Yinqiao Sanhuang Paste Combined with Traditional Chinese Medicine Plaster for the Intervention of Drug Rash Induced by Targeted Therapy in Lung Cancer

Objective:To observe the efficacy and safety of Yinqiao Sanhuang Paste combined with traditional Chinese medicine plaster in treating drug rash caused by targeted therapy in lung cancer.Methods:A total of 100 lung cancer patients treated at our hospital from January 2021 to December 2023 were selected and randomly divided into an observation group and a control group,with 50 patients in each group.The control group received conventional medication,while the observation group was treated with Yinqiao Sanhuang Paste combined with traditional Chinese medicine plaster.The clinical symptom improvement and adverse reactions in both groups were observed.Results:The effective rate in the control group was 80.00%,while in the observation group,it was 96.00%,with a statistically significant difference between the two groups(P<0.05).The onset time,duration,and significant effect time in the control group were(2.41±0.29)days,(4.42±1.21)days,and(5.45±0.29)days,respectively;in the observation group,they were(2.44±0.21)days,(4.28±1.11)days,and(5.57±1.01)days,respectively.There was no statistically significant difference in the total onset time and total duration between the two groups(P>0.05).The incidence of adverse reactions in the control group was 28.00%,higher than the observation group’s 10.00%(P<0.05).Conclusion:Yinqiao Sanhuang Paste combined with traditional Chinese medicine plaster can effectively reduce the symptoms of drug rash induced by targeted therapy in lung cancer and lower the incidence of adverse reactions,indicating good clinical application value.

Current Research Status of Traditional Chinese Medicine External Treatment for Diarrhea Type Irritable Bowel Syndrome

Irritable bowel syndrome(IBS-D)with diarrhea is a common gastrointestinal functional disease in clinical practice,which seriously affects the quality of life of patients.Cur‐rently,Western medicine has poor therapeutic effects,while traditional Chinese medi‐cine has unique advantages in relieving IBS-D symptoms and preventing recurrence.In recent years,especially with external treatment of traditional Chinese medicine,it has become a new treatment direction in clinical practice and has achieved good therapeutic effects.This article will provide a review of recent research on the treatment of IBS-D using traditional Chinese medicine external treatment methods.

Quality Inspection and Preparation of Diarrhea Arresting and Dysentery Treating Dietary Traditional Chinese Herbal Medicine for Livestock

[Objective] This study was aimed to formulate the quality inspection of diarrhea arresting and dysentery treating dietary traditional Chinese herbal medicines for livestock.[Methods] Physiochemical identification and contrast test of UV spectrophotometer qualitative detection were adopted.[Results] The difference in the peak value of maximum adsorption peak detected by diluted water method was greater than 1 nm; the maximum adsorption peak values obtained by the 0.9％ hydrochloric acid and 60％ ethanol methods had a difference of less than 1 nm,and the secondary adsorption peak values also had a difference of less than 1 nm.[Conclusion] The 0.9％ hydrochloric acid and 60％ ethanol methods were selected as the quality inspection standards for the preparation of diarrhea arresting and dysentery treating dietary traditional Chinese herbal medicines for livestock.

Analysis on medication rule of traditional Chinese medicine treating chemotherapy-induced diarrhea based on traditional Chinese medicine(TCM) inheritance computing platform system

Objective:To dig deeper into the traditional Chinese medicine treatment rules of chemotherapy-induced diarrhea with traditional Chinese medicine(TCM)inheritance computing platform system.Methods:Taking“traditional Chinese medicine”,“chemotherapy”and“diarrhea”as the theme words,comprehensive search of the database of CNKI,Wanfang and VIP from its inception to November 2020 was conduct-ed.The formulas of external treatment of traditional Chinese medicine for chemotherapy-induced diarrhea were included and the association rule,clustering and factor analysis were carried out.Results:A total of 145 papers,57 prescriptions meeting the inclusion criteria were collected,among which high-frequency drugs including Baizhu(Atractylodis macrocephalae rhizoma),Fuling(Poria),Dangshen(Codonopsisradix),Huanglian(Coptidis rhizoma),Zhigancao(Glycyrrhizae radix et rhizoma praeparata cum melle)were the most commonly used.The confidence level was set as 0.7 and the support level was set as 10,12 core compatibility groups were obtained,and 6 categories were cluster analyzed.Conclusion:The principle of external treatment of chemotherapy-induced diarrhea is mainly“restore deficiency and benefiting qi”,“benefiting water infiltration and dampness”,“clearing heat”and“inducing astringency”.Prescription combination and new prescription combination based on traditional Chinese medicine(TCM)inheritance computing platform system can be used as reference for clinicians and applied in primary hospitals.

