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Erxian decoction potentially prevents postmenopausal osteoporosis by modulating miR-335: a study based on bioinformatics analysis and preliminary clinical case validation
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作者 Hao-Qiang Huang Ye Feng +4 位作者 Xiao-Feng Shen Yu Zhou Li Qin Feng Xu Qing Wang 《Traditional Medicine Research》 2023年第6期1-8,共8页
Background:miRNAs are closely related to bone metabolism.Studies have shown that Erxian decoction can improve bone metabolism,possibly achieving this regulatory effect through miRNA targets.Netinfer was used to predic... Background:miRNAs are closely related to bone metabolism.Studies have shown that Erxian decoction can improve bone metabolism,possibly achieving this regulatory effect through miRNA targets.Netinfer was used to predict the miRNA targets of Erxian decoction for the treatment of postmenopausal osteoporosis,and the results were validated by clinical trials.Methods:In this study,we identified possible targets of Erxian decoction in osteoporosis by means of network pharmacological analysis and bioinformatic prediction.Fifteen cases of postmenopausal osteoporosis with kidney Yin and Yang deficiency(In traditional Chinese medicine,kidney Yin nourishes and moistens the tissues of the internal organs of the body,while kidney Yang promotes and warms the tissues of the internal organs of the body.)were treated with Erxian decoction for four weeks,and serum bone metabolism indices(P1NP,osteocalcin,andβ-CTX)and miRNA-335-5p expression were measured before and after treatment.Results:The constructed miRNA postmenopausal osteoporosis related gene network of the effective compound of the Erxian decoction has 296 points and 981 edges.The 39 postmenopausal osteoporosis related genes regulated by miRNA-335-5p were enriched in ossification,while the signaling pathways were enriched in rheumatoid arthritis,the Toll signaling pathway,the HIF-1 signaling pathway,and the MAPK signaling pathway.After taking Erxian decoction,the expression of the serum bone formation index(P1NP,osteocalcin)and miRNA-335-5p gene expression levels increased significantly.The alterations in P1NP and osteocalcin were correlated with the changes in miRNA-335-5p.Conclusion:Circulating miRNA-335-5p may serve as an important target of Erxian decoction in the treatment of postmenopausal women.The effect of Erxian decoction on bone formation is significant,but the underlying mechanism requires further investigation. 展开更多
关键词 erxian decoction postmenopausal osteoporosis miRNA-335-5p bone formation BIOINFORMATICS clinical cases
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Observation on Therapeutic Effect of Erxian Decoction on Relieving Low Back Pain after PVP of PMOP-derived Vertebral Fracture
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作者 Xianda ZHANG Guoqiang LIANG +2 位作者 Jianxiong MO Yujiang LIU Xiaofeng SHEN 《Medicinal Plant》 CAS 2023年第5期82-86,共5页
[Objectives]To explore the clinical effect of Erxian decoction on relieving low back pain after percutaneous vertebroplasty(PVP)of vertebral compression fracture caused by postmenopausal osteoporosis(PMOP).[Methods]Ni... [Objectives]To explore the clinical effect of Erxian decoction on relieving low back pain after percutaneous vertebroplasty(PVP)of vertebral compression fracture caused by postmenopausal osteoporosis(PMOP).