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近10年人参荷叶防治气虚肥胖证的研究概述
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作者 张焱 崔海善 +1 位作者 聂金娜 李璐 《吉林中医药》 2011年第12期1229-1231,共3页
人参具有降血糖、抗氧化、抗病毒、抗休克、减肥,增强机体免疫功能等多方面功效;荷叶具有降压、降血脂等显著疗效。人参配伍荷叶具有益气健脾、清热解毒、利湿除痰作用,能够有效改善气虚肥胖体质,防治肥胖证,可使气虚肥胖证的症状得到... 人参具有降血糖、抗氧化、抗病毒、抗休克、减肥,增强机体免疫功能等多方面功效;荷叶具有降压、降血脂等显著疗效。人参配伍荷叶具有益气健脾、清热解毒、利湿除痰作用,能够有效改善气虚肥胖体质,防治肥胖证,可使气虚肥胖证的症状得到有效控制。 展开更多
关键词 人参 荷叶 肥胖证
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中医治未病思想下治疗肥胖证的近远期疗效观察 被引量:1
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作者 陈小云 莫树杰 胡子衡 《中医临床研究》 2018年第17期106-108,共3页
目的:研究在中医"治未病"思想下,采用中医方法预防治疗肥胖证的近远期疗效。方法:纳入我院2015年3月-2016年3月收治的单纯性肥胖病患者84例,采用随机数表法分为观察组和对照组,各42例。观察组患者采用针灸干预和控制饮食的方... 目的:研究在中医"治未病"思想下,采用中医方法预防治疗肥胖证的近远期疗效。方法:纳入我院2015年3月-2016年3月收治的单纯性肥胖病患者84例,采用随机数表法分为观察组和对照组,各42例。观察组患者采用针灸干预和控制饮食的方法治疗,对照组患者只采用控制饮食的方法治疗。两组患者治疗1个月为1疗程,共治疗3个月。观察两组患者在接受治疗3个月后、1年后的各项肥胖指标和血液生化指标。结果:治疗3个月和1年后,观察组患者各项肥胖指标(体重、腰围、股围、肱三头肌皮褶厚度、腹壁皮褶厚度、肩胛下皮褶厚度)均显著下降,与治疗前相比,各指标比较差异具有统计学意义(P<0.05),两组之间各项指标比较,差异具有显著统计学意义(P<0.05);观察组血生化指标(TG、TC、VLDL-C、LDL-C、FBS)均显著下降,与治疗前相比,各指标比较差异具有统计学意义(P<0.05),两组之间各项指标比较,差异具有显著统计学意义(P<0.05)。结论:通过中医"治未病"思想治疗单纯性肥胖证可以显著提高单纯性肥胖证患者的近远期疗效,针灸治疗可以有效防治单纯性肥胖证,改善患者的身体健康状况。 展开更多
关键词 治未病思想 单纯性肥胖证 近远期疗效 观察研究
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健脾养胃膏联合穴位埋线对脾虚湿蕴证肥胖型2型糖尿病患者体格指标及糖脂代谢水平的影响
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作者 金燕 陈英 吴汶轩 《糖尿病新世界》 2024年第14期30-33,共4页
目的 探讨健脾养胃膏联合穴位埋线对脾虚湿蕴证肥胖型2型糖尿病患者体格指标及糖脂代谢水平的影响。方法 选取2023年7月—2024年1月宜兴市中医医院收治的88例脾虚湿蕴证肥胖型2型糖尿病患者为研究对象,按照不同治疗方法分为对照组和观察... 目的 探讨健脾养胃膏联合穴位埋线对脾虚湿蕴证肥胖型2型糖尿病患者体格指标及糖脂代谢水平的影响。方法 选取2023年7月—2024年1月宜兴市中医医院收治的88例脾虚湿蕴证肥胖型2型糖尿病患者为研究对象,按照不同治疗方法分为对照组和观察组,各44例。对照组给予健脾养胃膏治疗,观察组在此基础上联合穴位埋线。比较两组体格指标及糖脂代谢指标。结果 治疗后,观察组体重指数、腰围、臀围、空腹血糖、餐后2 h血糖、糖化血红蛋白、总胆固醇、甘油三酯和低密度脂蛋白胆固醇水平均低于对照组,而高密度脂蛋白胆固醇水平高于对照组,差异有统计学意义(P均<0.05)。结论 健脾养胃膏联合穴位埋线治疗能有效改善脾虚湿蕴证肥胖型2型糖尿病患者的体格指标和糖脂代谢水平。 展开更多
关键词 健脾养胃膏 穴位埋线 脾虚湿蕴肥胖型2型糖尿病 体格指标 糖脂代谢水平
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观察参芎荷叶汤对肥胖2型糖尿病气虚痰瘀证的治疗效果 被引量:1
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作者 张利宁 《中国医药指南》 2017年第22期190-191,共2页
目的探究肥胖2型糖尿病气虚痰瘀证患者采用参芎荷叶汤的治疗效果。方法选取本院2014年3月至2015年4月收治的64例肥胖2型糖尿病气虚痰瘀证患者,并采用抽签的方式将其分为2组,两组患者都接受常规治疗,对照组接受西药治疗,观察组患者在对... 目的探究肥胖2型糖尿病气虚痰瘀证患者采用参芎荷叶汤的治疗效果。方法选取本院2014年3月至2015年4月收治的64例肥胖2型糖尿病气虚痰瘀证患者,并采用抽签的方式将其分为2组,两组患者都接受常规治疗,对照组接受西药治疗,观察组患者在对照组前提下加用参芎荷叶汤治疗,并对两组患者的治疗效果、血脂水平以及血液流变学情况进行对比。结果观察组患者总有效率93.75%,高于对照组的率53.13%(P<0.05);观察组患者的血脂水平改善情况明显优于对照组(P<0.05);观察组患者的血液流变学指标改善水平明显优于对照组(P<0.05)。结论肥胖2型糖尿病气虚痰瘀证患者采用参芎荷叶汤的治疗效果显著,调节血脂,改善血液流变学指标,安全性较高。 展开更多
关键词 参芎荷叶汤 肥胖2型糖尿病气虚痰瘀 治疗效果
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营养运动心理综合治疗重度肥胖症1例 被引量:2
