对病人讲真话与保密的伦理思考

医生对病人讲真话是一种义务，也是尊重病人自主权的表现，但是，在中国的传统文化背景下，对某些病人保密而仅对家其家属讲真话，这与对病人讲真话发生了矛盾，也与病人的自主权发生了冲突。然而，这种矛盾和冲突，可以得到伦理的辩护，也可以得到中国现行法律的支持，尽管如此，也应该逐渐改变。     

关于中医药防治SARS的若干思考

SARS病因为疫疠之气，病变部位在肺，以传染性强为特点，故其命名似以肺疫、肺毒疫、或肺温疫为宜。其治疗：在实证阶段可使用泻下通液法，早期用药可阻断病情，减轻症状，极期用药可泻毒清热，降低病死率。加用芳香除湿化浊药物，以针对此次发病温毒挟湿侵犯人体的病机。并介绍截断疗法、综合治疗在SARS的治疗中均有积极意义。应从多层面、多角度进行治疗。     

How directional change in reading/writing habits relates to directional change in displayed pictures

It has been suggested that reading/writing habits may influence the appreciation of pictures. For example, people who read and write in a rightward direction have an aesthetic preference for pictures that face rightward over pictures that face leftward, and vice versa. However, correlations for this phenomenon have only been found in cross-cultural studies. Will a directional change in reading/writing habits within a culture relate to changes in picture preference? Korea is a good place to research this question because the country underwent gradual changes in reading/writing direction habits, from leftward to rightward, during the 20th century. In this study, we analyzed the direction of drawings and photos published in the two oldest newspapers in Korea from 1920–2013. The results show that the direction of the drawings underwent a clear shift from the left to the right, but the direction of the photos did not change. This finding suggests a close psychological link between the habits of reading/writing and drawing that cannot be accounted for simply by an accidental correspondence across different cultures.     

《黄帝内经》脉时相关理论与应用

[目的]探究《内经》脉时合参思想和经验,以期更全面地学习中医学脉学理论,提高临床疗效。[方法]撷选《内经》相关原文,对脉诊理论中的时间因素做简要分析,探讨昼夜、月相、季节等时间因素对脉象的影响,总结《内经》脉时合参思辨方法。[结果]昼夜、月相、季节等时间因素与脉象关系密切,自然界的阴阳消长等具有明显的时间性,人体脉象与其相适应。脉时合参不仅可以知晓脉象随昼夜、月相、季节等的生理变化,还可根据脉、脏、时的关联准确判定病位,通过脉逆四时与否细测病情轻重,依据脉象随病情发展的阶段性规律预判病势预后,以及因时制宜指导临床治疗。[结论]《内经》脉时合参思想,内容丰富,在临床中运用广泛,蕴涵着天人一体的整体观和中医学哲学思辨方法,值得深入挖掘和学习。     

Making All Medications Gluten Free

Gluten is found in food containing wheat, rye, and barley, and it may be introduced into medicines through the use of starch or any modified form of starch derived from these grains. The ingestion of gluten poses serious health hazards to people with celiac disease and non-celiac gluten sensitivity, and they must avoid the oral ingestion of gluten. In 2011, the Food and Drug Administration solicited information and public comments on ‘gluten in drug products.’ However, the ‘final rule’ that the Agency issued in 2013 involved only the voluntary ‘gluten-free’ labeling of food, and it did not include drug products. In this commentary, we are proposing that all drug products can and should be made gluten free. This is especially important since there is currently a global trade in medicines, and patients and health care providers do not know whether a product is gluten free or not unless they are labeled as such. All drug products can be made gluten free as there are many alternatives to gluten-containing starch that can be used as excipients during their formulation. Global collaborative efforts of regulatory agencies, pharmaceutical companies, and excipient manufacturers will be needed to implement a gluten-free medication policy and new regulatory guidelines.     

论患者权利冲突的法学思考

在我国,虽然许多专家对患者的权利内容做了具体的论述,然而,医患之间权利的冲突和矛盾却并没有因此而减少,甚至愈演愈烈,从而使医患关系变得敏感和脆弱,影响了医学事业正常和健康的发展。本文通过对医患权利冲突进行分析,来揭示患者权利的现状及其存在的主要焦点矛盾冲突,进而探讨患者权利保护的法律解决机制。     

基于病证结合的中药复方临床拆方研究

目的:探讨基于病证结合的中药复方临床拆方疗效,以期进一步阐明复方作用机理与证的病理机制。方法:123例冠心病心绞痛病人随机分为血府逐瘀汤原方组、精制血府逐瘀组、药对配伍组、安慰剂组四组进行干预治疗。结果:(1)四组心绞痛疗效经秩和检验依次为血府逐瘀组,精制血府逐瘀组,药对组,安慰剂组(P<0.01);(2)四组血瘀气滞证证候疗效经秩和检验依次为血府逐瘀组,精制血府逐瘀组,药对组,安慰剂组(P<0.01);(3)四组治疗后血脂及氧化低密度脂蛋白变化均无显著性差异(P>0.05)。(4)炎症指标:血府逐瘀组、精制血府逐瘀组、药对组治疗后IL-6均降低,安慰剂组治疗后IL-6升高,经t检验有显著性差异(P<0.05)。四组间比较有显著性差异(P<0.05)。结论:(1)理法拆方可在一定范围内保持原方病证疗效,随着复方配伍的改变,复方功能靶向出现差异;(2)临床拆方研究对于明晰复方作用的物质基础,研究“证”病理机制,观察证—方、方—证的相互关系以及进一步加强中药复方的针对性,提高中医药临床疗效有着切实意义。     

在药学专业开展药理学探索性实验的实践

以运用BL-410生物机能实验系统为主，结合新药在药效学方面的技术评审，在药学专业的本科生中开展探索性实验，并对这一实践展开分析和思考。     

基于病证结合的中药复方临床拆方研究

目的: 探讨基于病证结合的中药复方临床拆方疗效, 以期进一步阐明复方作用机理与证的病理机制。方法: 123例冠心病心绞痛病人随机分为血府逐瘀汤原方组、精制血府逐瘀组、药对配伍组、安慰剂组四组进行干预治疗。结果: (1) 四组心绞痛疗效经秩和检验依次为血府逐瘀组, 精制血府逐瘀组, 药对组, 安慰剂组(P < 0. 01);(2)四组血瘀气滞证证候疗效经秩和检验依次为血府逐瘀组, 精制血府逐瘀组, 药对组, 安慰剂组(P < 0. 01); (3)四组治疗后血脂及氧化低密度脂蛋白变化均无显著性差异(P > 0. 05)。(4)炎症指标: 血府逐瘀组、精制血府逐瘀组、药对组治疗后IL - 6均降低, 安慰剂组治疗后IL- 6升高, 经t检验有显著性差异( P < 0. 05)。四组间比较有显著性差异(P < 0. 05)。结论:(1)理法拆方可在一定范围内保持原方病证疗效, 随着复方配伍的改变, 复方功能靶向出现差异; (2)临床拆方研究对于明晰复方作用的物质基础, 研究#证?病理机制, 观察证% 方、方% 证的相互关系以及进一步加强中药复方的针对性, 提高中医药临床疗效有着切实意义。     

后基因组时代生命科学发展的社会伦理思考

随着后基因时代的到来，生命科学必须取得巨大进展，同时不可避免地面临一些社会伦理问题，本文着重从遗传工程与基因歧视、基因诊断与基因检查知情权及知情同意权的原则、基因治疗基因决定论以及基因争夺战等几个方面涉及到的社会伦理问题加以阐述。