To explore the mechanism of Modified Qingre Shenshi Decoction（清热渗湿汤化裁）regulating TLR4/NF-κB signaling pathway in improving ulcerative colitis.

A total of150 patients with ulcerative colitis admitted to the hospital from January 2021 to January 2024 were selected and divided into control group（75 cases，treated with mesalazine enteric-coated tablets）and observation group（75 cases，treated with Modified Qingre Shenshi Decoction）according to a random number table.The efficacy and adverse reactions of the two groupswere compared.TCM syndrome scores，disease evaluation，serum factor and mRNA expressions of TLR4 and NF-κB in two groups were observed.

After treatment，the total effective rate of the observation group was higher than that of the control group（P<0.05）.Before treatment，the scores of lower abdomen fullness and pain，burning anus，strong anal distension，diarrhea，mucus，pus and blood stool，heavy limbs，chest tightness and fever，dry mouth and bitter mouth and short urine red were not significant between the two groups（P>0.05）.After treatment，the scores of the above symptoms were all lower than those before treatment.In addition，the scores in the observation group were significantly lower than those in the control group（P<0.05）.Before treatment，the scores of Baron endoscopy and mucosal histology were not significant between the two groups（P>0.05）.After treatment，the scores of Baron endoscopy and mucosal histology in the two groups were lower and the scores in the observation group were significantly lower than those in the control group（P<0.05）.Before treatment，the levels of interleukin-1β，tumor necrosis factor-α，endotoxin and D-lactic acid were not significant between the two groups（P>0.05）.After treatment，the levels of interleukin-1β，tumor necrosis factor-α，endotoxin and D-lactic acid in both groups were lower than those before treatment，and the levels in the observation group were significantly lower than those in the control group（P<0.05）.Before treatment，the mRNA expressions of TLR4 and NF-κB not significant between the two groups（P>0.05）.After treatment，the mRNA expressions of TLR4 and NF-κB in the two groups were lower than those before treatment，and the expressions in the observation group were significantly lower than those in the control group（P<0.05）.There were no adverse reactions in both groups during the treatment.

By regulating TLR4/NF-κB signaling pathway，Modified Qingre Shenshi Decoction can improve the clinical symptoms of patients with ulcerative colitis，plays an anti-inflammatory role and promotes the recovery of patients，which is worthy of clinical application.

To establish amethod for identifying Shicangpu（Acori Tatarinowii Rhizoma）（ATR）from common counterfeits by ultra performance liquid chromatography（UPLC）technology，and to provide reference for quality evaluation and control of ATR.

Waters CORTECST3 column（2.1 mm×150 mm，1.6μm）was used.Methanol：acetonitrile 1：1（A）-water（B）solution was used as mobile phase and gradientelution was performed.The flow ratewas0.2mL/min.The column temperature was40℃.The detection wavelength was275 nm and the sample volume was3μL.The UPLC characteristic map was established to identify ATR from common counterfeits.

The UPLC characteristic map identified 4 common peaks of ATR and identified 1 of them.The similarity among samples was 0.892～0.996.

The established method of characteristic map is simple，reliable，accurate and repeatable，which can identify the authenticity of ATR directly，provide a specific method for the quality control and authenticity identification of ATR，and effectively improve the drug safety of related products.

To investigate the effects of vinegar-procssed Chaihu（Radix Bupleuri）and its differentextraction parts on the uptake of cisplatin（DDP）by cells with high expression of organic cation transporter 2（OCT）（hOCT2-HEK293）and cells with high expression ofmultidrug resistance associated protein 2（MRP2）（hMRP2-HEK293）and to preliminarily explore their mechanisms so as to provide data support for the exploration of the mechanism of using vinegar-procssed Chaihu（Radix Bupleuri）to assist in reversing DDPmultidrug resistance in tumor cells in clinical practice.

The hOCT2-HEK293 and hMRP2-HEK293 cells were co-incubated with vinegar-procssed Chaihu（Radix Bupleuri）and its different parts for 24 hours，and then DDP was added to continue incubation for 4 hours.The intracellular DDP content of the two types of cells was measured by HPLC.Western Blot and real-time quantitative PCR（RT-PCR）were used tomeasure the protein and gene expressions of OCT2 and MRP2 in two types of cells，respectively.

