1.The related factors of post-stroke depression and nursing intervention in patients with motor aphasia
Xiaoyan FU ; Lingru WANG ; Hua WANG ; Maoyu DONG ; Ganglian YU ; Li JIANG
Chinese Journal of Practical Nursing 2016;32(25):1950-1953
Objective To explore the related factors and nursing interventional methods of depression in patients with motor aphasia after stroke. Methods The Stroke Aphasic Depression Questionnaire-Hospital version (SADQ-H) was used to diagnose depression of 271 patients with motor aphasia after stroke. The association of post-stroke depression with social factors, vascular risk factors and stroke features were analyzed. The relationship between depression severity and aphasia severity were analyzed. A total of 166 patients with depression were divided into the control group and the observation group to carry out different nursing interventional methods. Results The incidence of post-stroke depression in patients with motor aphasia was 61.3%(166/271). The occurrence of post-stroke depression was correlated with female (χ2=5.580, P=0.02) , age less than 60 years old (χ2=4.390, P=0.04) , living alone (χ2=5.400, P=0.02) , recent negative events (χ2=4.420, P=0.04). The multi-factor Logistic regression analysis showed that the occurrence of post-stroke depression was independently associated with female (OR=2.58, 95%CI 2.12-3.86, P<0.01), age less than 60 years old(OR=2.62, 95%CI 2.16-3.94, P<0.01), living alone(OR=2.59, 95%CI 2.13-3.92, P<0.01). After 4 weeks of nursing intervention, there were significant differences in SADQ-H scores (t=2.94, P=0.002) and distribution of Boston Diagnostic Aphasia Examination (BDAE) (χ2=14.045,P=0.000) between the control group and the observation group. Conclusions Female, ages less than 60 years old, living alone are independent risk factors of post-stroke depression in motor aphasia patients. The degree of depression is associated with aphasia severity. The early nursing intervention can improve the depression status and promote recovery of the language function of patients with motor aphasia after stroke.
3.Comparative study on the medication law in prescriptions of Ye Tianshi and Wu Jutong for spleen and stomach diseases based on data mining
Xing LIU ; Qi WANG ; Mingyue MA ; Lingru LI ; Kanghua MO ; Zheng YANG
International Journal of Traditional Chinese Medicine 2023;45(10):1319-1323
Objective:To analyze the medication characteristics and prescription law of Ye Tianshi and Wu Jutong in the treatment of spleen and stomach diseases based on data mining method; To provide reference for clinical treatment of spleen and stomach diseases.Methods:Records related to spleen and stomach diseases in the Lin Zheng Zhi Nan Yi An and Wu Ju Tong Yi An were collected. SPSS Statistics 26.0, SPSS Modeler 18.0 and other software were used to conduct statistical analysis on the frequency, properties and efficacy of Chinese materia medica. The association analysis and clustering analysis were carried out on high-frequency drugs. Results:A total of 423 medical records, 231 kinds of Chinese materia medica (2 752 times) were included in the Lin Zheng Zhi Nan Yi An. A total of 83 medical records, 115 kinds of Chinese materia medica (753 times) were included in Wu Ju Tong Yi An. The Chinese materia medica used by Ye Tianshi and Wu Jutong to treat spleen and stomach diseases was mainly warm, mild and cold, with pungent, sweet and bitter as the main tastes; they mainly belonged to the spleen, lung and stomach meridians, and their main functions included clearing heat, diverting water and dampness, regulating qi, resolving phlegm, relieving cough, and tonifying deficiency. 6 second-order association rule combinations and 5 effective clusters were obtained for Ye Tianshi's treatment of spleen and stomach diseases, and 15 second-order association rule combinations and 6 effective clusters for Wu Jutong's treatment. Conclusions:Ye Tianshi and Wu Jutong's medication attributes in the treatment of spleen and stomach diseases are basically similar. They often use the method of bitter catharsis to regulate the qi movement of spleen and stomach, and the products of sweet and mild infiltration are used to eliminate dampness and heat. Compared with Ye Tianshi, Wu Jutong used few tonic, heat-clearing, phlegm-resolving, cough-relieving and asthma-relieving drugs, and more diuretics and qi-regulating drugs.
