首页|基于"肾虚毒损"理论探讨帕金森神经炎症的致病机制及中医药干预进展

基于"肾虚毒损"理论探讨帕金森神经炎症的致病机制及中医药干预进展

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神经炎症是一种免疫反应,主要目的是保护中枢神经系统实质和促进组织修复,只有免疫细胞的急性短期激活被认为是神经保护性的,而严重损伤和持续的免疫反应却会使中枢神经系统的神经化学过程失衡,使其转变为慢性且过度的炎症反应,导致神经元进行性死亡,最终引起帕金森病(parkinson's disease,PD)的发生发展,因此神经炎症与帕金森病的发生发展密切相关,故调节神经炎症水平在PD治疗中具有重要意义。"肾虚毒损"是指因肾气血阴阳亏虚,引发血液运行不畅、津液代谢异常,导致痰饮、瘀血在体内蓄积,最终胶结成毒,损毁脑络的病理过程,其中以"肾虚"为本,"痰饮瘀血胶结成毒"为标,这是PD的关键病机。PD的神经炎症机制与"肾虚毒损"有着相互贯通之处,肾气血阴阳亏虚是PD免疫细胞转变为慢性炎症的关键因素,痰瘀胶结成毒是PD神经损伤的直接因素,二者相合,使免疫细胞的激活向着不利机体的炎症反应方向发展,最终导致了PD的发生及持续进展。目前大量研究表明中医药能够有效治疗PD,且有独特的优势,文章通过汇总分析近年来国内外文献,将PD神经炎症的作用机制以及中医药通过调控神经炎症防治PD方面进行综述,以期为防治PD中药的开发与临床合理用药研究提供参考。
Discussion of the Pathogenesis of Parkinson's Disease Neuroinflammation and the Progress of Chinese Medicine Intervention Based on the Theory of"Kidney Deficiency and Toxic Damage"
Neuroinflammation is an immune response,the main purpose of which is to protect the central nervous system(CNS)parenchyma and promote tissue repair,only acute short-term activation of immune cells is considered neuroprotective,whereas severe injury and sustained immune response imbalances the neurochemical processes of the CNS,transforming it into a chronic and excessive inflammatory response,leading to progressive neuronal death and ultimately causing the development of Parkinson's disease(PD).Therefore,neuroinflammation is closely related to the development of PD,so regulating the level of neuroinflammation is of great significance in the treatment of PD."Kidney deficiency and toxic damage"refers to the pathological process in which the deficiency of kidney Qi,blood,Yin and Yang triggers poor blood circulation and abnormal fluid metabolism,resulting in the accumulation of phlegm and blood stasis in the body,which ultimately becomes poisonous and destroys the cerebral complexes,with"kidney deficiency"as the main factor.The neuroinflammatory mechanism of PD is interlinked with"kidney deficiency and toxicity",and the deficiency of kidney Qi,blood,Yin and Yang is the key factor for the transformation of PD immune cells into chronic inflammation,while phlegm and stagnant blood stagnation is the direct factor for the neurological damage of PD.The combination of these two factors makes the activation of immune cells develop in the direction of unfavorable inflammatory reactions,which ultimately leads to the occurrence and continuous progression of PD.At present,a large number of studies have shown that traditional Chinese medicine(TCM)can effectively treat PD and has unique advantages.This paper summarizes and analyzes the literature at home and abroad in recent years to review the mechanism of PD neuroinflammation and the prevention and treatment of PD by TCM through the modulation of neuroinflammation,with the aim of providing a reference for the development of TCM for the prevention and treatment of PD as well as for the study of rational clinical use of medicines.

Parkinson's diseaseneuroinflammationtraditional Chinese medicinekidney deficiency and toxic damageresearch progress

王菲、王亚丽、冯震震、邓汉沣

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陕西中医药大学,陕西咸阳 712000

陕西中医药大学附属医院,陕西咸阳 712000

帕金森病 神经炎症 中医药 肾虚毒损 研究进展

2025

辽宁中医药大学学报
辽宁中医药大学

辽宁中医药大学学报

影响因子:0.775
ISSN:1673-842X
年,卷(期):2025.27(1)