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The Value of Traditional Medicine Should not be Underestimated-Traditional Chinese Medicine in Treatment of Autoimmune Diseases
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作者 Yurii O Novikov Anait P Akopyan 《Chinese Medicine and Culture》 2024年第2期167-173,共7页
Autoimmune diseases of the nervous system(ADNS)are characterized by the formation of a pronounced neurologic deficit and often lead to disability.The attention of doctors and researchers is increasingly attracted by c... Autoimmune diseases of the nervous system(ADNS)are characterized by the formation of a pronounced neurologic deficit and often lead to disability.The attention of doctors and researchers is increasingly attracted by complementary medicine as adjuvant or preventive therapy for various diseases,including autoimmune diseases.Traditional Chinese medicine(TCM)is a combination of treatment methods that include acupuncture,herbal medicine,dietetics,physical exercises,and other methods that are often used in conjunction with recognized approaches of official medical science.The article describes the application of TCM techniques in autoimmune diseases of the nervous system,and demonstrates clinical experience in the use of acupuncture,herbal medicine,diets and physical exercises.Traditional and complementary medicine is an important and often underestimated healthcare resource,especially in the prevention and treatment of autoimmune diseases of the nervous system. 展开更多
关键词 Autoimmune diseases traditional chinese medicine Nervous diseases
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Molecular mechanism and research progress of traditional Chinese medicine in the treatment of prostate cancer
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作者 Hai-Luo Wang Ruo-Ran Zhang +7 位作者 Hao Wang Peng Xu Jing-Kai Wang Bo Chen Hao Xu Deng Pan Yu-Yang Ma Kun Pang 《Traditional Medicine Research》 2025年第1期62-72,共11页
Prostate cancer(PCa)is one of the most common malignant tumors in the male genitourinary system,ranking second in incidence worldwide.Traditional Chinese medicine(TCM),as an important component of complementary and al... Prostate cancer(PCa)is one of the most common malignant tumors in the male genitourinary system,ranking second in incidence worldwide.Traditional Chinese medicine(TCM),as an important component of complementary and alternative medicine,shows unique advantages in cancer treatment.Chinese herbal medicine is usually composed of multiple ingredients and involves multiple signaling pathways,which showed function of inducing apoptosis of cancer cells,arresting the cell cycle,inhibiting invasion and metastasis,reducing drug resistance,and regulating immune function.Physical therapy is also an important treatment of TCM.Currently,Physical therapy such as acupuncture or Tai Chi and Qigong are gaining increased recognition in the management of PCa,particularly in addressing issues like urinary incontinence and bone metastasis-related pain.This article reviews the TCM treatment and therapy of PCa,in order to provide new research avenues and treatment options for the treatment of PCa with TCM and improve the quality of life of patients. 展开更多
关键词 traditional chinese medicine prostate cancer chinese herbal medicine physical therapy
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Drug Deslgn Based on Chinese Traditional Medicine
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作者 徐筱杰 《Chinese Journal of Integrated Traditional and Western Medicine》 2003年第2期135-135,共1页
There are two new trends in the development of novel Pharmaceuticals. Biotechnology provides a novel approach to rational drug design. At the same time, there has been a growing interest in the use of herbal products.... There are two new trends in the development of novel Pharmaceuticals. Biotechnology provides a novel approach to rational drug design. At the same time, there has been a growing interest in the use of herbal products. Chinese medical herbs are rich in the natural resources and have been used for thousands years in China. We consider the Chinese medicine system as a natural combinatorial chemi- 展开更多
关键词 on in been Drug Deslgn Based on chinese traditional medicine
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Treatment of Chinese Traditional Medicine Wastewater by Photosynthetic Bacteria
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作者 WANGYou-zhi WANGFeng-jun BAOLi 《Journal of Northeast Agricultural University(English Edition)》 CAS 2005年第1期37-41,共5页
