1.“Real-world Study”(RWS)-New Approach to Traditional Chinese Medicine Scientific Research
Ling FU ; Xueping ZHOU ; Guochun LI
Journal of Zhejiang Chinese Medical University 2013;(9):1127-1129
[Objective]To explore new directions for traditional Chinese medicine(TCM) scientific research. [Method]Reviewing RWS overseas in recent years, with a randomized control ed trial(RCT) contrast, this study summarized the RWS features and discussed the limitations and advantages of RCT and RWS when carrying out the TCM scientific research.[Result] RWS is different from RCT in research purpose, brings into exclusion criteria, sample size, intervention and evaluation index, evaluation time, data col ection, management and statistical analysis method, etc. [Conclusion] Compared with RCT, RWS more fits the basic characteristics of TCM cal ed holistic concept and syndrome differentiation, is advantageous to the preservation of TCM, indicat-ing the new direction for TCM scientific research.
2.Acupoint Massage and Featured Nursing Treat Peripheral Facial Paralysis 45 Cases
Journal of Zhejiang Chinese Medical University 2013;(9):1130-1132
[Objective] To observe the effect of acupoint massage and TCM featured nursing on peripheral facial paralysis. [Method] Randomly divide 90 cases into 2 groups, n=45 for each group; the control group takes general treatment and acupuncture, the observation group is added with facial acupoint massage coordinated with mental counseling, recovery training and other TCM featured nursing, 1 time/d. [Result] After 2~4w of treatment, observe their clinical effects, the results had marked difference. [Conclusion] The cure effect of the observation group was better than common acupuncture group, showing that facial acupoint massage coordinated with TCM featured nursing treating peripheral facial paralysis could promote patients ’early recovery, much reduce the sequelae.
3.Building CPI Mode for Teaching Chinese as a Foreign Language:Orientation towards Strengthening Intercultural Communication Competence in a TCM University
Ye CHEN ; Minjun CHEN ; Jin ZHANG
Journal of Zhejiang Chinese Medical University 2013;(9):1123-1126
[Aim]To create CPI mode of teaching Chinese as a foreign language in a TCM university. [Method]Based on conventional teaching, language partner and interculture communication class(mixing Chinese and international students) were introduced in CPI mode. The effect of this mode was ana-lyzed. [Result] By effectively promoting the cooperative learning between Chinese and international students, CPI mode could not only improve Chinese teaching effect, but also improve international students’ability on intercultural communication.[Conclusion] Based on its practice, CPI mode is believed as an effective way to improve teaching and study.
4.Synthesis of Resveratrol Dimer Induced by Pheophorbide and Its Enhancing Effects on Free Radical Elimination and Analgesic Activity
Journal of Zhejiang Chinese Medical University 2015;(8):582-586
Objective] To explore a new method of synthesis of resveratrol oligmer induced by photosensitizers, further analyze its free radical scavenging activity and analgesic activity. [Method] Resveratrol was dispersed in pH 7.4 phosphate buffer solution, mixed with pheophorbide, then illuminated by laser at 630nm. The oligmers in the filtrate were analyzed by HPLC-MS and isolated by preparative liquid chromatography. Free radical scavenging activity was determined by DPPH and ABTS method, and the analgesic effect was measured by hot plate test and acetic acid writhing test in mice. [Result] A new peak occurred and reached stable in reactive solution after 20 min illumination. It was identified as the dimer of resveratrol with conversion of 35%. Its concentrations on inhibition of 50% DPPH and ABTS radical were respectively 230 μg·mL-1 and 273 μg·mL-1. It reached maximum pain threshold at 180 min, and the inhibition rate of writhing number was 62.6% with better effects than resveratrol. [Conclusion] Reseratrol can be polymerized to the dimer after pheophorbide excited by red light, the resveratrol and its dimer both have the ability of eliminating free radicals and analgesic effects, but the dimer has the stronger activity.
5.Research on Progress of Acupoints Compatibility in Recent Ten Years
Journal of Zhejiang Chinese Medical University 2015;(8):643-646
Objective] Introducing the research on acupoints compatibility in recent ten years in order to discuss the research ideas. [Methods]Through retrieval of all medical journals of CNKI from Jan.2004 to Sep.2014,thirty-four articles were selected and analyzed. Summarizing and commenting the progress on compatibility mode, mechanism and action nature aspects.[Results]The research has summarized the characteristics of acupoints compatibility on ancient acupuncture literature and researched the clinical application of classic compatibility, discussed the mechanism of acupoint compatibility on the metabolism of biological molecules, the spectrum of endogenous metabolites and the central mechanism, confirmed the synergic and antagonistic effects of acupiont compatibility. There are some progresses but also deficiencies. [Conclusion]The acupoints compatibility research should change into clinical application, take multi discipline research methods and use different ideas. The relationship between acupoints quantity and effect of compatibility must be a research direction.
