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Hemogram parameters in fibromyalgia and effects of wet cupping therapy on hemogram parameters 纤维肌痛的血象参数及湿法拔罐治疗对血象参数的影响
IF 4.4 3区 医学 Q2 Medicine Pub Date : 2022-10-01 DOI: 10.4103/wjtcm.wjtcm_73_21
Humeyra Aslaner, H. Çalış, Çağlar Karabaşc, A. Benli
Objective: Wet cupping therapy (WCT) is one of the complementary and traditional therapies that are still must be scientifically interpreted. This study aimed to assess hemogram parameters that are subclinical inflammatory markers in patients with fibromyalgia syndrome (FMS) and observe how they were affected with WCT. Methods: The present study consisted of two groups; patient group included participants who were diagnosed with FMS and who received WCT and control group included healthy participants who received WCT within the concept of preventive medicine. Results: Neutrophil-to-lymphocyte ratio (NLR) and platelet-lymphocyte ratio (PLR) values were higher in the patient group (P = 0.029 and P = 0.003, respectively). Considering that the participants had FMS, the optimal cutoff value for PLR was ≥1.62, sensitivity was 70%, specificity was 56%, positive predictive value was 61.7%, and negative predictive value was 65.3%. Receiver operating characteristic (ROC) curve revealed a significant sensitivity and specificity (ROC area = 0.664), (confidence interval [CI]: 0.530–0.781) (P < 0.023). The optimal cutoff value for PLR was ≥146, sensitivity was 60%, specificity was 83%, positive predictive value was 78%, and negative predictive value was 67%. ROC curve revealed a statistically significant sensitivity and specificity (ROC area = 0.726), (CI: 0.59–0.83) (P < 0.001). The optimal cutoff value for platelet was ≥284,000, sensitivity was 83%, specificity was 40%, positive predictive value was 58%, and negative predictive value was 70%. ROC curve revealed a significant sensitivity and specificity (ROC area = 0.65), (CI: 0.51–0.76) (P = 0.036). Conclusion: NLR, PLR, and thrombocyte count parameters can be useful in the process of diagnosing FMS. In addition, NLR, PLR, and MPV decreased in patients who received WCT.
目的:湿拔罐疗法是一种补充性的传统疗法,尚需科学解读。本研究旨在评估纤维肌痛综合征(FMS)患者的亚临床炎症标志物血象参数,并观察WCT对其的影响。方法:本研究分为两组;患者组包括被诊断为FMS并接受WCT的参与者,对照组包括在预防医学概念范围内接受WCT治疗的健康参与者。结果:患者组中性粒细胞与淋巴细胞比率(NLR)和血小板-淋巴细胞比率(PLR)值较高(分别为P=0.029和P=0.003)。考虑到参与者患有FMS,PLR的最佳截止值≥1.62,敏感性为70%,特异性为56%,阳性预测值为61.7%,阴性预测值为65.3%。受试者操作特征(ROC)曲线显示出显著的敏感性和特异性(ROC面积=0.664),(置信区间[CI]:0.530–0.781)(P<0.023)。PLR的最佳截止值≥146,敏感性为60%,特异性为83%,阳性预测值为78%,阴性预测值为67%。ROC曲线显示具有统计学意义的敏感性和特异性(ROC面积=0.726),(CI:0.59–0.83)(P<0.001)。血小板的最佳截断值≥284000,敏感性为83%,特异性为40%,阳性预测值为58%,阴性预测值为70%。ROC曲线显示出显著的敏感性和特异性(ROC面积=0.65),(CI:0.51-0.76)(P=0.036)。结论:NLR、PLR和血小板计数参数可用于诊断FMS。此外,接受WCT的患者的NLR、PLR和MPV降低。
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引用次数: 1
A review: The phytochemistry, pharmacology, and pharmacokinetics of Curcumae Longae Rhizoma (Turmeric) 姜黄的植物化学、药理及药代动力学研究进展
IF 4.4 3区 医学 Q2 Medicine Pub Date : 2022-10-01 DOI: 10.4103/2311-8571.351523
Songtao Liu, Senwang Zheng, Ajiao Hou, Jiaxu Zhang, Song Wang, Xuejiao Wang, Huan Yu, Liu Yang
Curcumae Longae Rhizoma (CLR) is the rhizome of Curcuma longa L. Pharmacological studies show that CLR can be used to treat cervical cancer, lung cancer, lupus nephritis, and other conditions. In this paper, we review botany, traditional application, phytochemistry, pharmacological activity, and pharmacokinetics of CLR. The literature from 1981 to date was entirely collected from online databases, such as Web of Science, Google Scholar, China Academic Journals full-text database (CNKI), Wiley, Springer, PubMed, and ScienceDirect. The data were also obtained from ancient books, theses and dissertations, and Flora Reipublicae Popularis Sinicae. There are a total of 275 compounds that have been isolated from CLR, including phenolic compounds, volatile oils, and others. The therapeutic effect of turmeric has been expanded from breaking blood and activating qi in the traditional sense to antitumor, anti-inflammatory, antioxidation, neuroprotection, antibacterial, hypolipidemic effects, and other benefits. However, the active ingredients and mechanisms of action related to relieving disease remain ill defined, which requires more in-depth research and verification at a clinical level.
