Traditional Chinese medicine(TCM)is a holistic medical system that classifies and treats diseases based on the concept of patterns.These patterns describe the pathophysiological process of a disease at a specific stag...Traditional Chinese medicine(TCM)is a holistic medical system that classifies and treats diseases based on the concept of patterns.These patterns describe the pathophysiological process of a disease at a specific stage,reflecting both external signs and internal features.TCM patterns are central to pattern differentiation,treatment,clinical practice,and theoretical development in TCM.However,scientific explanation of TCM patterns remains limited because of subjective diagnostic criteria,the absence of a standardized experimental medical system,and unclear biological mechanisms,which restrict the modernization and globalization of TCM.Addressing challenges such as strong subjectivity in diagnosis,lack of standardized experimental systems,and unclear biological mechanisms is necessary to clarify the scientific meaning of TCM patterns and to provide technical approaches for the modernization and globalization of TCM.A strategy focused on“pathogenic factors,genetic predisposition,and disease progression stages”was adopted.This approach included the following:(Ⅰ)constructing disease-pattern integrated biological models with animal models,organoids,and multi-organ chips;(Ⅱ)applying multi-omics technologies,such as spatial omics,single-cell omics,and dynamic metabolic flux omics;(Ⅲ)using artificial intelligence(AI)and big data for data integration and prediction of pattern evolution;and(Ⅳ)validating formula–pattern associations through the“pattern differentiation through formula efficacy”approach.These strategies directly address the main obstacles in TCM pattern research by providing objective,quantifiable,and reproducible methodologies.Constructing disease-pattern integrated models enabled cross-scale research platforms.Applying multi-omics technologies allowed analysis of complex biological bases.AI and big data approaches addressed challenges related to heterogeneous data.The“formula-based pattern differentiation”approach supported precise interventions and the development of new drugs.This interdisciplinary framework advances TCM pattern research by moving from empirical description to objective quantification.By integrating innovative approaches,the study establishes a foundation for systematic,evidence-based TCM diagnosis and treatment,supporting accuracy and promoting international recognition and modernization of TCM.The study shows that combining multi-omics technologies,AI-driven data analysis,and disease-pattern models enables objective quantification of TCM patterns and clarifies their biological mechanisms.展开更多
Objective: To reveal the mechanism of Mahuang Lianqiao Chixiaodou decoction and its disassembled formula for improving the skin barrier function in a mouse model of atopic dermatitis(AD).Methods: Sixty specific-pathog...Objective: To reveal the mechanism of Mahuang Lianqiao Chixiaodou decoction and its disassembled formula for improving the skin barrier function in a mouse model of atopic dermatitis(AD).Methods: Sixty specific-pathogen free male BALB/c mice were randomly divided into the control group,model group, whole formula group(WF), exterior-releasing formula group(ERF), interior-clearing formula group(ICF), and positive control group(PC). A mouse model of AD was established using the semiantigen 2,4-dinitrofluorobenzene induction method. The lesion scores, transepidermal water loss and p H, and skin histopathology of mice in each group were observed. The expressions of filaggrin, loricrin,and involucrin were detected by the streptavidin peroxidase immunohistochemical method and western blotting, and their mRNA expressions were detected by quantitative polymerase chain reaction.Results: Mice in the WF, ERF, ICF, and PC groups showed reduced skin lesion performance, improved histopathology, decreased skin lesion score, transepidermal water loss and pH, and upregulated expressions of proteins including filaggrin, loricrin, and involucrin, and their mRNAs. The most obvious regulatory effect was observed in the WF group, followed by the ICF, ERF, and PC groups, accordingly.Conclusions: Mahuang Lianqiao Chixiaodou decoction and its disassembled formula can improve the skin barrier function in a mouse model of AD by upregulating filaggrin, loricrin, and involucrin, and their mRNA expressions, and the most optimal effect was noted in the WF group, followed by the ICF and ERF groups, which suggests that the effect of clearing heat and resolving dampness in improving the skin barrier function of AD is more obvious and is one of the key treatments for AD.展开更多
Shanghanlun is a classic work in traditional Chinese medicine(TCM),which systematically discusses diagnosis and treatment ideas based on syndrome differentiation and records a large number of highly practical prescrip...Shanghanlun is a classic work in traditional Chinese medicine(TCM),which systematically discusses diagnosis and treatment ideas based on syndrome differentiation and records a large number of highly practical prescriptions.When Shanghanlun was introduced into Japan along with the communication between China and Japan in the Sui and Tang Dynasties,it had a profound influence on the development of Kampo medicine in Japan.By sorting out the works related to Shanghanlun in the medical history literature of Kampo medicine before the Meiji Restoration,this paper discusses the relationship between Shanghanlun and the Koho school of Kampo medicine,as well as the influence of the thought“formula corresponding to pattern identification,”originating from the Koho school,on the development of modern Kampo medicine.The study of Shanghanlun by Kampo medicine nowadays not only attaches great importance to clinical practicality but also has theoretical discussions.It is expected that future medical exchanges between China and Japan will complement each other from the perspectives of both sides and promote the theoretical and clinical development of TCM.展开更多
基金supported by the National Key Research and Development Program of China(2022YFC3500100)the National Natural Science Foundation of China(82230126 and U24A20800)+3 种基金Noncommunicable Chronic Diseases-National Science and Technology Major Project(2023ZD0502600 and 2023ZD0502601)National Science Fund for Excellent Young Scholars(82222075)the Incubation Program for the Science and Technology Development of Chinese Medicine Guangdong Laboratory(HQL2024PZ045 and HQCML-C-2024003)Guangdong Provincial Key Laboratory of Pattern and Formula(2022B1212010012).