Screening of Traditional Chinese Medicine Prescription for Treating Damp-heat Diarrhea of Piglets

[Objective] The paper was to explore the therapeutic effect of traditional Chinese medicine on damp-heat diarrhea of piglets in summer.[Method] Three prescriptions were developed with a dozen of traditional Chinese medicines,and in vitro antibacterial test against swine standard Escherichia coli [O149：K91,K88 ac（C83907）] was conducted.Moreover,106 natural cases of diarrhea piglets caused by coinfection of damp-heat and E.coli through clinical and laboratory diagnosis were then treated.[Result] The oral liquids prepared by three traditional Chinese medicine prescriptions had certain antibacterial effect on standard pathogenic E.coli.Prescription 2 presented the strongest inhibitory effects on swine E.coli in vitro,with the MIC of 31.25 mg/m L.It had better therapeutic effect,and the effective rate reached 94.74%.[Conclusion] The prescription 2 mainly consisted of Coptis chinensis and Prunus mume might be effective in treatment of piglet diarrhea caused by damp heat and E.coli in clinic.

Traditional Chinese medicine nursing protocols for colorectal cancer

he incidence and mortality of colorectal cancer(CRC)are on the rise in China and rank the fifth in all malignant cancers,which may result from the increasingly aging population and unhealthy lifestyles.At present,the major treatment methods for CRC include laparoscopic surgery,radiotherapy and neoadjuvant and palliative chemotherapies,but they all have the limited impact on cure rates and long-term survival.Traditional Chinese medicine(TCM)plays important roles in preventing recurrence and metastasis,improving the quality of life and prolonging the survival of patients with advanced CRC after radical operations.Thereby,this article mainly explored the key points of common syndromes,TCM nursing methods and health guidance of CRC in order to further develop the advantages of TCM,improve its efficacy and standardized its nursing behavior.

Fifty-Four Infantile Intractable Diarrhea Patients Treated with Integrated Traditional Chinese and Western Medicine

Objective: To explore the treatment on infantile intractable diarrhea with integrated traditional Chinese and western medicine. Methods: Paired control method was used to study 54 cases of infantile intractable diarrhea patients, who were randomly divided into the treated group and the control group (western medicine treated group). The treated group was further subdivided into two syndrome-types: Spleen deficiency diarrhea type and Spleen-Kidney Yang deficiency diarrhea type, and modified Shenling Baizhu powder (参苓白术散) and Sijunzi decoction (四君子汤) with modified Sishen pill (四神丸) were used for them respectively, while the control group was given only the conventional western drugs. At the same time, immunoglobulin (IG) and T lymphocyte transformation rate (TLTR) were observed. Results: Before treatment, IgG, IgA and TLTR of all the patients in both groups were lowered; after treatment, all of them improved, and the improvement of the treated group was more significant than that of control group (P<0.01). In the treated group, the cure rate and total effective rate were significantly higher than that of control group (P<0.01). Conclusion: Using integrated traditional Chinese and western method, the immune function of the patients were enhanced, and the function of Spleen-Stomach was recuperated, therefore satisfactory results were reached.

