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Exploring the Mechanism of Yougui Pill against Aging Based on Network Pharmacology and Molecular Docking Study
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作者 Haiyan Yang Qian Shi Chunchun Ji 《Chinese Medicine and Natural Products》 2025年第1期47-58,共12页
Objective This study aimed to explore the mechanism of obtaining yang from yin in Yougui pill against aging based on network pharmacology and molecular docking technology.Methods The active components and targets of Y... Objective This study aimed to explore the mechanism of obtaining yang from yin in Yougui pill against aging based on network pharmacology and molecular docking technology.Methods The active components and targets of Yougui Pill were obtained by searching the Traditional Chinese Medicine Systems Pharmacology Database and Analysis Platform(TCMSP)database and the Bioinformatics Analysis Tool for Molecular mechANism of Traditional Chinese Medicine(BATMEN-TCM)database,and kidney deficiency syndrome-related targets were obtained in the Symptom Mapping(SymMap)Database,a traditional Chinese medicine(TCM)syndrome correlation database.The protein–protein interaction(PPI)network was constructed by using the STRING11.5 database.Then,we used CytoScape3.9.0 software to construct the network of TCM–active components–potential targets,and the core TCM components and core targets of Yougui Pill for the treatment of kidney deficiency were obtained.The function analysis of Gene Ontology(GO)and Kyoto Encyclopedia of Genes and Genomes(KEGG)signaling pathway enrichment analysis were performed in the Database for Annotation,Visualization,and Integrated Discovery(DAVID).Finally,preliminary verification was performed with the help of molecular docking technology.Results A total of 147 active components of 9 drugs of Yougui Pill(Fuzi[Aconiti Lateralis Radix Praeparata],Shudihaung[Rehmanniae Radix Praeparata],Gouqi[Lycii Fructus],Shanyao[Rhizoma Dioscoreae],Shanzhuyu[Corni Fructus],Tusizi[Cuscutae Semen],Danggui[Angelicae Sinensis Radix],Duzhong[Eucommiae Cortex],Lujiaojiao[Cervi Cornus Colla])were obtained,corresponding to 233 targets.A total of 2,235targets related to kidney deficiency syndrome and 43 potential therapeutic targets were obtained after the intersection.The core TCM components mainly included quercetin,kaempferol,diosgenin,β-carotene,etc.The core targets involved Trp53(Tp53),Akt1,Pparg,Nr3c1,App,Casp8,Mapk1,Cav1,and Ctnnb1.A total of 27biological processes,10 cellular components,and 11 molecular functions were obtained by gene function enrichment analysis,mainly related to the regulation of gene expression,cell apoptosis and proliferation,and the response to estrogen.A total of 51 KEGG signaling pathways,mainly involving a variety of cancer pathways,apoptosis pathways,longevity regulation pathways,etc.Conclusion Yougui Pill can play a role in preventing and treating kidney deficiency syndrome through multiple targets and pathways. 展开更多
关键词 yougui Pill AGING kidney deficiency syndrome obtaining Yangfrom Yin network pharmacology molecular docking
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Zuogui(左归丸)and Yougui pills(右归丸)improve perimenopausal syndrome via regulation of apoptosis in mice 被引量:2
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作者 WANG Tianqi LI Zining +5 位作者 CHEN Ting CHEN Rui JIN Ya Oduro Patrick kwabena ZHANG Han WANG Yi 《Journal of Traditional Chinese Medicine》 SCIE CSCD 2023年第3期474-483,共10页
OBJECTIVE:To examine,dissect,and understand the molecular mechanisms and combinatorial effects of Zuogui(左归丸,ZGP)and Yougui pills(右归丸,YGP)in 4-vinyl cyclohexene diepoxide(4-VCD)-induced Perimenopausal syndrome(P... OBJECTIVE:To examine,dissect,and understand the molecular mechanisms and combinatorial effects of Zuogui(左归丸,ZGP)and Yougui pills(右归丸,YGP)in 4-vinyl cyclohexene diepoxide(4-VCD)-induced Perimenopausal syndrome(PMS).METHODS:Using the 4-VCD-induced PMS mouse model,uterine and ovary index were measured,and serum sex steroidal hormone levels were evaluated after treatment with ZGP,YGP,ZGP+YGP,estradiol valerate(EV),and Gengnian An(更年安,GNA).Histopathological examinations,ingredient-target network predictions,western blotting,and real-time quantitative polymerase chain reaction(RT-q PCR)analyses were performed to ascertain the possible pharmacological effects and molecular mechanisms of ZYP and YGP.RESULTS:Treatment with ZGP and YGP remarkably improves estrous