Anti-tumor Mechanism of Xihuangwan and Research Progress on Its Combined Use in Anti-tumor Treatment / 中国实验方剂学杂志

Xihuangwan is composed of four Chinese medicines： Bovis Calculus， Olibanum， Myrrha， and Moschus. Modern pharmacology studies have shown that Xihuangwan has anti-inflammatory， antibacterial， anti-tumor， anti-mammary gland hyperplasia effect， and can enhance the body's immune function. Cancer seriously endangers public health and safety-of-life， and is a major cause of mortality of Chinese citizens. It is a disease with intricate etiopathogenesis caused by the joint action of circumstances and hereditary factors. At present， anti-tumor chemotherapy drugs in clinical application not only have toxic and side effect， but also affect clinical efficacy and prognosis of patients. Long-term use will also lead to drug resistance of tumors. As a traditional classic anti-cancer prescription， Xihuangwan has been used more and more in tumor research with the rise of Chinese medicine culture. It is provided with remarkable inhibitory effect on liver cancer， gastric cancer， carcinoma of the lungs， mammary gland， colorectal carcinoma and other malignant tumors. In clinical practice， Xihuangwan ， mostly used as adjuvant drugs in combined use with chemotherapy drugs for anti-tumor effect， can reduce the side effect of chemotherapy drugs and the untoward reaction of sufferers， improve the survivability of patients to chemotherapy， reduce or delay postoperative tumor recurrence， enhance the body's immune function， and reverse the tolerance of tumor cells. Based on the anti-tumor research of Xihuangwan， we summarized its mechanisms in inducing cell apoptosis， regulating amino acid metabolism， reversing drug resistance， interfering with cell cycle， resisting tumor metastasis and invasion， regulating immune function， improving tumor microenvironment， and regulating signal pathways， as well as its clinical combination with chemotherapeutic anti-tumor drugs， analyzed the current anti-tumor research status of Xihuangwan's research， and put forward the shortcomings and unresolved problems in order to provide theoretical basis for further research and clinical application of Xihuangwan.

Development and application progress of physiologically based pharmacokinetic modeling and its combined use with other modeling methods / 中国临床药理学与治疗学

Physiologically based pharmacokinetics (PBPK) is one of the main research fields of pharmacometrics, and it plays an important role at all the stages of drug development and clinical practice. In early drug discovery and development, human pharmacokinetics (PK) could be predicted by PBPK modeling using in silico, in vitro and preclinical in vivo data. During clinical studies, PBPK model could be used to investigate the effects of various physiological and pathological factors on PK, such as age, gender, liver/kidney impairment, and to guide dose adjustment of special population (pregnant women, children, etc.). Furthermore, PBPK modeling is now becoming more appealing with the ability to predict drug-drug interaction (DDI) in the case of co-administration of multiple drugs. In recent years, the application of PBPK modeling in industry has increased widely. Also, regulatory agencies have recognized the potential of PBPK and its impact on labeling recommendations. As the popularity of model-informed drug development, the combination of PBPK modeling with other commonly used modeling methods, such as population pharmacokinetics (PopPK), pharmacokinetic/pharmacodynamic (PK/PD) modeling and model-based meta-analysis (MBMA), has shown attractive advantages. In this paper, the origin and development, as well as the application status of PBPK are introduced briefly, and the application of PBPK modeling merged with PopPK, PK/PD and MBMA is reviewed.

Study on Improvement Effects of Different Proportions of Total Ginsenoside of Ginseng ，Total Glucosides of Moutan Cortex and Paeonol Containing Serum on HUVEC Injury Induced by H 2O2 / 中国药房

