1.Inquiry into the Origins and Formulation Theory of Wendan Decoction in Set of Proven Prescriptions
Journal of Zhejiang Chinese Medical University 2025;49(10):1305-1310
[Objective]To explore the origin and development relationship,core pathogenesis and medication characteristics of Wendan Decoction,and clarify its application indications.[Methods]Taking Wendan Decoction recorded in YAO Sengyuan's Set of Proven Prescriptions as the main research object,this paper adopts the method of literature search to collect and sort out medical literature related to"insomnia"during the Wei,Jin,Southern and Northern Dynasties,and makes a comparative study of the prescriptions contained therein.It traces the historical origin and the evolution of the main indications of Wendan Decoction,examines contemporary literature related to"gallbladder cold"to explore the theoretical basis of insomnia caused by gallbladder cold,and compares the recorded efficacy of the component herbs in classical materia medica to further analyze its pathological state and core pathogenesis.[Results]Wendan Decoction originated from Banxia Shumi Decoction and was related to many classical prescriptions such as Banxia Shumi Decoction,ZHANG Zhongjing's"Xiaobanxia Decoction"and Shenshi's"Dajupi Decoction".The treatment object is the combined disease of gallbladder and stomach,which is caused by the weakness of Zangfu organs after a serious disease,and the core pathogenesis is"deficiency of cold in the middle-Jiao and the inversion of Jue Qi",and the main symptom is emesis.The prescription principle of Wendan Decoction emphasizes"warming the middle and reducing inversion,regulating Qi and relieving vexation,harmonizing Ying and Wei".The medication characteristics reflect"the combination of mild reduction and warming and clearing".The application indications include nausea,dizziness,chest fullness,irritability and other manifestations of syncope and Jue Qi inversion.[Conclusion]Wendan Decoction has multiple sources,and has good clinical effect in the treatment of"insomnia"disease with the core pathogenesis of combined disease of gallbladder and stomach.The medication has the characteristics of warming and descending,which is worth further investigation for the treatment of syndromes marked by Jue Qi inversion as the core manifestation.
2.Analysis of the effectiveness of pharmacists' participation in the maintenance and management of the smart pharmacy platform
Guiwen WU ; Xingyi HE ; Duanyi WU ; Yanting OUYANG ; Siyun LIU
Modern Hospital 2025;25(6):951-953
Objective To analyze the application effect of pharmacists' participation in the maintenance and manage-ment of smart pharmaceutical platform.Methods The prescriptions of Shunde Hospital of Guangzhou University of Chinese Med-icine from January 2023 to June 2024 were divided into blank group(from January 2023 to March 2023,305 411 traditional man-ual prescriptions were reviewed)and control group(from January 2024 to March 2024).The original rule review of the smart pharmacy platform system was adopted,339 042 copies),and the experimental group(from April 2024 to June 2024,the rule review after pharmacists participated in maintenance management was adopted,317 902 copies).The prescription qualification rate,the proportion of unreasonable prescriptions,the false positive rate,the proportion of manual review prescriptions,and the rate of filling prescriptions were evaluated,and the management effectiveness of the three groups was compared.Results The qualified rate of prescription in the experimental group and the control group was 99.52% and 99.60%,respectively,which were higher than 98.74% in the blank group,and there was a difference between the experimental group and the control group(P<0.05).Among the irrational prescription types in the experimental group,the proportion of unsuitable administration route,in-complete clinical diagnosis,unsuitable indications and unsuitable usage and dosage were 16.57%,29.42%,20.55% and 33.46%,and 23.28%,15.74%,30.38% and 30.50% in the control group.There were significant differences between 40.08%,27.11%,19.91% and 12.9% in blank group(P<0.05).The false positive rate and manual prescription review ra-tio of the experimental group were 0.40% and 0.88%,respectively,lower than 0.70%and 1.10%of the control group,and the prescription return rate of 0.78% was higher than 0.10% of the control group(P<0.05).Conclusion Pharmacists' par-ticipation in the maintenance and management of smart pharmacy platform has high application value and can improve the drug safety of patients.
