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The psychosomatic thought of tibetan medicine and its treatment methods 藏医心身思想及其治疗方法
IF 4.4 3区 医学 Q1 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2023-07-01 DOI: 10.4103/2311-8571.373598
Zijuan Zhang, Xin Li, Yasong Cheng, Amatti Jorigori, Dongzhu Renqing, Liwen Pan, Meng Mao, Xiao-Qiao Ren, Huizhen Zhao
Objectives: Call on people to treat the causes of physical diseases is to take into account the causes of psychological factors as well as external causes. Materials and Methods: The analysis was conducted by combining the classical medical books of Tibetan medicine, as well as the traditional culture and living habits of Tibetan people, with modern research results. Results: Many of the theories mentioned in Tibetan medicine related to mind-body medicine have been confirmed by modern research. Mental and physical treatment related to psychosomatic diseases should be administered simultaneously. First, when a person is healthy, he should cultivate his mind to build a solid psychological defense against diseases. Developing both the mind and body contributes to creating a stable physical protection barrier against diseases. When a person is ill, he should realign his mind and help his body adjust and promote its early recovery with the help of medications. Conclusions: Treating related psychosomatic diseases should treat the mind and body simultaneously. And the mind and body should be cultivated before diseases to reinforce the psychological and physical defense against diseases.
目的:呼吁人们在治疗身体疾病的原因时,既要考虑到心理因素的原因,也要考虑到外因的原因。材料与方法:将藏医经典医学书籍、藏民传统文化和生活习惯与现代研究成果相结合进行分析。结果:藏医学中涉及心身医学的许多理论已被现代研究证实。与心身疾病有关的精神和身体治疗应同时进行。首先,当一个人是健康的,他应该培养他的心灵,建立一个坚实的心理防御疾病。发展身心有助于建立一个稳定的身体保护屏障来抵御疾病。当一个人生病时,他应该重新调整他的思想,帮助他的身体调整,并在药物的帮助下促进其早日康复。结论:治疗相关心身疾病应心身并举。病前养心、养身,加强对疾病的心理和生理防御。
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引用次数: 0
Lung cancer treatment in traditional chinese medicine: History, current status, and development 癌症中医治疗的历史、现状与发展
IF 4.4 3区 医学 Q1 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2023-07-01 DOI: 10.4103/2311-8571.382025
Hong-Sheng Lin, Ying Zhang, Chu-Chu Zhang, Su-ying Liu, Jie Liu, Peilun Yang
Objective: This article discusses the following aspects, including the history of traditional Chinese medicine (TCM) in the treatment of lung cancer, the breakthrough in the theory of TCM in treatment of lung cancer, clinical study of TCM in treating lung cancer, microscientific interpretation of TCM treatment for lung cancer and the prospect of TCM in treating lung cancer. Materials and Methods: In this paper, through a systematic search, combing traditional Chinese medicine prevention and treatment of lung cancer ancient books and modern literature. Results: A series of large sample and multi-centered clinical studies have proved that TCM comprehensive treatment significantly improves the clinical efficacy for lung cancer. “TCM treatment system for non-small cell lung cancer” based on staged and standardized integration of TCM and Western medicine has been well developed and popularized in practice. Furthermore, in virtue of the international cooperation platform established by the National Cancer Institute of the United States, the scientific connotation of TCM in the prevention and treatment of lung cancer is systematically and deeply studied, thereby promoting the research and development of new Chinese drugs for lung cancer. Conclusions: Nowadays, TCM has realized a landmark breakthrough in treating lung cancer, bringing benefits to all lung cancer patients.
