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Effect of Zn deficiency and excessive bicarbonate on the allocation and exudation of organic acids in two Moraceae plants 被引量:2
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作者 Kuan Zhao Yanyou Wu 《Acta Geochimica》 EI CAS CSCD 2018年第1期125-133,共9页
The effect of zinc(Zn) deficiency and excessive bicarbonate on the allocation and exudation of organic acids in plant organs(root, stem, and leaf) and root exudates of two Moraceae plants(Broussonetia papyrifera and M... The effect of zinc(Zn) deficiency and excessive bicarbonate on the allocation and exudation of organic acids in plant organs(root, stem, and leaf) and root exudates of two Moraceae plants(Broussonetia papyrifera and Morus alba) were investigated. Two Moraceae plants were hydroponically grown and cultured in nutrient solution in four different treatments with 0.02 mM Zn or no Zn,combined with no or 10 mM bicarbonate. The variations of organic acids in different plant organs were similar to those of root exudates in the four treatments except B. papyrifera, which was in a treatment that was a combination of 0.02 mM Zn and no bicarbonate. The response characteristics in the production, translocation, and allocation of organic acids in the plant organs and root exudates varied with species and treatments. Organic acids in plant organs and root exudates increased under Zn-deficient conditions,excessive bicarbonate, or both. An increase of organic acids in the leaves resulted in an increase of root-exuded organic acids. B. papyrifera translocated more oxalate and citrate from the roots to the rhizosphere than M. alba under the dual influence of 10 mM bicarbonate and Zn deficiency. Organic acids of leaves may be derived from dark respiration and photorespiration. By comparison, organic acids in stems, roots, and root exudates may be derived from dark respiration and organic acid translocation from the leaves. These results provide evidence for the selective adaptation of plants to environments with low Zn levels or high bicarbonate levels such as a karst ecosystem. 展开更多
关键词 ADAPTATION excessive bicarbonate Organic acids ORGANS Root exudates Zn deficiency
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Nutrients Deficiency and Excess Phenomena of Cut Rose and Their Physiological Significances
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作者 Jin Xingzi Li Ming +1 位作者 Jin Muzi Yang Jin 《Plant Diseases and Pests》 CAS 2014年第4期20-25,共6页
