Treatment based on syndrome differentiation, as a core of diagnostic and treatment methods in traditional Chinese medicine, now appears to be limited by some of its shortages during the high-speed development of medicine, such as no symptoms for differentiation in some patients, lack of objective standardization and pertinence, and limitations of the four diagnostic methods, etc. Combination of syndrome differentiation and disease differentiation can not only make up the shortages of syndrome differentiation but also expand the scope of diseases treated with traditional Chinese medicine and promote the modernization of traditional Chinese medicine. The author discusses the limitations of treatment based on syndrome differentiation as well as the advantages of combining syndrome differentiation with disease differentiation. It is also stated that this combination can make the system of syndrome differentiation perfect.

Nine cases of urinary tract infection with different clinical symptoms were treated with basically the same or different Chinese herbal drugs, and the effects were identified according to the improvement of their symptoms and urinary tests. The problems existing in clinical practice of traditional Chinese medicine were considered and discussed by analyzing and comparing the similarities and differences of syndrome differentiation treatment of the 9 cases.

‘Seven principle’ of treating gastralgia summarized from clinical practice are ‘huan’ (relieving spasm and pain), ‘bu’(icluding: invigorating qi, invigorating yang, invigorating ying), ‘wen’(warming middle jiao for dispellng cold), ‘qing’ (clearing and releasing stagnant heat of liver and gastric), ‘li’(soothing liver and regulating qi), ‘xiao’ (icluding: promoting digestion and regulating stomach,relieving dyspepsia), ‘hua’ (icluding: activating blood and absorb clots). ‘Seven principle’ basically include the common approach to treating gastralgia. ‘Relieving spasm and pain’can be commonly used as a basic therapeutic method for gastralgia. ‘Wen’ is one of the important principles of treating gastralgia, treating sthenia syndrome by warming middle jiao for dispelling cold, treating deficient syndrome by ‘wen’and ‘bu’. ‘Huan’and‘wen’can be used to treat over half of gastralgia. The clinic appication of‘Qing’, ‘li’, ‘xiao’ and ‘hua’should base on specifi c cases. For common complex pathogenesis and syndromes, ‘seven principle’ can be ? exibly combined to decide the prescription’s ‘jun, chen, zuo, shi’. "Seven principle" of composing prescriptions offers a new approach to syndrome differentiation and treatment of gastralgia.

Objective To study the correlation of dominance eye and dominance hand in juvenile myopia.Methods Three hundred and twenty-seven clinical myopia eases were collected and tested the dominance eye by the simplified hole-in-the-bend method.The dominance hand was determined by medical history of every ease.The correlation between the dominance eye and the dominance hand was analyzed with the Pearson test of SPSS 15.0 software.Results The rate of right dominance eye was 64.5% in all 327 eases,and the left was 33.5%.Three hundred and nineteen in 327 eases were right dominance hand,and the other 8 cases were left dominance hand.There were 211 eases with both dominance eye and dominance hand at right side.The index of Pearson correlation between dominance eye and dominance hand was 0.214,P＜0.05.Conclusions Both dominance eye and dominance hand are at the same side in most cases.The correlation of dominance eye and dominance hand in juvenile myopia is significant.

OBJECTIVE: To investigate the clinical features of primary biliary cirrhosis (PBC) and its treatment by integrated traditional Chinese and western medicine. METHODS: 16 PBC patients were observed. Ursodeoxycholic acid (UDCA) was used in the dose of 13 to 15 mg.kg(-1).d(-1), with some traditional Chinese herb prescription. Results (1) The proportion of women to men was 15:1, the mean age was 52.5 years. AMA-M2 was positive in 14 subjects (87.5%). Biliary tract enzymes and ESR were elevated in all subjects. The ratio of hypercholesterolemia (CHOL) and abnormality in IgM was high (62.5%). Fatigue, pruritus, arthralgia, jaundice, splenomegaly were noted in more than half cases. Every patient had one to four complications. (2) ALP, GGT and Glb declined evidently after 3 months' treatment by western medicine associated with traditional Chinese medicine, and declined markedly after 12 months' treatment (P<0.05 respectively). TBIL and CHOL declined gradually during the treatment course. Symptoms and signs were lightened. CONCLUSION: PBC has complicated and especial clinical features. UDCA therapy is effective in PBC, while traditional Chinese medicine has extraordinary effect in treating the symptoms and signs.

Medicine, Chinese Traditional ; Terminology as Topic ; Translations

Objective:To evaluate the clinical value of MR cholangiopancreatography(MRCP) as the only imaging procedure in diagnosing biliary complications after orthotopic liver transplantation(OLT).Methods: The MRCP results were analyzed in 54 consecutive patients presented with clinical or biochemical signs of biliary complications after receiving OLT,and were compared with the findings eventually confirmed by surgery,direct cholangiography,and clinical follow-up.Two different MRCP snapshot techniques were applied: thick-slab T_(2)-weighted sequences and multi-section thin-slab T_(2)-weighted sequences.Results: Surgery,direct cholangiography,and clinical follow-up confirmed that 36 patients had biliary complications.MRCP had a sensitivity of 100%(36/36) in diagnosing biliary complications after OLT,with a positive predictive value of 91.7%(33/36),a false-positive rate of 5.56%(2/36),and an overall diagnostic accuracy of 94.4%(51/54).MRCP as the only imaging procedure achieved a specific diagnosis in 96.3%(52/54) of the patients in the present study.Only 2 patients required additional endoscopic retrograde cholangiopancreatography and percutaneous transhepatic cholecystostomy.Direct cholangiography was required only as a therapeutic procedure in 25.9%(14/54) of the patients.Conclusion: MRCP is an effective imaging procedure in the assessment of biliary complications after OLT.Direct cholangiography is not needed for diagnosis but should be reserved as a therapeutic procedure.

High intensity focused ultrasound(HIFU) technique for hyperthermia has been used widely due to its minimal invasion, high precision, less side-effects and low complication. It has been used in the treatment for prostate cancer, liver cancer, primary malignant osteosarcoma and breast cancer, et al. This paper mainly introduces the clinical application and development of HIFU.

Objective: To make an impersonal evaluation on the effect of TCM on main biochemical indexes of non-alcoholic fatty liver disease (NAFLD),including ALT,AST,GGT,TC,TG,and HDL-C.Methods: We searched all the randomized controlled trials (RCTs) of TCM for NAFLD from CBM, CNKI,and VIP (1999-2008).RevMan4.2 was used in the analysis. Results: 11 RCTs,including 1078 patients,met the inclusion criteria.All of the trials were not adequate in methodological quality. None of them was double-blinded trial.The result of analysis showed that compared with basic Western medicine,TCM could increase the content of HDL-C,reduce the content of ALT,AST,GGT,TC and TG.Conclusion: The present meta-analysis suggested that TCM was beneficial over Western medicine for NAFLD which indexes including ALT,AST,GGT,TC,TG,and HDL-C.But we can not make a final conclusion due to low quality of RCT.

Syndrome of Inappropriate Antidiuretic Hormone Secretion (SIADH) was a common complica-tion of small cell lung cancer (SCLC). Recent studies have suggested that the origin of this disease is related to seceration of tumor cells and application of medecine. The inappropriate antidiuretic hormone secretion can lead to disturbance of metabolism of water and sodium, resulting in hyponatremia. Because the symp-toms are atypical, the diagnosis is difficult. Many cases are misdiagnosed or misseddiagnosed. The primary tumor must be treated and the restriction of water intake is the main and effective method to deal with SIADH. Prognosis of SCLC patients with SIADH is poor in most reports.