Application of Guizhi Fuling Pill in Gynecology

This paper reviews the research progress of Guizhi Fuling Pill in the clinical application of gynecology,such as the treatment of uterine leiomyoma,ovarian cyst,infertility and dysmenorrhea,in order to provide further research ideas for clinical researchers.

基于系统评价和网络药理学分析桂枝茯苓丸治疗冠心病的疗效及其抗动脉粥样硬化的作用机制

目的运用系统评价对桂枝茯苓丸治疗胸痹心痛患者的疗效进一步确认,同时基于网络药理学考察桂枝茯苓丸对动脉粥样硬化可能作用机制。方法通过计算机检索2005—2023年中国知网(CNKI)、万方、维普及PubMed数据库中收录的关于桂枝茯苓丸治疗胸痹心痛的随机对照试验(RCT)文献。经过纳入、排除及筛选标准,最终纳入9篇RCT文献,采用Cochrane协作网及Review Manager 5.1软件分析,同时运用网络药理学分析桂枝茯苓丸对动脉粥样硬化可能作用机制。结果心电图疗效Meta分析结果提示:Z=2.66(P<0.05),OR及95%CI为0.17(0.05,0.30),说明观察组的心电图有效率高于对照组。心绞痛Meta分析结果提示:Z=5.71(P<0.00001),OR及95%CI为4.70(2.76,7.99),说明观察组的心绞痛有效率高于对照组。临床总疗效Meta分析结果提示:Z=4.39(P=0.0001),OR及95%CI为5.31(2.52,11.19),说明观察组的临床总有效率高于对照组。网络药理学分析提示:桂枝茯苓丸治疗动脉粥样硬化的靶点和作用机制发现,FOS、IKBKB、MAPK8和RELA是核心靶点,作用通路包括流体剪切应力、TNF、凋亡或脂质通路。结论Meta分析证实桂枝茯苓丸可以提高胸痹心痛患者的心电图疗效、心绞痛疗效及临床总有效率,但由于纳入文献的质量偏低、未提及具体分组方式、是否盲法及不良反应,确切结论仍需要高质量文献支持;桂枝茯苓丸治疗动脉粥样硬化的靶点和作用机制发现,FOS、IKBKB、MAPK8和RELA是核心靶点,作用通路包括流体剪切应力、TNF、凋亡或脂质通路。

《临证指南医案》人参-茯苓配伍应用探讨

人参-茯苓是临床上的经典配伍药对,在《临证指南医案》中多次出现。通过研究人参-茯苓配伍频次最高的篇章可以发现,叶天士将此结构主要应用于以脾胃功能失常为核心病机的病证中。叶氏传承了仲景的“肝病实脾”法,治疗木乘土相关疾病,应用参苓安土治木;丰富了仲景的痰饮学说,以“外饮治脾,内饮治肾”指导饮邪的治疗,应用参苓补脾以护中焦,固肾以立根本;针对泄泻,以人参-茯苓健脾祛湿止泄;针对虚劳,以人参-茯苓甘温建中,是“上下交损,当治其中”理论的重要体现;叶氏从三阴论治疟疾虚证,人参-茯苓配伍主要发挥理中固元安神之效。人参-茯苓配伍的应用,强调了其对中焦的固护作用,体现了叶天士从脾胃论治杂病的思想,扩展了人参-茯苓配伍的治疗范围。

少腹逐瘀颗粒联合妇乐胶囊对药物流产后子宫复旧的影响

目的探讨少腹逐瘀颗粒联合妇乐胶囊对药物流产后子宫复旧的影响。方法选择2022年1月—2022年6月于定南县第一人民医院进行药物流产的患者60例,以随机数字表法分为对照组、试验组,各30例。对照组药物流产后予益母草颗粒口服,试验组予少腹逐瘀颗粒联合妇乐胶囊口服,比较两组治疗效果、阴道出血量、月经复潮时间、首次月经量、子宫复旧情况以及药物安全性。结果试验组治疗总有效率为93.33%(28/30),高于对照组的70.00%(21/30)(P<0.05)。治疗后,试验组阴道出血量、首次月经量均少于对照组,月经复潮时间短于对照组(P<0.05)。试验组子宫复旧不良、宫腔残留发生率均低于对照组(P<0.05)。两组药物安全性比较,差异无统计学意义(P>0.05)。结论药物流产后采用少腹逐瘀颗粒联合妇乐胶囊治疗效果较好,有利于减少患者阴道出血量、缩短月经复潮时间,避免发生宫腔残留,并促进子宫复旧,值得临床广泛应用。

