浏览全部资源
扫码关注微信
1.湖南中医药大学 药学院,长沙 410208
2.湖南省中药活性物质筛选工程技术研究中心,长沙 410208
3.启迪古汉集团衡阳中药有限公司,湖南 衡阳 421003
杨玲,在读硕士,从事中药活性物质与质量研究,E-mail:2837304347@qq.com
李顺祥,博士,教授,研究员,博士生导师,从事中药药效物质基础与机制研究,E-mail:lishunxiang@hotmail.com
纸质出版日期:2021-01-20,
网络出版日期:2020-08-17,
收稿日期:2020-05-29,
扫 描 看 全 文
杨玲,彭江丽,李娟等.当归六黄汤的药理作用和临床应用研究进展[J].中国实验方剂学杂志,2021,27(02):233-241.
YANG Ling,PENG Jiang-li,LI Juan,et al.Advance on Pharmacological Effect and Clinical Application of Danggui Liuhuang Tang[J].Chinese Journal of Experimental Traditional Medical Formulae,2021,27(02):233-241.
杨玲,彭江丽,李娟等.当归六黄汤的药理作用和临床应用研究进展[J].中国实验方剂学杂志,2021,27(02):233-241. DOI: 10.13422/j.cnki.syfjx.20202008.
YANG Ling,PENG Jiang-li,LI Juan,et al.Advance on Pharmacological Effect and Clinical Application of Danggui Liuhuang Tang[J].Chinese Journal of Experimental Traditional Medical Formulae,2021,27(02):233-241. DOI: 10.13422/j.cnki.syfjx.20202008.
当归六黄汤作为中国传统经典名方之一,自金元以来被各大医学名家运用于临床。本文通过对当归六黄汤相关文献进行查阅及梳理,发现其具有广泛的药理活性,主要通过抑制肿瘤坏死因子、白细胞介素等炎症因子的产生和相关通路的激活等途径发挥抗炎及抗胰岛素抵抗作用,并通过多成分、多靶点、多途径减弱炎症信号以及细胞外基质聚集,达到抗肝纤维化的作用。此外,关于当归六黄汤在呼吸系统方面的研究也有涉及,但对其机制并未进行深入探索。当归六黄汤在临床上常被用于治疗各种汗证,且在治疗甲状腺疾病、糖尿病、呼吸道等疾病上有明显疗效。故对其近年的药理作用研究以及临床实践应用进行综述,为当归六黄汤后续发展提供具有价值性的线索。
Danggui Liuhuang Tang, as one of classical traditional Chinese medicine prescriptions, has been used by major medical experts in clinic since Jin and Yuan dynasties. After review and summarization of relevant literatures on the pharmacological effects and clinical application of Danggui Liuhuang Tang, it was found that Danggui Liuhuang Tang has a wide range of pharmacological activities, and exerts its anti-inflammatory and anti-insulin resistance effects mainly by inhibiting the production of inflammatory factors, such as tumor necrosis factor and interleukin and activating related pathways. In addition, Danggui Liuhuang Tang inhibits the occurrence and development of hepatic fibrosis by attenuating proinflammatory signaling and extracellular matrix accumulation with multiple components, multiple targets, and multiple pathways. Danggui Liuhuang Tang has been widely used in sweat syndromes, with an obvious effect in the treatment of thyroid diseases, diabetes, respiratory tract and other diseases. This paper reviews and summarizes the pharmacological effects and clinical application of Danggui Liuhuang Tang,in an attempt to provide some valuable clues for the subsequent development of Danggui Liuhuang Tang.
当归六黄汤药理作用临床应用进展
Danggui Liuhuang Tangpharmacological effectclinical applicationadvance
李杲.兰室秘藏[M].天津:天津科学技术出版社,2000:103.
CAO H,TUO L L,TUO Y L,et al.Immune and metabolic regulation mechanism of dangguiliuhuang tang against insulin resistance and hepatic steatosis[J].Front Pharmacol,2017,8:445-459.
PERREAULT M,MARETTE A.Targeted disruption of inducible nitric oxide synthase protectsagainst obesity linked insulin resistance in muscle[J].Nat Med,2001,7(10):1138-1143.
MIMA A.Inflammation and oxidative stress in diabetic nephropathy:newinsightson its inhibition as new therapeutic targets[J].J Diabetes Res,2013,doi:10.1155/2013/248563http://dx.doi.org/10.1155/2013/248563.
MO C,WANG L,ZHANG J,et al.The crosstalk between Nrf2 and AMPK signal pathways is important for the anti-inflammatory effect of berberine in LPS-stimulated macrophages and endotoxin-shocked mice[J].Antioxid Redox Signal,2013,20(4):574-588.
YI P,LU F E,XU L J,et al.Berberine reverses free-fatty-acid-induced insulin resistance in 3T3-L1 adipocytes through targeting IKKβ[J].World J Gastroenterol,2008,14(6):876-883.
KIM D K,LIM J H,LEE J A,et al.Synthesis and biological evaluation of trisubstituted imidazole derivatives as inhibitors of p38mitogen-activated protein kinase[J].Bioorg Med Chem Lett,2008,18(14):4006-4010.
