1.A Meta-Analysis of Randomized Controlled Trials on Ban-Xia Hou-Po Decoction for Globus Hystericus
Muzhi CHEN ; Ankun LYU ; Hongyan SUN
World Science and Technology-Modernization of Traditional Chinese Medicine 2015;(2):377-381
This study was aimed to evaluate the clinical effectiveness of Ban-Xia Hou-Po (BXHP) decoction in the treatment of globus hystericus. Related literatures were systemically searched in the China National Knowledge Infrastructure (CNKI, 1979-2013), Weipu Database for Chinese Technical Periodicals (1989-2013), and PubMed/Medline. The methodological quality of included trials was assessed based on the Jadad scale. The available data was analyzed with RevMan software (version 5.2.0) provided by the Cochrane collaboration. The results showed that a total of 6 randomized controlled trials (RCTs), which contained 649 globus hystericus cases, were included. The meta-analysis showed that compared with modern medicine, the total therapeutic effect of BXHP decoction was RR=1.15, 95%CI (1.08, 1.23); compared with modern medicine treatment alone, the total therapeutic effect of combination between BXHP decoction and modern medicine was RR=1.43, 95%CI (1.19, 1.73). It was concluded that the current clinical evidences showed that the effectiveness of BXHP decoction alone or combined with modern medicine in the treatment of globus hystericus was higher than the treatment only with modern medicine. And there was no obvious side effect. However, due to the low-quality studies and small amount of samples, the results still required to be confirmed with more high-quality, multi-center, and large sample RCTs.
2.Characteristics of the Body Constitution and Syndrome Type of Traditional Chinese Medicine (TCM) in Primary Sj(o)gren's Syndrome (pSS)
Hongyan SUN ; Muzhi CHEN ; Ankun LYU ; Hua YAO
World Science and Technology-Modernization of Traditional Chinese Medicine 2016;18(12):2148-2153
This study aimed at exploring the features of the body constitution and syndrome types of TCM in patients with pSS.General information of 60 patients with pSS was collected.Their TCM syndrome types and TCM body constitution types were examed,while the distribution of pSS syndrome types in terms of their body constitution was analyzed.Among 60 pSS patients,58 of them (96.67%) were female with the average age of 52 years and an average course of 63 months.Their usual residence was Xinjiang.Their most common first symptoms included thirst,dry eyes and joint pain,and the damage of skin and mucous membranes and blood system was rare.It was found that the syndrome of both qi and yin deficiency was the most common (48.33%),followed by the impregnation syndrome of heat and dampness (26.67%) and the syndrome of the weakness of spleen qi (25%) in pSS patients.Yin deficiency (58.33%) and yang deficiency (58.33%) in the body constitution of TCM accounted for decent proportions,followed by the constitutions of qi stagnation (48.33%),qi deficiency (45.00%),blood stasis (38.33%),phlegm-dampness (36.67%),damp-heat (18.33%),allergic (13.33%) and yin-yang harmony (1.67%).Those without the health education of pSS accounted for 51.11% in cases of palindromia.In conclusion,yin deficiency and yang deficiency constitutions were most common,at most,the body constitution of both qi and yin deficiency,in pSS patients in accordance with TCM body constitution.Most pSS patients of palindromia didn't received professional health education of pSS.All the causes above suggested that we should make individualized treatment programs according to clinical syndrome types and the characteristics of TCM body constitution in pSS patients for strengthening the health management of pSS and improving their quality of life.
3.APPLICATION OF TRANSPOSITION OF FOREARM ISLAND FLAPS AND COMPOSITE TISSUE FLAPS IN HAND SURGERY
Yuming ZHENG ; Yunlian LI ; Zhuanghong CHEN ; Botan DING ; Pengchun XIA ; Bo SUN ; Muzhi LIU ; Lin YUAN ; Fu MA ; Hanyun LI ; Zhen HAN ; Shizhen ZHONG ;
Medical Journal of Chinese People's Liberation Army 1982;0(03):-
Transposition of simple or composite forearm island flaps with a radial vascular pedicle was performed in repairing tissue defects of the hand and reconstruction of the thumb in 16 patients. It was found to be easy to operate and no suturing of blood vessels was necessary. The postoperative swelling was less marked. The flap was good in texture and sensation after the operation. The overall result wassatisfactory. Anatomic-physiological situdy was also carried out. 16 patients have been operated on, including 2 thumb reconstructions, with satisfactoryresults.