1.Population Characteristics of Arsenic-containing TCM Compounds in the Treatment of Platelets in Myelodysplastic Syndrome
Jian LIU ; Wenru WANG ; Peizhen JIANG ; Kaizhi LU ; Qinlong ZHENG ; Haixia DI ; Lijuan YAO ; Bing WU ; Jiangwei WAN ; Qifeng LIU ; Ruibai LI ; Xudong TANG
Chinese Journal of Information on Traditional Chinese Medicine 2025;32(9):154-160
Objective To compare the differences of baseline characteristics of patients with myelodysplastic syndrome(MDS)who achieved platelet(PLT)response after arsenic-containing TCM compounds combined with Western medicine treatment.Methods Totally 72 MDS patients were selected from 12 outpatient departments and wards,such as Xiyuan Hospital,China Academy of Chinese Medical Sciences,Dongfang Hospital,Beijing University of Chinese Medicine from October 2021 to October 2024.Among them,45 patients received arsenic-containing TCM compounds combined with Western medicine treatment,27 patients received Western medicine treatment.The blood routine[white blood cell(WBC)count,hemoglobin,PLT,neutrophil count],TCM syndrome scores,safety indicators,and adverse events were observed before and after three courses of treatment.The efficacy of all patients was evaluated,and the baseline characteristics of patients who achieved PLT response in the arsenic-containing TCM compounds group and the Western medicine treatment group were compared.Results Comparing the differences of baseline characteristics of the two groups,it was found that the patients who achieved PLT response in the arsenic-containing TCM compounds group were compared with those in the Western medicine treatment group:Age<60 years old(P=0.038),longer disease duration(P=0.012),lower WBC(P=0.017),lower reticulocyte percentage(P=0.037),lower blood urea nitrogen(P=0.046),lower high-density lipoprotein cholesterol(P=0.014),and lower N-terminal pro-B-type natriuretic peptide(P=0.034),abnormal electrocardiogram(P=0.013),high blasts(P=0.009),grade 0 reticular fiber staining(P<0.01),normal chromosome karyotype(P<0.01),gene mutation(P<0.01)and high TCM syndrome scores(P=0.013)were found.Conclusion Arsenic-containing TCM compounds consisting of Qinghuang Powder and Bushen Jianpi Decoction combined with Western medicine is used to treat MDS.Patients with age<60 years old,long disease duration,low WBC count,low reticulocyte percentage,low blood urea nitrogen,low high-density lipoprotein cholesterol,low N-terminal pro-B-type natriuretic peptide,abnormal electrocardiogram,high blasts,grade 0 reticular fiber staining,normal chromosome karyotype,gene mutation and high TCM syndrome score are more likely to obtain PLT response.
2.Population Characteristics of Arsenic-containing TCM Compounds in the Treatment of Platelets in Myelodysplastic Syndrome
Jian LIU ; Wenru WANG ; Peizhen JIANG ; Kaizhi LU ; Qinlong ZHENG ; Haixia DI ; Lijuan YAO ; Bing WU ; Jiangwei WAN ; Qifeng LIU ; Ruibai LI ; Xudong TANG
Chinese Journal of Information on Traditional Chinese Medicine 2025;32(9):154-160
Objective To compare the differences of baseline characteristics of patients with myelodysplastic syndrome(MDS)who achieved platelet(PLT)response after arsenic-containing TCM compounds combined with Western medicine treatment.Methods Totally 72 MDS patients were selected from 12 outpatient departments and wards,such as Xiyuan Hospital,China Academy of Chinese Medical Sciences,Dongfang Hospital,Beijing University of Chinese Medicine from October 2021 to October 2024.Among them,45 patients received arsenic-containing TCM compounds combined with Western medicine treatment,27 patients received Western medicine treatment.The blood routine[white blood cell(WBC)count,hemoglobin,PLT,neutrophil count],TCM syndrome scores,safety indicators,and adverse events were observed before and after three courses of treatment.The efficacy of all patients was evaluated,and the baseline characteristics of patients who achieved PLT response in the arsenic-containing TCM compounds group and the Western medicine treatment group were compared.Results Comparing the differences of baseline characteristics of the two groups,it was found that the patients who achieved PLT response in the arsenic-containing TCM compounds group were compared with those in the Western medicine treatment group:Age<60 years old(P=0.038),longer disease duration(P=0.012),lower WBC(P=0.017),lower reticulocyte percentage(P=0.037),lower blood urea nitrogen(P=0.046),lower high-density lipoprotein cholesterol(P=0.014),and lower N-terminal pro-B-type natriuretic peptide(P=0.034),abnormal electrocardiogram(P=0.013),high blasts(P=0.009),grade 0 reticular fiber staining(P<0.01),normal chromosome karyotype(P<0.01),gene mutation(P<0.01)and high TCM syndrome scores(P=0.013)were found.Conclusion Arsenic-containing TCM compounds consisting of Qinghuang Powder and Bushen Jianpi Decoction combined with Western medicine is used to treat MDS.Patients with age<60 years old,long disease duration,low WBC count,low reticulocyte percentage,low blood urea nitrogen,low high-density lipoprotein cholesterol,low N-terminal pro-B-type natriuretic peptide,abnormal electrocardiogram,high blasts,grade 0 reticular fiber staining,normal chromosome karyotype,gene mutation and high TCM syndrome score are more likely to obtain PLT response.