KIM S B,KANG O H,KEUM J H,et al.Anti-inflammatory effects of Danggui Liuhuang Tang in RAW 264.7 cells[J].Chin J Integr Med,2012,doi:10.1007/s11655-012-1237-1http://dx.doi.org/10.1007/s11655-012-1237-1.
庹玲玲,刘畅,全毅红.当归六黄汤对非肥胖性糖尿病小鼠胰岛炎和Bax、Bcl-2表达的影响[J].中国中医基础医学杂志,2018,24(8):67-70.
彭修娟,许海燕,陈衍斌,等.当归六黄汤治疗糖尿病的网络药理学作用机制分析[J].中药研究与临床药理,2019,30(8):952-958.
HUI C,SENLIN L,RUI X,et al.Exploring the mechanism of dangguiliuhuang tang against hepatic fibrosis by network pharmacology and experimental validation[J].Front Pharmacol,2018,9:187-200.
王静,崔霞,王坤,等.瘀热内结证小鼠模型的建立及当归六黄汤对其干预的研究[J].湖北中医药大学学报,2016,18(3):12-15.
程竑.当归六黄汤对MRSA感染宿主的作用[J].国外医学:中医中药分册,1995,17(2):39.
史志永.当归六黄汤合芍药甘草汤加减治疗盗汗108例临床体会[J].中国民族民间医药,2015,24(17):105.
李佳琪,宋立群,代丽娟.当归六黄汤合玉屏风散加减治疗汗证68例[J].江西中医药,2015,46(4):41-42.
吴颖.当归六黄汤加味治疗消渴并汗证临床观察[J].浙江中医杂志,2016,51(10):746.
施义.当归六黄汤治疗食管癌术后盗汗32例[J].吉林中医药,2010,30(11):960-961.
刘汉云.当归六黄汤治疗乳腺癌化疗后盗汗20例[J].实用中医药杂志,2014,30(12):1103.
陈国林.试论当归六黄汤加减用于阴虚盗汗治疗中的临床效果[J].世界最新医学信息文摘:电子版,2016,16(69):195.
栗春芳,王珊珊,李真.李真教授运用当归六黄汤治疗更年期汗证经验[J].光明中医,2017,32(8):1096-1097.
袁杰.当归六黄汤治疗更年期多汗60例[J].实用中医药杂志,2014,30(9):824.
王磊,万丽玲.当归六黄汤治疗结核盗汗[J].世界最新医学信息文摘,2018,18(98):333.
吴维.针灸结合当归六黄汤治疗骨科术后盗汗[J].中国农村卫生,2016(8):76.
卢春芬.当归六黄汤加减敷脐治疗产后盗汗200例疗效观察[J].浙江中医杂志,2014,49(6):412.
刘琳.当归六黄汤加减治疗慢性心力衰竭白汗症40例[J].社区医学杂志,2014,12(7):37-38.
李岚.当归六黄汤加减治疗糖尿病多汗症临床观察[J].实用中医药杂志,2019,35(2):32-33.
邵强.当归六黄汤治疗糖尿病皮肤瘙痒症的疗效分析[J].糖尿病新世界,2017,20(8):88-89.
罗婉娴.当归六黄汤加味治疗糖尿病皮肤瘙痒症的临床疗效[J].深圳中西医结合杂志,2016,26(20):61-62.
王红.当归六黄汤治疗初发型2型糖尿病伴轻度抑郁症临床研究[J].中医学报,2016,31(11):1684-1687.
钱钧.新加六味地黄汤治疗早期糖尿病肾病临床观察[J].现代中西医结合杂志,2011,20(9):1069-1070.
王强.当归六黄汤加减治疗阴虚火旺型甲状腺功能亢进的疗效分析[J].中国医药指南,2019,17(4):158.
芦文芳.当归六黄汤联合丙基硫氧嘧啶治疗阴虚火旺型甲亢30例[J].中国民族民间医药,2018,27(9):87-88.
孙扶,阮志华.当归六黄汤治疗阴虚火旺型甲亢的疗效分析[J].实用中医内科杂志,2019,33(10):27-29.
李景,周旭升,李江敏子,等.当归六黄汤合消瘰丸加减治疗阴虚火旺型Graves病20例临床观察[J].北京中医药,2019,38(8):813-815.
姚爱春.当归六黄汤加减配合优甲乐治疗桥本甲状腺炎的临床观察[J].医学理论与实践,2016,29(21):2951-2952.
郭逸,裴迅,房骢骢,等.当归六黄汤对桥本甲状腺炎临床疗效及免疫功能的影响[J].环球中医药,2019,14(9):2290-2294.
车红霞,杨青平,王擒虎,等.当归六黄汤配合西医治疗亚急性甲状腺炎阴虚火旺证的临床效果[J].甘肃科技,2017,33(8):117-118,75.
于洁,杨文军.中西医结合治疗亚急性甲状腺炎阴虚火旺证临床观察[J].山西中医,2014,30(8):26.
布立影.当归六黄汤治疗阴虚火旺型围绝经期综合征的临床研究[J].内蒙古中医药,2019,38(7):56-57.
