Clinical research report on traditional Chinese patent medicines and traditional Chinese classic famous prescriptions(2022)

Objective:The paper is to comprehensively summarize and analyze the basic situation and methodological quality of clinical randomized controlled trials(RCTs)of traditional Chinese patent medicines and traditional Chinese classic famous prescriptions published in 2022,to provide evidence and reasonable suggestions for the advancement of clinical research and the formulation of policies and guidelines.Methods:The Evidence Database System of clinical evidence-based evaluation of traditional Chinese medicine was searched,and data from China National Knowledge Infrastructure(CNKI),PubMed,and other databases were supplemented.The search duration was from January 1,2022,to December 31,2022.RCTs of traditional Chinese patent medicines and traditional Chinese classic famous prescriptions were included as the source of clinical evidence,and published information,sample size,intervention,control measures,treatment course,methodological quality,and key link report were analyzed and evaluated.Results:A total of 1,464 RCTs of traditional Chinese patent medicines were included,which comprised 667 types of traditional Chinese patent medicines;“traditional Chinese patent medicines+Western medicine vs.Western medicine”was the most widely used intervention and control setting,involving 417 RCTs(28.48%).A total of 245 RCTs of traditional Chinese classic famous prescriptions were included,comprising 55 types of traditional Chinese classic famous prescriptions.“Decoction+conventional treatment vs.conventional treatment”was the most widely used intervention and control setting,with 87 RCTs(35.51%).Published RCTs on traditional Chinese patent medicines and traditional Chinese classic famous prescriptions were limited by the study design and implementation.Most“allocation concealment”and“blinding of patients and personnel”were rated as medium to high risk.There are insufficient reports on key research links such as experimental registration and ethical approval.Conclusions:The number of RCTs on traditional Chinese patent medicines has decreased in 2022,but there has been a slight improvement in the research quality and impact.There are relatively few studies on traditional Chinese classic famous prescriptions.Measures must be taken to improve clinical trial design,implementation,and reporting.Methodological experts should be invited to provide professional technical guidance on the trial design.In the research implementation process,attention should be paid to quality control,particularly the standardization of the randomized execution.

Manifestation of Traditional Cultures in Classical Chinese and Korean Gardens

Classical garden as a kind of comprehensive art embodies a nation's culture and spirit, and culture has a direct impact on the style of classical gardens in the same period. Traditional Chinese and Korean gardens have intimate connection with each other and have their own unique systems. Also it is no exception in culture, that is, similar traditional cultures have different manifestations in their respective classical gardens. This study analyzes different manifestations of yin and yang and Five Elements Theory, thought of immortals and Confucianism in classical gardens of China and Korea.

Classic mechanisms and experimental models for the anti-inflammatory effect of traditional Chinese medicine

Inflammation is a common disease involved in the pathogenesis,complications,and sequelae of a large number of related diseases,and therefore considerable research has been directed toward developing anti-inflammatory drugs for the prevention and treatment of these diseases.Traditional Chinese medicine(TCM)has been used to treat inflammatory and related diseases since ancient times.According to the re-view of abundant modern scientific researches,it is suggested that TCM exhibit anti-inflammatory effects at different levels,and via multiple pathways with various targets,and recently a series of in vitro and in vivo anti-inflammatory models have been developed for anti-inflammation research in TCM.Currently,the reported classic mechanisms of TCM and experimental models of its anti-inflammatory effects pro-vide reference points and guidance for further research and development of TCM.Importantly,the research clearly confirms that TCM is now and will continue to be an effective form of treatment for many types of inflammation and inflammation-related diseases.

Reception of Translated Classics of Traditional Chinese Medicine in the Spanish-speaking World:A Survey of Seven Spanish Versions of Huangdi Neijing(The Yellow Emperor’s Inner Classic)

Previous studies on translations of Huangdi Neijing(The Yellow Emperor’s Inner Classic)have focused on English versions;little attention has been given to non-English translations.The present study is the first investigation of the reception of the seven Spanish versions of Huangdi Neijing in terms of three parameters:collection records in libraries worldwide;book reviews and citation counts in international journals;and customer reviews on Amazon.The results revealed four features of Spanish translations and communication of Huangdi Neijing in terms of reception of academia,reception of general readers,the center of translation and communication,and the role of Chinese scholars.These factors demonstrate the marginal status of Spanish translations of traditional Chinese medicine(TCM)classics.The implications are summarized in hopes of promoting the translation and communication of TCM classics in the Spanish-speaking world and to provide insights into the communication of TCM culture in the non-English-speaking world.