OBJECTIVE： To study improvement effects of different proportions of total glucosides of ginseng （TGG）， total glucosides of moutan cortex （TGM） and paeonol containing serum on the injury of human umbilical vein endothelial cells （HUVEC） injury induced by hydrogen peroxide （H2O2）， screen the optimal proportion and investigate its mechanism. METHODS： The rats were randomly divided into blank group （distilled water）， TGG group （TGG， 2.025 g/kg）， TGM group （TGM， 4.05      g/kg） and paeonol group （paeonol， 1.08 g/kg）， with 12 rats in each group. They were given relevant medicine twice a day for consecutive 7 days. 1 h after last medication， the blood samples were collected via abdominal aorta to prepare drug containing serum. Using survival rate of HUVEC as evaluation indexes， different proportions of TGG， TGM and paeonol containing serum as factors， L9（34） orthogonal test was designed to optimize the optimal proportion of 3 kinds of drug containing serum. HUVEC were divided into blank group， model group， TGG group， TGM group， paeonol group and optimal proportion group. Except that blank group were treated with relevant medium， other group were treated with 1.2 mmol/L H2O2 to induce HUVEC injury， and then TGG group （volume fraction of drug containing serum was 0.000 5％）， TGM group （volume fraction of drug containing serum was 0.000 5％）， paeonol group （volume fraction of drug containing serum was 1％） and optimal proportion group were intervened with drug containing serum. The levels of LDH， NO and ET-1 in cells were detected by microplate method and ELISA. RESULTS： The optimal proportion of drug containing serum were TGG 0.000 5％， TGM 0.000 5％ and paeonol 1％. Compared with blank group， the levels of LDH and ET-1 were higher in model group （P＜0.01）， while NO level was lower （P＜0.05）. Compared with model group， the levels of NO were higher in TGG group， TGM group and optimal proportion group （P＜0.01）， while the levels of LDH and ET-1 were lower （P＜0.05 or P＜0.01）. Compared with TGG group， TGM group and paeonol group， the level of LDH was lower in optimal proportion group （P＜0.05 or P＜0.01）， while the level of NO was higher （P＜0.05 or P＜0.01）. CONCLUSIONS： TGG and TGM combined with paeonol can significantly improve HUVEC injury induced by H2O2， and the mechanism of which may be associated with the decrease of LDH and ET-1 and the increase of NO.

Clinical effects of the combined use of lipoinjection and implantation in treatment of micromastia / 中华医学美学美容杂志

Objective To investigate a creative breast augmentation of autologus fat in combination with implant in reconstruction of normal breast and prevention of implant related contracture.Methods The autologous fat was harvested and purified for use.A 3.0 to 4.0 cm long incision was made in the axillary crease.The implant placement cavity was created underlying the pectoralis major after subcutaneous blunt dissection through the incision.The properly selected silicone breast implant of certain type and volume was inserted into the previously created cavity through the subcutaneous tunnel.The autologous fat was transplanted overlying the pectoralis major in multiple planes and the fat was located over the implant in an umbrella form.Results A total of 12 cases obtained obvious breast increase,reconstruction of breast,fullness of breast and softness of breast without obvious contracture after the autologous fat in combination with implant in reconstruction of normal breast.The result was satisfactory during a follow-up between 6 months and 3 years.Conclusions The transplanted fat overlying the silicone implant can augment the breast,increase breast,promote regeneration of breast,reduce or resist immune response of silicone breast implant,and then prevent breast implant related contracture.The newly built breast is soft and natural.The procedure is safe and effective.

Mortality of Conotrachelus humeropictus in response to combined application of the nematode Steinernema brazilense and the fungus Beauveria bassiana / Mortalidade de Conotrachelus humeropictus pela aplicação combinada do nematoide Steinernema brazilense com o fungo entomopatogênico Beauveria bassiana

The fruit borer Conotrachelus humeropictus is one of the most important pests of the cupuaçu crop, and can promote yield losses of around 50%. The present study involved the selection of Beauveria bassiana isolates on Conotrachelus psidii larvae, which was used as test insect due to its taxonomic closeness to C. humeropictus. In order to assess their interaction using combined application, we studied the ability of the nematode to carry conidia of B. bassiana and Metarhizium anisopliae to soil layers. This study also aimed to establish a biological control method for cupuaçu borer with the use of the fungus B. bassiana at 10 kg/ha and the entomopathogenic nematode Steinernema brazilense at 1, 3, 9, and 27 IJ/cm2, applied as single and combined treatments. In the selection of B. bassiana strains for C. psidii, the IBCB 276 and IBCB 165 isolates were the most promising ones, causing 86 and 84% mortality, respectively. The IBCB 276 strain was applied in the field to control C. humeropictus. In the study of carriage of conidia in soil, the nematode S. brazilense was found to be capable of carrying conidia of B. bassiana to deep 7 to 10 cm soil layers. This was not observed with M. anisopliae, found only in the topsoil. In field trials against C. humeropictus larvae, B. bassiana promoted 15.6% mortality. The nematode promoted 60.0% mortality at the highest concentration used, and their combined use with B. bassiana (10 kg/ha) increased mortality to 65.6%, with an additive interaction observed between the two entomopathogens.(AU)