On the basis of a brief introduction of essential major dements and trace dements for cut rose, the physiological effect and deficiency and excess phenomena of major elements including nitrogen, phosphorus, potassium,... On the basis of a brief introduction of essential major dements and trace dements for cut rose, the physiological effect and deficiency and excess phenomena of major elements including nitrogen, phosphorus, potassium, magnesium, calcium, sulfur and trace dements including zinc, molybdenum, boron, iron, manganese, copper were mainly described; the main factors influencing nutrients absorption of cut rose were summarized, in order to provide a reference for the reasonable fertilization of cut rese. 展开更多
关键词 Cut rose Physiological effect deficiency symptoms excess phenomenon Influence factors
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Abnormal expression and significance of circ-CBLB/miR-486-5p in patients with rheumatoid arthritis of spleen deficiency and dampness excess type
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作者 LI Shu WAN Lei +5 位作者 LIU Jian HUANG Chuan-bing CHEN Ying-ying LI Fang-ze HU Sai-sai CHENG Jing 《Journal of Hainan Medical University》 CAS 2023年第17期43-49,共7页
Objective:To explore the abnormal expression and significance of circ-CBLB/miR-486-5p in patients with rheumatoid arthritis of spleen deficiency and dampness excess type.Methods:The 30 healthy individuals included in ... Objective:To explore the abnormal expression and significance of circ-CBLB/miR-486-5p in patients with rheumatoid arthritis of spleen deficiency and dampness excess type.Methods:The 30 healthy individuals included in the method were from the Physical Examination Center of Anhui Provincial Hospital of Traditional Chinese Medicine,and the 60 rheumatoid arthritis patients included were from the First Affiliated Hospital of Anhui University of Traditional Chinese Medicine.The disease activity score of patients with rheumatoid arthritis was evaluated using VAS score and DAS28 score,joint symptoms and spleen deficiency syndrome score were evaluated using graded quantification method,immune inflammation indicators were detected using relevant instruments,inflammatory cytokines were detected using ELISA method,macrophage markers were detected using FCM method,and pathway gene expression was detected using RT-qPCR;Evaluate the predictive effect of circ-CBLB and miR-486-5p on disease activity in rheumatoid arthritis using ROC curves.Results:(1)miR-486-5p,CD14^(+)CD86^(+),ESR,CRP,RF,Anti CCP Ab,IL-6,TNF in patients with rheumatoid arthritis-αThe levels of circ-CBLB,CD14^(+)CD163^(+),IL-4,and IL-10 were significantly higher than those of healthy individuals;(2)The expression level of circ-CBLB in patients with rheumatoid arthritis is positively correlated with CD14^(+)CD163^(+),and negatively correlated with miR-486-5p and CD14^(+)CD86^(+);The expression level of miR-486-5p is negatively correlated with CD14^(+)CD163^(+)and positively correlated with CD14^(+)CD86^(+);There is a negative correlation between CD14^(+)CD86^(+)and CD14^(+)CD163^(+);ESR is negatively correlated with circ-CBLB,and positively