Gut microbiome alterations during gastric cancer: evidence assessment of case-control studies.

Objectives: The study aims to systematically identify the alterations in gut microbiota that observed in gastric cancer through comprehensive assessment of case-control studies. Methods: The systematic literature search of PubMed, Embase, Cochrane Library, and Web of Science was conducted to identify case-control studies that compared the microbiomes of individuals with and without gastric cancer. Quality of included studies was evaluated with the Newcastle-Ottawa Quality Assessment Scale (NOS). Meta-analyses utilized a random-effects model, and subgroup and sensitivity analyses were performed to assess study heterogeneity. All data analyses were performed using the "metan" package in Stata 17.0, and the results were described using log odds ratios (log ORs) with 95% confidence intervals (CIs). Results: A total of 33 studies involving 4,829 participants were eligible for analysis with 29 studies provided changes in α diversity and 18 studies reported ß diversity. Meta-analysis showed that only the Shannon index demonstrated statistical significance for α-diversity [-5.078 (-9.470, -0.686)]. No significant differences were observed at the phylum level, while 11 bacteria at genus-level were identified significant changed, e.g., increasing in Lactobacillus [5.474, (0.949, 9.999)] and Streptococcus [5.095, (0.293, 9.897)] and decreasing in Porphyromonas and Rothia with the same [-8.602, (-11.396, -5.808)]. Sensitivity analysis indicated that the changes of 9 bacterial genus were robust. Subgroup analyses on countries revealed an increasing abundance of Helicobacter and Streptococcus in Koreans with gastric cancer, whereas those with gastric cancer from Portugal had a reduced Neisseria. Regarding the sample sources, the study observed an increase in Lactobacillus and Bacteroides in the gastric mucosa of people with gastric cancer, alongside Helicobacter and Streptococcus. However, the relative abundance of Bacteroides decreased compared to the non-gastric cancer group, which was indicated in fecal samples. Conclusion: This study identified robust changes of 9 bacterial genus in people with gastric cancer, which were country-/sample source-specific. Large-scale studies are needed to explore the mechanisms underlying these changes. Systematic Review: Unique Identifier: CRD42023437426 https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42023437426.

Assessment of Cognitive Function with Sleep Spindle Characteristics in Adults with Epilepsy.

Objective: Epilepsy may cause chronic cognitive impairment by disturbing sleep plasticity. Sleep spindles play a crucial role in sleep maintenance and brain plasticity. This study explored the relationship between cognition and spindle characteristics in adult epilepsy. Methods: Participants underwent one-night sleep electroencephalogram recording and neuropsychological tests on the same day. Spindle characteristics during N2 sleep were extracted using a learning-based system for sleep staging and an automated spindle detection algorithm. We investigated the difference between cognitive subgroups in spindle characteristics. Multiple linear regressions were applied to analyze associations between cognition and spindle characteristics. Results: Compared with no/mild cognitive impairment, epilepsy patients who developed severe cognitive impairment had lower sleep spindle density, the differences mainly distributed in central, occipital, parietal, middle temporal, and posterior temporal (P < 0.05), and had relatively long spindle duration in occipital and posterior temporal (P < 0.05). Mini-Mental State Examination (MMSE) was associated with spindle density (pars triangularis of the inferior frontal gyrus (IFGtri): ß = 0.253, P = 0.015, and P.adjust = 0.074) and spindle duration (IFGtri: ß = -0.262, P = 0.004, and P.adjust = 0.030). Montreal Cognitive Assessment (MoCA) was associated with spindle duration (IFGtri: ß = -0.246, P = 0.010, and P.adjust = 0.055). Executive Index Score (MoCA-EIS) was associated with spindle density (IFGtri: ß = 0.238, P = 0.019, and P.adjust = 0.087; parietal: ß = 0.227, P = 0.017, and P.adjust = 0.082) and spindle duration (parietal: ß = -0.230, P = 0.013, and P.adjust = 0.065). Attention Index Score (MoCA-AIS) was associated with spindle duration (IFGtri: ß = -0.233, P = 0.017, and P.adjust = 0.081). Conclusions: The findings suggested that the altered spindle activity in epilepsy with severe cognitive impairment, the associations between the global cognitive status of adult epilepsy and spindle characteristics, and specific cognitive domains may relate to spindle characteristics in particular brain regions.

Mechanochemical upcycling of spent LiCoO2 to new LiNi0.80Co0.15Al0.05O2 battery: An atom economy strategy.

