Evaluation of Pre-Harvest Sprouting(PHS)Resistance and Screening of High-Quality Varieties from Thirty-Seven Quinoa(Chenopodium quinoa Willd.)Resources in Chengdu Plain

Pre-harvest sprouting(PHS)will have a serious effect both on the yield and quality of quinoa(Chenopodium quinoaWilld.).It is crucial to select and breed quinoa varieties with PHS resistance and excellent agronomic traits for guidance production and utilization of quinoa.A comprehensive evaluation of the PHS resistance and agronomic traits of 37 species of quinoa resources was conducted in Chengdu Plain.The evaluation used various methods,including grain germination rate(GR),grain germination index(GI),total spike germination rate(SR),total grain germination index(SI),grey correlation analysis(GCA),cluster analysis and correlation analysis.Results showed significant differences in PHS resistance and agronomic traits amongst the 37 quinoa resources.CDU-23 was most resistant to PHS within 24 h,with a germination rate of 2.67%and 0%according to the GR and SR results,respectively.However,in the same time,CDU-31 showed the maximum susceptibility to PHS based on the SR of 31.07%,while CDU-34 was the most sensitive to PHS according to the GR of 100%.The comprehensive evaluation identified one and nine kinds of high resistance species for grain and whole spike germination,respectively.In both cases,the coefficients of variation(CV)for these parameters were 34.78%and 82.13%,respectively.GCA results showed that the magnitude of the association between each trait and yield in the thirty-seven quinoa resources was in the following order:thousand grain weight>seed length>seed area>seed width.Although the seed weight of CDU-18 reached 3.7010 g,the seed weight of CDU-5 was only 1.6030 g.However,the size of the seeds,their width and area did not correlate with their 1000-grain weight.There was a complex correlation between PHS resistance index and agronomic traits.Based on clustering analysis,thirty-seven quinoa resources were classified into three taxa.It was found that various taxa differed in PHS resistance and agronomic traits.Several comparisons of the aggregated data led to the selection of five varieties of quinoa,of which CDU-2 presented excellent agronomic qualities and strong PHS resistance.This study has provided a reference for breeding excellent quinoa varieties with PHS resistance.

我国人群血清PLA2R抗体诊断IMN的最佳截断值探讨

目的血清磷脂酶A2受体(PLA2R)抗体对特发性膜性肾病(IMN)的诊断价值已经得到广泛认同,但国外血清PLA2R抗体对IMN的诊断截断值不一定适合我国,因此笔者拟探讨我国血清PLA2R抗体诊断IMN的最佳截断值。方法选取2016年1月—2018年1月于江西省赣州市人民医院肾内科住院行肾穿刺活检的患者,采用酶联免疫吸附法检测血清PLA2R抗体,其诊断价值行ROC曲线分析,探讨血清PLA2R抗体诊断IMN的敏感性和特异性,取约登指数最大时的检测值作为阳性截断值。结果血清PLA2R抗体诊断IMN的曲线下面积(AUC)为0.924(95%CI:0.844,1.000),与机会一致性诊断AUC=0.5比较,差异有统计学意义(P <0.05)。当截断值取2.92 Ru/ml时,敏感性为0.818(95%CI:0.750,0.876),特异性为0.935(95%CI:0.888,0.966),阳性预测值为0.900,阴性预测值为0.879,约登指数为0.753。结论目前被广泛采用的血清PLA2R抗体对诊断IMN的临界值仍需要通过多中心大样本量的研究来进一步探讨和修正。

