作为全国中医行业推广建设现代医院管理制度的标杆,广东省中医院高度重视人才工作,坚定不移地实施人才战略,着力打造人才工程,践行感恩文化并将感恩文化作为人才工程的"导航系统",不断完善和创新爱才、育才、用才和聚才的工作机制,把医院建设成为人才茁壮成长的沃土和名医的摇篮,提升医院核心竞争力,使医院实现了跨越式的发展.

本文基于痰饮是哮喘的"夙根"和"治痰饮者当以温药和之"相关理论,提出支气管哮喘气道黏液高分泌的治疗大法为温阳化饮,阐明开展中医药治疗哮喘气道黏液高分泌的重要性.

目的:构建一套能够在广东省乃至全国推广应用的科学、合理、易行的中医特色及优势评价指标体系.方法:在充分查阅有关中医特色与优势评价体系文献的基础上,按循证医学的提取标准构建指标体系草案,采用德尔菲法对指标划案进行2轮专家咨询,确定最终的指标体系.结果,所建指标体系分两级,一级指标7项,按权重依次为:“中医特色及优势传承与创新”“中医特色及优势的运用”“基本配置”“学术影响力”“社会影响力”“管理及运行机制的保障”“经济学评价”;二级指标共51项.结论:整套指标体系从7个方面囊括了中医特色与优势的评价指标,其构建对评估中医院中医特色及优势、提高经济医院综合实力及市场竞争力、提升中医院经济及社会效益有重大意义.

Objective To exPlore the centenarian longevity factors in Guangzhou from“Treat Pre -disease”. Methods Various Possible factors associated with maintaining health and longevity in centenarians was found out by literature review to develoP centenarians health and longevity related factors questionnaire. The trained Physician visited for centenarians in Guangzhou city for free health examination so as to under-stand the elderly health status and TCM constitution identification for the elderly. Questionnaire survey of cen-tenarian's health and longevity related factors was conducted by unified training investigators. Result The research shows that the most centenarians had a good lifestyle such as sleeP better,no smoking or drinking habit and more extroversion in characteristic. There were 72 cases mental health and 78 cases no chronic dis-ease in 128 centenarians. Qi deficiency accounted for the greatest ProPortion in TCM constitution,followed by gentleness constitution. Conclusion The health and longevity can be achieved by the following factors such as keePing healthy lifestyle like regular exercise and diet,maintaining healthy Psychology and balancing yin and Yang.

目的观察喘可治注射液（CKZ）对慢性阻塞性肺疾病（COPD）大鼠肺组织IL-12/IL-12R/STAT4信号通路的影响。方法 50只SD大鼠随机分为正常组,模型组,CKZ高、中、低剂量（CKZ-H、CHZ-M、CKZ-L）组。除正常组外,各组复制COPD大鼠模型,并给予相应药物治疗,观察CKZ对COPD大鼠血清和肺泡灌洗液（BALF）中γ-干扰素（IFN-γ）、白细胞介素12（IL-12）、白细胞介素12受体（IL-12R）以及肺组织信号转导子和转录激活子4（STAT4）m RNA表达的影响。结果喘可治注射液各剂量组肺组织病理形态均有不同程度的改善,且降低COPD大鼠血清和BALF中IFN-γ、IL-12、IL-12R（除CKZ-L组BALF中IL-12R外）水平（P〈0.05,P〈0.01）,可抑制大鼠肺组织STAT4 m RNA的表达（P〈0.01,P〈0.05）。结论喘可治注射液能一定程度改善COPD大鼠肺组织病理损害,其作用机制可能与其抑制IFN-γ、IL-12、IL-12R表达,干扰IL-12/IL-12R/STAT4信号通路对靶基因的激活,下调STAT4 m RNA表达,进而调节Th1/Th2分化失衡有关。

