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Identification of constituents in Gui-Zhi-Jia-Ge-Gen-Tang by LC-IT-MS combined with LC-Q-TOF-MS and elucidation of their metabolic networks in rat plasma after oral administration 被引量:11
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作者 CHEN Lu-Lin CHEN Can-Hui +2 位作者 ZHANG Xing-Xian WANG Yi WANG Shu-Fang 《Chinese Journal of Natural Medicines》 SCIE CAS CSCD 2019年第11期803-821,共19页
Gui-Zhi-Jia-Ge-Gen-Tang(GZJGGT) is a traditional Chinese medicine(TCM) prescription commonly used to treat cervical spondylopathy, scapulohumeral periarthritis, etc. Though it is widely applied in clinical practice, t... Gui-Zhi-Jia-Ge-Gen-Tang(GZJGGT) is a traditional Chinese medicine(TCM) prescription commonly used to treat cervical spondylopathy, scapulohumeral periarthritis, etc. Though it is widely applied in clinical practice, the effective constituents of GZJGGT remain unclear. This was the first report on the identification of the chemical constituents from GZJGGT in vitro and in vivo using LC-IT-MS combined with LC-Q-TOF-MS. A total of 141 constituents were detected in GZJGGT, and 77 were identified. These compounds mainly included flavonoid glycosides, triterpene saponins, monoterpene glycosides, puerosides, and organic acids. Among them, 12 compounds were unequivocally identified in comparison with reference substances. Additionally, a diagnostic base peak ion filtering strategy for rapid classification of flavonoid O-glycosides and C-glycosides was proposed. After gastrointestinal administration of GZJGGT to rats, 45 prototypes and 48 metabolites in rat plasma were speculated. In addition, the metabolic profile of GZJGGT was portrayed to understand interrelationship between metabolites. 展开更多
关键词 gui-zhi-jia-ge-gen-tang LC-MS Chemical constituents Prototype compounds Metabolites
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桂枝加葛根汤结合温针灸对颈性眩晕患者IL-6、hs-CRP、ET-1及NO的影响 被引量:2
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作者 李明 姚文平 +2 位作者 黄谦 祁红艳 侍昊 《中华针灸电子杂志》 2023年第3期95-100,共6页
目的观察桂枝加葛根汤结合温针灸治疗颈性眩晕的临床疗效及对炎性因子IL-6、hs-CRP、血清内皮素-1及NO的影响。方法选取2019年1月至2022年4月南京中医药大学连云港附属医院收治的90例颈性眩晕患者,采用随机数字表法分为对照组和观察组... 目的观察桂枝加葛根汤结合温针灸治疗颈性眩晕的临床疗效及对炎性因子IL-6、hs-CRP、血清内皮素-1及NO的影响。方法选取2019年1月至2022年4月南京中医药大学连云港附属医院收治的90例颈性眩晕患者,采用随机数字表法分为对照组和观察组各45例。对照组给予甲磺酸倍他司汀片治疗,每次6 mg,每日3次。观察组在对照组基础上增加温针灸及桂枝加葛根汤治疗,温针灸隔日1次,中药汤剂每日1剂。4周后观察2组患者治疗前后颈性眩晕症状与功能评估量表(ESCV)评分、前基底动脉及双侧椎动脉的收缩期峰流速(Vs)和平均血流速度(Vm)、hs-CRP、IL-6、ET-1、NO的水平。结果观察组痊愈16例,显效18例,有效7例,无效2例,总有效率95.35%(41/43);对照组痊愈12例,显效9例,有效15例,无效8例,总有效率81.81%(36/44),观察组治疗总有效率明显高于对照组(χ^(2)=3.914,P<0.05)。与治疗前比较,观察组和对照组治疗后的眩晕、头痛、颈肩痛、日常生活及工作评分均明显升高(观察组:t=-12.612、-16.809、-12.545、-15.902,P均<0.05;对照组:t=-10.658、-8.691、-8.174、-11.681,P均<0.05);与对照组比较,观察组治疗后眩晕、头痛、颈肩痛评分均明显降升高(t=-2.499、-4.279、-2.198,P均<0.05)。与治疗前比较,观察组治疗后基底动脉及双侧椎动脉的Vs、Vm均明显增快(前基底动脉:t=-11.875、-63.50,P均<0.05;双侧椎动脉:t=-37.346、-25.800、-25.699、-24.576,P均<0.05);与治疗前比较,对照组治疗后基底动脉Vs、Vm均明显增快(t=-2.815、-10.823,P均<0.05);与对照组比较,观察组治疗后基底动脉及双侧椎动脉的Vs、Vm均明显增快(基底动脉:t=-3.022、-6.970,P均<0.05;双侧椎动脉:t=-8.073、-10.417、-6.356、-5.958,P均<0.05)。与治疗前比较,2组治疗后血清hs-CRP、IL-6、ET-1水平均明显降降低,NO水平均明显升高(观察组:t=15.549、11.862、18.102、-11.276,P均<0.05;对照组:t=-8.767、-6.051、-9.565、-8.645,P均<0.05);与对照组比较,观察组治疗后血清hs-CRP、IL-6、ET-1水平均明显降降低,NO水平明显升高(t=4.177、3.925、6.110、-4.051,P均<0.05)。结论桂枝加葛根汤结合温针灸可有效改善颈性眩晕患者的临床症状,作用机制可能是抑制血清炎症因子hs-CRP、IL-6水平以缓解肌肉紧张,并可增加NO合成及降低ET-1释放,从而改善血管内皮血液供应。 展开更多
关键词 桂枝加葛根汤 温针疗法 眩晕 白细胞介素6 内皮缩血管肽1
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