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作者 吴瑛 《河北医学》 CAS 2010年第12期1535-1536,共2页
关键词 肥胖证 综合治疗
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西布曲明的合成改进 被引量:5
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作者 申静 单慧军 吴松 《中国药物化学杂志》 CAS CSCD 2000年第2期129-130,共2页
报道 5-羟色胺和去甲肾上腺素再摄取抑制剂西布曲明 (sibutramine)
关键词 肥胖证 西布曲明 合成改进 制备
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温胆汤对肥胖痰湿证大鼠相关炎症因子及JAK2/STAT3通路关键分子STAT3表达的影响 被引量:24
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作者 喻松仁 舒晴 +5 位作者 白洋 姚琦 王河宝 周丽 王萍 程绍民 《中国实验方剂学杂志》 CAS CSCD 北大核心 2019年第6期39-44,共6页
目的:观察温胆汤对肥胖痰湿证大鼠外周血肿瘤坏死因子-α(TNF-α),白细胞介素(IL)-6,IL^(-1)7,IL-22等相关炎症因子以及下丘脑组织Janus激酶2/信号传导子及转录激活子3(JAK2/STAT3)信号通路关键分子STAT3 mRNA和蛋白表达的影响,探讨温... 目的:观察温胆汤对肥胖痰湿证大鼠外周血肿瘤坏死因子-α(TNF-α),白细胞介素(IL)-6,IL^(-1)7,IL-22等相关炎症因子以及下丘脑组织Janus激酶2/信号传导子及转录激活子3(JAK2/STAT3)信号通路关键分子STAT3 mRNA和蛋白表达的影响,探讨温胆汤干预肥胖痰湿证的内在作用机制。方法:将100只大鼠随机分成2组(空白组30只和造模组70只),空白组采用基础饲料喂养,造模组采用高脂饲料喂养,共6周,制作肥胖痰湿证动物模型。造模成功后,视体质量情况,按顺序淘汰体质量过轻者,遴选出16只肥胖大鼠,并随机分成模型组和温胆汤干预组,每组8只;另在空白组大鼠中随机选取8只设为正常组。温胆汤干预组按剂量15 g·kg^(-1)(以生药量计算)进行灌胃,模型组和正常组均给予等量蒸馏水进行灌胃,每天1次,共6周。麻醉处理前12 h禁食不禁水,麻醉后进行样本取材,检测并计算大鼠体质量,Lee's指数和肥胖率,根据试剂盒要求采用全自动生化分析仪检测大鼠总胆固醇(TC),甘油三酯(TG),低密度脂蛋白胆固醇(LDL-C)和高密度脂蛋白胆固醇(HDL-C)水平;采用酶联免疫吸附测定法(ELISA)检测大鼠外周血血清中相关细胞因子TNF-α,IL^(-1)7,IL-22,IL-6的表达;采用实时荧光定量聚合酶链式反应(Real-time PCR)技术检测大鼠下丘脑组织中STAT3 mRNA的表达;采用蛋白免疫印迹法(Western blot)测定大鼠下丘脑组织中STAT3蛋白的表达。结果:高脂饲料喂养成功复制了肥胖大鼠模型,造模组大鼠肥胖率> 20%,且与空白组比较,造模组体质量和Lee's指数显著升高(P <0. 05,P <0. 01)。与正常组比较,模型组大鼠体质量显著升高(P <0. 01),血脂水平显著改变(P <0. 01),相关炎性因子(TNF-α,IL-6,IL^(-1)7和IL-22)的水平显著升高(P <0. 01),下丘脑组织中STAT3 mRNA和蛋白的表达显著升高(P <0. 01)。与模型组比较,温胆汤干预组大鼠体质量和Lee's指数显著下降(P <0. 05,P <0. 01),血脂水平显著变化(P <0. 01),相关炎性因子(TNF-α,IL-6,IL^(-1)7和IL-22)的水平显著下降(P <0. 01),下丘脑组织中STAT3 mRNA和蛋白的表达显著下降(P <0. 01)。结论:温胆汤可改善肥胖大鼠痰湿病理状态,其作用机制可能与调节JAK2/STAT3信号通路进而改善机体的慢性炎症状态有关,为温胆汤干预肥胖痰湿证提供了实验依据。 展开更多
关键词 肥胖痰湿 温胆汤 炎症因子 信号传导子及转录激活子3 (STAT3) Janus激酶2/STAT3通路 Lee’s指数 慢性炎症
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温胆汤通过调控PI3K/Akt/mTOR通路介导的脂肪细胞自噬对肥胖痰湿证炎症状态的影响 被引量:11
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作者 喻松仁 刘彩玲 +6 位作者 周丽 钟友宝 熊乃鑫 徐佳玲 刘春燕 程绍民 王萍 《中国实验方剂学杂志》 CAS CSCD 北大核心 2023年第14期1-10,共10页
目的:观察温胆汤对肥胖痰湿证大鼠脂肪细胞炎症因子、自噬活性标志物及磷脂酰肌醇3-激酶/蛋白激酶B/哺乳动物雷帕霉素靶蛋白(PI3K/Akt/mTOR)信号通路关键分子蛋白表达的影响,探讨肥胖痰湿证炎症状态形成的物质基础及温胆汤的干预机制。... 目的:观察温胆汤对肥胖痰湿证大鼠脂肪细胞炎症因子、自噬活性标志物及磷脂酰肌醇3-激酶/蛋白激酶B/哺乳动物雷帕霉素靶蛋白(PI3K/Akt/mTOR)信号通路关键分子蛋白表达的影响,探讨肥胖痰湿证炎症状态形成的物质基础及温胆汤的干预机制。方法:将126只SD大鼠随机分成2组,即空白组16只和造模组110只,空白组喂养基础饲料,造模组喂养高脂饲料建立肥胖痰湿证动物模型,共8周。造模成功后,视体质量情况,按顺序淘汰体质量过轻者,遴选出48只肥胖大鼠,随机分为模型组、奥利司他组(32.40 mg·kg^(-1))、雷帕霉素组(2 mg·kg^(-1))、温胆汤低、中、高剂量组(4.45、8.90、17.80 g·kg^(-1)),每组8只;另在空白组大鼠中随机选取8只设为正常组,各用药组按剂量(以生药量计算)给予灌胃,模型和正常组给予等体积蒸馏水灌胃,每天1次,共6周。