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补中益气汤加减治疗急迫失禁型低位前切除综合征(脾胃虚损证)的临床研究 被引量:4
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作者 王兆京 还向坤 +2 位作者 吴冠楠 吴晓宇 姚学权 《中医药导报》 2021年第2期80-83,共4页
目的:探讨补中益气汤加减治疗急迫失禁型低位前切除综合征(脾胃虚损证)的疗效。方法:收集直肠切除术后急迫失禁型低位前切除综合征(脾胃虚损证)患者54例,随机分为对照组26例和治疗组28例。对照组患者予常规盆底肌肉锻炼,治疗组患者在常... 目的:探讨补中益气汤加减治疗急迫失禁型低位前切除综合征(脾胃虚损证)的疗效。方法:收集直肠切除术后急迫失禁型低位前切除综合征(脾胃虚损证)患者54例,随机分为对照组26例和治疗组28例。对照组患者予常规盆底肌肉锻炼,治疗组患者在常规盆底肌肉锻炼的基础上口服补中益气汤加减,治疗于直肠切除术后1个月开始,疗程为4周。观察比较两组患者治疗前后LARS症状评分及分级、排便次数、排便复常率、EORTC生命质量QLQ-C30评分等指标。结果:治疗后两组患者LARS症状评分、排便次数均较治疗前降低(P<0.05),LARS症状分级均较治疗前改善(P<0.05)。治疗后治疗组患者LARS症状评分、排便次数均低于对照组(P<0.05),排便复常率高于对照组(P<0.05)。治疗后治疗组患者总体健康领域评分、功能领域评分高于治疗前(P<0.05),且治疗组患者功能领域评分高于对照组(P<0.05)。结论:补中益气汤加减治疗急迫失禁型低位前切除综合征(脾胃虚损证),可减少患者排便次数,缓解患者LARS症状,提高部分患者的生活质量。 展开更多
关键词 低位前切除综合征 急迫失禁型 脾胃虚损证 补中益气汤 盆底肌肉锻炼 生活质量
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复发性口腔溃疡证治探微 被引量:7
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作者 刘雪冰 钱玉中 +1 位作者 田春凤 刘艳辉 《河南中医》 2012年第7期923-924,共2页
复发性口腔溃疡虽然病机错综复杂,但总不离虚实两端,实火即"阳火",虚火即"阴火"。"阳火"与"阴火"在临床表现上皆有热象,极易混淆,故"阴火"辨证尤为关键,临证必须详辨病机,方可获效。
关键词 复发性口腔溃疡 阴火 阳火 脾胃虚损证 火盛 阴盛逼阳 肝郁生火
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Effects of different doses of ginger-partitioned moxibustion on trefoil factor 1,mucin 5AC and epidermal growth factor receptor in rats with spleen deficiency syndrome 被引量:6
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作者 贲定严 宁炯杰 +5 位作者 徐寅 罗燕 李木清 王云辉 易展 杨燕萍(译) 《Journal of Acupuncture and Tuina Science》 CSCD 2018年第1期1-7,共7页
To observe the effects of different doses of ginger-partitioned moxibustion on serum trefoil factor 1 (TFF1) and mucin 5AC (MUCSAC) levels, as well as the expression of epidermal growth factor receptor (EGFR) in... To observe the effects of different doses of ginger-partitioned moxibustion on serum trefoil factor 1 (TFF1) and mucin 5AC (MUCSAC) levels, as well as the expression of epidermal growth factor receptor (EGFR) in gastric mucosa of rats with spleen deficiency syndrome, therefore, to explore the possible mechanism and the dose-effect characteristics of ginger-partitioned moxibustion in spleen deficiency syndrome. Methods: Seventy-five SPF grade Sprague-Dawley (SO) rats were randomly divided into a blank control group (group A), a model group (group B), a 3 moxa-cone ginger-partitioned moxibustion group (group C1), a 6 moxa-cone ginger-partitioned moxibustion group (group C2) and a 9 moxa-cone ginger-partitioned moxibustion group (group C3) using random number table method, 15 rats in each group. Except group A, rats in the other groups received intragastric administration of 4 ~C 200% concentrated Da Huang (Radix et RhizomaRhei) to prepare spleen deficiency syndrome model. After successful modeling, rats in group B received no treatment; rats in group C1, C2 and C3 were treated with 3, 6 and 9 moxa-cone ginger-partitioned moxibustion at Zusanli (ST 36)and Zhongwan (CV 12) respectively for 8 continuous days. The general symptom score of rats was observed. The serum levels of TFF1 and MUC5AC were detected by enzyme-linked immunosorbent assay (ELISA). The expression of EGFR protein in gastric mucosa was detected by immunohistochemistry. Results: After the treatment, compared with group A, the spleen deficiency symptom score was increased in group B, the levels of serum TFF1 and MUC5AC, the EGFR protein expression in gastric tissues of group C1, C2 and C3 were significantly increased (all P〈0.01); compared with group B, the spleen deficiency scores were decreased in group C1, C2 and C3, and the serum levels of TFF1 and MUC5AC, as well as EGFR protein expression in gastric tissues were increased (all P〈0.01). Compared with group C1, the spleen deficiency scores were decreased in group C2 and C3, the serum levels of TFF1 and MUC5AC, and the expression of EGFR protein in gastric tissues were increased (all P〈0.01), however, there was no significant difference between group C2 and C3 (all P〉0.05). The mechanism may be related to the increase of serum TFF2 and MUC5AC levels and activation of EGFR protein. Conclusion: Ginger-partitioned moxibustion can improve the symptoms, as well as promote the proliferation and repair of gastric mucosa in rats with spleen deficiency. The therapeutic efficacy of 6 or 9 moxa-cone ginger-partitioned moxibustion is better than that of 3 moxa-cone ginger-partitioned moxibustion, while the efficacies are equivalent between 6 and 9 moxa-cone Ringer-Dartitioned moxibustion groups. 展开更多
