[Objectives]To observe the clinical efficacy of Mongolian medicine silver needle combined with cupping and bloodletting therapy in the treatment of cervical spondylotic radiculopathy(CSR).[Methods]A total of 120 patie...[Objectives]To observe the clinical efficacy of Mongolian medicine silver needle combined with cupping and bloodletting therapy in the treatment of cervical spondylotic radiculopathy(CSR).[Methods]A total of 120 patients diagnosed with CSR who received treatment at the International Mongolian Hospital of Inner Mongolia between October 2021 and October 2022 were selected and randomly divided into two groups:A test group and a control group,with 60 patients in each group.The patients in the test group received Mongolian medicine silver needle combined with cupping and bloodletting therapy,following the principles of syndrome differentiation in Mongolian medicine.In contrast,the patients in the control group received only the Mongolian medicine silver needle therapy.After treatment,the Mongolian medicine syndrome scores,visual analogue scale(VAS)scores,and total clinical therapeutic effects in the two groups of patients were compared both prior to and following the treatment.[Results]The improvement in VAS and Mongolian medicine syndrome scores in the test group was greater than that in the control group,with a statistically significant difference(P<0.05).The scores of the test group surpassed those of the control group,and this difference was also statistically significant(P<0.05).Furthermore,the overall therapeutic effect in the test group was 93.33%,which was markedly higher than 76.67%observed in the control group(P<0.05).[Conclusions]The therapeutic effect of Mongolian medicine silver needle combined with cupping and bloodletting therapy in the treatment of CSR is remarkable.This approach has demonstrated efficacy in alleviating patient pain and improving the functionality of the cervical vertebrae,thereby warranting clinical promotion and application.展开更多
[Objectives]To systematically review the advances in the research of the theoretical basis,clinical efficacy,and mechanisms of Mongolian medical acupuncture for Cervical Spondylotic Radiculopathy(CSR),and to explore i...[Objectives]To systematically review the advances in the research of the theoretical basis,clinical efficacy,and mechanisms of Mongolian medical acupuncture for Cervical Spondylotic Radiculopathy(CSR),and to explore its relationship with the"Khii-Khisu(Wind-blood)"theory.[Methods]Relevant literature from both domestic and international sources was searched.Besides,it summarized the etiology,pathogenesis,clinical manifestations,and treatment principles of CSR in Mongolian medicine,also summarized the commonly used acupoints and combination protocols in Mongolian medical acupuncture,compared the similarities and differences between various acupuncture regimens,and explained the underlying mechanisms in light of the"Wind-blood"theory.[Results]In Mongolian medicine,Cervical Spondylotic Radiculopathy(CSR)is classified as a"Disorder of the White Meridian".Its pathogenesis is considered to be closely associated with the disorder of the Three Life-sustaining Energies(Khii,Shar,Badgan).Clinical studies have demonstrated that Mongolian medical acupuncture can significantly alleviate pain and numbness,and improve cervical spine function in CSR patients.Although there are variations in acupoint selection,the approach consistently emphasizes the combination of local and distal points,highlighting the therapeutic goals of dredging the White Meridian and regulating qi and blood.The"Wind-blood"theory provides a scientific framework for explaining the neurological and inflammatory symptoms of CSR,thereby offering a basis for pattern differentiation and treatment.[Conclusions]Mongolian medical acupuncture for CSR offers the advantages of a solid theoretical basis and established clinical efficacy.However,its advancement in the modern context requires a deeper investigation into its mechanisms,the standardization of operational protocols,and further validation of its efficacy and safety through large-sample,evidence-based studies.展开更多
