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The basic diagnostic and treatment principles of traditional Chinese medicine are the pattern-differentiation-deduced pathogenesis and treatment based on examination of the pathogenesis. Shanghan Lun established a system of pattern differentiation of six meridians, systematically summarized the evolution laws of exogenous febrile disease, and discussed miscellaneous diseases as exogenous diseases. It contains 112 classic formulas and advocates that "those whose disease corresponds to the formulas should take them accordingly", combining disease differentiation and pattern differentiation, containing not only the knowledge of treatment based on pattern identification, but also the profundity of pattern-differentiation-deduced pathogenesis. Based on the original meaning of "pathogenesis", from the three angles of "subtle meaning", "core meaning", and "appropriate meaning", this paper exemplifies the concept of pattern differentiation for six meridians in Shanghan Lun, analyzes the relationship and connotation of formula patterns of classical formulas in Shanghan Lun by "taking pattern with formulas", and explores the concept of pattern-differentiation-deduced pathogenesis in Shanghan Lun. This paper emphasizes that during the clinical practice of traditional Chinese medicine, it is important (i) to deduce the pathogenesis based on pattern differentiation, understand symptoms upon first onset, and deduce the pathogenesis before symptoms appear, thereby treating the disease at an early stage; (ii) to identify the most important concepts, solve complications with simple method, discern the core of the disease, and treat the entire body; and (iii) to optimize timing, act quickly, take advantage of opportunities, accept outcomes, and provide judicious guidance to patients. This paper serves to interpret Shanghan Lun based on pattern-differentiation-deduced pathological mechanism and provides ideas and inspiration for applying the theory of Shanghan Lun to guide clinical practice. [ABSTRACT FROM AUTHOR]

Background: Drug repositioning has the potential to reduce costs and accelerate the rate of drug development, with highly promising applications. Currently, the development of artificial intelligence has provided the field with fast and efficient computing power. Nevertheless, the repositioning of traditional Chinese medicine (TCM) is still in its infancy, and the establishment of a reasonable and effective research method is a pressing issue that requires urgent attention. The use of graph neural network (GNN) to compute the similarity between TCM prescriptions to develop a method for finding their new indications is an innovative attempt. Methods: This paper focused on traditional Chinese medicine prescriptions containing ephedra, with 20 prescriptions for treating external cough and asthma taken as target prescriptions. The remaining 67 prescriptions containing ephedra were taken as to-be-matched prescriptions. Furthermore, a multitude of data pertaining to the prescriptions, including diseases, disease targets, symptoms, and various types of information on herbs, was gathered from a diverse array of literature sources, such as Chinese medicine databases. Then, cosine similarity and Jaccard coefficient were calculated to characterize the similarity between prescriptions using graph convolutional network (GCN) with a self-supervised learning method, such as deep graph infomax (DGI). Results: A total of 1340 values were obtained for each of the two calculation indicators. A total of 68 prescription pairs were identified after screening with 0.77 as the threshold for cosine similarity. Following the removal of false positive results, 12 prescription pairs were deemed to have further research value. A total of 5 prescription pairs were screened using a threshold of 0.50 for the Jaccard coefficient. However, the specific results did not exhibit significant value for further use, which may be attributed to the excessive variety of information in the dataset. Conclusions: The proposed method can provide reference for finding new indications of target prescriptions by quantifying the similarity between prescriptions. It is expected to offer new insights for developing a scientific and systematic research methodology for traditional Chinese medicine repositioning. [ABSTRACT FROM AUTHOR]

Aim of the Study: This study analyzes research on TCM formulae in CHD over the past 30 years, using VOSviewer and CiteSpace. It aims to highlight key trends and hotspots in the field. Materials and Methods: The core database of Web of Science was collected, and the search time range was from the establishment of the database to the present (August 2023) for the literature related to the study of TCM prescriptions in CHD, and the information on the number of literature, countries, journals, authors, institutions, keywords were summarized by applying the software VOSviewer and CiteSpace. Results: A total of 135 kinds of literature were included. The number of published journal papers on research on TCM therapeutic formulae for CHD showed an upward trend; China was the most prolific country in this field; the largest number of papers were published in Evid Based Complement Alternat Med, MEDICINE; the average number of citations for authors and institutional analysis revealed that Xu Hao of China Academy of Traditional Chinese Medicine, Mao Jingyuan of Tianjin University of Traditional Chinese Medicine, and Shang Hongcai of Beijing University of Traditional Chinese Medicine constituted the core team of researchers studying the study of TCM formulae for CHD; the keyword analysis suggests that there are mainly 42 specifically named TCM formulae for the treatment of CHD, which are classified into a total of 7 major categories, and the research direction is mainly in the clinical efficacy study of different TCM therapeutic formulae and other aspects. Conclusion: This study shows that there are more types of TCM therapeutic formulae for CHD, and the related research has a good prospect. It is foreseeable that more relevant research results will rely on the study of network pharmacology, signalling pathways, and action targets of TCM therapeutic formulae. [ABSTRACT FROM AUTHOR]

With the development of traditional Chinese medicine (TCM) acupuncture and moxibustion, research on acupuncture and moxibustion in the Western world is deepening. The concept of acupuncture and moxibustion popular in the West is formed. By investigating the localization of acupuncture and moxibustion in the Western world, this paper introduces several kinds of acupuncture and moxibustion popular in the West and concludes the spread of acupuncture and moxibustion popular in the West through hospitals and clinics, academic works, social organizations, education, and training. This paper provides a global vision developing domestic acupuncture and moxibustion and promoting academic prosperity and technical progress of world acupuncture and moxibustion system. [ABSTRACT FROM AUTHOR]

In recent years, with the rapid development of omics technologies, researchers have shown that interactions between the intestinal flora and bile acids are closely related to the progression of diabetic kidney disease (DKD). By regulating bile acid metabolism and receptor expression, the intestinal flora affects host metabolism, impacts the immune system, and exacerbates kidney injury in DKD patients. To explore interactions among the gut flora, bile acids and DKD, as well as the related mechanisms, in depth, in this paper, we review the existing literature on correlations among the gut flora, bile acids and DKD. This review also summarizes the efficacy of bile acids and their receptors as well as traditional Chinese medicines in the treatment of DKD and highlights the unique advantages of bile acid receptors in DKD treatment. This paper is expected to reveal a new and important potential strategy for the clinical treatment of DKD. [ABSTRACT FROM AUTHOR]

Background: Arsenical keratosis is a precancerous dermatosis which could be induced by long‐term exposure to arsenic poisoning. Arsenic is often added to traditional Chinese medicine in a non‐compliant manner to increase the effectiveness of psoriasis treatment, which is often the main cause of arsenic poisoning in Chinese patients with psoriasis. Objectives: We performed a systemic review of arsenic keratosis during the past 32 years to better understand the sources, treatment, and prognosis of arsenic keratosis in China. Methods: We searched Medline/PubMed, Embase, CNKI, and Wanfang databases for research studies published between 1992 and 2024. A total of 64 papers with 78 individual Chinese of arsenical keratosis were included in this analysis. Results: Of the patients included in the analysis, 92.21% of arsenic poisoning was due to iatrogenic factors: Chinese traditional medicine. Seventy‐six patients (98.70%) had skin manifestation of hyperkeratotic papules and plaques, 68 patients (88.31%) had hyperpigmentation, 43 cases (55.84%) had hypopigmentation, and only 4 had a clear indication of Mees' lines in nails. A total of 52.63% of patients presented with tumors, including squamous cell carcinoma, Bowen's disease, and basal cell carcinoma. For patients with tumors, 20 opted for surgery, 6 for radiotherapy, and 3 for PDT. All patients with only cutaneous tumors are currently well‐controlled. Death occurred in one patient with metastatic squamous cell carcinoma. Keratinizing papules improved significantly in 70.59% of patients treated with Acitretin Capsules. Conclusions: In this study, arsenic sources in Chinese patients were mainly from traditional Chinese medicine, and there were no reports of exposure to water sources or occupational sources in the past 32 years. Most of the patients showed keratinizing papules and pigmentation, and more than 1/2 of the patients showed skin tumors, mainly squamous cell carcinoma. The treatments of tumors are mainly surgical treatment, PDT and radiotherapy can also be selected. The improvement in keratinizing rash was greater than 70% with acitretin capsules. Patients with this disease should be regularly followed up for early detection and timely treatment of potential malignant tumors. [ABSTRACT FROM AUTHOR]

