Asian Medicine Research Articles

Sophora japonica Nanoemulsion: Ultrasound-Assisted Extraction and Characterization.

Sophora japonica, a member of the Fabaceae family, is recognized for its medicinal properties, particularly in traditional Asian medicine. This study aimed to investigate the efficiency of ultrasound-assisted extraction techniques in obtaining bioactive compounds from S. japonica and to formulate these extracts into stable nanoemulsions with enhanced antioxidant activity. The extraction methods employed included ethanolic maceration followed by ultrasound-assisted extraction, with the latter producing a total phenolic content of 65.57 mg gallic acid equivalent per milliliter, compared to 51.18 mg for the maceration method. Antioxidant activity was assessed using the DPPH scavenging assay, revealing that the ultrasound-assisted extract exhibited a scavenging efficiency of 67%, whereas the ethanolic extract demonstrated a scavenging efficiency of 59%. The resultant nanoemulsions, formulated from the ultrasound-assisted extracts, showed an average particle size of 252.92 nm and a zeta potential of -36.68 mV, indicating favorable stability. Visual inspections and peroxide value assessments during a 5-day oxidative stability study indicated that the water-based nanoemulsion experienced minimal changes, maintaining its stability, while the ethanolic nanoemulsion exhibited significant signs of separation and oxidation. These findings suggest that ultrasound-assisted extraction not only enhances the recovery of bioactive compounds from S. japonica but also contributes to the formation of stable nanoemulsions, which hold potential applications in the food and pharmaceutical industries.

Revered and Reviled: The Plight of the Vanishing Sea Cucumbers.

Sea cucumbers paradoxically suffer from being both highly prized and commonly disregarded. As an Asian medicine and delicacy, they command fabulous prices and are thus overfished, poached, and trafficked. As noncharismatic animals, many are understudied and inadequately protected. Despite presenting a rich diversity of life histories, members of this broad taxonomic group (class Holothuroidea) are often managed simply as "sea cucumbers" in fisheries worldwide. One cannot imagine fishes (class Pisces) being given the same universal treatment. Yet this may happen for species of sea cucumber that differ on the same fundamental level as tilapia and tuna. As more sea cucumbers reach an endangered status and wild populations become depleted to the point of collapse, critical questions arise about the relevance of established conservation and governance strategies. This article reviews the main threats faced by exploited sea cucumbers, outlines conservation and governance effectiveness, identifies gaps in knowledge, and explores management and research perspectives in the context of climate change and booming fisheries crime. We stress the perilous state of harvested sea cucumbers globally and the urgent need for action.

Cordyceps militaris-Derived Bioactive Gels: Therapeutic and Anti-Aging Applications in Dermatology.

Cordyceps militaris is a medicinal mushroom widely utilized in traditional East Asian medicine, recognized for its diverse therapeutic properties. This review explores the potential of C. militaris-derived bioactive gels for applications in dermatology and skincare, with a particular focus on their therapeutic and anti-aging benefits. In response to the rising incidence of skin cancers and the growing demand for natural bioactive ingredients, C. militaris has emerged as a valuable source of functional compounds, including cordycepin, polysaccharides, and adenosine. These compounds exhibit multiple bioactivities, including apoptosis induction, cell cycle arrest, and anti-inflammatory effects, which have been shown to be particularly effective against melanoma and other skin cancers. Additionally, the antioxidant properties of C. militaris enhance skin resilience by scavenging reactive oxygen species, reducing oxidative stress, and promoting collagen synthesis, thereby addressing skin health and anti-aging requirements. The potential for incorporating C. militaris compounds into gel-based formulations for skincare is also examined, either as standalone bioactives or in combination with synergistic ingredients. Emphasis is placed on the necessity of clinical trials and standardization to establish the safety, efficacy, and reproducibility of such applications. By providing a safer alternative to synthetic agents, C. militaris-derived bioactive gels represent a promising advancement in dermatology and skincare.

