茵陈蒿汤加味配合西药治疗犬传染性肝炎的试验研究

为了观察3种治疗方法治疗犬传染性肝炎的疗效并进行对比，选出较好的治疗方案，以提高犬传染性肝炎的治愈率。本研究选宠物医院确诊为犬传染性肝炎的病犬60只，将患犬随机分4组，分别采用茵陈篙汤加味配合西药、单用茵陈篙汤加味、单用西药的治疗方法，并设对照组。结果显示，茵陈篙汤加味配合西药组的治愈率86.67%；茵陈篙汤加味组治愈率73.33%；西药组治愈率66.67%；对照组治愈率为0。试验表明，采用茵陈篙汤加味配合西药治疗犬传染性肝炎的疗效高于其他两种方法，为临床治疗该病提供了确实可行的治疗方法。     

加味当归四逆壳聚糖喷膜剂的研制

研制加味当归四逆壳聚糖喷膜剂,并且制定生产工艺和质量标准。试验采用水煎法提取处方药材;通过正交试验确定壳聚糖盐酸盐、PVPK-30以及乙醇成膜材料的最佳配比;按照药典相关规定,采用紫外分光光度法测定每瓶总黄酮的含量。成膜材料的最佳配比为壳聚糖盐酸盐1%,3%PVPK-30和40%乙醇。通过TLC鉴定样品含有阿魏酸和芍药苷成分。质量标准中性状为澄清有清凉气味的红棕色液体,总黄酮的含量1.83 mg/mL。以处方为219 mg/mL中药复方,1%的壳聚糖盐酸盐,3%的PVPK-30以及40%的乙醇制备出加味当归四逆壳聚糖喷膜剂,且制定质量标准中样品含有阿魏酸和芍药苷并且每瓶总黄酮含量满足1.83 mg/mL。     

Effect of Yiqi Huoxue Jiedu Fang on the growth,metastasis and angiogenesis of Lewis lung carcinomas

AIM: To study the effect of Yiqi Huoxue Jiedu Fang (YHJ), composed of ginsenoside, penex notogingseng and berberin, on tumor growth and metastasis and to explore its mechanism.METHODS: Murine Lewis lung carcinoma transplant model was established and mice were treated with YHJ by intraperitoneal injection. After 10 days, the inhibitory rate of tumor, pathology of tumor and PCNA of tumor cells were detected. After 20 days, numbers of metastatic foci on lung surface and microvessel density (MVD) were determined. Expression of VEGF in tumor and serum were also analyzed by immunohistochemical test and ELISA, respectively. RESULTS: YHJ reduced the weight of tumor and the amount of metastatic foci. The inhibitory rates of tumor at high and low dose of YHJ (24 mg·kg_^-1·d_^-1, 12 mg·kg_^-1·d_^-1) were 48.29% and 37.26%, and the number of metastatic foci was 1.67 and 3.50, while control was 6.44. Furthermore, PCNA of tumor cells, MVD of tumor and VEGF expression in serum and tumor were decreased in YHJ treatment goup as compared with control. CONCLUSION: YHJ remarkably inhibits Lewis lung carcinoma growth and metastasis in mice. Its mechanism may be related to inhibition of angiogenesis.     

健脾益肾清热利湿方辅助治疗急性肾盂肾炎的疗效观察

目的 观察健脾益肾清热利湿方辅助治疗急性肾盂肾炎的临床疗效。方法 将52例急性肾盂肾炎患者随机分为治疗组和对照组各26例。对照组给予抗生素治疗,治疗组在对照组的基础上给予健脾益肾清热利湿方辅助治疗,两组疗程均为2周。观察两组治疗前后主要临床症状、体征的变化。结果 在疗效方面,治疗组总有效率为96.2%,对照组总有效率为80.8%,治疗组疗效优于对照组（P<0.05）;在发热、腰痛、尿路刺激征消除时间方面治疗组明显快于对照组（P<0.01）。结论 健脾益肾清热利湿方辅助治疗急性肾盂肾炎效果显著,可明显改善患者的临床症状,并可缩短临床症状的消除时间,能提高治疗的有效率。     

益气活血法对冠心病稳定型心绞痛气虚血癖证 患者血清IL-6,TNF-。及ICAIVI-1的影响

〔摘要〕目的观察益气活血之保心汤对气虚血疲型冠心病稳定型心绞痛患者的疗效及对血清白介素一6 ( IL- 6)、肿瘤坏死因子一。(TNF-a)、细胞间粘附分子一1(ICAM-1)的影响〔方法60例患者随机分为治疗组和对照组,分 别采用保心汤和西药治疗4周后,观察两组治疗心绞痛的疗效和患者治疗前后血清IL-6 ,TNF-a ,ICAM-1水平的 变化〔结果治疗组疗效评价明显优于对照组((P<0.05) ;治疗组患者治疗后血清IL-6 ,TNF-a ,ICAM-1水平较治疗前 明显降低(P<0.01)结论保心汤对气虚血疲型冠心病心绞痛患者有确切的疗效,可能通过抑制血清IL-6,TNF-a, TCAM-1 iK平_从而抑制}h''}}应_以iJ.- }}I疗冠心病}.} }.h ''J ,I`} }u痛的作用.     