correlated with miR-486-5p,CD14^(+)CD86^(+),CRP;CRP is negatively correlated with circ-CBLB,CD14^(+)CD163^(+),and positively correlated with CD14^(+)CD86^(+),ESR;(3)The expression level of circ-CBLB in patients with rheumatoid arthritis is negatively correlated with joint tenderness,morning stiffness,lack of qi and lazy speech,and postprandial abdominal distension score;The expression level of miR-486-5p is positively correlated with the scores of joint tenderness and decreased appetite.(4)The ROC curve shows that in terms of circ-CBLB,ESR,CRP,VAS,and DAS28 AUC are 0.662(P=0.032),0.658(P=0.035),0.516(P=0.830),and 0.791(P=0.000),respectively.In terms of miR-486-5p,ESR,CRP,VAS,and DAS28 AUC were 0.566(P=0.385),0.511(P=0.883),0.592(P=0.223),and 0.727(P=0.003),respectively.Conclusion:The abnormal expression of circ CBLB and miR-486-5p in peripheral blood mononuclear cell of patients with rheumatoid arthritis of spleen deficiency and dampness excess type is related to inflammatory polarization markers,immune inflammation,disease activity,joint symptoms and spleen deficiency syndrome of rheumatoid arthritis,and the low expression of circ CBLB and high expression of miR-486-5p have certain predictive value for disease activity of rheumatoid arthritis. 展开更多
关键词 Rheumatoid arthritis circ-CBLB MiR-486-5p Inflammatory polarization Spleen deficiency and dampness excess syndrome
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Clinical observation on efficacy of compound of warming yang, descending turbidity and dredging collaterals in the treatment of diabetic kidney disease with Yin-Yang deficiency and blood stasis syndrome
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作者 Li-Bei Zhan Xiao-Dong Xiong Kai Zhao 《Journal of Hainan Medical University》 2020年第21期26-31,共6页
Objective:To observe the clinical efficacy of compound of owarming yang,descending turbidity and dredging collaterals in the treatment of diabetic kidney disease with yin-yang deficiency and blood stasis syndrome.Meth... Objective:To observe the clinical efficacy of compound of owarming yang,descending turbidity and dredging collaterals in the treatment of diabetic kidney disease with yin-yang deficiency and blood stasis syndrome.Methods:Seventy-six patients of diabetic kidney disease with yin-yang deficiency and blood stasis syndrome were randomly divided into observation group and control group,thirty-eight cases in each group.The control group was given conventional western medicine treatment,while the observation group took compound of owarming yang,descending turbidity and dredging collaterals orally on the basis of conventional western medicine treatment.The course of treatment covered for one month.Before and after treatment,we observed the scores of traditional Chinese medicine symptoms,indicators of renal