1.Study on Wu Weikang's Clinical Experience in Treatment of Phlegm Syndrome
Journal of Zhejiang Chinese Medical University 2014;(11):1286-1289
Objective] In order to guide the treatment based on syndrome differentiation and to provide theory and thinking method for further research , the article researched the experience in treating phlegm syndrome of Pro.Wu Weikang,a prominent physician of Longjiang medical school,and discussed the four treatments of phlegm syndrome. [ Methods] The article researched experience in treatment of phlegm syndrome mainly from four aspects: ①searching for the primary cause of disease in treatment; ②harmonizing method with warm medicine; ③treat qi before phlegm; ④synchronic treating phlegm and blood stasis. [Results] Pro.Wu Weikang maintained that strange and chronic diseases are accompanied with phlegm. Thus he advocated that searching for the primary cause of disease in treatment,the treatment with mild medicine,the priority over qi treatment and the simultaneous treatment of both phlegm and stasis. These principles are widely used in clinic and highly effective. [Conclusion]The experience in prescription component of the treatment of phlegm syndrome not only has a high scientific content ,but also has significant guidance of clinical practice.
2.Study on Three Prescriptions of Nephyropathy of Famous Professor Wu Weikang of Longjiang Medical School
Deyou JIANG ; Lijuan NI ; Fuzhen LI
Journal of Zhejiang Chinese Medical University 2015;(7):537-540
[Objective] In order to guide the clinical syndrome differentiation and treatment, and provide the basis for further research on the ideological system of Wu Weikang, a famous professor of Longjiang medical school, the article studied Wu Weikang's experiences in the treatment of nephropathy and discussed the three basic prescriptions of him for treatment of kidney diseases. [Methods] The article discussed experiences in the treatment of nephropathy and academic thought on the basic of the three prescriptions of Wu Weikang such as eight-ingredients detoxification decoction ,yinqiao dihuang decoction and jiawei shenqi decoction. [Results] According to the common pathogenesis and kidney disease clinical symptoms, Professor Wu Weikang often chooses eight-ingredients detoxification decoction,yinqiao dihuang decoction and Jiawei Shenqi decoction as the basic prescriptions applied to the treatment of the dampness-heat of bladder syndrome, kidney deficiency and dampness-heat of bladder syndrome, and edema syndrome due to kidney yang deficiency, and the curative effect is remarkable. [Conclusion] Eight-ingredients detoxification decoction ,yinqiao dihuang decoction and Jiawei Shenqi decoction are the three prescriptions commonly used to treat the nephropathy by professor Wu Weikang in clinic. These prescriptions are widely used in clinic and highly effective. Practical experiences of these prescriptions will be elaborated here, so as to extract their essences to guide clinical practice.
3.Capillary electrophoresis method for the detection of anti-ds DNA antibodies of serum
Xiaofeng JIANG ; Lijuan HUANG ; Xingku LI
Chinese Journal of Laboratory Medicine 2001;0(05):-
Objective To develop a new method for detection of anti-dsDNA antibodies Methods Plasma double stranded DNA were used as antigen substrate and derived with fluorescence thiazole orange homodimer Capillary electrophoresis with laser induced fluorescence was used for the detection of anti dsDNA antibodies of patient with Systemic lupus erythematosus (SLE) Results 23 out of 40 patients with SLE were positive(57 5%); 1 out of 25 patients with other autoimmune disease were positive; none of 45 controls were positive Comparison of this assay with Farr and dot immunobinding assay(DIBA)shows that CE LIF was more sensitive than DIBA and more specific than Farr Conclusions The assay was rapid, simple and reproducible CE LIF may become a routine assay for determination of anti dsDNA antibodies
4.Effect of Swallowing Training on Dysphagia after Radiotherapy for Head and Neck Neoplasm
Lijuan ZHANG ; Nan JIANG ; Yue ZHAO
Chinese Journal of Rehabilitation Theory and Practice 2016;22(3):350-353
Objective To explore the effect of swallowing training on dysphagia in patients with head and neck neoplasm receiving ra-diotherapy. Methods 60 patients with head and neck neoplasm receiving radiotherapy from March, 2014 to August, 2015 were divided into intervention group (n=30) and control group (n=30) randomly. The control group received routine nursing and relevant health education, while the intervention group received swallowing training from 2 weeks before to 3 months after radiotherapy. They were assessed with Functional Oral Intake Scale and M. D. Anderson Dysphagia Inventory 1 week, 3 months after radiotherapy. Results The scores of Function-al Oral Intake Scale (Z=-3.195, P<0.01), the total score of M. D. Anderson Dysphagia Inventory and the subscores (t>4.385, P<0.01) were better in the intervention group than in the control group 1 week after radiotherapy, as well as 3 months after radiotherapy (Z=-4.436, P<0.01;t>5.361, P<0.01). Conclusion Swallowing training could improve the condition of dysphagia of head and neck neoplasm patients after radiotherapy.
