Clinical Study on Application of Xinrun Tongluo Method Based on the Theory of Collateral Diseases in Treating Androgenic Baldness of Blood Heat Wind Dryness Syndrome

[Objectives]To explore the intervention effect of the representative formula of Xinrun Tongluo method,Liangxue Xiaofeng Powder,on the incidence of androgenic alopecia in the syndrome of blood heat and wind dryness.[Methods]A total of 72 patients with androgenic alopecia in Suzhou TCM Hospital Affiliated to Nanjing University of Chinese Medicine from October,2022 to June,2023 were randomly divided into a control group(36 cases,treated with Western medicine)and a treatment group(36 cases,treated with Chinese herbal formula+Western medicine).The short-term and long-term efficacy of the two groups of patients was compared.[Results]The hair microscopic signs and short-term and long-term efficacy of the treatment group were significantly better than those of the control group before and after treatment,with a statistically significant difference(P<0.05).[Conclusions]The representative formula of Xinrun Tongluo method is Liangxue Xiaofeng Powder,which has better clinical efficacy as an auxiliary Western medicine in the treatment of androgenic alopecia patients with blood heat and wind dryness syndrome,and is worthy of further promotion and application in clinical practice.

Effects of Traditional Chinese Herbal Medicines on Blood Ions and Enzymes of Egg-laying Hens Under Heat Stress

[Objective] This study was conducted to investigate the effects of tradi- tional Chinese herbal medicines on blood biochemical indices of egg-laying hens under heat stress and to provide theoretical basis for clinical application of the medicines. [Method] One hundred of 88-day-old ISA-Brown hens were randomly di- vided into five groups. The hens in four groups were administrated with Prescription I herbal medicines, Prescription II herbal medicines, Vc and blank control under ar- tificially simulated heat stress, respectively. The last group was raised under normal temperature condition. Blood samples of the hens were collected on 1, 4, 8 and 10 d later and detected for their biochemical indices. [Result] The blood sodium （Na）, phosphorus （P）, potassium （K） and chlorine （CI） concentrations in hens under heat stress were decreased, while the activities of alanine aminotransferase （ALT）, lactate dehydrogenase （LDH） and creatine kinase （CK） were increased. These indices grad- ually returned to normal levels after the use of traditional Chinese herbal medicines. [Conclusion] The herbal medicines can relieve the adverse effects caused by heat stress to blood biochemical indices via different metabolic pathways of ions and en- zymes.

Effects of Bupleurum extract on blood metabolism, antioxidant status and immune function in heat-stressed dairy cows

This experiment was conducted to evaluate the effects of Bupleurum extract （BE） on blood metabolites, antioxidant status, and immune function in dairy cows under heat stress. Forty lactating Holstein cows were randomly assigned to 1 of 4 treatments. The treatments consisted of 0, 0.25, 0.5, and 1.0 g of BE kg-1 dry matter. Supplementation with BE decreased （P〈0.05） blood urea nitrogen （BUN） contents and increased blood total protein （TP） and albumin （ALB） levels compared with control cows, but it had no effects （P〉0.05） on blood glucose （GLU）, nonesterified fatty acid （NEFA）, total triglycedde （TG）, low-density lipoprotein cholesterol （LDL-C）, and high density lipoprotein cholesterol （HDL-C）. Compared with control cows, cows fed BE had higher （P〈0.05） superoxide dismutase （SOD） and glutathione peroxidase （GSH-Px） activity. However, supplementation with BE had no effect （P〉0.05） on total antioxidant capacity （T-AOC） or malondialdehyde （MDA） levels. The immunoglobulin （Ig） A and G contents increased （P〈0.05） in cows fed 0.25 or 0.5 g of BE kg-1. Interleukin （IL）-2 and IL-4 levels were higher （P〈0.05） in cows fed 0.5 and 1.0 g of BE kg-1, and IL-6 was significantly elevated （P〈0.05） in cows fed 0.5 g of BE kg-1. There were no treatment effects （P〉0.05） on the CD4＋ and CD8＋ T lymphocyte ratios, CD4＋/CD8＋ratio, or tumor necrosis factor-α （TNF-α） level among the groups. These findings suggest that BE supplementation may improve protein metabolism, in addition to enhancing antioxidant activity and immune function in heat-stressed dairy cows.