The incidence rate of breast cancer is high, and endocrine therapy for breast cancer frequently causes bone loss. We conducted a systematic review and meta-analysis to review the effect of TCM on bone loss associated with endocrine therapy in patients with breast cancer. Medline (Ovid), EMBASE, Cochrane Library, Web of Science, China National Knowledge Infrastructure (CNKI), VIP full-text Database, Wanfang Database, Chinese Biomedical Literature data (CBM), relevant Chinese and foreign periodicals, conference papers, degree papers, and supplemented by literature tracing were searched. Data from randomized controlled trials (RCTs) on the effects of TCM on bone loss associated with endocrine therapy in patients with breast cancer were collected according to the inclusion and exclusion criteria from the establishment of each database to May 2022. Twenty-two clinical controlled studies were eventually selected. The results of the meta-analysis showed effectiveness (RR (Risk Ratio): 1.22, 95% CI (confidence interval): 1.10-1.36, I² = 0%), improvement of lumbar bone mineral density (BMD) (WMD (weighted mean difference): 0.07, 95% CI: 0.06-0.08, I² = 23%), improvement of BMD T value (WMD: 0.37, 95% CI: 0.28-0.46, I² = 66%), and improvement of BMD in the femoral neck (WMD: 0.07, 95% CI: 0.05-0.09, I² = 33%). The funnel chart suggested that a publication bias was observed in the literature, which may be explained by the heterogeneity in the study data and the limited number of included examples. Sensitivity analysis was conducted to confirm that the differences among the studies were acceptable. No study reported adverse effects. Our results indicated that TCM is helpful for bone loss associated with endocrine therapy in patients with breast cancer based on the effectiveness, lumbar BMD, BMD T value, and BMD of the femoral neck. The use of TCM is thus safe. [ABSTRACT FROM AUTHOR]

In the rapidly changeable market, product innovation is critical for enterprises to improve their product competitiveness. Product innovation can be described as an evolutionary process of technical systems where the relationship between technologies follows the evolution from parasitism to symbiosis in technological parasitism theory. The existing research on the technological parasitism theory mainly focuses on explaining and verifying the evolution law of product systems from parasitism to symbiosis in the product innovation process. However, these research activities are a post-hoc summary, which limits the guidance for enterprises to proactively realize the evolution of products from parasitism to symbiosis in an ex-ante perspective. For the development of innovative products in the engineering field, enterprises lack an effective ex-ante design method to proactively find the appropriate parasitic technology, and integrate it with the host technology for the product system evolving towards a symbiotic state. To fill this gap, this paper proposes a product innovation design process based on the recombination of host and target genes under the technological parasitism framework. Product scenario analysis is used to explore the potential function needs to determine the search direction of parasitic technologies. The min-complement distance measure method is introduced to identify the appropriate parasitic technology. Based on four recombination operations, the construction process of new product genome through the recombination of host and target genes is proposed. The concept of new product is formed through the transcription of the product genome. The final scheme is developed objectively by using the coefficient variation method and Dempster combination rule. The proposed method is applied in the ex-ante design of a Chinese medicine dispensing machine for its feasibility and effectiveness. [ABSTRACT FROM AUTHOR]

Herb compatibility is the soul of traditional Chinese Medicine prescriptions. Coptidis rhizoma (CR) (Coptis chinensis Franch., Coptis deltoidea C.Y.Cheng et Hsiao, or Coptis teeta Wall.; family Ranunculaceae), is a well-known herb. The bitter and cold nature of CR can irritate the spleen and stomach, and certain ingredients in CR may trigger allergic reactions. Herb combinations can help alleviate the side effects caused by CR. Through data analysis and literature research, there are many herbs combined with CR have a high frequency, but only a few are currently used as formulae in clinical practice. The results showed that these six herb pairs are usually widely studied or used as prescriptions in the clinic. This paper describes the six herb pairs from the key traditional uses, changes in bioactive constituents, and compatibility effects, especially with Euodiae fructus (family Rutaceae), Scutellariae radix (family Lamiaceae), Magnoliae Officinalis cortex (family Magnoliaceae), Glycyrrhizae radix et rhizoma (family Fabaceae), Ginseng radix et rhizoma (family Araliaceae), and Aucklandiae radix (family Asteraceae), and found that herbs are more effective when used in combination. Therefore, it is feasible to establish some methods to study herb pairs comprehensively from different perspectives. This paper aims to provide the latest and most comprehensive information on the six herb pairs and summarize the pattern of CR compatibility effects. It aims to attract more attention, and further experimental studies will be conducted to investigate and evaluate the effects of herb pairs containing CR. These data can also provide valuable references for researchers and also provide more possibilities for future applications in clinical practice and new drug development. [ABSTRACT FROM AUTHOR]

Background: Traditional Chinese medicine (TCM) as a traditional Chinese medical practice, has gradually evolved into a coherent and systematic medical science based on natural principles and applied to human beings over time. The publication of the "Huangdi Neijing" (The Yellow Emperor's Classic of Internal Medicine, Written between the Warring States period and the Qin and Han Dynasties, and finally compiled in the Western Han Dynasty, from 475 B.C.E.-8 C.E.) signified the establishment of a comprehensive theoretical framework for Chinese medicine. Due to the perspective of the 'correspondence between heaven and man' in TCM, the purpose of this paper is to explore the origin and development of the basic theories of TCM under the ancient astronomical view and the connection between the two. Methods: This paper emphases on the universe uninty with the humanities, philosophy, and medicine, starting with the forms of stargazing in ancient Chinese astronomy and the natural laws derived by the ancients from their observations of natural celestial phenomena. Results: Astronomy, arts and crafts, divination and medical correlations are based on the sequential changes of natural seasons. Conclusion: The operation of natural celestial phenomena and the characteristics of physical phenomena correspond to human physiology, and the development of the basic theories of Chinese medicine is inextricably linked to ancient astronomy, ancient philosophy, and ancient primeval science. [ABSTRACT FROM AUTHOR]

The key point in studying or teaching the history of Chinese medicine is on the doctrines underlying it and on its perception of the body, physiology, pathology, and its treatment. Namely, there is often a tendency to focus on reading and analysing the classical canons and therapy-related texts including formularies and materia medica collections. However, focusing on these sources provides us with a one-sided presentation of Chinese medicine. These primary sources lack the clinical down-toearth know-how that encompasses medical treatment, which are represented, for instance, in the clinical rounds of modern medical schools. Our traditional focus on the medical canons and formularies provides almost no clinical knowledge, leaving us with a one-sided narrative that ignores how medicine and healing are actually practiced in the field. This paper focuses on the latter aspect of medicine from a historical perspective. Using written and visual sources dating to the Song dynasty, clinical encounters between doctors and patients including their families are depicted based on case records recorded by a physician, members of the patient's family, and bystanders. This array of case records or case stories will enable us to narrate the interaction between physicians and patients both from the clinical perspective and from the social interaction. This paper will also discuss visual depictions of the medical encounter to provide another perspective for narrating medicine during the Song dynasty. Medical case records and paintings depicting medical encounters are exemplary of the potential of Chinese primary sources for narrative medicine. [ABSTRACT FROM AUTHOR]

