1.Identifying the drug action for ulcers and injuries from ancient medical manuscript
Oyun-Erdene Baasansuren ; Gerelmaa Battogtokh ; Shagdarsuren Dashjamts ; Bold Sharav
Mongolian Pharmacy and Pharmacology 2026;29(2):11-15
Introduction:
The National Library of Mongolia was established in 1921 based largely on the 8th Khalkha Jebtsundamba Library. In studying the tradition of collecting and preserving books in Mongolia, the subject can be divided into three categories:
1. Family collection
2. Palace/ Royal collections
3. Monastery collections.
From the collection mentioned above, we selected a work belonging to the royal collections, specifically
one transferred from the VIII Khalkha Jebtsundamba’s Library to the National Library. This book, “The
drug actions that are useful for any kind of ulcer, swelling, and injuries,” is a rare and valuable item
of medical cultural heritage, existing in a single known copy. Therefore, this work was selected for
incorporation into the research cycle.
To identify the formulas, forms of medicines, methods of use, actions, and to abstain from diet methods
in the book “The drug actions that are useful for any kind of ulcer, swelling, and injuries.”
Methods:
We employed methods such as the study of original texts and sources, analytic- synthetic
method.
Conclusion
The book includes methods for using 27 various medicines to treat 26 types of diseases
related to the lesions. Some medicines can be used externally in addition to oral administration, and
90% of all medicines are in the form of powders and granules for external application.
2.Standardization and validation of analytical methods for Inula helenium L. root
Oyun-Erdene Purevsuren ; Sugarmaa Battulga ; Batdorj Davjid ; Nomin Jagar ; Battulga Borbaatar ; Badral Duger ; Lkhaasuren Ryenchindorj ; Khurelbaatar Luvsan ; Badamtsetseg Soyollkham
Mongolian Pharmacy and Pharmacology 2026;29(2):55-61
Introduction:
Inula helenium L. is a medicinal plant widely used in traditional Mongolian and
Tibetan medicine. Its roots and rhizomes contain active compounds, including sesquiterpene
lactones (alantolactone and isoalantolactone), inulin, flavonoids, and essential oils, with anti-inflammatory, antimicrobial, and immunomodulatory properties. This study evaluates the
quality of Inula helenium L. roots and quantifies their key active compounds in accordance with
pharmacopoeial standards.
Methods:
The roots of Inula helenium L. cultivated in the Medicinal Plant Botanical Garden of
Monos Group were used as raw material. Physicochemical parameters, including moisture, total
ash, acid-insoluble ash, and extractive values, were determined according to pharmacopoeial
methods. Qualitative analysis was carried out using color reactions for polysaccharides and
thin-layer chromatography for the identification of sesquiterpene lactones. Quantitative analysis
was performed using spectrophotometry for total polysaccharides and high-performance liquid
chromatography (HPLC) for the determination of alantolactone and isoalantolactone.
Conclusion
The physicochemical parameters of Inula helenium L. root were standardized, with
total inulin content determined as 47.13±0.45%, alantolactone as 1.41±0.02%, and isoalantolactone
as 1.33±0.02%. Analytical methods for inulin, alantolactone, and isoalantolactone were validated
according to ICH Q2(R2) guidelines, confirming the possibility of updating the MNS standard or
developing a manufacturer’s pharmacopoeial monograph based on these validated methods.
3.Treatment of miniere’s disease (icd-10 h.81) using traditional medicine and therapeutic interventions: Case report
Undarmaa B ; Tserendulam G ; Oyun-Erdene U ; Oyunnyam Ch ; Nasankhishig D ; Khaliun E ; Tsegmed G ; Oyunbileg Yu ; Enkhtuya V
Mongolian Journal of Health Sciences 2025;87(3):72-74
Background:
Meniere's disease is a condition caused by disturbances in the
auditory and vestibular systems. It is characterized by symptoms such as dizziness,
nausea, vomiting, and tinnitus. In the United States, the prevalence of
Meniere's disease has been found to be 84 cases per 100,000 women and
56 cases per 100,000 men. Regionally, it is more common in less populated
areas, and research has confirmed that the prevalence increases with higher
household income.