3.Analysis of the effectiveness of pharmacists' participation in the maintenance and management of the smart pharmacy platform
Guiwen WU ; Xingyi HE ; Duanyi WU ; Yanting OUYANG ; Siyun LIU
Modern Hospital 2025;25(6):951-953
Objective To analyze the application effect of pharmacists' participation in the maintenance and manage-ment of smart pharmaceutical platform.Methods The prescriptions of Shunde Hospital of Guangzhou University of Chinese Med-icine from January 2023 to June 2024 were divided into blank group(from January 2023 to March 2023,305 411 traditional man-ual prescriptions were reviewed)and control group(from January 2024 to March 2024).The original rule review of the smart pharmacy platform system was adopted,339 042 copies),and the experimental group(from April 2024 to June 2024,the rule review after pharmacists participated in maintenance management was adopted,317 902 copies).The prescription qualification rate,the proportion of unreasonable prescriptions,the false positive rate,the proportion of manual review prescriptions,and the rate of filling prescriptions were evaluated,and the management effectiveness of the three groups was compared.Results The qualified rate of prescription in the experimental group and the control group was 99.52% and 99.60%,respectively,which were higher than 98.74% in the blank group,and there was a difference between the experimental group and the control group(P<0.05).Among the irrational prescription types in the experimental group,the proportion of unsuitable administration route,in-complete clinical diagnosis,unsuitable indications and unsuitable usage and dosage were 16.57%,29.42%,20.55% and 33.46%,and 23.28%,15.74%,30.38% and 30.50% in the control group.There were significant differences between 40.08%,27.11%,19.91% and 12.9% in blank group(P<0.05).The false positive rate and manual prescription review ra-tio of the experimental group were 0.40% and 0.88%,respectively,lower than 0.70%and 1.10%of the control group,and the prescription return rate of 0.78% was higher than 0.10% of the control group(P<0.05).Conclusion Pharmacists' par-ticipation in the maintenance and management of smart pharmacy platform has high application value and can improve the drug safety of patients.
4.Inquiry into the Origins and Formulation Theory of Wendan Decoction in Set of Proven Prescriptions
Journal of Zhejiang Chinese Medical University 2025;49(10):1305-1310
[Objective]To explore the origin and development relationship,core pathogenesis and medication characteristics of Wendan Decoction,and clarify its application indications.[Methods]Taking Wendan Decoction recorded in YAO Sengyuan's Set of Proven Prescriptions as the main research object,this paper adopts the method of literature search to collect and sort out medical literature related to"insomnia"during the Wei,Jin,Southern and Northern Dynasties,and makes a comparative study of the prescriptions contained therein.It traces the historical origin and the evolution of the main indications of Wendan Decoction,examines contemporary literature related to"gallbladder cold"to explore the theoretical basis of insomnia caused by gallbladder cold,and compares the recorded efficacy of the component herbs in classical materia medica to further analyze its pathological state and core pathogenesis.[Results]Wendan Decoction originated from Banxia Shumi Decoction and was related to many classical prescriptions such as Banxia Shumi Decoction,ZHANG Zhongjing's"Xiaobanxia Decoction"and Shenshi's"Dajupi Decoction".The treatment object is the combined disease of gallbladder and stomach,which is caused by the weakness of Zangfu organs after a serious disease,and the core pathogenesis is"deficiency of cold in the middle-Jiao and the inversion of Jue Qi",and the main symptom is emesis.The prescription principle of Wendan Decoction emphasizes"warming the middle and reducing inversion,regulating Qi and relieving vexation,harmonizing Ying and Wei".The medication characteristics reflect"the combination of mild reduction and warming and clearing".The application indications include nausea,dizziness,chest fullness,irritability and other manifestations of syncope and Jue Qi inversion.[Conclusion]Wendan Decoction has multiple sources,and has good clinical effect in the treatment of"insomnia"disease with the core pathogenesis of combined disease of gallbladder and stomach.The medication has the characteristics of warming and descending,which is worth further investigation for the treatment of syndromes marked by Jue Qi inversion as the core manifestation.