茯苓四逆汤对脓毒性心肌病患者免疫麻痹的干预作用

目的 观察茯苓四逆汤对脓毒性心肌病(SCM)患者免疫麻痹的干预作用。方法 60例患者按随机数字表法分为对照组与治疗组各30例。两组均给予常规治疗,治疗组在常规治疗基础上加用茯苓四逆汤,两组疗程均为8 d。观察对比两组治疗前、治疗第4天、治疗第8天无创血流动力学监测心输出量(CO)、心脏功能指数(CPI)、格兰夫-高尔指数(GGI)变化;对比治疗前、治疗第4天,治疗第8天免疫指标淋巴细胞亚群(CD4+、CD8+、CD4+/CD8+)、自然杀伤细胞(NK细胞)、单核细胞HLA-DR、白细胞介素-10(IL-10)的变化。结果 治疗组在治疗第4天、治疗第8天心功能指标CO、CPI、GGI明显优于对照组(P<0.05或P<0.01);治疗第4天、第8天时治疗组免疫抑制指标IL-10明显低于对照组(P<0.05或P<0.01);治疗组免疫指标CD4+、CD4+/CD8+、NK、HLA-DR在治疗第4天、第8天时明显高于对照组(P<0.05或P<0.01)。结论 茯苓四逆汤能增强患者免疫功能,改善免疫麻痹状态并改善心功能。

桂枝茯苓胶囊联合康妇消炎栓对卵巢囊肿临床症状的影响

目的探究桂枝茯苓胶囊联合康妇消炎栓对卵巢囊肿临床症状的影响。方法选取112例研究对象均为门诊部2023年3月至2024年1月收治的卵巢囊肿患者,采用随机数字表法分为对照组、观察组,各56例,对照组使用康妇消炎栓治疗,观察组使用桂枝茯苓胶囊联合康妇消炎栓治疗,对比两组治疗前后卵巢体积、卵巢功能、治疗效果。结果治疗前,两组患者卵巢平均体积(MOV)、较大侧卵巢体积(MaxOV)对比无统计学意义(P>0.05),治疗后,观察组患者MOV、MaxOV低于对照组(P<0.05);治疗前,两组患者雌二醇(E_(2))、抗缪勒管激素(AMH)、促卵泡激素(FSH)对比无统计学意义(P>0.05),治疗后,观察组患者AMH水平高于对照组,E_(2)、FSH水平低于对照组(P<0.05);观察组治疗有效率高于对照组(P<0.05)。结论桂枝茯苓胶囊联合康妇消炎栓治疗卵巢囊肿,能更有效地缩小卵巢体积,改善卵巢功能,并提高治疗效果。

A Quantitative Evaluation of Shale Gas Content in Different Occurrence States of the Longmaxi Formation: A New Insight from Well JY-A in the Fuling Shale Gas Field,Sichuan Basin

Comprehensive quantitative evaluation of shale gas content and the controlling factors in different occurrence states is of great significance for accurately assessing gas-bearing capacity and providing effective well-production strategies. A total of 122 core samples from well JY-A in the Fuling shale gas field were studied to reveal the characteristics of S_1 l shale,15 of which were selected to further predict the shale gas content in different occurrence states, which are dependent on geological factors in the thermal evolution process. Geological parameters were researched by a number of laboratory programs, and the factors influential in controlling shale gas content were extracted by both PCA and GRA methods and prediction models were confirmed by the BE method using SPSS software. Results reveal that the adsorbed gas content is mainly controlled by TOC, Ro, SSA, PD and pyrite content, and the free gas content is mainly controlled by S_2, quartz content, gas saturation and formation pressure for S_1 l in well JY-A. Three methods, including the on-site gas desorption method, the empirical formula method, and the multiple regression analysis method were used in combination to evaluate the shale gas capacity of well JY-A, all of which show that the overall shale gas content of well JY-A is in the range of 2.0–5.0 m^3/t and that the free gas ratio is about 50%, lower than that of well JY-1. Cause analysis further confirms the tectonics and preservation conditions of S_1 l in the geological processes, especially the influence of eastern boundary faults on well JY-A, as the fundamental reasons for the differences in shale gas enrichment in the Jiaoshiba area.