RP—HPLC法同时测定白头翁汤中盐酸小檗碱、盐酸药根碱、盐酸巴马汀的含量

目的：建立反向高效液相色谱方法同时测定白头翁汤中盐酸小檗碱、盐酸药根碱、盐酸巴马汀的含量。方法：色谱柱为XPODS—AC。。（250minx4．6mm,5I．Lm）;采用线性梯度洗脱方法,流动相：溶液A为乙腈,溶液B为O．05mol／L磷酸二氢钾（磷酸调pH值至3．0）。0—40min溶液A：溶液B为5：95—45：55;流速：1．0mL／min;柱温：室温;检测器：DAD检测器;检测波长：340nm;进样量：10μL。结果：盐酸小檗碱、盐酸药根碱和盐酸巴马汀分别在62．5-l000μg／mL、46．875—750μg／mL和37．5—600μg／mL范围内线性良好;平均加样回收率分别为99．22％（RSD为3．25％）、98．46％（RSD为1．99％）和99．20％（RSD为1．69％）。结论：本方法简便、灵敏、准确,适用于白头翁汤的质量控制。     

大孔树脂法精制天麻钩藤饮的工艺研究

[目的]优选AB-8型大孔树脂精制天麻钩藤饮药液的工艺条件。[方法]以天麻素的含量和出膏率为考察指标,采用单因素和L9(34)正交法对树脂纯化工艺中的最大上样量、上样速度和洗脱剂浓度等参数进行优选。[结果]上柱前平均出膏率为21.252 7%,RSD为1.009 6%;天麻素的平均含量为5.263 mg/g,RSD为0.693%。最佳工艺为最大上样量30 ml、上样速度2 BV/h、洗脱溶剂为浓度40%乙醇、洗脱剂用量165 ml、药液浓度0.5 g/ml、径高比1∶10;在此条件下,浸膏得率为9.98%,天麻素平均含量为13.364 mg/g。[结论]该方法合理可行,提高了天麻素的含量,并降低了浸膏量。     

Chemical conversions of salvianolic acid B by decoction in aqueous solution

Salvianolic acid B (Sal B) is the most abundant phenolic compound in Salvia miltiorrhiza, which has been widely used for the treatment of cardiovascular diseases in Oriental medicine. To elucidate structure of the converted compounds of Sal B by decoction in aqueous solution, Sal B (200mg) was decocted in an aqueous solution (200mL) at pH 4.9 and the decocted solution was purified by Sephadex LH-20 column chromatography and preparative HPLC. The 13 converted compounds were isolated and the chemical structures were determined by NMR and MS. In addition to the 4 compounds previously reported as conversion products of Sal B by decoction, 9 compounds were first reported with the complete structure of compounds isolated from decocted Sal B solution and three of the compounds were determined to be novel compounds. In addition, a conversion mechanism of compounds converted by decoction was proposed on the basis of kinetics studies, which reasonably supported the conversion mechanism of Sal B. The 13 compounds seemed to be produced by the hydrolysis of an ester bond, decarboxylation, retro oxa-Michael reaction, hydration, and radical reaction during decoction in aqueous solution.     

安神除烦汤治疗失眠临床观察

目的观察自拟安神除烦汤治疗中老年人失眠症的临床疗效。方法 60例患者按就诊先后顺序随机分为治疗组与对照组各30例。治疗组服用安神除烦汤,对照组服用舒乐安定,疗程均为60 d。结果两组治疗失眠症疗效相当,治疗组总有效率为93.3%,对照组为90.0%;两组焦虑自评量表(SAS)评分均较治疗前明显下降(P<0.01),治疗组下降幅度明显优于对照组(P<0.05)。不良反应发生率治疗组明显低于对照组(P<0.01)。结论安神除烦汤治疗中老年人失眠症疗效确切,能明显改善患者的焦虑抑郁状态,具有良好的药物安全性。     

滋肾活血汤治疗子宫内膜薄致月经过少肾虚血瘀证的疗效观察

目的观察滋肾活血汤治疗子宫内膜薄致月经过少肾虚血瘀证的临床疗效。方法选择2012年9月—2013年9月期间在我院妇科门诊治疗的子宫内膜薄致月经过少肾虚血瘀证60例患者,随机分为观察组与对照组各30例。观察组口服滋肾活血汤,对照组口服补佳乐联合黄体酮,3个月为1疗程。观察两组临床疗效、治疗前后中医症状评分、子宫内膜厚度变化。结果观察组治疗后临床疗效和中医症状评分优于对照组(P<0.05)。两组治疗后子宫内膜厚度与本组治疗前比较,均有明显改善(P<0.05),两组治疗后子宫内膜厚度比较差异无统计学意义(P>0.05)。结论滋肾活血汤治疗子宫内膜薄致月经过少肾虚血瘀证具有显著疗效,且能增加子宫内膜厚度,值得临床推广应用。