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Active fraction combination from Liuwei Dihuang decoction improves adult hippocampal neurogenesis and neurogenic microenvironment in cranially irradiated mice 被引量:1
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作者 WEI Ming-xiao FENG Shu-fang +2 位作者 SHI Tian-yao ZHOU Wen-xia ZHANG Yong-xiang 《中国药理学与毒理学杂志》 CAS 北大核心 2021年第10期773-773,共1页
OBJECTIVE Cranial radiotherapy is clinically used in the treatment of brain tumors;however,the consequent cognitive and emotional dysfunctions seriously impair the life quality of patients.LW-AFC,an active fraction co... OBJECTIVE Cranial radiotherapy is clinically used in the treatment of brain tumors;however,the consequent cognitive and emotional dysfunctions seriously impair the life quality of patients.LW-AFC,an active fraction combination extracted from classical traditional Chinese medicine prescription Liuwei Dihuang decoction,can improve cognitive and emotional dysfunctions in many animal models;however,the protective effect of LW-AFC on cranial irradiation-induced cognitive and emotional dysfunctions has not been reported.Recent studies indicate that impairment of adult hippocampal neurogenesis(AHN)and alterations of the neurogenic microenvironment in the hippocampus constitute critical factors in cognitive and emotional dysfunctions following cranial irradiation.Here,our research further investigated the potential protective effects and mechanisms of LW-AFC on cranial irradiation-induced cognitive and emotional dysfunctions in mice.METHODS LW-AFC(1.6 g·kg^(-1))was intragastrically administered to mice for 14 d before cranial irradiation(7 Gyγ-ray).AHN was examined by quantifying the number of proliferative neural stem cells and immature neurons in the dorsal and ventral hippocampus.The contextual fear conditioning test,open field test,and tail suspension test were used to assess cognitive and emotional functions in mice.To detect the change of the neurogenic microenvironment,colorimetry and multiplex bead analysis were performed to measure the level of oxidative stress,neurotrophic and growth factors,and inflammation in the hippocampus.RESULTS LW-AFC exerted beneficial effects on the contextual fear memory,anxiety behavior,and depression behavior in irradiated mice.Moreover,LW-AFC increased the number of proliferative neural stem cells and immature neurons in the dorsal hippocampus,displaying a regional specificity of neurogenic response.For the neurogenic microenvironment,LW-AFC significantly increased the contents of superoxide dismutase,glutathione peroxidase,glutathione,and catalase and decreased the content of malondialdehyde in the hippocampus of irradiated mice,accompanied by the increase in brain-derived neurotrophic factor,insulin-like growth factor-1,and interleukin-4 content.Together,LW-AFC improved cognitive and emotional dysfunctions,promoted AHN preferentially in the dorsal hippocampus,and ameliorated disturbance in the neurogenic microenvironment in irradiated mice.CONCLUSION LW-AFC ameliorates cranial irradiation-induced cognitive and emotional dysfunctions,and the underlying mechanisms are mediated by promoting AHN in the dorsal hippocampus and improving the neurogenic microenvironment.LW-AFC might be a promising therapeutic agent to treat cognitive and emotional dysfunctions in patients receiving cranial radiotherapy. 展开更多
关键词 Liuwei dihuang decoction adult hippocampal neurogenesis LW-AFC cognitive and emotional dysfunc⁃tions cranial irradiation
