对现代化中医院发展方向的思考

目前,部分中医院处境维艰,有体制因素也有观念问题.中医的传统诊疗手段已不完全适应当前医疗市场的需求,应当充分利用现代科技进行完善提高,而现代科技也将成为中医的有机组成部分.中医院的建设应当遵循医院建设的内在规律,积极发展,改善提高软、硬条件,并根据实际情况积极发展外科,引进、利用现代诊疗手段,走中西医结合之路:中医要领先,西医不落后.     

Medicine in Future and Advantages of Integrated Chinese and Western Medicine

The history of medical development shows that oriental medicine, or traditional medicine, was born through medical practice during the times when science and technology were immature and underdeveloped, whereas with the development of science and technology, Western medicine, or modern medicine, was born through experimental analysis and research. With the development of medicine, the pros and cons of both medical systems become increasingly evident. How to integrate them and learn from each other will be the direction of future development of medicine. The formation and development of integrated medicine will, inevitably, usher in a new era for medicine.     

New Concept of Health with Perspective of Chinese Medicine

Health medicine has been the direction of the development of medicine. However, the definition of health defined by Western medicine and traditional medicine cannot completely cover the full meaning of health. Therefore, we propose the new concept of health: health is a state of physical and mental harmony of different individuals in the life process with the environment, and good self-adaptive and regulation ability to natural and social environment. The new concept of health enriches the connotation of health defined by Western medicine and improves the understanding of health in the past, which provide the conceptual basis for further study on health medicine     

枣属药用植物资源产业化过程副产物及废弃物的资源价值发现与循环利用策略构建

我国枣属（Ziziphus）植物可供药用的主要有枣、酸枣和滇刺枣,均属药食同源品种,资源需求量大。但其在生产及深加工过程产生大量废弃物及副产物,因无有效利用途径而废弃,造成资源浪费与环境污染。结合课题组前期研究进展,对该类群药用植物资源产业化过程废弃物及副产物的产生及其潜在资源价值进行了分析,对其资源利用途径与系统利用策略进行了整理,以期为我国枣属药用植物资源产业链延伸提供支撑,为其资源价值提升提供借鉴。      

从肾论治干燥综合征

总结《黄帝内经》相关理论,认为干燥综合征患者当从肾论治。肾与精血、津液的生成关系密切。干燥综合征的病机有阳虚阳郁,津液不化,官窍失养;或精亏肾燥,故治可辛以润燥;或辛凉解郁;或滋肾填精,养血回津。      

中药挥发油膜法高效富集的油水分离原理研究及其新型膜分离过程的探索实践

膜分离作为新型化工单元操作,可在温和、低成本条件下实现物质分子水平的“高效、低耗”分离,以膜材料为“芯片”再造分离流程可实现物质分离过程“短流程化”,已成为化学工程的重点研究方向之一。通过总结笔者项目组10多年来将膜技术应用于中药油/水分离过程的研究探索,面向中药产业的绿色发展,提出:通过基础研究与应用研究相结合创制新型膜材料,是实现“用”材料和“优化”材料的关键。因此,将多尺度科学的创新性成果有效应用于膜过程分离原理的揭示,利用膜技术的“高效、节能、降耗”等特征实现中药挥发油生产过程的节能减排,构建以膜分离技术为核心的新型分离过程、分离流程及其专属装备,必将为传统产业关键技术的更新换代、新兴产业重大关键技术的研发提供持续性的支持和引领。      

基于羊水代谢组学策略评价妊娠禁忌中药的安全性

妊娠期用药的安全性是当前亟需解决的问题,羊水作为一种生物体液,能同时反映胎儿和母体的健康状况,被用作临床条件下有力的诊断学工具。该文总结了近年来羊水代谢组学在胎儿预测中的相关研究,并以课题组前期研究为例,讨论了羊水代谢组学应用于妊娠期中药安全性评价的优势与可行性。我们认为羊水代谢组学作为一种创新工具,具有更高的敏感性和相关性,在中药的毒性筛查及机制研究方面有广泛的应用前景。      

Effectiveness and Safety of Chinese Medicine for Idiopathic Pulmonary Fibrosis: A Systematic Review and Meta-Analysis

