Clinical Efficacy Observation on Dysmenorrhea of Cold-damp Stagnation Type with Graphene Thermotherapy Based on the Idea of TCM "Preventive Treatment of Disease"

[Objectives] To explore the clinical efficacy of graphene waist protector on dysmenorrhea of cold-damp stagnation type.[Methods]150 patients with cold-damp stagnation type were randomly divided into 3 groups: 50 cases in the experimental group( using graphene waist protector),49 cases in the blank group( using the waist protector for removing the heating plate) and 51 cases in the control group( taking the Tongjingbao granules). After intervening for 3 menstrual cycles,visual analogue scale and the COX menstrual symptom scale were used to evaluate the clinical efficacy of graphene waist protector. [Results] The clinical effective rate of dysmenorrhea in experimental group was 64. 00%,while that of control group was 72. 54%. With the effective rate of symptoms,the test group was 56. 00% and the control group was 64. 70%; VAS dysmenorrhea visual score,duration of dysmenorrhea,severity of COX dysmenorrhea and duration of symptoms after intervention were significantly decreased in both experimental group and control group,the differences were statistically significant( P < 0. 05); for the differences of the scores before and after the intervention: the differences of the experimental group and the control group were statistically significant( P < 0. 05) compared with those of the blank group. There was no significant difference between experimental group and control group( P > 0. 05). [Conclusions] Graphene belt of experimental group and Tongjingbao granules of control group both have therapeutic effects on dysmenorrhea of cold-damp stagnation type. Graphene waist protector can relieve the pain and its accompanying symptoms in patients with primary dysmenorrhea of cold-damp stagnation type.

Metabolic characteristics of Qi-Yin deficiency and heat stagnation in liver meridian patterns of dry eye based on tear metabolomics

Objective To explore the metabolic differences between dry eye patients with Qi-Yin defi-ciency and heat stagnation in liver meridian patterns,and clarify their metabolic characteris-tics.Methods Patients with dry eye who were treated in the Ophthalmology Ward and Outpatient Department of the First Hospital of Hunan University of Chinese Medicine from October 1,2020,to October 30,2021 were enrolled as the research participants in the study.They were assigned to two groups based on traditional Chinese medicine(TCM)syndrome types:heat stagnation in liver meridian pattern group and Qi-Yin deficiency pattern group.Healthy vol-unteers who underwent health check-ups in the Health Management Department were in-cluded as healthy group following the random number table method.The tears of the pa-tients and the healthy volunteer participants were tested by high-performance liquid chro-matography-mass spectrometry(LC-MS).The differential metabolites were screened out by multivariate statistical analysis,and Kyoto Encyclopedia of Genes and Genomes(KEGG)pathway enrichment was performed on the differential metabolites.Finally,the association analysis of differential proteins and metabolites was conducted to verify and supplement the metabolites.Results A total of 32 dry eye patients were enrolled,including 16 cases with heat stagnation in liver meridian pattern and 16 cases with Qi-Yin deficiency pattern.Fourteen healthy volun-teers were included as healthy group.There were no significant differences in baseline char-acteristics among the three groups(P>0.05).A total of 412 biomarkers were determined in Qi-Yin deficiency pattern group,mainly including lipids,lipid-like molecules,organic acids and their derivatives,organic heterocyclic compounds,and nucleosides and their analogues.For heat stagnation in liver meridian pattern group,112 metabolites were determined,main-ly including organic acids and their derivatives,lipids,and lipid-like molecules.The KEGG enrichment results of pathways and the relative content analysis of differential markers de-monstrate that purine metabolism and caffeine metabolism pathways are common metabol-ic characteristics of all dry eyes.Among them,deoxyinosine monophosphate(dIMP)and 2-(formamido)-N1-(5-phospha-D-ribosyl)acetamidine can serve as their biomarkers.The main characteristics of Qi-Yin deficiency syndrome pattern were the significant enhancement of metabolic pathways such as lysine degradation,ovarian steroidogenesis,cholesterol metabolism,pyrimidine metabolism,and bile secretion(P<0.05).Dry eye associated with the heat stagnation in liver meridian pattern is mainly characterized by inhibition of the valine,leucine,and isoleucine biosynthesis pathways(P<0.05).Conclusion Metabolomics can be used as an effective basis for TCM syndrome classification.Different patterns of dry eye syndrome exhibit typical characteristics in the types and concen-trations of metabolites,which correspond to the syndrome classification in TCM.This study initially confirms the rationality of TCM syndrome classification and provides significant ref-erence for the mechanism of dry eye and drug development.

