1.Experience of Professor ZHAI Shuangqing in Using Metal and Mineral Medicines to Treat Mental Disorders Based on Xiang Thinking
Dongsen HU ; Liyuan WANG ; Hongyan WANG
Journal of Traditional Chinese Medicine 2025;66(5):453-457
This paper summarizes Professor ZHAI Shuangqing's clinical experience in using metal and mineral medicines to treat mental disorders. Based on xiang thinking, the symptoms of mental disorders are classified into five categories, depression-xiang, wind-xiang, fire-xiang, phlegm-xiang, and deficiency-xiang, and the mechanisms of disease development are discussed accordingly. Metal and mineral medicines are key treatments for mental disorders, not only having the function of calming the mind but also promoting qi, stabilizing wind, expelling evil, and tonifying. In clinical practice, the emphasis is placed on harmonizing the disease and its symptoms. Based on self-developed prescription formulas, the appropriate metal and mineral medicines are selected according to the properties, flavors, meridian tropism, and actions of the medicines, as well as the xiang patterns of the mental disorder. For example, Attention Deficit Hyperactivity Disorder (ADHD) is treated by Modified Xiehuang Powder (泻黄散) with Sijunzi Decoction (四君子汤) and adding Fulonggan (Testudinis Carapax) and Longgu (Os Draconis). Persistent insomnia is treated by combining a self-developed insomnia formula with Longgu (Os Draconis), Hupo (Succinum), and Cishi (Magnetitum). Obsessive-compulsive disorder (OCD) is treated by combining a self-developed OCD formula with Longchi (Dens Draconis), Qingmengshi (Fluoritum), and Zheshi (Haematitum). Epilepsy is treated by combining an anti-epilepsy decoction with Qingmengshi (Fluoritum), Longchi (Dens Draconis), and Shengtieluo (Ferrum Rudis).
2.ZHAI Shuangqing's Experience in Treating Obsessive-Compulsive Disorder from the Perspective of "Qi Constraint with Harassing Phlegm"
Dongsen HU ; Liyuan WANG ; Hongyan WANG ;
Journal of Traditional Chinese Medicine 2024;65(20):2081-2085
This paper summarized professor ZHAI Shuangqing's clinical experience in treating obsessive-compulsive disorder (OCD) from the perspective of "qi constraint with harassing phlegm". It is believed that qi constraint with harassing phlegm is the core pathogenesis of OCD. Qi constraint and harassing phlegm interact with each other and together contribute to the disease. The formation of "qi constraint with harassing phlegm" is closely related to dysfunction of zang-fu (脏腑) organs such as the heart, spleen, liver, and gallbladder. Clinical treatment should focus on rectifying qi and dispelling phlegm, calming the mind with heavy sedatives. Based on the self-designed Jieyu Huatan Decoction(解郁化痰汤), treatment should be tailored to the patient's condition and stage of the disease, with prescriptions incorporating medicinals that fortify the spleen and boost the stomach, nourish the heart and calm the mind, soothe the liver and promote gallbladder function, and nourish yin and warm yang. At the same time, it is emphasized to flexibly select heavy sedatives such as Longgu (Os Draconis), Longchi (Dens Draconis), Muli (Concha Ostreae) and Zhenzhumu (Concha Margaritiferae Usta) to calm the mind.
3.Characteristics of eye movement behavior of reading interest and comprehensibility
Jiaxin ZHAO ; Dongsen ZHANG ; Jinhui SHI ; Qiuyue SONG ; Zhaofeng HE ; Xiaomin YING ; Shuofeng HU
Military Medical Sciences 2023;47(12):919-927
Objective To identify the eye movement characteristics that can distinguish reading interest and comprehensibilityin order to provide reference for prediction of reading interest and comprehensibility based on eye movement.Methods Tobii Glasses 3 was used to collect eye tracking data from 11 participants who read 12 texts on different topics.After reading all the texts,the participants marked each sentence with theirlevels of interest and comprehensibility.Then,Python R and excel software were used to preprocess and analyze the data,and the differences in eye movementamid the four combinations of reading interest(interested or not)and comprehensibility(levels of difficulty)were studiedat overall and individual levels.Results At the overall level,there were statistically significant differences in eye movement between the easy comprehension group and the difficult comprehensiongroup where interest was concerned,but there was little difference between the interested group and the disinterested groupwhen it came to comprehensibility.There were differences in eye movement behavior between individuals,and some of the statistically significant differences in eye movement were consistent across most of the participants.In addition,some of the eye movement characteristicswere oppositeacross different individuals or could not distinguish between the interested and disinterested at the overall level,but could be distinguished within individuals.Conclusion At the overall level,it is relatively easy to determine comprehensibility through eye movement,but it is more difficult to distinguish whether the participant is interested in the sentence or not,especially when the text is easily comprehensible.At the individual level,eye movement behavior varies widely between individuals,and individuals manifest different characteristics in distinguishing reading interest and comprehensibility.