Chronic pain conditions impose a huge economic burden on affected individuals and society and is very significant. With this research paper we raise awareness of the effectiveness, safety and benefits of acupuncture for the treatment of chronic diseases. Acupuncture has been proven to be an exceptionally effective treatment option, especially for the following health issues: chronic pain, allergies, asthma, stress, anxiety, depression, migraines insomnia, hypertension, menopause and etc. Acupuncture has a great ability to create a feeling of relief from discomfort and pain. The treatment also targets the root of the illness and restores normal body functions. Acupuncture, as a treatment for chronic diseases incurable according to the WHO, works very effectively and positively, although the treatments are longer, the benefits for the patients are enormous on the one hand due to the improvement of the health condition and on the other hand due to the greater economic advantage and profitability. For these reasons, more and more people in the world decide to treat chronic diseases with acupuncture. A very important step is to share the knowledge and experience for TCM and enable the population to gain more knowledge about the treatment advantages and gradually accept it as a valuable health care treatment. [ABSTRACT FROM AUTHOR]

Objective: This research aims to explore the trends and knowledge domain of acupuncture for cerebral infarction through bibliometrics. Methods: Publications related to acupuncture for cerebral infarction were retrieved from the Web of Science core collection database from 1993 to December 31, 2023. A domain knowledge graph was then constructed using VOSviewer, CiteSpace, GraphPad Prism, and Scimago Graphica. Results: The cumulative publication trend shows a steady increase over the years, with China being the most productive country. Notably, Europe exhibits significant close collaboration. Institutional cooperation is primarily observed among Chinese universities specializing in traditional Chinese medicine. Tao Jing is the most prolific author, with his highest number of publications is in "Stroke" journal, and Acupuncture Electro Therapeutics Research is the significantjournal. Zhang SH is the most cited author, and Si QM is a prominent author in this field. Rehabilitation treatment after cerebral infarction emerges as a prevalent research focus, with nerve regeneration being a keyword. Long EZ's 1989 paper, published in the journal Stroke, holds significant importance. The prominent papers are Donnan et al. and Wu et al., which covers the following topics: "population-based study," "Baihui Acupoint," "memory deficits," "neurotrophic factor," and "randomized trial." Conclusion: This bibliometric analysis of acupuncture for cerebral infarction offers insights into the Web of Science database, delineates a knowledge map of countries, authors, institutions, cited authors, keywords, cited references in the field of acupuncture for cerebral infarction, which has a momentous guiding significance for quickly and accurately positioning the key information in the field. [ABSTRACT FROM AUTHOR]

The traditional Chinese medicine(TCM) book is an indispensable carrier for the implementation of the strategy for invigorating China through science and education. Developing high-quality TCM book publishing industry plays a very important role in training TCM talents, improving the quality of TCM education, and enhancing the confidence in the traditional culture. This paper reviewed the historical process of the TCM book publishing industry from its beginning to the present, and proposed nine problems for promoting the high-quality development of TCM book publishing in the current environment, aiming at the pain points and difficulties existing in the current development of the publishing industry. It fundamentally points out the development direction and coping strategies of the future TCM book publishing, and promotes the high-quality development of the benign, orderly and sustainable publishing. [ABSTRACT FROM AUTHOR]

Gastroparesis is a gastric disease characterized by delayed gastric emptying. "Vomiting" is the main clinical manifestation of this disease, while "atrophy" indicates dysfunction of the stomach. Based on the theory of "atrophy, dyspnea and vomiting are ascribed to the upper part", originating from the Chapter of "Zhi Zhen Yao Da Lun" from the Suwen(Basic Questions) section this paper explored the pathogenesis and treatment idea of gastroparesis from the function of the lung. It is put forward that failure of lung qi in dispersion, so the lung qi cannot maintain the circulation of harmonizing qi and blood, leading to malnutrition of stomach and loss of stomach receiving food and drink function. Melancholy impairing lung, so lung cannot govern diffusion, leading to stomach governing the disfunction of dredging and descending. Impaired depurative descending of lung qi, so the large intestine and stomach are lost in the alternating operation of deficiency and excess, leading to stomach governing the disfunction of transportation and transformation. Therefore, the treatment approach is proposed to improve the stomach's function to receive food and drink, transport and transform and promote the recovery of gastric motility by replenishing and restoring lung qi, regulating emotions and catharsis and smoothing lung. Analyzing the effect of function of the lung on gastric motility is of great value for expanding the application of traditional Chinese medicine in gastrointestinal motility disorders, and digging new connotations of classic theories in modern clinical practice. [ABSTRACT FROM AUTHOR]

Research Summary: How should firms respond to technological discontinuities in order to achieve greater performance? In contrast to most studies that advocate a timely transition from the old to the new technology, this paper posits that in markets where a discontinuous technology exposes customers' latent preference heterogeneity for certain old technology attributes, firms may ultimately experience a performance surge by adhering to the old technology during technological change. Explicitly, I theorize a U‐shaped relationship within such a market between competitors' increasing adoption of the new technology and the performance of firms that stick with the old technology. This prediction is thoroughly examined using comprehensive data from the traditional Chinese medicine industry in China during the 1990s and receives robust empirical support. Managerial Summary: In some markets, the rise of a discontinuous technology, besides posing a substitute threat to the old technology, further exposes niche segments where customers continue to favor the old technology. This paper predicts that within such a market, as competitors increasingly adopt the new technology for varied motives, firms sticking with the old technology may see their performance declining before rebounding and potentially reaching new heights. Analyses using archival data from the traditional Chinese medicine industry in China during the 1990s provide robust support for this prediction. The arguments and findings of this paper offer an "existence proof" that when confronted with a technological discontinuity, adhering to the old technology may also represent an effective strategy that ultimately improves firm performance. [ABSTRACT FROM AUTHOR]

Alzheimer's disease (AD) is a neurodegenerative disease with insidious onset and progressive development. It is clinically characterized by cognitive impairment, memory impairment and behavioral change. Chinese herbal medicine and acupuncture are important components of traditional Chinese medicine (TCM), and are commonly used in clinical treatment of AD. This paper systematically summarizes the research progress of traditional Chinese medicine natural products and acupuncture treatment of AD, which combined with existing clinical and preclinical evidence, based on a comprehensive review of neuroinflammation, and discusses the efficacy and potential mechanisms of traditional Chinese medicine natural products and acupuncture treatment of AD. Resveratrol, curcumin, kaempferol and other Chinese herbal medicine components can significantly inhibit the neuroinflammation of AD in vivo and in vitro, and are candidates for the treatment of AD. Acupuncture can alleviate the memory and cognitive impairment of AD by improving neuroinflammation, synaptic plasticity, nerve cell apoptosis and reducing the production and aggregation of amyloid β protein (Aβ) in the brain. It has the characteristics of early, safe, effective and benign bidirectional adjustment. The purpose of this paper is to provide a basis for improving the clinical strategies of TCM for the treatment of AD. [ABSTRACT FROM AUTHOR]

