康妇炎胶囊是在经典中药组方薏苡附子败酱散、当归芍药散及二妙散基础上加减而成,主要由香附、川芎、赤芍、延胡索、当归、白花蛇舌草、蒲公英、泽泻、薏苡仁、败酱草和苍术等中药组成,具有清热解毒、化湿止带、活血通络止痛的功效。本文综述了康妇炎胶囊在治疗妇科炎症性疾病中的临床应用及其作用机制。通过抗炎镇痛、抗菌、调节免疫功能、改善血液流变学、抑制血管生成和减少盆腔结缔组织生成等多重药理作用,康妇炎胶囊在慢性盆腔炎、阴道炎、宫颈病变、子宫内膜炎及输卵管通而不畅性不孕等疾病的治疗中表现出显著疗效。临床研究表明,康妇炎胶囊联合常规治疗方法能够有效降低炎症因子水平,改善免疫指标,减少症状持续时间及疾病复发率,且具有较低的副作用发生率。因此,康妇炎胶囊在妇科炎症性疾病的综合治疗中具有重要的临床价值和广阔的应用前景。Kangfuyan Capsules are developed based on the classical Chinese medicine formulas of Yiyi Fuzi Baijiang San, Danggui Shaoyao San, and Ermiao San, with modifications. The primary ingredients include Xiangfu, Chuanxiong, Chishaoyao, Yanhusuo, Danggui, Baihuasheshecao, Pugongying, Zexie, Yiyiren, Baijiangcao, and Cangzhu. This formulation possesses the functions of clearing heat and detoxifying, dispelling dampness and stopping leukorrhea, promoting blood circulation, and relieving pain. This review summarizes the clinical applications and mechanisms of action of Kangfuyan Capsules in treating gynecological inflammatory diseases. Through multiple pharmacological actions, such as anti-inflammatory and analgesic effects, antibacterial activity, immune modulation, improvement of blood rheology, inhibition of angiogenesis, and reduction of pelvic connective tissue generation, Kangfuyan Capsules have shown significant efficacy in the treatment of chronic pelvic inflammatory disease, vaginitis, cervical lesions, endometritis, and tubal infertility caused by obstructed fallopian tubes. Clinical studies indicate that when combined with conventional treatments, Kangfuyan Capsules can effectively lower the levels of inflammatory factors, improve immune indicators, reduce the duration of symptoms, and decrease the recurrence rate of the diseases, with a relatively low incidence of side effects. Therefore, Kangfuyan Capsules hold significant clinical value and promising application prospects in the comprehensive treatment of gynecological inflammatory diseases.
目的:基于数据挖掘技术研究耳穴贴压干预过敏性鼻炎(AR)的选穴规律及常用耳穴刺激量。方法:检索中国知网(CNKI)、中国生物医学文献服务系统(CBM)、万方数据知识服务平台(WanFang)、维普网(VIP)、Pubmed、Cochrane Library、Web of Scien...
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目的:基于数据挖掘技术研究耳穴贴压干预过敏性鼻炎(AR)的选穴规律及常用耳穴刺激量。方法:检索中国知网(CNKI)、中国生物医学文献服务系统(CBM)、万方数据知识服务平台(WanFang)、维普网(VIP)、Pubmed、Cochrane Library、Web of Science(WOS)中关于耳穴贴压干预AR的文献,检索时间为建库至2023年8月6日。对纳入的耳穴处方进行频次统计和关联规则分析,并归纳总结常用材料和刺激量。结果:纳入61组耳穴处方,涉及27个耳穴,使用频次排前3的耳穴为内鼻、肺、外鼻。关联规则分析显示以肺-内鼻为最常见的耳穴配伍。耳穴贴压常用材料是王不留行籽,每天按压次数集中在2~4次,单次按压时长集中在1~5 min,耳穴更换频率集中在每天2~3次。结论:耳穴贴压干预AR遵循辨证选穴、病位选穴、神经解剖选穴的原则。耳穴贴压治疗AR最常用的耳穴穴位是内鼻、肺、外鼻、肾上腺、脾、风溪,配穴有咽喉、气管等。
林寒梅教授认为盆腔炎性不孕症的病位在胞宫、冲任、胞脉,其根本病机为肾虚,正气不足,邪气趁虚而入。治疗应当从肾论治,正气实则邪气不扰内。林寒梅教授秉持“从肾论治”的治则,在以补肾为核心的同时,高度重视对各种兼夹证的治疗,根据患者的临床症状及体征辨证论治,并根据患者的月经周期配合相应的治法,同时搭配中药灌肠,微波治疗,任督脉灸等外治法,内外合治。提高了疾病治愈率及妊娠率,临床疗效显著。Professor Lin Hanmei believes that the disease of pelvic inflammatory infertility is located in the cell palace, Chongren and cell pulse, and its basic pathogenesis is kidney deficiency, lack of healthy qi and evil qi. Treatment should be from the kidney to treat, positive qi actually does not disturb the evil qi. According to the principle of “treating from kidney” and on the basis of tonifying kidney, Professor Lin Hanmei attaches great importance to the treatment of various double-syndrome, according to the clinical symptoms and signs of the patient, and according to the menstrual cycle of the patient with the corresponding treatment, at the same time with traditional Chinese medicine enema, microwave treatment, Ren and Dou pulse moxibustion and other external treatment, internal and external treatment. The cure rate and pregnancy rate of the disease were improved, and the clinical effect was remarkable.
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