1.Syndrome Differentiation and Treatment of Polycystic Ovary Syndrome with Classical Formula: A Review
Kening GUO ; Zihan ZHU ; Zhenliang WANG
Chinese Journal of Experimental Traditional Medical Formulae 2025;31(21):231-240
Polycystic ovarian syndrome (PCOS) is a common endocrine and metabolic disease mainly occurring among women of childbearing age. Its main symptoms include menstrual disorders, acne, hirsutism, infertility, oily skin, acanthosis nigricans, and obesity. Currently, the etiology and pathogenesis of PCOS remain unclear. Classical formulas, which have rigorous compatibility, concise composition, precise alignment with syndromes, and definitive therapeutic effects, demonstrate unique practical and scientific value in the treatment of PCOS. These formulas exhibit significant clinical efficacy, mild adverse effects, and sustained therapeutic outcomes. To explore the current status and mechanisms of classical formulas in treating PCOS, on the basis of Zhang Zhongjing's academic thoughts on gynecological diseases, this paper reviewed the relevant literature on the treatment of PCOS with classical formulas in recent years. The findings reveal that the pathogenesis of PCOS predominantly involves a combination of internal deficiency and superficial excess, closely related to dysfunction of the liver, spleen, and kidney. The root cause lies in deficiency, and on this basis, there are also symptoms of qi stagnation, blood stasis, phlegm obstruction, and dampness encumbrance. Commonly used classical formulas for treating this disease include Guizhi Fuling pills, Danggui Shaoyao powder, Wenjing decoction, and Jingui Shenqi pills. These classical formulas have good clinical efficacy in treating PCOS. Their mechanisms of action may be related to improving serum levels of sex hormones, increasing the dominant follicle diameter and endometrial thickness, alleviating insulin resistance, lowering glucose and lipid metabolism, inhibiting oxidative and inflammatory reactions in the ovarian tissue, regulating the intestinal flora, correcting the flora disorder, protecting the intestinal barrier function, and regulating the phosphatidylinositol 3-kinase/protein kinase B signaling pathway. The above research results can help doctors use classical formulas flexibly, broaden diagnostic and therapeutic approaches for PCOS and provide ideas for improving the traditional Chinese medicine diagnosis and treatment plan for PCOS.
2.Syndrome Differentiation and Treatment of Polycystic Ovary Syndrome with Classical Formula: A Review
Kening GUO ; Zihan ZHU ; Zhenliang WANG
Chinese Journal of Experimental Traditional Medical Formulae 2025;31(21):231-240
Polycystic ovarian syndrome (PCOS) is a common endocrine and metabolic disease mainly occurring among women of childbearing age. Its main symptoms include menstrual disorders, acne, hirsutism, infertility, oily skin, acanthosis nigricans, and obesity. Currently, the etiology and pathogenesis of PCOS remain unclear. Classical formulas, which have rigorous compatibility, concise composition, precise alignment with syndromes, and definitive therapeutic effects, demonstrate unique practical and scientific value in the treatment of PCOS. These formulas exhibit significant clinical efficacy, mild adverse effects, and sustained therapeutic outcomes. To explore the current status and mechanisms of classical formulas in treating PCOS, on the basis of Zhang Zhongjing's academic thoughts on gynecological diseases, this paper reviewed the relevant literature on the treatment of PCOS with classical formulas in recent years. The findings reveal that the pathogenesis of PCOS predominantly involves a combination of internal deficiency and superficial excess, closely related to dysfunction of the liver, spleen, and kidney. The root cause lies in deficiency, and on this basis, there are also symptoms of qi stagnation, blood stasis, phlegm obstruction, and dampness encumbrance. Commonly used classical formulas for treating this disease include Guizhi Fuling pills, Danggui Shaoyao powder, Wenjing decoction, and Jingui Shenqi pills. These classical formulas have good clinical efficacy in treating PCOS. Their mechanisms of action may be related to improving serum levels of sex hormones, increasing the dominant follicle diameter and endometrial thickness, alleviating insulin resistance, lowering glucose and lipid metabolism, inhibiting oxidative and inflammatory reactions in the ovarian tissue, regulating the intestinal flora, correcting the flora disorder, protecting the intestinal barrier function, and regulating the phosphatidylinositol 3-kinase/protein kinase B signaling pathway. The above research results can help doctors use classical formulas flexibly, broaden diagnostic and therapeutic approaches for PCOS and provide ideas for improving the traditional Chinese medicine diagnosis and treatment plan for PCOS.
