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Effects of Sijunzi decoction and Yupingfeng powder on expression of janus kinase-signal transducer and activator of transcription signal pathway in the brain of spleen-deficiency model rats 被引量:11
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作者 Bin Xiong Huinan Qian 《Journal of Traditional Chinese Medicine》 SCIE CAS CSCD 2013年第1期78-84,共7页
OBJECTIVE: To observe the influence of Sijunzi decoction and Yupingfeng powder on the expression of the relevant DNAs of janus kinase (JAK)-signal transducer and activator of transcription (STAT) sig- nal pathway... OBJECTIVE: To observe the influence of Sijunzi decoction and Yupingfeng powder on the expression of the relevant DNAs of janus kinase (JAK)-signal transducer and activator of transcription (STAT) sig- nal pathway of the brain in spleen-deficiency mod- el rats. METHODS: Eighty male Wistar rats of sanitary degree were divided randomly into four groups: nor- mal group, model group, treatment group 1, treatment group 2. Besides the rats in the normal group, all the rats in other 3 groups were prepared as spleen deficiency model. The treatment group 1 were treated with Sijunzi decoction and the treat- ment group 2 were treated with Yupingfeng powder. After treatment for 6 weeks, perfusion was given and the brain was taken for detection of the ex- pression of the relevant DNAs of JAK-STAT signal pathwayofthe brain in SD rats bygene chip method. RESULTS: Spleen deficiency could lead to increase expression of JAKI, STATI and Interleukin 4 (IL-4) in the brain, but the decrease expression of Suppres- sor of cytokine signaling I (SOCSI), prolactin recep- tor (PRLR) and binding protein 3 (GATA 3). Sijunzi decoction could increase expression of STAT3, Pro- lactin (PRL) and GATA3, but decrease expression of JAKI, STAT, STAT4, Interleukin 10 receptor, alpha (ILIORA), Coagulation factor II (F2), PRLR, MAD homolog 3 (SMAD3) and IL-4. Yupingfeng powder could decrease expression of JAKI, STATI, STAT4, SOCS4_ predicted, Epidermal growth factor receptor (EGFR), PRLR, High mobility group AT-hook I (HMGAI 0), IL-4. CONCLUSION: Sijunzi decoction and Yupingfeng powder can improve immune function of the rat through influencing the genetic expression of JAK-STAT signal pathway. 展开更多
关键词 Sijunzi decoction Yupingfeng powder Spleen deficiency JAK-STAT signal pathway
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Review of the powder and decoction formulae in Traditional Chinese Medicine based on pharmacologically active substances and clinical evidence 被引量:7
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作者 Liu Qihua Wen Jin +2 位作者 Peng Zhiping Liu Fenglin Tong Xiaolin 《Journal of Traditional Chinese Medicine》 SCIE CAS CSCD 2015年第3期355-360,共6页