目的:本文从中医治疗肺癌的历史、中医治疗肺癌理论的突破、中医治疗肺癌的临床研究、中医治疗肺癌的微科学解读以及中医治疗肺癌的前景等方面进行论述。材料与方法:本文通过系统检索,结合中医防治肺癌的古籍与现代文献。结果:一系列大样本、多中心的临床研究证明,中医药综合治疗可显著提高肺癌的临床疗效。基于中西医结合阶段性、规范化的“非小细胞肺癌中医治疗体系”在实践中得到了较好的发展和推广。此外,借助美国国家癌症研究所建立的国际合作平台,系统深入地研究中医药在防治肺癌中的科学内涵,从而促进肺癌中药新药的研发。结论:目前,中医药在治疗肺癌方面实现了里程碑式的突破,使所有肺癌患者受益。
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引用次数: 0
Efficacy and safety of huachansu capsules for the treatment of esophageal cancer: A systematic review and meta-analysis 花蟾素胶囊治疗食管癌症的疗效和安全性:系统评价和meta分析
IF 4.4 3区 医学 Q1 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2023-07-01 DOI: 10.4103/2311-8571.355009
Meng-Meng Wang, Xinghui Zhang, Jun-Yan Wang, Jing Xua, Ming-zhu Chen, Shuyue Wang, M. Jia, Zhiping Shen, Ling Zhang, Y. Gong, Jian Gong
The objective of this study was to systematically evaluate the efficacy and safety of Huachansu capsules in the treatment of esophageal cancer. We searched all relevant Chinese and English documents in the Cochrane Library Clinical Controlled Trials, PubMed, EMBASE, CNKI, and VIP databases, from the time the databases were established to December 2020. The studies were selected according to the inclusion and exclusion criteria, and their quality was evaluated. We used RevMan 5.4 to conduct the meta-analysis of measurement indicators and intervention measures. Six randomized controlled trials comprising 526 patients with esophageal cancer were included in the study. Compared with radiotherapy and chemotherapy alone, oral Huachansu capsules combined with radiotherapy and chemotherapy improved the clinical efficacy (risk ratio [RR] = 1.35, 95% confidence interval [CI], 1.17–1.55, P < 0.0001), quality of life (weighted mean difference [MD] = 10.01, 95% CI [3.39–16.64], P = 0.003), and immune level (CD3+: MD = 4.99, 95% CI [3.70–6.29], P < 0.0001; CD4+: MD = 6.49, 95% CI [5.55–7.42], P < 0.0001; CD5+: MD = 0.20, 95% CI [0.11–0.28], P < 0.0001), and reduced toxic and side effects (reductions in white blood cell count: RR = 0.63, 95% CI [0.44–0.90], P = 0.01; Reductions in blood platelet: RR = 0.70, 95% CI [0.52–0.94], P = 0.02; Gastrointestinal reaction: RR = 0.73, 95% CI [0.59–0.89], P = 0.002). However, the number of included studies was small, and conclusions still need to be further verified using larger samples and high-quality randomized, double-blind controlled trials.
本研究旨在系统评价花蟾素胶囊治疗食管癌症的疗效和安全性。我们在Cochrane Library临床对照试验、PubMed、EMBASE、CNKI和VIP数据库中搜索了从数据库建立到2020年12月的所有相关中文和英文文件。根据纳入和排除标准选择研究,并对其质量进行评估。我们使用RevMan 5.4对测量指标和干预措施进行了荟萃分析。研究纳入了6项随机对照试验,包括526名癌症食管癌患者。与单纯放疗和化疗相比,口服华蟾素胶囊联合放疗和化疗改善了临床疗效(风险比[RR]=1.35,95%置信区间[CI],1.17-1.55,P<0.0001)、生活质量(加权平均差[MD]=10.01,95%CI[3.39-16.64],P=0.003),和免疫水平(CD3+:MD=4.99,95%CI[3.70–6.29],P<0.0001;CD4+:MD=6.49,95%CI[5.55–7.42],P=0.001;CD5+:MD=0.20,95%CI[0.11–0.28],P<0.0001),减少了毒副作用(白细胞计数减少:RR=0.63,95%CI[0.44–0.90],P=0.01;血小板减少:RR0.70,95%CI[0.52–0.94],P=0.02;胃肠道反应:RR=0.73,95%CI[0.59–0.89],P=0.002)。然而,纳入的研究数量很少,结论仍需使用更大的样本和高质量的随机、双盲对照试验进行进一步验证。
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引用次数: 0
Symptom assessment and management in patients with lung cancer undergoing conventional or traditional chinese medicine care 癌症患者接受常规或中医治疗的症状评估与管理
IF 4.4 3区 医学 Q1 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2023-07-01 DOI: 10.4103/2311-8571.382112
Baojin Han, Ya-jie Liu, Jia-Yue Jin, Hong-Kun Xu, Wenze Zhang, Si-Meng Ren, Xin Wang, Jie Liu
