1.Research Tackling Paradigm and Technological Layout Strategies Based on Erectile Dysfunction, A Clinical Dominant Disease of Traditional Chinese Medicine
Qi ZHAO ; Yun CHEN ; Baoxing LIU ; Xuejun SHANG ; Fei SUN ; Xiaozhi ZHAO ; Zhigang WU ; Chao SUN ; Peihai ZHANG ; Wanjun CHENG ; Xing ZHOU ; Zhan QIN ; Yufeng PAN ; Weiwei TAO ; Jianhuai CHEN ; Mei MO ; Xiaoxiao ZHANG ; Xing ZHANG
Chinese Journal of Experimental Traditional Medical Formulae 2026;32(7):291-299
To thoroughly implement the strategic deployment outlined in the Opinions of the Central Committee of the Communist Party of China and the State Council on Promoting the Inheritance and Innovative Development of Traditional Chinese Medicine regarding research on dominant diseases of traditional Chinese medicine and to uphold the development philosophy of equal emphasis on traditional Chinese medicine and western medicine,the China Association of Chinese Medicine has fully played a leading academic role by systematically organizing and conducting a series of academic youth salons on clinical dominant diseases of traditional Chinese medicine. On September 13,2024,the 36th Youth Salon on Clinical Dominant Diseases was successfully held in Nanjing,focusing on the advantages of traditional Chinese medicine and the integrative traditional Chinese medicine and western medicine in the diagnosis and treatment of erectile dysfunction (ED). The conference brought together leading experts from traditional Chinese medicine,western medicine,and interdisciplinary fields,facilitating in-depth multidisciplinary discussions that led to key consensus on optimizing traditional Chinese medicine treatment protocols for ED,researching and developing new drugs of traditional Chinese medicine,and advancing interdisciplinary development in traditional Chinese medicine. This salon systematically sorted out the clinical strengths and distinctive features of traditional Chinese medicine in the diagnosis and treatment of ED. Based on current research foundations and clinical needs,it identified key directions for future scientific layout and scientific research tackling: (1) Standardization of syndrome differentiation system of traditional Chinese medicine for ED. (2) Optimization and standardization of intervention methods of integrated traditional Chinese medicine and western medicine. (3) High-quality clinical research guided by evidence-based medicine. (4) In-depth analysis of the pharmacological mechanisms of traditional Chinese medicine in the treatment of ED. (5) Clinical translation and application promotion of new drugs of traditional Chinese medicine. (6) Interdisciplinary integration and innovation in traditional Chinese medicine. For each research direction,key focus areas,expected objectives,and clinical value were further refined,along with the establishment of a scientifically sound priority funding level evaluation system. Therefore,building on the series of salons on the ED-focused dominant diseases of traditional Chinese medicine,this paper provides standardized guidance for clinical practice of traditional Chinese medicine in ED management,effectively contributing to the high-quality development of traditional Chinese medicine. It serves as a valuable reference for national scientific and technological strategic layout, research and development decision-making in new drugs of traditional Chinese medicine,research topic planning,and clinical guideline formulation.
2.Research progress on polydopamine in the treatment of oral diseases
LU Xiangxiang ; JIANG Zhen ; XING Aili ; ZHAO Bin ; SUN Bin
Journal of Prevention and Treatment for Stomatological Diseases 2026;34(3):302-3014
Due to the moist environment in the mouth, there are many challenges that arise, such as difficult biofilm removal, short drug retention time, and low tissue repair efficiency, while treating dental caries, periodontal disease, and other oral diseases. As a biomimetic biomaterial, polydopamine (PDA) possesses multifunctional properties, including mussel-inspired adhesion and stimuli-responsive drug release. PDA adhesion properties originate from its surface catechol and amino functional groups, which maintain strong wettability in aqueous environments. With smart responsiveness encompassing photothermal, pH, and enzymatic stimuli, PDA enables controlled drug release under specific conditions. Additionally, PDA exhibits antibacterial, anti-inflammatory, and osteoblast-promoting functions, thus demonstrating significant application potential in the treatment of oral diseases. In hard tissue therapies, specifically for dental caries, PDA promotes enamel remineralization by inducing hydroxyapatite crystal growth and enhances dentin collagen mineralization through Ca2+ chelation while inhibiting cariogenic bacteria. In mandibular defect repair, functionalized PDA coatings on bone implants facilitate mesenchymal stem cell adhesion and differentiation, activate osteogenic signaling pathways, and synergistically promote vascularization to improve bone-implant integration. For soft tissue treatments, specifically for periodontitis, PDA alleviates alveolar bone resorption via antibacterial and anti-inflammatory effects coupled with osteoclast inhibition. In denture stomatitis management, PDA’s strong wet adhesion prolongs drug retention, while its photothermal effect and reactive oxygen generation provide both broad-spectrum antibacterial activity and wound healing promotion. This review summarizes PDA’s synthesis mechanisms and biological functions, with an emphasis on its therapeutic applications in oral diseases, providing innovative strategies for oral healthcare.
