Gynecology and Gynecological Nursing Theories and Practices in Traditional Chinese Medicine: Review on the Ancient Literatures

Objective: the study is aimed to introduce the developing history of gynecology and gynecological nursing in traditional Chinese medicine (TCM). Study Design: the development of gynecology and gynecological nursing consists of six periods in Chinese history. They are: 1) budding stage represented by the inscriptions of Nü (female) on oracle bones;2) physiological development stages of women;3) specialized chapters of gynecology in TCM;4) features of gynecological nursing;5) monograph of gynecology and gynecological nursing;6) integration of ancient gynecological nursing perceptions. Results: TCM has a profound understanding of gynecology and gynecological nursing. For period one, the inscriptions of Nü (female) on oracle bones is the symbol of the budding stage. For period two, physiogenesis stages of women are recorded in The Yellow Emperor of Classics of Inner Medicine. For period three, the specialized chapters of gynecology appeared, represented by Golden Chamber, Woman. For period four, the features of gynecological nursing were elaborated in Essential Prescriptions Worth A Thousand Gold including menstruation, depression, yin-dampness, and menopause. For period five, monographs of gynecology and gynecological nursing represented by Good Comprehensive Woman Formulae appeared. For period six, Integrative studies of gynecological nursing perceptions were carried out with the representation by Integrated Ancient and Modern Books. Conclusion: TCM gynecology and gynecological nursing harbors a long history of treating and nursing gynecological disorders. With therapeutic and nursing modalities, they are effective systems of un-derstanding and managing woman health as proven by medical literatures, clinical benefits and basic research studies.

Analysis of the application of Chinese medicine nursing technology in obstetrics

Objective:To analyze the application value of traditional Chinese medicine(TCM)nursing technology in obstetrics.Methods:204 patients with obstetrics were enrolled in the study and entered into the Chinese medicine group and thereference group according to the random number(n=102).The reference group received routine care,and the Chinesemedicine group received Chinese medicine nursing.The anxiety and depression scores of the two groups of patientsand the patient's nursing satisfaction status were compared.Results:There was no difference in the scores betweenthe pre-treatment groups.The value of the reduction in anxiety and depression scores in the TCM group wassignificantly higher than that in the reference group.The numerical comparison was statistically significant(P<0.05).The comprehensive nursing satisfaction rate of patients in the Chinese medicine group was 99.02%,and the comprehensivenursing satisfaction rate of the reference group was 80.39%.The numerical comparison was statistically significant(P<0.05).Conclusion:The application of TCM nursing technology in obstetrics helps to improve the negativeemotions of patients and improve the overall satisfaction rate of patients.The value of nursing intervention is higher

Comparative study on WHO Western Pacific Region and World Federation of Chinese Medicine Societies international standard terminologies on traditional medicine: Diseases of Gynecology and Obstetrics(Part 3)

The following is a brief analysis of 22 terms related te gynecology and obstetrics in traditional Chinese medicine （TCM） included in the WHO International Standard Termi- nologies on Traditional Medicine in the Western Pacific Region （abbreviated as the WPRO Standard） and the International Standard Chinese-English Basic Nomenclature of Chinese Medicine compiled by the World Federation of Chinese Medicine Societies （abbreviated as the WFCMS Standard）, according to explanations made in the book entitled A Concise Dictionary of Traditional Chinese Medicine and the studies made in the book entitled International Standardization of English Translation of Traditional Chinese Medicine： Study of Theory, Summarization of Practice and Exploration of Methodsc.

