Tuesday, November 9, 2010

A discussion paper seeking medical

There are three topics (choose one): 1. Leukemia Care Progress and Prospects 2. Malignant pleural effusion treated with intravesical instillation of drugs nursing progress 3. Diabetes Care [[[[[ leukemia patient care and save the progress and prospect]]] ]] With the development of medical science and progress, the level of treatment of leukemia has also been greatly improved, and people have not only satisfied the disease complete remission, the patient began to make long-term commitment to the ultimate disease-free survival and even cure research. In recent years the use of high-dose chemotherapy, Integrative Medicine, gene therapy, especially in hematopoietic stem cell transplantation widely carried out, the leukemia complete remission rate and disease-free survival rates have improved significantly. This made for leukemia specialist care requirements of the updated, care and further broaden the scope of work, following their progress are summarized below: General Nursing Progress �� dose chemotherapy combined with chemotherapy in leukemia patients care most important and most commonly used method of treatment. High-dose chemotherapy to treat leukemia, can improve the rate of leukemia in complete remission and prolong disease-free survival of patients, currently in the country has been widely used. But it has some side effects, especially for proliferative epithelial cells, such as bone marrow cells, gastrointestinal epithelial cells, germ cells and other damage is particularly serious, the body of vital organs such as liver, kidney, heart, lungs, nervous system and has some toxicity. Therefore care is extremely important. (1) side effects of chemotherapy nursing: �� familiar with common side effects of most chemotherapy drugs have gastrointestinal side effects of chemotherapy and bone marrow suppression, the toxicity of certain drugs has its particularity. Such as cyclophosphamide can cause hemorrhagic cystitis, high-dose methotrexate oral ulcers caused by refractory, anthracycline induced cardiac toxicity of etoposide can cause hair loss, vincristine can cause peripheral neuritis. �� Before chemotherapy, the patient before chemotherapy, adequate evaluation of the patient's general health assessment of the state, to develop appropriate care plan. Before chemotherapy began in the early morning with a soft bristle toothbrush and carefully clean the mouth before going to bed, forced to light, to avoid injury. Chlorhexidine mouthwash before and after meals, maintain oral health. Check once a day oral condition of patients, the prevention of oral ulcer. To prevent gastrointestinal toxicity, 30 minutes before chemotherapy, antiemetic drugs, such as ondansetron, Kang aldehyde. Closely observed during chemotherapy and the patients complained of discomfort and, if abnormal timely symptomatic treatment. During treatment, should do liver and kidney function tests three times a day to monitor heart rate and pay attention to the infusion speed should not be too fast. �� choose a good infusion chemotherapy drugs may stimulate and damage the small veins, so chemotherapy to choose good elasticity, the greater tube wall thickness of vein, should be sharply, and there are plans to start from the distal vein, constantly changing intravenous administration. Infusion of chemotherapy drugs, pay attention to closely observe, to prevent leakage and leakage of chemotherapy drugs. To prevent chemotherapy-induced phlebitis, venous puncture site changed every day or choose another vein, before and after injection of chemotherapy drugs, washed with saline control. Ruoyou phlebitis may be given magnesium sulfate wet compress or a golden powder topical. It has been reported with hypertonic mixture of glucose and vitamin B12 phlebitis Treated good effect. �� infection care: �� the gastrointestinal tract 1 day before chemotherapy care of oral gentamicin, sulfamethoxazole or norfloxacin; prevention of fungal infection can be oral or nystatin allicin. Skin and mucous membrane care �� high-dose chemotherapy can cause severe bone marrow suppression, neutropenia serious lack of bone marrow in the hollow of about 10 days. Cellular and humoral immune functions are decreased, skin, mucous membrane direct contact with the outside, vulnerable to infection. Therefore, the patient's eyes, ears, nose, mouth, anus and external genital organs and the outside world should implement measures to prevent infection. Chloramphenicol eye drops or eye drops with rifampicin eye drops 2 times a day, nasal smear with peppermint oil or mineral oil 2 times a day. Sodium bicarbonate mouthwash to prevent fungal infections, with metronidazole mouthwash to prevent anaerobic infections, per night, and then with 1:5000 potassium permanganate solution after the bath, cleaning the perineum. �� nursing puncture site infection should be minimized in order to avoid puncture, the puncture line 2 times before disinfection with iodine, after the success of venipuncture with sterile gauze or sterile cotton balls covered. The above measures to be carried out simultaneously, not in place to