1.Exploring the Generation and Academic Significance of the Nineteen New Pathogenic Factors Based on Zhou Zhongying's Ac-ademic Idea of"Identifying the Core Pathogenesis"
Ke LIU ; Pengfei XIE ; Huifang GUAN ; Qingwei LI ; Xiuyang LI ; Xiaotong YU ; Xiaolin TONG
Journal of Nanjing University of Traditional Chinese Medicine 2024;40(1):1-5
This article explores the application of Professor Zhou Zhongying's"focus on the core pathogenesis"concept in the con-text of epidemic hemorrhagic fever and examines how Academician Tong Xiaolin has inherited and developed Professor Zhou's experi-ences.Influenced by Professor Zhou Zhongying's academic thoughts and considering the contemporary context,Academician Tong Xia-olin,drawing on years of clinical experience,has proposed a new set of Nineteen Pathogenic Factors.Building upon the foundation of the Nineteen Pathogenic Factors in the The Yellow Emperor's Inner Classic,this new framework enriches and expands the understanding of disease location,etiology and pathogenesis,disease classification,and pays attention to a comprehensive understanding of diseases.It emphasizes that the process of seeking the underlying mechanisms should be approached from three aspects:dynamic,state,and condition,rather than solely focusing on the immediate clinical manifestations.This comprehensive approach to understand-ing disease development offers a fresh perspective and contributes to the application of traditional Chinese Medicine in the diagnosis and treatment of modern diseases.
2.Discussing the Inheritance,Innovation and Development of Chinese Medicine from Menghe Medical School
Chuanxi TIAN ; Pengfei XIE ; Huili HUANG ; Huifang GUAN ; Yue HU ; Qingwei LI ; Yingying YANG ; Xiuyang LI ; Shiwan HU ; Xiaolin TONG
Journal of Nanjing University of Traditional Chinese Medicine 2024;40(10):1024-1029
The Menghe Medical School is a highly influential academic school of Chinese medicine in China.Its academic features are mainly learning from others'strengths,openness and tolerance;integrity as the foundation,communication as the strength;harmo-ny as the way,and agility as the technique.The Menghe Medical School originated in Menghe,developed in Shanghai,spread all over the country,and spread around the world.The reasons for the prosperity and development of the Menghe Medical School are analyzed.Among them,imperial doctors being rewarded and supported,the stars having their roots in Menghe,inheritance from teach-ers by blood,help from in-laws,and the establishment of education and leadership in development are the main factors.On the basis of inheriting the scholarship of Menghe Medical School,Professor Tong Xiaolin innovatively proposed academic ideas such as the train-ing path of Xiang thinking,state-target differentiation and treatment,and dosage and effectiveness of prescriptions and medicines,pushing the academic thought of Menghe Medical School to a new theoretical peak in the new era.Based on the majestic development path of the Menghe Medical School,the implications for the inheritance,innovation and development of modern Chinese medicine are analyzed.
3.Advances of human chorionic gonadotropin in frozen-thawed embryo transfer
Chenxi YANG ; Xiuyang XIE ; Yu LIU ; Xiaoyan WANG
Chinese Journal of Reproduction and Contraception 2023;43(6):640-645
Human chorionic gonadotropin (hCG) is a signal factor produced before embryo implantation. In recent years, the effects of hCG in the process of embryo development and implantation and maintaining of pregnancy in the field of assisted reproduction have been deeply studied and applied. Due to the increase in the number of embryos formed in the fresh cycle, the application of preimplantation genetic testing (PGT), fertility preservation, and other technical demands, frozen-thawed embryo transfer (FET) has become an important part of assisted reproduction of humans. This paper reviews the current application of hCG in FET, including the application time, dosage, administration method, and pregnancy outcome of hCG in different FET protocols. Its application in women with thin endometrium and repeated failures of embryo implantation was also discussed. This paper also defines whether there are differences in the effects of hCG with different routes of administration and different sources of drugs.
