Objective Spontaneous pneumothorax occurred mainly because of bulla rupture and its formation process and pathogenesis were unknown,the study was to detect the express level of the cytokines KL-6,FGF-10 and MMP-9 in the spontaneous pneumothorax patients with bulla and researched its significance.Methods Selected 24 cases of bulla resection for spontaneous pneumothorax patients,the immunohistochemical staining techniques and enzyme-linked immunosorbent assay (ELISA) was taken to detect the expression level of KL-6,FGF-10 and MMP-9 of the bulla site and the bulla adjacent site.Results Immunohistochemical results showed that the staining intensity of the KL-6 and FGF-10 in groups of bulla site was higher than those in groups of bulla adjacent site while there was no significant difference of MMP-9 in the two groups.ELISA results showed that the expression levels of the KL-6 and FGF-10 in groups of bulla site are higher than those in groups of bulla adjacent site and the results had statistically significant (P ＜ 0.05),while there was no statistically significant of MMP-9 in the two groups(P ＞0.05).Conclusion The expression of the KL-6 and FGF-10 in the bulla site in primary spontaneous pneumothorax patients was higher than that in the normal site ; the pulmonary fibrosis mediated by KL-6 and the lung-bronchial congenital abnormalities mediated by abnormal expression of FGF-10 might have correlation with bulla formation.There was no statistically significant of the MMP-9 expression between the two groups and the correlation between inflammation mediated by MMP-9 and bulla formation was not clear.

Fibrosis refers to the final outcome of damage in multiple-type tissue and the imbalance of tissue repair especially in the process of chronic inflammatory response diseases.Fibrosis can occur in various organ tissues.Its continuous progression may lead to organ dysfunction and failure,which is a huge threat to human health.Traditional Chinese medicine has significant therapeutic effects in preventing and treating fibrosis.Due to its characteristics of multiple components,pathways,and targets,it has become a hot research topic in the field of fibrosis.Astragali Radix,a Chinese medicinal for supplementing qi,is the root of Astragalus membranaceus(Fisch.)Bge.var.mongholicus Hisao or Astragalus membranaceus(Fisch.)Bge.It has the effects of replenishing qi and elevating yang,generating fluid and nourishing blood,expelling toxin and draining pus,astringing sore and promoting granulation.It has found that Astragali Radix contains many chemical components such as polysaccharides,saponins,and flavonoids,which have good anti-inflammatory and antioxidant effects.Astragali Radix can effectively intervene in the fibrosis process of multiple organ tissues such as the heart,kidney,liver,and lung.Therefore,this article reviews the anti-fibrotic effects and mechanisms of Astragali Radix and its chemical components,hoping to provide ideas and references for the development and utilization of Astragali Radix.

Diabetes mellitus （DM） is a metabolic disease mainly characterized by chronic hyperglycemia and has multiple etiologies. The complications of DM， such as coronary atherosclerosis， nephropathy， foot disease and cardiac dysfunction， have high morbidity， disability rate and mortality. DM and its complications have a long course of disease and are easy to relapse， which are difficult to be cured， seriously affecting people's life and health. NOD-like receptor pyrin domain-containing 3 （NLRP3） inflammasome is an important component of inflammatory response and innate immune system. The inflammatory cascade induced by NLRP3 activation is involved in the occurrence and development of DM as well as its complications by releasing inflammatory factors， damaging endothelial cells and affecting metabolic stress. Therefore， as the core of the inflammatory response， NLRP3 may provide a new target for the treatment of DM and its complications. Traditional Chinese medicine plays a key role in the treatment of DM and its complications， and has a regulatory effect on NLRP3. Thus it has become a novel research strategy to prevent and treat DM and its complications via modulating NLRP3. However， at present， there are relatively scattered reports and a lack of systematic review on the role of traditional Chinese medicine in the treatment of DM and its complications from the perspective of NLRP3. As a result， this paper reviewed domestic and foreign literature in recent years and conducted the discussion from two aspects： the influence of NLRP3 on the occurrence and development of DM and its complications， and the progress of traditional Chinese medicine in intervening in DM and its complications through NLRP3. This paper provided reference for the research on the regulation of NLRP3 and a new direction for the treatment of DM and its complications.

