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论辛补、酸泄治肝法 被引量:5
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作者 展照双 《浙江中医药大学学报》 CAS 2010年第1期13-14,共2页
中医学认为,肝为刚脏,性喜条达而恶抑郁,其生理特点概括为"体阴而用阳"。肝藏血,在体为阴,"体阴"和"用阳"相互制约,二者才能平衡,肝脏才能保持生理状态,若有偏颇则发为病。酸能生津,酸甘化阴,肝"体... 中医学认为,肝为刚脏,性喜条达而恶抑郁,其生理特点概括为"体阴而用阳"。肝藏血,在体为阴,"体阴"和"用阳"相互制约,二者才能平衡,肝脏才能保持生理状态,若有偏颇则发为病。酸能生津,酸甘化阴,肝"体阴"不足时,用酸味药能助其肝阴,补其不足,即所谓"补用酸"。"辛补酸泄"与"酸补"是分别针对肝的"用阳"与"体阴"而言的。二者看似矛盾,实则相通。在临床实践中,如真正领会了肝脏的生理特征,对指导临床选药组方、辨病辨证有重要的意义。从药物性味及疾病传变规律上探讨中医治疗肝脏病变的一些基本理论,以期将辨证思维用于临床,更好的指导临床。 展开更多
关键词 辛补 酸泄 治肝法 枣仁汤
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乌梅酸收酸泄初探 被引量:4
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作者 贾祥文 刘淑敏 陈宪海 《现代中医药》 CAS 2015年第1期43-44,共2页
乌梅作为味酸之品,历代医家多认为其性酸收,少有言及酸泄者。然笔者在研读叶天士《临证指南医案》时发现叶氏常运用乌梅和川连相伍治疗湿热性疾病,并称之为"酸苦泄热"。若把乌梅理解为其性酸收,二陈汤作为治痰名方,方中乌梅... 乌梅作为味酸之品,历代医家多认为其性酸收,少有言及酸泄者。然笔者在研读叶天士《临证指南医案》时发现叶氏常运用乌梅和川连相伍治疗湿热性疾病,并称之为"酸苦泄热"。若把乌梅理解为其性酸收,二陈汤作为治痰名方,方中乌梅若用来治疗实证,似与"实者泻之"治法相悖,可见乌梅作为味酸之品,单纯理解为酸收实有不妥之处。故结合乌梅在方剂中配伍运用和叶氏验案中应用阐述乌梅实为酸泄而非酸收之特性。 展开更多
关键词 乌梅 酸泄
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泄浊降酸方治疗尿酸性肾病疗效观察 被引量:2
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作者 马美 《上海中医药杂志》 2013年第3期44-45,共2页
目的观察泄浊降酸方治疗尿酸性肾病的临床疗效。方法将74例尿酸性肾病患者随机分为两组;对照组37例给予别嘌呤醇口服,治疗组37例给予泄浊降酸方和别嘌呤醇治疗,疗程8周。结果治疗组的临床疗效优于对照组(P<0.05);治疗后两组血尿酸(UA... 目的观察泄浊降酸方治疗尿酸性肾病的临床疗效。方法将74例尿酸性肾病患者随机分为两组;对照组37例给予别嘌呤醇口服,治疗组37例给予泄浊降酸方和别嘌呤醇治疗,疗程8周。结果治疗组的临床疗效优于对照组(P<0.05);治疗后两组血尿酸(UA)、肌酐(Scr)、尿素氮(BUN)、24 h尿蛋白均有明显降低(P<0.05),且治疗组低于对照组(P<0.05)。结论泄浊降酸方能降低尿酸性肾病患者血尿酸、改善肾功能。 展开更多
关键词 尿性肾病 浊降 尿 .肾功能
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自拟酸收清泄方治疗胆总管结石32例 被引量:1
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作者 陈寿永 《四川中医》 北大核心 2002年第3期38-38,共1页
邪之所凑 ,其气必虚。肝脏虚才孽生成石胆汁 ,胆腑 (胆道 )虚结石才得以盘踞发展。肝之病补用酸 ;石邪久居胆道中易从阳化热 ,腑气以通为用 ,故用清泄。肝胆正气来复 ,必驱邪(胆石 )外出 ,此时加大酸收力度 ,并开启奥狄氏括约肌 ,定能... 邪之所凑 ,其气必虚。肝脏虚才孽生成石胆汁 ,胆腑 (胆道 )虚结石才得以盘踞发展。肝之病补用酸 ;石邪久居胆道中易从阳化热 ,腑气以通为用 ,故用清泄。肝胆正气来复 ,必驱邪(胆石 )外出 ,此时加大酸收力度 ,并开启奥狄氏括约肌 ,定能将边缘光滑的胆石清除出胆总管。 展开更多
关键词 胆总管结石 收清 中医药疗法 治疗
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论叶天士对乌梅药性的辨别及运用 被引量:1
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作者 文生 王宝家 杨宇 《中国中医基础医学杂志》 CAS CSCD 北大核心 2023年第6期996-998,共3页
乌梅药性是酸收或是酸泄,明清至今众多医家争论不休。清代著名医家叶天士以气味理论为主,结合法象药理、刚柔药性,以及乌梅炮制和禁忌等药性理论,辨析了乌梅酸收、酸泄的药性问题,并在临床实践中加以印证。本文通过分析《临证指南医案... 乌梅药性是酸收或是酸泄,明清至今众多医家争论不休。清代著名医家叶天士以气味理论为主,结合法象药理、刚柔药性,以及乌梅炮制和禁忌等药性理论,辨析了乌梅酸收、酸泄的药性问题,并在临床实践中加以印证。本文通过分析《临证指南医案》等叶天士医案发现,叶天士认为乌梅药性为酸泄,临床主要运用于升发脾阳,疏泄肝郁,其性酸柔而不刚燥。其炮制品炒乌梅方具有酸收之性,临床主要运用于收敛止泻、止血、止痢;炒乌梅虽收敛固涩而不敛邪,且不腻滞伤胃。 展开更多
关键词 叶天士 乌梅 收药性 酸泄药性
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Effect of atrial natriuretic peptide on ischemia-reperfusion injury in a porcine total hepatic vascular exclusion model 被引量:4
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作者 Katsumi Kobayashi Kiyohiro Oshima +8 位作者 Masato Muraoka Takahiko Akao Osamu Totsuka Hisashi Shimizu Hiroaki Sato Kazumi Tanaka Kenjiro Konno Koshi Matsumoto Izumi Takeyoshi 《World Journal of Gastroenterology》 SCIE CAS CSCD 2007年第25期3487-3492,共6页
AIM: To evaluate the effect of ANP on warm I/R injury in a porcine THVE model.METHODS: Miniature pigs (mini-pigs) weighing 16-24 kg were observed for 120 min after reperfusion following 120 min of THVE. The animal... AIM: To evaluate the effect of ANP on warm I/R injury in a porcine THVE model.METHODS: Miniature pigs (mini-pigs) weighing 16-24 kg were observed for 120 min after reperfusion following 120 min of THVE. The animals were divided into two groups. ANP (0.1 μg/kg per min) was administered to the ANP group (n = 7), and vehicle was administered to the control group (n = 7). Either vehicle or ANP was intravenously administered from 30 min before the THVE to the end of the experiment. Arterial blood was