Latest Issue

    2015 Year 21 Vol. 10 Issue

      OriginalPaper

    • Ke-ji Chen
      2015, 21(10): 723-726. DOI: 10.1007/s11655-015-2312-1
      Keywords:Chinese Medicine;Artemisinin;Acute Promyelocytic Leukemia;Arsenic Trioxide;Ligustrazine   
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    • Xi-ran He,Shu-yan Han,Ping-ping Li
      2015, 21(10): 727-732. DOI: 10.1007/s11655-015-2318-8
      Abstract:To give an overview of contemporary experimental research using Chinese medicine (CM) for the treatment of cancer. As an integral part of mainstream medicine in the People’s Republic of China, CM emphasizes improvements in holistic physical condition instead of merely killing tumor cells, which is consistent with the current medical model that advocates patient-oriented treatment. Great progress has been made in experimental research, and the principle aspects include anti-tumor angiogenesis, inducing apoptosis and differentiation, reversing multidrug resistance, and improving immune function. As a current hot topic in cancer research, tumor microenvironment (TME) highlights the mutual and interdependent interaction between tumor cells and their surrounding tissues, and the CM treatment concept bears a striking resemblance to it. To date, primary points of TME include extracellular matrix remodeling, inflfl ammation, hypoxia, and angiogenesis, but trials using CM with a focus on TME are rare. Despite considerable recent development, experimental research on CM for solving cancer issues appears insufficient. Greater efforts in this field are urgently needed.  
      Keywords:Chinese Medicine;tumor;experimental research;highlights   
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    • Shao-xiang Xian,Zhong-qi Yang,Pei-hua Ren,Xiao-han Ye,Sui-lin Ye,Qing-hai Wang,Zhao-hui Wang,Shu-jing Shen,Xi-wen Huang
      2015, 21(10): 733-742. DOI: 10.1007/s11655-015-2170-x
      Abstract:To investigate the safety and efficacy of Yangxinkang Tablets (养心康片) in patients with chronic heart failure (CHF) and syndrome of qi and yin deficiency, blood stasis, and water retention. In a double-blinded, randomized, placebo-controlled, multicenter clinical trail, 228 patients with CHF New York Heart Association (NYHA) class II or III in stage C were assigned by randomized block method to two groups in a 1:1 ratio to undergo either conventional Western treatment or conventional treatment plus Yangxinkang Tablets for 4 weeks. The outcome measure were effect of cardiac function, Chinese medicine (CM) syndromes, scores of symptoms, signs, and quality of life measured by Minnesota Living with heart failure questionnaire (MLHFQ) before and after the treatment. Totally 112 patients were analyzed in the treatment group and 109 in the control group. They were comparable in NYHA functional class, basic parameters and primary diseases before treatment. Cardiac function and CM syndromes were greatly ameliorated in both groups after treatment. Total effective rates of cardiac function and CM syndrome in the treatment group were significantly higher than those in the control group (P<0.05). Total symptom score and sign score in the treatment group decreased significantly after treatment (P<0.01), which were significantly lower than those in the control group (P<0.05). There were statistically significant differences in post-treatment scores of gasp, cough with phlegm, pulmonary rales and jugular vein engorgement between the two groups (P<0.05 or P<0.01). Three MLHFQ scores decreased significantly in both groups after treatment (P<0.01). Post-treatment total scale score and physical subscale score in the treatment group and the reduction of them showed statistically significant differences (P<0.05) as compared with the control group. There was no significant difference between the two groups in emotional subscale score and the reduction after treatment (P>0.05). There was no obvious adverse reaction in either group noted during the study. Yangxinkang Tablets were safe and efficacious in improving cardiac function, CM syndromes, symptoms, signs, and quality of life in patients with CHF class II or III in stage C on the base of conventional treatment.  