The use of strong acids and low atom efficiency in conventional hydrometallurgical recycling of spent lithium-ion batteries (LIBs) results in significant secondary wastes and CO2 emissions. Herein, we utilize the waste metal current collectors in spent LIBs to promote atom economy and reduce chemicals consumption in a conversion process of spent Li1-xCoO2 (LCO) → new LiNi0.80Co0.15Al0.05O2 (NCA) cathode. Mechanochemical activation is employed to achieve moderate valence reduction of transition metal oxides (Co3+→Co2+,3+) and efficient oxidation of current collector fragments (Al0→Al3+, Cu0→Cu1+,2+), and then due to stored internal energy from ball-milling, the leaching rates of Li, Co, Al, and Cu in the ≤4 mm crushed products uniformly approach 100% with just weak acetic acid. Instead of corrosive precipitation reagents, larger Al fragments (≥4 mm) are used to control the oxidation/reduction potential (ORP) in the aqueous leachate and induce the targeted removal of impurity ions (Cu, Fe). After the upcycling of NCA precursor solution to NCA cathode powders, we demonstrate excellent electrochemical performance of the regenerated NCA cathode and improved environmental impact. Through life cycle assessments, the profit margin of this green upcycling path reaches about 18%, while reducing greenhouse gas emissions by 45%.

Province- and Individual-Level Influential Factors of Depression: Multilevel Cross-Provinces Comparison in China.

Rapid social change has given rise to a general increase in psychological pressure, which has led to more and more Chinese people suffering from depression over the past 30 years. Depression was influenced not only by individual factors but also by social factors, such as economy, culture, politics, etc. These social factors were measured at the national, provincial, or community levels. However, little literature reported the influence of province-level factors on the depression of Chinese. This study examined the effects of province-level and individual-level factors on depression of Chinese respondents aged 16-97 years. We conducted a multilevel analysis of the 2018 wave survey of the Chinese Family Panel Studies (CFPS), with 19,072 respondents nested within the 25 Chinese provinces. Data for the province-level were extracted from the National Bureau of Statistics of China, including three predictors: gross regional product (GRP) per capita, expenditure for social security and employment (ESSE), and rural and urban household income inequality. Depression was measured with the eight-item short version of the Center for Epidemiologic Studies Depression Scale (CES-D8). The study found that respondents who were female, 30-59 years, divorced or widowed, less educated, rural residents, less body mass index (BMI), or had lower household income tended to report higher levels of depressive symptoms. After adjustment for individual-level features, a significant effect of provinces still survived. The respondents who lived in a province with higher GRP, higher ESSE, or smaller rural and urban household income inequality reported lower depressive symptoms. Our results demonstrated that individual features did not fully explain depression. Economic and social factors appeared to impact depression and have to be considered when the government planned for improved public depression. Meanwhile, our research also provided a suggestion for the government of some provinces to investigate and improve depression.

Occupational health risk assessment of BTEX in municipal solid waste landfill based on external and internal exposure.

Benzene, toluene, ethylbenzene, and xylenes (BTEX) released from landfills have received increased attention because of their health risks. In this study, individual external and internal exposures of BTEX in a municipal solid waste (MSW) landfill were simultaneously studied for the first time. Eight workers from the landfill (as the case group) and eight control subjects were enrolled in the study. In total, 88 air samples and 232 urine samples (194 samples from the case group and 38 samples from the control group) were obtained from 2018 to 2019. According to the results of external exposure monitoring, benzene was the predominant component of BTEX, and the exposure level was higher in winter than in other seasons. Carcinogenic (RiskT) and noncarcinogenic (HIT) risks were calculated based on a dose-response model. The RiskT (1.64 × 10-8-1.09 × 10-6) might exceeded the limit, whereas HIT (9.84 × 10-4-1.40 × 10-2) was within their thresholds. Benzene was the major contributor to both RiskT and HIT. Internal exposures were evaluated by measuring urinary metabolites of BTEX. Levels of urinary BTEX metabolites for case group were higher than those for control group. A remarkable increase in urinary metabolites was observed from the urine samples of the case group after their shift compared with those before their shift. t,t-MA, the metabolite of benzene, was found to exceed the biomonitoring guidance limits of both China and the United States of America. Landfills can be considered as a potential BTEX exposure source for landfill employees. Minimizing occupational exposures and appropriate personal protective equipment are needed in reducing BTEX exposures.

Cost-effectiveness analysis of COPD screening programs in primary care for high-risk patients in China.

