Theories regarding"treating flaccid paralysis by yangming alone" are summarized, and the treatment effects of "yangming is the sea of five viscera and six organs", "yangming is in charge of smoothing the tendon and muscle, while tendon and muscle is in charge of connecting bones and movement" and "tendon and muscle is the crossing point of yin meridians and yang meridians, which is converged in yangming" are explained. With medical cases from later generations, it is summarized that besides "using yangming alone", "mainly using yang-ming" and "multiple meridians and acupoints" can also be recommend, indicating that focus should be paid not only on yangming, but also on,syndrome differentiation and treatment, and accompanying symptoms should be emphasized to regulate the body. The commonly used acupoints for flaccid paralysis are summarized to guide the clinical treatment and manipulation.
Acupuncture Points ; Acupuncture Therapy ; history ; China ; History, Ancient ; Humans ; Medicine in Literature ; Meridians ; Paralysis ; history ; therapy ; Paraplegia ; history ; therapy

Objective To explore the value of procalcitonin(PCT ) as early predictor of bloodstream infections .Methods Blood culturing and PCT detection were carried out simultaneously in 530 blood specimens collected from the First Affiliated Hospital of Xi′an Jiaotong University from January to December 2014 .All strains were identified by using automatic identification microbial an‐alyzer ,and levels of PCT were analyzed by using automatic enzyme‐linked fluorescent immune system .The diagnostic efficacy of PCT was evaluated by using the receiver operating characteristic(ROC) curve .Results A total of 77 specimens were with negative results of blood culturing ,and a total of 453 specimens were with positive results of culturing .Among those specimens with positive results of blood culturing ,there was 114 strains of gram‐positive bacteria ,306 strains of gram‐negative bacteria ,and 33 strains of fungi .ROC curve analysis showed that the area under the curve of PCT test in all pathogenic bacteria ,gram‐negative bacteria ,gram‐positive bacteria and fungi were 0 .760 ,0 .778 ,0 .741 and 0 .686 ,respectively .In maximum Youden′s indexes ,the cut off values were 0 .453 0 ,0 .683 5 ,0 .457 0 and 0 .399 5 ng/mL respectively ,and 0 .453 0 ng/mL was the threshold in diagnosis of bloodstream infec‐tion .Conclusion PCT is a good indicator for early diagnosing bloodstream infection ,and has better timeliness and higher sensitivity than blood culture .Moreover ,the diagnostic efficacy of PCT for gram‐negative bacteria bloodstream infections was better than that for gram‐positive bacteria and fungi bloodstream infections .

Helicobacter Infections ; complications ; Helicobacter pylori ; Hematologic Diseases ; complications ; Humans

The effects of DL-tetrahydropalmatine andsinomemine on the activity of oviduct smooth mus-cle and ovum transport in rabbits are reported inthis paper. The results indicate that the two a-gents apparently inhibit the contractile activity ofoviduct isthmic smooth muscle of rabbit in vitroand decrease the frequency, amplitude, tensionand curve areas of the contraction. The contractileffect induced by noradrenaline is also inhibited re-markbly by them. In addition, DL-THP and Sino.can delay ovum transport in rabbit oviduct after ivHCG 48 h. It is suggested that the inhibition ofactivity of oviduct smooth muscle may be one ofthe important causes of delaying egg transportcaused by the two agents.

Calcium blockers verapamil ( VER ) and nifedipine ( NIF ) appa-rentely inhibited the spontaneous activity of isolated rat oviduct. The 5 min contractile curve aera determined by integrator,after eithet VER or NIF effected, was smaller than that before,with dose dependence.In rats pregnanant for 3d VER and NIF accelerated ovum transport through oviduct. The number of ovum recovered from uterus in test group was more than that in control group. Paired experiments showed VER and NIF having no anti-implantation action.

Dose-Response Relationship, Drug ; Enzymes ; adverse effects ; Humans ; Hypersensitivity ; Occupational Diseases ; chemically induced ; Occupational Exposure ; adverse effects

Objective To study the change of chromosome aberration rate and micronucleus rate in patients with esophageal carcinoma before and after radiotherapy.Methods Twenty one patients with esophageal carcinoma who were fit for conditions were divided into two groups randomly.GroupⅠ(n=10),patients received conventional radiotherapy(radiation field was regular rectangular shape);groupⅡ(n=11),patients received conformal radiotherapy(radiation field was same to the shape of target volume),1.8-2.0 Gy,one time a day,5 times a week,the total dose was 60-70 Gy.The peripheral blood was obtained before and after radiotherapy,chromosome aberration rate and micronucleus rate were detected.Results The chromosome aberration rate and micronucleus rate were increased after conventional radiotherapy than before (P0.05).Conclusion Compared with the conventional radiotherapy,the conformal radiotherapy can decrease cytogenetics damage,the detection of chromosome aberration rate and micronucleus rate can be regarded as a simple method to evaluate cytogenetics damage in esophageal carcinoma patients induced by radiotherapy.

