Hepatic fibrosis refers to excessive accumulation and abnormal proliferation of fibrous connective tissue in the liver triggered by multiple pathogenic factors， and it may progress to liver cirrhosis， portal hypertension， and liver cancer. The pathological mechanisms of hepatic fibrosis involve hepatocyte injury， inflammatory cell infiltration with the release of inflammatory mediators， hepatic stellate cell activation， and extracellular matrix deposition. Recent studies have focused on mitochondrial dysfunction in disease progression， including the molecular pathways for hepatic fibrosis driven by metabolic disorders， energy deficiency， oxidative stress， mitochondrial dynamic imbalance， and autophagic dysfunction， all of which can induce liver injury. This article reviews the latest advances in hepatic fibrosis， in order to provide new therapeutic strategies for clinical management.

Objective: To compare the effects of 12 week Tai Chi combined with inspiratory muscle resistance training on cardiopulmonary function among male college students in health care classes, so as to provide a reference for improving the cardiopulmonary function of the students. Methods: From March to May 2025, 72 male students from the physical education health care classes at North University of China were selected and randomly divided into the control group ( n =25), the Tai Chi group ( n = 24), and the Tai Chi combined with inspiratory muscle resistance training group (combined group, n =23) by random number table method. The control group maintained normal living habits, the Tai Chi group underwent 12 weeks of Tai Chi exercise (three sessions per week, 90 minutes per session), and the combined group received 12 weeks of Tai Chi training (three sessions per week, 60 minutes per session) combined with 30 minutes of inspiratory muscle resistance training. Cardiovascular function[heart rate(HR), stroke volume(SV), cardiac output(CO), mean systolic pressure(MSP), mean diastolic pressure(MDP), vascular elastic dilatation coefficient (VDC), total peripheral resistance (TPR), viscosity (V)], pulmonary function [vital capacity (VC), forced vital capacity (FVC), maximum minute ventilation volume (MVV), forced expiratory volume in one second (FEV1), FEV1/FVC] and heart rate variability (HRV) [HR, standard deviation of the normal to normal intervals (SDNN), root mean square successive difference (RMSSD), low frequency (LF), high frequency (HF), LF/HF] of the three groups of subjects were tested before and after the experiment, the data were analyzed using analysis of covariance. Results: There were no statistically significant differences in any indicators among the three groups before the intervention ( F =0.00-2.49, all P >0.05). After the intervention, except FEV1/FVC, MDP and V, there were statistically significant differences of pulmonary function, cardiovascular function and HRV indicators among the three groups ( F =4.38-62.93, all P <0.05). Compared with the control group [(VC ( 3.28± 0.30)L, FVC (3.20±0.29)L, MVV (107.01±9.55)L, SV (65.68±2.34)mL, CO (5.36±0.18)L/min, VDC (0.40±0.03), step index (50.64±3.11), MSP (133.17±6.47)mmHg, TPR (1 281.34±100.78)dyn ·s ·cm -5 ], the VC [(3.43±0.24, 3.69±0.21)L], FVC [(3.34±0.16, 3.46±0.20)L], MVV [(112.54±8.95, 117.11±6.37)L], SV [(71.75±4.20, 75.39±3.71)L/time], CO[( 5.53± 0.14, 5.58±0.15)L/min], VDC (0.43±0.03, 0.44±0.02) and step index (53.38±5.77, 56.17±4.91) in the Tai Chi group and the combined group significantly increased, while the MSP [(120.17±6.42, 118.04±12.99)mmHg] and TPR [( 1 227.01 ±107.25, 1 217.69±64.93)dyn ·s ·cm -5 ] significantly decreased (all P <0.05). The HRV showed improvement. Moreover, compared with the Tai Chi group, VC, FVC, MVV, FEV1[(2.99±0.14，3.05±0.15)L], SV, step index, RMSSD[( 45.41± 9.59，52.82±7.67)ms] and HF [(2.74±0.13，2.87±0.16)ms 2] increased, while HR [(77.17±6.01, 73.83± 3.71)beats/min ] decreased in the combined group (all P < 0.05 ). Conclusion Twelve weeks of Tai Chi exercise and Tai Chi combined with inspiratory muscle resistance training can improve the cardiopulmonary function of male college students in health care classes, and the effect of the combined training is superior to that of Tai Chi training alone.

