Tongdu Tiaoshen acupuncture combined with carotid endarterectomy for carotid artery stenosis: a randomized controlled trial / 中国针灸

OBJECTIVE@#To observe the clinical therapeutic effect of Tongdu Tiaoshen acupuncture combined with carotid endarterectomy (CEA) and simple CEA on carotid artery stenosis (CAS).@*METHODS@#A total of 60 patients with CAS were randomized into an observation group (30 cases, 2 cases dropped off) and a control group (30 cases, 3 cases dropped off). Both groups were treated with eversion CEA (eCEA). The conventional treatment of internal medicine and antiplatelet drugs i.e. aspirin enteric-coated tablet and clopidogrel hydrogen sulfate tablet were given in the control group for 4 weeks. On the basis of the treatment in the control group, Tongdu Tiaoshen acupuncture was applied at Baihui (GV 20), Fengfu (GV 16), Yamen (GV 15), cervical Jiaji (EX-B 2), Dazhui (GV 14), etc. in the observation group, once a day, 1-day rest was taken after 6-day treatment, 2 weeks were as one course and totally 2 courses were required. The carotid intima-media thickness (IMT) before and after treatment was detected by ultrasonic diagnostic apparatus, the TCM symptom score was compared before and after treatment and in the follow-up of 6 months after treatment, the clinical efficacy was evaluated in the two groups. The occurrence of endpoints within 1 year was recorded.@*RESULTS@#After treatment, the carotid IMT and TCM symptom scores were decreased compared before treatment in the both groups (P<0.05), and the changes in the observation group were greater than the control group (P<0.05). In the follow-up, the TCM symptom scores were decreased compared before treatment in the both groups (P<0.05). The total effective rate was 96.4% (27/28) in the observation group, which was superior to 88.9% (24/27) in the control group (P<0.05). There were 1 case of stoke in the observation group and 2 cases of stroke in the control group within 1-year follow-up, and there was no significant difference in the number of endpoints between the two groups within 1 year (P>0.05).@*CONCLUSION@#Tongdu Tiaoshen acupuncture combined with CEA can effectively reduce the IMT in patients with CAS, improve the TCM symptom score, the efficacy is superior to simple CEA treatment.

Construction of Ontological Modeling for Core Concepts of TCM Sub-domain / 中国中医药信息杂志

Objective In view of the inconsistency between the concepts of TCM in the field of TCM information intersection, the confusion of domain knowledge expression caused by conceptual cross and term ambiguity, and taking TCM sub-domain as a sample, knowledge representation and ontological modeling of core concepts are realized. Methods Through collecting and combing 2015 version of Pharmacopoeia of People's Republic of China (the first volume), Coding Rules for Chinese Medicines and Their Codes, Chinese Materia Medica, TCM Dictionary, Science of Chinese Materia Medica, Clinical Science of Chinese Materia Medica and other TCM knowledge authority source data, based on ontological conceptual modeling method, this article confirmed the definition and connotation of Chinese materia medica, determined the concept properties, clarified the relationship between concepts, and initially completed the ontological modeling for core concepts of TCM sub-domain. Results The ontological modeling of key concepts such as "TCM", "Chinese materia medica", "TCM decoction pieces" and "TCM patent medicines" was completed. Conclusion The preliminary construction of TCM related core conceptual model is realized, which can provide reference for expressions and sharing of TCM knowledge in other sub-domains.

Selection of syndrome concepts and establishment of relationship between syndrome concepts in Traditional Chinese Medicine Clinical Terminological System version2.0 / 中华医学图书情报杂志

After the methods for selection of syndrome concepts and establishment of relationship between syn-drome concepts in Traditional Chinese Medicine Clinical Terminological System version2.0 were described, the principles and specific methods for the selection of syndrome concepts and establishment of relationship between syn-drome concepts in Traditional Chinese Medicine Clinical Terminological system version2.0 were studied according to its general revision principles in the light of relevant standards in traditional Chinese medicine, various editions of teaching materials and medical records, the advantages of descriptive definition and logical definition of syndrome concepts,and the establishment of relationship between syndrome concepts derived from syndrome concepts were elaborated.