Mechanism of Guangdong Shenqu in regulating intestinal flora in mice with food stagnation and internal heat based on 16S rDNA sequencing

Objective:To investigate the effect of Guangdong Shenqu(GSQ)on intestinal flora structure in mice with food stagnation through 16S rDNA sequencing.Methods: Mice were randomly assigned to control,model,GSQ low-dose(GSQL),GSQ medium-dose(GSQM),GSQ high-dose(GSQH),and lacidophilin tablets(LAB)groups,with each group containing 10 mice.A food stagnation and internal heat mouse model was established through intragastric administration of a mixture of beeswax and olive oil(1:15).The control group was administered normal saline,and the model group was administered beeswax and olive oil to maintain a state.The GSQL(2 g/kg),GSQM(4 g/kg),GSQH(8 g/kg),and LAB groups(0.625 g/kg)were administered corresponding drugs for 5 d.After administration,16S rDNA sequencing was performed to assess gut microbiota in mouse fecal samples.Results: The model group exhibited significant intestinal flora changes.Following GSQ administration,the abundance and diversity index of the intestinal flora increased significantly,the number of bacterial species was regulated,andαandβdiversity were improved.GSQ administration increased the abundance of probiotics,including Clostridia,Lachnospirales,and Lactobacillus,whereas the abundance of conditional pathogenic bacteria,such as Allobaculum,Erysipelotrichaceae,and Bacteroides decreased.Functional prediction analysis indicated that the pathogenesis of food stagnation and GSQ intervention were primarily associated with carbohydrate,lipid,and amino acid metabolism,among other metabolic pathways.Conclusion: The digestive mechanism of GSQ may be attributed to its role in restoring diversity and abundance within the intestinal flora,thereby improving the composition and structure of the intestinal flora in mice and subsequently influencing the regulation of metabolic pathways.

Clinical Observation of the Hot and Humid Compress Therapy of Traditional Chinese Medicine in the Treatment of Qi Stagnation and Blood Stasis Type of Lumbar Disc Herniation

Background: Although a number of studies have reported that the hot and humid compress from traditional Chinese medicine (TCM) is effective in treating lumbar disc herniation (LDH) with qi stagnation and blood stasis, clinical evidence is limited. Objective: The purpose of this study is to provide high-quality evidence to support the effectiveness of the traditional Chinese hot and humid compress in the treatment of LDH with qi stagnation and blood stasis. Methods: From October 2021 to November 2023, 86 patients with LDH of qi stagnation and blood stasis type were recruited in our hospital and divided into a control (n = 43) and an observation group (n = 43) according to the random number table method. The control group was given routine clinical treatment, and the observation group was treated with the hot and humid compress therapy for two weeks. The visual analogue scale (VAS) score, Japanese Orthopaedic Association (JOA) score, TCM syndrome score, serum interleukin-6 (IL-6), serum interleukin-1β (IL-1β), and tumor necrosis factor-α (TNF-α) were observed and compared between the two groups before and after treatment, and the clinical efficacy of the two groups was evaluated. Results: After treatment, the VAS score, TCM symptom score, and serum IL-6, IL-1β, and TNF-α levels decreased in both groups (P P P P P Conclusions: The hot and humid compress of traditional Chinese medicine can effectively relieve pain, restore lumbar function, improve TCM syndromes, reduce the level of inflammatory factors, and have a curative effect in treating LDH.

