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益气活血通络法治疗糖尿病周围神经病变52例 被引量:18
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作者 江鹏 杨思鹏 +2 位作者 齐保险 王巨阁 邸育英 《安徽中医药大学学报》 CAS 2014年第5期33-35,共3页
目的观察益气活血通络法治疗糖尿病周围神经病变(diabetic peripheral neuropathy,DPN)的疗效。方法将74例气阴两虚、瘀血阻络型DPN患者随机分为对照组(22例)和治疗组(52例),对照组给予常规疗法,治疗组在对照组疗法基础上加用益气通络... 目的观察益气活血通络法治疗糖尿病周围神经病变(diabetic peripheral neuropathy,DPN)的疗效。方法将74例气阴两虚、瘀血阻络型DPN患者随机分为对照组(22例)和治疗组(52例),对照组给予常规疗法,治疗组在对照组疗法基础上加用益气通络活血中药口服,疗程为30d。观察两组患者神经传导速度、中医证候积分及血液流变学指标的变化。结果治疗组临床疗效显著优于对照组(P<0.01),治疗组在提高腓总神经和正中神经的感觉、运动神经传导速度,降低中医证候积分及全血黏度、血浆黏度和纤维蛋白原方面明显优于对照组(P<0.05,或P<0.01)。结论益气活血通络法对DPN有较好的疗效,其机制与改善血液流变性及感觉和运动神经传导速度有关。 展开更多
关键词 糖尿病周围神经病变 益气活血通络 神经传导速度 血液流变学
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Metabolic Regulatory and Anti-oxidative Effects of Modified Bushen Huoxue Decoction(补肾活血方) on Experimental Rabbit Model of Osteoarthritis 被引量:16
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作者 刘维 吴沅皞 +3 位作者 刘晓亚 薛斌 沈雯 杨阔 《Chinese Journal of Integrative Medicine》 SCIE CAS 2013年第6期459-463,共5页
Objective: To observe the metabolic, regulatory and anti-oxidative effects of modified Bushen Huoxue Decoction (BSHXD, 补肾活血方), a Chinese herbal medicine for Kidney (Shen)-reinforcement and bloodactivation, o... Objective: To observe the metabolic, regulatory and anti-oxidative effects of modified Bushen Huoxue Decoction (BSHXD, 补肾活血方), a Chinese herbal medicine for Kidney (Shen)-reinforcement and bloodactivation, on an osteoarthritis (OA) rabbit model. Methods: A rabbit model for knee joint OA was established by the classic Huith's method. The OA model rabbits were randomized into 5 groups: the model control group, the positive control group treated with glucosamine sulfate, and the three BSHXD treated groups treated respectively with low, moderate, and high doses of BSHXD. In addition, a normal control group and a sham-operated group were set up. Experimental animals were sacrificed after a 7-week treatment, and pathological changes in cartilaginous tissue were estimated using the Mankin criteria. Hydroxyproline (Hyp) and malonaldehyde (MDA) contents in blood serum and urine, as well as superoxide dismutase (SOD) activity and nitric oxide (NO) content in blood serum and knee joint synovial homogenates were detected. Results: Mankin scoring showed insignificant statistical differences between the various treatment groups (P〉0.05), but all were better than the model control group (P〈0.05). Serum and udnary contents of Hyp and MDA as well as serum and synovial levels of NO were significantly lower, but the SOD activity in blood serum and synovial tissue was higher in the BSHXD treated groups than in the model group (P〈0.01); the effect of BSHXD was dose-dependent to some extent. Coaclasloa: The modified BSHXD shows an effect of improving cartilage metabolism in experimental rabbits with OA, and possesses osteo-chondric protective effects in antagonizing peroxidation injury. 展开更多
关键词 Kidney-reinforcing and blood-activating OSTEOARTHRITIS HYDROXYPROLINE MALONALDEHYDE superoxide dismutase nitric oxide
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Treatment of Posthepatitic Cirrhosis by Fuzheng Huayu Tablet(扶正化瘀片) for Reinforcing Qi and Resolving Stasis 被引量:14
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作者 邓鑫 梁健 +2 位作者 刘振威 吴发胜 李璇 《Chinese Journal of Integrative Medicine》 SCIE CAS 2013年第4期289-296,共8页
