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Objective:To construct the evaluation index system of nursing quality in nurse-led Traditional Chinese Medicine (TCM) clinic, and to provide a tool for evaluation of nursing quality in nurse-led TCM clinic.Methods:Based on Donabedian three-dimensional quality model of "struction-process-outcome" the inital index system of nurse-led TCM clinic was formed through literature review, evidence level and quality evaluation were conducted based on Johns Hopkins evidence-based nursing method. Through 2 rounds of experts′ consultation, the index system was finally determined. The index weight was calculated by analytic hierarchy process.Results:Two rounds of experts consultations resulted in the effective response rate of 95.65%(22/23) and 86.36%(19/22), the expert authority coefficient was 0.80 and 0.81, coefficients of variation ranged from 0.043 to 0.326 and 0.000 to 0.215, and the Kendall coordination coefficient was 0.261 and 0.214, respectively, showing statistically significant difference ( P<0.05 for both); the final indicator system consisted of 3 first-level indicators, 9 second-level indicators and 53 third-level indicators. Conclusions:The evaluation index system of nurse-led TCM clinic has good reliability, and can provide reference for the evaluation of nursing qualityin nurse-led TCM clinic.
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[Objective]To research professor ZHANG's clinical experience in treatment of metrorrhagia. [Methods] By following professor ZHANG diagnosis long time, it summarizes ZHANG's experience of Chinese medicine treatment on uterine bleeding and academics from the etiology and pathogenesis.[Results] ZHANG thinks that the pathogenesis of metrorrhagia, both cold and heat, will cause Chong Ren imbalance, so the method to reconstruct the menstrual cycle as the fundamental purpose, comprehensive use of TCM and western medicine adjuvant hormonal therapy. In the acute hemorrhage, the use of clearing heat and bleeding, liver-spleen -harmonizing remission with artificial cycle therapy according to syndrome differentiation and treatment of hemorrhage, clarifying the source and rectifying the primary on the basis of syndrome making a better clinical effect during the remission. [Conclusion] Professor ZHANG's treatment of uterine bleeding experience, unique, has a strong clinical significance, with learning and promotion of application value.
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Objective] The article summarizes the treatment based on syndrome differentiation experience of flower medicine in functional gastrointestinal diseases.[Methods] It was summarized about the academic point of view of TCM flowers in functional gastrointestinal diseases and experience in clinical practice through the studying for flower herbs in the Classic and teacher's clinical practices as well as my practices, and with cases. [Results]It involves in various factors such as TCM theories of qi and blood yin and yang of the spleen and stomach as well as abnormality of emotion, mind disorder, pathological phlegm, diet and environment Qi, based on the function disharmony of spleen and stomach. And natural plant-flowers, it is well-informed, high nutrient, sweet tone, promoting the circle of qi and blood, relieving pain and improving emotions and sleeping, containing a variety of pharmacological components, less toxicity and side effects, in different doses and compatibility rules, it generates multiple synergistic effect.[Conclusions] Traditional Chinese flower medicine has the unique feature, and is worthy of popularization and application.
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[Objective] To primarily explore the academic features of generations of Shanghai Cai ’s gynecological school treating uterine bleeding. [Method] Through related records of “Jiangwan Cai’s Gynecology Summary”, “Proved Recipes of General Treatment”, and following-up teachers’clinic, make study on Cai’s gynecological school’s clinical experience in treating uterine bleeding in generations and summarize the features. [Result] Cai ’s gynecological school not only paid attention to Qi and blood, searching for the primary cause of disease in treatment, regulating Chong and Ren channels, with brisk drugs, and other whole academic features, but the successors of generations also integrated and made cutthrough in inheritance, absorbed new knowledge, continually made development with respective features. Such as:4th generation Yanxianggong cleared heat at first then made warm nourishment longer; 5th generation Xiaoxianggong mostly tonified Qi and Ying and regulated and stopped bleeding; the 7th Pro. Cai Xiaosun firstly differentiated Yin and Yang, mainly sought cause, then hemostasis, afterwards applied Cai ’s periodical therapy for regulating Chong and Ren, reestablishing menstrual circle;one of the 8th successors Huang Suying director mainly uses obstruction-removing therapy in treating blood-stasis uterine. [Conclusion] Cai’s gynecological school treating uterine has obvious features, with marked cure effect, worth research and study.
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Objective]The article summarizes the experience of professor Zhou Enchao in treating diabetic nephropathy . [Methods]Pro.Zhou Enchao treats diabetic nephropathy by pairing drugs; discuses the clinical experience of professor Zhou Enchao in the treatment on diabetic nephropathy from the pathogenesis,treatment,and one case. [Results]Professor Zhou Enchao believes that the disease is caused by Qiyin deficiency, mixed with wet ,Fengxie and blood stasis. Pro.Zhou Enchao treats diabetic nephropathy by pairing drugs,such as astragalus membranaceus and Chinese yam,radix rehmanniae recene and radix scrophulariae,corn stigma and loofah sponge,stiff silkworm and scorpio,salvia miltiorrhiza and earthworm. And these usually lead to good curative effect. [Conclusion]Professor Zhou's clinical experience in treating diabetic nephropathy from pairing drugs is well worth extending in clinic for it always has significant effect.
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In this article,the authors analyzed the current status of the therapeutic effect evaluation of TCM and proposed some measures to improve the current therapeutic effect evaluation of TCM,quantificated messages from TCM four diagnostic methods,explored biological parameter reflected essence of diseases,introduced quality of life scale and PRO,in the hope of establishing a comprehensive system of therapeutic effect evaluation reflecting the superiority and characteristics of theory of body and spirit.