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Efficacy of Traditional Chinese Medicine in patients with acute myocardial infarction suffering from diabetes mellitus 中药治疗急性心肌梗死合并糖尿病的疗效观察
IF 2.6 4区 医学 Q3 Medicine Pub Date : 2018-06-01 DOI: 10.1016/S0254-6272(18)30632-0
Dai Guohua , Gao Wulin , Bi Dongxue , Liu Chunhua , Liu Yuhan , Wang Ning , Zhao Chen

OBJECTIVE

To investigate the “real world” effectiveness of Traditional Chinese Medicine (TCM) in patients with acute myocardial infarction suffering from diabetes mellitus (AMI+DM patients).

METHODS

This was a retrospective cohort study. During hospitalization, the “exposure group” was defined as patients who had a TCM injection for ≥ 7 d. During follow-up, the definition of the exposure group was application of a Chinese patent medicine or decoction of Chinese medicine for ≥ 28 d. General information (age, sex, contact details), TCM use and endpoint events of AMI + DM patients during hospitalization and follow-up were collected. The correlation between TCM and the end-point events of AMI + DM patients was analyzed using a multiple logistic regression method.

RESULTS

A total of 479 AMI + DM patients were enrolled and 345 cases were followed up. During hospitalization, TCM, age, hypertension and use of an angiotensin-converting enzyme inhibitor (ACEI) or angiotensin receptor blocker (ARB) were associated with cardiac death. During follow-up, TCM was associated with cardiac death. TCM was a relevant factor for a composite endpoint of re-infarction and stroke. TCM, anti-thrombotic therapy and lipid-lowering therapy were related to acute heart failure. TCM, anti-thrombotic therapy, anti-MI therapy and ACEI/ARB use exhibited a strong correlation with re-hospitalization due to cardiovascular disease.

CONCLUSION

TCM reduced the prevalence of cardiac death during hospitalization, and cardiac death, a composite endpoint of re-infarction and stroke, acute heart failure and re-hospitalization due to cardiovascular disease during follow-up.

目的探讨中药治疗急性心肌梗死合并糖尿病(AMI+DM)患者的临床疗效。方法回顾性队列研究。住院期间,“暴露组”定义为服用中药注射液≥7 d。随访期间,暴露组定义为服用中成药或中药汤剂≥28 d。收集AMI + DM患者住院及随访期间的一般信息(年龄、性别、联系方式)、中药使用情况及终点事件。采用多元logistic回归分析中药与AMI + DM患者终点事件的相关性。结果共纳入AMI + DM患者479例,随访345例。住院期间,中医、年龄、高血压和使用血管紧张素转换酶抑制剂(ACEI)或血管紧张素受体阻滞剂(ARB)与心源性死亡相关。随访期间,中医与心源性死亡相关。中医是再梗死和脑卒中复合终点的相关因素。中医、抗栓、降脂治疗与急性心力衰竭相关。中医、抗栓治疗、抗心肌梗死治疗和ACEI/ARB使用与心血管疾病再住院有很强的相关性。结论中药降低了住院期间心源性死亡的发生率,降低了随访期间心源性死亡(再梗死、卒中、急性心力衰竭、心血管疾病再住院的复合终点)的发生率。
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引用次数: 0
Jinghua Weikang capsule protects against Helicobacter pylori-induced inflammatory responses via the nuclear factor-kappa B signaling pathway 荆花胃康胶囊通过核因子- κ B信号通路对幽门螺杆菌诱导的炎症反应具有保护作用
IF 2.6 4区 医学 Q3 Medicine Pub Date : 2018-06-01 DOI: 10.1016/j.jtcm.2018.03.001
Shi Zongming , Ye Hui , Yu Jing , Cheng Hong , Li Jiang , Zhang Xuezhi

OBJECTIVE

To investigate the inhibitory effect of Jinghua Weikang capsule (JWC) on gastric inflammation induced by Helicobacter pylori (H. pylori) via the nuclear factor-kappa B (NF-κB) signaling pathway in Kunming mice.

METHODS

We investigated the anti-inflammation potential of JWC extract in vivo in a H. pylori-induced gastritis mouse model. The expression of inflammation-related molecules was evaluated by Western blotting, and the concentrations of in vivo inflammatory markers were measured by enzyme-linked immunosorbent assay. Inflammatory cell infiltration was evaluated by histopathological examination, and mRNA levels of related genes were evaluated by quantitative reverse transcription polymerase chain reaction.

RESULTS

JWC had a dose-dependent protective effect against H. pylori-induced gastritis by protecting gastric epithelial cells and inhibiting inflammatory cell infiltration. Mechanistically, JWC decreased the protein levels of phosphorylated IκBα and NF-κB p65, mRNA levels of NF-κB pathway molecules, and plasma levels of tumor necrosis factor-α and interleukin 1 beta.

CONCLUSION

An important finding of our study is that JWC attenuated gastrointestinal inflammation and ulceration and exerted a protective effect against gastric injury via inhibition of inflammation reactions and regulating the canonical NF-κB signaling pathway in vivo.

