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SNS与SINIS结阵制作工艺的比较
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作者 钟青 钟源 +1 位作者 贺青 张健 《低温与超导》 CAS CSCD 北大核心 2008年第12期32-34,46,共4页
国家电压基准是基于约瑟夫森量子化效应的。传统的SIS结阵具有不能快速选择特定的台阶,相位锁定时间短的问题。I-V曲线无回滞的约瑟夫森结阵,其I-V曲线单值,电压台阶宽,解决了SIS结阵的问题。美国标准技术研究院的Hamilton提出并制作高... 国家电压基准是基于约瑟夫森量子化效应的。传统的SIS结阵具有不能快速选择特定的台阶,相位锁定时间短的问题。I-V曲线无回滞的约瑟夫森结阵,其I-V曲线单值,电压台阶宽,解决了SIS结阵的问题。美国标准技术研究院的Hamilton提出并制作高度阻尼的可编程SNS约瑟夫森结阵电压标准;德国物理技术研究院则选择SINIS结来制作可编程约瑟夫森结阵电压基准。从结构、性能和制作方法等方面对SNS和SINIS可编程约瑟夫森结阵进行了比较。 展开更多
关键词 电压标准 约瑟夫森结 SIS SNS siniS
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[SiNi(H_2O)W_(11)O_(39)]^(6-)多层组装膜修饰电极及其电化学行为
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作者 杜金艳 吕桂琴 +1 位作者 郑传明 吴华强 《分析试验室》 CAS CSCD 北大核心 2007年第1期58-61,共4页
采用电化学生长法制备包含杂多酸[SiNi(H2O)W11O39]6-(SiNiW11)和聚合物阳离子PDDA的多层膜修饰电极,利用循环伏安法研究其电化学行为、pH的影响及其对BrO3-和NO2-体系还原的电催化性能;并对多层膜电化学过程机理进行了初步探讨。结果表... 采用电化学生长法制备包含杂多酸[SiNi(H2O)W11O39]6-(SiNiW11)和聚合物阳离子PDDA的多层膜修饰电极,利用循环伏安法研究其电化学行为、pH的影响及其对BrO3-和NO2-体系还原的电催化性能;并对多层膜电化学过程机理进行了初步探讨。结果表明:多层膜的增长均匀,峰电流随层数的增加而增加;多层膜的峰电流随扫速的增加而增加;还原峰的峰电位随pH的增加而负移。 展开更多
关键词 [sini(H2O)W11O39]^6- 循环伏安 多层组装膜 电催化
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A Medical Case of Acne Vulgaris Treated with Danggui Shaoyao Powder Combined with Sini Powder 被引量:1
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作者 Jie REN Aijuan HE 《Medicinal Plant》 CAS 2022年第3期59-60,共2页
Acne vulgaris is a chronic inflammatory skin disease damaging face,and the incidence of acne vulgaris is increasing year by year in China.Acne falls into the category of pimple in traditional Chinese medicine,and ther... Acne vulgaris is a chronic inflammatory skin disease damaging face,and the incidence of acne vulgaris is increasing year by year in China.Acne falls into the category of pimple in traditional Chinese medicine,and there are many dialectical understandings of acne in modern traditional Chinese medicine.Dr.He Aijuan has a unique diagnosis and treatment thinking in treating acne vulgaris(liver stagnation and spleen deficiency type)with traditional Chinese medicine in her clinical work for many years.Her application of Danggui Shaoyao Powder combined with Sini Powder has a remarkable effect in the clinical treatment process,so a clinical medical case is selected for discussion. 展开更多
关键词 ACNE Traditional Chinese medicine Danggui Shaoyao Powder combined with sini Powder Medical cases
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Mechanism of Danggui Sini Decoction(当归四逆汤)for Atherosclerosis Obliterans Based on Network Pharmacology and Molecular Docking 被引量:1
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作者 JI Xiao-rui FAN Kai-fang +7 位作者 LI Xiao-liang ZHANG Xiao-li ZHENG Xue-jun LEI Cai-xia JIN Qiu-yue CHEN Kan-ying WEI Tian-tian CAO Xue-qiong 《World Journal of Integrated Traditional and Western Medicine》 2022年第3期28-36,共9页