中医外治法防治化疗相关性腹泻的系统评价

目的系统评价中医外治法防治化疗相关性腹泻(CID)的有效性和安全性,为临床治疗提供循证依据。方法计算机检索Cochrane Library、PubMed、Embase、CNKI、万方、维普数据库2012年1月1日至2022年12月31日关于中医外治法防治CID的随机对照试验。使用NoteExpress软件管理文献,选用Cochrane手册5.4.0推荐的RCT偏倚风险评估方法进行文献质量评价,使用RevMan5.4.1软件进行Meta分析和敏感性分析。结果共纳入24项研究,偏倚风险等级均为B级。Meta分析显示,中医外治组CID治疗有效率高于对照组(RR 1.40,95%CI 1.31~1.51,P<0.00001)。中医外治组CID发生率低于对照组(RR 0.50,95%CI 0.39~0.64,P<0.00001)。敏感性分析结果均显示Meta分析结果稳定。中医外治组和对照组1级、2级、木3级CID发生率对比无差异(1级RR 0.89,95%CI 0.63~1.25,P=0.50;2级RR 0.77,95%CI 0.48~1.24,P=0.28;3级RR 0.84,95%CI 0.39~1.82,P=0.66);中医外治组4级CID发生率低于对照组(RR 0.36,95%CI 0.14~0.93,P=0.03);中医外治组和对照组对CID整体发生程度的影响对比无差异(RR 0.78,95%CI 0.61~1.01,P=0.37)。中医外治组的卡氏(KPS)功能状态评分高于对照组(RR 5.65,95%CI 1.61~9.68,P=0.006)。中医外治组的Karnofsky评分稳定率高于对照组(RR 2.51,95%CI 1.09~5.75,P=0.03)。结论中医外治法可有效防治CID的发生。

溃疡性结肠炎中西医治疗及护理研究进展

溃疡性结肠炎是由免疫介导的炎症性肠病,临床症状为反复发作的腹泻、腹痛及黏液脓血便。中西医诊疗各有所长,探索行之有效的中西医结合治疗和护理方法对提高溃疡性结肠炎疗效有着积极意义。本研究总结中西医诊疗溃疡性结肠炎的研究现况及临床护理进展,以期为临床进一步提升溃疡性结肠炎的诊疗质量提供一定的理论依据。

国医大师熊继柏治疗泄泻用药规律探究

对国医大师熊继柏治疗泄泻病案进行数据挖掘,分析熊继柏教授诊治泄泻的用药经验。基于中医传承辅助平台软件(V3.0),归纳和分析熊继柏教授在湖南中医药大学第一附属医院治疗泄泻患者的门诊病历数据,利用该平台软件的关联规则、复杂系统熵聚类等统计方法进行数据挖掘和分析,总结药物的性味、归经、应用频次、舌脉象频次及药对组合,通过结合熊继柏教授对泄泻病因病机、治则治法的认识,明确核心用药,探索国医大师的诊治规律及用药规律;且以验案举例说明。通过总结分析,共纳入病历168份,处方中用药频次较多的有砂仁、厚朴、黄连、木香、甘草、茯苓、白术、陈皮、半夏、西洋参,药性以温、平、寒为主,药味偏苦、辛、甘,归经多为脾胃经,归纳出治疗泄泻的主方为香砂六君子汤和连朴饮。国医大师熊继柏治疗泄泻以“健脾理气,清热燥湿”为治疗原则,在香砂六君子汤和连朴饮的基础上进行辨证论治,加减化裁。

益气养血膏联合促红素治疗肿瘤相关性贫血临床观察

目的:观察益气养血膏联合促红素治疗肿瘤相关性贫血的临床疗效。方法:选取60例肿瘤相关性贫血患者作为研究对象,随机分为两组各30例。对照组予常规基础治疗、促红素6000 IU皮下注射,每周2次;治疗组在对照组基础上予益气养血膏,两组均治疗8周。观察两组血液学指标变化及临床症状的改善情况。结果:治疗组总有效率93.33%明显高于对照组76.67%(P﹤0.05)。治疗后,治疗组血红蛋白、红细胞计数、红细胞压积、CD4+/CD8+水平较治疗前均明显升高(P﹤0.05),且治疗组血红蛋白水平优于对照组(P﹤0.05);治疗组KPS评分、中医症状评分均较治疗前好转(P﹤0.05),且改善程度优于对照组(P﹤0.05)。结论:益气养血膏对于肿瘤相关性贫血治疗效果较好,能明显提高患者生活质量。

俞募配穴温针灸法联合健脾止泻汤治疗慢性小儿腹泻临床观察

目的研究俞募配穴温针灸法联合健脾止泻汤治疗慢性小儿腹泻的临床效果。方法选择2020年6月—2022年3月江西省兴国县人民医院儿科收治的50例慢性腹泻患儿,以随机抽签法分为观察组与参照组,各25例。观察组施予俞募配穴温针灸法联合健脾止泻汤治疗,参照组给予常规西药治疗。观察两组各项症状缓解时间;检验免疫蛋白及肠道微生物数量。结果观察组各项症状缓解时间均较参照组短(P<0.05)。治疗2周后,两组免疫球蛋白A(IgA)、免疫球蛋白M(IgM)、免疫球蛋白G(IgG)水平均升高,且观察组高于参照组(P<0.05);两组双歧杆菌属、乳杆菌属肠道微生物数量均升高,且观察组高于参照组(P<0.05);两组大肠杆菌属、肠球菌属肠道微生物数量均降低,且观察组低于参照组(P<0.05)。结论慢性腹泻患儿接受俞募配穴温针灸法联合健脾止泻汤治疗,症状改善明显,有利于患儿优势菌群数量恢复,提高免疫功能。

