仙龙解毒饮的质量标准研究

目的对仙龙解毒饮的薄层鉴别和含量测定进行研究。方法采用TLC对处方中麦冬、甘草进行定性鉴别;采用UV-HPLC测定甘草中甘草苷含量。结果薄层色谱中均检出麦冬、甘草,斑点清晰,阴性均无干扰,专属性强。甘草苷在11.0~109.6μg·m L-1范围内呈现良好的线性关系（r^2=0.9996）,平均加样回收率为101.2%（RSD=1.55%）。结论本实验建立的方法简便、准确、重现性好,可作为仙龙解毒饮的质量控制。     

探讨中西医结合治疗肾阴虚型2型糖尿病的临床疗效

目的：探讨中西医结合治疗肾阴虚型2型糖尿病的临床疗效。方法70例肾阴虚型2型糖尿病患者作为观察对象,随机分为观察组和对照组,各35例。观察组予以中西医治疗,对照组仅予以西医治疗。结果观察组治疗效果优于对照组,两组高密度脂蛋白胆固醇（HDL-C）与低密度脂蛋白胆固醇（LDL-C）治疗后比较,差异无统计学意义（P〉0.05）,而空腹血糖（FPG）、服糖后2 h血糖（P2hPG）、总胆固醇（TC）以及糖化血红蛋白（HbA1c）、甘油三脂（TG）在治疗后观察组改善优于对照组,两组比较差异有统计学意义（P〈0.05）。结论针对肾阴虚型2型糖尿病患者采用中西医结合方式进行治疗,可有效改善患者的临床症状,提高治疗效果及生活质量。     

从脾阴虚论治小儿厌食症70例

目的观察从脾阴虚论治小儿厌食症的临床疗效。方法70例厌食症患儿口服加减麻仁滋脾汤,7d为1个疗程,治疗4个疗程后统计疗效。结果治愈14例,显效29例,有效24例,无效3例,总有效率95．7％。结论从脾阴虚论治小儿厌食症疗效满意,值得临床推广应用。     

银消丸治疗银屑病的临床研究

目的：探讨银消丸治疗银屑病的临床效果。方法43例银屑病患者,26例服用成纯中药制剂银消丸（实验组）,17例服用银迪片（对照组）。结果临床总有效率86.5%,观察组明显优于对照组76.5%,差异有统计学意义。结论银消丸治疗银屑病组方合理,工艺可行,临床疗效满意。     

强骨饮联合益生菌对大鼠骨质疏松性骨折的愈合作用

目的 研究强骨饮联合益生菌对大鼠骨质疏松性骨折的愈合作用。方法 将♂SD大鼠50只随机分成5组：一般骨折对照组、骨质疏松性骨折模型组、强骨饮组、益生菌组、强骨饮联合益生菌组,每组10只。骨质疏松性骨折模型组和所有治疗组均摘除双侧卵巢制备骨质疏松模型。6周后,每组制备右侧股骨干中段横行骨折模型。造模成功后即给予强骨饮组生药灌胃量102 g·kg^-1,益生菌组灌胃量12.5 g·kg^-1,未给药组灌胃等量生理盐水,每日1次,连续6周。骨密度扫描仪测定骨密度,Micro-CT扫描股骨相关参数,酶联免疫法测定大鼠血清骨源性碱性磷酸酶（bone alkalinephosphatase,BALP）、骨钙素（osteocalcin,OC）、I型胶原C端肽（type I procollagen carboxy-terminal propeptide,CTX-I）,生化仪测定钙浓度（Ca）。HE观察骨折骨痂组织病理变化。结果 与骨质疏松性骨折组比较,强骨饮组或益生菌组均可促进骨折愈合（增加骨小梁数量和骨密度）,增加骨形成参数（BALP和OC）和降低吸收参数（CTX-I）,而强骨饮联合益生菌组作用更明显。结论 益生菌和强骨饮均有促进骨质疏松性骨折愈合的治疗作用,联合用药效果更佳。     

滋阴润肠流膏口服治疗功能性便秘的疗效观察

为观察滋阴润肠流膏口服治疗功能性便秘的临床效果,将60例功能性便秘患者随机分为治疗组和对照组,每组各30例。治疗组采用口服滋阴润肠流膏治疗,对照组采用口服六味能消胶囊治疗。两组均以4周为1个疗程,观察两组的临床疗效,并对治愈患者随访2个月,观察远期疗效。结果显示,治疗组在排便不尽感、排便困难、排便频率及大便性状等方面疗效明显优于对照组（P〈0．05）。结果表明,滋阴润肠流膏口服治疗功能性便秘更为有效、安全,具有服用剂量较小、便于久服、服用适口、生物利用度高、强健补益等独特的优点。     

Identification of potential metabolic biomarkers in Yin deficiency syndrome using LC–MS