3.PENG Qinghua's Experience in Treating Age-related Dry Eye Based on the Theory of Ministerial Fire
Jiangwei LI ; Xiaolei YAO ; Yasha ZHOU ; Jun PENG ;
Journal of Traditional Chinese Medicine 2024;65(12):1219-1223
This paper summarized PENG Qinghua's experience in treating age-related dry eye based on the theory of ministerial fire. Guided by the theory of ministerial fire, it is believed that the key pathogenesis of age-related dry eye is transgression of ministerial fire, and kidney yang deficiency-cold, kidney yin depletion, and spleen-earth insufficiency are the causes of transgression of ministerial fire. The general principle of treatment is to conceal the ministerial fire. For kidney yang deficiency-cold and floating ministerial fire, the treatment should tonify the kidney and warm yang, and return fire to its origin, with Yin Huo Decoction (引火汤); for kidney yin depletion and frenetic stirring of ministerial fire, the treatment should tonify the kidney and supplement essence, enrich yin and reduce fire, with Sancai Fengsui Pellet (三才封髓丹); and for spleen-earth insufficiency, and fumigation of ministerial fire, the treatment should strengthen and activate spleen qi, and reinforce soil and hidden fire, with Renshen Huangqi Decoction (人参黄芪汤).
4.Treating Sjögren's Syndrome-related Dry Eye Disease Based on the Theory of "Disease Involving both Dryness and Dampness"
Jiangwei LI ; Xiaolei YAO ; Jun PENG ; Dongdong LI ; Yuqiao WANG ; Qingqing PENG
Journal of Traditional Chinese Medicine 2024;65(16):1709-1711
Based on the theory of "disease involving both dryness and dampness", it is believed that the complex of dryness and dampness and the mutual stalemate between them produce the disease, forming a pathological state of dampness within dryness and dryness within dampness. The two can occur accompanied by each other, transform into each other, and coexist as a disease. According to the clinical characteristics of sjögren's syndrome-related dry eye disease (SS-DED), it is believed that its symptoms can reflect the pathological state of coexistence of dryness and dampness, and that "disease involving both dryness and dampness" is the key pathogenesis. The main treatment principles are performing both purgation and tonification, and treating the dryness and dampness simultaneously. The treatment should focus on rectifying qi, fortifying spleen and dispelling dampness, as well as opening orifices, nou-rishing yin and moistening dryness, usually with Shashen Maidong Decoction (沙参麦冬汤) and Xiangsha Liujunzi Decoction (香砂六君子汤) in modifications. The theory of "disease involving both dryness and dampness" is expected to provide ideas for the diagnosis and treatment of SS-DED.