function[serum creatinine(Scr),blood urea nitrogen(BUN),microalbuminuria(MALB)],indicators of glucose metabolism[fasting plasma glucose(FPG),2-hour postprandial blood glucose(2hPG),glycosylated hemoglobin(HbAlc)],indicators of hemorheology[plasma viscosity(PV),platelet aggregation rate(PAR),fibrinogen(FIB)],Cystatin-C(Cys-C),C-reactive protein(CRP)in the two groups.Results:After treatment,the clinical effect of the observation group was significantly better than the control group(P<0.05).The scores of traditional Chinese medicine symptoms,indicators of renal function(Scr、BUN、UAER),indicators of glucose metabolism(FPG、2hPG、HbAlc),indicators of hemorheology(PV、PAR、FIB),Cys-C and CRP in the two groups were decreased significantly compared with those before treatment(P<0.05),and the decrease in the observation group was superior to that in the control group(P<0.05).Conclusion:Compound of warming yang,descending turbidity and dredging collaterals has remarkable efficacy in treating of diabetic kidney disease patients with yin-yang deficiency and blood stasis syndrome by alleviating clinical symptoms,glucose metabolism,renal function and microcirculatory disturbance,and the mechanism related to alleviation of microinflammation. 展开更多
关键词 Compound of warming yang Descending turbidity and dredging collaterals Diabetic kidney disease yin-yang deficiency and blood stasis syndrome
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艾灸治疗功能性便秘的研究进展
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作者 邱慧桢 赵斌 《医学综述》 2025年第4期481-486,共6页
功能性便秘(FC)是一种难治性消化系统疾病,患病率随年龄增长而升高,且病程较长,严重影响患者的生活质量。对于FC,目前西医主要以对症治疗为主,但因其不良反应导致患者依从性差。临床可辨证选用艾灸治疗,其中虚秘可联合艾灸治疗,实秘多... 功能性便秘(FC)是一种难治性消化系统疾病,患病率随年龄增长而升高,且病程较长,严重影响患者的生活质量。对于FC,目前西医主要以对症治疗为主,但因其不良反应导致患者依从性差。临床可辨证选用艾灸治疗,其中虚秘可联合艾灸治疗,实秘多以大承气汤方隔药脐灸,虚实分治。艾灸治疗FC的机制主要涉及信使RNA表达、神经递质、受体酪氨酸激酶/干细胞因子、胃肠激素、肠道菌群等方面。深入研究艾灸在FC治疗中的作用机制,可以为疾病的治疗提供新思路。 展开更多
关键词 功能性便秘 艾灸 虚实
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基于“虚气留滞”理论论治缓慢性心律失常
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作者 焦洋 李文杰 《实用中医内科杂志》 2025年第3期12-14,共3页
文章基于“虚气留滞”理论探讨缓慢性心律失常的中医病因病机及治疗方法。缓慢性心律失常属本虚标实之证,以心阳气虚为本,血瘀、气滞、痰湿等留滞为标。临床基于“补虚通滞”法则,以温补心阳、益气通脉补其虚,兼祛瘀、行气、化痰通其滞... 文章基于“虚气留滞”理论探讨缓慢性心律失常的中医病因病机及治疗方法。缓慢性心律失常属本虚标实之证,以心阳气虚为本,血瘀、气滞、痰湿等留滞为标。临床基于“补虚通滞”法则,以温补心阳、益气通脉补其虚,兼祛瘀、行气、化痰通其滞,提高心室率,为缓慢性心律失常的临床治疗提供思路。 展开更多
关键词 缓慢性心律失常 虚气留滞 本虚标实 病机 治法
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载脂蛋白E4在阿尔茨海默病发病机制中的作用及中医药早期干预思路
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作者 刘靖雯 张梓佳 +3 位作者 王凯丽 黄佳艳 李卫民 周欣欣 《广州中医药大学学报》 2025年第2期512-517,共6页
阿尔茨海默病是一种起病隐匿、呈进行性发展的神经退行性疾病。近期的研究表明,载脂蛋白E4(APOE4)为阿尔茨海默病遗传因素的高风险因子,以APOE4分子为主要表征的阿尔茨海默病患者的临床症状与代谢紊乱密切相关。该文综述了APOE4在阿尔... 阿尔茨海默病是一种起病隐匿、呈进行性发展的神经退行性疾病。近期的研究表明,载脂蛋白E4(APOE4)为阿尔茨海默病遗传因素的高风险因子,以APOE4分子为主要表征的阿尔茨海默病患者的临床症状与代谢紊乱密切相关。该文综述了APOE4在阿尔茨海默病发病机制中的作用,即可致大脑血脑屏障受损、与大脑糖脂代谢异常相关、破坏小胶质细胞的清除能力,并基于该发病机制探讨了中医药早期干预思路。该文提出,基于阿尔茨海默病本虚标实的病机特点及中医未病先防的理念,针对APOE4为表征的代谢紊乱型阿尔茨海默病患者,中医药早期干预可通过改善痰湿体质、关注胰岛素抵抗相关指标、辨证分型基础上的中医药疗法或同时采取与运动、饮食、药物干预相结合的综合方式等,以降低或延迟APOE4表型阿尔茨海默症患者的发病。 展开更多
