WEN Jian-min(温建民)and SHI Da-zhuo(史大卓):ICWM Should Be Taken as A Discipline Uniformly and The Practice Scope of ICWM Practitioners Be Defined

According to the current inconsistent status of subject names and stratification of ICWM and based on the principle of classification that a subject can only use one name and one code,Prof.WEN Jian-min and Prof.SHI Da-zhuo,two CPPCC     

CHEN Kai-xian(陈凯先):One or Two Colleges of Integrated Chinese and Western Medicine Should Be Constructed or Reconstructed

<正>Aiming at the current problems in personnel development of integrated Chinese and Western medicine(ICWM),Prof.CHEN Kai-xian,a CPPCC member and the president of the China Association of Integrative Medicine,put forward that one or two ICWM Colleges should be constructed or reconstructed.ICWM has been gradually becoming a unique advantage in Chinese medical system and made great contributions to the healthcare     

The progress of perioperative therapy with integrative medicine in the field of cardiac surgery

In the 1960s,a number of integrative Chinese and Western medicine(ICWM) surgeons(such as Prof.WU Xian-zhong)first started the application of traditional Chinese medicine(TCM)in acute abdominal surgery,and thus they became the pioneers of perioperative therapy with ICWM.Since then,they have     

Effect of Combination of Bushen Jianpi Recipe (补肾健脾方) and Erythropoietin on Serum Tumor Necrosis Factor a in Patients with Anemia

Objective: To study the effect of treatment of renal anemia by combination of Bushen Jianpi Recipe (补贤健脾方, BJR, a Chinese experienced recipe for supplementing Shen and supporting Pi) and low dosage erythropoietin (EPO), and the influence of treatment on change of serum tumor necrosis factor α (TNF-α) so as to explore the possible mechanism of integrative Chinese and Western medicine (ICWM) in treating renal anemia. Methods: Patients with renal anemia were randomly divided into two groups, the ICWM group and the control group, supporting treatment such as dialysis, supplementing of ferrous, foliac acid and vitamin B12, was given to both groups. Additionally, to the ICWM group, 50 IU/kg of EPO subcutaneous injection for twice every week, and oral intake of BJR, one dose per day taken in two parts, were given, and to the control group, EPO alone, 50IU/kg by subcutaneous injecting, 3 times perweek, was given. The therapeutic course for two groups was 3 months. Blood levels of hemoglobin (Hb), hematoc     

PROMINENT PERSONNEL——LEI Yan （雷燕）：An Expert in Studying Cardiovascular Diseases with Integrated Medicine

Professor LEI Yan, Ph. D., female, was born in October 1960. After being graduated from Henan College of Traditional Chinese Medicine （ TOM ） in 1983, she worked as a resident physician in the TOM Hospital of Xinyang city, Henan province. She was enrolled in the master＇ s program of internal medicine of integrative traditional Chinese and Western medicine in Fujian College of TOM in 1988, and after finished her study in 1991, she was employed as a chief physician in Fujian Provincial Institute of Cardiovascular Diseases for two years. In 1993 she studied under the indoctrination of Prof. CHEN Ke-ji, majoring in cardiovascular diseases in the China Academy of Chinese Medical Sciences （CACMS） and got the doctoral degree in July 1996. In 1998, she finished the post-doctorate research on the prevention and treatment of senile dementia in Beijing University of Chinese Medicine. Since then, she took charge in managerial work as the assistant director of department of cardiovascular diseases of Xiyuan Hospital of CACMS and the director of department of scientific research supervisal in CACMS, meanwhile, as a Prof. of Medi- cine, the tutor of doctoral students on integrated traditional Chinese and Western medicine （TCM-WM） of CACMS.     

