Publications by authors named "YanMing Xie"

The comparison between traditional Chinese medicine Jinzhen oral liquid (JZOL) and Western medicine in treating children with acute bronchitis (AB) showed encouraging outcomes. This trial evaluated the efficacy and safety of the JZOL for improving cough and expectoration in children with AB. 480 children were randomly assigned to take JZOL or ambroxol hydrochloride and clenbuterol hydrochloride oral solution for 7 days.

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Article Synopsis
  • Fufang Ejiao Syrup has demonstrated effectiveness and safety in addressing Qi and blood deficiency in patients experiencing cancer-related fatigue, as evidenced by a comprehensive expert consensus.
  • A panel of 33 multidisciplinary experts conducted research and developed 7 recommendations and 20 consensus suggestions, utilizing the GRADE system to evaluate the evidence quality.
  • The final document outlines practical guidelines for the use of Fufang Ejiao Syrup in clinical settings, including dosing, timing of treatment, and safety measures, making it a valuable resource for healthcare professionals.
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This study provides a systematic review of existing evidence concerning the efficacy of Jiangzhi Tongluo Soft Capsules(JTSC) in treating hyperlipidemia(syndrome of blood stasis and Qi stagnation), following the Guidelines for clinical evidence and value assessment of drugs. The qualitative and quantitative methods were integrated, including questionnaire surveys, evidence-based medicine, and pharmacoeconomic evaluation. Multi-criteria decision analysis(MCDA) model was used for comprehensive assessment of the clinical evidence and value of JTSC for hyperlipidemia in "6+1" dimensions: safety, effectiveness, cost-effectiveness, innovation, suitability, accessibility, and traditional Chinese medicine(TCM) characteristics.

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Background: Numerous cohort studies have explored the association between age-related macular degeneration (AMD) and Parkinson disease (PD). However, a comprehensive meta-analysis on this topic is currently lacking. This study aims to address this gap by conducting a meta-analysis of existing cohort studies to investigate the relationship between AMD and the risk of developing PD.

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Background: Acute ST-segment elevation myocardial infarction (STEMI) is a severe form of coronary heart disease and a leading cause of mortality and morbidity. This can mainly be ascribed to adverse ventricular remodeling (VR). However, the efficacy of existing treatment strategies for STEMI is not entirely satisfactory.

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Objective: The study attempted to evaluate the meta-analyses (MAs) of the acupuncture treatment of diabetic peripheral neuropathy (DPN) to provide a basis for clinical decision-making.

Methods: Eight databases, such as PubMed, Cochrane Library, Embase, Web of Science, CNKI, Wanfang Data, CQVIP, and CBM, were searched from database creation to December 22, 2023. The MAs of DPN treatment using acupuncture or acupuncture combined with conventional Western medicine were included.

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The group standard Pharmacovigilance guidelines for clinical application of Chinese patent medicines for mucosal administration was released on January 16, 2024, on the national group standards information platform by the Institute of Basic Research in Clinical Medicine of China Academy of Chinese Medical Sciences and School and Hospital of Stomatology of Peking University, under the centralized management by the China Association of Chinese Medicine. The standard number is T/CACM 1563.6-2024.

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There are many kinds and dosage forms of Chinese patent medicines for external use on the market, which are widely used in clinical departments. The common adverse reactions of Chinese patent medicines for external use are skin reactions, and those for the rare severe diseases include palpitation, chest tightness, dyspnea, and anaphylactic shock. At present, World Health Organization(WHO), International Council for Harmonization of Technical Requirements for Pharmaceuticals for Human Use(ICH),the United States, the European Union, and Asia-Pacific countries(such as Japan and South Korea) have not issued any pharmacovigilance guideline of Chinese patent medicines for external use.

