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Exploration of the Value of Extract of Wuwei Xiaodu Drink on Rabbit Model of Spinal Infection
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作者 Qing Wang Ying Zhan +3 位作者 Jianhua Zhang Zheng Song Xiuping Li Qiang Zhang 《Journal of Clinical and Nursing Research》 2025年第2期1-6,共6页
Objective:To study the therapeutic effect of the Extract of Wuwei Xiaodu Drink on spinal infection and provide the scientific basis for clinical application.Methods:By establishing a rabbit model of spinal infection,t... Objective:To study the therapeutic effect of the Extract of Wuwei Xiaodu Drink on spinal infection and provide the scientific basis for clinical application.Methods:By establishing a rabbit model of spinal infection,this paper observed and analyzed the changes in body mass before and after the intervention and the comparison of inflammation-related factors and blood leukocyte counts among the three groups.Results:There was a significant difference in the changes in body mass of rabbits before and after intervention in the experimental group,control group and blank group(P<0.05);there was no statistically significant difference in calcitoninogen,C-reactive protein and routine blood leukocyte counts between the experimental group and the control group(P>0.05),and there was a statistically significant difference in calcitoninogen,C-reactive protein and routine blood leukocyte counts between the experimental group and the blank group(P<0.05).Conclusion:The Extract of Wuwei Xiaodu Drink can play a protective role by regulating the level of inflammatory factors in blood routine leukocyte count and reducing the inflammatory reaction in the spinal cord injury area. 展开更多
关键词 Extract of Wuwei xiaodu Drink Spinal infection Rabbit model
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Effects of Wuwei Xiaodu Decoction on Uterine Energy Metabolism and Serum Inflammatory Factors in Rats with Acute Pelvic Inflammatory Disease
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作者 Hongying WU Kai DING 《Medicinal Plant》 2024年第2期38-39,共2页
[Objectives]To observe the effects of Wuwei Xiaodu Decoction on uterine energy metabolism and serum inflammatory factors in the acute pelvic inflammatory disease(APID)model.[Methods]75 Wistar rats(females)were randoml... [Objectives]To observe the effects of Wuwei Xiaodu Decoction on uterine energy metabolism and serum inflammatory factors in the acute pelvic inflammatory disease(APID)model.[Methods]75 Wistar rats(females)were randomly divided into control group,model group and Wuwei Xiaodu Decoction low,medium and high dose groups(n=15).Except for the control group,the rat APID model was established by right uterine inoculation.On the fifth day after inoculation,the low,medium and high dose groups of Wuwei Xiaodu Decoction were administered at 4,8 and 16 g/kg,and the control group and model group received normal saline.Rats were killed 12 h after nondose administration,blood was collected from the abdominal aorta and measured by ELISA for serum interleukin-6(interleukin-6,IL-6),IL-8,and C-reactive proteins(CRP);the right uterus of rats was tested for high-energy phosphate adenosine phosphate(AMP),adenosine diphosphate(ADP),adenosine triphosphate(ATP)and total adenine nucleotides(TAN)level to evaluate the uterine energy metabolism.