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In order to promote the innovative application of Sanjiao theory and Yingwei theory， this paper tries to apply the ''Sanjiao-Yingwei'' Qi transformation theory to the treatment of tumor diseases， integrating it with T cell exhaustion mechanism to elaborate on its scientific connotation and using network pharmacology and bioinformatics to elucidate the correlation between the anti-tumor mechanism of ''Sanjiao-Yingwei'' Qi transformation and T cell exhaustion. The ''Sanjiao-Yingwei'' Qi transformation function is closely related to the immunometabolic ability of the human body， and the ''Sanjiao-Yingwei'' Qi transformation system constitutes the immunometabolic exchange system within and outside the cellular environment. Cancer toxicity is generated by the fuzzy Sanjiao Qi， and the long-term fuzzy Sanjiao Qi is the primary factor leading to T cell exhaustion， which is related to the long-term activation of T cell receptors by the high tumor antigen load in the tumor microenvironment. Qi transformation malfunction of the Sanjiao produces phlegm and collects stasis， which contributes to T cell exhaustion and is correlated with nutrient deprivation， lipid accumulation， and high lactate levels in the immunosuppressed tumor microenvironment， as well as with the release of transforming growth factor-β and upregulated expression of programmed death receptor-1 by tumor-associated fibroblasts and platelets in the tumor microenvironment. Ying and Wei damage due to Sanjiao Qi transformation malfunction is similar to the abnormal manifestations such as progressive loss of exhausted T cell effector function and disturbance of cellular energy metabolism. Guizhi decoction， Shengming decoction， and Wendan decoction can correct T cell exhaustion and exert anti-tumor effects through multi-target and multi-pathways by regulating ''Sanjiao-Yingwei'' Qi transformation， and hypoxia inducible factor-1α （HIF-1α） may be one of the main pathways to correct T cell exhaustion. It was found that HIF-1α may be one of the important prognostic indicators in common tumors by bioinformatics. The use of the ''Sanjiao-Yingwei'' Qi transformation method may play an important part in improving the prognosis of tumor patients in clinical practice.
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Review of historical literature showed that the understanding of the indicated disease location of Modified FuMai Decoction （复脉汤加减方） has evolved from the upper jiao （焦） to the middle and lower jiao. Initially， it is used for the treatment of yin deficiency of both yin and yang in the upper jiao， changes to supplement stomach and produce fluids in the middle jiao， and is used to protect yin， clear the pathogens， conslidate yin and subdue yang so as to store the true yin of lower jiao. The unchanging principle of Fumai Decoction modifications is nourishing yin， while the changing aspects are determining the secondary treatment methods based on disease location of sanjiao， concomitant disease natures， internal injury or external contraction， warm disease or cold damage， thereby choosing the corresponding added or subtracted herbs， and providing reference for the application of classical formulas.
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Ovarian cancer has the highest mortality among the three major gynecological malignancies. Peritoneal metastasis, intestinal obstruction and then death is the main outcome pattern of advanced ovarian cancer. Traditional Chinese medicine maintenance treatment of advanced ovarian cancer is effective, but the theoretical basis needs to be further improved. Under the guidance of the membranous Sanjiao theory and combined with clinical experience, this paper traces the origin, focuses the location of membranous Sanjiao of ovarian cancer peritoneal metastasis and the role of membranous Sanjiao dysfunction in the occurrence and metastasis of ovarian cancer. Besides, the paper puts forward that the main strategies for the maintenance treatment of traditional Chinese medicine on ovarian cancer are ordering the Qi movement of Sanjiao, regulating and harmonizing Qi and blood, and clearing away the latent toxin. From the perspective of membranous Sanjiao theory, the theory enriches the traditional Chinese medicine theory of ovarian cancer and provides new ideas for the treatment of ovarian cancer.
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"Unblocking fu organs" is one of the essential principles of Ma's warm moxibustion technique, characterized as "dredging" and "harmonizing" for either deficiency or excess condition. Under the guidance of this therapeutic thought, the acupoints for moxibustion are mainly selected from the middle and lower parts of the body. Regarding the therapeutic approach, the acupoint prescription for moxibustion should be formed in line with warming and promoting circulation of fu organs; the moxibustion degree should be specially considered, in which, the mild moxibustion is recommended to induce promoting action; and the systematic moxibustion technique should be the root for dredging fu organs and regulating zang organs. Ma's mild moxibustion technique stresses on removing the obstruction of fu organs and emphasizes promoting the qi activity of sanjiao (triple energizer) and regulating the balance of five zang organs.
