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Central neuromechanisms underlying control of intragastric pressure through acupuncture at Zusanli(ST36) in rats: the upper cervical cord is the key link between the ascending and descending pathways 被引量:3
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作者 Chun-yan Yong Shu Chen +5 位作者 Heng Chen Xiao Chu Chao Zhang Cheng Tan Lan Ye Jiang-shan Li 《Neural Regeneration Research》 SCIE CAS CSCD 2016年第6期971-976,共6页
Sensory inputs stimulated by Zusanli(ST36) acupuncture in the abdomen are known to converge in the upper cervical cord. However, it is unclear whether these inputs are subsequently conveyed to the hypothalamic parav... Sensory inputs stimulated by Zusanli(ST36) acupuncture in the abdomen are known to converge in the upper cervical cord. However, it is unclear whether these inputs are subsequently conveyed to the hypothalamic paraventricular nucleus and what kind of afferent fibers are involved. We focused on the upper cervical cord, where afferent inputs converge, and detected c-fos expression in oxytocinergic neurons. We found that Zusanli acupuncture therapy effectively elevated intragastric pressure, but inhibited expression of c-fos in oxytocinergic neurons of the paraventricular nucleus in upper cervical cord injured rats. These Zusanli acupuncture effects remained even after complete dorsal cord transection. However, after complete transection of the spinal cord or dorsolateral funiculus, the effects were significantly attenuated and even disappeared. These findings suggest that the paraventricular nucleus is responsible for pooling and integrating signals from the Zusanli acupuncture and sensory information from the intragastric pressure variation, thereby contributing to the regulation of intragastric pressure. The upper cervical cord serves as the key link between ascending and descending pathways, which conveys afferent inputs to the paraventricular nucleus through the dorsolateral funiculus. 展开更多
关键词 acupuncture descending ascending nucleus inhibited Acupuncture minutes sensory acupoint attenuated
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Discussion on the Application of Ascending and Descending Property of Traditional Chinese Medicine in Compatibility of Clinical Prescriptions
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作者 Long CHEN Luoyu SHI Donghua LI 《Medicinal Plant》 CAS 2021年第5期42-45,50,共5页
Through the method of literature mining,the classics of traditional Chinese medicine,materia medica works,medical cases and documents are studied.Based on common prescriptions for the treatment of diseases such as abn... Through the method of literature mining,the classics of traditional Chinese medicine,materia medica works,medical cases and documents are studied.Based on common prescriptions for the treatment of diseases such as abnormal Zang-fu viscera and qi movement,dysfunction,etc.,and combined with the theory of ascending and descending property of traditional Chinese medicine,the application of ascending and descending property of traditional Chinese medicine in clinical prescription compatibility and the factors affecting the application are summarized.The ascending and descending properties of traditional Chinese medicine have been widely used in prescription compatibility for the clinical treatment of impairment of purifying and descending function of the lung,spleen and stomach's ascending and descending disorders and heart-kidney noninteractionpatte. 展开更多