With high incidence and lethality rate and certain disability rate， tumor has become a major global public health threat. It has been verified that the occurrence and development of tumor are resulted from the synergy of environment， heredity， and gene mutation， involving the abnormal activation or inhibition of a variety of related pathways such as oxidative stress， inflammation， autophagy， and mesenchymal transition of cells. Among them， the excessive activation of inflammatory signaling pathway is one of the main mechanisms of carcinogenesis and tumor progression， which enhances the proliferation， chemoradiotherapy resistance， invasion， and metastasis of cancer cells. At the moment， the correlation between long-term chronic uncontrollable inflammation and "inflammation-cancer transformation" has been widely recognized. Therefore， it is of great significance for the prevention and treatment， diagnosis， and prognosis evaluation of tumor to clarify the role of inflammation in the incidence of tumor. Blockers or activators have been developed to target the corresponding inflammatory pathways. However， tumor is accompanied by the abnormality of multiple inflammatory pathways， especially the advanced tumor with metastasis of cancer cells， and thus the efficacy of single pathway-targeting agents is non-ideal. Chinese medicine， featuring multiple components and multiple targets， can remarkably control the inflammatory response， delay tumor progression， enhance the sensitivity of tumor cells to radiotherapy and chemotherapy， and reduce postoperative infection and the adverse reactions caused by radiotherapy and chemotherapy， thereby exerting the anti-cancer effect. Nevertheless， a few reports on the anti-tumor effect of Chinese medicine from the perspective of inflammation are available. Therefore， this paper mainly expounds the influence of inflammation on the occurrence and development of tumor and summarizes the research on the intervention of tumor by Chinese medicine through inflammatory pathway， which is expected to provide a new mindset for the prevention and treatment of tumor.

Objective To investigate the modeling elements of various types of animal models for acute liver injury,and to provide references and suggestions to establish and evaluate animal models of acute liver injury(ALI).Methods The animal experimental literature of ALI from 2002 to 2022 was searched in the databases of the China Knowledge Network,WanFang,Chongqing Vip(VIP),Chinese Medical Journal Full Text Data(Yiigle),and PubMed.The animal species,positive control drugs,modeling method,modeling drugs,and drug administration of the animal models of ALI in the literature were summarized.The result were analyzed using Excel,SPSS Modeler 18.0,and Cytoscape 3.8.2.Results A total of 896 articles were included in the databases.The most used animal models for ALI were male KM mice.The modeling method were mainly chemical liver injury,alcoholic liver injury,drug-related liver injury,and immune liver injury.①The corresponding main modeling method were intraperitoneal injection of 10 mL/kg of 0.1％CC14 in vegetable oil at 24 h before experiments,②gavage of 12.0 mL/kg of 50.0％～56.0％ethanol at 16 h before experiments,③intraperitoneal injection of 300 mg/kg APAP at 24 h before experiments,④tail vein injection of 20 mg/kg Con A at 8 h before experiments.Evaluation of the models was based on liver pathological indexes as the gold standard combined with biochemical indexes of serum ALT,AST,and SOD and MDA contents and activities in liver tissue homogenate as direct indicators.Conclusions Because the causes of ALI vary in clinical practice,the preparation of animal models of ALI should be based on the specific study content and characteristics,and the corresponding modeling method should be selected.

ObjectiveTo study the changes of dry matter accumulation， mineral element absorption and medicinal component accumulation in Belamcanda chinensis and to provide a theoretical basis for fertilization in the standardized cultivation of B. chinensis. MethodDuring the two-year growth period of B. chinensis， the samples were collected at 30-day intervals from day 90 after sowing for the measurement of dry matter accumulation and mineral element content in different organs as well as the flavonoid content in the rhizome. ResultAccording to the accumulation of dry matter in different organs， the two-year growth period of B. chinensis was divided into seven stages： seedling stage （before July in the first year）， first-year vegetative growth stage （August to October in the first year）， first-year late growth stage （November to January of the second year）， re-growth stage （February to March in the second year）， second-year vegetative growth stage （April to May in the second year）， reproductive growth stage （June to October in the second year）， second-year late growth stage （November of the second year to January of the third year）. During the whole growth period， the late growth stage of each year witnessed the expansion of the rhizome， and the accumulation of dry matter of the whole plant peaked after the reproductive growth stage. The content of flavonoids in the rhizome varied greatly among different stages. Specifically， the content of mangiferin， tectorigenin and irigenin was higher in the second-year vegetative growth stage， and that of tectoridin and iridin was higher in the first-year late growth stage and the second-year late growth stage. The content of irisflorentin was higher in the second-year vegetative growth stage and the second-year late growth stage than that in other stages. The total content of six flavonoids peaked in the second-year vegetative growth stage （April in the second year）. The correlation analysis showed that all the nine mineral elements had different degrees of positive correlations with tectorigenin， irigenin and irisflorentin. ConclusionIn the first year， B. chinensis presents slow dry matter accumulation and low demand for fertilizer， so the application of base fertilizer can be reduced. In the second year， especially after the reproductive growth， B. chinensis demands high fertilizer， so nitrogen， phosphorus and potassium fertilizers and other micronutrients should be applied as early as possible. In addition， the rhizome expands in October to November of the first year and November to December of the second year， when the supply of nitrogen and potassium to the rhizome should be ensured or beneficial elements should be supplemented to improve the quality of B. chinensis.

