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Systematic review for geo-authentic Lonicerae Japonicae Flos

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Frontiers of Medicine 2017年第2期11卷 203-213页

作者： Xingyue Yang Yali Liu Aijuan Hou Yang Yang Xin Tian liyun he Beijing University of Chinese Medicine Beijing 100029 China State Key Laboratory Breeding Base of Dao-di herbs China Academy of Chinese Medical Sciences Beijing 100700 China Institute of Basic Research in Clinical Medicine China Academy of Chinese Medical Sciences Beijing 100700 China Xiyuan Hospital China Academy of Chinese Medical Sciences Beijing 100091 China The First Clinical Medical College of Lanzhou University Lanzhou 730000 China

In traditional Chinese medicine, Lonicerae Japonicae Flos is commonly used as anti-inflammatory, antiviral, and antipyretic herbal medicine, and geo-authentic herbs are believed to present the highest quality among all samples from different regions. To discuss the current situation and trend of geo-authentic Lonicerae Japonicae Flos, we searched Chinese Biomedicine Literature Database, Chinese Journal Full-text Database, Chinese Scientific Journal Full-text Database, Cochrane Central Register of Controlled Trials, Wanfang, and PubMed. We investigated all studies up to November 2015 pertaining to quality assessment, discrimination, pharmacological effects, planting or processing, or ecological system of geo-authentic Lonicerae Japonicae Flos. Sixty-five studies mainly discussing about chemical fingerprint, component analysis, planting and processing, discrimination between varieties, ecological system, pharmacological effects, and safety were systematically reviewed. By analyzing these studies, we found that the key points of geo-authentic Lonicerae Japonicae Flos research were quality and application. Further studies should focus on improving the quality by selecting the more superior of all varieties and evaluating clinical effectiveness.

关键词： Lonicerae Japonicae Flos geo-authentic herbal quality chemical fingerprint component analysis

Thinking and practice of accelerating transformation of traditional Chinese medicine from experience medicine to evidence-based medicine

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Frontiers of Medicine 2011年第2期5卷 163-170页

作者： Baoyan Liu Yanhong Zhang Jingqing Hu liyun he Xuezhong Zhou China Academy of Chinese Medical Sciences Beijing 100700China Institute of Basic Research in Clinical Medicine China Academy of Chinese Medical SciencesBeijing 100700China Guang'anmen Hospital China Academy of Chinese Medical SciencesBeijing 100053China School of Computer and Information Technology Beijing Jiaotong UniversityBeijing 100044China

The gradual development of Chinese medicine is based on constant accumulation and summary of experience in clinical practice,but without the benefit of undergoing the experimental medicine *** Chinese medicine has formed a systematic and unique theory system through thousands of years,with the development of evidence-based medicine,the bondage of the research methods of experience medicine to Chinese medicine is *** rapid transition and transformation from experience medicine to evidence-based medicine have become important content in the development of Chinese *** to the features of Chinese medicine,we propose the research idea of“taking two ways simultaneously,”which is the study both in the ideal condition and in the real *** and constructing the theoretical basis and methodology of clinical research in the real world,and building the stage for research technique is key to the effective clinical research of Chinese *** by gradually maturing and completing the clinical research methods of the real world could we realize“taking two ways simultaneously”and complementing each other,continuously produce scientific and reliable evidence of Chinese medicine,as well as transform and develop Chinese medicine from experience medicine to evidence-based medicine.