Subject(s)
Humans , Acupuncture Points , Acupuncture Therapy , Ethnicity , Hyperplasia , Moxibustion/methodsABSTRACT
Objective:To investigate the renoprotective effects that Sanjiao Qushi prescription ameliorates cationic bovine serum albumin （C-BSA） induced membranous nephropathy（MN） in mice model and its influence on nuclear factor erythroid-2-related factor-2（Nrf2）/heme oxygenase-1（HO-1） signaling pathway. Method:Sixty female BALB/c mice were randomly divided into the normal group（<italic>n</italic>=10） and the model group（<italic>n</italic>=50）. The mice in the model group received C-BSA injection via tail vein （6.5 mg·kg<sup>-1</sup>）. The mice that were successfully modeled were randomized into the model group， the low dose Sanjiao Qushi prescription group（3.71 g·kg<sup>-1</sup>）， the high dose Sanjiao Qushi prescription group（7.42 g·kg<sup>-1</sup>） and benazepril hydrochloride group（1.3 mg·kg<sup>-1</sup>）. And they were administered with the corresponding medicine by gavage once a day for four consecutive weeks. 24 hour-urine protein quantitation were performed before C-BSA injection and after C-BSA injection as well as the medicine gavage. When the treatment was finished， all of the mice were sacrificed and the biochemical indicators such as serum creatinine（SCr）， blood urea nitrogen（BUN）， triglyceride（TG）， total cholesterol（TC）， total protein（TP） and albumin（Alb） were measured. And the renal pathological morphology changes were observed by light microscope with hematoxylineosin（HE）， Masson and periodic acid-silver metheramine（PASM） staining. The deposition of immunoglobulin G（IgG） in the glomerulus was detected by fluorescence microscope. The expression of reactive oxygen species （ROS） of kidney was detected by fluorescence immunoassay. The protein expression levels of Nrf2 in cell nucleus and cytoplasm and the downstream protein factors HO-1 and NADH quinone acceptor oxidoreductase 1（NQO1） were detected by Western blot. Result:Compare to normal group， the levels of 24 hour-urine protein quantitation， TG and TC significantly increased in model group（<italic>P</italic><0.01）， while TP and Alb levels significantly decreased（<italic>P</italic><0.01）. The model group exhibited enlarged volume of glomerular， significantly thickened glomerular basement membrane（GBM）， fuchsinophilic protein deposition and spike formation through light microscope. Immunofluorescence staining for the model group exhibited granular deposition of IgG along the capillary wall. The expression of ROS in kidney significantly increased（<italic>P</italic><0.01）. The protein expression levels of Nrf2 in cell nucleus significantly increased（<italic>P</italic><0.01）， while Nrf2 in cytoplasm significantly decreased（<italic>P</italic><0.01）.The protein expression levels of HO-1 and NQO1 significantly increased（<italic>P</italic><0.01）. Compared to model group， the levels of 24 hour-urine protein quantitation， TG and TC significantly decreased in each treated group（<italic>P</italic><0.01）， TP and Alb levels significantly increased（<italic>P</italic><0.05，<italic>P</italic><0.01）. The pathological damages alleviated obviously. The expression of ROS in kidney significantly decreased（<italic>P</italic><0.01）. The protein expression levels of Nrf2 in cell nucleus significantly decreased（<italic>P</italic><0.01）， while Nrf2 in cytoplasm significantly increased（<italic>P</italic><0.05，<italic>P</italic><0.01）. The protein expression levels of HO-1 and NQO1 significantly increased（<italic>P</italic><0.01）. Conclusion:Sanjiao Qushi prescription worked on MN mice possibly by regulating related proteins in the Nrf2/HO-1 signaling pathway and relieving oxidative stress， thus decreasing 24 hour-urine protein and blood lipid， increasing serum protein， and alleviating the pathological damages to protect renal function and delay progress of the disease.