ObjectiveTo investigate the effects of different nitrogen application rates on the growth， yield and quality of Belamcanda chinensis and to provide a theoretical basis for the quality and production efficiency improvement of B. chinensis. MethodA field experiment was carried out on the basis of 120 kg·hm^-2 phosphate and potassium fertilizers， with five nitrogen fertilizer treatments： 0 （N₀）， 60 （N₆₀）， 120 （N₁₂₀）， 180 （N₁₈₀） and 240 （N₂₄₀） kg·hm^-2. The effects of different nitrogen application rates on the agronomic traits， yield， mineral element accumulation and flavonoid content of B. chinensis were studied. ResultApplication of nitrogen fertilizer was beneficial to dry matter accumulation and significantly increased the yield of rhizome. After the application of nitrogen fertilizer， the yield of rhizome increased by 48.75%-86.62%. The nitrogen application at 60-180 kg·hm^-2 increased the active components such as tectoridin， iridin and irisflorentin， while it was not conducive to the accumulation of tectorigenin and irigenin in the rhizome. The accumulation of Mn and Fe reached the highest when the nitrogen application rate was 120 and 60 kg·hm^-2， respectively. The principal component analysis of active component content showed that the comprehensive score was ranked as N₁₈₀>N₁₂₀>N₆₀>N₂₄₀>N₀. The correlation analysis indicated that the tectoridin content had a positive correlation with N accumulation and a negative correlation with Ca accumulation in B. chinensis. The content of tectorigenin was negatively correlated with N accumulation and positively correlated with Ca accumulation. The content of irigenin had positive correlations with Ca and Zn accumulation. ConclusionThe nitrogen application at 120-180 kg·hm^-2 can increase the rhizome yield and the content of tectoridin， iridin and irisflorentin in the rhizome， so as to improve the yield and quality of this herb.

ObjectiveTo investigate the effects of different potassium application rates on the growth， yield and quality of two-year-old Belamcanda chinensis and to provide a basis for potassium application to achieve high yield and quality of B. chinensis. MethodOn the basis of nitrogen and phosphorus fertilization at 120 kg·hm^-2， we designed five potassium treatments of 0 （K₀）， 60 （K₆₀）， 120 （K₁₂₀）， 180 （K₁₈₀） and 240 （K₂₄₀） kg·hm^-2 in a field experiment to study the effects of different potassium application rates on the agronomic traits， rhizome yield， flavonoid content and potassium fertilizer utilization efficiency of the two-year-old B. chinensis. ResultThe application of potassium fertilizer promoted the root development and tillering， which significantly improved the yield of B. chinensis. Compared with the K₀ treatment， the other potassium treatments increased the rhizome yield by 16.0%-44.0% and K₁₈₀ had the highest yield. The application of potassium fertilizer increased the accumulation of flavonoids in the rhizomes of B. chinensis. The total accumulation of six flavonoids （mangiferin， tectoridin， iridin， tectorigenin， irigenin and irisflorentin） increased by 33.2% in the K₁₂₀ treatment compared with that in the K₀ treatment. Furthermore， the application of potassium fertilizer promoted the accumulation of N， K， Mg， Fe and Zn. With the increase in potassium application rate， the potassium accumulation of B. chinensis first increased and then decreased， while the partial productivity and the absorptivity of roots and leaves gradually decreased. The agronomic efficiency of potassium fertilizer was higher at low to medium potassium application rates and decreased significantly at high potassium application rates. The results of the principal component analysis indicated that the ranking of the overall quality score of B. chinensis was K₁₂₀>K₁₈₀>K₂₄₀>K₆₀>K₀. ConclusionConsidering factors such as yield， quality and potassium utilization efficiency of two-year-old B. chinensis， the potassium application at 120-166 kg·hm^-2 is recommended for the production of B. chinensis in Tuanfeng County.

