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1.
Artigo em Chinês | WPRIM | ID: wpr-1031459

RESUMO

The essence of asymptomatic syndrome differenciation is that the disease is in a special stage or state. To perform traditional Chinese medicine (TCM) diagnosis when there was no symptoms for differentiation is a key scientific issue in current TCM diagnosis and treatment. The reasons include limitations in doctor-patient behaviors and relationships, as well as limitations in cognitive thinking. To address such situations, the following strategies can be adopted from a thinking perspective,i.e. grasping the occurrence and development of diseases based on a holistic concept, using dialectical thinking to summarize the laws of diseases, integrating clinical practice with experiential thinking, and introducing new thinking modes through interdisciplinary collaboration. These strategies help TCM practitioners make accurate diagnoses in the absence of obvious symptoms, thereby providing better medical services for patients.

2.
Artigo em Chinês | WPRIM | ID: wpr-1031508

RESUMO

The microcosmic syndrome differentiation is expounded from the the trinity life view of the body, qi, and spirit. This article analysed the relationship between micro-indicators and body, qi and spirit, considering that the abnormalities of micro-indicators in pathological states involve three different levels in terms of body, qi and spirit, and may reflect the degree of malfunction of body, qi and spirit and the dynamic changes of the focus during different pathological processes.Accordingly, based on the syndrome differentiation and treatment of traditional Chinese medicine, it is proposed that the macroscopic and the microscopic, the local and the whole, as well as the imbalance of body, qi and spirit reflected by microscopic and macroscopic indicators at different stages of disease should be combined to determine the corresponding treatment, thereby restoring the “harmony of body and spirit” of the human body.

3.
Artigo em Chinês | WPRIM | ID: wpr-1039643

RESUMO

Talents are the main force for the development of traditional Chinese medicine(TCM), and the construction of TCM talents and the reformation of talent evaluation system are essential to promote the inheritance and innovation of TCM. At present, we are still exploring and developing in the fields of the formulation, implementation and evaluation indicators of TCM talent evaluation system. However, there are shortcomings and difficulties. For instance, insufficient stratification in the evaluation, excessive emphasis on the quantity of achievements, neglecting the quality of the achievements and the actual contribution, imperfect assessment indicators, and the weak characteristics of TCM. Therefore, national ministries and commissions have jointly issued a document requesting to break the four only and set a new standard, in order to promote the construction of a scientific and technological talent evaluation system oriented by innovation value, ability and contribution. For the evaluation of TCM clinical talents, China Association for Science and Technology commissioned China Association of Chinese Medicine to build the China Clinical Cases Library of TCM(CCCL-TCM), which aims at collecting the most authoritative and representative TCM clinical cases and exploring the advantages of applying clinical cases as masterpiece of achievement in TCM clinical talents evaluation. CCCL-TCM can promote the construction of a talent evaluation system that is more in line with the development characteristics of TCM industry, and to carry out relevant pilot in TCM colleges and institutions across the country in order to promote the reformation of TCM talent evaluation system.

4.
Artigo em Chinês | WPRIM | ID: wpr-988797

RESUMO

From the perspective of systems science, it is believed that the health status in traditional Chinese medicine (TCM) is a collection of dynamic changes caused by the continuous mutual movement and exchange of material and energy between the giant system of human beings and the environment, and the accurate identification of this is helpful to understand the common characteristics as well as the development and evolution rules the human body. It is suggested to identify TCM health status based on gut microbiota characteristics, take systems science research method in combination with partial order structure theory to quantify and utilize the information carried by gut microbiota, and use gut microbiota information as a component of micro-parameters to identify TCM health status, thereby supplementing and improving the identification system of TCM health status. The combination of systems science and TCM will further the study of life and provide ideas for studying TCM health status from the perspective of system.

5.
Artigo em Chinês | WPRIM | ID: wpr-997259

RESUMO

From the perspective of cybernetics, this study investigated the fundamental principles of empirical thinking in traditional Chinese medicine, encompassing six stages: experience input and storage, experience extraction and activation, experience combination and reconstruction, judgment and decision-making based on experience, and experience evaluation and feedback. The potential limitations of empirical thinking in clinical applications were analyzed, mainly manifested as “individuality”, “superficiality”, “conservatism”, “prioritizing commonality over individuality”, and “cognitive inertia”. To overcome these limitations, this paper also explored strategies and methods for clinical error-correction from four points: the integration of rational and empirical thinking, the reinforcement of feedback mechanisms and transcendent correction, the integration of individualization and quantity-quality balance, and the management and transference of tacit knowledge under empirical thinking.