关键词 阿尔茨海默病 载脂蛋白E4 代谢紊乱 本虚标实 未病先防 中医药干预
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基于增强CT影像组学预测非小细胞肺癌中医证型的初步研究
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作者 赵才勇 李焕国 +4 位作者 郭俊华 钟亚珍 晁红艳 郑茹梦 崔凤 《浙江中医药大学学报》 2025年第2期153-159,共7页
[目的]探讨基于增强CT影像组学在预测原发性非小细胞肺癌(non-small cell lung cancer,NSCLC)中医辨证分型中的价值。[方法]回顾性分析2018年7月至2023年10月浙江中医药大学附属杭州市中医院经病理证实的130例NSCLC患者的临床资料,根据... [目的]探讨基于增强CT影像组学在预测原发性非小细胞肺癌(non-small cell lung cancer,NSCLC)中医辨证分型中的价值。[方法]回顾性分析2018年7月至2023年10月浙江中医药大学附属杭州市中医院经病理证实的130例NSCLC患者的临床资料,根据疾病中医诊断标准分为虚证(67例)和实证(63例),并按照7:3的比例分成训练集(91例)和验证集(39例)。选择横轴位图像(平扫期、动脉期、静脉期)病灶最大层面,勾画感兴趣区域、提取影像组学特征。使用特征间线性相关检查和L1正则化依次进行特征筛选,基于各期相CT影像组学特征,采用逻辑回归分类器构建影像组学模型。绘制受试者工作特征(receiver operating characteristic,ROC)曲线,评估各模型预测NSCLC虚证、实证的效能,采用Delong检验比较各模型曲线下面积(area under curve,AUC)。[结果]在训练集中,共建立7个诊断NSCLC中医证型的影像组学模型,包括3个单期组学模型、3个双期联合组学模型和1个三期联合组学模型。联合组学模型的AUC均大于单期组学模型,其中三期联合组学模型的AUC最大。在训练集和验证集中,三期联合组学模型AUC分别为0.876[95%可信区间(confidence interval,CI)(0.807~0.945)]、0.755[95%C(I 0.603~0.908)]。[结论]基于增强CT影像组学模型可有效预测NSCLC中医证型,其中三期联合组学模型的预测效能最佳。 展开更多
关键词 非小细胞肺癌 中医证型 增强CT 影像组学 模型 虚证 实证 预测
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李方洁基于“虚实并重”辨治老年性房颤
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作者 沈重姗 李方洁 《中国中医药图书情报杂志》 2025年第1期163-165,共3页
房颤又名心房纤颤,属中医学“心悸”范畴。李方洁提出,基于虚实并重治疗老年性房颤,其证型以脾肾阳虚水停、上犯于心,气阴两虚血瘀、阻塞于心常见;临床常用防己黄芪汤、苓桂术甘汤温肾健脾、化饮利水、振奋心阳,或采用桃红四物汤、血府... 房颤又名心房纤颤,属中医学“心悸”范畴。李方洁提出,基于虚实并重治疗老年性房颤,其证型以脾肾阳虚水停、上犯于心,气阴两虚血瘀、阻塞于心常见;临床常用防己黄芪汤、苓桂术甘汤温肾健脾、化饮利水、振奋心阳,或采用桃红四物汤、血府逐瘀汤益气养阴、活血化瘀通络。 展开更多
关键词 房颤 心律失常 虚实并重 名医经验 李方洁
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加味益气聪明汤治疗腹泻型肠易激综合征脾虚湿盛型临床研究
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作者 杨昆鹏 李欣 +4 位作者 吴天成 易文博 胡廷梅 刘才英 周煜 《实用中医药杂志》 2025年第1期26-29,共4页
目的:观察加味益气聪明汤治疗腹泻型肠易激综合征(IBS-D)脾虚湿盛型的效果。方法:72例随机分为对照组和观察组各36例。对照组给予四神汤治疗,观察组给予加味益气聪明汤治疗。结果:治疗后两组脑肠肽指标(NT、VIP、SP)、肠屏障功能指标(D... 目的:观察加味益气聪明汤治疗腹泻型肠易激综合征(IBS-D)脾虚湿盛型的效果。方法:72例随机分为对照组和观察组各36例。对照组给予四神汤治疗,观察组给予加味益气聪明汤治疗。结果:治疗后两组脑肠肽指标(NT、VIP、SP)、肠屏障功能指标(D-乳酸、IFABP)、酵母菌、肠球菌水平及中医证候积分(腹痛、神疲倦怠、大便溏泄)均降低且观察组低于对照组(P<0.05),乳酸杆菌、双歧杆菌计数升高且观察组高于对照组。观察组总有效率高于对照组(P<0.05)。结论:加味益气聪明汤治疗IBS-D脾虚湿盛型疗效较好。 展开更多
关键词 腹泻型肠易激综合征 脾虚湿盛型 加味益气聪明汤
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余仁欢治疗成人多囊肾临床经验
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作者 罗清香 詹添 +1 位作者 展婧怡 余仁欢(指导) 《山东中医杂志》 2025年第3期265-269,共5页
常染色体显性多囊肾病(ADPKD)即成人多囊肾,是一种遗传性肾囊肿类疾病,目前尚无特效治疗药物。余仁欢教授认为成人多囊肾主要由于先天肾气禀赋不足,以致气化不利、水饮停聚,其后逐渐发展形成痰瘀互结、肾络瘀阻、脾肾虚衰,如此虚实兼化... 常染色体显性多囊肾病(ADPKD)即成人多囊肾,是一种遗传性肾囊肿类疾病,目前尚无特效治疗药物。余仁欢教授认为成人多囊肾主要由于先天肾气禀赋不足,以致气化不利、水饮停聚,其后逐渐发展形成痰瘀互结、肾络瘀阻、脾肾虚衰,如此虚实兼化,导致病情不断进展。早期治疗重点在通阳逐饮、涤痰散结,后期治疗当以健脾补肾、通瘀散结为主。早期以金匮肾气丸、五苓散合三子养亲汤加减,后期以参芪地黄汤、防己茯苓汤合桂枝茯苓丸化裁,可达到改善患者症状、延缓肾功能进展、提高患者生活质量的成效。并附病案1则。 展开更多