[Results]AMP,ADP,ATP and TAN were significantly higher in the Wuwei Xiaodu Decoction of low,medium and high dose than the model group,while the serum IL-6,IL-8 and CRP were significantly lower than the model group,and the difference between the low,medium and high doses(P<0.05).[Conclusions]The Wuwei Xiaodu Decoction can dose-dependent promote uterine energy metabolism and inhibit inflammatory response in APID model rats. 展开更多
关键词 Wuwei xiaodu Decoction Acute pelvic inflammatory disease Uterine energy metabolism Inflammatory factors
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Clinical efficacy of modified Ganlu Xiaodu Dan and kuhuangsan combined with interferon on the treatment of HFMD of damp-heat accumulation toxin syndrome and its effects on liver function, myocardial enzymes, inflammatory factors and immunoglobulin 被引量:1
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作者 Qing Chen Bin Zhong +7 位作者 Yan Li Yang-Cheng Yan Dong-Mei Tang Ming-Ming Li Ze-Hui Liao Juan Pan Yuan Tao Lan Tang 《Journal of Hainan Medical University》 2019年第2期78-82,共5页
Objective:To observe the curative effect of Modified Ganlu Xiaodu Dan and Kuhuang San combined with interferon on the treatment of HFMD of damp-heat accumulation toxin syndrome and its effects on liver function, myoca... Objective:To observe the curative effect of Modified Ganlu Xiaodu Dan and Kuhuang San combined with interferon on the treatment of HFMD of damp-heat accumulation toxin syndrome and its effects on liver function, myocardial enzymes, inflammatory factors and immunoglobulin.Merhods:From June 2018 to November 2018, 74 children with damp-heat accumulation toxin syndrome who were diagnosed with hand, foot and mouth disease have been randomly divided into the observation group (38 cases) and the control group (36 cases).The control group is given conventional Western medicine symptomatic treatment, and sprayed on the oral cavity with IFN- atomized inhalation or IFN- 2b spray. On the basis of the control group, the observation group is given Modified Ganlu Xiaodu Dan, and Kuhuangsan for washing body. 7 d is a course of treatment. The recurrence time of the two groups, the time of rash regression and the efficacy of the children have been observed. The changes of liver function, myocardial zymogram, inflammatory factors and immunoglobulin are compared before and after treatment.Results: The efficacy of the observation group was 92.1% higher than that of the control group (83.3%), and the difference was statistically significant. The time required for the body temperature of the observation group (2.64±0.57) d was lower than that of the control group (3.12±0.62) d, and the time required for the rash to resolve was (4.18±0.69) d, which was lower than that of the control group (5.25±0.73) d. Statistically significant. The levels of ALT, AST, CK-MB, IL-4 and IL-6 in the observation group were lower than those in the control group after treatment, the difference was statistically significant. The serum IgA and IgM levels in the observation group were higher than those in the control group after treatment. Conclusion: Modified Ganlu Xiaodu Dan and Kuhuang San combined with interferon for the treatment of HFMD of damp-heat accumulation toxin syndrome have a sound curative effect and it can improve liver function, protect cardiomyocytes, reduce inflammatory factors, and regulate immune function for children. 展开更多
