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Scientific connotation of “treating different diseases with the same method” from the perspective of metabolic-immune dysregulation in inflammation-mediated carcinogenesis of digestive organs 被引量:1
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作者 Xia Ding Yunze Liu +2 位作者 Ruilin Wang Hong Shen Qi Wang 《Journal of Traditional Chinese Medical Sciences》 CAS 2023年第1期3-9,共7页
Inflammation-mediated carcinogenesis develops in the context of chronic inflammation and is a significant cause of cancer within the digestive system.In the chronic inflammation microenvironment,the metabolic activity... Inflammation-mediated carcinogenesis develops in the context of chronic inflammation and is a significant cause of cancer within the digestive system.In the chronic inflammation microenvironment,the metabolic activity of tissue cells undergoes extensive changes,which interfere with the normal function of immune cells.Dysregulation of cell metabolism and immune function has been identified as a key factor contributing to inflammation-mediated carcinogenesis within the major digestive organs,such as the stomach,liver,and colorectum.This metabolic-immune imbalance also corresponds to traditional Chinese medicine(TCM)theories of“yin-yang disharmony”and“disharmony between Ying-nutrients and Wei-defense.”The metabolic-immune imbalance has also been regarded as the key factor supporting“treatment of different diseases with the same method”,in which the same approach is adopted in the treatment of different conditions.In the TCM treatment process,it is necessary to first identify TCM patterns and then apply the corresponding TCM to correct the dysregulated metabolic and immune function,thereby blocking the progression from inflammation to malignancy.Our study findings deepen the TCM understanding of metabolic-immune dysregulation and the relationship between metabolic-immune dysregulation,pattern identification,and treatment method.They also provide new insights for the treatment of inflammation-mediated carcinogenesis in major digestive organs and help us further explore the scientific connotation of the TCM strategy of“treating different diseases with the same method”. 展开更多
关键词 Inflammation-mediated carcinogenesis treating different diseases with the same method Metaboliceimmune regulation Metabolism Immunity Digestive system
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Mathematical Modeling of Leukemia within Stochastic Fractional Delay Differential Equations
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作者 Ali Raza Feliz Minhós +1 位作者 Umar Shafique Muhammad Mohsin 《Computer Modeling in Engineering & Sciences》 2025年第6期3411-3431,共21页