目的探讨经花胃康胶囊(JWC)通过核因子κB (NF-κB)信号通路对昆明小鼠幽门螺杆菌(H. pylori)诱导的胃炎的抑制作用。方法在幽门螺杆菌诱导的小鼠胃炎模型中,研究JWC提取物的抗炎作用。免疫印迹法检测炎症相关分子的表达,酶联免疫吸附法检测体内炎症标志物的浓度。组织病理学检查炎性细胞浸润情况,定量逆转录聚合酶链反应检测相关基因mRNA表达水平。结果jwc对幽门螺杆菌诱导的胃炎具有剂量依赖性的保护作用,其机制为保护胃上皮细胞,抑制炎症细胞浸润。机制上,JWC降低了磷酸化i -κB α和NF-κB p65蛋白水平、NF-κB通路分子mRNA水平以及血浆肿瘤坏死因子-α和白细胞介素1 β水平。结论本研究的一个重要发现是JWC在体内通过抑制炎症反应和调节典型的NF-κB信号通路,减轻胃肠道炎症和溃疡,对胃损伤具有保护作用。
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引用次数: 5
Effect of spleen-invigorating, Qi-replenishing and blood-arresting formula on zebrafish models with simvastatin-induced hemorrhage caused by spleen failing to control blood, in terms of theory of Traditional Chinese Medicine 健脾益气阻血方对辛伐他汀致脾控血不全出血斑马鱼模型的影响(中医理论
IF 2.6 4区 医学 Q3 Medicine Pub Date : 2018-06-01 DOI: 10.1016/S0254-6272(18)30630-7
Gao Chong , Wang Jun , Wang Jia , Zhu Xiaoyu , Zhu Changle , Guo Shengya , Wang Chong , Fan Qiuyue , Zhang Jianuo , Xia Bo , Chen Xinyi

OBJECTIVE

To investigate the hemostasis effect of spleen-invigorating, Qi-replenishing and blood-arresting formula, on a zebrafish models with simvastatin-induced hemorrhage, and with symptom pattern caused by spleen failing to control blood, in terms of theory of Traditional Chinese Medicine (TCM).

METHODS

In the first experiment, 60 AB strain wild type zebrafishes were randomly assigned into two groups: normal group and model group. The model group was treated with 50 μM simvastatin for 24 h. The second experiment: The melanin allele mutated Albino strain zebrafishes were divided into normal, model, A group and B group. The observational parameters were as follows: blood flow, velocity of movement, hemorrhage ratio and improvement ratio of hemorrhage.

RESULTS

Hemorrhage ratio: in the first experiment, brain hemorrhage ratio was 75%. In the second experiment, heart hemorrhage ratio was 65%. Blood flow: compared with the normal group, there was a significantly decrease in the model group (P < 0.001). Velocity of movement: in the first experimental, compared with the normal group, there was a significantly decrease in the model group (P < 0.001). Improvement ratio of hemorrhage: agents A had little effect in heart hemorrhage of the zebrafish; agents B could reduce heart hemorrhage ratio of the zebrafish, and increase the improvement ratio of hemorrhage.

CONCLUSION

The manifestation of zebrafish model with simvastatin-induced hemorrhage is basically similar to that of the clinical symptom pattern caused by spleen's failure to control blood. The Spleen-invigorating, Qi-replenishing and Blood-arresting Formula can reduce the heart hemorrhage ratio of zebrafish induced by simvastatin, and increase the Improvement ratio of hemorrhage.

目的从中医理论角度探讨健脾益气阻血方对辛伐他汀所致出血、脾不控血证型斑马鱼模型的止血作用。方法实验1将60尾AB株野生型斑马鱼随机分为正常组和模型组。模型组给予50 μM辛伐他汀治疗24 h。第二实验:将黑色素等位基因突变的Albino斑马鱼分为正常组、模型组、A组和B组。观察参数为血流量、运动速度、出血率、出血改善率。结果脑出血率:第一次实验脑出血率为75%。在第二个实验中,心脏出血率为65%。血流量:与正常组比较,模型组大鼠血流量明显减少(P <0.001)。运动速度:第一次实验时,模型组与正常组比较,运动速度明显降低(P <0.001)。出血改善率:A剂对斑马鱼心脏出血效果不明显;B剂能降低斑马鱼心脏出血率,提高出血改善率。结论辛伐他汀所致出血斑马鱼模型的表现与脾控血失败所致的临床症状型基本相似。健脾益气阻血方可降低辛伐他汀所致斑马鱼心脏出血率,提高出血改善率。
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引用次数: 2
Effect of optimal combination of Huangqi (Radix Astragali Mongolici) and Ezhu (Rhizoma Curcumae Phaeocaulis) on proliferation and apoptosis of A549 lung cancer cells 黄芪与莪术最佳配伍对A549肺癌细胞增殖和凋亡的影响
IF 2.6 4区 医学 Q3 Medicine Pub Date : 2018-06-01 DOI: 10.1016/S0254-6272(18)30625-3
Xu Chengyong , Wang Yuguo , Feng Jian , Qin Li , Xu Ran , Dou Yongqi

OBJECTIVE

To investigate the effect of optimal combination (E) of Huangqi (Radix Astragali Mongolici) and Ezhu (Rhizoma Curcumae Phaeocaulis) on proliferation and apoptosis of A549 lung cancer cells and the possible mechanism underpinning the action.