Powder formulae are an indispensable part of prescription in Traditional Chinese Medicine.Powder formulae are characterized by good therapeutic efficacy and low dose used for their preparation.Analysis of the therapeu... Powder formulae are an indispensable part of prescription in Traditional Chinese Medicine.Powder formulae are characterized by good therapeutic efficacy and low dose used for their preparation.Analysis of the therapeutic application and material basis of pharmacological active substance in power formulae can enable the development of new powder formulae.This in turn can contribute to reduction of wastage of drug material,relief of shortage of herbal medicinal resources and sustainable development of Traditional Chinese Medicine. 展开更多
关键词 powderS decoctions Drug prescriptions PHARMACOLOGY Medicine Chinese traditional Review
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Effects of Zhenren Yangzang Decoction Combined with Modified Shenling Baizhu Powder on Immune Function and Intestinal Microecology of Diarrhea Patients with Deficiency and Cold Syndrome 被引量:3
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作者 张然 《World Journal of Integrated Traditional and Western Medicine》 2018年第4期10-15,共6页
OBJECTIVE: To observe the effects of Zhenren Yangzang Decoction combined with modified Shenling Baizhu Powder on the immune function and intestinal microecology of diarrhea patients with deficiency and cold syndrome. ... OBJECTIVE: To observe the effects of Zhenren Yangzang Decoction combined with modified Shenling Baizhu Powder on the immune function and intestinal microecology of diarrhea patients with deficiency and cold syndrome. METHODS: A total of 60 diarrhea patients with deficiency and cold syndrome were randomly divided into observation group and control group, with 30 cases in each group. The control group was treated with conventional western medicine. The observation group was given the treatment of Zhenren Yangzang Decoction combined with modified Shenling Baizhu Powder on the basis of the same treatment for 4 weeks. The clinical symptoms, fecal flora and immunoglobulin content of the 2 groups were observed and the clinical efficacy was evaluated. RESULTS: After treatment, the symptoms scores of fecal diarrhea, aversion to cold, cold limbs, loss of appetite, cold and painful waist and knee, abdominal fullness, abdominal distension and abdominal pain, and intestinal bacilli contents were significantly decreased(P < 0.05). The contents of lactobacillus, bifidus bacilli, IgG, IgM and IgA were significantly increased(P < 0.05), and the improvement of the above indexes in the observation group was significantly better than that in the control group(P < 0.05). The total effective rate after treatment in the observation group was 93.3%, which was significantly higher than 73.3% of the control group(P < 0.05). CONCLUSION: The treatment of diarrhea patients with deficiency and cold syndrome with Zhenren Yangzang Decoction and modified Shenling Baizhu Powder can effectively improve the intestinal micro-ecological environment, improve the immune function of patients and promote the rapid recovery of patients. 展开更多
关键词 DIARRHEA DEFICIENCY and cold syndrome Zhenren Yangzang decoction COMBINED with MODIFIED Shenling Baizhu powder Immune function Intestinal micro-ecology