[Methods]Ninety patients who were treated in Suzhou TCM Hospital from September 2021 to January 2023 were randomly divided into three groups:traditional Chinese medicine group(n=30),western medicine group(n=30)and blank group(n=30).The patients in all the three groups were treated with basic anti-osteoporosis drugs.The patients in the traditional Chinese medicine group were treated with Erxian decoction after PVP,and those in the western medicine group were treated with celecoxib to relieve pain after operation.The visual analogue(VAS)score,Oswestry dysfunction index(ODI)score,TCM syndrome score and serum indexes such as interleukin-6(IL-6)and estrogen E2 were recorded before treatment and 2 weeks,1 month and 3 months after treatment.[Results](i)In terms of pain relief,the VAS score of the western medicine group was lower than that of the traditional Chinese medicine group after 2 weeks of treatment,but there was no significant difference in VAS score between the two groups after 1 month and 3 months,and the pain improvement of the two groups was better than that of the blank group.(ii)After 3 months of treatment,the ODI score in the traditional Chinese medicine group was lower than that in the western medicine group,and the improvement of TCM syndrome in the traditional Chinese medicine group was better than that in the other two groups 1 and 3 months after treatment(P<0.05).(iii)The level of IL-6 in the western medicine group was lower than that in the other groups after 2 weeks,and there was no significant difference between the two groups after 3 months of treatment.After 3 months of treatment,the level of E2 in the traditional Chinese medicine group was higher than that before treatment and higher than that in the western medicine group and the blank group,but there was no significant difference between the two groups(P>0.05).[Conclusions]Both Erxian decoction and non-steroidal anti-inflammatory drugs can relieve residual low back pain after PVP,and their long-term effects are similar,but Erxian decoction has more advantages in alleviating pain,muscle and joint pain and sensory abnormalities in postmenopausal women.Moreover,it is safe and reliable,and is worthy of clinical application. 展开更多
关键词 Postmenopausal osteoporosis Vertebral fracture erxian decoction PAIN
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Mechanism of Guilu Erxian Gum in the treatment of osteoporosis based on network pharmacology
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作者 Peng Liu Dong-Xiang Yang +1 位作者 Dong-Dong Yu Xiu-Ting Wang 《Journal of Hainan Medical University》 2022年第3期49-55,共7页
Objective:This article uses the method of network pharmacology to study the related mechanism of Guilu Erxian Gum in the treatment of osteoporosis.Methods:Based on the TCMSP database,ETCM database,chemistry database,a... Objective:This article uses the method of network pharmacology to study the related mechanism of Guilu Erxian Gum in the treatment of osteoporosis.Methods:Based on the TCMSP database,ETCM database,chemistry database,and DrugBank database,the potential active ingredients and related targets of Guilu Erxian Gum were obtained.The known therapeutic targets of osteoporosis were obtained from OMIM and Genecards databases,and the STRING database was used.A protein interaction network(PPI)of active ingredients-disease targets was established,and the topological parameters of the network were analyzed using Cytoscape 3.8.0 software to obtain key active ingredients and their targets.In R4.0.2,the Bioconductor data package was used to analyze the GO biological function and KEGG pathway analysis of key targets,and obtain the effective ingredients and targets of Guilu Erxian Gum for treating osteoporosis.Results:The prediction results show that Guilu Erxian Gum has 87 active ingredients and 2305 targets,and there are 4141 known therapeutic targets for osteoporosis.The two act together to obtain a total of 71 PPI core genes.The GO biological process analysis yielded 95 entries,and the KEGG pathway analysis yielded 115 pathways.Conclusion:The analysis results show that Guilu Erxian Gum may play an anti-osteoporosis effect by regulating inflammatory factors,promoting osteoblast differentiation,inhibiting osteoclast formation,and improving microcirculation.The pathways involved include TNF signaling pathways,IL-17 signaling pathway,NF-κB signaling pathway,HIF-1 signaling pathway,MAPK signaling pathway,PI3K-Akt signaling pathway,etc.This study provides a theoretical basis for further elucidating the pharmacological mechanism of Guilu Erxian Gum in the treatment of osteoporosis. 展开更多
