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参苓白术散现代临床应用及作用机制研究进展

李宁宇 周庆伟 王蓓蕾 薛佳茜 郑月

时珍国医国药2026,Vol.37Issue(13):2592-2600,9.
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时珍国医国药2026,Vol.37Issue(13):2592-2600,9.DOI:10.70976/j.1008-0805.SZGYGY-2026-1327

参苓白术散现代临床应用及作用机制研究进展

Research progress on modern clinical applications and mechanisms of action of Shenling Baizhu Powder(参苓白术散)

李宁宇 1周庆伟 2王蓓蕾 2薛佳茜 2郑月3

作者信息

  • 1. 河南中医药大学第一附属医院,河南 郑州 450003||河南中医药大学第一临床医学院,河南 郑州 450003
  • 2. 河南中医药大学第一附属医院,河南 郑州 450003
  • 3. 河南中医药大学第一临床医学院,河南 郑州 450003
  • 折叠

摘要

Abstract

Shenling Baizhu Powder(参苓白术散,SLBZP)is one of the classical prescriptions from the Prescriptions of the Bureau of Taiping People's Welfare Pharmacy(太平惠民和剂局方),possessing the efficacy of benefiting qi and strengthening the spleen,as well as penetrating dampness and stopping diarrhea.With its characteristics of"tonifying deficiency,eliminating dampness,resolving stagnation,and regulating qi",it occupies a crucial position in traditional Chinese medicine(TCM)clinical field and is the representa-tive prescription for treating spleen deficiency with dampness excess.Later generations of physicians have significantly expanded its scope of treatment and achieved remarkable therapeutic effects by modifying and adapting its formulations,incorporating the concept of homotherapy for heteropathy.Based on an extensive search of relevant Chinese and English literature,this paper systematically reviews and summarizes the modern clinical applications of SLBZP in treating digestive,respiratory,cardiovascular,cerebrovascular,endo-crine,gynecological,pediatric,dermatological,and otolaryngological diseases.It also comprehensively analyzes its multi-target,multi-level,and multi-pathway mechanisms,including anti-inflammatory effects,regulation of oxidative stress,modulation of glucose and lipid metabolism,regulation of cellular autophagy,alleviation of intestinal dysbiosis and promotion of mucosal repair,as well as antitumor and antifibrotic activities,aiming to provide new directions for subsequent in-depth research and clinical practice.

关键词

参苓白术散/脾虚湿盛/益气健脾/异病同治

Key words

Shenling Baizhu Powder(参苓白术散)/Spleen deficiency with dampness excess/Benefiting qi and strengthening the spleen/Homotherapy for heteropathy

分类

医药卫生

引用本文复制引用

李宁宇,周庆伟,王蓓蕾,薛佳茜,郑月..参苓白术散现代临床应用及作用机制研究进展[J].时珍国医国药,2026,37(13):2592-2600,9.

基金项目

国家中医药传承创新中心联合共建科研专项(2024ZXZX1039) (2024ZXZX1039)

河南省中医药科学研究专项(2022JDZX126) (2022JDZX126)

河南省中医药科学研究专项(2021JDZY015) (2021JDZY015)

时珍国医国药

1008-0805

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