BACKGROUND Comminuted calcaneal fractures present significant treatment challenges.Open reduction and internal fixation carries risks such as infection and skin necrosis,while minimally invasive techniques may comprom...BACKGROUND Comminuted calcaneal fractures present significant treatment challenges.Open reduction and internal fixation carries risks such as infection and skin necrosis,while minimally invasive techniques may compromise reduction stability.Conservative management is generally limited to minimally displaced fractures.Traditional Chinese manual bone-setting has a long history in fracture treatment and is renowned globally for achieving functional reduction.It offers distinct advantages including lower cost,minimal soft tissue trauma,and the avoidance of expensive reduction equipment or internal fixation materials.CASE SUMMARY A 60-year-old female presented with left foot pain and limited mobility following a fall.Computed tomography scan revealed a Sanders type IV calcaneal fracture with a Böhler angle of 0°.A standardized,stepwise Traditional Chinese manual bone-setting was initially performed,followed by percutaneous screw fixation through several mini-incisions after satisfactory alignment was confirmed under fluoroscopy.The Visual Analog Scale score decreased from 5 on postoperative day 1 to 3 by day 3.The American Orthopaedic Foot and Ankle Society score improved from 73 at 6 weeks to 90 at 3 months,indicating rapid functional recovery and high patient satisfaction.At 7 months postoperatively,the American Orthopaedic Foot and Ankle Society score reached 95,prompting removal of internal fixation.At the 6-year follow-up,reduction remained well maintained,with the Böhler angle preserved at 22°.CONCLUSION The combination of Traditional Chinese manual bone-setting and percutaneous screw fixation achieved satisfactory functional reduction for comminuted calcaneal fractures.展开更多
Objective:To observe the efficacy and safety of TCM syndrome differentiation-guided herbal intervention for patients with five constitutions during the high-risk window period of acute exacerbation of chronic obstruct...Objective:To observe the efficacy and safety of TCM syndrome differentiation-guided herbal intervention for patients with five constitutions during the high-risk window period of acute exacerbation of chronic obstructive pulmonary disease(AECOPD)based on TCM constitution theory.Methods:A total of 300 AECOPD patients in the high-risk window period(54-66 cases for each constitution)were randomly divided into two groups(150 cases each).The control group received fluticasone furoate/umeclidinium/vilanterol inhalation therapy,while the experimental group was additionally given constitution-specific TCM decoctions(e.g.,Erchen Decoction combined with Sanzi Yangqin Decoction for Phlegm-Dampness constitution).The treatment course was 8 weeks with a 6-month follow-up.CAT score,TCM syndrome score,pulmonary function,6-minute walking distance(6MWD),and levels of CRP and IL-6 were observed.Recurrence and safety indicators were recorded.Results:After treatment,all indicators improved significantly in both groups(p<0.05),with the experimental group showing superior improvements in CAT score,TCM syndrome score,FEV1,6MWD,and inflammatory indicators(p<0.01).The recurrence rate was lower in the experimental group during follow-up(p<0.05).No severe adverse reactions or abnormalities in liver/kidney function were observed in either group.Conclusion:TCM syndrome differentiation treatment guided by constitution theory can improve symptoms,quality of life,and pulmonary function,reduce inflammatory levels and recurrence rate in AECOPD patients during the high-risk window period,with good safety.展开更多
Objective:To evaluate the clinical efficacy of sinew-regulating and bone-setting manipulation(SRBSM)combined with Xiaoyu Jiegu Powder(XYJGP)in treating knee osteoarthritis(KOA).Methods:Sixty patients were randomly div...Objective:To evaluate the clinical efficacy of sinew-regulating and bone-setting manipulation(SRBSM)combined with Xiaoyu Jiegu Powder(XYJGP)in treating knee osteoarthritis(KOA).Methods:Sixty patients were randomly divided into treatment group(30 cases)and control group(30 cases).The treatment group was treated with SRBSM combined with XYJGP and the control group was given intermediate frequency electrotherapy and XYJGP.Visual Analogue Scale(VAS).The Western Ontario and McMaster Universities Osteoarthritis Index(WOMAC),Flexion range of motion of the knee joint,and surface electromyography(sEMG)were used to evaluate and compare the patients'knee function before and after treatment.The efficacy was observed with diagnosis and efficacy standards of TCM.Results:After treatment,compared with the same group before treatment,muscle fatigue and muscle tension decreased,pain was reduced,range of motion of the knee joint was increased,and motor function was improved(P<0.05).The improvement degree of the treatment group was better than that of the control group(P<0.05).The total effective rate of the treatment group was 96.6%(29/30),higher than that of the control group(80.0%),P<0.05.Conclusion:SRBSM combined with XYJGP can effectively reduce the pain of KOA patients,improve the range of motion of the joints,and improve the quality of life of the patients,and its curative effect is better than that of intermediate frequency electrotherapy combined with XYJGP.