【Objective】 The objective of this study is to provide a scientific basis for the formulation of policies, strategies and measures related to the cultivation of TCM talents in China through real and effective industry data;【Method】 The relevant data, announcements and related work notices of physicians with proven expertise in TCM in all provincial-level regions of China from 2018 to 2023 were collected, and the implementation rules, assessment notices, registration review, and assessment qualifications and other work links and data changes were retrospectively analyzed. According to incomplete statistics, as of December 31, 2023, in addition to Hong Kong, Macao Special Administrative Regions and Taiwan, 31 provincial-level regions across the country have successively issued the "Implementation Rules of Document No. 15 (Trial)" in their respective regions, with 90,707 people passing the national TCM (specialty) physician qualification examination, 70,931 actually participating in the assessment, and 11,772 passing the assessment, excluding the number of meaningless comparisons, the relative pass rate of the assessment is about 16.60%. 【Discussion】According to the implementation, work trend and characteristics of Document No. 15 in 31 provincial-level regions, this paper puts forward targeted policy suggestions on strengthening policy publicity, organizing in accordance with laws and regulations, actively guiding and counseling, strengthening risk management and control, and standardizing ability training, hoping to provide reference for the development of traditional Chinese medicine.

【Abstract】 Objective   To  explore  the effects of forest bathing on exercise endurance and lung function of special service patients with COPD. Methods   64 special service patients with COPD  admitted to the respiratory department of a military hospital from April 2022 to April 2023 were divided into groups according to a random number table,32 patients  in  the  control  group  received  conventional  convalescence  intervention, and  32  patients  in  the  study  group received forest bathing on the basis of the control group. Exercise endurance index, lung function index, sleep quality score and daily living ability score were compared between the two groups. Results   Before  intervention,there were no statistically significant differences in score indexes (Borg score, sleep quality score and daily living ability score), 6-min walking distance,forced expiratory volume in the first second (FEV1) and forced vital capacity (FVC) between the two groups(r>0.05). Borg score of dyspnea and sleep quality score of the study group were lower than those of the control group after intervention, and the scores of 6-min walking distance, FEV1, FVC and ability of daily living were higher than those  of the  control  group(r<0.05). Conclusion   In  the  convalescence  of special  service  patients with  COPD, the  application  of  forest  bathing  has  greatly  improved  the  exercise  endurance  and  lung  function, with good sleep quality and high daily living ability.

【Abstract】  Objective   To  explore  the  efficacy  of chin  tuck  against  resistance(CTAR)  combined  with  low-frequency electrical stimulation of swallowing in the treatment of dysphagia after action stroke(DAS) patients after cerebral stroke (CS). Methods   A retrospective  study was  conducted on  84 patients with post-CS DAS  admitted to the Rehabilitation Department of Yucheng  County People's Hospital  from January 2021 to  September 2023 by paired  case-control  study method, and  they  were  divided  into  reference  group(n=42)  and   study  group(n=42)  according  to  different  treatment regimens. The patients receiving low-frequency electrical stimulation of swallowing were set as the reference group, and those receiving CTAR combined with low-frequency electrical  stimulation of swallowing were  set as the  study group. The  classification  of  swallowing  dysfunction, standardized  swallowing  assessment(SSA)  scores, functional  oral  intake scale(FOIS)  scores, hyolaryngeal  activity, surface  electromyography  and  swallowing  quality  of life(SWAL-QOL)  scores were  compared  between  the  two  groups  before  treatment  and  4  weeks  after  treatment. Results    After  4  weeks  of treatment,the improvement of swallowing dysfunction in the study group was better than that in the control group(r<0.05). After 4 weeks of treatment, the  SSA score of the  study group was(24. 18±2. 12) points, lower than that of the reference group(28.79±3.77) points,the FOIS score was(5.68±0.45) points,higher than that of the reference group(4.63±0.51) points (r<0.05).After 4 weeks of treatment,the anterior and upward motion of hyoid in the  study group were(11.47±2.55)mm and(17.38±4.59)mm, respectively, which were higher than those in the control group(8.25± 1.06)mm and(14.03±4.56)mm (r<0.05).After 4 weeks of treatment,the maximum amplitude of the study group was(725.38±55.02)V,higher than that of the reference  group(605.98±49.65)V, and the  swallowing time was(1. 11±0. 15)s, shorter than that  of the reference  group ( 1.33±0.21)s(r<0.05). The  SWAL-QOL score of the  study group was(125.32± 15.32) points after 4 weeks of treatment, which was higher than that of the control group(102.54± 14.25) points(r<0.05).Conclusion   CTAR combined with low- frequency   electrical   stimulation   of  swallowing   can   effectively  improve  the  hyoid  laryngeal  motion, improve  the swallowing and oral intake function,and promote the quality of life of DAS patients after CS.

【Abstract】  Objective   Under   the   background   of  military   reform, to   study   the   basic   mode   of  drawing   up rehabilitation medical teams in military convalescent institutions under the condition of full civilian personnel,and to explore the military benefits. Methods   The  important role of rehabilitation medicine in peacetime and wartime was analyzed,the necessity and feasibility of  drawing  up rehabilitation medical teams in our army was explored, and the basic mode and suggestion scheme of selecting group of the full civilian personnel rehabilitation medical team was studied  and  proposed. Results   Military  convalescent  institutions  have  the  legal  basis  and  realistic  conditions  for drawing up rehabilitation medical teams,and it is necessary to select groups.The basic selection mode of rehabilitation medical  teams  includes:  peacetime  and  wartime  functions  and  tasks, command  system, organizational  structure, and working mode. Conclusion   It  is  a powerful measure for convalescent institutions to adapt to the transformation of functions and mission expansion to carry out the concept of prevention over treatment. By carrying out professional forward and accompanying support, it can promote the front line and early intervention of rehabilitation forces,make up for the shortage of existing rehabilitation health service forces,effectively reduce military medical expenditure,and improve the level of training injury prevention and treatment and war trauma rehabilitation of troops.

【Abstract】 Objective   To retrospectively  analyze the effects of intelligent knee rehabilitation instrument combined with  progressive  muscle  relaxation  training(PMRT)  on  pain  and  knee joint  function  of postoperative  patients  with tibial plateau fracture. Methods   The medical records of 86 patients with tibial plateau fracture admitted to Nanyang First  People's  Hospital  West  Hospital    from  January  2021  to  August  2023  were  collected. According  to  different treatment plans,the patients were divided into two groups, among which 43 patients receiving PMRT treatment were included  in  the  control  group, and  43  patients  receiving  PMRT+intelligent  knee  rehabilitation  instrument  were included  in  the  combined  group. The  two  groups  were  compared  with  rehabilitation  indicators, pain  degree(visual analogue   scale[VAS]   assessment), swelling   degree, comfort   level(Kolcaba   general   comfort   questionnaire   [GCQ] assessment),lower limb function[lower extremity functional scale[LEFS] assessment),knee function(American Hospital for  Special  Surgery[HSS]  knee  joint  score  assessment)and  physical  activity  ability(physical  self-maintenance  scale [PSMS]  assessment). Results    The  recovery  time  of  muscle  contraction  activity, analgesic  use  time  and  fracture healing  time  of  the  affected  limb  in  the  combined  group  were(20.30±3.43)h, (4.62±0.32)d  and(14.52± 1.80)weeks, respectively. It was  shorter than the  control  group  (25.90±2.64)h,(6.34±0.76)d,(16.68± 1.64)weeks, and the  difference was statistically significant(r<0.05).After 2 and 4 weeks of intervention,VAS,PSMS score and swelling degree of the combined  group  were  (2.79±0.46)  points,(1.40±0.35)  points,(13.05± 1.50)  points,(10.05± 1. 10)  points,(3.05±0.52)cm and (2. 16±0.28)cm,respectively,lower than the control group (3.25±0.53),( 1.91±0.40) points,(14.54±2.07),( 12.64± 1. 17), (3.66±0.65)cm, and (3.25±0.53)cm. The scores of GCQ, LEFS and HSS were (65.32±3.90),(78.60±4.98),(38.98±4.05), (45.30±3.64),(30.63±2.51) and (45.81±3.04),respectively,higher than those of the control group (63.08±4. 12),(75.62± 5.23), (35.63±3.82), (41.28±4.09), (28.90±2.04), and  (41.30±3.47), with  difference  of  statistical  significance(r<0.05). Conclusion    For   postoperative  patients  with  tibial  plateau   fracture, the  use   of  intelligent  knee  rehabilitation instrument  combined  with  PMRT  intervention  can  relieve  pain  and  swelling, promote  fracture  healing, improve  the function of lower limbs and knee joints and the self-care ability.