The influence factors treating wastewater of Chinese traditional medicine extraction by photosynthetic bacteria are tested and discussed. The results indicate that the method of photosynthetic bacteria can eliminate C... The influence factors treating wastewater of Chinese traditional medicine extraction by photosynthetic bacteria are tested and discussed. The results indicate that the method of photosynthetic bacteria can eliminate COD and BOD from wastewater in high efficiency. And it also has high load shock resistance. On the conditions of slight aerobic and semi-darkness, treating wastewater of Chinese traditional medicine extraction, the method has better efficiency to eliminate COD and BOD from the wastewater than those by anaerobic illumination and aerobic darkness treatments. After pretreatment of hydrolytic acidization, the removal rate of COD in the wastewater reached more than 85 %, and that rate of BOD reached more than 90% in the treating system of photosynthetic bacteria. It may be more feasible and advantageous than traditional anaerobic biological process to treat organic wastewater using PSB system. 展开更多
关键词 photosynthetic bacteria wastewater of chinese traditional medicine extraction
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Application of Chinese Traditional Medicine in Kidney Transplantation
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作者 张治国 殷晓玲 夏穗生 《Chinese Journal of Integrated Traditional and Western Medicine》 2004年第4期310-314,共5页
Kidney transplantation is one of the important means in saving the life of patients with renal diseases of the terminal stage. However, rejection reaction often results in the loss of the grafted organs’ function. Al... Kidney transplantation is one of the important means in saving the life of patients with renal diseases of the terminal stage. However, rejection reaction often results in the loss of the grafted organs’ function. Almost half the recipients have been found to suffer from loss of graft function due to rejection reaction within 10 years of post-transplantation. Part of them have bad quality of life 展开更多
关键词 Application of chinese traditional medicine in Kidney Transplantation RSM
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Varieties of Chinese Traditional Medicines Protected by the State (Part One)
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《China's Foreign Trade》 1996年第5期28-32,共5页
Approved by the Ministry of Public Health,the following Medicines,producedby the named enterprises,are listed as varieties of Chinese traditionalmedicines that are protected by the state.
关键词 ORAL CO Part One Varieties of chinese traditional medicines Protected by the State
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Feasibility and simulation model of a pilot scale membrane bioreactor for wastewater treatment and reuse from Chinese traditional medicine 被引量:4
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作者 REN Nan-qi YAN Xian-feng +3 位作者 CHEN Zhao-bo HU Dong-xue GONG Man-li GUO Wan-qian 《Journal of Environmental Sciences》 SCIE EI CAS CSCD 2007年第2期129-134,共6页
The lack and pollution of water resource make wastewater reuse necessary. The pilot scale long-term tests for submerged membrane bioreactor were conducted to treat the effluents of anaerobic or aerobic treatment proce... The lack and pollution of water resource make wastewater reuse necessary. The pilot scale long-term tests for submerged membrane bioreactor were conducted to treat the effluents of anaerobic or aerobic treatment process for the high-strength Chinese traditional medicine wastewater. This article was focused on the feasibility of the wastewater treatment and reuse at shorter hydraulic retention time (HRT) of 5.0, 3.2 and 2.13 h. MLSS growth, membrane flux, vacuum values and chemical cleaning periods were also investigated. The experimental results of treating two-phase anaerobic treatment effluent demonstrated that the CODfilt was less than 100 mg/L when the influent COD was between 500-10000 mg/L at HRT of 5.0 h, which could satisfy the normal discharged standard in China. The experimental results to treat cross flow aerobic reactor effluent demonstrated that the average value of CODfilt was 17.28 mg/L when the average value of influent COD was 192.84 mg/L at HRT of 2.13 h during 106 d, which could completely meet the normal standard for water reuse. The maximum MLSS and MLVSS reached 24000 and 14500 mg/L at HRT of 3.2 h respectively. Membrane flux had maximal resume degrees of 94.7% at vacuum value of 0.02 MPa after cleaning. Chemical cleaning periods of membrane module were 150 d. A simulation model of operational parameters was also established based on the theory of back propagation neural network and linear regression of traditional mathematical model. The simulation model showed that the optimum operational parameters were suggested as follows: HRT was 5.0 h, SRT was 100 d, the range of COD loading rate was between 10.664-20.451 kg/(m3.d), the range of MLSS was between 7543-13694 mg/L. 展开更多