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Effects of Liuwei Dihuang decoction and its compatible prescriptions on the function of hypothalamus-pituitary-adrenal axis in senescence-accelerated mouse
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作者 Ning JIANG Si-di LI +1 位作者 Wen-xia ZHOU Yong-xiang ZHANG 《中国药理学与毒理学杂志》 CAS CSCD 北大核心 2015年第S1期74-75,共2页
OBJECTIVE To investigate age-related functional change of hypothalamus-pituitary-adrenal(HPA)axis in senescence accelerated mouse(SAM)and the effects of Liuwei Dihuang decoction(LW)and its San-bu(three tonics)and San-... OBJECTIVE To investigate age-related functional change of hypothalamus-pituitary-adrenal(HPA)axis in senescence accelerated mouse(SAM)and the effects of Liuwei Dihuang decoction(LW)and its San-bu(three tonics)and San-xie(three eliminators)components on the function of HPA axis.METHODS Male SAM-resistance/1(SAMR1)and SAM-prone/8(SAMP8)at the ages of 6and 12 months old were used.SAMP8 were orally administered with LW,three tonics and three eliminators at the doses of 10,6.4and 3.6g·kg-1·d-1,respectively,for consecutive 60 d.Serum level of CORT was assayed with ELISA method.The levels of hypothalamic CRH and pituitary ACTH was determined with radioimmunoassay.RESULTS The levels of hypothalamic CRH,pituitary ACTH and serous CORT were much higher in 6 and 12 months old SAMP8 than those in age-matched SAMR1,which suggested the abnormal function of HPA axis in SAMP8.Oral administration of LW and three tonics significantly decreased the level of hypothalamic CRH of 6 and 12 months old SAMP8,and reduced the levels of pituitary ACTH and serous CORT of 6 month old SAMP8.Three eliminators significantly decreased the level of hypothalamic CRH of 6 months old SAMP8.The results indicated that oral administration of LW,three tonics and three eliminators improved the function of HPA axis of SAMP8.CONCLUSION The results showed the hyperactivity of HPA axis of SAMP8,and LW improved the hyperactivity of 6 month old SAMP8.Three tonics and three eliminators had similar effects as LW,which had better effect after compatibility. 展开更多
关键词 Liuwei dihuang decoction SENESCENCE ACCELERATED mo
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Effects of LW-AFC,a new formula derived from Liuwei Dihuang decoction,on intestinal microbiome in senescence-accelerated mouse prone 8 strain,a mouse model of Alzheimer disease
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作者 Xiao-rui CHENG Jian-hui WANG +7 位作者 Fu-qiang YE Xiao-rui ZHANG Feng LIU Gang LIU Ming NI Shan-yi QIAO Wen-xia ZHOU Yong-xiang ZHANG 《中国药理学与毒理学杂志》 CAS CSCD 北大核心 2017年第10期987-987,共1页
OBJECTIVE To investigate the effects of LW-AFC,a new formula derived fromLiuwei Dihuang decoction,on gut microbiota and the behavior of learning and memory of SAMP8 mice,a mouse model of Alzheimer Disease(AD),and iden... OBJECTIVE To investigate the effects of LW-AFC,a new formula derived fromLiuwei Dihuang decoction,on gut microbiota and the behavior of learning and memory of SAMP8 mice,a mouse model of Alzheimer Disease(AD),and identify the specific intestinal microbiota correlating with cognitive ability.METHODS Morris-water maze test,novel object recognition test and shuttle-box test were conducted to observe the ability of learning and memory.16S rRNA amplicon sequencing(Illumina,San Diego,CA,USA)was employed to investigate gut microbiota.RESULTS The treatment of LW-AFC improved cognitive impairments of SAMP8 mice,including spatial learning and memory