ObjectiveTo investigate the effect of the combined application of organic fertilizer and chemical fertilizer at different ratios on the growth， yield and quality of two-year-old Belamcanda chinensis and provide a scientific basis for fertilization to achieve high yield and quality of this medicinal plant. MethodIn a field plot experiment， we designed five fertilization patterns with organic fertilizer and chemical fertilizer at different ratios： OM₀ （pure chemical fertilizer）， OM₁ （30% organic fertilizer + chemical fertilizer， application of organic fertilizer at 2 567 kg·hm^-2）， OM₂ （50% organic fertilizer + chemical fertilizer， application of organic fertilizer at 4 283 kg·hm^-2）， OM₃ （70% organic fertilizer + chemical fertilizer， application of organic fertilizer at 6 000 kg·hm^-2）， and OM₄ （pure organic fertilizer， 8 567 kg·hm^-2）. The effect of different fertilization patterns on the agronomic properties， herb yield， flavonoid content， mineral element content， and fertilizer utilization rate of B. chinensis were determined. ResultThe combined application of organic fertilizer and chemical fertilizer at an appropriate ratio increased the leaf width and promoted tillering， thereby improving the yield of B. chinensis. The yield of OM₁ and OM₂ groups increased by 6.65% and 13.10%， respectively， compared with that of OM₀ group， while too high a proportion of organic fertilizer led to a decrease in yield. With organic fertilizer application， the content of mangiferin， tectoridin， iridin， tectorigenin， irigenin， and irisflorentin in the rhizomes of B. chinensis increased. Moreover， a certain proportion of organic fertilizer facilitated the accumulation of functional elements such as K， Fe and Cu. The results of the principal component analysis showed that the overall quality of B. chinensis was ranked in the order of OM₃ > OM₂ > OM₁ > OM₄ > OM₀. The OM₂ group had the maximum accumulation of N， P and K and the maximum partial factor productivity of fertilizer. ConclusionAccording to the agronomic traits， yield， quality indexes and fertilizer utilization rate of B. chinensis under different fertilization patterns， we recommended to apply 4 283 kg·hm^-2 organic fertilizer in combination with chemical fertilizer to the production of two-year-old B. chinensis， so as to improve the quality and yield of B. chinensis.

ObjectiveTo investigate the effects of different phosphorus application rates on the growth， yield and quality of two-year-old Belamcanda chinensis and provide a basis for phosphorus application in the high-quality and high-yielding cultivation of B. chinensis. MethodIn this study， we designed five phosphorus application rates of 0 （P₀）， 60 （P₆₀）， 120 （P₁₂₀）， 180 （P₁₈₀） and 240 （P₂₄₀） kg·hm^-2 on the basis of 120 kg·hm^-2 nitrogen and potassium fertilizers to investigate the effects of different phosphorus levels on the agronomic traits， yield， mineral content， flavonoid content and phosphorus utilization efficiency of B. chinensis through field experiments. ResultThe plant height and tillering number of B. chinensis gradually increased after phosphorus fertilization. The phosphorus application increased the rhizome yield by 37.59%-61.03% compared with P₀ treatment and the highest yield was achieved when phosphorus fertilizer was applied at 120 kg·hm^-2. The content of mangiferin and irisflorentin in the rhizomes gradually increased with the increase in phosphorus application and the moderate application of phosphorus fertilizer increased the content of tectoridin， iridin and irigenin. The highest Mn， Cu and Fe elements were achieved at 60 and 120 kg·hm^-2 of phosphorus fertilization， respectively. The overall quality scores of B. chinensis were ranked in the order of P₂₄₀>P₁₈₀>P₁₂₀>P₆₀>P₀. With the increase in phosphorus application， the phosphorus accumulation of B. chinensis first increased and then decreased， and the partial factor productivity， apparent utilization rate and agronomic efficiency of phosphorus fertilizer gradually decreased. ConclusionConsidering the yield， quality and phosphorus utilization efficiency of B. chinensis， it is recommended to apply phosphorus fertilizer at about 120 kg·hm^-2 in the production of B. chinensis in Tuanfeng county.