In hOCT2-HEK293 cells，the total extract，polysaccharide fraction and small molecule water-soluble fraction of vinegar-procssed Chaihu（Radix Bupleuri）can significantly promote the uptake of DDP，and all promote the protein and gene expressions of OCT2.In hMRP2-HEK293 cells，the total extract，polysaccharide fraction and small molecule water-soluble fraction of vinegar-procssed Chaihu（Radix Bupleuri）also significantly promoted the uptake of DDP，but only the total extract could significantly reduce the expression of MRP2 protein.

In tumor cells，the reversal of multidrug resistance to anti-tumor drugs by vinegar-procssed Chaihu（Radix Bupleuri）may be related to the up-regulation of OCT2 protein and mRNA expressions in polysaccharide and small molecule water-soluble sites，or the down-regulation ofMRP2 protein expression in vinegar-procssed Chaihu（Radix Bupleuri）total extract.Preliminary speculation suggests that affecting the functions of OCT2 and MRP2 is one of the mechanisms by which vinegar-procssed Chaihu（Radix Bupleuri）enhances the meridian stimulation.

To study the effect of Wendantang Huacaifang（WDTHCF）on atrial energy metabolic remodeling in paroxysmal atrial fibrillation（PAF）rats based on fatty acid metabolic pathway.

Male SD rats were selected and randomly divided into the normal group，the model group，the WDTHCF low，medium and high dose groups，and the amiodarone hydrochloride group，and the PAF model was induced by using Ach-CaCl_2.After the model was successfully established，the WDTHCF low，medium and high dose groups and amiodarone hydrochloride were given by gavage.The duration of atrial fibrillation was monitored using electrocardiography.The formation of atrial lipid droplets was detected by oil-red O staining.The contents of free fatty acid（FFA）and triglyceride（TG）of atrial tissues were detected.RT-qPCR was used to detect the mRNA expressions of aAMP-activated protein kinase（AMPK），acetyl coenzyme A carboxylase（ACC），carnitine palmitoyltransferase-1B（CPT-1B），fatty acid translocase/cluster of differentiation 36（FAT/CD36），fatty acid transport protein（FATP）and fatty acid binding protein 3（FABP3）.Western blot was used to detect the protein expressions of AMPK，p-AMPK，ACC，p-ACC and CPT-1B and immunohistochemistry method was used to detect myocardial translocation of atrial FAT/CD36.

Compared with the normal group，the rats in themodel group showed increased duration of AF（P<0.05），elevated contents of FFA and TG in the atria（P<0.05），significant lipid droplet formation in the atria，decreased mRNA expressions of AMPK，ACC，CPT-1B，FAT/CD36，FATP and FABP3（P<0.05），and decreased atrial tissue AMPK phosphorylation，ACC phosphorylation and relative protein expression of CPT-1B were significantly reduced（P<0.05），and the membrane translocation of FAT/CD36 in the atria was reduced（P<0.05）.After treatment with WDTHCF，PAF duration was shortened（P<0.05），and the contents of FFA and TG in the atria decreased（P<0.05），lipid droplet formation in atria decreased，the mRNA expressions of AMPK，ACC，CPT-1B，FAT/CD36，FATP and FABP3 in atrial tissues were elevated（P<0.05），and the relative protein expressions of AMPK phosphorylation，ACC phosphorylation and CPT-1B in atrial tissues were elevated（P<0.05），and the membrane translocation of FAT/CD36 in atria was increased.

WDTHCF improved atrial energy metabolic remodeling in phlegm-turbid and bloodstasis type of PAF rats through AMPK regulating the ACC/CPT-1Bmediated fatty acid metabolism pathway.

To investigate the impact of Schisandrol A（SA）on lipopolysaccharide（LPS）-induced and differentiated small intestinal epithelial cell damage in human colorectal cancer Caco-2 cells.

Caco-2 cells were random ly divided into a normal control group（without drug intervention，Con），a model group（0.7 mg·mL^-1，LPS）and SA（2.5，5，10 μmol·L^-1）dose groups.The cell viability was assessed by the CCK-8 method.The cell apoptosis，cell cycle，mitochondrial membrane potential and intracellular reactive oxygen species（ROS）were detected by flow cytometry.The levels of inflammatory factors in the cell supernatant were measured using ELISA.Oxidative stress was assessed using an enzyme-labeled method.The expressions of proteins related to the NF-κB signaling pathway and apoptosis-related pathways were determined by Western Blot analysis.