5.Soil microorganisms and physicochemical properties in marshlands along the Yangtze River basin at different types of land use and their effects on distribution of Oncomelania hupensis snails
Huan HE ; Jinxing ZHOU ; Zixin GAO ; Zichun LU ; Renlong DAI ; Xingyi HU ; Hongdong PANG
Chinese Journal of Schistosomiasis Control 2024;36(2):148-153
Objective To investigating the microbial communities and physicochemical properties of soil and distribution of Oncomelania hupensis snails in marshlands along the Yangtze River basin at different types of land use, and to examine the effects of soil microorganisms and physicochemical properties on snail distribution, so as to provide insights into snail control and schistosomiasis prevention in marshland along the Yangtze River basin. Methods Marshlands with four types of land use were selected along the Yangtze River basin on April 2021, including poplar forest-crops integrated planting, reed areas, agricultural cultivation lands and ditches. The distribution of snails and physicochemical properties of soil were investigated in marshlands with different types of land use, and the V3 to V4 regions of the bacterial 16S ribosomal RNA (16S rRNA) gene, fungal internal transcribed spacer-1 (ITS1) gene and algal ribulose-bisphosphate carboxylase (rbcL) gene in soils were subjected to high-throughput sequencing. The occurrence of frames with living snails and density of living snails were compared in marshland with different types of land use. The associations of soil microorganisms and physicochemical properties with the density of living snails were examined using Pearson correlation analysis, and the contributions of soil microorganisms and physicochemical properties to the density of living snails were evaluated using variance partitioning analysis. Results In marshlands with four types of land use, the greatest occurrence of frames with living snails [(4.94 ± 2.14)%] and density of living snails [(0.070 ± 0.026) snails/0.1 m2] were seen in ditches, and the lowest were found in [(1.23 ± 1.23)%] agricultural cultivation lands [(0.016 ± 0.019) snails/0.1 m2]. A total of 2 phyla, 5 classes, 8 orders, 9 families and 11 genera of algae were detected in soils at four types of land use, with Chlorophyta as the dominant phylum and Pseudoneochloris as the dominant genus. A total of 44 phyla, 134 classes, 281 orders, 338 families and 516 genera of bacteria were detected in soils at four types of land use, with Proteobacteria and Acidobacteriota as the dominant phyla and uncultured Acidobacterium, MND1, Mitrospira, Haliangium and Sphingomonas as dominant genera. A total of 11 phyla, 41 classes, 108 orders, 223 families and 408 genera of fungi were detected in soils at four types of land use, with phyla Ascomycota, Basidiomycota and Mortierellomycota presenting high relative abundances and genera Cladorrhinum, Mortierella and Humicola presenting high relative abundances. Pearson correlation analysis revealed that the density of living snails correlated negatively with the relative abundance of Proteobacteria (r = −0.965, P < 0.05) and soil electronic conductivity (r = −0.962, P < 0.05) and positively with soil moisture (r = 0.951, P < 0.05). Variance partitioning analysis demonstrated that the physicochemical properties and microorganisms of soil contributed 69% and 10% to the density of living snails, respectively. Conclusion The diversity of microbial communities varies in soils at different types of land use in marshland along the Yangtze River basin, and the physicochemical properties and microorganisms of soils may affect the distribution of O. hupensis snails.
6.HDAC3:a new target for atherosclerosis therapy
Zihan XIA ; He ZHANG ; Ziqiong ZHANG ; Xingyi LI ; Yining WANG ; Weirong WANG
Chinese Journal of Arteriosclerosis 2024;32(7):621-626,640
Histone deacetylase 3(HDAC3)is an epigenetic modification enzyme,which participates in the occur-rence and development of atherosclerosis(As).It is significant to search for effective HDAC3 inhibitors for the treatment of atherosclerosis.This article reviews the relationship between HDAC3 and atherosclerosis,the latest research progress of HDAC3 inhibitors,and the therapeutic effects of some traditional Chinese medicine on cardiovascular diseases by inhibi-ting HDAC3.It aims to provide new ideas for developing anti-atherosclerotic drugs targeting HDAC3.
