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基于TCMIP V2.0探析新型冠状病毒肺炎全病程中医证候和推荐方剂的科学内涵 被引量:17
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作者 许海玉 张彦琼 +3 位作者 秦月雯 赵海誉 王萍 刘峰 《中国中药杂志》 CAS CSCD 北大核心 2020年第7期1488-1498,共11页
新型冠状病毒肺炎(coronavirus disease 2019,COVID-19)自首次确诊以来,引起了全社会的高度关注,中医药针对COVID-19肺炎发病全过程治疗的参与度高,临床疗效确切。中医药以整体观念和辨证论治为理论和思维特色,证候是中医药理论的核心,... 新型冠状病毒肺炎(coronavirus disease 2019,COVID-19)自首次确诊以来,引起了全社会的高度关注,中医药针对COVID-19肺炎发病全过程治疗的参与度高,临床疗效确切。中医药以整体观念和辨证论治为理论和思维特色,证候是中医药理论的核心,该研究以"症状"为切入点,运用中药整合药理学网络计算平台2.0(TCMIP V2.0,http://www.tcmip.cn/),构建COVID-19肺炎初期(寒湿郁肺证)、重症期(疫毒闭肺证)、危重期(内闭外脱证)、恢复期(肺脾气虚证)4个时期代表证候和代表方剂的分子网络,探析COVID-19肺炎各阶段证候的生物学基础及推荐方剂对证治疗的分子机制。结果显示,"免疫-炎症"相关分子可能贯穿COVID-19肺炎发病和进展全过程,在重症期和危重期患者炎症分子网络占比明显加大,该时期可能存在细胞因子风暴,同时出现呼吸障碍、心肺功能失调、神经系统紊乱等多脏器分子网络失衡。推荐方剂具有潜在的增强机体免疫功能、减轻炎症反应、加强营养物质吸收代谢、调节能量代谢、缓解心肺功能异常、调节神经系统功能等多方面作用,推测对呼吸困难、胸闷气促、腹胀便秘、汗出肢冷、神昏、烦躁等症状具有较好的改善作用,体现了"多成分、多靶标、多通路、多效应"的整合干预特点。该研究系统构建COVID-19发病4个阶段证候的分子网络,体现"对证"和"对症"治疗的中医优势和特色,对于揭示推荐方剂作用原理和科学内涵有所帮助,以期对中医药防治COVID-19提供参考。 展开更多
关键词 中药整合药理学网络计算平台 网络药理学 新型冠状病毒肺炎 中医证候 推荐方剂
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新冠肺脾气虚方对体外新冠病毒增殖及炎症因子表达的影响 被引量:1
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作者 谢佩芳 李慧 +11 位作者 马钦海 李洪梅 李芳 邵榆岚 方越 沈智丽 李蓉涛 杨子峰 赵金存 董书维 杨洪军 夏雪山 《中国药理学通报》 CAS CSCD 北大核心 2022年第3期460-469,共10页
目的研究新冠肺脾气虚方(简称4-1)对新冠病毒(SARS-CoV-2)及普通冠状病毒(HCoV-OC43,229E和NL-63)的体外抗病毒作用,探讨其抗病毒抗炎机理。方法通过LC-MS分析4-1化学药效物质,MTT法检测药物毒性,CPE法确定该处方体外抗病毒活性,qRT-PC... 目的研究新冠肺脾气虚方(简称4-1)对新冠病毒(SARS-CoV-2)及普通冠状病毒(HCoV-OC43,229E和NL-63)的体外抗病毒作用,探讨其抗病毒抗炎机理。方法通过LC-MS分析4-1化学药效物质,MTT法检测药物毒性,CPE法确定该处方体外抗病毒活性,qRT-PCR法检测病毒载量和炎症因子表达水平。结果4-1含黄酮、甾体、倍半萜等94种化合物,对新冠及3种普通冠状病毒的选择指数范围为(8.44±0.49)~(52.26±2.3)。该处方在10、5、2.5 g·L^(-1)剂量下可抑制新冠病毒增殖,影响ACE2及S蛋白mRNA表达,下调IL^(-1)α及CCL-5/RANTES过表达;在20、10、5 g·L^(-1)等剂量下可抑制3种普通冠状病毒增殖,且抑制OC43、229E引起的IL-6、CXCL-8/IL-8、CXCL^(-1)0/IP-10、TNF-α、IFN-α、CCL-2/MCP-1、CXCL-9/MIG和CCL-5/RANTES表达上调,且抑制作用均呈剂量依赖性。结论肺脾气虚方具有抗多种冠状病毒增殖的活性,可抑制冠状病毒诱导的炎症因子表达上调。该研究为常见呼吸道病毒感染和新冠病毒等新发传染病的中药治疗提供了研究依据。 展开更多
关键词 新冠肺脾气虚推荐处方 4-1 新冠病毒 普通冠状病毒 抗病毒 抗炎
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Network Pharmacology Approach to Investigate the Preventive Mechanism of Hunan Expert Group Recommended Chinese Medicine Prevention No.2 Prescription Against COVID-19 被引量:1
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作者 WU Hua-Ying LI Jing +4 位作者 MAO Yi-Zhi YUAN Zhi-Ying LI Feng LI Liang HUANG Hui-Yong 《Digital Chinese Medicine》 2020年第2期116-132,共17页
