Background:Juvenile Localized Scleroderma(JLS)is a rare pediatric rheumatic disease characterized by inflammation and skin sclerosis.The side effect of consensus-recommended medications and the risk of disability pose...Background:Juvenile Localized Scleroderma(JLS)is a rare pediatric rheumatic disease characterized by inflammation and skin sclerosis.The side effect of consensus-recommended medications and the risk of disability posed challenges to the JLS treatment.We intend to demonstrate the potential of traditional Chinese medicine in treating JLS with skin ulcers and reducing the dose of glucocorticoid.Method:Here we report a case of a 13-year-old male with JLS who took oral methotrexate tablets of 10 mg/week and methylprednisolone of 6 mg/day for over six months without significant effect and suffered from skin ulcers on the dorsal feet one month after drug cessation.Subsequently,the patient was treated with integrated traditional Chinese and Western medicine of low-dose glucocorticosteroid,adjusted Shenqi Huoxue formula and Jinshe Xiaoyan formula,etc.Results:After integrated treatment,the patient’s dorsal feet ulcers healed and the skin sclerosis and hyperpigmentation improved significantly.Conclusions:This case report suggests that integrated traditional Chinese and Western medicine can be used as an effective treatment for JLS.展开更多
Virginia was once considered as one of three states in the United States that was particularly resistant to acupuncture and its legislation,due to the historically strong conservative force in Virginia.In this article...Virginia was once considered as one of three states in the United States that was particularly resistant to acupuncture and its legislation,due to the historically strong conservative force in Virginia.In this article,the author aims to review and discuss the history and the current situation of acupuncture legislation in Virginia,and provides some insights for the related legislations in other states and at federal level.This study was based on author’s personal experience and an interview with Mr.Floyd Herdrich,former president of the Acupuncture Society of Virginia,who made the biggest contribution to this legislation.Led by the Acupuncture Society of Virginia,and supported by the School Tai Sophia Institute,Virginia acupuncture legislation began in 1988 and the law was implemented in 1994.Virginia is the 27th state in the United States to legalize acupuncture practice,and it has been 28 years since then.The author’s insights are:the first important factor is dedications as the persistent efforts in legislation usually take many years to materialize.The second factor is the strategy,that is,legislation through the executive or administrative system is probably a much easier route or shortcut.展开更多
Pulse diagnosis equipment used in Traditional Chinese Medicine(TCM)has long been developed for collecting pulse information and in TCM research.However,it is still difficult to implement pulse taking automatically or ...Pulse diagnosis equipment used in Traditional Chinese Medicine(TCM)has long been developed for collecting pulse information and in TCM research.However,it is still difficult to implement pulse taking automatically or efficiently in clinical practice.Here,we present a digital protocol for TCM pulse information collection based on bionic pulse diagnosis equipment,which ensures high efficiency,reliability and data integrity of pulse diagnosis information.A four-degree-of-freedom pulse taking platform together with a wrist bracket can satisfy the spatial positioning and angle requirements for individually adaptive pulse acquisition.Three-dimensional reconstruction of a wrist surface and an image localization model are combined to provide coordinates of the acquisition position and detection direction automatically.Three series elastic joints can not only simulate the TCM pulse taking method that“Three fingers in a straight line,the middle finger determining the‘Guan’location and finger pulp pressing on the radial artery,”but also simultaneously carry out the force-controlled multi-gradient pressing process.In terms of pulse information integrity,this proposed protocol can generate rich pulse information,including basic individual information,pulse localization distribution,multi-gradient dynamic pulse force time series,and objective pulse parameters,which can help establish the fundamental data sets that are required as the pulse phenotype for subsequent comprehensive analysis of pulse diagnosis.The implementation of this scheme is beneficial to promote the standardization of the digitalized collection of pulse information,the effectiveness of detecting abnormal health status,and the promotion of the fundamental and clinical research of TCM,such as TCM pulse phenomics.展开更多