Patients with lung cancer may experience various symptoms as the disease progresses, which may reduce the benefits of cancer treatment, reduce treatment compliance, delay cancer treatment, reduce the quality of life (QoL), and impact survival. This review discusses comprehensive symptom assessment and management, which are crucial for high-quality lung cancer treatment. Traditional Chinese medicine (TCM) is important in relieving cancer-related symptoms in patients with lung cancer. Including patient-reported outcomes (PROs) in clinical trials and practice can provide a better assessment of symptom burden and the effectiveness of symptom management. Patient-centered care with TCM in lung cancer patients may include six steps: Symptom screening, etiology investigation, comprehensive assessment, integrative management, reassessment, and regular symptom follow-up monitoring. PRO measures can be used to evaluate symptom intensity, the degree to which symptoms interfere with activities of daily living, and the QoL. Clearly defined and reliable PRO measures can enhance patient satisfaction and improve symptom control. Quantitative PRO measures developed from the TCM perspective should be considered one of the important outcome measurements in TCM care. A multidisciplinary collaborative symptom management model, including TCM and conventional therapy, will be the future goal for treating patients with lung cancer.
随着疾病的发展,癌症患者可能会出现各种症状,这可能会降低癌症治疗的益处,降低治疗依从性,延迟癌症治疗,降低生活质量(QoL),并影响生存。这篇综述讨论了全面的症状评估和管理,这对高质量的癌症治疗至关重要。中医在缓解癌症患者癌症相关症状方面具有重要意义。将患者报告的结果(PROs)纳入临床试验和实践可以更好地评估症状负担和症状管理的有效性。以患者为中心的癌症患者中医护理可能包括六个步骤:症状筛查、病因调查、综合评估、综合管理、再评估和定期症状随访监测。PRO测量可用于评估症状强度、症状对日常生活活动的干扰程度以及生活质量。明确定义和可靠的PRO措施可以提高患者满意度并改善症状控制。从中医角度发展的定量PRO测量应被视为中医护理中的重要结果测量之一。多学科协作症状管理模式,包括中医和常规治疗,将是治疗癌症患者的未来目标。
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引用次数: 0
Shenyi capsule prolongs postoperative survival of patients with nonsmall cell lung cancer: A multicenter, randomized, controlled trial 参益胶囊延长非小细胞肺癌癌症患者术后生存期的多中心随机对照研究
IF 4.4 3区 医学 Q1 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2023-07-01 DOI: 10.4103/2311-8571.382023
Dao-rui Li, W. Hou, B. Hua, Pei-tong Zhang, Lu Xiong, Hao Liu, Qi-Yuan Mao, Hong-Sheng Lin, B. Piao
Objective: The objective of this study was to examine the effect of the postsurgical administration of Shenyi capsules on the outcome and overall survival of patients with nonsmall cell lung cancer (NSCLC). Materials and Methods: This was a multicenter, randomized, placebo-controlled, double-blind clinical trial. Patients with stages I–IIIA NSCLC were randomized to Shenyi or placebo groups (treatment duration: 6 months) and followed up for 10 years. One-year, 2-year, 5-year, and 10-year survival rates and survival times were calculated. Symptoms, quality of life, traditional Chinese medicine (TCM) syndrome, and recurrence were evaluated. Results: A total of 361 patients (treatment group, n = 185; placebo group, n = 176) were randomized and followed up for 10 years. The two groups had similar baseline demographic and clinical characteristics. Among all 361 patients, the treatment group had significantly longer median survival (31 months, respectively) than the placebo group (22.3 months, P < 0.01). In stage II or III patients, recurrence and metastasis rates in the treatment group were lower than those in the placebo group (P < 0.05). The treatment group also had significantly longer 1-year and 2-year survival rates based on the full analysis set and per-protocol set; however, there was no statistically significant difference in the 5-year and 10-year survival rates (P < 0.01 for all comparisons). Multivariate analysis of variance showed that the interaction between stage and age had a significant impact on overall survival (P < 0.05). Compared with the placebo group, the treatment group showed a significant decrease in TCM syndrome (P < 0.01) and a significant increase in the Karnofsky Performance Score (P < 0.01) and body weight (P < 0.05). Conclusions: Adjunctive therapy with Shenyi capsules significantly prolonged the 1-year and 2-year survival rates after surgery and improved the quality of life. Moreover, none of the patients experienced severe adverse effects. These results suggest that Shenyi capsules may have clinical applications in treating patients with NSCLC.