文摘Traditional Chinese medicine(TCM)is a holistic medical system that classifies and treats diseases based on the concept of patterns.These patterns describe the pathophysiological process of a disease at a specific stage,reflecting both external signs and internal features.TCM patterns are central to pattern differentiation,treatment,clinical practice,and theoretical development in TCM.However,scientific explanation of TCM patterns remains limited because of subjective diagnostic criteria,the absence of a standardized experimental medical system,and unclear biological mechanisms,which restrict the modernization and globalization of TCM.Addressing challenges such as strong subjectivity in diagnosis,lack of standardized experimental systems,and unclear biological mechanisms is necessary to clarify the scientific meaning of TCM patterns and to provide technical approaches for the modernization and globalization of TCM.A strategy focused on“pathogenic factors,genetic predisposition,and disease progression stages”was adopted.This approach included the following:(Ⅰ)constructing disease-pattern integrated biological models with animal models,organoids,and multi-organ chips;(Ⅱ)applying multi-omics technologies,such as spatial omics,single-cell omics,and dynamic metabolic flux omics;(Ⅲ)using artificial intelligence(AI)and big data for data integration and prediction of pattern evolution;and(Ⅳ)validating formula–pattern associations through the“pattern differentiation through formula efficacy”approach.These strategies directly address the main obstacles in TCM pattern research by providing objective,quantifiable,and reproducible methodologies.Constructing disease-pattern integrated models enabled cross-scale research platforms.Applying multi-omics technologies allowed analysis of complex biological bases.AI and big data approaches addressed challenges related to heterogeneous data.The“formula-based pattern differentiation”approach supported precise interventions and the development of new drugs.This interdisciplinary framework advances TCM pattern research by moving from empirical description to objective quantification.By integrating innovative approaches,the study establishes a foundation for systematic,evidence-based TCM diagnosis and treatment,supporting accuracy and promoting international recognition and modernization of TCM.The study shows that combining multi-omics technologies,AI-driven data analysis,and disease-pattern models enables objective quantification of TCM patterns and clarifies their biological mechanisms.
基金supported by the Natural Science Foundation of Beijing Municipality Surface Project(7192114)。
文摘Objective: To reveal the mechanism of Mahuang Lianqiao Chixiaodou decoction and its disassembled formula for improving the skin barrier function in a mouse model of atopic dermatitis(AD).Methods: Sixty specific-pathogen free male BALB/c mice were randomly divided into the control group,model group, whole formula group(WF), exterior-releasing formula group(ERF), interior-clearing formula group(ICF), and positive control group(PC). A mouse model of AD was established using the semiantigen 2,4-dinitrofluorobenzene induction method. The lesion scores, transepidermal water loss and p H, and skin histopathology of mice in each group were observed. The expressions of filaggrin, loricrin,and involucrin were detected by the streptavidin peroxidase immunohistochemical method and western blotting, and their mRNA expressions were detected by quantitative polymerase chain reaction.Results: Mice in the WF, ERF, ICF, and PC groups showed reduced skin lesion performance, improved histopathology, decreased skin lesion score, transepidermal water loss and pH, and upregulated expressions of proteins including filaggrin, loricrin, and involucrin, and their mRNAs. The most obvious regulatory effect was observed in the WF group, followed by the ICF, ERF, and PC groups, accordingly.Conclusions: Mahuang Lianqiao Chixiaodou decoction and its disassembled formula can improve the skin barrier function in a mouse model of AD by upregulating filaggrin, loricrin, and involucrin, and their mRNA expressions, and the most optimal effect was noted in the WF group, followed by the ICF and ERF groups, which suggests that the effect of clearing heat and resolving dampness in improving the skin barrier function of AD is more obvious and is one of the key treatments for AD.
基金Program of“Collection and Arrangement of Ancient Chinese Medical Literature”supported by Tianjin Health Commission(ZX2021021)Undergraduate Teaching Quality Project of Tianjin University of Traditional Chinese Medicine(2021XLYX-20)。
文摘Shanghanlun is a classic work in traditional Chinese medicine(TCM),which systematically discusses diagnosis and treatment ideas based on syndrome differentiation and records a large number of highly practical prescriptions.When Shanghanlun was introduced into Japan along with the communication between China and Japan in the Sui and Tang Dynasties,it had a profound influence on the development of Kampo medicine in Japan.By sorting out the works related to Shanghanlun in the medical history literature of Kampo medicine before the Meiji Restoration,this paper discusses the relationship between Shanghanlun and the Koho school of Kampo medicine,as well as the influence of the thought“formula corresponding to pattern identification,”originating from the Koho school,on the development of modern Kampo medicine.The study of Shanghanlun by Kampo medicine nowadays not only attaches great importance to clinical practicality but also has theoretical discussions.It is expected that future medical exchanges between China and Japan will complement each other from the perspectives of both sides and promote the theoretical and clinical development of TCM.