中医(traditional Chinese medicine, TCM)舌诊客观化研究中需要分析的舌象特征很多,不同的舌象特征往往采用单独的方法进行分析,导致分析系统的整体实现复杂度大幅增加。为此,基于持续学习的思想,提出一种中医舌色苔色协同分类方法,该...中医(traditional Chinese medicine, TCM)舌诊客观化研究中需要分析的舌象特征很多,不同的舌象特征往往采用单独的方法进行分析,导致分析系统的整体实现复杂度大幅增加。为此,基于持续学习的思想,提出一种中医舌色苔色协同分类方法,该方法将舌色分类作为旧任务,将苔色分类作为新任务,充分利用2个任务的相似性和相关性,仅通过一个网络结构就同时实现舌色和苔色的准确分类。首先,设计一种基于全局-局部混合注意力机制(global local hybrid attention, GLHA)的双分支网络结构,将网络高层语义特征与低层特征相融合,提升特征的表达能力;然后,提出基于正则化和回放相结合的持续学习策略,使得该网络在学习新任务知识的同时有效防止对旧任务知识的遗忘。在2个自建的中医舌象特征分析数据集上的实验结果表明,提出的协同分类方法可以获得与单个任务相当的分类性能,同时可以将2个分类任务的整体复杂度降低一半左右。其中,舌色分类准确率分别达到93.92%和92.97%,精确率分别达到93.69%和92.87%,召回率分别达到93.96%和93.16%;苔色分类准确率分别达到90.17%和90.26%,精确率分别达到90.05%和90.17%,召回率分别达到90.24%和90.29%。展开更多
Traditional Chinese medicine（TCM） and acupuncture has been gradually accepted by the mainstream society since the 1970 s and has been rapidly expanding,accompanying the tide of Chinese immigration since the 1980 s.A...Traditional Chinese medicine（TCM） and acupuncture has been gradually accepted by the mainstream society since the 1970 s and has been rapidly expanding,accompanying the tide of Chinese immigration since the 1980 s.Acupuncture legislation has been approved by the governments of 5 provinces in Canada between 1988 and 2014.After the acceptance of self-regulation,5corresponding colleges were established,one after another.The code of ethics and professional practice standard were developed by the Colleges.British Columbia（BC） became the first Canadian province to offer acupuncture treatments as a supplementary benefit for its Medical Services Plan premium assistance recipients beginning in 2008.The 5 colleges united to form the Canadian Alliance of Regulatory Bodies of Traditional Chinese Medicine Practitioners and Acupuncturists（CARBTCMPA） in the same year.The Entry-level Occupational Competencies for the Practice of TCM in Canada were developed by CARB-TCMPA in 2010.The Pan-Canadian registration examinations for acupuncturists,herbalists and TCM practitioners have been administered and scheduled since 2013.The Entry-level Occupational Competencies for Doctors of TCM were developed by College of Traditional Chinese Medicine Practitioners and Acupuncturists of British Columbia（CTCMA-BC） in 2014.It sketches the blueprint for future development of the TCM profession in Canada.展开更多
基金The essay is supported by Research Project of Shanghai Municipal Health Care Commission,No.20204Y0410We appreciate the patient and his parents for their cooperation and consent to disclose the case.We express our gratitude for the support from the members of the scientific innovation volunteer team of rare diseases in Shanghai TCM-Integrated School of clinical medicine,Shanghai University of Traditional Chinese Medicine.
文摘Background:Juvenile Localized Scleroderma(JLS)is a rare pediatric rheumatic disease characterized by inflammation and skin sclerosis.The side effect of consensus-recommended medications and the risk of disability posed challenges to the JLS treatment.We intend to demonstrate the potential of traditional Chinese medicine in treating JLS with skin ulcers and reducing the dose of glucocorticoid.Method:Here we report a case of a 13-year-old male with JLS who took oral methotrexate tablets of 10 mg/week and methylprednisolone of 6 mg/day for over six months without significant effect and suffered from skin ulcers on the dorsal feet one month after drug cessation.Subsequently,the patient was treated with integrated traditional Chinese and Western medicine of low-dose glucocorticosteroid,adjusted Shenqi Huoxue formula and Jinshe Xiaoyan formula,etc.Results:After integrated treatment,the patient’s dorsal feet ulcers healed and the skin sclerosis and hyperpigmentation improved significantly.Conclusions:This case report suggests that integrated traditional Chinese and Western medicine can be used as an effective treatment for JLS.
文摘Virginia was once considered as one of three states in the United States that was particularly resistant to acupuncture and its legislation,due to the historically strong conservative force in Virginia.In this article,the author aims to review and discuss the history and the current situation of acupuncture legislation in Virginia,and provides some insights for the related legislations in other states and at federal level.This study was based on author’s personal experience and an interview with Mr.Floyd Herdrich,former president of the Acupuncture Society of Virginia,who made the biggest contribution to this legislation.Led by the Acupuncture Society of Virginia,and supported by the School Tai Sophia Institute,Virginia acupuncture legislation began in 1988 and the law was implemented in 1994.Virginia is the 27th state in the United States to legalize acupuncture practice,and it has been 28 years since then.The author’s insights are:the first important factor is dedications as the persistent efforts in legislation usually take many years to materialize.The second factor is the strategy,that is,legislation through the executive or administrative system is probably a much easier route or shortcut.
