Professor WANG Yue Analyzed the Idea of Treating HT from Liver and Spleen / 浙江中医药大学学报

[Purpose]To summarize and discuss Professor WANG Yue's unique methods of using traditional Chinese medicine to treat HT.[Methed]In the process of diagnosing and treating HT with Prof.WANG in recent years, observing the method of seeking pathogenesis,treating with syndrome differentiation and selecting preferable medicine carefully, summarising Prof.WANG 's viewpoints about HT in the aspects of pathogenesis, treatment and medicine, to conclude Prof.Wang's some experience on HT. [Results]Prof. WANG treats HT from the liver and spleen. On the one hand, Prof. WANG distinguishes the etiology and pathogenesis ,on the other hand he observes the clinical manifestations.In the early stage,he smoothes and refreshes the liver or regulates the spleen with drugs,then nourishes and relaxes the liver or strengthens the spleen medicinally, together with the method of dissipating phlegm and removing blood stasis, tonifying qi and yin,embodying the law of pattern identification and treatment administration to treat the illness,which have made great effects.Modern pharmacology experiments have also confirmed the mechanism of some Chinese medicine in treating HT, providing further supports for the treatment of HT in Chinese medicine.[Conclusion] Prof. WANG treats HT from the liver and spleen and combines the actual and visual conditions together. He not only signifies the feature of traditional Chinese medicine,but also combines with modern pharmacology achievements about the Chinese medicine which has the effect of regulating immune.Prof. Wang follows the principle of integrating Chinese and western medicine,considerating both the illness itself and patients' symptoms to treat HT which is remarkable and worthy of promotion.

Overview of traditional Chinese medicine treatment for atopic dermatitis / 国际中医中药杂志

According to the traditional Chinese medicine (TCM), atopic dermatitis (AD) is believed that it is caused by innate constitutional insufficiency and dysfuction of heart and spleen. Thus, the treatment includes strengthening the spleen and clearing dampness, nourishing blood and moisturing skin. This paper reviewed literature about the researches on AD, and summarized the etiology and pathogenesis of the disease in order to investigate new treatment.

Vias de acesso às experiências constitutivas na proposta freudiana de psicanálise / Access routes to constitutive experiences in Freudian psychoanalysis proposed / Vías de acceso a las experiencias constitutivas en la propuesta freudiana del psicoanálisis

O texto tem por objetivo identificar na psicanálise freudiana vias para a apreensão, a compreensão e a consideração das experiências constitutivas e arcaicas do psiquismo - das experiências de fantasias de desejo recalcadas às vivências irrepresentáveis. Para isso, adota-se uma leitura de Freud guiada pela importância que tais experiencias adquirem na psicanálise contemporânea. Para desenvolver o argumento, tomam-se em consideração três aspectos metodológicos: o método de pesquisa que tem em vista a construção da teoria psicanalítica sobre as experiências constitutivas; o método clínico que visa a construção e o entendimento da própria clínica psicanalítica, e o método de tratamento que busca alcançar tais experiências com o fim de proporcionar transformações subjetivas. Mostra-se como o interesse de Freud se voltou para a pesquisa do inconsciente através do sonho, após a crise da neurótica, e recupera-se seu retorno à clínica e ao tratamento para reafirmar e reformular aspectos de seus achados em direção às experiências as mais primitivas. Por fim, sugere-se uma compreensão da construção da psicanálise segundo uma metodologia que se guia por escalas de abstrações.

The paper aims to identify ways in Freudian psychoanalysis for the apprehension, understanding and consideration of constitutive and archaic psyche's experiences - the experiences of repressed desire fantasies to unrepresentable experiences. For this, we adopt a reading of Freud guided by the importance that such experiences acquire in contemporary psychoanalysis. To develop the argument, taking into account three methodological aspects: the search method that aims at the construction of psychoanalytic theory about the constitutive experiences; clinical method that aims at building and understanding of clinical psychoanalysis itself, and treatment method which seeks to achieve these experiments in order to provide subjective transformations. It is shown how Freud's interest turned to the research of the unconscious through dream, after the crisis of the "neurotic", and recovers his return to the clinic and treatment to reaffirm and reshape aspects of their findings towards the more primitive's experiences. Finally, it suggests an understanding of the construction of psychoanalysis according to a methodology which is guided by scales abstractions.

El objetivo del texto es identificar en el psicoanálisis freudiano vías para la aprensión, la comprensión y la consideración de las experiencias constitutivas y arcaicas de lo psíquico - desde las fantasías de deseo recalcadas hasta las vivencias irrepresentables. Para ello, se adopta una lectura de Freud guiada por la importancia que tales experiencias adquieren en el psicoanálisis contemporáneo. Para desarrollar el argumento, se tienen en cuenta tres aspectos metodológicos: el método de investigación, que considera la construcción de la teoría psicoanalítica acerca de las experiencias constitutivas; el método clínico, que tiene por objetivo la construcción y la comprensión de la clínica psicoanalítica, y el método de tratamiento, que busca alcanzar dichas experiencias con el fin de proporcionar transformaciones subjetivas. Se demuestra como el interés de Freud se ha volcado a la investigación del inconsciente a través del sueño, tras la crisis de la neurotica, y se recupera su regreso a la clínica y al tratamiento para reafirmar y formular aspectos de sus hallazgos en dirección a las experiencias las más primitivas. Por fin, se sugiere una comprensión de la construcción del psicoanálisis de acuerdo con una metodología guiada por escalas de abstracciones.