Polygalae radix (PR) is the dried root of Polygala tenuifolia Willd. and Polygala sibirica L. and enjoys the reputation as the "key medicine for nourishing life." In this study, information about "Polygala tenuifolia Willd.," "Polygala sibirica L.," and "Yuanzhi" was retrieved from scientific databases, including Google Scholar, Baidu Scholar, Web of Science, PubMed, CNKI, and Wan Fang Data. Information from Chinese herbal medicine classics, Yaozhi Data, and the Gaide Chemical Network was also collected. Information related to botany, phytochemistry, pharmacology, toxicity, industrial applications, and processing is summarized in this paper to tap its potentialities and promote its further development and clinical application. More than 320 metabolites have been isolated from PR; saponins, xanthones, and oligosaccharide esters are the main functional metabolites. Pharmacological research shows that its pharmacological action mainly focuses on resisting nervous system diseases, and it also has the functions of anti-oxidation, anti-inflammation, anti-tumor, anti-pathogenic microorganisms and others. The gastrointestinal irritation of its saponins impeded its application, but this irritation can be reduced by controlling the dosage, compatibility with other herbs, or processing. The future progress of PR faces opportunities and challenges. More attention should be paid to the traditional application and processing methods of PR recorded in ancient books. The lack of safety and clinical studies has limited its application and transformation of achievements. Moreover, it is one-sided to take the content of only a few metabolites as the index of processing optimization and quality control, which cannot reflect the full pharmacological and toxicological activities of PR. [ABSTRACT FROM AUTHOR]

Saponins are an important class of active components in Chinese herbal medicines (CHMs), which are present in large quantities in Ginseng Radix et Rhizoma, Notoginseng Radix et Rhizoma, Polygonati Rhizoma, etc., and have immune regulation, anti-tumor, anti-inflammatory, anti-cardiovascular disease, and hypoglycemic activities. Storage and processing are essential processes in the production process of CHMs which affect the stability of saponin components and then reduce the medicinal and economic value. Therefore, it is of great importance to investigate the effects of storage and processing conditions on the content of saponin components in CHMs. In this paper, the effects of various storage and processing factors, including temperature, pH, enzymes, meta lions, extraction methods, etc., on the saponin content of CHMs are investigated and the underlying mechanisms for the quantitative changes of saponin are summarized. These findings may provide technical guidance for the production and processing of saponin-rich CHMs. [ABSTRACT FROM AUTHOR]

With the development of artificial intelligence, computer vision technology has been widely used in the fields of security monitoring, automatic driving and wisdom city. However, there has not been a research on the detection of the meridians in human bodies by using the computer vision technology. In order to promote the use of the computer vision technology in human meridian detection, this paper first releases a dataset based on human meridians, which makes up for the gap in the field of human meridian detection using image processing technology. Moreover, the human meridian detection dataset is manually annotated and proofread by experienced Traditional Chinese Medicine (TCM) practitioners according to the position and direction of the human meridians, so that the annotated human meridians are as accurate as possible. The released human meridian dataset label’s 12 meridians, including spleen meridian, pericardium meridian, stomach meridian, lung meridian, heart meridian, kidney meridian, gallbladder meridian, liver meridian, triple energizer meridian, bladder meridian, large intestine meridian and small intestine meridian. A total of 296 acupoints were labeled. At last, this paper proposes a method for data augmentation, especially for datasets with a small amount of data, wherein the data amount can be augmented by enhancing the underlying edge visual features of the data. Experimental results show that human meridians can be detected by using image processing technology, and the proposed method for data augmentation can effectively improve the detection accuracy of human meridians. The dataset can be downloaded from https://www.zksylf.com/col.jsp?id=127. [ABSTRACT FROM AUTHOR]

Aerosols are prone to breed bacteria on air filtration materials so as to cause secondary air pollution, especially carrying bacteria and viruses. This paper utilized coaxial electrospinning technology with traditional Chinese medicine Physalis alkekengi Linn as the core layer antibacterial material and polyvinylidene fluoride/polyacrylonitrile mixed solution as the shell layer material. Nonsolvent phase separation technology was employed to prepare the porous shell layer, achieving sustained slow-release and long-lasting antibacterial effects from the core P. alkekengi Linn. In addition, an in-situ polarization technology from high voltage in electrospinning process was adopted to achieve permanent polarization of polyvinylidene fluoride, which changed from α-crystal to β-crystal. Using the electrostatic charge adsorption effect and the ultra-fine pore size screening of the nanofiber membrane, high-efficiency and low-resistance filtration of aerosols above 0.3 μm was achieved (99.98% filtration efficiency and filtration resistance less than 25 Pa). It can be widely used in the field of air filtration and protection in high-risk environments such as stations, schools, and hospitals, achieving long-lasting antibacterial, high-efficiency, and low-resistance air filtration and protection. [ABSTRACT FROM AUTHOR]

Szechwan lovage rhizome (SLR, the rhizome of Ligusticum chuanxiong Hort., Chuanxiong in Chinese transliteration) is one Chinese materia medica (CMM) commonly used to activate blood circulation and remove blood stasis. SLR is applicable to most blood stasis syndromes. It has significant clinical efficacy in relation to human diseases of the cardiocerebrovascular system, nervous system, respiratory system, digestive system, urinary system, etc. Apart from China, SLR is also used in Singapore, Malaysia, the European Union, and the United States of America. However, the current chemical markers in pharmacopeia or monography for the quality assessment of SLR are not well characterized or specifically characterized, nor do they fully reflect the medicinal efficacy of SLR, resulting in the quality of SLR not being effectively controlled. CMM can only have medicinal efficacy when they are applied in vivo to an organism. The intensity of their pharmaceutical activities can more directly represent the quality of CMM. Therefore, the chemical constituents and pharmacological actions of SLR are reviewed in this paper. In order to demonstrate the medicinal efficacy of SLR in promoting blood circulation and removing blood stasis, bioassay methods are put forward to evaluate the pharmaceutical activities of SLR to improve hemorheology, hemodynamics, and vascular microcirculation, as well as its anti-platelet aggregation and anticoagulation properties. Through comprehensive analyses of these pharmaceutical properties, the quality and therapeutic value of SLR are ascertained. [ABSTRACT FROM AUTHOR]

Medicinal food varieties developed according to the theory of medical and edible homologues are effective at preventing and treating chronic diseases and in health care. As of 2022, 110 types of traditional Chinese medicines from the same source of medicine and food have been published by the National Health Commission. Inflammation is the immune system's first response to injury, infection, and stress. Chronic inflammation is closely related to many diseases such as atherosclerosis and cancer. Therefore, timely intervention for inflammation is the mainstay treatment for other complex diseases. However, some traditional anti-inflammatory drugs on the market are commonly associated with a number of adverse effects, which seriously affect the health and safety of patients. Therefore, the in-depth development of new safe, harmless, and effective anti-inflammatory drugs has become a hot topic of research and an urgent clinical need. Polysaccharides, one of the main active ingredients of medical and edible homologous traditional Chinese medicines (MEHTCMs), have been confirmed by a large number of studies to exert anti-inflammatory effects through multiple targets and are considered potential natural anti-inflammatory drugs. In addition, the structure of medical and edible homologous traditional Chinese medicines' polysaccharides (MEHTCMPs) may be the key factor determining their anti-inflammatory activity, which makes the underlying the anti-inflammatory effects of polysaccharides and their structure–efficacy relationship hot topics of domestic and international research. However, due to the limitations of the current analytical techniques and tools, the structures have not been fully elucidated and the structure–efficacy relationship is relatively ambiguous, which are some of the difficulties in the process of developing and utilizing MEHTCMPs as novel anti-inflammatory drugs in the future. For this reason, this paper summarizes the potential anti-inflammatory mechanisms of MEHTCMPs, such as the regulation of the Toll-like receptor-related signaling pathway, MAPK signaling pathway, JAK-STAT signaling pathway, NLRP3 signaling pathway, PI3K-AKT signaling pathway, PPAR-γ signaling pathway, Nrf2-HO-1 signaling pathway, and the regulation of intestinal flora, and it systematically analyzes and evaluates the relationships between the anti-inflammatory activity of MEHTCMPs and their structures. [ABSTRACT FROM AUTHOR]