关键词 成人多囊肾 常染色体显性多囊肾病 余仁欢 痰瘀互结 虚实夹杂 分期论治
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曹雪梅运用动静调神综合疗法治疗多囊卵巢综合征经验介绍
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作者 黄冬娇 谭天辉 +2 位作者 黄杰淋 张雯婕 曹雪梅(指导) 《新中医》 2025年第4期177-181,共5页
总结介绍曹雪梅主任运用动静调神综合疗法治疗多囊卵巢综合征的临床经验。曹雪梅主任认为,多囊卵巢综合征的核心病机是阴阳运动失衡,关键在于脾肾之阳气不足,从而导致痰湿、瘀阻,逐步形成痰湿瘀等阴性病理产物聚积在胞宫,最终引起多囊... 总结介绍曹雪梅主任运用动静调神综合疗法治疗多囊卵巢综合征的临床经验。曹雪梅主任认为,多囊卵巢综合征的核心病机是阴阳运动失衡,关键在于脾肾之阳气不足,从而导致痰湿、瘀阻,逐步形成痰湿瘀等阴性病理产物聚积在胞宫,最终引起多囊卵巢综合征。基于形神一体观,曹雪梅主任提出动静调神综合疗法,利用调任通督针法交通任督二脉,沟通阴阳,巧用雷火灸,补虚泻实,同时强调有氧运动和丹田呼吸气功相结合,形神兼调,达到机体阴阳平衡之效。 展开更多
关键词 多囊卵巢综合征 动静调神综合疗法 调任通督 平调阴阳 补虚泻实 针刺 雷火灸 曹雪梅
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调气分期论治亚急性甲状腺炎
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作者 曹宏业 高阎满 +2 位作者 孙佳佳 谭丽 张军 《中国中医急症》 2025年第1期72-76,共5页
亚急性甲状腺炎(SAT)是一种自限性的非细菌感染的甲状腺疾病,西医治疗存在一定的副作用及较高的复发率,中医治疗SAT具有独特优势。笔者认为气之虚余与SAT发病密切相关,其中气机郁滞、正气亏虚在SAT发生发展中占据主导地位,提出治SAT以... 亚急性甲状腺炎(SAT)是一种自限性的非细菌感染的甲状腺疾病,西医治疗存在一定的副作用及较高的复发率,中医治疗SAT具有独特优势。笔者认为气之虚余与SAT发病密切相关,其中气机郁滞、正气亏虚在SAT发生发展中占据主导地位,提出治SAT以调气为要,并根据SAT各期的病机侧重点分期治疗,即急性甲亢期以邪实为主,治以疏风散热、疏肝解郁以理气行;缓解甲减期邪盛正虚,治以祛湿化痰、活血化瘀、益气健脾以纠气和;慢性恢复期正虚邪退,治以益气养阴、理气行滞以复气顺。临床运用调气分期诊治SAT具有较好的临床疗效,并附上1则验案。 展开更多
关键词 亚急性甲状腺炎 气之虚余 调气 分期论治
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Excess iodine exposure:An emerging area of concern for male reproductive physiology in the post-salt iodization era 被引量:1
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作者 Arijit Chakraborty 《Asian pacific Journal of Reproduction》 2021年第3期102-112,共11页
To prevent iodine deficiency disorders,the universal salt iodization programme has been introduced all over the globe,including environmentally iodine sufficient regions irrespective of their iodine status.As a result... To prevent iodine deficiency disorders,the universal salt iodization programme has been introduced all over the globe,including environmentally iodine sufficient regions irrespective of their iodine status.As a result,iodine-induced thyroid dysfunctions namely hyperthyroidism,hypothyroidism,autoimmune thyroid diseases,endemic goiter and even thyroid cancer including infertility,still births,abortions and embryo toxicity have emerged as a major public health problem.In other words,the consequence of iodine deficiency and excess is almost‘U’-shaped.Hypothyroidism caused by iodine deficiency affects reproductive functions of organisms;however,such undesirable effects of iodine overload on male gonadal physiology together with hormonal profiles are yet to be adequately explored.The discovery of iodide transporter in the testis justifies an independent role of iodine in male reproductive function,which is not entirely known.Recent studies on human subjects and animal models are now revealing further perceptions into the effect of excess iodine on