Changes of resting cerebral activities in subacute ischemic stroke patients

This study aimed to detect the difference in resting cerebral activities between ischemic stroke pa- tients and healthy participants, define the abnormal site, and provide new evidence for pathological mechanisms, clinical diagnosis, prognosis prediction and efficacy evaluation of ischemic stroke. At present, the majority of functional magnetic resonance imaging studies focus on the motor dysfunc- tion and the acute stage of ischemic stroke. This study recruited 15 right-handed ischemic stroke patients at subacute stage （15 days to 11.5 weeks） and 15 age-matched healthy participants. A rest- ing-state functional magnetic resonance imaging scan was performed on each subject to detect cerebral activity. Regional homogeneity analysis was used to investigate the difference in cerebral activities between ischemic stroke patients and healthy participants. The results showed that the ischemic stroke patients had lower regional homogeneity in anterior cingulate and left cerebrum and higher regional homogeneity in cerebellum, left precuneus and left frontal lobe, compared with healthy participants. The experimental findings demonstrate that the areas in which regional homogeneity was different between ischemic stroke patients and healthy participants are in the cerebellum, left precuneus, left triangle inferior frontal gyrus, left inferior temporal gyrus and anterior cingulate. These locations, related to the motor, sensory and emotion areas, are likely po- tential targets for the neural regeneration of subacute ischemic stroke patients.

Cerebral mechanism of puncturing at He-Mu point combination for functional dyspepsia: study protocol for a randomized controlled parallel trial

Acupuncture is widely used to treat functional dyspepsia with satisfactory outcomes. Combination of the He and Mu acupoints is commonly used and has a synergistic effect on functional dyspepsia; however, its underlying mechanisms remain unclear. Therefore, a randomized controlled parallel clinical trial is currently underway at Chengdu University of Traditional Chinese Medicine, China. This trial is designed to explore the efficacy of and central responses to the He-Mu point combination in patients with functional dyspepsia using functional magnetic resonance imaging. A total of 105 patients with functional dyspepsia will be allocated into 3 groups： the low-He point group（puncturing at Zusanli（ST36））, Mu point group（puncturing at Zhongwan（CV12））, and He-Mu point combination group（puncturing at ST36 and CV12）. Every participant will receive 20 sessions of manual acupuncture for 4 weeks. The needles will be inserted perpendicularly to a depth of 1 to 2 cun. The angle of rotation and twisting will range from 90 to 180 degrees, while lifting and thrusting will range from 0.3 to 0.5 cm. The various manipulations will be performed 60 to 90 times per minute. The needles will remain in place for 30 minutes, during which manipulation will be applied every 10 minutes. Magnetic resonance imaging will be performed before and after 20 sessions of acupuncture. The primary outcome is symptom improvement according to the Chinese version of the Nepean Dyspepsia Index. Secondary outcomes include the Leeds dyspepsia questionnaire, Self-Rating Anxiety Scale, Self-Rating Depression Scale, Beck Anxiety Inventory, Beck Depression Inventory, and visual analogue scale scores before and after 10 and 20 sessions of acupuncture. Needle sensation and adverse events will be used to assess the therapeutic effects. This study will promote more widespread awareness of the benefits of acupoint combination in the clinical setting and provide a further explanation of the neuromechanism by which acupuncture at the He-Mu point combination for functional dyspepsia. Registration： Chinese Clinical Trial Registry, Chi CTR-IOR-15006402.

奥卡西平联合拉莫三嗪对癫痫患儿NSE、GFAP水平的影响

目的探究奥卡西平联合拉莫三嗪治疗癫痫患儿的疗效,以及对神经元特异性烯醇化酶(NSE)、胶质纤维酸性蛋白(GFAP)水平的影响。方法选取2015年1月—2017年12月郑州大学附属郑州中心医院收治的94例癫痫患儿,随机分为观察组和对照组,对照组口服奥卡西平,观察组在对照组的基础上口服拉莫三嗪,治疗6个月后,对两组患儿临床疗效、不良反应发生率、治疗前后脑电图变化情况进行比较,同时检测NSE、GFAP等指标的水平。结果观察组的治疗总有效率为91.49%,对照组为74.47%,经χ~2检验,差异有统计学意义(P <0.05),观察组不良反应发生率仅为8.51%,对照组为21.28%,经χ~2检验,差异有统计学意义(P<0.05)。观察组患儿治疗后θ频段功率低于对照组(P<0.05)。结论奥卡西平联合拉莫三嗪可有效提高癫痫的治疗效果,减少服药期间不良反应发生率,值得在临床中推广应用。

