Objective:To evaluate the clinical efficacy of umbilical herbal application combined with pestle needle therapy in the treatment of functional diarrhea(FD)due to deficient cold of the spleen and stomach.Methods:A tota...Objective:To evaluate the clinical efficacy of umbilical herbal application combined with pestle needle therapy in the treatment of functional diarrhea(FD)due to deficient cold of the spleen and stomach.Methods:A total of 72 patients with FD were enrolled and randomly assigned to two groups using the random number table method,with 36 patients in each group.Both groups received conventional Western medication treatment.The observation group additionally received umbilical application of Wen Yang Bu Pi Gao(Yang-warming and spleenstrengthening herbal paste)combined with pestle needle therapy.After 7 d of treatment,the clinical efficacy was assessed.Traditional Chinese medicine(TCM)symptom scores,irritable bowel syndrome-quality of life(IBS-QOL)score,and the incidence of adverse reactions were compared between the two groups.Results:The total effective rate in the observation group was 91.7%,which was significantly higher than 69.4%in the control group(P<0.05).After treatment,TCM symptom and IBS-QOL scores in both groups were significantly reduced compared to those before treatment(P<0.05),and the scores in the observation group were significantly lower than those in the control group(P<0.05).No adverse reactions occurred in either group during the treatment period.Conclusion:Compared to conventional Western medication treatment alone,the addition of umbilical application of Wen Yang Bu Pi Gao combined with pestle needle therapy can more effectively alleviate clinical symptoms and improve the quality of life in patients with FD due to deficient cold of the spleen and stomach.展开更多
OBJECTIVE: To investigate the clinical differentiation of spleen-deficiency pattern(SDP), a group of symptoms and signs defined in terms of Traditional Chinese Medicine for its clinical practice.METHODS: Peripheral ve...OBJECTIVE: To investigate the clinical differentiation of spleen-deficiency pattern(SDP), a group of symptoms and signs defined in terms of Traditional Chinese Medicine for its clinical practice.METHODS: Peripheral venous blood(> 3 m L) was collected from each of six type 2 diabetes mellitus(T2DM)-SDP patients and six healthy volunteers. After the isolation of peripheral white blood cells(PWBCs), total RNA was extracted, and quality control was performed on all RNA samples. Microarray experiments were conducted using the Agilent human whole genome gene chip, and genes demonstrating differential expression were screened. Bioinformatics analysis was conducted on these genes using several online databases.RESULTS: We screened a total of 175 differentially expressed genes(DEGs), of which 111(63%) were down-regulated and 64(37%) were up-regulated in T2DM-SDP patients compared with healthy controls. Among the 175 genes, 158 had biological function annotations: 46(29%) were directly related to an individual's immune regulation or response, 25(16%) were associated with substance and energy metabolism of PWBCs which could also indirectly influence immunity, and the remaining87(55%) were involved in a variety of PWBC biological processes that might eventually influence the immune function. Kyoto Encyclopedia of Genes and Genomes pathway enrichment analysis revealed that the DEGs were predominantly enriched in seven immune-related pathways. Hierarchical cluster analysis identified gene expression patterns that were distinguishable between the two study groups.CONCLUSION: Our results suggest that T2DM-SDP patients experience significant hypoimmunity and/or immune dysfunctions, and possess a specific gene expression profile. These findings offer new insights into SDP and the clinical pattern differentiation of T2DM-SDP.展开更多
OBJECTIVE:To observe and explore the effect of Fuling(Poria) in alleviating the spleen deficiency symptom pattern(SDSP).METHODS:We established an animal model of SDS in Sprague-Dawley(SD) rats by treating them with de...OBJECTIVE:To observe and explore the effect of Fuling(Poria) in alleviating the spleen deficiency symptom pattern(SDSP).METHODS:We established an animal model of SDS in Sprague-Dawley(SD) rats by treating them with deficiency-inducing factors,including irregular feeding and tail clamping.Mice were administered Fuling(Poria) and its extracts(raw/cooked powder,aqueous/alcohol extract) by gavage once a day for 21 d.The body weight,rectal temperature,and spleen and thymus organ coefficients were calculated.The levels of motilin(MTL),gastrin(GAS),aquaporin 2(AQP2),interleukin 2(IL-2),IL-4,and 5-hydroxytryptamine(5-HT) in the serum and the level of AQP2 in the kidneys were evaluated by enzyme-linked immunosorbent assay.RESULTS:Fuling(Poria) and its extracts did not change the body weight,rectal temperature,and organ coefficients of the spleen and thymus.However,it reduced the levels of MTL and GAS and increased the levels of IL-2 and AQP2.In addition,the levels of IL-4 and 5-HT showed no significant alteration.CONCLUSIONS:These results suggested the crucial function of Fuling(Poria) in SDSP,especially promoting digestive function and water metabolism.展开更多
基金supported by 2023 Annual Public Welfare Technological Application Research Project of Jinhua City(2023年度金华市公益性技术应用研究项目,No.2023-4-256).
