Determination of 18 Trace Elements in 10 Batches of the Tibetan Medicine Qishiwei Zhenzhu Pills by Direct Inductively Coupled Plasma-Mass Spectrometry

Qishiwei Zhenzhu pills (QSW) was first recorded in the Tibetan medicine classic Si Bu Yi Dian and has been used to treat “Baimai” disease, stroke, paralysis, hemiplegia, cerebral hemorrhage, and other diseases till today. This prescription contains more than 70 medicines including myrobalan, pearl, agate, opal, bezoar, coral, musk, gold, silver, and a mineral mixture Zuotai. As a result, QSW contains a large amount of mercury, copper, lead, and other trace elements. The aim of this study was to determine the 18 trace elements (lithium, beryllium, scandium, vanadium, chromium, manganese, cobalt, nickel, copper, arsenic, strontium, argentum, cadmium, cesium, barium, lead, aurum, and mercury) in 10 batches of QSW produced by 5 pharmaceutical companies (Ganlu Tibetan Medicine Co., Ltd. has 6 different batches) by direct inductively coupled plasma-mass spectrometry (ICP-MS). ICP-MS is a rapid, sensitive, accurate methodology allowing the determination of 18 elements simultaneously. The results showed that each element had an excellent linear relationship in the corresponding mass concentration range. The results showed that the rank order of the elements in QSW was copper > mercury > lead from high to low, with the mass fraction higher than 6000 μg/kg; the mass fractions of argentum, arsenic, manganese, aurum, strontium, barium, chromium, and nickel were in the range of 33–1034 μg/kg; and the mass fractions of vanadium, cobalt, lithium, beryllium, cadmium, scandium, and cesium were lower than 10 μg/kg. The reproducibility from the same manufacturer (Tibet Ganlu Tibetan Medicine Co., Ltd.) was relatively high; however, the element amounts among 5 manufacturers were different, which could affect the efficacy and toxicity of QSW. All in all, ICP-MS can be used as an effective tool for the analysis of trace elements in QSW and standard quality control needs to be enforced across different manufactures.

Healing at the Periphery

India has long occupied an important place in Tibetan medicine's history and development. However, Indian Himalayan practitioners of Tibetan medicine, or amchi, have largely remained overlooked at the Tibetan medical periphery, despite playing a central social and medical role in their communities. Power and legitimacy, religion and economic development, biomedical encounters and Indian geopolitics all intersect in the work and identities of contemporary Himalayan amchi. This volume examines the crucial moment of crisis and transformation that occurred in the early 2000s to offer insights into the beginnings of Tibetan medicine's professionalization, industrialization, and official recognition in India and elsewhere. Based on fine-grained ethnographic studies in Ladakh, Zangskar, Sikkim, and the Darjeeling Hills, Healing at the Periphery asks how the dynamics of capitalism, social change, and the encounter with biomedicine affect small communities on the fringes of modern India, and, conversely, what local transformations of Tibetan medicine tell us about contemporary society and health care in the Himalayas and the Tibetan world. Contributors. Florian Besch, Calum Blaikie, Sienna R. Craig, Barbara Gerke, Isabelle Guérin, Kim Gutschow, Pascale Hancart Petitet, Stephan Kloos, Fernanda Pirie, Laurent Pordié

The Absorption, Distribution, and Excretion of 18 Elements of Tibetan Medicine Qishiwei Zhenzhu Pills in Rats with Cerebral Ischemia

The aim of this study is to determine 18 elements in Tibetan medicine Qishiwei Zhenzhu pills (QSW) and their absorption, distribution, and excretion in rats with cerebral ischemia. Microwave digestion and inductively coupled plasma mass spectrometry (ICP-MS) were used to determine 18 elements of QSW in simulated gastrointestinal (GI) juice. Rats were given QSW (66.68 mg/kg) followed by middle cerebral artery occlusion (MCAO). Sham rats received saline and were not subjected to MCAO. ICP-MS was applied to determine the content of 18 elements in hepatic venous blood, abdominal aortic blood, brain, liver, kidney, hair, urine, and feces 24 h after MCAO. In vitro results showed that the extraction rate of Mn, Cu, Sr, Pb, Au, and Hg of QSW in gastric juice (1 h) was higher than that in water, and the contents of Cu, Au, Sr, and As were higher in intestinal juice (4 h) than in water. In vivo results showed that the contents of elements in the blood were quite low, and QSW increased Ni, Cr, Sr, Co, and V in artery blood and decreased V in venous blood. Elements in the tissues were also low, and QSW increased brain Li but decreased Cr and Cd; QSW increased kidney Ag and Cs and liver Mn but decreased liver Ni. QSW increased urinary excretion of Li, Sr, Hg, Cs, and V; QSW increased Hg content in hair but decreased Ni. Stool is the main excretion pathway of the elements in QSW, with Ba, Mn, Sr, Cd, V, Cu, Cs, Li, Pb, Ag, Hg, Cr, As, and Co the highest. In summary, this study examined the distribution of 18 elements in QSW-treated MCAO rats. The accumulation of these elements in blood and tissues was extremely low, and the majority was excreted in feces within 24 h, highlighting the importance of the gut-microbiota-brain axis in QSW-mediated brain protection.

