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从HPT轴角度探讨桂枝-附子在金匮肾气汤中温补肾阳的作用机理 被引量:17
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作者 戴冰 杨梦琳 +3 位作者 张嘉妮 李玉星 周芳亮 肖子曾 《中医药信息》 2018年第2期43-46,共4页
目的:观察金匮肾气汤及桂枝-附子对肾阳虚模型小鼠下丘脑-垂体-甲状腺(HPT)轴的影响,并探讨桂枝-附子在金匮肾气汤中温阳补肾的作用机理。方法:将60只昆明种(KM)小鼠随机分为空白组、肾阳虚模型组、金匮肾气汤组(10.53生药g/kg)、桂枝-... 目的:观察金匮肾气汤及桂枝-附子对肾阳虚模型小鼠下丘脑-垂体-甲状腺(HPT)轴的影响,并探讨桂枝-附子在金匮肾气汤中温阳补肾的作用机理。方法:将60只昆明种(KM)小鼠随机分为空白组、肾阳虚模型组、金匮肾气汤组(10.53生药g/kg)、桂枝-附子组(0.78 g生药/kg),每组15只;并按照每只小鼠25 mg/kg的体质量灌胃氢化可的松注射液,建立肾阳虚小鼠模型;测量体质量的变化,检测血清三碘甲腺原氨酸(T3)、甲状腺素(T4)及血清甲状腺激素(TSH)含量,血浆环磷酸腺苷(c AMP)、环磷酸鸟苷(c GMP)含量,并观察甲状腺病理组织形态学改变。结果:肾阳虚模型小鼠体质量、血浆中c AMP含量、c AMP/c GMP比值、血清中T3、T4及TSH含量均降低;金匮肾气汤及桂枝-附子组均能增加肾阳虚模型小鼠体质量、提高血浆c AMP含量、c AMP/c GMP比值及血清TSH、T3、T4含量。结论:桂枝-附子为金匮肾气汤温发挥补肾阳作用的主要药效物质基础,该方的温补肾阳的作用机制可能与其升高HPT轴中甲状腺分泌的T3、T4和垂体分泌的TSH,从而改善肾阳虚证有关。 展开更多
关键词 金匮肾气汤 桂枝-附子 下丘脑-垂体-甲状腺轴
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Efficacy and safety of Mahuang Fuzi Xixin Decoction on sick sinus syndrome: Ameta – analysis 被引量:1
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作者 Bo Liang Wei-Lin Liang Hui-Ling Liao 《TMR Integrative Medicine》 2018年第1期30-38,共9页
Objective: To evaluate the efficacy and safety of Mahuang Fuzi Xixin Decoction on sick sinus syndrome andprovide evidence for clinical practice. Methods: Randomized controlled trials of all the languages of MahuangF... Objective: To evaluate the efficacy and safety of Mahuang Fuzi Xixin Decoction on sick sinus syndrome andprovide evidence for clinical practice. Methods: Randomized controlled trials of all the languages of MahuangFuzi Xixin Decoction on sick sinus syndrome were collected by computer search and manual retrieval. Theretrieval time was from January 2000 to January 2017. According to the inclusion and exclusion criteria, 2reviewers independently selected and extracted data, then evaluated the quality, cross-checked the information andevaluated the quality of menthodology. Through discussion or third reviewer to help solve the divergence, RevMan5.3 software was used to perform meta analysis. Results: A total of 7 documents (n = 612) were finally enrolled,with 358 in Mahuang Fuzi Xixin Decoction group (treatment group) and 254 in control group. Meta analysisshowed that the treatment (86.9%) was more effective than the control (70.1%), the difference was statisticallysignificant (RR = 1.25, 95% CI:(1.15-1.37), P 〈 0.001); the treatment (17.0%) was safer than the control (49.8%),the difference was statistically significant (RR=0.23,95% CI:(0.06-0.93), P =0.04). Conclusion: The existingclinical studies suggest that Mahuang Fuzi Xixin Decoction on sick sinus syndrome is effective and safe; due to thelimited quality of the enrolled documents, the above conclusions need more high-quality randomized controlledtrials to be verified. 展开更多
关键词 Mahuang fuzi Xixin Decoction Sick sinus syndrome Meta - analysis
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