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党参及其传统复方防治消化系统疾病机制研究进展

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党参及其传统复方温胃舒胶囊、理中丸、固本益肠片、健脾丸等在临床上广泛用于消化系统疾病的防治,然而其物质基础及分子机制等尚未阐释清楚。本文通过检索国内外数据库,概述党参及其复方防治消化系统疾病的现代研究进展,并提出相应对策。党参治疗消化系统疾病的作用机制与抗脂质过氧化、抑制核因子κB(NF-κB)表达、调节炎症因子分泌等有关,可发挥治疗结肠炎的作用。党参复方温胃舒胶囊的作用机制与抑制NF-κB通路、调节胃蛋白酶及肿瘤坏死因子α(TNF-α)水平等有关,主要用于治疗慢性胃炎。理中丸的作用机制与调节血小板活化因子(PAF)、白细胞介素(IL)-6、IL-8水平等有关,进而发挥治疗胃溃疡的作用。固本益肠片主要用于治疗功能性腹泻、抗生素相关性腹泻。理中丸及固本益肠片能提高肠易激综合征的治疗效果,其作用机制与降低生长抑素(SS)及胃动素(MTL)含量等有关。健脾丸的作用机制虽尚不明确,但临床应用显示,其对功能性消化不良疗效显著。结合党参及其复方现有研究中存在的问题,建议深入党参及其复方防治消化系统疾病的物质基础、体内过程及作用机制研究,为其科学、合理、高效应用提供数据基础。
Research progress of Codonopsis and its traditional compound prescrip-tion on prevention and treatment of digestive diseases
Codonopsis and its traditional compound prescription Wenweishu Capsules,Lizhong Pills,Guben Yichang Tablets and Jianpi Pills are widely used in the prevention and treatment of digestive system diseases,but their material basis and molecular mechanism have not been clearly explained.By searching the domestic and foreign databases,this study summarized the modern research progress of Codonopsis and its compound prescription on the prevention and treatment of digestive system diseases,and put forward the corresponding countermeasures.The mechanism of Codonopsis in the treat-ment of digestive diseases is related to anti-lipid peroxidation,inhibiting the expression of nuclear factor kappa-B(NF-K B),regulating the secretion of inflammatory factors,etc.It can play a role in the treatment of colitis.The mechanism of Codonopsis compound prescription Wenweishu Capsules is related to inhibiting NF-κ B pathway,regulating the level of pepsin and tumor necrosis factor-α(TNF-α),etc.It is mainly used for treating chronic gastritis.The mechanism of action of Lizhong Pills is related to the regulation of platelet activating factor(PAF),interleukin(IL)-6,IL-8 levels,etc.,so as to play a role in the treatment of gastric ulcer.Guben Yichang Tablets are mainly used to treat functional diarrhea and antibiotic-related diarrhea.Lizhong Pills and Guben Yichang Tablets can improve the therapeutic effect of irritable bowel syndrome,the mechanism of which is related to reducing the contents of somatostatin(SS)and motilin(MTL).Although the mechanism of action of Jianpi Pills is not clear,clinical application shows that it has a significant effect on functional dyspepsia.According to the existing problems in the research of Codonopsis and its compound prescription,it is suggested to further study the material basis,in vivo process and mechanism of action of Codonopsis and its compound prescription in the prevention and treatment of digestive system diseases,so as to provide data basis for its scientific,reasonable and efficient application.

CodonopsisCompound prescriptionWen-weishu CapsulesLizhong PillsGuben Yichang TabletsJianpi Pills

高石曼、刘畅、闫美兴

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青岛大学附属妇女儿童医院 青岛市妇女儿童医院临床药学科,山东青岛 266034

党参 复方 温胃舒胶囊 理中丸 固本益肠片 健脾丸

山东省自然科学基金青年项目

ZR2023QH547

2024

中国当代医药
中国保健协会 当代创新(北京)医药科学研究院

中国当代医药

影响因子:1.215
ISSN:1674-4721
年,卷(期):2024.31(2)
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