ВЛИЯНИЕ ГУСТОГО ЭКСТРАКТА CALLICARPA NUDIFLORA НА НЕКОТОРЫЕ БИОХИМИЧЕСКИЕ ПОКАЗАТЕЛИ ПРИ ЭКСПЕРИМЕНТАЛЬНОЙ ЧЕРЕПНО-МОЗГОВОЙ ТРАВМЕ

In the modern world, neurotrauma has become one of the main problems in the field of medicine. Such injuries can be caused by various factors, including accidents, falls, violence, sports injuries, etc. The consequences of neurotrauma can be different, including impaired brain function, Alzheimer's disease, dementia, mood disorders and other negative consequences, so the search for new methods of treating neurotrauma is an urgent task for medicine. It is known that the consequence of traumatic brain injury (TBI) is short- and long-term cognitive deficit, usually manifested in impaired attention, learning, memory and higher integrative functions. Callicarpa nudiflora Hook. & Arn is a plant species used in traditional Asian medicine to treat various diseases, including diseases of the nervous system. According to its chemical composition, Callicarpa nudiflora Hook. & Arn contains flavonoids, phenylpropanoids, macro- and microelements: potassium, iron, copper, sodium, calcium, etc. The object of this study is the extract of Callicarpa nudiflora Hook. & Arn (Callicarpa nudiflora). Quantitative determination of the total content of reducing substances in the analyzed extract in terms of gallic acid was analyzed spectrophotometrically by the reaction of the interaction of the studied extract with the Folin-Ciocalteu reagent. However, the neuroprotective effect of this plant under experimental neurotrauma has not been sufficiently studied. The study found that the extract of Callicarpa nudiflora under experimental craniocerebral trauma leads to new opportunities for assessing the psycho-emotional status. The study will expand our current knowledge of the pharmacological properties of Callicarpa nudiflora Hook. & Arn and provide a deeper understanding of what molecular mechanisms may be involved in its neuroprotective effects.

Caracterización del Bilimbi (Averrhoa bilimbi) y sus potenciales aplicaciones agroindustriales

The bilimbi (Averrhoa bilimbi), a tropical fruit cultivated in several countries, including Ecuador, thrives in warm and humid coastal and eastern regions, requiring temperatures between 20 and 30 degrees Celsius and an annual precipitation of at least 1500 mm. Well-drained soils rich in organic matter with a pH between 5 and 6.5 are essential for optimal growth. In Ecuador, it is known as Grosella China, and while similar fruits such as carambola and Indian gooseberry exist, bilimbi has been used in Asian culinary and traditional medicine due to its sour and refreshing taste, although scientific evidence regarding its medicinal properties is limited. Its versatility is reflected in agro-industrial applications, including the production of jams, sauces, vinegars, bakery, and dairy products, harnessing its antioxidant and antimicrobial properties. It also finds use in cosmetics and natural dyes due to its high vitamin C and oxalic acid content. Furthermore, its adaptability to various soil and climate conditions enhances its potential as an agro-industrial crop. Current research focuses on evaluating its feasibility in production processes and industrial applications, such as wine, vinegar, and preserves production, highlighting the growing interest in harnessing its potential in different industrial sectors

Efficacy of Hovenia dulcis Fruit Extract in Hangover Mitigation: Double-Blind Randomized Clinical Evaluation.

The fruit of Hovenia dulcis Thunb. (HD) is renowned for its medicinal properties and is rich in bioactive compounds, traditionally used in East Asian medicine as a natural antidote for alcohol intoxication. A randomized, double-blind, crossover, placebo (PLA)-controlled clinical trial was conducted to compare the effects of beverages containing 0.475% HD (HDB), HD combined with 0.1% Pueraria lobata extract (HDPB), and HD combined with 0.02% glutathione yeast extract (HDGB) with the PLA on the symptoms of a hangover. Subjects (n = 30) were randomized into six test groups consuming three beverages, including the PLA. After ingestion, blood alcohol and blood acetaldehyde concentrations were measured at 0, 0.25, 0.5, 1, 2, 4, 6, and 15 h post-alcohol consumption. No significant differences in hematology tests and vital signs were observed amongst the treatment groups; however, at 0.5 and 6 h, the blood alcohol concentrations of the HDB and HDPB groups were significantly lower compared to the PLA group (p < 0.05). Additionally, the blood acetaldehyde concentrations in the HDPB group showed significantly lower values than the PLA after 6 h (p < 0.05). These findings suggest that HD may aid in alcohol detoxification and limit acetaldehyde accumulation. This indicates the potential for HD as a functional food ingredient for alleviating hangover symptoms.