A broca-do-cupuaçu, Conotrachelus humeropictus, é uma das principais pragas da cultura, podendo ocasionar perdas de 50% na produção. O presente trabalho envolveu uma seleção prévia de isolados de Beauveria bassiana em larvas de Conotrachelus psidii, utilizado como inseto teste por ser próximo taxonomicamente à C. humeropictus. Com o objetivo de avaliar causa-efeitos da interação na aplicação combinada, foi estudada a capacidade do nematoide carrear conídios de B. bassiana e Metarhizium anisopliae pelas camadas de solo. O trabalho também objetivou avaliar o controle biológico da broca-do-cupuaçu, através do uso do fungo B. bassiana 10 kg/ha, e do nematoide entomopatogênico Steinernema brazilense 1, 3, 9 e 27 JI/cm2, aplicados em tratamentos isolados e em combinação. Na seleção de isolados de B. bassiana para C. psidii, os isolados IBCB 276 e IBCB 165 foram os mais promissores, causando, respectivamente, 86 e 84% de mortalidade confirmada. O isolado IBCB 276 foi aplicado em campo para controlar C. humeropictus. No estudo de carreamento de conídios, o nematoide S. brazilense foi capaz de carrear conídios de B. bassiana para a camada de 7 a 10 cm de profundidade no solo. A mesma ação não foi observada com M. anisopliae, encontrado somente na camada superficial do solo. Nos ensaios de campo contra C. humeropictus, B. bassiana promoveu 15,6% de mortalidade. O nematoide promoveu 60,0% de mortalidade na maior concentração utilizada e, na combinação dessa concentração do NEP com B. bassiana (10 kg/ha), a mortalidade atingiu 65,6%, observando-se interação aditiva entre os dois entomopatógenos.(AU)

Observations on the Efficacy of Heat-sensitive Point Medicinal Moxibustion plus Percutaneous Administration of Tetrandrine in Treating Lumbar Intervertebral Disc Herniation / 上海针灸杂志

Objective To investigate the clinical efficacy of heat-sensitive point medicinal moxibustion plus percutaneous administration of tetrandrine in treating lumbar intervertebral disc herniation. Methods One hundred and twenty patients with lumbar intervertebral disc herniation were randomized to treatment and control groups, 60 cases each. The treatment group received heat-sensitive point medicinal moxibustion plus percutaneous administration of tetrandrine and the control group, heat-sensitive point medicinal moxibustion alone. The VAS score and the JOA Score for Back Pain score were recorded in the two groups before and after treatment. The clinical therapeutic effects were compared between the two groups. Results There were statistically significant pre-/post-treatment differences in the JOA Score for Back Pain score and the VAS score in the two groups (P<0.01). There were statistically significant post-treatment differences in the JOA Score for Back Pain score and the VAS score between the treatment and control groups (P<0.01). The excellent and good rate was 80.0％ in the treatment group and 55.0％ in the control group; there was a statistically significant difference between the two groups (P<0.01). Conclusion Heat-sensitive point medicinal moxibustion plus percutaneous administration of tetrandrine is an effective way to treat lumbar intervertebral disc herniation.

Observations on the Efficacy of Wrist-ankle Acupuncture plus Medicated Cupping as Main Treatment for Cervical Spondylotic Radiculopathy / 上海针灸杂志