姜黄(CLR)是姜黄的根状茎。药理研究表明,CLR可用于治疗宫颈癌症、癌症、狼疮性肾炎等疾病。本文综述了CLR的植物学、传统应用、植物化学、药理活性和药代动力学。从1981年至今的文献完全收集自在线数据库,如Web of Science、Google Scholar、中国学术期刊全文数据库(CNKI)、Wiley、Springer、PubMed和ScienceDirect。这些数据也来自古籍、论文和学位论文以及《大众植物志》。共有275种化合物从CLR中分离出来,包括酚类化合物、挥发油和其他化合物。姜黄的治疗作用已从传统意义上的活血益气扩展到抗肿瘤、抗炎、抗氧化、神经保护、抗菌、降血脂等功效。然而,与缓解疾病相关的活性成分和作用机制仍不明确,需要在临床层面进行更深入的研究和验证。
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引用次数: 3
New analysis of banxia xiexin decoction and its similar prescriptions in Treatise on Febrile Diseases to explore the universality of the treatment and compatibility principle 对《伤寒论》半夏泻心汤及其同类方剂的新分析,探讨其治疗的普适性和配伍原则
IF 4.4 3区 医学 Q2 Medicine Pub Date : 2022-10-01 DOI: 10.4103/2311-8571.343651
Ren Wei, Zhengrong Li, Ruidi Cao, Jian-Bin Zeng, Jianxiong Shen, Qiulan Pei, Qilin Liang
Objective: The objective of this study is to explore the treatment and compatibility principles of Traditional Chinese Medicine. Materials and Methods: Syndrome differentiation is used to identify the etiology, nature, and location of a disease and the relationship between the healthy Qi and pathogenic factors by analyzing and synthesizing the four diagnostics data. The theory of treatment is to determine the principle and methods of treatment according to the results of syndrome differentiation and implement them as a specific prescription. This paper bears witness to the principle universality by analysis of the articles of the Banxia Xiexin Decoction, and it equally has analogical prescriptions in Treatise on Febrile Diseases. Results: The treatment and compatibility principles of Traditional Chinese Medicine are the same, that is, rectifying the deviation on three dimensions, strengthening the healthy Qi, and eliminating pathogenic factors in the light of its general trend. Conclusion: The treatment and compatibility principles of Traditional Chinese Medicine are the same, The treatment and compatibility principles provide a new thinking for clinical treatment.