[Abstract] Objective To investigate the status quo of fatigue and mood states in flight personnel and analysis their correlation, providing a reference for fatigue recovery and emotional guidance. Methods 67 flight personnel who came to a sanatorium for recuperation from May 2023 to September 2023 were randomly selected to conduct a questionnaire survey, using the Chinese version of Multi-dimensional Fatigue Scale (MFI-20) and Brief Profile of Mood States (BPOMS), and the data were statistically analyzed. Results The scores of physical fatigue, mental fatigue and activity reduction of pilots were higher than those of other flight personnel, while the scores of motivation decline were relatively lower, with no statistical significance (P > 0.05).The scores of tension, anger, fatigue, depression, panic of negative emotions in pilots were lower than those of other flight personnel, except panic, there were not statistically significant differences among them(P > 0.05).The TMD was significantly positively correlated with the total score of fatigue (P < 0.01), and the four negative emotions (stress, anger, fatigue and depression) were significantly positively correlated with the total score of fatigue (P < 0.01), and the two positive emotions (energy and self-esteem) were significantly negatively correlated with the total score of fatigue (P < 0.01).Panic score was positively correlated with motivation decline(P < 0.05).Physical fatigue and motivation decline were the main influencing factors of mood disturbance (r2=0.364, F=8.437, P < 0.001). Conclusion There are different fatigue levels and negative emotions emerging in flight personnel, and the mood states were closely related to the fatigue levels, so it is of important guiding significance to do a good job in fatigue recovery and emotional guidance for flight personnel.

【Abstract】   Objective    To   explore   the   application   effect   of   stress   system   theory   combined   with   targeted rehabilitation training  in rehabilitating patients  after  craniocerebral trauma  surgery. Methods   A total  of 76  patients with  craniocerebral  trauma   surgery  admitted  to  Tianjin  Huanhu  Hospital  from  January  to  December  2023  were divided into control group(routine psychological intervention and rehabilitation training after surgery) and observation group(stress system theoretical intervention combined with targeted rehabilitation training after surgery) according to a random  number table, with  38  cases  in  each  group. Intervention  began  after patients  were  awake  after  surgery  in both  groups, which  continued until  1  month  after  surgery. The  degree  of traumatic  stress  disorder, mental  resilience, motor function and ability of daily living were compared between the two groups. Results   After the intervention,the scores of re-experience symptoms,avoidance symptoms,overarousal symptoms, and the score of guilt,anger and  sense of loss in the observation group were(16.45±2.26)points,(17.42±2. 19)points,(15.42± 1.63)points,and (7.29± 1.25)points, lower than those in the control group (18.39±2. 16)points,(20.21±2. 17)points,(17.58± 1. 16)points,and (9.37± 1.38)points, with difference of statistical significance(r<0.05).The scores of tenacity,self-reliance and optimism in the observation group  were  (35. 11±4. 15)points, (24.26±3.29)points, and  (13.21± 1.53)points, higher  than  those  in  the  control  group (31.37±4.32)points,(21.76±3. 14)points, and (11.76± 1. 16)points, and the difference was statistically significant(r<0.05). The functional scores of upper and lower limbs in the observation group were (45.45±4.73)points and (26. 11±4.32)points, higher than those in the  control group(42.63±4.25)points  and  (23.37±3.25)points, and the  difference was  statistically significant(r<0.05). The daily living ability score of the observation group was(66.42±5.69)points,higher than that of the  control  group(62.92±5.35)points, and  the  difference  was  statistically  significant(r<0.05). Conclusion    Stress system theoretical intervention  combined with targeted rehabilitation training  can  alleviate traumatic  stress  disorder, improve mental resilience,reduce movement disorders,and improve daily living ability in patients with craniocerebral trauma who are awake after surgery.

【Abstract】   Hyperuricemia(HUA)   is   the   second   most   prevalent   metabolic   disease,  manifesting   as   a   purine metabolism  disorder.It is the pathological basis  for the development of many  chronic diseases. HUA is not only  an independent risk  factor  for  chronic  kidney  disease  and  cardiovascular  disease, but  also  an  independent  predictor  of cardiovascular  endpoint   events  and  all-cause  mortality, serving   as  one  of  the  main  risk   factors  for  the   adverse development of metabolic syndrome.In our country,the prevalence of HUA increases  annually and becomes younger. A more positive attitude towards HUA is concerned.Constitutional science of traditional Chinese medicine(TCM) is a discipline to treat and prevent diseases by analyzing the pathogenesis,disease condition and development trend based on the characteristics and types of TCM  constitution.The combination of constitutional science of TCM  and modern medicine has become a hot topic in the research of chronic diseases.Using the theory and Methods  of constitutional science   of  TCM   to   intervene   HUA  offers   a  unique   advantage   and   social  meaning. Application   of  TCM   in understanding  and  treating  HUA has been  gradually  highlighted. The phlegm-dampness  constitution  and  dampness- heat  constitution  are  biased  constitutions  and  closely  related  to  metabolic  diseases. This  article  reviewed  the correlation of phlegm-dampness constitution and dampness-heat constitution with HUA,thus providing a basis for the prevention and treatment of HUA.

【Abstract】  Stroke  is  a  common  neurological  disorder. Stroke  attacks  result  in  severe  neurological  dysfunction, including  coma  as  one  of the more  common  and  serious  consequences. Post-stroke  coma is  a  condition in which  a patient falls into unconsciousness after a stroke attack. It brings a heavy burden to patients and their families,posing an  important  impact  on patients' recovery  and  quality  of life. Facilitating  awakening  is  an  important  step  for  post- stroke comatose patients to recover and improve their prognosis.Therefore,it is of great clinical significance to study how to facilitate awakening of post-stroke comatose patients.In this paper,we firstly introduced the characteristics of the pathological mechanism of post-stroke coma and the functional state of the nervous system of comatose patients. Then, we  systematically  sorted  out  the  research  results  of various  methods   to  promote  awakening, including  nerve conduction  enhancers, brain  homeostasis  training, neuromodulation  technology, post-sleep  discharge  stimulation, and artificial  hibernation  technology. Future  research  needs  to  further  explore  the  mechanisms  and  effects  of  different Methods   of  arousal  promotion, and  to  conduct  larger-scale  clinical  studies  to  provide  more  effective  therapeutic strategies for arousal of post-stroke comatose patients.

[Abstract] Objective: To observe the effects of 20Hz repetitive transcranial magnetic stimulation (rTMS) combined with aripiprazole on emotional expression and social function in the clinical treatment of patients with schizophrenia during the rehabilitation period.Methods: A total of 70 patients with schizophrenia during the rehabilitation period admitted to our hospital from May 2020 to May 2023 were selected. They were randomly divided into two groups, with 35 patients in each group. The control group received aripiprazole treatment, while the study group received a combination of 20Hz repetitive transcranial magnetic stimulation treatment. The application effects of the two groups were compared. Results: The Montreal Cognitive Assessment Scale (MoCA), Personal and Social Function Scale (PSP), and Social Function Assessment (SSPI) scores of the study group were higher than those of the control group (P<0.05), and the Positive and Negative Symptom Assessment (PANSS), Hamilton Depression Scale (HAMD), and Hamilton Anxiety Scale (HAMA) scores were lower than those of the control group (P<0.05). At the same time, there was no statistically significant difference in the incidence of adverse reactions and TESS scores between the two groups (P>0.05). Conclusion: The combination of 20Hz repetitive transcranial magnetic stimulation and aripiprazole can effectively alleviate cognitive and social dysfunction in patients with schizophrenia during rehabilitation, and improve negative emotions such as anxiety and depression. It has higher clinical practicality and safety.

