1.Study on Zhang Yunling's Medication Law in Treating Headache Based on Data Mining
Hongxi LIU ; Xiao LIANG ; Jingzi SHI ; Jingjing WEI ; Wei SHEN ; Guojing FU ; Yue LIU ; Liuding WANG ; Yunling ZHANG
Chinese Journal of Information on Traditional Chinese Medicine 2024;31(1):59-64
Objective To study the medication law of Professor Zhang Yunling in the treatment of headache based on data mining technology;To provide ideas for the clinical treatment of headache.Methods Professor Zhang Yunling's outpatient TCM prescription data for the treatment of headache from Sep.2017 to Dec.2020 were collected,and the Ancient and Modern Medical Record Cloud Platform 2.3.5 was used to mine the selected TCM prescriptions for herbal medicine frequency statistics,property,taste and meridian tropism statistics,herbal medicine efficacy statistics,correlation analysis,clustering analysis,complex network analysis,etc.Results Through collection and screening,totally 332 prescriptions were included,involving 178 kinds of Chinese materia medica,with a total frequency of 5 380 times.The top 10 kinds of Chinese materia medica were Chuanxiaong Rhizoma,Paeoniae Radix alba,Atractyodis Macrocephalae Rhizoma,Testudinis Carapax et Plastrum,Bambusae Caulis in Taenia,Glycyrrhizae Radix et Rhizoma,Astragali Radix,Amomi Fructus Rotundus,Pinelliae Rhizoma Praeparatum,and Polygalae Radix.They were mainly warm,mild and slightly cold in properties,sweet,pungent and bitter in tastes,and liver,lung,spleen meridian in meridian tropism.In the statistics of herbal medicine efficacy,expelling wind and relieving pain,suppressing liver yang,promoting blood circulation and qi,clearing heart and relieving restlessness,clearing heat and detoxifying,softening liver and relieving pain were used more frequently.The combinations in herbal medicines association included"Atractyodis Macrocephalae Rhizoma-Chuanxiaong Rhizoma","Testudinis Carapax et Plastrum-Paeoniae Radix alba","Glycyrrhizae Radix et Rhizoma-Paeoniae Radix alba","Testudinis Carapax et Plastrum-Chuanxiaong Rhizoma","Bambusae Caulis in Taenia-Chuanxiaong Rhizoma".Herbal medicines clustering clustered 32 kinds of high-frequency herbal medicines used more than 60 times into 6 categories.Complex network analysis screened out the core formula for the treatment of headache:Chuanxiaong Rhizoma,Paeoniae Radix alba,Atractyodis Macrocephalae Rhizoma,Bambusae Caulis in Taenia,Pinelliae Rhizoma Praeparatum,Testudinis Carapax et Plastrum,Astragali Radix,Amomi Fructus Rotundus,and Glycyrrhizae Radix et Rhizoma.Conclusion In the treatment of headache,Professor Zhang Yunling holds that the pathogenesis of headache is deficiency in origin and excess in superficiality,deficiency of qi and blood,loss of nourishment of brain collaterals,stagnation of phlegm and dampness,disturbance of wind pathogen,obstruction of brain collaterals,and the location of the disease is related to the five viscera and involves the stomach.Focuses on tonifying deficiency and reducing excess,treats exterior and interior separately,and gives consideration to both the symptoms and the root causes,which often uses drugs to treat headache,such as dispelling wind and relieving pain,promoting blood circulation and relieving pain,relieving spasm and relieving pains,eliminating phlegm and dampness,invigorating qi and spleen,nourishing blood and yin,eliminating dampness and regulating stomach,relieving depression and restlessness,which can provide some reference for the clinical treatment of headache.
