Latest ArticlesBronchial asthma is one of the major chronic diseases that seriously threaten human health worldwide. Modern research has shown that traditional Chinese medicine (TCM) has unique prevention and treatment advantages in this respect. According to TCM theory, the core pathogenesis of this disease lies in the deficiency of lung Qi and the imbalance of its ascending and descending functions, manifesting as symptoms such as coughing, wheezing and asthma during acute episodes, with lingering symptoms during the chronic persistent and clinical remission phases. Based on the TCM theory of “five Zang-organs and their desires and needs for tonification and purgation”, which states that “the lung desires to contract, and should be nourished promptly with sour flavors to achieve contraction, supplemented with sour flavors drugs, and purged with pungent flavors drugs”, this article explored the key to preventing and treating bronchial asthma as lying in the convergence of essential substances in the lung and the dispersion of latent pathogens within it. Depending on the different stages of disease progression and the relationship between deficiency and excess, the therapeutic methods such as dispersing with pungent drugs and converging with sour drugs, purging with pungent and contracting with sour drugs, and supplementing with sour and dispersing with pungent drugs are employed to effectively converge lung essence, reduce airway sensitivity, and provide insights and references for the clinical prevention and treatment of bronchial asthma.
The theory of mutual generation of metal and water originated from the theory of five elements in the Spring and Autumn Period. After continuous development, it has been gradually improved and matured. Its core content is as follows. Lung and kidney are interconnected in both physiological and pathological aspects, with the former nourishing the latter and vice versa. Their linked meridians form the foundation of their mutual interaction, giving rise to the therapeutic principle of “tonifying the mother organ when deficiency occurs, and purging the child organ when excess arises”. Professor DING Ying, a master of traditional Chinese medicine, combined with the theory of mutual generation of metal and water, believes that the pathogenesis of IgA vasculitis can be divided into three aspects: “lung-defense being attacked and pathogenic heat restraining metal gold”, “metal disease transmitting water and kidney collaterals blocked by blood stasis”, “lung and kidney both deficient and metal deficiency causing water exhaustion”. The three methods of clearing, dredging and tonifying are the general principles. In clinical practice, IgA vasculitis is treated with the methods of “guarding against external pathogens, clearing metal and retaining water”, “removing blood stasis and dredging collaterals, treating excess with purging the child organ”, “seeking water in metal, and tonifying the mother organ for treating the deficiency”. The clinical effect is quite good. A case study was attached to the article for the benefit of fellow practitioners.
To investigate the effects of Xuanfei Tongluo Pingchuan Decoction (宣肺通络平喘汤) combined with Seretide on clinical symptoms and blood immunoglobulin E (IgE) and eosinophil (EOS) counts in the patients with chest tightness variant asthma (CTVA).
One hundred and fifty-two patients with CTVA who attended the respiratory department of the hospital from July 2022 to June 2024 were selected and randomly divided into the single-drug group (76 cases) and the combination group (76 cases). The single-drug group was given seretide inhalation treatment, and the combined group added Xuanfei Tongluo Pingchuan Decoction on the basis of the single-drug group. The efficacy, revised asthma control questionnaire (r-ACQ) score, clinical symptom scores, pulmonary function indexes, blood IgE and EOS counts and adverse reactions were observed in the two groups.
The total clinical effectiveness rate in the combination group was 94.74% (72/76), higher than that [82.89% (63/76)] in the single-drug group (χ2=5.365, P<0.05). After treatment, r-ACQ scores and clinical symptom scores such as chest tightness, shortness of breath, cough and sputum were reduced in both groups (P<0.05), and the scores of the combination group were lower than those of the single-drug group (P<0.05). The levels of percentage of estimated forced expiratory volume in the first second (FEV1%) and peak expiratory flow (PEF) were increased in both groups (P<0.05), and the levels of the combination group were higher than those of the single-drug group (P<0.05). IgE levels and EOS counts were reduced in both groups after treatment, and the results of the combination group were lower than those of the single-drug group (P<0.05). The incidence of adverse reactions of two groups had no statistical difference (P>0.05).
The combination of Xuanfei Tongluo Pingchuan Decoction and seretide can significantly improve the clinical efficacy of the CTVA patients, improve the clinical symptoms and lung function and reduce the blood IgE and EOS counts, with a good safety profile.
To investigate the mechanism of eye acupuncture in acute ischemic stroke based on transcriptome sequencing.
Thirty-two patients with acute ischemic stroke who met the inclusion and exclusion criteria were enrolled and divided into a control group and an eye acupuncture group. The neurological function scores before and after the intervention were observed. Peripheral venous blood of the patients after treatment was collected and subjected to transcriptome sequencing. Differentially expressed genes (DEGs) were obtained through comparison, and Gene Ontology (GO) functional annotation, Kyoto Encyclopedia of Genes and Genomes (KEGG) pathway enrichment analysis and protein-protein interaction (PPI) network analysis were carried out.
