四神丸治疗溃疡性结肠炎的研究概况OA
Research Progress in the Treatment of Ulcerative Colitis with Sishen Pills
溃疡性结肠炎(ulcerative colitis,UC)是一种免疫介导的炎症性肠病,发病机制复杂,病程长、易反复,难以彻底治愈.近年来由于长病程患者的增加,使UC治疗难度加大,西医治疗如激素、硫唑嘌呤、生物制剂等仍不满意,四神丸多用于治疗脾肾阳虚证UC疗效显著,通过临床观察、药理学研究、实验验证等发现其通过减轻炎症反应、调节肠道菌群及细胞自噬、调节免疫、保护上皮完整性、改善肠道蠕动及能量代谢等多途径发挥作用.由于机制的复杂性及中药治疗UC的多靶点性,有待后续更深入的研究,加强对单体与复方、实验与临床、动物模型与人体等多维度的区别及联系,探索更多微观机制.
Ulcerative colitis(UC)is an immune-mediated inflammatory bowel disease with complex pathogenesis,long course,easy recurrence,and difficulty in complete cure.In recent years,due to the increase in patients with long-term disease,the treatment of UC has become more difficult.Western medical treatments such as hormones,azathio-prine,biological agents,etc.are still not satisfactory.Sishen Pills are mostly used to treat UC with spleen and kidney yang deficiency syndrome.Through clinical observation,,pharmacological studies,experimental verification,etc.have found that it works through multiple pathways such as reducing inflammatory responses,regulating intestinal flora and autophagy,regulating immunity,protecting epithelial integrity,and improving intestinal peristalsis and energy me-tabolism.Due to the complexity of the mechanism and the multi-target nature of traditional Chinese medicine in treat-ing UC,further in-depth research is needed to strengthen the multi-dimensional differences and connections between monomers and compound formulations,experiments and clinical trials,animal models and human bodies,and explore more microscopic mechanisms..
马力亚;李梅梅;黄玉卓;舒劲
甘肃中医药大学 甘肃兰州 730030甘肃省中医院,甘肃中医药大学第一附属医院 甘肃兰州 730050
中医学
四神丸溃疡性结肠炎经典名方炎症性肠病
Sishen PillsUlcerative colitisClassic prescriptionsInflammatory bowel disease
《中医药临床杂志》 2024 (005)
987-994 / 8
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