Ache： The Speech of a Body

The goal of this paper is to show that the suffering, associated with the body through the medical discourse, acquires a new statute with the psychoanalysis, which brings to the discursive field a new ethics - the ethics of desire. We want to evidence something beyond the physical suffering and the organic symptoms. In this manner, we have the perspective of a new view that shows the suffering as a language who needs be heard. It is a matter of substantiating the existence of something that lies beyond the physical suffering and the organic symptoms. In this way, we confront a new perspective that states that the falling ill, this discomfort of the individual with his own body, does not necessarily begs for a cure; the overt suffering needs to be listened to in another dimension taking as a reference an other knowledge. Retaking the question of the medical speech, it＇s worthy of evidence that the psychoanalysis signals that not always the solicitation of the patient to the doctor is about a cure solicitation. The demand of the subject will cannot be able to fit with what it desires. One evidences that, many times, the patient don＇t ask for to the doctor that cures him, ask for that it＇s certified as sick, ask for a surgery to occupy the sick person place. Thus, not always is about a demand for cure; albeit asking for being cured something it will be able to indicate that it wants to occupy the sick person place. We ought to situate the unconscious desire that expresses the obscure side of existence： pain promoted to the icon of lust, by the negation of the painful sensation and by the posture of the subject whilst observing the pain, leading to states of ecstasy.     

Investigation of Direct Causes of Drug Relapse and Abstainers＇ Demands in a Compulsive Detoxification Center in Wuhan City of China

Objective To identify the direct causes of drug relapse and abstainers’ demand, and to develop programs for the prevention of drug relapse. Methods Abstainers in a Compulsive Detoxification Center in Wuhan City, capital of Hubei Province were randomly selected. An investigation on the direct causes of drug relapse and abstainers’ demands was conducted with multiple-choice questionnaires and face to face interviews. Data were analyzed with SPSS 12.0. Results The direct causes leading to drug relapse included： temptation to use drug again by themselves or by their drug mates, seeking pleasure and ecstasy from drug use, relatively well off living, mental stress, irritation, demoralization, family conflicts, unemployment, feeling distrusted by the family, lack of care and love from the family, and discrimination by others. abstainers’ demands after detoxification and returning to the society included： care and support from the family, employment assistance, changing living environment, understanding by others, support from the society, and keeping far away from drugs. Conclusions Environmental factors are the direct causes of drug relapse, and negative irritation is its predisposing causes. Leaving former residence, more care and help given by both the family and the society and raising their overall quality of life are the demands of abstainers.     

Investigation of Direct Causes of Drug Relapse and Abstainers’ Demands in a Compulsive Detoxification Center in Wuhan City of China

Objective To identify the direct causes of drug relapse and abstainers’ demand, and to develop programs for the prevention of drug relapse. Methods Abstainers in a Compulsive Detoxification Center in Wuhan City, capital of Hubei Province were randomly selected. An investigation on the direct causes of drug relapse and abstainers’ demands was conducted with multiple-choice questionnaires and face to face interviews. Data were analyzed with SPSS 12.0. Results The direct causes leading to drug relapse included: temptation to use drug again by themselves or by their drug mates, seeking pleasure and ecstasy from drug use, relatively well off living, mental stress, irritation, demoralization, family conflicts, unemployment, feeling distrusted by the family, lack of care and love from the family, and discrimination by others. abstainers’ demands after detoxification and returning to the society included: care and support from the family, employment assistance, changing living environment, understanding by others, support from the society, and keeping far away from drugs. Conclusions Environmental factors are the direct causes of drug relapse, and negative irritation is its predisposing causes. Leaving former residence, more care and help given by both the family and the society and raising their overall quality of life are the demands of abstainers.     

Examples of Clinical Application of Fengchi

Fengchi (GB 20) is a point of the GallbladderChannel of Foot-Shaoyang.Just as its name impliesthat it is a place where the pathogenic windeonverges.So,the point is regarded as an importantpoint to dispel wind since it has the functions of     

A clinical classification of hypertension

Hypertension is a common cardiovascular problem worldwide. As with any other disease it is important to assess the severity of the disease. However the present classification of hypertension by the Joint National Committee in its seventh report （JNC 7） with numerical values staging the severity of hypertension is theoretically correct but difficult to apply in practice （Table 1）. Admittedly this is a step in the right direction with lesser number of stages compared to the sixth report.     