Geological significance of nickeliferous minerals in the Fule Pb–Zn deposit, Yunnan Province, China

Abstract The Fule Pb-Zn deposit is located in the Sichuan-Yunnan-Guizhou Province, and it is an important and giant low temperature metallogenic domain in China. In our research area, the Pb-Zn deposits are mainly hosted in the Permian Yangxin Formation and are composed of dolostone and limestone. The distance between the ore bodies and the Permian Emeishan basalt ranged from 50 to 160 m. In this study, the nickel rich minerals, including vaesite, polydymite and millerite, were reported for the first time in the Fule deposit. These minerals occurred as xenomorphic mineral aggregate and were sporadically distributed in the sphalerite-galena-calcite vein, which is the main ore type in the deposit. Our study indicated that the paragenetic sequence of minerals in the Fule deposit is the following order： polydymite → vaesite → mil- lerite → sphalerite → galena → tetrahedrite （tennantite）. The geological occurrence characteristics of those nicke- liferous minerals suggested that the Permian Emeishan basalt is a possible barrier layer of Pb-Zn ore-forming fluid, and it is an important source for the Ni and part of the Cu in the deposit. The Sichuan-Yunnan-Guizhou Pb-Zn mineralization province is a world-class production base of Pb and Zn, in which the Permian Emeishan basalt and Pb- Zn deposits have uniformly spatial distribution, but the relationship of mineralization between them is still under debate. This report provides new evidence for understanding the relationship between Pb-Zn mineral- ization and Permian Emeishan basalt in the Sichuan- Yunnan-Guizhou Pb-Zn mineralization province.

Production Capacity Evaluation of Horizontal Shale Gas Wells in Fuling District

One of the important indicators of shale gas reservoir excavation is capacity evaluation,which directly affects whether large-scale shale gas reservoirs can be excavated.Capacity evaluation is the basis of system analysis and dynamic prediction.Therefore,it is particularly important to conduct capacity evaluation studies on shale gas horizontal wells.In order to accurately evaluate the horizontal well productivity of shale gas staged fracturing,this paper uses a new method to evaluate the productivity of Fuling shale gas.The new method is aimed at the dynamic difference of horizontal wells and effectively analyzes the massive data,which are factors affecting the productivity of shale gas horizontal wells.According to the pressure system,production dynamic characteristics,well trajectory position,fracturing transformation mode and penetration depth,32 wells were divided into four types.Then,based on the classification,the principal component analysis methods can be used to evaluate the horizontal well productivity of shale gas.The new method of capacity evaluation has improved the accuracy by 10.25%compared with the traditional method,which provides a theoretical basis for guiding the efficient development of the horizontal wells of Fuling shale gas.

Geology and geomechanics of hydraulic fracturing in the Marcellus shale gas play and their potential applications to the Fuling shale gas development