基金supported by the Shanghai 2021 Science and Technology Innovation Action Plan Project(Grant No.21S31902500)the Independent Deployment of Scientific Research Projects of Jihua Laboratory(Grant No.X190051TB190)the National Natural Science Foundation of China(Grant No.U1913216).
文摘Pulse diagnosis equipment used in Traditional Chinese Medicine(TCM)has long been developed for collecting pulse information and in TCM research.However,it is still difficult to implement pulse taking automatically or efficiently in clinical practice.Here,we present a digital protocol for TCM pulse information collection based on bionic pulse diagnosis equipment,which ensures high efficiency,reliability and data integrity of pulse diagnosis information.A four-degree-of-freedom pulse taking platform together with a wrist bracket can satisfy the spatial positioning and angle requirements for individually adaptive pulse acquisition.Three-dimensional reconstruction of a wrist surface and an image localization model are combined to provide coordinates of the acquisition position and detection direction automatically.Three series elastic joints can not only simulate the TCM pulse taking method that“Three fingers in a straight line,the middle finger determining the‘Guan’location and finger pulp pressing on the radial artery,”but also simultaneously carry out the force-controlled multi-gradient pressing process.In terms of pulse information integrity,this proposed protocol can generate rich pulse information,including basic individual information,pulse localization distribution,multi-gradient dynamic pulse force time series,and objective pulse parameters,which can help establish the fundamental data sets that are required as the pulse phenotype for subsequent comprehensive analysis of pulse diagnosis.The implementation of this scheme is beneficial to promote the standardization of the digitalized collection of pulse information,the effectiveness of detecting abnormal health status,and the promotion of the fundamental and clinical research of TCM,such as TCM pulse phenomics.
文摘中医(traditional Chinese medicine, TCM)舌诊客观化研究中需要分析的舌象特征很多,不同的舌象特征往往采用单独的方法进行分析,导致分析系统的整体实现复杂度大幅增加。为此,基于持续学习的思想,提出一种中医舌色苔色协同分类方法,该方法将舌色分类作为旧任务,将苔色分类作为新任务,充分利用2个任务的相似性和相关性,仅通过一个网络结构就同时实现舌色和苔色的准确分类。首先,设计一种基于全局-局部混合注意力机制(global local hybrid attention, GLHA)的双分支网络结构,将网络高层语义特征与低层特征相融合,提升特征的表达能力;然后,提出基于正则化和回放相结合的持续学习策略,使得该网络在学习新任务知识的同时有效防止对旧任务知识的遗忘。在2个自建的中医舌象特征分析数据集上的实验结果表明,提出的协同分类方法可以获得与单个任务相当的分类性能,同时可以将2个分类任务的整体复杂度降低一半左右。其中,舌色分类准确率分别达到93.92%和92.97%,精确率分别达到93.69%和92.87%,召回率分别达到93.96%和93.16%;苔色分类准确率分别达到90.17%和90.26%,精确率分别达到90.05%和90.17%,召回率分别达到90.24%和90.29%。
文摘Traditional Chinese medicine（TCM） and acupuncture has been gradually accepted by the mainstream society since the 1970 s and has been rapidly expanding,accompanying the tide of Chinese immigration since the 1980 s.Acupuncture legislation has been approved by the governments of 5 provinces in Canada between 1988 and 2014.After the acceptance of self-regulation,5corresponding colleges were established,one after another.The code of ethics and professional practice standard were developed by the Colleges.British Columbia（BC） became the first Canadian province to offer acupuncture treatments as a supplementary benefit for its Medical Services Plan premium assistance recipients beginning in 2008.The 5 colleges united to form the Canadian Alliance of Regulatory Bodies of Traditional Chinese Medicine Practitioners and Acupuncturists（CARBTCMPA） in the same year.The Entry-level Occupational Competencies for the Practice of TCM in Canada were developed by CARB-TCMPA in 2010.The Pan-Canadian registration examinations for acupuncturists,herbalists and TCM practitioners have been administered and scheduled since 2013.The Entry-level Occupational Competencies for Doctors of TCM were developed by College of Traditional Chinese Medicine Practitioners and Acupuncturists of British Columbia（CTCMA-BC） in 2014.It sketches the blueprint for future development of the TCM profession in Canada.
