ABSTRACT
This paper summarized Professor ZHANG Junping's clinical experience in treating coronary heart disease (CHD) combined with hypothyroidism. It is believed that yang deficiency was the root cause of CHD complicated with hypothyroidism, and also the key pathogenesis throughout its development. Accordingly, combined with the different focuses on the lesions in the blood, pulse, heart and spirit, Professor ZHANG took warming yang as the basic rule and summarized the four methods of warming yang for syndrome differentiation and treatment. When spleen-kidney yang deficiency, disturbance of qi transformation, dysfunction of blood transportation as the pathological basis of CHD combined with hypothyroidism, the self-prescribed Butian Formula (补天方) could be used for warming yang and benefiting the kidney, thereby regulating Qi and blood; when the cold and dampness blocked the blood vessels, and turbidity-toxin generated gradually, resulting in heart vessel obstruction, the self-prescribed Huazhuo Changmai Decoction (化浊畅脉汤) could be used to warm yang and dissolve the turbidity so that to unblock the heart vessels; when the structure and function of the heart fail, edema due to yang deficiency with pericardial fluid retention, the self-prescribed Yuxin Baomai Formula (育心保脉方) could be used to warm yang and excret water, and protect the heart; when yang deficiency led to emotional and mental stagnation, and the heart impairment aggravated emotional and mental disorders, which resulted in emotional and mental abnormalities, the self-prescribed Jieyu Anshen Decoction (解郁安神汤) could be used to relieve emotional and mental stagnation, and calm mind.
ABSTRACT
With the increasing incidence of diabetes mellitus in recent years, cardiomyopathy caused by diabetes mellitus has aroused wide concern and this disease is characterized by high insidiousness and high mortality. The early pathological changes of diabetic cardiomyopathy (DCM) are mitochondrial structural disorders and loss of myocardial metabolic flexibility. The turbulence of mitochondrial quality control (MQC) is a key mechanism leading to the accumulation of damaged mitochondria and loss of myocardial metabolic flexibility, which, together with elevated levels of oxidative stress and inflammation, trigger changes in myocardial structure and function. Qi deficiency and stagnation is caused by the loss of healthy Qi, and the dysfunction of Qi transformation results in the accumulation of pathogenic Qi, which further triggers injuries. According to the theory of traditional Chinese medicine (TCM), DCM is rooted in Qi deficiency of the heart, spleen, and kidney. The dysfunction of Qi transformation leads to the generation and lingering of turbidity, stasis, and toxin in the nutrient-blood and vessels, ultimately damaging the heart. Therefore, Qi deficiency and stagnation is the basic pathologic mechanism of DCM. Mitochondria, similar to Qi in substance and function, are one of the microscopic manifestations of Qi. The role of MQC is consistent with the defense function of Qi. In the case of MQC turbulence, mitochondrial structure and function are impaired. As a result, Qi deficiency gradually emerges and triggers pathological changes, which make it difficult to remove the stagnant pathogenic factor and aggravates the MQC turbulence. Ultimately, DCM occurs. Targeting MQC to treat DCM has become the focus of current research, and TCM has the advantages of acting on multiple targets and pathways. According to the pathogenesis of Qi deficiency and stagnation in DCM and the modern medical understanding of MQC, the treatment should follow the principles of invigorating healthy Qi, tonifying deficiency, and regulating Qi movement. This paper aims to provide ideas for formulating prescriptions and clinical references for the TCM treatment of DCM by targeting MQC.
ABSTRACT
70 clinical Mycobacterium tuberculosis strains isolated from AIDS patients in two HIV/AIDS referral hospitals in Beijing were used in this study. M. tuberculosis and non-tuberculosis mycobacterium (NTM) were identified by using multi-locus PCR. M. tuberculosis was genotyped by using 15-locus MIRU-VNTR technique and spoligotyping afterwards. Meanwhile, the drug susceptibilities of the strains to the four first-line anti TB drugs (rifampin, isoniazid, streptomycin, and ethambutol) and the four second-line anti-TB drugs (capreomycin, kanamycin, ofloxacin, and ethionanide) were tested with proportional method. In this study, M. tuberculosis and NTM strains isolated from AIDS patients with TB-like symptoms were identified and genotyping analysis indicated that Beijing genotype was the predominant genotype. In addition, the prevalence of drug-resistant TB, especially the prevalence of XDR-TB, was higher than that in TB patients without HIV infection.
Subject(s)
Humans , AIDS-Related Opportunistic Infections , Microbiology , Antitubercular Agents , Pharmacology , China , Microbial Sensitivity Tests , Mycobacterium tuberculosis , Classification , Phylogeny , Tuberculosis , MicrobiologyABSTRACT
ificantly lower than in both middle and low group(P<0.05).Conclusion TP may improve the antioxidant ability of experimental aging mice.