关键词 Chinese traditional medicine Network pharmacology Guilu erxian Gum OSTEOPOROSIS Mechanism of action
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Discussion on the mechanism of Erxian Decoction in the treatment of premature ovarian failure based on network pharmacology and molecular docking
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作者 Yu Li Xiao-Bin Li Xiao-Jing Cao 《Journal of Hainan Medical University》 2022年第14期46-46,共1页
Objective:To explore the mechanism of Erxian Decoction in the treatment of premature ovarian failure.Methods:Based on the method of network pharmacology and molecular docking,the active ingredients of each drug in Erx... Objective:To explore the mechanism of Erxian Decoction in the treatment of premature ovarian failure.Methods:Based on the method of network pharmacology and molecular docking,the active ingredients of each drug in Erxian Decoction were obtained by searching the TCMSP database;the premature ovarian failure disease targets were collected from the GeneCards,OMIM,PharmGkb and Drugbank databases,and the active ingredients and the disease gene targets were collected Click the intersection to get the predictive target of Erxian Decoction for the treatment of premature ovarian failure.Use Cytoscape 3.8.0 to construct a"drug-component-target-disease"network;construct a protein interaction network(PPI)and streamline the core network through STRING database and Cytoscape;use R Studio software to enrich the Erxiantang treatment POF with GO And KEGG pathway enrichment analysis.Use molecular docking technology to verify the results of the"drug-component-target-disease"network.Results:68 main active ingredients were screened,involving 182 gene targets,among which the main active ingredients include Quercetin,Luteolin,Kaempferol,etc.;The core target genes include RB1,TP53,FOS,CDKN1A,ESR1,AKT1,MAPK1,TNF,etc.;GO enrichment items were obtained,including the 2545 Biological Process(BP),89 Cellular Component(CC),212 Molecular Function(MF);KEGG pathways,including PI3K-Akt signaling pathway,MAPK signaling pathway,and AGE-RAGE signaling pathway in diabetic complications.The verification of the molecular docking results indicated that the main active ingredient has a good binding activity with the core target.Conclusion:This study preliminarily revealed that Erxian Decoction may play a role in the treatment of POF through multi-component,multi-target,and multi-channel synergy,which provides a reference for the next in-depth research. 展开更多
关键词 Network pharmacology Molecular docking erxian Decoction Premature ovarian failure Mechanism of action
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To explore the mechanism of Erxian decoction in treating insomnia based on network pharmacology
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作者 Song-Wen Ma 《TMR Pharmacology Research》 2021年第2期35-41,共7页