目的:探讨中药的治疗方法及配伍原则。材料与方法:辨证是通过分析和综合四种诊断资料,确定疾病的病因、性质、部位以及正气与致病因素的关系。治疗理论是根据辨证结果确定治疗原则和方法,并作为具体方剂实施。本文通过对半夏泻心汤各条的分析,证实了半夏泻心汤的原则普遍性,其在《伤寒论》中也有类似的方药。结果:中医的治疗和配伍原则是一致的,即根据其总体趋势,在三个维度上纠正偏差,加强正气,消除致病因素。结论:中医的治疗与配伍原则是一致的,为临床治疗提供了新的思路。
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引用次数: 1
The use of goal attainment scaling in the acupuncture of children with intellectual disability 目标实现量表在智障儿童针刺治疗中的应用
IF 4.4 3区 医学 Q2 Medicine Pub Date : 2022-10-01 DOI: 10.4103/2311-8571.351509
Siqi Zhang, Dong Lin, Lili Lin, Shi Qi, Meng Gong, Shi Li, Jie Zhang
Objective: The therapeutic effect of acupuncture is often evaluated based on the experience and judgment of acupuncturists and the subjective feelings of patients. Thus, we investigated the suitability of goal attainment scaling (GAS), an objective outcome measurements, to evaluate the responsiveness of children with intellectual disability to acupuncture therapy. Methods: This is an assessor-blinded, single-group cohort study that included 17 children with intellectual disabilities. The therapeutic effect of acupuncture was assessed by the T scores of GAS at four time points during the 3-month treatment. The responsiveness of GAS to acupuncture therapy was measured using the standardized response mean (SRM). Results: Compared with control, the 4-, 8-, and 12-week scores improved significantly after treatment (P < 0.01, P ≤ 0.001, P ≤ 0.001), with significant differences between each month (P < 0.01, P ≤ 0.001, P ≤ 0.001). Furthermore, all periods assessed GAS (to measure the therapeutic effect of acupuncture) showed marked responsiveness (SRMs >0.8). Conclusion: GAS is responsive in evaluating individual changes in the acupuncture treatment of children with intellectual disabilities. It is a feasible tool to match both the needs of children with intellectual disabilities and the clinical characteristics of acupuncture.
目的:针灸治疗效果的评价往往基于针灸师的经验和判断以及患者的主观感受。因此,我们研究了目标实现量表(GAS)的适用性,这是一种客观的结果测量方法,用于评估智力残疾儿童对针灸治疗的反应性。方法:这是一项评估盲、单组队列研究,包括17名智力残疾儿童。采用治疗3个月期间4个时间点GAS T评分评价针刺治疗效果。采用标准化反应均值(SRM)测量GAS对针刺治疗的反应性。结果:与对照组比较,治疗后4、8、12周评分均显著改善(P < 0.01, P≤0.001,P≤0.001),且各月间差异有统计学意义(P < 0.01, P≤0.001,P≤0.001)。此外,所有评估GAS(用于测量针灸治疗效果)的时间段均显示出明显的反应性(SRMs >.8)。结论:GAS在评估智力障碍儿童针刺治疗的个体变化方面具有响应性。它是一种既符合智障儿童需求又符合针灸临床特点的可行工具。
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引用次数: 3
International Clinical Practice Guideline of Chinese Medicine-Age-related Macular Degeneration 《老年黄斑变性国际中医临床实践指南》
IF 4.4 3区 医学 Q2 Medicine Pub Date : 2022-10-01 DOI: 10.4103/2311-8571.353119
Xingzhi Wu, Lixin Xie, Lina Liang
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引用次数: 2
Metabolic characterization of the Badagan constitution in mongolian medicine by ultrahigh-performance liquid chromatography/quadrupole time-of-flight mass spectrometry/MS 超高效液相色谱/四极杆飞行时间质谱/质谱联用技术对蒙药中巴达干组分代谢特性的研究
IF 4.4 3区 医学 Q2 Medicine Pub Date : 2022-10-01 DOI: 10.4103/2311-8571.351507
Xiao-hua Bao, Lina Bao, Chun Xiang, Siqin Gerile, Saihan Qiqige, Yuheng Xie
This study aimed to identify the potential metabolic biomarkers of the Badagan constitution (BC) in Mongolian medicine. Serum samples from the participants with BCs (n = 32) and aggregative constitutions (n = 30) were analyzed by using ultrahigh-performance liquid chromatography/mass spectrometry. Meanwhile, principal component analysis and orthogonal partial least squares discriminant analysis were used to characterize the endogenous metabolites and potential biomarkers, respectively. Fifteen of the 18 biomarkers in six metabolic pathways were significantly upregulated, including phosphatidylserine, sphingolipids, tryptophan, riboflavin and glutathione, and three biomarkers were significantly downregulated, including lysophosphatidylcholine (LysoPC) (18:1), LysoPC (16:1), and lysophosphatidylethanolamine (LysoPE) (22:2). This study also implied that sphingolipid metabolism, glycerophospholipid metabolism, and tryptophan metabolism played important roles in the BC. Therefore, metabolomics may improve the diagnostic efficacy of the BC in terms of the accuracy and comprehensiveness of a diagnosis based on this constitution. This result further reveals the mechanism of the constitution type in Mongolian medicine and provides a reference for the treatment of related diseases.
