Pharmacodynamics Research on Danggui-Shaoyao-San through Body Fluid Indexes of Spleen Deficiency-water Dampness Rats using Bio-impedance Technology
- Authors: Chen R.1, Yang M.1, Peng C.1, Yin D.1, Zhang Y.1, Xu F.1
-
Affiliations:
- School of Pharmacy, Anhui University of Traditional Chinese Medicine
- Issue: Vol 25, No 12 (2024)
- Pages: 1602-1616
- Section: Biotechnology
- URL: https://rjsocmed.com/1389-2010/article/view/645292
- DOI: https://doi.org/10.2174/0113892010243018231025065109
- ID: 645292
Cite item
Full Text
Abstract
Background::Spleen deficiency-water dampness symptom is closely related to body fluid-mediated organism metabolism and circulation. However, previous clinical evaluation of spleen deficiency-water dampness model was based only on body weight, D-xylose excretion rate, serum gastrin content, etc. Therefore, we established a large sample of normal rats and model rats experiment to verify the scientific nature of bio-impedance measuring body fluid indexes for evaluation of the modeling state. Pharmacodynamics research on Danggui-Shaoyao- San (DSS) was conducted through body fluid index changes of rats using bio-impedance technology.
Methods::A spleen deficiency-water dampness symptom rat model was established through an inappropriate diet combined with excess fatigue. Experimental rats were divided into a normal control group, a model control group, a positive drug control group (hydrochlorothiazide), a blood-activating group, a water-disinhibiting group, and a DSS group. Total Body Water/Body Weight (TBW%), extracellular fluid/total body water content (ECF%), intracellular fluid/total body water content (ICF%), extracellular fluid/intracellular fluid (ECF/ICF), fat mass/body weight (FM%), fat-free mass/body weight (FFM%), and fat mass/fat-free mass (FM/FFM) of 150 rats were detected by a Bio-Imp Vet Body analyzer.
Results::The TBW% of the model control group increased significantly, and the FM/FFM was significantly reduced compared with the normal group (p < 0.05) (p < 0.01), showing symptoms of spleen deficiency and diarrhea; the TBW% of the blood-activating group, and the waterdisinhibiting group decreased significantly, and the FM/FFM increased significantly (p < 0.05) (p < 0.01). The TBW% and FM/FFM in the water-disinhibiting group had returned to nearnormal values compared with the model control group. The blood-activating and waterdisinhibiting split prescriptions in DSS are both effective in treating spleen deficiency-water dampness rats. Comparatively, the fluid-regulating effect of split prescriptions in DSS was even stronger than that of DSS as shown in the present study.
Conclusions::These findings suggest that using bio-impedance technology to measure body fluid indexes can pave a road for further exploring the molecular mechanism of the reason why the blood-activating and disinhibit-water split prescriptions in DSS are both effective in treating spleen deficiency-water dampness rats.
About the authors
Ran Chen
School of Pharmacy, Anhui University of Traditional Chinese Medicine
Email: info@benthamscience.net
Mo Yang
School of Pharmacy, Anhui University of Traditional Chinese Medicine
Email: info@benthamscience.net
Can Peng
School of Pharmacy, Anhui University of Traditional Chinese Medicine
Email: info@benthamscience.net
Dengke Yin
School of Pharmacy, Anhui University of Traditional Chinese Medicine
Email: info@benthamscience.net
Yunjing Zhang
School of Pharmacy, Anhui University of Traditional Chinese Medicine
Author for correspondence.
Email: info@benthamscience.net
Fan Xu
School of Pharmacy, Anhui University of Traditional Chinese Medicine
Author for correspondence.