We built a decision-analytic model to compare the cost-effectiveness of using portable spirometer and questionnaire to screen chronic obstructive pulmonary diseases (COPD) with no screening (i.e. usual care) among chronic bronchitis patient in China. A lifetime horizon and a payer perspective were adopted. Cost data of health services including spirometry screening and treatment costs covered both maintenance and exacerbation. The result indicated that portable spirometer screening was cost-saving compared with questionnaire screening and no screening, with an incremental cost-effectiveness ratio (ICER) of -5026 and -1766 per QALY, respectively. Sensitivity analyses confirmed the robustness of the results. In summary, portable spirometer screening is likely the optimal option for COPD screening among chronic bronchitis patients China.

VOCs released from municipal solid waste at the initial decomposition stage: Emission characteristics and an odor impact assessment.

The nuisance from odor caused by municipal solid waste (MSW) is resulting in a growing number of public complaints and concerns. Odor pollution occurs in the initial decomposition stage of MSW, including waste collection, transportation and early pre-treatment. Furthermore, decomposition takes place in waste facilities that are often close to living areas, which can result in odor impacts on local inhabitants. However, this aspect of odor impact from MSW has not been well studied. In the current study, lab-scale waste cells were designed to simulate MSW storage conditions in the early stage. The characteristics of VOCs emissions with different waste compositions were analyzed. The odor concentration (CO, non-dimensional) method and odor intensity were used for the assessment of odor. Ethanol was the substance with highest emission rate. The release rate of VOCs increased with the growth easily biodegradable waste (EBW). VOCs emissions was reduced by 25% when the proportion of EBW decreased from 60% to 45%. Methyl sulfide, ethanol, dimethyl disulfide and ethyl acetate were identified as typical odorants. The EBW proportion in waste is the main factor significantly influencing odor pollution. The CO was 244.51 for the 60% EBW condition, which was only 61.46 for 15% EBW condition. These study results provide important information for the implementation of a garbage sorting policy and the monitoring of odor pollution from waste management.

Lixisenatide for Type 2 Diabetes Mellitus Patients Inadequately Controlled on Oral Antidiabetic Drugs: A Mixed-Treatment Comparison Meta-analysis and Cost-Utility Analysis.

INTRODUCTION: The aim of this study was to compare the efficacy, safety and cost-utility (from the Chinese health insurance perspective) of lixisenatide and insulin regimens in patients with type 2 diabetes mellitus (T2DM) inadequately controlled on oral antidiabetic drugs (OADs). METHODS: A comprehensive literature search of English (PubMed and Cochrane Library) and Chinese (CNKI and WanFang) language databases was performed, and head-to-head relevant randomized controlled trials (RCTs) were retrieved and analyzed by performing a mixed-treatment comparison (MTC) meta-analysis for efficacy and safety endpoints. A cost-utility analysis was then conducted using the IQVIA CORE Diabetes Model to compare the lifetime pharmacoeconomic profiles among the treatment groups. RESULTS: Eleven RCTs were included in this MTC meta-analysis. Regarding glycated hemoglobin targets, lixisenatide was similar to both basal insulin (mean difference [MD] 0.27%; 95% credible interval [CrI] 0.02%, 0.57%) and premixed insulin (MD 0.32%; 95% CrI - 0.01%, 0.66%), respectively. Statistically significant differences were found for changes in body weight in favor of lixisenatide compared with basal insulin (MD - 3.22 kg; 95% CrI - 5.51 kg, - 0.94 kg) and premixed insulin (MD - 2.68 kg; 95% CrI - 5.16 kg, - 0.20 kg). The relative risk (RR) of symptomatic hypoglycemia associated with lixisenatide was also significantly lower than that associated with basal insulin (RR 0.22; 95% CrI 0.09, 0.52) and premixed insulin (RR 0.17; 95% CrI 0.07, 0.41). The cost-utility analysis yielded results of ¥61,072 ($8565, vs. basal insulin) and ¥127,169 ($17,836, vs. premixed insulin) per quality-adjusted life year gained, with both values falling within the willingness-to-pay threshold in China. CONCLUSIONS: For T2DM patients inadequately controlled on OADs, lixisenatide was shown to be comparable to basal insulin and premixed insulin in terms of HbA1c and better than both of the latter in terms of both body weight loss and hypoglycemia. Lixisenatide was also a cost-effective treatment option from the perspective of Chinese health insurance.

Abiraterone acetate and docetaxel with androgen deprivation therapy in high-volume metastatic hormone-sensitive prostate cancer in China: an indirect treatment comparison and cost analysis.

