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Comparing Arsenic-Containing Qinghuang Powder and Low-Intensity Chemotherapy in Elderly Patients with Acute Myeloid Leukemia

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Chinese Journal of Integrative Medicine 2023年第9期29卷 832-837页

作者： WU Yu-he xiao Hai-yan QUAN Ri-cheng TANG Xu-dong LIU Wei-yi LYU Yan CHEN Zhuo LIU Chi hu xiao-mei Department of Hematology Xiyuan HospitalChina Academy of Chinese Medical SciencesBeijing100091China Graduate School China Academy of Chinese Medical SciencesBeijing100700China

Objective To compare the clinical effect of arsenic-containing Qinghuang Powder(QHP)and low-intensity chemotherapy(LIC)in treatment of elderly acute myeloid leukemia(eAML)patients.Methods Clinical data of 80 eAML patients treated at Xiyuan Hospital of China Academy of Chinese Medical Sciences from January 2015 to December 2020 were retrospectively analyzed.The treatment scheme was designed by real world study according to patients’preference,and patients were divided into a QHP group(35 cases)and a LIC group(45 cases).The median overall survival(mOS),1-,2-,and 3-year OS rates,and incidence of adverse events were compared between the two groups.Results The mOS of 80 patients was 11 months,and the 1-,2-,and 3-year OS rates were 45.51%,17.96%,and 11.05%,respectively.The QHP and LIC groups demonstrated no significant difference in mOS(12 months vs.10 months),1-(48.57%vs.39.65%),2-(11.43%vs.20.04%),and 3-year OS rates(5.71%vs.13.27%,all P>0.05).Moreover,the related factors of mOS demonstrated no significant difference in patients with age>75 years(11 months vs.8 months),secondary AML(11 months vs.8 months),poor genetic prognosis(9 months vs.7 months),Eastern Cooperative Oncology Group performance status score≥(10 months vs.7 months)and hematopoietic stem cell transplant comorbidity index≥4(11 months vs.7 months)between the QHP and LIC groups(all P>0.05).However,the incidence of myelosuppression was significantly lower in the QHP group than that in the LIC group(28.57%vs.73.33%,P<0.01).Conclusions QHP and LIC had similar survival rates in eAML patients,but QHP had a lower myelosuppression incidence.Hence,QHP can be an alternative for eAML patients who do not tolerate LIC.

关键词： acute myeloid leukemia elderly Qinghuang Powder low-intensity chemotherapy Chinese medicine

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侯官刻书文化历史特征探析

福建江夏学院学报 2024年第1期14卷 13-21页

作者：胡小梅福建江夏学院设计与创意学院福建福州350108

侯官是古代福建除建阳、四堡之外的另一重要刻书地区。侯官刻书具有独特的历史特征:持续时间长,发轫于五代,历经千载而未衰,至清末仍有大量刊本;刻书体系完备,宋元明清时期官刻、文人家刻和寺观等民间刻都相当发达,到清代中后期坊刻亦大... 详细信息

侯官是古代福建除建阳、四堡之外的另一重要刻书地区。侯官刻书具有独特的历史特征:持续时间长,发轫于五代,历经千载而未衰,至清末仍有大量刊本;刻书体系完备,宋元明清时期官刻、文人家刻和寺观等民间刻都相当发达,到清代中后期坊刻亦大兴;官刻和寺观等民间刻资金充足,刻书往往规模浩大,雕印精良;侯官刻本在对外文明交流中也发挥着重要作用,从宋代开始就有侯官刻本流播海外,元末明初侯官刻工东渡日本、技术输出,清代“福州刻琉球本”的刊行成为中琉文化交流的见证。

关键词：侯官刻书历史特征官刻文明互鉴

基于CiteSpace知识图谱分析雄黄的研究热点与前沿

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中国中药杂志 2024年第9期49卷 2532-2543页

作者：武凤震王明镜吕妍付建华胡晓梅中国中医科学院博士后科研流动站北京100700 中国中医科学院西苑医院血液科北京100091 中国中医科学院西苑医院基础医学研究所北京100091 国家中医心血管病临床医学研究中心北京100091

该研究旨在应用知识图谱技术对雄黄研究现状和热点进行分析,为雄黄临床应用和未来深入研究提供指导。检索中国知网(CNKI)、万方(Wanfang)、维普(VIP)、中国生物医学文献服务系统(SinoMed)、Web of Science等5个数据库雄黄研究相关中、... 详细信息