4.Textual Research on Classical Formula Mulisan
Dongsen HU ; Xiangyang ZHANG ; Canran XIE ; Jiawei SHI ; Ziyi WANG ; Zhuoyan ZHOU ; Lin ZHANG ; Yexin CHEN
Chinese Journal of Experimental Traditional Medical Formulae 2025;31(7):191-200
The classic formula Mulisan is the 45th of the 93 formulas in the Catalogue of Ancient Classic Formulas (second batch) of Han medicine published by the National Administration of Traditional Chinese Medicine. It consists of Ostreae Concha, Astragali Radix, Ephedrae Radix et Rhizoma, and wheat, with the effect of replenishing qi and stopping sweating. It is a common formula in the clinical treatment with traditional Chinese medicine. This study analyzes the historical evolution, composition, dosage, original plants and their processing methods, decocting method, efficacy, indications, and modern clinical application of Mulisan by tracing, comparative analysis, and bibliometric methods. The results showed that Mulisan firstly appeared in the Pulse Classic written by WANG Shuhe in the Western Jin Dynasty. The formulation idea can be traced back to the Important Prescriptions Worth a Thousand Gold for Emergency in the Tang Dynasty. The herb composition, dosage, efficacy, and indications of Mulisan were first recorded in the Treatise on Diseases, Patterns, and formulas Related to Unification of the Three Etiologies in the Southern Song dynasty. In terms of original plants and their processing methods, Ostreae Concha is the shell of Ostrea rivularis, which should be calcined before use. Astragali Radix and Ephedrae Radix et Rhizoma are the dried roots of Astragalus membranaceus var. mongholicus and Ephedra sinica, respectively, the raw material of which should be used. Wheat is the dried mature fruit of T. aestivum, which can be used without processing, while the stir-fried fruit, being thin and deflated, demonstrates better effect. The composition of Mulisan is Ostreae Concha 8.26 g, Astragali Radix 8.26 g, Ephedrae Radix et Rhizoma 8.26 g, and wheat 7.92 g. The medicinal materials should be ground into coarse powder and decocted with 450 mL water to reach a volume of 240 mL, and the decoction should be taken warm. In modern clinical practice, Mulisan has a wide range of indications, including spontaneous sweating and night sweating caused by Yang deficiency or Qi deficiency. The clinical disease spectrum treated by Mulisan involves endocrine system diseases, neurological diseases, respiratory system diseases, and cancer. This formula plays a significant role in the treatment of internal medicine diseases in traditional Chinese medicine. This study aims to provide a scientific basis for the subsequent research, development, and clinical application of Mulisan.
5.Textual Research on Classical Formula Mulisan
Dongsen HU ; Xiangyang ZHANG ; Canran XIE ; Jiawei SHI ; Ziyi WANG ; Zhuoyan ZHOU ; Lin ZHANG ; Yexin CHEN
Chinese Journal of Experimental Traditional Medical Formulae 2025;31(7):191-200
The classic formula Mulisan is the 45th of the 93 formulas in the Catalogue of Ancient Classic Formulas (second batch) of Han medicine published by the National Administration of Traditional Chinese Medicine. It consists of Ostreae Concha, Astragali Radix, Ephedrae Radix et Rhizoma, and wheat, with the effect of replenishing qi and stopping sweating. It is a common formula in the clinical treatment with traditional Chinese medicine. This study analyzes the historical evolution, composition, dosage, original plants and their processing methods, decocting method, efficacy, indications, and modern clinical application of Mulisan by tracing, comparative analysis, and bibliometric methods. The results showed that Mulisan firstly appeared in the Pulse Classic written by WANG Shuhe in the Western Jin Dynasty. The formulation idea can be traced back to the Important Prescriptions Worth a Thousand Gold for Emergency in the Tang Dynasty. The herb composition, dosage, efficacy, and indications of Mulisan were first recorded in the Treatise on Diseases, Patterns, and formulas Related to Unification of the Three Etiologies in the Southern Song dynasty. In terms of original plants and their processing methods, Ostreae Concha is the shell of Ostrea rivularis, which should be calcined before use. Astragali Radix and Ephedrae Radix et Rhizoma are the dried roots of Astragalus membranaceus var. mongholicus and Ephedra sinica, respectively, the raw material of which should be used. Wheat is the dried mature fruit of T. aestivum, which can be used without processing, while the stir-fried fruit, being thin and deflated, demonstrates better effect. The composition of Mulisan is Ostreae Concha 8.26 g, Astragali Radix 8.26 g, Ephedrae Radix et Rhizoma 8.26 g, and wheat 7.92 g. The medicinal materials should be ground into coarse powder and decocted with 450 mL water to reach a volume of 240 mL, and the decoction should be taken warm. In modern clinical practice, Mulisan has a wide range of indications, including spontaneous sweating and night sweating caused by Yang deficiency or Qi deficiency. The clinical disease spectrum treated by Mulisan involves endocrine system diseases, neurological diseases, respiratory system diseases, and cancer. This formula plays a significant role in the treatment of internal medicine diseases in traditional Chinese medicine. This study aims to provide a scientific basis for the subsequent research, development, and clinical application of Mulisan.