Objective:Based on network pharmacology and molecular docking,we want to explore the pharmacological effects and mechanism of Danggui Sini Decoction in the treatment of lower extremity arteriosclerosis obliterans.Meth... Objective:Based on network pharmacology and molecular docking,we want to explore the pharmacological effects and mechanism of Danggui Sini Decoction in the treatment of lower extremity arteriosclerosis obliterans.Methods:Using TCMSP database to search the main active components of Danggui Sini Decoction(当归四逆汤,DSD)and their related targets,Cytoscape3.8.1 software was used to construct a"component-disease-target"interaction network.Meanwhile,DAVID database was used to enrich the key target genes with GO and KEGG functions.And we used Auto Dock Tools 1.5.6 for molecular docking.Results:A total of 45 candidate active molecules and 250 potential target proteins related to ASO were screened.Key genes such as TNF,IL6,VEGFA,MMP9,IL1B,CCL2,CXCL8,ICAM1,VCAM1,and IL10 are mainly through TNF signaling pathway,HIF-1 signaling pathway,cytokine-cytokine receptor interaction,Toll-like receptor signaling pathway,NF-kappa B signaling pathway,MAPK signaling pathway and other biological pathways exert their effects.The results of molecular docking showed that 5UUI-sesamin,5UUI-paeoniflorin,4XCT-sesamin,and 4XCT-sesamin have extremely strong binding ability.Conclusion:Danggui Sini Decoction(当归四逆汤,DSD)can synergistically exert pharmacological effects through multiple components,multiple targets,and multiple pathways.On the basis of regulating immunity and inhibiting smooth muscle proliferation,it can prevent the occurrence and development of ASO. 展开更多
关键词 Danggui sini Decoction(当归四逆汤 DSD) Limb arteriosclerosis obliterans(ASO) Network pharmacology Molecular docking Mechanism of action
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SINIS超导结的临界厚度
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作者 崔雪梅 《低温与超导》 CAS CSCD 北大核心 2004年第4期47-49,共3页
采用Ginzburg-Landau方程对SINIS超导结的临界厚度的计算公式进行了理论上推导,并对有关问题进行了讨论。
关键词 GINZBURG-LANDAU方程 临界厚度 超导 推导 计算公式 有关问题
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Danggui Sini decoction treatment of refractory allergic cutaneous vasculitis:A case report
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作者 Xi-Ya Chen Zhi-Ming Wu +2 位作者 Rui Wang Yu-Hong Cao Yong-Lian Tao 《World Journal of Clinical Cases》 SCIE 2022年第33期12422-12429,共8页
BACKGROUND Allergic cutaneous vasculitis(ACV)is a difficult disease to treat.At present,there is no effective treatment for this condition.Traditionally,immunosuppressants and hormones have been primarily used in its ... BACKGROUND Allergic cutaneous vasculitis(ACV)is a difficult disease to treat.At present,there is no effective treatment for this condition.Traditionally,immunosuppressants and hormones have been primarily used in its management,but the treatment effect is suboptimal,and it has several side effects.CASE SUMMARY We present the case of a 19-year-old woman who presented at our hospital with a four-year history of symmetric skin lesions mainly affecting her lower extremities.She had previously undergone treatment with prednisolone acetate,cetirizine hydrochloride,and loratadine tablets but had not experienced any relief in her condition.Thereafter,she was treated with oral traditional Chinese medicine.Her skin damage gradually improved within two months of treatment initiation.After six months,the skin ulcers had completely subsided.No evidence of skin ulcer recurrence was observed during the subsequent follow-up.This report presents the first case of a female patient who received oral Danggui Sini decoction for the treatment of ACV.CONCLUSION Danggui Sini decoction may be a promising oral treatment for ACV patients. 展开更多