Objective To investigate the clinical efficacy of wrist-ankle acupuncture plus medicated cupping as main treatment for cervical spondylotic radiculopathy.Methods Eighty patients with cervical spondylotic radiculopathy were randomized to groups A, B, C and D. Group A took loxoprofen sodium tablets. Groups B, C and D additionally received wrist-ankle acupuncture, medicated cupping and wrist-ankle acupuncture plus medicated cupping, respectively. The VSA score was recorded in the four groups before and after treatment. The clinical therapeutic effects were compared between the groups. Results The VSA score decreased significantly in group D after one day of treatment compared with before (P<0.05). The VSA score decreased significantly in every group after 7 and 14 days of treatment compared with before (P<0.05); there was a statistically significant difference in the VSA score between groups D and A (P<0.05). The VSA score decreased significantly in groups B, C and D after 21 days of treatment compared with before (P<0.05); there was a statistically significant difference in the VSA score between group A and group B, C or D (P<0.05) and between group D and group B or C (P<0.05). The total efficacy rate was 50.0％ in group A, 55.0％ in group B, 55.0％ in group C and 90.0％ in group D. There was a statistically significant difference in the total efficacy rate between group D and group A. B or C (P<0.05).Conclusions Wrist-ankle acupuncture plus medicated cupping as main treatment has a definite effect on cervical spondylotic radiculopathy. It can relieve neck and shoulder pain in the patients.

Observations on the Efficacy of Acupuncture plus Medicine in Treating Senile Hepatic Cirrhosis / 上海针灸杂志

Objective To investigate the clinical efficacy of acupuncture plus medicine in treating senile hepatic cirrhosis.Methods Eighty patients with senile hepatic cirrhosis were randomized to treatment and control groups, 40 cases each. Both group received conventional antiviral and anti-inflammatory treatments. In addition, the control group took domperidone tablets and spironolactone tablets orally and the treatment group received acupuncture. Serum HBV-DNA content was measured, hepatic fibrosis indicators (typeⅢ procollagen, serum hyaluronic acid and laminin) were examined, and clinical symptoms (ascites, hydrothorax, lower limb edema and abdominal varices) and gastrointestinal symptoms (reflux vomiting disappearance time, borborygmus recovery time and defecation frequency) were observed in the two groups before and after treatment. The clinical therapeutic effects were compared between the two groups.Results The total efficacy rate was 95.5％ in the treatment group and 77.5％ in the control group; there was a statistically significant difference between the two groups (P<0.05). There were statistically significant pre-/post-treatment differences in serum HBV-DNA content and hepatic fibrosis indicators in the two groups (P<0.05). There were statistically significant post-treatment differences in serum HBV-DNA content and hepatic fibrosis indicators between the treatment and control groups (P<0.01). There was a statistically significant post-treatment difference in the number of cases of ascites, hydrothorax or lower limb edema between the treatment and control groups (P<0.05). There were statistically significant post-treatment differences in the gastrointestinal symptoms between the treatment and control groups (P<0.01).Conclusion Acupuncture plus medicine is an effective way to treat senile hepatic cirrhosis.

Observations on the Efficacy of Acupoint Application plus Simo Decoction Oral Liquid in Treating Functional Dyspepsia / 上海针灸杂志

Objective To investigate the clinical efficacy of acupoint application plus Simo decoction oral liquid in treating functional dyspepsia (FD).Method Ninety-five FD patients were randomized to a treatment group (48 cases) and a control group (47 cases).The treatment group received acupoint application plus Simo decoction oral liquid and the control group,oral administration of omeprazole enteric-coated capsules and mosapride citrate tablets.The clinical therapeutic effects were compared between the groups after four weeks of treatment.Result After one week of treatment,the cure and marked efficacy rate and the total efficacy rate were 20.8％ and 54.2％,respectively,in the treatment group and 40.4％ and 66.0％,respectively,in the control group (P＜0.05).There was a statistically significant difference in the cure and marked efficacy rate between the two groups (P＜0.05).After four weeks of treatment,the cure and marked efficacy rate and the total efficacy rate were 81.3％ and 89.6％,respectively,in the treatment group and 61.7％ and 72.3％,respectively,in the control group.There were statistically significant differences in both the cure and marked efficacy rate and the total efficacy rate between the two groups (P＜0.05).Conclusion Acupoint application plus Simo decoction oral liquid is an effective way to treat FD.