关键词 submerged membrane bioreactor (SMBR) chinese traditional medicine wastewater hydraulic retention time (HRT) simulation model pilot scale test
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Comparative study on WHO Western Pacific Region and World Federation of Chinese Medicine Societies international standard terminologies on traditional medicine: Diseases in External Medicine (Part 2) 被引量:1
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作者 Zhao-guo Li 《Journal of Integrative Medicine》 SCIE CAS CSCD 2013年第2期147-151,共5页
This is a continued study about how to understand and translate the names of diseases in the external medicine of TCM included in the WPRO Standard and the WFCMS Standard according to the discussion made in the book e... This is a continued study about how to understand and translate the names of diseases in the external medicine of TCM included in the WPRO Standard and the WFCMS Standard according to the discussion made in the book entitled International Standardization of English Translation of Traditional Chinese Medicine: Study of Theory, Summarization of Practice and Exploration of Methodst, the explanation made in A Concise Dictionary of Traditional Chinese Medicine, 展开更多
关键词 LINGUISTICS terminology translation English terms traditional chinese medicine external medicine (TCM)
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Comparative study on WHO Western Pacific Region and World Federation of Chinese Medicine Societies international standard terminologies on traditional medicine: Diseases in External Medicine (Part 1) 被引量:1
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作者 Zhao-guo Li Jian-ming Tan 《Journal of Integrative Medicine》 SCIE CAS CSCD 2013年第1期67-71,共5页
External medicine, also frequently described as surgery, has a history as long as that of traditional Chinese medicine (TCM). There were important doctors in each dynasty who devoted themselves to the study and prac... External medicine, also frequently described as surgery, has a history as long as that of traditional Chinese medicine (TCM). There were important doctors in each dynasty who devoted themselves to the study and practice of external medicine. In TCM external medicine, diseases are named either according to their location (such as neck abscess and back carbuncle), or viscera involved (such as intestinal abscess and lung abscess), or causes (such as tetanus and chilblain, which are literally known respectively as wind damage of wound and sore caused by cold in TCM), or shape (such as snake head boil and goose web wind), or the color (such as erysipelas and vitiligo which are literally known respectively as red toxin and white skin wind), etc. 展开更多
关键词 lingrustics terminology translation Engish terms traditional chinese medicine external medicine (TCM)
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Annual advances of Chinese minority traditional medicine in 2019 被引量:1
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作者 Shao-Hui Wang 《Traditional Medicine Research》 2020年第2期108-121,共14页
Traditional medicine systems practiced by various ethnic minorities represent an important part of traditional Chinese medicine.The past 12 months have witnessed extensive research pertaining to different Chinese mino... Traditional medicine systems practiced by various ethnic minorities represent an important part of traditional Chinese medicine.The past 12 months have witnessed extensive research pertaining to different Chinese minority traditional medicine(CMTM).The annual CMTM review evaluates research published during 2019 in different CMTM including Tibetan medicine,Uyghur medicine,Mongolian medicine,Korean medicine and Zhuang medicine.Research in the field of Tibetan medicine focused on pharmacology,pharmacy,plant sciences,medicinal chemistry and integrated complementary medicine and the top three countries were China,USA and India.Research in Uyghur medicine mainly pertained to chemistry,pharmacology,pharmacy,and food science technology and the publications were mainly from China.Research in Mongolian medicine mainly pertained to pharmacology,pharmacy,analytical chemistry,biochemistry,molecular biology and experimental research;the publications were mainly from China and Mongolia.In short,research related to traditional medicine of various ethnic minorities was mainly conducted in China and the neighboring countries.The research focus for each minority medicine is essentially on the effects and mechanisms of action of the active ingredients of the ethnodrugs and the special prescriptions or therapies.The generated evidence will facilitate further developments in this field. 展开更多
