ObjectiveTo identify the chemical composition of stem, leaf and peel ofCynanchumchinese R.Br..MethodsFourier IR spectra, the second derivative spectrum and two-dimensional correlation spectroscopy were adopted to identify IR of different parts ofCynanchumchinese R.Br..ResultsIt was found that the IR spectra of the leaf was similar to that of the peel but was different from the stem. What’s more, in the second derivative spectra of the leaf, it showed that the absorption peak was strong at the position of 1 543 cm-1, 1 515 cm-1, 1 499 cm-1 and 1 467 cm-1, respectively and there existed carbonyl absorption peak at 1 738 cm-1 and 1 659 cm-1 in addition. Therefore, it was inferred that flavonoids were the major components while less in the stem and peel.ConclusionsThe differences of the three parts aboutCynanchumchinese R.Br. were studied through IR spectrum macroscopically, which provided reference for exploring the constituents and clinical medication.

Objective To investigate the therapeutic effect of Xiaoxuan Kangfu capsule in treating psoriasis vulgaris. Methods All patients were divided into two groups randomly (60 patients in a control group and 60 patients in a treatment group). In the control group complex Qingdai capsule was given to the patients, with 4 pills for each time and 3 times daily. While in treatment group Xiaoxuan Kangfu capsule was given to the patients with 6 pills for each time and twice daily. 30 days consisted one treatment period for both groups. The patients undertook one to three treatment period according to the patients' pathogenetic condition. The rates of recovery and improvement and were compared. Results In the treatment group, 34 patients were cured (42.5%), and the total effective rate was 87.5%; while in the control group 14 patients were cured (7.5%), and the total effective rate was 72.5%. There was statistic difference between the two groups (P＜0.05). The average heal time of the treatment group was shorter than that of the control group, showing statistic difference (P＜0.05).Conclusion Xiaoxuan Kangfu capsule showed higher recovery rate, shorter healing time and lower recurrence rate in treating psoriasis vulgaris than complex Qingdai capsule. The treatment is deserving clinical spread.

BACKGROUND:Extracorporeal shock wave (ESW) therapy is using principles of liquid-electric conversion and transfer to produce energy gradient difference and torsional tension in tissues with varied density.It is a matured technique in treating urinary and digestive system calculosis.However,the applications of ESW in treating nonunion or delayed osseous union are few.OBJECTIVE:To explore the therapeutic effects of ESW in treating nonunion or delayed osseous union by animal experiment and clinical verification.METHODS:The effect of ESW on periosteal metabolism was explored by focusing extracorporeal wave on bone tissues,and the autoradiography of H~(3-)TdR labeling rate was observed by animal experiment.ESW was used to treat nonunion patients (n=16) or delayed osseous union patients (n=16),and the follow-uP results were evaluated.RESULTS AND CONCLUSION:By autoradiography,the H~(3-)TdR labeling rate was greater in the experimental sides than that of the control sides at 1 and 2 weeks after operation (P＜0.05-0.01),which confirmed that the mitotic activity of periosteal osteoblasts was increased,namely,endosteal osteogenesis was enhanced.Clinical verification results demonstrated that,at 16 weeks after operation,16 patients with delayed union were all cured,13 were cured among the 16 cases of nonunion,and the remained 3 cases had notably callus formation.No adverse events occurred in all cases.The results suggested that it is reliable to treat nonunion or delayed osseous union using ESW therapy.

Phacoemulsification cataract extraction and intraocular lens (IOL) implantation has become the mainstream treatment of cataract.But the postoperative residual astigmatism still influences the postoperative uncorrected visual acuity.Reduce residual astigmatism is currently the ophthalmologists' pursuit.The formation of the residual astigmatism is affected by various factors,which mainly associated with preoperative corneal astigmatism and surgically induced astigmatism.Except for the above reasons,residual astigmatism after Toric IOL implantation has its special reasons.Understanding the reasons of formation of residual astigmatism can provide us the methods how to reduce it.This paper reviewed the causes of the residual astigmatism after phacoemulsification cataract extraction and IOL implantation.

