Clinical records: the medical writing from the patient's story to the medical narrative / Historia clínica: la escritura médica del relato del paciente a la narrativa médica

Abstract A historical follow-up on the medical diaries about the patient is made, from the Hippocratic texts to the appearance of the current canon of the clinical history formulated by Boerhaave in the seventeenth century, through the medieval consilia and the curationes and observationes of the Renaissance; and it is discussed how much the patient's story is present in those writings. It is postulated that the medical narrative that starts from adequately listening to the patient and his story, and adopts a literary workshop format, it is a pedagogical tool that contributes to comprehensive medical training, and offers the patient the opportunity to be treated in an empathic and humanized environment.

Resumen Se hace un seguimiento histórico a los escritos médicos sobre el paciente, desde los textos hipocráticos hasta la aparición del canon actual de historia clínica formulado por Boerhaave en el siglo XVII, pasando por los consilia medievales y las curationes y observationes del renacimiento; y se discute qué tanto el relato del paciente está presente en esos escritos. Se postula que la narrativa médica que parte de escuchar adecuadamente al paciente y su historia, y se trabaja en formato de taller literario, es una herramienta pedagógica que contribuye a la formación médica integral y ofrece la posibilidad de que el paciente pueda ser tratado en un medio empático y humanizado.

Application of the Wenyang Jieyu Xiaocuo Decoction in Treating Yangyu Hanning Acne by Professor WEI Yuegang / 浙江中医药大学学报

[Objective] To summarize Professor WEI Yuegang's experience in treating Yangyu Hanning acne.[Methods]Through collecting medical record from outpatient clinics, Prof. WEI Yuegang's understanding of Yangyu Hanning acne and experience of Yangyu Hanning acne syndrome differentiation and treatment were analyzed and summarized.[Results]Prof. WEI Yuegang believes that the pathogenesis of Yangyu Hanning acne is Yang deficienay and Yang depression, Yang is deficient in the body, and the cold dampness blocks meridians, dysfunction of Shaoyang, Yang deficiency and Yang depression influence each other, Yang cannot supply and distribute, Yin cannot moisten, affter a long time it leads to heat in the upper and cold in the lower, or cold heat complex. In the treatment, we should give priority to warming yang and give consideration to the solution of depression, Prof. WEI Yuegang added and subtract on the basis of the Shenqi Pill and Xiaochaihu Decoction, and formulated Wenyang Jieyu Xiaocuo Decoction for treating the disease. Wenyang Jieyu Xiaocuo Decoction can both warm Yang and dispel cold and resolve Qi stagnation in the provided medical record, so the case achieved good results. [Conclusion]Prof. WEI Yuegang's treatment experience of Yangyu Hanning acne has satisfactory clinical efficacy and is worth to use for reference and promotion.

Study on the Medication Regularity of Traditional Chinese Medicine in the Treatment of Urinary Tract Infection Based on the Ancient and Modern Consilia Cloud Platform / 世界科学技术-中医药现代化

Objective: To research the medication regularity of Chinese medicine on treating urinary tract infection based on the Ancient and Modern Consilia Cloud Platform to provide references for clinical treatment of urinary tract infection.Methods: The Ancient and Modern Consilia Cloud Platform was used to screen the consilia of Traditional Chinese Medicine for the treatment of urinary tract infection, the materials mainly come from books, journal articles, famous medical studios in the modern Chinese medicine case database. Screening, cleaning, standardizing consilia, and the standardized consilia database was set up. Statistical analysis, cluster analysis and complex networks were used to analysed the core prescription, the herb medicine frequency, the herb medicine four gas, the herb medicine five flavors, the herb medicine channel tropism and other regularity of Chinese medicine treatment of urinary tract infection, and displayed visually. Results: A total of 501 prescriptions were included, a total of 245 herb medicine were involved, and liquorice, poria, dianthus superbus and rehmannia were used more frequently. The tastes are cold, neutral, sweet taste, and bitter taste. Their channel tropisms mainly belong to lung and liver. The core prescriptions are based on Bazhengsan and Zhibaidihuangwan. Conclusion: Heat, dampness and diuretic herbs are used in the treatment of urinary tract infections in Chinese medicine, and nourishing yin and kidney, and relieving the stagnation of liver at the same time.Asthenic and sthenia syndrome, appearance and essence are also taken into account.

Experience in Chinese Medicine Intervening timely to the Treatment of Secondary Epilepsy after Cerebral Stroke / 中华中医药杂志

To elaborate the principal pathogenesis is that imbalance of zang-fu organs and disorder of qi lead to internal wind ,which instigates pathogenic phlegm ,fire and blood stasis to the lesion of brian function.Then to advocate applying Chinese medicine intervening timely the treatment,so as to dispel pathogeny and recuperate the function of zang-fu organs. Moreover to illustrate the concrete clinical adhibition and do some salutary exploration particularly in the aspect of decreasing the number of outbreak.