1.Correlation between cerebral blood flow and cerebral infarction in patients with chronic middle cerebral artery occlusion detected by ultrasound
Xiang LI ; Xuehua HAN ; Yang HUA ; Jie YANG ; Chengzi JIN
Chinese Journal of Cerebrovascular Diseases 2017;14(5):245-249
Objectives To investigate the effect of leptomeningeal anastomoses (LMA) compensation of anterior cerebral artery (ACA) on the size of cerebral infarction in patients with chronic middle cerebral artery occlusion (CMCAO) and to analyze the correlation between middle cerebral artery (MCA) velocity and cerebral infarction area.Methods From June 2014 to June 2016,35 consecutive patients with CMCAO from the Department of Neurology,Yanbian University Hospital and 74 with CMCAO from the Department of Neurology,Beijing Xuanwu Hospital,Capital Medical University were enrolled retrospectively.All patients were diagnosed as CMCAO on one side and MCA was normal on the other side with transcranial Doppler (TCD) or transcranial color-coded sonography (TCCS) and confirmed by digital subtraction angiography (DSA).They were divided into either a LMA group (n=49) or a non-LMA (NLMA) group (n=60) according to the DSA revealed ACA.TCCS and/or TCD were used to measure and record the peak systolic velocity (PSV) and mean flow velocity (MFV) of the contralateral and ipsilateral MCA,and the ratios of bilateral PSV were calculated.They were divided into 4 grades,including normal brain tissue,cerebral lacunar infarction,small and moderate cerebral infarction,and large cerebral infarction according to the findings of diffusion-weighted imaging (DWI).Mann-Whitney test was used to compare the differences of cerebral infarction areas between the LMA group and the NLMA group,and Spearman rank correlation analysis was used to analyze the correlation between the MCA blood flow parameters of the ipsilateral side and the cerebral infarction area.Results (1) The patients with stroke accounted for 90.0% (n=54) in the NLMA group,and it was significantly higher than 71.4% (n=35) in the LAM group.There was significant difference between the two groups (P<0.05).(2) The severity of cerebral infarction in the NLMA group was significantly higher than that in the LMA group.DWI revealed that the LMA group was mainly lacunar infarction (51.0%,n=25),the NLMA group was mainly small and moderate infarction (45.0%,n=27),the incidence of large infarction (21.7%,n=13) was higher than that in the LMA group (4.1%,n=2).The difference between the two groups was statistically significant (P<0.01).(3) The cerebral infarction area in patients of the NLMA group showed moderately negative correlation with PSV of MCA (r=-0.736,P<0.01),and increased with the increase of contralateral side of PSV/ipsilateral side of PSV,there was a high positive correlation (r=0.849,P<0.01).Conclusion The compensatory function of meningeal branches of the anterior cerebral artery in patients with CMCAO was associated with the severity of cerebral infarction.The decreased MCA blood flow velocity on the ipsilateral side had a significant correlation with cerebral infarction area.