关键词 HFMD MODIFIED Ganlu xiaodu Dan Kuhuangsan Efficacy
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Mechanism of Ganlu Xiaodu MicroPill against COVID-19 based on network pharmacology and molecular docking method
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作者 Yu-Hui Kuang Xiao-Qi Chen +3 位作者 Qing Zhao Jia-Qi Liang Kang Xie Xin-Ju Chen 《Journal of Hainan Medical University》 2020年第16期1-7,共7页
Objective: To analyze the potential active components and molecular mechanism of Ganlu Xiaodu MicroPill in the treatment of COVID-19 by network pharmacology and molecular docking. Methods: the active chemical constitu... Objective: To analyze the potential active components and molecular mechanism of Ganlu Xiaodu MicroPill in the treatment of COVID-19 by network pharmacology and molecular docking. Methods: the active chemical constituents and action targets of Ganlu Xiaodu MicroPill were searched by TCMSP and BATMAN-TCM platform, and the key targets were matched with the COVID-19 targets searched by CTD database. The core targets were selected and analyzed by GO and KEGG enrichment analysis by R software to predict the action mechanism of traditional Chinese medicine compound. The key component sets were docked with 3CLpro and ACE2. Results: 138 active components and 53 key targets were obtained. There are 1298 items in GO biological process, 59 items in cell composition, 62 items in molecular function, and 120 items enriched in KEGG pathway. Results: molecular docking showed that the affinity of 20 chemical components such as quercetin, luteolin and kaempferol with ACE2 and 3CLpro was higher than that of ribavirin and chloroquine. Conclusion: Ganlu Xiaodu MicroPill may regulate and interfere with SARS-CoV-2 infection through antivirus, inhibition of inflammatory factors and regulation of immunity, which fully reflects the therapeutic advantages of multi-components, multi-targets and multi-pathways of traditional Chinese medicine. 展开更多
关键词 Ganlu xiaodu MicroPill COVID-19 Network pharmacology Molecular docking
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Discussion on the Potential Molecular Mechanism of Puji Xiaodu Drink in the Treatment of COVID-19 Based on Network Pharmacology and Molecular Docking Technology
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作者 KANG Le MIAO Jinxin +3 位作者 QIAO Jingyi ZHANG Jin ZHANG Yanan MIAO Mingsan 《Chinese Medicine and Natural Products》 2021年第1期24-35,共12页
Objective:To explore the potential mplecular mechanism of Puji Xiaodu Drink(普济消毒饮,PJX-DD)in the treatment of corona virus disease 2019(COVID-19)based on network pharmacology and molecu-lar docking technology.Meth... Objective:To explore the potential mplecular mechanism of Puji Xiaodu Drink(普济消毒饮,PJX-DD)in the treatment of corona virus disease 2019(COVID-19)based on network pharmacology and molecu-lar docking technology.Methods:The main active compounds of PJXDD were searched by Traditional Chinese Medicine Systems Pharmacology(TCMSP)database and