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Xijiao Dihuang Decoction combined with Yinqiao Powder reverses influenza virus-induced F-actin reorganization in PMVECs by inhibiting ERM phosphorylation
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作者 Zinan Xuan Ying Wu +7 位作者 Chenyue Zhang Shujing Zhang Xiangyang Chen Shuyu Li Yu Hao Qian Wang Xudan Wang Shu Zhang 《Journal of Traditional Chinese Medical Sciences》 2016年第1期50-58,共9页
Objective:It has been documented that ezrin/radixin/moesin(ERM)phosphorylation by the p38 mitogen-activated protein kinase(MAPK),Rho/ROCK,and protein kinase C(PKC)pathways leads to filamentous actin(F-actin)reorganiza... Objective:It has been documented that ezrin/radixin/moesin(ERM)phosphorylation by the p38 mitogen-activated protein kinase(MAPK),Rho/ROCK,and protein kinase C(PKC)pathways leads to filamentous actin(F-actin)reorganization and microvascular endothelial cell hyperpermeability.In this study,we investigated the effects of Xijiao Dihuang Decoction combined with Yinqiao Powder(XDY)on influenza virus(IV)-induced F-actin restructuring and ERM phosphorylation regulated by the Rho/Rho kinase 1(ROCK),p38 MAPK,and PKC signaling pathways in pulmonary microvascular endothelial cells(PMVECs).Methods:Serum containing XDY(XDY-CS;13.8 g/kg)was acquired using standard protocols for serum pharmacology.Primary PMVECs were obtained from male Wistar rats and cultured.After adsorption of IV A(multiplicity of infection,0.01)for 1 h,medium with 20%XDY-CS was added to the PMVECs.The distributions of F-actin and phosphorylated ERM were determined by confocal microscopy,and F-actin expression was measured by flow cytometry.The expression levels of ROCK1,phosphorylated myosin phosphatase target-subunit(p-MYPT),phosphorylated MAPK kinase,phosphorylated p38(p-p38),phosphorylated PKC(p-PKC),and phosphorylated ERM(p-ERM)were determined by western blotting.Results:F-actin reorganization in IV-infected PMVECs was reversed by XDY-CS treatment,which was accompanied by reduced p-ERM production.The p-ERM protein accumulated at plasma membrane of PMVECs infected with IV,which was also inhibited by XDY-CS treatment. 展开更多
关键词 Xijiao Dihuang decoction combined with Yinqiao powder Influenza virus Pulmonary microvascular endothelial cells Filamentous actin Ezrin/radixin/moesin
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Effect of Mongolian Medicine Siwei Guangming Salt Decoction Powder and Hadunhai Lumule Jiuwei Pills on Chronic Gastroenteritis
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作者 HUSILETU 《外文科技期刊数据库(文摘版)医药卫生》 2021年第8期020-022,共5页
