Exploring Traditional Chinese Medicine Pattern Identification and Treatment of Malignant Tumors Based on “Regulating Qi with Changes” / 中医杂志

It is believed that qi changes throughout the whole process of malignant tumors. Tumour formation is induced by qi constraint in the early stage， qi sinking is the core disease mechanism after tumour surgery， qi counterflow is an important disease mechanism for nausea and vomiting related symptoms in chemotherapy stage， and qi deficiency is the main pathology in recurrence and metastasis stage. It is proposed that the therapeutic principle of “regulating qi with changes” discussed in Miraculous Pivot-Wei Qi Disorder （《灵枢·卫气失常》） should be implemented in traditional Chinese medicine （TCM） pattern identification and treatment of malignant tumours， modifying the treatment with changes， and regulating qi with corresponding methods： for qi constraint， it should soothe to eliminate the tumour by the method of rectifying qi to resolve constraint， with treatment as Shugan Jianpi Formula （疏肝健脾方）； for qi sinking， it should raise to lift up postoperative viscera by the method of boosting qi to raise sinking， with treatment as Shengxian Decoction （升陷汤） from Records of Chinese Medicine with Reference to Western Medicine （《医学衷中参西录》）； for qi counterflow， the method of moving qi and direct counterflow downward will be used to dissipate the accumulated medicinal toxicity， and patients with retention of medicinal toxicity in the middle jiao and ascending counterflow of stomach qi treated by Xuanfu Daizhe Decoction （旋覆代赭汤） from On Cold Damage （《伤寒论》）， patients with middle yang deficiency and turbid ying failing to descend treated by Wuzhuyu Decoction （吴茱萸汤） from On Cold Damage （《伤寒论》） ； for qi deficiency， it should tonify to prevent the tumor toxin from spreading by the method of boosting qi to resolve toxins， treated by Fuzheng Jiedu Formula （扶正解毒方）.

Current research status of ionizing radiation bleeding syndrome / 中国辐射卫生

Bleeding caused by ionizing radiation involves many factors, the mechanism is complicated and the management is difficult. Bleeding is recognized as one of the main causes of death after ionizing radiation. In this paper, we summarize the pathophysiological mechanisms of ionizing radiation bleeding syndrome (IRBS) from the aspects of platelet abnormality, coagulation disorder and vascular damage. Besides, we expound the clinical characteristics of IRBS in terms of the degree, time and site of the bleeding. Combined with experimental results, we put forward ideas and possible approaches for the treatment of IRBS, and the key factor is to promote the recovery of megakaryocytes and rapid platelet production after radiation exposure.

Experience and Inspiration of Medical Team Resource Management in Taiwan / 中国医学伦理学

Medical team resource management is an effective way to control medical risk, ensure patient safety and enhance patient satisfaction. Based on defining the connotation, this paper illustrates the application and expe-rience of medical team resource management in Taiwan and finally proposes suggestions to apply medical team re-source management in domestic medical practice.

PFNA Fixation of Elderly Incompleted Inner Wall Type Intertrochanteric Fractures / 沈阳医学院学报

Objective: To evaluate the clinical efficacy of proximal femoral nail antirotation (PFNA) in treatment of elderly incompleted inner wall type intertrochanteric fracture. Methods:The medical records of 33 patients with incompleted inner wall type intertrochanteric fractures were analyzed retrospectively. The incision length,blood loss,operative time,volume of drainage,start standing time,fracture healing time,abnormal rate of femur and complications were summarized,and the clinical effects were also evaluated according to Harris standard. Results:A total of 31 patients achieved complete follow-up data. The fracture healing time and clinical excellent rates were (12.5 ± 3.5) weeks and 90.3%. The abnormal rate of femur operative time, incision length, blood loss, operative time, volume of drainage, and start standing time were 12.9%,(4.3 ± 2.7) cm,(50.2 ± 35.0) ml,(40.3 ± 12.7) min,(30.5 ± 9.6) ml and (10.3 ± 5.7) d. Conclusion:PFNA fixation is an ideal method for treatment of elderly incompleted inner wall type intertrochanteric fractures, with small incision, shorter operative time, shorter fracture healing time, shorter bed rest time and less complications.

A Study on the Relationship of Post-stroke Depression and Psychosocial Factors / 中国临床心理学杂志

Objective: To investigate the rate of post-stroke depression and psychosocial factors related to it, and to provide the direction and the basis for clinical nursing. Methods: 69 patients with stroke were assessed by Zung Self-rating Depression Scale and Type A Behavior Pattern Scale. Their sex, age, behavior type, marital condition, level of education, supportor of medical expenses were collected and analysed statistically. Results: The rate of post-stroke depression was 59.42%, and the rate in type A behavior group was higher than that in the other behavior groups(P

TLC Identification of Erhuang Capsule / 中药新药与临床药理

Objective To establish a TLC identification method for Erhuang Capsule and to provide basis for the establishment of its quality standard.Methods TLC method was adopted.Results Nine kinds of medicinal materials such as Radix Rehmanniae,Radix Polygoni Multiflori,Rhizoma Gastrodiae had discriminating characteristics and distinctive spots.Conclusion TLC is a simple,reliable and specific method with good reproducibility,and can be used for the quality control of Erhuang Capsule.