The Idea and Application of Tuina in the Prevention and Treatment of COVID‑19

While traditional Chinese medicine has displayed a positive and effective role in saving lives of COVID‑19 patients,Tuina,which is an important component in Chinese medicine,has also shown its merits in enhancing the immune function and relieving symptoms in COVID‑19 patients.This article elaborates the long history of Tuina in treating and preventing epidemic diseases and its effect in improving the immune function.It also introduces some special Tuina methods,for instance,sputum drainage by the back‑patting method to enable the discharge of sputum;slant‑scrubbing method applied on the hypochondriac regions to bring the effect of soothing the liver to regulate qi,which may also relieve anxiety of patients with COVID‑19;and spine‑pinching method to enhance human resistance to diseases,which is more suitable for the elderly and for children with mild or common types of COVID‑19 and can also be used for health care and disease prevention among the general population.Tuina methods for children using the common children’s specific Tuina points and manipulations to improve children’s body constitution are also mentioned in the article.Self‑acupoint Tuina for health care,including acupoints for prevention purposes,acupoints for early clinical stage(mild stage)and recovery stage,as well as acupoints for children health care and specific operations,is also illustrated in the article.Moreover,basic exercises for health care,such as eight‑section brocade,Shaolin internal exercises,six‑character formula,and change of tendons,are also presented.In the final analysis,this article is aimed at some ideas and feasible applications of Tuina therapy in the prevention and treatment of COVID‑19,in the hope to provide some worthy experience and introduce methods in preventing and fighting against COVID‑19 to people all over the world.

The Idea and Application of Tuina in the Prevention and Treatment of COVID-19

While traditional Chinese medicine has displayed a positive and effective role in saving lives of COVID-19 patients,Tuina,which is an important component in Chinese medicine,has also shown its merits in enhancing the immune function and relieving symptoms in COVID-19 patients.This article elaborates the long history of Tuina in treating and preventing epidemic diseases and its effect in improving the immune function.It also introduces some special Tuina methods,lor instance,sputum drainage by the back-patting method to enable the discharge of sputum;slant-scrubbing method applied on the hypochondriac regions to bring the effect of soothing the liver to regulate qi,which may also relieve anxiety of patients with COVID-19;and spine-pinching method to enhance human resistance to diseases,which is more suitable for the elderly and for children with mild or common types of COVID-19 and can also be used for health care and disease prevention among the general population.Tuina methods for children using the common childreifs specific Tuina points and manipulations to improve children’s body constitution are also mentioned in the article.Self-acupoint Tuina for health care,including acupoints for prevention purposes,acupoints for early clinical stage(mild stage)and recovery stage,as well as acupoints for children health care and specific operations,is also illustrated in the article.Moreover,basic exercises for health care,such as eight-section brocade,Shaolin internal exercises,six-character formula,and change of tendons,are also presented.In the final analysis,this article is aimed at some ideas and feasible applications of Tuina therapy in the prevention and treatment of COVID-19,in the hope to provide some worthy experience and introduce methods in preventing and fighting against COVID-19 to people all over the world.

Application of Preventive Treatment Theory in the Treatment of Pelvic Inflammatory Disease

With a history of more than two thousand years, the theory of preventative treatment has been closely followed by the development of modern medical theories on the basis of inheritance by medical experts in the past dynasties, which has been constantly improved and enriched, and deeply applied in the prevention and treatment of serious and multiple diseases. It has achieved great benefits. For women with gynecological diseases, pelvic inflammatory disease patients accounted for a large proportion. Due to the lack of specificity in diagnosis and treatment, the condition is lingering and difficult to cure, so it seriously reduces the quality of life of women, thus affecting the harmony of family and society. From the perspective of prevention, according to the characteristics of each stage of the disease, this paper put forward substantive prevention suggestions and targeted treatment methods, ensuring preventing before disease, preventing progress after disease, and preventing reoccurring after recovery. It has important practical significance for the prevention and treatment of pelvic inflammatory diseases, as well as the development and inheritance of traditional Chinese medicine.

Study on the Water Quality of Urban Waterscapes in Beijing and Advices for Improvement

Excellent waterscapes in Beijing are significant in creating an outstanding image of China. Based on the Annual Environmental Status Bulletin issued by the website of Beijing Municipal Environmental Protection Bureau, the water quality of urban water systems in Beijing was analyzed in this study, and corresponding improvement measures were put forward.