2.Study on the Medication Rule of the National Patent of Traditional Chinese Medicine Compound Formula in the Treatment of Depression
Hongxi LIU ; Jingzi SHI ; Xiao LIANG ; Wei SHEN ; Jingjing WEI ; Yue LIU ; Guojing FU ; Yunling ZHANG
Journal of Traditional Chinese Medicine 2023;64(19):2027-2032
ObjectiveTo explore the medication rules of traditional Chinese medicine compounds for depression in the National Patent Database using data mining, and to provide ideas for the clinical treatment and the development of new drugs for depression. MethodsThe patent data of traditional Chinese medicine compounds for the treatment of depression were searched from inception to July 1st, 2022 on the Patent Publication Announcement website of China National Intellectual Property Administration. The selected traditional Chinese medicine compounds were analyzed by using the data mining section of the ancient and modern medical record cloud platform (V2.3.5) for drug frequency, and based on this, the nature, flavor, channel entry and function of the medicinals were analyzed. Representative high-frequency herbal combinations were obtained through correlation analysis, while the classification of Chinese medicine compounds for depression was analyzed by cluster analysis, and the core combinations of herbs for the treatment of depression were screened out using complex network analysis. ResultsA total of 325 Chinese medicine compounds were included, involving 452 herbs, with a total frequency of 3532 times. The top 10 mostly used herbs were Yujin (Radix Curcumae, 122 times), Chaihu (Radix Bupleuri, 122 times), Baishao (Radix Paeoniae Alba, 109 times), Suanzaoren (Spina Date Seed, 95 times), Fuling (Poria, 94 times), Danggui (Radix Angelicae Sinensis, 94 times), Yuanzhi (Radix Polygalae, 84 times), Baizhu (Rhizoma Atractylodis Macrocephalae, 72 times), Shichangpu (Rhizoma Acori Graminei, 71 times), and Danshen (Salvia Miltiorrhiza, 61 times). The natures of the herbs were mainly warm (998 times), neutral (944 times), slightly cold (596 times) and cold (497 times); the flavors were mainly sweet (1648 times), acrid (1392 times), and bitter (1337 times); the channels of entry were mainly liver (1695 times), heart (1521 times), spleen (1326 times) and lung (1268 times). The medicinals with the function of soothing liver to relieve constraint, moistening the intestines to promote defecation, calming the heart and the mind, moving qi to relieve constraint were used more frequently. The high frequency herbal combinations by association analysis included “Chaihu (Radix Bupleuri)→ Baishao (Radix Paeoniae Alba)”, “Danggui (Radix Angelicae Sinensis)→Chaihu (Radix Bupleuri)” and “Baishao (Radix Paeoniae Alba)→ Yujin (Radix Curcumae)”. The 22 high frequency medicinals used more than 40 times could be clustered into six categories. Complex network analysis found the core herbal combination for the treatment of depression was the formula of Chaihu (Radix Bupleuri), Yujin (Radix Curcumae), Baishao (Radix Paeoniae Alba), Danggui (Radix Angelicae Sinensis), Fuling (Poria), Suanzaoren (Spina Date Seed), and Xiangfu (Cyperi Rhizoma). ConclusionTraditional Chinese medicine compounds for the treatment of depression is mainly based on the pathogenesis of constraint, stasis and deficiency, focusing on the liver, heart, spleen and lung, commonly using medicinals with the function of soothing liver to relieve constraint, fortifying spleen and nourishing heart, regulating qi and invigorating blood, and moistening the intestines to promote defecation, which can provide a reference for the clinical treatment and new drug research and development for depression.
3.Clinical Application of Toxin Pathogen Causing Disease in Common Nervous System Diseases: A Review
Hongxi LIU ; Wei SHEN ; Jingjing WEI ; Yue LIU ; Jingzi SHI ; Guojing FU ; Xiansu CHI ; Xiao LIANG ; Yunling ZHANG
Chinese Journal of Experimental Traditional Medical Formulae 2022;28(24):244-252
The diverse nervous system diseases (NSDs) are common complex refractory systemic diseases in clinical settings, which are manifested as trigeminal neuralgia, facial paralysis, neuromyelitis optica, multiple sclerosis, stroke, vascular dementia, encephalitis B, Parkinson's disease, epilepsy, Alzheimer's disease, amyotrophic lateral sclerosis, and diabetic peripheral neuropathy. Amid the accelerating population aging, the morbidity and prevalence of NSDs have been on the rise, posing a threat to quality of life of patients and bringing a heavy burden to society and individuals. This is also a challenge to the clinical prevention and treatment of the diseases. At the moment, NSDs are mainly treated with western medicine which is effective. However, in the long-term use and progression of the diseases, there are some potential risks such as adverse drug reactions, easy recurrence after withdrawal, drug dependence, and drug resistance. From the holistic view, traditional Chinese medicine (TCM) excels in treating diseases based on syndrome differentiation. According to the etiology, location, and pathogenesis of diseases in TCM, the overall therapy is applied, shows obvious advantages in alleviating disease symptoms, delaying disease progression, and improving the quality of life. TCM has a long history and categorizes NSDs into encephalopathy. According to clinical practice and theories, toxin is an important pathogen of NSDs in TCM. To be specific, the external toxins are insect and beast toxins, food toxin, toxin of six excesses, and epidemic toxin, and the internal toxins are phlegm toxin, dampness toxin, stasis toxin, fire toxin, and turbid toxin. Accumulation of all pathogens will lead to diseases with multiple syndromes. In the case of sudden attack of toxin, the disease is characterized by rapid onset. In the instance of fierce toxin, disease progresses rapidly. If the toxin is dependent, the disease symptoms are diverse. If the toxin is stubborn and frequently occurs, disease recurrence is common. In the case that toxin damages the collaterals, the healthy Qi is impaired. Controlling physiological function of the body, nervous system corresponds to the house of brain in TCM, which is the extraordinary organ, the house of intelligence, and the seat of mental activities that governs the whole body. In the case of toxin damaging the brain collaterals, cerebrospinal injury and orifice obstruction will occur, followed by disharmony of Qi and blood, Yin-yang imbalance, vital activity injury, disorder of primordial spirit, and dysfunction. The treatment principle should be detoxification and eliminating pathogen, and different diseases should be treated with the same method. At the moment, many doctors and scholars have focused on the prevention and treatment of NSDs based on the toxin pathogen. This paper summarizes the research on the clinical application of toxin pathogen causing disease in NSDs, including the peripheral nerve disease, demyelinating disease of the central nervous system, cerebrovascular disease, infectious disease of central nervous system, movement disorders, epilepsy, nervous system degenerative disease and nervous system complications of internal medicine disease, which is expected to provide some ideas and methods for the prevention and treatment of NSDs with TCM.