In 2022,Leukemia is the 13th most common diagnosis of cancer globally as per the source of the International Agency for Research on Cancer(IARC).Leukemia is still a threat and challenge for all regions because of 46.6... In 2022,Leukemia is the 13th most common diagnosis of cancer globally as per the source of the International Agency for Research on Cancer(IARC).Leukemia is still a threat and challenge for all regions because of 46.6%infection in Asia,and 22.1%and 14.7%infection rates in Europe and North America,respectively.To study the dynamics of Leukemia,the population of cells has been divided into three subpopulations of cells susceptible cells,infected cells,and immune cells.To investigate the memory effects and uncertainty in disease progression,leukemia modeling is developed using stochastic fractional delay differential equations(SFDDEs).The feasible properties of positivity,boundedness,and equilibria(i.e.,Leukemia Free Equilibrium(LFE)and Leukemia Present Equilibrium(LPE))of the model were studied rigorously.The local and global stabilities and sensitivity of the parameters around the equilibria under the assumption of reproduction numbers were investigated.To support the theoretical analysis of the model,the Grunwald Letnikov Nonstandard Finite Difference(GL-NSFD)method was used to simulate the results of each subpopulation with memory effect.Also,the positivity and boundedness of the proposed method were studied.Our results show how different methods can help control the cell population and give useful advice to decision-makers on ways to lower leukemia rates in communities. 展开更多
关键词 Leukemia disease stochastic fractional delayed model stability analysis Grunwald Letnikov Nonstandard Finite Difference(GL-NSFD) computational methods
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Interpretation of treating different diseases with the same method:a bidirectional Mendelian randomization study of the association between depression and insomnia
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作者 Jinlin Tong Yuyao Wang +4 位作者 Hong Liu Yuanyuan Li Jinghua Pan Danping Fan Hongyan Zhao 《Guideline and Standard in Chinese Medicine》 2024年第4期251-257,共7页
Objective:Mendelian randomization(MR)has been widely utilized for causal inference between diseases,and its implementation within the domain of traditional Chinese medicine(TCM)is considered feasible.Although previous... Objective:Mendelian randomization(MR)has been widely utilized for causal inference between diseases,and its implementation within the domain of traditional Chinese medicine(TCM)is considered feasible.Although previous clinical and epidemiological studies have demonstrated a close relationship between insomnia and depression,the inherent genetic factors underlying these associations are unclear.The aim of this study was to evaluate the causal relationship between depression and insomnia via bidirectional 2-sample MR and increase the understanding of the TCM theory of treating different