General Situation on the Study of Inspection of Sublingual Veins

The inspection of sublingual veins is an important component of the tongue diagnose. This method is mainly to observe change in sublingual vein in order to find out whether there is stagnation of qi and blood, According to traditional method of inspection of the tongue, observation is mainly given to colour and form of the tongue proper.     

Management of the occlusion and stenosis of the aortic arch branches in the course of Takayasu’s arteritis

Takayasu＇s arteritis （TA） is a chronic inflammatory disease of the aorta and its thoracic and abdominalparts, most commonly involving the aortic arch and the arteries that arise from it. TA is an autoimmune disease, although certain HLA-linked genetic predispositions have been observed. TA affects females 2 to 8 times more fi＇equently than males. The onset age is between 10 to 40 years old.1 TA is extremely uncommon in Poland. Corticosteroids are the choice of treatment for TA,     

A Combined Treatment of Scalp Acupuncture and Traction in 108 Cases of Prolapse of the Lumbar Intervertebral Disc

Prolapse of the lumbar intervertebral disc is a syndrome commonly seen in clinic. The main manifestation is pain in the lumbar region radiating to the lower limbs. In the treatment of this disease, the author has employed traction together with scalp needling, and obtained quite good therapeutic effects. A report follows.     

Relationship between the morbidity of pterygium and the duration of ultraviolet rays exposure in Sanya,China

Pterygium is sunlight related, ocular-surface lesion that obscures vision. The morbidity varies in different parts of the same country. Several surveys have shown that the countries nearer the equator have higher rate of pterygium than the other regions, the possible reason is due to the low latitude and stronger exposure to ultraviolet rays. The onset of pterygium is closely related to the environment, including ultraviolet rays, sandstorm, dry climate and so on. Prolonged ultraviolet-B radiation is regarded as a risk factor for pterygium, and that could explain its prevalence is much higher in the low latitude area.     

Experience in Acupuncture Treatment of Occipital Neuralgia

Clinically,occipital neuralgia is commonlyencountered.It is manifested by pain in the unilateralsuboccipital and postmastoid region,which mayradiate to the upper occipital part,the ear and copularpart,and even to the orbit.The pain is severe,andoften cause spasm of the cervical muscles.The     

Effect of Compound Recipe Gengniankang (更年康) on Senile Sexual Hormone and Expression of Estrogen Receptor in Bone of Climacteric Female Rats

Estrogenis a vital hormone to women's wholelife.It is aninevitable process that thelevel of ser-umestrogen decreases when women enter the agedphase,and that the ovary function is exhausted.Accompanying this process,theincidence of osteo-porosis is increased and affects the quality of lifeseverely.Using hormone replacement treat ment toprevent and treat osteoporosis is very effective.Itis proved that osteoporosis is related to the lack ofestrogen,which plays a veryi mportant role duringthe proc…     

Measurement of Right Ventricle on Left Lateral Chest-Film and Its Clinical Application.

The measurement of the right ventricle is carried out on a left lateralchest film.3 points are determined:A is the apex of the sternal angle;B is thetopmost point of the contact surface between the anterior cardiac border and theanterior chest wall;and C is the apex of the anterior costophrenic angle.Thelength of the lines AC and BC is measured.The ratio of BC:AC is considered asan index of the size of the right ventricle.On the basis of the measurements on120 normal subjects,0.54(0.46+2×0.04)is employed as the upper limit of thenormal.A left lateral chest radiogram is very easy to take.The procedure ofmeasurement is simple.An application of this method on the surgically provedcases verified its reliability.In the evaluation of the size changes of the rightventricle,the digital index provides the doctors with a quantitative comparisonmethod.It is helpful in the analysis of serial radiograms.Furthermore,leftlateral chest film will become more useful in assessing the heart size.     

The Combined Use of Tonification and Purgation in Treatment of Fatty Liver

Fatty liver is a disease caused by excessiveaccumulation of fat in the liver due to long-term orrepeated affection of various causative factors.“When the pathogenic factor prevails,the qi is sure tobe deficient.”Therefore,deficiency of the vital-qicontributes greatly to the occurrence of fatty liver.For many years,the author has concentrated on the     

Observation of the Tongue Fur

Tongue fur is the coating on the tongue. Observation of its colour and state of lustre, its form and quality is very important to the understanding of disease and the judgment of its trend. Ⅰ. Observation of the Fur Character 1. Changes in the state of body fluid can be judged according to     

Does erroneous differentiation of tendon-derived stem cells contribute to the pathogenesis of calcifying tendinopathy?