Term Selecting Research on “Traditional Chinese Medicine Function Classification” for the Revision of Chinese Traditional Medicine and Materia Medica Subject Headings / 中国中医药信息杂志

Objective To study the term selecting principles and methods for TCM function classification of the Chinese Traditional Medicine and Materia Medica Subject Headings;To provide basis for revision of new terms.Methods According to general rules of vocabulary compiling and word frequency statistics, relevant database retrieval results and some other materials, such as Chinese Pharmacopoeia (2010 edition), Chinese Medicine Dictionary and Chinese Materia Medica, were referred to conduct the study on the terms of TCM function classification in 2008, and then the subject headings were determined.ResultsThe table of TCM function classification has 1679 subject headings, among which 39 are planned to be deleted, 135 are to be added and 8 are to be modified. Adjustment of these subject headings is conducted according to the efficacy classification of TCM.ConclusionNew version of TCM function classification subject headings are mainly according to word frequency. The subject headings are mainly classified according to main efficacy of TCM, with a purpose to avoid redundancy.

"Term Selecting Research on ""Pharmaceutical Zoology and Botany"" for the Revision of Chinese Traditional Medicine and Materia Medica Subject Headings" / 中国中医药信息杂志

Objective To study term selecting principles and methods of subject terms in the class ofPharmaceutical Zoology and Botanyfor the new edition of TCM Materia Medica Subject Headings;To provide references for the revision.Methods Based on the compiling principles, word frequency of subject headings in TCM database were used as references. MeSH was referred to establish detail rules and regulations for revision of TB class.Results In TB class, 226 subject headings were planned to delete, such as Apocynum Linn, Piper betle Linn, cetacean anddolphins;42 subject headings were planned to add, such as Kalimerisindica, Actinidiaceae and Squamata.Conclusion This revision formulated individual revision principles, proposed solutions for common problems, and basically completed adding and deleting of TB class and frame adjustment.

Construction of Traditional Chinese Medicine Knowledge Graph / 医学信息学杂志

Based on introducing knowledge graph, the paper discusses how to construct Traditional Chinese Medicine ( TCM ) knowledge graph from the aspects of data sources, research contents and visualized display, so as to integrate TCM knowledge resources. It also puts forward the application prospect.

The protective mechanism study of fengshiqing recipe against bone destruction in CIA rats / 中国中西医结合杂志

<p><b>OBJECTIVE</b>To explore the protective mechanism of Fengshiqing Recipe (FR) against bone destruction in collagen-induced arthritis (CIA) rats.</p><p><b>METHODS</b>Rats were divided into four groups in the experiment,i.e., the blank control group, the model group, the MTX group (MTX, 1 mg/1 000 g), and the FR group (24 g crude FR/kg). The CIA model was prepared except the blank control group. Medication was started in the MTX group and the FR group from the 14th day after modeling to the 56th day. The toe volume was measured on every Tuesday and Friday. Expression levels of serum IL-17, RANKL, MIP-1alpha were detected after 3-and 6-week intervention. The bone scintigraphy with nuclide (SPECT), bone mineral density (BMD), and the pathological section were observed to assess the intervention of drugs of heat clearing blood activating actions in the bone destruction of CIA rats.</p><p><b>RESULTS</b>From the 10th day of modeling, the volume of both toes started to swell and reached the peak at about 21 days. It was obviously shrunk at about 30 days. Of them, the swelling degree was milder in the MTX group and the FR group than in the model group. Compared with the model group at the same phase, the levels of IL-17 and RANKL decreased in the MTX group after 3 weeks of intervention (P < 0.01, P < 0.05). The IL-17 level decreased in the FR group after three weeks of intervention (P < 0.05). The RANKL level decreased in the MTX group and the FR group after 6 weeks of intervention (P < 0.01, P < 0.05). Compared with the model group and the MTX group, the overall BMD and ankle BMD increased in the FR group after 6 weeks of intervention (P < 0.01, P < 0.05). The ankle ROI/mandible and the toe ROI/mandible were elevated in the FR group after 3 weeks of intervention (P < 0.05). Pathological results suggested that the joint lacunae was significantly widened, the hyperplasia of the synovial tissue was so severe, and the bone tissue was destroyed in the model group. Compared with the model group, the aforesaid conditions were significantly improved in the MTX group and the FR group. The cartilage structure was complete.</p><p><b>CONCLUSION</b>QR could inhibit decreased BMD, prevent bone destruction, which might be achieved by down-regulating expression levels of IL-17, RANKL, and MIP-1alpha through the osteo immunological Th/RANKL system,inhibiting maturation and differentiation of osteoclasts, thereby, inhibiting bone destruction.</p>

