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Effect of cerebralcare granule® combined with donepezil on Alzheimer’s disease 脑保健颗粒®联合多奈哌齐治疗阿尔茨海默病的疗效观察
Pub Date : 2023-01-01 DOI: 10.53388/dct20230002
Ming-Juan Yang, O. Qiao, Du-Hong Xie, Xinyue Zhang, Ya-Ping Bo, Xia Li, Juan Wang, W. Gao
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引用次数: 0
TCM therapy for patients with positive antibody response to SARS-CoV-2 SARS-CoV-2抗体阳性患者的中医药治疗
Pub Date : 2023-01-01 DOI: 10.53388/dct20230011
Chang-Ming Chen, Wei-Jing Wang, Man Wang, L. Hai, Xiao-Nan Wang
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引用次数: 0
Mechanism of Gancao Fuzi Decoction in the treatment of Rheumatoid Arthritis 甘草附子汤治疗类风湿关节炎的作用机制
Pub Date : 2023-01-01 DOI: 10.53388/dct20230015
Rui Gong, Yousheng Yang, Jia-Xin Yuan, Xin-Ju Li
Rheumatoid arthritis (RA) is a chronic autoimmune disease that results in a series of inflammatory reactions in the joints, marked by pathologies such as articular bone destruction and erosive synovial inflammatory cartilage [1]. The bone destruction in RA arises from an imbalance between bone resorption by osteoclasts and bone formation by osteoblasts [2]. The pathogenesis of RA remains unknown, and studies have indicated its close relationship with genetics, the environment, immune response, and other factors. Potential genes linked to RA susceptibility include major histocompatibility complex genes, like the single nucleotide polymorphism rs9277535 in the HLA-DP subunit HLA-DPB1, which is strongly associated with RA susceptibility in the Western Chinese population [3]. Furthermore, studies have also identified a correlation between major genes encoding the inflammatory CASPs (CASP1, CASP4, and CASP5) and RA [4]. Environmental factors, including smoking, diet, obesity, and infections, have the ability to trigger RA in susceptible individuals [5, 6]. Regarding the immune response, both immune dysregulation and overactivity can result in an inflammatory response, leading to excessive proliferation of synovial tissue, imbalanced distribution of osteoblasts and osteoclasts, and an irregular proportion of immune cells, culminating in the disease. RA is classified within the arthralgia syndrome according to Traditional Chinese Medicine, and Gancao Fuzi Decoction (GCFZD), a remedy documented over 2,000 years ago in The Synopsis of the Golden Chamber for treating this ailment, has demonstrated its efficacy in clinical practice as confirmed by most traditional Chinese medicine practitioners [7]. Drawing from the accumulated experiences of these treatments, the author presents a summary of the available evidence for this therapeutic approach.
类风湿性关节炎(RA)是一种慢性自身免疫性疾病,可导致关节的一系列炎症反应,其特征是关节骨破坏和滑膜炎性软骨侵蚀。类风湿性关节炎的骨破坏是由于破骨细胞的骨吸收和成骨细胞的骨形成之间的不平衡造成的。RA的发病机制尚不清楚,研究表明其与遗传、环境、免疫反应等因素密切相关。与类风湿关节炎易感性相关的潜在基因包括主要的组织相容性复合体基因,如HLA-DP亚基HLA-DPB1中的单核苷酸多态性rs9277535,该基因与中国西部人群类风湿关节炎易感性密切相关[10]。此外,研究还发现编码炎性casp的主要基因(CASP1、CASP4和CASP5)与RA[4]之间存在相关性。环境因素,包括吸烟、饮食、肥胖和感染,都有可能引发易感个体的RA[5,6]。在免疫应答方面,免疫失调和过度活跃均可引起炎症反应,导致滑膜组织过度增生,成骨细胞和破骨细胞分布不平衡,免疫细胞比例不规则,最终导致疾病。根据中医,类风湿性关节炎属于关节痛综合征,而甘草附子汤(GCFZD)是2000多年前《金匮匮要》中记载的一种治疗这种疾病的药物,在临床实践中证明了其疗效,大多数中医都证实了这一点[10]。根据这些治疗方法积累的经验,作者总结了这种治疗方法的现有证据。
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引用次数: 0
Successful re-challenge of PD-1 inhibitors in combination with bevacizumab and pemetrexed for multiple primary NSCLC progressing on prior PD-1 inhibitor therapy: one case report PD-1抑制剂联合贝伐珠单抗和培美曲塞成功治疗先前PD-1抑制剂治疗进展的多发性原发性NSCLC: 1例报告
Pub Date : 2023-01-01 DOI: 10.53388/dct20230013
Sheng-hong Wu, Mei Wang, Ying Zhu, Zhong-Hui He
Lung cancer is a malignant tumor with high incidence and mortality rates in China and worldwide. Approximately 10% of these diseases are caused by multiple primary non-small cell lung cancers (NSCLC). Traditional antitumor therapies, such as chemotherapy, radiotherapy, and targeted therapy, have limited efficacy in the treatment of advanced synchronous multiple primary NSCLC. Immunotherapy is considered the standard of care for advanced or recurrent NSCLC, however, approximately 60% of patients develop primary or secondary resistance to treatment. There are no standard recommendations for overcoming immune resistance. We describe a case of simultaneous multiple primary NSCLC in a patient who received programmed death factor-1 (PD-1) inhibitor monotherapy and developed brain metastases. After receiving second-line treatment with a combination of another PD-1 inhibitor, pemetrexed, and bevacizumab, the patient achieved complete remission, although they experienced grade 3 immune-related adverse reactions. Immune re-challenge is safe and feasible, and choosing a synergistic combination regimen is one of the options to overcome immune resistance. A larger sample size is needed to confirm the effectiveness and safety of this strategy in patients with NSCLC resistant to prior PD-1 inhibitors.
