1.Study on Decision Tree Model of Hyperactive Liver Yang Syndrome in Patients with Essential Hypertension
Xiangfei SU ; Guosheng LIN ; Hongzheng LI ; Mengfan LI ; Wei YU ; Bihan XUAN ; Zucheng SHANG ; Aling SHEN ; Jun PENG
Chinese Journal of Information on Traditional Chinese Medicine 2024;31(10):157-163
Objective To construct a diagnostic model based on the information of the TCM four diagnoses in hyperactive liver yang syndrome in patients with essential hypertension.Methods Syndromic investigation was carried out in patients with essential hypertension in some hospitals in Fujian and Beijing,and diagnostic information such as age,gender,symptoms,tongue and pulse were collected.On the basis of statistical analysis,this study adopted C5.0,CRT,CHAID and QUEST decision tree models respectively.After evaluating the stability and performance consistency of the models,the accuracy of the models was measured by diagnostic rate,and the optimal model of hyperactivity of liver yang in essential hypertension was selected.Results Totally 533 patients with essential hypertension were included,including 198 patients with hyperactive liver yang syndrome and 335 patients without hyperactive liver yang syndrome.The diagnostic rates of the four models were 75.2%,66.2%,67.7%and 65.0%,respectively.The diagnostic efficiency of C5.0 was better than that of CRT,CHAID and QUEST models."Aggravation after emotional excitement,poor complexion,string-like pulse,irritability,head swelling pain,bitter mouth,heavy pulse,fatigue,dark tongue,irritability,dizziness,thin pulse,yellow fur"could be regarded as the specific items of the syndrome model of hyperactive liver yang in essential hypertension.Conclusion The C5.0 decision tree model can clearly and intuitively identify the hyperactive liver yang syndrome in essential hypertension patients based on clinical TCM four diagnostic information data,and summarize diagnostic rules.
2.Traditional Chinese Medicine Regulates Tumor-associated Macrophages in Colorectal Cancer: A Review
Meixuan GUO ; Yuxing LIN ; Mengyuan CAI ; Aling SHEN ; Wen LU ; Li LI
Chinese Journal of Experimental Traditional Medical Formulae 2024;30(22):279-288
Colorectal cancer (CRC), a most common malignant tumor of the digestive tract, is often manifested by abdominal pain, changes in stool quality, blood in the stool, and weight loss, with rising morbidity and mortality year by year. The onset and development of CRC involve a variety of mechanisms, in which tumor microenvironment (TME) and tumor-associated macrophages (TAMs) have received increasing attention. TAMs influence the tumor development via immune escape and angiogenesis promotion and are associated with the prognosis of tumors. In recent years, traditional Chinese medicine (TCM) has been widely researched and applied in the treatment of cancers. Studies have discovered that TCM mainly exerts the therapeutic effects on CRC by inhibiting the proliferation, metastasis, and angiogenesis, promoting the apoptosis, and inducing autophagy of tumor cells and boosting the immune function. TCM as an effective treatment approach can regulate TAMs to inhibit tumor growth. Moreover, the active components and targets of TCM can be taken as new research directions of immunotherapy. This review describes TAMs and their roles in CRC progression and summarizes the molecular targets and mechanisms of different active components, compound prescriptions, and novel preparations of TCM against CRC, aiming to provide a mechanism reference for the clinical treatment of CRC with TCM and give new insights into the in-depth research on the prevention and treatment of CRC-related diseases with TCM.