related literature records,and the potential target of PJXDD was found by Swiss Target Prediction;relevant targets of COVID-19 were obtained through Gene Cards database.The PPI network of"drug-compound-target"and target protein interaction was constructed by STRING database and Cytoscape 3.6.1 software.The key targels were analyzed by MCODE plug-in.Finally,the common targets were used for GO enrichment analysis and KEGG pathway analysis by Enrichr.Molecular docking was used to screen the main active components that interact with key targets.Results:202 effective chemical components of PJXDD were screened,and 71 targets were applied to COVID-19.The results of molec-ular docking suggested that naringin and luteolin may be important active compounds of PJXDD against COV-ID-19.They may play a role in the treatment of COVID-19 by parieipating in the signaling pathways of inter-leukin signaling,cytok ine signaling in immune system,and the intrinsic pathway of apoptosis.Conclusion:PJX-DD plays an important role in anti-COVID-19 through multi-component,multi-target and multi-channel action in inflammatory response and immune regulation. 展开更多
关键词 Puji xiaodu Drink(PJX DD) network phamacology molecular docking technology corona virus disease 2019(COVID-19)
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托里消毒散内服联合四黄膏外敷治疗非哺乳期乳腺炎脓肿期的疗效及其对NLRP3炎症小体的影响
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作者 麻丽珍 穆文宏 +1 位作者 杨满英 唐芳雅 《微循环学杂志》 2025年第1期32-38,共7页
目的:探讨托里消毒散内服联合四黄膏外敷治疗非哺乳期乳腺炎(NPM)脓肿期的疗效及其对患者创面肉芽组织核苷酸结合寡聚化结构域样受体蛋白3(NLRP3)炎症小体的影响。方法:选取本院2021-02-2023-12收治的120例NPM患者,按随机数字表法分为... 目的:探讨托里消毒散内服联合四黄膏外敷治疗非哺乳期乳腺炎(NPM)脓肿期的疗效及其对患者创面肉芽组织核苷酸结合寡聚化结构域样受体蛋白3(NLRP3)炎症小体的影响。方法:选取本院2021-02-2023-12收治的120例NPM患者,按随机数字表法分为试验组(60例)和对照组(60例)。两组患者均进行手术切开排脓,并予口服甲泼尼龙治疗,在此基础上,试验组额外采用托里消毒散内服联合四黄膏外敷治疗,连续3个月。分别于治疗前及治疗后1、2、3月,测定乳腺创面局部症状评分、创面肉芽组织NLRP3炎症小体及其下游致炎效应因子水平;治疗期间进行安全性评价,并于疗程结束后评价临床疗效,并开展进行6个月的有效随访记录患者复发情况。结果:组内比较:与治疗前比较,两组患者各时间点渗出液性质、红肿范围、肉芽生长情况、疼痛程度、白细胞介素(IL)-1β、IL-18以及创面肉芽组织中NLRP3、ASC、Caspase-1 mRNA均显著降低,两两比较差异均有统计学意义(P<0.05);组间比较:试验组治疗后1月、2月、3月渗出液性质、红肿范围、肉芽生长情况、疼痛程度、IL-1β、IL-18以及NLRP3、ASC、Caspase-1 mRNA均低于对照组(P<0.05)。试验组的总有效率91.67%(55/60)明显高于对照组的78.33%(47/60)。而试验组复发率3.33%(2/60)明显低于对照组的15.00%(9/60),差异均有统计学意义(P<0.05),同时两组不良反应发生率差别无统计学意义(P>0.05)。结论:托里消毒散内服联合四黄膏外敷在治疗NPM脓肿期患者中有较好疗效,可抑制NLRP3炎症小体的激活,改善炎症损伤,促进创面愈合,且安全性较好。 展开更多
关键词 托里消毒散 四黄膏外敷 非哺乳期乳腺炎脓肿期 NLRP3炎症小体 中医药疗法
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Protective effects of Wuwei Xiaodu Drink against chronic osteomyelitis through Foxp3^(+)CD25^(+)CD4^(+) Treg cells via the IL-2/STAT5 signaling pathway 被引量:4
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作者 HUANG Kai REN Hai-Yong +2 位作者 LIN Bing-Yuan LIU Yi-Yang GUO Qiao-Feng 《Chinese Journal of Natural Medicines》 SCIE CAS CSCD 2022年第3期185-193,共9页
