2020년 7월 19일 일요일


문죄인 정부가 민주제의 전환점으로 기대됐다니?  저런 한심한 교수가 바로 문죄인 미친 정권을 불러들인 주역 중의 하나이다.
-------------------------------------------------------------------------------

제2의 박연차, 이수영; 우람이 매수한 그린벨트의 진짜 주인은?



-------------------------------------------------------------------------------------

(대박)개표 조작 설계도 발견: 꼭 봐야할 영상

닥터리와 아이들

--------------------------------------------------------------------------------

박지원 국정원장 임명은 北지시...청문회 개판 - 조우석 칼럼 2020.07.20 [뉴스타운TV]



------------------------------------------------------------------------------------

문죄인, 맞아 죽기 전에 내려와!
-----------------------------------------------------------------------------------------

---------------------------------------------------------------------------------------

------------------------------------------------------------------------------------------

화폐에 대한 수요가 증가한다고 인플레를 막을 수는 없다
돈에 대한 수요는 돈이 제공하는 서비스 때문에 발생하는 것이다. 사람들은 돈을 소비하는 대신, 그 돈을 상품과 서비스로 교환한다.
돈에 대한 수요가 증가한다는 것은 돈을 금고에 넣어두고 아무 일도 하지 않는다는 뜻이 아니라, 그것으로 다른 상품과 서비스로 교환하려 한다는 뜻이다.
만일 은행에서 윤전기로 돈을 찍어 시장에 공급하면, 허공에서 만들어진 이 돈은, ()를 유()와 교환하는 기이한 현상을 만들고, 이로 인해 부를 창출하는 사람들의 수중에는 활용해야 할 자원이 감소된다.
호경기-불경기의 순환은 허공에서 만들어진 여신의 팽창에 의해 만들어진 것이다.
상응하는 수요의 증가가 있다면, 허공에서 만들어진 화폐의 증가는 아무 폐해가 없다는 주장은 거짓이다.
 
A Rising Demand for Money Won't Save Us from Inflation
 
Frank Shostak
 
According to popular thinking, not every increase in the supply of money will have an effect on the production of goods. For instance, if an increase in the supply is matched by a corresponding increase in the demand for money, then there will be no effect on the economy. The increase in the supply of money is neutralized, so to speak, by an increase in the demand for money or the willingness to hold a greater amount of money than before.
 
What do we mean by demand for money? In addition, how does this demand differ from the demand for goods and services?
 
Demand for Money versus Demand for Goods
The demand for a good is not essentially the demand for a particular good as such, but the demand for the services that the good offers. For instance, an individual's demand for food is on account of the fact that food provides the necessary elements that sustain an individual’s life and well-being.
 
Demand here means that people want to consume the food in order to secure the necessary elements that sustain life and well-being.
 
Likewise, the demand for money arises on account of the services that money provides. However, instead of consuming money, people demand it in order to exchange it for goods and services.
 
With the help of money, various goods become more marketablethey can secure more goods than in the barter economy. What enables this is the fact that money is the most marketable commodity.
 
Take, for instance a baker, John, who produces ten loaves of bread per day and consumes two loaves. The other eight loaves he exchanges for various goods such as fruit and vegetables. Observe that John’s ability to secure fruits and vegetables is on account of the fact that he has produced the means to pay for them, which are the loaves of bread. The baker pays for fruit and vegetables with the bread he has produced. Also, note that the aim of his production of bread, in addition to having some of it for himself, is to acquire other consumer goods.
 
Now, an increase in John’s production of bread, let us say from ten loaves to twenty a day, enables him to acquire a greater quantity and a greater variety of goods than before. Because of the increase in the production of bread, John’s purchasing power has increased. This increase in the purchasing power cannot always be translated in securing a greater amount of goods and services in the barter economy.
 
In the world of barter, John may have difficulties securing the various goods he wants by means of bread. It may happen that a vegetable farmer does not want to exchange his vegetables for bread.
 
To overcome this problem John would have to exchange his bread first for some other commodity that has a much wider acceptance rate than bread. John is now going to exchange his bread for the acceptable commodity and then use that commodity to exchange for the goods he really wants.
 
Note that by exchanging his bread for a more acceptable commodity John in fact raises his demand for this commodity. Also, note that John’s demand for the acceptable commodity is not to hold it as such, but to exchange it for the goods he wants. Again, the reason why he demands the acceptable commodity is because he knows that with its help he can convert his bread production more easily into the goods he wants.
 
Through a process of selection, people have settled on gold as the most accepted commodity in exchange. Gold has become money.
 
What It Means When the Demand for Money Increases
An increase in the general demand for money, let us say on account of a general increase in the production of goods, doesn’t imply that individuals sit on the money and do nothing with it. The key reason an individual has a demand for money is in order to be able to exchange it for other goods and services.
 
Let us assume that for some reason some individuals' demand for money has risen. One way to accommodate this demand is for banks to find willing lenders of money. With the mediation of banks, willing lenders can transfer their gold money to borrowers. Obviously, such a transaction is not harmful to anyone.
 
Another way to accommodate the demand besides finding willing lenders is for banks to create fictitious money, i.e., money out of “thin air”unbacked by goldand lend it out.
 
Creating Money out of "Thin Air" Leads to Exchanging Nothing for Something
Once employed in an exchange for goods and services, money created out of “thin air” sets in motion an exchange of nothing for something. The exchange of nothing for something amounts to the diversion of real wealth from wealth-generating to non-wealth-generating activities masquerading as economic prosperity. In the process, genuine wealth generators are left with fewer resources at their disposal, which in turn weakens their ability to grow the economy.
 