Mathematical Analysis of Unsteady MHD Blood Flow through Parallel Plate Channel with Heat Source

In the present study, a mathematical model of unsteady blood flow through parallel plate channel under the action of an applied constant transverse magnetic field is proposed. The model is subjected to heat source. Analytical expressions are obtained by choosing the axial velocity;temperature distribution and the normal velocity of the blood depend on y and t only to convert the system of partial differential equations into system of ordinary differential equations under the conditions defined in our model. The model has been analyzed to find the effects of various parameters such as, Hartmann number, heat source parameter and Prandtl number on the axial velocity, temperature distribution and the normal velocity. The numerical solutions of axial velocity, temperature distributions and normal velocity are shown graphically for better understanding of the problem. Hence, the present mathematical model gives a simple form of axial velocity, temperature distribution and normal velocity of the blood flow so that it will help not only people working in the field of Physiological fluid dynamics but also to the medical practitioners.

Meta-analysis of clinical effect of clearing heat and cooling blood on psoriasis and its effect on inflammatory cytokines

Objective:To evaluate the effect of Qingreliangxue method compared with Acitretin Capsules on clinical efficacy of psoriasis and serum inflammatory cytokines.Methods:The computer searches databases such as CNKI,Wanfang,VIP,PubMed,Embase and Cochrane Library.The search time is from the time the library is built until December 2019.According to the criteria for screening and selection of studies,extract data,use risk assessment tools for quality evaluation,and use Revman 5.3 software to perform meta-analysis on the outcome indicators of the included studis.Results:Finally,20 studies were included,with a total of 1592 patients.The analysis results showed that the total effective rate(OR=3.70,95%CI[2.58,5.30],P<0.00001)and cure rate(OR=2.40,95%CI[1.86,3.10],P<0.00001),PASI score(OR=-2.65,95%CI[-3.60,-1.70],P<0.00001),serum inflammatory cytokines(OR=-8.84,95%CI[-10.52,-7.16],P<0.00001),adverse reactions(OR=0.25,95%CI[0.11,0.57],P=0.001)are superior to Acitretin Capsules.Statistics of the top 10 Chinese medicines in clinical used frequency are,in order,habitat,red peony root,paeonol,honeysuckle,comfrey,soil tuckahoe,salvia miltiorrhiza,buffalo horn,heliotrope,angelica.Conclusion:Based on the current evidence,the treatment of psoriasis with clearing heat and cooling blood as the mainstay of Chinese medicine alone or in combination with Acitretin Capsules can better improve the efficacy,and its mechanism may be related to reducing inflammation.Due to the limitation of the included literature,this conclusion needs to be further verified.

Clinical effect of enriching qi, activating blood circulation, clearing away dampness and heat combined with western medicine in the treatment of idiopathic membranous nephropathy: A meta-analysis

Objective:To systemically review the efficacy and safety about the method of enriching qi,activating blood circulation,clearing away dampness and heat combined with western medicine in the therapy of patients with idiopathy membranous nephropathy(IMN).Methods:We collected the randomized controlled trials(RCTs)of enriching qi,activating blood circulation,clearing away dampness and heat for the treatment of IMN from Pub Med,The Cochrane Library,Medline,China National Knowledge Infrastructure(CNKI),China Biology Medicine disc(CBM),Wanfang Data and Wiper Databases.Bias of risk of retrieval literature was evaluated according to Cochrane Collaboration standard,and Review Manager 5.3 software was used for statistical analysis.Results:Fourteen trials(836 participants)were included in the meta-analysis.This kind of traditional Chinese method combined with western medicine in the treatment of IMN exerted statistical differences in reducing 24-hour urinary protein[WMD=-0.97,95%CI(-1.30,-0.65),Z=5.86(P<0.00001)]and elevating serum albumin[WMD=3.83,95%CI(2.10,5.57),Z=4.33,P<0.0001],lowering serum cholesterol[WMD=-0.82,95%CI(-1.08,-0.56),Z=6.18,P<0.00001],triglycerides[WMD=-0.39,95%CI(-0.67,-0.11),Z=2.77,P=0.006]and reducing the risk of adverse events[OR=0.29,95%CI[0.16,0.50],Z=4.35,P<0.0001]in the patients with IMN as compared with controls.However,there was no statistically significant difference between the method and controls when combining all trials in serum creatinine[WMD=-5.52,95%CI(-18.06,7.03),Z=0.86,P=0.39],when combining all trials in urea nitrogen[WMD=-0.90,95%CI(-2.22,0.41),Z=1.35,P=0.18].Conclusion:The method of enriching qi,activating blood circulation,clearing away dampness and heat combined with western medicine exerts certain advantages and better safety in treating patients with IMN.However,for the inferiority of the included studies,the conclusion still needs high-quality and large-sample prospective randomized controlled trials to verify.