【Abstract】 Objective   To  explore  the  effects of treadmill disturbance training on nerve function,balance function, gait and fall efficiency in young stroke patients with hemiplegia. Methods   A total of 96 young stroke patients with hemiplegia admitted to the Rehabilitation Department of Kaifeng Central Hospital from June 2021 to June 2023 were included as the study objects, and were divided into two groups according to a random number table.48 cases in the control  group  were   given  progressive   core  muscle   training, and  48  cases  in  the  observation  group  were   given combined treadmill disturbance training on the basis of the control group.Nerve function,balance function,gait and fall efficiency were compared between the two groups after treatment. Results   After six weeks of intervention and one week of follow-up, the National Institutes of Health  Stroke  Scale(NIHSS)  score of the observation group(9.53±3.02) was lower than that of the control group(12.68±2.25),r<0.05.Berg balance scale (BBS) scores (41.67±7. 13) and Fuel- Meyer balance scale scores(9.65±2.39) were higher than those of the control group (30.44±6.21) and (6.90±2. 13),r<0.05. The morse fall efficacy scale(MFES) score(99.08±8.94) was higher than that of the control group (82.02±9.66),the  step speed, step frequency and stride length ratio were higher than those of the control group,and the fall index (42.32±5.76) was  lower than that  of the  control group(51.58±6.53),r<0.05. Conclusion   The  application  of treadmill  disturbance training in young stroke patients with hemiplegia has significant effects on promoting the recovery of nerve function and balance function,correcting abnormal gait and reducing the fall rate.

【Abstract】 Lumbar muscle strain is an inflammatory disease caused by soft tissue damage to the lower back muscles, fascia,ligaments,and other soft tissues.Clinical manifestations often include recurrent pain and soreness in the lower back and  sacrum  and  radiate  to  the  buttocks  and  limited  mobility. Lumbar  muscle  strain  often  worsens  during  twisting, prolonged sitting, standing,and weather changes.Usually,pain is relieved to a certain extent after a short rest or changing position.The pathological mechanism of lumbar muscle strain is mainly related to excessive traction of muscles and its attachment points, leading to local reactive inflammation and local tissue degeneration. In recent years,both Chinese and Western  medicine  have  made   significant  progress   in  the  treatment   of  lumbar   muscle   strain. Non-steroidal   anti- inflammatory drugs like acetaminophen,aspirin,and celecoxib,as well as analgesics have good effects on lumbar muscle strain but adverse reactions.Traditional Chinese medicine treatments like oral administration,external application,massage, moxibustion, and rehabilitation exercise have significant and longer effects on alleviating lumbar muscle strain and less incidence  of relapse. They  have become popular  in patients  with  lumbar muscle  strain. Lumbar  muscle  strain  is  more common in military training injuries,and managers and clinical doctors have also conducted a series of studies.

【Abstract】 Objective   To  explore  the effect of promotion and application of the regional medical union's internal positioning  rescue  mode  in  first  aid. Methods    A project  promotion  team  was  established  to  conduct  positioning rescue training for 65 emergency medical personnel from 9 community health service centers in the regional medical union.During the training period (November 2023 to January 2024),the traditional rescue method was adopted,that is, there were no specific requirements on the position and role of medical personnel according to the actual situation of patients in the rescue process.Only conventional rescue and treatment measures and nursing methods were taken.After the training (February to April 2024),the patients were rescued using the positioning rescue mode. Results   After the implementation of the positioning rescue mode,the implementation time of the rescue measures in each stage (ECG collection  [5.6± 1.5]min, venous  access  opening  [2.7± 1.5]min, blood  collection results  [22.4±3.8]min, ECG  monitoring [2.3±0.9]min, clearing  of  respiratory  tract   [2.0±0.9]min, smooth  transport   [47.8±9.5]min)  were  shorter  than  before implementation(ECG  collection  [7. 1± 1.4]min, venous  access  opening   [4.6±4.8]min, blood  collection  results   [36.8± 16.2]min,ECG monitoring[4.9± 1.3]min,clearing of respiratory tract [3.0± 1. 1]min,smooth transport [56.0± 11.2]min,and there  were  statistically  significant  differences  in  all  indexes(r<0.05). After  the  implementation, the  satisfaction  of nurses with rescue work in community hospitals (93.02±6.96) points and that of doctors with the nurses' rescue work of  in   community   hospitals   (38.56±2.56)points   were   significantly   improved   compared   with   those   before   the implementation ([81.82±7.52]points and  [32.46±4.38]points respectively). Conclusion   The promotion of localization rescue mode  in the regional medical union, can  improve the  effectiveness  and timeliness  of first  aid  in  community hospitals, and  enhance  the  comprehensive  first-aid  ability  of  community  hospitals. The  satisfaction  of  nurses  with rescue work in community hospitals and that of doctors with the nurses' rescue work in community hospitals were significantly improved.

【Abstract】  Objective    To  review  the  research  progress   of  exercise   therapy   of  cervical   spondylosis   and   its mechanism, thus  providing   references  for  the  formulation  of  clinical   exercise  prescription   and  related  research. Methods  Based  on  literature  research, Chinese-language  literatures  published  from  February  2013  to  May  2023 were  searched  in China  National  Knowledge  Infrastructure(CNKI), Wanfang  Data  and  VIP  database  using  the  key words of "cervical spondylosis""neck pain""exercise therapy""exercise control""suspension""traditional exercises" and "Baduanjin".English-language literatures published in the same period were searched in PubMed and Web of Science using  the  key  words  of  "cervical  spondylosis""neck  pain""exercise  therapy""motor  control  training""sling  exercise training""qigong" and  "Baduanjin". Results   Among the treatments  of cervical spondylosis,traditional exercises such as   Baduanjin, Taijiquan, Wuqin  play   were   characterized  by   small   exercise   intensity, easy   to   learn, safety   and effectiveness. Modern  exercise therapies  such  as motor control, sling  exercise training, stretch training  and others had varying exercise intensity,and remarkable efficacy after a persistence treatment.Exercise therapy was more effective in combination  with  other  conventional  treatments  or multiple  types  of exercise  therapy. Exercise  therapy  was  able  to promote blood circulation by  stretching the neck muscle, activating the central analgesic pathway in the spinal cord, increasing  anti-inflammatory  signal  transduction, reducing  the  level  of  tumor  necrosis  factor- “(TNF- “), and  thus played  an  analgesic role. It  also  enhanced muscle  strength, improved  stiffness  and  fatigue, restored vertebral physical balance. Exercise  therapy   increased  the   feedback  between  nerve   and  muscle, and   improved  neck  proprioception. Conclusion    Exercise   therapy  treats  cervical   spondylosis  through  anti-inflammatory  analgesia, improvement  of cervical sensation and motor function.It effectively alleviates the neck pain and dysfunction of patients with cervical spondylosis,relieves anxiety and other bad emotions,and improves quality of life.

【Abstract】  Objective    To  compare  and  analyze  the  clinical  value  of  free  vascularized  fibular  grafting(FVFG) versus stem cell implantation with core decompression in the treatment of osteonecrosis of the femoral head(ONFH). Methods   The clinical data of 103 patients with ONFH in Nanyang Wenhe Orthopedic Hospital form March 2021 to May  2023  were  collected. They  were  assigned  into  control  group(51  cases, stem   cell  implantation  with  core decompression) and observation group(52 cases,FVFG) according to the difference of operation plans.The perioperative situation, postoperative  complication  rate, and  the  Harris  hip  scale(HHS)  score, hemorheological  indicators  and  bone metabolism  indicators  before  and  3  months  after  surgery  were  compared  between  the  two  groups. Results    The operation time was significantly longer in the observation group than that of control group([98.41± 10.37]min VS [47.62± 5. 19]min,r<0.05). At 3 months postoperatively,patients in the observation group had significantly higher 25- (OH)D3 ([24. 16±2.55]ng/mL  VS   [20.38±2. 14]ng/mL), HHS   score([91.28±4.57]points  VS   [88.51±6.02]points)   and  bacterial alkaline phosphatase(BAP,[0.75±0. 12]pg/mL VS [0.64±0.09]pg/mL),and significantly lower high-shear blood viscosity ([4.27±0.65]mPa · s VS [4.80±0.71]mPa · s),C-telopeptide of type Ⅱ collagen(CTX-Ⅱ ,[ 132.71± 18.69]ng/L VS  [161.80± 21.43]ng/L),plasma viscosity([1.84±0.52]mPa · s VS [2. 16±0.47]mPa · s) and low-shear blood viscosity([7.36± 1.80]mPa · s VS  [8.94± 1.72]mPa · s)  than  those  of  conventional  group(r<0.05). The  incidence  of postoperative  complications  in the   observation   group   was   significantly   lower   than   that   of  conventional   group(5.77%   VS   19.61%, r<0.05). Conclusion   Compared  with  stem  cell  implantation with core decompression, FVFG has a longer operation time in the treatment of ONFH,and better effects on hip function,hemorheology and bone metabolism.