Based on standardized internal medical treatment, the administration of eye acupuncture treatment could significantly improve the neurological deficit symptoms of the patients. Comparison of the transcriptome sequencing results revealed 501 differentially expressed genes, among which 175 genes were upregulated and 326 genes were downregulated in the eye acupuncture group. GO analysis showed that the functions of the differentially expressed genes were mainly enriched in aspects such as the production of molecular mediators to mediate the immune response, the cellular response to interleukin-1, the generation of fever, the response to chemokines and the cellular response to chemokines. KEGG analysis indicated that the differentially expressed genes were mainly enriched in the signaling pathways involving inflammation, immunity and apoptosis. PPI analysis revealed that tumor necrosis factor (TNF), interleukin 1A (IL1A) and chemokine 2 (CCL2) could serve as key genes.
The regulation of the inflammatory immune response and apoptosis may be a crucial mechanism for the treatment of acute ischemic stroke by eye acupuncture.
To observe the therapeutic effect of Huashi Runmu Decoction (化湿润目汤) in the treatment of meibomian gland dysfunction (MGD) associated with evaporative dry eye (EDE) and its influence on interferon regulatory factors in tears.
From January 2022 to January 2024, 102 patients with MGD associated with EDE were selected and randomly divided into two groups: western medicine group (treated with ofloxacin eye drops and sodium hyaluronate eye drops) and comprehensive group (treated with ofloxacin eye drops, sodium hyaluronate eye drops and Huashi Runmu Decoction), with 51 cases in each. The syndrome scores, the levels of interferon regulatory factor 4 (IRF-4) in tears, tear film break-up time (BUT), and tear secretion volume were compared before and after treatment, as well as the grading of meibomian gland function, treatment effect and adverse reactions between the two groups.
After treatment, the total syndrome scores and the levels of IRF-4 in tears were lower than those before treatment in both groups (P<0.05), with the comprehensive group being lower than the western medicine group (P<0.05). The BUT of both groups were longer after treatment (P<0.05), with the comprehensive group being longer than the western medicine group (P<0.05). The tear secretion volume increased after treatment in both groups, with the comprehensive group being higher than the western medicine group (P<0.05). The proportion of grade 1 meibomian gland function was higher in the comprehensive group (P<0.05), and the proportion of grade 3 was lower than in the Western medicine group (P<0.05). The overall treatment effectiveness rate was higher in the comprehensive group (P<0.05). There were no significant adverse reactions in the Western medicine group, while the comprehensive group had one case of mild diarrhea, which improved without treatment.
Huashi Runmu Decoction can improve the syndrome scores, BUT, tear secretion volume, meibomian gland function and treatment effect in the patients with MGD associated with EDE, reduce the levels of IRF-4 in tears, and does not increase adverse reactions.
The hip joint is the most commonly involved peripheral joint of ankylosing spondylitis, and Professor YAN Xiaoping, a famous traditional Chinese medicine practitioner in China, believes that the fundamental pathogenesis of its occurrence is deficiency of kidney and Yangqi, and the deep invasion of wind, cold and dampness and other evils into the pulse, which is often accompanied by dysfunction of liver and spleen, resulting in dampness, phlegm accumulation, turbidity and blood stasis staying in the body, blocking the liver and gallbladder meridians, and flowing into the joints. The author was fortunate to follow Master YAN and thanks to Master YAN's teachings, he summed up the pathogenesis and treatment ideas of ankylosing spondylitis complicated with hip joint involvement based on the theory of “dampness-phlegm-turbidity-stasis”, in which dampness, phlegm accumulation, turbidity and blood stasis were the main pathological products and pathogenic factors. Therefore, Master YAN proposed to warm and replenish spleen and kidney Yangqi, dispel dampness, eliminate phlegm and turbidity, and promote Qi and blood as the treatment method. In addition, dampness, phlegm, turbidity and blood stasis are all Yin evils, the treatment is warming Yang of kidney and spleen without damaging Yin of spleen and kidney, emphasizes the combination of movement and stillness, harmonizes Yin and Yang and regulates cold and heat, and strives to provide ideas for the treatment of ankylosing spondylitis and hip joint involvement in traditional Chinese medicine.
Heart failure is a syndrome in which the cardiac pumping function is impaired due to various reasons, and the cardiac output can not meet the basic metabolic needs of the whole body, mainly manifested as dyspnea, limited activity, liquid storage, etc. Heart failure is included in the category of “heart water”, “palpitation” and “edema” in traditional Chinese medicine. Huangqi (Astragali Radix) and its drug pairs have significant curative effect in the treatment of heart failure. This paper studied the theoretical basis and pharmacological effects of Huangqi (Astragali Radix) and its drug pairs in the treatment of heart failure, in order to provide reference for the research of traditional Chinese medicine in the treatment of heart failure and further play its clinical application value, provide scientific guidance and theoretical basis for the combination of clinical drugs in the treatment of heart failure, and provide new schemes and new thinking for the clinical use of drugs.