2.Effects of Ganbao capsules on intestinal mucosal barrier and gut microbiota in rats with non-alcoholic fatty liver disease
Xing FAN ; Yan HE ; Chengzi YANG ; Yating LIN ; Defu HUANG
China Pharmacy 2023;34(8):929-934
OBJECTIVE To study the effects of Ganbao capsules on intestinal mucosal barrier and gut microbiota in rats with non-alcoholic fatty liver disease (NAFLD), and to explore its mechanism of prevention and treatment of NAFLD. METHODS Eight of 26 SD rats were randomly selected as blank group and fed with ordinary diet, and the remaining 18 rats were fed with high diet to establish NAFLD model (2 for modeling inspection); after successful modeling, they were divided into model group and Ganbao group, with 8 rats in each group. Ganbao group were given Ganbao capsules solution (1 440 mg/kg) intragastrically, and the blank group and model group were given the constant volume of distilled water intragastrically, once a day, for consecutive 5 weeks. The contents of alanine aminotransferase (ALT), aspartate aminotransferase (AST) and triglyceride (TG) in serum of rats were detected by automatic analyzer; the contents of lipopolysaccharide, tumor necrosis factor-α (TNF-α), interleukin-6 (IL-6) and IL-1β in serum of rats were detected by enzyme-linked immunosorbent assay. The pathological morphology of liver and ileum tissues were observed by HE staining, the expressions of Occludin and zonula occludens-1 (ZO-1) were detected by immunohistochemistry method, and the intestinal flora were detected by 16S ribosomal RNA gene sequencing technology. RESULTS Compared with the model group, the serum contents of ALT, AST, TG, lipopolysaccharide, TNF-α, IL-6 and IL-1β in Ganbao group were decreased significantly (P<0.01), the pathological changes of liver and ileum tissues were improved 262 significantly, and the expressions of Occludin and ZO-1 were increased significantly (P<0.01). Intestinal microbiotaanalysis revealed that compared with the model group, Ganbao capsules could recover the abundance and diversity of the gut E-mail:hdf8833@126.com microbiota in rats. At the phylum level, Ganbao capsules could significantly increase the relative abundance of Bacteroidetes, and significantly reduce the relative abundance of Firmicutes and the ratio of Firmicutes to Bacteroidetes (P<0.01). At the genus level, Ganbao capsules could significantly increase the relative abundance of Lactobacillus, Blautia, Bacteroides and Akkermansia, and significantly reduce the relative abundance of Prevotella, Turicibacter, Weissella, SMB53 and Desulfovibrio (P<0.05 or P<0.01). There were different species among the gut microbiota of rats in each group. CONCLUSIONS Ganbao capsules may improve NAFLD by protecting intestinal mucosal barrier function and regulating gut probiotics/harmful bacteria structure.
3.Herbal Textual Research on Piperis Kadsurae Caulis in Famous Classical Formulas
Jing MENG ; Le WANG ; Yixue ZHUANG ; Zhilai ZHAN ; Chengzi YANG
Chinese Journal of Experimental Traditional Medical Formulae 2023;29(8):93-102
Through consulting the ancient materia medica and medical books, combined with modern literature, this paper made a textual research on the name, origin, producing area, harvesting time and processing method of Piperis Kadsurae Caulis, in order to provide basis for the development of the famous classical formulas containing this herb. According to textual research, it is shown that the earliest name for Piperis Kadsurae Caulis as medicine was Nanteng in Bencao Shiyi, and there were other names such as Dinggongteng and Shinanteng in the ancient materia medica. The name of Haifengteng should appear in the Ming dynasty. Before the Song dynasty, the origin of Piperis Kadsurae Caulis was probably derived from caulis of Piper wallichii. After the Song dynasty, the main origins should be some species in Piper, such as P. kadsura and P. hancei, and its origin in the successive editions of Chinese Pharmacopoeia was only P. kadsura. Combining the original plant research, market survey and distribution of wild resources, it is suggested that the Haifengteng used in the famous classical formulas apart form the P. kadsura, the P. hancei should be add as original plant. Due to climate change and the heat-loving habit of Piper, the producing area of Haifengteng gradually moved from the Qinling Mountains to the southern areas rich in Piper, and Quanzhou area of Fujian province has been recommended since the Ming dynasty. The harvesting period of Piperis Kadsurae Caulis is from July to August in the lunar calendar, the above-ground parts are dried by removing fibrous roots, thin stems and leaves. In the past dynasties, there are few records on the processing of this herb, so it is suggested that Piperis Kadsurae Caulis in famous classical formulas without special processing requirements should be used as raw products.