6.Synopsis of Prescriptions of the Golden Chamber with Differentiation Treatment of Tumor
Journal of Zhejiang Chinese Medical University 2015;(8):632-635
Objective] Summarizing the diagnosis and treatment about the tumor-related disease from “Synopsis of Prescriptions of the Golden Chamber”, thus to better use classic in clinic. [Method] Sort out the book that involves tumor-related diseases pathogenesis, therapeutic treatment and syndrome differentiation treatment, combine with each of the clinical words, analyze and summarize all the clinical experience of physicians. [Results]The book is not equipped with tumor article, many cancer-related clinical manifestations of the disease description can be seen in each chapter, although not forming a system, its pulse and symptoms are involved in different parts of the tumors. And the symptoms of lung cancer, stomach cancer, and gynecological tumors also have been mentioned.[Conclusion] Visible in the book, the etiology and pathogenesis of tumor related diseases have a certain understanding. In the aspect of treatment, pay attention to combining disease syndrome differentiation, treatment and syndrome differentiation. Then concluding all the physicians clinical experience we can see that “Synopsis of Prescriptions of the Golden Chamber”for the treatment of tumors has great significance. And classic of traditional Chinese medicine for modern TCM clinical still have important reference value and guiding significance.
7.Blade Needle Step-by-step Operation Three Tongbi Decoction in the Treatment of Coracoid Inflammation in 40 Cases
Journal of Zhejiang Chinese Medical University 2015;(8):625-627
Objective] To observe the clinical effect of blade needle step operation three Tongbi Decoction in the treatment of osteoarthritis of coracoid process.[Methods] The coracoid arthritis 80 patients were randomly divided into 2 groups, the treatment group of 40 cases using blade needle step-by-step operation three Tongbi Decoction treatment, 1 time a week; the control group 40 cases treated with acupoint injection therapy, 3 times a week. After 4 weeks of treatment, observe the clinical curative effect of the 2 groups.[Result] The treatment group and control group total effective rates were 97.7%and 80.0%respectively, the cure rates were 67.5%and 30%respectively, the recurrence rates were 2.6% and 25%, respectively. By contrast, two groups total effective rate and cure rate and recurrence rate difference were statistically significant( x2=11.257, P=11.257, x2=4.507, P=0.034, x2=4.505, P=0.033<0.05).[Conclusion] Effect of blade needle step-by-step operation three Tongbi Decoction in the treatment of arthritis of the coracoid process is obviously superior to the single point injection, is worthy of clinical application and promotion.
8.Clustering of Rotavirus Based on KNN-kernel Function
Journal of Zhejiang Chinese Medical University 2015;(8):612-614
Objective] To discuss application of KNN-kernel clustering methods for diarrhea patients serum immune indexes detection data classification and diagnosis of applicability and clinical significance. [Methods] To reveal the applicability and clinical signnificance of KNN-kernel function clustering method in the diagnosis of serun immune index. In this research, the KNNCLUST algorithm is used to program the serum immune index data of 74 patients with diarrhea by Matlab software. [Results] 74 patients were divided into 5 categories by cluster analysis. The patients with diarrhea were divided into rotavirus negative and positive class, and the patients were further subdivided, especially the three early rotavirus tests were negative but later confirmed positive and were clustered into one group. [Conclusions] This can be seen that the KNN-kernel clustering method is helpful for early screening of rotavirus infection, practical clinical significance on the early treatment of disease.
9.Analysis on Professor Yan Dexin's TCM Theory of Spleen and Stomach
Journal of Zhejiang Chinese Medical University 2015;(8):598-601
Objective]To investigate academic thoughts of Prof. Yan Dexin in spleen and stomach syndrome treatment.[Methods]The paper summarized the academic origin, academic thoughts as well as practical treatment cases of Prof. Yan Dexin ’s spleen and stomach syndrome treatment theory. [Results]The main points of Prof. Yan’s academic thought on spleen and stomach therapy has succeeded and developed the therapy of Menghe physician, which includes an emphasis on spleen Qi rise and stomach Yin drop, Qi of spleen and stomach regulation, special attention on the function of the stomach-yang and spleen-yin, an advocation ofspleen leading four organs, and therapy design from spleen with an ingenious use of atractylodes rhizome, Atractylodes and Zhizhu pill. [Conclusion] Professor Yan Dexin developed his unique theoretical system in spleen-stomach diseases therapy on basis of the experiences of spleen and stomach disease treatment from ancient physicians, which is instructive for later physicians.
10.The Relationship Between Excessive Internal Heat and Intestinal Microflora from the Aspects of Energy Metabolism and Mucosal Immunity
Zhao PAN ; Xingyu ZHU ; Yongshentutor FAN
Journal of Zhejiang Chinese Medical University 2015;(8):591-594
Objective] To explore the relationship between excessive internal heat in TCM and intestinal microflora ,provide scientific evidences for pathogenesis of excessive internal heat.[Method]With the research methods of clinical observation and literature review,analyze the characteristics of excessive internal heat,and collect research progress about intestinal microflora to find out the link.[Result] Head and facial tissue is more susceptible to injury,which is determined by the organizational characteristics. People suffering from excessive internal heat widely have problems of energy metabolism and mucosal immune disorders. Intestinal microflora plays an important role in energy production,conversion,storage and use.They can change the way that organizations use energy,and change AMPK phosphorylation to influence the energy metabolism of the body.Thus gut microflora imbalance may lead to disorders of energy metabolism.On the other hand,inflammatory mediators express abnormally in these people. Impaired immune function leads to inflammatory states,which causes imbalance of gut microflora.While intestinal microflora also can regulate intestinal mucosal immune response by adjusting related effective factors. [Conclusion]Excessive internal heat is closely related with intestinal microflora from the aspects of energy metabolism and mucosal immunity,which may provide new ideas to explore the pathogenesis of this disease.The researches based on intestinal microflora and diseases bring brilliant prospects of individual prevention and treatment for TCM and western medicine .