Appraisal of clinical practice guidelines for ischemic stroke management in Chinese medicine with appraisal of guidelines for research and evaluation instrument: A systematic review

Yuwen, Ya; Shi, Nannan; Han, Xuejie; Gao, Ying; Xu, Jianlong; Liu, Dasheng; Ng, Bacon Fung Leung; Tsui, Dora; Zhong, Linda L. D.; Ziea, Eric; Bian, Zhaoxiang; Lü, Aiping

doi:10.1007/s11655-014-1834-2

Cited by 12 publications

(6 citation statements)

References 19 publications

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“…Mulberry bark, which is sweet in taste and cold in nature, can clear lung heat and relieve asthma as its main action. Mulberry bark, which can stabilize vital energy and compensate for deficiency by replenishing deficiencies, is usually used mainly to clear lung heat as well as relieve cough [ 37 ]. In combination with Scutellaria baicalensis, the heat-releasing power is even greater, and the sweet taste and cold nature of mulberry bark can counteract the bitter taste of Scutellaria baicalensis, clearing lung heat without harming Yin.…”

Section: Discussionmentioning

confidence: 99%

Study on the Effect of Self-Made Lifei Dingchuan Decoction Combined with Western Medicine on Cough Variant Asthma

Huang

et al. 2022

Computational and Mathematical Methods in Medicine

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Aims. To observe the clinical efficacy of self-made Lifei Dingchuan decoction combined with western medicine in the treatment of cough variant asthma (phlegm-heat accumulation in the lung syndrome). Materials and Methods. The clinical data of 90 patients with cough variant asthma who were hospitalized in the Department of Respiratory Medicine of our hospital from January 2020 to April 2022 were selected as the research objects, and they were equally divided into the observation group and the reference group according to different treatment methods, 45 cases in each group. The group was treated with traditional montelukast sodium chewable tablet and salmeterol fluticasone mixed powder inhalation, and the observation group was treated with self-made Lifei Dingchuan decoction on the basis of the control group, saturation, pH, partial pressure of oxygen in arterial blood, partial pressure of carbon dioxide, length of stay, and hospitalization costs. Results. After the patients underwent self-made Lifei Dingchuan decoction, there were significant differences between the observation group and the reference group in terms of heart rate, respiratory rate, blood oxygen saturation, pH value, arterial blood oxygen partial pressure, carbon dioxide partial pressure, and within the group. There was a statistical difference ( P < 0.05 ). The adverse reactions in patients with cough variant asthma after treatment showed that the red throat, shortness of breath, chest tightness, and dry mouth in the observation group were significantly different from those in the control group ( P < 0.05 ). After investigation, follow-up, and statistics, the hospitalization time, hospitalization cost, asthma exacerbation control time, effective rate, and recurrence rate were compared between the two groups, and the differences between the two groups were statistically significant ( P < 0.05 ). Conclusion. The study on the clinical efficacy and low hospitalization cost of the self-prepared lung and asthma-restorative soup in patients with cough variant asthma significantly improved the patients’ arterial oxygen saturation, acid-base value, arterial partial pressure of oxygen, and partial pressure of carbon dioxide and effectively controlled the heart rate and respiratory rate with high safety, which is worth further promotion.

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Section: Discussionmentioning

confidence: 99%

Study on the Effect of Self-Made Lifei Dingchuan Decoction Combined with Western Medicine on Cough Variant Asthma

Huang

et al. 2022

Computational and Mathematical Methods in Medicine

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“…EB‐guideline is the international mainstream trend of guideline development (Yuwen et al., ). In mainland China, only three NPGs (Jia et al., ; Ye et al.,Li, ; Li, Q.L., ) were considered as EB‐NPG in the domain of “rigor of development,” which largely stands for methodological quality.…”

Section: Discussionmentioning

confidence: 99%

Nursing Practice Guidelines in China do Need Reform: A Critical Appraisal Using the AGREE II Instrument

Jin

Wang

Zhang

et al. 2016

Worldviews Ev Based Nurs

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“…Traditional Chinese medicine has been shown to be effective in promoting recovery after ischemic stroke [7]. Huanglian-Jie-Du-Tang (HLJDT), a classic traditional Chinese herbal formula consists of four herbs such as Coptidis Rhizoma, Scutellariae Radix, Phellodendri Chinensis Cortex, and Gardeniae Fructus at the weight ratio of 3:2:2:3, has been widely used to treat ischemic stroke in clinical settings in China and other Asian countries [8].…”

Section: Introductionmentioning

confidence: 99%

Systematic Understanding of the Mechanism of Baicalin against Ischemic Stroke through a Network Pharmacology Approach

Fan

et al. 2018

Evidence-Based Complementary and Alternative Medicine

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Ischemic stroke is accompanied by high mortality and morbidity rates. At present, there is no effective clinical treatment. Alternatively, traditional Chinese medicine has been widely used in China and Japan for the treatment of ischemic stroke. Baicalin is a flavonoid extracted from Scutellaria baicalensis that has been shown to be effective against ischemic stroke; however, its mechanism has not been fully elucidated. Based on network pharmacology, we explored the potential mechanism of baicalin on a system level. After obtaining baicalin structural information from the PubChem database, an approach combined with literature mining and PharmMapper prediction was used to uncover baicalin targets. Ischemic stroke-related targets were gathered with the help of DrugBank, Online Mendelian Inheritance in Man (OMIM), Genetic Association Database (GAD), and Therapeutic Target Database (TTD). Protein-protein interaction (PPI) networks were constructed through the Cytoscape plugin BisoGenet and analyzed by topological methods. Gene ontology (GO) and Kyoto Encyclopedia of Genes and Genomes (KEGG) pathway enrichment were carried out via the Database for Annotation, Visualization, and Integrated Discovery (DAVID) server. We obtained a total of 386 potential targets and 5 signaling pathways, including mitogen-activated protein kinase (MAPK), phosphoinositide 3-kinase (PI3K)/protein kinase B (AKT), hypoxia-inducible factor-1 (HIF-1), nuclear factor kappa B (NF-κB), and forkhead box (FOXO) signaling pathways. GO analysis showed that these targets were associated with antiapoptosis, antioxidative stress, anti-inflammation, and other physiopathological processes that are involved in anti-ischemic stroke effects. In summary, the mechanism of baicalin against ischemic stroke involved multiple targets and signaling pathways. Our study provides a network pharmacology framework for future research on traditional Chinese medicine.

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Appraisal of clinical practice guidelines for ischemic stroke management in Chinese medicine with appraisal of guidelines for research and evaluation instrument: A systematic review

Abstract: The quality of EB CPG was higher than those of CB and CB-EB CPGs in CM for ischemic stroke and integrative approaches were included in CPGs as major interventions.

Cited by 12 publications

References 19 publications

Study on the Effect of Self-Made Lifei Dingchuan Decoction Combined with Western Medicine on Cough Variant Asthma

Study on the Effect of Self-Made Lifei Dingchuan Decoction Combined with Western Medicine on Cough Variant Asthma

Nursing Practice Guidelines in China do Need Reform: A Critical Appraisal Using the AGREE II Instrument

Systematic Understanding of the Mechanism of Baicalin against Ischemic Stroke through a Network Pharmacology Approach

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