• The Journal of Korean Medicine
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• v.23 no.2
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• pp.151-163
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• 2002

Traditionally, the Leech (Hirudo) has been used for the treatment of cerebral vascular diseases, cardiovascular diseases, women's diseases, etc. In Chinese medicine, usually Chinese medical doctors use Whitmania pigra Whitman among several species in their clinics. Because it was considered as toxic animal medicine according to related books, they used it in a parched form with Talcum powder, and this is the most general type for medication. Nowadays, however, many clinical doctors regard it as secure, so they tend to use it naturally in a capsule, in large quantities, and more frequently. We have no doubt that it is useful for diseases connected with blood stasis, especially including pulmonary diseases and allergic diseases, so we urge that many Korean oriental medical doctors use it practically in their clinics.

• The Journal of Internal Korean Medicine
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• v.25 no.4
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• pp.260-273
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• 2004

Backgrounds : In recent years, asthma has become recognized as a chronic inflammatory disease associated pathologically with airway epithelial inflammation and airway remodeling. Objectives : To evaluate the different effects of Hirudo depending upon pharmaceutical manufactures on the expression and the activities of IL-6 and GM-CSF in airway epithelial cells, samples of Hirudo(水蛭), Hirudo toasted with Talcum(水蛭滑石炒) and Hirudo toasted with Ephedrae Herba(水蛭麻黃炒) were tested. Methods : After inducing enhanced messenger RNA(mRNA) expression and secretion of each cytokine by tumor necrosis factor-alpha(10 ng/ml) treatment, cultured human bronchial epithelial cell line BEAS-2B was added to each sample$(l,\;10,\;100\;&\;1000\;{\mu}g/ml)$. Subsequently, DNA activities were analyzed. Specifically mRNA expression and culture supernatants(protein levels) of IL-6 and GM-CSF from BEAS-2B cells, were analyzed using luciferase reporter gene assay, reverse transcription-polymerase chain reaction(RT-PCR) analysis and enzyme-linked immunosorbent assay. Results : Hirudo toasted with Ephedrae Herba(水蛭麻黃炒) and Hirudo(水蛭) inhibited IL-6 activities in BEAS-2B cells remarkably, and inhibited mRNA expression levels and protein levels in supernatant of IL-6 and GM-CSF at various concentrations, significantly(p<0.05). However, Hirudo toasted with Talcum(水蛭滑石炒) had no effect on mRNA expression levels and showed a slight inhibitory effect on GM-CSF protein levels in supernatant of culture medium. Conclusions : These results strongly suggest that Hirudo toasted with Ephedrae Herba(水蛭麻黃炒) and Hirudo(水蛭) would be serve as effective medicaments in the treatment of airway inflammation and remodeling of asthmatic patients.