3.Academic Characteristics of Contemporary Chinese Medicine Masters in Treating Diabetic Kidney Disease Based on SrTO
Yu SUN ; Xiaodan WANG ; Yingzi CUI ; Tianying CHANG ; Fan LI ; Lisha WANG ; Chenxuan DONG ; Shoulin ZHANG ; Xing LIAO
Chinese Journal of Experimental Traditional Medical Formulae 2026;32(10):258-269
ObjectiveTo explore the academic characteristics of contemporary renowned Chinese medicine masters in treating diabetic kidney disease (DKD) from the perspectives of principles, methods, formulas, and medications. MethodsIn strict accordance with the Systematic Review of Text and Opinion (SrTO) process developed by the Joanna Briggs Institute (JBI), an Australian evidence-based healthcare center, the databases including China National Knowledge Infrastructure (CNKI), VIP Database, Wanfang Data, and China Biomedical Literature Service System (SinoMed) were searched. Based on predefined inclusion and exclusion criteria, text information extraction, quality evaluation, and text information synthesis were conducted sequentially. The data were analyzed and presented in the form of text and figures. ResultsA total of 215 articles related to 43 contemporary renowned experts in the fields of Chinese medicine nephrology and endocrinology were included. The study found that the academic thoughts of these masters in the treatment of DKD are extensive, involving multiple levels such as disease understanding, therapeutic strategies, formula application, and medication use. In terms of disease understanding, the primary pathogenesis is characterized by deficiency in the root and excess in the manifestation. It is emphasized that internal factors, such as congenital endowment deficiency, interact with external factors such as improper diet, emotional disturbances, invasion of exogenous pathogens, and delayed or inappropriate treatment, to jointly induce the disease. This further gives rise to various pathogenetic theories, including obstruction of renal collaterals by blood stasis, toxin-induced damage to renal collaterals, latent wind disturbing the kidney, and internal heat leading to mass formation. In terms of therapeutic strategies and medication use, the principal treatment method is to replenish Qi and nourish Yin. Stage-based and syndrome-differentiated treatments are advocated. Flexible use of insect-derived drugs and wind-dispelling drugs is emphasized, along with proficiency in applying classical formulas and drug pairs. Integrated internal and external treatments, as well as the combined application of multiple therapeutic approaches, are commonly employed for comprehensive management. Meanwhile, the concept of "preventive treatment of disease" is upheld, and individualized long-term management of patients is advocated. ConclusionThrough the SrTO process, the academic thoughts of contemporary renowned Chinese medicine masters in the treatment of DKD have been systematically and standardly synthesized, providing a scientific and standardized basis for future theoretical exploration.