Objective: To investigate the efficacy and safety of the Fuzheng Huayu Tablet (扶正化瘀片, FZHYT), which is used to reinforce qi and resolve stasis in patients with posthepatitic cirrhosis (PHC). Methods: A mult... Objective: To investigate the efficacy and safety of the Fuzheng Huayu Tablet (扶正化瘀片, FZHYT), which is used to reinforce qi and resolve stasis in patients with posthepatitic cirrhosis (PHC). Methods: A multicenter, randomized, controlled clinical trial was conducted in 180 patients with PHC. The patients were randomly assigned using random numbers to a treatment group treated with FZHYT and a placebo group; the treatment course was 6 months for both groups. Overall response, adverse events (AEs), and the 2-year survival rate were assessed after treatment. Evaluations were made on changes in liver function, liver fibrosis, coagulation, hemodynamics, degrees of esophagogastric varices, ascites, quality of life (QOL), and scores of main symptoms. Results: The overall response was significantly higher in the treatment group than the placebo group (86.7% vs. 62.2%, P〈0.01). Patients in both groups had significant improvements in liver function [total bilirubin (TBIL), albumin (ALB)], liver fibrosis [hyaluronic acid (HA), type 1V collagen (CIV)], coagulation [prothrombin time (PT), activated partial thromboplastin time (APTT), fibrinogen (FIB), and thrombin time (TT)], hemodynamics portal venous flow (PVF), and splenic vein flow (SVF) after treatment. Between-group comparisons showed that compared with the placebo group patients in the treatment group achieved significantly greater improvements in TBIL, ALB, HA, C IV, PT, AP'I-r, PVF, SVF, time to ascites resolution, 2-year survival, QOL, and symptom scores (P〈0.05 or P〈0.01). There were no significant AEs during the treatment. Conclusion: FZHYT is effective and safe for the treatment of hepatic cirrhosis as it is associated with improved liver function, liver fibrosis, coagulation, portal hypertension state, QOL, 2-year survival rate, and fewer AEs. 展开更多
关键词 posthepatitic cirrhosis Fuzheng Huayu Tablet blood-activating stasis-resolving clinical trial
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补肾活血化痰组方治疗青春期多囊卵巢综合征41例 被引量:15
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作者 王针织 孙帅 +2 位作者 俞超芹 韩洁 翟东霞 《安徽中医学院学报》 CAS 2013年第5期24-27,共4页
目的观察补肾活血化疾组方治疗青春期多囊卵巢综合征(polycysticovarysyndrome,PCOS)的临床疗效.方法收集年龄为13-20岁的青春期PCOS患者41例,采用补肾活血化痰组方进行治疗,观察患者治疗前后月经周期、排卵、肥胖、多毛、黑棘皮... 目的观察补肾活血化疾组方治疗青春期多囊卵巢综合征(polycysticovarysyndrome,PCOS)的临床疗效.方法收集年龄为13-20岁的青春期PCOS患者41例,采用补肾活血化痰组方进行治疗,观察患者治疗前后月经周期、排卵、肥胖、多毛、黑棘皮症、痤疮等临床症状及血睾酮(testosterone,T)、胰岛素(in—siilill.Ins)、黄体生成激素(luteotrophic hormaonc,LH)、卵泡刺激素(folliclestimulatinghormone.FSH)、雌二醇(estradiol.E2)的变化情况。结果补肾活血化痰组方能明显降低患者的血T、Ins和LH水平(P〈0.05,或,P〈0.01),改善患者的月经失调、癌疮等临床症状(P〈0.05,或P〈0.01)。结论补肾活血化痰组方治疗青春期PCOS有较好的临床疗效。 展开更多
关键词 青春期多囊卵巢综合征 补肾活血化痰组方 性激素
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Protective Effects of Xiongshao Capsule(芎芍胶囊) on Anti-inflammatory Function of High-Density Lipoprotein in AnAtherosclerosis Rabbit Model 被引量:13
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作者 ZHANG Yan-hong ZHANG Ying +2 位作者 LI Jing TONG Wen-xin XU Feng-qin 《Chinese Journal of Integrative Medicine》 SCIE CAS CSCD 2017年第5期357-361,共5页