肺癌是中国乃至世界范围内发病率和死亡率较高的恶性肿瘤。这些疾病中约有10%是由多发性原发性非小细胞肺癌(NSCLC)引起的。传统的抗肿瘤治疗方法,如化疗、放疗和靶向治疗,对晚期同步多发原发性NSCLC的治疗效果有限。免疫治疗被认为是晚期或复发性非小细胞肺癌的标准治疗,然而,大约60%的患者对治疗产生原发性或继发性耐药性。对于克服免疫抵抗没有标准的建议。我们描述了一例同时多发性原发性非小细胞肺癌患者,接受程序性死亡因子-1 (PD-1)抑制剂单药治疗并发生脑转移。在接受另一种PD-1抑制剂培美曲塞和贝伐单抗联合的二线治疗后,患者获得了完全缓解,尽管他们经历了3级免疫相关不良反应。免疫再攻击是安全可行的,选择协同联合方案是克服免疫耐药的选择之一。需要更大的样本量来确认该策略在对既往PD-1抑制剂耐药的非小细胞肺癌患者中的有效性和安全性。
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引用次数: 0
Compatibility mechanism of Chinese medicine formula: state of the art and perspectives 中药方剂配伍机理:研究现状与展望
Pub Date : 2023-01-01 DOI: 10.53388/dct20230006
Yi-Xuan Wang, Yu-Xi Huang, Xu-hui Wang, Feng Xie, Xiang-Long Duan, Cui Li
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引用次数: 0
Exploring the potential molecular mechanism of JinlingziSan in the treatment of endometriosis based on network pharmacology system 基于网络药理学体系探讨金陵子散治疗子宫内膜异位症的潜在分子机制
Pub Date : 2023-01-01 DOI: 10.53388/dct20230008
Li-jun Zhou, Wen Li, Yuan Wang, Ke Sun
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引用次数: 0
“Astragali Radix - Salviae Miltiorrhizae Radix Et Rhizoma” herb pair in the treatment of liver cirrhosis and its pharmacological mechanisms “黄芪-丹参”中药对治疗肝硬化的作用及其药理机制
Pub Date : 2023-01-01 DOI: 10.53388/20230009
Zhehao Xu, Hui-fang Zhou, Boran Gong, Zhao Li, Zi-Xin Li, L. Wang, Yuhan Bian
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引用次数: 0
Mechanism of action of Zhishi Daozhi decoction in the treatment of diarrhea based on network pharmacology and molecular docking 基于网络药理学与分子对接的止食导脂汤治疗腹泻作用机制研究
Pub Date : 2023-01-01 DOI: 10.53388/dct20230003
Zheng-lin Liu, Long-jian Li, Hui Ma, Qiuping Zhong, J. Ke, Hu Zhang
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引用次数: 1
The mechanism of TCM prevention and treatment of heavy COVID-19 based on data mining and network pharmacology 基于数据挖掘和网络药理学的中医药防治重症COVID-19机制研究
Pub Date : 2023-01-01 DOI: 10.53388/dct20230010
Zi-Tong Fu, Jia-Yu Wang, Yi Liu, J. Xiong, Guo-wei Zhang
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引用次数: 0
Real-World Study on the Treatment of Macular Edema in Central Retinal Vein Occlusion Using Traditional Chinese Medicine (TCM) and Its Medication Guidelines 中药治疗视网膜中央静脉阻塞黄斑水肿的临床研究及用药指南
Pub Date : 2023-01-01 DOI: 10.53388/dct20230014
Zi-Yang Chen, Hang Yuan, Xiaoyan Zhang, Li-Ke Xie, X. Hao
Object: The aim is to evaluate how effective Traditional Chinese Medicine (TCM) is in treating patients who have central retinal vein occlusion with macular edema (CRVO-ME) in a real-world study. Furthermore, the objective of the research was to examine the TCM prescription trends in the management of CRVO-ME. Method: A single-center real-world study (RWS) was carried out over a span of 19 years, following the established design. The study encompassed 113 patients diagnosed with CRVO-ME. Out of these, 74 patients received TCM treatment, while the remaining individuals underwent