Yin and Yang are the two counter-balancing aspects in ancient Chinese philosophy. In traditional Chinese medicine, Yin deficiency syndrome (YDS) is a common sub-health state with complex causes. While the syndrome may be treated to various degrees of effectiveness with traditional Chinese medicine, efficient modern methods are yet to be developed for diagnosing and treating the YDS. Here we performed a metabolomics study on YDS in rats. Serum metabolites in rats were analyzed using ultra-performance liquid chromatography-mass spectrometry (UPLC–MS) method to identify potential biomarkers for YDS. The rats were divided randomly into the healthy control group, the untreated YDS group, and the anemarrhena treated YDS group. Compared with the control group, significant increase in the metabolites such as dihydrotestosterone (DHT) and 5β-DHT, 4-imidazolone-5-propanoate, 4-(L-alanin-3-yl)-2-hydroxy-cis,cis-muconate 6-semialdehyde, and 5-(L-alanin-3-yl)-2-hydroxy-cis,cis-muconate 6-semialdehyde were observed in the serum of untreated YDS group, which returned to normal in the anemarrhena treated group. Therefore, these metabolites may serve as potential biomarkers for YDS, and may facilitate the diagnosis and treatment of YDS.     

Estimating the Yin-Yang Nature of Western Herbs: A Potential Tool Based on Antioxidation-Oxidation Theory

Background

One of the biggest obstacles to progress in traditional Chinese medicine (TCM) development in Western countries is the difficulty of applying the traditional concepts to the Western medicinal plants, which are not traditionally described in ancient literature. During recent years, new advances in the field of understanding Yin/Yang aspects from a modern bioscientific point of view have led to the conclusion that antioxidationoxidation concepts might mirror a Yin-Yang relationship.

Methods

This study was intended to integrate the Yin-Yang theory of the traditional Chinese medicine with modern antioxidation-oxidation theory, and to propose a biochemical tool based on redox parameters (e.g. antioxidant capacity, chemiluminescence-CL signal inducing capacity), usable for the classification of Western medicinal plants from Yin/Yang perspective. Trolox equivalent antioxidant capacity (TEAC) of six vegetal aqueous extracts (Symphitum officinalae (radix)-SYM, Inula helenium (radix)-INU, Calendula officinalis (flores)-CAL, Angelica arhanghelica (folium)ANG(F), Angelica arhanghelica (radix)-ANG(R), Ecbalium Elaterium (fruits)-ECB) and luminol-enhanced chemiluminescence of PMNL on addition of these vegetal extracts were measured. Percentages from the maximal or minimal values obtained were calculated for each extract (TEAC%, PMNL stimulation%, PMNL inhibition%, relative speed of action% (RSA%%)), specific Yin-Yang significance was assigned to each relative parameter. In the end, an integration of all the relative values was done, in order to find a global ”Yin” or a ”Yang” trait of each vegetal extract.

Results

TEAC decreased in the following order: SYM > INU > CAL >ANG(F) > ANG(R > ECB. Three vegetal extracts (SYM > INU > ECB) decreased the luminol-enhanced chemiluminescence of PMNL, two (ANG(R) > ANG(F)) increased it, while one (CAL) had a dual effect. After the integration of the percentages, CAL was found to have a global ”Yang” trait, while the rest of the plants had a global ”Yin” trait.

Conclusions

TEAC% and PMNL inhibition% appears to correlate with the Yin properties of herbs, while PMNL stimulation% and RSA% might correlate with Yang aspects within the formal TCM classification system, and may be useful criteria in describing the Western herbs from a TCM point of view.     

寻常型银屑病皮损范围与银屑解毒散的疗效

目的 分析银屑解毒散,治疗进展期寻常型银屑病血热血瘀证药理机制及对不同寻常型银屑病皮损范围疗效的观察.方法 随机选出200例进展期寻常型银屑病患者,把皮损程度指数(PASI)总分在5～6分定为轻型,在此基础上,PASI总分逐次增加2分的区间,依次划分为中型及重型.给予银屑解毒散每次6 g/袋,3次/d口服,30 d为一疗程,连续用药2疗程.结果 治疗后PASI和皮损面积与治疗前相比,明显降低(P<0.01),疗效与PASI成反比,重型治疗组愈显率为82%,重型对照组为64%(P<0.05).治疗组平均愈显率为90.4%.结论 银屑解毒散治疗进展期寻常型银屑病效果显著.     

补肾生精饮联合穴位针灸改善精子质量提高夫精人工授精应用率的临床研究

目的:为提高夫精人工授精应用率,观察补肾生精饮联合穴位针灸治疗轻中度少弱精患者的精子质量的疗效及安全性。方法:对由于轻中度少弱精子症引起男性不育患者给予口服补肾生精饮联合穴位针灸治疗24周,并分别于治疗前以及治疗后第3、6、9、12、18、24周检测精液参数并进行精液预处理。结果:132例患者,有12例中途退出,治疗过程中女方临床妊娠8例(6.67%),达到人工授精指标56例(46.67%)。与治疗前相比,在补肾生精饮联合穴位针炙治疗后,精子密度、精子活力、(a+b)级精子总数以及精液预处理后(a+b)级精子总数在治疗过程中均有逐渐增高趋势,其中精子密度在治疗9周后各时间组显著性增高(P0.05),精子活力即(a+b)级精子百分率、(a+b)级精子总数以及精液预处理后(a+b)级精子总数在治疗第12周后各时间组显著增高(P0.05)。结论:补肾生精饮配合针灸治疗能够改善轻中度少弱精患者的精子质量,提高夫精人工授精的临床应用率。