Background:To summarize the concerted application and prescription rules of traditional Chinese medicine in the treatment of pre diabetes.Methods:Microsoft Excel 2010 was used to summarize the categories,nature,flavou...Background:To summarize the concerted application and prescription rules of traditional Chinese medicine in the treatment of pre diabetes.Methods:Microsoft Excel 2010 was used to summarize the categories,nature,flavour and channel tropism of drugs.The cluster analysis of high-frequency drugs was carried out by SPSS 22.0,and the association rules of high-frequency drugs were analyzed by Apriori algorithm provided by SPSS modeler 14.0.Results:One hundred and forty-six references were included,including 153 prescriptions and 131 drugs.Their frequency of use is listed in the following order.The top 3 categories of drugs were“Tonifying,Heat-Clearing”,diuresis and“Diffusing Dampness”drugs.The top 5 drugs were Huangqi(Astragali radix),Fuling(Poria),Huanglian(Coptidis rhizoma),Shanyao(Dioscoreae rhizoma),Gegen(Puerariae lobatae radix).The top 3 channel tropism of drugs were spleen,stomach and lung.The top 3 nature of drugs were cold,warm and calm.The top 3 flavour of drugs were sweet,bitter and pungent.The cluster analysis of high-frequency drugs showed that it could be classified into 4 categories:“Benefiting Qi”for promoting production of fluid,“Clearing Heat”and“Eliminating Dampness”,“Nourishing Yin”and“Clearing Heat”,and“Invigorating Spleen”for“Diffusing Dampness”.The results of association rule analysis showed that the combination with the highest degree of confidence and support was Poria-Chenpi(Citri reticulatae pericarpium)-Banxia(Pinelliae rhizoma)-Baizhu(Atractylodis macrocephalae rhizoma)and the combination with the highest frequency was Astragali radix-Puerariae lobatae radix.Conclusion:The pre diabetes is due to deficiency.The disease location is spleen and stomach and the pathological factor is phlegm-damp,that is why benefiting qi and invigorating spleen is regarded as the key link of clinical treatment.展开更多
BACKGROUND: Traumatic brain injury(TBI) is associated with most trauma-related deaths. Secondary brain injury is the leading cause of in-hospital deaths after traumatic brain injury. By early prevention and slowing of...BACKGROUND: Traumatic brain injury(TBI) is associated with most trauma-related deaths. Secondary brain injury is the leading cause of in-hospital deaths after traumatic brain injury. By early prevention and slowing of the initial pathophysiological mechanism of secondary brain injury, prehospital service can signifi cantly reduce case-fatality rates of TBI. In China, the incidence of TBI is increasing and the proportion of severe TBI is much higher than that in other countries. The objective of this paper is to review the pre-hospital management of TBI in China.DATA SOURCES: A literature search was conducted in January 2014 using the China National Knowledge Infrastructure(CNKI). Articles on the assessment and treatment of TBI in pre-hospital settings practiced by Chinese doctors were identified. The information on the assessment and treatment of hypoxemia, hypotension, and brain herniation was extracted from the identifi ed articles.RESULTS: Of the 471 articles identified, 65 met the selection criteria. The existing literature indicated that current practices of pre-hospital TBI management in China were sub-optimal and varied considerably across different regions.CONCLUSION: Since pre-hospital care is the weakest part of Chinese emergency care, appropriate training programs on pre-hospital TBI management are urgently needed in China.展开更多
Studies have shown that pre-moxibustion protects the gastric mucosa by up-regulating the expression of heat shock protein 70. However, the signaling pathway underlying this effect remains unclear. Rats were intragastr...Studies have shown that pre-moxibustion protects the gastric mucosa by up-regulating the expression of heat shock protein 70. However, the signaling pathway underlying this effect remains unclear. Rats were intragastrically administered absolute alcohol, causing obvious lesion of the gastric mucosa. Following pre-moxibustion at Zusanfi (ST36) for 8 days, the ulcer index decreased to different degrees. The results of an enzyme linked immunosorbent assay and western blotting showed significant upregulation of heat shock protein 70 expression in the gastric mucosa and serum. None out of transection of the spinal cord, damage to the nucleus of the solitary tract, neurotomy of the vagal nerve and neurotomy of the common peroneal nerve affected the decrease in ulcer index or the increase in heat shock protein 70 expression in serum after pre-moxibustion at Zusanfi, and heat shock protein 70 expression was obviously decreased in the gastric mucosa. These findings suggest that pre-moxibustion at Zusanfi can protect the gastric mucosa against lesioning, and that the mechanism underlying this effect involves its induction of heat shock protein 70 expression. Neural pathways participate in the regulatory effects of moxibustion on heat shock protein 70 expression in the gastric mucosa.展开更多
A total of 30 students scoring between 12 and 20 on the Test Anxiety Scale who had been exhibiting an anxious state 〉 24 hours, and 30 normal control students were recruited. Indices of heart rate variability were re...A total of 30 students scoring between 12 and 20 on the Test Anxiety Scale who had been exhibiting an anxious state 〉 24 hours, and 30 normal control students were recruited. Indices of heart rate variability were recorded using an Actiheart electrocardiogram recorder at 10 minutes before auricular pressing, in the first half of stimulation and in the second half of stimulation. The results revealed that the standard deviation of all normal to normal intervals and the root mean square of standard deviation of normal to normal intervals were significantly increased after stimulation. The heart rate variability triangular index, very-low-frequency power, low-frequency power, and the ratio of low-frequency to high-frequency power were increased to different degrees after stimulation. Compared with normal controls, the root mean square of standard deviation of normal to normal intervals was significantly increased in anxious students following auricular pressing. These results indicated that auricular pressing can elevate heart rate variability, especially the root mean square of standard deviation of normal to normal intervals in students with pre-exam anxiety.展开更多
