OBJECTIVE To explore the medication rule and potential mechanism of anti-aging traditional Chinese medicine health care prescription by using data mining,network pharmacology and molecular docking technology.METHODS By searching the special food information query platform of the State Administration for Market Regulation and Yaozhi.com,the health care prescrip-tions with traditional Chinese medicine as the main component and anti-aging effect were searched.The data mining technology was used to analyze the prescription rules,and the core anti-aging traditional Chinese medicine was selected according to the analysis re-sults.The chemical constituents and corresponding targets of core anti-aging traditional Chinese medicines were obtained by searching TCMSP and other databases;potential targets related to aging from GeneCards and OMIM databases were screened;the intersection tar-gets of core Chinese medicine and aging were obtained.Subsequently,protein-protein interaction(PPI)network analysis,gene ontolo-gy(GO)and Kyoto Encyclopedia of Genes and Genomes(KEGG)pathway enrichment analysis were performed using STRING database and Cytoscape 3.7.2 software.Finally,the affinity of core targets and key components was verified by molecular docking technology.RESULTS A total of 244 kinds of anti-aging traditional Chinese medicine health care prescriptions were screened and included.The prescription drugs were mainly tonic drugs,the drug properties were mostly warm and mild,the drug taste was mainly sweet,the drugs were mainly distributed in the five zang organs,with the kidney meridian being the first target.According to the re-sults of comprehensive data analysis,five core Chinese medicines(Wolfberry,ginseng,American ginseng,Astragalus,Poria)were screened out.A total of 105 active ingredients(corresponding to 219 target genes),1 568 aging-related potential targets,and 137 in-tersection targets were obtained.According to the degree value,12 core targets were screened out,mainly involving cancer pathways,lipids and atherosclerosis,AGE-RAGE and other signaling pathways.The results of molecular docking showed that the key anti-aging components could spontaneously and stably bind to the core targets.CONCLUSION Through data mining,network pharmacology and molecular docking,the prescription rules of anti-aging Chinese medicine health care prescriptions are analyzed,and the anti-ag-ing potential targets and mechanism pathways of five core traditional Chinese medicines are preliminarily revealed,so as to provide ref-erence and theoretical basis for delaying aging and preventing and treating related diseases in the elderly.

OBJECTIVE To establish an accurate and timely intelligent auxiliary diagnosis method for facial paralysis in order to enable patients and doctors to diagnose the disease faster and achieve the purpose of early detection,early diagnosis and early treatment.METHODS A method integrating SOLOv2-Vision Transformer was proposed.The collected facial paralysis data was seg-mented by the SOLOv2 model with a replaced backbone network,the interference part in the image was removed,and then inputted in-to the Vision Transformer model for classification training.By adopting the principle of segmentation first and then classification,the classification effect of facial paralysis images was improved.RESULTS The accuracy rate of the experimental method on the MEEI facial paralysis dataset was 0.982,the recall rate was 0.982,and the F1-score was 0.981,which were respectively increased by 2%,4%,and 4%compared with the basic model.CONCLUSION The facial paralysis classification model integrated with SOLOv2-Vi-sion Transformer can achieve higher recognition accuracy than the unsegmented method,and provides a new method for the diagnosis of facial paralysis.

Guided by Zhang Zhongjing's axiom that"blood stasis induces water",this study develops stage-specific treatment strategies for edema in Kidney Consumption Disorder by examining its four-stage pathogenic progression:Sluggish Flow → Stagnant Obstruction → Depressed Accumulation → Stasis Congelation.We propose an integrated approach that reinforces the root by warming the kidney and replenishing essence,while addressing the branch by activating blood circulation and promoting diuresis.Stage-specific interventions include:for the Sluggish Flow Phase,warming and tonifying kidney Yang combined with unblocking Yang to promote uri-nation;for the Stagnant Obstruction Phase,warming the kidney and replenishing essence supported by activating blood circulation and freeing the collateral channels;for the Depressed Accumulation Phase,quickening blood and resolving stasis,regulating Qi and trans-forming turbidity,along with warming the kidney and strengthening essence;and for the Stasis Congelation Phase,expelling stagnant accumulations while simultaneously regulating essence and blood.This framework advances novel pattern-determined strategies for Kid-ney Consumption edema management.