a combined therapy involving TCM and anti-VEGF drugs through intravitreal injection. The patients were matched using propensity score matching (PSM). The result measured in the RWS was BCVA. The oral prescriptions for CRVO-ME that led to observable and effective outcomes were collected. Excel and the TCM Inheritance Auxiliary Platform V2.5 were utilized to optimize mutual information, hierarchical clustering based on entropy, and other techniques to extract medication regulations and features. Result: After applying PSM, each group comprised 29 cases. Both groups exhibited improved BCVA following treatment; however, there was no statistically significant distinction in BCVA or effectiveness between the two groups (all P > 0.05). Apart from the analysis of oral prescriptions for CRVO-ME, the investigation pinpointed the most frequently used TCMs, namely Flos Carthami, Semen Persicae, Radix Angelica sinensis, Radix Rehmanniae, and Radix et Rhizoma Notoginseng. Frequently utilized medications tended to possess cold, warm, or mild attributes and exhibited a taste profile that was either bitter or sweet. The primary meridians associated with the medicines employed in treating CRVO-ME were liver, spleen, stomach, heart, and lung. Through the application of association rule analysis, it was discerned that there were 195 commonly employed combinations of medicines. Additionally, a complex system entropy cluster analysis unveiled 13 key combinations of medicines. By employing an unsupervised entropy hierarchical clustering analysis, a novel prescription was formulated. Conclusion: Within a real-world population of CRVO-ME patients, TCM exhibited its effectiveness. The treatment approach for CRVO-ME predominantly involved the regulation of qi (Qi is an exceedingly subtle substance within the human body, brimming with vitality and ceaseless motion. It constitutes the fundamental element that shapes and sustains the various processes of human life.) and blood as well as the resolution of dampness. The oral prescriptions frequently targeted the meridians of liver, spleen, stomach, heart, and lungs.
目的:评价中药治疗视网膜中央静脉阻塞合并黄斑水肿(CRVO-ME)的临床疗效。此外,本研究的目的是探讨中医处方在CRVO-ME治疗中的趋势。方法:采用单中心真实世界研究(RWS),历时19年,遵循既定设计。该研究包括113例诊断为CRVO-ME的患者。其中,74名患者接受了中药治疗,其余患者通过玻璃体内注射接受了中药和抗vegf药物的联合治疗。采用倾向评分匹配(PSM)对患者进行匹配。RWS测定结果为BCVA。收集可观察到有效疗效的CRVO-ME口服处方。利用Excel和中医传承辅助平台V2.5优化互信息、基于熵的分层聚类等技术提取用药规律和特征。结果:经PSM治疗后,每组29例。两组治疗后BCVA均有所改善;但两组在BCVA及疗效方面差异无统计学意义(P < 0.05)。除了对CRVO-ME的口服处方进行分析外,调查还确定了最常用的中药为红花、桃子、当归、地黄和三七。经常使用的药物往往具有冷、热或温和的属性,并表现出苦或甜的味道特征。治疗CRVO-ME的主要经络为肝、脾、胃、心、肺。通过关联规则分析的应用,发现有195种常用的药物组合。此外,一个复杂的系统熵聚类分析揭示了13种关键的药物组合。采用无监督熵层次聚类分析,提出了一种新的处方。结论:在CRVO-ME患者的真实人群中,中医药显示出其有效性。CRVO-ME的治疗方法主要涉及气的调节(气是人体内非常微妙的物质,充满活力和不断运动。它构成了塑造和维持人类生命和血液的各种过程的基本元素,以及解决潮湿的问题。口服方剂常针对肝、脾、胃、心、肺经络。
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药物联合治疗
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