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Clinical Observation of the Therapeutic Effects of Wenzhong Hewei Formula in Treating Spleen and Stomach Qi Deficiency Syndrome in Internal Medicine Diseases
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作者 Silin Song 《Journal of Clinical and Nursing Research》 2024年第10期195-201,共7页
Objective:To observe the clinical efficacy and safety of Wenzhong Hewei Formula in treating spleen and stomach qi deficiency syndrome in internal medicine diseases.Methods:Sixty patients with spleen and stomach qi def... Objective:To observe the clinical efficacy and safety of Wenzhong Hewei Formula in treating spleen and stomach qi deficiency syndrome in internal medicine diseases.Methods:Sixty patients with spleen and stomach qi deficiency syndrome admitted to the hospital from April 2022 to June 2023 were randomly divided into observation and control groups,with 30 patients in each group.The control group received conventional internal medicine treatment,while the observation group was additionally treated with Wenzhong Hewei Formula on the basis of conventional treatment.Both groups were treated for 4 weeks.Results:The total effective rate of treatment in the observation group was higher than that of the control group(P<0.05).After treatment,the traditional Chinese medicine syndrome scores of both groups were significantly lower than before treatment,with the observation group showing a more pronounced reduction(P<0.05).There was no statistically significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusion:Wenzhong Hewei Formula can effectively improve clinical symptoms in patients with spleen and stomach qi deficiency syndrome,enhance clinical efficacy,and have a high level of safety,making it worthy of clinical promotion. 展开更多
关键词 Wenzhong Hewei formula Internal medicine diseases spleen and stomach qi deficiency syndrome
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Clinical Study on Treating Diarrhea-Predominant IBS with Liver Depression and Spleen Deficiency Using Shu Gan Jian Pi Yi Qi Prescription and Grain-Sized Moxibustion
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作者 Yamei Wang 《Journal of Clinical and Nursing Research》 2025年第2期102-107,共6页
Objective:To evaluate the therapeutic effect of Shu Gan Jian Pi Yi Qi prescription combined with grain-sized moxibustion on diarrhea-predominant irritable bowel syndrome(IBS-D)with liver depression and spleen deficien... Objective:To evaluate the therapeutic effect of Shu Gan Jian Pi Yi Qi prescription combined with grain-sized moxibustion on diarrhea-predominant irritable bowel syndrome(IBS-D)with liver depression and spleen deficiency syndrome.Methods:60 patients with IBS-D(liver depression and spleen deficiency syndrome)treated in the outpatient clinic from January 2021 to December 2023 were selected and randomly divided into two groups using a random number table.The combined group was treated with Shu Gan Jian Pi Yi Qi prescription and grain-sized moxibustion,while the reference group was treated with western medication.The total effective rate,IBS symptom severity score(IBS-SSS),Bristol stool scale score,and IBS-specific quality of life questionnaire(IBSQOL)were compared between the two groups.Results:The total effective rate of the combined group was higher than that of the reference group(P<0.05).Before treatment,there were no differences in IBS-SSS score,Bristol stool scale score,and IBSQOL score between the two groups(P>0.05).After treatment,the IBS-SSS score and Bristol stool scale score of the combined group were lower than those of the reference group,while the IBSQOL score was higher(P<0.05).Conclusion:Shu Gan Jian Pi Yi Qi prescription combined with grain-sized moxibustion can improve the symptoms of IBS-D patients,including stool characteristics,and enhance their quality of life. 展开更多