Comparative study on WHO Western Pacific Region and World Federation of Chinese Medicine Societies international standard terminologies on traditional medicine: Diseases of Gynecology and Obstetrics (Part 1)

The diseases in traditional Chinese medicine （TCM） gynecology are usually related to menstruation, leucorrhea, pregnancy and psychology. About 69 terms are included in the WHO International Standard Terminologies on Traditional Medicine in the Western Pacific Region （abbreviated as the WPRO Standard,

Comparative study on WHO Western Pacific Region and World Federation of Chinese MedicineSocieties international standard terminologies ontraditional medicine: Diseases of Gynecology andObstetrics(Part 2)

The following is the second discussion about how to understand and translate the names of diseases in tradi- tional Chinese medicine （TCM） gynecology and obstetrics included in WHO International Standard Terminologies on Traditional Medicine in the Western Pacific Region （abbreviated as the WPRO Standard） and the International Standard Chinese-English Basic Nomenclature of Chinese Medicine compiled by World Federation of Chinese Medicine Societies （abbreviated as the WFCM Standard） , according to explanations made in the book entitled A Concise Dictionary of Traditional Chinese Medicine and the studies made in the book entitled International Standardization of English Translation of Traditional Chinese Medicine： Study of Theory, Summarization of Practice and Exploration of Methods.

基于词性结构的中医妇科学杂病术语英译对比研究

妇科杂病作为中医妇科学疾病体系的重要组成部分,其术语内容较丰富、术语名称较特殊,是中医妇科学术语的重要研究对象。但由于中西医思维及诊疗方式各异,国内外学者在英译妇科杂病相关术语时面临较多困难。从谓词性、体词性、加词三种词性结构的英语语言应用入手,分析中医妇科杂病术语英译,对翻译策略及方法进行辨析并总结相应的翻译建议,以期为国内外学者研究中医妇科学术语英译提供参考。

“互联网+”背景下中医妇科研究生培养模式改革研究探讨

中医妇科学是中医学的重要分支,培养合格中医妇科研究生需要全面掌握理论知识和实践技能,根据目前中医妇科研究生的培养现状,充分利用互联网资源,培养中医思维,共享云端资源、传承中医经典,推广网络助教、探析名家医案;提升科研能力,远程文献分享、拓展学术视野,组织网络研讨,培养创新思维;夯实临床技能,开展多元诊疗、体验跟师临诊,用活社交平台、双向病例讨论;注重心理教育;加强教师信息化教学能力,通过培养模式改革以适应当前不断变化的医疗资源的需求。

基于数据挖掘研究清代妇科专著治疗不孕症用药规律

目的:基于数据挖掘研究清代妇科专著治疗不孕症的用药规律。方法:查阅第五版《中华医典》,选取9部清代妇科专著为数据源,运用Excel 2010软件建立治疗不孕症方药数据库,进行中药用药频次分析,中药性味、归经、药物功效等频次分析。采用SPSS23.0对药物使用频次≥8的中药进行k-means聚类分析,运用SPSS Modeler 18.0软件进行Apriori算法构建关联规则网络图。结果:共纳入54首方剂,涉及107味中药,中药用药总频次为506次。药物功效频次分析显示,补虚药、活血化瘀药、理气药为最常用的药物类别。药性以温、平、寒为主,药味以甘、辛、苦为主。归经大多为脾经、肝经、肾经、心经、肺经、胃经。对频次≥8的药物进行k-means聚类分析,主要聚类为4类,第1类:白术、茯苓、白芍;第2类:当归、川芎、熟地黄;第3类:人参、甘草、香附;第4类:肉桂、牡丹皮、半夏、山茱萸、山药、杜仲、陈皮。关联规则分析中支持度(前项→后项)最高的是川芎、当归→白芍;置信度(前项→后项)最高的是川芎、白芍→当归。药物关联网络图显示,高频药物组合为山茱萸-山药,半夏-陈皮,杜仲-陈皮。结论:清代妇科专著治疗不孕症治法以健脾为先,固肾为本,疏肝为辅,核心治法为养血调经。用药以补虚药为主,活血化瘀药与理气药为辅。

贾立群治疗妇科恶性肿瘤术后下肢淋巴水肿经验

妇科恶性肿瘤术后下肢淋巴水肿属中医学“水肿”“脉痹”等范畴。贾立群教授认为,阳虚血虚为其本虚,水湿、瘀血阻络为其标实,治以温阳补血通络、祛湿利水通络、化瘀利水通络。临证应视病程动态辨证施治。此外,贾教授常配合温经通络散泡洗直达病所,中药内外合治以达消肿之效。

