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历节病并发奔豚病的病机及证治探讨 被引量:5
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作者 邝浩丹 黄琳 +1 位作者 肖硕实 温成平 《浙江中医药大学学报》 CAS 2021年第7期713-717,共5页
[目的]探讨历节病并发奔豚病的核心病机及证治方法。[方法]通过查阅并梳理《黄帝内经》《金匮要略》《针灸甲乙经》等经典文献中与历节病、奔豚病密切相关的文献资料,从文献中整理总结历节病和奔豚病的病因,并分析各个证候类型的核心病... [目的]探讨历节病并发奔豚病的核心病机及证治方法。[方法]通过查阅并梳理《黄帝内经》《金匮要略》《针灸甲乙经》等经典文献中与历节病、奔豚病密切相关的文献资料,从文献中整理总结历节病和奔豚病的病因,并分析各个证候类型的核心病机,找出相应的辨证论治方法。[结果]文献表明,误汗、误水、误下、劳后当风、饥饿、烧针后感寒是历节病并发奔豚病的常见诱因。从疾病的发展来看,历节病并发奔豚病起于太阳气衰,风寒湿邪袭表;进展于寒气闭郁,肺气不宣;加剧于痹热血虚。疾病慢性迁延难愈的主要病机是脾阳不振、肝肾虚损,水寒积结。主要证候治法可以概括为以下几方面:风湿袭表、玄府不通,治法为祛风除湿、调和营卫;寒湿闭郁、肺气不宣,治法为宣肺散寒、利湿逐痹、祛邪畅气;痹热血虚、肝郁气逆,治法为清热养血、平冲逐痹;脾虚失运、湿邪阻络,治法为健脾运湿、温阳通络;肝肾虚损、水寒积结,治法为补益肝肾、养复血气、通阳泄浊、平降冲气。[结论]历节病并发奔豚病作为一种复杂疾病,以风寒湿外感为起因,以脾虚失运、痰湿瘀阻脉络为核心病机,以健脾运湿、理气通络为核心治疗方法。辨证论治时需要重视热痹血虚、水寒积结下焦等问题。 展开更多
关键词 历节病 奔豚病 核心病机 风水病 黄汗 痹证 类风湿性关节炎 中医文献
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Efficacy of Buzhong Yiqi decoction(补中益气汤)on benign prostatic hyperplasia and its possible mechanism
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作者 JIA Lihua kuang haodan XU Yuan 《Journal of Traditional Chinese Medicine》 SCIE CSCD 2023年第3期533-541,共9页
OBJECTIVE:To explored the mechanism of Buzhong Yigi decoction(补中益气汤 BZYQD) in inhibiting prostatic cell proliferation effect.METHODS:The compounds of BZYQD consisted with eight herbs were searched in TCMSP databa... OBJECTIVE:To explored the mechanism of Buzhong Yigi decoction(补中益气汤 BZYQD) in inhibiting prostatic cell proliferation effect.METHODS:The compounds of BZYQD consisted with eight herbs were searched in TCMSP databases and the putative targets of BZYQD were collected in Drugbank database.Then,“Benign prostatic hyperplasia”(BPH) was used to find the targets based on the Gene Cards,Online Mendelian Inheritance in Man(OMIM) and Therapeutic Target Database(TTD) databases,and they were further used to collect further collect the intersection targets between BZYQD and BPH by counter-selection.Next,Herb-Compound-Target-Disease network was constructed by Cytoscape software and protein interaction network was built by Search tool for recurring instances of neighbouring genes(STRING) database.Gene Ontology(GO) enrichment and Kyoto Encyclopedia of Genes and Genomes(KEGG) pathway enrichment were analyzed by Database for Annotation,Visualization and Integrated Discovery(DAVID) database to predict the mechanism of the intersection targets.Mitogen activated protein kinase 8(MAPK8),interleukin 6(IL-6) and quercetin were chosen to perform molecular docking.Then 3-(4,5-dimethyl-2-thiazolyl)-2,5-diphenyl-2-Htetrazolium bromide(MTT) assay was to detect the via bility of BPH-1(BPH epithelial cell line) by treated with quercetin at the concentrations of 15,30,60,120 μM for 12,24,48,72 h.The production of IL-6,tumor necrosis factor-α(TNF-α),IL-1β and were m RNA expression detected by enzyme-linked immunosorbent assay kit and quantitative real-time polymerase chain reaction.Western blot was used to detect the expression of phospho-p38 mitogen-activated protein kinase(p-P38) and matrix metalloprotein-9(MMP-9).RESULTS:A total 151 chemical ingredients of 8 herbs and 1756 targets in BZYQD,105 common targets of BZYQD and BPH which mainly involving with MAPK8,IL-6,and so on.GO enrichment analysis got 352 GO entries(P < 0.05) which included 208 entries of biological process,64 entries of cell component and 80 entries of molecular function.KEGG pathway Enrichment analyses got 20 significant pathways which mainly involved with MAPK signaling way.MTT assay indicated quercetin inhibited the viability of BPH-1 cells by time-and dosedependent manner.Quercetin decreased the IL-6,TNF-α and IL-1β production and m RNA expression,and the expression of p-P38 and MMP-9 were also obviously reduced after treated with quercetin.CONCLUSIONS:BZYQD inhibited BPH through suppressing inflammatory response which might involving with regulating the MAPK signaling way. 展开更多
关键词 QUERCETIN prostatic hyperplasia network pharmacology Buzhong Yiqi decoction
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