Calcifying tendinopathy is a tendon disorder with calcium deposits in the mid-substance presented with chronic activity-related pain, tenderness, local edema and various degrees of incapacitation. Most of current treatments are neither effective nor evidence-based because its underlying pathogenesis is poorly understood and treatment is usually symptomatic. Understanding the pathogenesis of calcifying tendinopathy is essential for its effective evidence-based management. One of the key histopathological features of calcifying tendinopathy is the presence of chondrocyte phenotype which surrounds the calcific deposits, suggesting that the formation of calcific deposits was cell-mediated. Although the origin of cells participating in the formation of chondrocyte phenotype and ossification is still unknown, many evidences have suggested that erroneous tendon cell differentiation is involved in the process. Recent studies have shown the presence of stem cells with self-renewal and multi-differentiation potential in human, horse, mouse and rat tendon tissues. We hypothesized that the erroneous differentiation of tendon-derived stem cells (TDSCs) to chondrocytes or osteoblasts leads to chondrometaplasia and ossification and hence weaker tendon, failed healing and pain, in calcifying tendinopathy. We present a hypothetical model on the pathogenesis and evidences to support this hypothesis. Understanding the key role of TDSCs in the pathogenesis of calcifying tendinopathy and the mechanisms contributing to their erroneous differentiation would provide new opportunities for the management of calcifying tendinopathy. The re-direction of the differentiation of resident TDSCs to tenogenic or supplementation of MSCs programmed for tenogenic differentiation may be enticing targets for the management of calcifying tendinopathy in the future.

     

Modification of IFSSH system for evaluation of impairment of hand function.

We modified the examination and evaluation standard of impairment of hand function proposed by the International Federation of Societies for Surgery of the Hand (IFSSH). 1) The thumb adduction and opposition examination is changed from measuring distance alone to calculation of the ratio of thumb length to the distance of movement. 2) Sensation grading and two-point discrimination test are included in the sensory function evaluation. 3) In the estimation of anatomic loss of the hand, instead of measuring the length of the loss, calculation of the area of loss is proposed. 4) In the evaluation of joint movement, besides the angle of movement and position of the joint itself, influence of the defect distal to the joint thereon is also considered. 5) In the original evaluation standard, sensory disturb ances of the palmar and dorsal aspects of the hand as well as the anatomic loss of tissues through the palm are not taken into account. The present work pays special attention to this point. The software of t     

The mathematical simulation of epidemic models of hepatitis A in three big cities of China

There are 6 epidemic models of hepatitis A in the world.In China,there are 3 mod-els,namely,Beijing,Shanghai and Guangzhou models.In 1979,Schenzle proposed a modifiedsimple catalytic model whose force of infectivity is a logistic function.We made a modifiedmodel with the infectivity force of a linear or conic function.According to the actual data,theauthors have fitted 3 epidemic models.The results are satifactory as proved by the x~2-test ofgoodness of fit.The analysis of the models indicates that the force of infectivity has been lower inShanghai than in Beijing and Guangzhou since·1970.An interesting finding is that the differencebetween the 3 epidemic models is due to the function of infectivity force of hepatitis A.     

Differential Acupuncture Treatment of Hyperplasia of Mammary Glands

Hyperplasia of mammary glands is a commondisease in the middle-aged women,and it is aprecancerous lesion of mammary glands.For manyyears,the author has used Rugen(ST 18)of theStomach Meridian of Foot-Yangming as the main     

Rupture of hepatocellular carcinoma during pregnancy： 3 case reports and review of the literature

Hepatocellular carcinoma (HCC) is one of themost common cancers in the world, but the occur-rence in pregnant women is rare, and rupture ofHCC during pregnancy is even rarer. It is suggest-ed that the paucity of hepatocellular carcinomaduring pregnancy is multifactorial[1]. HCC is lesscommon in females, particularly those of reproduc-tive age, and infertility complicates cirrhosis,which is present in the majority of patients withHCC. Pregnant women with spontaneous ruptureof HCC usually …