Wang Ji is an outstanding representative of Xin'an medicine,he has made a lot of achievements in academic thought of acupuncture and moxibustion,which mainly contains the academic features such as"acupuncture treatment mainly purging excessive pathogen"and"use of moxibustion with caution for the disease-free person",as well as"no selection of fixed acupoints for treating diseases".The scholars in past dynasties did a lot of research on his theory of"acupuncture treatment mainly purging excessive pathogen"and"use of moxibustion with caution for the disease-free person",but did less research on his theory of"no selection of fixed acupoints for treating diseases",this paper explores Wang Ji's life and his representative works,and analyzes the theory of"no selection of fixed acupoints for treating diseases".Wang Ji advocates the disease treatment principle of differentiation of meridians and collaterals,qi and blood,as well as yin and yang,and his acupoint selection rules focuses on flexible prescription according to syndrome differentiation,point selection according to disease differentiation,which critically criticizes the dogmatic behavior of the conventional theory that"a certain acupoint corresponding treatment for a certain disease",he reminded the physicians that in treating disease by acupuncture and moxibustion,syndrome differentiation should be according to meridians and collaterals differentiation,acupoint application should be flexible and changeable.

[Objective]To summarize the clinical academic experience of Professor HU Guojun,a famous Chinese medicine doctor,in the treatment of ankylosing spondylitis based on the theory of"host and client interaction".[Methods]Professor HU Guojun's experience in the treatment of ankylosing spondylitis based on the theory of"host and client interaction"was summarized from four aspects,including theoretical tracing,etiology,pathogenesis,treatment and medication characteristics,by consulting doctors,collating typical medical records and consulting relevant literature,and a medical case was attached to support it.[Results]Professor HU believes that the etiology and pathogenesis of ankylosing spondylitis are highly consistent with the"interaction between host and client"theory.In clinical practice,he emphasizes the principle of"supporting the vital energy and dispelling pathogenic factors,while differentiating between host and guest."He advocates that tonifying deficiency should involve examining the differences between Yin and Yang,and expelling pathogenic factors should involve distinguishing the characteristics of the pathogenic Qi.He skillfully uses blood-enriching and flesh-tonifying substances,insect-based medicines,vine and stem herbs and warming and tonifying drugs to strengthen the host energy and expel the client energy,resulting in significant therapeutic effects.In the attached case study,Professor HU used the principle of dissolving the entanglement between host and guest as the main treatment approach.By addressing both the root cause and symptoms simultaneously,he ultimately achieved the strengthening of the host energy and the expulsion of the pathogenic factors,leading to the resolution of the chronic condition.[Conclusion]Professor HU has innovatively applied the"host and client interaction"theory in the treatment of ankylosing spondylitis,yielding excellent results.This approach can serve as a new reference for the clinical diagnosis and treatment of ankylosing spondylitis.