Email: info@benthamscience.net
References
- Jaffrin, M.Y.; Morel, H. Body fluid volumes measurements by impedance: A review of bioimpedance spectroscopy (BIS) and bioimpedance analysis (BIA) methods. Med. Eng. Phys., 2008, 30(10), 1257-1269. doi: 10.1016/j.medengphy.2008.06.009 PMID: 18676172
- Cerdó, T.; García-Santos, J.A.G.; Bermúdez, M.; Campoy, C. The role of probiotics and prebiotics in the prevention and treatment of obesity. Nutrients, 2019, 11(3), 635. doi: 10.3390/nu11030635 PMID: 30875987
- Sandini, M.; Paiella, S.; Cereda, M.; Angrisani, M.; Capretti, G.; Casciani, F.; Famularo, S.; Giani, A.; Roccamatisi, L.; Viviani, E.; Caccialanza, R.; Montorsi, M.; Zerbi, A.; Bassi, C.; Gianotti, L. Perioperative interstitial fluid expansion predicts major morbidity following pancreatic surgery. Ann. Surg., 2019, 270(5), 923-929. doi: 10.1097/SLA.0000000000003536 PMID: 31592889
- Buffa, R.; Mereu, E.; Comandini, O.; Ibanez, M.E.; Marini, E. Bioelectrical impedance vector analysis (BIVA) for the assessment of two-compartment body composition. Eur. J. Clin. Nutr., 2014, 68(11), 1234-1240. doi: 10.1038/ejcn.2014.170 PMID: 25139557
- Ward, L.C. Bioelectrical impedance analysis for body composition assessment: reflections on accuracy, clinical utility, and standardisation. Eur. J. Clin. Nutr., 2019, 73(2), 194-199. doi: 10.1038/s41430-018-0335-3 PMID: 30297760
- Schork, A.; Saynisch, J.; Vosseler, A.; Jaghutriz, B.A.; Heyne, N.; Peter, A.; Häring, H.U.; Stefan, N.; Fritsche, A.; Artunc, F. Effect of SGLT2 inhibitors on body composition, fluid status and reninangiotensinaldosterone system in type 2 diabetes: A prospective study using bioimpedance spectroscopy. Cardiovasc. Diabetol., 2019, 18(1), 46. doi: 10.1186/s12933-019-0852-y PMID: 30953516
- Nishikawa, H.; Yoh, K.; Enomoto, H.; Ishii, N.; Iwata, Y.; Nakano, C.; Takata, R.; Nishimura, T.; Aizawa, N.; Sakai, Y.; Ikeda, N.; Hasegawa, K.; Takashima, T.; Iijima, H.; Nishiguchi, S. Extracellular water to total body water ratio in viral liver diseases: A study using bioimpedance analysis. Nutrients, 2018, 10(8), 1072. doi: 10.3390/nu10081072 PMID: 30103528
- Bayford, R.; Tizzard, A. Bioimpedance imaging: An overview of potential clinical applications. Analyst, 2012, 137(20), 4635-4643. doi: 10.1039/c2an35874c PMID: 22930423
- Slee, A.; Birch, D.; Stokoe, D. Bioelectrical impedance vector analysis, phase-angle assessment and relationship with malnutrition risk in a cohort of frail older hospital patients in the United Kingdom. Nutrition, 2015, 31(1), 132-137. doi: 10.1016/j.nut.2014.06.002 PMID: 25466657
- Chong, J.U.; Nam, S.; Kim, H.J.; Lee, R.; Choi, Y.; Lee, J.G.; Kim, K.S. Exploration of fluid dynamics in perioperative patients using bioimpedance analysis. J. Gastrointest. Surg., 2016, 20(5), 1020-1027. doi: 10.1007/s11605-015-3063-1 PMID: 26715560