目的:探讨参益胶囊对非小细胞肺癌癌症(NSCLC)患者术后疗效及总生存率的影响。材料和方法:这是一项多中心、随机、安慰剂对照、双盲临床试验。I–IIIA期NSCLC患者被随机分为参益组或安慰剂组(治疗时间:6个月),并随访10年。计算1年、2年、5年和10年的生存率和生存时间。对症状、生活质量、中医证候和复发进行评估。结果:共有361名患者(治疗组,n=185;安慰剂组,n=176)被随机分组并随访10年。两组患者的基线人口统计学和临床特征相似。在361例患者中,治疗组的中位生存期(分别为31个月)明显长于安慰剂组(22.3个月,P<0.01),治疗组的复发率和转移率均低于安慰剂组(P<0.05)。根据全分析集和方案集,治疗组的1年和2年生存率也明显更长;但5年和10年生存率无统计学显著差异(P均<0.01)。多因素方差分析显示,阶段和年龄的相互作用对总生存率有显著影响(P<0.05),结论:参益胶囊辅助治疗能显著延长术后1年和2年生存率,改善生活质量。此外,没有一名患者出现严重的不良反应。提示参益胶囊对NSCLC患者有一定的临床应用价值。
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引用次数: 0
Formulation of ayurvedic medicines and extracts of medicinal plants as an alternative therapeutic treatment option for nephrolithiasis 阿育吠陀药物和药用植物提取物的配方作为肾结石的替代治疗选择
IF 4.4 3区 医学 Q1 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2023-07-01 DOI: 10.4103/2311-8571.351512
S. Sachdeva, Jaspreet Kaur, Sanjana Mehta, Renu Saharan, Parminder Nain
The incidence of nephrolithiasis, commonly known as kidney stone, is increasing worldwide with significant health and economic burden. Approximately 2 million people every year in India are affected by kidney stones. It affects all ages, genders, and races, but between the ages of 20 and 49 years, it affects most frequently in men than women. Different types of stones include calcium stones, cysteine stones, struvite or magnesium ammonium phosphate stones, uric acid stones, and drug-induced stones. This review article provides information about general pathophysiology, epidemiology, clinical presentation, and pharmacological treatment, which includes ayurvedic and herbal medicines for nephrolithiasis. Further understanding of the pathophysiological link between nephrolithiasis and systemic disorders is necessary for the development of new therapeutic options.
肾结石,俗称肾结石,在世界范围内的发病率正在增加,造成了重大的健康和经济负担。印度每年大约有200万人患有肾结石。它影响所有年龄、性别和种族,但在20至49岁之间,男性比女性更常见。不同类型的结石包括钙结石、半胱氨酸结石、鸟粪石结石或磷酸铵镁结石、尿酸结石和药物性结石。本文综述了肾结石的一般病理生理、流行病学、临床表现和药物治疗,包括阿育吠陀药和草药。进一步了解肾结石和全身性疾病之间的病理生理联系对于开发新的治疗方案是必要的。
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引用次数: 0
Research progress on Rodgersia and predictive analysis on its quality markers Rodgersia的研究进展及其质量标志物的预测分析
IF 4.4 3区 医学 Q1 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2023-07-01 DOI: 10.4103/2311-8571.343650
Ling-Ling Chu, Bin Li, Jia Wu, Ling Jiang, Xudong Zhou, Wen-bing Sheng, Cai-yun Peng, Salman Zafar, Ping-an Liu, Wei Wang
Rodgersia is a traditional Chinese medicine that contains a variety of chemical constituents, including flavonoids, terpenoids, phenylpropanoids, gallic acid derivatives, steroids, volatile oils, and tannins, with anti-inflammatory, antioxidant, antitumor, antibacterial, antivirus, hepatoprotective, and other properties. In this paper, the main chemical constituents and pharmacological effects of Rodgersia are summarized. On this basis, the quality markers of this genus were predicted based on chemical composition, traditional medicinal properties, traditional efficacy, and measurable components. This review provides the basis for in-depth research, utilization, and quality control of Rodgersia.