In vitro anti-proliferation effect of peptides from cinobufacini injection / 药学学报

Cinobufacini is an aqueous extract of Bufo bufo gargarizans Cantor dried skin, which has been widely used for cancer therapy in China. So far, its active components are still not very clear. In previous reports, bufadienolides with low-concentration were usually studied because of their anticancer effects. However, the high polarity constituents in cinobufacini are less investigated. The present study found that more than 50% contents of cinobufacini were water-soluble peptides. Then, in vitro anticancer experiments were carried out, including human stomach cancer cell lines BGC823 and MCG803, human colon cancer cell lines DLD-1 and HT-29, and human pancreatic cancer cell line MIAPACA-2. The IC50 for these cell lines model were ranged from 25-123 microgmL(-1). The results indicated that these peptides showed similar activity with cinobufacini injection. As a conclusion, this study provides a new and further understanding of anticancer components in cinobufacini injection.

Study the effects of Salvia miltiorrhiza monomer IH764-3 on the expression of matrix metalloproteinase in lungs of rats exposed to Paraquat (PQ) / 中华劳动卫生职业病杂志

<p><b>OBJECTIVE</b>To observe the expression of the matrix metalloproteinase 2 (MMP-2) and membrane-type 1 metalloproteinase (MT1-MMP) in lung of rats exposed to paraquat (PQ) and the effects of Salvia miltiorrhiza monomer IH764-3 on above expression.</p><p><b>METHODS</b>Ninety adult healthy Sprague-Dawley (SD) rats were randomly divided into the control group (group A, 6 rats), the exposure group (group B, 42 rats) and the group treated by Salvia miltiorrhiza monomer IH764-3 (group C, 42 rats). The group B and C were treated intragastrically with 1ml of PQ (50 mg/kg), and the group A was treated intragastrically with normal saline. The group C was treated intraperitoneally with 1 ml Salvia miltiorrhiza monomer IH764-3 at the dose of 40 mg/kg a day. The group A and B were treated intraperitoneally with 1 ml normal saline day. The expression of MMP-2 and MT1-MMP was detected on the 1st, 3rd, 7th, 14th, 21st, 28th and 35th days after exposure for all groups.</p><p><b>RESULTS</b>As compared with the expression level (0.305 ± 0.045) of MMP-2 mRNA in group A, the expression levels of MMP-2 mRNA in Group B significantly increased, which were 0.654 ± 0.077, 0.623 ± 0.051, 0.637 ± 0.024, 0.533 ± 0.043 and 0.552 ± 0.050 on the 1st, 3rd, 7th, 14th, 21st days after exposure, respectively (P < 0.01). As compared with group A, the the expression levels of MMP-2 mRNA on the 1st, 3rd, 7th days in Group C slightly increased, but the expression levels of MMP-2 mRNA on the 1st, 3rd, 7th, 14th, 21st days in Group C were 0.523 ± 0.074, 0.567 ± 0.097, 0.514 ± 0.058, 0.359 ± 0.018 and 0.374 ± 0.020, respectively, which were significantly lower than those in group B (P < 0.01). As compared with the expression level (0.391 ± 0.058) of MT1-MMP mRNA in group A, the expression levels of MT1-MMP mRNA in Group B significantly increased, which were 0.796 ± 0.021, 0.762 ± 0.043, 0.590 ± 0.010, 0.803 ± 0.076 and 0.680 ± 0.034 on the 1st, 3rd, 7th, 14th and 21st days after exposure, respectively (P < 0.01). As compared with group A, the expression levels of MT1-MMP mRNA in Group C significantly increased, which were 0.594 ± 0.010, 0.653 ± 0.044 and 0.564 ± 0.009 on the 1st, 3rd and 21st days after exposure, respectively (P < 0.01). The expression levels of MT1-MMP mRNA in Group C were significantly lower than those in group B (P < 0.05 or P < 0.01).</p><p><b>CONCLUSION</b>The expression changes of MMP-2 and MT1-MMP genes of lungs in rats intragastrically exposed to PQ could result in the unbalance the synthesis and degradation of ECM, which may be a cause of lung fibrosis. The Salvia miltiorrhiza monomer IH764-3 could affect the expression of MMP-2 and MT1-MMP genes to a certain extent, resulting in the reduction of lung fibrosis.</p>