- Yang, C.W.; Harris, D.C.H.; Luyckx, V.A.; Nangaku, M.; Hou, F.F.; Garcia Garcia, G.; Abu-Aisha, H.; Niang, A.; Sola, L.; Bunnag, S.; Eiam-Ong, S.; Tungsanga, K.; Richards, M.; Richards, N.; Goh, B.L.; Dreyer, G.; Evans, R.; Mzingajira, H.; Twahir, A.; McCulloch, M.I.; Ahn, C.; Osafo, C.; Hsu, H.H.; Barnieh, L.; Donner, J.A.; Tonelli, M. Global case studies for chronic kidney disease/end-stage kidney disease care. Kidney Int. Suppl., 2020, 10(1), e24-e48. doi: 10.1016/j.kisu.2019.11.010 PMID: 32149007
- Ketteler, M.; Elder, G.J.; Evenepoel, P.; Ix, J.H.; Jamal, S.A.; Lafage-Proust, M.H.; Shroff, R.; Thadhani, R.I.; Tonelli, M.A.; Kasiske, B.L.; Wheeler, D.C.; Leonard, M.B. Revisiting KDIGO clinical practice guideline on chronic kidney diseasemineral and bone disorder: A commentary from a Kidney Disease: Improving Global Outcomes controversies conference. Kidney Int., 2015, 87(3), 502-508. doi: 10.1038/ki.2014.425 PMID: 25651364
- Lin, C.C.; Hwang, S.J. Patient-centered self-management in patients with chronic kidney disease: Challenges and implications. Int. J. Environ. Res. Public Health, 2020, 17(24), 9443. doi: 10.3390/ijerph17249443 PMID: 33339300
- Su, S.B.; Poon, T.C.; Thongboonkerd, V. Human body fluid. BioMed Res. Int., 2013, 2013(8), 918793. PMID: 24083249
- Oppelaar, J.J.; Vogt, L. Body fluid-independent effects of dietary salt consumption in chronic kidney disease. Nutrients, 2019, 11(11), 2779. doi: 10.3390/nu11112779 PMID: 31731658
- Bie, P.; Evans, R.G. Normotension, hypertension and body fluid regulation: brain and kidney. Acta Physiol., 2017, 219(1), 288-304. doi: 10.1111/apha.12718 PMID: 27214656
- Gao, X.S.; Pan, J.; Pang, R.; Liu, B.; Song, S.Q. Mechanism of Huayu Jianpi Fangshi decoction in urolithiasis prevention: A randomized trial. Ann. Palliat. Med., 2021, 10(4), 4320-4327. doi: 10.21037/apm-20-2295 PMID: 33832307
- Hu, S.Y.; Zhou, Y.; Tao, C.L.; Song, X.; Wang, Y.L. HPLC-DAD fingerprint of danggui-shaoyao-san and its synergy. Zhongguo Yaoke Daxue Xuebao, 2014, 45(2), 205-209.
- Guillaumin, J.; DiBartola, S.P. Disorders of sodium and water homeostasis. Vet. Clin. North Am. Small Anim. Pract., 2017, 47(2), 293-312. doi: 10.1016/j.cvsm.2016.10.015 PMID: 28017410
- Vermeiren, E.; Ysebaert, M.; Van Hoorenbeeck, K.; Bruyndonckx, L.; Van Dessel, K.; Van Helvoirt, M.; De Guchtenaere, A.; De Winter, B.; Verhulst, S.; Van Eyck, A. Comparison of bioimpedance spectroscopy and dual energy X-ray absorptiometry for assessing body composition changes in obese children during weight loss. Eur. J. Clin. Nutr., 2021, 75(1), 73-84. doi: 10.1038/s41430-020-00738-9 PMID: 32917962
- McMahon, E.J.; Campbell, K.L.; Bauer, J.D.; Mudge, D.W.; Kelly, J.T. Altered dietary salt intake for people with chronic kidney disease. Cochrane Database Syst. Rev., 2021, 6(6), CD010070. Review PMID: 34164803
- Bonaccorsi, G.; Santomauro, F.; Lorini, C.; Indiani, L.; Pellegrino, E.; Pasquini, G.; Molino-Lova, R.; Epifani, F.; Macchi, C. Risk of malnutrition in a sample of nonagenarians: Specific versus classic bioelectrical impedance vector analysis. Nutrition, 2016, 32(3), 368-374. doi: 10.1016/j.nut.2015.09.011 PMID: 26724959