avoid the care of any parts caused by infection. Patients need to UV irradiation living room 2 times a day, scrub with disinfectant indoor appliances and ground, regular indoor ventilation. Limited access, living conditions so that the patient single or isolation ward. When necessary, prescribed application of hematopoietic colony stimulating factor, such as recombinant human granulocyte - macrophage colony-stimulating factor, granulocyte colony stimulating factor to promote the differentiation of bone marrow stem cells and granulocyte proliferation. Of infection has occurred, should be used according to the type strain of foci and systemic antibiotics and local symptomatic treatment, infection control to prevent worse. �� bleeding care: high-dose chemotherapy as thrombocytopenia, mucosal ulceration and inflammatory changes and other reasons, often bleeding. Therefore, a good bleeding is particularly important for prevention and care. [[[[[ Treatment of malignant pleural effusion nursing progress with intravesical instillation of drugs]]]] malignant pleural effusion is a common complication of advanced cancer patients, this time a wider range of patients with lesions, poor physical fitness, has been inappropriate systemic chemotherapy, and effective local treatment can play a better role in palliative care. Our department in January 2000 ~ December 2002 35 patients with malignant pleural effusion patients taking chemotherapy, to control the pleural effusion, prolonged survival of patients, now nursing are summarized below. 1 Data and methods 1.1 General information on 35 cases in 18 males and 17 females; age 23 to 65 years, mean 51.5 years; 18 cases of primary lung cancer, gastric cancer, 5 cases of breast cancer in 7 cases, liver in 3 cases, lymph 2 cases; pleural effusion were confirmed by B-. Which left pleural effusion in 15 cases, the right side in 18 cases, bilateral in 2 cases. 1.2 Methods The B-positioning. Puncture into the chest wall under local anesthesia pigtail-shaped catheter, pull out the wire, see the outflow of pleural effusion after the end of the access catheter and suction tee, fixed catheter, gauze and tape securely. Drainage time is not greater than 1000ml, emissions can be repeated after the interval of 1h. The reduction in drainage fluid, with good perfusion chemotherapy has been (1 every other day, a total of 3 times), chemotherapy drugs commonly used interleukin -2, CWS, cisplatin, 5 - fluorouracil, mitomycin , dexamethasone, are applied after diluted with saline. Normal after chemotherapy infusion 1000ml, intravenous ondansetron 8mg CAP or granisetron 3mg IV infusion. 2 care routine preparation before chemotherapy, 2.1 routine examination before chemotherapy, a clotting time, blood, liver and kidney function and ECG and so on, the confirmation of the check within the normal range. Routine preparation prior to skin puncture. More frequent were cough, codeine can be taken orally 1h before surgery 0.03 ~ 0.06g. 2.2 The psychological care to the patient details and merits of the basic principles of treatment, tell the patient this treatment does not affect the normal physiological anatomy, is a minimally invasive therapy, patients with pain is safe, thorough drainage, to avoid pleural injury caused by repeated puncture. Also introduced the adverse reactions after chemotherapy and principles, to reduce patient stress, fear, to cooperate with the treatment. 2.3.1 Note 2.3 condition observed changes in vital signs of patients and pleural reaction in this group of patients often have mild chest pain, fever response, body temperature at around 38 �� given strong pain given oral 10mg, intravenous antibiotics and drugs to stop bleeding. 2.3.2 Note the change in patients with blood blood leukocytes of the total number of patients were significantly lower, and the lowest 3.0 �� 10 9 / L, 75��g given subcutaneously Lishengsu 1 or 2 times / d, 2 ~ 4 ��can be back to normal. 2.3.3 Gastrointestinal The most common chemotherapy toxicities were nausea, vomiting, each time after the first chemotherapy, prophylactic intravenous ondansetron 8mg or intravenous infusion of granisetron 3mg, so that patients with nausea and vomiting before antiemetic drug concentration in blood reached a peak, in order to achieve the best results. 2.4 puncture site and the drainage tube care chemotherapy drugs, Zhu Huanzhe frequent changes in stand position, especially in 1 ~ 2h after injection, so that full access to drugs and the pleura. Puncture site dressing 1 / d, with or without local inflammatory reaction observed. Drain every day with ��-chymotrypsin 10mg, gentamicin 160 000 U, by adding dexamethasone 5mg 50 ~ 100ml saline washing pipe, 1 / d to prevent the drainage tube blockage. Zhu Yi drainage tube Niantie position, to prevent Zhe pipe, pressure pipe, broken pipe phenomenon. Pinch, after 12h discharge pipe, observe the amount of fluid drainage, nature, and whether the bleeding. 