Geological characteristics,geomechanical behavior and hydraulic fracture propagation mechanism in the Marcellus shale gas play are analyzed and compared with China’s Fuling shale play.Successful experiences in hydraulic fracturing and shale gas development in the Marcellus shale gas play are summarized,which might be applicable in other shale plays.The main factors contributing to the successful development of the Marcellus shale gas play include adoption of advanced drilling and completion technologies,increases of hydraulic fracturing stages,proppant concentration and fluid injection volume.The geological and geomechanical mechanisms related to those technologies are analyzed,particularly the in-situ stress impacts on hydraulic fracturing.The minimum horizontal stress controls where the fractures are initiated,and the maximum horizontal stress dominates the direction of the hydraulic fracture propagation.Hydraulic fracturing performed in the shale reservoir normally has no stress barriers in most cases because the shale has a high minimum horizontal stress,inducing hydraulic fractures propagating beyond the reservoir zone,resulting in inefficient stimulation.This is a common problem in shale plays,and its mechanism is studied in the paper.It is also found that the on-azimuth well has a higher productivity than the off-azimuth well,because shear fractures are created in the off-azimuth well,causing main fractures to kink and increasing fracture tortuosity and friction.The Fuling shale gas play has a markedly higher minimum horizontal stress and much smaller horizontal stress difference.The high minimum horizontal stress causes a much higher formation breakdown pressure;therefore,hydraulic fracturing in the Fuling shale gas play needs a higher treatment pressure,which implies higher difficulty in fracture propagation.The small difference in the two horizontal stresses in the Fuling shale gas play generates shorter and more complex hydraulic fractures,because hydraulic fractures in this case are prone to curve to preexisting fractures.To overcome these difficulties,we recommend reducing well spacing and increasing proppant concentration to increase gas productivity for the Fuling shale gas development.

An overview of the geology and production of the Fuling shale gas field,Sichuan Basin,China

The Fuling shale gas field in China is the largest shale gas field as well as the largest of its type discovered in any Lower Paleozoic formation.In this study,the geology and production of the upper and lower gas layers in the Fuling shale gas field are evaluated in terms of structure,shale quality,fault,initial production,and estimated ultimate recovery(EUR).The shale in the lower gas layer of the Jiaoshiba anticline is a high-quality reservoir,where the space is dominated by organic pores in kerogen,and the gas content is high.The shale gas wells reveal relatively high initial production and EUR.However,the shale in the upper gas layer of the Jiaoshiba anticline has reservoir space mainly composed of clay mineral pores and organic pores within bitumen,and the gas content is low.In terms of structure,primary gas migration may occur in the upper gas layer,resulting in free gas accumulation in the structural high,where the development effects are generally better than those in the structural low.The lower gas layer in the Pingqiao anticline,is the main interval for shale gas accumulation and development due to the high-quality shale.Under the influence of faults,the efficiency of exploration wells emplaced on top of the anticline is much lower a compared with those in the flanks.The residual synclines close to the Sichuan Basin,including the Baima and Baitao anticlines,are characterized by more recent uplifts,larger area,greater distance from the deep and large faults,and early fracture closure.Therefore,we recommend that the shale gas exploration and development should be carried out preferentially in areas close to the center of the residual synclines,featuring relatively high-pressure coefficient and moderate burial depth.

Theory,technology and practice of shale gas three-dimensional development:A case study of Fuling shale gas field in Sichuan Basin,SW China

In the Jiaoshiba block of the Fuling shale gas field,the employed reserves and recovery factor by primary well pattern are low,no obvious barrier is found in the development layer series,and layered development is difficult.Based on the understanding of the main factors controlling shale gas enrichment and high production,the theory and technology of shale gas three-dimensional development,such as fine description and modeling of shale gas reservoir,optimization of three-dimensional development strategy,highly efficient drilling with dense well pattern,precision fracturing and real-time control,are discussed.Three-dimensional development refers to the application of optimal and fast drilling and volume fracturing technologies,depending upon the sedimentary characteristics,reservoir characteristics and sweet spot distribution of shale gas,to form"artificial gas reservoir"in a multidimensional space,so as to maximize the employed reserves,recovery factor and yield rate of shale gas development.In the research on shale gas three-dimensional development,the geological+engineering sweet spot description is fundamental,the collaborative optimization of natural fractures and artificial fractures is critical,and the improvement of speed and efficiency in drilling and fracturing engineering is the guarantee.Through the implementation of three-dimensional development,the overall recovery factor in the Jiaoshiba block has increased from 12.6%to 23.3%,providing an important support for the continuous and stable production of the Fuling shale gas field.