Objective: to explore the curative effect of Mongolian medicine Siwei Guangming Salt Decoction Powder and Hadunhai Lumule Jiuwei Pills on chronic gastroenteritis. Methods: 100 college students with chronic gastroenter... Objective: to explore the curative effect of Mongolian medicine Siwei Guangming Salt Decoction Powder and Hadunhai Lumule Jiuwei Pills on chronic gastroenteritis. Methods: 100 college students with chronic gastroenteritis admitted from October 2019 to April 2021 were selected and the clinical data were analyzed retrospectively. Thirty-nine patients receiving conventional domperidone plus reductive changyanning as the control group, and 61 patients receiving Mongolian medicine Siwei Guangming Salt Decoction Powder combined with Hadunhai Lumule Jiuwei Pills as the observation group. The changes of inflammatory factors, gastrointestinal hormones and clinical symptoms of the two groups were compared before and after treatment for one month. Results: after one month of treatment, the levels of tumor necrosis factor, interleukin -6, neutrophil colony-stimulating factor, macrophage colony-stimulating factor and vasoactive peptide in serum of the two groups of patients were significantly lower than before treatment, and the degree of decrease in the observation group was better than before treatment. Compared with the control group, there was a statistically significant difference (P < 0.05). After one month of treatment, the variables and duration of diarrhea in both patient groups were significantly improved, and the improvement in the observation group was better than that in the control group. There was a statistical difference between the two groups (P < 0.05). No serious side effects occurred during the treatment of the two groups. Conclusion: In the treatment of chronic gastroenteritis patients, the combination of Mongolian medicine Siwei Guangming Salt Decoction Powder and Hadunhai Lumule Jiuwei Pills has significant curative effect. It can effectively reduce the inflammatory reaction and gastrointestinal hormone levels, improve clinical symptoms, and have high safety and high application significance. 展开更多
关键词 Mongolian medicine Siwei Guangming Salt decoction powder Hadunhai Lumule Jiuwei Pills chronic gast
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New Clinical Application of Chaihu Decoction
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作者 Bo Huang Yingfeng Liu Yajing Lyu 《Chinese Medicine and Natural Products》 2022年第3期120-130,共11页
The classified prescriptions from Chaihu decoction have been widely used in ancient and modern times.In spite of many previous research studies,the extensiveness and diversity of their applications have not been syste... The classified prescriptions from Chaihu decoction have been widely used in ancient and modern times.In spite of many previous research studies,the extensiveness and diversity of their applications have not been systematically studied.The author applied Chaihu Wendan decoction to treat phlegm and qi stagnation in the middle energizer,applied Chaihu Guizhi decoction to treat simultaneous disease of Shaoyang and Taiyang,applied Chaihu Xiexin decoction to treat simultaneous disease of the spleen,stomach,liver,and gallbladder,applied Chaihu Ermiao powder to treat simultaneous disease of hand Shaoyang and foot Taiyin,applied Chaihu Erchen decoction to treat simultaneous disease of Shaoyang and Taiyin,applied Chailing decoction to treat simultaneous