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2016年, 第14卷, 第4期 刊出日期:2016-06-15
读者来信
Traditional Chinese medicine in psychiatry: The fruit-basket-problem
Peggy Bosch, Peter de Rover, Sujung Yeo, Sook-Hyun Lee, Sabina Lim, Maurits van den Noort
Journal of Integrative Medicine. 2016 (4):  239-240.  DOI: 10.1016/S2095-4964(16)60258-3
摘要 ( 1265 )   PDF   收藏
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国际动态
Optimal fluid intake in daily diet: Avicenna’s view
Majid Nimrouzi, Vahid Tafazoli, Babak Daneshfard, Manijhe Zare
Journal of Integrative Medicine. 2016 (4):  241-244.  DOI: 10.1016/S2095-4964(16)60262-5
摘要 ( 1126 )   PDF   收藏
Adequate daily water consumption is an important factor of keeping regular homeostasis. However, the best quantity of daily water consumption for a healthy individual is not virtually stated in the literature. Despite the dearth of evidence-based recommendations, it is commonly thought that ingesting eight glasses of water a day is good for a healthy person. Avicenna had a unique viewpoint. He believed that daily water intake depended on numerous elements together with age, intercourse, body temperament, season, occupation and various internal and external elements. He also cited a few essential and useful measures regarding proper water consumption, which have additionally been emphasized in Islamic hadiths.
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Nature cure treatment in the context of India's epidemiological transition
Joseph Stewart Alter, Chandrashekar Sharma
Journal of Integrative Medicine. 2016 (4):  245-254.  DOI: 10.1016/S2095-4964(16)60265-0
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Scholars have argued that theoretical insights of critical medical anthropology should be applied to the analysis of complementary and alternative medicine in order to develop more critically engaged integrative medicine. In this essay we focus on nature cure in the context of India's contemporary epidemiological transition as an example of why engaged integrative medicine is important for public health, and how the institutionalization of nature cure treatment in India provides a critical framework for the development of programs focused on holistic treatment and prevention. After providing an overview of the epidemiological transition in contemporary India, we develop this argument through an examination of illustrative cases in a clinic that operates within the structure of India's Central Council for Research on Yoga and Naturopathy. Based on a review of recent history and contemporary practice we describe how a system of medicine that makes use exclusively of air, earth, sunlight, water and food has been institutionalized and professionalized in India. Whereas biomedical treatment for chronic non-communicable diseases is focused on the problem of curing individual diseases, nature cure establishes a regimen of personalized public healthcare for the integrated management of symptoms. We argue that nature cure is based on an ecological understanding of health, thus providing treatment that reflects a broad appreciation for the risk factors that characterize India's current crises of public health.
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综述
Need of integrated dietary therapy for persons with diabetes mellitus and “unhealthy” body constitution presentations
Yee Chi Peggy Wong
Journal of Integrative Medicine. 2016 (4):  255-268.  DOI: 10.1016/S2095-4964(16)60255-8
摘要 ( 1133 )   PDF   收藏
From a perspective of Chinese medicine (CM), persons with unregulated “unhealthy” body constitution (BC) will further develop chronic diseases, such as diabetes mellitus (DM). Conventional dietary therapy with nutrition component has its limitations in the regulation of “unhealthy” BC. However, empirical evidence supports that “unhealthy” BC can be regulated with food natures and flavors from a perspective of CM. Presentations of “unhealthy” BC types, such as Yin-deficiency, Yang-deficiency and Yin-Yang-deficiency were found in persons with DM. It would be necessary to regulate the “unhealthy” BC presentations with integration of conventional dietary therapy and Chinese food therapy. The ultimate goal is to either stabilize glycaemic control or prevent the development of other chronic diseases leading to reduction of disease burden, such as disease-related poor quality of life, stress of healthcare professionals and the rising of healthcare cost.
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Apocynaceae species with antiproliferative and/or antiplasmodial properties: A review of ten genera
Eric Wei Chiang Chan, Siu Kuin Wong, Hung Tuck Chan
Journal of Integrative Medicine. 2016 (4):  269-284.  DOI: 10.1016/S2095-4964(16)60261-3
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Apocynaceae is a large family of tropical trees, shrubs and vines with most species producing white latex. Major metabolites of species are triterpenoids, iridoids, alkaloids and cardenolides, which are known for a wide range of biological and pharmacological activities such as cardioprotective, hepatoprotective, neuroprotective, anti-inflammatory, anticancer and antimalarial properties. Prompted by their anticancer and antimalarial properties, the current knowledge on ten genera (Allamanda, Alstonia, Calotropis, Catharanthus, Cerbera, Dyera, Kopsia, Nerium, Plumeria and Vallaris) is updated. Major classes of metabolites are described using some species as examples. Species with antiproliferative (APF) and/or antiplasmodial (APM) properties have been identified. With the exception of the genus Dyera, nine genera of 22 species possess APF activity. Seven genera (Alstonia, Calotropis, Catharanthus, Dyera, Kopsia, Plumeria and Vallaris) of 13 species have APM properties. Among these species, Alstonia angustilobaAlstonia macrophyllaCalotropis giganteaCalotropis proceraCatharanthus roseusPlumeria alba and Vallaris glabra displayed both APF and APM properties. The chemical constituents of these seven species are compiled for assessment and further research.
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医史研究
The history of acupuncture anesthesia for pneumonectomy in Shanghai during the 1960s
Li-gong Liu, Arthur Yin Fan, Hong Zhou, Jun Hu
Journal of Integrative Medicine. 2016 (4):  285-290.  DOI: 10.1016/S2095-4964(16)60253-4
摘要 ( 1317 )   PDF   收藏
The success of acupuncture anesthesia (AA) for pneumonectomy in Shanghai in 1960 was a key event for AA gaining practical clinical application. The effort was a close collaboration between the Shanghai First Tuberculosis Hospital and the Shanghai Institute of Acupuncture and Moxibustion. One of the most important factors of AA success was the great financial and political support provided by the Chinese central government and Shanghai local government. In December 1965 the State Science and Technology Commission of China issued a formal document acknowledging AA as an important first-level national achievement of the integration of Chinese and Western medicine, and a collaborative effort of the whole scientific community in China. AA was an important influential factor that helped acupuncture spread across the world.
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医学教育
Comparison of traditional Chinese medicine education between mainland China and Australia—A case study
Ji Chen, Bertrand Loyeung, Chris Zaslawski, Fan-rong Liang, Wei-hong Li
Journal of Integrative Medicine. 2016 (4):  291-296.  DOI: 10.1016/S2095-4964(16)60259-5
摘要 ( 1304 )   PDF   收藏