Technologies in Discovery and Exploration of Fuling Shale Gas Field, China

Marine shale gas in South China is widely distributed and demonstrates an enriched resource. Compared with the North American commercial shale gas field, the shale formation in South China is featured by old age, multiple stages tectonic movements, and high thermal evolution degree and complex reservoir forming conditions. As a result, the existing theories and technical methods of exploration in North America cannot be simply applied to South China. Since 2007, based on the in-depth study on a large quantity of analytical test data, we have conducted the theory and technology research for the southern marine shale gas, found Wufeng-Longmaxi Group deep water shelf high-quality shale gas critical parameters coupling laws, proposed the “Binary Enrichment” theory for highly evolved marine shale gas in southern complex tectonic zone, and established a zone selection and evaluation criteria, which are based on the quality of shale, for the key of preservation condition, and for the purpose of economy. Taking this as a guide, we selected Longmaxi formation Lower Silurian of Fuling area in southeastern Sichuan Province as the preferred breakthrough field for the shale gas exploration. The Jiaoye 1 well has the daily gas production of 20.3 × 104 m3, which embarked the found of China’s first large-scale business development gas field, the Fuling shale gas field. And we submit the first domestic shale gas proven reserves of 1067.5 × 108 m3. The Fuling shale gas reservoirs are deep water shelf marine high-quality shale, with favorable thickness and even distribution, without dissection in the middle. They are typical self-generation and self-storage shale gas reservoirs. The gas fields have high production gas well;high pressure gas reservoir, good gas components and good exploit results, and there for the Fuling shale gas field is characterized by mid-depth, high pressure, high reservoir pressure, and high quality gas accumulation. Up to March 24, 2014, all of the 101 fracture-gas testing wells have obtained middle and upper shale airflow, with the average single well test production of 32.6 × 104 m3/d. In the exploration and development process, technology series in geological evaluation, horizontal well, drilling, well completion, piecewise fracturing techniques have been gradually formed. It is of great importance to commercially develop the domestic shale gas and promote the restructuring of China’s energy structure.

Traditional herbal medicines,Fuling,Baizhu,and Danggui,promote the proliferation of human Schwann cells

Enhancing Schwann cell proliferation may be beneficial for peripheral nerve repair and nerve regeneration. A traditional herbal formula composed of Fuling （poria cocos）, Baizhu （Atractylodes macrocephala）, and Danggui （Angelica sinensis） （FBD） improves neuronal survival and growth, and FBD may promote the secretion of brain-derived neurotrophic factor. However, the mechanism underlying Schwann cell proliferation remains unclear. We tested whether FBD enhanced the proliferation of human Schwann cells. FBD （20 ug/mL） increased Schwann cell viability and survival and increased the number of cells at G2/M and S phases. FBD also increased nerve growth factor and brain-derived neurotrophic factor expression in Schwann cells, with maximum efficacy at 20 ug/mL.

Effect of Guizhi Fuling capsule and its extracts on human breast cancer cells proliferation

OBJECTIVE To evaluate the effect of Guizhi Fuling Capsule active pharmaceutical ingredient(API)and its fractions on human breast cancer cells proliferation by high-throughput screening assay.METHODS The crude fractions were obtained from the extraction and elution of the API of Guizhi Fuling Capsule,and 929 standard fractions were obtained by the optimal separation conditions.Sulforhodamine B(SRB)method was used to evaluate the effects of the Guizhi Fuling capsule API and929 kinds of fractions on the proliferation of human breast cancer cells MCF-7 and MDA-MB-231.RESULTS The Guizhi Fuling capsule API had a strong ability to inhibit the proliferation of MCF-7 cells at high concentration and the ability to inhibit MDA-MB-231 cells' proliferate at low concentration following 72 h treatment;some samples of 929 fractions(5μg·mL^(-1))was found to have a breast cancer cell growth inhibition rate above 50%,without toxicity on HUVECs proliferation.CONCLUSION The API of Guizhi Fuling capsule had significant cytotoxicity effects on these two human breast cancer cells,with significant concentration-and time-dependent manner.

