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加味丹栀逍遥散联合脐带间充质干细胞治疗中风后抑郁症的临床观察 被引量:15
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作者 陈晓辉 王国强 +10 位作者 尚立芝 张紫娟 杜红妍 李丹 王权 常学辉 孙鸿昌 王社言 李耀洋 张光远 石龙涛 《中国病理生理杂志》 CAS CSCD 北大核心 2019年第12期2274-2279,共6页
目的:观测加味丹栀逍遥散联合人脐带间充质干细胞(HUC-MSCs)对中风后抑郁症的临床疗效,以及对血清中肿瘤坏死因子α(TNF-α)、白细胞介素1β(IL-1β)、IL-6、去甲肾上腺素(NE)、5-羟色胺(5-HT)和脑源性神经营养因子(BDNF)水平的影响。方... 目的:观测加味丹栀逍遥散联合人脐带间充质干细胞(HUC-MSCs)对中风后抑郁症的临床疗效,以及对血清中肿瘤坏死因子α(TNF-α)、白细胞介素1β(IL-1β)、IL-6、去甲肾上腺素(NE)、5-羟色胺(5-HT)和脑源性神经营养因子(BDNF)水平的影响。方法:中风后抑郁症患者60例,随机分为观察组和对照组,每组30例。观察组给予加味丹栀逍遥散联合人脐带间充质干细胞治疗,对照组给予加味丹栀逍遥散联合氟西汀治疗,2组疗程均为8周。分别在治疗前后用汉密尔顿抑郁量表(HAMD)对2组患者进行评定,ELISA法测定血清中IL-1β、IL-6、TNF-α、5-HT、NE和BDNF水平。结果:治疗8周后,观察组总有效率显著高于对照组(P<0.05),HAMD评分显著低于对照组(P<0.05),血清TNF-α、IL-1β和IL-6均显著低于对照组(P<0.05),而5-HT、NE和BDNF均显著高于对照组(P<0.05)。与同组治疗前比较,治疗后2组的HAMD评分均显著下降(P<0.05),血清TNF-α、IL-1β和IL-6均显著降低(P<0.05),而5-HT、NE和BDNF均显著增高(P<0.05)。结论:加味丹栀逍遥散联合人脐带间充质干细胞治疗中风后抑郁症疗效较好,其机制可能与加味丹桅逍遥散联合脐带间充质干细胞抗炎、增加单胺类神经递质释放、刺激脑内神经营养因子的分泌有关。 展开更多
关键词 加味丹栀逍遥散 中风后抑郁症 脐带间充质干细胞 去甲肾上腺素 5-羟色胺 脑源性神经营养因子
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李素云教授四维辨治慢性阻塞性肺疾病经验浅析
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作者 董凯文 杨建雅 李素云 《四川中医》 2024年第3期7-10,共4页
慢性阻塞性肺疾病(chronic obstructive pulmonary disease,COPD)是中老年患者常见的慢性呼吸系统疾病之一,中医药治疗慢阻肺有一定的优势。李素云教授系首届岐黄学者,根据自身丰富的临床经验,对COPD的诊疗形成了完整的四维辨治模式。... 慢性阻塞性肺疾病(chronic obstructive pulmonary disease,COPD)是中老年患者常见的慢性呼吸系统疾病之一,中医药治疗慢阻肺有一定的优势。李素云教授系首届岐黄学者,根据自身丰富的临床经验,对COPD的诊疗形成了完整的四维辨治模式。李素云教授多从辨病、辨证、辨体、辨因四维角度出发,多维度、多层次把握疾病本质,取得较好的临床疗效,其临床经验值得学习和推广。文章结合典型病例,介绍李教授四维辨治COPD经验,以期为中医治疗提供辨治思路。 展开更多
关键词 慢性阻塞性肺疾病 名医经验 四维辨治
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中药调控Janus激酶/信号转导和转录激活因子(JAK/STAT)信号通路防治肝细胞癌的研究现状
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作者 杨星 李淑娣 +2 位作者 刘江凯 王振 李素领 《临床肝胆病杂志》 CAS 北大核心 2023年第11期2718-2729,共12页
肝细胞癌(HCC)是常见的消化道恶性肿瘤之一,因发病率高、恶性程度高、强侵袭与转移、预后差,严重威胁患者生命。目前HCC的主要防治手段有药物、手术及介入治疗等,但均存在一定的不良反应及副作用。Janus激酶/信号转导和转录活化因子(JAK... 肝细胞癌(HCC)是常见的消化道恶性肿瘤之一,因发病率高、恶性程度高、强侵袭与转移、预后差,严重威胁患者生命。目前HCC的主要防治手段有药物、手术及介入治疗等,但均存在一定的不良反应及副作用。Janus激酶/信号转导和转录活化因子(JAK/STAT)作为人体重要的细胞内信号转导通路,其主要通过调控细胞侵袭、转移、增殖、生长、凋亡、自噬、血管生成、炎症/免疫反应、铁代谢和药物耐药性等方面,发挥抗肝细胞癌效应。因此,靶向JAK/STAT信号通路对防治肝细胞癌的发生发展具有重要作用。中医药在HCC的治疗上具有多靶点、多途径、多成分、多层次的优势受到广泛关注,大量中医药治疗HCC的细胞或动物实验表明JAK/STAT信号通路是防治HCC的重要靶点,具有改善肝功能、减少HCC复发和提高免疫力等作用。基于此,本文通过梳理JAK/STAT信号通路在肝细胞癌中的作用机制,以及中药单体、中药提取物和中药复方对JAK/STAT信号通路的干预作用,以期为中医药防治肝细胞癌和临床新药研发给予理论依据和参考。 展开更多
关键词 肝细胞 中草药 信号传导
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感染性疾病中西医结合认知模式探析 被引量:1
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作者 王仲霞 景婧 +9 位作者 何婷婷 孙永强 余思邈 许文涛 王丽苹 桑秀秀 王立福 崔延飞 宋雪艾 王睿林 《传染病信息》 2019年第3期278-282,共5页
感染性疾病一直是临床医学研究领域的热点和难点问题,其中、西医认知模式各有不同,如何将二者结合提高临床诊治水平应是当前感染性疾病研究的主要内容之一。本文以中西医结合为切入点,从感染性疾病的定义、发病原因、发生机制及治疗原... 感染性疾病一直是临床医学研究领域的热点和难点问题,其中、西医认知模式各有不同,如何将二者结合提高临床诊治水平应是当前感染性疾病研究的主要内容之一。本文以中西医结合为切入点,从感染性疾病的定义、发病原因、发生机制及治疗原则等方面,对其中西医认知模式逐一比对。本文不仅阐述分析了感染性疾病的中西医诊治特点,还系统评价了感染性疾病的中西医结合认知模式的特色和优势,为中西医结合研究的深入发展提供理论参考。 展开更多
关键词 感染性疾病 中医 中西医结合 认知模式
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Current Situation of Chinese Medicine Combined with MSCs for the Treatment of the Neurovascular Unit Injury After Cerebral lschemia
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作者 LI Mengdi ZHANG Yunke 《Chinese Medicine and Natural Products》 2021年第1期36-47,共12页
Stroke has been a common problem in the global public health because of its high incidence,recur-rence,disability rate and mortality,among which ischemic stroke accounts for about 80%of the total stroke.Cerebral ische... Stroke has been a common problem in the global public health because of its high incidence,recur-rence,disability rate and mortality,among which ischemic stroke accounts for about 80%of the total stroke.Cerebral ischemia reperfusion injury(CIRI)is one of the most important pathological injuries after ischemic stroke,and the effective treatment has always been a research focus at home and abroad.The