ability,active avoidance response,and object recognition memory capability.Our data indicated that there were significantly 8 increased and 12 decreased operational taxonomic units(OTUs)in the gut microbiota of SAMP8 mice compared with senescence accelerated mouse resistant 1(SAMR1) strains,the control of SAMP8 mice.The treatment of LW-AFC altered 22(16 increased and 6 decreased)OTUs in SAMP8 mice and among them,15 OTUs could be reversed by LW-AFC treatment resulting in a microbial composition similar to that of SAMR1 mice.We further showed that there were7(3 negative and 4 positive correlation)OTUs significantly correlated with all the three types of cognitive abilities,at the order level,including Bacteroidales,Clostridiales,Desulfovibrionales,CW040,and two unclassified orders.LW-AFC had influences on bacterial taxa correlated with the abilities of learning and memory in SAMP8 mice and restored them to SAMR1 mice.CONCLUSION The effects of LW-AFC on improving cognitive impairments of SAMP8 mice might be via modulating intestinal microbiome and LW-AFC could be used as a potential anti-AD agent. 展开更多
关键词 Alzheimer disease LW-AFC Liuwei dihuang decoction MICROBIOME senescence-accelerated mouse prone 8 strain
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Meta-analysis of the correlation between diabetic nephropathy and inflammatory response based on Shenqi Dihuang Decoction
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作者 Yan-Li Huang Zheng-Feng Li +2 位作者 Yin Wu Min Wu Hui Zhang 《Journal of Hainan Medical University》 2020年第19期61-67,共7页
Objective:A meta-analysis was used to systematically study the correlation between inflammatory response and diabetic nephropathy based on Shenqi Dihuang Decoction.Methods:The RCT literatures related to the efficacy a... Objective:A meta-analysis was used to systematically study the correlation between inflammatory response and diabetic nephropathy based on Shenqi Dihuang Decoction.Methods:The RCT literatures related to the efficacy and inflammatory response of Shenqi Dihuang Decoction in the treatment of diabetic nephropathy in Chinese and English databases were searched.The time limit was from the establishment of the database to February 2020.Literature screening and data extraction were performed according to the criteria for inclusion and exclusion.The evaluator's manual 5.1.0 was used to evaluate the risk of bias in the final included literature.Meta-analysis was performed using RevMan 5.3 software.Comparing western medicine treatment and Shenqi Dihuang decoction to inflammatory factors:interleukin-6(IL-6)Interleukin-8(IL-8),tumor necrosis factor-α(TNF-α),C-reactiveprotein(CRP),intercellular adhesion molecule-1(MCP-1),and monocyte chemotactic protein-1(ICAM-1)and efficacy indicators:the impact of urine microalbumin(mALB)and clinical efficacy.Results:A total of 11 related research reports were finally included,of which 9 evaluated IL-6[SMD=-1.09,95%CI(-1.57,-0.61),Z=4.43,P<0.00001];5 Item evaluated IL-8[SMD=-0.91,95%CI(-1.44,-0.37),Z=3.33,P=0.0009<0.05];7 items evaluated TNF-[SMD=-0.97,95%CI(-1.49,-0.45),Z=3.63,P=0.0003<0.05];9 items evaluated CRP[SMD=-1.40,95%CI(-1.89,-0.90),Z=5.49,P<0.00001];2 items evaluated MCP-1[SMD=-0.71,95%CI(-1.00,-0.43),Z=4.95,P<0.00001];1 item was ICAM-1 Evaluation was performed[SMD=-0.98,95%CI(-1.38,-0.58),Z=4.82,P<0.00001];6 items used mALB as the efficacy index[SMD=-1.85,95%CI(-2.65,-1.05),Z=4.52,P<0.00001];9 items evaluated the clinical efficacy,[OR=4.45,95%CI(2.96,6.69),Z=7.17,P<0.00001].Conclusion:Shenqi Dihuang Decoction was used in patients with diabetic nephropathy.Compared with the western medicine treatment group,the levels of IL-6,IL-8,TNF-α,CRP,MCP-1,ICAM-1and inflammatory factors were significantly reduced.The effect is significantly increased.It is suggested that Shenqi Dihuang Decoction has better anti-inflammatory response than diabetic nephropathy than western medicine alone. 展开更多