Aim:
To evaluate the effectiveness of traditional medicine treatments and therapies
for Meniere's disease.
Results:
The patient is a 43-year-old male, with symptoms of dizziness, vomiting,
and tinnitus. Since 2023, he has sought care at the Central Hospital of
Mongolian Medicine, where he received traditional medicine treatments including
herbal therapy and other traditional therapies on three occasions. As a
result, the frequency of dizziness has decreased and other clinical symptoms
have improved.
Conclusion
Traditional medicine treatments have been shown to be effective
in managing Meniere's disease by extending the interval between relapses,
improving quality of life, and significantly reducing clinical symptoms.
4.Result of a study on some effects of (Allium polyrhizum Turcz. ex Regel) preparation on a type 2 diabetic model
Oyun-Erdene R ; Gerelt Borjikhan ; Munkhtsetseg J
Mongolian Journal of Health Sciences 2025;85(1):130-135
Background:
Diabetes mellitus (DM) is a complex metabolic disorder involving many organs and can devastate the
lives of affected individuals. It is characterized by chronic high blood glucose that could lead to morbidity and mortality.
The number of people suffering from diabetes worldwide is increasing at an alarming rate. It is predicted that about 366
million people are likely to be diabetic by the year 2030. Since all of the previous studies have focused on the therapeutic
role of (Allium polyrhizum Turcz. ex Regel) preparations in diabetes mellitus, we investigated the preventive effect of oral
administration of (Allium polyrhizum Turcz. ex Regel) extract on the changes of biochemical factors and histopathology
alterations in hepatic tissue caused by diabetes. Therefore, this study aimed to investigate the effect of water extract (Allium polyrhizum Turcz. ex Regel) on the metabolism of rats with diabetes induced by a high-fat diet and streptozotocin.
Aim:
To investigate the antidiabetic properties of aqueous extract of (Allium polyrhizum Turcz. ex Regel) and its beneficial
effect on hematological parameters in streptozotocin-induced diabetic rats.
Materials and Methods:
Experimental was performed at the Institute of Mongolian Medicine and Chemistry, Inner
Mongolia University. Male Wistar rats weighing (180 g) were obtained from The Animal Experimental Unit of Mongolia
Medicine and Chemistry Research Center, Inner Mongolia University.
The rats were housed in well-aerated individual cages in an animal room and maintained in a temperature-controlled
room (24±25°C) with a 12 h light/12 h dark cycle, 50-60 % humidity. They were fed with normal commercial chow and
water ad libitum. Throughout the experiments, animals were processed according to the suggested international ethical
guidelines for the care of laboratory animals, and all experimental procedures were approved by the Animal Care and Use
Committee of Inner Mongolia University.
After 4 weeks, the rats were fasted for 8 h before blood sampling, water was not restricted. Blood samples were collected
from the orbital venous plexus.
Results:
The blood glucose level was significantly increased in model group 24.14±2.28 mmol/L, to Control group
5.31±0.49 mmol/L. Oral administration of Allium polyrhizum Turcz.ex Regel treated group 10.5±4.05 mmol/L, Metformin treated group 9.05±2.71 mmol/L resulted in significantly decreased blood glucose levels less model group.
Conclusion
The results of this study indicate that Allium polyrhizum Turcz.ex Regel possesses hypoglycemic, hypolipidemic, and antioxidant effects in STZ-induced diabetic rats and therapy of diabetes and its complications especially when
used for a longer period.
5.Evaluation of changes in human salivary amylase enzyme activity
Sarangerel G ; Odmaa T ; Buyankhuu T ; Oyun-Erdene P ; Odgerel Ch ; Tulgaa S ; Otgonjargal Ch ; Munkhtsetseg J ; Nandin-Erdene M
Diagnosis 2025;114(3):104-111
Background:
Saliva as a non-invasive biological sample can be a game-changer in early disease detection and health risk assessment.