Extended Generalized Riccati Equation Mapping for Thermal Traveling-Wave Distribution in Biological Tissues through a Bio-Heat Transfer Model with Linear/Quadratic Temperature-Dependent Blood Perfusion

Analytical thermal traveling-wave distribution in biological tissues through a bio-heat transfer (BHT) model with linear/quadratic temperature-dependent blood perfusion is discussed in this paper. Using the extended generalized Riccati equation mapping method, we find analytical traveling wave solutions of the considered BHT equation. All the travelling wave solutions obtained have been used to explicitly investigate the effect of linear and quadratic coefficients of temperature dependence on temperature distribution in tissues. We found that the parameter of the nonlinear superposition formula for Riccati can be used to control the temperature of living tissues. Our results prove that the extended generalized Riccati equation mapping method is a powerful tool for investigating thermal traveling-wave distribution in biological tissues.

A Mathematical Model to Solve Bio-Heat Transfer Problems through a Bio-Heat Transfer Equation with Quadratic Temperature-Dependent Blood Perfusion under a Constant Spatial Heating on Skin Surface

We consider the one-dimensional bio-heat transfer equation with quadratic temperature-dependent blood perfusion, which governs the temperature distribution inside biological tissues. Using an extended mapping method with symbolic computation, we obtain the exact analytical thermal traveling wave solution, which describes the non-uniform temperature distribution inside the bodies. The found exact solution is used to investigate the temperature distribution in the tissues. It is found that the surrounding medium with higher temperature does not necessarily imply that the tissue will quickly (after a short duration of heating process) reach the desired temperature. It is also found that increased perfusion causes a decline in local temperature.

Study on the relationship between syndrome characteristics degree and inflammatory factor and negative emotional scale in"double heart disease"patients with Qi stagnation blood stasis and heart gallbladder heat stagnation

Objective:To Discuss the correlation between Hypersensitivity C-reactive Protein(Hs-CRP),Total Cholesterol(TC),Triglyceride(TG),negative emotion scale and TCM syndrome scores in“Double Heart Disease”patients with Qi stagnation blood stasis and heart gallbladder heat stagnation.Method:Fifty-two patients in Western Medicine Diagnosis of Double Heart Disease,in TCM syndrome identified as Qi stagnation blood stasis Heart gallbladder heat stagnation syndrome,detects it Hs-CRP,TC,TG levels by ELISA,use TCM Syndromes Scale to evaluate TCM Syndrome,use the Pittsburgh Sleep Quality Index(PSQI)and Self-rating symptom scale(SCL-90)to assess anxiety and sleep levels,analyze the correlation between TCM syndrome scores and Hs-CRP,TC,TG level,PSQI index,SCL-90 index.Result:There was a significant positive correlation between Hs-CRP,TG level and TCM Syndrome scores(P<0.05);TC level was postively correlated with TCM Syndrome scores,but there was no statistical significance(P>0.05);There was a significant positive correlation between PSQI index,SCL-90 index and TCM Syndrome scores(P<0.05).Conclusion:In“Double Heart Disease”patients with Qi stagnation blood stasis and heart gallbladder heat stagnation,there have characteristic syndrome changes in terms of inflammatory factor level,blood lipid level and negative emotion score;Which the above indexes can reflect the severity of TCM syndromes to a certain extent and provide the basis for the effective intervention treatment of TCM.

