1.Unveiling the "Dark Matter" of platelet involvement in tumor microenvironment.
Peiyin ZHANG ; Ruiling ZU ; Xingmei ZHANG ; Hanxiao REN ; Lubei RAO ; Dongsheng WANG ; Tian LI ; Ping LENG ; Huaichao LUO
Journal of Pharmaceutical Analysis 2025;15(9):101218-101218
Platelets are well-known for their functions in blood clotting and vascular repair. However, in recent years, the regulatory role of platelets in the occurrence and development of malignant tumors has received significant attention. While extensive research has been conducted on the regulation of tumors by circulating platelets in peripheral blood, there is a lack of coherence and continuity among these studies. The tumor microenvironment encompasses the intricate network of cellular and acellular elements that surround and interact with tumor cells, creating a supportive ecosystem for their survival and growth. It plays a crucial role in the initiation and progression of tumors. Similar to dark matter in the universe, platelets, as tiny and enigmatic entities, play an essential role in tumor development and treatment within the tumor microenvironment. Although our current understanding of platelet regulation in the tumor microenvironment is limited, they hold immense untapped potential. In-depth studies on the tumor microenvironment have revealed platelets as a meaningful component, influencing various aspects of tumor development, metastasis, and immune evasion. Platelets, through the release of various bioactive substances or direct interaction with tumor cells, impact tumor progression while being influenced by the tumor in return. Therefore, understanding the role and mechanisms of platelets in the tumor microenvironment is of great importance for tumor prevention and treatment. This review provides a summary of the research progress on the interplay between platelets and tumors in the tumor microenvironment, and presents a promising outlook on the potential of platelets in tumor therapy.
2.The Treatment Idea for Postoperative "Eliminating Abdominal Mass to Help Pregnancy" in Lingnan LUO's Gynaecology
Xijing LU ; Songping LUO ; Peiyin LI ; Zitong LIN ; Zheyanxuan YANG ; Lei ZENG
Journal of Traditional Chinese Medicine 2024;65(21):2205-2210
Based on the characteristics of postoperative gynaecological diseases, Lingnan LUO's Gynaecology has summarized the idea of "eliminating abdominal mass to help pregnancy", and applied the elimination method in the postoperative gynaecological treatment to promote rehabilitation, prevent recurrence, and regulate menstruation in a sequential manner, which is divided into three phases of diagnosis and treatment. The first stage of postoperative rehabilitation (2 weeks after surgery) is based on the pathogenesis of profuse deficiency, profuse stasis, and easy to retain pathogens, and the treatment should focus on tonifying the positive qi and eliminating abdominal mass at the same time, commonly used in modified Sijunzi Dcoction (四君子汤) and Shenghua Dcoction (生化汤). In the second stage of postoperative rehabilitation (2 weeks to 2-3 months after surgery), the pathogenesis is mainly kidney deficiency and blood stasis, which should be treated by tonifying kidney and supplement essence, eliminate blood stasis and eliminate abdominal mass, and commonly use the Guishen Pill (归肾丸) with herbs that invigorating blood, dissolving stasis, and clearing the collaterals. Postoperative sequential menstrual regulation and fertility promotion stage (after the end of the postoperative rehabilitation stage, the normal anatomy of the uterine cavity and pelvis is basically restored) adopts cyclic sequential therapy, according to the characteristics of the pathogenesis of the different periods of menstruation in phases, always tonifying kidney and regulating menstruation, eliminating abdominal mass, and attaches importance to the application of four methods of eliminating abdominal mass, including invigorating blood and dissolving stasis, moving qi to resolve constraint, dissolving phlegm and dispelling dampness, resolving accumulation and removing stagnation.

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