Forsyth, in Encyclopedia of Food Sciences and Nutrition (Second Edition), 2003 Background Its ability to move the Qi is similar to that of Chen Pi but it focuses on the chest so it is often used to treat tightness in the chest, irritability and depression. Zhi Ke is the big, nearly ripe bitter orange. It regulates the Qi of these organs and is often used for treating distension in the stomach, reduced appetite, nausea and vomiting caused by Qi stagnation in the upper abdomen. It is less warm and bitter than Qing Pi, and it enters particularly the Spleen and Stomach meridians. It is used for treating pain and distension in the chest, breasts and hypochondriac region.Ĭhen Pi is the dry tangerine peel.
Tangerine study guide questions part 1 free#
Because it particularly enters the Liver and Gall Bladder meridians, it is effective for promoting the free flow of the Liver-Qi, dissolving Phlegm accumulation and alleviating pain. It is warm and bitter, and has the strongest function of regulating Qi of these three herbs. Qing Pi is the peel of the unripe tangerine. Their individual characteristics are as follows. They can promote Qi movement and reduce distension and pain. These three herbs all come from tangerine or orange. Mazin Al-Khafaji, in Chinese Herbal Medicines (Second Edition), 2010 5 What are the differences between Qing Pi ( Citri reticulatae viride pericarpium), Chen Pi ( Citri reticulatae pericarpium) and Zhi Ke ( Aurantii fructus)? Durable improvements in objective and subjective parameters have been demonstrated over the long term. Overall, like the other enucleation techniques, TmLRP is a highly effective technique and can be used in patients presenting with urinary retention, and large prostate glands. Durable improvements in various outcome parameters were seen at 3 months, 1 year, and 8 years respectively for median IPSS (7, 6, 6), median QoL (1, 1, 1), median Qmax (21.7, 22.3, 19.2 mL/s), and PVR (22, 18, 20 mL). Other long-term issues included BPH recurrence requiring reoperation in 27 cases (1.2%) within 5 years and persistent stress urinary incontinence (SUI) amenable to conservative treatment in 2 (0.1%) patients. The majority of these long-term complications occurred within the first year after surgery.
Long-term complications included urethral strictures in 58 (2.6%) patients and bladder neck contractures in 35 (1.6%) patients. No Clavien IV or V complications were found. Major complications (Clavien III) requiring repeat intervention occurred in 2.2% of patients including residual prostate tissue requiring re-resection (0.5%), severe bleeding requiring surgical intervention (0.2%), and clot urinary retention requiring cystoscopy (1.5%). Clavien II complications were seen in 2.3% of patients, including thrombosis (0.4%), severe infection requiring IV antibiotics (1.3%), and severe bleeding with transfusion (0.6%). The incidence of minor Clavien I complications was 21.5% and included UTI, urinary retention, urinary incontinence, capsular perforation, and clot retention. evaluated 2216 patients who underwent TmLRP for BPH at four centers with long-term follow-up data.
28Ī recent large, multicenter study by Sun et al. There were no Clavien ≥ III complications. For the time period up to 18 months following surgery there were significant improvements in IPSS (20.01 ± 7.08 vs. Follow-up occurred up to 18 months following surgery. Catheterization time was 2.25 ± 0.9 days and mean hospitalization was 5.39 ± 1.18 days.
Mean prostate volume was 106.81 ± 24.79 mL and mean resected weight of tissue was 64.08 ± 12.89 g. All patients who required a Foley catheter prior to surgery were able to void immediately and 6 months after surgery. 27 52 patients with mean age 70.3 (54–89 years) were evaluated using IPSS, QoL, PSA, transrectral ultrasound (TRUS), PVR, and Qmax. demonstrated that TmLRP is an effective technique for treating patients presenting with acute urinary retention from their BPH. The prostate tissue is dissected off of the surgical capsule and resected into small pieces using a combination of semicircular and transverse incisions. The median lobe is then removed via a transverse section and the lateral lobes are then resected by cutting in a large curve after making the transverse incision.
An incision is made at the 5 and 7 o’clock until the surgical capsule is reached from bladder neck to the verumontanum. The tangerine technique is similar to ThuVEP however, this technique is described as being similar to peeling a tangerine. Chung, in A Comprehensive Guide to the Prostate, 2018 Thulium Laser Resection of the Prostate-Tangerine Technique
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