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[Objective]To research the elaboration on homology of the sweat and the urine in essence,which seems different in clinical practice.[Method]Using the method of literature studies,based on the sweat and the urine,this paper analyzes the relationship and the interaction between sweat and urine and their respective relevant organs and describes their belonging,their root,their homology,their production,and their difference among each other, to explore the elaboration on homology of sweat and urine in essence.[Result]What the interrelationships among them include" the sweat secreted from the coat, the coat contacted with the lung""the urine issued from bladder,the bladder contacted with the kidney""the coat,which secretes sweat,corresponding to the bladder issuing for urine","the lung,which contacts with the coat,interlinking the bladder which contacts with the kidney","the sweat and the urine belonging to the body fluid,come from the bladder","the sweat and the urine having root in the body fluid,go out of the bladder"and"the sweat and the urine coming from the bladder,out of gasification" "homology of the sweat and the urine,but different from each other".[Conclusion]It reveals that not only the sweat and urine,but also the related viscera is homologous,including the coat corresponding to the bladder,and the lung and the bladder being interlinked.It also points out that the sweat and the urine belong to the body fluid,coming from the bladder.Under the action of kidney Yang,heart heat and sunlight,it goes out of the bladder ,to reach the coat outside for sweat,to issue for urine,which has difference in clinical practice.
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[Objective] To discuss treatment according to syndrome differention of TCM (traditional Chinese medicine) on double heart disease from the view of Wu Zang Yi Ti.[Method] Based on the theory of Wu Zang Yi Ti from Huangdi Nei Jing and many ancient doctors,discuss the relation between heart and sense,heart and the other four viscera,and treat double heart disease from the etiology and pathogenesis of liver,spleen,kidney,lung and the contact of emotion and five viscera.[Result] The heart is closely related with emotional changes and plays a key role in emotion and viscer.Emotional disorders can promote the progress of double heart disease.So we must base on the characteristics of clinical syndromes when we treat the double heart disease and determine treatment from liver,spleen,kidney and lung.[Conclusion] Discriminating and treating double heart disease from the view of Wu Zang Yi Ti can help us grasp the etiology and pathogenesis of double heart disease better and hold the essence of the disease,so we can achieve the goal of curing for disease roots,and treating both root causes and symptoms.It is helpful to improve the clinical curative effect and improve the quality of life of patients with double heart disease.
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Objective To investigate the effects of the teaching model of team-based learning (TBL) in the course of TCM Basic Theory.MethodsTotally 61 undergraduates of Class 1-2 in Grade 2013 in Dalian Medical University are divided into 15 groups, three to five students in each group. TBL teaching model was performed in the chapter about Zang-Fu relationship in the course of TCM Basic theory. At the end of the study, the students received the questionnaire survey to know the effects of TBL teaching model.ResultsStudents discussed intensely with lively atmosphere in the class. The pass rate of individual test was 98.36%, and the excellence rate was 22.95%. The results of immediate feedback answer sheets showed that for the 6 multiple choice questions, each group answered at least 2 questions correctly for the first time, and 5 groups answered all the questions correctly for the first time with the joint efforts of group members.ConclusionTBL teaching model could promote the preview, activate atmosphere in class, improve learning efficiency, and increase the solidarity and collaboration in students.
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Objective] Differentiate and analyse the asthenia or sthenia attribute about the cold attribute of true cold and pseudo hot syndrome, further to simply make a summary.[Method] In order to compare with other doctor’s viewpoint and prove the opinion from the etiology and pathogenesis, clinical symptoms, clinical application and so on, by researching the related literature and theoretical works.[Result]Pathological condition of inner true cold and outer false heat appears because Yang deficiency of spleen and kidney is so long that yin exopathogen is in stasis and yang fails to transport and transform ying, further to repel yang outside in the etiology and pathogenesis. Clinical symptoms show that the red zygomas looking like being made up, low spirit, coldblooded and huddling up body, chilly limbs, drinking much and hot, diarrhea with undigested food in the stool and extreme weak pulse and even no feelings. In clinical application, the prescription is sini tang and the main medicines are fuzi and ganjiang which restore yang and get rid of cold. [Conclusion]True cold and pseudo hot syndrome belongs to asthenia-cold. And no matter in disease diagnosis even in clinical treatment, it has an important theoretical and practical significance to distinguish and clear the asthenia or sthenia attribute.
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The modernization of Traditional Chinese Medicine (TCM) is urgent need of the modern theory of TCM, is a consensus. But, How to establish and what kind of modern TCM theory, is far from a consensus. Based on the summarization of the common law in the construction of scientific theory, we are trying to give a answer that are expected to form a consensus. Firstly, we have illustrated the trend that the development of TCM theory should learn from the life and medical sciences theory function and value; Secondly, we have proven that TCM and TCM theory belongs to the traditional medicine and theory and pointed out the limitation of the traditional medicine, TCM and its theory. And then we have revealed the inevitable trend of traditional medicine, TCM and its theory development at home and abroad, logically obtained the inevitable choice of constructing the modern TCM basic theory; Lastly, we have analyzed the different discipline new theory construction process and method at home and abroad and discovered the common five steps rule, put forward three principles and five steps of constructing modern TCM basic theory, demonstrated its important role during the theoretical revolution promoting Chinese Medicine theory from phenomenon description to mechanism clarification and the scientific value of Chinese Medicine theory in the domestic and foreign development trend.
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On the basis of defining the philosophical topic essence of“inside diseases show signs outside”and affirming its TCM application value, from the philosophical and clinical angles, it ful y analyses its limitations, i.e. unification is just one aspect of co-relation between inside and outside, appearance and essence, both opposition and integration are al and the essence of their relation, this is why the condition“inside diseases show signs outside”exists in clin-ic;on the other side, the integration of inside and outside, appearance and essence has complex to some extent, the TCM with prerequisite of “inside dis-eases show signs outside”and the method of “knowing inside with outer signs”have their own shortcomings and advantages, doctors shal foster the strengths and circumvent the weakness.
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The 5-flavor tonifying-purging theory in Internal Classics is one of key basic theories of TCM, but its content is disperse, lacking orderliness and systematicness, bringing inconvenience to study and research. Inspired by the 5-flavor tonifying-purging figure in Five-organ Pharmacy Methods Edition, starting from the theory of same origin for medicine and Yi, framed basical y with river figure, based on the 5-flavor tonifying-purging theory inInternal Classics, compare the difference between theInternal Classicsand theEdition, design the corelation among the 5-direction, 5-Qi, 5-ele-ment and 5-flavor, as wel as the 5-flavor tonifying-purging rule, offering convenience for studying and researching 5-flavor tonifying-purging theory inInternal Classics.
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The attack of SARS completely confirms the theory of “pestilence every 3 years”in the doctrine on five elements’ motion and six kinds of natural factors;the said doctrine has great guiding meaning to the clinical treatment of SARS by differentiating by signs and symptoms.For the subject of “study on applying the theory of five elements’motion and six kinds of natural factors to forecast the pestilence”,the pestilence situation is calculated for almost 2 years,the result is basically in accordance with the reality.The practice proves that while applying the theory,the method of multi-factors composition and analysis from dynamic change can make more correct forecast result.
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TCM applies scattering thought in medication with differentiation,in the same time most simply summarizing with"harmony",viewing that the concept can get better clinical cure effect and scholar insight in smartly using it in clinical practice and basic theory.