The findings indicated that compared with the LPS group，SA at concentrations between 2.5-10μmol·L^-1 exhibited a significant protective effect on cells，exhibiting a certain dose-dependent relationship（P<0.01，P<0.001）.It reduced the contents of malondialdehyde（MDA），lactate dehydrogenase（LDH）and ROS（P<0.05，P<0.01，P<0.001），increased the activities of superoxide dismutase（SOD）and GSH（P<0.01，P<0.001），inhibited the secretion of pro-inflammatory factors tumor necrosis factor-α（TNF-α），interleukin-6IL-6 and interleukin-18（IL-18）（P<0.05，P<0.01，P<0.001），promoted the release of anti-inflammatory factor interleukin-10（IL-10）（P<0.001），increased mitochondrial membrane potential（P<0.05，P<0.01），improved cell cycle arrest（P<0.05）and modulated the expression levels of inflammation and apoptosis-related pathway proteins（P<0.05，P<0.01，P<0.001）.

This study has confirmed in vitro that SA is capable of improving LPS-induced damage to Caco-2 cells.The mechanism of action appears to be related to the inhibition of the NF-κB signaling pathway.

To analyze the study of the utility of five-element identification acupuncture in traditional Chinese medicine combined with ABA training in the treatment of children with autism.

Ninety cases of autistic children admitted to the Department of Pediatrics of Nanyang First People's Hospital Affiliated to Henan University from March 2022 to March 2024 were selected for the study.Forty-five cases of the control group were treated with ABA training，and the other 45 cases of the observation group were treated with traditional Chinese medicine five-element identification acupuncture on the basis of the above mentioned treatment，and the clinical effects，the scores on the scales［（Autism Treatment and Evaluation Scale（ATEC），Children's Autism Rating Scale（CARS），Autism Behavioral Scale（ABC）］，serological indexes［tissue-type plasminogen activator（t-PA）and plasminogen activator inhibitor-1（PAI-1）］of the two groups were compared.

The total effective rate of the observation group（97.78%，44/45）was higher than that（82.22%，37/45）of the control group and the difference was significant（P<0.05）.The ATEC scores of both groups were reduced after one and three months of treatment（P<0.05），and the reduction wasmore significant in the observation group compared with that in the control group（P<0.05）.CARSscore and ABC score were reduced in both groups after one and three months of treatment（P<0.05），and the reduction was more significant in the observation group compared with that in the controlgroup（P<0.05）.After one and three months of treatment，t-PA increased and PAI-1 decreased in both groups（P<0.05），and compared with those in the control group，t-PA increased more significantly and PAI-1 decreased more significantly in the observation group（P<0.05）.

After the children diagnosed with autism were treated with the combination of ABA training and traditional Chinese medicine five-element identification acupuncture，the therapeutic effect was remarkable.The treatment could effectively reduce the children's clinical symptoms，improve their serological indexes and promote the recovery of the children.

The differential metabolites of Sangshen（Mori Fructus）with different maturities were studied to provide reference for the determination of Sangshen（Mori Fructus）harvest time.

Based on the metabolo micsmethod，the changes of chemical components in Sangshen（Mori Fructus）with different maturities were explored.The data of secondary metabolites in mulberry fruits was collected by ultra-high performance liquid chromatography-quadrupole/exactive Orbitrap mass spectrometry（UPLC-Q-Exactive Orbitrap MS）.Multivariate statistical analysis methods such as principal component analysis（PCA）and partial least squares discriminant analysis（PLS-DA）were used to explore the differences in metabolic components of Sangshen（Mori Fructus）with different maturities.

There were significant differences in the metabolites of Sangshen（Mori Fructus）with different maturities.A total of176 compounds in 11 categories were screened.Flavonoids and organic acids accounted for 23.30% and 21.02%，respectively.The contents of most screened flavonoids and organic acid differential metabolites increased with the increase of maturity，and the flavonoids and organic acid metabolites of Sangshen（Mori Fructus）of different germplasms were different.The contents of extract，total flavonoids，total polyphenols and rutin in the mature stage were higher than those in the immature stage.The antioxidant activity in the mature stage was stronger than that in the immature stage.The content of chlorogenic acid in the immature stage was higher than that in the mature stage，and the inhibitory effectonα-glucosidase was also stronger than that in the mature stage.

There are obvious differences in the metabolites of Sangshen（Mori Fructus）with different maturities.The contents of chemical components in Sangshen（Mori Fructus）are related to different maturities.Based on the antioxidant effect，it is better to harvest when Sangshen（Mori Fructus）is dark purple（mature）.Based on the hypoglycemic effect，it is better to harvest when the Sangshen（Mori Fructus）becomes red（immature），which provides a basis for the quality control of Sangshen（Mori Fructus）and the determination of harvesting time.