disease of hand Shaoyin and foot Taiyang,applied Chaihu Guizhi Ganjiang decoction to treat Shaoyang and Taiyin cold fluid retention and heat stagnation syndrome of Shaoyang complicated with Taiyin,applied Chaihu Xingren decoction to treat simultaneous disease of hand Shaoyang and hand Taiyin,applied Chaihu Sanren decoction to treat the disease caused by damp-heat stagnation in the hand Shaoyang and the foot Taiyin,and applied Chaihu Ganlu Xiaodu pellet to treat the diseases of hand Shaoyang and foot Yangming.The effects were all remarkable. 展开更多
关键词 Classified Prescriptions from Chaihu decoction Chaihu Wendan decoction Chaihu Guizhi decoction Chaihu Xiexin decoction Chaihu Ermiao powder Chaihu Erchen decoction Chaihu decoction Chaihu Guizhi Ganjiang decoction Chaihu Xingren decoction Chaihu Sanren decoction Chaihu Ganlu Xiaodu pellet
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桃红四物汤合五苓散对全膝置换术后炎症因子及肿痛的影响
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作者 卢建华 杨晓强 +3 位作者 储小兵 黄杰烽 何帮剑 吴斌 《中华中医药杂志》 北大核心 2025年第4期2047-2051,共5页
目的:探讨桃红四物汤合五苓散对全膝置换术后炎症因子水平及患肢肿痛的影响。方法:收集2022年2月至2023年3月首次于浙江中医药大学附属第一医院行单侧人工全膝置换术的患者共60例,分为治疗组和对照组,每组30例。所有病例术前与术后均采... 目的:探讨桃红四物汤合五苓散对全膝置换术后炎症因子水平及患肢肿痛的影响。方法:收集2022年2月至2023年3月首次于浙江中医药大学附属第一医院行单侧人工全膝置换术的患者共60例,分为治疗组和对照组,每组30例。所有病例术前与术后均采用常规治疗措施,治疗组在此基础上再采用桃红四物汤合五苓散治疗。术前与术后检测相关炎症因子[C反应蛋白(CRP)、白细胞计数、白细胞介素(IL)-6]、D-二聚体、下肢腿围变化、疼痛视觉模拟评分(VAS评分)。结果:两组CRP、白细胞计数在术前、术后差异均无统计学意义。与对照组比较,治疗组术后第7天IL-6、D-二聚体、VAS评分均显著降低(P<0.01),且患膝上10cm的肿胀程度明显较小(P<0.01)。结论:桃红四物汤合五苓散能有效降低全膝置换术后IL-6及D-二聚体的水平,改善术后炎症反应及血液高凝状态,同时可缓解肢体肿痛。 展开更多
关键词 全膝置换术 桃红四物汤 五苓散 炎症因子 肿痛
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TRPA1离子通道在慢性气道炎症性疾病中的作用及中药干预研究进展
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作者 方芳 郭媛琦 +4 位作者 顾媛媛 蒙艳丽 郭玉岩 左军 龙宇 《时珍国医国药》 北大核心 2025年第14期2748-2753,共6页
慢性气道炎症性疾病是一种累及气道的炎症性疾病,其发病机制尚未明确。近年来研究表明,TRPA1离子通道在慢性气道炎症性疾病的发生发展和治疗中起着重要作用,是治疗慢性气道炎症性疾病的潜在靶点,中药治疗可通过调控TRPA1离子通道抑制氧... 慢性气道炎症性疾病是一种累及气道的炎症性疾病,其发病机制尚未明确。近年来研究表明,TRPA1离子通道在慢性气道炎症性疾病的发生发展和治疗中起着重要作用,是治疗慢性气道炎症性疾病的潜在靶点,中药治疗可通过调控TRPA1离子通道抑制氧化应激、组织损伤和炎症反应,进而缓解慢性气道炎症性疾病的症状。文章对TRPA1离子通道在慢性气道炎症性疾病中的作用机制和中药调控TRPA1离子通道治疗慢性气道炎症性疾病的研究进展进行综述,以期为中药治疗慢性气道炎症性疾病的应用提供理论参考。 展开更多
关键词 TRPA1 慢性气道炎症 三拗汤 止嗽散 厚朴麻黄汤 苓桂术甘汤
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经方治疗妇科病医案4则
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作者 杨益萍 陈永灿 《新中医》 2025年第4期18-22,共5页
介绍当归芍药散、温经汤、胶艾汤、葛根芩连汤4首经方在妇科临床应用的医案。当归芍药散功效有三:一是通畅血脉,二是养血疏肝、健脾利湿,三是和血利水。主要针对“肝脾失调、气血为病”之病机,运用于妊娠腹痛的治疗。温经汤主要功效为... 介绍当归芍药散、温经汤、胶艾汤、葛根芩连汤4首经方在妇科临床应用的医案。当归芍药散功效有三:一是通畅血脉,二是养血疏肝、健脾利湿,三是和血利水。主要针对“肝脾失调、气血为病”之病机,运用于妊娠腹痛的治疗。温经汤主要功效为温经散寒、养血祛瘀。主要针对“寒、瘀、虚、热”之病机,即冲任虚寒、瘀血阻滞、阴血不足、瘀热虚热,运用于经间期出血之治疗。胶艾汤主要功效为补血止血、调经安胎。主要针对“冲任脉虚、阴气不能内守、不能制约经血”之病机,可运用于胎动不安的治疗。葛根黄芩黄连汤是治疗身热下利的经典方剂,主要功效为清里热、透表邪。主要针对“中满内热”之核心病机,运用于月经后期的治疗。 展开更多
关键词 当归芍药散 温经汤 胶艾汤 葛根芩连汤 妇科病 医案
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夏晓健治疗妊娠合并湿疹的临床经验
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作者 陈瑾 夏晓健 +1 位作者 彭瑶 徐敏 《江西中医药大学学报》 2025年第5期18-21,共4页