关键词 Shenqi dihuang decoction Diabetic nephropathy Inflammatory response Meta analysis
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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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Research of the anxiolytic effect of Baihe Dihuang Decoction
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作者 Fang Huan-Le Han Ning-Juan +2 位作者 Li Xiao-Ming Niu Rui Chen Yan-Bin 《Journal of Hainan Medical University》 2019年第5期6-9,共4页
Objective:To study the effect of Baihe Dihuang Decoction in improving anxiety and its mechanism of action.Methods: Male mice were randomly divided into 5 groups: blank control group, Baihe Dihuang Decoction high, medi... Objective:To study the effect of Baihe Dihuang Decoction in improving anxiety and its mechanism of action.Methods: Male mice were randomly divided into 5 groups: blank control group, Baihe Dihuang Decoction high, medium, low-dose group and diazepam group. After continuous intragastric administration for 14 d, the behavioral test of the mouse elevated plus maze experiment and opening test was performed. The brain tissue GABA and Glu content was measured by immunosorbent assay (ELISA).Results: Compared with the blank control group, the middle and high doses of Baihe Dihuang Decoction could increase the time and frequency of movement of the mice in the open cross labyrinth in the open arm and increase the number of times that the mouse entered the central area in the opening test. The anti-anxiety effect also showed an increase in the brain tissue GABA content in mice, ignificantly decreased Glu contents in mice.Conclusion: Baihe Dihuang Decoction has some anxiolytic effect, and anti-anxiety effect may be related to increasing brain tissue GABA content, decreased Glu contents in mice. 展开更多
关键词 Baihe dihuang decoction ANXIETY OVERHEAD cross LABYRINTH OPENING test GABA GLU
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Research on Xijiao Dihuang Decoction suppressing platelet apoptosis in immune-mediated aplastic anemia based on mitochondrial mediated pathway
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作者 Le-Min Xia Le-Le Cui +3 位作者 Yi-Ling Jiang Qin Zheng Ai-Ping Zhang Mei-Hong Luo 《Traditional Medicine Research》 2017年第1期27-32,共6页
本研究建立了免疫介导再生障碍性贫血模型小鼠:近交系 C57BL/6小鼠,经60Co-γ射线全身照射(5.5Gy)(1.1Gy/min×5 min)后,4 h 内经尾静脉输入 DBA/2小鼠的淋巴细胞悬液1×106 cells/只。实验分组:正常组(健康小鼠,生理盐水灌胃)... 本研究建立了免疫介导再生障碍性贫血模型小鼠:近交系 C57BL/6小鼠,经60Co-γ射线全身照射(5.5Gy)(1.1Gy/min×5 min)后,4 h 内经尾静脉输入 DBA/2小鼠的淋巴细胞悬液1×106 cells/只。实验分组:正常组(健康小鼠,生理盐水灌胃),AA组(再生障碍性贫血小鼠模型,生理盐水灌胃),XDD组(再生障碍性贫血小鼠模型,19.5g/kg 犀角地黄汤灌胃),CSA组(再生障碍性贫血小鼠模型,0.027g/kg环孢霉素灌胃)。连续给药3天后测量小鼠血小板数量,ΔΨm, Cyt C, PS, Ca2+的变化,并用western 检测Bak, Bax, caspase-3, caspase-8, caspase-9酶原的表达。结果发现与AA组相比较,犀角地黄汤能明显恢复血小板计数,调控线粒体跨膜电位和相关凋亡蛋白Bak, Bax, caspase-8,caspase-3, caspase-9的表达。我们推测犀角地黄汤可能是通过线粒体途径来抑制血小板凋亡,从而改善小鼠的再生障碍性贫血的出血症状。这一发现为再生障碍性贫血血小板减少的治疗提供了一个新思路。 展开更多
关键词 再生障碍性贫血 犀角地黄汤 线粒体途径 凋亡
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Construction of NIM sub-network regulated by Liuwei Dihuang decoction and its characteristics