几种中药体外抗猪流行性腹泻病毒活性的研究

为探究蒲公英、板蓝根、泽泻、葛根、黄芩5种中药水提物体外抑制猪流行性腹泻病毒(PEDV)感染的效果,本研究先将不同浓度中药液分别2倍倍比稀释后加入非洲绿猴肾细胞(Vero细胞)中,观察各药物对细胞生长状态的影响来确定各药物的最大安全浓度。结果显示,蒲公英、板蓝根、泽泻、葛根、黄芩的最大安全浓度分别为3.91 mg/m L、1.95 mg/m L、1.95 mg/m L、0.98 mg/m L、0.98 mg/m L。以药物最大安全浓度为初始浓度,2倍倍比稀释各药物,共6个浓度,采用先加药物后加病毒(阻断作用),先加病毒后加药物(抑制作用)、药物和病毒同时加入(杀灭作用)3种不同加药的方式,加入已铺满单层Vero细胞的96孔细胞培养板中,72 h后加入CCK-8溶液1 h后测定各孔的OD_(450nm)值,评估阻断作用、抑制作用、杀灭作用下各药物对PEDV抑制率最高的浓度。结果显示,5种药物在阻断作用、抑制作用、杀灭作用下对PEDV抑制率最高的浓度分别为3.91 mg/m L、1.95 mg/m L、1.95 mg/m L、0.98 mg/m L以及0.98 mg/m L。以上述对PEDV抑制率最高的药物浓度为试验浓度,重复上述3种加药方式,72 h后加入CCK-8溶液1 h后测定各孔的OD_(450nm)值,计算3种作用方式下各药物对PEDV的抑制率,筛选出对PEDV抑制率最高的药物。结果显示,各中药均可在体外抑制PEDV的感染,阻断作用下黄芩对PEDV的抑制率最高达138.10%,抑制作用下蒲公英对PEDV的抑制率最高达149.90%,杀灭作用下葛根对PEDV的抑制率最高达102.90%,且蒲公英和黄芩在3种作用方式下对PEDV的抑制率均高于80%。以上结果表明蒲公英和黄芩体外抗PEDV感染的效果最好,本研究首次证实5种中药对体外抗PEDV感染的效果,为中药治疗PED提供了参考依据。

免疫失衡在腹泻型肠易激综合征发病中的机制及中药干预研究进展

腹泻型肠易激综合征(IBS-D)是一种临床常见的功能性胃肠病,免疫失衡在其发病中起重要作用。相关免疫细胞包括固有免疫细胞和适应性免疫细胞,免疫细胞因子包括免疫球蛋白、干扰素、白介素、肿瘤坏死因子等。中药单体/化合物或复方可通过多通路、多靶点调节免疫治疗IBS-D。本文从免疫失衡与肠道感染、菌群失调、脑肠轴紊乱、内分泌紊乱的关系等方面,对中药单体/化合物和复方靶向免疫治疗IBS-D的相关文献进行了系统回顾与梳理,并同时印证了“脾为之卫”与免疫相通之处,以期为中医药通过免疫介导途径治疗IBS-D及相关疾病提供思路。

国医大师王晞星从肝脾肾论治肠易激综合征经验

介绍王晞星教授从肝脾肾三脏论治肠易激综合征的临床经验。认为肠易激综合征系由肝气失于疏泄,横逆乘脾,出现肝脾不和之象,日久可累及肾,致肾中元阴元阳亏虚所致;强调以畅肝木之气机、健中焦之升降、补肾中之阴阳、医养结合以摄身保健为治疗法则,并创制疏肝健脾和胃方和半夏调肠汤辨证论治,疗效显著。并附验案2则。