METHODS

A uniform design method was used to optimize the E of Huangqi (Radix Astragali Mongolici) and Ezhu (Rhizoma Curcumae Phaeocaulis) in A549 lung cancer cells. MTS assay was applied to analyze the effect of the component formula of Huangqi (Radix Astragali Mongolici) and Ezhu (Rhizoma Curcumae Phaeocaulis) on A549 cells viability in various uniform design groups. A549 cells with exponential growth in routine culture were exposed to CoCl2 (200 μmol/L) to mimic hypoxic conditions. Group 0 was treated with RPMI-1640, the group CoCl2 was treated with CoCl2 (200 μmol/L), the group DDP + CoCl2 was treated with 4 mg/L Cisplatin injection (DDP) + CoCl2 (200 μmol/L), and the drug group was treated with various dose of E (0.5E, 1E, 2E) + CoCl2 (200 μmol/L). All groups were cultured for 24 h. Cell apoptosis was measured by Annexin V-FITC/propidium iodide double staining and flow cytometry. Western blot assay and quantitative real-time polymerase chain reaction (qRT-PCR) were employed to detect the protein and mRNA expression of B-celllymphoma-2 (Bcl-2), Bcl-2-associated X protein (Bax) and cysteinyl aspartate specific proteinase-3 (caspase-3).

RESULTS

The E obtained by the uniform design was comprise of 200 mg/L Astragalus polysaccharide (X1) and 32 mg/L Curcumin (X3). Group DDP+ CoCl2, group 1E + CoCl2 and group 2E + CoCl2 promoted the apoptosis of A549 cells (P < 0.05). Group 1E + CoCl2 and group 2E + CoCl2 had no statistically significant differences compared with the group DDP + CoCl2 (P > 0.05). Compared with group 0, various doses of E + CoCl2 could up-regulate the expression of Bax and caspase-3 and down-regulate the expression of Bcl-2 at protein and mRNA levels (P < 0.05).

CONCLUSION

Astragalus polysaccharide and Curcumin was the optimal combination of Huangqi (Radix Astragali Mongolici) and Ezhu (Rhizoma Curcumae Phaeocaulis). E promoted the apoptosis of A549 cells. Combination of Astragalus polysaccharide and Curcumin increased the expression of Bax and caspase-3, and decreased the expression of Bcl-2 to initiate apoptosis in A549 cells under chemical-induced hypoxia.