检测或计算大鼠体质量、Lee’s指数、脂体比和肥胖率,采用免疫组化二步法检测脂肪细胞自噬活性标志物动物自噬启动蛋白1(ULK1)、自噬效应蛋白1(Beclin1)、人自噬相关蛋白5(Atg5)、p62、微管相关蛋白1轻链3(LC3)Ⅰ/Ⅱ表达水平;采用酶联免疫吸附测定法(ELISA)检测脂肪细胞炎症因子肿瘤坏死因子(TNF)-α、白细胞介素(IL)-6、IL-1β、单核细胞趋化因子-1(MCP-1)、IL-4、IL-10、IL-13和转化生长因子(TGF)-β的表达;采用蛋白免疫印迹法(Western blot)检测脂肪细胞PI3K/Akt/mTOR信号通路关键分子classⅠ-PI3K、磷脂酰肌醇三磷酸(PIP3)、Akt、mTORC1、ULK1、结节性硬化症(TSC)1、TSC2的表达。结果:与空白组比较,造模组体质量和Lee’s指数显著升高(P<0.01),肥胖率>20%,有形体肥胖、活动度下降,食欲下降,皮毛无光泽、蓬松,便溏,对外界反应能力下降,饮水量减少等痰湿证表现,与正常组比较,模型组体质量、Lee’s指数、脂体比、脂肪细胞自噬活性标志物蛋白表达、促炎和抗炎细胞因子水平均明显升高(P<0.05,P<0.01),脂肪细胞classⅠ-PI3K、PIP3、Akt、mTORC1、TSC1、TSC2蛋白表达显著下降(P<0.01),但ULK1表达显著升高(P<0.01)。与模型组比较,各用药组体质量、脂体比、脂肪细胞自噬活性标志物蛋白表达、TNF-α、IL-6、IL-1β、MCP-1、IL-4、IL-13水平明显降低(P<0.05,P<0.01),且雷帕霉素组、温胆汤中、高剂量组IL-10、TGF-β水平显著降低(P<0.01),奥利司他组TGF-β的表达显著降低(P<0.01),信号通路关键分子蛋白表达明显升高(P<0.05,P<0.01),但ULK1显著降低(P<0.01)。与雷帕霉素组比较,温胆汤各剂量组脂肪细胞所有自噬活性标志物蛋白表达显著升高(P<0.01),温胆汤低剂量组炎性因子(除TNF-α外)含量明显升高(P<0.05,P<0.01),信号通路关键分子蛋白表达明显降低(P<0.05,P<0.01),温胆汤中剂量组炎性因子(除IL-16、MCP-1、IL-10外)含量明显升高(P<0.05,P<0.01),温胆汤中、高剂量组信号通路各关键分子蛋白除PI3K外表达明显降低(P<0.05,P<0.01)。与奥利司他组比较,温胆汤低、中剂量组脂肪细胞自噬活性标志物蛋白表达显著升高(P<0.01),温胆汤低剂量组IL-6、IL-4、TGF-β含量显著升高(P<0.01),所有信号通路关键分子蛋白表达显著降低(P<0.01),温胆汤中剂量组IL-4含量显著升高(P<0.01),信号通路关键分子蛋白除PI3K外表达均明显降低(P<0.05,P<0.01),温胆汤高剂量组体质量、自噬活性标志物ULK1、LC3Ⅰ/Ⅱ蛋白表达水平明显升高(P<0.05,P<0.01),信号通路关键分子PIP3、mTORC1、TSC1蛋白表达明显降低(P<0.05,P<0.01),而自噬活性标志物Beclin1、Atg5蛋白、炎性因子TNF-α、IL-13含量明显降低(P<0.05,P<0.01)。结论:肥胖痰湿证炎症状态的形成与PI3K/Akt/mTOR通路介导的脂肪细胞自噬密切关联,且温胆汤可有效干预肥胖痰湿证大鼠的慢性炎症状态,其作用机制可能与调控该信号通路进而改善脂肪细胞自噬有关。 展开更多
关键词 温胆汤 肥胖痰湿 磷脂酰肌醇3-激酶/蛋白激酶B/哺乳动物雷帕霉素靶蛋白(PI3K/Akt/mTOR)信号通路 自噬 慢性炎症 作用机制
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Methylation Characteristics of Perivisceral Fat Gene in Obese Rats with Phlegm-dampness Syndrome and the Effect of Wen Dan Decoction 被引量:4
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作者 YANG Hai-Yan YU Song-Ren +2 位作者 XIA Xun-Li CHENG Shao-Min WANG Ping 《Digital Chinese Medicine》 2019年第2期72-85,共14页
Objective To observe the characteristics of gene methylation in obese rats with phlegm-dampness syndrome induced by the high-fat diet, and to study the effect of Wen Dan Decoction on gene methylation after the interve... Objective To observe the characteristics of gene methylation in obese rats with phlegm-dampness syndrome induced by the high-fat diet, and to study the effect of Wen Dan Decoction on gene methylation after the intervention. Methods Methylation sites of genes were detected by the MeDIP-seq method. Bioinformatics method was used to analyze the gene methylation characteristics of obesity with phlegmdampness syndrome and the effect of Wen Dan Decoction. Results (1) There were 3 242 methylation differential loci in dietinduced obesity with phlegm-dampness syndrome, of which 1 243 were down-regulated and 1 999 were up-regulated, involving 1 579 differential genes. GO analysis showed that "offactory receptor activity" and others were enriched. The possible signal pathways involved were "Olfactory transduction""Tuberculosis""Systemic lupus erythematosus" and "Ribosome".