Objective: To observe the effects of Xiongshao Capsule(芎芍胶囊, XSC) on anti-inflammatory properties of high-density lipoprotein(HDL), myeloperoxidase(MPO) and paraoxonase 1(PON1) in serum of atherosclerosis... Objective: To observe the effects of Xiongshao Capsule(芎芍胶囊, XSC) on anti-inflammatory properties of high-density lipoprotein(HDL), myeloperoxidase(MPO) and paraoxonase 1(PON1) in serum of atherosclerosis(AS) rabbit model and explore the anti-inflammatory protective effects of XSC on HDL. Methods: Sixty rabbits were randomized into the control, the model, XSC low-, medium-and high-dose(Rhizoma Chuanxiong + Radix Paeoniae rubra : 0.6+0.3, 1.2+0.6, 2.4+1.2 g·kg-1·day-1, respectively), and simvastatin(1 g·kg-1·day-1) groups. The model rabbits were fed with high-fat diet and respective drugs for 15 weeks. The blood and thoracic aortas samples were collected at the end of 15 weeks. The levels of serum MPO and PON1 as well as total cholesterol(TC) and free cholesterol(FC) in aorta wall cells were tested by enzyme linked immunosorbent assay. Results: TC and FC in the model group were significantly higher than those in the control group(P〈0.01). Compared with the model group, TC and FC in the XSC groups were significantly lower(P〈0.05 or P〈0.01), so was simvastatin group(P〈0.01). There was no significant difference in PON1 level between groups(P〉0.05), even between model and control groups(P〉0.05). The serum MPO level in the model group was significantly higher than that in the control group(P〈0.05), which was significantly lower in XSC groups as well as simvastatin group(P〈0.05 or P〈0.01), and no difference was found between XSC groups and simvastatin group(P〉0.05). Conclusions: XSC can reduce the serum MPO level in AS rabbits to protect the anti-inflammatory function of HDL, maintaining the normal lipid transport function. TC and FC levels in aorta cells decline, and this process initiated by XSC plays an anti-AS role. 展开更多
关键词 blood-activating and stasis-dissolving anti-atherosclerosis anti-inflammatory functional high density lipoprotein Chinese medicine
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养阴活血祛风法治疗糖尿病皮肤瘙痒症36例 被引量:14
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作者 王建锋 张虹亚 +5 位作者 曹宇 刘涛峰 何素敏 鲍陶陶 吴敏 陈晓雯 《安徽中医学院学报》 CAS 2013年第4期27-30,共4页
目的观察养阴活血祛风法治疗糖尿病皮肤瘙痒症的疗效。方法将69例糖尿病皮肤瘙痒症患者随机分为两组,治疗组36例,对照组33例。两组患者在使用降糖药的同时,治疗组予以养阴活血祛风中药口服,对照组采用西替利嗪片口服,观察两组患者的临... 目的观察养阴活血祛风法治疗糖尿病皮肤瘙痒症的疗效。方法将69例糖尿病皮肤瘙痒症患者随机分为两组,治疗组36例,对照组33例。两组患者在使用降糖药的同时,治疗组予以养阴活血祛风中药口服,对照组采用西替利嗪片口服,观察两组患者的临床疗效及治疗前后单个症状、体征的改善情况,并观察两组的药物不良反应。结果治疗组的临床疗效显著优于对照组(P<0.05);治疗组在降低症状、体征总积分及降低瘙痒面积、瘙痒持续时间、干燥、鳞屑、抓痕血痂积分方面显著优于对照组(P<0.05,或P<0.01)。两组均无明显不良反应。结论养阴活血祛风法能有效治疗糖尿病皮肤瘙痒症,具有较好的安全性。 展开更多
关键词 养阴活血祛风法 皮肤瘙痒症 糖尿病
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Effect of kidney-reinforcing,blood-activating and stasis-removing recipes on adhesion molecule expression of bone marrow mesenchymal stem cells from chronic aplastic anemia patients 被引量:12
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作者 Baodong Ye Dan Chen +6 位作者 Dijiong Wu Xiangping Wu Xiang Zhang Yuhong Zhou Yiping Shen Keding Shao Qinhong Yu 《Journal of Traditional Chinese Medicine》 SCIE CAS CSCD 2012年第4期596-603,共8页
