Discussing Differences of Different Traditional Chinese Medicine Schemes of COVID-19 Based on Principle of "Treatment in Accordance with Three Categories of Etiologic Factors" / 中国实验方剂学杂志

Since the outbreak of corona virus disease-2019 (COVID-19), the timely intervention of Chinese medicine has played an important role， it can significantly improve the clinical symptoms of patients, alleviate fever, cough, shorten the course of disease and reduce the conversion rate of mild disease to severe disease， moreover, it has obvious advantages in improving survival rate, prognosis and quality of life in patients. In order to make better use of the therapeutic effect of Chinese medicine and overcome the epidemic situation as soon as possible, various provinces, municipalities and autonomous regions have introduced local Chinese medicine treatment schemes in accordance with the geography, climate and epidemic situation. In this article, we have analyzed the similarities and differences among treatment schemes from the perspective of three factors, and it is believed that the onset season is the same for this disease, and the differences between treatment schemes mainly depend on geographical and climatic factors. The results showed that in seven regions of China, the early symptoms in warm and humid regions such as Central China, South China, East China and Southwest China were characterized by "wet, warm, hot, and toxic", and treatment schemes mainly adopted the recipes with clearing heat and detoxifying, strengthening spleen and removing dampness functions. The early symptoms in cold regions such as Northeast China, North China, and Northwest China were mostly characterized by "cold, wet, wind, and toxic", and the therapeutic recipes emphasized on the effects of expelling wind and cold, removing toxicity and dampness. Among them, the national plan with the Hubei epidemic situation as an important reference has gradually evolved from a single syndrome attribute of each period to both cold and hot syndromes with multiple treatment methods. With the development of the disease, epidemic toxin and toxic heat in the lungs are the main characteristics in the medium term, when the treatment mainly focuses on purging heat and removing toxins. In severe cases and advanced stage, internal block and outward desertion are the main symptoms, when the treatment mainly focuses on block dredging and relieving desertion. In the recovery period, deficiency of lung and spleen Qi, and deficiency of Qi and Yin are the main symptoms, when the treatment is mainly used to invigorate the spleen, tonify the lungs, and nourish Qi and Yin. The physical factors are mostly reflected in the prevention program, so they are rarely mentioned in the treatment program. The Chinese medicine treatment schemes of COVID-19 in different regions show obvious differences. It is of great significance to analyze these differences and sum up the corresponding laws for the differential prevention and treatment of infectious diseases like COVID-19.

Analysis on prevention plan of coronavirus disease 2019 (COVID-19) by traditional Chinese medicine in various regions / 中草药

To analyze the prevention plan of traditional Chinese medicine (TCM) issued by different regions after the spread of coronavirus disease 2019 (COVID-19) in Wuhan, Hubei Province, so as to understand the disease from the perspective of TCM and guide the clinical prevention and medication with TCM. The news and notices published on the internet were collected, from the first case of unexplained pneumonia in Wuhan officially reported on December 8, 2019 to February 1, 2020 in Beijing, Tianjin and other regions, and 13 programs of traditional Chinese medicine containing Chinese materia medica prescriptions to prevent COVID-19. Astragalus membranaceus, Yupingfeng Powder and other traditional Chinese medicines and prescriptions were often used in the 13 prevention programs for reinforcing vital qi. The epidemic occurred in winter, and the scheme was adapted to the local conditions. Ophiopogon japonicus, Scrophularia ningpoensis and other traditional Chinese medicine for nourishing yin and moistening dryness were mostly used in eight areas in the north, and Atractylodes lancea, Agastache rugosa and other aromatic dehumidification traditional Chinese medicine were mostly used in five areas in the south, the prevention plan was adapted to local conditions; Different prescriptions were adopted according to the variability of individuals to reflect the principle of suiting measures. In addition, we should also pay attention to the prevention measures such as isolation of pathogens, good living conditions, adjustment of emotions, diet and nutrition, and proper exercise. The prevention of COVID-19 by traditional Chinese medicine should pay attention to invigorating qi, dialectical prevention of drugs according to different climate, different regions and different groups of people, pay attention to comprehensive prevention, and flexibly use various measures to achieve the best prevention effect.