- Arafa, M.F.; El-Gizawy, S.A.; Osman, M.A.; El Maghraby, G.M. Sucralose as co-crystal co-former for hydrochlorothiazide: Development of oral disintegrating tablets. Drug Dev. Ind. Pharm., 2016, 42(8), 1225-1233. doi: 10.3109/03639045.2015.1118495 PMID: 26555927
- Thabet, Y.; Lunter, D.; Breitkreutz, J. Continuous manufacturing and analytical characterization of fixed-dose, multilayer orodispersible films. Eur. J. Pharm. Sci., 2018, 117, 236-244. doi: 10.1016/j.ejps.2018.02.030 PMID: 29499348
- Ono, A.; Sugano, K. Application of the BCS biowaiver approach to assessing bioequivalence of orally disintegrating tablets with immediate release formulations. Eur. J. Pharm. Sci., 2014, 64, 37-43. doi: 10.1016/j.ejps.2014.08.003 PMID: 25151946
- Koh, S.K.; Jeong, J.W.; Choi, S.I.; Kim, R.M.; Koo, T.S.; Cho, K.H.; Seo, K.W. Pharmacokinetics and diuretic effect of furosemide after single intravenous, oral tablet, and newly developed oral disintegrating film administration in healthy beagle dogs. BMC Vet. Res., 2021, 17(1), 295. doi: 10.1186/s12917-021-02998-4 PMID: 34488750
- Grube, A.; Gerlitzki, C.; Brendel, M. Dissolution or disintegration substitution of dissolution by disintegration testing for a fixed dose combination product. Drug Dev. Ind. Pharm., 2019, 45(1), 130-138. doi: 10.1080/03639045.2018.1526184 PMID: 30230388
- Wang, Y.; Fan, S.; Yang, M.; Shi, G.; Hu, S.; Yin, D.; Zhang, Y.; Xu, F. Evaluation of the mechanism of Danggui-Shaoyao-San in regulating the metabolome of nephrotic syndrome based on urinary metabonomics and bioinformatics approaches. J. Ethnopharmacol., 2020, 261, 113020. doi: 10.1016/j.jep.2020.113020 PMID: 32592886
- Chapman, M.E.; Hu, L.; Plato, C.F.; Kohan, D.E. Bioimpedance spectroscopy for the estimation of body fluid volumes in mice. Am. J. Physiol. Renal Physiol., 2010, 299(1), F280-F283. doi: 10.1152/ajprenal.00113.2010 PMID: 20462974
- Kim, E.J.; Choi, M.J.; Lee, J.H.; Oh, J.E.; Seo, J.W.; Lee, Y.K.; Yoon, J.W.; Kim, H.J.; Noh, J.W.; Koo, J.R. Extracellular fluid/intracellular fluid volume ratio as a novel risk indicator for all-cause mortality and cardiovascular disease in hemodialysis patients. PLoS One, 2017, 12(1), e0170272. doi: 10.1371/journal.pone.0170272 PMID: 28099511
- Gordon, C.J.; Phillips, P.M.; Johnstone, A.F.M. A noninvasive method to study regulation of extracellular fluid volume in rats using nuclear magnetic resonance. Am. J. Physiol. Renal Physiol., 2016, 310(5), F426-F431. doi: 10.1152/ajprenal.00405.2015 PMID: 26697983
- Matthie, J.R. Bioimpedance measurements of human body composition: Critical analysis and outlook. Expert Rev. Med. Devices, 2008, 5(2), 239-261. doi: 10.1586/17434440.5.2.239 PMID: 18331184
- Aubertin, G.; Sayeh, A.; Dillenseger, J.P.; Ayme-Dietrich, E.; Choquet, P.; Niederhoffer, N. Comparison of bioimpedance spectroscopy and X-Ray micro-computed tomography for total fat volume measurement in mice. PLoS One, 2017, 12(8), e0183523. doi: 10.1371/journal.pone.0183523 PMID: 28817729