Thermal Radiation Effects on 2D Stagnation Point Flow of a Heated Stretchable Sheet with Variable Viscosity and MHD in a Porous Medium

This paper proposes a mathematical modeling approach to examine the two-dimensional flow stagnates at x=0 over a heated stretchable sheet in a porous medium influenced by nonlinear thermal radiation,variable viscosity,and MHD.This study’s main purpose is to examine how thermal radiation and varying viscosity affect fluid flow motion.Additionally,we consider the convective boundary conditions and incorporate the gyrotactic microorganisms equation,which describes microorganism behavior in response to fluid flow.The partial differential equations(PDEs)that represent the conservation equations for mass,momentum,energy,and microorganisms are then converted into a system of coupled ordinary differential equations(ODEs)through the inclusion of nonsimilarity variables.Using MATLAB’s built-in solver bvp4c,the resulting ODEs are numerically solved.The model’s complexity is assessed by plotting two-dimensional graphics of the solution profiles at various physical parameter values.The physical parameters considered in this study include skin friction coefficient,local Nusselt number,local Sherwood number,and density of motile microorganisms.These parameters measure,respectively,the roughness of the sheet,the transformation rate of heat,the rate at which mass is transferred to it,and the rate at which microorganisms are transferred to it.Our study shows that,depending on the magnetic parameter M,the presence of a porous medium causes a significant increase in fluid velocity,ranging from about 25%to 45%.Furthermore,with an increase in the Prandtl number Pr,we have seen a notable improvement of about 6%in fluid thermal conductivity.Additionally,our latest findings are in good agreement with published research for particular values.This study provides valuable insights into the behavior of fluid flow under various physical conditions and can be useful in designing and optimizing industrial processes.

Mechanism and numerical simulation of pressure stagnation during water jetting perforation

When perforating with an abrasive water jet, it is possible that the pressure in the hole （perforation） will be higher than that in the annulus because of water jet blasting against the hole wall, which also is the theoretical basis for the technology of hydro-jet fracturing. This paper analyzes the mechanism of generating pressure stagnation in water jet hole, and puts forward a new concept of hydroseal. Then, the distribution of pressure in the hole was simulated with the finite element method. The simulation results showed that the pressure in the hole was higher than that in the annulus. Also, the lower the annular pressure （confining pressure） and the higher the blasting pressure, the greater the pressure difference. An experiment indicated that the cement sample was lifted up under the pressure stagnation in the hole, which proved the finite element simulation results obviously.

A Clinical Study of Safflower Yellow Injection in Treating Coronary Heart Disease Angina Pectoris with Xin-Blood Stagnation Syndrome

Objective： To evaluate the clinical effect and safety of Safflower Yellow injection （SYI） in treating coronary heart disease angina pectoris （OHD-AP） with Xin-blood stagnation syndrome （XBSS）. Methods： Adopted was the multi-centered, randomized, positive parallel controlled method, 448 patients with CHD-AP-XBSS were enrolled and divided into two groups, 336 in the tested group treated with SYI and 112 in the control group treated with Salvia injection by intravenous dripping once a day for 14 days, so as to observe the conditions of angina, electrocardiogram, and therapeutic effect on traditinal Chinese medicine （TCM） symptoms as well as the safety of the treatment. Results： The significantly effective rate and total effective rate in the tested group were 60.06% （194/323） and 91.02 % （294/323） respectively; those in improvement of TOM symptoms were 40. 18% （129/321） and 75.23% （243/323） respectively, which were better than those in the control group （P〈0.01）. Conclusion： SYI Injection is effective and safe in treating OHD-AP-XBSS.

