探讨提壶揭盖法治疗便秘的理论基础

提壶揭盖法是中医学在发展过程中,基于中医基础理论,根据生活现象总结出来的一种治疗方法,其在下焦闭塞性疾病中应用较广。便秘是临床上的常见病,也是难治病,而对于肺失宣降之便秘,该法具有较好的临床疗效。提壶揭盖法治疗便秘的理论基础在于肺主治节,主一身之气,全身气机升降协调,则肠中糟粕自下;肺与大肠互为表里,肺气宣降正常,则肠腑自通;且上焦与下焦相辅相成,启上焦之塞,则下焦自开。通过探讨提壶揭盖法治疗便秘的理论基础,可为临床上便秘的治疗开拓新思路。

从《外科正宗》浅析陈实功对痔疮的诊治

陈实功（1555-1636）,字毓仁,号若虚。明代著名外科学家,乃中医外科＂正宗派＂的创始人,少年时拜当地著名医家李沦溟为师,学习刀圭之术,致力于医学四十余年,尤以外科驰名,编著有《外科正宗》一书。清代著名医家徐大椿对该书评价极高,称其＂列症最详,论治最精＂。陈实功在该书（卷之三）＂痔疮论第三十＂中详细地论述了痔疮的病因病机、治法、内治方药以及颇具特色的外治法。其篇幅虽不多,

益肝止痉针法为主治疗脑卒中后神经功能缺损临床观察

目的观察益肝止痉针法与传统针法治疗脑卒中后神经功能缺损的疗效差异。方法按照随机原则,将入选患者分为试验组(90例)和对照组(90例),试验组采用益肝止痉针法,对照组采用传统取穴针法,两组均使用关节松动术(Bobath和Rood)循序渐进进行肢体功能锻炼。观察两组患者治疗前后肢体神经功能缺损变化。结果临床神经功能评定中,试验组总有效率为82.7%,对照组总有效率为55.1%,两组比较差异有统计学意义(P<0.05),试验组总有效率优于对照组。结论益肝止痉针法为主治疗脑卒中后神经功能缺损总有效率优于传统取穴针法。

输液性静脉炎的临证施护法(敷疗)效果评价研究

目的:研究药物不良反应引起的输液静脉炎的较好护理方法。方法:用随机、对照的方法将60例因静脉输液发生静脉炎的患者随机分为试验组30例和对照组30例,试验组采用冰敷合并香连金黄散外敷综合疗法,对照组单纯香连金黄散外敷。结果:试验组治疗静脉炎优于对照组,P<0.05。结论:中医临证施护法—冰敷合并香连金黄散外敷治疗静脉炎有独特效果。

Conducting a Correlation Model Between TCM Constitution and Physical Examination Index Based on BPNN Algorithm

This paper studies the correlation between Traditional Chinese Medicine(TCM)Constitution discrimination and physical examination index based on BPNN algorithm.253cases of routine urine test were used to build a linkage model between TCM Constitution and physical indicators via BPNN algorithm.According to the test,the correct rate of learning and test group are60%and40%,respectively.A strong correlation was found between TCM Constitution and physical examination indexes.By applying cutting-edge knowledge and technologies,the development and modernization process of TCM can be greatly promoted.

初次双动全髋关节置换术治疗老年股骨颈骨折早期临床疗效观察

目的探讨采用双动全髋关节假体行初次全髋关节置换术治疗老年股骨颈骨折的早期临床疗效。方法我院行初次全髋关节置换患者45例,分为双动全髋关节置换组23例和普通全髋关节置换组22例。比较两组术中出血量、手术时间、术前及术后Harris髋关节评分及髋关节活动范围。结果两组均临床随访,手术切口均一期愈合,双动全髋关节置换组出血量、手术时间少于普通全髋关节置换组;术后Harris评分、屈伸活动度、内外展活动度、内外旋活动度均高于普通全髋关节置换组(P<0.05)。普通全髋关节置换组中有1例术后2月出现了髋关节假体脱位;其余患者均未出现并发症。结论双动全髋关节假体初始稳定性良好,术后髋关节活动范围大,假体脱位率很低,早期临床疗效显著,明显优于普通全髋关节置换。

Research on the Correlation Between Physical Examination Indexes and TCM Constitutions Using the RBF Neural Network