diseases with the same method,particularly in the context of comorbid depression and insomnia.Methods:Genetic data related to depression and insomnia were extracted from published genome-wide association studies(GWAS)data sets.Single-nucleotide polymorphisms(SNPs)associated with depression and insomnia were used as instrumental variables to construct an“SNP-exposure-outcome”model.Bidirectional 2-sample MR analysis was conducted via inverse-variance weighted(IVW),weighted median,MR Egger regression,simple mode,and weighted mode methods.Furthermore,heterogeneity tests,pleiotropy analyses,and sensitivity analyses were performed.Results:The MR results revealed a causal relationship between depression and an increased risk of developing insomnia(IVW,OR=1.400,95%CI:1.246–1.573,P<0.001),and a causal relationship between insomnia and an increased risk of developing depression(IVW,OR=1.204,95%CI:1.144–1.266,P<0.001).Conclusions:There is a bidirectional causal relationship between depression and insomnia.These findings provide new theoretical support for the TCM approach of treating different diseases with the same method in the prevention and treatment of depression and insomnia and provide a scientific basis for the modernization of TCM. 展开更多
关键词 bidirectional Mendelian randomization treating different diseases with the same method DEPRESSION INSOMNIA
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Comparative Observation of the Curative Effect of Different Treatment Methods in Patients with Pelvic Inflammation
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作者 GAO Yuxia 《外文科技期刊数据库(文摘版)医药卫生》 2021年第10期492-494,共5页
Objective: to explore the value of different treatment methods in patients with pelvic inflammatory disease. Methods: through double-blind randomization, 78 cases of pelvic inflammatory disease were divided into two g... Objective: to explore the value of different treatment methods in patients with pelvic inflammatory disease. Methods: through double-blind randomization, 78 cases of pelvic inflammatory disease were divided into two groups (group A = 39 cases) and (Group B = 39 cases) from January 2020 to March 2021. Group B was treated with conventional drugs, and group A was treated with drugs + microwave combination. After the relevant treatment, the clinical efficacy of the two groups of cases was compared. Compared with the levels of IL-2 and TNF-A, the microwave binding method in group A was more advantageous than that in group B. In addition, in terms of the levels of inflammatory factors, group A tended to be more stable than group B, with significant differences in p-value data. Conclusion: targeted treatment of pelvic inflammatory disease, through drugs and microwave method to carry out comprehensive treatment, can promote the organic optimization of inflammatory level, and constantly improve the clinical efficacy, should be vigorously promoted in clinical. 展开更多