Objective:
To examine the association between participants' dietary patterns and the activity of salivary amylase, along with serum amylase levels in humans.
Materials and methods:
This study was conducted at the research laboratory of the Department of Biochemistry, School of Biomedicine, MNUMS. A total of 30 students aged 19–22 years participated in the study. Saliva samples were collected three times at one-week intervals, and one blood sample was collected from each participant, alongside a dietary questionnaire. The activity of the amylase enzyme in both saliva and serum samples was determined using the iodine-starch method.
Results:
When evaluating the amylase enzyme activity based on participants' carbohydrate intake, the result was p > 0.05, indicating no statistically significant difference. Similarly, statistical analysis of the use of mouthwash and vitamin supplements also showed p > 0.05, which means these variables had no statistically significant effect on amylase activity. The correlation between salivary and serum amylase activity was found to be r = 0.365, indicating a weak positive correlation, but the difference was not statistically significant.
Conclusion
The intake of carbohydrates, vitamins, and mouthwash does not significantly affect the activity level of the salivary amylase enzyme, according to research findings. However, external factors such as stress and air pollution have been shown to exert a measurable influence on its activity. A comparative analysis of enzyme levels in saliva and blood using amylase as a representative marker revealed similar activity levels in both fluids. This suggests that saliva may serve as a viable non invasive sample for detecting various biomarkers and diagnosing diseases. The results underscore the potential of salivary components, particularly amylase, as valuable indicators in diagnostic applications.
6.Impact of storage conditions on the antioxidant capacity of food plants
Munkhzul T ; Oyun-Erdene R ; Tulgaa S ; Nandin-Erdene M ; Buyankhuu T ; Munkhtsetseg J ; Odgerel Ch
Diagnosis 2025;114(3):112-118
Background:
Due to Mongolia’s harsh climate and seasonal limitations in fresh food supply, fruits, vegetables, and medicinal plants are often consumed in preserved forms. However, the preservation methods and storage conditions may significantly alter their antioxidant activity, which is crucial for mitigating oxidative stress and preventing chronic diseases.
Objective:
This study aimed to evaluate the antioxidant activity of 19 commonly consumed vegetables, berries, and dried medicinal plants under different storage conditions including fresh, cold storage (cellar), and frozen (-20°C).
Methods:
Samples were extracted in 80% methanol and tested using the DPPH radical scavenging assay. Absorbance was measured at 517 nm using a UV-Vis spectrophotometer. IC⁻⁻ values were calculated to compare antioxidant potency. Statistical differences were assessed using paired and unpaired t-tests with SPSS v27 (p<0.05)
Results:
Cold storage significantly reduced antioxidant activity in root vegetables, with IC⁻⁻ values increasing by 2.4 to 13.5 times (p<0.01), indicating diminished radical scavenging potencial. In contrast, frozen samples showed minimal change (p>0.05). Dried medicinal plants such as Rosa canina and Thymus serpyllum maintained strong activity, with IC⁻⁻<50 μg/mL.
Conclusion
Cellar storage leads to a notable decline in antioxidant capacity of common vegetables, while freezing is a more effective method for preservation. Dried medicinal herbs remain potent sources of antioxidants and may be recommended for year-round use in Mongolian diets.
