1.Research progress of Chinese medicine fumigation therapy in the treatment of joint pain disease
International Journal of Traditional Chinese Medicine 2017;39(11):1054-1056
This paper summarized the literature about traditional Chinese medicine fumigation treatment for osteoarthritis, rheumatoid arthritis, ankylosing spondylitis, lumbar disc herniation, cervical spondylosis, periarthritis of shoulder joint pain diseases. This paper aimed to provide reference for the study of Chinese medicine fumigation treatment of joint pain diseases.
2.Association between intrahepatic bile duct alterations and liver fibrosis
Wenzheng YOU ; Wanlei REN ; Shiying XUAN ; Doudou HU
Journal of Clinical Hepatology 2022;38(1):187-190
Liver cirrhosis is a liver disease caused by various factors and is characterized by diffuse fibrous hyperplasia, lobular structural damage, and pseudolobule formation. Bile duct proliferation has been observed in a variety of animal models of liver cirrhosis and patients with liver cirrhosis caused by different etiologies, and it is regulated by signaling pathways with the involvement of multiple regulatory factors such as neuropeptides, neurotransmitters, and hormones. Moreover, the proliferated bile ducts promote the formation of liver fibrosis by mediating the proliferation and activation of hepatic stellate cells. This article summarizes the changes of the intrahepatic bile duct system in liver cirrhosis and its influence on the process of liver fibrosis, various signaling pathways associated with cholangiocyte proliferation and liver fibrosis, and the value of the dynamic evolution of bile duct structure in predicting the degree of liver fibrosis. It is pointed out that bile duct proliferation may become a potential target for the intervention of liver fibrosis, which provides new ideas and methods for early treatment and reversal of liver fibrosis.
3.Application of pathological indicators based on liver biopsy in the diagnosis of cirrhotic portal hypertension
Yajie XU ; Wenzheng YOU ; Wanlei REN ; Quanhe LONG ; Xiangjun JIANG ; Doudou HU
Journal of Clinical Hepatology 2021;37(12):2935-2938
Hepatic venous pressure gradient (HVPG) is the "gold standard" for diagnosing portal hypertension and determining its severity, but its wide clinical application is limited due to its invasiveness and difficulties in operation. The replacement of HVPG by noninvasive methods has become a research hotspot in recent years; however, the accuracy of the existing serological and imaging methods remains to be discussed, and such methods cannot completely replace HVPG in clinical practice. Liver biopsy has been widely used in clinical practice for many years and is still an indispensable method for the diagnosis of some liver diseases. Recent studies have found that several pathological indicators after liver biopsy, such as collagen area, fibrous septal thickness, nodule size, microvascular density, and density and area of bile ducts and lymphatic vessels, can not only judge the severity of liver fibrosis, but also have a good correlation with portal venous pressure, which provides new ideas for diagnosing cirrhotic portal hypertension and evaluating the severity of portal hypertension.