关键词 pelvic inflammatory disease different treatment methods the curative effect
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邹氏肾科“补益肾元”核心医术构建及应用推广 被引量:1
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作者 王钢 邹燕勤 +7 位作者 孙伟 周恩超 易岚 朱俊 孔薇 赵静 曹亮 王恒斌 《南京中医药大学学报》 北大核心 2025年第3期281-287,共7页
邹云翔教授1955年提出“肾元学说”,认为肾脏作为人体重要的排泄器官,参与人体的新陈代谢,产生此作用的基础是肾之元气。此后邹氏肾科团队在此基础上创建“补益肾元”核心医术,构建慢性肾脏病辨证论治体系,提出慢性肾脏病的中医病名、... 邹云翔教授1955年提出“肾元学说”,认为肾脏作为人体重要的排泄器官,参与人体的新陈代谢,产生此作用的基础是肾之元气。此后邹氏肾科团队在此基础上创建“补益肾元”核心医术,构建慢性肾脏病辨证论治体系,提出慢性肾脏病的中医病名、发病原因、病机变化规律及辨治慢性肾脏病四大法,并开发出代表“补益肾元”核心医术的代表药物——黄蛭益肾胶囊和参乌益肾片。并且邹氏肾科团队对“补益肾元”核心医术进行了大量的应用与推广。 展开更多
关键词 邹氏肾科 肾元学说 补益肾元 核心医术 慢性肾脏病 治肾四大法
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Benefit Analysis and Discussion of the Same Disease in Different Departments of Public Hospitals under the DIP Payment Method
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作者 Shanlan Song Shengshan Zhu Heng Wang 《Journal of Clinical and Nursing Research》 2025年第11期61-67,共7页
Objective:This study aims to explore the benefit analysis of the same disease in different departments of public hospitals under the DIP payment method.Methods:This study is a retrospective analysis that selected clin... Objective:This study aims to explore the benefit analysis of the same disease in different departments of public hospitals under the DIP payment method.Methods:This study is a retrospective analysis that selected clinical data from patients who received treatment in the Department of Orthopedics and the Department of Acupuncture and Moxibustion at our hospital from January 1,2023,to December 31,2023.The study compared the costs of medications,examinations,treatments,laboratory tests,nursing and other expenses,and total treatment costs between the two departments.It analyzed the cost structure of the two departments and proposed further improvement suggestions.Results:The study results indicated that the total costs in the Department of Acupuncture and Moxibustion were significantly higher than those in the Department of Orthopedics.Among medication costs,the total medication costs in the Department of Orthopedics were higher than those in the Department of Acupuncture and Moxibustion,with costs for Western medicine,proprietary Chinese medicine,and herbal medicine all being higher(p<0.05).Regarding examination costs,consultation fees in the Department of Orthopedics were lower than those in the Department of Acupuncture and Moxibustion,while examination costs were higher(p<0.05).In terms of treatment costs,orthopedic treatment and surgical fees were higher than those in the Department of Acupuncture and Moxibustion(p<0.05).For laboratory test costs,orthopedic laboratory fees were significantly higher than those in the Department of Acupuncture and Moxibustion(p<0.05).Among nursing