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(610075)
201420(1)
1.2
1.3
1.4
1.1
1.5
1.6
2.1
1.7
2.1.1
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2.1.2
( )
2.2
2.3
2.3.1
2.3.3
2.3.2
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1. [S]
1989773
2. [S]
20118-9
3. [S]2011
255
4. [S]1982
2806
5. [S]
19861549
Abstract
This article pointed out that the purpose of learning the ancient
medical case, is not to reciting a herb or a formula, but to deeply
understand their thinking process to solve problems. You learn more
medical case, you gain more wisdom.
To deeply analysis the reasons of the insufficiency or missing
pieces of ancient Chinese academic information or medical records, we
know that a compliment can be made by applying modern language,
modern expression and interpretation of these data for information as
much as possible which may fully restore to its original appearances.
It is able to allow readers to be immersive, as reflected in its people, but
also really to make the writers academic soul resurrection. The truth
known in practice is used to be the golden rule to explore the truth in
ancient medical record documentary. Usually even ancients had hidden
their knowledge in their writings which could be recoverd through the
methods in this study.
Keyword:Theoretical discussion; Ancient Medical Record Documentary;
learning methods
201420(1)
970 707
03-8561825 3870
y0606@mail.cgu.edu.tw
10
201420(1)
62
7 67 115
300
526
11
1.
2.
12
201420(1)
3.
4.
5.
13
2.0 1.0
1.5 0.5
0.4
14
201420(1)
1.
5.
64 140-
1995 88-90
180
2.
101 47-50
3.
2012(7):469-470
4.
2011(22):82-93
6.
64 249
7.
2013(7):744746
8.
2012(2):6-7
15
16
201420(1)
17
1972
132 6
02-2509-6633
ruby032488@yahoo.com.tw
18
201420(1)
(1985
(Dr.Nogier)
(1957 )
(-endorphine)
1950
19
T1-T2 )
T5-T10
Nogier
Nogier
(T1-T2)
20
201420(1)
21
Abstract
Acupuncture theory formed in the two thousand years ago, "Nei Jing", the ancients
observed the connection system of body, so-called "Meridian", has been widely used
in the treatment of various diseases in China. After the 1972 United States President
Richard Nixon's visit to China, set off a wave of acupuncture studies, tens of thousands
of papers published studies on the mechanism of acupuncture. However, while
exploring mechanisms of acupuncture, acupuncture research fail to see the wood for the
trees; researchers use modern scientific methods,cells, animal and even human clinical
studies, although they can prove that acupuncture has a variety of medical effects,
including anti-inflammation, pain control and even regulate the immune and autonomic
nervous systems. There are other scholars advocate that meridians essence is nerves,
blood vessels and lymphatic hybrid structure. But clinicianswant to known what kind
of theory and thinking to impose optional acupuncture acupuncture patients can reach
better clinical efficacy.
I engaged in clinical practice acupuncture work two decades, through continuous
learning and clinical validation study, first proposed Dr Wen's Acupuncture
Medicine; by means of the essence of the various schools of acupuncture, the basis of
modern medicine human anatomy, neuroanatomy, physiology, and basic knowledge of
pharmacology as thinking points of matching criteria.
The author argues that the role of nerve conduction stimulation of acupuncture as
a principle, is reached by nerve conduction pain, inflammation, autonomic nervous
system regulation and immunomodulatory effects. Distribution and use of knowledge
of the human autonomic nervous system pharmacology, the selection of points to be
reached quickly get treatment efficacy and disease of modern medicine is difficult
opportunity. Hoping to start a discussion, and to help student and already engaged in
the work of practitioners of acupuncture,learnquicklywithacupuncture point selection
and essentials application of points, in order to achieve the purpose of improving the
efficacy of acupuncture.
Keyword:acupuncture,nerve,acupuncture point selection
22
201420(1)
23
29 Cefspan
901
062812811 53784
cmh71001@mail.chimei.org.tw
24
201420(1)
101 11 22
101-11-08
1954xxxx
Cefspan
(+) (-)
29
158
42.4
(-)
101-11-22101-11-22
29 101 10
101
101-11-07
(Streptococcus agalacitiae, group B)
11 5
101-11-08Urethrography
11 8
urethrography 11 12
Amoxcillin 11 14
Cefspan
3-4
Imodine
Amoxicillin Cefspan11
1.