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In 2019, the newly revised Drug Administration Law of the People's Republic of China was issued and implemented,clearly proposing that China should establish a pharmacovigilance system. As a new traditional Chinese medicine(TCM) dosage form created in China, TCM injections have been widely used in clinic, and its pharmacovigilance has attracted much attention. In response to this situation, the project team convened a group of clinical, pharmaceutical and evidence-based medicine experts from all over the country to form an expert group, which formulated the Pharmacovigilance guidelines for clinical application of traditional Chinese medicine injections in strict accordance with the requirements of the group standards of the Chinese Association of Chinese Medicine.

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Article Synopsis
  • - Oral Chinese patent medicine is a well-established treatment method derived from centuries of Chinese medical practices, known for being effective, portable, and convenient, but it faces challenges concerning safety and proper usage in clinical settings.
  • - Current issues include improper adherence to usage guidelines, risks of adverse reactions, and toxicity, leading to concerns about pharmacovigilance for these medicines.
  • - Experts in China are developing tailored pharmacovigilance guidelines to ensure safe and rational use of oral Chinese patent medicines, aligning with the country’s needs and addressing the unique aspects of these treatments.
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The group standard Guidelines for construction of traditional Chinese medicine(TCM) pharmacovigilance system in medical institutions, managed by Chinese Association of Chinese Medicine and led by the Institute of Basic Research in Clinical Medicine,China Academy of Chinese Medical Sciences and Dongfang Hospital of Beijing University of Chinese Medicine, was announced on National Group Standard Information Platform on January 16, 2024, with the standard number T/CACM 1563. 2-2024. According to EU pharmacovigilance regulations and the second-level guidance principles of International Council for Harmonization of Technical Requirements for Pharmaceuticals for Human Use(ICH), the unique characteristics of TCM were fully considered, and the relevant systems and procedures for constructing TCM pharmacovigilance systems in medical institutions were clearly defined.

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Article Synopsis
  • The Drug Administration Law of the People's Republic of China (2019 revised edition), effective December 1, 2019, mandates the establishment of a pharmacovigilance system tailored to address the unique characteristics of Chinese patent medicines.
  • The pharmacovigilance guidelines for these medicines (T/CACM 1563.1-2024) integrate principles from the Drug Administration Law and international regulations, focusing on creating a standardized framework for monitoring the safety of traditional Chinese medicines.
  • Subsequent guidelines (T/CACM 1563.2-1563.6-2024) will cover various aspects of pharmacovigilance, including monitoring, risk evaluation, and reporting, specifically for different forms of Chinese patent medicines
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Background: The association between poor social relationships and post-stroke mortality remains uncertain, and the evidence regarding the relationship between poor social relationships and the risk of stroke is inconsistent. In this meta-analysis, we aim to elucidate the evidence concerning the risk of stroke and post-stroke mortality among individuals experiencing a poor social relationships, including social isolation, limited social networks, lack of social support, and loneliness.

Methods: A thorough search of PubMed, Embase, and the Cochrane Library databases to systematically identify pertinent studies.

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This study utilized a prospective, large-sample, multi-center, and registered key specialty approach of hospitals to monitor the application of Reduning Injection. A total of 100 249 adolescent patients aged 14 years and below who received Reduning Injection were monitored, resulting in 83 cases of adverse events, with 76 of them being classified as adverse drug reaction(ADR). The calculated incidence rate of ADR for Reduning Injection was 0.

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Article Synopsis
  • * A meta-analysis of 32 randomized controlled trials involving 4,265 patients revealed that combining XYP with conventional treatments significantly reduces symptoms like sore throat and tonsillar swelling.
  • * The study also found that patients receiving XYP alongside conventional treatments had lower inflammatory markers (interleukin-6 and interleukin-8), suggesting improved therapeutic effects and potential safety benefits.
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Background Qilong capsule (QLC) is a well-known traditional Chinese medicine compound extensively used in clinical practice. It has been approved by the China's FDA for the treatment of ischemic stroke (IS). In our clinical trial involving QLC (ClinicalTrials.

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Background: To investigate the regulatory patterns of Chinese patent medicine (CPM) interventions on lipid metabolism disorders in patients with type 2 diabetes mellitus (T2DM) complicated by ischemic stroke.