1 day, subretinal fluid, pleural effusion 1 week after extubation can no longer produce, under normal circumstances may take up to a month or so. Diet care after chemotherapy in patients with 2.5 have varying degrees of loss of appetite, will urge their food mild, bland high-calorie, high protein, high vitamin, low-fat foods, if necessary, increase the seasonings, such as increased sweetness, freshness to stimulate the appetite. Duration of symptoms 3 to 5 days after chemotherapy can be gradually eased. 3 Experience of pigtail catheter chest perfusion chemotherapy-like drugs, its safe, convenient, less invasive, patient pain, avoid multiple needle to reduce patient burden, and drain thoroughly, you can adjust the discharge rate of the pleural fluid does not affect the Patients living. Because of our careful observation, careful, meticulous care operations, to detect anomalies, and positive treatment. Clinical observation of 35 patients, no bleeding, folding tube, pressure tube, detached or broken pipe, and enhanced the treatment efficiency, improve the quality of specialist care. [[[[[ Risk of diabetes care and rescue]]]] 1. A history of diabetes, physical assessment, patients in more food, more drinking, polyuria, weight loss, poor wound healing, recurrent infections and other complaints. Details of consultation should be their way of life, eating habits, food intake, with or without family history of diabetes, weight, times of pregnancy. Chronic complications of diabetes, cardiovascular, nervous system and other physical abnormalities can be seen. Ketoacidosis with dehydration were signs of deep breathing and consciousness change. 2. Fasting urine laboratory and other tests positive, fasting and postprandial plasma glucose level exceeds the normal range, blood triglyceride, cholesterol, lipoprotein increased; and sour poisoning can have positive urine ketone, electrolytes, blood PH value, carbon dioxide combining force abnormalities. 3. Psychological, social data for life-long disease of diabetes, long duration and multi-organ, multi-barrier structure and function of the pressure generated by the patient prone to physical and mental patient anxiety, depression and other mood, lack of confidence in the disease, or the hold of disease indifferent attitude and not seriously, and even can not effectively deal with chronic diseases. Social environment such as the patient's relatives, colleagues and support to the patient's response is related to the patients ability to adapt to the important factors of chronic diseases, should be assessed. (B) of the nursing diagnosis care plans and evaluation 1. Imbalance less than body requirements Nutrition weight loss, and the absolute or relative lack of insulin secretion caused by sugar, protein, fat metabolism disorders. (L) target patients with polydipsia, polyuria, polyphagia symptom relief, weight gain, blood sugar levels normal or became normal. (2) nursing interventions 1) calculate daily calorie diet care: According to the patient's gender, age, height and ideal weight look-up table or calculated [ideal body weight (kg) = height (cm) -105��, and the light intensity of ideal body weight and activity calculate the total calories needed per day. Adults who break the standard weight per kilogram per day to heat 105-125kJ (25-30Kcal); light manual 125-146kJ (30-35Kcal); in the manual 146-167kJ (35-40Kcal); heavy manual labor by 167kJ (40Kcal above). Children, pregnant women, nursing mothers, malnutrition or wasting disease should increase, as appropriate, obesity reduce it, in which patients return to ideal body weight, body weight about 5% of the soil. Protein, fat, carbohydrate distribution. Protein content of the diet per kg per day for the standard adult body weight 0.8 ~ 1.2g calculation, children, pregnant women, nursing mothers, malnourished or wasting disease may increase the daily per kilogram of body weight 1.2 ~ 1.5g; fat per day kg standard weight 0.6 ~ 1.0g; the rest is carbohydrates. Calculated by the total calories of protein is about 12% to 15%, about 30% fat, carbohydrates accounted for about 50% to 60%. Distribution of meals: food composition table by the heat converted into recipes, meal distribution was 1 / 5, 2 / 5, 2 / 5 or 1 / 3, 1 / 3, l / 3. Eating three meals a day to match the content uniformity, each meal has carbohydrates, fats and proteins, and to regular quantitative, this will help slow the absorption of glucose, increase insulin release. Click here 2 to 3 weeks recipe sugar consumption should be decreased, if the poor should make the necessary adjustments. In recent years, more frequent use of food exchange points method, this method of food into cereal, milk, meat, fats, fruits and vegetables a total of six to 80 kilocalories per a unit, such as grain rice 25g, Health noodles 30g, green (red) beans, 25g each as a unit; milk lighter milk 110ml, 159 milk, soy milk 200ml each as a unit; meat, lean pork 25g, lean beef 50g, eggs, 55g, 50g each, a unit of abalone ; fat soybean oil 9g, 15g peanuts as one unit each; fruit apples 200g, 750g each, a unit of watermelon; vegetables, spinach, 500 ~ 750g, 350g radish as one unit each. Equivalent of each type of food in the food interchangeable, almost the same nutritional value. Patients according to different caloric content of the exchange were to develop recipes. This