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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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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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A Case Report on Treating Progressive Supranuclear Palsy with a Combination of Chinese and Western Medicine
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作者 Kai Wu Yongjie Gong +1 位作者 Shan Yang Yalan Yu 《Journal of Clinical and Nursing Research》 2024年第5期23-29,共7页
A case of progressive supranuclear palsy in a 66-year-old woman is presented.The patient complained of“progressive stiffness of both lower limbs for five years,accompanied by choking and coughing for more than 1 year... A case of progressive supranuclear palsy in a 66-year-old woman is presented.The patient complained of“progressive stiffness of both lower limbs for five years,accompanied by choking and coughing for more than 1 year,”and was diagnosed with paralysis in traditional Chinese medicine(TCM),which was characterized by a deficiency of liver and kidney,and phlegm and blood stasis blocking the collaterals.Western medicine diagnosed it as progressive supranuclear palsy.The patient was diagnosed with“Parkinson’s disease”several times in the past and was given“polybasic hydrazide”and“amantadine hydrochloride tablets,”etc.The patient did not have significant symptomatic relief,so she sought further treatment with a combination of traditional Chinese and Western medicine.Based on the concept of deficiency and excess,this disease is categorized as a paralytic disease in Chinese medicine,and the onset of the disease is closely related to the deficiency of the body after a long period of illness,with wind,phlegm,blood stasis,and deficiency as the main pathogenetic mechanism.The treatment is based on the combination of disease and evidence,with traditional Chinese medicine and acupuncture as the main treatments,supplemented by intermediate-frequency pulsed electrical stimulation,transcranial repetitive magnetic stimulation,medicated canisters,wax therapy,traditional Chinese medicine guasha,and acupoint injections.Western medicine is based on symptomatic treatment,and the patient’s symptoms were relieved significantly after the combination of Chinese and Western medicine. 展开更多
关键词 Progressive supranuclear palsy Paralytic disease Diagnosis and treatment deficiency and excess Combination of Chinese and Western medicine
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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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Studies of the effects of dietary zinc on the immune organs and cellular immunity in the rat 被引量:1
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作者 吴嘉惠 吴水冰 +1 位作者 白家驷 孔祥英 《Journal of Medical Colleges of PLA(China)》 CAS 1994年第4期274-278,共5页
The effects of dietary zinc on the immune organs and cellular immunity were investigated in the rats of zinc-deficient(ZD), zinc-excessive(ZE), paired feeding(PF) and ad libitus(AL) groups. The findings were as follow... The effects of dietary zinc on the immune organs and cellular immunity were investigated in the rats of zinc-deficient(ZD), zinc-excessive(ZE), paired feeding(PF) and ad libitus(AL) groups. The findings were as follows: (1) The weight of the thymus and spleen and the ratio with the body weight, the size of the cells,the production of thymic peptides and thymin activity were significantly lower in ZD and ZE groups than in PF and AL groups. (2) The total number of the cells in G_0/G_1 phase of T-and B-cells and bone marrow cells were significantly higher in ZD and ZF groups than in PF and AL groups while that of the cells in S and G_2/M phases were significantly lower in ZD and ZE groups than in PF and AL groups. (3) The cellular DNA, RNA and protein content in the thymus, spleen and bone marrow were significantly lower in ZD and ZE groups than in PF and AL groups.(4) The  ̄3H-TdR incorporation rate of splenic T-and B-cells , IL-2 activity, plasma level of TNF and nitrogen oxide(NO) were significantly lower in ZD group than in PF group. (5) The leucocyte count of the perpheral blood,the percentage of lymphocytes, the bacteriocidal activity of phagocytes, and the phagocytic rate and index of abdominal phagocytes were significantly lower in ZD and ZE groups than in PF and AL groups. These findings indicate that an adequate amount of dietary zinc is essential for the development of immune organs and the promotion of cellular immunity while deficiency or excess of zinc is able to damage the immune function. 展开更多
