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地黄炭前后的凉血止血作用

[Blood-cooling and hemostasis effects of Rehmanniae Radix before and after carbonizing].

作者信息

Qi Xiao-Ming, Meng Xiang-Long, He Mei-Jing, Wang Bo, Zhang Shuo-Sheng

机构信息

College of Traditional Chinese Medicine,Shanxi University of Chinese Medicine Jinzhong 030619,China.

出版信息

Zhongguo Zhong Yao Za Zhi. 2019 Mar;44(5):954-961. doi: 10.19540/j.cnki.cjcmm.20181221.007.

Abstract

To compare the blood-cooling and hemostasis effects of Rehmanniae Radix before and after carbonizing on rats with blood heat and hemorrhage syndrome. The blood heat and hemorrhage syndrome rat model was established. Indexes including rectal temperature,whole blood viscosity,plasma viscosity,thrombin time(TT),activated partial thromboplastin time(APTT),prothrombin time(PT),fibrinogen content(FIB),red blood cell(RBC),hemoglobin(Hb),hematocrit(HCT),blood platelet count(PLT),mean platelet volume(MPV),serum IL-1,serum IL-6 and lung histopathology were detected to investigate the blood-cooling and hemostasis effects of Rehmanniae Radix and its carbonized products. Compared with the blank control group,the rectal temperature was significantly increased with rise of the high,middle and low whole blood viscosities and plasma viscosity(P<0.05); both the high and low whole blood restore viscosity and the high and low whole blood relative viscosity were increased significantly(P< 0.05); TT,APTT and PT were notably prolonged with the increase in FIB content(P<0.05); RBC,Hb and HCT increased significantly(P< 0.05); concentrations of serum IL-1 and IL-6 were also increased(P< 0.05) in model group. Additionally,obvious hemorrhages in lung and stomach were observed in rats of the model group. Rehmanniae Radix and its carbonized products can significantly reduce rectal temperature,high middle and low whole blood viscosities and plasma viscosity(P<0.05). TT and APTT were shortened,with lower expression of FIB in group of Rehmannia Radix and its carbonized products. Hemorrhages of lung and stomach were improved by Rehmannia Radix and its carbonized products. The results indicated that Rehmannia Radix before and after carbonizing had the hemostasis and blood-cooling effects by promoting coagulation,improving blood rheology and inhibiting expressions of IL-1 and IL-6.

摘要

比较生地黄与熟地黄对血热出血证大鼠的凉血止血作用。建立血热出血证大鼠模型,检测直肠温度、全血黏度、血浆黏度、凝血酶时间(TT)、活化部分凝血活酶时间(APTT)、凝血酶原时间(PT)、纤维蛋白原含量(FIB)、红细胞(RBC)、血红蛋白(Hb)、血细胞比容(HCT)、血小板计数(PLT)、平均血小板体积(MPV)、血清白细胞介素-1(IL-1)、血清白细胞介素-6(IL-6)及肺组织病理学等指标,以研究生地黄及其炮制品的凉血止血作用。与空白对照组比较,模型组大鼠直肠温度显著升高,全血高、中、低切黏度及血浆黏度升高(P<0.05);全血高、低切还原黏度及全血高、低切相对黏度显著升高(P<0.05);TT、APTT及PT显著延长,FIB含量升高(P<0.05);RBC、Hb及HCT显著升高(P<0.05);血清IL-1、IL-6浓度升高(P<0.05)。此外,模型组大鼠肺、胃有明显出血。生地黄及其炮制品能显著降低直肠温度、全血高、中、低切黏度及血浆黏度(P<0.05)。生地黄及其炮制品组TT、APTT缩短,FIB表达降低。生地黄及其炮制品改善了肺、胃出血情况。结果表明,生地黄炮制前后均有止血、凉血作用,其机制可能与促进凝血、改善血液流变学及抑制IL-1、IL-6表达有关。

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