and other expenses,orthopedic blood transfusion,bed fees,and other expenses were higher than those in the Department of Acupuncture and Moxibustion,while nursing fees were lower(p<0.05).Conclusion:Treatment fees in the Department of Acupuncture and Moxibustion are the core and account for a relatively high proportion of the total costs.The benefits generated by the Department of Orthopedics are primarily derived from medication,examination,and laboratory fees,aligning with the characteristics of combining diagnosis,medication,and surgical intervention in orthopedic treatment.Consultation fees,nursing fees,and bed fees in the Department of Acupuncture and Moxibustion are higher than those in the Department of Orthopedics,indicating a longer treatment cycle in acupuncture,which warrants clinical attention. 展开更多
关键词 DIP payment method Public hospitals The same disease different departments Benefit analysis Application
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基于宗气功能失常探讨心房颤动和衰弱综合征共同病机及异病同治
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作者 田伟 张大炜 《吉林中医药》 2025年第7期764-768,共5页
心房颤动是老年人最常见的持续性心律失常。老年衰弱综合征是由于多种生理系统的生理储备减少,导致对压力事件脆弱性增加的一种多维度、多系统的衰老综合征。两者有着多种共同的危险因素,又常常相伴发生,相互影响,严重影响老年人健康。... 心房颤动是老年人最常见的持续性心律失常。老年衰弱综合征是由于多种生理系统的生理储备减少,导致对压力事件脆弱性增加的一种多维度、多系统的衰老综合征。两者有着多种共同的危险因素,又常常相伴发生,相互影响,严重影响老年人健康。探讨宗气功能失常在心房颤动和衰弱综合征共同危险因素及在心房颤动和衰弱综合征病情进展中的作用,提出宗气亏虚与宗气循行障碍是心房颤动和衰弱综合征的共同病机,调补宗气是心房颤动和衰弱综合征异病同治之法。 展开更多
关键词 心房颤动 衰弱综合征 宗气功能失常 共同病机 异病同治
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葛根芩连汤治疗湿热型肠道疾病研究进展
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作者 张静 叶兰 吕艳锋 《山东中医杂志》 2025年第11期1279-1284,共6页
从异病同治角度,分析葛根芩连汤治疗湿热型肠道疾病的分子机制与临床实效。研究表明,葛根芩连汤通过单方应用、加减应用、联合西药等方式对腹泻型肠易激综合征、溃疡性结肠炎及结直肠癌属湿热蕴肠证者疗效显著。其作用机制涉及多途径,... 从异病同治角度,分析葛根芩连汤治疗湿热型肠道疾病的分子机制与临床实效。研究表明,葛根芩连汤通过单方应用、加减应用、联合西药等方式对腹泻型肠易激综合征、溃疡性结肠炎及结直肠癌属湿热蕴肠证者疗效显著。其作用机制涉及多途径,包括调节肠道菌群,抑制条件致病菌并增加有益菌丰度;调节炎症因子水平及相关信号通路;调节T细胞免疫平衡,修复肠黏膜屏障;减轻氧化应激反应等。临床可有效缓解和改善湿热型肠道疾病患者的不适症状,提高患者生活质量。以期为防治湿热型肠道疾病的实验研究和临床应用提供依据和思路。参考文献40篇。 展开更多
关键词 葛根芩连汤 异病同治 湿热蕴肠证 湿热型肠道疾病 腹泻型肠易激综合征 溃疡性结肠炎 结直肠癌
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宏基因二代测序技术在诊断不明原因肺部感染中的临床价值研究
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作者 詹莉琼 杨菊菊 +2 位作者 卢晏民 李艳丽 崔杰 《罕少疾病杂志》 2025年第3期62-63,96,共3页
目的 探讨并分析经皮肺穿刺组织宏基因组二代测序技术对不明原因肺部感染患者病原学诊断的临床价值。方法 收集2020年12月至2022年12月期间,在我院接受CT引导下经皮肺穿刺活检并结合m NGS检测的100例肺部感染患者的临床资料。患者根据... 目的 探讨并分析经皮肺穿刺组织宏基因组二代测序技术对不明原因肺部感染患者病原学诊断的临床价值。方法 收集2020年12月至2022年12月期间,在我院接受CT引导下经皮肺穿刺活检并结合m NGS检测的100例肺部感染患者的临床资料。患者根据是否患有基础性疾病被分为两组,对比两组间m NGS与传统检测方法在病原体检出阳性率及采信率等方面的差异,并分析不同类型病原体的m NGS检测阳性率。结果 在纳入的100例病例中,m NGS的阳性检测率为100%,显著高于常规检测方法的73%(P<0.05)。两组患者中,m NGS检测病原体的阳性率均显著高于常规检测(P<0.05)。此外,m NGS的临床采信率同样高于常规检测(P<0.05),而有基础疾病组与无基础疾病组间采信率无显著差异(P>0.05)。m NGS在检测各种病原体方面的效率均超过常规方法(P<0.05),特别是对真菌、结核分枝杆菌和混合感染的检出效率显著提升(P<0.001)。结论 对于不明原因的肺部感染,采用组织m NGS检测显示出较高的阳性检出率和采信率,显著增强了对多种病原体的检测能力,特别是对真菌、结核分枝杆菌及混合感染病原体的检测,具有显著的临床应用潜力。 展开更多