关键词： Chinese medicine experience medicine evidence-based medicine real world

Efficacy and safety of Xinfeng capsule in the treatment of osteoarthritis:a multicenter, randomized, double-blinded, controlled trial

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Journal of Traditional Chinese Medicine 2020年第2期40卷 284-295页

作者： Liu Jian Wang Yuan Sun Yue Huang Chuanbing Chen Xi Zhang Wandong he liyun James Cheng-Chung Wei Department of Rheumatism Immunity The First Affiliated HospitalAnhui University of Chinese MedicineHefei 230031China the Institute of Basic Research in Clinical Medicine China Academy of Chinese Medical SciencesBeijing 100700China Division of Allergy Immunology and RheumatologyChung Shan Medical University HospitalInstitute of MedicineChung Shan Medical UniversityGraduate Institute of Integrated MedicineChina Medical UniversityTaichungTaiwan China

OBJECTIVE: To evaluate the efficacy and safety of Xinfeng capsule(XFC) in patients with osteoarthritis(OA).METHODS: This was a multicenter, double-blinded,randomized, controlled, clinical trial. Patients with OA were assigned to the XFC group [treated with XFC and a glucosamine(GS) placebo, n = 129] or the GS group(treated with GS and an XFC placebo,n = 126). Both groups were treated for 4 weeks. The primary endpoint was the difference between the two groups in the Western Ontario and Mc Master Universities OA(WOMAC) index total score at 4 th week. The secondary endpoints were the visual analogue scale for pain, Lequesne index, function influence index rating, quality of life as assessed by the Short Form-36, erythrocyte sedimentation rate,and C-reactive protein concentration at baseline and at second week and 4 th week. Bone mineral density were checked by X ray absorptiometry at baseline and 4 th ***: After 4 weeks of treatment, all patients in both groups showed similar significant improvements compared with baseline. There were no significant differences between groups regarding pain relief, bilateral femoral bone mineral density, and laboratory indices such as erythrocyte sedimentation rate and C-reactive protein *** groups had a significantly lower function influence index rating score and curative effect for each sign/symptom in week 4 than in week 0, and these changes did not significantly differ between groups. XFC was superior to GS in improving the WOMAC index total score, WOMAC scores for function and stiffness, integrated symptoms, physiological function, energy, emotional function, mental health, and health changes. Fourteen adverse reactions were reported, and the incidence of adverse reactions did not significantly differ between groups. The most common adverse reactions were hepatic impairment, kidney functional damage,gastrectasia, and facial skin allergy. The types of adverse reactions did not differ between ***

关键词： Osteoarthritis Glucosamine Quality of life Treatment outcome Randomized controlled trial Xinfeng capsule

Cluster analysis for syndromes of real-world coronary heartdisease with angina pectoris

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Frontiers of Medicine 2018年第5期12卷 566-571页

作者： Yufeng Zhao Xueyun Yu Xinyu Cao Lin Luo liyun he Shusong Mao Li Ma Peijing Rong Yuxue Zhao Guozheng Li Baoyan Liu Institute of Basic Research in Clinical Medicine China Academy of Chinese Medical Sciences Beijing 100700 China National Data Center of Traditional Chinese Medicine China Academy of Chinese Medical Sciences Beijing 100700 China Department of InformationTechnology Hubei University of Medicine Wuhan 430064 China Institute of Acupuncture and Moxibustion China Academy of ChineseMedical Sciences Beijing 100700 China China Academy of Chinese Medical Sciences Beijing 100700 China

Syndromes of coronary heart disease with angina pectoris were analyzed to provide guidance for clinical practice and to improve accuracy of traditional Chinese medicine (TCM) diagnoses and efficacy of TCM treatment. A total of 860 cases with coronary heart disease with angina pectoris were selected from TCM Clinical Research Information Sharing System for TCM clinics and research. Syndromes were automatically extracted with the cluster method and were analyzed to provide objective evidence for clinical studies. Final syndrome classifications were recognized and confirmed by clinical experts. Popular syndromes included Qi and blood deficiency, blood stasis and obstruction collaterals, liver depression and spleen deficiency, and Qi stagnation and blood stasis. Syndromes Qi and blood deficiency and blood stasis and obstruction collaterals accounted for 28.61% of total syndromes, whereas liver depression and spleen deficiency and Qi stagnation and blood stasis accounted for 26.44%. The main syndrome elements comprised Qi deficiency, blood deficiency, blood stasis, and Qi stagnation.