Bloodletting on the apex of the ear was initially described in the Huangdi Neijing,which is one of the most common external traditional Chinese medicine(TCM) treatments.Acupoint of Erjian(apex of the  ear) is not only an important acupoint of the  ear in auricular medicine,but also an extra nerve acupoint in the theory of acupuncture meridians and acupoints. Moreover, it is an experience acupoint in the treatment of eye diseases, such as cataract and glaucoma.Modern research has found that the apex of the ear is enriched with vascular and neural networks.With the identified role of bloodletting on the apex of the  ear in anti-inflammation,anti-allergy,anti-rheumatism and enhancing the resistance against external diseases, it has been extensively used to treat insomnia, allergy,hypertension, gout, acnes and other diseases.A constant modification of the bloodletting on the apex of the ear has shown acceptable outcomes. TCM theory believed that bloodletting on the apex of the ear has the ability to clear heat, cool blood,promote blood circulation,remove blood stasis and relieve pain.In recent years,there have been continuous attempts to treat acute and chronic  senile  diseases(e. g., hypertensive  crisis, diabetes), epidemic  virus  infection(e. g., COVID- 19, acute  pharyngitis) and  other  diseases  by  bloodletting  on  the  apex  of  the  ear, and  some  have  achieved  obvious  results. This  article summarized innovative applications and advantages of bloodletting on the apex of the ear for peer reference.

Objective   To evaluate the accuracy of the non-contact vital sign monitoring device.Methods   The research on the monitoring of human vital signs by contact vital signs detection equipment such as electrocardiogram(ECG) monitor,smart bracelet or respiration monitor and radar was searched in the Cochrane Library,PubMed,Web of Science,Embase,SinoMed,China National Knowledge Infrastructure (CNKI),Wanfang Database and Vip.com from establishing the databases to October 2024.A meta-analysis was performed using Stata 17.0 software.Results   A total of 21 articles with 328 subjects were included.The results of meta-analysis showed no significant differences between radar monitoring and ECG monitoring in the heart rate (standardized mean difference [SMD]=0.05,95%CI[-0.11,0.21],P=0.705) and respiratory rate (SMD=0.10,95%CI[-0.33,0.14],P=0.755).However,subgroup analysis showed that a Frequency Modulated Continuous Wave (FMCW) radar had a more accurate measurement performance than Continuous Wave (CW) radar and Ultra Wideband (UWB) radar.All radar measurement performance was best at about 1 m away from the target,and among many radar frequencies,77 GHz for heart rate and respiratory rate monitoring was the most accurate.Conclusion   There is no significant difference between contact vital signs monitoring equipment and radar in the monitoring of heart rate and respiratory rate,but FMCW radar is superior in accuracy.The most accurate data are achieved when all types of radars are 1 m away from the subjects,and the optimal radar frequency is at 77 GHz.

【Abstract】  Objective    To  investigate  the  therapeutic  efficacy  of  Hehuan  Yangshen   Prescription  on  stage  2-3 chronic  kidney  disease(CKD)  and  the  influence  on  renal  function  and  tubular  function. Methods    Eighty-eight patients with stage 2-3 CKD in Wujin Hospital of Traditional Chinese Medicine from June 2021 to June 2023 were selected as the study objects.They were randomly assigned into the control group and observation group according to a computer random number table,with 44 patients per group.Conventional treatment was performed in both groups,and Hehuan Yangshen Prescription was additionally given to those in the observation group.After 3 months of treatment, the clinical efficacy,renal function,renal tubular function and adverse events were compared between the two groups. Results   There  was a significant difference in the clinical efficacy between the two groups(Z=3. 112,P=0.002<0.05). The total effective rate was significantly higher in the observation group than that of control group(95.45% VS 81.82%, χ2=4.062, P=0.044<0.05).  After   treatment,  cystatin   C(CysC,  [0.95±0. 17]mg/L   VS    [ 1.23±0.28]mg/L),  blood   urea nitrogen(BUN,[5.42±0.98]mmol/L VS [7.31± 1.39]mmol/L) and serum creatinine(Scr,[98.23± 11.70]μmol/L VS [121. 16± 17.92] μmol/L) were significantly lower in the observation group than those of control group(P<0.001).After treatment, n-acetyl beta D amino glycosidase enzymes(NAG,[ 16.72±3.58]U/LVS [20.81±4.02]U/L),alpha 1-microglobulin(α1-MG, [3.08±0.75]mg/L VS [4. 12±0.96]mg/L) and beta 2-microglobulin(β2-MG,[0.30±0.06]mg/L VS [0.36±0.08]mg/L) were significantly  lower  in  the  observation  group  than  those  of  control  group(P<0.001). There  were  no  obvious  adverse events  during  treatment  in  both  groups. Conclusion    Hehuan  Yangshen  Prescription  combined  with  conventional treatment  can  effectively  improve  renal  function  and  renal  tubular  function  in  patients  with  stage  2-3  CKD, and improve the therapeutic effect with a high safety.

【Abstract】 Stroke is a kind of disease caused by acute cerebral circulation disorder,which is a common and frequently- occurring disease in clinic with rapid onset,rapid development and many changes.The incidence has been on the rise in recent years. Post-stroke constipation is one of the common complications of stroke, which increases year by year with the  high  incidence  of stroke, and  may  also  become  the  cause  of  stroke, which  seriously  affects  the  quality  of  life  of patients and increases the economic burden.At present,there are many kinds of clinical treatment.Oral administration of drugs to promote gastric secretion,and promote gastrointestinal motility is commonly used in Western medicine,but long- term use will produce flatulence, abdominal pain, intestinal dysfunction, drug dependence and other  side effects. Chinese medicine  has  accumulated  rich   clinical  experience  in  the  understanding   and  treatment   of  post-stroke  constipation. Starting from the overall concept,Chinese medicine,acupuncture,moxibustion,umbilical acupuncture,acupoint application, comprehensive therapy and other treatments can stimulate the function of the viscera,promote gastrointestinal peristalsis, significantly improve the clinical symptoms of patients,and achieve significant effects.The author makes a review of the clinical research literature in recent years on the treatment of post-stroke constipation by traditional Chinese medicine in order to provide some support and help for the clinical treatment of this disease.

【Abstract】 Objective   To  explore the effect and application value of traditional  Chinese medicine(TCM) acupuncture and massage on piriformis syndrome in staff for special services. Methods   A total of 68 staff for special services with piriformis  syndrome  admitted  to  a   Special   Service  Rehabilitation   Center  from  August  2021  to  August  2023  were enrolled. According to the random number table method, they were randomly divided into the control group(n=34) and study  group(n=34). Acupuncture  was  applied  to  all  participants, and  those  in  the  study  group  were  additionally  given massage. The  treatment  effect, the Visual Analogue  Scale(VAS)  score  and  the  Harris  Hip  Score(HHS)  were  compared. Results   The  overall  response rate of the  study group was significantly higher than that of the control group(97.06% VS  73.53%, r<0.05). Significantly  lower VAS  score  and higher HHS  after treatment were  detected  in the  study  group than those of the control group(r<0.05). The TCM syndrome score of the study group after treatment was significantly lower than that of the control group(r<0.05). Conclusion TCM  acupuncture and massage in the treatment of piriformis syndrome  in  staff  for   special  services  can  effectively  improve  the  treatment  effect, reduce  pain, alleviate   clinical symptoms,and be of great benefit to the improvement of functional activity.