关键词 chinese minority traditional medicine Tibetan medicine Uyghur medicine Mongolian medicine Korean medicine Zhuang medicine
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Comparative study on WHO Western Pacific Region and World Federation of Chinese Medicine Societies international standard terminologies on traditional medicine: Diseases in External Medicine (Part 3)
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作者 Zhao-guo Li 《Journal of Integrative Medicine》 SCIE CAS CSCD 2013年第4期291-294,共4页
rocky mass/cancer: any malignant tumor occurring on body surface that looks and feels like rock In classical Chinese medicine, the character 岩 (literally meaning rock) means the same thing as 癌 (malignant tumor... rocky mass/cancer: any malignant tumor occurring on body surface that looks and feels like rock In classical Chinese medicine, the character 岩 (literally meaning rock) means the same thing as 癌 (malignant tumor). That is why it is now usually translated as "cancer" or "carcinoma", which is adopted in the WFCMS Standard. To translate it as "rocky mass" in the WPRO Standard appears quite unique and sounds semantically equivalent to the original term. 展开更多
关键词 LINGUISTICS terminology translation English terms traditional chinese medicine external medicine (TCM)
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Comparative study on WHO Western Pacific Region and World Federation of Chinese Medicine Societies international standard terminologies on traditional medicine:Diseases in External Medicine(Part 4)
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作者 Zhao-guo Li 《Journal of Integrative Medicine》 SCIE CAS CSCD 2013年第5期366-369,共4页
The following is a continued discussion about how to understand and translate the names of diseases in external medicine included in the WHO International Standard Terminologies on Traditional Medicine in the Western ... The following is a continued discussion about how to understand and translate the names of diseases in external medicine included in the WHO International Standard Terminologies on Traditional Medicine in the Western Pacific Region (abbreviated as the WPRO Standard)[1] and the standard compiled by the World Federation of Chinese Medicine Societies (abbreviated as the WFCMSStandard)[2], according to the studies made in the book entitled International Standardization of English Translation of Traditional Chinese Medicine: Study of Theory, Summariza- tion of Practice and Exploration of Methods[3]. 展开更多
关键词 LINGUISTICS terminology translation English terms traditional chinese medicine external medicine (TCM)
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Annual advances of Chinese minority traditional medicine in 2020
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作者 Shao-Hui Wang Wei Liu +1 位作者 Jing-Jing Zhang Yi Zhang 《Traditional Medicine Research》 2021年第3期103-117,共15页
Chinese minority traditional medicine is a traditional medicine formed during the long-term medical practice of various ethnic groups and is the crystallization of the wisdom of the people in all ethnic groups in Chin... Chinese minority traditional medicine is a traditional medicine formed during the long-term medical practice of various ethnic groups and is the crystallization of the wisdom of the people in all ethnic groups in China.The unique meaning carried by Chinese minority traditional medicine makes it an inseparable and important part of traditional Chinese medicine.The rich clinical experience and theoretical studies with different Chinese minority traditional medicine provide new ideas and new methods for Chinese medicine development.The pieces of literature published in 2020 on the traditional application analyzed the phytochemical composition,pharmacological effects,and mechanisms of the different ethnic groups including Tibetan,Mongolian,Zhuang,Dai,and Uyghur medicines,among others.This study found that some projects were stalled or delayed due to the coronavirus disease 2019 outbreak in 2020 compared with 2019,resulting in a decrease in the number of articles in certain fields.However,studied on Chinese minority traditional medicine have shown an overall upward trend this year with the Tibetan,Mongolian,and Dai medicines as the top three.In addition,the Chinese minority traditional medicine application under the coronavirus disease 2019 epidemic situation background was also summarized.Consequently,this study found that among the Chinese minority traditional medicine-related publications in 2020,publications using Chinese minority traditional medicine to treat coronavirus disease 2019 account for a certain percentage.Thus,this article systematically reviews and summarizes the related research of Chinese minority traditional medicine published in 2020 and provides references for future Chinese minority traditional medicine development. 展开更多