Evaluation of the blood coagulation function, degree of inflammation as well as apoptosis in brain tissue of rat models with heat stroke

Objective:To study the blood coagulation function, degree of inflammation as well as apoptosis in brain tissue of rat models with heat stroke. Methods: Healthy male SD rats were selected as experimental animals and randomly divided into heat stroke group and control group, heat stroke group were raised under the condition of environment temperature (40.0±0.5)℃and relative humidity 60%to establish heat stroke models, the anus temperature reached 42.5℃, and the control group were conventionally raised;60 and 120 min after model establishment, the blood coagulation function, serum inflammatory factor levels as well as brain water content, the number of apoptotic cells and apoptotic molecule expression were determined respectively. Results: (1) blood biochemical indexes:Activated partial thromboplastin time (APTT) and prothrombin time (PT) of heat stroke group were longer than those of control group, and serum D-Dimer content (D-D), tumor necrosis factor-α(TNF-α), interleukin-1β(IL-1β) and IL-6 levels were significantly higher than those of control group (P<0.05);(2) the brain tissue damage indexes:brain water content, the number of apoptotic cells, Caspase-3 expression and LC3-II/LC3-I ratio of heat stroke group were significantly higher than those of control group (P<0.05). Conclusions:There are blood coagulation dysfunction and systemic inflammation activation in heat stroke model rats, and the apoptosis in brain tissue increases obviously.

Effect of Viscous Dissipation (Φ) on Temperature Distribution of Blood Plasma in Presence of a Magnetic Field

Applications of heat transfer show the variations in temperature of the body which is helpful for the purpose of thermal therapy in the treatment of tumor glands. This study considered theoretical approaches in analyzing the effect of viscous dissipation on temperature distribution on the flow of blood plasma through an asymmetric arterial segment. The plasma was considered to be unsteady, laminar and an incompressible fluid through non-uniform arterial segment in a two-dimensional flow. Numerical schemes developed for the coupled partial differential equations governing blood plasma were solved using Finite Difference scheme (FDS). With the aid of the finite difference approach and the related boundary conditions, results for temperature profiles were obtained. The study determined the effect of viscous dissipation on temperature of blood plasma in arteries. The equations were solved using MATLAB softwares and results were presented graphically and in tables. The increase in viscous dissipation tends to decrease blood plasma heat distribution. This study will find important application in hospitals.

Doctor Song Fuyin's Experience in Treating Hashimoto's Thyroiditis Based on Qi,Blood Essence and Spirit Syndrome Differentiation Stage Classification

The paper systematically summarizes the experience of Director Song Fuyin in treating Hashimoto's thyroiditis which is a typical emotional disease that causes obvious changes in organ morphology and endocrine and body fluid metabolism.It belongs to the category of psychosomatic diseases,and is the embodiment of a series of pathogenesis processes of qi disease,blood disease,essence disease and deformation in TCM theory.The whole course of the disease is dominated by the dialectical relationship of mutual influence,mutual control,mutual root and mutual use among the deity disease,qi disease,blood disease,essence and spiritual disease.Therefore,the treatment emphasizes the dialectical relationship based on qi,blood,essence and spirit.At the beginning,the treatment focuses on regulating qi and clearing heat and eliminating phlegm;at the middle stage,the treatment focuses on replenishing essence and promoting yang and eliminating wind and calming the deity;at the late stage,the treatment focuses on replenishing qi and eliminating phlegm and promoting collages.Flexible use of calming the spirits,regulating qi,dispersing essence,eliminating phlegm,promoting blood and other methods of stage classification treatment,can be targeted,improve the cure rate of the disease.This article aims to clarify the experience of Director Song Fuyin in treating Hashimoto's thyroiditis based on syndrome differentiation of qi,blood essence and spirit.

阴囊热应激对山羊血睾屏障结构和功能的影响

旨在探究热应激对山羊血睾屏障(BTB)结构和功能的影响,为山羊热应激防治提供理论依据。本研究选择6只1~1.5岁的健康雄性关中山羊,随机分为2组,每组3只。对照组正常饲喂,试验组采用改良后的阴囊热刺激法建立山羊睾丸热应激模型。利用CASA法检测精液质量变化,光镜与透射电镜观测睾丸结构,生物素示踪法显示BTB通透性改变,蛋白质印记法与免疫组织化学法检测BTB关键蛋白表达定位。热应激组中山羊睾丸指数、精子数量、精子活率、精子总运动性和精子前进运动率均显著降低(P<0.05)。热应激导致睾丸组织形态受损明显,生精细胞数量减少且排列紊乱;支持细胞内质网扩张,并出现大量空泡;支持细胞间紧密连接结构松散且不连续。热应激引起BTB通透性升高,关键连接蛋白表达水平显著降低(P<0.05),但分布定位未受影响。热应激损伤山羊睾丸组织形态,破坏支持细胞结构并降低BTB关键蛋白表达,从而导致BTB结构和功能完整性受损,造成精子质量下降,影响雄性山羊繁殖性能。