展开更多
Objective: To observe the effect of the joint injury of the distal radio-ulnar joint. Methods: 60 patients with Distal Radioulnar Joint (DRUJ) injury were divided into observation group and control group according to ...Objective: To observe the effect of the joint injury of the distal radio-ulnar joint. Methods: 60 patients with Distal Radioulnar Joint (DRUJ) injury were divided into observation group and control group according to random number method. 30 cases were included in each of the two groups.Before and after treatment in patients with Visual Analogue Scale (Visual Analogue Scale, VAS) score, forearm pronation and supination electromyographic activity, methods of electric integral value (integral electromyogram, iEMG) and Wrist in patients with self assessment Scale (Patient - Rated Wrist Evaluation, PRWE) score evaluation, comparison, and the clinical observation on diagnosis of disease and curative effect of traditional Chinese medicine standard (assessment process by blind method).Results: compared with the two groups before and after treatment, VAS score decreased, forearm pronation and postpronation activity increased, iEMG value increased, and PRWE scale score decreased (all P < 0.05), and the curative effect of the treatment group was better than that of the control group (P < 0.05). The total effective rate of the treatment group [93.3% (28/30)] was higher than that of the control group [50%(15/30), P < 0.05].Conclusion: the combined exercise training of muscle and bone setting technique can effectively alleviate the pain of patients with radial ulnar joint injury, improve the rotation of the forearm, increase the recruitment of the anterior rotatory muscle, and improve the wrist function of patients, and the effect is better than if combined with forearm support fixation.展开更多
为了将列车数据应用到实际运营工作中,本文设计了一种车辆分析系统。该系统实现了对网络控制系统(Train Control and Management System,TCMS)数据的接收、校验、存储、计算、展示等全生命周期管理,并将数据用于分析统计、故障预警等,...为了将列车数据应用到实际运营工作中,本文设计了一种车辆分析系统。该系统实现了对网络控制系统(Train Control and Management System,TCMS)数据的接收、校验、存储、计算、展示等全生命周期管理,并将数据用于分析统计、故障预警等,为地面运营工作提供辅助决策支撑。展开更多
当前“中医”主要有“Traditional Chinese Medicine(TCM)”与“Chinese Medicine(CM)”两种译法。国际上对这两种译法的接受度和使用率较高,但“TCM”与“CM”有着各自不同的特点和语境。在不同的语境中,选择合适的翻译形式对于准确传...当前“中医”主要有“Traditional Chinese Medicine(TCM)”与“Chinese Medicine(CM)”两种译法。国际上对这两种译法的接受度和使用率较高,但“TCM”与“CM”有着各自不同的特点和语境。在不同的语境中,选择合适的翻译形式对于准确传达“中医”概念至关重要。本文分析了“中医”的内涵及当前国内外对其的英译情况,并在此基础上提出了关于“中医”英译的思考。展开更多
With the support of the Belt and Road Initiative(BRI),the international reach of traditional Chinese medicine(TCM)is taking shape as a“Silk Road of Health,”opening new pathways for closer connections among peoples.T...With the support of the Belt and Road Initiative(BRI),the international reach of traditional Chinese medicine(TCM)is taking shape as a“Silk Road of Health,”opening new pathways for closer connections among peoples.The journey of TCM,in turn.展开更多
Background:The I Ching,or the Book of Changes,in the Han Dynasty was mainly based on symbolism and mathematics and was combined with the astronomical calendar that was popular at the time,forming a theory of hexagram ...Background:The I Ching,or the Book of Changes,in the Han Dynasty was mainly based on symbolism and mathematics and was combined with the astronomical calendar that was popular at the time,forming a theory of hexagram Qi(the life force or vital energy,Qi is the dialectical unity of the spirit and matter of the human body and nature)as the main focus.The people of the Han Dynasty believed that the development and changes in cosmic and human society were consistent with the changes in the hexagrams.Therefore,exploring the construction of the theoretical system of medical epistemology by the philosophy of the I Ching will help to inherit better and develop TCM today.Methods:This paper mainly uses the analysis method of literature review,including famous ancient books on TCM from the Han Dynasties to the Song,Yuan,Ming,and Qing Dynasties and the cosmological concept of