20
2.
3.11 20 (VAS
3 ) (VAS 7 )
PrimperanBuscopanVit.B12 )
4.
5.
25
6.
7.
8. LMP11/7PMP10/5
G2P2A0
9.
101-11-07~101-11-12: Keflex
(250mg) (Cephalexin) 2CP TID PC
101-11-12~101-11-14: Amoxicillin (250
mg) 2CP TID PC
101-11-14~101-11-20: Cefspan (100mg)
(Cefixmycin) 1CP Q12H PC
101-11-15: Imodine (Imodium)
10.11 8
panadol
Imodium
26
201420(1)
101-11-22(AM 11:00)
(1)101-11-22(PM16:00)PM14:00
50%
(2)101-11-22(PM17:30)
Bowel sounds:
6 g 1.5 g
1.5 g 1.5 g 1.5 g 1.5 g
1.5 g3x3
27
(3)101-11-22 (
PRN )
RUQ
LUQ
(4)101-11-28
RUQ LUQ
5g
4g 2g 1.5g 1g
1.5g 1g3x7
1.4
Amoxicillin
clarithromycin metronidazole
amono-quinolones
ERCP 5
RUQ
28
201420(1)
/ 6
()
()
1 g
6 g
1 ~ 3 g 7
Amoxicillin
( )
29
Cefspan
G+
G-
1. Robert H. Seller
Imodium Loperamide
Opiate
1-10
2.
77
3.
2000318
Saunders, 199521-26
5. Graham P. Butcher
200522-29
6.
2004(35): 79-10
7.
2010(33): 10713-715
8.
2007(23): 1732-33
30
201420(1)
Abstract
This is a 29-year-old female patient who often visits our out-patient
department due to diarrhea. This time, she suffered from diarrhea and
side effect of antibiotic agents cannot be rule out. The diarrhea was relief
but stomach ache and vomit were noted after taking Imodine without
prescript. The symptoms were: stomach ache, vomit, pale complexion,
pulse were felt deep, thready and weak, and tenderness in epigastric
region of abdomen. The holistic differential diagnosis was Spleen Yang
deficiency, combine with Stomach Qi adverse rising. The prescription
are Fu-Zi-Li-Zhong decoction with Xiao-Xian-Xiong decoction and
was given immediately. We followed-up the changes of symptoms and
found that the stomach ache and vomit were relieve right after taking the
prescription.
Keyword:stomach ache, Spleen Qi deficiency, Stomach Qi adverse
rising, Fu-Zi-Li-Zhong decoction, Xiao-Xian-Xiong decoction.
31
1,2 1
1.
2.
B G2P2 19
33+4
3~4
Yutopar20ml/1hr 35+4
2.5
2510 38.1
38
24 10
:
: 359 8-3 4
: 0972-612-010
: gainsong1024@gmail.com
32
201420(1)
3~4
: CRP
Yutopar20ml/1hr
35+4
2.5
2510
38.1
G2P2A0
( )
1.
19
2.
3.
xx30
100.9.1683983**
4.
163cm63 kg
5.
6. ,
G2P2
2x5
14 33+4
, , ,
33
7.
8. ~
9.
1WBC
10.
4x4
G2P2 C/S
100.9.16
100.9.23
100.10.2
78.8
72.6
57.3
Lymphocyte(21~51%)
34.3
22.0
14.7
Monocyte(4.6~11%)
4.7
5.9
6.3
Eosinophil(0.4~7.6%)
0.4
0.4
1.8
Platelet count(157~377)
185
186
210
CRP
0.23
0.24
10.0
Hb
2Neutrophil-Seg
10.3
1.WBC 1
2.Neutrophil-Seg 2
3.Lymphocyte 3
4. (-)
5. : (-)
6. :
3Lymphocyte
34
201420(1)
1.
2.
33
14
35
1.
2.