(2) After the intervention of Wen Dan Decoction in obesity with phlegmdampness syndrome, 4 046 different methylation loci were obtained, including 1 067 down-regulated loci and 2 979 up-regulated loci, involving 2 068 genes. GO analysis showed that "offactory receptor activity" and others were enriched. These genes involved seven signaling pathways, such as "Metabolic pathways".(3) Between diet-induced obesity with phlegm-dampness syndrome and Wen Dan Decoction intervening obesity with the phlegm-dampness syndrome, 582 common genes of methylation differential genes were obtained. After the intervention of Wen Dan Decoction, the number of GO enrichment items was more than that of obesity with phlegm-dampness syndrome, and even the same GO enrichment items involved more genes. Conclusions The phlegm-dampness syndrome of obesityinduced by diet had the characteristics of gene methylation changes, and the intervention of Wen Dan Decoction could also affect the status of gene methylation. The genes affected by Wen Dan Decoction were closely related to the methylation gene of phlegm-dampness syndrome of obesity-induced by diet but covered a wider range. 展开更多
关键词 OBESITY Phlegm-dampness syndrome Gene methylation Wen Dan Decoction BIOINFORMATICS
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Comparison of efficacy of treating obese patients with endocrine-metabolic abnormity by electroacupuncture of different types of wave modes 被引量:3
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作者 刘运珠 粟胜勇 +8 位作者 潘秋兰 宁发锦 李家言 陈丹丹 梁静 罗宇 黎光辉 周云芝 吴文芬 《World Journal of Acupuncture-Moxibustion》 2014年第3期1-8,共8页
Objective To compare the efficacy of treating obese patients with abnormity of lipids and serum leptin by dilatational wave or continuous wave of electroacupuncture combined with thunder-fire moxibustion in order to p... Objective To compare the efficacy of treating obese patients with abnormity of lipids and serum leptin by dilatational wave or continuous wave of electroacupuncture combined with thunder-fire moxibustion in order to provide a clinical basis for selecting wave types of electroacupuncture for different patterns of obesity. Methods Sixty obese patients with abnormal lipids and serum leptin were randomly divided into a dilatational wave group and a continuous wave group via random number table, with 30 cases in each group. They were divided by TCM differentiation into three types: stomachintestine excessive heat, weakness of the spleen-stomach and spleen-kidney yang deficiency, treated by electroacupuncture on Tianshu (天枢 ST 25), Daheng (大横 SP 15), Zusanli (足三里ST 36), Shangjuxu (上巨虚 ST 37), Fanglong (丰隆 ST 40), Yinlingquan (阴陵泉 SP 9), Quchi (曲池 LI 11), Zhigou (支沟 TE 6) and Hegu (合谷 LI 4) along with thunder-fire moxibustion. The frequency of electro-acupuncture in the dilatational wave group and the continuous wave group was 2 Hz/100 Hz and 2 Hz, respectively. Patients in the two groups were treated once a day, six times a week. The treatment lasted for 4 weeks with 3-month follow-up. Body mass and body fat percentage before and after the treatment, as well as during the follow-up, were compared. The effectiveness rates in the two groups were compared, and the efficacy statistics of patients with different TCM patterns in the dilatational wave group were also analyzed. Lipid levels of the patients in two groups before and after the treatment were measured with an automatic biochemical analyzer, and serum leptin levels were detected with flow cytometry system. Results After the treatment, the patients' blood lipids, serum leptin levels, body mass and body fat percentage were effectively reduced in the two groups; three months' follow-up witnessed continuous decline of obesity indicators (P〈0.01 or P〈0.05), and patients in the dilatat-ional wave group improved more significantly than those in continuous wave group (P〈0.05 or P〈0.01). The efficacy in the dilatational wave group was superior to that in the continuous wave group (P〈0.01). The best efficacy could be found among patients with weakness of the spleen and the stomach in the dilatational wave group. Conclusion Efficacy of treating obese patients with abnormity of lipids and serum leptin by electro-acupuncture combined with thunder-fire moxibustion in the dilatational wave group was significantly better than that of the continuous wave group, and efficacy for obese patients with weakness of the spleen and the stomach was superior to that of those with stomach-intestine excessive heat and spleen-kidney yang deficiency. 展开更多
关键词 obesity with metabolic abnormalities pattern differentiation acupuncture therapy electro-acupuncture wave types thunder-fire moxibustion
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Clinical Study on Treatment of Simple Obesity Due to Spleen Deficiency by Acupuncture-moxibustion 被引量:14
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作者 施茵 赵琛 +1 位作者 左晓云 洪珏 《Journal of Acupuncture and Tuina Science》 2008年第6期352-355,共4页