Yin-Yang,the Five Elements,and the unity of man and nature in Chinese philosophy.Results:This article provides a new explanation of the theory of I Ching in the Han Dynasty on the thinking mode of the epistemology of TCM from three aspects:(1)The“unchangeable”theoretical basis of image-numerical thinking;(2)The“simple”way of life with one Yin and one Yang;and(3)The“cosmology”view of the evolution of life.Conclusion:This shows that TCM,at its inception in the Han Dynasty,consciously used a rational thinking attitude to construct a harmonious and unified cosmic view of life in which heaven,earth,and man are of the same origin and holographic structure.This philosophy of life is that humanity is the comprehensive embodiment and development of the Way of Heaven.It is also the field where TCM,as an original life science,makes fundamental contributions to human health today.However,the specific historical limitations,such as the Han Dynasty’s reliance on cosmological analogies,may lack empirical rigor compared to modern scientific standards.Also,TCM’s subjective interpretations can limit precision.Therefore,integrating TCM’s unique wisdom with modern science methodologies can advance its global relevance in the future.展开更多
Background:This essay mainly explores the theoretical roots of traditional Chinese medicine(TCM)practice in the Han Dynasty.It places individual small lives in the big life of heaven,earth and the universe and looks a...Background:This essay mainly explores the theoretical roots of traditional Chinese medicine(TCM)practice in the Han Dynasty.It places individual small lives in the big life of heaven,earth and the universe and looks at life’s occurrence,development and death from a broader cosmology perspective,and thus provide the“Great Harmony between Heaven and Human”in the Huangdi Neijing(Inner Canon of the Yellow Emperor)of the Han Dynasty.Methods:This paper mainly uses the analysis method of literature review and philosophical concepts.It uses the image-number logic thinking method of I Ching to compare images with analogy and the holistic thinking method of the three-talent view of heaven,earth,and man to understand life.Results:It is mainly reflected in three aspects:(1)One Yin and one Yang are called Tao((1)Yin Yang as the coherent fabric of nature and mind,exhibited in all existence,(2)Yin Yang as Jiao(interaction)between the waxing and waning of the cosmic and human realms,and(3)Yin Yang as a process of harmonization ensuring a constant,dynamic balance of all things);(2)The way of life in the Book of Changes;and(3)The Unity of the Way of Heaven and the Way of TCM.Conclusion:The main medical thought laid the theoretical foundation of early practice and the development model of life cognition.It is still worthy of continuous exploration,development,and innovation in contemporary philosophy and life sciences.展开更多
Traditional Chinese Medicine(TCM)is a treasure of China’s traditional medical heritage,embodying the wisdom and cultural depth of the Chinese nation.Higher TCM education shoulders the important responsibility of pres...Traditional Chinese Medicine(TCM)is a treasure of China’s traditional medical heritage,embodying the wisdom and cultural depth of the Chinese nation.Higher TCM education shoulders the important responsibility of preserving and advancing TCM,and in today’s context,it offers significant advantages while also facing numerous challenges.Among its strengths are a profound cultural foundation in TCM,utilizing classic texts and unique theories to cultivate students’TCM thinking and competence;diversified teaching methods that integrate knowledge from multiple disciplines,innovate instructional models,and combine traditional with modern educational approaches;a complete teaching system characterized by professional faculty and advanced facilities;and interdisciplinary integration fostering innovation.However,problems persist,including some students lacking confidence in TCM culture due to the influence of Western medicine concepts and the westernization of the educational model;weak practical teaching where theory dominates,practice time is limited,and there are insufficient bases and instructors;and a shortage of faculty resulting in an imbalanced student-to-teacher ratio and an unreasonable structure.To address these issues,it is recommended to enhance cultural confidence,strengthen faculty development,and optimize practical teaching,thereby promoting the sustainable development of higher TCM education and achieving the shared prosperity of TCM education and the TCM profession.展开更多
基金Supported by Jin-Wen Liu Academic Experience Heritage Studio Special Fund of National Famous Traditional Chinese Medicine,No.75.
