This study employed the "disease-medicine-dose" pattern to mine the medication rules of traditional Chinese medicine(TCM) prescriptions containing Astragali Radix in ancient Chinese medical books, aiming to provide a scientific basis for the clinical application of Astragali Radix and the development of new medicines. The TCM prescriptions containing Astragali Radix were retrieved from databases such as Chinese Medical Dictionary and imported into Excel 2020 to construct the prescription library. Statical analysis were performed for the prescriptions regarding the indications, syndromes, medicine use frequency, herb effects, nature and taste, meridian tropism, dosage forms, and dose. SPSS statistics 26.0 and IBM SPSS Modeler 18.0 were used for association rules analysis and cluster analysis. A total of 2 297 prescriptions containing Astragali Radix were collected, involving 233 indications, among which sore and ulcer, consumptive disease, sweating disorder, and apoplexy had high frequency(>25), and their syndromes were mainly Qi and blood deficiency, Qi and blood deficiency, Yin and Yang deficiency, and Qi deficiency and collateral obstruction, respectively. In the prescriptions, 98 medicines were used with the frequency >25 and they mainly included Qi-tonifying medicines and blood-tonifying medicines. Glycyrrhizae Radix et Rhizoma, Angelicae Sinensis Radix, Ginseng Radix et Rhizoma, Atractylodis Macrocephalae Rhizoma, and Citri Reticulatae Pericarpium were frequently used. The medicines with high frequency mainly have warm or cold nature, and sweet, pungent, or bitter taste, with tropism to spleen, lung, heart, liver, and kidney meridians. In the treatment of sore and ulcer, Astragali Radix was mainly used with the dose of 3.73 g and combined with Glycyrrhizae Radix et Rhizoma to promote granulation and heal up sores. In the treatment of consumptive disease, Astragali Radix was mainly used with the dose of 37.30 g and combined with Ginseng Radix et Rhizoma to tonify deficiency and replenish Qi. In the treatment of sweating disorder, Astragali Radix was mainly used with the dose of 3.73 g and combined with Glycyrrhizae Radix et Rhizoma to consolidate exterior and stop sweating. In the treatment of apoplexy, Astragali Radix was mainly used with the dose of 7.46 g and combined with Glycyrrhizae Radix et Rhizoma to dispell wind and stop convulsions. Astragali Radix can be used in the treatment of multiple system diseases, with the effects of tonifying Qi and ascending Yang, consolidating exterior and stopping sweating, and expressing toxin and promoting granulation. According to the manifestations of different diseases, when combined with other medicines, Astragali Radix was endowed with the effects of promoting granulation and healing up sores, tonifying deficiency and Qi, consolidating exterior and stopping sweating, and dispelling wind and replenishing Qi. The findings provide a theoretical reference and a scientific basis for the clinical application of Astragali Radix and the development of new medicines.
Drugs, Chinese Herbal/history* ; Humans ; Medicine, Chinese Traditional/history* ; History, Ancient ; Astragalus Plant/chemistry* ; China ; Astragalus propinquus

Obesity, as a chronic recurrent disease, has become a major public health challenge in China. To implement the requirements of the Healthy China Initiative (2019—2030), under domestic guidelines or consensus statements on overweight and obesity, and in alignment with the latest scientific advances globally, the Quality control protocol for adult overweight and obesity screening in health management (examination) institutions (2025 edition) was developed. This protocol was drafted by the Health Management Center of Shanghai Changzheng Hospital and formulated through multiple rounds of deliberation by experts in China’s health examination quality control field. The protocol establishes unified standards for screening facilities, personnel qualifications, and measurement or testing procedures. It defines specific screening items, outlines a standardized screening pathway, and sets requirements for the final medical review, ensuring the scientific validity, effectiveness, and safety of the screening process. The implementation of this protocol will enhance the consistency of weight management practices for adults across health examination institutions and strengthen the quality control of overweight and obesity screening programs.