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作者 Tong-xing WANG Lu HAN +2 位作者 Xiao-rui CHENG Wen-xia ZHOU Yong-xiang ZHANG 《中国药理学与毒理学杂志》 CAS CSCD 北大核心 2018年第4期306-307,共2页
OBJECTIVE To construct the neuroendocrine immunomodulation(NIM) sub-network regulated by Liuwei Dihuang decoction(LW) and analyze its characteristics.METHODS We took the GSE57273 in GEO database and screened the diffe... OBJECTIVE To construct the neuroendocrine immunomodulation(NIM) sub-network regulated by Liuwei Dihuang decoction(LW) and analyze its characteristics.METHODS We took the GSE57273 in GEO database and screened the differentially expressed genes(DEGs)(P<0.01) by the GEO2 R tool as gene expression signature of LW.The global PPI network was constructed in the context of whole PPI network through direct interaction algorithm and forest algorithm respectively.Then the enrichment and the topological characteristics of NIM signaling molecules were evaluated by permutation test.Finally,we abstracted the NIM sub-network by NIMNT,which combined the NIM molecular network and forest algorithm,and analyzed the topological characteristics of it by the Network Analyzer(release 2.7) plugin in Cytoscape v3.5.1.RESULTS We got 2468 DEGs in the gene expression signature of LW.After analyzing the global PPI network of LW got by two kinds of algorithms,we found that the NIM signaling molecules significantly enriched and located in important positions in the global PPI network.The NIM sub-network regulated by LW contained 1099 nodes and 1056 edges.We screened out 22 hub nodes(Degree>10).Among them,there were 19 NIM signaling molecules in which only ESR1 changed significantly and 3 non-DEGs(NFATC2,RARA,TP53).However,the down.stream of the hub nodes were significantly changes.CONCLUSION The results suggested that LW might mainly regulate the non-hub nodes to recovery of the network imbalance of the body in the state of disease. 展开更多
关键词 六味地黄汤 神经内分泌 治疗方法 临床分析
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Liuwei Dihuang Decoction improves cognitive impairments via regulating immune system in APP/PS1 transgenic mouse, a mouse model of Alzheimer disease
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作者 Xi LEI Jian-hui WANG +5 位作者 Xiao-rui CHENG Xiao-rui ZHANG Gang LIU Jun-ping CHENG Wen-xia ZHOU Yong-xiang ZHANG 《中国药理学与毒理学杂志》 CAS CSCD 北大核心 2018年第4期291-291,共1页
OBJECTIVE To investigate the effect and mechanisms of Liuwei Dihuang Decoction(LW) on cognition in PrP-hAβPPswe/PS1ΔE9(APP/PS1) transgenic mice.METHODS LW was adminis.trated with oral for 3 months.The locomotor acti... OBJECTIVE To investigate the effect and mechanisms of Liuwei Dihuang Decoction(LW) on cognition in PrP-hAβPPswe/PS1ΔE9(APP/PS1) transgenic mice.METHODS LW was adminis.trated with oral for 3 months.The locomotor activity test was performed to investigate the spontaneous motor activity of mice.The Morris water maze test and shuttle box test were performed to investigate the spatial learning and memory and active avoidance response respectively.The Αβ deposits and neuron loss in the hippocampus was detected by immunofluorescence staining and nissl staining respectively.The flow cytometry was employed to investigate the lymphocyte subsets of the mice.The 3 H-thymidine incorporation was performed to investigate the splenocytes proliferation.RESULTS The treatment of LW ameliorated the impairments of spatial learning and memory and active and passive avoidance in APP/PS1 mice.The administration of LW alleviated neuron loss in the brain,suppressed amyloid-β(Αβ) deposits in the hippocampus of APP/PS1 mice.The treatment of LW significantly increased ConAand LPS-induced proliferation of splenocytes,increased CD3+ T cells and CD19+ B cells in the spleen lymphocytes and reduced Gr1+ cells in APP/PS1 mice.CONCLUSION This data indicated the adminis.tration of LW ameliorated behavioral and pathological deterioration via regulating immune function. 展开更多