妊娠合并湿疹是一种特殊人群发生的湿疹。目前多认为本病是由风、湿、热、虫等邪客于肌肤,气血不和,或血虚生风化燥,肌肤失于濡养所致。夏晓健认为,妊娠合并湿疹的病因是“虚”“湿”“风”,内湿、郁热、受风是其主要病机。妊娠病常见... 妊娠合并湿疹是一种特殊人群发生的湿疹。目前多认为本病是由风、湿、热、虫等邪客于肌肤,气血不和,或血虚生风化燥,肌肤失于濡养所致。夏晓健认为,妊娠合并湿疹的病因是“虚”“湿”“风”,内湿、郁热、受风是其主要病机。妊娠病常见脾胃虚弱,脾虚则湿邪内生,郁久化热,风邪易于侵犯人体肌表,引动体内湿热之邪发于腠理,从而导致湿疹。夏晓健以健脾祛风除湿兼清热安胎为法,以二陈汤合消风散为基础方,结合临床实际辨证施治,常获良效。 展开更多
关键词 妊娠 湿疹 二陈汤 消风散 夏晓健 临床经验
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马大正从痰湿论治肥胖型不孕症经验
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作者 何太文 张利 马大正(指导) 《新中医》 2025年第16期219-223,共5页
马大正主任中医师认为肥胖型不孕症的病因病机为饮食不节、情志不畅等因素损伤脾胃,使脾虚失运、肝郁气滞、阳气不足,终致体内津液运化失常,水湿内停久留化成痰湿,痰湿或内阻或久蕴化热,壅滞胞宫,发为不孕。治疗时通常分湿热蕴结、痰浊... 马大正主任中医师认为肥胖型不孕症的病因病机为饮食不节、情志不畅等因素损伤脾胃,使脾虚失运、肝郁气滞、阳气不足,终致体内津液运化失常,水湿内停久留化成痰湿,痰湿或内阻或久蕴化热,壅滞胞宫,发为不孕。治疗时通常分湿热蕴结、痰浊中阻、阳虚水湿内停三型论治,对应运用清热祛湿、通腑泄浊法,健脾行气、化痰除湿法,温阳化气、健脾祛湿法,选用防风通圣散、苍附导痰汤、苓桂术甘汤为主方加减治疗,疗效显著。 展开更多
关键词 肥胖型不孕症 从痰湿论治 防风通圣散 苍附导痰汤 苓桂术甘汤 马大正
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基于“脾胃转枢”论治肾病综合征
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作者 李鹏飞 翟文生 《河南中医》 2025年第10期1497-1501,共5页
肾病综合征病机为气运失调、枢机不利、正虚浊蕴,与“脾胃转枢”功能失司存在密切的枢机同构关系。脾胃虚弱、气血不足为发病之本,水湿内停为病情进展之标,湿热蕴结为病情缠绵之因,气滞血瘀则是久病入络之变,故临证施治当燮理气运以复... 肾病综合征病机为气运失调、枢机不利、正虚浊蕴,与“脾胃转枢”功能失司存在密切的枢机同构关系。脾胃虚弱、气血不足为发病之本,水湿内停为病情进展之标,湿热蕴结为病情缠绵之因,气滞血瘀则是久病入络之变,故临证施治当燮理气运以复升降之常,畅达枢机以通三焦之道,补虚泻浊以调虚实之衡。脾胃虚弱,气血生化不足者,常用补中益气汤合水陆二仙丹化裁,通过补气升清、固摄精微、调和气血,重建“脾旺→气充→精固→水制”的生理稳态;脾胃气机升降失常,水湿内停者,选用防己黄芪汤合五苓散化裁,通过补气健脾、通阳化气、渗湿利水,恢复“脾运复健→水湿得化→肾络得清”的生理状态;脾胃失和,湿热内生者,以四妙散合三仁汤为基础方加减,通过辛开苦降、健脾化湿、解毒利浊,重建“脾运复常→湿热得清→肾络得安”的生理状态;脾胃气滞,瘀血内阻者,选用血府逐瘀汤合香砂六君子汤加减化裁,通过疏调气机、活血通络、消癥散结,逆转“气滞→血瘀→水停→毒损”的恶性循环。俾清阳得升而浊阴自降,精微固摄而水湿自利,如是则沉疴可起,痼疾能缓。 展开更多
关键词 肾病综合征 “脾胃转枢” 补中益气汤 水陆二仙丹 防己黄芪汤 五苓散 四妙散 三仁汤 血府逐瘀汤 香砂六君子汤
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经方合方“白虎加人参汤合栝楼牡蛎散” 辨治糖尿病心肌病机理初探
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作者 薛玲 王文萍 +2 位作者 石岩 张瀚文 金颖 《辽宁中医杂志》 北大核心 2025年第11期67-70,共4页
糖尿病心肌病(diabetic cardiomyopathy,DCM)是一种独立且常见的糖尿病严重并发症之一,是糖尿病患者发生心力衰竭甚至心源性猝死的重要病因。DCM发病隐匿,临床表现缺乏特异性,且DCM发病机制尚未完全清楚,现代医学无特效疗法,以对症治疗... 糖尿病心肌病(diabetic cardiomyopathy,DCM)是一种独立且常见的糖尿病严重并发症之一,是糖尿病患者发生心力衰竭甚至心源性猝死的重要病因。DCM发病隐匿,临床表现缺乏特异性,且DCM发病机制尚未完全清楚,现代医学无特效疗法,以对症治疗为主,与之相较中医“整体观念、辨证论治”的诊疗特点具有明显的治疗优势。白虎加人参汤、栝楼牡蛎散均出自《金匮要略》,临床上白虎加人参汤合栝楼牡蛎散治疗2型糖尿病疗效显著。文章试从病机角度、经别角度、病证角度挖掘白虎加人参汤合栝楼牡蛎散治疗DCM的理论基础,以期加强对白虎加人参汤合栝楼牡蛎散的理解,为DCM的临床治疗提供借鉴并为DCM机制研究拓展思路。 展开更多
关键词 白虎加人参汤 栝楼牡蛎散 糖尿病心肌病 经方 经方合方
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固表扶正止瘤汗汤联合益气敛汗散治疗气血两虚型肿瘤相关性汗证疗效观察
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作者 夏宁俊 顾根网 +3 位作者 陈艳 吉莉莉 王国方 李志鹏 《广西中医药大学学报》 2025年第4期20-24,共5页
[目的]观察固表扶正止瘤汗汤口服联合益气敛汗散外敷治疗气血两虚型肿瘤相关性汗证的临床疗效。[方法]将60例气血两虚型肿瘤相关性汗证患者随机分为治疗组与对照组,每组30例。两组均予肿瘤规范化治疗,治疗组采用固表扶正止瘤汗汤口服联... [目的]观察固表扶正止瘤汗汤口服联合益气敛汗散外敷治疗气血两虚型肿瘤相关性汗证的临床疗效。[方法]将60例气血两虚型肿瘤相关性汗证患者随机分为治疗组与对照组,每组30例。两组均予肿瘤规范化治疗,治疗组采用固表扶正止瘤汗汤口服联合益气敛汗散外敷,对照组采用谷维素片、八珍颗粒口服及安慰剂贴外敷,两组均治疗14 d。观察两组患者的中医证候疗效、卡氏功能状态(KPS)评分、多汗症严重程度量表(HDSS)评分及不良反应发生情况。[结果]治疗后,两组中医证候积分均较治疗前显著降低(P<0.05),且治疗组显著低于对照组(P<0.05);治疗组的KPS评分较治疗前显著升高(P<0.05),对照组较治疗前无显著升高(P>0.05),治疗组KPS评分显著高于对照组(P<0.05);治疗组HDSS评分较治疗前显著降低(P<0.05),对照组较治疗前无显著降低(P>0.05),治疗组HDSS评分显著低于对照组(P<0.05)。两组均未出现严重不良反应。[结论]固表扶正止瘤汗汤口服联合益气敛汗散外敷能有效减轻气血两虚型肿瘤相关性汗证患者的出汗症状,改善生活质量,且无明显不良反应,值得临床应用及推广。 展开更多