Effects of Guoshu acupoint pressure therapy on acute mastitis during lactation / 中国针灸

<p><b>OBJECTIVE</b>To observe the clinical effect of Guoshu acupoint pressure therapy on acute mastitis during lactation.</p><p><b>METHODS</b>Fifteen cases suffered from acute lactation mastitis were treated with Guoshu acupoint pressure therapy, that is, firstly with lifting and flicking reduction at "Taiji" and "Xuepen" point, whose intensity was varied from patient's physical fitness. Subsequently, the patients were treated with flame therapy induced by distillate spirit, once each day.</p><p><b>RESULTS</b>After the treatment, all the patients were cured completely in from 1 to 5 days, with an average of 2.5 days.</p><p><b>CONCLUSION</b>Guoshu acupoint pressure therapy is effective on acute mastitis during lactation.</p>

Effects of some traditional Chinese drugs on Mdr1 gene and its expression product in K562/A02 cells / 中国实验血液学杂志

This study was purposed to investigate the effects of angelicasinensis (Oliv) Diel compound injection, vauqueline, ephedrine and strychnine on human erythroleukemia multidrug resistance (MDR) K562/A02 cell line Mdr1 gene and p-glycoprotein. The MTT and trypan blue methods were used to analyze the cytotoxic effect of above-mentioned traditional Chinese drug; the expressions of K562/A02 cells Mdr1 gene and p-glycoprotein were detected by semi-quantitative reverse transcription polymerase chain reaction (RT-PCR) and Western blot respectively. The results showed that after K562/A02 cell were treated with angelicasinensis (Oliv) diels compound injection, vauqueline and ephedrine, mRNA transcription of Mdr1 gene was reduced significantly (p < 0.01); the expression of P-gp also decreased (p < 0.01). The expression level P-gp in group treated with vauqueline was the lowest, but the Mdr1 mRNA level and expression of P-gp of K562/A02 cells treated with strychnine did not obviously changed. It is concluded that angelicasinensis (Oliv) diels compound injection, vauqueline, ephedrine can partly reverse the multidrug resistance of K562/A02 cells, the down-regulation of Mdr1 gene causing decrease of p-glycoprotein expression may be one of the MDR reversal mechanisms in K562/A02 cells.

Active constituents from Aloe arborescens as BACE inhibitors / 药学学报

<p><b>AIM</b>To seek for new components as BACE inhibitors from Aloe arborescens.</p><p><b>METHODS</b>The chemical constituents were isolated by chromatographic methods and their structures were elucidated on the basis of spectral analysis.</p><p><b>RESULTS</b>Eight compounds were isolated and their structures identified as 6'-O-isobutyryl aloenin A (1), aloenin A (2), aloe-emodin (3), (E)-2-acetonyl-8-(2'-O-feruloxyl)-beta-D-glucopyranosyl-7-methoxy-5-methyl-chromone (4), 7-O-methylaloeresin A (5), babarloin A (6), elgonica-dimer A (7), and elgonica-dimer B (8), separately.</p><p><b>CONCLUSION</b>Compound 1 is a new compound, and compound 4 was isolated from A. arborescens for the first time. Pharmacological tests indicated that 2, 4, 5 and 6 have moderate inhibitory active on BACE.</p>

Multicenter controlled study on transient asthma-stopping action of acupuncture at "Qingchuan point" / 中国针灸

<p><b>OBJECTIVE</b>To test and verify the transient therapeutic effect of acupuncture at point "Qingchuan" on bronchial asthma.</p><p><b>METHODS</b>Two hundred cases of bronchial asthma at acute attack stage were divided into a trial group of 100 cases treated with acupuncture at point "Qingchuan" and a control group of 100 cases treated with acupuncture at Dingchuan (EX-B1).</p><p><b>RESULTS</b>The total effective rate was 92.60% and the effect occurred within 42-860 seconds after acupuncture in the trial group, and 81.0% and within 114-126 seconds in the control group, respectively, with very significant differences between the two groups (P < 0.01, P < 0.001).</p><p><b>CONCLUSION</b>Acupuncture at point "Qingchuan" can significantly improve asthmatic state in the patient of bronchial asthma with action of rapidly stopping asthma.</p>