Background: Periplocae Cortex (PC), Acanthopanacis Cortex (AC), and Lycii Cortex (LC), as traditional Chinese medicines, are all dried root bark, presented in a roll, light and brittle, easy to break, have a fragrant scent, etc. Due to their similar appearances, it is tough to distinguish them, and they are often confused and adulterated in markets and clinical applications. To realize the identification and quality control of three herbs, in this paper, Ultra Performance Liquid Chromatography-Quadrupole Time of Flight Mass Spectrometry Expression (UHPLC-QTOF-MSE) combined with chemometric analysis was used to explore the different chemical compositions. Methods: LC, AC, and PC were analyzed by UHPLC-QTOF-MSE, and the quantized MS data combined with Principal Component Analysis (PCA) and Partial Least Squares Discriminant Analysis (PLS-DA) were used to explore the different chemical compositions with Variable Importance Projection (VIP) > 1.0. Further, the different chemical compositions were identified according to the chemical standard substances, related literature, and databases. Results: AC, PC, and LC can be obviously distinguished in PCA and PLS-DA analysis with the VIP of 2661 ions > 1.0. We preliminarily identified 17 differential chemical constituents in AC, PC, and LC with significant differences (p < 0.01) and VIP > 1.0; for example, Lycium B and Periploside H2 are LC and PC's proprietary ingredients, respectively, and 2-Hydroxy-4-methoxybenzaldehyde, Periplocoside C, and 3,5-Di-O-caffeoylquinic acid are the shared components of the three herbs. Conclusions: UHPLC-QTOF-MSE combined with chemometric analysis is conducive to exploring the differential chemical compositions of three herbs. Moreover, the proprietary ingredients, Lycium B (LC) and Periploside H2 (PC), are beneficial in strengthening the quality control of AC, PC, and LC. In addition, limits on the content of shared components can be set to enhance the quality control of LC, PC, and AC. [ABSTRACT FROM AUTHOR]

Kudzu (Pueraria lobata (Willd.) Ohwi) is a fast growing leguminous vine plant that has strong reproductive ability and low requirements on its growing conditions. It has been considered an invasive plant in some places because of its aggressive growth, which can destroy the habitat for native plants and animals. However, its strong environmental adaptability makes it easily cultivated as a sustainable resource. Kudzu can also keep soil from washing away and play an important role in ecological protection. Kudzu has had numerous practical uses in our daily lives since ancient times. For example, its root, stem, flower and pod are used in traditional Chinese medicine. Its root is a healthy food. And its leaf is used as fodder and forage for livestock. Moreover, some recent studies on kudzu have found that it is in rich of bioactive ingredients, especially isoflavones, which further broadens its uses in medicine, healthy food, and cosmetics industries. Its high starch and cellulose content makes it a promising feedstock for biofuel production and paper preparation. This editorial will give a brief discussion on kudzu and its comprehensive utilization. [ABSTRACT FROM AUTHOR]

Chinese medicine processing (CMP) is a unique pharmaceutical technology that distinguishes it from natural medicines. Current research primarily focuses on changes in chemical components to understand the mechanisms behind efficacy enhancement in processing. However, this paper presents a novel perspective on the biopharmaceutics of CMP. It provides a comprehensive overview of the current research, emphasizing two crucial aspects: the role of 'heat' during processing and the utilization of processing adjuvants. The paper highlights the generation of easily absorbed components through the hydrolysis of glycosides by 'heat', as well as the facilitation of dissolution, absorption, and targeted distribution of active components through the utilization of processing adjuvants. From a biopharmaceutic perspective, this paper provides a lucid comprehension of the scientific foundation for augmenting the efficacy of CMP. Moreover, it proposes a three-dimensional research framework encompassing chemical reactions, phase transitions, and biopharmaceutical properties to further investigate the mechanisms involved in enhancing the efficacy of CMP. [ABSTRACT FROM AUTHOR]

Panax ginseng C.A. Meyer (P. ginseng) is one of the more common traditional Chinese medicines (TCMs). It contains numerous chemical components and exhibits a range of pharmacological effects. An enormous burden is placed on people's health and life by Alzheimer's disease (AD), a neurodegenerative condition. Recent research has shown that P. ginseng's chemical constituents, particularly ginsenosides, have a significant beneficial impact on the prevention and management of neurological disorders. To understand the current status of research on P. ginseng to improve AD, this paper discusses the composition of P. ginseng, its mechanism of action, and its clinical application. The pathogenesis of AD includes amyloid beta protein (Aβ) generation and aggregation, tau protein hyperphosphorylation, oxidant stress, neuroinflammation, mitochondrial damage, and neurotransmitter and gut microbiota disorders. This review presents the key molecular mechanisms and signaling pathways of the active ingredients in P. ginseng involved in improving AD from the perspective of AD pathogenesis. A P. ginseng-related signaling pathway network was constructed to provide effective targets for the treatment of AD. In addition, the application of spatial metabolomics techniques in studying P. ginseng and AD is discussed. In summary, this paper discusses research perspectives for the study of P. ginseng in the treatment of AD, including a systematic and in-depth review of the mechanisms of action of the active substances in P. ginseng, and evaluates the feasibility of applying spatial metabolomics in the study of AD pathogenesis and pharmacological treatment. [ABSTRACT FROM AUTHOR]

G protein-coupled receptors (GPCRs) widely exist in vivo and participate in many physiological processes, thus emerging as important targets for drug development. Approximately 30% of the Food and Drug Administration (FDA)-approved drugs target GPCRs. To date, the 'one disease, one target, one molecule' strategy no longer meets the demands of drug development. Meanwhile, small-molecule drugs account for 60% of FDA-approved drugs. Traditional Chinese medicine (TCM) has garnered widespread attention for its unique theoretical system and treatment methods. TCM involves multiple components, targets and pathways. Centered on GPCRs and TCM, this paper discusses the similarities and differences between TCM and GPCRs from the perspectives of syndrome of TCM, the consistency of TCM's multi-component and multi-target approaches and the potential of GPCRs and TCM in the development of novel drugs. A novel strategy, 'simultaneous screening of drugs and targets', was proposed and applied to the study of GPCRs. We combine GPCRs with TCM to facilitate the modernisation of TCM, provide valuable insights into the rational application of TCM and facilitate the research and development of novel drugs. This study offers theoretical support for the modernisation of TCM and introduces novel ideas for development of safe and effective drugs. [ABSTRACT FROM AUTHOR]