文摘Background:To summarize the concerted application and prescription rules of traditional Chinese medicine in the treatment of pre diabetes.Methods:Microsoft Excel 2010 was used to summarize the categories,nature,flavour and channel tropism of drugs.The cluster analysis of high-frequency drugs was carried out by SPSS 22.0,and the association rules of high-frequency drugs were analyzed by Apriori algorithm provided by SPSS modeler 14.0.Results:One hundred and forty-six references were included,including 153 prescriptions and 131 drugs.Their frequency of use is listed in the following order.The top 3 categories of drugs were“Tonifying,Heat-Clearing”,diuresis and“Diffusing Dampness”drugs.The top 5 drugs were Huangqi(Astragali radix),Fuling(Poria),Huanglian(Coptidis rhizoma),Shanyao(Dioscoreae rhizoma),Gegen(Puerariae lobatae radix).The top 3 channel tropism of drugs were spleen,stomach and lung.The top 3 nature of drugs were cold,warm and calm.The top 3 flavour of drugs were sweet,bitter and pungent.The cluster analysis of high-frequency drugs showed that it could be classified into 4 categories:“Benefiting Qi”for promoting production of fluid,“Clearing Heat”and“Eliminating Dampness”,“Nourishing Yin”and“Clearing Heat”,and“Invigorating Spleen”for“Diffusing Dampness”.The results of association rule analysis showed that the combination with the highest degree of confidence and support was Poria-Chenpi(Citri reticulatae pericarpium)-Banxia(Pinelliae rhizoma)-Baizhu(Atractylodis macrocephalae rhizoma)and the combination with the highest frequency was Astragali radix-Puerariae lobatae radix.Conclusion:The pre diabetes is due to deficiency.The disease location is spleen and stomach and the pathological factor is phlegm-damp,that is why benefiting qi and invigorating spleen is regarded as the key link of clinical treatment.
文摘BACKGROUND: Traumatic brain injury(TBI) is associated with most trauma-related deaths. Secondary brain injury is the leading cause of in-hospital deaths after traumatic brain injury. By early prevention and slowing of the initial pathophysiological mechanism of secondary brain injury, prehospital service can signifi cantly reduce case-fatality rates of TBI. In China, the incidence of TBI is increasing and the proportion of severe TBI is much higher than that in other countries. The objective of this paper is to review the pre-hospital management of TBI in China.DATA SOURCES: A literature search was conducted in January 2014 using the China National Knowledge Infrastructure(CNKI). Articles on the assessment and treatment of TBI in pre-hospital settings practiced by Chinese doctors were identified. The information on the assessment and treatment of hypoxemia, hypotension, and brain herniation was extracted from the identifi ed articles.RESULTS: Of the 471 articles identified, 65 met the selection criteria. The existing literature indicated that current practices of pre-hospital TBI management in China were sub-optimal and varied considerably across different regions.CONCLUSION: Since pre-hospital care is the weakest part of Chinese emergency care, appropriate training programs on pre-hospital TBI management are urgently needed in China.
基金funded by the National Basic Research Program of China (973 Program), No.2009CB522904the National Natural Science Foundation of China, No. 81173326 and 30973802+1 种基金the Hunan Provincial Scientific Project, No. 2011SK3095the Changsha Scientific Key Project, No. K1005020-31
文摘Studies have shown that pre-moxibustion protects the gastric mucosa by up-regulating the expression of heat shock protein 70. However, the signaling pathway underlying this effect remains unclear. Rats were intragastrically administered absolute alcohol, causing obvious lesion of the gastric mucosa. Following pre-moxibustion at Zusanfi (ST36) for 8 days, the ulcer index decreased to different degrees. The results of an enzyme linked immunosorbent assay and western blotting showed significant upregulation of heat shock protein 70 expression in the gastric mucosa and serum. None out of transection of the spinal cord, damage to the nucleus of the solitary tract, neurotomy of the vagal nerve and neurotomy of the common peroneal nerve affected the decrease in ulcer index or the increase in heat shock protein 70 expression in serum after pre-moxibustion at Zusanfi, and heat shock protein 70 expression was obviously decreased in the gastric mucosa. These findings suggest that pre-moxibustion at Zusanfi can protect the gastric mucosa against lesioning, and that the mechanism underlying this effect involves its induction of heat shock protein 70 expression. Neural pathways participate in the regulatory effects of moxibustion on heat shock protein 70 expression in the gastric mucosa.
基金funded by the Undergraduate Innovation Experimental Design Program of Guangdong Province,No.1212110041the Extracurricular Scientific Research Project of Southern Medical University,No.2009kw034
文摘A total of 30 students scoring between 12 and 20 on the Test Anxiety Scale who had been exhibiting an anxious state 〉 24 hours, and 30 normal control students were recruited. Indices of heart rate variability were recorded using an Actiheart electrocardiogram recorder at 10 minutes before auricular pressing, in the first half of stimulation and in the second half of stimulation. The results revealed that the standard deviation of all normal to normal intervals and the root mean square of standard deviation of normal to normal intervals were significantly increased after stimulation. The heart rate variability triangular index, very-low-frequency power, low-frequency power, and the ratio of low-frequency to high-frequency power were increased to different degrees after stimulation. Compared with normal controls, the root mean square of standard deviation of normal to normal intervals was significantly increased in anxious students following auricular pressing. These results indicated that auricular pressing can elevate heart rate variability, especially the root mean square of standard deviation of normal to normal intervals in students with pre-exam anxiety.