西安地区犬和猫肿瘤流行现状与防治对策

通过对西北农林科大西安动物医院4年7个月共收治的西安地区7399例(犬4813例,猫2586例)犬和猫病例中308例肿瘤的分析,发现犬、猫肿瘤发病率分别为5.96%和0.81%;最常发的肿瘤有乳腺肿瘤、恶性淋巴瘤、脂肪瘤、肥大细胞瘤与肛周腺瘤。犬发病品种以贵宾犬、牧羊犬与金毛犬居多,分别占24.64%、12.56%和11.59%;小型犬发病率最高,占51.57%。老龄犬多发,但9岁以下犬发病率也高达33.45%。发病季节集中在冬春季节。发病部位以乳腺和皮肤最多,分别占29.27%和21.95%。雌性犬、猫发病率分别为58.19%和42.86%,雄性犬、猫发病率分别为41.81%和57.14%;未绝育雌性犬、猫更易发生乳腺肿瘤与泌尿生殖道肿瘤,未去势雄性犬、猫更易发生肛周肿瘤。组织活检与组织病理学结果显示良性肿瘤占58.51%,恶性肿瘤占41.49%。

阿里牧区散养绵羊体外驱虫病的预防与治疗措施

研究旨在探讨阿里牧区散养绵羊体外驱虫病的预防与治疗措施,以提高绵羊的健康水平。通过对阿里牧区绵羊体外寄生虫种类、分布及感染率的调查,结合当地气候、饲养管理条件,提出针对性预防和治疗方案。研究结果表明,通过综合应用预防和治疗措施,可以显著降低阿里牧区绵羊体外驱虫病的发生率和感染程度,提高绵羊的整体健康水平。

Delayed arterial symptomatic epidural hematoma on the 14th day after posterior lumbar interbody fusion:A case report

BACKGROUND Delayed arterial symptomatic epidural hematoma(SEH)on the 14th day after posterior lumbar interbody fusion(PLIF)is rare but it may lead to severe complications if not identified and treated in a timely manner.After diagnosis of the current case,early surgical removal of the hematoma and strict hemostasis treatment was accomplished.This case report highlights the importance of swift diagnosis and treatment in SEH patients.CASE SUMMARY A 41-year-old male patient with a single-segment lumbar disc herniation underwent left-side PLIF.On the 14th post-operative day,the patient complained of lumbar incision pain with sudden onset accompanied by left limb radiation pain and aggravated cauda equina symptoms.Magnetic resonance imaging examination and a puncture blood draw at the incision site confirmed a delayed arterial SEH.Emergency surgical removal of the hematoma and hemostasis was performed.About 70 mL of hematoma was found in the left incision.Continuous bleeding was found in the anterior branch of the transverse process of the 4th lumbar artery in the muscle area about 2 cm below the transverse process of the 4th lumbar vertebra.A blood jet of about 10 cm in height was observed and bipolar electrocoagulation was used to stop the bleeding.Post-operative lumbar incision pain and left lower limb pain were relieved immediately and gradually disappeared.There was no recurrence during the 12-mo follow-up.CONCLUSION For delayed arterial SEH on the 14th day after PLIF,preventive measures including pre-,intra-and post-operative prevention should be implemented.

基于中医复合病机理论探讨肺结节的调护思路

肺结节为临床常见病症,但因其病因不明确、多数良性,西医一般不予治疗。文章从中医经络循行、脏腑功能等复合病机理论角度开展肺结节病因病机研究,指出从经脉循行分析,足厥阴肝经上注于肺,足太阴脾经经脉上膈贯肺,二者功能失调必影响于肺;从脏腑气机升降分析,肝气从左升,肺气从右降,维持气机升降运动;从脏腑气血津液调节功能分析,肝肺气机升降实则也是气血之升降,肝肺之间气血津液的调节功能失调,必会影响痰饮、结节的形成;从五行乘侮而论,肝木之气郁滞而反侮肺金之气,即木火刑金;脾土为生痰之源,肺金为储痰之器,脾肺之间互为影响。故认为病机主要因于肝气郁滞,或久郁化火,灼伤肺金,炼液为痰,痰气交阻;或因脾运不健,致痰饮稽留于肺,痰气交阻而成结节,临床从肝气犯肺、木火刑金、肺脾两虚、痰饮犯肺等主要证候开展辨治选方治疗,肝气犯肺以四逆散合消瘰丸合茯苓杏仁甘草汤化裁以疏肝柔肝养肝、宽胸理气、化痰消结;木火刑金选丹栀逍遥散合小陷胸汤、消瘰丸化裁以清肝泄火、柔肝养肝、理气化痰、软坚散结而消结;肺脾两虚选择补肺汤合苓桂术甘汤化裁,以健脾补肺、化痰散结;痰饮犯肺选择射干麻黄汤合小陷胸汤化裁以宣肺散寒、化痰散结。同时调护措施上注意:情志调护上当进行心理疏导、调畅情志;饮食调护上避免生冷寒凉;用药调护上根据患者情况合理选择用药;施以耳穴贴压、足浴、热奄包等中医特色护理技术进行干预,为肺结节的预防和治疗提供了思路和方法,以促进肺结节的预防效果,提升患者健康水平。