This study aimed to explore the clinical efficacy of Huanglian Wendan Decoction（黄连温胆汤）combined with acupoint application in the treatment of patients with dampness-heat of spleen and stomach type of functional dyspepsia（FD）and its impacton patients'quality of life and psychological well-being.

This study selected patients diagnosed as dampness-heat of spleen and stomach type of functional dyspepsia（FD）and treated at the hospital from October2021 to October 2023 as the research subjects，totaling 116 cases.According to the random number table method，they were divided into a control group（53 cases）and an experimental group（53 cases）.The patients in the control group received oral treatment with Mosapride Citrate Tablets，while those in the experimental group were treated with Huanglian Wendan Decoction combined with acupoint application on the basis of Mosapride Citrate Tablets.The efficacy of treatments and traditional Chinese medicine（TCM）syndrome scores were assessed and compared between the two groups.The levels of serum motilin（MTL），gastrin（GAS）and ghrelin before and after treatment were statistically compared.The Beck Depression Inventory（BDI），Beck Anxiety Inventory（BAI），Nipine Digestive Dysplasia Life Index Scale（NDLQL）and Medical Outcomes Study Health Survey Short Form-36 Item（SF-36）were used to evaluate the patients'quality of life and psychological state.Adverse reactions to the treatments in both groups were also recorded.

After treatment，the NDSI scores and TCM syndrome scores for primary and secondary symptoms in the experimental group were lower than those in the control group.Post-treatment levels of MTL and GAS decreased while ghrelin levels increased in both groups，with the experimental group showing lower levels ofMTL and GASand higher levels of ghrelin compared to the control group.The SF-36 scores for physical functioning（PF），role-physical（RP），bodily pain（BP），vitality（VT）and social functioning（SF）increased after treatment in both groups，with higher increases observed in the experimental group.The BDIand BAIscores decreased in both groups post-treatment，with the experimental group showing lower scores than the control group.The scores in all four domains of the NDLQI and the total scores increased after treatment in both groups，with the experimental group showing higher scores than the control group（P<0.05）.Compared to the control group，the experimental group had a significantly higher number of safety cases（P<0.05）.

Huanglian Wendan Decoction combined with acupoint application is an effective treatment for dampness-heat of spleen and stomach type of FD，and its further clinical application is warranted.

To study the function of expelling water retention with drastic purgation of Jingdaji（Euphorbiae Pekinensis Radix，EPR）before and after being processed with vinegar on cancerous ascitesmodel rats.

Seventy-two SD male rats were random ly divided into 9 groups：the normal group，model group，positive group（furosemide），EPR and vinegar product groups at low，medium and high dose.Except the normal group，all other groups had intraperitoneal injection with Walker-256 ratascites cancer cells to replicate cancerous ascitesmodel rats.Positive group and each administration groups were orally administered with the corresponding powder，respectively.Normal group and model group were given the same amount of sodium carboxymethyl cellulose（0.5%）for 7 d.1 hour after the lastadministration，the amount of urine and ascites，and the contents of the renin-angiotensin-aldosterone system（RAAS）and antidiuretic hormones（ADH）in the serum were measured.Liver and kidney function indicators，oxidative damage indicators and pathological morphological changes in liver，stomach，intestine and kidney tissues were observed.

Compared with the normal group，the model group showed a significant decrease in urine output and a significant increase in ascites volume（P<0.01），which indicated themodelwas successfully set up.The levels of plasma renin activity（PRA），angiotensinⅡ（AngⅡ），aldosterone（ALD），ADH，creatinine（CRE），blood urea nitrogen（BUN）and the activities of aspartate aminotransferase（AST），alanine aminotransferase（ALT）and malondialdehyde（MDA）in the serum and tissues all significantly increased（P<0.01），while the contents of superoxide dismutase（SOD）and glutathione（GSH）were significantly decreased（P<0.01），also there were obvious tissue damage in liver，stomach，intestine and kidney.Compared with those in themodel group，the urine volume in each administration groups increased，ascites volume，the levels of PRA，AngⅡ，ALD，ADH，CRE and BUN，the activities of AST and ALT and the content of MDA in the serum and tissues decreased，and the contents of SOD and GSH increased.The injury of each administration groups reduced，and there was no significant difference between EPR raw and vinegar-processed product powders.

EPR before and after processing with vinegar have the effects of expelling water retention with drastic purgation，by stimulating the RAAS to eliminate ascites and alleviate oxidative damage of cancerous as cites model rats.