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基于"肠道菌群-胆汁酸"途径探讨动脉粥样硬化"土壅木郁"病机的生物学内涵OACSTPCD

Exploration on the Biological Connotation of the Pathogenesis of "Earth Congestion and Wood Depression" of Atherosclerosis from "Intestinal Flora-Bile Acids" Pathway

中文摘要英文摘要

肠道菌群与胆汁酸代谢彼此调节、互相影响,"肠道菌群-胆汁酸"途径失衡与动脉粥样硬化关联密切.基于中医理论及临床实践发现,"土壅木郁"是动脉粥样硬化的关键病机,但其生物学内涵有待进一步阐明.本文结合现代相关研究成果,认为肠道菌群失调是"土壅"的重要基础,胆汁酸代谢异常为"木郁"的重要表现,在动脉粥样硬化过程中,"肠道菌群-胆汁酸"途径失衡与中医"土壅木郁"病机相契合.从"肠道菌群-胆汁酸"途径探讨动脉粥样硬化"土壅木郁"病机的生物学内涵,对于明晰中医理论科学内涵及指导中医药防治动脉粥样硬化具有重要意义.

Intestinal flora and bile acid metabolism regulate and influence each other,and an imbalance in the"intestinal flora-bile acid"pathway is closely related to atherosclerosis.Based on TCM theory and clinical practice,it is found that"earth congestion and wood depression"is the key mechanism of atherosclerosis,but its biological connotation needs to be further elucidated.Combined with the results of modern research,it is believed that intestinal flora imbalance is an important foundation of"earth congestion",and bile acid metabolism abnormality is an important manifestation of"wood depression".In the process of atherosclerosis,the imbalance of the"intestinal flora-bile acid"pathway is closely related to the"earth congestion and wood depression"pathogenesis of TCM in atherosclerosis.Exploring the biological connotation of the pathogenesis of"earth congestion and wood depression"of atherosclerosis from the"intestinal flora-bile acids"pathway is of far-reaching significance for clarifying the scientific connotation of TCM theory and guiding the TCM prevention and treatment of atherosclerosis.

孟浩先;金华;席金梦;何彦虎;司美龙;叶路亮;侯田田

甘肃中医药大学中医临床学院,甘肃 兰州 730000甘肃中医药大学中医临床学院,甘肃 兰州 730000||敦煌医学与转化教育部重点实验室,甘肃 兰州 730000甘肃中医药大学附属医院,甘肃 兰州 730020

中医学

动脉粥样硬化胆汁酸肠道菌群土壅木郁

atherosclerosisbile acidsintestinal floraearth congestion and wood depression

《中国中医药信息杂志》 2024 (009)

12-17 / 6

国家自然科学基金(82160886、81860832);甘肃省省级重点人才项目(2023年);甘肃省自然科学基金(20JR10RA315、22JR5RA579);甘肃中医药大学中医学一级学科"岐黄英才"导师专项基金(ZYXKBD-202203)

10.19879/j.cnki.1005-5304.202309200

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