目的探讨黄芪与莪术最佳配伍(E)对肺癌A549细胞增殖和凋亡的影响及其可能机制。方法采用均匀设计法优化黄芪和莪术在A549肺癌细胞中的作用。采用MTS法分析黄芪和莪术组方对不同均匀设计组A549细胞活力的影响。在常规培养中呈指数增长的A549细胞暴露于200 μmol/L的CoCl2中模拟缺氧条件。0组采用rpm -1640治疗,CoCl2组采用CoCl2 (200 μmol/L)治疗,DDP + CoCl2组采用4 mg/L顺铂注射液(DDP) + CoCl2 (200 μmol/L)治疗,药物组采用不同剂量的E (0.5E、1E、2E) + CoCl2 (200 μmol/L)治疗。各组培养24 h,采用Annexin V-FITC/碘化丙啶双染色及流式细胞术检测细胞凋亡情况。采用Western blot法和定量实时聚合酶链反应(qRT-PCR)检测b细胞淋巴瘤-2 (Bcl-2)、Bcl-2相关X蛋白(Bax)和天冬氨酸半胱氨酸特异性蛋白酶-3 (caspase-3)蛋白和mRNA的表达。结果均匀设计得到的E由200 mg/L黄芪多糖(X1)和32 mg/L姜黄素(X3)组成。DDP+ CoCl2组、1E + CoCl2组和2E + CoCl2组均促进A549细胞凋亡(P <0.05)。1E + CoCl2组、2E + CoCl2组与DDP + CoCl2组比较,差异无统计学意义(P >0.05)。与0组比较,不同剂量E + CoCl2可在蛋白和mRNA水平上调Bax和caspase-3的表达,下调Bcl-2的表达(P <0.05)。结论黄芪多糖和姜黄素是黄芪和莪术的最佳组合。E促进A549细胞凋亡。黄芪多糖与姜黄素联用可提高化学缺氧诱导A549细胞Bax和caspase-3的表达,降低Bcl-2的表达,启动细胞凋亡。
{"title":"Effect of optimal combination of Huangqi (Radix Astragali Mongolici) and Ezhu (Rhizoma Curcumae Phaeocaulis) on proliferation and apoptosis of A549 lung cancer cells","authors":"Xu Chengyong ,&nbsp;Wang Yuguo ,&nbsp;Feng Jian ,&nbsp;Qin Li ,&nbsp;Xu Ran ,&nbsp;Dou Yongqi","doi":"10.1016/S0254-6272(18)30625-3","DOIUrl":"10.1016/S0254-6272(18)30625-3","url":null,"abstract":"<div><h3>OBJECTIVE</h3><p>To investigate the effect of optimal combination (E) of Huangqi (<em>Radix Astragali Mongolici</em>) and Ezhu (<em>Rhizoma Curcumae Phaeocaulis</em>) on proliferation and apoptosis of A549 lung cancer cells and the possible mechanism underpinning the action.</p></div><div><h3>METHODS</h3><p>A uniform design method was used to optimize the E of Huangqi (<em>Radix Astragali Mongolici</em>) and Ezhu (<em>Rhizoma Curcumae Phaeocaulis</em>) in A549 lung cancer cells. MTS assay was applied to analyze the effect of the component formula of Huangqi (<em>Radix Astragali Mongolici</em>) and Ezhu (<em>Rhizoma Curcumae Phaeocaulis</em>) on A549 cells viability in various uniform design groups. A549 cells with exponential growth in routine culture were exposed to CoCl<sub>2</sub> (200 μmol/L) to mimic hypoxic conditions. Group 0 was treated with RPMI-1640, the group CoCl<sub>2</sub> was treated with CoCl<sub>2</sub> (200 μmol/L), the group DDP + CoCl<sub>2</sub> was treated with 4 mg/L Cisplatin injection (DDP) + CoCl<sub>2</sub> (200 μmol/L), and the drug group was treated with various dose of E (0.5E, 1E, 2E) + CoCl<sub>2</sub> (200 μmol/L). All groups were cultured for 24 h. Cell apoptosis was measured by Annexin V-FITC/propidium iodide double staining and flow cytometry. Western blot assay and quantitative real-time polymerase chain reaction (qRT-PCR) were employed to detect the protein and mRNA expression of B-celllymphoma-2 (Bcl-2), Bcl-2-associated X protein (Bax) and cysteinyl aspartate specific proteinase-3 (caspase-3).</p></div><div><h3>RESULTS</h3><p>The E obtained by the uniform design was comprise of 200 mg/L Astragalus polysaccharide (X1) and 32 mg/L Curcumin (X3). Group DDP+ CoCl2, group 1E + CoCl<sub>2</sub> and group 2E + CoCl2 promoted the apoptosis of A549 cells (<em>P</em> &lt; 0.05). Group 1E + CoCl<sub>2</sub> and group 2E + CoCl<sub>2</sub> had no statistically significant differences compared with the group DDP + CoCl<sub>2</sub> (<em>P</em> &gt; 0.05). Compared with group 0, various doses of E + CoCl<sub>2</sub> could up-regulate the expression of Bax and caspase-3 and down-regulate the expression of Bcl-2 at protein and mRNA levels (<em>P</em> &lt; 0.05).</p></div><div><h3>CONCLUSION</h3><p>Astragalus polysaccharide and Curcumin was the optimal combination of Huangqi (<em>Radix Astragali Mongolici</em>) and Ezhu (<em>Rhizoma Curcumae Phaeocaulis</em>). E promoted the apoptosis of A549 cells. Combination of Astragalus polysaccharide and Curcumin increased the expression of Bax and caspase-3, and decreased the expression of Bcl-2 to initiate apoptosis in A549 cells under chemical-induced hypoxia.</p></div>","PeriodicalId":17513,"journal":{"name":"Journal of Traditional Chinese Medicine","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2018-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0254-6272(18)30625-3","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43596924","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 7
Twirling reinforcing-reducing manipulation — central mechanism underlying antihypertensive effect on spontaneous hypertension in rats 旋转补泻手法对自发性高血压大鼠降压作用的中心机制
IF 2.6 4区 医学 Q3 Medicine Pub Date : 2018-06-01 DOI: 10.1016/S0254-6272(18)30629-0
Guo Qiulei , Liu Qingguo , Sun Dongmei , Nie Binbin

OBJECTIVE

To investigate antihypertensive effect in rats in order to confirm that twirling reinforcing-reducing manipulation (TRRM) might be the central mechanism underlying the action.

METHODS

In the study, 18F-2-fluoro-deoxy-D-glucose positron emission tomography (18F-FDG-PET) was employed. Fifity-six spontaneous hypertensive rats (SHRs) were randomly divided into a model group, a single-needle acupuncture (SNA) group, a twirling reinforcing group (SNA + TRF) and a twirling reducing (SNA + TRD) group. Fourteen Wistar rats were assigned to the control group. The acupuncture intervention at Taichong (LR 3) acupoint was administered once daily in the SNA, SNA + TRF and SNA + TRD groups for 14 days, with 1 d interval between the two weeks. The blood pressure (BP) of all rats was measured repeatedly and 18F-FDG-PET scans were conducted on the 14th day. PET images were processed with Statistical Parametric Mapping 8.0.