Cross-Sectional Survey Analysis of Institutional Research Partnerships in Complementary and Integrative Health: Identifying Barriers and Facilitators.

Objective: Collaboration between complementary and integrative health (CIH) institutions and research-intensive (R1) institutions has been successfully undertaken in the United States, resulting in federally funded research projects, educational programs, and faculty development. The aim of this cross-sectional survey study was to explore the barriers and facilitators to establishing and maintaining such collaborative partnerships. Methods: A 32-question survey was sent to participants recruited through author contacts and resources, literature review, and database searches. Participants were required to be researchers and affiliates who attempted, completed, or had current collaborative endeavors involving CIH and R1 institutions. Data were collected in the research electronic data capture (REDCap) system and descriptive quantitative and qualitative data analysis was undertaken. Results: A total of 26 unique entries were included in the final data analysis; four of which were paired entries (one from an R1 institution and one from a CIH institution) to make up two dyad data collections. Eighty-one percent of the participants had senior leadership roles at CIH institutions representing five CIH disciplines-East Asian medicine (acupuncture and Traditional Chinese Medicine), chiropractic medicine, massage therapy, naturopathy, and yoga. Collaborative research projects were often (>38%) in response to specific project funding mechanisms. Over 60% of the collaborations also included educational activities and faculty development. Collaborations resulted in multiple different types of benefits to both institutions but were not without associated challenges. Conclusion: Collaborations between R1 and CIH institutions can be cooperative, productive, and mutually beneficial. Funding mechanisms supporting R1 and CIH collaboration increase CIH research productivity as well as the development of innovative research methodology to study the real-world practice of CIH therapies, whole systems, and whole person health. CIH researchers would greatly benefit from such funding, allowing access to research infrastructure, professional development, and the provision of protected time to conduct research.

Asian adult sleep medicine fellowship training curriculum: one curriculum, many contexts.

To develop a comprehensive Asian adult sleep medicine fellowship training curriculum to address the significant disparities in sleep medicine training across Asia, guided by the principle of "One Curriculum, Many Contexts," providing a standardized yet adaptable framework for sleep medicine education across the diverse healthcare landscapes of Asian countries. The curriculum development process involved a gap analysis, comprehensive literature review, and expert consensus through a modified RAND appropriateness method (RAM)/Delphi survey. The curriculum offers two flexible tracks: a one-year program (Track A) and a two-year program (Track B), accommodating varied educational pathways and healthcare system structures across Asia. Key features of the curriculum include detailed learning outcomes, competency-based educational content, and recommendations for teaching and learning activities. The assessment strategy incorporates summative and formative methods, with standard setting and program evaluation guidelines. The curriculum also provides recommendations for program accreditation, fellow-faculty ratios, and funding considerations. The Asian adult sleep medicine fellowship training curriculum provides a standardized yet adaptable framework for sleep medicine education across diverse Asian healthcare landscapes. By emphasizing flexibility and customization while maintaining high training standards, the curriculum aims to bridge the gap in sleep medicine training across Asia, ultimately improving the quality of sleep healthcare and patient outcomes throughout the region.

Discovering the key symptoms for identifying patterns in functional dyspepsia patients: Doctor's decision and machine learning.