Objective To explore the possible preventive mechanism of Hunan expert group recommended Chinese medicine prescription of No.2(Pre-No.2)against coronavirus disease 2019(COVID-19)by network pharmacology method.Methods ... Objective To explore the possible preventive mechanism of Hunan expert group recommended Chinese medicine prescription of No.2(Pre-No.2)against coronavirus disease 2019(COVID-19)by network pharmacology method.Methods The target proteins of effective components and active compounds in Pre-No.2 were screened by searching the Traditional Chinese Medicine Systems Pharmacology Database and Analysis Platform(TCMSP).A component-target-disease interaction network of Pre-No.2 was constructed by Cytoscape 3.7.2,gene ontology(GO)analysis,and Kyoto encyclopedia of genes and genomes(KEGG)analysis of target protein pathway by DAVID.Results A total of 163 compounds and 278 target protein targets in Pre-No.2 were collected from the TCMSP database.Kaempferol,wogonin,7-methoxy-2-methyl isoflavone,formononetin,isorhamnetin,and licochalcone A were the most frequent targets in the regulatory network.GO enrichment analysis showed that Pre-No.2 regulated response to virus,viral processes,humoral immune responses,defense responses to virus and viral entry into host cells.KEGG enrichment analysis showed that the formula regulated the NF-κB signaling pathway,B cell receptor signaling pathway,viral carcinogenesis,T cell signaling pathway and FcγR-mediated phagocytosis signaling pathway.Conclusions Pre-No.2 may play a preventive role against COVID-19 through regulation of the Toll-like signaling,T cell signaling,B cell signaling and other signaling pathways.It may regulate the immune system to protect against anti-influenza virus. 展开更多
关键词 Hunan expert group recommended Chinese medicine prevention No.2 prescription(Pre-No.2) Coronavirus disease 2019(COVID-19) Network pharmacology Immune system
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FDA proposes that doctors learn about acupuncture for pain 被引量:1
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作者 HAO Yang 《World Journal of Acupuncture-Moxibustion》 CSCD 2017年第2期52-52,共1页
Chiropractors and acupuncturists who have lobbied for a bigger role in treating pain have won a preliminary endorsement from federal health offi cials.The Food and Drug Administration released proposed changes Wednesd... Chiropractors and acupuncturists who have lobbied for a bigger role in treating pain have won a preliminary endorsement from federal health offi cials.The Food and Drug Administration released proposed changes Wednesday to its blueprint on educating health care providers about treating pain.The guidelines now recommend that doctors get information about chiropractic. 展开更多
关键词 preliminary treating FDA RELEASED ACUPUNCTURE CHANCE recommend prescription OPIOID seeking
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