关键词 Allergic cutaneous vasculitis Danggui sini decoction Traditional Chinese Medicine ULCER RASH Case report
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Effect of Sini Decoction plus Ginseng on COVID-19 based on network pharmacological analysis
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作者 Xin-Hua Zhao Dong-Xu Zhang +2 位作者 Tian-Jing Zhao Xue-Ying Pang Song-Jiang Liu 《Journal of Hainan Medical University》 2021年第19期1-1,共1页
Objective:To explore the effect of Sini Decoction plus Ginseng on COVID-19 based on network pharmacological analysis.Methods:TCMSP platform was used to search the compounds of Sini Decoction plus Ginseng with oral bio... Objective:To explore the effect of Sini Decoction plus Ginseng on COVID-19 based on network pharmacological analysis.Methods:TCMSP platform was used to search the compounds of Sini Decoction plus Ginseng with oral bioavailability(OB)≥30%and drug-likeness(DL)≥0.18,and the results were input into the UniProt database and converted into standard target names;Genecards and OMIM database were used to find COVID-19 target,and the intersection targets were obtained and Venn diagram was drawn.Cytoscape 3.7.2 was applied to make the network diagram of composition-disease-target;The interaction database platform-String was used to analyze the target protein interaction,and the data were input into the software of Cytoscape 3.7.2 to make the network diagram;David database was used to analyze the accumulation of Gene Ontology(GO)and Kyoto Encyclopedia of Genes and Genomes(KEGG)signaling pathways of drug-disease intersection targets.The component target pathway network was constructed by using Cytoscape 3.7.2.Results:Altogether,112 active components of Sini Decoction plus Ginseng were screened,corresponding to 234 targets.Besides,261 COVID-19 targets were obtained after screening,and the Venn map showed that 50 targets were intersected.Quercetin,kaempferol,naringenin,andβ-sitosterol were found to have higher moderate values shown by the component-disease-target network.The target proteins with high PPI network analysis value were IL-6,MAPK8,MAPK3,MAPK1,TP53,TNF,and CASP3.GO enrichment function analysis showed that 341 biological processes,33 cell components,and 50 molecular functions were involved,which showed inflammatory reaction,cell response to lipopolysaccharide,exogenous apoptosis signal pathway,positive regulation of RNA polymeraseⅡpromoter transcription,cytokine activity,chemokine activity,heme binding,and other biological processes.KEGG signaling pathway enrichment function analysisshowed that there were 112 signaling pathways.It included TNF signaling pathway,tuberculosis,influenza A,PI3K Akt signaling pathway,HIF-1 signaling pathway,and Toll-like receptor signaling pathway.According to the component-target-pathway network diagram,quercetin,kaempferol,naringenin,andβ-sitosterol in Sini Decoction plus Ginseng may act on IL-6,MAPK8,MAPK3,MAPK1,TP53,TNF,CASP3,and other targets through TNF signaling pathway,MAPK signaling pathway,Tolllike receptor signaling pathway,PI3K-Akt signaling pathway,and HIF-1 signaling pathway.Conclusion:Sini Decoction plus Ginseng can affect COVID-19 through multiple active components,multiple targets,and multiple pathways. 展开更多