OBJECTIVE: To explore the effect of kidney-rein- forcing, blood-activating and stasis-removing recipes on adhesion molecule expression of bone mar- row mesenchymal stem cells (MSCs) from patients with chronic aplas... OBJECTIVE: To explore the effect of kidney-rein- forcing, blood-activating and stasis-removing recipes on adhesion molecule expression of bone mar- row mesenchymal stem cells (MSCs) from patients with chronic aplastic anemia (CAA). METHODS: We used three Traditional Chinese Medicine recipes, namely a kidney-reinforcing recipe (KRR), blood-activating and stasis-removing recipe (BASRR), and kidney-reinforcing, blood-activating and stasis-removing recipe (KRBASFIR), and a nor- mal saline control to prepare herbal medicine se- rum in Sprague Dawley rats. Thirty CAA patients were enrolled in the experimental group, including 17 kidney-Yang deficient patients and 13 kidney-Yin deficient patients. Ten healthy individuals were included in the control group. MSCs were isolated from bone marrow samples, and the cell density was observed to measure their proliferation ability by microscopy on days 2, 7, and 14 after isolation. In addition, the expression of adhesion molecules of bone marrow MSCs (CD106, CD49d, CD31 and CD44) were detected by flow cytometry after 48 h of treatment with the four different herbal medi- cine serums. RESULTS: The proliferation of MSCs from kid- ney-Yang deficient and kidney-Yin deficient pa- tients was weaker than that of MSCs from the con- trol group. The expression of all adhesion mole- cules of bone marrow MSCs from CAA patients was obviously lower than that in the control group (P〈 0.01). The expression of CD49d and CD31 in MSCs from patients with a kidney-Yin deficiency was low- er than in those with a kidney-yang deficiency (P〈 0.05 and P〈O.01, respectively). For kidney-Yang defi- cient patients, CD31 expression in the KRBASRR group was significantly higher than that in the BASRR group (P〈O.01), while CD44 in the KRBASRR group was significantly higher than that in both KRR and BASRR groups (P〈O.01). For kidney-Yin defi- cient patients, CD106 and CD49d expression in the KRBASRR group was obviously higher than that in the KRR group (P 展开更多
关键词 Anemia Aplastic Bone marrow Mesen-chymal stem cells Cell adhesion molecules Rein-forcing kidney blood-activating stasis-removing
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从瘀论治斑块型银屑病 被引量:10
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作者 张益生 王燕 +4 位作者 李萍 吴希玲 孔德川 陈元鸣 蔡玲玲 《中国医药导报》 CAS 2019年第25期122-125,141,共5页
斑块型银屑病是一种皮损表现为境界清楚的红色斑块,上覆成层银白色鳞屑的炎症性疾病,属寻常型银屑病常见且难治分型。医家多以“血燥”“血瘀”论治。笔者认为斑块型银屑病缠绵难愈根于血瘀,临证采用活血法每获良效。本文基于“审证求... 斑块型银屑病是一种皮损表现为境界清楚的红色斑块,上覆成层银白色鳞屑的炎症性疾病,属寻常型银屑病常见且难治分型。医家多以“血燥”“血瘀”论治。笔者认为斑块型银屑病缠绵难愈根于血瘀,临证采用活血法每获良效。本文基于“审证求因”“以常衡变”“以方测证”等诊断原理,援经据典,系统论述斑块型银屑病应“从瘀论治”。根据“菀陈则除之”治疗原则确定内外治法,创立“莪仙化斑汤”,为斑块型银屑病的辨证论治提供理论参考,供同仁借鉴。 展开更多
关键词 斑块型银屑病 从瘀论治 活血 莪仙化斑汤
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Effect of Two Chinese Medicinal Compounds,Blood-Activating and Water-Draining Medicine,on Tumor Necrosis Factor α and Nuclear Factor κ B Expressions in Rats with Intracerebral Hemorrhage 被引量:8
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作者 李玉波 崔向宁 +2 位作者 李妍 潘琳 温见燕 《Chinese Journal of Integrative Medicine》 SCIE CAS 2014年第11期857-864,共8页
Objective:To investigate the effect of blood-activating Chinese medicinal compounds and waterdraining Chinese medicinal compounds on tumor necrosis factor alpha(TNF-α)and nuclear factor kappaB(NF-κB)expressions... Objective:To investigate the effect of blood-activating Chinese medicinal compounds and waterdraining Chinese medicinal compounds on tumor necrosis factor alpha(TNF-α)and nuclear factor kappaB(NF-κB)expressions in rats with intracerebral hemorrhage(ICH)at the acute stage,and to monitor their therapeutic effect and mechanism of action on inflammation