关键词 Property of traditional Chinese medicine ascending and descending Prescription compatibility Clinical application
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Metabolite profile comparisons between ascending and descending colon tissue in healthy adults 被引量:2
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作者 Bridget A Baxter Kristopher D Parker +4 位作者 Michael J Nosler Sangeeta Rao Rebecca Craig Catherine Seiler Elizabeth P Ryan 《World Journal of Gastroenterology》 SCIE CAS 2020年第3期335-352,共18页
BACKGROUND Obesity is a risk factor for colorectal cancer,yet metabolic distinctions between healthy right and left colon tissue,before cancer is diagnosed,remains largely unknown.This study compared right-ascending a... BACKGROUND Obesity is a risk factor for colorectal cancer,yet metabolic distinctions between healthy right and left colon tissue,before cancer is diagnosed,remains largely unknown.This study compared right-ascending and left-descending colon tissue metabolomes to identify differences from the stool metabolome in normal weight,overweight,and obese adults.AIM To examine right and left colon tissue metabolites according to body mass index that may serve as mechanistic targets for interventions and biomarkers for colon cancer risk.METHODS Global,non-targeted metabolomics was applied to assess right-ascending and left-descending colon tissue collected from healthy adults undergoing screening colonoscopies to test the hypothesis that BMI differentially impacts colon tissue metabolite profiles.The colon tissue and stool metabolome of healthy adults(n=24)was analyzed for metabolite signatures and metabolic pathway networks implicated in progression of colorectal cancer.RESULTS Ascending and descending colon contained 504 host,food,and microbiotaderived metabolites from normal weight,overweight and obese adults grouped according to body mass index.Amino acids,lipids,and nucleotides were among the chemical types that further differentiated from the stool metabolite profiles.Normal weight adults had 46 significantly different metabolites between ascending and descending colon tissue locations,whereas there were 37 metabolite differences in overweight and 28 metabolite differences for obese adults(P<0.05).Obese adults had trimethylamine N-oxide,endocannabinoids and monoacylglycerols with different relative abundances identified between ascending and descending colon.Primary and secondary bile acids,vitamins,and fatty acids also showed marked relative abundance differences in colon tissue from overweight/obese adults.CONCLUSION There were metabolite profile differences between right-ascending and leftdescending colon tissue in healthy adults.Colon lipids and other metabolites in obese and overweight adults were distinguished from normal weight participants and associated with gut inflammation,nutrient absorption,and products of microbiota metabolism. 展开更多