关键词 Shu Gan Jian Pi Yi qi prescription Grain-sized moxibustion Diarrhea-predominant irritable bowel syndrome Liver depression and spleen deficiency syndrome
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Network pharmacology-based exploration of molecular mechanisms underlying therapeutic effects of Jianpi Huatan Quyu recipe on chronic heart failure with spleen Qi deficiency syndrome
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作者 Si-Qi Li Dong-Yu Min +7 位作者 Jun-Wen Jiang Xiao-Ying Li Xu-Na Yang Wen-Bo Gu Jia-Hui Jiang Li-Hao Chen Han Nan Ze-Yu Chen 《World Journal of Cardiology》 2024年第7期422-435,共14页
BACKGROUND Chronic heart failure is a complex clinical syndrome.The Chinese herbal compound preparation Jianpi Huatan Quyu recipe has been used to treat chronic heart failure;however,the underlying molecular mechanism... BACKGROUND Chronic heart failure is a complex clinical syndrome.The Chinese herbal compound preparation Jianpi Huatan Quyu recipe has been used to treat chronic heart failure;however,the underlying molecular mechanism is still not clear.AIM To identify the effective active ingredients of Jianpi Huatan Quyu recipe and explore its molecular mechanism in the treatment of chronic heart failure.METHODS The effective active ingredients of eight herbs composing Jianpi Huatan Quyu recipe were identified using the Traditional Chinese Medicine Systems Pharmacology Database and Analysis Platform.The target genes of chronic heart failure were searched in the Genecards database.The target proteins of active ingredients were mapped to chronic heart failure target genes to obtain the common drugdisease targets,which were then used to construct a key chemical componenttarget network using Cytoscape 3.7.2 software.The protein-protein interaction network was constructed using the String database.Gene Ontology and Kyoto Encyclopedia of Genes and Genomes enrichment analyses were performed through the Metascape database.Finally,our previously published relevant articles were searched to verify the results obtained via network pharmacology.RESULTS A total of 227 effective active ingredients for Jianpi Huatan Quyu recipe were identified,of which quercetin,kaempferol,7-methoxy-2-methyl isoflavone,formononetin,and isorhamnetin may be key active ingredients and involved in the therapeutic effects of TCM by acting on STAT3,MAPK3,AKT1,JUN,MAPK1,TP53,TNF,HSP90AA1,p65,MAPK8,MAPK14,IL6,EGFR,EDN1,FOS,and other proteins.The pathways identified by KEGG enrichment analysis include pathways in cancer,IL-17 signaling pathway,PI3K-Akt signaling pathway,HIF-1 signaling pathway,calcium signaling pathway,cAMP signaling pathway,NF-kappaB signaling pathway,AMPK signaling pathway,etc.Previous studies on Jianpi Huatan Quyu recipe suggested that this Chinese compound preparation can regulate the TNF-α,IL-6,MAPK,cAMP,and AMPK pathways to affect the mitochondrial structure of myocardial cells,oxidative stress,and energy metabolism,thus achieving the therapeutic effects on chronic heart failure.CONCLUSION The Chinese medicine compound preparation Jianpi Huatan Quyu recipe exerts therapeutic effects on chronic heart failure possibly by influencing the mitochondrial structure of cardiomyocytes,oxidative stress,energy metabolism,and other processes.Future studies are warranted to investigate the role of the IL-17 signaling pathway,PI3K-Akt signaling pathway,HIF-1 signaling pathway,and other pathways in mediating the therapeutic effects of Jianpi Huatan Quyu recipe on chronic heart failure. 展开更多