Rodgersia是一种中药,含有多种化学成分,包括黄酮类、萜类、苯丙类、没食子酸衍生物、类固醇、挥发油和单宁,具有抗炎、抗氧化、抗肿瘤、抗菌、抗病毒、保肝等特性。本文综述了刺五加的主要化学成分及药理作用。在此基础上,根据该属植物的化学成分、传统药用特性、传统药效和可测成分,对其质量标志物进行了预测。这篇综述为深入研究、利用和质量控制提供了依据。
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引用次数: 0
Chinese herb formulae inhibit the proliferation of human colon cancer SW480 cells by inducing cell apoptosis 中药复方通过诱导细胞凋亡抑制人结肠癌SW480细胞增殖
IF 4.4 3区 医学 Q1 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2023-07-01 DOI: 10.4103/2311-8571.369650
Su Fu, Shaojia Qin, W. Rausch
Objective: This study aimed to reveal the antitumor effects of Chinese herbal formulae and the underlying mechanisms in treating colorectal cancer, with a focus on developing traditional Chinese medicine (TCM) as a supplement and alternative therapeutic method for cancers. Materials and Methods: Human colon cancer SW480 cells were treated with three Chinese herbal formulae, Bu Zhong Yi Qi Decoction, Fuzi Lizhong Decoction, and Pulsatilla Decoction at different concentrations (50–600 μg/mL) for 24, 36, and 48 h, respectively. Cell viability was determined using the resazurin reduction assay, and cell survival rate was evaluated using a colony formation assay. After treatment with different concentrations (50–600 μg/mL) of these three formulae for 48 h, the effects of the Chinese herbal formulae on cell apoptosis were investigated using Hoechst/propidium iodide (PI) staining. The positive PI-stained cells were investigated using an EnSpire multilabel plate reader and the positive Hoechst-stained cells were observed under a fluorescence microscope for morphological changes. Results: Bu Zhong Yi Qi Decoction, Fuzi Lizhong Decoction, and Pulsatilla Decoction inhibited SW480 cell proliferation in a dose-and time-dependent manner and induced cell apoptosis. Conclusion: Chinese herbal formulae with a special prescription form of TCM with antitumor effects bring a new perspective in line with the principles of TCM in cancer treatment.