关键词 宏基因组二代测序 常规检测方法 基础疾病 不同病原体 肺部感染
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具有饱和发生率的离散SIR模型全局分析
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作者 胡新利 李航航 吴航 《工程数学学报》 北大核心 2025年第6期1005-1013,共9页
利用非标准有限差分方法离散化具有饱和发生率的SIR模型,并对离散SIR模型进行了求解和动力学分析。得到了模型解的存在性、正性和有界性;并通过构造合适的V函数证明了当基本再生数R_(0)<1时,无病平衡点E_(0)是全局渐近稳定的;当R_(0)... 利用非标准有限差分方法离散化具有饱和发生率的SIR模型,并对离散SIR模型进行了求解和动力学分析。得到了模型解的存在性、正性和有界性;并通过构造合适的V函数证明了当基本再生数R_(0)<1时,无病平衡点E_(0)是全局渐近稳定的;当R_(0)>1时,地方病平衡点E^(*)是全局渐近稳定的。最后,数值模拟验证支持了理论结果,并显示相对于前向欧拉法,非标准有限差分法的步长h对于模型的全局性态没有影响。 展开更多
关键词 非标准有限差分法 一般疾病发生率 基本再生数 全局稳定性
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牛阳教授运用三仁汤异病同治经验举隅
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作者 李文珊 牛阳 《中国民族民间医药》 2025年第5期92-95,共4页
三仁汤是治疗湿温的经典方剂,具清利湿热,宣畅气机之功效,牛阳教授谙熟中医经典,在继承经典的同时,不拘泥于常法,治病不仅重视辨证论治,亦不忘异中求同,抓住主要病机。文章介绍牛阳教授临床应用三仁汤异病同治,治疗玫瑰痤疮、复发性口... 三仁汤是治疗湿温的经典方剂,具清利湿热,宣畅气机之功效,牛阳教授谙熟中医经典,在继承经典的同时,不拘泥于常法,治病不仅重视辨证论治,亦不忘异中求同,抓住主要病机。文章介绍牛阳教授临床应用三仁汤异病同治,治疗玫瑰痤疮、复发性口腔溃疡、慢性盆腔炎等病的经验,均有显著疗效。 展开更多
关键词 牛阳 三仁汤 异病同治 临证经验
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以证统病溯源及其临床研究现状的分析 被引量:1
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作者 黄仟 郭晓慧 +5 位作者 禤美玲 周莉 曹文聪 刘冰清 邱幸莹 温泽淮 《中华中医药杂志》 北大核心 2025年第3期1458-1461,共4页
以证统病充分体现了中医以证候为中心的诊疗思维,对于保持和发展中医辨证论治的学术特点及临床优势意义重大。文章梳理了以证统病相关概念,并采用概况性评价方法分析以证统病临床研究的现状及设计特征。发现以证统病尚未形成统一、全面... 以证统病充分体现了中医以证候为中心的诊疗思维,对于保持和发展中医辨证论治的学术特点及临床优势意义重大。文章梳理了以证统病相关概念,并采用概况性评价方法分析以证统病临床研究的现状及设计特征。发现以证统病尚未形成统一、全面的概念定义,其临床研究的数量较少且增速缓慢,亟需方法学规范指引。建议未来研究参考中医以证统病临床研究方法学框架,以提升研究的科学性与规范性,推动以证统病研究模式的应用与发展。 展开更多
关键词 证候 异病同治 研究模式 以证统病 概况性评价
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由“异病同治”理论探讨骨质疏松症与血管钙化共病机制 被引量:2
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作者 赵佳萱 戚晓楠 +3 位作者 崔海舰 王思微 王禹 姚啸生 《中国骨质疏松杂志》 北大核心 2025年第5期729-735,共7页
随着人口老龄化,骨质疏松症(osteoporosis, OP)与血管钙化(vascular calcification, VC)经常以共病的形式存在,但在病理上却呈现相反的钙化特征,这被称作“钙化悖论”。二者共病显著增加了患者同时罹患脆性骨折和心血管疾病的风险,“钙... 随着人口老龄化,骨质疏松症(osteoporosis, OP)与血管钙化(vascular calcification, VC)经常以共病的形式存在,但在病理上却呈现相反的钙化特征,这被称作“钙化悖论”。二者共病显著增加了患者同时罹患脆性骨折和心血管疾病的风险,“钙化悖论”使药物治疗常常以加重另一疾病为代价,陷入顾此失彼的窘境。虽然二者共病,以及“钙化悖论”的具体机制尚未阐述清楚,这在一定程度上影响了治疗共病新药的研发,但研究表明OP与VC可能受与能量代谢有关的、共同的信号通路和激素等调控。中医学认为,表现为“钙化悖论”的OP和VC属于“异病同治”的范畴。肾失封藏、脾失健运是其共同的病机,补益脾肾是共同的治则治法。现代中医学认为,OP和VC可能与脾肾调控能量代谢功能失调有关。在中医理论指导下,对其共病机制的探讨可能为防治OP与VC提供新的研究思路,有助于疗效与安全性兼顾新药的开发。 展开更多
关键词 骨质疏松症 血管钙化 共病 能量代谢 异病同治 中医中药
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基于“异病同治”理论探讨蒿芩清胆汤治疗病毒性肺炎的辨治思路及效应机制 被引量:2
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作者 彭鑫 徐浩田 +5 位作者 梁磊 栾哲宇 王晗笑 张益豪 杨坤 封继宏 《中国实验方剂学杂志》 北大核心 2025年第8期209-217,共9页