Objective:This paper aims to explore the mech-anism of Erxian Decoction in treating insoimnia by means of network pharmacology research method.Methods:The com-ponents and related targets of Erxian Decoction are screen... Objective:This paper aims to explore the mech-anism of Erxian Decoction in treating insoimnia by means of network pharmacology research method.Methods:The com-ponents and related targets of Erxian Decoction are screened by TCMSP database.Disease targets are obtained by OMMM and Gene Cards database,and the common targets of drugs and diseases are obtained.The network diagram of"drug-coumponent-disease-target"is constructed and analyzed.STRING database constructs PPI network and finds the core target.GO and KEGG enrichnent analysis are employed on intersection targets.Results:84 effective components and 169 drug targets.of Erxian Decoction as well as 2614 targets of insomnia are screened out.Seventy-two intersection targets are selected by Venn diagram,and the core targets include IL-6,TNF,VEGFA and L-1β.These intersection targets contain 404 GO processes and 67 KEGG pathways,including TOLL-like receptor signaling pathway,cyclic adenosine monophosphate(CAMP)signaling pathway and tumor necrosis factor(TNF)signaling pathway.Conclusion:Erxian Decoction may play a role in treating insomnia by regulating TOLL-like receptor signaling pathway,cyclic adenosine monophosphate(CAMP)signaling pathway and tumnor necrosis factor(TNF)signaling pathway. 展开更多
关键词 erxian Decoction Traditional Chinese Medicine INSOMNIA network pharinacology
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水陆二仙丹通过调控磷脂酰肌醇3激酶/蛋白激酶B信号通路治疗糖尿病肾脏疾病的作用及机制研究
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作者 饶艳玲 孙勤国 黄威 《临床肾脏病杂志》 2024年第4期309-318,共10页
目的 利用网络药理学方法结合体内实验验证,探讨水陆二仙丹治疗糖尿病肾脏疾病(diabetic kidney disease,DKD)的作用机制。方法 利用中药系统药理学数据库和分析平台筛选得到水陆二仙丹有效成分和相关作用靶点,通过文献检索补充上述化... 目的 利用网络药理学方法结合体内实验验证,探讨水陆二仙丹治疗糖尿病肾脏疾病(diabetic kidney disease,DKD)的作用机制。方法 利用中药系统药理学数据库和分析平台筛选得到水陆二仙丹有效成分和相关作用靶点,通过文献检索补充上述化学成分和作用靶点信息,进一步关联DKD在疾病数据库中的作用靶点。基于String软件构建蛋白相互作用网络,利用R语言进行富集分析,建立复杂网络模型,采用酶联免疫吸附试验法检测肾脏肿瘤坏死因子α、白细胞介素(interleukin,IL)6、IL-1β水平,蛋白免疫印迹法检测验证关键蛋白表达,对水陆二仙丹治疗DKD的药效作用机制进行初步预测。结果 筛选得到水陆二仙丹中376个具有潜在DKD治疗作用的靶点。“成分-疾病-靶点”网络图提示山柰酚、黄芪甲苷等是水陆二仙丹中发挥DKD治疗作用的主要活性成分。其常见通路与磷脂酰肌醇3激酶(phosphatidylinositol 3 kinase,PI3K)/蛋白激酶B(protein kinase B,Akt)通路、晚期糖基化终产物-晚期糖基化终产物受体通路等有关。实验结果表明,水陆二仙丹有效降低糖尿病大鼠炎症因子水平,提高肾病蛋白和足突蛋白表达,降低p-PI3K/PI3K、pAkt/Akt蛋白的表达。结论 水陆二仙丹可能通过调控PI3K/Akt信号通路,抑制炎症反应和肾脏组织纤维化起到治疗DKD的作用,对DKD的治疗具有多成分、多靶点、多途径的特点。 展开更多
关键词 糖尿病肾脏疾病 药理学 水陆二仙丹
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基于网络药理学的二仙汤“异病同治”乳腺增生和围绝经期综合征的作用机制
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作者 迟皓南 孙小慧 杨毅 《西部中医药》 2024年第1期80-87,共8页
目的:基于网络药理学探讨二仙汤“异病同治”乳腺增生和围绝经期综合征的作用机制。方法:通过中药系统药理学数据库与分析平台(traditional Chinese medicine systems pharmacology database and analysis platform,TCMSP)筛选二仙汤中... 目的:基于网络药理学探讨二仙汤“异病同治”乳腺增生和围绝经期综合征的作用机制。方法:通过中药系统药理学数据库与分析平台(traditional Chinese medicine systems pharmacology database and analysis platform,TCMSP)筛选二仙汤中6味中药的活性成分并预测其潜在靶点;通过人类基因数据库(the human gene database,GeneCards)及在线人类孟德尔遗传数据库(online mendelian inheritance in man,OMIM)平台检索乳腺增生和围绝经期综合征的疾病靶点,借助Venn在线工具构建药物与两种疾病的交集靶点。运用Cytoscape 3.7.2软件构建“药物-成分-靶点-疾病”网络;利用STRING数据库构建PPI网络,按Dgree值大于等于平均值进一步筛选核心靶点;采用DAVID数据库进行基因本体论(gene ontology,GO)富集分析,同时实现京都基因与基因组百科全书(kyoto encyclopedia of genes and genomes,KEGG)通路富集分析。结果 :根据口服生物利用度(oral bioavailability,OB)≥30%和药物类药性(druglikeness,DL)≥0.18筛选得到二仙汤有效活性成分104个,预测潜在作用靶点147个;通过筛选得到乳腺增生靶点4153个,围绝经期综合征靶点155个,药物与疾病的交集靶点29个,其中IL-6、VEGFA、TNF、TP53、ESR1、CAT、IL-1β等可能是二仙汤治疗乳腺增生和围绝经期综合征的关键靶点。活性成分及靶点主要参与DNA模板转录正调控、基因表达的正调控、胞外间隙、胞外区、类固醇结合、酶结合等;靶基因主要富集在TNF、NOD样体、HIF-1、癌症、PI3K-Akt等信号通路。结论:二仙汤可能通过调控PI3K-Akt、HIF-1等信号通路达到防治乳腺增生和围绝经期综合征的目的。 展开更多
关键词 乳腺增生 围绝经期综合征 异病同治 网络药理学 二仙汤
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Systems Pharmacology Uncovers Multiple Mechanisms of Erxian Decoction (二仙汤) for Treatment of Premature Ovarian Failure 被引量:8
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作者 DU Bo LIU Li-hong +1 位作者 LV Yu-juan AI Hao 《Chinese Journal of Integrative Medicine》 SCIE CAS CSCD 2020年第2期106-113,共8页