4.Academic Characteristics of Contemporary Chinese Medicine Masters in Treating Diabetic Kidney Disease Based on SrTO
Yu SUN ; Xiaodan WANG ; Yingzi CUI ; Tianying CHANG ; Fan LI ; Lisha WANG ; Chenxuan DONG ; Shoulin ZHANG ; Xing LIAO
Chinese Journal of Experimental Traditional Medical Formulae 2026;32(10):258-269
ObjectiveTo explore the academic characteristics of contemporary renowned Chinese medicine masters in treating diabetic kidney disease (DKD) from the perspectives of principles, methods, formulas, and medications. MethodsIn strict accordance with the Systematic Review of Text and Opinion (SrTO) process developed by the Joanna Briggs Institute (JBI), an Australian evidence-based healthcare center, the databases including China National Knowledge Infrastructure (CNKI), VIP Database, Wanfang Data, and China Biomedical Literature Service System (SinoMed) were searched. Based on predefined inclusion and exclusion criteria, text information extraction, quality evaluation, and text information synthesis were conducted sequentially. The data were analyzed and presented in the form of text and figures. ResultsA total of 215 articles related to 43 contemporary renowned experts in the fields of Chinese medicine nephrology and endocrinology were included. The study found that the academic thoughts of these masters in the treatment of DKD are extensive, involving multiple levels such as disease understanding, therapeutic strategies, formula application, and medication use. In terms of disease understanding, the primary pathogenesis is characterized by deficiency in the root and excess in the manifestation. It is emphasized that internal factors, such as congenital endowment deficiency, interact with external factors such as improper diet, emotional disturbances, invasion of exogenous pathogens, and delayed or inappropriate treatment, to jointly induce the disease. This further gives rise to various pathogenetic theories, including obstruction of renal collaterals by blood stasis, toxin-induced damage to renal collaterals, latent wind disturbing the kidney, and internal heat leading to mass formation. In terms of therapeutic strategies and medication use, the principal treatment method is to replenish Qi and nourish Yin. Stage-based and syndrome-differentiated treatments are advocated. Flexible use of insect-derived drugs and wind-dispelling drugs is emphasized, along with proficiency in applying classical formulas and drug pairs. Integrated internal and external treatments, as well as the combined application of multiple therapeutic approaches, are commonly employed for comprehensive management. Meanwhile, the concept of "preventive treatment of disease" is upheld, and individualized long-term management of patients is advocated. ConclusionThrough the SrTO process, the academic thoughts of contemporary renowned Chinese medicine masters in the treatment of DKD have been systematically and standardly synthesized, providing a scientific and standardized basis for future theoretical exploration.
5.Beyond the chain of survival: a scoping review of artificial intelligence applications in cardiac arrest
World Journal of Emergency Medicine 2026;17(1):7-14
BACKGROUND: To provide a comprehensive analysis of the landscape of artificial intelligence (AI) applications in cardiac arrest (CA).
METHODS: Comprehensive searches were conducted in PubMed, the Cochrane Library, Web of Science, and EMBASE from database inception through 10 June 2025. Studies that applied AI in both in-hospital cardiac arrest (IHCA) and out-of-hospital cardiac arrest (OHCA) populations across the following domains were included: prediction of cardiac arrest occurrence, prognostication of CA outcomes, applications of large language models (LLMs), and evaluation of cardiopulmonary resuscitation (CPR) and other AI-driven interventions related to CA.
RESULTS: The scoping review included 114 studies, encompassing data from 9,574,462 patients in total. AI was most commonly applied to the prediction of CA (overall, n=40; IHCA, n=30; OHCA, n=4; and both, n=6), CPR-related decision support during CA (n=16), and post-arrest prognosis and rehabilitation outcomes (overall, n=38; OHCA, n=21; IHCA, n=3; and both, n=14). Additional application areas included LLM-based applications (n=8), emergency call handling (n=4), wearable device-based detection (n=3), heart rhythm identification (n=2), education (n=2), and extracorporeal cardiopulmonary resuscitation (ECPR) candidate identification (n=1). Across all application scenarios, the highest area under the receiver operating characteristic curve (AUROC) value for pre-arrest CA prediction in IHCA patients was 0.998 using a multilayer perceptron (MLP) model, whereas the optimal AUROC for pre-arrest CA prediction in OHCA patients was 0.950 using extreme gradient boosting (XGBoost) or random forest (RF) models. For CPR-related decision support during CA, the highest AUROC achieved was 0.990 with a convolutional neural network (CNN) model. In prognostic prediction, the optimal AUROC for IHCA patients was 0.960 using XGBoost, while for OHCA patients it reached 0.976 using an MLP model.