Suppressing SNAP-25 and reversing glial glutamate transporters relieves neuropathic pain in rats by ameliorating imbalanced neurotrans mission

Background Neuropathic pain results from a lesion or disease affecting the somatosensory system at either the peripheral or central level. The transmission of nociception within the central nervous system is subject to modulation by release and reuptake of neurotransmitters, which maintain a dynamic balance through the assembly and disassembly of the SNARE complex as well as a series of neurotransmitter transporters （inhibitory GABA transporters GAT and excitatory glutamate transporters GT）. Neuronal hyper-excitability or defected inhibition involved in neuropathic pain is one of the outcomes caused by imbalanced neurotransmission. SNAP-25, which is one of the SNARE complexes, can modulate the release of neurotransmitters. Glia glutamate transporter （GLT） is one of the two glutamate transporters which account for most synaptic glutamate uptake in the CNS. The role of SNAP-25 and GLT as well as GAT is not clearly understood.     

ZHAO Jian-xiong （赵健雄） A Famous Expert in Integrative Medicine and Dunhuang Medicine

ZHAO Jian-xiong, was born in Yulin City on November 1, 1942, Shaanxi Province. He graduated from Lanzhou Medical College in 1965, and practiced Western medicine after his graduation while learning traditional Chinese medicine （TCM）. In 1980, Dr. ZHAO was one of the first students who graduated from the TCM graduate program at the China Academy of Traditional Chinese Medicine with a master＇s degree. From 1983 to 2004, Dr. ZHAO was the associate president of Gansu College of Traditional Chinese Medicine, the Vice President and the President of Lanzhou Medical College. In 1992, Dr. ZHAO was promoted as a professor. Prof. Zhao is now the adviser of graduate students, and the Director of the Research Institute of Integrative Medicine, Lanzhou University. In addition, Prof. ZHAO is a council member of the Chinese Association of Integrative Medicine and the President of Gansu Association of Integrative Medicine.     

CLINICAL OBSERVATION OF THE WEIGHT-REDUCING EFFECT OF EAR ACUPUNCTURE IN 350 CASES OF OBESITY

When body weight is above the ideal by10%,the subject is generally considered to beobese,though some workers give a 20%allowance.Among the causes of obesity areendocrine disturbance,heredity and a caloricfood intake over and above the body's needs.All often result in the deposit of surplus adiposetissue in the body.Over consumption of caloriescauses what is called simple obesity,whichmay be subdivided into two categories:constitu-tional and acquired obesity.In both cases excesscalories cause fat cells to increase in size aswell as number.     

CAI Ding-fang（蔡定芳）--An Outstanding Neurologist of Integrative Medicine

Prof.CAI Ding-fang, Ph.D.,was born on Nov.8, 1956 in Shanghai.In 1988, Prof.CAI received the Ph.D. degree from the Nanjing University of Traditional Chinese Medicine.He built an academic foundation of a strong Chinese medicine （CM） ＆ intearative medicine research following Prof. SHEN Zi-yin, an academician of the Chinese Academy of Sciences, and accomplished a training course aiming specifically at the solid and broad basic theory, as well as the deep and systemic expertise.     

The Model Laboratory Animal and the 'Trojan Horse' in Biosecurity

Today's sophisticated biomedical research sometimes requires the use of laboratory animals raised in stable micronen vironments free from the microorganisms that may compromise the success of an experiment. Laboratory rodents can be ob-tained in one of several categories defined by the     

Progresses in Integrated Traditional Chinese and Western Medical Research on Reproductive Immunology

Reproductive immunology is a crossed subject of reproductive biology and immunobiology. Great progresses have been achieved in the subject along with the deep development in life science. Modern reproductive immunology includes immunological regulation of fertility, materno-fetal immuno-regu-lation, and neuro-reproductive endocrino-immune network. With the integrated traditional Chinese and western medicine (ICWM) applied to reproductive immunology it has been greatly enriched in research contents and depth. The present review is to introduce the recent progresses in research of integrated medicine on reproductive immunology.     