cyclicity and prevents pathological damage to the uterus.Also,altered sex hormones,including AMH,E2,FSH,LH,P,and T,were restored to normal levels after ZGP and YGP administration.Ingredient-target network analysis showed that the 5 ingredients common to the ZGP and YGP formula modulate 53 targets shared with PMS.Pathwayenrichment analysis further predicted that ZGY and YGP likely regulate of apoptosis and other essential pathways during PMS.In-vivo studies showed that ZGP and YGP suppress PMS via modulating apoptosis through decreasing Caspase-3 and Bcl-2-associated X(Bax)levels and increasing B-cell lymphoma-2(Bcl-2)/Bax and Bcl-2 levels.Importantly,ZGP+YGP treatment modulation effects were somewhat or significantly better compared to ZGP or YGP alone treatment.CONCLUSION:ZGP and YGP represent novel anti-PMS agents whose effects involve restoring altered hormonal levels,protecting the uterus,and regulating apoptosis. 展开更多
关键词 PERIMENOPAUSE APOPTOSIS Zuogui pill yougui pill 4-vinyl cyclohexene diepoxide
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Systematic review of Yougui pills combined with levothyroxine sodium in the treatment of hypothyroidism
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作者 Xiao-Pei Liu Ya-Nan Zhou Cong-E Tan 《World Journal of Clinical Cases》 SCIE 2022年第17期5690-5701,共12页
BACKGROUND Yougui pills have long been used to treat hypothyroidism,usually in combination with levothyroxine sodium in clinical treatment,while their clinical efficacy and safety are still controversial when compared... BACKGROUND Yougui pills have long been used to treat hypothyroidism,usually in combination with levothyroxine sodium in clinical treatment,while their clinical efficacy and safety are still controversial when compared to levothyroxine treatment alone.AIM To explore the clinical efficacy and safety of Yougui pills combined with levothyroxine sodium in the treatment of hypothyroidism.METHODS This meta-analysis was performed in accordance with the PRISMA guidelines.Randomized controlled trials on Yougui pills in the treatment of hypothyroidism published from 2008 to May 2021 were searched in a total of 8 databases(4 databases in Chinese and 4 databases in English).The quality of the included studies was evaluated according to the Cochrane risk assessment tool.Weighted mean difference(WMD)was used for continuous variables,and relative risk(RR)was used for binary variables.Data were extracted,and the meta-analysis was conducted with the statistical software of Stata15.0 and RevMan5.0.RESULTS A total of 140 articles were retrieved,and 9 of them were finally included,with a total sample size of 936 cases.The main meta-analysis results are as follows:(1)The group of Yougui pills combined with levothyroxine sodium had a significantly higher overall response rate than the group of levothyroxine sodium(RR=1.20,95%CI 1.12,1.28,P<0.00001);(2)Yougui pills combined with levothyroxine sodium achieved significantly better efficacy than levothyroxine sodium alone in alleviating adverse symptoms[standard mean difference(SMD)=-1.10,95%CI:-1.37,-0.84,P<0.00001];(3)The level of thyrotropin stimulating hormone in the group of Yougui pills combined with levothyroxine sodium was significantly lower than in the control group of levothyroxine sodium(WMD=-1.38,95%CI:-2.10,-0.67,P=0.00001);(4)The level of free triiodothyronine in the group of Yougui pills combined with levothyroxine sodium was higher than that in the control group of levothyroxine sodium(WMD=0.41,95%CI:0.03,0.79,P=0.03);(5)The level of free thyroxine in the group of Yougui pills combined with levothyroxine sodium was significantly higher than that in the control group of levothyroxine sodium(SMD=0.83,95%CI:0.44,1.22,P≤0.0001);and(6)The adverse reactions in the group of Yougui pills combined with levothyroxine sodium were significantly less than those in the control group of levothyroxine sodium(RR=0.33,95%CI:0.20,-0.53,P<0.00001).CONCLUSION In the treatment of hypothyroidism,the combination of Yougui pills with levothyroxine sodium may be better than levothyroxine sodium treatment alone. 展开更多
关键词 yougui pills Levothyroxine sodium HYPOTHYROIDISM Systematic review
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Chinese herbal medicine Yougui Pill reduces exogenous glucocorticoid-induced apoptosis in anterior pituitary cells
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作者 Yong-zhi Ji Long Geng +2 位作者 Hong-bo Zhou Hua-chen Wei Hong-duo Chen 《Neural Regeneration Research》 SCIE CAS CSCD 2016年第12期1962-1968,共7页