6.
Artigo em Chinês | WPRIM | ID: wpr-696068

RESUMO

KY3H is a traditional Chinese medicine health care service mode based on the existing problem,focusing on an interconnected and continuous integration of four key technological innovation,which promotes the service model transformation from passive "doctor-searching" to "asking yourself ".There are four features on KY3H mode.First,based on traditional Chinese medicine meridian and viscera theory,it can accurately identify the health status and take risk assessment of individuals through digital quantitative model.Then,the mode realizes the personalized health status recognition and precisious intervention through integrated technology products of dynamic monitoring and identification,assessment and intervention with independent intellectual property rights.The third is to improve the intelligence,realtime and accessibility of KY3H health care services through developing the Chinese-western medicine informationalized software system about health status identification,assessment and intervention.The last one is formulating traditional Chinese medicine health care standards,industry standards and service package design,which drive KY3H health service model spreading effectively and practical applying,achieving remarkable social and economic benefits.

7.
Artigo em Chinês | WPRIM | ID: wpr-562952

RESUMO

Objective: To explore the TCM pathogenic characteristic of hyperuricemia and its relation with renal function,Methods: Hyperuricemia rat models were established by the adenine and ethambutol.The models were treated with Simiaosan,Erchentang,Xuefuzhuyutang respectively.The indexes such as uric acid(UA),Crea(Cr),urea nitrogen(BUN)and xanthinoxidase(XOD) were detected.Results: ①Compared with normal group,the UA of and XOD in model group increased obviously(P

8.
Artigo em Chinês | WPRIM | ID: wpr-564637

RESUMO

0.05).Conclusion:The location of acne is liver and kidney which manly manifested as the heat syndrome.The syndrome is co-related to the changes of sexual hormones.

9.
Artigo em Chinês | WPRIM | ID: wpr-566981

RESUMO

Objective: To explore the tongue epithelial cell apoptosis quantitatively to analysis tongue demonstration change mechanism of perimenopausal syndrome by Chaihu Shugan Decoction. Methods: Patients with perimenopausal syndrome 60 cases, divided into kidney yin deficiency (30 cases), deficiency of both kidney yin and yang (30 cases), 30 healthy cases in normal group. The treatment course lasted for 2 months. The flow cytometry was used to detect the tongue epithelial cell apoptosis. Results: The tongue epithelial cell apoptosis rate of perimenopausal syndrome patients was higher than that in the normal group (P

10.
Artigo em Chinês | WPRIM | ID: wpr-567534

RESUMO

Objective:To explore the relationships of pathology of phlegm syndrome of TCM with blood sugar,insulin and insulin resistance in metabolic syndrome(MS).Methods:The information of 233 cases of MS was collected by four diagnostic methods,syndrome differentiation by syndrome element was used to analyze the diagnosis information,and the blood glucose,insulin and HOMA-IR were detected.Results:①Fasting blood glucose and 30 min,60 min,120min,180 min postprandial blood glucose level had positive correlation with phlegm.Correlation coefficient were 0.158(P

11.
Artigo em Chinês | WPRIM | ID: wpr-567732

RESUMO

Objective:To investigate the association between polymorphisms of estrogen receptor ? (ER?) gene (rs3020444) and perimenopausal syndrome (PS) in patients with liver qi stagnation syndrome (LQSS). Metheds:The ER?T/C genotype in 100 patients of PS of LQSS type (PS-LQSS group),86 patients of PS of non-LSDS type (PS-non-LQSS group) and 100 healthy subjects (control) was determined by polymerase chain reaction and restriction fragment length polymorphism (PCR-RFLP) assay. Results:Partitions of ?2 method showed that the higher prevalence of ER?-TT genotypes was noted in PS-LQSS group (?2=8.307,P=0.004),and the higher prevalence of T alleles was noted in PS-LQSS group (?2=7.129,P=0.008). and Multinomial logistic-regression indicated that the odds ratios (OR) of the ER?-TT genotypes vs TC/CC for PS-LQSS was 2.222 (95%CI:1.172-4.744,P=0.015) after adjusting for common miscellaneous factors. Conclusions:It was suggested that ER?-TT genotypes was significantly associated with PS-LQSS,and ESR?-TT may be one of the genes that contribute to PS-LQSS.

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