乳腺癌,筛选出的影像组学特征可作为乳腺癌中医辨证分型的微观指标。

基于“五寓”课程思政理念的中医药人才培养策略研究——以“中药炮制学专论”课程为例

中药学类研究生课程重视中药学思维的培养,具有课程思政挖掘的良好基础,但课程思政缺乏系统设计,思政教育与专业教育融入未形成长效机制,专业课程考核和评价欠缺“课程思政”相关指标,“两张皮”问题仍然存在.为此以“中药炮制学专论”课程为例,课程团队践行“五寓”课程思政理念,通过对教学内容进行重构,改进教学方法,拓宽教育场域,实现思政目标与知识目标、能力目标和素质目标“同频共振”.“五寓”课程思政理念的凝练针对性地解决了研究生课程思政教与学中的问题,为中药学学科课程思政建设提供了保障.

整体观视域下FBL+立体教学模式在中医体质学课程的应用前景

整体观是一种从总体上直观地把握世界的思维方式。基于问题的教学法(PBL)是指在教师的参与下,以学生为主体、以问题为基础,采用小组讨论等形式研究、学习某个专题或具体病例的诊治等的过程。中医体质学属于基础理论与临床应用、传统医学与现代相关学科紧密结合的新兴交叉学科,应用整体观视域下基于现场的教学法(FBL)+立体教学模式,能够在一定程度上避免现有医学教育课程体系割裂医学整体性的弊端,有助于提升中医体质学教学质量。

多重思维交汇下中医本科课程一体化内涵建设探索

随着全球一体化发展下的学科交叉与融合,教学一体化建设的优势作用逐渐显现。本科教学质量的提升,既要保持传统优势,又要紧随时代的发展有所创新,不仅要有形式上的整体性,更要挖掘知识内涵的一体化发展。中医本科教学体系通过中医学“整体观念”引导学科融合,能够恢复知识体系的整体性。以中西方各具优势和特色的思维模式,辨证选择以多种不同教学思维和方法,能够更加精准对焦教学内容的外在表达。因此,中西贯通,多重思维优势互补,是中医本科课程一体化建设的创新,是突破固有模式、深化内涵建设的教学新探索。

基于《中药学》课程的中医药“象思维”能力塑造

《中药学》是中医学、中药学专业学生的基础课程,如何将现代科学的知识与传统中医药思维系统结合,如何有效提升学生的专业素养,是《中药学》课程教学过程中面临的重要命题。“象思维”是认知传统中医药理论的核心路径之一,因此将“象思维”的培养融入到《中药学》课程教学环境中,将促进学生能力与专业素养的系统提升。本文针对象思维的概述与范畴、内涵与外延进行了系统阐释,为《中药学》的教学过程中融入“象思维”提供了可能的契机。进一步提出通过“知识讲授-实践学习-综合能力”的培养路径,形成“象思维”的思考能力,促进自主学习能力的养成,有效提升学生的专业素养。

成果教育导向理念下思维导图在康复专业课程群中的教学研究与实践策略

成果教育导向(OBE)理念由美国教育学家首先提出,经过不断地发展,形成了比较完整的理论体系,贯穿于教育认证标准的始终。《中医康复学》《物理治疗学》《肌肉骨骼康复学》《运动医学》等课程是辽宁中医药大学中医康复学专业、康复治疗学专业的核心课程,具有专业性强、实践知识丰富、技能操作多样化等特点。基于OBE理念可以将该课程教学的特点与思维导图有机融合,真正实现以学生为中心,培养学生的自主学习能力,提高学生的学习兴趣,构建专业知识框架,形成自己的独立的知识体系,为将来走向社会,提高学生就业的竞争力打下基础。

墨子义利观视域下古代中医义利观分析及其当代价值

古代中医医家行医目的和取酬态度与墨子义利观具有高度相通性。在墨子“贵义尚利”思想的涵养和规约下,古代中医医家形成了以术利人、以义为先的行医目的和义利兼顾、以义获利的取酬态度。以古鉴今,将古代中医义利观的精髓,通过感染教育,培养医务人员以义为上的行医追求;利用课程思政和媒体宣传,鞭策医务人员守住以义制利的行医底线;借助激励机制,构建义利兼顾的薪酬分配等多种路径,有机融摄于当代医德义利观教育,以冀树立符合当今经济和社会发展的医学义利观,为构建和谐医患关系、促进医学健康发展、构建人类卫生健康共同体助力。

整体观视域下中医经典教育与新时代融通路径浅析

经典指有永恒意义、堪为后世典范的著作。中医经典是中医学的根源与精髓,也是中医教育的核心。整体观把生命活动作为一个整体运动变化过程来认识,以普遍联系、相互制约的观点看待事物。顺应时代需求,提升医学生进入社会后的岗位胜任力,融通中医经典与新时代之新,是新时代对中医院校医学生教育的要求。中医经典的课程设置、理论教学、临床教学的整体观是中医经典和新时代融通的路径。在整体观视域下,中医经典教育与新时代融通需将整体观贯穿教学系统运动全过程。

基于OBE教育理念运用SPOC联合CBL教学模式与单用SPOC教学模式在《中医急诊学》教学中的比较研究

目的探讨基于OBE教育理念下运用SPOC联合CBL教学模式与单用SPOC教学模式在《中医急诊学》教学中的效果比较。方法选择2021年9月—2022年2月成都中医药大学需修《中医急诊学》的中医学专业两个班级共82名学生作为研究对象,采用随机数表法将其随机分成2组,其中对照组41名,采用SPOC教学模式,观察组41名,采用SPOC联合CBL教学模式,通过理论考试成绩、病例分析成绩、教学满意度对两组学生进行教学效果评价。结果对照组理论考试成绩与观察组比较,差异无统计学意义(P>0.05),而观察组病例分析成绩明显高于对照组,差异有统计学意义(P<0.05),同时观察组教学满意度明显高于对照组,差异有统计学意义(P<0.05)。结论基于OBE教育理念运用SPOC联合CBL教学模式相对于SPOC教学模式,可显著提高学生分析与解决临床问题的能力,同时也是学生认可的学习方式,值得被广泛应用。