关键词 COLON ascending descending Metabolomics OBESITY STOOL
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Two-sided Long Baseline Radargrammetry from Ascending Descending Orbits with Application to Mapping Post-seismic Topography in the West Sichuan Foreland Basin 被引量:3
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作者 CHENG Hai-qin CHEN Qiang +2 位作者 LIU Guo-xiang YANG Ying-hui LIU Li-yao 《Journal of Mountain Science》 SCIE CSCD 2014年第5期1298-1307,共10页
One-sided ascending or descending Synthetic Aperture Radar(SAR) stereoradargrammetry has limited accuracy of topographic mapping due to the short spatial baseline(-100 km) and small intersection angle. In order to... One-sided ascending or descending Synthetic Aperture Radar(SAR) stereoradargrammetry has limited accuracy of topographic mapping due to the short spatial baseline(-100 km) and small intersection angle. In order to improve the performance and reliability of generating digital elevation model(DEM) from spaceborne SAR radargrammetry, an exploration of two-sided stereoradargrammetry from the combination of ascending and descending orbits with geometric configuration of long spatial baseline(-1000 km) was conducted in this study. The slant-range geometry between SAR sensors to the earth surface and the Doppler positioning equations were employed to establish the stereoscopic intersection model. The measurement uncertainty of two-sided radargrammetric elevation was estimated on the basis of radar parallax of homogeneous points between input SAR images. Two stereo-pairs of ALOS/PALSAR(Advanced Land Observing Satellite/Phased Array type L-band Synthetic Aperture Radar) acquisitions with the orbital separation almost 1080 km over the west Sichuan foreland basin with rolling topography in southwestern China were employed in the study to obtain the up-to-date terrain data after the 2008 Wenchuan earthquake that hit this area. Thequantitative accuracy assessment of two-sided radargrammetric DEM was performed with reference to field GPS observations. The experimental results show that the elevation accuracy reaches 5.5 m without ground control points(GCPs) used, and the accuracy is further improved to 1.5 m with only one GPS GCP used as the least constraint. The theoretical analysis and testing results demonstrate that the twosided long baseline SAR radargrammetry from the ascending and descending orbits can be a very promising technical alternative for large-area and high accuracy topographic mapping. 展开更多
关键词 ascending and descending orbits Twosided SAR radargrammetry Long baseline Image parallax Accuracy assessment
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Relationships between In SAR Seismic Deformation and Fault Motion Sense,Fault Strike,and Ascending/Descending Modes 被引量:1