关键词 chinese minority traditional medicine Tibetan medicine Mongolian medicine Uyghur medicine Zhuang medicine Dai medicine COVID-19
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Research hotspots and trends in Chinese minority traditional medicine during 2021:a visual bibliometrics analysis
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作者 Shao-Hui Wang Jing Qin +1 位作者 Xian-Li Meng Yi Zhang 《Traditional Medicine Research》 2022年第3期113-123,共11页
Background:Chinese minority traditional medicine(CMTM)is an important component of Chinese traditional culture and medicine that has contributed to the health and prosperity of Chinese people of all ethnic groups.Alth... Background:Chinese minority traditional medicine(CMTM)is an important component of Chinese traditional culture and medicine that has contributed to the health and prosperity of Chinese people of all ethnic groups.Although this type of medicine has attracted interest,its developmental trends and research status remain unclear.Therefore,we used literature metrology to evaluate the publications on CMTM during 2021 and explore hotspots and frontier areas.Methods:Reports associated with CMTM published between January 1,2021,and December 31,2021,were downloaded from the Web of Science database.The authors,institutions,countries,journals,keywords,and other standard bibliometric indicators were analyzed and visualized using CiteSpace,and research hotspots and trends were identified.Results:We retrieved 152 CMTM-related publications,among which Tibetan medicine attracted the most interest.Journals covering alternative and complementary medicine topics were the most prevalent sources of reports about CMTM,particularly the Journal of Ethnopharmacology.Most research in this field was conducted in China and frequently published by traditional Chinese medicine colleges and universities.One author,Yi Zhang,has extensively investigated Tibetan and Korean medicine.The keyword co-occurrence network revealed that investigations into ethnic groups mainly focused on the pharmacological activities and phytochemical components of ethnic medicines.The keywords of gut microbiota and autophagy in some publications reflect the direction of future CMTM investigations.Conclusion:Our findings showed the current status and trends in CMTM investigations.This information will help identify new research directions and hotspots in this field. 展开更多
关键词 chinese minority traditional medicine BIBLIOMETRICS CITESPACE Web of Science Tibetan medicine Mongolian medicine
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Evidence and Potential Antibacterial Mechanism of Chinese Traditional Medicine Compounds for the Development of E. coli
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作者 Yijun Lai Yadan Huang 《Chinese Medicine》 2023年第3期166-180,共15页
Astragalus membranaceus (huangqi), Allium sativum (garlic), Cinnamomum cassia (cinnamon), and Dolichos lablab L. (white hyacinth bean) are the traditional Chinese herbs that were used in prescriptions in treating diar... Astragalus membranaceus (huangqi), Allium sativum (garlic), Cinnamomum cassia (cinnamon), and Dolichos lablab L. (white hyacinth bean) are the traditional Chinese herbs that were used in prescriptions in treating diarrhea caused by bacterial infection. These herbs are relatively safe for use and investigation. This study aimed to investigate the effects of Astragalus membranaceus, Allium sativum, Cinnamomum cassia, and Dolichos lablab L. on the metabolism of Escherichia coli (E. coli). The growth rate of E. coli was monitored under the influence of each herb, revealing that Astragalus membranaceus and Allium sativum exhibited significant antibacterial activity, whereas Cinnamomum cassia and Dolichos lablab L. demonstrated moderate inhibitory effects on E. coli growth. Further inhibition zone testing allowed for the evaluation of each herb’s potency and the number of generations required for E. coli to develop resistance. Additionally, the impact of the four herbs on the expression of outer membrane protein A (OmpA) in E. coli was examined by using qPCR. The findings revealed that Astragalus membranaceus acted as a sustainable bactericide by inhibiting the growth and metabolism of E. coli MG1655 through the suppression of OmpA expression. These results suggest that Astragalus membranaceus has potential as a natural antimicrobial agent for treating E. coli infections. 展开更多
