万年蒿化学成分的研究

继前报作者又从蒿属植物万年蒿中（氯仿萃取部分，醋酸乙酯萃取部分和经大孔树脂乙醇洗脱部分）分得七个化合物．经理化常数测定，光谱分析鉴定化合物Ⅰ为东莨菪内酯（ｓｃｏｐｏ－ｌｅｔｉｎ），化合物Ⅱ为异秦皮定（ｉｓｏｆｒａｘｉｄｉｎ），化合物Ⅲ为琥珀酸（ｓｕｃｃｉｎｉｃａｃｉｄ），化合物Ⅳ为ｓｕｇｅｒｅ－ｏｓｉｄ，化合物Ⅴ为万年蒿甙Ｃ（ｓａｃｒｏｓｉｄｅｃ），化合物Ⅵ为邻羟基桂皮酸酯甙（ｏ－ｈｙｄｒｏｘｙ－ｃｉｎｎａｍｏｙｌ－β－Ｄ－ｇｌｕｃｏｐｙｒａｎｏｓｉｄｅ）和化合物Ⅶ为６－甲氧基－香豆素－７－羟基樱草甙（６－ｍｅｔｈｏｘｙ－ｃｏｕｍａｒｉｎ－７－ｈｙｄｒｏ－ｘｙｌｐｒｉｍｅｖｅｒａｓｉｄｅ），后者为首次从该属植物中分得的已知化合物．     

扁豆花化学成分研究

自扁豆ＤｏｌｉｃｈｏｓｌａｂｌａｂＬ．花的正丁醇部分分得５个黄酮类化合物和１个多元醇，通过化学反应和光谱分析，分别鉴定为木犀草素（ｌｕｔｅｏｌｉｎ，Ⅰ），大波斯菊甙（ｃｏｓｍｏｓｉｎ，Ⅱ），木犀草素－４′－０－葡萄糖甙（ｌｕｔｅｏｌｉｎ－４′－０－β－Ｄ－ｇｌｕｃｏｐｙｒａｎｏｓｉｄｅ，Ⅲ），木犀草素－７－０－葡萄糖甙（ｌｕｔｅｏｌｉｎ－７－０－β－Ｄ－ｇｌｕｃｏｐｙｒａｎｏｓｉｄｅ，Ⅳ），野漆树甙（ｒｈｏｉｆｏｌｉｎ，Ⅴ）和甘露醇（Ｄ－ｍａｎｎｉｔｏｌ，Ⅵ）。这些化合物系首次从扁豆属植物中分到。     

东北淫羊藿活性成分研究

自东北淫羊藿（ＥｐｉｍｅｄｉｕｍｋｏｒｅａｎｕｍＭａｋａｉ）的地上部分，分离得到４个单体化合物，根据理化数据和光谱分析鉴定为：金丝桃甙（ｈｙｐｅｒｉｎ）（１），淫羊藿甙－Ⅱ（ｉｃａｒｉｓｉｄⅡ）（２）．淫羊藿甙－Ⅰ（ｉｃａｒｉｓｉｄⅠ）（３）和淫羊藿甙（ｉｃａｒｉｉｎ）（４）．其中，金丝桃甙在本种植物中首次分离得到，同时，我们又利用１Ｈ－１Ｈｃｏｓｙ和１３Ｃ－１Ｈｃｏｓｙ谱，对原文献中化合物２部分Ｃ信号的归属进行了修正，另外，药理实验结果表明：淫羊藿甙（ｉｃａｒｒｉｎ）对氢化可的松造成的小鼠阳虚有一定的拮抗作用．     

峨嵋葛根的化学成分研究

从峨嵋葛根乙酸乙酯提取部们分离和监定了９个化合物,大豆甙元（ｄａｉｄｚｅｉｎ,１）,大豆甙（ｄａｉｄｚｉｎ,２）,染料木素（ｇｅｎｉｓｔｅｉｎ,３）,染料木甙（ｇｅｎｉｓｔｉｎ,４）,葛根素（ｐｕｅｒａｒｉｎ,５）,芒柄素（ｆｏｒｍｏｎｏｅｔｉｎ,６）,葛香豆雌酚（ｐｕｅｒａｒｏｌ,７）,β－谷甾醇（β－ｓｉｔｏｓｔｅｒｏｌ,８）,β－胡萝卜甙（ｄａｕｃｏｓｔｅｒｏｌ,９）。以上化合物均为首次从峨嵋葛根中分得。     

