No abstract

Hypertension is an important risk factor for cardiovascular disease, and antihypertensive drugs can decrease the occurrence of such events in hypertensive patients. This study compared the rheological properties of blood in 22 untreated hypertensive patients, 42 patients taking antihypertensive drugs and 74 normotensive subjects. Using a microchannel method, the whole blood passage time was measured and blood movement was observed with a microscope connected to an image display unit. The blood passage time in untreated hypertensive patients was significantly higher than in treated hypertensive patients or normotensive subjects, but was similar in the latter two groups. Microscopic observations showed that platelet aggregation and leucocyte adhesion were increased in untreated hypertensive patients, resulting in poor flow, while blood samples from treated hypertensive patients and normotensive subjects passed smoothly through the microchannels. These rheological differences could contribute to the decrease in cardiovascular disease seen when hypertensive patients are treated effectively.

Sho-ju-sen (SK), a Japanese herbal medicine with a nourishing tonic action, is composed of a water extract of Kumazasa leaves (Sasa kurinensis Makino et Sibata) (SS), and ethanol extracts of Japanese red pine needles (Pinus densiflora Sieb. et Zucc) (PN) and Ginseng roots (Panax ginseng C. A. Meyer) (PX) in the ratio 8:1:1. In this study, an elevated plus-maze test in mice was carried out to assess whether SK had an anxiolytic effect. No significant change was observed in either the plus-maze or activity test following a single administration of SK (10 and 20 mL/kg p.o.). However, mice allowed a free intake of SK (10% solution) for 5 days and longer showed a significant prolongation of the time spent in the open arms (an anxiolytic effect), as long as that caused by the benzodiazepine anxiolytic diazepam (1 mg/kg p.o.). SK (1%, 3% and 30% solutions for 7 days) tended to develop the anxiolytic effect. Of the constituents of SK, SS (8% solution), but not PN (1% solution) or PX (1% solution), resulted in the anxiolytic effect. Except for a slight acceleration in the motor activity by PN (1% solution), no significant change in the motor activity was produced by any treatment with SK, SS or PX. The combined treatment of SK (10% solution) or SS (8% solution) with 1 mg/kg diazepam enhanced the anxiolytic effect. Flumazenil (0.1 mg/kg s.c.), a benzodiazepine receptor antagonist, alone did not change the time spent in the open arms. However, it completely reversed the anxiolytic effect of SK, SS and diazepam. The present results suggest that: (1) long-term treatment with SK develops an anxiolytic effect, (2) SS is the main constituent for the anxiolytic effect of SK, and (3) benzodiazepine receptors are involved in the anxiolytic effect of SK and SS.

The antidepressant effect of Sho-ju-sen, a Japanese herbal medicine composed of extracts of three herbs; kumazasa leaf (Sasa Kurinensis Makino et Sibata), Japanese red pine leaf (Pinus densiflora Sieb. et Zucc) and ginseng radix (Panax ginseng C.A. Meyer), was assessed using a learned helplessness model in mice. The learned helplessness was produced by presenting 120 unavoidable/inescapable shocks for 3 days to the mouse in a shuttle box, and the avoidance training was carried out on day 4. Compared with the control group given tap water, free consumption of Sho-ju-sen (1%, 3% and 10%) for 21 days resulted in a significant amelioration of the response rate at 1% and 3%, and both the response rate and % avoidance at 10%. Although Sho-ju-sen (10%) caused no significant effect following the 7-day intake, it ameliorated the response rate following the 14-day intake. The extract of Japanese red pine leaf, but not kumazasa leaf or ginseng radix, mildly improved the response rate. Learned helplessness was significantly and dose-dependently reduced by imipramine (10 and 30 mg/kg i.p.), while only mildly by diazepam (1 mg/kg p.o.). These results suggest that a long-term consumption of Sho-ju-sen is effective for the amelioration of depression, and the effectiveness is derived mainly from the extract of Japanese red pine leaf.

The present study showed that whole blood passage time is shorter in females than in males for young people. This conforms to the pattern shown in previous studies which investigated blood passage time among the elderly and people in their prime of life. It is conceivable that females have a higher fluidity than males in all age brackets. Regarding the effects of lifestyle on hemorheology, the present study suggests that several lifestyle factors are related to whole blood passage time and their effects differ according to gender.