and cerebral edema.Methods:A rat model of cerebral hemorrhage was achieved by injecting autologous arterial blood into the caudate nucleus.A total of 168 rats were randomly divided into 4 groups:blood-activating medicine group(n=42),water-draining medicine group(n=42),sham operated group(n=42),and the model group(n=42).A series of brain samples were obtained at days 1,3 and 5 after ICH from rats in all groups.Protein expression levels of TNF-αand NF-κB were measured by immunohistochemical staining and gene expression levels of TNF-αand NF-κB were measured by real-time fluorescent PCR.Results:Compared to the sham operated group,protein expression levels of TNF-αand NF-κB in the model group significantly increased(P〈0.01).Protein and gene expressions of TNF-αfrom the blood-activating medicine group and water-draining medicine group significantly decreased when compared to those in the model group(P〈0.05).Meanwhile,compared to the model group,the expression of NF-κB in the blood-activating medicine group significantly decreased(P〈0.05),while expression of NF-κB in the water-draining medicine group did not differ(P〉0.05).Conclusions:Blood-activating Chinese medicinal compounds and water-draining Chinese medicinal compounds can alleviate inflammation of peripheral tissue and cerebral edema.However,the blood-activating Chinese medicinal compounds were more effective than the water-draining Chinese medicinal compounds.The possible effective mechanism may be by means of inhibiting the activation of NF-κB so as to suppress the transcription of target genes including gene expression of TNF-α. 展开更多
关键词 intracerebral hemorrhage cerebral edema tumor necrosis factor alpha nuclear factor kappaB blood-activating water-draining Chinese medicine
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针药结合治疗前部缺血性视神经病变的临床研究 被引量:9
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作者 回世洋 张焱 《安徽中医药大学学报》 CAS 2014年第6期35-38,共4页
目的观察针刺联合理气活血明目中药治疗前部缺血性视神经病变(anterior ischemic optic neuropathy,AION)的临床疗效。方法将AION患者64例(64只眼)随机分为两组,对照组32例(32只眼)仅用常规疗法治疗,治疗组32例(32只眼)在常规治疗基础... 目的观察针刺联合理气活血明目中药治疗前部缺血性视神经病变(anterior ischemic optic neuropathy,AION)的临床疗效。方法将AION患者64例(64只眼)随机分为两组,对照组32例(32只眼)仅用常规疗法治疗,治疗组32例(32只眼)在常规治疗基础上联用理气活血明目方及针刺治疗,15d为1个疗程,共治疗2个疗程。观察两组治疗前后视力、视野的改变及临床疗效。结果治疗组临床疗效明显优于对照组(P<0.01);治疗后两组视力均显著提高(P<0.01),视野缺损范围均显著缩小(P<0.01),但治疗组的视力升高值及视野缺损范围缩小值显著大于对照组(P<0.01)。结论针刺联合理气活血明目中药能有效改善AION患者的视力、视野,具有良好的临床疗效。 展开更多
关键词 前部缺血性视神经病变 视力 视野 理气活血明目
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参芪复方中活血组分早期应用调控KKAy小鼠糖尿病大血管病变内质网应激相关基因的实验研究 被引量:9
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作者 高泓 何力 +5 位作者 谢春光 张帅 王岗 李凯 张虹玺 陈敏 《时珍国医国药》 CAS CSCD 北大核心 2019年第7期1547-1551,共5页
目的通过基因芯片观察参芪复方中活血组分早期应用对KKAy小鼠主动脉内质网应激的调控,探讨早期应用活血法对糖尿病大血管病变的作用机制,为早期使用活血法防治糖尿病大血管病变提供理论依据及治疗新靶点。方法随机血糖2次≥13.9mmol/L的... 目的通过基因芯片观察参芪复方中活血组分早期应用对KKAy小鼠主动脉内质网应激的调控,探讨早期应用活血法对糖尿病大血管病变的作用机制,为早期使用活血法防治糖尿病大血管病变提供理论依据及治疗新靶点。方法随机血糖2次≥13.9mmol/L的7~8周龄SPF级雄性KKAy小鼠50只,随机分为空白组(n=10);参芪复方组(简称复方组,n=10);活血组(n=10);阿托伐他汀组(简称他汀组,n=10);模型组(n=10)。适应性饲养1周后,除空白组以外,其他各组每日予以一氧化氮合成酶抑制剂—L-NAME[0.2mg/(ml·d)],加入饮用水中,同时给予高脂饲料连续造模5周,建立糖尿病动脉粥样硬化模型。在造模的同时给予药物治疗,空白组、模型组均按10ml/(kg·d)灌服生理盐水,复方组14.4g/(kg·d)、活血组按2.7g/(kg·d)灌服浸膏,他汀组按3.2mg/(kg·d)灌服阿托伐他汀悬液。实验期间观察各组小鼠的一般状况、检测造模前后随机血糖,检测血脂及高敏C反应蛋白,干预后第5周末处死小鼠,取出腹主动脉做内质网应激相关基因筛选。结果复方组与活血组一般状况优于模型组,活血组降糖效果不明显,活血组降低小鼠血清TC、TG、LDL—C水平、hs—CRP水平,升高小鼠血清HDL—C水平。基因芯片筛选后显示,通过模型组VS空白组与活血组VS模型组比较Hspa5、Casp12在模型组VS空白组比较中表达上调,经活血组分药物治疗后Bc12/XIAP在模型组VS空白组比较中表达下调。结论参芪复方活血组分可能直接通过缓解ERS,调控主动脉内质网UPR通路及细胞凋亡通路,影响炎症因子及ERS相关基因的表达,促进细胞生存保护大血管;同时,也可能通过调节内质网应激从而改善糖、脂代谢来防治糖尿病大血管病变的发生、发展。 展开更多