Comorbidities will be a challenge faced by both Chinese and Western medicine in the future.The coexistence of multiple diseases logically begins with a holistic view of life that integrates form,qi,and spirit,and a holistic view of disease that integrates dis-ease and syndrome.From a Chinese medicine perspective,the core pathogenesis of comorbidities involves the interaction between ab-normal qi transformation and physical damage.The key to treatment lies in restoring the disordered state of qi.The basis for formula se-lection is the formula-syndrome.The therapeutic goal of the formula-syndrome is not a specific disease,but rather a holistic differenti-ation and treatment of the entire body.The"formula-disease-person"diagnosis and treatment model for treating comorbidities is a model for innovative theoretical guidance in clinical practice.It offers three approaches to diagnosing and treating comorbidities:formu-la-disease correspondence,formula-person correspondence,and formula-disease and formula-person correspondence,which provides a more original perspective and broader thinking for the study of comorbidity.

The ancient space-time integration view is the ideological basis for the construction of the Chinese civilization system.As an important part of Chinese civilization,traditional Chinese medicine(TCM)combines the ancient space-time view with the human body to form a space-time view of TCM that unifies time,space and human body.The space-time integration view of"nine palaces and eight winds"as an early prototype of the space-time view of TCM is the basis for the formation and development of the space-time theory of TCM in later generations.Combining ancient and modern literature,this paper explores the formation,character-istics and application of the space-time integration view of"nine palaces and eight winds".The study found that the formation of this TCM time-space integration view is related to the ancient astronomical calendar for observing phenomena and telling time,the ancients' understanding of the time-space attributes of the human body and"wind",and the"nine palaces and eight winds"time-space view has the characteristics of combining Tao,numbers,and images,dynamics,and predictability,and it promotes the develop-ment of TCM and the inheritance of Chinese culture.

OBJECTIVE To explore the mechanism of action of Qihuang Zhuyu formula(QHZYF)in improving depression after myocardial infarction(MI),with a focus on revealing its regulatory effect on the inflammatory response of the heart and brain.METH-ODS The active ingredients of QHZYF and the action targets for intervening in depression after MI were analyzed by using ultra-per-formance liquid chromatography-high-resolution mass spectrometry(UPLC-Q-TOF/MS)combined with network pharmacology and molecular docking.A rat model of depression after MI was established by ligation of the left anterior descending coronary artery com-bined with chronic restraint stress.Echocardiography was used to evaluate cardiac function,hematoxylin-eosin(HE)and Masson stai-ning were used to evaluate myocardial injury,behavioral tests were used to detect melancholic behaviors,Nissl staining was used to e-valuate hippocampal neuron injury.Western blot detection of tumor necrosis factor receptor 2(TNFR2),phosphatidylinositol-3-kinase(PI3K),phosphorylated seronine protein kinase(p-AKT),seronine protein kinase(AKT),tumor necrosis factor receptor 1(TNFR1),phosphorylated nuclear factor κB(p-NF-κB),and nuclear factor κB(NF-κB)in cardiac and hippocampal tissues was conducted.The levels of serum IL-6 and IL-10 were detected by enzyme-linked immunosorbent assay(ELISA),and the expression of TNFR1 and TNFR2 was detected by immunohistochemical technique(IHC).In vitro experiments,co-culture of rat cardiomyocyte line H9C2 cells and rat adrenal pheochromocytoma cell line with high differentiation PC12 cells was conducted,TNFR1 inhibitor(H398)and TNFR2 agonist(C-6His)were administered for intervention,and the expression of TNFR2,PI3K,p-AKT,AKT,TN-FR1,NF-κB,p-NF-κB was detected by Western blot.Observe the apoptosis of cells by TUNEL staining,ELISA was used to detect the levels of IL-6 and IL-10 in the cell supernatant.RESULTS Network pharmacological analysis indicates that the TNF signaling pathway was a key target for the treatment of depression after MI with the QHZYF.In vivo experiments have confirmed that the interven-tion of QHZYF could significantly improve the cardiac function,myocardial tissue and hippocampal neuron structure damage of de-pressed rats after MI,and improve their depression-like behaviors.At the molecular level,the high-dose group of QHZYF significant-ly upregulated TNFR2,p-AKT/AKT,and IL-10 in cardiac and hippocampal tissues(P＜0.01),and downregulated TNFR1,p-NF-κB/NF-κB and IL-6(P＜0.01).In vitro experiments showed that the drug-containing serum of QHZYF significantly upregulated the expression of TNFR2,p-AKT/AKT and IL-10 in H9C2 and PC12 cells(P＜0.01),downregulated the expression of TNFR1,p-NF-κB/NF-κB and IL-6(P＜0.01),and significantly inhibited cell apoptosis(P＜0.01).Furthermore,experiments on the combined ap-plication of H398 or C-6His further confirmed that its protective and anti-inflammatory effects were mediated by regulating the TN-FR2/PI3K/AKT and TNFR1/NF-κB pathways.CONCLUSION QHZYF improves the homeostasis of heart and brain inflammation by regulating the TNF pathway,and ameliorates myocardial injury and depressive state in depressed rats after MI.

