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OBJECTIVE@#To observe the effect of preoperative, intraoperative and postoperative electroacupuncture (EA) intervention on postoperative urination function in patients with mixed hemorrhoid surgery.@*METHODS@#A total of 240 patients with mixed hemorrhoid surgery under lumbar anesthesia were randomly divided into an EA preconditioning group (group A, 60 cases, 9 cases dropped off), an intraoperative EA group (group B, 60 cases, 4 cases dropped off), a postoperative EA group (group C, 60 cases, 6 cases dropped off), and a non-acupuncture group (group D, 60 cases, 3 cases dropped off). In the groups A, B and C, EA was exerted at Zhongliao (BL 33) and Huiyang (BL 35) , with disperse-dense wave, 4 Hz/20 Hz in frequency, and lasting 30 min, at 30 min before lumbar anesthesia, immediately after lumbar anesthesia and 6 h after surgery, respectively. No EA intervention was performed in the group D. The postoperative urination smoothness score in each group was observed 24 h after surgery. The first urination time, first urination volume, urine residual volume after first urination were recorded, and incidence of indwelling catheterization, postoperative visual analogue scale (VAS) score, number of remedial analgesia, and the incidence of postoperative nausea and vomiting were observed in each group.@*RESULTS@#In the groups A, B and C, the postoperative urination smoothness scores were superior to the group D (P<0.05), and the time of first urination was earlier than the group D (P<0.05). In the group C, the time of first urination was earlier than the group A and the group B (P<0.05), the first urination volume was higher than the group D (P<0.05), and the urine residual volume after first urination was lower than the group D (P<0.05). There was no significant difference in the incidence of indwelling catheterization and postoperative nausea and vomiting among the 4 groups (P>0.05). The VAS scores of the group A, B and C were lower than that in the group D (P<0.05), and the number of remedial analgesia cases was lower than that in the group D (P<0.05).@*CONCLUSION@#EA intervention could promote the recovery of urination function and relieve postoperative pain in patients with mixed hemorrhoids surgery. Early postoperative EA intervention is more conducive to the recovery of urination function.
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Humanos , Eletroacupuntura , Hemorroidas/cirurgia , Micção , Náusea e Vômito Pós-Operatórios , Pontos de AcupunturaRESUMO
Objective: To explore the prescription rules in treating liver cirrhosis's based on poison phlegm blood stasis and deficiency. Method: Clinical data of patients, who had been diagnosed with liver cirrhosis, was gathered. The data had been extracted, transformed and loaded through data integration and remittance, then, the data was analyzed by data classification, association, clustering and other large data analysis methods. Results: The prescription rules based on poison phlegm blood stasis and deficiency showed that according to medication frequency, detoxification drugs commonly used ArtemisiacapillarisThunb, Coptis chinensis Franch, Forsythia suspensa, Hedyotis diffusa Willd, and Scutellaria baicalensis Georgi, eliminating phlegm drugs commonly used Semen Coicis, Citrus aurantium L, Pinellia ternate, Pericarpium Citri Reticulatae and Trichosanthes kirilowii Maxim, removeing blood stasis drugs commonly used Radix Salviae Miltiorrhiae, Radix Curcumae, Rhizoma Curcumae, Herba Lycopi and Pollen Typhae, reinforcing deficiency drugs commonly used Poria, Carapax Trionycis, Rhizoma Atractylodis Macrocephalae, Radix Astragali seu Hedysari and Radix Codonopsis (Radix Pseudostellariae) . The selection of herbal medicine for poison in traditional Chinese medicine (TCM) is not only cold in property, bitter in flavor, but also converges to liver, gallbladder, spleen and stomach channel.The selection of herbal medicine for phlegm in TCM is not only warm in property, pungent in flavor, but also converges to spleen and lung channel. The selection of herbal medicine for blood stasis in TCM is not only cold in property, bitter in flavor, but also converges to liver, heart and spleen channel. The selection of herbal medicine for deficiency in TCM is not only mild in property, sweet in flavor, but also converges to spleen, liver and kidney channel. Conclusion: The syndrome differentiation and treatment of liver cirrhosis in Liver Institute of Hubei Provincial Hospital of Traditional Chinese are mainly based on poison phlegm blood stasis and deficiency.
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In this paper, we make a report on new records of medicinal plants in Hubei, which include one newly recorded genera and seven newly recorded species and a newly recorded variety. The newly recorded genera is Anoectochilus and its corresponding species is Anoectochilus roxburghii; These newly recorded species are Euphorbia micractina, Astragalus wulingensis, Blumea megacephala, Potentilla saundersiana, Blumea formosana, Lycoris houdyshelii and Colocasia gigantea ; The newly recorded variety is Neottia puberula var. maculata. Among these species, Anoectochilus roxburghii and N. puberula var. maculata are considered as the second-class protection in our country, A. roxburghii is regarded as Endangered(EN)and Astragalus wulingensis is regarded as Critically Endangered (CN) by IUCN. The report of these newly recorded plants borden the distribution and enrich the plant diversity of Hubei.