Pattern identification is a crucial diagnostic process in Traditional East Asian Medicine, classifying patients with similar symptom patterns. This study aims to identify key symptoms for distinguishing patterns in patients with functional dyspepsia (FD) using explicit (doctor's decision-based) and implicit (computational model-based) approaches. Data from twenty-one FD patients were collected from local clinics of traditional Korean Medicine and provided to three doctors in a standardized format. Each doctor identified patterns among three types: spleen-stomach weakness, spleen deficiency with qi stagnation/liver-stomach disharmony, and food retention. Doctors evaluated the importance of the symptoms indicated by items in the Standard Tool for Pattern Identification of Functional Dyspepsia questionnaire. Explicit importance was determined through doctors' survey by general evaluation and by selecting specific information used for the diagnosis of patient cases. Implicit importance was assessed by feature importance from the random forest classification models, which classify three types for general differentiation and perform binary classification for specific types. Key symptoms for distinguishing FD patterns were identified using two approaches. Explicit importance highlighted dietary and nausea-related symptoms, while implicit importance identified complexion or chest tightness as generally crucial. Specific symptoms important for particular pattern types were also identified, and significant correlation between implicit and explicit importance scores was observed for types 1 and 3. This study showed important clinical information for differentiating FD patients using real patient data. Our findings suggest that these approaches can contribute to developing tools for pattern identification with enhanced accuracy and reliability.

Solving the Mystery of Sir William Osler and Acupuncture: How Knowledge and Prevailing Attitudes Shaped a Physician.

Medical education in North America was shaped by a biomedically bounded framework dating back to the early nineteenth century. Yet, one renowned physician, William Osler (1849-1919), seemed to stand out among his contemporaries by promoting acupuncture as a form of treatment. Some physicians in the early 1970s proposed that Osler was ahead of his time by including acupuncture in his medical textbook, The Principles and Practice of Medicine (1892). Others, however, dismissed this notion based on an alleged biographical account that Osler's only witnessed acupuncture treatment was embarrassingly ineffective. The question that should garner more attention from the medical acupuncturist is not whether Osler was an acupuncturist. The key question should be: Why was Osler not an acupuncturist? This article explores what may have discouraged William Osler from pursuing and promoting acupuncture as a legitimate system of medicine. This research includes the analysis of all primary and secondary sources connecting William Osler to acupuncture, including The Principles and Practice of Medicine, The Life of Sir William Osler, The Evolution of Modern Medicine, and Bibliotheca Osleriana. Additional sources, including research by two prominent Osler scholars, letters, bulletins, archives, and film, were evaluated. Analysis of all available historical material demonstrates compelling evidence that Osler was not an acupuncturist. Contributing factors included limited access to knowledge, inadequate training, and prevailing attitudes during his lifetime. Creating a more prominent place for medical acupuncture in healthcare requires deep reflection into the history of what forms a physician's worldview. Understanding what led to Osler's knowledge and attitude toward acupuncture could inspire innovative strategies to encourage more Western physicians to train in East Asian medicine and integrate it into practice.

Combination Therapy with Korean Medicine and Filgrastim on Neutropenia: A Retrospective Study

Objectives: Neutropenia is a complication due to chemotherapy or radiotherapy that can limit clinical outcomes. Previous systematic reviews and meta-analysis have suggested that traditional Asian medicine may relieve neutropenia. This study investigated the effect of the combination therapy of Korean Medicine (KM) and filgrastim on neutropenia.Methods: A total of 336 subjects were included, with 167 in the only filgrastim treatment group and 169 in the filgrastim with KM treatment group. Absolute neutrophil count (ANC) was calculated by multiplying the white blood cell count by the total percentage of neutrophils. ANC was observed on the day of filgrastim and up to 6 days with hospital medical records.Results: The clinical characteristics of the participants in the filgrastim with KM treatment group tended to have higher age. Comparing the two groups, by the linear mixed-effects model, ANC mean was significantly different on the 3rd day. A linear mixed effect model was performed to estimate difference in slope of ANC over time after treatment between the two groups. The slope difference was significant in neutropenia grade 3 patients. The mean of ANC increment after initial treatment tends to increase with the number of days of KM treatment but not statistically significant. During the follow-up period, the average blood levels of patients in the filgrastim with KM treatment group were within the normal range.Conclusions: The combination treatment with filgrastim and KM can be effective for patients with neutropenia.