Long-term glucocorticoid use may result in sustained suppression of one or more secreted components from the hypothalamo-pituitary-adrenal axis, and often results in apoptosis. Yougui Pill(YGP), a 10-component tradi... Long-term glucocorticoid use may result in sustained suppression of one or more secreted components from the hypothalamo-pituitary-adrenal axis, and often results in apoptosis. Yougui Pill(YGP), a 10-component traditional Chinese herbal medicine, has been shown to be clinically effective for glucocorticoid-induced suppression of the hypothalamo-pituitary-adrenal axis. However, the pharmacological and molecular mechanisms remain unclear. We hypothesized that YGP would exert an anti-apoptosis effect on dexamethasone-treated anterior pituitary cells. In vivo experiments showed that YGP significantly reduced the number of apoptotic cells, down-regulated m RNA expression of cytochrome c, caspase-3, and caspase-9, and up-regulated m RNA expression of Bcl-2. These findings suggest that YGP reduced glucocorticoid-induced apoptosis in rat anterior pituitary cells by regulating the mitochondria-mediated apoptosis pathway. 展开更多
关键词 nerve regeneration yougui Pill glucocorticoid apoptosis Bcl-2 cytochrome c caspase-3 caspase-9 mitochondrial membrane potential neural regeneration
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Preliminary Study on the Differentiation of Bone Marrow Mesenchymal Stem Cells into Chondrocytes Induced by TGF-β1, Yougui Yin Drug-Containing Serum and Mechanical Stimulation
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作者 Zengping Lin Kanghua Zheng +4 位作者 Darong Nie Huoquan Ye Hongjie Zhang Linfeng Tang Zhong Dong 《Journal of Biosciences and Medicines》 2024年第12期219-228,共10页
Objective: Bone marrow mesenchymal stem cells (BMSCs) have the potential to differentiate into chondrocytes, it is the ideal seed cells for treating cartilage injury. The purpose of this study was to investigate the i... Objective: Bone marrow mesenchymal stem cells (BMSCs) have the potential to differentiate into chondrocytes, it is the ideal seed cells for treating cartilage injury. The purpose of this study was to investigate the inducible factors that stimulate the differentiation of bone marrow mesenchymal stem cells into chondrocytes. Methods: Rat BMSCs were isolated and subcultured, and then inoculated on PLGA scaffolds after successfully identificating of BMSCs. They were divided into 5 groups. Blank serum group, TGF-β1 + Yougui Yin drug-containing serum induction group, TGF-β1 + mechanical stimulation induction group, Yougui Yin drug-containing serum + mechanical stimulation induction group, TGF-β1 + Yougui Yin drug-containing serum + mechanical stimulation induction group, 4 weeks later, the adhesion status of cells and scaffolds was observed by Scanning Electron Microscopy, and then chondrocyte induction was performed on different treatment groups. After induction, the expression of Aggrecan and Collagen II was detected by immunofluorescence, and the mRNA expression of Aggrecan and Collagen II was detected by qPCR. Results: BMSCs were identified as rat bone marrow mesenchymal stem cells by immunofluorescence CD34 and CD44 cells. Scanning Electron Microscopy observed that BMSCs grew well on PLGA. Compared with PLGA group, the scaffold space of BMSCS-PLGA composite was significantly reduced, and the growth of cell adhesion scaffold was significantly increased. Compared with the blank serum group, the expression of Aggrecan in TGF-β1 + Yougui Yin drug-containing serum group and Yougui Yin drug-containing serum + mechanical stimulation group was significantly increased. The expression of Collagen II in TGF-β1 + Yougui Yin medicated serum group, Yougui Yin medicated serum + mechanical stimulation group, TGF-β1 + mechanical stimulation group and TGF-β1 + Yougui Yin medicated serum + mechanical stimulation group were significantly increased;PCR results showed that compared with blank serum group, the expression of Aggrecan in other groups was significantly increased, except for Collagen II expression in Yougui Yin drug-containing serum + mechanical stimulation group. Conclusion: BMSCs can differentiate into chondrocytes on PLGA scaffold. Compared with blank serum group, BMSCs can be induced to differentiate into chondrocytes in all induction groups, among all induction groups, TGF-β1 + Yougui-yin drug-containing serum group and TGF-β1 + mechanical stimulation group were more significant, and the difference was statistically significant. 展开更多