关键词 糖尿病大血管病变 内质网应激 活血法
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益气活血化瘀法干预老年股骨干骨折患者术后高凝状态临床研究 被引量:8
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作者 李灿辉 吴征杰 《安徽中医药大学学报》 2017年第3期25-28,共4页
目的观察益气活血化瘀法对老年股骨干骨折患者术后高凝状态的影响。方法将60例老年股骨干骨折患者随机分为中药组和西药组各30例,两组均采用闭合穿针髓内钉治疗,中药组术后给予益气活血化瘀法治疗,西药组给予利伐沙班治疗,比较两组干预... 目的观察益气活血化瘀法对老年股骨干骨折患者术后高凝状态的影响。方法将60例老年股骨干骨折患者随机分为中药组和西药组各30例,两组均采用闭合穿针髓内钉治疗,中药组术后给予益气活血化瘀法治疗,西药组给予利伐沙班治疗,比较两组干预前后D-二聚体、凝血酶原时间(prothrombin time,PT),血小板计数(platelet count,PLC)以及患肢周径的变化。结果两组患者术后凝血指标均较术前明显降低,差异均有统计学意义(P<0.05);两组手术前后凝血指标差值比较,差异无统计学意义(P>0.05)。两组术后均无下肢静脉血栓发生。中药组干预前后患肢周径的变化值大于西药组,差异有统计学意义(P<0.05)。结论益气活血化瘀法与利伐沙班均能改善股骨干骨折患者术后的高凝状态,预防DVT的发生,但益气活血化瘀法治疗效果优于利伐沙班。 展开更多
关键词 股骨干骨折 高凝状态 益气活血化瘀法 利伐沙班
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脑络欣通对气虚血瘀型中脑动脉阻塞再灌注大鼠海马及额顶叶皮质Wnt3a、Wnt5a和β-Catenin表达的影响 被引量:8
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作者 邓勇 王键 +1 位作者 谭辉 何玲 《安徽中医药大学学报》 2017年第3期59-63,共5页
目的探讨益气活血通络法代表方脑络欣通对气虚血瘀型中脑动脉阻塞再灌注(middle cerebral artery occlusion-reperfusion,MCAO/R)模型大鼠的保护机制。方法采用随机数字表法将雄性SD大鼠分成正常组、模型组、脑络欣通组和通心络组,每组1... 目的探讨益气活血通络法代表方脑络欣通对气虚血瘀型中脑动脉阻塞再灌注(middle cerebral artery occlusion-reperfusion,MCAO/R)模型大鼠的保护机制。方法采用随机数字表法将雄性SD大鼠分成正常组、模型组、脑络欣通组和通心络组,每组18只。按随机数字表法将各组再分成1、3、7d组,每时间节点组6只。气虚血瘀证采用饥饿、疲劳、缺氧及高脂饮食等多因素模拟,线栓法制作MCAO/R模型参照改良后的LONGA法。脑络欣通配制成浓度为0.26g/mL的溶液,通心络配制成浓度为0.02g/mL的溶液。按每日10mL/kg灌胃给药。正常组及模型组按等容量生理盐水灌胃。利用RT-PCR检测各组大鼠海马及额顶叶皮质Wnt3a、Wnt5a和β-Catenin的表达。结果与正常组比较,模型组大鼠缺血侧海马和额顶叶皮质Wnt3a、Wnt5a、β-Catenin在1、3、7d表达水平显著上调(P<0.05);与模型组比较,通心络组、脑络欣通组大鼠缺血侧海马和额顶叶皮质Wnt3a、Wnt5a和β-Catenin在1、3、7d表达水平显著上调(P<0.05);与通心络组比较,脑络欣通组大鼠缺血侧海马和额顶叶皮质Wnt3a、Wnt5a和β-Catenin在1、3、7d表达水平显著上调(P<0.05)。结论脑络欣通可能通过上调Wnt3a、Wnt5a以及β-Catenin的表达调节脑缺血后神经干细胞的增殖分化。 展开更多
关键词 脑缺血 益气活血通络法 脑络欣通 WNT/Β-CATENIN信号通路
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活血化瘀药治疗冠心病不同表现形式 被引量:5
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作者 董占领 戴国华 《实用中医内科杂志》 2013年第6期168-169,共2页
心脉痹阻,病位在心是冠心病主要病机。血液流变学异常,表现为血液凝滞、聚集、凝固等状态,其中凝滞、聚集最为突出,与血瘀证病理实质相一致,印证心血瘀阻系冠心病发病病理关键。根据病理特征,选择不同类型活血化瘀药:和血类-稳定型心绞... 心脉痹阻,病位在心是冠心病主要病机。血液流变学异常,表现为血液凝滞、聚集、凝固等状态,其中凝滞、聚集最为突出,与血瘀证病理实质相一致,印证心血瘀阻系冠心病发病病理关键。根据病理特征,选择不同类型活血化瘀药:和血类-稳定型心绞痛,活血类-不稳定性心绞痛,破血类-急性心肌梗塞,疗效确切。 展开更多
关键词 冠心病 胸痹 活血化瘀 稳定型心绞痛 不稳定性心绞痛 急性心肌梗塞 中医药治疗 和血 活血 破血
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益气活血化痰法对动脉粥样硬化大鼠NF-κB信号通路影响的实验研究 被引量:7
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作者 王凯丽 喻正科 +1 位作者 王青祥 陶琦 《湖南中医杂志》 2019年第1期127-129,共3页
目的:通过观察益气活血化痰法对动脉粥样硬化(AS)模型大鼠核因子κB(NF-κB)信号通路表达的影响,阐明护心康片抗动脉粥样硬化的部分作用机制。方法:采用注射大剂量维生素D3注射液及喂养高脂饲料法制备大鼠动脉粥样硬化模型,随机分为护... 目的:通过观察益气活血化痰法对动脉粥样硬化(AS)模型大鼠核因子κB(NF-κB)信号通路表达的影响,阐明护心康片抗动脉粥样硬化的部分作用机制。方法:采用注射大剂量维生素D3注射液及喂养高脂饲料法制备大鼠动脉粥样硬化模型,随机分为护心康片高、中、低(1. 64g/kg、0. 82g/kg、0. 41g/kg)剂量组,阳性对照组(阿托伐他汀钙片,2mg/kg),模型组(蒸馏水,10ml/kg)和空白组。治疗12周后处死,采用双抗体夹心酶联免疫分析法(ELISA)检测血清炎症因子白介素-1β(IL-1β)、白介素-6(IL-6)、肿瘤坏死因子(TNF-α)的表达水平;取动脉组织采用蛋白免疫印记法(Western blotting)检测NF-κB信号通路的蛋白表达量,用图像分析系统分析其灰度值,以目的蛋白与β-acting内参蛋白的比值来表示组织蛋白中NF-κB的表达量。结果:与模型组比较,护心康片中、高剂量组及阳性对照组的血清内炎症因子IL-1β、IL-6、TNF-α水平与NF-κB信号通路蛋白的表达水平均显著降低(P <0. 01)。结论:益气活血化痰法通过下调NF-κB信号通路蛋白的表达水平,阻断该信号通路的活化,从而抑制模型大鼠炎症因子IL-1β、IL-6、TNF-α的释放,达到抗动脉粥样硬化的作用。 展开更多
关键词 动脉粥样硬化 大鼠 益气活血化痰法 NF-ΚB信号通路 实验研究
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补肾活血通络针刺法联合中药熏洗疗法治疗肝肾亏虚型膝骨关节炎临床观察 被引量:3
