OBJECTIVE To explore the curative effect and mechanism of Yiqi Huoxue decoction in the treatment of coronary heart disease with Qi deficiency and blood stasis syndrome.METHODS The patients with coronary heart disease ...OBJECTIVE To explore the curative effect and mechanism of Yiqi Huoxue decoction in the treatment of coronary heart disease with Qi deficiency and blood stasis syndrome.METHODS The patients with coronary heart disease of Qi deficiency and blood stasis syndrome were treated with Yiqi Huoxue decoction for 3 months,and the changes of cardiac function were observed.61 serum samples(including 29 cases of disease group and 32 cases of Yiqi Huoxue expression group)were analyzed by non labeled proteomics.The disease group was used as the control group,and the protein with expression level difference of more than 1.2 folds(P<0.05)was screened.The molecular function,biological pathway and protein interaction of the different proteins were analyzed by bioinformatics,so as to identify the molecular and biological pathway of Yiqi Huoxue decoction in the treatment of coronary heart disease with Qi deficiency and blood stasis syndrome.RESULTS Clinical treatment found that Yiqi Huoxue decoction can improve TCM syndrome score and left ventricular ejection fraction,regulate blood glucose and blood lipid levels,prolong thrombin time,and improve heart function.The results of proteomic quantitative analysis showed that there were 69 proteins with different expression levels in the disease group.Bioinformatics analysis results showed that Yiqi Huoxue decoction may regulate ApoA1,alpha-2 and other proteins to act on HDL assembly,platelet degradation,PI3K Akt signaling pathway,and then play a therapeutic role in coronary heart disease with Qi deficiency and blood stasis syndrome.CONCLUSION Yiqi Huoxue decoction can effectively improved the heart function decline caused by Qi deficiency and blood stasis syndrome of coronary heart disease.It mainly act on energy metabolism and platelet activation pathway by activating HDL assembly and platelet degradation signal pathway proteins.This study can provide reference for the follow-up treatment mechanism of Qi deficiency and blood stasis syndrome of coronary heart disease.展开更多
目的探讨冠心病痰瘀互结证患者的舌象特点,分析其舌象变化的规律。方法采用整群抽样法,纳入2020年11月—2021年11月就诊于辽宁中医药大学附属医院心内科的冠心病稳定型心绞痛(也称劳力性心绞痛)210例患者的舌象临床资料,将纳入病例分为...目的探讨冠心病痰瘀互结证患者的舌象特点,分析其舌象变化的规律。方法采用整群抽样法,纳入2020年11月—2021年11月就诊于辽宁中医药大学附属医院心内科的冠心病稳定型心绞痛(也称劳力性心绞痛)210例患者的舌象临床资料,将纳入病例分为痰瘀互结证组与非痰瘀互结证组。按照世界卫生组织(World Health Organization,WHO)年龄分段标准将痰瘀互结证组分为中年组(27例)、低龄老年组(40例)、高龄老年组(17例)。对不同年龄组的痰瘀互结证患者HSV(Hue,Saturation,Value)、RGB(Red,Green,Blue)参数等舌象特征进行分析,探究与增龄相关的舌象变化规律。结果冠心病·痰瘀互结证患者不同年龄组间舌质、舌苔分布差异具有统计学意义。舌色特征:中年组多红舌,低龄老年组多淡紫舌,高龄老年组多绛舌和紫舌(P<0.05);中年组舌质尖部H值小于低龄老年组、高龄老年组(P<0.05),中年组舌质尖部V值大于其他两组(P<0.05)。高龄老年组舌质左部、右部、中部S值大于中年组和低龄老年组(P<0.05),V值小于中年组和低龄老年组(P<0.05),高龄老年组舌质左部、右部、中部的R+B/R+G+B值大于其他两组;舌形特征:中年组多胖大、齿痕舌,高龄老年组多瘦薄舌,且高龄老年组多裂纹舌、老舌、嫩舌(P<0.05);舌苔特征:中年组舌苔多白腻如豆腐脑铺舌,高龄老年组患者舌苔淡黄黏糊状如鸡子黄覆盖,腻苔比例逐渐减少,以高龄老年组腻苔比例最低(P<0.05)。中年组舌苔左部、右部、中部V值大于低龄老年组、高龄老年组(P<0.05),高龄老年组舌苔左部、右部、中部的S值大于中年组和低龄老年组(P<0.05),高龄老年组舌苔根部的V值小于其他两组(P<0.05),高龄老年组舌苔中部、根部的R+G/R+G+B值大于其他两组。结论(1)中年组易痰瘀热化。(2)伴随增龄瘀血程度逐渐加重。(3)高龄老年组痰瘀之邪易伤及营阴。(4)高龄老年组易虚实夹杂。展开更多