关键词 BMSCs yougui Yin Drug-Containing Serum TGF-Β1 Mechanical Stimulation PLGA Chondrocyt
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Network pharmacological study of Zuogui pill and Yougui pill for the treatment of postmenopausal osteoporosis
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作者 Jie Ding Shan-Shan Mei +1 位作者 Zhe-Xin Ni Chao-Qin Yu 《Aging Communications》 2022年第3期4-13,共10页
Background:Postmenopausal osteoporosis(PMO)is the most common primary osteoporosis in older women.This condition imposes a huge economic and medical burden on society.Aside from western medicine,traditional Chinese me... Background:Postmenopausal osteoporosis(PMO)is the most common primary osteoporosis in older women.This condition imposes a huge economic and medical burden on society.Aside from western medicine,traditional Chinese medicine is also widely used for the treatment of PMO,especially in Asian countries.Zuogui pill(ZGP)and Yougui pill(YGP)are classical formulas for the treatment of PMO with potent clinical effects.This study aimed to explore the potential active compounds,potential targets,and potential mechanisms of ZGP and YGP for the treatment of PMO.Methods:Compounds from ZGP and YGP were collected from three online databases,and these compounds were screened by oral bioavailability and drug-likeness.Their corresponding targets were determined from the Medicine Systems Pharmacology Database and Analysis platform.The corresponding targets for PMO were obtained from two disease databases.The target protein-protein interaction was identified through the STRING platforms and the core targets were ascertained by analyzing the protein-protein interaction network by using Cytoscape software.PMO-related genes were identified via Gene Ontology and Kyoto Encyclopedia of Genes and Genomes analyses to identify specific biological processes,cellular components,molecular functions and key signalling pathways of ZGP and YGP for PMO treatment.Results:A total of 68 compounds were screened from ZGP with 168 putative potential target genes,whereas 99 compounds were screened from YGP with 214 potential target genes associated with PMO.Most of the core components included quercetin and kaempferol,and most of the core targets were TP53,AKT1,MAPK1,JUN,TNF,HSP90AA1,APP,IL6,VEGFA,RELA,MAPK8,NR3C1,EGFR,CXCL8,ESR1,FOS and MAPK14.Gene Ontology enrichment and Kyoto Encyclopedia of Genes and Genomes pathway analyses revealed that ZGP and YGP treat PMO primarily via regulation of bone formation and resorption,anti-inflammatory immunity and hormonal regulation.Conclusion:Our data provided insights into the mechanisms,by which ZGP and YGP treat PMO.This study points out a direction for further research into ZGP and YGP monomers and pathways and offers a new clinical treatment option for non-traditional Chinese medicine clinicians in the treatment of PMO. 展开更多
关键词 Zuogui pill yougui pill postmenopausal osteoporosis network pharmacological
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右归丸减缓膝骨关节炎模型大鼠软骨细胞焦亡的作用机制
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作者 范元赫 杨永菊 +5 位作者 何璠玙 乔隆 张宇 张帅 李志文 关雪峰 《中国组织工程研究》 北大核心 2026年第24期6214-6219,共6页
背景:右归丸出自《景岳全书》,有研究证实右归丸对膝骨关节炎患者疗效显著,但作用机制尚不明确。目的:探讨右归丸改善大鼠膝骨关节炎的潜在分子作用机制。方法:48只SPF级SD大鼠采用随机数字表法分为4组,分别为空白组、模型组、右归丸组... 背景:右归丸出自《景岳全书》,有研究证实右归丸对膝骨关节炎患者疗效显著,但作用机制尚不明确。目的:探讨右归丸改善大鼠膝骨关节炎的潜在分子作用机制。方法:48只SPF级SD大鼠采用随机数字表法分为4组,分别为空白组、模型组、右归丸组、塞来昔布组,后3组采用改良Hulth法对大鼠膝关节进行手术造模,伤口愈合后驱赶8周。造模结束后,塞来昔布组大鼠灌胃塞来昔布混悬液,右归丸组大鼠灌胃右归丸水煎液,假手术组与模型组灌胃等体积生理盐水,1次/d,连续灌胃4周。采用苏木精-伊红染色、甲苯胺蓝染色、番红-固绿染色观察大鼠软骨组织病理变化,透射电镜观察大鼠软骨细胞超微结构,ELISA法检测大鼠血清中白细胞介素18、白细胞介素1β、肿瘤坏死因子α水平,Western blot法检测大鼠软骨组织PI3K、AKT、NF-κB、p-PI3K、p-AKT、p-P65、NLRP3、GSDMD、GSDMD-N、Caspase1、Cleaved-Caspase1、白细胞介素18、白细胞介素1β蛋白表达。结果与结论:①与空白组比较,模型组大鼠软骨边缘严重破坏,软骨组织缺损,软骨层细胞变薄、排列紊乱,软骨下骨增生,潮线紊乱,软骨细胞结构损伤严重、焦亡小体形成,血清肿瘤坏死因子α、白细胞介素18、白细胞介素1β水平显著升高(P<0.05),软骨组织p-PI3K、p-AKT、p-P65、NLRP3、GSDMD-N、Cleaved-Caspase1、白细胞介素18、白细胞介素1β蛋白表达均显著升高(P<0.01);②与模型组比较,右归丸组和塞来昔布组大鼠软骨结构趋于正常,软骨着色较深,软骨增厚,软骨细胞胞膜较完整,血清中肿瘤坏死因子α、白细胞介素18、白细胞介素1β水平显著减低(P<0.05),软骨组织p-PI3K、p-AKT、p-P65、NLRP3、GSDMD-N、Cleaved-Caspase1、白细胞介素18、白细胞介素1β蛋白表达显著降低(P<0.01);③与塞来昔布组比较,右归丸组软骨细胞排列较规整,关节软骨表面较光滑,软骨层增厚明显,潮线相对完整,软骨细胞胞膜相对完整,血清中肿瘤坏死因子α、白细胞介素18、白细胞介素1β水平显著减低(P<0.05),软骨组织p-PI3K、p-AKT、p-P65、NLRP3、GSDMD-N、Cleaved-Caspase1、白细胞介素18、白细胞介素1β蛋白表达显著降低(P<0.01)。结果表明,右归丸可改善膝骨关节炎大鼠软骨细胞炎症反应,作用机制可能与抑制PI3K/AKT/NF-κB通路的激活,从而调控NLRP3/Caspase1/GSDMD通路介导的细胞焦亡相关。 展开更多