: CRP
8 1
3-4
1 1 1 1
100.9.21
TID*3
1 1 (37.2 )
gm
1 1
0.7
gm
0.7
100.9.24
TID*7
0.7
gm
0.7
4
100.10.1
36
201420(1)
( )
1000ml
37
38
201420(1)
30
(37.2
39
40
201420(1)
41
1 5
HbA1C 10.9 % 9.1 %
islet autoantibodies1
5 to 10 percent
99 100
beta cells
25
25
1 75 to 90 percent 3, 4
1
23
701 670 ( )
0923186176
u9330009@cmu.edu.tw
42
201420(1)
(PM12:00-
AM01:00 )
type 2 DM
2011/07/23
28
346XX6 180 cm
4g 4g 2g
108 Kg
2011/07/23
1.5g 1gTIDAC 28
2011/08/20
28 5
121 mg/dl
5g 1.5g 1.5g
fatty liver
2.5g 1.5gTIDAC 28
2011/09/17
2011/08/20
(acanthosis
GLU-AC374 mg/dlHbA1C10.9 %
nigricans)
Microalbumin2.47 mg/dl
43
1gTIDAC 28
3 3 3
3 3 2
1.5 3 4
2011/12/10
5g 5g 2g
1.5g 0.5g 1g 1g
1g 1gTIDAC 28
2011/10/15
2011/09/17
GLU-AC237 mg/dl
5g 2g 1g 0.5g
GOT24 U/ LGPT43U/ L
1.5gTIDAC 28
3 3 3
3 3 2 5
2011/09/17TIDAC 28
1.5 3 4
2011/11/12
2012/01/07
2011/10/15
2011/12/10
GLU-AC218 mg/dlHbA1C10.4 %
GLU-AC195 mg/dl
GOT25 U/ LGPT41 U/ L
Creatinine0.8 mg/dl
5g 2g 2g 0.5g
1.5gTIDAC 28
5g 5g 2g
1.5g 0.5g 1g 1g
3 3 3
3 3 2
44
201420(1)
1.5 3 4
2012/02/04
1.5g 2g 1gTIDAC 28
3 3 3
3 3 2 5
5g 2g 2g 0.5g
1.5 3 4
1.5g 1.5gTIDAC 28
3 3 3
3 3 2 5
1.5 3 4
Metformin Sulfonylurea 7
2012/03/10
5g 1.5g 2g 0.5g
1.5g 2g 1gTIDAC 28
3 3 3
3 3 2
1.5 3 4
2012/04/14
2012/03/10
GLU-AC173 mg/dlHbA1C9.1 %
Microalbumin0.01 mg/dl
GOT13 U/ LGPT21 U/ L
Creatinine0.9 mg/dl
5g 1.5g 2g 0.5g
45
(6) 1.
2. 3.
9
10
200826(3)532-534
9.
2006(6)349-352
10. --
200624(1)96-97
46
201420(1)
Abstract
Diabetes mellitus is a diseases of abnormal carbohydrate
metabolism. It causes hyperglycemia and many diabetic complications
associated with vascular and neural diseases. Other than modern western
medical treatment, traditional chinese medicine have been used to treat
DM for a long time. The pathological mechanism of DM in traditional
chinese medicine isyin deficiency in root, and dryness heat in
symptoms, while nourishing yin and moistening dryness therapy
is usually used. In this article, we present a case who has been diagnosed
as type 2 DM for 5 years. We use supplementing kidney-yan therapy
accompanied with nourishing yin and moistening dryness therapy to treat
this patient without modern western medical treatment at the same time.
After 9 months of treatment course, the HbA1C value of this patient
lowers from 10.9 % to 9.1 %
Keyword:diabetes mellitus , blood glucose value , Kidney-Yang
deficiency
47
1,2,* 2 2 1,2
1
2
17
(Panic disorder)
(Anxiety disorder) 1
2~3 2
1
07-6150011 251572
lonsuo@isu.edu.tw
48
201420(1)
1. 2. 3.
4. 5. 6.
30~40%
7. 8.
(Agroaphobia)
9.
10.
11.
12. 13.
DSM-IV-TR
1.
3~5 4
2.
