Kidney disease is very general in clinic, most of it has complex mechanism and is refractory, often with demonstrations of edema, proteinuria and blood urine, and it often recurs and develops over insufficiency and pathogeny. Analyzing the clinical demonstrations and treatment of kidney disease with“lung viscera state”in“Internal Classics”, we can find the theories have guide meaning on treating and preventing the recurrence and development of kidney diseases, such as “upper energizer developing and distributing flavors of five cereals”on treating proteinuria, “lung stretching water channels and down-flowing bladder”on treating edema,“Shaoyin belonging to kidney which connects with lung”on treating blood urine.

ObjectiveTo study the characteristics of gastric cancer under gastroscopy.Methods From Jan.2005 to Dec.2010,160 patients were diagnosed of gastric cancer by endoscopic biopsy.Clinical data of these patients were retrospectively summarized and analyzed.ResultsThere is a high rate of HP infection [71.25％ (114/160)]in the 160 cases with gastric cancer,especially in males,and the infection rate increased with age( Z =2.303,P =0.021 ).For the general morphology of gastric cancer,it was mainly Borrmann Ⅲ & Ⅳ-types for those below or equals to 35 years old(9 cases).The rate of Borrmann Ⅲ & Ⅳ types reduced and that of BorrmannⅠ& Ⅱ types increased with age.The ratio of male to female with gastric cancer was 2.26:1.However,the incidence of gastric cancer was higher in young female compared with young males.With the increase of age,the rate of prevalence of gastric cancer grew higher in males than in females ( Z =3.599,P ＜0.001 ).Incidence of gastric fundus-cardia and corpus cancer increased with age.Most patients had low-differentiation adenocarcinoma despite the specific sites of gastric cancer.However,the incidence of low-differentiation adenocarcinoma decreased with age(x2 =9.831,P=0.042).ConclusionThe development of gastric cancer is closely associated with HP infection.For the general morphology of gastric cancer,Borrmann Ⅲ & Ⅳ types decrease and Borrmann Ⅰ & Ⅱ types increase with age.The incidence of gastric cancer in male and that located at proximal stomach are increased with age.Moreover,the incidence of high-grade malignant gastric cancer is increased with age.

Objective] To explore the application of “viscera state”theory in “Internal Classics”in TCM diagnosing and treating hematuria. [Method] Clear up the“viscera state”theories in“Internal Classics”related to TCM diagnosing and treating hematuria, combining with concerned thesis of doctors in the past dynasties, to analyse its application value in clinic. [Result] “Heart joining with smal intestine through the meridian and col ateras”,“smal intestine being organ of receiving food and digestion”, “kidney connects lung upward”, “spleen storing Ying”, “spleen Qi disperseing essence and returning to lung upward”,“liver storing blood”,“kidney being organ of water”and“kidney opening into 2 lower orifices”, such“viscera state”theories are helpful to correct position of hematuria in TCM, define the mechanism and correct the treatment; doctors in the past dynasties had development on this, which is proved by the modern clinic. [Conclusion]“Viscera state”theories in“Internal Classics”have important guiding meaning in TCM diagnosing and treating hematuria.

Now, parts of the medical personnel have some problems such as low professional moral accomplish-ment, lack of sense of responsibility, professional skills and post does not match, faith is not strong, and so on. The external environment and internal weakening sense for cultivation are the main reasons.Therefore, optimizing the external environment, improving the education system, strengthening medical personnel’ s values, could pro-mote the formation of medical staff’ s professional personality, and eventually led to a powerful implement of social-ist core values in medical practice.

China ; Esophageal Neoplasms ; diagnosis ; surgery ; Esophagus ; pathology ; surgery ; Humans ; Surgical Procedures, Operative ; methods ; trends

You ought to differentiate the cause, location, nature and trend of disease, for chronic nephritis. The causes inducing or worsening the disease can be exopathy, as well as internal injury, pathological substance and drug pathogenic factors; while the deficiency of Qi blood Yin Yang of organs is often the internal basis of the disease. The location mainly concerns lung, spleen, liver and kidney, esp. kidney. The nature is deficient root and excessive superficiality; its general trend mostly appears Qi deficiency-both deficiency of Qi and Yin(blood)- both deficiency of Yin and Yang, a discipline of gradual development, and wind, wetness, heat, stasis, sputum and toxin worsen the development of the disease.

Chronic nephritis is a common clinical refractory disease,with complex mechanism,hard and long to cure.The TCM treatment in Internal Classic has key guideline meaning and is proved in modern TCD pharmacology,such as "kidney governs spleen,spleen holds nutrition,dislikes dampness and governs outer guard" of spleen picture,etc.

There is a higher incidence and mortality of esophageal cancer in China.During the past decades,esophageal surgery in China has achieved great development through the efforts of several generations of thoracic surgeons.At present there are still many difficulties and challenges for thoracic surgeons.This review will summarize current major difficulties in esophageal surgery and propose some possible solutions.

This paper analyses the existing problems in the clinical study of esophageal cancer at present.The author suggests that more attention should be paid to the clinical research for esophageal cancer and puts forward the feasible countermeasure and advices.

This article describes the introduction of concept of evidence-based medicine for postgraduate students in surgical oncology training program.Evidence-based medicine can cultivate students'ability to find out more clinical problems and solve these problems through their active and independent study to renew their medical knowledge and promote their innovative consciousness and clinical practice skill.