关键词 Jianpi Huatan Quyu recipe Traditional Chinese medicine Chronic heart failure Data mining Network pharmacology BIOINFORMATICS spleen qi deficiency syndrome
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Rules of Ren Shunping's prescription for trearing Spleen Deficiency and Qi Stagnation Syndrome of Functional Dyspepsia Based on Data Mining
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作者 Yan-Bo Liu Xin-Tong Wang Shun-Ping Ren 《Journal of Hainan Medical University》 2020年第24期53-59,共7页
Objective:To explore the medication rules of Professor Ren Shunping treating spleen deficiency and qi stagnation syndrome of functional dyspepsia,so as to provide reference for clinical prevention and development of n... Objective:To explore the medication rules of Professor Ren Shunping treating spleen deficiency and qi stagnation syndrome of functional dyspepsia,so as to provide reference for clinical prevention and development of new drugs.Methods:The 144 Chinese herbal formulas considered as active prescribed by professor Ren Shunping for the first time treating the patients with spleen deficiency and qi stagnation syndrome of functional dyspepsia were collected,entered into TCM inheritance auxiliary platform(V2.5),and then mined by some data mining methods of the software,such as the association rules and unsupervised entropy hierarchical clustering.Results:This study involved 144 Chinese herbal formulas,including a total of 56 Chinese herbal medicines.Of these Chinese herbal medicines,the herbs of cold and warm nature,and pungent,bitter and sweet in flavors were used in a quite high frequency,all of which act on spleen,stomach,lungs,large intestine,liver and gallbladder meridians.One core Chinese herbal formula was excavated,composed of patchouli,perilla stem,radix bupleuri,scutellaria,ginger pinellia,codonopsispilosula,magnolia bark,tangerine peel,large-headed atractylodes,immature bitter orange,wood incense,fructus amomi,inula britannica chinensis,ginger,medicated leaven,fried rice and fried malt based on the association rules.And a total of 17 groups of core used drugs and 2 groups of new Chinese herbal formulas undiscovered were mined based on unsupervised entropy hierarchical clustering.Conclusion:In treating spleen deficiency and qi stagnation syndrome of functional dyspepsia,professor Ren is good at treating spleen deficiency and qi stagnation syndrome of functional dyspepsia from the perspective of"tong jiang",using the"five-in-one"strategy of strengthening the spleen,evacuating the liver,coming down qi from the stomach,dispersing lung,and bowel-reflexing to treat patients as a whole.And the herbal medicines were light in dose,lovely and mild in nature for the formulars.At the same time,he paid attention to the combination of syndromes and symptoms,and flexible arbitration. 展开更多
关键词 TCM inheritance support platfom Functional dyspepsia spleen deficiency and qi stagnation SYNDROME Ren Shun-ping Rules of prescription
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Clinical observation on spleen-invigorating and qi-benefiting pediatric massage for treating recurrent respiratory tract infection in children with cerebral palsy due to qi deficiency of spleen and lung 被引量:10
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作者 Xie Jie-shan Li Yu-xiu +2 位作者 Yan Xiao-lan Xun Jing-ping Jin Bing-xu 《Journal of Acupuncture and Tuina Science》 CSCD 2021年第2期110-116,共7页