method is more rough, but can increase the selectivity of the food, but also for patients to learn and master. Patients should temperance. Promote the use of coarse staple rice, flour and the amount of grains, eat glucose, sucrose, honey and its products. Daily intake of protein in the total animal protein should be 1 / 3 to ensure the supply of essential amino acids. Edible vegetable oils containing unsaturated fatty acids, not eat animal fats to reduce the intake of saturated fatty acids, the amount should be less than 10% of total calories, fat and who is low-fat diet (13.3 ~ 16.7mmol / L), at the beginning of activities due to movement caused by the sympathetic nervous over-excitement and increased release of catecholamines, blood glucose concentrations can increase dramatically, when the lack of insulin can cause ketosis or ketoacidosis. �� induced cardiovascular accident: heart and brain activity can increase the burden on the plasma volume, reduced vasoconstriction, there is induced angina, myocardial infarction and arrhythmia risk. �� motor system injury: including bones, joints, muscles or skin damage, skin ulceration or foot ischemia and gangrene. Exercise Precautions include: blood glucose> 13.3mmol / L or urine ketone are not suitable for the above-mentioned positive activities. Determined to type �� diabetes, cerebrovascular disease or severe microvascular lesions, proper arrangements according to the specific circumstances, systolic blood pressure> 24kPa (180mmHg) stop activities. Active time should be arranged in postprandial lh. Activities should be moderate, so that excited a sympathetic and islet cell, etc., causing glycogenolysis and gluconeogenesis, the blood sugar. Diet alone or oral hypoglycemic drugs are usually not before the event to add extra food. Type I activities �� diabetes should take a good dose of insulin, diet and activity relationship among the three, because in the insulin therapy, often volatile in the relative insulin deficiency and excessive between. The former can be due to significantly increased activities of hepatic glucose output and glucose utilization does not increase the lead to elevated blood glucose, free fatty acids and ketone bodies increased generation of metabolic adverse effects; the latter is easy to produce low blood sugar reactions. �� generally added before the event a small amount of extra food or reducing insulin dosage, fasting insulin injection of abdominal wall activity can slow down the absorption rate of insulin. �� activity should not be too large, the time not too long, to 15 to 30 minutes is appropriate, pay attention to more than 3 points can prevent type 1 diabetes, low blood sugar reaction after the event occurred. Foot before and after the check, and pay attention to activities in the surrounding environment and buildings, to avoid the injured. Activities carry sweets and write the name, home address and disease card urgent need. 3) patients with oral hypoglycemic drugs nursing education doses of medication on time, not free to increment or decrement. Observation of adverse drug reactions: the main side effects of sulfonylureas is low blood sugar reactions, especially the liver, kidney dysfunction and elderly patients, other side effects are gastrointestinal reactions, drug allergy Ru occasional leukopenia, anemia, pruritus, and rash. Biguanide drugs common adverse events were loss of appetite, nausea, vomiting, dry mouth and bitter, metallic taste, diarrhea, occasional allergic reactions. Biguanide drugs for promoting anaerobic glycolysis, producing lactic acid in the liver, renal dysfunction, shock or heart failure can induce lactic acidosis. Observation of patients blood sugar, GHB, FA, urine sugar, urine volume and weight changes, evaluation of drug efficacy and drug dose. 4) The care of insulin therapy and prevention of insulin observed adverse reactions: the contents of �� hypoglycemia: use of excessive doses of insulin, or exercise too much about eating disorders, more common in patients with type 1 diabetes. Manifested as dizziness, palpitations, sweating, hunger and even coma. Those of low blood sugar reactions, timely detection of blood sugar, according to the disease eating carbohydrate foods such as candy, cookies, sugary drinks, etc., or intravenous injection of 50% glucose 20 ~ 30ml. Ensure the effective use of insulin dose and time, eating regular meals and regular exercise is the key to preventing low blood sugar reactions, including non-insulin storage temperature 30oC, avoid vigorous shaking; of commonly used preparations are 40 or 100u per ml of two specifications, use Note contents of the syringe and insulin concentrations match, usually with lml syringe to ensure accurate dose of liquid medicine; regular insulin before meals 1 / 2 hours by subcutaneous injection of protamine zinc insulin subcutaneously before breakfast lh; long and short-acting insulin mixed use, short-acting insulin should be drawn, apply again and again long-acting insulin, and then mixing, not reverse, to avoid long-acting insulin mixed with short-acting, the impact of the quick result. Patients should learn the required