BACKGROUND: To conduct an indirect treatment comparison of patients with high-volume mHSPC and a cost analysis between Abi-ADT and Doc-ADT therapies in China. METHODS: The Bucher technique for indirect treatment comparison was used. A cost analysis was conducted from both healthcare and patient perspectives. RESULTS: The indirect treatment comparison demonstrated no significant difference in PFS for Abi-ADT versus Doc-ADT (HR: 0.84, 95% CI 0.66-1.07). Doc-ADT therapy costs less than Abi-ADT, with potential savings of up to RMB 887,057 per patient from the healthcare perspective and RMB 226,210 per patient from the patient perspective. CONCLUSIONS: No significant differences in PFS between Doc-ADT and Abi-ADT therapy for patients with high-volume mHSPC. Doc-ADT therapy is a cost-saving alternative to Abi-ADT in China.

Comparative clinical effects and cost-effectiveness of maximum androgen blockade, docetaxel with androgen deprivation therapy and ADT alone for the treatment of mHSPC in China.

Aim: To compare the clinical effects and cost-effectiveness of maximum androgen blockade (MAB), docetaxel to androgen deprivation therapy (Doc-ADT) and ADT alone for the treatment of patients with metastatic hormone-sensitive prostate cancer in China. Methods: A network meta-analysis and a Markov model were adopted for effectiveness and economic evaluation. Results: The hazard ratios of overall survival and progression-free survival were 0.782 and 0.628 for Doc-ADT versus ADT alone; 0.897 and 0.824 for MAB versus ADT alone. Doc-ADT was cost-effective compared with MAB and ADT alone, with an incremental cost-effectiveness ratio of CNY 96,848 and CNY 67,758 per quality-adjusted life year, respectively. MAB was cost-effective compared with ADT alone, with an incremental cost-effectiveness ratio of CNY 137,487 per quality-adjusted life year. Conclusion: Doc-ADT is likely the optimal option from the perspective of both clinical outcomes and economic considerations.

Rural solid waste-characteristics and leachate pollution assessment for different precipitation levels, China.

Open dumping adversely affects the environment and remains the most widely used method for waste disposal in many developing rural areas in China. Information regarding the impact of rural solid waste (RSW) on the environment remains limited. The objectives of this study are to investigate the characteristics of RSW and the impact of different precipitation rates, and to evaluate the contamination potential of RSW using a leachate pollution index (LPI). The study showed that leachate concentration was significantly influenced by precipitation rates at the initial precipitation stages. Precipitation rates of 42.00 mm/day appeared to have the largest dilution effects. In contrast, the concentrations of leachate at rainfall rates of 24.00 mm/day and soaking were steady, and no similar trends were observed. The highest amounts of pollutants in leachate were the result of soaking. In the first week of our experiment, the LPI value for each rural area waste sample rapidly increased with rising precipitation rates from soaking to 42.00 mm/day. However, no significant change in LPI was observed thereafter (after 5 weeks) even with increasing precipitation rates. The values of chemical oxygen demand, biochemical oxygen demand, total nitrogen, and NH3-N in the leachate after 10 weeks were 4.00, 7.34, 1.87, and 2.21 times higher, respectively, than those of the prescribed leachate quality standards in China. The results of our study suggest the following course of action for the three dump sites investigated: in Banqiao, given the size of the population and the size of the waste amount, landfill might be a suitable way for disposing of RSW. In Machen, building a standardized waste collection site would be an economical solution for reducing potential pollution risks. In Jiuduhe, increasing the transportation rate of solid waste might be an effective solution. The results of this study can help to improve the understanding of leachate pollution in Chinese rural areas.

Improved impact assessment of odorous compounds from landfills using Monte Carlo simulation.

Landfills are city infrastructures used for the treatment of municipal solid waste (MSW) in China. However, due to technical failure and/or management problem most of them are facing serious secondary pollution such as groundwater contamination and odor nuisance. The latter is the main reason causing a growing number of public complaints. Atmospheric dispersion models are routinely adopted for odor impact assessment, but these models provide deterministic predictions only. To determine the potential odorant paths and treat the uncertainty of odor pollution, Monte Carlo simulation coupled with an odor dispersion model was proposed and named Monte Carlo-dispersion simulation method (MCDSM). By introducing a series of random values of error components in the dispersion model, MCDSM can produce probabilistic odor impact results. Values of these variances were randomly selected according to their probability density functions (PDFs) due to the imprecise knowledge of the meteorological and emission conditions. After running the odor dispersion model for numerous times, the randomization produces a set of possible results that closely resembles the expected behavior of the odorants. This study applied MCDSM to estimate the odor impact of methyl mercaptan (CH3SH) on an MSW landfill in Beijing, China. The PDF of the CH3SH emission rate was derived from the field data. The uncertainty of odor impact was analyzed statistically, and the results were summarized using the probability of odor exceedance (POE). A POE map of CH3SH was plotted for a particular interest, in which the north downwind direction was the most polluted area. MCDSM provides a scientific approach for the assessment of odor pollution from individual odorant, which can benefit the formulation of standard for odor impact assessment in landfill sites.