[Objective]To summarize the clinical academic experience of Professor HU Guojun,a famous Chinese medicine doctor,in the treatment of ankylosing spondylitis based on the theory of"host and client interaction".[Methods]Professor HU Guojun's experience in the treatment of ankylosing spondylitis based on the theory of"host and client interaction"was summarized from four aspects,including theoretical tracing,etiology,pathogenesis,treatment and medication characteristics,by consulting doctors,collating typical medical records and consulting relevant literature,and a medical case was attached to support it.[Results]Professor HU believes that the etiology and pathogenesis of ankylosing spondylitis are highly consistent with the"interaction between host and client"theory.In clinical practice,he emphasizes the principle of"supporting the vital energy and dispelling pathogenic factors,while differentiating between host and guest."He advocates that tonifying deficiency should involve examining the differences between Yin and Yang,and expelling pathogenic factors should involve distinguishing the characteristics of the pathogenic Qi.He skillfully uses blood-enriching and flesh-tonifying substances,insect-based medicines,vine and stem herbs and warming and tonifying drugs to strengthen the host energy and expel the client energy,resulting in significant therapeutic effects.In the attached case study,Professor HU used the principle of dissolving the entanglement between host and guest as the main treatment approach.By addressing both the root cause and symptoms simultaneously,he ultimately achieved the strengthening of the host energy and the expulsion of the pathogenic factors,leading to the resolution of the chronic condition.[Conclusion]Professor HU has innovatively applied the"host and client interaction"theory in the treatment of ankylosing spondylitis,yielding excellent results.This approach can serve as a new reference for the clinical diagnosis and treatment of ankylosing spondylitis.

This article summarizes Professor Shang Lili's experience in diagnosing and treating recurrent respiratory tract infections(RRTIs)in children based on the theory of"internal deficiency and external injury".Professor Shang believes that children are in the stage of growth and development,with delicate organs and insufficient vital energy,which is called"internal deficiency";external pathogens repeatedly invade the human body,resulting in clinical manifestations of both cold and heat,ultimately damaging the body's qi,blood,essence,and spirit,known as"external injury"."Internal deficiency and external injury"leads to repeated infections of pathogens in children and causes physical and mental distress,affecting their growth and development.The theory of"internal deficien-cy and external injury"emphasizes the influence of internal and external factors on RRTIs in children,reflecting the evolution of patho-genesis and guiding clinical staging treatment.During the acute infection period,the treatment of wind heat syndrome is based on the Xin Liang and Qing San methods,while the treatment of wind cold syndrome is based on the Xin Wen and Kai Bi methods.For the mixed deficiency and excess syndrome,various methods such as attacking,supplementing,harmonizing,and supporting should be used,and treatment should be based on syndrome differentiation,with adjustments made according to the symptoms;during the inter-mittent period of infection,Professor Shang aims to assist the righteous qi,taking into account the upper,middle,and lower Jiao,and adopting treatment principles such as nourishing the lungs,spleen,and kidneys.Professor Shang's experience provides useful ideas and methods for the treatment of RRTIs in children.

Background::Genetic variants of dopaminergic transcription factor-encoding genes are suggested to be Parkinson’s disease (PD) risk factors; however, no comprehensive analyses of these genes in patients with PD have been undertaken. Therefore, we aimed to genetically analyze 16 dopaminergic transcription factor genes in Chinese patients with PD.Methods::Whole-exome sequencing (WES) was performed using a Chinese cohort comprising 1917 unrelated patients with familial or sporadic early-onset PD and 1652 controls. Additionally, whole-genome sequencing (WGS) was performed using another Chinese cohort comprising 1962 unrelated patients with sporadic late-onset PD and 1279 controls.Results::We detected 308 rare and 208 rare protein-altering variants in the WES and WGS cohorts, respectively. Gene-based association analyses of rare variants suggested that MSX1 is enriched in sporadic late-onset PD. However, the significance did not pass the Bonferroni correction. Meanwhile, 72 and 1730 common variants were found in the WES and WGS cohorts, respectively. Unfortunately, single-variant logistic association analyses did not identify significant associations between common variants and PD. Conclusions::Variants of 16 typical dopaminergic transcription factors might not be major genetic risk factors for PD in Chinese patients. However, we highlight the complexity of PD and the need for extensive research elucidating its etiology.