姜黄素对热应激状态下波槐杂交羊生长性能和血液生化指标的影响

本研究旨在评价不同添加剂量的姜黄素对热应激条件下波槐杂交羊生长性能及血液生化指标的影响。试验将30头体重为(28.03±0.32)kg的健康波槐杂交公羊随机分为3组,每组10只,分别饲喂0 mg/头/d(CON组)、450 mg/头/d(CUL组)、900 mg/头/d(CUH组)的姜黄素,预饲期15 d,正试期60 d。结果显示:(1)CUL组波槐杂交羊的平均日增重和总增重显著高于CON和CUH组(P<0.05)。(2)CUL组波槐杂交羊血清中的总蛋白和球蛋白含量显著高于CON和CUH组(P<0.05)。(3)CUL组杂交羊血清中的免疫球蛋白G含量显著高于CON和CUH组(P<0.05),CON和CUH组杂交羊血清中的丙二醛含量显著高于CUL组(P<0.05)。综上所述,日粮中添加450 mg/头/d的姜黄素可以改善热应激条件下波槐杂交羊的应激状态和健康状态,并进一步提高生长性能。

血热型寻常性银屑病辨治思考

在审证求机的中医思维指导下,发现血热型寻常性银屑病的“血热”只是表象,其背后隐藏着不同的病因病机,风热蕴毒入血、肝经郁热入血是其主要的两种证候,故确立以解毒和疏肝解郁治本、以清热凉血治标的总原则,可选翘根犀角地黄汤解毒凉血、丹栀逍遥散疏肝解郁,随证治之。

2型糖尿病湿热困脾证合并血脂紊乱胰岛功能变化及其影响因素分析

目的探讨2型糖尿病湿热困脾证合并血脂紊乱患者胰岛功能变化及其影响因素。方法选择2020年1月—2020年12月医院收治的2型糖尿病湿热困脾证患者100例,根据美国ATPIII评估标准将其分为血脂紊乱组62例与血脂正常组38例。比较各组SF-36积分、胰岛素分泌功能(Homeostasis model assessment-β,HOMA-β)、胰岛素抵抗水平(Homeostasis model assessment-IR,HOMA-IR)、胰岛素敏感指数(Insulin sensitivity index,ISI)、空腹C肽和空腹胰岛素。应用单因素和多因素分析法研究血脂异常的相关因素。结果高甘油三酯组与混合型高脂组空腹胰岛素水平显著高于高胆固醇组与血脂正常组,差异有统计学意义(P<0.05)。高甘油三酯组空腹C肽水平显著高于高胆固醇组,差异有统计学意义(P<0.05)。混合型高脂组与高甘油三酯组的ISI水平低于高胆固醇组(P<0.05)。高甘油三酯组HOMA-β水平明显高于高胆固醇组与血脂正常组,差异有统计学意义(P<0.05)。高甘油三酯组及混合型高脂组HOMA-IR水平显著高于高胆固醇组,差异有统计学意义(P<0.05)。两组患者在躯体疼痛、整体健康、活力、社会功能和精神健康维度方面比较,差异有统计学意义(P<0.01)。多因素Logistic分析显示,喜食油腻、吸烟史、腰围和空腹胰岛素是2型糖尿病湿热困脾证患者血脂异常的危险因素,有氧运动是2型糖尿病湿热困脾证患者血脂异常的保护因素(P<0.05)。结论不同血脂紊乱类型对胰岛功能的影响并不相同,应针对相关因素积极预防,降低胰岛分泌负担,促使胰岛功能恢复。