黑参中的酚甙

从黑参中提取分离出3种酚甙化合物，经化学试验和光谱鉴定它们的结构为β-（3′，4′-di-hydroxyphenyl）ethyl－O－α－L－rhamnopyranosyl（1→3）－β-D－glucopyranoside（Ⅰ），acteosideisomer（Ⅱ），plantainosideC（Ⅲ）。     

女贞子化学成分的研究（Ⅱ）~（1））

继前报，作者又从女贞子（ＬｉｇｕｓｌｒｕｍＬｕｃｉｄｕｍＡｉｌ．）乙醇提取物的石油醚萃取部分和乙酸乙酯萃取部分分离鉴定了４个化合物．化合物Ⅵ为１９α－羟基－３－乙酰乌索酸（１９α－ｈｙｄｒｏｘｙ－３－ａｃｅｔｙｌ－ｕｒｓｏｌｉｃａｃｉｄ），化合物Ⅸ为对羟基苯乙醇－β－Ｄ－葡萄糖甙（ｐ－ｈｙｄｒｏｘｙｐｈｅｎｅｔｈｙｌ－β－Ｄ－ｇｌｕｃｏｓｉｄｅ），化合物Ｘ为芹菜素－７－Ｏ－β－Ｄ－葡萄糖甙（ｃｏｓｍｏｓｓｉｎ），化合物Ⅺ为甘露醇（ｍａｎｎｉｔｏｌ）．其中化合物Ⅵ为一新天然产物．     

马山前胡化学万分的研究（Ⅱ）

从广西特有的前胡属植物冯山前胡Ｐｅｕｃｅｄａｎｕｍ ｍａｓｈａｎｅｎｓｅ根中分得４个化合物，经理化常烽和波谱分析，鉴定为３′（Ｒ）－（＋）－亥茅酚（Ⅰ），３′（Ｓ）－（－）－亥（Ⅱ），褐煤酸（Ⅲ）和甘露醇（Ⅳ）。化合物Ⅰ为首次从自然界分得，其余均为首次从该植物中分得。     

多裂骆驼蓬化学成分研究Ⅱ地上部分化合物的分离鉴定

首次对我国特有植物多裂骆驼蓬地上部分中的化学成分进行了系统的分离和结构鉴定，共分得１５个化合物，本文报道其中４个黄酮类成分：刺槐素（ａｃａｃｅｔｉｎ）（Ⅰ）、骆驼蓬甙（ｐｅｇａｎｅｔｉｎ）（Ⅱ）、脱乙酰骆驼蓬甙（ｄｅａｃｅｔｙｌｐｅｇａｎｅｔｉｎ）（Ⅲ）、７，４′－二羟基－３′－甲氧基黄酮－５－Ｏ－芸香糖甙（Ⅳ），化合物（Ⅲ）为一新的黄酮甙类成分；６个生物碱类成分：脱氧鸭嘴花酮碱（ｄｅｏｘｙｖａｓｉｃｉｎｏｎｅ）（Ⅴ）、消旋鸭嘴花酮碱（ｖａｓｉｃｉｎｏｎｅ）（Ⅵ）、（－）鸭嘴花酮碱［（－）ｖａｓｉｃｉｎｏｎｅ］（Ⅶ）；（±）鸭嘴花碱［（±）ｖａｓｉｃｉｎｅ，ｐｅｇａｎｉｎｅ］（Ⅷ）、脱氧鸭嘴花碱（ｄｅｏｘｙｖａｓｉｃｉｎｅ）（Ⅸ）、哈尔明（ｈａｒｍｉｎｅ）（Ⅹ）。     

