Poria

Resource: The sclerotium of Poria cocos(Schw Cortex Ilicis Rotundae.)Wolf,family Polyporaceae.
Characteristic: The sample appearing as irregular large masses with a dark brown cortex,varying in size;the surface of broken fragments granular,reddish in the outer portion and white in the middle.Prepared as rectangular or square pieces or slices which are white,fine and smooth.Cortex with darkbrown outer surface and white to brownish inner surface.Soft and elastic in texture.Sweet and bland in taste,mild in nature,and attributive to spleen,heart,lung and urinary bladder channels.
Pharmacodynamics: 1.Promote diuresis to eliminate dampness from the lower-jiao,invigorate the spleen and the middle-jiao:For dampness-retention syndrome with or without spleen-deficiency such as edema,dysuria,leucorrhagia,cough of phlegm-retention type,and dizziness,usually used together with Rhizoma Alismatis,Rhizoma Atractylodis Macrocephalae,Polyporus Umbellatus,and Ramulus Cinnamomi;for diarrhea of dampness type due to spleen-deficiency,used together with Atractylodis Macrocephalae,Semen Coicis,etc.;for jaundice due to the excess of dampness,used together with Herba Artemisiae Scopariae and Alismatis. 2.Tranquilize the mind:For deficiency of the heart and spleen of phlegmretention manifested as palpitation and insomnia.In addition,single use is effective for chronic schizophrenia.
Pharmacological: 1.An active component pachyman promotes macrophage phagocytosis in mice,and enhances lymphocyte-blastogensis rate in vitro. 2.Preventing the formation of gastric ulcer under stress in rats. 3.Diuretic and liver-protective.
Usage: Decoction:10-20g.

Cosmetic Practices for Healthy Hair and Skin

Good skin care is the foundation of beauty. But many women enjoy us-ing makeup (cosmetics) too. If you use makeup, follow these tips:
l Read the labels for product content and safety information.
l Wash your hands before applying makeup.
l Throw out products if the color chang-es or they get an odor.
l Throw out mascara after 3 months.
l Keep product containers tightly closed when not in use.
l Don’t share your makeup.
l Call your doctor if a product causes skin changes like itching and rash—you may be having an allergic reaction.

Tattoos and permanent makeup
Tattoos are colored inks inserted under your skin. Permanent makeup is a tat-too made to look like eyebrow, lip, and eye liner. If you like tattoos, keep these health risks in mind: Needles that are not properly cleaned can pass infections— even HIV—from person to person. Al-lergic reactions to tattoo ink are rare but can happen. Also, poorly applied tattoos can be costly to remove. Temporary tat-toos and other skin-staining products, including henna dyes, can cause allergic reactions. Henna is approved by the U.S. Food and Drug Administration (FDA) only for use as a hair dye.

Hair removal
Cultural norms often affect a woman’s choice to remove body hair. Many women shave their legs and underarms. Wet hair first, then shave in the direc-tion that your hair grows. Chemicals called depilatories dissolve unwanted hair. Depilatories can irritate, so always test on a small area of skin before using. Never use chemicals around your eyes or on broken skin. For laser, epilator (elec-trolysis), waxing, sugaring, or threading treatments, find a licensed technician. Serious side effects of hair removal can include swelling, blistering, scarring, and infection.

Body piercing
Before piercing—poking a hole and inserting jewelry in—any part of your body, learn about the health risks. Piercings in your tongue, cheeks, and lips may cause gum disease. Infection is common in mouth and nose piercings, so talk with your doctor about signs of infection as well as allergies. Also ask if your shots, especially hepatitis and teta-nus, are up to date. And make sure the shop follows safety and sanitary steps as set by the law.

Cosmetic Procedures and Surgery
Some women choose to have cosmetic proce-dures to improve appearance and self-esteem. But the decision to have a cosmetic procedure should not be made lightly. If you are thinking about having a cosmetic procedure, ask your doctor:
• How is the procedure done?
• Am I good candidate for the procedure?
• How does my health history affect my risk of problems?
• What results and side effects can I expect?
• What are the risks?
• When can I restart normal activities?
• How much will the procedure cost? (Cosmetic procedures usually are not covered by insurance.)
• What is your training and experience?
• Can you provide references from patients you have treated?