collected to measure AST, LDH, and TNF-α. Hepatic tissue blood flow (HTBF) was also measured. Liver specimens were harvested for p38 MAPK analysis and histological study. Those results were compared between the two groups.RESULTS: The AST and LDH levels were lower in the ANP group than in the control group; the AST levels were significantly different between the two groups (60 min: 568.7 ± 113.3 vs 321.6 ± 60.1, P = 0.038 〈 0.05, 120 rain: 673.6± 148.2 vs 281.1±44.8, P = 0.004 〈 0.01). No significant difference was observed in the TNF-α levels between the two groups. HTBF was higher in the ANP group, but the difference was not significant. A significantly higher level of phosphorylated p38 MAPK was observed in the ANP group compared to the control group (0min: 2.92± 1.1 vs 6.38 ±1.1,,P= 0.011 〈 0.05).Histological tissue damage was milder in the ANP group than in the control group.CONCLUSION: Our results show that ANP has a protective role in I/R injury with p38 MAPK activation in a porcine THVE model. 展开更多
关键词 Atrial natriuretic peptide p38 MAPK Ischemia-reperfusion injury Porcine liver Total hepaticvascular exclusion
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Nitrate Leaching in an Irrigated Wheat-Maize Rotation Field in the North China Plain 被引量:28
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作者 ZHANGYu-Ming HUChun-Sheng +2 位作者 ZHANGJia-Bao CHENDe-Li LIXiao-Xin 《Pedosphere》 SCIE CAS CSCD 2005年第2期196-203,共8页
Soil water deep drainage and nitrate (NO-3) leaching losses below the root zone were investigated in a 1 ha wheat-maize rotation field under traditional agricultural management that local farmers generally follow in t... Soil water deep drainage and nitrate (NO-3) leaching losses below the root zone were investigated in a 1 ha wheat-maize rotation field under traditional agricultural management that local farmers generally follow in the North China Plain, using the soil water balance method and NO3-N concentration in suction samples. Water drainage, and NO3-N distribution and leaching losses exhibited pronounced spatial and temporal variability. Soil water deep drainage and NO3-N leaching loss mostly occurred during the sum… 展开更多
关键词 deep drainage nitrate leaching soil water
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Stereoselective urinary excretion of S-(-)- and R-(+)-propranolol glucuronide following oral administration of RS-propranolol in Chinese Han subjects 被引量:2
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作者 Lian-Jun Luan 《World Journal of Gastroenterology》 SCIE CAS CSCD 2005年第12期1822-1824,共3页
AIM: To study the stereoselectivity of phase Ⅱ glucuronidation metabolism of side-chain propranolol in Chinese Han population. METHODS: Sixteen adult Chinese Han volunteers with an average age of 20 years were given ... AIM: To study the stereoselectivity of phase Ⅱ glucuronidation metabolism of side-chain propranolol in Chinese Han population. METHODS: Sixteen adult Chinese Han volunteers with an average age of 20 years were given a single oral dose of 20 mg racemic propranolol. Human urine at indicated time after administration was collected and S-(-)-propranolol glucuronide and R-(+)-propranolol glucuronide were determined simultaneously by using RP-HPLC. RESULTS: The mean values of k were 0.19±0.04 h-1 and 0.28±0.06 h-1, of t1/2 3.56±0.73 h and 2.45±0.50 h, of Tmax 2.21±0.45 and 1.75±0.33 h, and of Xu0-24 5.65±0.98 and 2.95±0.62 μmoL for S-(-)- and R-(+)-propranolol glucuronide, respectively. The cumulative excretion percentages in urine of closes were 14.7±2.46% and 7.68±1.60% for S-(-)-and R-(+)-propranolol glucuronide, respectively. The results showed the elimination rate constant k of S-(-)-propranolol glucuronide was less than that of R-(+)-propranolol glucuronide; and the elimination half-life (t1/2), Tmax and the cumulative excretion amount (Xu0-24) of R-(+)-propranolol glucuronide were significantly less than that of S-(-)-propranolol glucuronide. CONCLUSION: The propranolol glucuronidation of the side-chain undergoes stereoselective excretion in Chinese Han population after an oral administration of racemic propranolol. 展开更多
