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解毒活血汤对慢性肾脏病大鼠肾脏FGF23、Klotho表达的影响 被引量:1
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作者 周鹏 孙妲男 +2 位作者 李勇 徐丽 乔伟 《陕西中医》 CAS 2024年第1期13-16,22,共5页
目的:观察解毒活血汤对慢性肾脏病(CKD)大鼠肾脏FGF23、Klotho的影响。方法:将60只SPF级健康雄性SD大鼠,随机分空白组、模型组、中药高剂量组、中药中剂量组、中药低剂量组,每组12只。采用腺嘌呤加高磷饮食制作CKD大鼠伴血管钙化模型。... 目的:观察解毒活血汤对慢性肾脏病(CKD)大鼠肾脏FGF23、Klotho的影响。方法:将60只SPF级健康雄性SD大鼠,随机分空白组、模型组、中药高剂量组、中药中剂量组、中药低剂量组,每组12只。采用腺嘌呤加高磷饮食制作CKD大鼠伴血管钙化模型。采用生化试剂盒测定血清中肌酐、尿素氮、钙、磷水平;Western blot法检测肾脏组织中FGF23、Klotho的表达。结果:与空白组相比,其余各组血清中肌酐、尿素氮、钙、磷均有明显变化(P<0.05或P<0.01);和模型组相比,中药高剂量组、中药中剂量组、中药低剂量组CKD大鼠血清中肌酐、尿素氮、磷水平明显改善(P<0.05),FGF23、Klotho蛋白表达量增高(P<0.05),血清钙水平升高(P<0.05)。结论:解毒活血汤可以改善CKD大鼠肾脏功能,可以通过提高CKD大鼠肾脏组织中FGF23、Klotho蛋白的表达影响失衡的FGF23-Klotho轴,进而调节CKD大鼠血中钙、磷浓度。 展开更多
关键词 慢性肾脏病 解毒活血汤 去菀陈莝 成纤维细胞生长因子23 KLOTHO蛋白 大鼠
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Diatom assemblages and quantitative reconstruction for paleosalinity from a sediment core of Chencuo Lake,southern Tibet 被引量:9
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作者 C. Kamenik R.Schmidt 《Science China Earth Sciences》 SCIE EI CAS 2004年第6期522-528,共7页
Combining with the diatom-based conductivity transfer function from Qinghai-Xizang (Tibetan) Plateau lakes, the lake salinity for the past 300 years was quantitatively reconstructed based on the analysis of diatom ass... Combining with the diatom-based conductivity transfer function from Qinghai-Xizang (Tibetan) Plateau lakes, the lake salinity for the past 300 years was quantitatively reconstructed based on the analysis of diatom assemblages from a sediment core in Chencuo Lake, southern Tibet. The distinct negative relationship between inferred conductivity and re-corded lakelevels in recent years suggests that the lake salinity can reflect the fluctuations of effective moisture of climate in lake area. The salinity inferred from diatoms reveals several major hydrological episodes. An obvious desalination of lake water occurred during the last cold inter-val of the Little Ice Age (about 1845—1885 AD), indicating a cold and moist climate. The lake salinity presented a rapid increase trend since the middle 1960s, with a peak value and high amplitude of salinity variability in the whole past 300 years. The low effective moisture inferred from the lake salinity may have contributed to the enhanced evaporation by the continuous in-crease of temperature in recent years. 展开更多
关键词 diatoms CONDUCTIVITY or salinity quantitative reconstruction chencuo Lake.