关键词 ZINC deficiency ZINC excess IMMUNE ORGAN IMMUNE cell RAT
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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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Combining nitrogen effects and metabolomics to reveal the response mechanisms to nitrogen stress and the potential for nitrogen reduction in maize
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作者 LU Yan-li SONG Gui-pei +4 位作者 WANG Yu-hong WANG Luo-bin XU Meng-ze ZHOU Li-ping WANG Lei 《Journal of Integrative Agriculture》 SCIE CAS CSCD 2023年第9期2660-2672,共13页
The physiological and metabolic differences in maize under different nitrogen(N)levels are the basis of reasonable N management,which is vital in improving fertilizer utilization and reducing environmental pollution.I... The physiological and metabolic differences in maize under different nitrogen(N)levels are the basis of reasonable N management,which is vital in improving fertilizer utilization and reducing environmental pollution.In this paper,on the premise of defining the N fertilizer efficiency and yield under different long-term N fertilization treatments,the corresponding differential metabolites and their metabolic pathways were analyzed by untargeted metabolomics in maize.N stress,including deficiency and excess,affects the balance of carbon(C)metabolism and N metabolism by regulating C metabolites(sugar alcohols and tricarboxylic acid(TCA)cycle intermediates)and N metabolites(various amino acids and their derivatives).L-alanine,L-phenylalanine,L-histidine,and L-glutamine decreased under N deficiency,and L-valine,proline,and L-histidine increased under N excess.In addition to sugar alcohols and the above amino acids in C and N metabolism,differential secondary metabolites,flavonoids(e.g.,kaempferol,luteolin,rutin,and diosmetin),and hormones(e.g.,indoleacetic acid,trans-zeatin,and jasmonic acid)were initially considered as indicators for N stress diagnosis under this experimental conditions.This study also indicated that the leaf metabolic levels of N2(120 kg ha–1 N)and N3(180 kg ha–1 N)were similar,consistent with the differences in their physiological indexes and yields over 12 years.This study verified the feasibility of reducing N fertilization from 180 kg ha–1(locally recommended)to 120 kg ha–1 at the metabolic level,which provided a mechanistic basis for reducing N fertilization without reducing yield,further improving the N utilization rate and protecting the ecological environment. 展开更多
关键词 long-term experiment nitrogen deficiency nitrogen excess METABOLITES UPLC-QTOF
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Study on the correlation between CD80/CD163 and clinical prognosis and the syndrome differentiation in patients with colorectal cancer
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作者 Jun-Yu Ke Fan-Chang Wu +12 位作者 Zhen-Fan He Zheng-Lin Liu Jian-Feng Luo Jin-Bin Song Long Li Zhuo-Jian Huang Tian-Yu Lu Qi-Sheng Zhong Yan-Hai Lyu Qun Du Yong-Qiang Wu Xin-Lin Chen Yan-Wu Li 《Traditional Medicine Research》 2023年第9期1-12,共12页
Background:To analyze the expression of cluster of differentiation 80(CD80)/cluster of differentiation 163(CD163)in colorectal cancer(CRC)patients and their correlation with the syndrome of traditional Chinese medicin... Background:To analyze the expression of cluster of differentiation 80(CD80)/cluster of differentiation 163(CD163)in colorectal cancer(CRC)patients and their correlation with the syndrome of traditional Chinese medicine,pathology and prognosis.Methods:(1)The correlation between the pathological characteristics of 232 postoperative CRC patients and the deficiency and excess syndromes of traditional Chinese medicine was analyzed using the chi-square test,Spearman’s correlation,and Cox regression methods.