Objective

To analyze and compare the curriculum and delivery of a Chinese and Australian university-level Chinese medicine program. 

Methods

A review of PubMed and the Chinese National Knowledge Infrastructure for relevant educational papers was undertaken. Online and paper documents available at the University of Technology Sydney (UTS) and the Chengdu University of Traditional Chinese Medicine (CDUTCM) were read and analyzed. In addition, in-depth interviews with academics from the two universities were conducted during 2014 to 2015. 

Results

 The two Chinese medicine programs share the common goal of providing health services to the local community, but differ in some aspects when the curricula are compared. Areas such as student profile, curriculum structure, teaching approaches and education quality assurance were found to be different. The UTS program adopts a “flipped learning” approach with the use of educational technology aiming at improving learning outcomes. On the other hand, the CDUTCM has better clinical facilities and specialist physician resources.

Conclusion

A better understanding of the different curricula and approaches to Chinese medicine education will facilitate student learning and educational outcomes.

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临床论著
Use of complementary and alternative medicine among Thai patients with type 2 diabetes mellitus
Ausanee Wanchai, Duangjai Phrompayak
Journal of Integrative Medicine. 2016 (4):  297-305.  DOI: 10.1016/S2095-4964(16)60263-7
摘要 ( 1291 )   PDF   收藏

Objective

 Patients with diabetes commonly use complementary and alternative medicine (CAM). Little is known about types and factors related to CAM use in patients with diabetes in Thailand. This study aimed to examine types and factors that were associated with CAM use in Thai diabetic patients. 

Methods

 A cross-sectional study of diabetic patients being treated in four primary healthcare units and two secondary hospitals in the north of Thailand was conducted. A questionnaire was used to collect data. Frequency, percentage, and Chi-square test were used to describe or analyze data. 

Results

 The three most common types of CAM used by samples were Daode Xinxi (a modified version of Taichi), prayer and meditation. Women were more likely to use CAM than men (χ2=5.038, P=0.018). Patients aged between 40 and 69 years were more likely to use CAM than those aged younger than 40 or older than 69 years (χ2=11.041, P=0.026). Farmers were more likely to use CAM than those with other careers (χ2=19.248, P=0.007). Diabetes patients whose time since diagnosis was between 1 and 10 years were more likely to use CAM than those with a longer elapsed time since diagnosis (χ2 = 8.407, P = 0.038). Marital status, religion, education, health insurance type and conventional treatment approaches were not associated with CAM use in diabetic patients. 

Conclusion

 The most common type of CAM used by Thai patients with diabetes was mind and body practice. CAM use was significantly associated with gender, age, career and duration of diabetes. However, marital status, religion, education, health insurance types and conventional regimen for diabetics were not associated with CAM use.

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短篇报道
Effects of ice massage of the head and spine on heart rate variability in healthy volunteers
A. Mooventhan, L. Nivethitha
Journal of Integrative Medicine. 2016 (4):  306-310.  DOI: 10.1016/S2095-4964(16)60266-2
摘要 ( 1321 )   PDF   收藏

Objective

Ice massage (IM) is one of the treatment procedures used in hydrotherapy. Though its various physiological/therapeutic effects have been reported, effects of IM of the head and spine on heart rate variability (HRV) have not been studied. Thus, this study evaluated the effects of IM of the head and spine on HRV in healthy volunteers.

Methods

 Thirty subjects were randomly divided into 3 sessions: (1) IM, (2) tap water massage (TWM) and (3) prone rest (PR). Heart rate (HR) and HRV were assessed before and after each intervention session.

Results

A significant increase in the mean of the intervals between adjacent QRS complexes or the instantaneous HR (RRI), square root of mean of sum of squares of differences between adjacent normal to normal (NN) intervals (RMSSD), number of interval differences of successive NN intervals greater than 50 milliseconds (NN50), proportion derived by dividing NN50 by total number of NN intervals along with significant reduction in HR after IM session; significant increase in RRI along with significant reduction in HR after TWM, and a significant increase only in RMSSD after PR were observed. However, there was no significant difference between the sessions.

Conclusion

Results of this study suggest that 20 min of IM of the head and spine is effective in reducing HR and improving HRV through vagal dominance in healthy volunteers.W23

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