新医科背景下“医学+X”模式在妇产科学研究生教学中的运用

传统的医学教学模式以学科为中心,难以应对现代医学的复杂性和多样性。新医科背景下,复合型医学人才的培养成为医学教育改革的核心目标。本研究探讨了“医学+X”教学模式在妇产科研究生教学中的应用,通过整合管理学、法学、社会学、公共卫生学、工程学、材料学、基础医学、统计学、数字媒体,以及人工智能等学科的知识,设计了适合妇产科教学的课程框架。该框架包括需求导向的调研、系统化的课程内容设计、创新的教学方法、综合的评价模式和持续的课程反馈机制。通过前期调研确定了学生在临床技能、管理能力,以及法律知识等方面的需求。课程内容分为医文、医工和医理模块,每个模块涵盖相关学科的核心知识和实践应用。课程安排包括基础课程、应用课程和综合课程,旨在通过结合临床实习和跨学科项目,提高学生的综合能力和实际操作水平。评价模式采用多维度评价标准、实操考核、案例分析以及创新评价方法。该课程设计有效地促进了学科的融合和创新,为医学教育的跨学科整合提供了实践经验和参考。将“医学+X”模式应用到更多医学领域和学科,帮助进一步提升教学的互动性和实用性。

Acupuncture as a potential approach to improve the health of women with obesity

In addition to higher risks of various obstetric and gynaecological illnesses among women with obesity or who are overweight, maternal adiposity threatens the lifetime health of their offspring. Diverse treatments are provided, including complementary and alternative medicine such as Chinese medical practices. Acupuncture, a traditional Chinese medicinal method, is increasingly being applied to this health problem. This literature review analyses 25 clinical studies, involving 2407 participants aged 13-65 in Africa, Asia, the Middle East and North America. This illustrates the use of acupuncture alone or with other approaches to control body weight, obesity-induced diseases, and gynaecological health. Although positive indicators are presented, this study offers recommendations for enhancing reliability and validity in further research. It therefore suggests the use of acupuncture in dealing with obesity due to its efficacy, and economic and safety benefits.

岭南中医妇科课程标准化教学改革

地域特色课程是中医药院校的新兴课程,是我国发展中医药事业和高等中医药教育教学改革的重要组成部分,课程质量是培育人才的基石。文章基于岭南中医妇科课程标准化建设研究,通过分析目前的中医人才的培育要求及中医院校课程标准化的现状,指出该课程教学改革的必要性,从教材编写、教学设计、教学比例、教师队伍、教学形式、教学方法及考评方式等方面提出思考及实践总结,强调思政立德树人,跟师守正创新。以期为同类课程设置及教学实践提供参考。

“读-思-研-践”模式下的对比教学法在中西医结合妇产科学教学中的应用

目的:探讨“读-思-研-践”四维模式下的对比教学法在本科生中西医结合妇产科学课程教学中的教学效果。方法:选取某中医药大学2019级中西医临床医学本科生的两个班级共120名学员分组教学,对照组班级(59人)采用传统教学模式,实验组班级(61人)采用“读-思-研-践”四维模式下的对比教学法,结合期末理论考核成绩和问卷调查来综合评价教学成果。结果:应用“读-思-研-践”四维模式下的对比教学法的学生成绩,期末综合成绩优于传统教学的学生(P<0.05);调查问卷显示,该教学法在提高学生学习主动性、中西医结合临床思维、临证诊疗能力、学术科研探索方面均起到推动作用。结论:实施“读-思-研-践”模式下的对比教学法可以提高中西医结合妇产科学课程的教学效果。