(2)Immunohistochemistry and quantitative real-time PCR were used to detect the expression of CD80 and CD163 in cancer and paracancer tissues of CRC patients.(3)The relationships between the changes of CD80 and CD163 and the prognosis of CRC patients with deficiency syndrome.Patient survival were analyzed using cardinality and Cox regression proportional-hazards model regression.Results:(1)The degree of differentiation and tumor node metastasis stage of CRC were statistically different between patients with deficiency and excess syndromes(P<0.05);carcinoembryonic antigen and carbohydrate antigen 19-9 were highly expressed in the excess syndrome group,and both were significantly correlated with the distribution of traditional Chinese medicine syndromes(P<0.001);deficiency and excess syndromes,and carbohydrate antigen 19-9 were all independent factors affecting the postoperative survival of CRC patients.(2)The distribution of post-operative survival in CRC patients was significantly correlated with the distribution of the disease type(P<0.001).(3)The expression levels of CD163 protein and message RNA were significantly higher in CRC cancer tissues than in paraneoplastic tissues(P<0.001);whereas the expression of CD80 was significantly higher in paraneoplastic tissues than in cancer tissues(P<0.001).(4)The expression levels of CD80/CD163 were significantly different in different parts of the tissues of patients with deficiency and excess syndromes(P<0.001).(5)CRC patients with high CD80 expression and low CD163 expression had longer survival cycles(P<0.001).Conclusion:The malignant progression of CRC patients with deficiency syndrome is faster than that with excess syndrome.The correlation between deficiency and excess syndromes and the expression levels of CD80 and CD163 could be an independent risk factor for the survival prognosis of patients with CRC. 展开更多
关键词 colorectal cancer tumor microenvironment tumor-associated macrophages deficiency and excess syndrome
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针刺联合米拉贝隆治疗虚实夹杂型膀胱过度活动症的临床研究
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作者 余佐华 赵宏 +1 位作者 王小梅 赵振东 《中国医药指南》 2025年第5期14-16,共3页
目的探究针刺联合米拉贝隆治疗虚实夹杂型膀胱过度活动症患者的疗效和安全性。方法选取2021年8月至2024年8月福建中医药大学附属三明市中西医结合医院泌尿外科经临床诊断确诊的虚实夹杂型膀胱过度活动症患者60例,按随机数字表法分为治疗... 目的探究针刺联合米拉贝隆治疗虚实夹杂型膀胱过度活动症患者的疗效和安全性。方法选取2021年8月至2024年8月福建中医药大学附属三明市中西医结合医院泌尿外科经临床诊断确诊的虚实夹杂型膀胱过度活动症患者60例,按随机数字表法分为治疗组[30例,口服米拉贝隆+针刺(肾俞、三阴交、次髎、中极、膀胱俞、关元、气海、阴陵泉、会阳穴位)治疗]和对照组(30例,口服米拉贝隆)。对日平均尿急次数、排尿次数、漏尿次数、夜尿次数进行评价,并统计安全性。结果治疗第2周,两组日平均尿急次数、排尿次数、漏尿次数、夜尿次数较同组治疗前均下降,且治疗组日平均尿急次数、排尿次数、漏尿次数、夜尿次数均优于对照组(P<0.05)。治疗第4周,两组日平均尿急次数、排尿次数、漏尿次数、夜尿次数进一步改善,治疗组日平均尿急次数、排尿次数、漏尿次数、夜尿次数均少于对照组(P<0.05)。结论在口服米拉贝隆缓释片基础上联合针刺治疗虚实夹杂型膀胱过度活动症的疗效优于单纯应用口服米拉贝隆缓释片治疗的疗效,可减轻患者的痛苦,缩短恢复时间。 展开更多
关键词 膀胱过度活动症 针刺 米拉贝隆 虚实夹杂型
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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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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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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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Effect of Zinc on Bone Metabolism in Fetal Mouse Limb Culture 被引量:2
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作者 LI YUN AND YU ZENG-LIDepartment of Nutrition and Food Hygiene, Huaxi School of Public Health, Sichuan University, Chengdu 610041. China 《Biomedical and Environmental Sciences》 SCIE CAS CSCD 2002年第4期323-329,共7页
Objective To determine the effects of zine-deficiency and zine-excess on hone metabolism. Methods We developed the culture model of fetal mouse limbs (16th day) cultivated in self-made rotator with continuing flow of ... Objective To determine the effects of zine-deficiency and zine-excess on hone metabolism. Methods We developed the culture model of fetal mouse limbs (16th day) cultivated in self-made rotator with continuing flow of mixed gas for six days in vitro. The cultured limbs were examined by the techniques of 45Ca tracer and X-roentgenography. Results The right limbs cultivated had longer bone length, higher bone density than the left limbs uncultivated from the same embryo; and