Common skin complaints

Sensitive skin
Women with sensitive skin may have itching, burning, stinging, or tightness after using products such as soaps or makeup. Women of color are more prone to sensitive skin. Look for products made for sensitive skin. Talk with your doctor if these products don’t help.

Pimples (acne)
Pimples form when hair follicles under your skin clog up. Although most common in the teen years, many women get pimples into their 50s. Acne also is common during pregnancy and menopause, when hormones are changing. Medicines, such as birth control pills, can also lead to breakouts.
The cause of acne is unclear. We do know that dirt, stress, and foods do not cause acne. But stress and certain foods, such as chocolate or greasy foods, can make acne worse. Acne also appears to run in some families.
To care for acne, use mild soaps, avoid touching your skin, and wear oil-free makeup. Your doctor may also suggest an acne medicine. If so, ask about the side effects. Do not take isotretinoin (eye-soh-trih-TIN-oh-in) (Accutane®) if you are pregnant or trying to get pregnant—it can hurt your baby.

Dry skin

Skin can dry out and become rough, scaly, and itchy for a number of reasons. Dry skin (xerosis, zih-ROH-suhss) can be caused by:
l dry air
l overuse of soaps, antiperspirants, and perfumes
l not drinking enough water
l stress
l smoking
l the sun
Doctors report a higher rate of dry skin in African Americans. Try the skin care routine on pages 305 and 306. If dry skin does not improve, talk to your doc-tor. Sometimes, dry skin signals a health problem, such as diabetes or kidney disease.

Cellulite
Cellulite is fat that collects just below the surface of your skin, giving it a dimpled look. Women of all sizes can get it. Once formed, you cannot get rid
of cellulite. No amount of weight loss, exercise, or massage reduces cellulite. Spa wraps, creams, and vitamins also do not help. Liposuction can make it look even worse. To prevent cellulite, try eating well, being active, and not smoking.

Stretch marks
Rapid growth and weight gain, such as with puberty and pregnancy, can stretch your skin, leaving pink, red, or brown streaks on your breasts, stomach, hips, buttocks, or thighs. Medicines, such as cortisones, and health problems, like diabetes or Cushing’s syndrome, also can cause stretch marks. Creams that claim to prevent stretch marks are of little value. Yet stretch marks often fade over time.

in Treatments but not effect

Evidence-based medicine is an important advance, although it can be a double-edged sword.When the evidence base applies, we should use it, and it reasonable for Medicare and other payers to insist on it. It is critical, however, to appreciate that there will always be patients for whom there is no evidence. They may so differ demographically from study participants from which the guidelines derive that it is doubtful as to whether guidelines are relevant. Or they may have conditions, such as rare diseases, for which there is no evidence band likely never will be.
In the early throes of a heart attack,the stunned heart often beats quickly and forcefully. For decades doctors have administered “beta-blockers” as a remedy, to reduce consumption of limited oxygen supplies by calming and slowing the straining heart.Giving these drugs in the early stages of a heart attack represents elegant medical ideology.
But it doesn’t work.
Include with these the common medical “wisdom” surrounding childbirth. Standard hospital practice gives you MORE of a chance of complications and ultimately a c-section.We should be thinking about our own medical care, doing our own research, and not just trusting some doctor to know best.
We must avoid the trap of those patients being shut out of care for lack of evidence.

Patients can’t Understand Doctors Talk

most patients most of the time understand what the doctor wants them to do.However, they often don’t understand why.There is much for a patient to absorb during a visit. Not all of it is communicated appropriately, but on the other hand, not all of it is recalled by the patient when he goes to take his treatment.
That’s the issue explored by Dr. Pauline Chen in today’s Doctor and Patient column. She begins with the moving story of “Jack,” a former professional athlete with serious health problems:That’s the issue explored by Dr. Pauline Chen in today’s Doctor and Patient column. She begins with the moving story of “Jack,” a former professional athlete with serious health problems:
so,The best medical advice in the world won’t do patients much good if they can’t understand it.If unforseen problems arise from the treatment itself, CALL THE DOCTOR before you stop the treatment, unless the adverse effects are severe.
If you feel the treatment isn’t working, don’t stop it until you discuss it with your doctor.I think we’d get a lot further in our communications with patients if we as physicians asked, “Did I explain that clearly enough?” rather than “Do you understand?” The first leaves people feeling brave enough to ask more questions, as opposed to the second that implies that our patients are stupid if they answer anything but ‘yes.’