关键词 六味地黄汤 中医 治疗方法 临床分析
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Pharmacological mechanism of Liuwei Dihuang Decoction in treating Osteoporosis and Alzheimer’s disease based on Network Pharmacology
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作者 Rui Zhang Qiu-Yan Li +4 位作者 Tian Jin Hua Qu Miao-Ran Wang Xu-Jie Wang Xue-Xue Zhang 《Aging Communications》 2021年第4期6-12,共7页
Objective:To predict the active components,targets of Liuwei Dihuang Decoction for the treatment of osteoporosis and Alzheimer’s disease with network pharmacology analysis.Methods:The components and targets of all th... Objective:To predict the active components,targets of Liuwei Dihuang Decoction for the treatment of osteoporosis and Alzheimer’s disease with network pharmacology analysis.Methods:The components and targets of all the herbs of Liuwei Dihuang Decoction were obtained from ETCM database,Osteoporosis and Alzheimer’s disease targets were extracted from the GeneCards and DrugBank databases,selected based on STRING database for PPI network construction and build the network through the software of Cytoscape,Kyoto Encyclopedia of Genes and Genomes and Gene Ontology analyses were carried out by R software.Results:181 active compounds and 762 disease-related from Liuwei Dihuang Decoction,there were 144 disease-related common targets obtained from Venn Diagram.IL6,TNF,PPARA,PPARG,SRC and other 11 targets are the node protein of the whole network.In the multisystem biological reaction process such as neurotransmitter,glucose and lipid metabolism,calcium and phosphorus metabolism.Conclusion:Liuwei Dihuang pill may play a co-therapeutic role in Osteoporosis and Alzheimer’s disease by participating in the multi-system biological reaction process such as neurotransmitter,glucose and lipid metabolism,calcium and phosphorus metabolism. 展开更多
关键词 Liuwei dihuang decoction OSTEOPOROSIS Alzheimer’s Disease Network pharmacology
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杞菊地黄汤联合通窍明目针法治疗糖尿病视网膜病变的临床观察
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作者 吴丹 《中国中医药现代远程教育》 2024年第4期118-120,共3页
目的 探讨杞菊地黄汤联合通窍明目针法治疗糖尿病视网膜病变(DR)的临床效果。方法 将98例非增殖期DR患者随机分为对照组49例和试验组49例。对照组予以常规治疗及羟苯磺酸钙胶囊,试验组在对照组基础上予以杞菊地黄汤联合通窍明目针法治疗... 目的 探讨杞菊地黄汤联合通窍明目针法治疗糖尿病视网膜病变(DR)的临床效果。方法 将98例非增殖期DR患者随机分为对照组49例和试验组49例。对照组予以常规治疗及羟苯磺酸钙胶囊,试验组在对照组基础上予以杞菊地黄汤联合通窍明目针法治疗。2组患者治疗时间均为8周。比较2组临床疗效,视网膜渗漏总面积及毛细血管无灌注区总面积,黄斑区视网膜平均厚度(CAT)、体积(CV)及中央区厚度(CST)。结果 治疗后,试验组总有效率为93.88%(46/49),高于对照组的75.51%(37/49)(P<0.05)。与对照组比较,试验组治疗后视网膜渗漏总面积及毛细血管无灌注区总面积较低,黄斑区CAT、CV及CST较低(P<0.05)。结论 杞菊地黄汤联合通窍明目针法能明显改善DR患者眼底视网膜微血管病变,缓解黄斑区视网膜水肿,临床疗效显著。 展开更多
关键词 消渴目病 糖尿病视网膜病变 杞菊地黄汤 通窍明目针法 中医药疗法
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阴虚水肿浅见
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作者 张春艳 王建明 《中国中医药现代远程教育》 2024年第3期34-36,共3页
水肿病与肺的通调、脾的转输、肾的水液代谢调节、肝的疏泄、心的行血、三焦的气化有关。多数医家认为水为阴邪,得温则化,故虚证水肿多与脾肾阳气虚损有关,治疗常应用具有温热作用的中药以化水。但阴虚水肿亦不少见。阳虚、阴虚均可导... 水肿病与肺的通调、脾的转输、肾的水液代谢调节、肝的疏泄、心的行血、三焦的气化有关。多数医家认为水为阴邪,得温则化,故虚证水肿多与脾肾阳气虚损有关,治疗常应用具有温热作用的中药以化水。但阴虚水肿亦不少见。阳虚、阴虚均可导致水肿的发生,现代医家多重视阳虚水肿,对阴虚水肿有所忽视。故此文对阴虚水肿的病因及治疗方剂(济阴汤、白茅根汤、加减八味地黄汤、滋阴清燥汤、猪苓汤)进行论述,尤推《医学衷中参西录》之济阴汤、白茅根汤、加减八味地黄汤。 展开更多