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This study was aimed to use machine learning techniques for the prescription regularity of traditional Chinese medicine (TCM) in the treatment of liver diseases in order to provide a reference basis for clinical treatment as well as research and development of new drugs.According to the prescription data of liver disease treatment of the last two years in the hepatology department of a triple-A TCM hospital,the related structure between drugs was firstly found by the complex structure of drugs.And then,association rule,cluster analysis and other unsupervised machine learning methods were used.The prescription regularity of TCM in the treatment of cirrhosis was received through the comparison and analysis.The results showed that there were 589 prescriptions with 257 types of Chinese medicine herbs.The high frequency drug combination included 2 items of 12,3 items of 15,4 items of 14;support > 10%,confidence > 90% of the association rule include "dried tangerine peel,medicated leaven → largehead atractylodes rhizome," "polyporus umbellatus,dried tangerine peel → largehead atractylodes rhizome" and other 34;through cluster analysis,it showed that Chinese medicine was mainly classified by 5 characteristics.The machine learning result was the same as the constructed complex network.It was concluded that the combination of complex network and machine learning methods in the exploration of prescription regularity of TCM in the treatment of cirrhosis were feasible.It provided clinical treatment of cirrhosis and clues for finding new prescription in the treatment of cirrhosis.
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This paper studied the correlation between traditional Chinese medicine (TCM) prescription and disease based on machine learning.This paper selected TCM literature abstract data in the TCM category of the China National Knowledge Infrastructure (CNKI) database by crawler technology.After data cleaning,lexicon building,word segmentation and other related basic pre-treatment work,it uses natural language processing technique to extract the feature of the web text data,constructs the Support Vector Machine (SVM) classification model,and extracts the relation between TCM prescription and disease.The results showed that among 1073581 abstracts,204780 sentences,which included both TCM prescription and the disease according to dictionaries,were filtered.The SVM classification model whose feature is constructed by constituency parser is in a better accuracy,which achieved 87%.Applying the SVM model in filtered sentences,this study obtained the relation triples between TCM prescription and the disease.It was concluded that by using the method of machine learning to extract relation on abstract data from the CNKI database,the extracted relation triples of TCM prescription and disease will take a positive effect on the research of disease treatment by TCM prescription.
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This study was aimed to explore the correlation between traditional Chinese medicine (TCM) patterns of hepatopathy and the objective inspection indicators so as to provide objective evidences for the syndrome differentiation and treatment of hepatopathy.General information of hepatopathy inpatients from January 2015 to June 2016 was collected.In order to distinguish the most effective factors and establish the discriminant function,the data in 2015 was selected as training samples with stepwise discriminatory analysis;and the data of the first half of 2016 was used as testing samples.A discriminant function was established by stepwise discriminant analysis,which including 13 inspection indicators out of 127 indicators.Stepwise discriminant analysis was also employed to predict TCM syndrome patterns of the samples.The recognition accuracy of the training sample set 224 samples in 2015 was 84.38% and that of the test sample set 109 samples in 2016 was 74.31%.It was concluded that the stepwise discriminant analysis had a relatively high discriminant accuracy rate.It can provide references in the clinical diagnosis.
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The column chromatography on silica gel, Sephadex LH-20 and semi-preparative HPLC were used to separate and purify the compounds from the EtOAc extract of medium and MeOH extract of cell cultures of Morus alba. Eight compounds were isolated. Based on physico-chemical properties and spectroscopic data, their structures were identified as isobavachalcone (1), genistein (2), norartocarpetin (3), albanin A (4), guangsangon E (5), mulberrofuran F (6), chalcomoracin (7), kuwanon J (8). Compounds 3-6 were isolated from the cell cultures of M. alba for the first time.
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Benzofuranos , Técnicas de Cultura de Células , Métodos , Chalconas , Cromatografia em Gel , Métodos , Cromatografia Líquida de Alta Pressão , Dextranos , Genisteína , Morus , Química , Biologia Celular , Folhas de Planta , Química , Biologia Celular , Plantas Medicinais , Química , Biologia Celular , Sílica Gel , TerpenosRESUMO
The column chromatography on silica gel, semi-preparative HPLC were used to separate and purify the compounds from the petroleum ether and ethanol extract of Aquilaria sinensis. Nine compounds were isolated. On the basis of their spectroscopic data, the structures were identified as 3, 3, 7-trimethyltricycloundecan-8-one (1), longifolene (2), norlongilactone (3), caryophyllenol-II (4), humulene diepoxide A (5), kobusone (6), (-)-bornyl ferulate (7), (24R) -24-ethylcholesta-4, 22-dien-3-one (8), (24R)-24-3-ono-4-en-sitosterone (9). Compounds 2-9 were isolated from this plant for the first time. compounds 1-6 are sesquiterpenes, compound 7 is a monoterpene derivative, compound 8 and 9 are steroids.
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Cromatografia , Métodos , Medicamentos de Ervas Chinesas , Química , Medicina Tradicional Chinesa , Monoterpenos , Química , Sesquiterpenos , Química , Thymelaeaceae , QuímicaRESUMO
Column chromatography on silica gel, Sephadex LH-20, semi-preparative HPLC were used to separate and purify the compounds from the petroleum ether and ethanol extract of Chinese eaglewood. Nine compounds were isolated. On the basis of their spectroscopic data, their structures were identified as dehydroabietic acid (1), methyl dehydroabietate (2), methyl 7-oxodehydroabietate (3), 7alpha, 15-dihydroxydehydroabietic acid (4), 7alpha-hydroxypodocarpen-8(14)-en-13-on-18-oic acid (5), pimaric acid (6), pimarol (7), 18-norpimara-8 (14), and 15-dien-4alpha-ol (8), 18-norisopimara-8 (14), 15-dien-4beta-ol (9). All of the compounds were isolated from this plant for the first time, and compounds 5, 8 and 9 are norditerpenoids.