发挥中药在肿瘤症状处理中的作用——兼谈结直肠癌的中医“病证结合辨治”

改善症状是中医治疗晚期恶性肿瘤的优势,但简单的对症治疗显然体现不了中医的特色;辨证论治虽然是中医治疗的核心,但在对癌病本质的把握上缺乏理论和实践的支撑;单一的辨病论治强调以毒攻毒,却不能改善症状及预后。本文作者以对结直肠癌的治疗为例,认为抓主症,将病证与辨治相结合,有望较好地解决“症”“证”“病”三者的关系,在改善症状...     

西化中医"创新"之悖论纪实

1导论 中医辨证唯象论与西医实证解剖辨病的结构论是两个截然不同的逻辑概念;"中西医结合"者,乃需求是于辩证法科学理论概念的统一和谐.     

论中医的辨证论治与肿瘤的分子靶向治疗

辨证论治是中医认识和治疗疾病的基本原则,"同病异治"和"异病同治"是辨证论治的精神实质.恶性肿瘤的分子靶向治疗在很多方面都贯彻了"辩证论治"观念,将所辨的证候落实到受体、基因和各种调控系统上.尽管两者理论基础完全不同,但都强调以患者为中心的综合治疗和个体化治疗理念,对建立正确的临床思维非常重要.     

从脏腑辨证中"病"的嵌构谈"病与证"的相关性

随着普通高等教育中医药类规划教材<中医诊断学>[1]的问世,中医诊断学知识体系日臻成熟和稳定,病与证的概念有了明确界定.作为诊断的高级阶段[2],辨病与辨证之间的关系亦显得日趋明晰.鉴于学科的教学特点,普通高等教育"十五"国家级规划教材<中医诊断学>[3]在详尽介绍"辨证"的同时,不忘渗透"疾病诊断思路",在一定程度上体现了中医诊断"病证结合"的基本原则.     

中西医结合临床思路浅谈--论辨证与辨病的关系

辨证与辨病是两种不同的思维方式,西医辨病又辨证,中医辨证又辨病,辨病与辨证是中医与西医都遵循的诊治过程,在临床中辩证运用中医与西医有利于中西医结合临床思路的建立     

中西医结合临床思路浅谈——论辨证与辨病的关系

辨证与辨病是两种不同的思维方式,西医辨病又辨证,中医辨证又辨病,辨病与辨证是中医与西医都遵循的诊治过程,在临床中辩证运用中医与西医有利于中西医结合临床思路的建立     

无证可辨浅识及对策

辨证论治是中医学精髓.无证可辨的情况,究其原因,一方面与医者辨证方法和技能有关,另一方面确实存在无证可辨的现象.为提高辨证水平,医者既要重视病性特点、病因、六经病辨证特色;也要积极引入中医"病"的概念和微观辨证,因为中医辨病在特定情况下可弥补辨证的不足,而微观辨证的深入研究则可能为无证可辨提供客观依据.为此,才可在实践中正确处理无证可辨的尴尬,并使中医诊断学内容臻备.     

从临床诊治系统性红斑狼疮谈中西医结合的思路

1　既辨证、又辨病 ,诊断学上的中西医结合中医重宏观 ,西医重微观 ;中医重整体 ,西医重局部 ;中医重辨证 ,西医重辨病 ,这是中、西医学的优势和特点。分而言之 ,中医是辨证论治 ,通过望、闻、问、切四诊获得“证候”之后 ,再根据中医的藏象、经络、气血、病因病机理论 ,在证候与自然、社会、心理等诸多因素的关系分析中 ,确定病因病机以辨证求因 ;而西医是“辨病施治” ,根据来自病人、作为认识疾病重要线索的症状 ,进行具有针对性的仪器或实验室检查 ,以明确局部的病灶 (器官、组织、细胞 )的病理改变 ,或产生这种病理改变的致病因子 ,做…     

中国古代医政组织的演进及评价

中医概念体系需要细化和重构,在对中医辨证、辨病内涵实质进行再分析基础上,认为目前中医辨病辨证认识存在着关系不清、临床功能定位模糊等问题,阐述了细化重构中医辨治理论模型的必要性,并初步探析了辨病与辨证二者的趋同关系、互补关系、矛盾关系等,给出了面对辨病、辨证、辨症等多重认识时的处理原则。     

治疗目标定位与临床决策

治病如用兵,治疗皮肤病亦一样.临床实践中,许多皮肤科医生忽略了皮肤病的病机治疗,导致了起效慢、疗效差、病程迁延的结果.皮肤病的治疗应包括病因治疗、病机治疗、症状治疗、支持辅助治疗,四者缺一不可、协同互补;应用中可根据疾病矛盾的转化,分清先后主次,灵活调整组合,即运筹帷幄,辨证施治,辨病、辨症、辨药、辨方,"以正合取奇胜",以求取得最快、最好、最稳定持久的疗效.     

Method and Explanation in History and in Social Representations

A commonly held point of view defines a discipline as a science if it uses inductive and/or deductive methods in studying phenomena in question, because these methods, it is believed, will enable generalization of findings. Both history and theory of social representations study unique phenomena and therefore, for these disciplines, induction and deduction are unsuitable methods of exploration. History and theory of social representations treat a historical event and a social psychological phenomenon, respectively, as dynamic, systemic and one of its kind. Using relational epistemologies, these disciplines produce context-dependent and context-specific knowledge. Whilst similarities among historical, as well as among social psychological occurrences do exist, they do not yield themselves to inductive generalization. Studies of unique cases require different kinds of generalization; rather than generalising to populations, they pose questions about generalizability, or transferability, with respect to theories of other historical events or social psychological phenomena.     