4.ZHANG Yunling's Experience in the Treatment of Amyotrophic Lateral Sclerosis from Emphasis on both Spleen and Kidney
Liuding WANG ; Xueming FAN ; Wei SHEN ; Hongxi LIU ; Jingzi SHI ; Jingjing WEI ; Xiao LIANG ;
Journal of Traditional Chinese Medicine 2023;64(20):2067-2070
This paper summarized Professor ZHANG Yunling's experience in the treatment of amyotrophic lateral sclerosis (ALS) from emphasis on both spleen and kidney. It is considered that the characteristic of ALS manifested as overlap of atrophy-flaccidity disease and convulsive disease, and the core pathogenesis are the deficiency of spleen and kidney and the inner pathogenic qi. ZHANG advocated that ALS should be treated from tonifying both the spleen and kidney, as strong spleen and kidney led the latent pathogen at peace. Usually applied Huangqi (Astragalus mongholicus), Baizhu (Atractylodes macrocephala) combined with Taizishen (Pseudostellaria heterophylla), fried Yiyiren (Coix lacryma-jobi), Doukou (Myristica fragrans) and Sharen (Wurfbainia villosa) to tonify the middle and replenish qi, ascend lucidity and descend turbidity to invigorate the spleen; Roucongrong (Cistanche deserticola), Tusizi (Cuscuta chinensis) combined with Shanyao (Dioscorea oppositifolia), Shanzhuyu (Cornus officinalis) and prepared Dihuang (Rehmannia glutinosa) are used to support the fire and nourish the water, so as to replenish the spleen. The empirical formula regarded invigorateing the spleen and replenishing the kidney as the core therapeutic principle throughout the treatment of the whole process, which aimed at extinguishing inner wind and pacifying latent pathogen when treating the root.
5.Thought of Treatment of Orifices Based on Correspondence Between Drugs and Symptoms in Chinese Herbal Classics in Past Dynasties
Hongxi LIU ; Jingzi SHI ; Jingjing WEI ; Yue LIU ; Wei SHEN ; Yunmeng CHEN ; Liuding WANG ; Xiansu CHI ; Xiao LIANG ; Yunling ZHANG
Chinese Journal of Experimental Traditional Medical Formulae 2023;29(5):185-193
ObjectiveTo discuss the thought of treatment of orifices in the Chinese herbal classics in the past dynasties based on the correspondence between drugs and symptoms to guide the clinical treatment based on syndrome differentiation. MethodAll the literature data of Chinese herbal classics were retrieved from the database of the Chinese Medical Dictionary, involving 76 works of Chinese herbal classics and covering representative works from the Han dynasty to the Ming and Qing dynasties. The information on Chines herbal drugs for the treatment of orifices was collected and sorted out. According to Chinese Materia Medica (11th Edition) and Pharmacopoeia of the People's Republic of China (2020 Edition), the nature, flavor, and meridian tropism of the selected Chinese herbal drugs were statistically analyzed. The pathogenesis elements in the treatment of orifices were classified and counted, and the contents of syndrome differentiation and treatment in various Chinese herbal classics were extracted. ResultIn 76 Chinese herbal classics in the past dynasties, 93 Chinese herbal drugs for the treatment of orifices were selected. The nature of drugs was mainly warm, followed by cold and mild. The flavor was mainly pungent, followed by bitter and sweet. In terms of meridian tropism, drugs mainly acted on the lung meridian, followed by stomach, heart, liver, spleen, and kidney meridians. The pathogenesis elements of orifices could be divided into six categories, i.e., wind invasion, turbid obstruction and Qi stagnation, water and dampness stagnation, blood stasis and collaterals blockage, heat and toxin damage, deficiency of vital Qi and cold coagulation. ConclusionOrifices are mainly treated with drugs effective in dispelling wind and pathogenic factors, resolving turbidity and removing stagnation, inducing diuresis and eliminating dampness, promoting blood circulation and dredging collaterals, clearing heat and purging fire, tonifying deficiency and dispelling cold, which are used in combination. Eliminating pathogenic factors and dredging, tonifying deficiency and purging excess are the main characteristics of treatment of orifices based on syndrome differentiation, which is in line with the physiological dysfunction state of orifices in losing the function, evil Qi blockage and healthy Qi deficiency.