This article introduced the recognitions of the ovigin and development of phlegm and fluid-retention by ancient Chinese and Japanese doctors,as well as the formation of phlegm,the idenfification,and the treatment based on syndrome differentiation.Chinese and Japanese doctors enriched the understanding of phlegm together with the therapeutic methods.

Military medical ethics is a famous theory abroad and have drawn controversy.We should enhance the study of the subject.Understanding the principle and the difficulties is the premise for the study of the theory.

Objective: To analysis the finding of never conduction velocity(NCV) in patients with ALS and investigate the clinical significance of NCV. Methods: Keypoint was applied to estimate the NCV of median,ulnar,tibial,peroneal in 106patients with ALS and 123healthy volunteers,in which sunface electrodes was used for both stimulating and recording. Results: SCV of median and MCV of median,ulnar,peroneal in patient group was a significant difference as compared with the normal subjects;A significant difference was noted in all latency except sensory fiber of median.A significant differencence of compound muscle action potential amplitude of medial,ulnar,tibial was noted in two groups. Conclusion: NCV in patients with ALS could show abnormal slowing,so the valuation for differentiation of NCV is not so good as the clinical signs and the distribution of electromyographic abnormalities.

The physical feature of gallbladder is gallbladder qi dominating ascending, which has two meanings, one is gallbladder dominates ascending of Yang qi, and the other is gallbladder has the nature of dispersing stagnated qi.Gallbladder has the physical features of gallbladder qi dominating ascending and bile dominating decending. The opposite movement of ascending and descending conforms to Yin and Yang theory in Chinese medicine.

This paper was to discuss the case analysis method for teaching basic theory of TCM. First, it is found that case analysis can help improve learning interest of students and develop their abilities of thinking and analysis. Secondly, it can play a solid foundation for students to study the following professional basic courses and help them gain the interest of other courses, and understand the continuous knowledge of TCM. Finally, it benefited teachers to develop their ability of teaching and clinical practice.

Medical insurance system is good for fair distribution and disposition, dealing with relationships between social benefits and economic benefit, as well as fair implementation on both doctors and patients' intersets, so that it benefits medical moral fairness.

BACKGROUND: Effect of metabolic disorders after kidney transplantation on prognosis, especially new-onset diabetes after transplantation (NODAT), has aroused concerns. OBJECTIVE: To investigate the risk factors for NODAT in renal transplant recipients, thus providing reference for identifying high-risk patients and taking active prevention measures. METHODS: Clinical data of 365 patients undergoing allograft renal transplantation were analyzed retrospectively. According to whether NODAT occurred or not, all the patients were assigned to NODAT (n=71) and non-NODAT (n=294) groups. The independent risk factors for NODAT were determined using univariate and non-conditional multivariate logistic regression analysis. RESULTS AND CONCLUSION: The cumulative incidence of NODAT in renal transplant recipients within year postoperatively was 19.45%. Non-conditional multivariate logistic regression analysis showed that age ≥ 45 years old, body mass index ≥ 25 kg/m2, family history of diabetes mellitus and acute rejection were associated with NODAT in renal transplant recipients. To conclude, the age, family history of diabetes mellitus, high body mass index and acute rejection can increase the incidence of NODAT in renal transplant recipients.

Objective To discuss the clinical effect and the application value of total mesentery excision to the rectal cancerous patients. Methods The clinical data of 67 rectal cancerous patients who received the radical resection which following the TME principle,and with a 2 ～3 years follow-up were analyzed. Results All the 67 patients received the radical resection,including 1 anastomotic fistula,3 anastomotic stenosis, neither local recurrence nor distant metastasis. Conclusion TME played an important role in preventing the local recurrence of rectal cancer, and it met the standards of surgical treatment of rectal cancer better.

Objective To investigate the effects of expressions of NF ?B and survivin on the anti tumor activity of TRAIL in gastric carcinoma cells. Methods Gastric carcinoma cells were cultured in RPMI 1640. The apoptotic rates of gastric carcinoma cells SGC 7901, MKN28, AGS, and MKN45 after treatment with TRAIL were analyzed by flow cytometry. The expressions of NF ?B and survivin in the 4 gastric carcinoma cells were determined by Western blotting. Results At 24 h after gastric carcinoma cells exposed to TRAIL at the dose of 300 ng/mL, the apoptosis percent ages were 36 05% for MKN28, 20 27% for MKN45, 16 50% for AGS, and 11 80% for SGC 7901. Western blotting showed that expressions of NF ?B and survivin were lower in MKN28 than those in MKN45, AGS and SGC 7901. Conclusion The anti tumor sensitivity of TRAIL to gastric carcinoma cells is related to the expressions of NF ?B and survivin.

Objective: To establish an extraction of paeoniflorin from Radix Paeoniae Alba as traditional Chinese medicine. Methods: The paeoniflorin in Radix Paeoniae Alba was taken as a evaluating marker and was determined by HPLC, the effects of different solvents and extraction on extraction efficiency of the paeoniflorin were systematically investigated. And also the orthogonal test was further used to optimize the extracting conditions. Results: The reflux extraction with 80% ethanol seven times as much as the Radix Paeoniae Alba amount for 2 h and twice was more effective. Conclusion: The kinds of solvent and method of extraction have a great influence upon the extracting efficiency of paeoniflorin.