关键词 水肿 阴虚证 济阴汤 白茅根汤 猪苓汤 加减八味地黄汤
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加减参芪地黄汤治疗慢性肾脏病3-4期的临床研究
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作者 任燕 段星星 +4 位作者 董宏利 李一林 蒋春波 周丽霞 周岚 《基层中医药》 2024年第1期16-21,共6页
目的探讨加减参芪地黄汤在慢性肾病3-4期患者临床治疗中的作用。方法将2019年1月至2023年5月在苏州市中医医院住院及门诊治疗的慢性肾病3-4期患者60例,按随机数字表分组,各30例。对照组在常规治疗的基础上辅以肾衰宁片口服,治疗组在常... 目的探讨加减参芪地黄汤在慢性肾病3-4期患者临床治疗中的作用。方法将2019年1月至2023年5月在苏州市中医医院住院及门诊治疗的慢性肾病3-4期患者60例,按随机数字表分组,各30例。对照组在常规治疗的基础上辅以肾衰宁片口服,治疗组在常规治疗的基础上给予加减参芪地黄汤中药治疗。检测两组患者肌酐、尿素氮、尿酸等指标,比较两组患者中医证候积分及临床疗效。结果治疗组总有效率为86.67%,显著高于对照组(77.33%)(P<0.05)。治疗组治疗后血Scr、BUN、UA显著低于对照组,差异具有统计学意义(P<0.05)。治疗组倦怠乏力、食少纳呆、腰膝酸软、肢体困重等证候积分与对照组比较均有统计学差异(P<0.01或P<0.05)。结论加减参芪地黄汤对慢性肾病3-4期患者疗效良好,可降低血肌酐、尿素氮、尿酸,改善临床症状,延缓慢性肾脏病进展。 展开更多
关键词 参芪地黄汤 慢性肾脏病3-4期 临床疗效
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百合地黄汤及其类方在肿瘤治疗中的应用
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作者 喻明 李晓斌 +3 位作者 李翔宇 李勇 陈璐 王文萍 《实用中医内科杂志》 2024年第2期100-102,共3页
肿瘤进展及化疗、放疗、手术各种治疗过程中患者常发生的不适症状(例如抑郁、心烦、食欲时好时坏、呕吐、口苦、小便色黄、身体虚弱)与百合病类似。仲景病证结合思路也适用于肿瘤治疗。例如,百合地黄汤加减治疗非小细胞肺癌及放射性肺... 肿瘤进展及化疗、放疗、手术各种治疗过程中患者常发生的不适症状(例如抑郁、心烦、食欲时好时坏、呕吐、口苦、小便色黄、身体虚弱)与百合病类似。仲景病证结合思路也适用于肿瘤治疗。例如,百合地黄汤加减治疗非小细胞肺癌及放射性肺炎、百合类方治疗肿瘤相关性抑郁焦虑、百合知母汤加减治疗乳腺癌术后心烦夜寐难安及肿瘤并发出血,百合滑石散加减治疗直肠癌术后抑郁兼小便灼热、百合滑石代赭汤加减治疗胃癌。以百合地黄汤为主方的病证结合思路在运用到肿瘤治疗时需注意明辨证型,抓住主症,病证结合。此外,对于百合地黄汤的其他类方(百合鸡子汤、百合洗方、栝蒌牡蛎散)目前虽未见肿瘤临床文献报道,但亦可应用于今后临床实践中,从而提高患者生活质量。 展开更多
关键词 百合地黄汤 病证结合 肿瘤 治疗
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犀角地黄汤预防小鼠中暑效果及血液指标的变化
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作者 刘红梅 孙传伯 《井冈山大学学报(自然科学版)》 2024年第1期61-67,共7页
为了探究犀角地黄汤对中暑小鼠的预防效果及血液指标变化的影响。将30只小鼠随机分为对照组、中暑组和干预组,每组10只,干预组小鼠每天使用11.375 g/kg犀角地黄汤进行灌胃,连续用药5 d,对照组和中暑组小鼠灌胃等量的生理盐水。在最后一... 为了探究犀角地黄汤对中暑小鼠的预防效果及血液指标变化的影响。将30只小鼠随机分为对照组、中暑组和干预组,每组10只,干预组小鼠每天使用11.375 g/kg犀角地黄汤进行灌胃,连续用药5 d,对照组和中暑组小鼠灌胃等量的生理盐水。在最后一次灌胃后2 h进行中暑造模。将中暑组和干预组小鼠置于40℃的恒温环境中持续60 min,对照组小鼠置于室温环境中,对比各组小鼠的抗中暑效果,试验结束后,小鼠眼眶分别采集抗凝血用于血常规检测,取血清用于血清生化和ELISA检测。结果显示,与空白组相比,中暑组小鼠的肛温显著升高(P<0.05),与中暑组相比,干预组小鼠肛温显著下降(P<0.05);与空白组相比,中暑组小鼠血液WBC、Gran#、Lymph#、Mon#、RBC、HGB、HCT、MCV、RDW、MPV、PDW水平显著升高(P<0.05),PLT、PCT水平显著下降(P<0.05),与中暑组相比,干预组小鼠血液WBC、Gran#、Lymph#、Mon#、RBC、HGB、HCT、MCV、MPV、PDW显著下降(P<0.05),PLT、PCT水平显著升高(P<0.05);与空白组相比,中暑组小鼠血清AST、ALT、BUN、CREA和CK含量显著升高(P<0.05),与中暑组相比,干预组小鼠血清AST、ALT、BUN、CREA、CK显著下降(P<0.05);与空白组相比,中暑组小鼠血清MDA、TNF-α、IL-6和IL-1β含量显著升高(P<0.05),SOD、GSH-PX和HSP70显著下降(P<0.05),与中暑组相比,干预组血清MDA、TNF-α、IL-6和IL-1β含量显著下降(P<0.05),HSP70、SOD和GSH-PX含量显著升高(P<0.05)。表明犀角地黄汤可以有效地预防小鼠中暑疾病的发生,其机制可能与抑制炎性反应和提高机体的抗氧化水平有关,可为犀角地黄汤用于中暑病的防治提供一定的理论依据。 展开更多
关键词 犀角地黄汤 中暑 血液指标
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加味百合地黄汤对围绝经期抑郁症模型大鼠HPO轴和雌激素受体表达的影响
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作者 陈思源 蔡娜 +3 位作者 赵洪庆 欧阳舒雯 王宇红 尹抗抗 《湖南中医药大学学报》 CAS 2024年第3期343-349,共7页
目的基于下丘脑-垂体-卵巢(hypothalamic-pituitary-ovarian,HPO)轴及雌激素受体(estrogen receptor,ER)探明加味百合地黄汤治疗围绝经期抑郁症的功效及潜在机制。方法将大鼠随机分为正常对照组、模型组、阳性药物组(氟哌噻吨美利曲水溶... 目的基于下丘脑-垂体-卵巢(hypothalamic-pituitary-ovarian,HPO)轴及雌激素受体(estrogen receptor,ER)探明加味百合地黄汤治疗围绝经期抑郁症的功效及潜在机制。方法将大鼠随机分为正常对照组、模型组、阳性药物组(氟哌噻吨美利曲水溶液1.89 mg/kg)以及加味百合汤高、中、低剂量组(16.2 g/kg、8.1 g/kg、4.05 g/kg),每组10只。除正常对照组外,其他组均采用双侧卵巢摘除联合慢性不可预见性应激建立围绝经期抑郁症大鼠模型。各组给药21 d后采用糖水偏好实验和强迫游泳实验评价大鼠抑郁样行为,酶联免疫吸附法检测血清促性腺激素释放激素(gonadotropin-releasing hormone,GnRH)、卵泡刺激素(follicle-stimulating hormone,FSH)、黄体生成素(luteinizing hormone,LH)、雌二醇(estradiol,E2)含量,HE染色观察下丘脑、垂体、海马等组织病理损伤情况,RT-PCR和Western blot法检测下丘脑、海马组织雌激素受体基因及蛋白的表达。结果与正常对照组比较,模型组大鼠糖水偏好度显著下降(P<0.01),强迫游泳不动时间显著增加(P<0.01),表现出明显抑郁样行为,血清GnRH、FSH、LH含量均显著升高(P<0.01或P<0.05),E2降低(P<0.01),下丘脑、垂体及海马组织受损,雌激素受体表达显著降低(P<0.01);经加味百合地黄汤干预治疗后,模型组大鼠抑郁样行为显著改善(P<0.01或P<0.05),HPO轴亢进状态及海马损伤得以缓解,下丘脑、海马雌激素受体表达均显著增加(P<0.01或P<0.05)。与阳性药物组比较,加味百合地黄汤高剂量组下丘脑雌激素受体基因表达显著增加(P<0.05)。结论加味百合地黄汤通过抑制HPO轴亢进及增加脑内雌激素受体水平,发挥抗围绝经期抑郁症作用。 展开更多