proposal of the concept of neurovascular unit(NVU)which extends treatment ideas from local to holistic is in accordance with the holistic concept and treatment based on syndrome differentiation in Chinese medicine.Chinese medicine has many advantages,such as being multicomponent,multitarget,and multipath while stem cells are effective biological therapeutic means,both of which have been proved to exert comprehensive and definite effects on NVU injury caused by CIRI.This artide reviews the molecular mechanisms of NVU injury and the cerebropro-tective effects of Chinese medicine monomers or compound formulas combined with MSCs on NUV injury after cerebral ischemia,with a view to provide a theoretical basis for future studies. 展开更多
关键词 neurovascular unit(NVU) MSCS Sanqi(Radix et Rhizoma Notoginseng) Huangqi(Radix Astragai) chry-sin CATALPOL COSTUNOLIDE Buy ang Huanwu Decoction
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Therapy of Suppressing Yang and Astringing Yin for the Treatment of Cancer-Related Insomnia
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作者 Ranpei Zhu Xu Sun Yuling Zheng 《Chinese Medicine and Natural Products》 2022年第1期11-18,共8页
The pathogenesis of can cer-related in som nia(CRI)mainly in eludes,first,the flow of cancerous toxin leading to the disorder of visceral qi;second,cancer-related radiotherapy and chemotherapy belonging to"exogen... The pathogenesis of can cer-related in som nia(CRI)mainly in eludes,first,the flow of cancerous toxin leading to the disorder of visceral qi;second,cancer-related radiotherapy and chemotherapy belonging to"exogenous pathogenic factors"to a certain extent,which can further aggravate visceral disorders.The therapeutic principle of Chinese medicine is to tranquilize the mind on the basis of regulating viscera,suppressing yang,and astringing yin.On this theoretical basis,Professor Zheng Yuling created a representative prescription of Zhenjing Anshen Granules(镇静安神颗粒)which can achieve the co-regulation of the heart,liver,and kidney,tranquilizing the mind and nourishing the blood.Clinically,the selection of prescriptions and medicines needs to be considered due to factors such as different treatment stages and differ-ences in patients'constitutions. 展开更多
关键词 cancer related insomnia(CRI) suppressing yang and astringing yin Zhenjing Anshen Granules syndrome differentiation and treatment Yuling Zheng
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Potential Mechanisms of Yanghe Decoction in the Treatment of Soft Tissue Sarcoma and Arteriosclerosis Obliterans Based on Network Pharmacology
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作者 Yiran Zhai Shiqing jiang +3 位作者 Binyi Li Lili Miao Jie Wang Shanshan Li 《Chinese Medicine and Natural Products》 2022年第2期77-88,共12页
Objective The objective of this study was to investigate potential mechanisms of Yanghe Decoction(YHD)in treating soft tissue sarcoma(STS)and arteriosclerosis obliterans(ASO)based on the use of network pharmacology.Me... Objective The objective of this study was to investigate potential mechanisms of Yanghe Decoction(YHD)in treating soft tissue sarcoma(STS)and arteriosclerosis obliterans(ASO)based on the use of network pharmacology.Methods Candidate compounds and potential targets were identifed through the TCM Systems Pharmacology database and a comprehensive literature search.Related targets of STS and ASO were collected in the GeneCards database,DisGeNET database,and Drugbank database.Furthermore,The STRING 11.0 database was used to determine protein-protein interaction(PPI)networks;common targets were obtained and imported into Cytoscape 3.7.2.Then,a PPI network comprising common targets was drawn,and network topology analysis was performed to screen for key shared targets.Gene ontology functional enrichment analysis and Kyoto Encyclopedia of Genes and Genomes pathway enrichment analysis of key shared targets were performed by