Clinical application of traditional herbal medicine in five countries and regions: Japan;South Korea;China's Mainland;Hong Kong, China;Taiwan, China

Objective:To study the characteristics of the clinical application of traditional herbal medicine in five countries and regions where traditional medicine(TM)is widely used:Japan;South Korea;China's Mainland;Hong Kong,China;Taiwan,China.And to analyze,from multiple angles,the variations in the methods of TM used in each countries and regions.Methods:Fifty commonly used traditional herbs(TOP50)from classical formulae were selected,and descriptive statistics,correlation analyses,and Friedman test were used to compare methods of clinical application and dosages in the countries and regions of interest based on a retrospective review of randomly-selected medical records.Results:There were significant differences in sequencing TOP50 among the five countries and regions(P<.01).The adherence to the classical formulae,from strong to weak was Japan;China's Mainland;Taiwan,China;Hong Kong,China;South Korea.There were also significant differences in TOP50 dosing regimens(P<.01).Overall dosages of TOP50 from high to low were:China's Mainland;Hong Kong,China;Taiwan,China;South Korea;Japan.Finally,there were significant differences in the dosage intervals(P<.01),with dosage intervals from maximum to minimum as follows:China's Mainland;Taiwan,China;Hong Kong,China;South Korea;Japan.Conclusions:The clinical dosages of traditional herbal medicine used in the China's Mainland are relatively large compared with those prescribed in the other four countries and regions,and the range of dosages in China's Mainland is more flexible.On the other hand,clinical dosages of TOP50 are the lowest in Japan,where the dosage range is also the narrowest,supporting the idea that Doctors of Kampo medicine are highly cautious and are likely to adhere strictly to classical formulae,while Hong Kong,China and Taiwan,China are in the middle.The dosage of TOP50 in South Korea is significantly lower than that used in the China's Mainland;Hong Kong,China and Taiwan,China where the adherence to the classical formulae was the lowest,albeit slightly higher than that in Japan.The methods of clinical application of traditional herbal medicine in the five countries and regions were affected by multiple factors,including history,geography,climate,and culture.

Transmission Routes of Chinese Classical Culture in Cross-Cultural Communication

Chinese classical culture is an organic system shared by Chinese nation for 5000 years,taking Confu-cianism as the base and including various other ideological and cultural contents.This article introduces the transmission of Chinese classical culture from Confucian classics translation,promotion of Chinese cultural spirit,writing academic dissertations on the subject of China,translation of Chinese classical literature,introduction of Chinese painting and cal-ligraphy,and ilustration of Chinese local religions.

Historical Legacy of Traditional Chinese Medicine Education in Canada:The Case of Henry C.Lu

This article begins with a review of the publications by Dr.Henry C.Lu,a Canadian-Chinese traditional Chinese medicine(TCM)scholar,educator and writer,and founder of a Vancouver-based TCM college.Dr.Lu has translated many TCM classics and written books extensively on TCM education,TCM clinical practice and Mandarin-Chinese grammar.Aside from his widespread prominence as one of the representative English translators of Huangdi Neijing(The Yellow Emperor’s Inner Classic),Dr.Lu is also noted for his pioneering role in the promotion of TCM education in British Columbia,where he lived and worked for more than half of his life.By making references to and drawing lessons from Dr.Lu’s four-decade-long efforts to help TCM gain legal status and to promote wider application of TCM in Canada,this article also puts forth suggestions for overseas TCM education and international TCM standards for building a global community with a shared future.

Music Heritage of Uzbekistan： Preservation of the National Traditions and Their Development

The article touches on Uzbekistan musical heritage, its rich traditions and ancient history. Archeological excavations, written sources, musical instruments and oral traditions are reflected in musical samples passed from generation to generation. People＇s folklore creativity and classical music heritage are connected with the social life of the people, genres, instruments. Uzbek maqom is a bright example and advanced genre of the classical music. The creativity of composers are examples of using maqom＇s pieces.