Objective: To evaluate the effectiveness and safety of Chinese medicine(CM) for Idiopathic pulmonary fibrosis(IPF) patients. Methods: To screened relevant articles, Pub Med, Cochrane Library, Excerpta Medica Datase(EMBASE), China National Knowledge Infrastructure(CNKI), Chinese VIP Information(VIP), Wanfang Database and Chinese Biomedical Database(CBM) were searched in English or Chinese until December 2015 for randomized controlled trials, which compared CM treatment(CM group) with Western medicine or placebo(control group) on IPF. The outcome measures included acute exacerbation, pulmonary function, the St George's respiratory questionnaire(SGRQ) scores, 6-minute walk test(6 MWT) distance, adverse events and mortality. Results: This meta-analysis included 25 randomized controlled trials involving 1,471 patients. Compared with the control group, CM group was superiori in reducing the risk of exacerbation [relative risk(RR)=0.40, 95% CI 0.22 to 0.72, P0.05], improving in forced expiratory volume in one second(FEV1) [standard mean difference(SMD)=0.62, 95% CI 0.40 to 0.84, P0.01] and diffusion capacity for carbon monoxide(DLCO, SMD=0.40, 95% CI 0.22 to 0.58, P0.01), but there was no significant difference in vital capacity(VC, SMD=0.10, 95% CI –0.12 to 0.31, P0.05). This meta-analysis also revealed that CM therapy significantly decreased the SGRQ score(SMD=–0.60, 95% CI –1.14 to –0.05, P0.05) and improved 6 MWT distance(SMD=0.59, 95% CI 0.34 to 0.84, P0.01), compared with the control group. Meanwhile, CM therapy was associated with a low incidence of adverse effects(RR=0.19, 95% CI 0.08 to 0.43, P0.01). However, there was no significant difference in mortality(RR=0.24, 95% CI 0.05 to 1.10, P0.05) between CM and control groups. Conclusions: The pooled outcomes suggest that CM treatment appears benefit in reducing the risk of exacerbation, improving lung function and decreasing the incidence of adverse effects and enhancing the quality of life. However, the outcomes were limited because of the low quality of the included studies. More rigorous clinic trials need to be carried out to provide sufficient and accurate evidence in the future.     

Holistic Approach to Functional Constipation: Perspective of Traditional Persian Medicine

Traditional Persian medicine (TPM) proposes a different viewpoint to the chronic diseases. Diagnosis and implemented treatment are based on individual differences among patients. Constipation or Ea''teghal-e-batn is a condition in which the patient develops difficult or painful defecation. Based on TPM concepts, the first digestion step starts from halq (oral cavity), and ends via defecation from the maq''ad (anus). Avicenna believed that four faculties, ha''zemeh (digestive), ja''zebeh (absorptive), ma''sekeh (retentive) and da''fe''eh (propulsive), are involved in the process of digestion and absorption of the ingested food and expelling the waste materials. The bowel movement and appearance of the stool is a measure for evaluating the gastrointestinal healthy function. Defecation should be with no pain and fecal material should have no burning and acuity. Low food intake or foods with dry temperament, dryness of gastrointestinal tract, diaphoresis and heavy exercise as well as intestine sensory loss were discussed as main causes of constipation. Management of constipation in TPM includes dietary schemes, oil massages and subsequently simple herbal medicines. According to TPM theories, the first step in treating a disease is the elimination of disease causes (asbab e-maraz) and also providing the causes of health (asbab-e-sehhat). Health care providers should know the proper condition which the herbal medicines should be administered in and be able to guide the patients about the benefits and hazards of herbal remedies, commonly used in their living origin.     

中药注射剂安全性的分析与思考

中药注射剂安全性是社会关注的热点问题,正确认识中药注射剂不良反应,将能避免社会民众产生误解或认识错位。目前中药注射剂的生产原料、生产工艺以及突出安全性的质量监控是影响中药注射剂安全性的关键所在,针对各品种临床存在的问题,加强中药注射剂安全性的基础研究,在说明书明确临床药物配伍及使用规范,强化相关物质、不溶性微粒、热原、过敏物质等注射剂安全性质控,确实保证中药注射剂用药安全。