Objective:To study the therapeutic effect of Shaoyao Jiawei Gancao Decoction(芍药加味甘草汤)with acupoint application on chronic lumbar muscle strain and the recovery of lumbar strength.Methods:From August 2018 to Aug...Objective:To study the therapeutic effect of Shaoyao Jiawei Gancao Decoction(芍药加味甘草汤)with acupoint application on chronic lumbar muscle strain and the recovery of lumbar strength.Methods:From August 2018 to August 2019,100 patients with chronic lumbar muscle strain admitted to our hospital were selected and randomly divided into an acupoint application group and a combined group of 50 cases each.The acupoint application group was treated by acupoint application,and the combined group was treated with Shaoyao Jiawei Gancao Decoction(芍药加味甘草汤)based on acupoint application.The indexes scores,VAS scores,ADL scores,ODI scores,lumbar endurance,TCM syndrome scores and the treatment effects of the two groups before and after treatment were statistically analyzed,and TNF-αand TXB2 levels were detected.Results:After treatment,the scores of indexes,VAS,ODI,TCM syndrome,TNF-αand TXB2 in the combined group were lower than those in the acupoint application group,and the ADL score,lumbar endurance and treatment efficiency were higher than those in the acupoint application group,with a statistical difference(P<0.05).Conclusion:Shaoyao Jiawei Gancao Decoction(芍药加味甘草汤)with acupoint application can effectively reduce pain,improve lumbar function,restore lumbar strength,effectively relieve inflammation,with significant effects.展开更多
基金2018 Hebei Medical Research Project Plan(20181606)。
文摘Objective:To study the therapeutic effect of Shaoyao Jiawei Gancao Decoction(芍药加味甘草汤)with acupoint application on chronic lumbar muscle strain and the recovery of lumbar strength.Methods:From August 2018 to August 2019,100 patients with chronic lumbar muscle strain admitted to our hospital were selected and randomly divided into an acupoint application group and a combined group of 50 cases each.The acupoint application group was treated by acupoint application,and the combined group was treated with Shaoyao Jiawei Gancao Decoction(芍药加味甘草汤)based on acupoint application.The indexes scores,VAS scores,ADL scores,ODI scores,lumbar endurance,TCM syndrome scores and the treatment effects of the two groups before and after treatment were statistically analyzed,and TNF-αand TXB2 levels were detected.Results:After treatment,the scores of indexes,VAS,ODI,TCM syndrome,TNF-αand TXB2 in the combined group were lower than those in the acupoint application group,and the ADL score,lumbar endurance and treatment efficiency were higher than those in the acupoint application group,with a statistical difference(P<0.05).Conclusion:Shaoyao Jiawei Gancao Decoction(芍药加味甘草汤)with acupoint application can effectively reduce pain,improve lumbar function,restore lumbar strength,effectively relieve inflammation,with significant effects.
文摘目的基于免疫印迹实验深入探究芍药甘草汤对骨关节炎(osteoarthritis,OA)的药效机制。方法将40只大鼠随机分为4组,分别为假手术组(sham组)、模型组、芍药甘草汤(SGD)中剂量组(4.32 g/kg)、SGD高剂量组(8.64 g/kg)。除sham组以外的所有组大鼠使用内侧半月板失稳术(destabilization of the medial meniscus,DMM)构建骨关节炎模型,所有大鼠在手术造模后第1天开始灌胃给药,每日1次,持续8周,SGD组给予一定剂量的SGD,sham组和模型组给予等量的蒸馏水。给药8周后,对所有大鼠进行麻醉处死并取材。苏木素-伊红(HE)染色观察软骨组织形态学改变,免疫印迹法(Western blot)检测软骨组织中p38丝裂原活化蛋白激酶(MAPK)及C-myc蛋白的表达水平。结果与sham组比较,模型组、SGD中剂量组及高剂量组大鼠关节软骨的C-myc和p38分子蛋白表达水平明显升高(P<0.01),用芍药甘草汤干预后,其蛋白表达出现下降趋势,且下降幅度与芍药甘草汤浓度呈正相关,当芍药甘草汤浓度达到8.64 g/kg时,与模型组相比差异具有统计学意义(P<0.001)。结论芍药甘草汤能抑制OA大鼠软骨中p38和C-myc蛋白的过表达。
