Journal of Traditional Chinese Medicine,2012年32(3):482-487 ISSN：0255-2922
[Liu, Songlin; Tian, Daizhi; Chen, Gang; Liu, Junfeng; Liu, Ping; Wang, Ping] Minist Educ, Hubei Coll Tradit Chinese Med, Key Lab Tradit Chinese Med Resource & Compound Pr, Wuhan 430065, Hubei, Peoples R China.;[Wang, Ping] State Adm Tradit Chinese Med Peoples Republ China, Key Lab Senile Dementia Xing Nao Yi Zhi, Wuhan 430065, Hubei, Peoples R China.
[Wang, Ping] State Adm Tradit Chinese Med Peoples Republ China, Key Lab Senile Dementia Xing Nao Yi Zhi, Wuhan 430065, Hubei, Peoples R China.
Lung being connected with large intestine;Traditional Chinese Medicine;Clinical application
OBJECTIVE:The theory of lung being connected with large intestine,which is a major topic in Traditional Chinese Medicine(TCM),has guided clinical practice for thousands of years in China.METHODS:In this study,we analyzed the history,main contents,clinical application,and material basis of the theory,to attempt to improve the potential clinical significance of "lung being connected with large intestine" in China.RESULTS:The lung being connected with large intestine was first described in "Huang Di Nei Jing",and formed one of the basic theories of TCM.For thousands of years,the majority of TCM practitioners explored this theory continuously,leading to its development and use as an important theory in the guidance of TCM clinics In the last decade,researchers in the field of integrated TCM and Western medicine have studied clinical applications and biomedical mechanisms with experimental methods to explore the implications of the theory.CONCLUSION:With the further development of science and technology,research concerning the theory of lung being connected with large intestine will be greatly stimulated and contribute to the modernization of TCM.
Journal of Traditional Chinese Medicine,2013年33(4):449-454 ISSN：0255-2922
[Liu, Songlin; Chen, Gang; Kong, Mingwang; Liu, Ping; Wang, Ping] Hubei Univ Chinese Med, Key Lab Senile Dementia, State Adm Tradit Chinese Med Peoples Republ China, Wuhan 430065, Peoples R China.
[Wang, Ping] Hubei Univ Chinese Med, Key Lab Senile Dementia, State Adm Tradit Chinese Med Peoples Republ China, Wuhan 430065, Peoples R China.
Alzheimer disease;Reinforcing kidney;Resolving phlegm;Drugs, Chinese herbal
OBJECTIVE: To explore the mechanism of reinforcing kidney-essence, removing phlegm, and promoting mental therapy in treating Alzheimer’s disease (AD). METHODS: Sixty patients with AD in Wuhan No.1 Hospital of Traditional Chinese Medicine for Geriatrics from May 2009 to April 2011 were randomly divided into two groups, with 30 in each group. Patients in Bushenhuatanyizhi group (BHY group) took BHY instant granules (6 g, twice per day). Patients in the control group took piracetam (0.8 g, 3 times per day). There were twelve weeks in a course. Changes in the mini-mental state examination (MMSE) score and Activity of Daily Living Scale (ADL) score were analyzed before and after treatment. RESULTS: MMSE scores in the two groups in-creased and ADL scores decreased after treatment, compared with those before treatment (both P< 0.05).The total effective rate was 86.67% in the BHY group (10 very effective, 13 effective, 7 non-responsive). The control group was 57.69% (5 very effective, 16 effective, 9 non-responsive) (P<0.05). Superoxide dismutase levels were increased, lipid peroxide and triglyceride levels decreased after treatment in the BHY group as compared with the control group. CONCLUSION: Reinforcing kidney-essence, removing phlegm, and promoting mental therapy can improve cognitive function and daily life of AD patients. The mechanism of the therapy might be related to improving blood fat, scavenging free radicals, and inhibiting lipid peroxides.
目的:观察疏肝和胃汤对抑郁模型大鼠脑部前额叶皮层(PF C)-伏隔核(N A c)-腹侧被盖区(VTA)神经环路多巴胺(DA)含量的影响,探讨疏肝和胃汤的抗抑郁作用机制.方法:120只大鼠随机分成空白组,模型组,疏肝和胃汤低、中、高剂量组,氟西汀组,每组20只,慢性不可预知性温和应激结合孤养法制作抑郁大鼠模型,共计造模4周后,疏肝和胃汤低、中、高剂量组分别予3.67、7.34、14.68g·kg~(-1)·d~(-1)给药,氟西汀组按1.58mg·kg~(-1)·d~(-1)给药,空白组及模型组给予等体积0.9%氯化钠溶液,每天灌胃1次,共计7d.在第5周结束后,根据大鼠脑立体定位图取大鼠脑PFC区、NAc区及VTA区组织,采用高效液相色谱法检测各脑区DA的含量.结果:与空白组比较,模型组大鼠PFC区、NAc区及VTA区DA含量均明显降低(P<0.01);治疗1周后,疏肝和胃汤中、高剂量组及氟西汀组大鼠PFC区DA含量升高,疏肝和胃汤各剂量组及氟西汀组NAc区DA含量升高,疏肝和胃汤低、中剂量组及氟西汀组大鼠VTA区DA含量升高,与模型组比较均有显著性差异(P<0.05,P<0.01);其中,PFC区疏肝和胃汤高剂量组与氟西汀组比较,NAc区疏肝和胃汤中剂量组与氟西汀组比较,无显著性差异,而VTA区疏肝和胃汤低、中剂量组与氟西汀组比较,差异有统计学意义(P<0.01).结论:疏肝和胃汤可能是通过增加PFC区、NAc区及VTA区DA的表达,整体调节PFC-NAc-VTA神经环路中DA的含量,达到改善抑郁样行为的作用.