1.Differentiation and Treatment of Allergic Rhinitis from the Perspective of "Latent Pathogen-Induced Constraint of Defensive Qi"
Feng ZHANG ; Linglong LI ; Fu SHU ; Anjun TAN ; Yingjie SONG ; Mujun SHEN ; Kaiqi CHEN ; Chanxiu LI ; Juan XIONG ; Dehong MAO
Journal of Traditional Chinese Medicine 2026;67(21):2349-2353
It is proposed that although allergic rhinitis manifests primarily in the nasal orifices, its root lies in deficiency of the lung and spleen and insecurity of the lung defensive qi, while deficiency of healthy qi with latent pathogen, triggering by external stimuli, and constraint of defensive yang constitute the key pathogenesis. The onset of disease is not caused solely by newly contracted external pathogens. Rather, on the basis of insecurity of the lung-defense qi, external stimuli such as wind-cold and abnormal qi, dust mites, pollen, and sudden climatic changes, activate the latent pathogen, resulting in constraint of defensive yang, disharmony between nutritive and defensive qi, impaired diffusion of lung qi, failure to contain body fluids, and dysfunction of the nasal orifices. The disease progression can be summarized as following steps, deficiency of healthy qi with latent pathogen, activation by external stimuli, constraint of defensive yang, dysfunction of the nasal orifices, incomplete elimination of the pathogen and incomplete recovery of healthy qi. The general therapeutic principle is to consolidate the defensive qi and vent the latent pathogen while regulating the lung and nasal orifices simultaneously. The empirical prescription Xingui Fangzhi Decoction (辛桂防芷汤) is used as the basic formula and modified dynamically according to the attack and remission stages. During the attack stage, treatment focuses on dispelling wind and cold, regulating defensive qi, and venting the latent pathogen; during the remission stage, it emphasizes supplementing qi, consolidating the defensive exterior, and reinforcing the spleen to resolve the latent pathogen.
2.The effect of independent E-buying skill training on the rehabilitation of patients with schizophrenia
Mujun FU ; Huizhen HUANG ; Yanping GU ; Weiwei JIANG
Chinese Journal of Practical Nursing 2020;36(31):2425-2428
Objective:To explore the effect of independent E purchasing skill training on social function rehabilitation of long-term inpatients with schizophrenia.Methods:A total of 42 inpatients with schizophrenia was divided into control group (22 cases) and experimental group (20 cases) by the random number table method. The control group was treated with traditional routine nursing and drug therapy, while the experimental group was treated with independent E purchasing skills training and drug therapy. The curative effect was evaluated by the Positive and Negative Syndrome Scale (PANSS), General Self-Efficacy Scale (GSES), Scale of Social function in Psychosis Inpatients (SSPI) before the intervention and at the end of the 12th week of intervention.Results:After 12 weeks intervention, the total score of PANSS in the experimental group was (44.60 ± 5.68), of which the positive symptom was (8.50 ± 1.47), the negative symptom was (11.90 ± 2.79) and the general psychopathology was (24.05 ± 3.02). In the control group, the scores of each type were (58.95 ± 9.62), (10.36 ± 3.67), (18.00 ± 4.67) and (30.59 ± 5.13). The difference between the two groups were statistically significant ( t values were -5.810- - 2.119, P<0.05). After 12 weeks intervention, the score of GSES in experimental group was (3.45 ± 0.48) and in control group (2.29± 0.69), the difference was statistically significant ( t value was 6.256, P<0.05). After 12 weeks intervention, the total score of SSPI was (38.90 ± 2.72), the score of the subjects' ability of daily living was (10.95 ± 1.19), the mobility and communication (15.45 ± 1.57), social activity skills (12.00 ± 1.34) in the experimental group. The scores of each type were (25.32 ± 6.36), (8.36 ± 1.59), (9.95 ± 2.75) and (7.00 ± 2.56) in the control group, the differences were statistically significant ( t values were 5.918-8.513, P<0.05). Conclusions:Independent E-purchasing skills training can improve the mental symptoms of long-term inpatients with schizophrenia, improve the self-efficacy and social function of inpatients with schizophrenia, and promote the rehabilitation of social function.

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