本研究旨在鉴定蒙古医学中巴达干体质(BC)的潜在代谢生物标志物。采用超高效液相色谱/质谱法对患有BCs(n=32)和聚集性体质(n=30)的参与者的血清样本进行分析。同时,分别采用主成分分析法和正交偏最小二乘判别分析法对内源性代谢产物和潜在生物标志物进行了表征。6种代谢途径中的18种生物标志物中有15种显著上调,包括磷脂酰丝氨酸、鞘脂、色氨酸、核黄素和谷胱甘肽,还有3种显著下调,包括溶血磷脂酰胆碱(LysoPC)(18:1)、LysoPC(16:1)和溶血磷脂酰乙醇胺(LysoPE)(22:2)。该研究还表明,鞘脂代谢、甘油磷脂代谢和色氨酸代谢在BC中起着重要作用。因此,代谢组学可以提高基于这种构成的诊断的准确性和全面性方面的BC的诊断功效。这一结果进一步揭示了蒙医体质型的发病机制,为相关疾病的治疗提供了参考。
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引用次数: 4
Isolation and identification of two flavonoid compounds from acclimatized Angelica acutiloba kitagawa growing in Vietnam 越南水培尖叶当归中两种黄酮类化合物的分离鉴定
IF 4.4 3区 医学 Q2 Medicine Pub Date : 2022-07-01 DOI: 10.4103/2311-8571.352471
Thi Tam Pham, Thi Cuc Le, V. Tran, Van Thanh Nguyen
Traditional Vietnamese Medicine has its own development based on the local endemic herbs, but it also inherits from Traditional Chinese Medicine using Chinese herbal medicines. Throughout the history of cultural exchange between two countries, the adoption of Chinese Danggui, Angelica sinensis (Oliv.) Diels., has been made by Vietnamese traditional medicine practitioners for a long time. However, the acclimatization has never been successful. Japanese Danggui, or Angelica acutiloba Kitagawa, is recently being acclimatized and cultivated in several Vietnamese regions. Despite the huge climate change between the two countries, the herb adapted exquisitely well to the humid tropical climate. However, so far, there are no studies that have evaluated the effect of acclimatization on the overall quality of this medicinal herb. The aim of our study is screening secondary metabolites of this acclimatized herb for new natural compound(s), if any. The analysis of flavonoid fraction from this herb led to the identification of two known compounds which previously have not been isolated from this species elsewhere. This detection showed that the herb has reacted to the new environment.
