补脾健胃颗粒的主要药效学试验研究

目的:观察具有补脾益气、健胃消食作用,治疗小儿厌食症的补脾健胃颗粒是否有促消化,增加食欲,增加肠蠕动的药理学作用。方法:观察补脾健胃颗粒①对厌食大鼠模型体重、进食量和胃酸、胃蛋白酶的影响;②对正常小鼠的小肠推进试验的影响。结果:补脾健胃颗粒可以增加厌食大鼠模型的体重、进食量,调整胃酸量和胃蛋白酶活性;加快小鼠的小肠推进速度。     

越鞠保和丸对胃排空及胃液分泌的影响

目的：观察越鞠保和丸对小鼠胃排空、小肠推进及对大鼠胃液分泌的影响。方法：采用阿托品致小鼠胃排空抑制模型考察越鞠保和丸对小鼠营养性半固体糊状食料胃排空及小肠推进的影响；以幽门结扎收集胃液，考察越鞠保和丸对大鼠胃液分泌的影响。结果：与模型对照组相比，越鞠保和丸小鼠胃内残留率明显为低，小肠推进率明显为高，对大鼠胃蛋白酶活性较空白对照组大鼠高，但胃液分泌量、总排酸量及胃液总酸度各组无明显变化。结论：越鞠保和丸能对抗阿托品引起的小鼠胃排空抑制，也有增强胃蛋白酶活性的作用。     

参苓益胃胶囊药效学及毒理学的基础研究

目的对参苓益胃胶囊的药效学及毒理学进行基础研究。方法采用小鼠胃排空、大鼠慢性胃炎模型观察参苓益胃胶囊对胃的防护作用;观察参苓益胃胶囊对正常大鼠胃液分泌、胃液酸度、胃蛋白酶活性的影响;观察小鼠对参苓益胃胶囊最大耐受量。结果参苓益胃胶囊对小鼠胃排空无影响,可使大鼠胃酸酸度显著回升,胃蛋白酶活性回升。结论参苓益胃胶囊对小鼠胃排空无影响,可使慢性胃炎模型大鼠相应病理指标朝趋于正常值方向呈显著性改善,提示参苓益胃胶囊有治疗慢性胃炎的药理作用,且无明显急性毒性反应。     

清热化滞颗粒促胃肠动力作用机制研究

目的:探讨清热化滞颗粒对胃肠动力的影响。方法:测定实验大鼠胃蛋白酶的活性、胃酸含量;小鼠小肠推进率、小鼠血浆胃动素(MTL)、胃泌素(GAS)、生长抑素(SS)和血管活性肠肽(VIP)的水平。结果:清热化滞颗粒能提高大鼠胃蛋白酶活性并对盐酸阿托品负荷小鼠小肠推进功能具有促进作用,与空白对照组及药物对照组比较,差异有统计学意义(P<0.05,P<0.01);模型建成后,小鼠血浆SS的含量增加,MTL、GAS含量降低;灌喂清热化滞颗粒后SS降低,MTL、GAS增加,且与模型组比较有显著性差异(P<0.01)。结论:清热化滞颗粒治疗小儿积滞化热证的作用机制可能与其通过调节胃肠激素,促进胃肠蠕动,从而促进胃肠动力有关。     

加味益胃汤用于小儿脾胃阴虚型厌食症的临床研究

目的 观察加味益胃汤治疗小儿脾胃阴虚型厌食症的临床疗效。方法 将90例脾胃阴虚型厌食症门诊患儿按1∶1比例随机分为两组各45例,依据患儿年龄分别给予相应剂量的加味益胃汤煎液（治疗组）和儿宝颗粒（对照组）,3次/d,连续治疗4周。观察两组患儿治疗前后的临床疗效,并进行比较。结果 ①症状积分:治疗组患儿治疗后的症状积分[呕...     

小儿厌食证治法一得

小儿厌食证治法一得孙华士上海医科大学附属金山医院（２００５４０）小儿厌食症，病因较多，治法各异，据个人临床实践，以辛开苦降和益胃生津两法较为常用，且有一定疗效，今介绍如下：１辛开苦降法小儿之所以厌食，一般责之于脾胃功能的失调，而导致脾胃功能失调的主要...     