【Abstract】 At present,high-intensity military training has shown a normalized trend in the daily training of various types  of troops. The  incidence  of military  training  injuries  has  also  increased, seriously  damaging  the  physical  and mental health of military officers and soldiers.It has become one of the key factors hindering the improvement of the combat effectiveness of the troops. Traditional Chinese medicine(TCM) specialty therapy is an important component of military medical  support that  offers unique  advantages in  clinical treatment  of various military training  injuries. Due to the characteristics of safety,effectiveness,low cost,easy to learn,and flexibility,TCM therapy is widely used in the prevention and treatment of military training injuries, including acupuncture, moxibustion, needle knife, traditional Chinese  medicine  external  application, etc. Usually  applied  in  a  combination  therapy, TCM  techniques  effectively alleviate  the pain  of patients. Based  on  relevant  literatures  on  TCM  therapy  for military  training  injuries  in  recent years, this  systematic  review  analyzed  different  parts  of  military  training  injuries  and  different  classifications  of training  injuries  treated  with   TCM   techniques, thus  providing  references   for  grassroots  health  practitioners   and military medical colleagues using TCM specialty therapies to treat military training injuries.

【Abstract】  Neurogenic  bladder(NB)  refers  to   lower  urinary  tract   dysfunction  (LUTD)  caused  by  neurological lesion,manifesting as a series of lower urinary tract syndromes (LUTS).It is also a common serious complication after spinal cord injury (SCI),posing negative influences on the quality of life and rehabilitation, or even leading to death. Therefore,NB at post-SCI has become the research focus and challenge. Effective strategies for treating NB at post- SCI  are  currently  not  available. It  is  urgent  to  develop  effective  and  safe  treatment  of  it. Damage  to  neural  reflex pathways after  SCI eventually causes NB. Long-term  and repeated  electrical  stimulations can reshape neural circuit, which  is  consistent  with  the  pathogenesis  of  NB   at  post-SCI. As  a  non-invasive  treatment  method, electrical stimulation has shown certain therapeutic advantages in recent years.It has become a promising therapeutic approach. Through  literature  review  of  electrical   stimulation, we   summarized  the  pathogenesi, stimulation  site, therapeutic outcome, safety  of  NB  at  post-SCI  by  different  types  of  electrical  stimulation, aiming  to  provide  a  reference  for electrical stimulation treatment of NB at post-SCI.

Objective   To study and analyze the level of plateau recuperation support after follow-up investigation on the post recuperation effects of plateau officers and soldiers.Methods   In July 2023,a follow-up survey was conducted on 57 convalescent personnel from a plateau military unit,who were divided into three groups:15 at an altitude of 3 000~4 900 meters,23 at an altitude of 5 000~5 300 meters,and 19 at an altitude of 5 380~5 426 meters.Questionnaire surveys,testing,and follow-up studies were conducted to analyze the effects of recuperation on plateau officers and soldiers.Results   Special treatment for recuperation personnel accounted for 54.4%,while health and specialized treatment accounted for 42.1%.The pulse,respiration,systolic blood pressure,and diastolic blood pressure of each group were all within the normal range,and the oxygen saturation was low,with an average of(90.95±6.50)%.Plateau officers and soldiers had a great demand for recuperation and high satisfaction,and supported special treatment arrangements for personnel above 4 000 meters in altitude.The effects of rehabilitation for plateau officers and soldiers were significant,which were reflected in the reduction of symptoms of altitude sickness,and significant increase in understanding of plateau conditions and personal health maintenance.After recuperation,the life style was improved,the psychological condition was adjusted and the influence of illness on work was reduced.Conclusion   Plateau officers and soldiers have great demand for convalescence,and the after-effect of recuperation is obvious.In the future,we can strengthen the implementation of the plateau recuperation security system,carry out research on the plateau recuperation security measures,further improve the after-effect of recuperation,and provide a strong guarantee for improving the military operation ability and health maintenance of officers and soldiers on the plateau.

【Abstract】 Objective   To  investigate  the  effect  of holographic Guasha combined with moxibustion on rehabilitation of ankle joint injury. Methods   A total  of 60 patients with simple lateral collateral ligament injury of ankle joint were selected from Dalian Rehabilitation Center of Joint Logistic Support Force and the Sports Rehabilitation Department of PLA 967 Hospital from April to October 2023. The patients were randomly divided into control group and study group with 30 cases in each group by random number table. The control group was only treated with self-active training, and the  study  group was treated with holographic  Guasha  combined with moxibustion  on the basis  of self-active training. Musculoskeletal ultrasound imaging, functional recovery, symptom scores and complications were compared between the two groups after  14 days of treatment. Results   There  was no  significant difference in the VAS score and the AOFAS score between the two groups before treatment(r>0.05). After 2 weeks of treatment, the VAS  score in the  study group was lower than that in control group,the AOFAS score in the study group was higher than that in the control group,and the  difference  was  statistically  significant(r<0.001). The  cure  rate  of  musculoskeletal  ultrasound  imaging  rating  was significantly  higher  in  the  study  group  than  in  the  control  group(r<0.001). Conclusion    Compared  with  self-active training, holographic   Guasha   combined  with  moxibustion  therapy  has   obvious   advantages   in  relieving  pain   and promoting rehabilitation after ankle injury.This therapy can provide a convenient and self-operated treatment for officers and soldiers,and is of great significance to improve the rehabilitation effect of the wounded in the later stage.

【Abstract】  Objective   To  observe  the  clinical  effects  of  Qingre  Xiaoyong  Zhixie  decoction  on  ulcerative  colitis (damp-heat  type)  based  on  the  theory  of  "toxic  heat  induced  carbuncle". Methods    Sixty  patients  with  ulcerative colitis  (damp-heat  type)  admitted  to  the  Affiliated  Hospital  of  Jiangxi  University  of Traditional  Chinese  Medicine from  January  2020  to  September  2023  were  selected  and  divided  into  observation  group  and  control  group  by  a random number table,with 30 cases in each group.The control group was treated with oral Mesalazine Enteric-coated tablets, and the observation group was treated with Qingre Xiaoyong Zhixie decoction on the basis of this treatment. The  course  of  treatment  was  8  weeks. The  clinical  effects, TCM  syndrome  score, endoscopic  mucosal  morphology (Barcon) score,safety evaluation and recurrence status 3 months after treatment were observed and compared between the two groups. Results   The total effective rate of the observation group was 93.33%,which was significantly higher than  that   of  the   control   group   73.33%(r<0.05). In   terms   of  TCM   syndrome   score   and   endoscopic   mucosal morphology (Barcon) score,the observation group was significantly better than the control group(r<0.05).There was no difference of statistical significance in the incidence of adverse reactions between the two groups(r>0.05).After 3 months  of follow-up, the  recurrence  rate  of the  observation  group  was  significantly  lower  than  that  of the  control group, with   difference   of  statistical   significance(r<0.05). Conclusion    Qingre   Xiaoyong   Zhixie   decoction   can obviously  improve  clinical  symptoms  and repair  intestinal mucosa  in the treatment  of ulcerative  colitis  (damp-heat type) with obvious efficacy and high safety.