急弯棘豆化学成分的研究

从急弯棘豆Oxytropisdeflexa（Pall）DC．全草中分离得到9个化合物，经理化常数和光谱分析确定其结构为：蜂花酸（Ⅰ），β-谷甾醇（Ⅱ），五味酯甲（Ⅲ），山奈酚（Ⅳ），槲皮素（Ⅴ），山奈酚-3-O－6″-乙酸吡喃葡萄糖甙（Ⅵ），紫云英式（Ⅶ），异槲皮甙（Ⅷ），山奈酚-3-O-6″-丙二酰毗喃葡萄糖甙（Ⅸ），上述成分均首次从该植物中分得，其中木脂素Ⅲ和黄酮甙Ⅵ，Ⅸ在豆科棘豆属植物中首次发现。     

肉苁蓉鲜花序的化学成分研究

首次从列当科植物荒漠肉苁蓉Ｃｉｓｔａｎｃｈｅ ｄｅｓｅｒｔｉｃｏｌａ Ｍａ新鲜花序的正丁醇萃取物中分离并鉴定了４个化合物，即６－去氧梓醇（６－ｄｅｏｘｙｃａｔａｌｐｏｌ，Ⅰ）、黑立脂素甙（ｌｉｒｉｏｄｅｎｄｒｉｎ，Ⅱ），８－表马钱子酸葡萄糖甙（８－ｅｐｉｌｏｇａｎｉｃ ａｃｉｄ，Ⅲ）和半乳糖醇（Ⅳ），其成分与肉质茎基本相同，为肉苁蓉花序的开发利用提供了一定的依据。     

Value of D-Dimers in patients with acute aortic dissection

Objective: To evaluatel the value of D-dimers in patients with acute aortic dissection (AAD). Methods: This study consisted of 16 patients with AAD and 27 non-AAD patients. Serum D-dimets were measured by Sta-Liatest D-DI immunoturbidimetric assay. Results: D-dimer level was higher (P ＜ 0.001) in patients with AAD(7.91 ± 5.52 μg/ml) than that in non- AAD group(1.57±1.24 μg/ml). D-dimer was positive (＞0.4 μg/ml) in all patients with AAD and in 10 control group patients (37%). Among patients with acute AAD, D-dimers tended to be higher in Stanford A than in Stanford B (8.67 ± 4.31 μg/ml vs. 3.24±1.27 μg/ml, P ＜0.01). D-dimer values tended to be higher in more extended disease(3.84 ± 1.65 μg/ml, 8.57 ± 3.58 μg/ml and 11.87 ± 5.69 μg/ml in thoracic aorta, thoracic and abdominal aorta, thoracic and abdominal aorta and iliacal arteries, respectively, P ＜ 0.05 for both 8.57 ± 3.58 and 11.87 ± 5.69 vs. 3.84 ± 1.65 ). Including the control group into the analysis, we found a sensitivity of 100%, a negative predictive value of 100%, and a specificity of 66% and a positive predictive value of 64% for D-dimer in diagnosis of AAD in our patients with suspected AAD. Conclusion: D-dimer was elevated in patients with AAD. A negative D-dimer test result could be useful in excluding AAD.     

Research of combined liver-kidney transplantation model in rats

Objective： To set up a simple and reliable rat model of combined liver-kidney transplantation. Methods： SD rats served as both donors and recipients. 4℃ sodium lactate Ringer＇s was infused from portal veins to donated livers,and from abdominal aorta to donated kidneys, respectively. Anastomosis of the portal vein and the inferior vena cava （IVC） inferior to the right kidney between the graft and the recipient was performed by a double cuff method, then the superior hepatic vena cava with suture. A patch of donated renal artery was anastomosed to the recipient abdominal aorta. The urethra and bile duct were reconstructed with a simple inside bracket. Results： Among 65 cases of combined liver-kidney transplantation, the success rate in the late 40 cases was 77.5%. The function of the grafted liver and kidney remained normal. Conclusion： This rat model of combined liver-kidney transplantation can be established in common laboratory conditions with high success rate and meet the needs of renal transplantation experiment.     