Objective:To observe the clinical efficacy of spleen-invigorating and qi-benefiting pediatric massage(tuina)for treating recurrent respiratory tract infection in children with cerebral palsy due to qi deficiency of sp... Objective:To observe the clinical efficacy of spleen-invigorating and qi-benefiting pediatric massage(tuina)for treating recurrent respiratory tract infection in children with cerebral palsy due to qi deficiency of spleen and lung.Methods:A total of 70 children with cerebral palsy who suffered from recurrent respiratory tract infection due to qi deficiency of spleen and lung were randomized into an observation group and a control group by the random number table method,with 35 cases in each group.Both groups were treated with conventional rehabilitation training,while the observation group was given additional spleen-invigorating and qi-benefiting pediatric massage,and the control group additionally took oral Yu Ping Feng granule.The clinical efficacy was evaluated by the total effective rate,traditional Chinese medicine(TCM)symptom score,and serum levels of immunoglobulin(Ig)A,IgM and IgG.Results:The difference in total effective rate between the two groups after treatment was statistically significant(P<0.05).After treatment,the TCM symptom scores in both groups decreased to varying degrees than those before treatment,and the intra-group differences were statistically significant(all P<0.01);the differences in the scores of various TCM symptoms between the two groups were statistically significant(all P<0.05).After treatment,the levels of IgA,IgM and IgG of the children in both groups increased to varying degrees,and the intra-group differences were statistically significant(all P<0.05).The between-group differences in the IgA,IgM and IgG levels after treatment were statistically significant(all P<0.05).Conclusion:Spleen-invigorating and qi-benefiting pediatric massage can effectively treat recurrent respiratory tract infection due to qi deficiency of spleen and lung in children with cerebral palsy,relieve the clinical symptoms and improve immune function,and thus is worthy of clinical promotion and application. 展开更多
关键词 MASSAGE Pediatric Massage(Tuina) Cerebral Palsy Respiratory Tract Infections qi deficiency of spleen and lung Randomized Controlled Trials
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Clinical observation on moxibustion therapy plus tuina in treating children with recurrent respiratory tract infections due to qi deficiency of spleen and lung 被引量:3
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作者 Xia Yun Cao Zhi-liang +3 位作者 Liu Ying-han Lou Bi-dan Zhang Wei Zhang Fu-qing 《Journal of Acupuncture and Tuina Science》 CSCD 2021年第5期371-377,共7页
Objective:To observe the clinical efficacy of moxibustion therapy plus Liu's pediatric massage(tuina)for children with recurrent respiratory tract infections due to qi deficiency of spleen and lung.Methods:A total... Objective:To observe the clinical efficacy of moxibustion therapy plus Liu's pediatric massage(tuina)for children with recurrent respiratory tract infections due to qi deficiency of spleen and lung.Methods:A total of 60 children who met the inclusion criteria were divided into an observation group and a control group according to the visiting sequence,with 30 cases in each group.Children in the observation group were treated with moxibustion therapy plus Liu's pediatric massage,and those in the control group were treated with Liu's pediatric massage alone.The incidence of respiratory tract infections and traditional Chinese medicine(TCM)symptoms score were observed and recorded in both groups before and after treatment.And the clinical efficacy was compared between the two groups・Results:The total effective rate of the observation group was 93.3%,and that of the control group was 83.3%.The differenee between the two groups was statistically significant(P<0.05).After treatment,the TCM symptoms score and total times of infections in both groups were all statistically different from those before treatment(all P<0.05).The differences in TCM symptoms score and infection frequency before and after treatment in the observation group were statistically different from those in the control group(both P<0.05).Conclusion:Moxibustion therapy plus Liu's pediatric massage has a better effect in improving the clinical symptoms and reducing the frequency of respiratory tract infections for children with recurrent respiratory tract infections due to qi deficiency of spleen and lung than the pediatric massage alone. 展开更多