4.Herbal Textual Research on Selaginellae Herba in Famous Classical Formulas
Yinan LU ; Jing MENG ; Yangyang CHEN ; Zhilai ZHAN ; Chengzi YANG
Chinese Journal of Experimental Traditional Medical Formulae 2024;30(7):31-39
By consulting the ancient Chinese herbal books, medical books and formularies of the past dynasties, and combining with modern research data, this paper makes a systematic textual research on the name, origin, place of origin, traditional quality evaluation, harvesting and processing of Selaginellae Herba, so as to provide a basis for the development and utilization of the relevant famous classical formulas. According to the textual research, Juanbai is the correct name of the herbal medicine in all dynasties, and there are also aliases such as Baozu, Qiugu, Jiaoshi and Jiusi Huanhuncao. The origin of Selaginellae Herba in the ancient herbal books was Selaginella tamariscina in all dynasties. Since the Republic of China, S. pulvinata has been gradually used as another origin of Selaginellae Herba. In ancient times, the producing area of S. tamariscina was mainly in Shandong, Hebei, Henan, Shaanxi, Jiangsu and Sichuan, etc. Nowadays, it is produced all over the country. S. pulvinata is mainly produced in Guangxi, Fujian, Sichuan, Guizhou, Yunnan, Hebei and so on. Since the recent times, it is concluded that the quality of the green color, complete and unbroken is good. Before the Qing dynasty, it was recorded that the harvesting time of Selaginellae Herba was generally from April to July, and it was expanded to all year round since the Qing dynasty. After harvesting, remove the sediment(sand and mud), cut off the fibrous roots and dry in the shade or in the sun. The processing methods in all dynasties were mainly carbonizing by stir-frying and stir-bake to brown, and some ancient books contained the processing method of brine boiling, which was rarely used in modern times. Based on the results, it is recommended that S. tamariscina should be used as the base material of Selaginellae Herba. Because of more impurities, it should be fully purified to ensure the cleanliness of the herb, and the processing method can be based on the prescription requirements, if the processing requirements are not specified, the raw products can be used, charcoal products is recommended for use as an hemostatic.
5.Herbal Textual Research on Arcae Concha in Famous Classical Formulas
Yiqin ZHANG ; Yixue ZHUANG ; Yinan LU ; Yanning CHEN ; Yichong CHEN ; Shuiyu XU ; Zhilai ZHAN ; Chengzi YANG
Chinese Journal of Experimental Traditional Medical Formulae 2025;31(2):208-218
In this paper, the name, origin, producing area, harvesting, processing and functional indications of Arcae Concha were systematically combed and verified by consulting the ancient and modern literature, in order to provide a basis for the development of famous classical formulas containing Arcae Concha. Arcae Concha was first recorded in the name of Han in Bencao Shiyi, but later, due to the influence of LI Shizhen's error of combining Han item with Kuiha in the Ming dynasty, there were aliases such as Kuilu and Fulao, and Yizong Bidu began to include Walengzi as its correct name and has been used ever since. The textual descriptions and illustrations of the medicinal materials of Arcae Concha contained in the materia medica of the past generations were consistent with the modern Arca inflata, A. subcrenata and A. granosa. In ancient times, there were medicinal records of two parts of shell and meat, but now the shell is used as medicine, and the meat is mostly edible. In ancient times, Zhejiang, Shandong, Guangdong and Guangxi were the main producing areas, and Zhejiang was the best. It is now believed that A. inflata is mostly distributed in the northern part of the Huanghai Sea, A. granosa is mostly distributed in the coastal areas south of Shandong Peninsula in China, and A. subcrenata is widely distributed in the coastal areas of China. Its quality is better in a complete, white, no residual meat and sand. In ancient times, there was no clear harvesting period, and the processing was mainly based on vinegar quenching after calcination or powdering of calcined shell, but now the harvesting period is autumn and winter. After harvesting, it is directly washed and crushed for raw use or processed by calcined method. The records of the medicinal materials in the past dynasties on the properties of Arcae Concha were mainly warm, sweet, salty and mild, and it is now believed that Arcae Concha is salty in taste and mild in nature. In ancient times, it was believed that Arcae Concha were mainly used for coldness in the heart and abdomen, coldness in the waist and spine, benefiting the five internal organs, strengthening the stomach. Nowadays, it is believed that Arcae Concha can eliminate phlegm and remove blood stasis, soften the hardness and dissipate the lumps, produce acid and relieve pain. It can be used in the treatment of stubborn phlegm, gall tumor, scrofula and other symptoms. In conclusion, it is suggested that for the famous classical formulas containing Arcae Concha, the corresponding methods should be selected according to the processing requirements of the drug in the formulas, while those without processing requirements can be determined according to the functional position of the products.