关键词 右归丸 膝骨关节炎 中药 软骨 炎症 焦亡 信号通路
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Effects of Zuogui Pill(左归丸) and Yougui Pill(右归丸) on the Expression of Brain-Derived Neurotrophic Factor and Cyclic Adenosine Monophosphate/Protein Kinase A Signaling Transduction Pathways of Axonal Regeneration in Model Rats with Experimental Autoimm 被引量:9
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作者 王义周 寇爽 +5 位作者 谷凌云 郑琦 李明 齐放 赵晖 王蕾 《Chinese Journal of Integrative Medicine》 SCIE CAS 2014年第1期24-30,共7页
Objective:To study the effects of Zuogui Pill(左归丸,ZGP)and Yougui Pill(右归丸,YGP)on the expressions of brain-derived neurotrophic factor(BDNF)and cyclic adenosine monophosphate(cAMP)/protein kinase A(PKA... Objective:To study the effects of Zuogui Pill(左归丸,ZGP)and Yougui Pill(右归丸,YGP)on the expressions of brain-derived neurotrophic factor(BDNF)and cyclic adenosine monophosphate(cAMP)/protein kinase A(PKA)signaling of axonal regeneration in the Lewis rats with experimental autoimmune encephalomyelitis(EAE),in order to explore the possible mechanism of ZGP and YGP on promoting axonal regeneration.Methods:The rats were randomly divided into normal control(NC),model(MO),prednisone acetate(PA),ZGP and YGP groups.The EAE model of rat was established by injecting antigen containing myelin basic protein(MBP)68-86.The brain and spinal cord were harvested on the 14th and 28th day postimmunization(PI),the protein and mRNA expression of BDNF and PKA in the brain and spinal cord of rats were detected by Western blot analysis and real-time quantitative polymerase chain reaction(PCR),and the cAMP levels were detected by using enzyme-immunoassay method.Results:(1)On the 28th day PI,the mRNA expression of BDNF in brain white matter and spinal cord of rats in ZGP and YGP groups were up-regulated,especially in YGP group(P〈0.05 or P〈0.01).(2)On the 14th day PI,the cAMP levels in brain white matters significantly increased in PA and YGP groups compared with MO group(P〈0.05 or P〈0.01),and the cAMP level in YGP group was higher than that in ZGP group(P〈0.05).The cAMP level in spinal cord also significantly increased in YGP group compared with MO,PA and ZGP groups,respectively(P〈0.01).(3)On the 14th day PI,the PKA expression in spinal cord of rats in ZGP group was significantly decreased compared with MO and YGP groups,respectively(P〈0.05).(4)On the 28th day PI,there was a positive correlation between cAMP and PKA expression in the brain white matter of YGP rats.Conclusions:The results suggest that ZGP and YGP may promote axonal regeneration by modulating cAMP/PKA signal transduction pathway,but the targets of molecular mechanism of ZGP may be different from those of YGP. 展开更多
关键词 experimental autoimmune encephalomyelitis Zuogui Pill yougui Pill brain-derived neurotrophic factor cyclic adenosine monophosphate protein kinase A axonal injury and regeneration Chinese medicine
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Research on the Mechanism of Zuogui Pill(左归丸)and Yougui Pill(右归丸)in Promoting Axonal Regeneration in Model Rats of Autoimmune Encephalomyelitis 被引量:8
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作者 王蕾 赵晖 +4 位作者 樊永平 龚海洋 李明 齐放 刘妍 《Chinese Journal of Integrative Medicine》 SCIE CAS 2010年第2期167-172,共6页
Objective:To study the molecular mechanism of Zuogui Pill(左归丸,ZGP) and Yougui Pill(右归丸,YGP) on axonal regeneration in rats with experimental autoimmune encephalomyelitis(EAE).Methods: EAE rat model was e... Objective:To study the molecular mechanism of Zuogui Pill(左归丸,ZGP) and Yougui Pill(右归丸,YGP) on axonal regeneration in rats with experimental autoimmune encephalomyelitis(EAE).Methods: EAE rat model was established by bilateral rear pedes subcutaneous injection of antigen made by mixing myelin basic protein(MBP) and complete Freud's adjuvant(CFA) in the volume ratio of 1:1.The pathological changes of axonal injury and regeneration in the brain and the spinal cord were observed on the 14th(the acute stage) and the 28th day(the remission stage) after modeling,with hematoxylin-eosin(HE) staining,silver stain, and immunohistochemical staining.The rats treated with prednisone acetate were taken as controls.Results: Observation under the light microscope with HE staining showed a sleeve-like change in rats' cerebrospinal parenchyma with inflammatory cell infiltration around the small vessels and neuronic denaturation,while silver staining showed excessive