ABSTRACT
Objective A prospective cohort study was carried out to assess the mortality and potential risk factors for primary liver cancer (PLC) in Haimen city of Jiangsu province.Methods The cohort involved 89 789 adult residents aged 25-69 years.Upon the entry of this project,each subject was asked to complete a questionnaire and to provide a blood sample of 10 ml.Surface antigen of hepatitis B virus (HBsAg) was tested by radioimmunoassay.All the subjects were followed-up every year for vital statistics and death certificate information until 2014.Cox proportional hazard model was used to estimate the hazard ratio (HR) and 95％ confidence interval (95％ CI) for PLC mortality associated with HBsAg status and other risk factors.Results During the 1 299 611 person-years of follow-up,a total of 2 583 PLC cases were identified,including 2 149 men and 434 women.Mortality of the PLC for men and women were 247.80/100 000 person-years and 100.38/100000 person-years,respectively.Among those who died of PLC,73.87％ had been tested HBsAg positive.HBV infection seemed the predominant risk factor for PLC and the HRs were 15.97 for men (95％CI:14.29-17.85) and 21.63 for women (95％CI:16.16-28.96) respectively.Ageing,cigarette smoking,previous history of hepatitis,and family history of HCC were factors associated with the increased risk for PLC.Conclusion People living in Haimen city had a high risk on PLC.HBV infection appeared the most important risk factor for HCC mortality in this area.
ABSTRACT
Objective A prospective cohort study was carried out to assess the mortality and potential risk factors for primary liver cancer (PLC) in Haimen city of Jiangsu province.Methods The cohort involved 89 789 adult residents aged 25-69 years.Upon the entry of this project,each subject was asked to complete a questionnaire and to provide a blood sample of 10 ml.Surface antigen of hepatitis B virus (HBsAg) was tested by radioimmunoassay.All the subjects were followed-up every year for vital statistics and death certificate information until 2014.Cox proportional hazard model was used to estimate the hazard ratio (HR) and 95％ confidence interval (95％ CI) for PLC mortality associated with HBsAg status and other risk factors.Results During the 1 299 611 person-years of follow-up,a total of 2 583 PLC cases were identified,including 2 149 men and 434 women.Mortality of the PLC for men and women were 247.80/100 000 person-years and 100.38/100000 person-years,respectively.Among those who died of PLC,73.87％ had been tested HBsAg positive.HBV infection seemed the predominant risk factor for PLC and the HRs were 15.97 for men (95％CI:14.29-17.85) and 21.63 for women (95％CI:16.16-28.96) respectively.Ageing,cigarette smoking,previous history of hepatitis,and family history of HCC were factors associated with the increased risk for PLC.Conclusion People living in Haimen city had a high risk on PLC.HBV infection appeared the most important risk factor for HCC mortality in this area.
ABSTRACT
Objective] Study on the exact meaning of Quhan in traditional Chinese medicine processing. [Methods] Based on studying the ancient and modern Chinese literature, with Sichuan pepper as the breakthrough point, we can analyze Quhan method of processing and the role. [Results] The process of Quhan is a component of the water or oil that is contained in the internal drug, which is transferred to the surface of the drug by frying or heap stuffy, it can not simply be regarded as to remove the water or oil from the drug. A correct understanding of Quhan is practically significant for people to master some of the traditional Chinese medicine processing degree and improve the treatment result of the drug instead of removing the water or oil from the drug. [Conclusion] Quhan is the method that the liquid substance is free to the surface of traditional Chinese medicine processing, which can make the drug's effect better.
ABSTRACT
OObjective] Study on“Shanghuo”connotation,expression and its application of the Chinese medicine.[Method] Based on studying the ancient literature,we can define the“Shanghuo”disease concept according to the anatomical site at the head part,pathogenesis with“Shanghuo”pathological features;We can summarize the specific words of“Shanghuo”disease expression according to a variety of pathogenesis. [Results]The common terms of“Shanghuo”disease include“Shangchong”“Chongshang”“Shangyan”“Yanshang”“Shangfu”“Shanggong”“Shangyue”“Huoyan”“Huosheng”“Shengyan”“Shangzhuo”“Shangteng”“Shangxing”,they are thirteen kinds.The category of“Shanghuo”disease includes“epistaxis”“toothache”“sore throat”“aphtha”“ kakostomia”“tongue pain”“tinnitus”“headache”“facial acne”and more than 30 species.Clearing-heat and nourishing-yin is not the only treatment for“Shanghuo”being divided into Yinhuo and Yanghuo. [Conclusion]“Shanghuo”disease is generally expressed through the specific words,the latter is intrinsically linked with the fire of different organs,the different parts of disease and the nature of disease.Treatment of“Shanghuo”should be based on syndrome differentiation.
ABSTRACT
Objective]Summarizing the thinking and experience for pediatric diseases of Zhi Yu QiaoKe. [Method]Analyse and induce the contents of“Clear-headed of Pediatric”, which was written by Zhi Yu QiaoKe ,elaborating his characteristics in treating pediatric diseases features.[Results]Zhi Yu QiaoKe amended the treatments and academic point of views, which were not conformed to the medical principles and practice proved to be errors, proposed“the differentiation of infantile convulsion of error theory”,“not hungry theory”; he considered that clinical cure, then pathogenesis diagnosis was accurate;medication must be care of primordial qi and spleen and stomach;in addition, we still should also focus on nursing and adhere to the taboo. [Conclusion]The Clear-headed Pediatric with precise arguments and appropriate classification reflects the author ’s advanced medical theory and excellent medication principle of dialectical thinking, rigorous medication principle and exquisite nursing technique, the clinical diagnosis and treatment rules and characteristics of a certain reference value for the modern clinical, worthy of promotion.
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Objective] To explore the treatment of cough caused by fire-evil from its pathogenic characteristics. [Method] To analyze the specificity about fire-evil invading lung for cough cases during the Qing Dynasty and Modern Times, with the basic theory of TCM and the discussion of past dynasties. [Results] Lung covering other viscera, fire flaming upward,cough easily caused by fire-evil, these are due to yin deficiency to see more, such as kidney-yin deficiency, heart-yin deficiency, liver-yin deficiency, there is also excess fire from the dyspepsia. The treatment should be fire-clearing, gas-dropping, yin-nourishing and removing food retention. [Conclusion] In the cough caused by other evil,it can also be modeled on the analysis of its pathogenesis and therapeutic rule.
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[Objective] Have a research on therapeutic methods of phlegm syndrome of Li Ziyi in Qing dynasty, to sum up his therapeutic experience of such syndrome.[Methods]Analysis on the related states and cases on the base of researches on the contents of “Approaches of phlegmatic scrofula ”which was written by Mr. Li, elaborating his characteristics in treating such syndrome. [Results] Mr. Li considered that phlegm syndrome can be classified into milder phlegm and scrofula according to its level of the patient ’s condition and therapeutic effect. He also believed that several aspects should be taken into consideration through the therapeutic process:treat by internal combing with external treatment ,pay attention to seven emotions and smoothen the temper, emphasize nursing care and obey to the contraindication strictly. [Conclusion]There are features in Mr. Li ’s view on phlegm and his treating method of phlegm syndrome. His treating method has a good therapeutic effect and it is worth popularizing.