Objective To establish correlation models between various physical examination indexes and traditional Chinese medicine(TCM)constitutions,and explore their relationships based on the radial basis function(RBF)neural network.Methods The raw data of physical examination indexes and TMC constitutions of 650 subjects who underwent a physical examination were cleaned,classified and sorted,on the basis of which valid data were retrieved and categorized into a training dataset and a test dataset.Subsequently,the RBF neural network was applied to the valid samples in the training set to establish correlation models between various physical examination indexes and TCM constitutions.The accuracy and the error margin of the correlation model were then verified using the valid samples in the test set.Results Of all selected samples,the highest accuracy rates were 80% for the blood lipid index-TCM constitution model;100% for the renal function index-TCM constitution model;100% for the blood routine(male)index-TCM constitution model;88.8% for the blood routine(female)index-TCM constitution model;84.1%for the urine routine index-TCM constitution model;and 100% for the blood transfusion index-TCM constitution model.Conclusions The samples selected in this study suggested that there is a strong correlation between physical examination indexes and TCM constitutions,making it feasible to apply the established correlation models to TCM constitution identification.

Constitution Identification System for Traditional Chinese Medicine (TCM) Based on Correlation Between TCM Constitution and Physical Examination Indices

Objective Identification of one’s constitution based on a combination of features and back propagation neural network theory is needed in modern medicine and traditional Chinese medicine(TCM).We describe a method to identify one’s constitution based on TCM constitution classification and a physical index model.Methods We created a constitution identification system based on neural network using Visio Studio development tool.We report the initial implementation of the system,the accuracy of which was verified using actual data.Results We found a relatively strong correlation between TCM constitution and physical indicators.Conclusion Finally,our report describes a possible application of the proposed system.

浅析梦交致胎漏、胎动不安中医证治

自古以来关于梦交引起胎漏、胎动不安的病例并不少,而其相关医籍记载颇少,西医对于性梦及其所致自然流产治疗手段较少,收效欠佳,而中医对于该病的认识自两千多年前就已有所提及,至张仲景总结出用桂枝龙骨牡蛎汤论治心肾不交之梦交,及后世医家多方临证总结,对于梦交及其引起的胎漏、胎动不安辨证论治,综合治疗,疗效可靠,具有一定的优势与特色,故此浅析。

以党建带工建加强突发事件防范与应对

随着社会转型期的到来,各种传统的和非传统的,自然的和社会的突发事件逐渐呈现出多发趋势,例如2003年"非典",2008年汶川大地震,2020年全球新冠肺炎爆发等。面对多形式、多领域的突发事件,工会应当结合工作实际,紧扣党建、思想政治工作重点任务。同时,信息网络技术的不断更新,使得各种信息沟通的渠道与方式发生了巨大的变化。

Acupoint selection rules in acupuncture therapy for postoperative urinary retention after hemorrhoidectomy based on data mining technology

Objective:To explore the core acupoints and combination rules of acupuncture therapy for postoperative urinary retention after hemorrhoidectomy,and,further to analyze the characteristics of the prescription of acupuncture therapy for postoperative urinary retention after hemorrhoidectomy.Methods:Relevant clinical studies in seven databases were searched systematically from database inception to 1 st October 2020.Based on data mining techniques,the core acupoints,characteristics and combination rules of acupuncture therapy for postoperative urinary retention after hemorrhoidectomy were analyzed comprehensively.Statistics collected and analysis of acupoint selection included the frequency of usage of acupoints,the meridian of acupoints,the location of acupoints and the combination of acupoints.Cluster and association analysis were performed utilizing Excel 13.0 and SPSS 26.0.Results:In the 36 studies included,the most frequently adopted acupoint was Sānyīnjiāo(三阴交 SP6);the most frequently adopted meridian was the foot-taiyin spleen meridian;the most frequently involved location was the lower limbs;and the most frequently adopted combination of acupoints was SP6 and Zhōngjí(中极CV 3).Cluster analysis showed that the acupoints could be divided into three categories:the first group comprised SP6 alone;the second group included CV3,Guānyuán(关元CV4),Yīnlíngquán(阴陵泉SP9) and Zúsānlǐ(足三里ST36);and the third group included Pángguāngshū(膀胱俞BL28),Chéngshān(承山BL57),Tàichōng(太冲LR3),Zhìbiān(秩边 BL54),Tàixī(太溪KI6),Hégǔ(合谷 LI4),Xuèhǎi(血海SP10),Qìhǎi(气海CV6) and Shǔidào(水道ST28).Conclusion:It was found that acupuncture therapy for postoperative urinary retention after hemorrhoidectomy mainly follows the four characteristic rules:the selection of acupoints following the meridian,selection of acupoints at local points,selection of acupoints at distal points and selection of acupoints according to special symptoms.