自拟方调肝益胃汤治疗小儿脾胃阴虚型厌食症临床观察

目的:分析自拟方调肝益胃汤治疗小儿脾胃阴虚型厌食症的临床观察。方法:选取2017年6月～2018年10月在我院治疗的小儿脾胃阴虚型厌食症患者110例,按数字表法分为A组和B组,A组采取儿宝颗粒治疗,B组采用自拟调肝益胃汤治疗,对比两组治疗情况。结果:B组治疗总有效率、中医症状评分(食欲、食量、饮水、出汗、性情、便秘)显著高于A组,统计学分析显示具有显著差异(P0.05)。结论:自拟调肝益胃汤治疗小儿脾胃阴虚型厌食症能够增强疗效,改善临床症状积分,值得在临床推广。     

益胃丸系列药品对慢性萎缩性胃炎大鼠模型干预的实验研究

目的：探讨益胃丸1号（温中益胃丸）、2号（舒肝益胃丸）药物治疗慢性萎缩性胃炎（CAG）的作用机理。方法：设正常组、模型组、维酶素组以及益胃丸1号、2号大、小剂量治疗组,采用100μg／m1甲基硝基亚硝基胍（MNNG）、2％水杨酸钠和30％酒精等综合方法进行模型复制,3个月制成大鼠CAG模型。观察各组大鼠模型治疗后胃酸、胃蛋白酶活性及血清胃泌素（Gas）含量。结果：治疗30d后,益胃丸高剂量组及维酶素组均不同程度的升高大鼠模型胃酸、提高胃蛋白酶活性、增加血清胃泌素含量（P〈0．05或P〈0．01）。结论：益胃丸1号、2号对CAG的干预机理可能是通过升高胃酸、提高胃蛋白酶活性、增加血清胃泌素含量来实现。     

枳术汤治疗功能性消化不良的配伍研究

目的：探讨枳术汤治疗功能性消化不良（FD）的最佳配伍比例及可能的作用机制。方法：观察枳实、白术不同配伍比例对小鼠胃肠运动的影响。采用大鼠胃电节律失常模型，应用放免法测定血浆胃动素（MTL）和血管活性肠肽（VIP）。结果：枳、术3个不同配伍比例组均能显著对抗阿托品所致小鼠胃排空与肠推进抑制（P〈0．01），且优于单昧枳实与白术（P〈0．05）。与正常组比较，模型组大鼠血浆MTL含量显著降低，VIP含量显著升高（P〈0．01）。枳术1：1组MTL显著升高（P〈0．01），VIP明显降低（P〈0．05）。结论：FD的发病与血浆MTL含量的降低，VIP含量的升高有关。枳实、白术配伍用于治疗FD的最佳比例是1：1，积术1：1组可能通过提高血浆MTL，降低VIP含量，促进胃肠运动，达到治疗FD的目的。     

CCKB-R mRNA在幼龄厌食大鼠结肠平滑肌细胞中的表达

目的 探讨胆囊收缩素受体CCKB-R mRNA在幼龄厌食大鼠结肠平滑肌细胞中的表达及加减益胃汤对其表达的影响.方法 借助特制饲料喂养幼龄厌食大鼠模型,采用RT-PCR技术检测CCKB-R在幼龄厌食大鼠结肠平滑肌细胞中的表达,并观察加减益胃汤对该模型CCKB-R表达的影响.结果 正常大鼠结肠平滑肌细胞中CCKB-R有低水平表达,特制饲料喂养造模后其表达水平异常增高,与空白对照组比较有极显著的统计学意义(P＜0.001);加减益胃汤高、中、低剂量组均能显著抑制或下调CCKB-R的高表达,且有一定的量-效趋势.结论 CCKB-R基因高表达可能是厌食发生的主要病理环节之一,抑制或下调CCKB-R基因表达可能是加减益胃汤治疗厌食症的主要作用靶点之一.     

微波消解-电感耦合等离子体质谱法测定脉络宁注射液中25种矿物质元素

目的建立微波消解-电感耦合等离子体质谱(ICP-MS)直接稀释测定脉络宁注射液中25种矿物质元素(Mg、Ca、Fe、Cu、Zn、Mn、Al、B、Ba、Co、Cr、K、Li、Mo、Na、Ni、P、Pb、Sr、Th、Ti、V、As、Cd和Hg)的方法。方法分别对微波消解条件和测试条件进行考察;样品经微波消解后,采用电感耦合质谱仪测定25种矿物质元素,并对测定方法学进行考察。结果确定最佳消解条件为3步缓慢升温:400 W 80℃升温10 min,保留5 min;600 W 120℃升温10 min,保留5 min;900 W 200℃升温20 min,保留20 min;25种矿物质元素在各自的线性范围内线性关系良好,r≥0.999 6,精密度、稳定性和重复性试验的RSD均符合定量分析要求;加标回收率为94.7%~106.1%,RSD在0.34%~2.79%。脉络宁注射液中检测出Mg、Ca、Fe、Cu、Zn、Mn、Al、B、Ba、Co、Cr、K、Li、Mo、Na、Ni、P、Pb、Sr、Th、Ti、V,未检出As、Cd和Hg。结论该方法简便、迅速、准确,适用于脉络宁注射液中25种矿物质元素的同时测定。     