Objective:To predict the chemical compositions and drug targets and to systematically dissect the pharmacological mechanism of Erxian Decoction(二仙汤,EXD)as a treatment for premature ovarian failure(POF)using a syste... Objective:To predict the chemical compositions and drug targets and to systematically dissect the pharmacological mechanism of Erxian Decoction(二仙汤,EXD)as a treatment for premature ovarian failure(POF)using a systems pharmacology approach.Methods:The compounds present in EXD were obtained from three databases.The active ingredient was identified by analyzing the values of oral bioavailability(OB),drug-like ness(DL),and Lipin ski's rule(LR).The active in gredients were further searched in research articles,drug targets in the DrugBank database,and the C-T and T-P networks,as well as by pathway analysis using the Cytoscape platform.Results:A total of 728 compounds were identified in EXD.Of these,59 were identified as active compounds that conformed to the criteria with OB>30%and DL>0.18.By further searches in the literature,126 related targets were ide ntified that could in teract with the active compounds.Additi on ally,it was found that the beneficial effects of EXD in POF are probably exerted via regulation of the immline system,modulation of estrogen levels,and anti-oxidative activities,and that it may act in a synergistic or cooperative manner with other therapeutic agents.Conclusions:The systems pharmacology approach is a comprehensive system that was used to elucidate the pharmacological mechanism of EXD as a treatment for POF.The results of this study will also facilitate the application of traditional medicine in modern treatment strategies. 展开更多
关键词 premature ovarian failure Chinese medicine erxian Decoction systems pharmacology pharmacological mechanism
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Guilu Erxian Glue(龟鹿二仙胶)Inhibits Chemotherapy-Induced Bone Marrow Hematopoietic Stem Cell Senescence in Mice May via p16INK4a-Rb Signaling Pathway 被引量:11
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作者 WANG Jue YING Yin-yin +3 位作者 CHEN Zhao-hui SHAO Ke-ding ZHANG Wei-ping LIN Sheng-you 《Chinese Journal of Integrative Medicine》 SCIE CAS CSCD 2020年第11期819-824,共6页
Objective To evaluate the effect of Guilu Erxian Glue(龟鹿二仙胶,GEG)on cyclophosphamide(CTX)-induced bone marrow hematopoietic stem cells(HSCs)senescence in mice and explore the underlying mechanism.Methods The H22 l... Objective To evaluate the effect of Guilu Erxian Glue(龟鹿二仙胶,GEG)on cyclophosphamide(CTX)-induced bone marrow hematopoietic stem cells(HSCs)senescence in mice and explore the underlying mechanism.Methods The H22 liver cancer ascites lump model was established in male Kunming mice by injecting intraperitoneally(i.p.)with 5×10^6/mL H22 cells per mouse.Fifty tumor-bearing mice were divided into the control,model,pifithrin-α,GEG,and GEG+pifithrin-αgroups using a random number table,10 mice in each group.CTX(100 mg/kg i.p.)was administrated to mice from day 1 to day 3(d1–d3)continuously except for the control group.The mice in the pifithrin-α,GEG and GEG+pifithrin-αgroups were treated with pifithrin-α(2.2 mg/(kg·d)i.p.)for 6 consecutive days(d4–d9),GEG(9.5 g/(kg·d)i.p.)for 9 consecutive days(d1–d9),and GEG plus pifithrin-α,respectively.HSCs were collected after 9-d drug treatment.The anti-aging effect of GEG was studied by cell viability,cell cycle,andβ-galactosidase(β-gal)assays.The mRNA and protein expressions of cyclin-dependent kinase 2(CDK2),CDK4,inhibitor of cyclin-dependent kinase 4a encoding the tumor suppressor protein p16^(p16^INK4a),p21^Cip1/Waf1,p53,and phosphorylated retinoblastoma(pRb)were evaluated by quantitative real-time reverse transcription-polymerase chain reaction and semi-quantitative Western blot,respectively.Results Compared with the model group,GEG increased cell viability as well as proliferation(P<0.05 or P<0.01)and reducedβ-gal expression.Furthermore,GEG significantly decreased the expressions of p16^INK4a,p53 and p21^Cip1/Waf1 proteins,and increased the expressions of CDK2,CDK4 and pRb proteins compared with the model group(P<0.05 or P<0.01).Conclusion GEG can alleviate CTX-induced HSCs senescence in mice,and the p16^INK4a-Rb signaling pathway might be the underlying mechanism. 展开更多