Improvement in Curcumin's Stability and Release by Formulation in Flexible Nano-Liposomes.

Curcumin is utilized extensively as Chinese medicine in Asia due to its antioxidant, antimicrobial, and inflammatory activities. However, its use has the challenges of low oral bioavailability and high heat sensitivity. The aim of this research was to produce flexible nano-liposomes containing curcumin using an innovative approach of ethanol injection and Tween 80 to enhance the stability and preservation of curcumin. The mean particle size, encapsulation efficiency, thermal degradation, storage stability, and curcumin release in flexible nano-liposomes were also investigated. We found that the mean particle size of curcumin-loaded flexible nano-liposome decreased from 278 nm to 27.6 nm. At the same time, the Tween 80 concentration increased from 0 to 0.15 wt%, which corresponded with the results of transmission electron microscopy (TEM) morphology analyses, and particle size decreased with an enhancement in Tween 80 concentration. Further, pure curcumin was quickly released within one hour at 37 °C, and first-order kinetics matched with its release curve. However, curcumin encapsulated in flexible nano-liposomes showed a slow release of 71.24% within 12 h, and a slower release pattern matched with the Higuchi model over 24 h, ultimately reaching 84.63% release. Hence, flexible nano-liposomes of curcumin made by a combination of ethanol injection and Tween 80 addition prevented the thermal degradation of curcumin, and enhanced its storage stability and preservation for future drug delivery applications.

Comparison of a fixed-dose combination of Celecoxib/PG201 [Layla®] versus co-administration of individual formulations in healthy participants: A randomized trial.

Osteoarthritis (OA) is a prevalent joint disease affecting the spine, hands, hips, knees, and feet. However, definitive drugs for OA are lacking, and current treatments are limited owing to inconvenient administration, inadequate functional improvement, and long-term side effects including gastrointestinal and cardiovascular adverse events. Therefore, in this study, we aimed to assess the pharmacokinetics and safety profiles of PK101, a fixed-dose combination (FDC) comprising PG201, a 12-herb extract used in OA treatment in traditional East Asian medicine, and celecoxib, a selective cyclooxygenase-2 inhibitor, by comparing its administration as an FDC and the corresponding individual formulations in healthy subjects. A randomized, open-label, single-dose, 2 × 2 crossover design with a cohort of healthy participants. All subjects received a single FDC tablet (405.4 mg PG201 and 100 mg celecoxib) or the individual formulations, with 7-day washout period between administrations. The estimation of maximum plasma concentration and area under the plasma concentration-time curve from time zero to the time of the last quantifiable concentration of celecoxib involved determining the geometric mean ratios and 90% confidence intervals of the FDC compared to its individual formulations. Forty-six participants were enrolled; however, only 44 completed the study. The geometric mean ratios (90% confidence intervals) for the area under the plasma concentration-time curve from time zero to the time of the last quantifiable concentration and maximum plasma concentration of celecoxib were 1.1124 (1.0601-1.1672) and 1.2788 (1.1708-1.3969), respectively. The time of maximum plasma concentration range was 1.0 to 4.0 hours and 1.0 to 6.0 hours (minimum-maximum) for the FDC and individual formulations, respectively. Seven adverse events occurred in 6 subjects. The systemic exposure and safety profiles of the individual and FDC formulations were similar, supporting their potential as an innovative and effective therapeutic approach for OA treatment. All relevant data are within the paper and its Supporting Information files.

