Objective:To approach the potential rules ofsyndrome differentiation and medication for diabetes by ancient medical scholars.Methods:By DBMS(Data Base Management System) ofPuji Fang, the information about diabetes and its correlated disease was collected, such as kinds ofthe drugs, application times ofdrugs and the number ofprescription.The qualitative analysis and quantitive analysis were used to ascertain the optimal and common used drugs and pairs ofdrugs for diabetes, and to deduce the potential indication ofdiabetes in ancient times.Results:The most optimal drugs used for diabetes in ancient times were DwarfLilyturfTuber, trichosanthis, Ginseng and Indian Bread.The common used pairs ofdrugs were DwarfLilyturfTuber and trichosanthis, DwarfLilyturfTuber and Ginseng, trichosanthis and Golden Thread, Ginseng and Indian Bread.So we can deduce that the potential indications ofdiabetes were impairment ofbody fluid by dry and heat, and deficiency ofboth qi and yin.Conclusion:By integrated logic analysis and statistical analysis, we can reveal the ancient treatment rule ofthe disease and it provided reference for clinic today.

There was severe logical contradiction among the basic concepts in Chinese medicine such as syndrome, symptoms and signs, etiopathogenisis and pathogenesis .In this paper, from the comparative reseaech of the different versions of Basic Theory of Traditional Chinese Medicine (TCM) used in higher colleges and universities of TCM in recent 50 years,higher Colleges of Chinese medicine materials, it cleared up the evolution of the basic connotation of syndrome, symptoms and signs, pathogens and pathogenesis, and revealed fundamental reason for the occurance of logical contradiction.

Pathogenesis theory occupies an important position in TCM theoretical system. Suwen is the pioneer. Enriched by later generations,the traditional pathogenesis has been a significant change. It causes understandable bias to their initial implications and affects modern research. In this paper,based on Suwen's academic background,it discusses the composition,completeness and the basis to confirm Pathogenesis 19,offering some new ideas.

The standard ofClassificationandDetermination of Physical Constitutions in Traditional Chinese Medicine (TCM), which was issued by the China Association of TCM in 2009, has been promoted and implemented. However, we found that the criteria were inconsistent with the principles and methods of constitution classification in TCM after serious research. The features for physical constitution classification were repetitive and redundant without clear boundaries among them. Furthermore, there were poor correlations among different factors within a single physical constitution. Accordingly, it was suggested that the theory of physical constitutions in TCM should not be confused with and treated as the science of it. Because the standard ofClassiifcationandDetermination of Physical Constitutions in TCM is not mature enough, we should be cautious when applying it.

Objective:To study potential function of relieving-pain,calming and stopping bleeding function of astragali.Methods:To observe the effect of the water decoction of high,middle and low doses astragali on physical pain(hot plate method) and chemical-induced pain(writhing method)in mice reaction;the effect on the sleep durance of mouse which was applied under valve dosage of sodium pentobarbital and impact of blood coagulation in rats.It was compared with the blank control group,as well as the positive control group.Results:Astragali decoction can increase the pain threshold in mice,reduce the number of writhing in mice,enhance the volume of the role of sleep in mice on the threshold of sodium pentobarbital hypnosis,and extend the role of sodium pentobarbital hypnosis time.At the same time can shorten the prothrombin time and partial thromboplastin time,and increase fibrinogen.Conclusion:Astragali had definite relieving-pain,calming and stopping bleeding function.This result was consistent with the analysis conclusions through ancient prescriptions database with astragali.

To investigate the relationship between diabetes and its names in ancient times by analytical method of medical theory,comparison of medication rules and statistical analysis method.And then foundation will be established for exploring the ancient treatment rules of diabetes.The comparison and mutual reference of the above three methods can reveal disease essence and their mutual relationship in the different levels,which had an important technology signifi cance.