Como o método de observação direta do comportamento do bebê e da criança pode contribuir para avanço da pesquisa clínica psicanalítica? / How can the methodology of direct observation of the baby's and the child's behaviour contribute to the progress of the research in clinical psycho analysis? / Como el método de observación directa del comportamiento del bebe y del niño puede contribuir en el desarollo de la investigación clínica psicoanalitica?

Propomos uma reflexão sobre as interfaces entre o método de observação e o método de tratamento no avanço da pesquisa clínica psicanalítica. A clínica precoce nos convoca à necessidade de uma redimensão do objeto de estudo, pois intervirmos num tempo que antecede aquele do da linguagem. Nesse sentido, interrogamos se o valor metafórico da palavra poderia ser comparado ao valor dos gestos e do comportamento do bebê. Winnicott, ao enfatizar sobre a diferença entre "primitivo" e o "profundo", oferece-nos novos subsídios para compreender que a "criança da observação" e a "criança da cura analítica" não são antagônicas, mas sim complementares.

This article introduces a frame of reflexion about the links between "the method of observation" and "method of treatment" in the field of research in clinical psycho-analysis. Early clinic leads to necessarily reconsider the object of the study, as it is about intervening at an early stage, before the language appears. To that extent, the question is raised whether the metaphoric value of the language could be compared to the value of the baby's gestures and behaviour. Winnicott, by highlighting the difference between "primitive" and "profound", offers new ways to understand that the "child in observation" and the "child in analytic cure" are no longer antagonist, but complementary.

El articulo propone una reflexión sobre las interfases entre "el método de "observación¼ y de ®método de trataimento ¼ en la investigación clínica psicoanalitica. La clínica precoz necesita reconsiderar su objeto de estudio puesto que interviene en una etapa que precede la adquisición del lenguaje. De esta manera, el questionamiento se basa en una posible comparación del valor metafórico de la palabra y del valor de los gestos y el comportamiento del bebe. Winnicott enfatizo sobre la diferencia entre ® primitivo ¼ y ® profundo ¼ estableciendo así nuevas maneras de entender que ® infante en observación ¼ e ® infante en cura analitica ¼ no son dos metodos antagonistas sino complementarios.

Three problems about development of prescriptions of Chinese materia medica / 中华中医药杂志

Research on history of TCM should serve for development of TCM today.Researchers in history of prescriptions of Chinese materia medica should think the question about development of prescriptions of Chinese materia medica.Three problems about development of prescriptions of Chinese materia medica are brought forward currently.Firstly what is area of it in science,whether method of treatment and preparation are attached to it .Secondly whether classify of it is accordant to theory of TCM and method of treatment.Thirdly the Pharmacopoeia hold in the prescriptions .The items of Pharmacopoeia couldn’t satisfy clinical needs of TCM in processing and dosage.A standard of prescription should be drawn besides the Pharmacopoeia.

Clinical course of spontaneous gangliothalamic hemorrhage in the acute period: who requires surgical removal?

We analyzed the clinical courses of 93 consecutive patients with gangliothalmic hemorrhage for the first three weeks after the ictus and investigated the factors affecting the clinical course and the final outcome. The clinical status was assessed daily using the Glasgow Coma Score (GCS) and patients were divided into two groups according to the clinical course; Group I included those who improved and Group II consisted of patients who deteriorated. There were 44 patients (47.3%) in Group I and 49 patients (52.7%) in group II. Each group was subdivided into the conservative group and the surgical group. In Group I only eight patients (18.2%) received surgery while twenty-five patients (51.0%) received surgery in Group II. Clinical features and computed tomography characteristics of these four groups were compared. Our results suggested that the surgery is rarely required for patients 1) whose GCS values are 12 or more without deterioration; 2) with hematomas smaller than 3 cm in diameter or 20 ml in volume; 3) with midline shifts of less than 3 mm, and 4) whose subtypes of the hematomas are P1, P2a, T1, T2a, and T2b. For proper comparison of the results of medical and surgical treatment, the patient population should include the patients 1) who became deteriorated progressively regardless of initial GCS values; 2) whose GCS values are below 12; 3) with hematomas larger than at least 3cm in diameter or 20ml in volume; 4) with midline shift of more than 3mm, and 5) whose subtypes of the hematoma are P2b or GT.

A Clinical Study of the Tibial Plateau Fractures / 대한정형외과학회잡지

The tibial plateau fracture is a fracture of the proximal end of the tibia, involving the weight bearing articular surface. This fracture often presents some problems in treatment and prognosis, because it is frequently accompanied by soft tissue injuries such as collateral ligament, cruciate ligament and menisci. During a period of 3 1/2 years, from Febuary 1980 to July 1983, We observed 78 cases of tibial plateau fractures at Gang Nam Sacred Heart Hospital. Of the above cases, 40 could be followed for a period of anywhere from 3 months to 3 years. They have been analysed according to the cause, classification, method of treatment and final result of treatment. Among these 21(52.5%) were treated by cast immobilization, 3(7.5%) by skeletal traction, 16 (40%) by open reduction and internal fixation. Thirty two cases (80% ) out of 40 indicated the result of the Acceptable group according to Hohl and Lucks criteria.