Application of the WHO Growth Reference （2007） to Assess the Nutritional Status of Children in China

Objective To assess the nutrition status of children and adolescents in China using the WHO growth reference （2007） in comparison with that defined by the International Obesity Task Force （IOTF） and the Working Group on Obesity in China （WGOC）. Methods Overweight and obesity were defined by age-, sex-, specific BMI reference developed by WHO （2007）, IOTF （2000）, and WGOC （2004）, respectively. Stunting and thinness were defined as height and BMI less than two standard deviations （SD） of the WHO growth reference （2007）, respectively. Data of children and adolescents aged 5 to 19 years （n=54 857, 28 273 boys, 26 584 girls） from the 2002 China National Nutrition and Health Survey （CNNHS） were used in the study. Results The prevalence of overweight, obesity, stunting and thinness among Chinese children and adolescents aged 5-19 years was 5.0%, 1.2%, 13.8%, and 7.4%, respectively when the WHO growth reference （2007） was used, whereas the estimated absolute total number affected by these 4 conditions were 14.6, 3.7, 40.6, and 21.8 million, respectively. The prevalence of overweight and obesity was 18.1% in large cities, while the stunting prevalence was 25.1% in rural 4. Obesity prevalence assessed by the WHO growth reference was higher than that as assessed by the IOTF reference, and obesity prevalence assessed by the WGOC reference was lower than that as assessed by the IOTF reference. Conclusion The nutritional status of children and adolescents is not equal in different areas of China. Stunting is still the main health problem of the poor, while overweight and obesity are the main health problems in large cities.     

Correlations between Event-related Potentials with Pictures Recognition and WMS-RC Scores in Patients with Memory Disorder Caused by Severe Traumatic Brain Injury

This study explored the possibility of using event-related potentials （ERP） for the measurement of picture-recognition memory and examined its correlation with the Chinese Wechsler Memory Scale-revised （WMS-RC） in patients with memory disorder caused by severe traumatic brain injury （sTBI）. The subjects included 20 sTBI patients with memory disorder and 22 healthy individuals. Memory function was measured by using WMS-RC. Behavioral and ERP responses were recorded on-line during performance on a battery of picture recognition and the responses were analyzed off-line for recognition memory effects. Mean memory quotient （MQ） of patients with sTBI was significantly lower than that of the control group. Mean reaction time （RT） was significantly longer and the mean correctness rate （CR） of picture recognition was significantly lower in sTBI group than that of the controls. In controls, the main components of average ERP of picture recognition includes two positive-going waves, designated as P170 and P500, that appear 170 ms and 500 ms after stimulation when the subject could later successfully recall and recognize the pictures. P500 amplitude of target stimulus was significantly higher than that of non-target stimulus. Compared to controls, P500 responses of sTBI group were significantly delayed in latency （P〈0.001） and lower in amplitude （P〈0.001）. P500 latency showed significant negative correlation with MQ and the scores of ＂addition＂, ＂visual recognition＂, ＂picture recall＂, ＂visual reproduction＂ and ＂tactile memory＂ in WMS-RC. ERP of picture recognition provides a neurophysiological approach to directly assess memory impairment, and P500 may serve as a helpful index for memory disorder caused by sTBI in forensic practice.     

Cruciate ligament reconstruction using LARS artificial ligament under arthroscopy: 81 cases report

Background There are many different materials used for ligament reconstruction. Currently, autograft, allograft, and artificial ligaments are used in the reconstruction. The objective of this study was to explore the clinical result of cruciate ligament reconstruction under arthroscopy. Methods Eighty-one cases were reconstructed with the LARS ligament under arthroscopy, including 43 cases of anterior cruciate ligament （ACL） injury, 20 cases of posterior cruciate ligament （PCL） injury, and 18 cases of ACL combined with PCL injuries of the knee. The follow up period was 10 to 49 months. The International Knee Documentation Committee （IKDC） and Lysholm knee score scales were used for functional evaluation. We examined the anterior and posterior stability of the knee with KT-1000. Results According to the Lysholm knee function score scale, the average preoperative score of （44.6±1.4） increased to a postoperative score of （82.8±2.5） in the ACL group and from （46.6±2.3） to （80.8±2.0） in the PCL group. In the ACL combined with PCL injury group, the preoperative score increased from （45.2±1.2） to （85.5±2.3）. According to IKDC score standards, in ACL group we evaluated 19 cases as C and 24 cases as D, preoperatively, and postoperatively 27 cases as A, 14 cases as B and two cases as C. In the preoperative PCL group, we had 11 cases defined as C and nine cases as D that resolved to 12 cases as A, seven as B and one case of C in postoperative evaluation. In the ACL combined with PCL injury group we defined four cases as C and 14 as D during preoperative scoring. These patients had postoperative grades of six cases as A, 10 as B, and two cases as C. All of the results have statistical significance. Conclusions ACL, PCL, or combined ACL and PCL reconstruction using the LARS ligament under arthroscopy is a minimally invasive, safe and effective method to treat cruciate ligament injuries of the knee. Clinical results are satisfactory in the short term.     