AIM:Bone morphogenetic protein 7(BMP7)reduces the expression of Yes-related protein 1(YAP1)by down-regulating Ajuba level and decreasing extracellular matrix(ECM)deposition.This study aimed to inves-tigate the influence of these factors on modifying the degree of renal fibrosis in rats with diabetic nephropathy.METH-ODS:Eighteen Sprague-Dawley(SD)rats were randomly divided into three groups:the normal control(NC)group,the diabetes mellitus(DM)group,and the DM group treated with BMP7 overexpressing adeno-associated virus(DM+rAAV-BMP7).Each group consisted of six rats.Diabetic kidney disease(DKD)was established in the DM and DM+rAAV-BMP7 groups by injecting 55 mg/kg streptozotocin(STZ)via the tail vein.NRK-52E cells were divided into three groups:the normal glucose(NG)group,the high glucose(HG)group,and the high glucose group treated with recombinant hu-man BMP7(HG+rhBMP7)group.Pathological changes in renal tissues were observed using hematoxylin and eosin(HE)and Sirius red staining.Immunohistochemical staining was performed to examine the expression sites of Ajuba and YAP1 in the renal cortex.Western blot analysis was conducted to determine the expression levels of BMP7,Ajuba,YAP1,colla-gen type Ⅲ(Col-Ⅲ),and fibronectin(FN)in the rat renal cortex and NRK-52E cells.RT-qPCR was used to measure the mRNA levels of Ajuba and YAP1 in the rat renal cortex.RESULTS:Biochemical indices revealed significantly ele-vated levels of blood glucose,serum creatinine,triglycerides,total cholesterol,and 24-hour urinary protein in the DM group compared to the NC group(P<0.05).In the DM+rAAV-BMP7 group,the levels of serum creatinine,24-hour uri-nary protein,triglycerides,and total cholesterol were lower than those in the DM group(P<0.05).Pathological staining demonstrated that the renal interstitium of the DM group exhibited inflammatory cell infiltration,fibrous tissue,collagen fi-ber deposition,disordered renal tubule arrangement,atrophy,and vacuolar degeneration,which were ameliorated in the DM+rAAV-BMP7 group.Immunohistochemistry revealed that Ajuba and YAP1 were mainly expressed in the cytoplasm and nucleus,with high expression in the cytoplasm of the DM group,which was significantly decreased in the DM+rAAV-BMP7 group.Western blot results indicated that the protein levels of FN,Col-Ⅲ,Ajuba,and YAP1 were up-regulated in the DM and the HG groups(P<0.05),but significantly down-regulated in the DM+rAAV-BMP7 group(P<0.05).RT-qP-CR results demonstrated that the mRNA levels of Ajuba and YAP1 were higher in the DM group and significantly lower in the DM+rAAV-BMP7 group(P<0.05).CONCLUSION:The overexpression of BMP7 can ameliorate renal fibrosis in rats with DKD.This effect is likely mediated by the down-regulation of Ajuba,reduction of YAP1 expression,and subse-quent inhibition of ECM deposition.

Objective To analyze the factors associated with pain after arthroscopic rotator cuff bridge suture.Methods According to the inclusion and exclusion criteria,the data of 112 patients with unilateral rotator cuff injury who received arthroscopic bridge suture in our department were collected and were investigated in the form of telephone follow-up.In this study,SPSS 23.0 was used to input data and conduct statistical analysis.Logistic regression analysis was used to analyze the correlation between the above influencing factors and postoperative pain.Results A total of 112 patients were included for statistical analysis,single factor analysis revealed,including course of disease,smoking history,preoperative University of California,Los Angeles(UCLA)score,Constant score,numeric rating scale(NRS),size of rotator cuff tear,whether it was full-thickness tear and degree of tendon retraction might be related to postoperative pain(P<0.05).The age,gender,body mass index(BMI),drinking history,diabetes and hypertension were not related to postoperative pain(P>0.05).Multiple linear regression analysis concluded that there were four factors related to postoperative pain,and the correlation degree was preoperative NRS,preoperative UCLA score,tear size and smoking history.Conclusion The causes of postoperative pain after arthroscopic rotator cauff repair are complex and diverse.Analyzing the cause of postoperative pain can effectively reduce the pain of patients and promote the recovery of shoulder joint function.

Objective:To analyze the current situation of the development and allocation of medical and health resources in Liaoning Province,and provide references and guidance for relevant departments to optimize and balance the allocation of medical resources.Methods:Based on data from the Liaoning Provincial Bureau of Statistics,a comparative analysis was conducted on the development and allocation of medical resources in Liaoning Province from the dimensions of time and geography.Indicators such as Lorentz curve,Gini coefficient,and health resource density index were used to quantitatively evaluate the equity of medical and health resource allocation and distribution in Liaoning Province.Results:The allocation level of medical resources in central cities is relatively high,while the northwest region of the province is relatively weak.Conclusion:In recent years,the allocation of medical resources in various regions of the province has been improved,but differences still exist.These differences can be gradually reduced through policy guidance,introduction of information technology,and strengthening of human resource construction.

