ObjectiveTo study the way of famous TCM doctors to success in modern times. MethodsTotally 96 famous TCM doctors and 30 TCM masters (122 in total, and 4 overlapping) recorded in the book ofThe Way of Distinguished Veteran Doctors of TCM were set as samples in the study. Their learning life was employed as evidence, and the following information was analyzed and concluded:the provinces they come from, their approaches to success, the ages when they became useful, learning time before they became useful, the most influential books, whether they started with classical prescription.ResultsDistinguished veteran doctors of TCM mainly come from Jiangsu Province (21.31%) and Zhejiang Province (11.48%). Learning from other TCM maters (40.98%) and inheriting the family’s TCM knowledge (22.95%) were their main approaches to becoming useful. The learning years before they became useful were 10-15 years (32.81%) and 6-10 years (26.56%). They became useful mainly at the ages of 21-30 (57.58%). 65.98% (64/122) of them treatedTreatise on Febrile Diseases as the most influential book. ConclusionThe study will provide beneficial reference for talent cultivation of TCM colleges and universities.

OBJECTIVE: To study the classification of common symptoms and the laws of syndrome element combination in 251 cases of stable angina pectoris (SAP) by using cluster analysis and corresponding-correlation analysis. METHODS: A total of 251 SAP cases were selected and their information from four diagnosis in traditional Chinese medicine was recorded. The classification of common symptom and the laws of syndrome element combination were investigated by cluster analysis and corresponding-correlation analysis. RESULTS: Twenty-five symptoms found in 251 SAP cases were divided into four types by cluster analysis: deficiency of heart qi, deficiency of spleen qi, deficiency of qi and yin, and phlegm accumulation and blood stasis. The deficiency of heart qi had the closest relation to phlegm accumulation and blood stasis. By corresponding-correlation analysis, the deficiency of qi had the closest relation to blood stasis, next was turbid phlegm and heat stagnation, and then deficiency of qi and deficiency of yin. CONCLUSION: Blood stasis due to deficient qi is the key factor in pathogenesis of SAP. Deficiency of qi plus blood stasis, deficiency of qi plus deficiency of yin, blood stasis plus turbid phlegm, deficiency of heart qi plus blood stasis plus turbid phlegm are common syndrome element combinations of SAP. It is proved that cluster analysis and corresponding-correlation analysis are the proper methods for studying laws of syndrome element combination.

Objective To study the TCM syndromes and diagnosis of patients after percutaneous coronary intervention(PCI).Methods The clinical epidemiological method was adopted in the study and the symptoms and signs including the manifestations of tongue and pulse of 143 patients after PCI were recorded for the variable cluster analysis.Results The most of frequently appeared symptoms and signs of patients after PCI were chest pain,chest distress,lassitude,irritability,frequent micturition at night,obesity,dark lips and ecchymosis on the tongue.The 6 involved syndromes of the patients were qi deficiency with phlegm retention,kidney deficiency with blood stasis,liver qi stagnation,qi deficiency of spleen,qi deficiency of heart,and deficiency of both qi and yin.The diagnostic points of each of them were set up.Conclusion Six syndrome type could be classified in patients after PCI,and analysis base on diagnostic information set up the diagnostic points.

Objective To investigate the role of smear examination of wound secretion in early diagnosis and treatment of gaseous gangrene after trauma.Methods The data of 10 881 patients,who were carried to our hospital more than one hour after injuries from April 2003 to April 2006,were collected.Smear examination of wound secretion had been performed in these patients.Results Among the 10 881 wounded patients,11 patients developed gaseous gangrene,taking up 0.10%.Among the 11 gaseous gangrene patients,5 were caused by vehicle crash,3 by machine,2 by stone,1 by gun-shot injury.As for the wounded locations,7(63.6%)patients were in lower extremity,and 3(27.3%)patients in upper extremity,and 1 patient in mandible with head and neck wounds.The onset time of gaseous gangrene was(3.3?2.2)d.The 11 patients were completely cured.Seven patients with open comminuted fracture and lost limb function were performed with wound limb amputation,3 patients with injuries without fractures and 1 patient with mandible combined head and neck wounds were immediately treated with surgical debridement,cephalosporins,and hyperbaric oxygen(HBO). Conclusion Gas gangrene was extremely rare in injury patients but it was life-threatening,so doctors should pay more attention.Cleaning-up the wounds and debridement were critical for prevention of infection,and HBO might serve as an useful assistant method.Smear examination of wound secretion was helpful in early diagnosis and treatment of gaseous gangrene after trauma.