关键词： cluster analysis coronary heart disease with angina pectoris real-world study syndrome differentiation

A novel classification method for aid decision of traditional Chinese patent medicines for stroke treatment

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Frontiers of Medicine 2017年第3期11卷 432-439页

作者： Yufeng Zhao Bo Liu liyun he Wenjing Bai Xueyun Yu Xinyu Cao Lin Luo Peijing Rong Yuxue Zhao Guozheng Li Baoyan Liu Institute of Basic Research in Clinical Medicine China Academy of Chinese Medical Sciences Beijing 100700 China National Data Center of Traditional Chinese Medicine China Academy of Chinese Medical Sciences Beijing 100700 China Qingdao Hiser Hospital Qi_n_gdao 266033 China Institute of Acupuncture and Moxtbustton China Academy of Chinese Medical SciencesBeijing 100700 China China Academy of Chinese Medical Sciences Beijing 100700 China

Traditional Chinese patent medicines are widely used to treat stroke because it has good efficacy in the clinical environment. However, because of the lack of knowledge on traditional Chinese patent medicines, many Western physicians, who are accountable for the majority of clinical prescriptions for such medicine, are confused with the use of traditional Chinese patent medicines. Therefore, the aid-decision method is critical and necessary to help Western physicians rationally use traditional Chinese patent medicines. In this paper, Manifold Ranking is employed to develop the aid-decision model of traditional Chinese patent medicines for stroke treatment. First, 115 stroke patients from three hospitals are recruited in the cross-sectional survey. Simultaneously, traditional Chinese physicians determine the traditional Chinese patent medicines appropriate for each patient. Second, particular indicators are explored to characterize the population feature of traditional Chinese patent medicines for stroke treatment. Moreover, these particular indicators can be easily obtained by Western physicians and are feasible for widespread clinical application in the future. Third, the aid-decision model of traditional Chinese patent medicines for stroke treatment is constructed based on Manifold Ranking. Experimental results reveal that traditional Chinese patent medicines can be differentiated. Moreover, the proposed model can obtain high accuracy of aid decision.

关键词： traditional Chinese patent medicines stroke aid decision data mining manifold ranking

Xiyanping injection therapy for children with mild hand foot and mouth disease:a randomized controlled trial

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Journal of Traditional Chinese Medicine 2017年第3期37卷 397-403页

作者： Zhang Guoliang he liyun Tang Liuping Yang Tong Zou Xinying Zhu Qingxiong Yan Shiyan Hou Yong Huang Baoju Zhao Jindong Li Yan Huang Jihan Department of Infectious Disease First Affiliated Hospital of Anhui University of Chinese MedicineHefei 230031China Clinical Evaluation Center China Academy of Chinese Medical SciencesBeijing 100700China Department of Pediatrics Liuzhou Worker's HospitalLiuzhou 545000China Department of Pediatrics Liuzhou People's HospitalLiuzhou545000China Department of Emergency Shenzhen Maternal and Child HospitalShenzhen 518000China Department of Pediatrics Jiangxi Provincial Children's HospitalNanchang 330000China Department of Pediatrics Second AffiliatedHospital of Zhejiang University of Chinese MedicineHang-zhou 230031China Department of Respiration Second Affiliated Chinese Medicine Hospital of Jiangsu ProvinceNanjing 210017China Department of Endocrine Disease the FirstAffiliated Hospital of Anhui University of Chinese MedicineHefei 230031China Center for Drug Clinical Research ShanghaiUniversity of Traditional Chinese MedicineShanghai 201203China