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To explore the clinical efficacy of "regulate (triple warmer) acupuncture" in the treatment of gynecological diseases. To discuss the pathogenesis of and gynecological diseases, and to briefly analyze the theory of "regulate acupuncture", the method of selecting acupoints and operating methods. In order to use the "regulate " as the rule, Baihui (GV 20), Danzhong (CV 17), Zhongwan (CV 12), Tianshu (ST 25), Qihai (CV 6), Guanyuan (CV 4), Zhongji (CV 3), Zigong (EX-CA 1), Xuehai (SP 10), Sanyinjiao (SP 6), were selected as the main acupoints to cooperate with syndrome differentiation for the treatment of gynecological diseases, such as infertility, perimenopausal syndrome. "Regulate acupuncture" is effective in the treatment of infertility and perimenopausal syndrome, which is worthy of clinical promotion and application.
Subject(s)
Female , Humans , Acupuncture Points , Genital Diseases, Female , Therapeutics , Moxibustion , Treatment OutcomeABSTRACT
OBJECTIVE:To observe the efficacy and safety of Sanjiao fuzheng mixture combined with concurrent chemoradiotherapy of paclitaxel and nedaplatin in the treatment of local advanced non-small cell lung cancer (NSCLC). METHODS:A total of 68 patients with local advanced NSCLC selected from our hospital during Jan. 2015 to Jan. 2017 were divided into control group and observation group according to random number table,with 34 cases in each group. Control group was given Paclitaxel injection 135 mg/m2 intravenously,d1+Nedaplatin for injection 75 mg/m2 intravenously,d3,21 d as a treatment course,for 2 courses;routine fractionated intensity modulated radiation therapy,2 Gy each time,5 times a week,60-70 Gy in total;given 2 cycles of primary chemotherapy continuously after radiotherapy. Observation group was additionally given Sanjiao fuzheng mixture 250 mL/d,divided into 3 times,till the end of treatment,on the basis of control group. Clinical efficacies were observed in 2 groups. The levels of nutritional indexes (BMI,PAB,ALB,Hb) and tumor markers (SCC-Ag,CEA,TK1, CYFRA21-10) before and after treatment were observed. The occurrence of ADR were recorded. RESULTS:There was no statistical significance in the total effective rate between 2 groups (observation group 82.35％ vs. control group 73.53％)(P>0.05). After treatment,the levels of BMI,PAB,ALB and Hb in 2 groups were significantly lower than before treatment,but the observation group was significantly higher than the control group. The levels of SCC-Ag,CEA,TK1 and CYFRA21-1 in 2 groups were significantly lower than before treatment,and the observation group was significantly lower than the control group,with statistical significance (P<0.05). The incidence of Ⅲ-Ⅳ degree aleucocytosis,Ⅰ-Ⅱ degree hemoglobin reduction and thrombocytopenia in observation group were significantly lower than control group, with statistical significance (P<0.05). CONCLUSIONS:The efficacy of Sanjiao fuzheng mixture combined with concurrent chemoradiotherapy of paclitaxel and nedaplatin is similar to that of concurrent chemoradiotherapy of paclitaxel and nedaplatin for localadvanced NSCLC,which can improve nutritional status significantly,and reduce the incidence of ADR.
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This article reviewed the relevant research on concept, substance, functions, and clinical application of Sanjiao during recent years. The study believed that Sanjiao is the "big viscera" integrating functions of viscus;"Sanjiao is invisible" means it couldn't be described; "Sanjiao is visible" theory has made certain achievements;Sanjiao is secondary channel for running of primordial qi; Qi transformation of lower-jiao is the foundation of blood, essence, bones and brain; The function of Sanjiao is the function of autonomic nervous system; The dysfunction of qi transformation and the disorder of qi activity of Sanjiao are generally deemed as pathogenesis of various diseases. This study also pointed out that researchers should pay more attention to physiological characteristics and functions of Sanjiao, with a purpose to help guide clinical practice.