宠物犬常见体表寄生虫病及防治措施

宠物犬容易感染蚤、虱、蜱和螨等体表寄生虫,这些体表寄生虫不仅会造成犬皮肤的直接损伤,还会作为传播媒介传播一些人兽共患病。因此,预防和治疗宠物犬体表寄生虫病对于宠物犬的自身健康以及公共卫生安全都是至关重要的。该文对宠物犬常见的蚤病、虱病、蜱病及螨病进行简要阐述,并提出防治措施,以期为宠物犬体表寄生虫病的防治提供参考。

基于“治未病”思想探讨中医药调控CREB蛋白防治阿尔茨海默病的作用机制研究进展

阿尔茨海默病是常见的中枢神经退行性疾病,突触功能障碍导致神经元丢失是主要发病机制,然而突触可塑性改变导致的记忆减退在AD发病之前即可出现,这为在AD患者出现不可逆病理损害之前进行干预提供了可能。环磷酸腺苷效应元件结合蛋白(CREB)处于突触强化和记忆形成过程中多条激活通路的中心汇聚点,在人体学习记忆能力的维持中起着关键作用,本文通过回顾近年来同道有关CREB与学习记忆研究及中医药治疗AD现状的文献,分别从CREB与学习记忆的相关通路、参与AD发病机制的实验研究以及中医药防治AD与CREB蛋白的相关性等方面进行整理总结,以期为中医药以CREB蛋白为切入点改善记忆减退进而防治AD提供部分理论及实验依据。

北京地铁既有结构渗漏风险防控体系研究

针对北京市地下水位上升导致的地铁结构渗漏问题,如何科学合理地对北京地铁渗漏进行治理及防控成为当前研究的关键。从既有地铁结构渗漏风险识别、风险评价和风险应对策略3方面,对北京地铁既有结构渗漏风险防控技术体系进行系统研究与分析。首先,从风险识别入手,对引起渗漏病害的因素进行全方位分析;然后,在风险识别研究的基础上进行风险评价,将地铁渗漏病害按照定性和定量的方法对区间和车站结构进行分类分级,给出渗漏等级A、B、C和D,并提出应急及常规治漏措施;最后,提出相应的渗漏风险应对策略,包括应急处置和一般渗漏治理。研究内容以期为类似地铁结构病害治理体系提供理论参考和技术支撑。

南水北调渠道混凝土裂缝的预防与处理试验

南水北调中线工程的输水渠道以薄壁混凝土为主,其受地形、地质条件、气候及施工工艺等因素影响极易出现裂缝。混凝土浇筑前,参建单位进行了多次工艺试验,总结出一系列有效的防范与治理措施并广泛应用于渠道混凝土工程,成功保证了工程实体和外观质量,为类似工程的施工积累了宝贵的经验,具有一定的借鉴意义。

昼夜节律紊乱导致自主神经功能失衡的研究进展

自主神经功能保持平衡对维持机体功能至关重要,昼夜节律系统参与了自主神经系统功能调节。昼夜节律紊乱会引起交感神经活性增加、迷走神经活性降低,进而促进心血管疾病发生和发展。然而,昼夜节律紊乱导致自主神经功能失衡的机制尚未明确。本文以昼夜节律对自主神经功能的影响为出发点,旨在明确昼夜节律紊乱导致自主神经功能失衡的可能机制,并归纳了褪黑素治疗、光线调节、运动疗法、迷走神经刺激等防治措施。

肾结石研究进展

社会生活水平不断提高,泌尿系结石发生率也有所提升,其中肾结石发生率占较高比例,肾结石发生时可伴随腰部胀痛感,致使患者生活质量有所降低,生活健康受到影响。轻则导致血尿,严重情况下会导致肾功能恶化的结局。肾脏结石形成与饮水量、饮浓茶、吸烟、性别等多种因素有关。治疗方面临床上根据结石直径大小不同采取药物排石、体外冲击波碎石、经皮肾镜碎石等方式。本文从肾结石的形成因素、流行病学、治疗方式、术后康复以及预防肾结石的发生等方面进行阐述,为临床肾结石诊疗工作提供帮助。