To explore the effectiveness and safety of a Chinese medicinal decoction Wuwei Xiaodu Drink(WWXDD)in inhibiting chronic osteomyelitis via regulatory T cells signaling.The effective constitutes of WWXDD and osteomyelit... To explore the effectiveness and safety of a Chinese medicinal decoction Wuwei Xiaodu Drink(WWXDD)in inhibiting chronic osteomyelitis via regulatory T cells signaling.The effective constitutes of WWXDD and osteomyelitis related genes were screened.Target proteins were cross-validated using the Venny database.GO function and KEGG pathway analysis were performed for target proteins,while pharmacological network was constructed.The bone properties were analyzed by HE staining and the concentrations of immune factors were measured by ELISA.The expression of CTLA-4 and Foxp3 mRNA and STAT5,p-STAT5,CTLA-4 and Foxp3 protein were detected using Real-time PCR and Western blot,respectively.FACS was used to analyze the percentages of cells.A total of 117 genes overlapped between 785 target genes of the active compounds of WWXDD and 912 osteomyelitis related genes.Inflammation-related genes,including IL-6,TNFα,IL-1βand IL-2 showed high connection degree in the drug-compound-disease-target network.GO function and KEGG pathway analysis revealed that 117 intersection genes mainly enriched in virus infection related pathways,immune related pathways and chemokine signaling pathway.Furthermore,the development of chronic osteomyelitis was suppressed in model rats after treatment with WWXDD.Meanwhile,the concentrations of IL-2 and CD4^(+)CD25^(+)Foxp3 Treg perr centages together with the levels of p-STAT5,CTLA-4 and Foxp3 were also down-regulated.Furthermore,IL-2 and WWXDD drug-containing serum exhibited opposite effects on regulating IL-2,IL-10,TGF-β1,Foxp3,CTLA4 and STAT5.In addition,a STAT5 phosphorylation inhibitor suppressed the expression of Foxp3 and CTLA-4.WWXDD can treat chronic osteomyelitis through suppressing the main regulating factors of Tregs and interfere its immunodepression.Our results bring a new solution for chronic osteomyelitis. 展开更多
关键词 Chronic osteomyelitis TREGS IMMUNODEPRESSION Wuwei xiaodu Drink
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梁俊雄教授运用补托法治疗胸腺瘤经验浅析
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作者 黄艳霞 陈克芳 +1 位作者 梁俊雄 曹林辉 《中医临床研究》 2025年第1期51-55,共5页
胸腺瘤是一类进展缓慢的恶性肿瘤,归属胸腺上皮肿瘤。早期治疗首选手术完全切除,术后辅以放化疗,但复发转移率高。晚期治疗以放化疗为主,配合免疫、靶向药物等治疗。梁俊雄教授根据自己临证30余年的经验总结,认为胸腺瘤是一种以本虚标... 胸腺瘤是一类进展缓慢的恶性肿瘤,归属胸腺上皮肿瘤。早期治疗首选手术完全切除,术后辅以放化疗,但复发转移率高。晚期治疗以放化疗为主,配合免疫、靶向药物等治疗。梁俊雄教授根据自己临证30余年的经验总结,认为胸腺瘤是一种以本虚标实为特征的疾病,其虚为正气亏虚,其实为痰饮、瘀血等瘀毒内陷,关键病机为正气亏虚致痰饮、瘀血等结于胸胁,瘀毒内陷而致病。其病位在胸腺,但与肝、脾、肾功能失常密切相关。基于对胸腺瘤的病机认识,梁教授提出治疗胸腺瘤时当注重补托法贯穿疾病治疗的始终,并以托里消毒散为基本方进行加减,以达益气扶正、托毒外出之目的。梁教授认为,使用补托法治疗胸腺瘤一则可扶助患者正气,二则可使邪有出路,因此应用补托法治疗胸腺瘤,每获良效,不仅可改善患者的临床症状,提高他们的生活质量,而且为进行手术或接受进一步的放化疗或免疫靶向等治疗提供有利条件。梁教授诊治胸腺瘤的临床经验可为胸腺瘤或其他恶性肿瘤提供有效的诊疗思路,值得临床同道学习。 展开更多
关键词 胸腺瘤 托里消毒散 补托法
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国医大师熊继柏基于“火郁发之”运用普济消毒饮经验
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作者 张宇 杨岚 +1 位作者 曹宇翔 曾光 《吉林中医药》 2025年第1期46-50,共5页
熊继柏认为,“五郁”既能反映天地之间五气的郁积,又能体现人体脏腑气机的郁滞。五运之气太过或不及导致自然气候变化,脏腑气机异常则导致人体疾病发生。气机升降失常,郁结不达,可导致气血运行受阻,郁而化火,形成火郁。火郁是临床上诸... 熊继柏认为,“五郁”既能反映天地之间五气的郁积,又能体现人体脏腑气机的郁滞。五运之气太过或不及导致自然气候变化,脏腑气机异常则导致人体疾病发生。气机升降失常,郁结不达,可导致气血运行受阻,郁而化火,形成火郁。火郁是临床上诸多疾病的始动病机,郁久产生热毒,可引起机体有形肿块、无名肿毒、多发肿瘤等疾病。普济消毒饮具有清热解毒,疏风散邪之功效,寓“火郁发之”之意。熊继柏认为,凡病机属“火郁”者,不拘表里内外、上中下焦,皆可应用普济消毒饮加减灵活治疗,助邪发散,气机调畅,阴阳平衡,则邪去正安。 展开更多
关键词 普济消毒饮 火郁发之 痄腮 瘿瘤 神经纤维瘤 名医经验 熊继柏
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银翘散合普济消毒饮联合常规西药治疗时行感冒患儿的效果分析
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作者 朱品松 朱红光 +1 位作者 孙荣 房怀成 《中国社区医师》 2025年第4期72-74,共3页