      Keywords:chronic heart failure;Chinese Medicine;cardiac function;syndrome;quality of life   
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    • Chao-xian Zhang,Li-ke Guo
      2015, 21(10): 743-750. DOI: 10.1007/s11655-015-2175-5
      Abstract:To explore clinical short and long-term effect of combining Dalitong Granule (达立通颗粒, DG) and electroacupuncture group (EA) in the treatment of functional dyspepsia. Totally 640 patients with confirmed functional dyspepsia were randomly divided into 4 groups using a randomized digital table: the DG group, the EA group, the combined group and the control group, 160 cases in each group. The DG group was treated with 6 g DG 3 times daily; the EA group was treated with puncture of points Zusanli (ST36), Zhongwan (CV12), Neiguan (PC6), Taichong (LR3) and Gongsun (SP4) twice daily; the combined group with above-mentioned DG and EA; and the control group with 5 mg mosapride 3 times, 20 mg pantoprazole and 25 mg amitriptylines twice daily. The treatment course was 4 weeks for all groups. The symptom score, quality of life score by Short Form 36 Health Survey Questionnaires (SF-36), plasma motilin by radioimmunoassay, electrogastrographic frequencies by electrogastrogram (EGG) and gastric emptying by B-sonography were examined, and adverse reactions were observed before, at the end of treatment and 60 weeks post-treatment. In the DG group 1 case dropped out for not taking medicine strictly and 1 case was lost to follow-up, while 1 case in the EA group and 2 cases in the combined therapy group were lost to follow-up. Compared with pre-treatment, quality of life score, plasma motilin, electrogastrographic frequencies and gastric emptying were all increased significantly, while symptom score was decreased significantly at the end of treatment in each group (P<0.01); in the combined group quality of life score, plasma motilin, electrogastrographic frequencies and gastric emptying were all significantly higher than those in the other groups, while symptom score was significantly lower than in the other groups (P<0.05). Compared with at the end of treatment, these indices changed insignificantly in the combined group and the EA group 60 weeks post-treatment (P>0.05), but the 4 increased indices were all decreased significantly, and symptom score was increased significantly in the DG and the control groups (P>0.05). The short and long-term total effective rates in the combined group were all significantly higher than those in the other treatment groups (P<0.05 or P<0.01). No serious adverse reaction occurred in the four groups. Combined treatment of DG and EA could increase both plasma motilin and electrogastrographic frequencies, promote gastric emptying, alleviate the symptom of dyspepsia so as to increase quality of life, with better safety and long-term effect.  
      Keywords:Dalitong Granule;electroacupuncture;quality of life;electrogastrography;plasma motilin;gastric emptying;Chinese Medicine;clinical trial   
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    • Xuan Zhang,Yu Hao,Zhan-yang Fei,Juan He
      2015, 21(10): 751-758. DOI: 10.1007/s11655-015-2319-7
      Abstract:To analyze the correlations between the incidence of tuberculosis and meteorological factors over the same period and previous periods including 1, 2 and 3 years ago, defined according to the Chinese medicine theory of five circuits (Wu Yun) and six qi, to establish medical-meteorological forecast models for the Beijing area of China. Data regarding the incidence of tuberculosis between 1990 and 2004 were obtained from the Beijing Center for Disease Control and Prevention, and the data regarding the meteorological factors (including daily average temperatures, wind speeds, precipitations, relative humidities, vapor pressures and low cloud covers) between 1987 and 2004 were collected from the Beijing Meteorological Observatory and analyzed. Descriptive statistics and a back-propagation artificial neural network were adopted to analyze the data. There were significant correlations between the incidence of tuberculosis and the meteorological factors in the corresponding year and previous years. Among these correlations, wind speed was the factor with the strongest inflfl uence on tuberculosis (the standardized significance was 100%). Additionally, all prediction models would successfully established, suggesting the use of a collection of meteorological factors spanning from three years ago to the present is superior to the use of single data. The incidence of tuberculosis in Beijing area is correlated to meteorological factors in the current year and previous years, which verifies the practicality of the theory of five circuits and six qi.  
      Keywords:tuberculosis;meteorological factors;Chinese Medicine;five circuits and six qi;back-propagation artificial neural network;Beijing   
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      Published:2021-08-27
    • Chun-hay Ko,Wing-sum Siu,Chung-Lap Chan,Chi-Man Koon,Kwok-Pui Fung,Yong-Zhi Li,Ying-hui Li,Ping-chung Leung
      2015, 21(10): 759-764. DOI: 10.1007/s11655-015-2310-3
      Abstract:To investigate the protective effects of a Chinese herbal formula, Taikong Yangxin Prescription (太空养心方, TKYXP) against bone deterioration in a hindlimb unloaded (tail-suspension) rat model. Thirty-two male Sprague-Dawley rats were divided into 4 groups: tail-suspension group fed with 2.5 g•kg-1•day-1 of TKYXP extract (high dose), tail-suspension group fed with 1.25 g•kg-1•day-1 (low dose), tail-suspended group treated with water placebo (placebo control group) and non tail-suspended group. The effects of TKYXP on bone were assessed using peripheral quantitative computed tomography (pQCT), microcomputerized tomography (micro-CT) and three-point bending biomechanical test on the femur in vivo. TKYXP had a significant protective effect against bone loss induced by tail-suspension on day 28, as shown in the reduction in bone mineral density (BMD) loss, preservation of bone micro-architecture and biomechanical strength. The administration ofhigh dose TKYXP could significantly reduce the total BMD loss by 4.8% and 8.0% at the femur and tibia regions, respectively, compared with the placebo control group (P<0.01) on day 28. Its bone protective effect on the femur was further substantiated by the increases of the trabecular BMD (by 6.6%), bone volume fraction (by 20.9%), trabecular number (by 9.5%) and thickness (by 11.9%) as compared with the placebo control group. TKYXP may protect the bone under weightless inflfl uence from gradual structural deterioration in the tail-suspension model.  