7.Modern advances in epilepsy treatment and diagnosis
Otgonbayar B ; Oyungerel S ; Chimegsaihan S ; Javsandulam E ; Khulan B ; Altantsetseg B ; Mandakh-Erdene B ; Oyun-Erdene S ; Suvd N ; Tumenbayar B
Diagnosis 2025;113(2):35-39
Abstract
Epilepsy, a neurological disorder characterized by recurrent seizures, affects millions of people worldwide. Significant advancements in both diagnostic and therapeutic approaches have greatly improved outcomes, particularly for individuals with drug-resistant epilepsy. Modern neurostimulation techniques such as Responsive Neurostimulation (RNS), Deep Brain Stimulation (DBS), and Vagus Nerve Stimulation (VNS) have demonstrated effectiveness in reducing seizure frequency in these patients. Additionally, emerging technologies like gene therapy and optogenetics are being explored to better understand the underlying mechanisms of epilepsy and hold promise as future treatment modalities.Traditional imaging techniques often fail to detect subtle epileptogenic zones. However, the introduction of ultra high-field 7T MRI scanners represents a major breakthrough. These advanced scanners use eight transmitters to generate higher-resolution images, reducing signal dropout and enabling the identification of previously undetected lesions. In one study involving 31 patients, 58% had their treatment plans modified based on 7T MRI findings, highlighting its potential to inform surgical decision-making. In terms of pharmacological treatment, newer medications such as sultiame, cannabidiol (CBD), and non-pharmacological approaches like the ketogenic diet have emerged as additional therapeutic options for drug-resistant epilepsy. These developments contribute to more effective, personalized management strategies for epilepsy. In summary, the landscape of epilepsy diagnosis and treatment is rapidly evolving. Innovations in imaging and therapeutic interventions are offering new hope for patients with drug-resistant epilepsy. Ongoing research and clinical trials remain essential to further refine these approaches and improve patient outcomes.
8.To synthesise dual-action nanoparticles (nps) by integrating zno with the extract of urtica dioica l. And to characterise
Odmaa T ; Buyankhuu T ; Oyun-Erdene R ; Odgerel Ch ; Tulgaa S ; Otgonjargal Ch ; Munkhtsetseg J ; Nandin-Erdene M
Diagnosis 2025;113(2):45-52
Background:
The synthesis of multifunctional nanoparticles by integrating the bioactive properties of the ethanol extract of Urtica dioica L. a medicinal plant widely distributed in Mongolia, with zinc oxide nanoparticles (ZnO-NP) serves as the foundation of the present study. The aim is to produce nanoparticles with synergistic antioxidant, anti-inflammatory, antibacterial, and anticancer activities.
Objective:
To synthesise dual-action nanoparticles (NPs) by integrating ZnO with the extract of Urtica dioica L. and to characterise their properties.
Materials and Methods:
The Control group, as ZnO-NPs, and the study group, as medicinal plant ethanol extraction loaded nanoparticles (UD-ZnO-NPs), were synthesised using green synthesis techniques. The morphology and particle size were characterised by Scanning Electron Microscopy (SEM), chemical bonding was analysed using Fourier Transform Infrared Spectroscopy (FTIR), and crystalline structure was examined by X-ray Diffraction (XRD). Hemolytic activity assays were conducted to assess cytotoxicity.
Results:
The Control and study group’s morphology and size distribution were uniform and spherical. The average particle size of the study group (UD-ZnO NPs) was 63 nm, while the control group (ZnO-NPs) was 77 nm. FTIR analysis showed that the basic chemical bonds in both types of nanoparticles were similar; however, additional peaks corresponding to the bioactive compounds from the Urtica dioica extract were detected in the UD ZnO-NPs. XRD analysis revealed that both types of ZnO-NPs investigated the same crystalline structure, consistent with the standard reference data (JCPDS No. 36 1451). Hemolysis assays showed that at concentrations ranging from 0.5 to 2.5 mg/ mL, the hemolytic activity was below 5%, indicating low cytotoxicity.
Conclusion
ZnO-NPs with and without Urtica dioica extract were successfully synthesized via a green method, yielding spherical, uniformly dispersed particles ranging from 63 to 77 nm in size. While the structural and crystalline characteristics of the NPs remained consistent, the presence of bioactive compounds was confirmed in the UD-ZnO-NPs. Hemolytic assays indicated dose-dependent cytotoxicity, highlighting the importance of concentration in biomedical applications.