6.Herbal Textual Reseach on Haliotidis Concha in Famous Classical Formulas
Yixue ZHUANG ; Yinan LU ; Jingwen HU ; Yiqin ZHANG ; Jing MENG ; Zhilai ZHAN ; Chengzi YANG
Chinese Journal of Experimental Traditional Medical Formulae 2023;29(6):25-33
By reviewing the ancient materia medica, medical books and modern literature, this paper made a systematic textual research on Haliotidis Concha in famous classical formulas, including the name, origin, producing area, quality evaluation, harvesting and processing, in order to provide a basis for the development of famous classical formulas containing Haliotidis Concha. The textual research showed that Shijueming was the official name of Haliotidis Concha in past dynasties, and there were also aliases such as Qianliguang, Jiukongluo and Zhenzhumu named after its efficacy, properties and near-phonetic characters. Before the Tang dynasty, the original description of Haliotidis Concha was too concise, which could only be identified as the animal of genus Haliotis, family Haliotidae. During the Song, Yuan, Ming and Qing dynasties, the main varieties were H. diversicolor and H. discus hannai. At the beginning of the Republic of China, a variety of animals from genus Haliotis were used as Haliotidis Concha, and varieties were numerous and continued to this day. In ancient and modern times, the main producing areas in China are Hainan, Guangdong and Shandong, while the foreign producing areas are mainly Japan and Vietnam. The quality evaluation of Haliotidis Concha in ancient books was roughly determined by the number of openings of the expiratory orifice, and seven-hole and nine-hole abalone shells were preferred. In modern times, characters as big, neat, unbroken, clean inside and outside, lustrous, thick shells are preferred. Based on the textual research results and combined with the record years of the Shijueming San, it is suggested that the shells of H. diversicolor or H. discus hannai should be used in the development of this formula, and the raw products should be used as medicine.
7.Herbal Textual Research on Bruceae Fructus in Famous Classical Formulas
Shuiyu XU ; Yixue ZHUANG ; Yiqin ZHANG ; Yichong CHEN ; Yanning CHEN ; Zhilai ZHAN ; Chengzi YANG
Chinese Journal of Experimental Traditional Medical Formulae 2024;30(7):11-19
Through consulting the ancient herbal books and modern literature, this paper has carried out the textual research on the name, origin, place of origin, harvesting and processing, and other contents of Bruceae Fructus, combed its ancient and modern medicinal history, so as to provide reference for the development of famous classical formulas containing Bruceae Fructus. Through the herbal textual research, It can be verified that, since the Qing dynasty, Bruceae Fructus has been recorded in the materia medica, most of the materia medica in previous dynasties took Bruceae Fructus as its proper name, and Laoyadan, Kushenzi and Yadanzi as the aliases. The main origin of Bruceae Fructus is Brucea javanica, its medicinal part is the fruit, which is harvested from August to October every year, the fruit can be harvested when it is ripe. Bruceae Fructus was first distributed in Fujian, Guangdong and Guangxi, and gradually expanded to the south of China with the change of time. The traditional processing method of Bruceae Fructus is mainly to remove the shell and kernel, and remove the oil by frosting. The 2020 edition of Chinese Pharmacopoeia stipulates that its processing method is to remove the shell and impurities. Based on the research results, it is suggested that the dried mature fruit of B. javanica should be selected for the development of famous classical formulas containing this herb, and the raw products can be used if the original formula does not specify the processing requirements.