异病同治是中医辨证论治的精髓,是指不同的疾病在发展过程中出现相同的病机变化或相同的证候表现时,可采用相同的原则和方法进行治疗。由于病毒致病类型的复杂性和高度变异性,不同类型病毒性肺炎(VP)的精准有效治疗一直是现代医学的研... 异病同治是中医辨证论治的精髓,是指不同的疾病在发展过程中出现相同的病机变化或相同的证候表现时,可采用相同的原则和方法进行治疗。由于病毒致病类型的复杂性和高度变异性,不同类型病毒性肺炎(VP)的精准有效治疗一直是现代医学的研究重点和难题。VP属于中医学外感热病、温病、疫病等范畴,蒿芩清胆汤是温病学清热祛湿代表方,多种呼吸道病毒感染所致的VP使用该方干预疗效显著。该研究在异病同治理论指导下,将蒿芩清胆汤治疗不同类型VP的相关研究进行有机串联,发现流感病毒性肺炎(IVP)、严重急性呼吸综合征(SARS)及新型冠状病毒感染(COVID-19)在各自疾病发展的不同阶段均存在“湿热”共性病机,当上述疾病由湿热因素主导时,使用蒿芩清胆汤疗效斐然。现代药理研究证实蒿芩清胆汤可抑制病毒增殖、减轻发热反应、抑制炎症介质表达、调节免疫平衡,且该方君药具有极佳的抗病毒活性,组方蕴含着丰富的抗VP科学内涵。该文从异病同治视角出发,基于蒿芩清胆汤对不同类型VP的有效治疗实践及现代药理研究,挖掘其共治的中医理论基础,并在此基础上进一步探讨该方治疗不同类型VP的辨治思路及效应机制,分析其作用机制和特点,以期为蒿芩清胆汤治疗VP的临床应用及现代化研究提供依据与参考。 展开更多
关键词 异病同治 蒿芩清胆汤 病毒性肺炎 辨治思路 效应机制
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基于“异病同治”探讨三仁汤临床应用及作用机制研究进展 被引量:1
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作者 窦鑫 潘海迪 +5 位作者 贺昌辉 温晓晴 梅笑 马源鑫 邓华亮 王伟 《中国实验方剂学杂志》 北大核心 2025年第14期243-254,共12页
三仁汤始载于清代吴鞠通所著的《温病条辨》,是治疗湿温初起或暑温夹湿,邪在气分,湿重于热的经典名方,具有宣畅气机、清利湿热的功效,可治疗以头痛恶寒,面色淡黄,身重疼痛,肢体倦怠,胸闷不饥,午后身热,苔白不渴,脉弦细而濡等为主要表现... 三仁汤始载于清代吴鞠通所著的《温病条辨》,是治疗湿温初起或暑温夹湿,邪在气分,湿重于热的经典名方,具有宣畅气机、清利湿热的功效,可治疗以头痛恶寒,面色淡黄,身重疼痛,肢体倦怠,胸闷不饥,午后身热,苔白不渴,脉弦细而濡等为主要表现的病证。中医学提倡“整体观念”与“辨证论治”,针对不同的疾病进行精准辨证,把握其病机特点处以方药治疗。现代临床将三仁汤广泛应用于湿热蕴结、气机不利所致的心系、肺系、脾胃系、肝胆系、肾系、肠腑、糖尿病及其并发症、皮肤类等多系统疾病,并取得了显著效果,尤其对于一些以湿热证表现为主但疗效不佳的难治性疾病,可应用三仁汤联合治疗,延缓病情发展,延长生存期,发挥中医药特色优势,充分体现“证同则治同”的“异病同治”诊疗思想。现代药理学研究表明三仁汤具有抗炎、抗氧化,增强免疫机能,修复黏膜屏障,调节胃肠动力,维持代谢平衡等作用,证实中药复方具有多靶点、多层次、多成分、多途径等特点,可治疗具有炎症改变、免疫失衡等相同病理基础的多系统疾病。通过探讨三仁汤的“异病同治”,对临床应用三仁汤治疗多系统疾病及其作用机制研究的相关文献进行系统回顾与梳理,以期为应用经方治疗多系统疾病,挖掘经方深层次内涵,建立具有中医药特色的精准诊疗体系,促进中医药传承创新发展提供思路与借鉴。 展开更多
关键词 三仁汤 “异病同治” 临床应用 作用机制 研究进展
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肉豆蔻酸延缓黄韧带成纤维细胞/骨髓间充质干细胞衰老调控成骨的机制
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作者 张友 陈弘林 +4 位作者 刘宇 梁德 沈耿杨 江晓兵 任辉 《中国骨质疏松杂志》 北大核心 2025年第10期1413-1421,共9页
目的探讨肉豆蔻酸通过延缓黄韧带成纤维细胞与骨髓间充质干细胞衰老调控成骨的机制。方法临床研究中回顾性分析相关数据,探讨黄韧带骨化症与骨密度的相关性;体外实验中观察黄韧带骨化过程中组织形态学变化,同时检测肉豆蔻酸对衰老的黄... 目的探讨肉豆蔻酸通过延缓黄韧带成纤维细胞与骨髓间充质干细胞衰老调控成骨的机制。方法临床研究中回顾性分析相关数据,探讨黄韧带骨化症与骨密度的相关性;体外实验中观察黄韧带骨化过程中组织形态学变化,同时检测肉豆蔻酸对衰老的黄韧带成纤维细胞和骨髓间充质干细胞成骨能力的影响。结果临床研究中发现L1-L4椎体骨密度、股骨颈骨密度、髋关节骨密度和黄韧带CT值均显著高于正常组(P<0.001),并且黄韧带骨化程度与髋关节(R=0.451,P<0.001)、L1-L4椎体(R=0.412,P<0.001)、股骨颈(R=0.451,P<0.001)骨密度呈显著正相关;体外实验提示黄韧带在骨化过程中出现弹性纤维/胶原纤维比例失衡和巨噬细胞及衰老蛋白的富集;此外,黄韧带成纤维细胞和骨髓间充质干细胞在衰老过程中成骨能力呈现相反的趋势(前者增强,后者减弱),而肉豆蔻酸能够延缓两种细胞的衰老,并使两者的成骨能力分别减弱和增强。结论黄韧带骨化人群的骨密度显著高于正常人群,且与骨化程度呈线性关系,肉豆蔻酸可延缓黄韧带成纤维细胞衰老并减少其病理性成骨,延缓骨髓间充质干细胞衰老并增强其成骨能力,具有防治黄韧带骨化症和老年性骨质疏松的潜力。 展开更多
关键词 肉豆蔻酸 黄韧带骨化症 老年性骨质疏松 异病同治
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刘华一教授运用丹参养胃方异病同治经验总结 被引量:1
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作者 张雅欣 赵天琪 +2 位作者 孙怡柳 张鑫 刘华一 《亚太传统医药》 2025年第6期77-80,共4页
丹参养胃方是刘华一教授常用经验方,由丹参饮合四君子汤化裁而来,有活血通络、健脾养胃之功,适用于气虚血瘀、中焦运化失常为病机的脾胃病。脾胃为气血生化之源,气源于胃,血源于脾。刘教授认为“调气血即调脾胃”,推崇气血同治,并强调... 丹参养胃方是刘华一教授常用经验方,由丹参饮合四君子汤化裁而来,有活血通络、健脾养胃之功,适用于气虚血瘀、中焦运化失常为病机的脾胃病。脾胃为气血生化之源,气源于胃,血源于脾。刘教授认为“调气血即调脾胃”,推崇气血同治,并强调“异病同治”是中医辨证论治之精华,故以丹参养胃方治疗气虚血瘀证之嘈杂、泄泻和胃痞等获效颇丰。列举医案三则,分析其临证化裁经验,翔实体悟异病同治特点。 展开更多
关键词 刘华一 丹参养胃方 异病同治 脾胃病
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基于网络药理学与分子对接探讨四逆散“异病同治”溃疡性结肠炎和慢性胃炎的作用机制 被引量:2
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作者 晁阳 王晓鸽 许二平 《空军军医大学学报》 2025年第4期453-461,共9页