关键词 STEREOSELECTIVITY EXCRETION Propranolol enantiomer GLUCURONIDATION
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Dendroaspis natriuretic peptide relaxes gastric antral circular smooth muscle of guinea-pig through thecGMP/cGMP-dependent protein kinase pathway 被引量:1
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作者 Chun-Yu Cai Zheng-Xu Cai +5 位作者 Xin-Yi Gu Lu-Juan Shan Yong-Xiao Wang Xue-Zhe Yin Qing-Hui Qi Hui-Shu Guo 《World Journal of Gastroenterology》 SCIE CAS CSCD 2008年第35期5461-5466,共6页
AIM: To systematically investigate if cGMP/cGMP- dependent protein kinase G (PKG) signaling pathway may participate in dendroaspis natriuretic peptide (DNP)-induced relaxation of gastric circular smooth muscle. METHOD... AIM: To systematically investigate if cGMP/cGMP- dependent protein kinase G (PKG) signaling pathway may participate in dendroaspis natriuretic peptide (DNP)-induced relaxation of gastric circular smooth muscle. METHODS: The content of cGMP in guinea pig gastric antral smooth muscle tissue and perfusion solution were measured using radioimmunoassay; spontaneous contraction of gastric antral circular muscles recorded using a 4-channel physiograph; and Ca2+-activated K+ currents (IK(Ca)) and spontaneous transient outward currents (STOCs) in isolated gastric antral myocytes were recorded using the whole-cell patch clamp technique. RESULTS: DNP markedly enhanced cGMP levels in gastric antral smooth muscle tissue and in the perfusion medium. DNP induced relaxation in gastricantral circular smooth muscle, which was inhibited by KT5823, a cGMP-dependent PKG inhibitor. DNP increased IK(Ca). This effect was almost completely blocked by KT5823, and partially blocked by LY83583, an inhibitor of guanylate cyclase to change the production of cGMP. DNP also increased STOCs. The effect of DNP on STOCs was abolished in the presence of KT5823, but not affected by KT-5720, a PKA-specific inhibitor. CONCLUSION: DNP activates IK(Ca) and relaxes guinea-pig gastric antral circular smooth muscle via the cGMP/PKG-dependent singling axis instead of cAMP/ PKA pathway. 展开更多
关键词 Dendroaspis natriuretic peptide Cyclic guanosine monophosphate Protein kinase G Proteinkinase A Gastric motility
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Excretion of biliary compounds during intrauterine life 被引量:6
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作者 Rocio IR Macias Jose JG Marin Maria A Serrano 《World Journal of Gastroenterology》 SCIE CAS CSCD 2009年第7期817-828,共12页
In adults,the hepatobiliary system,together with the kidney,constitute the main routes for the elimination of several endogenous and xenobiotic compounds into bile and urine,respectively.However,during intrauterine li... In adults,the hepatobiliary system,together with the kidney,constitute the main routes for the elimination of several endogenous and xenobiotic compounds into bile and urine,respectively.However,during intrauterine life the biliary route of excretion for cholephilic compounds,such as bile acids and biliary pigments,is very poor.Although very early in pregnancy the fetal liver produces bile acids,bilirubin and biliverdin,these compounds cannot be efficiently eliminated by the fetal hepatobiliary system,owing to the immaturity of the excretory machinery in the fetal liver.Therefore,the potentially