7.Heavy Metal Analysis and Evaluation of Geotechnical Plant System of Dendrobii Officinalis Caulis in Typical Karst Area
Guang-ying DU ; Fu-lin YAN ; Ren-quan XIE ; Wei-jun HE ; Qin WANG ; Jian ZENG ; Sheng-hua WEI
Chinese Journal of Experimental Traditional Medical Formulae 2021;27(19):141-148
Objective:To systematically evaluate the safety of heavy metals in Dendrobii Officinalis Caulis and its rhizosphere soil and bedrock in epiphytic culture imitated wild rock fissure. The distribution characteristics of heavy metals in carbonate-black limestone-Dendrobii Officinalis Caulis system in the study area were analyzed. Method:Samples of biennial Dendrobii Officinalis Caulis, black calcareous soil and carbonate rocks were collected from fracture-epiphytic culture in karst area of Guizhou province. The contents of Cu, Pb, As, Cd in Dendrobii Officinalis Caulis, and Cu, Pb, As, Cd, Cr in soil and bedrock were determined by inductively coupled plasma-mass spectrometry (ICP-MS). The detection conditions were as follows:plasma power of 1 550 W, feedback power of 2 W, sampling depth of 9 mm, atomization chamber temperature at 2 ℃, analysis mode of full quantitative, and double charge of <1.5%. Hg content in Dendrobii Officinalis Caulis was determined by atomic fluorescence spectrometry, and Hg content in soil and bedrock was determined by mercury analyzer. SPSS 26.0 software was used to analyze the test data. Result:The contents of Cu, Pb, As, Cd and Hg in Dendrobii Officinalis Caulis were all within the safety threshold. The contents of Pb, As, Cd, Hg and Cr in black calcareous soil were higher than the corresponding background values of Chinese soil (
8.Polysaccharide of atractylodes macrocephala inhibits the growth of mice in-situ colon cancer HT-29 cell xenograft via activating immune cells
FENG Zifang ; TANG Shihua ; GUO Lijia ; HE Ling ; YANG Ruibin
Chinese Journal of Cancer Biotherapy 2019;26(11):1209-1213
Objective: To investigate the effect and mechanism of polysaccharide of atractylodes macrocephala (PAM) on the growth of colon cancer cells in mice bearing in-situ colon cancer transplantation tumor. Methods: 1×107 colon cancer HT-29 cells labeled with luciferase were injected into colon serosa of the mice to establish the in-situ colon cancer transplantation tumor model. When the tumor volume reached 230 mm3, the mice were given 30 mg/kg PAM (PAM group) or equal volume of normal saline (Control group) by gavage for 10 consecutive days. The effect of PAM on the growth of colon cancer cells in mice was tested by in vivo tumor imaging technology. The expressions of MHCII and IL-12 in granulocytes, dendritic cells and macrophages, the activation of lymphocytes, and IFN-γ expression in CD4+ and CD8+ cells of tumor tissues were detected by Flow cytometry. Results: PAM significantly inhibited the growth of colon cancer cells in mice bearing in-situ colon cancer transplantation tumor (P<0.01). PAM activated immune cells though increasing the expression levels of MHCII and IL-12 in dendritic cells and macrophages (both P<0.01). PAM significantly increased the frequency of CD8+ cells, NK cells, CD44+/NK cells and CD44+/CD4+ cells in tumor tissues and the number of CD8+ cells and NK cells per unit volume (all P<0.01). PAM significantly increased the IFN-γ secretion of CD4+ and CD8+ cells (both P<0.01), too. Conclusion: PAM inhibits the growth of colon cancer by activating immune cells in tumor tissues of mice bearing in-situ colon cancer transplantation tumor.