The anti proliferation effects of four different concentrations of tea polyphenols on PG cell lines were determined with MTT assay. Laser scanning confocal mircroscopy and flow cytometry techniques were used to determine the changes in intracellular calcium concentration, GJIC, Cx43 expression, and cell cycle distribution after treatment with tea polyphenols. The results showed that four different concentrations dose dependently inhibited the proliferation of PG cell lines. It caused a decline in the proportion of cells in S and G2/M phase, blocked the cell cycle progression in G0/G1 phase, and reduced the proliferation index of PG cell lines. Compared with control group, intracellular calcium concentration, GJIC and Cx43 expression were gradually increased ascended with an increase in tea polyphenols concentration. The results suggested that tea polyphenol could inhibit growth of PG cell lines. The mechanism of anti tumor is associated with an up regulation of GJIC of PG cell line.

Objective To investigate the effects of resvertrol on apoptosis and the expression of apoptosis-regulated genes Bax in rats with experimental severe acute pancreatisis.Methods Totally 54 SD rats were randomly divided into 3 groups: sham-operation group(SO),severe acute pancreatitis group(SAP),and resveratrol-treated group(RES).In SO group the pancreases were slightly flipped only.The SAP model was set up by giving 40g/L sodium chrolate(1mL/kg) through pancreatic duct,and resveratrol(5mg/mL,10mg/kg) was given intravenously.Apoptosis of mucosal cells was detected by TUNEL methods,and the expression of Bax protein was determined by SP immunohistochemical technique.Results The apoptotic index of mucosal cells in SAP group at 3,6 and 12 hours after induction of severe acute pancreatitis was significantly higher than that in resveratrol-treated group((P

Objective To determine the degree of C 4 changes at precede or coincide with changes in systemic lupus erythematosus (SLE) activity by 5 global activity indices(PGA, M-SLEDAI, M-LAI, SLAM, and M-BILAG), and to evaluate the correlation between changes in C 4 levels and SLE activity in individual organ systems.Methods 53 lupus patients were observed monthly for 1 year in a longitudinal study. Lupus disease activity rate and complement levels were measured at each visit. Disease activity rates were calculated for subgroups defined by previous or concurrent changes in C 4 levels. Logistic regression models were used to determine the significance of the correlation between recent changes in complement levels and disease activity, and between changes in C 4 levels and SLE activity increased in specific organ systems.Results Lupus disease activity occurred at 12%,25%,13% and 12% respectively on PGA,M-SLEDAI,M-LAI,SLAM and M-BILAG. Disease activity by the M-LAI were more frequent when there was a concurrent decrease in C 4. Higher disease activity rates by the SLAM were correlated with previous increases in C 4. Decreases in C 4 were correlated with a concurrent increase in renal disease activity,or related to a concurrent decrease in the hematocrit levels and platelet count.Conclusions Reducing serum in C 4 levels were not consistently correlated with SLE disease activity, decrease in C 4 was correlated with a concurrent increases in renal and hematologic SLE activity.

Objective: 139 documents (10,646 cases of angina pectoris in patients with coronary heart disease) which were treated with traditional Chinese medicine (TCM) of angina pectoris were researched, the application and existing problems of TCM evaluation standards of the efficacy of angina pectoris were studied to determine constructive items (candidate indicatrix) of TCM evaluation standards. Methods: The efficacy evaluation database of angina pectoris was established by the literature search and the software Epidata2.0, recorded in the database, and statistical analysed. Results: There are many kinds of evaluation standards of TCM efficacy of angina pectoris, but the utilization rate of each standard is lower than 40%. The main constructive item in evaluation standards of angina pectoris should include: the effect of the disease, syndrome effects, physical and chemical indicatrix, important clinical event, quality of life, and so on. Conclusion: The current evaluation standards of TCM efficacy of angina pectoris can not meet the clinical needs. A received evaluation standard should be established. The evaluation of TCM efficacy of angina pectoris should adopt integrated multi-dimensional index system.

The research of modern Chinese herbal components compatibility is a complex systems engineering,based on the academic theories of combination of traditional Chinese medicine(TCM)and modern medicine as a guide,which is the development trend of integration of overall regulation and targeting effect.Angina pectoris is one of the most types of cardiovascular diseases,new drugs created by combination of the effective components of Chinese herbal medicines play an important role in the prevention and treatment of angina pectoris.There are many progresses in the clinical and experimental studies about treatment of angina pectoris through the way of components compatibility.The components compatibility are in the era of modern diseases,sciences and technology,based on the inheritance and innovation of TCM,and towards to found a system science in future.

Objective To test the degree of acceptance and understanding of the entries for patient reported outcomes of stagnation of qi and blood;To further optimize and modify the entries. Methods A small sample pre-survey and group interviews were used to get the feedback information abut entries of patients, then the panel discussed to modify entries according to the data information. Results After a small sample pre-survey and group interviews, 11 items for modification were obtained, including the rejection in physical pain, belching and so on. Through further optimization and modification, the entries for patient reported outcomes of stagnation of qi and blood covered 41 entries in physiological domain, 11 entries in psychological domain, 1 entry in independent domain, and 8 entries in social domain. Conclusion The core part of the entries for patient reported outcomes of stagnation of qi and blood was formed, which comprehensively reflects the connotation of stagnation syndrome of qi and blood.