      Keywords:tail-suspension rat model;osteoporosis peripheral quantitative computed tomography;micro-computerized tomography;Chinese Herbal Medicine   
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    • Rui An,Bo Li,Li-sha You,Xin-hong Wang
      2015, 21(10): 765-771. DOI: 10.1007/s11655-015-2063-z
      Abstract:To investigate whether Epimedium brevicornu Maxim (EB) and icariin could exert their protective effects on hydrocortisone induced (HCI) rats by regulating the hypothalamus-pituitary-adrenal (HPA) axis and endocrine system and the possible mechanism. Male 10-week-old Sprague Dawley (SD) rats were allotted to 6 groups (A–F) with 12 each, group A was injected normal saline (NS) 3 mL/kg day intraperitoneally, group A and B were given NS 6 mL/kg day by gastrogavage, group B–F were injected hydrocortisone 15 mg/kg intraperitoneally, group C and D were given EB 8 or 5 g/(kg day) by gastrogavage, group E and F were given icariin 25 or 50 mg/(kg day) by gastrogavage. Gene expressions of hypothalamus corticotropin releasing hormone (CRH) and pituitary proopiomelanocortin (POMC) were detected by reverse transcription-polymerase chain reaction (RT-PCR), and protein of pituitary POMC by Western-blot. The serum T4, testosterone, cortisol and POMC mRNA expression were increased after treatment with EB or icariin in HCI rats, the serum CRH and the hypothalamus CRH mRNA expression released from hypothalamus corticotropin decreased compared with group B (P<0.05).The treatment with only icariin increased serum adrenocorticotropic hormone (ACTH) compared with group B (P<0.05). EB and icariin might be therapeutically beneficial in the treatment of HCI rats through attuning the HPA axis and endocrine system which was involved in the release of CRH in hypothalamic, and the production of POMC-derived peptide ACTH in anterior pituitary, the secretion of corticosteroids in adrenal cortex.  
      Keywords:drug discovery;icariin;Epimedium brevicornu Maxim;hypothalamus-pituitary-adrenal axis;Hydrocortisone;Chinese Medicine   
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    • Mei Xue,Lin Yang,Da-zhuo Shi,Christian Radauer,Heimo Breiteneder,Yan Ma
      2015, 21(10): 772-777. DOI: 10.1007/s11655-015-2311-2
      Abstract:To develop a reliable method to assess the stability of Xinyue Capsules (心悦胶囊) containing Panax quinquefolius saponins according to European quality standards. An efficient high-performance liquid chromatography ultraviolet (HPLC-UV) method was established to analyse six main ginsenosides (Rb1, Rb2, Rc, Rd, Re and Rg1) in six different batches (120 capsules/batch) from the same lot of Xinyue Capsules and in one batch measured six times within one day. The six ginsenosides were separated on a Hypersil BDS-C18 column (3 μm, 100 mm×3 mm) at a flow rate of 0.5 mL/min. Gradient elution was performed using a mobile phase gradient of acetonitrile-water modified with 0.01% formic acid. The HPLC chromatograms were analyzed with "LC data comparison" using Lab Solutions software. The HPLC peaks were identified by comparing their retention times (Rg1: 23.44 min, Re: 23.77 min, Rb1: 35.24 min, Rc: 36.18 min, Rb2: 38.55 min and Rd: 40.88 min) with those of the standards under the same chromatographic conditions, which showed similar results among the samples of six different batches and among the samples from one batch detected six times within one day. Xinyue Capsules have good drug intra-day consistency at room temperature and exhibit a consistent quality between different batches. This study established a reliable method to assess the stability of Xinyue Capsules, which is suitable for further qualitative analysis and may assist in promoting the safe and effective use of Chinese herbal medicine.  