using Metascape software.Subsequently.a compound-target-pathway network was constructed via Cytoscape 3.7.2.Results The following signaling pathways were found to be associated with the mechanisms of YHD in treating STS and ASO:AGE-RAGE signaling pathway,IL-17 signaling pathway;HIF-1 signaling pathway,TNF signaling pathway,interactions between cytokines and cytokine receptors,Th17 cell differentiation,and NOD-like receptor signaling pathway.Among the compounds and targets involved in these pathways,quercetin,luteolin,and kaempferol were found to be core compounds,and TNF,IL-6,and MAPK1 were found to be core targets.Conclusion Taken together,our findings elucidated that potential mechanisms of YHD in treating STS and ASO involved cellular proliferation/differentiation,angiogen-esis,inflammation,immune responses,oxidative stress,and other related signaling pathways. 展开更多
关键词 soft tissue sarcoma arteriosclerosis obliterans network pharmacology Traditional Chinese medicine Yanghe Decoction
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Analysis of Traditional Chinese Medicine Syndromes and Treatment Laws of Diabetic Kidney Disease and the Action Mechanism of High-Frequency Chinese Herbs in the Treatment of Diabetic Kidney Disease Based on Real-World Study
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作者 Keyi Ji Genlin Li +4 位作者 Suhui Wu Jiayao Yuan Zheng Du Hanbing Li Jiangyan Xu 《Chinese Medicine and Natural Products》 2022年第4期200-211,共12页
Objective Our objective was to analyze the traditional Chinese medicine(TCM)syndrome and treatment laws of diabetic kidney disease(DKD)and the action mechanism of high-frequency Chinese herbs in the treatment of DKD b... Objective Our objective was to analyze the traditional Chinese medicine(TCM)syndrome and treatment laws of diabetic kidney disease(DKD)and the action mechanism of high-frequency Chinese herbs in the treatment of DKD based on realworldstudy.MethodsThe data of patients with DKD who had been treated in the First Hospital Affiliated to Henan Universityof ChineseMedicine from January1,2014to December 31,2021 were retrospectively analyzed through the hospital information management system.The contents of the cases were statistically analyzed using IBM SPsS Statistics 25 software,and the laws of DKDtreatment were summarized.Network pharmacology and molecular docking were used to analyze the action mechanism of high-frequency Chinese herbs in the treatment of DKD.ResultsThe data of a total of 1,201 patients with DKD were included,involving 72 kinds of TCM syndromes.Nine disease nature elements and six disease location elements were extracted,involving 405 Chinese herbs.The top five high-frequency Chinese herbs were Baizhu(Atractylodis Macrocephalae Rhizoma),Fuling(Poria),Huangqi(Astragali Radix),Chuanxiong(Chuanxiong Rhizoma),and Danshen(Salviae Miltiorrhizae Radix et Rhizoma).Thirty kinds of Chinese herbs with the frequency of≥100 were mainly deficiency-tonifying herbs and blood-activating and stasis-eliminating herbs.The medicinal properties were mainly warm and mild,and the medicinal flavors were sweet and bitter mostly.For the meridian tropism,the main meridian tropism of these herbs is spleen meridian and lung meridian.The clustering method. 展开更多
关键词 diabetic kidney disease laws ofsyndromes and treatment high-frequency Chinese Herbs real-world study TCM network pharmacology molecular docking diabetes mellitus action mechanism
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Meta-analysis of TCM in the Treatment of AIDS Diarrhea
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作者 Shaotian Wu Liran Xu +2 位作者 Feng Sang Liangping Li Yaya Guo 《Chinese Medicine and Natural Products》 2022年第2期89-95,共7页