amount of time and reasonable arrangements for meals and daily exercise time and amount of exercise, if the dinner was delayed, may be eating some cookies. �� insulin allergy: mainly for the injection of local itching, urticaria, systemic rash rare. Rare serum sickness, anaphylactic shock and other serious allergic reactions. �� injection site subcutaneous fat atrophy or hyperplasia, can cause insulin absorption, but rare in the clinic. After stopping the injection site more than a slow recovery. Regular replacement of the injection site to avoid the second injection at the same site twice a week to prevent the injection site tissue atrophy or hyperplasia. Patient self-taught method of insulin injections, adverse reactions and the use of insulin precautions. (3) evaluation of patients significantly improved symptoms of diabetes, weight gain, blood sugar has dropped to normal or became normal. 2. There is increased risk of infection and blood glucose, lipid metabolism disorders, malnutrition and related microcirculation. (L) Goal 1) infected patients do not occur. 2) the patient when the infection can be promptly identified and addressed. (2) Nursing measures 1) the reasonable control diet diet to ensure adequate supply of calories and protein to enhance the body resistance. 2) the likelihood of infection control to keep the mouth, skin hygiene and wash scrub, ground changing. Insulin injections, the local skin is sterilized to prevent infection. 3) observe whether and infection-related signs and symptoms, early detection and timely treatment. I hope you can recommend that you refer to satisfaction of Age of the \\A lot of people are trying, good results. Adequate blood body, and many diseases have disappeared naturally. Details can look at my space. Diabetes care regimen must be started from the analysis of the causes of diabetes, only to find the real reason, to find the correct and effective way to remove the disease. Diabetes has been a difficult to treat the disease, had the disease, can only use insulin injections to control blood sugar, this method mainly from the medical profession that the current loss of glycemic control is due to the function of the pancreas caused by a problem. And the treatment of uremic hemodialysis same, this method is also determined the function of the human body has lost control of insulin and can not be restored, so give up the use of artificial alternative treatment methods. Therefore, this method does not cure diabetes is the inevitable result. If our blood from the Chinese medicine theory to analyze the causes of diabetes, we will know when the body's blood production in the long term is greater than the downward trend in consumption, which is a long-term debt and blood, the body must be taken to the body to use stored nutrients . This is the Chinese often say \Therefore, said Chinese \At this point in human organs will gradually decrease the blood, bone marrow will be increasingly in the attenuation. Since the energy stored in the time must have been exhausted, to the traditional Chinese medicine called \When the human body to a \When the body secretes a substance to break down muscle to produce sugar, as alternative sources of energy. Secreted out of the sugar consumed immediately, so the blood in the veins do not have residual sugar, and no excess sugar from the urine, abnormal blood sugar does not occur. At this stage, the blood sugar checks, and do not show symptoms of diabetes, the main symptoms are muscle gradually reduced, the original site of the muscles should be gradually turned into a round loose pulp. If patients pay attention to this phenomenon and will not be found, not only feel more and more strength, they usually put the blame on the aging of natural causes. At this time, because the original source of blood overdraft \The original situation will be difficult to improve sleep, the body becomes very easy to reverse fatigue, sleep will gradually increase, the patient or put the blame on natural causes of aging, but does not come any disease awareness. Increase after sleep, blood gas natural increase, blood volume will also increase. Physical body according to the original state of overdraft, the decomposition of the sugar substitute produced by the muscles have formed a part of the state of excess, this time to do blood tests, blood sugar symptoms occur, the body will automatically these extra sugar excreted, so there will be sugar in urine, to become diabetic. We use some hypothetical numbers to make inferences, can be more clearly illustrates this problem. Assuming the required daily consumption of human proteins (the body's normal energy is assumed to protein) for 100 units, because the body's absorption and sleep problems, so that the body can only produce 50 units, in order to maintain the normal operation of the human body functions, will produce a substance to break down muscle, resulting in 50 units of sugar, to replace the lack of protein, because after all the sugar produced immediately spent, no extra sugar, emitted from the veins, so blood sugar does not appear in the examination the phenomenon is too high. Produced