OBJECTIVE To investigate the mechanism of action of Chaihu Shugan San(CSS)and its absorbed components,Meranzin hydrate(MH)and ferulic acid(FA),on atherosclerosis(AS)and depression.METHODS An AS combined with depres-sion model was established in ApoE-/-mice,which were randomly divided into the blank group,model group,CSS group,MH group,and FA group.AS progression was evaluated through lipid profile analysis(TC,TG,LDL-C,HDL-C),aortic plaque analysis(Oil Red O staining),and cardiac function assessment.Behavioral tests,including the open field test,light/dark box test,tail suspension test,and forced swim test,were conducted to evaluate depressive-like behaviors.Hippocampal neuronal morphology changes were ob-served through Golgi staining.Serum inflammatory cytokines(TNF-α,IL-1β,IL-6),neurotransmitters(5-HT,BDNF),and vas-cular adhesion molecules(VCAM-1)were measured.16S rRNA sequencing was used to analyze the gut microbiome composition.RE-SULTS Compared to the model group,the CSS,MH,and FA treatment groups showed improvements in several areas.First,signifi-cant reduction in AS lesions,lower blood lipid levels,and enhanced cardiovascular function were observed(P＜0.01,P＜0.001).Sec-ond,depressive-like behaviors were improved,with stronger activity and less immobility time.Damage to neuronal dendritic spines was also repaired(P＜0.05,P＜0.01,P＜0.001).Additionally,serum levels of inflammatory cytokines,neurotransmitters,and vascu-lar adhesion molecules were reversed(P＜0.05,P＜0.01,P＜0.001).Finally,gut microbiome α and β diversity were regulated,and beneficial bacteria abundance was increased.CONCLUSION CSS exhibits the best effects in treating both AS and depression.The two absorption components,MH and FA,together contribute to the anti-AS and anti-depression effects.At the same concentration,MH shows better anti-AS and anti-depression effects than FA.

OBJECTIVE To explore the ameliorative effect of Tiaozhi Xiaoban Mixture on atherosclerosis and the potential role of long non-coding RNA(Linc RNA)in anti-atherosclerosis.METHODS A model of atherosclerosis was established in SD rats subjec-ted to a high-fat diet.At 4 weeks post-modeling,thoracic aortic tissues from atherosclerotic rats were collected for hematoxylin-eosin(HE)staining to systematically evaluate the anti-atherosclerotic effects of Tiaozhi Xiaoban Mixture at different doses.Biochemical kits were utilized to assess relevant indices related to blood lipid levels as well as liver and kidney function,thereby evaluating the impact of Tiaozhi Xiaoban Mixture on these parameters.Enzyme-linked immunosorbent assay(ELISA)was employed to measure serum inflam-mation markers influenced by Tiaozhi Xiaoban Mixture.Additionally,TUNEL staining and Western blot analysis were conducted to ex-amine the apoptotic effects of Tiaozhi Xiaoban Mixture on thoracic aorta tissue.Finally,qPCR was used to detect the expression levels of Line-HC,MALAT1,etc.,in order to evaluate how Tiaozhi Xiaoban Mixture affecting these specific RNA molecules.RESULTS Following treatment with Tiaozhi Xiaoban Mixture,the blood lipid profiles indicated that total cholesterol(TC),triglycerides(TG),and low-density lipoprotein cholesterol(LDL-C)were significantly down-regulated(P＜0.05,P＜0.01),while high-density lipopro-tein cholesterol(HDL-C)levels were up-regulated in the atherosclerotic rats.Moreover,serum levels of liver and kidney function markers such as aspartate aminotransferase(AST),alanine aminotransferase(ALT),blood urea nitrogen(BUN),and creatinine(Cr)exhibited down-regulation(P＜0.05,P＜0.01).Additionally,pro-inflammatory factors including interleukin-6(IL-6),interleukin-1 beta(IL-1β),tumor necrosis factor-alpha(TNF-α),high-sensitivity C-reactive protein(hs-CRP),and matrix metallopeptidase 9(MMP-9)were also reduced(P＜0.01),whereas the anti-inflammatory factor interleukin-10(IL-10)was found to be elevated(P＜0.01).Furthermore,after oral administration of Tiaozhi Xiaoban Mixture,expression levels of apoptosis-related factors NLRP3,ASC,Cleaved Caspase-1,Cleaved IL-1 β,Puma,Bax,Noxa,and MDM2 in thoracic aorta tissues from the atherosclerotic rats showed sig-nificant down-regulation(P＜0.05,P＜0.01).Notably,following treatment with Tiaozhi Xiaoban Mixture,mRNA levels of Linc-HC decreased while mRNA expression of MALAT1 increased(P＜0.05,P＜0.01).CONCLUSION Tiaozhi Xiaoban Mixture may inhibit the expression of Linc-HC and up-regulate the expression of MALAT1 to reduce the formation of atherosclerotic plaque,improve ab-normal blood lipids and liver and kidney function,alleviate inflammation and inhibit apoptosis.