关键词 bone marrow suppression hematopoietic stem cell senescence P16INK4A Guilu erxian Glue Chinese medicine
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基于HIF-1α/EGFR/MAPK1信号通路探讨龟鹿二仙胶对少弱精子症大鼠的保护作用
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作者 刘卓琳 冯芷莹 +5 位作者 王康宇 黄家望 时佳宁 张成 李玲 何清湖 《湖南中医药大学学报》 CAS 2024年第4期572-579,共8页
目的探讨龟鹿二仙胶调控缺氧诱导因子-1α(hypoxia inducible factor-1α,HIF-1α)/表皮生长因子受体(epidermal growth factor receptor,EGFR)/和丝裂原活化蛋白激酶(mitogen-activated protein kinase 1,MAPK1)信号通路对少弱精子症(o... 目的探讨龟鹿二仙胶调控缺氧诱导因子-1α(hypoxia inducible factor-1α,HIF-1α)/表皮生长因子受体(epidermal growth factor receptor,EGFR)/和丝裂原活化蛋白激酶(mitogen-activated protein kinase 1,MAPK1)信号通路对少弱精子症(oligoasthenozoospermia,OAS)大鼠的保护作用。方法将48只SD雄性大鼠随机分为正常组,模型对照组,龟鹿二仙胶低剂量(0.65 g/kg)组、中剂量(1.25 g/kg)组、高剂量(2.5 g/kg)组和左卡尼汀组,每组8只。除正常组外,其他组均采用腺嘌呤灌胃给药进行造模。造模成功后进行灌胃给药进行干预,连续给药4周,记录大鼠一般情况,给药4周后进行取材处理。腹主动脉采血,ELISA法检测血清睾酮(testosterone,T)、雌二醇(estradiol,E2)、促卵泡激素(follicle-stimulating hormone,FSH)、促黄体生成激素(luteinizing hormone,LH)和催乳素(prolactin,PRL);分离肾组织,计算肾指数;分离右侧附睾,运用自动精子分析仪检测各组大鼠精子浓度和精子活力;HE染色观察睾丸组织病理改变;用试剂盒检测大鼠睾丸组织活性氧(reactive oxygen species,ROS)、超氧化物歧化酶(superoxide dismutase,SOD)和谷胱甘肽过氧化物酶(glutathione peroxidase,GSH-Px)水平;免疫组化检测大鼠睾丸组织HIF-1α、EGFR和MAPK1的蛋白表达。结果与模型对照组相比,不同剂量的龟鹿二仙胶均可显著增加大鼠的体质量(P<0.01),降低大鼠的肾指数(P<0.01),提高精子浓度和精子活力(P<0.01),改善大鼠的精子质量,并能有效减轻模型大鼠睾丸组织损伤程度,其中与龟鹿二仙胶低剂量组相比,龟鹿二仙胶高剂量组大鼠体质量、精子密度和精子活力均显著上升(P<0.05)。ELISA结果显示,与模型对照组相比,不同剂量龟鹿二仙胶能显著升高T和E2水平(P<0.05),且显著降低FSH、LH和PRL水平(P<0.05)。ROS、SOD和GSH-Px检测结果显示,与模型对照组相比,龟鹿二仙胶低、中、高剂量组ROS水平显著降低(P<0.05),龟鹿二仙胶中、高剂量组和左卡尼汀组SOD和GSH-Px活性显著升高(P<0.05)。免疫组化结果显示,与模型对照组相比,龟鹿二仙胶中、高剂量组和左卡尼汀组大鼠睾丸组织HIF-1α、EGFR、MAPK1水平显著降低(P<0.05)。结论龟鹿二仙胶可能是通过HIF-1α/EGFR/MAPK1信号通路调节氧化应激来改善OAS。 展开更多
关键词 少弱精子症 龟鹿二仙胶 HIF-1α/EGFR/MAPK1信号通路 精子活力 氧化应激
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二仙汤治疗肾阳虚型老年性骨质疏松症临床观察
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作者 徐铁鹏 谢义松 +1 位作者 彭广 徐润卿 《光明中医》 2024年第6期1118-1121,共4页
目的观察二仙汤治疗肾阳虚型老年性骨质疏松症的临床疗效。方法选取肾阳虚型老年性骨质疏松症患者90例,分为对照组与治疗组,各45例。对照组予口服碳酸钙D3片和阿仑膦酸钠,治疗组在此基础上加用二仙汤。比较2组治疗12周后临床疗效。结果... 目的观察二仙汤治疗肾阳虚型老年性骨质疏松症的临床疗效。方法选取肾阳虚型老年性骨质疏松症患者90例,分为对照组与治疗组,各45例。对照组予口服碳酸钙D3片和阿仑膦酸钠,治疗组在此基础上加用二仙汤。比较2组治疗12周后临床疗效。结果治疗组总有效率高于对照组(P>0.05);治疗组VAS评分低于对照组(P<0.05);治疗后,2组骨密度水平差异无统计学意义(P>0.05);β-CTX治疗前后无明显变化,治疗组PINP、BGP高于对照组。结论二仙汤联合碳酸钙D3与阿仑膦酸钠治疗肾阳虚型老年性骨质疏松症疗效优于对照组,能延缓骨质疏松进展,缓解临床症状,可供临床参考使用。 展开更多
关键词 骨痹 骨质疏松症 肾阳虚证 二仙汤 中医药疗法
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加味二仙汤对多囊卵巢综合征不孕患者胰岛素抵抗及性激素水平的影响
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作者 丁莉 周传亚 葛姗 《世界中西医结合杂志》 2024年第2期302-306,共5页
目的 探讨加味二仙汤对多囊卵巢综合征(Polycystic ovarysyndrome, PCOS)不孕患者胰岛素抵抗及性激素水平的影响。方法 选取2020年1月—2022年1月期间河南省濮阳市妇幼保健院收治的PCOS不孕患者120例,按随机数字表法分为对照组和观察组... 目的 探讨加味二仙汤对多囊卵巢综合征(Polycystic ovarysyndrome, PCOS)不孕患者胰岛素抵抗及性激素水平的影响。方法 选取2020年1月—2022年1月期间河南省濮阳市妇幼保健院收治的PCOS不孕患者120例,按随机数字表法分为对照组和观察组,每组各60例。对照组常规服用二甲双胍治疗,观察组在对照组基础上加用加味二仙汤治疗。1个月经周期为1个疗程,两组患者均治疗3个疗程。观察比较两组患者临床疗效、治疗前后胰岛素指标[空腹血糖(Fasting plasma glucose, FPG)、空腹胰岛素(Fasting insulin, FINS)以及稳态模式胰岛素抵抗指数(Homeostasis model insulin resistanceindex, HOMA-IR)]变化、性激素水平[雌二酮(Estradiol, E_(2))、促卵泡雌激素(Follicle stimulating hormone, FSH)、睾酮(Testosterone, T)以及促黄体生成素(Luteinizing hormone, LH)]变化、子宫及卵巢功能[卵巢体积、子宫内膜厚度、成熟卵泡数量]变化以及治疗后排卵、妊娠、复发情况。结果 治疗后观察组临床总有效率96.67%(58/60)高于对照组85.00%(51/60),差异有统计学意义(P<0.05)。治疗后两组患者胰岛素指标FPG、FINS、HOMA-IR均较治疗前明显降低,差异有统计学意义(P<0.05);且观察组胰岛素指标FPG、FINS、HOMA-IR均明显低于对照组,差异有统计学意义(P<0.05)。治疗后两组患者性激素E_(2)、FSH、T、LH水平均较治疗前明显降低,差异有统计学意义(P<0.05);且观察组性激素E_(2)、FSH、T、LH水平均明显低于对照组,差异有统计学意义(P<0.05)。治疗后两组患者卵巢体积较治疗前降低,子宫内膜厚度以及成熟卵泡数量较治疗前升高,差异有统计学意义(P<0.05);且观察组卵巢体积明显低于对照组,子宫内膜厚度以及成熟卵泡数量明显高于对照组,差异有统计学意义(P<0.05)。随访3个月经周期,观察组排卵率86.67%(52/60)、妊娠率76.67%(46/60)均高于对照组71.67%(43/60)、58.33%(35/60),复发率1.67%(1/60)低于对照组11.67%(7/60),差异有统计学意义(P<0.05)。结论 加味二仙汤治疗PCOS的临床疗效显著,可有效降低患者的胰岛素抵抗以及调节性激素水平,改善卵巢功能,促进排卵,提高妊娠成功率,值得临床推广。 展开更多