Die Lateralität und Lateralitätsinstabilität in der Diagnostik und Therapie

The disturbance and instability of laterality are obstacles to diagnostics and therapy. Correction prior to starting therapy is required. They also predispose toward defined health problems and unspecific diseases. Numerous research activities provide evidence of the relevance of undisturbed laterality in diagnostics and therapy. Techniques of testing and therapeutic corrections will allow for optimized therapy success.     

Yerba Mate or Paraguay Tea

正Beverages based on Ilex paraguariensis A.St.-Hil.are used in the south Brazil and other Latin American countries located at the so-called southern cone.It is known as chimarro or mate in south and southeast Brazil,tererêin     

Journal of Acupuncture and Tuina Science Instructions for Authors

The Journal of Acupuncture and Tuina Science, a journal with an international scope （IS SN 1672-3597, CN 31-1908/R, Bimonthly）, is embodied by ＇Springer Verlag＇ Database, Index Copernicus （IC） and Chinese Scientific and Technical Paper and Citations Data （CSTPCD）. You can search full text on http：//www, springerlink, com/content/1672 -3597.     

Ethnopharmacologic study of chinese rhubarb

This paper deals with an interdisciplinary study covering historic, botanical, phytochemical, pharmacological and clinical aspects of rhubarb and related species, to lay stress on the correlation between plant phylogeny, chemical constituents and purgative activity.

It was found that the official rhubarbs were exclusively restricted in the Sect. Palmata e.g. Rheum palmatum R. palmatum var. tanguticum R. officinale; the following criteria may serve as their standard, viz., the presence of sennoside derivatives and rhein, the occurrence of the reduced form of rhein and aloe-emodin, the leaves with any kind of palmate incision. Comprehensive multivariate analyses showed that there is a very close relationship between the leaf incision, existence of sennosides or rhein and purgative activity.     

基于ICP-MS法的加味左金丸中无机元素分析

目的 通过电感耦合等离子体质谱（inductively coupled plasma mass spectrometry,ICP-MS）法建立加味左金丸中Cd、Pb、As、Hg、Co、V、Ni、Cu、Li、Sb、Ba、Mo、Sn、Cr、Na、Mg、Al、Ca、Ti、Mn、Fe、Zn、Ga、Se、Sr、Tl共计26种无机元素的测定方法。方法 加味左金丸通过微波消解法处理后,根据相对分子质量的大小选择内标物,其中⁷Li、²³Na、²⁴Mg、²⁷Al、⁴⁰Ca、⁴⁸Ti、⁵¹V、⁵²Cr、⁵⁵Mn、⁵⁶Fe、⁵⁸Ni、⁵⁹Co、⁶³Cu、⁶⁶Zn、⁷⁰Ga、⁷⁵As、⁷⁷Se、⁸⁶Sr以⁷²Ge作为内标;⁹⁵Mo、¹¹⁴Cd、¹¹⁸Sn、¹²¹Sb、¹³⁷Ba以¹¹⁵In作为内标;²⁰²Hg、²⁰⁵Tl、²⁰⁸Pb以²⁰⁹Bi作为内标。对标准品溶液、空白溶液与供试品溶液进行分析,采用标准曲线法进行定量分析。通过ICP-MS法进行测定。结果 26种无机元素线性的相关系数r ≥ 0.999 6,检出限为0.001~1.500μg/L,定量限为0.01~5.00 μg/L,精密度与重复性试验的RSD均小于5%,平均回收率在82.64%~106.44%,RSD均小于5%。对3个厂家的12批样品进行了测定,26种元素的含量差异较大,其中Na、Mg、Ca、Fe 4种元素的含量比较高,均大于500 μg/g,Cd、Pb、As、Hg、Co、Li、Sb、Mo、Sn、Cr、Se、Tl的含量比较低,均小于1 μg/g。由结果可知,人体的常量元素,如Na、Mg、Ca的含量比较高,Cd、Pb、As、Hg等有害元素含量比较低。根据《中国药典》2020年版一部的要求,本品中Cd、Pb、As、Hg与Cu均符合规定。结论 该方法快速、准确,可以用于加味左金丸中无机元素的测定。     