5.Efficacy of Yixinshu Capsule in treatment of premature beats
Lijuan WANG ; Xiaoguang LIANG ; Zhongzhuo JIANG
Chinese Traditional Patent Medicine 1992;0(06):-
AIM:To find a new way of treating premature beats(PB) to evaluate the efficacy and safety of Yi-(xinshu) Capsule(Radix et Rhizoma Ginseng,Radix et Rhizoma Salviae miltiorrhizae,Radix Ophiopogonis,Radix Astragali,etc.) METHODS:Randomized,controlled clinical study were conducted in 60 patients with atrial premature beats(APB),and 60 patients with premature ventricular beats(PVB).APB patients were randomly divided into two groups:Yixinshu Capsule plus Isoptin(study group,n=30) and Isoptin group(control group,n=30).PVB patients:Yixinshu Capsule plus Mexiletine(study group,n=30) and Mexiletine group(control group,n=30).Those patients were treated for four weeks.We used 24 h Holter to monitor the times of PB and myocardial ischemia in before and after treatment.RESULTS:In the study group and control group,the times of APB and PVB were decreased obviously after 4 weeks treatment(P
6.Simultaneous Determination of Trace Arsenic and Mercury in Drinking Water by Hydride Generation Atomic Fluorescence Spectrometry
Liping LIU ; Lijuan JIANG ; Zhiqin ZHU
Journal of Environment and Health 1992;0(05):-
Objective To establish the simultaneous determination of arsenic and mercury in the drinking water by hydride generation atomic fluorescence spectrometry (HGAFS). Methods The contents of trace arsenic and mercury in drinking water were detected by HGAFS based on optimized working conditions in this assay. The influences of some factors, such as sample pretreatment, pH value and interfering ions in drinking water were analyzed also. Results The detection limit of arsenic, mercury was 0.29 ng/ml and 0.05 ng/ml respectively. The precision (relative standard deviation) of the method was less than 6.8% .The recovery rates ranged from 85.7%~112.6%. The detecting results for standard materials were very much close to the reference values. Conclusion This method was suitable for the detection of arsenic and mercury in drinking water.
7.Experimental study of CT subtraction angiography with synchronous matched mask bone elimination
Lijuan ZHANG ; Fajin LV ; Hui XIE ; Xiaoxian JIANG
Chinese Journal of Medical Imaging Technology 2010;26(2):201-204
Objective To evaluate the feasibility of CT subtraction angiography of the cerebral vessels with synchronous matched mask bone elimination (MMBE) technique, and to compare the imaging quality of MMBE with that of volume computed tomographic digital subtraction angiography (VCTDSA). Methods Vascular Vascular model was scanned with 64-slice spiral CT. Synchronous and asynchronous scans were independently performed for 10 times without contrast medium injection. ②Then with contrast medium injection, the same scans mentioned above were repeatedly performed each for 5 times. The imaging quality of MMBE was analyzed, which were reformatted and displayed with 3D volume rendering (VR) and maximum intensity projection (MIP). CT value of the overall view was measured on subtracted images (without contrast medium). Two sets of bone masks were extracted for subtraction and the imaging quality was evaluated (without contrast medium). Also the imaging quality of VCTDSA was compared with that of synchronous MMBE. Results With synchronous and asynchronous scan,imaging quality of MMBE was rated grade Ⅱ in 13 and grade Ⅲ in 2 times. There was no significant difference in the average CT value of subtracted images between the two methods(P>0.05). With synchronous scan, imaging quality of subtracted bone mask was rated gradeⅠ in 10 times. While with asynchronous scan, 1 time was grade Ⅰ, 8 were grade Ⅱ and 1 time was grade Ⅲ. The imaging quality of synchronous MMBE was rated grade Ⅱ in 13 times, grade Ⅲ in 2 times. For VCTDSA, the imaging quality was rated grade Ⅰ in 15 times. Conclusion Synchronous MMBE is a feasible imaging method for evaluation of cerebral vessels. The subtracted image quality is significantly improved with this technique. Imaging quality of VCTDSA is still superior to that of synchronous MMBE.