Stilbene-enriched extract from the leaves of Cajanus cajan attenuates psoriasis in imiquimod-induced psoriatic mice by targeting aryl hydrocarbon receptor and chemokines

Ethnopharmacological relevanceThe leaves of Cajanus cajan (L.) Millsp., an Asian traditional folkloric medicine, have been used to treat inflammatory conditions since ancient times. In Southern China, these leaves have been employed to alleviate the symptoms associated with various skin diseases. However, the therapeutic effects and the underlying mechanisms of Cajanus cajan leaves in the treatment of psoriasis remain poorly understood. Aim of the studyThis study aims to investigate the efficacy of stilbene-enriched extract from C. cajan leaves (termed as “EXT”) in treating imiquimod (IMQ)-induced psoriatic mice and to elucidate its possible underlying mechanism in psoriasis treatment. Materials and methodsThe coumpounds of EXT was analyzed through a UPLC-MS system, the MS survey scan was conducted across the mass range of m/z 100–1000 Da. The activation of aryl hydrocarbon receptor (AhR), a potential therapeutic target, by EXT in HaCaT cells was assessed using RT-qPCR and immunofluorescence. Subsequently, EXT was administrated to IMQ-induced psoriatic mice once daily for 10 days. The efficacy of EXT in treating psoriasis was evaluated through pathological analysis including change of weight, PASI score, Baker score, epidermal thickness, and H&E staining of lesion skin. Additionally, transcriptomic analysis of lesion skins was conducted to identify the potential therapeutic targets and possible mechanisms of EXT in psoriasis treatment. ResultsIt was identified that the primary stilbenes present in EXT were 3.10% pinosylvin monomethyl ether (PME), 12.32 % cajaninstilbene (CSA), 4.54 % ongistylin A (LGA) and 2.43 % longistylin C (LGC). In cellular tests, the addition of 2.5 μg/mL EXT to HaCaT cells enhanced the expression of AhR and its nuclear translocation. In vivo tests of EXT in IMQ-induced psoriasis mouse model, 50 mg 1.0 % EXT reduced PASI and Baker score of lesion skin to 2.67 and 4.5, respectively. In addition, the epidermis thickness of lesion skin induced by IMQ returned to normal following the application of 50 mg 1.0 % EXT in psoriatic mice. Transcriptomic profiling revealed significant downregulation of numerous chemokines (Ccl2, Ccl20, and Cxc5, etc.), pro-inflammatory cytokines (Il17a, Il19, Il22, and Il23, etc.), and genes associated with keratinocyte differentiation (Lce and Sprr family genes). Conversely, AhR and genes of the cytochrome P450 family were activated. ConclusionsThis study is the first to demonstrate that the ethyl acetate (EtOAc) extract enriched with stilbenes from Cajanus cajan leaves (EXT) effectively alleviates symptoms in IMQ-induced psoriatic mice. The mechanism involves the activation of the aryl hydrocarbon receptor (AhR) and a subsequent reduction in the production of various inflammatory chemokines and cytokines. These findings suggest that EXT holds significant potential as a plant-derived therapeutic agent for the treatment of psoriasis.

Studies on the Bioactivity (Antioxidant, Enzyme Inhibitory, Antimicrobial and Cytotoxic) and Chemical Composition of Aqueous Extracts of Some Plant Species Collected from Turkmenistan.

Alhagi persarum (AP), Alhagi persarum flowers (APF), Ephedra equisetina (EE) and Glycyrrhiza glabra root (GGR) have been utilized in Central Asian folk medicine for centuries. In the present study, antioxidant, enzyme inhibition, antimicrobial and cytotoxic effects the aqueous extracts of these plants were studied. In addition, 23 compounds were identified in the extracts using UHPLC-DAD-QqQ-MS/MS analysis. The four plant samples demonstrated promising antioxidant activities in vitro for scavenging of 2, 20-azinobis-(3-ethylbenz-thiazoline-6-sulphonate) radical (ABTS), 1, 1-diphenyl-2-picrylhydrazyl radical (DPPH), and total reducing power. AP (DPPH: 47.39 mg TE/g; ABTS:108.58 mg TE/g; CUPRAC: 117.41 mg TE/g; FRAP: 82.22 mg TE/g) and EE (DPPH: 46.75 mg TE/g; ABTS: 110.51 mg TE/g; CUPRAC: 140.77 mg TE/g; FRAP: 91.00 mg TE/g) displayed the strongest antiradical and reduction abilities in the test system. In terms of enzyme inhibition efficacy, AP and EE showed higher bioactivity. Aqueous extracts demonstrated the most potent efficacy against eight different bacterial and fungal strains in antibacterial (MIC values: 1.5-4 mg/ml) and antifungal (MIC values: 1-8 mg/ml) testing. Contrary to other activities, these aqueous extracts did not show cytotoxic effects against HaCaT cells. All bioactivities suggested that the plants could be utilized as candidate resources in the food and pharmaceutical industries.