【Abstract】  Objective    To   analyze  the   effects   of  Banxia   Baizhu   Tianma   Decoction  combined  with  edaravone dextrocamphorol  on  vascular  elastic   function  and   serum  oxidative   stress  indicators  in  patients  with   acute  cerebral infarction(ACI). Methods   Clinical  data  of  72  ACI  patients   admitted  in  Shangqiu  Hospital   of  Traditional  Chinese Medicine from January 2021 to December 2023 were retrospectively analyzed.Patients were assigned into control group (receiving edaravone dextrorcamphenol) and observation group(receiving Banxia Baizhu Tianma Decoction + edaravone dextrorphenol)  according  to  different  treatment  plans, with   36  cases  in  each  group. The  clinical  efficacy, traditional Chinese medicine(TCM) syndrome score,vascular elastic function(small artery elastic index[C2],great artery elastic inde [C1], pulse   pressure),  serum   oxidative    stress(malondialdehyde[MDA],  8-hydroxy-deoxyuridine[8-OHdG],  superoxide dismutase[SOD]),the national institutes of health stroke scale(NIHSS) score, and the activity of daily living scale(ADL) of  the  two   groups  were  compared. Results    The  total  clinical  effectiveness  rate  of  the   observation  group  was significantly higher than that of control group(88.89% VS 66.67%,r<0.05).Compared with those before treatment,TCM syndrome  scores  of  dizziness, mouth  and  tongue  deviation, decreased  or  disappeared  sensation, hemiplegia, excessive phlegm  and  sticky  sputum, and  speech  retarding  or  speechless  all  significantly  decreased  in  both  groups, which  were significantly lower in the observation group than those of control group(r<0.05).Compared with those before treatment, C2  and  SOD  in  the  observation  group  significantly  increased, while  pulse  pressure, MDA  and  8-OHdG  significantly decreased  after  treatment(r<0.05). There  was  no  significant  difference  in  C1  level  between  the  two  groups(r>0.05). Compared  with  the  control  group, patients  in  the  observation  group  had  significantly  lower  NIHSS  score  and  higher ADL   score   after   treatment(r<0.05).  Conclusion     Banxia   Baizhu   Tianma   Decoction   combined   with    edaravone dextracamphorol  is  effective  in  the  treatment  of ACI, which  can  alleviate  TCM  syndromes  and  oxidative  stress, and improve nerve function,vascular elastic function and ability of daily life.

Abstract: Objective: Taking pilots as the research object, hot spring water therapy and modified Baduanjin were given during their core muscle group exercise, and the effects of the two therapies on strengthening the core muscle group exercise of pilots were further analyzed. Method: From January 2023 to January 2024, 68 pilots who needed to strengthen their core muscle function were selected for the study and randomly divided into double-blind groups. Control group, regular core muscle group exercise, 34 cases. Observation group, consisting of 34 cases, underwent routine core muscle group exercise and modified Eight Section Brocade in hot spring water. Comprehensively analyze the level of physical exertion, anxiety, and pain in two groups of patients before and after intervention. Before the intervention, there was no significant difference in the degree of exercise difficulty between the two pilots, P>0.05; after the intervention, the observation group had less exercise difficulty, P<0.05. Before the intervention, there was no significant difference in waist function between the two groups of pilots, P>0.05; after the intervention, the waist function of the observation group pilots was better, P<0.05. Before the intervention, there was no significant difference in the comparison of multifidus muscle between the two groups of pilots, P>0.05; after the intervention, the thickness of multifidus muscle in the observation group patients was better, P<0.05. Conclusion: Improving the Eight Section Brocade in warm water during core muscle training for shipborne pilots has a significant effect. Specifically, this is reflected in the fact that after receiving the modified Eight Section Brocade exercise, the patient's level of physical exertion decreased, their anxiety and psychological state improved, and their pain level decreased. It is recommended.

Lateral  epicondylitis(LE), commonly  known  as   "tennis  elbow", is  a  common  musculoskeletal  system disease in clinical practice.Without a timely treatment,it can develop into chronic intractable external epicondylitis of humerus that  seriously  affects  daily work  and  quality  of life. At present, there  are many  clinical treatment methods, such as the widely applied Chinese medicine, acupuncture, massage and other traditional Chinese medicine treatment methods, showing  a  remakable  effect. Oral  non-steroidal  anti-inflammatory  drugs  or  local  injection, extracorporeal shock wave and other physical therapy are common western medicine for LE,which rapidly relieves the pain with an accurate  effect. In  recent  years, an   integrated  medicine  has  been   growingly  concerned, with  a  better   efficacy  of combination treatment than a monotherapy.Therefore,it is particularly important to choose the optimal treatment plan to relieve pain,improve mobility limitation and improve quality of life of LE patients.By searching relevant literatures on  the  treatment  of  external  humerus  epicondylitis  in  CNKI, Wanfang, VIP  database, PubMed, Embase  and  other information retrieval platforms,this paper summarized the research progress of integrated medicine in treating LE in recent years,hoping to develop new ideas for clinical treatment and increase clinical efficacy.

【Abstract】  Post-stroke  central  pain  is  a  serious  condition  that  affects  the  quality  of  life. This  review  provided  a comprehensive  analysis  of  the  research  progress  of  brain-computer  interface(BCI)  technology, antibody  therapy, gene therapy  and  optical neuromodulation  in the treatment  of post-stroke  central pain. BCI technology  is  an  emerging non- pharmacological therapeutic approach that offers a hope for pain relief by  connecting brain signal decoding to external devices,thus achieving the possibility of interventions and modulations of pain  signals.Antibody therapy provides a new pathway for pain management by altering pain perception and transmission via selectively modulating neurotransmitters or   neuroreceptors. Genetic   engineering   is   adopted   in   gene   therapy   to   regulate   pain   transmission   pathways   by manipulating the expressions and functions of cellular genes,providing innovative ideas for the treatment of central pain. Optic neuromodulation technology achieves photoactivation and photoinhibition of neurons through the combination of photosensitisers and light sources,which effectively reduces pain perception and transmission.The safety and efficacy of these  non-pharmacological  treatments   in  the  management   of  post-stroke   central  pain  are  gradually  being  verified, providing new therapeutic options.

【Abstract】  Objective   Pulmonary  diseases, namely  respiratory  diseases  in  Western  medicine, are  common  clinical diseases at the primary level.To explore the prevention,treatment and rehabilitation paths of pulmonary diseases at the primary  level based  on the  doctrine  of preventive treatment  of diseases  in traditional  Chinese medicine, in  order to reduce  the  prevalence  rate   and  improve  the  therapeutic   effect. Methods    Through  sorting  out  the   etiology  and pathogenesis of pulmonary diseases,the practical experience of prevention  and treatment in Yangxin County People's Hospital of Hubei Province was summarized. Results   The doctrine  of preventive treatment of diseases in traditional Chinese medicine plays an important role in guiding the prevention and rehabilitation of pulmonary diseases. In the prevention of disease,by supporting the right to control the evil, adjust the balance of Yin and Yang, Qi and blood of the  human  body, stimulate  their  own  immunity  at  the  same  time, help  the  human  body  to  resist  the  evil. In  the treatment of diseases, we not only  focus on the lung itself, but also pay  attention to the transmission process of the disease, and  treat  people  as  a  complete  overall  analysis  of  the  etiology  and  pathogenesis  to  improve  the  level  of diagnosis  and  treatment. In  the  stage  of  disease  rehabilitation, through  the  guidance   of  self-regulation   and  the application   of   traditional   Chinese   medicine    suitable   technology,  improve   the    effect   of   patients'   community rehabilitation. Conclusion    It  is  feasible  to   guide  the  pulmonary   diseases  based   on  the   doctrine   of  preventive treatment  of diseases  in  traditional  Chinese  medicine  in  China, which  plays  a  positive  role  in  the  prevention  and treatment of diseases.

【Abstract】 Objective   To investigate the current situation of health care needs among empty nest elderly with chronic diseases  and  its  influencing  factors, in  order  to  provide  evidence-based  basis  for  the  formulation  of  chronic  disease control policies. Methods   Convenience  sampling was used to select  1 050 empty nest elderly people living at home in Guangxi region.A survey questionnaire on elderly health care needs designed by the Western Nursing Alliance Elderly Health  Care Needs Research  Survey  Group was used. The  survey  data  of 338  empty nest  elderly people with  chronic diseases who lived at home were analyzed to understand their economic,medical insurance,health status,self-care ability, nursing needs,and willingness to care for the elderly.Influencing factors for home-based health care needs in them were analyzed. Results   The top three nursing needs  for empty nest elderly people with chronic diseases who lived at home were  safety  needs, health  education  needs, and  respect  and  self-development  needs. The  lowest  nursing  need  was rehabilitation training and guidance.Logistic multiple regression suggested that age,monthly income,exercise,and history of falls  were  independent  influencing  factors  for  the  nursing  care  demand  among  empty  nest  elderly  people  in  the community. Conclusion    Currently, the  home  health  care  needs  of  empty   nest   elderly  people  exhibit  diversified characteristics. To  meet  their  multi-dimensional  health  care  needs, the  main  influencing  factors  like  age  and  monthly income of the elderly should be fully considered.