harmful accumulation of cholephilic compounds in the fetus is prevented by their elimination across the placenta.Owing to the presence of detoxifying enzymes and specifi c transport systems at different locations of the placental barrier,such as the endothe-lial cells of chorionic vessels and trophoblast cells,this organ plays an important role in the hepatobiliary-like function during intrauterine life.The relevance of this excretory function in normal fetal physiology is evident in situations where high concentrations of biliary compounds are accumulated in the mother.This may result in oxidative stress and apoptosis,mainly in the placenta and fetal liver,which might affect normal fetal development and challenge the fate of the pregnancy.The present article reviews current knowledge of the mechanisms underlying the hepatobiliary function of the fetal-placental unit and the repercussions of several pathological conditions on this tandem. 展开更多
关键词 Bile acids BILIRUBIN FOETUS Liver PLACENTA
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Ligation of Caeca Improves Nitrogen Utilization and Decreases Urinary Uric Acid Excretion in Chickens
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作者 Jang-Ho Son 《Journal of Agricultural Science and Technology(A)》 2012年第4期495-504,共10页
This study was carried out to clarify role of ceca in nitrogen nutrition of the chicken. Exp. 1: The effect of cecal ligation on nitrogen utilization and excretion was investigated in chickens fed 5% to 14% protein d... This study was carried out to clarify role of ceca in nitrogen nutrition of the chicken. Exp. 1: The effect of cecal ligation on nitrogen utilization and excretion was investigated in chickens fed 5% to 14% protein diet. Irrespective of dietary protein level and different protein sources, the ligation of cecal decreased uric acid excretion and tended to increase nitrogen utilization and balance with the exception of urea-added 10% protein diet. Exp. 2: The effect of cecal ligation on nitrogen utilization and excretion was investigated in conventional and colostomized chickens fed a 5% protein diet or 5% protein diet plus urea. Total nitrogen excretion and uric acid excretion increased by colostomy were depressed by cecal ligation in chickens. Therefore, nitrogen utilization and balance decreased by colostomy were increased by cecal ligation. Urinary nitrogen excretion was significantly decreased by cecal ligation in colostomized chickens, but the cecal ligation did not change fecal nitrogen excretion in chickens fed either diet. Exp. 3: This experiment was carried out to examine the effects of removal of cecal contents on nitrogen utilization, balance and nitrogen excretion in cecally ligated chickens. Total nitrogen excretion was significantly decreased by washing out the cecal contents with saline or antibiotics. The cecal ligation and the removal of cecal contents significantly decreased uric acid excretion in the excreta. There was a highly inverse relationship between microbial counts in the ceca and an excretory amount of uric acid. Exp. 4: In order to examine effects of cecal ligation on microbial activity, microbes were counted and products of microbial fermentation were determined. The ligation of caeca decreased microbial counts, concentrations of acetic, propionic and butyric acids and ammonia concentration of cecal contents. These results suggest that nitrogen metabolism in chickens is affected by possible changes in cecal fermentation caused by preventing the substances from urine and digesta from entering into the ceca. 展开更多
关键词 Cecal role in nitrogen nutrition cecal ligation COLOSTOMY uric acid excretion chicken.
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