Painting into Gardens:The Influence of Chinese Traditional Painting on Garden Making

Since the Wei,Jin,Northern and Southern Dynasties(220-589),the purpose of the construction of the garden had gradually transformed from the land of crops production to the site of aestheti c pleasure.The painting theory and practice based on nature have had an important influence on garden bui lding activities.The article analyses their relationship in four aspects:the artistic design of nature themed spa ce,the application of plants in composing landscape,the symbiosis of the Shan and the Shui,and the intera ction between mountains and rivers in the overall space.

Research progress in the treatment of colorectal cancer in classical prescriptions

Shanghan Zabing Lun,an acient book of Chinese medicine that published in Han dynasty(219 C.E.),is the first monograph in China that has the principles of prescription and treatment.Modern physicians flexibly applied many classical prescriptions recorded on this acientd book,such as Banxia Xiexin decoction,Da Chengqi decoction,Yiyi Fuzi Bijiang decoction and Wumei pill for the treatment of colorectal cancer and its complications,and made some progress in clinical and experimental research.Studies have shown that classical prescriptions alone or in combination with other therapies can improve immunity,prevent cancer from recurrence and metastasis,reduce the side effects of anticancer drugs,improve quality of life,and prolong the survival of cancer patients.However,the current clinical and mechanistic studies on the treatment of classical prescriptions still need to explore in depth.This study aims to summarize the clinical and research progress in the treatment of colorectal cancer with classical prescriptions in recent years.

Research and Analysis on the Origin of the Term“Xinche”in Traditional Chinese Medicine and Its Translation

Translating the terminology of traditional Chinese medicine(Thereafter referred to as TCM)is the core of translating TCM culture.By analyzing the connotation and denotation of the word“Xinche”(心掣)in Huangdi Neijing(Yellow Emperor’s Canon of Medicine),the earliest existing TCM classic,and by comparing different English translations of the term“Xinche,”we hope to provide certain reference for the standardization of TCM terminology and to share some ideas for the translation of TCM classics.

On the Inconsistency of Classical Propositional Calculus

The classical propositional calculus(often called also as“zero-order logic”),is the most fundamental two-valued logical system.It is necessary to construct the classical calculus of quantifiers(often called also as“classical calculus of predicates”or“first-order logic”),which is necessary to construct the classical functional calculus.This last one is being used for formalization of the Arithmetic System.At the beginning of this paper,we introduce a notation and we repeat certain well-known notions(among others,the notions of operation of consequence,a system,consistency in the traditional sense,consistency in the absolute sense)and certain well-known theorems.Next,we establish that classical propositional calculus is an inconsistent theory.

中医经典与临床病例结合的教学方式在中医肿瘤科临床教学实践中的应用效果

目的探讨中医经典与临床病例结合的教学方式在中医肿瘤科临床教学实践中的应用效果。方法选择2021年5月至2022年3月每个周期来上海中医药大学附属普陀医院中医肿瘤科学习的108名医师为研究对象,根据教学方法的不同将其分为常规教学组和经典教学组,各54名。以肿瘤常见病症为课程试验对象,常规教学组应用常规内科学教学方式,经典教学组应用中医经典与临床病例结合的教学方式。比较两组的教学效果。结果经典教学组学生的学习主动性、临床思维能力、自主学习能力、小组合作学习能力及探究学习能力评分均高于常规教学组(P<0.05)。经典教学组学生对病症认识、中西医关联理解、方药认识、经典医籍认识、经典医籍兴趣、论文写作启发的熟悉度高于常规教学组(P<0.05);经典教学组教师对教学方法的熟悉度高于常规教学组(P<0.05)。结论中医经典与临床病例结合的教学方式在中医肿瘤科临床教学实践中的应用效果良好。