越南传统医学在当地特有草药的基础上有自己的发展,但它也继承了使用中草药的传统中医。纵观两国文化交流史,采用了中国当归、当归(Oliv.)Diels。,由越南传统医学从业者长期制作。然而,这种适应从来没有成功过。日本当归(Angelica acutiloba Kitagawa)最近正在越南的几个地区进行驯化和种植。尽管两国之间的气候变化巨大,但这种草本植物很好地适应了潮湿的热带气候。然而,到目前为止,还没有研究评估驯化对这种草药的整体质量的影响。我们研究的目的是筛选这种驯化草药的次级代谢产物,以寻找新的天然化合物(如果有的话)。通过对该草本植物黄酮类成分的分析,鉴定出了两种已知的化合物,这些化合物以前从未在其他地方从该物种中分离出来。这种检测结果表明这种草药对新环境有反应。
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引用次数: 0
Neuroprotective effect of electroacupuncture against acute ischemic stroke via PI3K-Akt-mTOR pathway-mediated autophagy 电针通过PI3K-Akt-mTOR途径介导的自噬对急性缺血性脑卒中的神经保护作用
IF 4.4 3区 医学 Q2 Medicine Pub Date : 2022-07-01 DOI: 10.4103/2311-8571.333712
Velika Yovitania, Qin-hui Fu, J. Pei, Hua Zhou
Acupuncture has been used to treat ischemic stroke, and mounting evidence demonstrates the neuroprotective and autophagy-mediated actions of electroacupuncture (EA). This review summarizes the evidence that EA affects different stages of autophagy, its neuroprotective action, and effects of different acupoints in treating ischemic stroke. Systematic searches were conducted on English and Chinese databases (MEDLINE, Elsevier, ScienceDirect, Cochrane Library, and China National Knowledge Infrastructure). Studies published up until February 2021 were considered for inclusion, and a final of fifty articles were included in this review. There is evidence that acupuncture promotes neuroprotection by modulating autophagy, and the treatment effectiveness is related to the acupoint selection and timing of treatment administration.
针刺已被用于治疗缺血性脑卒中,越来越多的证据表明电针(EA)具有神经保护和自噬介导的作用。本文综述了脑电对脑自噬不同阶段的影响、其神经保护作用以及不同穴位治疗缺血性脑卒中的作用。系统检索了中英文数据库(MEDLINE, Elsevier, ScienceDirect, Cochrane Library, China National Knowledge Infrastructure)。在2021年2月之前发表的研究被纳入考虑,最终50篇文章被纳入本综述。有证据表明,针灸通过调节自噬来促进神经保护,其治疗效果与穴位选择和给药时间有关。
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引用次数: 9
L-tyrosine metabolic pathway in microorganisms and its application in the biosynthesis of plant-derived natural products 微生物中的L-酪氨酸代谢途径及其在植物天然产物生物合成中的应用
IF 4.4 3区 医学 Q2 Medicine Pub Date : 2022-07-01 DOI: 10.4103/wjtcm.wjtcm_16_22
Yi-wen Zhang, Feng Nie, Xiao-yu Zheng, Shu-juan Zhao
L-tyrosine, an aromatic amino acid, is an important upstream precursor for the synthesis of a series of valuable natural products such as flavonoids and phenolic acids. In recent years, regulation of the L-tyrosine metabolic pathway has been devoted to enhancing the production of L-tyrosine and the derived bioactive compounds in microorganisms, usually by increasing the supply of precursors, blocking competitive routes, and modulating the transport system. Here, we reviewed the strategies to promote L-tyrosine production in microbial hosts and the common strategies to produce bioactive compounds in engineered Escherichia coli and Saccharomyces cerevisiae to better understand and utilize the L-tyrosine metabolic pathway for microbial overproduction of diverse valuable aromatic compounds in the future.
l -酪氨酸是一种芳香氨基酸,是合成黄酮和酚酸等一系列有价值的天然产物的重要上游前体。近年来,对l -酪氨酸代谢途径的调控致力于提高微生物中l -酪氨酸及其衍生生物活性化合物的生产,通常通过增加前体的供应,阻断竞争途径和调节运输系统。本文综述了微生物宿主体内促进l -酪氨酸生成的策略,以及在工程大肠杆菌和酿酒酵母中产生生物活性化合物的常见策略,以期更好地了解和利用l -酪氨酸代谢途径,促进微生物过量生产多种有价值的芳香族化合物。
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引用次数: 1
International clinical practice guideline of Chinese medicine retinal vein occlusion 中医药视网膜静脉阻塞国际临床实践指南
IF 4.4 3区 医学 Q2 Medicine Pub Date : 2022-07-01 DOI: 10.4103/2311-8571.350881
Li-Ke Xie, X. Hao
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引用次数: 0
期刊
World Journal of Traditional Chinese Medicine
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