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作者 李仁重 吴三兵 +5 位作者 孙奎 张昊 林永艳 臧乃丰 钟志伟 俞世亮 《安徽中医药大学学报》 CAS 2023年第6期45-49,共5页
目的 观察补肾活血通络针刺法联合中药熏洗疗法治疗老年性膝骨关节炎(knee osteoarthritis, KOA)的临床疗效。方法 将76例KOA患者按照随机数字表法分为对照组和观察组,每组38例;对照组采用西医常规治疗,观察组在对照组治疗基础上采用补... 目的 观察补肾活血通络针刺法联合中药熏洗疗法治疗老年性膝骨关节炎(knee osteoarthritis, KOA)的临床疗效。方法 将76例KOA患者按照随机数字表法分为对照组和观察组,每组38例;对照组采用西医常规治疗,观察组在对照组治疗基础上采用补肾活血通络针刺法联合中药熏洗疗法治疗;观察两组患者治疗前后视觉模拟量表(visual analogue scale, VAS)评分,西安大略和麦克马斯特大学骨关节炎指数(the Western Ontario and McMaster University osteoarthritis index, WOMAC),Lequesne MG评分,关节液白细胞介素(interleukin, IL)-1β、IL-6、肿瘤坏死因子(tumor necrosis factor, TNF)-α水平,血清环氧化酶-2(cyclooxygenase-2,COX-2)、基质金属蛋白酶-3(matrix metalloproteinase-3,MMP-3)水平的变化情况及临床疗效。结果 两组患者治疗后VAS评分、WOMAC、Lequesne MG评分均较治疗前显著降低(P<0.05),且观察组降低程度较对照组更显著(P<0.05)。两组患者治疗后关节液IL-1β、TNF-α、IL-6水平,血清COX-2、MMP-3水平均较治疗前显著降低(P<0.05),且观察组降低程度较对照组更显著(P<0.05)。观察组疗效优于对照组(P<0.05)。结论 补肾活血通络针刺法联合中药熏洗疗法可显著改善KOA患者临床症状,减轻疼痛,改善膝关节功能。 展开更多
关键词 补肾活血通络法 针刺 中药熏洗疗法 膝骨关节炎
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益气活血清脑汤联合高压氧治疗气虚血瘀型眩晕的疗效观察 被引量:6
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作者 陶晶 孙涛 +1 位作者 唐庆波 曲世巍 《基因组学与应用生物学》 CAS CSCD 北大核心 2017年第1期30-33,共4页
本研究应用益气活血清脑汤联合高压氧治疗气虚血瘀型眩晕患者,观察其临床治疗效果。通过随机选取2013年1月到2015年6月我院接诊的气虚血瘀型眩晕患者80例,根据其临床治疗方式的不同随机均分为研究组和对照组,40例对照组患者通过西药盐... 本研究应用益气活血清脑汤联合高压氧治疗气虚血瘀型眩晕患者,观察其临床治疗效果。通过随机选取2013年1月到2015年6月我院接诊的气虚血瘀型眩晕患者80例,根据其临床治疗方式的不同随机均分为研究组和对照组,40例对照组患者通过西药盐酸氟桂利嗪联合高压氧进行治疗,40例研究组患者通过益气活血清脑汤联合高压氧进行治疗,对比两组患者临床治疗效果。结果表明研究组患者治疗后LVA以及两组患者治疗后BVA和BA均较治疗前显著提高,研究组LVA、BVA和BA各指标治疗后值显著高于对照组(p<0.05);研究组患者治疗后TC、LDLC和TG较治疗前显著改善(p<0.05),HDLC与治疗前相比无显著改善(p>0.05);对照组治疗后TC和LDLC较治疗前显著改善(p<0.05),HDLC与TG较治疗前无显著改善(p>0.05);研究组患者治疗后TC改善情况显著优于对照组患者(p<0.05);研究组总治疗有效率(95.00%)显著高于对照组(80.00%)(p<0.05)。因此,益气活血清脑汤联合高压氧治疗气虚血瘀型眩晕临床治疗效果显著,值得进行临床推广。 展开更多
关键词 益气活血清脑汤 高压氧 气虚血瘀型眩晕 临床疗效
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Therapeutic and recurrence-preventing effects of Qi-Replenishing and Blood-Activating Formula in rats with acetic acid-induced gastric ulcer 被引量:5
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作者 Guo-Rong Jiang Hui-Nan Ge +2 位作者 Guo-Qiang Liang Liang Zhou Lu-Rong Zhang 《Asian Pacific Journal of Tropical Medicine》 SCIE CAS 2016年第1期79-83,共5页
Objective:To explore the therapeutic and recurrence-preventing effects of Qi-Replenishing and Blood-Activating Formula in rats with acetic acid-induced gastric ulcer.Methods:A total of 138 SD rats were selected to mak... Objective:To explore the therapeutic and recurrence-preventing effects of Qi-Replenishing and Blood-Activating Formula in rats with acetic acid-induced gastric ulcer.Methods:A total of 138 SD rats were selected to make rat models with gastric ulcer induced by acetic acid(24 rats with sham operation served as sham operation group),and were randomly divided into model group(n=30),western medicine group(n=30),traditional Chinese medicine(TCM) group(n=24) and combination group(combined western medicine and TCM group,n=30).Western medicine group was gavaged with omeprazole in the morning and with iso-volumetric distilled water in the afternoon;TCM group and TCM sham operation group were gavaged with iso-volumetric distilled water in the morning and with Qi-Replenishing and Blood-Activating Formula in the afternoon;combination group was gavaged with omeprazole in the morning and with Qi-Replenishing and Blood-Activating Formula in the afternoon;sham operation group and model group were gavaged with iso-volumetric distilled water both