安心颗粒对急诊经皮冠状动脉介入术后生活质量影响的研究

目的：评价使用安心颗粒对急诊经皮冠状动脉介入术（PPCI）术后生活质量的影响.方法：将160例接受PPCI的急性ST段抬高型心肌梗死患者随机分为安心颗粒组（术前顿服安心颗粒8.8g,术后安心颗粒4.4 g/次,每日2次）和对照组（仅接受基础药物治疗）.所有患者均服用阿司匹林、氯吡格雷和阿托伐他汀.分别在入院时、出院前1d、出院后180 d时,应用心肌梗死多维度量表（MIDAS）、中文版SF-36评价量表对患者生活质量评分.并观察术后30 d以内的出血并发症、血小板减少症发生情况.结果：入院时和出院前1d,两组患者的心肌梗死MIDAS、SF-36量表评分比较无差异（P＞0.05）;出院后180 d时,与对照组比较,安心颗粒组MIDAS、SF-36评分明显减低（P＜0.05）;组内与入院时比较,两组出院前1d、出院后180 d时,MIDAS、SF-36评分均降低（P＜0.05）.两组患者在随访期间均无大量出血、少量出血、重度和极重度血小板减少症发生,安心颗粒组有4例、对照组有7例发生不明显出血（P＞0.05）.两组发生轻度血小板减少症的患者数比较无差异（P＞0.05）.结论：PPCI使用安心颗粒,能改善急性ST段抬高型心肌梗死患者的生活质量,且不增加出血风险.     

The comparative studies of the influences of Urapidil and Nicardipine on sino-atrial node function, atrio-ventricular node function and hemodynamics

Objective:To investigate the influences of urapidil and nicardipine on rabbit sinus function,atrio-ventricular node function and hemodynamics.Methods:Thirty-two Angora's rabbits were selected and randomly divided into four groups.U1 group:urapidil 0.25 mg/kg;U2 group:urapidil 0.5 mg/kg;N1 group:nicardipine 10 μg/kg;N2 group:nicardipine 20 μg/kg.All these medicine were administrated within 30 seconds.Measurements were taken before and after the administration of urapidil or nicardipine for the following data:mean blood pressure(MAP),heart rate(HR),sino-atrial conduction time(SACT),maximal sinoatrial recovery time(SNRTmax)corrected sinus node recovery time(CSNRT),index of sinus node recovery time(SNRTI),Wenckebach A-V conduction frequency (WB),and P-R interval.Results:Significant MAP and HR changes were identified in all of the four groups before and after administration of both urapidil and nicardipine.No significant changes could be found in the rest of the parameters.Intergroup analysis showed that SACT and CSNRT of N1 and N2 groups were shorter than those of the U2 group(P＜0.01);the MAP decreased(P＜0.01)and the HR increased drastically(P＜0.01).Conclusions:Neither urapidil(0.25 mg/kg,0.5 mg/kg)nor nicardipine(10μg/kg,20μg/kg)has any significant influence on rabbit sinus function or rabbit atrio-ventricular node function.Nicardipine could be a better choice than urapidil for parafunctional sinus node patients.     

Expression of OPGmRNA and ODFmRNA in the patients of hip fracture due to osteoporosis

Objective：To investigate the gene expression of osteoprotegerin（OPG） and osteoclast differentiation factor（ODF） in the bone tissue of patients with hip fracture due to osteoporosis. Methods：OPGmRNA and ODFmRNA in the bone tissue in 50 cases of osteoporosis sufferers（over 50 years old） with hip fracture（Observer Group） and 30 cases of hip facture sufferers with no osteoporosis（Control group） were analyzed with the Semi-Quantitative RT-PCR method. Results：The mRNA expressed of ODF, OPG were both high in the patients with hip fracture. In the control group, the expression of OPG mRNA was observed, while the expression of ODF mRNA was very slight. Conclusion：Aged patients contained all signals including OPG, ODF that are essential for inducing osteoclastogenesis and promoting bone resorption.     