Objective To discuss the concrete method and clinical effects of the wound refers to multiple fingers and fingerweb.Methods Twenty-six patients were used four different flaps to repair the wound refers to multiple fingers and fingerweb.Dorsalis pedis flap in 18 cases,2 cases were distal dorsal foot flap,anterolateral thigh flap,3 cases,toe web flap,4 cases,dorsal carpal branch of ulnar artery flap,1 case in this group.Results All of 25 flaps survived,the distal part of 1 case got necrosis and use skin grafting to treat.6 cases of dorsal foot flap and 1 case of anterolateral thigh flap use the operation of spliting fingers and finger web deepen operation.Conclusion According to the specific injury of the patients' hands refers fingerweb,using the suitable flap to repair the wound,can make a satisfactory results in the appearance and function of patients' hands.

Objective To investigate the clinical features of neonatal lower respiratory tract infection (LRTI)with respiratory syncytial virus(RSV),and to explore the relationship between clinical features and recurrcnt cough or wheezing after discharge.Methods From May 2008 to May 2013,the data of 41 neonates diagnosed as LRTI with RSV infection in New Century International Children's Hospital were analyzed retrospectively.The clinical features and follow-up results were observed.Results All the neonates had cough,92.7％ (38/41 cases) had choking,85.4％ (35/41 cases) had runny nose and nasal obstruction,31.7％ (13/41 cases) had fever,65.9％ (27/41 cases) had wheezing sound during physical examination,29.3％ (12/41 cases)of the neonates were accompanied with bacterial infection(n=29),in which 50.0％ (6/12 cases) were infected by staphylococcus aureus.Compared to the neonates only with RSV infection,the proportion of fever was higher in those with RSV combined with bacterial infection (n =12)(x2 =6.034,P ＜ 0.05),and there were no statistical differences between the neonates with or without bacterial infection in white blood cell count and with or without shadow in chest X-ray(x2 =0.859,2.064,P =0.485,0.202).Compared with the neonates without family history of atopy,the neonates with the family history of atopy were more likely to get wheezing (88.2％ vs 57.1％,x2 =4.871,P ＜ 0.05) during primary infection.During the follow-up,there was higher proportion of children with family history of atopy in the group with subsequent recurrent cough and/or wheezing than in the group without subsequent recurrent cough and/or wheezing (71.4％ vs 26.3％,x2 =6.388,P ＜ 0.05).Conclusions Cough,choking are most common symptoms in neonatal LRTI with RSV,and there is no wheezing sound during phy-sical examination in some neonates.LRTI with RSV is likely combined with bacterial infection.Wheezing is more common in the neonates with family history of atopy.The RSV LTRI neonates with family history of atopy incline to get subsequent recurrent cough or wheeze after discharge.

BACKGROUND:The technique of vacuum sealing drainage, initialy used for better wound healing, has been widely applied to al kinds of refractory wounds. OBJECTIVE:To summarize the research progress in vacuum sealing drainage for treatment of severe soft tissue injury. METHODS: An electronic retrieve was performed in Wanfang database, VIP database and PubMed database from January 1989 to August 2014 was performed for papers regarding the vacuum sealing drainage technology with the key words of “vacuum sealing drainage technology; injury; gentamicin; hyperbaric oxygen; nerve growth factor; chymotrypsin” in Chinese or English. Finaly 48 articles were involved in the final analysis according to the inclusion criteria. RESULTS AND CONCLUSION:Vacuum sealing drainage is a highly effective treatment technique to promote wound healing which can promote wound blood circulation, reduce sweling, inhibit bacterial growth, stimulate growth of granulation tissue by mechanical stress, inhibit cel apoptosis, thereby helping wound healing. Compared to conventional open-dressings, vacuum sealing drainage has a faster wound healing speed, lower infection rate, and fewer dressing change frequency. With recent advances in medicine, vacuum sealing drainagetechnology cannot be simply used for treatment of skin soft tissue damage, but in combination with gentamicin, hyperbaric oxygen, nerve growth factor and chymotrypsin to achieve better therapeutic effects.