目的:分析银翘散合普济消毒饮联合常规西药治疗时行感冒患儿的效果。方法:选取2022年2月—2024年5月泗洪中信医院收治的时行感冒患儿128例作为研究对象,随机分为对照组和研究组,各64例。对照组给予常规西药治疗,研究组在对照组基础上给... 目的:分析银翘散合普济消毒饮联合常规西药治疗时行感冒患儿的效果。方法:选取2022年2月—2024年5月泗洪中信医院收治的时行感冒患儿128例作为研究对象,随机分为对照组和研究组,各64例。对照组给予常规西药治疗,研究组在对照组基础上给予银翘散合普济消毒饮治疗。比较两组炎性因子[白细胞介素-6(IL-6)、C反应蛋白(CRP)、γ干扰素(IFN-γ)、血清淀粉样蛋白A(SAA)]水平、免疫功能[CD3阳性T细胞(CD3^(+))、CD4阳性T细胞(CD4^(+))、CD8阳性T细胞(CD8^(+))]、症状改善时间。结果:治疗1周后,两组IL-6、CRP、IFN-γ、SAA水平低于治疗前,且研究组低于对照组(P<0.05)。治疗1周后,两组CD3^(+)、CD4^(+)水平高于治疗前,且研究组高于对照组(P<0.05);两组CD8^(+)水平升高,但研究组低于对照组(P<0.05)。研究组肺部啰音消失时间、发热消退时间、乏力消失时间均早于对照组(P<0.05)。结论:银翘散合普济消毒饮联合常规西药治疗时行感冒患儿的效果显著,能够降低患儿炎性因子水平,改善免疫功能,促进症状缓解。 展开更多
关键词 银翘散 普济消毒饮 时行感冒
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加味普济消毒颗粒内服联合消肿散结膏外敷治疗儿童急性扁桃体炎的临床研究 被引量:3
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作者 尚有为 茆建国 +2 位作者 陈晴 宁雪峰 茆春阳 《广州中医药大学学报》 CAS 2024年第3期638-645,共8页
【目的】评价加味普济消毒颗粒(由金银花、连翘、蒲公英、紫花地丁、荆芥、牛蒡子、皂角刺、赤芍、牡丹皮、芦根等组成)内服联合消肿散结膏(由黄芩、黄连、黄柏、皂角刺等组成)外敷治疗儿童急性扁桃体炎(acute tonsillitis in children,... 【目的】评价加味普济消毒颗粒(由金银花、连翘、蒲公英、紫花地丁、荆芥、牛蒡子、皂角刺、赤芍、牡丹皮、芦根等组成)内服联合消肿散结膏(由黄芩、黄连、黄柏、皂角刺等组成)外敷治疗儿童急性扁桃体炎(acute tonsillitis in children,ATC)的临床疗效及对免疫功能与相关炎症指标的影响。【方法】将116例ATC肺胃郁热证患儿随机分为对照组和观察组,每组各58例。对照组给予头孢克肟分散片治疗,观察组给予加味普济消毒颗粒内服联合消肿散结膏外敷治疗,疗程为14 d并随访6个月。观察2组患儿治疗前后中医证候积分、外周血中白细胞计数(WBC)、T淋巴细胞亚群CD3^(+)、CD4^(+)、CD8^(+)和CD4^(+)/CD8^(+)水平及血清肿瘤坏死因子α(TNF-α)、白细胞介素1β(IL-1β)、白细胞介素6(IL-6)、C反应蛋白(CRP)水平的变化情况,比较2组患儿的临床疗效和各项临床症状消失时间,同时监测2组患儿的不良反应发生情况和扁桃体炎复发情况。【结果】(1)研究期间,对照组有8例患儿脱落,观察组无脱落病例,最终对照组50例、观察组58例患儿完成全部疗程的治疗。(2)治疗14 d后,观察组的总有效率为98.28%(57/58),对照组为90.00%(45/50);组间比较(秩和检验),观察组的临床疗效明显优于对照组(P<0.05)。(3)治疗后,观察组患儿的咽痛消失时间、脓点消失时间、退热时间及扁桃体恢复正常时间均较对照组明显缩短(P<0.05)。(4)治疗后,2组患儿的主症积分、次症积分和中医证候总积分均较治疗前明显降低(P<0.05),且观察组的降低幅度均明显优于对照组(P<0.05)。(5)治疗后,2组患儿的T淋巴细胞亚群CD3^(+)、CD4^(+)和CD4^(+)/CD8^(+)水平均较治疗前明显升高(P<0.05),CD8^(+)水平均较治疗前明显降低(P<0.05),且观察组对T淋巴细胞亚群CD3^(+)、CD4^(+)和CD4^(+)/CD8^(+)水平的升高幅度及对CD8^(+)水平的降低幅度均明显优于对照组(P<0.05)。(6)治疗后,2组患儿的WBC、TNF-α、IL-1β、IL-6及CRP水平均较治疗前明显降低(P<0.05),且观察组的降低幅度均明显优于对照组(P<0.05)。(7)治疗期间,2组患儿均未出现皮肤过敏及恶心、呕吐等胃肠道不良反应情况,具有较高的安全性。(8)随访6个月,观察组患儿的扁桃体炎复发率为5.17%(3/58),明显低于对照组的24.00%(12/50),组间比较,差异有统计学意义(χ2=8.330,P<0.05)。【结论】加味普济消毒颗粒内服联合消肿散结膏外敷治疗ATC肺胃郁热证患儿疗效显著,可明显缩短病程,改善临床症状,有效降低扁桃体炎复发率,其机制可能与增强机体免疫功能、抑制炎症反应有关。 展开更多
关键词 急性扁桃体炎 肺胃郁热证 加味普济消毒颗粒 消肿散结膏 免疫功能 炎症反应 临床疗效 儿童
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萆薢渗湿汤合五味消毒饮联合扶利汤熏洗对高位肛瘘术后患者疼痛及创面愈合的影响 被引量:1
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作者 张玲玲 葛军 洪丹丹 《辽宁中医杂志》 CAS 北大核心 2024年第9期130-133,共4页
目的探讨萆薢渗湿汤合五味消毒饮联合扶利汤熏洗对高位肛瘘术后患者疼痛及创面愈合的影响。方法收集2021年11月—2022年11月在该院肛肠科治疗的104例高位肛瘘患者,随机分为试验组和对照组,各52例,两组均予以高位肛瘘切开挂线引流术,对... 目的探讨萆薢渗湿汤合五味消毒饮联合扶利汤熏洗对高位肛瘘术后患者疼痛及创面愈合的影响。方法收集2021年11月—2022年11月在该院肛肠科治疗的104例高位肛瘘患者,随机分为试验组和对照组,各52例,两组均予以高位肛瘘切开挂线引流术,对照组予以复方荆芥熏洗剂坐浴后联合红光治疗,试验组予以萆薢渗湿汤合五味消毒饮口服联合扶利汤熏洗及红光治疗。记录并对比两组治疗后创面愈合时间、不良反应发生,术后不同时间段的创面面积、愈合率、创面渗液量、视觉模拟疼痛评分(VAS)及水肿评分,随访观察术后复发率。结果与对照组比较,试验组创面愈合时间缩短(P<0.05)。治疗后7 d创面面积差异无统计学意义;与对照组比较,试验组14 d、21 d创面面积缩小(P<0.05)。与对照组比较,试验组7 d、14 d、21 d创面愈合率增高(P<0.05)。与对照组比较,试验组7 d、14 d、21 d创面渗液量较低(P<0.05)。与对照组比较,试验组3 d、7 d水肿评分较低(P<0.05);对照组与试验组14 d、21 d水肿情况相比差异无统计学意义(P>0.05)。与对照组比较,试验组3 d、7 d、14 d、21 d疼痛评分较低(P<0.05)。两组复发率及不良反应发生情况相比,差异无统计学意义(P>0.05)。结论萆薢渗湿汤合五味消毒饮联合扶利汤对高位肛瘘患者的临床疗效显著,能够改善疼痛,使水肿减轻、渗出减少,创面愈合快,疗程短,安全性高,适宜临床应用推广。 展开更多
关键词 扶利汤 中药熏洗 高位肛瘘 疼痛 萆薢渗湿汤合五味消毒饮
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甘露消毒丹加减治疗妊娠期肝内胆汁淤积综合征的临床效果
