The enthusiasm for modern life care from both doctors and patients is an important prerequisite and component in creating a harmonious physician-patient relationship.The physician-patient relationship is at this stage of discord in our country,and the main reasons are as follows.Since the reform and opening up,the perfect modern life care system has not been built up in our entire society due to our errors in the value orientation in the public goods production and health care reform,in addition to the lack of related ethics construction during the reform process.To reconstruct a harmonious physician-patient relationship,we must build up a perfect modern life care system in our whole society;give full respect and understanding for all the people.To achieve that aim,we have to emphasize the ethics analysis on the current physician-patient conflicts caused by the life care deficiencies.We should improve and perfect relevant laws,regulations,health managing system and create a better social environment for humanistic care in the entire society,as an ensured prerequisite for life care to implement between doctors and patients.We should also conscientiously strengthen bioethics education.

Based on the questionnaire of 681 medical college students in Hangzhou city,this paper analyses the formation reasons for students' sex morality,and points out relevant countermeasures to guide the instruction of sex morality formation for medical college students.

Objective To observe the effect of Niaoduqing granules on chronic renal failure in patients with blood lipid and blood homocysteine.Methods Patients with chronic renal failure were divided into observation group and control group by number table method,two groups of patients were both given low salt,low fat and high quality low protein diet,controlling blood pressure and blood sugar,correcting anemia,correcting calcium and phosphorus meta-bolic disorders,correcting of acidosis,while patients with combined infection were given positive anti infection treat-ment.Observation group was treated with Niaoduqing granules on that basis.The changes of triglyceride(TG),total cholesterol( HDL-C) ,total cholesterol( CHO) ,low-density lipoprotein( LDL-C) ,and plasma homocysteine( Hcy) were observed before and after treatment in the two groups.Results After treatment,CHO,TG,HDL-C,LDL-C, Hcy in the control group were respectively (4.83 ±0.22)mmol/L,(2.21 ±0.30)mmol/L,(0.69 ±0.11)mmol/L, (4.30 ±0.32)mmol/L,(24.35 ±7.05)μmol/L,that threre was no significant changes before and after treatment.In the observation group,TG,LDL-C,Hcy were (1.38 ±0.18)mmol/L,(3.29 ±0.13)mmol/L,(14.54 ±3.56)umol/L respectively after treatment,and which were significantly lower than that before treatment ( t=1.45,2.13,4.28,all P<0.05).HDL-C (1.42 ±0.31)mmol/L,were significantly increased after treatment as compared with that before treatment (t=3.88,P<0.05).The difference of Hcy,TG,LDL-C,HDL-C and CHO after treatment was statisti-cally significantin between the two groups (t=1.34,2.08,1.10,3.88,all P<0.05).Conclusion Niaoduqing gran-ules can improve lipid metabolism disorders in patients with chronic renal failure,and can reduce the serum homocys-teine.

Vitamin B1, Vitamin B2, Vitamin C of 3 kinds of pollen from Yunnan were studied by fluorescence spectrophotometer．The sample we re Pinusthunbergii, Fagopyrum esculentum and Brassica compestris． The results s howed that the content of Vitamin B1, Vitamin B2, of pollen were rich． Th e content of Vitaimin Bl of Fagopyrum esculentum was the highest(0.39?mg/l00 g), and the Vitamin　B2, of Brassica compestris was the richest(0.70?mg/l00 ?g)． It was worth to utilize．

Objective]To summarize and promote Professor Zhou Enchao’s experience in the treatment of chronic renal failure especially the usage of herbal pairs.[Methods] Illustrate Professor’s medication experience in the treatment of chronic renal failure and summarize the herbal pairs that he commonly used by the methods of learning from his daily treatment in inpatient and outpatient department, arranging medical cases records of chronic renal failure, reading relative books and articles, recognition from the study of ancient classics, modern phamocological research and Professor’s own academic opinion etc. [Results]In Professor’s treatment of chronic renal failure, besides protecting the Zheng Qi(anti-pathogenic Qi), he emphasizes the methods of detoxification and promotion of the discharging of toxin which is in feature of the treatment by herbal pairs. In his experience, there are coincidence, supplement and prevention in the function between the pairs of herbs when using them together. The commonly used herbal pairs include the pair of Su Ye and Huang Lian with the function of resolving dampness and detoxificaion, the pair of Ban Zhilian and BaiHua She She Cao with the function of clearing away heat and detoxification, the pair of Tu Fu Ling and Liu YueXue with the function of reducing and discharging the turbid fluid and toxin, the pair of TuBie Chong and Tao Ren with the function of breaking the hard blood stasis and detoxification, the pair of Mu Li and Da Huang with the function of resolving the phlegm and activating and discharging blood stasis, the pair of Hei Da Dou and Wan Can Sha with the function of detoxifying the wind-toxin, the pair of Yin Chen and Shi Xiao San with the function of resolving damping, clearing away heat. [Conclusion] Pro. Zhou Enchao's clinical experience of chronic renal failure from toxin and using drug pairs is effective and worth promotion of application.