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作者 QU Chunyan SHAN Xinjian +2 位作者 ZHAO Dezheng ZHANG Guohong SONG Xiaogang 《Acta Geologica Sinica(English Edition)》 SCIE CAS CSCD 2017年第1期93-108,共16页
Based on the working principle of satellite radars, the earthquake deformation field measured by interferometric synthetic aperture(InSAR) is the projection of ground displacement associated with the seismogenic fau... Based on the working principle of satellite radars, the earthquake deformation field measured by interferometric synthetic aperture(InSAR) is the projection of ground displacement associated with the seismogenic fault in the line of sight(LOS) of the satellite. However, LOS projections are complex, and are not only related to the ascending/descending modes and incidence angles of SAR data, but also related to the strike and motion senses of the fault. Even for the same earthquake, the LOS deformation derived from different ascending/descending data can be almost identical in one case, but quite different in another case, which makes the interpretation of InSAR seismic deformation and its comparison with field observations difficult. In this study, we undertook a quantitative analysis of the relationships between LOS observation sensitivity of InSAR and fault strike, fault motion sense, and ascending/descending modes, as well as 3D deformation fields. We studied the features and differences of the LOS deformation fields in different types of earthquakes using ascending/descending modes, with a particularly detailed analysis of the relations for a strikeslip type of earthquake. We also summarized the characteristics of LOS deformation fields of faults with different strikes and optimal observational data modes. Taking the strike-slip Yushu earthquake and the normal Gaize event as examples, we used SAR data of the ascending/descending modes to verify the results of quantitative calculations. These analyses will not only provide a more reasonable interpretation of InSAR seismic deformation fields and but also help understand the differences of seismic deformation fields revealed by data with different observational modes, therefore promoting the application of InSAR technology in seismology. 展开更多
关键词 InSAR FAULT earthquake DEFORMATION ascending/descending modes
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A DEM fusion method for ascending and descending orbit StereoSAR DEMs in complicated mountain areas considering SAR echo intensity
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作者 CAI Guo-lin SHEN Dong +2 位作者 ZHANG Ao-li YU Hai-hua ZHANG Xuan-yu 《Journal of Mountain Science》 SCIE CSCD 2021年第1期101-110,共10页