目的:本研究旨在揭示中药方剂治疗结直肠癌的抗肿瘤作用及其机制,重点研究中药作为癌症的补充和替代治疗方法。材料与方法:采用不同浓度(50 ~ 600 μg/mL)的补中益气汤、扶子理中汤、白头翁汤对人结肠癌SW480细胞作用24、36、48 h。用瑞祖脲还原法测定细胞活力,用菌落形成法测定细胞存活率。不同浓度(50 ~ 600 μg/mL)作用48 h后,采用霍赫斯特/碘化丙啶(PI)染色法观察复方对细胞凋亡的影响。采用EnSpire多标签平板阅读器检测pi阳性染色细胞,荧光显微镜下观察hoechst阳性染色细胞形态学变化。结果:补中益气汤、扶子理中汤和白芍汤均能抑制SW480细胞增殖,并诱导细胞凋亡,且呈剂量和时间依赖性。结论:具有抗肿瘤作用的中药特殊方剂为肿瘤治疗提供了符合中医原理的新视角。
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引用次数: 0
Mechanism of wuweijiangyasan in the treatment of spontaneous hypertension based on network pharmacology 基于网络药理学的五味降压散治疗自发性高血压的作用机制
IF 4.4 3区 医学 Q1 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2023-07-01 DOI: 10.4103/2311-8571.351793
Jiangxue Zhou, Huizhen Zhao, Ai-ping Chen, Zijuan Zhang, Jingzhou Li, Ling Zuo, Yajun Cheng, D. Deng, Xue-Li Li, Xiao-yun Ma, Da Man, Ming Zheng, Jing Chen, Bo Wen, Juan Wang
Background: Hypertension affects over 1 billion people globally and is the top risk factor of cardiovascular morbidity and mortality. Wuweijiangyasan (WWJYS), as an empirical prescription, has stable depressurization effects. This study investigated the chemical composition and pharmacodynamic effects of WWJYS in regulating the blood pressure (BP), emotion, and blood lipid of spontaneous hypertensive rats, and further explored the depressurization mechanism of WWJYS. Materials and Methods: This study used network pharmacology to identify the origins and predict targets of WWJYS, and artificial intelligence-based molecular docking is used to further predict targets and mechanisms. The chemical constituents of WWJYS were analyzed and identified by ultra high-performance liquid chromatography–mass spectrometry (MS)/MS. Results: In the WWJYS group, the systolic BP level significantly was decreased, and the HR was stable. The irritability became stable after the 5-week treatment compared with the model group (P < 0.05). Rats' rotation tolerance time increased after 2-weeks stabilization. Compared with the model group, angiotensin-converting enzyme 2 protein and mRNA of the WWJYS group increased significantly (P < 0.05). Network pharmacology collected 64 compounds and identified 22 potential targets of WWJYS for antihypertensive activity. Gene Ontology and Kyoto Encyclopedia of Genes and Genomes enrichment analysis showed that WWJYS might regulate smooth muscle cells, affect inflammatory response and improve endothelial function through multiple pathways. The molecular docking study further supported that the target proteins have good combinations with the main active components of WWJYS. Conclusions: The data indicated that WWJYS had significant depressurization, analgesic, and sedative, as well as lipid-lowering effects, and the depressurization mechanism of WWJYS may function in multiple signal pathways, especially in improving blood vessel function and intervening inflammation.
背景:高血压影响着全球超过10亿人,是心血管疾病发病率和死亡率的最高风险因素。五味降压散(WWJYS)作为一种经验方,具有稳定的降压效果。本研究考察了WWJYS的化学成分及其对自发性高血压大鼠血压、情绪和血脂的调节作用,并进一步探讨了WWJYS的降压机制。材料与方法:本研究采用网络药理学方法确定WWJYS的起源和预测靶标,并采用基于人工智能的分子对接方法进一步预测靶标和机制。采用超高效液相色谱-质谱(MS)/MS对WWJYS的化学成分进行了分析鉴定。结果:WWJYS组收缩压明显下降,HR稳定。治疗5周后应激反应较模型组稳定(P<0.05),2周后大鼠旋转耐受时间增加。与模型组相比,WWJYS组的血管紧张素转换酶2蛋白和mRNA显著增加(P<0.05)。网络药理学收集了64个化合物,鉴定了22个WWJYS降压活性的潜在靶点。Gene Ontology和Kyoto Encyclopedia of Genes and Genomes富集分析表明,WWJYS可能通过多种途径调节平滑肌细胞、影响炎症反应和改善内皮功能。分子对接研究进一步支持了靶蛋白与WWJYS的主要活性成分具有良好的组合。结论:WWJYS具有显著的降压、镇痛、镇静和降脂作用,其降压机制可能通过多种信号通路发挥作用,尤其是在改善血管功能和干预炎症方面。