A network pharmacology approach to explore action mechanisms of Bi xie and Tu fuling for treating gouty arthritis

Objective:The mechanism of Chinese herbal medicine"Bi xie and Tu fuling"on the treatment of gouty arthritis was explored through network pharmacological methods.Methods:First,the TCMSP Chinese medicine system pharmacology database and analysis platform were used to define the bioavailability(OB)30%and drug-likeness(DL)0.18.Database to mine genetic targets related to gouty arthritis disease.Finally,the two genes are intersected to construct a Chinese medicine regulatory network of Chinese medicine-components-target genes-disease.The genes in the network are used to construct a protein interaction network to find core genes for analysis of GO and KEGG.Results:There were a total of 84 active ingredients in Chinese medicine Poria and Poria cocos,and 17 effective ingredients and 180 genetic targets were obtained after screening.600 disease targets for gouty arthritis were identified,and 58 were common target genes for both.PPI network analysis revealed that IL1β,VEGFA,MAPK1,IL10,and PTGS2 may be drugs for treating gouty arthritis.Key targets.GO enrichment analysis identified 1,399 entries(P<0.05),of which biological processes mainly include biological stimulation,biological regulation,cell metabolism,etc;KEGG pathway enrichment analysis identified 152 signal pathways,of which signal pathways involved inflammation,metabolism,In terms of aging,mainly including the IL-4,IL-10,IL-13,IL-17signal pathway,etc.Conclusion:"Bi xie and Tu fuling"drugs have anti-inflammatory and immunological effects on gouty arthritis through multiple targets and multiple pathways.The mechanism of lowering uric acid and protecting liver and kidney is not clear.It needs molecular biology research to improve it.The mechanism of the action of the"Bi xie and Tu fuling"medicine pair provides new ideas for the clinical prescriptions.

Study on the mechanism of Guizhi Fuling pill in the treatment of ovarian cancer based on network pharmacology and molecular docking

Objective:To explore the main active components and mechanism of Guizhi Fuling pill in the treatment of ovarian cancer based on network pharmacology and molecular docking technology.Methods:TCMSP database was used to retrieve and screen the active components of each Chinese medicine in Guizhi Fuling pill.The main active components of the medicine were screened through the network analysis function of Cytoscape software,and the target of the main active components of the medicine was found in UniProt database.Using genecards,OMIM,digsee,TTD,and drugbank database to retrieve the related targets of ovarian cancer.The interaction between the target of the main active components of the drug and the related target of ovarian cancer was obtained by R software.The intersection targets are imported into string database for PPI analysis,and then the results are imported into Cytoscape to get the hub gene using the cyclohubba plug-in.KEGG pathway analysis and go enrichment analysis were carried out in metascape database.At last,autodock tools was used to verify the main active ingredients and the selected target proteins.PyMOL and LigPlus software visualized the results.Results:The main active components of Guizhi Fuling pills were quercetin,β-sitosterol,kaempferol,hederagenin,catechin,ellagic acid,stigmasterol and Douglas fir.There are 20 pivotal genes of drug effect on ovarian cancer,including VEGFA,AKT1,mapk8,Jun,MMP9,IL6,TNF,CXCL8,PTGS2,TP53,CASP3,mapk1,EGF,ESR1,EGFR,Myc,FOS,CCL2,CXCL8 and IL1B.According to KEGG pathway analysis,10 pathways with the highest correlation were found:cancer signaling pathway,MAPK signaling pathway,fluid shear stress and atherosclerosis,hepatitis B,trypanosomiasis,age-rage signaling pathway in diabetic complications,tumor necrosis factor signaling pathway,pertussis,IL-17 signaling pathway,and bladder cancer.Go enrichment analysis has screened out 10 important items in molecular biological function,cell components and biological process.The proteins encoded by IL6,mapk1,VEGFA,AKT1,TP53,TNF and CCL2 were used as targets to dock with the main active components of the drug respectively,and the best results were TNFαand ellagic acid.Conclusion:The main active components of Guizhi Fuling pill regulate multiple signal pathways by regulating IL6,VEGFA,CCL2,TNF,MMP9 and other cytokines,and inhibit the proliferation and metastasis of cancer cells.