To extract the high-quality DEM in complicated mountain areas,a DEM fusion method for ascending and descending orbit StereoSAR DEMs considering Synthetic Aperture Radar(SAR)echo intensity is proposed.After the analysi... To extract the high-quality DEM in complicated mountain areas,a DEM fusion method for ascending and descending orbit StereoSAR DEMs considering Synthetic Aperture Radar(SAR)echo intensity is proposed.After the analysis for the influence of terrain features and SAR side-looking imaging characteristics on radar echo intensity and DEM accuracy,four Terras AR-X images with the stripmap mode and the 3 m spatial resolution covering a certain area of Maoxian County,Sichuan Province,China,was selected as the experimental area.StereoSAR technology was used to extract the ascending orbit StereoSAR DEM and the descending orbit StereoSAR DEM,respectively,and the corresponding radar echo intensity map was calculated.Then,while comparing the radar echo intensity corresponding to the same point position,DEM fusion was carried out,and the accuracy of DEM before and after the fusion was analyzed with the ground points measured by GNSS-RTK as reference data.Finally,a high-quality DEM with a 3 m spatial resolution in the experimental area was obtained.The DEM accuracy was improved on all slopes,and the mean absolute deviation(MAD)improved to 4.798 m,the standard deviation(SD)improved to 6.087 m and the LE90 improved to 40.48 m.The experimental results indicate that the fusion method of highresolution ascending and descending orbit StereoSAR DEMs considering SAR echo intensity can effectively extract DEM with high accuracy and reliability,which can provide technical support for obtaining highquality terrain information in similar areas. 展开更多
关键词 Mountain areas StereoSAR ascending orbits descending orbits DEM fusion SAR echo intensity
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Discussion on the Theoretical Basis of Banxia Xiexin Decoction in the Treatment of Insulin Resistance Obesity
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作者 Wenyan WANG Rui CHEN Fengxia LIANG 《Medicinal Plant》 CAS 2022年第1期21-25,共5页
Through reading Chinese ancient book Huangdi Nejing,and summarizing and analyzing related literature,the basic pathogenesis of obesity have been found to be the stomach preponderance and spleen weakness,and the imbala... Through reading Chinese ancient book Huangdi Nejing,and summarizing and analyzing related literature,the basic pathogenesis of obesity have been found to be the stomach preponderance and spleen weakness,and the imbalance of ascending and descending.Banxia Xiexin Decoction not only has the functions of relieving heat to inhibit stomach intake,supplementing deficiency to assist spleen transport,regulate the ascending and descending,but also has the effects of improving insulin resistance and regulating glucolipid metabolism.Therefore,it is suggested that Banxia Xiexin Decoction can be used in the treatment of insulin resistant obesity,which provides ideas and methods for its treatment. 展开更多
关键词 OBESITY Insulin resistance Disorders of ascending and descending Stomach preponderance and spleen weakness Stomach heat and spleen weakness Banxia Xiexin Decoction Acrid opening and bitter downbearing Purgating stomach and tonifying spleen Traditional Chinese medicine theory
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基于气机升降理论的针灸组方对心肾不交型失眠患者睡眠质量和睡眠进程的影响 被引量:2