该研究旨在应用知识图谱技术对雄黄研究现状和热点进行分析,为雄黄临床应用和未来深入研究提供指导。检索中国知网(CNKI)、万方(Wanfang)、维普(VIP)、中国生物医学文献服务系统(SinoMed)、Web of Science等5个数据库雄黄研究相关中、英文文献,利用NoteExpress文献管理软件对文献进行筛选,利用CiteSpace软件对作者、机构、关键词等进行可视化分析与展示。共纳入雄黄研究相关中文文献2879篇,英文文献194篇;《中国中药杂志》《Journal of Ethnopharmacology》分别是发文量最多的中、英文期刊;雄黄在皮肤病、血液病、癌症治疗中应用广泛;姜泓团队中、英文文献发文量均为最高;中国医科大学公共卫生学院、中国中医科学院分别是中、英文文献发文量最多的机构;雄黄研究主要集中在临床应用、作用机制、减毒增效等方面。雄黄研究的作者和机构主要集中在国内,其治疗血液病与癌症机制、雄黄减毒增效是现阶段研究热点,雄黄“异病同治”作用机制需要深入挖掘,亟需开展对雄黄多学科的交叉研究。该研究可为雄黄临床应用提供参考,为深入研究提供思路。

关键词：雄黄 CiteSpace 知识图谱临床应用减毒增效

Application of the combination of 1,3-dichloropropene and dimethyl disulfide by soil injection or chemigation: effects against soilborne pests in cucumber in China

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Journal of Integrative Agriculture 2016年第1期15卷 145-152页

作者： MAO Lian-gang WANG Qiu-xia YAN Dong-dong LIU Peng-fei SHEN Jin FANG Wen-sheng hu xiao-mei LI Yuan OUYANG Can-bin GUO mei-xia CAO Ao-cheng Department of Pesticides Institute of Plant Protection Chinese Academy of Agricultural Sciences State Key Laboratory for Biology of Plant Diseases and Insect Pests Ministry of Agriculture

The combination of 1,3-dichloropropene＋dimethyl disulfide （1,3-D＋DMDS）, which forms a pre-plant soil fumigant, can provide a substitute for the environmentally unfriendly methyl bromide （MB）. Three greenhouse trials were performed to evaluate the root-knot nematode and soilborne fungi control efficacy in the suburbs of Beijing in China in 2010-2014. Randomized blocks with three replicates were designed in each trial. The combination of 1,3-D＋DMDS （10＋30 g m-2） significantly controlled Meloidogyne incognita, effectively suppressed the infestation of Fusarium oxysporum and Phytophthora spp., and successfully provided high commercial fruit yields （equal to MB but higher than 1,3-D or DMDS）. The fumigant soil treatments were significantly better than the untreated controls. These results indicate that 1,3-D＋DMDS soil treatments can be applied by soil injection or chemigation as a promising MB alternative against soilborne pests in cucumber in China.

关键词： soil fumigation 1,3-dichloropropene dimethyl disulfide soilborne pest cucumber

Effect of Qinghuang Powder(青黄散) Combined with Bupi Yishen Decoction(补脾益肾方) in Treating Patients with Refractory Cytopenia with Multilineage Dysplasia through Regulating DNA Methylation

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Chinese Journal of Integrative Medicine 2019年第5期25卷 354-359页

作者： ZHOU Qing-bing YANG xiao-hong WANG Hong-zhi WANG De-xiu XU Yong-gang hu xiao-mei XU Feng-qin MA Rou National Hematological Medical Center of Traditional Chinese Medicine Department of HematologyXiyuan HospitalChina Academy of Chinese Medical SciencesBeijing(100091)China