OBJECTIVE: To evaluate the clinical effects of Xiyan-ping injection intervention in pediatric patients with mild hand foot and mouth disease(HFMD).METHODS: A total of 329 patients were stratified and block-randomized for symptomatic treatment of HFMD and assigned to one of the following groups: Western Medicine(group A, n = 103), Xiyanping injection(group B, n = 109), or Xiyanping injection and symptomatic treatment using Western Medicine(group C, n = 117). During the trial, fever,rash, ulcers of the mouth were observed among participants in each group before and after treatment, and conversion rates from mild to severe HFMD were ***: After 3-7 days' treatment, no significant differences in the conversion rates from mild to severe HFMD were observed among the three groups(P > 0.05). There was a significantly low number of patients with the onset time of antifebrile effect,vanished time of hand and foot rashes and cumulative time for the ulcers in the mouth vanished,among the three groups(P he onset time of antifebrile effect of patients in groups B and C were markedly shorter compared with those in group A(P here was no statically significant difference observed between groups B and C(P > 0.05). No significant differences were observed in the time for body temperature recovery among the three groups(P > 0.05). There were no significant differences in adverse effects among the three groups(P > 0.05).CONCLUSION: Xiyanping injection together with use of Western Medicine is most effective for symptomatic treatment of mild HFMD. No severe adverse reactions were observed.

关键词： Hand foot and mouth disease Anti-pyretics Body temperature regulation Xiyanpinginjection Randomized controlled trial

Clinical phenotype network： the underlying mechanism for perso- nalized diagnosis and treatment of traditional Chinese medicine

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Frontiers of Medicine 2014年第3期8卷 337-346页

作者： Xuezhong Zhou Yubing Li Yonghong Peng Jingqing HU Runshun Zhang liyun he Yinghui Wang Lijie Jiang Shiyan Yan Peng Li Qi Xie Baoyan Liu School of Computer and Information Technology and Beijing Key Lab of Traffic Data Analysis and Mining Beijing Jiaotong University Beijing 100044 China China Academy of Chinese Medical Sciences Beijing 100700 China School of Engineering and lnformatics University of Bradford BD7 IDP UK Institute of Basic Theory of Traditional Chinese Medicine China Academy of Chinese Medical Sciences Beijing 100700 China Guang 'anmen Hospital China Academy of Chinese Medical Sciences Beijing 100053 China Institute of Basic Research in Clinical Medicine China Academy of Chinese Medical Sciences Beijing 100700 China

Traditional Chinese medicine （TCM） investigates the clinical diagnosis and treatment regularities in a typical schema of personalized medicine, which means that individualized patients with same diseases would obtain distinct diagnosis and optimal treatment from different TCM physicians. This principle has been recognized and adhered by TCM clinical practitioners for thousands of years. However, the underlying mechanisms of TCM personalized medicine are not fully investigated so far and remained unknown. This paper discusses framework of TCM personalized medicine in classic literatures and in real-world clinical settings, and investigates the underlying mechanisms of TCM personalized medicine from the perspectives of network medicine. Based on 246 well-designed outpatient records on insomnia, by evaluating the personal biases of manifestation observation and preferences of herb prescriptions, we noted significant similarities between each herb prescriptions and symptom similarities between each encounters. To investigate the underlying mechanisms of TCM personalized medicine, we constructed a clinical phenotype network （CPN）, in which the clinical phenotype entities like symptoms and diagnoses are presented as nodes and the correlation between these entities as links. This CPN is used to investigate the promiscuous boundary of syndromes and the co-occurrence of symptoms. The small-world topological characteristics are noted in the CPN with high clustering structures, which provide insight on the rationality of TCM personalized diagnosis and treatment. The investigation on this network would help us to gain understanding on the underlying mechanism of TCM personalized medicine and would propose a new perspective for the refinement of the TCM individualized clinical skills.