关键词 Moxibustion Therapy TUINA MASSAGE Pediatric Massage(Tuina) Respiratory Tract Infections qi deficiency of spleen and lung Child Preschool
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Study of establishing disease-syndrome combined with animal model for immune thrombocytopenic purpura without additional conditions 被引量:2
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作者 Haiyan Lang Ming Guo +4 位作者 Yuting Chu Wei Ma Yayue Zhang Ling Zhang Xinyi Chen 《Journal of Traditional Chinese Medical Sciences》 2016年第3期135-140,共6页
Objective:To explore the feasibility of establishing the disease-syndrome combined animal model for immune thrombocytopenic purpura(ITP)without additional conditions.Methods:Three batches of data related to the ITP mo... Objective:To explore the feasibility of establishing the disease-syndrome combined animal model for immune thrombocytopenic purpura(ITP)without additional conditions.Methods:Three batches of data related to the ITP model mice obtained by replication at different time were analyzed,and whether the APS-injected model mice replicated through the passive immune modeling method could simulate the pathogenesis and clinical characteristics of human ITP was evaluated according to the differentiation criteria for diseasesyndrome combined model.Results:The APS-injected replicated ITP model mice possessed the following traits:(1)Compared with the normal group,the platelet count was significantly decreased,and coagulation time was significantly increased in the model group(P<.01).(2)Compared with the normal group,the medullary thrombocytogenous megakaryocytes were significantly decreased(P<.05,.01,.001).(3)The APS-injected sites and other parts of the model mice had spontaneous hemorrhage.(4)Behavioral changing signs were observed 1 week after the modeling(i.e.low activity,delayed activity,poor appetite,skin petechia/hemorrhage and spontaneous hemorrhage at the injected sites or other parts),and were getting more and more severe.Conclusion:According to the syndrome differentiation criteria for disease-syndrome combined model of ITP,the APS-injected animal model of ITP replicated through the passive immune modeling method without additional conditions possesses the characteristics of disease-syndrome combined model.It provides an ideal tool for the development of traditional Chinese medicine pharmacology experiment. 展开更多
关键词 Immune thrombocytopenic purpura Syndrome of failure of spleen qi to control blood due to deficiency of spleen qi Disease-syndrome combined animal model
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炙甘黄白汤联合西替利嗪在脾肺气虚型过敏性鼻炎中的应用分析
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作者 李静 徐晖 +4 位作者 李红超 吴庆垠 崔冰漪 吕志超 孙惠敏 《辽宁中医杂志》 北大核心 2025年第3期77-80,共4页
目的探究自拟方剂炙甘黄白汤联合西替利嗪对脾肺气虚型过敏性鼻炎患者血清炎症因子及微量元素水平的影响。方法收集2022年3月—2023年2月唐山市中医医院耳鼻喉科收治的124例脾肺气虚型过敏性鼻炎患者,随机分为试验组和对照组,各62例。... 目的探究自拟方剂炙甘黄白汤联合西替利嗪对脾肺气虚型过敏性鼻炎患者血清炎症因子及微量元素水平的影响。方法收集2022年3月—2023年2月唐山市中医医院耳鼻喉科收治的124例脾肺气虚型过敏性鼻炎患者,随机分为试验组和对照组,各62例。对照组予以盐酸左西替利嗪分散片,试验组予以自拟方剂炙甘黄白汤联合西替利嗪。两组患者均以4周为1个疗程,共治疗1个疗程。对比两组临床疗效、症状积分、血清炎症因子、微量元素及不良反应发生情况。结果与对照组比较,试验组临床总有效率较高(P<0.05)。与治疗前比较,两组治疗后鼻痒、鼻塞、喷嚏、擤鼻及症状总积分显著降低(P<0.05),且与对照组比较,试验组积分更低(P<0.05)。治疗后,两组血清白细胞介素-4(interleukin-4,IL-4)、白细胞介素-5(interleukin-5,IL-5)、白细胞介素-10(interleukin-10,IL-10)、白细胞介素-17(interleukin-17,IL-17)水平降低(P<0.05);且与对照组比较,试验组水平更低(P<0.05)。治疗后,两组锌(Zn)水平升高,铜(Cu)、锰(Mn)水平降低(P<0.05);且与对照组比较,试验组Zn水平更高,Cu、Mn水平更低(P<0.05)。与对照组比较,试验组不良反应发生率较低,差异具有统计学意义(P<0.05)。结论自拟方剂炙甘黄白汤联合西替利嗪对脾肺气虚型过敏性鼻炎患者疗效良好,能够有效缓解患者临床症状,其作用机制可能与调节机体内微量元素水平、抑制炎症反应具有密切相关性。 展开更多
