在丰富多彩的中医药学家族中,各少数民族医药也扮演着必不可少的角色,而壮医正是其中较具规模特色并且理论系统比较完备的一个.壮族医学是壮族人千百年来从生活经验和医疗实践中总结出来的医学经验,由于其独特的地理位置和自然环境,在长期发展的过程中形成了独特的壮族医学理论和各种特殊的治疗方法和临床经验,它也使壮族医学的治疗和方剂的使用逐渐流行的各种特点.

目的 观察低、中、高三种剂量脾虚1号方对功能性消化不良(functional dyspepsia,FD)大鼠降钙素基因相关肽(calcitonin gene-related peptide,CGRP)、胆囊收缩素(cholecystokinin,CCK)和血管活性肠肽(vasoactive intestinal peptide,VIP)的影响.方法 碘乙酰胺灌胃复合水环境小平台站立法复制大鼠FD模型.将大鼠随机分成5组:对照组、模型组、西药组、脾虚1号方低剂量组(以下简称低剂量组)、脾虚1号方中剂量组(以下简称中剂量组)和脾虚1号方高剂量组(以下简称高剂量组).使用Elisa检测血清中CGRP、CCK和VIP的含量;使用rt-PCR检测下丘脑和胃窦中CGRP mR-NA、CCK mRNA和VIP mRNA的表达情况.结果 与对照组相比,模型组大鼠血清中CGRP、CCK和VIP的含量均上升;与模型组相比,低剂量组大鼠血清中VIP含量下降,中剂量组大鼠血清中CGRP、CCK和VIP的含量下降,高剂量组大鼠血清中CGRP的含量降低.与对照组相比,模型组大鼠下丘脑中CGRP mRNA、CCK mRNA和VIP mRNA的含量均上升;与模型组相比,低剂量组大鼠下丘脑中VIP mRNA的含量下降,中、高剂量组大鼠下丘脑中CGRP mRNA、CCK mRNA和VIP mRNA的含量下降.与对照组相比,模型组大鼠胃窦中CGRP mRNA、CCK mRNA和VIP mRNA的含量均上升;与模型组相比,低剂量组大鼠胃窦中VIP mRNA的含量下降,中剂量组大鼠胃窦中CGRPmRNA、CCK mRNA和VIP mRNA的含量下降,高剂量组大鼠胃窦中CGRP mRNA和VIP mRNA的含量下降.结论 脾虚1号方治疗FD的生物学基础与调节CGRP、CCK和VIP的表达有关.

2020年初突然暴发新型冠状病毒肺炎疫情,为防控新型冠状病毒肺炎疫情,教育部倡议各类院校延期开学,利用网络平台开展在线教学,"停课不停学",在线教育成为全社会关注的焦点话题.文章以广西中医药大学为例,研究探索高校在疫情期间如何展开教育教学工作,探索教学方式的改革,希望能为以后高校在面对集体突发事件时有序有效开展教学工作提供有益借鉴.

目的 探讨八段锦锻炼缓解大学生脑力疲劳的干预效果.方法 选取2019年5～8月进行八段锦干预脑力疲劳试验的北京中医药大学医学相关专业本科生66名,采用随机数字表法将其分为干预组(33名)和对照组(33名).干预组于考试前8周开始,每天清晨练习八段锦30 min,期间历经1周期末考试,直到考试结束,共干预9周;对照组无任何干预措施.观察两组受试对象考试前8周和考试后的闪光临界融合频率、疲劳量表(FS-14)评分、职业倦怠量表评分及记忆广度测试数字.结果 对照组考试后的成就感低落维度得分低于考试前8周、记忆广度测试数字多于考试前8周,差异有统计学意义(P<0.05).干预组考试后的FS-14疲劳总分、FS-14脑力疲劳得分、情绪衰竭维度得分和成就感低落维度得分均低于考试前8周,记忆广度测试数字多于考试前8周,差异有统计学意义(P<0.05).干预组考试后的FS-14疲劳总分、情绪衰竭维度得分均低于对照组,差异有统计学意义(P<0.05).结论 坚持练习八段锦对于缓解大学生脑力疲劳效果良好,可为大学生提供一种高效、简便的方式缓解期末考试及学业压力引起的脑力疲劳.