(tryptophan
3.
hydroxylase)
(serotonin) (norepinephrine)-
SSRI) (benzodiazepines,
BZD) -
(The
SSRI TCA 6
DSM-IV-TR)[1]
49
1.
2.
3.
59
4.
2011-3-16
(spondylolisthesis)
(osteoarthrosis)
(
)
9.5g, 2g,
2011/3/16
3g, 1.5g
( )
TID x 7
50
201420(1)
2011/4/6
2011/4/20
2011/4/27
2011/5/25
2011/6/8
2011/8/10
2011/10/19
2012/1/4
2012/3/12
2012/3/28
2012/5/23
2012/7/4
2012/7/25
10g,
2g, 2g,
2g TID x14
10g,
1.5g, 1.5g,
x7
10g,
1.5g, 2g,
1.5g, 2g TID x7
9g,
2g, 2g, 1.5g,
8.5g,
9g,
1.5g, 2g,
8g,
1.5g, 2g,
1.5g, 1.5g,
10g,
2g, 2g,
2g TIDx28
6g,
6g, 2g,
2gTIDx14
6g,
2g, 2g
TIDx14
9g,
2gTIDx21
8g,
2gTIDx21
8g,
2g, 2g, 2g,
2gTIDx21
( )
( )
( )
( )
51
52
201420(1)
1. Diagnostic and Statistical Manual of Mental
22(8): 1529-34.
2007: 587-97.
368(9540): 1023-32.
1065-69.
Oxford, 1999:100107.
53
Abstract
Panic disorder is categorized as psychiatric disorder in which
the patient stimulated by particular situation has a sudden attack of
extreme fear. In this case report, a male aged 59 years old with phobia
experiences which occurred when driving on the highway, crossing
through the tunnel, and entering the bank, had been treated before but
failed to relieve, therefore he sought for therapy with traditional Chinese
medicine in our hospital. According to the therapy principal that fear
causes qi to precipitate down, summarized from The Yellow Emperors
Inner Canon, we consider that the cause of this disease is due to falling
of qi that induce insufficient heart energy, which result in fright and
fear. Therefore, the principal of treatment is to uplift yang qi, and the
treatment method are composed of activating the spleen, adjusting the
liver, and energizing the kidney, thus leading qi to go upward to the
heart. After treatment of herbs, phobic syndromes were significantly
alleviated, so the patient stopped taking western medicines later. Panic
disorder in this patient was pacified and rarely relapsed for 17 months
with herbs administration. After ending his treatment, routine follow-up
is continued, and the patient didnt relapse.
Keyword:panic disorder, phobic syndrome, Chinese medicine, herb.
54
201420(1)
55
a,b a b,c*
a,c
b
31
8
4-5
123
0578379010939-928588
kd2624@yahoo.com.tw
56
201420(1)
: 101/12/18
102/01/08
31
2982X
31
( ) (102/01/08)
35.6 122/79mmHG
84/min 158cm48kg
General appearance: alert
HEENTgrossly normal
conjunctiva: no pale
101
Throatno inject,
3 6 EKG
101 4
Earno discharge
Necksupple
101/07/24
101 9 10
4-5
96 100
96
ChestSymmetric expansion
Symmetric and clear breathing sound, no
wheezing or crackles
HeartRegular heart beat without audible
murmur
AbdomenSoft and flat, no tenderness, no
muscle guarding,
57
knocking pain
7.
8. 2
9.
( )
10.
11. 96
1.
2.
1. 8
2. 4-5
101 4
3. 10
101/03/23 EKG
EKG:1.Normal Sinus Rhythm-NSR
1.
2.
4. 1-2
5. LMP: :102/1/03I/D:31/7
G2P2A0
96 100
6.
8
2
58
201420(1)
1. 8
4-5
2.
3.
4g 4g 2.0g
0.8g
4.
TID x 7
45
1.
2.
3.
31
59
4.
1. 1
5.
6.
7.
4g
4g 2.5g
102.01.01
1.0g 1g
( ) 0.8g 1.5g
2. 1
:
4g
4g 2g
102.01.08
0.8g 1g ( )
4g
4g 2g
102.01.29
0.8g 1g ( )
0.8g 1.5g 0.8g
4g
4g 2.5g
102.02.14
0.8g 1g
( ) 1g 1.5g
4g
4g 2.0g
102.03.23 0.8g 1g
( ) 1g 1.5g
0.8g
3. 1
1 :
:
2 :
3 :
60
201420(1)
1.