Objective The aim of the study is to systematically evaluate the effect of Traditional Chinese medicine(TCM)in the treatment of AIDS diarrhea.Methods The computer system was used to comprehensively search database of ... Objective The aim of the study is to systematically evaluate the effect of Traditional Chinese medicine(TCM)in the treatment of AIDS diarrhea.Methods The computer system was used to comprehensively search database of Wanfang(WF),VIP,and China National Knowledge Infrastructure(CNKI)for relevant literature on the application effect of Chinese medicine in the treatment of AIDs diarrhea.The retrieval time was set from January 1,2010 to August 15,2021.The documents that did not meet the inclusion criteria were eliminated,and the quality of the qualified literature was evaluated according to the improved Jadad scoring standard.The main outcome indicators were entered into the literature,and Review Manager 5.0 software was used for meta-analysis.Results Eight eligible articles were included,a total of 536 cases of AIDS diarrhea patients were included.All eight eligible articles observed the clinical efficacy of TCM in the treatment of AIDS diarrhea,among which four observed the TCM syndrome changes in the treatment of AIDS diarrhea,and four observed adverse reactions of TCM in the treatment of AIDS diarrhea.All articles were extracted for valid data.After entering all the main observation index data,the results of meta-analysis showed that the effect of TCM in the treatment of AIDS diarrhea was better,the differencewas statistically significant[MD=2.92,95%CI(1.81,4.70),p<0.001];TCM in the treatment of AIDS diarrhea was more conducive to improving the TCM syndrome scores of patients,the difference was statistically significant[MD=-2.55,95%CI(-3.37,-1.73),p<0.001];the adverse effects of TCM in the treatment of AIDS diarrhea were mild,and the difference was statistically significant[MD=1.70,95%Cl(0.48,5.97),p=0.41].Conclusion The effect of TCM in the treatment of AIDS diarrhea patients is remarkable,which can effectively improve the TCM symptom scores of patients without increasing the incidence of adverse reactions. 展开更多
关键词 AIDS diarrhea TCM syndrome score adverse reaction META-ANALYSIS
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Reflections on the Application of Chinese Medicine During the Epidemic of COVID-19
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作者 Shaohui Geng Hanlin Shi +6 位作者 Shuangqing Yang Yaoyang Li Haixu Jiang Heng Xu HesongWang Zhiming Li Liping Yang 《Chinese Medicine and Natural Products》 2022年第4期193-199,共7页
Traditional Chinese medicine(TCM)has played an important role in the prevention and control of coronavirus disease 2019(COvID-19)and has received considerable attention from all sectors of society.In the current situa... Traditional Chinese medicine(TCM)has played an important role in the prevention and control of coronavirus disease 2019(COvID-19)and has received considerable attention from all sectors of society.In the current situation of the global outbreak,it is crucial to promote the global application of TCM.However,the pandemic has also exposed various problems affecting the widespread acceptance of TCM.In this review,we summarize efforts to prevent and control cOoVID-19 by TCM and provide strategic guidance on how to promote its practice in the context of public health emergencies by(1)completing the system for evaluating the clinical efficacy of TCM;(2)transforming decoctions into Chinese patent medicines;(3)encouraging low-threshold traditional rehabilitation therapy;(4)strengthening communication and cooperation with the media.The aim of these approaches is to improve the rigor of TCM research and its dissemination,sharing the antiepidemic experience of TCM to the world,as well as increase the engagement of and acceptance by the masses.In this manner,TCM will not only aid in preventing and controlling CoVID-19 but can also provide tools for coping withfuture public health emergencies. 展开更多
关键词 COVID-19 TCM clinical trial public health EMERGENCY
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