- Bellizzi, V.; Scalfi, L.; Terracciano, V.; De Nicola, L.; Minutolo, R.; Marra, M.; Guida, B.; Cianciaruso, B.; Conte, G.; Di Iorio, B.R. Early changes in bioelectrical estimates of body composition in chronic kidney disease. J. Am. Soc. Nephrol., 2006, 17(5), 1481-1487. doi: 10.1681/ASN.2005070756 PMID: 16611719
- Yajima, T.; Yajima, K.; Takahashi, H.; Yasuda, K. Combined predictive value of extracellular fluid/intracellular fluid ratio and the geriatric nutritional risk index for mortality in patients undergoing hemodialysis. Nutrients, 2019, 11(11), 2659. doi: 10.3390/nu11112659 PMID: 31690024
- Ohara, K.; Masuda, T.; Murakami, T.; Imai, T.; Yoshizawa, H.; Nakagawa, S. Effects of the SGLT2 inhibitor dapagliflozin on fluid distribution: A comparison study with furosemide and tolvaptan. Nephrology, 2019, 24(9), 904-911. doi: 10.1111/nep.13552 PMID: 30578654
- Lake, D.; Corrêa, S.A.L.; Müller, J. Negative feedback regulation of the ERK1/2 MAPK pathway. Cell. Mol. Life Sci., 2016, 73(23), 4397-4413. doi: 10.1007/s00018-016-2297-8 PMID: 27342992
- Maroni, B.J.; Steinman, T.I.; Mitch, W.E. A method for estimating nitrogen intake of patients with chronic renal failure. Kidney Int., 1985, 27(1), 58-65. doi: 10.1038/ki.1985.10 PMID: 3981873
- Fekete, C.; Lechan, R.M. Negative feedback regulation of hypophysiotropic thyrotropin-releasing hormone (TRH) synthesizing neurons: Role of neuronal afferents and type 2 deiodinase. Front. Neuroendocrinol., 2007, 28(2-3), 97-114. doi: 10.1016/j.yfrne.2007.04.002 PMID: 17588648
- Nazarian, R.; Shi, H.; Wang, Q.; Kong, X.; Koya, R.C.; Lee, H.; Chen, Z.; Lee, M.K.; Attar, N.; Sazegar, H.; Chodon, T.; Nelson, S.F.; McArthur, G.; Sosman, J.A.; Ribas, A.; Lo, R.S. Melanomas acquire resistance to B-RAF(V600E) inhibition by RTK or N-RAS upregulation. Nature, 2010, 468(7326), 973-977. doi: 10.1038/nature09626 PMID: 21107323
- Guo, L.; Chen, H.; Li, Y.; Zhou, Q.; Sui, Y. An aquaporin 3-notch1 axis in keratinocyte differentiation and inflammation. PLoS One, 2013, 8(11), e80179. doi: 10.1371/journal.pone.0080179 PMID: 24260356
- Trajkovic, M.; Visser, T.J.; Mittag, J.; Horn, S.; Lukas, J.; Darras, V.M.; Raivich, G.; Bauer, K.; Heuer, H. Abnormal thyroid hormone metabolism in mice lacking the monocarboxylate transporter 8. J. Clin. Invest., 2007, 117(3), 627-635. doi: 10.1172/JCI28253 PMID: 17318265
- Amalia, R.I.; Davenport, A. Estimated dietary sodium intake in peritoneal dialysis patients using food frequency questionnaires and total urinary and peritoneal sodium losses and assessment of extracellular volumes. Eur. J. Clin. Nutr., 2019, 73(1), 105-111. doi: 10.1038/s41430-018-0259-y PMID: 30046131
- Gankam Kengne, F.; Decaux, G. Hyponatremia and the brain. Kidney Int. Rep., 2018, 3(1), 24-35. doi: 10.1016/j.ekir.2017.08.015 PMID: 29340311
- Cabassi, A.; Tedeschi, S. Severity of community acquired hypernatremia is an independent predictor of mortality: A matter of water balance and rate of correction. Intern. Emerg. Med., 2017, 12(7), 909-911. doi: 10.1007/s11739-017-1693-x PMID: 28669048