Research Status Quo in Traditional Mongolian Medicine: A Bibliometric Analysis on Research Documents in the Web of Science Database

Objective. In this study, the current state of research on traditional Mongolian medicine (TMM) through a bibliometric analysis of research documents located in the Web of Science (WoS) database was assessed. Methods. The WoS database was searched on September 2021 with the keywords “traditional Mongolian medicine.” Publications on TMM scientific research were included in this study, without any language limitations. Bibliometric data from such publications were retrieved from the WoS database. Full records with cited reference lists were descriptively analyzed. To assess trends in TMM research topics, authors’ keywords were analyzed. A thematic evolution map based on coword analysis was suggested. To analyze research networks among co-authors, affiliations, or countries of the authors, collaboration networks were evaluated. The Bibliometrix R package (3.1) was used for the analysis. Results. A total of 234 scientific publications were included in the analysis. The top three countries of origin of the corresponding authors were China (n = 153), Japan (n = 28), and South Korea (n = 9). The top three relevant affiliations of the authors in the included publications were “Inner Mongolia Medical University,” “Inner Mongolia University of Nationalities,” and “National University of Mongolia.” “Flavonoids,” “cytotoxicity,” “NMR,” and “Tibetan medicine” were the most frequently used keywords in the included documents. Most publications focused on the chemical analysis and mechanism of effects of Mongolian herbal medications. There were few publications on nonpharmacological interventions such as bloodletting or TMM diagnostics, which should be promoted in future publications. Conclusion. There were only a limited number of publications on TMM identified through a search of the WoS database, using the keywords “Traditional Mongolian medicine.” More improved strategy for searching for TMM publications must be established. Research publications on TMM, especially regarding nonpharmacological interventions, need to be promoted. In addition, collaboration with researchers worldwide needs to be encouraged in the future.

Multivariate Statistical Analysis of Multiple-Elements in Anisodus Tanguticus (Maxim.) Pascher from Different Regions to Determine Geographical Origins

Background: Anisodus tanguticus (Maxim.) Pascher, which is an important species used in traditional Tibetan medicine, is grown in the Qinghai -Tibet Plateau. Because the quality of A. tanguticus varies depending on where it is grown, a method for determining the geographical origin of this species is needed.Methods: A quantitative analysis of 18 elements (Al, Ba, Be, Ca, Co, Cu, Fe, K, Li, Mg, Mn, Mo, Na, Ni, P, Sr, V, and Zn) in A. tanguticus and the soil collected from different locations was conducted using an inductively coupled plasma optical emission spectrometer. The elemental contents underwent a principal component analysis (PCA), and an orthogonal partial least-squares discriminant analysis (OPLS-DA). Furthermore, elemental accumulation and elemental transfer coefficients were calculated according to the element concentration gradients.Results: Distinct element fingerprints were detected for the A. tanguticus collected from different regions. Additionally, the PCA and OPLS-DA results indicated A. tanguticus plants can be distinguished on the basis of their geographical origin. The Tibet samples were easily separated from the other samples. Elemental accumulation and transfer patterns differed significantly among the analyzed elements and plant parts. Ca and P were identified as the elements with the highest in elemental accumulation and elemental transfer patterns of A. tanguticus. Conclusions: Our approach can be used to efficiently and accurately distinguish herbs according to their varietal characteristics and geographical origins.

Targeted Separation of COX-2 Inhibitor from Pterocephalus hookeri Using Preparative High-Performance Liquid Chromatography Directed by the Affinity Solid-Phase Extraction HPLC System

Pterocephalus hookeri, as a kind of popular traditional Tibetan medicine, is reputed to treat inflammatory related diseases. In the present work, a cyclooxygenase-2 functionalized affinity solid-phase extraction HPLC system was developed and combined with preparative-HPLC for rapidly screening and separating cyclooxygenase-2 ligand from P. hookeri extracts. Firstly, ligands of cyclooxygenase-2 were screened from extracts by affinity solid-phase extraction HPLC system. Then directed by the screening results, the recognized potential active compounds were targeted separated. As a result, the major cyclooxygenase-2 inhibitor of P. hookeri was obtained with a purity of >95%, which was identified as sylvestroside I. To test the accuracy of this method, the anti-inflammatory activity of sylvestroside I was inspected in lipopolysaccharide-induced RAW 264.7 cells. The results show that sylvestroside I significantly suppressed the release of prostaglandin E2 with dose-dependent, which was in good agreement with the screening result of the affinity solid-phase method. This method of integration of screening and targeted separation proved to be very efficient for the recognition and isolation of cyclooxygenase-2 inhibitors from natural products.

A Method to Separate Two Main Antioxidants from Lepidium latifolium L. Extracts Using Online Medium Pressure Chromatography Tower and Two-Dimensional Inversion/Hydrophobic Interaction Chromatography Based on Online HPLC-DPPH Assay

Free radicals, including 1,1-diphenyl-2-picrylhydrazyl, mediate oxidative stress to cause many chronic diseases (including cardiovascular diseases, diabetes and cancer). The extract of traditional Tibetan medicine Lepidium latifolium L. (L. latifolium) was reported to have free radical inhibition ability. Therefore, a system method was established to separate the ethanol extract of L. latifolium to prepare two main antioxidant compounds. First of all, silica gel and a medium-pressure liquid chromatography tower were used for pre-treatment of the ethanol extract of L. latifolium to obtain the main antioxidant active component fraction 4 through online high-performance liquid chromatography-1,1-diphenyl-2-picrylhydrazyl (HPLC-DPPH) assay. Then, fraction 4-1 was obtained by one-dimensional preparation using Megres C18 chromatographic column, and two active compounds with IC50 values 59.9 and 71.3 μg/mL were obtained by two-dimensional preparation using Click XIon chromatographic column. Through the study of the chemical components and separation methods of L. latifolium, the combination of HPLC-DPPH assay and two-dimensional preparative liquid chromatography was realized, providing a reference for the separation of active compounds from L. latifolium.