中医妇科学教学融入思政元素探究

中医妇科学是一门临床学科,在掌握其基础理论之后的理论与实践相结合的教学过程中,要重视在教学大纲的认知中通过各种教学方法加入思政元素,同时深化以人为本的教学理念,加强教学队伍思政意识的建设,整体推动中医妇科学“思政元素”的挖掘,推崇“立德树人”的理念,并且围绕这一目标而开展卓有成效的教育体系改革。加强和扎实做好新时期医学院校中医妇科学思想政治路线教育和优秀人才培养相关工作,是在新的历史阶段提出的新政治任务、新发展方向和新战略要求。

卵巢癌中西医结合“全周期”诊疗上海专家共识

上皮性卵巢癌发病隐匿,是女性生殖器官常见的恶性肿瘤之一,病死率居妇科恶性肿瘤之首。70%以上的上皮性卵巢癌患者在就诊时已属晚期,表现为盆腹腔内组织器官的广泛转移,5年生存率仅为30%左右[1]。除了早期筛查意识欠缺、诊断困难,卵巢癌患者的高复发率和复发后可选择方案少也是其高病死率的重要影响因素,患者的长期预后面临着极大的威胁。

中西医结合治疗卵巢癌骨髓抑制临床诊疗专家共识

卵巢癌常用的治疗方法是手术联合化学治疗(简称“化疗”),其中铂类与紫杉醇联合应用是一线化疗方案[1]。骨髓抑制是化疗后最常见的毒副反应之一,由于化疗药物抑制了细胞的快速分裂,致使骨髓中细胞活性降低,从而出现骨髓抑制[2],临床上主要以白细胞、红细胞、血小板及血红蛋白数量减少为主要表现,其中以白细胞数量减少较为多见,常伴随不同程度的贫血、出血及继发感染。

卵巢癌腹水中西医结合临床诊疗专家共识

腹水是腹膜腔内的过量积液,主要由原发或转移性肿瘤表面裸露的毛细血管渗出导致。恶性肿瘤相关腹水占所有腹水类型的10%,其中又以卵巢癌最为常见。卵巢癌的发病率居女性生殖系统恶性肿瘤第三位,病死率居妇科恶性肿瘤之首[1]。绝大多数卵巢癌患者初诊时已出现广泛腹腔转移,大量腹水增加腹腔压力,引起不同程度恶心、呕吐、纳差、腹部胀痛、呼吸困难等症状,若不及时控制可进一步诱发心肺功能不全,危及生命。

三全育人混合式教学模式在中西结合妇产科学的应用

文章对“三全育人”混合式教学模式在中西结合妇产科学的应用进行了探索。混合式教学模式优于任何单一的形式,全员参与、全程融入思政课程、全方位地育人,使培养的学生既有扎实的专业知识技能,又不乏思想道德情操和职业素养,优化了中西结合妇产科学的教学效果,进而为培养具有岗位胜任力的中西结合妇产科人才打下基础,推进教学改革。

谢德聪治疗妇科痛证临证经验

妇科痛证发生在少腹,以胞宫为中心,为厥阴、少阴、冲任二脉循行部位,责之“不通则痛,不荣则痛”,病因多端,虚实错杂,属于妇科疑难杂症。谢德聪认为治疗妇科痛证,注重病机,明辨虚实,临证重视调肝,养血柔肝,理气止痛,调理冲任。并遵月经生理特点与气血阴阳消长转化分期调治,经前治实,经后补虚,临床疗效显著。其诊疗思路和用药经验颇具特色,有重要的借鉴意义。

国医大师夏桂成论中医女性生殖节律理论的“节”和“律”

分述女性生命中五种节律(昼夜节律、周节律、月节律、年节律、生命节律)特征以及夏桂成教授基于生殖节律理论治疗妇科临床疾病的经验。昼夜节律是生命节律的基本单位,白天活动振奋阳气,夜间安睡静养阴血是最基本的养生准则。七为少阳数,女性的经期常持续7天,阴分充足“锦丝带”(像锦缎一样的阴道分泌物)也可达7天,更有助成孕。月经周期节律上应月下应潮,夏教授提出了经典的四期月经周期节律学说,后为了更好地描述阴阳变化,又将经典的四期分为七期,以更好地指导临床。并附验案1则。