Wirksamkeit der Akupunktur bei der Therapie von idiopathischen Schmeckstörungen: Eine randomisierte Placebo-kontrollierte Studie

Background

At present, the state-of-the-art medication in treating idiopathic taste disorder (gustatory dysfunction) is zinc. If zinc medication was unsuccessful, not tolerated or if it is contraindicated the persons affected can hardly be helped.

Objectives

In a randomized placebo-controlled clinical trial an attempt was made to determine the efficacy of acupuncture.

Methods

The treatment group was treated with acupuncture needles, the placebo group with an inactive acupuncture-laser. Endpoints of the study were changes in the taste test, the quality of life and the severity of symptoms of depression (BDI) as well as mood changes (ZMS). Satisfaction with the success of the respective therapy was also evaluated. Data were collected before and after therapy and again for the treatment group 10 weeks after completion of the treatment period.

Findings

Treatment with real acupuncture showed a significant improvement in gustatory function as well as a significant improvement in psychological symptoms. Greater satisfaction with the treatment results was evident in the treatment group. The treatment results of acupuncture remained stable over a period of ten weeks after completion of the treatment.

Conclusion

Acupuncture was effective in the therapy of idiopathic taste disorders and therefore it is an effective alternative when zinc medication is not tolerated or unsuccessful. But it is also suitable as a therapy of first choice. Acupuncture can be considered as an extension of the therapeutic spectrum in the difficult treatment of taste disorders.     

Erstaunliches Ergebnis einer Schädelakupunktur nach Yamamoto bei Hemihypsarrhythmie rechts

A girl, three and a half years old at the respective date, premature in 25th week of gestation, had been presented. On day three after birth, she had had a IVH III° right and left with severe involvement of parenchyma and other multiple complications, e. a. infant respiratory distress syndrome up to the 42nd day postpartum, and epileptic attacks with apnoeic events.     

Veränderungen der Herzratenvariabilität (HRV) während Low Level Lasernadelakupunktur: Placebokontrollierte Studie an 19 herzgesunden Probanden

Background

Experimental and clinical studies postulate a neurobiological mechanism of acupuncture by modulating central pain systems, neurohormones and -transmitters. It seems to be quite likely that the autonomic nervous system (ANS) plays an important mediating role in this neuromodulation.

Aim

In measuring heart rate variability (HRV), as a non-invasive approach to the ANS-function, the object of this study was to monitor probable acupuncture-induced changes of autonomic balance. The innovative technology of laser-needle acupuncture offers for the first time a stimulation method which fulfils the demands on a placebo-controlled acupuncture trial not requiring controversial sham acupuncture.

Method

19 healthy voluntary subjects underwent 3 treatments in randomized sequence, consisting of placebo-, 1-point- (PC 6) and simultaneous 3-point- (PC 6, LR 3, SI 3) laser-needle-stimulation over 20 minutes. Before, during and after placebo-/verum laser-needle acupuncture, HRV-data for normalized HF(high frequency)- and LF(low frequency)-Power (nHF, nLF) and their quotient nLF/nHF obtained by power spectrum analysis (FFT), were measured and analyzed statistically at 5 different time points (ANOVA repeated measures, p < 0,05).

Results

During both verum applications, the 1-point- (PC 6) as well as the simultaneous 3-point- (PC 6, LR 3, SI 3) laser-needle stimulation, significant changes of the ANS-activity were found in comparison to the placebo application. The most significant modification of HRV was an increase of nHF (p < 0,05 (PC 6), p < 0,0001 (PC 6, LR 3, SI 3)) as an expression of growing vagal activity during acupuncture.

Conclusion

Laser-needle acupuncture causes in 1-point-stimulation (PC 6) as well as in simultaneous 3-point-stimulation (PC 6, LR 3, SI 3) significant changes in HRV in comparison to placebo application. HRV-monitoring seems to be a suitable approach in exploration of acupuncture-induced changes of ANS and could possibly be established in combination with laser needle acupuncture as a standard for further scientific and clinical acupuncture investigations which are greatly needed.