A central analgesic mechanism of acupuncture for migraine An ongoing functional MRI study

Shaoyang acupoints are the most frequently used in migraine treatment. However, the central anal- gesic mechanism remains poorly understood. Studies have demonstrated that single stimulus of the verum acupuncture in healthy subjects can induce significant connectivity or activity changes in pain- related central networks compared with sham acupuncture. However, these findings are not indicative of the central analgesic mechanism of acupuncture at Shaoyang acupoints. Thus, we recruited 100 migraine sufferers and randomly assigned them into five groups： Shaoyang uncommon acupoint, Shaoyang common acupoint, Yangming uncommon acupoint, non-acupoint control, and blank control groups. Subjects were subjected to evaluation of curative effects and functional MRI prior to and after 10 and 20 acupuncture treatments. All subjects were diagnosed by physicians and enrolled following clinical physical examination. Subjects were observed during 1-4 weeks after inclusion. At the fifth week, the first clinical evaluation and resting functional MRI were conducted. The Shaoyang uncom- mon acupoint, Shaoyang common acupoint, Yangming uncommon acupoint, and non-acupoint control grousp then were treated with acupuncture, five times per week, 20 times in total over 4 weeks. The second and third clinical evaluations and resting functional MRI screenings were conducted following 10 and 20 acupuncture treatments. The blank control group was observed during the 5 to 8 week pe- riod, followed by clinical evaluation and resting functional MRI. The aim of this study was to examine changes in brain functional activity and central networks in subjects with migraine undergoing acu- puncture at Shaoyang uncommon acupoints. This study provides a further explanation of the central analgesic mechanism by which acupuncture at Shaoyang acupoints treats migraine,

Regional brain structural abnormality in ischemic stroke patients:a voxel-based morphometry study

Our previous study used regional homogeneity analysis and found that activity in some brain areas of patients with ischemic stroke changed significantly. In the current study, we examined structural changes in these brain regions by taking structural magnetic resonance imaging scans of 11 ischemic stroke patients and 15 healthy participants, and analyzing the data using voxel-based morphometry. Compared with healthy participants, patients exhibited higher gray matter density in the left inferior occipital gyrus and right anterior white matter tract. In contrast, gray matter density in the right cerebellum, left precentral gyrus, right middle frontal gyrus, and left middle temporal gyrus was less in ischemic stroke patients. The changes of gray matter density in the middle frontal gyrus were negatively associated with the clin- ical rating scales of the Fugl-Meyer Motor Assessment （r = -0.609, P = 0.047） and the left middle temporal gyrus was negatively correlated with the clinical rating scales of the nervous functional deficiency scale （r = -0.737, P = 0.010）. Our findings call objectively identify the functional abnormality in some brain regions of ischemic stroke patients.

Computer Assisted Pathway Generation for Atrazine Degradation in Advanced Oxidation Processes

A model was developed to generate the complex degradation pathway of contaminants initiated by hydroxyl radical in the advanced oxidation processes. The model abstracts chemical structures into mathematic graphs. The manipulation of the graphs enumerates the reactions among the large number of molecules, radicals, and other intermediates in the advanced oxidation processes. Using Canonical Simplified Molecular Input Line Entry Specification (Canonical SMILE) representation, the algorithm was able to simulate the reaction of contaminants containing both chain and ring structures. The input chemicals, reaction pattern, and the reaction rules could be specified by users through a graphical user interface. The degradation pathway of Atrazine was used as an example to demonstrate the capability of the algorithm. The generated reaction pathways were compared with those reported in literatures.