关键词 COVID-19 Network pharmacology sini Decoction plus Ginseng Mechanism of action
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Research progress of Sini decoction in pharmacy, pharmacology and clinical application
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作者 Ting-Yuan Dai Jian-Bo Wang +3 位作者 Xue-Xin-Yu Ma Xue Wang Xiao-Li Gong Xiao-Zhou You 《Toxicology Advances》 2022年第4期5-12,共8页
Sini decoction originated from Zhang Zhongjing's Treatise on Cold Pathogenic and Miscellaneous Diseases(200-210 C.E.)in the Eastern Han Dynasty.It is a traditional and famous prescription in China.Its preparations... Sini decoction originated from Zhang Zhongjing's Treatise on Cold Pathogenic and Miscellaneous Diseases(200-210 C.E.)in the Eastern Han Dynasty.It is a traditional and famous prescription in China.Its preparations mainly include Sini decoction,Sini decoction drop pills and Sini decoction suppositories.The main chemical components are diterpenoid alkaloids,gingerol,volatile oil,coumarin,polysaccharide,triterpene saponins,flavonoids,amino acids,and alkaloids.This product has a cardiovascular function,anti-shock,anti-diabetes complications,anti-tumor,anti-atherosclerosis,and effects on the nervous system.Modern clinical practice is widely used in cardiovascular,respiratory,digestive,neurological and gynecological diseases.This paper reviews the pharmaceutical research,pharmacological effects,safety evaluation and clinical application of Sini decoction,including the source and composition of Sini decoction,the origin and resource status of authentic medicinal materials of Sini decoction,the research on preparation form reform,chemical composition and quality control,to provide a reference for further research and clinical promotion of Sini decoction. 展开更多
关键词 sini decoction pharmacological action PHARMACY
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冷作模具钢7Cr7Mo2V2SiNi棒材低倍组织异常分析及退火工艺改进
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作者 谭凯 孙秀华 +2 位作者 于宗洋 龙晓东 高强 《模具制造》 2022年第11期83-84,96,共3页
采用880℃×20h退火的7Cr7Mo2V2SiNi棒材的低倍组织出现明暗相间的似粗晶的组织,金相观察组织为黑白交替的正常粒状珠光体(暗处)和异常铁素体(亮处)。经分析得出,由于退火温度高和保温时间短,导致出现了没有析出粒状碳化物的铁素体... 采用880℃×20h退火的7Cr7Mo2V2SiNi棒材的低倍组织出现明暗相间的似粗晶的组织,金相观察组织为黑白交替的正常粒状珠光体(暗处)和异常铁素体(亮处)。经分析得出,由于退火温度高和保温时间短,导致出现了没有析出粒状碳化物的铁素体组织。通过降低退火温度至780℃和延长保温时间至45h,消除了低倍异常组织,获得了均匀分布的粒状珠光体组织。 展开更多
关键词 7Cr7Mo2V2sini退火棒材 低倍组织 异常 退火工艺
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Network pharmacology and experimental validation to reveal the pharmacological mechanisms of Sini decoction(四逆汤)against renal fibrosis
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作者 WANG Yan DENG Fanying +1 位作者 LIU Shiqi WANG Yingli 《Journal of Traditional Chinese Medicine》 SCIE CSCD 2024年第2期362-372,共11页