Objective To observe the effects of Chuankezhi injection(CI)on IL-12/IL-12R/STAT4 signal pathway in the pulmonary tissue of chronic obstructive pulmonary disease(COPD)rats. Methods Fifty SD rats were randomized into 5 groups, i.e., normal group, model group, and high-, medium- and low-dose CI groups. COPD rat model was established, and then were given various concentrations of CI. The effects of CI on serum and bronchoalveolar lavage fluid(BALF) interferon gamma(IFN-γ),IL-12 and IL-12R,and pulmonary mRNA expression of signal transducer and activator of transcription 4(STAT4)in COPD rats were observed. Results The pathological morphology of lung tissues was improved to different degrees in CI groups. High-, medium- and low-dose CI could decrease the serum and BALF levels of IFN-γ, IL-12 and IL-12R(P<0.05, P< 0.01), and inhibit the mRNA expression of STAT4 in lung tissues of COPD rats (P < 0.01 or P < 0.05). Conclusion CI can improve lung tissue pathological damage of COPD rats to certain degree. Its therapeutic mechanism may be associated with the inhibiting IFN-γ, IL-12,IL-12R expression,and interfering the activation ability of IL-12/IL-12R/STAT4 signaling pathway on target genes,down-regulating the mRNA expression of STAT4,and then adjusting the imbalance of Th1/Th2 differentiation.

目的：观察加味三叶汤雾化吸入治疗咳嗽变异型哮喘的临床疗效。方法：将69例我院收治的咳嗽变异型哮喘患者，按随机数字表法随机分为两组。对照组34例给予茶碱缓释片0．2 g，每12 h口服1次。治疗组35例给予加味三叶汤（人参叶、龙利叶、枇杷叶、苦杏仁、浙贝母、紫菀、款冬花、桔梗、前胡、防风、炙麻黄、甘草），雾化吸入治疗，1次15～20 min，1 d2次。两组均治疗2周后判定疗效。结果：治疗组显效19例，有效6例，无效3例，有效率为91．43％；对照组显效10例，有效11例，无效10例，有效率为70．59％。两组对比，差别有统计学意义（P＜0．05）。结论：加味三叶汤雾化吸入治疗咳嗽变异型哮喘疗效确切。

随着健康观念和医学模式不断发生深刻变革,人们正在回归到治未病传统健康文化的核心理念上来,中医药治未病健康服务产业面临前所未有的发展良机.近年来,广东在建设中医药强省过程中,积极营造中医药健康服务产业发展的良好社会氛围,取得了突出成效.

张洪义教授从医近50余年,其医术精湛,尤擅长于临床疑难杂症的诊治,声誉颇佳.笔者于本科就读阶段有幸跟随恩师门诊4年,现择其疑难病案3则报道如下,以飨临床同道. 1 重用白矾治疗顽固性呃逆 呃逆,古称噎,为临床常见病,以喉间呃呃连声,声短而频,不能自制为主要表现.常见于胃肠道疾患、神经官能症等病证,相当于西医的膈肌痉挛、神经性呃逆等.临床上习惯在辨其寒热虚实、审因论治的基础上加上一些理气降逆之品,如柿蒂、代赭石等予以治疗,对于病程较长的顽固性呃逆常忽视化痰药的运用,故疗效不显.张洪义教授重用燥湿化痰之品——白矾,治疗病程较长的顽固性呃逆疗效甚佳甚速.

Objective: To explore the syndrome differentiation patterns of breast cancer,indentify the main four diagnostic method information of the syndrome types,and establish foundation for setting up standards for syndrome differentiation types of consolidate period in patients with breast cancer after surgeries. Methods: Questionnaires were given to 1102 patients admitted to breast department of Guangdong province Hospital of TCM from June 2009 to June 2012 who were on the consolidate period of breast cancer. Methods of category analysis and frequency normalization were used. Results: Four patterns were concluded to be clinically practical by the confirmation of experts,including spleen-kidney deficiency pattern( 34. 8% ) ,kidney deficiency with blood stasis pattern( 27. 9% ) ,deficiency of liver-kidney yin pattern ( 4. 7% ) and disease without syndrome pattern ( 32. 5% ) . Conclusion: epidemiology investigation and statistical analysis are used to establish the syndrome differentiation patterns and indexes for consolidate period of breast cancer,which provides theoretical evidence for treating patients in this phase.

病人满意度测评体系是衡量医疗服务满意水平的重要工具，已逐步成为医院管理不可缺少的环节。广东省中医院将病人满意度测评体系运用到“创优”活动，促进了“创优”活动取得良好效果。

The article discussed how to construct the Chinese medicine culture which based on humanism characteristics,highlight the cultural characteristics and highlights of Chinese medicine,innovate in the foundation of inherits,combine the humanism and the zeitgeist of Chinese medicine,further carries out the scientific development concept,ultimately promote the inheritance and innovation development of modern Chinese medicine.