因材施教,教师在教学活动中实施分层次教学,能够激发各类学生的主观能动性,满足各类学生学习的需求,是深化教学改革的重要举措.中医养生实训课的教学是在已有中医养生基础知识学习的基础上,学生根据自己的特长和已有的知识架构,通过动手实践,内化新知识、构建自己的中医养生知识体系的过程.在中医养生实训课中实施分层教学可以让每个学生都能从学习中有所斩获,培养与自己相应的实践能力,增强自己的学习自信心,使自己更好地成为社会的有用之才.同时也能让教师在教学活动中提升自身素质,促进教学质量的提高.

目的:研究壮医桉楝双莲方对变态接触性皮炎(ACD)模型小鼠慢性瘙痒的止痒作用.方法:通过建立ACD模型,研究不同剂量的壮医桉楝双莲方对ACD模型小鼠慢性瘙痒的止痒作用.结果:DNFB能够成功诱导ACD模型,壮医桉楝双莲方对抗ACD模型小鼠慢性瘙痒的作用不明显,并且不同剂量的壮医桉楝双莲方对抗ACD模型小鼠慢性瘙痒的作用也有所不同.此外,壮医桉楝双莲方不能明显降低ACD模型小鼠血清中IgE、TFNα、IL13、IL31浓度.结论:壮医桉楝双莲方对抗ACD模型小鼠慢性瘙痒的作用不明显.

简帛医籍中有大量的医学资料,其中就有男科疾病的相关记载.为了更清晰地探析男科阴囊疾病的中医治疗原理,借用训诂学方法进行研究.研究发现运用训诂学考据阴囊疾病有助于明确阴囊、睾丸的词汇的名源关系,揭示阴囊疾病的中医病因病机及治疗原理.同时,有助于理解“囊”和“卵”两个字的演变过程及其涵义,发掘睾丸疝气的临床治疗方法,对正确、全面地认识阴囊疾病大有裨益.

中医养生学是中华民族优秀传统文化的重要组成部分,历史悠久、源远流长.“养生”一词最早见于《庄子内篇·养生主》,是指通过精神调养、饮食调养、运动调养、起居作息调养等各种方法来保养身体的一种综合性强身益寿活动.

The number of patients with allergic diseases will grow rapidly with the prosperity of the economy,in which allergic rhinitis can develop into allergic asthma,induce anaphylactic shock,and then endanger life.Therefore,effective treatment of allergic rhinitis and blocking the process can prevent the occurrence of allergic asthma and many other diseases.At present,drug treatment in western medicine is mainly symptomatic treatment,but the recrudescence of allergic rhinitis and the process of disease can not be effectively prevented;immunotherapy for allergies can be used as a cure,but there are many allergies that have not developed immune agents and the variety of allergies is too numerous to enumerate.Therefore,the Chinese medicine treatment of allergic rhinitis is especially worthy of research.Starting from the etiology and pathogenesis of allergic rhinitis,utilize aromatic drugs in natural drugs to reduce phlegm dampness,regulate qi and activate blood,open the orifices and spread the collaterals,clarify the mechanism of the treatment of allergic rhinitis,and then carry out the study on the effective components of medicinal herbs in the treatment of allergic rhinitis,action target and therapeutic pathway,and lay the foundation for the development and research of new drugs and new dosage forms for allergic rhinitis.

对近5年中医关于糖尿病肾病(Diabetic Nephropathies,DN)治疗的相关文献进行归纳总结.以“糖尿病肾病”“中医”“治疗”为关键词,检索CNKI、Pubmed、CBM等数据库中近5年的相关文献,对其进行归纳分析.结果糖尿病肾病的病机以虚实夹杂为主,运用单味中药、经方和自拟方、中药注射液、以及针灸等方法治疗糖尿病肾病效果明显.

