1.Review of research on anti-gastric cancer mechanism of TCM compounds
Simiao LIU ; Jingri XIE ; Xianjun RAO ; Guangye LIANG ; Zhiwen SUN ; Xi GAO
International Journal of Traditional Chinese Medicine 2023;45(7):916-920
Traditional Chinese Medicine (TCM) shows unique advantages in the field of adjuvant treatment of gastric cancer. The main mechanism of TCM in improving gastric cancer includes regulating cell proliferation and apoptosis, reversing cell resistance, reducing the ability of invasion and metastasis and epithelial-mesenchymal transformation, regulating immune function, inhibiting neovascularization, regulating autophagy exosome, and ferroptosis.
2.Professor XIE Jingri's Experience in Treating Bile Reflux Gastritis from the Perspective of "Disease of both Wood and Earth"
Xianjun RAO ; Xidan ZHANG ; Guangye LIANG ; Tianjiao QU ; Guoying LIANG ;
Journal of Traditional Chinese Medicine 2024;65(17):1757-1761
This paper summarized the clinical experience of Professor XIE Jingri in treating bile reflux gastritis from the perspective of “disease of both wood and earth”. It is believed that the pathogenesis of bile reflux gastritis is the disharmony of liver and spleen, gallbladder and stomach, which belongs to the disease of both wood and earth. The treatment principle of harmonizing wood and earth is advocated. Clinically, bile reflux gastritis is divided into five patterns including liver constraint and spleen deficiency, liver fire harassing stomach, gallbladder and stomach obstruction, damp-heat in the gallbladder, and stomach yin depletion, for which Shugan Lipi Decoction (疏肝理脾汤) can be used to soothe the liver and move qi, fortify the spleen and activate spleen, Lianyu Qinggan Decoction (连萸清肝汤) to clear the liver and drain fire, harmonize stomach and stanch bleeding, Tongfu Paishi Decoction (通腑排石汤) to unblock and discharge gallbladder, harmonize stomach and direct counterflow qi downward, Qingdan Huazhuo Decoction (清胆化浊汤) to clear and drain damp-heat, promote gallbladder function and stanch bleeding, and Yiwei Decoction (益胃汤) to enrich and nourish stomach yin, clear and discharge deficiency-fire. When the clinical pattern is complex, multiple patterns occur simultaneously, or the disease involves multiple zang fu (脏腑) organs, the liver and the spleen should be regulated simultaneously, and the gallbladder and the stomach treated together, with self-designed Shumu Tiaotu Decoction (疏木调土汤) recommended as a basic prescription with flexibl modification based on the symptoms.
3.Construction of a Disease-Syndrome Integrated Diagnosis and Treatment System for Gastric "Inflammation-Cancer" Transformation Based on Multi-Modal Phenotypic Modeling
Hao LI ; Huiyao ZHANG ; Wei BAI ; Tingting ZHOU ; Guodong HUANG ; Xianjun RAO ; Yang YANG ; Lijun BAI ; Wei WEI
Journal of Traditional Chinese Medicine 2025;66(5):458-463
By analyzing the current application of multi-modal data in the diagnosis of gastric "inflammation-cancer" transformation, this study explored the feasibility and strategies for constructing a disease-syndrome integrated diagnosis and treatment system. Based on traditional Chinese medicine (TCM) phenomics, we proposed utilizing multi-modal data from literature research, cross-sectional studies, and cohort follow-ups, combined with artificial intelligence technology, to establish a multi-dimensional diagnostic and treatment index system. This approach aims to uncover the complex pathogenesis and transformation patterns of gastric "inflammation-cancer" progression. Additionally, by dynamically collecting TCM four-diagnostic information and modern medical diagnostic information through a long-term follow-up system, we developed three major modules including information extraction, multi-modal phenotypic modeling, and information output, to make it enable real-world clinical data-driven long-term follow-up and treatment of chronic atrophic gastritis. This system can provide technical support for clinical diagnosis, treatment evaluation, and research, while also offering insights and methods for intelligent TCM diagnosis.