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作者 彭瑶 夏晓健 +2 位作者 陈瑾 梁艳 杨琦 《中国当代医药》 CAS 2024年第13期80-83,共4页
目的探讨甘露消毒丹加减治疗妊娠期肝内胆汁淤积综合征(ICP)的临床效果。方法选取2021年10月至2022年6月在江西省妇幼保健院就诊的60例ICP患者作为研究对象,根据随机数字表法分为对照组和研究组,每组各30例。对照组给予常规西药治疗,研... 目的探讨甘露消毒丹加减治疗妊娠期肝内胆汁淤积综合征(ICP)的临床效果。方法选取2021年10月至2022年6月在江西省妇幼保健院就诊的60例ICP患者作为研究对象,根据随机数字表法分为对照组和研究组,每组各30例。对照组给予常规西药治疗,研究组给予甘露消毒丹加减治疗。比较两组患者的瘙痒程度评分,胆红素[总胆红素(TBil)、间接胆红素(IBil)、结合胆红素(DBil)],肝功能[丙氨酸转氨酶(ALT)、天冬氨酸转氨酶(AST)],并对两组患者不良妊娠结局进行观察。结果研究组治疗后的皮肤瘙痒评分及TBil、IBil、DBil水平均低于对照组,差异有统计学意义(P<0.05);研究组的ALT、AST水平均低于对照组,差异有统计学意义(P<0.05);研究组的不良妊娠结局总发生率低于对照组,差异有统计学意义(P<0.05)。结论甘露消毒丹加减治疗ICP患者能改善患者临床症状及肝功能,缓解皮肤瘙痒程度,减少不良妊娠结局的发生。 展开更多
关键词 甘露消毒丹加减 妊娠期肝内胆汁淤积综合征 肝功能 临床疗效
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从热邪、湿邪角度探讨不明原因发热的中医治疗
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作者 叶沿坡 王小贤 王奕珊(指导) 《中医临床研究》 2024年第26期122-126,共5页
不明原因发热病因不明,西医治疗往往困难。总结了10余年诊治经验,发现采用中医治疗,疗效明显。不明原因发热属于中医内伤发热范畴,患者常有气、血、阴、阳亏虚或气郁、血瘀、湿阻病史,导致五邪产生,发热为内生邪气所致,病理性质属热。... 不明原因发热病因不明,西医治疗往往困难。总结了10余年诊治经验,发现采用中医治疗,疗效明显。不明原因发热属于中医内伤发热范畴,患者常有气、血、阴、阳亏虚或气郁、血瘀、湿阻病史,导致五邪产生,发热为内生邪气所致,病理性质属热。患者多苔厚黏腻,发热反复,从舌苔表现及病程缠绵判断,病理性质属于湿邪。因无外感诱因,故其湿邪属于内湿。因此,不明原因发热患者的临床表现主要体现在热邪、湿邪两方面,属于湿热并重。因病程久,容易阻滞三焦气机,日久湿、热、毒邪壅滞,弥漫三焦。治疗原则宜清上、畅中、渗下同用,清热、利湿、解毒并行,需较强力度用药方可使弥漫三焦之湿热毒邪俱除。遣方用药上,甘露消毒丹用药作用于上下、内外,升降出入,莫不关乎三焦之枢,故为最佳之选。采用力度较轻的王氏连朴饮、达原饮、杏仁滑石汤、三仁汤治疗,效果不如甘露消毒丹。研究从发热的特点、治疗思路、治法确立、方剂选择等方面阐述了不明原因发热的中医治疗,以期为临床提供参考。 展开更多
关键词 不明原因发热 中医 甘露消毒丹
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五味消毒饮加减对子宫内膜炎急性期炎症因子及miR-140-5p、TLR4表达的影响
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作者 蔡广彦 苗佳 +1 位作者 赵秀君 李想 《中国中医急症》 2024年第11期1958-1961,共4页
目的评价五味消毒饮加减治疗子宫内膜炎急性发作期的临床疗效及对炎症因子和miR-140-5p、TLR4表达的影响。方法将86例患者随机分为对照组与观察组各43例。对照组口服盐酸多西环素片;观察组在对照组治疗的基础上给予五味消毒饮加减内服... 目的评价五味消毒饮加减治疗子宫内膜炎急性发作期的临床疗效及对炎症因子和miR-140-5p、TLR4表达的影响。方法将86例患者随机分为对照组与观察组各43例。对照组口服盐酸多西环素片;观察组在对照组治疗的基础上给予五味消毒饮加减内服治疗。记录腹痛消失时间、白带恢复正常时间;进行治疗前后热毒瘀结证评分;检测治疗前后相关炎症介质水平;检测治疗前后miR-140-5p、Toll样受体4(TLR4)水平;进行治疗前后彩色多普勒超声检测,记录血流指数(FI)、阻力指数(RI)和搏动指数(PI);比较临床疗效。结果治疗后,观察组总有效率明显高于对照组(P<0.05);观察组患者主要症状病程短于对照组(P<0.05);观察组主要症状评分和总分明显低于对照组(P<0.05);观察组各炎症介质水平均明显低于对照组(P<0.05);观察组TLR4水平低于对照组,miR-140-5p水平高于对照组(P<0.05);观察组的RI、PI低于对照组,FI高于对照组(P<0.05)。结论五味消毒饮加减治疗子宫内膜炎急性发作期患者,可调节miR-140-5p和TLR4表达,抑制促炎因子释放,减轻炎性损伤,改善子宫内膜血液循环,缩短病程,改善临床症状,提高临床治疗效果,值得临床使用。 展开更多
关键词 子宫内膜炎 急性期 热毒瘀结证 五味消毒饮 miR-140-5p TLR4 炎症因子
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经典名方五味消毒饮UPLC指纹图谱及关键质量属性量值传递规律研究 被引量:2
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作者 张丽先 李晓 +3 位作者 李飞飞 宁二娟 魏悦 纵伟 《中国新药杂志》 CAS CSCD 北大核心 2024年第12期1281-1288,共8页
目的:建立五味消毒饮UPLC指纹图谱,探究五味消毒饮物质基准制备过程中从中药饮片到物质基准之间关键质量属性量值传递关系。方法:水煎法制备15批五味消毒饮物质基准,并建立物质基准UPLC指纹图谱分析方法指认关键色谱峰,多波长同时测定... 目的:建立五味消毒饮UPLC指纹图谱,探究五味消毒饮物质基准制备过程中从中药饮片到物质基准之间关键质量属性量值传递关系。方法:水煎法制备15批五味消毒饮物质基准,并建立物质基准UPLC指纹图谱分析方法指认关键色谱峰,多波长同时测定绿原酸、秦皮乙素、菊苣酸、木犀草苷、3,5-O-二咖啡酰奎宁酸、4,5-O-二咖啡酰奎宁酸和蒙花苷的含量,计算转移率和出膏率。结果:15批物质基准指纹图谱相似度>0.9,指认13个色谱峰,设定7个特征色谱峰。15批物质基准出膏率范围为28.72%~33.85%,绿原酸、秦皮乙素、菊苣酸、木犀草苷、3,5-O-二咖啡酰奎宁酸、4,5-O-二咖啡酰奎宁酸和蒙花苷转移率范围分别为35.39%~42.48%,49.72%~61.20%,28.47%~34.30%,28.96%~39.20%,20.09%~23.57%,81.13%~95.02%,30.33%~35.92%,未出现离散数据。结论:研究五味消毒饮UPLC指纹图谱分析方法及其关键质量属性量值传递规律对于其物质基准的开发与应用具有参考价值。 展开更多
关键词 经典名方 五味消毒饮 物质基准 指纹图谱 量值传递
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基于氧化应激反应探讨慢性体表溃疡发病机理及象皮生肌膏联合托里消毒散的干预作用 被引量:1