目的 探讨微信辅助《中医学综合实验》基于问题学习(problem-based learning,PBL)教学模式的教学效果.方法 在2011级中医七年制学生的《中医学综合实验》PBL教学中引入微信作为一种辅助教学工具.课程结束时发放并回收调查问卷,统计问卷调查中的客观选项,并分析学生的主观感想.结果 (1)所有学生都认可微信辅助PBL教学的模式,课内和课外互动非常活跃.(2)除有一位学生对“是否有助于激发学生的好奇心、调动主观能动性”持否定态度外,其他所有学生认为该教学模式对其他各项能力的培养均有帮助.(3)与以往该课程单独PBL教学比较,微信辅助教学后课程的教学内容和互动在课外均得到了有效的延伸,反过来进一步提高了PBL课堂的教学效果.结论 微信辅助《中医学综合实验》PBL教学的教学模式达到了预期的教学目标,但是否将学生在微信上的表现作为该课程的评价内容之一,还需进一步探索.

Due to the special living environment,fatigue is easily happened in the personnel works on the sea voyage.The rate can reach more than 90％.It seriously affects the personnel's navigation safety,operation ability and fighting capacity on the sea voyage.Studies have shown that Qigong,like Baduanjin,can improve the fatigue resistance of sub-health population basic physical fitness,quality of life and symptoms in TCM,The reason is that Baduanjin requires adjusting heart,breath and body and the relevant actions can regulate spleen and stomach as well as regulate heart,kidney,liver and breath in order to ease visual fatigue during the sea voyage,reduce mood disorders and tiredness,enhance digestion and absorption,eliminate the symptoms such as nausea and vomiting.By adjusting the state of body and mind it makes human body back to health.,Based on this,building the pattern of the intervention of Baduanjin for the personnel's sea voyage can be regarded as a kind of beneficial attempt.

通过阐述中壮医诊断学两者之间基础理论、诊断体系、诊断理论以及所面临的发展问题来对两者之间的异同进行对比,为我国其他传统民族医学的发扬传承提供理论参考.中壮医两种医学在发展过程中由于经济文化等多方面的原因造成了两者在发展程度上的差异,这种差异也体现在两者的诊断学之中,但由于都属于祖国传统民族医学,都面临着诊断上的不够规范、客观、标准以及如何传承发展的问题,发展中壮医诊断学应当借助现代化研究手段,定制相关的诊断标准以传承发扬.

合作学习以建构主义理论为指导思想,有助于培养提高学生自主学习能力、人际交往沟通能力、合作能力.而这些都是医学生走上工作岗位必不可少的能力.本文通过临床常见病血脂异常康复课程论述了合作学习模式在课堂中如何实施,通过对课堂活动的分析,说明了合作学习在提高学生的学习兴趣、激发学生的学习潜能、发展学生的非认知能力等方面取得的效果.

Objective:To systematically investigate the different effects of largemedium and small dose of Xiaoyao Powder on gene expression profile in stomach tissue of rats with the syndrome of liver-depression and spleen-deficiency induced by chronic immobilization stress and to study the anti-stress regulatory mechanism of the three different doses at the whole genome.Methods:The rat whole genome expression chips (Agilent) were used to detect the differences of gene expression in the Stomach of the rat model with the syndrome of liver-depression and spleen-deficiency induced by 21-day chronic immobilization stress(3 hours per day) in normal groupmodel group and Xiaoyao Powder groups (largemedium and small dose,respectively)and any differential gene expression profiles between groups were recognized and selected.Then the differential gene expression profiles were analyzed through gene ontology and signal pathway using bioinformatics.Results:The differential gene expression profiles of model group and Xiaoyao Powder groups (largemedium and small dose) were different.The functions of multiple biological processes and signaling pathways were significantly up-regulated or down-regulated.The significantly-changed biological processes participated by differential gene of the model group and the Xiaoyao Powder groups(Largemedium and small dose) had 597,1216,817,924 function gene groups respectivelyand signal pathways had 27,60,41,59 respectively.Conclusion:The syndrome of liver-depression and spleen-deficiency has the background of differentially expressed genomics in stomach.The largemedium and small dose of Xiaoyao Powder all have certain intervention effects on multiple stomach differentially expressed genesthe signal pathways and the biological processes whose functions are both changed.The result shows the medium dose of Xiaoyao Powder is better than the large and small dose.