OBJECTIVE:To investigate the mechanism by which Sini decoction(四逆汤,SND)improves renal fibrosis(Rf)in rats based on transforming growth factor β1/Smad(TGF-β1/Smad)signaling pathway.METHODS:Network pharmacology was... OBJECTIVE:To investigate the mechanism by which Sini decoction(四逆汤,SND)improves renal fibrosis(Rf)in rats based on transforming growth factor β1/Smad(TGF-β1/Smad)signaling pathway.METHODS:Network pharmacology was applied to obtain potentially involved signaling pathways in SND's improving effects on Rf.The targets of SND drug components and the targets of Rf were obtained by searching databases,such as the Traditional Chinese Medicine Systems Pharmacology Database and Analysis Platform(TCSMP)and GeenCard.The intersection targets of two searches were obtained and underwent signaling pathway analysis using a Venn diagram.Then experimental pharmacology was utilized to prove and investigate the effects of SND on target proteins in the TGF-β1/Smad signaling pathway.The Rf rat model was established by unilateral ureteral occlusion(UUO).The expression levels of transforming growth factor,matrix metalloproteinase-9(MMP-9),matrix metal protease-2(MMP-2),connective tissue growth factor(CTGF),and tissue inhibitor of metalloproteinase-1(TIMP-1)were determined by Masson staining of rat renal tissue,and immunohistochemical methods.The expression levels of Smad3,Smad2,and Smad7 in renal tissue were determined by Western blotting(WB).The mechanism of the improving effects of SND on Rf was investigated based on TGF-β1/Smad signaling pathway.RESULTS:A total of 12 drug components of Fuzi(Radix Aconiti Lateralis Preparata),5 drug components of Ganjiang(Rhizoma Zingiber),and 9 drug components of Gancao(Radix Glycy et Rhizoma)were obtained from the database search,and 207 shared targets were found.A total of 1063 Rf targets were found in the database search.According to the Venn diagram,in total,96 intersection targets were found in two database searches.The metabolic pathways involved included TGF-β signaling pathway,phosphatidylinositol-3-kinase/serine-threonine protein kinase signaling(PI3K/Akt)pathway,and hypoxia-inducible factor-1(HIF-1)signaling pathway.Masson staining analysis showed that compared with the model group,the renal interstitial collagen deposition levels in the SSN and SND groups were significantly lower(P<0.05).Immunohistochemical analysis,compared with the control group,the positive cell area expression levels of MMP-9/TIMP-1 and MMP-2/TIMP-1 in the kidney tissue of the model group were significantly decreased(P<0.05,P<0.01),and the positive cell area expression levels of CTGF and TGF-β1 were significantly increased(P<0.01).Compared with the model group,the positive cell area expression levels of MMP-9/TIMP-1 and MMP-2/TIMP-1 in the kidney tissue of the SSN and SND groups were significantly increased(P<0.05,P<0.01),and the positive cell area expression levels of CTGF and TGF-β1 in the kidney tissue were significantly decreased(P<0.05,P<0.01).WB results showed that the SSN group and the SND group could reduce the expression of Smad2 and Smad3(P<0.05)and increase the expression of Smad7(P<0.05). 展开更多
关键词 renal fibrosis network pharmacology transforming growth factor beta1 smad proteins sini decoction
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“调督安神”针刺联合四逆散治疗老年顽固性失眠患者的临床观察 被引量:1
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作者 付俊华 米佳 《老年医学与保健》 CAS 2024年第3期686-690,共5页