Odor impact assessment of trace sulfur compounds from working faces of landfills in Beijing, China.

Odor pollution from landfills is causing a growing number of public complaints and concerns. Compared with hydrogen sulfide (H2S) and ammonia (NH3), odor impacts of trace sulfur compounds (TSCs) are arousing concerns due to their low odor threshold values (OTVs). Working face on landfill sites has been claimed as major source of odor impacts. This study estimated the odor impacts of fugitive TSCs from the working face of a large typical municipal solid waste (MSW) landfill in Beijing, China. A modified wind tunnel system was introduced to estimate emission rates of TSCs, which is a basic requirement for odor impact assessment. The odor activity value (OAV) method was introduced for odor evaluation. Fieldwork in the selected landfill was conducted from 2014 to 2015. Methyl mercaptan (CH3SH), dimethyl sulfide, dimethyl disulfide (DMDS), and carbon disulfide (CS2) were the TSCs studied in this work. The spatial concentration distributions of the TSCs were calculated on the basis of the Gaussian dispersion model in a "normal case" scenario and a "worst case" scenario. DMDS showed the highest emission rate (7.18 µg m-2 s-1), and CH3SH was the dominant odorous compound with an average emission rate of 4.58 µg m-2 s-1. The dispersion modeling indicated that the odor impact distances of the TSCs in the studied landfill for the normal case and worst case scenarios were 495 ±â€¯96 m and 9230 m at the downwind regions, respectively. Results of this study can benefit the formulation of strategies for odor control and abatement in landfill sites.

Development, modification, and application of low-cost and available biochar derived from corn straw for the removal of vanadium(v) from aqueous solution and real contaminated groundwater.

In this work, a low-cost and available material for use as a permeable reactive barrier (PRB) to prevent vanadium in groundwater from leaking into river water was developed. Three modified biochars were prepared from available corn straw pretreated with CsCl, Zn(ii), and Zr(iv) to enhance ion exchange capacity (IEC) and specific surface area, and were designated as Cs-BC, Zn-BC, and Zr-BC, respectively. These materials were characterized via IEC, N2 adsorption-desorption, Fourier-transform infrared spectroscopy (FTIR), and X-ray diffraction (XRD) analyses. The Langmuir isotherm model could be applied for the best fit for the adsorption data of Cs-BC and Zr-BC, indicating that vanadium(v) sorption occurred in a monolayer. The vanadium(v) adsorption capacities of Cs-BC, Zn-BC, and Zr-BC were 41.07, 28.46, and 23.84 mg g-1, respectively, which were 3.22-5.55 times higher than that of commercial activated carbon (AC) (7.40 mg g-1), probably because of their higher IECs and specific surface areas after modification. In addition, no heavy metal leaching was found from the modified biochars during the adsorption processes when pH > 2. According to the FTIR and XRD patterns, the adsorption mechanism of Cs-BC and Zr-BC was ion exchange, whereas for Zn-BC, it was mainly surface precipitation and electrostatic attraction. The adsorption of vanadium(v) onto the modified biochars was independent of pH in the range of 4.0 to 8.0. Furthermore, the removal efficiency of the vanadium(v) in real contaminated groundwater from the catchment of the Chaobei River by Zn-BC reached 100% at a dose of 4 g L-1. Hence, modified biochars are promising PRB filling materials for removing vanadium(v) from contaminated groundwater.

Volatile compounds emission and health risk assessment during composting of organic fraction of municipal solid waste.