- Liu, M.; Wang, Y.; Liu, Y.; Ruan, R. Bioactive peptides derived from traditional Chinese medicine and traditional Chinese food: A review. Food Res. Int., 2016, 89(Pt 1), 63-73. doi: 10.1016/j.foodres.2016.08.009 PMID: 28460959
- Yang, Z.; Xiang, T.; Zhang, S.; Zhan, H.; Chen, Z.; Sun, B.; Chen, X.; Shi, J.; Ren, B. Effect of polypeptide 2B1 on condition of dampness pattern in rats in terms of Traditional Chinese Medicine. J. Tradit. Chin. Med., 2014, 34(2), 214-220. doi: 10.1016/S0254-6272(14)60081-9 PMID: 24783936
- Collaco, A.M.; Jakab, R.L.; Hoekstra, N.E.; Mitchell, K.A.; Brooks, A.; Ameen, N.A. Regulated traffic of anion transporters in mammalian Brunners glands: A role for water and fluid transport. Am. J. Physiol. Gastrointest. Liver Physiol., 2013, 305(3), G258-G275. doi: 10.1152/ajpgi.00485.2012 PMID: 23744739
- Cadnapaphornchai, M.A.; Tkachenko, O.; Shchekochikhin, D.; Schrier, R.W. The nephrotic syndrome: pathogenesis and treatment of edema formation and secondary complications. Pediatr. Nephrol., 2014, 29(7), 1159-1167. doi: 10.1007/s00467-013-2567-8 PMID: 23989393
- Zhao, Y.H.; Tang, D.D.; Chen, D.Q.; Feng, Y.L.; Li, Q.F.; Li, P.F. Advances in the study of the chemical composition and mechanism of diuretics such as Poria, poria peel, polyporus and alisma. Zhongguo Yaolixue Yu Dulixue Zazhi, 2014, 28(4), 594-599.
- Yu, H.; Qi, P.J. Random parallel control study of Chinese medicine staging combined with western medicine to treat nephropathy syndrome. J Pract Tradit Chin Intern Med, 2016, 30(3), 63-65.
- German, A.J.; Holden, S.L.; Morris, P.J.; Biourge, V. Comparison of a bioimpedance monitor with dual-energy x-ray absorptiometry for noninvasive estimation of percentage body fat in dogs. Am. J. Vet. Res., 2010, 71(4), 393-398. doi: 10.2460/ajvr.71.4.393 PMID: 20367047
- Liu, X.; Li, X.; Ji, S.; Cui, X.; Li, M. Screening of bioactive ingredients in ligusticum chuanxiong hort for protection against myocardial ischemia. Cell. Physiol. Biochem., 2016, 40(3-4), 770-780. doi: 10.1159/000453137 PMID: 27915331
- Zhang, Q.; Zhao, Y.; Xu, Y.; Chen, Z.; Liu, N.; Ke, C.; Liu, B.; Wu, W. Sodium ferulate and n-butylidenephthalate combined with bone marrow stromal cells (BMSCs) improve the therapeutic effects of angiogenesis and neurogenesis after rat focal cerebral ischemia. J. Transl. Med., 2016, 14(1), 223. doi: 10.1186/s12967-016-0979-5 PMID: 27465579
- Wang, K.; Zhang, B.; Song, D.; Xi, J.; Hao, W.; Yuan, J.; Gao, C.; Cui, Z.; Cheng, Z. Alisol A alleviates arterial plaque by activating ampk/sirt1 signaling pathway in apoe-deficient mice. Front. Pharmacol., 2020, 11, 580073. doi: 10.3389/fphar.2020.580073 PMID: 33224034
- Cao, Y.; Duan, J.; Guo, J.; Li, W.; Tao, W. Pharmacokinetic properties of arsenic species after oral administration of Sargassum pallidum extract in rats using an HPLC-HG-AFS method. J. Pharm. Biomed. Anal., 2014, 96, 213-219. doi: 10.1016/j.jpba.2014.03.045 PMID: 24763266
- Wang, A.X.; Ge, G.B.; Qi, X.Y.; Hu, Y.; Lin, L.; Lin, M. A preliminary study of the effective ingredients of Chinese medicine compound poria soup. China J Exp Tradit Med Formul, 2010, 16(11), 120-124.