A multifunctional nanoaggregate-based system for detection of rheumatoid arthritis via Optoacoustic/NIR-Ⅱ fluorescent imaging and therapy via inhibiting JAK-STAT/NF-κB/NLRP3 pathways

Rheumatoid arthritis(RA)is a debilitating autoimmune disease that causes chronic pain and serious complications,presenting a significant challenge to treat.Promising approaches for treating RA involve signaling pathways modulation and targeted therapy.To this end,a multifunctional nanosystem,TPC-U@HAT,has been designed for RA therapy,featuring multitargeting,dual-stimuli response,and on-demand drug release capabilities.TPC-U@HAT is composed of a probe/prodrug TPC,a JAK1 kinase inhibitor upadacitinib,and the drug carrier HAT.TPC is composed of an aggregation-induced emission(AIE)-active NIR-II chromophore TPY and an NF-κB/NLRP3 inhibitor caffeic acid phenethyl ester(CAPE),connected via boronic ester bond which serves as the reactive-oxygen-species-responsive linker.The carrier,HAT,is created by grafting bone-targeting alendronate and hydrophobic tocopheryl succinate onto hyaluronic acid chains,which can encapsulate TPC and upadacitinib to form TPC-U@HAT.Upon intravenous injection into mice,TPC-U@HAT accumulates at inflamed lesions of RA through both active and passive targeting,and the overexpressed hyaluronidase and H_(2)O_(2) therein cleave the hyaluronic acid polymer chains and boronate bonds,respectively.This generates an AIE-active chromophore for detection and therapeutic evaluation of RA via both optoacoustic imaging and NIR-II fluorescent imaging and concomitantly releases CAPE and upadacitinib to exert efficacious therapy by inhibiting NF-κB/NLRP3 and JAK-STAT pathways.

A new method for studying the orientation of membrane proteins in plants based on the release of a fluorescent protein tag by TEV protease

Dear Editor,The orientation of a membrane protein can provide important information about its interaction partners,function,and mechanism of action.In addition to traditional biochemical assays,new methods have been developed to reveal the orientation of membrane proteins.For example,computer programs have been developed to predict membrane protein topology but often have inaccuracies(Ott and Lingappa,2002;Schwacke et al.,2003).A widely used method is the fluorescence protease protection(FPP)assay(Lomize et al.,2006;Lorenz et al.,2008;White et al.,2015).However,it often fails to give good results for assays of plant membrane proteins.Here,we developed a simpler method based on release of a fluorescent protein tag(RFT)by the tobacco etch virus(TEV)protease to overcome the shortcomings of FPP and analyze the orientation of membrane proteins in plants.

An activatable NIR-Ⅱ fluorescent probe for tracking heavy-metal ion and high-level salt-induced oxidative stress in plant sprouts

Humans and plants have become enfolded and inseparable.Abiotic stresses in particular oxidative stress caused by heavy-metal ions or high-level salt contamination deleteriously impact plants’growth process and have become a major threat to sustaining food security.Sprouting is the first step in plants’growth process.When plant sprouts endure oxidative stress induced by toxic heavy-metal ions or high-level salt,accelerated generation of reactive oxygen species(e.g.,H_(2)O_(2))occurs inside plant sprouts;hence in-situ H_(2)O_(2) in plant sprouts could serve as the in-vivo biomarker for tracking the oxidative stress in plant sprouts.Herein,we design an activatable probe CT-XA-H_(2)O_(2) to track the oxidative stress in plant sprouts via in vivo NIR-Ⅱ fluorescent imaging.In CT-XA-H_(2)O_(2),cyano-thiazole acts as the electron-accepting moiety and xanthane-aminodiphenyl as the electron-donating moiety,and dioxaborolane as the biomarker-responsive unit and fluorescence quencher.The probe CT-XA-H_(2)O_(2) shows weak fluorescent emission.When H_(2)O_(2) is present,the dioxaborolane in the probe is cleaved,consequently,the dye CT-XA-OH is generated and brings about significant fluorescent signals for detecting and imaging the in-situ biomarker.Moreover,the aminodiphenyl group endues the chromophore(the activated probe)with aggregation-induced emission characteristics,which ensures stronger fluorescence in the aggregated state in the aqueous milieu.The probe CT-XA-H_(2)O_(2) has been employed in the Cd^(2+)-ion or high-level salt(NaCl)induced oxidative stress models of soybean sprouts and peanut sprouts,and the experimental results evidently reveal the probe’s ability for in-situ biomarker-activatable in-vivo detection and imaging in the plants’sprouts.