Change in internal energy of thermal diffusion stagnation point Maxwell nanofluid flow along with solar radiation and thermal conductivity

This paper concerns the characteristics of heat and mass transfer in upper convected Maxwell fluid flow over a linear stretching sheet with solar radiation,viscous desperation and temperature based viscosity.After boundary layer approximation,the governing equations are achieved(namely Maxwell,upper convected material derivative,thermal and concentration diffusions).By using the self-similarity transformations the governing PDEs are converted into nonlinear ODEs and solved by RK-4 method in combination with Newton Raphson(shooting technique).The effects of developed parameters on velocity,temperature,concentration,fraction factor,heat and mass diffusions are exemplified through graphs and tabular form and are deliberated in detail.Numerical values of fraction factor,heat and mass transfer rates with several parameters are computed and examined.It is noticed that the temperature is more impactable for higher values of radiative heat transport,thermal conductivity and viscous dissipation.The comparison data for some limiting case are acquired and are originated to be in good agreement with previously published articles.

Effects of variable properties on MHD heat and mass transfer flow near a stagnation point towards a stretching sheet in a porous medium with thermal radiation

The effect of variable viscosity and thermal conductivity on steady magnetohydrodynamic（MHD） heat and mass transfer flow of viscous and incompressible fluid near a stagnation point towards a permeable stretching sheet embedded in a porous medium are presented,taking into account thermal radiation and internal heat genberation/absorbtion.The stretching velocity and the ambient fluid velocity are assumed to vary linearly with the distance from the stagnation point.The Rosseland approximation is used to describe the radiative heat flux in the energy equation.The governing fundamental equations are first transformed into a system of ordinary differential equations using a scaling group of transformations and are solved numerically by using the fourth-order Rung-Kutta method with the shooting technique.A comparison with previously published work has been carried out and the results are found to be in good agreement.The results are analyzed for the effect of different physical parameters,such as the variable viscosity and thermal conductivity,the ratio of free stream velocity to stretching velocity,the magnetic field,the porosity,the radiation and suction/injection on the flow,and the heat and mass transfer characteristics.The results indicate that the inclusion of variable viscosity and thermal conductivity into the fluids of light and medium molecular weight is able to change the boundary-layer behavior for all values of the velocity ratio parameter λ except for λ = 1.In addition,the imposition of fluid suction increases both the rate of heat and mass transfer,whereas fluid injection shows the opposite effect.

An application of interacting shear flows theory: exact solution for unsteady oblique stagnation point flow

An analytical solution of the governing equations of the interacting shear flows for unsteady oblique stagnation point flow is obtained. It has the same form as that of the exact solution obtained from the complete NS equations and physical analysis and relevant discussions are then presented.

Wavelet analysis of stagnation point flow of non-Newtonian nanofluid

The wavelet approach is introduced to study the influence of the natural convection stagnation point flow of the Williamson fluid in the presence of thermophysical and Brownian motion effects. The thermal radiation effects are considered along a permeable stretching surface. The nonlinear problem is simulated numerically by using a novel algorithm based upon the Chebyshev wavelets. It is noticed that the velocity of the Williamson fluid increases for assisting flow cases while decreases for opposing flow cases when the unsteadiness and suction parameters increase, and the magnetic effect on the velocity increases for opposing flow cases while decreases for assisting flow cases. When the thermal radiation parameter, the Dufour number, and Williamson’s fluid parameter increase, the temperature increases for both assisting and opposing flow cases. Meanwhile, the temperature decreases when the Prandtl number increases. The concentration decreases when the Soret parameter increases, while increases when the Schmidt number increases. It is perceived that the assisting force decreases more than the opposing force. The findings endorse the credibility of the proposed algorithm, and could be extended to other nonlinear problems with complex nature.

Melting heat transfer effects on stagnation point flow of micropolar fluid saturated in porous medium with internal heat generation(absorption)

The effect of melting heat transfer on the two dimensional boundary layer flow of a micropolar fluid near a stagnation point embedded in a porous medium in the presence of internal heat generation/absorption is investigated. The governing non-linear partial differential equations describing the problem are reduced to a system of non-linear ordinary differential equations using similarity transformations solved numerically using the Chebyshev spectral method. Numerical results for velocity, angular velocity and temperature profiles are shown graphically and discussed for different values of the inverse Darcy number, the heat generation/absorption parameter, and the melting parameter. The effects of the pertinent parameters on the local skin-friction coefficient, the wall couple stress, and the local Nusselt number are tabulated and discussed. The results show that the inverse Darcy number has the effect of enhancing both velocity and temperature and suppressing angular velocity. It is also found that the local skin-friction coefficient decreases, while the local Nusselt number increases as the melting parameter increases.

