Notes

Carbs and glucose like a flexible source of atherosclerotic coronary disease: Information from your body along with transplantation.
To introduce the historical origin of five element acupuncture and its development after returning to China, including the domestic inheritance mode, the clinical application, the establishment and operation of the Society of Five Element Acupuncture. This paper analyzed the challenges and opportunities faced by the development of five element acupuncture in China, which provides reference for the further development and expansion of the five element acupuncture."Acupuncture being for reducing rather than reinforcing" is originated from the description in Danxi Xin Fa (Teachings of [Zhu] Dan-xi ) of the Ming dynasty. The understanding and evaluation of it by later physicians are generally limited to the knowledge system of acupuncture-moxibustion theory. Through the investigation from the context of the original text, the context of the original book, medical background and academic origin, the authors propose that this original phrase should be understood in view of novel perspective and position. From a larger perspective, it is necessary to base on the classification of excess or deficiency of disorders by the medical masters of the Jin and Yuan dynasties and the understanding of reinforcing and reducing techniques accordingly. In view of a relatively specific point, the influence of relevant academic knowledge of DOU Han-qing and LIU Wan-su in the related medical works should be also considered. It is suggested that the understanding of some judgments or propositions in ancient acupuncture-moxibustion theory should not be limited to the scope of knowledge system of the theory, but need to give the consideration and analysis from the full dimensions of traditional Chinese medicine.In reference to the photocopy and Huang's proofreading, as well as two editions of collation and annotation of Zhenjiu Dacheng (Compendium of Acupuncture and Moxibustion), the questions on the annotation of the terms in Compendium of Acupuncture and Moxibustion, adopted in four textbooks of Zhenjiu Yiji Xuandu (Selected Readings of Acupuncture and Moxibustion Medical Records) in TCM institutions are explored. Six aspects of problems are collected, including coexistence of multiple senses, wrong interpretation of partial meanings, wrong interpretation and writing caused by uncertain provenance, wrong names of literature, misuse of interchangeability of Chinese characters and absent annotation of new words. The proofreading is conducted focusing on the above-mentioned 6 problems.
To systematically evaluate the efficacy and safety of conventional therapy combined with moxibustion in the treatment of chronic obstructive pulmonary disease (COPD) in stable phase based on Meta-analysis medicine.

The randomized controlled trials (RCTs) of moxibustion as adjuvant therapy for COPD were retrieved from the databases of CNKI, Wanfang, SinoMed, PubMed, Web of Science, Cochrane Library and Ebsco. RevMan5.3 software was used for Meta analysis, and the quality of evidence was evaluated according to GRADE standards.

A total of 16 RCTs were included, involving 1425 patients. The results of Meta-analysis showed that compared with the conventional treatment, ①the adjuvant therapy with moxibustion had advantages in reducing the number of acute exacerbations [
=-0.31, 95%
-0.49--0.13,
0.0006]; ②the adjuvant therapy with moxibustion improved lung function significantly [FEV1% (
=4.00, 95%
2.63-5.37,
<0.000 01) and FEV1/FVC (
=3.56, 95%
1.69-5.43,
=0.000 2)]; ③the adjuvant therapy with moxibustion could extend the 6 min walking distance (6WMD) (
=35.00, 95%
18.02-51.99,
<0.000 1); ④the adjuvant therapy with moxibustion could improve the modified British Medical Research Council breathing questionnaire (mMRC) classification significantly (
=-0.62, 95%
-1.18--0.05,
=0.03); ⑤no adverse reaction was reported in the included literature.

The efficacy of moxibustion as adjuvant therapy for COPD in stable phase is better than that of simple conventional therapy. Due to insufficient clinical evidence and the limitations of this study, clinical safety is unclear and further evidence is needed to support the results.
The efficacy of moxibustion as adjuvant therapy for COPD in stable phase is better than that of simple conventional therapy. Due to insufficient clinical evidence and the limitations of this study, clinical safety is unclear and further evidence is needed to support the results.To sort out the existing problems within the published 35 evidence-based acupuncture-moxibustion clinical practice guidelines (group standards) in Chinese the development methods and the development process are not clear and strict enough; the evidence evaluation system fails to fully reflect the characteristics of acupuncture and moxibustion. Therefore, Norms for Formulation and Evaluation of the Guidelines on Clinical Practice of Acupuncture-Moxibustion, should require the guideline developers to consider the characteristics of acupuncture discipline, evaluate modern literature evidence comprehensively, and integrate ancient literature and medical experts' experience, to form proper recommendations for clinical practice. Specific requirements should be made simultaneously in the development process to make it clearer and stricter.This article introduces the present development status, medical insurance charges, publicity and influence, legislation and practice of acupuncture-moxibustion in Namibia, and proposes some countermeasures for the current problems in the development of acupuncture-moxibustion in Namibia. Selleck PF-8380 Namibia has passed legislation of acupuncture-moxibustion and incorporated acupuncture-moxibustion into the medical insurance system in March 2020. The acupuncture-moxibustion will enter the fast track of development, but the acupuncture-moxibustion education, training and cooperation, talent cultivation mode, reimbursement scope of medical insurance, and standardization construction still need to be steadily improved and strengthened.To explore the problems and countermeasures existing in acupuncture and moxibustion clinical studies, in the perspective of the key steps of Guideline for Clinical Practice of Acupuncture and Moxibustion Insomnia. The problems include confusion of disease names and disunity of diagnostic criteria, inadequate refined clinical problems that need to be addressed, lack of targeted analysis of efficacy evaluation index, lack of adequate research on common acupuncture, difficulty to balance innovation and universality, lack of emphasis on the importance of timing for acupuncture, lack of attention to healthy lifestyles and self-care. We suggests that the disease name and diagnostic criteria should refer to the authoritative standards; the clinical study design should based on the realistic clinical problems; the efficacy evaluation index should based on the clinical needs and be analyzed targetedly; further research on common acupuncture or therapy should be carried out.
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