Treatment of 37 patients with refractory idiopathic thrombocytopenic purpura by Shengxueling (升血灵)

Objective： To explore the clinical effect and possible mechanism of Shengxueling （升血灵, SXL）, a Chinese medical preparation mainly consisting of ginseng saponins, in treating refractory idiopathic thrombocytopenic purpura （ITP）. Methods： The selected 69 patients with ITP were randomly assigned to two groups, the 37 patients in the treated group were treated orally by SXL with the dose for adult as 60 mg twice a day for two weeks. Then when no marked rise of platelet count after that, the dose would be doubled and administered for another two weeks. Then the dose could be gradually reduced to the initiative level in patients who responded to the treatment, and if they did not, the treatment was regarded as ineffective and be terminated. The 32 patients in the control group were treated with ampeptide elemente instead of SXL, 0.4 g each time three times a day in the first two weeks, and, if that was ineffective, 0.2 g would be added each time and 1.8 g would be administered a day for two more weeks. Four weeks＇ treatment was regarded as one therapeutic course for both groups and the observation lasted for two successive courses in patients showing positive reslbonse. Results： In the 37 patients in the treated group, markedly effective was obtained in 7 （19.0%）, favorably effective in 15 （40.5%）, improved in 5 （13.5%） and ineffective in 10 （27.0%）, the total effective rate being 59.5%. The corresponding number in the 32 patients in the control group was 4 （12.5%）, 6 （18.8%）, 3 （9.4%）, 19 （59.4%） and 31.3% respectively. Comparison showed the difference in therapeutic efficacy between the two groups was significant （P〈0.05）. Conclusion： SXL is a safe and effective preparation for treatment of ITP, showing an immediate effect which is obviously superior to that of ampeptide elemente with less adverse effect.     

Effect of Formaldehyde on Spermatogenesis and Testicular Morphology in Adult Rats

Objective To study the effects of formaldehyde （FA） on spermatogenesis and testicular morphology in adult rats. Methods The rats were divided at random into two experimental groups and one control group, each comprising 10 individuals. Rats in two experimental groups were respectively exposed to FA at concentrations of 0.5mg.m^-3 and 10mg.m^-3 （12h per day） for 2 weeks. After the treatment, the testicular weight and morphology, as well as the quantity and quality of sperm were evaluated. Results compared with the control, the testicular weight, sperm count, the percentage of motile sperm significantly decreased （p〈0.05）, while the percent of abnormal sperm significantly increased （p〈0.05） in rats of 10mg.m^-3 FA exposure group. Microscopy with HE staining showed that seminiferous tubules atrophy, spermatogenic cells decreased, seminiferous epithelial cells disintegrated and shed in rats of 10mg.m^-3 FA exposure group. Conclusion FA has a harmful effect on the spermatogenesis; it induces tubular atrophy and sperm abnormality at a dose-dependent manner.     

Progress of Integrative Chinese and Western Medicine in Treating Polycystic Ovarian Syndrome Caused Infertility

Polycystic ovarian syndrome （PCOS） is one of the most popular diseases that cause menstrual dysfunction and infertility in women. The present paper is a brief retrospection on the progress in treatment of PCOS caused infertility with integrative Chinese and Western medicine （ICWM）. It can be seen from these materials that using traditional Chinese medicine （TCM） recipes formulated by Shen-replenishing herbs or acupuncture to reinforce Gan-Shen, regulate Chong-Ren Channels in treating PCOS, stable clinical efficacy could be obtained, with less adverse reaction, though the effect initiated somewhat late. Whereas, when Shen-replenishing recipe and acupuncture are combined with hormone or ovulation promoting drugs of Western medicine, the above-mentioned shortcomings would be overcome. So, this combined therapy is frequently used in clinical practice.