9.Cystatin C levels in left ventricular hypertrophy and chronic kidney disease secondary to arterial hypertension
Khongorzul Ts ; Otgonjargal Ch ; Munkh-Erdene U ; Odgerel Ch ; Oyun-Erdene R ; Nandin-Erdene M ; Buyankhuu T ; Munkhtsetseg J ; Tulgaa S
Diagnosis 2025;113(2):63-68
Background:
Identifying reliable biomarkers for early detection, risk stratification, and prognosis of CVD in the context of CKD is, therefore, of critical importance. Cystatin C has emerged as a potential biomarker capable of reflecting both cardiac injury and renal impairment, particularly in patients with arterial hypertension. This study aimed to evaluate the association between serum cystatin C levels, left ventricular hypertrophy, and chronic kidney disease in individuals with hypertension.
Objective:
To assess serum cystatin C concentrations in patients with left ventricular hypertrophy and chronic kidney disease secondary to arterial hypertension.
Materials and Methods:
A case-control analytical study was conducted, enrolling 44 patients aged 45 years or older with both left ventricular hypertrophy and chronic kidney disease due to arterial hypertension alongside a control group of apparently healthy individuals. Serum cystatin C levels were measured using immunoturbidimetric assay. Statistical analysis was performed using SPSS version 25.0. Group comparisons were made using independent-sample t-tests, while multivariate regression and receiver operating characteristic (ROC) analyses were employed to explore associations and the predictive value of cystatin C.
Results:
The mean serum cystatin C concentration in the case group was 1.6±0.1 mg/L, significantly higher than in the control group (0.88±0.03 mg/L, p<0.05). Similarly, the estimated glomerular filtration rate (eGFR) was markedly reduced in the case group (44.88±6.8 mL/min/1.73 m²) compared to the controls (92.88±3.4 mL/ min/1.73 m², p<0.05). In the case group, a statistically significant inverse correlation was observed between serum cystatin C levels and glomerular filtration rate (GFR), with a regression coefficient of β=−0.028 (p<0.006).
Conclusion
The elevated serum cystatin C levels (1.6±0.1 mg/L) and decreased eGFR (38.99±12.7 mL/min/1.73 m²) observed in the case group suggest that cystatin C may serve as a potential biomarker for the early diagnosis of left ventricular hypertrophy due to arterial hypertension and chronic kidney disease, as well as for predicting related complications.
10.Result of assessment of lactate levels in high-end athletes
Oyundari A ; Bulgan M ; Ser-Od L ; Otgon-Erdene G ; Otgonjargal Ch ; Odgerel Ch ; Tulgaa S ; Nandin-Erdene M ; Buyankhuu T ; Munkhtsetseg J ; Oyun-Erdene R
Diagnosis 2025;113(2):81-88
Background:
Regularly participate international High-level in sports athletes national and competitions and engage in intense training, developing endurance and resilience. Measuring blood lactate levels is crucial for improving an athlete’s performance, assessing sports performance, and enhancing the effectiveness of future training.
Aim:
To study the relationship between lactate levels in the blood plasma and lactate dehydrogenase enzyme activity in Mongolian National Team athletes.
Materials and Methods:
The study involved 51 athletes from the Mongolian National Team. Anaerobic capacity was assessed using a Monark 894E Ergomedic Peak Bike, designed to apply exercise load. Blood serum lactate level and lactate dehydrogenase enzyme activity were determined using a Biobase BK-280 fully automated biochemical analyzer. Heart rate, peripheral blood oxygen levels, and oxygen saturation were measured using a pulse oximeter.
Results:
The average age of the participants was 24.04 ± 4.15 years, with an average height of 168 ± 8.78 cm and an average weight of 71.01 ± 7.69 kg. The average BMI was 24.82 ± 4.12 kg/m². Pre exercise lactate levels averaged 3.84 ± 0.75 mmol/L, while post-exercise lactate levels averaged 9.67±3.52 mmol/L. The average heart rate before exercise was 66.04±8.9 bpm, while post-exercise heart rate was 123.6±16.06 bpm. The average VO₂ max was 95.18±2.48.
Conclusion
The lactate levels before and after exercise among the athletes participating in the study showed significant differences in the age groups 20-29 (p<0.0001). When comparing lactate levels before and after exercise by sport, statistically significant increases were observed in freestyle wrestling and judo athletes (p<0.0001)
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