Background: Ancient classic prescription play a crucial role in the preservation and advancement of traditional Chinese medicine (TCM) theories. They represent a significant milestone in the ongoing development and transmission of TCM knowledge and practices and are considered one of the breakthroughs in the development of TCM inheritance. In the process of developing ancient classic prescriptions, many problems may still arise in ensuring quality consistency between traditional methods and modern production processes, among which the extraction process poses major challenges. This paper introduces a practical approach extracting an ancient classic prescription using a modern extraction process. The technique is demonstrated through the study of the extraction process of Shenshou Taiyi powder (STP). Methods: This study focuses on optimising the STP extraction process to ensure consistency in the quality of the product obtained through ancient and modern processes using the standard relation and fuzzy analytic hierarchical process (FAHP) and criteria importance through intercriteria correlation (CRITIC) method integrated weights combined with the Box-Behnken response surface test. Using the contents of rosmarinic acid, isoimperatorin, puerarin, as well as the extract yield and fingerprint similarity as evaluation indexes of STP, the Box-Behnken response surface method was employed to examine the varying extraction parameters, including water addition ratio, extraction duration, and number of extractions. The weighted coefficients for each parameter were calculated by combining the benchmark correlation and FAHP-CRITIC method, deriving a comprehensive score. Results: The optimal extraction process for STP consisted of a two extractions, each using at a tenfold quantity of water, performed for one hour. Process verification across three separate batches yielded a comprehensive score of 94.7, with a relative standard deviation of 0.76%. Conclusions: The application of the Box-Behnken response surface method combined with standard relation and FAHP-CRITIC approach proved to be stable and feasible for optimising the extraction process of STP. [ABSTRACT FROM AUTHOR]

Malignant tumors are complex systemic chronic diseases and one of the major causes of human mortality. Targeted therapy, chemotherapy, immunotherapy, and radiotherapy are examples of mainstream allopathic medicine treatments that effective for intermediate and advanced malignant tumors. The ongoing use of conventional allopathic medicine has resulted in adverse responses and drug resistance, which have hampered its efficacy. As an important component of complementary and alternative medicine, Chinese medicine has been found to have antitumor effects and has played an important role in enhancing the therapeutic sensitivity of mainstream allopathic medicine, reducing the incidence of adverse events and improving immune-related functions. The combined application of adjuvant Chinese medicine and mainstream allopathic medicine has begun to gain acceptance and is gradually used in the field of antitumor therapy. Traditional natural medicines and their active ingredients, as well as Chinese patent medicines, have been proven to have excellent therapeutic efficacy and good safety in the treatment of variousmalignant tumors. This paper focuses on the mechanism of action and research progress of combining the above drugs with mainstream allopathic medicine to increase therapeutic sensitivity, alleviate drug resistance, reduce adverse reactions, and improve the body's immune function. To encourage the clinical development and use of Chinese herb adjuvant therapy as well as to provide ideas and information for creating safer and more effective anticancer medication combinations, the significant functions of Chinese herb therapies as adjuvant therapies for cancer treatment are described in detail. [ABSTRACT FROM AUTHOR]

Panax ginseng (Chinese ginseng) is precious traditional Chinese medicine in China, which is commonly used to treat central nervous system diseases, cardiovascular diseases, endocrine system diseases, cancer and other diseases. Due to its excellent medicinal properties, it is widely used in East Asia (Korea, China and Japan) as herbal medicine and also known as the king of medicinal herbs. This paper reviews the origin and distribution of ginseng in China, different cultivation methods, economic significance of ginseng industry and allelopathy research on ginseng. This paper also describes the economic importance of ginseng in medical and other uses, and suggests future research areas of ginseng. [ABSTRACT FROM AUTHOR]

Background: Polygonum multiflorum Thunb. (PM), a kind of perennial plant, belongs to the genus Polygonum of the family polygonaceae.The dry root of PM (also called Heshouwu), is a traditional Chinese medicine, which has a series of functions and is widely used in clinic for hair lossing, aging, and insomnia. While, PM also has some toxicity, its clinical drug safety has been concerned. In this paper, the chemical components, toxic mechanisms and detoxification strategies of PM were reviewed in order to provide evidence for its clinical application. Materials and methods: We conducted a systematic review of published literature of PM, including English and Chinese databases, such as PubMed, Web of Science, CNKI, and Wanfang. Results: PM contains a variety of chemical compounds, including stilbenes, quinones, flavonoids, phospholipids, and has many pharmacological activities such as anti-aging, wound healing, antioxidant, and anti-inflammatory properties. The PE has certain therapeutic effect, and it has certain toxicity like hepatotoxicity, nephrotoxicity, and embryotoxicity at the same time, but.these toxic effects could be effectively reduced by processing and compatibility. Conclusion: It is necessary to further explore the pharmacological and toxicological mechanisms of the main active compounds of PE.This article provides scientific basis for the safe clinical application of PM. [ABSTRACT FROM AUTHOR]

Peripheral nerve injuries (PNI) represent one of the primary neuropathies leading to lifelong disability. Nerve regeneration and targeted muscle atrophy stand as the two most crucial factors influencing functional rehabilitation post peripheral nerve injury. Over time, traditional Chinese medicine (TCM) rehabilitation approaches such as acupuncture, Tuina, and microneedles serve as pivot means to activate the regeneration of injured nerve Schwann cells. By promoting axon regeneration, these approaches can accomplish nerve repair, reconstruction, and functional rehabilitation. Although TCM rehabilitation approaches have clinically demonstrated effectiveness in promoting the repair and regeneration of PNI, the related molecular mechanisms remain unclear. This significantly hampers the application and promotion of TCM rehabilitation in PNI recovery. Therefore, deeply delving into the cellular and molecular mechanisms of TCM rehabilitation technologies to foster nerve regeneration stands as the most pressing issue. On the other hand, in recent years, novel biomaterials represented by hydrogels, microfluidic platforms, and new chitosan scaffolds have showed their unique roles in treating various degrees of nerve injury. These methods exhibit immense potential in conducting high-throughput cell and organoid culture in vitro and synthesizing diverse tissue engineering scaffolds and drug carriers. We believe that the combination of TCM rehabilitation technology and novel biomaterials can more effectively address precise treatment issues such as identification of treatment target and dosage control. Therefore, this paper not only summarizes the molecular mechanisms of TCM rehabilitation technology and novel biomaterials in treating peripheral nerve injury individually, but also explores the research direction of precise treatment by integrating the two at both macro and micro levels. Such integration may facilitate the exploration of cellular and molecular mechanisms related to neurodegeneration and regeneration, providing a scientific and theoretical foundation for the precise functional rehabilitation of PNI in the future. [ABSTRACT FROM AUTHOR]

Diabetic nephropathy (DN) constitutes a major microvascular complication of diabetes and is a primary cause of mortality in diabetic individuals. With the global rise in diabetes, DN has become an urgent health issue. Currently, there is no definitive cure for DN. Alpinia oxyphylla, a Chinese herbal medicine traditionally used, exhibits a wide range of pharmacological effects and is frequently used in the prevention and management of DN. This paper offers an extensive review of the biological mechanisms by which A. oxyphylla delivers therapeutic advantages in DN management. These mechanisms include activating podocyte autophagy, regulating non-coding RNA, modulating gut microbiota, alleviating lipotoxicity, counteracting oxidative stress, and diminishing inflammatory responses, underscoring the therapeutic potential of A. oxyphylla in DN treatment. [ABSTRACT FROM AUTHOR]

Ginsenosides, the primary bioactive ingredients derived from the root of Panax ginseng, are eagerly in demand for tumor patients as a complementary and alternative drug. Ginsenosides have increasingly become a "hot topic" in recent years due to their multifunctional role in treating colorectal cancer (CRC) and regulating tumor microenvironment (TME). Emerging experimental research on ginsenosides in the treatment and immune regulation of CRC has been published, while no review sums up its specific role in the CRC microenvironment. Therefore, this paper systematically introduces how ginsenosides affect the TME, specifically by enhancing immune response, inhibiting the activation of stromal cells, and altering the hallmarks of CRC cells. In addition, we discuss their impact on the physicochemical properties of the tumor microenvironment. Furthermore, we discuss the application of ginsenosides in clinical treatment as their efficacy in enhancing tumor patient immunity and prolonging survival. The future perspectives of ginsenoside as a complementary and alternative drug of CRC are also provided. This review hopes to open up a new horizon for the cancer treatment of Traditional Chinese Medicine monomers. [ABSTRACT FROM AUTHOR]