Partial slip effect on non-aligned stagnation point nanofluid over a stretching convective surface

The present study inspects the non-aligned stagnation point nano fluid over a convective surface in the presence of partial slip. Two types of base fluids namely water and kerosene are selected with Cu nanoparticles. The governing physical problem is presented and transformed into a system of coupled nonlinear differential equations using suitable similarity transformations. These equations are then solved numerically using midpoint integration scheme along with Richardson extrapolation via Maple. Impact of relevant physical parameters on the dimensionless velocity and temperature profiles are portrayed through graphs. Physical quantities such as local skin frictions co-efficient and Nusselt numbers are tabularized.It is detected from numerical computations that kerosene-based nano fluids have better heat transfer capability compared with water-based nanofluids. Moreover it is found that water-based nanofluids offer less resistance in terms of skin friction than kerosene-based fluid. In order to authenticate our present study, the calculated results are compared with the prevailing literature and a considerable agreement is perceived for the limiting case.

Plasma L-ENK, AVP, ANP and serum gastrin in patients with syndrome of Liver-Qi-stagnation

AIM To investigate the pathophysiologic basis of syndrome of Liver Qi stagnation and parameters for clinical differentiation. METHODS Plasma L ENK, AVP, ANP and serum gastrin were determined by RIA in 84 patients with neurasthenia, mastodynia, chronic gastritis, and chronic cholecystitis presenting the same syndrome of Liver Qi stagnation in traditional Chinese medicine (TCM). Healthy subjects served as controls in comparison with patients having the same syndrome but with different diseases. RESULTS Among the patients with Liver Qi stagnation, the plasma L ENK, ANP and gastrin levels were 38 83ng/L ± 6 32ng/L , 104 11ng/L ± 29 01ng/L and 32 20ng/L ± 6 68ng/L , being significantly lower than those in the healthy controls ( t =3 34, 6 17, 4 48; P <0 01). The plasma AVP of the patient group ( 52 82ng/L ± 19 09ng/L ) was significantly higher than that of the healthy controls ( t =5 79, P <0 01). The above changes in patients having the same symptom complex but different diseases entities showed no significant differences, P >0 05. CONCLUSION The syndrome of Liver Qi stagnation is closely related to the emotional modulatory abnormality of the brain, with decrease of plasma L ENK, ANP and gastrin, and increase of plasma AVP as the important pathophysiologic basis.

Momentum and heat transfer of a special case of the unsteady stagnation-point flow

This paper investigates the unsteady stagnation-point flow and heat transfer over a moving plate with mass transfer,which is also an exact solution to the unsteady Navier-Stokes(NS)equations.The boundary layer energy equation is solved with the closed form solutions for prescribed wall temperature and prescribed wall heat flux conditions.The wall temperature and heat flux have power dependence on both time and spatial distance.The solution domain,the velocity distribution,the flow field,and the temperature distribution in the fluids are studied for different controlling parameters.These parameters include the Prandtl number,the mass transfer parameter at the wall,the wall moving parameter,the time power index,and the spatial power index.It is found that two solution branches exist for certain combinations of the controlling parameters for the flow and heat transfer problems.The heat transfer solutions are given by the confluent hypergeometric function of the first kind,which can be simplified into the incomplete gamma functions for special conditions.The wall heat flux and temperature profiles show very complicated variation behaviors.The wall heat flux can have multiple poles under certain given controlling parameters,and the temperature can have significant oscillations with overshoot and negative values in the boundary layers.The relationship between the number of poles in the wall heat flux and the number of zero-crossing points is identified.The difference in the results of the prescribed wall temperature case and the prescribed wall heat flux case is analyzed.Results given in this paper provide a rare closed form analytical solution to the entire unsteady NS equations,which can be used as a benchmark problem for numerical code validation.