关键词 恶性肿瘤 多汗症 气血两虚 固表扶正止瘤汗汤 益气敛汗散 中医药疗法
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真武汤联合离照散药灸治疗肝癌癌性腹水的疗效及其对血清GP73、CEA水平的影响
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作者 宋春燕 于光华 +1 位作者 宋雪 赵峰 《检验医学与临床》 2025年第12期1680-1685,共6页
目的 探讨真武汤联合离照散药灸治疗肝癌癌性腹水的疗效及其对血清高尔基体糖蛋白73(GP73)、癌胚抗原(CEA)水平的影响。方法 选取2023年7月至2024年7月河北省衡水市第四人民医院收治的90例肝癌癌性腹水患者作为研究对象,采用随机数字表... 目的 探讨真武汤联合离照散药灸治疗肝癌癌性腹水的疗效及其对血清高尔基体糖蛋白73(GP73)、癌胚抗原(CEA)水平的影响。方法 选取2023年7月至2024年7月河北省衡水市第四人民医院收治的90例肝癌癌性腹水患者作为研究对象,采用随机数字表法分为药灸组、真武汤组和联合组,每组30例。药灸组给予离照散药灸治疗,真武汤组给予真武汤治疗,联合组给予真武汤联合离照散药灸治疗。比较3组临床疗效、肝功能指标、血清肿瘤标志物、免疫指标、疼痛程度、卡氏功能状态(KPS)评分、腹围。结果 联合组总有效率高于药灸组和真武汤组,差异均有统计学意义(P<0.05)。3组治疗后丙氨酸转氨酶(ALT)和天冬氨酸转氨酶(AST)水平均低于治疗前,且联合组治疗后ALT和AST水平均低于药灸组和真武汤组,差异均有统计学意义(P<0.05);3组治疗后清蛋白(ALB)水平均高于治疗前,且联合组治疗后ALB水平高于药灸组和真武汤组,差异均有统计学意义(P<0.05)。3组治疗后血清GP73、CEA水平均低于治疗前,且联合组治疗后血清GP73、CEA水平均低于药灸组和真武汤组,差异均有统计学意义(P<0.05)。3组治疗后CD3^(+)、CD8^(+)T细胞百分比均低于治疗前,且联合组治疗后CD3^(+)、CD8^(+)T细胞百分比均低于药灸组和真武汤组,差异均有统计学意义(P<0.05);3组治疗后CD4^(+)T细胞百分比均高于治疗前,且联合组治疗后CD4^(+)T细胞百分比高于药灸组和真武汤组,差异均有统计学意义(P<0.05)。3组治疗后数字评定量表(NRS)评分均低于治疗前,腹围小于治疗前,且联合组治疗后NRS评分低于药灸组和真武汤组,腹围小于药灸组和真武汤组,差异均有统计学意义(P<0.05);3组治疗后KPS评分均高于治疗前,且联合组治疗后KPS评分高于药灸组和真武汤组,差异均有统计学意义(P<0.05)。结论 真武汤联合离照散药灸治疗肝癌癌性腹水可有效缩小腹围,降低血清肿瘤标志物水平,改善肝功能和免疫功能,具有一定临床应用价值。 展开更多
关键词 肝癌 癌性腹水 真武汤 离照散药灸 高尔基体糖蛋白73 癌胚抗原
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龚丽娟教授论脾约和老年人便秘治疗
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作者 薛钧 《中国老年保健医学》 2025年第2期148-150,共3页
本文从龚丽娟教授一张临床验方入手,对龚教授临床辨治个案和医论医话作整理分析,依据中医经典理论,结合临床实践,合理推导和补全其辨治老年人便秘的理法方药体系。本研究认为该方以小建中汤加麻仁补中健脾治脾弱,以泻黄散泻胃热治胃强,... 本文从龚丽娟教授一张临床验方入手,对龚教授临床辨治个案和医论医话作整理分析,依据中医经典理论,结合临床实践,合理推导和补全其辨治老年人便秘的理法方药体系。本研究认为该方以小建中汤加麻仁补中健脾治脾弱,以泻黄散泻胃热治胃强,合方用于胃强脾弱的脾约证,是治疗以小便数、大便硬、十日不大便无所苦为特征的老年人便秘的专方。 展开更多
关键词 龚丽娟 脾约 老年人 便秘 小建中汤 泻黄散
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疏肝补肾方对卵巢早衰大鼠PI3K/AKT/mTOR信号通路的调节作用
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作者 王洋 张斐 +5 位作者 刘瑞芳 许震灵 朱景茹 徐云浩 许洁夏 李灿东 《时珍国医国药》 北大核心 2025年第15期2807-2813,共7页
目的研究疏肝补肾方通过PI3K/AKT/mTOR信号通路治疗卵巢早衰(POF)大鼠的作用机制。方法将40只SD大鼠按随机数字表法分为空白组8只和造模组32只。空白组不予干预,造模组采用CUMS联合环磷酰胺化学诱导法建立POF大鼠模型。将成模大鼠随机... 目的研究疏肝补肾方通过PI3K/AKT/mTOR信号通路治疗卵巢早衰(POF)大鼠的作用机制。方法将40只SD大鼠按随机数字表法分为空白组8只和造模组32只。空白组不予干预,造模组采用CUMS联合环磷酰胺化学诱导法建立POF大鼠模型。将成模大鼠随机分为模型组、疏肝组、补肾组和疏肝补肾组。疏肝组、补肾组和疏肝补肾组分别予柴胡疏肝散、左归饮、疏肝补肾方灌胃,空白组和模型组予生理盐水灌胃,共4周。观察各组大鼠体质量、行为学变化,ELISA检测血清FSH、E_(2)、AMH与INHB含量,HE染色观察卵巢组织病理变化,Western blot和IHC检测卵巢组织PI3K、AKT、mTOR蛋白表达。结果造模组动情周期紊乱,糖水消耗率和总运动距离均较空白组明显降低,血清FSH明显升高,血清E_(2)明显降低(P<0.01),提示造模成功。疏肝补肾组较模型组卵巢组织闭锁卵泡数量减少,可见较多各级卵泡;糖水消耗和总运动距离均明显升高;血清FSH明显降低,血清E_(2)、AMH、INHB均明显升高;卵巢组织PI3K、AKT、mTOR蛋白表达均升高(P<0.05或P<0.01),且整体治疗作用优于疏肝组和补肾组。结论疏肝补肾方可能通过调控PI3K/AKT/mTOR信号通路关键蛋白,从而起到治疗POF大鼠的作用。 展开更多
关键词 卵巢早衰 疏肝补肾 柴胡疏肝散 左归饮 PI3K/AKT/mTOR信号通路
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二术苓皮汤联合五子散封包疗法治疗髋关节滑膜炎患者的效果观察
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作者 杨青杰 《中国现代药物应用》 2025年第19期124-127,共4页