Objective   To understand the preoperative outcome expectations of total hip arthroplasty(THA) patients in  the  regional  third-level  comprehensive  hospital  of  a  county-level  city  in  China, and  to  explore  the  influencing factors,thus providing evidences for clinical decision-making by medical and nursing staff. Methods   A total of 255 patients scheduled for THA in a county-level city in Weifang,a third-level comprehensive hospital were selected from January 2023 to March 2024. The  "Outcome Expectation for the First time of Total Hip Arthroplasty Questionnaire" in  simplified  Chinese was used  for questionnaire  survey  on the  day before  surgery. The  questionnaires were guided and filled out on the spot,and the data were statistically analyzed after being collected on the spot. Results   The total score  of  the  outcome  expectations  was  (61.62±5.81)points, with  a  mean  score  of  (3.41±0.33)points. The  top  five highest scores were as follows:putting on shoes and socks (3.91±0.29)points,psychological health (3.87±0.34)points, reducing the use of medication (3.85±0.31)points,improving pain (3.81±0.39)points,and getting rid of auxiliary devices (3.80±0.40)points.Age,education level,and caregiver type were strongly correlated with the expectation value(r<0.01). Regression  analysis  further  found  that  age  was  the  main  influencing  factor  of  the  outcome  expectation(r<0.01). Conclusion   THA patients  have high preoperative expectations for surgical outcomes, and medical and nursing staff should  formulate  individualized  intervention measures based  on the patient's  age, education  level, caregiver type, and surgical indications to optimize the outcome expectations.

Objective    To  investigate  the  importance  of  treadmill   exercise  test(TET)  in  the  routine  physical examination   and   evaluation   for   identifying  myocardial   ischemia, diagnosing   coronary  heart   disease(CHD)   and preventing  cardiovascular  emergencies  that  may  induce  flight  incapacitation  in  civil  aviation  flight  crew  members. Methods   We  analyzed  TET results  in  556  civil aviation  flight crew members in Hospital of Civil Aviation Flight University of China from January  1,2019 to December 31,2023.Further examinations following positive TET results were analyzed. Results   TET positivity was detected in 21/556 cases,and suspected TET positivity was detected in 23 cases.Among TET positive cases, further computed tomography angiography(CTA) or coronary angiography revealed myocardial bridges in  15 cases and coronary stenosis in 6 cases.Among the 23 cases with suspected TET positivity, myocardial bridges were detected in  10 cases, and coronary  stenosis were detected in 3 cases. Conclusion   TET  can be widely used in the diagnosis, differential diagnosis, and prognosis evaluation of CHD.It plays an irreplaceable role in identifying suspected CHD and the assessment of the severity of CHD in special occupations.

Objective  To explore the prevalence of mild cognitive impairment in the elderly at 60 years of age and older  in  Lanzhou, and  to  analyze  the  influencing  factors  of mild  cognitive  impairment. Methods   Cluster  stratified sampling method was adopted to conduct questionnaire  survey on the eligible elderly at 60 years of age and older. SPSS  26.0  software was used  for processing  and  analysis. A  1:1  case-control  study  was  conducted  on  the  selected patients  with  mild  cognitive  impairment  according  to  diagnostic  criteria  and  scale  test. After  the  equilibrium  test, confounding factors were eliminated through variable control.Using Logistic regression analysis,univariate analysis and multivariate analysis were carried out to analyze the influencing factors of mild  cognitive impairment. Results   The prevalence of mild cognitive impairment in the elderly was 23.89%.There were significant differences in the baseline bate such as gender, age, education level and marital status in the elderly with mild cognitive impairment(P<0.05). The activities  of daily  living(ADL)  of mild  cognitive  impairment was basically normal  or  slightly  impaired. Those with mild cognitive impairment had higher depression  scores than normal people. Univariate  and multivariate  analysis of variables showed that:exercise(OR=0.531,95%CI:0.340,0.829),leisure activities(OR=0.570,95%CI:0.368,0.882),reading books  and  newspapers(OR=0.458, 95%CI: 0.217- , 0.965), and  playing  chess  and  cards(OR=0.364, 95%CI: 0. 150, 0.888) were protective factors for mild cognitive impairment; Smoking(OR=2.525, 95%CI: 1.402, 4.546)  and cerebro- vascular disease(OR=9.372, 95%CI:1.928, 45.545) were risk  factors  for mild  cognitive impairment. Conclusion   The prevalence of mild cognitive impairment in the elderly at 60 years of age and older is 23.89%. There are significant differences in demographic data, such as gender, age, education level and marital status of mild cognitive impairment.The  prevalence  of  mild  cognitive  impairment  is  higher  in  females, and  advanced  age  is  a  risk  factor  for  mild cognitive  impairment. Those  without  spouses  are  more  likely  to  have  mild  cognitive  dysfunction  than  those  with spouses.Exercise,leisure activities,reading and reading newspapers and playing chess and cards are protective factors. Smoking and cerebrovascular disease are risk factors for mild cognitive impairment.The ADL score indicated normal or slightly impaired ability of daily living in the elderly with mild cognitive impairment.The comparison between the normal population and the mild cognitive impairment group showed significantly higher depression score of the mild cognitive  group  than  that  of  the  normal  population. The  elderly  over   80  years  old  has  a  higher  prevalence  of depression.

Functional ankle instability(FAI) is a condition of subjective neuromuscular and perceptual instability in the joint  after  ankle  injury. It  is  common  in  daily  life  and  sports. In  patients  with  FAI, surrounding  ligaments,joint capsules, muscles, tendons  and  other  soft  tissues  of  the   ankle  are  impaired  at  varying  degrees, with  damaged proprioceptors, and  abnormal  subjective  performance  and  voluntary  movement. FAI  can  lead  to  decreased  muscle recruitment of the ipsilateral lower limbs，prolonged reaction time,and decreased dynamic stability of the  ankle joint. Moreover, it  causes  neuromuscular  control  disorders, such  as  ankle  proprioception, peripheral  muscle  strength，and balance  function. The  treatment  of  FAI  focuses  on  rehabilitation  training  to  restoreankle  function. At  present, the movement chain theory has been gradually applied to the musculoskeletal system disease rehabilitation.Based on the integrity  of movement  chain  theory, conductivity  and  biomechanical  effect, the  movement  chain  theory  highlights  a holistic treatment of musculoskeletal system rehabilitation.This paper summarized the movement chain theory applied to the rehabilitation of FAI,aiming to provide new ideas and methods to rich rehabilitation treatment.

Objective    To   observe  the   changes  in  serum  trefoil   factor  2(TFF2), progranulin(PGRN)   and  high- sensitivity  C-reactive protein(hs-CRP) in patients with  gastric ulcer during treatment, and to  explore their predictive value in curative effect. Methods   A total of 93 patients with gastric ulcer treated in Huiji District People's Hospital from June 2021 to June 2023 were retrospectively  selected  as the research  objects. According to the  curative  effect after 6 weeks of treatment, they were divided into the effective group(71 cases) and the ineffective group(22 cases). Serum levels of TFF2,PGRN and hs-CRP were compared between the two groups before treatment and at weeks  1,3 and  6  of treatment. The  clinical  data  of the  two  groups were  compared  and the  influencing  factors  of the  curative effect were analyzed. The predictive value of the serum TFF2,PGRN and hs-CRP at week 3 for the 6-week curative effect was evaluated. Results   After weeks  1, 3  and 6 weeks of treatment, serum TFF2 level in the ineffective group was significantly lower than that of the effective group,but serum PGRN and hs-CRP levels were significantly higher (r<0.05). Serum  TFF2  was  an  ineffective  protective  factor, while  serum  PGRN  and  hs-CRP  were  ineffective  risk factors  for  curative  effect(r<0.05). The  area  under  the  curve(AUC)  of  serum  TFF2, PGRN, and  hs-CRP, and  their combination  at  week  3  of  treatment  in  predicting  the  6-week  curative  effect  was  0.799, 0.763, 0.794, and  0.906, respectively.The AUC of the combination in predicting the curative effect was  significantly greater than that of each single  index(r<0.05). Conclusion   Serum  TFF2  decreases, and  serum  PGRN  and  hs-CRP  increase  in  patients  with ineffective treatment of gastric ulcer,which are the influencing factors of curative effect.The combined detection has a certain predictive value in the curative effect.