4.Exploration of Syndromes and Prescriptions Related to Qi-Depression Constitution
Xueke WANG ; Tianxing LI ; Yini FANG ; Lingru LI ; Qi WANG
Journal of Traditional Chinese Medicine 2023;64(20):2057-2062
Based on qi-depression constitution, we systematically sorted out and summarized the manifestations of specific symptoms and prescriptions of qi-depression constitution. It is believed that a series of syndromes can be developed due to the imbalance in patients with qi-depression constitution. The four most common syndromes inclinic were summarized as liver depression, deficient depression, phlegm-heat depression, and stagnation. “Liver depression” resulted from liver failing to free flow of qi, then qi stagnated, so Xiaoyao Powder (逍遥散) was recommended as treatment for liver qi depression, spleen deficiency and blood insufficiency; Danzhi Xiaoyao Powder (丹栀逍遥散) for liver depression and spleen deficiency, depression transforming into fire; Bentun Decoction (奔豚汤) for liver depression transforming into fire, upward rushing of qi counterflow. “Deficient depression” resulted from long-term mental disorder and will consume qi and blood potentially to qi and blood deficiency, so Ganmai Dazao Decoction (甘麦大枣汤) was recommended as treatment for deficiency of both heart and spleen, and heart and spleen failing to tonify; Baihe Dihuang Decocotion (百合地黄汤) for heart and lung with yin deficiency, spirit and soul failing to guard. “Phlegm-heat depression” resulted from disturbance of qi movement, affecting the transportation of essence, blood and body fluids, gathering dampness and forming phlegm into heat. Banxia Houpo Decoction (半夏厚朴汤) was recommended as treatment for liver depression and failing to transportation, phlegm coagulation and qi stagnation; Chaihu (or Chaiqin) Wendan Decoction (柴胡(芩)温胆汤) for liver depression and phlegm-heat harassing internally, and disharmony of gallbladder and stomach; self-made Shugan Jieyu Decoction (舒肝解郁汤) for liver-qi stagnation and phlegm-fire harassing internally. “Stagnation” resulted from stagnation of Qi and blood, accumulation of turbid phlegm, and forming stasis over time, so Yueju Pill (越鞠丸) was recommended as treatment for liver depression and failing to transportation, phlegm-fire with damp diet and blood depression; self-made Rupi Sanjie Decoction (乳癖散结汤) for liver depression, stagnation of Qi and blood.
5.Research on the mechanism of Atractylodes-Pinellia-Poria in the treatment of pancreatic cancer based on network pharmacology and molecular docking
Jirong WANG ; Xiaofei SHI ; Yuhui CHONG ; Lingru JIA ; Xueying WAN ; Ruimin LI
Journal of Pharmaceutical Practice 2023;41(10):616-624
Objective To predict the target of Atractylodes-Panxia-Poria in the treatment of pancreatic cancer, and to explore its potential molecular mechanism by using network pharmacology and molecular docking. Methods Traditional Chinese Medicine Systems Pharmacology Database and Analysis Platform (TCMSP), PharmMapper, OMIM, GeneCards, STRING, DAVID and Cytoscape software were used to construct a series of network diagrams. The core targets and conduct GO analysis and KEGG pathway enrichment analyses of the target genes were selected. Finally, molecular docking verification of key active ingredients and potential targets were conducted by AutoDock software. Results A total of 35 active ingredients, 190 related targets, 1566 targets of pancreatic cancer and 76 intersection targets were screened for the treatment of pancreatic cancer with Atractylodes-Panxia-Poria. These intersection targets were mainly involved in several biological processes, including positive regulation of gene expression, cytokine-mediated signaling pathway and regulation of apoptotic process, etc, which were also related to pathways in cancer, hepatitis B, colorectal cancer, chemical carcinogenesis-receptor activation, pancreatic cancer, and MAPK signaling pathway, etc. Molecular docking results showed that the main active components of Atractylodes-Panxia-Poria had certain affinity with the potential targets of pancreatic cancer. Conclusion Atractylodes-Panxia-Poria mainly exerts a therapeutic effect on pancreatic cancer through multi-component, multi-target and multi-pathway, which provides a certain theoretical basis for the clinical application of Atractylodes -Panxia-Poria in the treatment of pancreatic cancer.
6.Mode of Interdisciplinary Research of Traditional Chinese Medicine: Learn from the Study of Biological Characteristics and Mathematical Representation of the Transformation from Phlegm-Dampness Constitution to Dyslipidemia
Huaiyu WANG ; Tong ZHAO ; Ji WANG ; Lingru LI ; Yingshuai LI ; Suixiang GAO ; Qi WANG
Journal of Traditional Chinese Medicine 2024;65(6):553-556
The current interdisciplinary research on traditional Chinese medicine (TCM) often comes from the simple combination of TCM application needs and mature engineering technology. Actually, higher goal of cross-disciplinary research should be the win-win development of TCM and interdisciplinary majors. In detail, to enhance the innovative development of original thinking mode of TCM, meanwhile, to stimulate the innovation of interdisciplinary majors with medical tasks. Previously, we successfully performed the research on the objective representation of pre-disease and disease state of dyslipidemia in population with phlegm-dampness constitution. Taking this project as an example, this paper discusses the methodology on scientific issue positioning, key medical tasks selection, interdisciplinary theory, and technology exploration, to expounds the research design and ideas which could be generalized in other cross-disciplinary research of TCM.