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当归芍药散治疗非酒精性脂肪性肝病作用机制研究现状OA

Mechanism of Danggui Shaoyao Powder Against Nonalcoholic Fatty Liver Disease:A Review

中文摘要英文摘要

随着人们生活水平的提高和饮食习惯的改变,非酒精性脂肪性肝病(NAFLD)逐渐成为世界上最常见的慢性肝病之一.其发病率呈逐年上升的趋势,因其发病机制较为复杂,尚不明确,目前未有特效的治疗药物,因此,寻找安全、高效、经济的NAFLD治疗药物迫在眉睫.与具有快速降脂作用的西药相比,中药因其具有多靶点、多通道作用机制等独特优势,在NAFLD的治疗中越来越受到关注.NAFLD的中医病机为肝脾失调、痰瘀互结.当归芍药散源于《金匮要略》,具有调和肝脾、祛湿消痰、活血化瘀之效,与该病病机相契合.当归芍药散已被证明通过调节各种途径来治疗NAFLD,包括改善肠道菌群、抗氧化应激、调节肠肝轴、减轻炎症反应等.中药因其具有多靶点、多通道作用机制对治疗NAFLD有独特优势,而当归芍药散药物组成多样,药理作用复杂,难以了解调控NAFLD的具体机制,目前缺少当归芍药散的临床试验研究,组成药物的剂量与配比问题无明确规定,当归芍药散诱导的肝毒性和肾毒性也需进一步探讨.因此,文章通过检索与整理相关文献,对当归芍药散治疗NAFLD的作用机制和实验数据及临床研究结果进行归纳和分析,总结了当归芍药散治疗NAFLD的优势与不足,为今后中医药进一步开展包括当归芍药散在内的深入实验研究及后续临床运用和推广提供思路和展望.

With the improvement of people's living standards and changes in dietary habits,non-alcoholic fatty liver disease(NAFLD)has gradually become one of the most common chronic liver diseases in the world.Its incidence rate is increasing year by year.Because its pathogenesis is complex and unclear,there are currently no specific thera-peutic drugs.Therefore,it is urgent to find safe,efficient,and economical NAFLD therapeutic drugs.Compared with Western medicines with rapid lipid-lowering effects,traditional Chinese medicine has attracted more and more atten-tion in the treatment of NAFLD because of its unique advantages such as multi-target and multi-channel action mech-anisms.The traditional Chinese medicine pathogenesis of NAFLD is liver and spleen imbalance and phlegm and blood stasis.Danggui Shaoyao Powder is derived from"Synopsis of the Golden Chamber"and has the effects of harmonizing the liver and spleen,dispelling dampness and eliminating phlegm,activating blood circulation and removing blood sta-sis,which is consistent with the pathogenesis of the disease.Danggui Shaoyao Powder has been proven to treat NAFLD by regulating various pathways,including improving intestinal flora,resisting oxidative stress,regulating the intestinal-liver axis,and reducing inflammatory responses.Traditional Chinese medicine has unique advantages in the treatment of NAFLD because of its multi-target and multi-channel mechanism of action.However,Danggui Shaoyao Powder has diverse drug compositions and complex pharmacological effects,making it difficult to understand the specific mecha-nism of regulating NAFLD.There is currently a lack of clinical trial research on Danggui Shaoyao Powder,and its composition There are no clear regulations on the dosage and ratio of drugs,and the hepatotoxicity and nephrotoxicity induced by Danggui Shaoyao Powder also need to be further explored.Therefore,this article summarizes and analyzes the mechanism of action,experimental data and clinical research results of Danggui Shaoyao Powder in the treatment of NAFLD by retrieving and sorting out relevant literature,and summarizes the advantages and disadvantages of Dang-gui Shaoyao Powder in the treatment of NAFLD,providing guidance for the further development of traditional Chinese medicine in the future,including In-depth experimental research and subsequent clinical application and promotion of Danggui Shaoyao Powder provide ideas and prospects.

陈旭;李秀园;李爽;陈婕

天津中医药大学 天津 301617天津中医药大学第二附属医院 天津 300250

中医学

当归芍药散非酒精性脂肪性肝病作用机制研究现状

Danggui Shaoyao PowderNon-alcoholic fatty liver diseaseMechanism of actionResearch status

《中医药临床杂志》 2024 (005)

982-986 / 5

10.16448/j.cjtcm.2024.0535

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