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[Objective] To elucidate the original meaning, connotation and clinical significance of SanJiao.[Methods] Dig out the connotation of Sanjiao theory by means of genetic research methods, it's found that the Sanjiao includes not noly the Fu Sanjiao and the Sanjiao divided by parts of the body, but also hand Sanjiao and foot Sanjiao, pointing out emphatically the foot Sanjiao's along route and acupoints,diagnosis site, disease syndrome and treatment,and it expounds the physiology and pathology of Sanjiao.[Results]The Sanjiao Fu is visible stria connecting tissue,which has the storage and diarrhea function of Fu,every place will be smooth if the Sanjiao is smooth.The Sanjiao divided by parts of the body is unified in stomach,it's actually one Sanjiao.The ministerial fire of Sanjiao roots in the stomach,it is responsible for the Yang Qi of the entire body.The ministerial fire is responsible for digesting food and generating and transformating Qi of Ying and Wei,the upper side of Sanjiao is called upper burner,also called hand Sanjiao,being responsible for the heart and lung.It has 5 functions,supplying and distributing Wei Qi, governing the skin and muscle,passing through Ying Qi and Wei Qi,regulating channel of human body,being responsible for the function of striae.The lower side of Sanjiao is called lower burner,also called foot Sanjiao, being responsible for the gasification of the renal bladder.excreting two urines,conducting dross,it involves small intestine, large intestine, bladder and kidney.[Conclusion]Sanjiao is visible and nameable,it is rooted in the spleen and stomach, located in the muscle.The Sanjiao Fu is striae between the muscle.The ministerial fire of Sanjiao is responsible for the Yang Qi of the entire body,the middle burner is responsible for digesting food and generating and transformating Qi of Ying and Wei,the upper burner is responsible for the heart and lung,the lower burner is responsible for the bladder meridian.
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Abdominal obesity is a core factor in and necessary condition of diagnosing metabolic syndrome. Abdominal fat contains two parts: subcutaneous fat and visceral fat. Both are related to hypertension, impaired fasting blood glucose, diabetes and metabolic syndrome. Current studies often focus on visceral fat, but subcutaneous fat accumulation also has an inseparable relationship. Physical and chemical changes in abdominal fat cells result in abdominal fat thickening and density increase and cause changes in secretion of adipokines in this process. The common action of the two aspects leads to a number of metabolic problems. The sanjiao dysfunction brings about abdominal accumulation of phlegm, heat and stagnant turbidity and infiltration of them into blood vessels, which are the basic pathogenesis of metabolic syndrome. Abnormal Dai Meridian function plays a key role in this process. Unblocking and regulating the Dai Meridian as a core means, promoting functional activities of qi in the whole body and especially in the middle jiao and restoring the sanjiao function help the clinical treatment of metabolic syndrome.
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In the clinical practice, Professor Jiang Liangduo, a national senior Chinese medicine doctor, has created the theory of "sanjiao meridian stasis" from the theory of meridian dialectics and from the overall state. In this paper, the traditional Chinese medicine and Western medicine clinical characteristics of sanjiao meridian stasis theory which is often used by Professor Jiang Liangduo in the treatment of out-patient syndrome differentiation, were first studied and summarized to investigate its inherent regularity. First, the source of data and research methods were introduced, and then the Traditional Chinese Medicine Inheritance Support System was used with the method of data mining to retrospectively analyze the disease characteristics of Chinese and Western medicine in 279 patients with sanjiao meridian stasis diagnosed by Professor Jiang in 2014. Then the following main conclusions were made after research: sanjiao meridian stasis was more common in women as well as young and middle-aged population. Often manifested by prolonged treatment course, red tongue with yellowishfur, with good correlation between modern Western medicine diagnosis and TCM differentiation syndrome. The symptoms of sanjiao meridian stasis syndrome are mostly of heat syndromes, and middle-aged patients are the most common patients with stasis and stasis of sanjiao. Related information of Western medicine diagnosis can help to diagnose the "sanjiao meridian stasis".
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Objective To investigate the clinical efficacy of acupuncture treatment for tinnitus by point selection under the theory of “kidney and Sanjiao communication”. Method Fifty-three tinnitus patients were randomly allocated to two groups. The treatment group of 26 patients received acupuncture and the control group of 27 patients, medication. The course of treatment was four weeks. The Visual Analogue Scale (VAS) score and the Tinnitus Handicap Inventory (THI) score were recorded in the two groups before and after treatment. The improving effects on tinnitus symptoms were compared between the two groups. Result After two weeks of treatment, there was a statistically significant difference in the THI score (P0.05) between the treatment and control groups. After four weeks of treatment, both the VAS and THI scores were lower in the treatment group than in the control groups (P<0.05). After four weeks of treatment, the total efficacy rate was 92.3% in the treatment group and 81.5% in the control group; there was a statistically significant difference between the two groups (P<0.05). Conclusion The theory of “kidney and Sanjiao communication” can well guide clinical acupuncture treatment of tinnitus and improve the symptoms of tinnitus and the quality of life in the patients. Its therapeutic effect is superior to that of medication.