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作者 林雅思 孙之中 +4 位作者 刘朝红 陈其华 易倩 赵姣 何欢 《世界中西医结合杂志》 2024年第4期699-704,共6页
目的 探讨慢性体表溃疡发病机理以及象皮生肌膏联合托里消毒散的干预作用。方法 将30只SPF级雄性SD大鼠按随机数字表法分为空白对照组、模型组、象皮生肌膏组、托里消毒散组、象皮生肌膏联合托里消毒散组,每组各6只。采用金黄色葡萄球... 目的 探讨慢性体表溃疡发病机理以及象皮生肌膏联合托里消毒散的干预作用。方法 将30只SPF级雄性SD大鼠按随机数字表法分为空白对照组、模型组、象皮生肌膏组、托里消毒散组、象皮生肌膏联合托里消毒散组,每组各6只。采用金黄色葡萄球菌造模,连续给药1周后,检测创面组织中血管内皮生长因子(Vascular endothelial growth factor,VEGF)、血管内皮细胞生长因子受体2(Vascular endothelial growth factor receptor 2,VEGFR-2)、核因子E2相关因子2(Nuclear factor erythroid 2-related factor 2,Nrf2)、NAD(P)H醌氧化还原酶1[NAD(P)H quinone oxidoreductase1,NQO1)、血红素加氧酶1(Heme oxygenase-1,HO-1)]表达水平。结果 与空白对照组比较,模型组创面组织中VEGF、VEGFR-2表达均明显降低,差异有统计学意义(P<0.01);与模型组比较,象皮生肌膏组、托里消毒散组、象皮生肌膏联合托里消毒散组VEGF、VEGFR-2表达均明显升高,差异有统计学意义(P<0.01)。与对照组比较,模型组中Nrf2、NQO1、HO-1表达水平升高,差异有统计学意义(P<0.01);与模型组比较,象皮生肌膏组、托里消毒散组、象皮生肌膏联合托里消毒散组Nrf2表达水平均明显升高,NQO1和HO-1表达降低,差异有统计学意义(P<0.01)。结论 大鼠慢性溃疡的形成可能与氧化应激反应抑制了VEGF通路及Nrf2通路有关,而象皮生肌膏联合托里消毒散可能通过调节上述通路促进溃疡处血管新生和抗氧化应激,进而提高创面愈合能力。 展开更多
关键词 慢性皮肤溃疡 托里消毒散 象皮生肌膏 血管新生 氧化应激
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托里消毒散联合千金苇茎汤治疗腹膜炎及腹透导管相关感染的病例分析 被引量:1
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作者 金叶 仲昱 《实用临床医药杂志》 CAS 2024年第8期61-63,共3页
患者行腹膜透析治疗过程中易发生腹膜炎、腹透导管相关感染,万古霉素联用头孢哌酮舒巴坦二联抗感染治疗后效果不佳,予以托里消毒散合千金苇茎汤,感染得到有效控制。患者病程迁延,正气不足,正虚邪陷,治以益气补血,清热解毒,托里排脓。选... 患者行腹膜透析治疗过程中易发生腹膜炎、腹透导管相关感染,万古霉素联用头孢哌酮舒巴坦二联抗感染治疗后效果不佳,予以托里消毒散合千金苇茎汤,感染得到有效控制。患者病程迁延,正气不足,正虚邪陷,治以益气补血,清热解毒,托里排脓。选方托里消毒散合千金苇茎汤加减,及时控制患者感染情况,为临床治疗腹膜炎、腹透导管相关感染提供新的选择。 展开更多
关键词 托里消毒散 千金苇茎汤 腹膜炎 腹膜透析导管 感染
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托里消毒散治疗慢性创面的作用机制及应用研究进展 被引量:1
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作者 贺璇 李杰辉 +1 位作者 李恒嫦 梁彬 《中国烧伤创疡杂志》 2024年第1期5-7,共3页
慢性创面是临床常见的难愈性疾病,多发生于糖尿病溃疡、外伤、静脉曲张性溃疡、压疮等急慢性损伤患者。中医学认为,慢性创面迁延不愈多为气血凝滞,难以托毒外出,使邪毒久积于肌肤所致。而托里消毒散可托毒外出,养血生络,助疮疽消散,在... 慢性创面是临床常见的难愈性疾病,多发生于糖尿病溃疡、外伤、静脉曲张性溃疡、压疮等急慢性损伤患者。中医学认为,慢性创面迁延不愈多为气血凝滞,难以托毒外出,使邪毒久积于肌肤所致。而托里消毒散可托毒外出,养血生络,助疮疽消散,在慢性创面的治疗中发挥了独特的优势。基于此,本文主要对托里消毒散在慢性创面治疗中的作用机制及应用研究进展进行综述,以期进一步指导其在临床中的应用。 展开更多
关键词 托里消毒散 慢性创面 溃疡 痈疽 综述
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中药口服联合灌肠治疗低位单纯性肛瘘切除术后湿热下注证疗效观察
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作者 李凤 吴东升 +1 位作者 林奕 曹晖 《西部中医药》 2024年第9期131-135,共5页
目的:观察中药口服联合灌肠治疗单纯性肛瘘切除术后湿热下注证的疗效。方法:将单纯性肛瘘切除术后湿热下注证患者120例随机分为试验组与对照组,每组60例。对照组予常规术后管理,试验组在对照组基础上加用仙方活命饮内服联合五味消毒饮... 目的:观察中药口服联合灌肠治疗单纯性肛瘘切除术后湿热下注证的疗效。方法:将单纯性肛瘘切除术后湿热下注证患者120例随机分为试验组与对照组,每组60例。对照组予常规术后管理,试验组在对照组基础上加用仙方活命饮内服联合五味消毒饮灌肠治疗,两组疗程均为14天。观察术后第1天、7天、14天患者创面面积,术后第1天、14天患者疼痛、瘙痒、渗出、肿胀、中医证候及Wexner评分以及术前、术后第14天患者直肠静息压(rectal resting pressure,RRP)、肛管静息压(anal resting pressure,ARP)、肛管最长收缩时间(anal longest contraction time,ALCT)、肛管最大收缩压(anal maximum contraction pressure,AMCP);观察术后第1天、14天肿瘤坏死因子α(tumor necrosis factor-α,TNF-α)、白细胞介素1β(interleukin-1β,IL-1β)及血管内皮生长因子(vascular endothelial growth factor,VEGF)、表皮细胞生长因子(epidermal growth factor,EGF)、转化生长因子β_(1)(transforming growth factor-β_(1),TGF-β_(1))表达水平,评估临床疗效。结果:术后第7、14天患者创面面积与疼痛、瘙痒、渗出、肿胀、中医证候、Wexner评分及炎症因子TNF-α、IL-1β试验组均低于对照组(P<0.01),RRP、ARP、AMCP及创面愈合生长因子VEGF、EGF、TGF-β_(1)试验组均高于对照组(P<0.01),ALCT试验组高于对照组(P<0.05);试验组临床疗效优于对照组(P<0.05)。结论:仙方活命饮内服联合五味消毒饮灌肠能有效促进单纯性肛瘘切除术后湿热下注证患者创面愈合,改善患者术后疼痛、瘙痒、渗出、肿胀等症状,有利于患者术后肛门功能恢复。 展开更多
关键词 肛瘘 术后 湿热下注证 仙方活命饮 五味消毒饮 灌肠
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