[Objective]To treat cough after novel coronavirus infection based on clinical cases data mining.[Methods]Collect the clinical cases of cough treated in the Outpatient Department of Anhui University of Chinese Medicine from January to February 2023. Excel 2019,SPSS Statistics 25.0 and SPSS Clementine 12.0 software were used to establish databases,and the frequency analysis,cluster analysis and association rule analysis were used to explore the medication rules for the treatment of such cough.[Results]A total of 90 cases that met the inclusion criteria,involved the drug 162 flavors,Total frequency of medication was 2028 times,with a frequency of 30 times or more,mainly for clearing heat,phlegm cough,surface-clearing medicine;Cluster analysis yielded seven pairs of high-frequency drug combinations,trichosanthis skin,ephedra,bitter almond;Peucedanum root,Cynanchum glaucescens,the winter flower;Scutellaria baicalensis,platycodon grandiflorum;Houttuynia of houttuynia,arisaema with bile;Uncaria,cicada slough;Schisandra chinensis,hihiko;Scleromitrion diffusum,golden buckwheat,peach kernel;it mined 20 binomial associations. The results showed the highest correlation between baicalensis and platgrandiflorum,29 items of three associations The results showed that baicalensis had the most associated terms,baicalensis was most associated with hot ephedra and trichosanthis skin.[Conclusion]In the treatment of cough after novel coronavirus infection,it should usually clear heat and detoxify phlegm,treat from phlegm,combine classic medicine and use cough medicine with caution.

Rheumatoid arthritis(RA)is a chronic systemic autoimmune disease characterized by the hyperplasia of synovial cells,an increase in inflammatory cells,and the destruction of cartilage.The pathogenesis of RA is complex and closely related to genetic factors,immune system abnormalities,and mitochondrial dysfunction.Mitochondria,known as the powerhouse of the cell,play a pivotal role in the development of RA.Their dysfunction is manifested as abnormal energy metabolism,excessive accumulation of reactive oxygen species(ROS),and abnormal activation of the innate immune system,which in turn promotes inflammation and tissue damage.The pathogenic environment of RA influences mitochondrial dysfunction through hypoxic conditions,DNA mutations,and oxidative stress.Hypoxia impairs mitochondrial function,promoting inflammation and angiogenesis;mutations in mitochondrial DNA(mtDNA)exacerbate mitochondrial dysfunction and advance the progression of RA;oxidative stress directly damages cartilage and the extracellular matrix,altering protein structure.Therefore,investigating the relationship between mitochondrial dysfunction and the pathogenesis of RA is of significant importance for understanding the disease's mechanisms and developing novel therapeutic strategies.

To summarize XU Jingshi's clinical experience in treating fever from the perspective of latent pathogen. It is believed that latent pathogen heat accumulation is an important pathogenesis of fever. For latent pathogen in shaoyang and membrane-source， modified Xiaochaihu Decoction （小柴胡汤） plus Qinghao （Artemisiae Annuae Herba） could be used to expel pathogen through membrane and regulate shaoyang； for latent pathogen leading to yin fluids consumption， treatment should clear heat and expel pathogen， and prescribed with Chaihu （Bupleuri Radix）， Huangqin （Scutellaria baicalensis Georgi）， Qinghao （Artemisia carvifolia） combined with Baihu Decoction （白虎汤） or Zhuye Shigao Decoction （竹叶石膏汤） or Qinghao Biejia Powder （青蒿鳖甲散） or Shengmai Decoction （生脉饮） or Siyin Decoction （四阴煎） by syndrome differentiation； for latent pathogen leading to liver wind or reverse transmission to the pericardium， treatment should cool to open pathways， and prescribed with modified Angong Niuhuang Pill （安宫牛黄丸） to clear mind and open the orifices， clear heat and resolve toxins， resolve constraint with aromatics， and expel pathogens to outside； for fever after radiotherapy， chemotherapy or surgery for tumours， prescribed with self-prescribed Fuzheng Anzhong Decoction （扶正安中汤） plus Xiaochaihu Decoction （小柴胡汤） and modified Qinghao Biejia Decoction （青蒿鳖甲汤） to reinforce healthy qi and dispel pathogen， and support the middle jiao.