Observations on the Efficacy of Warm Needling Moxibustion plus Medication for Rheumatoid Arthritis / 上海针灸杂志

Objective To investigate the efficacy of warm needling moxibustion plus medication for rheumatoid arthritis.Methods One hundred patients with rheumatoid arthritis were randomly allocated to two groups (treatment and control) by using random number table method, 50 cases each. The treatment group received warm needling moxibustion plus medication as combined therapy and the control group, oral administration of drugs alone. In both groups, treatment was given 10 times as a course, for a total of two courses. The DAS 28 score was recorded and rheumatoid factor (RF) was determined in the two groups before and after treatment. The clinical therapeutic effects were compared between the two groups.Results The total efficacy rate was 100％ in the treatment group and 86.0％ in the control group; there was a statistically significant difference between the two groups (P<0.05). There were no statistically significant post-treatment differences in DAS 28 score and RF between the two groups (P>0.05). There were statistically significant differences in pre-/post-treatment DAS 28 score difference value and RF difference value in the two groups (P<0.05).Conclusion Warm needling moxibustion plus medication is clinically more effective than oral administration of drugs alone in treating rheumatoid arthritis.

Efficacy of pantoprazole combined with psychological intervention in the treatment of gastric ulcer / 中国生化药物杂志

Objective To investigate the efficacy of pantoprazole combined with psychological intervention in the treatment of gastric ulcer. Methods The control group patients with gastric ulcer were given conventional treatment combined with pantoprazole, and the patients in the study group were treated with psychological intervention on the basis of the treatment of the control group. The clinical efficacy of two groups of patients with gastric ulcer after treatment was recorded, and the data were input into SPSS software (statistical software) to analyze and draw conclusions. Results Two groups of patients with gastric ulcer were successfully treated for a period of 1 months, the analysis shows that the study group of patients with gastric ulcer clinical treatment of the total efficiency was 93.33%. The control group in clinical treatment of gastric ulcer patients the total effective rate was 73.33% (P<0.05). Conclusion On the basis of routine treatment, plus pantoprazole and psychological intervention, the clinical efficacy of patients with gastric ulcer is significantly improved, which is conducive to the protection of their quality of life, physical and mental health.

Observations on the Efficacy of Warm Needling Moxibustion plus Medication for Rheumatoid Arthritis / 上海针灸杂志

Objective To investigate the efficacy of warm needling moxibustion plus medication for rheumatoid arthritis.Methods One hundred patients with rheumatoid arthritis were randomly allocated to two groups (treatment and control) by using random number table method, 50 cases each. The treatment group received warm needling moxibustion plus medication as combined therapy and the control group, oral administration of drugs alone. In both groups, treatment was given 10 times as a course, for a total of two courses. The DAS 28 score was recorded and rheumatoid factor (RF) was determined in the two groups before and after treatment. The clinical therapeutic effects were compared between the two groups.Results The total efficacy rate was 100％ in the treatment group and 86.0％ in the control group; there was a statistically significant difference between the two groups (P<0.05). There were no statistically significant post-treatment differences in DAS 28 score and RF between the two groups (P>0.05). There were statistically significant differences in pre-/post-treatment DAS 28 score difference value and RF difference value in the two groups (P<0.05).Conclusion Warm needling moxibustion plus medication is clinically more effective than oral administration of drugs alone in treating rheumatoid arthritis.

Efficacy of pantoprazole combined with psychological intervention in the treatment of gastric ulcer / 中国生化药物杂志

Objective To investigate the efficacy of pantoprazole combined with psychological intervention in the treatment of gastric ulcer. Methods The control group patients with gastric ulcer were given conventional treatment combined with pantoprazole, and the patients in the study group were treated with psychological intervention on the basis of the treatment of the control group. The clinical efficacy of two groups of patients with gastric ulcer after treatment was recorded, and the data were input into SPSS software (statistical software) to analyze and draw conclusions. Results Two groups of patients with gastric ulcer were successfully treated for a period of 1 months, the analysis shows that the study group of patients with gastric ulcer clinical treatment of the total efficiency was 93.33%. The control group in clinical treatment of gastric ulcer patients the total effective rate was 73.33% (P<0.05). Conclusion On the basis of routine treatment, plus pantoprazole and psychological intervention, the clinical efficacy of patients with gastric ulcer is significantly improved, which is conducive to the protection of their quality of life, physical and mental health.