- Ji, H.; Liu, Y.Y. A randomized parallel controlled study on the method of yiqiwenyang, activating Blood and diuresis staging combined with western medicine to treat dilated cardiomyopathy and heart failure. J Pract Tradit Chin Intern Med, 2013, 27(8), 96-98.
- Shimizu, M.; Ishikawa, S.; Yachi, Y.; Muraoka, M.; Tasaki, Y.; Iwasaki, H.; Kuroda, M.; Ohta, K.; Yachie, A. Tolvaptan therapy for massive edema in a patient with nephrotic syndrome. Pediatr. Nephrol., 2014, 29(5), 915-917. doi: 10.1007/s00467-013-2687-1 PMID: 24240509
- Wong, V.K.C.; Yu, L.; Cho, C.H. Protective effect of polysaccharides from Angelica sinensis on ulcerative colitis in rats. Inflammopharmacology, 2008, 16(4), 162-167. doi: 10.1007/s10787-007-0026-5 PMID: 18759074
- Tang, S.C.W.; Lam, B.; Lam, J.C.M.; Chan, C.K.; Chow, C.C.; Ho, Y.W.; Ip, M.S.M.; Lai, K.N. Impact of nephrotic edema of the lower limbs on obstructive sleep apnea: Gathering a unifying concept for the pathogenetic role of nocturnal rostral fluid shift. Nephrol. Dial. Transplant., 2012, 27(7), 2788-2794. doi: 10.1093/ndt/gfr759 PMID: 22248509
- Nalcacioglu, H.; Ozkaya, O.; Baysal, K.; Kafali, H.C.; Avci, B.; Tekcan, D.; Genc, G. The role of bioelectrical impedance analysis, NT-ProBNP and inferior vena cava sonography in the assessment of body fluid volume in children with nephrotic syndrome. Nefrologia, 2018, 38(1), 48-56. doi: 10.1016/j.nefroe.2017.12.001 PMID: 28751054
- Huang, L.; Ye, M.; Wu, J.; Liu, W.; Chen, H.; Rui, W. A metabonomics and lipidomics based network pharmacology study of qi-tonifying effects of honey-processed Astragalus on spleen qi deficiency rats. J. Chromatogr. B Analyt. Technol. Biomed. Life Sci., 2020, 1146, 122102. doi: 10.1016/j.jchromb.2020.122102 PMID: 32330807
- Li, Y.; Lei, X.; Yin, Z.; Guo, W.; Wu, S.; Yang, X. Transgenerational effects of paternal dietary Astragalus polysaccharides on spleen immunity of broilers. Int. J. Biol. Macromol., 2018, 115, 90-97. doi: 10.1016/j.ijbiomac.2018.04.009 PMID: 29626604
- Wang, K.; Wu, J.; Xu, J.; Gu, S.; Li, Q.; Cao, P.; Li, M.; Zhang, Y.; Zeng, F. Correction of anemia in chronic kidney disease with Angelica sinensis polysaccharide via restoring EPO production and improving iron availability. Front. Pharmacol., 2018, 9, 803. doi: 10.3389/fphar.2018.00803 PMID: 30108502
- Wang, C.; Greenbaum, L.A. Nephrotic syndrome. Pediatr. Clin. North Am., 2019, 66(1), 73-85. doi: 10.1016/j.pcl.2018.08.006 PMID: 30454752
- Hull, R.P.; Goldsmith, D.J.A. Nephrotic syndrome in adults. BMJ, 2008, 336(7654), 1185-1189. doi: 10.1136/bmj.39576.709711.80 PMID: 18497417
- Lee, H.W.; Jun, J.H.; Kil, K.J.; Ko, B.S.; Lee, C.H.; Lee, M.S. Herbal medicine (Danggui Shaoyao San) for treating primary dysmenorrhea: A systematic review and meta-analysis of randomized controlled trials. Maturitas, 2016, 85, 19-26. doi: 10.1016/j.maturitas.2015.11.013 PMID: 26857875