目的运用网络药理学和分子对接技术探讨四逆散“异病同治”溃疡性结肠炎(UC)和慢性胃炎(CG)的潜在作用机制。方法从TCMSP数据库检索四逆散主要成分及对应靶点,结合DisGeNET、GeneCards和OMIM数据库分别获取两种疾病的靶点,将两者取交集... 目的运用网络药理学和分子对接技术探讨四逆散“异病同治”溃疡性结肠炎(UC)和慢性胃炎(CG)的潜在作用机制。方法从TCMSP数据库检索四逆散主要成分及对应靶点,结合DisGeNET、GeneCards和OMIM数据库分别获取两种疾病的靶点,将两者取交集得到四逆散“异病同治”UC与CG的潜在靶点。运用STRING数据库及Cytoscape 3.9.1制作“药物成分靶点”网络模型及PPI网络图。运用DAVID数据库对交集靶点进行GO和KEGG富集分析,再通过BioGPS和GeneCards数据库获取组织分布以及亚细胞分布的信息。运用分子对接验证主要成分与关键靶点间的联系。结果四逆散4味核心药物共含144个活性成分和207个相关靶点,筛选出1756个UC的疾病靶点以及955个CG的疾病相关靶点,三者取交集共获得64个潜在治疗靶点。GO功能富集结果显示有62个分子功能、39个细胞组成、461个生物过程。KEGG分析得到142条通路途径,其中癌症通路、IL-17信号通路、TNF信号通路可能是四逆散“异病同治”UC和CG的主要途径。分子对接结果显示,主要成分槲皮素、木犀草素、山柰酚、柚皮素、川陈皮素和关键靶点AKT1、TNF、TP53、IL6结合良好。结论四逆散可能通过槲皮素、木犀草素、山柰酚、柚皮素和川陈皮素等主要活性成分作用于AKT1、TNF、TP53、IL6等核心靶点从而治疗UC和CG,为从现代医学角度更好地理解中医“异病同治”理论提供了支撑依据。 展开更多
关键词 四逆散 溃疡性结肠炎 慢性胃炎 异病同治 网络药理学 分子对接
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基于异病同治理论解析六味地黄丸防治阿尔茨海默病与糖尿病的现代科学内涵
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作者 吕怡琳 高卫平 +4 位作者 常茜茜 王潘 苏运芳 张振强 宋军营 《世界科学技术-中医药现代化》 北大核心 2025年第10期3040-3051,共12页
越来越多的研究表明阿尔茨海默病(Alzheimer′s disease,AD)与糖尿病(Diabetes mellitus,DM)之间存在密切关系。中医认为“肾阴亏虚”是这两种疾病的共同病机,现代医学则认为二者的发病机制涉及淀粉样蛋白的异常聚集、胰岛素缺乏和抵抗... 越来越多的研究表明阿尔茨海默病(Alzheimer′s disease,AD)与糖尿病(Diabetes mellitus,DM)之间存在密切关系。中医认为“肾阴亏虚”是这两种疾病的共同病机,现代医学则认为二者的发病机制涉及淀粉样蛋白的异常聚集、胰岛素缺乏和抵抗、炎症反应、氧化应激以及自噬等方面。补肾名方六味地黄丸在对二者的异病同治中扮演着重要角色。因此,本文将从不同方面探讨六味地黄丸治疗AD与DM之间的联系;分析AD与DM的共同病因病机,解析六味地黄丸防治作用机制,以期为今后AD与DM的中西医结合防治提供新的思路与方法。 展开更多
关键词 异病同治 六味地黄丸 阿尔茨海默病 糖尿病
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Clinical application and research of Shao's “three-acupoint and five-needling method” 被引量:1
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作者 张奥 严兴科 刘安国 《World Journal of Acupuncture-Moxibustion》 CSCD 2017年第1期74-80,共7页
Professor SHAO Jing-ming has obtained more significant effect during the clinical practice in treatment of wheezing diseases by adopting "three-acupoint and five-needling method" created by himself, and the effect h... Professor SHAO Jing-ming has obtained more significant effect during the clinical practice in treatment of wheezing diseases by adopting "three-acupoint and five-needling method" created by himself, and the effect has been widely recognized by doctors and patients. After decades of development, Shao's "three-acupoint and five-needling method" has become a therapy with complete theoretical system and a large number of clinical research achievements, and its application scope has been expanded. In this paper, the achievements of Shao's "three-acupoint and five-needling method" during clinical studies in the early, middle and current development stages and related problems were reviewed comprehensively. 展开更多
关键词 three-acupoint andmethod wheezing diseases clinicain the same wayfive-needling method Shao's needlingobservation different diseases be treated
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