下肢骨折深静脉血栓防治的研究进展

深静脉血栓形成(deep vein thrombosis,DVT)是下肢骨折术后的常见并发症,具有高发病率、高致残率、高死亡率等特点。目前临床上防治下肢骨折术后深静脉血栓的措施主要包括围手术期护理、医疗辅助器械干预、西药干预、中医干预、患者自身配合等。患者自身配合是一切防治方法顺利实施的基础,患者的积极合作是实现防治作用的前提。围手术期护理有助于患者了解术后DVT的危险因素及DVT发生后可能引起的危险性,指导患者饮食的选择,协助患者术后活动,进而改善患者血液流变学指标水平,减少术后DVT的发生。医疗器械可协助患者进行术后康复锻炼,改善血液动力学水平,促进患者康复及减少术后DVT的发生。西药如低分子肝素、利伐沙班、依诺肝素等抗凝药物可降低凝血因子的聚集及血液黏稠度,减少术后DVT的发生。中医干预主要包括中药内服及外治法如针灸、推拿等。中药内服可改善血流状态;针灸、推拿可调动脏腑功能,激发机体的正气而改善机体气血情况。各项防治措施都有其优缺点,临证运用时需结合具体条件及患者个体状况而选择合理的防治方式。中医干预DVT可在下肢骨折患者的术前及术后执行,且具有费用低、效果确切等特点,值得不断挖掘及传承创新。

晕动症机制及防治技术研究进展与展望

晕动症是异常加速度和晕动视觉场景环境暴露诱发的多系统综合征,常见于交通运输、军事作业、空间探索等领域。本文综述了晕动症发生机制、预测评价和控制措施3个方面研究进展,并展望了未来晕动症研究的主要发展方向。针对晕动症感觉冲突理论生物学基础的认识在不断丰富和拓展,基因测序和人工智能技术为晕动症的预测与评估提供了新的研究工具;习服训练、抗晕药物和非药物症状控制措施的综合应用是防治晕动症的关键。

青少年和年轻人结直肠癌特点及诊疗的研究进展

结直肠癌是较为常见的消化系统恶性肿瘤。近年来,随着人们生活方式、饮食结构的改变及环境污染的加剧,青少年和年轻人(AYAs)结直肠癌的发生率明显升高。AYAs是指15~39岁人群,与老年癌症患者相比,AYAs癌症患者具有更高的长期和晚期风险,预后更差,结直肠癌也成为导致AYAs死亡的重要原因。本研究以结直肠癌为切入点,分析AYAs结直肠癌的发病危险因素、临床特点,探讨AYAs结直肠癌的诊疗方法,以期为临床拟订防控措施提供依据。

手足综合征的中西医防治概况

手足综合征是肿瘤患者接受化疗或分子靶向治疗后出现的特异性皮肤毒性反应,以手足皮肤红肿、疼痛、脱屑、溃疡,伴麻木、疼痛等感觉异常为特点。手足综合征的中医疗法以口服汤药、中药浸洗为主,辅以针灸等非药物手段;西医疗法则以药物对症处理为主,如控制炎症、改善血供,同时配合健康宣教、剂量控制等综合措施。研究发现,中西医防治手足综合征存在相似的作用机制,中西医联合治疗手足综合征有望成为一种可靠选择。参考文献69篇。

职业病诊疗过程中医患纠纷发生的原因分析与防范对策

目的探讨职业病诊疗过程中医患纠纷发生的原因分析与防范对策。方法选取2022年1月至2023年12月在医院诊疗的2000例职业病患者为对象,结合诊疗时间分组。2022年1月至2022年12月在医院诊疗的1000例是对照组,实施常规诊疗;2023年1月至2023年12月在医院诊疗的1000例是观察组,实施防范对策。比较两组医患纠纷发生率、诊疗满意度、诊疗完成度。结果观察组医患纠纷发生率低于对照组,诊疗满意度、诊疗完成度高于对照组(P<0.05)。结论明确职业病诊疗过程中医患纠纷发生的原因并实施防范对策,可降低医患纠纷发生率,提高患者诊疗满意度与诊疗完成度。

腹腔镜胃肠手术中发生缝针丢失的原因分析及处置

随着多项高级别循证临床研究结果的公布,胃肠道手术进入了微创时代,伴随着各类新术式的开展,腔镜下缝合技术在临床工作中被广泛应用。但在紧张的手术中,缝针丢失时有发生,而腔镜下视野有限,缝针尺寸更小,寻针的难度大。缝针的丢失,不仅影响手术的质量与效率,还可能导致严重的并发症。腹腔镜手术中缝针丢失重在预防,及早发现并处理尤为关键。此文通过分析2例腹腔镜胃肠手术中缝针丢失案例,总结缝针丢失的危险因素,为减少腹腔镜下缝针丢失这一不良事件的发生,针对性地提供预防措施及处理流程,有助于进一步推动腹腔镜技术在胃肠疾病中的发展。