Implementation of biotechnological techniques for the propagation and introduction of Trichosanthes kirilowii Maxim

Trichosanthes kirilowii Maxim. is classified among the 50 most important medicinal plants used in traditional Asian medicine. This species is endemic and reproduction from seeds in the conditions of Central Europe is inefficient. The present study focused on the implementation of effective propagation of T. kirilowii, including standardisation of seed germination conditions, reproduction of the plant based on micropropagation, and introduction to field conditions. Four types of explants were tested on six types of media in various variants of culture conditions. Additionally, anatomical and histological analyses of specimens obtained through the in vitro cultivation were carried out, with particular emphasis on the site of initiation of aboveground and underground shoots. Microscopic analyses showed that the T. kirilowii shoots and roots obtained in the in vitro culture formed in the process of organogenesis via direct regeneration. Even though the callus did not participate in the regeneration of the entire plant, the micropropagation protocol proposed in the study was efficient: 6–8 shoots were obtained from 1 explant. The entire micropropagation process from the explant to an adult individual growing in the ground lasted 122 days. The protocol for T. kirilowii micropropagation in vitro cultures provides a fast, efficient, and robust approach to propagation of this species. The biotechnological applications in the reproduction of T. kirilowii will help not only to increase the number of daughter plants but also to multiply individuals of the appropriate sex, which will increase the probability of production of fruits in this dioecious species.

Bloodletting for Acute Stroke Recovery: A Systematic Review and Meta-Analysis.

Bloodletting is a non-pharmacological treatment commonly used for acute stroke in traditional East Asian medicine. This study evaluated the efficacy and safety of bloodletting in acute stroke recovery. We conducted a comprehensive search of eight electronic databases up to 4 June 2024 to identify relevant randomized controlled trials (RCTs). Review Manager 5.4 was used for the meta-analysis, with methodological quality assessed using the Cochrane Risk of Bias 2 tool and the GRADE approach. Seventeen RCTs were included in this meta-analysis. The bloodletting group showed statistically significant improvements in neurological deficits compared to the non-bloodletting group, as measured using the National Institutes of Health Stroke Scale (mean difference [MD]: -2.08, 95% confidence interval [CI]: -3.13 to -1.02) and the treatment effective rate (risk ratio: 1.17, 95% CI: 1.11 to 1.22). Motor function also improved significantly in both upper (Fugl-Meyer Assessment, MD: 12.20, 95% CI: 9.67 to 14.73) and lower extremities (MD: 3.86, 95% CI: 2.16 to 5.56). The effect on daily living activities was not significant overall, but benefits were observed in patients treated within three days of stroke onset (Barthel Index, standardized MD: 0.85, 95% CI: 0.01 to 1.69). No significant differences in the frequency of adverse events were observed between the groups. Bloodletting may be an effective and safe adjunctive therapy for patients with acute stroke receiving conventional Western medical treatment. However, further research is necessary because of the small sample sizes and low quality of the included studies.