histologically, the right limbs had active bone cell differentiation, proliferation, increased bone trabecula. clearly calcified cartilage matrix, and osteogenic tissue. Compared with the control group, the zinc-deficient group and zine-excess (Zn2+ l20) μmol/L) group contained less osteocalcin (BGP) and 45Ca content, and lower AKP activity; whereas zine-normal (Zn2+ 45 μmol/L and Zn2+ 70 μmol/L) groups contained more BGP and 45Ca contents, and higher AKP (alkaline phosphatase) activity. Conclusion Both zine-deficiency and zine-excess can alter bone growth and normal metabolism. The results indicate that the culture model of fetal mouse limbs (16th day) in vitro can be used as a research model of bone growth and development. 展开更多
关键词 Zinc excess Zinc deficiency Bone metabolism Organic culture
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Mechanisms of Dihuang(Rehmanniae Radix)in treating diabetic nephropathy complicated with depression based on network pharmacology 被引量:2
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作者 LEI Xing CHEN Qingyao +7 位作者 WANG Xiaoping XU Jie GAO Yazhen LIN Qiaohong YE Zuwen ZHANG Jieyan SI Qin WANG Fang 《Digital Chinese Medicine》 2022年第2期178-188,共11页
Objective To predict the molecular mechanism of Dihuang(Rehmanniae Radix)in the treatment of diabetic nephropathy(DN)complicated with depression based on network pharmacology.Methods The components of Dihuang(Rehmanni... Objective To predict the molecular mechanism of Dihuang(Rehmanniae Radix)in the treatment of diabetic nephropathy(DN)complicated with depression based on network pharmacology.Methods The components of Dihuang(Rehmanniae Radix)were identified from the Integrated Pharmacology-based Research Platform of Traditional Chinese Medicine(TCMIP),Traditional Chinese Medicine Systems Pharmacology Database and Analysis Platform(TCMSP),and relevant literature.The component targets were detected by combining the SwissTargetPrediction and Pub Chem databases.Disease targets were collected from the Therapeutic Target Database(TTD),Dis Ge NET,and Ensembl databases with“diabetic nephropathy”and“depression”as keywords.The disease-component targets were mapped using Venny 2.1.0 to obtain potential targets.A protein-protein interaction(PPI)network was constructed using the Search Tool for the Retrieval of Interacting Genes/Proteins(STRING)database and Cytoscape 3.7.2.The co-expression genes of the key targets were collected based on the COXPRESdb 7.3.Gene Ontology(GO)and Kyoto Encyclopedia of Genes and Genomes(KEGG)enrichment analysis were performed for potential targets using R language.Target-component docking was verified and evaluated using Discovery Studio 4.5.Results According to the databases and literature reports,Dihuang(Rehmanniae Radix)contained 65 active components,and had 155 related targets for the treatment of DN complicated with depression.PPI screening showed that the key targets included serine/threonine protein kinase 1(AKT1),signal transducer and activator transcription 3(STAT3),interleukin 6(IL-6),mitogen-activated protein kinase 1(MAPK1),and vascular endothelial growth factor A(VEGFA),etc.GO enrichment analysis mainly involved biological processes,such as lipid metabolism,protein secretion regulation,cell homeostasis,and phosphatidylinositol 3 kinase activity.KEGG pathway enrichment analysis included the role of the AGE-RAGE signaling pathway in diabetic complements,insulin resistance(IR),neurotrophin signal path,Toll-like receptor signaling pathway,relaxin signaling pathway,epidermal growth factor receptor tyrosine kinase inhibitors(EGFR-TKIs),etc.Molecular docking showed that the target had high affinity for stachyose,manninotriose,verbascose,nigerose,etc.Conclusion Based on network parmacology,this study preliminarily predict the effects of Dihuang(Rehmanniae Radix)in treating DN complicated with depression by regulating inflammation,glucose metabolism,nution nerve,etc. 展开更多
关键词 Dihuang(Rehmanniae Radix) Diabetic nephropathy DEPRESSIon Network pharmacology Molecular docking Simultaneous treatment of different diseases True deficiency with false excess patterns Inflammation
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