In order to clarify the inter-relationship between getting qi and arrival of qi, the relevant theory in the Inner Canon of Yellow Emperor is re-considered, and then the relationship of the two concepts by combining with some opinions from scholars is compared and analyzed. Getting qi is the signal of acupuncture at an acupoint; also it is a sign of arrival of qi at an acupoint; what's more, it is the premise for reinforcing or reducing manipulation. The sensation of arrival of qi comes from both doctors and patients, characterized with explicit symptoms including "tight and swift", "sunken, sticky and tight", "light, loose and slow", "warm at the acupoint" or "cold at the acupoint" as well as implicit symptom including "qi moving along the meridians"; also there is the condition of qi regulation that is characterized with "paced and harmony" stomach qi. The arrival of qi could be divided into "qi moving to the needles" and "qi traveling to the diseases". The "qi moving to the needles" has similar meaning to getting qi. The "qi traveling to the diseases" is reflected as "qi arrival with efficacy" and characterized as an immediate effect or a delayed effect. There are differences between the concepts of getting qi and arrival of qi. Getting qi focuses on the importance of the doctor during acupuncture processes (differentiate the nature of qi, guard qi, manipulate qi), which also suggests the clinical significance of implicit getting qi. "Arrival of qi" emphasizes "qi arrival with efficacy", and indicates that during treatment the differences of the exterior or interior and deficit or surplus should be distinguished. For external and shallow diseases involving myofascia-related diseases, miu needling and shallow needling can achieve an immediate treatment effect; for deep, internal and deficient diseases, reinforcing or reducing manipulation should be used to achieve stomach qi, which has delayed effects but can be used as an indicator. It is believed that pulse diagnosis shall not be neglected in clinical treatment of acupuncture.
Acupuncture Therapy ; history ; China ; History, Ancient ; Humans ; Medicine in Literature ; Medicine, Chinese Traditional ; history ; Meridians ; Qi ; history

Objective To analyze the assessment results and summary the work experience of malaria elimination in Baise City. Methods According to The malaria elimination evaluation schemes of Guangxi(2014 edition),the examination and evaluation of malaria elimination were carried out and all the results were analyzed in 12 counties(county?level city or district) of Baise City from 2014 to 2015. Results Since 2009,there were no local malaria cases and imported secondary cases in Baise City for the 6 consecutive years,and the detailed data were collected and the self?assessment reports of malaria elimination were written in all the counties. There was no omission or delay of malaria case reports in the 12 counties. The highest score of the ex?amination and evaluation was 96.58 points,the lowest was 90.76 points,and the average was 93.77 points. The biggest impact on the evaluation scores was“on?site examination”. Conclusion All the 12 counties(county?level city or district)of Baise City have passed the municipal examination and evaluation of malaria elimination,and the key of next work is malaria monitoring, timely finding and treating the imported malaria patients,and to guarantee no imported secondary cases.

Humans ; Infant, Newborn ; Precursor Cell Lymphoblastic Leukemia-Lymphoma ; congenital

Tissue factor(TF)is the most important factor in the physiological coagulation process.TF also plays important roles in tumor growth,angiogenesis,invasion and metastasis by combining with factor VII.In recent years,targeted therapy for the TF has made remarkable progress,showing its significant inhibition of tumor tissue and metastasis.

Objective Face-down positioning after vitrectomy and gas tamponade is still the standard position for patients with rhegmatogenous retinal detachment.The study was to compare the nursing effects of face-down position and flexible position after vitrecto-my for the repair of rhegmatogenous retinal detachment. Methods We investigated 120 cases of patients with rhegmatogenous retinal detachment in this study.All patients received vitrectomy with long-acting gas for tamponade, 60 patients in face-down position and 60 in the flexible position.Patients were followed up for 6 months.Observation was made on the rates of anatomical retinal reattachment and postoperative complications between the groups. Results The rates of anatomical retinal reattachment after surgery were 88.33%in the face-down position group and 100% in the flexible position group respectively.As to the satisfaction of position, the flexible position group was 100%, which was much higher than 41.67%in face-down position group(P<0.01). Conclusion Flexible position nurs-ing after vitrectomy and gas tamponade for rhegmatogenous retinal detachment repair is safe and effective.Flexible position can replace face-down position for the comfort of patients with rhegmatogenous retinal detachment after vitrectomy with gas tamponade.