成都老官山汉墓经穴髹漆人像十二经脉循行考证

In 2012,a lacquer figure was unearthed from the Han dynasty tomb(188 BC-87 BC) at Chengdu Laoguanshan.The lines intaglioed on the Laoguan mountain lacquer figure were similar to the meridians.Objective:To investigate the relationship between the lines on this Laoguanshan lacquer figure and the regular meridians so as to explore the development of meridian system in ancient China.Methods:Based on collecting the photos of the Laoguan mountain lacquer figure and the representative acupuncture classics,the double evidence method(combining the unearthed relics/literature and extant literature) was performed to investigate the relationship between the lines on this Laoguanshan lacquer figure and the regular meridians.Furthermore,the development of regular meridians theory was analyzed from the number,distribution,direction and branches.Results:The routes of the 28 longitudinal white lines on the Laoguan mountain lacquer figure are similar to the regular meridians in the ancient literature including Huángdì Nèijīng 《黄帝内经》 Yellow Emperor’s Inner Classic).The number,distribution and branches of the meridians intaglioed on the Laoguanshan lacquer figure suggested the evolution of the regular-meridian system from the eleven-meridian system to the twelve-meridian system.Conclusions:The meridian system of Laoguanshan lacquer figure was a link connecting the preceding and the following.The Laoguanshan lacquer figure played an important role in the development of the early meridian theory.

聚集诱导发光

聚集诱导发光(AIE)是唐本忠院士于2001年提出的一个科学概念,是指一类在溶液中不发光或者发光微弱的分子聚集后发光显著增强的现象。高效固态发光的AIE材料有望从根本上解决有机发光材料面临的聚集导致发光猝灭难题,具有重大的实际应用价值。从分子内旋转受限到分子内运动受限,从聚集诱导发光到聚集体科学,AIE领域已经取得了许多原创性的成果。在本综述中,我们从AIE材料的分类、机理、概念衍生、性能、应用和挑战等方面讨论了AIE领域最近取得的显著进展。希望本综述能激发更多关于分子聚集体的研究,并推动材料、化学和生物医学等学科的进一步交叉融合和更大发展。

醌氧化还原酶响应型光声探针的合成及其对乳腺癌的成像

醌氧化还原酶(NQO1)是生物体内的一种双电子还原反应的专性催化还原酶.在一些疾病如乳腺癌中NQO1过度表达,因此NQO1可作为生物标志物以观察乳腺癌肿瘤的产生和发展.目前已有一些文献报导用于NQO1检测和荧光成像的荧光探针,但大部分这些探针具有吸收波长较短、背景干扰较强、组织穿透深度较低等不足.为克服荧光探针成像的上述缺陷,我们构建出一种具有推拉电子结构的可对NQO1响应的新型近红外光声探针TPA-X-Q.实验结果表明,该探针可在生物体内和体外对NQO1进行专一性的增强型光声检测和成像,并可提供高分辨率的实时光声信号图像.此外,这种新型的光声探针能够成功应用于乳腺癌小鼠模型,对乳腺癌肿瘤中过量表达的NQO1进行灵敏准确的光声检测与成像,借助多光谱光声断层扫描技术(MSOT)的三维光声图像重建功能,可实现肿瘤病灶区域的定位.