关键词 E. coli traditional chinese Herbs ANTIBACTERIAL OMPA
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Treatment of Chinese traditional medicine wastewater in a submerged membrane bioreactor
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作者 任南琪 陈兆波 +1 位作者 张颖 呼冬雪 《Journal of Harbin Institute of Technology(New Series)》 EI CAS 2007年第1期89-92,共4页
A pilot scale test was conducted in a submerged membrane bioreactor SMBR with capacity of 10. 0 m^3/d for 120 days to treat high-strength Chinese traditional medicine wastewater. Performance of the SMBR was investigat... A pilot scale test was conducted in a submerged membrane bioreactor SMBR with capacity of 10. 0 m^3/d for 120 days to treat high-strength Chinese traditional medicine wastewater. Performance of the SMBR was investigated with a sludge retention time ( TSR ) of 50 days, a hydraulic retention time ( THR ) of 8.0 h, membrane flux of 8. 0 IV( m^2 · h) and dissolved oxygen (DO) concentration of 2. 0 - 3. 0 mg/L, respectively. It was observed that the SMBR had high capacity of COD and suspended solid (SS) removal. The influent COD concentration was fluctuated between I 000 and 5 000 mg/L, while the averaged effluent COl) concentration was only 44. 6 mg/L. The influent SS concentration was fluctuated between 1 000 and 1 600 mg/L, while little effluent SS was detected. It was found that the COD remove rate increased with mixed liquor suspended solids (MLSS) and organic loading rate (ROL). In order to obtain good-quality effluent, the operational conditions of the SMBR were suggested as follows: the temperature was controlled above 10 ℃, MLSS about 7000 mg/L, R,L under 24. 76 kg/( m^3 · d), low vacuum value and constant water flux. 展开更多
关键词 submerged membrane bioreactor (SMBR) chinese traditional medicine wastewater mixed liquor suspended solids (MISS) organic loading rate (RoL) pilot plant test
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Etiological analysis of chloasma from view of Western and Chinese traditional medicine
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作者 Wen-Ming Cao Jing Zhao +2 位作者 Xia Wang Xin-Liang He Na Yu 《Psychosomatic Medicine Research》 2020年第3期75-80,共6页
Chloasma is a common and refractory skin disease,which is a discosmetic dermatosis in which pigment is deposited on the face,cheeks,forehead and other parts due to the pigment metabolism disorder.It is manifested as f... Chloasma is a common and refractory skin disease,which is a discosmetic dermatosis in which pigment is deposited on the face,cheeks,forehead and other parts due to the pigment metabolism disorder.It is manifested as facial yellow-brown patches,with different shades,different shapes,and often symmetrically distributed.The prevalence rate of chloasma is still increasing year by year,which reflects the physical and mental health of women.Because the cause of disease is unknown,and at present there is no uniform treatment.This paper discusses the etiology of chloasma from modern medicine and traditional Chinese medicine to provide reference for clinical therapy. 展开更多
关键词 CHLOASMA ETIOLOGY Western medicine traditional chinese medicine
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Study on the functional liquid of Chinese traditional medicine in anti-anoxic effect
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作者 林松毅 《吉林工程技术师范学院学报》 2005年第3期1-4,共4页
A kind of functional liquid was extracted from compound Chinese traditional medicine over 20 different varieties such as ginseng, danggui and so on. The anti-anoxic effects were observed by the ways of oxygen lack in ... A kind of functional liquid was extracted from compound Chinese traditional medicine over 20 different varieties such as ginseng, danggui and so on. The anti-anoxic effects were observed by the ways of oxygen lack in normal atmosphere of mice, decapitation and erythrocyte count and hemoglobin in the mice. Experiments done in this study included observing the best dose and the best time of appearing anti-anoxic effects in mice. Results were found that the functional liquid could prolong not only the survival time and the brain survival time of the mouse, but also increasing the number of erythrocytes (RBC) and the content of hemoglobin (Hb); and the functional liquid has markedly protecting cardio-cerebral function; If the dosage of the functional liquid control on the 0.3ml/day for each mouse, the best effects should appear after four hour. And the functional liquid had no obvious effect on the weight of the mice within thirty days. 展开更多
关键词 functional LIQUID chinese traditional medicine anti-anoxic survival time ERYTHROCYTE HEMOGLOBIN