The competitor,stress tolerator,and ruderal strategy(CSR)framework has been widely applied to explain ecological processes across species.However,its utility in revealing intra-specific trade-offs and genetic adaptati...The competitor,stress tolerator,and ruderal strategy(CSR)framework has been widely applied to explain ecological processes across species.However,its utility in revealing intra-specific trade-offs and genetic adaptation to climate remains unclear.In this study,we examined whether the CSR strategy estimated by leaf traits can identify adaptations to climate in the common reed Phragmites australis.For this purpose,we integrated functional trait data from field surveys and a three-year common garden experiment to compare CSR scores between two typical populations of P.australis from western and eastern China.We further assessed the associations of CSR scores with latitude,bioclimatic factors,and phylogeographical sources using a global dataset including two invaded lineages in the North America.We found that competitor scores were positively correlated with latitude,whereas stress tolerator scores were negatively correlated.Competitor scores were positively correlated with bioclimatic factors,even when controlling for phylogeny.All CSR scores displayed significant phylogenetic signals,with the invasive lineage in the higher latitudes(haplotype M)exhibiting higher stress tolerator scores than the native lineage.Differences in competitor and stress tolerator scores between western and eastern Chinese populations of P.australis were consistent across field and common garden experiments.Although intra-species variation in CSR strategy may be influenced by phylogenetic history,our finding that CSR strategy in P.australis populations is correlated with latitude suggests these plants have adapted to local climates along a latitudinal gradient.展开更多
在全球治理结构调整与可持续发展议程持续推进的背景下,企业责任治理正逐步由传统的企业社会责任(Corporate Social Responsibility,简称CSR )范式,向更为制度化、指标化的环境、社会与治理(Environmental,Social and Governance,简称ES...在全球治理结构调整与可持续发展议程持续推进的背景下,企业责任治理正逐步由传统的企业社会责任(Corporate Social Responsibility,简称CSR )范式,向更为制度化、指标化的环境、社会与治理(Environmental,Social and Governance,简称ESG )模式转型。医疗行业因其公共属性与高度社会敏感性,成为责任治理转型的重要领域。然而,当前医疗企业在责任治理实践中仍面临诸多挑战,如制度设计碎片化、执行体系不健全以及内部外部协同机制薄弱,难以有效回应多元利益相关方的诉求。在此背景下,学界对医疗行业责任治理机制的系统性研究相对不足。基于此,本文旨在探讨医疗企业责任治理从CSR向ESG转型的制度逻辑、结构重塑路径与机制优化策略,期为责任治理范式演进提供理论支持与实践参考。展开更多
Traditional Mongolian Medicine(TMM)therapies have emerged as a prominent therapeutic option for Cervical Spondylotic Radiculopathy(CSR),owing to their demonstrated efficacy,cost-effectiveness,and high clinical accessi...Traditional Mongolian Medicine(TMM)therapies have emerged as a prominent therapeutic option for Cervical Spondylotic Radiculopathy(CSR),owing to their demonstrated efficacy,cost-effectiveness,and high clinical accessibility.This study systematically reviews classical Mongolian medical texts to synthesize CSR-related knowledge,including disease profiles,pathogenesis,and therapeutic strategies—through dual analytical perspectives from modern medicine and TMM theory.Furthermore,it critically evaluates recent clinical research on TMM interventions for CSR,encompassing manual therapies,herbal formulations,and holistic regimens.The integrated analysis aims to provide references for optimizing TMM clinical practices in CSR treatment.展开更多
基金Supported by Project of Science and Technology Department of Inner Mongolia Autonomous Region(2019GG125).
文摘[Objectives]To observe the clinical efficacy of Mongolian medicine silver needle combined with cupping and bloodletting therapy in the treatment of cervical spondylotic radiculopathy(CSR).[Methods]A total of 120 patients diagnosed with CSR who received treatment at the International Mongolian Hospital of Inner Mongolia between October 2021 and October 2022 were selected and randomly divided into two groups:A test group and a control group,with 60 patients in each group.The patients in the test group received Mongolian medicine silver needle combined with cupping and bloodletting therapy,following the principles of syndrome differentiation in Mongolian medicine.In contrast,the patients in the control group received only the Mongolian medicine silver needle therapy.After treatment,the Mongolian medicine syndrome scores,visual analogue scale(VAS)scores,and total clinical therapeutic effects in the two groups of patients were compared both prior to and following the treatment.[Results]The improvement in VAS and Mongolian medicine syndrome scores in the test group was greater than that in the control group,with a statistically significant difference(P<0.05).The scores of the test group surpassed those of the control group,and this difference was also statistically significant(P<0.05).Furthermore,the overall therapeutic effect in the test group was 93.33%,which was markedly higher than 76.67%observed in the control group(P<0.05).[Conclusions]The therapeutic effect of Mongolian medicine silver needle combined with cupping and bloodletting therapy in the treatment of CSR is remarkable.This approach has demonstrated efficacy in alleviating patient pain and improving the functionality of the cervical vertebrae,thereby warranting clinical promotion and application.
基金Supported by 2023 Traditional Chinese(Mongolian)Medicine Science and Technology Program Project of Inner Mongolia Autonomous Region Health Commission(ZMY-2023207).