关键词 炙甘黄白汤 西替利嗪 脾肺气虚型过敏性鼻炎 炎症因子 微量元素
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Chinmedomics facilitated quality-marker discovery of Sijunzi decoction to treat spleen qi deficiency syndrome 被引量:11
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作者 Qiqi Zhao Xin Gao +6 位作者 Guangli Yan Aihua Zhang Hui Sun Ying Han Wenxiu Li Liang Liu Xijun Wang 《Frontiers of Medicine》 SCIE CAS CSCD 2020年第3期335-356,共22页
Sijunzi decoction (SJZD) is a Chinese classical formula to treat spleen qi deficiency syndrome (SQDS) and has been widely used for thousands of years.However,the quality control (QC) standards of SJZD are insufficient... Sijunzi decoction (SJZD) is a Chinese classical formula to treat spleen qi deficiency syndrome (SQDS) and has been widely used for thousands of years.However,the quality control (QC) standards of SJZD are insufficient.Chinmedomics has been designed to discover and verify bioactive compounds of a variety of formularapidly.In this study,we used Chinmedomics to evaluate the SJZD's efficacy against SQDS to discover the potential quality-markers (q-markers) for QC.A total of 56 compounds in SJZD were characterized in vitro,and 23 compounds were discovered in vivo.A total of 58 biomarkers were related to SQDS,and SJZD can adjust a large proportion of marker metabolites to normal level and then regulate the metabolic profile to the health status.A total of 10 constituents were absorbed as effective ingredients that were associated with overall efficacy.We preliminarily determined malonyl-ginsenoside Rb2 and ginsenoside Ro as the q-markers of ginseng;dehydrotumulosic acid and dihydroxy lanostene-triene-21-acid as the q-markers of poria;glycyrrhizic acid,isoglabrolide,and glycyrrhetnic acid as the q-markers of licorice;and 2-atractylenolide as the q-marker of macrocephala.According to the discovery of the SJZD q-markers,we can establish the quality standard that is related to efficacy. 展开更多
关键词 traditional Chinese medicine Sijunzi decoction spleen qi deficiency syndrome Chinmedomics quality-marker
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自拟疏运化滞汤治疗脾虚气滞证功能性消化不良餐后不适综合征的临床效果
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作者 李毅宁 庄小梅 《中外医学研究》 2025年第7期27-31,共5页
目的:探讨自拟疏运化滞汤治疗脾虚气滞证功能性消化不良餐后不适综合征(postprandial distress syndrome,PDS)患者的临床效果。方法:选取2020年1月—2024年6月厦门大学附属中山医院收治的88例脾虚气滞证功能性消化不良PDS患者,随机分组... 目的:探讨自拟疏运化滞汤治疗脾虚气滞证功能性消化不良餐后不适综合征(postprandial distress syndrome,PDS)患者的临床效果。方法:选取2020年1月—2024年6月厦门大学附属中山医院收治的88例脾虚气滞证功能性消化不良PDS患者,随机分组法均分为两组,其中给予常规西药治疗的为对照组,给予自拟疏运化滞汤治疗的研究组。比较两组疗效、中医症候积分、生活质量、心理状态[汉密尔顿抑郁量表(Hamilton depression scale,HAMD)评分、汉密尔顿焦虑量表(Hamilton anxiety scale,HAMA)评分]及复发情况。结果:研究组总有效率90.91%,高于对照组的72.73%,差异有统计学意义(P<0.05)。研究组治疗后各症状评分及中医症候总积分低于对照组,差异有统计学意义(P<0.05)。两组治疗后生活质量各维度评分及总分高于治疗前,且研究组高于对照组,差异有统计学意义(P<0.05)。两组治疗后HAMD评分、HAMA评分低于治疗前,且研究组低于对照组,差异有统计学意义(P<0.05)。研究组复发率5.00%,低于对照组的21.88%,差异有统计学意义(P<0.05)。结论:自拟疏运化滞汤能够对脾虚气滞证功能性消化不良PDS患者临床症状和生活进行改善,减少复发,提升疗效。 展开更多
关键词 餐后不适综合征 功能性消化不良 脾虚气滞证 疏运化滞汤
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神曲消食口服液联合自拟中药穴位贴敷治疗小儿消化不良脾胃气虚证的效果
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作者 王晨曦 赵彤 《临床医学研究与实践》 2025年第7期123-126,共4页
目的探究神曲消食口服液联合自拟中药穴位贴敷治疗小儿消化不良脾胃气虚证的效果。方法纳入2019年8月至2020年8月本院接收的110例小儿消化不良脾胃气虚证患儿作为研究对象,根据随机数字表法将其分为对照组和治疗组,每组55例。对照组采... 目的探究神曲消食口服液联合自拟中药穴位贴敷治疗小儿消化不良脾胃气虚证的效果。方法纳入2019年8月至2020年8月本院接收的110例小儿消化不良脾胃气虚证患儿作为研究对象,根据随机数字表法将其分为对照组和治疗组,每组55例。对照组采用神曲消食口服液治疗,治疗组在此基础上加用自拟中药穴位贴敷治疗。比较两组的胃肠激素水平、中医证候积分及胃肠动力学指标。结果治疗后,两组的胃动素(MTL)、胃泌素(GAS)、神经肽Y(NPY)水平均升高,5-羟色胺(5-HT)、降钙素基因相关肽(CGRP)水平均降低,且治疗组优于对照组,差异具有统计学意义(P<0.05)。治疗后,两组的脘腹胀满、胃脘隐痛、嗳气呃逆、食少纳差评分均显著降低,且治疗组低于对照组,差异具有统计学意义(P<0.05)。治疗后,两组的胃窦运动指数、胃窦收缩频率、胃窦收缩幅度均升高,胃半排空时间均缩短,且治疗组优于对照组,差异具有统计学意义(P<0.05)。结论神曲消食口服液联合自拟中药穴位贴敷治疗小儿消化不良脾胃气虚证能够改善胃肠激素、中医证候积分、胃肠动力学指标,具有推广价值。 展开更多