RESULTS

After the intervention, systolic BP showed a significant decrease in the SNA, SNA+TRF and SNA + TRD versus the model groups (all P < 0.01) and in the SNA + TRF and SNA + TRD versus the SNA groups (both P < 0.01), with the SNA + TRD group exhibited the best antihypertensive effect (P < 0.01). The key brain regions activated by TRRM were mainly concentrated in the cerebellum, hippocampus, hypothalamus, medulla oblongata, insular cortex, midbrain, thalamus and visual cortex.

CONCLUTION

TRRM could significantly lower the BP of SHRs by improving the cerebral glucose metabolism of the activated key brain regions and the underlying central mechanism may be related to the central rennin-angiotensin system and neurotransmission.

目的观察旋转补泻手法(TRRM)对大鼠的降压作用,探讨其作用机制。方法采用18f -2-氟脱氧-d -葡萄糖正电子发射断层扫描(18F-FDG-PET)。将56只自发性高血压大鼠随机分为模型组、单针针刺组、旋转增强组(SNA + TRF)和旋转减轻组(SNA + TRD)。14只Wistar大鼠作为对照组。SNA组、SNA + TRF组和SNA + TRD组每日1次针刺太中穴干预,疗程14 d,两周间隔1 d。实验第14天,反复测量各组大鼠血压,并进行18F-FDG-PET扫描。PET图像采用Statistical Parametric Mapping 8.0进行处理。结果干预后大鼠收缩压SNA、SNA+TRF、SNA+ TRD均较模型组显著降低(P <0.01), SNA + TRF和SNA + TRD与SNA组相比(P <0.01),其中SNA + TRD组降压效果最好(P <0.01)。TRRM激活的关键脑区主要集中在小脑、海马、下丘脑、延髓、岛叶皮质、中脑、丘脑和视觉皮层。结论trrm可通过改善激活脑关键区域的脑糖代谢而显著降低SHRs血压,其中枢机制可能与中枢肾素-血管紧张素系统及神经传递有关。
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引用次数: 4
Persian medicine non-pharmacological therapies for headache: phlebotomy and wet cupping 波斯医学治疗头痛的非药物疗法:放血和湿罐
IF 2.6 4区 医学 Q3 Medicine Pub Date : 2018-06-01 DOI: 10.1016/S0254-6272(18)30639-3
Akramo Sadat Atyabi , Fatemeh Nejatbakhsh , Hoorie Mohammadi Kenari , Fatemeh Eghbalian , Mohammad Hossein Ayati , Laila Shirbeigi

OBJECTIVE

To describe the common causes of headache as well as the different methods of Phlebotomy (Fasd) and wet Cupping (Hijamat) based on Persian Medicine.

METHODS

In this study, we searched Google Scholar, Science Direct, PubMed and Scopus to get any in vitro or clinical evidence of the efficacy and possible mechanisms of phlebotomy or wet cupping on different types of headaches. Also different types of headaches, according to PM, under the title of “Sodaa”; extracted from famous Persian medical text books with key words including “Sodaa”, “Bayze” and “Shaqiqe”.

RESULTS

According to PM, diseases (dystemperament) are created by abnormal alteration in temperament. Temperament is a monolithic quality yielded by interaction between opposing qualities of four elements that are coldness, hotness, dryness and wetness. Headaches are caused by dystemperament (sue-Mizaj) in brain or in total body that are divided into simple and corporal. Common forms of the latter type are Vaporal and Migrant headache (Bokhari and Rihi). Each of these headaches is treated either through phlebotomy or wet cupping.

CONCLUSION

In Persian Medicine, Fasd and Hijamat are easy and economical methods for treatment of headache with reasonable results. By describing the precise areas and indications of phlebotomy and wet cupping, this study provides the first step for future clinical trials in this field.

目的探讨波斯医学治疗头痛的常见原因及不同的开刀法(Fasd)和湿罐法(Hijamat)。方法本研究通过Google Scholar、Science Direct、PubMed、Scopus等数据库检索,获取静脉穿刺或湿罐治疗不同类型头痛的体外或临床疗效及可能机制的证据。还有不同类型的头痛,根据PM,标题为“苏打水”;从波斯著名医学教科书中提取,关键词包括“Sodaa”,“Bayze”和“Shaqiqe”。结果根据PM,疾病(气质异常)是由气质异常改变引起的。气质是由冷、热、干、湿四种相反的元素相互作用而产生的整体品质。头痛是由大脑或全身的脾气异常引起的,分为单纯性和体体性。后一种类型的常见形式是蒸发性头痛和迁移性头痛(Bokhari和Rihi)。每一种头痛都可以通过静脉切开术或湿罐治疗。结论在波斯医学中,Fasd和Hijamat是治疗头痛简便、经济的方法,疗效合理。本研究通过精确描述静脉切开术和湿拔罐的区域和适应症,为该领域未来的临床试验提供了第一步。
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引用次数: 5
Application of Traditional Chinese Medicine Four-diagnostic auxiliary apparatus in evaluation of health status and clinical treatment 中医四诊辅助仪在健康状况评价及临床治疗中的应用
IF 2.6 4区 医学 Q3 Medicine Pub Date : 2018-06-01 DOI: 10.1016/S0254-6272(18)30637-X
Chen Tianyu , Niu Tingli , Niu Xin , Si Yingchu , Yang Xuezhi , Ma Liangxiao