      Keywords:Panax quinquefolius saponins;Ginsenosides;high-performance liquid chromatography;ultraviolet;stability;Chinese Medicine   
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    • Guo-lin Wu,Na-yuan Wu,Tian-yi Li,Yong-sheng Fan,Guo-you Yu,Wen-wen Lu
      2015, 21(10): 778-783. DOI: 10.1007/s11655-015-2323-y
      Abstract:To investigate the effect of Chinese herbal medicines for nourishing yin, supplementing qi, and activating blood on the reproductive endocrine-immune network and its mechanisms in patients with primary Sjogren's syndrome (pSS). Seventy pSS patients were randomly assigned to two groups using a randomized digital table: the integrative therapy group (36 cases) and the control group (34 cases). Thirty healthy subjects were taken as a normal group. The control group was treated with hydroxychloroquine sulfate tablets alone, and the integrative therapy group was treated by Chinese herbal medicines for nourishing yin, supplementing qi, and activating blood combined with hydroxychloroquine sulfate tablets. The treatment course was 6 months for both groups. Before and after treatment, serum estradiol (E2), testosterone (T), luteinizing hormone (LH), prolactin (PRL) by radioimmunoassay and immunoglobulin (IgG) by immunodiffusion, erythrocyte sedimentation rate (ESR) by Westergren, interferon-γ (IFN-γ) and interleukin-4 (IL-4) by enzyme linked immunosorbent assay were determined. E2 and T levels in all patients were lower than those of normal subjects before treatment (P<0.05) and were increased significantly after 6-month treatment (P<0.05). ESR, FSH, LH, IgG, IFN - γ, IL - 4 and ratios of E2/T, and IFN -γ/IL in the patients were higher than those of normal subjects before the treatments (P<0.05), and were reduced significantly after the treatments (P<0.05). The T and IFN - γ levels and E2/T ratio in the patients treated with integrative therapy were reduced significantly compared with the control group (P<0.05). However, the PRL levels before and after treatment were not significantly changed in the two groups (P>0.05). The ratios of E2/T and IFN -γ/IL-4, and levels of IgG and ESR were positively correlated before and after treatment (P<0.05). The ratios of E2/T and IFN -γ/IL-4 might be used as indicators of pSS activity. Chinese herbal medicines for nourishing yin, supplementing qi, and activating blood combined with Western medicine could improve the therapeutic effect by regulating the reproductive endocrine-immune network in pSS patients.  
      Keywords:primary Sjogren’s syndrome;Chinese Herbal Medicine;nourishing Yin;supplementing qi;activating blood;reproductive endocrine-immune network;disease activity   
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    • Yang-nian Wei,Nian-feng Li,Xiao-yong Cai,Bang-yu Lu,Fei Huang,Shi-fa Mo,Hong-chang Zhang,Ming-dong Wang,Fa-sheng Wu
      2015, 21(10): 784-790. DOI: 10.1007/s11655-015-2317-9
      Abstract:To investigate the clinical effect of fast-track surgery combined with Chinese medicine treatment in devascularization operation for cirrhotic esophageal varices. Seventy-two patients with cirrhotic esophageal varices were selected from January 2009 to June 2013, and randomly assigned to a conventional group and a fast-track group (fast-track surgery combined with Chinese medicine treatment) using a randomized digital table, 36 cases in each group. Operation and anesthesia recovery time, postoperative hospitalization and quality of life were recorded and compared between groups during the perioperative period. Compared with the conventional group, the fast-track group had longer operation time (253.6±46.4 min vs. 220.6±51.0 min) and anesthesia recovery time (50.5±15.9 min vs. 23.5±9.6 min; P<0.01); less bleeding (311.3±46.8 mL vs. 356.2±57.5 mL; P<0.01) and less transfusion (1932.3±106.9 mL vs. 2045.6±115.4 mL; P<0.01); as well as faster recovery of gastrointestinal function, shorter postoperative hospitalization and higher quality of life. There were no serious postoperative complications and no further bleeding occurred. Fast-track surgery combined with Chinese medicine treatment is a safe and feasible approach to accelerate the recovery of patients with cirrhotic portal hypertension in perioperative period of devascularization operation.  
      Keywords:fast-track surgery;Chinese medicine treatment;cirrhotic esophageal varices;splenectomy;portal-azygous disconnection   
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    • Xian-pei Heng,Liu-qing Yang,Min-ling Chen,Liang Li,Su-ping Huang,Ying Lei
      2015, 21(10): 791-800. DOI: 10.1007/s11655-015-0780-5
      Abstract:Hyperglycemia significantly increases the risk of cardiovascular disease (CVD) in diabetics. However, it has been shown by a series of large scale international studies that intensive lowering of blood glucose levels not only has very limited benefits against cardiovascular problems in patients, but may even be harmful to patients at a high risk for CVD and/or poor long-term control of blood glucose levels. Therefore, Western medicine is faced with a paradox. One way to solve this may be administration of Chinese herbal medicines that not only regulate blood glucose, blood fat levels and blood pressure, but also act on multiple targets. These medicines can eliminate cytotoxicity of high glucose through anti-inflfl ammatory and anti-oxidant methods, regulation of cytokines and multiple signaling molecules, and maintenance of cell vitality and the cell cycle, etc. This allows hyperglycemic conditions to exist in a healthy manner, which is called “harmless hyperglycemia” Furthermore, these cardiovascular benefits go beyond lowering blood glucose levels. The mechanisms of action not only avoid cardiovascular injury caused by intensive lowering of blood glucose levels, but also decrease the cardiovascular dangers posed by hyperglycemia.  
      Keywords:diabetes;cardiovascular risk;Chinese Herbal Medicine;glucose toxicity;harmless hyperglycemia   
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