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作者 胡亚丹 蒋进枝 《辽宁中医杂志》 CAS 北大核心 2024年第1期166-170,共5页
目的探讨分析基于气机升降理论的针灸组方对心肾不交型失眠患者睡眠质量和睡眠进程的影响。方法前瞻性选取2019年1月—2021年12月收治入院的84例心肾不交型失眠患者根据随机数字表法分为治疗A组(42例)和治疗B组(42例)。治疗A组予以常规... 目的探讨分析基于气机升降理论的针灸组方对心肾不交型失眠患者睡眠质量和睡眠进程的影响。方法前瞻性选取2019年1月—2021年12月收治入院的84例心肾不交型失眠患者根据随机数字表法分为治疗A组(42例)和治疗B组(42例)。治疗A组予以常规针法治疗,治疗B组患者则予以基于气机升降理论的针灸组方治疗。评估两组患者的实际睡眠总时间、PSQI量表评分、睡眠进程参数、入睡时间、日间功能障碍以及不良反应。结果干预后两组纳入患者的PSQI量表评分较干预前均有了显著改善(P<0.05),且干预后治疗B组患者的PSQI量表评分显著低于治疗A组(P<0.05);干预后两组纳入患者的睡眠进程参数指标较干预前均有显著改善(P<0.05),且干预后治疗B组患者的总睡眠时间、睡眠效率指标显著高于治疗A组,而睡眠潜伏期、觉醒时间指标则显著低于治疗A组(P<0.05);干预后两组纳入患者入睡时间、日间功能障碍较干预前均显著降低(P<0.05),且干预后治疗B组患者的入睡时间、日间功能障碍均显著低于治疗A组(P<0.05);干预后两组纳入患者的实际睡眠总时间较干预前均有了显著改善(P<0.05),且干预后治疗B组患者的实际睡眠总时间显著高于治疗A组(P<0.05);两组心肾不交型失眠患者在治疗期间均未出现严重不良反应,干预方案安全性良好。治疗A组患者出现穿刺处血肿4例、穿刺处感染2例、滞针4例,总出现率为23.81%(10/42);治疗B组患者出现穿刺处血肿1例、穿刺处感染0例、滞针1例,总出现率为4.76%(2/42),且治疗B组患者的总出现率显著低于治疗A组(P<0.05)。结论基于气机升降理论的针灸组方治疗心肾不交型失眠患者,其临床干预效果显著,可有效改善患者的PSQI量表评分以及睡眠进程参数,缩短入睡时间,提高实际睡眠总时间,缓解日间功能障碍,且不良反应少。 展开更多
关键词 气机升降理论 针灸 心肾不交型失眠 睡眠质量 睡眠进程
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从气机升降失调谈单纯性肥胖治疗
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作者 李虹霖 宋行行 +3 位作者 宋君瑶 张金朋 李雪 徐飞 《辽宁中医杂志》 CAS 北大核心 2024年第9期41-44,共4页
肥胖病是当今医学界的一大疑难问题,95%以上的病人为单纯性肥胖症。其病因病机复杂多样,变化多端。单纯依赖药物治疗收效甚微,且不良反应较大。依据古老的东方哲学智慧,从中医学的气机升降理论中得到启发,提出以“腹四针”穴位埋线法治... 肥胖病是当今医学界的一大疑难问题,95%以上的病人为单纯性肥胖症。其病因病机复杂多样,变化多端。单纯依赖药物治疗收效甚微,且不良反应较大。依据古老的东方哲学智慧,从中医学的气机升降理论中得到启发,提出以“腹四针”穴位埋线法治疗单纯性肥胖症。该文主要介绍以气机升降为理论基础对单纯性肥胖的治疗体会,以期为临床治疗单纯性肥胖病提供参考与帮助。 展开更多
关键词 气机升降 单纯性肥胖 腹四针 穴位埋线
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基于气机升降理论的中医三联疗法治疗心肾不交型不寐的临床研究
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作者 马湘玉 鲁铭 胡亚丹 《检验医学与临床》 CAS 2024年第19期2850-2853,共4页
目的评价基于气机升降理论的中医三联疗法治疗心肾不交型不寐患者的临床效果。方法选择2021年1-12月该院收治确诊的68例心肾不交型不寐患者为研究对象,随机分为治疗组和对照组,每组34例。治疗组采用中药内服+头部循经刮痧+引阳入阴气息... 目的评价基于气机升降理论的中医三联疗法治疗心肾不交型不寐患者的临床效果。方法选择2021年1-12月该院收治确诊的68例心肾不交型不寐患者为研究对象,随机分为治疗组和对照组,每组34例。治疗组采用中药内服+头部循经刮痧+引阳入阴气息引导推拿的中医三联法治疗;对照组采用口服艾司唑仑片治疗。比较两组疗效、睡眠质量[匹兹堡睡眠质量指数(PSQI)评分]、中医症候积分及神经递质[5-羟色胺(5-HT)、多巴胺(DA)]水平。结果治疗3周后,治疗组总有效率及5-HT水平均明显高于对照组(P<0.05),PSQI总评分、中医症候积分、DA水平均明显低于对照组(P<0.05)。结论中医三联疗法治疗心肾不交型不寐可显著改善患者的临床症状、神经递质水平,提高患者睡眠质量,值得推广应用。 展开更多
关键词 气机升降 心肾不交型不寐 中药 刮痧 推拿
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基于PS-InSAR技术的地表形变监测与驱动力分析
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作者 李益敏 计培琨 +3 位作者 杨雪 李媛婷 冯显杰 向倩英 《地理空间信息》 2024年第9期61-66,99,共7页
以昆明市官渡区为研究区,基于PS-InSAR技术,结合2019年1月—2021年12月覆盖官渡区的36幅Sentinel-1A升轨数据和36幅Sentinel-1A降轨数据,提取研究区内沿雷达视线向地表形变速率,并结合地理探测器对坡度、坡向、高程、降雨量、土地覆被... 以昆明市官渡区为研究区,基于PS-InSAR技术,结合2019年1月—2021年12月覆盖官渡区的36幅Sentinel-1A升轨数据和36幅Sentinel-1A降轨数据,提取研究区内沿雷达视线向地表形变速率,并结合地理探测器对坡度、坡向、高程、降雨量、土地覆被类型、道路密度、距铁路的距离以及距地铁的距离进行单因子和多因子交互的驱动力分析。结果表明,升轨形变速率范围为-30.67~18.27 mm/a,降轨形变速率范围为-24.58~24.36 mm/a,共识别出4个沉降漏斗;通过升降轨数据的交叉验证,证明了利用PS-InSAR技术监测地表形变的可行性;距铁路的距离对官渡区地表形变空间分异的影响最强,同时多因子交互作用增强了地表形变的空间分异。 展开更多
关键词 地表形变 PS-INSAR 地理探测器 升降轨 官渡区
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从“气虚宜掣引之”探讨慢性萎缩性胃炎的辨治思路及方法应用
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作者 张迪 李富震 姜德友 《吉林中医药》 2024年第2期165-169,共5页