4.Advances of human chorionic gonadotropin in frozen-thawed embryo transfer
Chenxi YANG ; Xiuyang XIE ; Yu LIU ; Xiaoyan WANG
Chinese Journal of Reproduction and Contraception 2023;43(6):640-645
Human chorionic gonadotropin (hCG) is a signal factor produced before embryo implantation. In recent years, the effects of hCG in the process of embryo development and implantation and maintaining of pregnancy in the field of assisted reproduction have been deeply studied and applied. Due to the increase in the number of embryos formed in the fresh cycle, the application of preimplantation genetic testing (PGT), fertility preservation, and other technical demands, frozen-thawed embryo transfer (FET) has become an important part of assisted reproduction of humans. This paper reviews the current application of hCG in FET, including the application time, dosage, administration method, and pregnancy outcome of hCG in different FET protocols. Its application in women with thin endometrium and repeated failures of embryo implantation was also discussed. This paper also defines whether there are differences in the effects of hCG with different routes of administration and different sources of drugs.
5.Integration of Traditional Chinese and Western Medicine in the Treatment of Liver Transplant Patient with Severe COVID-19: A Case Report
Chensi YAO ; Xiuyang LI ; Hui LI ; Weinan XIE ; Tingting BAO ; Danni ZHOU ; Mingzhong XIAO ; Abdulkeremu JULAITI
Journal of Traditional Chinese Medicine 2023;64(23):2457-2460
Liver transplant patients require lifelong immunotherapy, and if they are infected by SARS-Cov-2, their immune function will face double whammy. This report described the integrated approach of traditional Chinese and western medicine in the treatment of a liver transplant patient with severe COVID-19. The treatment was involved with western medicine such as antiviral, immunosuppressive, focusing on maintaining immune balance. Traditional Chinese medicine was given based on the differentiation of syndromes, targeting at the core pathogenesis and using methods such as promoting qi circulation, clearing heat and resolving dampness, draining lung and relieving panting. Following the treatment, the patient exhibited notable improvement in clinical symptoms and liver function, leading to the effective cessation of disease progression and a shortened recovery period.
6.Intention and satisfaction of people aged 18 to 25 years to seek medical advice in primary medical institutions in Zhejiang Province
XU Yunhan ; PAN Jiahao ; HE Yusa ; YE Bingqi ; XIE Renxiang ; MAIHEMUTI Tunishaguli ; XU Xin ; WANG Dina ; WANG Daosen ; YU Linjie ; CHEN Minhe ; YAN Ruochen ; XUE Kexin ; FU Yajing ; YE Huaizhuang ; WU Xifeng ; LI Xiuyang
Journal of Preventive Medicine 2020;32(8):767-773
Objective :
To analyze the status and influencing factors of the intention of people aged 18 to 25 years to primary medical institutions and their satisfaction for health services in Zhejiang Province, so as to provide basis for the improvement of health services in primary medical institutions.
Methods:
During November and December in 2019,the 18-25 year-old people in Zhejiang Province were recruited to investigate the general information, intention to seek medical advice and satisfaction for health services in primary medical institutions through WeChat. Logistic regression was performed to analyze the influencing factors of the intention and the satisfaction. Importance matrix was used to analyze the key drivers of the satisfaction.
Results:
Among the 620 people surveyed, with a response rate of 93.37%, 142 (22.90%) chose primary medical institutions for advice. Actually 516 (83.23%) people went to primary medical institutions last year, and 384 ( 74.42% ) of them were satisfied with the health services. The results of multivariate logistic regression analysis showed that the people aged 18-25 years who were under the new rural cooperative medical care system ( OR=3.062, 95%CI: 1.745-5.373 ) and who had records in community health centers ( OR=0.547, 95%CI: 0.308-0.970 ) were more likely to go to primary medical institutions for medical advice; the ability of doctors ( OR=1.478, 95%CI:1.168-1.871 ) ,the drug notification by medical staff ( OR=1.308, 95%CI: 1.065-1.606 ) , routine examination items ( OR=1.523, 95%CI: 1.227-1.889 ) , the ways of payment ( OR=1.168, 95%CI: 1.017-1.340 ) , the comfort of environment ( OR=1.785, 95%CI: 1.437-2.219 ) and the bulletin boards of health knowledge ( OR=1.302, 95%CI: 1.086-1.561 ) were associated with the satisfaction. The results of importance matrix analysis showed that the ability of doctors and routine examination items were the priorities to improve, followed by the drug notification by medical staff; the comfort of environment had competitive advantages; the ways of payment and the bulletin boards of health knowledge needed to be further analyzed.
Conclusions
The 18-25-year-old people in Zhejiang Province were less intended to seek medical advice in primary medical institutions, which was associated with the type of medical insurance and records in community health centers. They were satisfied with the health services, the ability of doctors and routine examination items were the key drivers.


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