Methods: Two researchers independently searched 8 major databases and created a comprehensive database containing all randomized controlled trials (RCTs) that investigated the application of "blood-activating and stasis-removing" CPM in the treatment of stroke combined with T2DM until October 1, 2022. The collected data were compiled and organized in Excel.

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The purpose of this study was to evaluate the economics of Annao Pills combined with antihypertensive drugs in the treatment of primary hypertension in the Chinese medical setting. TreeAge pro 2018 was used for cost-effect analysis and sensitivity analysis of the two treatment regimens. The intervention time of the simulation model was 2 weeks.

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Article Synopsis
  • Pharmacoeconomic evaluation aims to improve drug safety and effectiveness by optimizing healthcare resource utilization and supporting better decision-making in healthcare.
  • Chinese patent medicine is a crucial part of China’s healthcare system, but its post-marketing economic evaluations are often lacking in standardization and quality.
  • A project led by experts is developing guidelines to enhance the methodology and standardization of pharmacoeconomic evaluations for Chinese patent medicine, ensuring alignment with existing regulations and traditional Chinese medicine principles.
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Article Synopsis
  • * The research identified 19 types of Chinese patent medicines, highlighting that 13 were significantly discussed in 131 articles, with popular ones being Shenqi Jiangtang Capsules, Jinlida Granules, and Xiaoke Pills, measuring various health outcomes like blood glucose and pancreatic function.
  • * The analysis indicated a need for improved research quality, noting most studies lacked proper methodological rigor and underrepresented the unique aspects of traditional Chinese medicine, particularly in evaluating TCM-specific symptoms and patient quality of life.
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Due to the lack of specialized guidance, the post-marketing research on clinical effectiveness of Chinese patent medicines demonstrates varied quality and lacks high-quality evidence, failing to meet the demands of policy-making, clinical decision-making, and industrial decision-making. To address this issue, this project gathered experts in clinical medicine, clinical pharmacy, evidence-based medicine, drug epidemiology, medical ethics, and policy and regulation in China. They referred to the model of international post-marketing research on medicines and developed Guidelines for post-marketing research on clinical effectiveness of Chinese patent medicines under the framework of relevant laws and regulations and technical guidance documents in China.

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Background: Osteoporosis and major depressive disorder (MDD) represent two significant health challenges globally, particularly among perimenopausal women. This study utilizes NHANES data and Mendelian randomization (MR) analysis to explore the link between them, aiming to provide a basis for intervention strategies for this group.

Methods: The study analyzed NHANES 2007-2018 data using weighted logistic regression in R software to evaluate the link between MDD and osteoporosis risk.

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Article Synopsis
  • Ischemic stroke (IS) is a significant global health concern linked to blood pressure, blood glucose, and circulating lipids, yet the genetic connections are still unclear.
  • Researchers utilized Mendelian randomization to analyze genetic data related to these risk factors and IS, identifying important genes and constructing a predictive nomogram for IS risk.
  • The findings highlight that high blood pressure and specific lipid levels have causal relationships with IS onset, paving the way for better understanding and prevention strategies for ischemic stroke.
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This study systematically combed the existing evidence of Houyanqing Oral Liquid in the treatment of acute pharyngitis from the "6+1" dimensions of safety, effectiveness, economy, innovation, suitability, accessibility, and characteristics of traditional Chinese medicine(TCM) and carried out qualitative and quantitative analysis of the data from each dimension. The multi-criteria decision analysis(MCDA) model and CSC v2.0 were used to evaluate the clinical value of this drug, so as to provide evidence for the selection of essential drugs in the department of otolaryngology and for medical and health decision-making.

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We intend to explore potential mechanisms of Tripterygium wilfordii Hook.f (TwHF) induced kidney injury (KI) using the methods of network toxicology and molecular docking. We determined TwHF potential compounds with its targets and KI targets, obtained the TwHF induced KI targets after intersecting targets of TwHF and KI.

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