【Abstract】 Objective   To observe the effect of acupuncture combined with core  stability training on the rehabilitation of adolescent idiopathic scoliosis(AIS). Methods   This was  a prospective study involving  102 AIS patients  admitted to Zhengzhou Traditional Chinese Medicine Orthopedics Hospital from April 2021 to October 2022.Based on the principle of randomization and control, they were randomly divided into the training group(51 cases) and combination group(51 cases) by  computer  grouping. Patients  in  both  groups  were  given  core  stability  training, and  those  in  the  combination group  were   additionally  managed  by   acupuncture. All  patients  were   followed  up   for   one  year   after  treatment. Rehabilitation progress, pain, spinal morphology, spinal function, and prognosis were compared. Results   The  mean  time of single leg  stance with  eyes  open  and  close was  significantly  longer in the  combination  group than that of training group,while the time of off-bed activity and length of stay were significantly shorter.The Cobb angle of the combination group after 7 and 14 days of treatment was significantly smaller than that of the training group.The spinal rotation angle was significantly smaller in the combination group than that of the training group.The Oswestry disability index(ODI) at 6 months and  12 months of follow-up was significantly lower in the combination group than that of training group.The Japanese  orthopaedic  association(JOA)  score was  (20.35±5.36)points VS  (24.45±5.27)points  significantly higher in the combination  group than that  of training group(21.44±5.32)points VS (18.45±3.29)points. As of the end of follow-up, the Scoliosis  Research  Society  22-Item(SRS-22)   score   of  the  combination  group  was  (92.33± 10.26)points  significantly higher than that of the training group(87.45± 10.27)points.The incidence of adverse prognosis was significantly lower in the combination group than that of training group(7.84%  [4/51] VS 23.53%  [12/51], r<0.05). Conclusion   Acupuncture combined with core stability training can enhance the rehabilitation effect of AIS patients,presenting a positive significance in relieving pain,promoting the recovery of spinal morphology and function,and improving the prognosis of patients.

【Abstract】  Objective   To  analyze  risk  factors  for  the  poor  prognosis  in  patients  with  coronary  heart  disease  after percutaneous  coronary  intervention(PCI), and to  construct  a nomogram prediction model  and  evaluate  its performance. Methods   A  total  of  300  patients  with  coronary  heart  disease  admitted  to  Tengzhou  Traditional  Chinese  Medicine Hospital  from  September  2020  to August  2022 were  enrolled  as the research  objects. All patients underwent  PCI, and they  were  divided  into  observation  group(n=61)  and  control  group(n=239)  according  to  the  occurrence  of  adverse cardiovascular  events  during the  1-year  follow-up. The  clinical  data  of the two  groups were  compared. The  continuous variables with  significant  differences between  groups were  analyzed by receiver  operating  characteristic(ROC)curve. A logistic regression model was used to analyze the independent risk factors for the poor prognosis after PCI in patients with  coronary  heart  disease. R  software  was  used  to  build  a  nomogram  to  predict  the  poor  prognosis  after  PCI  in patients with coronary heart disease. The internal validation and net clinical benefit of the nomogram were assessed by the calibration curve and decision curve analysis,respectively. Results   The proportion of diabetes patients and  smokers, number of implanted  stents>2, D-dimer(D-D) and interleukin-6(IL-6) levels in the observation group were  significantly higher  than  those  of the  control  group(all  P<0.05). D-D(>1.23  mg/L), IL-6(>50.01  ng/L), age(>66  years), diabetes  and smoking were independent risk factors for poor prognosis in patients with coronary heart disease after PCI(all P<0.05). Internal validation Results  showed that the C-index of the nomogram prediction model was 0.786(95%CI:0.397,0.896), presenting  a  good  consistency  between   observed  value   and  predictive   value. The   decision  curve  showed  that  the prediction  model  could  provide  additional  net  clinical  benefits  when  the  risk  threshold  was>0. 16. Conclusion    This study constructs a nomogram prediction model to predict risk factors for the poor prognosis in patients with coronary heart  disease  after PCI, which helps medical  staff to recognize risk  factors  and provide  individualized  interventions to improve the prognosis and quality of life.

Objective   To analyze the influenza surveillance data from 2023 to 2024 in Nanyang City and to provide evidence for the prevention and control of influenza.Methods   The data of influenza-like illness (ILI) outbreak in Nanyang City from April 2023 to March 2024 in the China Influenza Surveillance Information System were collected,and the epidemic characteristics,population distribution characteristics,and time,gender and age distribution of nucleic acid test results for ILI were analyzed.Results   ILI monitored by the two sentinel hospitals in Nanyang City from 2023 to 2024 accounted for 1.24% of the total number of hospital-visited patients in the same period,with 0.96% in the national sentinel hospitals and 1.58% in the non-national sentinel hospitals (χ2=676.470,P<0.001).In this year,a total of 2 231 ILI samples were detected,and 505 were positive for influenza virus nucleic acid (22.64%),including 332(65.74%) for type A H3N2,158(31.29%) for type B Victoria,and 15(2.97%) for type A H1N1.According to the analysis of samples from different sources,the positive detection rate of outbreaks was the highest (45.00%),which was significantly higher than that of national sentinel hospitals (27.46%) (χ2=5.877,P=0.015).The positive detection rate of national sentinel hospitals was significantly higher than that of non-national hospitals (16.99%)(χ2=34.782,P<0.001).The positive detection rate in 0-4 years old group was the lowest (11.42%),and the positive detection rate in 25-59 years old group was the highest (30.69%).There was a significant difference in the positive detection rate among different age groups (χ2=90.296,P<0.001).The epidemic peak was from October to March of the following year,in which the positive rate was the highest in November(64.29%),and the positive rate gradually decreased from November to March of the following year.Influenza A H3N2 was predominant from October to December,and influenza B Victoria was predominant from January to March.There was a significant difference in the distribution of positive influenza virus subtypes in different months(χ2=398.472,P<0.001).Conclusion   The population is generally susceptible to influenza virus.Health education should be carried out extensively to enhance the public's attention to influenza prevention.Etiological surveillance is recommended to continuously carry out,and the composition of disease prototypes should be timely strengthened,thus providing more scientific bases for the development and use of influenza vaccines.

Neurogenic   tinnitus(NT)   is   a   common   clinical   symptom   in   otolaryngology.  Due   to   its   unclear pathogenesis, there  is  currently  no  ideal  treatment  method  for  NT. NT  Patients  may  experience  various  discomfort symptoms, such  as  sleep  disorders, dizziness, and  constipation. The  pathogenesis  is  still  unclear, and  it  is  generally believed that the onset of NT is closely related to noise, vibration, temperature, and radiation. Tinnitus belongs to the categories  of "brain ringing"  and  "cicada ringing"  in traditional  Chinese medicine(TCM). The TCM theory believed that the kidney opens at the ears, and the liver and kidney have a common  source. The relationship between the ear and the liver and kidney is very close.The kidney-jing deficiency and insufficiency of marrow-sea due to insufficient nutrition  of external  acoustic  meatus  result  in  tinnitus. Tinnitus  can  be  divided  into  two  categories: deficiency  and excess.The excess syndrome of tinnitus includes the  syndrome types of external invasion,disturbing upward of liver- fire and phlegm stagnation. The deficiency syndrome includes the syndrome types of deficiency of liver and kidney, and  weakness  of  the  spleen  and  the  stomach. Effective  western  medicine  drugs  for  NT  are  scant. Diagnosis  and treatment  based  on  syndrome  differentiation  and  classification  of  TCM, NT  can  be  treated  with  multiple  TCM methods, such  as  decoctions, acupuncture, press needling, sports moxibustion, massage  and  needle knife, showing high safety,fast effect and long-lasting outcome.