3.Antioxidant activity of water extract from bamboo stems and its protective effect on t-BHP induced oxidative damage in Caco-2 cells
Xin YUAN ; Yunlong HUANG ; Xiaomin XIE ; Zihan ZHONG ; Jiarui CHEN ; Cuiyu BAO ; Xu YANG ; Ping MA
Journal of Public Health and Preventive Medicine 2024;35(6):50-54
Objective To investigate the antioxidant activity of bamboo stem extracts and the therapeutic effect of bamboo stem water extract on oxidative inflammation induced by tert butyl hydroperoxide (t-BHP) in human colon adenocarcinoma cells (Caco-2). Methods In this study, ABTS, DPPH, and FRAP assays were used to determine the extracellular antioxidant activity of petroleum ether extract, ethyl acetate extract, n-butanol extract, 95% ethanol extract, and distilled water extract from bamboo stems. The human intestinal Caco-2 cell line was used as the model cell, and t-BHP was selected as the oxidative stress modeling agent. The CCK-8 assay was used to detect cell viability and the optimal oxidative damage concentration of t-BHP. The content of MDA, 8-OHdG, TNF-α and IL-1β were detected to assess antioxidant stress effect. Results The five extracts of bamboo all had certain antioxidant activity, among which the water extract of bamboo stem had the best comprehensive antioxidant activity with high cell viability in Caco-2 cells. The optimal modeling concentration of t-BHP was 200 μMol/L. The water extract of bamboo stem significantly reduced the content of oxidative stress related biomarkers and inflammatory factors in Caco-2 cells induced by t-BHP. Conclusion The stem extracts of bamboo in Xianning City have strong in vitro antioxidant activity. Among them, the water extract of bamboo stem has a protective effect on t-BHP induced oxidative damage in Caco-2 cells, suggesting that the water extract possesses a potential to be developed as new antioxidant products for clinical prevention and treatment of oxidative damage related diseases.
4.Signal interference between drugs and metabolites in LC-ESI-MS quantitative analysis and its evaluation strategy
Jiang FULIN ; Liu JINGYU ; Li YAGANG ; Lu ZIHAN ; Liu QIAN ; Xing YUNHUI ; Zhu JANSHON ; Huang MIN ; Zhong GUOPING
Journal of Pharmaceutical Analysis 2024;14(7):1024-1034
Liquid chromatography-electrospray ionization tandem mass spectrometry(LC-ESI-MS)is a widely utilized technique for in vivo pharmaceutical analysis.Ionization interference within electrospray ion source,occurring between drugs and metabolites,can lead to signal variations,potentially compromising quantitative accuracy.Currently,method validation often overlooks this type of signal interference,which may result in systematic errors in quantitative results without matrix-matched calibration.In this study,we conducted an investigation using ten different groups of drugs and their corresponding me-tabolites across three LC-ESI-MS systems to assess the prevalence of signal interference.Such in-terferences can potentially cause or enhance nonlinearity in the calibration curves of drugs and metabolites,thereby altering the relationship between analyte response and concentration for quanti-fication.Finally,we established an evaluation scheme through a step-by-step dilution assay and employed three resolution methods:chromatographic separation,dilution,and stable labeled isotope internal standards correction.The above strategies were integrated into the method establishment process to improve quantitative accuracy.
5.Prevalence and influencing factors of colorectal polyps in Lanxi residents
Weifang ZHENG ; Xiaodong HU ; Zihan YIN ; Zhonghua LU ; Shengzhi WU ; Zhong SHEN ; Menghan JIA ; Chen WEI ; Xiangyang ZHANG
Journal of Preventive Medicine 2019;31(4):341-345
Objective:
To investigate the epidemic status and influencing factors of colorectal polyps among urban residents in Lanxi.
Methods:
A representative urban community was selected from Lanxi. A total of 935 local residents aged 18-80 years received questionnaire survey,physical examination,laboratory tests and colonoscopy. Multivariate Logistic regression analysis was applied to exam the potential influencing factors for colorectal polyps.
Results :
Eventually 880 residents were involved into the statistical analysis. Colorectal polyps were detected in 167 participants with a crude prevalence of 18.98% and adjusted prevalence for age and gender of 13.28%. The prevalence of colorectal polyps in men(28.70%)was significantly higher than that in women(12.92%,P<0.05). The results of logistic regression analysis showed that age(OR=1.038,95%CI:1.018-1.057),males(OR=1.919,95%CI:1.303-2.826),the middle school level of education(OR=2.443,95%CI:1.507-3.961)and constitution of Yin-Asthenia(OR=0.203,95%CI:0.057-0.720)were influencing factors for colorectal polyps;among male participants,hypertension(OR=1.721,95%CI:1.018-2.908)was a risk factor for colorectal polyps;among female participants,age(OR=1.076,95%CI:1.042-1.111),BMI(OR=1.099,95%CI:1.001-1.207),the middle school level of education(OR= 3.507,95%CI:1.794-6.856)and constitution of Yin-Asthenia(OR=0.160,95%CI:0.033-0.770)were influencing factors for colorectal polyps.
Conclusion
Age,sex,education level and constitution of Yin-Asthenia were associated with the risk of colorectal polyps among residents in Lanxi;hypertension was associated with the risk of colorectal polyps in males,while age,BMI,education level and constitution of Yin-Asthenia were associated with the risk of colorectal polyps in females.


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