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温胆汤加减联合毫火针治疗稳定期肢端型白癜风疗效观察 被引量:2
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作者 申桦 桂建朝 +4 位作者 云璐 郭文 李玉珠 李伟业 刘湘 《辽宁中医药大学学报》 CAS 2023年第3期213-216,共4页
目的观察温胆汤加减联合毫火针治疗稳定期肢端型白癜风临床疗效。方法将60例稳定期肢端型白癜风患者按照随机数字表法分为治疗组(30例,脱落1例)和对照组(30例,脱落2例)。治疗组予温胆汤加减口服,2次/d,对照组予复方甘草酸苷片口服,2片/... 目的观察温胆汤加减联合毫火针治疗稳定期肢端型白癜风临床疗效。方法将60例稳定期肢端型白癜风患者按照随机数字表法分为治疗组(30例,脱落1例)和对照组(30例,脱落2例)。治疗组予温胆汤加减口服,2次/d,对照组予复方甘草酸苷片口服,2片/次,3次/d,2组均联合毫火针针刺治疗,1次/周。4周为一疗程,两组均连续治疗12周。疗程结束后观察组疗效并分析中医证候积分、汉密尔顿抑郁量表(HAMD)评分、汉密尔顿焦虑量表(HAMA)评分、皮肤病生活质量指数(DLQI)评分、β-内啡肽(β-ET)及白细胞介素-17(IL-17)水平。结果温胆汤加减联合毫火针治疗稳定期肢端型白癜风治疗组临床总有效率为89.70%,高于对照组的67.86%(P<0.05);治疗组中医证候积分、HAMD评分、HAMA评分、DLQI评分、β-ET及IL-17水平低于对照组(P<0.05)。结论温胆汤加减联合毫火针治疗稳定期肢端型白癜风疗效确切。 展开更多
关键词 肢端型白癜风 温胆汤 毫火针
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The Mechanism of Regulating Leptin Resistance in Obesity and the Influence of Adjusting Methylation of OB-R,POMC Gene Promoter of Wendan Decoction (温胆汤)
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作者 杨海燕 喻松仁 +2 位作者 王萍 舒晴 程绍民 《World Journal of Integrated Traditional and Western Medicine》 2020年第6期23-30,共8页
Objective:To explore the mechanism of Wendan Decoction(温胆汤)regulating leptin resistance in obesity by analyzing the level of leptin in peripheral blood,the expression of leptin receptor and signal pathway molecule ... Objective:To explore the mechanism of Wendan Decoction(温胆汤)regulating leptin resistance in obesity by analyzing the level of leptin in peripheral blood,the expression of leptin receptor and signal pathway molecule POMC in hypothalamus.To analyze the methylation status of the gene promoters of leptin receptor and POMC in obese rats fed with high fat diet,and the influence of adjusting methylation of OB-R,POMC gene promoter about Wendan decoction.Methods:Model rats were randomly divided into model control group and drug observation group,additional normal rats with 8 rats in each group.The models were established by high fat diet.The observation group was treated with Wendan Decoction(温胆汤)and the other two groups were treated with sterilized drinking water once a day for 6 weeks.Body weight was recorded every week during the intervention.Peripheral blood and hypothalamus were collected at the end of the experiment.The serum leptin level was measured by ELISA method,and the expression of OB-R and POMC in hypothalamus was detected by RT-qPCR method.Methylation level of OB-R and POMC promoter detected by methylation specific PCR.Results:Our results revealed that Wendan Decoction(温胆汤)could effectively reduce body weight,the body weight in the drug observation group was significantly lower than that in the model control group,and the difference between the two groups was statistically significant.The level of leptin in peripheral blood and the expression of OB-R in hypothalamus were consistent with the trend of body weight.The heavier the weight,the higher the level of leptin and OB-R.Wendan Decoction(温胆汤)could reduce the level of leptin and OB-R in peripheral blood while reducing body weight.Compared with the model control group,the difference was statistically significant.The heavier the weight,the lower the level of POMC expression.Wendan Decoction(温胆汤)could increase the expression of POMC while reducing body weight,which had statistical significance compared with the model control group.The methylation status of OB-R and POMC promoter in hypothalamus was not significantly associated with obesity induced by high fat diet,and Wendan Decoction(温胆汤)had no effect on methylation status.Conclusions:Wendan Decoction(温胆汤)could inhibit obesity by affecting the expression of leptin receptor and POMC mRNA in hypothalamus to a large degree.There was no obvious change about the methylation status of the gene promoters of leptin receptor and POMC in obese rats fed with high fat diet.And it was not related to the change of methylation status of gene promoter about the mechanism of Wendan Decoction(温胆汤). 展开更多
关键词 wendan Decoction(温胆汤) PROOPIOMELANOCORTIN OBESITY Leptin resistance METHYLATION
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