8.2 475 cases of fetal karyotype detection and prenatal diagnosis indications analysis
Fang TANG ; Hang LU ; Fan JIANG ; Lijuan HUANG ; Weixiong WU
Chongqing Medicine 2015;(7):896-898
Objective To analyze the chromosome karyotypes,prenatal diagnosis indications and pregnancy outcomes of high-risk pregnant women in Guangzhou.Methods 2 475 cases pregnant women with screening high risk were operated amniocen-tesis or cordocentesis from January 2010 to September 2012,then amniotic fluids and cord bloods were cultured and the cell were collected for chromosome preparation,G banding,karyotype analysis.We completed follow-up works lastly.Results 38 cases were detected chromosomal abnormality(including 12 cases Down′s syndrome,9 cases sex chromosome abnormality,7 cases transloca-tion,5 cases Edwards′syndrome,2 cases inversion,2 cases deletion,1 cases triploid),the abnormal rate was 1.54%.132 cases were detected chromosomal polymorphism(60 cases 1,9,16qh+ ,30 cases inv(9),25 cases D/Gs+ ,17 cases Y polymorphism).Research on prenatal diagnosis indications,there were 449 cases advanced age,668 cases Down′s screening with high risk,158 cases with ab-normal B ultrasound screening,38 cases with adverse pregnancy history.Conclusion The highest percentage abnormal karyotype is Down′s syndrome.Down′s screening high risk is the main reason for prenatal diagnosis.It is very important to do prenatal diagnos-tic and system B ultrasound for the high-risk pregnant women.
9.Clinical study of postoperative three-dimensional conformal radiotherapy concurrent with paclitaxel and TS-1 chemotherapy in the treatment of advanced gastric carcinoma
Xuechao JIANG ; Lijuan JIA ; Hongxia CUI ; Bin GUO ; Xinbo WANG
Chinese Journal of Postgraduates of Medicine 2013;(11):12-15
Objective To investigate the clinical efficacy of postoperative three-dimensional conformal radiotherapy concurrent with paclitaxel +TS-1 chemotherapy in the treatment of advanced gastric carcinoma.Methods A total of 60 patients with advanced gastric carcinoma were randomly divided into treatment group and control group.In treatment group,30 patients received simultaneous three-dimensional conformal radiations therapy combined with paclitaxel +TS-1 chemotherapy.In control group,30 patients received paclitaxel +TS-1 chemotherapy.The long term survival rate,local recurrence rate and side reactions were observed in two groups.Results The 1,2-year survival rate in treatment group [93.1% (27/29),75.9 % (22/29)] and control group [72.4 % (21/29),48.3 % (14/29)] had significant difference (P < 0.05).The 1,2-year local recurrence rate in treatment group [6.9% (2/29),13.8% (4/29)] and control group [31.0% (9/29),44.8 % (13/29)] had significant difference (P < 0.05 or < 0.01).The side reactions in two groups were mainly manifested as leukopenia,thrombocytopenia,anemia,nausea,vomiting,liver function damage and oral mucositis.The incidence rate of nausea,vomiting in treatment group was significantly higher than that in control group [83.3% (25/30) vs.53.3% (16/30)] (P =0.012).Conclusions Postoperative threedimensional conformal radiotherapy concurrent with paclitaxel +TS-1 chemotherapy in the treatment of advanced gastric carcinoma may improve the long-term survival rate,lower local recurrence rate.But the adverse reactions are increased.
10.Discussion on Experience of ZHANG Liang-ying in Treating Polycystic Ovary Syndrome ;Combined with Dysfunctional Uterine Bleeding
Jinyan HUANG ; Linxing CHEN ; Lijuan JIANG ; Liangying INSTRUCTORZHANG
Chinese Journal of Information on Traditional Chinese Medicine 2017;24(2):109-111
Polycystic ovary syndrome (PCOS) and dysfunctional uterine bleeding (DUB) are common gynecologic endocrine diseases, and their etiology, pathology, diagnosis and treatment are related but also distinguishing. Some patients have PCOS and DUB at the same time, which is difficult to cure. Professor ZHANG Liang-ying has treated these patients with staging treatment based on syndrome differenciation, and has received desiable efficacy.