Objective To observe the patients hemodynamic reactions to the different stimula-tions under different blood concentrations of propofol with remifentanil.Exerting the response surface methodology,the half of the maximum effective concentration of propofol and the interaction index of propofol with remifentanil were calculated.Methods A total of 120 patients for scheduled abdominal surgery,randomly divided into 12 groups(n = 10).TCI 12 different concentration combinations of propofol with remifentanil,also the the hemodynamic reactions to harmful stimulations of intubation and incising were observed.The data were analyzed by responding surface analysis.Results The in-teraction index of propofol and remifentanil under intubation was 0.523 0±0.223 7,that under inci-sing 0.361 3±0.148 4,half of the maximum effective concentration of propofol for intutation and in-cising was (6.878 7 ± 1.832 1 ) μg/ml and (4.41 1 6 ± 0.902 5 ) μg/ml respectively. Conclusion Propofol and remifentanil have a synergistic inhibitory effect on harmful cardiovascular reaction among Chinese.During the endotracheal intubation,the requirements of half of the maximum effective concentration of propofol and intensity of the synergy with remifentanil are greater than those during the incising.

After percutaneous coronary intervention (PCI) was performed,since CHD risk factors still exist, coronary restenosis rate remains high.Therefore, self-management after PCI is very important.The present article made a review on current condition and research progress of self-management in patients after PCI, aiming at providing reliable evidence for rehabilitation after PCI.

Objective To apply sandplay therapy in cerebral palsy children's parents for the psychological problems. Methods 40 parents of cerebral palsy children were randomly divided into experimental group (n=20) and control group (n=20). The experimental group accepted sandplay therapy once a week for 10 weeks, and the control group without any intervention. All the parents were assessed with Symptoms Check-List 90 (SCL-90), Self-Esteem Scale (SES), compliance questionnaire, Quality of Life Questionnaire-Core 30 (QLQ-C30) before and after the experiment. Results The scores of all the factors of SCL-90 were lower in the experimental group than in the control group (P<0.05), with the higher scores of compliance and self-esteem (P<0.05), and the high quality of life in physical function, role in work and social function (P<0.05) in the experimental group. Conclusion Sandplay therapy can be used to solve the psychological problems of cerebral palsy children's parents, and improve their compliance, self-esteem and quality of life.

AIMTo isolate and purify gonyautoxins from Alexandrium mimutum Halim Amtk2 strain.

METHODSThe ethanol extracts of culture Alexandriun minutum Halim Amtk2 were isolated by means of gel filtration chromatography, the toxin fraction obtained was then purified by ion exchange chromatography.

RESULTSFrom 100 liter of cultivation liquid of Alexandrium mimutum Halim Amtk2 (6.74 +/- 0.31) x 10(9) cells were obtained. The ethanol extracts of Alexandriun minutum Halim purified by gel filtration chromatography obtained gonyautoxins mixture 29.59 mg. 4.06 mg of the mixture was further purified by two steps of ion exchange chromatography, and obtained pure GTX-4 (0.40 +/- 0.002) mg, GTX-1 (5.95 +/- 0.03) x 10(-2) mg, GTX-3 (6.92 +/- 0.05) x 10(-4) mg and GTX-2 (0.11 +/- 0.005) mg.

CONCLUSIONPure gonyautoxins can be obtained by means of gel filtration chromatography and ion exchange chromatography from ethanol extracts of cultured Alexandriun minutum Halim Amtk2 strain.

Animals ; Chromatography, Gel ; methods ; Chromatography, Ion Exchange ; Dinoflagellida ; chemistry ; Marine Toxins ; chemistry ; isolation & purification ; Molecular Structure ; Saxitoxin ; analogs & derivatives ; chemistry ; isolation & purification