Objective: To explore the effect of Qinghuang Powder(QHP, 青黄散) combined with Bupi Yishen Decoction(BPYS, 补脾益肾方)on myelodysplastic syndromes(MDS) patients with refractory cytopenia with multilineage dysplasia(RCMD) and determine the change of DNA methylation in MDS-RCMD patients after the treatment of Chinese medicine formula. Methods: All 308 MDS-RCMD patients were treated with QHP combined with BPYS for 2 months at least, absolute neutrophil count(ANC), hemoglobin(Hb), platelets(PLT), primitive bone marrow cells and chromosome karyotype were chosen as the main evaluation indexes to analyze the treatment effect according to criteria from the MDS International Working Group. Then 43 bone marrow samples from 15 MDS-RCMD patients and 28 healthy donors were obtained for the examination of DNA methylation.Gene Ontology(GO) and Pathway analysis were applied to analyze the methylation data. Results: The overall MDS response rate to QHP was 61.68%(190/360) including hematologic improvement-neutrophil(HI-N) or hematologic improvement-erythroid(HI-E) or hematologic improvement-platelet(HI-P). Patients with anemia had a better response rate than patients with neutropenia or thrombocypenia(55.88% vs 31.54% or 55.88%vs. 36.9%). The DNA methylation microarray analysis disclosed that 4,257 hypermethylated genes were demethylated upon the treatment with QHP and BPYS. GO analysis and Pathway analysis showed that these demethylated genes were involved in a lot of tumor-related pathways and functions. Conclusions: QHP combined with BPYS could effectively treat MDS-RCMD patients through hematologic improvement(HI-N, HI-P or HI-E)and PLT and RBC transfusion independence due to the demethylation, thereby providing another choice for the treatment of patients with MDS-RCMD.

关键词： Qinghuang Powder Bupi Yishen Decoction myelodysplastic syndromes demethylation Chinese medicine

Association of Gene Mutations with Response to Arsenic-Containing Compound Qinghuang Powder(复方青黄散)in Patients with Myelodysplastic Syndromes

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Chinese Journal of Integrative Medicine 2019年第6期25卷 409-415页

作者： ZHAO Pan LIANG Jun-bin DENG Zhong-yang WANG Ming-jing QIN Jia-yue CHEN Chong-jian hu xiao-mei Department of Hematology Xiyuan Hospital China Academy of Chinese Medical Sciences Beijing (100091) China Annoroad Gene Technology Co. Ltd. Beijing (100176) China

Objective: To in vestigate the relati on ship betwee n gene mutations and resp onse to Compo und Qinghuang Powder (复方青黄散,CQHP) in patients with myelodysplastic syndrome (MDS). Methods: Forty-three MDS patients after treatment with CQHP for 6 months were genotyped by ultra-deep targeted sequencing and the clinical data of patients were collected and the relationship between them was analyzed. Results: Up to 41.86% of patie nts harbored genet mutations, in most cases with more than one mutation. The most comm on mutations were in SF3B1, U2AF1, ASXL1, and DNMT3A. After treatment with CQHP, about 88.00% of patients no longer required blood transfusion, or needed half of prior transfusions. Conlusion: CQHP is an effective treatment for patients with MDS, especially those with gene mutations in SF3B1, DNMT3A, U2AF1, and/or ASXL1.

关键词： myelodysplastic syndromes arsenic next-generation sequencing realgar

Arsenic-Containing Qinghuang Powder(青黄散)Is An Alternative Treatment for Elderly Acute Myeloid Leukemia Patients Refusing Low-Intensity Chemotherapy

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Chinese Journal of Integrative Medicine 2020年第5期26卷 339-344页

作者： FAN Teng QUAN Ri-cheng LIU Wei-yi xiao Hai-yan TANG Xu-dong LIU Chi LI Liu LV Yan WANG Hong-zhi XU Yong-gang GUO xiao-qing hu xiao-mei Department of Hematology Xiyuan HospitalChina Academy of Chinese Medical SciencesBeijin g(100091)China Graduate School China Academy of Chinese Medical SciencesBeijing(100700)China

Objective:To analyze the overall survival(OS)of elderly acute myeloid leukemia(AML)patients treated with oral arsenic-containing Qinghuang Powder(青黄散,QHP)or low-intensity chemotherapy(LIC).Methods:Forty-two elderly AML patients treated with intravenous or subcutaneous LIC(1 month for each course,at least 3 courses)or oral QHP(3 months for each course,at least 2 courses)were retrospectively analyzed from January 2015 to December 2017.The main endpoints of analysis were OS and 1-,2-,3-year OS rates of patients,respectively.And the adverse reactions induding bone marrow suppression,digestive tract discomfort and myocardia injury were observed.Results:Out of 42 elderly AML patients,22 received LIC treatment and 20 received QHP treatment,according to patients'preference.There was no significant difference on OS between LIC and QHP patients(13.0 months vs.13.5 months,P>0.05).There was no significant difference on OS rates between LIC and QHP groups at 1 year(59.1%vs.70.0%),2 years(13.6%vs.15%),and 3 years(4.6%vs.5.0%,all P>0.05).Furthermore,there was no significant difference of OS on prognosis stratification of performance status>2(12 months vs.12 months),age>75 year-old(12.0 months vs.12.5 months),hematopoietic stem cell transplant comorbidity index>2(12 months vs.13 months),poor cytogenetics(12 months vs.8 months),and diagnosis of secondary AML(10 months vs.14 months)between LIC and QHP patients(P>0.05).Conclusion:QHP may be an alternative treatment for elderly AML patients refusing LIC therapy.