tumefaction and abscission of axon,and immunohistochemical analysis showed decreasing of nerve growth factor(NGF) expression at the acute stage of EAE,which was even more remarkable at the remission stage,showing significant difference as compared with the normal control(P〈0.05). And the expressions of Nogo A,an axon growth inhibitor,and its receptor(Nogo-66 receptor,Ng R) were significantly higher than those in the normal control at the acute stage(P〈0.01).However,after the intervention of ZGP and YGP,the pathological changes and axon damage in rats' brain and spinal cord were much more alleviated,and the NGF expression was significantly higher than that in the model group at the acute stage (P〈0.05).The expression of NGF was even stronger during the remission stage,and a better effect was shown by YGP.As for Nogo A and Ng R expressions,they were significantly lower than those in the model group at the acute stage(P〈0.05),but a better effect was shown by ZGP.Conclusions:ZGP and YGP can prevent axonal injury and promote the axonal regeneration in rats of EAE,and the possible mechanism is to increase the expression of NGF and reduce the expression of Nogo A and its receptor.However,some differences are observed between the two Chinese preparations in their acting times and points,which provides a certain basis for revealing the modern connotation of the Chinese medicine theory on tonifying Shen(肾)-yin and Shen-yang. 展开更多
关键词 Zuogui Pill yougui Pill experimental autoimmune encephalomyelitis axonal regeneration
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右归丸、涤痰汤化裁治疗多囊卵巢综合征对内分泌激素代谢和胰岛素抵抗的影响 被引量:1
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作者 徐新亚 沈芳芳 相如兰 《中华中医药学刊》 北大核心 2025年第9期159-163,共5页
目的分析右归丸、涤痰汤化裁治疗多囊卵巢综合征对内分泌激素代谢和胰岛素抵抗的影响。方法选取2020年3月—2024年3月医院收治的多囊卵巢综合征患者102例为研究对象,51例对照组采用单纯西药治疗,51例观察组在上述基础上予以右归丸、涤... 目的分析右归丸、涤痰汤化裁治疗多囊卵巢综合征对内分泌激素代谢和胰岛素抵抗的影响。方法选取2020年3月—2024年3月医院收治的多囊卵巢综合征患者102例为研究对象,51例对照组采用单纯西药治疗,51例观察组在上述基础上予以右归丸、涤痰汤化裁治疗,对比两组临床效果、性激素指标、卵巢及月经情况、糖代谢指标情况。结果观察组与对照组总有效率对比,98.04%高于78.43%,差异有统计学意义(P<0.05)。治疗后,两组血清睾酮(Serum Testosterone,T)、黄体生成素(Luteinizing Hormone,LH)水平较前降低,雌二醇(Estradiol,E_(2))、泌乳素(Prolactin,PRL)、卵泡刺激素(Follicle-Stimulating Hormone,FSH)以及性激素结合球蛋白(Sex Hormone-Binding Globulin,SHBG)较前升高(P<0.05),且与对照组比较,观察组降低/升高更为显著(P<0.05)。治疗后两组卵巢体积、卵泡数目均减少(P<0.05),且与对照组比较,观察组减少更为显著(P<0.05);观察组月经恢复率96.08%,高于对照组的74.51%(P<0.05);观察组卵巢恢复率96.08%,高于对照组的76.47%(P<0.05)。治疗后两组空腹血糖(Fasting Blood Glucose,FBG)、空腹胰岛素(Fasting Insulin,FINS)、2 h血糖(2-hour Plasma Glucose,2 hPG)、性激素结合球蛋白(Sex Hormone-Binding Globulin,SHBG)水平均有所降低(P<0.05),与对照组比较,观察组FBG、FINS、2 hPG以及胰岛素抵抗指数(HOMA-IR)水平降低更为明显(P<0.05)。结论被诊断为多囊卵巢综合征的患者使用药物、右归丸、涤痰汤化裁联合治疗后,治疗效果显著,可有效改善患者的激素水平,改善其糖代谢指标,促进患者恢复。 展开更多
关键词 多囊卵巢综合征 西药治疗 右归丸、涤痰汤化裁 内分泌激素代谢 胰岛素抵抗
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右归丸活性成分对成骨-破骨共育体系Wnt/β-catenin、OPG/RANKL/RANK通路相关因子mRNA表达的影响
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作者 章建华 裘佳韦 +2 位作者 商佳璐 叶怡馨 尹华 《中华中医药杂志》 北大核心 2025年第7期3456-3463,共8页
目的:明确右归丸活性成分乌头碱类、松脂醇葡萄糖苷、肉桂酸等对成骨(OB)-破骨(OC)共育体系Wnt/β-catenin、OPG/RANKL/RANK通路相关因子LRP6、LRP5、β-catenin等mRNA表达的调控作用。方法:分别用MC3T3-E1和RAW264.7诱导培养OB和OC并... 目的:明确右归丸活性成分乌头碱类、松脂醇葡萄糖苷、肉桂酸等对成骨(OB)-破骨(OC)共育体系Wnt/β-catenin、OPG/RANKL/RANK通路相关因子LRP6、LRP5、β-catenin等mRNA表达的调控作用。方法:分别用MC3T3-E1和RAW264.7诱导培养OB和OC并进行鉴定,以Transwell共培养建立OB-OC共育体系;分别制备右归丸活性成分乌头碱、次乌头碱、新乌头碱、苯甲酰乌头原碱、苯甲酰次乌头原碱、苯甲酰新乌头原碱、松脂醇二葡萄糖苷、肉桂酸的单体干预液,并采用RT-qPCR法检测细胞中LRP6、LRP5、β-catenin、TCF7、Fzd2、OPG、TRAF6、NFATc1、c-Fos、MMP9、CTSK、Car2 mRNA的表达。结果:成功诱导OB和OC,并建立OB-OC共育体系;右归丸活性成分中乌头碱、次乌头碱、新乌头碱、苯甲酰乌头原碱、苯甲酰新乌头原碱、松脂醇二葡萄糖苷、肉桂酸能上调OB-OC共育体系中Wnt/β-catenin通路LRP6、LRP5、β-catenin、TCF7、Fzd2 mRNA表达水平;次乌头碱、新乌头碱、苯甲酰乌头原碱、苯甲酰新乌头原碱、松脂醇二葡萄糖能上调OPG/RANKL/RANK通路OPG mRNA表达水平;乌头碱、次乌头碱、新乌头碱、苯甲酰乌头原碱、苯甲酰次乌头原碱、苯甲酰新乌头原碱、松脂醇二葡萄糖苷、肉桂酸能抑制OPG/RANKL/RANK通路TRAF6、NFATc1、c-Fos、MMP9、CTSK、Car2 mRNA水平的表达。结论:右归丸活性成分可以通过调控Wnt/β-catenin、OPG/RANKL/RANK通路相关因子的基因表达,促进骨形成,抑制骨吸收,重建骨代谢平衡,起到治疗骨质疏松肾阳虚证的作用。 展开更多
关键词 右归丸活性成分 成骨-破骨共育体系 Wnt/β-catenin通路 OPG/RANKL/RANK通路 mRNA
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加味右归丸联用骨康胶囊治疗糖尿病骨质疏松的临床研究
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作者 滕加文 陈文明 李宝锋 《辽宁中医杂志》 北大核心 2025年第12期89-92,共4页