- Ohara, K.; Masuda, T.; Morinari, M.; Okada, M.; Miki, A.; Nakagawa, S.; Murakami, T.; Oka, K.; Asakura, M.; Miyazawa, Y.; Maeshima, A.; Akimoto, T.; Saito, O.; Nagata, D. The extracellular volume status predicts body fluid response to SGLT2 inhibitor dapagliflozin in diabetic kidney disease. Diabetol. Metab. Syndr., 2020, 12(1), 37. doi: 10.1186/s13098-020-00545-z PMID: 32377235
- Cheng, M.; Feng, X.; Wang, L.; Yang, Y.; Ma, L.; Wang, B. Nucleoside analogs assisted with Chinese compound prescription in treating hepatic fibrosis of chronic hepatitis B patients. Medicine, 2020, 99(27), e21032. doi: 10.1097/MD.0000000000021032 PMID: 32629728
- Morita, H.; Abe, C. Negative feedforward control of body fluid homeostasis by hepatorenal reflex. Hypertens. Res., 2011, 34(8), 895-905. doi: 10.1038/hr.2011.88 PMID: 21716295
- Zhang, Y.J.; Zheng, H.S.; Xu, L.Y.; Li, J.Y. Research progress on oral prolonged-release preparation of traditional Chinese medicine. Zhongguo Zhongyao Zazhi, 2005, 30(22), 1794-1796. PMID: 16468378
- Wang, J.; Wang, Y.Y.; Yang, G. Methods and modes about the theory of traditional Chinese prescription composition. Zhongguo Zhongyao Zazhi, 2005, 30(1), 6-8, 11. PMID: 15714789
- Huang, S.K.; Ho, Y.L.; Chang, Y.S. Prescriptions of traditional Chinese medicine, western medicine, and integrated ChineseWestern medicine for allergic rhinitis under the National Health Insurance in Taiwan. J. Ethnopharmacol., 2015, 173, 212-216. doi: 10.1016/j.jep.2015.06.051 PMID: 26172981
- Chan, M.F.; Mok, E.; Wong, Y.S.; Tong, T.F.; Day, M.C.; Tang, C.K.Y.; Wong, D.H.C. Attitudes of hong kong chinese to traditional chinese medicine and western medicine: Survey and cluster analysis. Complement. Ther. Med., 2003, 11(2), 103-109. doi: 10.1016/S0965-2299(03)00044-X PMID: 12801496
- Wang, M.; Wu, T.; Zuo, Z.; You, Y.; Yang, X.; Pan, L.; Hu, Y.; Luo, X.; Jiang, L.; Xia, Z.; Deng, M. Evaluation of current medical approaches for COVID-19: A systematic review and meta-analysis. BMJ Support. Palliat. Care, 2021, 11(1), 45-52. doi: 10.1136/bmjspcare-2020-002554 PMID: 32958501
- Kozar, R.A.; Crandall, M.; Shanmuganathan, K.; Zarzaur, B.L.; Coburn, M.; Cribari, C.; Kaups, K.; Schuster, K.; Tominaga, G.T. Organ injury scaling 2018 update: Spleen, liver, and kidney. J. Trauma Acute Care Surg., 2018, 85(6), 1119-1122. doi: 10.1097/TA.0000000000002058 PMID: 30462622
- Calle-Toro, J.S.; Back, S.J.; Viteri, B.; Andronikou, S.; Kaplan, S.L. Liver, spleen, and kidney size in children as measured by ultrasound: A systematic review. J. Ultrasound Med., 2020, 39(2), 223-230. doi: 10.1002/jum.15114 PMID: 31418892
- Bałan, B.J.; Lewicki, S.; Siwicki, A.K.; Stelmasiak, M.; Skopiński, P.; Skopińska-Różewska, E.; Wasiutyński, A.; Zdanowski, R. Morphometric abnormalities in spleen and kidney of the progeny of mice fed American cranberry extract (Vaccinium macrocarpon) during pregnancy and lactation. Pol. J. Vet. Sci., 2017, 20(1), 57-65. doi: 10.1515/pjvs-2017-0009 PMID: 28525344
Supplementary files