中医经典实践技能实训教学模式探索

中医经典著作是中医学思想精华的集中呈现和整体学术发展的基石。在教学实践中针对首都医科大学中医学专业本科生经典教学过程中存在的问题,开设了中医经典实践技能实训创新课程,通过构建虚拟仿真平台、运用PBL教学、模拟标准患者诊疗等,线上线下多种教学方法并举开展教学,旨在培养学生中医思维,提高学生临床辨证综合能力、拓展临床思路。

面向技艺传承的传统建筑古籍的知识组织——以《营造法式》大木作制度为例

传统建筑古籍是古代建造技术的重要载体,对其技艺与经验进行语义关联和组织对古建筑建造技术的传承与利用具有重要意义。文章以经典建筑古籍《营造法式》卷四、卷五所述“大木作制度”工种的文字信息为原始语料,以大木作营造技艺为对象,在《古建筑类文物元数据规范》的基础上,进行“宋式大木作营造技艺”本体的构建、复用与实例扩展,利用知识图谱对本体进行存储展示;应用知识图谱绘制构件组合“铺作”的3D模型,设计原型系统展示图谱数据,验证所建本体的应用价值。

基于培养学生中医思维目标的经典课程教学方法探讨

中医思维体现和影响着中医人的素质和修养,是成就高水平中医师的一个不可或缺的重要因素。在“健康中国”国家战略方针的指导之下,随着“新医科”的建设与实施,中医思维成为新时代中医学人才必备的关键能力。因此,如何培养和构建中医学生的中医思维能力成为中医药高等教育质量内涵建设的重要课题之一。基于此,文章将从渗透传统文化、“点破”思维方法、重视思维训练三个方面略谈在经典课程教学中的一些粗浅体会,以供同道参考。

数字时代传统文化经典再IP化的趋势特征与多元动力

传统文化经典在数字时代的传承与创新,呈现出再IP化的趋势。传统文化经典再IP化,是传统经典依托数字技术的再创造,它以知识产权为核心支撑,并且在介质、感知、功能和运营等维度呈现出跨界融合的趋势特性。传统文化经典再IP化受到多重力量的共同驱动,具体体现为宏观层面的文化安全、文化本体层面的传承需求、科技创新层面的“双向赋能”,以及受众群体层面的代际转换等。但是,传统文化经典再IP化不是简单地将经典的场景予以数字化呈现,而具有一套以观念旨向、业态创新和场景饱和为要素构成的“三位一体”结构体系。

单中心腹膜透析胃肠功能紊乱中医一体化治疗

腹膜透析(peritoneal dialysis,PD)是肾脏替代治疗方式之一,胃肠功能紊乱是PD常见并发症,与患者生活质量(quality of life,QOL)和健康状况恶化独立相关^([1])。总结天津中医药大学第一附属医院腹膜透析中心宗《黄帝内经》分析认识PD胃肠功能紊乱病因病机,形成以经方方剂为主并针灸、结肠透析术、护理及并发症处理的中医一体化临床治疗经验,为建立规范同质、疗效确切、可操作性强的PD胃肠功能紊乱中医药一体化治疗体系提供思路。

在综合医院中医规培中加强中医经典教学的探索

中医住院医师规范化培训(以下简称“规培”)是中国住院知师培训的重要组成部分,同时也是医教协同深化中医学人才培养改革的关键环节,更是加强中医临床人才队伍建设的有效途径和加快构建具有中国特色医学人才培养体系的重要举措。中医经典理论是中医学术的灵魂,是数千年来中医实践的经验结晶,是培养中医临床思维,提升中医临床技能的重要途径。此文分析综合医院中医规培教学中经典教学的不足,提出相应对策,探讨加强中医规培经典教学、培养学员中医临床思维的方法。

馆藏优秀传统文化资源再生性保护与价值释放——基于中医药古籍的调查分析

通过调查统计河南省各类图书馆、文博单位等中医药古籍资源存藏、保护、整理和利用情况,分析河南省中医药古籍资源馆藏开发整理存在的问题,提出“加强中医药古籍保护与利用工作的领导与统筹”“深入挖掘整理河南省中医药古籍资源”“确定重点保护对象,推进中医药古籍多层级保护”“加大中医药古籍保护领域复合型人才培养力度”“加强中医药古籍艺术与文化价值的发掘与传播”等推动河南省中医药发展的举措。