关键词 加味二仙汤 多囊卵巢综合征 不孕 胰岛素抵抗 性激素水平
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助脉二仙汤联合镇心膏穴位贴敷治疗缓慢型心律失常患者的临床研究
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作者 夏艳斐 王艳敏 《中国合理用药探索》 CAS 2024年第4期5-11,共7页
目的:探讨助脉二仙汤联合镇心膏穴位贴敷治疗缓慢型心律失常患者的临床疗效及对患者心功能、炎症因子水平的影响。方法:选取2021年2月~2023年2月期间于某院就诊的120例缓慢型心律失常患者作为研究对象,采用随机数字表法分为对照组和观察... 目的:探讨助脉二仙汤联合镇心膏穴位贴敷治疗缓慢型心律失常患者的临床疗效及对患者心功能、炎症因子水平的影响。方法:选取2021年2月~2023年2月期间于某院就诊的120例缓慢型心律失常患者作为研究对象,采用随机数字表法分为对照组和观察组,每组60例。对照组患者给予硫酸阿托品片治疗,观察组在对照组治疗基础上加用助脉二仙汤口服、镇心膏穴位贴敷治疗,两组均治疗4周。比较两组患者临床疗效、中医证候积分、心功能[心脏指数(CI)、每搏输出量(SV)、左室射血分数(LVEF)]、炎症因子[白介素-6(IL-6)、白介素-8(IL-8)、超敏C反应蛋白(hs-CRP)、核转录因子-κB p65(NF-κB p65)、磷酸化细胞核转录因子κB抑制蛋白α(p-IκBα)]水平及不良反应发生情况。结果:治疗后,观察组患者治疗总有效率(96.67%)高于对照组(83.33%,P<0.05);两组患者心悸胸闷、短气乏力、身寒肢冷、面色晦暗、胸痛、腰膝酸软得分均降低(P<0.05),且观察组低于对照组(P<0.05);两组患者CI、SV、LVEF均升高(P<0.05),且观察组高于对照组(P<0.05);两组患者IL-6、IL-8、hs-CRP、NF-κB p65及p-IκBα均降低(P<0.05),且观察组低于对照组(P<0.05);两组患者用药期间均未发生明显不良反应。结论:在硫酸阿托品片的治疗基础上联合助脉二仙汤口服、镇心膏穴位贴敷治疗缓慢型心律失常临床疗效较佳,可有效减轻患者临床症状,改善心功能,减轻炎症反应,且安全性较高。 展开更多
关键词 助脉二仙汤 镇心膏穴位贴敷 缓慢型心律失常 心功能 磷酸化细胞核转录因子κB抑制蛋白α
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自拟水陆二仙丹联合吗替麦考酚酯治疗儿童难治性肾病综合征临床观察
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作者 齐莎莎 孟凡威 +1 位作者 张国伟 张旭亚 《光明中医》 2024年第5期896-899,共4页
目的 分析水陆二仙丹联合吗替麦考酚酯治疗儿童难治性肾病综合征(RNS)的疗效。方法 选取脾肾阳虚型儿童RNS患者80例,按照随机数字表法分为2组,对照组40例在诱导尿蛋白转阴后叠加吗替麦考酚酯维持治疗,研究组40例在对照组基础上加用水陆... 目的 分析水陆二仙丹联合吗替麦考酚酯治疗儿童难治性肾病综合征(RNS)的疗效。方法 选取脾肾阳虚型儿童RNS患者80例,按照随机数字表法分为2组,对照组40例在诱导尿蛋白转阴后叠加吗替麦考酚酯维持治疗,研究组40例在对照组基础上加用水陆二仙丹。比较2组临床疗效、中医证候疗效、中医症状积分,并检测治疗前后的肾功能、血脂及炎症指标。结果 研究组临床疗效、中医证候疗效优于对照组(P<0.05)。治疗后,2组中医症状积分、血肌酐、尿素氮、24 h-UTP、TC、TG、IL-6、IL-17、TNF-α低于治疗前(P<0.05),且研究组低于对照组(P<0.05)。治疗后,2组的白蛋白高于治疗前(P<0.05),且研究组高于对照组(P<0.05)。结论 水陆二仙丹联合吗替麦考酚酯治疗脾肾阳虚型儿童RNS可提高疗效,改善肾功能与血脂紊乱,减轻炎症反应。 展开更多
关键词 水肿 难治性肾病综合征 儿童 水陆二仙丹 吗替麦考酚酯
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龟鹿二仙胶在创伤性脊柱骨盆分离术后的应用效果分析
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作者 黄超 江加义 +2 位作者 李德福 张安定 吕维东 《中国烧伤创疡杂志》 2024年第2期134-138,共5页
目的探讨分析龟鹿二仙胶在创伤性脊柱骨盆分离术后的应用效果。方法选取2019年1月至2021年11月信阳一五四医院收治的70例创伤性脊柱骨盆分离患者作为研究对象,按照不同治疗方法将其分为研究组(35例)和对照组(35例),对照组患者经皮骶髂... 目的探讨分析龟鹿二仙胶在创伤性脊柱骨盆分离术后的应用效果。方法选取2019年1月至2021年11月信阳一五四医院收治的70例创伤性脊柱骨盆分离患者作为研究对象,按照不同治疗方法将其分为研究组(35例)和对照组(35例),对照组患者经皮骶髂螺钉内固定术后行抗感染、营养支持、预防下肢深静脉血栓形成等常规治疗,研究组患者经皮骶髂螺钉内固定术后在常规治疗的基础上联合应用龟鹿二仙胶治疗,对比观察两组患者骨盆功能、临床疗效、骨代谢指标水平以及不良事件发生情况。结果治疗6个月后,研究组患者Majeed评分中疼痛、工作、坐、站评分均明显高于对照组(t=2.633、3.089、4.408、2.594,P=0.011、P=0.003、P<0.001、P=0.012);研究组患者治疗总有效率为94.29%,明显高于对照组患者的治疗总有效率77.14%(χ^(2)=4.200,P=0.040);研究组患者血清骨钙素(OCN)、骨保护素(OPG)、Ⅰ型前胶原氨基端前肽(PⅠNP)、碱性磷酸酶(ALP)水平均明显高于对照组(t=4.059、2.762、7.346、2.955,P<0.001、P=0.007、P<0.001、P=0.004);研究组患者不良事件发生率为11.43%,与对照组患者的不良事件发生率20.00%无明显差异(χ^(2)=0.971,P=0.324)。结论创伤性脊柱骨盆分离术后采用龟鹿二仙胶治疗,能够明显改善患者骨代谢水平,促进骨盆功能恢复,效果显著。 展开更多
关键词 创伤性脊柱骨盆分离 经皮骶髂螺钉内固定 龟鹿二仙胶 Majeed评分 骨盆功能 骨代谢
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耳穴压豆联合二仙汤加味治疗腰椎间盘突出症临床观察
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作者 蔡建强 陈利军 +2 位作者 王冰 李晨 赵玉鑫 《实用中医药杂志》 2024年第4期630-632,共3页
目的:观察耳穴压豆联合二仙汤加味治疗腰椎间盘突出症(LDH)的疗效。方法:108例按照随机数字表法分为两组各54例。常规组给予二仙汤加味,试验组给予耳穴压豆联合二仙汤加味治疗。结果:总有效率试验组高于常规组(P<0.05),试验组治疗后... 目的:观察耳穴压豆联合二仙汤加味治疗腰椎间盘突出症(LDH)的疗效。方法:108例按照随机数字表法分为两组各54例。常规组给予二仙汤加味,试验组给予耳穴压豆联合二仙汤加味治疗。结果:总有效率试验组高于常规组(P<0.05),试验组治疗后VAS、JOA评分改善优于常规组(P<0.05),试验组治疗后血清CRP、TNF-α、IL-1β水平低于常规组(P<0.05),治疗后两组血清Apaf-1、TFAR-19、Caspase-3水平均下降但试验组下降更为明显(P<0.05)。结论:耳穴压豆联合二仙汤加味治疗LDH效果较好且安全。 展开更多