Herba Epimedii in acupuncture

to use Herba Epimedii is more important ways for health.
Resource: The branch and leaf of Epimedium sagittatum(Sieb.et Zucc.)Maxim.or E.brevicornum Maxim.,family Berbe
Characteristic: E.sagittatum:Leaves basal,petiole slender,about 15 cm long;ternately compound;leaflet ovate-lanceolate,the base of central leaflet cordate,that of lateral leaflet arrow-shaped,with fine bristles at the margin;blade coriaceous.Yellow when dried.E.brevicornum:Leaves biternately compound,leaflet broad-ovate.Both are acrid and sweet in taste,warm in nature,and attributive to liver and kidney channels.
Pharmacodynamics: 1.Invigorate kidney and strengthen yang:For deficiency of kidney-yang manifested as impotence,emission,enuresis,frequent micturition,soreness of the waist and the knees,sterility,etc. 2.Strengthen tendons and bones,and expel wind-dampness:For winddampness syndrome with arthralgia,numbness,muscular spasm and flaccidity of extremities,and infantile paralysis. 3.Eliminate phlegm and relieve cough and asthma:For chronic cough and asthma,especially those of yang-deficiency type.In addition,recently also used for coronary heart diseases,hypertension and neurasthenia.
Pharmacological: 1.Dilating coronary artery and increasing coronary flow. 2.Acting as androgenic hormone,such as in creasing the wieght of prostate,seminal vesicle and musculi levator ani in mice. 3.Enhancing lymphocyte-blastogenesis rate.
Usage: Decoction:6-15g,up to 30g for single use.
A Herba Epimedii decoction was able to increase the contractive force of cardiomyoctes in toad hearts in vitro and in vivo. Herba Epimedii decoction was also able to restore cardiac muscular tension in a pentobarbital sodium induced heart failure toad model. Rabbits injected i.v. with Herba Epimedii decoction showed strengthened cardiac muscle tension.

Instructions of Cortex Ilicis Rotundae

if you want to lose your weight,you can do body massage,and do sports,drink Cortex Ilicis Rotundae,and so on
Name: Cortex Ilicis Rotundae(Royal Icing)
Resource: The bark of Ilex rotunda Thunb.,family Aquifoliaceae.
Characteristic: Crude drugs somewhat curved in pieces,varying in size,0.3-1.0 cm   thick,crustaceous,epidermis grey-white to grey-yellow,coarse;endodermis brown,with   longitudinal striae;section showing flat and granular,green periderm seen when the cork is stripped of,slightly aromatic in odour.Bitter in taste and cold in nature.
Pharmacodynamics: 1.Purge the sthenic fire and detoxify:For common cold with high fever,sorethroat,conjunctival congestion,skin infection,cholecystitis,etc.External use for burns. 2.Clear away heat and dampness:For diarrhea and dysentery of dampnessheat type. 3.Cool the blood and stop bleeding:For hematemesis,hemoptysis,and hematochezia due to blood-heat. 4.Alleviate pain:For abdominal pain due to dampness-heat or stomachheat,also for arthralgia of wind-dampness-heat type.
Pharmacological: 1.Hemostatic.Ilexanin B shortens the blood coagulation time in vitro. 2.Causing vasoconstriction in experimental animals.
Usage: Decoction:6-15g.External application:30-50% solution.
the effects of Cortex Ilicis Rotundae (CIR) on Cardiovascular Pharmacology are studied. The results show that ethyl alcohol extract of CIR can reduce coronary blood flow, weaken myocardial contractility, slow down heart rates, prolong survival time of mice and prevent arrhythmias, the roles of CIR decoction are similar to ethyl alcohol extract, but it is not markable on heart rates and myocardial contractility.

