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Background Based on 122 cases reported in China, data mining indicated that Sini Powder (SNP) and the Zuojin Pill (ZJP) are both widely used as the basic recipe for treating Gastroesophageal Reflux Disease (GERD). Objectives To evaluate the intervention effects of Sini Zuojin Decoction (SNZJD) in patients with GERD. Methods A comprehensive collection of randomized controlled trials (RCTs) using SNZJD in patients with GERD that were published in domestic and foreign journals was made by computer retrieval. RevMan 5.3 software was used for meta-analysis and bias risk assessment, Stata 14.0 software was used for sensitivity analysis, GRADE profiler 3.6 was used to evaluate the level of evidence, and trial sequential analysis (TSA), employed to control for random errors, was performed to assess the main outcomes. Network pharmacology analysis was applied to preliminarily study the mechanisms of action of SNZJD on GERD. Results Thirteen articles were eventually included, covering a total of 966 patients. Meta-analysis indicated that: ① the SNZJD plus traditional stomach medicines (SPTSM) group was more effective than the traditional stomach medicines (TSM) group (RR = 1.16, 95% CI [1.04, 1.29], P = 0.009); ② the experimental group with SNZJD was significantly better than TSM controls in improving heartburn, substernal chest pain, acid regurgitation, and food regurgitation symptoms (P < 0.0001); ③ SPTSM could significantly decrease total symptom scores with substantial effectiveness (P < 0.00001). The recurrence rate and adverse effects of SNZJD treatment were significantly reduced (P < 0.05). TSA showed that the effective rate of meta-analysis might be reliable, but the recurrence and safety results were still uncertain. According to the evaluation by the GRADE method, the quality of evidence was low. Besides, SNZJD might treat GERD by acting on related targets and pathways such as inflammation, hormone regulation, and so on. Conclusions SNZJD might be useful in the treatment of GERD, but its long-term effects and specific clinical mechanisms are unclear. Due to the poor quality of the evidence, more samples and high-quality clinical studies should be tested and verified in the future.

Tight sand gas is an important unconventional natural gas. Liquid filtration plays a main role in the formation damage. Flowback rate is closely related to the formation permeability recovery. Usually, the more flowback rate is, the better the permeability recovery is. In order to research the factors that influence the liquid flowback, the tight sand characteristics and gas displacement have been investigated. Some experiments were carried out, including porosity, permeability, XRD, casting thin section, SEM, stress sensitivity, rock expansion, and gas displacement. The results are shown as follows. Taiyuan formation has average high clay content than H8 formation. Illite is the main clay in Taiyuan formation; chlorite is the main clay in H8 formation. From the casting thin section, the rock has strong compression. Taiyuan formation has large pore. However, H8 formation mainly has small cracks. Through the SEM, there are many micro- to nanocracks as well as some pores in these two formations. In some cases, cracks penetrate the clays. From the permeability stress sensitivity, these tight sands have strong stress sensitivity. Permeability decreases quickly with increasing confining pressure. In the rock expansion experiment, the tight sand has less expansion rate compared with shale gas rock and volcanic gas rock. Rock expansion rate has positive relationship with clay content. In the gas displacement experiment, usually the higher the clay content, the lesser the liquid flowback. Some samples have high clay content. However, it has high flowback rate, which may account for good pore connection. Through the above study, the flowback rate has negative relationship with clay content and positive relationship with pore size, pore connection, and displacement pressure. In order to increase tight gas production in the study area, the formation should have high flowback rate and less liquid retention. Therefore, clay expansion preventing additives should be added into the fracturing liquid to reduce the liquid retention. The quick flowback should be implemented after hydraulic fracturing for reducing the interaction between liquid and rock. At the same time, the drawdown pressure should keep in a certain value to reduce stress sensitivity.