姜德友教授基于“气虚宜掣引之”理论,从“气虚”探讨慢性萎缩性胃炎的病因病机及证候特点,以“掣引”立论治之法,提出了脾胃同调、体用兼顾、疏肝理肺、温行肾气等辨治思路,以指导慢性萎缩性胃炎治疗方法的具体应用。
关键词 慢性萎缩性胃炎 气虚宜掣引之 辨治思路 姜德友
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运用气机升降理论治疗感染后咳嗽的临床研究
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作者 董晓云 《河北中医》 2024年第8期1274-1277,共4页
目的观察运用气机升降理论治疗感染后咳嗽(PIC)的临床效果。方法纳入山西省太原市中医医院2021年12月至2022年12月期间收治的PIC患者140例,按照随机数字表法分为2组,对照组70例予常规药物治疗,治疗组70例予升降止咳汤治疗。疗程14天。比... 目的观察运用气机升降理论治疗感染后咳嗽(PIC)的临床效果。方法纳入山西省太原市中医医院2021年12月至2022年12月期间收治的PIC患者140例,按照随机数字表法分为2组,对照组70例予常规药物治疗,治疗组70例予升降止咳汤治疗。疗程14天。比较2组伴随症状改善情况、药物起效及咳嗽缓解与消失时间、咳嗽特异性生活质量问卷(CQLQ)评分,并统计临床疗效。结果治疗组总有效率94.29%(66/70),对照组总有效率75.71%(53/70),治疗组临床疗效优于对照组(P<0.05)。2组治疗后各项伴随症状评分均较本组治疗前降低(P<0.05),且治疗组治疗后均低于对照组(P<0.05)。治疗组药物起效时间、咳嗽缓解及消失时间均短于对照组(P<0.05)。2组治疗后CQLQ各项评分均较本组治疗前降低(P<0.05),且治疗组治疗后均低于对照组(P<0.05)。治疗组不良反应发生率低于对照组(P<0.05)。结论运用气机升降理论治疗PIC有利于减轻患者的伴随症状,药物起效快,促进患者咳嗽症状缓解,因此值得在后续临床中应用。 展开更多
关键词 感染后咳嗽 气机升降理论 中药疗法
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肺气阳藏象论并治
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作者 黄飞 姜旻 +1 位作者 李建峰 毕伟博 《世界中西医结合杂志》 2024年第4期840-843,848,共5页
文中基于肺藏象理论,提出肺阳明藏象假说,阐明肺气阳藏象理论,分别加以论证。基于以上假说,提出肺属气阳论治原则、肺属气阳论方药特征与伤气损肺之诫。基于肺阳明藏象论,再辨肺阳明、太阴属性,辨析并立论肺阳明藏象论,阐释肺气阳藏象... 文中基于肺藏象理论,提出肺阳明藏象假说,阐明肺气阳藏象理论,分别加以论证。基于以上假说,提出肺属气阳论治原则、肺属气阳论方药特征与伤气损肺之诫。基于肺阳明藏象论,再辨肺阳明、太阴属性,辨析并立论肺阳明藏象论,阐释肺气阳藏象理论下的肺体、气机运行大势、肺阳明藏象与逆热之候,并提出清热降气为肺气阳藏象理论下的治肺之法。 展开更多
关键词 藏象 阳明 清热降气
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刘万里教授从气机失调论治功能性胃肠病重叠综合征经验采撷
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作者 张瑞 苏坤涵 刘万里 《中国民族民间医药》 2024年第6期82-85,共4页
功能性胃肠病重叠综合征临床较为常见,其病情复杂且迁延难愈,增加了临床的诊疗难度。刘万里教授指出气机升降失调是其重叠的重要病机。对于功能性胃肠病重叠综合征的治疗,刘万里教授倡导以疏理脏腑气机立法,顺应脏腑气机特性,以“通降... 功能性胃肠病重叠综合征临床较为常见,其病情复杂且迁延难愈,增加了临床的诊疗难度。刘万里教授指出气机升降失调是其重叠的重要病机。对于功能性胃肠病重叠综合征的治疗,刘万里教授倡导以疏理脏腑气机立法,顺应脏腑气机特性,以“通降胃气”为先,以“调脾”“疏肝”“宣肺”为要,立足整体,临证分别施以消食化滞,和胃降气、健脾化湿,复运益气、疏肝调脾,和中理气,宣肺肃肠,通腑行气之法。脏腑气机升降秩序得复,则诸症皆愈。 展开更多
关键词 功能性胃肠疾病 功能性胃肠病重叠综合征 气机升降 通降胃气
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基于风水水肿大鼠模型的麻黄拆分组分的升降浮沉药性研究 被引量:1
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作者 张宇涵 徐瑞齐 +7 位作者 曾梦楠 吴媛媛 叶珊 李本科 曹兵 冯卫生 夏永刚 郑晓珂 《中药新药与临床药理》 CAS CSCD 北大核心 2024年第1期65-76,共12页
目的基于风水水肿大鼠模型探讨麻黄拆分组分(生物碱、非生物碱、多糖)的升降浮沉药性物质基础。方法将70只SD大鼠随机分为正常组、模型组、生物碱组(51.48 mg·kg^(-1))、非生物碱组(215.28 mg·kg^(-1))、多糖组(276.12 mg... 目的基于风水水肿大鼠模型探讨麻黄拆分组分(生物碱、非生物碱、多糖)的升降浮沉药性物质基础。方法将70只SD大鼠随机分为正常组、模型组、生物碱组(51.48 mg·kg^(-1))、非生物碱组(215.28 mg·kg^(-1))、多糖组(276.12 mg·kg^(-1))、麻黄组(麻黄水煎液4670 mg·kg^(-1))及通宣理肺丸组(阳性药组,4326 mg·kg^(-1))。采用尾静脉注射阿霉素结合吹风刺激的方式建立风水水肿大鼠模型,以大鼠出现四肢浮肿、恶风、弓背、毛松、喷嚏、流涕、小便减少等症状为造模成功。采用灌胃给药(10 mL·kg^(-1)),每日1次,连续给药21 d。通过氨水诱咳实验观察大鼠咳嗽状况;测定大鼠汗腺分泌功能、自主活动次数、睡眠时间;通过旷场实验评估大鼠自主活动情况;采用小动物超声心动仪检测大鼠的心功能指标:心率(HR)、心输出量(CO)、左心室射血分数(LVEF)及左心室短轴缩短率(LVFS);检测大鼠胃残留率、小肠推进率;测定心、肝、脾、肺、肾各脏器系数;生化指标检测:尿液中的尿蛋白(UP)、尿微量白蛋白(MAU)水平,支气管肺泡灌洗液(BALF)中的白细胞介素4(IL-4)、γ干扰素(IFN-γ)、免疫球蛋白E(IgE)水平,血清中的肌酐(CER)、尿素氮(BUN)、一氧化氮(NO)水平,血浆中胃动素(MTL)、胃泌素(GT)、生长抑素(SST)水平;采用流式细胞术检测肺组织细胞凋亡及其活性氧(ROS)水平;HE染色法观察相关组织病理变化。结果(1)呼吸系统实验结果:与模型组比较,各给药组大鼠的咳嗽潜伏期显著延长(P<0.01),咳嗽次数显著减少(P<0.05,P<0.01),其中生物碱和多糖组分的效果接近麻黄;肺泡壁肿胀减轻,肺泡内炎症细胞浸润及上皮细胞脱落现象有所缓解,病理评分显著降低(P<0.05,P<0.01),其中生物碱组分改善效果最为显著;BALF中的IL-4、IgE水平显著降低(P<0.05,P<0.01),IFN-γ的水平显著升高(P<0.05,P<0.01),其中生物碱组分的改善效果最接近麻黄;肺组织细胞的凋亡率及ROS水平显著降低(P<0.01),作用效果为生物碱组分>多糖组分>非生物碱组分。