Objective:To analyze the current situation of the development and allocation of medical and health resources in Liaoning Province,and provide references and guidance for relevant departments to optimize and balance the allocation of medical resources.Methods:Based on data from the Liaoning Provincial Bureau of Statistics,a comparative analysis was conducted on the development and allocation of medical resources in Liaoning Province from the dimensions of time and geography.Indicators such as Lorentz curve,Gini coefficient,and health resource density index were used to quantitatively evaluate the equity of medical and health resource allocation and distribution in Liaoning Province.Results:The allocation level of medical resources in central cities is relatively high,while the northwest region of the province is relatively weak.Conclusion:In recent years,the allocation of medical resources in various regions of the province has been improved,but differences still exist.These differences can be gradually reduced through policy guidance,introduction of information technology,and strengthening of human resource construction.

Objective:To analyze the current situation of the development and allocation of medical and health resources in Liaoning Province,and provide references and guidance for relevant departments to optimize and balance the allocation of medical resources.Methods:Based on data from the Liaoning Provincial Bureau of Statistics,a comparative analysis was conducted on the development and allocation of medical resources in Liaoning Province from the dimensions of time and geography.Indicators such as Lorentz curve,Gini coefficient,and health resource density index were used to quantitatively evaluate the equity of medical and health resource allocation and distribution in Liaoning Province.Results:The allocation level of medical resources in central cities is relatively high,while the northwest region of the province is relatively weak.Conclusion:In recent years,the allocation of medical resources in various regions of the province has been improved,but differences still exist.These differences can be gradually reduced through policy guidance,introduction of information technology,and strengthening of human resource construction.

Objective:To analyze the current situation of the development and allocation of medical and health resources in Liaoning Province,and provide references and guidance for relevant departments to optimize and balance the allocation of medical resources.Methods:Based on data from the Liaoning Provincial Bureau of Statistics,a comparative analysis was conducted on the development and allocation of medical resources in Liaoning Province from the dimensions of time and geography.Indicators such as Lorentz curve,Gini coefficient,and health resource density index were used to quantitatively evaluate the equity of medical and health resource allocation and distribution in Liaoning Province.Results:The allocation level of medical resources in central cities is relatively high,while the northwest region of the province is relatively weak.Conclusion:In recent years,the allocation of medical resources in various regions of the province has been improved,but differences still exist.These differences can be gradually reduced through policy guidance,introduction of information technology,and strengthening of human resource construction.

Objective:To analyze the current situation of the development and allocation of medical and health resources in Liaoning Province,and provide references and guidance for relevant departments to optimize and balance the allocation of medical resources.Methods:Based on data from the Liaoning Provincial Bureau of Statistics,a comparative analysis was conducted on the development and allocation of medical resources in Liaoning Province from the dimensions of time and geography.Indicators such as Lorentz curve,Gini coefficient,and health resource density index were used to quantitatively evaluate the equity of medical and health resource allocation and distribution in Liaoning Province.Results:The allocation level of medical resources in central cities is relatively high,while the northwest region of the province is relatively weak.Conclusion:In recent years,the allocation of medical resources in various regions of the province has been improved,but differences still exist.These differences can be gradually reduced through policy guidance,introduction of information technology,and strengthening of human resource construction.

Objective:To analyze the current situation of the development and allocation of medical and health resources in Liaoning Province,and provide references and guidance for relevant departments to optimize and balance the allocation of medical resources.Methods:Based on data from the Liaoning Provincial Bureau of Statistics,a comparative analysis was conducted on the development and allocation of medical resources in Liaoning Province from the dimensions of time and geography.Indicators such as Lorentz curve,Gini coefficient,and health resource density index were used to quantitatively evaluate the equity of medical and health resource allocation and distribution in Liaoning Province.Results:The allocation level of medical resources in central cities is relatively high,while the northwest region of the province is relatively weak.Conclusion:In recent years,the allocation of medical resources in various regions of the province has been improved,but differences still exist.These differences can be gradually reduced through policy guidance,introduction of information technology,and strengthening of human resource construction.