Clinical Study of the Analgesic Effect of Acupuncture plus Medication on Acute Exacerbation of Chronic Cholecystitis / 上海针灸杂志

Objective To investigate the relieving effect of acupuncture plus medication on persistent right upper abdominal and scapular pains during acute exacerbation of chronic cholecystitis.Method One hundred patients with acute exacerbation of chronic cholecystitis were randomly allocated to treatment and control groups, 50 cases each. The control group received medication and the treatment group, acupuncture at points Yanglingquan, Dannang and Taichong in addition. Both groups were treated once daily, for a total of seven days. Liver function indicators (alkaline phosphatase (ALP), gamma-glutamyl transpeptidase (GGT), total bilirubin (TBIL) and direct bilirubin (DBIL)) were measured and the VAS score was recorded in the two groups before and after treatment. The clinical therapeutic effects were compared between the three groups.Result There were statistically significant pre-/post-treatment differences in the liver function indicators and the VAS score in the three groups (P<0.05). There were statistically significant post-treatment differences in TBIL and DBIL, and the VAS score between the treatment and control groups (P<0.05). The total efficacy rate was 98% in the treatment group and 50% in the control group; there was a statistically significant difference between the two groups (P<0.05).Conclusion Acupuncture plus medication can effectively relieve the pain induced by acute exacerbation of chronic cholecystitis and improve the liver function indicators in the patients.

Observations on the Efficacy of Combined Acupuncture and Medicine in Treating Polycystic Ovarian Syndrome Infertility / 上海针灸杂志

Objective To investigate the clinical efficacy and safety of combined acupuncture and medicine in treating polycystic ovarian syndrome infertility.Methods Ninety patients with polycystic ovarian syndrome infertility were randomly allocated to treatment and control groups, 45 cases each. The control group received oral administration of clomifene citrate tablets plus muscular injection of chorionic gonadotropin and the treatment group, electroacupuncture in addition. The ovulation rates, pregnancy rates, incidences of ovarian hyperstimulation syndrome (OHSS), ectopic pregnancy rates and early miscarriage rates were compared between the two groups of patients. Results The ovulation rate and the pregnancy rate were 97.8 % and 37.8%, respectively, in the treatment group and 75.6% and 17.8%, respectively, in the control group; there was a statistically significant difference between the two groups (P0.05).Conclusions Combined use of acupuncture and medicine can increase the ovulation rate and the pregnancy rate in patients with polycystic ovarian syndrome infertility. It does not significantly cause ovarian hyperstimulation and ectopic pregnancy and may decrease the early miscarriage rate.

Analysis of curative effect of combined use of two drugs on surgical anesthesia in schizophrenic patients / 中国生化药物杂志

Objective To explore the surgical anesthesia in patients with schizophrenia, clinical effect of two drug combination.Methods40 cases of anesthesia for the patients with schizophrenia surgery using fentanyl combined with propofol, and classified as the control group, the other 40 patients used remifentanil combined with propofol anesthesia and the patients were classified as observation group.In our hospital from October 2016 to March 2015.ResultsComparing the two groups of patients with heart rate and blood pressure, found in the two groups had no significant difference before anesthesia after anesthesia, intervention at different time points showed corresponding differences (P<0.05) shows significant differences.Compared two groups of patients, the recovery time of the surgery, the patients in the observation group were relatively fast, comparison between groups (P<0.05) showed obvious differences.The adverse reactions in two groups were 0%, comparison between groups have no significant difference.ConclusionTwo drug combination has better effect in schizophrenia patients in surgical anesthesia, compared with fentanyl and remifentanil for anesthesia, the latter effect is better, at the same time combined treatment for patients with heart rate had little effect, conducive to the patient recovery after surgery, and no adverse reaction for patients, the drug safety, it is worthy of reference.

Investigation and study on the current situation of combined use of antimicrobial drugs / 中国生化药物杂志

Objective To investigate the present situation of the combination of antimicrobial drugs and to improve the rationality of antimicrobial medication.Methods Choose 1734 prescription of antimicrobial from February 2015 to May 2016 in our hospital outpatient service and emergency departments, combined with pharmacology, clinical medication instructions and drug instruction,the prescriptions were analyzed statistically,and the name of antimicrobials, combination mode, type, period of treatment, rationality and other aspects of the situation were studied.Results The total prescription of antibiotics was 45.44%, and the combination of antimicrobial drugs was 76.65 %, with the combination form of the dosage form and the injection machine with a maximum of 41.72%.Oral dosage form and oral dosage form combined drug 21.19%.The proportion of combined penicillin was 43.54 percent, followed by the cephalospora 27.81%.The rational compatibility prescription 86.92%, the prescription compatibility is unreasonable 13.08%.In the unreasonable preparation of the prescription, the majority of the formulations for pharmacodynamics were 82.28%.Conclusion The current use of antibiotics in our hospital gradually become standardized, in the process of clinical treatment, to understanded and master the drug combination medication indications, can significantly improve the treatment effect, to avoid the occurrence of adverse reaction phenomenon, the use of drug safety is effectively guaranteed.