{"title":"Mechanism of wuweijiangyasan in the treatment of spontaneous hypertension based on network pharmacology","authors":"Jiangxue Zhou, Huizhen Zhao, Ai-ping Chen, Zijuan Zhang, Jingzhou Li, Ling Zuo, Yajun Cheng, D. Deng, Xue-Li Li, Xiao-yun Ma, Da Man, Ming Zheng, Jing Chen, Bo Wen, Juan Wang","doi":"10.4103/2311-8571.351793","DOIUrl":"https://doi.org/10.4103/2311-8571.351793","url":null,"abstract":"Background: Hypertension affects over 1 billion people globally and is the top risk factor of cardiovascular morbidity and mortality. Wuweijiangyasan (WWJYS), as an empirical prescription, has stable depressurization effects. This study investigated the chemical composition and pharmacodynamic effects of WWJYS in regulating the blood pressure (BP), emotion, and blood lipid of spontaneous hypertensive rats, and further explored the depressurization mechanism of WWJYS. Materials and Methods: This study used network pharmacology to identify the origins and predict targets of WWJYS, and artificial intelligence-based molecular docking is used to further predict targets and mechanisms. The chemical constituents of WWJYS were analyzed and identified by ultra high-performance liquid chromatography–mass spectrometry (MS)/MS. Results: In the WWJYS group, the systolic BP level significantly was decreased, and the HR was stable. The irritability became stable after the 5-week treatment compared with the model group (P < 0.05). Rats' rotation tolerance time increased after 2-weeks stabilization. Compared with the model group, angiotensin-converting enzyme 2 protein and mRNA of the WWJYS group increased significantly (P < 0.05). Network pharmacology collected 64 compounds and identified 22 potential targets of WWJYS for antihypertensive activity. Gene Ontology and Kyoto Encyclopedia of Genes and Genomes enrichment analysis showed that WWJYS might regulate smooth muscle cells, affect inflammatory response and improve endothelial function through multiple pathways. The molecular docking study further supported that the target proteins have good combinations with the main active components of WWJYS. Conclusions: The data indicated that WWJYS had significant depressurization, analgesic, and sedative, as well as lipid-lowering effects, and the depressurization mechanism of WWJYS may function in multiple signal pathways, especially in improving blood vessel function and intervening inflammation.","PeriodicalId":23692,"journal":{"name":"World Journal of Traditional Chinese Medicine","volume":"9 1","pages":"355 - 368"},"PeriodicalIF":4.4,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45003622","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Potential of essential oils as alternative permeation enhancers for transdermal delivery 精油作为透皮给药替代渗透促进剂的潜力
IF 4.4 3区 医学 Q1 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2023-07-01 DOI: 10.4103/2311-8571.351508
Jayshree Mahanty, Sofi Rasheed, Sudhir Kumar, Harjeet Singh, Alok K. Sharma
Transdermal drug delivery plays a significant part in the drug delivery system when compared to other routes of drug administration. The function of the stratum corneum (SC) is a barrier. Recently, numerous methods have been thrived to improve the perforation of drugs across the skin. The most effective method is to use enhancers since these agents enhance skin permeability. Natural penetration enhancers like essential oils demonstrate higher enhancement activity and are more widely accepted than synthetic penetration enhancers. High potential in the expansion and interaction with the SC intercellular lipids has led to an increasing interest in these oils as penetration enhancers. This article gives an overview of a few essential oils, including their mode of action and important parameters for permeation improvement. The present work can provide essential oils as alternative enhancers, and this could be useful in transdermal administration.
与其他给药途径相比,经皮给药在给药系统中起着重要的作用。角质层(SC)的功能是一个屏障。最近,许多方法已经蓬勃发展,以改善药物在皮肤上的穿孔。最有效的方法是使用增强剂,因为这些药物可以增强皮肤的渗透性。精油等天然渗透增强剂表现出更高的增强活性,比合成渗透增强剂更被广泛接受。高潜力的扩张和与SC细胞间脂质的相互作用导致这些油作为渗透增强剂的兴趣日益增加。本文综述了几种精油,包括它们的作用方式和改善渗透的重要参数。本工作可以提供精油作为替代增强剂,这可能是有用的透皮给药。
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引用次数: 1
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World Journal of Traditional Chinese Medicine
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