关键词 腰椎间盘突出症 耳穴压豆 二仙汤加味 对照治疗观察
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二仙汤加减联合耳穴贴压治疗更年期综合征的临床效果
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作者 陈玉娟 蔡丛兰 +2 位作者 苗维君 李焱鑫 闫长梅 《中外医药研究》 2024年第7期90-92,共3页
目的:探究二仙汤加减联合耳穴贴压治疗更年期综合征的临床效果。方法:选取2020年1月—2023年1月新沂市中医医院接诊的更年期综合征患者140例参与临床研究,以随机抽签法分为对照组和研究组,各70例。对照组给予常规治疗,研究组在对照组基... 目的:探究二仙汤加减联合耳穴贴压治疗更年期综合征的临床效果。方法:选取2020年1月—2023年1月新沂市中医医院接诊的更年期综合征患者140例参与临床研究,以随机抽签法分为对照组和研究组,各70例。对照组给予常规治疗,研究组在对照组基础上给予二仙汤加减联合耳穴贴压治疗。比较两组患者中医证候积分、kupperman指数、血清雌二醇(E2)水平与治疗效果。结果:治疗后,两组患者心悸、失眠、烦躁易怒、腰膝酸软积分均低于治疗前,且研究组失眠、腰膝酸软积分低于对照组,差异存在统计学意义(P<0.05);治疗后,两组患者kupperman指数均较治疗前降低,且研究组低于对照组,差异存在统计学意义(P<0.0001);治疗后,两组患者E2水平均较治疗前升高,且研究组高于对照组,差异存在统计学意义(P<0.0001);研究组总有效率高于对照组,差异存在统计学意义(P=0.0158)。结论:耳穴贴压联合二仙汤加减治疗更年期综合征的效果显著,能改善患者血清E2水平及中医证候积分,缓解失眠、烦躁易怒等更年期相关症状,值得临床推广。 展开更多
关键词 更年期综合征 二仙汤 耳穴贴压 中医证候积分
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Erxian Tang (二仙汤)——Introduction of a Chinese Herbal Formula, Clinical Practice, and Experimental Studies 被引量:1
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作者 李捷珈 李晓毅 傅建萍 《Chinese Journal of Integrative Medicine》 SCIE CAS 2007年第1期67-73,共7页
Erxian Tang (二仙汤,EXT) is a Chinese herbal formula developed for the treatment of menopausal syndrome in women. In the past 50 years, EXT has shown positive efficacy in the treatment of many chronic diseases in TCM,... Erxian Tang (二仙汤,EXT) is a Chinese herbal formula developed for the treatment of menopausal syndrome in women. In the past 50 years, EXT has shown positive efficacy in the treatment of many chronic diseases in TCM, involving syndrome types of Shen (肾) yin-yang deficiency, yin-deficiency caused yang-flourishing, and disharmony of Chong-Ren meridian. Experimental studies have revealed that EXT has multiple pharmacological actions on such multiple targets as hypothalamus-pituitary-target gland axis, immune function and free radical metabolism, etc. 展开更多
关键词 二仙汤 中医药疗法 实验研究 垂体
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加味水陆二仙汤、卡格列净、缬沙坦对脾肾两虚型2型糖尿病肾病蛋白尿的疗效比较
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作者 戴秀娟 李山河 +2 位作者 苏小惠 施兆明 戴舜珍 《中国医学创新》 CAS 2023年第13期82-86,共5页
目的:研究比较加味水陆二仙汤、卡格列净、缬沙坦对脾肾两虚型2型糖尿病肾病蛋白尿的临床疗效。方法:选取2020年8月-2022年7月在漳州市中医院就诊的脾肾两虚型2型糖尿病肾病患者90例,随机分为A组30例、B组30例和C组30例。A组采用卡格列... 目的:研究比较加味水陆二仙汤、卡格列净、缬沙坦对脾肾两虚型2型糖尿病肾病蛋白尿的临床疗效。方法:选取2020年8月-2022年7月在漳州市中医院就诊的脾肾两虚型2型糖尿病肾病患者90例,随机分为A组30例、B组30例和C组30例。A组采用卡格列净治疗,B组采用缬沙坦治疗,C组采用加味水陆二仙汤治疗,疗程均为3个月。比较三组治疗前后的24 h尿蛋白定量、尿白蛋白/肌酐比值(UACR)、血肌酐(Scr)、估算肾小球滤过率(eGFR),并记录不良反应。结果:与治疗前比较,三组治疗后的24 h尿蛋白定量及UACR均降低,且A组和B组均低于C组,差异均有统计学意义(P<0.05)。与治疗前比较,B组、C组治疗后Scr均降低,C组的eGFR升高,差异均有统计学意义(P<0.05)。三组治疗后的Scr、eGFR比较,差异均无统计学意义(P>0.05)。三组不良反应发生率比较,差异无统计学意义(P>0.05)。结论:在临床上使用加味水陆二仙汤、卡格列净、缬沙坦治疗脾肾两虚型2型糖尿病肾病是安全有效的,其中以卡格列净和缬沙坦的降尿蛋白作用较显著,而加味水陆二仙汤在降低尿蛋白的同时还可改善肾功能,体现了中西医治疗糖尿病肾病的不同优势。 展开更多
关键词 加味水陆二仙汤 卡格列净 缬沙坦 脾肾两虚 糖尿病肾病
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龟鹿二仙汤联合激素治疗肾虚血瘀型卵巢早衰临床研究
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作者 陈莉莉 陈晓勇 +1 位作者 陈瑾 王慧民 《中西医结合研究》 2023年第6期370-373,共4页
目的探究龟鹿二仙汤联合西药常规激素治疗对肾虚血瘀型卵巢早衰(premature ovarian failure,POF)患者中医证候积分及性激素水平的影响。方法选取2020年1月—2022年12月本院收治的肾虚血瘀型POF患者61例作为研究对象,根据随机数字表法分... 目的探究龟鹿二仙汤联合西药常规激素治疗对肾虚血瘀型卵巢早衰(premature ovarian failure,POF)患者中医证候积分及性激素水平的影响。方法选取2020年1月—2022年12月本院收治的肾虚血瘀型POF患者61例作为研究对象,根据随机数字表法分为治疗组和对照组。32例治疗组患者予以龟鹿二仙汤加减联合西药常规激素治疗,29例对照组患者予以西药常规激素治疗。比较2组患者治疗前后中医证候积分及血清卵泡刺激素(follicle-stimulating hormone,FSH)、黄体生成素(luteinizing hormone,LH)、雌二醇(estradiol,E_(2))水平。结果治疗后,治疗组各项中医证候积分明显低于对照组(P<0.05)。治疗组FSH、LH水平明显低于对照组(P<0.05),治疗组E_(2)水平明显高于对照组(P<0.05)。结论龟鹿二仙汤联合西药常规激素治疗能够缓解肾虚血瘀型POF患者临床症状,有效调节患者性激素水平。 展开更多
关键词 卵巢早衰 龟鹿二仙汤 激素替代疗法 肾虚血瘀型
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