文摘BACKGROUND Comminuted calcaneal fractures present significant treatment challenges.Open reduction and internal fixation carries risks such as infection and skin necrosis,while minimally invasive techniques may compromise reduction stability.Conservative management is generally limited to minimally displaced fractures.Traditional Chinese manual bone-setting has a long history in fracture treatment and is renowned globally for achieving functional reduction.It offers distinct advantages including lower cost,minimal soft tissue trauma,and the avoidance of expensive reduction equipment or internal fixation materials.CASE SUMMARY A 60-year-old female presented with left foot pain and limited mobility following a fall.Computed tomography scan revealed a Sanders type IV calcaneal fracture with a Böhler angle of 0°.A standardized,stepwise Traditional Chinese manual bone-setting was initially performed,followed by percutaneous screw fixation through several mini-incisions after satisfactory alignment was confirmed under fluoroscopy.The Visual Analog Scale score decreased from 5 on postoperative day 1 to 3 by day 3.The American Orthopaedic Foot and Ankle Society score improved from 73 at 6 weeks to 90 at 3 months,indicating rapid functional recovery and high patient satisfaction.At 7 months postoperatively,the American Orthopaedic Foot and Ankle Society score reached 95,prompting removal of internal fixation.At the 6-year follow-up,reduction remained well maintained,with the Böhler angle preserved at 22°.CONCLUSION The combination of Traditional Chinese manual bone-setting and percutaneous screw fixation achieved satisfactory functional reduction for comminuted calcaneal fractures.
基金Longquan Yi District Health Bureau Project(Project No.:WJKY2023009)。
文摘Objective:To observe the efficacy and safety of TCM syndrome differentiation-guided herbal intervention for patients with five constitutions during the high-risk window period of acute exacerbation of chronic obstructive pulmonary disease(AECOPD)based on TCM constitution theory.Methods:A total of 300 AECOPD patients in the high-risk window period(54-66 cases for each constitution)were randomly divided into two groups(150 cases each).The control group received fluticasone furoate/umeclidinium/vilanterol inhalation therapy,while the experimental group was additionally given constitution-specific TCM decoctions(e.g.,Erchen Decoction combined with Sanzi Yangqin Decoction for Phlegm-Dampness constitution).The treatment course was 8 weeks with a 6-month follow-up.CAT score,TCM syndrome score,pulmonary function,6-minute walking distance(6MWD),and levels of CRP and IL-6 were observed.Recurrence and safety indicators were recorded.Results:After treatment,all indicators improved significantly in both groups(p<0.05),with the experimental group showing superior improvements in CAT score,TCM syndrome score,FEV1,6MWD,and inflammatory indicators(p<0.01).The recurrence rate was lower in the experimental group during follow-up(p<0.05).No severe adverse reactions or abnormalities in liver/kidney function were observed in either group.Conclusion:TCM syndrome differentiation treatment guided by constitution theory can improve symptoms,quality of life,and pulmonary function,reduce inflammatory levels and recurrence rate in AECOPD patients during the high-risk window period,with good safety.