Degradation of mechanically sorted organic fraction (MSOF) of municipal solid waste in composting facilities is among the major contributors of volatile compounds (VCs) generation and emission, causes nuisance problems and health risks on site as well as in the vicinages. The aim of current study was to determine the seasonal (summer and winter) variation and human health risk assessment of VCs in the ambient air of different processing units in MSOF at composting plant in China. Average concentration of VCs was 58.50 and 138.03mg/m3 in summer and winter respectively. Oxygenated compounds were found to be the highest concentration (46.78-91.89mg/m3) with ethyl alcohol as the major specie (43.90-85.31mg/m3) in the two seasons respectively. Nevertheless, individual non-carcinogenic (Hazard relation i.e HR<1) and carcinogenic risk (CR<1.0E-04) of the quantified VCs were within acceptable limit except naphthalene at biofilter unit. In addition, cumulative non-carcinogenic risk exceeded from the threshold limit both in summers and winters in all units except at biofilter unit during winter. Furthermore cumulative carcinogenic risk also exceeded at same unit during the summer season. Therefore special attention should be made to minimize cumulative non-carcinogenic and carcinogenic risk as people are well exposed to mixture of compounds, not to individual.

Assessment of total and organic vanadium levels and their bioaccumulation in edible sea cucumbers: tissues distribution, inter-species-specific, locational differences and seasonal variations.

The objective of this study is to investigate the levels, inter-species-specific, locational differences and seasonal variations of vanadium in sea cucumbers and to validate further several potential factors controlling the distribution of metals in sea cucumbers. Vanadium levels were evaluated in samples of edible sea cucumbers and were demonstrated exhibit differences in different seasons, species and sampling sites. High vanadium concentrations were measured in the sea cucumbers, and all of the vanadium detected was in an organic form. Mean vanadium concentrations were considerably higher in the blood (sea cucumber) than in the other studied tissues. The highest concentration of vanadium (2.56 µg g(-1)), as well as a higher degree of organic vanadium (85.5 %), was observed in the Holothuria scabra samples compared with all other samples. Vanadium levels in Apostichopus japonicus from Bohai Bay and Yellow Sea have marked seasonal variations. Average values of 1.09 µg g(-1) of total vanadium and 0.79 µg g(-1) of organic vanadium were obtained in various species of sea cucumbers. Significant positive correlations between vanadium in the seawater and V org in the sea cucumber (r = 81.67 %, p = 0.00), as well as between vanadium in the sediment and V org in the sea cucumber (r = 77.98 %, p = 0.00), were observed. Vanadium concentrations depend on the seasons (salinity, temperature), species, sampling sites and seawater environment (seawater, sediment). Given the adverse toxicological effects of inorganic vanadium and positive roles in controlling the development of diabetes in humans, a regular monitoring programme of vanadium content in edible sea cucumbers can be recommended.

[Shen warming Pi strengthening method intervened IBS-D rats: an efficacy assessment].

OBJECTIVE: IBS-D rat model was established to assess the effect of Shen warming Pi strengthening method (SWPSM) for intervening diarrhea-predominant irritable bowel syndrome (IBS-D) by observing rats' general state, stool properties, AWR ranking, and histopathological changes. METHODS: Totally 72 rats were randomly divided into 6 groups, i.e. the normal group, the model group, the high, middle, low dose SWPSM groups, and the control group, 12 in each group. The IBS-D rat model was successfully established referring to AL-Chaer ED's modeling method. After modeling high, middle, and low dose SWPS Recipe boil-free granules were given by gastrogavage to rats in corresponding treatment groups. Sishen Pill boil-free granule was given by gastrogavage to those in the control group. Equal volume of normal saline was given by gastrogavage to rats in the model group. The medication lasted for 2 weeks. Rats' general state, stool properties, abdominal withdrawal reflex (AWR) ranking, and histopathological changes were observed. RESULTS: After treatment, the general state of all rats got im- provement to various degrees. The improvement in the high and middle dose SWPS Recipe groups were superior to that in the low dose SWPS Recipe group and the control group (P < 0.05). There was no statistical difference in the growth rate between after and before treatment in each group (P > 0.05). Compared with the model group and the low dose SWPS Recipe group, the defecation amount within 4 h was less in the high and middle dose SWPS Recipe groups and the control group (P < 0.05). The Bristol ranking score, average ranking of loose stool, ratio of dry stool and wet stool were lower in the high and middle dose SWPS Recipe groups than in the control group and the low dose SWPS Recipe group (P < 0.05). The AWR ranking score was lower in the high and middle dose SWPS Recipe groups than in the control group when the volume of balloon dilation was 1.5 mL. There was no organic change of histological or morphological observation. CONCLUSIONS: High sensitive IBS-D model was proved to be reliable. SWPSM could reduce the quantity of stools, lower Bristol ranking score, average ranking of loose stools as well as ratios of dry stool and wet stool, contributing to reducing the high sensitivity of rats' visceral organs to some extent.