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Effect of Quyu Chencuo Formula(去菀陈莝方)on Renal Fibrosis in Obstructive Nephropathy Rats 被引量:1
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作者 ZHU Rui DU Xing-guo +2 位作者 YANG Sheng-lan WU Yan-ran LIU Jian-guo 《Chinese Journal of Integrative Medicine》 SCIE CAS CSCD 2019年第3期190-196,共7页
Objective: To observe the effect of Quyu Chencuo Formula(去菀陈莝方, QCF) on renal fibrosis in rats with obstructive nephropathy. Methods: Twenty-four rats were randomly divided into three groups, 4 for sham operation... Objective: To observe the effect of Quyu Chencuo Formula(去菀陈莝方, QCF) on renal fibrosis in rats with obstructive nephropathy. Methods: Twenty-four rats were randomly divided into three groups, 4 for sham operation as the control group, 10 for unilateral ureteral obstruction(UUO) model group, and the rest 10 for QCF treating UUO model group. All rats were sacrificed under 3% pentobarbital(50 mg/kg) anesthesia on the 14 th day after surgery, then the right kidney samples of rats were harvested for hematoxylin eosin(HE) staining and Masson staining to observe the renal pathological changes. Immunohistochemistry and Western blotting were used to examine the expression of transforming growth factor β1(TGF-β1), and real-time polymerase chain reaction(RT-PCR) was employed to examine the expressions of TGF-β1, α-smooth muscle actin(α-SMA) and E-cadherin mRNA. Results: HE and Masson staining showed that the renal interstitial of the rats in the control group had no significant fibrotic lesion; in the model group, there were obvious interstitial fibrosis; for the QCF group, there were epithelial cell necrosis, infiltration of lymphocytes and mononuclear cells, aggravated interstitial fibrosis in varied degrees, but the pathological changes were less in the QCF group than in the model group. The immunohistochemistry and Western blotting results showed that the TGF-β1 expression was increased significantly in the model group, while decreased significantly in the QCF group(P<0.05); RT-PCR showed that the mRNA expression of α-SMA and TGF-β1 increased significantly in the model group, while both were significantly decreased in the QCF group compared with the model group(P<0.05). The mRNA expression of E-cadherin was decreased significantly in the model group, and it was significantly increased in the QCF group as compared with the model group(P<0.05). Conclusion: QCF may improve renal fibrosis by regulating the expressions of TGF-β1, α-SMA and E-cadherin, and prevent the progress of kidney fibrosis. 展开更多
关键词 UNILATERAL ureteral LIGATION Quyu chencuo FORMULA E-cadherin transforming growth factor β 1 α-smooth muscle ACTIN kidney FIBROSIS Chinese medicine
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基于“去宛陈莝”探讨通法在肾系病中的应用
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作者 朱佩琦 何伟明 《实用中医内科杂志》 2023年第5期71-74,共4页