male infertility with euthyroid status.Excess iodine exposure has been linked with deterioration of structural and functional changes of testis leading to compromised spermatogenesis by affecting various cellular and molecular signaling pathways culminating into disrupted the blood-testis barrier and cytoskeleton.This review provides an update and summarizes various novel insights of excess iodine exposure on reproduction by establishing the independent role of iodine on male reproductive endocrinology,which might help in formulating future strategies to prevent iodine-induced male infertility,an emerging global concern,especially in the post-salt iodization era. 展开更多
关键词 Iodine deficiency Iodine excess Reactive oxygen species THYROID TESTIS Lipid peroxidation level Male infertility
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王海东主任医师治疗强直性脊柱炎临床经验思辨 被引量:2
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作者 苏小军 朱文菊 +6 位作者 田雪梅 李伟青 吕有强 杨会军 王欢 何倩 王海东(指导) 《西部中医药》 2024年第10期19-22,共4页
王海东主任医师认为强直性脊柱炎属本虚标实之证,以肝肾亏虚、气血不足、脾胃虚弱为本,寒、湿、瘀等实邪偏盛为标。王海东主任医师主张分期分型辨证论治,巧用药对并全程注重调护脾胃。
关键词 强直性脊柱炎 中医药治疗 名医经验 本虚标实
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A Mathematical Model for the Deficiency-Excess Mechanism of Yin-Yang in Five Viscera
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作者 Jinhyun Kim Miyoung Song +4 位作者 Jungim Kang Sang-Kyun Kim Changseok Kim Hyunchul Jang Sang-Hee Lee 《Chinese Journal of Integrative Medicine》 SCIE CAS 2014年第2期155-160,共6页
To raise traditional medicine to a higher level of scientific research, a mathematical model has been proposed using symbolic notations and operators to describe several disease symptoms generally recognized in tradit... To raise traditional medicine to a higher level of scientific research, a mathematical model has been proposed using symbolic notations and operators to describe several disease symptoms generally recognized in traditional medicine. Even though this model to a certain degree offers a mathematical approach to identify the relationships between yin-yang and the five viscera, it is not an efficient means of explaining the pathology in traditional medicine due to its use of superfluous notations and definitions. In this paper, we introduce two concise operators, a self-development operator and an action operator: the former describes the effect of a viscus in the unbalanced state on other viscera: the latter explains the engendering and restraining relationships between the two viscera. These tools are useful to elucidate the interactions among the states of the five viscera based on yin-yang and the five elements theory. Our mathematical model with these two operators facilitates description for the scheme of deficiency-excess of yin-yang in the five viscera. Accordingly, we have mathematically refined the existing results and shown clinical applications as well. 展开更多