Case-based learning in education of Traditional Chinese Medicine: a systematic review

OBJECTIVE:To assess the effect of case-based learning(CBL)in the education of Traditional Chinese Medicine(TCM).METHODS:The studies concerning TCM courses designed with CBL were included by searching the databases of EBSCO,Pubmed,Science Citation Index,China National Knowledge Infrastructure,Chongqing VIP database.The valid data was extracted in accordance with the included criteria.The quality of the studies was assessed with Gemma Flores-Masteo.RESULTS:A total of 22 articles were retrieved that met the selection criteria:one was of high quality;two were of low quality;the rest were categorized as moderate quality.The majority of the studiesdemonstrated the better effect produced by CBL,while a few studies showed no difference,compared with the didactic format.All included studies confirmed the favorable effect on learners'attitude,skills and ability.CONCLUSION:CBL showed the desirable results in achieving the goal of learning.Compared to didactic approach,it played a more active role in promoting students'competency.Since the quality of the articles on which the study was based was not so high,the findings still need further research to become substantiated.

阴离子表面活性剂锚定实现23.4%转换效率的反式钙钛矿太阳能电池

金属卤化物钙钛矿薄膜缺陷处的非辐射复合损失仍然是阻碍钙钛矿太阳能电池光伏性能和稳定性进一步提高的主要原因.本文中,我们报道了一种可行的多功能添加剂策略,通过使用硬脂酸铯来钝化钙钛矿薄膜中的缺陷,同时提高对光和湿度的耐受性.实验证明,目标薄膜中的非辐射复合损失得到了有效抑制,同时硬脂酸铯提高了薄膜结晶度,降低了陷阱态密度,增强了界面载流子的分离和传输.因此,本策略将p-i-n反式结构钙钛矿太阳能电池的功率转换效率提高到23.41%.该器件在没有封装的情况下以及潮湿空气中表现出良好的长期稳定性,在720 h后仍能保持初始效率的91.6%.

Highly dispersed Ni/MgO-mSiO_(2)catalysts with excellent activity and stability for dry reforming of methane

Highly dispersed Ni catalyst and alkaline promoters supported by mesoporous SiO_(2)nanospheres were synthesized and applied as an active and stable catalyst for dry reforming of methane(DRM).The as-prepared Ni/MgO-mSiO_(2)catalyst showed stable conversions of CH4 and CO_(2)around 82%and 85%in 120 h of DRM reaction,which was superior in performance compared to similar catalysts in literatures.Based on the transmission electron microscope(TEM)images,energy-dispersive spectroscopy(EDS),CO-pulse adsorption,temperature programmed reduction of the oxidized catalysts by hydrogen(H_(2)-TPR),X-ray photoelectron spectroscopy(XPS),temperature-programmed desorption of CO_(2)(CO_(2)-TPD),and thermal gravitational analysis(TGA),the promotion effect of MgO on the Ni catalyst was systematically studied.The introduction of Mg^(2+)in synthesis enhanced the interaction between Ni^(2+)and mSiO_(2),which led to a high dispersion of active centers and a strong“metal–support”interactions to inhibit the sintering and deactivation of Ni at reaction temperatures.On the other hand,Ni and MgO nanoparticles formed adjacently on mSiO_(2),where the“Ni-MgO”interface not only improved the Ni0 distribution and promoted the cracking of CH_(4)but also promoted the activation of CO_(2)and the elimination of carbon deposits.A high and stable conversion of CH4 and CO_(2)were then achieved through the synergistic effect of Ni catalyst,MgO promoter,and mSiO_(2)support.