Objective To probe into the best measuring method about observation of efficacy for the infected people by Hp.Methods 4 patients infected by Hp took orally priplicatial drugs,we had their feces measured with HPSA reagent in the fist,the second,the third,the fourth,the fifth,the sixth,the seventh,the thirtieth,the sixtieth,the nin-etieth day and one year,and observed the efficacy.Results The HPSA results of 4 patients were positive in the first and the second days,1 patient had a positive result in the third day,while others were neg-ative,4 patients' resuts were negative from the fourth day to the seventh day,1 patient's result was positive in the thirtieth day,others were negative.4 patients' results were negative in the sixtieth,the ninetieth day and one year.Conclusions Through theraping,4 patients had been cured.Fecal HPSA's measure with ELA method was the best method about monitoring the efficacy after treatment.

Objective To investigate the effect of local application of triamcinolone acetonide in promoting wound healing and recurrence after granulomatous lobular mastitis (GLM) operation. Methods The clinical data of 55 GLM patients with the diameter > 5 cm were retrospectively analyzed, and all patients treated with incision drainage to breast abscess and removal of inflammatory lesions. Thirty - one patients were treated with routine dressing change after operation (control group), and 24 patients were treated with routine dressing change and triamcinolone acetonide injection after operation (experiment group). The wound dressing time, recovery rate and recurrence rate were compared between 2 groups, and hormone related adverse reaction of experiment group was observed. Results The wound dressing time in experiment group was significantly shorter than that in control group:(58 ± 19) d vs. (71 ±25) d, and there was statistical difference (P<0.05). There were no statistical differences in the recovery rate and recurrence rate between experiment group and control group:91.7%(22/24) vs. 83.9%(26/31) and 9.1%(2/22) vs. 15.4% (4/26), P>0.05. The patients of experiment group did not have the hormone related adverse reaction. Conclusions The local application of triamcinolone acetonide after GLM operation can accelerate the wound healing, and it may also contribute to higher recovery rate and lower recurrence rate.

Objective To explore the effect of loading density of different rigid containers on wet package of orthopedic instruments in the department of orthopedics and to provide the basis for right loading of rigid container so as to ensure the success of the sterilization. Methods About 120 cases of orthopedic exotic instruments for knee surgery were selected from our hospital, according to size and weight of the knee surgery instrument and then evenly divided into Groups A, B, C, 40 pieces in each group. Each group for loading had the same length and width. In Group A, the loading was at 1/2 of the container height, in Group B, the loading was at 2/3 of the container height and in Group C the loading was 4/5 of the container height. The 3 groups were given high pressure steam sterilization, the sterilization temperature, sterilization time and drying time were the same, while biological and chemical monitoring was done. After sterilization, the three groups were compared in terms of the biological and chemical monitoring results as well as the incidence of wet pack. Results There were no significant differences between the 3 groups in the qualification rate of indicator cards and the biological monitoring after sterilization in the 5 kinds of packages among the 3 groups of rigid containers (P>0.05). The incidence of wet package in Group A was significantly lower than that of Group C (χ2=6.80, P=0.009<0.017), but no difference was found between Groups B and C ,Group B and C Group . Conclusions The loading density of different rigid containers affects the incidence of wet package of the orthopedic instruments. Our findings indicate that the loading of the instruments in a rigid container reaches the 2/3~4/5 height of the container, for it can reduce the incidence of wet package of orthopedic instruments.

Objective To explore the diagnostic value of contrast-enhanced spiral CT after low tension and drinking water in papillary carcinoma of ampulla. Methods CT manifestations of papillary carcinoma of ampulla comfirmed pathologically in 20 cases were analysed retrospectively emphasized in artery phase on contrast CT which was performed after injecting 654-2 20 mg and drinking 300~500 ml water.Results Of all the cases , only 2 cases showed tumor filling defect in the descending part of duedenum nearby pancreas on routine CT, but all the cases showed more or less tumor filling defect on contrast-enhanced spiral CT . The diameters of the tumor were between 0.8 to 2.6 cm,2 cases with head of pancreas affected,the diameters of the tumor were between 2.4 to 2.6 cm.There were 2 cases with lymph node metastasis nearby duedenum.All the cases showed expansion of gallbladder ,intrahepatic duct and choledochus expanding in the liver. Conclusion Contrast-enhanced spiral CT after low tension and drinking water is superior to routine CT in determining the size and morphosis of tumor.