Network pharmacology-based approach to investigate the mechanisms of Guizhi Fuling pill in the treatment of atherosclerosis

Objective:To investigate the mechanism of action of Guizhi Fuling pill in the treatment of atherosclerosis with network pharmacology.Methods:The active components of Guizhi Fuling pill were screened by specific ADME features on Traditional Chinese Medicine Systems Pharmacology platform,and their targets were obtained.Targets of atherosclerosis were extracted and screened from GeneCards database,OMIM database,DrugBank database and DisGeNET database,and the intersection of component targets and disease targets were regarded as potential targets.The protein-protein interaction network of potential targets was constructed by STRING database and Cytoscape 3.7.2.GO analysis and KEGG pathway analysis of potential targets were performed by Metascape platform.The“drugs-componenst-targets-pathways”network was constructed by Cytoscape 3.7.2.SwissDock was used for molecular docking of active components and key targets.Results:The main components of Guizhi Fuling pill in the treatment of atherosclerosis were quercetin,beta-sitosterol,kaempfero,hederagenin,baicalein,etc.The key targets mainly included PGST2,RELA,AKT1,etc.Molecular docking analysis showed that the binding energy of the main active components to the core target was less than-7 kcal/mol.The associated pathways mainly included fluid shear stress and atherosclerosis,PI3K-Akt signaling pathway and AGE-RAGE signaling pathway.Conclusion:Through this study,we initially revealed the possible mechanism of Guizhi Fuling pill in treating atherosclerosis through anti-inflammatory,reducing blood lipids,and regulating endothelial function.

Effect of Guizhi Fuling Capsule on sex hormone level and tumor markers in patients with uterine fibroids

Objective:To investigate the effect of Guizhi Fuling Capsule on sex hormones and tumor markers in patients with uterine fibroids, and observe its clinical efficacy.Methods: A total of 120 patients with uterine fibroids who were treated in our hospital from August 2016 to August 2017 were selected according to the order of treatment and divided into observation group and control group, 60 cases each. Mifepristone was administered to the control group and mifepristone combined with Guizhi Fuling Capsules was administered to the observation group. The levels of hemoglobin, vascular endothelial growth factor (VEGF), sex hormones, tumor markers, and inflammatory factors before and after treatment were compared between the two groups.Result:The levels of hemoglobin, vascular endothelial growth factor (VEGF), sex hormones, tumor markers, and inflammatory factors before and after treatment were compared between the two groups. After treatment, hemoglobin levels increased significantly in the two groups, VEGF, sex hormones FSH, LH and E2, tumor markers HE4, CA125, inflammatory cytokines TNF-α and IFN-γ levels decreased significantly. The hemoglobin level of the observation group was (117.09±11.51) g/L higher than that of the control group , and the level of VEGF was (0.69±0.06) pg/mL lower than that of the control group. The levels of sex hormone FSH, LH and E2 in the observation group were (15.87±1.56) U/L, (10.69±1.06) U/L and (4.95±0.51) pmol/L lower than those of the control group. The levels of HE4, CA125, TNF-α and IFN-γ gamma in the observation group were (52.47±5.24) pmol/L, (15.46±1.53) U/mL, (40.41±4.05) and (16.72±1.62) pg/mL lower than those of the control group.Conclusion:Guizhi Fuling Capsule can significantly improve the level of sex hormones and tumor markers, relieve inflammatory stress and improve the therapeutic effect.

Guizhi Fuling capsule can induce apoptosis of myeloma cells through the mitochondrial apoptosis pathway

Objective To observe the effects of Guizhi Fuling capsule(GZFLC)on RPMI 8226 cells and explore the mechanisms.Methods Cell Counting Kit-8(CCK-8)assays and flow cytometry were used to detect the viability and apoptosis levels of RPMI 8226 cells.The effects on mitochondria were examined by ROS and JC-1 assays.Western blotting was used to detect the expression of B cell lymphoma-2(Bcl-2),Bax,cleaved caspase-3,and Apoptotic protease-activating factor 1(Apaf-1).Results GZFLC drug serum decreased the viability and increased the apoptosis of RPMI 8226 cells.In addition,this drug increased ROS levels and decreased the mitochondrial membrane potential(MMP).Western blotting showed that the Bcl-2/Bax ratios were decreased in the GZFLC drug serum-treated groups,whereas the expression levels of cleaved caspase-3 and Apaf-1 were increased.Conclusion GZFLC promoted apoptosis of myeloma cells through the mitochondrial apoptosis pathway.