Local and long-range transport influences on PM_(2.5) at a cities-cluster in northern China,during summer 2008

Hourly PM2.5 concentrations were observed simultaneously at a cities-cluster comprising 10 cities/towns in Hebei province in China from July 1 to 31, 2008. Among the 10 cities/towns, Baoding showed the high- est average concentration level （161.57μg/m3） and Yanjiao exhibited the lowest （99.35 μg/m3 ）. These observed data were also studied using the joint potential source contribution function with 24-h and 72-h backward trajectories, to identify more clearly the local and countrywide-scale long-range transport sources. For the local sources, three important influential areas were found, whereas five important influential areas were defined for long-range transport sources. Spatial characteristics of PM2.5 were determined by multivariate statistical analyses. Soil dust, coal combustion, and vehicle emissions might be the potential contributors in these areas. The results of a hierarchical cluster analysis for back trajectory endpoints and PM2.s concentrations datasets show that the spatial characteristics of PM2.5 in the cities-cluster were influenced not only by local sources, but also by long-range transport sources. Different cities in the cities-cluster obtained different weighted contributions from local or long-range transport sources. Cangzhou, Shijiazhuang, and Baoding are near the source areas in the south of Hebei province, whereas Zhuozhou, Yangfang, Yanjiao, Xianghe, and Langfang are close to the sources areas near Beijing and Tianjin.

Near-Infrared Fluorescent Nanoprobe for Detecting Hydrogen Peroxide in Inflammation and Ischemic Kidney Injury

of main observation and conclusion In-situ overexpressed hydrogen peroxide could serve as a biomarker for inflammation and ischemic kidney injury.Herein,a nanoprobe was developed for assay of hydrogen peroxide.The nanoprobe(TA-TPABQ)was formed via the boronate ester groups between the hydrophilic tannic acid and the boric-acid-containing compound(TPABQ)as well as the hydrophobic interactions.The probe with good photostability shows good sensitivity and selectivity towards H2O2-The probe was adopted for identifying endogenous and exogenous H2O2 in living cells.Moreover,the probe was utilized for in vivo imaging experiments in acute abdomina and ankle inflammation mouse models as well as acute renal ischemia mouse model.

Clinical Practice Guideline of Acupuncture for Bell's Palsy

Backgroud: Acupuncture is common used for Bell's palsy in clinic, however, recent systematic reviews all shows that there is no sufficient evidence to support the effectiveness of acupuncture for Bell's palsy because ofthe poor quality and heterogeneity. It's urgently necessary to develop a guideline of acupuncture for Bell's palsy based on principles of evidence-based medicine to optimize acupuncture treating,standardize outcomes evaluating and to improve the quality of acupuncture for patients with Bell's palsy under general circumstances.Objective: To improve the accuracy of diagnosing and managing Bell's palsy, optimize acupuncture treating and outcomes evaluating for patients with Bell's palsy, and to improve the quality of acupuncture for patients with Bell's palsy in most instances.Methods: This guideline was developed using an explicit and transparent a priori protocol based on supporting evidences and experts' consensus. The guideline developing Group followed the protocol through all stages of the development process: proposed clinical questions,searched clinical evidences, evaluated levels of evidences, developed recommendations, peer reviewed and consummated, and finally formed the draft of this guideline.Results:(1)The guideline development group made a Grade A recommendation that ①With a course of Bell's palsy within 3 months, the patients with mild facial palsy may be treated with any one of acupuncture, western drugs, or acupuncture combing with western drugs,whereas the patients with severe facial palsy may be treated with acupuncture or acupuncture combing with western drugs. With a course of more than 3 months, acupuncture is more suitable.②Acupuncture should be applied as early as possible for Bell's palsy.③The principle of selecting acupoints for Bell's palsy is to select local points, points of corresponding meridians and those according to differentiation. Generally,the points of yangming meridians are the main ones. ④The various methods of acupuncture and moxibustion are adopted for Bell's palsy,including filiform needling, moxibustion, electro-acupuncture, etc. Two or more methods are usually used together in clinical practice.(2) The development group formed expert consensus on the principles of acupuncture treatment for Bell' palsy. Bell's palsy is suitably treated according to the stages, differentiation and symptoms.