Analytical solution to stagnation-point flow and heat transfer over a stretching sheet based on homotopy analysis

This paper is concerned with two-dimensional stagnation-point steady flow of an incompressible viscous fluid towards a stretching sheet whose velocity is proportional to the distance from the slit. The governing system of partial differential equations is first transformed into a system of dimensionless ordinary differential equations. Analytical solutions of the velocity distribution and dimensionless temperature profiles are obtained for different ratios of free stream velocity and stretching velocity, Prandtl number, Eckert number and dimensionality index in series forms using homotopy analysis method（HAM）. It is shown that a boundary layer is formed when the free stream velocity exceeds the stretching velocity, and an inverted boundary layer is formed when the free stream velocity is less than the stretching velocity. Graphs are presented to show the effects of different parameters.

MHD stagnation point flow towards heated shrinking surface subjected to heat generation/absorption

The magnetohydrodynamic （MHD） stagnation point flow of micropolar flu- ids towards a heated shrinking surface is analyzed. The effects of viscous dissipation and internal heat generation/absorption are taken into account. Two explicit cases, i.e., the prescribed surface temperature （PST） and the prescribed heat flux （PHF）, are discussed. The boundary layer flow and energy equations are solved by employing the homotopy analysis method. The quantities of physical interest are examined through the presenta- tion of plots/tabulated values. It is noticed that the existence of the solutions for high shrinking parameters is associated closely with the applied magnetic field.

Effects of slip condition on MHD stagnation-point flow over a power-law stretching sheet

The steady two-dimensional magnetohydrodynamic stagnation flow towards a nonlinear stretching surface is studied. The no-slip condition on the solid boundary is replaced with a partial slip condition. A scaling group transformation is used to get the invariants. Using the invariants, a third-order ordinary differential equation corresponding to the momentum is obtained. An analytical solution is obtained in a series form using a homotopy analysis method. Reliability and efficiency of series solutions are shown by the good agreement with numerical results presented in the literature. The effects of the slip parameter, the magnetic field parameter, the velocity ratio parameter, the suction velocity parameter, and the power law exponent on the flow are investigated. The results show that the velocity and shear stress profiles are greatly influenced by these parameters.

Series solutions of annular axisymmetric stagnation flow and heat transfer on moving cylinder

The steady, laminar, incompressible flow and heat transfer of a viscous fluid between two circular cylinders for two different types of thermal boundary conditions are investigated. The governing Navier-Stokes and thermal equations of the flow are reduced to a nonlinear system of ordinary differential equations. The equations are solved analyt- ically using the homotopy analysis method （HAM）. Convergence of the HAM solutions is discussed in detail. These solutions are then compared with recently obtained numericM and perturbative solutions. Plots of the velocity and temperature profiles are provided for various values of the relevant parameters.

Melting heat transfer with radiative effects and homogeneous–heterogeneous reaction in thermally stratified stagnation flow embedded in porous medium

The present article deals with thermally stratified stagnation-point flow saturated in porous medium on surface of variable thickness along with more convincing and reliable surface condition termed as melting heat transfer.Homogeneous–heterogeneous reaction and radiative effects have been further taken into account to reconnoiterproperties of heat transfer.Melting heat transfer and phenomenon of homogeneous–heterogeneous reaction have engrossed widespread utilization in purification of metals,welding process,electroslag melting,biochemical systems,catalysis and several industrial developments.Suitable transformations are utilized to attain a scheme of ordinary differential equations possessing exceedingly nonlinear nature.Homotopic process is employed to develop convergent solutions of the resulting problem.Discussion regarding velocity,thermal field and concentration distribution for several involved parameters is pivotal part.Graphical behaviors of skin friction coefficient and Nusselt number are also portrayed.Concentration of the reactants is found to depreciate as a result of strength of both heterogeneous and homogeneous reaction parameters.With existence of melting phenomenon,declining attitude of fluid temperature is observed for higher radiation parameter.