痛泻安肠方治疗肝郁脾虚型腹泻型肠易激综合征临床观察

目的明确痛泻安肠方对肝郁脾虚型腹泻型肠易激综合征(IBS-D)的临床疗效和治疗优势。方法采用单中心、随机、阳性药物对照的临床设计开展探索性研究。共纳入36例肝郁脾虚型IBS-D患者,分为2组,每组18例;治疗组予痛泻安肠方,对照组予阳性对照药匹维溴铵片,2组疗程均为4周。观察2组疗效指标和安全性指标。结果治疗组肠易激综合征严重程度评测(IBS-SSS)总评分和中医证候评分低于对照组(P<0.05)。治疗组改善IBS-SSS总有效率、中医证候疗效总有效率为88.89%(16/18)、83.33%(15/18),略高于对照组的83.33%(15/18)、77.78%(14/18),差异无统计学意义(P>0.05)。此外,2组均无明显不良反应发生,安全性检查未见明显异常。结论痛泻安肠方治疗肝郁脾虚型IBS-D安全有效,在改善患者症状方面具有更好的效果。

抗生素相关性腹泻治疗方案的有效性及安全性评价:基于15种中药联合益生菌治疗方案的网状Meta分析

目的:基于网状Meta分析,评价不同中药联合益生菌治疗抗生素相关性腹泻(AAD)的疗效及安全性,为临床安全用药方案提供循证医学依据。方法:在万方数据库、维普数据库、中国知网、中华医学期刊数据库、PubMed、Web of Science等数据库中检索中药联合益生菌治疗AAD的随机对照试验(观察组干预措施为中药联合益生菌,对照组干预措施为单纯使用益生菌),检索时间截至2023年1月。采用贝叶斯网状Meta分析方法,对不同中药联合益生菌治疗AAD的安全性和有效性进行评价。结果:筛选出21篇随机对照试验文献,涉及患者2 093例;使用的中药包括健脾补肾固摄汤、人参败毒散或健脾止泻汤、四逆汤联合四神汤、参术止泻汤、乌梅丸、巴特日-7味丸、胃肠安丸、参苓白术颗粒(参苓白术散)、小儿腹泻散、参苓白术散+补肺汤、醒脾养儿颗粒、儿泻停颗粒、黄芪建中汤、马齿苋煎煮液、固本益肠片共15种。以总有效率为基础指标进行贝叶斯网状Meta分析,结果显示,人参败毒散或健脾止泻汤的效果最佳(OR=12,95%CI=3.1~78.0),且差异有统计学意义(P<0.05)。结论:文献研究前后患者的身体指标未见异常,15种中药联合益生菌治疗AAD的研究方案未对患者造成伤害;同时在鼠类的AAD模型复现上也得到了相应的证实,可以认为本次网状Meta分析的结果是安全、可靠的。本研究中的中药联合益生菌治疗AAD的疗效均优于单纯使用益生菌,能有效缩短病程,为临床用药提供了循证医学证据,但仍需要更多的研究支持和验证。

腹泻型肠易激综合征中医药治疗进展

腹泻型肠易激综合征(IBS-D)是一种常见的功能性肠道疾病,其发病与肠道菌群失衡有关。中医药治疗IBS-D具有辨证论治、多靶点、多途径的特点,能够通过调节肠道菌群,改善肠道屏障功能,降低肠道炎症反应,恢复肠道动力平衡,缓解患者的临床症状和心理压力。本文综述了近年来中医药治疗IBS-D的研究进展,包括分型治疗、中成药治疗、中医外治法治疗等及其作用机制,旨在为中医药治疗IBS-D提供理论依据和实践指导。

李世杰教授中医药治疗大肠癌患者术后腹泻临床思路探讨

大肠癌是常见的消化道恶性肿瘤之一,腹泻是大肠癌患者术后常见并发症之一。李世杰教授长期从事中西医结合治疗恶性肿瘤工作,尤其对中医药治疗恶性肿瘤及其并发症等工作有独到见解。本文阐述了李世杰教授中医药治疗大肠癌患者术后腹泻临床思路。他从癌症发生发展的一般规律出发,以正虚邪实致病为基本理论,总结出大肠癌患者术后腹泻的基本病机是脾气亏虚,脾虚湿盛是大肠癌术后腹泻的重要因素,并提出治疗大肠癌患者术后腹泻时应遵循“衷中参西,病证结合、扶正祛邪,益气健脾为基石、分期论治,凭证择方”的论治原则。