目的观察“调督安神”针刺联合四逆散治疗老年顽固性失眠患者的疗效,为其治疗提供方法。方法纳入2021年6月—2023年6月在遂宁市第三人民医院治疗的中医辨证为心脾两虚证的老年顽固性失眠患者102例,采用随机数字表法分为对照组和观察组,... 目的观察“调督安神”针刺联合四逆散治疗老年顽固性失眠患者的疗效,为其治疗提供方法。方法纳入2021年6月—2023年6月在遂宁市第三人民医院治疗的中医辨证为心脾两虚证的老年顽固性失眠患者102例,采用随机数字表法分为对照组和观察组,每组51例。对照组口服右佐匹克隆片,观察组在与对照组相同治疗的基础上加用“调督安神”针刺联合四逆散治疗,2组患者均持续治疗2周。比较2组临床疗效、中医证候评分和匹兹堡睡眠质量指数量表(PSQI)评分。结果观察组治疗有效率高于对照组(94.12%vs 78.43%,P<0.05)。治疗1周后,观察组患者神疲乏力、多梦易醒、头晕目眩、心悸易惊及注意力不集中评分均低于同组治疗前(P<0.05),而对照组上述各项评分与治疗前差异均无统计学意义(P>0.05);治疗2周后,两组的神疲乏力、多梦易醒、头晕目眩、心悸易惊及注意力不集中评分均低于同组治疗前,且观察组上述评分低于对照组(均P<0.05)。治疗1周后,观察组患者PSQI评分明显低于同组治疗前和对照组(均P<0.05);治疗2周后,观察组和对照组患者PSQI评分明显低于同组治疗前,且观察组PSQI评分低于对照组(均P<0.05)。结论西药右佐匹克隆片联合“调督安神”针刺与四逆散加味方治疗老年顽固性失眠患者,疗效确切,可显著改善患者的临床症状,具有一定的应用价值。 展开更多
关键词 老年 顽固性失眠 四逆散 “调督安神”针刺 中医证候评分 匹兹堡睡眠质量指数量表
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Sini Powder extract produces antidepressant-like effects in a chronic social defeat stress model of depression in tree shrews 被引量:2
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作者 韦姗姗 杨和金 +3 位作者 黄加文 陆雪萍 彭玲芳 王庆国 《Journal of Chinese Pharmaceutical Sciences》 CAS CSCD 2016年第6期458-465,共8页
Sini Power(SP) is a famed traditional Chinese formula that has long been used to treat depression. Here, we investigated the effects and possible mechanisms of SP extract on an established model of depression: chro... Sini Power(SP) is a famed traditional Chinese formula that has long been used to treat depression. Here, we investigated the effects and possible mechanisms of SP extract on an established model of depression: chronic stressed tree shrew, which mimics the human condition of social stress. The animals were divided into 4 groups. Except for the na?ve group, the other animals were subjected to daily social defeat stress for 5 weeks, and during the last 4 weeks treated with SP extract(3.6 g/kg/d), fluoxetine(15 mg/kg/d), and vehicle, respectively. The results showed that SP extract could reverse body weight loss to a certain extent and reduce the levels of urine/serum cortisol that were initially increased by chronic social defeat. In addition, SP extract increased hippocampus norepinephrine concentrations. Our data suggested that SP extract had positive effects on the main depression symptoms in the chronic stressed tree shrew model and that it may be used to help control hypothalamic-pituitary-adrenal axis hyperactivity. 展开更多
关键词 Chronic stress Tree shrews Social defeat sini Powder extract Hypothalamic-pituitary-adrenal axis
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四逆汤中8种成分在大鼠体内的药动学研究
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作者 缪萍 裘福荣 +6 位作者 曾金 贺敏 王猛猛 陈文文 沈淑娇 符胜光 蒋健 《辽宁中医杂志》 CAS 北大核心 2024年第1期205-209,I0008,共6页
目的研究四逆汤中8种成分在大鼠体内的药动学特征。方法SD大鼠灌服四逆汤水煎液(4 g·kg^(-1)),不同时间点采血,LC-MS/MS法测定血药浓度,并计算药动学参数。结果乌头碱、新乌头碱、次乌头碱、苯甲酰新乌头原碱、苯甲酰次乌头原碱、... 目的研究四逆汤中8种成分在大鼠体内的药动学特征。方法SD大鼠灌服四逆汤水煎液(4 g·kg^(-1)),不同时间点采血,LC-MS/MS法测定血药浓度,并计算药动学参数。结果乌头碱、新乌头碱、次乌头碱、苯甲酰新乌头原碱、苯甲酰次乌头原碱、甘草苷、甘草酸和甘草次酸在相应浓度范围内线性关系良好(r>0.995),日内、日间RSD均<12%,达峰时间(T_(max))分别为(1.08±0.38)h、(1.08±0.38)h、(0.61±0.35)h、(1.32±0.76)h、(1.67±0.29)h、(0.25±0.12)h、(2.50±1.32)h和(10.67±2.31)h;消除半衰期(t_(1/2))分别为(2.68±0.78)h、(2.61±1.68)h、(5.56±3.15)h、(2.47±1.25)h、(9.12±4.89)h、(0.89±0.22)h、(10.50±6.84)h和(7.20±2.97)h;达峰浓度(C_(max))分别为(0.03±0.01)ng·mL^(-1)、(0.02±0.003)ng·mL^(-1)、(1.11±0.15)ng·mL^(-1)、(0.21±0.07)ng·mL^(-1)、(0.06±0.03)ng·mL^(-1)、(14.87±3.84)ng·mL^(-1)、(72.60±35.06)ng·mL^(-1)和(249.83±130.32)ng·mL^(-1);浓度-时间曲线下面积(AUC_(0-t))分别为(0.09±0.02)ng·h·mL^(-1)、(0.05±0.009)ng·h·mL^(-1)、(4.09±0.67)ng·h·mL^(-1)、(0.99±0.06)ng·h·mL^(-1)、(0.42±0.03)ng·h·mL^(-1)、(19.04±2.77)ng·h·mL^(-1)、(376.23±48.35)ng·h·mL^(-1)和(2726.65±1172.56)ng·h·mL^(-1)。结论本方法方便、快速,可用于四逆汤各成分的药动学研究。 展开更多