关键词 加味百合地黄汤 围绝经期抑郁症 下丘脑-垂体-卵巢轴 雌激素受体 下丘脑 海马
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丹荷六味地黄汤对绝经后NAFLD患者脂代谢及心理状态评分的影响
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作者 赵晨露 马素平 +6 位作者 刘晓彦 郑瑗瑗 尚东方 刘素彤 石俊豪 王晓杰 赵文霞 《中西医结合肝病杂志》 CAS 2024年第2期104-109,共6页
目的:探讨丹荷六味地黄汤对绝经后非酒精性脂肪性肝病(NAFLD)患者脂代谢及心理状态评分的影响。方法:选取2021年12月至2022年12月河南中医药大学第一附属医院收治的绝经后NAFLD患者68例,按随机数字表法分为观察组和对照组,每组34例。观... 目的:探讨丹荷六味地黄汤对绝经后非酒精性脂肪性肝病(NAFLD)患者脂代谢及心理状态评分的影响。方法:选取2021年12月至2022年12月河南中医药大学第一附属医院收治的绝经后NAFLD患者68例,按随机数字表法分为观察组和对照组,每组34例。观察组给予丹荷六味地黄汤,对照组给予维生素E软胶囊,2周为1个治疗周期,对比两组患者治疗6个周期后的肝功能、脂代谢、雌激素E2、脂肪变和肝纤维化评分、改良Kupperman评分、焦虑自评量表评分(SAS)、自评抑郁量表评分(SDS)及不良反应。结果:治疗6个周期后,观察组患者总有效率88.2%,高于对照组的65.6%(P<0.05)。观察组患者BMI、腰围减少,ALT、AST、GGT、TG、TC、HDL、LDL、游离脂肪酸、雌激素E2水平改善,肝硬度指数(CAP)、肝硬度值(LSM)、APRI值降低,改良Kupperman评分、SAS和SDS降低均优于对照组(P<0.05)。结论:丹荷六味地黄汤治疗绝经后NAFLD疗效确切,具有改善肝功能、脂代谢、雌激素水平,减少肝脂肪变和纤维化评分的作用,且对绝经后NAFLD患者的心理状态具有一定调节作用。 展开更多
关键词 丹荷六味地黄汤 绝经后 非酒精性脂肪性肝病 脂代谢 焦虑/抑郁评分
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犀角地黄汤联合来氟米特对系统性红斑狼疮的改善作用
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作者 王伟 付军燕 +2 位作者 郭凤霞 谷洪 孙金磊 《西北药学杂志》 2024年第1期162-166,共5页
目的观察犀角地黄汤联合来氟米特对系统性红斑狼疮(systemic lupus erythema,SLE)的改善及对Th1/Th2失衡的影响。方法选取123例急性活动期热毒炽盛证SLE患者,用随机数字表法分为对照组(n=61)和试验组(n=62)。对照组采用醋酸泼尼松片联... 目的观察犀角地黄汤联合来氟米特对系统性红斑狼疮(systemic lupus erythema,SLE)的改善及对Th1/Th2失衡的影响。方法选取123例急性活动期热毒炽盛证SLE患者,用随机数字表法分为对照组(n=61)和试验组(n=62)。对照组采用醋酸泼尼松片联合来氟米特治疗,试验组在对照组治疗的基础上用犀角地黄汤治疗。比较治疗前、治疗后1个月和治疗后3个月2组疾病活动度评分、中医证候评分、补体C3水平和Th1/Th2值;比较2组抗ds-DNA抗体阳性率、临床疗效和不良反应。结果治疗前2组SLE疾病活动度评分(SLE disease activity score,SLEDAI)、中医证候评分、补体C3水平和Th1/Th2值比较,差异无统计学意义;治疗后1、3个月试验组SLEDAI评分、中医证候评分、Th1/Th2值和抗ds-DNA抗体阳性率均明显低于对照组,补体C3水平和临床总有效率均明显高于对照组(P<0.05);试验组不良反应发生率明显低于对照组(P<0.05)。结论犀角地黄汤可改善急性活动期热毒炽盛证SLE患者疾病活动度及中医证候、实验室指标,提升临床疗效,减少糖皮质激素及免疫抑制剂所致的不良反应。 展开更多
关键词 犀角地黄汤 来氟米特 醋酸泼尼松片 系统性红斑狼疮 急性活动期 热毒炽盛证
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参芪地黄汤合多靶点免疫抑制治疗IgA肾病合并膜性肾病个案报道
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作者 兰明希 周乐 +2 位作者 高冉冉 韩聪 李伟 《山东中医杂志》 2024年第4期424-428,共5页
报道1例IgA肾病重复肾活检为IgA肾病合并膜性肾病的病例。患者病史长达11年且多种免疫抑制治疗均疗效不佳,属于难治性肾病,临床主要表现为大量蛋白尿及肾功能异常,伴有血尿、高血压。李伟教授根据多年用药经验及相关文献研究结果,给予... 报道1例IgA肾病重复肾活检为IgA肾病合并膜性肾病的病例。患者病史长达11年且多种免疫抑制治疗均疗效不佳,属于难治性肾病,临床主要表现为大量蛋白尿及肾功能异常,伴有血尿、高血压。李伟教授根据多年用药经验及相关文献研究结果,给予参芪地黄汤联合多靶点免疫抑制治疗,重点分析中医辨证论治同西医病理结合,以益气活血清泄为原则,探讨其治疗方案及疾病转归,并复习相关文献,为中西医结合诊治IgA肾病合并膜性肾病提供治疗方向和临床依据。 展开更多
关键词 IGA肾病 膜性肾病 参芪地黄汤 多靶点免疫抑制 益气 活血清泄
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犀角地黄汤加减方抑制焦亡相关蛋白减轻脓毒症致急性肺损伤机制研究
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作者 赵媛 刘登 施荣 《中国中医急症》 2024年第3期405-408,414,共5页
目的探讨犀角地黄汤加减方通过抑制焦亡相关蛋白减轻脓毒症小鼠肺损伤的机制。方法将小鼠分为假手术组、模型组、抑制剂组、中药低剂量组和中药高剂量组。采用盲肠结扎穿孔术制备脓毒症小鼠模型,于造模后12 h处死小鼠,双抗体夹心酶联免... 目的探讨犀角地黄汤加减方通过抑制焦亡相关蛋白减轻脓毒症小鼠肺损伤的机制。方法将小鼠分为假手术组、模型组、抑制剂组、中药低剂量组和中药高剂量组。采用盲肠结扎穿孔术制备脓毒症小鼠模型,于造模后12 h处死小鼠,双抗体夹心酶联免疫吸附法测定小鼠血清白细胞介素-1β(IL-1β)、白细胞介素18(IL-18)水平,留取完整左肺组织行病理切片,评估肺损伤情况,留取右肺组织提取RNA和蛋白,RT-PCR、Western blotting定量检测肺组织中NF-κB、NLRP3和Caspase-1、GSDMD的表达。结果与模型组比较,抑制剂组小鼠血清中IL-1β、IL-18水平显著降低(P<0.01),肺组织中Caspase-1、GSDMD基因和蛋白的表达下调,差异均具有显著统计学意义(P<0.01);与模型组相比,中药组小鼠血清中IL-1β、IL-18水平显著降低(P<0.01),肺损伤减轻,肺组织中NF-κB、NLRP3和Caspase-1、GSDMD基因和蛋白的表达下调,差异均具有统计学意义(P<0.01),且中药高、低剂量组间的差异有统计学意义(P<0.01)。结论犀角地黄汤加减方能够通过抑制焦亡相关通路蛋白来减轻脓毒症肺损伤,且与药物浓度相关。 展开更多
关键词 脓毒症 肺损伤 犀角地黄汤加减方 焦亡 小鼠
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