基金Key natural fund projects of Anhui provincial department of education(No.KJ2018A0273)。
文摘Objective:To evaluate the clinical efficacy of sinew-regulating and bone-setting manipulation(SRBSM)combined with Xiaoyu Jiegu Powder(XYJGP)in treating knee osteoarthritis(KOA).Methods:Sixty patients were randomly divided into treatment group(30 cases)and control group(30 cases).The treatment group was treated with SRBSM combined with XYJGP and the control group was given intermediate frequency electrotherapy and XYJGP.Visual Analogue Scale(VAS).The Western Ontario and McMaster Universities Osteoarthritis Index(WOMAC),Flexion range of motion of the knee joint,and surface electromyography(sEMG)were used to evaluate and compare the patients'knee function before and after treatment.The efficacy was observed with diagnosis and efficacy standards of TCM.Results:After treatment,compared with the same group before treatment,muscle fatigue and muscle tension decreased,pain was reduced,range of motion of the knee joint was increased,and motor function was improved(P<0.05).The improvement degree of the treatment group was better than that of the control group(P<0.05).The total effective rate of the treatment group was 96.6%(29/30),higher than that of the control group(80.0%),P<0.05.Conclusion:SRBSM combined with XYJGP can effectively reduce the pain of KOA patients,improve the range of motion of the joints,and improve the quality of life of the patients,and its curative effect is better than that of intermediate frequency electrotherapy combined with XYJGP.
基金Key project of nature fund of anhui department of education(No.KJ2018a0273).
文摘Objective: To observe the effect of the joint injury of the distal radio-ulnar joint. Methods: 60 patients with Distal Radioulnar Joint (DRUJ) injury were divided into observation group and control group according to random number method. 30 cases were included in each of the two groups.Before and after treatment in patients with Visual Analogue Scale (Visual Analogue Scale, VAS) score, forearm pronation and supination electromyographic activity, methods of electric integral value (integral electromyogram, iEMG) and Wrist in patients with self assessment Scale (Patient - Rated Wrist Evaluation, PRWE) score evaluation, comparison, and the clinical observation on diagnosis of disease and curative effect of traditional Chinese medicine standard (assessment process by blind method).Results: compared with the two groups before and after treatment, VAS score decreased, forearm pronation and postpronation activity increased, iEMG value increased, and PRWE scale score decreased (all P < 0.05), and the curative effect of the treatment group was better than that of the control group (P < 0.05). The total effective rate of the treatment group [93.3% (28/30)] was higher than that of the control group [50%(15/30), P < 0.05].Conclusion: the combined exercise training of muscle and bone setting technique can effectively alleviate the pain of patients with radial ulnar joint injury, improve the rotation of the forearm, increase the recruitment of the anterior rotatory muscle, and improve the wrist function of patients, and the effect is better than if combined with forearm support fixation.
文摘当前“中医”主要有“Traditional Chinese Medicine(TCM)”与“Chinese Medicine(CM)”两种译法。国际上对这两种译法的接受度和使用率较高,但“TCM”与“CM”有着各自不同的特点和语境。在不同的语境中,选择合适的翻译形式对于准确传达“中医”概念至关重要。本文分析了“中医”的内涵及当前国内外对其的英译情况,并在此基础上提出了关于“中医”英译的思考。
文摘With the support of the Belt and Road Initiative(BRI),the international reach of traditional Chinese medicine(TCM)is taking shape as a“Silk Road of Health,”opening new pathways for closer connections among peoples.The journey of TCM,in turn.
基金the National Social Science Foundation project“Research on Chinese Life Wisdom from the Perspective of Creative Transformation and Innovative Development”(22ZDA082).
