Brief Analysis of Wind Injuring the Heart / 浙江中医药大学学报

[Objective]To sort out the connotation,pathogenesis and treatment of"wind injuring the heart"in ancient literature,in order to provide theoretical reference for the treatment of refractory diseases such as viral myocarditis and epilepsy.[Methods]Based on the database of the fifth edition of the Chinese Medical Code,this study examines the discourse on"wind injuring the heart"in ancient literature,analyzes the specific connotation of"wind injuring the heart"from three perspectives:"the connotation of the heart""the pronunciation of Zhong"and"the connotation of wind",and summarizes its clinical symptoms,pathogenesis and treatment,in order to better guide clinical practice.[Results]The"heart"in traditional Chinese medicine is the master of the viscera.It not only has the function of controlling blood vessels,but also has the ability to store spirits.At the same time,some ancient physicians often used"heart"to refer to the spleen and stomach in the middle-Jiao.The"wind"in traditional Chinese medicine includes external wind and internal wind.The internal wind is often generated by emotion.Therefore,based on the relevant discussion of ancient and modern literature,the paper briefly expounds the different connotations of"wind injuring the heart",including wind damage to the heart of flesh and blood,wind damage to the heart of the spirit and other types of wind injuring the heart.Wind damage to the heart of flesh and blood and other types of wind injury to the heart are mostly caused by external wind,and wind damaging the heart of the spirit can be caused by external wind or internal wind.The treatment of wind damage to the heart of flesh and blood is mainly composed of drugs for dispelling wind,supplemented by drugs for reinforcing Qi and nourishing blood;wind damaging the heart of the spirit is mainly calming.[Conclusion]Wind damage to the heart of flesh and blood,wind damaging the heart of the spirit and other types of wind injury to the heart are very similar to the viral myocarditis,nervous system diseases,and gastrointestinal diseases in modern medicine,or the clinical prescriptions for these three kinds of diseases can be provided with theoretical basis according to ancient literature.

Efficacy Comparison of Microvascular Decompression and Rhizotomy in the Treatment of Glossopharyngeal Neuralgia: A Retrospective Analysis of 37 Cases.

AIM: To evaluate and compare the long-term efficacy and safety of microvascular decompression (MVD) and glossopharyngeal nerve roots rhizotomy (GNR) in the treatment of glossopharyngeal neuralgia (GN). MATERIAL AND METHODS: The data of 37 patients with glossopharyngeal neuralgia undergoing MVD alone and MVD + GNR from July 2004 to March 2017 were analyzed retrospectively. RESULTS: Efficacy: In the 22 cases of the MVD group, 19 cases were cured and 3 cases were improved. In the 15 cases of the MVD + GNR group, 14 cases were cured and 1 case improved. There was no significant difference between the two groups (chi-square test, p > 0.05). COMPLICATIONS: Postoperative complications in the MVD group: 2 patients had short-term hoarseness and drinking cough, 1 case had cerebrospinal fluid leakage, 1 case had intracranial infection, and 1 case had ipsilateral hearing loss, with no deaths. Postoperative complications in the MVD + GNR group: permanent hoarseness in 2 cases, short-term drinking cough and hoarseness in 4 cases, ipsilateral facial paralysis in 1 case, and cerebrospinal fluid leakage in 1 case, with no intracranial infection or death. The incidence of postoperative hoarseness and drinking cough in the MVD + GNR group was higher than that in the MVD group (chi-square test, p < 0.05). CONCLUSION: MVD alone was a safe and effective method for the treatment of primary glossopharyngeal neuralgia. The efficacy was equivalent to MVD + GNR, and there was a lower incidence of hoarseness and drinking cough.

Medical economics research on surgical management of hypertensive cerebral hemorrhage / 中华老年医学杂志

Objective To evaluate the effectiveness among computed tomography-guided aspiration.minimally invasive microsurgery and conventional craniotomy on patients with intracerebral hemorrhage and their quality of life separately.Then to study the cost-effectiveness of the 3 surgical procedures. Methods One hundred and five patients with intracerebral hemorrhages were randomized into 3 groups:conventional group,stereotactic group and key-hole group.Karnofsky Performance Status Scale was examined 3 months after operation,and the cost of hospitahzation was calculated separately,then the cost-effectiveness was compared using cost-utility analysis. Results Costs of 3 procedures were 9741 yuan,7957 yuan and 13256 yuan separately,and Karnofsky Performance Status Scale were 59.7,63.7 and 50.3 separately.When self-care case was achieved in all conventional group,the stereotactic group and key-hole group need to remedy 51 eases and 10 cases separately.and the total cost was 496819 yuan for stereotactic group and 79575 yuan for key-hole group. Conclusions Minimally invasive microsurgery is optimal treatment for intracerebral hemorrhage.