关键词 deficiency-excess mechanism yin-yang theory engendering and the restraining operators
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李延从脾胃论治冠心病的临床经验 被引量:2
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作者 赵志成 刘桉君 《广州中医药大学学报》 CAS 2024年第1期213-218,共6页
冠心病为临床中常见的心血管疾病,可归属中医学的“胸痹”“心痛”等疾病范畴。李延教授认为本病之病性总属本虚标实之证,以脾虚、脾胃健运失常为本,标实在于痰浊、血瘀、气滞、寒凝等有形实邪痹阻心脉。治疗时重视调理脾胃,重用黄芪、... 冠心病为临床中常见的心血管疾病,可归属中医学的“胸痹”“心痛”等疾病范畴。李延教授认为本病之病性总属本虚标实之证,以脾虚、脾胃健运失常为本,标实在于痰浊、血瘀、气滞、寒凝等有形实邪痹阻心脉。治疗时重视调理脾胃,重用黄芪、白术、党参、五味子等健脾养心以治本,结合通阳化浊、活血化瘀、疏肝理气、温阳散寒等治法,标本兼治,通补兼顾,使脾气健旺,心气充沛,瘀去痰消,胸阳得以舒展,则心之血脉恢复畅通,胸痹心痛诸症得到缓解。李延教授从脾胃论治冠心病的经验可为中医临床诊治冠心病提供参考。 展开更多
关键词 冠心病 胸痹 本虚标实 脾虚 痰浊 血瘀 调理脾胃 健脾养心 李延
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虚实辨证对肺源性脓毒症患者预后评估
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作者 夏非 杨思雯 +4 位作者 朱玉菡 郭玉红 王烁 徐霄龙 宋麦芬 《辽宁中医杂志》 CAS 北大核心 2024年第8期5-8,共4页
目的探索肺源性脓毒症患者的中医虚实证素特点,分析其对疾病预后的影响。方法统计该院ICU 2018年1月—2020年1月间的168例肺源性脓毒症患者,根据中医虚实辨证分为虚、实两组,比较虚证组与实证组患者休克发生率、28 d病死率、白细胞计数... 目的探索肺源性脓毒症患者的中医虚实证素特点,分析其对疾病预后的影响。方法统计该院ICU 2018年1月—2020年1月间的168例肺源性脓毒症患者,根据中医虚实辨证分为虚、实两组,比较虚证组与实证组患者休克发生率、28 d病死率、白细胞计数、降钙素原(procalcitonin,PCT)、血乳酸以及病原学结果等指标。结果168例患者中虚证组65例,实证组103例。虚证组休克发生率(23/42 vs.17/86,χ^(2)=7.830,P=0.005)及28 d病死率(23.3%vs.41.5%,χ^(2)=6.270,P=0.012)显著高于实证组。虚证组G+感染率显著低于实证组(24/37 vs.24/64),G-感染显著高于实症组(31/37 vs.40/64),两组间差异有统计学意义(χ^(2)=5.087,P=0.024)。虚证组白细胞计数[(9.76±4.28)×10^(9)/L vs.(12.85±10.50)×10^(9)/L,t=-2.257,P=0.025]及血乳酸[1.90(1.59,2.63)vs.2.27(1.77,2.98),Z=1.382,P=0.044]均显著低于实证组。结论肺源性脓毒症虚证型者休克发生率、病死率均明显高于实证型者。扶正治疗应贯穿脓毒症整个治疗过程。 展开更多
关键词 肺源性脓毒症 虚实理论 预后
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从标到本:论银屑病复发之本质
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作者 郭洁 卢传坚 《广州中医药大学学报》 CAS 2024年第10期2621-2624,共4页
银屑病复发一直是银屑病治疗中的难点,且随着生物制剂的广泛应用,这一问题未来会更突出。该课题组从银屑病的“脾肾阳虚是其根本,外邪触发是其诱因,血热瘀滞是其标象”的“本虚标实”病机观出发,提出银屑病的本质是一类内伤性疾病,银屑... 银屑病复发一直是银屑病治疗中的难点,且随着生物制剂的广泛应用,这一问题未来会更突出。该课题组从银屑病的“脾肾阳虚是其根本,外邪触发是其诱因,血热瘀滞是其标象”的“本虚标实”病机观出发,提出银屑病的本质是一类内伤性疾病,银屑病的反复发作与其“以血热瘀阻为标,以脾肾亏虚为本”的病机特点密切相关;复发是因治疗手段仅抑制了“血热”之标象,而未能修复亏虚之本。故在银屑病的治疗中,固本之法应当贯穿始终,并结合其水湿停留、瘀血结滞之标实,重视祛湿与化瘀,方能取得更加稳定的整体疗效。 展开更多
关键词 银屑病 复发 病因病机 本虚标实 固本 祛湿 化瘀
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基于“阳有余而阴不足”理论治疗甲状腺功能亢进症
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作者 苏琳 张丽萍 +2 位作者 王聪慧 陈巧楠 娄锡恩 《湖南中医药大学学报》 CAS 2024年第10期1886-1891,共6页
甲状腺功能亢进症是临床常见的高代谢性疾病,西医治疗复发率高、副作用大,而中医治疗甲状腺功能亢进症具有较好的临床疗效。基于朱丹溪提出的“阳有余而阴不足”理论,对甲状腺功能亢进症的中医病因病机及各阶段治疗展开论述。该理论揭... 甲状腺功能亢进症是临床常见的高代谢性疾病,西医治疗复发率高、副作用大,而中医治疗甲状腺功能亢进症具有较好的临床疗效。基于朱丹溪提出的“阳有余而阴不足”理论,对甲状腺功能亢进症的中医病因病机及各阶段治疗展开论述。该理论揭示了甲状腺功能亢进症的致病核心,提出了甲状腺功能亢进症的病理基础为“阴不足”,病理表现为“阳有余”。临证时,应针对其不同时期的病理特点辨证论治:疾病初起时实邪当泻,注重解郁泻火;疾病进展时多见虚实夹杂,需补虚泻实,既固护真阴又化痰逐瘀;疾病日久则重在平秘阴阳。附临床验案一则,以期为临床辨证论治提供参考。 展开更多
关键词 甲状腺功能亢进症 阳有余 阴不足 阳亢阴亏 分期论治
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