Introduction: Traditional Chinese medicine (TCM) is gaining worldwide popularity as a complementary and alternativemedicine. The isolation and characterization of active ingredients fromTCMhas become optional strategies for drug development. In order to overcome the inherent limitations of these natural products such as poor water solubility and low bioavailability, the combination of nanotechnology with TCM has been explored. Taking advantage of the benefits offered by the nanoscale, various drug delivery systems have been designed to enhance the efficacy of TCM in the treatment and prevention of diseases. Methods: The manuscript aims to present years of research dedicated to the application of nanotechnology in the field of TCM. Results: The manuscript discusses the formulation, characteristics and therapeutic effects of nano-TCM. Additionally, the formation of carrier-free nanomedicines through self-assembly between active ingredients of TCM is summarized. Finally, the paper discusses the safety behind the application of nano-TCM and proposes potential research directions. Discussion: Despite some achievements, the safety of nano-TCM still need special attention. Furthermore, exploring the substance basis of TCM formulas from the perspective of nanotechnology may provide direction for elucidating the scientific intension of TCM formulas. [ABSTRACT FROM AUTHOR]

Background: Painful diabetic neuropathy (PDN) is a common chronic neurological complication of diabetes mellitus. Medications are often used to relieve pain, but with significant side effects. Acupuncture is now a component of pragmatic and integrative treatment for PDN. An increasing number of relevant randomized controlled trials have been published in recent years, but a comprehensive meta-analysis has not yet been performed. The aim of this paper is to verify the effectiveness and safety of acupuncture for PDN by metaanalysis and trial sequential analysis (TSA). Methods: All participants in this study should have had a PDN diagnosis and the trial group was treated with acupuncture. Eight databases, including EMbase, PubMed, Web of science, Cochrane Library, China Biology Medicine disc (CBM), China National Knowledge Infrastructure (CNKI), Wanfang and Chongqing VIP (CQVIP) were retrieved from inception to 5 April 2023. Meta-analysis was conducted utilizing RevMan 5.3 and Stata 15.0. TSA was performed to assess the adequacy of sample size for the outcomes. Results: A total of 36 studies, comprising 2,739 PDN patients, were included. Among them, 1,393 patients were assigned to the trial group and 1,346 patients were treated in the control group. Outcomes covers the primary indicator Total effective rate (RR = 1.42, 95%CI [1.34, 1.52], p < 0.00001), with 21 studies reported, Pain intensity (SMD = -1.27, 95%CI [-1.58, -0.95], p < 0.00001), with 23 studies reported, and other outcomes, including motor nerve conduction velocity (MCV; MD = 3.58, 95%CI [2.77, 4.38], p < 0.00001), sensory nerve conduction velocity (SCV; MD = 3.62, 95%CI [2.75, 4.49], p < 0.00001), Depression score (SMD = -1.02, 95%CI [1.58, 0.46]), Toronto clinical scoring system (TCSS; MD = -2.41, 95%CI [-3.37, -1.45], p < 0.00001), Quality of life (SMD = 1.06, 95%CI [0.66, 1.46]), traditional Chinese medicine (TCM) syndrome score (MD = -4.99, 95%CI [-6.79, -3.18], p < 0.00001), suggesting that acupuncture have an ameliorating effect on PDN in various respect. Egger's test revealed publication bias for four outcomes. TSA showed that as for Total effective rate, Pain Intensity, MCV and SCV, the number of included studies was sufficient to support the conclusions. Conclusion: Acupuncture demonstrates significant effectiveness in improving PDN outcomes, including Total effective rate, Pain intensity, MCV, SCV, Depression score, TCSS, Quality of life, TCM syndrome score. But the Adverse events rate is no different in trail group and control group. The publication bias presented in Total effective rate, Pain intensity, MCV and SCV can be remedied by Trim and filling method. [ABSTRACT FROM AUTHOR]

Uncaria rhynchophylla is an important traditional herbal medicine in China, and the yield and quality of Uncaria rhynchophylla can be improved by suitable soil conditioners because of changing the soil properties. In this paper, Uncaria rhynchophylla associated alkaloids and soil microbial communities were investigated. The field experiment was set up with the following control group: (M1, no soil conditioner) and different soil conditioner treatment groups (M2, biomass ash; M3, water retention agent; M4, biochar; M5, lime powder and M6, malic acid). The results showed that M2 significantly increased the fresh and dry weight and the contents of isorhynchophylline, corynoxeine, isocorynoxeine, and total alkaloids. Acidobacteria, Proteobacteria, Actinobacteria, and Chloroflexi were major bacterial phyla. Correlation analysis showed that fresh and dry weight was significantly positively correlated with Acidobacteria, while alkali-hydrolyzable nitrogen, phosphatase activity, fresh and dry weight, corynoxeine, and isocorynoxeine were significantly negatively correlated with Chloroflexi. The application of soil conditioner M2 increased the abundance of Acidobacteria and decreased the abundance of Chloroflexi, which contributed to improving the soil nutrient content, yield, and quality of Uncaria rhynchophylla. In summary, biomass ash may be a better choice of soil conditioner in Uncaria rhynchophylla growing areas. [ABSTRACT FROM AUTHOR]

Pyroptosis is a type of programmed cell death that is mediated by both typical and atypical pathways and ultimately leads to the lysis and rupture of cell membranes and the release of proinflammatory factors, triggering an intense inflammatory response. Heart failure (HF) is a serious and terminal stage of various heart diseases. Myocardial hypertrophy, myocardial fibrosis, ventricular remodeling, oxidative stress, the inflammatory response and cardiomyocyte ionic disorders caused by various cardiac diseases are all risk factors for and aggravate HF. Numerous studies have shown that pyroptosis can induce and exacerbate these reactions, causing progression to HF. Therefore, targeting pyroptosis is a promising strategy to treat HF. This paper summarizes the role of pyroptosis in the development of HF and the underlying mechanism involved. Recent research progress on the ability of traditional Chinese medicine (TCM) extracts and formulas to inhibit pyroptosis and treat HF was summarized, and some traditional Chinese medicine extracts and formulas can alleviate different types of HF, including heart failure with preserved ejection fraction (HFpEF), heart failure with reduced ejection fraction (HFrEF), and heart failure with midrange ejection fraction (HFmrEF), by targeting pyroptosis. These findings may provide new ideas and evidence for the treatment or adjuvant treatment of HF by targeting pyroptosis. [ABSTRACT FROM AUTHOR]