文摘Background:The I Ching,or the Book of Changes,in the Han Dynasty was mainly based on symbolism and mathematics and was combined with the astronomical calendar that was popular at the time,forming a theory of hexagram Qi(the life force or vital energy,Qi is the dialectical unity of the spirit and matter of the human body and nature)as the main focus.The people of the Han Dynasty believed that the development and changes in cosmic and human society were consistent with the changes in the hexagrams.Therefore,exploring the construction of the theoretical system of medical epistemology by the philosophy of the I Ching will help to inherit better and develop TCM today.Methods:This paper mainly uses the analysis method of literature review,including famous ancient books on TCM from the Han Dynasties to the Song,Yuan,Ming,and Qing Dynasties and the cosmological concept of Yin-Yang,the Five Elements,and the unity of man and nature in Chinese philosophy.Results:This article provides a new explanation of the theory of I Ching in the Han Dynasty on the thinking mode of the epistemology of TCM from three aspects:(1)The“unchangeable”theoretical basis of image-numerical thinking;(2)The“simple”way of life with one Yin and one Yang;and(3)The“cosmology”view of the evolution of life.Conclusion:This shows that TCM,at its inception in the Han Dynasty,consciously used a rational thinking attitude to construct a harmonious and unified cosmic view of life in which heaven,earth,and man are of the same origin and holographic structure.This philosophy of life is that humanity is the comprehensive embodiment and development of the Way of Heaven.It is also the field where TCM,as an original life science,makes fundamental contributions to human health today.However,the specific historical limitations,such as the Han Dynasty’s reliance on cosmological analogies,may lack empirical rigor compared to modern scientific standards.Also,TCM’s subjective interpretations can limit precision.Therefore,integrating TCM’s unique wisdom with modern science methodologies can advance its global relevance in the future.
基金The National Social Science Foundation Project“Research on Chinese Life Wisdom from the Perspective of Creative Transformation and Innovative Development”(22ZDA082).
文摘Background:This essay mainly explores the theoretical roots of traditional Chinese medicine(TCM)practice in the Han Dynasty.It places individual small lives in the big life of heaven,earth and the universe and looks at life’s occurrence,development and death from a broader cosmology perspective,and thus provide the“Great Harmony between Heaven and Human”in the Huangdi Neijing(Inner Canon of the Yellow Emperor)of the Han Dynasty.Methods:This paper mainly uses the analysis method of literature review and philosophical concepts.It uses the image-number logic thinking method of I Ching to compare images with analogy and the holistic thinking method of the three-talent view of heaven,earth,and man to understand life.Results:It is mainly reflected in three aspects:(1)One Yin and one Yang are called Tao((1)Yin Yang as the coherent fabric of nature and mind,exhibited in all existence,(2)Yin Yang as Jiao(interaction)between the waxing and waning of the cosmic and human realms,and(3)Yin Yang as a process of harmonization ensuring a constant,dynamic balance of all things);(2)The way of life in the Book of Changes;and(3)The Unity of the Way of Heaven and the Way of TCM.Conclusion:The main medical thought laid the theoretical foundation of early practice and the development model of life cognition.It is still worthy of continuous exploration,development,and innovation in contemporary philosophy and life sciences.
基金supported by the National Natural Science Foundation of China(Grant No.82260925)Yunnan Provincial High-level Scientific and Technological Talents and Innovative Teams Selection Special Project(Grant No.202305AS350007)+2 种基金Yunnan Provincial Major Scientific and Technological Special Project Program for Biomedicine(Grant No.202402AA310028)Yunnan Province’s High-level Talent Cultivation Project for Successors in Traditional Chinese Medicine Disciplines(Yun Cai She[2024]No.103)Yunnan Provincial Key Laboratory of Dai and Yi Medicine Open Research Topics(2024SS24010).
文摘Traditional Chinese Medicine(TCM)is a treasure of China’s traditional medical heritage,embodying the wisdom and cultural depth of the Chinese nation.Higher TCM education shoulders the important responsibility of preserving and advancing TCM,and in today’s context,it offers significant advantages while also facing numerous challenges.Among its strengths are a profound cultural foundation in TCM,utilizing classic texts and unique theories to cultivate students’TCM thinking and competence;diversified teaching methods that integrate knowledge from multiple disciplines,innovate instructional models,and combine traditional with modern educational approaches;a complete teaching system characterized by professional faculty and advanced facilities;and interdisciplinary integration fostering innovation.However,problems persist,including some students lacking confidence in TCM culture due to the influence of Western medicine concepts and the westernization of the educational model;weak practical teaching where theory dominates,practice time is limited,and there are insufficient bases and instructors;and a shortage of faculty resulting in an imbalanced student-to-teacher ratio and an unreasonable structure.To address these issues,it is recommended to enhance cultural confidence,strengthen faculty development,and optimize practical teaching,thereby promoting the sustainable development of higher TCM education and achieving the shared prosperity of TCM education and the TCM profession.