关键词 四逆汤 药代动力学 LC-MS/MS
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糖尿病周围神经病变经当归四逆汤治疗后的神经传导速度与疗效观察
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作者 陈焱 季聚良 牛越 《辽宁中医杂志》 CAS 北大核心 2024年第11期81-85,共5页
目的探讨糖尿病周围神经病变(diabetic peripheral neuropathy,DPN)经当归四逆汤治疗后的神经传导速度与疗效。方法采用随机数字表法将104例于2021年12月—2022年12月在河南省中医院接受治疗的DPN患者分为A组和B组,各52例。B组患者采用... 目的探讨糖尿病周围神经病变(diabetic peripheral neuropathy,DPN)经当归四逆汤治疗后的神经传导速度与疗效。方法采用随机数字表法将104例于2021年12月—2022年12月在河南省中医院接受治疗的DPN患者分为A组和B组,各52例。B组患者采用常规治疗,A组在B组基础上给予当归四逆汤治疗。以4周为1个周期,两组均维持治疗1个周期。比较两组治疗4周后的临床疗效,治疗前、治疗4周后的中医证候评分、血清学指标、血糖指标、神经传导情况及治疗期间的不良反应发生情况。结果与B组比较,A组治疗4周后的临床总有效率较高,[98.08%(51/52)vs 84.62%(44/52)];相较于治疗前,两组治疗4周后的肌肉萎缩、感觉减退、肢体麻木、四肢疼痛、四肢发凉各项评分、血清餐后2 h血糖(2 h postprandial blood glucose,2 h PBG)、糖化血红蛋白(glycated hemoglobin,HbA1c)、丙二醛(malondialdehyde,MDA)、肿瘤坏死因子-α(tumor necrosis factor-α,TNF-α)、白细胞介素-23(interleukin-23,IL-23)水平、胰岛素抵抗指数(insulin resistance index,HOMA-IR)值均降低,且相较于B组,A组更低,两组治疗4周后的正中神经感觉神经传导速度(sensory nerve conduction velocity,SNCV)、腓总神经SNCV、正中神经腓总神经运动神经传导速度(motor nerve conduction velocity,MNCV)、腓总神经MNCV、血清总抗氧化能力(T-AOC)水平均升高,且与B组比较,A组较高(P<0.05)。两组均未发生明显不良反应。结论当归四逆汤治疗DPN可有效改善患者临床症状,减轻机体炎症以及氧化应激反应,稳定患者血糖水平,增强神经传导速度,疗效显著,且安全性较高。 展开更多
关键词 糖尿病 周围神经病变 当归四逆汤 神经传导速度 疗效
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养血散寒通脉方治疗血虚寒凝型子宫内膜异位症的临床研究 被引量:1
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作者 黄艳辉 吴绘春 《广州中医药大学学报》 CAS 2024年第3期618-625,共8页
【目的】观察养血散寒通脉方(由当归四逆加吴茱萸生姜汤加减而成)治疗血虚寒凝型子宫内膜异位症(EMS)的临床疗效。【方法】将120例血虚寒凝型EMS患者随机分为研究组和对照组,每组各60例。研究组给予养血散寒通脉方治疗,对照组给予少腹... 【目的】观察养血散寒通脉方(由当归四逆加吴茱萸生姜汤加减而成)治疗血虚寒凝型子宫内膜异位症(EMS)的临床疗效。【方法】将120例血虚寒凝型EMS患者随机分为研究组和对照组,每组各60例。研究组给予养血散寒通脉方治疗,对照组给予少腹逐瘀颗粒治疗,疗程为3个月,并于疗程结束后随访1年。观察2组患者治疗前后各种疼痛评分[包括经期腹痛视觉模拟量表(VAS)评分和痛经、非经期盆腔痛、性交痛、盆腔压痛、骶韧带结节触痛分级评分]、卵巢子宫内膜异位囊肿大小及血清糖类抗原125(CA125)、血管内皮生长因子(VEGF)、可溶性细胞间黏附分子1(SICAM-1)、基质金属蛋白酶9(MMP-9)、组织金属蛋白酶抑制因子2(TIMP-2)水平的变化情况,并观察2组患者的临床疗效、安全性、复发情况及妊娠情况。【结果】(1)研究过程中,研究组脱落3例,对照组脱落5例,最终共112例患者纳入统计分析,其中研究组57例,对照组55例。(2)治疗3个月后,研究组的总有效率为92.98%(53/57),对照组为85.45%(47/55),组间比较,研究组的疗效明显优于对照组(P<0.05)。(3)治疗后,2组患者的各种疼痛评分(包括经期腹痛VAS评分和痛经、非经期盆腔痛、性交痛、盆腔压痛、骶韧带结节触痛分级评分)均较治疗前明显下降(P<0.05),且研究组的下降幅度均明显优于对照组(P<0.05)。(4)治疗后,2组患者的卵巢子宫内膜异位囊肿均略有缩小,但组内治疗前后及治疗后组间比较,差异均无统计学意义(P>0.05)。(5)治疗后,2组患者血清CA125、VEGF、SICAM-1、MMP-9水平均较治疗前下降(P<0.05),血清TIMP-2水平均较治疗前升高(P<0.05),且研究组对血清CA125、VEGF、SICAM-1、MMP-9水平的下降幅度及对血清TIMP-2水平的升高幅度均明显优于对照组(P<0.05)。(6)随访1年,研究组的复发率为30.19%(16/53),明显低于对照组的68.09%(32/47),组间比较,差异有统计学意义(P<0.05)。研究组21例有生育要求,其中14例妊娠,妊娠率为66.67%(14/21);对照组20例有生育要求,其中4例妊娠,妊娠率为20.00%(4/20);组间比较,研究组的妊娠率明显高于对照组,差异有统计学意义(P<0.05)。(7)治疗期间,2组患者均无明显不良反应发生,且患者的血、尿、大便常规及心电图、肝肾功能等安全性指标均无异常变化。【结论】养血散寒通脉方治疗血虚寒凝型EMS患者疗效确切,能够显著缓解患者各种疼痛症状,改善妊娠结局,有效调节血清CA125、VEGF、SICAM-1、MMP-9、TIMP-2水平。 展开更多
关键词 子宫内膜异位症 血虚寒凝 养血散寒通脉方 当归四逆加吴茱萸生姜汤 痛经 妊娠结局 糖类抗原125 血管内皮生长因子 可溶性细胞间黏附分子1 基质金属蛋白酶9
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《方剂学》教材商榷5则
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作者 李刚 张永鹏 +4 位作者 梁辉 王莹 张海霞 张静 张明柱 《江西中医药大学学报》 2024年第3期1-3,共3页
《方剂学》教材中存在一些值得商榷的问题,如安神药服药时间、麻黄杏仁甘草石膏汤证是否兼有外邪、四逆散证有无外邪的方义解释、牡蛎散是否治疗盗汗、大秦艽汤的分类归属等。这些问题不单涉及到教学,更影响临床应用,对此作一探讨,以有... 《方剂学》教材中存在一些值得商榷的问题,如安神药服药时间、麻黄杏仁甘草石膏汤证是否兼有外邪、四逆散证有无外邪的方义解释、牡蛎散是否治疗盗汗、大秦艽汤的分类归属等。这些问题不单涉及到教学,更影响临床应用,对此作一探讨,以有利于中医教学与临床。 展开更多
关键词 方剂学 安神药 麻黄杏仁甘草石膏汤 四逆散 牡蛎散 大秦艽汤