2.
3.
1.
2.
3.
4. :
5 :
5.
6 :
1 46
Research20122392367-2368
7 :
2002273-297
2005292-294
4 -- http://
yibian.hopto.org/
4. 2
4 :
1.
2.
3.
4.
5.
6.
1.
2.
3.
4. :
2006123-126
61
Abstract
This is a 31-year-old female patient with asthma and allergic rhinitis
history. According to the patient, because of repeated episodes of
epigastric discomfort about eight months, epigastric fullness, nausea, no
epigastric tenderness, heartburn, acid reflux, belching , phlegm in throat
, the endoscopy showed no abnormalities.She come to the hospital for
medical treatment of traditional Chinese medicine. She is nervous, hottempered, epigastric discomfort usually occurred at 4-5 pm, no particular
aggravating or mitigating factors. She also complianed chest tightness,
palpitations, dry mouth, poor sleep, breast swelling and dizziness duirng
menstruation. She had string ,thin and rapid pulse. the white fur and pale
red tongue. TCM diagnosis is liver qi invading stomach. The symptoms
relieve after TCM treatment,that prove the therapeutic effect of TCM in
epigastric fullness and other stomach symptoms
Keyword:epigastric fullness, liver qi invading stomach
62
201420(1)
63
1 1 2 3
1
580 / 280
320 /
(Bge.) Hsiao
25 4
0979110278
yrongchi@gmail.com
64
201420(1)
1.
4.
5.
2.
3.
1.
2
65
2.
2
3.
T B
4.
TNF-
INF- IL-2
2,4
5.
2,4
6.
4
7.
2
8.
4
9.
10~15g
30~120g1
1.
2006
2.2000
3.
2010
4.
2012 33
5
66
201420(1)
Abstract
Astragalus mongholicus, which the Shennongs Herbal Classic
firstly recorded it, is one of the most important Chinese herbs. In this
article, there is a summary of Astragalus mongholicus includes the
origins, important classics, clinical applications, and pharmacological
effects. It may give some good ideas when a clinician uses it.
Keyword:Astragalus mongholicus, clinical applications, harmacological
effects.
67
1
( )
9 ( )
61 (
)
104
(02) 2231 0066
yeh1965@ms11.hinet.net
103
84 ( )
104
85 ( )
68
201420(1)
( )
103
86 ( )
103
87 ( )
104
1. 107880 .65.04.06
( )
2. 0940203047 94.03.17
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0970215445
103
1
3. 667039
8253620
84003347 0910042893
103 2
4. 8255937
10
103
5. 107880
1.
2.
6.
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103 2
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103 2
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7. 86016136
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201420(1)
103
103
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25
L
7 1
10
8.
1.
10
25
2.
71
83
86 2
3. XX X XX XX
XX XXX
( )
86
4.
5.
xxx
6.
7.XXX XX
XX
1. xx x xx
xx
...
2.xxx
3.XXX
I(
77 )
II
72
201420(1)
1 *
73
Abstract
Where will leave traces through the purpose of advertising is to spread
and to attract a particular person is not nearly into consumer regulations
in Taiwan is a part of "medical advertising" is not a commercial
advertising requirements, the difference was that "health care operations"
as execution. The "medical services" including "medical act" and
"medical institutions", this paper is to discuss (personnel, advertising
content includes institutions) of the Act for the protection and restraint
Chinese medical advertising.
Keyword: medical advertising, Act, Regulations
74
201420(1)
Email
()
key words
(1) :
(2) :,
(3)
et al
(Units of measure)
1.
2.
1994167-72
2000295-302
20028(4)74-9
Tierney LM, Mcphee SJ, Papadakis MA: Current Medical Diagnosis & Treatment
2000, McGraw-Hill Companies, USA, 2000: 381-2.
2000 6000
A4 132
Email tccma100@ms81.hinet.net(02)2503-2877
(02)250706030988606486
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201420(1)
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