Clinical Observations on Combined Acupuncture and Medicine for the Treatment of Kidney Deficiency and Phlegm ;Dampness Syndrome in Obese Polycystic Ovary Syndrome / 上海针灸杂志

Objective To investigate the clinical efficacy of combined acupuncture and medicine in treating kidney deficiency and phlegm dampness syndrome in obese polycystic ovary syndrome. Method Sixty-four patients were randomly allocated to two groups. The treatment group received combined acupuncture and medicine and the control group, oral administration of metformin. The course of treatment was three months. Pre-treatment and post-treatment indicators were statistically analyzed in the two groups of patients. Result BMI, waist to hip ratio, fasting insulin, fasting blood glucose and HOMA-IR improved significantly in the treatment group of patients after treatment; there were statistically significant pre-/post-treatment differences (P<0.05). Post-treatment BMI and waist to hip ratio improved more markedly in the treatment group than in the control group (P<0.05). Conclusion Combined acupuncture and medicine has a better therapeutic effect on kidney deficiency and phlegm dampness syndrome in obese polycystic ovary syndrome.

Effect of Acupuncture plus Electrical Stimulation on Deglutition Function and Cerebral Blood Flow in Pseudobulbar Palsy / 上海针灸杂志

Objective To observe the effect of acupuncture at nape points plus nerve electrical stimulation on deglutition function and cerebral blood flow in pseudobulbar palsy after cerebral stroke. Method The eligible subjects were randomized into a control group of 35 cases and a treatment group of 33 cases. The control group was intervened by conventional Western medication, while the treatment group was by acupuncture at nape points plus nerve electrical stimulation in addition to the Western medication, once a day, 4 weeks as a treatment course. Result The total effective rates were respectively 93.9%and 80.0%in the two groups, and the treatment group was significantly superior to the control group; after the intervention, the high whole blood viscosity, low whole blood viscosity, hematocrit, and plasma viscosity all dropped markedly in the treatment group, and were significantly different from that in the control group (P0.05). After the intervention, there were significant differences in comparing the Vm, Vs, and PI of the left vertebral artery, right vertebral artery, and basilar artery between the two groups (P<0.05). Conclusion Acupuncture at nape points plus nerve electrical stimulation is effective in improving the deglutition function in pseudobulbar palsy after cerebral stroke, and its action mechanism is plausibly through improving the cerebral blood flow and promoting the recovery of brain function.

Observations on the Efficacy of Acupuncture plus Jisheng Shenqi Pills in Treating Diabetic Neurogenic Bladder / 上海针灸杂志

Objective To investigate the clinical efficacy of acupuncture plus Jisheng Shenqi pills in treating patients with diabetic neurogenic bladder. Method Patients with diabetic neurogenic bladder were allocated, using a random number table, to treatment and control groups. The treatment group received acupuncture plus Jisheng Shenqi pills and the control group, oral administration of Western medicine. Both groups of patients were treated for four weeks as a course. Post-treatment clinical total efficacy rates, pre-treatment and post-treatment postvoid residual urine volumes, and adverse reactions during treatment were compared between the two groups. Result The total efficacy rate was higher in the treatment group (93.8%) than in the control group (68.8%) (P<0.05). The postvoid residual urine volume decreased significantly in both groups of patients after treatment compared with before (P<0.05). Post-treatment postvoid residual urine volume was lower in the treatment group than in the control group (P<0.05). The adverse reaction rate was lower in the treatment group than in the control group (P<0.05). Conclusion Acupuncture plus Jisheng Shenqi pills is remarkably effective in treating patients with diabetic neurogenic bladder. It can effectively decrease postvoid residual urine volume in the patients, has higher safety and is worthy of clinical popularization.