芪珍胶囊联合NP方案化疗对气虚血瘀兼瘀阻化热型非小细胞肺癌患者的治疗效果

目的探讨芪珍胶囊联合长春瑞滨+顺铂(NP)方案化疗对气虚血瘀兼瘀阻化热型非小细胞肺癌(NSCLC)患者的治疗效果。方法根据治疗方法的不同将82例气虚血瘀兼瘀阻化热型NSCLC患者分为对照组(n=41,NP方案化疗)和观察组(n=41,芪珍胶囊联合NP方案化疗)。比较观察组和对照组、不同病理类型及临床分期观察组患者的临床疗效。比较两组患者的生活质量和体重改善情况、气虚血瘀兼瘀阻化热症状改善情况、血常规指标[红细胞(RBC)、白细胞(WBC)、血小板计数(PLT)、血红蛋白(Hb)]及免疫功能指标(CD3^(+)、CD4^(+)、CD8^(+)水平及CD4^(+)/CD8^(+))。结果观察组患者的总有效率明显高于对照组,差异有统计学意义(P﹤0.01)。观察组中,鳞状细胞癌、腺癌、腺鳞癌患者的总有效率比较,差异无统计学意义(P﹥0.05)。观察组中,Ⅰ、Ⅱ、Ⅲ、Ⅳ期NSCLC患者的总有效率比较,差异有统计学意义(P﹤0.05)。治疗后,观察组患者的生活质量改善率明显高于对照组(P﹤0.01),两组患者体重改善率比较,差异无统计学意义(P﹥0.05)。治疗后,观察组患者气虚血瘀兼瘀阻化热各症状改善率均高于对照组(P﹤0.05)。治疗后,观察组患者WBC、PLT、CD3^(+)、CD4^(+)水平及CD4^(+)/CD8^(+)均高于对照组,CD8^(+)水平低于对照组,差异均有统计学意义(P﹤0.05)。结论芪珍胶囊联合NP方案化疗不仅可提高气虚血瘀兼瘀阻化热型NSCLC患者的临床疗效和生活质量,还可改善患者的症状、血常规指标及免疫功能。

陈华教授从“阴虚瘀热”论治小儿反复呼吸道感染经验总结

[目的]总结陈华教授从“阴虚瘀热”论治小儿反复呼吸道感染的经验。[方法]通过随师临证,总结整理病案资料,阐释陈师治疗小儿反复呼吸道感染的临床经验及方药特色,并通过临床验案加以佐证。[结果]陈师认为,小儿反复呼吸道感染病因为风、痰、瘀、虚,病机为肺脾两虚,痰瘀阻络,迁延不愈,瘀热互结,创新性地提出从“阴虚瘀热”辨治小儿反复呼吸道感染,总结出重视风邪,祛风解表;三因制宜,滋阴清瘀;详辨虚实,巧用和法;顾护中焦,健运脾胃的诊治经验。验案为反复呼吸道感染患儿,辨为阴虚感冒,兼痰瘀阻滞证,陈师分期论治,滋阴清瘀治法贯穿疾病治疗的中后期,迁延期养阴退热、化痰祛瘀,恢复期养阴退热、健脾益气,疗效显著。[结论]陈师继承浙派中医儿科特色,从“阴虚瘀热”辨治小儿反复呼吸道感染,疗效显著,对指导临床有较高实用价值。

基于气阴两虚夹瘀运用五参汤治疗肺癌术后发热浅析

肺癌术后发热有非感染性发热与感染性发热之分,在气虚、阴虚、瘀血阻滞病理状态下形成热蕴状态,是为非感染性发热;而术中感染或外感风寒入里化热则形成感染性发热表现。其基本病机均可概括为气阴两虚夹瘀。五参汤具有益气养阴、清热解毒之功,为证属正气亏虚、外感邪毒者而设,用于肺癌术后发热契合其病机。

江泳教授病证结合分人分型分期辨治带状疱疹

带状疱疹以剧烈疼痛为其特点,严重影响患者生活。西医治疗虽起效较快但使疼痛降低至初始程度一半时较易产生不良反应,且在预防及控制其并发症方面效果不佳。江泳教授以病为纲,认为带状疱疹以肝络血虚,热毒湿浊瘀滞肝络为其共性核心病机,结合患者不同证型的个性病机进行分型论治。江教授以“柔肝泻火,解毒除湿,通络止痛”为基本治则,创制“泻毒通络”方为基础验方,分人分型分期加减治疗带状疱疹,她认为病证结合辨治带状疱疹,可以最大化地优化临床疗效,更能发挥中医特色优势。