Objective: To investigate the clinical effect of acupuncture-moxibustion therapy on simple obesity due to spleen deficiency. Method: Sixty-eight cases of simple obesity due to spleen deficiency syndrome, including i... Objective: To investigate the clinical effect of acupuncture-moxibustion therapy on simple obesity due to spleen deficiency. Method: Sixty-eight cases of simple obesity due to spleen deficiency syndrome, including internal dampness due to spleen deficiency, qi deficiency of lung-spleen, yang deficiency of spleen-kidney, were randomly allocated into two groups, treatment group (36 cases) and control group (32 cases). The former group was treated with warm needling moxibustion method, and the latter was treated with electroacupuncture. The therapeutic effect and body weight (BW) were observed, respectively. Result: There was a significant difference between the two groups in the total effective rate (P〈0.05); there was a significant difference between the two groups in the decrease of BW (P〈0.01), furthermore, the long-term effect in warm needling moxibusiton group was better than that in the electroacupuncture group. Conclusion: The effect of needle warming moxibustion therapy on simple obesity due to spleen deficiency is accurate, and it is worth to spread. 展开更多
关键词 Acupuncture-Moxibustion Therapy OBESITY ELECTROACUPUNCTURE Warming Needling Syndrome Differentiation Treatment
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Clinical Study on Simple Obesity Treated with Abdomen Acupuncture 被引量:5
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作者 穆美君 袁宜勤 洪珏 《Journal of Acupuncture and Tuina Science》 2008年第3期165-168,共4页
Objective: To observe the clinical effects of simple obesity treated with abdomen acupuncture. Methods: Sixty patients with simple obesity were allocated to abdomen acupuncture group and body acupuncture group based... Objective: To observe the clinical effects of simple obesity treated with abdomen acupuncture. Methods: Sixty patients with simple obesity were allocated to abdomen acupuncture group and body acupuncture group based on the randomized and controlled principle, 30 patients in each group. Fifteen treatments made up one course. The cases were treated for 2 courses. The clinical effects were evaluated by body mass index (BMI) and the declining of body height. Result: The change of BMI and clinical effects were of no significant difference between two groups after 1 course, but there were significant differences after two courses. Conclusion: The clinical effect of abdomen acupuncture treating simple obesity is better, and the effect is persistent and stable. 展开更多
关键词 OBESITY Acupuncture Therapy Diseases Differentiation Treatment Body Mass Index
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