Attention and memory in children and adults in context-interactive and context-independent situations

The relation between attention to target and context information and target recall in an incidental learning task for children and adults was examined in seven experiments. In Experiment 1, second- and sixth-graders and college adults were presented with hard (e.g., hawk eagle canary), easy (river lake canary), or unrelated (river pencil canary) word triplets, varying in the difficulty of identifying the “odd” target word (canary), and were required to identify the target themselves (oddity choice), or such identification was optional, since the experimenter identified the target (read). Trial duration was either 3 or 7 s. The attentional patterns varied with triplet type, orienting activity, and trial duration. Most important, target and incidental context word recall seemed to vary directly with the extent of the interactive processing of context and target conceptual information, and the adults seemed more disposed to do such processing than the children. These results support a distinction between context-interactive and context-independent situations and suggest that the attentional patterns that are efficient for memory may differ with the kind of situation. The other experiments extend and establish the generality of these results.     

Separation of Religion and State and Secularism in Theory and in Practice

Abstract

This study examines whether states follow the religion policies they declare in their constitutions. It identifies four types of policies which officially seek to limit religion's role in government: absolute separation of religion and state (SRAS); neutral political concern; exclusion of ideals; and secularism–laicism. I determine whether states follow these policies using the religion and state (RAS) dataset and compare this to constitutional declarations that the state is secular and declarations of separation of religion and state. The results show that a majority of states which make both types of declaration do not follow these policies based on any of the four standards used in this study. However, the presence and wording of these clauses are correlated with state religion policy.     

Idealizations and Concretizations in Laws and Explanations in Physics

The paper tries to provide an alternative to Hempel’s approach to scientific laws and scientific explanation as given in his D-N model. It starts with a brief exposition of the main characteristics of Hempel’s approach to deductive explanations based on universal scientific laws and analyzes the problems and paradoxes inherent in this approach. By way of solution, it analyzes the scientific laws and explanations in classical mechanics and then reconstructs the corresponding models of explanation, as well as the types of scientific laws appearing in it. Finally, it compares this reconstruction with the approaches of J. Woodward and C. Hitchcock, C. Liu and with the views of M. Thalos on analytic mechanics.

Conceptual combinations and relational contexts in free association and in priming in lexical decision and naming

Words known to have strong associates of a particular relational type were embedded in lists of other words with relations of the same type or in lists of words with relations of a different type (e.g.close-far in a list of other opposite pairs or in a list of synonym pairs). In free association, the probability of a response consistent with the relational context was higher than the probability of a response inconsistent with the context. In lexical decision and naming, significant priming was obtained for related pairs of words only when their relation was consistent with the relational context of the list in which they were embedded. The priming effects were obtained when the stimulus onset asynchrony between prime and target words was short (250 msec for lexical decision and 300 msec for naming), indicating that the effects were due to automatic retrieval processes. These findings point to the importance of the particular relations between words in the retrieval of information from memory, an aspect of processing overlooked by current memory models.     

Anxiety and depression in adolescents in urban and rural China

The goal was to assess rates of anxiety and depression in adolescents in two areas of Zhejiang Province, China. A cross-sectional survey was carried-out using a self-report questionnaire developed for this study. Participants were middle school students (age range 13-16 years) in an urban and a rural setting. There were 1576 completed questionnaires. Symptoms of anxiety sufficient to interfere with enjoyment of life, relaxation, and sleep were common (48%, 40%, and 27%, respectively). School-related problems were the predominant sources of worry. One third reported a history of depression, 16% had at times felt life was not worth living, and 9% reported that they had attempted suicide. Girls were more likely to report symptoms of depression. Patterns of help-seeking showed reliance on friends and parents; only 1% had sought professional help. There were no significant differences in anxiety and depression between one-child and multisibling families.     

Sensitivity and specificity in affective and social learning in adolescence

Adolescence is a period of heightened affective and social sensitivity. In this review we address how this increased sensitivity influences associative learning. Based on recent evidence from human and rodent studies, as well as advances in computational biology, we suggest that, compared to other age groups, adolescents show features of heightened Pavlovian learning but tend to perform worse than adults at instrumental learning. Because Pavlovian learning does not involve decision-making, whereas instrumental learning does, we propose that these developmental differences might be due to heightened sensitivity to rewards and threats in adolescence, coupled with a lower specificity of responding. We discuss the implications of these findings for adolescent mental health and education.     

Change and Stability in Religiousness and Spirituality in Emerging Adulthood

The author investigated the change and stability of different aspects of religiousness and spirituality, as well as whether personality traits may help explain why individuals increase or decrease in religiousness and spirituality during emerging adulthood. Self-report measures of childhood and current religiousness were completed by 224 college-aged participants. A subset of participants also completed a measure of personality and measures of religious and spiritual belief trajectories by rating the importance of each belief at successive age brackets across their lifespan. Analyses of mean-level, rank-order, and individual-level stability and change in religiousness indicated that while average religiousness scores decreased, there was still moderate to high rank-order stability in scores. Additionally, service attendance was less stable and decreased more than importance of religion in daily life. Examination of the trajectories of religiousness and spirituality over time showed similar differences: religiousness decreased, on average, whereas spirituality increased slightly, but significantly, across successive age brackets. Personality traits did not significantly predict change in religiousness over time, although openness predicted change in spirituality. Conclusions include the idea that religiousness in emerging adulthood is comprised on different components that change at different rates.