关键词： personalized medicine complex network clinical phenotype network traditional Chinese medicine

Multistage analysis method for detection of effective herb prescription from clinical data

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Frontiers of Medicine 2018年第2期12卷 206-217页

作者： Kuo Yang Runshun Zhang liyun he Yubing Li Wenwen Liu Changhe Yu Yanhong Zhang Xinlong Li Yan Liu Weiming Xu Xuezhong Zhou Baoyan Liu School of Computer and Information Technology and Beijing Key Lab of Traffic Data Analysis and Mining Beijing Jiaotong UniversityBeijing 100044 China Guanganmen Hospital. China Academy of Chinese Medical Sciences Beijing 100-053 China Institute of Basic Clinical Medicine China Academy of Chinese Medical Sciences Beijing 100700 China Data Center of Traditional Chinese Medicine China Academy of Chinese Medical Sciences Beijing 100700 China Institute of Basic Theory of Traditional Chinese Medicine ChinaAcademy of Chinese Medical Sciences Beijing 100700 China

Determining effective traditional Chinese medicine （TCM） treatments for specific disease conditions or particular patient groups is a difficult issue that necessitates investigation because of the complicated personalized manifestations in real-world patients and the individualized combination therapies prescribed in clinical settings. In this study, a multistage analysis method that integrates propensity case matching, complex network analysis, and herb set enrichment analysis was proposed to identify effective herb prescriptions for particular diseases （e.g., insomnia）. First, propensity case matching was applied to match clinical cases. Then, core network extraction and herb set enrichment were combined to detect core effective herb prescriptions. Effectiveness-based mutual information was used to detect strong herb symptom relationships. This method was applied on a TCM clinical data set with 955 patients collected from well-designed observational studies. Results revealed that groups of herb prescriptions with higher effectiveness rates （76.9% vs. 42.8% for matched samples; 94.2% vs. 84.9% for all samples） compared with the original prescriptions were found. Particular patient groups with symptom manifestations were also identified to help investigate the indications of the effective herb prescriptions.

关键词： effective prescription detection herb set enrichment analysis core network extraction insomnia personalized treatment

Effectiveness and safety of Angong Niuhuang pill(安宫牛黄丸)in treatment of acute stroke:a systematic review and Meta-analysis

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Journal of Traditional Chinese Medicine 2023年第4期43卷 650-660页

作者： MENG Xiangran CAO Xue SUN Minglin AI Yanke he liyun LIU Jia Institute of Basic Research in Clinical Medicine China Academy of Chinese Medicine SciencesBeijing 100700China

OBJECTIVE:To systematically evaluate the efficacy and safety of Angong Niuhuang pill(安宫牛黄丸,ANP)in the treatment of acute *** can provide ideas and basis for the treatment of this disease with integrated Traditional Chinese and Western ***:Randomized controlled trials(RCTs)of China National Knowledge Infrastructure Database,Wanfang Database,Chinese BioMedical Literature Database,PubMed,Embase,and the Cochrane Library were searched from the establishment to March *** researchers screened the literature and extracted the data according to inclusion and exclusion ***-analysis was performed using RevMan 5.3 ***:A total of 28 RCTs were included,including 2745 patients in the acute stage of stroke(1375 in the experimental group and 1370 in the control group).Metaanalysis showed that compared with conventional treatment,combined treatment with ANP could improve the effective rate of acute stroke patients[relative risk(RR)=1.26,95%confidence interval(CI)(1.21,1.31)],Glasgow Coma Scale scores[mean difference(MD)=2.01,95%CI(1.04,2.98)],Mini-mental State Examination scores[MD=4.79,95%CI(2.22,7.37)],Activities of Daily Living scores[MD=15.70,95%CI(14.05,17.36)]and the Barthel index scores[MD=13.89,95%CI(12.12,15.65)],reduce National Institute of health stroke scale scores[MD=-3.90,95%CI(-4.96,-2.84)]and serum brain natriuretic peptide[MD=-38.50,95%CI(-46.85,-30.15)].In terms of safety,the incidence of adverse reactions showed no statistical differences between the two groups[RR=0.71,95%CI(0.43,1.15),P=0.16],and no serious adverse reactions/events were observed,indicating a good ***:Existing clinical research evidence shows that ANP has good efficacy and safety in the treatment of acute stroke,which can provide a basis for the treatment of integrated Traditional Chinese and Western ***,the quality of included research methodology needs to be improved,and the above conclusions need to be verified by more

关键词： acute stroke systematic review Meta-analysis Angong Niuhuang pill