文摘[Objectives]To systematically review the advances in the research of the theoretical basis,clinical efficacy,and mechanisms of Mongolian medical acupuncture for Cervical Spondylotic Radiculopathy(CSR),and to explore its relationship with the"Khii-Khisu(Wind-blood)"theory.[Methods]Relevant literature from both domestic and international sources was searched.Besides,it summarized the etiology,pathogenesis,clinical manifestations,and treatment principles of CSR in Mongolian medicine,also summarized the commonly used acupoints and combination protocols in Mongolian medical acupuncture,compared the similarities and differences between various acupuncture regimens,and explained the underlying mechanisms in light of the"Wind-blood"theory.[Results]In Mongolian medicine,Cervical Spondylotic Radiculopathy(CSR)is classified as a"Disorder of the White Meridian".Its pathogenesis is considered to be closely associated with the disorder of the Three Life-sustaining Energies(Khii,Shar,Badgan).Clinical studies have demonstrated that Mongolian medical acupuncture can significantly alleviate pain and numbness,and improve cervical spine function in CSR patients.Although there are variations in acupoint selection,the approach consistently emphasizes the combination of local and distal points,highlighting the therapeutic goals of dredging the White Meridian and regulating qi and blood.The"Wind-blood"theory provides a scientific framework for explaining the neurological and inflammatory symptoms of CSR,thereby offering a basis for pattern differentiation and treatment.[Conclusions]Mongolian medical acupuncture for CSR offers the advantages of a solid theoretical basis and established clinical efficacy.However,its advancement in the modern context requires a deeper investigation into its mechanisms,the standardization of operational protocols,and further validation of its efficacy and safety through large-sample,evidence-based studies.
基金supported by the National Natural Science Foundation of China(No.32100304,32470388,U22A20558,32271588).
文摘The competitor,stress tolerator,and ruderal strategy(CSR)framework has been widely applied to explain ecological processes across species.However,its utility in revealing intra-specific trade-offs and genetic adaptation to climate remains unclear.In this study,we examined whether the CSR strategy estimated by leaf traits can identify adaptations to climate in the common reed Phragmites australis.For this purpose,we integrated functional trait data from field surveys and a three-year common garden experiment to compare CSR scores between two typical populations of P.australis from western and eastern China.We further assessed the associations of CSR scores with latitude,bioclimatic factors,and phylogeographical sources using a global dataset including two invaded lineages in the North America.We found that competitor scores were positively correlated with latitude,whereas stress tolerator scores were negatively correlated.Competitor scores were positively correlated with bioclimatic factors,even when controlling for phylogeny.All CSR scores displayed significant phylogenetic signals,with the invasive lineage in the higher latitudes(haplotype M)exhibiting higher stress tolerator scores than the native lineage.Differences in competitor and stress tolerator scores between western and eastern Chinese populations of P.australis were consistent across field and common garden experiments.Although intra-species variation in CSR strategy may be influenced by phylogenetic history,our finding that CSR strategy in P.australis populations is correlated with latitude suggests these plants have adapted to local climates along a latitudinal gradient.
文摘在全球治理结构调整与可持续发展议程持续推进的背景下,企业责任治理正逐步由传统的企业社会责任(Corporate Social Responsibility,简称CSR )范式,向更为制度化、指标化的环境、社会与治理(Environmental,Social and Governance,简称ESG )模式转型。医疗行业因其公共属性与高度社会敏感性,成为责任治理转型的重要领域。然而,当前医疗企业在责任治理实践中仍面临诸多挑战,如制度设计碎片化、执行体系不健全以及内部外部协同机制薄弱,难以有效回应多元利益相关方的诉求。在此背景下,学界对医疗行业责任治理机制的系统性研究相对不足。基于此,本文旨在探讨医疗企业责任治理从CSR向ESG转型的制度逻辑、结构重塑路径与机制优化策略,期为责任治理范式演进提供理论支持与实践参考。
基金Supported by Science and Technology Program of Inner Mongolia Autonomous Region"Clinical Observation of Warm Needling Acupuncture of Mongolian Medicine in the Treatment of Lumbar Disc Herniation"(2019GG125).
文摘Traditional Mongolian Medicine(TMM)therapies have emerged as a prominent therapeutic option for Cervical Spondylotic Radiculopathy(CSR),owing to their demonstrated efficacy,cost-effectiveness,and high clinical accessibility.This study systematically reviews classical Mongolian medical texts to synthesize CSR-related knowledge,including disease profiles,pathogenesis,and therapeutic strategies—through dual analytical perspectives from modern medicine and TMM theory.Furthermore,it critically evaluates recent clinical research on TMM interventions for CSR,encompassing manual therapies,herbal formulations,and holistic regimens.The integrated analysis aims to provide references for optimizing TMM clinical practices in CSR treatment.