张 云.当归六黄汤联合戊酸雌二醇治疗围绝经期综合征47例临床观察[J].中国民族民间医药,2019,28(10):101-103.
方芳,郭翠琴,刘燕.当归六黄汤联合穴位按摩治疗围绝经期综合征的研究[J].现代中西医结合杂志,2019,28(5):62-65.
王淑芳,徐楗莹,石志蓉.莉芙敏联合中药治疗围绝经综合征的生殖变化和疗效分析[J].中国优生与遗传杂志,2014,22(1):110-113.
刘红娟,王慧萍,徐丽平.当归六黄汤治疗失眠的临床运用[J].世界最新医学信息文摘,2019,19(34):161-163.
王鑫,张怀亮.张怀亮教授运用当归六黄汤治疗失眠治验[J].世界最新医学信息文摘,2016,16(4):389-389.
耿嘉玮,于青.当归六黄汤加减治疗女性更年期失眠32例疗效观察[J].中医杂志,2014,55(18):1581-1583.
赖建岩.当归六黄汤联合华法林治疗阵发性房颤(阴虚火旺)临床观察[J].实用中医内科杂志,2019,33(7):25-28.
张蕾.当归六黄汤加味治疗房颤(气阴两虚、虚热内蕴型)的临床研究[D].济南:山东中医药大学,2017.
党浩骐.中医治疗小儿反复上呼吸感染案[N].上海中医药报,2018-04-14(1).
王天秋.当归六黄汤联合推拿治疗小儿反复呼吸道感染临床观察[J].光明中医,2018,33(24):16-18.
邹世昌.六味地黄汤合当归六黄汤加减治疗喉源性咳嗽276例[J].中国民间疗法,2009,17(11):31.
邹世昌.六味地黄汤合当归六黄汤辅治肺心病心衰48例[J].浙江中西医结合杂志,2009,19(9):574.
甘盼盼,庹玲玲,全毅红.当归六黄汤加减治疗支气管扩张合并感染临床研究[J].山东中医杂志,2018,37(7):581-583.
莫霄云,钱海凌,李丽,等.当归六黄汤加味治疗慢性支气管炎迁延期的体会[J].蛇志,2009,21(3):219-220.
孙剑峰.当归六黄汤加减治疗老年皮肤瘙痒症患者的临床效果[J].医疗装备,2019,32(7):91-93.
宋淑芬.当归六黄汤加减结合耳尖放血治疗小儿湿疹的临床观察[J].皮肤病与性病,2018,40(4):72-74.
王海亮.当归六黄汤加减联合梅花针叩刺治疗血热风盛型斑秃的疗效探讨[J].中外医疗,2015,(17):154-156.
王泽颖,于飞燕.当归六黄汤加减治疗视神经脊髓炎谱系疾病医案1则[J].新中医,2018,50(9):246-247.
项晓骏,叶黎青,马红珍.当归六黄汤合并消瘀泻浊饮加减治疗慢性肾脏病3期45例临床观察[J].新中医,2014,46(11):76-78.
罗江,安雨,廖奕歆.当归六黄汤治疗缺血性脑卒中临床疗效观察[J].四川中医,2017,35(8):171-173.
贾爱南,左明晏.当归六黄汤治疗病毒性心肌炎快速型心律失常36例[J].中国中医急症,2013,22(4):125-126.
段玉红,苏虹霞,杨红莲.基于组分配伍探讨黄连 黄芩保肝的物质基础[J].中国现代中药,2018,20(12):1483-1488.
KAMATH S,SKEELS M,PAI A.Significant differences in alkaloid content of Coptis chinensis (Huanglian) ,from its related American species[J].Chin Med,2009,4(1):17-20.
LI Z F,WANG Q,CHEN G,et al.A new pyrrolidine derivative from the rhizome of Coptis chinensis[J].Chem Nat Compd,2013,49(3):493-494.
TENG H,CHOI Y H.Optimization of extraction of total alkaloid content from Rhizome Coptidis (Coptis chinensis Franch) using response surface methodology[J].J Korean Soc Appl Bioll Chem,2012,55(2):303-309.
王庆敏,李晓宁,王兵,等.当归补血汤有效部位指纹图谱归属分析[J].时珍国医国药,2008,19(11):2658-2660.
刘娅群.黄芩苷对2型糖尿病糖脂代谢的影响及机制研究[D].南京:东南大学,2017.
雷蕾,杨秦予.黄芩抗菌作用物质基础研究[J].中国中医急症,2015,24(11):92-93,104.
ZHAI Y,LI P,WANG M,et al.Determination of astragaloside Ⅲ in rat plasma by liquid chromatograph-tandem mass spectrometry and its application to a rat pharmacokinetic study[J].J Chromatogr B Analyt Technol Biomed Life Sci,2016,30(2):105-110.
计雅纯.中药复方当归六黄汤质量控制研究和XEDJ药效学研究[D].武汉:华中科技大学,2016.
0
浏览量
9
下载量
1
CSCD
关联资源
相关文章
相关作者
相关机构