CONCLUSION: This review shows that AI is most commonly used for the prediction of CA and CPR-related support, as well as post-arrest and rehabilitation outcomes. Future research directions include drug discovery, post-resuscitation management, neurorehabilitation, and clinical trial innovation. Further studies should prioritize multicenter clinical trials to evaluate AI models in real-world settings and validate their effectiveness across diverse patient populations. Overall, AI has significant potential to improve clinical practice, and its role in CA application is increasingly important.
6.Treatment Principles and Paradigm of Diabetic Microvascular Complications Responding Specifically to Traditional Chinese Medicine
Anzhu WANG ; Xing HANG ; Lili ZHANG ; Xiaorong ZHU ; Dantao PENG ; Ying FAN ; Min ZHANG ; Wenliang LYU ; Guoliang ZHANG ; Xiai WU ; Jia MI ; Jiaxing TIAN ; Wei ZHANG ; Han WANG ; Yuan XU ; .LI PINGPING ; Zhenyu WANG ; Ying ZHANG ; Dongmei SUN ; Yi HE ; Mei MO ; Xiaoxiao ZHANG ; Linhua ZHAO
Chinese Journal of Experimental Traditional Medical Formulae 2026;32(5):272-279
To explore the advantages of traditional Chinese medicine (TCM) and integrative TCM-Western medicine approaches in the treatment of diabetic microvascular complications (DMC), refine key pathophysiological insights and treatment principles, and promote academic innovation and strategic research planning in the prevention and treatment of DMC. The 38th session of the Expert Salon on Diseases Responding Specifically to Traditional Chinese Medicine, hosted by the China Association of Chinese Medicine, was held in Beijing, 2024. Experts in TCM, Western medicine, and interdisciplinary fields convened to conduct a systematic discussion on the pathogenesis, diagnostic and treatment challenges, and mechanism research related to DMC, ultimately forming a consensus on key directions. Four major research recommendations were proposed. The first is addressing clinical bottlenecks in the prevention and control of DMC by optimizing TCM-based evidence evaluation systems. The second is refining TCM core pathogenesis across DMC stages and establishing corresponding "disease-pattern-time" framework. The third is innovating mechanism research strategies to facilitate a shift from holistic regulation to targeted intervention in TCM. The fourth is advancing interdisciplinary collaboration to enhance the role of TCM in new drug development, research prioritization, and guideline formulation. TCM and integrative approaches offer distinct advantages in managing DMC. With a focus on the diseases responding specifically to TCM, strengthening evidence-based support and mechanism interpretation and promoting the integration of clinical care and research innovation will provide strong momentum for the modernization of TCM and the advancement of national health strategies.
7.Exploring the Pathogenic Characteristics and Treatment of Childhood Refractory Nephrotic Syndrome Based on "Directing the Turbid Downward with Wind Medicinals"
Lei HUA ; Qiongqiong XING ; Zhenhua YUAN ; Yingying JIANG ; Yuying SUN ; Jingjing WU ; Xianqing REN
Journal of Traditional Chinese Medicine 2026;67(19):2082-2085
Based on the view that wind pathogen runs through the entire course of the occurrence and development of nephrotic syndrome, it is proposed that the core pathogenesis of refractory nephrotic syndrome (RNS) in children involves imbalance of the lung, spleen, and kidney, invasion of wind pathogen, and stagnation of turbidity and stasis, and that directing the turbid downward with wind medicinals is the key therapeutic strategy. In clinical practice, according to the distinct pathogenic characteristics of three patterns, including defensive qi insecurity of the lung, yang deficiency with loss of regulation, and binding of turbidity and stasis, three corresponding methods are applied, which are diffusing the lung to consolidate defensive qi, elevating yang to supplement the spleen and kidney, and activating blood to unblock turbidity and stasis. For the pattern of defensive qi insecurity of the lung, wind medicinals are used to penetrate and disperse external pathogens, such as fangfeng (Radix Saposhnikoviae) and mahuang (Herba Ephedrae) for diffusing the lung, dispersing wind, and consolidating defensive qi. For yang deficiency with loss of regulation pattern, wind medicinals are employed to elevate yang and assist transformation, such as shengma (Rhizoma Cimicifugae) and gegen (Radix Puerariae Lobatae) for raising clear yang, warming and activating the spleen and kidney. For binding of turbidity and stasis pattern, wind medicinals with scurrying and collateral‑unblocking properties are used, such as jixueteng (Caulis Spatholobi), luoshiteng (Caulis Trachelospermi), and chuanshanlong (Rhizoma Dioscoreae Nipponicae) for dispelling wind, activating blood, resolving stasis, and directing turbidity downward. In all these methods, the core principle is to use wind medicinals to regulate qi movement, open and unblock the sweat pores, and separately eliminate turbid pathogens, thereby providing a theoretical and practical basis for the traditional Chinese medicine diagnosis and treatment of RNS in children.