文摘Objective:To evaluate the clinical efficacy of umbilical herbal application combined with pestle needle therapy in the treatment of functional diarrhea(FD)due to deficient cold of the spleen and stomach.Methods:A total of 72 patients with FD were enrolled and randomly assigned to two groups using the random number table method,with 36 patients in each group.Both groups received conventional Western medication treatment.The observation group additionally received umbilical application of Wen Yang Bu Pi Gao(Yang-warming and spleenstrengthening herbal paste)combined with pestle needle therapy.After 7 d of treatment,the clinical efficacy was assessed.Traditional Chinese medicine(TCM)symptom scores,irritable bowel syndrome-quality of life(IBS-QOL)score,and the incidence of adverse reactions were compared between the two groups.Results:The total effective rate in the observation group was 91.7%,which was significantly higher than 69.4%in the control group(P<0.05).After treatment,TCM symptom and IBS-QOL scores in both groups were significantly reduced compared to those before treatment(P<0.05),and the scores in the observation group were significantly lower than those in the control group(P<0.05).No adverse reactions occurred in either group during the treatment period.Conclusion:Compared to conventional Western medication treatment alone,the addition of umbilical application of Wen Yang Bu Pi Gao combined with pestle needle therapy can more effectively alleviate clinical symptoms and improve the quality of life in patients with FD due to deficient cold of the spleen and stomach.
基金Supported by the Administration of Traditional Chinese Medicine of Guangdong Province of China(Study on the Relevance Between the Pi-Deficiency Syndrome and Gene Differential Expression Profile of Immunity and Metabolism in Type 2 Diabetic MellitusNo.20123001)+8 种基金Special Funds from the Central Finance of China in Support of the Development of Local Colleges and Universities[Collaborative Innovation Platform for the Prevention and Treatment of Significant and Refractory Pi-Wei DiseasesEducational Finance Grant No.338(2013)]the National Natural Science Foundation of China(the Mechanism Study of Salivary Alpha Amylase Activity Change in Pi-Deficiency Syndrome Patients Based on the AMY1 Copy Number VariationN-Glycosylated Protein Level and β-Adrenergic Receptor ActivationNo.81102703)the Science and Technology Planning Project of Guangdong Province of China (miRNA as Material Basis for the New Hypothesis"Pi-Metabolism Relevance"and Study on the Molecular Mechanisms of Treating Metabolic Disorders Through PiNo.2013A032500005)
文摘OBJECTIVE: To investigate the clinical differentiation of spleen-deficiency pattern(SDP), a group of symptoms and signs defined in terms of Traditional Chinese Medicine for its clinical practice.METHODS: Peripheral venous blood(> 3 m L) was collected from each of six type 2 diabetes mellitus(T2DM)-SDP patients and six healthy volunteers. After the isolation of peripheral white blood cells(PWBCs), total RNA was extracted, and quality control was performed on all RNA samples. Microarray experiments were conducted using the Agilent human whole genome gene chip, and genes demonstrating differential expression were screened. Bioinformatics analysis was conducted on these genes using several online databases.RESULTS: We screened a total of 175 differentially expressed genes(DEGs), of which 111(63%) were down-regulated and 64(37%) were up-regulated in T2DM-SDP patients compared with healthy controls. Among the 175 genes, 158 had biological function annotations: 46(29%) were directly related to an individual's immune regulation or response, 25(16%) were associated with substance and energy metabolism of PWBCs which could also indirectly influence immunity, and the remaining87(55%) were involved in a variety of PWBC biological processes that might eventually influence the immune function. Kyoto Encyclopedia of Genes and Genomes pathway enrichment analysis revealed that the DEGs were predominantly enriched in seven immune-related pathways. Hierarchical cluster analysis identified gene expression patterns that were distinguishable between the two study groups.CONCLUSION: Our results suggest that T2DM-SDP patients experience significant hypoimmunity and/or immune dysfunctions, and possess a specific gene expression profile. These findings offer new insights into SDP and the clinical pattern differentiation of T2DM-SDP.
基金Supported by National Key Research and Development Program of China:Study on the Core Efficacy Evaluation of Fuling(Poria)(No.2017YFC1703005)。
文摘OBJECTIVE:To observe and explore the effect of Fuling(Poria) in alleviating the spleen deficiency symptom pattern(SDSP).METHODS:We established an animal model of SDS in Sprague-Dawley(SD) rats by treating them with deficiency-inducing factors,including irregular feeding and tail clamping.Mice were administered Fuling(Poria) and its extracts(raw/cooked powder,aqueous/alcohol extract) by gavage once a day for 21 d.The body weight,rectal temperature,and spleen and thymus organ coefficients were calculated.The levels of motilin(MTL),gastrin(GAS),aquaporin 2(AQP2),interleukin 2(IL-2),IL-4,and 5-hydroxytryptamine(5-HT) in the serum and the level of AQP2 in the kidneys were evaluated by enzyme-linked immunosorbent assay.RESULTS:Fuling(Poria) and its extracts did not change the body weight,rectal temperature,and organ coefficients of the spleen and thymus.However,it reduced the levels of MTL and GAS and increased the levels of IL-2 and AQP2.In addition,the levels of IL-4 and 5-HT showed no significant alteration.CONCLUSIONS:These results suggested the crucial function of Fuling(Poria) in SDSP,especially promoting digestive function and water metabolism.