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当归四逆汤加味方浴足与辣椒碱乳膏超声穴位导入联合治疗糖尿病周围神经病变的临床研究
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作者 张玉娴 王顺花 +3 位作者 张露露 苏伟娟 陈政 王丽英 《糖尿病新世界》 2024年第12期190-194,共5页
目的分析当归四逆汤加味方浴足与辣椒碱乳膏超声穴位导入联合治疗糖尿病周围神经病变(阳虚寒凝证)患者的临床疗效。方法选取2022年6月—2023年12月厦门大学附属第一医院内分泌糖尿病科收治的80例糖尿病周围神经病变患者为研究对象,根据... 目的分析当归四逆汤加味方浴足与辣椒碱乳膏超声穴位导入联合治疗糖尿病周围神经病变(阳虚寒凝证)患者的临床疗效。方法选取2022年6月—2023年12月厦门大学附属第一医院内分泌糖尿病科收治的80例糖尿病周围神经病变患者为研究对象,根据治疗方法的不同分为两组,各40例。两组在控制血糖等基础治疗上,对照组予甲钴胺注射液+硫辛酸注射液,观察组在对照组基础上予当归四逆汤加味方浴足与辣椒碱乳膏超声穴位导入联合治疗,疗程2周。对比两组血糖水平(空腹血糖、餐后2 h血糖)、中医证候积分、多伦多临床评分量表(Toronto Clinical Scoring System,TCSS)、临床疗效、症状改善开始时间、神经传导速度(感觉神经传导速度、运动神经传导速度)。结果治疗后,观察组空腹血糖及餐后2 h血糖均低于对照组,差异有统计学意义(P均<0.05)。观察组治疗总有效率为(95.0%)(38/40)高于对照组(75.00%)(30/40),差异有统计学意义(P<0.05)。治疗后,观察组的中医证候积分和TCSS积分较治疗前降低,且观察组低于对照组,差异有统计学意(P均<0.05);治疗后,观察组神经传导速度优于对照组;症状改善开始时间短于对照组,差异有统计学意义(P均<0.05)。结论当归四逆汤加味方浴足联合辣椒碱乳膏超声穴位导入联合治疗糖尿病周围神经病变能有提高神经传导速度、缩短药物起效时间,改善患者的临床症状。 展开更多
关键词 当归四逆汤加味方 辣椒碱乳膏 超声穴位导入治疗 糖尿病周围神经病变
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王振亮运用四逆汤治疗成人斯蒂尔病经验
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作者 张文娴 张楠 王振亮 《中国医药科学》 2024年第11期110-112,123,共4页
成人斯蒂尔病是一种多因素参与的自身炎症性疾病,以发热、皮疹、关节疼痛和多器官受累为特点,目前尚无根治办法。西医治疗以非甾体类抗炎药、糖皮质激素、免疫抑制剂及生物制剂治疗为主。王振亮教授认为阳虚寒凝血瘀是成人斯蒂尔病核心... 成人斯蒂尔病是一种多因素参与的自身炎症性疾病,以发热、皮疹、关节疼痛和多器官受累为特点,目前尚无根治办法。西医治疗以非甾体类抗炎药、糖皮质激素、免疫抑制剂及生物制剂治疗为主。王振亮教授认为阳虚寒凝血瘀是成人斯蒂尔病核心病机,临床表现以阴阳不和、寒凝血瘀为主,也常夹湿、郁热,病位在半表半里,病性寒热错杂,以温阳益气立法,以四逆汤为核心方,同时重视顾护脾胃以及治血药的运用,谨守病机随证配伍,灵活运用。 展开更多
关键词 成人斯蒂尔病 名医经验 四逆汤 经方
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四逆散治疗糖尿病周围神经病变的效果及对震动感觉阈值的影响
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作者 程保智 黄磊 +4 位作者 邓再莉 戴泽亮 孙国华 黄艺 李桂霞 《临床医学研究与实践》 2024年第15期121-124,共4页
目的 研究四逆散治疗糖尿病周围神经病变的效果及对震动感觉阈值(VPT)的影响。方法 纳入2018年3月至2023年3月我院收治的80例糖尿病周围神经病变患者,根据随机数字表法将其分为对照组、观察组,各40例。对照组采用常规治疗(甲钴胺联合依... 目的 研究四逆散治疗糖尿病周围神经病变的效果及对震动感觉阈值(VPT)的影响。方法 纳入2018年3月至2023年3月我院收治的80例糖尿病周围神经病变患者,根据随机数字表法将其分为对照组、观察组,各40例。对照组采用常规治疗(甲钴胺联合依帕司他),观察组在此基础上加用四逆散治疗。比较两组的治疗效果。结果 观察组的治疗总有效率高于对照组(P<0.05)。治疗后,两组的空腹血糖(FPG)、餐后2 h血糖(2 h PG)水平及糖化血红蛋白(HbA1c)均显著降低,且观察组低于对照组(P<0.05)。治疗后,两组的中医证候积分、多伦多临床评分系统(TCSS)评分均显著降低,且观察组低于对照组(P<0.05)。治疗后,两组的VPT显著降低,臂踝指数(ABI)显著升高,且观察组优于对照组(P<0.05)。两组的不良反应总发生率比较,差异无统计学意义(P>0.05)。结论 四逆散治疗糖尿病周围神经病变的效果显著,可缓解患者的临床症状,调节血糖水平,修复受损神经功能,具有较高安全性。 展开更多
关键词 四逆散 糖尿病周围神经病 震动感觉阈值 臂踝指数
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加味黄芪桂枝五物汤口服联合当归四逆汤熏洗佐治糖尿病周围神经病变临床评价
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作者 于爱红 杨佳佳 +1 位作者 浦强 于毅 《中国药业》 CAS 2024年第22期130-133,共4页
目的探讨加味黄芪桂枝五物汤口服联合当归四逆汤熏洗佐治糖尿病周围神经病变(DPN)的临床疗效。方法选取医院2022年7月至2023年11月收诊的DPN患者86例,根据治疗方法的不同分为对照组(41例)和观察组(45例)。两组患者均常规控制血糖、增强... 目的探讨加味黄芪桂枝五物汤口服联合当归四逆汤熏洗佐治糖尿病周围神经病变(DPN)的临床疗效。方法选取医院2022年7月至2023年11月收诊的DPN患者86例,根据治疗方法的不同分为对照组(41例)和观察组(45例)。两组患者均常规控制血糖、增强免疫及营养神经,观察组患者在此基础上加用加味黄芪桂枝五物汤口服联合当归四逆汤熏洗。两组均以14 d为1疗程,治疗3个疗程。结果观察组总有效率为93.33%,显著高于对照组的78.05%(P<0.05)。治疗后,两组患者的中医证候主症评分、次症评分及总评分均显著降低(P<0.05);多伦多临床评分系统评分均显著降低(P<0.05);腓总神经与正中神经的感觉神经传导速率和运动神经传导速率均显著加快(P<0.05);血清基质金属蛋白酶9、NOD样受体热蛋白结构域3炎性小体水平均显著降低,血清超氧化物歧化酶水平均显著升高(P<0.05);血清丙二醛水平均显著降低(P<0.05);且观察组各指标均显著优于对照组(P<0.05)。两组患者不良反应发生率相当(11.11%比7.32%,P>0.05)。结论加味黄芪桂枝五物汤口服联合当归四逆汤熏洗佐治DPN,可改善患者临床症状,提高神经传导速率,减轻炎性反应与氧化应激反应。 展开更多
关键词 加味黄芪桂枝五物汤 中药熏洗 当归四逆汤 糖尿病周围神经病变 临床疗效 神经传导速率 炎性反应 氧化应激 辅助治疗
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