OBJECTIVE

To evaluate the application of Traditional Chinese Medicine (TCM) Four-diagnostic Auxiliary Apparatus in disease diagnosis.

METHODS

The liver cancer patients and healthy controls were recruited from Shanghai Integrated Chinese and Western Medicine Hospital and Beijing University of Traditional Chinese Medicine, respectively. Then, the included subjects were diagnosed by the Four-diagnostic auxiliary apparatus.

RESULTS

Thirty liver cancer patients and 30 paired healthy controls were enrolled in this study. Based on the apparatus, the pulse wave velocity was significantly higher in patients compared with controls (P < 0.05). The number of patients with purple tongue and ecchymosis were more than controls (P < 0.05). The number of patients (10%) with yellow tongue coating were higher than the controls (0%). Patients were inclined to be with water type and fire type constitution.

CONCLUSION

TCM Four-diagnostic auxiliary apparatus can be applied in clinical diagnosis of body constitution and health status of subjects. It promotes the accuracy and speed for disease diagnosis and TCM standardization.

目的评价中医四诊辅助器具在疾病诊断中的应用。方法选取上海中西医结合医院肝癌患者和北京中医药大学肝癌患者为研究对象。然后用四诊辅助仪对被试进行诊断。结果30例肝癌患者和30例配对健康对照纳入本研究。基于该仪器,患者的脉搏波速度明显高于对照组(P <0.05)。紫舌及瘀斑患者多于对照组(P <0.05)。舌苔发黄的患者(10%)高于对照组(0%)。患者倾向于水型和火型体质。结论中医四诊辅助仪可用于临床对受试者体质和健康状况的诊断。它促进了疾病诊断的准确性和速度,促进了中医规范化。
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引用次数: 3
Effect of Sini decoction on angiotensin II, transforming growth factor β1 and connective tissue growth factor in rats with myocardial fibrosis-induced banding of the abdominal aorta 四逆汤对心肌纤维化所致腹主动脉束带大鼠血管紧张素II、转化生长因子β1和结缔组织生长因子的影响
IF 2.6 4区 医学 Q3 Medicine Pub Date : 2018-06-01 DOI: 10.1016/S0254-6272(18)30634-4
Shi Yueping , Zhai Jianli , Liu Chunxiao

OBJECTIVE

To investigate the effect of Sini decoction on rats with myocardial fibrosis induced by banding the abdominal aorta, and explore the mechanism underlying its actions on angiotensin II (Ang II), transforming growth factor-β1 (TGF-β1) and connective tissue growth factor (CTGF).

METHODS

Forty-eight male Sprague-Dawley rats were randomly divided into sham operation, model, Captopril, and Sini decoction groups. The models were established by the partial banding of the abdominal aorta according to Doering's method. Eight weeks later, heart weight indexes were calculated; hemodynamic changes of the hearts were tested; changes in myocardial tissue morphology were observed by Masson staining; and myocardial collagen volume fraction was calculated. Enzyme-linked immunosorbent assay was used to measure the concentration of Ang II in serum. The expression of TGF-β1 and CTGF were determined by immunohistochemistry and Western blotting.

RESULTS

Compared with the sham operation group, the heart weight index, collagen volume fraction of the myocardium, serum levels of Ang II, and the expression of myocardial TGF-β1 and CTGF in the model group were significantly increased (P < 0.05). Compared with the model group, the heart weight index, collagen volume fraction of the myocardium, serum levels of Ang II, and the expression of myocardial TGF-β1 and CTGF in all treatment groups were significantly reduced (P < 0.05).

CONCLUSION

Sini decoction reduced Ang II level and inhibited the expression of myocardial TGF-β1 and CTGF, which may explain the mechanism of its protective effect on myocardium with fibrosis.

