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纸质出版日期:2015
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花梦, 董文秀, 孙丽, 等. 清热解毒消痈生肌方药抗胃溃疡机制研究进展[J]. 中国实验方剂学杂志, 2015,21(8):210-214.
HUA Meng, DONG Wen-xiu, SUN Li, et al. Progresses in Anti-gastric Ulcer Mechanism of Qingre Jiedu Xiaoyong Shengji Prescriptions[J]. Chinese journal of experimental traditional medical formulae, 2015, 21(8): 210-214.
花梦, 董文秀, 孙丽, 等. 清热解毒消痈生肌方药抗胃溃疡机制研究进展[J]. 中国实验方剂学杂志, 2015,21(8):210-214. DOI: 10.13422/j.cnki.syfjx.2015080210.
HUA Meng, DONG Wen-xiu, SUN Li, et al. Progresses in Anti-gastric Ulcer Mechanism of Qingre Jiedu Xiaoyong Shengji Prescriptions[J]. Chinese journal of experimental traditional medical formulae, 2015, 21(8): 210-214. DOI: 10.13422/j.cnki.syfjx.2015080210.
胃溃疡是消化系统常见病、多发病
目前西医在对胃溃疡发病机制的认识及治疗策略上均取得较大进展
但仍存在西药的不良反应及治疗后复发等问题。中药在胃溃疡治疗中具有一定的优势。胃溃疡活动期患者中医辨证分型以毒热证型为主
采用"清热解毒、消痈生肌"治则
使用复方中药消痈溃得康治疗
临床疗效显著
动物实验亦显示具有促进溃疡愈合作用。消痈溃得康的抗胃溃疡机制包括抑制炎症;促进生长因子、三叶因子(TFF-2)表达;促进前列腺素E2(PGE2)释放等。消痈溃得康由黄芪、黄连、蒲公英、苦参、浙贝母、海螵蛸、白及、人参、柴胡、甘草组成
其中多数单味中药的提取物也被证明具有抗胃溃疡的作用。研究表明:甘草及其提取物不仅能够直接杀灭幽门螺旋杆菌(Hp)
还可以通过抑制Hp与胃壁的黏附
减轻Hp感染;黄连、蒲公英、甘草可以减轻胃溃疡的炎症反应;白及甘露聚糖、蒲公英、柴胡皂苷可以抑制胃酸的分泌;蒲公英乙醇提取物、白及中酚类物质、白及多糖琥珀酸酯、黄连总生物碱均具有抗氧化作用;海螵蛸、浙贝母通过促进胃黏液的分泌
海螵蛸能够同时增加一氧化氮(NO)含量而起到保护胃黏膜的作用;人参根提取物可以诱导热休克蛋白27(HSP27)的表达
保护模型大鼠胃黏膜;黄芪可以促进表皮生长因子(EGF)及其受体(EGFR)的表达
促进胃黏膜组织修复
提高溃疡愈合质量。复方中药消痈溃得康处方工艺优化及机制解明将进一步提高中药治疗胃溃疡的疗效。
Gastric ulcer is a common disease in digestive system. Although modern medicine has made great progresses in the pathogenesis and treatment of gastric ulcer
many problems still exists
such as the side-effects of drugs and the recurrence after treatment. Traditional Chinese medicine (TCM) has its advantages in gastric ulcer treatment. TCM doctors find that most of the patients with gastric ulcer in active state (GUIAS) exhibit 'toxin-heat’ syndrome. Thus in the treatment of GUIAS
they follow the principle of Qingre Jiedu Xiaoyong Shengji prescriptions. Xiaoyong Kuide Kang prescription has shown significant clinical effect on GUIAS patients. Using the Xiaoyong Kuide Kang prescription by following the principle of Qingre Jiedu Xiaoyong Shengji Prescriptions therapeutic strategy
significant clinical effect has been proved
which is also can be testified in Animal experiments. The mechanisms include inhibiting inflammation
increasing the expression of growth factors and trefoil factors
and promoting the release of prostaglandin E2 and so on. The Xiaoyong Kuide Kang consists of Astragali Radix
Coptidis Rhizoma
Taraxaci Herba
Sophorae Flavescentis Radix
Fritillariae Thunbergil Bulbus
Sepiae Endoconcha
Bletillae Rhizoma
Ginseng Radix et Rhizoma
Bupleuri Radix and Glycyrrhizae Radix et Rhizoma. Most of the single medicine extracts in the prescription have also been confirmed effective against gastric ulcer. It has been reported that liquorice and its extracts can not only kill Helicobacter pylori (Hp)directly but also inhibit Hp adhering to the stomach wall
thus relieving the infection;Coptidis Rhizoma
Taraxaci Herba and Glycyrrhizae Radix et Rhizoma can reduce inflammation associated with gastric ulcer;Bletillae Rhizoma mannan
Taraxaci Herba and saikoside can inhibit the secretion of gastric acid;some extracts have the antioxidant effect
such as dandelion ethanol extracts
phenolic compounds and polysaccharide succinic acid ester from Bletillae Rhizoma
and the total alkaloids from Coptidis Rhizoma as well;thunberg fritillary bulb and cuttlefish bone both can increase mucus secretion to protect gastric mucosa
the former can also increase the nitric oxide (NO) production;Ginseng Radix et Rhizoma root extract can protect gastric mucosa by inducing heat shock protein 27 (HSP27);Astragali Radix can promote the expression of epidermal growth factor and its receptor
accelerate the repair gastric mucosa and improve the quality of ulcer healing. Optimizing the process and elucidating the mechanism of Xiaoyong Kuide Kang would further improve the therapeutic efficacy of traditional Chinese medicine on gastric ulcer.
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