目的 根据中医学科大学生自身的身心状态特点,解析中医学科教育管理方法.方法 通过对中医院校本科生、研究生两类人群进行身心状态调查,分析其在学习过程中的身心特点,形成有针对性的中医学教育管理方案.结果 本科生身心状态与性别、年龄、地域有关,并趋于分化状态.与本科生相比,研究生更易出现心理疲劳.结论 针对不同年级的本科生,应依据其年龄、性别、地域等进行有针对性的分层管理,同时针对研究生特殊学生群体的心理状况应进行人生规划指导与心理建设管理.

"Aromatherapy" is originated from ancient civilizations-ancient Egypt and ancient China,which is originally used as customs and experiences in medicine;with the born of different historic cultures,philosophy and medicine in China and the West,Chinese and western "aromatherapy" becomes different:traditional Chinese medicine "aromatherapy" is classified into the category of external treatment of Chinese medicine-"aromatherapy therapy" and "fumigation therapy",it has been developed and matured in the aspects of drug type,dosage form,usage and theory,and has been used so far;western medicine "aromatherapy" has experienced the development and maturity of extracting essential oils,replacing essential oils by chemical synthesis,returning plant extracts and carrying out clinical research.There are such academic differences between Chinese medicine and western medicine "aromatherapy".In the final analysis,they are the differences of thinking patterns:the traditional Chinese medicine pays attention to the integrity of the body itself,and the unity and connection between human,nature and social environment;however,the reduction theory of western medicine divides the whole into several elements,and then makes a detailed analysis of the elements in order to trace the evidence and essence.To understand the similarity and difference of medical development paths between Chinese and western,and to seek common ground and fit points between them will bring about breakthroughs in the development and innovation of traditional Chinese medicine.

Fatigue,as a common problem,has great impact on human health and life,with its high inci-dence and pathogenic characteristics of extensiveness and attention.The causes of fatigue are various,the mechanism is complex,and the performance is various.How to solve the problem of fatigue has become a hot issue.Traditional Chinese medicine has a long history and excellent therapeutic effect,and it has accumulated rich theoretical and practical experience in the prevention and treatment of fatigue.The un-derstanding of fatigue in modern Chinese medicine is mainly from the angle of the internal organs syn-drome differentiation and thus prescription.Based on the theory of "Essence,Qi,Spirit"of traditional Chinese medicine,this paper aims to explore the internal mechanism of fatigue,and discusses the ways to solve fatigue,so as to provide ideas for solving fatigue.

At present, insomnia is a common disease which affects the normal life, work and study of people. The earliest medical classic of ancient China Plain Conversation recorded “discomfort in the stomach leads to disturb sleep”. It is manifested that there are thousands of years to treat insomnia by Chinese medicine with distinctive features and advantages. This paper reviewed the Chinese medicine treatment of insomnia.

中医“通”法为临床常用的治疗和保健方法，“通”法有广义和狭义之分。“通”既是治疗和保健方法，又是治疗和保健目的。“通”法是针对“不通”这一病理变化和病理状态而设立的，“通”法的目的就是要使人体从“不通”的状态回到“通”的健康常态。“治未病”包括：未病先防，欲病救萌，既病防变，瘥后防复四部分内容。“通”法在治未病中得到广泛应用：通过调情志、节饮食、顺四时、慎起居、常运动、和房事，维持人体气血阴阳的通畅，达到未病先防的目的；通过发汗、通便、通经络，给邪以去路，达到欲病救萌，消除隐患的目的；通过活血化瘀、化痰除湿、增液润滞、蠲痹通络、清热解毒，达到针对病因治疗，既病防变的目的；通过通补先后天之本，达到瘥后防复的目的。