The clinicopathological and immuohistochemical analysis of solid-pseudopapillary tumor of the pancreas： report of 9 cases

Objective：To investigate the clinical features, pathological characteristics and immunophenotype of solid-pseudopapillary tumor of the pancreas（SPTP）. Methods：Nine surgically treated cases of SPTP were retrospectively reviewed. Hematoxylin and Eosin（HE） staining and immunohistochemical staining were used to analyze all cases, and the general clinical data was collected. Results：Six patients were asymptomatic except for a palpable mass. Two patients complained of vague-epigastric pain. One patient appeared jaundice. The tumor was encapsulated and solid tissues alternately with cystic tissues. Histologically, the histological structure of solid portion was pseudopapillary with a fibrovascular core. Tumor cells were uniform and medium-sized which were arranged in sheets ets or nests or pseudopapillary patterns. Immunohistochemical studies demonstrated that SPTP proved positive in vimentin（9/9 cases）, AAT（9/9 cases）, NSE（9/9 cases）, ACT（7/9 cases）, CK20（2/9 cases）, CgA（1/9 cases）, S-100（3/gcases）, PR（4/gcases）, Syn（3/9 cases） and CD56（5/9cases）, negative in CEA and ER. Conclusion：SPTP is a tumor predominantly occurring in young women frequently without special symptoms. This tumor has various characteristical histological patterns with different immunophenotype.     

Electro-Acupuncture Combined with the Trigger Point Needle-Embedding for Treatment of Primary Trigeminal Neuralgia in 31 Cases

In recent years, the author of this essay has applied electro-acupuncture combined with the trigger point needle-embedding for treatment of primary trigeminal neuralgia in 31 cases, yielding satis- factory results as reported in the following.     

Investigation of Matrix Metalloproteinase -1, 2 and tissue inhibitor of matrix metalloproteinases-1 in Endometriosis

Objective： To explore the role of matrix metalloproteinase-1,2 （MMP-1, MMP-2） and tissue inhibitor of matrix metalloproteinases-1 （TIMP-1） in endometriosis. Methods： The eutopic and ectopic endometria from 40 subjects suffering from endometriosis and regular.endometria from 40 subjects （excluding endometriosis） were collected and examined by in situ hybridization technology and western blot assay. Results： Both expressions of MMP-1 and -2 were stronger in ectopic endometrium and eutopic endometrium than in normal endometrium. On the contrary, the expression of TIMP-1 in ectopic endometrium and eutopic endometrium was lower. The differences were significant （P 〈 0.01 ）. Moreover, there was no relationship among the expressions of MMP-1, 2 and TIMP-1 in ectopic endometrium. Conclusion： The expressions of MMP-1, 2 and TIMP-1 lose balance and lack of periodic changes in ectopic endometrium , which explains the biological invasive behavior of endometriosis. It was suggested-that regulating the balance between the MMPs and TIMP-1 should be an ideal therapeutic target to endometriosis.     

Shi Da-zhuo (史大卓) —An outstanding cardiologist of integrative medicine

Prof. SHI Da-zhuo, Ph.D., male, was born on March 20, 1960. Prof. SHI entered the Ph.D. program in 1990 at the China Academy of Chinese Medical Sciences under the supervision of Prof. CHEN Ke-ji, majoring in the treatment of cardiovascular diseases. After receiving his Ph.D. degree in 1993, Prof. SHI started working at the Cardiovascular Center in Xiyuan Hospital affiliated to China Academy of Chinese Medical sciences.     

Persist in and Carry Forward the Integrative Medical Research——Speech at the 6th National General Congress of Chinese Association of Integrative Medicine by Academician CHEN Zhu,Minister of Ministry of Health

The 6th National General Congress of Chinese Association of Integrative Medicine （CALM） was convened at 19-20, April 2008 in Beijing. Academician CHEN Zhu, the minister of Ministry of Health indicated at the congress that the integration of Chinese and Western medicine is very well in keeping with the situation of our country and the general rule of development in medical science; and as a good integration of Chinese medicine and Western medicine, it is mutually beneficial and advantageous to both of them. Seeing the creativity shown in integrative medical investigation in theoretic and methodological sides, we should and must persist in and develop it.