As a common female disease, breast disease seriously affects women's physical and psychological health, and the incidence rate is on the rise. Current Western medicine treatments face issues such as drug resistance, hormonal imbalances and recurrence. Traditional Chinese medicine, on the other hand, possesses unique advantages in regulating the body's overall balance and multi-target combined intervention, with relatively fewer adverse effects. As an orchid plant with cool nature, Shancigu (Cremastrae Pseudobulbus Pleiones Pseudobulbus) is sweet and slightly pungent, attributed to the liver and spleen meridians and has the functions of clearing heat and reliving toxin, dissipating mass and eliminating swelling. As early as in Compendium of Materia Medica, it was recorded that “Shancigu (Cremastrae Pseudobulbus Pleiones Pseudobulbus) mainly treats carbuncles, abscesses, fistulas and tuberculosis”. Therefore, it is widely used in the traditional Chinese medical treatment of breast diseases. This paper summarized and analyzed the clinical application and mechanism of action of Shancigu (Cremastrae Pseudobulbus Pleiones Pseudobulbus) in the treatment of mastitis, mammary gland hyperplasia and breast cancer, and further proposed the hypothesis of “inflammation-proliferation-carcinoma” tertiary prevention and control system of Shancigu (Cremastrae Pseudobulbus Pleiones Pseudobulbus) in order to provide new ideas and theoretical support for future research, so as to better utilize the value of Shancigu (Cremastrae Pseudobulbus Pleiones Pseudobulbus) in the application of mammary gland diseases.
Colorectal cancer is a common malignant tumor of the digestive tract with high incidence and mortality, and the existing treatment methods can prolong the survival of the patients to a certain extent, but it faces challenges such as high recurrence rate, strong drug resistance and serious adverse reactions, which cannot fully meet the overall needs of patients. Banxia Xiexin Decoction (半夏泻心汤) created by the medical saint ZHANG Zhongjing is a classic prescription for the treatment of cold and heat syndrome, and is often used for the prevention and treatment of colorectal cancer in modern clinical practice. A large number of studies have found that Banxia Xiexin Decoction can treat precancerous lesions in the early stage, by inhibiting inflammatory response, regulating a variety of signaling pathways, improving intestinal flora dysbiosis, effectively treating ulcerative colitis and colorectal adenoma, blocking the process of precancerous lesion transformation, and reducing the incidence of colorectal cancer. In the medium term, it can be combined with chemotherapy to reduce the adverse reactions of delayed diarrhea, nausea and vomiting, bone marrow suppression, peripheral neuropathy and oral ulcers caused by chemotherapy, alleviate intestinal injury, improve bone marrow hematopoietic function and relieve pain caused by chemotherapy, and adjuvant chemotherapy can be carried out smoothly to improve the overall efficacy. In the later stage, it can inhibit recurrence and metastasis, promote colorectal cancer cell apoptosis by regulating protein expression, and induce ferroptosis to inhibit cell proliferation and migration through multiple pathways, thereby reducing the rate of colorectal cancer metastasis and recurrence, and is widely used in the whole treatment of the disease. This article reviewed the relevant research progress on the prevention and treatment of colorectal cancer using Banxia Xiexin Decoction through literature retrieval, including theoretical foundations, pharmacological basis and various aspects of prevention and treatment applications. It also addressed the shortcomings and improvement measures of current research, aiming to provide new ideas for the development of new drugs and clinical applications for the prevention and treatment of colorectal cancer in the future.
To identify the potential anti-inflammatory active components in Xixin (Asari Radix et Rhizoma) that inhibit nuclear factor-kappa B (NF-κB) using three-dimensional quantitative structure-activity relationship (3D-QSAR), molecular docking and cell experiments.
Discovery Studio software was employed to construct an optimal 3D-QSAR model based on NF-κB for virtual screening of potential active ingredients in Xixin (Asari Radix et Rhizoma) and to predict their pharmacokinetic (ADMET) properties. Subsequently, AutoDock Vina software was utilized for molecular docking to evaluate the binding affinity of the potential active ingredients with NF-κB pathway targets. A BEAS-2B cell model was established, and in vitro enzyme-linked immunosorbent assay (ELISA) was performed to verify the anti-inflammatory effects of the selected components.
The 3D-QSAR model and ADMET prediction collectively identified five active compounds, including asarinin and sesamin from Xixin (Asari Radix et Rhizoma). Molecular docking results demonstrated that these active compounds exhibited good binding affinity with the NF-κB protein. In vitro cell experiments confirmed that asarinin and sesamin possessed significant anti-inflammatory effects.
The integration of 3D-QSAR modeling, molecular docking and in vitro experimental techniques effectively facilitates the discovery of NF-κB inhibitory components in Xixin (Asari Radix et Rhizoma) and elucidates their pharmacodynamic material basis.