关键词 小儿消化不良 脾胃气虚证 神曲消食口服液 穴位贴敷
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中医证候动物模型建立及评价方法研究
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作者 杜利莉 章丹宁 +1 位作者 薛梅 卞勇 《南京中医药大学学报》 北大核心 2025年第1期11-18,共8页
中医证候动物模型是揭示中医基础理论、促进中医药临床发展的重要载体,更是促进中医药现代化与国际化不可或缺的重要工具。目前,中医证候动物模型建立方法多样,评价标准不一。基于五脏的主要生理功能,以临床常见的心气虚证、肝郁证、脾... 中医证候动物模型是揭示中医基础理论、促进中医药临床发展的重要载体,更是促进中医药现代化与国际化不可或缺的重要工具。目前,中医证候动物模型建立方法多样,评价标准不一。基于五脏的主要生理功能,以临床常见的心气虚证、肝郁证、脾气虚证、肺气虚证、肾阳虚证为代表,总结分析近年来最常用的中医证候动物模型的构建及评价方法,为建立更为科学客观的中医证候动物模型构建方法及评价体系提供参考。 展开更多
关键词 中医证候 动物模型 构建 评价 心气虚证 肝郁证 脾气虚证 肺气虚证 肾阳虚证
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五物甘草生摩膏穴位推拿防治肺脾气虚证脑瘫患儿反复呼吸道感染临床研究
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作者 张争艳 王俊玲 +2 位作者 李洁 白青云 都修波 《新中医》 2025年第2期143-147,共5页
目的:观察五物甘草生摩膏穴位推拿防治肺脾气虚证脑瘫患儿反复呼吸道感染(RRTI)的临床疗效。方法:将60例2022年3月—2023年4月于河南中医药大学第一附属医院就诊的肺脾气虚证RRTI脑瘫患儿,采用随机数字表法分为观察组与对照组各30例。... 目的:观察五物甘草生摩膏穴位推拿防治肺脾气虚证脑瘫患儿反复呼吸道感染(RRTI)的临床疗效。方法:将60例2022年3月—2023年4月于河南中医药大学第一附属医院就诊的肺脾气虚证RRTI脑瘫患儿,采用随机数字表法分为观察组与对照组各30例。观察组以五物甘草生摩膏为介质进行穴位推拿治疗,对照组给予口服脾氨肽治疗。疗程8周,观察2组临床疗效、中医证候评分;随访12个月,记录2组呼吸道感染减少次数及不良反应。结果:观察组总有效率为93.33%(27/30),对照组为63.33%(19/30),2组比较,差异有统计学意义(P<0.05)。治疗后,2组恶风、自汗、气短、面色苍白、少气懒言、不思饮食、形体消瘦、大便溏薄等中医证候评分均较治疗前降低(P<0.05),且观察组各项评分均低于对照组(P<0.05)。随访12个月,观察组呼吸道感染减少次数明显多于对照组(P<0.05);其中观察组上呼吸道感染减少次数多于对照组(P<0.05),2组下呼吸道感染(包括气管炎/支气管炎感染、肺炎感染)减少次数比较,差异无统计学意义(P>0.05)。治疗期间,2组患儿均未见明显不良反应。结论:五物甘草生摩膏穴位推拿治疗能改善肺脾气虚证脑瘫患儿RRTI的临床症状,减少上呼吸道感染次数,且远期疗效较好。 展开更多
关键词 反复呼吸道感染 儿童 肺脾气虚证 五物甘草生摩膏 膏摩疗法 穴位推拿
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青盲复明方联合针刺治疗视神经萎缩的临床观察
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作者 冀佳豪 张洁 +3 位作者 陈小华 戎曙欣 王晓玲 曹钰晴 《中国中医眼科杂志》 2025年第2期121-126,共6页
目的观察自拟方青盲复明方联合针刺治疗视神经萎缩(OA)患者的临床疗效。方法纳入2022年10月—2023年10月河北省中医院确诊为肝郁脾虚证OA患者65例(65只眼)。双眼发病者,则纳入右眼。采用随机数字表法分为对照组和治疗组,最终每组纳入30... 目的观察自拟方青盲复明方联合针刺治疗视神经萎缩(OA)患者的临床疗效。方法纳入2022年10月—2023年10月河北省中医院确诊为肝郁脾虚证OA患者65例(65只眼)。双眼发病者,则纳入右眼。采用随机数字表法分为对照组和治疗组,最终每组纳入30例(30只眼)。对照组予胞磷胆碱钠胶囊及甲钴胺片口服,治疗组在对照组的基础上联合青盲复明方及针刺治疗,2组均观察28 d。分别于治疗前和治疗后检测受试者的最佳矫正视力(BCVA)、视野相关指标和中医症候积分。结果(1)BCVA:治疗前后比较,2组治疗后BCVA均较治疗前改善,差异均有统计学意义(t治疗组=8.915、t对照组=4.086,均P=0.000)。治疗后2组间比较,治疗组BCVA优于对照组,差异有统计学意义(t=2.211,P=0.031)。(2)视野相关指标:治疗前后比较,2组治疗后MD均较治疗前降低(t治疗组=13.509、t对照组=7.562,均P=0.000),MS均较治疗前升高(t治疗组=7.579、t对照组=4.289,均P=0.000),差异均有统计学意义。治疗后2组间比较,治疗组MD低于对照组,MS高于对照组,差异均有统计学意义(tMD=9.785,P=0.000;tMS=2.977,P=0.004)。(3)中医症候积分:治疗前后比较,2组治疗后中医症候积分均较治疗前降低,差异均有统计学意义(t治疗组=19.240、t对照组=5.503,均P=0.000)。治疗后2组间比较,治疗组中医症候积分低于对照组,差异有统计学意义(t=9.489,P=0.000)。(4)临床疗效:治疗组的总有效率为86.67%,高于对照组的36.67%,差异有统计学意义(χ2=15.864,P=0.000)。结论自拟青盲复明方联合针刺治疗肝郁脾虚证OA患者具有良好疗效,能够有效地提高视力,改善视野缺损状态,明显改善临床症状。 展开更多
关键词 气机升降理论 青盲复明方 针刺 肝郁脾虚证 视神经萎缩
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曹守沛从脾胃论治冠心病经验
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作者 朱瑛 曹守沛 《河南中医》 2025年第2期244-249,共6页
曹守沛教授认为,“脾虚内伤,痰浊、瘀血内生痹阻心脉”是冠状动脉粥样硬化性心脏病(简称冠心病)发生的常见病因,“心脾气虚,痰瘀阻络”为其常见病机。曹教授注重“心脾同治”,倡导从脾胃论治冠心病,以健脾益气、化痰通络为主要治疗原则... 曹守沛教授认为,“脾虚内伤,痰浊、瘀血内生痹阻心脉”是冠状动脉粥样硬化性心脏病(简称冠心病)发生的常见病因,“心脾气虚,痰瘀阻络”为其常见病机。曹教授注重“心脾同治”,倡导从脾胃论治冠心病,以健脾益气、化痰通络为主要治疗原则,将“健脾益气通脉”的思想贯穿冠心病治疗的始终,自拟“调脾通络方”加减辨治冠心病。曹教授治疗过程中,药物用量均衡,标本兼顾,痰瘀并治,同时衷中参西,对“证”亦对“病”、对“症”,分别施以针对性用药,实现全面辨治,整体调护。气虚血瘀者,因其痰浊证素不显,兼有血虚之候,以自拟方合桃红四物汤加减治之;痰浊、血瘀并见者则以自拟方合枳实薤白桂枝汤或二陈汤加减,以痰瘀同治。 展开更多
关键词 冠状动脉粥样硬化性心脏病 从脾胃论治 心脾气虚证 调脾通络方 曹守沛
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基于肠道菌-神经递质-脑轴探讨补益心脾法对产后抑郁心脾两虚证患者情绪的改善作用
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作者 张细庆 陈文玲 +1 位作者 杨博 王颖 《广州中医药大学学报》 2025年第1期124-131,共8页