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A Patient with End-stage Respiratory Failure Gets Recovery from Mechanical Ventilation by Utilization of Chinese Traditional Medicine
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作者 FANG Hui PAN Hui XIAO Dang-sheng 《World Journal of Integrated Traditional and Western Medicine》 2020年第6期40-46,共7页
Ventilator-assisted ventilation and lung transplantation are the final treatments for the patients with end-stage respiratory failure.A patient,who has been diagnosed as end-stage respiratory failure and received trac... Ventilator-assisted ventilation and lung transplantation are the final treatments for the patients with end-stage respiratory failure.A patient,who has been diagnosed as end-stage respiratory failure and received tracheal intubation with mechanical ventilation,received the treatment of Chinese herbal medicine on the principle of TCM and got some recovery gradually.After two months,the patient got rid of mechanical ventilation successfully.This case implies that TCM will be an alternative treatment for the patients with the similar conditions. 展开更多
关键词 Respiratory failure Mechanical ventilation System biology Herbal medicine traditional chinese medicine
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Comprehensive effects of traditional Chinese medicine treatment on heart failure and changes in B-type natriuretic peptide levels: A meta-analysis
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作者 Li-Li Xia Shu-Yun Yang +2 位作者 Jun-Yao Xu Han-Qing Chen Zhu-Yuan Fang 《World Journal of Clinical Cases》 SCIE 2024年第4期766-776,共11页
BACKGROUND Heart failure(HF),a common cardiovascular condition,is characterized by significant morbidity and mortality.While traditional Chinese medicine(TCM)is often used as a complementary approach in HF management,... BACKGROUND Heart failure(HF),a common cardiovascular condition,is characterized by significant morbidity and mortality.While traditional Chinese medicine(TCM)is often used as a complementary approach in HF management,systematic evalua-tions of its impact on clinical outcomes,TCM syndrome scores,and B-type natriuretic peptide(BNP)levels are lacking.This study fills this gap through a comprehensive analysis of randomized controlled trials(RCTs)focusing on TCM for HF treatment.It encompasses an assessment of methodological quality,a meta-analysis,and an evaluation of evidence quality based on established standards.The results offer crucial insights into the potential advantages and constraints of TCM in HF management.RCTs on TCM for HF treatment published since the establishment of the database were searched in four Chinese and English databases,including China National Knowledge Infrastructure,Wanfang,VIP Information Chinese Science and Technology Journal,and PubMed.Methodological quality was assessed for the included studies with the Cochrane risk-of-bias assessment tool,and the meta-analysis and publication bias assessment was performed with the RevMan5.3 software.Finally,the quality of evidence was rated according to the GRADE criteria.RESULTS A total of 1098 RCTs were initially retrieved.After screening,16 RCTs were finally included in our study,which were published between 2020 and 2023.These RCTs involved 1660 HF patients,including 832 in the TCM group[TCM combined with conventional Western medicine(CMW)treatment]and 828 in the CWM group(CWM treatment).The course of treatments varied from 1 wk to 3 months.TCM syndrome differentiation was analyzed in 11 of the included RCTs.In all included RCTs,outcome indicators included comprehensive clinical outcomes,TCM syndrome scores,and BNP levels.The meta-analysis results showed significant differences between the TCM and CWM groups in terms of comprehensive clinical outcomes[risk ratio=-0.54;95%confidence interval(CI)=-0.61,-0.47;P<0.00001],TCM syndrome scores[weighted mean difference(WMD)=-142.07;95%CI=-147.56,-136.57;P<0.00001],and BNP levels(WMD=-142.07;95%CI=-147.56,-136.57;P<0.00001).According to the GRADE criteria,RCTs where"TCM improves clinical comprehensive outcomes"were rated as low-quality evidence,and RCTs where"TCM reduces TCM syndrome scores"or"TCM decreases BNP levels"were rated as medium-quality evidence.CONCLUSION TCM combined with CWM treatment effectively improves comprehensive clinical outcomes and diminishes TCM syndrome scores and BNP levels in HF patients.Given the low and medium quality of the included RCTs,the application of these results should be cautious. 展开更多
关键词 traditional chinese medicine Heart failure Comprehensive clinical outcomes traditional chinese medicine syndrome score B-type natriuretic peptide level Meta-analysis©The Author(s)2024.Published by Baishideng Publishing Group Inc.
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