How to connecte the primary care doctor?

It’s a problem that many patients don’t know how to connecte the primary care doctor,60 percent in fact.
As someone who lives with and works with individuals with lupus, the primary care physician is less likely to be able to provide necessary ‘support’ due to the increased specialized care we need.
In addition, for those of us without insurance coverage, the primary care physician means more money towards medical and less for living expenses. We save cash for specialists, meds and food.they felt appropriately “connected” to their primary care physician.However, that leaves a significant 40 percent who were not.
According to a recent study, patients who were not connected were less likely to received recommended preventive care and other screening tests.
Which all comes as no surprise. Not only is it increasingly difficult to find a new primary care doctor in the first place, but those who accept new patients are part of larger groups, work part time, or are mid-level providers who work in concert with physicians.Furthermore, with the proliferation of retail clinics and the worsening crowding in emergency departments, more patients are obtaining primary care from multiple providers.
Which means that as we move forward, it is less likely that patients can identify with a single person they can call their primary care provider.And, if this study is to be believed, that means that more preventive care measures will fall by the wayside.
I can not stress enough how important preventive care is! The only thing I can do is give you my personal experience…I had my preventive visit last fall. Found out I had positive fecal occult blood test and my blood work showed that I was anemic (that explains why I was so tired!). Obviously, I had some bleeding going on somewhere, but nothing that showed up with any subjective symptoms. I went for further testing and my colonoscopy showed that I had diverticulitis; however, I also had one pre-cancerous polyp removed.

Catherine DeAngelis resign or not?

there is a investigates,should Catherine DeAngelis resign?
The water engulfing JAMA’s editor-in-chief Catherine DeAngelis is getting hotter.
A recap is here, but the Jonathan Leo flap, and subsequent response, is not going away as JAMA hoped it would.The WSJ reports that AMA, which normally does not interfere in the editorial decisions of the journal, has asked its Journal Oversight Committee to look into the matter.
Over at Respectful Insulance, academic surgeon-blogger Orac has a pretty harsh critique on the proceedings. He writes that, “thuggish behavior such as that demonstrated by Catherine DeAngelis. coupled with her hypocrisy in bragging about how well JAMA polices its COI [conflict of interest] policy while leaning on an investigator who expressed legitimate concern about it is unacceptable. Worse, this appears to be a pattern of abusive behavior that risks completely undermining all the good she’s done in terms of pushing for more openness in reporting COIs.”
As I wrote before, an apology from both JAMA and Dr. DeAngelis would have stemmed the tide, and that, “like how hospitals have dealt with medical errors, they could have used this event to improve their conflict of interest policies, and make their reviews more transparent.”
Instead, their response was wholly inadequate, and only reinforced the misguided notion that JAMA was immune to criticism, and worse, sought to preempt any future dissent.Is it too late for an apology? Maybe, but the longer this drags on, the stronger the calls will be for Dr. DeAngelis to resign.
but how do you to call it?

Jerked Chicken and Plantain Kebabs

I’ll talk you something about Jerked Chicken,keep our health as falling away bad food,they haven’t any nutrition,like a cap of cheaper coffee.
1. Prepare charcoal or gas grill, or preheat broiler.
2. To make salsa, stir together all salsa ingredients, plus minced red onion. Set aside.
3. On 8 long skewers, thread chicken, plantains and chunks of red onion. Rub with jerk seasoning and cumin. Place on grill or under broiler and cook, turning once, about 6 minutes per side or until chicken is firm and cooked throughout and plantains and onions are tender.
4. Serve skewers with salsa and rice.
8 boneless chicken thighs, cut into 2-inch chunks
2 ripe plantains, sliced into 1-inch pieces
1 red onion, cut into 2-inch chunks; 1 chunk minced
2 tablespoons jerk seasoning
1 teaspoon cumin
Hot cooked rice for accompaniment
Papaya-Avocado Salsa:
2 ripe avocados, diced
1 cup diced papaya
2 tablespoons lime juice
1 teaspoon orange zest
2 tablespoon orange juice
1 teaspoon jerk seasoning
1/4 teaspoon salt
there is a article about make pineapple chicken teriyaki by youself