8.Exploring the Pathogenic Characteristics and Treatment of Childhood Refractory Nephrotic Syndrome Based on "Directing the Turbid Downward with Wind Medicinals"
Lei HUA ; Qiongqiong XING ; Zhenhua YUAN ; Yingying JIANG ; Yuying SUN ; Jingjing WU ; Xianqing REN
Journal of Traditional Chinese Medicine 2026;67(19):2082-2085
Based on the view that wind pathogen runs through the entire course of the occurrence and development of nephrotic syndrome, it is proposed that the core pathogenesis of refractory nephrotic syndrome (RNS) in children involves imbalance of the lung, spleen, and kidney, invasion of wind pathogen, and stagnation of turbidity and stasis, and that directing the turbid downward with wind medicinals is the key therapeutic strategy. In clinical practice, according to the distinct pathogenic characteristics of three patterns, including defensive qi insecurity of the lung, yang deficiency with loss of regulation, and binding of turbidity and stasis, three corresponding methods are applied, which are diffusing the lung to consolidate defensive qi, elevating yang to supplement the spleen and kidney, and activating blood to unblock turbidity and stasis. For the pattern of defensive qi insecurity of the lung, wind medicinals are used to penetrate and disperse external pathogens, such as fangfeng (Radix Saposhnikoviae) and mahuang (Herba Ephedrae) for diffusing the lung, dispersing wind, and consolidating defensive qi. For yang deficiency with loss of regulation pattern, wind medicinals are employed to elevate yang and assist transformation, such as shengma (Rhizoma Cimicifugae) and gegen (Radix Puerariae Lobatae) for raising clear yang, warming and activating the spleen and kidney. For binding of turbidity and stasis pattern, wind medicinals with scurrying and collateral‑unblocking properties are used, such as jixueteng (Caulis Spatholobi), luoshiteng (Caulis Trachelospermi), and chuanshanlong (Rhizoma Dioscoreae Nipponicae) for dispelling wind, activating blood, resolving stasis, and directing turbidity downward. In all these methods, the core principle is to use wind medicinals to regulate qi movement, open and unblock the sweat pores, and separately eliminate turbid pathogens, thereby providing a theoretical and practical basis for the traditional Chinese medicine diagnosis and treatment of RNS in children.