OBJECTIVE To investigate the effect and potential mechanism of Ziyin Mingmu Formula in treating age-related mac-ular degeneration(AMD)by combining network pharmacology with animal model validation.METHODS Active ingredients of Ziyin Mingmu Formula were obtained from the TCMSP and BATMAN databases,and their targets were searched using the PharmMapper da-tabase.AMD disease targets were identified using the GeneCards,DrugBank,OMIM,and TTD databases.Venny analysis was per-formed to identify the intersection of active ingredient and disease targets.A protein-protein interaction(PPI)network was constructed using the String database,and core targets were screened using Cytoscape 3.9.0 software.KEGG pathway enrichment analysis was per-formed using the DAVID database.Molecular docking of key active ingredients with core targets was performed using Autodock software.A laser-induced mouse choroidal neovascularization(CNV)model was used.Optical coherence tomography angiography(OCTA)was used to assess CNV area in vivo,immunofluorescence staining was used to assess CNV area on choroidal flat mounts,and Western blot analysis was used to examine the expression of proteins involved in the vascular endothelial growth factor(VEGF)pathway.RESULTS Network pharmacology analysis identified 221 active ingredients in the Ziyin Mingmu Formula.PPI analysis i-dentified 29 core targets,including SRC,protein kinase B(AKT1),mitogen-activated protein kinase 1(MAPK1),and heat shock protein 90α family class A member 1(HSP90AA1).KEGG analysis revealed that the VEGF signaling pathway was the most highly en-riched.Molecular docking revealed that the core targets SRC,AKT1,MAPK1,and HSP90AA1 had good binding affinity with the main active ingredients,diosmetin,catechin,vestitol,and licochalcone A.Animal experiments showed that the Ziyin Mingmu Formula significantly reduced CNV area in model mice,downregulated VEGF protein expression,decreased VEGFR2,p38,and ERK1/2 pro-tein phosphorylation levels,and inhibited the VEGF signaling pathway.CONCLUSION Ziyin Mingmu Formula may inhibit CNV for-mation by regulating the VEGF signaling pathway.

This paper summarizes the academic thought and clinical experience of Professor Gu Ning in diagnosing and treating hy-peruricemia(HUA)based on the Waterway Theory.He proposes that the waterway is a pathway regulated by the Sanjiao and multiple organs,responsible for body fluid metabolism,and that turbid fluids produced after metabolism must be excreted through this pathway.Based on the Water Theory,Professor Gu Ning proposes that the pathogenesis of HUA involves dysfunction of the organs and impaired waterway due to external exposure to the six exogenous pathogens or internal injuries from the seven emotions.The key patho-logical mechanism lies in the accumulation of dampness-turbidity,which subsequently gives rise to various syndrome patterns.Profes-sor Gu Ning developed a therapeutic strategy of eliminating dampness and reducing turbidity for HUA based on the Waterway Theory.By combining and modifying two classical prescriptions,Simiao San and Wuling San,he formulated the Huashi Jiangzhuo For-mula,offering a novel diagnostic and therapeutic approach as well as a theoretical foundation for the treatment of HUA.