首页|平肝潜阳中药治疗肝阳上亢型高血压的分子机制研究

平肝潜阳中药治疗肝阳上亢型高血压的分子机制研究

Molecular Mechanism of Pacifying Liver and Subduing Yang in the Treatment of Hypertension with Ascendant Hyperactivity of Liver Yang

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肝阳上亢型高血压的核心病机是肝肾阴虚、水不涵木、阴不制阳、肝阳上亢,临床一般采用平肝潜阳法治疗.常用方剂有天麻钩藤饮、镇肝熄风汤、建瓴汤等,常用中药包括:石决明、珍珠母、牡蛎、紫贝齿、代赭石、刺蒺藜、罗布麻、生铁落等,这些中药均具有平抑肝阳的作用,并且能够通过多角度、多层面、多靶点的作用发挥疗效.通过对国内外近年相关文献进行梳理,发现其分子机制主要涉及调节修复血管、调节微循环障碍、调节炎症反应、防治靶器官损害、调节免疫功能障碍、调节代谢过程等.本研究旨在为中药治疗肝阳上亢型高血压提供理论支持,促进平肝潜阳中药的基础研究进一步发展,为肝阳上亢型高血压的遣方用药提供新思路,从而更好的研发新药用于临床治疗.
The core pathogenesis of hypertension with ascendant hyperactivity of liver yang is liver-kidney yin deficiency,water failing to nourish wood,yin failing to control yang,and ascendant hyperactivity of liver yang,which is usually treated by pacifying liver and subduing yang in clinical practice.Commonly used prescriptions include Tianma Gouteng Decoction,Zhengan Xifeng De-coction,and Jianling Decoction,and commonly involved medicinal materials include Concha Hailotidis,Concha Margaritifera,Con-cha Ostreae,Concha Mauritiae Arabicae,Haematitum,Fructus Tribuli,Apocyni Veneti,and Ferrum Squamae.These medicinal ma-terials,with the effect of calming and inhibiting liver yang,exert their curative effects through multi-angle,multi-level and multi-tar-get ways.This paper analyzed the relevant literature in China and abroad in recent years,and found that the molecular mechanism mainly involved regulating and repairing blood vessels,regulating microcirculation disorders and inflammatory response,preventing target organ damage,modulating immune dysfunction,modulating metabolic processes,etc.This paper aimed to provide theoretical support for the treatment of hypertension with ascendant hyperactivity of liver yang with traditional Chinese medicine,promote the further development of basic research on pacifying liver and subduing yang,and provide new ideas for the prescription and medica-tion of hypertension with ascendant hyperactivity of liver yang,thereby facilitating the research and development of new drugs for clinical treatment.

Pacifying liver and subduing yangCalming and inhibiting liver yangChinese medicinal materialAscendant hyper-activity of liver yangHypertensionMolecular mechanismResearch

汪阳、杨硕、高毛毛、孙立亚

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辽宁中医药大学,沈阳,110847

辽宁中医药大学附属第四医院,沈阳,110101

平肝潜阳 平抑肝阳 中药 肝阳上亢 高血压 分子机制 研究

国家重点研发计划战略性国际科技创新合作重点专项

2016YFE0205400

2023

世界中医药
世界中医药学会联合会

世界中医药

CSTPCDCHSSCD北大核心
影响因子:1.266
ISSN:1673-7202
年,卷(期):2023.18(19)
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