5.PENG Qinghua's Clinical Experience in Treating Dry Eye by the Therapeutic Method of “Maintaining with the Sweet and Restoring the Body Fluids”
Jiangwei LI ; Xiaolie YAO ; Jie DENG ; Tongfei QI ; Jun PENG ;
Journal of Traditional Chinese Medicine 2024;65(1):31-34
This paper summarized PENG Qinghua's clinical experience in treating dry eye by applying therapeutic method of maintaining with sweet medicinals and restoring the body fluids. It is believed that the spleen earth insufficiency and fluids damage transforming into dryness are the main pathogenesis of the disease, and the basic therapeutic principle is maintaining with the sweet and restoring the body fluids by mainly using sweet medicines. It is advocated to use mild-sweet herbs, such as Baibiandou (Lablab purpureus subsp. purpureus), Fuling (Smilax glabra Roxb.), and Yiyiren (Coix lacryma-jobi L.), to transport spleen earth, so that qi is restored and body fluids are recovered; moderate-sweet herbs, such as Dangshen (Codonopsis pilosula [Franch.] Nannf.), Taizishen (Pseudostellaria heterophylla [Miq.] Pax), Shanyao (Dioscorea oppositifolia L.) and Zhigancao (Glycyrrhiza glabra L.) are suggested to cultivate earth and generate metal, so as to move qi and circulate fluid; sweet-cool herbs, such as Nanshashen (Adenophora triphylla [Thunb.] A.DC.), Beishashen (Glehnia littoralis [A.Gray] F.Schmidt ex Miq.), Yuzhu (Polygonatum odoratum [Mill.] Druce), Tianhuafen (Trichosanthes kirilowii Maxim.) are suggested to nourish yin and increase body fluids, so as to promote fluid production to moisten dryness. In this way, when the source of fluid is restored and the fluid is circulated, the fluid can be produced continuously, which provides new ideas for the treatment of dry eyes with traditional Chinese medicine.
6.Treating Asthenopia from the Perspective of “the Liver is the Basis of Resistance to Fatigue”
Jiangwei LI ; Xiaolei YAO ; Lihao CHEN ; Yi HU ; Qinghua PENG
Journal of Traditional Chinese Medicine 2024;65(6):649-651
By exploring the theory of “the liver is the basis of resistance to fatigue”, it is believed that liver with its physiological function of storing blood and governing the free flow of qi plays an important role in the body's tole-rance to physical fatigue and mental fatigue, and it is also related to the physiological activities of eyes and tendons. The formation of asthenopia is related to the dysfunction of liver, spleen and kidney. The liver plays a key role in the occurrence and development of asthenopia. The deficiency of liver blood and liver dysfunction will cause the abnormal circulation of qi and blood, which leads to the loss of malnutrition of eyes and affects the normal physiological function of eyes. During treatment, we pay attention to nourishing the blood and soothing the liver to nourish the spirit, regulating and tonifying liver qi to stimulate the liver yang, strengthening the spleen and soothing liver to replenish qi and promoting yang, nourishing the liver and kidney to harmonize yin and yang, which are meant to restore the physiological characteristics of liver being yin in form but yang in function, so as to cure asthenopia.
7.Exploration on Machanism of Chufeng Yisun Decoction in the Treatment of Corneal Injury Based on Network Pharmacology and Experimental Validation
Jiangwei LI ; Huimei CHEN ; Wenqing ZHANG ; Chen OU ; Xiong CHEN ; Xiaolei YAO ; Qinghua PENG
Chinese Journal of Information on Traditional Chinese Medicine 2024;31(8):23-28
Objective To study the mechanism of Chufeng Yisun Decoction in the treatment of corneal injury based on network pharmacology combined with experimental validation.Methods The active components and targets of Chufeng Yisun Decoction were obtained from TCMSP and TCMID databases.Related targets of corneal injury were searched through GeneCards,OMIM,TTD and NCBI-Gene databases.Chinese materia medica-active components-key target network was established.The main active components of Chufeng Yisun Decoction for the treatment of corneal injury were analyzed.The core targets were predicted through PPI network.CCK-8 method was used to screen the optimal concentration of serum containing Chufeng Yisun Decoction for promoting cell growth.Western blot was used to detect autophagy related protein expressions of LC3,LAMP1 and ERK2.Results The main active components of Chufeng Yisun Decoction in the treatment of corneal injury were kaempferol,wogonin,quercetin and paeoniflorin.The core targets were AKT1,TP53,MAPK1,JUN and TNF.The intervention of serum containing Chufeng Yisun Decoction on human corneal fibroblasts could increase the LC3I/LC3II ratio and LAMP1 protein expression,while decrease ERK2 protein expression,which was consistent with the prediction of network pharmacology.Conclusion Chufeng Yisun Decoction treats corneal injury through multiple components,targets and pathways.The mechanism of promoting autophagy therapy for corneal injury is achieved by down-regulating the expression of ERK2 and up-regulating the expression of LC3 and LAMP1.
8.LOX-1 Regulation in Anti-atherosclerosis of Active Compounds of Herbal Medicine: Current Knowledge and the New Insight.
