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Objective To evaluate the efficacy of Yangsheng-Yishen decoction combined with irbesartan in the treatment of early diabetic nephropathy (DN).Methods A total of 95 patients with early DN who met the inclusion criteria were randomly divided into control group (47 cases) and treatment group (48 cases).The control group was treated with irbesartan,while the treatment group was given Yangsheng-Yishen decoction on the basis of the control group.The two groups were treated for 6 months.The FBG,HbAlc,urinary albumin excretion rate (UAER),Scr,TG,TC,LDL-C and HDL-C were detected by automatic biochemical analyzer.The level of vascular endothelial growth factor (VEGF),platelet derived growth factor (PDGF),tumor necrosis TNF-α and transforming growth TGF-β were measured by elisa assay,and the clinical efficacy was evaluated.Results After treatment,the levels of FBG,HbAlc,UAER and SCr in the treatment group was significantly lower than those in the control group (t=3.886,4.056,9.346,8.806,all P＜0.01).After treatment,the serum TG,TC and LDL-C of the treatment group were significantly lower than those of the control group (t=8.294,12.800,6.153,all P＜0.001),and HDL-C was significantly higher than that of the control group (t=4.293,P＜0.01).The levels of serum VEGF,PDGF,TNF-α and TGF-β in the treatment group was significantly lower than those in the control group (t=13.585,11.613,10.774,10.490 respectively,all P＜0.01).Conclusions The Yangsheng-Yishen decoction combined with irbesartan can reduce blood sugar,blood lipid and urinary protein level in early DN patients,improve renal function.
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ObjectiveTo assess the reliability and validity of Chinese version of tools in measuring yangsheng.MethodsChinese version of tools in measuring yangsheng was administered to 706 elderly citizens and evaluated for the reliability and validity.ResultsThe fittingness of the both exiting model were unidentified.A model of six factors and twenty-six items was determined using exploratory factor analysis.The fitness of such model was perfect ( RMSEA =0.050,AGFI =0.871,GFI =0.902,NFI =0.903,CFI =0.953 ) and all the construct reliability were more than 0.6 while the average variance extracted were higher than 0.5 except the diet yangsheng factor.The Cronbach's α of Chinese version of tools in measuring yangsheng was 0.918 and Cronbach's α of factors were all above 0.7.ConclusionThe Chinese version of tools in measuring yangsheng appears to have good validity and reliability to estimate the Yangsheng of elderly citizens in China.
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Moxibution therapy, along with acupuncture and herb therapies, has long been one of major traditional therapies in East Asia. It has history of over two thousand years. Since ancient days Artemisia, the material of moxa was gathered up in early May and used for the purpose of protection against outer evil materials.Some of the medical texts excavated from Mawangtui tomb _??__??__??__??__??_ in 1973 suggest that around 2 B.C.fumed moxa was used for disinfection of the operated parts in body. We can also find in the Mawangtui medical texts the first description on moxibution therapy based on meridian theory. But it is not until the publication of Zhenjiu Jiaouyijing _??__??__??__??__??_ that detailed correspondence between diseases and treating points (acupoints) was made clear.<BR>Qianjinyaofang _??__??__??__??_ and Waitaimiyaofang _??__??__??__??__??_, both published in Tang period, left a strong in-fluence over the practice of moxibution therapy in later period. Qianjinyaofang has a lot of articles indicating superiority of moxibution to acupuncture therapy. It also gave moxibution therapy a new concept, ’Yangsheng (prophylaxis) _??__??_’.Wangtao_??__??_, the author of Waitaimiyao, depended much on Qianjinyaofang for hiswriting, and recorded only moxibution therapy. Ishinpo _??__??__??_, the first comprehensive medical text in Japancompiled by Tanba Yasuyori (_??__??__??__??_) in the late 10th century, is wealthy of excerpts from these twobooks. In medieval Japan, moxibution therapy achieved dominant position in the cure of disease while acu-puncture was applied mostly for surgical operation.<BR>The influx of medical books from Ming China since the 16th century enabled Japanese physicians to domore detail and careful analysis of moxibution therapy. Leijingtuyi _??__??__??__??_ and Huangdimingtangjiujing_??__??__??__??__??__??_ were the main objects of their research. It is also notable that in Edo Japan, the therapy waspracticed not only by physicians, but practiced also among the commonality for the purpose of their health care. Actually, in many parts of Japan moxibution therapy has been practiced among families as an annual event in community.<BR>The discovery of the New Continent in the late 15th century brought many Westerners to East Asia. The knowledge of moxibution therapy was transmitted to Europe by the Jesuit priest and physicians who were in-terested in the natural history of Japan. In Nippojisho _??__??__??__??_, a Japanese-Portuguese dictionary printed in1603 at Nagasaki, we can find some words regarding moxibution. Engelbert Kaempfer, a German physician who did botanical research in Japan in 1690-92, published in 1712 Amoenitatum Exoticarum in which he in-troduced moxibution therapy. In this best selling book, he made very interesting comparison between Japanese moxibution and the similar therapies practiced in Arabic world. He also inserted a chart of moxibution points, reprinted from a kind of pamphlet on moxibution, Kyushokagami _??__??__??_.<BR>Erwin von Baeltz, a German physician who stayed in Japan for more than thirty years in the second half of the 19th century and contributed much to the foundation of western medicine in Japan, left a photo of a male patient with Hansen’s disease with many burning dots of moxibution on his body. Though it was already reported in the 17th century by Willem ten Rhijne that moxibution was applied to Hansen’s disease in Japan, Baeltz’s photo is quite rare proof of the practice.
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OBJECTIVE: The basic concepts and methods applied in the techniques of Taoistic meditation, Yang- Sheng-Sul are analyzed and interpreted from the medico-psychological viewpoint with special reference to the descriptions on Yang-Sheng in the Korean classics of traditional medicine, Dong-Ui-Bo-Gam. RESULTS AND CONCLUSION: 'Dong-Ui-Bo-Gam' has adopted mainly the Taoistic concepts of body as microcosm and concepts of three basic vital forces of Ching, Chi, Shen, three fields of Tan, the incorruptible essence and its circulating routes in the body. The Taoistic breathing techniques Bok-Ki and physical exercises Do-In are based upon the belief on the metaphysical views of body and life. The concepts of three vital forces Ching, Chi, Shen the nurturing of which is regarded as the ultimate goal of Taoistic Yang-Sheng are taken into consideration. These concepts can be comparable to the concept of 'psychoid function' in terms of Jung, the intermediator between soma and psyche. The concepts of Ch(n Shim(Heaven's Heart), Tao, Tan(the corruptible body), Tae-Shik(the fetal breath) represent the symbols of Self in terms of analytical psychology of Jung. Yang-Sheng-Sul can be regarded, in comparison with the Western alchemy, as an alchemical opus performed within the field of body by means of both imagination and physical exercises to achieve the state of immortality which is reflecting partly the symbolic manifestations of the self actualization in Jungian term. Authors also reviewed the results of experimental researches of Taoistic meditation on its physiologic effects and found the necessity for a more elaborated researches and investigations in this concern.