Reimagining IR’s biomedical foundations: East Asian medicine and the need for cosmological plurality

Critical scholarship has long pointed to the problematic ways in which mainstream International Relations (IR) takes Westphalian state politics to be universally applicable, yet existing analyses fall short of providing an alternative grounding for IR. Departing from the close relationship between medicine and politics, this article advances two arguments. First, Westphalian IR is based on a particular Western conception of biomedicine. Second, biomedicine is treated as the hallmark of modern science, which exacerbates the discipline’s gatekeeping against ‘alternative’ scholarship that does not look like this particular description of science. By mobilising the notion of ‘cosmology’, we suggest that East Asian medicine (EAM), informed by Daoist yin-yang dialectics, can help to rethink the alleged universality of IR’s biomedical metatheoretical foundations. Specifically, we illustrate how the Westphalian state body and its territorial politics are made possible by biomedical knowledge, and how EAM’s relational cosmology and method of employing creative images helps to conceive shared communal bodies and re-evaluate territorial conflicts. Ultimately, this article argues for the necessity of a plurality of cosmological viewpoints in IR to overcome exclusionary oppositions in both the practice and study of global politics.

Some Applications of Hericium erinaceus Mushrooms: A Review

The Lion's Mane mushroom, which has the scientific name Hericium erinaceus, can be defined as a medicinal fungus type. For very long time, it has been utilized in the conventional medicine in Asia for a variety of purposes. In the past few years, there had been a great deal of interest directed towards potential benefits to the health, which could be provided by this unique type of mushroom in particular, when it comes to the treatment of various diseases. The concentration will be focused on examining the way that Hericium erinaceus as well as its bioactive elements could be utilized for therapeutic purposes within the area od disease control. This review states the possible Hericium erinaceus advantages in cases that are related to some health issues, such as metabolic problems, gastrointestinal diseases, neurodegenerative disorders, and immune system problems. In addition to that, the present paper discusses the work that is used for providing the therapeutic effects. It is stated that some of the characteristics of the Hericium erinaceus include having anti-inflammatory, neuro-protective, anti-oxidant, and immune-modulatory effects. Even though more studies are needed for detailed understanding of all the mechanisms that are involved in its activities, presenting evidences that strongly suggest possible Hericium erinaceus uses as one of the natural cures for a variety of illnesses, it is known as well in some cases as lion's mane mushroom, which fungus type that comes with extensive history and many potential advantages. As a result of its distinctive morphology, including bio-active compounds, in addition to its conventional uses have combined to the generation of much interest in a variety of areas. More research is needed for full understanding of the way that it works for the therapeutic applications and its potential implementations in the area of nutrition, cooking, and medicine. The cultivation of Hericium erinaceus might be viewed as an activity of conservation and business production.

Protective Effects of Cervus elaphus and Eucommia ulmoides Mixture (KGC01CE) on Muscle Loss and Function in Aged Rats.

Sarcopenia is a condition characterized by a progressive loss of muscle mass and function which are influenced by certain factors such as aging, nutritional deficiencies, and chronic diseases. Despite numerous efforts to prevent or treat sarcopenia, effective therapeutic options for this disease remain limited. This study aims to evaluate the effects of KGC01CE treatment, a mixture of Cervus elaphus (Ce) and Eucommia ulmoides (Eu), which are well-known traditional herbal medicines in Asia, on age-related muscle loss and functional decline in aged rats. KGC01CE has been found to be more effective than the individual extracts in inhibiting dexamethasone (DEX)-induced muscle atrophy and improving muscle mass and grip strength in C2C12 cells and aged rats. Moreover, animal studies were conducted to determine the minimum effective dose, and a 12-week oral administration of KGC01CE treatment at doses of 50, 100, and 200 mg/kg to 15-month-old aged rats resulted in a dose-dependent increase in lean mass, muscle mass, grip strength, and muscle cross-sectional area (CSA), which had decreased due to aging. Furthermore, it was shown that KGC01CE activated the phosphatidylinositol 3-kinase (PI3K)/Akt pathway and inhibited the expression of muscle-degrading proteins MuRF, Atrogin-1, and myostatin. These results suggest that KGC01CE treatment may effectively prevent muscle loss and functional decline, providing a novel therapeutic strategy for sarcopenia.