Doctor Wu Songkang’s scholar thought and clinical experiences on TCM internal medicine are mainly featured with emphasis on analyzing and differentiating pathological conditions in accordance with the eight principal syndromes,from defining disease nature,recognizing diseased organs and position;not dealing with the same “syndrome” on chronic and refractory diseases,continually differentiating with the changing symptoms,the method being changed with different symptoms,drug with syndromes.

Pointing to the view of TCM being the theoretic medicine,by connotation division of experience and theory,the discussion on TCM theoretic features as well,it puts forwards we can not generally call TCM as theoretic medicine,or western medicine(WM)as experience medicine.If you shall insist on above,TCM is only metaphysics theoretic medicine,i.e.the philosophical medicine in earthily speaking.

The incidence of colorectal cancer increased yearly,and more than 50％ patients had liver metastases.As continuous development of recognition and treatment of colorectal liver metastases,it now has been reckoned as a potentially curable disease,and its prognosis has been improved significantly.However,how to choose the reasonable treatment is a problem for us.The standardized treatment of colorectal liver metastases should include imaging examination,surgical treatment and multi-disciplinary treatment,and individualized treatment should be considered.In this article,the selection of proper imaging examination,comparison of different treatment methods,surgical treatment of liver metastases and multi-disciplinary treatment are discussed.

Objective:To study the correlation between medical professionalism construction and hospital serv-ice quality improvement .Methods:Questionnaire was used to collect data about patients feedbacks of medical pro -fessionalism in the third-level hospitals in Baoji in 2013 .The correlation between doctors'performance and public services and improving the hospital service quality was analyzed .Results:Occupation responsibility , doctor-pa-tient integrity , doctors giving patients help , medical fees , service consciousness , attitude , quality and efficiency have related to improving the hospital service quality .Conclusion:The Hospital should strengthen the communica-tion between doctors and patients , pay attention to the humanistic quality training , improve the quality of hospital service .

Objective To observe the effect of bicyclol tablets in preventing liver damage caused by anti -tu-berculosis drugs .Methods According to the different treatment method ,100 tuberculosis patients were divided into the treatment group and the control group ,each group 50 cases.Both groups were given standardized anti-TB treat-ment,while the treatment group were added to bicyclol tablets throughout the treatment ,and add the control group were added to silibinin capsule throughout the treatment .The liver damage of the two groups were compared .Results There were 6 cases who had liver damage in treatment group (6.0%),and 20 cases who had liver damage in the con-trol group(20.0%),and there was significant difference between the two groups (χ2 =8.66,P<0.01).Conclusion Bicyclol tablets is more effective in preventing liver damage caused by anti-tuberculosis drugs than silibinin cap-sules.

Objective To observe and analyze the clinical effect of laparoscopic assisted vaginal hysterectomy and vaginal hysterectomy for non prolapse of uterus.Methods From March 2015 to April 2016,126 cases of uterus benign lesions received surgical treatment in our hospital were selected and divided into observation group and control group.The observation group was given laparoscopic assisted vaginal hysterectomy resection,while the control group was given routine vaginal hysterectomy.The blood loss,operative time,hospitalization time and complications incidence were compared between two groups.Results The operation time and the amount of bleeding in the observation group were significantly higher than that in the control group,the difference was statistically significant (P ＜ 0.05).The length of stay in the observation group was significantly shorter than that in the control group,the difference was statistically significant (P ＜ 0.05).There was no significant difference in the incidence of surgical complications between the two groups (P ＞ 0.05).The quality of life of the two groups was compared with the total score,the observation group was higher (230.79 + 9.54),P ＜ 0.05,the difference was statistically significant.Concltsion Laparoscopic assisted vaginal hysterectomy and vaginal hysterectomy in the treatment of non prolapse uterus has a good clinical effect,should be chosen and applied based on the actual situation of patients.