[Objective]To observe the clinical effect of the treatment of hormone dependent asthma by Bushen Yiqi Decoction. [Methods]84 cases of hormone dependent asthma in the Affiliated Hospital of Nanjing University of Chinese Medicine from December 2011 to December 2015 were selected. According to the random number table, 84 cases were randomly divided into two groups:control group and observation group, 42 cases in each group. Control group was in accordance with the GINA guidelines recommended fourth level of treatment. Observation group, on the basis of the control group, treated hormone dependent asthma by western medicine in combination with Bushen Yiqi Decoction. [Results] The total effective rate of observation group was 88.1%, and the total effective rate of control group was 71.43%. Two groups of comparison, the difference was statistically significant( P<0.05); IL-5, IL-4, EOS levels were decreased after treatment in the two groups(P<0.05), but the observation group decreased more significantly, compared with the control group, the difference was statistically significant(P<0.05);During treatment and after treatment, reduction rate of using hormone and antiasthmatics in control group and observation group was respectively(85.7%VS64.3%) and(78.6%VS61.9), two groups of comparison, the difference was statistically significant( P<0.05). [Conclusion]Compared with the pure oral hormone plus inhalation in the treatment of hormone dependent asthma, application of Bushen Yiqi Decoction has obvious curative effect and can reduce the dosage of hormone and side effects. It is worthy of clinical promotion.

OBJECTIVE:To observe therapeutic efficacy of ulinastatin in the treatment of acute pancreatitis. METHODS:A to-tal of 80 acute pancreatitis patients were randomly divided into control group and observation group,with 40 cases in each group. Control group was given conventional treatment as gastrointestinal decompression,analgesia and spasmolysis,anti-infective treat-ment,fluid replacement,electrolyte disturbances balance,in vivo microcirculation improvement;observation group was additional given ulinastatin 100 000 U added into 5% Glucose injection 250 ml,ivgtt,bid,on the basis of control group,and then given medicine qd after improving symptoms;finally,stopped taking medicine immediately the symptom disappeared. Both groups was given 8d of treatment. Serum levels of IL-6 and TNF-α were observed in 2 groups before and after treatment,and clinical symp-tom,the time of sign and lab index improvement were also observed. Clinical efficacy was evaluated. RESULTS:After treatment, serum levels of IL-6 and TNF-α in observation group was significantly lower than in control group;the time of clinical symptom and sign,lab indicator improvement were significantly shorter than in control group,with statistical significance(P<0.01). The ef-fective rate (95.00%) of observation group was significantly higher than that (70.00%) of control group,with statistical signifi-cance(P<0.05). CONCLUSIONS:Ulinastatin can significantly reduce acute pancreatitis significantly,improve clinical symptom, promote disease recovery and clinical efficacy.

The flipped classroom teaching model plays an important role in promoting the teaching work and improving the teaching level. Its design, implementation steps, results assessment and existed problems were thus analyzed with suggestions proposed for its further improvement in this paper.

analysis on 103 cases of spontaneous pneumothorax patients between September, 2012 and December,2014. Then the patients were randomly divided into two groups according to the different therapies on pulmonary bulla, 52 in GIA surgical stapler group and 51 in ligature group. Comparison: The postoperative situations of the two groups.Results: The operation time and intraoperative bleeding volume of observation group are obvious less than control group(t=7.58,t=16.87;P<0.01), but oxygen saturation of observation group is obvious higher than control group(t=1.34,P<0.01). The operation fee of observation group is obvious higher than control group(t=38.26, P<0.01).2 cases of postoperative recurrence in observation group(3.84%), but 10 cases in control group(19.60%).The two recurrence rates have statistical significance(x2=4.77,P<0.05). The postoperative complications incidence is 5.77% in observation group,but 21.56% in control group.The two The postoperative complications incidences have statistical significance(x2=5.47,P<0.05).Conclusion: As opposed to ligature, under the therapy for spontaneous pneumothorax with GIA surgical stapler by thoracoscopy, the operation time is shorter, intraoperative bleeding volume is less, and recurrence rate is lower in 2 years. Ligature fits the sporadic pulmonary bulla patients.

Non-profit medical institutions are the main body, for-profit medical institutions are the complement, the public medical institutions are the leading and non-public medical institutions develop together are the principles of developing the health service system in China. Since deepening medical reform, social capital held in medical institutions has been actively encouraged and supported. Medical institutions held by social capital should adhere to the public nature of the medical and health, choose reasonable mode of development, improve the level of service, innovate management system, build a team and its own brand and achieve sustainable development.