when the body is under the command of the sugar substitute, the body will automatically adjust a variety of endocrine, make the body more prone to fatigue was to increase the hours of sleep in the blood, which is the body's self-protection measures, increased sleep, protein production naturally increased. Assuming the production of the protein when the total number of 80 units, just need to add 20 units of sugar is enough. But the body's feedback system will not be short-term value to adjust the required observation period to determine the amount of protein in this high production is a normal phenomenon, will amend the original production of sugar in the instructions. Therefore, during a period of several months of observation period, the body continues to produce 50 units of sugar, of which 30 units of sugar, the more out of the body will be excreted through the urine. Then if the hospital will find out the phenomenon of high blood sugar, according to the present standards of the medical profession, doctors are very natural to judge the patient had diabetes, and immediately asked the patients to change eating habits, food restrictions were to reduce nutrients in patients uptake. Then the already increased to 80 units of protein production, the lack of nutrition, but also began to decline, and has been dropped to 50 units of output. When the body's blood sugar and return to normal. Patients and doctors believe that a healthy back, in fact, trends in patient blood and from the increase in blood return to trend downward, the doctor's treatment actually break the body without being aware of the contingency measures. In fact, the physical condition at this time has been the worst period, blood was gradually increased, health is improving. If you can not use any drugs, as long as continue to maintain good sleep habits, and improve nutrient absorption capacity of the human body, over a period of time, an increase in blood volume, blood gas from the downward trend to an upward trend, not flesh overdraft case, the body no longer need to break down muscle to act as energy, blood sugar naturally decreases and eventually return to normal. Important concepts: The human body is a highly intelligent organization, it can be for a variety of physical condition, to take contingency measures to maintain the normal operation of the body, most chronic diseases are the body when the contingency measures are being taken to the state. However, traditional health check pointer basis set, does not consider the strain of the human instinct mechanism, and the strain produced by these phenomena identified as the body's organ system failure caused. Diabetes is currently the medical profession that patients caused by improper diet, subjective and patients with diabetes is like candy or long-term caused by overeating. Therefore, once diagnosed with diabetes, patients began the diet restrictions. Absorption in patients with the original problem is not resolved, coupled with dietary restrictions, so that even more serious problem of inadequate nutrition. In modern medicine, stop-gap measure logic, when his body sick easily tired after the hospital found in blood and urine sugar too much, soon finds the patient to eat more sugar. In fact, this sugar either-sugar, blood sugar is not completely eat the sugar. This view is also completely underestimated the intelligence of the human body, the intestines of human imagination as a pass in the end, eat more sugar to the sugar discharge completely ignored the human body is a complex chemical factory. According to our experience, when the body lacks certain nutrients, it will automatically change people's tastes. Like candy, it is very likely to be substantially less than the energy of the body, sugar is the most easily converted into energy in the body of food, so the body will be transformed into the body's taste, it like candy. Even if eating too much, the body will automatically be eliminated from the body. Patients with modern medical use of controlled diet and reduce energy intake to maintain stable blood sugar on the surface; in fact the human body because of energy shortage continues to break down muscle, blood gas energy continued to decline, health conditions continue to deteriorate. Although patients in accordance with the instructions of a doctor, a strict diet to maintain normal blood sugar level stable, but still continued decline in blood gas energy, the symptoms have been incidents of various follow-up, when not enough blood supply of the leg when the leg dysfunction appeared, black, eventually amputated; when not enough blood supply of the eye, it appeared the symptoms of blindness; eventually to death. There are many scientists into the medical profession to solve Diabetes research work, but almost all of the studies have focused on control of blood glucose can find the medicine, but the lack of the concept of traditional Chinese medicine, blood sugar is not carry out the overall principles of medical science in. China's Ming and Qing dynasties, and the Western Renaissance and the bourgeois revolution almost contemporaneous, but has staged a