【目的】观察基于肠道菌-神经递质-脑轴(简称脑肠轴)理论运用补益心脾法治疗产后抑郁心脾两虚证患者的临床疗效,探讨其对患者抑郁、焦虑情绪的改善作用。【方法】将2021年6月至2023年7月在中国人民解放军联勤保障部队第九〇八医院就诊的... 【目的】观察基于肠道菌-神经递质-脑轴(简称脑肠轴)理论运用补益心脾法治疗产后抑郁心脾两虚证患者的临床疗效,探讨其对患者抑郁、焦虑情绪的改善作用。【方法】将2021年6月至2023年7月在中国人民解放军联勤保障部队第九〇八医院就诊的136例产后抑郁心脾两虚证患者按随机数字表法随机分为常规治疗组(对照组)和补益心脾组(观察组),每组各68例。对照组给予常规抗抑郁药物治疗,观察组在对照组的基础上联合补益心脾法(参芪解郁方)治疗,2组均连续治疗6周。观察2组患者治疗前后中医证候主症积分、汉密尔顿抑郁量表(HAMD)评分、广泛性焦虑自评量表(GAD-7)评分和血清神经递质5-羟色胺(5-HT)、多巴胺(DA)、去甲肾上腺素(NE)及肠道菌群代谢产物短链脂肪酸(SCFAs)、谷氨酸(GLU)、γ-氨基丁酸(GABA)水平的变化情况,并评价2组患者的临床疗效和用药安全性。【结果】(1)疗效方面,治疗6周后,观察组的总有效率为89.71%(61/68),对照组为73.53%(50/68),组间比较(χ^(2)检验),观察组的疗效明显优于对照组(P <0.05)。(2)中医证候积分方面,治疗后,2组患者的情志不畅、思维困顿、食欲减退、腹胀便溏等各项主症积分均较治疗前降低(P <0.05),且观察组的降低幅度均明显优于对照组(P <0.01)。(3)抑郁、焦虑情绪方面,治疗后,2组患者的HAMD评分和GAD-7评分均较治疗前降低(P <0.05),且观察组的降低幅度均明显优于对照组(P <0.01)。(4)神经递质方面,治疗后,2组患者的血清5-HT、DA、NE水平均较治疗前升高(P <0.05),且观察组的升高幅度均明显优于对照组(P <0.01)。(5)肠道菌群代谢产物方面,治疗后,2组患者的血清SCFAs、GLU、GABA水平均较治疗前提高(P <0.05),且观察组的提高幅度均明显优于对照组(P <0.01)。(6)安全性方面,观察组的不良反应发生率为8.82%(6/68),对照组为5.88%(4/68),组间比较,差异无统计学意义(P> 0.05)。【结论】基于脑肠轴理论使用补益心脾法治疗产后抑郁心脾两虚证患者疗效显著,可通过改善患者神经递质失衡及肠道菌群代谢来减轻抑郁、焦虑情绪,且具有较高的安全性。 展开更多
关键词 产后抑郁 心脾两虚证 补益心脾法 参芪解郁方 脑肠轴 肠道菌群 神经递质
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中药口服治疗小儿哮喘缓解期肺脾气虚证研究进展
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作者 张荣云 张慧敏 《中国中医药现代远程教育》 2025年第3期153-155,共3页
哮喘是小儿常见的哮鸣气喘性肺系疾病,具有反复发作、难以根治的特点。缓解期是防治哮喘的关键时期,以肺脾气虚证为临床最常见的证型。小儿处于生长发育过程中,治疗不同年龄阶段的患儿常有不同限制,因此选择适宜的给药方法和剂型尤为重... 哮喘是小儿常见的哮鸣气喘性肺系疾病,具有反复发作、难以根治的特点。缓解期是防治哮喘的关键时期,以肺脾气虚证为临床最常见的证型。小儿处于生长发育过程中,治疗不同年龄阶段的患儿常有不同限制,因此选择适宜的给药方法和剂型尤为重要。药物内治给药方法多种多样,口服是最主要的途径。文章通过查阅近5年小儿哮喘缓解期肺脾气虚证的中医药内治疗法相关资料,分析汤剂、膏剂、冲剂的运用及疗效,为临床剂型选择和遣方用药提供参考。 展开更多
关键词 小儿哮喘 缓解期 肺脾气虚证 中医药疗法 综述
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基于“窍”理论论治小儿鼻鼽及相关疾病
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作者 马卉子 谭玉环 杨露 《基层中医药》 2025年第1期15-19,共5页
介绍徐辉甫教授辨证论治小儿鼻鼽、耳胀、鼾眠的用药经验。近年来变应性鼻炎逐年增多,对患儿学习、生活造成了一定的影响。临床上,变应性鼻炎患儿常常合并有分泌性中耳炎、腺样体肥大等疾病,西医治疗疗效迅速,但往往会出现症状反复,还... 介绍徐辉甫教授辨证论治小儿鼻鼽、耳胀、鼾眠的用药经验。近年来变应性鼻炎逐年增多,对患儿学习、生活造成了一定的影响。临床上,变应性鼻炎患儿常常合并有分泌性中耳炎、腺样体肥大等疾病,西医治疗疗效迅速,但往往会出现症状反复,还可能出现不良反应。徐辉甫教授从“窍”理论出发分析小儿鼻鼽及相关疾病,认为其病机根本在于肺气不足,脏窍不通。治疗上补肺通窍、益气活血,自拟通窍汤加减治疗,三种疾病核心病机相同,其病位及内生病理产物略有差异,异病同治,取得了良好的疗效,值得推广应用。 展开更多
关键词 变应性鼻炎 分泌性中耳炎 腺样体肥大 肺脾气虚证 中医药疗法 临床经验
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益气健脾汤对脾气亏虚型2型糖尿病患者胰高血糖素样肽-1和胰高血糖素的影响
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作者 张靖寅 李爱平 +3 位作者 乔文琪 王仕清 于泽宇 田源 《现代中西医结合杂志》 2025年第3期325-330,共6页
目的观察益气健脾汤对脾气亏虚型2型糖尿病(T2DM)患者胰高血糖素样肽-1(GLP-1)、胰高血糖素(GCG)的影响,探讨益气健脾汤的可能作用机制。方法纳入2023年12月—2024年3月就诊于黑龙江中医药大学附属第三医院内分泌(老年病)科的脾气亏虚型... 目的观察益气健脾汤对脾气亏虚型2型糖尿病(T2DM)患者胰高血糖素样肽-1(GLP-1)、胰高血糖素(GCG)的影响,探讨益气健脾汤的可能作用机制。方法纳入2023年12月—2024年3月就诊于黑龙江中医药大学附属第三医院内分泌(老年病)科的脾气亏虚型T2DM患者60例,按照随机数字表法平均分为治疗组和对照组,最终治疗组28例、对照组30例完成研究。对照组予以饮食、运动等糖尿病基础生活方式干预和盐酸二甲双胍片口服,治疗组在对照组治疗基础上给予益气健脾汤化裁口服,2组治疗周期均为6周。观察比较2组治疗前后中医证候积分、血糖指标[空腹血糖(FPG),口服葡萄糖耐量实验后30 min、60 min、120 min、180 min血糖,糖化血红蛋白(HbA1c)]及血清GLP-1、GCG水平。结果治疗后,2组中医证候积分均明显低于治疗前(P均<0.05),且治疗组明显低于对照组(P<0.05)。治疗后,治疗组FPG、HbA1c及血清GCG水平均明显低于治疗前及对照组(P均<0.05),血清GLP-1水平明显高于治疗前及对照组(P均<0.05),对照组血清GLP-1、GCG水平与治疗前比较差异均无统计学意义(P均>0.05)。结论益气健脾汤可能通过提高GLP-1水平、降低GCG水平来改善糖代谢,从而达到降糖的目的。 展开更多
关键词 2型糖尿病 脾气亏虚证 益气健脾汤 胰高血糖素样肽-1
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基于“主客交”理论分期论治上气道咳嗽综合征
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作者 邵梦璐 柏晋梅 《河南中医》 2025年第1期28-31,共4页
基于“主客交”理论,上气道咳嗽综合征的病机为肺脾气虚,风邪客于肺脾,痰浊上扰,风痰搏结,合而为病,故治疗以宣肺化痰、培土生金为法则。急性期治客,客去交易解,风热者疏风清热解表,药用连翘、金银花、菊花、蒲公英等;风寒者散之宣之,... 基于“主客交”理论,上气道咳嗽综合征的病机为肺脾气虚,风邪客于肺脾,痰浊上扰,风痰搏结,合而为病,故治疗以宣肺化痰、培土生金为法则。急性期治客,客去交易解,风热者疏风清热解表,药用连翘、金银花、菊花、蒲公英等;风寒者散之宣之,药用防风、荆芥、苍耳子、白芷、紫苏叶、辛夷等;缓解期治交,交去主客分离,药选陈皮、半夏、竹茹、瓜蒌、干姜、细辛、贝母、知母等;恢复期治主,主安邪不易犯,治应培土生金、健脾化痰,药选茯苓、白术、苍术、山药等。 展开更多
关键词 上气道咳嗽综合征 “主客交”理论 分期论治 肺脾两虚 风邪外袭 风痰搏结
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