9.Oral Chinese Patent Medicines for Endometriosis: A Scoping Analysis of Clinical Evidence
Xiaojun BU ; Zhiran LI ; Shan HUANG ; Ruihua ZHAO ; Xing LIAO ; Weiwei SUN
Chinese Journal of Experimental Traditional Medical Formulae 2026;32(21):186-197
ObjectiveTo systematically retrieve, analyze, and summarize the basic information and clinical research evidence of Chinese patent medicines (CPMs) for endometriosis via a scoping review method. MethodsCPMs indicated for EM were identified from three major drug lists, CNKI, clinical guidelines, and textbooks. Relevant clinical studies were retrieved from eight Chinese and English databases from inception to April 1, 2025. Key data from included studies were extracted to analyze characteristics of CPMs and their clinical evidence. ResultsA total of 18 CPMs were included, among which those with blood-activating and stasis-resolving effects accounted for the highest proportion. Constituent herbs predominantly exhibited sweet, bitter, and pungent flavors, with tropism to the liver and spleen meridians. Daily treatment costs varied substantially across CPMs. The 438 included studies involved 13 CPMs, among which Guizhi Fuling capsules/pills, Sanjie Zhentong capsules, and Dan'e Fukang soft extract/granules were the most extensively studied. Randomized controlled trials (RCTs) were the predominant study design. The most common comparison was between CPMs combined with Western medicine and Western medicine alone. The largest number of studies reported a sample size of 51-100 cases. The high-frequency outcome indicators covered 10 domains, including clinical response rate, adverse reactions, female hormone levels, serum CA125 levels, and recurrence status. ConclusionMultiple oral CPMs demonstrate efficacy in EM management, yet inadequate safety profiles persist in drug labeling. The annual number of clinical studies on oral CPMs for endometriosis showed an overall increasing trend. However, clinical research has shortcomings including uneven distribution of CPMs, small sample sizes, and suboptimal methodological rigor. Future efforts should focus on updating drug indications and safety information in package inserts, conducting high-quality clinical research, and generating more robust evidence to support the clinical use of oral CPMs for EM.
10.Quantitative Chemical Exchange Saturation Transfer MRI for Diagnosing Thyroid-Associated Ophthalmopathy Activity: A Prospective Feasibility Study
YunMeng WANG ; WeiYi ZHOU ; YuanYuan CUI ; JianKun DAI ; YuXin CHENG ; QingQing WEN ; TianYi XING ; HongBiao SUN ; Song JIANG ; MeiLing XU ; ZhenHuan WANG ; Yan SONG ; Tuo LI ; Yi XIAO
Korean Journal of Radiology 2026;27(2):161-173
Objective:
This prospective study evaluated the feasibility of chemical exchange saturation transfer (CEST) MRI for assessing disease activity in thyroid-associated ophthalmopathy (TAO).
Materials and Methods:
A total of 88 patients with active TAO, 76 with inactive TAO, and 30 healthy controls were enrolled. CEST MRI-derived magnetization transfer ratio (MTR) and MTR asymmetry (MTRasym) at 1 ppm, 2 ppm, and 3.5 ppm were calculated. Clinical data, MTR, and MTRasym values for the extraocular muscles (one representative muscle per eye, yielding two measurements per participant) were compared among the groups. Spearman’s correlation was used to examine associations between imaging parameters and the clinical activity score (CAS) in patients with TAO. Logistic regression analysis was used to identify independent associations between imaging parameters and disease activity in patients with TAO (active vs. inactive). Receiver operating characteristic (ROC) analysis was conducted to evaluate the diagnostic performance for discriminating active from inactive TAO.
Results:
Patients with active TAO showed lower MTR values (P < 0.001) and higher MTRasym (1 ppm), MTRasym (2 ppm), and MTRasym (3.5 ppm) (all P < 0.001) compared with those with inactive TAO. MTR was negatively correlated with CAS (r = -0.402; P < 0.001), while MTRasym (1 ppm), MTRasym (2 ppm), and MTRasym (3.5 ppm) were positively correlated with CAS (r = 0.369, 0.350, and 0.349, respectively;all P < 0.001). MTR and MTRasym (1 ppm) were independently associated with TAO activity. The areas under the ROC curve (AUCs) for MTR and MTRasym (1 ppm) in discriminating active from inactive TAO were 0.772 and 0.730, respectively. Combining MTR with MTRasym (1 ppm) significantly improved diagnostic performance compared with either parameter alone, achieving an AUC of 0.805 (P = 0.029 and 0.001).
Conclusion
MTR and MTRasym (1 ppm) were independently associated with TAO activity. Their combination further enhanced diagnostic performance in distinguishing active from inactive TAO, suggesting their potential as quantitative imaging biomarkers to guide treatment in patients with TAO.


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