目的探讨加味右归丸联用骨康胶囊对糖尿病性骨质疏松症患者骨转换指标及骨代谢的影响。方法收集2019年7月—2023年7月山东中医药大学附属医院骨伤科收治的糖尿病性骨质疏松症患者96例,根据随机数字分配表随机分为试验组和对照组,各48例... 目的探讨加味右归丸联用骨康胶囊对糖尿病性骨质疏松症患者骨转换指标及骨代谢的影响。方法收集2019年7月—2023年7月山东中医药大学附属医院骨伤科收治的糖尿病性骨质疏松症患者96例,根据随机数字分配表随机分为试验组和对照组,各48例,对照组予以骨康胶囊,试验组在对照组基础上予以加味右归丸。两组均治疗3个月。对比两组中医临床症状、血糖相关指标、骨密度、骨代谢、骨转换指标、临床疗效。根据SPSS 24.0进行统计学分析。结果治疗后两组腰背疼痛、腰膝酸软、抽筋乏力、下肢疼痛和下肢痿弱等症状评分均低于治疗前(P<0.05);试验组各项症状评分低于对照组(P<0.05);两组治疗前后血磷相、血钙比差异无统计学意义(P>0.05)。治疗后两组糖化血红蛋白(glycated hemoglobin,HbA1c)和空腹血糖(fasting blood glucose,FPG)水平、餐后2 h血糖(2-hour postprandial blood glucose,2 h PBG)水平低于治疗前(P<0.05);试验组FPG、2 h PBG和HbA1c水平低于对照组(P<0.05)。治疗后两组L1~L4、股骨大转子、股骨颈、总髋部骨密度高于治疗前(P<0.05);试验组各部位骨密度水平高于对照组(P<0.05)。治疗后与对照组比较,试验组总有效率较高(P<0.05)。治疗后两组血清骨钙素(osteocalcin,BGP)、碱性磷酸酶(alkaline phosphatase,ALP)均高于治疗前,抗酒石酸酸性磷酸酶-5b(tartrate-resistant acid phosphatase 5b,TRAP-5b)低于治疗前(P<0.05);试验组BGP、ALP均高于对照组,TRAP-5b低于对照组(P<0.05);两组治疗前后血磷相、血钙比差异无统计学意义(P>0.05)。结论加味右归丸联用骨康胶囊能够显著改善糖尿病性骨质疏松症患者的疗效,其治疗机制可能与调节骨转换指标、骨代谢水平具有密切相关性。 展开更多
关键词 加味右归丸 骨康胶囊 糖尿病性骨质疏松症 骨转换指标 骨代谢
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左、右归丸调控PGC-1α介导PMOP大鼠骨髓线粒体生物机制 被引量:2
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作者 杨莹 冯秀芝 +3 位作者 陈怡然 王智民 郭晛 任艳玲 《中国骨质疏松杂志》 北大核心 2025年第2期163-168,203,共7页
目的以中医“阳化气、阴成形”理论为出发点,探讨“阴阳互济”法介导PGC-1α对PMOP发病过程中线粒体生物发生的影响,为左、右归丸防治PMOP奠定更多理论依据。方法将100只SD大鼠随机分为SHAM、OVX、ZGW、YGW、BJL组,每组20只。除SHAM组外... 目的以中医“阳化气、阴成形”理论为出发点,探讨“阴阳互济”法介导PGC-1α对PMOP发病过程中线粒体生物发生的影响,为左、右归丸防治PMOP奠定更多理论依据。方法将100只SD大鼠随机分为SHAM、OVX、ZGW、YGW、BJL组,每组20只。除SHAM组外,其余组切除双侧卵巢,造模3 d后按组别灌胃12周。采用Micro-CT检测大鼠左侧股骨近端骨分析参数;HE染色法观察骨组织形态;ELISA法检测血清BGP、PICP的含量;比色法检测血清TRACP含量;Western Blot法检测骨髓组织中成脂相关蛋白PPARγ、C/EBPα、CD36、FSP27、Adipoq,骨髓脂肪相关蛋白PGC-1α、UCP1、DIO2、PRDM16以及线粒体生物发生相关NRF1、NRF2、TFAM蛋白表达水平。结果与SHAM组比较,OVX组BMD、BV/TV、Ct.Th、Tb.Th、Conn D表达降低(P<0.01);骨小梁稀疏变细,髓腔内脂肪细胞增多,脂滴体积变大;血清BGP、PICP、TRACP含量显著升高(P<0.01);PPARγ、C/EBPα、CD36、FSP27蛋白表达均显著上调(P<0.01),Adipoq、PGC-1α、UCP1、DIO2、PRDM16、NRF1、NRF2、TFAM蛋白表达显示下调(P<0.01)。与OVX组比较,各给药组的骨分析参数明显改善(P<0.05,P<0.01);骨小梁增粗、数量增多、骨形态结构明显增强;脂肪细胞减少;血清BGP、PICP、TRACP含量显著降低(P<0.01);PPARγ、C/EBPα、CD36、FSP27蛋白表达下调,Adiopq、PGC1-α、UCP1、DIO2、NRF1、NRF2、TFAM蛋白表达上调(P<0.05,P<0.01)。结论左、右归丸均可调控PGC-1α影响骨髓脂肪累积,提高线粒体生物发生水平以防治PMOP。 展开更多
关键词 左归丸 右归丸 绝经后骨质疏松症 PGC-1Α 线粒体生物发生
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全息经络灸法联合右归丸在肾阳虚体质型更年期妇女亚健康中的应用
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作者 石玲 黄利 陈晓燕 《长春中医药大学学报》 2025年第6期681-685,共5页
目的基于中医全息诊疗理论探讨灸法联合右归丸加减治疗肾阳虚体质型更年期妇女亚健康状态的临床效果。方法选择肾阳虚体质型更年期妇女亚健康状态患者142例,依据治疗方法的不同分为对照组与观察组,各71例,对照组给予右归丸加减治疗,观... 目的基于中医全息诊疗理论探讨灸法联合右归丸加减治疗肾阳虚体质型更年期妇女亚健康状态的临床效果。方法选择肾阳虚体质型更年期妇女亚健康状态患者142例,依据治疗方法的不同分为对照组与观察组,各71例,对照组给予右归丸加减治疗,观察组在对照组基础上给予全息经络灸法治疗,2组均持续治疗8周。结果观察组总有效率(97.18%,69/71)高于对照组(83.10%,59/71)(P<0.05)。治疗后,2组中医证候各项评分、血清促卵泡激素(FSH)、促黄体生成素(LH)、脱氧吡啶啉(D-Pyr)、Ⅰ型前胶原氨基端前肽(s-PINP)水平均低于治疗前(P<0.05),观察组低于对照组(P<0.05);2组社会领域、心理领域、生理领域、环境领域各项评分、血清雌二醇(E2)、孕激素(P)、5-羟色胺(5-HT)、γ-氨基丁酸(GABA)水平均高于治疗前(P<0.05),观察组高于对照组(P<0.05);对照组复常率(46.48%,33/71)低于观察组(78.87%,56/71)(P<0.05)。结论基于中医全息诊疗理论灸法联合右归丸加减可稳定肾阳虚体质型更年期妇女亚健康状态患者体内激素水平,有效调节神经体质表达,改善骨代谢水平及临床症状,提高患者生存质量、复常率,临床疗效显著。 展开更多
关键词 更年期 亚健康状态 肾阳虚体质型 全息诊疗 右归丸 灸法
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右归丸经Serpina3k调控Keap1/Nrf2信号通路抑制氧化应激诱发的颗粒细胞损伤 被引量:1
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作者 焦蓓蓓 栗田 +4 位作者 周蓓蓓 陈思 陈玥 张健 王佩娟 《中国中药杂志》 北大核心 2025年第4期1111-1120,共10页
为探究右归丸(YGP)对过氧化氢(H_(2)O_(2))诱导的人卵巢颗粒细胞株(KGN)氧化损伤的作用及机制。通过超高效液相色谱-四极杆静电场轨道阱质谱(UHPLC-QE-MS)分析给予YGP低、高剂量后SD大鼠的入血成分,选择右归丸高剂量组含药血清作为细胞... 为探究右归丸(YGP)对过氧化氢(H_(2)O_(2))诱导的人卵巢颗粒细胞株(KGN)氧化损伤的作用及机制。通过超高效液相色谱-四极杆静电场轨道阱质谱(UHPLC-QE-MS)分析给予YGP低、高剂量后SD大鼠的入血成分,选择右归丸高剂量组含药血清作为细胞模型的药物。采用200μmol·L^(-1)H_(2)O_(2)刺激KGN,构建氧化损伤模型。将其分为正常组,模型组,YGP低、中、高剂量组,在沉默或过表达Serpina3k基础上进一步验证药效。采用TUNEL染色检测细胞凋亡,酶联免疫吸附测定(ELISA)法检测KGN分泌雌二醇(E_(2))、17β-E_(2)水平,蛋白免疫印迹(Western blot)法检测激肽释放酶结合蛋白(Serpina3k)及Kelch样ECH相关蛋白1(Keap1)/核因子E_(2)相关因子2(Nrf2)信号通路相关蛋白的表达。结果显示,与模型组比较,右归丸各剂量不仅可显著降低颗粒细胞凋亡,上调E_(2)、17β-E_(2)分泌水平,还可显著上调Serpina3k/Nrf2通路。进一步研究发现,Serpina3k过表达后不仅可增强YGP的治疗效应,还增加Nrf2的表达,抑制Keap1的表达;而干扰Serpina3k后,YGP的治疗作用被部分逆转,同时YGP对Keap1/Nrf2信号通路的调控作用也被部分削弱。结果表明,YGP改善氧化应激诱导颗粒细胞损伤的机制可能与其上调Serpina3k表达,影响Keap1/Nrf2信号通路的传导有关。该研究揭示了YGP对颗粒细胞保护的作用机制,为其临床应用提供了一定的理论依据。 展开更多
关键词 右归丸 卵巢颗粒细胞 氧化应激 Serpina3k Keap1/Nrf2信号通路
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左、右归丸干预PGC-1α/PPARγ对骨髓间充质干细胞线粒体生物发生的影响 被引量:1
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作者 杨莹 冯秀芝 +3 位作者 陈怡然 王智民 郭晛 任艳玲 《中国实验方剂学杂志》 北大核心 2025年第9期28-36,共9页