目的观察二术苓皮汤联合五子散封包疗法治疗髋关节滑膜炎患者的效果。方法选取88例髋关节滑膜炎患者,通过随机数字表法按照1∶1比例分为对照组和实验组,每组44例。对照组给予基础治疗,实验组在基础治疗上加用二术苓皮汤联合五子散封包... 目的观察二术苓皮汤联合五子散封包疗法治疗髋关节滑膜炎患者的效果。方法选取88例髋关节滑膜炎患者,通过随机数字表法按照1∶1比例分为对照组和实验组,每组44例。对照组给予基础治疗,实验组在基础治疗上加用二术苓皮汤联合五子散封包疗法治疗。比较两组临床疗效,治疗前后的中医证候积分、髋关节相关指标和炎症因子[白细胞介素-1β(IL-1β)、红细胞沉降率(ESR)、白细胞介素-6(IL-6)]水平。结果实验组总有效率(95.45%)较对照组(75.00%)明显更高(P<0.05)。治疗3周后,两组疼痛跛行、关节肿胀、关节压痛、肢体困重积分均较本组治疗前明显降低,且实验组比对照组更低(P<0.05)。治疗3周后,两组股骨颈前的间隙、髋关节腔积液量均较本组治疗前明显降低,Harris评分较本组治疗前明显升高,且实验组股骨颈前的间隙(5.33±0.77)mm、髋关节腔积液量(1.20±0.31)ml比对照组的(6.12±0.87)mm、(1.73±0.44)ml更低,Harris评分(90.68±8.03)分比对照组的(83.15±7.51)分更高(P<0.05)。治疗3周后,两组IL-1β、ESR、IL-6水平均较本组治疗前明显降低,且实验组IL-1β(5.27±0.70)ng/L、ESR(12.44±2.88)mm/h、IL-6(16.10±2.94)ng/L比对照组的(5.99±0.84)ng/L、(17.08±3.29)mm/h、(19.98±3.59)ng/L更低(P<0.05)。结论髋关节滑膜炎患者应用二术苓皮汤联合五子散封包疗法治疗效果显著,能够明显降低中医证候积分和炎症因子水平,改善髋关节相关指标。 展开更多
关键词 二术苓皮汤 五子散封包疗法 髋关节滑膜炎 炎症因子
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“诸气膹郁,皆属于肺”视域下探讨肺腺癌相关性抑郁因果关系及干预中药预测 被引量:1
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作者 黄洁雅 郜文辉 +3 位作者 杨仁义 谭小宁 曾普华 谢梦洲 《中草药》 北大核心 2025年第8期2885-2897,共13页
目的基于“诸气膹郁,皆属于肺”理论,通过孟德尔随机化(Mendelian randomization,MR)分析探讨肺腺癌(lung adenocarcinoma,LUAD)与重度抑郁症(major depressive disorder,MDD)的遗传因果关系,并预测干预LUAD相关性抑郁(lung adenocarcin... 目的基于“诸气膹郁,皆属于肺”理论,通过孟德尔随机化(Mendelian randomization,MR)分析探讨肺腺癌(lung adenocarcinoma,LUAD)与重度抑郁症(major depressive disorder,MDD)的遗传因果关系,并预测干预LUAD相关性抑郁(lung adenocarcinoma-related depression,LAD)的潜在中药。方法从IEU OpenGWAS数据库获取LUAD与MDD的全基因组关联研究(genome-wide association studies,GWAS)数据集,主要通过R软件的TwoSampleMR包进行MR分析和结果的稳健性评估。通过Ensembl数据库预测工具变量的邻近基因(instrumental variable nearby genes,IVNGs),基于IVNGs进行功能富集分析并分别通过CTD数据库和ITCM数据库预测相关的化学成分和潜在的干预中药。应用古今医案云平台(V2.3.9)对中药进行统计分析,以探讨其治疗疾病的理法方药。结果MR分析的逆方差加权(inverse variance weighted,IVW)方法结果(β=0.00205,P=0.01899)提示LUAD与MDD发生存在弱正向因果效应,稳健性分析未发现显著的异质性和水平多效性,结果可靠。富集分析结果显示主要与胆碱能信号通路有关。聚类分析结果显示频次在前30的中药可大致分为5大类。所有潜在干预中药的四气以温为主,平、寒次之;五味以甘为主,苦、辛次之;归经以肝为主,肺、脾、胃、肾和心次之;功效主要以清热解毒为主,凉血止血、解毒、止血及清热利湿次之。对频次前15的中药进行经典名方识别,结果显示主要是通过麻黄、栀子、薏苡仁、蒲公英和肉苁蓉5味中药识别,相似的经典名方有麻黄类方、槐花散、黄连解毒汤、苇茎汤、五味消毒饮、济川煎、化肝煎和桑杏汤等。结论基于“诸气膹郁,皆属于肺”理论,发现LUAD与MDD存在弱正向遗传因果效应,LUAD可能通过影响神经信号传递及神经调控机制,尤其是胆碱能信号通路促进MDD的发生。结合中医“态靶”医学理论和中药预测结果探析了中医治疗LAD的理法方药,旨在为LAD患者的中医药治疗提供参考,以改善LUAD患者的整体治疗效果及心理健康。 展开更多
关键词 肺腺癌相关性抑郁 孟德尔随机化 中药预测 态靶 麻黄类方 槐花散 黄连解毒汤 苇茎汤 五味消毒饮 济川煎 化肝煎 桑杏汤 麻黄 栀子 薏苡仁 蒲公英 肉苁蓉
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加味阳和汤联合布地奈德福莫特罗粉吸入剂对轻中度慢性持续期支气管哮喘患者的临床疗效 被引量:3
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作者 王钰 张惠勇 +7 位作者 陈林锦 张正易 李翠 崔洁 苏奔 柏萍 马子风 鹿振辉 《中成药》 北大核心 2025年第1期81-86,共6页
目的探讨加味阳和汤联合布地奈德福莫特罗粉吸入剂对轻中度慢性持续期支气管哮喘患者的临床疗效。方法118例患者随机分为对照组和观察组,每组59例,对照组给予布地奈德福莫特罗粉吸入剂,观察组在对照组基础上加用加味阳和汤,疗程4周。检... 目的探讨加味阳和汤联合布地奈德福莫特罗粉吸入剂对轻中度慢性持续期支气管哮喘患者的临床疗效。方法118例患者随机分为对照组和观察组,每组59例,对照组给予布地奈德福莫特罗粉吸入剂,观察组在对照组基础上加用加味阳和汤,疗程4周。检测临床疗效、ACT评分、支气管哮喘控制率、肺功能指标(FEV1、PEF、FEV1%、PEF%)、炎症指标(EOS、EOS%、FeNO)、中医证候评分、不良反应发生率变化。结果观察组总有效率高于对照组(P<0.05)。治疗后,2组支气管哮喘控制率、ACT评分、PEF升高(P<0.05),中医证候评分降低(P<0.05),以观察组更明显(P<0.05);观察组FEV1、FEV1%、PEF%升高(P<0.05),其中FEV1、PEF%高于对照组(P<0.05);观察组炎症指标降低(P<0.05),其中FeNO低于对照组(P<0.05)。2组不良反应发生率比较,差异无统计学意义(P>0.05)。结论加味阳和汤联合布地奈德福莫特罗粉吸入剂可安全有效地缓解轻中度慢性持续期支气管哮喘患者临床症状,改善肺功能和气道炎症反应,提高支气管哮喘控制率。 展开更多
关键词 加味阳和汤 布地奈德福莫特罗粉吸入剂 轻中度支气管哮喘 慢性持续期 肺功能 气道炎症反应
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