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Xinjiang is the area with a high incidence of AIDS, and a high incidence of pulmonary tuberculosis. Cases of AIDS combined with pulmonary tuberculosis have continued to increase in recent years. According to the characteristics of AIDS, traditional Chinese medicine (TCM) reveals that AIDS belongs to epidemic febrile disease, and in accordance with the category of warm disease caused by incubating pathogens.
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The Systemic Theory of Shaoyang,Sanjiao and pleurodiaphragmatic interspace aims to apply systemic complex research method,exposing the "half superficial and half inside syndrome" in "the same";"the same" takes harmony method.On the systemic level for the same type of evidence,to explore "different" space disease spot of half superficial and half inside syndrome of Shaoyang,Sanjiao and pleurodiaphragmatic interspace;the treatment principle,"different" harmonizing Shaoyang—gallbladder,cut away in purgation—Sanjiao,dredge for penetration--pleurodiaphragmatic interspace.On the systemic level of differentiating signs for difference of the formulae of Xiaochaihu Decoction,Haoqin Qingdan Decoction,Xianbuling Wendan Decoction,Dayuanyin,inherit classics,develop the "half superficial and half inside syndrome" study of exogenous febrile disease,opening up thoughts of treatment based on differentiation of present globalization intensive epidemic diseases,as well as of TCM active and initiative intervention.
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Chinese medicine,as "Xiang science" representatives,is that the level of awareness of "the overall level of the natural person."It should distinguish between "cang xiang" concept " and viscera" concept;the two are not in one-to-one relationship.Re-understanding of the sanjiao in the classic original meaning,and the whole Chinese academic roots,sanjiao is one of the typical.
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Specialists in the south of the five Ridges LUO Zhi-yuan think that upper-jiao syndrome of bubonic plague appears in the second and third days,middle-jiao syndrome in the period of the third to the sixth days,and lower-jiao syndrome appears at the seventh day.Upper-jiao syndrome of bubonic plague is the most complicated,including the severe syndrome,the critical syndrome,the deadly syndrome.They summarize the six symptoms and signs in middle-jiao of bubonic plague,including "extreme heat and thirst,black and prickly tongue,abdominal distention and pain,stercoroma and delirium,heat accumulation with watery diarrhea,cold feeling of the whole body and hidden pulse",and the four symptoms and signs in middle-jiao,including "pain,distention,stercoroma,heat accumulation with watery diarrhea".They also pointed out that preserving body fluid is key for treating lower-jiao syndrome of bubonic plague.
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The Systemic Theory of Shaoyang, Sanjiao and Moyuan aimed to apply systemic complex research method to expose the same half superficial and half inside syndrome, the same harmony method. On the systemic level for the same type of evidence, to explore different space disease spot of half superficial and half inside syndrome of Shaoyang, Sanjiao and Moyuan; the treatment principle, different harmonizing Shaoyang and gallbladder, cut away in purgation Sanjiao, dredge for penetration-pleurodiaphragmatie interspace. On the systemic level of differentiating signs for difference of the formulae of Xiaochaihu Decoction, Haoqin Qingdan Decoction, Xianbuling Wendan Decoction, Dayuanyin, inherit classics, develop the half superficial and half inside syndrome study of exogenous febrile disease, opening up thoughts of treatment based on differentiation of present globalization intensive epidemic diseases, as well as of TCM active and initiative in tervention.
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This article proposes the integrated outline of excessive heat accumulated in chest syndrome from the view of Fu-viscera disease of sanjiao based on numbers of clinical experiences,which can prove that the objective existence and theory of sanjiao fu-viscera has specific significance.
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From the aspects of formation mechanism,illness position character,disease attribute and laws and prescriptions of heat excess accumulated in chest,the author gave a profound analysis of the internal relations between heat excess accumulated in chest and the sanjiao fu syndrome.Furthermore it proved sanjiao fu viscera's objective existing and its independent significance from treatment based on syndrome differentiation.