目的:基于“阳化气,阴成形”理论,探讨左、右归丸通过过氧化物酶体增殖激活受体γ共激活因子-1α(PGC-1α)及过氧化物酶体增殖物激活受体γ(PPARγ)影响大鼠骨髓间充质干细胞成脂分化过程中线粒体生物发生的分子机制,为左、右归丸防治... 目的:基于“阳化气,阴成形”理论,探讨左、右归丸通过过氧化物酶体增殖激活受体γ共激活因子-1α(PGC-1α)及过氧化物酶体增殖物激活受体γ(PPARγ)影响大鼠骨髓间充质干细胞成脂分化过程中线粒体生物发生的分子机制,为左、右归丸防治绝经后骨质疏松症(PMOP)奠定更多理论依据。方法:将骨髓间充质干细胞(BMSCs)分为成脂诱导组(模型组)、左归丸组、右归丸组、补佳乐组,采用流式细胞仪进行细胞鉴定;噻唑蓝(MTT)比色法绘制BMSCs的生长曲线,并检测左、右归丸对BMSCs增殖的影响;油红O染色法检测脂滴的形成;蛋白免疫印迹法(Western blot)检测成脂相关因子PPARγ、CCAAT增强子结合蛋白(C/EBP)α、C/EBPβ、脂蛋白脂肪酶(LPL)蛋白,棕色脂肪相关蛋白PGC-1α、解偶联蛋白1(UCP1)、PR结构域蛋白16(PRDM16)蛋白,线粒体生物发生相关PGC-1α、核呼吸因子1(Nrf1)、核转录因子红系2相关因子2(Nrf2)、线粒体转录因子A(TFAM)蛋白的表达;实时荧光定量聚合酶链式反应(Real-time PCR)检测成脂相关因子PPARγ、C/EBPα、C/EBPβ、LPL mRNA及细胞色素B(CytoB)基因拷贝数的表达;透射电镜观察线粒体超微结构。结果:与模型组比较,各给药组BMSCs增殖能力随干预时间增强而增强,药物干预后脂滴明显减少,成脂相关PPARγ、C/EBPα、C/EBPβ、LPL mRNA及蛋白表达水平显著下调(P<0.01);棕色脂肪相关PGC-1α、UCP1、PRDM16蛋白表达水平显著上调(P<0.01);线粒体数量增多,肿胀减少,双层膜和嵴结构清晰,同时内嵴断裂减少;CytoB基因拷贝数显著上调(P<0.01);线粒体生物发生相关PGC-1α、Nrf1、Nrf2、TFAM蛋白表达水平显著上调(P<0.01)。结论:左、右归丸均能通过PGC-1α/PPARγ影响BMSCs线粒体生物发生以防治PMOP。 展开更多
关键词 左归丸 右归丸 绝经后骨质疏松症 过氧化物酶体增殖激活受体γ共激活因子-1α(PGC-1α) 线粒体生物发生
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基于PI3K/AKT信号通路的右归丸防治悬尾骨质疏松症大鼠的机制研究 被引量:1
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作者 付夜平 杨芳 +3 位作者 孙鑫 胡楠 李俊儒 杨蓝鑫 《时珍国医国药》 北大核心 2025年第7期1213-1217,共5页
目的 观察右归丸对悬尾骨质疏松症(OP)大鼠骨组织中PI3K/AKT信号通路的影响,阐明右归丸防治OP的内在机制。方法 通过尾部悬吊法制备OP大鼠模型,造模时长为8周,同时予以右归丸灌胃。灌胃结束后ELISA测定腹主动脉血清中碱性磷酸酶(ALP)、... 目的 观察右归丸对悬尾骨质疏松症(OP)大鼠骨组织中PI3K/AKT信号通路的影响,阐明右归丸防治OP的内在机制。方法 通过尾部悬吊法制备OP大鼠模型,造模时长为8周,同时予以右归丸灌胃。灌胃结束后ELISA测定腹主动脉血清中碱性磷酸酶(ALP)、抗酒石酸酸性磷酸酶(TRACP)含量,苏木精-伊红染色(HE)染色观察大鼠左侧股骨远端病理变化;双能X线行左侧股骨密度(BMD)检测;计算机微断层扫描(Micro-CT)检测大鼠左侧股骨远端形态学变化及骨体积分数(BV/TV)、骨小梁厚度(Tb.Th)、骨小梁分离度(Tb.Sp);蛋白免疫印迹法(Western blot)检测股骨组织中PI3K、p-PI3K、AKT、p-AKT蛋白表达情况。结果 与空白组相比,模型组ALP、BMD、BV/TV、Tb.Th、p-PI3K/PI3K、p-AKT/AKT表达降低,TRACP(P<0.01)升高;HE染色、Micro-CT:与空白组相比,模型组骨小梁数量减少且断裂,骨小梁变细、间隔变大、面积减小,在右归丸干预下以上变化均有改善。结论 右归丸可提高骨组织中PI3K/AKT信号通路表达,改善悬尾OP大鼠骨微结构,起到防治OP的作用。 展开更多
关键词 骨质疏松症 PI3K/AKT通路 右归丸 补肾 作用机制
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二仙汤合右归汤治疗卵巢早衰闭经临床效果 被引量:3
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作者 宋慧 贾文娟 《辽宁中医杂志》 北大核心 2025年第4期79-82,共4页
目的研究二仙汤合右归汤治疗卵巢早衰闭经的临床效果。方法卵巢早衰闭经患者62例,随机数字表法分为A组(31例)与B组(31例)。A组进行序贯疗法,B组联合二仙汤合右归汤治疗,比较两组疗效,中医证候评分、症状自评量表(SCL-90)积分、Kupperma... 目的研究二仙汤合右归汤治疗卵巢早衰闭经的临床效果。方法卵巢早衰闭经患者62例,随机数字表法分为A组(31例)与B组(31例)。A组进行序贯疗法,B组联合二仙汤合右归汤治疗,比较两组疗效,中医证候评分、症状自评量表(SCL-90)积分、Kupperman评分、子宫三径线之和、子宫内膜厚度、外周血磷脂酰肌醇3激酶(PI3K)、丝氨酸苏氨酸蛋白激酶(AKT)、调节性T细胞(Treg)、辅助性T细胞(Th17)、血清抗苗勒管激素(AMH)、抑制素B(INHB)水平,治疗期间不良反应发生情况。结果治疗3个月后,B组总有效率高于A组;两组治疗3个月后中医证候评分、SCL-90积分、Kupperman评分、外周血PI3K、AKT、Th17水平与治疗前比较,降低,与A组比较,B组更低;两组治疗3个月后子宫三径线之和、血清AMH、外周血INHB、Treg水平与治疗前比较,升高,与A组比较,B组更高;两组治疗3个月后子宫内膜厚度与治疗前比较,增厚,与A组比较,B组更厚(P<0.05)。B组与A组治疗期间总不良反应发生率接近(P>0.05)。结论二仙汤合右归汤可帮助调控卵巢早衰闭经患者体内控P13K/AKT信号通路,改善其临床症状、卵巢功能及免疫功能,缓解患者子宫萎缩情况及病情严重程度,降低机体炎症反应,提高患者精神心理健康状况,临床疗效较好,同时不会增加不良反应的发生概率。 展开更多
关键词 卵巢早衰 闭经 二仙汤 右归汤 临床效果
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右归丸与金匮肾气丸对肾阳虚小鼠免疫器官及精子质量影响的比较研究 被引量:1
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作者 邓力 孙泾汇 +2 位作者 陈金斌 唐莉莉 赵杨 《中医药信息》 2025年第3期22-26,41,共6页
目的:探究右归丸与金匮肾气丸对肾阳虚小鼠免疫器官和精子质量作用效果的差异。方法:昆明雄性小鼠28只(死亡1只)随机分为4组,其中正常组6只,模型组、金匮组和右归组各7只。除正常组外,其余各组给予氢化可的松灌胃、播放警报音频和强迫游... 目的:探究右归丸与金匮肾气丸对肾阳虚小鼠免疫器官和精子质量作用效果的差异。方法:昆明雄性小鼠28只(死亡1只)随机分为4组,其中正常组6只,模型组、金匮组和右归组各7只。除正常组外,其余各组给予氢化可的松灌胃、播放警报音频和强迫游泳3种方法进行复合建模4 d,同时金匮组(0.02 g/10 g)、右归组(0.018 g/10 g)给予相应药物混悬液灌胃。实验期间每天观察并记录各组小鼠体质量、体温以及精神情况,第5天进行耐力耐寒实验,测定小鼠尾部负重在冰水中游泳存活时间,随后处死,取其胸腺和脾脏计算脏器指数,并取附睾使用血细胞计数板计数法测精子质量。结果:造模给药4 d后,模型组与给药组均出现肾阳虚症状,与正常组比较,模型组小鼠胸腺指数、脾脏指数、精子存活率及个数均降低,差异有统计学意义(P<0.05);与模型组相比,右归组小鼠精子活动度0级、Ⅰ级和Ⅲ级、精子存活率及个数明显升高,差异有统计学意义(P<0.05);与金匮组相比,右归组小鼠精子活动度Ⅰ级和Ⅲ级、精子存活率明显升高,差异有统计学意义(P<0.01);各组小鼠冰水负重游泳死亡时间比较,差异无统计学意义(P>0.05)。结论:右归丸与金匮肾气丸对肾阳虚的治疗均有疗效,但右归丸较金匮肾气丸在机体免疫与精子质量方面的疗效更为突出。 展开更多
关键词 右归丸 金匮肾气丸 肾阳虚 脏器指数 精子质量
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右归丸及其加减方治疗肾阳虚型再生障碍性贫血的系统评价
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作者 毛梦珂 刘姗 +2 位作者 张卓璠 叶宝东 邓姝 《中药药理与临床》 北大核心 2025年第12期76-81,共6页
目的:评价右归丸及其加减方治疗再生障碍性贫血(aplasic Anemia,AA)的有效性和安全性,为右归丸及其加减方治疗AA提供循证医学证据。方法:通过检索Pubmed、Embase、Cochrane Library、中国知网、万方数据库自建库以来至2023年10月11日的... 目的:评价右归丸及其加减方治疗再生障碍性贫血(aplasic Anemia,AA)的有效性和安全性,为右归丸及其加减方治疗AA提供循证医学证据。方法:通过检索Pubmed、Embase、Cochrane Library、中国知网、万方数据库自建库以来至2023年10月11日的随机对照研究(randomized Controlled Trial,RCT),由2名评价员独立筛选文献,并对入选文献进行数据提取,使用Rob2量表进行偏倚风险评价,采用RevMan5.4.1软件进行Meta分析。结果:共纳入9个RCT,包括445例患者。Meta分析结果示:右归丸及其加减方治疗在疗效、中医证候疗效、升高HGB、WBC、PLT方面优于西医基础治疗[RR=1.45(1.19,1.75),RR=1.32(1.05,1.65),MD=34.46(31.91,37.01),MD=0.77(0.67,0.81),MD=13.96(11.93,15.99);P<0.05];右归丸及其加减方联合西药在疗效、中医证候疗效、升高HGB、WBC、PLT方面优于西医基础治疗[RR=1.50(1.19,1.89),RR=1.64(1.20,2.23),MD=29.01(25.32,32.71),MD=0.78(0.68,0.89),MD=12.77(9.60,15.95);P<0.05]。由于亚组分析纳入的文章篇数≤3篇,尚未能提示明确的研究结论。敏感性分析显示结果较稳健。由于纳入文献数量较少,未进行发表偏倚分析。结论:右归丸及其加减方、右归丸加减方联合西药治疗均能够提高肾阳虚型AA患者的疗效,改善血象。受纳入研究数量和质量的限制,上述结论尚需更多大样本、多中心、高质量的临床研究予以验证。 展开更多
关键词 右归丸 再生障碍性贫血 系统评价 META分析 随机对照研究
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