distinct two acts: first, increasing return acts of feudal society, the slow development of science and culture; the second is the scattered energy, become increasingly vibrant, economic, scientific, cultural embarked on a fast track of development. Ming and Qing: Chinese medicine is a comprehensive and master of the Ming and Qing China's feudal society to mature and become more stagnant period in the development of medicine also have similar characteristics and similar to the times. The development of Chinese medicine during this period the main features are: 1, \Han Dynasty Zhang Wen made the disease characteristics of the syndrome initially described, \Song and Yuan Dynasties, typhoid febrile disease starting from the theory of system, fever initially proposed solution should be based on the table for the rule Xin Liang, Xin Wen Yi Gai breaking the previous Therapeutic Solutions table. Ming and Qing dynasties, many great plague epidemic, physicians are continuing to explore and experience in the summary of the cause of febrile disease, the development of the law, and the diagnosis, treatment, made a lot of ideas. Such as \to the gas can clear air, the camp can still heat transfer through the air, ... ... into the consumption of blood, blood on the fear of moving blood, the blood scattered straight cooling required \Ming and Qing Dynasties is the summary of the medical home, innovation, exploration and theoretical innovation and development, to promote disease reasonable temperature, France, parties, drugs on its own system, the formation of a more systematic and complete Febrile Diseases, said the Foreign Medicine theoretical understanding of a sense of fever, diagnosis, prevention measures and other aspects of a more systematic and comprehensive. Many areas of the trend appeared to deepen. If life has been deep into the life of the origin and driving force, with the \intensive research, there have been a number of treatment Consumption, stroke, vomiting, depression syndrome, smallpox experts and monographs. Dynasty out of a physician with a great innovative - Wang Qing-ren, in his \There are still practical. 3, Pharmacology brilliant achievements. Ming Li's book into a world-famous masterpiece of medicine, \an important milestone; his classification of drugs, from inorganic to organic, from low-moderate to high, in line with evolutionary point of view, was the most advanced science and classification; the book has on human physiology, pathology, disease symptoms, health prevention and so the correct account, but also integrated a lot of scientific information, including botany, zoology, mineralogy, physics, astronomy, meteorology and other aspects, enriching the treasure house of world science, the development of these subjects also made an important contribution. Zhao Xuemin writings of this period there is a \4, case format, album creation and publication of medical case. Medical case records, first appeared in the \To the Ming Dynasty, the formation of the record in detail, the project permanent medical record format. 1522, \. 1584, Wu Kun in his book \This is a summary of medical experience, improve healthcare and the development of the theory is undoubtedly an important initiative. Ming Dynasty, large numbers of medical record album, 1552 Jiang Guan's \the case of the collection, summary, and were classified scheduling and appraisal, there are still an important reference value. Hsiu Wei of the Qing Dynasty in the \In addition, Ye Tianshi's \Qing Long Khanh year (1568), set up a medical history of the first private medical academic community - \Eighteenth century. Qing Tang Dalie the first editor of Traditional Chinese Medicine in China - \Medical Exchange at the time played a positive role. Ming and Qing Dynasties, the Chinese and foreign transport development, and foreign medical exchanges unprecedented. Abroad to study Chinese medicine in China, or Chinese medicine in China to spread the number and frequency of foreign more than ever before; Chinese medicine spread abroad, the continued development in foreign countries, there are many books translated writings of Chinese medicine, and some also formed the school. Such as \1487 Japan Tashiro Miki Study in China Chinese medicine, especially advocating Li Gao and Zhu Danxi doctrine, after returning pushed Li, Zhu theory, with a \refers to the chapter, \You still go to a professional web site that it what it Lilac Park Medical Forum Articles What you do not have papers ~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Library ~~~~~~~~~~~~~ Big Brother, you are so funny it, say academic corruption in China, you really are ah ~~~~~ online to say, only a paper value of 200 points ah,?? know the price of buying a number of articles ,???? 2000 ah, or yuan ah ~ ~ ~ ~ Who would you say you write for free ~~~~~ ah not really have the leisure above pubmed read several articles it ~ ~ ~ ~ the world a great copy paper. Articles medical information company, has introduced misconduct document retrieval system. If found to have plagiarized papers and immediately dismissed writers.

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