目的观察四逆汤对腹主动脉束带所致大鼠心肌纤维化的影响,并探讨其对血管紧张素II (Ang II)、转化生长因子-β1 (TGF-β1)、结缔组织生长因子(CTGF)的作用机制。方法48只雄性Sprague-Dawley大鼠随机分为假手术组、模型组、卡托普利组和四逆汤组。采用多灵法将腹主动脉部分封带建立模型。8周后,计算心脏重量指数;检测心脏血流动力学变化;马松染色观察心肌组织形态变化;计算心肌胶原体积分数。采用酶联免疫吸附法测定血清中Angⅱ的浓度。免疫组化、Western blotting检测TGF-β1、CTGF的表达。结果与假手术组比较,模型组大鼠心脏重量指数、心肌胶原体积分数、血清Angⅱ水平及心肌TGF-β1、CTGF表达均显著升高(P <0.05)。与模型组比较,各治疗组大鼠心脏重量指数、心肌胶原体积分数、血清Angⅱ水平及心肌TGF-β1、CTGF表达均显著降低(P <0.05)。结论四逆汤可降低心肌angii水平,抑制心肌TGF-β1和CTGF的表达,这可能解释了四逆汤对心肌纤维化保护作用的机制。
{"title":"Effect of Sini decoction on angiotensin II, transforming growth factor β1 and connective tissue growth factor in rats with myocardial fibrosis-induced banding of the abdominal aorta","authors":"Shi Yueping ,&nbsp;Zhai Jianli ,&nbsp;Liu Chunxiao","doi":"10.1016/S0254-6272(18)30634-4","DOIUrl":"10.1016/S0254-6272(18)30634-4","url":null,"abstract":"<div><h3>OBJECTIVE</h3><p>To investigate the effect of Sini decoction on rats with myocardial fibrosis induced by banding the abdominal aorta, and explore the mechanism underlying its actions on angiotensin II (Ang II), transforming growth factor-β<sub>1</sub> (TGF-β<sub>1</sub>) and connective tissue growth factor (CTGF).</p></div><div><h3>METHODS</h3><p>Forty-eight male Sprague-Dawley rats were randomly divided into sham operation, model, Captopril, and Sini decoction groups. The models were established by the partial banding of the abdominal aorta according to Doering's method. Eight weeks later, heart weight indexes were calculated; hemodynamic changes of the hearts were tested; changes in myocardial tissue morphology were observed by Masson staining; and myocardial collagen volume fraction was calculated. Enzyme-linked immunosorbent assay was used to measure the concentration of Ang II in serum. The expression of TGF-β<sub>1</sub> and CTGF were determined by immunohistochemistry and Western blotting.</p></div><div><h3>RESULTS</h3><p>Compared with the sham operation group, the heart weight index, collagen volume fraction of the myocardium, serum levels of Ang II, and the expression of myocardial TGF-β<sub>1</sub> and CTGF in the model group were significantly increased (<em>P</em> &lt; 0.05). Compared with the model group, the heart weight index, collagen volume fraction of the myocardium, serum levels of Ang II, and the expression of myocardial TGF-β<sub>1</sub> and CTGF in all treatment groups were significantly reduced (<em>P</em> &lt; 0.05).</p></div><div><h3>CONCLUSION</h3><p>Sini decoction reduced Ang II level and inhibited the expression of myocardial TGF-β<sub>1</sub> and CTGF, which may explain the mechanism of its protective effect on myocardium with fibrosis.</p></div>","PeriodicalId":17513,"journal":{"name":"Journal of Traditional Chinese Medicine","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2018-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0254-6272(18)30634-4","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43798310","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
In comparison with vitamin C and butylated hydroxytoluene, the antioxidant capacity of aqueous extracts from buds and flowers of Lonicera japonica Thunb. 与维生素C和丁基羟基甲苯比较,金银花花蕾水提物的抗氧化能力。
IF 2.6 4区 医学 Q3 Medicine Pub Date : 2018-06-01 DOI: 10.1016/S0254-6272(18)30627-7
Zhou Yunfeng , Li Lin , Sun Lan , Zhou Lidong , Xu Yang

OBJECTIVE

To assess the antioxidant capacity of aqueous extracts of buds and flowers of Lonicera japonica Thunb. (BLJ and FLJ) using in vitro assays.

METHODS

We assessed the in vitro antioxidant activities of aqueous extracts of BLJ and FLJ and compared with that of classical antioxidants vitamin C and butylated hydroxytoluene, using several well-established methods including the 1,1-diphenyl-2-picryl-hydrazyl assay, 2,2'-azino-bis (3-ethylbenzthiazoline-6-sulfonic acid) assay, reducing power assay, fluorescence recovery after photo-bleaching assay, β-carotene bleaching assay, ferric thiocyanate assay, and thiobarbituric acid method.

RESULTS

The aqueous extracts of both BLJ and FLJ had similarly potent antioxidant capacity. There were no significance differences between BLJ and FLJ in all the assays.

CONCLUSION

The aqueous extracts of both BLJ and FLJ have antioxidant activity with comparable efficacy. These findings suggest that both BLJ and FLJ may have the potential as natural antioxidants.