Professor WANG Peijuan's Experience in Treating Polycystic Ovary Syndrome / 浙江中医药大学学报

[Objective]Investigating Professor WANG Peijuan's clinical experience in treating PCOS from studying the kidney. [Method] This paper mainly studied by arranging and researching the tutor's theory and experience about treating PCOS that based on the practice in clinic with the teacher as a self perception,the collection about the PCOS cases of tutor's clinical treatment and the analysis of national and international relative literature combined with self-awareness. [Result]Professor WANG thinks that PCOS is the disorder of qi and blood and the transformation failure of kidney-Tiangui-Chongren-uterus, which leads to phlegm and blood stasis, blocking in the uterus and making menstruation lose its inhere periodicity. The disease is of the kidney deficiency and phlegm stagnation syndrome.[Conclusion]Professor WANG holds that to use the method of tonifying kidney properly and attach importance to the three categories of etiologic factors will be effective to the treatment of PCOS. Her experience can provide the basis for diagnosis and treatment about the disease.

Relación entre la recesión ósea y atrición en cráneos secos contemporáneos / Relationship between bone recession and attrition in contemporary dry skulls

Objetivos: El objetivo de éste estudio és observar la posible influencia de las fuerzas oclusales según el grado de atrición de las piezas dentarias sobre la altura de la cresta alveolar. Material y métodos: Se estudiaron dientes de cráneos secos de la época actual y secomparó el desgaste oclusal ó atrición (A) con la pérdida de altura de la cresta alveolar (CA) ó recesión ósea (RO) y ambos registros se relacionaron estadísticamente. Resultados: De todos los dientes estudiados 2 tuvieron grado de atrición (GA) 0, 170 grado 1, 96 grado 2 y 15 grado 3. Registrando la recesión ósea (RO) las medidas extremas promedio estuvieron entre 2,80mm y 5,30mm; la mayor RO promedio se encontró en la parte media de las caras libres (pieza 23) y la menor en distal (pieza 11). Conclusión: No hay correlación entre la recesión ósea y el desgaste oclusal ó atrición.

Aim: The aim of these work is to know the relaciònship between the bonerecessiòn and the attritiòn.Materials and methods: We taken 228 teeth belonging to 25 dry skullsof actual edge and we compare the bone recession (BR) with the occlusalwaer or attrition (A) and both to be related with a statistical analyses.Results: Of all the teeth studied, 2 had attrition degree 0, 170 degree 1,96 degree 2 y 15 degree 3. Regarding the BR the measures differ between2,80 to 5,30mm. The BR major average was in the middle of the free aspect(tooth 23) and the minor in distal (tooth 11).Conclusion: There are not correlation between bone recession andocclusal wear or attrition.

Recent trends in incidence and management of cleft lip and palate

Spontaneous Spinal Epidural Hematoma Mimicking Lumbar Disc Herniation

We experienced 5 surgically confirmed cases of spontaneous lumbosacral spinal epidural hematoma. There was no history of major trauma to the lumbar spine, anticoagulant use, or coagulopathy except repeated minor trauma. The clinical findings in spontaneous spinal epidural hematoma were identical to those in acute disc herniation. These cases were combined with diffuse disc bulging and located in one level of intervertebral segment. Etiologic factors, the clinical findings, bleeding source of lumbo-sacral spontaneous epidural hematoma are stressed with review of patient literature.

Etiologic Factors of Delayed and Non / 대한정형외과학회잡지

Delayed and non-union of the femur shaft fractures in adult have been increased in spite of improvement of method of treatment. In geheral, the principal factors predisposing to delayed and non-union have been known as infection, disturbances of the blood supply, poor immobilization (inadequate rigid fixation), distraction of fracture site. 43 cases of the femur shaft fractures in adult over 18 years old examined at the department of orthopedic surgery, Korea General Hosipital, during the period of January 1973 to January 1982, were divided into two Groups; Group A was 31 cases, which had been taken solid bony union as control group and Group B was 12 cases, which had been developed delayed and non-union. Group A and B were analysed to find out other etiologic factors such as liver function which were suspicious to result in delayed or non-union of the fracture except above mentioned principal factors. The results were as follows, l. In delayed and non-union group (Group B), the interval of age was 20 to 40 years of age, open fracture was 33.4% comparing to control(6.5%), comminuted fracture was 83%, comparing to control (42%), the time interval to operation was delayed over 2 weeks(18%) comparing to control(8%g), and gap between fractured ends after internal fixation was more than 2mm in 33% comparing to control(absent), and liver function, especially, SGOT, and SGPT was bad in 46% comparing to control(13.4%). 2. All 3 cases ot infection in fracture site were in delayed and non-union group, tracture level, associated injury and postoperative immobilization were not concerned with delayed and non-union between two groups.