(2)泌尿系统实验结果:与模型组比较,麻黄组、生物碱组、多糖组及通宣理肺丸组大鼠的足趾汗腺着色点数显著增多(P<0.05,P<0.01),麻黄组、生物碱组及通宣理肺丸组大鼠的排尿量显著增加(P<0.01);各给药组大鼠的血清CRE水平无明显变化(P>0.05),尿液中UP水平显著降低(P<0.05,P<0.01),麻黄组、生物碱组、多糖组及通宣理肺丸组大鼠的血清BUN水平及尿液MAU水平显著降低(P<0.05,P<0.01)。(3)中枢系统实验结果:与模型组比较,各给药组大鼠的自主活动次数显著增加(P<0.01),麻黄组、生物碱组及通宣理肺丸组大鼠的睡眠时间显著缩短(P<0.05,P<0.01);麻黄组、生物碱组、多糖组及通宣理肺丸组大鼠的活动总距离显著延长(P<0.05,P<0.01)。生物碱组分的改善效果最为明显且接近麻黄,提示麻黄生物碱组分的药性偏升浮。(4)消化系统实验结果:与模型组比较,麻黄多糖组大鼠的胃残留率显著降低(P<0.01),小肠推进率及血浆GT水平显著升高(P<0.01);非生物碱组大鼠的血浆SST水平明显升高(P<0.05)。结果提示,麻黄多糖组分的药性偏沉降。(5)循环系统实验结果:与模型组比较,给药组大鼠的血清NO水平明显升高(P<0.05,P<0.01),生物碱组大鼠的心脏LVFS明显升高(P<0.05)。结论麻黄生物碱组分表现出升提趋上、轻浮宣散之势,药性偏“升浮”,多糖组分表现出趋下之势,药性偏“沉降”,可能是麻黄发挥“宣发肺气、发汗解表、利水消肿”功效的物质基础。 展开更多
关键词 中药药性 升降浮沉 风水水肿 麻黄 生物碱 多糖 发汗解表 利水消肿 大鼠
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运用升清降浊法辨治湿性年龄相关性黄斑变性 被引量:2
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作者 那爽 吴正正 +3 位作者 刘思言 马若楠 钟莉 严京 《中国中医眼科杂志》 2024年第3期262-264,283,共4页
湿性年龄相关性黄斑变性(wAMD)是一种引起老年人严重视力下降的退行性病变,在中医学上属“视瞻昏渺”的范畴。临床多认为wAMD是由脾肾亏虚所致,病证多属本虚标实。脾肾气虚导致气机不畅、清阳不升、浊阴不降,津液输布障碍、血脉闭阻产... 湿性年龄相关性黄斑变性(wAMD)是一种引起老年人严重视力下降的退行性病变,在中医学上属“视瞻昏渺”的范畴。临床多认为wAMD是由脾肾亏虚所致,病证多属本虚标实。脾肾气虚导致气机不畅、清阳不升、浊阴不降,津液输布障碍、血脉闭阻产生的痰、湿、瘀等病理产物瘀阻于脉道而发为本病。因此,治疗wAMD应着重以补益脾肾,调整气机、升清降浊为治则。在临床治疗本病时,注重运用升降理论,调补脾肾,调畅气机,畅达气、血、津液,常可达到脏腑清浊调和,目得所视。 展开更多
关键词 湿性年龄相关性黄斑变性 气机 升降理论 升清降浊法
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从“药类法象”角度解读气机的升降浮沉 被引量:1
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作者 赵洁茹 张效科 《天津中医药》 CAS 2024年第3期318-322,共5页
“药类法象”之理由张元素首次提出,是根据每种药物气味各异而升降、功用不同,法象于自然,将药物分为五大类,即风升生、热浮长、湿化成、燥降收、寒沉藏。而人与天地相参,人药相关,人体及药物皆依赖于自然界而存在,是以人体脏腑气机升... “药类法象”之理由张元素首次提出,是根据每种药物气味各异而升降、功用不同,法象于自然,将药物分为五大类,即风升生、热浮长、湿化成、燥降收、寒沉藏。而人与天地相参,人药相关,人体及药物皆依赖于自然界而存在,是以人体脏腑气机升降及药性升降应遵循自然规律,即顺应“神机气立”而得以正常运行。因此“药类法象”是药性升降浮沉的理论基础,可应人体脏腑气机升降,促进对脏腑生理病理的认识,引出对临证用药的启发,为理解气机升降理论提供思路。 展开更多
关键词 药类法象 升降浮沉 脏腑气机 气味厚薄阴阳 神机气立
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李东垣内伤病辨治思路探析及思辨 被引量:1
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作者 赵妍婕 刘世威 宋素花 《中国中医基础医学杂志》 CAS CSCD 2024年第2期185-189,共5页
《内外伤辨惑论》为金元四大家李东垣著作之一,其卷中部分主要论述了内伤病的病机证治等内容。李东垣所论内伤病是由脾胃受损所导致的一种不足之病,生理基础主要与脾胃的生成和布散精微功能有关,核心病机为脾胃受损所导致的精气不足及... 《内外伤辨惑论》为金元四大家李东垣著作之一,其卷中部分主要论述了内伤病的病机证治等内容。李东垣所论内伤病是由脾胃受损所导致的一种不足之病,生理基础主要与脾胃的生成和布散精微功能有关,核心病机为脾胃受损所导致的精气不足及阴火上冲,时令主气也会改变内伤病的主要矛盾。针对不断变化的病机,李东垣立甘温除热、补气升阳等法,又有补中益气汤、参术调中汤等方随于后,形成了完整的内伤病辨治体系。李东垣理法十分精妙,多脱胎于先贤经典,笔者在文献梳理的基础上,选甘温除热、按而收之、风药升阳三点,思辨推敲其本义,以便灵活运用于临床。 展开更多
关键词 李东垣 《内外伤辨惑论》 脾胃 时令 气机升降 甘温 生发
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从肺论治胆石症 被引量:1
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作者 劳永彩 陈雅璐 +3 位作者 居燕飞 蒙健林 王明刚 王清坚 《山东中医杂志》 2024年第2期128-132,共5页
胆石症的形成与精气血津液失调密切相关,肺参与精气血津液的生成与运行,并因此对胆气通降、胆汁排泄、胆腑疏通等产生影响。通过宣肃肺气、补益肺阴、顾护肺卫,可改善机体因精气血津液失调而产生的气滞、血瘀、湿盛、阴虚等病理变化,从... 胆石症的形成与精气血津液失调密切相关,肺参与精气血津液的生成与运行,并因此对胆气通降、胆汁排泄、胆腑疏通等产生影响。通过宣肃肺气、补益肺阴、顾护肺卫,可改善机体因精气血津液失调而产生的气滞、血瘀、湿盛、阴虚等病理变化,从而达到治疗胆石症的目的。当前临床治疗胆石症多从脾胃肝肾入手,从肺论治是一种新思路。 展开更多
关键词 胆石症 调肺治胆 肺胆关系 精气血津液 宣肃肺气 补益肺阴
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