肾系病初期起病多因脾肾亏虚,外邪侵袭,久而导致气血津液代谢失常,形成湿、热、瘀、浊等病理因素,有形实邪互结,致使病情复杂,迁延难愈。“去宛陈莝”是《内经》中水肿病的治疗法则,诸多医家发现其运用不应局限于水肿,可进一步理解为去... 肾系病初期起病多因脾肾亏虚,外邪侵袭,久而导致气血津液代谢失常,形成湿、热、瘀、浊等病理因素,有形实邪互结,致使病情复杂,迁延难愈。“去宛陈莝”是《内经》中水肿病的治疗法则,诸多医家发现其运用不应局限于水肿,可进一步理解为去除体内陈腐久积之物,包括通腑泄浊、通络化瘀、通淋化湿、通阳发汗等治法,核心在于以通为用,除去“宛陈”,达到邪去正安、阴平阳秘的目的。立足于《黄帝内经》“去宛陈莝”治法理论,将通法疏调脏腑经络、气血津液滞郁的特点寓于其中,探讨针对肾系病的病理因素的治法治则,希冀为临床拓宽运用“去宛陈莝”治疗肾系病的思路与方法。 展开更多
关键词 去宛陈莝 通法 肾系病 黄帝内经 瘀血 湿热 浊毒 慢性肾衰竭 膜性肾病
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《黄帝内经》“去宛陈莝”理论内涵及应用研究进展 被引量:11
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作者 郑剑 李勇 +2 位作者 于青侠 乔伟 孙妲男 《中医药学报》 CAS 2021年第8期87-90,共4页
“去宛陈莝”理论早在《黄帝内经》中即有所论述,综合文献总结主要指活血祛瘀治水之法。理论内涵指疾病日久见瘀血阻滞、水湿内停之病机,应注重活血化瘀,祛除沉积之瘀滞之邪,以达到血行以水行的目的。本文整理文献,从以下两方面进行阐述... “去宛陈莝”理论早在《黄帝内经》中即有所论述,综合文献总结主要指活血祛瘀治水之法。理论内涵指疾病日久见瘀血阻滞、水湿内停之病机,应注重活血化瘀,祛除沉积之瘀滞之邪,以达到血行以水行的目的。本文整理文献,从以下两方面进行阐述:一、“去宛陈莝”释义及理论内涵。二、“去宛陈莝”在慢性肾衰、膜性肾病、糖尿病肾病、心衰、肝硬化、恶性肿瘤、下肢淋巴水肿、痛风病的临床实际应用及体会。“去宛陈莝”是中医治疗疾病的经典理论,值得中医学者们进一步研究及探讨。 展开更多
关键词 黄帝内经 去宛陈莝 理论内涵 临床应用
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也说“去宛陈莝” 被引量:7
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作者 彭达池 《山东中医杂志》 2005年第8期451-452,共2页
认为“去宛陈莝”从语言结构上分析,是一个述宾短语,意义是“去莝”,而“宛陈”则是定语成分,以修饰宾语“莝”。原文“去宛陈莝”四字无误,既没有语序上的问题,也没有误、脱、衍、倒之类的抄刻讹谬。其字面义是剔除淤积陈腐的碎草,在... 认为“去宛陈莝”从语言结构上分析,是一个述宾短语,意义是“去莝”,而“宛陈”则是定语成分,以修饰宾语“莝”。原文“去宛陈莝”四字无误,既没有语序上的问题,也没有误、脱、衍、倒之类的抄刻讹谬。其字面义是剔除淤积陈腐的碎草,在论文中取此意象来比喻去除体内的淤积陈腐之物。 展开更多
关键词 去宛陈莝 内经 理论探讨
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万冬桂从“去菀陈莝”治疗乳腺癌相关淋巴水肿经验 被引量:3
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作者 张晨阳 陈洪炀 +2 位作者 陈冬梅 苏菲 万冬桂 《中国医药导报》 CAS 2022年第30期137-140,共4页
万冬桂教授辨析乳腺癌术后上肢淋巴水肿,认为疾病病位在脉络,属本虚标实、因虚致实之证,水饮、瘀血是疾病的关键病理因素,脏腑亏虚是疾病的关键病理基础,水瘀互结,脉络瘀阻是疾病的关键病机,疾病前驱期主要病机为气血亏虚,水瘀初生;症... 万冬桂教授辨析乳腺癌术后上肢淋巴水肿,认为疾病病位在脉络,属本虚标实、因虚致实之证,水饮、瘀血是疾病的关键病理因素,脏腑亏虚是疾病的关键病理基础,水瘀互结,脉络瘀阻是疾病的关键病机,疾病前驱期主要病机为气血亏虚,水瘀初生;症状明显期主要病机为脏腑虚损,水瘀渐盛;转归期主要病机为水瘀胶结,留恋难去。临证应以去菀陈莝为总治则,“去”已成之瘀血、水饮的同时补脏腑亏虚以根“去”酿生“瘀血、水饮”之因。前驱期主要治法为健脾补肾,补气养血;症状明显期主要治法为通补合用,活血利水;转归期主要治法为活血化瘀,攻逐水饮,临床疗效突出。本文对其学术思想及临床经验详细阐述,以期为乳腺癌相关上肢淋巴水肿的治疗拓宽思路。 展开更多
关键词 去菀陈莝 乳腺癌 乳腺癌相关淋巴水肿 名医经验
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从“去菀陈莝”谈新型冠状病毒肺炎的治疗 被引量:3
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作者 苏凤哲 李敏 +1 位作者 王培 路喜善 《中医临床研究》 2020年第33期32-33,共2页
《黄帝内经》中所言“去菀陈莝”,“菀陈”当指郁积体内的水湿、痰饮、瘀血等病理产物。新型冠状病毒肺炎(简称新冠肺炎)以湿、热、痰、瘀、毒、虚为主,病程中出现湿郁肺卫、痰湿阻肺、湿毒弥漫、痰瘀互结,内闭外脱等病理变化。治疗当... 《黄帝内经》中所言“去菀陈莝”,“菀陈”当指郁积体内的水湿、痰饮、瘀血等病理产物。新型冠状病毒肺炎(简称新冠肺炎)以湿、热、痰、瘀、毒、虚为主,病程中出现湿郁肺卫、痰湿阻肺、湿毒弥漫、痰瘀互结,内闭外脱等病理变化。治疗当遵《黄帝内经》“去菀陈莝”之法,分别予化湿通阳、宣肺健脾、肃肺化痰祛湿、疏利三焦气机、祛痰逐瘀利水,开肺气固脱等治疗。贯穿“开鬼门、洁净府”之法,以去除湿、痰、瘀等体内的“菀陈”,达到“平治于权衡”的效果。促使本病的痊愈。 展开更多
关键词 去菀陈莝 化痰 祛湿 逐瘀
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王世荣教授运用“去宛陈莝”法治疗糖尿病肾病 被引量:5
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作者 张福杰 王世荣 马丹华 《中医临床研究》 2020年第9期7-9,共3页
"瘀血、水湿"是糖尿病肾病进展中的重要因素,贯穿糖尿病肾病的始终,导师王世荣教授依据《黄帝内经》中"去宛陈莝"法,按照糖尿病肾病的病机根本,结合其病机特点,总结出益气养阴、活血利水,健脾升清、活血利水,补脾... "瘀血、水湿"是糖尿病肾病进展中的重要因素,贯穿糖尿病肾病的始终,导师王世荣教授依据《黄帝内经》中"去宛陈莝"法,按照糖尿病肾病的病机根本,结合其病机特点,总结出益气养阴、活血利水,健脾升清、活血利水,补脾益肾、活血利水,温阳利水、消癥化浊四法治疗糖尿病肾病,具体整理如下。 展开更多
关键词 糖尿病肾病 去宛陈莝 瘀血 水湿
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