9. Estimates of influenza-associated excess mortality by three regression models in Shanxi Province during 2013-2017
Mengjiao ZHAO ; Yuling HE ; Jing CHEN ; Guohua LI ; Xuefen GAO ; Lu GAO ; Xingyi GENG ; Luzhao FENG ; Jiandong ZHENG ; Xiaoqing LI
Chinese Journal of Preventive Medicine 2019;53(10):1012-1017
Objective:
Using three models too estimate excess mortality associated with influenza of Shanxi Province during 2013-2017.
Methods:
Mortality data and influenza surveillance data of 11 cities of Shanxi Province from the 2013-2014 through 2016-2017 were used to estimate influenza-associated all cause deaths, circulatory and respiratory deaths and respiratory deaths. Three models were used: (i) Serfling regression, (ii)Poisson regression, (iii)General line model.
Results:
The total reported death cases of all cause were 157 733, annual death cases of all cause were 39 433, among these cases, male cases 93 831 (59.50%), cases above 65 years old 123 931 (78.57%). Annual influenza-associated excess mortality, for all causes, circulatory and respiratory deaths, respiratory deaths were 8.62 deaths per 100 000, 6.33 deaths per 100 000 and 0.68 deaths per 100 000 estimated by Serfling model, respectively; and 21.30 deaths per 100 000, 16.89 deaths per 100 000 and 2.14 deaths per 100 000 estimated by General line model, respectively; and 21.76 deaths per 100 000, 17.03 deaths per 100 000 and 2.05 deaths per 100 000, estimated by Poisson model, respectively. Influenza-related excess mortality was higher in people over 75 years old; influenza-associated excess mortalityfor all causes, circulatory and respiratory deaths, respiratory deaths were 259.67 deaths per 100 000, 229.90 deaths per 100 000 and 32.63 deaths per 100 000, estimated by GLM model, respectively; and 269.49 deaths per 100 000, 233.69 deaths per 100 000 and 31.27 deaths per 100 000, estimated by Poisson model,respectively.
Conclusion
Excess mortality associated with influenza mainly caused by A (H3N2), Influenza caused the most associated death amongold people.
10.Estimates of influenza?associated excess mortality by three regression models in Shanxi Province during 2013-2017
Mengjiao ZHAO ; Yuling HE ; Jing CHEN ; Guohua LI ; Xuefen GAO ; Lu GAO ; Xingyi GENG ; Luzhao FENG ; Jiandong ZHENG ; Xiaoqing LI
Chinese Journal of Preventive Medicine 2019;53(10):1012-1017
Objective Using three models too estimate excess mortality associated with influenza of Shanxi Province during 2013-2017. Methods Mortality data and influenza surveillance data of 11 cities of Shanxi Province from the 2013-2014 through 2016-2017 were used to estimate influenza?associated all cause deaths, circulatory and respiratory deaths and respiratory deaths. Three models were used: (i) Serfling regression, (ii)Poisson regression, (iii)General line model. Results The total reported death cases of all cause were 157 733, annual death cases of all cause were 39 433, among these cases, male cases 93 831 (59.50%), cases above 65 years old 123 931 (78.57%). Annual influenza?associated excess mortality, for all causes, circulatory and respiratory deaths, respiratory deaths were 8.62 deaths per 100 000, 6.33 deaths per 100 000 and 0.68 deaths per 100 000 estimated by Serfling model, respectively; and 21.30 deaths per 100 000, 16.89 deaths per 100 000 and 2.14 deaths per 100 000 estimated by General line model, respectively; and 21.76 deaths per 100 000, 17.03 deaths per 100 000 and 2.05 deaths per 100 000, estimated by Poisson model, respectively. Influenza?related excess mortality was higher in people over 75 years old; influenza?associated excess mortalityfor all causes, circulatory and respiratory deaths, respiratory deaths were 259.67 deaths per 100 000, 229.90 deaths per 100 000 and 32.63 deaths per 100 000, estimated by GLM model, respectively; and 269.49 deaths per 100 000, 233.69 deaths per 100 000 and 31.27 deaths per 100 000, estimated by Poisson model,respectively. Conclusion Excess mortality associated with influenza mainly caused by A (H3N2), Influenza caused the most associated death amongold people.

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