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Open Access Review Issue
Mechanisms of high-altitude hypoxic brain injury and prevention with traditional Chinese medicine
Journal of Traditional Chinese Medical Sciences 2026, 13(1): 60-69
Published: 31 October 2025
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With the advancement of the Belt and Road Initiative and increasing activity in high-altitude regions, the incidence of high-altitude-related diseases has steadily increased. Notably, the prevention and treatment of high-altitude brain injuries remain particularly challenging, making them a key focus of current medical research. The low-pressure and low-oxygen environments at high altitudes significantly increase the risk of hypoxic brain injury. Consequently, understanding the mechanisms that drive these injuries and developing targeted treatments are crucial for maintaining the health of individuals who rapidly ascend to high altitudes. This review examines the mechanisms underlying high-altitude brain injury, outlines the development and evaluation of commonly used animal models for altitude stress, and explores potential therapeutic approaches to support effective prevention and treatment strategies for these conditions.

Open Access Original Article Issue
Effects of intravaginal curcumin gels combined with electroporation on vulvovaginal candidiasis
Journal of Traditional Chinese Medical Sciences 2025, 12(1): 79-85
Published: 09 November 2024
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Objective

To observed the effect of a curcumin-based vaginal gel combined with electroporation for the treatment of vulvovaginal candidiasis (VVC) caused by Candida albicans.

Methods

Temperature-sensitive in situ gels (ISG) were prepared using poloxamers 407 and 188 as matrices. The mass ratio of poloxamer 407 and poloxamer 188 was 7:1 with a gelation temperature of approximately 29℃ and gelation time of 2.5 min.

Results

Electroporation increased the transmucosal permeability of the model drug, doxorubicin and improved the antifungal effects of curcumin. In vitro antifungal experiments showed that the number of fungal colonies in curcumin ISG combined with electroporation was lower than that in pure curcumin ISG. In vivo pharmacodynamic experiments showed that, compared to the model group, curcumin ISG with electroporation inhibited the growth of C. albicans, alleviated vaginal mucosal edema, and reduced the inflammatory response.

Conclusion

Curcumin ISG combined with electroporation has substantial potential for the efficient clinical treatment of VVC.

Open Access Original Article Issue
Ginger oil-loaded transdermal adhesive patch treats post-traumatic stress disorder
Journal of Traditional Chinese Medical Sciences 2024, 11(3): 316-329
Published: 06 June 2024
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Objective

To find a viable alternative to reduce the number of doses required for the patients with post-traumatic stress disorder (PTSD), and to improve efficacy and patient compliance.

Methods

In this study, we used ginger oil, a phytochemical with potential therapeutic properties, to prepare ginger oil patches. High-performance liquid chromatography (HPLC) was used to quantify the main active component of ginger oil, 6-gingerol. Transdermal absorption experiments were conducted to optimize the various pressure-sensitive adhesives and permeation enhancers, including their type and concentration. Subsequently, the ginger oil patches were optimized and subjected to content determination and property evaluations. A PTSD mouse model was established using the foot-shock method. The therapeutic effect of ginger oil patches on PTSD was assessed through pathological sections, behavioral tests, and the evaluation of biomarkers such as tumor necrosis factor-α (TNF-α), interleukin-6 (IL-6), brain-derived neurotrophic factor (BDNF), and melatonin (MT).

Results

The results demonstrated that ginger oil patches exerted therapeutic effects against PTSD by inhibiting inflammatory responses and modulating MT and BDNF levels. Pharmacokinetic experiments revealed that ginger oil patches maintained a stable blood drug concentration for at least one day, addressing the rapid metabolism drawback of 6-gingerol and enhancing its therapeutic efficacy.

Conclusions

Ginger oil can be prepared as a transdermal drug patch that meets these requirements, and the bioavailability of the prepared patch is better than that of oral administration. It can improve PTSD with good patient compliance and ease of administration. Therefore, it is a promising therapeutic formulation for the treatment of PTSD.

Open Access Original Article Issue
Preventive effect of nasal Timosaponin BII-loaded temperature-/ion-sensitive in situ hydrogels on Alzheimer’s disease
Journal of Traditional Chinese Medical Sciences 2021, 8(1): 59-64
Published: 12 January 2021
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Objective

To study the preventive effect of Timosaponin BII (T-BII) -loaded temperature/ion-sensitive nasal in situ hydrogels (ISGs) on Alzheimer's disease (AD), its preparation technology, characteristics and in vivo effects were evaluated.

Methods

The morphological and rheological properties were evaluated. The preventive effects of T-BII ISG on scopolamine-induced AD in mice were determined with the index of muscarinicreceptor 1 (M1) expression and pathological changes.

Results

Results revealed that T-BII ISG significantly increased the content of M1 choline receptors in the hippocampus of mice and ameliorated the damage incurred to the hippocampal cornu ammonis 1 (CA1) area.

Conclusion

T-BII ISGs is a reasonable and convenient method of exerting an obvious preventive effect on mice with AD induced by scopolamine. This, thereby, lays forth a new treatment option for preventing AD.

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