关键词： acute myeloid leukemia Qinghuang Powder Realgar arsenic elderly patient Chinese medicine

Relation of Blood Arsenic Concentration with Effect and Safety of Arsenic-Containing Qinghuang Powder (青黄散) in Patients with Myelodysplastic Syndrome

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Chinese Journal of Integrative Medicine 2019年第7期25卷 497-501页

作者： DENG Zhong-yang Zhu Shi-rong WANG Ming-jing FANG Su ZHAO Pan Zhu Qian-zhe WANG Hong-zhi GUO xiao-qing XU Yong-gang YI Bo-wen SHANG xiao-hong MA Rou hu xiao-mei Department of Hematology Xiyuan Hospital China Academy of Chinese Medical Sciences Beijing (100091) China Graduate School of China Academy of Chinese Medical Sciences Beijing (100700) China Graduate School of Beijing University of Chinese Medicine Beijing (100000) China Zhengyuan Clinic of Nantong Nantong (226000) Jiangsu Province China

Objective: To investigate the relation of blood arsenic concentration (BAC) with clinical effect and safety of arsenic-containing Qinghuang Powder (青黄散,QHP) in patients with myelodysplastic syndrome (MDS). Methods: Totally 163 patients with MDS were orally treated with QHP for 2 courses of treatment, 3 months as 1 course. The BACs of patients were detected by atomic fluoresce nee spectrophotometry at 1, 3, and 6 months during the treatment, and the effective rate, hematological improvement and safety in patients after treatment with QHP were analyzed. Results: After 2 courses of treatment, the total effective rate was 89.6%(146/163), with 31.3%(51/163) of hematological improvement and 58.3%(95/163) of stable disease. The hemoglobin increased from 73.48 ± 19.30 g/L to 80.39 ± 26.56 g/L (P0.05). Among 46 patients previously depended on blood transfusion, 28.3%(13/46) completely got rid of blood transfusion and 21.7%(10/46) reduced the volume of blood transfusion by more than 50% after treatment. The BACs were significantly increased in patients treated for 1 month with 32.17 ± 18.04 jig/L (P0.05). The adverse reactions of digestive tract during the treatment were mild abdominal pain and diarrhea in 14 cases (8.6%), and no patients discontinued the treatment. The BACs of patients with gastrointestinal adverse reactions were significantly lower than those without gastrointestinal adverse reactions (22.39 ±10.38 vs. 37.89 ± 11.84,μg/L, P<0.05). The BACs of patients with clinical effect were significantly higher than those failed to treatment (40.41 ± 11.69 vs. 23.84 ± 12.03,μg/L, P<0.05). C

关键词： myelodysplastic syndrome realgar arsenic Qinghuang Powder Chinese medicine

R-matrix for the 8-Dimensional Spin Representation of Uq(so7)

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Acta Mathematica Sinica,English Series 2024年第2期40卷 485-497页

作者： Hong mei hu Nai Hong hu School of Mathematical Sciences Suzhou University of Science and TechnologySuzhou 215009P.R.China School of Mathematical Sciences MOE Key Laboratory of Mathematics and Engineering Applications&Shanghai Key Laboratory of PMMPEast China Normal UniversityShanghai 200241P.R.China

The purpose of the paper is to describe the solution to the quantum Yang-Baxter equation associated with the 8-dimensional spin representation Tsp of Uq(so7).The self-duality of Tsp and the symmetry of the corresponding braiding matrix are proved.Also,the minimal polynomial of the braiding R-matrix of Tsp is presented explicitly in an ingenious method by taking advantage of nice features of the spin representation Tsp.

关键词： Braiding R-matrix spin module minimal polynomial