Background: Health has effects on children's academic performance. Qi deficiency is generally used to assess an individual's health in the Chinese traditional medicine theory. This study explores the effects of qi deficiency on children's academic performance and examines whether mental fatigue mediates these effects. Methods: A total of 550 students aged 10-13 in fifth-grade were surveyed in a big primary school in Sichuan Province in November 2023 using paper-pencilbased questionnaires. Qi deficiency and mental fatigue were assessed, and exam scores in Chinese and Mathematics were recorded. Pearson's correlation and linear regression analyses were used to test the mediation model and hypotheses. Results: The fifth-grade students had mild qi deficiency (M = 2.09) and a mild state of mental fatigue (M = 2.38) on a five-point Likert scale. The average exam scores in Mathematics and Chinese were 70.07 and 74.44 points out of 100, respectively. Qi deficiency was associated with Mathematics scores (r = -0.37, p < 0.01) and Chinese scores (r = -0.30, p < 0.01), and mental fatigue (r = 0.47, p < 0.01). Furthermore, mental fatigue was associated with Mathematics scores (r = -0.46, p < 0.01) and Chinese scores (r = -0.34, p < 0.01). Linear regression analyses showed that qi deficiency significantly predicted Mathematics scores (β = -0.26, p < 0.01), Chinese scores (β = -0.19, p < 0.01), and mental fatigue (β = 0.41, p < 0.01). When qi deficiency was controlled for, mental fatigue significantly predicted Mathematics scores (β = -0.28, p < 0.01) and Chinese scores (β = -0.17, p < 0.01). Conclusion: The mediation model and hypotheses were well supported, indicating that mental fatigue mediated the influence of qi deficiency on academic performance of fifth-grade students. Furthermore, the mediation effect of mental fatigue on Mathematics scores was a little stronger than that on Chinese scores. [ABSTRACT FROM AUTHOR]

In this paper, a novel method is proposed to predict online review helpfulness based on the knowledge adoption model (KAM) theory and non-kernel weighted quadratic surface support vector machine (WQSSVM). The KAM theory develops helpfulness-predicting features from two perspectives: the quality of online review content and the credibility of online review sources. Content quality is measured by calculating the percentage of domain words in a review, as well as the percentage of stop words. This method effectively addresses the issue of knowledge barriers existing in the online reviews in specific domains. Source credibility is measured by looking at the number of fans an author has, as well as the number of likes he has received. The WQSSVM significantly reduces the computational time in selecting a suitable kernel and related parameters. To investigate the performance of the proposed method, computational experiments were conducted on three crawled online review datasets of traditional Chinese medicine, takeouts, and mobile phone products. The numerical results not only indicate the superior capability of the proposed method in identifying the optimal combination of features and forecasting accuracy but also indicate the greater importance of source credibility over quality of content, for predicting the online review helpfulness. [ABSTRACT FROM AUTHOR]

Eye diseases are becoming more widespread as the cohort born post-World War II enters their sixth and seventh decades of life. Age-related ophthalmic diseases are likely to become more common in acupuncture practices over the coming years. The English-language literature on Chinese medicine ophthalmology is relatively scarce, especially with regard to primary sources. Discussions of the aetiology and pathogenesis of eye diseases are historically common in books of traditional pharmacotherapy, but relatively rare in texts devoted to acumoxa therapy. To help offset this gap in the literature, this paper presents the discussions on eye diseases and treatment found in Zhēn Jiŭ Féng Yuán (Encountering the Origins of Acumoxa), a Qīng-era acumoxa manual, and offers an English-language rendering and brief commentary on the texts. [ABSTRACT FROM AUTHOR]

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The use of Chinese herbal medicines can replace antibiotics that cause drug-resistance problems, which are currently necessary for disease control. In this paper, a traditional Chinese medicine compound named Ephedra houttuynia granule for the treatment of Mycoplasma galliscepticum (MG) infection was prepared. Furthermore, its action mechanism was explored through network pharmacology. The optimal extraction and granulation processes of the compound were determined by high performance liquid chromatography (HPLC) method and L9 orthogonal test, and in the treatment experiment, Ephedra houttuynia granule showed a significant therapeutic effect on MG infection. In the study of network pharmacology, the results showed that the core targets of Ephedra houttuynia granule against MG infection were vascular endothelial growth factor (VEGFA), fos proto-oncogene (FOS), prepro-coagulation factor II (F2), etc., the gene ontology/kyoto encyclopedia of genes and genomes (GO/KEGG) analysis results indicated that the signaling pathways of neuroactive ligand receptor interaction, cAMP, IL-17, T cell receptor, and tumor necrosis factor (TNF) might involve in anti-MG infection. In conclusion, this study would provide a new idea for elucidating the action mechanism of other diseases in veterinary clinic, which had a certain guiding significance. [ABSTRACT FROM AUTHOR]

Manual acupuncture manipulation (MAM) is essential in traditional Chinese medicine treatment. MAM action recognition is important for junior acupuncturists' training and education; however, there are obvious personalized differences in hand gestures among expert acupuncturists for the same type of MAM. In addition, during the MAM operations, the magnitude and frequency of the expert acupuncturists' hand shape and relative needle‐holding finger position changes are tiny and fast, resulting in difficulties in observing MAM action details. Thus, we propose a Spatial Multiscale Interactive Fusion MAM Recognition Network to solve the difficulties in MAM recognition. First, this paper presents an optical flow‐based hand motion contour global feature extraction method for acupuncture hand shape. Second, to explore the motion rule between the needle‐holding fingers during the MAM operations, we design a quantitative description method of the relative motion of the needle‐holding fingers: an "interactive attention module," which achieves feature fusion and mines the correlation between different scales of MAM action features. Finally, the proposed MAM recognition method was validated by 20 acupuncturists from the Beijing University of Traditional Chinese Medicine and 10 from the Beijing Zhongguancun Hospital who participated in the MAM video signal collection. The proposed recognition method achieves the highest average validation accuracy of 95.3% and the highest test accuracy of 96.0% for four typical MAMs, proving its feasibility and effectiveness. [ABSTRACT FROM AUTHOR]

Breast cancer, the most prevalentmalignant tumor among women globally, is significantly influenced by the Wnt/β-catenin signaling pathway, which plays a crucial role in its initiation and progression. While conventional chemotherapy, the standard clinical treatment, suffers from significant drawbacks like severe side effects, high toxicity, and limited prognostic efficacy, Traditional Chinese Medicine (TCM) provides a promising alternative. TCM employs a multi-targeted therapeutic approach, which results in fewer side effects and offers a high potential for effective treatment. This paper presents a detailed analysis of the therapeutic impacts of TCM on various subtypes of breast cancer, focusing on its interaction with the Wnt/β-catenin signaling pathway. Additionally, it explores the effectiveness of both monomeric and compound forms of TCM in the management of breast cancer. We also discuss the potential of establishing biomarkers for breast cancer treatment based on key proteins within the Wnt/β-catenin signaling pathway. Our aim is to offer new insights into the prevention and treatment of breast cancer and to contribute to the standardization of TCM. [ABSTRACT FROM AUTHOR]

Colorectal cancer (CRC) is a significant global health burden, with high morbidity and mortality rates. It is often diagnosed at middle to advanced stage, affecting approximately 35% of patients at the time of diagnosis. Currently, chemotherapy has been used to improve patient prognosis and increase overall survival. However, chemotherapy can also have cytotoxic effects and lead to adverse reactions, such as inhibiting bone marrow hematopoiesis, causing digestive dysfunction, hand-foot syndrome, and even life-threatening conditions. In response to these adverse effects, researchers have proposed using Traditional Chinese Medicine (TCM) as an option to treat cancer. TCM research focuses on prescriptions, herbs, and components, which form essential components of the current research in Chinese medicine. The study and implementation of TCM prescriptions and herbs demonstrate its distinctive holistic approach to therapy, characterized by applying multi-component and multi-target treatment. TMC components have advantages in developing new drugs as they consist of single ingredients, require smaller medication dosages, have a precise measure of pharmacodynamic effects, and have a clear mechanism of action compared to TCM prescriptions and herbs. However, further research is still needed to determine whether TMC components can fully substitute the therapeutic efficacy of TCM prescriptions. This paper presents a comprehensive analysis of the research advancements made in TCM prescriptions, herbs, and components. The findings of this study can serve as a theoretical basis for researchers who are interested in exploring the potential of TCM for the treatment of colorectal cancer. [ABSTRACT FROM AUTHOR]