in the morning and afternoon.Ulcer indexes and degree of mucosal degree in rats at different time points after gavage were observed.Twentyeight days after gavage,interleukin(IL)-1β was given to induce ulcer recurrence so as to observe the recurrent severity and rate of ulcer in each group.Results:Compared with model group and western medicine group,treatment in combination group could prominently reduce the ulcer index of rats with peptic ulcer,and increase the healing rate and inhibition rate of peptic ulcer.After IL-1β-induced ulcer recurrence,combination group was significantly superior to model group and western medicine group in ulcer recurrent rate[50%(3/6) vs.100%(6/6)]and severity.Conclusions:Basic acid-suppression therapy combined with Qi-Replenishing and BloodActivating Formula can effectually improve the ulcer healing quality and reduce ulcer recurrence. 展开更多
关键词 Qi-Replenishing and blood-activating FORMULA Gastric ULCER RECURRENCE prevention ULCER index Damage severity
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从NOX4与炎性因子角度探讨清热、活血组分联用治疗缺血性脑卒中火毒证大鼠脑组织损伤的机制 被引量:6
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作者 王建伟 郭蓉娟 +5 位作者 刘雪梅 王凤丽 闫妍 郑宏 梁晓 张允岭 《北京中医药》 2017年第7期594-599,共6页
目的从NOX4与炎性因子角度探讨清热、活血组分联用治疗缺血性脑卒中火毒证大鼠脑组织损伤的机制。方法采用腹腔注射角叉菜胶复合线栓致大脑中动脉闭塞复制大鼠缺血性脑卒中火毒证模型。将SD大鼠随机分为8组:空白对照组(N组)、假手术组(S... 目的从NOX4与炎性因子角度探讨清热、活血组分联用治疗缺血性脑卒中火毒证大鼠脑组织损伤的机制。方法采用腹腔注射角叉菜胶复合线栓致大脑中动脉闭塞复制大鼠缺血性脑卒中火毒证模型。将SD大鼠随机分为8组:空白对照组(N组)、假手术组(S组)、模型组(缺血1.5 h再灌注24 h,M组)、清热组分苦碟子注射液3.6 mL/kg组(A组)、活血组分血栓通注射液40 mg/kg组(B组)、苦碟子注射液1.8 mL/kg+血栓通注射液20 mg/kg组(C组)、苦碟子注射液1.8 mL/kg+血栓通注射液80 mg/kg组(D组)、苦碟子注射液7.2 mL/kg+血栓通注射液20 mg/kg组(E组)。Longa5级评分法进行大鼠神经功能评分;TTC染色法检测大鼠脑梗死面积百分比;免疫组化法检测梗死侧大脑皮层中IL-1β、TNF-α的阳性细胞表达;Western Blot法检测梗死侧大脑皮层中NOX4蛋白表达情况。结果神经功能评分示:S组未见神经功能缺损,M组神经功能缺损最重;与M组相比,A组、B组神经功能损伤减轻(P<0.05);与A组、B组相比,C组、E组神经功能缺损减轻,但差异无统计学意义(P>0.05),D组神经功能缺损减轻最为明显,差异有统计学意义(P<0.05)。TTC染色示:S组未见白色梗死灶,M组白色梗死区域明显;与M组相比,A组、B组白色梗死区域减少,梗死体积百分比减小(P<0.05,P<0.01);与A组、B组相比,C组、E组白色梗死区域减少,梗死体积百分比减小(P<0.05),D组脑梗死体积百分比最小(P<0.01)。免疫组化示:与S组相比,M组大脑皮层IL-1β及TNF-α阳性细胞数增多,黄色深染,凋亡细胞增多(P<0.01);与M组相比,A组、B组IL-1β及TNF-α阳性细胞数减少,颜色变浅;与A组、B组相比,C组、D组IL-1β阳性细胞表达量不同程度减少(P<0.01),E组无明显差异(P>0.05);与A组、B组相比,C组、D组、E组TNF-α阳性细胞表达量均不同程度减少(P<0.01)。Western Blot示:与S组相比,M组大鼠缺血侧大脑皮层中NOX4蛋白表达量显著增多(P<0.01);与M 展开更多
关键词 急性脑梗死 火毒证 NOX4 炎性因子 清热 活血
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基于2020年版《中华人民共和国药典》(一部)活血类制剂用药规律分析
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作者 纪秋如 张辉 +6 位作者 王晓艳 吴娅丽 杨柳青 陈毓龙 李琨 唐进法 李伟霞 《辽宁中医药大学学报》 CAS 2024年第5期77-85,共9页
目的分析2020年版《中华人民共和国药典》(一部)中具有活血功效制剂的组方规律,为新药的研发提供参考。方法构建2020年版《中华人民共和国药典》(一部)成方制剂数据库,从中筛选具有“活血”功效的制剂,对活血类制剂进行经胃肠道给药和... 目的分析2020年版《中华人民共和国药典》(一部)中具有活血功效制剂的组方规律,为新药的研发提供参考。方法构建2020年版《中华人民共和国药典》(一部)成方制剂数据库,从中筛选具有“活血”功效的制剂,对活血类制剂进行经胃肠道给药和非经胃肠道给药两大类剂型分析;根据功效将活血类制剂分为活血化瘀、活血止痛、行气活血、益气活血、活血调经和活血解毒6大类,采用Microsoft Excel 2016中函数对制剂组成药物的频数进行分析,采用Vosviewer 1.6.17软件构建药物网络视图,利用IBM SPSS Modeler 18.0提供的Apriori算法进行关联规则分析并制作网络图。结果2020年版《中华人民共和国药典》(一部)共筛选出367个具有活血功效的制剂,264个不同组方,涉及417味中药。其中经胃肠道给药制剂329个,剂型较多的是胶囊剂(29%)和片剂(23%),非经胃肠道给药制剂38个。活血化瘀类、活血止痛类、行气活血类、益气活血类、活血调经类和活血解毒类制剂分别有115、99、56、44、35和18个。从264个组方频数统计发现,川芎(87次)、当归(85次)、丹参(80次)、红花(73次)、赤芍(57次)、三七(55次)、黄芪(49次)的频数最高,药物多苦、辛、甘、温,归肝经。从主治病证发现,组方主要用于13类疾病,其中心脑血管病(36%)所占比例最大,其次是骨伤病(20%)、妇科病(14%)和风湿免疫病(10%)。结论2020年版《中华人民共和国药典》(一部)中活血类制剂主要以胶囊剂为主,主要针对心脑血管疾病,用药以当归、川芎、丹参为主,组方以苦味、辛味、甘味为主,药物多性温,归肝经。 展开更多
关键词 《中华人民共和国药典》 活血 组方规律 数据挖掘
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