基金National Natural Science Foundation of China(82030124)and National Key Basic Research Special Foundation of China(2015CB554400)。
文摘OBJECTIVE To explore the curative effect and mechanism of Yiqi Huoxue decoction in the treatment of coronary heart disease with Qi deficiency and blood stasis syndrome.METHODS The patients with coronary heart disease of Qi deficiency and blood stasis syndrome were treated with Yiqi Huoxue decoction for 3 months,and the changes of cardiac function were observed.61 serum samples(including 29 cases of disease group and 32 cases of Yiqi Huoxue expression group)were analyzed by non labeled proteomics.The disease group was used as the control group,and the protein with expression level difference of more than 1.2 folds(P<0.05)was screened.The molecular function,biological pathway and protein interaction of the different proteins were analyzed by bioinformatics,so as to identify the molecular and biological pathway of Yiqi Huoxue decoction in the treatment of coronary heart disease with Qi deficiency and blood stasis syndrome.RESULTS Clinical treatment found that Yiqi Huoxue decoction can improve TCM syndrome score and left ventricular ejection fraction,regulate blood glucose and blood lipid levels,prolong thrombin time,and improve heart function.The results of proteomic quantitative analysis showed that there were 69 proteins with different expression levels in the disease group.Bioinformatics analysis results showed that Yiqi Huoxue decoction may regulate ApoA1,alpha-2 and other proteins to act on HDL assembly,platelet degradation,PI3K Akt signaling pathway,and then play a therapeutic role in coronary heart disease with Qi deficiency and blood stasis syndrome.CONCLUSION Yiqi Huoxue decoction can effectively improved the heart function decline caused by Qi deficiency and blood stasis syndrome of coronary heart disease.It mainly act on energy metabolism and platelet activation pathway by activating HDL assembly and platelet degradation signal pathway proteins.This study can provide reference for the follow-up treatment mechanism of Qi deficiency and blood stasis syndrome of coronary heart disease.
文摘目的探讨冠心病痰瘀互结证患者的舌象特点,分析其舌象变化的规律。方法采用整群抽样法,纳入2020年11月—2021年11月就诊于辽宁中医药大学附属医院心内科的冠心病稳定型心绞痛(也称劳力性心绞痛)210例患者的舌象临床资料,将纳入病例分为痰瘀互结证组与非痰瘀互结证组。按照世界卫生组织(World Health Organization,WHO)年龄分段标准将痰瘀互结证组分为中年组(27例)、低龄老年组(40例)、高龄老年组(17例)。对不同年龄组的痰瘀互结证患者HSV(Hue,Saturation,Value)、RGB(Red,Green,Blue)参数等舌象特征进行分析,探究与增龄相关的舌象变化规律。结果冠心病·痰瘀互结证患者不同年龄组间舌质、舌苔分布差异具有统计学意义。舌色特征:中年组多红舌,低龄老年组多淡紫舌,高龄老年组多绛舌和紫舌(P<0.05);中年组舌质尖部H值小于低龄老年组、高龄老年组(P<0.05),中年组舌质尖部V值大于其他两组(P<0.05)。高龄老年组舌质左部、右部、中部S值大于中年组和低龄老年组(P<0.05),V值小于中年组和低龄老年组(P<0.05),高龄老年组舌质左部、右部、中部的R+B/R+G+B值大于其他两组;舌形特征:中年组多胖大、齿痕舌,高龄老年组多瘦薄舌,且高龄老年组多裂纹舌、老舌、嫩舌(P<0.05);舌苔特征:中年组舌苔多白腻如豆腐脑铺舌,高龄老年组患者舌苔淡黄黏糊状如鸡子黄覆盖,腻苔比例逐渐减少,以高龄老年组腻苔比例最低(P<0.05)。中年组舌苔左部、右部、中部V值大于低龄老年组、高龄老年组(P<0.05),高龄老年组舌苔左部、右部、中部的S值大于中年组和低龄老年组(P<0.05),高龄老年组舌苔根部的V值小于其他两组(P<0.05),高龄老年组舌苔中部、根部的R+G/R+G+B值大于其他两组。结论(1)中年组易痰瘀热化。(2)伴随增龄瘀血程度逐渐加重。(3)高龄老年组痰瘀之邪易伤及营阴。(4)高龄老年组易虚实夹杂。