目的评价金银花花蕾水提物的抗氧化能力。(BLJ和FLJ)。方法采用1,1-二苯基-2-苦味酰肼法、2,2′-氮基-双(3-乙基苯并噻唑-6-磺酸)法、还原力法、光漂白后荧光恢复法、β-胡萝卜素漂白法、硫氰酸铁法、硫代巴比托酸法等方法,对BLJ和FLJ水提物的体外抗氧化活性进行评价,并与经典抗氧化剂维生素C和丁基羟基甲苯的体外抗氧化活性进行比较。结果牛膝姜和牛膝姜的水提物均具有较强的抗氧化能力。BLJ和FLJ在所有试验中均无显著性差异。结论枸杞多糖和茯苓多糖水提物均具有抗氧化活性,且具有相当的抗氧化效果。这些发现表明,BLJ和FLJ可能都有作为天然抗氧化剂的潜力。
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引用次数: 4
Protective effects of Jiayan Kangtai granules on autoimmune thyroiditis in a rat model by modulating Th17/Treg cell balance 佳炎康泰颗粒通过调节Th17/Treg细胞平衡对自身免疫性甲状腺炎模型大鼠的保护作用
IF 2.6 4区 医学 Q3 Medicine Pub Date : 2018-06-01 DOI: 10.1016/S0254-6272(18)30628-9
Hou Yi , Wang Tieshan , Guo Xiangyu , Sun Wen , Guo Xuan , Wu Lili , Qin Lingling , Zhang Chengfei , Liu Tonghua

OBJECTIVE

To investigate the protective effects of Jiayan Kangtai (JYKT) granules, consisting of 9 Chinese herbs, in a rat model of autoimmune thyroiditis (AIT), and the possible underlying mechanism.

METHODS

Female Lewis rats (6–8 weeks) were randomly apportioned to 5 groups of 10, including a normal control. AIT was induced in the untreated AIT-model group, and rats treated subsequently with daily low, medium, or high dose JYKT granules. After 12 weeks, plasma levels of thyroid autoantibodies and morphological changes in the thyroid were detected by enzyme-linked immunosorbent assay and histological examination, respectively. The presence of interleukin (IL)-6, IL23p19, and IL-2 in thyroid tissue was assessed by immunohistochemical staining. The percentages of T helper (Th)17 cells and regulatory T cells (Tregs) in the peripheral blood were analyzed by flow cytometry. Relevant levels of cytokines and proteins were examined via bead-based multiplex flow cytometry and ELISA, respectively. Expressions of genes and proteins regulated by Th17 cells and Tregs were shown by real-time PCR and Western blot.

RESULTS

Compared to the control, AIT-model rats had higher plasma concentrations of thyroid autoantibodies. The high-dose JYKT rats showed significantly lower levels of thyroid autoantibodies compared with the AIT model group. Rats in the AIT-JYKT groups also had fewer thyroid lesions and less lymphocytic infiltration, a lower percentage of Th17 cells, and a higher percentage of Tregs, compared with the AIT-model. Rats given high-dose JYKT had a significantly lower Th17/Treg ratio compared with the AIT model. Differences in plasma cytokine concentrations and relevant gene and protein expressions in the spleens of JYKT-treated rats and the AIT group suggested an association between JYKT treatment and lower Th17 cell percentage and higher Treg activity.

CONCLUSION

JYKT treatment appeared to be protective against AIT in rats, possibly via the regulation of the Th17 cell/Treg imbalance in AIT.

目的探讨9味中药复方佳炎康泰颗粒对自身免疫性甲状腺炎(AIT)大鼠模型的保护作用及其可能的机制。方法6 ~ 8周龄雌性Lewis大鼠随机分为5组,每组10只,其中正常对照组1只。未处理AIT模型组大鼠诱导AIT,随后每日给予低、中、高剂量JYKT颗粒。12周后,分别用酶联免疫吸附法和组织学检查检测血浆甲状腺自身抗体水平和甲状腺形态学变化。免疫组化染色检测甲状腺组织中白细胞介素(IL)-6、IL- 23p19和IL-2的表达。流式细胞术检测外周血辅助性T细胞(Th)17和调节性T细胞(Tregs)的百分比。通过流式细胞术和酶联免疫吸附法分别检测细胞因子和蛋白的相关水平。实时荧光定量PCR和Western blot检测Th17细胞和Tregs调控的基因和蛋白的表达情况。结果与对照组相比,ait模型大鼠血浆甲状腺自身抗体浓度升高。与AIT模型组相比,高剂量JYKT大鼠甲状腺自身抗体水平明显降低。与ait模型相比,AIT-JYKT组大鼠甲状腺病变较少,淋巴细胞浸润较少,Th17细胞百分比较低,treg细胞百分比较高。与AIT模型相比,高剂量JYKT大鼠Th17/Treg比值明显降低。JYKT处理大鼠和AIT组血浆细胞因子浓度及脾脏相关基因和蛋白表达的差异表明,JYKT处理与较低的Th17细胞百分比和较高的Treg活性有关。结论jykt对大鼠AIT具有保护作用,可能是通过调节AIT中Th17细胞/Treg失衡来实现的。
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引用次数: 5
期刊
Journal of Traditional Chinese Medicine
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