Si-Jie YAO ; Tao-Hua LAN ; Xin-Yu ZHANG ; Qiao-Huang ZENG ; Wen-Jing XU ; Xiao-Qing LI ; Gui-Bao HUANG ; Tong LIU ; Wei-Hui LYU ; Wei JIANG
Chinese journal of integrative medicine 2023;29(2):179-185
Lectin-like oxidized low-density lipoprotein receptor-1 (LOX-1) have recently been identified to be closely related to the occurrence and development of atherosclerosis (AS). A growing body of evidence has suggested Chinese medicine takes unique advantages in preventing and treating AS. In this review, the related research progress of AS and LOX-1 has been summarized. And the anti-AS effects of 10 active components of herbal medicine through LOX-1 regulation have been further reviewed. As a potential biomarker and target for intervention in AS, LOX-1 targeted therapy might provide a promising and novel approach to atherosclerotic prevention and treatment.
Humans
;
Atherosclerosis
;
Scavenger Receptors, Class E/physiology*
;
Biomarkers
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Plant Extracts
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Lipoproteins, LDL
9.Peng Qinghua's Experience in the Staged Treatment of Autoimmune Uveitis
Jiangwei LI ; Yanxue ZHANG ; Jingxian PENG ; Xiaolei YAO ; Qinghua PENG
Journal of Traditional Chinese Medicine 2023;64(23):2393-2396
This paper summarized clinical experience of Professor Peng Qinghua in the staged treatment of autoimmune uveitis (AU). The pathogenesis of AU is always based on root-cause deficiency and manifestation excess, with weakness of healthy qi as the root, and accumulation of wind, dampness and blood stasis as the minifestation. Syndrome differentiation and treatment is usually carried out according to different stages of disease. During the acute stage, deficiency of healthy qi and stagnation of wind-dampness are the key pathomechanisms, so the treatment is to replenish qi and activate blood, dispel wind and remove dampness, and self-made Yiqi Huoxue Qufeng Chushi Decoction (益气活血祛风除湿方) can be used. During remission stage, deficiency of spleen and kidney is the key mechanism, so the treatment is to tonify the spleen and kidney, replenish the essence and brighten the eyes, and self-made Yijing Mingmu Decoction (益精明目汤) can be used. Meanwhile, it was recommened to treat early, prevent and interrupt the disease, commonly combine with Chinese patent medicine Zhengqing Fengtongning tablets (正清风痛宁缓释片), and promote regulation of living to prevent recurrence.
10.Study on masticatory function and expression of monocyte chemoattractant protein-1 and tumor necrosis factor-αin gingival crevicular fluid of patients with dentition loss after dental implant repair
Renjie FU ; Jiangwei YAO ; Jiaqing SUN
Chinese Journal of Postgraduates of Medicine 2021;44(4):353-356
Objective:To investigate the masticatory function and the expression of monocyte chemoattractant protein-1 (MCP-1) and tumor necrosis factor-α(TNF-α) in gingival crevicular fluid.Methods:The clinical data of 98 patients with dentition loss admitted to Tongxiang First People′s Hospital from June 2017 to June 2019 were analyzed, and 49 cases were treated with oral implant repair(observation group) and 49 cases were treated with conventional repair(control group). Both groups were followed up for 6 months. The masticatory function, speech function, retention function, quality of life and the changes of MCP-1 and TNF-α in gingival crevicular fluid were compared before treatment and 6 months after treatment.Results:The total effective rate of the observation group was higher than that of the control group: 95.92%(47/49) vs. 79.59%(39/49), and the difference was statistically significant ( χ2=6.078, P<0.05). At 6 months after treatment, the scores of masticatory function, speech function and retention function in the observation group were higher than those in the control group ( P<0.05). The scores of emotional function, social function and physiological function in the observation group were higher than those in the control group ( P<0.05). The levels of MCP-1 and TNF-α in gingival crevicular fluid of the observation group were lower than those of the control group: (32.09 ± 7.65) μg/L vs. (43.62 ± 9.23) μg/L, (2.19 ± 0.38) μg/L vs. (3.20 ± 0.51) μg/L, and the differences were statistically significant ( P<0.05). Conclusions:Dental implant repair is effective for patients with dentition loss, and it can improve masticatory function and quality of life, and reduce the expression of MCP-1 and TNF-α in gingival crevicular fluid.

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