关键词 Moxibustion Therapy Ginger-partitioned Moxibustion Point Zusanli (ST 36) Point Zhongwan (CV 12) Researchon Acupoints Gastric Mucosal Damage Spleen Deficiency Syndrome RATS
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Effect of herbal cake-partitioned moxibustion on MEK1/2 and ERK1/2 expressions of gastric tissues in rats with spleen deficiency syndrome 被引量:3
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作者 贲定严 刘琼 +6 位作者 易展 李丹 邹逸凡 马明珠 刘密 常小荣 杨燕萍 《Journal of Acupuncture and Tuina Science》 CSCD 2017年第5期305-310,共6页
Objective: To observe the effect of herbal cake-partitioned moxibustion on the expressions of mitogen-activated protein kinase (MEK:1/2) and extracellular regulatory protein kinase (ERK:1/2) in gastric tissues ... Objective: To observe the effect of herbal cake-partitioned moxibustion on the expressions of mitogen-activated protein kinase (MEK:1/2) and extracellular regulatory protein kinase (ERK:1/2) in gastric tissues of rats with spleen deficiency syndrome, and to explore the possible mechanisms of herbal cake-partitioned moxibustion in treating spleen deficiency syndrome. Methods: Sixty Sprague-Dawley (SD) rats were randomly divided into a blank control group (group A), a model group (group B), a ranitidine group (group C), and a herbal cake-partitioned moxibustion group (group D) by random digit, 15 rats in each group. Rat models of spleen deficiency syndrome were made by intragastric administration of 4℃ 200% concentrated Da Huang (Radix et Rhizoma Rhei). After successful modeling, the rats in group C were treated with 25 mg/(kg.bw) ranitidine by intragastric adminstration and rats in group D were treated with herbal cake-partitioned moxibustion at Zusanli (ST 36) and Zhongwan (CV 12), for 8 d. Excepted for rats in group A, all the other rats were treated with indomethacin at 5 mg/(kg.bw) at 8:00 a.m. on the second day after finishing all the intervention and sacrificed 7 h later to isolate the stomach. Histopathological changes of the gastric tissues were observed under light microscope after hematoxylin-eosin (HE) staining. The protein expressions of MEK:1/2 and ERK:1/2 in the gastric tissues were detected by immunohistochemistry. Results: After intervention, the gastric mucosal injury in group B was significantly severer than that in group A, with large breakage and ablating; the damage of gastric mucosa was decreased in group C compared with group B; the gastric mucosal surface remained relatively complete, and the status of breakage and ablating was significantly improved. After intervention, compared with group A, the protein expressions of MEK:1/2 and ERK:12 in gastric tissues of the other groups were significantly higher (P〈0.01). Compared with group B, the protein expressions of MEK:1/2 and ERK:1/2 in group C and D were significantly higher (all P〈0.01). Compared with group C, the protein expressions of MEK:1/2 and ERK:1/2 in group D were significantly higher (P〈0.01). Conclusion: Herbal cake-partitioned moxibustion promotes the repair of gastric mucosa in rats with spleen deficiency syndrome, via improving protein expressions of MEK:1/2 and ERK:1/2 in gastric tissues, as well as activating MEK/ERK signaling pathway. 展开更多
关键词 Moxibustion Therapy Indirect Moxibustion Point Zusanli (ST 36) Point Zhongwan (CV 12) Research on Acupoints Gastric Mucosal Damage Spleen Deficiency Syndrome RATS
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