In contrast, when money is not generated out of “thin air” an individual who has secured proper money has exchanged something useful for it. He then exchanges the money for something else: with the help of proper money, something is exchanged for something.
 
Once banks curtail their supply of credit out of “thin air,” this slows down the process of exchanging nothing for something. This in turn undermines the existence of various false activities that sprang up on the back of the previous expansion in credit out of “thin” airan economic bust emerges.
 
We can thus conclude that what sets in motion the boom-bust cycle is the expansion of credit out of “thin air” regardless of the state of the general demand for money. Could a corresponding increase in the demand for money prevent the damage that the creation of money out of “thin air” inflicts on wealth generators?
 
Let us say that because of an increase in the production of goods the demand for money increases to the same extent as the supply of money out of “thin air.” Recall that people demand money in order to exchange it for goods. Hence, at some point the holders of money out of “thin air” will exchange it for goods and the exchange of nothing for something will still occur. Once money out of “thin air” is introduced into the process of exchange, it inevitably weakens wealth generators, undermining potential economic growth and also setting up the menace of the boom-bust cycle.
 
Clearly, then, the expansion of the money supply is always bad news for the economy. Hence, the view that an increase in money out of “thin air” that is fully backed by a corresponding increase in demand for money is harmless is questionable.
 
 
---------------------------------------------------------------------------------


생맥산 합 영계출감탕으로 난치성 심력쇠갈을 치료하다
 
古方今用生脉散合苓桂术甘汤治疗难治性心力衰竭
 
作者中日友好医院 杜金行 北京市安贞社区卫生服务中心 于丽君
 
 
病例简介
 
患者男性31工人2012914日因间断胸闷6年余加重1个月收入某三甲医院心内科当时查超声心动图示全心增大左室壁运动明显减低肺动脉增宽左室射血分数19%胸片示全心扩大心胸比例0.84诊断为心力衰竭[纽约心功能分级NYHA)Ⅳ]扩张型心肌病高血压32型糖尿病高脂血症睡眠呼吸暂停综合征肾上腺增生1014日出院时超声心动图示左室射血分数39%X线示心胸比例为0.75
1024日求治于中医轮椅推入病重面容体型肥胖气喘胸闷3~4步即喘伴心悸乏力气短语声低微动则汗出双下肢水肿夜眠不能平卧无明显恶寒舌质暗红苔薄白脉细滑
辨证属于气阴两虚血瘀水停选用生脉散加苓桂术甘汤加减西洋参10 g麦冬15 g天冬15 g五味子10 g茯苓30 g桂枝10 g炒白术15 g炙甘草6 g丹参20 g泽兰30 g炙黄芪20 g车前子15 g灵芝3 g郁金10 g冬瓜皮30 g
服药1周后患者气喘胸闷心悸症状明显好转以后此方略有调整服用2个月病情逐步改善期间心内科门诊减少西药用量201318日查超声心动图示左室射血分数63%左室舒张末期内径54.3 mm体重减轻计步器每日步行900续服上方613日超声心动图示左室射血分数68%左室舒张末期内径49 mm室壁厚度及运动幅度正常各房室腔内径正常每日步行6400胸片示心肺未见明显异常B型脑钠肽BNP12 pg/ml恢复正常的工作和生活
 
病例讨论
 
慢性心力衰竭是各种心脏结构或功能性疾病导致心室充盈和射血能力受损而引起的一组综合征由于心室收缩功能下降射血功能受损心排血量不能满足机体代谢的需要器官组织血液灌注不足同时出现肺循环和体循环淤血临床表现主要是呼吸困难体力活动受限和水肿本病属于心血管系统危重症之一预后极差5年生存率与肿瘤相仿难治性心力衰竭心衰为心衰重症对一般治疗反应差症状长期或静息时持续存在患者常须反复住院
中医学认为本病属于中医心悸怔忡痰饮水肿等范畴但在临床诊治中须切实
抓住中医气水的相互关系中医认为心主血脉心气是维持血液循环的原动力血脉的正常运行全赖于心中阳气的推动与温煦心气不足鼓动无力气血运行不畅则血为之凝气化不利则水为之停血不利则为水气损及阴最终导致气阴两虚血瘀水停而出现气喘胸闷心悸乏力水肿等心功能不全的症状
生脉散原名生脉饮出自内外伤辨惑论》,由人参麦冬五味子组成是治疗气阴两虚的代表方具有益气养阴功效多项现代研究也证实了其改善左室功能的效果也可以说生脉散是治疗心功能不全尤其是左心功能不全的代表方因人参性烈容易导致热生阴伤因而常换做西洋参使用
苓桂术甘汤出自伤寒论》,由茯苓桂枝白术炙甘草组成是温阳化饮治疗痰饮的代表方具有健脾化湿温化痰饮的功效突出反映了病痰饮者当以温药和之短气有微饮当从小便去之的仲景理论观点其中所含桂枝甘草汤温通心阳可助心阳复生
但值得注意的是上述两方活血化瘀明显不强因此根据病机当加强活血化瘀作用且最好选用泽兰益母草马鞭草等具有活血利水作用的药物
 
来自全科医学周刊201452015转载请注明作者及来源

--------------------------------------------------------------

댓글 없음:

댓글 쓰기